2022-04-19T14:15:38-05:00 2021-06-30 BDO USA LLP 421 Fayetteville Street Suite 300 Raleigh NC 27601 990 2020-07-01 566000674 Lenoir Memorial Hospital Inc % THOMAS ALLEN DIR OF FINANC LENO 2525227510 100 Airport Road Kinston NC 28501 JEFFREY A WAKEFIELD VP of Finance & CFO 2525227510 2022-04-14 true JEFFREY A WAKEFIELD 999009999 SANDRA L FEINSMITH P01064157 9192781936 2022-04-13 2 2020 2022-09-23 18:48:47Z UNC LENOIR HEALTH CARE JEFFREY A WAKEFIELD 100 Airport Road Kinston NC 28501 149598343 false X WWW.UNCLENOIR.ORG X 1950 NC PROVIDING EXCEPTIONAL HEALTHCARE AS AN OUTSTANDING COMMUNITY HOSPITAL 17 13 1010 124 0 0 412242 3879523 138163289 136934574 3279461 5312188 2859976 2655677 144714968 148781962 220827 118981 0 0 56162807 60628248 0 0 52767 91123551 90302850 147507185 151050079 -2792217 -2268117 208978571 221129021 63599860 73373341 145378711 147755680 X THE MISSION OF LENOIR MEMORIAL IS TO ENSURE EXCEPTIONAL HEALTHCARE FOR THE PEOPLE WE SERVE. false false 129877696 118981 139061878 SEE SCHEDULE O FOR THE DESCRIPTION OF THE ORGANIZATION'S PROGRAM SERVICE ACCOMPLISHMENTS. 129877696 true true false true false false false false false false true false false true true true false true false false false false false false false false true true false true true true false false false false false false false true true false false false false false true true true false false false true 120 0 true 1010 true true true false false false false false false false false false false false X 17 13 false true false false false false false true true false false true true true true true true true true true true NC X THOMAS ALLEN DIR OF FINANC 2525227510 100 AIRPORT ROAD KINSTON NC 28501 CLAIRE D PARIS CMO 50.0 0.0 X 457768 0 15307 Mark E Henning CRNA 40.0 0.0 X 309540 0 27847 JEFFREY A WAKEFIELD CFO 50.0 0.0 X 292002 0 35015 KARL L VANDERSTOUW CIO 50.0 0.0 X 271434 0 33037 Stephen Michaux-Smith CRNA 40.0 0.0 X 257176 0 22005 SHIRLEY HARKEY CNO 50.0 0.0 X 239335 0 23329 Robin Owens Reavis CRNA 40.0 0.0 X 238015 0 24254 Alton Hardy Pharmacy Director 40.0 0.0 X 212121 0 22167 Jessica Cunningham Asst. Pharmacy Director 40.0 0.0 X 187948 0 19104 JAMES C DOBBINS VP HR 40.0 0.0 X 164552 0 5790 DEBBIE LANIER EXECUTIVE SECRETARY 50.0 0.0 X 81141 0 26035 ROBERT ENDERS JR CEO 50.0 0.0 X X 0 0 0 Carl Younger Jr Chairman 2.0 0.0 X X 0 0 0 Craig Hill Vice Chairman 2.0 0.0 X X 0 0 0 Michael Whitfield CPA Treasurer 2.0 0.0 X X 0 0 0 D Stuart Lindley Secretary 2.0 0.0 X X 0 0 0 John McPhaul Assistant Treasurer 2.0 0.0 X X 0 0 0 Laddie M Crisp Jr MD BOARD MEMBER 1.0 0.0 X 0 0 0 Shirley Dove EdD BOARD MEMBER 1.0 0.0 X 0 0 0 Michael Haddad MD BOARD MEMBER 1.0 0.0 X 0 0 0 Preston Harris BOARD MEMBER 1.0 0.0 X 0 0 0 Frances Herring BOARD MEMBER 1.0 0.0 X 0 0 0 Russell Thomas Hunt EdD BOARD MEMBER 1.0 0.0 X 0 0 0 De Shonta King MD BOARD MEMBER 1.0 0.0 X 0 0 0 Hugh Pollock BOARD MEMBER 1.0 0.0 X 0 0 0 James C Purnell V BOARD MEMBER 1.0 0.0 X 0 0 0 Robin Roberson BOARD MEMBER 1.0 0.0 X 0 0 0 FELICIA SOLOMON BOARD MEMBER 1.0 0.0 X 0 0 0 2711032 0 253890 44 true true false GUARDIAN HEALTHCARE PROVIDERS 105 WESTPARK DRIVE SUITE 100 BRENTWOOD TN 37027 CONTR. NURSING STAFF 2452525 UHS PHYSICIANS LLC DBA VIDANT MEDIC 2100 STATONSBURG ROAD GREENVILLE NC 278358523 HOSPITALIST SERVICES 1666030 Qualivis Dept 3847 PO Box 123847 DALLAS TX 753123847 Contract Staffing 740528 SightPath Medical Inc 5775 W Old Shakopee Road BLOOMINGTON MN 55437 MEDICAL PROCEDURES 715910 Bio-Medical Applications of NC 16343 Collection Center Drive CHICAGO IL 60693 Contract Dialysis 511742 18 3423198 456325 3879523 PATIENT SERVICES 621990 135137156 135137156 ANCILLARY SERVICES 621990 1785410 1785410 WELLNESS CENTER REVENUE 713940 12008 12008 136934574 5341990 5341990 0 0 1023869 0 0 1023869 1023869 1023869 -29802 -29802 -29802 -29802 0 0 0 0 0 0 1919816 816381 1103435 1103435 CAFETERIA 900099 494817 494817 VENDING 900099 33556 33556 528373 148781962 139061878 5840561 0 118981 118981 0 0 1258730 248504 1010226 0 47193570 36562481 10590587 40502 1643506 1558037 83849 1620 7310009 7063910 242454 3645 3222433 2449049 771359 2025 795024 795024 55107 55107 104519 104519 6745 6745 0 138800 138800 25056959 21136792 3920167 338931 7219 331712 6260778 3756467 2504311 3700000 3700000 0 1596126 1468436 127690 21342 19040 2302 0 24793 22120 2673 437066 437066 6881496 6881496 8201770 8201770 447843 447843 BAD DEBT EXPENSE 21474684 21474684 MEDICAL SUPPLIES 14760867 14760867 151050079 129877696 21119616 52767 1801929 210730 34608856 34842251 0 0 11558942 12933010 0 0 0 0 0 0 2724850 3498130 1819747 1793324 160988017 106606817 56277140 54381200 96992468 101527383 0 0 0 0 0 0 3194639 11942993 208978571 221129021 15309233 16239053 0 0 22521004 0 14690000 28045758 0 0 0 0 2000000 1500000 0 0 9079623 27588530 63599860 73373341 X 103791571 123981269 41587140 23774411 145378711 147755680 208978571 221129021 -2268117 4645086 X X false true X true true false X 0 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 6745 6745 false PART 11-B, LINE 1, LOBBYING ACTIVITIES 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, $6,745 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, $X,XXX OF MEMBERSHIP DUES WERE ALLOCATED TO LOBBYING EXPENSE. 425406 425406 68381136 37577611 30803525 8122008 5308955 2813053 84059467 63720251 20339216 0 0 0 54381200 OTHER ASSETS 9978878 OTHER RECEIVABLES 1485093 PHYSICIAN RECEIVABLE 433507 CURRENT-PHYSICIANS RECEIVABLE 45515 11942993 0 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 7533346 OTHER CURRENT LIABILITIES 13592490 OTHER NON-CURRENT LIABILITIES 6462694 27588530 X PART X, LINE 2: THE COMPANY 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. true true true X true X true true true false true true 4948136 84905 4863231 0.03490 17691221 13717596 3973625 0.02850 22639357 13802501 8836856 0.06340 1043758 142983 900775 0.00640 388680 0 388680 0.00280 20084095 16022405 4061690 0.03450 7741 0 7741 0.00010 126265 0 126265 0.00090 21650539 16165388 5485151 0.04470 44289896 29967889 14322007 0.10810 1395 1395 0.00000 152761 152761 0.00110 154156 154156 0.00110 false 21474684 0 40555102 45418333 -4863231 X true true 1 1 LENOIR MEMORIAL HOSPITAL INC 100 AIRPORT ROAD KINSTON NC 28501 H0043 X X X X DISPROPORTIONATE SHARE HOspital LENOIR MEMORIAL HOSPITAL INC 1 false false true X X X X X X X X X 18 true false false true X WWW.UNCLENOIR.ORG X WWW.CO.LENOIR.NC.US X X true 18 true https://www.healthenc.org/lenoir-county false true X 100 250. X X X X X X true true X X X X true X WWW.UNCLENOIR.ORG X WWW.UNCLENOIR.ORG X WWW.UNCLENOIR.ORG X X X X X X X true X false X X X X true X false false LENOIR MEMORIAL HOSPITAL, INC.: PART V, SECTION B, LINE 5: The most recent three year cycle for community health needs assessment cycle in 2018 identified three priority issues for Lenoir County: Obesity- Exercise and Nutrition, Substance Abuse, and Access to Care. The full 2018 Lenoir County CHNA and Implementation Strategies are found by going to the Healthy Communities tab under the Minges Wellness Center at unclenoir.org or through https://www.lenoirwellness.org/healthy-communities/ In 2018, UNC Lenoir and other partners in Lenoir County along with 33 other eastern NC counties initiated an eastern NC community health needs assessment process that shifts the cycle to a regionally cohesive three year cycle on a 2018 timeline. This provides similar data collection and reporting structures to improve assessment process planning in the East for collaboratively impact strategies for the future. Regional eastern NC priorities from the 2018 CHNA have been established to include: access to care and health equity, healthy lifestyles and health behaviors, substance abuse and/or use, and mental health. The work involves community leaders from the region and in partnership with the Foundation for Health Leadership and Innovation and was funded in part through The Duke Endowment. A regional report as well as individual county reports will be also available at HealthENC.org. LENOIR MEMORIAL HOSPITAL, INC.: PART V, SECTION B, LINE 6A: THE CHNA WAS MAILED OUT TO COMMUNITY LEADERS LENOIR MEMORIAL HOSPITAL, INC.: PART V, SECTION B, LINE 11: LENOIR MEMORIAL IS NOT CURRENTLY INVOLVED IN THE ILLEGAL DRUGS AND DRUG ABUSE/SUBSTANCE AND YOUTH VIOLENCE/GANGS ISSUE BUT A GROUP OF COMMUNITY ORGANIZATIONS LED BY KINSTON PUBLIC SAFETY HAS FORMED A TASK FORCE TO WORK ON THIS ISSUE. LENOIR MEMORIAL HOSTED MEETING SPACE AND A BREAKFAST FOR LEADERS IN THIS REGARD TO GET THE INITIATIVE STARTED. YOUTH ACCESS AND USE OF GUNS MAY ALSO BE CLOSELY RELATED TO THIS ISSUE AND SAFE KIDS ENC WORKS TO PROVIDE THE COMMUNITY WITH GUN LOCKS AND GUN SAFETY EDUCATION. JOB OPPORTUNITIES WERE IDENTIFIED AS A TOP ISSUE IN THE COMMUNITY AND EVEN THOUGH LENOIR MEMORIAL RECEIVED A WORKFORCE DEVELOPMENT GRANT FROM THE GOLDEN LEAF FOUNDATION IN 2010 AND TRAINED 20 CERTIFIED NURSING ASSISTANTS FOR THE LOCAL WORKFORCE, LENOIR MEMORIAL DOES NOT HAVE ANY CURRENT PLANS IN THIS AREA OTHER THAN SERVING AS A TRAINING SITE FOR STUDENTS WHO MAY JOIN THE WORKFORCE ONCE THEY COMPLETE THEIR PROGRAMS. LENOIR MEMORIAL IS A MAJOR EMPLOYER IN LENOIR COUNTY AND WILL HIRE AS VACANT POSITIONS NECESSITATE. HOSPITAL LEADERSHIP PARTICIPATES IN A VARIETY OF ECONOMIC DEVELOPMENT COMMITTEES AND PROJECTS THROUGHOUT THE YEAR. DRINKING AND DRIVING CONTINUES TO BE SEEN AS A PRIORITY ISSUE IN THE 2017 CHNA. LOCAL LAW ENFORCEMENT AND STATEWIDE PROGRAMS HAVE INITIATED PROGRAMS IN OUR COMMUNITY SUCH AS BOOZE IT AND LOSE IT AND OTHER ROAD STOP PROGRAMS IN AN EFFORT TO ADDRESS THE PROBLEM. LENOIR MEMORIAL OFFERS SMOKING CESSATION PROGRAMMING THROUGH THE MINGES WELLNESS CENTER AND DOES NOT LIMIT THE PROGRAMS TO ADULTS ONLY. THE ISSUE OF CIGARETTE SMOKING AMONG PEOPLE UNDER AGE 18 HAS BEEN A DISCUSSION AT THE LENOIR COUNTY SCHOOL HEALTH ADVISORY COMMITTEE ON WHICH LENOIR MEMORIAL SERVES. IT WILL NOT BE A PRIORITY FOR LENOIR MEMORIAL SINCE SERVICES FOR CESSATION EXIST AND THE HOSPITAL SERVES AS AN ORGANIZATIONAL ROLE MODEL AS A TOBACCO-FREE CAMPUS. LENOIR MEMORIAL HOSPITAL, INC.: PART V, SECTION B, LINE 13H: SLIDING SCALE BASED ON % OF FPG LENOIR MEMORIAL HOSPITAL, INC.: PART V, SECTION B, LINE 15E: LIST THE WEBSITE WHERE THE INFORMATION IS PROVIDED AND OFFER BROCHURES EXPLAINING FINANCIAL ASSISTANCE. LENOIR MEMORIAL HOSPITAL, INC.: PART V, SECTION B, LINE 16J: BROCHURES ARE PLACED IN WAITING AREAS AND REGISTRATION AREAS THROUGHOUT THE FACILITY AS WELL AS COMMUNITY HEALTH CENTERS AND THE HEALTH DEPARTMENT. PART I, LINE 3C: IN ADDITION TO DETERMINING ELIGIBILITY FOR FREE OR REDUCED-PRICE CARE USING INCOME LEVELS AND FEDERAL POVERTY GUIDELINES, PATIENTS MAY ALSO QUALIFY FOR FINANCIAL ASSISTANCE BASED UPON THEIR ELIGIBILITY FOR SUBSIDIZED HOUSING UNDER HUD GUIDELINES. ALTHOUGH THE HOSPITAL PREFERS TO BE ABLE TO DISCUSS OPTIONS FOR FINANCIAL ASSISTANCE WITH HEALTHCARE COSTS - INCLUDING POSSIBLE ELIGIBILITY FOR MEDICAID OR OTHER PROGRAMS - WITH PATIENTS, IF EFFORTS TO DO SO PROVE UNSUCCESSFUL, ELIGIBILITY FOR LMH'S FINANCIAL ASSISTANCE PROGRAM MAY BE DETERMINED BASED UPON PATIENT ADDRESS IN A SUBSIDIZED HOUSING COMMUNITY. COMMUNITIES MEETING THIS DEFINITION, AS WELL AS INCOME AND ASSET CRITERIA FOR RESIDENTS, ARE REVIEWED PERIODICALLY WITH THE LOCAL HOUSING AUTHORITY. ADDITIONALLY, PATIENTS FACING EXTENSIVE MEDICAL COSTS WHO DO NOT MEET STANDARD FINANCIAL INDIGENCE CRITERIA BASED UPON INCOME LEVEL MAY QUALIFY FOR DISCOUNTED CARE IF THEY ARE DETERMINED TO BE "MEDICALLY INDIGENT THAT IS, HAVING INCURRED COSTS OF CARE IN EXCESS OF 20 OF FAMILY GROSS INCOME, AND FOR WHICH PAYMENT WOULD REQUIRE LIQUIDATION OF THOSE ASSETS CRITICAL TO LIVING OR EARNING A LIVING. THEREFORE, FINANCIAL AND OTHER ASSETS MUST BE FULLY DISCLOSED BY PATIENTS SEEKING THIS DESIGNATION IN ORDER FOR A MEDICAL INDIGENCE DETERMINATION TO BE MADE. ADDITIONALLY, DISCOUNTS FOR PROMPT PAYMENT OF BALANCES ARE AVAILABLE FOR ALL UNINSURED PATIENTS, AND ARE TIERED BASED UPON THE AMOUNT OWED (LARGER DISCOUNTS ARE APPLIED TO HIGHER BALANCES). PATIENT ACCOUNT LIAISONS (PALS) AND FINANCIAL COUNSELORS SCREEN PATIENTS FOR FINANCIAL ASSISTANCE EITHER AT THE POINT OF SERVICE OR AFTER SERVICE HAS BEEN RENDERED. THE STAFF ALSO UTILIZES A SOFTWARE SYSTEM THAT SCREENS PATIENTS FOR MEDICAID ELIGIBILITY AS WELL AS FINANCIAL ASSISTANCE. PALS INTERVIEW SCHEDULED PATIENTS PRIOR TO SERVICE, AFTER ADMISSION AS AN INPATIENT AND AFTER SERVICE IS RECEIVED THROUGH THE EMERGENCY DEPARTMENT REGARDING THEIR LIABILITY AND DISCUSS OPTIONS FOR PAYMENT INCLUDING FINANCIAL ASSISTANCE. FINANCIAL COUNSELORS CONTACT PATIENTS AFTER THEY RECEIVE A STATEMENT FOR SERVICES TO DISCUSS PAYMENT OPTIONS INCLUDING FINANCIAL ASSISTANCE. PART I, LINE 7G: THE SUBSIDIZED HEALTH SERVICES PROGRAMS INCLUDED DIABETES, ENDOCRINOLOGY, HEMATOLOGY/ONCOLOGY, AND NEONATOLOGY. PART II, COMMUNITY BUILDING ACTIVITIES: LENOIR MEMORIAL PARTNERS WITH AREA ORGANIZATIONS TO PROVIDE COMMUNITY HEALTH PROGRAMMING, HEALTH COALITION WORK, AND IN-KIND LEADERSHIP TO AREA BOARDS, AND NON-PROFITS. HOSPITAL LEADERSHIP TEAM MEMBERS SERVE ON COMMUNITY TASK FORCES AND ACTION GROUPS. SOME OF THESE INCLUDE THE LENOIR COUNTY SCHOOL HEALTH ADVISORY COMMITTEE, EASTERN AHEC, KINSTON-LENOIR COUNTY CHAMBER OF COMMERCE, PRIDE OF KINSTON, LENOIR COMMITTEE OF 100, LENOIR-GREENE UNITED WAY, KINSTON COMMUNITY HEALTH CENTER, LENOIR COUNTY ALLIANCE FOR A HEALTHY COMMUNITY, THE COMMUNITY MARKETING COMMITTEE, AND LENOIR-GREENE ASTHMA COALITION. LENOIR ALSO PARTICIPATES IN A MENTORING PROGRAM WITH SOUTH EAST ELEMENTARY SCHOOL. LENOIR PROVIDES MEETING SPACE FOR VARIOUS LOCAL COMMITTEES. 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: BAD DEBT EXPENSE FOR FY21 IS PRESENTED AS CHARGED NOT COST. PART III, LINE 8: THE MEDICARE COST REPORT WAS USED TO DETERMINE MEDICARE ALLOWABLE COSTS OF CARE. PART III, LINE 9B: THE HOSPITAL SENDS PATIENTS A STATEMENT EACH MONTH NOTING THE BALANCE DUE. INFORMATION IS INCLUDED ON THE STATEMENT REGARDING OPTIONS FOR PAYMENT INCLUDING FINANCIAL ASSISTANCE AND CONTACT NUMBERS. SELF PAY PATIENTS ARE OFFERED A PROMPT PAY DISCOUNT. NOTIFICATION OF THE DISCOUNT IS INCLUDED ON THE PATIENT'S STATEMENTS. FINANCIAL COUNSELORS AND PATIENT ACCOUNT LIAISONS ARE TRAINED TO INFORM PATIENTS OF FINANCIAL ASSISTANCE AS AN OPTION SHOULD THEY HAVE DIFFICULTY PAYING THEIR ACCOUNTS. THE PALS UTILIZE A SOFTWARE SYSTEM (RAMP) THAT SCREENS PATIENTS FOR POTENTIAL MEDICAID ELIGIBILITY AND FOR FINANCIAL ASSISTANCE. THE SCREENING IS BASED ON SOME PRELIMINARY QUESTIONS, AND THEN PATIENTS ARE SCHEDULED FOR AN INTERVIEW TO COMPLETE THE APPLICATION AND SUBMIT THE NECESSARY DOCUMENTS. PATIENTS RECEIVING LESS THAN 100 FINANCIAL ASSISTANCE WILL BE REQUESTED TO MAKE PAYMENT ARRANGEMENTS FOR THE REMAINING BALANCE. TELEPHONE CONTACTS TO DISCUSS ACCOUNT BALANCES WITH PATIENTS AND OFFER OPTIONS FOR RESOLUTION ARE ATTEMPTED ON MOST ACCOUNTS. THE HOSPITAL WILL OFFER PAYMENT PLANS TO PATIENTS THAT ARE ABLE TO PAY WITH A MINIMUM MONTHLY PAYMENT OF $50.00. PATIENTS ARE ALSO OFFERED ASSISTANCE WITH MEDICAID ELIGIBILITY APPLICATIONS. IF THE PATIENT IS NONRESPONSIVE AFTER RECEIVING THREE STATEMENTS (120 DAYS FROM DATE OF SERVICE OR LAST PAYMENT DATE), THE ACCOUNT MAY BE FORWARDED TO A COLLECTION AGENCY FOR FURTHER COLLECTION PROCEDURES. THE HOSPITAL DOES NOT UTILIZE PRACTICES SUCH AS GARNISHMENTS, LIENS, AND PERSONAL ATTACHMENTS AS PART OF THE COLLECTION PROCESS. 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: LENOIR MEMORIAL INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE BY POSTING SIGNAGE AND BROCHURES THROUGHOUT THE FACILITY, LOCAL HEALTH DEPARTMENT AND COMMUNITY HEALTH CENTER. SIGNS POSTED IN THE WAITING ROOMS OF ENTRY POINTS OF THE FACILITY INCLUDE BROCHURES ENTITLED "UNINSURED, NEED HELP PAYING YOUR HOSPITAL BILL". BROCHURES ARE ALSO INCLUDED AS PART OF THE PATIENT'S INTAKE PROCESS IN THE ADMISSION PACKAGE, ARE ON DISPLAY IN THE MAIN CORRIDORS OF THE FACILITY ON HOSPITAL'S ELECTRONIC INFORMATION BOARDS AND IN WAITING ROOMS. THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS PUBLISHED ON THE HOSPITAL'S WEBSITE AT WWW.UNCLENOIR.ORG, WITH THE APPLICATION AND REQUIRED DOCUMENTATION IN ENGLISH AND SPANISH ALONG WITH A SUMMARY OF THE PROCESS AND CONTACT INFORMATION. A FINANCIAL ASSISTANCE SUMMARY IS ALSO AVAILABLE AT THE POINT OF REGISTRATION AND DURING INTERVIEWS WITH PATIENTS THAT MAY HAVE QUESTIONS. THE AVAILABILITY OF FINANCIAL ASSISTANCE IS INCLUDED ON PATIENT'S STATEMENTS AND FINANCIAL COUNSELORS DISCUSS FINANCIAL ASSISTANCE AS AN OPTION FOR PATIENTS THAT HAVE CONCERNS ABOUT PAYING THEIR ACCOUNTS. SELF PAY PATIENTS ARE ALSO SCREENED FOR MEDICAID AND OTHER GOVERNMENT PROGRAMS. SPANISH SPEAKING PATIENTS ARE OFFERED ASSISTANCE THROUGH OUR ONSITE SPANISH INTERPRETER AND THE HOSPITAL ALSO HAS ACCESS TO LANGUAGE LINES, AS SERVICE FOR NON-ENGLISH 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. PART VI, LINE 7, LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: NC true Scholarships 21 118981 PART I, LINE 2: THE ORGANIZATION PROVIDES PRE-APPROVED FUNDS TO SELECTED ORGANIZATIONS AND INDIVIDUALS BASED UPON APPROVED CRITERIA. THE FUNDS ARE ONLY DISBURSED FOR THE APPROVED ACTIVITIES. X true true X X X false true false false false false false false false JAMES C DOBBINS VP HR 47597 0 7496 0 109459 0 1904 0 3886 0 170342 0 0 0 KARL L VANDERSTOUW CIO 197999 0 24721 0 48714 0 7920 0 25117 0 304471 0 0 0 CLAIRE D PARIS CMO 360181 0 44806 0 52781 0 14407 0 900 0 473075 0 0 0 JEFFREY A WAKEFIELD CFO 255008 0 36994 0 0 0 10200 0 24815 0 327017 0 0 0 SHIRLEY HARKEY CNO 213355 0 25980 0 0 0 8534 0 14795 0 262664 0 0 0 Mark E Henning CRNA 273257 0 32133 0 4150 0 10930 0 16917 0 337387 0 0 0 Stephen Michaux-Smith CRNA 249295 0 7881 0 0 0 9972 0 12033 0 279181 0 0 0 Robin Owens Reavis CRNA 223015 0 15000 0 0 0 8921 0 15333 0 262269 0 0 0 Alton Hardy Pharmacy Director 199806 0 12315 0 0 0 7992 0 14175 0 234288 0 0 0 Jessica Cunningham Asst. Pharmacy Director 177013 0 10935 0 0 0 7081 0 12023 0 207052 0 0 0 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: - JAMES C. DOBBINS, VP HUMAN RESOURCES $109,459 - KARL L. VANDERSTOUW, CIO $ 48,714 - CLAIRE D. PARIS, CMO $ 52,781 - DEBBIE LANIER, EXECUTIVE SECRETARY $ 4,140 - MARK E. HENNING, CRNA $ 4,150 A NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 657902Y63 2005-09-22 22000000 CAPITAL PROJECTS false false false B NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 2020-11-01 14690000 REFUND false false false A 7310000 0 22021552 0 0 0 178646 20213 0 9657270 12165423 0 2005 true false true true B 14690000 0 0 0 0 0 209750 0 0 0 0 0 2020 true false true true A false false true true false 0 false false false true B false false true true false 0 false false false true A false false true true true false 0 false 0 false true B false false true true true false 0 false 0 false true A true B true SCHEDULE K, SUPPLEMENTAL INFORMATION: 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. FAYE HILL FAMILY MEMBER OF A BOARD MEMBER 70007 EMPLOYEE RADIOLOGY TECH false EDWARD EARL HILL FAMILY MEMBER OF A BOARD MEMBER 40567 Employee Plant Eng. Mechanic false SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: FAYE HILL (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF A BOARD MEMBER (D) DESCRIPTION OF TRANSACTION: PAYMENT FOR EMPLOYMENT AS RADIOLOGY TECH. (A) NAME OF PERSON: EDWARD EARL HILL (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF A BOARD MEMBER (D) DESCRIPTION OF TRANSACTION: PAYMENT FOR EMPLOYMENT AS PLANT ENGINEER MECHANIC. FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS Community Health Needs Assessment and Health ENC In 2019/2021, 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 as: + Wellness & Lifestyle + Immunizations & Infectious Diseases + Substance Abuse The full 2019/21 Lenoir County CHNA and Implementation Strategies as well as past assessments and strategies will be found by going to 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. The resource is provided to the community through a joint effort of UNC Lenoir and the Lenoir Hospital Foundation. 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. Heart Failure Program The Duke Endowment funded a three year project starting in 2019 supporting multiple key strategies to reduce avoidable heart failure readmissions and increase heart failure self-management in a high risk patient population. At the end of CY 2021 heart failure readmissions had been reduced to 11.6 % for persons age 65 and older. The work of the program this year included a partnership with Lenoir County EMS for an active community paramedic program with home visits. 172 patients completed the 31 day program. Patients completing the community paramedic program were able to reduce ED visits, reduce EMS calls and positively impact unnecessary readmissions. MedActionPlan was implemented in the second year of the project and in CY 2021, 184 participants were enrolled in the medication education plan portion with those having 100% improved medication knowledge. A community wide health promotion campaign, "Failure is Not an Option" continues with multimedia education. See ManageHeartFailure.org 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. Stroke patients are followed using the COMPASS (Comprehensive Post-Acute Stroke Services) program for 30 days after discharge to their home from the hospital. 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 2021 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 Community Council for the Arts, LaGrange Arts Council, NC East Alliance, Downeast Wood Ducks, BBQ Festival on the Neuse, Junior Lenoir Leadership/Lenoir County Education Foundation, Neuse Regional Library, ECU College of Nursing 5K. Community Donations Cash donations included support for Friends of the Homeless Shelter renovations, 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 cooking demonstrations by a dietitian. 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. - 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. - 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 safe plan of care on discharge. Updated management for identification and treatment for the newborns has been implemented. - 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. - 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. Support Groups Covid-19 impacted in-person support group meetings on location this period. The Parkinson's Support Group and Weight Management Support Group met off-site with 308 persons attending. Emergency Preparedness UNC 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 Lenoir participates in the North Carolina Emergency Management Domestic Preparedness Region 2 (DPR2) emergency preparedness committee for 10 counties which service to develop and expand regional prevention, preparedness, response, and recovery capabilities for all hazards, both man-made and natural. UNC Lenoir also participates in the NC Hospital 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. UNC Lenoir participates in the International Association of Healthcare Security and Safety. UNC Lenoir's Public Safety Director serves as the Chairman for the NC Chapter and participates in monthly virtual meetings with other Chapter leaders from around the world related to security and emergency management. UNC Lenoir participates in ongoing COVID-19 planning meetings with Lenoir County Health Department, the N.C. Department of Health and Human Services, N.C. Office of Emergency Medical Services, N.C. Public Health and the North Carolina Healthcare Association. Minges Wellness Center The on-site medically based fitness center for the community has 54 pieces of stationary exercise equipment with an average of 25 beginner's group exercise classes weekly. With a membership of 212 active individual members in FY21, 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 and Silver & Fit 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 (1), mammogram support (18), lung cancer (10) and blood pressures (1,477). 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 130 supportive phone calls in FY 2021. Over 149 in person volunteer hours were donated by the Lay Navigator in FY 2021. Cancer Center Program Outreach The Cancer Center provides an on-site free food pantry for patients and their caregivers. Patients that are unable to eat certain foods or go grocery shopping due to fatigue, nausea, and other symptoms related to their oncology treatments are welcome to any items in the pantry. With the input of the oncology dietitian, many items can be better managed by the patient undergoing cancer treatment. Toiletry items are available also. The community provides 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 2020 Festival of Food Drive and every patient on treatment for radiation therapy was provided with a bag of food. Despite ongoing challenges as a result of COVID, staff were able to resume the Ladies Cancer Support Group meetings in 2021. This group meets onsite 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. Meetings were held in 2021 during the following months: March (7 participants) and May (4 participants). The UNC Lenoir Health Care Cancer Center continued the work of increasing community education and awareness about HPV and the HPV vaccine through a grant with the American Cancer Society. A healthcare provider education event was held in April 2021 at Kinston Community Health Center to provide an update on the new age requirement guidelines for vaccination. 360 reminder cards were mailed to age-appropriate Kinston Community Health Center patients in the fall of 2020. In 2021, many community events and activities were still on hold or cancelled due to the ongoing COVID pandemic. In February 2021, Joy Shortell of Art 105 and staff from the Cancer Center filmed a virtual flow art class. The Cancer Center provided patients with art supplies in a kit they can use while watching the instructional video. Donna Potter, RN, OCN, nurse navigator, gave educational talks for the City of Kinston employees on colorectal cancer awareness and screening in June 2021. In 2020, the UNC Lenoir Health Care Cancer Center was included in LIFT- Lessening the Impact of Financial Toxicity, which is a 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). Staff, will be serving as financial navigators throughout this study. Financial navigation services will be available to all patients receiving cancer care at UNC Lenoir Health Care. Patients experiencing financial burdens related to their cancer treatment will be able to make an appointment with a financial navigator at the UNC Lenoir Health Care Cancer Center, who will be able to help patients find financial resources and services. Donna Potter, RN, OCN and Meagan Evans, MSW, LCSW, OSW-C are serving as financial navigators at UNC Lenoir Health Care for this 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 21 for no fees. Corporate Health Services Services included (37) corporate clients, (37) worksite wellness visits with (557) employee contacts. Biometric screenings, flu shots, CPR training, urine drug screens, and targeted health education for risk factor reduction were provided. Diabetes Wellness Program 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 (101) individuals living with diabetes. Outreach education were provided each month reaching (240) community members. Additionally, a registered dietitian/diabetes educator provided (345) medical nutrition counseling sessions during this year. ($250.00) Rx Food Coupons 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 Provided (1,160) participants on and off-site free 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 nine ongoing monthly sessions at the Piggly Wiggly on Herritage Street in Kinston. Advanced Directives Provided 7 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 of $58,811 during FY21 towards great causes in the community. Employees collected 16,793 pounds of food for UNC Lenoir identified families, Lenoir Cancer Center's food pantry, Greene County Interfaith, LaGrange First Missionary Baptist Church, Deep Run First Baptist Church, and Mary's Kitchen. Employees kept the long tradition of playing Secret Santa to 33 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 21, 124 volunteers including youth volunteers and chaplains provided 8,715 volunteer hours in a variety of hospital settings enriching the patient experience and performing the work of 4 unpaid FTEs. The community donations, totaling more than $22,000, for Lights of Love fund a number of hospital oncology programs and projects each year. The gift shop and vendor sales raised an additional $66,813 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 2 therapy dogs. 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 volunteers, and their dogs Blue and Gypsi had 71 interactions with visitors and family members and 1 patient visit from July 1, 2020 - June 30, 2021. July 1, 2020 - June 30, 2021. Physician Recruitment UNC Lenoir has added seven new physicians to the medical staff in 2021. The new physicians will be practicing in our community and cover the following specialties: orthopedic surgery, vascular surgery, general surgery, pulmonology, OB GYN, radiation oncology 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 (75) Individual medication wallet cards were provided free to community residents and safe and proper medication disposal education is provided with each card. 500 North Carolina Drug Cards were provided to residents in area. NC Med Assist Community Event Participated in the NC Med Assist and Well Care community event on March 12, 2021 at Grainger Stadium for prescription and non-prescription and education giveaway. 945 participants. Live Long Lenoir During 2021, UNC Lenoir offered two Live Long Lenoir community physical activity programs with fun incentives: January- 73 participants and October-87 participants. 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 2020 CALENDAR YEAR THE CEO RECEIVED $558,540 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 XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, PART XII, LINE 3B: THE SINGLE AUDIT IS SCHEDULED TO BE COMPLETED ON OR BEFORE 9/30/2022, WHICH IS THE DUE DATE. FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT SERVICES TOTAL FEES:17856226 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:7200733 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 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 true false false true false false false false false false false false false false true true false true true false LENOIR MEMORIAL HOSPITAL FOUNDATION C 217224 LENOIR MEMORIAL HOSPITAL FOUNDATION q 47791 PART II, IDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATIONS: 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