2020-06-19T08:43:38-05:00 2019-06-30 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2018-07-01 566000674 LENOIR MEMORIAL HOSPITAL INC LENO 2525227510 100 AIRPORT ROAD KINSTON NC 28501 GARY BLACK CFO 2525227510 2020-06-19 1 AMY BIBBY P00445891 8282542254 2020-06-19 99.47.28.203 2020-06-19 08:42:31 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 48FB394F9AA065459641371F168D9F2AFFFBB473 2018 2021-01-29 14:40:06Z UNC LENOIR HEALTH CARE JEFFREY WAKEFIELD 100 AIRPORT ROAD KINSTON NC 28501 143652130 0 X WWW.UNCLENOIR.ORG X 1950 NC PROVIDING EXCEPTIONAL HEALTHCARE AS AN OUTSTANDING COMMUNITY HOSPITAL 16 12 1067 214 0 2754 128413 406501 94879480 136919083 -1060832 -2571793 1806089 2807752 95753150 137561543 167883 275992 0 0 45522886 57377077 0 0 46238 55380437 81488799 101071206 139141868 -5318056 -1580325 180660970 182073350 39498402 37864404 141162568 144208946 X THE MISSION OF LENOIR MEMORIAL IS TO ENSURE EXCEPTIONAL HEALTHCARE FOR THE PEOPLE WE SERVE. 0 0 118717620 275992 138755442 SEE SCHEDULE O FOR DESCRIPTION OF THE ORGANIZATIONS PROGRAM SERVICE ACCOMPLISHMENTS:COMMUNITY HEALTH NEEDS ASSESSMENT AND HEALTH ENCTHE THREE YEAR COMMUNITY HEALTH NEEDS ASSESSMENT CYCLE PROCESS IN 2018 IDENTIFIED THREE PRIORITY ISSUES FOR LENOIR COUNTY: OBESITY- EXERCISE AND NUTRITION, SUBSTANCE ABUSE, AND ACCESS TO CARE. THE FULL 2018 LENOIR COUNTY CHNA AND IMPLEMENTATION STRATEGIES ARE FOUND BY GOING TO THE HEALTHY COMMUNITIES TAB UNDER THE MINGES WELLNESS CENTER AT AT UNCLENOIR.ORG OR THROUGH HTTPS://WWW.LENOIRWELLNESS.ORG/HEALTHY-COMMUNITIES/IN 2018, UNC LENOIR AND OTHER PARTNERS IN LENOIR COUNTY WITH 33 OTHER EASTERN NC COUNTIES INITIATED AN EASTERN NC COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS THAT SHIFTS THE CYCLE TO A REGIONALLY COHESIVE 2018 TIMELINE, WITH SIMILAR DATA COLLECTION AND REPORTING STRUCTURES TO IMPROVE ASSESSMENT PROCESS PLANNING IN THE EAST, AND COLLABORATIVELY IMPACT STRATEGIES FOR THE FUTURE. THIS WORK IS IN PARTNERSHIP WITH THE FOUNDATION FOR HEALTH LEADERSHIP AND INNOVATION AND WAS FUNDED IN PART THROUGH THE DUKE ENDOWMENT. A REGIONAL REPORT AS WELL AS INDIVIDUAL COUNTY REPORTS WILL BE ALSO AVAILABLE AT HEALTHENC.COM.HEALTHY COMMUNITIES INSTITUTEUSING THE HEALTHY COMMUNITIES INSTITUTE, A COMPREHENSIVE HEALTH STATUS DATABASE AT WWW.HEALTHENC.ORG, PROVIDES THE LATEST LENOIR COUNTY DEMOGRAPHICS AND LEADING HEALTH INDICATORS. IT ALLOWS THE USER TO SEARCH AND REPORT ON OVER 50 SPECIFIC HEALTH INDICATORS, DEMOGRAPHICS, AND COMPARISONS WITH NC AND NATIONAL BENCHMARKS. THE DATABASE PROVIDES PROMISING PRACTICES FOR COMMUNITY HEALTH INTERVENTIONS AND ALLOWS THE COMMUNITY TO ADD LOCAL REPORTS FOR A ONE STOP INSPECTION FOR LOCAL COMMUNITY HEALTH ASSESSMENT. COMMUNITY LEADERS HAVE BEEN INFORMED OF THE FREE RESOURCE. THE RESOURCE IS PROVIDED TO THE COMMUNITY THROUGH A JOINT EFFORT OF UNC LENOIR, THE LENOIR HOSPITAL FOUNDATION AND HEALTH ENC.COMMUNITY COALITION ACTIVITIES UNC LENOIR PROVIDES LEADERSHIP AND ADMINISTRATIVE SUPPORT FOR COMMUNITY HEALTH COALITIONS. THE LENOIR COUNTY ALLIANCE FOR A HEALTHY COMMUNITY MEETS MONTHLY FOR COMMUNITY NETWORKING AND INFORMATION SHARING. ALMOST 20 DIFFERENT COMMUNITY ORGANIZATIONS PARTICIPATE IN THE MEETINGS. THE LENOIR COUNTY CRISIS COLLABORATIVE BRINGS EASTPOINTE MENTAL HEALTH, EASTER SEALS MOBILE CRISIS, UNC LENOIR, LOCAL LAW ENFORCEMENT, EMS, AND OTHER AGENCIES TOGETHER QUARTERLY. THE GROUP FOCUSES ON THE COMMUNITY MENTAL HEALTH CRISIS NEEDS TO IDENTIFY SOLUTIONS AND MEET CHALLENGES TO PROBLEMS IN LENOIR COUNTY. UNC LENOIR HEALTH CARE TEAM MEMBERS PARTICIPATE IN THE LENOIR COUNTY OPIATE TASK FORCE. UNC LENOIR HAS BEEN AN ACTIVE PARTICIPANT IN THE LENOIR COUNTY CHAMBER OF COMMERCE 2020 COMMUNITY VISIONING PROCESS AGAIN THIS YEAR, WITH A 2019 FOCUS ON TRANSPORTATION AS A PRIORITIZED ISSUE IN LENOIR COUNTY. HEART FAILURE PROGRAMTHE NEWLY IMPLEMENTED AND THE DUKE ENDOWMENT FUNDED THREE YEAR PROJECT IS WORKING ON MULTIPLE STRATEGIES IN YEAR ONE TO REDUCE AVOIDABLE HEART FAILURE READMISSIONS AND INCREASE HEART FAILURE SELF-MANAGEMENT IN A HIGH RISK PATIENT POPULATION. AN RN HEART FAILURE COORDINATOR WAS HIRED AND NEW STANDARDS OF WORK HAVE BEEN DEVELOPED FOR A FREE COMMUNITY PARAMEDIC HOME VISIT PROGRAM WHERE SELF-CARE EDUCATION WILL BE THE PRIMARY FOCUS.STROKE PREVENTION AND CARE THE STROKE PROGRAM AT UNC LENOIR HEALTH CARE UNDERWENT THE SECOND JOINT COMMISSION SURVEY FOR CERTIFICATION AS A PRIMARY STROKE CENTER. UNC LENOIR WAS AWARDED RECERTIFICATION IN AUGUST, 2019 AFTER A VERY SUCCESSFUL SURVEY. THE STROKE PROGRAM COORDINATOR WITH THE STROKE MEDICAL DIRECTOR HAVE GIVEN SEVERAL TALKS ABOUT STROKE IN THE COMMUNITY RANGING FROM SCHOOL GROUPS AND CIVIC GROUPS TO FAITH BASED GROUPS. ADDITIONALLY STAFF HAS BEEN ACTIVE IN PROVIDING COMMUNITY STROKE EDUCATION AT THE MANY FESTIVALS AND COMMUNITY EVENTS, REACHING OVER 400 PARTICIPANTS IN 2019. AS PART OF THE STROKE PROGRAM, OUR STROKE PATIENTS ARE FOLLOWED USING THE COMPASS (COMPREHENSIVE POST-ACUTE STROKE SERVICES) PROGRAM FOR 60 DAYS AFTER DISCHARGE TO THEIR HOME FROM THE HOSPITAL. THE STROKE PROGRAM COORDINATOR FOLLOWS PATIENTS WITH A PHONE CALL ON DAY 2 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. IN 2019, OVER 100 PATIENTS WERE ENROLLED IN THE COMPASS PROGRAM AT UNC LENOIR HEALTH CARE.ECONOMIC DEVELOPMENTCASH DONATIONS INCLUDED SUPPORT AND SPONSORSHIPS FOR STEMEAST/NC EAST ALLIANCE AND PRIDE OF KINSTON DOWNTOWN PARK CONCERT SERIES. DONATIONS WERE ALSO MADE TO SUPPORT THE LENOIR COUNTY EDUCATION FOUNDATION, AND THE REGIONAL KINSTON/LENOIR COUNTY CHAMBER OF COMMERCE SIGNATURE EVENT: FESTIVAL ON THE NEUSE. COMMUNITY DONATIONSCASH DONATIONS INCLUDED SUPPORT FOR PINK HILL ROSE FEST, LIONS INDUSTRIES FOR THE BLIND DIABETES WALKATHON, ALZHEIMER'S AWARENESS WALK, LENOIR/GREENE RELAY FOR LIFE, AND KINSTON INTER CHURCH OUTREACH. KINSTON/LENOIR COUNTY FARMERS MARKETUNC LENOIR ASSISTED 75 UNDERSERVED RESIDENTS OF THE COMMUNITY HAVING DIABETES WITH ACCESS TO LOCAL FRESH FRUITS AND VEGETABLES THROUGH AN INCENTIVE RX COUPON PROGRAM IN PARTNERSHIP WITH KINSTON COMMUNITY HEALTH CENTER, KATE B. REYNOLDS CHARITABLE TRUST AND LENOIR COUNTY COOPERATIVE EXTENSION. ADDITIONALLY, UNC LENOIR PROVIDED SEVERAL ONSITE COOKING DEMONSTRATIONS BY A DIETITIAN. MATERNAL/CHILD HEALTH INITIATIVES "BABY FRIENDLY "PRACTICES SUCH AS "ROOMING IN AND "SKIN TO SKIN" FOR MOM AND BABY ARE. BREASTFEEDING SUPPORT IS PROVIDED FOR THOSE MOMS WHO WANT TO BREASTFEED AND PROPER BOTTLE FEEDING TECHNIQUES FOR THOSE THAT CHOOSE TO FORMULA FEED. PARTICIPATING IN A COLLABORATIVE WITH THE NORTH CAROLINA HOSPITAL ASSOCIATION TO PREVENT ELECTIVE DELIVERIES PRIOR TO 39 WEEKS. PROVIDING SCREENING TESTS FOR ALL NEWBORNS TO RULE OUT CRITICAL CONGENITAL HEART DEFECTS PRIOR TO DISCHARGE. APPROXIMATELY 18 OUT OF EVERY 10,000 BABIES ARE BORN WITH A CRITICAL CONGENITAL HEART DEFECT (CCHD). CCHD IS LIFE THREATENING AND REQUIRES INTERVENTION IN INFANCY. CCHD IS NOT ALWAYS DETECTED PRENATALLY OR UPON EXAM IN THE NURSERY, AS A RESULT, SOME INFANTS WITH CCHD ARE DISCHARGED FROM THE NURSERY TO HOME, WHERE THEY QUICKLY DECOMPENSATE. TO IMPROVE THE EARLY DETECTION OF CCHD, THE SECRETARY OF HEALTH AND HUMAN SERVICES (HHS) RECOMMENDED THAT CCHD SCREENING BE ADDED TO THE UNIFORM NEWBORN SCREENING PANEL. PROVIDING A NEONATAL ABSTINENCE PROGRAM TO SCREEN ALL NEWBORNS THAT HAVE A HISTORY OF EXPOSURE TO ILLEGAL SUBSTANCES IN UTERO. NEONATAL ABSTINENCE SYNDROME (NAS) IS A GROUP OF PROBLEMS THAT OCCUR IN A NEWBORN WHO WAS EXPOSED TO ADDICTIVE OPIATE DRUGS WHILE IN THE MOTHER'S WOMB. ALL BABIES ARE SCREENED FOR HYPERBILIRUBINEMIA PRIOR TO DISCHARGE. 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. 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. THREE COMMUNITY BLOOD PRESSURE MACHINESPROVIDED 19,553 SCREENING BLOOD PRESSURES AT SITES FOR BLOOD PRESSURE MACHINES AT HOSPITAL ENTRANCES AND A MACHINE THAT TRAVELS TO VARIOUS COMMUNITY CHURCHES EACH MONTH. A FREE MONTHLY COMMUNITY BLOOD PRESSURE MANAGEMENT CLASS WAS OFFERED TO THE COMMUNITY.SUPPORT GROUPSCOORDINATED 10 HOSPITAL BASED GROUPS, ATTENDED BY 1781 PARTICIPANTS. SEE SCHEDULE O FOR DESCRIPTION OF THE ORGANIZATIONS PROGRAM SERVICE ACCOMPLISHMENTS:EMERGENCY PREPAREDNESS UNC LENOIR PARTICIPATES IN THE LOCAL EMERGENCY PLANNING COMMITTEE (LEPC); THE EASTERN REGIONAL ADVISORY COUNCIL; THE EASTERN HEALTHCARE PREPAREDNESS COALITION WHICH SERVES 29 EASTERN COUNTIES FOR PLANNING, COORDINATING, AND EXECUTING DISASTER READINESS AND DRILLS. UNC LENOIR PARTICIPATES IN THE NORTH CAROLINA EMERGENCY MANAGEMENT DOMESTIC PREPAREDNESS REGION 2 (DPR2) EMERGENCY PREPAREDNESS COMMITTEE FOR 10 COUNTIES WHICH SERVICES TO DEVELOP AND EXPAND REGIONAL PREVENTION, PREPAREDNESS, RESPONSE, AND RECOVERY CAPABILITIES FOR ALL HAZARDS, BOTH MAN-MADE AND NATURAL. UNC LENOIR'S PUBLIC SAFETY DIRECTOR SERVES AS THE VICE-CHAIR OF THE COMMITTEE AND THE VICE CHAIR OF THE HOSPITAL SUBCOMMITTEE. UNC LENOIR ALSO PARTICIPATES IN THE NC HOSPITAL 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. UNC LENOIR PARTICIPATES IN THE NC CHAPTER OF THE INTERNATIONAL ASSOCIATION OF HEALTHCARE SECURITY AND SAFETY. UNC LENOIR'S PUBLIC SAFETY DIRECTOR SERVES AS THE SECRETARY FOR THE NC CHAPTER.MINGES WELLNESS CENTERTHE ON-SITE MEDICALLY BASED FITNESS CENTER FOR THE COMMUNITY HAS 78 PIECES OF STATIONARY EXERCISE EQUIPMENT WITH AN AVERAGE OF 25 BEGINNER'S GROUP EXERCISE CLASSES WEEKLY. WITH A MEMBERSHIP OF 1058 ACTIVE INDIVIDUAL MEMBERS IN 2019, MONTHLY MEMBERSHIP RATES OF $20 PER MONTH ASSIST AN UNDERSERVED COMMUNITY TO INITIATE EXERCISE PLANS. OUR PROGRAM PARTNERS WITH SILVER SNEAKERS AND SILVER & FIT BENEFITS FOR ELIGIBLE COMMUNITY MEMBERS. A NUMBER OF FREE PHYSICAL ACTIVITY ORIENTED EDUCATIONAL SESSIONS ARE OFFERED THROUGHOUT THE YEAR TO THE COMMUNITY BY OUR EXERCISE SPECIALISTS. SCREENING EVENTSPROVIDED EARLY DETECTION AND FREE SCREENING EVENTS OF DISEASES/ DISORDERS/RISKS INCLUDING COLORECTAL CANCER, MAMMOGRAM, CHOLESTEROL, AND BLOOD PRESSURES. A PARTNERSHIP BETWEEN LENOIR COUNTY HEALTH DEPARTMENT, EASTERN RADIOLOGY ASSOCIATES, LENOIR HOSPITAL FOUNDATION, AND UNC LENOIR INCREASED THE AVAILABILITY OF YEAR-LONG COMMUNITY SCREENING AND DIAGNOSTIC MAMMOGRAMS BY COMBINING EFFORTS AND GRANT FUNDS IN A COLLABORATIVE AND MORE UNIFIED, FORMAL PROCESS TO SUPPORT 23 FREE MAMMOGRAMS. A NEW FREE SCREENING FOR BALANCE WAS INITIATED IN 2019 BY THE PHYSICAL THERAPY DEPARTMENT AND WAS OFFERED FOUR TIMES IN THE HOSPITAL AND SENIOR CENTERS. MARY'S KITCHEN THIS LOCAL FAITH-BASED OUTREACH PROGRAM SERVES PRIMARILY HOMELESS INDIVIDUALS IN KINSTON, AND VOLUNTEER GROUPS PROVIDE DAILY LUNCHES SIX DAYS A WEEK TO OVER 60 PERSONS DAILY. UNC LENOIR PROVIDES FREE FLU VACCINES EACH YEAR TO VISITORS DINING AT MARY'S KITCHEN.CANCER CENTER PROGRAM OUTREACH THE CANCER RESOURCE CENTER (CRC) IS A VISIBLE COLLABORATION BETWEEN UNC LENOIR AND THE AMERICAN CANCER SOCIETY. THE CRC PROVIDES RESOURCES FOR INDIVIDUALS AND FAMILIES WHO HAVE RECEIVED A CANCER DIAGNOSIS AND NEED SERVICES TO SUPPORT THEIR MYRIAD OF NEEDS DURING TREATMENT AND CARE. PATIENTS AND FAMILIES RECEIVED FORMAL SUPPORT BY A DEDICATED FULL-TIME LICENSED SOCIAL WORKER TO ASSIST PATIENTS AND FAMILIES WITH A CANCER DIAGNOSIS. DOZENS MORE INTERACTED WITH STAFF INFORMALLY. 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 ARE WELCOME TO ANY ITEMS IN THE PANTRY. WITH THE INPUT OF THE ONCOLOGY DIETITIAN, MANY ITEMS CAN BE BETTER MANAGED BY THE PATIENT UNDERGOING CANCER TREATMENT. TOILETRY ITEMS ARE AVAILABLE ALSO. THE COMMUNITY PROVIDES NUMEROUS DONATIONS OF ITEMS, AS WELL AS MONETARY DONATIONS TO BE USED FOR NEEDED PURCHASES, THROUGHOUT THE YEAR. AT THANKSGIVING, THERE WERE EIGHT PATIENTS PROVIDED FOOD BAGS. AT CHRISTMAS, SEVEN PATIENTS WERE PROVIDED WITH FOOD BAGS. THROUGH VARIOUS PARTNERSHIPS WITH LOCAL COMMUNITY BUSINESSES AND ORGANIZATIONS, SURVIVORS AND THEIR FAMILIES ARE PROVIDED WITH NUMEROUS EXPERIENCES AND OPPORTUNITIES THIS YEAR. IN FEBRUARY, THE PROGRAM HOSTED LICENSED ACUPUNCTURIST STEPHANIE KAPLAN AT THE CANCER CENTER FOR DEMONSTRATIONS AND EDUCATION ABOUT THE MANY BENEFITS OF ACUPUNCTURE. THE PARTNERSHIP WITH HAIR M PORIUM PROVIDED TWO BEAUTY/WELLNESS WORKSHOPS FOR FEMALE CANCER SURVIVORS. THESE WORKSHOPS FOCUS ON IMPROVING SURVIVORS' SELF-ESTEEM AND BODY IMAGE AFTER CANCER TREATMENTS AND SURGERIES. IN APRIL, 2019, A PARTNERSHIP WITH ART 105 WAS INITIATED. WITH THE GENEROUS ASSISTANCE OF THE LENOIR HOSPITAL FOUNDATION, SURVIVORS AND THEIR CAREGIVERS ENJOYED FOUR DIFFERENT OPPORTUNITIES TO PARTICIPATE IN "GO WITH THE FLOW", A FLOW PAINTING CLASS TAUGHT BY A LOCAL PAINTER. THIS CLASS WAS OFFERED FREE TO THE SURVIVORS AND ALLOWED TIME FOR RELAXATION, FELLOWSHIP, AND PARTICIPANTS TO CREATE THEIR VERY OWN MASTERPIECE. THREE CLASSES WERE HELD IN 2019 AND ONE IS SCHEDULED FOR FEBRUARY 2020. MEAGAN EVANS, MSW, LCSW, LICENSED CLINICAL SOCIAL WORKER, AND DONNA POTTER, RN, OCN, ONCOLOGY NURSE NAVIGATOR, BEGAN HOSTING A LADIES' CANCER SUPPORT GROUP ONSITE AT THE UNC LENOIR HEALTH CARE CANCER CENTER. ALL FEMALES IN ANY STAGE OF THEIR CANCER JOURNEY ARE INVITED TO ATTEND THESE GROUP MEETINGS. THIS GROUP MEETS THE SECOND THURSDAY OF EVERY OTHER MONTH AND HAS BEEN WELL ATTENDED. IN 2019, LINK HARRIS OF LINK HARRIS PHOTOGRAPHY DONATED PORTRAIT SESSIONS FOR SURVIVORS AND THEIR LOVED ONES AT UNC LENOIR HEALTH CARE. NINE SURVIVORS WERE ABLE TO GET PROFESSIONAL PORTRAITS DONE AT NO COST. IN 2019, THE UNC LENOIR HEALTH CARE CANCER CENTER HOSTED THE FIRST HEAD AND NECK CANCER SCREENING FOR THE COMMUNITY AT NO COST AND IN PARTNERSHIP WITH THE HEAD AND NECK CANCER ALLIANCE AND DR. BARBARA GOHEEN OF KINSTON HEAD AND NECK SPECIALISTS. 17 INDIVIDUALS WERE SCREENED AND EDUCATION FOR PREVENTION WAS PROVIDED BY TIFFANY FOUNTAIN OF THE AMERICAN CANCER SOCIETY. THROUGHOUT 2019, THE PROGRAM CONTINUED TO HOST CANCER CONVERSATIONS AS A RESULT OF THE PARTNERSHIP WITH UNC LINEBERGER CANCER CENTER IN CHAPEL HILL. EACH MONTH, A HEALTH CARE PROFESSIONAL AT UNC PROVIDES AN HOUR LONG EDUCATIONAL WEBINAR ON AN INTERESTING TOPIC IN THE FIELD OF ONCOLOGY. MEMBERS OF THE COMMUNITY HAVE BEEN INVITED TO ATTEND THESE EDUCATIONAL SESSIONS AND LEARN MORE ABOUT PERTINENT TOPICS IN CANCER CARE. AS OF MAY 2019, THE SEMINARS SERIES ARE HOSTED AT THE KINSTON-LENOIR COUNTY PUBLIC LIBRARY IN AN EFFORT TO REACH THE COMMUNITY MORE EFFECTIVELY. THE CANCER CENTER OFFERS ONGOING SCREENINGS FOR COLORECTAL CANCER, BREAST CANCER (IN PARTNERSHIP WITH THE LENOIR COUNTY HEALTH DEPARTMENT AND UNC LENOIR), AND LUNG CANCER. NOTABLE ACHIEVEMENTS FOR 2019 INCLUDE: UNC LENOIR RELAY FOR LIFE TEAM WAS RECOGNIZED FOR PLACING IN THE TOP 15 RELAY TEAMS IN THE SOUTHEAST REGION. WITH RAISING OVER $16,000 DURING RELAY SEASON, UNC LENOIR TEAM PLACED 14TH IN RAISING THE MOST MONEY IN THE REGION. THE CANCER PROGRAM WAS RECENTLY ACCREDITED WITH THE AMERICAN COLLEGE OF SURGEON'S COMMISSION ON CANCER.THE CANCER CENTER SOCIAL WORKER AND ONCOLOGY NURSE NAVIGATOR REGULARLY SPEAKS TO COMMUNITY ORGANIZATIONS INCLUDING CHURCHES ABOUT CANCER PREVENTION, ADVANCE DIRECTIVES, SURVIVORSHIP OPPORTUNITIES, AND COMMUNITY OUTREACH INITIATIVES. 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 3 IN FY 19 FOR NO FEES.CORPORATE HEALTH SERVICESSERVICES INCLUDED 45 CORPORATE CLIENTS, 32 WORKSITE WELLNESS VISITS WITH 658 EMPLOYEE CONTACTS. BIOMETRIC SCREENINGS, FLU SHOTS, CPR TRAINING, URINE DRUG SCREENS, AND TARGETED HEALTH EDUCATION FOR RISK FACTOR REDUCTION WAS PROVIDED.DIABETES WELLNESS PROGRAMLOCATED IN THE MINNIE P. STACKHOUSE DIABETES CENTER, THE AADE ACCREDITED DIABETES WELLNESS PROGRAM PROVIDED FREE DIABETES SELF-MANAGEMENT EDUCATION AND FOLLOW UP MANAGEMENT TO 115 INDIVIDUALS LIVING WITH DIABETES. OUTREACH EDUCATION AND OFF-SITE SCREENINGS WERE PROVIDED EACH MONTH REACHING 487 COMMUNITY MEMBERS. ADDITIONALLY, A REGISTERED DIETITIAN/DIABETES EDUCATOR PROVIDED 225 MEDICAL NUTRITION COUNSELING SESSIONS DURING THIS YEAR. RX FOOD COUPONS ARE PROVIDED TO PARTICIPANTS TO INCENTIVIZE EDUCATION BY INCREASING LOCAL ACCESS TO FRESH FRUITS AND VEGETABLES AT THE LENOIR COUNTY FARMER'S MARKET.COMMUNITY HEALTH EDUCATION PROGRAMMING PROVIDED 1219 PARTICIPANTS ON AND OFF-SITE FREE HEALTH AND WELLNESS PROGRAMMING. PROGRAMMING INCLUDED INFANT CPR, TOBACCO CESSATION, EXERCISE, NUTRITION AND OTHER HEALTH EDUCATION OFFERINGS. A THREE-PART ALTERNATIVE PAIN CONTROL SERIES WITH A LOCAL FEATURED ACUPUNCTURIST SPEAKER PROVIDED EDUCATIONAL PROGRAMS THIS YEAR. SEE SCHEDULE O FOR DESCRIPTION OF THE ORGANIZATIONS PROGRAM SERVICE ACCOMPLISHMENTS:HOMEGROWN COMMUNITY HEALTH EVENTPARTNERED WITH LOCAL RADIO STATION AND KINSTON/LENOIR COUNTY FARMER'S MARKET TO CONDUCT A SPECIAL HEALTH EVENT FOR COMMUNITY FEATURING EDUCATION ABOUT DIABETES, EXERCISE, MEDICATION SAFETY, WEIGHT LOSS AND CANCER SUPPORT WITH THE LENOIR HOSPITAL FOUNDATION.GROCERY CART CONVERSATION SERIESA FREE COMMUNITY NUTRITION EDUCATION PROGRAM LED BY REGISTERED DIETITIANS WAS INITIATED WITH ONGOING MONTHLY SESSIONS AT THE PIGGLY WIGGLY IN KINSTON.ORAL HEAD AND NECK CANCER SCREENING EVENTFIRST ORAL, HEAD AND NECK CANCER SCREENING EVENT WAS HELD IN 2019 AT THE UNC LENOIR CANCER CENTER WITH 18 PARTICIPANTS SCREENED. DR. BARBARA GOHEEN OF KINSTON HEAD AND NECK PHYSICIANS PROVIDED THE SCREENING. CANCER AND HPV VACCINE EDUCATION WAS PROVIDED BY THE AMERICAN CANCER SOCIETY REPRESENTATIVE. MEDICATION SAFETY AWARENESS EDUCATION EVENTPARTNERED WITH DOWN EAST WOOD DUCKS FOR 2019 HEALTH NIGHT AT THE BALLPARK WHERE 300 SAFE MEDICATION DISPOSAL INFO SHEETS AND 300 FREE MEDICATION WALLET CARDS WERE PROVIDED TO THE ATTENDEES. SPECIAL MEDICATION SAFETY EDUCATION TIPS WERE PROVIDED EVERY INNING.ADVANCED DIRECTIVES PROVIDED 31 COMMUNITY RESIDENTS WITH SUPPORT IN COMPLETING ADVANCED DIRECTIVES. FAMILY BIRTH CENTER COMMUNITY EDUCATION LAMAZE/SIBLING/EARLY PRENATAL CLASSES OFFERED THREE TIMES DURING THE YEAR INCLUDED BREAST FEEDING EDUCATION.PATIENT ADVISORY COMMITTEE DURING 2019, THE PATIENT ADVISORY COUNCIL MET FOUR TIMES AND CONSISTS OF 23 REPRESENTATIVES FROM THROUGHOUT THE COMMUNITY, MEDICAL STAFF, BOARD OF DIRECTORS' VOLUNTEERS AND HOSPITAL STAFF TO SOLICIT INPUT ON HOW WE MIGHT IMPROVE OUR PATIENT CARE PROCESS. THIS FOSTERS A CONTINUING OPPORTUNITY FOR US TO LISTEN TO OUR CUSTOMERS AND USE THE INFORMATION TO HELP US IMPROVE OUR SYSTEMS AND PROCESSES. THE FOCUS OF THIS GROUP IS TO FEED INFORMATION BACK TO THE ORGANIZATION FROM THE COMMUNITY IN ORDER TO DELIVER CARE THAT IS PATIENT CENTERED AND COMMUNITY PERSPECTIVE DRIVEN. TOPICS COVERED DURING THE YEAR INCLUDED BEHAVIORAL HEALTH ROOMS IN THE EMERGENCY DEPARTMENT, CEO ANNOUNCEMENT, STRATEGIC PLAN PRESENTATION, INTERIM CNO ANNOUNCEMENT, ADVANCE DIRECTIVES PRESENTATION, REHABILITATION SERVICES PRESENTATION, CANCER CENTER SERVICES PRESENTATION, PRIMARY STROKE SERVICES PRESENTATION, 2019 HALL OF HONOR RECIPIENTS, FAMILY BIRTH CENTER 25TH ANNIVERSARY OPEN HOUSE, CFO ANNOUNCEMENT, FAMILY ENGAGEMENT STRATEGIES PRESENTATION AND ROUTINE UNC LENOIR HEALTH CARE UPDATES.EMPLOYEE OUTREACH IN COMMUNITYUNC 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 OF $75,591 DURING FY19 TOWARDS GREAT CAUSES IN THE COMMUNITY. EMPLOYEES ALSO COLLECTED 11,090 LBS OF FOOD TO FEED 17 LOCAL FAMILIES DURING THE HOLIDAY SEASON AND PROVIDED FOOD TO MARY'S KITCHEN, GREENE COUNTY INTERFAITH, AND RIVERMONT BAPTIST CHURCH FOOD BANK. EMPLOYEES KEPT THE LONG TRADITION OF PLAYING SECRET SANTA TO 22 NEEDY CHILDREN IN THE NORTHEAST ELEMENTARY SCHOOL WITH GIFTS FROM THEIR OWN POCKETS. COMMUNITY HEALTHCARE SCHOLARSHIPSNURSING LEADERSHIP, HIGH SCHOOL HEALTH OCCUPATION STUDENTS AND TEEN VOLUNTEERS RECEIVE SCHOLARSHIP AWARDS TO SUPPORT ONGOING HIGH SCHOOL AND COLLEGE HEALTH CAREER EDUCATION.COMMUNITY WORKFORCE DEVELOPMENT THE THIRD PART OF A THREE PART HEALTH CAREER SERIES, CARDIOPULMONARY CAREERS, WAS DEVELOPED AND RELEASED TO THE COMMUNITY INCLUDING TO THE NEUSEWAY HEALTH AND SCIENCE MUSEUM IN ORDER TO ENGAGE STUDENTS IN TECHNOLOGY IN HEALTHCARE CAREER POSSIBILITIES.HOSPITAL VOLUNTEER PROGRAMDURING FY 19, 214 VOLUNTEERS INCLUDING YOUTH VOLUNTEERS AND CHAPLAINS PROVIDED 33,258 VOLUNTEER HOURS IN A VARIETY OF HOSPITAL SETTINGS ENRICHING THE PATIENT EXPERIENCE AND PERFORMING THE WORK OF 16 UNPAID FTES. THE COMMUNITY DONATIONS, TOTALING MORE THAN $28,000, FOR LIGHTS OF LOVE FUND A NUMBER OF HOSPITAL ONCOLOGY PROGRAMS AND PROJECTS EACH YEAR. THE GIFT SHOP AND VENDOR SALES RAISED AN ADDITIONAL $112,000 TO SUPPORT HOSPITAL PROJECTS, EMPLOYEE AND TEEN SCHOLARSHIPS, AND ITEMS USED TO ENHANCE THE PATIENT EXPERIENCE. PET THERAPYUNC LENOIR CONTINUED ITS SAFE AND THERAPEUTIC DOG VISITS TO THE PATIENTS ON APPROVED PATIENT CARE UNITS BY HAVING 3 THERAPY DOGS. 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 VOLUNTEERS, AND THEIR DOGS MICKI, CASEY, AND BLUE HAD 1,536 INTERACTIONS WITH VISITORS AND FAMILY MEMBERS AND 148 PATIENT VISITS FROM JULY 1, 2018 THROUGH JUNE 30, 2019.CANCER CENTER VOLUNTEER LAY NAVIGATIONONCE A DIAGNOSIS OF CANCER IS RECEIVED, PATIENTS OFTEN FEEL OVERWHELMED. VOLUNTEER LAY NAVIGATORS, SUPERVISED BY THE NURSE NAVIGATOR IN THE CANCER CENTER, HELP PATIENTS IDENTIFY AND REMOVE BARRIERS TO CARE WHILE LINKING THEM TO AVAILABLE CANCER SUPPORT RESOURCES. OVER 112 HOUR WERE DONATED BY VOLUNTEERS IN FY 19. PHYSICIAN RECRUITMENTUNC LENOIR HAS ADDED FIVE NEW PHYSICIANS TO THEIR MEDICAL STAFF IN 2019.THE NEW PHYSICIANS WILL BE PRACTICING IN OUR COMMUNITY AND INCLUDE: DR. LOUIS PEAK, ORTHOPEDIC SURGEON; DR. RYAN GALLAHER, INFECTIOUS DISEASE; DR. ABHISHEK MISHRA, CARDIOLOGIST; DR. VENGAMAMPA POLU, ENDOCRINOLOGIST; AND DR. HEATH FALLIN, PAIN SPECIALIST.STEM OUTREACHUNC LENOIR PROVIDED SUPPORT FOR STEMEAST WITH SPONSORSHIP AND IN-KIND TIME TO THE REGION'S LEADERSHIP TEAM AT STEMEAST. HEALTH LIBRARYA 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 SAFETY516 INDIVIDUAL MEDICATION WALLET CARDS WERE PROVIDED FREE TO COMMUNITY RESIDENTS AND SAFE AND PROPER MEDICATION DISPOSAL EDUCATION IS PROVIDED WITH EACH CARD.HURRICANE FLORENCEHURRICANE FLORENCE, A CATEGORY 4 STORM, MADE DIRECT LANDFALL IN SE NC ON SEPTEMBER 14T , 2018 AND PAINSTAKINGLY LINGERED FOR DAYS DROPPING CLOSE TO 20 INCHES LOCALLY WITH SUBSEQUENT HISTORIC FLOODS CUTTING LENOIR COUNTY IN HALF. WIDESPREAD POWER AND PHONE OUTAGES WITH HIGH FLOODING RESULTED IN CLOSINGS FOR MOST LOCAL BUSINESSES AND AGENCIES FOR OVER A WEEK. HOSPITAL INCIDENT COMMAND WORKED CLOSELY WITH LENOIR COUNTY EMERGENCY MANAGEMENT AND STATEWIDE AND NATIONAL AUTHORITIES TO COORDINATE EMERGENCY AND OPERATIONAL PLANS AND EFFICIENCIES DURING STORM IMPACT. AT TIMES, NEARLY 200 EMPLOYEES SLEPT IN THE HOSPITAL IN ORDER TO PROVIDE ADEQUATE STAFFING AND COVERAGE FOR THE HOSPITAL. DURING THIS PERIOD, UNC URGENT CARE WAIVED FEES ASSOCIATED WITH ITS VIRTUAL CARE SERVICE, UNC URGENT CARE 24/7. THIS SERVICE PROVIDES PATIENTS WITH REAL-TIME ACCESS TO PHYSICIANS VIA PHONE, TABLET OR COMPUTER AND WAS A CONCRETE WAY FOR OUR HEALTH CARE SYSTEM TO SERVE NORTH CAROLINIANS DURING HURRICANE FLORENCE. 118717620 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 1 1 0 0 0 1 133 0 1 1067 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 16 12 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 NC X LOUIS LEIGH JR DIRECTOR OF FINANCE 2525227510 100 AIRPORT ROAD KINSTON NC 285031678 RAY COLLIER JR CHAIRMAN 2.00 X X 0 0 0 CARLTON YOUNGER JR VICE CHAIRMAN 2.00 X X 0 0 0 MICHAEL WHITFIELD CPA TREASURER 2.00 X X 0 0 0 DEXTER FLOYD ASSISTANT TREASURER 2.00 X X 0 0 0 ARMISTEAD MAUCK SECRETARY 2.00 X X 0 0 0 LADDIE M CRISP JR MD BOARD MEMBER 1.00 X 0 0 0 SHIRLEY DOVE EDD BOARD MEMBER 1.00 X 0 0 0 MICHAEL HADDAD MD BOARD MEMBER 1.00 X 0 0 0 CLIFTON HARRISON BOARD MEMBER 1.00 X 0 0 0 JOHN HERLONG MD BOARD MEMBER 1.00 X 0 0 0 CRAIG HILL BOARD MEMBER 1.00 X 0 0 0 JOHN MCPHAUL BOARD MEMBER 1.00 X 0 0 0 FELICIA SOLOMON BOARD MEMBER 1.00 X 0 0 0 FRANCES HERRING JD BOARD MEMBER 1.00 X 0 0 0 RUSSELL HUNT BOARD MEMBER 1.00 X 0 0 0 D STUART LINDLEY BOARD MEMBER 1.00 X 0 0 0 MARY M CAULEY EDD BOARD MEMBER 2.00 X X 0 0 0 NAWAF ATASSI MD MD STAFF PRESIDENT 1.00 X 0 0 0 ROBERT A ENDERS JR CEO 40.00 X X 0 0 0 JEANNETTE SKINNER INTERIM CEO 40.00 X X 0 0 0 JAMES C DOBBINS VP HR 40.00 X 267503 0 82260 KARL L VANDERSTOUW CIO 40.00 X 236932 0 51231 CLAIRE D PARIS CMO 40.00 X 368302 0 20631 DEBBIE LANIER ASSISTANT SECRETARY 40.00 X 70588 0 19447 MICHAEL VAUGHN INTERIM CFO 40.00 X 65000 0 0 SHIRLEY S HARKEY CNO 40.00 X 0 0 0 MARK HENNING DIRECTOR OF ANESTHESIOLOGY 40.00 X 278933 0 24242 CONNIE MANGEL CRNA - NURSE ANESTHETIST 40.00 X 211729 0 28537 ROBIN REAVIS CRNA - NURSE ANESTHETIST 40.00 X 208692 0 21149 DONNA FLOYD DIRECTOR OF RISK MANAGEMENT 40.00 X 208722 0 10048 SARAH H MAYO CFO 40.00 X 399464 0 51815 LAUREL A MOLLOY CNO 40.00 X 220850 0 37731 2536715 0 347091 41 1 1 0 UHS PHYSICIANS LLP 2100 STANTONSBURG RD GREENVILLE NC 27835 HOSPITALISTS SERVICES 2157389 SODEXO INC & AFFILIATES PO BOX 536922 ATLANTA GA 30353 DIETARY/EVS/MGMT SERVICES 1587288 GUARDIAN HEALTHCARE PROVIDERS INC 105 WESTPARK DRIVE SUITE 100 BRENTWOOD TN 37027 NURSE-CONTRACT STAFFING 1510893 UNC HOSPITALS AT CHAPEL HILL 5221 PARAMOUNT PARKWAY MORRISVILLE NC 27560 OPERATIONAL MANAGEMENT 720902 SIGHTPATH MEDICAL 5775 W OLD SHAKOPEE RD BLOOMINGTON MN 55437 MEDICAL PROCEDURES/OPHTHAMOLOGY 666760 23 213420 193081 406501 PATIENT SERVICES 621990 135526695 135526695 AUXILLARY SERVICE REVENUE 621990 1261970 1261970 WELLNESS CENTER REVEUNE 713940 102066 102066 LAB REVENUE 541380 28352 28352 136919083 2806834 2806834 955252 0 955252 955252 955252 5378627 -5378627 -5378627 -5378627 1593067 711960 881107 881107 DIETARY AND CAFETERIA 900099 920091 920091 VENDING 900099 51302 51302 971393 137561543 138755442 0 -1600400 X 36464 36464 239528 239528 1399538 227780 1132576 39182 43347106 34662301 8684805 1592734 1246583 345261 890 7835589 6132670 1698542 4377 3202110 2506191 694130 1789 672408 672408 63907 63907 66122 66122 234508 234508 15028723 12217995 2810728 349832 8699 341133 6740322 3518924 3221398 1815313 1815313 2601770 2507630 94140 101187 56715 44472 54771 42327 12444 245739 245739 5699650 5699650 451263 451263 BAD DEBT EXPENSE 34109784 34109784 MEDICAL SUPPLIES 13220167 13204470 15697 RECRUITMENT 33333 33333 139141868 118717620 20378010 46238 2750466 2203338 8504239 5923053 11415138 12045942 2488687 2582886 2494089 2238904 151922833 96586638 54180117 55336195 96661535 100467304 2166699 1275728 180660970 182073350 13668305 16865744 4858832 2039682 15895000 15305000 3000000 2500000 2076265 1153978 39498402 37864404 X 105877451 106677751 35285117 37531195 141162568 144208946 180660970 182073350 -1580325 4626703 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 15061 15061 0 PART II-B, LINE 1: 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, $10,605 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, $4,456 OF MEMBERSHIP DUES WERE ALLOCATED TO LOBBYING EXPENSE. 425406 425406 66593016 34368937 32224079 76686049 57116281 19569768 8218362 5101420 3116942 55336195 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 1153978 1153978 X 114013251 4626703 6153177 10779880 103233371 34328172 34328172 137561543 110966873 6153177 6153177 104813696 34328172 34328172 139141868 PART X, LINE 2: THE COMPANY IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, THE ACCOMPANYING COMBINED FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. THE COMPANY HAS DETERMINED THAT THEY DO NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF JUNE 30, 2019. PART XI, LINE 2D - OTHER ADJUSTMENTS: COGS 711,960. EXPENSE IN REVENUE 5,441,217. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT INCOME 34,109,784. REVENUE IN EXPENSE 218,388. PART XII, LINE 2D - OTHER ADJUSTMENTS: COGS 711,960. EXPENSE IN REVENUE 5,441,217. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 34,109,784. REVENUE IN EXPENSE 218,388. 1 1 1 X 1 X 1 1 1 0 1 1 2060329 95629 1964700 0.01410 18882199 14522123 4360076 0.03130 20942528 14617752 6324776 0.04540 873697 139709 733988 0.00530 374917 374917 0.00270 34908121 30088095 4820026 0.03460 17652 17652 0.00010 70864 70864 0.00050 36245251 30227804 6017447 0.04320 57187779 44845556 12342223 0.08860 1651 1651 0.00000 41942 41942 0.00030 10373 10373 0.00010 159 159 0.00000 178658 178658 0.00130 24750 24750 0.00020 257533 257533 0.00190 0 34109784 2948242 38040534 40336133 -2295599 X 1 1 1 1 LENOIR MEMORIAL HOSPITAL INC 100 AIRPORT ROAD KINSTON NC 28501 X X X X DISPROPORTIONATE SHARE HOSPITAL LENOIR MEMORIAL HOSPITAL INC 1 0 0 1 X X X X X X X X X 17 1 0 0 1 X WWW.UNCLENOIR.ORG X WWW.CO.LENOIR.NC.US X X 1 17 1 HTTP://WWW.HEALTHENC.ORG/CONTENT/SITES/FHLI/RESOURCE_LIBRARY/2017_UNC_LENOI 0 1 X 100.000000000000 250.000000000000 X X X X X X 1 1 X X X X 1 X WWW.UNCLENOIR.ORG X WWW.UNCLENOIR.ORG X WWW.UNCLENOIR.ORG X X X X X X X 1 X 0 X X X X 1 X 0 0 LENOIR MEMORIAL HOSPITAL, INC. PART V, SECTION B, LINE 5: THE THREE YEAR CHNA CYCLE PROCESS (2017) IDENTIFIED THREE PRIORITY ISSUES FOR THE COMMUNITY: OBESITY, SUBSTANCE ABUSE/MENTAL HEALTH, AND RESPONSIBLE PARENTING. THE 2017 CYCLE, INITIATED BY UNC LENOIR HEALTH CARE, LENOIR COUNTY HEALTH DEPARTMENT AND KINSTON COMMUNITY HEATH INCLUDES WRITTEN ACTION PLANS AND IMPLEMENTATION STRATEGIES. THE FULL 2017 COMMUNITY HEALTH ASSESSMENT AND IMPLEMENTATION STRATEGIES CAN BE FOUND AT WWW.UNCLENOIR.ORG, ON THE HEALTHY COMMUNITIES PAGE. UNC LENOIR ALSO PROVIDED STAFF TO THE EASTERN REGION STEERING COMMITTEE FOR REGIONALIZATION AND STANDARDIZING PLANNING FOR COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS PLANNING IN THE EAST, TO BE INITIATED IN 2018. LENOIR MEMORIAL HOSPITAL, INC. PART V, SECTION B, LINE 6A: THE CHNA WAS MAILED OUT TO COMMUNITY LEADERS LENOIR MEMORIAL HOSPITAL, INC. PART V, SECTION B, LINE 11: LENOIR MEMORIAL IS NOT CURRENTLY INVOLVED IN THE ILLEGAL DRUGS AND DRUG ABUSE/SUBSTANCE AND YOUTH VIOLENCE/GANGS ISSUE BUT A GROUP OF COMMUNITY ORGANIZATIONS LED BY KINSTON PUBLIC SAFETY HAS FORMED A TASK FORCE TO WORK ON THIS ISSUE. LENOIR MEMORIAL HOSTED MEETING SPACE AND A BREAKFAST FOR LEADERS IN THIS REGARD TO GET THE INITIATIVE STARTED. YOUTH ACCESS AND USE OF GUNS MAY ALSO BE CLOSELY RELATED TO THIS ISSUE AND SAFE KIDS ENC WORKS TO PROVIDE THE COMMUNITY WITH GUN LOCKS AND GUN SAFETY EDUCATION.JOB OPPORTUNITIES WERE IDENTIFIED AS A TOP ISSUE IN THE COMMUNITY AND EVEN THOUGH LENOIR MEMORIAL RECEIVED A WORKFORCE DEVELOPMENT GRANT FROM THE GOLDEN LEAF FOUNDATION IN 2010 AND TRAINED 20 CERTIFIED NURSING ASSISTANTS FOR THE LOCAL WORKFORCE, LENOIR MEMORIAL DOES NOT HAVE ANY CURRENT PLANS IN THIS AREA OTHER THAN SERVING AS A TRAINING SITE FOR STUDENTS WHO MAY JOIN THE WORKFORCE ONCE THEY COMPLETE THEIR PROGRAMS. LENOIR MEMORIAL IS A MAJOR EMPLOYER IN LENOIR COUNTY AND WILL HIRE AS VACANT POSITIONS NECESSITATE. HOSPITAL LEADERSHIP PARTICIPATES IN A VARIETY OF ECONOMIC DEVELOPMENT COMMITTEES AND PROJECTS THROUGHOUT THE YEAR.DRINKING AND DRIVING CONTINUES TO BE SEEN AS A PRIORITY ISSUE IN THE 2017 CHNA. LOCAL LAW ENFORCEMENT AND STATEWIDE PROGRAMS HAVE INITIATED PROGRAMS IN OUR COMMUNITY SUCH AS BOOZE IT AND LOSE IT AND OTHER ROAD STOP PROGRAMS IN AN EFFORT TO ADDRESS THE PROBLEM.LENOIR MEMORIAL OFFERS SMOKING CESSATION PROGRAMMING THROUGH THE MINGES WELLNESS CENTER AND DOES NOT LIMIT THE PROGRAMS TO ADULTS ONLY. THE ISSUE OF CIGARETTE SMOKING AMONG PEOPLE UNDER AGE 18 HAS BEEN A DISCUSSION AT THE LENOIR COUNTY SCHOOL HEALTH ADVISORY COMMITTEE ON WHICH LENOIR MEMORIAL SERVES. IT WILL NOT BE A PRIORITY FOR LENOIR MEMORIAL SINCE SERVICES FOR CESSATION EXIST AND THE HOSPITAL SERVES AS AN ORGANIZATIONAL ROLE MODEL AS A TOBACCO-FREE CAMPUS. LENOIR MEMORIAL HOSPITAL, INC. PART V, SECTION B, LINE 13H: SLIDING SCALE BASED ON % OF FPG LENOIR MEMORIAL HOSPITAL, INC. PART V, SECTION B, LINE 15E: LIST THE WEBSITE WHERE THE INFORMATION IS PROVIDED AND OFFER BROCHURES EXPLAINING FINANCIAL ASSISTANCE. LENOIR MEMORIAL HOSPITAL, INC. PART V, SECTION B, LINE 16J: BROCHURES ARE PLACED IN WAITING AREAS AND REGISTRATION AREAS THROUGHOUT THE FACILITY AS WELL AS COMMUNITY HEALTH CENTERS AND THE HEALTH DEPARTMENT. 1 1 - LENOIR PHYSICIAN NETWORK 100 AIRPORT ROAD KINSTON NC 28501 PHY. OFF, FAM.PRAC.,ORTHO, GEN. SURG., NEURO.,UROLOGY, CARDIO PULM.,& OBGYN PART I, LINE 3C: IN ADDITION TO DETERMINING ELIGIBILITY FOR FREE OR REDUCED-PRICE CARE USING INCOME LEVELS AND FEDERAL POVERTY GUIDELINES, PATIENTS MAY ALSO QUALIFY FOR FINANCIAL ASSISTANCE BASED UPON THEIR ELIGIBILITY FOR SUBSIDIZED HOUSING UNDER HUD GUIDELINES. ALTHOUGH THE HOSPITAL PREFERS TO BE ABLE TO DISCUSS OPTIONS FOR FINANCIAL ASSISTANCE WITH HEALTHCARE COSTS - INCLUDING POSSIBLE ELIGIBILITY FOR MEDICAID OR OTHER PROGRAMS - WITH PATIENTS, IF EFFORTS TO DO SO PROVE UNSUCCESSFUL, ELIGIBILITY FOR LMH'S FINANCIAL ASSISTANCE PROGRAM MAY BE DETERMINED BASED UPON PATIENT ADDRESS IN A SUBSIDIZED HOUSING COMMUNITY. COMMUNITIES MEETING THIS DEFINITION, AS WELL AS INCOME AND ASSET CRITERIA FOR RESIDENTS, ARE REVIEWED PERIODICALLY WITH THE LOCAL HOUSING AUTHORITY. ADDITIONALLY, PATIENTS FACING EXTENSIVE MEDICAL COSTS WHO DO NOT MEET STANDARD FINANCIAL INDIGENCE CRITERIA BASED UPON INCOME LEVEL MAY QUALIFY FOR DISCOUNTED CARE IF THEY ARE DETERMINED TO BE "MEDICALLY INDIGENT; THAT IS, HAVING INCURRED COSTS OF CARE IN EXCESS OF 20% OF FAMILY GROSS INCOME, AND FOR WHICH PAYMENT WOULD REQUIRE LIQUIDATION OF THOSE ASSETS CRITICAL TO LIVING OR EARNING A LIVING. THEREFORE, FINANCIAL AND OTHER ASSETS MUST BE FULLY DISCLOSED BY PATIENTS SEEKING THIS DESIGNATION IN ORDER FOR A MEDICAL INDIGENCE DETERMINATION TO BE MADE. ADDITIONALLY, DISCOUNTS FOR PROMPT PAYMENT OF BALANCES ARE AVAILABLE FOR ALL UNINSURED PATIENTS, AND ARE TIERED BASED UPON THE AMOUNT OWED (LARGER DISCOUNTS ARE APPLIED TO HIGHER BALANCES). PATIENT ACCOUNT LIAISONS (PALS) AND FINANCIAL COUNSELORS SCREEN PATIENTS FOR FINANCIAL ASSISTANCE EITHER AT THE POINT OF SERVICE OR AFTER SERVICE HAS BEEN RENDERED. THE STAFF ALSO UTILIZES A SOFTWARE SYSTEM THAT SCREENS PATIENTS FOR MEDICAID ELIGIBILITY AS WELL AS FINANCIAL ASSISTANCE. PALS INTERVIEW SCHEDULED PATIENTS PRIOR TO SERVICE, AFTER ADMISSION AS AN INPATIENT AND AFTER SERVICE IS RECEIVED THROUGH THE EMERGENCY DEPARTMENT REGARDING THEIR LIABILITY AND DISCUSS OPTIONS FOR PAYMENT INCLUDING FINANCIAL ASSISTANCE. FINANCIAL COUNSELORS CONTACT PATIENTS AFTER THEY RECEIVE A STATEMENT FOR SERVICES TO DISCUSS PAYMENT OPTIONS INCLUDING FINANCIAL ASSISTANCE. PART I, LINE 7G: THE SUBSIDIZED HEALTH SERVICES PROGRAMS INCLUDED DIABETES, ENDOCRINOLOGY, HEMATOLOGY/ONCOLOGY, AND NEONATOLOGY. PART II, COMMUNITY BUILDING ACTIVITIES: LENOIR MEMORIAL PARTNERS WITH AREA ORGANIZATIONS TO PROVIDE COMMUNITY HEALTH PROGRAMMING, HEALTH COALITION WORK, AND IN-KIND LEADERSHIP TO AREA BOARDS, AND NON-PROFITS. HOSPITAL LEADERSHIP TEAM MEMBERS SERVE ON COMMUNITY TASK FORCES AND ACTION GROUPS. SOME OF THESE INCLUDE THE LENOIR COUNTY SCHOOL HEALTH ADVISORY COMMITTEE, EASTERN AHEC, KINSTON-LENOIR COUNTY CHAMBER OF COMMERCE, PRIDE OF KINSTON, LENOIR COMMITTEE OF 100, LENOIR-GREENE UNITED WAY, KINSTON COMMUNITY HEALTH CENTER, LENOIR COUNTY ALLIANCE FOR A HEALTHY COMMUNITY, THE COMMUNITY MARKETING COMMITTEE, AND LENOIR-GREENE ASTHMA COALITION. LENOIR ALSO PARTICIPATES IN A MENTORING PROGRAM WITH SOUTH EAST ELEMENTARY SCHOOL. LENOIR PROVIDES MEETING SPACE FOR VARIOUS LOCAL COMMITTEES. PART III, LINE 3: DATA PULLED FROM THE NC DEPARTMENT OF COMMERCE INDICATES THAT 32.8% OF KINSTON RESIDENTS LIVE BELOW THE POVERTY LEVEL AND THAT 23.7% OF LENOIR COUNTY RESIDENTS LIVE BELOW THE POVERTY LEVEL. LENOIR COUNTY IS THE LARGEST SERVICE AREA FOR UNC LENOIR HEALTH CARE (LENOIR MEMORIAL HOSPITAL). THE 23.7% WAS MULTIPLIED BY THE TOTAL BAD DEBT TO DEVELOP AN ESTIMATE FOR THE AMOUNT OF BAD DEBT THAT MAY QUALIFY FOR FINANCIAL ASSISTANCE. THIS AMOUNT WAS THEN MULTIPLIED BY THE COST TO CHARGE RATIO TO PROVIDE THIS ESTIMATE. PART III, LINE 4: BAD DEBT EXPENSE FOR FY18 IS PRESENTED AS CHARGED NOT COST. PART III, LINE 8: THE MEDICARE COST REPORT WAS USED TO DETERMINE MEDICARE ALLOWABLE COSTS OF CARE. PART III, LINE 9B: THE HOSPITAL SENDS PATIENTS A STATEMENT EACH MONTH NOTING THE BALANCE DUE. INFORMATION IS INCLUDED ON THE STATEMENT REGARDING OPTIONS FOR PAYMENT INCLUDING FINANCIAL ASSISTANCE AND CONTACT NUMBERS. SELF PAY PATIENTS ARE OFFERED A PROMPT PAY DISCOUNT. NOTIFICATION OF THE DISCOUNT IS INCLUDED ON THE PATIENT'S STATEMENTS.FINANCIAL COUNSELORS AND PATIENT ACCOUNT LIAISONS ARE TRAINED TO INFORM PATIENTS OF FINANCIAL ASSISTANCE AS AN OPTION SHOULD THEY HAVE DIFFICULTY PAYING THEIR ACCOUNTS. THE PALS UTILIZE A SOFTWARE SYSTEM (RAMP) THAT SCREENS PATIENTS FOR POTENTIAL MEDICAID ELIGIBILITY AND FOR FINANCIAL ASSISTANCE. THE SCREENING IS BASED ON SOME PRELIMINARY QUESTIONS, AND THEN PATIENTS ARE SCHEDULED FOR AN INTERVIEW TO COMPLETE THE APPLICATION AND SUBMIT THE NECESSARY DOCUMENTS. PATIENTS RECEIVING LESS THAN 100% FINANCIAL ASSISTANCE WILL BE REQUESTED TO MAKE PAYMENT ARRANGEMENTS FOR THE REMAINING BALANCE.TELEPHONE CONTACTS TO DISCUSS ACCOUNT BALANCES WITH PATIENTS AND OFFER OPTIONS FOR RESOLUTION ARE ATTEMPTED ON MOST ACCOUNTS. THE HOSPITAL WILL OFFER PAYMENT PLANS TO PATIENTS THAT ARE ABLE TO PAY WITH A MINIMUM MONTHLY PAYMENT OF $50.00. PATIENTS ARE ALSO OFFERED ASSISTANCE WITH MEDICAID ELIGIBILITY APPLICATIONS. IF THE PATIENT IS NONRESPONSIVE AFTER RECEIVING THREE STATEMENTS (120 DAYS FROM DATE OF SERVICE OR LAST PAYMENT DATE), THE ACCOUNT MAY BE FORWARDED TO A COLLECTION AGENCY FOR FURTHER COLLECTION PROCEDURES. THE HOSPITAL DOES NOT UTILIZE PRACTICES SUCH AS GARNISHMENTS, LIENS, AND PERSONAL ATTACHMENTS AS PART OF THE COLLECTION PROCESS. PART VI, LINE 2: LENOIR MEMORIAL WORKS CLOSELY WITH THE LENOIR COUNTY HEALTH DEPARTMENT TO CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR LENOIR COUNTY, OUR LARGEST POPULATION SERVED. OUR COMMUNITIES ARE SURVEYED WITH BOTH ENGLISH AND SPANISH SURVEY INSTRUMENTS. LOCAL DEMOGRAPHIC AND HEALTH STATISTICS ARE COMPILED ALONG WITH COMMUNITY SURVEY DATA ABOUT PERCEIVED HEALTH ISSUES IN ORDER TO DEVELOP TARGETED COMMUNITY HEALTH STRATEGIES. LENOIR MEMORIAL PROVIDES LEADERSHIP TO THE LENOIR COUNTY ALLIANCE FOR A HEALTHY COMMUNITY , WHICH IS A BROAD BASE OF COMMUNITY AGENCIES AND ORGANIZATIONS THAT MEET MONTHLY TO PROMOTE A HEALTHY COMMUNITY. LENOIR MEMORIAL ALSO PARTNERS WITH LENOIR, GREENE, AND JONES COUNTIES IN HEALTHY INITIATIVES TO PROMOTE AND SUPPORT HEALTHIER LIVING ACTIVITIES. ANNUAL CANCER REPORTING AND HOSPITAL DIAGNOSIS TRENDS ARE USED TO PRIORITIZE PROGRAMMING, SERVICES, AND INITIATIVES AS WELL AS PHYSICIAN NEEDS ASSESSMENTS. PART VI, LINE 3: LENOIR MEMORIAL INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE BY POSTING SIGNAGE AND BROCHURES THROUGHOUT THE FACILITY, LOCAL HEALTH DEPARTMENT AND COMMUNITY HEALTH CENTER. SIGNS POSTED IN THE WAITING ROOMS OF ENTRY POINTS OF THE FACILITY INCLUDE BROCHURES ENTITLED "UNINSURED, NEED HELP PAYING YOUR HOSPITAL BILL". BROCHURES ARE ALSO INCLUDED AS PART OF THE PATIENT'S INTAKE PROCESS IN THE ADMISSION PACKAGE, ARE ON DISPLAY IN THE MAIN CORRIDORS OF THE FACILITY ON HOSPITAL'S ELECTRONIC INFORMATION BOARDS AND IN WAITING ROOMS. THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS PUBLISHED ON THE HOSPITAL'S WEBSITE AT WWW.UNCLENOIR.ORG, WITH THE APPLICATION AND REQUIRED DOCUMENTATION IN ENGLISH AND SPANISH ALONG WITH A SUMMARY OF THE PROCESS AND CONTACT INFORMATION. A FINANCIAL ASSISTANCE SUMMARY IS ALSO AVAILABLE AT THE POINT OF REGISTRATION AND DURING INTERVIEWS WITH PATIENTS THAT MAY HAVE QUESTIONS. THE AVAILABILITY OF FINANCIAL ASSISTANCE IS INCLUDED ON PATIENT'S STATEMENTS AND FINANCIAL COUNSELORS DISCUSS FINANCIAL ASSISTANCE AS AN OPTION FOR PATIENTS THAT HAVE CONCERNS ABOUT PAYING THEIR ACCOUNTS. SELF PAY PATIENTS ARE ALSO SCREENED FOR MEDICAID AND OTHER GOVERNMENT PROGRAMS. SPANISH SPEAKING PATIENTS ARE OFFERED ASSISTANCE THROUGH OUR ONSITE SPANISH INTERPRETER AND THE HOSPITAL ALSO HAS ACCESS TO LANGUAGE LINES, AS SERVICE FOR NON-ENGLISH CONVERSATIONS. PART VI, LINE 4: LENOIR MEMORIAL HOSPITAL IS LOCATED IN KINSTON, NORTH CAROLINA (POPULATION ESTIMATE 2017 20,509), WHICH IS THE COUNTY SEAT AND LARGEST TOWN IN LENOIR COUNTY (POPULATION ESTIMATE JULY 2017 56,883); 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 URBANS AREAS OF NORTH CAROLINA SINCE 2010, LENOIR COUNTY WAS ONE OF FORTY-SEVEN RURAL COUNTIES STATEWIDE THAT LOST POPULATION WITH LENOIR COUNTY DOWN (4.4% OR 2,612), VS. THE NC AVERAGE OF +7.7%. KINSTON'S DECLINE WAS EVEN SIMILAR TO LENOIR COUNTY AT 5.4% (1,240) AND WAS THE THIRD HIGHEST NUMERIC LOSS IN THE PERIOD 2010-2017. OVER THE LAST TWO DECADES THE LOCAL AREA HAS WITNESSED THE CLOSING OR SIGNIFICANT DOWNSIZING OF FORMERLY LARGE EMPLOYERS PARTICULARLY LIGHT MANUFACTURING ENTERPRISES AS LESS EXPENSIVE LABOR HAS BEEN SOUGHT OVERSEAS. IN THE MOST RECENT YEARS, THE AREA'S CHALLENGES HAVE BEEN EXACERBATED BY THE DRAMATIC NATIONWIDE ECONOMIC DOWNTURN, AND LENOIR COUNTY'S UNEMPLOYMENT RATE HAS TYPICALLY EXCEEDED BOTH STATE AND NATIONAL AVERAGES. THE COUNTY HAS BEEN DESIGNATED TIER 1 I.E., THE RANKING GIVEN TO THE MOST ECONOMICALLY DISTRESSED COUNTIES IN THE STATE BY THE NC DEPARTMENT OF COMMERCE. POVERTY LEVELS IN KINSTON AND LENOIR COUNTY EXCEED STATE AVERAGES; IN 2010 THE COUNTY'S POVERTY LEVEL WAS RANKED THIRD HIGHEST FOR COUNTIES WITH POPULATIONS GREATER THAN 20,000 BY THE NC JUSTICE CENTER. THE ECONOMICALLY DISADVANTAGED PERCENTAGE OF CHILDREN IN LENOIR COUNTY SCHOOLS FOR 2009-2010 WAS 66.53%, AND ALL SCHOOLS WITH ELEMENTARY AND MIDDLE GRADES WERE TITLE 1. PORTIONS OF KINSTON ARE DESIGNATED AS HEALTH PROFESSIONAL SHORTAGE AREAS. THE MEDIAN INCOME IN LENOIR COUNTY IS 76.4% 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, 2010-2017 -5.7%(KC); -4.4%(LC); -7.7%(NC)PERCENT BELOW POVERTY LEVEL 30.0%(KC); 24.7%(LC); 14.7%(NC)MEDIAN HOUSEHOLD INCOME, 2017 $29,927(KC); $37,515 (LC); $50,320(NC) CHILDREN IN POVERTY, 2017 55.1%(KC); 32.3%(LC); 21.7%(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 CAPTIAL EQUIPMENT OR OTHER MEDICAL EQUIPMENT USED IN PATIENT CARE. THEY ARE ALSO USED TO PURCHASE TECHNOLOGY, SUCH AS COMPUTER EQUIPMENT, SOFTWARE, AND CONNECTIVITY. THESE FUNDS ALSO SUPPORT GENERAL BUILDING REFURBISHMENTS AS WELL AS REPAIRS AND MAINTENANCE. PART VI, LINE 7, REPORTS FILED WITH STATES NC 1 NC EASTERN ALLIANCE CORPORATION 3802 HIGHWAY 58N A KINSTON NC 28504 510422797 501(C)(3) 5600 ECONOMIC DEVELOPMENT GRANT NORTH CAROLINA HOSPITAL ASSOCIATION 2400 WESTON PARKWAY CARY NC 27513 560641290 501(C)(6) 22320 MRI/GAP TECHNICAL ASSISTANCE FUND LENOIR COMMUNITY COLLEGE PO BOX 188 KINSTON NC 28501 561055936 501(C)(3) 5000 EDUCATIONAL ASSISTANCE 3 SCHOLARSHIPS 33 175586 TUITION REIMBURSEMENT 32 37934 PART I, LINE 2: THE ORGANIZATION PROVIDES PRE-APPROVED FUNDS TO SELECTED ORGANIZATIONS AND INDIVIDUALS BASED UPON APPROVED CRITERIA. THE FUNDS ARE ONLY DISBURSED FOR THE APPROVED ACTIVITIES. X 1 1 X X X 0 1 0 0 0 0 0 0 0 JAMES C DOBBINS VP HR 185585 0 12868 0 69050 0 69921 0 12339 0 349763 0 7341 0 KARL L VANDERSTOUW CIO 192365 0 13341 0 31226 0 30820 0 20411 0 288163 0 7667 0 CLAIRE D PARIS CMO 348302 0 20000 0 0 0 6269 0 14362 0 388933 0 0 0 MARK HENNING DIRECTOR OF ANESTHESIOLOGY 278933 0 0 0 0 0 11000 0 13242 0 303175 0 0 0 CONNIE MANGEL CRNA - NURSE ANESTHETIST 211729 0 0 0 0 0 8609 0 19928 0 240266 0 0 0 ROBIN REAVIS CRNA - NURSE ANESTHETIST 208692 0 0 0 0 0 8426 0 12723 0 229841 0 0 0 DONNA FLOYD DIRECTOR OF RISK MANAGEMENT 208722 0 0 0 0 0 4384 0 5664 0 218770 0 0 0 SARAH H MAYO CFO 138830 0 29949 0 230685 0 40682 0 11133 0 451279 0 10895 0 LAUREL A MOLLOY CNO 187248 0 13210 0 20392 0 24641 0 13090 0 258581 0 7700 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: - SARAH MAYO, CFO $30,114 - JAMES CLINE DOBBINS, VP HUMAN RESOURCES $62,497 - KARL VANDERSTOUW, VP ITS AND ENGINEERING $23,125 - LAUREL A. MOLLOY, CNO $17,151 A NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 657902Y63 2005-09-22 22000000 CAPITAL PROJECTS 0 0 0 A 6695000 22021552 178646 20213 9657270 12165423 2005 1 0 1 1 A 0 0 1 1 0 0 0 1 A 0 0 1 1 1 0 0 0 1 A 1 SCHEDULE K SUPPLENTAL 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 FAMILY MEMBER OF A BOARD MEMBER 58895 PAYMENT FOR EMPLOYMENT AS RADIOLOGY TECH. 0 EDWARD EARL HILL FAMILY MEMBER OF A BOARD MEMBER 34747 PAYMENT FOR EMPLOYMENT AS PLANT ENGINEER MECHANIC. 0 MICHAEL HADDAD MD BOARD MEMBER 139314 PRESIDENT OF PATHOLOGY ASSOCIATES WHICH RECEIVED PAYMENTS FOR SERVICES. 0 FORM 990, PART VI, SECTION A, LINE 1 THE CHAIRMAN OF THE BOARD, VICE CHAIRMAN, SECRETARY, PRESIDENT, AND OTHERS AS APPOINTED BY THE CHAIRMAN SHALL CONSTITUTE THE EXECUTIVE COMMITTEE. THE CHAIRMAN OF THE BOARD OF DIRECTORS SHALL SERVE AS CHAIRMAN OF THE EXECUTIVE COMMITTEE AND THE VICE CHAIRMAN OF THE BOARD OF DIRECTORS SHALL SERVE AS VICE CHAIRMAN OF THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE SHALL HAVE FULL AUTHORITY TO TRANSACT ALL REGULAR BUSINESS OF THE HOSPITAL DURING THE INTERIM BETWEEN THE REGULAR MEETINGS OF THE BOARD OF DIRECTORS, PROVIDED THAT ANY ACTION WHICH IT MAY TAKE SHALL NOT CONFLICT WITH THESE BYLAWS, RULES AND REGULATIONS OR ARTICLES OF INCORPORATION OR WITH THE POLICIES AND DECISIONS OF THE BOARD OF DIRECTORS. SHOULD ANY MATTERS OF EXTREME URGENCY ARISE BETWEEN REGULAR MEETINGS OF THE BOARD OF DIRECTORS, IT SHALL BE THE PREROGATIVE OF THE EXECUTIVE COMMITTEE TO REQUEST THE CHAIRMAN OF THE BOARD TO CALL A SPECIAL MEETINGS, WHICH SHALL BE HELD AT LEAST TWICE ANNUALLY UPON CALL BY THE CHAIRMAN. A MAJORITY OF THE MEMBERS OF THE COMMITTEE SHALL CONSTITUTE A QUORUM. FORM 990, PART VI, SECTION A, LINE 3 THROUGH THE MANAGEMENT SERVICES AGREEMENT, UNC HEALTH CARE SYSTEM PROVIDES OVERSIGHT AND ASSISTANCE WITH A BROAD ARRAY OF BUSINESS, ADMINISTRATIVE, AND EXECUTIVE FUNCTIONS OF LENOIR MEMORIAL HOSPITAL, INC. (THE HOSPITAL), INCLUDING BUT NOT LIMITED TO: FINANCIAL REPORTING AND BUDGETING, MANAGED CARE CONTRACTING, PURCHASING, PHYSICIAN RECRUITMENT AND RETENTION, MARKETING, AND CLINICAL SERVICE QUALITY. THE CEO OF LENOIR MEMORIAL HOSPITAL WAS CONTRACTED THROUGH THIS MANAGEMENT AGREEMENT, DURING THE 2018 CALENDAR THE CEO AND INTERIM CEO RECEIVED $572,948 AND $202,636 FOR THESE SERVICES RESPECTIVELY. THE BOARD OF DIRECTORS OF LENOIR MEMORIAL REMAINS LOCALLY APPOINTED AND RETAINS ULTIMATE AUTHORITY OVER THE GOVERNANCE AND OPERATIONS OF THE HOSPITAL. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S MANAGEMENT TEAM REVIEWED THE FORM 990 IN DETAIL. THE 990 WAS PLACED ON THE ORGAINZATION BOARD PORTAL FOR BOARD MEMBER REVIEW PRIOR TO FILING THE RETURN AND FORMALLY PRESENTED AT A LATER DATE. FORM 990, PART VI, SECTION B, LINE 12C UPON THEIR APPOINTMENT TO THE BOARD, AND BEFORE ACTUALLY PARTICIPATING IN MEETINGS, MEMBERS MUST READ THE CONFLICTS OF INTEREST POLICY AND DISCLOSE ANY FINANCIAL INTERESTS THAT COULD CREATE A CONFLICT OF INTEREST. AS LONG AS THEY CONTINUE TO SERVE ON THE BOARD, MEMBERS THEN COMPLETE THESE FINANCIAL RELATIONSHIP DISCLOSURE STATEMENTS ON AN ANNUAL BASIS. IF SUCH INTERESTS ARE NOT DISCLOSED, THE CEO, BOARD CHAIR, OR ANY OTHER BOARD MEMBER MAY BRING THE FINANCIAL INTEREST OR ACTUAL/POSSIBLE CONFLICT TO THE ATTENTION OF THE BOARD; THUS THE ENTIRE BOARD IS RESPONSIBLE FOR ONGOING MONITORING OF POTENTIAL CONFLICTS AND THEIR DISCLOSURE. INTENTIONAL FAILURE TO DISCLOSE SUCH FINANCIAL INTERESTS WILL, BY POLICY, RESULT IN APPROPRIATE CORRECTIVE ACTION BY THE BOARD. SHOULD A CONFLICT OF INTEREST ARISE IN CONDUCTING THE BUSINESS OF THE HOSPITAL, THE AFFECTED MEMBER(S) MAY NOT PARTICIPATE IN DISCUSSION REGARDING THE RELEVANT TRANSACTION, AND DEPENDING UPON THE SPECIFIC NATURE OF THE MATTER, THE BOARD CAN TAKE A RANGE OF ACTIONS, SUCH AS APPOINTING A DISINTERESTED PERSON TO INVESTIGATE POSSIBLE ALTERNATIVES, REQUIRING THE INTERESTED PERSON TO REFRAIN FROM PERFORMING ANY FUNCTIONS RELATED TO THE INTEREST CREATING THE CONFLICT, OR REQUIRING THE INTERESTED PERSON TO DIVEST HIMSELF OF THE CONFLICT-CREATING INTEREST IN ORDER TO REMAIN ON THE BOARD. EDUCATION AND COMPLIANCE FORMS ARE UPDATED ANNUALLY BY THE HOSPITAL'S CORPORATE COMPLIANCE OFFICER. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS 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 IX, LINE 11G OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 12,217,995. MANAGEMENT AND GENERAL EXPENSES 2,810,728. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,028,723. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. LENOIR PHYSICIANS NETWORK LLC 100 AIRPORT RD KINSTON NC 28501 460687300 PHYSICIANS SERVICES NC 436 101560 LENOIR MEMORIAL HOSPITAL LENOIR MEMORIAL HOSPITAL FOUNDATION INC 100 AIRPORT ROAD KINSTON NC 28501 581584139 SUPPORT THE CHARITABLE, EDUCATIONAL, AND SCIENTIFIC PURPOSES OF LMH, INC. NC 501(C)(3) LINE 12A, I LENOIR MEMORIAL HOSPITAL 1 LENOIR HEALTH SERVICES INC 100 AIRPORT ROAD KINSTON NC 28501 581705689 SUPPORT CHARITABLE, EDUCATIONAL, AND SCIENTIFIC PURPOSES OF LMH, INC. NC 501(C)(3) LINE 12A, I LENOIR MEMORIAL HOSPITAL 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 LENOIR MEMORIAL HOSPITAL FOUNDATION C LENOIR MEMORIAL HOSPITAL FOUNDATION N 5500 LENOIR MEMORIAL HOSPITAL FOUNDATION Q 41604