2026-08-14T10:25:50+00:00 2025-09-30 440160260 FORVIS MAZARS LLP ONE OAK ST SUITE 300 ASHEVILLE NC 28801 990 2024-10-01 510191937 THE FOUNDATION OF FIRSTHEALTH INC FOUN 9106957500 155 MEMORIAL DRIVE PINEHURST NC 28374 AUTUMN MCFALL CORPORATE CFO 9106957500 2026-08-14 true true AMY BIBBY P00445891 8282542254 2026-08-13 2024 2025-03-06 01:10:19Z DANA CASSON 155 MEMORIAL DRIVE PINEHURST NC 28374 23607468 false X WWW.FIRSTHEALTH.ORG/FOUNDATION X 1976 NC PROVIDE PHILANTHROPIC SUPPORT OF FIRSTHEALTH OF THE CAROLINAS, INC. 25 22 0 199 0 8549355 10553251 0 0 3164268 7622979 -161723 0 11551900 18176230 10483085 10790692 0 0 1142320 1266414 0 0 14730 724848 812891 12350253 12869997 -798353 5306233 98272778 104669446 3896554 3508142 94376224 101161304 PROVIDE PHILANTHROPIC SUPPORT TO FIRSTHEALTH OF THE CAROLINAS, INC., A HEALTHCARE SYSTEM EXEMPT FROM INCOME TAX UNDER IRS SECTION 501C(3) AND 170(B)(1)(A)(III). false false 11777136 10790692 THE FOUNDATION OF FIRSTHEALTH, INC. ("FOUNDATION") PROVIDES PHILANTHROPIC SUPPORT TO THE OPERATING ENTITIES AND BUSINESS LINES OF FIRSTHEALTH OF THE CAROLINAS, INC. ("FIRSTHEALTH"), A NOT-FOR-PROFIT HEALTHCARE SYSTEM. THIS FY 2025 PHILANTHROPIC SUPPORT INCLUDED $10,790,692 IN GRANTS TO FIRSTHEALTH FOR OPERATIONAL SUPPORT OF EXISTING PATIENT CARE FACILITIES AND SERVICES, PHYSICIAN AND CLINICAL STAFF EDUCATION, AND OTHER APPROVED OPERATIONAL NEEDS. SIGNIFICANT FY 2025 DISBURSEMENT FROM THE FOUNDATION TO FIRSTHEALTH INCLUDED, BUT WERE NOT LIMITED TO: * $7,500,000 AS FINAL PAYMENT TOWARD THE FOUNDATION'S FINANCIAL PLEDGE FOR THE NEW COMPREHENSIVE CANCER CENTER. * $643,330 PAID BY THE FIRSTHEALTH HOSPICE FOUNDATION TO COVER ONGOING ANNUAL OPERATING LOSSES OF THE FIRSTHEALTH HOSPICE HOUSE (INPATIENT FACILITY); PROVIDE FOR THE MAINTENANCE OF THE HEALING GARDENS AT THE HOSPICE HOUSE, AND TO OFFSET A PORTION OF THE ONGOING PATIENT CARE COSTS OF FIRSTHEALTH'S OUTPATIENT PALLIATIVE CARE PROGRAM NOT PAID THROUGH MEDICARE AND MOST COMMERCIAL INSURANCE COMPANIES. * $533,388 PAID TO COVER THE OPERATING DEFICIT OF THE CLARA MCLEAN HOSPITALITY HOUSE ("CLARA'S HOUSE") LOCATED ON THE FIRSTHEALTH MOORE REGIONAL HOSPITAL - PINEHURST CAMPUS AND TO OFFSET THE COST OF COMMUNITY PROGRAMS HELD AT THE FACILITY. * $277,042 PAID IN SUPPORT OF THE FIRSTHEALTH PHYSICIAN'S LEADERSHIP ACADEMY PROGRAM AND THE CENTER FOR PROVIDER WELL-BEING. * $370,506 DISBURSED FROM THE CANCER CARE FUND TO ASSIST PATIENTS WITH DIFFERENT TYPES OF CANCER WITH THE COST OF MEDICATION CO-PAYS, GAS MONEY, ARRANGING SPECIAL TRANSPORTATION NEEDS, SPECIAL NUTRITIONAL NEEDS, ETC. * $125,000 PAID TO FIRSTHEALTH MOORE REGIONAL HOSPITAL IN SUPPORT OF NUMEROUS NURSING EDUCATION PROGRAMS, NURSING ENRICHMENT PROGRAMS, NURSING SCHOLARSHIPS, EXTERNAL PROFESSIONAL CONFERENCES, ETC. AND FOR ONGOING MAGNET TRAINING. * $523,250 PAID TO PROVIDE UNDERINSURED CHILDREN WITH QUALITY DENTAL CARE AND OUTSIDE PROFESSIONAL DENTAL SERVICES FOR NEEDED DENTAL SURGERIES. * $254,246 PAID IN SUPPORT OF THE ENGAGED BRAINS PROJECT, FOCUSING ON A COMMUNITY-WIDE, PERSON-CENTERED APPROACH TO DEMENTIA EDUCATION AND CARE. * $246,000 PAID IN SUPPORT OF THE REID HEALTHCARE TRANSFORMATION FELLOWSHIP, FOCUSING ON DESIGNING INNOVATIVE, PERSON-CENTERED DEMENTIA CARE PATHWAYS, INVOLVING LOCAL HEALTHCARE AND COMMUNITY RESOURCES. * $64,343 PAID TO SUPPORT THE FIRSTFUTURES INITIATIVE, PARTNERING WITH AREA COMMUNITY COLLEGES TO PROVIDE STUDENT AID AND FINANCIAL INCENTIVES TO EDUCATE THE NEXT GENERATION OF THE HEALTHCARE WORKFORCE. * $162,170 DISBURSED BY THE FIRSTHEALTH RICHMOND MEMORIAL HOSPITAL FOUNDATION IN SUPPORT OF HEALTH SERVICES PROVIDED TO THE RESIDENTS OF RICHMOND COUNTY. * $40,000 DISBURSED BY THE FIRSTHEALTH MONTGOMERY MEMORIAL HOSPITAL FOUNDATION IN SUPPORT OF HEALTH SERVICES PROVIDED TO THE RESIDENTS OF MONTGOMERY COUNTY. THE CLARA MCLEAN HOUSE ("CLARA'S HOUSE") SERVED 16,499 GUESTS SINCE ITS INCEPTION IN 2012. THIS ENCOMPASSED 27,029 ROOM NIGHTS WITH GUESTS VISITING FROM 48 STATES AND 8 COUNTRIES. IN ADDITION, OVER 9,500 VISITS WERE MADE TO THE ON-SITE HEALING GARDEN BY GUESTS AND THE PINEHURST COMMUNITY AT-LARGE. IN FISCAL YEAR 2025, CLARA'S HOUSE CONTINUED ITS FOCUS ON THE CANCER PATIENT POPULATION AS ITS MAIN HOUSING MARKET. WITH THE CANCER CENTER ENTERING ITS THIRD YEAR OF OPERATION, THE NUMBER OF ROOM NIGHTS FOR CANCER PATIENTS STAYING AT CLARA'S HOUSE MADE UP 58% OF ALL ROOM NIGHTS PROVIDED. THANKS TO THE GENEROUS PHILANTHROPIC SUPPORT OF THE COMMUNITY THROUGH THE FOUNDATION OF FIRSTHEALTH, CLARA'S HOUSE PROVIDED 979 NIGHTS TO MORE THAN 240 CANCER PATIENTS AT NO CHARGE, EQUATING TO AN APPROXIMATE VALUE OF $186,010 IN ACCOMMODATIONS. MANY PATIENTS AND THEIR CAREGIVER(S) STAYED FOR UP TO 6 WEEKS DURING TREATMENT REGIMENS, WHICH REQUIRED STAFF TO STEP INTO A MORE REFINED SKILL SET TO ACCOMPANY FOLKS THROUGH THIS VARIED AND OFTEN ARDUOUS PORTION OF THEIR MEDICAL AND HEALING JOURNEY. THERE WERE 25 VOLUNTEERS WHO SERVED THE GUESTS IN CLARA'S HOUSE AND 25 VOLUNTEERS WHO MAINTAINED THE HEALING GARDENS. THESE VOLUNTEERS PROVIDED 1,671HOURS OF SERVICE IN 2025, AT A VALUE OF $58,100. THE HOUSE VOLUNTEERS PROVIDED MEALS AND SNACKS FOR GUESTS, ADDRESSED THEIR ON-GOING NEEDS, AND ASSISTED WITH DAILY HOUSE NEEDS. WITH MANY OF THE GUESTS NOT HAVING TRANSPORTATION AVAILABILITY, THESE EFFORTS PROVIDED DAILY INTERACTIONS AND COMMUNICATION ESSENTIAL TO THE HEALING PROCESS. FROM THE OVERALL LODGING STANDPOINT, 905 GUESTS STAYED A TOTAL OF 1,675 ROOM NIGHTS, WITH 466 OF THOSE GUESTS BEING FIRST TIME VISITORS. GUESTS TRAVELED A MEAN DISTANCE OF 83 MILES AND STAYED AN AVERAGE OF 2.0 NIGHTS. TOP DIAGNOSTIC GROUPS REMAINED ONCOLOGY, ORTHOPEDIC AND HEART PATIENTS, WITH THE TOP THREE COUNTIES BEING SERVED FROM CUMBERLAND, ROBESON AND RICHMOND. OVER 108 OF THOSE NIGHTS WERE DEDICATED TO PROVIDER RECRUITMENT, RETENTION AND THOSE IN SERVICE TO FIRSTHEALTH. CLARA'S HOUSE REMAINED A CENTRAL HUB FOR COMMUNITY NAVIGATION, OUTREACH AND ADVOCACY, HOSTING 11 DIFFERENT SUPPORT GROUPS. OVER 1,612 VISITS HAD BEEN MADE TO PARKINSON'S, DEMENTIA, TRAUMATIC BRAIN INJURY, STROKE RECOVERY AND CHRONIC KIDNEY DISEASE GROUPS. MUSIC AND ART THERAPY, AS WELL AS CENTERING PRAYER AND BOOK CLUB, WERE STILL GOING STRONG AFTER BEING IN SERVICE MORE THAN A DECADE FROM THIS LOCATION. ADDITIONALLY, THREE FIRSTHEALTH DEPARTMENTS OPERATED OUT OF CLARA'S HOUSE, INCLUDING FIRSTFUTURES AND TELEHEALTH SERVICES. CLARA'S HOUSE HOSTED 584 MEETINGS IN SHADOWLAWN AND THE HOUSE AT LARGE, IN SUPPORT OF THE SPACE NEEDS ON THE FIRSTHEALTH MOORE REGIONAL HOSPITAL CAMPUS. 11777136 true true false false false false false false false true true false false false true true true true false false false false false false false false false true false true false false false false false false false false false false true false false false false true false false false false true 0 0 0 false false false false false true true false false false false false false X 25 22 false false false false false false false true true false false false true true true true true true true true false false X AUTUMN MCFALL CORPORATE CFO 9107151561 PO BOX 3000 155 MEMORIAL DRIVE PINEHURST NC 28374 DANA CASSON FOUNDATION PRESIDENT (HIRED 10/11/24) 50.0 X X 0 93342 30313 DANIEL DO BARNES PRESIDENT - FHPG, INC. 49.0 X X 0 822184 94370 KATHY STOCKHAM FOUNDATION PRESIDENT (RETIRED 1/31/25 50.0 X X 0 430530 22923 MICKEY FOSTER PRESIDENT & CEO 49.0 X X 0 1473637 203003 AMY CRABTREE MEMBER 1.0 X 0 0 0 ART MD EDGERTON MEMBER 1.0 X 0 0 0 ART MEDEIROS PAST CHAIR 1.0 X 0 0 0 AUBREY KINSMAN MEMBER (AS OF 1/1/25) 1.0 X 0 0 0 BRIAN SMITH SECRETARY (AS OF 1/1/25) 1.0 X 0 0 0 CATHY SCHLAFF SECRETARY (THRU 12/31/24) 1.0 X 0 0 0 CHUCK GOODMAN MEMBER (AS OF 1/1/25) 1.0 X 0 0 0 CONNIE FENSTERSTOCK MEMBER 1.0 X 0 0 0 DR CINDY GOODMAN MEMBER 1.0 X 0 0 0 JAMES JACKSON MEMBER 1.0 X 0 0 0 JAMES OBI MEMBER 1.0 X 0 0 0 JOHN MD ELLIS TREASURER 1.0 X 0 0 0 JUDE WINKLEY MEMBER 1.0 X 0 0 0 JUDITH KELLEY MEMBER 1.0 X 0 0 0 KAREN FITCH CHAIR 1.0 X 0 0 0 KERRY HENSLEY MEMBER 1.0 X 0 0 0 MATT MD HARMODY ASST. SECRETARY (AS OF 1/1/25) 1.0 X 0 0 0 NANCY KAESER MEMBER 1.0 X 0 0 0 PETER GROSS MEMBER (AS OF 1/1/25) 1.0 X 0 0 0 RICH HOLADA MEMBER 1.0 X 0 0 0 ROBERT BAHNER MEMBER 1.0 X 0 0 0 ROBERT LOVELL MEMBER (THRU 12/31/24) 1.0 X 0 0 0 RONALD BALLARD ASST. TREASURER 1.0 X 0 0 0 RUSTI WELCH MEMBER 1.0 X 0 0 0 JEFFREY CASEY CORPORATE CFO 49.0 X 0 737723 88198 0 3557416 438807 0 false true false 0 2001645 8551606 232960 10553251 0 0 0 0 0 2924212 2924212 0 0 10130005 5431238 4698767 0 4698767 4698767 0 0 0 0 0 18176230 0 0 7622979 10790692 10790692 1169533 323016 846517 96881 26758 70123 87631 87631 191386 127009 64377 0 275886 251673 9483 14730 257988 257988 0 0 0 0 12869997 11777136 1078131 14730 1488808 1557994 0 0 0 0 6461531 3923237 2777342 2538294 94006628 100573158 0 0 0 0 98272778 104669446 1022887 752478 0 0 2873667 2755664 3896554 3508142 X 26141772 34159884 68234452 67001420 94376224 101161304 98272778 104669446 5306233 1478847 0 X X false true true false X X 1 FIRSTHEALTH OF THE CAROLINAS INC 561936354 3 true 10790692 986444 1 10790692 986444 true false false false false false false false false false false false false false false true false RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 39720830 834800 4398948 559307 44395271 33061875 309771 6969184 620000 39720830 31811824 207365 4076007 3033321 33061875 28386232 7792112 -2963561 1402959 31811824 23154717 2932664 3623390 1324539 28386232 0.0 0.0 1.0 false false 160887 160887 5011064 2694276 2316788 972068 926483 45585 317512 302478 15034 2538294 FEDERAL INCOME TAXES ANNUITY OBLIGATIONS 2499952 DUE TO AFFILIATES 255712 2755664 X 19567446 1478847 0 1478847 18088599 87631 0 87631 18176230 12782366 0 0 12782366 87631 0 87631 12869997 SCHEDULE D, PART V, LINE 4 INTENDED USES OF ENDOWMENT FUNDS THE CORPUS OF THE PERMANENTLY-RESTRICTED ENDOWMENT FUNDS ARE TO BE HELD INTACT IN-PERPETUITY. INVESTMENT INCOME GENERATED ON TEMPORARILY AND PERMANENTLY-RESTRICTED ENDOWMENT IS AVAILABLE FOR THE PURCHASE OF EQUIPMENT, HEALTH EDUCATION, AND/OR HEALTH CARE SERVICES PROVIDED BY THE FIRSTHEALTH OF THE CAROLINAS, INC.'S OPERATING ENTITIES AND BUSINESS LINES. SCHEDULE D, PART X, LINE 2 FIN 48 (ASC 740) FOOTNOTE THE FOUNDATION HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986 (THE "CODE") AND AS A PUBLIC CHARITY UNDER SECTION 509(A) OF THE CODE. CONTRIBUTIONS TO THE FOUNDATION QUALIFY FOR A CHARITABLE CONTRIBUTION DEDUCTION TO THE EXTENT PROVIDE BY LAW. THE FOUNDATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE FOUNDATION FOLLOWS THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS, WHICH CLARIFIES THE ACCOUNTING UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PRINCIPLES FOR THE FINANCIAL STATEMENTS RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THIS STANDARD HAS HAD NO SIGNIFICANT IMPACT ON THE FINANCIAL STATEMENTS OF THE FOUNDATION. true FIRSTHEALTH OF THE CAROLINAS 155 MEMORIAL DRIVE PINEHURST NC 28374 561936354 501(C)(3) 10790692 MEDICAL EQUIPMENT, HEALTH EDUCATION, HEALTH CARE SERVICES 1 0 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS A FORMAL GRANT APPLICATION IS COMPLETED IN SUPPORT OF EACH GRANT REQUEST SUBMITTED TO THE FOUNDATION OF FIRSTHEALTH, INC.. THE APPLICATION MUST BE APPROVED BY A SENIOR MEMBER OF MANAGEMENT OF FIRSTHEALTH OF THE CAROLINAS, INC.. PRIOR TO SUBMISSION. THE FOUNDATION OF FIRSTHEALTH'S GRANT REVIEW COMMITTEE REVIEWS EACH APPLICATION AND APPROVES/REJECTS EACH FOR FUNDING. IF A GRANT AWARD IS MADE, THE GRANTEE SUBMITS A REPORT TO THE GRANT REVIEW COMMITTEE DETAILING THE USE OF THE GRANT PROCEEDS AND THE BENEFITS RECOGNIZED. false true false false false false false false false MICKEY FOSTER PRESIDENT & CEO 0 914543 0 514864 0 44230 0 176463 0 26540 0 1676640 0 141178 DANIEL DO BARNES PRESIDENT - FHPG, INC. 0 535707 0 233074 0 53403 0 67851 0 26519 0 916554 0 0 KATHY STOCKHAM FOUNDATION PRESIDENT (RETIRED 1/31/25 0 268046 0 133057 0 29427 0 0 0 22923 0 453453 0 0 JEFFREY CASEY CORPORATE CFO 0 478388 0 208152 0 51183 0 63308 0 24890 0 825921 0 0 SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THROUGH A RELATED ORGANIZATION, THE FOLLOWING INDIVIDUAL PARTICIPATED IN CAP-EX (A SPLIT DOLLAR LIFE INSURANCE ARRANGEMENT IN PLACE OF A TRADITIONAL SERP). DURING 2024 THE FOLLOWING RECEIVED AMOUNTS PAID UNDER THE TERMS OF THE SERP: -MICKEY FOSTER: $141,178 -DANIEL BARNES: $43,350 -JEFF CASEY: $38,808 SCHEDULE J, PART II ALL EMPLOYEES OF THE FOUNDATION OF FIRSTHEALTH, INC. ARE LEASED FROM FIRSTHEALTH OF THE CAROLINAS, INC. FIRSTHEALTH'S BOARD OF DIRECTORS DETERMINES COMPENSATION FOR THE CEO THROUGH ITS COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE IS COMPOSED OF BOARD MEMBERS WHO ARE INDEPENDENT OF FIRSTHEALTH MANAGEMENT, HAVE NO PERSONAL INTEREST IN THE COMPENSATION ARRANGEMENTS, ARE NOT RELATED TO OR UNDER THE CONTROL OF ANY INDIVIDUAL WHOSE COMPENSATION ARRANGEMENT IS BEING REVIEWED, HAVE NO MATERIAL BUSINESS RELATIONSHIP WITH FIRSTHEALTH, AND ARE NOT PAID FOR THEIR SERVICES AS A BOARD MEMBER. THE COMMITTEE RETAINS AN INDEPENDENT CONSULTANT TO CONDUCT PERIODIC COMPENSATION ANALYSES TO HELP ENSURE FIRSTHEALTH'S COMPENSATION PRACTICES AND COMPENSATION LEVELS ARE REASONABLE. THIS CONSULTANT PROVIDES ONLY ADVISORY SERVICES RELATED TO COMPENSATION MATTERS TO FIRSTHEALTH. TO ATTRACT AND RETAIN THE HIGHEST CALIBER OF HEALTHCARE PROFESSIONALS NEEDED TO SUSTAIN THE QUALITY OF THE HEALTHCARE FIRSTHEALTH PROVIDES TO THE COMMUNITIES THAT IT SERVES, COMPENSATION MUST BE COMPETITIVE WITH THAT PROVIDED BY OTHER COMPETING ORGANIZATIONS IN THE AREA JOB MARKET. WHEN EXECUTIVE POSITIONS ARE FILLED, FIRSTHEALTH TYPICALLY CONDUCTS NATIONAL SEARCHES. FIRSTHEALTH BENCHMARKS AGAINST ORGANIZATIONS OF COMPARABLE SIZE AND MISSION, ACROSS THE REGION AND THE NATION. MARKET DATA IS ASSEMBLED FOR ALL ELEMENTS OF EXECUTIVE COMPENSATION (I.E. CASH COMPENSATION, BENEFITS AND PERQUISITES). COMPENSATION LEVELS REFLECT THE SCOPE OF THE CEO'S RESPONSIBILITIES, EDUCATIONAL BACKGROUND, EXPERIENCE AND INDUSTRY STANDING, AS WELL AS INDIVIDUAL AND ORGANIZATION PERFORMANCE. THE MOST RECENT REVIEW WAS PERFORMED DURING FISCAL YEAR 2024. A SIMILAR PROCESS TO THAT FOR THE CEO IS AFFECTED FOR DETERMINING THE COMPENSATION OF THE OTHER CORPORATE OFFICERS OR KEY EMPLOYEES OF FIRSTHEALTH (I.E. USE OF INDEPENDENT CONSULTANT, COMPARABLE INDUSTRY DATA, ETC.). THE COMMITTEE REVIEWS AND APPROVES THE CEO'S PERFORMANCE ASSESSMENTS AND COMPENSATION RECOMMENDATIONS FOR OTHER CORPORATE OFFICER AND KEY EMPLOYEES. ALL COMPENSATION DECISIONS ARE MADE IN A MANNER THAT IS CONSISTENT WITH FIRSTHEALTH'S BOARD-APPROVED COMPENSATION PHILOSOPHY. THE MOST RECENT YEAR REVIEW WAS PERFORMED DURING FISCAL YEAR 2024. 3 184789 OTHER - MEAN VALUE 4 48171 OTHER - APPRAISED VALUE 0 false true true SCHEDULE M, PART I, LINE 32B THIRD PARTIES USED TO SOLICIT, PROCESS, OR SELL NONCASH CONTRIBUTIONS IN CERTAIN INSTANCES, APPLICABLE THIRD PARTIES OR RELATED ORGANIZATIONS ARE USED TO SOLICIT, PROCESS, OR SELL NON-CASH CONTRIBUTIONS. FORM 990, PART VI, LINE 15 ALL EMPLOYEES OF THE FOUNDATION OF FIRSTHEALTH, INC. ARE LEASED FROM FIRSTHEALTH OF THE CAROLINAS, INC. FIRSTHEALTH'S BOARD OF DIRECTORS DETERMINES COMPENSATION FOR THE CEO THROUGH ITS COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE IS COMPOSED OF BOARD MEMBERS WHO ARE INDEPENDENT OF FIRSTHEALTH MANAGEMENT, HAVE NO PERSONAL INTEREST IN THE COMPENSATION ARRANGEMENTS, ARE NOT RELATED TO OR UNDER THE CONTROL OF ANY INDIVIDUAL WHOSE COMPENSATION ARRANGEMENT IS BEING REVIEWED, HAVE NO MATERIAL BUSINESS RELATIONSHIP WITH FIRSTHEALTH, AND ARE NOT PAID FOR THEIR SERVICES AS A BOARD MEMBER. THE COMMITTEE RETAINS AN INDEPENDENT CONSULTANT TO CONDUCT PERIODIC COMPENSATION ANALYSES TO HELP ENSURE FIRSTHEALTH'S COMPENSATION PRACTICES AND COMPENSATION LEVELS ARE REASONABLE. THIS CONSULTANT PROVIDES ONLY ADVISORY SERVICES RELATED TO COMPENSATION MATTERS TO FIRSTHEALTH. TO ATTRACT AND RETAIN THE HIGHEST CALIBER OF HEALTHCARE PROFESSIONALS NEEDED TO SUSTAIN THE QUALITY OF THE HEALTHCARE FIRSTHEALTH PROVIDES TO THE COMMUNITIES THAT IT SERVES, COMPENSATION MUST BE COMPETITIVE WITH THAT PROVIDED BY OTHER COMPETING ORGANIZATIONS IN THE AREA JOB MARKET. WHEN EXECUTIVE POSITIONS ARE FILLED, FIRSTHEALTH TYPICALLY CONDUCTS NATIONAL SEARCHES. FIRSTHEALTH BENCHMARKS AGAINST ORGANIZATIONS OF COMPARABLE SIZE AND MISSION, ACROSS THE REGION AND THE NATION. MARKET DATA IS ASSEMBLED FOR ALL ELEMENTS OF EXECUTIVE COMPENSATION (I.E. CASH COMPENSATION, BENEFITS AND PERQUISITES). COMPENSATION LEVELS REFLECT THE SCOPE OF THE CEO'S RESPONSIBILITIES, EDUCATIONAL BACKGROUND, EXPERIENCE AND INDUSTRY STANDING, AS WELL AS INDIVIDUAL AND ORGANIZATION PERFORMANCE. THE MOST RECENT REVIEW WAS PERFORMED DURING FISCAL YEAR 2024. A SIMILAR PROCESS TO THAT FOR THE CEO IS AFFECTED FOR DETERMINING THE COMPENSATION OF THE OTHER CORPORATE OFFICERS OR KEY EMPLOYEES OF FIRSTHEALTH (I.E. USE OF INDEPENDENT CONSULTANT, COMPARABLE INDUSTRY DATA, ETC.). THE COMMITTEE REVIEWS AND APPROVES THE CEO'S PERFORMANCE ASSESSMENTS AND COMPENSATION RECOMMENDATIONS FOR OTHER CORPORATE OFFICER AND KEY EMPLOYEES. ALL COMPENSATION DECISIONS ARE MADE IN A MANNER THAT IS CONSISTENT WITH FIRSTHEALTH'S BOARD-APPROVED COMPENSATION PHILOSOPHY. THE MOST RECENT YEAR REVIEW WAS PERFORMED DURING FISCAL YEAR 2024. FORM 990, PART VI, LINE 18 THE ORGANIZATION'S FORM 990 IS MADE AVAILABLE TO THE PUBLIC UPON REQUEST AND ON WWW.GUIDESTAR.ORG. FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY THE FOUNDATION OF FIRSTHEALTH, INC. ("FOUNDATION") FORM 990 WAS INITIALLY REVIEWED BY QUALIFIED MEMBERS OF THE FOUNDATION AND FIRSTHEALTH OF THE CAROLINAS, INC'S ADMINISTRATION, INCLUDING THE CORPORATE CEO AND CFO, AND COMPLIANCE DEPARTMENTS. THE ENTIRE RETURN WAS REVIEWED BY THE FOUNDATION'S BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS. THE FOUNDATION'S INDEPENDENT TAX PREPARER, FORVIS MAZARS, LLP, ALSO CONDUCTED A REVIEW OF THE RETURN DURING THEIR PREPARATION PROCESS. IN ADDITION TO THE POSTING OF THE FOUNDATION RETURN ON GUIDESTAR, A PUBLIC INSPECTION COPY OF THE FORM 990 IS MADE AVAILABLE FOR REVIEW. FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY THE FOUNDATION STRIVES TO MAINTAIN THE HIGHEST ETHICAL STANDARDS AND HAS ADOPTED A CONFLICT OF INTEREST/DUALITY OF INTEREST POLICY THAT APPLIES TO ANY DIRECTOR, TRUSTEE, OFFICER OR MEMBER OF A BOARD COMMITTEE, OR ANY EMPLOYEE WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST OR DUALITY OF INTEREST WITH ANY ORGANIZATION SEEKING TO DO BUSINESS WITH OR IS IN AN ACTUAL OR POTENTIAL ADVERSARIAL RELATIONSHIP WITH THE FOUNDATION. ANY COVERED INDIVIDUAL WITH AN ACTUAL OR POSSIBLE CONFLICT MUST DISCLOSE THE EXISTENCE OF THE CONFLICT TO THE DIRECTORS, TRUSTEES AND MEMBERS OF BOARD COMMITTEES WITH BOARD-DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION, ARRANGEMENT OR ISSUE. EACH TRUSTEE, OFFICER OR MEMBER OF A BOARD COMMITTEE WITH BOARD-DELEGATED POWERS COMPLETES AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT, AND ALL REPORTED CONFLICTS ARE REPORTED TO AND REVIEWED BY THE FOUNDATION AND FIRSTHEALTH OF THE CAROLINAS, INC'S BOARDS OF DIRECTORS. ALL MANAGEMENT EMPLOYEES ALSO COMPLETE ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENTS, WHICH ARE SUMMARIZED AND REVIEWED WITH SENIOR MANAGEMENT. FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC THE CORPORATE DOCUMENTS ARE MADE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. IN ADDITION, QUARTERLY AND ANNUAL FINANCIAL STATEMENTS ARE POSTED TO THE DIGITAL ASSURANCE CERTIFICATION (DAC) WEBSITE. FORM 990, PART XII, LINE 2C CHANGE OF OVERSIGHT PROCESS OR SELECTION PROCESS THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FIRSTHEALTH OF THE CAROLINAS INC 155 MEMORIAL DRIVE PINEHURST NC 28374 561936354 HEALTHCARE SERVICES NC 501(C)(3) 3 NA false FIRSTHEALTH PROFESSIONAL SERVICES INC 155 MEMORIAL DRIVE PINEHURST NC 28374 561885149 HEALTHCARE SERVICES NC NA C CORPORATION false FIRSTCAROLINACARE INSURANCE COMPANY INC 42 MEMORIAL DRIVE PINEHURST NC 28374 331160597 INSURANCE COMPANY NC NA C CORPORATION false false true false false false false false false false false true true false false true true true false false