2025-05-14T17:34:25+00:00 2024-06-30 346565596 ERNST & YOUNG US LLP 425 HOUSTON ST FORT WORTH TX 76102 990 2023-07-01 753054855 Mercy Restorative Care Hospital Inc MERC 9729436400 7950 LEGACY DRIVE SUITE 1000 PLANO TX 75024 APRIL MYERS PRESIDENT 9729436400 2025-05-14 true Melva Scott P01207335 8173351900 2025-04-23 2023 2025-03-06 01:10:19Z SEE SCHEDULE O APRIL MYERS 7950 LEGACY DRIVE SUITE 1000 PLANO TX 75024 20689798 false X HTTPS://PINEVILLE.CONTINUECARE.ORG/ X 2000 NC OUR MISSION IS TO PROVIDE EXCEPTIONAL HEALTHCARE WITH DEDICATION AND COMPASSION TO MEDICALLY COMPLEX EXTENDED STAY PATIENTS. 3 1 213 0 0 0 9000 0 20673256 20540613 15124 29690 120741 119495 20818121 20689798 0 0 0 0 11610005 11150644 0 0 0 8695139 9550105 20305144 20700749 512977 -10951 20488181 19899227 15606823 15028820 4881358 4870407 OUR MISSION IS TO PROVIDE EXCEPTIONAL HEALTHCARE WITH DEDICATION AND COMPASSION TO MEDICALLY COMPLEX EXTENDED STAY PATIENTS. false false 16878131 0 20657715 MERCY RESTORATIVE CARE HOSPITAL INC., D/B/A CAROLINAS CONTINUECARE HOSPITAL AT PINEVILLE (CAROLINAS CCH AT PINEVILLE), IS A STAND-ALONE 40-BED LTACH HOUSED IN A MODERN FACILITY THAT WAS CUSTOM DESIGNED TO TREAT CRITICALLY ILL, MEDICALLY COMPLEX PATIENTS. CAROLINAS CCH AT PINEVILLE IS LOCATED IN SOUTHERN CHARLOTTE ON THE CAROLINAS HEALTHCARE SYSTEM PINEVILLE CAMPUS. CAROLINAS CCH AT PINEVILLE IS SPECIFICALLY LICENSED AND ADMINISTERED TO PROVIDE CARE FOR PATIENTS WHO REQUIRE DAILY PHYSICIAN AND STAFF ATTENTION FOR COMPLEX CONDITIONS. CAROLINAS CCH AT PINEVILLE'S EMPLOYEES ARE A DEDICATED TEAM WHO WORK TOGETHER DELIVERING THE BEST POSSIBLE CARE FOR OUR PATIENTS THAT REQUIRE EXTENDED LENGTHS OF STAY, TYPICALLY 25 DAYS OR LONGER, IN AN ACUTE CARE SETTING. SINCE CAROLINAS CCH AT PINEVILLE HAS A LONGER LENGTH OF STAY, THE STAFF HAS THE OPPORTUNITY TO GET TO KNOW PATIENTS AND FAMILIES. CAROLINAS CCH AT PINEVILLE BELIEVES SPENDING QUALITY TIME MAKES A DIFFERENCE. CAROLINAS CCH AT PINEVILLE IS A SEPARATE YET FULLY LICENSED ACUTE-CARE HOSPITAL WITH THE ABILITY TO PROVIDE INTENSIVE AND COMPLEX MEDICAL TREATMENT. CAROLINAS CCH AT PINEVILLE'S SPECIALTY PROGRAMS ARE SPECIFICALLY DESIGNED TO MEET THE NEEDS OF LONG-TERM, ACUTE-CARE PATIENTS. DURING THE FISCAL YEAR ENDED JUNE 30, 2024, CAROLINAS CCH AT PINEVILLE'S TOTAL PATIENTS ADMITTED WERE 364 AND THE TOTAL NUMBER OF PATIENT CARE DAYS PROVIDED WAS 11,158. THE AVERAGE DAILY CENSUS WAS 30.5 PATIENTS AND THE AVERAGE LENGTH OF STAY OF THE DISCHARGED PATIENTS WAS 30 DAYS. 16878131 true false false true false false false false false true false false false true false false true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true 14 0 true 213 true false false false false false false false false false false false false X 3 1 false true false false true true true true false false false true true true true true true false false false NC X MIKE MURRAY 9729431225 7950 LEGACY DRIVE SUITE 1000 PLANO TX 75024 APRIL MYERS DIRECTOR/PRESIDENT 0.1 39.9 X X 0 405688 66908 ALICIA CAMPBELL Director (until 5/2024) 1.0 2.0 X 0 0 0 BROOK FRASIER Director 1.0 1.0 X 0 0 0 EARL SCOTT WARRICK JR DIRECTOR (until 9/2023) 1.0 1.0 X 0 0 0 EVA WHITLEY DIRECTOR (until 4/2024) 1.0 1.0 X 0 0 0 JIM KENDRICK DIRECTOR 0.2 39.8 X 0 1577721 335427 JOSEPH BOWERS DIRECTOR (until 9/2023) 1.0 1.0 X 0 0 0 DEREK MURZYN CEO 40.0 0.0 X 0 270380 34216 JAMES HILL TREASURER 0.4 39.6 X 0 414920 55174 LINDA MOORE SECRETARY 0.1 39.9 X 0 451065 69908 Brian Stroman Director of Quality Management (term 5/2024) 40.0 0 X 120226 0 16597 Douglas Gallagher Director of Human Resources 40.0 0 X 120599 0 35710 GENEVIEVE ALDIS REGISTERED NURSE 40.0 0 X 130646 0 14165 HAJRUDIN BEGIC REGISTERED NURSE 40.0 0 X 184189 0 41006 Lisa R Gauch Clinical liason 40.0 0 X 118897 0 3512 674557 3119774 672623 11 false true false The Hospitalist Solution 3129 CHAUCER DRIVE CHARLOTTE NC 28210 Staffing SVCS 678290 Vibra Travels LLC 4600 Lena Dr Mechanicsburg PA 17055 STAFFING SVCS 130095 2 0 INPATIENT REVENUE 623000 20540613 20540613 0 0 0 0 20540613 29690 29690 0 0 0 0 OTHER INCOME-RESPIRATORY THERAPY SVC 117102 117102 MEDICAL RECORDS 900099 2393 2393 0 0 0 0 119495 20689798 20657715 0 32083 X 0 0 9509527 8558574 950953 151806 136625 15181 880750 792675 88075 608561 608561 625200 625200 12407 12407 141066 141066 12991 12991 3921922 3782695 139227 0 21257 21257 75359 75359 1427144 1427144 68189 68189 4848 4848 2501 2501 216773 216773 813111 813111 MEDICAL SUPPLIES 1522829 1522829 EQUIPMENT LEASES 236561 236561 EMPLOYEE RECRUITMENT & ADVERTISING 207510 207510 PROFESSIONAL DEVELOPMENT/EDUCATION 58207 58207 182230 182230 0 0 20700749 16878131 3822618 0 894399 582639 4255863 4425140 0 0 0 0 55024 55981 406202 462140 17490930 3976223 14018073 13514707 0 0 858620 858620 0 0 20488181 19899227 1812922 1575584 0 0 13793901 13453236 15606823 15028820 4881358 4870407 4881358 4870407 20488181 19899227 -10951 0 X false true X true false X false false false false false false false false true 12991 12991 false Schedule C, Part II-B, Line 1i LOBBYING EXPENSE MERCY RESTORATIVE CARE HOSPITAL, INC. PAID $8,106 TO THE AMERICAN HOSPITAL ASSOCIATION (AHA), $5,555 TO THE NATIONAL ASSOCIATION OF LONG TERM HOSPITALS (NALTH) AND $16,000 TO THE PICARD GROUP IN FISCAL YEAR 2024. THE PORTION OF AHA DUES THAT WERE REPORTED FOR LOBBYING PURPOSES WAS 32%, THE PORTION OF NALTH DUES THAT WERE REPORTED FOR LOBBYING PURPOSES WAS 14.35% AND THE PORTION OF PICARD GROUP DUES THAT WERE REPORTED FOR LOBBYING PURPOSES WAS 60%. TOTAL DUES PAID AND REPORTED FOR LOBBYING ACTIVITIES WERE: AHA $8,106 X 32% = $2,594, NALTH $5,555 x 14.35% = $797 AND PICARD GROUP $16,000 X 60%= 9,600 ($2,594 AHA + $797 NALTH + 9,600 PICARD GROUP =$12,991). 94894 85356 9538 3231028 2859488 371540 14165008 1031379 13133629 13514707 INTERCOMPANY PAYABLES 221710 ESTIMATED THIRD PARTY SETTLEMENT 96581 SHORT TERM LEASE OBLIGATIONS 379665 LONG TERM LEASE OBLIGATIONS 12753964 LONG TERM escheat accounts 1316 13453236 true true true X true X true true false true true 269890 -130000 399890 0.0193 0 0.0 0 0.0 0 0 269890 -130000 399890 0.0193 0 0.0 9023 9023 0.0004 0 0.0 0 0.0 6673 6673 0.0003 0 0 15696 0 15696 0.0008 0 0 285586 -130000 415586 0.0201 0 0.0 0 0.0 3 4 1294 1294 0.0001 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 3 4 1294 0 1294 0.0001 true 6767624 7547330 -779706 X true true 1 1 CAROLINAS CCH AT PINEVILLE 10648 PARK ROAD CHARLOTTE NC 28210 HTTPS://PINEVILLE.CONTINUECARE.ORG/ H0278 X X CAROLINAS CCH AT PINEVILLE 1 false false true X X X X X X X X X 21 true false false true X https://pineville.continuecare.org/chna/ X true 21 true https://pineville.continuecare.org/chna/ false true X 200.0 400.0 X X X true true X X X true X https://pineville.continuecare.org/for-families/financial-assistance/ X https://pineville.continuecare.org/for-families/financial-assistance/ X https://pineville.continuecare.org/for-families/financial-assistance/ X X X X X X true X false X false X X false false Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE CHNA ARE PRESENTED AS A PRIORITIZED DESCRIPTION. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - CAROLINAS CCH AT PINEVILLE. CAROLINAS CONTINUECARE HOSPITAL AT PINEVILLE, (CAROLINAS CCH AT PINEVILLE), IS A STAND ALONE 40-BED LONG-TERM ACUTE CARE HOSPITAL (LTACH) HOUSED IN A MODERN FACILITY THAT WAS CUSTOM DESIGNED TO TREAT CRITICALLY ILL, MEDICALLY COMPLEX PATIENTS. CAROLINAS CCH AT PINEVILLE IS LOCATED IN SOUTHERN CHARLOTTE, NORTH CAROLINA ON THE CAROLINAS HEALTH SYSTEM PINEVILLE CAMPUS. CAROLINAS CCH AT PINEVILLE IS A SEPARATE YET FULLY LICENSED ACUTE CARE HOSPITAL WITH THE ABILITY TO PROVIDE INTENSIVE AND COMPLEX MEDICAL TREATMENT TO PATIENTS REQUIRING LONGER LENGTHS OF STAY FOR ACUTE CARE. AS AN LTACH, CAROLINAS CCH AT PINEVILLE DEVELOPS A CONTINUUM OF CARE BETWEEN THE ACUTE AND LONG-TERM PHASES OF A PATIENT'S ILLNESS. A PATIENT IS USUALLY ADMITTED AFTER A SHORT-TERM, ACUTE CARE HOSPITAL STAY. AFTER CARE IN AN LTACH, MANY PATIENTS ARE THEN ABLE TO TRANSITION FROM THE LTACH TO ACUTE REHAB, SKILLED NURSING OR GO HOME. HOSPICE CARE IS ALSO A POST-ACUTE TREATMENT OPTION FOR PATIENTS WITH A TERMINAL DISEASE WHO HAVE A LIFE EXPECTANCY OF SIX MONTHS OR LESS. CAROLINAS CCH AT PINEVILLE, IS DESIGNED TO MEET THE NEEDS OF LONG TERM, ACUTELY ILL PATIENTS WITH CONDITIONS INCLUDING VENTILATOR DEPENDENCE, RESPIRATORY FAILURE, CHRONIC PULMONARY PROBLEMS, COMPLEX AND SEVERE WOUNDS, AND INFECTIONS REQUIRING LONG TERM ANTIBIOTIC THERAPY. LTACH FACILITIES ALSO PROVIDE PHYSICAL, OCCUPATIONAL, AND NUTRITIONAL THERAPIES, AS WELL AS PAIN MANAGEMENT. The Hospital recently completed implementation of a virtual psychiatry service to better meet inpatient needs. CAROLINAS CCH AT PINEVILLE IS LED BY A CLOSE-KNIT TEAM OF PROFESSIONALS WHO SHARE A PHILOSOPHY TO PROVIDE COMPASSIONATE, HIGH QUALITY HEALTH CARE SERVICES. OUR MULTIDISCIPLINARY TEAM CONSISTS OF PHYSICIANS, NURSES, THERAPISTS, DIETITIANS, SOCIAL WORKERS, CASE MANAGERS, PHARMACISTS AND OTHER PROFESSIONALS WHO WORK TOGETHER ON EVERY ASPECT OF PATIENT CARE. THE DEFINED SERVICE AREA OF CAROLINAS CCH AT PINEVILLE IS MECKLENBURG COUNTY IN NORTH CAROLINA. MECKLENBURG COUNTY COMPRISES 24.2% OF FISCAL YEAR 2021 INPATIENT DISCHARGES. THE POPULATION OF MECKLENBURG COUNTY IS EXPECTED TO INCREASE BY 9.4% FROM 2021 (1,122,864) TO 2026 (1,227,871), WHICH IS ABOVE THE 5.6% EXPECTED GROWTH FOR THE STATE OF NORTH CAROLINA FROM 2021 (10,822,111) TO 2026 (11,430,355). AS OF 2021, THE RACIAL/ETHNIC BREAKOUT OF MECKLENBURG COUNTY WAS 50.2% WHITE, 32.0% BLACK, 6.9% ASIAN, 0.5% AMERICAN INDIAN AND 10.5% ALL OTHERS. HISPANIC IS CLASSIFIED AS AN ETHNICITY AND THEREFORE IS CATEGORIZED SEPARATELY FROM WHITE, BLACK, ASIAN, AMERICAN INDIAN AND ALL OTHERS. BY 2026, THE WHITE POPULATION IN MECKLENBURG COUNTY IS EXPECTED TO INCREASE BY 3.9% AND THE BLACK POPULATION IS EXPECTED TO INCREASE BY 11.1%. BY 2026, THE HISPANIC POPULATION IN MECKLENBURG COUNTY IS EXPECTED TO INCREASE BY 17.6% AND THE ASIAN POPULATION IS EXPECTED TO INCREASE BY 29.2%. THE AMERICAN INDIAN POPULATION IN MECKLENBURG COUNTY IS EXPECTED TO INCREASE BY 8.4% AND ALL OTHER RACIAL ETHNIC GROUPS ARE EXPECTED TO INCREASE BY 17.1% BY 2026. BETWEEN 2015 AND 2019, THE PERCENT OF FOREIGN-BORN RESIDENTS INCREASED IN MECKLENBURG COUNTY, THE STATE AND THE NATION. IN 2019, MECKLENBURG COUNTY (15.8%) HAD A HIGHER PERCENT OF FOREIGN-BORN RESIDENTS THAN THE STATE (8.4%) AND THE NATION (13.7%). MECKLENBURG COUNTY (35.8 YEARS) HAS A YOUNGER MEDIAN AGE THAN THE STATE OF NORTH CAROLINA (39.2 YEARS) (2021). THE MEDIAN AGES FOR MECKLENBURG COUNTY AND THE STATE ARE EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS (2021-2026). MECKLENBURG COUNTY ($68,623) HAS A HIGHER MEDIAN HOUSEHOLD INCOME THAN THE STATE OF NORTH CAROLINA ($56,585) (2021). THE MEDIAN HOUSEHOLD INCOMES IN MECKLENBURG COUNTY AND THE STATE ARE EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS (2021-2026). MECKLENBURG COUNTY (47.5%) HAS A HIGHER PERCENTAGE OF RESIDENTS WITH A BACHELOR OR ADVANCED DEGREE THAN THE STATE (32.8%) (2021). IN 2014-2018, 16.0% OF THE NATION LIVED IN A DISTRESSED COMMUNITY, AS COMPARED TO 26.0% OF THE NATION THAT LIVED IN A PROSPEROUS COMMUNITY. IN 2014-2018, 17.6% OF THE POPULATION IN NORTH CAROLINA LIVED IN A DISTRESSED COMMUNITY, AS COMPARED TO 20.2% OF THE POPULATION THAT LIVED IN A PROSPEROUS COMMUNITY. IN 2014-2018, THE DISTRESS SCORE IN MECKLENBURG COUNTY WAS 7.3 WHICH IS MORE PROSPEROUS AS COMPARED TO OTHER COUNTIES IN THE STATE. WITH RESPECT TO UNEMPLOYMENT, RATES IN MECKLENBURG COUNTY AND THE STATE INCREASED BETWEEN 2018 AND 2020. IN 2020, MECKLENBURG COUNTY (7.8) HAD A HIGHER UNEMPLOYMENT RATE THAN THE STATE (7.3). OVER THE MOST RECENT 12-MONTH TIME PERIOD, MONTHLY UNEMPLOYMENT RATES IN MECKLENBURG COUNTY OVERALL DECREASED. APRIL 2021 HAD THE LOWEST UNEMPLOYMENT RATE (4.5) AS COMPARED TO JULY 2020 WITH THE HIGHEST RATE (10.2). AS OF 2019, THE MAJORITY OF EMPLOYED PERSONS IN MECKLENBURG COUNTY ARE WITHIN MANAGEMENT OCCUPATIONS (12.9%). THE MOST COMMON EMPLOYED GROUPINGS ARE MANAGEMENT OCCUPATIONS, (12.9%); SALES AND RELATED OCCUPATIONS, (11.8%); OFFICE AND ADMINISTRATIVE SUPPORT OCCUPATIONS, (10.2%); BUSINESS AND FINANCIAL OPERATIONS OCCUPATIONS, (8.8%); AND COMPUTER AND MATHEMATICAL OCCUPATIONS, (5.6%). IN 2015-2019, DRIVING ALONE WAS THE MOST FREQUENT MEANS OF TRANSPORTATION TO WORK FOR BOTH MECKLENBURG COUNTY AND THE STATE. IN 2015-2019, MECKLENBURG COUNTY (10.0%) HAD A HIGHER PERCENT OF PEOPLE WORKING AT HOME THAN THE STATE (7.0%). MECKLENBURG COUNTY (26.7 MINUTES) HAD A HIGHER MEAN TRAVEL TIME TO WORK THAN THE STATE (25.7 MINUTES) (2015-2019). MECKLENBURG COUNTY HAS A LOWER PERCENTAGE OF FAMILIES LIVING BELOW POVERTY (14.2%) AS COMPARED TO THE STATE OF NORTH CAROLINA (20.4%) (2021). BETWEEN 2015 AND 2019, THE PERCENT OF CHILDREN (UNDER 18 YEARS) LIVING BELOW POVERTY IN MECKLENBURG COUNTY AND THE STATE DECREASED. MECKLENBURG COUNTY (13.8%) HAD A LOWER PERCENTAGE OF CHILDREN (UNDER 18 YEARS) LIVING BELOW POVERTY THAN NORTH CAROLINA (19.3%) (2019). ACCORDING TO FEEDING AMERICA, AN ESTIMATED 10.8% OF MECKLENBURG COUNTY RESIDENTS ARE FOOD INSECURE AS COMPARED TO 13.5% IN NORTH CAROLINA (2019). ADDITIONALLY, 14.7% OF THE YOUTH POPULATION (UNDER 18 YEARS OF AGE) IN MECKLENBURG COUNTY ARE FOOD INSECURE, AS COMPARED TO 18.3% IN NORTH CAROLINA (2019). THE AVERAGE MEAL COST FOR A MECKLENBURG COUNTY RESIDENT IS $3.46, AS COMPARED TO $2.99 IN NORTH CAROLINA (2019). BETWEEN 2014 AND 2018, MECKLENBURG COUNTY MAINTAINED A LOWER PERCENTAGE OF RECIPIENTS WHO QUALIFIED FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) BENEFITS THAN THE STATE. ADDITIONALLY, THE PERCENTAGE OF SNAP BENEFIT RECIPIENTS IN MECKLENBURG COUNTY DECREASED BETWEEN 2014 AND 2018. IN 2018, MECKLENBURG COUNTY (10.6%) HAD A LOWER PERCENTAGE OF RECIPIENTS WHO QUALIFIED FOR SNAP BENEFITS THAN THE STATE (12.8%). THE PERCENT OF PUBLIC SCHOOL STUDENTS THAT ARE ELIGIBLE FOR FREE/REDUCED PRICE LUNCH IN MECKLENBURG COUNTY (54.8%) IS LOWER THAN THE STATE RATE (56.0%), BUT HIGHER THAN THE NATIONAL RATE (49.5%) (2018-2019). IN 2018-2019, THE PERCENT OF STUDENTS RECEIVING THEIR HIGH SCHOOL DIPLOMA WITHIN FOUR YEARS IN MECKLENBURG COUNTY (85.0%) WAS LOWER THAN THE STATE (87.0%) AND NATIONAL (87.7%) RATES. MECKLENBURG COUNTY (30.8%) HAS A HIGHER PERCENTAGE OF HOUSEHOLDS WHERE HOUSING COSTS EXCEED 30% OF TOTAL HOUSEHOLD INCOME AS COMPARED TO THE STATE (28.0%), BUT IS SLIGHTLY LOWER THAN THE NATION (30.9%) (2015-2019). THE PERCENT OF HOMES THAT RECEIVED AN EVICTION JUDGMENT IN WHICH RENTERS WERE ORDERED TO LEAVE IN MECKLENBURG COUNTY (5.8%) IS HIGHER THAN THE STATE (4.6%) AND THE NATION (2.3%) (2016). Schedule H, Part V, Section B, Line 5 Facility , 2 Facility , 2 - CAROLINAS CCH AT PINEVILLE (CONTINUED). CANCER IS THE LEADING CAUSE OF DEATH IN MECKLENBURG COUNTY AND THE SECOND LEADING CAUSE OF DEATH IN THE STATE OF NORTH CAROLINA (2017-2019). CANCER MORTALITY RATES IN MECKLENBURG COUNTY INCREASED BETWEEN 2017 AND 2019, WHILE RATES IN THE STATE DECREASED. IN 2019, THE CANCER MORTALITY RATE IN MECKLENBURG COUNTY (133.2 PER 100,000) WAS LOWER THAN THE STATE (152.0 PER 100,000). HEART DISEASE IS THE SECOND LEADING CAUSE OF DEATH IN MECKLENBURG COUNTY AND THE FIRST LEADING CAUSE OF DEATH IN THE STATE (2017-2019). BETWEEN 2017 AND 2019, HEART DISEASE MORTALITY RATES IN MECKLENBURG COUNTY INCREASED, WHILE THE RATE IN THE STATE DECREASED. IN 2019, THE HEART DISEASE MORTALITY RATE IN MECKLENBURG COUNTY (126.1 PER 100,000) WAS LOWER THAN THE STATE (154.7 PER 100,000). FATAL ACCIDENTS ARE THE THIRD LEADING CAUSE OF DEATH IN MECKLENBURG COUNTY AND IN THE STATE (2017-2019). BETWEEN 2017 AND 2019, ACCIDENT MORTALITY RATES IN MECKLENBURG COUNTY AND THE STATE DECREASED. IN 2019, THE ACCIDENT MORTALITY RATE IN MECKLENBURG COUNTY (37.8 PER 100,000) WAS LOWER THAN THE STATE (56.1 PER 100,000). THE LEADING CAUSE OF FATAL ACCIDENTS IN MECKLENBURG COUNTY IN 2019, WAS DUE TO ACCIDENTAL POISONINGS AND EXPOSURE TO NOXIOUS SUBSTANCES. CEREBROVASCULAR DISEASES IS THE FOURTH LEADING CAUSE OF DEATH IN MECKLENBURG COUNTY AND THE FIFTH LEADING CAUSE OF DEATH IN THE STATE (2017-2019). BETWEEN 2017 AND 2019, CEREBROVASCULAR DISEASE MORTALITY RATES IN MECKLENBURG COUNTY INCREASED AND RATES IN THE STATE DEDREASED. IN 2019, THE CEREBROVASCULAR DISEASE MORTALITY RATE IN MECKLENBURG COUNTY (38.2 PER 100,000) WAS LOWER THAN THE STATE (41.5 PER 100,000). ALZHEIMER'S DISEASE IS THE FIFTH LEADING CAUSE OF DEATH IN MECKLENBURG COUNTY AND THE SIXTH LEADING CAUSE OF DEATH IN THE STATE (2017-2019). BETWEEN 2017 AND 2019, ALZHEIMER'S DISEASE MORTALITY RATES IN MECKLENBURG COUNTY INCREASED, WHILE RATES IN THE STATE DECREASED. IN 2019, THE ALZHEIMER'S DISEASE MORTALITY RATE IN MECKLENBURG COUNTY (38.1 PER 100,000) WAS HIGHER THAN THE STATE (36.9 PER 100,000). CHRONIC LOWER RESPIRATORY DISEASES (CLRD), DIABETES MELLITUS, NEPHRITIS, NEPHROTIC SYNDROME AND NEPHROSIS, INFLUENZA AND PNEUMONIA, AND SEPTICEMIA ARE ALSO LEADING CAUSES OF DEATH IN MECKLENBURG COUNTY. AS OF OCTOBER 30, 2021, THE MAJORITY OF COVID-19 DEATHS WERE WITHIN THE 75+ AGE GROUP IN BOTH MECKLENBURG COUNTY (50%) AND THE STATE (51%). AS OF NOVEMBER 3, 2021, MECKLENBURG COUNTY HAD A LARGER POPULATION (61% AND 57%, RESPECTIVELY) VACCINATED WITH AT LEAST ONE DOSE OF THE COVID-19 VACCINE, AND ALSO FULLY VACCINATED, AS COMPARED TO THE STATE OF NORTH CAROLINA (59% AND 56% RESPECTIVELY). AS OF 2019, OBESITY IN MECKLENBURG COUNTY AND THE STATE OF NORTH CAROLINA IS A PREVALENT CHRONIC CONDITION. THE PERCENTAGE OF OVERWEIGHT AND OBESE ADULTS (AGE 18+) WAS LOWER IN MECKLENBURG COUNTY (63.7%) AND THE CHARLOTTE AREA HEALTH EDUCATION CENTER REGION, (CHARLOTTE AHEC) (69.5%) THAN THE STATE (69.6%) (2019). MECKLENBURG COUNTY (56.4%) HAS A LOWER RATE OF MEDICARE FEE-FOR-SERVICE RESIDENTS WITH HYPERTENSION THAN THE STATE (60.0%) AND THE NATION (57.2 %) (2018). IN 2019, THE PREVALENCE RATE OF ADULTS (AGE 18+) EVER DIAGNOSED WITH ASTHMA IN MECKLENBURG COUNTY (6.6%) WAS LOWER THAN THE CHARLOTTE AHEC REGION (11.4%) AND THE STATE (13.1%). IN 2019, THE PERCENTAGE OF ADULTS (AGE 18+) EVER DIAGNOSED WITH SOME FORM OF ARTHRITIS, RHEUMATOID ARTHRITIS, GOUT, LUPUS, OR FIBROMYALGIA WAS LOWER IN THE CHARLOTTE AHEC REGION (20.0%) THAN THE STATE OF NORTH CAROLINA (27.0%). IN 2019, THE PERCENT OF ADULTS (AGE 18+) EVER DIAGNOSED WITH A DEPRESSIVE DISORDER IN MECKLENBURG COUNTY (18.7%) WAS LOWER THAN THE CHARLOTTE AHEC REGION (22.1%) AND THE STATE (21.6%). THE PERCENT OF TOTAL CIVILIAN NON-INSTITUTIONALIZED POPULATION WITH A DISABILITY IN MECKLENBURG COUNTY (8.0%) IS LOWER THAN THE STATE (13.5%) AND THE NATION (12.6%)(2015-2019). AS OF 2019, MECKLENBURG COUNTY (15.8%) HAD A LOWER RATE OF UNINSURED ADULTS (AGE 18-64) THAN THE STATE (16.3%). MECKLENBURG COUNTY EXPERIENCED A SLIGHT DECREASE IN THE PERCENTAGE OF UNINSURED ADULTS (AGE 18-64) BETWEEN 2015 AND 2019, WHILE THE STATE EXPERIENCED A SLIGHT INCREASE (0.4 POINTS AND 0.1 POINTS, RESPECTIVELY). A COMPREHENSIVE, SIX-STEP COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") WAS CONDUCTED FOR CAROLINAS CONTINUECARE HOSPITAL AT PINEVILLE (CAROLINAS CCH AT PINEVILLE) BY CHC CONTINUECARE. THIS CHNA UTILIZES RELEVANT HEALTH DATA AND STAKEHOLDER INPUT TO IDENTIFY THE SIGNIFICANT COMMUNITY HEALTH NEEDS IN MECKLENBURG COUNTY, NORTH CAROLINA. COMMUNITY INPUT WAS RECEIVED DURING INTERVIEWS CONDUCTED BY CHC CONTINUECARE FROM JULY 16, 2021 - AUGUST 5, 2021. THE CHNA IS DESIGNED IN ACCORDANCE WITH CHNA REQUIREMENTS IDENTIFIED IN THE PATIENT PROTECTION AND AFFORDABLE CARE ACT AND FURTHER ADDRESSED IN THE INTERNAL REVENUE SERVICE FINAL REGULATIONS RELEASED ON DECEMBER 29, 2014. THE CAROLINAS CCH AT PINEVILLE BOARD REVIEWED AND ADOPTED THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN ON FEBRUARY 6, 2019. INTERVIEW METHODOLOGY: CAROLINAS CCH AT PINEVILLE WORKED WITH CHC CONTINUECARE IN THE DEVELOPMENT OF ITS CHNA. CAROLINAS CCH AT PINEVILLE PROVIDED ESSENTIAL DATA AND RESOURCES NECESSARY TO INITIATE AND COMPLETE THE PROCESS, INCLUDING THE DEFINITION OF THE HOSPITAL'S STUDY AREA AND THE IDENTIFICATION OF KEY COMMUNITY STAKEHOLDERS TO BE INTERVIEWED. BACKGROUND INFORMATION ABOUT CAROLINAS CCH AT PINEVILLE, INCLUDING THE MISSION, VISION, VALUES, AND HOSPITAL SERVICES WAS PROVIDED BY THE HOSPITAL OR TAKEN FROM ITS WEBSITE. POPULATION DEMOGRAPHICS INFORMATION WAS COLLECTED BY CHC CONTINUECARE USING SOURCES WHICH INCLUDED STRATASAN, SPARKMAP, AND THE U.S. CENSUS BUREAU AND THE UNITED STATES BUREAU OF LABOR STATISTICS AND INCLUDED INFORMATION REGARDING POPULATION CHANGE BY RACE, ETHNICITY, AGE, MEDIAN HOUSEHOLD INCOME, UNEMPLOYMENT AND ECONOMIC STATISTICS IN THE STUDY AREA. HEALTH DATA WAS ALSO COLLECTED FROM A VARIETY OF SOURCES, INCLUDING BUT NOT LIMITED TO, THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) WONDER TOOL, THE ROBERT WOOD JOHNSON FOUNDATION, THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE, SPARKMAP, THE NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES, THE NORTH CAROLINA CENTRAL CANCER REGISTRY, SMALL AREA HEALTH INSURANCE ESTIMATES (SAHIE), THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) AND THE U.S. CENSUS BUREAU. CAROLINAS CCH AT PINEVILLE PROVIDED CHC CONTINUECARE WITH A LIST OF PERSONS WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH IN THE REPORT AREA, INCLUDING PUBLIC HEALTH REPRESENTATIVES, NOT-FOR-PROFIT ORGANIZATION PROFESSIONALS, CHARITIES AND OTHER INDIVIDUALS WHO FOCUS SPECIFICALLY ON UNDERREPRESENTED GROUPS. FROM THAT LIST, ELEVEN IN DEPTH INTERVIEWS WERE CONDUCTED USING A STRUCTURED INTERVIEW GUIDE, WITH THE TWO GROUPS OUTLINED IN THE INTERNAL REVENUE SERVICE FINAL REGULATIONS ISSUED DECEMBER 29, 2014. DISCUSSED WERE THE HEALTH NEEDS OF THE COMMUNITY, ACCESS ISSUES, BARRIERS AND ISSUES RELATED TO SPECIFIC POPULATIONS. WITH RESPECT TO INDIVIDUALS PROVIDING INPUT, IT WAS NOTED IN THE CHNA THAT 90.9% OF THOSE PROVIDING INPUT ARE MEMBERS OF A MEDICALLY UNDERSERVED, LOW-INCOME OR MINORITY POPULATION IN THE COMMUNITY, OR INDIVIDUALS OR ORGANIZATIONS SERVING OR REPRESENTING THE INTERESTS OF SUCH POPULATIONS. 9.1% OF THOSE PROVIDING INPUT WORK FOR A STATE, LOCAL, TRIBAL OR REGIONAL GOVERNMENTAL PUBLIC HEALTH DEPARTMENT (OR EQUIVALENT DEPARTMENT OR AGENCY) WITH KNOWLEDGE, INFORMATION OR EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY. INTERVIEWEES INCLUDED: * JOHN BARKLEY: CHIEF MEDICAL OFFICER - POST ACUTE CARE SERVICES, ATRIUM HEALTH * SHELLEY BLACK: CLIENT RELATIONS DIRECTOR, AVEANNA HEALTHCARE * DAWN BURKE: CLINICAL NURSE LIAISON, MEDICAL FACILITIES OF AMERICA * JOHN FICKER: ADMINISTRATOR, PINEVILLE REHABILITATION & LIVING CENTER * GIBBIE HARRIS: DIRECTOR OF PUBLIC HEALTH, MECKLENBURG COUNTY HEALTH DEPARTMENT * SAJU JOY: CHIEF MEDICAL OFFICER - CENTRAL (CAROLINAS MEDICAL CENTER, ATRIUM HEALTH MERCY, BEHAVIORAL HEALTH & CLINICS), ATRIUM HEALTH; BOARD MEMBER, CAROLINAS CONTINUECARE HOSPITALS * RUTH KRYSTOPOLSKI: SENIOR VICE PRESIDENT OF POPULATION HEALTH, ATRIUM HEALTH * ROBERT LARRISON: PRESIDENT - CAROLINAS REHABILITATION NETWORK, ATRIUM HEALTH * JON MYERS: ASSISTANT VICE PRESIDENT - ATRIUM HEALTH PINEVILLE, ATRIUM HEALTH * LORI WILLIAMS: POST ACUTE CARE SERVICES ACCOUNT EXECUTIVE, ATRIUM HEALTH * TREASURE WINCHESTER: TRANSITIONAL CARE LIAISON, HOSPICE AND PALLIATIVE CARE CHARLOTTE REGION Schedule H, Part V, Section B, Line 5 Facility , 3 Facility , 3 - CAROLINAS CCH AT PINEVILLE (CONTINUED). POPULATIONS THAT WERE IDENTIFIED AS THE MOST AT RISK FOR INADEQUATE CARE IN THE COMMUNITY BY INTERVIEWEES WERE: LOW INCOME/ WORKING POOR, RACIAL/ETHNIC GROUPS, ELDERLY, YOUTH, HOMELESS AND VETERANS. THESE UNDERSERVED GROUPS WERE IDENTIFIED AS MOST AT RISK FOR INADEQUATE CARE DUE TO THE FOLLOWING: LOW INCOME/WORKING POOR - LIMITED ACCESS TO CARE DURING WORKING HOURS - COST BARRIERS TO CARE AND INSURANCE COVERAGE - TRANSPORTATION BARRIERS RACIAL/ETHNIC - GROWING POPULATION - LANGUAGE BARRIERS (NON-ENGLISH SPEAKING) - DIVERSITY IN PROVIDERS FOR CULTURAL COMFORT ELDERLY - TRANSPORTATION BARRIERS - COST BARRIERS TO CARE - CAREGIVER BURNOUT - INSURANCE CHALLENGES AND CONSTRAINTS - MENTAL HEALTH CONSTRAINTS YOUTH - LIMITED ACCESS TO LOCAL MENTAL AND BEHAVIORAL HEALTH CARE RESOURCES - INCREASED RECREATIONAL DRUG USE - DEPRESSION, ANXIETY, PERSONALITY DISORDERS HOMELESS - MENTAL HEALTH CONCERNS - SUBSTANCE USE - LIMITED ACCESS TO LOCAL RESOURCES VETERANS - ASSISTANCE IN NAVIGATING VA SYSTEM - EMPLOYMENT OPPORTUNITIES Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - CAROLINAS CCH AT PINEVILLE. THE MOST RECENTLY CONDUCTED CHNA IDENTIFIED SIX SIGNIFICANT NEEDS IN THE COMMUNITY SERVED BY CAROLINAS CONTINUECARE AT PINEVILLE (CAROLINAS CCH AT PINEVILLE), WHICH WERE IDENTIFIED BY ASSESSING THE PREVALENCE OF THE ISSUES FOUND WITHIN THE HEALTH DATA FINDINGS, COMBINED WITH THE FREQUENCY AND SEVERITY OF MENTIONS IN COMMUNITY INPUT. THE CHNA TEAM, CONSISTING OF LEADERSHIP FROM CCHHMC, MET WITH STAFF FROM CHC CONTINUECARE TO REVIEW THE RESEARCH FINDINGS AND PRIORITIZE THE COMMUNITY HEALTH NEEDS. THE FINAL LIST OF PRIORITIZED NEEDS IS AS FOLLOWS: 1. IMPACT OF COVID-19 PANDEMIC 2. INCREASED EMPHASIS ON EDUCATION AND AWARENESS OF EXISTING HEALTH CARE RESOURCES 3. ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS 4. PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES 5. ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS 6. ACCESS TO PRIMARY CARE PROVIDERS AND SERVICES THE CHNA TEAM PARTICIPATED IN A PRIORITIZATION PROCESS USING A STRUCTURED MATRIX TO RANK THE COMMUNITY HEALTH NEEDS BASED ON THREE CHARACTERISTICS: SIZE AND PREVALENCE OF THE ISSUE, EFFECTIVENESS OF INTERVENTIONS AND THE HOSPITAL'S CAPACITY TO ADDRESS THE NEED. ONCE THIS PRIORITIZATION PROCESS WAS COMPLETE, HOSPITAL LEADERSHIP DISCUSSED THE RESULTS AND DECIDED TO ADDRESS FIVE OF THE SIX PRIORITIZED NEEDS IN VARIOUS CAPACITIES THROUGH A HOSPITAL SPECIFIC IMPLEMENTATION PLAN. PRIORITY #1: IMPACT OF COVID-19 PANDEMIC OBJECTIVE: IMPLEMENT AND OFFER PROGRAMS THAT AIM TO REDUCE THE IMPACT OF THE COVID-19 PANDEMIC 1.A. CAROLINAS CCH AT PINEVILLE CONTINUES TO PARTNER WITH LOCAL ORGANIZATIONS IN ADDRESSING COVID-19 AND OTHER FUNDRAISING EFFORTS. 1.B. CAROLINAS CCH AT PINEVILLE WILL CONTINUE TO FOLLOW COVID-19 PATIENT SAFETY PROTOCOLS IN ACCORDANCE WITH CDC AND STATE GUIDELINES. 1.C. CAROLINAS CCH AT PINEVILLE WILL CONTINUE TO ADMIT PATIENTS FROM REGIONAL SHORT TERM ACUTE CARE HOSPITALS IN AN EFFORT TO OPEN UP MORE BEDS FOR APPROPRIATE PATIENTS AND PROVIDE RELIEF DURING ANY COVID-19 PANDEMIC PATIENT SURGES. 1.D. CAROLINAS CCH AT PINEVILLE WILL CONTINUE TO PARTICIPATE IN THE HOST HOSPITAL'S INCIDENT COMMAND CALLS FOR COVID-19 UPDATES AND IMPLEMENTATION OF APPROPRIATE PROCESSES. 1.E. CAROLINAS CCH AT PINEVILLE WILL CONTINUE TO WORK WITH THE HOST HOSPITAL FOR DISCHARGING COVID-19 POSITIVE AND RECOVERY PATIENTS THROUGH THE RECENTLY ESTABLISHED DASHBOARD THAT IS UPDATED DAILY WITH COVID-19 BED AVAILABILITY. 1.F. CAROLINAS CCH AT PINEVILLE IS AVAILABLE TO PROVIDE EDUCATION ON COVID-19 AS OPPORTUNITIES ARISE. 1.G CAROLINAS CCH AT PINEVILLE CONTINUES APPROPRIATELY TESTING AND FOLLOWING CDC GUIDELINES AND COMMUNITY STANDARDS TO CONTROL THE SPREAD AND REDUCE RISK OF COVID-19 INFECTION WHEN DISCHARGING PATIENTS TO A LOWER LEVEL OF CARE AND THEIR HOME ENVIRONMENT. PRIORITY #2: INCREASED EMPHASIS ON EDUCATION AND AWARENESS OF EXISTING HEALTH CARE RESOURCES OBJECTIVE: PARTICIPATE IN INITIATIVES AND CREATE OPPORTUNITIES TO EMPHASIZE AND EDUCATE COMMUNITY MEMBERS ON EXISTING HEALTH CARE RESOURCES. 2.A. CAROLINAS CCH AT PINEVILLE WILL CONTINUE TO PARTICIPATE IN LUNCH AND LEARN SEMINAR EVENTS TO EDUCATE LOCAL HEALTH CARE PROVIDERS, ORGANIZATIONS AND THE COMMUNITY ON SERVICES OFFERED BY THE LTAC FACILITY ON A REGULAR BASIS. 2.B. CAROLINAS CCH AT PINEVILLE WILL CONTINUE TO OFFER LIAISONS TO GIVE EDUCATION ON LONG TERM ACUTE CARE (LTAC) SERVICES AND PATIENTS WHO MAY NEED LTAC SERVICES AS OPPORTUNITIES ARISE. 2.C. CAROLINAS CCH AT PINEVILLE WILL CONTINUE TO PARTICIPATE IN OR PROVIDE SPACE FOR MEETINGS HELD BY VARIOUS LOCAL, STATE AND NATIONAL ORGANIZATIONS TO SHARE INFORMATION ABOUT SERVICES OFFERED AT THE LTAC SUCH AS THE CASE MANAGEMENT SOCIETY OF AMERICA MEETING THAT INCLUDES A KEYNOTE SPEAKER WHO PROVIDES EDUCATION TO THE AUDIENCE ON A SIGNIFICANT HEALTH TOPIC WITHIN THE COMMUNITY. CONTINUING EDUCATION UNITS (CEUS) MAY BE OFFERED AT SOME OF THE EVENTS. 2.D. CAROLINAS CCH AT PINEVILLE WILL CONTINUE TO ATTEND ICU ROUNDS AT VARIOUS LOCAL FACILITIES WHEN INVITED IN ORDER TO INCREASE SOCIALIZATION WITH REFERRAL SOURCES. 2.E. CAROLINAS CCH AT PINEVILLE WILL CONTINUE TO PROVIDE ANNUAL IN-SERVICES AND OPEN HOUSES TO ENSURE SOCIALIZATION OF THE LTACH AND TO PROMOTE ITS SERVICES. 2.F. CAROLINAS CCH AT PINEVILLE OFFERS AN EDUCATIONAL VIDEO TO SHARE WITH LOCAL HEALTH CARE PROVIDERS, ORGANIZATIONS AND THE COMMUNITY ON SERVICES OFFERED BY THE LTACH. PRIORITY #3: ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS. OBJECTIVE: PARTICIPATE IN INITIATIVES AND CREATE OPPORTUNITIES TO INCREASE ACCESS TO AFFORDABLE CARE AND REDUCE HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS. 3.A. CAROLINAS CCH AT PINEVILLE WILL CONTINUE TO PROVIDE SERVICES TO ELIGIBLE UNINSURED AND UNDERINSURED INDIVIDUALS AS OUTLINED IN THEIR CHARITY CARE POLICY, WHICH IS AVAILABLE TO EVERY PATIENT ON ADMISSION. THIS ALLOWS PATIENTS AND/OR FAMILIES TO KNOW THE DETAILS OF HOW THEY MAY QUALIFY FOR REDUCTION OR ELIMINATION OF ANY BALANCE OWED BY THEM FOR SERVICES WE PROVIDE. 3.B. CAROLINAS CCH AT PINEVILLE WILL CONTINUE TO OFFER FINANCIAL ASSISTANCE AND PAYMENT PLAN EDUCATION TO PATIENTS WHO HAVE AN ECONOMIC NEED AND MEET THE QUALIFICATIONS OF THE FINANCIAL ASSISTANCE POLICY. IF FINANCIAL ASSISTANCE IS NEEDED, CAROLINAS CCH AT PINEVILLE ENCOURAGES PATIENTS TO COMPLETE AN APPLICATION TO SEE IF THEY QUALIFY. 3.C. CAROLINAS CCH AT PINEVILLE WILL CONTINUE TO MAINTAIN ITS AGREEMENTS WITH THE AMERICAN ACADEMY OF HEALTHCARE, CENTRAL PIEDMONT COMMUNITY COLLEGE, CMC NORTHEAST ON BEHALF OF CABARRUS COLLEGE OF HEALTH SCIENCE, GASTON COLLEGE, QUEENS COLLEGE, STANLY COMMUNITY COLLEGE, UNIVERSITY OF BUFFALO AND WINGATE UNIVERSITY WHICH ALLOW FOR REPIRATORY, PHARMACY, CASE MANAGEMENT, CNA, PTA/OTA, HEALTH SCIENCE, MUSIC THERAPY, PT AND RN STUDENTS TO CONDUCT CLINICAL ROTATIONS IN THE HOSPITAL. 3.D. CAROLINAS CCH AT PINEVILLE WILL CONTINUE TO WORK WITH VENDORS AND UTILIZE THEIR CHARITY CARE POLICIES IN ORDER TO ASSIST PATIENTS WHEREVER NEEDED. 3.E. CAROLINAS CCH AT PINEVILLE WILL CONTINUE TO PROVIDE ALL OF THE NECESSARY FORMS FOR PATIENTS TO COMPLETE IF THEY REQUIRE TRANSPORTATION SERVICES SUCH AS EMERGENCY AMBULANCE VEHICLES. FOR WHEELCHAIR TRANSPORTATION SERVICES, EMPLOYEES SET UP THE SERVICE FOR PATIENTS AND PROVIDE THEM WITH THE INFORMATION SO THAT THEY MAY USE THE SERVICE FOR FUTURE APPOINTMENTS. 3.F. CAROLINAS CCH AT PINEVILLE WILL CONTINUE TO PARTNER WITH COMMUNITY ORGANIZATIONS THAT SERVE SPECIFIC, VULNERABLE POPULATIONS, SUCH AS THE LOCAL CHAPTER OF THE AMERICAN LUNG ASSOCIATION, IN ORDER TO REDUCE HEALTH DISPARITIES WITHIN THE COMMUNITY. 3.G. CAROLINAS CCH AT PINEVILLE WILL CONTINUE TO MAINTAIN RELATIONSHIPS WITH AND PROVIDING TRAINING TO STAFF AT LOCAL NURSING HOMES ON THE APPROPRIATE TREATMENT OF MEDICALLY COMPLEX PATIENTS IN ORDER TO STRENGTHEN THE TRANSITION OF CARE BETWEEN THE LTAC FACILITY AND LOCAL NURSING HOMES. 3.H. CAROLINAS CCH AT PINEVILLE WILL CONTINUE TO PROVIDE EDUCATION AND PREVENTION MATERIALS, PAPERWORK, AND MEDICATION INSTRUCTIONS IN MULTIPLE LANGUAGES TO APPLICABLE PATIENTS THROUGH STRATUS INTERPRETATION SERVICES, AND TRANSLATION SERVICES THROUGH CHOICE TRANSLATING, INC. IF NEEDED. Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - CAROLINAS CCH AT PINEVILLE (CONTINUED). 3.I. CAROLINAS CCH AT PINEVILLE WILL CONTINUE TO PROVIDE PULMONARY SERVICES THROUGH THE ROTATION OF THE LOCAL HOSPITAL'S PULMONOLOGISTS THROUGH THE LTAC FACILITY TO PROVIDE CARE TO ALL PATIENTS, REGARDLESS OF INSURANCE COVERAGE STATUS. 3.J. CAROLINAS CCH AT PINEVILLE WILL CONTINUE TO PARTICIPATE IN DRIVE EVENTS (I.E., TOY, FOOD, SCHOOL SUPPLY, AND CLOTHING DRIVES) AS NEEDED TO BENEFIT THE COMMUNITY PRIORITY #4: PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES OBJECTIVE: INCREASE HEALTHY LIFESTYLE EDUCATION AND PREVENTION RESOURCES AT THE HOSPITAL AND IN THE COMMUNITY 4.A. CAROLINAS CCH AT PINEVILLE WILL CONTINUE TO PROVIDE VARIOUS HEALTH SCREENINGS AT NO COST FOR EMPLOYEES, VOLUNTEERS AND INTERNS, SUCH AS WEIGHT, BMI, AND BLOOD PRESSURE CHECKS, AS WELL AS IMMUNIZATIONS SUCH AS FLU VACCINES, TB VACCINATIONS, ETC 4.B. CAROLINAS CCH AT PINEVILLE IS AVAILABLE TO SPEAK AT COMMUNITY EVENTS, PROVIDE INFORMATION, OR PARTICIPATE IN OTHER EDUCATIONAL OPPORTUNITIES BY REQUEST. 4.C. CAROLINAS CCH AT PINEVILLE WILL CONTINUE TO TRAIN ALL CLINICAL STAFF ON BLS AND ACLS FOR ALL RN AND RT STAFF. 4.D. CAROLINAS CCH AT PINEVILLE WILL CONTINUE TO PROVIDE MEETING SPACE AT NO COST FOR SUPPORT GROUPS 4.E. CAROLINAS CCH AT PINEVILLE WILL CONTINUE TO PARTICIPATE IN CONFERENCES AND TRAININGS FOCUSED AROUND THEIR PATIENT POPULATION'S NEEDS, SUCH AS THE AMERICAN CASE MANAGEMENT ASSOCIATION (ACMA) NORTH CAROLINA CONFERENCE (BI-ANNUALLY), CASE MANAGEMENT SOCIETY OF AMERICA (CMSA) NORTH CAROLINA CONFERENCE (BIANNUALLY), THE NORTHWEST AREA HEALTH EDUCATION CENTER (NWAHEC) ANNUAL HIGH COUNTRY CONFERENCE ON PROGRAM FOR INFECTION CONTROL AND EPIDEMIOLOGY. 4.F. CAROLINAS CCH AT PINEVILLE WILL CONTINUE TO PARTNER WITH AND SUPPORT LOCAL HEALTH-RELATED EVENTS. 4.G. CAROLINAS CCH AT PINEVILLE STAFF WILL CONTINUE TO SPONSOR AND SUPPORT THE AMERICAN LUNG ASSOCIATION (ALA), AND RAISE MONEY AND AWARENESS FOR ALA WITHIN THE COMMUNITY. 4.H. CAROLINAS CCH AT PINEVILLE WILL ENGAGE IN A VARIETY OF EMPLOYEE WELLNESS INITIATIVES, INCLUDING A HEALTH PLAN THAT IS PREVENTION DRIVEN. IF EMPLOYEES MEET CERTAIN CRITERIA THEY WILL RECEIVE A REDUCTION ON A PORTION OF THEIR PREMIUMS. OTHER INITIATIVES INCLUDE: PROMOTE EMPLOYEE AND FAMILY WELLNESS VIA ASSET HEALTH (FORMERLY ACCOUNTABLE HEALTH); OFFER NEED SPECIFIC SPECIAL PROGRAMS; SMOKING CESSATION OPPORTUNITIES; AND WEIGHT MANAGEMENT. 4.I. CAROLINAS CCH AT PINEVILLE EMPLOYEES HAVE ACCESS TO THE HEALTHIER OPTIONS IN THE CAFETERIA, SUCH AS A SALAD BAR, AS WELL AS NUTRITIONAL FACTS FOR FOOD THAT IS SERVED THROUGH THE MINDFUL PROGRAM. 4.J. CAROLINAS CCH AT PINEVILLE WILL CONTINUE TO SERVE AS A TOBACCO-FREE FACILITY. 4.K. CAROLINAS CCH AT PINEVILLE WILL CONTINUE TO HOST INTERDISCIPLINARY TEAM MEETINGS ON A WEEKLY BASIS THAT INCLUDE ALL NECESSARY PERSONS IN DISCUSSIONS REGARDING INDIVIDUAL PATIENT CARE FOR A MORE COMPREHENSIVE, PATIENTCENTERED APPROACH. CAROLINAS CCH AT PINEVILLE STAFF ENCOURAGE FAMILY MEMBERS TO ATTEND AS WELL IN ORDER TO FULLY UNDERSTAND THE NEEDS OF THE PATIENT. 4.L. CAROLINAS CCH AT PINEVILLE WILL CONTINUE TO PROVIDE PATIENTS' OTHER PHYSICIANS WITH A COPY OF THEIR DISCHARGE SUMMARIES UPON REQUEST. 4.M. CAROLINAS CCH AT PINEVILLE WILL CONTINUE TO CONDUCT POST DISCHARGE FOLLOW UP CALLS FOR EVERY PATIENT THAT HAS BEEN DISCHARGED. FOR PATIENTS THAT ARE DISCHARGED TO THEIR HOME, A CALL IS PLACED WITHIN THE FIRST 24-72 HOURS TO ASSESS THE TRANSITION HOME, AND TO IDENTIFY AND ADDRESS ANY ISSUES OR PROBLEMS (I.E., INABILITY TO OBTAIN PRESCRIPTIONS, HOME HEALTH CARE START OF CARE, PAIN AND SYMPTOM MANAGEMENT, EQUIPMENT CONCERNS, OR EFFECTIVENESS OF DISCHARGE PLANNING). FOLLOW UP CALLS ARE ALSO PERFORMED ON EVERY PATIENT 30 DAYS AFTER DISCHARGE FROM THE LTAC TO DETERMINE IF PATIENT WAS READMITTED TO A STAC WITHIN 30 DAYS OF DISCHARGING. 4.N. CAROLINAS CCH AT PINEVILLE WILL CONTINUE TO CONDUCT A THOROUGH MEDICATION MANAGEMENT EDUCATION PROCESS FOR PATIENTS THAT INVOLVES PATIENT DEMONSTRATION OF PROPER MEDICATION METHODS AND DOCUMENTATION OF THE PATIENT'S PROPER MEDICATION METHODS BEFORE ALLOWING THE PATIENT TO BE DISCHARGED. PRIORITY #5: ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS OBJECTIVE: IMPLEMENT AND OFFER PROGRAMS THAT AIM TO ADDRESS ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES IN THE COMMUNITY 5.A. CAROLINAS CCH AT PINEVILLE WILL CONTINUE TO OFFER THE EMPLOYEE ASSISTANCE PROGRAM (EAP) THROUGH BEACON HEALTH OPTIONS TO HELP EMPLOYEES NAVIGATE VARIOUS LIFE CHALLENGES. 5.B. CAROLINAS CCH AT PINEVILLE WILL CONTINUE TO PROMOTE MENTAL HEALTH SELF-CARE EDUCATION TO STAFF MEMBERS, INCLUDING SELF-COMPASSION, MINDFULNESS, COPING WITH STRESS AND SUICIDE PREVENTION STRATEGIES. 5.C. CAROLINAS CCH AT PINEVILLE CONTINUES TO CONNECT PATIENTS WITH MENTAL HEALTH SUPPORT THROUGH PASTORAL CARE FOR APPROPRIATE PATIENTS AND THEIR FAMILIES. 5.D. CAROLINAS CCH AT PINEVILLE STAFF CONTINUE TO GO ABOVE AND BEYOND TO CARE FOR THEIR PATIENTS WELLBEING, BOTH DURING WORKING HOURS AND AFTER HOURS, PARTICULARLY SERVING AS PATIENTS SUPPORT DURING THE COVID-19 PANDEMIC WHEN THEIR FAMILIES COULD NOT VISIT THEM. PRIORITIES NOT ADDRESSED: CAROLINAS CONTINUECARE HOSPITAL AT PINEVILLE (CAROLINAS CCH AT PINEVILLE), DECIDED NOT TO SPECIFICALLY ADDRESS "ACCESS TO PRIMARY CARE PROVIDERS AND SERVICES". BASED ON CAROLINAS CCH AT PINEVILLE'S STATUS AS A LONG TERM ACUTE CARE FACILITY, THE HOSPITAL HAS FOCUSED ITS CAPABILITIES ON ADDRESSING THE NEEDS OF THIS PARTICULAR MARKET. THEREFORE, "ACCESS TO PRIMARY CARE PROVIDERS AND SERVICES" IS NOT DIRECTLY ADDRESSED IN THE HOSPITAL'S IMPLEMENTATION PLAN. WHILE CAROLINAS CCH AT PINEVILLE ACKNOWLEDGES THAT THIS IS A SIGNIFICANT NEED IN THE COMMUNITY AND WILL WORK WITH LOCAL COMMUNITY ORGANIZATIONS TO SEE HOW THE FACILITY CAN ASSIST IN THIS AREA, THE IDENTIFIED PRIORITY WILL NOT BE ADDRESSED BY THE HOSPITAL SINCE IT IS NOT A CORE BUSINESS FUNCTION OF THE HOSPITAL AND THE LEADERSHIP TEAM FELT THAT RESOURCES AND EFFORTS WOULD BE BETTER SPENT ADDRESSING THE REMAINING FIVE PRIORITIZED NEEDS. Schedule H, Part V, Section B, Line 20 Facility , 1 Facility , 1 - CAROLINAS CCH AT PINEVILLE. CAROLINAS CCH AT PINEVILLE DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTION ON ANY OUTSTANDING PATIENT ACCOUNTS. 0 Schedule H, Part I, Line 7f COMMUNITY BENEFIT EXPENSE SINCE CAROLINAS CCH AT PINEVILLE IS A LONG-TERM ACUTE CARE HOSPITAL, IT WILL HAVE LOWER PERCENTAGES THAN AN ACUTE CARE HOSPITAL. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote Patients accounts receivable consist of amounts due for the provision of health care SERVICES WHICH ARE RECORDED at AMORTIZED COST AT THE NET AMOUNT EXPECTED TO BE COLLECTED. IN EVALUATION THE COLLECTABILITY OF PATIENTS ACCOUNTS RECEIVABLE, MANAGEMENT REGULARLY REVIEWS DATA AND DEVELOPS A LOSS RATE TO DETERMINE EXPECTED CREDIT LOSSES BASED ON SEVERAL FACTORS INCLUDING WHETHER A PATIENT HAS THIRD PARTY PAYOR COVERAGE OR IS UNINSURED, THE AGING OF RECEIVABLES, HISTORICAL COLLECTIONS AND LOSS EXPERIENCE, CURRENT CONTRACT PRICES OR CLAIMS PAID DATA, AND TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE. THESE ESTIMATES ARE ADJUSTED FOR RECOVERIES OF ANY ANTICIPATED CHANGES IN TRENDS, INCLUDING SIGNIFICANT CHANGES IN PAYOR MIX, ECONOMIC CONDITIONS OR TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTH CARE COVERAGE. MANAGEMENT BELIEVES THE COMPOSITION OF RECEIVABLES AT YEAR-END IS CONSISTENT WITH HISTORICAL CONDITIONS AS CREDIT TERMS AND PRACTICES AND THE CUSTOMER BASE HAS NOT CHANGED SIGNIFICANTLY; THEREFORE, THE ORGANIZATION HAS MAINTAINED CONSISTENT METHODOLOGY IN ESTIMATE OF CREDIT LOSSES. MANAGEMENT HAS DETERMINED THE ESTIMATE OF EXPECTED CREDIT LOSSES IS NOT MATERIAL TO THE FINANCIAL STATEMENTS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE COSTING METHODOLOGY USED ON LINE 6 COMES FROM THE COST REPORT (INPATIENT PPS COST-TO-CHARGE RATIO COMPUTATION). ANY SHORTFALL IS A COMMUNITY BENEFIT AS IT IS THE COST OF PROVIDING CARE TO THE COMMUNITY THAT IS NOT REIMBURSED BY THE MEDICARE PROGRAM. BY PROVIDING CARE TO THESE INDIVIDUALS, THE HOSPITAL IS IMPROVING THE HEALTH OF THE COMMUNITY. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance IF A PATIENT OF CAROLINAS CCH AT PINEVILLE QUALIFIES FOR ITS CHARITY CARE POLICY THE PATIENTS ACCOUNT IS ADJUSTED ACCORDINGLY. PATIENT ACCOUNTS WITH REMAINING BALANCES WILL BE REASSESSED TO DETERMINE THEIR ABILITY TO PAY AND WILL EITHER BE ELIGIBLE TO PARTICIPATE IN A PAYMENT PLAN OR THEIR ACCOUNT BALANCE WILL BE WRITTEN OFF. Schedule H, Part V, Section B, Line 16a FAP website - CAROLINAS CCH AT PINEVILLE: Line 16a URL: https://pineville.continuecare.org/for-families/financial-assistance/; Schedule H, Part V, Section B, Line 16b FAP Application website - CAROLINAS CCH AT PINEVILLE: Line 16b URL: https://pineville.continuecare.org/for-families/financial-assistance/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - CAROLINAS CCH AT PINEVILLE: Line 16c URL: https://pineville.continuecare.org/for-families/financial-assistance/; Schedule H, Part VI, Line 2 Needs assessment AS REPORTED IN SCHEDULE H, PART V, SECTION B, LINES 1-7, CAROLINAS COMMUNITYCARE HOSPITAL AT PINEVILLE, (CAROLINAS CCH AT PINEVILLE), CONDUCTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING TAX YEAR 2021 FOR ITS FISCAL YEAR ENDED JUNE 30, 2022. THE CAROLINAS CCH AT PINEVILLE BOARD REVIEWED AND ADOPTED THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN ON FEBRUARY 24, 2022. THE HOSPITAL'S CHNA COMPLIED WITH THE GUIDANCE SET FORTH BY THE IRS IN THE FINAL REGULATIONS RELEASED DECEMBER 29, 2014. IN ADDITION TO THE CHNA DISCUSSED ABOVE, A VARIETY OF PRACTICES AND PROCESSES ARE IN PLACE TO ENSURE THAT THE HOSPITAL IS RESPONSIVE TO THE HEALTH NEEDS OF ITS COMMUNITY. THE HEALTH CARE NEEDS FOR THE COMMUNITY SERVED ARE ASSESSED BY A REVIEW OF THE PRIMARY AND TERTIARY SERVICE AREAS FOR DISEASE SPECIFIC MORTALITY RATES. DISEASE STATISTICS ARE GATHERED FROM THE HEALTH PROMOTION UNIT OF THE NORTH CAROLINA DEPARTMENT OF STATE HEALTH SERVICES. INTERVIEWS WITH LOCAL HEALTH CARE AND ELDERLY SERVICE PROVIDERS ARE CONDUCTED TO ASSESS THEIR PERCEIVED UNMET NEEDS IN THE COMMUNITY. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance PATIENTS AND PERSONS WHO MAY BE BILLED FOR SERVICES ARE INFORMED OF THIS UPON ADMISSION TO CAROLINAS CONTINUECARE HOSPITAL AT PINEVILLE. A FACE-T0-FACE VISIT WITH HOSPITAL ADMINISTRATIVE PERSONNEL MAY OCCUR, IF CLINICALLY APPROPRIATE, AT THE TIME OF ADMISSION OR LATER DURING THE HOSPITAL STAY. AS FINANCIAL ISSUES ARE DISCUSSED, IF IT IS FELT THAT THE PATIENT MAY QUALIFY FOR ASSISTANCE THROUGH THE HOSPITALS FINANCIAL ASSISTANCE POLICY, THEN THE NECESSARY DOCUMENTS WOULD BE PRESENTED BY HOSPITAL PERSONNEL TO THE RESPONSIBLE PARTY FOR COMPLETION AND SUBMISSION FOR CONSIDERATION. Schedule H, Part VI, Line 4 Community information CAROLINAS CONTINUECARE HOSPITAL AT PINEVILLE SERVES PRIMARILY THOSE PATIENTS WHO ARE FROM MECKLENBURG COUNTY AND THE SURROUNDING COUNTIES IN NORTH CAROLINA. AS OF 2021, THERE WERE 1,122,864 RESIDENTS IN MECKLENBURG COUNTY AND THE POPULATION IS EXPECTED TO INCREASE 9.4% BY 2026. THE MAJORITY OF RESIDENTS IN MECKLENBURY COUNTY IDENTIFY AS WHITE (NON-HISPANIC) AT 50.2% (2021). BECAUSE THE HISPANIC MEMBERS OF THE POPULATION ARE CONSIDERED AN ETHNICITY, THE NUMBERS ARE CALCULATED SEPARATELY FROM OTHER RACES. AS OF 2021, THE HISPANIC POPULATION HAD 160,177 RESIDENTS IN MECKLENBURG COUNTY AND IT IS EXPECTED TO INCREASE 17.6% BY 2026. THE FASTEST GROWING POPULATION IN MECKLENBURG COUNTY IS THE ASIAN POPULATION. BY 2026, THE ASIAN POPULATION IS EXPECTED TO INCREASE 29.2%. THE MEDIAN AGE IN MECKLENBURG COUNTY (35.8 YEARS) IS YOUNGER THAN IN THE STATE OF NORTH CAROLINA (39.2 YEARS) (2021). THE MEDIAN AGES IN MECKLENBURG COUNTY AND THE STATE ARE EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS (2021-2026). THE MEDIAN HOUSEHOLD INCOME IN MECKLENBURG COUNTY IN 2021 WAS $68,623, WHICH WAS HIGHER THAN THE MEDIAN HOUSEHOLD INCOME IN NORTH CAROLINA OF $56,585. MECKLENBURG COUNTY HAS HIGHER EDUCATIONAL ATTAINMENT RATES THAN THE STATE. ADDITIONALLY, MECKLENBURG COUNTY HAS A LOWER PERCENTAGE OF FAMILIES LIVING BELOW POVERTY THAN THE STATE. THERE ARE LOWER RATES OF OVERALL FOOD INSECURITY AND CHILD FOOD INSECURITY AND A HIGHER AVERAGE MEAL COST IN MECKLENBURG COUNTY THAN IN THE STATE. OVER THE MOST RECENT 12-MONTH TIME PERIOD, MONTHLY UNEMPLOYMENT RATES IN MECKLENBURG COUNTY OVERALL DECREASED. APRIL 2021 HAD THE LOWEST UNEMPLOYMENT RATE (4.5) AS COMPARED TO JULY 2020 WITH THE HIGHEST RATE (10.2). AS OF 2019, MECKLENBURG COUNTY (15.8%) HAD A LOWER RATE OF UNINSURED ADULTS (AGE 18-64) THAN THE STATE (16.3%) AND EXPERIENCED A SLIGHT DECREASE IN THE PERCENTAGE OF UINSURED ADULTS BETWEEN 2015 AND 2019, WHILE THE STATE EXPERIENCED A SLIGHT INCREASE. CANCER AND HEART DISEASE ARE THE TWO LEADING CAUSES OF DEATH IN MECKLENBURG COUNTY. BETWEEN 2017 AND 2019 OVERALL MORTALITY RATES IN MECKLENBURG COUNTY DECREASED AND WERE LOWER THAN OVERALL MORTALITY RATES IN THE STATE OF NORTH CAROLINA. ADDITIONALLY, MECKLENBURG COUNTY HAS LOWER PREVALENCE RATES OF CHRONIC CONDITIONS SUCH AS OBESITY, HIGH BLOOD PRESSURE FOR MEDICARE BENEFICIARIES, ARTHRITIS, AND ADULTS (18+) WITH ASTHMA THAN THE STATE. A SEDENTARY LIFESTYLE, WHICH HAS A HIGHER PREVALENCE RATE IN THE STATE OF NORTH CAROLINA THAN IN MECKLENBURG COUNTY, AND CULTURAL FACTORS ARE ALL CONTRIBUTORS TO THESE CHRONIC HEALTH CONDITIONS. AS OF NOVEMBER OF 2021, MECKLENBURG COUNTY HAD A HIGHER PERCENTAGE OF ITS POPULATION WHO ARE VACCINATED WITH AT LEAST ONE DOSE OF THE COVID-19 VACCINE AND ALSO FULLY VACCINATED (61% AND 57%, RESPECTIVELY) AS COMPARED TO THE STATE OF NORTH CAROLINA (59% AND 56%, RESPECTIVELY). THE MAJORITY OF COVID-19 DEATHS, AS OF OCTOBER 30, 2021 WERE WITHIN THE 75+ AGE GROUP IN BOTH MECKLENBURG COUNTY (50%) AND THE STATE (51%). THERE ARE HIGHER PERCENTAGES OF RESIDENTS PARTICIPATING IN UNHEALTHY LIFESTYLE BEHAVIORS SUCH AS BINGE DRINKING AND TOBACCO USE IN MECKLENBURG COUNTY THAN THE STATE. WITH REGARD TO MATERNAL AND CHILD HEALTH, MECKLENBURisG COUNTY HAS HIGHER RATES OF MOTHERS RECEIVING INADEQUATE PRENATAL CARE AND HIGHER PERCENTAGE OF LOW BIRTH RATES THAN THE STATE. AS OF 2019, THE PERCENTAGE OF TEEN (AGE 17 AND YOUNGER) BIRTHS IN MECKLENBURG COUNTY AND THE STATE WERE THE SAME AT 1.3%. Schedule H, Part VI, Line 5 Promotion of community health CAROLINAS CCH AT PINEVILLE IS A COMMUNITY-BASED LTACH DEDICATED TO SERVING THE NEEDS OF THE LOCAL COMMUNITY BY DELIVERING SUPERIOR SERVICES WITH A COLLABORATIVE SPIRIT. THE HOSPITAL IS WORKING TO PROVIDE VARIOUS CHARITABLE SERVICES AS WELL AS CONDUCT VARIOUS COMMUNITY ACTIVITES TO AND WITHIN THE LOCAL COMMUNITY. ADDITIONALLY, THE HOSPITAL WILL CONTINUE TO PARTICIPATE IN DRIVE EVENTS (I.E., TOY, FOOD, SCHOOL SUPPLY, AND CLOTHING DRIVES) AS NEEDED TO BENEFIT THE COMMUNITY. THE CAROLINAS CONTINUECARE HOSPITALS ORGANIZED AND HOSTED THE CHARLOTTE STRONG STRIDE IN AN EFFORT TO GATHER COMMUNITY MEMBERS AND WALK IN SUPPORT OF THE VICTIMS, THEIR FAMILIES AND THE COMMUNITY AFTER A SHOOTING RESULTED IN TWO DEATHS AND FOUR OTHERS INJURED AT THE UNIVERSITY OF NORTH CAROLINA- CHARLOTTE CAMPUS. THE HOSPITAL CONTINUES TO SERVE IN LEADERSHIP ROLES AND VOLUNTEERS WITH MANY AGENCIES IN THE COMMUNITY. CAROLINAS CCH AT PINEVILLE EDUCATES PATIENTS AND FAMILIES ABOUT LTACHS AND ABOUT WHAT SERVICES CAN BE PROVIDED IN CONJUNCTION WITH COMMUNITY RESOURCES THROUGH SPEAKING AT LOCAL EVENTS AND BY PROVIDING EDUCATIONAL BROCHURES. Schedule H, Part VI, Line 6 Affiliated health care system CAROLINAS CONTINUECARE HOSPITAL AT PINEVILLE IS HOUSED IN ANOTHER HOSPITAL BUT THE TWO ARE SEPARATE FOR PURPOSES OF SPONSORSHIP AND COMMUNITY RELATED HEALTHCARE EVENTS. false true false false false false false true false APRIL MYERS DIRECTOR/PRESIDENT 0 334082 0 51753 0 19853 0 25978 0 40930 0 472596 0 0 JIM KENDRICK DIRECTOR 0 1057220 0 455090 0 65411 0 294497 0 40930 0 1913148 0 0 JAMES HILL TREASURER 0 339865 0 51674 0 23381 0 23940 0 31234 0 470094 0 0 LINDA MOORE SECRETARY 0 355018 0 52572 0 43475 0 26433 0 43475 0 520973 0 8363 DEREK MURZYN CEO 0 216396 0 52087 0 1897 0 19168 0 15048 0 304596 0 0 HAJRUDIN BEGIC REGISTERED NURSE 177255 0 3411 0 3523 0 5826 0 35180 0 225195 0 0 0 Douglas Gallagher Director of Human Resources 115031 0 2851 0 2717 0 3704 0 32006 0 156309 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation MERCY RESTORATIVE CARE HOSPITAL INC.'S EXECUTIVES ARE EMPLOYED BY ITS WHOLLY-OWNED SUBSIDIARY, COMMUNITY HOSPITAL CONSULTING, WHICH FOLLOWS THE COMPENSATION POLICIES OF COMMUNITY HOSPITAL CORPORATION (CHC). CHC ENGAGED SULLIVAN COTTER TO CONDUCT A COMPETITIVE MARKET ANALYSIS OF THE COMPENSATION OF CHC'S TOP MANAGEMENT OFFICIALS, OFFICERS, DIRECTORS AND KEY EMPLOYEES. SULLIVAN COTTER GATHERED DATA RELATED TO JOB DESCRIPTIONS, SCOPE OF RESPONSIBILITIES, AND CURRENT INCUMBENTS COMPENSATION. SULLIVAN COTTER RECOMMENDED APPROPRIATE COMPARISON DATA AND UTILIZED SURVEY DATA FROM FOUR MAJOR EXECUTIVE COMPENSATION SURVEY PROVIDERS TO PROVIDE MARKET DATA AND EXECUTIVE COMPENSATION RECOMMENDATIONS THAT MEET CHC'S COMPENSATION PHILOSOPHY. SULLIVAN COTTER'S RECOMMENDATIONS WERE PRESENTED TO THE CHC COMPENSATION COMMITTEE OF THE BOARD FOR REVIEW AND APPROVAL. CHC ALSO CONDUCTS PERIODIC REVIEWS OF COMPENSATION TO DETERMINE WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION, AND THE RESULT OF ARM'S LENGTH BARGAINING. THE ORGANIZATION FOLLOWED THE PROCESS FOR THE YEAR ENDED 6/30/24 FOR ITS OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES AND OTHER MANAGEMENT OFFICIALS. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan NONQUALIFIED RETIREMENT PLAN PARTICIPATION WAS PAID TO: JAMES HILL - $16,258 APRIL MYERS - $16,078 LINDA MOORE - $24,895 JIM KENDRICK - $284,597 Schedule J, Part I, Line 7 Non-fixed payments A PORTION OF THE DISCRETIONARY INCENTIVE COMPENSATION PROGRAM WAS BASED ON THE EBIDA OF MERCY RESTORATIVE CARE HOSPITAL, INC. FORM 990, BOX C DOING BUSINESS AS MERCY RESTORATIVE CARE HOSPITAL, INC. IS DOING BUSINESS AS CAROLINAS CONTINUECARE HOSPITAL AT PINEVILLE. Form 990, Part VI, Line 15 OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN THE ORGANIZATION FOLLOWS THE COMPENSATION POLICY OF COMMUNITY HOSPITAL CORPORATION (CHC). CHC ENGAGED SULLIVAN COTTER TO CONDUCT COMPETITIVE MARKET ANALYSIS OF THE COMPENSATION OF CHC'S TOP MANAGEMENT OFFICIALS, OFFICERS, DIRECTORS AND KEY EMPLOYEES. SULLIVAN COTTER GATHERED DATA RELATED TO JOB DESCRIPTIONS, SCOPE OF RESPONSIBILITIES AND CURRENT INCUMBENTS COMPENSATION. SULLIVAN COTTER RECOMMENDED APPROPRIATE COMPARISON DATA AND UTILIZED SURVEY DATA FROM FOUR MAJOR EXECUTIVE COMPENSATION SURVEY PROVIDERS TO PROVIDE MARKET DATA AND EXECUTIVE COMPENSATION RECOMMENDATIONS THAT MEET CHC'S COMPENSATION PHILOSOPHY. SULLIVAN COTTER'S RECOMMENDATIONS WERE PRESENTED TO THE CHC COMPENSATION COMMITTEE OF THE BOARD FOR REVIEW AND APPROVAL. CHC ALSO CONDUCTS PERIODIC REVIEWS OF COMPENSATION TO DETERMINE WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION, AND THE RESULT OF ARM'S LENGTH BARGAINING. THE ORGANIZATION FOLLOWED THE PROCESS FOR THE YEAR ENDED 6-30-24 FOR ITS OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES AND OTHER MANAGEMENT OFFICIALS. THIS PROCESS IS PERFORMED EACH YEAR PRIOR TO THE ANNUAL EMPLOYEE EVALUATION PROCESS, WHICH ENDS ON OCTOBER 1ST OF EACH YEAR. Form 990, Part VI, Line 3 Delegation of management duties CHC COMMUNITY CARE, LLC PROVIDES CERTAIN FINANCIAL, TECHNICAL AND MANAGERIAL SUPPORT SERVICES TO THE HOSPITAL. Form 990, Part VI, Line 6 Classes of members or stockholders THE SOLE SHAREHOLDER OF MERCY RESTORATIVE CARE HOSPITAL, INC. IS CAROLINAS COMMUNITY CARE, LLC ("CARCC"). Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE SOLE SHAREHOLDER SHALL MAINTAIN A MINORITY VOTING INTEREST OF THE BOARD OF DIRECTORS. ANY DIRECTOR MAY BE REMOVED AT ANY TIME, WITH OR WITHOUT CAUSE BY THE SOLE MEMBER. THE BOARD OF DIRECTORS SHALL BE COMPRISED OF 5 VOTING DIRECTORS PLUS 2 NON-VOTING EX-OFFICIO DIRECTORS. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE BOARD OF DIRECTORS MAY RECOMMEND, BUT SHALL NOT, WITHOUT EXPRESS WRITTEN CONSENT OF THE SOLE MEMBER, HAVE THE POWER TO TAKE ANY OF THE FOLLOWING ACTIONS: 1. ANY FUNDAMENTAL CHANGE IN THE MISSION OR PHILOSOPHY OF THE HOSPITAL 2. THE INCURRANCE OF DEBT, INCLUDING WITHOUT LIMITATION, BORROWINGS, GUARANTEES, LOANS, ENCUMBRANCES, OPERATING LEASES, PURCHASE OF LEASE OF REAL ESTATE, AND CAPITAL LEASES 3. ANY MERGER OR CONSOLIDATION TO WHICH THE HOSPITAL IS A PARTY 4. THE SALE OR DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE HOSPITAL 5. POLICY CHANGES PERTAINING TO CHARITY CARE 6. APPOINTMENT AND REMOVAL OF CORPORATE DIRECTORS 7. ANY RELEASE OR CANCELLATION OF INDIVIDUAL CLAIMS IN EXCESS OF $25,000 Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body THERE WERE NO COMMITTEES OF THE GOVERNING BODY. Form 990, Part VI, Line 11b Review of form 990 by governing body THE DETAILED REVIEW OF THE FORM 990 IS CONDUCTED BY THE HOSPITAL'S MANAGEMENT FOLLOWING THE PREPARATION AND REVIEW OF THE RETURN BY THE ORGANIZATION'S PAID PREPARER. AN ELECTRONIC COPY OF THE FINAL FORM 990 IS EMAILED TO EACH BOARD MEMBER PRIOR TO FILING WITH THE IRS. Form 990, Part VI, Line 12c Conflict of interest policy THE ORGANIZATION FOLLOWS THE CONFLICT OF INTEREST DISCLOSURE PROCESS ADOPTED BY ITS SOLE MEMBER, CAROLINAS COMMUNITY CARE, LLC, WHICH IN TURN FOLLOWS THE CONFLICT OF INTEREST DISCLOSURE PROCESS ADMINISTERED BY ITS PARENT, COMMUNITY HOSPITAL CORPORATION (CHC), WHICH REQUIRES ALL OFFICERS, DIRECTORS, KEY EMPLOYEES, HIGHLY COMPENSATED EMPLOYEES AND OTHER MANAGEMENT OFFICIALS ("COVERED PERSONS") TO DISCLOSE POTENTIAL CONFLICTS. THE ORGANIZATION'S BOARD FORMALLY ADOPTED CHC'S CONFLICT OF INTEREST POLICY FOR THE YEAR ENDED 6 30-15. PURSUANT TO THE POLICY, A DISCLOSURE STATEMENT IS CIRCULATED ANNUALLY TO COVERED PERSONS IN WHICH THE INDIVIDUAL MUST DISCLOSE TRANSACTIONS THAT MAY RESULT IN A CONFLICT. COVERED PERSONS ARE ALSO ENCOURAGED TO NOTIFY THE BOARD, APPROPRIATE MANAGEMENT PERSONNEL, CHIEF COMPLIANCE OFFICER, GENERAL COUNSEL OR THE AUDIT AND COMPLIANCE COMMITTEE OF THE GOVERNING BODY AS NECESSARY. WHEN NECESSARY, THE BOARD CHAIR OR APPROPRIATE BOARD COMMITTEE MAY APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE THE POTENTIAL CONFLICT OF INTEREST AND RECOMMEND ALTERNATIVES TO THE APPLICABLE TRANSACTION OR ARRANGEMENT OR OTHERWISE DETERMINE IF THE CONFLICT CAN BE RESOLVED. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER THE CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE BEST INTEREST OF THE ORGANIZATION, AND WHETHER IT IS REASONABLE. THE GOVERNING BOARD OR COMMITTEE MAKES THE DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. ANY MEMBER OF THE BOARD OPERATING UNDER A CONFLICT IS NOT PERMITTED TO BE PRESENT OR OTHERWISE PARTICIPATE IN THE VOTE ON ANY MATTER TO WHICH THE CONFLICT RELATES. IF THE GOVERNING BOARD OR COMMITTEE OF THE ORGANIZATION HAS REASONABLE CAUSE TO BELIEVE THAT A COVERED PERSON HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST AND AFTER INVESTIGATION THE BOARD OR COMMITTEE DETERMINES THAT THE COVERED PERSON FAILED TO DISCLOSE A CONFLICT OF INTEREST, THE ORGANIZATION TAKES APPROPRIATE DISCIPLINARY OR CORRECTIVE ACTION, WHICH MAY INCLUDE, TERMINATION OF THE INDIVIDUAL'S MEMBERSHIP, EMPLOYMENT OR CONTRACT. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE AT ITS BUSINESS OFFICE UPON REQUEST. Form 990, Part IX, Line 11g Other Fees PURCHASED SVCS - MEDICAL - Total Expense: 2428426, Program Service Expense: 2342217, Management and General Expenses: 86209, Fundraising Expenses: ; PURCHASED SVCS - LAB - Total Expense: 149719, Program Service Expense: 144404, Management and General Expenses: 5315, Fundraising Expenses: ; PURCHASED SVCS - IT - Total Expense: 182942, Program Service Expense: 176448, Management and General Expenses: 6494, Fundraising Expenses: ; PURCHASED SVCS - OTHER - Total Expense: 170237, Program Service Expense: 164194, Management and General Expenses: 6043, Fundraising Expenses: ; PURCHASED SVCS - PHARMACY - Total Expense: 445952, Program Service Expense: 430121, Management and General Expenses: 15831, Fundraising Expenses: ; PURCHASED SVCS - ADMIN - Total Expense: 37729, Program Service Expense: 36390, Management and General Expenses: 1339, Fundraising Expenses: ; PURCHASED SVCS- PLANT MNTNANCE - Total Expense: 506917, Program Service Expense: 488921, Management and General Expenses: 17996, Fundraising Expenses: ; BAPTIST HOSPITALS OF SOUTHEAST TEXAS PO BOX 1591 BEAUMONT TX 77704 741303720 HOSPITAL TX 501(c)(3) 3 SWCH INC false BAPTIST PHYSICIAN NETWORK 3080 COLLEGE ST BEAUMONT TX 77701 760453250 PRIMARY CARE TX 501(c)(3) 3 BHSET false BHSETX FOUNDATION 810 HOSPITAL DRIVE 235 BEAUMONT TX 77701 611557670 SUPPORT ORG TX 501(c)(3) 7 BHSET false CAROLINAS COMMUNITY CARE LLC 7950 LEGACY DRIVE SUITE 1000 PLANO TX 75024 465590355 SUPPORT ORG DE 501(c)(3) Type II CHC false CHC COMMUNITY CARE LLC 7950 LEGACY DRIVE SUITE 1000 PLANO TX 75024 371485773 SUPPORT ORG TX 501(c)(3) Type III-FI CHC false COMMUNITY HOSPITAL CORPORATION 7950 LEGACY DRIVE SUITE 1000 PLANO TX 75024 752638469 SUPPORT ORG TX 501(c)(3) Type III-FI NA false CONTINUECARE HOSP AT BAPTIST HLT PADUCAH 2501 KENTUCKY AVENUE 5TH FL PADUCAH KY 42003 465032999 HOSPITAL DE 501(c)(3) 3 CCC false CONTINUECARE HOSP AT HENDRICK MED CTR 1900 PINE ST 5TH FL ABILENE TX 79601 463607347 HOSPITAL DE 501(c)(3) 3 CCC false CONTINUECARE HOSP BPTST HLT MADISONVILLE 900 HOSPITAL DRIVE 4TH FL MADISONVILLE KY 42431 465033192 HOSPITAL DE 501(c)(3) 3 CCC false CONTINUECARE HOSPITAL AT BAPTIST HEALTH 1 TRILLIUM WAY CORBIN KY 40701 200925675 HOSPITAL KY 501(c)(3) 3 CCC false CONTINUECARE HOSPITAL AT ODESSA INC 500 W 4TH STREET ODESSA TX 79761 473539943 HOSPITAL DE 501(c)(3) 3 CCC false CONTINUECARE HOSPITAL AT PALMETTO HEALTH 7950 LEGACY DRIVE SUITE 1000 PLANO TX 75024 813048423 HOSPITAL TX 501(c)(3) 3 CCC false CONTINUECARE HOSPITAL OF TYLER INC 800 E DAWSON ST TYLER TX 75701 200991990 HOSPITAL TX 501(c)(3) 3 CCC false CRAWLEY MEMORIAL HOSPITAL INC 7950 LEGACY DRIVE SUITE 1000 PLANO TX 75024 560691100 HOSPITAL NC 501(c)(3) 3 CAR CC false GAINESVILLE COMMUNITY HOSPITAL INC 1900 HOSPITAL BLVD GAINESVILLE TX 76240 831683025 HOSPITAL TX 501(c)(3) 3 CHC false HMH PHYSICIAN ORGANIZATION 110 MEMORIAL HOSPITAL DRIVE HUNTSVILLE TX 77340 760500960 PUBLIC CHARI. TX 501(c)(3) 10 HUNTSVILLE false HUNTSVILLE COMMUNITY HOSPITAL INC 110 MEMORIAL HOSPITAL DRIVE HUNTSVILLE TX 77340 843654542 HOSPITAL TX 501(c)(3) 3 CHC false SOUTHWEST COMMUNITY HOSPITAL INC 7950 LEGACY DRIVE SUITE 1000 PLANO TX 75024 752725353 SUPPORT ORG TX 501(c)(3) Type III-FI CHC false ST MARK'S MEDICAL CENTER ONE ST MARKS PLACE LA GRANGE TX 78945 743019849 HOSPITAL TX 501(c)(3) 3 CHC false YOAKUM COMMUNITY HOSPITAL 1200 CARL RAMERT DRIVE YOAKUM TX 77995 742323822 HOSPITAL TX 501(c)(3) 3 CHC false YOAKUM COMMUNITY HOSPITAL FOUNDATION 1200 CARL RAMERT DRIVE YOAKUM TX 77995 453609830 SUPPORT ORG TX 501(c)(3) Type I YCH false HUNTSVILLE COMMUNITY HOSPITAL INC FOUNDATION 110 MEMORIAL HOSPITAL DRIVE HUNTSVILLE TX 77340 320771710 SUPPORT ORG TX 501(c)(3) 7 HUNTSVILLE false COMMUNITY HEALTH ASSURANCE SPC LTD POB 69GT GRAND CAYMAN CJ CAPTIVE INSURANCE CJ CHC C Corporation false COMMUNITY HOSPITAL CONSULTING INC 7950 LEGACY DRIVE SUITE 1000 PLANO TX 75024 204710183 MGMT CONSULTING TX CHC C Corporation false false false false false false false false false false false false false false false true true false false false COMMUNITY HOSPITAL CORPORATION P 2207913 COST CHC COMMUNITY CARE LLC P 764682 COST CHC COMMUNITY CARE LLC O 409589 Cost