2023-05-05T07:33:13-05:00 2022-06-30 BDO USA LLP 421 Fayetteville Street Suite 300 Raleigh NC 27601 990 2021-07-01 566000674 Lenoir Memorial Hospital Inc % MARY H BARTLETT LENO 2525227510 100 Airport Road Kinston NC 28501 JEFFREY A WAKEFIELD VP of Finance & CFO 2525227510 2023-05-04 true JEFFREY A WAKEFIELD 999009999 Sandra L FEINSMITH P01064157 9192781936 2023-05-04 2 2021 2023-04-26 12:10:37Z UNC LENOIR HEALTH CARE JEFFREY A WAKEFIELD 100 Airport Road Kinston NC 28501 156591781 false X WWW.UNCLENOIR.ORG X 1950 NC PROVIDING EXCEPTIONAL HEALTHCARE AS AN OUTSTANDING COMMUNITY HOSPITAL 17 13 1090 115 783061 0 3879523 7485541 136934574 142052813 5312188 2382140 2655677 3842466 148781962 155762960 118981 3404 0 0 60628248 62023988 0 0 111385 90302850 103106514 151050079 165133906 -2268117 -9370946 221129021 183094580 73373341 57532978 147755680 125561602 X THE MISSION OF LENOIR MEMORIAL IS TO ENSURE EXCEPTIONAL HEALTHCARE FOR THE PEOPLE WE SERVE. false false 148259524 3404 143560613 SEE SCHEDULE O FOR THE DESCRIPTION OF THE ORGANIZATION'S PROGRAM SERVICE ACCOMPLISHMENTS. 148259524 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 false false false false false true true true false false true 118 0 true 1090 true true true false false false false false false false false false false false X 17 13 false true false false false false false true true false false true true true true true true true true true true NC X MARY H BARTLETT 2525227784 100 AIRPORT ROAD KINSTON NC 28501 X CLAIRE D PARIS CMO 50.0 0.0 X 464846 0 16961 Mark E Henning CRNA 40.0 0.0 X 308003 0 24834 JEFFREY A WAKEFIELD CFO 50.0 0.0 X 291776 0 33235 Stephen Michaux-Smith CRNA 40.0 0.0 X 266250 0 17839 Robin Owens Reavis CRNA 40.0 0.0 X 234075 0 22785 KARL L VANDERSTOUW VP SUPPORT SERVICES 50.0 0.0 X 221353 0 18287 Charles Patrick Woodard CRNA 40.0 0.0 X 202374 0 30074 Alton Hardy Pharmacy Director 40.0 0.0 X 207444 0 17380 SHIRLEY HARKEY FORMER CNO 50.0 0.0 X 175630 0 14226 DEREK RYAN VESTAL VP Operations 50.0 0.0 X 163289 0 13143 DEBBIE LANIER EXECUTIVE SECRETARY 40.0 0.0 X 81080 0 13116 ROBERT ENDERS JR CEO 50.0 0.0 X X 0 0 0 Carl Younger Jr Chairman 2.0 0.0 X X 0 0 0 Craig Hill Vice Chairman 2.0 0.0 X X 0 0 0 Michael Whitfield CPA Treasurer 2.0 0.0 X X 0 0 0 John McPhaul Assistant Treasurer 2.0 0.0 X X 0 0 0 D Stuart Lindley Secretary 2.0 0.0 X X 0 0 0 Laddie M Crisp Jr MD BOARD MEMBER 1.0 0.0 X 0 0 0 Shirley Dove EdD BOARD MEMBER 1.0 0.0 X 0 0 0 Michael Haddad MD BOARD MEMBER 1.0 0.0 X 0 0 0 Preston Harris BOARD MEMBER 1.0 0.0 X 0 0 0 Frances Herring BOARD MEMBER 1.0 0.0 X 0 0 0 Russell Thomas Hunt EdD BOARD MEMBER 1.0 0.0 X 0 0 0 De Shonta King MD BOARD MEMBER 1.0 0.0 X 0 0 0 Hugh Pollock BOARD MEMBER 1.0 0.0 X 0 0 0 James C Purnell V BOARD MEMBER 1.0 0.0 X 0 0 0 Robin Roberson BOARD MEMBER 1.0 0.0 X 0 0 0 FELICIA SOLOMON BOARD MEMBER 1.0 0.0 X 0 0 0 MONICA JILL PHLIPPEAU CNO (AS OF 01/02/2022) 50.0 0.0 X 0 0 0 2616120 0 221880 46 false true false Qualivis 5930 CORNERSTONE CT W 300 SAN DIEGO CA 92121 Contract Nursing 15200729 Vidant Medical Group PO BOX 8423 GREENVILLE NC 27835 HOSPITALIST SERVICES 2250702 AMERICAN ANESTHESIOLOGY OF NC 68 SOUTH SERVICE ROAD SUITE 350 MELVILLE NY 11747 ANESTHESIOLOGY 2530526 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 7231103 254438 7485541 PATIENT SERVICES 621990 141524839 140741778 783061 ANCILLARY SERVICES 621990 493837 493837 WELLNESS CENTER REVENUE 713940 34137 34137 142052813 2461092 2461092 0 0 984458 0 0 984458 984458 984458 78952 -78952 -78952 -78952 0 0 0 0 0 0 2056272 749869 1306403 1306403 CAFETERIA 900099 483030 483030 VENDING 900099 19742 19742 INTERCOMPANY REVENUE 900099 1048833 1048833 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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, $6,823 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, $5,324 OF MEMBERSHIP DUES WERE ALLOCATED TO LOBBYING EXPENSE. 425406 425406 72351991 39755392 32596599 8218915 5508314 2710601 80733017 61775850 18957167 77161 0 77161 54766934 OTHER ASSETS 10823105 OTHER RECEIVABLES 2500395 LEASE RECEIVABLES 1708307 PHYSICIAN RECEIVABLE 347745 CURRENT-PHYSICIANS RECEIVABLE 96312 15475864 0 EST THIRD PARTY PAYOR SETTLEMENT 7671155 OTHER CURRENT LIABILITIES 5584324 SHORT-TERM LEASE LIABILITES 16930 13272409 X 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 4948136 84905 4863231 0.03100 13860039 10978860 2881179 0.01830 18808175 11063765 7744410 0.04930 8 202 817121 129857 687264 0.00400 3 0 333604 0 333604 0.00200 1 0 13253 0 13253 0.00000 7 0 163058 25000 138058 0.00100 19 202 1327036 154857 1172179 0.00700 19 202 20135211 11218622 8916589 0.05630 1 0 2613 0 2613 3 0 193334 0 193334 0.00120 4 0 195947 0 195947 0.00120 false 22440013 0 31794775 35938438 -4143663 X 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 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 LENOIR HEALTH CARE. 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 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 OR THROUGH HTTPS://WWW.LENOIRWELLNESS.ORG/HEALTHY-COMMUNITIES/ PART V, SECTION B, LINE 6A: THE CHNA WAS MAILED OUT TO COMMUNITY LEADERS 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 UCN 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: COMMUNITY HEALTH EDUCATION PROGRAMMING COMMUNITY HEALTH EDUCATION PROGRAMMING 446 PARTICIPANTS IN ON AND OFF-SITE HEALTH AND WELLNESS PROGRAMMING. PROGRAMMING INCLUDED HEART, STROKE, COVID-19, EXERCISE, NUTRITION AND OTHER HEALTH EDUCATION OFFERINGS. EDUCATION WAS IN PERSON AND VIRTUALLY. GROCERY CART CONVERSATION SERIES 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 5 COMMUNITY RESIDENTS WITH SUPPORT IN COMPLETING ADVANCED DIRECTIVES. EMPLOYEE OUTREACH IN COMMUNITY UNC 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 $98,348 DURING FY22 TOWARDS GREAT CAUSES IN THE COMMUNITY. EMPLOYEES COLLECTED 16,793 POUNDS OF FOOD FOR 17 FAMILIES IN THE FEASTIVAL OF FOOD AND MADE DONATIONS TO THE PANTRIES AT, MARY'S KITCHEN, CANCER CENTER, 4 CHURCH FOOD BANKS, 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 22, 115 VOLUNTEERS INCLUDING YOUTH VOLUNTEERS AND CHAPLAINS PROVIDED 10,745 VOLUNTEER HOURS IN A VARIETY OF HOSPITAL SETTINGS ENRICHING THE PATIENT EXPERIENCE AND PERFORMING THE WORK OF 10 UNPAID FTES. THE COMMUNITY DONATIONS, TOTALING MORE THAN $33,000, FOR LIGHTS OF LOVE FUND A NUMBER OF HOSPITAL ONCOLOGY PROGRAMS AND PROJECTS EACH YEAR. THE GIFT SHOP AND VENDOR SALES RAISED AN ADDITIONAL $81,769 TO SUPPORT HOSPITAL PROJECTS, EMPLOYEE AND TEEN SCHOLARSHIPS, AND ITEMS USED TO ENHANCE THE PATIENT EXPERIENCE. PET THERAPY UNC 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 378 INTERACTIONS WITH VISITORS AND FAMILY MEMBERS AND 1 PATIENT VISIT FROM JULY 1, 2021 - JUNE 30, 2022. 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 BECOME KNOWN OR AS YEARS ARE NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS, 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: LENOIR MEMORIAL WORKS CLOSELY WITH THE LENOIR COUNTY HEALTH DEPARTMENT TO CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR LENOIR COUNTY, OUR LARGEST POPULATION SERVED. OUR COMMUNITIES ARE SURVEYED WITH BOTH ENGLISH AND SPANISH SURVEY INSTRUMENTS. LOCAL DEMOGRAPHIC AND HEALTH STATISTICS ARE COMPILED ALONG WITH COMMUNITY SURVEY DATA ABOUT PERCEIVED HEALTH ISSUES IN ORDER TO DEVELOP TARGETED COMMUNITY HEALTH STRATEGIES. LENOIR MEMORIAL PROVIDES LEADERSHIP TO THE LENOIR COUNTY ALLIANCE FOR A HEALTHY COMMUNITY, WHICH IS A BROAD BASE OF COMMUNITY AGENCIES AND ORGANIZATIONS THAT MEET MONTHLY TO PROMOTE A HEALTHY COMMUNITY. LENOIR MEMORIAL ALSO PARTNERS WITH LENOIR, GREENE, AND JONES COUNTIES IN HEALTHY INITIATIVES TO PROMOTE AND SUPPORT HEALTHIER LIVING ACTIVITIES. ANNUAL CANCER REPORTING AND HOSPITAL DIAGNOSIS TRENDS ARE USED TO PRIORITIZE PROGRAMMING, SERVICES, AND INITIATIVES AS WELL AS PHYSICIAN NEEDS ASSESSMENTS. PART VI, LINE 3: THE HOSPITAL 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 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 SHIRLEY HARKEY FORMER CNO 143691 0 1500 0 30439 0 5748 0 8478 0 189856 0 0 0 DEREK RYAN VESTAL VP Operations 138736 0 10430 0 14123 0 5549 0 7594 0 176432 0 0 0 KARL L VANDERSTOUW VP SUPPORT SERVICES 202814 0 18539 0 0 0 8113 0 10174 0 239640 0 0 0 CLAIRE D PARIS CMO 424035 0 40811 0 0 0 16961 0 0 0 481807 0 0 0 JEFFREY A WAKEFIELD CFO 260902 0 30874 0 0 0 10436 0 22799 0 325011 0 0 0 Mark E Henning CRNA 280622 0 17904 0 9477 0 11225 0 13609 0 332837 0 0 0 Stephen Michaux-Smith CRNA 256116 0 10134 0 0 0 10245 0 7594 0 284089 0 0 0 Robin Owens Reavis CRNA 229400 0 4675 0 0 0 9176 0 13609 0 256860 0 0 0 Charles Patrick Woodard CRNA 181879 0 20495 0 0 0 7275 0 22799 0 232448 0 0 0 Alton Hardy Pharmacy Director 180018 0 13554 0 13872 0 7201 0 10179 0 224824 0 0 0 Part I, Line 1A: THE HOSPITAL PERMITS BOARD MEMBERS TO TRAVEL WITH THEIR SPOUSES TO EDUCATIONAL SEMINARS AND IS PART OF THE BOARD OF DIRECTOR TRAVEL POLICY. PART I, LINE 4B: THE FOLLOWING INDIVIDUALS RECEIVED AMOUNTS FROM A 457F PLAN: - SHIRLEY HARKEY, FORMER CNO $ 30,439 - DEREK RYAN VESTAL, VP OPERATIONS $ 14,123 - DEBBIE LANIER, EXECUTIVE SECRETARY $ 2,070 - MARK E. HENNING, CRNA $ 9,477 - ALTON HARDY, PHARMACY DIRECTOR $ 13,872 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 73352 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. 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 LENOIR HEALTH CARE. 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 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 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. COMMUNITY COALITION ACTIVITIES UNC LENOIR PROVIDES LEADERSHIP AND ADMINISTRATIVE SUPPORT FOR COMMUNITY HEALTH COALITIONS. THE LENOIR COUNTY ALLIANCE FOR A HEALTHY COMMUNITY MET VIRTUALLY AND 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 LENOIR HEALTH CARE IS ACCREDITED BY THE JOINT COMMISSION SURVEY FOR CERTIFICATION AS A PRIMARY STROKE CENTER. WE WERE RECERTIFIED FOR THE THIRD TIME IN SEPTEMBER OF 2021 AND WILL UNDERGO OUR FOURTH CERTIFICATION SURVEY IN 2023. 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. THE PROGRAM IS A WAKE FOREST BAPTIST TELESTROKE SITE. WE WERE AWARDED THE 2022 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, PRIDE OF KINSTON DOWNTOWN DEVELOPMENT, ROTARY OF KINSTON, NEUSE REGIONAL LIBRARY, LAGRANGE SPOT FESTIVAL, DOWNEAST WOOD DUCKS, BBQ FESTIVAL ON THE NEUSE /LENOIR COUNTY EDUCATION FOUNDATION, NEUSE REGIONAL LIBRARY, ECU COLLEGE OF NURSING 5K 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, AND LENOIR COUNTY AMERICAN CANCER SOCIETY RELAY FOR LIFE. KINSTON/LENOIR COUNTY FARMERS MARKET UNC LENOIR ASSISTED UNDERSERVED RESIDENTS OF THE COMMUNITY HAVING DIABETES WITH ACCESS TO LOCAL FRESH FRUITS AND VEGETABLES THROUGH 50 INCENTIVE RX COUPONS WITHIN PROGRAM IN PARTNERSHIP WITH LENOIR COUNTY COOPERATIVE EXTENSION. ADDITIONALLY, UNC LENOIR PROVIDED SEVERAL ONSITE HEALTHY COOKING DEMONSTRATIONS BY A DIETITIAN. FORM 990, PART III, LINE 4A, PROG. SVC ACCOMPLISHMENTS CONT. MATERNAL/CHILD HEALTH INITIATIVES - "BABY FRIENDLY" PRACTICES SUCH AS "ROOMING IN"SKIN TO SKIN" FOR MOM AND BABY ARE STANDARD 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 PROGRAM. - DELAYED CORD CLAMPING IS PERFORMED AT THE DISCREPANCY OF THE INFANT'S TRANSITION PHASE. DELAYED CORD CLAMPING LEADS TO MULTIPLE POSITIVE LONG-TERM EFFECTS ON THE NEONATE, INCLUDING; INCREASED HEMOGLOBIN, DECREASED ANEMIA, INCREASED FERRITIN LEVELS, INCREASED URINE OUTPUT, AND DECREASED OCCURRENCE OF HEART MURMURS. CUTTING OF THE CORD BY A LOVED ONE IS ENCOURAGED, WHEN APPROPRIATE. - AS ADVISED BY THE AMERICAN ACADEMY OF PEDIATRICS AND THE AMERICAN CONGRESS OF OBSTETRICS AND GYNECOLOGISTS (AAP & ACOG) ALL INFANTS RECEIVE VITAMIN K WITHIN ONE HOUR WITH PARENTAL CONSENT. INFANTS ALSO RECEIVE EYE PROPHYLAXIS TO PREVENT GONOCOCCAL OPTHALMIA NEONATORUM AS RECOMMENDED BY THE CDC WITHIN ONE HOUR OF BIRTH IN CONJUNCTION WITH PARENTAL CONSENT. - 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 THEM TO RECEIVE NEEDED RESOURCES WHICH INCLUDES A SOCIAL WORK CONSULT AND SAFE PLAN OF CARE ON DISCHARGE. UPDATED MANAGEMENT FOR IDENTIFICATION AND TREATMENT FOR THE NEWBORNS IS IMPLEMENTED VIA THE EAT SLEEP AND CONSOLE METHOD, WHICH USES MOM AS MEDICINE. - 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) RECOMMENDED THAT CCHD SCREENING 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 LENOIR HEALTH CARE ARE ASSESSED FOR OBH (OBSTETRIC HEMORRHAGE) RISKS ON ADMISSION, AT COMPLETE DILATATION AND AT DELIVERY. INTERVENTION GUIDELINES FOR THE OPTIMAL RESPONSE OF THE MULTIDISCIPLINARY TEAM IN THE EVENT OF OBSTETRICAL HEMORRHAGE (OBH) HAVE BEEN IMPLEMENTED. - ORAL AND WRITTEN POSTPARTUM EDUCATION ON THE TOPICS OF POSTPARTUM HEMORRHAGE, PREECLAMPSIA, AND POSTPARTUM DEPRESSION IS EMPHASIZED SO THAT PATIENTS ARE AWARE OF THE SIGNS/SYMPTOMS TO LOOK FOR AND KNOW WHEN TO SEEK IMMEDIATE MEDICAL CARE. - 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 OF WHEN TO SEEK IMMEDIATE MEDICAL CARE OR CALL 911 FOR INFANT EMERGENCIES. MOTHERS ARE GIVEN "I GAVE BIRTH BRACELETS" TO INCREASE POSTPARTUM COMPLICATION AWARENESS VIA EMERGENCY RESPONDERS IN THE COMMUNITY. - COMMUNITY HIGH RISK OB PROVIDERS GROUP MEETS REGULARLY AT HOSPITAL. - A PARENTING EDUCATION STATION WITH DOZENS OF FREE EDUCATIONAL RESOURCES IS MAINTAINED IN THE FBC WAITING ROOM TO SUPPORT FAMILIES IN BEST PRACTICES FOR PARENTING. - 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. 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 662 PERSONS ATTENDING. EMERGENCY PREPAREDNESS UNC HEALTH LENOIR PARTICIPATES IN THE LOCAL EMERGENCY PLANNING COMMITTEE (LEPC); THE EASTERN HEALTHCARE PREPAREDNESS COALITION AND THE MID CAROLINA REGIONAL HEALTHCARE COALITION 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 55 PIECES OF STATIONARY EXERCISE EQUIPMENT WITH AN AVERAGE OF 25 BEGINNER'S GROUP EXERCISE CLASSES WEEKLY. WITH A MEMBERSHIP OF 621 ACTIVE INDIVIDUAL MEMBERS IN FY22, MEMBERS WERE ALLOWED TO PARTICIPATE WITH MASK AND SCREENING REQUIREMENTS. MONTHLY MEMBERSHIP RATES OF $20 PER MONTH ASSIST AN UNDERSERVED COMMUNITY TO INITIATE EXERCISE PLANS. OUR PROGRAM PARTNERS WITH SILVER SNEAKERS, SILVER & FIT, AND RENEWACTIVE 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 (7), MAMMOGRAM SUPPORT (17), LUNG CANCER (68) AND BLOOD PRESSURES (4932). 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 OVER 123 SUPPORTIVE PHONE CALLS IN FY 2022. OVER 158 IN PERSON VOLUNTEER HOURS WERE DONATED BY THE LAY NAVIGATOR IN FY 2022. FORM 990, PART III, LINE 4A, PROG. SVC. ACCOMPLISHMENTS CONT. CANCER CENTER PROGRAM OUTREACH THE HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. 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 LENOIR HEALTH CARE'S 2021 FESTIVAL OF FOOD DRIVE. COMMUNITY EDUCATION AND OUTREACH CONTINUED IN FY 2022 WITH A TOTAL OF 15 ATTENDEES IN 5 MEETINGS OF THE LADIES CANCER SUPPORT GROUP. THIS GROUP MEETS IN PERSON AT THE UNC LENOIR HEALTH CARE CANCER CENTER ON THE SECOND THURSDAY 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. IN JULY 2021 THE NURSE NAVIGATOR AND HOSPITAL DIETITIAN COLLABORATED ON A NUTRITION TALK AND FOOD DEMO ON "EATING A RAINBOW" FOR CANCER PREVENTION AND SURVIVORSHIP HEALTH AT THE LOCAL FARMER'S MARKET. LUNG CANCER SCREENING EDUCATION WAS PROVIDED AT A LOCAL CHURCH HEALTH FAIR, HEALTH NIGHT AT THE BALL PARK, AND A CITY OF KINSTON EMPLOYEE WELLNESS EVENT. 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 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. IN FY 22, 12 PATIENTS WERE ENROLLED IN THE STUDY. UNC LENOIR HEALTH CARE COMMUNITY WALKING TRACK AVERAGES OVER 500 WALKERS PER MONTH OFFERED THE USE OF THE TRACK FOR NOT-FOR-PROFIT COMMUNITY ORGANIZATIONS' WALKS X 2 IN FY 22 FOR NO FEES. CORPORATE HEALTH SERVICES SERVICES INCLUDED (35) CORPORATE CLIENTS, (29) WORKSITE WELLNESS VISITS WITH (456) EMPLOYEE CONTACTS. BIOMETRIC SCREENINGS, FLU SHOTS, CPR TRAINING, URINE DRUG SCREENS, AND TARGETED HEALTH 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 (119) INDIVIDUALS LIVING WITH DIABETES. OUTREACH EDUCATIONS WERE PROVIDED EACH MONTH REACHING (485) COMMUNITY MEMBERS. ADDITIONALLY, A REGISTERED DIETITIAN/DIABETES EDUCATOR PROVIDED (549) MEDICAL NUTRITION COUNSELING SESSIONS DURING THIS YEAR. RX FOOD COUPONS ($250.00) ARE PROVIDED TO PARTICIPANTS IN $5 INCREMENTS TO INCENTIVIZE EDUCATION BY INCREASING LOCAL ACCESS TO FRESH FRUITS AND VEGETABLES AT THE LENOIR COUNTY FARMER'S MARKET. COMMUNITY HEALTH EDUCATION PROGRAMMING COMMUNITY HEALTH EDUCATION PROGRAMMING 446 PARTICIPANTS IN ON AND OFF-SITE HEALTH AND WELLNESS PROGRAMMING. PROGRAMMING INCLUDED HEART, STROKE, COVID-19, EXERCISE, NUTRITION, AND OTHER HEALTH EDUCATION OFFERINGS. EDUCATION WAS IN PERSON AND VIRTUALLY. GROCERY CART CONVERSATION SERIES A FREE COMMUNITY NUTRITION EDUCATION PROGRAM LED BY REGISTERED DIETITIANS WAS PROVIDED IN ELEVEN ONGOING MONTHLY SESSIONS AT THE PIGGLY WIGGLY ON HERITAGE STREET IN KINSTON. ADVANCED DIRECTIVES PROVIDED 5 COMMUNITY RESIDENTS WITH SUPPORT IN COMPLETING ADVANCED DIRECTIVES. EMPLOYEE OUTREACH IN COMMUNITY UNC 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 $98,348 DURING FY22 TOWARDS GREAT CAUSES IN THE COMMUNITY. EMPLOYEES COLLECTED 16,793 POUNDS OF FOOD FOR 17 FAMILIES IN THE FESTIVAL OF FOOD AND MADE DONATIONS TO THE PANTRIES AT, MARY'S KITCHEN, CANCER CENTER, 4 CHURCH FOOD BANKS, 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 22, 115 VOLUNTEERS INCLUDING YOUTH VOLUNTEERS AND CHAPLAINS PROVIDED 10,745 VOLUNTEER HOURS IN A VARIETY OF HOSPITAL SETTINGS ENRICHING THE PATIENT EXPERIENCE AND PERFORMING THE WORK OF 10 UNPAID FTES. THE COMMUNITY DONATIONS, TOTALING MORE THAN $33,000, FOR LIGHTS OF LOVE FUND A NUMBER OF HOSPITAL ONCOLOGY PROGRAMS AND PROJECTS EACH YEAR. THE GIFT SHOP AND VENDOR SALES RAISED AN ADDITIONAL $81,769 TO SUPPORT HOSPITAL PROJECTS, EMPLOYEE AND TEEN SCHOLARSHIPS, AND ITEMS USED TO ENHANCE THE PATIENT EXPERIENCE. PET THERAPY UNC 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 378 INTERACTIONS WITH VISITORS AND FAMILY MEMBERS AND 1 PATIENT VISIT FROM JULY 1, 2021 - JUNE 30, 2022. PHYSICIAN RECRUITMENT UNC LENOIR HAS ADDED FIVE NEW MEDICAL PROVIDERS TO THE CLINICAL STAFF IN 2022. THE NEW PHYSICIANS WILL BE PRACTICING IN OUR COMMUNITY AND COVER THE FOLLOWING SPECIALTIES: OBSTETRICS AND GYNECOLOGY, HOSPITAL MEDICINE, FAMILY MEDICINE, AND GENERAL SURGERY COMMUNITY EDUCATION TELE-EDUCATION SERIES 2/1/22 - HEART MONTH SERIES: HEART DISEASE - FACTS, STATISTICS, & YOU - LOIS ANN SULLIVAN, NP 1.7K VIEWS 2/3/22 - HEART MONTH SERIES: STROKE AWARENESS - JORDAN TAGGERT, LENOIR COUNTY EMS OPERATIONS MANAGER 291 VIEWS 2/8/22 - HEART MONTH SERIES: HEART-HEALTHY DIET, SARAH BURKHOLDER, CLINICAL DIETITIAN 186 VIEWS 2/10/22 - HEART MONTH SERIES: EXERCISE & YOUR HEART - KATIE POTTER, CARDIAC REHAB RN 2.3K VIEWS 2/22/22 - HEART MONTH SERIES: HEAD & HEART CONNECTION - DR. GREG GRIDLEY 785 VIEWS 2/24/22 - HEART MONTH SERIES: DIABETES AND HEART DISEASE - HOLLY WHITE, RD 219 VIEWS 3/17/22 - COLORECTAL CANCER AWARENESS WITH DR. JOSEPH SARACINO 264 VIEWS 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. HEART FAILURE EDUCATION IS LINKED FROM THE LIBRARY DIRECTLY IN MANAGEHEARTFAILURE.ORG COMMUNITY MEDICATION SAFETY (50) 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. COVID 19 COMMUNITY PARTNERSHIP AND OUTREACH EDUCATION UNC LENOIR HEALTH CARE WORKED CLOSELY WITH THE LENOIR COUNTY HEALTH DEPARTMENT TO PROVIDE COMMUNITY COVID 19 EDUCATION AND MULTIMEDIA HEALTH PROMOTION, AND SUPPORT FOR COVID TESTING AND VACCINATION AT COMMUNITY EVENTS. A COMMUNITY RESOURCE GUIDE WAS DEVELOPED AND PROMOTED FOR TESTING SITES IN COMMUNITY. UNC LENOIR IMPLEMENTED COMMUNITY AND STAFF COVID VACCINE CLINICS. 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. (THE HOSPITAL), INCLUDING BUT NOT LIMITED TO: FINANCIAL REPORTING AND BUDGETING, MANAGED CARE CONTRACTING, PURCHASING, PHYSICIAN RECRUITMENT AND RETENTION, MARKETING, AND CLINICAL SERVICE QUALITY. THE CEO OF LENOIR MEMORIAL HOSPITAL WAS CONTRACTED THROUGH THIS MANAGEMENT AGREEMENT, DURING THE 2021 CALENDAR YEAR THE CEO RECEIVED $568,667 FOR THESE SERVICES. THE BOARD OF DIRECTORS OF LENOIR MEMORIAL REMAINS LOCALLY APPOINTED AND RETAINS ULTIMATE AUTHORITY OVER THE GOVERNANCE AND OPERATIONS OF THE HOSPITAL. FORM 990, PART VI, SECTION B, LINE 11B: THE ORGANIZATION'S MANAGEMENT TEAM REVIEWED THE FORM 990 IN DETAIL. THE 990 WAS PLACED ON THE 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 CHANGES IN NET ASSETS $117,938 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:14323330 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:14934994 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 Q 110531 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