2026-04-21T14:09:46+00:00 2025-06-30 135381590 BDO USA 421 FAYETTEVILLE ST STE 300 RALEIGH NC 276011776 990 2024-07-01 566000674 LENOIR MEMORIAL HOSPITAL INC LENO 2525227510 100 AIRPORT ROAD KINSTON NC 28501 BHARADWAJ MANTHA CFO 2525227510 2026-04-21 true SANDRA L FEINSMITH P01064157 9197549370 2026-04-21 2024 2025-03-06 01:10:19Z UNC HEALTH LENOIR BHARADWAJ MANTHA 100 AIRPORT ROAD KINSTON NC 28501 192392119 false X WWW.UNCLENOIR.ORG X 1950 NC PROVIDING EXCEPTIONAL HEALTHCARE AS AN OUTSTANDING COMMUNITY HOSPITAL 17 14 1213 126 861944 0 112405 219847 160438483 185996497 2164825 2214278 2960803 3119936 165676516 191550558 0 0 0 0 69087877 77844599 0 0 199193 93849438 91314752 162937315 169159351 2739201 22391207 171975737 199761821 37938100 38906226 134037637 160855595 THE MISSION OF UNC HEALTH LENOIR IS TO ENSURE EXCEPTIONAL HEALTHCARE FOR THE PEOPLE WE SERVE. false false 150490891 0 186080416 IN 2024/ 2025, THE LATEST CYCLE FOR COMPLETING COMMUNITY HEALTH NEEDS ASSESSMENT WAS INITIATED IN LENOIR COUNTY BY LENOIR COUNTY HEALTH DEPARTMENT AND UNC HEALTH LENOIR. LENOIR COUNTY WORKS WITHIN THE HEALTH ENC PARTNERSHIP IN UNIFYING REGIONAL PROCESSES AND TIMELINE. COMMUNITY INPUT WAS OBTAINED THROUGH A SURVEY PROCESS AND INPUT OF COMMUNITY HEALTH LEADERS USING THE LENOIR COUNTY ALLIANCE FOR A HEALTHY COMMUNITY TO COLLABORATE AND PARTNER IN ESTABLISHING COMMUNITY PRIORITIES FOR THE NEXT THREE YEARS. COMMUNITY PRIORITIES WERE ESTABLISHED IN NO PARTICULAR ORDER AS: + PHYSICAL HEALTH (CHRONIC DISEASES, CANCER, AND OBESITY) & HEALTHCARE ACCESS & QUALITY + TRANSPORTATION &TRANSIT + MENTAL HEALTH THE FULL 2024 LENOIR COUNTY CHNA AND UNC HEALTH LENOIR IMPLEMENTATION STRATEGIES AS WELL AS PAST ASSESSMENTS AND STRATEGIES ARE LOCATED AT THE HEALTHY COMMUNITIES TAB UNDER THE MINGES WELLNESS CENTER AT UNCLENOIR.ORG OR THROUGH HTTPS://WWW.UNCLENOIR.ORG/MINGES-WELLNESS-CENTER/COMMUNITYHEALTHNEEDSASSESSMENT/. HEALTHY COMMUNITIES COMMUNITY PORTAL USING THE HEALTHY COMMUNITIES INSTITUTE, A COMPREHENSIVE HEALTH STATUS DATABASE IS LOCATED AT THE LENOIR COUNTY HEALTHY COMMUNITIES TAB UNDER THE MINGES WELLNESS CENTER AT UNCLENOIR.ORG WHICH PROVIDES THE LATEST LENOIR COUNTY DEMOGRAPHICS AND LEADING HEALTH INDICATORS. IT ALLOWS THE USER TO SEARCH AND REPORT ON MORE THAN 200 HEALTH, ECONOMIC, SOCIAL, AND WELL-BEING INDICATORS, DEMOGRAPHICS, AND COMPARISONS WITH NC AND NATIONAL BENCHMARKS. THE DATABASE PROVIDES PROMISING PRACTICES FOR COMMUNITY HEALTH INTERVENTIONS AND ALLOWS THE COMMUNITY TO ADD LOCAL REPORTS FOR A ONE STOP INSPECTION FOR LOCAL COMMUNITY HEALTH ASSESSMENT. COMMUNITY LEADERS HAVE BEEN INFORMED OF THE FREE RESOURCE FOR GENERAL USE. COMMUNITY COALITION ACTIVITIES THE LENOIR COUNTY ALLIANCE FOR A HEALTHY COMMUNITY MET MONTHLY FOR COMMUNITY NETWORKING AND INFORMATION SHARING. ALMOST 20 DIFFERENT COMMUNITY ORGANIZATIONS PARTICIPATE IN THE MEETINGS. ECONOMIC DEVELOPMENT UNC HEALTH LENOIR FINANCIALLY SUPPORTED, THROUGH DONATION OR SPONSORSHIPS, NUMEROUS LENOIR COUNTY ORGANIZATIONS INCLUDING, KINSTON/LENOIR CHAMBER OF COMMERCE, COMMUNITY COUNCIL FOR THE ARTS, SOUNDRIVERS, NEUSE REGIONAL LIBRARY, BBQ FESTIVAL ON THE NEUSE AND THE LENOIR COUNTY EDUCATION FOUNDATION. IN ADDITION, CASH DONATIONS WERE MADE TO THE LENOIR GREENE UNITED WAY, LENOIR COUNTY SPCA, ROTARACT, NEUSE NEWS, LAGRANGE ARTS COUNCIL, COMMUNITY CHURCHES AND LENOIR COUNTY AMERICAN CANCER SOCIETY RELAY FOR LIFE. COMMUNITY HEALTH EDUCATION PROGRAMMING UNC HEALTH LENOIR PROVIDED HEALTH AND WELLNESS PROGRAMS TO 681 PARTICIPANTS ON AND OFF SITE. PROGRAMMING INCLUDED HEART HEALTH, STROKE PREVENTION, PRESCRIPTION AWARENESS, SUBSTANCE ABUSE AWARENESS AT NATIONAL NIGHT OUT AGAINST CRIME, DIABETES, COVID-19 EDUCATION, EXERCISE, NUTRITION, AND OTHER HEALTH EDUCATION OFFERINGS. EDUCATION WAS IN PERSON. COMMUNITY SUPPORT UNC HEALTH LENOIR EMPLOYEES SHOW GOOD COMMUNITY STEWARDSHIP BY PARTICIPATING IN FUNDRAISING TO SUPPORT THE AMERICAN CANCER SOCIETY RELAY FOR LIFE, LENOIR HOSPITAL FOUNDATION PROJECTS, AND LENOIR-GREENE UNITED WAY. EMPLOYEES WORKED TOGETHER TO GIVE TIME, TALENT, AND CASH DONATIONS/PLEDGES OF $76,406 FOR 2025 FOR GREAT CAUSES IN THE COMMUNITY. EMPLOYEES COLLECTED 5,000 POUNDS OF FOOD FOR FAMILIES IN NEED AT THE FEASTIVAL OF FOODS AND MADE DONATIONS TO THE PANTRIES AT MARY'S KITCHEN, UNC HEALTH LENOIR'S PATIENT PANTRY AND CANCER CENTER FOOD PANTRY, BACKPACK BUDDIES OF LENOIR COUNTY AND LA GRANGE FIRST MISSIONARY BAPTIST FOOD PANTRY. EMPLOYEES KEPT THE LONG TRADITION OF PLAYING SECRET SANTA TO 33 FOSTER CHILDREN IN THE COMMUNITY. GIFTS THIS YEAR WERE PROVIDED TO FOSTER CHILDREN THROUGH THE GUARDIAN AD LITEM PROGRAM. THE HOSPITAL VOLUNTEER PROGRAM INCLUDED 117 VOLUNTEERS INCLUDING YOUTH VOLUNTEERS AND CHAPLAINS PROVIDED 16,340 VOLUNTEER HOURS IN A VARIETY OF HOSPITAL SETTINGS ENRICHING THE PATIENT EXPERIENCE AND PERFORMING THE WORK OF 5 UNPAID FTES. THE COMMUNITY DONATIONS, TOTALING MORE THAN $20,315 FOR LIGHTS OF LOVE FUND A NUMBER OF HOSPITAL ONCOLOGY PROGRAMS AND PROJECTS EACH YEAR. THE GIFT SHOP AND VENDOR SALES RAISED AN ADDITIONAL $194,784 TO SUPPORT HOSPITAL PROJECTS, EMPLOYEE AND TEEN SCHOLARSHIPS, AND ITEMS USED TO ENHANCE THE PATIENT EXPERIENCE. PHYSICIAN RECRUITMENT UNC HEALTH LENOIR HAS CONDUCTED 28 HOSPITAL AND COMMUNITY SITE VISITS AND 9 NEW MEDICAL PROVIDERS INCLUDING PHYSICIANS AND ADVANCED PRACTICE PROVIDERS HAVE 150490891 true true false true false false false false false false true false false true true true false true false false false false false false false false true true false false true true false false false false false false false false true false false false false false true true true true false false true 108 0 true 1213 true true true false false false false false false false false false false false X 17 14 false true false false false false false true true false false false true true true true true true true true true true NC X X BHARADWAJ MANTHA 2525227905 100 AIRPORT ROAD KINSTON NC 28501 Carlton Younger Jr Board Chair 2.0 1.0 X X 0 0 0 Crystal Hayden DNP CEO 50.0 1.0 X X 0 0 0 D Stuart Lindley Board Vice Chair 2.0 1.0 X X 0 0 0 Frances Herring JD Board Secretary 2.0 1.0 X X 0 0 0 Michael Whitfield CPA Treasurer 2.0 1.0 X X 0 0 0 Robin Roberson Asst Treasurer 2.0 1.0 X X 0 0 0 Amanda Conner Board Member 1.0 0 X 0 0 0 Dale Warner Jr Board Member 1.0 0 X 0 0 0 Felicia Solomon Board Member 1.0 0 X 0 0 0 Hugh Pollock Board Member 1.0 0 X 0 0 0 Joan Perry MD Board Member 1.0 0 X 0 129375 0 Joel Rose MD Board Member 1.0 0 X 0 39967 0 Michael James Board Member 1.0 0 X 0 0 0 Preston Harris Board Member 1.0 0 X 0 0 0 Randy Bledsoe EdD Board Member 1.0 0 X 0 0 0 Russell T Hunt EdD Board Member 1.0 0 X 0 0 0 Tonya Adams Board Member 1.0 0 X 0 0 0 Bharadwaj Mantha VP/CFO 50.0 0 X 246940 0 8950 Claire D Paris MD CMO 50.0 0 X 572880 0 42073 Cynthia Cronkhite VP Human Resources & Support Services 50.0 0 X 198778 0 43867 Derek R Vestal VP Operations 50.0 0 X 233003 0 51241 Donna Creel Executive Secretary 40.0 1.0 X 78834 0 12401 Jaidee Jeminez Executive Secretary 40.0 1.0 X 46691 0 573 Karl L Vanderstouw VP Support Services 50.0 0 X 290396 0 49429 Keri L Noeske CNO 50.0 0 X 0 0 0 Monica J Phlippeau CNO 50.0 0 X 436201 0 73791 Daniel W Simmons CRNA 40.0 0 X 278791 0 19335 Forrest B Kennedy Jr CRNA 40.0 0 X 266749 0 15160 Robin O Reavis CRNA 40.0 0 X 250514 0 33423 Stephen T Michaux-Smith CRNA 40.0 0 X 347038 0 44435 Vanar D Spencer CRNA 40.0 0 X 221883 0 0 Jeffrey A Wakefield CPA Former CFO 50.0 0 X 114410 0 23838 3583108 169342 418516 96 true true false SODEXO MANAGEMENT INC 9801 WASHINGTONIAN BOULEVARD GAITHERSBURG MD 20878 CONTRACT DIETARY & EVS SERVICES 1405007 QUALIVIS LLC 5930 CORNERSTONE COURT WEST SUITE 300 SAN DIEGO CA 92121 CONTRACT NURSES 1396676 OTIS ELEVATOR COMPANY 8 FARM SPRINGS RD FARMINGTON CT 06032 CONTRACT ELEVATOR SERVICES 851592 SIGHTPATH MEDICAL LLC 5775 WEST OLD SHAKOPEE RD SUITE 90 BLOOMINGTON MN 55437 CONTRACT SERVICES FOR OR 847044 KINDRED HOSPITAL REHABILITATION PO BOX 502096 ST LOUIS MO 631502096 CONTRACT SERVICES REHAB 711582 20 0 0 0 126339 0 93508 0 219847 PATIENT SERVICES 621990 185548138 184686194 861944 0 ANCILLARY SERVICES 621990 399106 399106 0 0 WELLNESS CENTER REVENUE 713940 49253 49253 0 0 0 0 0 0 0 0 0 0 0 0 0 0 185996497 2284370 0 0 2284370 0 0 0 0 0 0 0 0 0 1290861 0 0 0 1290861 1290861 0 0 1290861 0 0 0 70092 0 -70092 -70092 0 0 -70092 0 0 0 0 0 0 0 0 0 0 0 0 1717332 771469 945863 945863 0 0 CAFETERIA 900099 696200 0 0 696200 OTHER NON OPERATING REVENUE 900099 107700 0 0 107700 LEASE QUERY INVESTMENT INCOME 900099 42992 0 0 42992 36320 0 0 36320 883212 191550558 186080416 861944 4388351 0 0 0 0 0 0 0 0 1951645 195164 1756481 0 0 0 0 0 59852458 46562782 13133092 156584 1694768 1564921 123584 6263 9921319 7505982 2390201 25136 4424409 3347290 1065909 11210 0 0 0 0 71722 71722 0 0 190922 190922 0 0 16867 16867 0 0 0 0 74621 74621 0 0 15118074 15118074 0 0 248606 248606 0 0 77317 77317 0 0 0 0 0 0 0 0 0 0 2221942 2221942 0 0 67341 67341 0 0 0 0 0 0 32268 32268 0 0 402883 402883 0 0 29434804 29434804 0 0 9070352 9070352 0 0 406063 406063 0 0 BAD DEBT EXPENSE 12605639 12605639 0 0 MEDICAL SUPPLIES 14776534 14776534 0 0 OTHER SUPPLIES AND EXPENSES 5984510 5984510 0 0 OTHERS 514287 514287 0 0 0 0 0 0 169159351 150490891 18469267 199193 0 0 0 0 672 672 9252257 26370057 0 0 19244579 24451395 0 0 0 0 0 0 3143548 2970813 11327139 11083057 184260006 126535480 56044083 57724526 53329895 57746693 0 0 0 0 19633564 19414608 171975737 199761821 10340337 11059469 0 0 1251703 1167080 11930000 11160000 0 0 0 0 9421952 10006705 0 0 4994108 5512972 37938100 38906226 X 98122864 120172826 35914773 40682769 0 0 0 0 0 0 134037637 160855595 171975737 199761821 22391207 4426751 0 0 0 0 X X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 16867 16867 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY 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 $9,233 OF MEMBERSHIP DUES WERE ALLOCATED TO LOBBYING EXPENSE. THE ORGANIZATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THE DUES PAID TO THE AHA ARE ALLOCATED EACH YEAR TO LOBBYING EFFORTS ON BEHALF OF ITS MEMBERSHIP BODY. ACCORDING TO THE AHA, $7,634 OF MEMBERSHIP DUES WERE ALLOCATED TO LOBBYING EXPENSE. 595406 595406 83205692 46920206 36285486 8328915 5909844 2419071 92129993 73705430 18424563 57724526 OTHER ASSETS 15466168 OTHER RECEIVABLES 2406025 LEASE RECEIVABLES 1284434 PHYSICIAN RECEIVABLES 164401 CURRENT-PHYSICIANS RECEIVABLES 93580 19414608 Federal Income Taxes ESTIMATED THIRD PARTY PAYOR SETTLEMENT 3950029 OTHER CURRENT LIABILITIES 1562943 5512972 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote LENOIR IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, THE ACCOMPANYING COMBINED FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. true true X true X 250 false 3516854 34106 3482748 0.02225 40376867 60428202 0 0.0 0 0 0 0.0 0 0 43893721 60462308 3482748 0.02225 545418 214158 331260 0.00212 613615 0 613615 0.00392 0 0 0 0.0 17543 0 17543 0.00011 167282 0 167282 0.00107 0 0 1343858 214158 1129700 0.00722 0 0 45237579 60676466 4612448 0.02946 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 236914 0 236914 0.00151 0 0 0 0.0 0 0 236914 0 236914 0.00151 false 12605639 0 26576836 30055487 -3478651 X true true 1 1 LENOIR MEMORIAL HOSPITAL INC 100 AIRPORT ROAD KINSTON NC 28501 WWW.UNCLENOIR.ORG H0043 X X X X DISPROPORTIONATE SHARE HOSPITAL LENOIR MEMORIAL HOSPITAL INC 1 false false true X X X X X X X X X 24 true false false true X WWW.UNCLENOIR.ORG/COMMUNITYHEALTH HTTPS://LENOIRCOUNTYNC.gov/health-department X X true 24 true WWW.UNCLENOIR.ORG/COMMUNITYHEALTH false true X 250.0 0.0 X X X X X X true true X X X true X https://www.unclenoir.org/patients-visitors/billing-financial-assistance/ X https://www.unclenoir.org/patients-visitors/billing-financial-assistance/ X https://www.unclenoir.org/patients-visitors/billing-financial-assistance/ X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E FACILITY NAME: LENOIR MEMORIAL HOSPITAL, INC. DESCRIPTION: The significant health needs identified were mental health, physical health and healthcare access and quality and transportation and transit. These are identified as a priority. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Lenoir Memorial Hospital, Inc.. IN 2024/2025, THE LATEST CYCLE FOR COMPLETING COMMUNITY HEALTH NEEDS ASSESSMENT WAS INITIATED IN LENOIR COUNTY BY LENOIR COUNTY HEALTH DEPARTMENT AND UNC HEALTH LENOIR. LENOIR COUNTY WORKS WITHIN THE HEALTH ENC PARTNERSHIP IN UNIFYING REGIONAL PROCESS AND TIMELINE. COMMUNITY INPUT WAS OBTAINED THROUGH SURVEY PROCESS AND INPUT OF COMMUNITY HEALTH LEADERS USING THE LENOIR COUNTY ALLIANCE FOR A HEALTHY COMMUNITY TO COLLABORATE AND PARTNER IN ESTABLISHING COMMUNITY PRIORITIES FOR THE NEXT THREE YEARS. COMMUNITY PRIORITIES WERE ESTABLISHED IN NO PARTICULAR ORDER AS: + PHYSICAL HEALTH (CHRONIC DISEASES, CANCER, AND OBESITY) & HEALTHCARE: ACCESS & QUALITY + TRANSPORTATION/TRANSIT + BEHAVIORAL HEALTH: MENTAL HEALTH THE FULL 2024/2025 LENOIR COUNTY CHNA AND UNC LENOIR HEALTH CARE IMPLEMENTATION STRATEGIES AS WELL AS PAST ASSESSMENTS AND STRATEGIES ARE LOCATED AT THE HEALTHY COMMUNITIES TAB UNDER THE MINGES WELLNESS CENTER AT UNCLENOIR.ORG. Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - LENOIR MEMORIAL HOSPITAL, INC.. THE CHNA WAS MAILED OUT TO COMMUNITY LEADERS Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Lenoir Memorial Hospital, Inc.. UNC HEALTH LENOIR IS ADDRESSING SPECIFIC COMMUNITY NEEDS FROM THE 2024-2025 CHNA. 1) A SPECIFIC CONCERN WAS THE PHYSICAL HEALTH OF RESIDENTS IN LENOIR COUNTY. THE DESIRED OUTCOME IS TO IMPROVE THE PHYSICAL HEALTH OF LENOIR COUNTY RESIDENTS THROUGH CHRONIC DISEASE PREVENTION, MANAGEMENT, AND INCREASED ACCESS TO QUALITY HEALTHCARE. 2) TRANSPORTATION AND TRANSIT WAS IDENTIFIED AS A SPECIFIC COMMUNITY CONCERN. THE DESIRED OUTCOME IS TO WORK COLLABORATIVELY TO IMPROVE TRANSPORTATION CONCERNS OF PATIENTS AND COMMUNITY MEMBERS. 3) ANOTHER CONCERN WAS BEHAVIORAL HEALTH, SPECIFICALLY MENTAL HEALTH. THE DESIRED OUTCOME IS TO IMPROVE THE MENTAL HEALTH STATUS OF LENOIR COUNTY RESIDENTS AND COMMUNITY MEMBERS SERVED. The following community needs are not addressed: social or environmental concerns such as education, community safety, employment and income, food access and security, and housing and homelessness. 0 Schedule H, Part II DESCRIBE HOW COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITY Emergency Preparedness UNC Health Lenoir participates in the Local Emergency Planning Committee (LEPC); the Eastern Healthcare Preparedness Coalition and the UNC System EM Group for planning, coordinating, and executing disaster readiness and drills. UNC Health Lenoir participates in the North Carolina Emergency Management Domestic Preparedness Region 2 (DPR2) emergency preparedness committee for 10 counties which serves to develop and expand regional prevention, preparedness, response, and recovery capabilities for all hazards, both man-made and natural. UNC Health Lenoir also participates in the NC Healthcare Association's Emergency Management Council which is comprised of healthcare emergency managers from across the state and provides guidance for the N.C. Healthcare Association and N.C. Emergency Management and Office of Emergency Services. UNC Health Lenoir participates in the International Association of Healthcare Security and Safety and participates in monthly virtual meetings with other Chapter leaders from around the world related to security and emergency management. Minges Wellness Center The on-site medically based fitness center for the community has 52 pieces of stationary exercise equipment and a variety of free weight equipment that allow the center to meet the mobility needs of our population and improve exercise options for community members. The center also offers an average of 25 group exercise classes each week that are taught by certified exercise physiologists and exercise instructors with the goal of being inclusive to all fitness levels, improving community exercise participation rates, and increasing knowledge about safe and effective exercise. In FY25 the Minges Wellness Center launched two programs that target clinical population's and provide supervised exercise programs for those affected by cancer or Parkinson's disease.The Minges Wellness Center had a membership base of 632 active individual members from the community in FY25. Monthly membership rates of $20 per month assist an underserved community to initiate exercise plans. Our program partners with Silver Sneakers, Silver & Fit, Active & Fit, Renew Active, and FitOn Health benefits to offer free or reduced cost memberships for eligible community members. Various free physical activity oriented educational sessions and workshops are offered throughout the year to the community facilitated by our exercise physiologists with the goal of increasing awareness of our facilities services. Screening Events Services included (11) corporate clients, (15) worksite wellness visits with (178) employee contacts with flu vaccine administration, CPR training, urine drug screens, blood pressure screening biometric screening, and education for risk factor reduction were provided. Cancer Center Volunteer Lay Navigation Once a diagnosis of cancer is received, patients often feel overwhelmed. Volunteer lay navigators, supervised by the social worker in the Cancer Center, help patients identify and remove barriers to care while linking them to available cancer support resources. The Lay Navigator sees each new patient in consult and makes supportive phone calls to patients recently finished with treatments. Lay Navigator made multiple supportive phone calls in FY 2025. Over 140 hours in person volunteer hours were donated by the Lay Navigator in FY 2025. Cancer Center Program Outreach The Cancer Center provides an on-site free food pantry for patients and their caregivers. Patients that are unable to eat certain foods or go grocery shopping due to fatigue, nausea, and other symptoms related to their oncology treatments or financial issues are welcome to any items in the pantry. Food, nutritional supplements and toiletry items are available in the pantry. Community groups and individuals provide numerous donations of items, as well as monetary donations to be used for needed purchases, throughout the year. The Cancer Center food pantry was included as a recipient of UNC Health Lenoir's 2025 Feastival of Food Drive. Community education and outreach continued in FY 2025 with a total of 6 meetings of the Ladies Cancer Support Group. This group meets in person at the UNC Health Lenoir's Center on the second Tuesday of every other month. All females in any stage of their cancer journey are invited to attend these group meetings. Topics included nutrition, exercise, fatigue, financial and psychosocial issues. Community educational talks were provided to several groups in the community by our cancer social worker and nurse navigator. Cancer screening education was provided at several local church health fairs and at City of Kinston Employee Wellness event. UNC Health Lenoir hosted a Lung Cancer Screening event in the Fall of 2025. Since 2020, the UNC Health Lenoir Cancer Center has participated in LIFT- Lessening the Impact of Financial Toxicity, which is a clinical study and grant through the National Cancer Institute and UNC Lineberger Cancer Center in Chapel Hill, focusing on "financial toxicity" in oncology care. Financial toxicity is "a term used to describe the financial burden that healthcare places on patients and their families" (Wheeler, Rosenstein). Financial navigation services are available to all patients receiving cancer care at UNC Lenoir Health Care. Patients experiencing financial burdens related to their cancer treatment are able to make an appointment with a financial navigator at the UNC Lenoir Health Care Cancer Center. Patients are assisted with finding financial resources and services. While this program ended in 2025, UNC Health Lenoir Cancer Center is continuing to strive for similar efforts in the community. In 2025, Minges Wellness Center and the UNC Health Lenoir Cancer Center partnered with UNC Lineberger Cancer Center in Chapel Hill to bring "Get Real and Heel", a 12-week, small group exercise program for people affected by cancer that we conduct at UNC Chapel Hill through our CCSP (Comprehensive Cancer Support Program) program. We deliver cardio, strength, flexibility, and balance training to cancer survivors of all disease types and stages. We will use a train the trainer model to bring GRH to your site and programming can be tailored to meet your site's needs. UNC Health Lenoir Community Walking Track Averages over 500 walkers per month. Corporate Health Services Provided early detection and screening events of diseases/disorders/risks including heart disease, diabetes, colorectal cancer, mammogram support (20), blood pressures (9446). Diabetes Wellness Located in the Minnie P. Stackhouse Diabetes Center, the ADCES accredited Diabetes Wellness Program provided free diabetes self-management education and follow up management to (49) individuals living with diabetes. Outreach education were provided each month reaching (750) community members. Additionally, a registered dietitian/diabetes educator provided (738) medical nutrition counseling sessions during this year. Rx Food Coupons ($450.00) are provided to participants in $5 increments to incentivize education by increasing local access to fresh fruits and vegetables at the Lenoir County Farmers Market. Community Health Education Programming Community Health Education Programming 681 participants in on and off-site health and wellness programming. Programming included heart, stroke, prescription awareness, substance abuse awareness at National Night Out Against Crime, diabetes, COVID-19, exercise, nutrition, and other health education offerings. Education was in person. Employee Outreach in Community UNC Health Lenoir employees show good community stewardship by participating in fundraising to support the American Cancer Society Relay for Life, Lenoir Hospital Foundation projects, and Lenoir-Greene United Way. Employees worked together to give time, talent, and cash donations/pledges of $76,406 for 2024 for great causes in the community. Employees collected 5000 pounds of food for families in need at the Feastival of Foods and made donations to the pantries at Mary's Kitchen, UNC Health Lenoir's Patient Pantry and Cancer Center Food Pantry, Backpack Buddies of Lenoir County and La Grange First Missionary Baptist Food Pantry. Employees kept the long tradition of playing Secret Santa to 33 foster children in the community. Gifts this year were provided to foster children through the Guardian Ad Litem program. Schedule H, Part II DESCRIBE HOW COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITY Hospital Volunteer Program During FY25, 117 volunteers including youth volunteers and chaplains provided 16,340 volunteer hours in a variety of hospital settings enriching the patient experience and performing the work of 5 unpaid FTEs. The community donations, totaling more than $20,315 for Lights of Love fund a number of hospital oncology programs and projects each year. The gift shop and vendor sales raised an additional $194,784 support hospital projects, employee and teen scholarships, and items used to enhance patient experience. Physician Recruitment UNC Health Lenoir has conducted 28 hospital and community site visits and 9 new medical providers including physicians and advanced practice providers have joined the medical staff in 2025. The new providers will be practicing in our community and cover the following specialties: orthopedics, hospitalist medicine, pulmonology, and general and bariatric surgery. Schedule H, Part III, Line 2 Bad Debt & HASP Requirements To comply with the Healthcare Access and Stabilization Program (HASP) requirements for FY2025, the North Carolina Department of Health and Human Services mandated all North Carolina hospitals to attest to implementing a standardized, enhanced medical debt policy. This applies to North Carolina residents who are actively enrolled in Medicaid or Managed Medicaid or fall below certain federal poverty levels. Historical debt remaining in our system was impacted. In FY2025, the filing organization implemented the North Carolina Medical Debt Relief and Mitigation policy as required by HASP. This policy reduced Bad Debt expense and increased Charity Care for the filing year. Schedule H, Part I, Line 3c Eligibility criteria for free or discounted care PRESUMPTIVE DETERMINATION: IN ADDITION TO DETERMINING ELIGIBILITY FOR FREE CARE USING INCOME LEVELS AND FEDERAL POVERTY GUIDELINES, PATIENTS MAY ALSO QUALIFY FOR FINANCIAL ASSISTANCE BASED ON PRESUMPTIVE DETERMINATION, WHICH UTILIZES A SCORING METHODOLOGY THAT REPRESENTS A PATIENT'S ABILITY TO PAY BASED ON CRITERIA SUCH AS, BUT NOT LIMITED TO, ASSET OWNERSHIP, DEBT PAYMENT TENDENCIES, AND AVAILABLE CREDIT. THIS METHOD MAY BE USED WHEN CIRCUMSTANCES PREVENT FULL COMPLETION OF A FINANCIAL ASSISTANCE APPLICATION. OTHER FACTORS THAT MAY QUALIFY A PATIENT FOR PRESUMPTIVE APPROVAL INCLUDE BEING HOMELESS, DECEASED OR INCARCERATED. MEDICAL INDIGENCE: PATIENTS WHO DO NOT QUALIFY FOR STANDARD FINANCIAL ASSISTANCE BASED ON INCOME CRITERIA MAY QUALIFY FOR CATASTROPHIC ASSISTANCE (MEDICAL INDIGENCE). EXISTING PATIENT BALANCES, AFTER ALL OTHER FINANCIAL RESOURCES (INCLUDING APPLICABLE HEALTHCARE COVERAGE) AVAILABLE TO THE PATIENT HAVE BEEN EXHAUSTED, SHOULD PRODUCE A MEDICAL DEBT-TO-INCOME RATIO OF GREATER THAN OR EQUAL TO 20%. FOR APPROVED CATASTROPHIC FINANCIAL ASSISTANCE, THE PATIENT'S MEDICAL DEBT AFTER INSURANCE WILL BE REDUCED TO 20% OF THE PATIENT'S INCOME AND ASSETS MINUS A STANDARD 6% EXPENSE AND LIABILITY ALLOWANCE. IF A PATIENT HAS NO INCOME, THE PATIENT'S MEDICAL DEBT AFTER INSURANCE WILL BE REDUCED BY 84%. UNINSURED DISCOUNT: PATIENTS WHO HAVE NO HEALTH COVERAGE, NO COVERAGE FROM ANY OTHER THIRD PARTY (SUCH AS THIRD PARTY AUTO LIABILITY COVERAGE), OR WHO OBTAIN SERVICES NOT COVERED BY THEIR HEALTH INSURANCE WILL BE ELIGIBLE FOR A 40% DISCOUNT ON MOST CHARGES. PRE AND POST SERVICE SCREENINGS: PATIENT ACCESS ASSOCIATES WILL CONTACT AND SCREEN MOST PATIENTS WHO ARE PRE-SCHEDULED FOR SERVICES. THIS INCLUDES A SCREENING FOR POSSIBLE MEDICAID ELIGIBILITY AND DISCUSSION OF FINANCIAL ASSISTANCE. MEDICAID ELIGIBILITY SPECIALISTS WILL SCREEN ANY UNINSURED PATIENT ADMITTED AS AN INPATIENT OR OBSERVATION PATIENT WHILE IN-HOUSE TO DETERMINE POSSIBLE MEDICAID PROGRAM ELIGIBILITY FOR FINANCIAL ASSISTANCE ELIGIBILITY. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 12605639 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance AMOUNTS THAT ARE IN PART 1, LINE 7, COLUMN C WERE COMPUTED USING THE COST-TO-CHARGE RATIO WORKSHEET FROM IRS INSTRUCTIONS FOR SCHEDULE H. Schedule H, Part II Community Building Activities Healthy Communities Community Portal Using the Healthy Communities Institute, a comprehensive health status database at www.unclenoir.org/minges-wellness-center provides the latest Lenoir County demographics and leading health indicators. It allows the user to search and report on more than 200 health, economic, social, and well-being indicators, demographics, and comparisons with NC and national benchmarks. The database provides promising practices for community health interventions and allows the community to add local reports for a one stop inspection for local community health assessment. Community leaders have been informed of the free resource for general use. Economic Development UNC Health Lenoir financially supported, through donation or sponsorships, numerous Lenoir County organizations including Chamber of Commerce, Education Foundation, United Way, Lenoir Community College Foundation, and Partnership for Children. In addition cash donations were made to the Community Council for the Arts, Rotary Club of Kinston, La Grange Arts Council, Neuse Regional Library, Barbeque Festival on the Neuse, Mary's Soup Kitchen, and Relay for Life. Maternal/Child Health Initiatives Maternal-Child Health Initiatives & Unit Impact Evidence-Based Maternal-Child Standards of Care The Family Birth Center maintains evidence-based, patient-centered practices that support optimal maternal and newborn outcomes. Baby-Friendly principles, including rooming-in and immediate skin-to-skin contact, are standard of care. Prenatal education ensures families understand the benefits of skin-to-skin, which include improved newborn thermoregulation, glucose stabilization, decreased infant crying, reduced maternal anxiety, and improved breastfeeding outcomes. Infant feeding support is individualized to family choice. Mothers who elect to breastfeed are supported with early initiation within the first hour of life and education promoting feeding on demand. Families choosing formula feeding receive education on appropriate bottle-feeding techniques, recognition of hunger cues, and expected feeding patterns. Feeding logs are encouraged for all families to support the transition to newborn care. Updated guidelines promote breastfeeding support for mothers participating in substance use disorder (SUD) treatment programs. Maternal Mental Health & Substance Use Initiatives The unit actively participates in Perinatal Quality Collaborative of North Carolina initiatives aimed at reducing the impact of opioid and substance use disorders on mothers and infants. Standardized screening with validated tools occurs prenatally and upon hospital admission. Identified patients are supported through coordinated referrals, including social work consultation, treatment center appointments when accepted, and development of a safe discharge plan. Newborns affected by substance exposure are managed using the Eat, Sleep, Console care model, prioritizing non-pharmacologic interventions and emphasizing maternal involvement as the primary therapeutic approach. All admitted obstetric patients receive depression screening to support early identification of perinatal mood disorders. Elevated screening results prompt timely social work involvement and coordination of outpatient mental health follow-up prior to discharge. All families receive maternal mental health hotline information for continued support after hospitalization. Social Determinants of Health & Health Equity The Family Birth Center integrates Social Determinants of Health (SDOH) screening into routine maternal care. Screening domains include financial strain, food insecurity, transportation needs, health literacy, interpersonal safety, intimate partner violence, social connections, physical activity, stress, depression, and substance use disorder. Identified needs are addressed through interdisciplinary collaboration with social work and community partners to reduce barriers to care and promote health equity. Newborn Safety, Screening & Early Detection The unit ensures completion of required newborn screenings, including Critical Congenital Heart Defect (CCHD), bilirubin/jaundice, hearing, and state metabolic screening. CCHD screening aligns with national recommendations to improve early detection of life-threatening cardiac conditions that may not be identified prenatally or on initial exam. Families receive standardized education on safe sleep practices prior to infant discharge to reduce the risk of Sudden Unexplained Infant Death Syndrome (SUIDS). Jaundice screening and timely phototherapy are implemented to prevent complications of hyperbilirubinemia. Obstetric Safety & Quality Improvement Recognizing obstetric hemorrhage (OBH) as a leading cause of maternal morbidity and mortality in North Carolina, the Family Birth Center utilizes standardized OBH risk assessments at admission, at complete dilation, and at delivery. Multidisciplinary response protocols and intervention guidelines are embedded into clinical workflows to support early recognition and rapid management. Focused educational rounding supports maternal and newborn safety through consistent bedside education. Families receive instruction on recognizing warning signs and symptoms requiring urgent medical attention. "I Gave Birth" bracelets are provided to increase postpartum emergency awareness for community first responders. Education, Community Engagement & Care Continuity The Family Birth Center collaborates with local pregnancy clinics to ensure consistent education across the antepartum, intrapartum, postpartum, and neonatal continuum. Stork Booklets are distributed throughout the community to provide families with clear expectations, pregnancy tracking tools, and preparation guidance for delivery at UNC Health Lenoir. Antepartum patients receive education on hospital preparation, available community resources, and car seat safety. Collaboration with the Lenoir County Health Department supports initiatives such as Cribs for Kids and postpartum-newborn home visit referrals. A Parenting Education Station with free educational materials is maintained in the FBC waiting area to reinforce safe parenting practices. Emergency Department & Interdisciplinary Collaboration In partnership with the Emergency Department, the Family Birth Center implemented a standardized workflow to support pregnant patients presenting without established prenatal care or with pregnancy-related complaints. Processes include direct initiation of prenatal care referrals and standardized education to promote early engagement in care. Bereavement support resources and fetal loss education packets were shared with ED and Patient Experience teams to ensure compassionate, consistent care during early pregnancy loss. Maternal-Child Workforce Education & Preparedness Ongoing staff education and simulation support maternal and neonatal safety and readiness. Training includes neonatal resuscitation, stabilization of high-risk newborns, obstetric and neonatal emergency simulations, breastfeeding education, and emergency preparedness exercises. Weekly advanced practice provider education supports continuous learning across disciplines. Outcomes & Continuous Improvement Increased breastmilk exposure rates sustained above historical benchmarks High compliance with maternal and newborn safety metrics, including pain reassessment, fall prevention, BCMA, bilirubin screening, LATCH scoring, VTE prophylaxis, and low-risk pathway utilization Full compliance with state and federal hearing and vaccine program requirements Collaboration with the Perinatal Quality Collaborative of North Carolina to development and implement standardized care pathways for late preterm infants, supported by integrated EMR tools and education materials Maintained high patient satisfaction scores and consistent newborn vital sign compliance Unit Summary The Family Birth Center's Maternal-Child Health initiatives reflect a comprehensive, team-based approach to delivering safe, equitable, and compassionate care. Through evidence-based clinical standards, strong community partnerships, integrated mental health and substance use support, and continuous quality improvement, the unit promotes positive outcomes for mothers, infants, and families across the continuum of care. Support Groups The Parkinson's Support Group and Weight Management Support Groups met off-site with 409 persons attending. Schedule H, Part III, Line 3 Bad Debt Expense Methodology THE ORGANIZATION'S BAD DEBT DOES NOT INCLUDE ANY AMOUNTS ATTRIBUTABLE TO THOSE PATIENTS WHO APPLIED FOR AND RECEIVED FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED, AND INCLUDES ESTIMATED RETROACTIVE REVENUE ADJUSTMENTS DUE TO FUTURE AUDITS, REVIEWS, AND INVESTIGATIONS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED, AND SUCH AMOUNTS ARE ADJUSTED IN FUTURE PERIODS AS ADJUSTMENTS AND INVESTIGATIONS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE MEDICARE COST REPORT WAS USED TO DETERMINE MEDICARE ALLOWABLE COSTS OF CARE. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance PER THE SELF-PAY COLLECTIONS POLICY, IF THERE IS A PENDING FINANCIAL ASSISTANCE APPLICATION OR AN APPROVED APPLICATION, BILLING INDICATORS ARE PLACED ON ACCOUNTS THAT PREVENT COLLECTIONS ACTIVITY FROM HAPPENING. THIS INCLUDES REFERRAL TO OUTSIDE COLLECTION AGENCIES. PATIENT STATEMENTS INCLUDE INFORMATION RELATED TO FINANCIAL ASSISTANCE, WHICH INCLUDES AN AUTO-GENERATED INSERT FOR ANY PATIENT STATEMENT SHOWING A PAST DUE BALANCE, GIVING THE PATIENT AN OPPORTUNITY TO APPLY FOR FINANCIAL ASSISTANCE IF THEY HAVE NOT ALREADY DONE SO. ANY PATIENT BALANCE THAT IS PLACED IN A BAD DEBT COLLECTION STATUS PRIOR TO THE PATIENT APPLYING FOR AND BEING APPROVED FOR FINANCIAL ASSISTANCE IS THEN REMOVED FROM BAD DEBT COLLECTION STATUS AND THE BALANCE ADJUSTED ACCORDINGLY. Schedule H, Part V, Section B, Line 16a FAP website - LENOIR MEMORIAL HOSPITAL, INC.: Line 16a URL: https://www.unclenoir.org/patients-visitors/billing-financial-assistance/; Schedule H, Part V, Section B, Line 16b FAP Application website - LENOIR MEMORIAL HOSPITAL, INC.: Line 16b URL: https://www.unclenoir.org/patients-visitors/billing-financial-assistance/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - LENOIR MEMORIAL HOSPITAL, INC.: Line 16c URL: https://www.unclenoir.org/patients-visitors/billing-financial-assistance/; Schedule H, Part VI, Line 2 Needs assessment UNC HEALTH LENOIR 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. UNC HEALTH LENOIR PROVIDES LEADERSHIP TO THE LENOIR COUNTY ALLIANCE FOR A HEALTHY COMMUNITY, WHICH IS A BROAD BASE OF COMMUNITY AGENCIES AND ORGANIZATIONS THAT MEET MONTHLY TO PROMOTE A HEALTHY COMMUNITY. UNC HEALTH LENOIR ALSO PARTNERS WITH LENOIR, GREENE, AND JONES COUNTIES IN HEALTHY INITIATIVES TO PROMOTE AND SUPPORT HEALTHIER LIVING ACTIVITIES. ANNUAL CANCER REPORTING AND HOSPITAL DIAGNOSIS TRENDS ARE USED TO PRIORITIZE PROGRAMMING, SERVICES, AND INITIATIVES AS WELL AS PHYSICIAN NEEDS ASSESSMENTS. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance THE HOSPITAL INFORMS AND EDUCATES PATIENT AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE BY POSTING SIGNAGE AND MAKING AVAILABLE BROCHURES AND OTHER LITERATURE THROUGHOUT THE FACILITY AND IN SOME CASES, LOCAL PHYSICIAN OFFICES OR OTHER COMMUNITY RESOURCE AREAS. THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS ALSO AVAILABLE ON THE LENOIR WEBSITE AT WWW.UNCLENOIR.ORG OR UNC HEALTH MAIN WEBSITE AT WWW.UNCHEALTH.ORG/RECORDS-INSURANCE/FINANCIAL-ASSISTANCE-PROGRAMS. PATIENTS CAN ALSO RECEIVE MESSAGING AND APPLY FOR FINANCIAL ASSISTANCE VIA UNC MYCHART, AN ONLINE PATIENT PORTAL. FINANCIAL ASSISTANCE SUMMARIES AND APPLICATIONS CAN ALSO BE REQUESTED AND GIVEN AT THE POINT OF REGISTRATION FOR ANY HOSPITAL SERVICE OR DURING PATIENT ACCESS PRE-SCREENS AND MEDICAID ELIGIBILITY SCREENINGS. ALL FINANCIAL ASSISTANCE-RELATED DOCUMENTS ARE ALSO AVAILABLE IN SPANISH. ADDITIONALLY, SPANISH SPEAKING PATIENTS ARE OFFERED ASSISTANCE THROUGH OUR ONSITE SPANISH LANGUAGE INTERPRETER. THE HOSPITAL ALSO UTILIZES TELEPHONE "LANGUAGE-LINES" FOR ASSISTANCE WITH SPANISH OR OTHER LANGUAGE CONVERSATIONS. Schedule H, Part VI, Line 4 Community information LENOIR MEMORIAL HOSPITAL (D/B/A UNC HEALTH LENOIR) IS LOCATED IN KINSTON, NORTH CAROLINA (POPULATION ESTIMATE JULY 2024 19,519), WHICH IS THE COUNTY SEAT AND LARGEST TOWN IN LENOIR COUNTY (POPULATION ESTIMATE JULY 2024 55,332); KINSTON AND OTHER LENOIR COUNTY MUNICIPALITIES CONSTITUTE THE HOSPITAL'S PRIMARY SERVICE AREA. LMH IS DESIGNATED A SOLE COMMUNITY HOSPITAL BY CMS. THOUGH STRONG ECONOMIC AND CORRESPONDING POPULATION GROWTH OCCURRED THROUGHOUT MUCH OF THE URBAN AREAS OF NORTH CAROLINA SINCE 2010, LENOIR COUNTY SAW AN INCREASE OF POPULATION (+.4 PCT VS. THE NC AVERAGE OF +5.8 PCT). KINSTON'S SAW AN DECREASE OF POPULATION COMPARED TO LENOIR COUNTY AT -1.5 PCT. OVER THE LAST TWO DECADES THE LOCAL AREA HAS WITNESSED THE CLOSING OR SIGNIFICANT DOWNSIZING OF FORMERLY LARGE EMPLOYERS PARTICULARLY LIGHT MANUFACTURING ENTERPRISES AS LESS EXPENSIVE LABOR HAS BEEN SOUGHT OVERSEAS. IN THE MOST RECENT YEARS, THE AREA'S CHALLENGES HAVE BEEN EXACERBATED BY THE DRAMATIC NATIONWIDE ECONOMIC DOWNTURN, AND LENOIR COUNTY'S UNEMPLOYMENT RATE HAS TYPICALLY EXCEEDED BOTH STATE AND NATIONAL AVERAGES. THE COUNTY HAS BEEN DESIGNATED TIER 1 I.E., THE RANKING GIVEN TO THE MOST ECONOMICALLY DISTRESSED COUNTIES IN THE STATE BY THE NC DEPARTMENT OF COMMERCE. LENOIR COUNTY RANKS AS THE 23RD MOST DISTRESSED COUNTY IN THE STATE. LENOIR COUNTY WITH 23 PCT OF THE POPULATION WITH A DISABILITY IS NEARLY TWICE THE STATE PERCENTAGE OF 13.3 PCT. Lenoir County has a population density of 135.0 persons per square mile - lower than the population density for North Carolina (214.7 persons per square mile). Kinston is the most densely populated area in the county. In total, the population of Lenoir County is projected to decline 0.43% annually between 2024 and 2029. Areas in the central parts of the county are experiencing greater population decline, while Kinston and Trent are experiencing growth. POVERTY LEVELS IN KINSTON AND LENOIR COUNTY EXCEED STATE AVERAGES; IN 2024 THE COUNTY'S POVERTY LEVEL WAS 23 PCT AS COMPARED TO THE STATE AVERAGE OF 13.3 PCT. THE MEDIAN INCOME IN LENOIR COUNTY IS 62 PCT OF THE STATE AVERAGE. THE TABLE BELOW PROVIDES CURRENT ESTIMATES OF POPULATION, INCOME, AND POVERTY STATISTICS FROM THE US CENSUS BUREAU, INCLUDING THE AMERICAN COMMUNITY SURVEY. KINSTON COUNTY (KC); LENOIR COUNTY (LC); NORTH CAROLINA (NC) POPULATION CHANGE IN PERCENT, 2020-2024 -1.5 (KC); +.4(LC); +5.8(NC) PERCENT BELOW POVERTY LEVEL 28.9(KC); 23.1(LC); 12.5(NC) MEDIAN HOUSEHOLD INCOME, 2024 $35,250 (KC); $44,795 (LC); $69,904 (NC) CHILDREN IN POVERTY BY PERCENT, 2024 39.0(KC); 32(LC); 18(NC) THE HISTORICAL DEPENDENCE UPON FARMING AND LIGHT MANUFACTURING JOBS, AS WELL AS POVERTY AND EDUCATION LEVELS THAT ARE HIGHER AND LOWER, RESPECTIVELY, THAN NC AVERAGES WILL LIKELY CONTINUE TO BE LIMITING FACTORS TO CONSISTENTLY STRONG OR RAPID ECONOMIC GROWTH. IN ORDER TO ADDRESS THESE CHALLENGES, NUMEROUS AREA ORGANIZATIONS CONTINUE TO WORK TOWARD DEVELOPMENT INITIATIVES THAT WILL CREATE LONG TERM SOCIAL AND ECONOMIC IMPROVEMENT. Schedule H, Part VI, Line 5 Promotion of community health THE HOSPITAL BOARD IS COMPRISED OF UNRELATED COMMUNITY MEMBERS. LOCAL PHYSICIANS HAVE PRIVILEGES IN A MAJORITY OF HOSPITAL DEPARTMENTS. SURPLUS FUNDS MAY BE USED TO PURCHASE CAPITAL EQUIPMENT OR OTHER MEDICAL EQUIPMENT USED IN PATIENT CARE. THEY ARE ALSO USED TO PURCHASE TECHNOLOGY, SUCH AS COMPUTER EQUIPMENT, SOFTWARE, AND CONNECTIVITY. THESE FUNDS ALSO SUPPORT GENERAL BUILDING REFURBISHMENTS AS WELL AS REPAIRS AND MAINTENANCE. THE HOSPITAL RECRUITS PHYSICIANS FOR THE COMMUNITY AND THROUGH A PARTNERSHIP WITH UNC PHYSICIAN'S NETWORK (UNCPN), THE HOSPITAL FINANCIALLY SUPPORTS THE PRACTICES. THE UNCPN PHYSICIANS UTILIZE THE EPIC HOSPITAL INFORMATION SYSTEM (MEDICAL RECORD), THE SAME AS THE HOSPITAL. Schedule H, Part VI, Line 7 State filing of community benefit report NC X true true X X X false true false false false false false false false Jeffrey A Wakefield CPA Former CFO 114410 0 0 0 0 0 22082 0 1756 0 138248 0 0 0 Claire D Paris MD CMO 511031 0 61849 0 0 0 34852 0 7221 0 614953 0 0 0 Monica J Phlippeau CNO 436201 0 0 0 0 0 60897 0 12894 0 509992 0 0 0 Karl L Vanderstouw VP Support Services 257542 0 32854 0 0 0 46000 0 3429 0 339825 0 0 0 Bharadwaj Mantha VP/CFO 224813 0 22127 0 0 0 4908 0 4042 0 255890 0 0 0 Derek R Vestal VP Operations 206501 0 26502 0 0 0 46000 0 5241 0 284244 0 0 0 Cynthia Cronkhite VP Human Resources & Support Services 175128 0 23650 0 0 0 31288 0 12579 0 242645 0 0 0 Stephen T Michaux-Smith CRNA 323514 0 23524 0 0 0 39327 0 5108 0 391473 0 0 0 Daniel W Simmons CRNA 272867 0 5924 0 0 0 11232 0 8103 0 298126 0 0 0 Forrest B Kennedy Jr CRNA 260755 0 5994 0 0 0 13130 0 2030 0 281909 0 0 0 Robin O Reavis CRNA 244657 0 5857 0 0 0 25240 0 8183 0 283937 0 0 0 Vanar D Spencer CRNA 221883 0 0 0 0 0 0 0 0 0 221883 0 0 0 Schedule J, Part I, Line 1a Travel for companions THE HOSPITAL PERMITS BOARD MEMBERS TO TRAVEL WITH THEIR SPOUSES TO EDUCATIONAL SEMINARS AND IS PART OF THE BOARD OF DIRECTOR TRAVEL POLICY. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE FOLLOWING RECEIVED PAYMENTS FROM 457F: -JEFFREY A. WAKEFIELD, CFO $28,809 -CLAIRE D. PARIS, CMO $41,573 -KARL VANDERSTOUW, VP SUPPORT SERVICES $21,522 -DEREK RYAN VESTAL, VP OPERATIONS $15,486 A NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 657902Y63 2005-09-22 22000000 CAPITAL PROJECTS false false false B NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 000000000 2020-11-01 14690000 REFUND false false false A 7310000 0 22021552 0 0 0 178646 20213 0 9657270 12165423 0 2005 true false true true B 14690000 0 0 0 0 0 209750 0 0 0 0 0 2020 true false true true A false false true true false false 0.0 0.0 0.0 false false 0 false true B false false true true false false 0.0 0.0 0.0 false false 0 false true A false false true true true false 0 false false false 0 false false true B false false true true true false 0 false false false 0 false false true A true B true Schedule K, Part II, Line 3 issue price 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. Schedule K, Part II, Line 1 issue price THE ISSUE PRICE IN PART II COLUMN B LINE 1 DOES NOT MATCH THE EXPENSES BECAUSE IT IS THE OUTSTANDING BALANCE OF THE 2005 ISSUED BOND, THEREFORE THE ONLY EXPENSE ASSOCIATED WAS THE ISSUANCE COSTS. Schedule K, Part II, Line 15 bonds issued as part of a refunding issue of taxable bonds ISSUE DATES OF BONDS REFUNDED BY THE SERIES 2005 BONDS LISTED IN COLUMN A: NOVEMBER 16,1995 AND MARCH 19, 1998. Schedule K, Part III, Line 7 private security or payment test 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." Schedule K, Part IV, Line 2a Rebate Computation AS OF MAY 24, 2021, THE CORPORATION MET THE REQUIREMENTS OF THE SIX-MONTH SPENDING EXCEPTION FOR THE SERIES 2020 BONDS. AS A RESULT, AN ARBITRAGE REBATE CALCULATION WAS NOT REQUIRED FOR THIS BOND ISSUE AND NEITHER AN ARBITRAGE REBATE PAYMENT NOR A YIELD REDUCTION PAYMENT WILL BE DUE TO THE IRS FOR THE SERIES 2020 BONDS AS OF THE FIRST INSTALLMENT COMPUTATION PERIOD, ENDING OCTOBER 30, 2025. FAYE HILL RELATIVE OF BOARD MEMBER 66796 EMPLOYEE RADIOLOGY TECH false Schedule L, Part IV (A) NAME OF PERSON: FAYE HILL (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: RELATIVE OF BOARD MEMBER (D) DESCRIPTION OF TRANSACTION: PAYMENT FOR EMPLOYMENT AS RADIOLOGY TECH. Form 990, Part III, Line 4a Program Service Description (Cont.) JOINED THE MEDICAL STAFF IN 2025. THE NEW PROVIDERS WILL BE PRACTICING IN OUR COMMUNITY AND COVER THE FOLLOWING SPECIALTIES: ORTHOPEDICS, HOSPITALIST MEDICINE, PULMONOLOGY, AND GENERAL AND BARIATRIC SURGERY. SUPPORT GROUPS THE PARKINSON'S SUPPORT GROUP AND WEIGHT MANAGEMENT SUPPORT GROUPS MET OFF-SITE WITH 409 PERSONS ATTENDING. LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS UNC HEALTH LENOIR PARTICIPATES IN THE LOCAL EMERGENCY PLANNING COMMITTEE (LEPC); THE EASTERN HEALTHCARE PREPAREDNESS COALITION AND THE UNC SYSTEM EM GROUP FOR PLANNING, COORDINATING, AND EXECUTING DISASTER READINESS AND DRILLS. UNC HEALTH LENOIR PARTICIPATES IN THE NORTH CAROLINA EMERGENCY MANAGEMENT DOMESTIC PREPAREDNESS REGION 2 (DPR2) EMERGENCY PREPAREDNESS COMMITTEE FOR 10 COUNTIES WHICH SERVES TO DEVELOP AND EXPAND REGIONAL PREVENTION, PREPAREDNESS, RESPONSE, AND RECOVERY CAPABILITIES FOR ALL HAZARDS, BOTH MAN-MADE AND NATURAL. UNC HEALTH LENOIR ALSO PARTICIPATES IN THE NC HEALTHCARE ASSOCIATION'S EMERGENCY MANAGEMENT COUNCIL WHICH IS COMPRISED OF HEALTHCARE EMERGENCY MANAGERS FROM ACROSS THE STATE AND PROVIDES GUIDANCE FOR THE N.C. HEALTHCARE ASSOCIATION AND N.C. EMERGENCY MANAGEMENT AND OFFICE OF EMERGENCY SERVICES. UNC HEALTH LENOIR PARTICIPATES IN THE INTERNATIONAL ASSOCIATION OF HEALTHCARE SECURITY AND SAFETY AND PARTICIPATES IN MONTHLY VIRTUAL MEETINGS WITH OTHER CHAPTER LEADERS FROM AROUND THE WORLD RELATED TO SECURITY AND EMERGENCY MANAGEMENT. COMMUNITY HEALTH IMPROVEMENT ADVOCACY MINGES WELLNESS CENTER - THE ON-SITE MEDICALLY BASED FITNESS CENTER FOR THE COMMUNITY HAS 52 PIECES OF STATIONARY EXERCISE EQUIPMENT AND A VARIETY OF FREE WEIGHT EQUIPMENT THAT ALLOW THE CENTER TO MEET THE MOBILITY NEEDS OF OUR POPULATION AND IMPROVE EXERCISE OPTIONS FOR COMMUNITY MEMBERS. THE CENTER ALSO OFFERS AN AVERAGE OF 25 GROUP EXERCISE CLASSES EACH WEEK THAT ARE TAUGHT BY CERTIFIED EXERCISE PHYSIOLOGISTS AND EXERCISE INSTRUCTORS WITH THE GOAL OF BEING INCLUSIVE TO ALL FITNESS LEVELS, IMPROVING COMMUNITY EXERCISE PARTICIPATION RATES, AND INCREASING KNOWLEDGE ABOUT SAFE AND EFFECTIVE EXERCISE. IN FY25 THE MINGES WELLNESS CENTER LAUNCHED TWO PROGRAMS THAT TARGET CLINICAL POPULATION'S AND PROVIDE SUPERVISED EXERCISE PROGRAMS FOR THOSE AFFECTED BY CANCER OR PARKINSON'S DISEASE. THE MINGES WELLNESS CENTER HAD A MEMBERSHIP BASE OF 632 ACTIVE INDIVIDUAL MEMBERS FROM THE COMMUNITY IN FY25. MONTHLY MEMBERSHIP RATES OF $20 PER MONTH ASSIST AN UNDERSERVED COMMUNITY TO INITIATE EXERCISE PLANS. OUR PROGRAM PARTNERS WITH SILVER SNEAKERS, SILVER & FIT, ACTIVE & FIT, RENEW ACTIVE, AND FITON HEALTH BENEFITS TO OFFER FREE OR REDUCED COST MEMBERSHIPS FOR ELIGIBLE COMMUNITY MEMBERS. VARIOUS FREE PHYSICAL ACTIVITY ORIENTED EDUCATIONAL SESSIONS AND WORKSHOPS ARE OFFERED THROUGHOUT THE YEAR TO THE COMMUNITY FACILITATED BY OUR EXERCISE PHYSIOLOGISTS WITH THE GOAL OF INCREASING AWARENESS OF OUR FACILITIES SERVICES. CANCER CENTER VOLUNTEER LAY NAVIGATION ONCE A DIAGNOSIS OF CANCER IS RECEIVED, PATIENTS OFTEN FEEL OVERWHELMED. VOLUNTEER LAY NAVIGATORS, SUPERVISED BY THE SOCIAL WORKER AND/OR ONCOLOGY NURSE NAVIGATOR AT THE CANCER CENTER, HELP PATIENTS IDENTIFY AND REMOVE BARRIERS TO CARE WHILE LINKING THEM TO AVAILABLE CANCER SUPPORT RESOURCES. THE LAY NAVIGATOR MEETS WITH EACH NEW PATIENT IN CONSULT AND MAKES SUPPORTIVE PHONE CALLS TO PATIENTS RECENTLY FINISHED WITH TREATMENTS. UNC HEALTH'S LAY NAVIGATOR MADE MULTIPLE SUPPORTIVE PHONE CALLS IN FY 2025. OVER 140 HOURS IN PERSON VOLUNTEER HOURS WERE DONATED BY THE LAY NAVIGATOR IN FY 2025. CANCER CENTER PROGRAM OUTREACH THE CANCER CENTER PROVIDES AN ON-SITE FREE FOOD PANTRY FOR PATIENTS AND THEIR CAREGIVERS. PATIENTS THAT ARE UNABLE TO EAT CERTAIN FOODS OR GO GROCERY SHOPPING DUE TO FATIGUE, NAUSEA, AND OTHER SYMPTOMS RELATED TO THEIR ONCOLOGY TREATMENTS OR FINANCIAL ISSUES ARE WELCOME TO ANY ITEMS IN THE PANTRY. FOOD, NUTRITIONAL SUPPLEMENTS AND TOILETRY ITEMS ARE AVAILABLE IN THE PANTRY. COMMUNITY GROUPS AND INDIVIDUALS PROVIDE NUMEROUS DONATIONS OF ITEMS, AS WELL AS MONETARY DONATIONS TO BE USED FOR NEEDED PURCHASES, THROUGHOUT THE YEAR. THE CANCER CENTER FOOD PANTRY WAS INCLUDED AS A RECIPIENT OF UNC HEALTH LENOIR'S 2025 FEASTIVAL OF FOOD DRIVE. COMMUNITY EDUCATION AND OUTREACH CONTINUED IN FY 2025 WITH A TOTAL OF 6 MEETINGS OF THE LADIES CANCER SUPPORT GROUP. THIS GROUP MEETS IN PERSON AT THE UNC HEALTH LENOIR'S CENTER ON THE SECOND TUESDAY OF EVERY OTHER MONTH. ALL FEMALES IN ANY STAGE OF THEIR CANCER JOURNEY ARE INVITED TO ATTEND THESE GROUP MEETINGS. TOPICS INCLUDED NUTRITION, EXERCISE, FATIGUE, FINANCIAL AND PSYCHOSOCIAL ISSUES. COMMUNITY EDUCATIONAL TALKS WERE PROVIDED TO SEVERAL GROUPS IN THE COMMUNITY BY OUR CANCER SOCIAL WORKER AND NURSE NAVIGATOR. CANCER SCREENING EDUCATION WAS PROVIDED AT SEVERAL LOCAL CHURCH HEALTH FAIRS AND AT THE CITY OF KINSTON EMPLOYEE WELLNESS EVENT. UNC HEALTH LENOIR HOSTED A LUNG CANCER SCREENING EVENT IN THE FALL OF 2025. SINCE 2020, THE UNC LENOIR HEALTH CARE CANCER CENTER HAS PARTICIPATED IN LIFT- LESSENING THE IMPACT OF FINANCIAL TOXICITY, WHICH IS A CLINICAL STUDY AND GRANT THROUGH THE NATIONAL CANCER INSTITUTE AND UNC LINEBERGER CANCER CENTER IN CHAPEL HILL, FOCUSING ON "FINANCIAL TOXICITY" IN ONCOLOGY CARE. FINANCIAL TOXICITY IS "A TERM USED TO DESCRIBE THE FINANCIAL BURDEN THAT HEALTHCARE PLACES ON PATIENTS AND THEIR FAMILIES" (WHEELER, ROSENSTEIN). FINANCIAL NAVIGATION SERVICES ARE AVAILABLE TO ALL PATIENTS RECEIVING CANCER CARE AT UNC HEALTH LENOIR. PATIENTS EXPERIENCING FINANCIAL BURDENS RELATED TO THEIR CANCER TREATMENT ARE ABLE TO MAKE AN APPOINTMENT WITH A FINANCIAL NAVIGATOR AT UNC HEALTH LENOIR CANCER CENTER. PATIENTS ARE ASSISTED WITH FINDING FINANCIAL RESOURCES AND SERVICES. WHILE THIS PROGRAM ENDED IN 2025, UNC HEALTH LENOIR CANCER CENTER IS CONTINUING TO STRIVE FOR SIMILAR EFFORTS IN THE COMMUNITY. IN 2025, MINGES WELLNESS CENTER AND THE UNC HEALTH LENOIR CANCER CENTER PARTNERED WITH UNC LINEBERGER CANCER CENTER IN CHAPEL HILL TO BRING "GET REAL AND HEEL", A 12-WEEK, SMALL GROUP EXERCISE PROGRAM FOR PEOPLE AFFECTED BY CANCER THAT WE CONDUCT AT UNC CHAPEL HILL THROUGH OUR CCSP (COMPREHENSIVE CANCER SUPPORT PROGRAM) PROGRAM. WE DELIVER CARDIO, STRENGTH, FLEXIBILITY, AND BALANCE TRAINING TO CANCER SURVIVORS OF ALL DISEASE TYPES AND STAGES. WE WILL USE A TRAIN THE TRAINER MODEL TO BRING GRH TO YOUR SITE AND PROGRAMMING CAN BE TAILORED TO MEET YOUR SITE'S NEEDS. STROKE PREVENTION AND CARE THE STROKE PROGRAM AT UNC HEALTH LENOIR IS ACCREDITED BY THE JOINT COMMISSION SURVEY FOR CERTIFICATION AS A PRIMARY STROKE CENTER. WE WERE RECERTIFIED FOR THE FIFTH TIME IN AUGUST OF 2025 AND WILL UNDERGO OUR FIFTH BIANNUAL CERTIFICATION SURVEY IN 2025. STROKE PATIENTS ARE FOLLOWED USING THE COMPASS (COMPREHENSIVE POST-ACUTE STROKE SERVICES) PROGRAM. THE STROKE PROGRAM COORDINATOR FOLLOWS PATIENTS POST DISCHARGE AND IS WITH THE PATIENT AT THE FOLLOW UP NEUROLOGY APPOINTMENT. HEALTH COACHING, RISK FACTOR MANAGEMENT, AND ASSISTANCE IN ACCESSING COMMUNITY RESOURCES FOR THE PATIENT AND THEIR CAREGIVER IS PROVIDED. THE PATIENT IS ALSO OFFERED A COMMUNITY PARAMEDIC HOME VISIT FREE OF CHARGE AS NEEDED. THE PROGRAM FEATURES TELESPECIALISTS STROKE NEUROLOGY FOR CONSULT IN THE HYPERACUTE PHASE OF STROKE. WE WERE AWARDED THE 2025 AMERICAN HEART ASSOCIATION GET WITH THE GUIDELINES GOLD PLUS AWARD, TARGET STROKE HONOR ROLL ELITE, AND TARGET TYPE 2 DIABETES HONOR ROLL FOR EXCELLENCE IN MEETING STROKE CARE QUALITY METRICS. UNC HEALTH LENOIR WALKING TRACK UNC HEALTH LENOIR'S COMMUNITY WALKING TRACK AVERAGED OVER 500 WALKERS PER MONTH. CORPORATE HEALTH SERVICES PROVIDED EARLY DETECTION AND SCREENING EVENTS OF DISEASES/DISORDERS/RISKS INCLUDING HEART DISEASE, DIABETES, COLORECTAL CANCER, MAMMOGRAM SUPPORT (20), BLOOD PRESSURES (9446). DIABETES WELLNESS LOCATED IN THE MINNIE P. STACKHOUSE DIABETES CENTER, THE ADCES ACCREDITED DIABETES WELLNESS PROGRAM PROVIDED FREE DIABETES SELF-MANAGEMENT EDUCATION AND FOLLOW UP MANAGEMENT TO 49 INDIVIDUALS LIVING WITH DIABETES. OUTREACH EDUCATION WAS PROVIDED EACH MONTH REACHING 750 COMMUNITY MEMBERS. ADDITIONALLY, A REGISTERED DIETITIAN/DIABETES EDUCATOR PROVIDED 738 MEDICAL NUTRITION COUNSELING SESSIONS DURING THIS YEAR. RX FOOD COUPONS ($450.00) ARE PROVIDED TO PARTICIPANTS IN $5 INCREMENTS TO INCENTIVIZE EDUCATION BY INCREASING LOCAL ACCESS TO FRESH FRUITS AND VEGETABLES AT THE LENOIR COUNTY FARMERS MARKET. SCREENING EVENTS SERVICES INCLUDED (11) CORPORATE CLIENTS, (15) WORKSITE WELLNESS VISITS WITH (178) EMPLOYEE CONTACTS WITH FLU VACCINE ADMINISTRATION, CPR TRAINING, URINE DRUG SCREENS, BLOOD PRESSURE SCREENING BIOMETRIC SCREENING, AND EDUCATION FOR RISK FACTOR REDUCTION WERE PROVIDED. Form 990, Part VI, Line 15 Process for determining compensation THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS MEETS YEARLY TO REVIEW SALARIES AND BENEFITS OF SENIOR STAFF AND KEY EMPLOYEES. INFORMATION IS PRESENTED ON MARKET RATES AND OTHER CURRENT COMPENSATION ISSUES FACING THE HOSPITAL. ALL COMPENSATION AND BENEFIT RECOMMENDATIONS ARE VOTED ON BY THE EXECUTIVE COMPENSATION COMMITTEE AND PRESENTED TO THE FULL BOARD OF DIRECTORS FOR FINAL APPROVAL. Form 990, Part VI, Line 1a Delegate broad authority to a committee THE CHAIRMAN OF THE BOARD, VICE CHAIRMAN, SECRETARY, PRESIDENT, AND OTHERS AS APPOINTED BY THE CHAIRMAN SHALL CONSTITUTE THE EXECUTIVE COMMITTEE. THE CHAIRMAN OF THE BOARD OF DIRECTORS SHALL SERVE AS CHAIRMAN OF THE EXECUTIVE COMMITTEE AND THE VICE CHAIRMAN OF THE BOARD OF DIRECTORS SHALL SERVE AS VICE CHAIRMAN OF THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE SHALL HAVE FULL AUTHORITY TO TRANSACT ALL REGULAR BUSINESS OF THE HOSPITAL DURING THE INTERIM BETWEEN THE REGULAR MEETINGS OF THE BOARD OF DIRECTORS, PROVIDED THAT ANY ACTION WHICH IT MAY TAKE SHALL NOT CONFLICT WITH THESE BYLAWS, RULES AND REGULATIONS OR ARTICLES OF INCORPORATION OR WITH THE POLICIES AND DECISIONS OF THE BOARD OF DIRECTORS. SHOULD ANY MATTERS OF EXTREME URGENCY ARISE BETWEEN REGULAR MEETINGS OF THE BOARD OF DIRECTORS, IT SHALL BE THE PREROGATIVE OF THE EXECUTIVE COMMITTEE TO REQUEST THE CHAIRMAN OF THE BOARD TO CALL A SPECIAL MEETING, WHICH SHALL BE HELD AT LEAST TWICE ANNUALLY UPON CALL BY THE CHAIRMAN. A MAJORITY OF THE MEMBERS OF THE COMMITTEE SHALL CONSTITUTE A QUORUM. Form 990, Part VI, Line 3 Delegation of management duties THROUGH THE MANAGEMENT SERVICES AGREEMENT, UNC HEALTH CARE SYSTEM PROVIDES OVERSIGHT AND ASSISTANCE WITH A BROAD ARRAY OF BUSINESS, ADMINISTRATIVE, AND EXECUTIVE FUNCTIONS OF LENOIR MEMORIAL HOSPITAL, INC. (D/B/A UNC HEALTH LENOIR), INCLUDING BUT NOT LIMITED TO: FINANCIAL REPORTING AND BUDGETING, MANAGED CARE CONTRACTING, PURCHASING, PHYSICIAN RECRUITMENT AND RETENTION, MARKETING, AND CLINICAL SERVICE QUALITY. THE CEO OF UNC HEALTH LENOIR WAS CONTRACTED THROUGH THIS MANAGEMENT AGREEMENT, DURING THE 2024 CALENDAR YEAR THE CEO RECEIVED $566,102 FOR THESE SERVICES. THE BOARD OF DIRECTORS OF UNC HEALTH LENOIR REMAINS LOCALLY APPOINTED AND RETAINS ULTIMATE AUTHORITY OVER THE GOVERNANCE AND OPERATIONS OF THE HOSPITAL. Form 990, Part VI, Line 11b Review of form 990 by governing body THE ORGANIZATION'S MANAGEMENT TEAM REVIEWED THE FORM 990 IN DETAIL. THE 990 WAS PLACED ON THE ORGANIZATION'S BOARD PORTAL FOR BOARD MEMBER REVIEW PRIOR TO FILING THE RETURN AND FORMALLY PRESENTED AT A LATER DATE. Form 990, Part VI, Line 12c Conflict of interest policy 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, Line 18 How forms are made available to the public 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, Line 19 Required documents available to the public THE HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Vending - Total Revenue: 36320, Related or Exempt Function Revenue: 0, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 36320; Form 990, Part XII, Line 2c Change of oversight process or selection process THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, PART III, LINE 4A PROGRAM SERVICE DESCRIPTION (CONT.) COMMUNITY HEALTH IMPROVEMENT ADVOCACY UNC HEALTH LENOIR FOCUSED ON IMPROVING MATERNAL & CHILD HEALTH, THROUGH THESE INITIATIVES: EVIDENCE-BASED MATERNAL-CHILD STANDARDS OF CARE THE FAMILY BIRTH CENTER MAINTAINS EVIDENCE-BASED, PATIENT-CENTERED PRACTICES THAT SUPPORT OPTIMAL MATERNAL AND NEWBORN OUTCOMES. BABY-FRIENDLY PRINCIPLES, INCLUDING ROOMING-IN AND IMMEDIATE SKIN-TO-SKIN CONTACT, ARE STANDARD OF CARE. PRENATAL EDUCATION ENSURES FAMILIES UNDERSTAND THE BENEFITS OF SKIN-TO-SKIN, WHICH INCLUDE IMPROVED NEWBORN THERMOREGULATION, GLUCOSE STABILIZATION, DECREASED INFANT CRYING, REDUCED MATERNAL ANXIETY, AND IMPROVED BREASTFEEDING OUTCOMES. INFANT FEEDING SUPPORT IS INDIVIDUALIZED TO FAMILY CHOICE. MOTHERS WHO ELECT TO BREASTFEED ARE SUPPORTED WITH EARLY INITIATION WITHIN THE FIRST HOUR OF LIFE AND EDUCATION PROMOTING FEEDING ON DEMAND. FAMILIES CHOOSING FORMULA FEEDING RECEIVE EDUCATION ON APPROPRIATE BOTTLE-FEEDING TECHNIQUES, RECOGNITION OF HUNGER CUES, AND EXPECTED FEEDING PATTERNS. FEEDING LOGS ARE ENCOURAGED FOR ALL FAMILIES TO SUPPORT THE TRANSITION TO NEWBORN CARE. UPDATED GUIDELINES PROMOTE BREASTFEEDING SUPPORT FOR MOTHERS PARTICIPATING IN SUBSTANCE USE DISORDER (SUD) TREATMENT PROGRAMS. MATERNAL MENTAL HEALTH & SUBSTANCE USE INITIATIVES THE UNIT ACTIVELY PARTICIPATES IN PERINATAL QUALITY COLLABORATIVE OF NORTH CAROLINA INITIATIVES AIMED AT REDUCING THE IMPACT OF OPIOID AND SUBSTANCE USE DISORDERS ON MOTHERS AND INFANTS. STANDARDIZED SCREENING WITH VALIDATED TOOLS OCCURS PRENATALLY AND UPON HOSPITAL ADMISSION. IDENTIFIED PATIENTS ARE SUPPORTED THROUGH COORDINATED REFERRALS, INCLUDING SOCIAL WORK CONSULTATION, TREATMENT CENTER APPOINTMENTS WHEN ACCEPTED, AND DEVELOPMENT OF A SAFE DISCHARGE PLAN. NEWBORNS AFFECTED BY SUBSTANCE EXPOSURE ARE MANAGED USING THE EAT, SLEEP, CONSOLE CARE MODEL, PRIORITIZING NON-PHARMACOLOGIC INTERVENTIONS AND EMPHASIZING MATERNAL INVOLVEMENT AS THE PRIMARY THERAPEUTIC APPROACH. ALL ADMITTED OBSTETRIC PATIENTS RECEIVE DEPRESSION SCREENING TO SUPPORT EARLY IDENTIFICATION OF PERINATAL MOOD DISORDERS. ELEVATED SCREENING RESULTS PROMPT TIMELY SOCIAL WORK INVOLVEMENT AND COORDINATION OF OUTPATIENT MENTAL HEALTH FOLLOW-UP PRIOR TO DISCHARGE. ALL FAMILIES RECEIVE MATERNAL MENTAL HEALTH HOTLINE INFORMATION FOR CONTINUED SUPPORT AFTER HOSPITALIZATION. SOCIAL DETERMINANTS OF HEALTH & HEALTH EQUITY THE FAMILY BIRTH CENTER INTEGRATES SOCIAL DETERMINANTS OF HEALTH (SDOH) SCREENING INTO ROUTINE MATERNAL CARE. SCREENING DOMAINS INCLUDE FINANCIAL STRAIN, FOOD INSECURITY, TRANSPORTATION NEEDS, HEALTH LITERACY, INTERPERSONAL SAFETY, INTIMATE PARTNER VIOLENCE, SOCIAL CONNECTIONS, PHYSICAL ACTIVITY, STRESS, DEPRESSION, AND SUBSTANCE USE DISORDER. IDENTIFIED NEEDS ARE ADDRESSED THROUGH INTERDISCIPLINARY COLLABORATION WITH SOCIAL WORK AND COMMUNITY PARTNERS TO REDUCE BARRIERS TO CARE AND PROMOTE HEALTH EQUITY. NEWBORN SAFETY, SCREENING & EARLY DETECTION THE UNIT ENSURES COMPLETION OF REQUIRED NEWBORN SCREENINGS, INCLUDING CRITICAL CONGENITAL HEART DEFECT (CCHD), BILIRUBIN/JAUNDICE, HEARING, AND STATE METABOLIC SCREENING. CCHD SCREENING ALIGNS WITH NATIONAL RECOMMENDATIONS TO IMPROVE EARLY DETECTION OF LIFE-THREATENING CARDIAC CONDITIONS THAT MAY NOT BE IDENTIFIED PRENATALLY OR ON INITIAL EXAM. FAMILIES RECEIVE STANDARDIZED EDUCATION ON SAFE SLEEP PRACTICES PRIOR TO INFANT DISCHARGE TO REDUCE THE RISK OF SUDDEN UNEXPLAINED INFANT DEATH SYNDROME (SUIDS). JAUNDICE SCREENING AND TIMELY PHOTOTHERAPY ARE IMPLEMENTED TO PREVENT COMPLICATIONS OF HYPERBILIRUBINEMIA. OBSTETRIC SAFETY & QUALITY IMPROVEMENT RECOGNIZING OBSTETRIC HEMORRHAGE (OBH) AS A LEADING CAUSE OF MATERNAL MORBIDITY AND MORTALITY IN NORTH CAROLINA, THE FAMILY BIRTH CENTER UTILIZES STANDARDIZED OBH RISK ASSESSMENTS AT ADMISSION, AT COMPLETE DILATION, AND AT DELIVERY. MULTIDISCIPLINARY RESPONSE PROTOCOLS AND INTERVENTION GUIDELINES ARE EMBEDDED INTO CLINICAL WORKFLOWS TO SUPPORT EARLY RECOGNITION AND RAPID MANAGEMENT. FOCUSED EDUCATIONAL ROUNDING SUPPORTS MATERNAL AND NEWBORN SAFETY THROUGH CONSISTENT BEDSIDE EDUCATION. FAMILIES RECEIVE INSTRUCTIONS ON RECOGNIZING WARNING SIGNS AND SYMPTOMS REQUIRING URGENT MEDICAL ATTENTION. "I GAVE BIRTH" BRACELETS ARE PROVIDED TO INCREASE POSTPARTUM EMERGENCY AWARENESS FOR COMMUNITY FIRST RESPONDERS. EDUCATION, COMMUNITY ENGAGEMENT & CARE CONTINUITY THE FAMILY BIRTH CENTER COLLABORATES WITH LOCAL PREGNANCY CLINICS TO ENSURE CONSISTENT EDUCATION ACROSS THE ANTEPARTUM, INTRAPARTUM, POSTPARTUM, AND NEONATAL CONTINUUM. STORK BOOKLETS ARE DISTRIBUTED THROUGHOUT THE COMMUNITY TO PROVIDE FAMILIES WITH CLEAR EXPECTATIONS, PREGNANCY TRACKING TOOLS, AND PREPARATION GUIDANCE FOR DELIVERY AT UNC HEALTH LENOIR. ANTEPARTUM PATIENTS RECEIVE EDUCATION ON HOSPITAL PREPARATION, AVAILABLE COMMUNITY RESOURCES, AND CAR SEAT SAFETY. COLLABORATION WITH THE LENOIR COUNTY HEALTH DEPARTMENT SUPPORTS INITIATIVES SUCH AS CRIBS FOR KIDS AND POSTPARTUM-NEWBORN HOME VISIT REFERRALS. A PARENTING EDUCATION STATION WITH FREE EDUCATIONAL MATERIALS IS MAINTAINED IN THE FBC WAITING AREA TO REINFORCE SAFE PARENTING PRACTICES. EMERGENCY DEPARTMENT & INTERDISCIPLINARY COLLABORATION IN PARTNERSHIP WITH THE EMERGENCY DEPARTMENT, THE FAMILY BIRTH CENTER IMPLEMENTED A STANDARDIZED WORKFLOW TO SUPPORT PREGNANT PATIENTS PRESENTING WITHOUT ESTABLISHED PRENATAL CARE OR WITH PREGNANCY-RELATED COMPLAINTS. PROCESSES INCLUDE DIRECT INITIATION OF PRENATAL CARE REFERRALS AND STANDARDIZED EDUCATION TO PROMOTE EARLY ENGAGEMENT IN CARE. BEREAVEMENT SUPPORT RESOURCES AND FETAL LOSS EDUCATION PACKETS WERE SHARED WITH ED AND PATIENT EXPERIENCE TEAMS TO ENSURE COMPASSIONATE, CONSISTENT CARE DURING EARLY PREGNANCY LOSS. MATERNAL-CHILD WORKFORCE EDUCATION & PREPAREDNESS ONGOING STAFF EDUCATION AND SIMULATION SUPPORT MATERNAL AND NEONATAL SAFETY AND READINESS. TRAINING INCLUDES NEONATAL RESUSCITATION, STABILIZATION OF HIGH-RISK NEWBORNS, OBSTETRIC AND NEONATAL EMERGENCY SIMULATIONS, BREASTFEEDING EDUCATION, AND EMERGENCY PREPAREDNESS EXERCISES. WEEKLY ADVANCED PRACTICE PROVIDER EDUCATION SUPPORTS CONTINUOUS LEARNING ACROSS DISCIPLINES. OUTCOMES & CONTINUOUS IMPROVEMENT * INCREASED BREASTMILK EXPOSURE RATES SUSTAINED ABOVE HISTORICAL BENCHMARKS * * HIGH COMPLIANCE WITH MATERNAL AND NEWBORN SAFETY METRICS, INCLUDING PAIN REASSESSMENT, FALL PREVENTION, BCMA, BILIRUBIN SCREENING, LATCH SCORING, VTE PROPHYLAXIS, AND LOW-RISK PATHWAY UTILIZATION * FULL COMPLIANCE WITH STATE AND FEDERAL HEARING AND VACCINE PROGRAM REQUIREMENTS * COLLABORATION WITH THE PERINATAL QUALITY COLLABORATIVE OF NORTH CAROLINA TO DEVELOP AND IMPLEMENT STANDARDIZED CARE PATHWAYS FOR LATE PRETERM INFANTS, SUPPORTED BY INTEGRATED EMR TOOLS AND EDUCATION MATERIALS * MAINTAINED HIGH PATIENT SATISFACTION SCORES AND CONSISTENT NEWBORN VITAL SIGN COMPLIANCE UNIT SUMMARY THE FAMILY BIRTH CENTER'S MATERNAL-CHILD HEALTH INITIATIVES REFLECT A COMPREHENSIVE, TEAM-BASED APPROACH TO DELIVERING SAFE, EQUITABLE, AND COMPASSIONATE CARE. THROUGH EVIDENCE-BASED CLINICAL STANDARDS, STRONG COMMUNITY PARTNERSHIPS, INTEGRATED MENTAL HEALTH AND SUBSTANCE USE SUPPORT, AND CONTINUOUS QUALITY IMPROVEMENT, THE UNIT PROMOTES POSITIVE OUTCOMES FOR MOTHERS, INFANTS, AND FAMILIES ACROSS THE CONTINUUM OF CARE. Form 990, Parts VIII & IX and Schedule H Bad Debt and HASP Requirements To comply with the Healthcare Access and Stabilization Program (HASP) requirements for FY2025, the North Carolina Department of Health and Human Services mandated all North Carolina hospitals to attest to implementing a standardized, enhanced medical debt policy. This applies to North Carolina residents who are actively enrolled in Medicaid or Managed Medicaid or fall below certain federal poverty levels. Historical debt remaining in our system was impacted. In FY2025, the filing organization implemented the North Carolina Medical Debt Relief and Mitigation policy as required by HASP. This policy reduced Bad Debt expense and increased Charity Care for the filing year. LENOIR ASC 100 AIRPORT ROAD KINSTON NC 28501 882318786 ENDOSCOPY SERVICES NC -535 -71780 LMH LENOIR MEMORIAL HOSPITAL FOUNDATION INC 100 AIRPORT ROAD KINSTON NC 28501 581584139 SUPPORT THE CHARITABLE, EDUCATIONAL, AND SCIENTIFIC PURPOSES OF THE HOSPITAL. NC 501(c)(3) Type I LENOIR MEMORIAL HOSPITAL true LENOIR HEALTH SERVICES INC 100 AIRPORT ROAD KINSTON NC 28501 581705689 SUPPORT CHARITABLE, EDUCATIONAL, AND SCIENTIFIC PURPOSES OF THE HOSPITAL. NC 501(c)(3) Type I LENOIR MEMORIAL HOSPITAL true false false true false false false false false false false false false false true true false true true false LENOIR MEMORIAL HOSPITAL FOUNDATION C 126339 COST LENOIR MEMORIAL HOSPITAL FOUNDATION Q 48000 COST