2024-05-15T09:14:30-05:00 2023-06-30 990 2022-07-01 461340679 DUKE QUALITY NETWORK INC DUKE 9196688910 2200 W MAIN STREET STE 300 DURHAM NC 27705 THOMAS A OWENS MD PRESIDENT 9196688910 2024-04-04 THOMAS OWENS MD 999009999 1 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z X THOMAS A OWENS MD 615 DOUGLAS ST STE 700 DURHAM NC 27705 0 0 X N/A X 2013 NC SEE SCHEDULE O FOR ORGANIZATION'S MISSION STATEMENTDUKE QUALITY NETWORK, INC. WAS CREATED TO SUPPORT DUKE UNIVERSITY HEALTH SYSTEM, INC.'S CHARITABLE AND EDUCATIONAL ACTIVITIES. 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 DUKE QUALITY NETWORK, INC. WAS CREATED TO SUPPORT DUKE UNIVERSITY HEALTH SYSTEM, INC.'S CHARITABLE AND EDUCATIONAL ACTIVITIES. 0 0 HOLD PARTNERSHIP INVESTMENT - PARTNERSHIP ENTITY WAS CREATED TO IMPLEMENT CLINICAL QUALITY PROGRAMS IN RURAL HOSPITALS OR IN HOSPITALS IN AREAS WITH UNDERSERVED MEDICAL POPULATIONS TO SUPPORT EFFECTIVE CARE, DEVELOP HEALTH PROFESSIONALS' CLINICAL SKILLS, AND IMPROVE PATIENT SAFETY AT SUCH HOSPITALS. 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 3 0 1 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 X X BETSY CASSIDY 9196688910 615 DOUGLAS STREET STE 700 DURHAM NC 27705 JOHN P MORDACH PART YEAR DIRECTOR/TREASURER 0.10 40.50 X X 0 1582991 66153 PAUL LINDIA PART YEAR DIRECTOR/VP 0.10 40.20 X X 0 402806 56703 CRAIG T ALBANESE MD PART YEAR DIRECTOR/PRESIDENT 0.10 60.60 X X 0 1407490 53451 THOMAS A OWENS MD PART YEAR DIRECTOR/PRESIDENT 0.10 61.60 X X 0 1441308 50390 DONNA PETER PART YEAR DIRECTOR/VP 0.10 40.20 X X 0 251023 41367 ROBERT N WILLIS PART YEAR DIRECTOR/TREASURER 0.10 50.60 X X 0 684760 53493 LORNA MAXWELL SECRETARY 0.10 40.20 X 0 150616 43411 WILLIAM J FULKERSON MD FORMER DIRECTOR/OFFICER 0.10 40.00 X 0 1763663 43312 CHRISTY M GUDAITIS FORMER OFFICER 0.10 40.00 X 0 398346 54613 0 8083003 462893 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 0 0 0 0 0 X 0 1 X 0 0 X X X 1 DUKE UNIVERSITY HEALTH SYSTEM INC 562070036 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 2885 2885 0 PART II-B, LINE 1: DUKE QUALITY NETWORK, INC. HAS 3% OWNERSHIP IN A PARTNERSHIP WHICH HAS MINIMAL LOBBYING EXPENSES. 1 1 X 1 X 1 X 1 1 0 1 1 82911 82911 6547230 6467453 79777 10635 8552 2083 6640776 6476005 164771 0.00000 39904 39904 813561 440889 372672 3428515 2668635 759880 6927 1151 5776 30982 30982 4319889 3110675 1209214 0.00000 10960665 9586680 1373985 0.00000 0 0 0 0 2207 0 2207 0 0 0 0 0 0 0 0 12636 0 12636 884 884 15727 15727 0.00000 1 9081787 8829673 252114 X 1 1 14 1 DLP CONEMAUGH MEMORIAL MED CEN LLC 1086 FRANKLIN STREET JOHNSTOWN PA 15905 WWW.CONEMAUGH.ORG 035601 X X X X X 3% OWNERSHIP IN JOINT VENTURE A 2 DLP MARQUETTE GENERAL HOSPITAL 850 W BARAGA AVENUE MARQUETTE MI 49855 WWW.MGH.ORG 1060000027-520050 X X X X X 3% OWNERSHIP IN JOINT VENTURE 3 FRYE REGIONAL MEDICAL CENTER 420 NORTH CENTER STREET HICKORY NC 28601 WWW.FRYEMEDCTR.COM H0053 X X X 3% OWNERSHIP IN JOINT VENTURE 4 WILSON MEDICAL CENTER 1705 TARBORO ST SW WILSON NC 27893 WWW.WILSONMEDICAL.COM H0210 X X X 3% OWNERSHIP IN JOINT VENTURE 5 HAYWOOD REGIONAL 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HTTP://WWW.WILSONMEDICAL.COM/ 0 1 X 200.000000000000 300.000000000000 X 1 1 X X X 1 X HTTP://WWW.WILSONMEDICAL.COM X HTTP://WWW.WILSONMEDICAL.COM X SAME AS ABOVE X X X X X X 1 X 0 X X X 1 X 0 0 HARRIS REGIONAL HOSPITAL 7 0 0 1 X X X X X X X X X 22 1 1 1 1 X HTTP://WWW.MYHARRISREGIONAL.COM/COMMUNITY-HEALTH-ASSESSMENT 1 23 1 HTTP://WWW.MYHARRISREGIONAL.COM/COMMUNITY-HEALTH-ASSESSMENT 0 1 X 200.000000000000 300.000000000000 X 1 1 X X X 1 X HTTP://WWW.MYHARRISREGIONAL.COM X HTTP://WWW.MYHARRISREGIONAL.COM X SAME AS ABOVE X X X X X X 1 X 0 X X 1 X 0 0 RUTHERFORD REGIONAL MEDICAL CENTER 8 0 0 1 X X X X X X X X 22 1 0 1 1 X HTTP://WWW.MYRUTHERFORDREGIONAL.COM X 1 23 1 HTTP://WWW.MYRUTHERFORDREGIONAL.COM 0 1 X 200.000000000000 300.000000000000 X X X 1 1 X X X 1 X HTTP://WWW.MYRUTHERFORDREGIONAL.COM X HTTP://WWW.MYRUTHERFORDREGIONAL.COM X SAME AS ABOVE X X X X X 1 X 0 X X X 1 X 0 0 CENTRAL CAROLINA MEDICAL CENTER 9 0 0 1 X X X X X X X X X 22 1 0 1 1 X HTTP://WWW.CENTRALCAROLINAHOSP.COM/CHNA X 1 22 1 HTTP://WWW.CENTRALCAROLINAHOSP.COM/CHNA 0 1 X 200.000000000000 300.000000000000 X 1 1 X X X 1 X HTTP://WWW.CENTRALCAROLINAHOSP.COM X HTTP://WWW.CENTRALCAROLINAHOSP.COM X SAME AS ABOVE X X X X X X 1 X 0 X X X X 1 X 0 0 TWIN COUNTY REGIONAL HEALTHCARE 10 0 0 1 X X X X X X X X 22 1 0 0 1 X HTTPS://WWW.TCRH.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT X 1 22 1 HTTPS://WWW.TCRH.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT 0 1 X 200.000000000000 300.000000000000 X 1 1 X X X 1 X HTTP://WWW.TCRH.ORG X HTTP://WWW.TCRH.ORG X HTTP://WWW.TCRH.ORG X X X X X 1 X 0 X X X X 1 X 0 0 PERSON MEMORIAL HOSPITAL 11 0 0 1 X X X X X X X X 22 1 0 1 1 X HTTP://PERSONHOSPITAL.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENT 1 22 1 HTTP://PERSONHOSPITAL.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENT 0 1 X 200.000000000000 300.000000000000 X 1 1 X X X 1 X HTTP://PERSONHOSPITAL.COM X HTTP://PERSONHOSPITAL.COM X HTTP://PERSONHOSPITAL.COM X X X X 1 X 0 X X 1 X 0 0 SWAIN COMMUNITY HOSPITAL 14 0 0 1 X X X X X X X X X 22 1 1 1 1 X HTTP://WWW.MYSWAINCOMMUNITY.COM/COMMUNITY-HEALTH-ASSESSMENT 1 23 1 HTTP://WWW.MYSWAINCOMMUNITY.COM/COMMUNITY-HEALTH-ASSESSMENT 0 1 X 200.000000000000 300.000000000000 X 1 1 X X X 1 X HTTP://WWW.MYSWAINCOMMUNITY.COM X HTTP://WWW.MYSWAINCOMMUNITY.COM X SAME AS ABOVE X X X X X X 1 X 0 X X 1 X 0 0 REPORTING GROUP A DLP CONEMAUGH MEMORIAL MEDICAL CENTER, DLP CONEMAUGH MINERS MEDICAL CENTER, DLP CONEMAUGH MEYERSDALE MEDICAL CENTER PART V, SECTION B, LINE 5:INPUT WAS SOUGHT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY THROUGH(1) INFORMATION GATHERING FROM PUBLIC HEALTH SOURCES (2) HOLDING FOCUS GROUPS AND CONDUCTING INDIVIDUAL INTERVIEWS (3) CONDUCTING A COMMUNITY ONLINE AND PAPER SURVEY (4) HOLDING A COMMUNITY HEALTH SUMMIT WITH COMMUNITY STAKEHOLDERS (5) CONDUCTING AN ONLINE SURVEY OF OF CONEMAUGH EMPLOYEES AND COMMUNITY PROVIDERS AND (6) CONDUCTING AN ONLINE SURVEY OF 54 COMMUNITY-BASED ORGANIZATIONS. REPORTING GROUP ADLP CONEMAUGH MEMORIAL MEDICAL CENTER, DLP CONEMAUGH MINERS MEDICAL CENTER, DLP CONEMAUGH MEYERSDALE MEDICAL CENTERPART V, SECTION B, LINE 6A:DLP CONEMAUGH MEMORIAL MEDICAL CENTER, DLP CONEMAUGH MINERS MEDICAL CENTER AND DLP CONEMAUGH MEYERSDALE MEDICAL CENTERREPORTING GROUP ADLP CONEMAUGH MEMORIAL MEDICAL CENTER, DLP CONEMAUGH MINERS MEDICAL CENTER, DLP CONEMAUGH MEYERSDALE MEDICAL CENTERPART V, SECTION B, LINE 6B:UNITED WAY OF THE LAUREL HIGHLANDS AND THE 1889 FOUNDATION, JEFFERSON CENTER FOR POPULATION HEALTHREPORTING GROUP ADLP CONEMAUGH MEMORIAL MEDICAL CENTER, DLP CONEMAUGH MINERS MEDICAL CENTER, DLP CONEMAUGH MEYERSDALE MEDICAL CENTER PART V, SECTION B, LINE 11:CONEMAUGH HEALTH SYSTEM (CHS) IS ADDRESSING THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE CHNA AS FOLLOWS:1. MENTAL/BEHAVIORAL HEALTHCOMMUNITY LEADERS HAVE CREATED A MENTAL HEALTH CONSORTIUM, CONSISTING OF MENTAL HEALTH PROVIDERS IN THE COMMUNITY COMMITTED TO COLLABORATION. AREAS OF FOCUS- THE GROUP CONSORTIUM WILL CONTINUE TO WORK ON INCLUDE ADDRESSING CHALLENGES REGARDING SIGNIFICANT DELAYS IN CREDENTIALING AND INSURANCE LICENSING PROCESS, FOCUSING ON RECRUITMENT OF MENTAL HEALTH PROFESSIONALS AS WELL AS SUPPORT POSITIONS, PROVIDING EDUCATION TO ENHANCE THE SKILL SET OF PRIMARY CARE PRACTITIONERS ON BEST PRACTICE TREATMENT/PRESCRIBING, EXPANDING SUPPORT FOR YOUTH/SCHOOL DISTRICTS AND FOR FIRST RESPONDERS, EXPANDING THE WORK OF THE SUICIDE PREVENTION TASK FORCE, EXPANDING SOCIAL SUPPORT PROGRAMS, INPATIENT SERVICES/PARTIAL HOSPITALIZATION SERVICES AND ADVOCATING FOR INCREASED REIMBURSEMENT FROM PAYERS. CONEMAUGH MEMORIAL MEDICAL CENTER CONTINUES TO OFFER EMERGENT, INPATIENT, AND OUTPATIENT PSYCHIATRIC CARE SERVICES. DURING THE COVID PANDEMIC, THE SERVICE RELIED HEAVILY ON THE USE OF TELEHEALTH TECHNOLOGY ACROSS A BROAD SPECTRUM OF SERVICES, INCLUDING BEHAVIORAL HEALTH. 2. ACCESS TO SOCIAL DETERMINANT OF HEALTH NEEDS/HEALTHCAREPREVENTATIVE HEALTH CLINICS WILL CONTINUE TO BE HELD AT VARIOUS HOUSING AUTHORITY BUILDINGS, WHICH HAVE INCLUDED HEALTH FAIRS, COVID-19 VACCINE CLINICS, AND FOOD DISTRIBUTIONS. A PARTNERSHIP BETWEEN HOSANNA INDUSTRIES, JOHNSTOWN REDEVELOPMENT AUTHORITY, AND 1889 FOUNDATION FOR HOUSING STABILIZATION CONTINUES IN ORDER TO REHABILITATE HOUSING OF CURRENT HOMEOWNERS TO REDUCE THE NUMBER OF INDIVIDUALS IN UNSTABLE HOUSING IN OUR REGION. A COMMUNITY HELP CENTER HOUSING HUB CONCEPT IS ALSO BEING DEVELOPED. A HOUSING TASK FORCE HAS BEEN CREATED, WITH PARTICIPATION FROM MANY COMMUNITY ORGANIZATIONS, AND WITH SUPPORT FROM THE U.S. DEPARTMENT OF URBAN HOUSING AND DEVELOPMENT, IN ORDER TO ADDRESS HOUSING CHALLENGES WITHIN OUR COMMUNITIES. A NEW LOCAL FOOD SYSTEMS COORDINATOR HAS BEEN HIRED AND WILL CONTINUE WORKING WITH COMMUNITY PARTNERS ON THE FOLLOWING FOOD RELATED INITIATIVES: DEVELOPING A RESOURCE INVENTORY OF FOOD RELATED INFORMATION, PROVIDING NUTRITION EDUCATION, ADDRESSING FOOD SECURITY, FOCUSING ON FOOD AS AN ECONOMIC DRIVER, EXPANDING COMMUNITY GARDENS AND FARMER'S MARKETS AND EXPLORING GRANTS AND BEST PRACTICE OPPORTUNITIES. USING THE ELECTRONIC HEALTH RECORD, CONEMAUGH HEALTH SYSTEM WILL SCREEN ALL PATIENTS FOR FOOD INSECURITY, HOUSING INSTABILITY, TRANSPORTATION NEEDS, UTILITY DIFFICULTIES AND INTERPERSONAL SAFETY. REFERRALS WILL BE MADE TO COMMUNITY RESOURCES BASED ON RESULTS OF THE SCREENING. DATA FROM THE SCREENING RESULTS WILL ALSO BE USED TO PLAN FUTURE INITIATIVES TO ADDRESS SOCIAL DETERMINANTS OF HEALTH/HEALTHCARE.3. OBESITY/HEALTHY LIVINGPROGRAMMING HAS INCLUDED EDUCATION SESSIONS AND HEALTH CLINIC HOURS FOR RESIDENTS AT THE JHA COMMUNITIES, EDUCATION ON HEALTH LITERACY, AND COMMUNITY-WIDE HEALTH EDUCATION EVENTS. "WELLNESS WEDNESDAYS" WERE LAUNCHED IN THE FALL OF 2022 AND WILL CONTINUE OVER THE NEXT THREE YEARS, BRINGING HEALTH AND HUMAN SERVICE FAIRS TO AT-RISK JHA RESIDENTS. THE RICHLAND FAMILY HEALTH CENTER HAS LAUNCHED A MOBILE HEALTH UNIT TO SERVE THE CITIZENS OF CAMBRIA AND SOMERSET COUNTIES AND PLANS TO GROW THE FOOTPRINT OF THE UNIT OVER THE NEXT THREE YEARS. ISOLATION FROM HEALTH AND HUMAN SERVICES PREVENTS INDIVIDUALS AND FAMILIES FROM ACCESSING NEEDED CARE AND COMMUNITY SUPPORT. THE MOBILE UNIT PROVIDES SERVICES FOR AT-RISK INDIVIDUALS WITH LIMITED TRANSPORTATION OPTIONS OR THOSE WHO MAY BE HESITANT TO SEEK CARE. CLINICAL AND DENTAL CARE WILL BE PROVIDED, AS WELL AS GENERAL EDUCATION AND OUTREACH ON ADDITIONAL HEALTH TOPICS. THE GREATER JOHNSTOWN YMCA, FWA GYM, 1ST SUMMIT ARENA, AND BIG DAWG BUILT LAUNCHED A HEALTH AND WELLNESS INITIATIVE TO PROVIDE SAFE PLACES FOR AT-RISK YOUTH. 4. SUBSTANCE USEWORK WITH THE CAMBRIA COUNTY DRUG COALITION, CAMBRIA COUNTY DRUG AND ALCOHOL, SOMERSET COUNTY DRUG AND ALCOHOL, AND OTHER COMMUNITY PARTNERS, TO CONTINUE TO REDUCE AND ELIMINATE ILLEGAL DRUG USE AND OVERDOSE DEATHS, EXPAND PREVENTION EFFORTS, COMMUNICATE TREATMENT OPTIONS FOR ADDICTION, AND LESSEN DRUG-RELATED CRIMES.THE COMMUNITY WILL CONTINUE TO PROMOTE THE AVAILABILITY OF MEDICATION ASSISTED TREATMENT IN THE EMERGENCY DEPARTMENT (ED) WITH THE CONEMAUGH HEALTH SYSTEM, WHICH OFFERS FIRST DOSE SUBOXONE TREATMENT TO INDIVIDUALS WHO PRESENT TO THE ED IN WITHDRAWAL. CONEMAUGH HEALTH SYSTEM WILL ALSO CONTINUE TO CONNECT INDIVIDUALS WHO PRESENT WITH AN OVERDOSE IN THE ED TO THE CENTER OF EXCELLENCE AT ALLIANCE, WHICH HAS CERTIFIED RECOVERY SPECIALISTS AVAILABLE TO MEET WITH INDIVIDUALS IN THE ED AND DISCUSS TREATMENT OPTIONS AVAILABLE TO THEM. THE CONEMAUGH HEALTH SYSTEM CONTINUES TO RECEIVE GRANT FUNDING THROUGH CAMBRIA COUNTY TO SUPPORT THE MARC (MATERNAL ADDICTION RESOURCE CENTER). THIS PROGRAM WORKS DIRECTLY WITH EXPECTANT MOTHERS WHO CURRENTLY HAVE, OR HAVE HAD IN THE PAST, AN ISSUE WITH SUBSTANCE ABUSE.5. SOCIOECONOMICS/JOBS TRAININGCONEMAUGH HEALTH SYSTEM PLANS TO CONTINUE TO OFFER TRAINING PROGRAMS FOR CERTIFIED NURSING AIDES, NURSING, RADIOLOGICAL TECHNOLOGY, SURGICAL TECHNOLOGY, HISTO-TECHNOLOGY, MEDICAL LABORATORY SCIENCE, AND EMTS. THEY HAVE ALSO INITIATED A COMPREHENSIVE LOAN FORGIVENESS PROGRAM FOR STUDENTS IN THEIR SCHOOL OF NURSING AND ALLIED HEALTH. GOODWILL OF THE SOUTHERN ALLEGHENIES PLANS TO CONTINUE PROGRAMMING THAT INCLUDES A CAREER CENTER, ADULT EDUCATION PROGRAMS, YOUTH EMPLOYMENT AND TRAINING SERVICES, PA WORKWEAR PROGRAM, AND MORE. UNITED METHODIST HUMAN SERVICES WILL CONTINUE SERVING THE COMMUNITY BY GROWING THE GETTING AHEAD PROGRAM, SUPPORTING INDIVIDUALS IN STABILIZING THEIR SITUATIONS BY BUILDING RESOURCES, POSITIVE SOCIAL SUPPORT SYSTEMS, AND HUMAN CAPITAL. PENNSYLVANIA HIGHLANDS COMMUNITY COLLEGE HAS EXPANDED PROGRAMMING TO INCLUDE MANY CERTIFICATE PROGRAMS TO HELP SUPPORT THE GROWTH OF THE WORKFORCE IN THE TWO-COUNTY REGION. 6. EARLY CHILDHOODCONEMAUGH HEALTH SYSTEM IS CONTINUING TO COLLABORATE ON THE DEVELOPMENT OF AN EARLY CHILDHOOD INITIATIVE (ECI), WITH A MISSION OF MEETING THE EDUCATIONAL, HEALTH, AND SOCIAL NEEDS OF OUR YOUNGEST, MOST VULNERABLE RESIDENTS (BIRTH TO AGE 8). THE ECI COMMITTEE IS DEVELOPING A SYSTEMS-WIDE, COORDINATED APPROACH, BRINGING ALL AGENCIES TOGETHER TO WORK TOWARDS COLLECTIVE STRATEGIES AND GOALS, TO IMPROVE THE HEALTH OF OUR YOUNGEST RESIDENTS. UTILIZING THE FIVE FREEDOMS FOR AMERICA'S CHILDREN FRAMEWORK, PROPOSED BY U.S. SENATOR BOB CASEY, THE COMMITTEE SEEKS TO ADDRESS FIVE PROFOUND ISSUES IMPACTING CHILDREN IN OUR COMMUNITY, INCLUDING HEALTH, ECONOMIC SECURITY, LEARNING, HUNGER, AND HARM. PRELIMINARY CONVERSATIONS WITH SENATOR CASEY'S OFFICE HAVE BEEN HELD TO SHARE THE DESIRE TO PILOT THE FIVE FREEDOMS FRAMEWORK IN THE COMMUNITY. A CONSULTING GROUP HAS BEEN HIRED TO ASSIST WITH THE PLANNING EFFORTS, WHICH OFFICIALLY LAUNCHED IN THE FALL OF 2022. SURVEYS AND FOCUS GROUPS OF THE COMMUNITY WERE IMPLEMENTED TO LAUNCH THE INITIATIVE. THE UNITED WAY OF THE LAUREL HIGHLANDS ALSO CONTINUES PLANS TO EXPAND ITS DIAPER BANK, PROVIDING THOUSANDS OF DIAPERS TO FAMILIES IN NEED THROUGH TWELVE REGIONAL DISTRIBUTION SITES. HOME VISITING PROGRAMS ARE ALSO PLANNED TO GROW THE NUMBER OF INDIVIDUALS SERVED, INCLUDING PARENTS AS TEACHERS, NURSE-FAMILY PARTNERSHIP AND COMMUNITY CARE HUB PROGRAMS. 7. VIOLENCE/ABUSE/SAFETY COMMITTEE WILL CONTINUE TO SUPPORT THE HOPE 4 JOHNSTOWN PROGRAM, WHICH FOLLOWS THE CURE VIOLENCE NATIONAL VIOLENCE PREVENTION MODEL AND IS A GRASSROOTS ORGANIZATION ESTABLISHED BY MEMBERS OF THE COMMUNITY TO CURB VIOLENCE IN JOHNSTOWN. ADDITIONAL INITIATIVES WILL ALSO BE EXPLORED/IMPLEMENTED OVER THE NEXT THREE YEARS.REPORTING GROUP ADLP CONEMAUGH MEMORIAL MEDICAL CENTER, DLP CONEMAUGH MINERS MEDICAL CENTER, DLP CONEMAUGH MEYERSDALE MEDICAL CENTERPART V, SECTION B, LINE 16J:THE ORGANIZATION IS GOVERNED BY THE CONEMAUGH HEALTH SYSTEM'S FINANCIAL ASSISTANCE POLICY. A SUMMARY OF THIS POLICY IS MADE AVAILABLE VIA BROCHURES LOCATED AT ALL REGISTRATION SITES, AND IS INCLUDED IN THE ADMISSIONS PACKET. IN ADDITION, BILLING STATEMENTS INDICATE THAT "FINANCIAL ASSISTANCE PROGRAM APPLICATIONS ARE AVAILABLE ON REQUEST, OR VISIT OUR WEBSITE AT WWW.CONEMAUGH.ORG". DLP MARQUETTE GENERAL HOSPITAL, LLCPART V, SECTION B, LINE 5:INPUT WAS SOUGHT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY THROUGH (1) INFORMATION GATHERING FROM PUBLIC HEALTH SOURCES (2) HOLDING FOCUS GROUPS AND CONDUCTING INDIVIDUAL INTERVIEW WITH COMMUNITY MEMBERS (3) CONDUCTING A COMMUNITY ONLINE SURVEY (4) HOLDING A COMMUNITY HEALTH SUMMIT WITH COMMUNITY STAKEHOLDERS AND 5) CONDUCTING AN ONLINE SURVEY OF OF MARQUETTE EMPLOYEES AND COMMUNITY PROVIDERS. DLP MARQUETTE GENERAL HOSPITAL, LLCPART V, SECTION B, LINE 6A:UP HEALTH SYSTEM - BELLDLP MARQUETTE GENERAL HOSPITAL, LLCPART V, SECTION B, LINE 11:MARQUETTE IS ADDRESSING THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE 2022 CHNA AS FOLLOWS:MARQUETTE WILL ADVOCATE FOR AND IMPROVE AWARENESS OF BEHAVIORAL HEALTH SERVICES ACROSS THE UPPER PENINSULA BY (1) ESTABLISHING AN UPPER PENINSULA BASED BEHAVIORAL HEALTH PARTNERSHIP/COALITION, (2) USING A COLLECTIVE REGION 1 UPPER PENINSULA VOICE TO ADVOCATE/LOBBY FOR BEHAVIORAL HEALTH RESOURCES AT THE STATE LEVEL, AND (3) UTILIZING STRATEGIC EDUCATION.MARQUETTE WILL INCREASE HEALTHY BEHAVIORS FOR OUR COMMUNITIES TO LIVE HEALTHIER, MORE FULFILLING LIFESTYLES THROUGH HEALTHY EATING AND ACTIVE LIVING. THE HOSPITAL PLANS TO INCREASE ACCESS TO HEALTHY FOOD OPTIONS, INCREASE ACCESS TO PHYSICAL ACTIVITY OPTIONS, AND IMPROVE AGENCY (EMOTIONAL HEALTH, TIME, ETC.) AND AWARENESS TO BE ABLE TO ACT ON HEALTHY BEHAVIOR OPPORTUNITIES. THE HOSPITAL PLANS TO COLLABORATE WITH THE FOLLOWING ORGANIZATIONS TO HELP WITH THE ABOVE STRATEGIES: AREA SCHOOLS, FOOD BANKS/PANTRIES, MARQUETTE FOOD CO-OP, MSU EXTENSION, PARTRIDGE CREEK FARMS, PRIMARY CARE PROVIDERS, UPCAP, UPPER PENINSULA HEALTH CARE SOLUTIONS, AND OTHER COMMUNITY-BASED ORGANIZATIONSHAYWOOD REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 5INPUT WAS SOUGHT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY THROUGH(1) INFORMATION GATHERING FROM PUBLIC HEALTH SOURCES (2) AN ONLINE KEY INFORMANT SURVEY OF COMMUNITY, SOCIAL SERVICES, AND PUBLIC HEALTH LEADERS (3) THE WNC HEALTHY IMPACT COMMUNITY HEALTH SURVEY CONDUCTED ONLINE AND VIA PHONE CALLS AND (4) VIRTUAL PRIORITIZATION MEETINGS.HAYWOOD REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 6BHAYWOOD COUNTY HEALTH & HUMAN SERVICESHAYWOOD REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 8HAYWOOD CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT IN 2022. THE IMPLEMENTATION PLAN WAS FORMALLY APPROVED BY HAYWOOD'S BOARD OF DIRECTORS AND POSTED ON THE HOSPITAL'S WEBSITE IN APRIL 2024.HAYWOOD REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 11BASED ON THE RESULTS OF THE CHNA, HAYWOOD REGIONAL MEDICAL CENTER (HRMC) SELECTED THE FOLLOWING TWO OF THE IDENTIFIED SIGNIFICANT HEALTH NEEDS TO ADDRESS. 1. MENTAL HEALTH AND SUBSTANCE USE HEALTH2. OBESITY PRIORITY HEALTH ISSUE #1: MENTAL HEALTH AND SUBSTANCE USE HEALTH THE HOSPITAL WILL CONTINUE TO OFFER INPATIENT BEHAVIORAL HEALTH TO INDIVIDUALS OVER THE AGE OF 18 IN THE FOLLOWING TWO UNIQUE BEHAVIORAL HEALTH SETTINGS: - THE ADULT UNIT SPECIALIZES IN INDIVIDUALS 18-64 YEARS OLD AND A SENIOR BEHAVIORAL UNIT THAT SPECIALIZES IN INDIVIDUALS OVER THE AGE OF 55. THE HOSPITAL WILL BEGIN TO EXPLORE HOW TO BETTER ADDRESS BEHAVIORAL HEALTH CARE NEEDS THROUGH INTENSIVE OUTPATIENT SERVICES AND ELECTROCONVULSIVE THERAPY (ECT). THE HOSPITAL WILL CONTINUE TO OFFER OUTPATIENT RESOURCES TO INDIVIDUALS SEEKING HELP WITH SUBSTANCE USE AND WILL CONTINUE TO OFFER INPATIENT BEHAVIORAL HEALTH TO INDIVIDUALS OVER THE AGE OF 18 WITH A DUAL DIAGNOSIS FOR SUBSTANCE USE. THE ANTICIPATED IMPACT OF THESE SERVICES IS TO HELP DECREASE THE MENTAL HEALTH STIGMA IN HAYWOOD COUNTY, PROVIDE MORE COMPREHENSIVE SERVICES FOR THOSE NEEDING MENTAL HEALTH SERVICES, HELP DECREASE SUBSTANCE USE IN HAYWOOD COUNTY, AND PROVIDE MORE OUTPATIENT RESOURCES FOR THOSE SEEKING ASSISTANCE WITH SUBSTANCE USE. PROGRAMS AND RESOURCES - ADULT BEHAVIORAL HEALTH UNIT (BHU) IS A 17-BED ADULT (18-64) PSYCHIATRIC INPATIENT PROGRAM. INDIVIDUALS WHO ARE CONSIDERED FOR ADMISSION TO THE UNIT MUST MEET CRITERIA SHOWING A NEED FOR ADMISSION FOR INPATIENT PSYCHIATRIC CARE. THESE INDIVIDUALS MAY BE EXPERIENCING AN ACUTE PSYCHIATRIC CRISIS, COMPLICATIONS RELATED TO NONCOMPLIANCE WITH MEDICATIONS, OR BE DISTRESSED TO THE LEVEL THAT THEY HAVE BECOME A DANGER TO THEMSELVES OR OTHERS. OUR DEDICATED MULTI-DISCIPLINARY TEAM PROVIDES INDIVIDUALIZED AND COMPREHENSIVE TREATMENT THAT GOES BEYOND SIMPLY ACUTE STABILIZATION. THE BHU EXCELS IN PROVIDING INDIVIDUALS WITH THE SKILLS AND RESOURCES NECESSARY TO MAINTAIN THEIR JOURNEY TO WELLNESS WELL BEYOND THEIR DISCHARGE. WE STRIVE TO CREATE AN ENVIRONMENT THAT IS FREE OF NEGATIVE STIGMAS ABOUT MENTAL ILLNESS AND PROVIDE INDIVIDUALS WITH THE ATMOSPHERE AND SUPPORT TO BEGIN THEIR RECOVERY. THE SERVICES THAT ARE OFFERED INCLUDE DIAGNOSTIC ASSESSMENT, MEDICATION MANAGEMENT, COPING SKILLS TRAINING, MULTI-DISCIPLINARY TREATMENT PLAN, GROUP AND INDIVIDUAL THERAPY, PSYCHO EDUCATION, COMPREHENSIVE DISCHARGE PLANNING, INTEGRATED HEALTH & WELLNESS PLANS, AS WELL AS NURSING CARE. - SENIOR/GERIATRIC BEHAVIORAL HEALTH UNIT HAS 16 BEDS AND OFFERS A SPECTRUM OF PSYCHIATRIC AND MEDICAL CARE FOR INDIVIDUALS OVER THE AGE OF 55. A MULTIDISCIPLINARY TEAM OF CLINICIANS CONDUCTS MENTAL, COGNITIVE AND MEDICAL ASSESSMENTS AND DEVELOPS CUSTOMIZED TREATMENT PLANS FOR PATIENTS. ATTENDING PSYCHIATRISTS AND REGISTERED NURSES WILL BE ON STAFF, AS WELL AS MENTAL HEALTH TECHNICIANS, COUNSELORS, AN ACTIVITIES COORDINATOR, AND LICENSED CLINICAL SOCIAL WORKERS. PROGRAM SERVICES INCLUDE; PROVIDING A SAFE ENVIRONMENT WITH 24-HOUR MONITORING AND SUPERVISION, DIAGNOSTIC SERVICES, MEDICATION EVALUATION AND TREATMENT, DIETARY EVALUATION, GROUP COUNSELING, INDIVIDUAL COUNSELING, PHYSICAL AND OCCUPATIONAL REHABILITATION, RECREATIONAL THERAPY, AND SPECIALIZED CARE COORDINATION WITH OUTPATIENT PROVIDERS. THE AVERAGE STAY OF THESE INDIVIDUALS IS 14-16 DAYS. - THE HOSPITAL PROVIDES BEHAVIORAL HEALTH CONSULTATIONS WITHIN THE HOSPITAL AND SYSTEM WIDE AS NEEDED. A BEHAVIORAL HEALTH CLINICIAN WILL VISIT WITH THE PATIENT TO DETERMINE APPROPRIATE MENTAL HEALTH RESOURCES AND NEEDS. - THE HOSPITAL OFFERS OUTPATIENT PSYCHIATRIC SERVICES FOR MENTAL HEALTH NEEDS. THE HOSPITAL CAN REFER TO OUTPATIENT PROGRAMS SUCH AS OCTOBER ROAD, CREST VIEW RECOVERY CENTER, ASHEVILLE RECOVERY CENTER, AND FIRST STEP SERVICES FOR SUBSTANCE USE NEEDS.- TOBACCO PREVENTION/CESSATION: THE HOSPITAL SUPPORTS THE NC QUIT LINE AND HAS DISTRIBUTED QUIT LINE COLLATERAL TO ALL PHYSICIAN PRACTICES IN THE COUNTY FOR DISTRIBUTION TO PATIENTS. SMOKING CESSATION COUNSELING WILL ALSO CONTINUE TO BE OFFERED AS PART OF THE LUNG CANCER SCREENING PROGRAM WHERE CESSATION EDUCATION FROM THE PHYSICIAN IS REQUIRED. - PEER BRIDGER PROGRAM: THE HOSPITAL PARTICIPATES IN THIS PROGRAM TO HELP FACILITATE TRANSITION FROM INPATIENT TO OUTPATIENT BEHAVIORAL HEALTH SERVICES IN EFFORT TO REDUCE RAPID READMISSIONS TO THE INPATIENT UNIT. THE HOSPITAL HAS COLLABORATION WITH VARIOUS LOCAL ORGANIZATIONS SUCH AS THE BALSAM CENTER'S BEHAVIORAL HEALTH CENTER, VAYA HEALTH, MERIDIAN BEHAVIORAL HEALTH SERVICES, APPALACHIAN COMMUNITY SERVICES, MOBILE CRISIS MANAGEMENT, THE HARM REDUCTION COALITION, WESTERN REGIONAL HOSPITAL CONSORTIUM, FIRST RESPONDERS PROGRAM, AND TRIANGLE BEHAVIORAL HEALTH COUNSEL. PRIORITY HEALTH NEED #2: OBESITY THE HOSPITAL PLANS TO CONTINUE OFFERING BOTH DIABETES AND MEDICAL NUTRITION THERAPY THROUGH PHYSICIAN REFERRALS. THESE VISITS ARE CONDUCTED BY CERTIFIED DIABETES EDUCATORS AND REGISTERED DIETITIANS. THE HAYWOOD REGIONAL HEALTH AND FITNESS CENTER WILL CONTINUE OFFERING MEMBERSHIPS FOR ALL PATIENT POPULATIONS. THIS INCLUDES SLIDING SCALE MEMBERSHIPS, TRANSITIONAL MEMBERSHIPS, CORPORATE MEMBERSHIPS AS WELL AS VARIOUS MEDICARE SUPPLEMENT PLANS. THE FITNESS CENTER WILL CONTINUE OFFERING G3, A PROGRAM THAT HELPS TO ADDRESS THE PHYSICAL INACTIVITY THAT LEADS TO OBESITY AND OTHER CHRONIC DISEASES. THE ANTICIPATED IMPACT OF THESE ACTIONS WILL HELP TO PROMOTE AN ACTIVE, WELL-NOURISHED, AND HEALTHY WEIGHT COMMUNITY IN HAYWOOD COUNTY. PROGRAMS AND RESOURCES - DIABETES AND NUTRITION EDUCATION PROGRAM: THE HOSPITAL HAS TWO REGISTERED DIETITIANS WHO ARE ALSO CERTIFIED DIABETES EDUCATORS. PATIENTS CAN BE REFERRED BY THEIR PHYSICIAN OR CAN SELF-REFER THEMSELVES TO THE CENTER. OUR DIETITIANS CAN HELP ADDRESS AND MANAGE OBESITY AND MANY OTHER CHRONIC DISEASES THROUGH DIET AND EXERCISE. ON AVERAGE PATIENTS WILL CONTINUE TO SEE THE DIETITIAN FOR 8-12 VISITS OR UNTIL DESIRED WEIGHT AND HEALTH GOALS ARE REACHED. - INPATIENT DIETITIANS: INPATIENT DIETITIANS WILL DISCUSS HOSPITALIZED PATIENTS WITH BMIS OVER 40 DAILY AT THE INTERDISCIPLINARY ROUNDS MEETING WITH THE ATTENDING PHYSICIAN. IF DEEMED APPROPRIATE, THE INPATIENT DIETITIAN WILL REQUEST AN OUTPATIENT DIETITIAN CONSULTATION BE PLACED UPON DISCHARGE. THE INPATIENT DIETITIANS WILL PROVIDE EDUCATION AT THE BEDSIDE FOR WEIGHT MANAGEMENT IF DEEMED APPROPRIATE. - HAYWOOD REGIONAL HEALTH AND FITNESS CENTER: THE FITNESS CENTER WILL CONTINUE TO OFFER VARIOUS PROGRAMS AND MEMBERSHIPS TO THE COMMUNITY. G3 IS AN EXERCISE PROGRAM HELD AT THE FITNESS CENTER BY AN EXERCISE PHYSIOLOGIST. THE PROGRAM TAILORS AN EXERCISE PROGRAM TO EACH PARTICIPANT AND THEIR NEEDS. TRANSITIONAL MEMBERSHIPS ARE AVAILABLE FOR PATIENTS AFTER THEY GRADUATE FROM PHYSICAL THERAPY, CARDIAC REHAB OR DIABETES PAGE 9 OF 9 EDUCATION TO CONTINUE TO ACHIEVE THEIR EXERCISE AND RECOVER GOALS. THE FITNESS CENTER ALSO OFFERS SWIMMING LESSONS, GROUP FITNESS CLASSES AND KIDZONE (APPROXIMATELY 350 KIDS PER MONTH). - COMMUNITY LUNCH AND LEARNS: VARIOUS STAFF WILL CONDUCT LUNCH AND LEARN OPPORTUNITIES ON VARIOUS TOPICS TO THE COMMUNITY FREE OF CHARGE. THE HOSPITAL PLANS TO CONTINUE COLLABORATION WITH THE HEALTH AND HUMAN SERVICES AGENCY, THE COMMUNITY PARAMEDICINE PROGRAM, AND LOCAL EMPLOYERS THROUGH HEALTH SCREENINGS.FRYE REGIONAL MEDICAL CENTER (FRYE)PART V, SECTION B, LINE 5INPUT WAS SOUGHT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY THROUGH(1) INFORMATION GATHERING FROM PUBLIC HEALTH SOURCES (2) A COMMUNITY SURVEY CONDUCTED ONLINE AND PAPER WITH 41 SURVEYS COMPLETED (3) COMMUNITY STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY AS WELL AS THOSE REPRESENTING LOW INCOME, MEDICALLY UNDERSERVED, AND MINORITY POPULATIONS PARTICIPATED IN FOCUS GROUPS AND INDIVIDUAL INTERVIEWS AND (4) A HEALTH SUMMIT WITH COMMUNITY STAKEHOLDERS.FRYE REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 8FRYE CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT IN 2022 AND CONSIDERED PAGES 38-39 OF THE CHNA AS THE IMPLEMENTATION PLAN. A SEPARATE IMPLEMENTATION PLAN WAS FORMALLY DOCUMENTED AND APPROVED BY FRYE'S BOARD OF DIRECTORS AND POSTED ON THE HOSPITAL'S WEBSITE IN APRIL 2024.FRYE REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 11BASED ON THE RESULTS OF THE CHNA, FRMC SELECTED THE FOLLOWING IDENTIFIED SIGNIFICANT HEALTH NEEDS TO ADDRESS. 1. BEHAVIORAL/MENTAL/BRAIN HEALTH/SUBSTANCE USE 2. HEALTHY EATING 3. ACCESS TO CARE4. CHRONIC DISEASES/CHILD AND BIRTH OUTCOMES5. SOCIAL DETERMINANTS OF HEALTH HOUSING, EDUCATION, LOW INCOMEFRYE PLANS TO ADDRESS THE ABOVE SIGNIFICANT HEALTH NEEDS USING THE FOLLOWING STRATEGIES: 1. BEHAVIORAL/MENTAL/BRAIN HEALTH/SUBSTANCE USE -WORK WITH BEHAVIORAL HEALTH PROVIDERS IN THE COMMUNITY TO INCREASE THE CAPACITY OF THE SERVICE THROUGH EFFECTIVE RECRUITMENT OF PROVIDERS TO THE COMMUNITY.-WORK TO INCREASE THE CAPACITY OF THE INPATIENT BEHAVIORAL HEALTH UNIT THROUGH THE COMPLETION OF A CONSTRUCTION PROJECT TO BRING THE UNITS TO CURRENT CODE. THIS WILL ALLOW FOR INCREASED ACCESS TO INPATIENT BEHAVIORAL HEALTH SERVICES.-DEVELOP AN INCREMENTAL PLAN TO ADD AN INTENSIVE OUTPATIENT TREATMENT UNIT TO THE BEHAVIORAL HEALTH SERVICES AND COMPLETE RENOVATIONS ON AN ACUTE INPATIENT UNIT TO HOUSE GERIATRIC BEHAVIORAL HEALTH PATIENTS.2. HEALTHY EATING -DEVELOP A COMPREHENSIVE WEIGHT MANAGEMENT PROGRAM INCLUDING MEDICAL AND SURGICAL WEIGHT MANAGEMENT OPTIONS. THIS PROGRAM WILL INCLUDE NUTRITION COUNSELLING AND BEHAVIOR HEALTH MANAGEMENT.-CONTINUE TO PROVIDE INPATIENT AND OUTPATIENT DIETICIANS TO ADDRESS HEALTHY EATING IN THE COMMUNITY.-CONTINUE FINANCIAL SUPPORT OF FOOD INSECURITY RESOURCES IN THE COMMUNITY.3. ACCESS TO CARE: -CONTINUE EFFORTS TO RECRUIT PRIMARY CARE PROVIDERS TO THE COMMUNITY.-CONTINUE TO SEEK DIVERSITY IN PROVIDERS. THIS WILL ALLOW FOR IMPROVED CARE FOR UNDERSERVED COMMUNITIES WITH PROVIDERS FLUENT IN NATIVE LANGUAGES AND CULTURES.-PROVIDE CLINIC SPACE, IMPROVED SCHEDULING ACCESS AND LOCATIONS CONVENIENT TO OUR UNDERSERVED COMMUNITIES.-COMPLETE WORK ON A HELIPAD AND COLLABORATE WITH A TRANSFER CENTER TO INCREASE ACCESS FOR PATIENTS OUTSIDE THE IMMEDIATE AREA.4. CHRONIC DISEASES/CHILD AND BIRTH OUTCOMES: - INVEST IN RESOURCES TO TREAT THE CHRONIC DISEASE OF CONGESTIVE HEART FAILURE THROUGH A COLLABORATION WITH A HOME MONITORING ORGANIZATION, HEART FAILURE CLINIC WITH SPECIALLY TRAINED PROVIDERS AND HEART FAILURE COORDINATOR5. SOCIAL DETERMINANTS OF HEALTH HOUSING, EDUCATION, LOW INCOME: -IMPLEMENT A SCREEN FOR SOCIAL DETERMINANTS OF HEALTH AND DEPLOY ADDITIONAL RESOURCES FOR ASSISTANCE WITH CONTROLLING DIABETES TO PREVENT NEGATIVE SEQUELAE OF THE DISEASE PROCESS. DLP MARIA PARHAM MEDICAL CENTER PART V, SECTION B, LINE 5INPUT WAS SOUGHT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY THROUGH(1) INFORMATION GATHERING FROM PUBLIC HEALTH SOURCES (2) HOLDING 7 IN-PERSON FOCUS GROUPS WITH 70 PARTICIPANTS AND (3) CONDUCTING A COMMUNITY ONLINE SURVEY WITH A TOTAL OF 226 PEOPLE WHO PARTICIPATED. DLP MARIA PARHAM MEDICAL CENTERPART V, SECTION B, LINE 6BGRANVILLE VANCE PUBLIC HEALTH DEPARTMENTDLP MARIA PARHAM MEDICAL CENTERPART V, SECTION B, LINE 11MARIA PARHAM IS ADDRESSING THE FOLLOWING THREE IDENTIFIED SIGNIFICANT HEALTH NEEDS USING THE STRATEGIES DISCLOSED BELOW:1. MENTAL HEALTH AND SUBSTANCE USE DISORDER2. YOUTH WELL-BEING 3. ACCESS TO HEALTHCARE1. MENTAL HEALTH AND SUBSTANCE USE DISORDERMARIA PARHAM CONTINUES TO PROVIDE INPATIENT GERIATRIC AND ADULT PSYCHIATRIC SERVICES AT MARIA PARHAM FRANKLIN. THE HOSPITAL CONTINUES TO OPERATE A 33-BED BEHAVIORAL HEALTH UNIT AT THE FRANKLIN CAMPUS. ADMISSIONS IN 2022 WAS 627 COMPARED TO 493 IN 2021 WHICH IS A 27% INCREASE YEAR OVER YEAR. IN COLLABORATION WITH CARDINAL INNOVATIONS/VAYA HEALTH (LME/MCO), THE HOSPITAL RECEIVED 3-WAY CONTRACTING DOLLARS FROM THE STATE WHICH ADDED CASE MANAGEMENT RESOURCES. GOAL IS TO OPEN A INTENSIVE OUTPATIENT PROGRAM IN FRANKLIN COUNTY IN 2024. 2. YOUTH WELL-BEING MARIA PARHAM PARTNERED WITH LOUISBURG COLLEGE IN LOUISBURG TO PROVIDE ACCESS TO OUR PRIMARY CARE OFFICE. STUDENTS WITHOUT INSURANCE WERE ABLE TO GET TREATED. MARIA PARHAM CONDUCTED 100 FREE SCHOOL PHYSICALS FOR VANCE AND WARREN COUNTY HIGH SCHOOLS IN 2022.3. ACCESS TO HEALTHCARE MARIA PARHAM CONTINUES TO PROVIDE EMERGENCY, PRIMARY CARE AND SPECIALTY SERVICES AT MARIA PARHAM FRANKLIN, AND EVALUATE THE VIABILITY OF EXPANDING ACCESS TO NEW SERVICES. THE HOSPITAL MAINTAINED EMERGENCY SERVICES AT BOTH LOCATIONS AND LOOKING TO ADD OUTPATIENT WOMEN'S CARE IN 4Q 2022 AT FRANKLIN. WE OFFER FREE HEALTH SCREENINGS FOR PROSTRATE AND BREAST CANCERS TO PEOPLE IN THE COMMUNITY.WILSON MEDICAL CENTERPART V, SECTION B, LINE 5INPUT WAS SOUGHT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY THROUGH (1) INFORMATION GATHERING FROM PUBLIC HEALTH SOURCES (2) A COMMUNITY SURVEY DISTRIBUTED THROUGH ONLINE AND PAPER SUBMISSIONS (3) TWO FOCUS GROUP DISCUSSIONS, AND (4) A COMMUNITY HEALTH SUMMIT WITH COMMUNITY STAKEHOLDERS. WILSON MEDICAL CENTER PART V, SECTION B, LINE 6BHEALTHCARE FOUNDATION OF WILSON AND WILSON COUNTY HEALTH DEPARTMENTWILSON MEDICAL CENTERPART V, SECTION B, LINE 11BASED ON THE RESULTS OF THE CHNA, WILSON SELECTED THE FOLLOWING IDENTIFIED SIGNIFICANT HEALTH NEEDS TO ADDRESS: MENTAL/BEHAVIORAL HEALTH, HEALTHY EATING/ACTIVE LIVING, SUBSTANCE MISUSE, ACCESS TO HEALTHCARE OR INSURANCE.TO HELP ADDRESS THESE NEEDS, WILSON MEDICAL CENTER HAS A PHYSICIAN REFERRAL LINE, COORDINATES EDUCATIONAL TALKS FOR THE COMMUNITY, WORKS WITH EMERGENCY MEDICAL SERVICES ON STROKE EDUCATION, AND PARTICIPATES IN WILSON COUNTY SCHOOL EVENTS AND HEALTH FAIRS PROMOTING VARIOUS HEALTH TOPICS, INCLUDING OBESITY AND FITNESS/NUTRITION. WILSON MEDICAL CENTER CONTINUES TO CARE FOR THOSE PATIENTS WITH MENTAL HEALTH DIAGNOSES AND IS WORKING ON ADDITIONAL RECRUITMENT OF PSYCHIATRIC PROVIDERS FOR INPATIENT AND OUTPATIENT SERVICES. IN ADDITION TO THE MENTAL HEALTH SERVICES OFFERED AT WILSON MEDICAL CENTER, COMMUNITY ORGANIZATIONS, SUCH AS THE WILSON CRISIS CENTER, ARE UTILIZED FREQUENTLY TO ASSIST WITH PATIENTS WITH THESE DIAGNOSES.HARRIS REGIONAL HOSPITALPART V, SECTION B, LINE 5INPUT WAS SOUGHT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY THROUGH (1) INFORMATION GATHERING FROM PUBLIC HEALTH SOURCES (2) THE WNC HEALTHY IMPACT COMMUNITY HEALTH SURVEY CONDUCTING BY PHONE AND INTERNET (3) AND CONDUCTING AN ONLINE KEY INFORMANT SURVEY WITH 15 COMMUNITY STAKEHOLDERS. HARRIS REGIONAL HOSPITALPART V, LINE 6ASWAIN COMMUNITY HOSPITALHARRIS REGIONAL HOSPITALPART V, LINE 6BJACKSON COUNTY DEPARTMENT OF PUBLIC HEALTHWNC HEALTHY IMPACTHARRIS REGIONAL HOSPITALPART V, SECTION B, LINE 8HARRIS CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT IN 2022. THE IMPLEMENTATION PLAN WAS FORMALLY APPROVED BY HARRIS'S BOARD OF DIRECTORS AND POSTED ON THE HOSPITAL'S WEBSITE IN APRIL 2024.HARRIS REGIONAL HOSPITALPART V, SECTION B, LINE 11:THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE SELECTED IN THE CHNA:1. OBESITY, PHYSICAL ACTIVITY AND NUTRITION2. SUBSTANCE ABUSE PREVENTION3. BEHAVIORAL HEALTH1. PHYSICAL ACTIVITY AND NUTRITION-IMPLEMENT COMMUNITY-BASED PROGRAMS BY UTILIZING THE DATA INDICATING THAT ONLY A QUARTER OF THE COMMUNITY ENGAGES IN REGULAR PHYSICAL ACTIVITY, DESPITE THE OUTDOOR FRIENDLY ENVIRONMENT, HARRIS WILL WORK TO DEVELOP PROGRAMS THAT LEVERAGE THE OUTDOOR RECREATIONAL SPACES AND PROMOTE COMMUNITY-WIDE PHYSICAL ACTIVITIES SUCH AS WALKING GROUPS, FITNESS CLASSES, AND OUTDOOR EVENTS, SUCH AS "WALK WITH A DOC", REVITALIZING THE ANNUAL SMOKY STREAK 5K RACE EACH FALL, AND SUPPORTING AND PROMOTING THE DEVELOPMENT OF WALKING GROUPS SPONSORED BY THE HOSPITAL. IN AUGUST OF 2021, THE HIGHLY ANTICIPATED COMMUNITY-WIDE WELLNESS PROGRAM, ELEVATE 828, WAS LAUNCHED, AND CONTINUED INTO 2022. THE PROGRAM ENROLLS INDIVIDUALS IN A SIX-MONTH WELLNESS PROGRAM TARGETED TO REDUCE OBESITY AND INCREASE PHYSICAL ACTIVITY AND QUALITY DIETARY HABITS. IN MAY, FREE SPORTS PHYSICALS WERE AVAILABLE TO OUR STUDENT ATHLETES IN THE COMMUNITY. PHYSICIANS AND EMPLOYEES FROM HARRIS & SWAIN, AS WELL AS OTHER PRACTICES IN THE COMMUNITY, DONATED THEIR TIME FOR THE EVENT.- HARRIS CAN COLLABORATE WITH LOCAL FARMERS' MARKETS, COMMUNITY GARDENS, AND FOOD DISTRIBUTION PROGRAMS, HELPING TO FOSTER AWARENESS ABOUT AVAILABLE RESOURCES. ADDITIONALLY, THE HOSPITAL CAN DEVELOP MARKETING STRATEGIES AND CAMPAIGNS TO INCREASE AWARENESS OF HEALTHY EATING AND PROVIDE RESOURCES FOR GROWING AND ACCESSING FRESH PRODUCE.-PARTNERING WITH AND HOSTING OTHER COMMUNITY AGENCIES AT THE HOSPITAL, HARRIS CAN OFFER WORKSHOPS ON NUTRITION AND HEALTHY COOKING, EMPHASIZING THE IMPORTANCE OF A BALANCED DIET.-PROSTATES AND PINTS WAS HELD IN JUNE, WHERE FREE PROSTATE CANCER SCREENINGS AND AWARENESS TALKS WERE GIVEN. OTHER HEALTH TALKS WERE CONDUCTED THROUGHOUT THE YEAR AS WELL, HIGHLIGHTING OUR MANY TALENTED PHYSICIANS. HEALTH TALKS WERE HELD IN HONOR OF HEART HEALTH MONTH IN FEBRUARY, LUNCH AND LEARNS TO DISCUSS PAIN MANAGEMENT, BREAST HEALTH IN OCTOBER, ORTHOPEDICS, PHYSICAL THERAPY, GALLBLADDER HEALTH, AND SEVERAL TALKS WERE HELD THROUGHOUT THE YEAR.2. SUBSTANCE ABUSE PREVENTION- EXPAND ACCESS TO TREATMENT: TO ADDRESS THE INCREASE IN OPIOID-RELATED ED VISITS AND DEATHS, HARRIS REGIONAL HOSPITAL CAN EXPAND ACCESS TO SUBSTANCE ABUSE TREATMENT PROGRAMS. THESE PROGRAMS WILL UTILIZE THE DATA ON PRESCRIPTION DRUG ABUSE AND OVERDOSES TO PRIORITIZE RESOURCES FOR PREVENTION AND INTERVENTION PROGRAMS. - EDUCATIONAL RESOURCES: HARRIS REGIONAL HOSPITAL CAN DEVELOP EDUCATIONAL MATERIALS AND PROGRAMS BASED ON KEY INFORMANT DATA INDICATING THE NEED FOR MORE AWARENESS AND BETTER DISTRIBUTION SYSTEMS FOR SUBSTANCE ABUSE PREVENTION. THIS CAN BE DONE BY COLLABORATING WITH LOCAL LAW ENFORCEMENT AND EMS TO PROVIDE TRAINING AND RESOURCES FOR OVERDOSE PREVENTION, INCLUDING NARCAN DISTRIBUTION. - STIGMA REDUCTION: THE HOSPITAL CAN HELP TO ADDRESS THE STIGMA ASSOCIATED WITH SUBSTANCE ABUSE BY PROVIDING COMMUNITY EDUCATION AND SUPPORT PROGRAMS, HIGHLIGHTING SUCCESS STORIES, AND PROMOTING UNDERSTANDING OF SUBSTANCE USE DISORDER AS A MENTAL HEALTH ISSUE.3. BEHAVIORAL HEALTH- INCREASE ACCESS TO MENTAL HEALTH SERVICES: HARRIS REGIONAL HOSPITAL CAN RESPOND TO THE DATA INDICATING A SIGNIFICANT INCREASE IN RESIDENTS UNABLE TO OBTAIN NEEDED MENTAL HEALTH SERVICES BY WORKING TO EXPAND ITS OWN MENTAL HEALTH SERVICES. THIS MAY BE DONE BY PROVIDING TELEMEDICINE OPTIONS FOR MENTAL HEALTH CONSULTATIONS TO REACH RURAL RESIDENTS. - REDUCE STIGMA: THE HOSPITAL CAN DEVELOP CAMPAIGNS TO REDUCE THE STIGMA ASSOCIATED WITH MENTAL HEALTH ISSUES, BASED ON KEY INFORMANT DATA HIGHLIGHTING THE STRONG STIGMA ATTACHED TO MENTAL HEALTH IN THE COMMUNITY. THIS MAY BE DONE BY PARTNERING WITH LOCAL ORGANIZATIONS AND SCHOOLS TO PROMOTE MENTAL HEALTH AWARENESS AND ACCEPTANCE. - SUPPORT FOR OLDER ADULTS: THE HOSPITAL CAN ADDRESS THE DECLINE IN SOCIAL AND EMOTIONAL SUPPORT AMONG OLDER ADULTS BY PROVIDING SPECIALIZED PROGRAMS AND SERVICES TAILORED TO THE AGING POPULATION. THIS MAY BE DONE BY COLLABORATING WITH THE JACKSON COUNTY DEPARTMENT ON AGING, THE SOUTHWESTERN COMMISSION/AREA AGENCY ON AGING, AND LOCAL LONG-TERM CARE FACILITIES TO OFFER COUNSELING, SUPPORT GROUPS, AND ACTIVITIES TAILORED TO THE NEEDS OF OLDER ADULTS.RUTHERFORD REGIONAL HEALTH SYSTEMPART V, SECTION B, LINE 3:RRHS CONDUCTED ITS 2022 CHNA WITH FOOTHILLS HEALTH DISTRICT TO DEVELOP THE RUTHERFORD COMMUNITY HEALTH ASSESSMENT. THE CHNA WAS PUBLICLY POSTED ON HTTP://WWW.FOOTHILLSHD.ORG/HEALTHPROM/CHA/ WEBSITE UPON COMPLETION. THE CHNA WAS FORMALLY APPROVED BY RRHS' BOARD OF DIRECTORS AND POSTED ON RRHS' WEBSITE ON APRIL 2024. RUTHERFORD REGIONAL HEALTH SYSTEMPART V, SECTION B, LINE 5:INPUT WAS SOUGHT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY THROUGH (1) INFORMATION GATHERING FROM PUBLIC HEALTH SOURCES AND (2) CONDUCTING TELEPHONE SURVEYS OF 239 RESIDENTS AND 6 INFORMANT SURVEYS COMPLETED BY KEY COMMUNITY LEADERS.RUTHERFORD REGIONAL HEALTH SYSTEM PART V, SECTION B, LINE 6B: COMMUNITY HEALTH COUNCIL OF RUTHERFORD COUNTY, BLUE RIDGE HEALTH - RUTHERFORD, UNITED WAY, COOPERATIVE EXTENSION, RUTHERFORD-POLK MCDOWELL HEALTH DISTRICT, COMMUNITY HEALTH COUNCIL OF RUTHERFORD COUNTY, WNC HEALTHY IMPACT, ISOTHERMAL COMMUNITY COLLEGE, TRANSPORTATION SERVICES, RHI LEGACY FOUNDATION, CHAMBER OF COMMERCE,FAMILY PRESERVATION, RUTHERFORD OUTDOOR COALITION, BOARD OF HEALTH, CHIROPRACTOR, GENTIVA, PARTNERSHIP FOR CHILDREN, RUTHERFORD COUNTY, AND WESTERN HIGHLANDSRUTHERFORD REGIONAL HEALTH SYSTEMPART V, SECTION B, LINE 8:RRHS'S BOARD OF DIRECTORS FORMALLY ADOPTED AN IMPLEMENTATION PLAN TO MEET THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE CHNA AND POSTED THE IMPLEMENTATION PLAN ON RRHS' WEBSITE IN APRIL 2024. WHILE THE IMPLEMENTATION PLAN WAS NOT FORMALLY ADOPTED AND POSTED ON THE HOSPITAL'S WEBSITE UNTIL APRIL 2024, RRHS BEGAN MAKING PROGRESS ON ITS GOALS TO ADDRESS THE SIGNIFICANT HEALTH NEEDS.RUTHERFORD REGIONAL HEALTH SYSTEMPART V, SECTION B, LINE 11THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE CHNA PROCESS:1. OBESITY2. PREVALENCE OF DIABETES 3. PREVALENCE OF HEART DISEASE4. FOOD INSECURITYRUTHERFORD REGIONAL HEALTH SYSTEM (RRHS) PLANS TO MEET THE SIGNIFICANT HEALTH NEEDS BY IMPLEMENTING THE FOLLOWING STRATEGIES:1. OBESITY- INCREASE ACCESS TO PRIMARY CARE. PRIMARY CARE APPOINTMENTS INCREASED BY 17% FROM 2022 TO 2023.- MARKET HEAVILY VIA MULTIPLE CHANNELS OF THE RUTHERFORD REGIONAL HEALTH WEIGHT LOSS CLINIC. WEIGHT LOSS CLINIC APPOINTMENTS INCREASED BY 165% FROM 2022 TO 2023. - HOST RRHS EMPLOYEE AND COMMUNITY VITALITY WALKS AND STEP CHALLENGES TO ENCOURAGE AND REWARD ACTIVE LIVING TO THE MORE THAN 450 EMPLOYEES AND THEIR FAMILIES. THIS WILL CREATE EXCITEMENT AND INCREASE EXPOSURE IN THE COMMUNITY OVERALL. - UTILIZE THE CARDIAC REHAB TO EDUCATE ON HEALTHY EATING AND EXERCISE ROUTINE. ALSO IMPLEMENT A HEART FAILURE CLINIC AND PERIPHERAL ARTERIAL DISEASE PROGRAM WHICH WILL ALSO ADDRESS HEALTHY EATING AND EXERCISE HABITS. - EDUCATE THE PUBLIC VIA MULTIPLE AVENUES (I.E., COMMUNITY OUTREACH, SOCIAL MEDIA, AND PHONE HOLD MESSAGING) ADVOCATING FOR HEALTHY EATING AND EXERCISE ROUTINES. 2. PREVALENCE OF DIABETES:- INCREASE ACCESS TO PRIMARY CARE. - MARKET HEAVILY VIA MULTIPLE CHANNELS OF THE RUTHERFORD REGIONAL HEALTH WEIGHT LOSS CLINIC.- EDUCATE THE PUBLIC VIA MULTIPLE AVENUES (I.E., COMMUNITY OUTREACH, SOCIAL MEDIA, AND PHONE HOLD MESSAGING) RELATED TO DIABETES AND THE IMPACT OF A HEALTHY LIFESTYLE. - PARTICIPATE IN COMMUNITY OUTREACH EVENTS EDUCATING AND CONNECTING THE COMMUNITY TO RESOURCES RELATED TO THE PREVENTION AND/OR TREATMENT OF DIABETES. 3. PREVALENCE OF HEART DISEASE- INCREASE ACCESS TO CARDIOLOGY AND PRIMARY CARE. CARDIAC CLINIC VISITS INCREASED BY 31% FROM 2022 TO 2023.- PARTICIPATE IN COMMUNITY OUTREACH EVENTS EDUCATING AND CONNECTING THE COMMUNITY TO RESOURCES RELATED TO THE PREVENTION AND/OR TREATMENT OF HEART DISEASE. - UTILIZE THE CARDIAC REHAB TO EDUCATE ON HEALTHY EATING AND EXERCISE ROUTINE. - IMPLEMENT A HEART FAILURE CLINIC AND PERIPHERAL ARTERIAL DISEASE PROGRAM WHICH WILL ALSO ADDRESS HEALTHY EATING AND EXERCISE HABITS. RUTHERFORD IMPLEMENTED THE HEART FAILURE CLINIC IN MARCH 2023 AND PERIPHERAL ARTERIAL DISEASE PROGRAM IN NOVEMBER 2023.- EDUCATE THE PUBLIC VIA MULTIPLE AVENUES (I.E., COMMUNITY OUTREACH, SOCIAL MEDIA, AND PHONE HOLD MESSAGING) RELATED TO HEART DISEASE AND THE IMPACT OF A HEALTHY LIFESTYLE. 4. FOOD INSECURITY- CONTINUE TO PARTICIPATE IN THE COMMUNITY GARDEN PROJECT NAMED RUFFTON ROOTS. WE EXTENDED THE CURRENT ZERO-DOLLAR LEASE FROM 1 YEAR TO 3 YEARS IN MARCH 2024 TO PROVIDE GREATER YIELD OF CROPS. THE FOOD PANTRY IS AVAILABLE AND RRHS EMPLOYEES CONTRIBUTE TO THIS TO PROVIDE HEALTHY FOOD OPTIONS FOR THOSE IN NEED. A FOOD DRIVE IS HELD ANNUALLY.- SUPPORT IN DRIVES TO PROVIDE FOOD AND PERSONAL ITEMS TO A LOCAL SHELTER. - PROVIDE MEALS AT REDUCED RATES TO RUTHERFORD LIFE SERVICES. - HOLD FUNDRAISING EVENTS AT THE HOSPITAL WITH THE PROCEEDS COLLECTED DONATED TO LOCAL SHELTERS.CENTRAL CAROLINA HOSPITAL PART V, SECTION B, LINE 5: INPUT WAS SOUGHT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY THROUGH (1) INFORMATION GATHERING FROM PUBLIC HEALTH SOURCES (2) A COMMUNITY SURVEY DISTRIBUTED THROUGH ONLINE AND PAPER SUBMISSIONS WITH 663 SURVEYS COMPLETED (3) TWENTY-FIVE COMMUNITY MEMBERS REPRESENTING HOSPITAL, MENTAL HEALTH, SUBSTANCE USE, ATTORNEYS, CHILDREN AND FAMILIES, HOUSING AUTHORITIES, AND COMMUNITY ADVOCATES PARTICIPATING IN 3 FOCUS GROUPS AND (4) A HEALTH SUMMIT WITH COMMUNITY STAKEHOLDERS. CENTRAL CAROLINA HOSPITAL PART V, SECTION B, LINE 6B: LEE COUNTY HEALTH DEPARTMENTCENTRAL CAROLINA HOSPITAL PART V, SECTION B, LINE 7D:PAPER COPIES AVAILABLE UPON REQUEST FREE OF CHARGE AT HOSPITAL FACILITY. CENTRAL CAROLINA HOSPITAL PART V, SECTION B, LINE 8:CENTRAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT IN 2022 AND CONSIDERED PAGES 38-39 OF THE CHNA AS THE IMPLEMENTATION PLAN. A SEPARATE IMPLEMENTATION PLAN WAS FORMALLY DOCUMENTED AND APPROVED BY CENTRAL'S BOARD OF DIRECTORS AND POSTED ON THE HOSPITAL'S WEBSITE IN APRIL 2024. CENTRAL CAROLINA HOSPITAL (CCH) PART V, SECTION B, LINE 11: CCH PLANS TO MEET THE IDENTIFIED SIGNIFICANT HEALTH NEEDS AS FOLLOWS:1. MENTAL HEALTHON SEPTEMBER 27TH, 2022, IT WAS ANNOUNCED THAT CENTRAL CAROLINA HOSPITAL WILL BE COMPLETING AN EXTENSIVE RENOVATION OF THE EMERGENCY DEPARTMENT. THE NEARLY $11 MILLION DOLLAR PROJECT WILL INCLUDE A COMPLETE REMODEL AND REORGANIZATION OF THE ED. THIS RENOVATION WILL PROVIDE SAFE AND EFFICIENT PROCEDURAL AREAS FOR PATIENTS THAT COME TO THE ED SEEKING CARE WHILE EXPERIENCING A MENTAL HEALTH CRISIS.CENTRAL CAROLINA HOSPITAL WILL CONTINUE TO WORK WITH LOCAL LAW ENFORCEMENT TO EVALUATE TRAINING PROCEDURES REGARDING CRISIS INTERVENTION, REFERRAL PROCEDURES, AND INCIDENTS OF RESPONSE TO CRISIS WITHIN THE COMMUNITY. THE HOSPITAL PROVIDES DATA REGARDING THE INCIDENTS OF EMERGENCY ROOM VISITS FOR MENTAL HEALTH CRISIS DELIVERED BY LAW ENFORCEMENT. PROVIDE HEALTH EDUCATION AND PROMOTION OF LOCAL MENTAL HEALTH SERVICES TO RAISE AWARENESS AND PROMOTE PROPER ACCESS OF SERVICES WITHIN THE COMMUNITY.CENTRAL CAROLINA HOSPITAL HAS LICENSED CLINICAL SOCIAL WORKERS SUPPORT TO HELP ASSIST WITH THESE EFFORTS, AND TO ENSURE THAT PATIENTS PRESENTING TO CENTRAL CAROLINA HOSPITAL ARE PROVIDED NEEDED RESOURCES. HOSPITAL PARTICIPATES IN QUARTERLY CRISIS COMMITTEE TO REVIEW COMPLEX CASES AND IDENTIFY NEW COMMUNITY RESOURCES.2. HEALTH EATING/ACTIVE LIVINGCENTRAL CAROLINA HOSPITAL'S DIETICIAN PROVIDES NUTRITION EDUCATION TO ADDRESS ALL HOSPITALIZED PATIENT'S NEEDS. THEY ALSO PROVIDE NUTRITION CLASSES, AS WELL AS ONE ON ONE EDUCATION OF RECENTLY DIAGNOSED DIABETES PATIENTS TO HELP EDUCATE THEM ON THE MANAGEMENT OF THEIR DISEASE. CENTRAL CAROLINA HOSPITAL IS ACCREDITED FOR STROKE, HEART FAILURE AND CHEST PAIN THROUGH THE JOINT COMMISSION AND THE AMERICAN COLLEGE OF CARDIOLOGY. THESE PROGRAMS SUPPORT LEE COUNTY BY PROVIDING THE FOLLOWING SERVICES:- CENTRAL CAROLINA HOSPITAL SUPPORTS THE LEE COUNTY ENRICHMENT CENTER BY PROVIDING EDUCATIONAL MATERIAL ON HEART FAILURE AND CHEST PAIN SIGNS AND SYMPTOMS. THE HOSPITAL ALSO PROVIDES THE ENRICHMENT CENTER WITH EDUCATIONAL SESSIONS FOR THEIR CLIENTS.- CENTRAL CAROLINA HOSPITAL PATIENTS RECEIVE EDUCATIONAL MATERIALS WHEN ADMITTED FOR HEART FAILURE, STROKE AND CHEST PAIN. THE HOSPITAL ALSO HAS A PROCESS IN PLACE TO ENSURE THAT THE PATIENT HAS A FOLLOW-UP APPOINTMENT SCHEDULED WITH A SPECIFIC DATE AND TIME.- CENTRAL CAROLINA EDUCATION DEPARTMENT PROVIDES COMMUNITY CPR CLASSES.CENTRAL CAROLINA HOSPITAL CONTINUES TO BE A PART OF THE HEALTH TASK FORCE WITH THE LEE COUNTY HEALTH DEPARTMENT, YMCA, COOPERATIVE EXTENSION, AND OTHER COMMUNITY PARTNERS.3. SUBSTANCE USE DISORDER AND SOCIAL DETERMINANTS OF HEALTHHEALTH CARE QUALITY AND HEALTH OUTCOMES ARE OFTEN WORSE FOR RACIAL/ETHNIC MINORITIES, WOMEN, PEOPLE LIVING IN RURAL COMMUNITIES, PEOPLE WITH DISABILITIES, THOSE LIVING IN POVERTY, PEOPLE WITH LOWER EDUCATIONAL ATTAINMENT AND OTHER HISTORICALLY MARGINALIZED GROUPS. CENTRAL CAROLINA HOSPITAL HAS INITIATED A HEALTH EQUITY COMMITTEE TO ADDRESS WAYS TO MAKE SUSTAINABLE IMPROVEMENTS AND TO UNDERSTAND ANY ROOT CAUSES TO BARRIERS OF CARE. THE COMMITTEE'S VISION IS THAT ALL PEOPLE, REGARDLESS OF NEED, WILL ALWAYS EXPERIENCE SAFE, HIGH-QUALITY HEALTHCARE.CENTRAL CAROLINA HOSPITAL WILL CONTINUE TO SUPPORT PROGRAMS AND GIVE RESOURCES ANNUALLY TO ORGANIZATIONS SUCH AS THE COALITION FOR FAMILIES, SALVATION ARMY AND HELPING HANDS CLINIC THAT PROVIDE SERVICES FOR THE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS.CENTRAL CAROLINA HOSPITAL FACILITATES A COMMUNITY COALITION QUARTERLY WHERE COMMUNITY AGENCIES COME TOGETHER TO DISCUSS LOCAL RESOURCES AND TRANSITION OF CARE MATTERS TO ENSURE CONTINUITY OF CARE. MANY OF THESE AGENCIES ARE ACTIVE PARTNERS IN CARE FOR OUR PATIENTS IN NEED OF TREATMENT FOR SUBSTANCE ABUSE AND MENTAL HEALTH CRISIS.CENTRAL CAROLINA HOSPITAL IS A TOBACCO FREE FACILITY. WE OFFER SMOKING CESSATION RESOURCES TO ALL OUR PATIENTS. WE PROVIDE RESOURCES TO THE COMMUNITY UPON REQUEST, AND THROUGH OUR ATTENDANCE AT COMMUNITY WELLNESS FAIRS AND EMPLOYER SPONSORED SCREENINGS.TWIN COUNTY REGIONAL HEALTHCAREPART V, SECTION B, LINE 5: INPUT WAS SOUGHT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY THROUGH (1) INFORMATION GATHERING FROM PUBLIC HEALTH SOURCES (2) 32 COMMUNITY MEMBERS PARTICIPATING IN FOCUS GROUPS AND INDIVIDUAL INTERVIEWS (3) CONDUCTING A COMMUNITY ONLINE SURVEY (4) HOLDING A COMMUNITY HEALTH SUMMIT WITH COMMUNITY STAKEHOLDERS AND (5) CONDUCTING AN ONLINE SURVEY OF OF TWIN HOSPITAL EMPLOYEES AND COMMUNITY PROVIDERS. TWIN COUNTY REGIONAL HEALTHCARE TWIN COUNTY REGIONAL HEALTHCAREPART V, SECTION B, LINE 7D:EMAILED THE CHNA WEBSITE LINK LISTED ABOVE UPON REQUEST TO ASSIST COMMUNITY AGENCIES/PARTNERS/GROUPS/MEMBERSTWIN COUNTY REGIONAL HEALTHCAREPART V, SECTION B, LINE 8:TWIN CONDUCTED A HOSPITAL-SPECIFIC COMMUNITY HEALTH NEEDS ASSESSMENT IN 2022 AND CONSIDERS PAGES 41-43 OF THE CHNA AS THE IMPLEMENTATION PLAN. TWIN COUNTY REGIONAL HEALTHCAREPART V, SECTION B, LINE 11:FROM THE 2022 CHNA, TWIN COUNTY SELECTED THE FOLLOWING SIGNIFICANT HEALTH NEEDS TO ADDRESS:1. SUBSTANCE USE DISORDER: IMPLEMENT A HARM REDUCTION PROGRAM AT THE LOCAL HEALTH DEPARTMENTS AND CREATE EDUCATION PROGRAM IN THE SCHOOLS (AGE BASED). 2. MENTAL HEALTH: BRING IN MENTAL HEALTH WORKERS WHO WILL RAISE AWARENESS AND EDUCATE. COMMUNITY WOULD LIKE TO BUILD A FACILITY THAT COORDINATES REFERRALS AND FACILITATES GETTING PATIENTS FROM POINT A TO POINT B.3. HEALTHY EATING/ACTIVE LIVING/FOOD INSECURITY: ACCESS TO HEALTHY/NUTRITIOUS FOOD FOR ALL BY BRINGING IN MEAL KITS AS A TOOL TO EDUCATE PEOPLE ON HOW TO COOK WITH STAPLE FOODS (INCORPORATE THIS INTO SCHOOLS, CHURCHES, ETC); ALSO TO DECREASE ELECTRONICS AND SCREEN TIME AND INCREASE PHYSICAL ACTIVITY BY CREATING REWARD PROGRAMS THAT WOULD EARN CREDITS AT LOCAL FOOD TRUCKS AND SEND ACTIVITY BOXES FOR HOMEBOUND GEARED TOWARD THEIR NEEDS. 4. SOCIOECONOMICS: THE GROUP WOULD LIKE TO EDUCATE UNDERSERVED POPULATIONS WITH COMMUNITY PARTNERS BY PROVIDING HEALTH SCREENING EVENTS FOR COMMUNITY PARTNERS/FOOD PANTRIES, ETC. ALSO, WOULD CONTINUE TO SPONSOR BACKPACK BUDDIES WITH EDUCATION, AS WELL AS FOOD. 5. EDUCATION/COMMUNICATION: GOAL IS TO EDUCATE GRADE SCHOOL CHILDREN ON HEALTHY LIFESTYLES BY PARTNERING WITH SCHOOLS FOR HEALTH EXPOS. WILL ALSO IDENTIFY FAITH-BASED PARTNERS TO PROVIDE MONTHLY EDUCATION ON SPECIFIC TOPICS. 6. ACCESS TO CARE: ATTEMPT TO IMPROVE TRANSPORTATION BY EXPANDING TRANSIT COVERAGE FOR PATIENTS TO AND FROM VISITS AND SEARCH FOR GRANT FUNDING FOR AREA RESIDENTS TO ASSIST WITH COST OF PUBLIC TRANSPORTATION. EDUCATE POPULATION ON AFFORDABLE HEALTH PROGRAMS AVAILABLE AND INFORM THEM OF FINANCIAL COUNSELORS; ALSO UTILIZE MAILINGS, RADIO, TV, AND SOCIAL BLASTS TO EDUCATE ON SERVICES AVAILABLE. PERSON MEMORIAL HOSPITAL PART V, SECTION B, LINE 5: INPUT WAS SOUGHT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY THROUGH (1) INFORMATION GATHERING FROM PUBLIC HEALTH SOURCES AND (2) CONDUCTING A COMMUNITY HEALTH SURVEY (ONLINE AND IN HARD COPY) IN ENGLISH AND SPANISH AND (3) DISCUSSION AMONG COMMUNITY HEALTH ASSESSMENT PARTNERS.PERSON MEMORIAL HOSPITAL PART V, SECTION B, LINE 6B: PERSON COUNTY UNITED WAY, ROXBORO FAMILY MED., ROXBORO REHAB, CAMBRIDGE HILLS ASSISTED LIVING, CASWELL FAMILY MEDICAL CENTER, COMM. CARE OF NC, FREEDOM HOUSE REC. CTR., NC COOP. EXT., NORTHERN PIEDMONT COMM. CARE, PERSON CTY BD. OF EDUC., PERSON CTY EMS, PERSON CTY HEALTH DEPT.PART V, SECTION B, LINE 11:PERSON SELECTED THE FOLLOWING TWO SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE 2022 CHNA:1. OVERWEIGHT AND OBESITY2. SUBSTANCE ABUSEPERSON MEMORIAL HOSPITAL CONTINUES TO WORK WITH THE COUNTY HEALTH DEPARTMENT AND HAS SEVERAL TEAM MEMBERS ON VARIOUS COMMITTEES TO FOCUS ON ISSUES IDENTIFIED IN THE CHNA. IN ADDITION, THEY HAVE A TEAM MEMBER ON A COMMITTEE DEVELOPED BY THE COUNTY TO ALLOCATE FUNDS FROM THE GOVERNMENT FOR SUBSTANCE ABUSE.THE SUBSTANCE USE DISORDER SUBCOMMITTEE AND COMMUNITY HEALTH IMPROVEMENT PLAN COMMITTEE RECENTLY COMBINED TO JOIN FORCES, WITH FOCUS ON SUBSTANCE ABUSE AND OVERWEIGHT/OBESITY. THIS COMMITTEE HAS DEVELOPED PAMPHLETS TO ENCOURAGE MOVEMENT, WHICH WILL TOUCH OVERWEIGHT/OBESITY, DIABETES, AND HEART DISEASE. THE PAMPHLET PROVIDES INFORMATION ON CLASSES THROUGH THE NC COOPERATIVE EXTENSION OFFICE, PERSON FAMILY MEDICAL CENTER, AND THE PERSON COUNTY SENIOR CENTER. IT ALSO INCLUDES AREA WALKING TRAILS AND PLAYGROUNDS OFFERED THROUGH THE PERSON COUNTY RECREATION, ARTS AND PARKS DEPARTMENT.PERSON MEMORIAL HOSPITAL PART V, SECTION B, LINE 20E:OFFERED PLAIN LANGUAGE SUMMARY OF FINANCIAL ASSISTANCE POLICY DURING INTAKE OR DISCHARGE PROCESS, INCLUDE NOTICE ON BILLING STATEMENTS.SWAIN COMMUNITY HOSPITALPART V, SECTION B, LINE 5INPUT WAS SOUGHT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY THROUGH (1) INFORMATION GATHERING FROM PUBLIC HEALTH SOURCES (2) THE WNC HEALTHY IMPACT COMMUNITY HEALTH SURVEY CONDUCTING BY PHONE AND INTERNET (3) AND CONDUCTING AN ONLINE KEY INFORMANT SURVEY WITH 24 COMMUNITY STAKEHOLDERS.SWAIN COMMUNITY HOSPITALPART V, SECTION B, LINE 6AHARRIS REGIONAL HOSPITALSWAIN COMMUNITY HOSPITALPART V, SECTION B, LINE 6BSWAIN COUNTY HEALTH DEPARTMENTWNC HEALTHY IMPACTSWAIN COMMUNITY HOSPITALPART V, SECTION B, LINE 8SWAIN CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT IN 2022. THE IMPLEMENTATION PLAN WAS FORMALLY APPROVED BY SWAIN'S BOARD OF DIRECTORS AND POSTED ON THE HOSPITAL'S WEBSITE IN APRIL 2024.SWAIN COMMUNITY HOSPITAL (SCH)PART V, SECTION B, LINE 11THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE SELECTED IN THE CHNA:1. CHRONIC DISEASE AS IT RELATES TO OBESITY2. SUBSTANCE USE PREVENTION AND REDUCING SUBSTANCESWAIN COMMUNITY HOSPITAL WILL (1) OFFER HEALTHY LIVING WORKSHOPS FOCUSING ON NUTRITION AND PHYSICAL ACTIVITY, (2) COLLABORATE WITH LOCAL SCHOOLS AND COMMUNITY CENTERS TO PROMOTE HEALTHY EATING AND ACTIVE LIFESTYLES, (3) PROVIDE RESOURCES AND SUPPORT FOR WEIGHT MANAGEMENT PROGRAMS, AND (4) CONDUCT COMMUNITY-WIDE AWARENESS CAMPAIGNS ON THE IMPORTANCE OF HEALTHY LIFESTYLE CHOICES.IN 2022, SWAIN COMMUNITY HOSPITAL CONTINUED TO SUPPORT THE COMMUNITY-WIDE WELLNESS INITIATIVE SWAIN SUMMITS, TARGETING OBESITY THROUGH PHYSICAL ACTIVITY, NUTRITION, AND STRESS MANAGEMENT. SWAIN SUMMITS WAS LAUNCHED IN 2019 WITH OVER 233 PARTICIPANTS, AND IN 2022, THE PROGRAM CONTINUED. SWAIN COMMUNITY HOSPITAL CONTINUED TO OFFER FINANCIAL SUPPORT FOR THE COMMUNITY HEALTH SCREENINGS THAT INCLUDE TOTAL CHOLESTEROL, TOTAL GLUCOSE, BLOOD PRESSURE, BODY COMPOSITION, AND A HEALTH RISK QUESTIONNAIRE.TO HELP ADDRESS SUBSTANCE MISUSE PREVENTION AND REDUCTION, THE HOSPITAL WILL (1) OFFER EDUCATION AND PREVENTION PROGRAMS TARGETING YOUTH AND ADULTS, (2) PROVIDE RESOURCES FOR ADDICTION TREATMENT AND RECOVERY SUPPORT, (3) COLLABORATE WITH LOCAL LAW ENFORCEMENT AND COMMUNITY ORGANIZATIONS TO ADDRESS SUBSTANCE MISUSE BY HOSTING MEDICATION TAKE-BACK EVENTS AND EDUCATIONAL OPPORTUNITIES, AND (4) INCREASE ACCESS TO MENTAL HEALTH SERVICES FOR INDIVIDUALS AT RISK OF SUBSTANCE MISUSE THROUGH EXPANDED TELEMEDICINE ACCESS AND TRAINING FOR EMERGENCY DEPARTMENT PERSONNEL.CURRENTLY, SWAIN COMMUNITY HOSPITAL PARTICIPATES IN THE SUBSTANCE ABUSE PREVENTION COALITION AND TASK FORCE, WORKING TO PROMOTE THE USE OF NARCAN IN THE COMMUNITY.TO ADDRESS COVID19 PREVENTION, THE HOSPITAL WILL (1) PROVIDE COVID-19 TESTING AND VACCINATION SERVICES, (2) EDUCATE THE COMMUNITY ABOUT COVID-19 PREVENTION MEASURES, SUCH AS MASK-WEARING AND SOCIAL DISTANCING, (3) COLLABORATE WITH LOCAL HEALTH DEPARTMENTS AND GOVERNMENT AGENCIES TO IMPLEMENT PUBLIC HEALTH GUIDELINES, AND (4) SUPPORT INITIATIVES TO ADDRESS SOCIOECONOMIC FACTORS CONTRIBUTING TO COVID-19 DISPARITIES. 120 1 - TRANSITIONAL CARE UNIT 320 MAIN STREET JOHNSTOWN PA 15901 SKILLED NURSING - 3% OWNERSHIP IN JOINT VENTURE 2 - FAMILY HEALTHCARE RURAL CLINIC 200 BEACHLEY STREET MEYERSDALE PA 15552 RURAL HEALTH CLINIC - 3% OWNERSHIP IN JOINT VENTURE 3 - MARQUETTE MEDICAL CLINIC 1414 WEST FAIR AVENUE MARQUETTE MI 49855 OUTPATIENT CLINIC- 3% OWNERSHIP IN JOINT VENTURE 4 - LAKEWOOD MEDICAL ASSOCIATES 5087 US 41 SOUTH MARQUETTE MI 49855 OUTPATIENT CLINIC - 3% OWNERSHIP IN JOINT VENTURE 5 - MARQUETTE MEDICAL CLINIC 710 SOUTH LINCOLN ROAD ESCANABA MI 49829 OUTPATIENT CLINIC - 3% OWNERSHIP IN JOINT VENTURE 6 - MARQUETTE MEDICAL CLINIC 405 US 41 EAST NEGAUNEE MI 49866 OUTPATIENT CLINIC - 3% OWNERSHIP IN JOINT VENTURE 7 - UPHS SPORTS MEDICINE 841 W WASHINGTON ST MARQUETTE MI 49855 OP REHAB SERVICE- 3% OWNERSHIP IN JOINT VENTURE 8 - UPHS THERAPIES - ESCANABA 710 SOUTH LINCOLN ROAD ESCANABA MI 49829 OP REHAB SERVICE- 3% OWNERSHIP IN JOINT VENTURE 9 - UPHS THERAPIES - NEGAUNEE 400 US 41 EAST NEGAUNEE MI 49866 OP REHAB SERVICE- 3% OWNERSHIP IN JOINT VENTURE 10 - UPHS THERAPIES - MARQUETTE 555 COUNTY ROAD HQ MARQUETTE MI 49855 OP REHAB SERVICE- 3% OWNERSHIP IN JOINT VENTURE 11 - UPHS THERAPIES - SAWYER & GWINN 301 EXPLORER STREET GWINN MI 49841 OP REHAB SERVICE- 3% OWNERSHIP IN JOINT VENTURE 12 - UPHS MEDICAL CENTER LAB 1414 WEST FAIR AVENUE MARQUETTE MI 49855 LABORATORY- 3% OWNERSHIP IN JOINT VENTURE 13 - DLP MARIA PARHAM PHYSICIAN PRACTICES 120 CHARLES ROLLINS ROAD SUITE 206 HENDERSON NC 27536 OUTPATIENT CLINICS - 3% OWNERSHIP IN JOINT VENTUREE 14 - TWIN COUNTY PEDIATRICS 606 EAST STUART DRIVE GALAX VA 24333 PHYSICIAN PRACTICE (PEDIATRICS) - 3% OWNERSHIP IN JOINT VENTURE 15 - INDEPENDENCE FAMILY CARE CENTER 217 S INDEPENDENCE AVENUE INDEPENDENCE VA 24348 PHYSICIAN PRACTICE (PRIMARY CARE) - 3% OWNERSHIP IN JOINT VENTURE 16 - TWIN COUNTY UROLOGY 104 CRANBERRY ROAD SUITE 200B GALAX VA 24333 PHYSICIAN PRACTICE (UROLOGY) - 3% OWNERSHIP IN JOINT VENTURE 17 - TWIN COUNTY ORTHOPEDICS 106 DOCTORS PARK GALAX VA 24333 PHYSICIAN PRACTICE (ORTHOPEDICS) - 3% OWNERSHIP IN JOINT VENTURE 18 - TWIN COUNTY SURGERY 225 HOSPITAL DRIVE GALAX VA 24333 PHYSICIAN PRACTICE (SURGERY) - 3% OWNERSHIP IN JOINT VENTURE 19 - HILLSVILLE FAMILY CARE CENTER 702 PINE STREET HILLSVILLE VA 24343 PHYSICIAN PRACTICE (PRIMARY CARE) - 3% OWNERSHIP IN JOINT VENTURE 20 - GALAX FAMILY CARE CENTER 104 CRANBERRY ROAD SUITE 200A GALAX VA 24333 PHYSICIAN PRACTICE (PRIMARY CARE) - 3% OWNERSHIP IN JOINT VENTURE 21 - TWIN COUNTY PAIN CLINIC 200 HOSPITAL DRIVE GALAX VA 24333 PHYSICIAN PRACTICE - 3% OWNERSHIP IN JOINT VENTURE 22 - TWIN COUNTY CT FOR BEHAVIORAL HEALTH 500 GLENDALE ROAD GALAX VA 24333 PHYSICIAN PRACTICE - 3% OWNERSHIP IN JOINT VENTURE 23 - TWIN COUNTY URGENT CARE 961 E STUART DRIVE GALAX VA 24333 PHYSICIAN OFFICE - 3% OWNERSHIP IN JOINT VENTURE 24 - TWIN COUNTY GASTROENTEROLOGY 225 HOSPITAL DRIVE GALAX VA 24333 PHYSICIAN OFFICE - 3% OWNERSHIP IN JOINT VENTURE 25 - TWIN COUNTY CARDIOLOGY 105 DOCTORS PARK GALAX VA 24333 PHYSICIAN OFFICE - 3% OWNERSHIP IN JOINT VENTURE 26 - TWIN COUNTY SLEEP LAB 200 HOSPITAL DRIVE GALAX VA 24333 PHYSICIAN OFFICE - 3% OWNERSHIP IN JOINT VENTURE 27 - RUTHERFORD ORTHOPEDICS 139 DR HENRY MORRIS DRIVE RUTHERFORDTON NC 28139 SPECIALTY PRACTICE - 3% OWNERSHIP IN JOINT VENTURE 28 - RUTHERFORD SURGICAL ASSOCIATES 330 NC HIGHWAY 108 RUTHERFORDTON NC 28139 SURGICAL PRACTICE - 3% OWNERSHIP IN JOINT VENTURE 29 - RUTHERFORD OCCUPATIONAL MEDICINE 288 SOUTH RIDGECREST AVENUE RUTHERFORDTON NC 28139 OCCUPATIONAL/INDUSTRIAL HEALTH - 3% OWNERSHIP IN JOINT VENTURE 30 - RUTHERFORD UROLOGY 288 SOUTH RIDGECREST AVENUE RUTHERFORDTON NC 28139 UROLOGICAL SERVICES - 3% OWNERSHIP IN JOINT VENTURE 31 - POLK MEDICAL SPECIALISTS 45 E MILLS ST COLUMBUS NC 28722 FAMILY GENERAL MEDICINE - 3% OWNERSHIP IN JOINT VENTURE 32 - FOREST CITY FAMILY CARE 212 ALLENDALE DRIVE FOREST CITY NC 28043 FAMILY GENERAL MEDICINE - 3% OWNERSHIP IN JOINT VENTURE 33 - RUTHERFORD CHILDREN'S CARE 162 COMMERCIAL DR FOREST CITY NC 28043 PEDIATRIC SERVICES - 3% OWNERSHIP IN JOINT VENTURE 34 - CHASE FAMILY CARE 1269 HWY 221A FOREST CITY NC 28043 FAMILY GENERAL MEDICINE - 3% OWNERSHIP IN JOINT VENTURE 35 - RUTHERFORD EAST FAMILY CARE 605 NC 120 HIGHWAY MOORESBORO NC 28114 FAMILY GENERAL MEDICINE - 3% OWNERSHIP IN JOINT VENTURE 36 - RUTHERFORD PREMIER WOMENS CARE 288 S RIDGECREST ST RUTHERFORDTON NC 28139 PHYSICIAN PRACTICE (WOMEN'S HEALTH) - 3% OWNERSHIP IN JOINT VENTURE 37 - RUTHERFORD CARDIOLOGY 128 DR HENRY NORRIS DRIVE RUTHERFORDTON NC 28160 PHYSICIAN PRACTICE (CARDIOLOGY) - 3% OWNERSHIP IN JOINT VENTURE 38 - URGENT CARE - CANTON 55 BUCKEYE COVE ROAD CANTON NC 28716 URGENT CARE - 3% OWNERSHIP IN JOINT VENTURE 39 - URGENT CARE - WAYNESVILLE 556 HAZELWOOD ROAD WAYNESVILLE NC 28786 URGENT CARE - 3% OWNERSHIP IN JOINT VENTURE 40 - BLUE MOUNTAIN UROLOGY 15 BRETTWOOD TRACE CLYDE NC 28721 SPECIALITY PRACTICE - 3% OWNERSHIP IN JOINT VENTURE 41 - HAYWOOD FAMILY PRACTICE - CANTON 119 PARK STREET CANTON NC 28716 PHYSICIAN PRACTICE - 3% OWNERSHIP IN JOINT VENTURE 42 - HAYWOOD SURGICAL ASSOCIATES 40 BRETTWOOD TRACE CLYDE NC 28721 SPECIALITY PRACTICE - 3% OWNERSHIP IN JOINT VENTURE 43 - HAYWOOD WOMENS MEDICAL CENTER 35 FACILITY DRIVE CLYDE NC 28721 PHYSICIAN PRACTICE - 3% OWNERSHIP IN JOINT VENTURE 44 - MOUNTAIN MEDICAL ASSOCIATES 600 HOSPITAL DRIVE CLYDE NC 28721 PHYSICIAN PRACTICE - 3% OWNERSHIP IN JOINT VENTURE 45 - MOUNTAIN PEDIATRIC GROUP 24 FALCON CREST LANE CLYDE NC 28721 PHYSICIAN PRACTICE - 3% OWNERSHIP IN JOINT VENTURE 46 - MOUNTAIN SPINECARE 581 LEROY GEORGE DRIVE SUITE 380 CLYDE NC 28721 SPECIALITY PRACTICE - 3% OWNERSHIP IN JOINT VENTURE 47 - MOUNTAIN SPINECARE 68 HOSPITAL DRIVE SUITE 101 SYLVA NC 28779 SPECIALITY PRACTICE - 3% OWNERSHIP IN JOINT VENTURE 48 - WAYNESVILLE FAMILY PRACTICE 1272 EAST STREET WAYNESVILLE NC 28786 PHYSICIAN PRACTICE - 3% OWNERSHIP IN JOINT VENTURE 49 - WESTERN CAROLINA CARDIOLOGY 32 PHYSICIANS DRIVE CLYDE NC 28721 SPECIALITY PRACTICE - 3% OWNERSHIP IN JOINT VENTURE 50 - WESTERN CAROLINA ORTHO SPECIALISTS 581 LEROY GEORGE DRIVE SUITE 300 CLYDE NC 28721 SPECIALITY PRACTICE - 3% OWNERSHIP IN JOINT VENTURE 51 - HAYWOOD FAMILY PRACTICE-ASHEVILLE 123A ACTON CIRCLE ASHEVILLE NC 28806 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 52 - HAYWOOD PULMONARY MEDICINE 576 LEROY GEORGE DRIVE CLYDE NC 28721 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 53 - HAYWOOD PAIN CLINIC 262 LEROY GEORGE DRIVE CLYDE NC 28722 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 54 - WILSON REGIONAL ORTHOPEDICS 1700 TARBORO STREET SUITE 205 WILSON NC 27893 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 55 - WILSON GASTROENTEROLOGY 2605 FOREST HILLS ROAD SUITE A WILSON NC 27893 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 56 - WILSON NEUROLOGY 1700 TARBORO STREET SUITE 200 WILSON NC 27893 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 57 - WILSON WOUND HEALING CENTER 1701 MEDICAL PARK DR WILSON NC 27893 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 58 - WILSON PRIMARY CARE 1700 TARBORO STREET SUITE 200 WILSON NC 27893 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 59 - WILSON REHABILITATION & NURSING CENTER 1705 TARBORO STREET SW WILSON NC 27893 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 60 - WILSON OUTPATIENT IMAGING 1711 MEDICAL PARK DR WILSON NC 27893 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 61 - WILSON NEW HOPE PRIMARY CARE 2508 WARD BLVD WILSON NC 27893 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 62 - WILSON RADIATION ONCOLOGY 1703 MEDICAL PARK DR WILSON NC 27893 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 63 - WILSON FAMILY CARE 1701 TARBORO STREET SUITE 100 WILSON NC 27893 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 64 - WILSON PULMONOLOGY 1700 TARBORO STREET SUITE 202 WILSON NC 27893 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 65 - WILSON UROLOGY 2509 WOOTEN BLVD SW WILSON NC 27893 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 66 - STANTONSBURG 312 S MAIN STREET STANTONSBURY NC 27883 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 67 - BAILEY PRIMARY CARE 6321 DEANS STREET BAILEY NC 27807 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 68 - CENTRAL CAROLINA SANDHILLS FAMILY CARE 1125 CARTHAGE STREET SANFORD NC 27330 PHYSICIAN PRACTICE- 3% OWNERSHIP IN JOINT VENTURE 69 - CENTRAL CAROLINA SANDHILLS FAMILY CARE 101 CHURCH STREET BROADWAY NC 27505 PHYSICIAN PRACTICE- 3% OWNERSHIP IN JOINT VENTURE 70 - CENTRAL CAROLINA COMMUNITY FAMILY CARE 2412 WILKINS DRIVE SANFORD NC 27330 PHYSICIAN PRACTICE- 3% OWNERSHIP IN JOINT VENTURE 71 - CENTRAL CAROLINA UROLOGY 1139 CARTHAGE STREET SUITE 110-B SANFORD NC 27330 PHYSICIAN PRACTICE- 3% OWNERSHIP IN JOINT VENTURE 72 - CENTRAL CAROLINA INTERNAL MED ASSOC 1139 CARTHAGE STREET SUITE 110-A SANFORD NC 27330 PHYSICIAN PRACTICE- 3% OWNERSHIP IN JOINT VENTURE 73 - CENTRAL CAROLINA FAMILY CARE SOUTH 4546 NC HIGHWAY 87 SOUTH SANFORD NC 27330 PHYSICIAN PRACTICE- 3% OWNERSHIP IN JOINT VENTURE 74 - CENTRAL CAROLINA WOMEN'S HEALTH CENTER 1140 CARTHAGE STREET SANFORD NC 27330 PHYSICIAN PRACTICE- 3% OWNERSHIP IN JOINT VENTURE 75 - CENTRAL CAROLINA GENERAL SURGERY 709 WICKER STREET SUITE B SANFORD NC 27330 PHYSICIAN PRACTICE- 3% OWNERSHIP IN JOINT VENTURE 76 - CENTRAL CAROLINA GENERAL SURGERY 1139 CARTHAGE STREET SUITE 110-B SANFORD NC 27330 PHYSICIAN PRACTICE- 3% OWNERSHIP IN JOINT VENTURE 77 - CENTRAL CAROLINA WOUND CARE & HYPERBARIC 117 DENNIS DRIVE SANFORD NC 27330 PHYSICIAN PRACTICE- 3% OWNERSHIP IN JOINT VENTURE 78 - CENTRAL CAROLINA CARDIOLOGY 709 WICKER STREET SUITE A SANFORD NC 27330 PHYSICIAN PRACTICE (CARDIOLOGY) - 3% OWNERSHIP IN JOINT VENTURE 79 - CENTRAL CAROLINA ORTHOPEDICS 1125 CARTHAGE STREET SANFORD NC 27330 PHYSICIAN PRACTICE- 3% OWNERSHIP IN JOINT VENTURE 80 - PERSON EXTENDED CARE 615 RIDGE ROAD ROXBORO NC 27573 SKILLED NURSING FACILITY- 3% OWNERSHIP IN JOINT VENTURE 81 - PERSON PRIMARY CARE 3762 DURHAM ROAD SUITE B ROXBORO NC 27573 PHYSICIAN PRACTICE (PRIMARY CARE) - 3% OWNERSHIP IN JOINT VENTURE 82 - PERSON HEALTH CARDIOLOGY 601 RIDGE ROAD ROXBORO NC 27573 OUTPATIENT CLINIC- 3% OWNERSHIP IN JOINT VENTURE 83 - PERSON HEALTH GASTROENTEROLOGY 615 RIDGE ROAD ROXBORO NC 27573 OUTPATIENT CLINIC- 3% OWNERSHIP IN JOINT VENTURE 84 - PERSON URGENT CARE ROXBORO 3762 DURHAM ROAD SUITE A ROXBORO NC 27573 OUTPATIENT CLINIC - 3% OWNERSHIP IN JOINT VENTURE 85 - PERSON URGENT CARE YOUNGSVILLE 700 US HWY 1 SUITE 100 YOUNGSVILLE NC 27705 OUTPATIENT CLINIC - 3% OWNERSHIP IN JOINT VENTURE 86 - SWAIN FAMILY CARE 45 PLATEAU STREET SUITE 250 BRYSON CITY NC 28713 OUTPATIENT CLINIC - 3% OWNERSHIP IN JOINT VENTURE 87 - HARRIS SURGICAL ASSOCIATES 98 DOCTORS DRIVE SUITE 320 SYLVA NC 28779 OUTPATIENT CLINIC - 3% OWNERSHIP IN JOINT VENTURE 88 - HARRIS CARDIOLOGY 68 HOSPITAL ROAD SUITE 201 SYLVA NC 28779 OUTPATIENT CLINIC - 3% OWNERSHIP IN JOINT VENTURE 89 - HARRIS ORTHOPEDICS 80 HEALTHCARE DR SUITE 203 SYLVA NC 28779 OUTPATIENT CLINIC - 3% OWNERSHIP IN JOINT VENTURE 90 - HARRIS PEDIATRICS 98 DOCTORS DRIVE SUITE 300 SYLVA NC 28779 OUTPATIENT CLINIC - 3% OWNERSHIP IN JOINT VENTURE 91 - HARRIS WOMENS 70 THE VILLAGE OVERLOOK SYLVA NC 28779 OUTPATIENT CLINIC - 3% OWNERSHIP IN JOINT VENTURE 92 - HARRIS GI 98 DOCTORS DRIVE SUITE 310 SYLVA NC 28779 OUTPATIENT CLINIC - 3% OWNERSHIP IN JOINT VENTURE 93 - HARRIS FAMILY CARE FRANKLIN 55 HOLLY SPRINGS PARK DRIVE FRANKLIN NC 28734 OUTPATIENT CLINIC - 3% OWNERSHIP IN JOINT VENTURE 94 - HARRIS PULMONARY AND SLEEP 186 MEDICAL PARK LOOP SUITE 503 SYLVA NC 28779 OUTPATIENT CLINIC - 3% OWNERSHIP IN JOINT VENTURE 95 - HARRIS UROLOGY 98 DOCTORS DRIVE SUITE 100 SYLVA NC 28779 OUTPATIENT CLINIC - 3% OWNERSHIP IN JOINT VENTURE 96 - HARRIS MEDICAL ASSOCIATES 98 DOCTORS DRIVE SUITE 200 SYLVA NC 28779 OUTPATIENT CLINIC - 3% OWNERSHIP IN JOINT VENTURE 97 - FRYECARE BEHAVIORAL HEALTH 915 TATE BOULEVARD SOUTHEAST SUITE 186 HICKORY NC 28602 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 98 - FRYECARE CARDIOLOGY ASSOC - LENOIR 602 MORGANTON BOULEVARD SOUTHWEST LENOIR NC 28645 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 99 - FRYECARE CARDIOLOGY ASSOC - LINCOLNTON 1470 EAST GASTON STREET SUITE 400 LINCOLNTON NC 28092 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 100 - FRYECARE CARDIOLOGY ASSOC - PIEDMONT 2660 TATE BOULEVARD SOUTHEAST HICKORY NC 28602 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 101 - FRYECARE CARDIOLOGY ASSOC- TAYLORSVILLE 1668 NC HWY 16 SOUTH TAYLORSVILLE NC 28681 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 102 - FRYECARE CARDIOLOGY ASSOC - VALDESE 721-B MALCOLM BLVD RUTHERFORD COLLEGE NC 28671 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 103 - FRYECARE FAMILY PHYSICIANS 915 TATE BOULEVARD SOUTHEAST SUITE 186 HICKORY NC 28602 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 104 - FRYECARE GENERATIONS FAMILY 2810 16TH STREET NORTHEAST HICKORY NC 28601 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 105 - FRYECARE HARTER FAMILY PRACTICE 237 LONGVUE ROAD SUITE A BOONE NC 28607 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 106 - FRYECARE HEART LUNG AND VASCULAR 415 NORTH CENTER STREET SUITE 204 HICKORY NC 28601 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 107 - FRYECARE HICKORY FAMILY PRACTICE 52 12TH AVENUE NORTHEAST HICKORY NC 28601 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 108 - FRYECARE INTERNAL MEDICINE 915 TATE BOULEVARD SOUTHEAST SUITE 186 HICKORY NC 28602 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 109 - FRYECARE PIEDMONT OBGYN - HICKORY 210 13TH AVENUE PLACE NORTHWEST HICKORY NC 28601 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 110 - FRYECARE PIEDMONT OBGYN - HUDSON 3060 HICKORY BLVD HUDSON NC 28638 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 111 - FRYECARE PULMONOLOGY ASSOCIATES 915 TATE BOULEVARD SOUTHEAST SUITE 182 HICKORY NC 28602 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 112 - FRYECARE SPECIALTY CENTER 415 NORTH CENTER STREET SUITE 203 HICKORY NC 28601 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 113 - FRYECARE URGENT CARE 1105 FAIRGROVE CHURCH ROAD SOUTHEAST CONOVER NC 28602 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 114 - FRYECARE WOMEN'S SERVICES 1781 TATE BOULEVARD SOUTHEAST SUITE 201 HICKORY NC 28602 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 115 - HART INDUSTRIAL CLINIC 2850 TATE BOULEVARD SOUTHEAST HICKORY NC 28602 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 116 - HICKORY CARDIOLOGY ASSOC - BOONE 178 NC-105 EXTENSION SUITE 202 BOONE NC 28607 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 117 - HICKORY CARDIOLOGY ASSOC - LENOIR 315 WILKESBORO BOULEVARD SUITE 1B 2B LENOIR NC 28645 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 118 - HICKORY CARDIOLOGY ASSOC - MORGANTON 137 WEST PARKER ROAD SUITE B C MORGANTON NC 28655 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 119 - HICKORY CARDIOLOGY ASSOC - HICKORY 1771 TATE BOULEVARD SOUTHEAST HICKORY NC 28602 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 120 - HICKORY CARDIOLOGY ASSOC- LINCOLNTON 1531 NORTH ASPEN STREET LINCOLNTON NC 28092 CLINIC- 3% OWNERSHIP IN JOINT VENTURE PART I, LINE 6A: DUKE QUALITY NETWORK, INC (DQN) HOLDS A 3% OWNERSHIP IN A PARTNERSHIP THAT IN TURN HOLDS A PERCENTAGE OWNERSHIP IN EACH OF THE HOSPITALS LISTED IN PART V, SECTION A. ACCORDINGLY, THE HOSPITAL FACILITIES PREPARE COMMUNITY BENEFIT REPORTS AS NECESSARY.PART I, LINE 7:THIS ANSWER IS BASED ON THE HOSPITAL FACILITIES THAT SERVED THE LARGEST NUMBER OF THE ORGANIZATION'S PATIENTS DURING THE TAX YEAR. THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED ON PART I, LINES 7A, 7B, AND 7C WAS BASED ON THE COST ACCOUNTING SYSTEM AND ADDRESSES ALL PATIENT SEGMENTS. THE METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED ON PART I, LINES 7E-7I, AS APPLICABLE, WAS BASED ON ACTUAL INCURRED REVENUES AND EXPENSES.PART II, COMMUNITY BUILDING ACTIVITIES;CONEMAUGH WORKS COLLABORATIVELY TO IMPROVE THE OVERALL HEALTH AND WELL BEING OF AREA RESIDENTS AND TO ENCOURAGE THEIR ACTIVE PARTICIPATION IN DECISIONS RELATING TO THE HEALTH OF THE COMMUNITY IN WHICH THEY LIVE. SOME OF THE INITIATIVES INCLUDE: COMMUNITY HEALTH FAIRS, PHARMACIST PRESCRIPTION MEDICATION REVIEWS AND FREE HEALTH SCREENINGS FOR DIABETES, CARDIOVASCULAR DISEASE, SLEEP DISORDERS, OSTEOPOROSIS, CANCER AND MORE.MEMORIAL MEDICAL CENTER ALSO MADE VARIOUS CONTRIBUTIONS TO ORGANIZATIONS TO PROMOTE THE HEALTH, SAFETY, AND WELL BEING OF THE COMMUNITY. THESE CONTRIBUTIONS WERE MADE IN LINE WITH THE GOALS OF THE HEALTH SYSTEM TO SUPPORT ORGANIZATIONS AND PROGRAMS THAT FOCUS ON COMMUNITY HEALTH AND WELLNESS, ENHANCE THE DEVELOPMENT OF AREA YOUTH, ENRICH THE LIVES AND ENHANCE THE CULTURE OF THE REGION, AND CONTRIBUTE TO THE OVERALL GOOD OF THE COMMUNITY.DLP MARQUETTE GENERAL HOSPITAL CONTRIBUTED TOWARDS WORKFORCE DEVELOPMENT.PART III, LINE 2:UPON ADOPTION OF FINANCIAL ACCOUNTING STANDARDS BOARD ACCOUNTING STANDARDS UPDATE 2014-09, "REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606)" (ASU 2014-09) AND CONSISTENT WITH THE REVISED HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15, THE ESTIMATED UNCOLLECTIBLE AMOUNTS FROM SELF-PAY PATIENTS THAT WERE PREVIOUSLY REPORTED AS BAD DEBT EXPENSE PRIOR TO ADOPTION OF ASU 2014-09 ARE NOW CONSIDERED IMPLICIT PRICE CONCESSIONS DIRECTLY REDUCING NET PATIENT SERVICE REVENUE.PART III, LINE 4:NOT APPLICABLEPART III, LINE 8:THIS ANSWER IS BASED ON THE HOSPITAL FACILITIES THAT SERVED THE LARGEST NUMBER OF THE ORGANIZATION'S PATIENTS DURING THE TAX YEAR. THE ORGANIZATION USED ITS OVERALL RATIO OF COST TO CHARGES TO ESTIMATE THE AMOUNT REPORTED ON LINE 6.PART V, SECTION A:EACH HOSPITAL LISTED IS PART OF DQN'S 3% OWNERSHIP INTEREST IN A JOINT VENTURE WITH LIFEPOINT HOSPITALS, INC.NEEDS ASSESSMENT: PART VI, LINE 2:CONEMAUGHCONEMAUGH'S PATIENT ADVISORY COMMITTEE PROVIDES CONTINUOUS FEEDBACK ON OPPORTUNITIES TO BETTER SERVE PATIENTS IN THE COMMUNITY. MEMBERS OF CONEMAUGH HEALTH SYSTEM'S LEADERSHIP TEAM SERVE ON COMMUNITY ORGANIZATIONAL BOARDS. CONEMAUGH RECEIVES INPUT THROUGH OUTREACH TO THE EMS COMMUNITY, OUTREACH TO ITS PRIMARY AND SPECIALTY CARE PROVIDERS, ATTENDANCE AT COMMUNITY HEALTH FAIRS AND EVENTS, AND REVIEW OF COUNTY HEALTH RANKINGS TO IDENTIFY OPPORTUNITIES. IN ADDITION, CONEMAUGH HAS PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS SUCH AS UNITED WAY OF LAUREL HIGHLANDS, 1889 FOUNDATION, AND JEFFERSON CENTER FOR POPULATION HEALTH. MONTHLY COMMUNITY EDUCATION SESSIONS PROVIDE AN OPPORTUNITY FOR FEEDBACK FROM COMMUNITY MEMBERS.FRYE REGIONAL MEDICAL CENTERFRYE REGIONAL IS ACTIVELY REPRESENTED ON SEVERAL BOARDS FOR COMMUNITY ORGANIZATIONS THAT ARE INVESTED IN SERVING THE HEALTHCARE NEEDS OF OUR COMMUNITY AND TAKES A LEADERSHIP ROLE IN ADDRESSING THOSE NEEDS. THROUGH ITS INVOLVEMENT AT A LEADERSHIP LEVEL WITH THESE KEY ORGANIZATIONS, FRYE REMAINS CONNECTED TO THE NEEDS OF ITS COUNTY AS THEY DEVELOP, WHETHER IT IS WITHIN THE SENIOR CARE COMMUNITY, BUSINESS COMMUNITY OR UNDERSTANDING THE NEEDS OF THE UNDERSERVED POPULATION.WILSON MEDICAL CENTERWILSON ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES THROUGH PARTICIPATION IN COMMUNITY EVENTS/HEALTH FAIRS, SUPPORT GROUPS, PHYSICIAN REFERRAL LINE CALLERS, AND RESPONSE TO BUSINESS AND INDUSTRY NEEDS.RUTHERFORD REGIONAL MEDICAL CENTERRRMC MAINTAINS ACTIVE RELATIONSHIPS WITH OTHER HEALTHCARE AGENCIES, LAW ENFORCEMENT, GOVERNMENTAL ORGANIZATIONS AND BUSINESS OWNERS. THESE RELATIONSHIPS, AS WELL AS INTERACTIONS WITH CORPORATE LEADERSHIP, HOSPITAL BOARD OF TRUSTEES, AND THE PATIENT FAMILY ADVISORY COUNCEL, ALLOW RRMC TO EVALUATE THE NEEDS OF THE COMMUNITY ON A CONTINUOUS BASIS. OUTSIDE OF THESE EFFORTS, THE ANNUAL STRATEGIC PLANNING PROCESS PROVIDES DEDICATED TIME TO COLLECT MARKET DATA ON THE HOSPITAL'S SERVICES, OUTMIGRATION FOR HEALTHCARE, MEDICAL STAFF NEEDS, AND SOCIAL AND DEMOGRAPHIC INDICATORS THAT SHAPE THE HOSPITAL'S OPERATING PLAN ON AT LEAST AN ANNUAL BASIS. PARTICIPATION IN CONTINUING EDUCATION, INDUSTRY FOCUS GROUPS, AND COMMUNITY ORGANIZATIONS ALSO PROVIDE TANGIBLE INSIGHT ON THE HEALTH AND HEALTH NEEDS OF THE COMMUNITY THAT ARE WIDELY SHARED AND CASCADED THROUGHOUT THE ORGANIZATION.TWIN COUNTY REGIONAL HEALTHCARETHE HOSPITAL PROVIDES MANY HEALTH EVENTS AND SCREENINGS THROUGHOUT THE YEAR IN THE COMMUNITY AND ALSO WORKS WITH SEVERAL LOCAL EMPLOYERS TO OFFER SCREENINGS FOR EMPLOYEES ON SITE AT THEIR WORK ENVIRONMENTS. THE HOSPITAL PROMOTES LACTATION SERVICES IN THE HOSPITAL AND PEDIATRIC CLINIC.PERSON MEMORIAL HOSPITALPERSON MEMORIAL REACHES OUT TO THE COMMUNITY THROUGH COMMUNITY AND HOSPITAL EVENTS, PROMOTING HEALTHY LIFESTYLE. IN ADDITION TO COUNTY EVENTS, PERSON ALSO WORK WITH EMPLOYERS AND ATTENDS THEIR "EMPLOYEE WEEK" TO PROMOTE HEALTHY LIVING, OFFERING FREE BLOOD PRESSURE CHECKS, AND WHEN STAFFING ALLOWS, GLUCOSE CHECKS. THE HOSPITAL OFFERS EVENTS AT THE PERSON COUNTY SENIOR CENTER, ENDORSING HEALTHY LIFESTYLE AND PROVIDING EDUCATION, WITH A SPEAKER AND HANDOUT MATERIAL. PATIENT ELIGIBILITY FOR ASSISTANCE: PART VI, LINE 3:REPORTING GROUP A:DLP CONEMAUGH MEMORIAL MEDICAL CENTER, DLP CONEMAUGH MINERS MEDICAL CENTER AND DLP CONEMAUGH MEYERSDALE MEDICAL CENTERCONEMAUGH HEALTH SYSTEM (CHS) COMMUNICATES TO PATIENTS THE AVAILABILITY OF FINANCIAL ASSISTANCE UNDER FEDERAL, STATE AND LOCAL PROGRAMS, AS WELL AS THE CHARITY CARE PROGRAM, ON ITS WEBSITE,WWW.CONEMAUGH.ORG. THE WEBSITE INCLUDES A DOWNLOADABLE CHARITY CARE APPLICATION AND INSTRUCTIONS. TABLE TOP BROCHURES ARE PROVIDED AT ALL POINTS OF REGISTRATION, AND BROCHURES ARE INCLUDED IN PATIENT ADMISSION PACKETS. INFORMATION ON THE AVAILABILITY OF FINANCIAL ASSISTANCE IS ALSO INCLUDED ON PATIENT STATEMENTS. ASSISTANCE IS PROVIDED TO PATIENTS TO APPLY FOR MEDICAL ASSISTANCE THROUGH A THIRD-PARTY VENDOR. A ROBUST FINANCIAL COUNSELING AND CUSTOMER SERVICE DEPARTMENT IS AVAILABLE TO HANDLE SPECIFIC PATIENT NEEDS.DLP MARQUETTE GENERAL HOSPITALALL SELF-PAY PATIENTS ARE ADDRESSED FIRST BY OUR FINANCIAL COUNSELOR FOR POSSIBLE STATE BENEFITS. IF THE PATIENT DOES NOT QUALIFY FOR AID, THEY ARE EDUCATED ABOUT OUR FAP AND OTHER PAYMENT OPTIONS OR ARRANGEMENTS.HAYWOOD REGIONAL MEDICAL CENTERHAYWOOD'S FINANCIAL ASSISTANCE POLICY AND PLAIN LANGUAGE SUMMARY ARE POSTED AT ALL REGISTRATION AREAS. PATIENTS ARE GIVEN AN APPLICATION IF THEY ARE INTERESTED. OUR FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY AND APPLICATION ARE ON OUR WEB-SITE. ALL SELF PAY PATIENTS ARE SCREENED FOR MEDICAID BY MEDASSIT, OUR MEDICAID VENDOR. IF NOT ELIGIBLE FOR MEDICAID, PATIENTS ARE INFORMED ON HOW TO APPLY FOR FINANCIAL ASSISTANCE. INFORMATION ON STATEMENTS DIRECT PATIENTS WHO NEED FINANCIAL ASSISTANCE TO OUR WEBSITE THAT HAS OUR POLICY, PLAIN LANGUAGE SUMMARY AND APPLICATION. THERE IS ALSO A PHONE NUMBER TO CALL TO OBTAIN INFORMATION. FRYE REGIONAL MEDICAL CENTERTHE "PLAIN LANGUAGE SUMMARY FINANCIAL ASSISTANCE PROGRAM" IS POSTED IN COMMON AREAS OF OUR FACILITIES AND ON OUR WEBSITE, WWW.FRYEMEDCTR.COM IN THE ONLINE BILL PAY SECTION. FRYE ALSO GIVES A COPY OF THE PLAIN LANGUAGE SUMMARY TO EVERY PATIENT.REGISTRATION STAFF ALSO HAVE FINANCIAL ASSISTANCE APPLICATIONS AVAILABLE UPON REQUEST. FOR PATIENTS WHO INDICATE THEY ARE UNINSURED DURING REGISTRATION, FRYE FOLLOWS UP WITH THOSE INDIVIDUALS THROUGH THE MEC PROGRAM, WHICH WORKS WITH THEM TO DETERMINE THEIR ELIGIBILITY FOR MEDICAID ASSISTANCE.DLP MARIA PARHAM MEDICAL CENTERCOPIES OF THE FINANCIAL ASSISTANCE POLICY, THE FINANCIAL ASSISTANCE APPLICATION, AND ASSOCIATED INSTRUCTIONS ARE AVAILABLE FREE OF CHARGE UPON REQUEST AND CAN BE FOUND IN THE EMERGENCY ROOM AND ADMISSION AREAS OF THE HOSPITAL. ALL PATIENT BILLING STATEMENTS INCLUDE A NOTICE REGARDING THE FINANCIAL ASSISTANCE POLICY. REGISTRATION AND CENTRAL SCHEDULING STAFF DISCUSS ESTIMATES AND FINANCIAL OPTIONS SUCH AS CHARITY CARE AND CARE PAYMENT WITH PATIENTS. A FINANCIAL COUNSELOR IS ALSO AVAILABLE TO ASSIST PATIENTS WITH QUESTIONS AND GUIDANCE. THE HOSPITAL USES R1 RCM TO SCREEN PATIENTS TO OBTAIN MEDICAID. THE CANCER CENTER WORKS WITH FOUNDATIONS TO HELP SUPPORT PATIENTS WHO CANNOT AFFORD CO-PAYS OR DEDUCTIBLES. WILSON MEDICAL CENTERWILSON MEDICAL CENTER POSTS INFORMATION AT ALL PATIENT ACCESS POINTS AS WELL AS CONTAINS VERBIAGE ON PATIENT STATEMENTS AND ON THE HOSPITAL WEBSITE TO INFORM AND EDUCATE PATIENTS AND OTHERS ABOUT ELIGIBILITY FOR FINANCIAL ASSISTANCE. THIS INFORMATION IS ALSO PROVIDED TO THE WILSON COUNTY HEALTH DEPARTMENT. WILSON MEDICAL CENTER HAS FINANCIAL COUNSELORS IN-HOUSE WHO ALSO INFORM AND EDUCATE PATIENTS REGARDING THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE. HARRIS REGIONAL HOSPITALTO COMMUNICATE THE HOSPITAL'S FINANCIAL POLICY TO THE PATIENT, THE HOSPITAL'S WEBSITE HAS A "FOR PATIENTS AND VISITORS" MENU WHERE PATIENTS CAN GO TO VIEW INFORMATION ABOUT PAYMENT POLICIES, INSURANCE INFORMATION, AND THE HOSPITAL FINANCIAL ASSISTANCE (CARE ASSISTANCE) PROGRAM. THE WEBSITE PROVIDES THE POLICY, THE APPLICATION WHICH INCLUDES THE CONTACT NUMBER TO THE FINANCIAL ASSISTANCE BENEFITS ADVISOR. THE HOSPITAL'S CHARITY CARE POLICY AND FINANCIAL ASSISTANCE CONTACT INFORMATION IS POSTED IN THE ADMISSIONS AREAS, EMERGENCY AREAS, AND OTHER AREAS OF THE HOSPITAL'S FACILITIES IN WHICH ELIGIBLE PATIENTS MAY BE PRESENT. ALL STAFF WITH PATIENT CONTACT ARE KNOWLEDGEABLE ABOUT THE CHARITY CARE POLICY (ADMITTING AND BILLING CLERKS, NURSING AND MEDICAL STAFFS, SOCIAL WORKERS, CHAPLAINS, PATIENT ADVOCATES, ETC.). THE BILLING STATEMENTS CONTAIN INFORMATION DIRECTING PATIENTS THAT NEED FINANCIAL ASSISTANCE TO HARRIS'S WEBSITE FOR THE POLICY, APPLICATION, AND PLAIN LANGUAGE SUMMARY ALONG WITH A PHONE NUMBER TO CALL TO OBTAIN INFORMATION.RUTHERFORD REGIONAL HEALTH SYSTEMPATIENTS WITH ESTIMATED BALANCES AFTER INSURANCE ARE CONTACTED PRIOR TO VISIT. THIS ALLOWS THE ESTIMATE TO BE PROVIDED TO THE PATIENT, AND TO DISCUSS INSURANCE BENEFITS AND ESTIMATED BALANCES AFTER INSURANCE. THIS DOES INCLUDE ALL SELF PAY PATIENTS AS WELL. A FINANCIAL COUNSELOR MAKES THIS CALL AND EXPLAINS ALL PAYMENT OPTIONS AND OPPORTUNITIES TO APPLY FOR MEDICAL ASSISTANCE. PATIENT REPRESENTATIVES ALSO FOLLOW UP WITH ALL SELF PAY PATIENTS TO PURSUE QUALIFICATION OF PATIENT INTO SOME TYPE OF ASSISTANCE (NCMEDICAID, DISABILITY, CRIME VICTIMS, VOCATIONAL REHAB OR OTHER POSSIBLE PAYMENT SOURCE). IF NO RESOURCES ARE IDENTIFIED FROM PATIENT REPRESENTATIVES, THE REPRESENTATIVE FACILITATES GETTING A MEDICAL ASSISTANCE APPLICATION TO THE PATIENT FOR POSSIBLE QUALIFICATION. REGISTRATION EMPLOYEES HAVE MEDICAL ASSISTANCE FORMS AND ARE TO PROVIDE THESE TO PATIENTS AT TIME OF REGISTRATION. EXTENDED BUSINESS OFFICE STAFF ALSO HAVE MEDICAL ASSISTANCE APPLICATIONS AND ARE TO PROVIDE THESE AS NECESSARY TO PATIENTS AFTER PHONE CONTACT. THE MEDICAL ASSISTANCE POLICY IS ON THE RUTHERFORD REGIONAL HEALTH SYSTEM (RRHS) WEBSITE FOR PUBLIC VIEWING, ALONG WITH THE APPLICATION THAT CAN BE PRINTED FOR COMPLETION FROM THE INDIVIDUAL REQUESTING ASSISTANCE.CENTRAL CAROLINA MEDICAL CENTEROUR ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS FOUND ON OUR WEBSITEAT HTTP://WWW.CENTRALCAROLINAHOSP.COM/FOR-PATIENTS-AND-VISITORS/PATIENT-FINANCIAL-INFORMATION. TWIN COUNTY REGIONAL HOSPITAL TWIN COUNTY REGIONAL HEALTHCARE HAS AN ELIGIBILITY WORKER ON SITE, IN PARTNERSHIP WITH PARALLON, FOR PATIENT EDUCATION OF ELIGIBILITY FOR MEDICAID. CASHIERS AND PATIENT FINANCIAL STAFF EMPLOYEES ARE TRAINED TO HELP ESTABLISH PAYMENT PLANS FOR PATIENTS WHO DO NOT QUALIFY FOR ANY KIND OF FINANCIAL ASSISTANCE. TWIN COUNTY ALSO OFFERS A SELF PAY DISCOUNT PROGRAM AS WELL AS A "LAB DIRECT" WHICH DISCOUNTS SOME OF THE MOST POPULAR SERVICES OFFERED. SELF PAY PATIENTS ARE GIVEN A PLAIN LANGUAGE SUMMARY OF OUR FAP AND THE POLICY IS ALSO POSTED WITHIN THE HOSPITAL.PERSON MEMORIAL HOSPITALREGISTRARS PROVIDE UNINSURED PATIENTS WITH A COPY OF THE 501R PLAIN LANGUAGE SUMMARY.SWAIN COMMUNITY HOSPITALTO COMMUNICATE THE HOSPITAL'S FINANCIAL POLICY TO THE PATIENT, THE HOSPITAL'S WEBSITE HAS A "FOR PATIENTS AND VISITORS" MENU WHERE PATIENTS CAN GO TO VIEW INFORMATION ABOUT PAYMENT POLICIES, INSURANCE INFORMATION, AND THE HOSPITAL FINANCIAL ASSISTANCE (501 R CARE ASSISTANCE) PROGRAM. THE WEBSITE PROVIDES THE POLICY, THE APPLICATION WHICH INCLUDES THE CONTACT NUMBER TO THE FINANCIAL ASSISTANCE BENEFITS ADVISOR. THE HOSPITAL'S CHARITY CARE POLICY AND FINANCIAL ASSISTANCE CONTACT INFORMATION IS POSTED IN THE ADMISSIONS AREAS, EMERGENCY AREAS, AND OTHER AREAS OF THE HOSPITAL'S FACILITIES IN WHICH ELIGIBLE PATIENTS MAY BE PRESENT. ALL STAFF WITH PATIENT CONTACT ARE KNOWLEDGEABLE ABOUT THE CHARITY CARE POLICY (ADMITTING AND BILLING CLERKS, NURSING AND MEDICAL STAFFS, SOCIAL WORKERS, CHAPLAINS, PATIENT ADVOCATES, ETC.). INFORMATION ON BILLING STATEMENTS DIRECT PATIENTS THAT NEED FINANCIAL ASSISTANCE TO THE WEBSITE THAT HAS THE FINANCIAL ASSISTANCE INFORMATION, ALONG WITH A PHONE NUMBER TO CALL TO OBTAIN INFORMATION.COMMUNITY INFORMATION:PART VI, LINE 4:REPORTING GROUP A:DLP CONEMAUGH MEMORIAL MEDICAL CENTER, LLC, DLP CONEMAUGH MINERS MEDICAL CENTER, LLC AND DLP CONEMAUGH MEYERSDALE MEDICAL CENTER, LLCDLP CONEMAUGH MEMORIAL MEDICAL CENTER, DLP MINERS MEDICAL CENTER, AND DLP MEYERSDALE MEDICAL CENTER SERVES CAMBRIA AND SOMERSET COUNTIES IN PENNSYLVANIA AS WELL AS SURROUNDING COUNTIES IN THE WESTERN PENNSYLVANIA REGION. THE FOLLOWING DEMOGRAPHIC INFORMATION IS BASED ON INFORMATION CONTAINED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. THE POPULATION IN CAMBRIA AND SOMERSET COUNTIES ARE 133,042 AND 75,274, RESPECTIVELY, AND THE POPULATIONS OF CAMBRIA AND SOMERSET COUNTIES ARE PROJECTED TO DECREASE 0.75% AND 0.61% PER YEAR, RESPECTIVELY, FROM 2021 TO 2026. THE MEDIAN AGE OF CAMBRIA COUNTY (46.3) AND SOMERSET COUNTY (46.7) ARE SLIGHTLY OLDER THAN THE MEDIAN AGE FOR PENNSYLVANIA (41.9) AND THE USA (38.8). CAMBRIA COUNTY'S PERCENTAGE OF THE POPULATION 65 AND OVER WAS 24.3% AND SOMERSET COUNTY'S PERCENTAGE OF THE POPULATION 65 AND OVER WAS 23.6%, BOTH HIGHER THAN THE US POPULATION 65 AND OVER AT 17.2%. THE MEDIAN AVERAGE HOUSEHOLD INCOME FOR CAMBRIA COUNTY ($49,439) AND SOMERSET COUNTY ($48,547) ARE ALSO LOWER THAN THE MEDIAN HOUSEHOLD INCOME FOR PENNSYLVANIA ($62,724) AND THE USA ($64,730). THE RACIAL AND ETHNIC MAKE-UP OF CAMBRIA COUNTY WAS 93% WHITE, 4% BLACK, 2% HISPANIC ORIGIN, 2% MIXED RACE, 1% OTHER, AND 1% ASIAN/PACIFIC ISLANDER. THE RACIAL AND ETHNIC MAKE-UP OF SOMERSET COUNTY WAS 94% WHITE, 3% BLACK, 2% HISPANIC ORIGIN, 1% MIXED RACE, 1% OTHER, AND 1% ASIAN/PACIFIC ISLANDER.DLP MARQUETTE GENERAL HOSPITAL DLP MARQUETTE PRIMARILY SERVES THE COMMUNITIES IN MARQUETTE AND HOUGHTON COUNTIES IN MICHIGAN. THE FOLLOWING DEMOGRAPHIC INFORMATION IS FROM THE 2022 CHNA REPORT. THE POPULATION OF MARQUETTE AND HOUGHTON COUNTIES ARE 67,258 AND 36,700, RESPECTIVELY. THE POPULATION IN EACH OF THESE COUNTIES IS EXPECTED TO DECREASE SLIGHTLY, BETWEEN 0.11% TO 0.28% PER YEAR, FROM 2021 TO 2026 WHILE THE OVERALL MICHIGAN AND U.S. POPULATIONS ARE EXPECTED TO INCREASE 0.21% AND 0.71% PER YEAR, RESPECTIVELY. MARQUETTE COUNTY HAS A HIGHER MEDIAN AGE (41.4 MEDIAN AGE) THAN MICHIGAN (40.9) AND THE U.S. (38.8) AND A LOWER MEDIAN HOUSEHOLD INCOME ($54,593) THAN MICHIGAN ($58,537) AND THE U.S. ($64,730). THE U.S. HOUGHTON COUNTY MEDIAN AGE (34.9 MEDIAN AGE) AND MEDIAN HOUSEHOLD INCOME ($44,684) ARE BOTH LOWER THAN THE MEDIANS FOR MICHIGAN AND THE U.S. HAYWOOD REGIONAL MEDICAL CENTERHAYWOOD PRIMARILY SERVES THE COMMUNITY IN HAYWOOD COUNTY, NORTH CAROLINA. HAYWOOD COUNTY, FOUNDED IN 1808, IS LOCATED IN THE HEART OF THE MOUNTAINOUS WESTERN NORTH CAROLINA (WNC). THE TOTAL AREA OF HAYWOOD COUNTY IS 555 SQUARE MILES, OF WHICH 0.9 SQUARE MILES IS WATER. HAYWOOD COUNTY IS POPULAR AMOUNG TOURISTS, OUTDOOR ENTHUSIASTS, AND RETIREES. THE AVERAGE ELEVATION FOR THE COUNTY IS 3600 FEET AND CONTAINS PORTIONS OF THE GREAT SMOKY MOUNTAINS NATIONAL PARK, NANTAHALA NATIONAL FOREST AND RIVER GORGE, CHEROKEE AND PISGAH NATIONAL FORESTS, BALSAM MOUNTAINS, AND THE BLUE RIDGE PARKWAY. NEARLY 56% OF THE RESIDENTS LIVE IN THE RURAL, MOUNTAINOUS AREAS OF THE COUNTY. IT IS HOME TO 4 TOWNS: WAYNESVILLE, CANTON, MAGGIE VALLEY AND CLYDE. IT IS THE THIRD LARGEST COUNTY IN WNC. THE FOLLOWING DEMOGRAPHIC INFORMATION IS EXTRACTED FROM THE 2021 HAYWOOD COUNTY CHNA. HAYWOOD COUNTY HAD 61,053 RESIDENTS IN 2019. THE MEDIAN AGE OF THE HAYWOOD COUNTY POPULATION IS 47.6 YEARS, "OLDER" THAN THE WNC REGIONAL AVERAGE OF 46.5 AND THE NC AVERAGE OF 39.4. THE RACIAL MARK-UP OF HAYWOOD COUNTY WAS 96% WHITE, 2 % TWO OR MORE RACES, 1% BLACK, 1% AMERICAN INDIAN/ALASKAN NATIVE, AND 4% HISPANIC ORIGIN. 24.3% OF THE POPULATION IS 65 AND OLDER. THE SHARE OF HAYWOOD COUNTY'S POPULATION OVER AGE 65 IS HIGHER THAN REGIONAL AND STATE LEVELS AND IS PROJECTED TO INCREASE.FRYE REGIONAL MEDICAL CENTERFRYE PRIMARILY SERVES THE COMMUNITY IN CATAWBA COUNTY, NORTH CAROLINA. THE FOLLOWING DEMOGRAPHIC INFORMATION WAS SOURCED FROM THE 2022 CHNA. THE 2020 POPULATION IS ESTIMATED AT 161,896 AND 19.3% OF THE POPULATION IS 65 YEARS AND OLDER. THE MAJORITY OF RESIDENTS ARE WHITE (74%) WITH MINORITIES REPRESENTED AS FOLLOWS: BLACK (8%), HISPANIC ORIGIN (11%), ASIAN (5%), MULTIRACIAL 7%, OTHER 6% AND AMERICAN INDIAN (1%). THE POPULATION IS PROJECTED TO INCREASE 0.19% PER YEAR FROM 2022 TO 2027, COMPARED TO NC AT 0.57% AND THE U.S. AT .25%.THE MEDIAN HOUSEHOLD INCOME OF CATAWBA COUNTY IS $55,995, LOWER THAN THE NC MEDIAN OF $62,513 AND THE USA MEDIAN.DLP MARIA PARHAM MEDICAL CENTERMARIA PARHAM MEDICAL CENTER PRIMARILY SERVES THE COUNTIES OF GRANVILLE AND VANCE. MARIA PARHAM MEDICAL CENTER ALSO HAS A SATELLITE IN FRANKLIN COUNTY UNDER THE SAME LICENSE, MARIA PARHAM FRANKLIN, WHICH IS AN EMERGENCY DEPARTMENT AND BEHAVIORAL HEALTH SERVICES. THE DEMOGRAPHIC INFORMATION IS SOURCED FROM THE GRANVILLE VANCE PUBLIC HEALTH 2021 COMMUNITY HEALTH ASSESSMENT. GRANVILLE AND VANCE COUNTIES ARE BOTH PART OF THE PIEDMONT REGIONS OF NORTH CAROLINA THAT BORDERS VIRGINIA. THE POPULATION FOR GRANVILLE COUNTY IS 60,992 AND FOR VANCE COUNTY IS 42,578. GRANVILLE COUNTY HAS AN ALMOST EVEN SPLIT BETWEEN MALE AND FEMALE RESIDENTS, WHEREAS IN VANCE A HIGHER PERCENTAGE OF THE POPULATION IS FEMALE AT 53.3%. VANCE COUNTY HAS A GENERALLY YOUNGER POPULATION THAN GRANVILLE COUNTY WITH 23.4% BEING UNDER 18 YEARS OLD. THE OVER-65 POPULATIONS ARE SIMILAR AT 17.7% IN GRANVILLE COUNTY AND 19.1% IN VANCE COUNTY. GRANVILLE AND VANCE ARE RURAL COUNTIES. THE NC DEPARTMENT OF COMMERCE RANKED GRANVILLE COUNTY AS TIER 2 (RURAL, LESS DISTRESSED) AND VANCE COUNTY AS TIER 1 (MOST RURAL AND MOST DISTRESSED) IN THE 2022 RANKINGS. IN GRANVILLE COUNTY, 55% OF THE POPULATION IDENTIFIES AS NON-HISPANIC WHITE, 30% AS NON-HISPANIC BLACK OR AFRICAN AMERICAN, 10% AS HISPANIC OR LATINO, 3% AS 2 OR MORE RACES, 0.6% NON-HISPANIC ASION, AND 0.3% AMERICAN INDIAN AND ALASKAN NATIVES. IN VANCE COUNTY, 38% OF THE POPULATION IDENTIFIES AS NON-HISPANIC WHITE, 50% AS NON-HISPANIC BLACK OR AFRICAN AMERICAN, 9% AS HISPANIC OR LATINO, 2% AS 2 OR MORE RACES, 0.7% NON-HISPANIC ASIAN, AND 0.2% AMERICAN INDIAN AND ALASKAN NATIVES. WILSON MEDICAL CENTER WILSON PRIMARILY SERVES WILSON COUNTY, NORTH CAROLINA. DEMOGRAPHICS ARE DESCRIBED IN THE 2022-2025 WILSON COUNTY CHNA REPORT PAGES 10-14. IN SUMMARY: WILSON COUNTY MEDIAN AGE IS 40.9 (OLDER THAN NC AND THE US) WITH MEDIAN HOUSEHOLD INCOME OF $45,398 (LOWER THAN NC AND US). THE RATE OF POVERTY IN WILSON COUNTY WAS 21.2% WHICH WAS HIGHER THAN NC (12.9%) AND THE U.S (11.9%). THE RACIAL MAKE-UP OF WILSON COUNTY WAS 47% WHITE, 38% BLACK, 1% AMERICAN INDIAN, 1% ASIAN/PACIFIC ISLANDER, 6% MIXED RACE AND 12% HISPANIC ORIGIN.HARRIS REGIONAL HOSPITAL (HRH)HARRIS REGIONAL HOSPITAL IS LOCATED IN SYLVA, THE COUNTY SEAT OF JACKSON COUNTY. THE FOLLOWING DEMOGRAPHIC INFORMATION IS SOURCED FROM THE 2022 HARRIS COMMUNITY HEALTH NEEDS ASSESSMENT. JACKSON COUNTY IS LOCATED IN THE SOUTHERN APPALACHIAN MOUNTAINS OF WESTERN NORTH CAROLINA AND IS SURROUNDED BY THE BLUE RIDGE PARKWAY AND GREAT SMOKY MOUNTAINS NATIONAL PARK. THE MAJORITY OF THE COUNTY IS CONSIDERED RURAL. IN 2019, 42,938 RESIDENTS LIVED IN JACKSON COUNTY, WHICH IS A SLIGHT DECREASE FROM 2017. THE MAJORITY OF RESIDENTS ARE CAUCASIAN (83.1%) WITH MINORITIES REPRESENTED AS FOLLOWS: AMERICAN INDIAN/ALASKAN NATIVE (8.0%), HISPANIC/LATINO (5.9%), AFRICAN AMERICAN (2.2%), AND ASIAN (0.7%). JACKSON COUNTY HAS A SIGNIFICANTLY LARGER PROPORTION OF AMERICAN INDIANS AND SIGNIFICANTLY LOWER PROPORTION OF AFRICAN AMERICANS AND OTHER MINORITY GROUPS THAN THE WNC REGION AND THE STATE OF NC. THE MEDIAN AGE OF JACKSON COUNTY RESIDENTS IS 37.7 YEARS 9 YEARS YOUNGER THAN THE WNC REGIONAL AVERAGE AND NC AVERAGE. JACKSON COUNTY HAS THE SAME PROPORTION OF YOUNGER PERSONS (19% AGES 5-19 YEARS) AND HIGHER PROPORTION OF OLDER ADULTS (19.3% AGES 65+) WHEN COMPARED TO NC. THE MAJORITY OF RESIDENTS RESIDE IN THE NORTHERN PORTION OF THE COUNTY, PARTICULARLY IN CULLOWHEE AROUND WESTERN CAROLINA UNIVERSITY.RUTHERFORD REGIONAL HEALTH SYSTEMRUTHERFORD PRIMARILY SERVES THE COMMUNITY IN RUTHERFORD COUNTY, NORTH CAROLINA. THE FOLLOWING DEMOGRAPHIC INFORMATION IS SOURCED FROM THE 2021 RUTHERFORD COUNTY COMMUNITY HEALTH ASSESSMENT. RUTHERFORD COUNTY IS A RURAL, TIER 1 COUNTY LOCATED IN THE FOOTHILLS OF THE WESTERN REGION OF THE STATE. RUTHERFORD COUNTY'S LAND AREA COMPRISED OF VALLEYS, MOUNTAINS, AND FLAT LAND IS 564.12 SQUARE MILES AND 2 SQUARE MILES OF WATER. IN 2020 THE TOTAL POPULATION OF RUTHERFORD COUNTY WAS 64,444. ACCORDING TO THE 2021 US CENSUS, THERE IS A SLIGHTLY HIGHER PROPORTION OF FEMALES THAN MALES (51.7% FEMALE, 48.3% MALE) AND 22.2% OF THE POPULATION IS 65 YEARS AND OLDER. THE MAJORITY OF RESIDENTS ARE WHITE (87%) WITH MINORITIES REPRESENTED AS FOLLOWS: BLACK OR AFRICAN AMERICAN (9.9%), HISPANIC OR LATINO (4.8%), ASIAN (0.6%), AMERICAN INDIAN ALASKA NATIVE (0.4%), AND NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER (0.1%).CENTRAL CAROLINA MEDICAL CENTERCENTRAL CAROLINA SERVES LEE COUNTY, NORTH CAROLINA. THE 2022 LEE COUNTY CHNA DESCRIBES THE COMMUNITY AS FOLLOWS: THE POPULATION OF LEE COUNTY WAS 60,597 IN 2021, AND IS PROJECTED TO INCREASE 0.54% PER YEAR FROM 2022-2027. LEE COUNTY HAD A SLIGHTLY HIGHER MEDIAN AGE (39.4 MEDIAN AGE) THAN NC AND THE U.S., WITH 17.7% 65 OR OVER, AND HAD LOWER MEDIAN HOUSEHOLD INCOME ($57,943) THAN BOTH NC AND THE U.S. THE RATE OF POVERTY IN LEE COUNTY WAS 15.4% WHICH WAS HIGHER THAN NC AND THE US. THE RACIAL MAKE-UP OF LEE COUNTY WAS 60% WHITE, 17% BLACK, 21% HISPANIC ORIGIN, 9% MIXED RACE, 1% AMERICAN INDIAN, 1% ASIAN/PACIFIC ISLANDER, AND 12% OTHER RACE. TWIN COUNTY REGIONAL HEALTHCARETWIN COUNTY REGIONAL HEALTHCARE'S PRIMARY SERVICE AREAS ARE THE CITY OF GALAX, AND THE COUNTIES OF CARROLL AND GRAYSON IN VIRGINIA. THESE COUNTIES ARE LOCATED IN SW VIRGINIA. DEMOGRAPHIC INFORMATION IS SOURCED FROM THE 2022 CARROLL, GRAYSON AND GALAX COUNTIES, VA CHNA. GALAX CITY POPULATION IS AROUND 7,000 AND THE SURROUNDING COUNTIES OF GRAYSON AND CARROLL ADD ANOTHER 16,000 AND 31,000, RESPECTIVELY. THE AREA IS RURAL WITH SEVERAL PHYSICIAN OFFICES MEETING THE NEEDS OF RESIDENTS. 24.7% OF RESIDENTS IN THESE 3 COUNTIES ARE AGED OVER 65 YEARS. THE MEDIAN HOUSHOLD INCOME IS $41,040, LOWER THAN VA ($76,448) AND THE U.S. THE RATES OF POVERTY IN CARROLL, GRAYSON, AND GALAX COUNTIES WERE 13.2%, 16.2%, AND 18.8%, RESPECTIVELY, WHICH WERE ALL HIGHER THAN VA (9.2%) AND THE U.S. (11.9%). THE RACIAL AND ETHNIC MAKE-UP OF CARROLL, GRAYSON, AND GALAX COUNTIES WAS 89% WHITE, 6% BLACK, 6% HISPANIC ORIGIN, 2% MULTI-RACIAL, AND 3% OTHER. 17% OF GALAX WAS HISPANIC. PERSON MEMORIAL HOSPITAL PERSON PRIMARILY SERVES THE COMMUNITY OF PERSON COUNTY, NORTH CAROLINA. COMMUNITY INFORMATION DOCUMENTED HERE IS SOURCED FROM PERSON'S 2022 CHNA. PERSON COUNTY IS A LAND LOCKED COUNTY LOCATED IN THE PIEDMONT REGION OF NORTH-CENTRAL NC AND IS PART OF THE DURHAM CHAPEL HILL METROPOLITAN STATISTICAL AREA. PERSON IS HOME TO WORKERS WHO OFTEN COMMUTE TO JOBS IN DURHAM, ORANGE, AND WAKE COUNTIES. THE MEDIAN AGE IN PERSON COUNTY IS 43.6 YEARS, ALMOST 5 YEARS "OLDER" THAN THE POPULATION FOR NC AS A WHOLE. PERSON COUNTY'S POPULATION HAS HIGHER PERCENTAGES OF "OLDER" RESIDENTS AND LOWER PERCENTAGES OF "YOUNGER" RESIDENTS, ESPECIALLY THE 20-39-YEAR-OLD AGE GROUP. IN ADDITION, THE POPULATION OF CITIZENS OVER THE AGE OF 65 IS EXPECTED TO GROW BY 23% OVER THE COMING DECADES. WHILE THE POPULATION AGE 65-74 IS PROJECTED TO DECREASE BY 8%, THE POPULATION AGE 74-84 IS PROJECTED TO INCREASE BY 41% AND THE POPULATION OVER AGE 85 BY 143%. THE OVERALL POVERTY RATE IN PERSON COUNTY IN 2020 WAS 16.3%, HIGHER THAN IN NC (14%).SWAIN COMMUNITY HOSPITALSWAIN COMMUNITY HOSPITAL IS LOCATED IN BRYSON CITY, SWAIN COUNTY WHICH IS IN THE FAR WESTERN REGION OF NC AND IS ADJACENT TO THE FEDERAL GOVERNMENT'S SMOKY MOUNTAIN NATIONAL PARK AND THE EASTERN BAND OF CHEROKEE INDIAN RESERVATION. THE FOLLOWING DEMOGRAPHIC INFORMATION IS SOURCED FROM THE 2021 SWAIN COMMUNITY HEALTH NEEDS ASSESSMENT. SWAIN COUNTY HOUSES APPROXIMATELY 40% OF THE GREAT SMOKY MOUNTAINS NATIONAL PARK, ONE OF THE NATION'S MOST VISITED NATIONAL PARKS. ACCORDING TO THE 2019 CENSUS, SWAIN COUNTY HAS A POPULATION OF JUST OVER 14,260 AND IS THE 89TH LEAST POPULATED OF 100 COUNTIES IN NC. IN SWAIN COUNTY, 28% OF CHILDREN UNDER THE AGE OF 18 AND 34% OF CHILDREN UNDER THE AGE OF 5 ARE LIVING IN POVERTY. THE AVERAGE POPULATION IS LESS THAN 26.5 PEOPLE PER SQUARE MILE MAKING THE POPULATION OFTEN ISOLATED IN TERMS OF SOCIALIZATION ACTIVITIES DUE TO THE NON-EXISTENCE OF PUBLIC TRANSPORTATION RESOURCES AND DIFFICULTIES IN TRAVEL DUE TO THE MOUNTAINOUS NATURE OF THE TERRAIN. THE COUNTY IS PRIMARILY COMPRISED OF CAUCASIANS (64.%) AND NATIVE AMERICANS (30%). PROMOTION OF COMMUNITY HEALTH:PART VI, LINE 5:REPORTING GROUP A:DLP CONEMAUGH MEMORIAL MEDICAL CENTER, DLP CONEMAUGH MINERS MEDICAL CENTER, AND DLP CONEMAUGH MEYERSDALE MEDICAL CENTEREXTENSIVE OUTREACH IS CONDUCTED THROUGHOUT THE COMMUNITY BY THE CONEMAUGH HEALTH SYSTEM VIA HEALTH FAIRS, COMMUNITY FORUMS, SPEAKING ENGAGEMENTS, EDUCATIONAL OPPORTUNITIES, ETC. IN ADDITION, CHS HAS DEVELOPED COLLABORATIVE RELATIONSHIPS WITH MANY COMMUNITY ORGANIZATIONS INCLUDING THE UNITED WAY OF THE LAUREL HIGHLANDS, 1889 FOUNDATION, CAMBRIA COUNTY DRUG COALITION, COMMUNITY FOUNDATION FOR THE ALLEGHENIES, JOHNSTOWN VISION 2025 AND MANY OTHERS. THESE COLLABORATIONS HAVE RESULTED IN SEVERAL COMMUNITY HEALTH INITIATIVES BEING IMPLEMENTED, MANY OUTLINED IN THE CHNA IMPLEMENTATION PLAN SUBMITTED.FRYE REGIONAL MEDICAL CENTERFRYE REGIONAL HAS EMBRACED ITS MISSION OF "KEEPING COMMUNITIES HEALTHIER AND IS COMMITTED TO LOOKING FOR WAYS TO HELP OUR COMMUNITIES BECOME HEALTHIER. WE INVEST BACK IN OUR COMMUNITY, THROUGH VOLUNTEERING AND SPONSORSHIP OF A NUMBER OF ORGANIZATIONS, INCLUDING THE AMERICAN CANCER SOCIETY, COUNCIL ON ADOLESCENTS OF CATAWBA COUNTY, YMCA, WESTERN PIEDMONT COUNCIL OF GOVERNMENTS, SALVATION ARMY, CATAWBA COUNTY HEALTH PARTNERS, CHILDREN'S ADVOCACY CENTER AND SUSAN G. KOMEN.FRYE REGIONAL ALSO PROVIDES ATHLETIC TRAINERS TO FOUR LOCAL SCHOOLS, INCLUDING HICKORY HIGH, FRED T. FOARD, SOUTH CALDWELL AND HICKORY CHRISTIAN. THE TRAINERS ATTEND SPORTING EVENTS AND PRACTICES AND WORK WITH STUDENTS TO ASSESS THEM AFTER AN INJURY. IN 2016, FRYE BEGAN OFFERING IMPACT CONCUSSION BASELINE TESTING TO ALL OF OUR LOCAL SCHOOLS FREE OF CHARGE.OUR HEALTHCARE SYSTEM IS ACTIVELY INVOLVED IN WAYS WE CAN EDUCATE AND ENGAGE OUR COMMUNITY ABOUT ITS HEALTH AND WE LOOK FOR WAYS WE ARE ABLE TO TAKE OUR MESSAGE AND MISSION OUT INTO OUR COMMUNITY.WILSON MEDICAL CENTERWILSON MEDICAL CENTER FREQUENTLY PARTICIPATES IN COMMUNITY HEALTH FAIRS AND SPEAKS TO CIVIC GROUPS, ORGANIZATIONS AND BUSINESSES IN THE COMMUNITY. DLP MARIA PARHAM MEDICAL CENTERAS A HOSPITAL, WE ARE GUIDED BY A FUNDAMENTAL GOAL TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. THE COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH WE CONDUCT EVERY 3 YEARS, ESTABLISHES IN CLEAR TERMS THE UNIQUE NEEDS OF OUR COMMUNITY, ENSURES WE HAVE THE INFORMATION WE NEED TO WORK TOWARDS THOSE GOALS, AND PROVIDES AN OPPORTUNITY TO IMPROVE COORDINATION BETWEEN HOSPITAL COMMUNITY BENEFITS AND OTHER COMMUNITY HEALTH INITIATIVES.HARRIS REGIONAL HOSPITALTHE HOSPITAL IS DEDICATED TO SERVING THE COMMUNITY BY IMPROVING THE QUALITY OF LIFE OF THE COMMUNITY THROUGH BETTER HEALTH. THE HOSPITAL IS COMMITTED TO PROVIDING QUALITY HEALTH CARE SERVICES IN A CARING ENVIRONMENT THAT FULFILLS THE NEEDS OF OUR PATIENTS, PHYSICIANS, EMPLOYERS, EMPLOYEES, AND COMMUNITY. THE HOSPITAL OPERATES AN EMERGENCY ROOM OPEN TO ALL PERSONS, WITHOUT REGARD TO THE ABILITY TO PAY. THE HOSPITAL USES SURPLUS FUNDS TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND, OR IMPROVE ITS FACILITIES, AND ADVANCE ITS MEDICAL TRAINING, EDUCATION AND RESEARCH PROGRAMS. THE HOSPITAL'S BOARD OF DIRECTORS CONSISTS OF INDIVIDUALS REPRESENTING THE COMMUNITY. THE HOSPITAL MAINTAINS AN OPEN MEDICAL STAFF, WITH MEMBERSHIP AND PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS AND HEALTHCARE PROFESSIONALS. IN THESE AND OTHER RESPECTS, THE HOSPITAL IS ORGANIZED AND OPERATED IN A MANNER THAT PROMOTES THE HEALTH OF THE COMMUNITY.RUTHERFORD REGIONAL MEDICAL CENTERRUTHERFORD REGIONAL MEDICAL CENTER LOOKS FOR WAYS TO ADVANCE OUR MISSION OF MAKING THE COMMUNITIES OF RUTHERFORD, POLK AND CLEVELAND COUNTIES HEALTHIER. BY FOCUSING OUR EFFORTS ON CREATING A PLACE WHERE PEOPLE CHOOSE TO COME FOR HEALTHCARE, PHYSICIANS WANT TO PRACTICE AND EMPLOYEES WANT TO WORK, OUR MORE THAN 110-YEAR LEGACY OF CARING FOR OUR COMMUNITIES IS STRONGER THAN EVER. INVITING THE BEST PHYSICIANS INTO OUR COMMUNITIES AND SUPPORTING THEM IS ONE OF THE MOST IMPORTANT DRIVERS OF OUR ABILITY TO OFFER THE BEST POSSIBLE HEALTHCARE TO OUR COMMUNITY. RRHS ADDED NEW PROVIDERS THIS YEAR IN BEHAVIORAL HEALTH, GENERAL SURGERY, PEDIATRICS AND CARDIOLOGY, AS WELL AS A NURSE PRACTITIONER IN FAMILY MEDICINE AND A PHYSICIAN'S ASSISTANT IN PEDIATRICS. WHILE DELIVERING HIGH-QUALITY PATIENT CARE CLOSE TO HOME IS THE SINGLE MOST IMPORTANT CONTRIBUTION WE MAKE, THERE ARE MANY OTHER WAYS WE'RE MAKING A POSITIVE IMPACT IN OUR COMMUNITIES. WE ARE PROUD TO TAKE A LEADERSHIP ROLE IN OUR COMMUNITIES AND ARE COMMITTED TO DELIVERING NEEDED HEALTHCARE TO EVERYONE, REGARDLESS OF THEIR ABILITY TO PAY. WE ARE ALSO COMMITTED TO ENSURING FISCAL RESPONSIBILITY - BOTH AT THE HOSPITAL AND IN THE COMMUNITY. WE ALSO PROVIDED NUMEROUS SPONSORSHIPS AND DONATIONS TO LOCAL ORGANIZATIONS. CENTRAL CAROLINA MEDICAL CENTERCENTRAL CAROLINA HOSPITAL HAS A DIRECTOR OF GROWTH AND COMMUNITY WELLNESS THAT PROMOTES THE HEALTH OF THE COMMUNITY THROUGH HEALTH FAIRS, SCREENINGS AND ETC. TWIN COUNTY REGIONAL HEALTHCARE THE HOSPITAL PROVIDES MANY HEALTH EVENTS AND SCREENINGS THROUGHOUT THE YEAR IN THE COMMUNITY AND ALSO WORKS WITH SEVERAL LOCAL EMPLOYERS TO OFFER HEALTH SCREENINGS FOR EMPLOYEES ON SITE AT THEIR WORK ENVIRONMENTS.PERSON MEMORIAL HOSPITALPMH PROMOTES COMMUNITY HEALTH THROUGH A VARIETY OF VEHICLES AND CHANNELS, INCLUDING SOCIAL MEDIA, WEBPAGE, NEWSPAPER, AND RADIO. IN ADDITION, PMH EDUCATES ON DISEASES, STROKE AND OTHER COMMON DISEASE THROUGH COMMUNITY EVENTS, TRAINING FOR EMERGENCY MEDICAL PROVIDERS (EMS) AND PREVENTION EDUCATION. PMH THROUGH ITS AUXILIARY AND EMPLOYEE CONTRIBUTIONS MANAGES A PATIENT CARE FUND TO HELP WITH PRESCRIPTION COSTS FOR THE UNDERSERVED AND AT-RISK POPULATION. TO FURTHER EXTEND THE ORGANIZATION'S REACH, PMH IS AN ACTIVE MEMBER OF THE NCHA WORKING DILIGENTLY TO IMPROVE NC'S ABILITY TO ENHANCE THE QUALITY OF CARE DELIVERED AS WELL AS THEIR RESPONSE TO ACTS OF BIOTERRORISM, DISEASE OUTBREAKS, EMERGING INFECTIONS, AND OTHER PUBLIC HEALTH EMERGENCIES. PMH MAINTAINS A STRONG RELATIONSHIP WITH THE COUNTY EMERGENCY PERSONNEL, INCLUDING, LAW ENFORCEMENT, 911 TELECOMMUNICATORS, COUNTY HEALTH DEPARTMENT, AND EMERGENCY MEDICAL SERVICES. PMH RUNS DISASTER DRILLS, AND DOOR TO DOOR DRILLS FOR STEMI TRANSFERS. THESE DRILLS KEEP OUR TEAMS SHARP AND ALLOW US TO CONTINUOUSLY LOOK FOR AREAS OF IMPROVEMENT, WHILE SOLIDIFYING OUR RELATIONSHIPS WITH THE EMERGENCY TEAMS.SWAIN COMMUNITY HOSPITALTHE HOSPITAL IS DEDICATED TO SERVING THE COMMUNITY BY IMPROVING THE QUALITY OF LIFE OF THE COMMUNITY THROUGH BETTER HEALTH. THE HOSPITAL IS COMMITTED TO PROVIDING QUALITY HEALTH CARE SERVICES IN A CARING ENVIRONMENT THAT FULFILLS THE NEEDS OF OUR PATIENTS, PHYSICIANS, EMPLOYERS, EMPLOYEES, AND COMMUNITY. THE HOSPITAL OPERATES AN EMERGENCY ROOM OPEN TO ALL PERSONS, WITHOUT REGARD TO THE ABILITY TO PAY. THE HOSPITAL USES SURPLUS FUNDS TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND, OR IMPROVE ITS FACILITIES, AND ADVANCE ITS MEDICAL TRAINING, EDUCATION AND RESEARCH PROGRAMS. THE HOSPITAL'S BOARD OF DIRECTORS CONSISTS OF INDIVIDUALS REPRESENTING THE COMMUNITY. THE HOSPITAL MAINTAINS AN OPEN MEDICAL STAFF, WITH MEMBERSHIP AND PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS AND HEALTHCARE PROFESSIONALS. IN THESE AND OTHER RESPECTS, THE HOSPITAL IS ORGANIZED AND OPERATED IN A MANNER THAT PROMOTES THE HEALTH OF THE COMMUNITY.AFFILIATED HEALTH CARE SYSTEM ROLES:PART VI, LINE 6:DQN DOES NOT DIRECTLY CONTROL OR MANAGE ANY HOSPITALS; HOWEVER, THE ORGANIZATION HAS A 3% OWNERSHIP IN A PARTNERSHIP THAT MANAGES THE HOSPITAL FACILITIES LISTED IN PART V, SECTION A.LIST OF ALL STATES WHICH ORGANIZATION FILES A COMMUNITY BENEFIT REPORT:PART VI, LINE 7NORTH CAROLINA, VIRGINIA 1 0 0 0 0 0 0 0 0 WILLIAM J FULKERSON MD FORMER DIRECTOR/OFFICER 0 952651 0 730131 0 80881 0 37164 0 9235 0 1810062 0 0 JOHN P MORDACH PART YEAR DIRECTOR/TREASURER 0 890430 0 672061 0 20500 0 37164 0 31870 0 1652025 0 0 THOMAS A OWENS MD PART YEAR DIRECTOR/PRESIDENT 0 855279 0 505470 0 80559 0 37164 0 15990 0 1494462 0 0 CRAIG T ALBANESE MD PART YEAR DIRECTOR/PRESIDENT 0 1123435 0 263555 0 20500 0 37164 0 19941 0 1464595 0 0 ROBERT N WILLIS PART YEAR DIRECTOR/TREASURER 0 447603 0 216657 0 20500 0 37164 0 17739 0 739663 0 0 PAUL LINDIA PART YEAR DIRECTOR/VP 0 365272 0 37534 0 0 0 37164 0 20711 0 460681 0 0 CHRISTY M GUDAITIS FORMER OFFICER 0 380346 0 0 0 18000 0 37164 0 18636 0 454146 0 0 DONNA PETER PART YEAR DIRECTOR/VP 0 209773 0 23250 0 18000 0 30616 0 11372 0 293011 0 0 LORNA MAXWELL SECRETARY 0 150616 0 0 0 0 0 18090 0 25808 0 194514 0 0 FORM 990, PART V, LINE 3B THE ORGANIZATION DID NOT HAVE UNRELATED BUSINESS GROSS INCOME OF $1,000 OR MORE DURING THE FISCAL YEAR ENDED JUNE 30, 2023. AS A RESULT, FORM 990-T IS NOT REQUIRED FOR THE FISCAL YEAR ENDED JUNE 30, 2023. FORM 990, PART VI, SECTION A, LINE 2 CRAIG T. ALBANESE, MD, ROBERT N WILLIS, THOMAS OWENS, MD, AND JOHN P. MORDACH SERVED AS OFFICERS OF DUKE UNIVERSITY HEALTH SYSTEM, INC. DURING FISCAL YEAR ENDED JUNE 30, 2023. PAUL LINDIA, DONNA PETER, AND LORNA MAXWELL WERE EMPLOYEES OF DUKE UNIVERSITY HEALTH SYSTEM, INC. DURING FISCAL YEAR ENDED JUNE 30, 2023. CRAIG T. ALBANESE, MD, ROBERT N WILLIS, THOMAS OWENS, MD, AND JOHN P. MORDACH SERVED AS DIRECTORS AND OFFICERS OF HEALTH SYSTEM MEDICAL STRATEGIES, INC. DURING FISCAL YEAR ENDED JUNE 30, 2023. PAUL LINDIA, LORNA MAXWELL, AND DONNA PETER, WERE OFFICERS OF HEALTH SYSTEM MEDICAL STRATEGIES, INC. DURING FISCAL YEAR ENDED JUNE 30, 2023. CRAIG T. ALBANESE, MD, THOMAS OWENS, MD, AND JOHN P. MORDACH SERVED AS DIRECTORS AND OFFICERS OF DURHAM CASUALTY COMPANY, LTD. DURING FISCAL YEAR ENDED JUNE 30, 2023. FORM 990, PART VI, SECTION A, LINE 7A APPOINTMENT TO THE BOARD OF DIRECTORS OF DUKE QUALITY NETWORK, INC. IS CONTROLLED BY DUKE UNIVERSITY HEALTH SYSTEM, INC. FORM 990, PART VI, SECTION A, LINE 7B THE ANNUAL BUDGET FOR DUKE QUALITY NETWORK, INC. IS APPROVED BY DUKE UNIVERSITY HEALTH SYSTEM, INC. MANAGEMENT AND BOARD. FORM 990, PART VI, SECTION B, LINE 11B AFTER STAFF PREPARATION AND MANAGEMENT REVIEW, DUKE QUALITY NETWORK, INC. FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW AND COMMENT. BOARD LEVEL COMMENT AND DISCUSSION ARE INCORPORATED INTO THE FORM AS APPROPRIATE PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C DUKE QUALITY NETWORK, INC. MONITORS AND ENFORCES COMPLIANCE RELATED TO CONFLICT OF INTEREST VIA DUKE QUALITY NETWORK, INC.'S FORM 990 CONFLICT OF INTEREST QUESTIONNAIRE. THIS QUESTIONNAIRE IS COMPLETED ANNUALLY. FORM 990, PART VI, SECTION B, LINE 16B: DUKE QUALITY NETWORK, INC. FOLLOWS A WRITTEN POLICY THAT REQUIRES DUKE QUALITY NETWORK, INC. TO EVALUATE ITS PARTICIPATION IN JOINT VENTURE ARRANGEMENTS AND NEGOTIATE TERMS AND SAFEGUARDS TO PROTECT THE ORGANIZATION'S ASSETS AND EXEMPT STATUS. DUKE QUALITY NETWORK, INC. PUTS TERMS AND SAFEGUARDS IN AGREEMENTS WITH THIRD PARTIES TO PROTECT THE ASSETS AND EXEMPT STATUS OF THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 18 IN ADDITION TO PROVIDING THE ORGANIZATION'S FORM 990 UPON REQUEST, THE ORGANIZATION'S FORM 990 IS AVAILABLE TO THE PUBLIC ON SEVERAL THIRD PARTY WEBSITES. WHILE THE ORGANIZATION DOES NOT PROVIDE THE FORM 990 DIRECTLY TO THESE THIRD PARTIES, THE FORM 990 IS OBTAINED FROM THE INTERNAL REVENUE SERVICE. THE THIRD PARTIES SUBSEQUENTLY AND INDEPENDENTLY PROVIDE ACCESS TO THE FORM 990 ON THEIR PLATFORM. FORM 990, PART VI, SECTION C, LINE 19 DUKE QUALITY NETWORK, INC. GOVERNING DOCUMENTS (ARTICLES OF INCORPORATION AND ANY SUBSEQUENT AMENDMENTS OR RESTATEMENTS) ARE AVAILABLE TO THE PUBLIC ON THE NORTH CAROLINA SECRETARY OF STATE WEBSITE. DUKE QUALITY NETWORK, INC. IS INCLUDED IN CONSOLIDATED, INDEPENDENTLY AUDITED FINANCIAL STATEMENTS OF DUHS WHICH ARE AVAILABLE TO THE PUBLIC AT: HTTPS://CORPORATE.DUKEHEALTH.ORG/FINANCIAL-INFORMATION AMER ASSOC FOR GIFTED CHILDREN - 56-1686219 2200 W MAIN STREET STE 300 DURHAM NC 27705 SUPPORT NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY 0 ASSOCIATED HEALTH SVCS INC 2200 W MAIN STREET STE 300 DURHAM NC 27705 561845329 HEALTHCARE NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY HEALTH SYSTEM INC 0 DU SPECIAL VENTURES FUND INC 280 S MANGUM STREET STE 210 DURHAM NC 27701 561465177 INVESTMENTS NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY 0 DUKE ALUMNI ASSOCIATION INC 2200 W MAIN STREET STE 300 DURHAM NC 27705 561594088 SUPPORT NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY 0 DUKE CORPORATE EDUCATION 310 BLACKWELL ST DURHAM NC 27701 421672476 EDUCATION NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY 0 DUKE GIFT PROPERTIES INC 2200 W MAIN STREET STE 300 DURHAM NC 27705 571211078 SUPPORT NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY 0 DUKE GLOBAL INC 2200 W MAIN STREET STE 300 DURHAM NC 27705 611588319 SUPPORT NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY 0 DUKE INTEGRATED NETWORK INC 2200 W MAIN STREET STE 300 DURHAM NC 27705 463129771 SUPPORT NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY HEALTH SYSTEM INC 0 DUKE MEDICINE GLOBAL SUPP CORP- 61-1593721 2200 W MAIN STREET STE 300 DURHAM NC 27705 SUPPORT NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY 0 DUKE UNIV AFFILIATED PHYSICIANS 2200 W MAIN STREET STE 300 DURHAM NC 27705 561902501 SUPPORT NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY HEALTH SYSTEM INC 0 DUKE SCHOLARLY EXHIBITS INC 2200 W MAIN STREET STE 300 DURHAM NC 27705 561701245 SUPPORT NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY 0 DUKE UNIV HEALTH SYSTEM INC 2200 W MAIN STREET STE 300 DURHAM NC 27705 562070036 HEALTHCARE NC 501(C)(3) LINE 3 DUKE UNIVERSITY 0 DUKE UNIV PHILANTHROPIES INC 2200 W MAIN STREET STE 300 DURHAM NC 27705 571211099 SUPPORT NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY 0 DUKE UNIV SCH OF MED RESEARCH FDN 56-2247203 2200 W MAIN STREET STE 300 DURHAM NC 27705 SUPPORT NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY 0 DUKE UNIVERSITY 2200 W MAIN STREET STE 300 DURHAM NC 27705 560532129 EDUCATION NC 501(C)(3) LINE 2 N/A 0 DUMAC INC 280 S MANGUM STREET STE 210 DURHAM NC 27701 900754895 SUPPORT NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY 0 DURHAM ASSET MGMT COMPANY INC 2200 W MAIN STREET STE 300 DURHAM NC 27705 561757238 SUPPORT NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY 0 DURHAM REALTY INC 2200 W MAIN STREET STE 300 DURHAM NC 27705 561917936 SUPPORT NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY 0 GOTHIC CORPORATION 280 S MANGUM STREET STE 210 DURHAM NC 27701 561776668 INVESTMENTS NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY 0 GOTHIC HSP CORPORATION 280 S MANGUM STREET STE 210 DURHAM NC 27701 271325761 INVESTMENTS NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY HEALTH SYSTEM INC 0 HIGH POINT REALTY ASSOC INC 2200 W MAIN STREET STE 300 DURHAM NC 27705 561917939 SUPPORT NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY 0 INNOVATIONS IN HEALTHCARE INC 2200 W MAIN STREET STE 300 DURHAM NC 27705 320358709 SUPPORT NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY 0 RUTH K BROAD BIOMED RES FDN 2200 W MAIN STREET STE 300 DURHAM NC 27705 650045051 SUPPORT NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY 0 THE CTR FOR DOCUMENTARY STUDIES 1317 PETTIGREW STREET DURHAM NC 27705 561655039 SUPPORT NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY 0 THE LORD FDN OF NORTH CAROLINA 2200 W MAIN STREET STE 300 DURHAM NC 27705 561415423 SUPPORT NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY 0 DUKE JANJUN SERVICES INC 2200 W MAIN STREET STE 300 DURHAM NC 27705 471150667 SUPPORT NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY 0 DUKE JULDEC SERVICES INC 2200 W MAIN STREET STE 300 DURHAM NC 27705 471143245 SUPPORT NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY 0 DUKE ALLMO SERVICES INC 2200 W MAIN STREET STE 300 DURHAM NC 27705 471133466 SUPPORT NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY 0 DUKE AFFILIATIONS NETWORK INC 2200 W MAIN STREET STE 300 DURHAM NC 27705 812623775 SUPPORT NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY HEALTH SYSTEM INC 0 DUKE UNIV FED CRED UNION 2200 WEST MAIN STREET DURHAM NC 27705 561632379 BANKING NC 501(C)(1) N/A 0 WATTS COLLEGE OF NURSING INC 2200 W MAIN STREET STE 300 DURHAM NC 27705 833076664 SUPPORT NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY HEALTH SYSTEM INC 0 DUKE HEALTH INTEGRATED PRACTICE INC 2200 W MAIN STREET STE 300 DURHAM NC 27705 862109896 HEALTHCARE NC 501(C)(3) LINE 3 DUKE UNIVERSITY 0 DONALD R WATSON FOUNDATION INC 601 SOUTH COLLEGE ROAD WILMINGTON NC 28403 561861816 SUPPORT NC 501(C)(3) 12 TYPE 1 N/A 0 FAMILY HEALTH MINISTRIES INC PO BOX 16783 CHAPEL HILL NC 27516 562206165 HEALTH CLINICS NC 501(C)(3) LINE 10 DUKE UNIVERSITY 0 LENOX BAKER CHILDREN'S HOSPITAL FOUNDATION INC 1513 TYONEK DRIVE DURHAM NC 27703 561550944 FINANCIAL SUPPORT NC 501(C)(3) LINE 4 DUKE UNIVERSITY HEALTH SYSTEM INC 0 BLACKWELL PARTNERS LLC - 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