LENOIR MEMORIAL HOSPITAL INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: LENOIR MEMORIAL HOSPITAL INC (EIN 56-6000674)
Tax period: 2021-07-01 to 2022-06-30
Filed: 2023-05-05
IRS object ID: 202311259349300706
Schema version: 2021v4.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-05-05T07:33:13-05:00	ReturnTs
Tax Period End	2022-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BDO USA LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	421 Fayetteville Street Suite 300	AddressLine1Txt
City	Raleigh	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27601	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	566000674	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Lenoir Memorial Hospital Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% MARY H BARTLETT	InCareOfNm
Business Name Control	LENO	BusinessNameControlTxt
Phone	2525227510	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 Airport Road	AddressLine1Txt
City	Kinston	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28501	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JEFFREY A WAKEFIELD	PersonNm
Person Title	VP of Finance & CFO	PersonTitleTxt
Phone	2525227510	PhoneNum
Signature	2023-05-04	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	JEFFREY A	PersonFirstNm
Person Last	WAKEFIELD	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Sandra L FEINSMITH	PreparerPersonNm
PTIN	P01064157	PTIN
Phone	9192781936	PhoneNum
Preparation	2023-05-04	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	UNC LENOIR HEALTH CARE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	JEFFREY A WAKEFIELD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 Airport Road	AddressLine1Txt
City	Kinston	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28501	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$156,591,781	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.UNCLENOIR.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1950	FormationYr
Legal Domicile State	NC	LegalDomicileStateCd
Activity Or Mission	PROVIDING EXCEPTIONAL HEALTHCARE AS AN OUTSTANDING COMMUNITY HOSPITAL	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	1090	TotalEmployeeCnt
Total Volunteers	115	TotalVolunteersCnt
Total Gross UBI	$783,061	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,879,523	PYContributionsGrantsAmt
CY Contributions Grants	$7,485,541	CYContributionsGrantsAmt
PY Program Service Revenue	$136,934,574	PYProgramServiceRevenueAmt
CY Program Service Revenue	$142,052,813	CYProgramServiceRevenueAmt
PY Investment Income	$5,312,188	PYInvestmentIncomeAmt
CY Investment Income	$2,382,140	CYInvestmentIncomeAmt
PY Other Revenue	$2,655,677	PYOtherRevenueAmt
CY Other Revenue	$3,842,466	CYOtherRevenueAmt
PY Total Revenue	$148,781,962	PYTotalRevenueAmt
CY Total Revenue	$155,762,960	CYTotalRevenueAmt
PY Grants And Similar Paid	$118,981	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$3,404	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$60,628,248	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$62,023,988	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$111,385	CYTotalFundraisingExpenseAmt
PY Other Expenses	$90,302,850	PYOtherExpensesAmt
CY Other Expenses	$103,106,514	CYOtherExpensesAmt
PY Total Expenses	$151,050,079	PYTotalExpensesAmt
CY Total Expenses	$165,133,906	CYTotalExpensesAmt
PY Revenues Less Expenses	-$2,268,117	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$9,370,946	CYRevenuesLessExpensesAmt
Total Assets BOY	$221,129,021	TotalAssetsBOYAmt
Total Assets EOY	$183,094,580	TotalAssetsEOYAmt
Total Liabilities BOY	$73,373,341	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$57,532,978	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$147,755,680	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$125,561,602	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE MISSION OF LENOIR MEMORIAL IS TO ENSURE EXCEPTIONAL HEALTHCARE FOR THE PEOPLE WE SERVE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$148,259,524	ExpenseAmt
Grant	$3,404	GrantAmt
Revenue	$143,560,613	RevenueAmt
Desc	SEE SCHEDULE O FOR THE DESCRIPTION OF THE ORGANIZATION'S PROGRAM SERVICE ACCOMPLISHMENTS.	Desc
Total Program Service Expenses	$148,259,524	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	118	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1090	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (true)	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NC	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	MARY H BARTLETT	PersonNm
Phone	2525227784	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 AIRPORT ROAD	AddressLine1Txt
City	KINSTON	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28501	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
CLAIRE D PARIS
CMO	50.0	0.0	Yes (X)	$464,846	$0	$16,961
Mark E Henning
CRNA	40.0	0.0		$308,003	$0	$24,834	Yes (X)
JEFFREY A WAKEFIELD
CFO	50.0	0.0	Yes (X)	$291,776	$0	$33,235
Stephen Michaux-Smith
CRNA	40.0	0.0		$266,250	$0	$17,839	Yes (X)
Robin Owens Reavis
CRNA	40.0	0.0		$234,075	$0	$22,785	Yes (X)
KARL L VANDERSTOUW
VP SUPPORT SERVICES	50.0	0.0	Yes (X)	$221,353	$0	$18,287
Charles Patrick Woodard
CRNA	40.0	0.0		$202,374	$0	$30,074	Yes (X)
Alton Hardy
Pharmacy Director	40.0	0.0		$207,444	$0	$17,380	Yes (X)
SHIRLEY HARKEY
FORMER CNO	50.0	0.0	Yes (X)	$175,630	$0	$14,226
DEREK RYAN VESTAL
VP Operations	50.0	0.0	Yes (X)	$163,289	$0	$13,143
DEBBIE LANIER
EXECUTIVE SECRETARY	40.0	0.0	Yes (X)	$81,080	$0	$13,116
ROBERT ENDERS JR
CEO	50.0	0.0	Yes (X)	$0	$0	$0		Yes (X)
Carl Younger Jr
Chairman	2.0	0.0	Yes (X)	$0	$0	$0		Yes (X)
Craig Hill
Vice Chairman	2.0	0.0	Yes (X)	$0	$0	$0		Yes (X)
Michael Whitfield CPA
Treasurer	2.0	0.0	Yes (X)	$0	$0	$0		Yes (X)
John McPhaul
Assistant Treasurer	2.0	0.0	Yes (X)	$0	$0	$0		Yes (X)
D Stuart Lindley
Secretary	2.0	0.0	Yes (X)	$0	$0	$0		Yes (X)
Laddie M Crisp Jr MD
BOARD MEMBER	1.0	0.0		$0	$0	$0		Yes (X)
Shirley Dove EdD
BOARD MEMBER	1.0	0.0		$0	$0	$0		Yes (X)
Michael Haddad MD
BOARD MEMBER	1.0	0.0		$0	$0	$0		Yes (X)
Preston Harris
BOARD MEMBER	1.0	0.0		$0	$0	$0		Yes (X)
Frances Herring
BOARD MEMBER	1.0	0.0		$0	$0	$0		Yes (X)
Russell Thomas Hunt EdD
BOARD MEMBER	1.0	0.0		$0	$0	$0		Yes (X)
De Shonta King MD
BOARD MEMBER	1.0	0.0		$0	$0	$0		Yes (X)
Hugh Pollock
BOARD MEMBER	1.0	0.0		$0	$0	$0		Yes (X)
James C Purnell V
BOARD MEMBER	1.0	0.0		$0	$0	$0		Yes (X)
Robin Roberson
BOARD MEMBER	1.0	0.0		$0	$0	$0		Yes (X)
FELICIA SOLOMON
BOARD MEMBER	1.0	0.0		$0	$0	$0		Yes (X)
MONICA JILL PHLIPPEAU
CNO (AS OF 01/02/2022)	50.0	0.0	Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,616,120	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$221,880	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	46	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Qualivis
5930 CORNERSTONE CT W 300	SAN DIEGO	CA	92121	Contract Nursing	$15,200,729
Vidant Medical Group
PO BOX 8423	GREENVILLE	NC	27835	HOSPITALIST SERVICES	$2,250,702
AMERICAN ANESTHESIOLOGY OF NC
68 SOUTH SERVICE ROAD SUITE 350	MELVILLE	NY	11747	ANESTHESIOLOGY	$2,530,526
SODEXO MANAGEMENT INC
9801 WASHINGTONIAN BOULEVARD	GAITHERSBURG	MD	20878	Contract Dietary&EVS	$1,908,085
Guardian
105 WESTPARK DRIVE SUITE 100	BRENTWOOD	TN	37027	Contract Nursing	$1,229,230

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	14	CntrctRcvdGreaterThan100KCnt
Government Grants	$7,231,103	GovernmentGrantsAmt
All Other Contributions	$254,438	AllOtherContributionsAmt
Total Contributions	$7,485,541	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICES	621990	$141,524,839	$140,741,778	$783,061
ANCILLARY SERVICES	621990	$493,837	$493,837
WELLNESS CENTER REVENUE	713940	$34,137	$34,137

Field	Value	IRS element (for citing)
Total Program Service Revenue	$142,052,813	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,461,092	TotalRevenueColumnAmt
Exclusion	$2,461,092	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Personal	$984,458	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$984,458	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$984,458	TotalRevenueColumnAmt
Related Or Exempt Func Income	$984,458	RelatedOrExemptFuncIncomeAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$78,952	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$78,952	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$78,952	TotalRevenueColumnAmt
Exclusion	-$78,952	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$2,056,272	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$749,869	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,306,403	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,306,403	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA	900099	$483,030	$483,030
VENDING	900099	$19,742	$19,742
INTERCOMPANY REVENUE	900099	$1,048,833	$1,048,833

Field	Value	IRS element (for citing)
Other Revenue Total	$1,551,605	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$155,762,960	TotalRevenueColumnAmt
Related Or Exempt Func Income	$143,560,613	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$783,061	UnrelatedBusinessRevenueAmt
Exclusion	$3,933,745	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$3,404	TotalAmt
Program Services	$3,404	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,570,821	TotalAmt
Program Services	$298,368	ProgramServicesAmt
Management And General	$1,272,453	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$47,908,574	TotalAmt
Program Services	$37,266,086	ProgramServicesAmt
Management And General	$10,555,469	ManagementAndGeneralAmt
Fundraising	$87,019	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,688,111	TotalAmt
Program Services	$1,597,020	ProgramServicesAmt
Management And General	$87,610	ManagementAndGeneralAmt
Fundraising	$3,481	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$7,336,819	TotalAmt
Program Services	$7,265,594	ProgramServicesAmt
Management And General	$56,997	ManagementAndGeneralAmt
Fundraising	$14,228	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,519,663	TotalAmt
Program Services	$3,438,464	ProgramServicesAmt
Management And General	$74,542	ManagementAndGeneralAmt
Fundraising	$6,657	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$782,877	TotalAmt
Management And General	$782,877	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$72,146	TotalAmt
Management And General	$72,146	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$81,730	TotalAmt
Management And General	$81,730	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$12,147	TotalAmt
Management And General	$12,147	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$178,531	TotalAmt
Management And General	$178,531	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$29,258,324	TotalAmt
Program Services	$29,258,324	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$421,369	TotalAmt
Management And General	$421,369	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,337,455	TotalAmt
Program Services	$6,236,837	ProgramServicesAmt
Management And General	$1,100,618	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$4,688,431	TotalAmt
Program Services	$2,813,059	ProgramServicesAmt
Management And General	$1,875,372	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,134,172	TotalAmt
Program Services	$1,963,438	ProgramServicesAmt
Management And General	$170,734	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$59,309	TotalAmt
Program Services	$42,984	ProgramServicesAmt
Management And General	$16,325	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$16,825	TotalAmt
Program Services	$12,748	ProgramServicesAmt
Management And General	$4,077	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$665,633	TotalAmt
Program Services	$665,633	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$7,853,593	TotalAmt
Program Services	$7,853,593	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$8,415,845	TotalAmt
Program Services	$8,415,845	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$465,731	TotalAmt
Program Services	$465,731	ProgramServicesAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
BAD DEBT EXPENSE	$22,440,013	$22,440,013
MEDICAL SUPPLIES	$18,222,383	$18,222,383

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$165,133,906	TotalAmt
Program Services	$148,259,524	ProgramServicesAmt
Management And General	$16,762,997	ManagementAndGeneralAmt
Fundraising	$111,385	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$210,730	BOYAmt
EOY	$726,939	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$34,842,251	BOYAmt
EOY	$8,177,050	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$12,933,010	BOYAmt
EOY	$14,449,224	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,498,130	BOYAmt
EOY	$3,392,260	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,793,324	BOYAmt
EOY	$2,494,361	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$161,806,490	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$107,039,556	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$54,381,200	BOYAmt
EOY	$54,766,934	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$101,527,383	BOYAmt
EOY	$83,611,948	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$11,942,993	BOYAmt
EOY	$15,475,864	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$221,129,021	BOYAmt
EOY	$183,094,580	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$16,239,053	BOYAmt
EOY	$15,465,023	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$1,649,804	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$28,045,758	BOYAmt
EOY	$13,370,000	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$1,500,000	BOYAmt
EOY	$13,775,742	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$27,588,530	BOYAmt
EOY	$13,272,409	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$73,373,341	BOYAmt
EOY	$57,532,978	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$123,981,269	BOYAmt
EOY	$97,957,340	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$23,774,411	BOYAmt
EOY	$27,604,262	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$147,755,680	BOYAmt
EOY	$125,561,602	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$221,129,021	BOYAmt
EOY	$183,094,580	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$9,370,946	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$12,940,761	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	-$309	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$117,938	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$12,147	OtherActivitiesAmt
Total Lobbying Expenditures	$12,147	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART 11-B, LINE 1, LOBBYING ACTIVITIES	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION IS A MEMBER OF THE NORTH CAROLINA HOSPITAL ASSOCIATION. A PORTION OF THE DUES PAID TO THE NCHA ARE ALLOCATED EACH YEAR TO LOBBYING EFFORTS ON BEHALF OF ITS MEMBERSHIP BODY. ACCORDING TO THE NCHA, $6,823 OF MEMBERSHIP DUES WERE ALLOCATED TO LOBBYING EXPENSE. THE ORGANIZATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THE DUES PAID TO THE AHA ARE ALLOCATED EACH YEAR TO LOBBYING EFFORTS ON BEHALF OF ITS MEMBERSHIP BODY. ACCORDING TO THE AHA, $5,324 OF MEMBERSHIP DUES WERE ALLOCATED TO LOBBYING EXPENSE.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$425,406	OtherCostOrOtherBasisAmt
Book Value	$425,406	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$72,351,991	OtherCostOrOtherBasisAmt
Depreciation	$39,755,392	DepreciationAmt
Book Value	$32,596,599	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,218,915	OtherCostOrOtherBasisAmt
Depreciation	$5,508,314	DepreciationAmt
Book Value	$2,710,601	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$80,733,017	OtherCostOrOtherBasisAmt
Depreciation	$61,775,850	DepreciationAmt
Book Value	$18,957,167	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$77,161	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$77,161	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$54,766,934	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
OTHER ASSETS	$10,823,105
OTHER RECEIVABLES	$2,500,395
LEASE RECEIVABLES	$1,708,307
PHYSICIAN RECEIVABLE	$347,745
CURRENT-PHYSICIANS RECEIVABLE	$96,312

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$15,475,864	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
EST THIRD PARTY PAYOR SETTLEMENT	$7,671,155
OTHER CURRENT LIABILITIES	$5,584,324
SHORT-TERM LEASE LIABILITES	$16,930

Field	Value	IRS element (for citing)
Total Liability	$13,272,409	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	LENOIR IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, THE ACCOMPANYING COMBINED FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250.	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,948,136	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$84,905	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,863,231	NetCommunityBenefitExpnsAmt
Total Expense	0.03100	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,860,039	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,978,860	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,881,179	NetCommunityBenefitExpnsAmt
Total Expense	0.01830	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,808,175	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,063,765	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,744,410	NetCommunityBenefitExpnsAmt
Total Expense	0.04930	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Persons Served	202	PersonsServedCnt
Total Community Benefit Expns	$817,121	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$129,857	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$687,264	NetCommunityBenefitExpnsAmt
Total Expense	0.00400	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$333,604	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$333,604	NetCommunityBenefitExpnsAmt
Total Expense	0.00200	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$13,253	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,253	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$163,058	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$25,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$138,058	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	19	ActivitiesOrProgramsCnt
Persons Served	202	PersonsServedCnt
Total Community Benefit Expns	$1,327,036	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$154,857	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,172,179	NetCommunityBenefitExpnsAmt
Total Expense	0.00700	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	19	ActivitiesOrProgramsCnt
Persons Served	202	PersonsServedCnt
Total Community Benefit Expns	$20,135,211	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,218,622	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,916,589	NetCommunityBenefitExpnsAmt
Total Expense	0.05630	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$2,613	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,613	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$193,334	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$193,334	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$195,947	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$195,947	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$22,440,013	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$31,794,775	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$35,938,438	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$4,143,663	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LENOIR MEMORIAL HOSPITAL INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 AIRPORT ROAD	AddressLine1Txt
City	KINSTON	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28501	ZIPCd

Field	Value	IRS element (for citing)
State License	H0043	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Emergency Room Other	Yes (X)	EmergencyRoomOtherInd
Other	DISPROPORTIONATE SHARE HOspital	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	LENOIR MEMORIAL HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.UNCLENOIR.ORG	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	WWW.CO.LENOIR.NC.US	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	www.lenoirwellness.org/healthy-communities	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	0.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.UNCLENOIR.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.UNCLENOIR.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.UNCLENOIR.ORG	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B, LINE 5:	IN 2021/ 2022, THE LATEST CYCLE FOR COMPLETING COMMUNITY HEALTH NEEDS ASSESSMENT WAS INITIATED IN LENOIR COUNTY BY LENOIR COUNTY HEALTH DEPARTMENT AND UNC LENOIR HEALTH CARE. LENOIR COUNTY WORKS WITHIN THE HEALTH ENC PARTNERSHIP IN UNIFYING REGIONAL PROCESS AND TIMELINE. COMMUNITY INPUT WAS OBTAINED THROUGH SURVEY PROCESS AND INPUT OF COMMUNITY HEALTH LEADERS USING THE LENOIR COUNTY ALLIANCE FOR A HEALTHY COMMUNITY TO COLLABORATE AND PARTNER IN ESTABLISHING COMMUNITY PRIORITIES FOR THE NEXT THREE YEARS. COMMUNITY PRIORITIES WERE ESTABLISHED IN NO PARTICULAR ORDER AS: + WELLNESS & LIFESTYLE + IMMUNIZATIONS & INFECTIOUS DISEASES + SUBSTANCE ABUSE THE FULL 2021/2022 LENOIR COUNTY CHNA AND UNC LENOIR HEALTH CARE IMPLEMENTATION STRATEGIES AS WELL AS PAST ASSESSMENTS AND STRATEGIES ARE LOCATED AT THE HEALTHY COMMUNITIES TAB UNDER THE MINGES WELLNESS CENTER AT UNCLENOIR.ORG OR THROUGH HTTPS://WWW.LENOIRWELLNESS.ORG/HEALTHY-COMMUNITIES/
PART V, SECTION B, LINE 6A:	THE CHNA WAS MAILED OUT TO COMMUNITY LEADERS
PART V, SECTION B, LINE 11:	UNC Health Lenoir is addressing specific community needs from the 2021-2022 CHNA. 1) A specific concern was the incident spread of COVID-19 in Lenoir County. The desired outcome was to reduce the rate of COVID-19 in Lenoir County through testing, community drives for vaccinations, and developing additional precautions for UNC Health Lenoir. 2) Substance abuse was identified as a specific community concern of legal and illegal drugs abused in Lenoir County. The hospital Emergency Department providers through participation on the UNC Health Lenoir Pain Stewardship committee which facilitated communication with local providers to enhance their knowledge of the pain management process in the emergency department. Pharmacists have presentations to the community about safe medication disposal. There is increased education to the community about alternative pain therapy. 3) Another strategy was Wellness and Lifestyle with a goal of reducing adult obesity. UNC Health Lenoir provided low cost or free on site fitness center and free community walking track which is grant funding for use of the community. There is increased support with community organizations with sponsorships targeting physical activity components of events. 4) Increase nutrition education and healthy food behaviors for residents of Lenoir County. The support has increased for access to fresh fruits and vegetables in the community with events at the Lenoir County Farmer's market. There are scheduled health grocery cart conversation series and community weight loss programming services. During February each year there are heart health education programs. The following Community needs are not addressed: 1) Community transportation with the impact of the COVID this need will be addressed further in the next cycle, 2) Maternal, Fetal, and Infant health was not specifically addressed due to this area being addressed in the community, 3) The cancer program at UCN Health Lenoir achieved accreditation in 2019 and is being addressed with a multi-organization collaborative effort, 4) Also not addressed due to prioritization were: the economy, heart disease, mortality data, and mental health and mental disorders.

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	PRESUMPTIVE DETERMINATION: IN ADDITION TO DETERMINING ELIGIBILITY FOR FREE CARE USING INCOME LEVELS AND FEDERAL POVERTY GUIDELINES, PATIENTS MAY ALSO QUALIFY FOR FINANCIAL ASSISTANCE BASED ON PRESUMPTIVE DETERMINATION, WHICH UTILIZES A SCORING METHODOLOGY THAT REPRESENTS A PATIENT'S ABILITY TO PAY BASED ON CRITERIA SUCH AS, BUT NOT LIMITED TO, ASSET OWNERSHIP, DEBT PAYMENT TENDENCIES, AND AVAILABLE CREDIT. THIS METHOD MAY BE USED WHEN CIRCUMSTANCES PREVENT FULL COMPLETION OF A FINANCIAL ASSISTANCE APPLICATION. OTHER FACTORS THAT MAY QUALIFY A PATIENT FOR PRESUMPTIVE APPROVAL INCLUDE BEING HOMELESS, DECEASED OR INCARCERATED. MEDICAL INDIGENCE: PATIENTS WHO DO NOT QUALIFY FOR STANDARD FINANCIAL ASSISTANCE BASED ON INCOME CRITERIA MAY QUALIFY FOR CATASTROPHIC ASSISTANCE (MEDICAL INDIGENCE). EXISTING PATIENT BALANCES, AFTER ALL OTHER FINANCIAL RESOURCES (INCLUDING APPLICABLE HEALTHCARE COVERAGE) AVAILABLE TO THE PATIENT HAVE BEEN EXHAUSTED, SHOULD PRODUCE A MEDICAL DEBT-TO-INCOME RATIO OF GREATER THAN OR EQUAL TO 20%. FOR APPROVED CATASTROPHIC FINANCIAL ASSISTANCE, THE PATIENT'S MEDICAL DEBT AFTER INSURANCE WILL BE REDUCED TO 20% OF THE PATIENT'S INCOME AND ASSETS MINUS A STANDARD 6% EXPENSE AND LIABILITY ALLOWANCE. IF A PATIENT HAS NO INCOME, THE PATIENT'S MEDICAL DEBT AFTER INSURANCE WILL BE REDUCED BY 84%. UNINSURED DISCOUNT: PATIENTS WHO HAVE NO HEALTH COVERAGE, NO COVERAGE FROM ANY OTHER THIRD PARTY (SUCH AS THIRD PARTY AUTO LIABILITY COVERAGE), OR WHO OBTAIN SERVICES NOT COVERED BY THEIR HEALTH INSURANCE WILL BE ELIGIBLE FOR A 40% DISCOUNT ON MOST CHARGES. PRE AND POST SERVICE SCREENINGS: PATIENT ACCESS ASSOCIATES WILL CONTACT AND SCREEN MOST PATIENTS WHO ARE PRE-SCHEDULED FOR SERVICES. THIS INCLUDES A SCREENING FOR POSSIBLE MEDICAID ELIGIBILITY AND DISCUSSION OF FINANCIAL ASSISTANCE. MEDICAID ELIGIBILITY SPECIALISTS WILL SCREEN ANY UNINSURED PATIENT ADMITTED AS AN INPATIENT OR OBSERVATION PATIENT WHILE IN-HOUSE TO DETERMINE POSSIBLE MEDICAID PROGRAM ELIGIBILITY FOR FINANCIAL ASSISTANCE ELIGIBILITY.
PART I, LINE 7G:	THE SUBSIDIZED HEALTH SERVICES PROGRAMS INCLUDED DIABETES, ENDOCRINOLOGY, HEMATOLOGY/ONCOLOGY, AND NEONATOLOGY.
PART II, COMMUNITY BUILDING ACTIVITIES:	COMMUNITY HEALTH EDUCATION PROGRAMMING COMMUNITY HEALTH EDUCATION PROGRAMMING 446 PARTICIPANTS IN ON AND OFF-SITE HEALTH AND WELLNESS PROGRAMMING. PROGRAMMING INCLUDED HEART, STROKE, COVID-19, EXERCISE, NUTRITION AND OTHER HEALTH EDUCATION OFFERINGS. EDUCATION WAS IN PERSON AND VIRTUALLY. GROCERY CART CONVERSATION SERIES A FREE COMMUNITY NUTRITION EDUCATION PROGRAM LED BY REGISTERED DIETITIANS WAS PROVIDED IN ELEVEN ONGOING MONTHLY SESSIONS AT THE PIGGLY WIGGLY ON HERRITAGE STREET IN KINSTON. ADVANCED DIRECTIVES PROVIDED 5 COMMUNITY RESIDENTS WITH SUPPORT IN COMPLETING ADVANCED DIRECTIVES. EMPLOYEE OUTREACH IN COMMUNITY UNC LENOIR EMPLOYEES SHOW GOOD COMMUNITY STEWARDSHIP BY PARTICIPATING IN FUNDRAISING TO SUPPORT THE AMERICAN CANCER SOCIETY RELAY FOR LIFE, LENOIR HOSPITAL FOUNDATION PROJECTS, AND LENOIR- GREENE UNITED WAY. EMPLOYEES WORKED TOGETHER TO GIVE TIME, TALENT AND PERSONAL CASH DONATIONS/PLEDGES OF $98,348 DURING FY22 TOWARDS GREAT CAUSES IN THE COMMUNITY. EMPLOYEES COLLECTED 16,793 POUNDS OF FOOD FOR 17 FAMILIES IN THE FEASTIVAL OF FOOD AND MADE DONATIONS TO THE PANTRIES AT, MARY'S KITCHEN, CANCER CENTER, 4 CHURCH FOOD BANKS, GREENE COUNTY INTERFAITH EMPLOYEES KEPT THE LONG TRADITION OF PLAYING SECRET SANTA TO 25 NEEDY CHILDREN IN THE COMMUNITY. GIFTS THIS YEAR WERE GIVEN TO CHILDREN WITHIN THE GUARDIAN AD LITEM PROGRAM AND FROM THEIR OWN POCKETS. HOSPITAL VOLUNTEER PROGRAM DURING FY 22, 115 VOLUNTEERS INCLUDING YOUTH VOLUNTEERS AND CHAPLAINS PROVIDED 10,745 VOLUNTEER HOURS IN A VARIETY OF HOSPITAL SETTINGS ENRICHING THE PATIENT EXPERIENCE AND PERFORMING THE WORK OF 10 UNPAID FTES. THE COMMUNITY DONATIONS, TOTALING MORE THAN $33,000, FOR LIGHTS OF LOVE FUND A NUMBER OF HOSPITAL ONCOLOGY PROGRAMS AND PROJECTS EACH YEAR. THE GIFT SHOP AND VENDOR SALES RAISED AN ADDITIONAL $81,769 TO SUPPORT HOSPITAL PROJECTS, EMPLOYEE AND TEEN SCHOLARSHIPS, AND ITEMS USED TO ENHANCE THE PATIENT EXPERIENCE. PET THERAPY UNC LENOIR CONTINUED ITS SAFE AND THERAPEUTIC DOG VISITS TO THE PATIENTS ON APPROVED PATIENT CARE UNITS BY HAVING 1 THERAPY DOG. RESEARCH INDICATES THAT PET THERAPY HELPS TO REDUCE AND MANAGE PATIENT'S ANXIETY BY FOCUSING PATIENT'S ATTENTION ON THE DOG, STIMULATES POSITIVE FEELINGS IN PATIENTS, AND OFFERS A MEANS OF RELAXATION AND SOCIAL INTERACTION. OUR PET THERAPY VOLUNTEER, AND HER DOG GYPSI HAD 378 INTERACTIONS WITH VISITORS AND FAMILY MEMBERS AND 1 PATIENT VISIT FROM JULY 1, 2021 - JUNE 30, 2022.
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:	NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED, AND INCLUDES ESTIMATED RETROACTIVE REVENUE ADJUSTMENTS DUE TO FUTURE AUDITS, REVIEWS, AND INVESTIGATIONS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED, AND SUCH AMOUNTS ARE ADJUSTED IN FUTURE PERIODS AS ADJUSTMENTS BECOME KNOWN OR AS YEARS ARE NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS, AND INVESTIGATIONS.
PART III, LINE 8:	THE MEDICARE COST REPORT WAS USED TO DETERMINE MEDICARE ALLOWABLE COSTS OF CARE.
PART III, LINE 9B:	PER THE SELF-PAY COLLECTIONS POLICY, IF THERE IS A PENDING FINANCIAL ASSISTANCE APPLICATION OR AN APPROVED APPLICATION, BILLING INDICATORS ARE PLACED ON ACCOUNTS THAT PREVENT COLLECTIONS ACTIVITY FROM HAPPENING. THIS INCLUDES REFERRAL TO OUTSIDE COLLECTION AGENCIES. PATIENT STATEMENTS INCLUDE INFORMATION RELATED TO FINANCIAL ASSISTANCE, WHICH INCLUDES AN AUTO-GENERATED INSERT FOR ANY PATIENT STATEMENT SHOWING A PAST DUE BALANCE, GIVING THE PATIENT AN OPPORTUNITY TO APPLY FOR FINANCIAL ASSISTANCE IF THEY HAVE NOT ALREADY DONE SO. ANY PATIENT BALANCE THAT IS PLACED IN A BAD DEBT COLLECTION STATUS PRIOR TO THE PATIENT APPLYING FOR AND BEING APPROVED FOR FINANCIAL ASSISTANCE IS THEN REMOVED FROM BAD DEBT COLLECTION STATUS AND THE BALANCE ADJUSTED ACCORDINGLY.
PART VI, LINE 2:	LENOIR MEMORIAL WORKS CLOSELY WITH THE LENOIR COUNTY HEALTH DEPARTMENT TO CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR LENOIR COUNTY, OUR LARGEST POPULATION SERVED. OUR COMMUNITIES ARE SURVEYED WITH BOTH ENGLISH AND SPANISH SURVEY INSTRUMENTS. LOCAL DEMOGRAPHIC AND HEALTH STATISTICS ARE COMPILED ALONG WITH COMMUNITY SURVEY DATA ABOUT PERCEIVED HEALTH ISSUES IN ORDER TO DEVELOP TARGETED COMMUNITY HEALTH STRATEGIES. LENOIR MEMORIAL PROVIDES LEADERSHIP TO THE LENOIR COUNTY ALLIANCE FOR A HEALTHY COMMUNITY, WHICH IS A BROAD BASE OF COMMUNITY AGENCIES AND ORGANIZATIONS THAT MEET MONTHLY TO PROMOTE A HEALTHY COMMUNITY. LENOIR MEMORIAL ALSO PARTNERS WITH LENOIR, GREENE, AND JONES COUNTIES IN HEALTHY INITIATIVES TO PROMOTE AND SUPPORT HEALTHIER LIVING ACTIVITIES. ANNUAL CANCER REPORTING AND HOSPITAL DIAGNOSIS TRENDS ARE USED TO PRIORITIZE PROGRAMMING, SERVICES, AND INITIATIVES AS WELL AS PHYSICIAN NEEDS ASSESSMENTS.
PART VI, LINE 3:	THE HOSPITAL INFORMS AND EDUCATES PATIENT AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE BY POSTING SIGNAGE AND MAKING AVAILABLE BROCHURES AND OTHER LITERATURE THROUGHOUT THE FACILITY AND IN SOME CASES, LOCAL PHYSICIAN OFFICES OR OTHER COMMUNITY RESOURCE AREAS. THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS ALSO AVAILABLE ON THE LENOIR WEBSITE AT WWW.UNCLENOIR.ORG OR UNC HEALTH MAIN WEBSITE AT WWW.UNCHEALTHCARE.ORG/PATIENTS-FAMILIES-VISITORS/BILLING-FINANCIAL-ASSISTA NCE/FINANCIAL-ASSISTANCE. PATIENTS CAN ALSO RECEIVE MESSAGING AND APPLY FOR FINANCIAL ASSISTANCE VIA UNC MYCHART, AN ONLINE PATIENT PORTAL. FINANCIAL ASSISTANCE SUMMARIES AND APPLICATIONS CAN ALSO BE REQUESTED AND GIVEN AT THE POINT OF REGISTRATION FOR ANY HOSPITAL SERVICE OR DURING PATIENT ACCESS PRE-SCREENS AND MEDICAID ELIGIBILITY SCREENINGS. ALL FINANCIAL ASSISTANCE-RELATED DOCUMENTS ARE ALSO AVAILABLE IN SPANISH. ADDITIONALLY, SPANISH SPEAKING PATIENTS ARE OFFERED ASSISTANCE THROUGH OUR ONSITE SPANISH LANGUAGE INTERPRETER. THE HOSPITAL ALSO UTILIZES TELEPHONE "LANGUAGE-LINES" FOR ASSISTANCE WITH SPANISH OR OTHER LANGUAGE CONVERSATIONS.
PART VI, LINE 4:	LENOIR MEMORIAL HOSPITAL IS LOCATED IN KINSTON, NORTH CAROLINA (POPULATION ESTIMATE APRIL 2020 19,900), WHICH IS THE COUNTY SEAT AND LARGEST TOWN IN LENOIR COUNTY (POPULATION ESTIMATE APRIL 2020 55,122); KINSTON AND OTHER LENOIR COUNTY MUNICIPALITIES CONSTITUTE THE HOSPITAL'S PRIMARY SERVICE AREA. LMH IS DESIGNATED A SOLE COMMUNITY HOSPITAL BY CMS. THOUGH STRONG ECONOMIC AND CORRESPONDING POPULATION GROWTH OCCURRED THROUGHOUT MUCH OF THE URBAN'S AREAS OF NORTH CAROLINA SINCE 2010, LENOIR COUNTY WAS ONE OF FORTY-SEVEN RURAL COUNTIES STATEWIDE THAT LOST POPULATION WITH LENOIR COUNTY DOWN (7.4 PCT OR 4,373), VS. THE NC AVERAGE OF +9.5 PCT. KINSTON'S DECLINE WAS EVEN LARGER THAN LENOIR COUNTY AT 8.2 PCT (1,777). OVER THE LAST TWO DECADES THE LOCAL AREA HAS WITNESSED THE CLOSING OR SIGNIFICANT DOWNSIZING OF FORMERLY LARGE EMPLOYERS PARTICULARLY LIGHT MANUFACTURING ENTERPRISES AS LESS EXPENSIVE LABOR HAS BEEN SOUGHT OVERSEAS. IN THE MOST RECENT YEARS, THE AREA'S CHALLENGES HAVE BEEN EXACERBATED BY THE DRAMATIC NATIONWIDE ECONOMIC DOWNTURN, AND LENOIR COUNTY'S UNEMPLOYMENT RATE HAS TYPICALLY EXCEEDED BOTH STATE AND NATIONAL AVERAGES. THE COUNTY HAS BEEN DESIGNATED TIER 1 I.E., THE RANKING GIVEN TO THE MOST ECONOMICALLY DISTRESSED COUNTIES IN THE STATE BY THE NC DEPARTMENT OF COMMERCE. LENOIR COUNTY RANKS AS THE 16TH MOST DISTRESSED COUNTY IN THE STATE. LENOIR COUNTY WITH 18.8 PCT OF THE POPULATION WITH A DISABILITY IS TWICE THE STATE PERCENTAGE OF 9.4 PCT. POVERTY LEVELS IN KINSTON AND LENOIR COUNTY EXCEED STATE AVERAGES; IN 2021 THE COUNTY'S POVERTY LEVEL WAS 23 PCT AS COMPARED TO THE STATE AVERAGE OF 15 PCT. THE ECONOMICALLY DISADVANTAGED PERCENTAGE OF CHILDREN IN LENOIR COUNTY SCHOOLS WAS 71.5 PCT, AND ALL SCHOOLS WITH ELEMENTARY AND MIDDLE GRADES WERE TITLE 1. PORTIONS OF KINSTON ARE DESIGNATED AS HEALTH PROFESSIONAL SHORTAGE AREAS. THE MEDIAN INCOME IN LENOIR COUNTY IS 72.2 PCT OF THE STATE AVERAGE. THE TABLE BELOW PROVIDES CURRENT ESTIMATES OF POPULATION, INCOME, AND POVERTY STATISTICS FROM THE US CENSUS BUREAU, INCLUDING THE AMERICAN COMMUNITY SURVEY. KINSTON COUNTY (KC); LENOIR COUNTY (LC); NORTH CAROLINA (NC) POPULATION CHANGE IN PERCENT, 2010-2020 -8.2 (KC); -7.4(LC); +9.5(NC) PERCENT BELOW POVERTY LEVEL 27.8(KC); 17.2(LC); 12.9(NC) MEDIAN HOUSEHOLD INCOME, 2020 $33,066(KC); $39,402 (LC); $54,602(NC) CHILDREN IN POVERTY BY PERCENT, 2020 49.0(KC); 26.1(LC); 17.9(NC) THE HISTORICAL DEPENDENCE UPON FARMING AND LIGHT MANUFACTURING JOBS, AS WELL AS POVERTY AND EDUCATION LEVELS THAT ARE HIGHER AND LOWER, RESPECTIVELY, THAN NC AVERAGES WILL LIKELY CONTINUE TO BE LIMITING FACTORS TO CONSISTENTLY STRONG OR RAPID ECONOMIC GROWTH. IN ORDER TO ADDRESS THESE CHALLENGES, NUMEROUS AREA ORGANIZATIONS CONTINUE TO WORK TOWARD DEVELOPMENT INITIATIVES THAT WILL CREATE LONG TERM SOCIAL AND ECONOMIC IMPROVEMENT.
PART VI, LINE 5:	THE HOSPITAL BOARD IS COMPRISED OF UNRELATED COMMUNITY MEMBERS. LOCAL PHYSICIANS HAVE PRIVILEGES IN A MAJORITY OF HOSPITAL DEPARTMENTS. SURPLUS FUNDS MAY BE USED TO PURCHASE CAPITAL EQUIPMENT OR OTHER MEDICAL EQUIPMENT USED IN PATIENT CARE. THEY ARE ALSO USED TO PURCHASE TECHNOLOGY, SUCH AS COMPUTER EQUIPMENT, SOFTWARE, AND CONNECTIVITY. THESE FUNDS ALSO SUPPORT GENERAL BUILDING REFURBISHMENTS AS WELL AS REPAIRS AND MAINTENANCE. The hospital recruits physicians for the community and through a partnership with UNC Physician's Network (UNCPN), the hospital financially supports the practices. The UNCPN physicians utilize the EPIC Hospital information system (medical record), the same as the hospital.
PART VI, LINE 7, LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT:	NORTH CAROLINA

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
SHIRLEY HARKEY
FORMER CNO	$143,691	$0	$1,500	$0	$30,439	$0	$5,748	$0	$8,478	$0	$189,856	$0	$0	$0
DEREK RYAN VESTAL
VP Operations	$138,736	$0	$10,430	$0	$14,123	$0	$5,549	$0	$7,594	$0	$176,432	$0	$0	$0
KARL L VANDERSTOUW
VP SUPPORT SERVICES	$202,814	$0	$18,539	$0	$0	$0	$8,113	$0	$10,174	$0	$239,640	$0	$0	$0
CLAIRE D PARIS
CMO	$424,035	$0	$40,811	$0	$0	$0	$16,961	$0	$0	$0	$481,807	$0	$0	$0
JEFFREY A WAKEFIELD
CFO	$260,902	$0	$30,874	$0	$0	$0	$10,436	$0	$22,799	$0	$325,011	$0	$0	$0
Mark E Henning
CRNA	$280,622	$0	$17,904	$0	$9,477	$0	$11,225	$0	$13,609	$0	$332,837	$0	$0	$0
Stephen Michaux-Smith
CRNA	$256,116	$0	$10,134	$0	$0	$0	$10,245	$0	$7,594	$0	$284,089	$0	$0	$0
Robin Owens Reavis
CRNA	$229,400	$0	$4,675	$0	$0	$0	$9,176	$0	$13,609	$0	$256,860	$0	$0	$0
Charles Patrick Woodard
CRNA	$181,879	$0	$20,495	$0	$0	$0	$7,275	$0	$22,799	$0	$232,448	$0	$0	$0
Alton Hardy
Pharmacy Director	$180,018	$0	$13,554	$0	$13,872	$0	$7,201	$0	$10,179	$0	$224,824	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 1A:	THE HOSPITAL PERMITS BOARD MEMBERS TO TRAVEL WITH THEIR SPOUSES TO EDUCATIONAL SEMINARS AND IS PART OF THE BOARD OF DIRECTOR TRAVEL POLICY.
PART I, LINE 4B:	THE FOLLOWING INDIVIDUALS RECEIVED AMOUNTS FROM A 457F PLAN: - SHIRLEY HARKEY, FORMER CNO $ 30,439 - DEREK RYAN VESTAL, VP OPERATIONS $ 14,123 - DEBBIE LANIER, EXECUTIVE SECRETARY $ 2,070 - MARK E. HENNING, CRNA $ 9,477 - ALTON HARDY, PHARMACY DIRECTOR $ 13,872

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
NORTH CAROLINA MEDICAL CARE COMMISSION
A	521309402	657902Y63	2005-09-22	$22,000,000	CAPITAL PROJECTS	false	false	false
NORTH CAROLINA MEDICAL CARE COMMISSION
B	521309402		2020-11-01	$14,690,000	REFUND	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$7,310,000	$0	$22,021,552	$0	$0	$0	$178,646	$20,213	$0	$9,657,270	$12,165,423	$0	2005	Yes (true)	false	Yes (true)	Yes (true)
B	$14,690,000	$0	$0	$0	$0	$0	$209,750	$0	$0	$0	$0	$0	2020	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	false	0	false	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	false	0	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	false	Yes (true)	Yes (true)	Yes (true)	false	false	0	false	Yes (true)
0
B	false	false	Yes (true)	Yes (true)	Yes (true)	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K, SUPPLEMENTAL INFORMATION:	FormAndLineReferenceDesc
Explanation	THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I (E) AND THE TOTAL PROCEEDS IN PART II (3) IS DUE TO INTEREST EARNINGS THAT HAVE ACCRUED ON INVESTED BOND PROCEEDS. ISSUE DATES OF BONDS REFUNDED BY THE SERIES 2005 BONDS LISTED IN COLUMN A: NOVEMBER 16, 1995 AND MARCH 19, 1998. PART IV, LN 2C - THE REBATE COMPUTATION WAS PERFORMED AS OF MARCH 22, 2006. PART III, LN 7 - AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS REPORTED IN PART III, LINE 6 IS NOT IN EXCESS OF THE AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	FAYE HILL	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	RELATIVE OF BOARD MEMBER	RelationshipDescriptionTxt
Transaction	$73,352	TransactionAmt
Transaction	EMPLOYEE RADIOLOGY TECH	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	FormAndLineReferenceDesc
Explanation	(A) NAME OF PERSON: FAYE HILL (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: RELATIVE OF BOARD MEMBER (D) DESCRIPTION OF TRANSACTION: PAYMENT FOR EMPLOYMENT AS RADIOLOGY TECH.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS	COMMUNITY HEALTH NEEDS ASSESSMENT AND HEALTH ENC IN 2021/2022, THE LATEST CYCLE FOR COMPLETING COMMUNITY HEALTH NEEDS ASSESSMENT WAS INITIATED IN LENOIR COUNTY BY LENOIR COUNTY HEALTH DEPARTMENT AND UNC LENOIR HEALTH CARE. LENOIR COUNTY WORKS WITHIN THE HEALTH ENC PARTNERSHIP IN UNIFYING REGIONAL PROCESS AND TIMELINE. COMMUNITY INPUT WAS OBTAINED THROUGH SURVEY PROCESS AND INPUT OF COMMUNITY HEALTH LEADERS USING THE LENOIR COUNTY ALLIANCE FOR A HEALTHY COMMUNITY TO COLLABORATE AND PARTNER IN ESTABLISHING COMMUNITY PRIORITIES FOR THE NEXT THREE YEARS. COMMUNITY PRIORITIES WERE ESTABLISHED IN NO PARTICULAR ORDER AS: + WELLNESS & LIFESTYLE + IMMUNIZATIONS & INFECTIOUS DISEASES + SUBSTANCE ABUSE THE FULL 2021/2022 LENOIR COUNTY CHNA AND UNC LENOIR HEALTH CARE IMPLEMENTATION STRATEGIES AS WELL AS PAST ASSESSMENTS AND STRATEGIES ARE LOCATED AT THE HEALTHY COMMUNITIES TAB UNDER THE MINGES WELLNESS CENTER AT UNCLENOIR.ORG OR THROUGH HTTPS://WWW.LENOIRWELLNESS.ORG/HEALTHY-COMMUNITIES/ HEALTHY COMMUNITIES COMMUNITY PORTAL USING THE HEALTHY COMMUNITIES INSTITUTE, A COMPREHENSIVE HEALTH STATUS DATABASE AT WWW.LENOIRWELLNESS.ORG PROVIDES THE LATEST LENOIR COUNTY DEMOGRAPHICS AND LEADING HEALTH INDICATORS. IT ALLOWS THE USER TO SEARCH AND REPORT ON MORE THAN 200 HEALTH, ECONOMIC, SOCIAL, AND WELL-BEING INDICATORS, DEMOGRAPHICS, AND COMPARISONS WITH NC AND NATIONAL BENCHMARKS. THE DATABASE PROVIDES PROMISING PRACTICES FOR COMMUNITY HEALTH INTERVENTIONS AND ALLOWS THE COMMUNITY TO ADD LOCAL REPORTS FOR A ONE STOP INSPECTION FOR LOCAL COMMUNITY HEALTH ASSESSMENT. COMMUNITY LEADERS HAVE BEEN INFORMED OF THE FREE RESOURCE. COMMUNITY COALITION ACTIVITIES UNC LENOIR PROVIDES LEADERSHIP AND ADMINISTRATIVE SUPPORT FOR COMMUNITY HEALTH COALITIONS. THE LENOIR COUNTY ALLIANCE FOR A HEALTHY COMMUNITY MET VIRTUALLY AND MONTHLY FOR COMMUNITY NETWORKING AND INFORMATION SHARING. ALMOST 20 DIFFERENT COMMUNITY ORGANIZATIONS PARTICIPATE IN THE MEETINGS. STROKE PREVENTION AND CARE THE STROKE PROGRAM AT UNC LENOIR HEALTH CARE IS ACCREDITED BY THE JOINT COMMISSION SURVEY FOR CERTIFICATION AS A PRIMARY STROKE CENTER. WE WERE RECERTIFIED FOR THE THIRD TIME IN SEPTEMBER OF 2021 AND WILL UNDERGO OUR FOURTH CERTIFICATION SURVEY IN 2023. STROKE PATIENTS ARE FOLLOWED USING THE COMPASS (COMPREHENSIVE POST-ACUTE STROKE SERVICES) PROGRAM. THE STROKE PROGRAM COORDINATOR FOLLOWS PATIENTS POST DISCHARGE AND IS WITH THE PATIENT AT THE FOLLOW UP NEUROLOGY APPOINTMENT. HEALTH COACHING, RISK FACTOR MANAGEMENT, AND ASSISTANCE IN ACCESSING COMMUNITY RESOURCES FOR THE PATIENT AND THEIR CAREGIVER IS PROVIDED. THE PATIENT IS ALSO OFFERED A COMMUNITY PARAMEDIC HOME VISIT FREE OF CHARGE. THE PROGRAM IS A WAKE FOREST BAPTIST TELESTROKE SITE. WE WERE AWARDED THE 2022 AMERICAN HEART ASSOCIATION GET WITH THE GUIDELINES GOLD PLUS AWARD, TARGET STROKE HONOR ROLL ELITE, AND TARGET TYPE 2 DIABETES HONOR ROLL FOR EXCELLENCE IN MEETING STROKE CARE QUALITY METRICS. ECONOMIC DEVELOPMENT CASH DONATIONS INCLUDED SUPPORT AND SPONSORSHIPS FOR KINSTON/LENOIR COUNTY CHAMBER OF COMMERCE, COMMUNITY COUNCIL FOR THE ARTS, PRIDE OF KINSTON DOWNTOWN DEVELOPMENT, ROTARY OF KINSTON, NEUSE REGIONAL LIBRARY, LAGRANGE SPOT FESTIVAL, DOWNEAST WOOD DUCKS, BBQ FESTIVAL ON THE NEUSE /LENOIR COUNTY EDUCATION FOUNDATION, NEUSE REGIONAL LIBRARY, ECU COLLEGE OF NURSING 5K COMMUNITY DONATIONS CASH DONATIONS INCLUDED SUPPORT FOR LENOIR GREENE UNITED WAY, DIABETES LIONS WALK, LENOIR COUNTY UNIT BOYS & GIRLS CLUB, CASWELL CENTER OPERATION SANTA CLAUS, SHADY GROVE UMC CYSTIC FIBROSIS WALK, AND LENOIR COUNTY AMERICAN CANCER SOCIETY RELAY FOR LIFE. KINSTON/LENOIR COUNTY FARMERS MARKET UNC LENOIR ASSISTED UNDERSERVED RESIDENTS OF THE COMMUNITY HAVING DIABETES WITH ACCESS TO LOCAL FRESH FRUITS AND VEGETABLES THROUGH 50 INCENTIVE RX COUPONS WITHIN PROGRAM IN PARTNERSHIP WITH LENOIR COUNTY COOPERATIVE EXTENSION. ADDITIONALLY, UNC LENOIR PROVIDED SEVERAL ONSITE HEALTHY COOKING DEMONSTRATIONS BY A DIETITIAN.
FORM 990, PART III, LINE 4A, PROG. SVC ACCOMPLISHMENTS CONT.	MATERNAL/CHILD HEALTH INITIATIVES - "BABY FRIENDLY" PRACTICES SUCH AS "ROOMING IN"SKIN TO SKIN" FOR MOM AND BABY ARE STANDARD OF CARE. SKIN TO SKIN EDUCATION IS GIVEN PRIOR TO BIRTH AND DISCUSSED WITH MOMS. SKIN TO SKIN PROVIDES QUICKER THERMOREGULATION OF THE NEWBORN, STABILIZATION OF BLOOD GLUCOSE LEVELS, DECREASES NEWBORN CRYING AND MATERNAL ANXIETY, AND PROMOTES A POSITIVE BREASTFEEDING EXPERIENCE. - BREASTFEEDING SUPPORT IS PROVIDED FOR THOSE MOMS WHO CHOOSE TO BREASTFEED. BREASTFEEDING IS INITIATED WITHIN THE FIRST HOUR AND ENCOURAGEMENT GIVEN FOR BREASTFEEDING ON DEMAND. PROPER BOTTLE-FEEDING TECHNIQUES, HUNGER QUES AND FEEDING PATTERNS ARE TAUGHT TO THOSE MOMS THAT CHOOSE TO FORMULA FEED. FEEDING LOGS ARE ENCOURAGED FOR ALL NEW PARENTS, TO HELP TRANSITION PARENTS INTO THEIR NEW ROLES AND RESPONSIBILITIES. NEW GUIDELINES ESTABLISHED TO ENCOURAGE BREASTFEEDING FOR MOTHERS IN SUBSTANCE USE DISORDER PROGRAM. - DELAYED CORD CLAMPING IS PERFORMED AT THE DISCREPANCY OF THE INFANT'S TRANSITION PHASE. DELAYED CORD CLAMPING LEADS TO MULTIPLE POSITIVE LONG-TERM EFFECTS ON THE NEONATE, INCLUDING; INCREASED HEMOGLOBIN, DECREASED ANEMIA, INCREASED FERRITIN LEVELS, INCREASED URINE OUTPUT, AND DECREASED OCCURRENCE OF HEART MURMURS. CUTTING OF THE CORD BY A LOVED ONE IS ENCOURAGED, WHEN APPROPRIATE. - AS ADVISED BY THE AMERICAN ACADEMY OF PEDIATRICS AND THE AMERICAN CONGRESS OF OBSTETRICS AND GYNECOLOGISTS (AAP & ACOG) ALL INFANTS RECEIVE VITAMIN K WITHIN ONE HOUR WITH PARENTAL CONSENT. INFANTS ALSO RECEIVE EYE PROPHYLAXIS TO PREVENT GONOCOCCAL OPTHALMIA NEONATORUM AS RECOMMENDED BY THE CDC WITHIN ONE HOUR OF BIRTH IN CONJUNCTION WITH PARENTAL CONSENT. - PARTICIPATING IN CURRENT COLLABORATIVE WITH THE PERINATAL QUALITY COLLABORATIVE OF NORTH CAROLINA TO DECREASE OPIOID USE DISORDER IMPACT ON MOTHERS AND BABIES. THIS WILL FOCUS ON SCREENING WOMEN WITH A VALIDATED TOOL PRENATALLY AND UPON HOSPITAL ADMISSION FOR SUBSTANCE ABUSE DISORDER AND ASSISTING THEM TO RECEIVE NEEDED RESOURCES WHICH INCLUDES A SOCIAL WORK CONSULT AND SAFE PLAN OF CARE ON DISCHARGE. UPDATED MANAGEMENT FOR IDENTIFICATION AND TREATMENT FOR THE NEWBORNS IS IMPLEMENTED VIA THE EAT SLEEP AND CONSOLE METHOD, WHICH USES MOM AS MEDICINE. - A SERIES OF NEWBORN SCREENINGS ARE PERFORMED WHEN APPROPRIATE AND INCLUDE; CRITICAL CONGENITAL HEART DEFECTS (CCHD), JAUNDICE, HEARING, AND A METABOLIC SCREENING. APPROXIMATELY 18 OUT OF EVERY 10,000 BABIES ARE BORN WITH A CRITICAL CONGENITAL HEART DEFECT (CCHD). CCHD IS LIFE THREATENING AND REQUIRES INTERVENTION IN INFANCY. CCHD IS NOT ALWAYS DETECTED PRENATALLY OR UPON EXAM IN THE NURSERY, AS A RESULT, SOME INFANTS WITH CCHD ARE DISCHARGED FROM THE NURSERY TO HOME, WHERE THEY QUICKLY DECOMPENSATE. TO IMPROVE THE EARLY DETECTION OF CCHD, THE SECRETARY OF HEALTH AND HUMAN SERVICES (HHS) RECOMMENDED THAT CCHD SCREENING BE ADDED TO THE UNIFORM NEWBORN SCREENING PANEL. JAUNDICE IS AN INCREASE IN BILIRUBIN LEVELS AND TREATED WITH PHOTOTHERAPY. HEARING SCREENINGS ARE ROUTINE PRACTICE TO HELP CATCH HEARING LOSS EARLY ON AND AVOID ANY SPEECH OR DEVELOPMENTAL DELAYS. METABOLIC SCREENINGS ARE OBTAINED AND SENT TO THE STATE LAB IN ORDER TO QUICKLY IDENTIFY ANY POSSIBLE METABOLIC DISORDERS OF THE NEWBORN. - OBH (OBSTETRIC HEMORRHAGE) IS A MAJOR CAUSE OF MATERNAL DEATH AND MORBIDITY IN NORTH CAROLINA. THE FBC IS WORKING WITH THE PERINATAL QUALITY IMPROVEMENT TEAMS TO IDENTIFY AND PROMPTLY MANAGE OBH. ALL OBSTETRIC PATIENTS SEEKING CARE AT UNC LENOIR HEALTH CARE ARE ASSESSED FOR OBH (OBSTETRIC HEMORRHAGE) RISKS ON ADMISSION, AT COMPLETE DILATATION AND AT DELIVERY. INTERVENTION GUIDELINES FOR THE OPTIMAL RESPONSE OF THE MULTIDISCIPLINARY TEAM IN THE EVENT OF OBSTETRICAL HEMORRHAGE (OBH) HAVE BEEN IMPLEMENTED. - ORAL AND WRITTEN POSTPARTUM EDUCATION ON THE TOPICS OF POSTPARTUM HEMORRHAGE, PREECLAMPSIA, AND POSTPARTUM DEPRESSION IS EMPHASIZED SO THAT PATIENTS ARE AWARE OF THE SIGNS/SYMPTOMS TO LOOK FOR AND KNOW WHEN TO SEEK IMMEDIATE MEDICAL CARE. - FOCUSED EDUCATIONAL ROUNDING IS PERFORMED TO PROVIDE OPEN DISCUSSION LEARNING OPPORTUNITIES FOR PARENTS AND EDUCATIONAL VIDEOS ARE ENCOURAGED THROUGHOUT THE ADMISSION STAY WITH TOPIC FOCUS ON NEWBORN CARE AND SAFETY. SIGNS AND SYMPTOMS ARE REVIEWED OF WHEN TO SEEK IMMEDIATE MEDICAL CARE OR CALL 911 FOR INFANT EMERGENCIES. MOTHERS ARE GIVEN "I GAVE BIRTH BRACELETS" TO INCREASE POSTPARTUM COMPLICATION AWARENESS VIA EMERGENCY RESPONDERS IN THE COMMUNITY. - COMMUNITY HIGH RISK OB PROVIDERS GROUP MEETS REGULARLY AT HOSPITAL. - A PARENTING EDUCATION STATION WITH DOZENS OF FREE EDUCATIONAL RESOURCES IS MAINTAINED IN THE FBC WAITING ROOM TO SUPPORT FAMILIES IN BEST PRACTICES FOR PARENTING. - COLLABORATION WITH PREGNANCY CLINICS TO GIVE CONSISTENT AND UP TO DATE EDUCATION REGARDING ANTEPARTUM, INTRAPARTUM, POSTPARTUM, AND NEONATAL CARE. STORK BOOKLETS ARE DELIVERED TO ALL OFFICES AND OFFICE STAFF ARE ENCOURAGED TO DISTRIBUTE THESE BOOKLETS AS A "WHAT TO EXPECT AT UNC HEALTH LENOIR WHEN YOU ARE EXPECTING". THE 20-PAGE BOOKLET IS A FREE EDUCATIONAL JOURNAL THE PATIENT CAN USE TO KEEP TRACK OF IMPORTANT HEALTH INFORMATION, LEARN WEEK BY WEEK, AND KNOW WHAT TO GET PREPARED FOR THROUGHOUT HER PREGNANCY JOURNEY. SUPPORT GROUPS COVID-19 IMPACTED IN-PERSON SUPPORT GROUP MEETINGS ON LOCATION THIS PERIOD. THE PARKINSON'S SUPPORT GROUP AND WEIGHT MANAGEMENT SUPPORT GROUPS MET OFF-SITE WITH 662 PERSONS ATTENDING. EMERGENCY PREPAREDNESS UNC HEALTH LENOIR PARTICIPATES IN THE LOCAL EMERGENCY PLANNING COMMITTEE (LEPC); THE EASTERN HEALTHCARE PREPAREDNESS COALITION AND THE MID CAROLINA REGIONAL HEALTHCARE COALITION FOR PLANNING, COORDINATING, AND EXECUTING DISASTER READINESS AND DRILLS. UNC HEALTH LENOIR PARTICIPATES IN THE NORTH CAROLINA EMERGENCY MANAGEMENT DOMESTIC PREPAREDNESS REGION 2 (DPR2) EMERGENCY PREPAREDNESS COMMITTEE FOR 10 COUNTIES WHICH SERVES TO DEVELOP AND EXPAND REGIONAL PREVENTION, PREPAREDNESS, RESPONSE, AND RECOVERY CAPABILITIES FOR ALL HAZARDS, BOTH MAN-MADE AND NATURAL. UNC HEALTH LENOIR ALSO PARTICIPATES IN THE NC HEALTHCARE ASSOCIATION'S EMERGENCY MANAGEMENT COUNCIL WHICH IS COMPRISED OF HEALTHCARE EMERGENCY MANAGERS FROM ACROSS THE STATE AND PROVIDES GUIDANCE FOR THE N.C. HEALTHCARE ASSOCIATION AND N.C. EMERGENCY MANAGEMENT AND OFFICE OF EMERGENCY SERVICES. UNC HEALTH LENOIR PARTICIPATES IN THE INTERNATIONAL ASSOCIATION OF HEALTHCARE SECURITY AND SAFETY AND PARTICIPATES IN MONTHLY VIRTUAL MEETINGS WITH OTHER CHAPTER LEADERS FROM AROUND THE WORLD RELATED TO SECURITY AND EMERGENCY MANAGEMENT. MINGES WELLNESS CENTER THE ON-SITE MEDICALLY BASED FITNESS CENTER FOR THE COMMUNITY HAS 55 PIECES OF STATIONARY EXERCISE EQUIPMENT WITH AN AVERAGE OF 25 BEGINNER'S GROUP EXERCISE CLASSES WEEKLY. WITH A MEMBERSHIP OF 621 ACTIVE INDIVIDUAL MEMBERS IN FY22, MEMBERS WERE ALLOWED TO PARTICIPATE WITH MASK AND SCREENING REQUIREMENTS. MONTHLY MEMBERSHIP RATES OF $20 PER MONTH ASSIST AN UNDERSERVED COMMUNITY TO INITIATE EXERCISE PLANS. OUR PROGRAM PARTNERS WITH SILVER SNEAKERS, SILVER & FIT, AND RENEWACTIVE BENEFITS FOR ELIGIBLE COMMUNITY MEMBERS. A NUMBER OF FREE PHYSICAL ACTIVITY ORIENTED EDUCATIONAL SESSIONS ARE OFFERED THROUGHOUT THE YEAR TO THE COMMUNITY BY EXERCISE SPECIALISTS. SCREENING EVENTS PROVIDED EARLY DETECTION AND SCREENING EVENTS OF DISEASES/ DISORDERS/RISKS INCLUDING COLORECTAL CANCER (7), MAMMOGRAM SUPPORT (17), LUNG CANCER (68) AND BLOOD PRESSURES (4932). CANCER CENTER VOLUNTEER LAY NAVIGATION ONCE A DIAGNOSIS OF CANCER IS RECEIVED, PATIENTS OFTEN FEEL OVERWHELMED. VOLUNTEER LAY NAVIGATORS, SUPERVISED BY THE SOCIAL WORKER IN THE CANCER CENTER, HELP PATIENTS IDENTIFY AND REMOVE BARRIERS TO CARE WHILE LINKING THEM TO AVAILABLE CANCER SUPPORT RESOURCES. THE LAY NAVIGATOR SEES EACH NEW PATIENT IN CONSULT AND MAKES SUPPORTIVE PHONE CALLS TO PATIENTS RECENTLY FINISHED WITH TREATMENTS. LAY NAVIGATOR MADE OVER 123 SUPPORTIVE PHONE CALLS IN FY 2022. OVER 158 IN PERSON VOLUNTEER HOURS WERE DONATED BY THE LAY NAVIGATOR IN FY 2022.
FORM 990, PART III, LINE 4A, PROG. SVC. ACCOMPLISHMENTS CONT.	CANCER CENTER PROGRAM OUTREACH THE HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE PANTRY. FOOD, NUTRITIONAL SUPPLEMENTS, AND TOILETRY ITEMS ARE AVAILABLE IN THE PANTRY. COMMUNITY GROUPS AND INDIVIDUALS PROVIDE NUMEROUS DONATIONS OF ITEMS, AS WELL AS MONETARY DONATIONS TO BE USED FOR NEEDED PURCHASES, THROUGHOUT THE YEAR. THE CANCER CENTER FOOD PANTRY WAS INCLUDED AS A RECIPIENT OF UNC LENOIR HEALTH CARE'S 2021 FESTIVAL OF FOOD DRIVE. COMMUNITY EDUCATION AND OUTREACH CONTINUED IN FY 2022 WITH A TOTAL OF 15 ATTENDEES IN 5 MEETINGS OF THE LADIES CANCER SUPPORT GROUP. THIS GROUP MEETS IN PERSON AT THE UNC LENOIR HEALTH CARE CANCER CENTER ON THE SECOND THURSDAY OF EVERY OTHER MONTH. ALL FEMALES IN ANY STAGE OF THEIR CANCER JOURNEY ARE INVITED TO ATTEND THESE GROUP MEETINGS. TOPICS INCLUDED NUTRITION, EXERCISE, FATIGUE, FINANCIAL AND PSYCHOSOCIAL ISSUES. COMMUNITY EDUCATIONAL TALKS WERE PROVIDED TO SEVERAL GROUPS IN THE COMMUNITY BY OUR CANCER SOCIAL WORKER AND NURSE NAVIGATOR. IN JULY 2021 THE NURSE NAVIGATOR AND HOSPITAL DIETITIAN COLLABORATED ON A NUTRITION TALK AND FOOD DEMO ON "EATING A RAINBOW" FOR CANCER PREVENTION AND SURVIVORSHIP HEALTH AT THE LOCAL FARMER'S MARKET. LUNG CANCER SCREENING EDUCATION WAS PROVIDED AT A LOCAL CHURCH HEALTH FAIR, HEALTH NIGHT AT THE BALL PARK, AND A CITY OF KINSTON EMPLOYEE WELLNESS EVENT. SINCE 2020, THE UNC LENOIR HEALTH CARE CANCER CENTER HAS PARTICIPATED IN LIFT- LESSENING THE IMPACT OF FINANCIAL TOXICITY, WHICH IS A CLINICAL STUDY AND GRANT THROUGH THE NATIONAL CANCER INSTITUTE AND UNC LINEBERGER CANCER CENTER IN CHAPEL HILL, FOCUSING ON "FINANCIAL TOXICITY" IN ONCOLOGY CARE. FINANCIAL TOXICITY IS "A TERM USED TO DESCRIBE THE FINANCIAL BURDEN THAT HEALTHCARE PLACES ON PATIENTS AND THEIR FAMILIES" (WHEELER, ROSENSTEIN). FINANCIAL NAVIGATION SERVICES ARE AVAILABLE TO ALL PATIENTS RECEIVING CANCER CARE AT UNC LENOIR HEALTH CARE. PATIENTS EXPERIENCING FINANCIAL BURDENS RELATED TO THEIR CANCER TREATMENT ARE ABLE TO MAKE AN APPOINTMENT WITH A FINANCIAL NAVIGATOR AT THE UNC LENOIR HEALTH CARE CANCER CENTER. PATIENTS ARE ASSISTED WITH FINDING FINANCIAL RESOURCES AND SERVICES. IN FY 22, 12 PATIENTS WERE ENROLLED IN THE STUDY. UNC LENOIR HEALTH CARE COMMUNITY WALKING TRACK AVERAGES OVER 500 WALKERS PER MONTH OFFERED THE USE OF THE TRACK FOR NOT-FOR-PROFIT COMMUNITY ORGANIZATIONS' WALKS X 2 IN FY 22 FOR NO FEES. CORPORATE HEALTH SERVICES SERVICES INCLUDED (35) CORPORATE CLIENTS, (29) WORKSITE WELLNESS VISITS WITH (456) EMPLOYEE CONTACTS. BIOMETRIC SCREENINGS, FLU SHOTS, CPR TRAINING, URINE DRUG SCREENS, AND TARGETED HEALTH EDUCATION FOR RISK FACTOR REDUCTION WERE PROVIDED. DIABETES WELLNESS LOCATED IN THE MINNIE P. STACKHOUSE DIABETES CENTER, THE ADCES ACCREDITED DIABETES WELLNESS PROGRAM PROVIDED FREE DIABETES SELF-MANAGEMENT EDUCATION AND FOLLOW UP MANAGEMENT TO (119) INDIVIDUALS LIVING WITH DIABETES. OUTREACH EDUCATIONS WERE PROVIDED EACH MONTH REACHING (485) COMMUNITY MEMBERS. ADDITIONALLY, A REGISTERED DIETITIAN/DIABETES EDUCATOR PROVIDED (549) MEDICAL NUTRITION COUNSELING SESSIONS DURING THIS YEAR. RX FOOD COUPONS ($250.00) ARE PROVIDED TO PARTICIPANTS IN $5 INCREMENTS TO INCENTIVIZE EDUCATION BY INCREASING LOCAL ACCESS TO FRESH FRUITS AND VEGETABLES AT THE LENOIR COUNTY FARMER'S MARKET. COMMUNITY HEALTH EDUCATION PROGRAMMING COMMUNITY HEALTH EDUCATION PROGRAMMING 446 PARTICIPANTS IN ON AND OFF-SITE HEALTH AND WELLNESS PROGRAMMING. PROGRAMMING INCLUDED HEART, STROKE, COVID-19, EXERCISE, NUTRITION, AND OTHER HEALTH EDUCATION OFFERINGS. EDUCATION WAS IN PERSON AND VIRTUALLY. GROCERY CART CONVERSATION SERIES A FREE COMMUNITY NUTRITION EDUCATION PROGRAM LED BY REGISTERED DIETITIANS WAS PROVIDED IN ELEVEN ONGOING MONTHLY SESSIONS AT THE PIGGLY WIGGLY ON HERITAGE STREET IN KINSTON. ADVANCED DIRECTIVES PROVIDED 5 COMMUNITY RESIDENTS WITH SUPPORT IN COMPLETING ADVANCED DIRECTIVES. EMPLOYEE OUTREACH IN COMMUNITY UNC LENOIR EMPLOYEES SHOW GOOD COMMUNITY STEWARDSHIP BY PARTICIPATING IN FUNDRAISING TO SUPPORT THE AMERICAN CANCER SOCIETY RELAY FOR LIFE, LENOIR HOSPITAL FOUNDATION PROJECTS, AND LENOIR- GREENE UNITED WAY. EMPLOYEES WORKED TOGETHER TO GIVE TIME, TALENT, AND PERSONAL CASH DONATIONS/PLEDGES OF $98,348 DURING FY22 TOWARDS GREAT CAUSES IN THE COMMUNITY. EMPLOYEES COLLECTED 16,793 POUNDS OF FOOD FOR 17 FAMILIES IN THE FESTIVAL OF FOOD AND MADE DONATIONS TO THE PANTRIES AT, MARY'S KITCHEN, CANCER CENTER, 4 CHURCH FOOD BANKS, GREENE COUNTY INTERFAITH EMPLOYEES KEPT THE LONG TRADITION OF PLAYING SECRET SANTA TO 25 NEEDY CHILDREN IN THE COMMUNITY. GIFTS THIS YEAR WERE GIVEN TO CHILDREN WITHIN THE GUARDIAN AD LITEM PROGRAM AND FROM THEIR OWN POCKETS. HOSPITAL VOLUNTEER PROGRAM DURING FY 22, 115 VOLUNTEERS INCLUDING YOUTH VOLUNTEERS AND CHAPLAINS PROVIDED 10,745 VOLUNTEER HOURS IN A VARIETY OF HOSPITAL SETTINGS ENRICHING THE PATIENT EXPERIENCE AND PERFORMING THE WORK OF 10 UNPAID FTES. THE COMMUNITY DONATIONS, TOTALING MORE THAN $33,000, FOR LIGHTS OF LOVE FUND A NUMBER OF HOSPITAL ONCOLOGY PROGRAMS AND PROJECTS EACH YEAR. THE GIFT SHOP AND VENDOR SALES RAISED AN ADDITIONAL $81,769 TO SUPPORT HOSPITAL PROJECTS, EMPLOYEE AND TEEN SCHOLARSHIPS, AND ITEMS USED TO ENHANCE THE PATIENT EXPERIENCE. PET THERAPY UNC LENOIR CONTINUED ITS SAFE AND THERAPEUTIC DOG VISITS TO THE PATIENTS ON APPROVED PATIENT CARE UNITS BY HAVING 1 THERAPY DOG. RESEARCH INDICATES THAT PET THERAPY HELPS TO REDUCE AND MANAGE PATIENT'S ANXIETY BY FOCUSING PATIENT'S ATTENTION ON THE DOG, STIMULATES POSITIVE FEELINGS IN PATIENTS, AND OFFERS A MEANS OF RELAXATION AND SOCIAL INTERACTION. OUR PET THERAPY VOLUNTEER, AND HER DOG GYPSI HAD 378 INTERACTIONS WITH VISITORS AND FAMILY MEMBERS AND 1 PATIENT VISIT FROM JULY 1, 2021 - JUNE 30, 2022. PHYSICIAN RECRUITMENT UNC LENOIR HAS ADDED FIVE NEW MEDICAL PROVIDERS TO THE CLINICAL STAFF IN 2022. THE NEW PHYSICIANS WILL BE PRACTICING IN OUR COMMUNITY AND COVER THE FOLLOWING SPECIALTIES: OBSTETRICS AND GYNECOLOGY, HOSPITAL MEDICINE, FAMILY MEDICINE, AND GENERAL SURGERY COMMUNITY EDUCATION TELE-EDUCATION SERIES 2/1/22 - HEART MONTH SERIES: HEART DISEASE - FACTS, STATISTICS, & YOU - LOIS ANN SULLIVAN, NP 1.7K VIEWS 2/3/22 - HEART MONTH SERIES: STROKE AWARENESS - JORDAN TAGGERT, LENOIR COUNTY EMS OPERATIONS MANAGER 291 VIEWS 2/8/22 - HEART MONTH SERIES: HEART-HEALTHY DIET, SARAH BURKHOLDER, CLINICAL DIETITIAN 186 VIEWS 2/10/22 - HEART MONTH SERIES: EXERCISE & YOUR HEART - KATIE POTTER, CARDIAC REHAB RN 2.3K VIEWS 2/22/22 - HEART MONTH SERIES: HEAD & HEART CONNECTION - DR. GREG GRIDLEY 785 VIEWS 2/24/22 - HEART MONTH SERIES: DIABETES AND HEART DISEASE - HOLLY WHITE, RD 219 VIEWS 3/17/22 - COLORECTAL CANCER AWARENESS WITH DR. JOSEPH SARACINO 264 VIEWS HEALTH LIBRARY A COMPREHENSIVE HEALTHWISE HEALTH LIBRARY IS LOCATED AT WWW.LENOIRWELLNESS.ORG. THIS FREE COMMUNITY RESOURCE CONTAINS NATIONAL HEALTH NEWS HEADLINES AND ARTICLES, CONDITION GUIDES, AND INTERACTIVE CALCULATORS AND QUIZZES TO HELP ASSESS CURRENT HEALTH KNOWLEDGE AND STATUS. CALCULATE A BODY MASS INDEX OR TARGET HEART RATE. CHECK OUT THE HEALTH LIBRARY FOR POPULAR TOPIC AREAS SUCH AS WOMEN'S HEALTH, MEN'S HEALTH, PREGNANCY, DIET AND EXERCISE, AND DOZENS OF MORE RELEVANT TOPICS AND EASILY PRINT ARTICLES. HEART FAILURE EDUCATION IS LINKED FROM THE LIBRARY DIRECTLY IN MANAGEHEARTFAILURE.ORG COMMUNITY MEDICATION SAFETY (50) INDIVIDUAL MEDICATION WALLET CARDS WERE PROVIDED FREE TO COMMUNITY RESIDENTS AND SAFE AND PROPER MEDICATION DISPOSAL EDUCATION IS PROVIDED WITH EACH CARD. NORTH CAROLINA DRUG CARDS WERE PROVIDED TO RESIDENTS IN AREA. COVID 19 COMMUNITY PARTNERSHIP AND OUTREACH EDUCATION UNC LENOIR HEALTH CARE WORKED CLOSELY WITH THE LENOIR COUNTY HEALTH DEPARTMENT TO PROVIDE COMMUNITY COVID 19 EDUCATION AND MULTIMEDIA HEALTH PROMOTION, AND SUPPORT FOR COVID TESTING AND VACCINATION AT COMMUNITY EVENTS. A COMMUNITY RESOURCE GUIDE WAS DEVELOPED AND PROMOTED FOR TESTING SITES IN COMMUNITY. UNC LENOIR IMPLEMENTED COMMUNITY AND STAFF COVID VACCINE CLINICS.
FORM 990, PART VI, SECTION A, LINE 1:	THE CHAIRMAN OF THE BOARD, VICE CHAIRMAN, SECRETARY, PRESIDENT, AND OTHERS AS APPOINTED BY THE CHAIRMAN SHALL CONSTITUTE THE EXECUTIVE COMMITTEE. THE CHAIRMAN OF THE BOARD OF DIRECTORS SHALL SERVE AS CHAIRMAN OF THE EXECUTIVE COMMITTEE AND THE VICE CHAIRMAN OF THE BOARD OF DIRECTORS SHALL SERVE AS VICE CHAIRMAN OF THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE SHALL HAVE FULL AUTHORITY TO TRANSACT ALL REGULAR BUSINESS OF THE HOSPITAL DURING THE INTERIM BETWEEN THE REGULAR MEETINGS OF THE BOARD OF DIRECTORS, PROVIDED THAT ANY ACTION WHICH IT MAY TAKE SHALL NOT CONFLICT WITH THESE BYLAWS, RULES AND REGULATIONS OR ARTICLES OF INCORPORATION OR WITH THE POLICIES AND DECISIONS OF THE BOARD OF DIRECTORS. SHOULD ANY MATTERS OF EXTREME URGENCY ARISE BETWEEN REGULAR MEETINGS OF THE BOARD OF DIRECTORS, IT SHALL BE THE PREROGATIVE OF THE EXECUTIVE COMMITTEE TO REQUEST THE CHAIRMAN OF THE BOARD TO CALL A SPECIAL MEETING, WHICH SHALL BE HELD AT LEAST TWICE ANNUALLY UPON CALL BY THE CHAIRMAN. A MAJORITY OF THE MEMBERS OF THE COMMITTEE SHALL CONSTITUTE A QUORUM.
FORM 990, PART VI, SECTION A, LINE 3:	THROUGH THE MANAGEMENT SERVICES AGREEMENT, UNC HEALTH CARE SYSTEM PROVIDES OVERSIGHT AND ASSISTANCE WITH A BROAD ARRAY OF BUSINESS, ADMINISTRATIVE, AND EXECUTIVE FUNCTIONS OF LENOIR MEMORIAL HOSPITAL, INC. (THE HOSPITAL), INCLUDING BUT NOT LIMITED TO: FINANCIAL REPORTING AND BUDGETING, MANAGED CARE CONTRACTING, PURCHASING, PHYSICIAN RECRUITMENT AND RETENTION, MARKETING, AND CLINICAL SERVICE QUALITY. THE CEO OF LENOIR MEMORIAL HOSPITAL WAS CONTRACTED THROUGH THIS MANAGEMENT AGREEMENT, DURING THE 2021 CALENDAR YEAR THE CEO RECEIVED $568,667 FOR THESE SERVICES. THE BOARD OF DIRECTORS OF LENOIR MEMORIAL REMAINS LOCALLY APPOINTED AND RETAINS ULTIMATE AUTHORITY OVER THE GOVERNANCE AND OPERATIONS OF THE HOSPITAL.
FORM 990, PART VI, SECTION B, LINE 11B:	THE ORGANIZATION'S MANAGEMENT TEAM REVIEWED THE FORM 990 IN DETAIL. THE 990 WAS PLACED ON THE ORGANIZATION'S BOARD PORTAL FOR BOARD MEMBER REVIEW PRIOR TO FILING THE RETURN AND FORMALLY PRESENTED AT A LATER DATE.
FORM 990, PART VI, SECTION B, LINE 12C:	UPON THEIR APPOINTMENT TO THE BOARD, AND BEFORE ACTUALLY PARTICIPATING IN MEETINGS, MEMBERS MUST READ THE CONFLICTS OF INTEREST POLICY AND DISCLOSE ANY FINANCIAL INTERESTS THAT COULD CREATE A CONFLICT OF INTEREST. AS LONG AS THEY CONTINUE TO SERVE ON THE BOARD, MEMBERS THEN COMPLETE THESE FINANCIAL RELATIONSHIP DISCLOSURE STATEMENTS ON AN ANNUAL BASIS. IF SUCH INTERESTS ARE NOT DISCLOSED, THE CEO, BOARD CHAIR, OR ANY OTHER BOARD MEMBER MAY BRING THE FINANCIAL INTEREST OR ACTUAL/POSSIBLE CONFLICT TO THE ATTENTION OF THE BOARD; THUS THE ENTIRE BOARD IS RESPONSIBLE FOR ONGOING MONITORING OF POTENTIAL CONFLICTS AND THEIR DISCLOSURE. INTENTIONAL FAILURE TO DISCLOSE SUCH FINANCIAL INTERESTS WILL, BY POLICY, RESULT IN APPROPRIATE CORRECTIVE ACTION BY THE BOARD. SHOULD A CONFLICT OF INTEREST ARISE IN CONDUCTING THE BUSINESS OF THE HOSPITAL, THE AFFECTED MEMBER(S) MAY NOT PARTICIPATE IN DISCUSSION REGARDING THE RELEVANT TRANSACTION, AND DEPENDING UPON THE SPECIFIC NATURE OF THE MATTER, THE BOARD CAN TAKE A RANGE OF ACTIONS, SUCH AS APPOINTING A DISINTERESTED PERSON TO INVESTIGATE POSSIBLE ALTERNATIVES, REQUIRING THE INTERESTED PERSON TO REFRAIN FROM PERFORMING ANY FUNCTIONS RELATED TO THE INTEREST CREATING THE CONFLICT, OR REQUIRING THE INTERESTED PERSON TO DIVEST HIMSELF OF THE CONFLICT-CREATING INTEREST IN ORDER TO REMAIN ON THE BOARD. EDUCATION AND COMPLIANCE FORMS ARE UPDATED ANNUALLY BY THE HOSPITAL'S CORPORATE COMPLIANCE OFFICER.
FORM 990, PART VI, SECTION B, LINE 15:	THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS MEETS YEARLY TO REVIEW SALARIES AND BENEFITS OF SENIOR STAFF AND KEY EMPLOYEES. INFORMATION IS PRESENTED ON MARKET RATES AND OTHER CURRENT COMPENSATION ISSUES FACING THE HOSPITAL. ALL COMPENSATION AND BENEFIT RECOMMENDATIONS ARE VOTED ON BY THE EXECUTIVE COMPENSATION COMMITTEE AND PRESENTED TO THE FULL BOARD OF DIRECTORS FOR FINAL APPROVAL.
FORM 990, PART VI, SECTION C, LINE 18:	PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. ADDITIONALLY, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG.
FORM 990, PART VI, SECTION C, LINE 19:	THE HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:	OTHER CHANGES IN NET ASSETS $117,938
FORM 990, PART XII, LINE 2C:	THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACT SERVICES TOTAL FEES:14323330
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACT LABOR TOTAL FEES:14934994

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
LENOIR MEMORIAL HOSPITAL FOUNDATION INC
100 AIRPORT ROAD	KINSTON	NC	28501	581584139	SEE PART VII	NC	501(C)(3)	LINE 12A, I	SEE PART VII	Yes (true)
LENOIR HEALTH SERVICES INC
100 AIRPORT ROAD	KINSTON	NC	28501	581705689	SEE PART VII	NC	501(C)(3)	LINE 12A, I	SEE PART VII	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	LENOIR MEMORIAL HOSPITAL FOUNDATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	Q	TransactionTypeTxt
Involved	$110,531	InvolvedAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II, IDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATIONS:	FormAndLineReferenceDesc
Explanation	NAME OF RELATED ORGANIZATION: LENOIR MEMORIAL HOSPITAL FOUNDATION, INC. PRIMARY ACTIVITY: SUPPORT THE CHARITABLE, EDUCATIONAL, AND SCIENTIFIC PURPOSES OF THE HOSPITAL. DIRECT CONTROLLING ENTITY: LENOIR MEMORIAL HOSPITAL NAME OF RELATED ORGANIZATION: LENOIR HEALTH SERVICES, INC. PRIMARY ACTIVITY: SUPPORT CHARITABLE, EDUCATIONAL, AND SCIENTIFIC PURPOSES OF THE HOSPITAL. DIRECT CONTROLLING ENTITY: LENOIR MEMORIAL HOSPITAL	ExplanationTxt