2021-09-29T10:54:28-05:00 2020-11-30 202102404 PETWAY MILLS & PEARSON PA PO BOX 1036 ZEBULON NC 275971036 990 2019-12-01 561833275 KINSTON COMMUNITY HEALTH CENTER INC KINS 2525229800 PO BOX 2278 KINSTON NC 28502 LISA WALLACE CEO 2525224350 2021-08-26 true JAMES A RIDOUTT P00394550 9192697405 2021-08-26 2019 2022-09-23 18:48:47Z LISA WALLACE PO BOX 2278 KINSTON NC 28502 9027074 false X WWW.KINSTONHEALTH.ORG X 1993 NC TO PROVIDE QUALITY AND ACCESSIBLE HEALTH CARE TO CITIZENS OF LENOIR COUNTY BY OFFERING COMPREHENSIVE DENTAL, ADULT MEDICINE, PEDIATRIC AND OB/GYN SERVICES. 9 9 130 22 0 3587831 3874109 5179755 5128469 7701 5916 4782 18580 8780069 9027074 0 0 5897399 5974674 0 0 2931001 3471115 8828400 9445789 -48331 -418715 6671796 7031535 996265 1774719 5675531 5256816 TO PROVIDE QUALITY AND ACCESSIBLE HEALTH CARE TO CITIZENS OF LENOIR COUNTY BY OFFERING COMPREHENSIVE DENTAL, ADULT MEDICINE, PEDIATRIC AND OB/GYN SERVICES. false false 6253884 5128469 PROVIDED MEDICAL AND DENTAL SERVICES TO APPROXIMATELY 7,493 CITIZENS OF LENOIR COUNTY, REGARDLESS OF ABILITY TO PAY, DURING THE FISCAL YEAR ENDED 11/30/20. 6253884 true true false false false false false false false false true false false true true true true false false false false false false false false false false false false true false false false false false false false true true false false false false false false false false true 25 0 true 130 true false false false false false false false false false false false false X 9 9 false false false false false false false true true false false true true true true true true true true false X DAPHNE BETTS-HEMBY 2525229800 PO BOX 2278 KINSTON NC 28502 ROSALIND MCDONALD CHAIR 1.00 X X 0 0 0 JAMES WILKINS VICE CHAIR 1.00 X X 0 0 0 VINCENT R JONES TREASURER 1.00 X X 0 0 0 TYRONE JONES SECRETARY 1.00 X X 0 0 0 ALEXIS B WELCH DIRECTOR 1.00 X 0 0 0 GERALDINE MURPHY LOFTIN DIRECTOR 1.00 X 0 0 0 JUAN ALLEN DIRECTOR 1.00 X 0 0 0 MELISSA B CASTILLO DIRECTOR 1.00 X 0 0 0 MODESTO ARRIBAS DIRECTOR 1.00 X 0 0 0 LISA WALLACE CEO 40.00 X 30859 0 0 LASHAWN WEAVER-LEE CMO 40.00 X 295556 0 0 DAPHNE BETTS-HEMBY CFO 40.00 X 115449 0 0 FRANCISCO RIOS-MERCADO DMD, CDO 40.00 X 173261 0 0 MARION WRIGHT PHYSICIAN 40.00 X 181705 0 0 KUSHATHA WEST-QUIRE PHYSICIAN 40.00 X 102898 0 0 ANA VAZQUEZ DENTIST 40.00 X 122509 0 0 EMILIO MARTY DENTIST 40.00 X 124917 0 0 1147154 7 false true false WEATHERBY LOCUMS INC PO BOX 792633 DALLAS TX 75397 RECRUITING 353473 MEDIVISE LLC 1735 WATERBROOK DRIVE CHARLESTON SC 29414 CONSULTING 223409 BLACKWELL HEALTHCARE STAFFING LLC PO BOX 152642 ARLINGTON TX 76015 STAFFING 189593 CHG COMPANIES INC PO BOX 972651 DALLAS TX 75397 RECRUITING 167519 340B TECHNOLOGIES 309 FELLOWSHIP RD STE 200 MOUNT LAUREL NJ 08054 TECH SVCS 133026 5 3466263 407846 243239 3874109 PATIENT FEES 3040844 3040844 COST REPORT SETTLEMENTS 2058602 2058602 QUALITY INCENTIVE PROGRAMS 24750 24750 MECICAL RECORDS FEES 4273 4273 5128469 5916 5916 VENDOR REFUNDS/REBATES 15130 15130 OTHER REVENUE 3450 3450 18580 9027074 5147049 5916 615125 399831 215294 4364426 2711277 1653149 14735 9206 5529 638431 398877 239554 341957 213647 128310 4122 4122 1600 1600 760711 491961 268750 26698 26698 428576 152516 276060 59612 44709 14903 105264 47369 57895 10499 10499 261142 182513 78629 23293 5823 17470 PATIENT CARE EXPENSES 908188 908188 SUPPLIES 389441 362515 26926 MEDICAL SUPPLIES 243239 243239 REPAIRS & MAINTENANCE 118430 79753 38677 130300 2460 127840 9445789 6253884 3191905 0 126624 315571 1864041 1590498 244873 380247 932781 509769 2965 2965 4493118 2407485 2205823 2085633 7500 7500 1287189 2139352 6671796 7031535 476680 383286 374322 208683 1014031 145263 168719 996265 1774719 X 5546459 5103653 129072 153163 5675531 5256816 6671796 7031535 -418715 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 68274 68274 3287553 1647223 1640330 1137291 760262 377029 2085633 MEDICAID COST REPORT RECEIVABLE 2011137 A/R - 340B PROGRAM 56099 SALES TAX REFUND REC. 43034 MEDICARE COST REPORT RECEIVABLE 28645 EMPLOYEE ADVANCES 437 2139352 ACCRUED VACATION PAYABLE 168719 168719 X 9027074 9027074 9027074 9445789 9445789 9445789 SCHEDULE D, PAGE 3, PART X THE ORGANIZATION IS EXEMPT FROM INCOME TAXES AS A NOT-FOR-PROFIT ORGANIZATION UNDER INTERNAL REVENUE SERVICE (IRS) CODE SECTION 501(C)(3). DURING THE YEARS ENDED NOVEMBER 30, 2020 AND 2019, THE ORGANIZATION REPORTED NO UNRELATED BUISNESS TAXABLE INCOME WHICH IS DEFINED BY THE IRS AS GROSS INCOME DERIVED FROM ANY UNRELATED TRADE OR BUSINESS THAT IS NOT SUBSTANTIALLY RELATED TO THE ORGANIZATION'S TAX-EXEMPT PURPOSE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN RECORDED. THE ORGANIZATION ADOPTED THE PROVISIONS OF FASB ASC 740-10-25 (ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES). UNDER THIS PROVISION, AN ORGANIZATION MUST RECOGNIZE THE TAX BENEFIT ASSOCIATED WITH TAX POSITIONS TAKEN WHEN IT IS MORE LIKELY THAN NOT THE POSTITION WILL BE SUSTAINED. THE IMPLEMENTATION HAD NO IMPACT ON THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ORGANIZATION DOES NOT BELIEVE THERE ARE ANY MATERIAL UNCERTAIN TAX POSITIONS AND, ACCORDINGLY, IT WILL NOT RECOGNIZE ANY LIABILITY FOR UNRECOGNIZED TAX BEFEFITS. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX YEARS IN PROGRESS. AT NOVEMBER 30, 2020 AND 2019, THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. X X X false false false false false false false false false LASHAWN WEAVER-LEE CMO 295556 295556 FRANCISCO RIOS-MERCADO DMD, CDO 173261 173261 MARION WRIGHT PHYSICIAN 181705 181705 UNION BANK LENDER MORTGAGE PAYMENTS false SCHEDULE L, PART V VINCENT JONES, THE BOARD TREASURER, IS THE PRESIDENT OF UNION BANK, THE ORGANIZATION'S MORTGAGE LENDER. X MEDICL SUPPLIES 1 243239 COST false false false FORM 990, PAGE 6, PART VI, LINE 11B THE 990 IS REVIEWED BY THE ORGANIZATION'S CEO AND CFO. THE 990 IS PRESENTED TO THE BOARD AT THE NEXT SCHEDULED BOARD MEETING FOR APPROVAL. FORM 990, PAGE 6, PART VI, LINE 12C CONFLICT OF INTERST STATEMENTS ARE REQUIRED TO BE REVIEWED AND SIGNED ANNUALLY BY THE BOARD TO ENSURE COMPLIANCE WITH THE ORGANIZATION'S POLICY. FORM 990, PAGE 6, PART VI, LINE 15A THE BOARD OF DIRECTORS PERFORMS A SALARY REVIEW THAT DETERMINE'S THE CEO'S COMPENSATION LEVEL. THE ORGANIZATION USES THE NACHC AND NCCHCA ANNUAL SALARY SURVEYS, NC CAREER ONE STEP, AND BUREAU OF LABOR STATISTIC SALARY DATA TO SET SALARY RANGES FOR THE TOP MANAGEMENT OFFICAL. FORM 990, PAGE 6, PART VI, LINE 15B THE ORGANIZATION USES THE NACHC AND NCCHCA ANNUAL SALARY SURVEYS, NC CAREER ONE STEP, AND BUREAU OF LABOR STATISTIC SALARY DATA TO SET SALARY RANGES FOR OFFICERS AND KEY EMPLOYEES. FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.