2025-05-14T14:30:18-05:00 2024-06-30 990 2023-07-01 461340679 DUKE QUALITY NETWORK INC DUKE 9196688910 2200 W MAIN STREET STE 300 DURHAM NC 27705 ROBERT N WILLIS TREASURER 9196688910 2025-03-18 1 2023 2025-03-06 01:10:19Z 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 ENTITIES WERE 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 THOMAS A OWENS MD DIRECTOR/PRESIDENT 0.10 62.50 X X 0 1586319 93163 DONNA PETER DIRECTOR/VP 0.10 45.20 X X 0 323081 51367 ROBERT N WILLIS PART YEAR DIRECTOR/TREASURER 0.10 50.60 X X 0 735941 57725 LISA M GOODLETT PART YEAR DIRECTOR 0.10 40.40 X 0 0 0 LORNA MAXWELL PART YEAR SECRETARY 0.10 40.10 X 0 168676 48065 MARY PAT DUNCAN PART YEAR SECRETARY 0.10 40.20 X 0 159606 39249 JOHN P MORDACH FORMER DIRECTOR/OFFICER 0.10 40.50 X 0 523330 45537 PAUL LINDIA FORMER DIRECTOR 0.00 40.00 X 0 425300 50157 WILLIAM J FULKERSON MD FORMER DIRECTOR/OFFICER 0.00 56.00 X 0 1165071 47253 CRAIG T ALBANESE MD FORMER DIRECTOR/OFFICER 0.10 42.20 X 0 1979770 56373 CHRISTY M GUDAITIS FORMER OFFICER 0.10 40.00 X 0 457673 57496 0 7524767 546385 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 7662 7662 0 PART II-B, LINE 1, LOBBYING ACTIVITIES: DUKE QUALITY NETWORK, INC. HAS 3% OWNERSHIP IN PARTNERSHIPS THAT REPORTED LOBBYING EXPENSE. THE ABOVE REPRESENTS THE PRORATA PORTION PASSED THROUGH TO DUKE QUALITY NETWORK INC. 1 1 X 1 X 1 X 1 0 1 1 96829 96829 8100782 9967176 0 11492 7053 4439 8209103 9974229 101268 0.00000 15883 122 15761 651114 377850 273264 3701096 2741680 959416 8043 911 7132 2372 2372 4378508 3120563 1257945 0.00000 12587611 13094792 1359213 0.00000 1062 1062 2204 2204 324 324 3590 3590 0.00000 1 0 0 8415808 8265841 149967 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.UPHEALTHSYSTEM.COM 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 MEDICAL CENTER 262 LEROY GEORGE DR CLYDE NC 28721 WWW.MYHAYWOODREGIONAL.COM H0025 X X X 3% OWNERSHIP IN JOINT VENTURE 6 DLP MARIA PARHAM MEDICAL CENTER LLC 566 RUIN CREEK ROAD HENDERSON NC 27536 WWW.MARIAPARHAM.COM H0267 X X X 3% OWNERSHIP IN JOINT VENTURE 7 HARRIS REGIONAL HOSPITAL 68 HOSPITAL ROAD SYLVA NC 28779 WWW.MYHARRISREGIONAL.COM H0087 X X X 3% OWNERSHIP IN JOINT VENTURE 8 RUTHERFORD REGIONAL MEDICAL CENTER 288 S RIDGECREST STREET RUTHERFORDTON NC 28139 WWW.MYRUTHERFORDREGIONAL.COM H0039 X X X 3% OWNERSHIP IN JOINT VENTURE 9 CENTRAL CAROLINA MEDICAL CENTER 1135 CARTHAGE STREET SANFORD NC 27330 WWW.CENTRALCAROLINAHOSP.COM H0243 X X X 3% OWNERSHIP IN JOINT VENTURE 10 TWIN COUNTY REGIONAL HEALTHCARE 200 HOSPITAL DRIVE GALAX VA 24333 WWW.TCRH.ORG H1909 X X X 3% OWNERSHIP IN JOINT VENTURE 11 PERSON MEMORIAL HOSPITAL 615 RIDGE ROAD ROXBORO NC 27573 WWW.PERSONHOSPITAL.COM H0066 X X X 3% OWNERSHIP IN JOINT VENTURE 12 DLP CONEMAUGH MINERS MED CEN LLC 290 HAIDA AVENUE HASTINGS PA 16646 WWW.CONEMAUGH.ORG 10850100 X X X 3% OWNERSHIP IN JOINT VENTURE A 13 DLP CONEMAUGH MEYERSDALE MED CEN LLC 200 HOSPITAL DRIVE MEYERSDALE PA 15552 WWW.CONEMAUGH.ORG 391101 X X X X 3% OWNERSHIP IN JOINT VENTURE A 14 SWAIN COMMUNITY HOSPITAL 45 PLATEAU STREET BRYSON CITY NC 28713 WWW.MYSWAINCOMMUNITY.COM H0069 X X X X 3% OWNERSHIP IN JOINT VENTURE REPORTING GROUP A 0 0 1 X X X X X X X X X 22 1 1 1 1 X HTTPS://WWW.CONEMAUGH.ORG/COMMUNITY-NEEDS-ASSESSMENT X 1 22 1 HTTPS://WWW.CONEMAUGH.ORG/COMMUNITY-NEEDS-ASSESSMENT 0 1 X 200.000000000000 300.000000000000 X 1 1 X X X 1 X WWW.CONEMAUGH.ORG X WWW.CONEMAUGH.ORG X WWW.CONEMAUGH.ORG X X X X X X X 1 X 0 X X X 1 X 0 0 DLP MARQUETTE GENERAL HOSPITAL DLP 2 0 0 1 X X X X X X X X X 22 1 1 0 1 X WWW.UPHEALTHSYSTEM.COM X 1 22 1 WWW.UPHEALTHSYSTEM.COM 0 1 X 200.000000000000 300.000000000000 X 1 1 X X X 1 X WWW.UPHEALTHSYSTEM.COM X WWW.UPHEALTHSYSTEM.COM X WWW.UPHEALTHSYSTEM.COM X X X X X X 1 X 0 X X X X 1 X 0 0 HAYWOOD REGIONAL MEDICAL CENTER 5 0 0 1 X X X X X X X X 22 1 0 1 1 X WWW.MYHAYWOODREGIONAL.COM 1 23 1 WWW.MYHAYWOODREGIONAL.COM 0 1 X 200.000000000000 300.000000000000 X 1 1 X X X 1 X WWW.MYHAYWOODREGIONAL.COM X WWW.MYHAYWOODREGIONAL.COM X WWW.MYHAYWOODREGIONAL.COM X X X X X X 1 X 0 X X X 1 X 0 0 FRYE REGIONAL MEDICAL CENTER 3 0 0 1 X X X X X X X X 22 1 0 0 1 X HTTP://WWW.FRYEMEDCTR.COM X 1 22 1 HTTP://WWW.FRYEMEDCTR.COM 0 1 X 200.000000000000 300.000000000000 X X 1 1 X X X 1 X HTTP://WWW.FRYEMEDCTR.COM X HTTP://WWW.FRYEMEDCTR.COM X HTTP://WWW.FRYEMEDCTR.COM X X X X X 1 X 0 X X 1 X 0 0 DLP MARIA PARHAM MEDICAL CENTER LLC 6 0 0 1 X X X X X X X X X 22 1 0 1 1 X HTTP://WWW.MARIAPARHAM.COM X 1 22 1 HTTP://WWW.MARIAPARHAM.COM 0 1 X 200.000000000000 300.000000000000 X 1 1 X X X 1 X HTTP://WWW.MARIAPARHAM.COM X HTTP://WWW.MARIAPARHAM.COM X HTTP://WWW.MARIAPARHAM.COM X X X X X X 1 X 0 X X X 1 X 0 0 WILSON MEDICAL CENTER 4 0 0 1 X X X X X X X X X 22 1 0 1 1 X HTTP://WWW.WILSONMEDICAL.COM/ X WWW.HEALTHCAREFOUNDATIONOFWILSON.ORG X 1 22 1 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:MENTAL HEALTH/SUBSTANCE USE DISORDER (BEHAVIORAL HEALTH):UPPER PENINSULA HEALTH SYSTEM (UPHS) TRANSFERRED OWNERSHIP OF A MEDICAL CLINIC TO GREAT LAKES RECOVERY (GLR) TO PROVIDE A FULL-SERVICE BEHAVIORAL HEALTH CAMPUS AND CONTINUES TO COLLABORATE WITH GLR. NEW EMPLOYED PROVIDER BEGAN IN MAY 2022 TO PROVIDE CHILD AND ADOLESCENT PSYCHIATRY SERVICES VIA TELEMEDICINE TO SERVE FAMILIES IN THE UPPER PENINSULA (UP). PEDIATRIC AND FAMILY MEDICINE PROVIDERS CONTINUE TO ASK MENTAL HEALTH SCREENING QUESTIONS DURING ANNUAL WELLNESS VISITS. CONSOLIDATED UPHS PHYSICIAN PRACTICE ELECTRONIC MEDICAL RECORD (EMR) ATHENA SYSTEMS TO BRIDGE THE GAP BETWEEN BEHAVIORAL HEALTH AND PRIMARY CARE PROVIDERS AND IMPROVE COMMUNICATION RELATED TO PATIENT CARE. THE HOSPITAL IS USING ESTABLISHED UPHS COMMUNICATION PLATFORMS (SOCIAL MEDIA, TV, WEBSITE, RADIO, AND DIGITAL) TO AMPLIFY MESSAGES.HEALTH EATING/ACTIVE LIVING (HEALTHY BEHAVIORS)MARQUETTE IS PROMOTING HEALTHY BEHAVIORS FOR OUR COMMUNITIES IN THE FOLLOWING WAYS:STAFF PROVIDE OBESITY AND HEALTHY LIVING EDUCATION AT COMMUNITY HEALTH FAIRS/EDUCATIONAL VENDOR BOOTHS, AND MARQUETTE CONTINUES TO CONTRACT AND COLLABORATE WITH UPCAP FOR THE "FOOD AS MEDICINE PROGRAM". THE BARIATRIC DIETITION SERVICES OFFERED THROUGH THE UP BARIATRIC INSTITUTE INCLUDES HEALTHY FOOD AND COOKING DEMONSTRATIONS, BARIATRIC MENU DEMONSTRATIONS, AND LIVE AND VIRTUAL QUESTION AND ANSWER SESSIONS FOR BARIATRIC PATIENTS. THE "WALK WITH A DOC" EVENT HOSTED BY UPHS PROVIDERS AND RESIDENTS AND OFFERS A HEALTHY LIFESTYLE CONVERSATION FOLLOWED BY A 1-2 MILE PROVIDER-LED WALK. UPHS OFFERS REGULAR COMMUNITY HEALTH FAIRS AND EDUCATION EVENTS ON TOPICS SUCH AS HEART HEALTH AND HEART ATTACK PREVENTION, HANDS-ONLY CPR AND BLOOD PRESSURE CHECK STATIONS, NUTRITION AND DIABETES AWARENESS EDUCATION, TRAUMA AND HEAD INJURY PREVENTION, BIKE HELMET SAFETY, AND CONCUSSION TESTING FOR STUDENT ATHLETES AT LOCAL HIGH SCHOOLS ACROSS THE UP. UPHS ALSO ESTABLISHED A NEW HEALTH AGING PROGRAM OFFERING (1) DETAILED HEALTH HISTORY AND RISK ASSESSMENTS (2) MEMORY, STRENGTH AND MOBILITY TESTING (3) A FOCUS ON PREVENTION AND EARLY INTERVENTION (4) HEALTHY BEHAVIOR AND LIFESTYLE EDUCATION AND/OR REFERRALS (5) EXTRA LAYER OF HEALTH AND WELLNESS SUPPORT. UPHS ESTABLISHED A NEW BONE HEALTH CLINIC OFFERING SCREENING AND DIAGNOSIS OF OSTEOPOROSIS, COORDINATION OF BONE DENSITY SCANS AND FALL RISK ASSESSMENTS, COUNSELING ON CALCIUM AND VITAMIN D INTAKE, AND INTERVENTION TO PREVENT FALLS AND FRACTURES.HAYWOOD 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 MENTAL HEALTH AND SUBSTANCE USE HEALTH THE HOSPITAL EXPANDED ITS BEHAVIORAL HEALTH UNIT BY ADDING ADDITIONAL BED CAPACITY, ENSURING THAT MORE PATIENTS HAVE ACCESS TO NECESSARY CARE. THE HOSPITAL ALSO HELD WEEKLY MOTHER'S CONNECTION GROUPS, FOSTERING SUPPORT AMONG NEW MOTHERS, WHICH CAN PLAY A VITAL ROLE IN MENTAL HEALTH AND REDUCING POSTPARTUM DEPRESSION OCCURRENCES. OBESITY IN 2023, THE HOSPITAL PROMOTED A "HEALTHY NEW YEAR" CAMPAIGN TO ENCOURAGE HEALTH LIFESTYLE CHOICES, WHICH IS CRUCIAL FOR COMBATING OBESITY. ADDITIONALLY, A DIABETES EDUCATOR WAS ON STAFF IN 2023 PROVIDING OUTPATIENT NUTRITION COUNSELING, DIRECTLY ADDRESSING DIETARY CONCERNS AND SUPPORTING INDIVIDUALS IN MANAGING THEIR HEALTH. THE HOSPITAL ALSO PARTICIPATED IN LOCAL 5KS AND OTHER COMMUNITY EVENTS WHERE THE HOSPITAL HOSTED TABLES TO PROVIDE EDUCATIONAL INFORMATION ABOUT THE RESOURCES AVAILABLE FOR HEALTH LIFESTYLES. THE HOSPITAL'S INVOLVEMENT IN EARLY CANCER DETECTION CAMPAIGNS AND SCREENINGS PROMOTES OVERALL HEALTH AND PREVENTIVE CARE, INDIRECTLY ADDRESSING COMMUNITY HEALTH NEEDS. 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.-COMPLETED WORK ON A HELIPAD TO ALLOW QUICKER ACCESS TO THOSE WHO NEED THE SERVICES FRYE CAN OFFER AS WELL AS ALLOW FOR TRANSPORTATION FOR THOSE WHO NEED A HIGHER LEVEL OF CARE THAN FRYE CAN CURRENTLY PROVIDE.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 PROVIDES 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. 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. 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 PLANS TO ADD OUTPATIENT WOMEN'S CARE 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 CENTERPART 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.AFTER AN INFLUX OF BEHAVIORAL HEALTH PATIENTS DURING AN OCTOBER 2023 WEEKEND CAUSED THE HOSPITAL TO OPEN AN INCIDENT COMMAND CENTER, THE HOSPITAL BEGAN LOOKING INTO HOW BEHAVIORAL HEALTH PATIENTS ARE TREATED OUTSIDE OF THE FACILITY. THIS RESULTED IN THE CEO OF WILSON PLAYING A KEY PART IN THE START AND ULTIMATE ADOPTION OF A NEW CITY ORDINANCE BY THE WILSON CITY COUNCIL THAT WILL MAKE IT MORE DIFFICULT FOR OWNERS OF A MULTI-UNIT ASSISTED HOUSING WITH SERVICES TO OPERATE IN POOR FAITH.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 HEALTHIN 2023, HARRIS HOSPITAL MADE THE FOLLOWING STRIDES IN ADDRESSING THE SIGNIFICANT HEALTH NEEDS. HARRIS ORGANIZED OVER 10 COMMUNITY SERVICE EVENTS, INCLUDING DELIVERING MEALS TO HOMEBOUND INDIVIDUALS, BUILDING RAMPS FOR THE ELDERLY, AND PARTICIPATING IN COMMUNITY AWARENESS WALKS, AIMING TO ENHANCE OUR COMMUNITY'S OVERALL HEALTH AND WELL-BEING. ADDITIONALLY, HARRIS HOSTED A "VISIT SANTA" EVENT FOR FAMILIES TO LEARN ABOUT AVAILABLE HEALTH SERVICES AND HELD AN EDUCATIONAL DINNER TO INFORM COMMUNITY MEMBERS ABOUT OUR PAIN SERVICES AND AVAILABILITY. HARRIS IMPLEMENTED A NURSE AIDE TRAINING PROGRAM THAT OFFERS NON-CLINICAL INDIVIDUALS THE OPPORTUNITY TO ACHIEVE CERTIFICATION WHILE WORKING, SPECIFICALLY AIMED AT SUPPORTING LOWER-INCOME FAMILIES. PROGRESS IN 2023 INCLUDED SAME-DAY SICK VISITS FOR PEDIATRIC PATIENTS, A MENTAL HEALTH AWARENESS CAMPAIGN, PARTICIPATION IN HEALTH FAIRS, BLOOD DRIVES, FREE SPORTS PHYSICALS EVENT FOR STUDENT ATHLETES AND FREE PHYSICAL THERAPY SCREENINGS FOR ELIGIBLE INDIVIDUALS. THE HOSPITAL'S OPEN HOUSE AT SENIOR LIFE SOLUTIONS SHOWCASED OUR PARTNERSHIP WITH SWAIN COMMUNITY HOSPITAL TO PROMOTE OUTPATIENT MENTAL HEALTH SERVICES. WHILE HARRIS IS ACTIVELY ADDRESSING SEVERAL KEY HEALTH NEEDS, SOME AREAS, SUCH AS CERTAIN CHRONIC DISEASE MANAGEMENT PROGRAMS, MAY NOT BE FULLY ADDRESSED DUE TO RESOURCE CONSTRAINTS OR THE NEED FOR FURTHER COMMUNITY ENGAGEMENT.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. THE HOSPITAL PLANS TO ADDRESS THIS NEED THROUGH PARTNERSHIP WITH CURTIS BARTLETT FITNESS (CBF) CENTER & TWIN'S CARDIAC REHAB (I.E. BIGGEST WINNER CHALLENGE), EMPLOYEE INCENTIVES (VITALITY), SPONSORSHIP OF AUTUMN DAYS 5K WITH GALAX RECREATION CENTER, AND SOCIAL MEDIA "HEALTHY TIPS", AND PROMOTION OF ANNUAL WELLNESS SCREENINGS.TWIN COUNTY REGIONAL HEALTHCAREPART V, SECTION B, LINE 8:TWIN CONDUCTED A HOSPITAL-SPECIFIC COMMUNITY HEALTH NEEDS ASSESSMENT IN 2022 AND CONSIDERED PAGES 41-43 OF THE CHNA AS THE IMPLEMENTATION PLAN. SUBSEQUENTLY, TWIN'S BOARD OF DIRECTORS APPROVED A SEPARATELY DOCUMENTED IMPLEMENTATION PLAN AND POSTED IT ON THE HOSPITAL WEBSITE.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: CONTINUE PARTNERSHIP WITH THE LIFE CENTER OF GALAX, SPEROHEALTH, AND INCREASE NARCAN PRESCRIPTIONS WHEN PRESCRIBING OPIOIDS.2. MENTAL HEALTH: THE HOSPITAL PLANS TO EXPAND ITS BEHAVIORAL HEALTH UNIT (BHU) TO ACCOMMODATE 3+ PATIENTS IN ADDITION TO ITS CURRENT RATIO, RECRUIT A NURSE PRACTITIONER FOR THE BHU AND UTILIZE TELEPSYCHIATRY FOR ADDITIONAL CAPACITY, EXPLORE SPECIALTY SERVICES (GERIATRICS, PEDIATRICS, OUTPATIENT SERVICES, ETC.), AND EXPLORE OPPORTUNITY TO ADD A PEDIATRIC COUNSELOR TO TWIN COUNTY PEDIATRICS CLINIC. THE HOSPITAL WILL COLLABORATE WITH OTHER FACILITIES OR ORGANIZATIONS SUCH AS MOUNT ROGERS MENTAL HEALTH (CRISIS CENTER, YOUTH SERVICES) AND CORNERSTONE COMMUNITY CHURCH (I.E. ELISHA'S HOUSE) AS WELL TO ADDRESS THE MENTAL HEALTH NEED.3. HEALTHY EATING/ACTIVE LIVING/FOOD INSECURITY: THE HOSPITAL PLANS TO ADDRESS THIS NEED BY THROUGH PARTNERSHIP WITH CURTIS BARTLETT FITNESS (CBF) CENTER & TWIN'S CARDIAC REHAB (I.E. BIGGEST WINNER CHALLENGE), EMPLOYEE INCENTIVES (VITALITY), SPONSORSHIP OF AUTUMN DAYS 5K WITH GALAX RECREATION CENTER, AND SOCIAL MEDIA "HEALTHY TIPS", AND PROMOTION OF ANNUAL WELLNESS SCREENINGS. 4. SOCIOECONOMICS: THE HOSPITAL PLANS TO ADDRESS THIS NEED THROUGH FINANCIAL COUNSELING, ITS CHARITY CARE POLICY, FACILITY FUNDRAISERS, FREE CHILDBIRTH AND PARENTING CLASSES, FREE STROKE AND BRAIN INJURY CLASSES, PROMOTING THE MARKETPLACE HEALTH INSURANCE ENROLLMENT FOR UNINSURED, GATEWAY (COMMUNITY HEALTH WORKERS), SCHOLARSHIPS AND TUITION REIMBURSEMENT FOR HIRED PERSONNEL. 5. EDUCATION/COMMUNICATION: THE HOSPITAL PLANS TO ADDRESS THIS NEED THROUGH COMMUNITY HEALTH FAIRS, SOCIAL MEDIA ARTICLES BYLINED BY MEDICAL PROFESSIONALS, RADIO/PUBLIC SERVICE ANNOUNCEMENTS, HEART HEALTH EDUCATION (HANDS-ONLY CPR), CHILDBIRTH AND PARENTING CLASSES, COMMUNITY HEALTH EXPO, STROKE AND BRAIN INJURY SUPPORT GROUP, AND LACTATION CONSULTING. 6. ACCESS TO CARE: THE HOSPITAL PLANS TO ADDRESS THIS NEED THROUGH EXPANDING SERVICE LINES INCLUDING (GI, BHU, GENERAL SURGERY, PEDIATRICS, ORTHOPEDICS, FAMILY PRACTICE, & URGENT CARE), RELOCATING KEY SERVICE LINES FOR IMPROVED ACCESS, EXPANDING PARTNERSHIPS/COLLABORATIONS, ADDING DESIGNATED WALK-IN HOURS FOR PRIMARY CARE AND PEDIATRICS, EXPAND HOURS FOR PREVENTATIVE HEALTH SCREENINGS, PROMOTING MEDICARE WELLNESS VISITS, AND RECRUITING 1 PRIMARY CARE PHYSICIAN & 1 ORTHOPEDIC PHYSICIAN. THE HOSPITAL IS NOW A REGULAR BUS STOP FOR THE COMMUNITY TRANSIT BUSES AND THE LYNX TRANSPORTATION SERVICE NOW STOPS AT THE HOSPITAL EVERY HOUR. 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. 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 SUBSTANCEKEY EFFORTS TO ADDRESS THE IDENTIFIED HEALTH NEEDS INCLUDE THE FOLLOWING INITIATIVES. SWAIN HOSTED COMMUNITY EDUCATION EVENTS FOCUSED ON MENTAL HEALTH AWARENESS, WHICH AIM TO REDUCE STIGMA AND EDUCATE THE PUBLIC ABOUT AVAILABLE RESOURCES. AN OPEN HOUSE AT SENIOR LIFE SOLUTIONS, THE HOSPITAL'S OUTPATIENT COUNSELING AND MENTAL HEALTH DEPARTMENT, PROVIDED THE COMMUNITY AN OPPORTUNITY TO LEARN MORE ABOUT MENTAL HEALTH SERVICES AND MEET THE PROVIDERS. TO FURTHER PROMOTE MENTAL HEALTH AWARENESS, THE HOSPITAL ORGANIZED A "WALK FOR MENTAL HEALTH," WHICH ENGAGED COMMUNITY MEMBERS IN A SUPPORTIVE ENVIRONMENT WHILE RAISING AWARENESS ABOUT MENTAL HEALTH ISSUES. ADDITIONALLY, THE HOSPITAL DEVELOPED AND LAUNCHED A "HEALTHY NEW YEAR" CAMPAIGN, ENCOURAGING COMMUNITY MEMBERS TO PRIORITIZE THEIR HEALTH AND WELLNESS AS THE YEAR BEGINS. IN TERMS OF ACCESS TO CARE, THE HOSPITAL HELD BLOOD DRIVES TO SUPPORT LOCAL NEEDS AND ORGANIZED SICK CLINIC HOURS, PROVIDING CONVENIENT HEALTHCARE ACCESS FOR THOSE REQUIRING IMMEDIATE ATTENTION. WHILE THE HOSPITAL IS MAKING STRIDES IN ADDRESSING SIGNIFICANT HEALTH NEEDS, THERE MAY STILL BE GAPS IN SPECIFIC CHRONIC DISEASE MANAGEMENT OR PREVENTIVE HEALTH SERVICES THAT REQUIRE FURTHER ATTENTION. 118 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 - DLP MARIA PARHAM PHYSICIAN PRACTICES 120 CHARLES ROLLINS ROAD SUITE 206 HENDERSON NC 27536 OUTPATIENT CLINICS - 3% OWNERSHIP IN JOINT VENTUREE 13 - TWIN COUNTY PEDIATRICS 606 EAST STUART DRIVE GALAX VA 24333 PHYSICIAN PRACTICE (PEDIATRICS) - 3% OWNERSHIP IN JOINT VENTURE 14 - INDEPENDENCE FAMILY CARE CENTER 217 S INDEPENDENCE AVENUE INDEPENDENCE VA 24348 PHYSICIAN PRACTICE (PRIMARY CARE) - 3% OWNERSHIP IN JOINT VENTURE 15 - TWIN COUNTY UROLOGY 104 CRANBERRY ROAD SUITE 200B GALAX VA 24333 PHYSICIAN PRACTICE (UROLOGY) - 3% OWNERSHIP IN JOINT VENTURE 16 - TWIN COUNTY ORTHOPEDICS 106 DOCTORS PARK GALAX VA 24333 PHYSICIAN PRACTICE (ORTHOPEDICS) - 3% OWNERSHIP IN JOINT VENTURE 17 - TWIN COUNTY SURGERY 225 HOSPITAL DRIVE GALAX VA 24333 PHYSICIAN PRACTICE (SURGERY) - 3% OWNERSHIP IN JOINT VENTURE 18 - HILLSVILLE FAMILY CARE CENTER 702 PINE STREET HILLSVILLE VA 24343 PHYSICIAN PRACTICE (PRIMARY CARE) - 3% OWNERSHIP IN JOINT VENTURE 19 - GALAX FAMILY CARE CENTER 104 CRANBERRY ROAD SUITE 200A GALAX VA 24333 PHYSICIAN PRACTICE (PRIMARY CARE) - 3% OWNERSHIP IN JOINT VENTURE 20 - TWIN COUNTY PAIN CLINIC 200 HOSPITAL DRIVE GALAX VA 24333 PHYSICIAN PRACTICE - 3% OWNERSHIP IN JOINT VENTURE 21 - TWIN COUNTY CT FOR BEHAVIORAL HEALTH 200 HOSPITAL DRIVE GALAX VA 24333 PHYSICIAN PRACTICE - 3% OWNERSHIP IN JOINT VENTURE 22 - TWIN COUNTY URGENT CARE 961 E STUART DRIVE GALAX VA 24333 PHYSICIAN OFFICE - 3% OWNERSHIP IN JOINT VENTURE 23 - TWIN COUNTY GASTROENTEROLOGY 225 HOSPITAL DRIVE GALAX VA 24333 PHYSICIAN OFFICE - 3% OWNERSHIP IN JOINT VENTURE 24 - TWIN COUNTY CARDIOLOGY 105 DOCTORS PARK GALAX VA 24333 PHYSICIAN OFFICE - 3% OWNERSHIP IN JOINT VENTURE 25 - TWIN COUNTY SLEEP LAB 200 HOSPITAL DRIVE GALAX VA 24333 PHYSICIAN OFFICE - 3% OWNERSHIP IN JOINT VENTURE 26 - TWIN COUNTY OB AND GYN 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 FAMILY CARE 444 NC-108 RUTHERFORDTON NC 28139 RUTHERFORDTON NC 28139 FAMILY GENERAL MEDICINE - 3% OWNERSHIP IN JOINT VENTURE 30 - RUTHERFORD OCCUPATIONAL MEDICINE 288 SOUTH RIDGECREST AVENUE RUTHERFORDTON NC 28139 OCCUPATIONAL/INDUSTRIAL HEALTH - 3% OWNERSHIP IN JOINT VENTURE 31 - RUTHERFORD UROLOGY 288 SOUTH RIDGECREST AVENUE RUTHERFORDTON NC 28139 UROLOGICAL SERVICES - 3% OWNERSHIP IN JOINT VENTURE 32 - POLK MEDICAL SPECIALISTS 45 E MILLS ST COLUMBUS NC 28722 FAMILY GENERAL MEDICINE - 3% OWNERSHIP IN JOINT VENTURE 33 - FOREST CITY FAMILY CARE 212 ALLENDALE DRIVE FOREST CITY NC 28043 FAMILY GENERAL MEDICINE - 3% OWNERSHIP IN JOINT VENTURE 34 - RUTHERFORD CHILDREN'S CARE 162 COMMERCIAL DR STE B FOREST CITY NC 28043 PEDIATRIC SERVICES - 3% OWNERSHIP IN JOINT VENTURE 35 - CHASE FAMILY CARE 1269 US HWY 221A FOREST CITY NC 28043 FAMILY GENERAL MEDICINE - 3% OWNERSHIP IN JOINT VENTURE 36 - RUTHERFORD EAST FAMILY CARE 605 NC 120 HIGHWAY MOORESBORO NC 28114 FAMILY GENERAL MEDICINE - 3% OWNERSHIP IN JOINT VENTURE 37 - RUTHERFORD PREMIER WOMENS CARE 175 TRYON ROAD RUTHERFORDTON NC 28139 PHYSICIAN PRACTICE (WOMEN'S HEALTH) - 3% OWNERSHIP IN JOINT VENTURE 38 - RUTHERFORD CARDIOLOGY 128 DR HENRY NORRIS DRIVE RUTHERFORDTON NC 28160 PHYSICIAN PRACTICE (CARDIOLOGY) - 3% OWNERSHIP IN JOINT VENTURE 39 - URGENT CARE - CANTON 55 BUCKEYE COVE ROAD CANTON NC 28716 URGENT CARE - 3% OWNERSHIP IN JOINT VENTURE 40 - URGENT CARE - WAYNESVILLE 556 HAZELWOOD ROAD WAYNESVILLE NC 28786 URGENT CARE - 3% OWNERSHIP IN JOINT VENTURE 41 - BLUE MOUNTAIN UROLOGY 15 BRETTWOOD TRACE CLYDE NC 28721 SPECIALITY PRACTICE - 3% OWNERSHIP IN JOINT VENTURE 42 - HAYWOOD FAMILY PRACTICE - CANTON 119 PARK STREET CANTON NC 28716 PHYSICIAN PRACTICE - 3% OWNERSHIP IN JOINT VENTURE 43 - HAYWOOD SURGICAL ASSOCIATES 40 BRETTWOOD TRACE CLYDE NC 28721 SPECIALITY PRACTICE - 3% OWNERSHIP IN JOINT VENTURE 44 - HAYWOOD WOMENS MEDICAL CENTER 35 FACILITY DRIVE CLYDE NC 28721 PHYSICIAN PRACTICE - 3% OWNERSHIP IN JOINT VENTURE 45 - MOUNTAIN MEDICAL ASSOCIATES 600 HOSPITAL DRIVE CLYDE NC 28721 PHYSICIAN PRACTICE - 3% OWNERSHIP IN JOINT VENTURE 46 - MOUNTAIN PEDIATRIC GROUP 24 FALCON CREST LANE CLYDE NC 28721 PHYSICIAN PRACTICE - 3% OWNERSHIP IN JOINT VENTURE 47 - MOUNTAIN SPINECARE 581 LEROY GEORGE DRIVE SUITE 380 CLYDE NC 28721 SPECIALITY PRACTICE - 3% OWNERSHIP IN JOINT VENTURE 48 - MOUNTAIN SPINECARE 68 HOSPITAL DRIVE SUITE 101 SYLVA NC 28779 SPECIALITY PRACTICE - 3% OWNERSHIP IN JOINT VENTURE 49 - WAYNESVILLE FAMILY PRACTICE 1272 EAST STREET WAYNESVILLE NC 28786 PHYSICIAN PRACTICE - 3% OWNERSHIP IN JOINT VENTURE 50 - WESTERN CAROLINA CARDIOLOGY 32 PHYSICIANS DRIVE CLYDE NC 28721 SPECIALITY PRACTICE - 3% OWNERSHIP IN JOINT VENTURE 51 - WESTERN CAROLINA ORTHO SPECIALISTS 581 LEROY GEORGE DRIVE SUITE 300 CLYDE NC 28721 SPECIALITY PRACTICE - 3% OWNERSHIP IN JOINT VENTURE 52 - HAYWOOD PAIN CLINIC 262 LEROY GEORGE DRIVE CLYDE NC 28722 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 53 - WILSON REGIONAL ORTHOPEDICS 1700 TARBORO STREET SUITE 205 WILSON NC 27893 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 54 - WILSON GASTROENTEROLOGY 2605 FOREST HILLS ROAD SUITE A WILSON NC 27893 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 55 - WILSON NEUROLOGY 1700 TARBORO STREET SUITE 200 WILSON NC 27893 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 56 - WILSON WOUND HEALING CENTER 1701 MEDICAL PARK DR WILSON NC 27893 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 57 - WILSON PRIMARY CARE 1700 TARBORO STREET SUITE 200 WILSON NC 27893 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 58 - WILSON REHABILITATION & NURSING CENTER 1705 TARBORO STREET SW WILSON NC 27893 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 59 - WILSON OUTPATIENT IMAGING 1711 MEDICAL PARK DR WILSON NC 27893 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 60 - WILSON NEW HOPE PRIMARY CARE 2508 WARD BLVD WILSON NC 27893 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 61 - WILSON RADIATION ONCOLOGY 1703 MEDICAL PARK DR WILSON NC 27893 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 62 - WILSON FAMILY CARE 1701 TARBORO STREET SUITE 100 WILSON NC 27893 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 63 - WILSON PULMONOLOGY 1700 TARBORO STREET SUITE 202 WILSON NC 27893 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 64 - WILSON UROLOGY 2509 WOOTEN BLVD SW WILSON NC 27893 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 65 - BAILEY PRIMARY CARE 6321 DEANS STREET BAILEY NC 27807 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 66 - CENTRAL CAROLINA SANDHILLS FAMILY CARE-SAN 1125 CARTHAGE STREET SANFORD NC 27330 PHYSICIAN PRACTICE- 3% OWNERSHIP IN JOINT VENTURE 67 - CENTRAL CAROLINA SANDHILLS FAMILY CARE-BRO 101 CHURCH STREET BROADWAY NC 27505 PHYSICIAN PRACTICE- 3% OWNERSHIP IN JOINT VENTURE 68 - CENTRAL CAROLINA SANDHILLS FAMILY CARE-SOU 1140 CARTHAGE STREET SANFORD NC 27330 PHYSICIAN PRACTICE- 3% OWNERSHIP IN JOINT VENTURE 69 - CENTRAL CAROLINA COMMUNITY FAMILY CARE SAN 2412 WILKINS DRIVE SANFORD NC 27330 PHYSICIAN PRACTICE- 3% OWNERSHIP IN JOINT VENTURE 70 - CENTRAL CAROLINA GYNECOLOGY & AESTHETICS 127 N STEELE STREET 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 WOMEN'S HEALTH CENTER 1140 CARTHAGE STREET SANFORD NC 27330 PHYSICIAN PRACTICE- 3% OWNERSHIP IN JOINT VENTURE 74 - CENTRAL CAROLINA GENERAL SURGERY 709 WICKER STREET SUITE B SANFORD NC 27330 PHYSICIAN PRACTICE- 3% OWNERSHIP IN JOINT VENTURE 75 - CENTRAL CAROLINA GENERAL SURGERY 1139 CARTHAGE STREET SUITE 110-B SANFORD NC 27330 PHYSICIAN PRACTICE- 3% OWNERSHIP IN JOINT VENTURE 76 - CENTRAL CAROLINA WELLCARE 112 HILLCREST DRIVE SANFORD NC 27330 PHYSICIAN PRACTICE- 3% OWNERSHIP IN JOINT VENTURE 77 - CENTRAL CAROLINA CARDIOLOGY 709 WICKER STREET SUITE A SANFORD NC 27330 PHYSICIAN PRACTICE (CARDIOLOGY) - 3% OWNERSHIP IN JOINT VENTURE 78 - CENTRAL CAROLINA ORTHOPEDICS 1915 K M WICKER MEMORIAL DRIVE SANFORD NC 27330 PHYSICIAN PRACTICE- 3% OWNERSHIP IN JOINT VENTURE 79 - PERSON EXTENDED CARE 615 RIDGE ROAD ROXBORO NC 27573 SKILLED NURSING FACILITY- 3% OWNERSHIP IN JOINT VENTURE 80 - PERSON PRIMARY CARE 3762 DURHAM ROAD SUITE B ROXBORO NC 27573 PHYSICIAN PRACTICE (PRIMARY CARE) - 3% OWNERSHIP IN JOINT VENTURE 81 - PERSON HEALTH CARDIOLOGY 601 RIDGE ROAD ROXBORO NC 27573 OUTPATIENT CLINIC- 3% OWNERSHIP IN JOINT VENTURE 82 - PERSON HEALTH GASTROENTEROLOGY 615 RIDGE ROAD ROXBORO NC 27573 OUTPATIENT CLINIC- 3% OWNERSHIP IN JOINT VENTURE 83 - PERSON ORTHOPEDICS 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 ORTHOPEDICS 80 HEALTHCARE DR SUITE 203 SYLVA NC 28779 OUTPATIENT CLINIC - 3% OWNERSHIP IN JOINT VENTURE 89 - HARRIS PEDIATRICS 98 DOCTORS DRIVE SUITE 300 SYLVA NC 28779 OUTPATIENT CLINIC - 3% OWNERSHIP IN JOINT VENTURE 90 - HARRIS WOMENS 70 THE VILLAGE OVERLOOK SYLVA NC 28779 OUTPATIENT CLINIC - 3% OWNERSHIP IN JOINT VENTURE 91 - HARRIS FAMILY CARE FRANKLIN 55 HOLLY SPRINGS PARK DRIVE FRANKLIN NC 28734 OUTPATIENT CLINIC - 3% OWNERSHIP IN JOINT VENTURE 92 - HARRIS PULMONARY AND SLEEP 186 MEDICAL PARK LOOP SUITE 503 SYLVA NC 28779 OUTPATIENT CLINIC - 3% OWNERSHIP IN JOINT VENTURE 93 - HARRIS UROLOGY 98 DOCTORS DRIVE SUITE 100 SYLVA NC 28779 OUTPATIENT CLINIC - 3% OWNERSHIP IN JOINT VENTURE 94 - HARRIS MEDICAL ASSOCIATES 98 DOCTORS DRIVE SUITE 200 SYLVA NC 28779 OUTPATIENT CLINIC - 3% OWNERSHIP IN JOINT VENTURE 95 - FRYECARE BEHAVIORAL HEALTH 915 TATE BOULEVARD SOUTHEAST SUITE 186 HICKORY NC 28602 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 96 - FRYECARE CARDIOLOGY ASSOC - LENOIR 602 MORGANTON BOULEVARD SOUTHWEST LENOIR NC 28645 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 97 - FRYECARE CARDIOLOGY ASSOC - LINCOLNTON 1470 EAST GASTON STREET SUITE 400 LINCOLNTON NC 28092 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 98 - FRYECARE CARDIOLOGY ASSOC - PIEDMONT 2660 TATE BOULEVARD SOUTHEAST HICKORY NC 28602 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 99 - FRYECARE CARDIOLOGY ASSOC- TAYLORSVILLE 1668 NC HWY 16 SOUTH TAYLORSVILLE NC 28681 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 100 - FRYECARE CARDIOLOGY ASSOC - VALDESE 721-B MALCOLM BLVD RUTHERFORD COLLEGE NC 28671 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 101 - FRYECARE FAMILY PHYSICIANS 915 TATE BOULEVARD SOUTHEAST SUITE 186 HICKORY NC 28602 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 102 - FRYECARE GENERATIONS FAMILY 2810 16TH STREET NORTHEAST HICKORY NC 28601 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 103 - FRYECARE HARTER FAMILY PRACTICE 237 LONGVUE ROAD SUITE A BOONE NC 28607 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 104 - FRYECARE HEART LUNG AND VASCULAR 415 NORTH CENTER STREET SUITE 204 HICKORY NC 28601 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 105 - FRYECARE HICKORY FAMILY PRACTICE 52 12TH AVENUE NORTHEAST HICKORY NC 28601 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 106 - FRYECARE INTERNAL MEDICINE 915 TATE BOULEVARD SOUTHEAST SUITE 186 HICKORY NC 28602 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 107 - FRYECARE PIEDMONT OBGYN - HICKORY 210 13TH AVENUE PLACE NORTHWEST HICKORY NC 28601 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 108 - FRYECARE PIEDMONT OBGYN - HUDSON 3060 HICKORY BLVD HUDSON NC 28638 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 109 - FRYECARE PULMONOLOGY ASSOCIATES 915 TATE BOULEVARD SOUTHEAST SUITE 182 HICKORY NC 28602 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 110 - FRYECARE SPECIALTY CENTER 415 NORTH CENTER STREET SUITE 203 HICKORY NC 28601 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 111 - FRYECARE URGENT CARE 1105 FAIRGROVE CHURCH ROAD SOUTHEAST CONOVER NC 28602 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 112 - FRYECARE WOMEN'S SERVICES 1781 TATE BOULEVARD SOUTHEAST SUITE 201 HICKORY NC 28602 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 113 - HART INDUSTRIAL CLINIC 2850 TATE BOULEVARD SOUTHEAST HICKORY NC 28602 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 114 - HICKORY CARDIOLOGY ASSOC - BOONE 178 NC-105 EXTENSION SUITE 202 BOONE NC 28607 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 115 - HICKORY CARDIOLOGY ASSOC - LENOIR 315 WILKESBORO BOULEVARD SUITE 1B 2B LENOIR NC 28645 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 116 - HICKORY CARDIOLOGY ASSOC - MORGANTON 137 WEST PARKER ROAD SUITE B C MORGANTON NC 28655 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 117 - HICKORY CARDIOLOGY ASSOC - HICKORY 1771 TATE BOULEVARD SOUTHEAST HICKORY NC 28602 CLINIC- 3% OWNERSHIP IN JOINT VENTURE 118 - 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 3% OWNERSHIP IN PARTNERSHIPS THAT IN TURN HOLD 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 JOINT VENTURES 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.HAYWOOD REGIONAL MEDICAL CENTERIN ADDITION TO THE CHNA, HAYWOOD UTILIZES SEVERAL METHODS TO ASSESS THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES. THE HOSPITAL ACTIVELY ENGAGES WITH THE COMMUNITY THROUGH EVENTS LIKE THE "KNOW WHERE TO GO" CAMPAIGN, WHICH EDUCATES RESIDENTS ABOUT DIFFERENT LEVELES OF CARE, PARTICIPATION IN LOCAL CIVIC ORGANIZATIONS INCLUDING ROTARY CLUB AND A LOCAL LEADERSHIP TRAINING PROGRAM, AND A BROAD ARRAY OF COMMUNITY PARTNERSHIPS WITH OTHER LOCAL STAKEHOLDERS, INCLUDING THE SCHOOL SYSTEM, HEALTH DEPARTMENT, LARGE EMPLOYERS, AND THE CHAMBER OF COMMERCE. THESE INTERACTIONS PROVIDE VALUABLE INSIGHTS INTO COMMUNITY HEALTH PERCEPTIONS AND NEEDS THROUGH FEEDBACK RECEIVED. FURTHERMORE, THE HOSPITAL PARTICIPATES IN LOCAL EVENTS AND HOSTS EDUCATIONAL TABLES, GATHERING FEEDBACK FROM ATTENDEES TO UNDERSTAND THEIR HEALTH CONCERNS BETTER. THE WEEKLY MOTHER'S CONNECTION GROUPS AND NURSE AIDE TRAINING PROGRAMS ALSO FACILITATE DISCUSSIONS ABOUT HEALTH NEEDS AMONG SPECIFIC POPULATION SEGMENTS, ALLOWING FOR A MORE TARGETED APPROACH TO CARE. BY ANALYZING PARTICIPATION RATES AND FEEDBACK FROM COMMUNITY PROGRAMS, THE HOSPITAL CAN IDENTIFY TRENDS AND EMERGING HEALTH ISSUES, ENSURING THAT IT REMAINS RESPONSIVE TO THE EVOLVING HEALTHCARE LANDSCAPE. THIS MULTIFACETED APPROACH HELPS TO GUIDE PROGRAM DEVELOPMENT AND RESOURCE ALLOCATION EFFECTIVELY, AIMING TO IMPROVE HEALTH OUTCOMES FOR ALL COMMUNITY MEMBERS.FRYE REGIONAL MEDICAL CENTERGROWTH AND OUTREACH LIASONS CONTINUALLY MEET WITH AREA PROVIDERS AND OFFICE STAFF PERSONNEL TO DISCUSS BARRIERS TO HEALTH CARE. 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.HARRIS REGIONAL HOSPITALIN ADDITION TO CONDUCTING THE CHNA, HARRIS EMPLOYS SEVERAL METHODS TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES WE SERVE. HARRIS ACTIVELY ENGAGES WITH COMMUNITY LEADERS AND STAKEHOLDERS TO GATHER INSIGHTS AND FEEDBACK ON LOCAL HEALTH ISSUES. THIS INCLUDES PARTICIPATION IN COMMUNITY EVENTS, HOSTING FOCUS GROUPS, AND CONDUCTING SURVEYS TO UNDERSTAND THE SPECIFIC HEALTH CONCERNS AND NEEDS OF RESIDENTS. FURTHERMORE, LEADERSHIP REGULARLY REVIEW DATA RELATED TO COMMUNITY HEALTH INDICATORS, SUCH AS EMERGENCY DEPARTMENT VISIT PATTERNS, PATIENT DEMOGRAPHICS, AND HEALTH OUTCOMES TO IDENTIFY TRENDS AND EMERGENCY NEEDS. BY COMBINING QUALITATIVE AND QUANTITATIVE DATA, HARRIS AIMS TO DEVELOP A COMPREHENSIVE UNDERSTANDING OF OUR COMMUNITY'S HEALTH LANDSCAPE. HARRIS ALSO COLLABORATES WITH LOCAL HEALTH ORGANIZATIONS AND AGENCIES TO GATHER ADDITIONAL DATA AND SHARE RESOURCES, ENSURING THAT OUR ASSESSMENTS ARE THOROUGH AND INCLUSIVE. THIS COLLABORATIVE APPROACH ALLOWS US TO REMAIN RESPONSIVE TO THE CHANGING HEALTH NEEDS OF OUR COMMUNITY, ULTIMATELY GUIDING OUR STRATEGIC PLANNING AND PROGRAM DEVELOPMENT EFFORTS. IN ADDITION, HARRIS IS ALWAYS ASKING FOR FEEDBACK FROM PATIENTS IN RELATION TO COMMUNITY SURVEYS DELIVERED THROUGH A THIRD-PARTY VENDOR.RUTHERFORD REGIONAL MEDICAL CENTER (RRMC)RRMC 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 COUNCIL, 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.PERSON MEMORIAL HOSPITAL PERSON 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. SWAIN COMMUNITY HOSPITAL IN ADDITION TO CONDUCTING THE CHNA, SWAIN EMPLOYS A VARIETY OF METHODS TO ASSESS THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES. THIS INCLUDES GATHERING FEEDBACK FROM COMMUNITY MEMBERS DURING EDUCATION EVENTS, OPEN HOUSES, AND PARTICIPATION IN LOCAL EVENTS. THESE INTERACTIONS PROVIDE VALUABLE INSIGHTS INTO THE SPECIFIC HEALTH CONCERNS AND PREFERENCES OF RESIDENTS. SWAIN ALSO COLLABORATES WITH LOCAL ORGANIZATIONS AND STAKEHOLDERS TO IDENTIFY EMERGING HEALTH ISSUES AND GAPS IN SERVICES. REGULAR SURVEYS AND FOCUS GROUPS ARE UTILIZED TO GATHER QUALITATIVE DATA ON COMMUNITY HEALTH PERCEPTIONS AND NEEDS. BY ANALYZING ATTENDANCE AND PARTICIPATION IN PROGRAMS LIKE "WALK FOR MENTAL HEALTH AND OTHER HEALTH CAMPAIGNS, THE HOSPITAL GAUGES COMMUNITY ENGAGEMENT AND IDENTIFY AREAS FOR IMPROVEMENT. THIS COMPREHENSIVE APPROACH ENSURES THAT THE HOSPITAL REMAINS RESPONSIVE TO THE EVOLVING HEALTHCARE NEEDS OF THE COMMUNITY, GUIDING PROGRAM DEVELOPMENT AND RESOURCE ALLOCATION EFFECTIVELY.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 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 CENTERBROCHURES AND PAMPHLETS CONTAINING INFORMATION ABOUT THE FAP ARE DISTRIBUTED TO PATIENTS AT THE TIME OF ADMISSION, DURING DISCHARGE, AND ARE AVAILABLE IN WAITING AREAS. BILLING STATEMENTS INCLUDE INFORMATION ABOUT FINANCIAL ASSISTANCE OPTIONS AND CONTACT DETAILS FOR FURTHER INQUIRIES. HAYWOOD'S WEBSITE CONTAINS DETAILED INFORMATION ON FINANCIAL ASSISTANCE PROGRAMS, ELIGIBILITY CRITERIA, AND APPLICATION FORMS ARE AVAILABLE ONLINE. PATIENTS CAN ACCESS THEIR BILLING INFORMATION AND FINANCIAL ASSISTANCE RESOURCES THROUGH THE SECURE ONLINE PATIENT PORTAL. SIGNAGE IS DISPLAYED IN HIGH-TRAFFIC AREAS SUCH AS THE ADMISSIONS OFFICE, EMERGENCY DEPARTMENT, AND BILLING OFFICE. DURING REGISTRATION, STAFF INFORM PATIENTS ABOUT AVAILABLE ASSISTANCE PROGRAMS. REPRESENTATIVES IN THE BILLING DEPARTMENT DISCUSS OPTIONS WITH PATIENTS WHEN THEY CALL WITH QUESTIONS. FINANCIAL COUNSELORS ARE AVAILABLE ON-SITE TO HELP PATIENTS NAVIGATE THROUGH THE APPLICATION PROCESS FOR FINANCIAL ASSISTANCE. SOCIAL WORKERS ASSIST PATIENTS IN UNDERSTANDING AND APPLYING FOR GOVERNMENT PROGRAMS LIKE MEDICAID, MEDICARE, AND OTHER LOCAL ASSISTANCE PROGRAMS. FOLLOW UP LETTERS AND EMAILS ARE SENT TO PATIENTS WHO MAY QUALIFY FOR ASSISTANCE BASED ON THEIR FINANCIAL INFORMATION. THE HOSPITAL PROVIDES MULTILINGUAL MATERIALS TO CATER THE DIVERSE PATIENT POPULATION AND INTERPRETER SERVICES ARE AVAILABLE TO ENSURE NON-ENGLISH SPEAKING PATIENTS UNDERSTAND THEIR OPTIONS.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 CENTERREGISTRATION 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" PROGRAM 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.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. MARIA PARHAM ALSO CONDUCTS PROSTATE AND BREAST SCREENING ALONG WITH PHYSICALS FOR THE COMMUNITY.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. 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. 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. THE HOSPITAL PROMOTES LACTATION SERVICES IN THE HOSPITAL AND PEDIATRIC CLINIC.PERSON MEMORIAL HOSPITAL (PMH)PMH 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 3% OWNERSHIP IN PARTNERSHIPS THAT MANAGE 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 0 0 0 0 0 0 0 0 0 CRAIG T ALBANESE MD FORMER DIRECTOR/OFFICER 0 1394770 0 562500 0 22500 0 40376 0 20543 0 2040689 0 0 THOMAS A OWENS MD DIRECTOR/PRESIDENT 0 1030767 0 533052 0 22500 0 40376 0 56124 0 1682819 0 0 WILLIAM J FULKERSON MD FORMER DIRECTOR/OFFICER 0 425821 0 716750 0 22500 0 40376 0 8206 0 1213653 0 0 ROBERT N WILLIS PART YEAR DIRECTOR/TREASURER 0 481360 0 232081 0 22500 0 40376 0 18862 0 795179 0 0 JOHN P MORDACH FORMER DIRECTOR/OFFICER 0 242876 0 276704 0 3750 0 40376 0 5954 0 569660 0 0 CHRISTY M GUDAITIS FORMER OFFICER 0 414673 0 25000 0 18000 0 40376 0 18411 0 516460 0 0 PAUL LINDIA FORMER DIRECTOR 0 386060 0 39051 0 189 0 40376 0 11023 0 476699 0 0 DONNA PETER DIRECTOR/VP 0 219392 0 85689 0 18000 0 40060 0 11950 0 375091 0 0 LORNA MAXWELL PART YEAR SECRETARY 0 168676 0 0 0 0 0 20524 0 28085 0 217285 0 0 MARY PAT DUNCAN PART YEAR SECRETARY 0 159606 0 0 0 0 0 18810 0 20917 0 199333 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, 2024. AS A RESULT, FORM 990-T IS NOT REQUIRED FOR THE FISCAL YEAR ENDED JUNE 30, 2024. FORM 990, PART VI, SECTION A, LINE 2 THOMAS OWENS, MD, AND ROBERT N WILLIS, SERVED AS OFFICERS OF DUKE UNIVERSITY HEALTH SYSTEM, INC. DONNA PETER, MARY PAT DUNCAN, LISA M GOODLETT, AND LORNA MAXWELL WERE EMPLOYEES OF DUKE UNIVERSITY HEALTH SYSTEM, INC. ROBERT N WILLIS, THOMAS OWENS, MD, AND MARY PAT DUNCAN SERVED AS DIRECTORS AND OFFICERS OF HEALTH SYSTEM MEDICAL STRATEGIES, INC. MARY PAT DUNCAN AND DONNA PETER, WERE OFFICERS OF HEALTH SYSTEM MEDICAL STRATEGIES, INC. THOMAS A. OWENS, MD, LISA M. GOODLETT, AND ROBERT N WILLIS SERVED AS DIRECTORS AND OFFICERS OF DURHAM CASUALTY COMPANY, LTD. 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. 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