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Blue Ridge Healthcare Hospitals Inc

2201 South Sterling Street
Morganton, NC 28655
EIN: 560529976
Individual Facility Details: Blue Ridge Healthcare Hospitals
2201 South Sterling Street
Morganton, NC 28655
1 hospital in organization:
(click a facility name to update Individual Facility Details panel)
Bed count204Medicare provider number340075Member of the Council of Teaching HospitalsNOChildren's hospitalNO

Blue Ridge Healthcare Hospitals IncDisplay data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
5.13%
Spending by Community Benefit Category- 2021
(as % of total functional expenses)
* = CBI denoted preventative categories
Community Benefit Spending Compared to Functional Expenses, 2010-2021
Additional data

Community Benefit Expenditures: 2021

  • All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.

    • Operating expenses$ 242,369,504
      Total amount spent on community benefits
      as % of operating expenses
      $ 12,426,578
      5.13 %
  • Amount spent in the following IRS community benefit categories:
      • Financial Assistance at cost
        as % of operating expenses
        $ 5,821,582
        2.40 %
        Medicaid
        as % of operating expenses
        $ 4,764,143
        1.97 %
        Costs of other means-tested government programs
        as % of operating expenses
        $ 69,185
        0.03 %
        Health professions education
        as % of operating expenses
        $ 1,169,297
        0.48 %
        Subsidized health services
        as % of operating expenses
        $ 212,356
        0.09 %
        Research
        as % of operating expenses
        $ 0
        0 %
        Community health improvement services and community benefit operations*
        as % of operating expenses
        Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.
        $ 174,491
        0.07 %
        Cash and in-kind contributions for community benefit*
        as % of operating expenses
        $ 215,524
        0.09 %
        Community building*
        as % of operating expenses
        $ 235,180
        0.10 %
    • * = CBI denoted preventative categories
    • Community building activities details:
        • Did tax-exempt hospital report community building activities?YES
          Number of activities or programs (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Persons served (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Community building expense
          as % of operating expenses
          $ 235,180
          0.10 %
          Physical improvements and housing
          as % of community building expenses
          $ 0
          0 %
          Economic development
          as % of community building expenses
          $ 0
          0 %
          Community support
          as % of community building expenses
          $ 0
          0 %
          Environmental improvements
          as % of community building expenses
          $ 0
          0 %
          Leadership development and training for community members
          as % of community building expenses
          $ 0
          0 %
          Coalition building
          as % of community building expenses
          $ 0
          0 %
          Community health improvement advocacy
          as % of community building expenses
          $ 0
          0 %
          Workforce development
          as % of community building expenses
          $ 0
          0 %
          Other
          as % of community building expenses
          $ 235,180
          100 %
          Direct offsetting revenue$ 0
          Physical improvements and housing$ 0
          Economic development$ 0
          Community support$ 0
          Environmental improvements$ 0
          Leadership development and training for community members$ 0
          Coalition building$ 0
          Community health improvement advocacy$ 0
          Workforce development$ 0
          Other$ 0

    Other Useful Tax-exempt Hospital Information: 2021

    • In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

      • Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
        as % of operating expenses
        $ 22,915,544
        9.45 %
        Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?NO
    • Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy

      The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

      • Does the organization have a written financial assistance (charity care) policy?YES
        Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?YES
        Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
        as % of operating expenses
        $ 0
        0 %
    • Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
      • Reported to credit agencyNot available
    • Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.

      • After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid?NO
    • The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.

      • If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines?YES
    • In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

      • Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute?YES

    Community Health Needs Assessment Activities: 2021

    • The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

      • Did the tax-exempt hospital report that they had conducted a CHNA?YES
        Did the CHNA define the community served by the tax-exempt hospital?YES
        Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?YES
        Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?YES
        Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?YES

    Supplemental Information: 2021

    This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
    • Statement of Program Service Accomplishments
      Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
    • 4A (Expenses $ 23141585 including grants of $ 0) (Revenue $ 45667132)
      BLUE RIDGE HEALTHCARE HOSPITALS PROVIDED 32,293 DAYS OF CARE TO 5,943 PATIENTS ADMITTED. BLUE RIDGE HEALTHCARE HOSPITALS HAS 315 BEDS AND OFFERS A BROAD SCOPE OF SERVICES.
      4B (Expenses $ 22384260 including grants of $ 0) (Revenue $ 61144217)
      BLUE RIDGE HEALTHCARE HOSPITALS' SURGICAL SERVICES PERFORMED 1,826 INPATIENT SURGERIES AND 7,112 OUTPATIENT SURGERIES. ORTHOPEDICS, GENERAL SURGERY, SPINE SURGERY, AND OB/GYN ARE THE MAJOR SURGICAL SPECIALITIES OFFERED.
      4C (Expenses $ 8542584 including grants of $ 0) (Revenue $ 29984943)
      EMERGENCY ROOM SAW 44,686 PATIENTS DURING THE YEAR. THE ED IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK AND IS ABLE TO TAKE CARE OF ANY TYPE OF EMERGENCY OR PROBLEM.
      4D (Expenses $ 159252039 including grants of $ 193974) (Revenue $ 132998243)
      THE ORGANIZATION PROVIDES A HOST OF OTHER HEALTHCARE DELIVERY SERVICES TO THE COMMUNITY, INCLUDING LABORATORY SERVICES, ONCOLOGY SERVICES, RADIOLOGY SERVICES, AND OTHER HEALTHCARE RELATED SERVICES.
      Facility Information
      Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
      BR MORGANTON
      PART V, SECTION B, LINE 5: A TOTAL OF 1,049 BURKE COUNTY RESIDENTS COMPLETED SURVEY RESPONSES. BURKE WELLNESS INITIATIVE MEMBERS DISTRIBUTED PAPER COPIES AND ONLINE LINKS TO THE CHNA SURVEY IN SURVEY MONKEY TO THE FOLLOWING COMMUNITY AREAS AND ORGANIZATIONS, INCLUDING BUT NOT LIMITED TO:-- BURKE COUNTY CHAMBER OF COMMERCE-- BURKE COUNTY GOVERNMENT EMPLOYEES-- BURKE COUNTY PUBLIC LIBRARIES-- BURKE COUNTY PUBLIC SCHOOL EMPLOYEES-- BURKE COUNTY UNITED WAY-PARTNER AGENCY NETWORK-- BURKE LITERACY COUNCIL-- BLUE RIDGE HEALTHCARE SYSTEM EMPLOYEES AND PATIENTS-- COMMUNITY WIDE HEALTH SCREENING- LADY FAIR-- MORGANTON-BURKE SENIOR CENTER-- WESTERN PIEDMONT COMMUNITY COLLEGE-- GOOD SAMARITAN CLINIC BOARD-- BUILDERS ASSOCIATION-- BURKE MISSION STATIONFOCUS GROUPS GATHERED ADDITIONAL INFORMATION FROM CITIZENS IN REGARDS TO THEIR HEALTH CONCERNS, BEHAVIORS AND POTENTIAL SOLUTIONS TO ADDRESS THE IDENTIFIED HEALTH CONCERNS. PARTICIPANTS WERE INVITED THROUGH WORD OF MOUTH, PERSONAL AND PUBLIC INVITATION AND THROUGH OTHER ESTABLISHED GROUPS.A TOTAL OF SEVEN FOCUS GROUPS WERE CONDUCTED:-- BURKE SUBSTANCE ABUSE NETWORK MEMBERS-- BURKE COUNTY CIRCLES GROUP-- CULTURAL DIVERSITY COMMITTEE BLUE RIDGE HEALTHCARE SYSTEM-- OPPORTUNITY THREADS SPANISH SPEAKING OWNED PRIVATE BUSINESS-- GOOD SAMARITAN CLINIC STAFF-- CHS CANCER SUPPORT GROUP-- BURKE SENIOR CENTER
      BR VALDESE
      PART V, SECTION B, LINE 5: A TOTAL OF 1,049 BURKE COUNTY RESIDENTS COMPLETED SURVEY RESPONSES. BURKE WELLNESS INITIATIVE MEMBERS DISTRIBUTED PAPER COPIES AND ONLINE LINKS TO THE CHNA SURVEY IN SURVEY MONKEY TO THE FOLLOWING COMMUNITY AREAS AND ORGANIZATIONS, INCLUDING BUT NOT LIMITED TO:-- BURKE COUNTY CHAMBER OF COMMERCE-- BURKE COUNTY GOVERNMENT EMPLOYEES-- BURKE COUNTY PUBLIC LIBRARIES-- BURKE COUNTY PUBLIC SCHOOL EMPLOYEES-- BURKE COUNTY UNITED WAY-PARTNER AGENCY NETWORK-- BURKE LITERACY COUNCIL-- BLUE RIDGE HEALTHCARE SYSTEM EMPLOYEES AND PATIENTS-- COMMUNITY WIDE HEALTH SCREENING- LADY FAIR-- MORGANTON-BURKE SENIOR CENTER-- WESTERN PIEDMONT COMMUNITY COLLEGE-- GOOD SAMARITAN CLINIC BOARD-- BUILDERS ASSOCIATION-- BURKE MISSION STATIONFOCUS GROUPS GATHERED ADDITIONAL INFORMATION FROM CITIZENS IN REGARDS TO THEIR HEALTH CONCERNS, BEHAVIORS AND POTENTIAL SOLUTIONS TO ADDRESS THE IDENTIFIED HEALTH CONCERNS. PARTICIPANTS WERE INVITED THROUGH WORD OF MOUTH, PERSONAL AND PUBLIC INVITATION AND THROUGH OTHER ESTABLISHED GROUPS.A TOTAL OF SEVEN FOCUS GROUPS WERE CONDUCTED:-- BURKE SUBSTANCE ABUSE NETWORK MEMBERS-- BURKE COUNTY CIRCLES GROUP-- CULTURAL DIVERSITY COMMITTEE BLUE RIDGE HEALTHCARE SYSTEM-- OPPORTUNITY THREADS SPANISH SPEAKING OWNED PRIVATE BUSINESS-- GOOD SAMARITAN CLINIC STAFF-- CHS CANCER SUPPORT GROUP-- BURKE SENIOR CENTER
      BR MORGANTON
      PART V, SECTION B, LINE 6A: BLUE RIDGE VALDESE
      BR VALDESE
      PART V, SECTION B, LINE 6A: BLUE RIDGE MORGANTON
      BR MORGANTON
      PART V, SECTION B, LINE 6B: BURKE COUNTY HEALTH DEPARTMENT AND BURKE WELLNESS INITIATIVE
      BR VALDESE
      PART V, SECTION B, LINE 6B: BURKE COUNTY HEALTH DEPARTMENT AND BURKE WELLNESS INITIATIVE
      BR MORGANTON
      PART V, SECTION B, LINE 11: IN SEPTEMBER 2019, THE BURKE WELLNESS INITIATIVE AND ADDITIONAL COMMUNITY PARTNERS REVIEWED THE TOP FIVE HEALTH AND SOCIAL ISSUES IDENTIFIED IN THE RESULTS OF THE COMMUNITY SURVEY AND FOCUS GROUPS. THE GROUP PARTICIPATED IN A PRIORITIZATION EXERCISE TO DETERMINE THE PRIORITIES TO DEVELOP INTO A COMPREHENSIVE COMMUNITY HEALTH IMPROVEMENT PLAN. THE TOP THREE PRIORITIES IDENTIFIED FOR THE 2019 CHNA ARE:1) HEART DISEASE/STROKEHEART DISEASE AND STROKE HAVE RANKED IN THE TOP 5 LEADING CAUSES OF DEATH IN BURKE COUNTY SINCE 2008. UNC HEALTH BLUE RIDGE REPORTED, FROM 2018-19, THERE WERE APPROXIMATELY 3,178 HOSPITALIZATIONS AND EMERGENCY DEPARTMENT VISITS ALONG WITH THE NC STATE CENTER FOR HEALTH STATISTICS REPORTED APPROXIMATELY 403 DEATHS ATTRIBUTABLE TO THESE CHRONIC CONDITIONS. AS BURKE COUNTY CONTINUES TO AGE, THESE NUMBERS HAVE THE POTENTIAL TO RISE AND CAUSE GREATER PHYSICAL, FINANCIAL, MOBILITY, ETC. DEVASTATION TO INDIVIDUALS AND FAMILIES. WITH HEART DISEASE/STROKE BEING IDENTIFIED AS A PRIORITY, THE BURKE WELLNESS INITIATIVE WILL BEGIN TO DEVELOP SOME GOALS, STRATEGIES AND INTERVENTIONS WITHIN THE COMMUNITY HEALTH IMPROVEMENT PLAN TO MOVE THE NEEDLE AND REDUCE THE MANY BURDENS OF THESE CHRONIC CONDITIONS.2) SUBSTANCE USE DISORDERSUBSTANCE USE/MISUSE OF LEGAL, ILLEGAL AND NON-MEDICAL USE OF PRESCRIPTION OPIOID MEDICATION CONTINUES TO ADVERSELY IMPACT THE CITIZENS OF BURKE COUNTY. THE IMPACT CAN BE FELT IN ALL LEVELS OF RESOURCES, AGENCIES AND INDIVIDUAL DEATH AND DISABILITY WITHIN THIS GROWING ISSUE. ACCORDING TO THE 2019 NC COUNTY HEALTH RANKINGS AND ROADMAPS REPORT, BURKE COUNTY HAD 34 DRUG OVERDOSE DEATHS.ACCORDING TO NC DHHS INJURY AND VIOLENCE PREVENTION BRANCH 2017 REPORT, 17 BURKE COUNTY RESIDENTS DIED FROM UNINTENTIONAL OPIOID OVERDOSES; 63 RESIDENTS SOUGHT CARE AT THE EMERGENCY DEPARTMENT FOR OPIOID OVERDOSES AND 8,133,000 OPIOID PILLS WERE DISPENSED TO BURKE COUNTY RESIDENTS.A GREAT DEAL OF POSITIVE WORK HAS ALREADY BEEN ACCOMPLISHED AROUND SUBSTANCE USE DISORDER, BUT MUCH WORK IS STILL REQUIRED TO BATTLE THIS CONTINUED PRIORITY WITHIN BURKE COUNTY. 3) CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD)LIKE HEART DISEASE AND STROKE, CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) IS A CHRONIC CONDITION FOR A LARGE PORTION OF BURKE COUNTY RESIDENTS AND IS DEPICTED IN THE LEADING CAUSES OF DEATH CHARTS WITHIN THE PRIORITY ONE SECTION ABOVE. COPD IS A DISEASE THAT MAKES IT HARD TO BREATHE. IT IS A PROGRESSIVE DISEASE THAT GETS WORSE OVER TIME. COPD CAUSES COUGHING WITH LARGE AMOUNTS OF MUCUS, WHEEZING, SHORTNESS OF BREATH, CHEST TIGHTNESS AND OTHER SYMPTOMS. COPD CAN OFTEN BE PREVENTED. SMOKING IS THE LEADING CAUSE OF COPD. LONG TERM EXPOSURE TO OTHER LUNG IRRITANTS SUCH AS AIR POLLUTION, CHEMICAL FUMES OR DUSTS HAS ALSO BEEN CONTRIBUTED TO COPD.UNC HEALTH BLUE RIDGE REPORTED APPROXIMATELY 1,970 HOSPITALIZATIONS AND EMERGENCY DEPARTMENT VISITS AND NC STATE CENTER FOR HEALTH STATISTICS REPORTED APPROXIMATELY 140 DEATHS ATTRIBUTABLE TO COPD IN BURKE COUNTY. WITH COPD BEING IDENTIFIED AS A PRIORITY, THE BURKE WELLNESS INITIATIVE WILL BEGIN TO DEVELOP SOME GOALS, STRATEGIES AND INTERVENTIONS WITHIN THE COMMUNITY HEALTH IMPROVEMENT PLAN TO MOVE THE NEEDLE AND REDUCE THE BURDEN OF THIS CHRONIC CONDITION.
      BR VALDESE
      PART V, SECTION B, LINE 11: IN SEPTEMBER 2019, THE BURKE WELLNESS INITIATIVE AND ADDITIONAL COMMUNITY PARTNERS REVIEWED THE TOP FIVE HEALTH AND SOCIAL ISSUES IDENTIFIED IN THE RESULTS OF THE COMMUNITY SURVEY AND FOCUS GROUPS. THE GROUP PARTICIPATED IN A PRIORITIZATION EXERCISE TO DETERMINE THE PRIORITIES TO DEVELOP INTO A COMPREHENSIVE COMMUNITY HEALTH IMPROVEMENT PLAN. THE TOP THREE PRIORITIES IDENTIFIED FOR THE 2019 CHNA ARE:1) HEART DISEASE/STROKEHEART DISEASE AND STROKE HAVE RANKED IN THE TOP 5 LEADING CAUSES OF DEATH IN BURKE COUNTY SINCE 2008. UNC HEALTH BLUE RIDGE REPORTED, FROM 2018-19, THERE WERE APPROXIMATELY 3,178 HOSPITALIZATIONS AND EMERGENCY DEPARTMENT VISITS ALONG WITH THE NC STATE CENTER FOR HEALTH STATISTICS REPORTED APPROXIMATELY 403 DEATHS ATTRIBUTABLE TO THESE CHRONIC CONDITIONS. AS BURKE COUNTY CONTINUES TO AGE, THESE NUMBERS HAVE THE POTENTIAL TO RISE AND CAUSE GREATER PHYSICAL, FINANCIAL, MOBILITY, ETC. DEVASTATION TO INDIVIDUALS AND FAMILIES. WITH HEART DISEASE/STROKE BEING IDENTIFIED AS A PRIORITY, THE BURKE WELLNESS INITIATIVE WILL BEGIN TO DEVELOP SOME GOALS, STRATEGIES AND INTERVENTIONS WITHIN THE COMMUNITY HEALTH IMPROVEMENT PLAN TO MOVE THE NEEDLE AND REDUCE THE MANY BURDENS OF THESE CHRONIC CONDITIONS.2) SUBSTANCE USE DISORDERSUBSTANCE USE/MISUSE OF LEGAL, ILLEGAL AND NON-MEDICAL USE OF PRESCRIPTION OPIOID MEDICATION CONTINUES TO ADVERSELY IMPACT THE CITIZENS OF BURKE COUNTY. THE IMPACT CAN BE FELT IN ALL LEVELS OF RESOURCES, AGENCIES AND INDIVIDUAL DEATH AND DISABILITY WITHIN THIS GROWING ISSUE. ACCORDING TO THE 2019 NC COUNTY HEALTH RANKINGS AND ROADMAPS REPORT, BURKE COUNTY HAD 34 DRUG OVERDOSE DEATHS.ACCORDING TO NC DHHS INJURY AND VIOLENCE PREVENTION BRANCH 2017 REPORT, 17 BURKE COUNTY RESIDENTS DIED FROM UNINTENTIONAL OPIOID OVERDOSES; 63 RESIDENTS SOUGHT CARE AT THE EMERGENCY DEPARTMENT FOR OPIOID OVERDOSES AND 8,133,000 OPIOID PILLS WERE DISPENSED TO BURKE COUNTY RESIDENTS.A GREAT DEAL OF POSITIVE WORK HAS ALREADY BEEN ACCOMPLISHED AROUND SUBSTANCE USE DISORDER, BUT MUCH WORK IS STILL REQUIRED TO BATTLE THIS CONTINUED PRIORITY WITHIN BURKE COUNTY. 3) CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD)LIKE HEART DISEASE AND STROKE, CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) IS A CHRONIC CONDITION FOR A LARGE PORTION OF BURKE COUNTY RESIDENTS AND IS DEPICTED IN THE LEADING CAUSES OF DEATH CHARTS WITHIN THE PRIORITY ONE SECTION ABOVE. COPD IS A DISEASE THAT MAKES IT HARD TO BREATHE. IT IS A PROGRESSIVE DISEASE THAT GETS WORSE OVER TIME. COPD CAUSES COUGHING WITH LARGE AMOUNTS OF MUCUS, WHEEZING, SHORTNESS OF BREATH, CHEST TIGHTNESS AND OTHER SYMPTOMS. COPD CAN OFTEN BE PREVENTED. SMOKING IS THE LEADING CAUSE OF COPD. LONG TERM EXPOSURE TO OTHER LUNG IRRITANTS SUCH AS AIR POLLUTION, CHEMICAL FUMES OR DUSTS HAS ALSO BEEN CONTRIBUTED TO COPD.UNC HEALTH BLUE RIDGE REPORTED APPROXIMATELY 1,970 HOSPITALIZATIONS AND EMERGENCY DEPARTMENT VISITS AND NC STATE CENTER FOR HEALTH STATISTICS REPORTED APPROXIMATELY 140 DEATHS ATTRIBUTABLE TO COPD IN BURKE COUNTY. WITH COPD BEING IDENTIFIED AS A PRIORITY, THE BURKE WELLNESS INITIATIVE WILL BEGIN TO DEVELOP SOME GOALS, STRATEGIES AND INTERVENTIONS WITHIN THE COMMUNITY HEALTH IMPROVEMENT PLAN TO MOVE THE NEEDLE AND REDUCE THE BURDEN OF THIS CHRONIC CONDITION.
      BR MORGANTON
      PART V, SECTION B, LINE 16J: PATIENT ROOM VISIT FROM FINANCIAL COUNSELOR AND SOCIAL WORKER, OVERVIEW OF FINANCIAL ASSISTANCE POLICY, AND CONTACT INFORMATION ON WEBSITE AND PATIENT STATEMENTS.
      BR VALDESE
      PART V, SECTION B, LINE 16J: PATIENT ROOM VISIT FROM FINANCIAL COUNSELOR AND SOCIAL WORKER, OVERVIEW OF FINANCIAL ASSISTANCE POLICY, AND CONTACT INFORMATION ON WEBSITE AND PATIENT STATEMENTS.
      BR MORGANTON
      PART V, SECTION B, LINE 20E: ALL SELF PAY E D PATIENTS ARE SCREENED FOR CHARITY AND FINANCIAL ASSISTANCE AT THE TIME OF BILLING BASED ON A SCORING MECHANISM. MONTHLY STATEMENTS REFERENCE THE PHONE NUMBERS TO CALL FOR FINANCIAL ASSISTANCE.
      BR VALDESE
      PART V, SECTION B, LINE 20E: ALL SELF PAY E D PATIENTS ARE SCREENED FOR CHARITY AND FINANCIAL ASSISTANCE AT THE TIME OF BILLING BASED ON A SCORING MECHANISM. MONTHLY STATEMENTS REFERENCE THE PHONE NUMBERS TO CALL FOR FINANCIAL ASSISTANCE.
      PART V, SECTION B, LINES 7A AND 10 A (BOTH FACILITIES)
      HTTPS://WWW.UNCHEALTHBLUERIDGE.ORG/ABOUT-US/COMMUNITY-BENEFIT/
      PART V, SECTION B, LINES 16A-C (BOTH FACILITIES)
      HTTPS://WWW.UNCHEALTHBLUERIDGE.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/
      Supplemental Information
      Schedule H (Form 990) Part VI
      PART I, LINE 3C:
      BLUE RIDGE HEALTHCARE HOSPITALS USES THE SLIDING SCALE PROVIDED IN THE FEDERAL POVERTY INCOME GUIDELINES PUBLISHED ANNUALLY BY THE DEPARTMENT OF HEALTH AND HUMAN SERVICES TO DETERMINE ELIGIBILITY. AN ASSET TEST IS USED TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE.PART I, LINE 6A:COMMUNITY BENEFIT REPORT IS PREPARED FOR BLUE RIDGE HEALTHCARE SYSTEM (BRHS) WHICH INCLUDES UNC HEALTH BLUE RIDGE MORGANTON (FORMERLY GRACE HOSPITAL) AND UNC HEALTH BLUE RIDGE VALDESE (FORMERLY VALDESE GENERAL HOSPITAL).
      PART II, COMMUNITY BUILDING ACTIVITIES:
      BRHC PROVIDES SUPERVISION AND STAFF FOR THE SCHOOL NURSE PROGRAM IN BURKE COUNTY.
      PART III, LINE 2:
      BAD DEBT COST FROM LINE 2 IS BASED ON TOTAL BAD DEBT EXPENSE MULTIPLIED BY THE COST-TO-CHARGE RATIO.
      PART III, LINE 3:
      THE ORGANIZATION'S BAD DEBT DOES NOT INCLUDE ANY AMOUNTS ATTRIBUTABLE TO THOSE PATIENTS WHO APPLIED FOR AND RECEIVED FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY
      PART III, LINE 4:
      UNINSURED DISCOUNTS AND BAD DEBTS INCLUDED THE COST OF SERVICES PROVIDED TO UNINSURED OR UNDERINSURED PATIENTS AND TO PATIENTS WHO OTHERWISE DO NOT PAY FOR THEIR HEALTHCARE SERVICES. THE MISSION OF BRHS IS TO CREATE AND OPERATE A HEALTH SYSTEM TO PROVIDE HOSPITAL, ACUTE AND EMERGENCY CARE, INPATIENT PSYCHIATRIC SERVICES, PHYSICIAN SERVICES, AND LONG-TERM CARE FOR THE BENEFIT OF THE COMMUNITY IT SERVES. COMMITMENT TO THIS MISSION REQUIRES BOTH AN INVESTMENT IN AND A PARTNERSHIP WITH THE COMMUNITY WITHIN WHICH BRHS OPERATES.
      PART III, LINE 8:
      THE MEDICARE COST REPORT IS PREPARED USING THE AUDITED TRIAL BALANCE FOR BLUE RIDGE HEALTHCARE HOSPITALS, INC. THE COST REPORT IS PREPARED IN ACCORDANCE WITH ALL APPLICABLE RULES AND REGULATIONS. AS A 501(C)(3) ORGANIZATION, BLUE RIDGE HEALTHCARE HOSPITALS ACCEPTS ALL PATIENTS WITHOUT REGARD TO THE INSURANCE OR LACK OF INSURANCE.
      PART III, LINE 9B:
      BLUE RIDGE HEALTHCARE FACILITIES OFFER FINANCIAL ASSISTANCE THROUGH OUR CHARITY POLICY, BASED ON THE CURRENT FEDERAL POVERTY GUIDELINES (FPG), TO PATIENTS AND GUARANTORS. THOSE APPROVED FOR FINANCIAL ASSISTANCE ARE ELIGIBLE FOR DISCOUNTS APPLIED TO BALANCES OWED AFTER INSURANCE, AS WELL AS SELF-PAY BALANCES REMAINING AFTER OUR UNINSURED DISCOUNT IS APPLIED. PATIENTS WHOSE HOUSEHOLD INCOME IS LESS THAN 200% OF FEDERAL POVERTY GUIDELINES ARE ELIGIBLE FOR 100% ADJUSTMENT OF REMAINING BALANCES. THE DISCOUNTS ARE AVAILABLE IN A GRADUATED SCALE WHERE INCOMES OF UP TO 400% OF FPG QUALIFY FOR SOME ADJUSTMENTS OFF REMAINING BALANCES. THIS POLICY IS PUBLICIZED IN PATIENT REGISTRATION AREAS, ON BILLING STATEMENTS, AND IS AVAILABLE ON OUR WEB SITE. PATIENTS NOT ELIGIBLE FOR CHARITY OR WHO HAVE A BALANCE OWED AFTER THE APPLICATION OF CHARITY OR UNINSURED DISCOUNT ARE SENT STATEMENTS AND/OR COLLECTION LETTERS AT LEAST EVERY 30 DAYS UNTIL THE BALANCE OWED IS PAID OR SUITABLE, LONGER-TERM PAYMENT ARRANGEMENTS ARE MADE. ACCOUNTS THAT DO NOT HAVE SUITABLE PAYMENT ARRANGEMENTS ESTABLISHED, THAT ARE OLDER THAN 120 DAY FROM THE FIRST PATIENT STATEMENT ARE ELIGIBLE FOR OUTSIDE COLLECTION ACTIVITY. ALL PATIENTS ARE NOTIFIED OF POSSIBLE COLLECTION ASSIGNMENT AT LEAST 30 DAYS BEFORE AN ASSIGNMENT IS MADE. IF A PATIENT REQUESTS FINANCIAL ASSISTANCE AFTER THE STATEMENT PROCESS BEGINS, THE ACCOUNT IS PLACED ON HOLD UNTIL A DETERMINATION OF ELIGIBILITY IS MADE.
      PART VI, LINE 2:
      BLUE RIDGE HEALTHCARE HOSPITALS PERFORMS OUTREACH SERVICES AND HEALTH EDUCATION OPPORTUNITIES FOR THE COMMUNITY SERVED. FEEDBACK FROM THESE EFFORTS ALONG WITH THE EVALUATION OF THE PATIENTS SERVED ARE CONSIDERED IN ASSESSING THE COMMUNITIES HEALTH CARE NEEDS. IN ADDITION, THE ORGANIZATION HAS CONDUCTED EXTENSIVE RESEARCH INTO THE AREAS MOST SERIOUS HEALTH THREATS AND DEVELOPED A PLAN TO FOCUS ATTENTION ON THESE ISSUES.
      PART VI, LINE 3:
      ALL SELF PAY ED ACCOUNTS GO THROUGH AN ELECTRONIC SCORING MECHANISM AT THE TIME OF BILLING. ALL SELF PAY INPATIENTS ARE SCREENED FOR FINANCIAL ASSISTANCE BY THE FINANCIAL COUNSELORS DURING THEIR STAY. DIAGNOSTIC AND THERAPEUTIC OUTPATIENT SERVICES ARE ALSO ELIGIBLE FOR FINANCIAL ASSISTANCE AND-OR CHARITY UPON APPLICATION BY THE PATIENT OR RESPONSIBLE PARTY. MONTHLY STATEMENTS AND WEBSITE REFERENCE THE PHONE NUMBERS TO CALL FOR FINANCIAL ASSISTANCE.
      PART VI, LINE 4:
      BRHCS PRIMARY SERVICE AREA INCLUDES BURKE COUNTY; PATIENTS FROM A NUMBER OF OTHER OUTLYING COUNTIES ARE ALSO SERVED BY BRHC. THE POPULATION IS PREDOMINANTLY CAUCASIAN. SIGNIFICANT MINORITIES INCLUDE HMONG, AFRICAN-AMERICAN AND HISPANIC RESIDENTS. THE AREA IS ECONOMICALLY DEPRESSED DUE TO THE LOSS OF TRADITIONAL FURNITURE AND TEXTILE INDUSTRIES.
      PART VI, LINE 5:
      BRHC IS GOVERNED BY A VOLUNTEER COMMUNITY BOARD OF DIRECTORS. BRHC SYSTEM IS SERVED BY OPEN MEDICAL STAFFS. THE SYSTEM IS ALSO SUPPORTED BY A GROWING BRHC VOLUNTEERS CORPS WHO CONTRIBUTE THOUSANDS OF HOURS IN SERVICE ANNUALLY. BRHC ACTIVELY RECRUITS PRIMARY CARE PHYSICIANS AND PHYSICIAN SPECIALISTS TO MEET SPECIFIC MEDICAL NEEDS IN THE COMMUNITY.
      PART VI, LINE 6:
      BLUE RIDGE HEALTHCARE HOSPITALS IS PART OF BLUE RIDGE HEALTHCARE SYSTEM. BLUE RIDGE SERVES BURKE COUNTY, NC AND SURROUNDING COUNTIES.
      PART VI, LINE 7, REPORTS FILED WITH STATES
      NC