LENOIR MEMORIAL HOSPITAL INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: LENOIR MEMORIAL HOSPITAL INC (EIN 56-6000674)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-06-19
IRS object ID: 202021719349300907
Schema version: 2018v3.1
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 I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-06-19T08:43:38-05:00	ReturnTs
Tax Period End	2019-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	560747981	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	DIXON HUGHES GOODMAN LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	500 RIDGEFIELD COURT	AddressLine1Txt
City	ASHEVILLE	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28806	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-07-01	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)
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	GARY BLACK	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	2525227510	PhoneNum
Signature	2020-06-19	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	AMY BIBBY	PreparerPersonNm
PTIN	P00445891	PTIN
Phone	8282542254	PhoneNum
Preparation	2020-06-19	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	99.47.28.203	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-06-19	IPDt
IP Tm	08:42:31	IPTm
IP Timezone	ED	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	48FB394F9AA065459641371F168D9F2AFFFBB473	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2021-01-29 14:40:06Z	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 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	$143,652,130	GrossReceiptsAmt
Group Return For Affiliates	0	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	16	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	1067	TotalEmployeeCnt
Total Volunteers	214	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$2,754	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$128,413	PYContributionsGrantsAmt
CY Contributions Grants	$406,501	CYContributionsGrantsAmt
PY Program Service Revenue	$94,879,480	PYProgramServiceRevenueAmt
CY Program Service Revenue	$136,919,083	CYProgramServiceRevenueAmt
PY Investment Income	-$1,060,832	PYInvestmentIncomeAmt
CY Investment Income	-$2,571,793	CYInvestmentIncomeAmt
PY Other Revenue	$1,806,089	PYOtherRevenueAmt
CY Other Revenue	$2,807,752	CYOtherRevenueAmt
PY Total Revenue	$95,753,150	PYTotalRevenueAmt
CY Total Revenue	$137,561,543	CYTotalRevenueAmt
PY Grants And Similar Paid	$167,883	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$275,992	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$45,522,886	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$57,377,077	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$46,238	CYTotalFundraisingExpenseAmt
PY Other Expenses	$55,380,437	PYOtherExpensesAmt
CY Other Expenses	$81,488,799	CYOtherExpensesAmt
PY Total Expenses	$101,071,206	PYTotalExpensesAmt
CY Total Expenses	$139,141,868	CYTotalExpensesAmt
PY Revenues Less Expenses	-$5,318,056	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$1,580,325	CYRevenuesLessExpensesAmt
Total Assets BOY	$180,660,970	TotalAssetsBOYAmt
Total Assets EOY	$182,073,350	TotalAssetsEOYAmt
Total Liabilities BOY	$39,498,402	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$37,864,404	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$141,162,568	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$144,208,946	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	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$118,717,620	ExpenseAmt
Grant	$275,992	GrantAmt
Revenue	$138,755,442	RevenueAmt
Desc	SEE SCHEDULE O FOR DESCRIPTION OF THE ORGANIZATIONS PROGRAM SERVICE ACCOMPLISHMENTS:COMMUNITY HEALTH NEEDS ASSESSMENT AND HEALTH ENCTHE THREE YEAR COMMUNITY HEALTH NEEDS ASSESSMENT CYCLE PROCESS 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 AT UNCLENOIR.ORG OR THROUGH HTTPS://WWW.LENOIRWELLNESS.ORG/HEALTHY-COMMUNITIES/IN 2018, UNC LENOIR AND OTHER PARTNERS IN LENOIR COUNTY WITH 33 OTHER EASTERN NC COUNTIES INITIATED AN EASTERN NC COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS THAT SHIFTS THE CYCLE TO A REGIONALLY COHESIVE 2018 TIMELINE, WITH SIMILAR DATA COLLECTION AND REPORTING STRUCTURES TO IMPROVE ASSESSMENT PROCESS PLANNING IN THE EAST, AND COLLABORATIVELY IMPACT STRATEGIES FOR THE FUTURE. THIS WORK IS 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.COM.HEALTHY COMMUNITIES INSTITUTEUSING THE HEALTHY COMMUNITIES INSTITUTE, A COMPREHENSIVE HEALTH STATUS DATABASE AT WWW.HEALTHENC.ORG, PROVIDES THE LATEST LENOIR COUNTY DEMOGRAPHICS AND LEADING HEALTH INDICATORS. IT ALLOWS THE USER TO SEARCH AND REPORT ON OVER 50 SPECIFIC HEALTH 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, THE LENOIR HOSPITAL FOUNDATION AND HEALTH ENC.COMMUNITY COALITION ACTIVITIES UNC LENOIR PROVIDES LEADERSHIP AND ADMINISTRATIVE SUPPORT FOR COMMUNITY HEALTH COALITIONS. THE LENOIR COUNTY ALLIANCE FOR A HEALTHY COMMUNITY MEETS MONTHLY FOR COMMUNITY NETWORKING AND INFORMATION SHARING. ALMOST 20 DIFFERENT COMMUNITY ORGANIZATIONS PARTICIPATE IN THE MEETINGS. THE LENOIR COUNTY CRISIS COLLABORATIVE BRINGS EASTPOINTE MENTAL HEALTH, EASTER SEALS MOBILE CRISIS, UNC LENOIR, LOCAL LAW ENFORCEMENT, EMS, AND OTHER AGENCIES TOGETHER QUARTERLY. THE GROUP FOCUSES ON THE COMMUNITY MENTAL HEALTH CRISIS NEEDS TO IDENTIFY SOLUTIONS AND MEET CHALLENGES TO PROBLEMS IN LENOIR COUNTY. UNC LENOIR HEALTH CARE TEAM MEMBERS PARTICIPATE IN THE LENOIR COUNTY OPIATE TASK FORCE. UNC LENOIR HAS BEEN AN ACTIVE PARTICIPANT IN THE LENOIR COUNTY CHAMBER OF COMMERCE 2020 COMMUNITY VISIONING PROCESS AGAIN THIS YEAR, WITH A 2019 FOCUS ON TRANSPORTATION AS A PRIORITIZED ISSUE IN LENOIR COUNTY. HEART FAILURE PROGRAMTHE NEWLY IMPLEMENTED AND THE DUKE ENDOWMENT FUNDED THREE YEAR PROJECT IS WORKING ON MULTIPLE STRATEGIES IN YEAR ONE TO REDUCE AVOIDABLE HEART FAILURE READMISSIONS AND INCREASE HEART FAILURE SELF-MANAGEMENT IN A HIGH RISK PATIENT POPULATION. AN RN HEART FAILURE COORDINATOR WAS HIRED AND NEW STANDARDS OF WORK HAVE BEEN DEVELOPED FOR A FREE COMMUNITY PARAMEDIC HOME VISIT PROGRAM WHERE SELF-CARE EDUCATION WILL BE THE PRIMARY FOCUS.STROKE PREVENTION AND CARE THE STROKE PROGRAM AT UNC LENOIR HEALTH CARE UNDERWENT THE SECOND JOINT COMMISSION SURVEY FOR CERTIFICATION AS A PRIMARY STROKE CENTER. UNC LENOIR WAS AWARDED RECERTIFICATION IN AUGUST, 2019 AFTER A VERY SUCCESSFUL SURVEY. THE STROKE PROGRAM COORDINATOR WITH THE STROKE MEDICAL DIRECTOR HAVE GIVEN SEVERAL TALKS ABOUT STROKE IN THE COMMUNITY RANGING FROM SCHOOL GROUPS AND CIVIC GROUPS TO FAITH BASED GROUPS. ADDITIONALLY STAFF HAS BEEN ACTIVE IN PROVIDING COMMUNITY STROKE EDUCATION AT THE MANY FESTIVALS AND COMMUNITY EVENTS, REACHING OVER 400 PARTICIPANTS IN 2019. AS PART OF THE STROKE PROGRAM, OUR STROKE PATIENTS ARE FOLLOWED USING THE COMPASS (COMPREHENSIVE POST-ACUTE STROKE SERVICES) PROGRAM FOR 60 DAYS AFTER DISCHARGE TO THEIR HOME FROM THE HOSPITAL. THE STROKE PROGRAM COORDINATOR FOLLOWS PATIENTS WITH A PHONE CALL ON DAY 2 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. IN 2019, OVER 100 PATIENTS WERE ENROLLED IN THE COMPASS PROGRAM AT UNC LENOIR HEALTH CARE.ECONOMIC DEVELOPMENTCASH DONATIONS INCLUDED SUPPORT AND SPONSORSHIPS FOR STEMEAST/NC EAST ALLIANCE AND PRIDE OF KINSTON DOWNTOWN PARK CONCERT SERIES. DONATIONS WERE ALSO MADE TO SUPPORT THE LENOIR COUNTY EDUCATION FOUNDATION, AND THE REGIONAL KINSTON/LENOIR COUNTY CHAMBER OF COMMERCE SIGNATURE EVENT: FESTIVAL ON THE NEUSE. COMMUNITY DONATIONSCASH DONATIONS INCLUDED SUPPORT FOR PINK HILL ROSE FEST, LIONS INDUSTRIES FOR THE BLIND DIABETES WALKATHON, ALZHEIMER'S AWARENESS WALK, LENOIR/GREENE RELAY FOR LIFE, AND KINSTON INTER CHURCH OUTREACH. KINSTON/LENOIR COUNTY FARMERS MARKETUNC LENOIR ASSISTED 75 UNDERSERVED RESIDENTS OF THE COMMUNITY HAVING DIABETES WITH ACCESS TO LOCAL FRESH FRUITS AND VEGETABLES THROUGH AN INCENTIVE RX COUPON PROGRAM IN PARTNERSHIP WITH KINSTON COMMUNITY HEALTH CENTER, KATE B. REYNOLDS CHARITABLE TRUST AND 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 AND "SKIN TO SKIN" FOR MOM AND BABY ARE. BREASTFEEDING SUPPORT IS PROVIDED FOR THOSE MOMS WHO WANT TO BREASTFEED AND PROPER BOTTLE FEEDING TECHNIQUES FOR THOSE THAT CHOOSE TO FORMULA FEED. PARTICIPATING IN A COLLABORATIVE WITH THE NORTH CAROLINA HOSPITAL ASSOCIATION TO PREVENT ELECTIVE DELIVERIES PRIOR TO 39 WEEKS. PROVIDING SCREENING TESTS FOR ALL NEWBORNS TO RULE OUT CRITICAL CONGENITAL HEART DEFECTS PRIOR TO DISCHARGE. 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. PROVIDING A NEONATAL ABSTINENCE PROGRAM TO SCREEN ALL NEWBORNS THAT HAVE A HISTORY OF EXPOSURE TO ILLEGAL SUBSTANCES IN UTERO. NEONATAL ABSTINENCE SYNDROME (NAS) IS A GROUP OF PROBLEMS THAT OCCUR IN A NEWBORN WHO WAS EXPOSED TO ADDICTIVE OPIATE DRUGS WHILE IN THE MOTHER'S WOMB. ALL BABIES ARE SCREENED FOR HYPERBILIRUBINEMIA PRIOR TO DISCHARGE. 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. 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. THREE COMMUNITY BLOOD PRESSURE MACHINESPROVIDED 19,553 SCREENING BLOOD PRESSURES AT SITES FOR BLOOD PRESSURE MACHINES AT HOSPITAL ENTRANCES AND A MACHINE THAT TRAVELS TO VARIOUS COMMUNITY CHURCHES EACH MONTH. A FREE MONTHLY COMMUNITY BLOOD PRESSURE MANAGEMENT CLASS WAS OFFERED TO THE COMMUNITY.SUPPORT GROUPSCOORDINATED 10 HOSPITAL BASED GROUPS, ATTENDED BY 1781 PARTICIPANTS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Desc	SEE SCHEDULE O FOR DESCRIPTION OF THE ORGANIZATIONS PROGRAM SERVICE ACCOMPLISHMENTS:EMERGENCY PREPAREDNESS UNC LENOIR PARTICIPATES IN THE LOCAL EMERGENCY PLANNING COMMITTEE (LEPC); THE EASTERN REGIONAL ADVISORY COUNCIL; THE EASTERN HEALTHCARE PREPAREDNESS COALITION WHICH SERVES 29 EASTERN COUNTIES 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 SERVICES TO DEVELOP AND EXPAND REGIONAL PREVENTION, PREPAREDNESS, RESPONSE, AND RECOVERY CAPABILITIES FOR ALL HAZARDS, BOTH MAN-MADE AND NATURAL. UNC LENOIR'S PUBLIC SAFETY DIRECTOR SERVES AS THE VICE-CHAIR OF THE COMMITTEE AND THE VICE CHAIR OF THE HOSPITAL SUBCOMMITTEE. 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 NC CHAPTER OF THE INTERNATIONAL ASSOCIATION OF HEALTHCARE SECURITY AND SAFETY. UNC LENOIR'S PUBLIC SAFETY DIRECTOR SERVES AS THE SECRETARY FOR THE NC CHAPTER.MINGES WELLNESS CENTERTHE ON-SITE MEDICALLY BASED FITNESS CENTER FOR THE COMMUNITY HAS 78 PIECES OF STATIONARY EXERCISE EQUIPMENT WITH AN AVERAGE OF 25 BEGINNER'S GROUP EXERCISE CLASSES WEEKLY. WITH A MEMBERSHIP OF 1058 ACTIVE INDIVIDUAL MEMBERS IN 2019, 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 OUR EXERCISE SPECIALISTS. SCREENING EVENTSPROVIDED EARLY DETECTION AND FREE SCREENING EVENTS OF DISEASES/ DISORDERS/RISKS INCLUDING COLORECTAL CANCER, MAMMOGRAM, CHOLESTEROL, AND BLOOD PRESSURES. A PARTNERSHIP BETWEEN LENOIR COUNTY HEALTH DEPARTMENT, EASTERN RADIOLOGY ASSOCIATES, LENOIR HOSPITAL FOUNDATION, AND UNC LENOIR INCREASED THE AVAILABILITY OF YEAR-LONG COMMUNITY SCREENING AND DIAGNOSTIC MAMMOGRAMS BY COMBINING EFFORTS AND GRANT FUNDS IN A COLLABORATIVE AND MORE UNIFIED, FORMAL PROCESS TO SUPPORT 23 FREE MAMMOGRAMS. A NEW FREE SCREENING FOR BALANCE WAS INITIATED IN 2019 BY THE PHYSICAL THERAPY DEPARTMENT AND WAS OFFERED FOUR TIMES IN THE HOSPITAL AND SENIOR CENTERS. MARY'S KITCHEN THIS LOCAL FAITH-BASED OUTREACH PROGRAM SERVES PRIMARILY HOMELESS INDIVIDUALS IN KINSTON, AND VOLUNTEER GROUPS PROVIDE DAILY LUNCHES SIX DAYS A WEEK TO OVER 60 PERSONS DAILY. UNC LENOIR PROVIDES FREE FLU VACCINES EACH YEAR TO VISITORS DINING AT MARY'S KITCHEN.CANCER CENTER PROGRAM OUTREACH THE CANCER RESOURCE CENTER (CRC) IS A VISIBLE COLLABORATION BETWEEN UNC LENOIR AND THE AMERICAN CANCER SOCIETY. THE CRC PROVIDES RESOURCES FOR INDIVIDUALS AND FAMILIES WHO HAVE RECEIVED A CANCER DIAGNOSIS AND NEED SERVICES TO SUPPORT THEIR MYRIAD OF NEEDS DURING TREATMENT AND CARE. PATIENTS AND FAMILIES RECEIVED FORMAL SUPPORT BY A DEDICATED FULL-TIME LICENSED SOCIAL WORKER TO ASSIST PATIENTS AND FAMILIES WITH A CANCER DIAGNOSIS. DOZENS MORE INTERACTED WITH STAFF INFORMALLY. 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. AT THANKSGIVING, THERE WERE EIGHT PATIENTS PROVIDED FOOD BAGS. AT CHRISTMAS, SEVEN PATIENTS WERE PROVIDED WITH FOOD BAGS. THROUGH VARIOUS PARTNERSHIPS WITH LOCAL COMMUNITY BUSINESSES AND ORGANIZATIONS, SURVIVORS AND THEIR FAMILIES ARE PROVIDED WITH NUMEROUS EXPERIENCES AND OPPORTUNITIES THIS YEAR. IN FEBRUARY, THE PROGRAM HOSTED LICENSED ACUPUNCTURIST STEPHANIE KAPLAN AT THE CANCER CENTER FOR DEMONSTRATIONS AND EDUCATION ABOUT THE MANY BENEFITS OF ACUPUNCTURE. THE PARTNERSHIP WITH HAIR M PORIUM PROVIDED TWO BEAUTY/WELLNESS WORKSHOPS FOR FEMALE CANCER SURVIVORS. THESE WORKSHOPS FOCUS ON IMPROVING SURVIVORS' SELF-ESTEEM AND BODY IMAGE AFTER CANCER TREATMENTS AND SURGERIES. IN APRIL, 2019, A PARTNERSHIP WITH ART 105 WAS INITIATED. WITH THE GENEROUS ASSISTANCE OF THE LENOIR HOSPITAL FOUNDATION, SURVIVORS AND THEIR CAREGIVERS ENJOYED FOUR DIFFERENT OPPORTUNITIES TO PARTICIPATE IN "GO WITH THE FLOW", A FLOW PAINTING CLASS TAUGHT BY A LOCAL PAINTER. THIS CLASS WAS OFFERED FREE TO THE SURVIVORS AND ALLOWED TIME FOR RELAXATION, FELLOWSHIP, AND PARTICIPANTS TO CREATE THEIR VERY OWN MASTERPIECE. THREE CLASSES WERE HELD IN 2019 AND ONE IS SCHEDULED FOR FEBRUARY 2020. MEAGAN EVANS, MSW, LCSW, LICENSED CLINICAL SOCIAL WORKER, AND DONNA POTTER, RN, OCN, ONCOLOGY NURSE NAVIGATOR, BEGAN HOSTING A LADIES' CANCER SUPPORT GROUP ONSITE AT THE UNC LENOIR HEALTH CARE CANCER CENTER. ALL FEMALES IN ANY STAGE OF THEIR CANCER JOURNEY ARE INVITED TO ATTEND THESE GROUP MEETINGS. THIS GROUP MEETS THE SECOND THURSDAY OF EVERY OTHER MONTH AND HAS BEEN WELL ATTENDED. IN 2019, LINK HARRIS OF LINK HARRIS PHOTOGRAPHY DONATED PORTRAIT SESSIONS FOR SURVIVORS AND THEIR LOVED ONES AT UNC LENOIR HEALTH CARE. NINE SURVIVORS WERE ABLE TO GET PROFESSIONAL PORTRAITS DONE AT NO COST. IN 2019, THE UNC LENOIR HEALTH CARE CANCER CENTER HOSTED THE FIRST HEAD AND NECK CANCER SCREENING FOR THE COMMUNITY AT NO COST AND IN PARTNERSHIP WITH THE HEAD AND NECK CANCER ALLIANCE AND DR. BARBARA GOHEEN OF KINSTON HEAD AND NECK SPECIALISTS. 17 INDIVIDUALS WERE SCREENED AND EDUCATION FOR PREVENTION WAS PROVIDED BY TIFFANY FOUNTAIN OF THE AMERICAN CANCER SOCIETY. THROUGHOUT 2019, THE PROGRAM CONTINUED TO HOST CANCER CONVERSATIONS AS A RESULT OF THE PARTNERSHIP WITH UNC LINEBERGER CANCER CENTER IN CHAPEL HILL. EACH MONTH, A HEALTH CARE PROFESSIONAL AT UNC PROVIDES AN HOUR LONG EDUCATIONAL WEBINAR ON AN INTERESTING TOPIC IN THE FIELD OF ONCOLOGY. MEMBERS OF THE COMMUNITY HAVE BEEN INVITED TO ATTEND THESE EDUCATIONAL SESSIONS AND LEARN MORE ABOUT PERTINENT TOPICS IN CANCER CARE. AS OF MAY 2019, THE SEMINARS SERIES ARE HOSTED AT THE KINSTON-LENOIR COUNTY PUBLIC LIBRARY IN AN EFFORT TO REACH THE COMMUNITY MORE EFFECTIVELY. THE CANCER CENTER OFFERS ONGOING SCREENINGS FOR COLORECTAL CANCER, BREAST CANCER (IN PARTNERSHIP WITH THE LENOIR COUNTY HEALTH DEPARTMENT AND UNC LENOIR), AND LUNG CANCER. NOTABLE ACHIEVEMENTS FOR 2019 INCLUDE: UNC LENOIR RELAY FOR LIFE TEAM WAS RECOGNIZED FOR PLACING IN THE TOP 15 RELAY TEAMS IN THE SOUTHEAST REGION. WITH RAISING OVER $16,000 DURING RELAY SEASON, UNC LENOIR TEAM PLACED 14TH IN RAISING THE MOST MONEY IN THE REGION. THE CANCER PROGRAM WAS RECENTLY ACCREDITED WITH THE AMERICAN COLLEGE OF SURGEON'S COMMISSION ON CANCER.THE CANCER CENTER SOCIAL WORKER AND ONCOLOGY NURSE NAVIGATOR REGULARLY SPEAKS TO COMMUNITY ORGANIZATIONS INCLUDING CHURCHES ABOUT CANCER PREVENTION, ADVANCE DIRECTIVES, SURVIVORSHIP OPPORTUNITIES, AND COMMUNITY OUTREACH INITIATIVES. 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 3 IN FY 19 FOR NO FEES.CORPORATE HEALTH SERVICESSERVICES INCLUDED 45 CORPORATE CLIENTS, 32 WORKSITE WELLNESS VISITS WITH 658 EMPLOYEE CONTACTS. BIOMETRIC SCREENINGS, FLU SHOTS, CPR TRAINING, URINE DRUG SCREENS, AND TARGETED HEALTH EDUCATION FOR RISK FACTOR REDUCTION WAS PROVIDED.DIABETES WELLNESS PROGRAMLOCATED IN THE MINNIE P. STACKHOUSE DIABETES CENTER, THE AADE ACCREDITED DIABETES WELLNESS PROGRAM PROVIDED FREE DIABETES SELF-MANAGEMENT EDUCATION AND FOLLOW UP MANAGEMENT TO 115 INDIVIDUALS LIVING WITH DIABETES. OUTREACH EDUCATION AND OFF-SITE SCREENINGS WERE PROVIDED EACH MONTH REACHING 487 COMMUNITY MEMBERS. ADDITIONALLY, A REGISTERED DIETITIAN/DIABETES EDUCATOR PROVIDED 225 MEDICAL NUTRITION COUNSELING SESSIONS DURING THIS YEAR. RX FOOD COUPONS ARE PROVIDED TO PARTICIPANTS TO INCENTIVIZE EDUCATION BY INCREASING LOCAL ACCESS TO FRESH FRUITS AND VEGETABLES AT THE LENOIR COUNTY FARMER'S MARKET.COMMUNITY HEALTH EDUCATION PROGRAMMING PROVIDED 1219 PARTICIPANTS ON AND OFF-SITE FREE HEALTH AND WELLNESS PROGRAMMING. PROGRAMMING INCLUDED INFANT CPR, TOBACCO CESSATION, EXERCISE, NUTRITION AND OTHER HEALTH EDUCATION OFFERINGS. A THREE-PART ALTERNATIVE PAIN CONTROL SERIES WITH A LOCAL FEATURED ACUPUNCTURIST SPEAKER PROVIDED EDUCATIONAL PROGRAMS THIS YEAR.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Desc	SEE SCHEDULE O FOR DESCRIPTION OF THE ORGANIZATIONS PROGRAM SERVICE ACCOMPLISHMENTS:HOMEGROWN COMMUNITY HEALTH EVENTPARTNERED WITH LOCAL RADIO STATION AND KINSTON/LENOIR COUNTY FARMER'S MARKET TO CONDUCT A SPECIAL HEALTH EVENT FOR COMMUNITY FEATURING EDUCATION ABOUT DIABETES, EXERCISE, MEDICATION SAFETY, WEIGHT LOSS AND CANCER SUPPORT WITH THE LENOIR HOSPITAL FOUNDATION.GROCERY CART CONVERSATION SERIESA FREE COMMUNITY NUTRITION EDUCATION PROGRAM LED BY REGISTERED DIETITIANS WAS INITIATED WITH ONGOING MONTHLY SESSIONS AT THE PIGGLY WIGGLY IN KINSTON.ORAL HEAD AND NECK CANCER SCREENING EVENTFIRST ORAL, HEAD AND NECK CANCER SCREENING EVENT WAS HELD IN 2019 AT THE UNC LENOIR CANCER CENTER WITH 18 PARTICIPANTS SCREENED. DR. BARBARA GOHEEN OF KINSTON HEAD AND NECK PHYSICIANS PROVIDED THE SCREENING. CANCER AND HPV VACCINE EDUCATION WAS PROVIDED BY THE AMERICAN CANCER SOCIETY REPRESENTATIVE. MEDICATION SAFETY AWARENESS EDUCATION EVENTPARTNERED WITH DOWN EAST WOOD DUCKS FOR 2019 HEALTH NIGHT AT THE BALLPARK WHERE 300 SAFE MEDICATION DISPOSAL INFO SHEETS AND 300 FREE MEDICATION WALLET CARDS WERE PROVIDED TO THE ATTENDEES. SPECIAL MEDICATION SAFETY EDUCATION TIPS WERE PROVIDED EVERY INNING.ADVANCED DIRECTIVES PROVIDED 31 COMMUNITY RESIDENTS WITH SUPPORT IN COMPLETING ADVANCED DIRECTIVES. FAMILY BIRTH CENTER COMMUNITY EDUCATION LAMAZE/SIBLING/EARLY PRENATAL CLASSES OFFERED THREE TIMES DURING THE YEAR INCLUDED BREAST FEEDING EDUCATION.PATIENT ADVISORY COMMITTEE DURING 2019, THE PATIENT ADVISORY COUNCIL MET FOUR TIMES AND CONSISTS OF 23 REPRESENTATIVES FROM THROUGHOUT THE COMMUNITY, MEDICAL STAFF, BOARD OF DIRECTORS' VOLUNTEERS AND HOSPITAL STAFF TO SOLICIT INPUT ON HOW WE MIGHT IMPROVE OUR PATIENT CARE PROCESS. THIS FOSTERS A CONTINUING OPPORTUNITY FOR US TO LISTEN TO OUR CUSTOMERS AND USE THE INFORMATION TO HELP US IMPROVE OUR SYSTEMS AND PROCESSES. THE FOCUS OF THIS GROUP IS TO FEED INFORMATION BACK TO THE ORGANIZATION FROM THE COMMUNITY IN ORDER TO DELIVER CARE THAT IS PATIENT CENTERED AND COMMUNITY PERSPECTIVE DRIVEN. TOPICS COVERED DURING THE YEAR INCLUDED BEHAVIORAL HEALTH ROOMS IN THE EMERGENCY DEPARTMENT, CEO ANNOUNCEMENT, STRATEGIC PLAN PRESENTATION, INTERIM CNO ANNOUNCEMENT, ADVANCE DIRECTIVES PRESENTATION, REHABILITATION SERVICES PRESENTATION, CANCER CENTER SERVICES PRESENTATION, PRIMARY STROKE SERVICES PRESENTATION, 2019 HALL OF HONOR RECIPIENTS, FAMILY BIRTH CENTER 25TH ANNIVERSARY OPEN HOUSE, CFO ANNOUNCEMENT, FAMILY ENGAGEMENT STRATEGIES PRESENTATION AND ROUTINE UNC LENOIR HEALTH CARE UPDATES.EMPLOYEE OUTREACH IN COMMUNITYUNC 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 $75,591 DURING FY19 TOWARDS GREAT CAUSES IN THE COMMUNITY. EMPLOYEES ALSO COLLECTED 11,090 LBS OF FOOD TO FEED 17 LOCAL FAMILIES DURING THE HOLIDAY SEASON AND PROVIDED FOOD TO MARY'S KITCHEN, GREENE COUNTY INTERFAITH, AND RIVERMONT BAPTIST CHURCH FOOD BANK. EMPLOYEES KEPT THE LONG TRADITION OF PLAYING SECRET SANTA TO 22 NEEDY CHILDREN IN THE NORTHEAST ELEMENTARY SCHOOL WITH GIFTS FROM THEIR OWN POCKETS. COMMUNITY HEALTHCARE SCHOLARSHIPSNURSING LEADERSHIP, HIGH SCHOOL HEALTH OCCUPATION STUDENTS AND TEEN VOLUNTEERS RECEIVE SCHOLARSHIP AWARDS TO SUPPORT ONGOING HIGH SCHOOL AND COLLEGE HEALTH CAREER EDUCATION.COMMUNITY WORKFORCE DEVELOPMENT THE THIRD PART OF A THREE PART HEALTH CAREER SERIES, CARDIOPULMONARY CAREERS, WAS DEVELOPED AND RELEASED TO THE COMMUNITY INCLUDING TO THE NEUSEWAY HEALTH AND SCIENCE MUSEUM IN ORDER TO ENGAGE STUDENTS IN TECHNOLOGY IN HEALTHCARE CAREER POSSIBILITIES.HOSPITAL VOLUNTEER PROGRAMDURING FY 19, 214 VOLUNTEERS INCLUDING YOUTH VOLUNTEERS AND CHAPLAINS PROVIDED 33,258 VOLUNTEER HOURS IN A VARIETY OF HOSPITAL SETTINGS ENRICHING THE PATIENT EXPERIENCE AND PERFORMING THE WORK OF 16 UNPAID FTES. THE COMMUNITY DONATIONS, TOTALING MORE THAN $28,000, FOR LIGHTS OF LOVE FUND A NUMBER OF HOSPITAL ONCOLOGY PROGRAMS AND PROJECTS EACH YEAR. THE GIFT SHOP AND VENDOR SALES RAISED AN ADDITIONAL $112,000 TO SUPPORT HOSPITAL PROJECTS, EMPLOYEE AND TEEN SCHOLARSHIPS, AND ITEMS USED TO ENHANCE THE PATIENT EXPERIENCE. PET THERAPYUNC LENOIR CONTINUED ITS SAFE AND THERAPEUTIC DOG VISITS TO THE PATIENTS ON APPROVED PATIENT CARE UNITS BY HAVING 3 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 MICKI, CASEY, AND BLUE HAD 1,536 INTERACTIONS WITH VISITORS AND FAMILY MEMBERS AND 148 PATIENT VISITS FROM JULY 1, 2018 THROUGH JUNE 30, 2019.CANCER CENTER VOLUNTEER LAY NAVIGATIONONCE A DIAGNOSIS OF CANCER IS RECEIVED, PATIENTS OFTEN FEEL OVERWHELMED. VOLUNTEER LAY NAVIGATORS, SUPERVISED BY THE NURSE NAVIGATOR IN THE CANCER CENTER, HELP PATIENTS IDENTIFY AND REMOVE BARRIERS TO CARE WHILE LINKING THEM TO AVAILABLE CANCER SUPPORT RESOURCES. OVER 112 HOUR WERE DONATED BY VOLUNTEERS IN FY 19. PHYSICIAN RECRUITMENTUNC LENOIR HAS ADDED FIVE NEW PHYSICIANS TO THEIR MEDICAL STAFF IN 2019.THE NEW PHYSICIANS WILL BE PRACTICING IN OUR COMMUNITY AND INCLUDE: DR. LOUIS PEAK, ORTHOPEDIC SURGEON; DR. RYAN GALLAHER, INFECTIOUS DISEASE; DR. ABHISHEK MISHRA, CARDIOLOGIST; DR. VENGAMAMPA POLU, ENDOCRINOLOGIST; AND DR. HEATH FALLIN, PAIN SPECIALIST.STEM OUTREACHUNC LENOIR PROVIDED SUPPORT FOR STEMEAST WITH SPONSORSHIP AND IN-KIND TIME TO THE REGION'S LEADERSHIP TEAM AT STEMEAST. HEALTH LIBRARYA 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.COMMUNITY MEDICATION SAFETY516 INDIVIDUAL MEDICATION WALLET CARDS WERE PROVIDED FREE TO COMMUNITY RESIDENTS AND SAFE AND PROPER MEDICATION DISPOSAL EDUCATION IS PROVIDED WITH EACH CARD.HURRICANE FLORENCEHURRICANE FLORENCE, A CATEGORY 4 STORM, MADE DIRECT LANDFALL IN SE NC ON SEPTEMBER 14T , 2018 AND PAINSTAKINGLY LINGERED FOR DAYS DROPPING CLOSE TO 20 INCHES LOCALLY WITH SUBSEQUENT HISTORIC FLOODS CUTTING LENOIR COUNTY IN HALF. WIDESPREAD POWER AND PHONE OUTAGES WITH HIGH FLOODING RESULTED IN CLOSINGS FOR MOST LOCAL BUSINESSES AND AGENCIES FOR OVER A WEEK. HOSPITAL INCIDENT COMMAND WORKED CLOSELY WITH LENOIR COUNTY EMERGENCY MANAGEMENT AND STATEWIDE AND NATIONAL AUTHORITIES TO COORDINATE EMERGENCY AND OPERATIONAL PLANS AND EFFICIENCIES DURING STORM IMPACT. AT TIMES, NEARLY 200 EMPLOYEES SLEPT IN THE HOSPITAL IN ORDER TO PROVIDE ADEQUATE STAFFING AND COVERAGE FOR THE HOSPITAL. DURING THIS PERIOD, UNC URGENT CARE WAIVED FEES ASSOCIATED WITH ITS VIRTUAL CARE SERVICE, UNC URGENT CARE 24/7. THIS SERVICE PROVIDES PATIENTS WITH REAL-TIME ACCESS TO PHYSICIANS VIA PHONE, TABLET OR COMPUTER AND WAS A CONCRETE WAY FOR OUR HEALTH CARE SYSTEM TO SERVE NORTH CAROLINIANS DURING HURRICANE FLORENCE.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$118,717,620	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	133	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1067	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NC	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LOUIS LEIGH JR DIRECTOR OF FINANCE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
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	285031678	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
RAY COLLIER JR
CHAIRMAN	2.00	Yes (X)	Yes (X)	$0	$0	$0
CARLTON YOUNGER JR
VICE CHAIRMAN	2.00	Yes (X)	Yes (X)	$0	$0	$0
MICHAEL WHITFIELD CPA
TREASURER	2.00	Yes (X)	Yes (X)	$0	$0	$0
DEXTER FLOYD
ASSISTANT TREASURER	2.00	Yes (X)	Yes (X)	$0	$0	$0
ARMISTEAD MAUCK
SECRETARY	2.00	Yes (X)	Yes (X)	$0	$0	$0
LADDIE M CRISP JR MD
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
SHIRLEY DOVE EDD
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
MICHAEL HADDAD MD
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
CLIFTON HARRISON
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
JOHN HERLONG MD
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
CRAIG HILL
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
JOHN MCPHAUL
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
FELICIA SOLOMON
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
FRANCES HERRING JD
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
RUSSELL HUNT
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
D STUART LINDLEY
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
MARY M CAULEY EDD
BOARD MEMBER	2.00	Yes (X)	Yes (X)	$0	$0	$0
NAWAF ATASSI MD
MD STAFF PRESIDENT	1.00	Yes (X)		$0	$0	$0
ROBERT A ENDERS JR
CEO	40.00	Yes (X)	Yes (X)	$0	$0	$0
JEANNETTE SKINNER
INTERIM CEO	40.00	Yes (X)	Yes (X)	$0	$0	$0
JAMES C DOBBINS
VP HR	40.00		Yes (X)	$267,503	$0	$82,260
KARL L VANDERSTOUW
CIO	40.00		Yes (X)	$236,932	$0	$51,231
CLAIRE D PARIS
CMO	40.00		Yes (X)	$368,302	$0	$20,631
DEBBIE LANIER
ASSISTANT SECRETARY	40.00		Yes (X)	$70,588	$0	$19,447
MICHAEL VAUGHN
INTERIM CFO	40.00		Yes (X)	$65,000	$0	$0
SHIRLEY S HARKEY
CNO	40.00		Yes (X)	$0	$0	$0
MARK HENNING
DIRECTOR OF ANESTHESIOLOGY	40.00			$278,933	$0	$24,242	Yes (X)
CONNIE MANGEL
CRNA - NURSE ANESTHETIST	40.00			$211,729	$0	$28,537	Yes (X)
ROBIN REAVIS
CRNA - NURSE ANESTHETIST	40.00			$208,692	$0	$21,149	Yes (X)
DONNA FLOYD
DIRECTOR OF RISK MANAGEMENT	40.00			$208,722	$0	$10,048	Yes (X)
SARAH H MAYO
CFO	40.00			$399,464	$0	$51,815		Yes (X)
LAUREL A MOLLOY
CNO	40.00			$220,850	$0	$37,731		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,536,715	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$347,091	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	41	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
UHS PHYSICIANS LLP
2100 STANTONSBURG RD	GREENVILLE	NC	27835	HOSPITALISTS SERVICES	$2,157,389
SODEXO INC & AFFILIATES
PO BOX 536922	ATLANTA	GA	30353	DIETARY/EVS/MGMT SERVICES	$1,587,288
GUARDIAN HEALTHCARE PROVIDERS INC
105 WESTPARK DRIVE SUITE 100	BRENTWOOD	TN	37027	NURSE-CONTRACT STAFFING	$1,510,893
UNC HOSPITALS AT CHAPEL HILL
5221 PARAMOUNT PARKWAY	MORRISVILLE	NC	27560	OPERATIONAL MANAGEMENT	$720,902
SIGHTPATH MEDICAL
5775 W OLD SHAKOPEE RD	BLOOMINGTON	MN	55437	MEDICAL PROCEDURES/OPHTHAMOLOGY	$666,760

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	23	CntrctRcvdGreaterThan100KCnt
Related Organizations	$213,420	RelatedOrganizationsAmt
All Other Contributions	$193,081	AllOtherContributionsAmt
Total Contributions	$406,501	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICES	621990	$135,526,695	$135,526,695
AUXILLARY SERVICE REVENUE	621990	$1,261,970	$1,261,970
WELLNESS CENTER REVEUNE	713940	$102,066	$102,066
LAB REVENUE	541380	$28,352	$28,352

Field	Value	IRS element (for citing)
Total Program Service Revenue	$136,919,083	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,806,834	TotalRevenueColumnAmt
Exclusion	$2,806,834	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Personal	$955,252	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Personal	$0	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Personal	$955,252	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$955,252	TotalRevenueColumnAmt
Related Or Exempt Func Income	$955,252	RelatedOrExemptFuncIncomeAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$5,378,627	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$5,378,627	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$5,378,627	TotalRevenueColumnAmt
Exclusion	-$5,378,627	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$1,593,067	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$711,960	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$881,107	TotalRevenueColumnAmt
Related Or Exempt Func Income	$881,107	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
DIETARY AND CAFETERIA	900099	$920,091	$920,091
VENDING	900099	$51,302	$51,302

Field	Value	IRS element (for citing)
Other Revenue Total	$971,393	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$137,561,543	TotalRevenueColumnAmt
Related Or Exempt Func Income	$138,755,442	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	-$1,600,400	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	$36,464	TotalAmt
Program Services	$36,464	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$239,528	TotalAmt
Program Services	$239,528	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,399,538	TotalAmt
Program Services	$227,780	ProgramServicesAmt
Management And General	$1,132,576	ManagementAndGeneralAmt
Fundraising	$39,182	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$43,347,106	TotalAmt
Program Services	$34,662,301	ProgramServicesAmt
Management And General	$8,684,805	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,592,734	TotalAmt
Program Services	$1,246,583	ProgramServicesAmt
Management And General	$345,261	ManagementAndGeneralAmt
Fundraising	$890	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$7,835,589	TotalAmt
Program Services	$6,132,670	ProgramServicesAmt
Management And General	$1,698,542	ManagementAndGeneralAmt
Fundraising	$4,377	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,202,110	TotalAmt
Program Services	$2,506,191	ProgramServicesAmt
Management And General	$694,130	ManagementAndGeneralAmt
Fundraising	$1,789	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$672,408	TotalAmt
Management And General	$672,408	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$63,907	TotalAmt
Management And General	$63,907	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$66,122	TotalAmt
Management And General	$66,122	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$234,508	TotalAmt
Management And General	$234,508	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$15,028,723	TotalAmt
Program Services	$12,217,995	ProgramServicesAmt
Management And General	$2,810,728	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$349,832	TotalAmt
Program Services	$8,699	ProgramServicesAmt
Management And General	$341,133	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,740,322	TotalAmt
Program Services	$3,518,924	ProgramServicesAmt
Management And General	$3,221,398	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,815,313	TotalAmt
Program Services	$1,815,313	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,601,770	TotalAmt
Program Services	$2,507,630	ProgramServicesAmt
Management And General	$94,140	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$101,187	TotalAmt
Program Services	$56,715	ProgramServicesAmt
Management And General	$44,472	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$54,771	TotalAmt
Program Services	$42,327	ProgramServicesAmt
Management And General	$12,444	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$245,739	TotalAmt
Management And General	$245,739	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$5,699,650	TotalAmt
Program Services	$5,699,650	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$451,263	TotalAmt
Program Services	$451,263	ProgramServicesAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
BAD DEBT EXPENSE	$34,109,784	$34,109,784
MEDICAL SUPPLIES	$13,220,167	$13,204,470	$15,697
RECRUITMENT	$33,333	$33,333

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$139,141,868	TotalAmt
Program Services	$118,717,620	ProgramServicesAmt
Management And General	$20,378,010	ManagementAndGeneralAmt
Fundraising	$46,238	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,750,466	BOYAmt
EOY	$2,203,338	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$8,504,239	BOYAmt
EOY	$5,923,053	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$11,415,138	BOYAmt
EOY	$12,045,942	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,488,687	BOYAmt
EOY	$2,582,886	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,494,089	BOYAmt
EOY	$2,238,904	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$151,922,833	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$96,586,638	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$54,180,117	BOYAmt
EOY	$55,336,195	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$96,661,535	BOYAmt
EOY	$100,467,304	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,166,699	BOYAmt
EOY	$1,275,728	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$180,660,970	BOYAmt
EOY	$182,073,350	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$13,668,305	BOYAmt
EOY	$16,865,744	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$4,858,832	BOYAmt
EOY	$2,039,682	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$15,895,000	BOYAmt
EOY	$15,305,000	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$3,000,000	BOYAmt
EOY	$2,500,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,076,265	BOYAmt
EOY	$1,153,978	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$39,498,402	BOYAmt
EOY	$37,864,404	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$105,877,451	BOYAmt
EOY	$106,677,751	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$35,285,117	BOYAmt
EOY	$37,531,195	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$141,162,568	BOYAmt
EOY	$144,208,946	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$180,660,970	BOYAmt
EOY	$182,073,350	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$1,580,325	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$4,626,703	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	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 (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

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)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$15,061	OtherActivitiesAmt
Total Lobbying Expenditures	$15,061	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	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, $10,605 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, $4,456 OF MEMBERSHIP DUES WERE ALLOCATED TO LOBBYING EXPENSE.	ExplanationTxt

Schedule D IRS990ScheduleD

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	$66,593,016	OtherCostOrOtherBasisAmt
Depreciation	$34,368,937	DepreciationAmt
Book Value	$32,224,079	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$76,686,049	OtherCostOrOtherBasisAmt
Depreciation	$57,116,281	DepreciationAmt
Book Value	$19,569,768	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,218,362	OtherCostOrOtherBasisAmt
Depreciation	$5,101,420	DepreciationAmt
Book Value	$3,116,942	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$55,336,195	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS	Desc
Amt	$1,153,978	Amt

Field	Value	IRS element (for citing)
Total Liability	$1,153,978	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$114,013,251	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$4,626,703	NetUnrealizedGainsInvstAmt
Other Revenue	$6,153,177	OtherRevenueAmt
Revenue Not Reported	$10,779,880	RevenueNotReportedAmt
Revenue Subtotal	$103,233,371	RevenueSubtotalAmt
Other Revenues Not Included	$34,328,172	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$34,328,172	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$137,561,543	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$110,966,873	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$6,153,177	OtherExpensesIncludedAmt
Expenses Not Reported	$6,153,177	ExpensesNotReportedAmt
Expenses Subtotal	$104,813,696	ExpensesSubtotalAmt
Other Expenses Not Included	$34,328,172	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$34,328,172	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$139,141,868	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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. THE COMPANY HAS DETERMINED THAT THEY DO NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF JUNE 30, 2019.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	COGS 711,960. EXPENSE IN REVENUE 5,441,217.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT INCOME 34,109,784. REVENUE IN EXPENSE 218,388.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	COGS 711,960. EXPENSE IN REVENUE 5,441,217.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE 34,109,784. REVENUE IN EXPENSE 218,388.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent250	Yes (X)	Percent250Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,060,329	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$95,629	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,964,700	NetCommunityBenefitExpnsAmt
Total Expense	0.01410	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,882,199	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,522,123	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,360,076	NetCommunityBenefitExpnsAmt
Total Expense	0.03130	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,942,528	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,617,752	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,324,776	NetCommunityBenefitExpnsAmt
Total Expense	0.04540	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$873,697	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$139,709	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$733,988	NetCommunityBenefitExpnsAmt
Total Expense	0.00530	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$374,917	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$374,917	NetCommunityBenefitExpnsAmt
Total Expense	0.00270	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$34,908,121	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$30,088,095	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,820,026	NetCommunityBenefitExpnsAmt
Total Expense	0.03460	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,652	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$17,652	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$70,864	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$70,864	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$36,245,251	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$30,227,804	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,017,447	NetCommunityBenefitExpnsAmt
Total Expense	0.04320	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$57,187,779	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$44,845,556	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,342,223	NetCommunityBenefitExpnsAmt
Total Expense	0.08860	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,651	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,651	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$41,942	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$41,942	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,373	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,373	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$159	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$159	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$178,658	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$178,658	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,750	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$24,750	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$257,533	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$257,533	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$34,109,784	BadDebtExpenseAmt
Bad Debt Expense Attributable	$2,948,242	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$38,040,534	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$40,336,133	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$2,295,599	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 (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	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)
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	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	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	17	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	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 (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	17	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTP://WWW.HEALTHENC.ORG/CONTENT/SITES/FHLI/RESOURCE_LIBRARY/2017_UNC_LENOI	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	250.000000000000	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
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (1)	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
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	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 (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
LENOIR MEMORIAL HOSPITAL, INC.	PART V, SECTION B, LINE 5: THE THREE YEAR CHNA CYCLE PROCESS (2017) IDENTIFIED THREE PRIORITY ISSUES FOR THE COMMUNITY: OBESITY, SUBSTANCE ABUSE/MENTAL HEALTH, AND RESPONSIBLE PARENTING. THE 2017 CYCLE, INITIATED BY UNC LENOIR HEALTH CARE, LENOIR COUNTY HEALTH DEPARTMENT AND KINSTON COMMUNITY HEATH INCLUDES WRITTEN ACTION PLANS AND IMPLEMENTATION STRATEGIES. THE FULL 2017 COMMUNITY HEALTH ASSESSMENT AND IMPLEMENTATION STRATEGIES CAN BE FOUND AT WWW.UNCLENOIR.ORG, ON THE HEALTHY COMMUNITIES PAGE. UNC LENOIR ALSO PROVIDED STAFF TO THE EASTERN REGION STEERING COMMITTEE FOR REGIONALIZATION AND STANDARDIZING PLANNING FOR COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS PLANNING IN THE EAST, TO BE INITIATED IN 2018.
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.

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	1 - LENOIR PHYSICIAN NETWORK	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)
Facility	PHY. OFF, FAM.PRAC.,ORTHO, GEN. SURG., NEURO.,UROLOGY, CARDIO PULM.,& OBGYN	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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:	DATA PULLED FROM THE NC DEPARTMENT OF COMMERCE INDICATES THAT 32.8% OF KINSTON RESIDENTS LIVE BELOW THE POVERTY LEVEL AND THAT 23.7% OF LENOIR COUNTY RESIDENTS LIVE BELOW THE POVERTY LEVEL. LENOIR COUNTY IS THE LARGEST SERVICE AREA FOR UNC LENOIR HEALTH CARE (LENOIR MEMORIAL HOSPITAL). THE 23.7% WAS MULTIPLIED BY THE TOTAL BAD DEBT TO DEVELOP AN ESTIMATE FOR THE AMOUNT OF BAD DEBT THAT MAY QUALIFY FOR FINANCIAL ASSISTANCE. THIS AMOUNT WAS THEN MULTIPLIED BY THE COST TO CHARGE RATIO TO PROVIDE THIS ESTIMATE.
PART III, LINE 4:	BAD DEBT EXPENSE FOR FY18 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 2017 20,509), WHICH IS THE COUNTY SEAT AND LARGEST TOWN IN LENOIR COUNTY (POPULATION ESTIMATE JULY 2017 56,883); 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 URBANS AREAS OF NORTH CAROLINA SINCE 2010, LENOIR COUNTY WAS ONE OF FORTY-SEVEN RURAL COUNTIES STATEWIDE THAT LOST POPULATION WITH LENOIR COUNTY DOWN (4.4% OR 2,612), VS. THE NC AVERAGE OF +7.7%. KINSTON'S DECLINE WAS EVEN SIMILAR TO LENOIR COUNTY AT 5.4% (1,240) AND WAS THE THIRD HIGHEST NUMERIC LOSS IN THE PERIOD 2010-2017. 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. POVERTY LEVELS IN KINSTON AND LENOIR COUNTY EXCEED STATE AVERAGES; IN 2010 THE COUNTY'S POVERTY LEVEL WAS RANKED THIRD HIGHEST FOR COUNTIES WITH POPULATIONS GREATER THAN 20,000 BY THE NC JUSTICE CENTER. THE ECONOMICALLY DISADVANTAGED PERCENTAGE OF CHILDREN IN LENOIR COUNTY SCHOOLS FOR 2009-2010 WAS 66.53%, 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 76.4% 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, 2010-2017 -5.7%(KC); -4.4%(LC); -7.7%(NC)PERCENT BELOW POVERTY LEVEL 30.0%(KC); 24.7%(LC); 14.7%(NC)MEDIAN HOUSEHOLD INCOME, 2017 $29,927(KC); $37,515 (LC); $50,320(NC) CHILDREN IN POVERTY, 2017 55.1%(KC); 32.3%(LC); 21.7%(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 CAPTIAL 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, REPORTS FILED WITH STATES	NC

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
NC EASTERN ALLIANCE CORPORATION
3802 HIGHWAY 58N A	KINSTON	NC	28504	510422797	501(C)(3)	$5,600	ECONOMIC DEVELOPMENT GRANT
NORTH CAROLINA HOSPITAL ASSOCIATION
2400 WESTON PARKWAY	CARY	NC	27513	560641290	501(C)(6)	$22,320	MRI/GAP TECHNICAL ASSISTANCE FUND
LENOIR COMMUNITY COLLEGE
PO BOX 188	KINSTON	NC	28501	561055936	501(C)(3)	$5,000	EDUCATIONAL ASSISTANCE

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
SCHOLARSHIPS	33	$175,586
TUITION REIMBURSEMENT	32	$37,934

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION PROVIDES PRE-APPROVED FUNDS TO SELECTED ORGANIZATIONS AND INDIVIDUALS BASED UPON APPROVED CRITERIA. THE FUNDS ARE ONLY DISBURSED FOR THE APPROVED ACTIVITIES.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 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
JAMES C DOBBINS
VP HR	$185,585	$0	$12,868	$0	$69,050	$0	$69,921	$0	$12,339	$0	$349,763	$0	$7,341	$0
KARL L VANDERSTOUW
CIO	$192,365	$0	$13,341	$0	$31,226	$0	$30,820	$0	$20,411	$0	$288,163	$0	$7,667	$0
CLAIRE D PARIS
CMO	$348,302	$0	$20,000	$0	$0	$0	$6,269	$0	$14,362	$0	$388,933	$0	$0	$0
MARK HENNING
DIRECTOR OF ANESTHESIOLOGY	$278,933	$0	$0	$0	$0	$0	$11,000	$0	$13,242	$0	$303,175	$0	$0	$0
CONNIE MANGEL
CRNA - NURSE ANESTHETIST	$211,729	$0	$0	$0	$0	$0	$8,609	$0	$19,928	$0	$240,266	$0	$0	$0
ROBIN REAVIS
CRNA - NURSE ANESTHETIST	$208,692	$0	$0	$0	$0	$0	$8,426	$0	$12,723	$0	$229,841	$0	$0	$0
DONNA FLOYD
DIRECTOR OF RISK MANAGEMENT	$208,722	$0	$0	$0	$0	$0	$4,384	$0	$5,664	$0	$218,770	$0	$0	$0
SARAH H MAYO
CFO	$138,830	$0	$29,949	$0	$230,685	$0	$40,682	$0	$11,133	$0	$451,279	$0	$10,895	$0
LAUREL A MOLLOY
CNO	$187,248	$0	$13,210	$0	$20,392	$0	$24,641	$0	$13,090	$0	$258,581	$0	$7,700	$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: - SARAH MAYO, CFO $30,114 - JAMES CLINE DOBBINS, VP HUMAN RESOURCES $62,497 - KARL VANDERSTOUW, VP ITS AND ENGINEERING $23,125 - LAUREL A. MOLLOY, CNO $17,151

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	NORTH CAROLINA MEDICAL CARE COMMISSION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	521309402	BondIssuerEIN
CUSIP	657902Y63	CUSIPNum
Bond Issued	2005-09-22	BondIssuedDt
Issue Price	$22,000,000	IssuePriceAmt
Purpose	CAPITAL PROJECTS	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$6,695,000	RetiredAmt
Total Proceeds	$22,021,552	TotalProceedsAmt
Issuance Costs From Proceeds	$178,646	IssuanceCostsFromProceedsAmt
Credit Enhancement	$20,213	CreditEnhancementAmt
Capital Expenditures	$9,657,270	CapitalExpendituresAmt
Other Spent Proceeds	$12,165,423	OtherSpentProceedsAmt
Substantial Completion	2005	SubstantialCompletionYr
Refunding Tax Exempt Bonds	Yes (1)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (1)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (1)	EngageBondCounselContractsInd
Any Research Agreements	0	AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	0	RebateNotDueYetInd
Exception To Rebate	Yes (1)	ExceptionToRebateInd
No Rebate Due	Yes (1)	NoRebateDueInd
Variable Rate Issue	Yes (1)	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K SUPPLENTAL 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 (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
FAYE HILL
FAMILY MEMBER OF A BOARD MEMBER	$58,895	PAYMENT FOR EMPLOYMENT AS RADIOLOGY TECH.	0
EDWARD EARL HILL
FAMILY MEMBER OF A BOARD MEMBER	$34,747	PAYMENT FOR EMPLOYMENT AS PLANT ENGINEER MECHANIC.	0
MICHAEL HADDAD MD
BOARD MEMBER	$139,314	PRESIDENT OF PATHOLOGY ASSOCIATES WHICH RECEIVED PAYMENTS FOR SERVICES.	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 MEETINGS, 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 2018 CALENDAR THE CEO AND INTERIM CEO RECEIVED $572,948 AND $202,636 FOR THESE SERVICES RESPECTIVELY. 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 ORGAINZATION 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 IX, LINE 11G	OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 12,217,995. MANAGEMENT AND GENERAL EXPENSES 2,810,728. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,028,723.
FORM 990, PART XII, LINE 2C:	THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	LENOIR PHYSICIANS NETWORK LLC	BusinessNameLine1Txt

US Address USAddress

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

Field	Value	IRS element (for citing)
EIN	460687300	EIN
Primary Activities	PHYSICIANS SERVICES	PrimaryActivitiesTxt
Legal Domicile State	NC	LegalDomicileStateCd
Total Income	$436	TotalIncomeAmt
End Of Year Assets	$101,560	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

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

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	SUPPORT THE CHARITABLE, EDUCATIONAL, AND SCIENTIFIC PURPOSES OF LMH, INC.	NC	501(C)(3)	LINE 12A, I	LENOIR MEMORIAL HOSPITAL	Yes (1)
LENOIR HEALTH SERVICES INC
100 AIRPORT ROAD	KINSTON	NC	28501	581705689	SUPPORT CHARITABLE, EDUCATIONAL, AND SCIENTIFIC PURPOSES OF LMH, INC.	NC	501(C)(3)	LINE 12A, I	LENOIR MEMORIAL HOSPITAL	Yes (1)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt
LENOIR MEMORIAL HOSPITAL FOUNDATION
C
LENOIR MEMORIAL HOSPITAL FOUNDATION
N	$5,500
LENOIR MEMORIAL HOSPITAL FOUNDATION
Q	$41,604