2024-04-15T06:40:26-05:00 2023-06-30 BDO USA 421 Fayetteville Street Suite 300 Raleigh NC 27601 990 2022-07-01 566000674 Lenoir Memorial Hospital Inc % REBECCA CRAIG LENO 2525227510 100 Airport Road Kinston NC 28501 REBECCA CRAIG CFO 2525227510 2024-04-12 true REBECCA CRAIG 999009999 SANDRA L FEINSMITH P01064157 9192781936 2024-04-12 2 2022 2023-04-26 12:10:37Z UNC HEALTH LENOIR REBECCA CRAIG 100 Airport Road Kinston NC 28501 163213197 false X WWW.UNCLENOIR.ORG X 1950 NC PROVIDING EXCEPTIONAL HEALTHCARE AS AN OUTSTANDING COMMUNITY HOSPITAL 17 14 1157 129 694927 0 7485541 71405 142052813 157359786 2382140 2361904 3842466 2680932 155762960 162474027 3404 0 0 0 62023988 63035741 0 0 137807 103106514 98453725 165133906 161489466 -9370946 984561 183094580 175861194 57532978 47698271 125561602 128162923 X THE MISSION OF UNC HEALTH LENOIR IS TO ENSURE EXCEPTIONAL HEALTHCARE FOR THE PEOPLE WE SERVE. false false 146541694 0 157590772 SEE SCHEDULE O FOR THE DESCRIPTION OF THE ORGANIZATION'S PROGRAM SERVICE ACCOMPLISHMENTS. 146541694 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 true true false true false false false false true true true false false true 165 0 true 1157 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 true true true true true true true true true true NC X X REBECCA CRAIG 2525227784 100 AIRPORT ROAD KINSTON NC 28501 X CLAIRE D PARIS CMO 50.0 0.0 X 645768 0 27561 JEFFREY A WAKEFIELD CFO 50.0 0.0 X 311843 0 44106 MARK E HENNING CRNA 40.0 0.0 X 312130 0 25816 STEPHEN MICHAUX-SMITH CRNA 40.0 0.0 X 284867 0 17829 CHARLES L LAMBERT CRNA 40.0 0.0 X 261090 0 24317 KARL L VANDERSTOUW VP SUPPORT SERVICES 50.0 0.0 X 244424 0 22000 CHARLES P WOODARD crna 40.0 0.0 X 229533 0 32290 ROBIN REAVIS CRNA 40.0 0.0 X 232089 0 22637 MONICA JILL PHLIPPEAU CNO 50.0 0.0 X 208318 0 18532 DEREK RYAN VESTAL VP OPERATIONS 50.0 0.0 X 185176 0 17883 DEBBIE LANIER BOARD ASSISTANT SECRETARY 40.0 1.0 X 81867 0 20183 ROBERT ENDERS JR CEO (THRU 02/23) 50.0 1.0 X X 0 0 0 CRYSTAL HAYDEN CEO (AS OF 05/23) 50.0 1.0 X X 0 0 0 CARL YOUNGER JR BOARD CHAIR 2.0 1.0 X X 0 0 0 CRAIG HILL BOARD VICE CHAIR 2.0 1.0 X X 0 0 0 MICHAEL WHITFIELD CPA BOARD TREASURER 2.0 1.0 X X 0 0 0 ROBIN ROBERSON BOARD ASSISTANT TREASURER 2.0 1.0 X X 0 0 0 D STUART LINDLEY BOARD SECRETARY 2.0 1.0 X X 0 0 0 SHIRLEY DOVE EDD BOARD MEMBER 1.0 1.0 X 0 0 0 MICHAEL HADDAD MD BOARD MEMBER 1.0 1.0 X 0 0 0 KHALIL ABULATIFA MD BOARD MEMBER 1.0 1.0 X 0 0 0 RANDY BLEDSOE EDD BOARD MEMBER 1.0 1.0 X 0 0 0 PRESTON HARRIS BOARD MEMBER 1.0 1.0 X 0 0 0 FRANCES HERRING BOARD MEMBER 1.0 1.0 X 0 0 0 RUSSELL THOMAS HUNT EDD BOARD MEMBER 1.0 1.0 X 0 0 0 JOAN PERRY MD BOARD MEMBER 1.0 1.0 X 0 0 0 HUGH POLLOCK BOARD MEMBER 1.0 1.0 X 0 0 0 JAMES C PURNELL V BOARD MEMBER 1.0 1.0 X 0 0 0 FELICIA SOLOMAN BOARD MEMBER 1.0 1.0 X 0 0 0 JOHN MCPHAUL BOARD MEMBER 1.0 1.0 X 0 0 0 LADDIE M CRISP MC BOARD MEMBER 1.0 1.0 X 0 0 0 2997105 0 273154 63 false true false Qualivis 5930 CORNERSTONE CT W 300 SAN DIEGO CA 92121 Contract Nursing 15200729 AMERICAN ANESTHESIOLOGY OF NC 68 SOUTH SERVICE RD STE 350 MELVILLE NY 11747 ANESTHESIOLOGY 2530526 Vidant Medical Group PO BOX 8423 GREENVILLE NC 27835 Hospitalists 2250702 SODEXO MANAGEMENT INC 9801 WASHINGTONIAN BOULEVARD GAITHERSBURG MD 20878 Contract Dietary&EVS 1908085 Guardian 105 WESTPARK DRIVE SUITE 100 BRENTWOOD TN 37027 Contract Nursing 1229230 14 71405 71405 71405 PATIENT SERVICES 621990 156732957 156038030 694927 ANCILLARY SERVICES 621990 585890 585890 WELLNESS CENTER REVENUE 713940 40939 40939 157359786 2430052 2430052 0 0 1057592 0 0 1057592 1057592 1057592 68148 -68148 -68148 -68148 0 0 0 0 0 0 1596935 671022 925913 925913 CAFETERIA 900099 627091 627091 VENDING 900099 44641 44641 MISCELLANEOUS 900099 25695 25695 697427 162474027 157590772 694927 4116923 X 0 0 0 0 1855833 185583 1670250 0 48868509 38030507 10726553 111449 1709680 1602329 102893 4458 6837319 5421915 1402030 13374 3764400 2847635 908239 8526 795024 795024 384988 384988 149796 149796 14965 14965 0 176087 176087 23429386 23429386 0 0 339402 339402 93972 93972 1503719 1503719 0 2299529 2299529 46498 46498 0 29956 29956 527692 527692 11086601 11086601 8665027 8665027 436463 436463 BAD DEBT EXPENSE 20295091 20295091 MEDICAL SUPPLIES 13686018 13686018 OTHER SUPPLIES AND EXPENSES 4161096 4161096 OTHERS 10332415 10332415 161489466 146541694 14809965 137807 726939 34699 8177050 5587309 0 0 14449224 16700386 0 0 0 0 0 0 3392260 3529753 2494361 2556647 171327719 113555286 54766934 57772433 83611948 62097736 0 0 0 0 0 0 15475864 27582231 183094580 175861194 15465023 10485154 0 0 1649804 2671415 13370000 12665000 0 0 0 0 13775742 15042343 0 0 13272409 6834359 57532978 47698271 X 97957340 93923421 27604262 34239502 125561602 128162923 183094580 175861194 X 984561 1421634 195126 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 14965 14965 false PART 11-B, LINE 1, LOBBYING ACTIVITIES 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 $9,830 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, $5,135 OF MEMBERSHIP DUES WERE ALLOCATED TO LOBBYING EXPENSE. 595406 595406 77583809 41898595 35685214 8328915 5599500 2729415 84735749 65975575 18760174 83840 81616 2224 57772433 OTHER ASSETS 22400305 OTHER RECEIVABLES 1905489 LEASE RECEIVABLES 2826176 PHYSICIAN RECEIVABLE 229829 CURRENT-PHYSICIANS RECEIVABLE 220432 27582231 0 EST THIRD PARTY PAYOR SETTLEME 5833034 OTHER CURRENT LIABILITIES 1001325 6834359 X SCHEDULE D, PART X, LINE 2: 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 true X 250. false true true true false true true 8271110 8271110 0.06310 8271110 8271110 0.06310 713133 196121 517012 0.00390 331069 331069 0.00250 19060 19060 0.00010 130111 130111 0.00100 1193373 196121 997252 0.00750 9464483 196121 9268362 0.07060 false 20295091 7728441 true true 1 1 LENOIR MEMORIAL HOSPITAL INC 100 AIRPORT ROAD KINSTON NC 28501 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 21 true false false true X WWW.UNCLENOIR.ORG X WWW.CO.LENOIR.NC.US X X true 21 true www.lenoirwellness.org/healthy-communities false true X 250. 0. X X X X X X true true X X X true X WWW.UNCLENOIR.ORG X WWW.UNCLENOIR.ORG X WWW.UNCLENOIR.ORG X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5: IN 2021/2022, 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: + WELLNESS & LIFESTYLE + IMMUNIZATIONS & INFECTIOUS DISEASES + SUBSTANCE ABUSE THE FULL 2021/2022 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.LENOIRWELLNESS.ORG/HEALTHY-COMMUNITIES/ SCHEDULE H, PART V, SECTION B, LINE 7D: THE CHNA WAS MAILED OUT TO COMMUNITY LEADERS SCHEDULE H, PART V, SECTION B, LINE 11: UNC HEALTH LENOIR IS ADDRESSING SPECIFIC COMMUNITY NEEDS FROM THE 2021-2022 CHNA. 1) A SPECIFIC CONCERN WAS THE INCIDENT SPREAD OF COVID-19 IN LENOIR COUNTY. THE DESIRED OUTCOME WAS TO REDUCE THE RATE OF COVID-19 IN LENOIR COUNTY THROUGH TESTING, COMMUNITY DRIVES FOR VACCINATIONS, AND DEVELOPING ADDITIONAL PRECAUTIONS FOR UNC HEALTH LENOIR. 2) SUBSTANCE ABUSE WAS IDENTIFIED AS A SPECIFIC COMMUNITY CONCERN OF LEGAL AND ILLEGAL DRUGS ABUSED IN LENOIR COUNTY. THE HOSPITAL EMERGENCY DEPARTMENT PROVIDERS THROUGH PARTICIPATION ON THE UNC HEALTH LENOIR PAIN STEWARDSHIP COMMITTEE WHICH FACILITATED COMMUNICATION WITH LOCAL PROVIDERS TO ENHANCE THEIR KNOWLEDGE OF THE PAIN MANAGEMENT PROCESS IN THE EMERGENCY DEPARTMENT. PHARMACISTS HAVE PRESENTATIONS TO THE COMMUNITY ABOUT SAFE MEDICATION DISPOSAL. THERE IS INCREASED EDUCATION TO THE COMMUNITY ABOUT ALTERNATIVE PAIN THERAPY. 3) ANOTHER STRATEGY WAS WELLNESS AND LIFESTYLE WITH A GOAL OF REDUCING ADULT OBESITY. UNC HEALTH LENOIR PROVIDED LOW COST OR FREE ON SITE FITNESS CENTER AND FREE COMMUNITY WALKING TRACK WHICH IS GRANT FUNDING FOR USE OF THE COMMUNITY. THERE IS INCREASED SUPPORT WITH COMMUNITY ORGANIZATIONS WITH SPONSORSHIPS TARGETING PHYSICAL ACTIVITY COMPONENTS OF EVENTS. 4) INCREASE NUTRITION EDUCATION AND HEALTHY FOOD BEHAVIORS FOR RESIDENTS OF LENOIR COUNTY. THE SUPPORT HAS INCREASED FOR ACCESS TO FRESH FRUITS AND VEGETABLES IN THE COMMUNITY WITH EVENTS AT THE LENOIR COUNTY FARMER'S MARKET. THERE ARE SCHEDULED HEALTH GROCERY CART CONVERSATION SERIES AND COMMUNITY WEIGHT LOSS PROGRAMMING SERVICES. DURING FEBRUARY EACH YEAR THERE ARE HEART HEALTH EDUCATION PROGRAMS. THE FOLLOWING COMMUNITY NEEDS ARE NOT ADDRESSED: 1) COMMUNITY TRANSPORTATION WITH THE IMPACT OF THE COVID THIS NEED WILL BE ADDRESSED FURTHER IN THE NEXT CYCLE, 2) MATERNAL, FETAL, AND INFANT HEALTH WAS NOT SPECIFICALLY ADDRESSED DUE TO THIS AREA BEING ADDRESSED IN THE COMMUNITY, 3) THE CANCER PROGRAM AT UNC HEALTH LENOIR ACHIEVED ACCREDITATION IN 2019 AND IS BEING ADDRESSED WITH A MULTI-ORGANIZATION COLLABORATIVE EFFORT, 4) ALSO NOT ADDRESSED DUE TO PRIORITIZATION WERE: THE ECONOMY, HEART DISEASE, MORTALITY DATA, AND MENTAL HEALTH AND MENTAL DISORDERS. PART I, LINE 3C: 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. PART I, LINE 7G: THE SUBSIDIZED HEALTH SERVICES PROGRAMS INCLUDED DIABETES, ENDOCRINOLOGY, HEMATOLOGY/ONCOLOGY, AND NEONATOLOGY. PART II, COMMUNITY BUILDING ACTIVITIES: Healthy Communities Community Portal Using the Healthy Communities Institute, a comprehensive health status database at www.lenoirwellness.org 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 Cash donations included support and sponsorships for Kinston/Lenoir County Chamber of Commerce, Community Council for the Arts, Downtown Kinston Development, SoundRivers, Neuse Regional Library, BBQ Festival on the Neuse, Lenoir County Education Foundation, Neuse Regional Library, Freedom Classic Community Health Improvement Advocacy UNC Health Lenoir focused on improving Maternal & Child Health, through these initiatives: - "Baby Friendly" practices such as "rooming in"skin to skin" for mom and baby are Standards of Care. Skin to skin education is given prior to birth and discussed with moms. Skin to skin provides quicker thermoregulation of the newborn, stabilization of blood glucose levels, decreases newborn crying and maternal anxiety, and promotes a positive breastfeeding experience. - Breastfeeding support is provided for those moms who choose to breastfeed. Breastfeeding is initiated within the first hour and encouragement given for breastfeeding on demand. Proper bottle-feeding techniques, hunger ques and feeding patterns are taught to those moms that choose to formula feed. Feeding logs are encouraged for all new parents, to help transition parents into their new roles and responsibilities. New guidelines established to encourage breastfeeding for mothers in substance use disorder programs. - Participating in current collaborative with the Perinatal Quality Collaborative of North Carolina to decrease opioid use disorder impact on mothers and babies. This will focus on screening women with a validated tool prenatally and upon hospital admission for substance abuse disorder and assisting these individuals to receive needed resources which includes a social work consult, appointment at a treatment center (if agreed upon) and a safe plan of care upon discharge. Updated management for identification and treatment for the newborns is implemented via the Eat Sleep and Console method, which uses mom as medicine. - Admitted inpatients receive a depression screening to help aid in early identification of depression disorder which has the potential to lead to suicidal ideations and/or substance use disorder. If scoring is high, a social work consult is made and a follow-up mental health appointment is made for the patient prior to discharge. - Families receive safe sleep education prior to infant discharge which is focused on safe sleep practices at home. This is in efforts to help reduce the rates of Sudden Unexplained Infant Death Syndrome. - Patients receive Social Determinant of Health Screenings related to: Financial Strain, Food Insecurity, Transportation Needs, Health Literacy, Interpersonal Safety, Intimate Partner Violence, Social Connections, Substance Use Disorder, Physical Activity, Stress/ Depression and are provided needed resources by the interdisciplinary team with guidance by a Social Worker. - A series of newborn screenings are performed when appropriate and include; Critical Congenital Heart Defects (CCHD), jaundice, hearing, and a metabolic screening. 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) recommends that CCHD screenings be added to the uniform newborn screening panel. Jaundice is an increase in bilirubin levels and treated with phototherapy. Hearing screenings are routine practice to help catch hearing loss early on and avoid any speech or developmental delays. Metabolic screenings are obtained and sent to the state lab in order to quickly identify any possible metabolic disorders of the newborn. - OBH (obstetric hemorrhage) is a major cause of maternal death and morbidity in North Carolina. The FBC is working with the perinatal quality improvement teams to identify and promptly manage OBH. All obstetric patients seeking care at UNC HEALTH LENOIR are assessed for OBH (obstetric hemorrhage) risks on admission, at complete dilatation and at delivery. Intervention guidelines for the optimal response of the multidisciplinary team in the event of obstetrical hemorrhage (OBH) have been implemented. - Focused educational rounding is performed to provide open discussion learning opportunities for parents and educational videos are encouraged throughout the admission stay with topic focus on newborn care and safety. Signs and symptoms are reviewed regarding when to seek immediate medical care or call 911 for infant and maternal emergencies. Mothers are given "I Gave Birth Bracelets" to increase postpartum complication awareness via emergency responders in the community. - A Parenting Education station with dozens of free educational resources is maintained in the FBC waiting room to support families in best practices for parenting. - Collaboration with pregnancy clinics to give consistent and up to date education regarding antepartum, intrapartum, postpartum and neonatal care. Stork booklets are delivered to all offices and office staff are encouraged to distribute these booklets as a "What to Expect at UNC Health Lenoir When You are Expecting". The 20-page booklet is a free educational journal the patient can use to keep track of important health information, learn week by week, and know what to get prepared for throughout her pregnancy journey. - Collaboration with Lenoir County Health Department on resources offered such as "Cribs for Kids." - Antepartum patients receive education on resources offered in the community as well as what patient needs to bring to the hospital at the time of delivery, and information regarding car seat education upon discharge. - Maternal mental health hotline number is provided to all patients to be used as a resource if patient experiences any mental health concerns including postpartum depression or anxiety. Community Support Community Support included sponsoring Parkinson's Support Group and Weight Management Support Groups which have met off-site with 429 persons attending. Cash donations included support for Lenoir Greene United Way, Diabetes Lions Walk, Lenoir County Unit Boys & Girls Club, Caswell Center Operation Santa Claus, Shady Grove UMC Cystic Fibrosis Walk, FoodBank ENC, and Lenoir County American Cancer Society Relay for Life. In cooperation with the Kinston/Lenoir County Farmers Market, UNC Health Lenoir assisted underserved residents of the community having diabetes with access to local fresh fruits and vegetables through 90 incentive Rx coupons within program in partnership with Lenoir County Cooperative Extension. Additionally, UNC Health Lenoir provided several onsite healthy cooking demonstrations by a dietitian. 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 is located adjac PART III, LINE 3: 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. PART III, LINE 4: 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. PART III, LINE 8: THE MEDICARE COST REPORT WAS USED TO DETERMINE MEDICARE ALLOWABLE COSTS OF CARE. PART III, LINE 9B: 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. PART VI, LINE 2: 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. PART VI, LINE 3: 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.UNCHEALTHCARE.ORG/PATIENTS-FAMILIES-VISITORS/BILLING-FINANCIAL-ASSISTA NCE/FINANCIAL-ASSISTANCE. 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. PART VI, LINE 4: LENOIR MEMORIAL HOSPITAL (D/B/A UNC HEALTH LENOIR) IS LOCATED IN KINSTON, NORTH CAROLINA (POPULATION ESTIMATE APRIL 2020 19,900), WHICH IS THE COUNTY SEAT AND LARGEST TOWN IN LENOIR COUNTY (POPULATION ESTIMATE APRIL 2020 55,122); 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'S AREAS OF NORTH CAROLINA SINCE 2010, LENOIR COUNTY WAS ONE OF FORTY-SEVEN RURAL COUNTIES STATEWIDE THAT LOST POPULATION WITH LENOIR COUNTY DOWN (7.4 PCT OR 4,373), VS. THE NC AVERAGE OF +9.5 PCT. KINSTON'S DECLINE WAS EVEN LARGER THAN LENOIR COUNTY AT 8.2 PCT (1,777). 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 16TH MOST DISTRESSED COUNTY IN THE STATE. LENOIR COUNTY WITH 18.8 PCT OF THE POPULATION WITH A DISABILITY IS TWICE THE STATE PERCENTAGE OF 9.4 PCT. POVERTY LEVELS IN KINSTON AND LENOIR COUNTY EXCEED STATE AVERAGES; IN 2021 THE COUNTY'S POVERTY LEVEL WAS 23 PCT AS COMPARED TO THE STATE AVERAGE OF 15 PCT. THE ECONOMICALLY DISADVANTAGED PERCENTAGE OF CHILDREN IN LENOIR COUNTY SCHOOLS WAS 71.5 PCT, AND ALL SCHOOLS WITH ELEMENTARY AND MIDDLE GRADES WERE TITLE 1. PORTIONS OF KINSTON ARE DESIGNATED AS HEALTH PROFESSIONAL SHORTAGE AREAS. THE MEDIAN INCOME IN LENOIR COUNTY IS 72.2 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, 2010-2020 -8.2 (KC); -7.4(LC); +9.5(NC) PERCENT BELOW POVERTY LEVEL 27.8(KC); 17.2(LC); 12.9(NC) MEDIAN HOUSEHOLD INCOME, 2020 $33,066(KC); $39,402 (LC); $54,602(NC) CHILDREN IN POVERTY BY PERCENT, 2020 49.0(KC); 26.1(LC); 17.9(NC) THE HISTORICAL DEPENDENCE UPON FARMING AND LIGHT MANUFACTURING JOBS, AS WELL AS POVERTY AND EDUCATION LEVELS THAT ARE HIGHER AND LOWER, RESPECTIVELY, THAN NC AVERAGES WILL LIKELY CONTINUE TO BE LIMITING FACTORS TO CONSISTENTLY STRONG OR RAPID ECONOMIC GROWTH. IN ORDER TO ADDRESS THESE CHALLENGES, NUMEROUS AREA ORGANIZATIONS CONTINUE TO WORK TOWARD DEVELOPMENT INITIATIVES THAT WILL CREATE LONG TERM SOCIAL AND ECONOMIC IMPROVEMENT. PART VI, LINE 5: THE HOSPITAL BOARD IS COMPRISED OF UNRELATED COMMUNITY MEMBERS. LOCAL PHYSICIANS HAVE PRIVILEGES IN A MAJORITY OF HOSPITAL DEPARTMENTS. SURPLUS FUNDS MAY BE USED TO PURCHASE 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. PART VI, LINE 7, LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: NORTH CAROLINA X true true X X X false true false false false false false false false JEFFREY A WAKEFIELD CFO 272502 0 17604 0 21737 0 21307 0 22799 0 355949 0 0 0 CLAIRE D PARIS CMO 592388 0 24893 0 28487 0 27561 0 0 0 673329 0 0 0 MONICA JILL PHLIPPEAU CNO 196002 0 12316 0 0 0 2262 0 16270 0 226850 0 0 0 KARL L VANDERSTOUW VP SUPPORT SERVICES 215080 0 13684 0 15660 0 8120 0 13880 0 266424 0 0 0 DEREK RYAN VESTAL VP OPERATIONS 160300 0 19321 0 5555 0 10289 0 7594 0 203059 0 0 0 MARK E HENNING CRNA 285032 0 17242 0 9856 0 11936 0 13880 0 337946 0 0 0 STEPHEN MICHAUX-SMITH CRNA 269249 0 15618 0 0 0 10918 0 6911 0 302696 0 0 0 CHARLES L LAMBERT CRNA 239959 0 21131 0 0 0 9823 0 14494 0 285407 0 0 0 CHARLES P WOODARD crna 226338 0 3195 0 0 0 9491 0 22799 0 261823 0 0 0 ROBIN REAVIS CRNA 228914 0 3175 0 0 0 9439 0 13198 0 254726 0 0 0 SCHEDULE J, Part I, Line 1A: THE HOSPITAL PERMITS BOARD MEMBERS TO TRAVEL WITH THEIR SPOUSES TO EDUCATIONAL SEMINARS AND IS PART OF THE BOARD OF DIRECTOR TRAVEL POLICY. SCHEDULE J, PART I, LINE 4B: The following received payments from 457F: -Jeffrey A. Wakefield, CFO $21,737 -Claire D. Paris, CMO $28,487 -Karl Vanderstouw, VP SUPPORT SERVICES $15,659 -Derek RYAN Vestal, VP OPERATIONS $3,493 A NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 657902Y63 2005-09-22 22000000 CAPITAL PROJECTS false false false B NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 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 0 false false false true B false false true true false 0 false false false true A false false true true true false 0 false 0 false true B false false true true true false 0 false 0 false true A true B true SCHEDULE K, SUPPLEMENTAL INFORMATION: 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. FAYE HILL RELATIVE OF BOARD MEMBER 64622 EMPLOYEE RADIOLOGY TECH false SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (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. X 1 71405 COST false true false FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS COMMUNITY HEALTH NEEDS ASSESSMENT AND HEALTH ENC IN 2021/ 2022, 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: + WELLNESS & LIFESTYLE + IMMUNIZATIONS & INFECTIOUS DISEASES + SUBSTANCE ABUSE THE FULL 2021/2022 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.LENOIRWELLNESS.ORG/HEALTHY-COMMUNITIES/ HEALTHY COMMUNITIES COMMUNITY PORTAL USING THE HEALTHY COMMUNITIES INSTITUTE, A COMPREHENSIVE HEALTH STATUS DATABASE AT WWW.LENOIRWELLNESS.ORG 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. 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 FOURTH TIME IN AUGUST OF 2023 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 IS A WAKE FOREST BAPTIST TELESTROKE SITE. WE WERE AWARDED THE 2023 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. ECONOMIC DEVELOPMENT CASH DONATIONS INCLUDED SUPPORT AND SPONSORSHIPS FOR KINSTON/LENOIR COUNTY CHAMBER OF COMMERCE, COMMUNITY COUNCIL FOR THE ARTS, DOWNTOWN KINSTON DEVELOPMENT, SOUNDRIVERS, NEUSE REGIONAL LIBRARY, BBQ FESTIVAL ON THE NEUSE, LENOIR COUNTY EDUCATION FOUNDATION, NEUSE REGIONAL LIBRARY, FREEDOM CLASSIC COMMUNITY DONATIONS CASH DONATIONS INCLUDED SUPPORT FOR LENOIR GREENE UNITED WAY, DIABETES LIONS WALK, LENOIR COUNTY UNIT BOYS & GIRLS CLUB, CASWELL CENTER OPERATION SANTA CLAUS, SHADY GROVE UMC CYSTIC FIBROSIS WALK, FOODBANK ENC, AND LENOIR COUNTY AMERICAN CANCER SOCIETY RELAY FOR LIFE. KINSTON/LENOIR COUNTY FARMERS MARKET UNC HEALTH LENOIR ASSISTED UNDERSERVED RESIDENTS OF THE COMMUNITY HAVING DIABETES WITH ACCESS TO LOCAL FRESH FRUITS AND VEGETABLES THROUGH 90 INCENTIVE RX COUPONS WITHIN PROGRAM IN PARTNERSHIP WITH LENOIR COUNTY COOPERATIVE EXTENSION. ADDITIONALLY, UNC HEALTH LENOIR PROVIDED SEVERAL ONSITE HEALTHY COOKING DEMONSTRATIONS BY A DIETITIAN. MATERNAL/CHILD HEALTH INITIATIVES -"BABY FRIENDLY" PRACTICES SUCH AS "ROOMING IN"SKIN TO SKIN" FOR MOM AND BABY ARE STANDARDS OF CARE. SKIN TO SKIN EDUCATION IS GIVEN PRIOR TO BIRTH AND DISCUSSED WITH MOMS. SKIN TO SKIN PROVIDES QUICKER THERMOREGULATION OF THE NEWBORN, STABILIZATION OF BLOOD GLUCOSE LEVELS, DECREASES NEWBORN CRYING AND MATERNAL ANXIETY, AND PROMOTES A POSITIVE BREASTFEEDING EXPERIENCE. - BREASTFEEDING SUPPORT IS PROVIDED FOR THOSE MOMS WHO CHOOSE TO BREASTFEED. BREASTFEEDING IS INITIATED WITHIN THE FIRST HOUR AND ENCOURAGEMENT GIVEN FOR BREASTFEEDING ON DEMAND. PROPER BOTTLE-FEEDING TECHNIQUES, HUNGER QUES AND FEEDING PATTERNS ARE TAUGHT TO THOSE MOMS THAT CHOOSE TO FORMULA FEED. FEEDING LOGS ARE ENCOURAGED FOR ALL NEW PARENTS, TO HELP TRANSITION PARENTS INTO THEIR NEW ROLES AND RESPONSIBILITIES. NEW GUIDELINES ESTABLISHED TO ENCOURAGE BREASTFEEDING FOR MOTHERS IN SUBSTANCE USE DISORDER PROGRAMS. - PARTICIPATING IN CURRENT COLLABORATIVE WITH THE PERINATAL QUALITY COLLABORATIVE OF NORTH CAROLINA TO DECREASE OPIOID USE DISORDER IMPACT ON MOTHERS AND BABIES. THIS WILL FOCUS ON SCREENING WOMEN WITH A VALIDATED TOOL PRENATALLY AND UPON HOSPITAL ADMISSION FOR SUBSTANCE ABUSE DISORDER AND ASSISTING THESE INDIVIDUALS TO RECEIVE NEEDED RESOURCES WHICH INCLUDES A SOCIAL WORK CONSULT, APPOINTMENT AT A TREATMENT CENTER (IF AGREED UPON) AND A SAFE PLAN OF CARE UPON DISCHARGE. UPDATED MANAGEMENT FOR IDENTIFICATION AND TREATMENT FOR THE NEWBORNS IS IMPLEMENTED VIA THE EAT SLEEP AND CONSOLE METHOD, WHICH USES MOM AS MEDICINE. - ADMITTED INPATIENTS RECEIVE A DEPRESSION SCREENING TO HELP AID IN EARLY IDENTIFICATION OF DEPRESSION DISORDER WHICH HAS THE POTENTIAL TO LEAD TO SUICIDAL IDEATIONS AND/OR SUBSTANCE USE DISORDER. IF SCORING IS HIGH, A SOCIAL WORK CONSULT IS MADE AND A FOLLOW-UP MENTAL HEALTH APPOINTMENT IS MADE FOR THE PATIENT PRIOR TO DISCHARGE. - FAMILIES RECEIVE SAFE SLEEP EDUCATION PRIOR TO INFANT DISCHARGE WHICH IS FOCUSED ON SAFE SLEEP PRACTICES AT HOME. THIS IS IN EFFORTS TO HELP REDUCE THE RATES OF SUDDEN UNEXPLAINED INFANT DEATH SYNDROME. - PATIENTS RECEIVE SOCIAL DETERMINANT OF HEALTH SCREENINGS RELATED TO: FINANCIAL STRAIN, FOOD INSECURITY, TRANSPORTATION NEEDS, HEALTH LITERACY, INTERPERSONAL SAFETY, INTIMATE PARTNER VIOLENCE, SOCIAL CONNECTIONS, SUBSTANCE USE DISORDER, PHYSICAL ACTIVITY, STRESS/ DEPRESSION AND ARE PROVIDED NEEDED RESOURCES BY THE INTERDISCIPLINARY TEAM WITH GUIDANCE BY A SOCIAL WORKER. - A SERIES OF NEWBORN SCREENINGS ARE PERFORMED WHEN APPROPRIATE AND INCLUDE; CRITICAL CONGENITAL HEART DEFECTS (CCHD), JAUNDICE, HEARING, AND A METABOLIC SCREENING. 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) RECOMMENDS THAT CCHD SCREENINGS BE ADDED TO THE UNIFORM NEWBORN SCREENING PANEL. JAUNDICE IS AN INCREASE IN BILIRUBIN LEVELS AND TREATED WITH PHOTOTHERAPY. HEARING SCREENINGS ARE ROUTINE PRACTICE TO HELP CATCH HEARING LOSS EARLY ON AND AVOID ANY SPEECH OR DEVELOPMENTAL DELAYS. METABOLIC SCREENINGS ARE OBTAINED AND SENT TO THE STATE LAB IN ORDER TO QUICKLY IDENTIFY ANY POSSIBLE METABOLIC DISORDERS OF THE NEWBORN. - OBH (OBSTETRIC HEMORRHAGE) IS A MAJOR CAUSE OF MATERNAL DEATH AND MORBIDITY IN NORTH CAROLINA. THE FBC IS WORKING WITH THE PERINATAL QUALITY IMPROVEMENT TEAMS TO IDENTIFY AND PROMPTLY MANAGE OBH. ALL OBSTETRIC PATIENTS SEEKING CARE AT UNC HEALTH LENOIR ARE ASSESSED FOR OBH (OBSTETRIC HEMORRHAGE) RISKS ON ADMISSION, AT COMPLETE DILATATION AND AT DELIVERY. INTERVENTION GUIDELINES FOR THE OPTIMAL RESPONSE OF THE MULTIDISCIPLINARY TEAM IN THE EVENT OF OBSTETRICAL HEMORRHAGE (OBH) HAVE BEEN IMPLEMENTED. - FOCUSED EDUCATIONAL ROUNDING IS PERFORMED TO PROVIDE OPEN DISCUSSION LEARNING OPPORTUNITIES FOR PARENTS AND EDUCATIONAL VIDEOS ARE ENCOURAGED THROUGHOUT THE ADMISSION STAY WITH TOPIC FOCUS ON NEWBORN CARE AND SAFETY. SIGNS AND SYMPTOMS ARE REVIEWED REGARDING WHEN TO SEEK IMMEDIATE MEDICAL CARE OR CALL 911 FOR INFANT AND MATERNAL EMERGENCIES. MOTHERS ARE GIVEN "I GAVE BIRTH BRACELETS" TO INCREASE POSTPARTUM COMPLICATION AWARENESS VIA EMERGENCY RESPONDERS IN THE COMMUNITY. FORM 990, PART III, LINE 4A, PROG. SVC ACCOMPLISHMENTS CONT. - A Parenting Education station with dozens of free educational resources is maintained in the FBC waiting room to support families in best practices for parenting. - Collaboration with pregnancy clinics to give consistent and up to date education regarding antepartum, intrapartum, postpartum and neonatal care. Stork booklets are delivered to all offices and office staff are encouraged to distribute these booklets as a "What to Expect at UNC Health Lenoir When You are Expecting". The 20-page booklet is a free educational journal the patient can use to keep track of important health information, learn week by week, and know what to get prepared for throughout her pregnancy journey. - Collaboration with Lenoir County Health Department on resources offered such as "Cribs for Kids." - Antepartum patients receive education on resources offered in the community as well as what patient needs to bring to the hospital at the time of delivery, and information regarding car seat education upon discharge. - Maternal mental health hotline number is provided to all patients to be used as a resource if patient experiences any mental health concerns including postpartum depression or anxiety. Support Groups Covid-19 impacted in-person support group meetings on location this period. The Parkinson's Support Group and Weight Management Support Groups met off-site with 429 persons attending. 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 50 pieces of stationary exercise equipment with an average of 23 beginner's group exercise classes weekly. With a membership of 734 active individual members in FY23, masks were required part of the year. 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 and Renew Active benefits for eligible community members. A number of free physical activity oriented educational sessions are offered throughout the year to the community by exercise specialists. Screening Events Provided early detection and screening events of diseases/ disorders/risks including colorectal cancer, mammogram support (20), blood pressures (6833). 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 2023. Over 132 hours in person volunteer hours were donated by the Lay Navigator in FY 2023. 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 2022 Feastival of Food Drive. Community education and outreach continued in FY 2023 with a total of 6 meetings of the Ladies Cancer Support Group. This group meets in person at the UNC HEALTH LENOIR Care Cancer Center on the first Thursday of every other month and is looking to expand its offerings in FY 2024. 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, Health Night at the Ball Park and a City of Kinston Employee Wellness event. UNC Health Lenoir hosted a Lung Cancer Screening event in the Fall of 2022. 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 HEALTH LENOIR. Patients experiencing financial burdens related to their cancer treatment are able to make an appointment with a financial navigator at the UNC HEALTH LENOIR Cancer Center. Patients are assisted with finding financial resources and services. In FY 23, 8 patients were enrolled in the study. UNC HEALTH LENOIR Community Walking Track Averages over 500 walkers per month. Offered the use of the track for not-for-profit community organizations' walks x 2 in FY 23 for no fees. Corporate Health Services Services included (18) corporate clients, (17) worksite wellness visits with (235) employee contacts with flu vaccine administration, CPR training, urine drug screens, and biometric screening, and education for risk factor reduction were provided. 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. Grocery Cart Conversation Series During 2023, a free community nutrition education program led by registered dietitians was provided in eleven ongoing monthly sessions at the Piggly Wiggly on Herritage Street in Kinston. Advanced Directives Provided 11 community residents with support in completing advanced directives. FORM 990, PART III, LINE 4A, PROG. SVC. ACCOMPLISHMENTS CONT. 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 personal cash donations/pledges of $100,224. for 2023 towards great causes in the community. Employees collected 5941 pounds of food for seven families in the Feastival of Food and made donations to the pantries at, Mary's Kitchen, Cancer Center Food Pantry, Deep Run Baptist Church, St. Paul FWB Church, Goldsboro YMCA Mobile Market, Greene County Interfaith. Employees kept the long tradition of playing Secret Santa to 25 needy children in the community. Gifts this year were given to children within the Guardian Ad Litem program and from their own pockets. Hospital Volunteer Program During FY 23, 102 volunteers including youth volunteers and chaplains provided 11,182 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 $24,000 for Lights of Love fund a number of hospital oncology programs and projects each year. The gift shop and vendor sales raised an additional $87,668 to support hospital projects, employee and teen scholarships, and items used to enhance the patient experience. Pet Therapy UNC HEALTH LENOIR continued its safe and therapeutic dog visits to the patients on approved patient care units by having 1 therapy dog. Research indicates that pet therapy helps to reduce and manage patient's anxiety by focusing patient's attention on the dog, stimulates positive feelings in patients, and offers a means of relaxation and social interaction. Our Pet Therapy volunteer, and her dog Gypsi had 209 interactions with visitors and family members and 6 patient visit from July 1, 2022 - June 30, 2023. Physician Recruitment UNC Health Lenoir has added ten new medical providers including physicians, physician assistants and nurse practitioners to the clinical staff in 2023. The new providers will be practicing in our community and cover the following specialties: obstetrics and gynecology, hospitalist medicine, family medicine, med-peds, and general surgery. Health Library A comprehensive HealthWise health library is located at www.lenoirwellness.org. This free community resource contains national health news headlines and articles, condition guides, and interactive calculators and quizzes to help assess current health knowledge and status. Calculate a Body Mass Index or Target Heart Rate. Check out the Health Library for popular topic areas such as women's health, men's health, pregnancy, diet and exercise, and dozens of more relevant topics and easily print articles. Community Medication Safety 75 individual medication wallet cards were provided free to community residents and safe and proper medication disposal education is provided with each card. North Carolina Drug Cards were provided to residents in area. area. area. FORM 990, PART VI, SECTION A, LINE 1: THE CHAIRMAN OF THE BOARD, VICE CHAIRMAN, SECRETARY, PRESIDENT, AND OTHERS AS APPOINTED BY THE CHAIRMAN SHALL CONSTITUTE THE EXECUTIVE COMMITTEE. THE CHAIRMAN OF THE BOARD OF DIRECTORS SHALL SERVE AS CHAIRMAN OF THE EXECUTIVE COMMITTEE AND THE VICE CHAIRMAN OF THE BOARD OF DIRECTORS SHALL SERVE AS VICE CHAIRMAN OF THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE SHALL HAVE FULL AUTHORITY TO TRANSACT ALL REGULAR BUSINESS OF THE HOSPITAL DURING THE INTERIM BETWEEN THE REGULAR MEETINGS OF THE BOARD OF DIRECTORS, PROVIDED THAT ANY ACTION WHICH IT MAY TAKE SHALL NOT CONFLICT WITH THESE BYLAWS, RULES AND REGULATIONS OR ARTICLES OF INCORPORATION OR WITH THE POLICIES AND DECISIONS OF THE BOARD OF DIRECTORS. SHOULD ANY MATTERS OF EXTREME URGENCY ARISE BETWEEN REGULAR MEETINGS OF THE BOARD OF DIRECTORS, IT SHALL BE THE PREROGATIVE OF THE EXECUTIVE COMMITTEE TO REQUEST THE CHAIRMAN OF THE BOARD TO CALL A SPECIAL 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, SECTION A, LINE 3: THROUGH THE MANAGEMENT SERVICES AGREEMENT, UNC HEALTH CARE SYSTEM PROVIDES OVERSIGHT AND ASSISTANCE WITH A BROAD ARRAY OF BUSINESS, ADMINISTRATIVE, AND EXECUTIVE FUNCTIONS OF LENOIR MEMORIAL HOSPITAL, INC. (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 2022 CALENDAR YEAR THE CEO RECEIVED $449,614 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, SECTION B, LINE 11B: 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, SECTION B, LINE 12C: UPON THEIR APPOINTMENT TO THE BOARD, AND BEFORE ACTUALLY PARTICIPATING IN MEETINGS, MEMBERS MUST READ THE CONFLICTS OF INTEREST POLICY AND DISCLOSE ANY FINANCIAL INTERESTS THAT COULD CREATE A CONFLICT OF INTEREST. AS LONG AS THEY CONTINUE TO SERVE ON THE BOARD, MEMBERS THEN COMPLETE THESE FINANCIAL RELATIONSHIP DISCLOSURE STATEMENTS ON AN ANNUAL BASIS. IF SUCH INTERESTS ARE NOT DISCLOSED, THE CEO, BOARD CHAIR, OR ANY OTHER BOARD MEMBER MAY BRING THE FINANCIAL INTEREST OR ACTUAL/POSSIBLE CONFLICT TO THE ATTENTION OF THE BOARD; THUS THE ENTIRE BOARD IS RESPONSIBLE FOR ONGOING MONITORING OF POTENTIAL CONFLICTS AND THEIR DISCLOSURE. INTENTIONAL FAILURE TO DISCLOSE SUCH FINANCIAL INTERESTS WILL, BY POLICY, RESULT IN APPROPRIATE CORRECTIVE ACTION BY THE BOARD. SHOULD A CONFLICT OF INTEREST ARISE IN CONDUCTING THE BUSINESS OF THE HOSPITAL, THE AFFECTED MEMBER(S) MAY NOT PARTICIPATE IN DISCUSSION REGARDING THE RELEVANT TRANSACTION, AND DEPENDING UPON THE SPECIFIC NATURE OF THE MATTER, THE BOARD CAN TAKE A RANGE OF ACTIONS, SUCH AS APPOINTING A DISINTERESTED PERSON TO INVESTIGATE POSSIBLE ALTERNATIVES, REQUIRING THE INTERESTED PERSON TO REFRAIN FROM PERFORMING ANY FUNCTIONS RELATED TO THE INTEREST CREATING THE CONFLICT, OR REQUIRING THE INTERESTED PERSON TO DIVEST HIMSELF OF THE CONFLICT-CREATING INTEREST IN ORDER TO REMAIN ON THE BOARD. EDUCATION AND COMPLIANCE FORMS ARE UPDATED ANNUALLY BY THE HOSPITAL'S CORPORATE COMPLIANCE OFFICER. FORM 990, PART VI, SECTION B, LINE 15: THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS MEETS YEARLY TO REVIEW SALARIES AND BENEFITS OF SENIOR STAFF AND KEY EMPLOYEES. INFORMATION IS PRESENTED ON MARKET RATES AND OTHER CURRENT COMPENSATION ISSUES FACING THE HOSPITAL. ALL COMPENSATION AND BENEFIT RECOMMENDATIONS ARE VOTED ON BY THE EXECUTIVE COMPENSATION COMMITTEE AND PRESENTED TO THE FULL BOARD OF DIRECTORS FOR FINAL APPROVAL. FORM 990, PART VI, SECTION C, LINE 18: PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. ADDITIONALLY, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19: THE HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: OTHER NON OPERATING REVENUE: $111,436 LEASE QUERY INVESTMENT INCOME: $83,690 -------- TOTAL: $195,126 FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT SERVICES TOTAL FEES:12465764 FORM 990 PART IX LINE 11G DESCRIPTION:CONTACT LABOR TOTAL FEES:10963622 LENOIR MEMORIAL HOSPITAL FOUNDATION INC 100 AIRPORT ROAD KINSTON NC 28501 581584139 SEE PART VII NC 501(C)(3) LINE 12A, I SEE PART VII true LENOIR HEALTH SERVICES INC 100 AIRPORT ROAD KINSTON NC 28501 581705689 SEE PART VII NC 501(C)(3) LINE 12A, I SEE PART VII 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 71405 cost LENOIR MEMORIAL HOSPITAL FOUNDATION Q 143959 cost SCHEDULE R, PART II, IDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATIONS: NAME OF RELATED ORGANIZATION: LENOIR MEMORIAL HOSPITAL FOUNDATION, INC. PRIMARY ACTIVITY: SUPPORT THE CHARITABLE, EDUCATIONAL, AND SCIENTIFIC PURPOSES OF THE HOSPITAL. DIRECT CONTROLLING ENTITY: LENOIR MEMORIAL HOSPITAL NAME OF RELATED ORGANIZATION: LENOIR HEALTH SERVICES, INC. PRIMARY ACTIVITY: SUPPORT CHARITABLE, EDUCATIONAL, AND SCIENTIFIC PURPOSES OF THE HOSPITAL. DIRECT CONTROLLING ENTITY: LENOIR MEMORIAL HOSPITAL