2023-05-15T15:39:13-04:00 2022-06-30 560731535 S PRESTON DOUGLAS & ASSOCIATES LLP PO BOX 2339 LUMBERTON NC 283592339 990 2021-07-01 560530233 SOUTHEASTERN REGIONAL MEDICAL CENTER SOUT 9106715090 PO BOX 1408 300 W 27TH ST LUMBERTON NC 283591408 SARA BRADLEY CPA VP-FINANCE, CFO 9106715000 2023-05-11 true SARA BRADLEY 999009999 JOHN L GRISSOM JR P00116611 9107397523 2023-05-15 2021 2023-04-26 12:10:37Z CHRIS ELLINGTON PO BOX 1408 LUMBERTON NC 28359 303335917 false X WWW.UNCHEALTHSOUTHEASTERN.ORG X 1960 NC SOUTHEASTERN REGIONAL MEDICAL CENTER EXISTS TO PROVIDE QUALITY REGIONAL HEALTH CARE IN A SAFE, COMPASSIONATE, AND EFFICIENT ENVIRONMENT 13 12 2109 7 11468250 0 198914040 265614545 7324936 6095860 36408906 31625512 242647882 303335917 0 0 110576607 139460176 0 0 114182806 216160069 224759413 355620245 17888469 -52284328 385532976 385486046 172748515 225584684 212784461 159901362 SOUTHEASTERN REGIONAL MEDICAL CENTER EXISTS TO PROVIDE QUALITY REGIONAL HEALTH CARE IN A SAFE, COMPASSIONATE, AND EFFICIENT ENVIRONMENT false false 206433245 265614545 SERVICES PROVIDED FOR 11,297 ACUTE CARE INPATIENTS AND 131 LONG-TERM CARE INPATIENTS. WE ALSO PROVDED SERVICES TO 55,612 EMERGENCY ROOM PATIENTS. 206433245 true false false false false false false false false false true false false false true false false true false false false false false false false false true true false false true true false true false false false false false false false false false false false false false false false false false true 262 0 2109 true true true false false false false false false false false false false false false false X 13 12 false false false false false false false true true false false false true true true true true true true true true X SARA BRADLEY CPA 9106715090 PO BOX 1408 LUMBERTON NC 28359 X JOANN ANDERSON FORMER PRESI 40.00 X 1034674 0 0 JOSEPH ROBERTS VP-CHIEF MED 40.00 X 531843 0 87032 JUSTIN BYNUM FORMER VP-FI 40.00 X 381178 0 59746 APPALA PEELA PHYSICIAN 40.00 X 385144 0 0 PATRICK EBRI VP-CHIEF ENG 40.00 X 332567 0 48899 LORI DOVE VP-COO 40.00 X 315723 0 35881 WILLIAM COX FORMER VP-CO 40.00 X 336317 0 0 LLOYD MEEKS PHYSICIAN 40.00 X 299278 0 0 ANDREW FREEMAN PHYSICIAN 40.00 X 297109 0 0 DAVID CHANDRAN PHYSICIAN 40.00 X 296643 0 0 POORNIMA VINOD PHYSICIAN 40.00 X 288065 0 0 RENAE TAYLOR VP-CNO 40.00 X 266110 0 19011 CHERRY BEASLEY TRUSTEE 5.00 X 0 0 0 F KENNETH BIGGS TRUSTEE 5.00 X 0 0 0 DANIEL E COOK TRUSTEE 5.00 X 0 0 0 ROBIN G CUMMINGS TRUSTEE 5.00 X 0 0 0 KATHERINE DAVIS CHAIR 5.00 X X 0 0 0 WAYLAND B LENNON III IMMEDIATE PA 5.00 X X 0 0 0 RANDALL S JONES TRUSTEE 5.00 X 0 0 0 DR ANDREW LIZEK EX-OFFICIO 5.00 X X 0 0 0 ALPHONZO MCRAE SECRETARY 5.00 X X 0 0 0 EVA MEEKINS VICE CHAIR 5.00 X X 0 0 0 RON ROACH EX-OFFICIO 5.00 X X 0 0 0 KENNETH RUST TREASURER 5.00 X X 0 0 0 MICHAEL T STONE TRUSTEE 5.00 X 0 0 0 DR DENNIS STUART EX-OFFICIO 5.00 X X 0 0 0 SARA BRADLEY CPA VP-FINANCE, 40.00 X 0 0 0 CHRIS ELLINGTON PRESIDENT, C 40.00 X 0 0 0 4764651 250569 201 true true false SIMPLIFI MANAGEDTRINITY HEALTHCARE 1834 SALLY HILL FARMS BLVD FLORENCE SC 29501 STAFFING AGENCY 31035864 ROBESON HOSPITALIST GROUP PLLC 300 W 27TH STREET LUMBERTON NC 28358 STAFFING AGENCY 4234180 PRIVATE DIAGNOSTIC CLINIC DUMC BOX 3070 DURHAM NC 27710 CARDIOLOGY 3992867 MEDSTREAM ANESTHESIA PLLC 82 PATTON AVE STE 510 ASHEVILLE NC 28801 ANESTHESIA SERV 3522354 ARAMARK SERVICES INC 2400 MARKET STREET PHILADELPHIA PA 19103 FACILITY SERVIC 3392975 32 NET PATIENT SERVICE REVENUE 254146295 254146295 GROSS PHARMACY INCOME 446110 11468250 11468250 265614545 1998043 1998043 4097817 4097817 4097817 4097817 OTHER REVENUE 31625512 31625512 31625512 303335917 260242155 11468250 31625512 X 105501502 69587555 35913947 3494629 3494629 21445032 11437 21433595 9019013 9019013 116106 116106 306870 306870 90012453 61399508 28612945 31139 842 30297 255740 228074 27666 5630281 1891609 3738672 16611 3429 13182 1346 1346 7602252 7602252 21130296 14799600 6330696 3520992 17152 3503840 MEDICAL SUPPLIES & DRUGS 49840451 48346402 1494049 SHARED SERVICES ALLOCATIO 23185793 23185793 OTHER SUPPLIES & SERVICES 14509739 10146291 4363448 355620245 206433245 149187000 0 42095323 66626914 4932430 3401263 41204667 46476140 6530079 9032364 2725214 10774208 513101040 319551779 198346466 193549261 89698797 55625896 385532976 385486046 73074866 54831423 80683060 152086509 1845349 1811808 17145240 16854944 172748515 225584684 X 212784461 159901362 212784461 159901362 385532976 385486046 X -52284328 -17862444 17263673 X false true X true false X 4610608 4610608 203034926 111350529 91684397 305455506 208201250 97254256 193549261 LIABILITY FOR PENSION BENEFITS 16854944 16854944 303335917 303335917 303335917 355620246 1 1 355620245 355620245 SCHEDULE D, PAGE 4, PART XI, LINE 2D REVENUE OF RELATED ORGANIZATONS REPORTED 0 ON SEPARATE 990'S 0 PENSION RELATED CHANGES 0 SCHEDULE D, PAGE 4, PART XII, LINE 2D EXPENSES OF RELATED ORGANIZATIONS REPORTED 0 ON SEPARATE 990'S 0 BOOK / TAX DEPRECIATION DIFFERENCE 1 true true true X 2.500000000000 false true true false true true 24011445 16523126 7488319 0.02110 44124965 36593874 7531091 0.02120 68136410 53117000 15019410 0.04220 11233936 7591641 3642295 0.01020 38540 38540 0.00010 11272476 7591641 3680835 0.01040 79408886 60708641 18700245 0.05260 true 66230200 21067827 45382766 53504231 -8121465 X true true 1 1 SOUTHEASTERN REGIONAL MEDICAL CENTE 300 W 27TH STREET LUMBERTON NC 28358 X SOUTHEASTERN REGIONAL MEDICAL CENTE 1 false false true X X X X X X X X X X 20 true false true true X WWW.UNCHEALTHSOUTHEASTERN.ORG X WWW.UNCHEALTHSOUTHEASTERN.ORG X X true 20 true WWW.UNCHEALTHSOUTHEASTERN.ORG false false true X 250.000000000000 X X X X X true true X X X X true X WWW.UNCHEALTHSOUTHEASTERN.ORG X WWW.UNCHEALTHSOUTHEASTERN.ORG X WWW.UNCHEALTHSOUTHEASTERN.ORG X X X X X X true X false X X X X true X false false FACILITY 1, SOUTHEASTERN REGIONAL MEDICAL CENTE - PART V, LINE 3E SEE COPY OF REPORT ON WEBSITE FACILITY 1, SOUTHEASTERN REGIONAL MEDICAL CENTE - PART V, LINE 3J THE CHNA REPORT WAS PREPARED AS A COLLABORATIVE EFFORT WITH SRMC, THE ROBESON COUNTY HEALTH DEPARTMENT AND THE HEALTHY ROBESON TASK FORCE. COMBINED, THESE ENTITIES KNOW AND CARE FOR THE HEALTH NEEDS OF THE COMMUNITY. FACILITY 1, SOUTHEASTERN REGIONAL MEDICAL CENTE - PART V, LINE 5 SRMC UTILIZED THE COLLABORATIVE EFFORTS OF THE ROBESON COUNTY HEALTH DEPARTMENT AND THE HEALTHY ROBESON TASK FORCE KNOWLEDGE AND EXPERTISE OF THE COMMUNITY. IN ADDITION, AN OPINION SURVEY WAS ISSUED TO COMMUNITY MEMBERS AT LARGE TO OBTAIN ADDITIONAL FEEDBACK ON COMMUNITY NEEDS. FACILITY 1, SOUTHEASTERN REGIONAL MEDICAL CENTE - PART V, LINE 6B ROBESON COUNTY HEALTH DEPARTMENT, ROBESON HEALTHCARE CORPORATION, UNITED WAY OF ROBESON COUNTY, AND HEALTHY ROBESON TASKFORCE. FACILITY 1, SOUTHEASTERN REGIONAL MEDICAL CENTE - PART V, LINE 7D SRMC HELD NUMEROUS COMMUNITY MEETINGS TO PUBLISH THE CHNA INFORMATION. IN ADDITION, SRMC HOSTED, IN COMBINATION WITH THE ROBESON COUNTY HEALTH DEPARTMENT AND THE HEALTHY ROBESON TASK FORCE, A COMMUNITY HEALTH SUMMIT WHICH INCLUDED MANY MEMBERS OF THE COMMUNITY AND BUSINESS OWNERS. AT THIS SUMMIT THE CHNA WAS PRESENTED AND BREAKOUT TEAMS WERE HELD TO IDENTIFY OPPORTUNITIES TO EDUCATE ROBESON COUNTY TO BETTER HEALTH CHOICES. FACILITY 1, SOUTHEASTERN REGIONAL MEDICAL CENTE - PART V, LINE 11 THE 2020 COMMUNITY HEALTH NEEDS ASSESSMENT GAVE INSIGHTS INTO PRESSING HEALTH ISSUES IN ROBESON COUNTY. THE COMBINATION OF PRIMARY AND SECONDARY DATA ENABLED THE CHNA ADVISORY TEAM TO PRIORITIZE KEY HEALTH NEEDS AND BEGIN TO IDENTIFY EVIDENCE-BASED INTERVENTIONS TO ADDRESS THOSE NEEDS. THE RESULTS OF THE 2020 CHNA WERE CRUCIAL FOR THE DEVELOPEMENT OF IMPLEMENTATION PLANS. PRIORITIZATION DISCUSSION OCCURRED AROUND THE TOP FIVE AREAS IDENTIFIED BY RESIDENTS. FROM THESE THE CHNA ADVISORY GROUP CATEGORIZED THESE AREAS INTO THREE PRIORITY AREAS OBESITY, SUBSTANCE MISUSE, AND SOCIAL DETERMINANTS OF HEALTH. IMPLEMENTATION STRATEGIES (ACTION PLANS) WERE DEVELOPED FOR EACH AREA OUTLYING HOW THE HOSPITAL FACILITIES WILL COLLABERATE WITH PARTNERS TO ADDRESS THE IDENTIFIED AREAS. SCHEDULE H, PART I, LINE 3C PERSONS WHO HAVE NO HEALTH INSURANCE OR WHO OBTAIN SERVICES NOT COVERED BY THEIR HEALTH INSURANCE WILL BE ELIGIBLE FOR A 40% DISCOUNT ON CHARGE, EXCEPT FOR NON-MEDICALLY NECESSARY SERVICES. THIS DISCOUNT WILL BE GIVEN REGARDLESS OF INCOME OR NC RESIDENCY. PATIENTS ARE NOT REQUIRED TO COMPLETE AN APPLICATION TO RECEIVE THE UNINSURED DISCOUNT. SCHEDULE H, PART I, LINE 6A COMMUNITY BENEFIT REPORT IS PUBLISHED ANNUALLY. SCHEDULE H, PART I, LINE 7 COMMUNITY BENEFITS COST FOR PROVIDING PATIENT CARE TO THE MEDICAID POPULATION AND FOR PROVIDING FINANCIAL ASSISTANCE TO THE UNINSURED AND UNDERINSURED ARE BASED ON THE MEDICAID COST REPORT. SCHEDULE H, PART III, LINE 2 SEE PAGES 15-16 OF THE ATTACHED FINANCIAL STATEMENTS FOR THE FOOTNOTE RELATED TO BAD DEBT EXPENSE. SCHEDULE H, PART III, LINE 3 SEE PAGES 15-16 OF THE ATTACHED FINANCIAL STATEMENTS FOR THE FOOTNOTE RELATED TO BAD DEBT EXPENSE. SCHEDULE H, PART III, LINE 4 SEE PAGES 15-16 OF THE ATTACHED FINANCIAL STATEMENTS FOR THE FOOTNOTE RELATED TO BAD DEBT EXPENSE. SCHEDULE H, PART III, LINE 8 ANSWERS ARE BASED ON THE MEDICARE COST REPORT. SCHEDULE H, PART III, LINE 9B COLLECTION PRACTICES ARE CONSISTENT AND EQUALLY APPLIED ACROSS ALL PAYOR CLASSES IN ACCORDANCE WITH MEDICARE GUIDELINES. SCHEDULE H, PART VI, LINE 2 SOUTHEASTERN ATTEMPTS TO ADDRESS PUBLIC CONCERN AND COMMUNITY NEEDS BY BEING HIGHLY INVOLVED WITH THE COMMUNITY AND AWARE OF PUBLIC PERCEPTION OF THE ORGANZATION. THE CEO AND SENIOR LEADERS ARE AVAILABLE TO THE MEDIA, AND HAVE DISCUSSED HEALTH CARE REFORM AND OTHER PUBLIC ISSUES IN MANY EVENTS AND FORUMS. THE CEO AND SENIOR LEADERS PARTICIPATE WITH MANY COMMUNITY ORGANIZATIONS, PRESENT REGULARLY, AND ANSWER QUESTIONS AND CONCERNS. TO ENSURE COMMUNITY NEEDS ARE ADDRESSED, SOUTHEASTERN COMMISSIONS A CONSUMER TOP OF MIND SURVEY TO IDENTIFY NEEDS, BELIEFS AND CONCERNS. THIS SURVEY IS USED TO TAILOR NEEDS TO THE COMMUNITY. SCHEDULE H, PART VI, LINE 3 SOUTHEASTERN HAS FOUR BENEFIT ADVISORS WHO MEET WITH ALL SELF PAY PATIENTS. THEY SCREEN FOR MEDICAID, SSI-DISABILITY, AND CHARITY ASSISTANCE. THEY HELP PATIENTS APPLY FOR AND QUALIFY FOR ANY NUMBER OF ASSISTANCE PROGRAMS. CUSTOMER SERVICE REPRESENTATIVES ADDITIONALLY REFER PATIENTS TO THESE ADVISORS BASED ON TELEPHONE INQUIRIES, E-MAILS, AND/OR LETTERS. PATIENT STATEMENTS INCLUDE THE CUSTOMER SERVICE TELEPHONE NUMBER IN THE EVENT A PATIENT FEELS THEY NEED ASSISTANCE WITH THEIR BILLS. THE SRMC WEB SITE, SRMC.ORG, INCLUDES INFORMATION AND AN ARTICLE PERTAINING TO CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS OFFERED. SRMC ALSO USES THE LOCAL NEWSPAPER AND BROCHURES FOR EDUCATING THE PUBLIC REGARDING FINANCIAL ASSISTANCE. SCHEDULE H, PART VI, LINE 4 SOUTHEASTERN REGIONAL MEDICAL CENTER SERVES THE RESIDENTS OF ROBESON AND SURROUNDING COUNTIES. THE POPULATION IS COMPRISED OF TRIRACIAL DECENT, WHITE, AMERICAN INDIAN AND AFRICAN AMERICAN. RECENT YEARS HAS SEEN AN INCREASE IN THE HISPANIC POPULATION. SCHEDULE H, PART VI, LINE 5 WORKING IN PARTNERSHIP WITH OTHER LOCAL HEALTH AND HUMAN SERVICE AGENCIES, SOUTHEASTERN OFFERS FREE HEALTH SCREENS, EDUCATION PROGRAMS AND EVENTS DESIGNED TO PREVENT, DETECT AND/OR MANAGE CHRONIC DISEASE IN HIGH RISK, UNDERSERVED INDIVIDUALS, NEIGHBORHOODS, AND COMMUNITIES. SOUTHEASTERN MAINTAINS AN OPEN MEDICAL STAFF AND THE LEADERS ARE MEMBERS OF VARIOUS COMMUNITY ORGANIZATION BOARDS. ALL SURPLUS FUNDS GENERATED FROM THE OPERATIONS ARE UTILIZED TO PROVIDE ADDITIONAL RESOURCES AND SERVICES TO MAINTAIN AND UPGRADE THE HEALTH SERVICES OFFERED TO THE COMMUNITY. SCHEDULE H, PART VI, LINE 6 N/A SCHEDULE H, PART VI, LINE 7 NORTH CAROLINA X X X X X false true false false false false false false false JOANN ANDERSON FORMER PRESIDENT,CEO 730918 17389 286367 10271 1034674 JOSEPH ROBERTS VP-CHIEF MEDICAL OFF 353038 54157 124648 87032 3971 618875 JUSTIN BYNUM FORMER VP-FINANCE 271570 42386 67222 59746 9071 440924 APPALA PEELA PHYSICIAN 373144 12000 385144 PATRICK EBRI VP-CHIEF ENGAG OFFIC 248062 37212 47293 48899 28489 381466 LORI DOVE VP-COO 232323 41949 41451 35881 10271 351604 WILLIAM COX FORMER VP-COO 228240 108077 27303 336317 LLOYD MEEKS PHYSICIAN 299278 299278 ANDREW FREEMAN PHYSICIAN 297109 297109 DAVID CHANDRAN PHYSICIAN 279490 17153 296643 POORNIMA VINOD PHYSICIAN 276065 12000 288065 RENAE TAYLOR VP-CNO 198460 67650 19011 20886 285121 SCHEDULE J, PAGE 1, PART I, LINE 4 JOSEPH ROBERTS 0 124,648 0 JUSTIN BYNUM 0 67,222 0 PATRICK EBRI 0 47,293 0 LORI DOVE 0 41,451 0 WILLIAM COX 0 45,596 0 A PUBLIC FINANCE AUTHORITY 2021-09-29 93045000 PROCEEDS WERE USED TO REFUND SERIES 2017A AND SERIES 2017B BONDS, FUND THE WOMEN'S CENTER CAPITAL PO false false false B PUBLIC FINANCE AUTHORITY 2021-09-29 26655000 PROCEEDS WERE USED TO PROVIDE FUNDS FOR GENERAL CORPORATE PURPOSES, INCLUDING, BUT NOT LIMITED TO, D false false false C PUBLIC FINANCE AUTHORITY 2022-03-03 21070000 PROCEEDS WERE USED TO REFUND SERIES 2012 BONDS AND PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH false false false A 54826848 107089142 3098895 3535814 45627584 true false true true B 26655000 1652947 25000000 2052 false false true true C 25800848 25797425 3423 false false true true A false false false false true false false B false false false false true false false C false false false false true false false A false false false false false false false false true B false false false false false false false false true C false false false false false false false false true A true B true C true PURPOSE OF ISSUE DESCRIPTION PUBLIC FINANCE AUTHORITY PROCEEDS WERE USED TO REFUND SERIES 2017A AND SERIES 2017B BONDS, FUND THE WOMEN'S CENTER CAPITAL PORJECT AND PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE SALE AND ISSUANCE OF THE BONDS. PURPOSE OF ISSUE DESCRIPTION PUBLIC FINANCE AUTHORITY PROCEEDS WERE USED TO PROVIDE FUNDS FOR GENERAL CORPORATE PURPOSES, INCLUDING, BUT NOT LIMITED TO, DEFRAYING THE COSTS OF THE UNFUNDED PENSION LIABILITY FOR THE CORPORATION'S DEFINED BENEFIT PENSION PLAN AND PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE SALE AND ISSUANCE OF THE BONDS. PURPOSE OF ISSUE DESCRIPTION PUBLIC FINANCE AUTHORITY PROCEEDS WERE USED TO REFUND SERIES 2012 BONDS AND PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE SALE AND ISSUANCE OF THE BONDS. FORM 990, PAGE 6, PART VI, LINE 11B CORPORATE OFFICERS TO REVIEW COMPLETED FORM 990 FORM 990, PAGE 6, PART VI, LINE 12C A COPY OF SOUTHEASTERN REGIONAL MEDICAL CENTER'S (CENTER) CONFLICT OF INTEREST POLICY ALONG WITH A STATEMENT OF CONFLICT OF INTEREST IS GIVEN TO THE CENTER'S OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES ANNUALLY TO REVIEW AND SIGN. IF ANY DISCLOSURES ARE MADE, DISCUSSIONS WITH THE INTERESTED PERSON OCCUR AND THEN HE OR SHE LEAVES THE MEETING, AT WHICH TIME THE REMAINING BOARD OR COMMITTEE MEMBERS DECIDE IF A CONFLICT OF INTEREST EXISTS. IF A CONFLICT OF INTEREST IS DETERMINED TO EXIST, THE BOARD DETERMINES WHETHER THE CENTER CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF THAT IS NOT REASONABLY ATTAINABLE, THE BOARD OR COMMITTEE, BY A MAJORITY VOTE OF DISINTERESTED DIRECTORS, SHALL DETERMINE WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE CENTER'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE CENTER. FORM 990, PAGE 6, PART VI, LINE 15A THE CEO AND VICE PRESIDENT POSITIONS WERE EVALUATED BY A SEPARATE COMPENSATION COMMITTEE AND AN INDEPENDENT CONSULTING FIRM. THE EXECUTIVE COMPENSATION PHILOSOPHY WAS UPDATED. INFORMATION WAS GATHERED ON COMPETITIVE PRACTICES AND A REASONABLE COMPENSATION PLAN WAS DETERMINED. ACTIONS OF THE COMMITTEE ARE APPROVED REGULARLY AND IS BASED ON THE ORGANIZATION'S REBUTTABLE PRESUMPTION POLICY THAT REQUIRES THE COMMITTEE TO EXERCISE THE DILIGENCE NEEDED TO MEET THE REQUIREMENTS FOR THE PRESUMPTION OF REASONABLENESS. FORM 990, PAGE 6, PART VI, LINE 15B SAME AS A ABOVE FORM 990, PAGE 6, PART VI, LINE 19 VARIOUS GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE GENERAL PUBLIC USING SRMC'S WEBSITE, OTHER WEBSITE,AND PROVIDING COPIES UPON REQUEST FORM 990, PART IX, LINE 11G CONTRACTED SERVICES 61,399,508 28,612,945 0 FORM 990, PART XI, LINE 9 PENSION RELATED CHANGES 1,546,371 TRANSFERS TO TAX EXEMPT RELATED ORGANIZATIONS 15,717,302 TRANSFERS TO TAX EXEMPT RELATED ORGANIZATIONS 0 PENSION RELATED CHANGES 0 TOTAL 17,263,673