LENOIR MEMORIAL HOSPITAL INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: LENOIR MEMORIAL HOSPITAL INC (EIN 56-6000674)
Tax period: 2016-10-01 to 2017-09-30
Filed: 2018-07-24
IRS object ID: 201812059349301111
Schema version: 2016v3.0
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	2018-07-24T15:42:50-05:00	ReturnTs
Tax Period End	2017-09-30	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	2016-10-01	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	2525227927	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	CEO	PersonTitleTxt
Phone	2525227927	PhoneNum
Signature	2018-07-24	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

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2022-09-23 18:48:47Z	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	GARY BLACK	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	$134,049,041	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.lenoirmemorial.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1950	FormationYr
Legal Domicile State	NC	LegalDomicileStateCd
Activity Or Mission	PROVIDING EXCEPTIONAL HEALTHCARE AS AN OUTSTANDING COMMUNITY HOSPITAL	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	1144	TotalEmployeeCnt
Total Volunteers	235	TotalVolunteersCnt
Total Gross UBI	$686,622	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$22,149	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$831,795	PYContributionsGrantsAmt
CY Contributions Grants	$396,536	CYContributionsGrantsAmt
PY Program Service Revenue	$132,842,900	PYProgramServiceRevenueAmt
CY Program Service Revenue	$127,468,009	CYProgramServiceRevenueAmt
PY Investment Income	$2,518,339	PYInvestmentIncomeAmt
CY Investment Income	$2,561,816	CYInvestmentIncomeAmt
PY Other Revenue	$2,615,497	PYOtherRevenueAmt
CY Other Revenue	$2,441,969	CYOtherRevenueAmt
PY Total Revenue	$138,808,531	PYTotalRevenueAmt
CY Total Revenue	$132,868,330	CYTotalRevenueAmt
PY Grants And Similar Paid	$166,795	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$185,440	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$60,585,871	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$62,485,940	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$40,219	CYTotalFundraisingExpenseAmt
PY Other Expenses	$73,692,269	PYOtherExpensesAmt
CY Other Expenses	$75,315,839	CYOtherExpensesAmt
PY Total Expenses	$134,444,935	PYTotalExpensesAmt
CY Total Expenses	$137,987,219	CYTotalExpensesAmt
PY Revenues Less Expenses	$4,363,596	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$5,118,889	CYRevenuesLessExpensesAmt
Total Assets BOY	$191,870,995	TotalAssetsBOYAmt
Total Assets EOY	$189,241,562	TotalAssetsEOYAmt
Total Liabilities BOY	$41,613,901	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$41,871,530	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$150,257,094	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$147,370,032	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	$117,623,138	ExpenseAmt
Grant	$185,440	GrantAmt
Revenue	$128,239,899	RevenueAmt
Desc	SEE SCHEDULE O FOR DESCRIPTION OF THE ORGANIZATIONS PROGRAM SERVICE ACCOMPLISHMENTS:Community Value Five-Star Hospital 2017 UNC Lenoir was named a "Five-Star Hospital" in this year's Community Value Index Leadership Award by Cleverly & Associates. The Community Value Index (CVI) is composed of four key dimensions that evaluate a hospital's performance in four areas: 1.) Financial Viability & Plant reinvestment; 2.) Hospital Cost Structure; 3.) Hospital Charge Structure; 4.) Hospital Quality Indicators. To see all the winners on the "Top 100 Hospital" list, the winners on the "Five Star Hospital" list, as well as more about the Community Value Index, go to: https://communityvalue.cleverleyassociates.com/AboutTheCVI/CommunityValueFiveStar.aspxStroke Prevention and Care UNC Lenoir earns the Joint Commission's Gold Seal of Approval and the American Heart Association/American Stroke Association's Heart Check mark for Advanced Certification for Primary Stroke Centers. Economic DevelopmentCash donations included support and sponsorships for STEMEAST and PRIDE of Kinston downtown park concert series. Donations were also made to support the CSS Neuse Gunboat Association historical presentations, and the regional Kinston/Lenoir County Chamber of Commerce signature event: Festival on the Neuse. Community DonationsCash donations included support for SAFE in Lenoir County, Lions Industries for the Blind, American Heart Association Heart Walk, Lenoir-Greene Partnership for Children StoryWalk on the river, Common Ground of ENC walking track, and several area non-profit runs, walks and bike rides including Kinston Community Health Center's inaugural Run for Your Life.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 two onsite cooking demonstrations by a dietitian. Community Health Needs Assessment The three year 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 KCHC 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.Healthy Communities InstituteThe Healthy Communities Institute, a comprehensive health status database at www.lenoirmemorial.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 and the Lenoir Hospital Foundation.SMARTfitThe Lenoir Hospital Foundation and UNC Lenoir partnered with the Boys & Girls Club of the Coastal Plain to provide evidenced-based physical activity equipment and initiative at the new Kinston club site for over 100 youth in the area. SMARTfit systems, an initiative in other Boys and Girls Clubs addresses aspects of the body, mind, and soul with academic features that revolve around physical activities.Community Coalition Activities UNC Lenoir provides leadership and administrative support for community health coalitions. The Lenoir County Alliance for a Healthy Community meets on a monthly basis 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. This year, UNC Lenoir Health Care team members have also participated in the newly formed Lenoir County Opiate Task Force.Maternal/Child Health Initiatives - "Baby Friendly "practices such as "rooming in and "skin to skin" for mom and baby are a focus. - 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. 98% compliant with this standard.- 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.Three Community Blood Pressure MachinesProvided 23,380 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 community blood pressure management class was offered to the community monthly.Support GroupsCoordinated 11 hospital based groups, attended by 1857 participants. Emergency Preparedness UNC Lenoir participates in the local emergency planning committee (LEPC), the Eastern Regional Advisory Council, the Eastern Healthcare Preparedness Coalition for 29 counties to plan, coordinate, and execute disaster readiness and drills. UNC Lenoir participates in the North Carolina Emergency Management Domestic Preparedness Region 2 (DPR2) emergency preparedness committee for 10 counties 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 Chair of the Municipal Police Subcommittee. UNC Lenoir also participates in the NC Hospital Emergency Management Committee which is comprised of healthcare emergency managers from across the state. 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 1135 active individual members in FY17, 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 through the year free to the community by our exercise specialists.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Desc	SEE SCHEDULE O FOR CONTINUATION OF PROGRAM SERVICE ACCOMPLISHMENTSScreening EventsProvided early detection screening events of diseases/ disorders/risks including free colorectal cancer, mammogram, cholesterol, and blood pressures. A lung cancer screening program using low dose CT is offered through physician referral to increase access to lung cancer screening for individuals most at risk for lung cancer. Cancer Resource Center 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. Staff are available to assist in identifying cancer resources from 8-12 each weekday.UNC Lenoir Health Care Community Walking Track Averages over 500 walkers per month. Offered the use of the track for community organizations' walks x 4 in FY 17 for no fees.Corporate Health ServicesServices included 71 corporate clients, 187 worksite wellness visits with 1543 employee contacts. 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 177 individuals living with diabetes. Outreach education and off-site screenings were provided each month reaching 426 community members. Additionally, a registered dietitian/diabetes educator provided 202 medical nutrition counseling sessions during this year. A three year grant continued from Kate B. Reynolds supporting the program expansion of the DSME/T program into Kinston Community Health Center.Community Health Education Programming Provided 2380 participants on and off-site health and wellness programming. Programming included Infant CPR, tobacco cessation, exercise, nutrition and other health education offerings. A three-part heart series with featured cardiologist speakers led educational programs this year. Sponsored a parenting education seminar through Triple P-positive parenting by trained child educators for the community. Hands-Only CPR Education EventsPartnered with Lenoir County EMS to provide a special 2017 Valentine Day CPR event at the entrance to the hospital where Hands Only CPR education was provided to over 100 individuals. Partnered with Down East Wood Ducks and Lenoir County EMS for 2017 Health Night at the Ballpark where the entire stadium was instructed on Hands-Only CPR technique.Advanced Directives Provided 33 community residents with support in completing advanced directives.Family Birth Center Community Education Lamaze/Sibling/Early Prenatal classes included 30 attendees.Patient Advisory CommitteeDuring 2017, the patient advisory council met five times and was made up of 23 representatives from throughout the community, medical staff, Hospital Board, 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 Carolina Care, Patient Information System, Cancer Care Initiative, LEAN Update, UNC Lenoir Update, Pet Therapy, Bedside Reporting Initiative, Hospitalist Inpatient Coverage, UNC/Carolinas Partnership, Volunteer History Briefing, Hospitalist Follow Up, UNC Physicians Network, Strategic Plan, Sleep Lab, UNC Lenoir Health Care Imaging, Chief Medical Officer Presentation and Highly Reliable Patient Care.Employee OutreachUNC Lenoir employees show good community stewardship by participating in fundraising to support the American Cancer Society Relay for Life, Lenoir Hospital Foundation outreach, and Lenoir- Greene United Way. Employees worked together to give time, talent and personal donations of $86,321 during FY17 towards great causes in the community. Employees collected 7120 lbs of food to feed 13 local families during the holiday season and provided food to Friends of the Homeless and three church food banks. Employees kept the long tradition of playing Secret Santa to 25 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.Hospital Volunteer ProgramDuring FY 16, 245 volunteers including youth volunteers provided 36,764 volunteer hours in a variety of hospital settings enriching the patient experience and performing the work of 17.5 unpaid FTEs. The community donations for Lights of Love Holiday tree lighting fund a number of hospital programs and projects each year. Pet TherapyIn July 2017, UNC Lenoir initiated safe and therapeutic dog visits to the patients on approved patient care units. Research indicates that pet therapy helps to reduce and manage patient's anxiety by focusing patient's attention on the dog, stimulates positive feelings in patients, and offers a means of relaxation and social interaction. Our Pet Therapy volunteer, and his dogs Micki and Casey, had 389 interactions with visitors and family members and 49 patient visits from July to December 2017.Physician RecruitmentFive new providers joined the community in 2017. Dr. Shaniqua McGraw, Family Medicine Physician joined UNC Lenoir Family Medicine. Dr. Josh Coltrane joined Kinston Pediatrics. In addition, Dr. Kushatha West-Quire, MD, ObGYN, Elizabeth Coats, Certified Nurse Midwife, and Dr. Kathy Anne Charles, MD, Family Physician joined Kinston Community Health Center. STEM OutreachUNC Lenoir partnered with Lenoir County Public Schools in a STEM partnership to obtain a technology grant through LCPS, for app innovation. Additionally, UNC Lenoir provided support for STEMEAST with sponsorship and in-kind time to the region's leadership team at STEMEAST. Kinston- Lenoir County Parks and Rec/ Health and Science MuseumDonated planning, videos, and retired equipment for a radiology and health career exhibit at the museum. Videos feature high technology health careers in radiology and laboratory to spark youth interest in health careers.Health LibraryA comprehensive 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.Rosalind McDonald Nursing SeminarThe annual community nursing educational event was provided. Area nurses were invited to the free continuing education event for CEUs and showcased a national nursing speaker in honor of a retired nursing leader at Hospital.Healthy Community Hero AwardCommunity health heroes are nominated via an online process and recognized for impacting community health in Lenoir County. There were three awardees in 2017 highlighting a number of impressive individuals and strong work in our area to impact lives and health.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$117,623,138	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	Yes (1)	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	125	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1144	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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	15	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	MICHELLE MITTEN CPA FINANCE DIR	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2525227927	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 (27 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
RAY COLLIER JR
CHAIRPERSON	2.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
MARY M CAULEY EDD
VICE CHAIR	2.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
ARMISTEAD MAUCK
SECRETARY	2.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
CARLTON YOUNGER JR
TREASURER	2.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
DEXTER FLOYD
ASSISTANT TREASURER	2.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
MICHEL HADDAD MD
BOARD MEMBER	2.00	1.00	Yes (X)		$0	$0	$0
WILLIAM S HARVEY III DDS
BOARD MEMBER	2.00	1.00	Yes (X)		$0	$0	$0
CRAIG HILL
BOARD MEMBER	2.00	1.00	Yes (X)		$0	$0	$0
SHIRLEY DOVE EDD
BOARD MEMBER	2.00	1.00	Yes (X)		$0	$0	$0
CLIFTON HARRISON
BOARD MEMBER	2.00	1.00	Yes (X)		$0	$0	$0
JOHN MCPHAUL
BOARD MEMBER	2.00	1.00	Yes (X)		$0	$0	$0
JOHN HERLONG MD
BOARD MEMBER	2.00	1.00	Yes (X)		$6,250	$0	$0
FELICIA SOLOMON
BOARD MEMBER	2.00	1.00	Yes (X)		$0	$0	$0
MICHAEL WHITFIELD CPA
BOARD MEMBER	2.00	1.00	Yes (X)		$0	$0	$0
DAPHNE POLLOCK
BOARD MEMBER	2.00	1.00	Yes (X)		$0	$0	$0
LADDIE M CRISP JR MD
BOARD MEMBER	2.00	1.00	Yes (X)		$0	$0	$0
GARY BLACK
CEO	40.00	1.00	Yes (X)	Yes (X)	$219,628	$0	$14,466
SARAH MAYO
CFO	40.00			Yes (X)	$332,434	$0	$48,177
LAUREL MOLLOY
CNO	40.00			Yes (X)	$204,644	$0	$36,455
KARL VANDERSTOUW
CIO	40.00			Yes (X)	$205,107	$0	$44,972
JIM DOBBINS
VP - HUMAN RESOUCES	40.00			Yes (X)	$224,248	$0	$35,637
DEBBIE LANIER
ASSISTANT SECRETARY	40.00			Yes (X)	$64,670	$0	$19,203
SCOTT STEGBAUER MD
ORTHOPEDIC SURGEON	40.00				$522,345	$0	$28,315	Yes (X)
ROBERT GALLAHER
PULMONOLOGIST	40.00				$638,798	$0	$23,736	Yes (X)
RALPH L COX MD
UROLOGIST	40.00				$502,891	$0	$28,415	Yes (X)
EDGAR CHARLES MOORE JR MD
SURGEON	40.00				$385,688	$0	$11,584	Yes (X)
JOEL ROSE
SURGEON	40.00				$432,868	$0	$28,115	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,739,571	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$319,075	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	50	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	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 LLC
2100 Stantonsburg Road	GREENVILLE	NC	27835	HOSPITALIST SERVICES	$3,218,866
SODEXO INC & AFFILIATES
PO BOX 536922	ATLANTA	GA	30353	Dietary and Engineering Services	$906,687
SLEEP SERVICES OF AMERICA
PO BOX 198320	ATLANTA	GA	30384	Sleep Diagnostics Services	$507,850
CA LEWIS
2825 S CHARLES BLVD	GREENVILLE	NC	27858	Construction Contractor	$505,303
UNC HOSPITALS
211 FRIDAY CENTER DR	CHAPEL HILL	NC	27517	HOSPITAL MANAGEMENT	$483,140

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	23	CntrctRcvdGreaterThan100KCnt
Related Organizations	$318,625	RelatedOrganizationsAmt
All Other Contributions	$77,911	AllOtherContributionsAmt
Total Contributions	$396,536	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICES	621990	$126,381,216	$125,747,975	$633,241
MEANINGFUL USE REVENUE	900099	$487,451	$487,451
AUXILLARY SERVICE REVENUE	621990	$374,020	$368,450	$5,570
WELLNESS CENTER REVEUNE	713940	$159,799	$159,799
LAB REVENUE	541380	$44,139	$8,828	$35,311

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$21,384	TotalRevenueColumnAmt
Related Or Exempt Func Income	$12,422	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$8,962	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$127,468,009	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,092,582	TotalRevenueColumnAmt
Unrelated Business Revenue	$3,538	UnrelatedBusinessRevenueAmt
Exclusion	$3,089,044	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Personal	$752,759	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	$752,759	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$752,759	TotalRevenueColumnAmt
Related Or Exempt Func Income	$752,759	RelatedOrExemptFuncIncomeAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$358,884	SecuritiesAmt
Other	$171,882	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$358,884	SecuritiesAmt
Other	-$171,882	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$530,766	TotalRevenueColumnAmt
Exclusion	-$530,766	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$1,352,160	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$649,945	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$702,215	TotalRevenueColumnAmt
Related Or Exempt Func Income	$702,215	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
DIETARY AND CAFETERIA	900099	$942,431	$942,431
VENDING	900099	$44,564	$44,564

Field	Value	IRS element (for citing)
Other Revenue Total	$986,995	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$132,868,330	TotalRevenueColumnAmt
Related Or Exempt Func Income	$128,239,899	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$686,622	UnrelatedBusinessRevenueAmt
Exclusion	$3,545,273	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$45,974	TotalAmt
Program Services	$45,974	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$139,466	TotalAmt
Program Services	$139,466	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,227,383	TotalAmt
Program Services	$138,875	ProgramServicesAmt
Management And General	$1,056,271	ManagementAndGeneralAmt
Fundraising	$32,237	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$273,619	TotalAmt
Program Services	$273,619	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$48,584,597	TotalAmt
Program Services	$40,039,488	ProgramServicesAmt
Management And General	$8,545,109	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,697,785	TotalAmt
Program Services	$1,371,228	ProgramServicesAmt
Management And General	$325,464	ManagementAndGeneralAmt
Fundraising	$1,093	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$7,183,737	TotalAmt
Program Services	$5,801,995	ProgramServicesAmt
Management And General	$1,377,118	ManagementAndGeneralAmt
Fundraising	$4,624	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,518,819	TotalAmt
Program Services	$2,841,999	ProgramServicesAmt
Management And General	$674,555	ManagementAndGeneralAmt
Fundraising	$2,265	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$661,381	TotalAmt
Management And General	$661,381	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$408,259	TotalAmt
Management And General	$408,259	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$95,403	TotalAmt
Management And General	$95,403	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$248,980	TotalAmt
Management And General	$248,980	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$13,537,675	TotalAmt
Program Services	$10,827,147	ProgramServicesAmt
Management And General	$2,710,528	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$410,531	TotalAmt
Program Services	$42,766	ProgramServicesAmt
Management And General	$367,765	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,913,925	TotalAmt
Program Services	$3,357,478	ProgramServicesAmt
Management And General	$3,556,447	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,941,787	TotalAmt
Program Services	$1,941,787	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,448,488	TotalAmt
Program Services	$2,370,366	ProgramServicesAmt
Management And General	$78,122	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$107,342	TotalAmt
Program Services	$63,698	ProgramServicesAmt
Management And General	$43,644	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$82,198	TotalAmt
Program Services	$55,441	ProgramServicesAmt
Management And General	$26,757	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$128,706	TotalAmt
Management And General	$128,706	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$6,272,894	TotalAmt
Program Services	$6,272,894	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,222,544	TotalAmt
Program Services	$1,222,544	ProgramServicesAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
BAD DEBT EXPENSE	$26,771,482	$26,771,482
MEDICAL SUPPLIES	$13,736,310	$13,716,957	$19,353
RECRUITMENT	$327,934	$327,934

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$137,987,219	TotalAmt
Program Services	$117,623,138	ProgramServicesAmt
Management And General	$20,323,862	ManagementAndGeneralAmt
Fundraising	$40,219	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$6,281,364	BOYAmt
EOY	$3,258,591	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$16,031,163	BOYAmt
EOY	$15,870,152	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$10,159,238	BOYAmt
EOY	$8,761,163	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$287,934	BOYAmt
EOY	$95,978	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,671,732	BOYAmt
EOY	$2,589,585	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,170,193	BOYAmt
EOY	$2,384,538	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$153,550,933	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$99,480,679	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$55,274,931	BOYAmt
EOY	$54,070,254	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$97,518,115	BOYAmt
EOY	$100,587,535	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,476,325	BOYAmt
EOY	$1,623,766	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$191,870,995	BOYAmt
EOY	$189,241,562	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$11,640,062	BOYAmt
EOY	$14,733,355	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$6,213,899	BOYAmt
EOY	$4,987,861	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$17,000,000	BOYAmt
EOY	$16,460,000	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$4,000,000	BOYAmt
EOY	$3,500,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,759,940	BOYAmt
EOY	$2,190,314	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$41,613,901	BOYAmt
EOY	$41,871,530	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$116,017,103	BOYAmt
EOY	$113,259,778	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$34,239,991	BOYAmt
EOY	$34,110,254	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$150,257,094	BOYAmt
EOY	$147,370,032	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$191,870,995	BOYAmt
EOY	$189,241,562	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$5,118,889	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$2,231,827	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	$8,788	OtherActivitiesAmt
Total Lobbying Expenditures	$8,788	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, 16.11% OF OUR ANNUAL DUES OF $54,551 CAN BE ALLOCATED TO LOBBYING EXPENSE, WHICH IS APPROXIMATELY $8,788.	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	$63,345,680	OtherCostOrOtherBasisAmt
Depreciation	$31,014,216	DepreciationAmt
Book Value	$32,331,464	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$80,376,551	OtherCostOrOtherBasisAmt
Depreciation	$63,599,041	DepreciationAmt
Book Value	$16,777,510	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,403,296	OtherCostOrOtherBasisAmt
Depreciation	$4,867,422	DepreciationAmt
Book Value	$4,535,874	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$54,070,254	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS	Desc
Amt	$2,190,314	Amt

Field	Value	IRS element (for citing)
Total Liability	$2,190,314	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$108,978,620	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$2,231,827	NetUnrealizedGainsInvstAmt
Other Revenue	$649,945	OtherRevenueAmt
Revenue Not Reported	$2,881,772	RevenueNotReportedAmt
Revenue Subtotal	$106,096,848	RevenueSubtotalAmt
Other Revenues Not Included	$26,771,482	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$26,771,482	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$132,868,330	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$111,865,682	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$649,945	OtherExpensesIncludedAmt
Expenses Not Reported	$649,945	ExpensesNotReportedAmt
Expenses Subtotal	$111,215,737	ExpensesSubtotalAmt
Other Expenses Not Included	$26,771,482	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$26,771,482	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$137,987,219	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 September 30, 2017.
Part XI, Line 2d - Other Adjustments:	COGS 649,945.
Part XI, Line 4b - Other Adjustments:	BAD DEBT INCOME 26,771,482.
Part XII, Line 2d - Other Adjustments:	COGS 649,945.
Part XII, Line 4b - Other Adjustments:	BAD DEBT EXPENSE 26,771,482.

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	$2,116,875	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$171,645	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,945,230	NetCommunityBenefitExpnsAmt
Total Expense	0.01750	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,891,792	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,314,465	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,577,327	NetCommunityBenefitExpnsAmt
Total Expense	0.02320	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,008,667	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,486,110	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,522,557	NetCommunityBenefitExpnsAmt
Total Expense	0.04070	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$978,385	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$262,934	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$715,451	NetCommunityBenefitExpnsAmt
Total Expense	0.00640	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$855,052	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$855,052	NetCommunityBenefitExpnsAmt
Total Expense	0.00770	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,954,060	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,900,437	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$53,623	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,247	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,247	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$215,704	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$215,704	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,006,448	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,163,371	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,843,077	NetCommunityBenefitExpnsAmt
Total Expense	0.01650	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,015,115	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,649,481	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,365,634	NetCommunityBenefitExpnsAmt
Total Expense	0.05720	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$751	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$751	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$53,899	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$53,899	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	374	PersonsServedCnt
Total Community Benefit Expns	$447,771	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$447,771	NetCommunityBenefitExpnsAmt
Total Expense	0.00400	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	374	PersonsServedCnt
Total Community Benefit Expns	$502,421	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$502,421	NetCommunityBenefitExpnsAmt
Total Expense	0.00450	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$27,230,037	BadDebtExpenseAmt
Bad Debt Expense Attributable	$2,325,203	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$40,463,511	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$44,350,497	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$3,886,986	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	DISPROPORTIONARE 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	16	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	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	www.unclenoir.org	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
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
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 (5 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 16j: SIGNS ARE POSTED NOTIFYING PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE AND INCLUDED ON PATIENT'S STATEMENTS. BROCHURES ARE ALSO PROVIDED NOTIFYING OF PATIENTS AVAILABILITY.

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	PHYSICIAN OFF, ORTHO,, GEN. SURGERY, NEURO., UROLOGY, CARDIO PULM., & OBGYN	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (13 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 I, Line 7, Column (f):	The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 26,771,482.
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 FY16 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:	- THE HOSPITAL HAS POSTED SIGNS INFORMING PATIENTS OF PAYMENT OPTIONS INCLUDING THE FINANCIAL ASSISTANCE PROGRAM IN THE CASHIER'S OFFICE AND REGISTRATION AREAS OF THE HOSPITAL. - BROCHURES (PATIENT FINANCIAL HEALTH GUIDELINES) ARE PUBLISHED EXPLAINING "WHAT YOU NEED TO KNOW ABOUT PAYING FOR YOUR HEALTH SERVICES, AND INCLUDE INFORMATION REGARDING THE AVAILABILITY OF OUR FINANCIAL ASSISTANCE PROGRAM. THESE BROCHURES ARE INCLUDED AS PART OF THE INPATIENT ADMISSION INFORMATION PACKET, ARE ON DISPLAY IN WAITING ROOMS THROUGHOUT THE HOSPITAL AND ARE PROVIDED TO PATIENTS DURING INTERVIEWS SHOULD THEY HAVE ANY QUESTIONS. THE BROCHURE OFFERS ASSISTANCE THROUGH THE HOSPITAL INTERPRETER FOR SPANISH SPEAKING PATIENTS AND THE HOSPITAL HAS ACCESS TO TRANSLATION TELEPHONES FOR OTHER LANGUAGES.- THE FINANCIAL ASSISTANCE POLICY OVERVIEW IS ALSO INCLUDED ON THE HOSPITAL'S WEBSITE. - INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE IS INCLUDED ON PATIENT'S STATEMENT.- THE FINANCIAL COUNSELORS AND PATIENT ACCOUNT LIAISONS DISCUSS FINANCIAL ASSISTANCE AS AN OPTION FOR PATIENTS THAT CONTACT THE HOSPITAL WITH CONCERNS ABOUT PAYING THEIR ACCOUNT WITH PATIENTS AND THEIR FAMILY MEMBERS (WITH APPROPRIATE CONSENT). - THE HOSPITAL ALSO SCREENS SELF PAY PATIENTS FOR MEDICAID OR OTHER GOVERNMENT PROGRAMS.
Part VI, Line 4:	LENOIR MEMORIAL HOSPITAL IS LOCATED IN KINSTON, NORTH CAROLINA (POPULATION 21,677), WHICH IS THE COUNTY SEAT AND LARGEST TOWN IN LENOIR COUNTY (POPULATION 59,495); 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 NORTH CAROLINA DURING THE MOST RECENT DECADE (2000-2010), LOCAL TRENDS DID NOT FOLLOW SUIT. LENOIR COUNTY WAS ONE OF ONLY SEVEN COUNTIES STATEWIDE THAT LOST POPULATION (-.3%), VS. THE NC AVERAGE OF +18.5%. KINSTON'S DECLINE WAS EVEN STEEPER, AT -8.5%. 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 TABLE BELOW PROVIDES CURRENT ESTIMATES OF POPULATION, INCOME, AND POVERTY STATISTICS FROM THE US CENSUS BUREAU, INCLUDING THE AMERICAN COMMUNITY SURVEY. KINSTON LENOIR COUNTY NORTH CAROLINAPOPULATION CHANGE, 2000-2015 -9.7% -2.5% 24.8%PERCENT BELOW POVERTY LEVEL, 2014 32.8% 23.7% 17.2%MEDIAN HOUSEHOLD INCOME, 2014 $28,608 $35,687 $46,693CHILDREN IN POVERTY, 2014 55.1% 37.7% 25%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 PRIVILEDGES 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	OPERATIONAL SUPPORT
BOYS AND GIRLS CLUB OF THE COASTAL PLAIN
621 W FIRETOWNER	WINTERVILLE	NC	28590	560927694	501(C)(3)	$22,190	PROGRAM DEVELOPMENT/SUPPORT
NORTH CAROLINA HOSPITAL ASSOCIATION
2400 WESTON PARKWAY	CARY	NC	27513	560641290	501(C)(6)	$5,832	MRI GAP TECHNICAL ASSISTANCE FUND

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

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

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
SCHOLARSHIPS	31	$31,102	N/A	N/A
TUITION REIMBURSEMENT	47	$108,364	N/A	N/A

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
Independent Consultant	Yes (X)	IndependentConsultantInd
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 (10 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
GARY BLACK
CEO	$198,696	$0	$0	$0	$20,932	$0	$8,640	$0	$5,826	$0	$234,094	$0	$0	$0
SARAH MAYO
CFO	$269,129	$0	$18,620	$0	$44,685	$0	$37,206	$0	$10,971	$0	$380,611	$0	$0	$0
LAUREL MOLLOY
CNO	$184,785	$0	$12,920	$0	$6,939	$0	$24,560	$0	$11,895	$0	$241,099	$0	$0	$0
KARL VANDERSTOUW
CIO	$188,661	$0	$14,061	$0	$2,385	$0	$27,746	$0	$17,226	$0	$250,079	$0	$0	$0
JIM DOBBINS
VP - HUMAN RESOUCES	$181,931	$0	$13,491	$0	$28,826	$0	$26,028	$0	$9,609	$0	$259,885	$0	$0	$0
SCOTT STEGBAUER MD
ORTHOPEDIC SURGEON	$475,010	$0	$25,184	$0	$22,151	$0	$10,600	$0	$17,715	$0	$550,660	$0	$0	$0
ROBERT GALLAHER
PULMONOLOGIST	$369,254	$0	$237,545	$0	$31,999	$0	$8,220	$0	$15,516	$0	$662,534	$0	$0	$0
RALPH L COX MD
UROLOGIST	$350,002	$0	$152,081	$0	$808	$0	$10,600	$0	$17,815	$0	$531,306	$0	$0	$0
EDGAR CHARLES MOORE JR MD
SURGEON	$325,000	$0	$42,896	$0	$17,792	$0	$10,600	$0	$984	$0	$397,272	$0	$0	$0
JOEL ROSE
SURGEON	$325,000	$0	$67,990	$0	$39,878	$0	$10,300	$0	$17,815	$0	$460,983	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 1a	THE HOSPITAL PERMITS BOARD MEMBERS TO TRAVEL WITH THEIR SPOUSES TO EDUCATIONAL SEMINARS AND IS PART OF THE BOARD OF DIRECTOR TRAVEL POLICY.
Part I, Line 4b	THE FOLLOWING INDIVIDUALS RECEIVED AMOUNTS FROM A 457F PLAN: - SARAH MAYO, CFO $26,606 - JAMES CLINE DOBBINS, VP HUMAN RESOURCES $18,565 - LAUREL MOLLOY, CNO $17,027 - KARL VANDERSTOUW, VP ITS AND ENGINEERING $20,170

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	$5,540,000	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
Current Refunding	Yes (1)	CurrentRefundingInd
Advance Refunding	0	AdvanceRefundingInd
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
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
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

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Field	Value	IRS element (for citing)
Person	ALAN KIROLLOS MD	PersonNm
Relationship With Org	BOARD MEMBERS	RelationshipWithOrgTxt
Loan Purpose	PLEASE SEE SCHEDULE L, PART V	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$551,873	OriginalPrincipalAmt
Balance Due	$95,978	BalanceDueAmt
Default	0	DefaultInd
Board Or Committee Approval	Yes (1)	BoardOrCommitteeApprovalInd
Written Agreement	Yes (1)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$95,978	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
CARLA MONROE
FAMILY MEMBER OF A BOARD MEMBER	$36,166	PAYMENT FOR EMPLOYMENT AS HR SUPPORT.	0
FAYE HILL
FAMILY MEMBER OF A BOARD MEMBER	$58,839	PAYMENT FOR EMPLOYMENT AS RADIOLOGY TECH.	0
EDWARD EARL HILL
FAMILY MEMBER OF A BOARD MEMBER	$39,300	PAYMENT FOR EMPLOYMENT AS PLANT ENGINEER MECHANIC.	0
Michael Haddad MD
BOARD MEMBER	$139,314	PAYMENT FOR PROFESSIONAL MEDICAL SERVICES	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 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 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 CONTRACTS YEARLY WITH AN OUTSIDE, INDEPENDENT, PROFESSIONAL FIRM TO EXAMINE AND REVIEW THE WAGES AND BENEFITS OF THE CEO AND TOP MANAGEMENT OFFICALS OF THE HOSPITAL.
Form 990, Part VI, Section C, line 18	PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. ADDITIONALLY, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG.
Form 990, Part VI, Section C, line 19	THE HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part XII, Line 2c:	THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

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	$4,875,128	TotalIncomeAmt
End Of Year Assets	$1,632,092	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	Yes (1)	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	Yes (1)	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 (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt
LENOIR MEMORIAL HOSPITAL FOUNDATION
C	$269,019
LENOIR MEMORIAL HOSPITAL FOUNDATION
O	$109,586