LENOIR MEMORIAL HOSPITAL INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- LENOIR MEMORIAL HOSPITAL INC (EIN 56-6000674)
- Tax period
- 2014-10-01 to 2015-09-30
- Filed
- 2016-08-09
- IRS object ID
- 201632229349300103
- Schema version
- 2014v6.0
- 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 | 2016-08-09T06:44:56-05:00 | ReturnTs |
| Tax Period End | 2015-09-30 | 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 | 2014-10-01 | 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 | SARAH MAYO | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 2525227927 | PhoneNum |
| Signature | 2016-08-09 | 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 | 2014 | TaxYr |
| Build TS | 2016-12-15 16:53:06Z | BuildTS |
Form 990 IRS990
| 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 | $135,224,475 | 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 | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 1131 | TotalEmployeeCnt |
| Total Volunteers | 272 | TotalVolunteersCnt |
| Total Gross UBI | $419,822 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $71,411 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $239,903 | PYContributionsGrantsAmt |
| CY Contributions Grants | $502,317 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $122,741,162 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $128,235,538 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,886,195 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,018,999 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,961,999 | PYOtherRevenueAmt |
| CY Other Revenue | $2,786,598 | CYOtherRevenueAmt |
| PY Total Revenue | $128,829,259 | PYTotalRevenueAmt |
| CY Total Revenue | $134,543,452 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $172,287 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $207,400 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $56,443,186 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $55,916,071 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $65,716 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $74,616,082 | PYOtherExpensesAmt |
| CY Other Expenses | $75,204,640 | CYOtherExpensesAmt |
| PY Total Expenses | $131,231,555 | PYTotalExpensesAmt |
| CY Total Expenses | $131,328,111 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,402,296 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,215,341 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $180,872,103 | TotalAssetsBOYAmt |
| Total Assets EOY | $186,348,585 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $40,185,676 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $44,007,458 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $140,686,427 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $142,341,127 | 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 | $112,255,730 | ExpenseAmt |
| Grant | $207,400 | GrantAmt |
| Revenue | $129,673,464 | RevenueAmt |
| Desc | PLEASE SEE SCHEDULE O FOR A DESCRIPTION OF THE ORGANIZATION'S PROGRAM SERVICE ACCOMPLISHMENTS. | Desc |
| Total Program Service Expenses | $112,255,730 | 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 | 119 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1131 | 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 | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | 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 |
| 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 | 28501 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 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 |
|---|---|---|---|---|---|---|---|---|
| GARY E BLACK | ||||||||
| PRESIDENT / CEO | 50.00 | 1.00 | Yes (X) | Yes (X) | $484,721 | $0 | $20,085 | |
| RAY COLLIER JR | ||||||||
| CHAIRMAN OF BOARD | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| RALPH LEE COX MD | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $13,494 | $0 | $0 | |||
| LADDIE M CRISP JR MD | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $695 | $0 | $0 | |||
| DEXTER FLOYD | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| OSCAR GREENE III | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| CLIFTON HARRISON | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| CRAIG HILL | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| AGNUS HO | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| ADRIAN KING | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| ALAN KIROLLOS MD | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $21,267 | $0 | $0 | |||
| WILLIAM ANTHONY LAWSON JR | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| ARMISTEAD MAUCK | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| DAPHNE POLLOCK | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| CARLTON YOUNGER JR | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| SARAH MAYO | ||||||||
| CFO | 50.00 | 1.00 | Yes (X) | $297,499 | $0 | $39,881 | ||
| JAMES CLINE DOBBINS JR | ||||||||
| VP HUMAN RESOURCES | 50.00 | Yes (X) | $216,608 | $0 | $33,192 | |||
| ROSALIND MCDONALD | ||||||||
| CNO (THROUGH DEC. 14) | 50.00 | Yes (X) | $224,788 | $0 | $16,104 | |||
| KARL LEONARD VANDERSTOUW | ||||||||
| CIO, VP ITS/HIS | 50.00 | Yes (X) | $193,763 | $0 | $16,231 | |||
| LAURAL MOLLOY | ||||||||
| CNO (BEGINNING DEC. 14) | 50.00 | Yes (X) | $6,553 | $0 | $0 | |||
| SCOTT STEGBBAUER MD | ||||||||
| ORTHOPEDIC SURGEON | 40.00 | $506,476 | $0 | $23,663 | Yes (X) | |||
| WAYNE T JARMAN | ||||||||
| SURGEON | 40.00 | $398,378 | $0 | $22,262 | Yes (X) | |||
| JESSICA A WOODCOCK | ||||||||
| ORTHOPEDIC SURGEON | 40.00 | $386,080 | $0 | $12,280 | Yes (X) | |||
| CARLOS A MACIAS | ||||||||
| SURGEON | 40.00 | $359,751 | $0 | $23,627 | Yes (X) | |||
| ARTHUR HUNSINGER | ||||||||
| CRNA | 40.00 | $204,051 | $0 | $16,504 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,314,124 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $223,829 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 48 | 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 |
|---|---|---|---|---|---|
| SODEXO INC & AFFILIATES | |||||
| PO BOX 536922 | ATLANTA | GA | 303536922 | EVS AND DIETARY MANAGEMENT | $1,000,167 |
| UHS PHYSICIANS LLC DBA VIDANT MEDICAL GR | |||||
| 2100 STANTONSBURG ROAD | GREENVILLE | NC | 278358523 | IP HOSPITALIST SERVICES | $996,181 |
| DOCTOR CHARLES H CLASSEN JR PLLC | |||||
| 2007 STANTON ROAD | KINSTON | NC | 28504 | ORTHOPEDIC SERVICES | $409,625 |
| MOSAIC ANESTHESIA & PERIOPERATIVE SERVIC | |||||
| PO BOX 15007 | NEW BERN | NC | 285615007 | ANESTHESIA SERVICES | $379,219 |
| SLEEP SERVICES OF AMERICA INC | |||||
| PO BOX 198320 | ATLANTA | GA | 30384 | SLEEP STUDY SERVICES | $378,800 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 22 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $309,748 | RelatedOrganizationsAmt |
| All Other Contributions | $192,569 | AllOtherContributionsAmt |
| Noncash Contributions | $11,848 | NoncashContributionsAmt |
| Total Contributions | $502,317 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT SERVICES | 621990 | $126,394,149 | $126,394,149 | |
| EHR PAYMENTS | 900099 | $1,312,910 | $1,312,910 | |
| AUXILLARY SERVICE REVENUE | 621990 | $328,426 | $328,426 | |
| WELLNESS CENTER REVEUNE | 713940 | $153,247 | $153,247 | |
| LAB REVENUE | 541380 | $41,110 | $20,555 | $20,555 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,696 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $5,696 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $128,235,538 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,046,340 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $2,176 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,044,164 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Personal | $1,071,756 | 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 | $1,071,756 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,071,756 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $850,688 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $221,068 | UnrelatedBusinessRevenueAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,057,187 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $84,528 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,057,187 | SecuritiesAmt |
| Other | -$84,528 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $972,659 | TotalRevenueColumnAmt |
| Exclusion | $972,659 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $1,380,311 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $596,495 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $783,816 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $613,489 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $170,327 | UnrelatedBusinessRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| DIETARY DEPARTMENT | 900099 | $890,685 | $890,685 |
| VENDING | 900099 | $40,341 | $40,341 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $931,026 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $134,543,452 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $129,673,464 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $419,822 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,947,849 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $168,885 | TotalAmt |
| Program Services | $168,885 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,515 | TotalAmt |
| Program Services | $38,515 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,601,879 | TotalAmt |
| Program Services | $235,044 | ProgramServicesAmt |
| Management And General | $1,313,512 | ManagementAndGeneralAmt |
| Fundraising | $53,323 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,769,706 | TotalAmt |
| Program Services | $36,688,586 | ProgramServicesAmt |
| Management And General | $7,081,120 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,574,067 | TotalAmt |
| Program Services | $1,280,984 | ProgramServicesAmt |
| Management And General | $291,233 | ManagementAndGeneralAmt |
| Fundraising | $1,850 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,703,339 | TotalAmt |
| Program Services | $4,641,407 | ProgramServicesAmt |
| Management And General | $1,055,229 | ManagementAndGeneralAmt |
| Fundraising | $6,703 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,267,080 | TotalAmt |
| Program Services | $2,658,766 | ProgramServicesAmt |
| Management And General | $604,474 | ManagementAndGeneralAmt |
| Fundraising | $3,840 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $458,800 | TotalAmt |
| Management And General | $458,800 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $318,280 | TotalAmt |
| Management And General | $318,280 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,330 | TotalAmt |
| Management And General | $105,330 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,000 | TotalAmt |
| Management And General | $60,000 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,540,245 | TotalAmt |
| Program Services | $8,420,448 | ProgramServicesAmt |
| Management And General | $3,119,797 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $419,113 | TotalAmt |
| Program Services | $31,958 | ProgramServicesAmt |
| Management And General | $387,155 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,826,116 | TotalAmt |
| Program Services | $2,874,331 | ProgramServicesAmt |
| Management And General | $1,951,785 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,102,038 | TotalAmt |
| Program Services | $2,102,038 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,269,435 | TotalAmt |
| Program Services | $3,190,324 | ProgramServicesAmt |
| Management And General | $79,111 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $112,339 | TotalAmt |
| Program Services | $68,212 | ProgramServicesAmt |
| Management And General | $44,127 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,038 | TotalAmt |
| Program Services | $38,638 | ProgramServicesAmt |
| Management And General | $35,400 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,212 | TotalAmt |
| Management And General | $18,212 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,072,888 | TotalAmt |
| Program Services | $7,072,888 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,159 | TotalAmt |
| Program Services | $63,159 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT EXPENSE | $26,519,683 | $26,519,683 | |
| MEDICAL SUPPLIES | $15,761,402 | $15,761,402 | |
| GAP ASSESSMENT TAX | $1,823,481 | $1,823,481 | |
| BOND FEES | $235,619 | $235,619 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $424,462 | TotalAmt |
| Program Services | $400,462 | ProgramServicesAmt |
| Management And General | $24,000 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $131,328,111 | TotalAmt |
| Program Services | $112,255,730 | ProgramServicesAmt |
| Management And General | $19,006,665 | ManagementAndGeneralAmt |
| Fundraising | $65,716 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,816,469 | BOYAmt |
| EOY | $5,061,709 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,867,002 | BOYAmt |
| EOY | $20,706,830 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,438,819 | BOYAmt |
| EOY | $9,968,515 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $179,832 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,127,956 | BOYAmt |
| EOY | $3,052,549 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,737,270 | BOYAmt |
| EOY | $1,601,337 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $146,052,353 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $92,306,547 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,180,422 | BOYAmt |
| EOY | $53,745,806 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,851,087 | BOYAmt |
| EOY | $90,288,333 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,853,078 | BOYAmt |
| EOY | $1,743,674 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $180,872,103 | BOYAmt |
| EOY | $186,348,585 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,383,211 | BOYAmt |
| EOY | $11,535,155 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,675,558 | BOYAmt |
| EOY | $7,016,268 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,010,000 | BOYAmt |
| EOY | $17,515,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,000,000 | BOYAmt |
| EOY | $4,500,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,116,907 | BOYAmt |
| EOY | $3,441,035 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,185,676 | BOYAmt |
| EOY | $44,007,458 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $107,658,664 | BOYAmt |
| EOY | $110,701,356 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,027,763 | BOYAmt |
| EOY | $31,639,771 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $140,686,427 | BOYAmt |
| EOY | $142,341,127 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $180,872,103 | BOYAmt |
| EOY | $186,348,585 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $3,215,341 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$1,560,642 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $1 | 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 | $9,499 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $9,499 | 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, 27.14% OF THE HOSPITAL'S ANNUAL DUES OF $35,000 CAN BE ALLOCATED TO LOBBYING EXPENSE, WHICH IS APPROXIMATELY $9,499. | 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 | $61,449,574 | OtherCostOrOtherBasisAmt |
| Depreciation | $39,021,173 | DepreciationAmt |
| Book Value | $22,428,401 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,112,508 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,151,534 | DepreciationAmt |
| Book Value | $2,960,974 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $75,799,977 | OtherCostOrOtherBasisAmt |
| Depreciation | $48,133,840 | DepreciationAmt |
| Book Value | $27,666,137 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $264,888 | OtherCostOrOtherBasisAmt |
| Book Value | $264,888 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $53,745,806 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS | $3,350,000 |
| CAPITAL LEASE OBLIGATION | $91,035 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,441,035 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL AND FOUNDATION ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. THE HOSPITAL AND THE FOUNDATION HAVE DETERMINED THAT THEY DO NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2015. THE HOSPITAL AND FOUNDATION BELIEVE THEY ARE NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO SEPTEMBER 30, 2012. | ExplanationTxt |
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 | $1,570,167 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $236,391 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,333,776 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01270 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,869,934 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,991,043 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,878,891 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01790 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,440,101 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,227,434 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,212,667 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03060 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $822,148 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $237,902 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $584,246 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00560 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $583,361 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $583,361 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00560 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,154,329 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,732,432 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,421,897 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01360 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,822 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,822 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $263,240 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $263,240 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00250 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,827,900 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,970,334 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,857,566 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02730 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,268,001 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $24,197,768 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,070,233 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05790 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $621 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $621 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $54,447 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $54,447 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $478,452 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $478,452 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00460 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $533,520 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $533,520 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00510 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $26,519,683 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,973,714 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $40,218,203 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $42,318,720 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$2,100,517 | 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 |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 14 | 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.LENOIRMEMORIALHOSPITAL.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 | 14 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.LENOIRMEMORIALHOSPITAL.ORG | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| 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.LENOIRMEMORIALHOSPITAL.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.LENOIRMEMORIALHOSPITAL.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.LENOIRMEMORIALHOSPITAL.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 |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| LENOIR MEMORIAL HOSPITAL, INC. | PART V, SECTION B, LINE 5: THE 2014 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS WAS LED BY REPRESENTATIVES OF THE LEADERSHIP TEAM AT THE LENOIR COUNTY HEALTH DEPARTMENT AND BY THE DIRECTOR OF COMMUNITY PROGRAMMING AND DEVELOPMENT AT OUR HOSPITAL. MEMBERS OF THESE TEAMS WORK IN THE AREA OF COMMUNITY HEALTH IN THEIR EMPLOYED POSITIONS AND ATTEND EDUCATIONAL SESSIONS ANNUALLY IN THE AREA OF COMMUNITY HEALTH ASSESSMENT PROCESS. ADDITIONALLY, THE LENOIR COUNTY ALLIANCE FOR A HEALTHY COMMUNITY TASK FORCE, REPRESENTING OVER 30 LENOIR COUNTY COMMUNITY ORGANIZATION AND AGENCY LEADERS FROM DIVERSE COMMUNITY PERSPECTIVE AND WERE COMMITTED TO THE ASSESSMENT PROCESS AS THEY DISTRIBUTED SURVEYS AND STAYED INFORMED ON THE TIMELINE AT MONTHLY MEETINGS. THEY OFFERED VALUABLE INPUT AND RECOMMENDATIONS IN THE PRIORITIZATION PROCESS ONCE SURVEY RESULTS WERE RECEIVED AND REVIEWED. THIS PROCESS ENSURED THAT INPUT FROM PERSONS WITH BROAD KNOWLEDGE OF THE COMMUNITY WERE INVOLVED. |
| 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 HOSPITAL IS CURRENTLY NOT 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 2011 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 16I: SIGNS ARE POSTED NOTIFYING PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE AND INCLUDED ON PATIENT'S STATEMENTS. BROCHURES ARE ALSO PROVIDED NOTIFYING OF PATIENTS FINANCIAL ASSISTANCE AVAILABILITY. |
| LENOIR MEMORIAL HOSPITAL, INC. | PART V, SECTION B, LINE 22D: THE AMOUNT BILLED IS DETERMINED BY MULTIPLYING THE ORGANIZATION'S GROSS CHARGES FOR EMERGENCY OR MEDICALLY NECESSARY CARE BY THE REVENUE RECEIVED IN ORDER TO DETERMINE AN AMOUNTS GENERALLY BILLED ("AGB") PERCENTAGE. A FAP-ELIGIBLE PATIENT WILL NOT BE CHARGED MORE THAN THE AGB FOR EMERGENCY OR MEDICALLY NECESSARY CARE. |
| PART V, SECTION B, LINE 16 | FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY |
| LENOIR MEMORIAL HOSPITAL, INC. PART V, SECTION B, LINE 16A WEBSITE: | WWW.LENOIRMEMORIALHOSPITAL.ORG |
| LENOIR MEMORIAL HOSPITAL, INC. PART V, SECTION B, LINE 16B WEBSITE: | WWW.LENOIRMEMORIALHOSPITAL.ORG |
| LENOIR MEMORIAL HOSPITAL, INC. PART V, SECTION B, LINE 16C WEBSITE: | WWW.LENOIRMEMORIALHOSPITAL.ORG |
| 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 | LENOIR PHYSICIANS NETWORK LLC | 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 | ORTHOPEDIC PHYSICIAN'S OFFICE GENERAL SURGICAL PHYSICIAN'S OFFICE | 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). 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 BEHAVIORAL HEALTH, ENT, NEONATOLOGY, NEPHROLOGY, PEDIATRICS, AND UROLOGY. |
| 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 $ 26,519,683. |
| 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 4: | BAD DEBT EXPENSE FOR FY15 IS PRESENTED AS CHARGED NOT COST.BAD DEBT ACCOUNTS WERE GEOCODED TO DETERMINE THE CENSUS TRACT WHICH CORRESPONDED TO THE ADDRESS ON FILE FOR EACH BAD DEBT ACCOUNT. THE AVERAGE PERCENTAGE OF HOUSEHOLDS FOR EACH CENSUS TRACT WHICH MET THE LMH CHARITY CARE GUILDELINES WAS THEN APPLIED TO DETERMINE AN ESTIMATED PERCENTAGE OF BAD DEBT WHICH COULD BE ATTRIBUTED TO PATIENTS ELIGIBLE UNDER THE LMH CHARITY CARE POLICY. |
| PART III, LINE 8: | REGARDLESS OF A PATIENTS ABILITY TO PAY, ALL CARE OFFERED BY LENOIR MEMORIAL HOSPITAL IS AVAILABLE . THE HOSPITALS MISSION IS TO ENSURE EXCEPTIONAL HEALTHCARE FOR THE PEOPLE WE SERVE. THIS MISSION IS FULFILED EVEN WHEN WE DON'T MAKE A PROFIT FROM OUR CORE HOSPITAL OPERATIONS., THEREFORE WE FEEL THAT ALL OR MOST OF THE FUNDS LISTED ABOVE SHOULD BE CONSIDERED COMMUNITY BENEFIT. 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 ARE TRAINED TO INFORM PATIENTS OF FINANCIAL ASSISTANCE AS AN OPTION SHOULD THEY HAVE DIFFICULTY PAYING THEIR ACCOUNTS. 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 ALSO PARTNERS WITH LENOIR, GREENE, AND JONES COUNTIES IN HEALTHY CAROLINIANS, A LOCAL TASK FORCE. 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 HOSPITAL HAS POSTED SIGNS INFORMING PATIENTS OF PAYMENT OPTIONS INCLUDING THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. BROCHURES (PATIENT FINANCIAL HEALTH GUIDELINES) ARE PUBLISHED EXPLAINING "WHAT YOU NEED TO KNOW ABOUT PAYING FOR YOUR HEALTH SERVICES". THESE GUIDES ARE INCLUDED AS PART OF THE INPATIENT ADMISSION PACKAGE, ARE ON DISPLAY IN WAITING ROOMS, AND ARE PROVIDED TO PATIENTS DURING INTERVIEWS SHOULD THEY HAVE QUESTIONS. 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. THE FINANCIAL ASSISTANCE POLICY OVERVIEW IS POSTED ON THE HOSPITAL'S WEBSITE. INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE IS INCLUDED ON THE PATIENT'S STATEMENT. FINANCIAL COUNSELORS DISCUSS FINANCIAL ASSISTANCE AS AN OPTION FOR PATIENTS THAT CONTACT THE HOSPITAL WITH CONCERNS ABOUT PAYING THEIR ACCOUNT OR, WITH PROPER CONSENT, A FAMILY MEMBER. 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 21,625), 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 FIFTEEN YEARS (2000-2015), LOCAL TRENDS DID NOT FOLLOW SUIT. LENOIR COUNTY WAS ONE OF ONLY SEVEN COUNTIES STATEWIDE THAT LOST POPULATION (-2.5%), VS. THE NC AVERAGE OF +24.8%. KINSTON'S DECLINE WAS EVEN STEEPER, AT -9.7%. 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 SELECTED 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, 2010 32.8% 23.7% 17.2%MEDIAN HOUSEHOLD INCOME, 2010 $28,608 $35,687 $46,693CHILDREN IN POVERTY, 2010 55.1% 37.7% 25.0%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 (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|---|
| NCEAST ALLIANCE | |||||||||
| PO BOX 1346 | CARY | NC | 27512 | 562032585 | 501(C)(3) | $5,600 | FMV | N/A | OPERATIONAL SUPPORT |
| KINSTON COMMUNITY HEALTH CENTER | |||||||||
| PO BOX 2278 | KINSTON | NC | 28502 | 561833275 | 501(C)(3) | $54,000 | FMV | N/A | SUPPORT COMMUNITY HEALTH |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|
| SCHOLARSHIPS | 8 | $6,500 | N/A | N/A |
| TUITION REIMBURSEMENT | 30 | $32,015 | 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 |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| 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 E BLACK | ||||||||||||||
| PRESIDENT / CEO | $356,283 | $0 | $26,454 | $0 | $101,984 | $0 | $10,400 | $0 | $9,685 | $0 | $504,806 | $0 | $71,257 | $0 |
| SARAH MAYO | ||||||||||||||
| CFO | $245,003 | $0 | $18,191 | $0 | $34,305 | $0 | $31,352 | $0 | $8,529 | $0 | $337,380 | $0 | $19,439 | $0 |
| JAMES CLINE DOBBINS JR | ||||||||||||||
| VP HUMAN RESOURCES | $177,507 | $0 | $13,180 | $0 | $25,921 | $0 | $25,147 | $0 | $8,045 | $0 | $249,800 | $0 | $17,610 | $0 |
| ROSALIND MCDONALD | ||||||||||||||
| CNO (THROUGH DEC. 14) | $175,011 | $0 | $12,995 | $0 | $36,782 | $0 | $7,857 | $0 | $8,247 | $0 | $240,892 | $0 | $17,501 | $0 |
| KARL LEONARD VANDERSTOUW | ||||||||||||||
| CIO, VP ITS/HIS | $164,776 | $0 | $24,788 | $0 | $4,199 | $0 | $7,583 | $0 | $8,648 | $0 | $209,994 | $0 | $0 | $0 |
| SCOTT STEGBBAUER MD | ||||||||||||||
| ORTHOPEDIC SURGEON | $475,010 | $0 | $0 | $0 | $31,466 | $0 | $10,400 | $0 | $13,263 | $0 | $530,139 | $0 | $0 | $0 |
| WAYNE T JARMAN | ||||||||||||||
| SURGEON | $325,000 | $0 | $36,865 | $0 | $36,513 | $0 | $10,400 | $0 | $11,862 | $0 | $420,640 | $0 | $0 | $0 |
| JESSICA A WOODCOCK | ||||||||||||||
| ORTHOPEDIC SURGEON | $360,758 | $0 | $25,000 | $0 | $322 | $0 | $10,400 | $0 | $1,880 | $0 | $398,360 | $0 | $0 | $0 |
| CARLOS A MACIAS | ||||||||||||||
| SURGEON | $336,307 | $0 | $23,444 | $0 | $0 | $0 | $10,400 | $0 | $13,227 | $0 | $383,378 | $0 | $0 | $0 |
| ARTHUR HUNSINGER | ||||||||||||||
| CRNA | $147,703 | $0 | $0 | $0 | $56,348 | $0 | $6,406 | $0 | $10,098 | $0 | $220,555 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | THE ORGANIZATION REIMBURSES BOARD MEMBERS FOR COSTS OF TRAVELING TO HOSPITAL EVENTS. THE ORGANIZATION SUBMITS THE APPROPRIATE TAX FORMS WHEN REQUIRED. |
| PART I, LINE 4B | THE FOLLOWING INDIVIDUALS RECEIVED AMOUNTS FROM A 457F PLAN: SARAH MAYO, CFO, $21,132; JAMES CLINE DOBBINS, VP HUMAN RESOURCES, $17,332 |
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 | $4,485,000 | RetiredAmt |
| Bond Defeased | $22,021,552 | BondDefeasedAmt |
| 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 | Yes (1) | 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 | 0.00200 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.00200 | 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 | PersonNm |
| Relationship With Org | BOARD MEMBER | RelationshipWithOrgTxt |
| Loan Purpose | PLEASE SEE SCHEDULE L, PART V | LoanPurposeTxt |
| Loan From Organization | Yes (X) | LoanFromOrganizationInd |
| Original Principal | $226,788 | OriginalPrincipalAmt |
| Balance Due | $179,832 | BalanceDueAmt |
| Default | 0 | DefaultInd |
| Board Or Committee Approval | 0 | BoardOrCommitteeApprovalInd |
| Written Agreement | Yes (1) | WrittenAgreementInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $179,832 | TotalBalanceDueAmt |
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| CARLA MONROE | |||
| FAMILY RELATIONSHIP WITH BOARD MEMBER, CRAIG HILL | $31,766 | PAYMENT FOR EMPLOYMENT AS HR SUPPORT. | 0 |
| FAYE HILL | |||
| FAMILY RELATIONSHIP WITH BOARD MEMBER, CRAIG HILL | $50,138 | PAYMENT FOR EMPLOYMENT AS RADIOLOGY TECH. | 0 |
| EDWARD EARL HILL | |||
| FAMILY RELATIONSHIP WITH BOARD MEMBER, CRAIG HILL | $36,049 | PAYMENT FOR EMPLOYMENT AS PLANT ENGINEER MECHANIC. | 0 |
| CHERRY OIL | |||
| BOARD MEMBER, ARMISTEAD MAUCK, OWNS MORE THAN 35% OF CHERRY OIL | $101,570 | ARMISTEAD MAUCK OWNS MORE THAN 35% IN CHERRY OIL. THE HOSPITAL USES CHERRY OIL AS A VENDOR FOR FUEL OIL. CHERRY OIL WAS THE HOSPITAL'S VENDOR FOR FUEL OIL FOR MANY YEARS PRIOR TO MR. MAUCK'S SELECTION AS A BOARD MEMBER. | 0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART II, SECTION (C) | FormAndLineReferenceDesc |
| Explanation | RECEIVED PHYSICIAN GUARANTEE LOAN TO AID IN RECRUITMENT OF ADDITIONAL CARDIOLOGIST FOR HIS 100% OWNED PRACTICE. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART III, LINE 4A | STROKE PREVENTION AND CARE LENOIR MEMORIAL HOSPITAL IMPLEMENTED THE SECOND YEAR PLAN FOR DEVELOPING A PRIMARY STROKE CENTER USING GRANT FUNDS FROM THE DUKE ENDOWMENT FOR A THREE YEAR PROJECT THAT INCLUDES TELESTROKE SERVICES WITH WAKE FOREST- BAPTIST HEALTH. A COMMUNITY PARAMEDIC COMPONENT HAS BEEN ADDED FOR STROKE POST DISCHARGE VISITS AT HOME TO THOSE MOST AT RISK FOR COMPLICATIONS. STROKE AWARENESS MESSAGING THIS YEAR INCLUDED BARBER SHOPS, COMMUNITY COUNCIL FOR THE ARTS, LENOIR COUNTY PUBLIC SCHOOLS, AND MARY'S KITCHEN. ECONOMIC DEVELOPMENT CASH DONATIONS INCLUDED SUPPORT FOR STEMEAST, THE PINK HILL ROSE FESTIVAL 5K, PRIDE OF KINSTON DOWNTOWN PARK CONCERT SERIES, AND THE MOTHER EARTH IRONCLAD HALF MARATHON. DONATIONS WERE ALSO MADE TO SUPPORT REGIONAL KINSTON/LENOIR COUNTY CHAMBER OF COMMERCE SIGNATURE EVENTS: FESTIVAL ON THE NEUSE AND THE LIVING WELL IN EASTERN NC SHOW. COMMUNITY DONATIONS CASH DONATIONS INCLUDE SUPPORT FOR THE COMMUNITY LAW ENFORCEMENT APPRECIATION BENEFIT, PROJECT GRADUATION SLHS, AMERICAN HEART ASSOCIATION HEART WALK AMERICAN RED CROSS SWIMMING LESSON EVENT, INTERCHURCH OUTREACH (ICOR), TEEN FEST, KINSTON COMMUNITY HEALTH CENTER ANNUAL HEALTH FAIR, AND BOYS AND GIRLS CLUB. KINSTON/LENOIR COUNTY FARMERS MARKET LENOIR MEMORIAL ASSISTED THE UNDERSERVED RESIDENTS OF THE COMMUNITY AND THOSE WHO HAVE DIABETES WITH ACCESS TO 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 COMMUNITY HEALTH NEEDS ASSESSMENT THE THREE YEAR CYCLE PROCESS (2014/15) IDENTIFIED THREE PRIORITY ISSUES FOR THE COMMUNITY: OBESITY, RX ABUSE/DRUG AND SUBSTANCE (LEGAL AND ILLEGAL DRUG ABUSE), AND PARENTING-RESPONSIBLE AND HEALTHY. THE 2014/15 CYCLE INCLUDES WRITTEN ACTION PLANS AND IMPLEMENTATION STRATEGIES INITIATED BY LENOIR MEMORIAL HOSPITAL AND THE LENOIR COUNTY HEALTH DEPARTMENT, INCLUDING OTHER COMMUNITY PARTNERS. THE FULL 2014 COMMUNITY HEALTH ASSESSMENT CAN BE FOUND AT WWW.LENOIRMEMORIAL.ORG. LIGHTEN UP LENOIR 2015 OVER 600 COMMUNITY MEMBERS PARTICIPATED IN A COMMUNITY WIDE WEIGHT LOSS CHALLENGE AS INDIVIDUALS AND TEAMS OF FOUR ACHIEVED A THOUSAND POUND WEIGHT LOSS FOR THE COMMUNITY. PRIZES AND RECOGNITION WERE INCLUDED. HEALTHY COMMUNITIES INSTITUTE THE 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 THROUGH A JOINT EFFORT OF LENOIR MEMORIAL AND THE LENOIR MEMORIAL FOUNDATION. PROJECT FIT AMERICA PROJECT FIT AMERICA WAS IMPLEMENTED AT THE SECOND LENOIR COUNTY SCHOOL ON NOVEMBER 19TH, 2015 IN MOSS HILL ELEMENTARY IN RURAL MOSS HILL. SUPPORT FOR THE PROJECT CAME THROUGH FUNDING FROM THE LENOIR MEMORIAL FOUNDATION. COMMUNITY COALITION ACTIVITIES LENOIR MEMORIAL 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, LENOIR MEMORIAL, 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. 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. 97% 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. SUPPORT GROUPS COORDINATED 13 HOSPITAL BASED GROUPS, ATTENDED BY 1276 PARTICIPANTS. FOUR COMMUNITY BLOOD PRESSURE MACHINES PROVIDED 36,090 SCREENING BLOOD PRESSURES AT SITES FOR BLOOD PRESSURE MACHINES AT VERNON PARK MALL, HOSPITAL, AND A MACHINE THAT TRAVELS TO VARIOUS COMMUNITY CHURCHES EACH MONTH. A FREE COMMUNITY BLOOD PRESSURE MANAGEMENT CLASS WAS OFFERED TO THE COMMUNITY TWICE MONTHLY. EMERGENCY PREPAREDNESS LENOIR MEMORIAL PARTICIPATES IN THE LOCAL EMERGENCY PLANNING COMMITTEE, AND AS A MEMBER OF THE LENOIR COUNTY TEAM IN THE EASTERN REGIONAL ADVISORY COUNCIL FOR 29 COUNTIES TO PLAN, COORDINATE, AND EXECUTE DISASTER READINESS AND DRILLS. LENOIR MEMORIAL 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. MINGES WELLNESS CENTER THE ON-SITE MEDICALLY BASED FITNESS CENTER FOR THE COMMUNITY HAS 75 PIECES OF STATIONARY EXERCISE EQUIPMENT WITH AN AVERAGE 25 GROUP EXERCISE CLASSES WEEKLY. WITH A MEMBERSHIP OF 2564 INDIVIDUAL MEMBERS, MONTHLY MEMBERSHIP RATES OF $20 PER MONTH ASSIST AN UNDERSERVED COMMUNITY TO INITIATE EXERCISE PLANS. OUR PROGRAM PARTNERED WITH HEALTHWAYS TO ROLL OUT SILVER SNEAKERS BENEFITS TO ELIGIBLE COMMUNITY MEMBERS IN 2014 AND SILVER & FIT BENEFITS IN 2015. SCREENING EVENTS PROVIDED EARLY DETECTION SCREENING EVENTS OF DISEASES/ DISORDERS/RISKS INCLUDING COLORECTAL, MAMMOGRAM, CHOLESTEROL, AND BLOOD PRESSURES. CANCER RESOURCE CENTER THE CANCER RESOURCE CENTER (CRC) IS A VISIBLE COLLABORATION BETWEEN LMH 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. 25 PATIENTS AND FAMILIES RECEIVED FORMAL SUPPORT THROUGH THE CENTER DURING FY15. DOZENS MORE INTERACTED WITH STAFF INFORMALLY. A STAFF OF TRAINED VOLUNTEERS ARE AVAILABLE TO ASSIST IN IDENTIFYING CANCER RESOURCES FROM 8-12 EACH WEEKDAY. LENOIR MEMORIAL COMMUNITY WALKING TRACK AVERAGES OVER 700 WALKERS PER MONTH. RESTRICTED OPENING FROM DAWN TO DUSK FOR SAFETY DILIGENCE IN 2015. CORPORATE HEALTH SERVICES SERVICES INCLUDED 62 CORPORATE CLIENTS, 204 WORKSITE WELLNESS VISITS WITH 1776 EMPLOYEE CONTACTS. FLU SHOTS, CPR TRAINING, AND TARGETED HEALTH EDUCATION FOR RISK FACTOR REDUCTION WAS PROVIDED. LIVING THE GOOD LIFE IN EASTERN NC SPONSOR FOR THE KINSTON/LENOIR COUNTY CHAMBER OF COMMERCE EVENT WHICH FOCUSED ON REGIONAL HEALTHY LIVING ISSUES. OVER 2000 PARTICIPANTS AT VERNON PARK MALL RECEIVED HEALTHY FOOD SAMPLES. HEART HEALTHY LENOIR COLLABORATION WITH UNC CENTER FOR POPULATION HEALTH AND HEALTH DISPARITIES FOR THE 5 YEAR NIH GRANT TO REDUCE STROKE AND HEART DISEASE IN LENOIR COUNTY. THE PROJECT, OVERSEEN BY RESEARCHERS AT UNC AND ECU, ASSISTED IN THE COORDINATION OF PROCESSES TO IMPLEMENT A BLOOD PRESSURE STUDY WITH 600 LOCAL PARTICIPANTS. THIS PROJECT ALSO INCLUDED SIX PHYSICIAN PRACTICES AND THE IMPLEMENTATION OF STANDARDIZED HYPERTENSION GUIDELINES, HOME BLOOD PRESSURE MONITORING AND TELEPHONE COACHING AS AN EVIDENCE-BASED APPROACH FOR BETTER HYPERTENSION MANAGEMENT. THE PROJECT PARTNERSHIP INCLUDED A LOCAL ADVISORY COMMITTEE ON WHICH SEVERAL HOSPITAL LEADERS FOCUSED ON HEALTHY LIFESTYLE AND GENETICS STUDY AREAS. DURING FY 15, AREA RESTAURANTS PARTICIPATED IN A HEALTHY FOOD CHOICES PROGRAM FOR DINING OUT WITH SEVERAL AREA RESTAURANTS. THE PROJECT CONCLUDED WITH A COMMUNITY INFORMATION AND DIALOGUE SESSION THAT INCLUDED MEDIA. |
| DIABETES WELLNESS PROGRAM | LOCATED IN THE MINNIE P. STACKHOUSE DIABETES CENTER, THE AADE ACCREDITED DIABETES WELLNESS PROGRAM PROVIDED FREE DIABETES SELF-MANAGEMENT EDUCATION AND FOLLOW UP MANAGEMENT TO 237 INDIVIDUALS LIVING WITH DIABETES. OUTREACH EDUCATION AND OFF-SITE SCREENINGS WERE PROVIDED EACH MONTH REACHING 393 COMMUNITY MEMBERS. ADDITIONALLY, A REGISTERED DIETITIAN/DIABETES EDUCATOR PROVIDED 155 MEDICAL NUTRITION COUNSELING SESSIONS DURING THIS YEAR. ADDITIONALLY, A THREE YEAR GRANT WAS RECEIVED TO KATE B. REYNOLDS THAT ALLOWED THE PROGRAM TO EXPAND THE DSMET PROGRAM INTO KINSTON COMMUNITY HEALTH CENTER. COMMUNITY HEALTH EDUCATION PROGRAMMING PROVIDED 2997 PARTICIPANTS ON AND OFF-SITE HEALTH AND WELLNESS PROGRAMMING. PROGRAMMING INCLUDED INFANT CPR, TOBACCO CESSATION, EXERCISE, NUTRITION AND OTHER HEALTH EDUCATION OFFERINGS. FOUR FEATURED PHYSICIAN-LED EDUCATIONAL PROGRAMS WERE OFFERED THIS YEAR. ADVANCED DIRECTIVES PROVIDED 36 COMMUNITY RESIDENTS WITH SUPPORT IN COMPLETING ADVANCED DIRECTIVES. FAMILY BIRTH CENTER COMMUNITY EDUCATION LAMAZE/SIBLING/EARLY PRENATAL CLASSES INCLUDED 60 ATTENDEES. PATIENT ADVISORY COMMITTEE DURING 2015, THE PATIENT ADVISORY COUNCIL MET SIX 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 FOR MEETINGS INCLUDED DISCHARGE FOLDER/PATIENT SERVICES GUIDE, FOUNDATION, PARTNERSHIP UPDATE, PATIENT EXPERIENCE ADVERTISING, SERVICE RECOVERY PROCESS, SURGICAL SERVICES, CANCER CENTER UPDATE, MRI, CLINICAL UPDATE, MCCAIN HEART CENTER, PATIENT CARE TRANSITIONS AND MARKETING STRATEGIES. EMPLOYEE OUTREACH LENOIR MEMORIAL EMPLOYEES SHOW GOOD COMMUNITY STEWARDSHIP BY PARTICIPATING IN FUNDRAISING TO SUPPORT THE AMERICAN CANCER SOCIETY RELAY FOR LIFE, LENOIR MEMORIAL FOUNDATION OUTREACH, AND LENOIR- GREENE UNITED WAY. EMPLOYEES WORKED TOGETHER TO GIVE TIME, TALENT AND PERSONAL DONATIONS OF $83,793 DURING FY15 TOWARDS GREAT CAUSES IN THE COMMUNITY. EMPLOYEES ALSO FED 19 LOCAL FAMILIES FOR THANKSGIVING AND PROVIDED FOOD TO FRIENDS OF THE HOMELESS AND THREE CHURCH FOOD BANKS. EMPLOYEES KEPT THE LONG TRADITION OF PLAYING SECRET SANTA TO 26 NEEDY CHILDREN IN THE NORTHEAST ELEMENTARY SCHOOL WITH GIFTS FROM THEIR OWN POCKETS. COMMUNITY HEALTHCARE SCHOLARSHIPS NURSING LEADERSHIP, HIGH SCHOOL HEALTH OCCUPATION STUDENTS AND TEEN VOLUNTEERS RECEIVE SCHOLARSHIP AWARDS TO SUPPORT ONGOING HIGH SCHOOL AND COLLEGE HEALTH CAREER EDUCATION. HOSPITAL VOLUNTEER PROGRAM DURING FY 15, 258 VOLUNTEERS INCLUDING YOUTH VOLUNTEERS PROVIDED 36,153 VOLUNTEER HOURS IN A VARIETY OF HOSPITAL SETTINGS ENRICHING THE PATIENT EXPERIENCE AND PERFORMING THE WORK OF 17 UNPAID FTES. LIGHTS OF LOVE HOLIDAY TREE LIGHTING CAMPAIGN COMMUNITY DONATIONS FUND A NUMBER OF HOSPITAL PROGRAMS AND PROJECTS EACH YEAR. PHYSICIAN RECRUITMENT LENOIR MEMORIAL PROVIDED PHYSICIAN RECRUITMENT SERVICES TO MEET COMMUNITY NEEDS FOR PROVIDERS IN THE PRIORITY AREAS OF GENERAL SURGERY AND ORTHOPEDICS. PROVIDERS WERE SUCCESSFULLY RECRUITED TO AREA PRACTICES. IN 2015, WE SUCCESSFULLY RECRUITED TWO PHYSICIANS (GENERAL SURGERY AND ORTHOPEDICS) AND ONE MIDLEVEL (ORTHOPEDICS) TO LENOIR PHYSICIAN NETWORK PRACTICES. STEM OUTREACH LENOIR MEMORIAL WORKED WITH THE LENOIR COUNTY MANUFACTURING ASSOCIATION TO REWARD LENOIR COUNTY PROJECT LEAD THE WAY PROGRAMS WITH SCIENCE, TECHNOLOGY, ENGINEERING AND MATH (STEM) PROGRAMMING IN AREA HIGH SCHOOLS THROUGH SUPPORT FOR CREATIVE STUDENT PROJECT COMPETITION AND SCHOLARSHIP AWARDS. LENOIR MEMORIAL ALSO SERVED AS A SITE FOR A LENOIR COUNTY PUBLIC SCHOOLS STEM PARTNERSHIP WITH ECU SHOWCASING CAREERS IN STEM BASED AREAS. ADDITIONALLY, LMH PROVIDED SUPPORT FOR STEMEAST THROUGH THE LENOIR COMMITTEE OF 100. HEALTH LIBRARY A COMPREHENSIVE HEALTH LIBRARY IS LOCATED AT WWW.LENOIRMEMORIAL.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. VITALBOARDS LENOIR MEMORIAL PARTNERED WITH LENOIR COUNTY EMS TO PROVIDE VITALBOARDS IN COMMUNITY HOMES THROUGH VISITS WITH THE LENOIR COUNTY COMMUNITY PARAMEDIC PROGRAM. VITALBOARDS ARE A LIFESAVING REUSABLE TOOL THAT IS USED IN THE HOME TO PROVIDE BASIC YET VITAL HEALTH INFORMATION AND INFORMATION ABOUT MEDICATIONS THAT COULD BE REQUIRED IN AN EMERGENCY. A DECAL IS PLACED AT THE ENTRANCE TO THE HOME ALERTING EMS TO THE PRESENCE OF A VITALBOARD IN THE HOME. ROSALIND MCDONALD NURSING SEMINAR THE INAUGURAL COMMUNITY NURSING EDUCATIONAL EVENT WAS PROVIDED IN 2015. AREA NURSES WERE INVITED TO THE FREE CONTINUING EDUCATION EVENT THAT SHOWCASED A NATIONAL NURSING SPEAKER IN HONOR OF A RECENTLY RETIRED NURSING LEADER AT LENOIR MEMORIAL. |
| 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, A MAJORITY OF THE MEMBERS OF THE COMMITTEE SHALL CONSTITUTE A QUORUM. |
| FORM 990, PART VI, SECTION A, LINE 3 | THE CEO DELEGATED A PORTION OF IT'S MANAGEMENT DUTIES TO NOVANT HEALTH SYSTEM ("NHS"), A MANAGEMENT COMPANY. THE CEO RECEIVED $226,788 IN ADDITIONAL COMPENSATION FROM NHS. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FINANCE DIRECTOR FOR THE HOSPITAL WILL ATTEND A SCHEDULED MEETING OF THE BOARD OF DIRECTORS AND PRESENT THE FORM 990 BEFORE IT IS FILED WITH THE IRS. |
| 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 XI, LINE 9: | ROUNDING 1. |
| FORM 990, PART XII, LINE 2C: | THIS 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 | $3,471,170 | TotalIncomeAmt |
| End Of Year Assets | $3,356,950 | 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 11A, 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 11A, 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 | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LENOIR MEMORIAL HOSPITAL FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionTypeTxt |
| Involved | $304,248 | InvolvedAmt |
| Method Of Amount Determination | FMV | MethodOfAmountDeterminationTxt |