2020-08-14T10:50:06-05:00 2019-09-30 560731535 S PRESTON DOUGLAS & ASSOCIATES LLP PO BOX 2339 LUMBERTON NC 283592339 990 2018-10-01 560530233 SOUTHEASTERN REGIONAL MEDICAL CENTER SOUT 9106715090 PO BOX 1408 300 W 27TH ST LUMBERTON NC 283591408 JUSTIN BYNUM VP-FINANCE/CFO 9106715000 2020-07-28 true JOHN L GRISSOM JR P00116611 9107397523 2020-08-12 52.38.98.93 2020-08-14 10:50:06 CD P 3F1AE871E1C89EFBA28B681DC736D047736E7918 09D6D8C02884E8A4DB6E2E611C6A1DE3A76FE167 2018 2020-09-23 17:36:50Z JOANN ANDERSON PO BOX 1408 LUMBERTON NC 28359 285755027 false X WWW.SRMC.ORG X 1960 NC SOUTHEASTERN REGIONAL MEDICAL CENTER EXISTS TO PROVIDE QUALITY REGIONAL HEALTH CARE IN A SAFE, COMPASSIONATE, AND EFFICIENT ENVIRONMENT 18 17 2653 106 7776653 0 250052799 253246785 11907430 7385337 21646371 25122905 283606600 285755027 0 0 140732755 146579210 0 0 148557476 140901928 289290231 287481138 -5683631 -1726111 369920634 356266584 138880067 151152155 231040567 205114429 SOUTHEASTERN REGIONAL MEDICAL CENTER EXISTS TO PROVIDE QUALITY REGIONAL HEALTH CARE IN A SAFE, COMPASSIONATE, AND EFFICIENT ENVIRONMENT false false 205073928 253246785 SERVICES PROVIDED FOR 12,554 ACUTE CARE INPATIENTS AND 329 LONG-TERM CARE INPATIENTS. WE ALSO PROVDED SERVICES TO 65,569 EMERGENCY ROOM PATIENTS. 205073928 true false false false false false false false false false true false false false true false false true false false false false false false false false true true false false true true false true false false false false false false false false false false false false false false false false false true 208 0 2653 true true true false false false false false false false false false false false false false X 18 17 false false false false false false false true true false false false true true true true true true true true true X JUSTIN BYNUM 9106715090 PO BOX 1408 LUMBERTON NC 28359 CHERRY BEASLEY TRUSTEE 5.00 X 0 0 0 F KENNETH BIGGS TRUSTEE 5.00 X 0 0 0 LARRY R CHAVIS TRUSTEE 5.00 X 0 0 0 FAYE C CATON EX-OFFICIO 5.00 X 0 0 0 DANIEL E COOK TRUSTEE 5.00 X 0 0 0 ROBIN G CUMMINGS TRUSTEE 5.00 X 0 0 0 KATHERINE DAVIS MEMBER AT LA 5.00 X 0 0 0 DENNIS HEMPSTEAD TRUSTEE 5.00 X 0 0 0 RANDALL S JONES TRUSTEE 5.00 X 0 0 0 WAYLAND B LENNON III VICE CHAIR 5.00 X X 0 0 0 DUNCAN MACKIE TRUSTEE 5.00 X 0 0 0 ALPHONZO MCRAE JR TRUSTEE 5.00 X 0 0 0 EVA MEEKINS TRUSTEE 5.00 X 0 0 0 JOHN ROZIER JR EX-OFFICIO 5.00 X 0 0 0 KENNETH RUST CHAIRMAN 5.00 X X 0 0 0 MICHAEL T STONE IMMEDIATE PA 5.00 X X 0 0 0 W C WASHINGTON SECRETARY/TR 5.00 X X 0 0 0 JOANN ANDERSON PRES, CEO 40.00 X 645016 0 0 JOSEPH ROBERTS VP-MEDICAL A 40.00 X 358783 0 0 JASON COX VP-COO 40.00 X 295438 0 0 PATRICIA MATTO VP-MEDICAL E 40.00 X 281825 0 0 DAVID SUMNER VP-CHIEF STR 40.00 X 256476 0 0 PATRICK EBRI VP-CHIEF ENG 40.00 X 235369 0 0 LORI DOVE VP-CHIEF CON 40.00 X 232549 0 0 GODFREY ONIME PHYSICIAN 40.00 X 561226 0 0 JAMES WEST PHYSICIAN 40.00 X 485255 0 0 BAJAJ NAVIN PHYSICIAN 40.00 X 466186 0 0 LAKSMHI YARLAGADDA PHYSICIAN 40.00 X 431702 0 0 KAUR TARANDEEP PHYSICIAN 40.00 X 429194 0 0 C THOMAS JOHNSON III FORMER VP-FI 40.00 X 356650 0 0 5035669 134 true true false SIMPLIFI MANAGEDTRINITY HEALTHCARE 1834 SALLY HILL FARMS BLVD FLORENCE SC 29501 STAFFING AGENCY 8055564 PRIVATE DIAGNOSTIC CLINIC DUMC BOX 3070 DURHAM NC 27710 PHYS MED 7198550 MEDSTREAM ANESTHESIA PLLC 82 PATTON AVE STE 510 ASHEVILLE NC 28801 ANESTHESIA SERV 5361241 LUMBERTON RADIOLOGICAL CONSULTANTS PO BOX 2750 LUMBERTON NC 28359 RADIOLOGY 4449162 THE ROBINS & MORTON GROUP 2015 AYRSLEY TOWN BLVD STE 203 CHARLOTTE NC 28273 CONSTRUCTION 3863103 50 NET PATIENT SERVICE REVENUE 245470132 245470132 GROSS PHARMACY INCOME 446110 7776653 7776653 253246785 3301886 3301886 551732 551732 551732 551732 4083451 4083451 4083451 4083451 OTHER REVENUE 23491355 23491355 SALES OF CAFETERIA MEALS 1079818 1079818 24571173 285755027 253407201 7776653 24571173 114182518 83349263 30833255 3981646 2906601 1075045 18679445 13635995 5043450 9735601 7106989 2628612 165529 165529 424022 424022 22991551 17556857 5434694 85129 85129 1284259 352475 931784 8372093 8372093 4380503 3614690 765813 86264 44594 41670 586255 253856 332399 3182581 3182581 21777511 6590593 15186918 772864 611916 160948 MEDICAL SUPPLIES 50119263 49210079 909184 OUTSIDE SERVICES 16318762 11804128 4514634 EQUIPMENT RENTAL 6282952 4853311 1429641 OTHER OPERATING EXPENSES 3134206 3134206 938184 938184 287481138 205073928 82407210 0 1360068 9745028 8072566 7843651 43415517 43307317 7433652 6888388 2181105 1213290 469386713 258942056 222299783 210444657 85157943 76824253 369920634 356266584 29652053 35223313 88926209 86324263 20301805 29604579 138880067 151152155 X 231040567 205114429 231040567 205114429 369920634 356266584 X -1726111 994002 -25194029 X false true X true false X 4677066 4677066 198641587 88918303 109723284 266068060 170023753 96044307 210444657 LIABILITY FOR PENSION BENEFITS 23322103 LIABILITY - ASC 6282476 29604579 325105298 994002 38356269 39350271 285755027 285755027 336529610 49048472 49048472 287481138 287481138 SCHEDULE D, PAGE 4, PART XI, LINE 2D REVENUE OF RELATED ORGANIZATONS REPORTED 0 ON SEPARATE 990'S 32,014,510 PENSION RELATED CHANGES 6,341,759 SCHEDULE D, PAGE 4, PART XII, LINE 2D EXPENSES OF RELATED ORGANIZATIONS REPORTED 0 ON SEPARATE 990'S 49,048,472 true true true X true X true true false true true 21742705 13824036 7918669 0.02750 53246430 44155686 9090744 0.03160 74989135 57979722 17009413 0.05920 671949 671949 0.00230 6986860 5187993 1798867 0.00630 570671 570671 0.00200 8229480 5187993 3041487 0.01060 83218615 63167715 20050900 0.06970 true 75628102 15037233 71641833 71381275 260558 X true true SOUTHEASTERN AMBULAT SURGERY CENTER LLC AMBULATORY SURGERY 0.93000 0.07000 1 1 SOUTHEASTERN REGIONAL MEDICAL CENTE 300 W 27TH STREET LUMBERTON NC 28358 X SOUTHEASTERN REGIONAL MEDICAL CENTE 1 false false true X X X X X X X X X 17 true false true true X WWW.SRMC.ORG X WWW.ROBESONCOUNTYHEALTHDEPARTMENT.COM X X true 17 true WWW.SRMC.ORG/MAIN false false true X 200.000000000000 300.000000000000 X X X X X true true X X X X true X WWW.SRMC.ORG/MAIN/FINANCIALASSISTANCE X WWW.SRMC.ORG/MAIN/FINANCIALASSISTANCE X WWW.SRMC.ORG/MAIN/FINANCIALASSISTANCE X X X X X X true X false X X X true X false false FACILITY 1, SOUTHEASTERN REGIONAL MEDICAL CENTE - PART V, LINE 3J THE CHNA REPORT WAS PREPARED AS A COLLABORATIVE EFFORT WITH SRMC, THE ROBESON COUNTY HEALTH DEPARTMENT AND THE HEALTHY ROBESON TASK FORCE. COMBINED, THESE ENTITIES KNOW AND CARE FOR THE HEALTH NEEDS OF THE COMMUNITY. FACILITY 1, SOUTHEASTERN REGIONAL MEDICAL CENTE - PART V, LINE 5 SRMC UTILIZED THE COLLABORATIVE EFFORTS OF THE ROBESON COUNTY HEALTH DEPARTMENT AND THE HEALTHY ROBESON TASK FORCE KNOWLEDGE AND EXPERTISE OF THE COMMUNITY. IN ADDITION, AN OPINION SURVEY WAS ISSUED TO COMMUNITY MEMBERS AT LARGE TO OBTAIN ADDITIONAL FEEDBACK ON COMMUNITY NEEDS. FACILITY 1, SOUTHEASTERN REGIONAL MEDICAL CENTE - PART V, LINE 6B ROBESON COUNTY HEALTH DEPARTMENT, ROBESON HEALTHCARE CORPORATION, UNITED WAY OF ROBESON COUNTY, AND HEALTHY ROBESON TASKFORCE. FACILITY 1, SOUTHEASTERN REGIONAL MEDICAL CENTE - PART V, LINE 7D SRMC HELD NUMEROUS COMMUNITY MEETINGS TO PUBLISH THE CHNA INFORMATION. IN ADDITION, SRMC HOSTED, IN COMBINATION WITH THE ROBESON COUNTY HEALTH DEPARTMENT AND THE HEALTHY ROBESON TASK FORCE, A COMMUNITY HEALTH SUMMIT WHICH INCLUDED MANY MEMBERS OF THE COMMUNITY AND BUSINESS OWNERS. AT THIS SUMMIT THE CHNA WAS PRESENTED AND BREAKOUT TEAMS WERE HELD TO IDENTIFY OPPORTUNITIES TO EDUCATE ROBESON COUNTY TO BETTER HEALTH CHOICES. FACILITY 1, SOUTHEASTERN REGIONAL MEDICAL CENTE - PART V, LINE 11 THE 2017 COMMUNITY HEALTH NEEDS ASSESSMENT GAVE INSIGHTS INTO PRESSING HEALTH ISSUES IN ROBESON COUNTY. THE COMBINATION OF PRIMARY AND SECONDARY DATA ENABLED THE CHNA ADVISORY TEAM TO PRIORITIZE KEY HEALTH NEEDS AND BEGIN TO IDENTIFY EVIDENCE-BASED INTERVENTIONS TO ADDRESS THOSE NEEDS. THE RESULTS OF THE 2017 CHNA WERE CRUCIAL FOR THE DEVELOPEMENT OF IMPLEMENTATION PLANS. PRIORITIZATION DISCUSSION OCCURRED AROUND THE TOP FIVE AREAS IDENTIFIED BY RESIDENTS. FROM THESE THE CHNA ADVISORY GROUP CATEGORIZED THESE AREAS INTO THREE PRIORITY AREAS OBESITY, SUBSTANCE MISUSE, AND SOCIAL DETERMINANTS OF HEALTH. IMPLEMENTATION STRATEGIES (ACTION PLANS) WERE DEVELOPED FOR EACH AREA OUTLYING HOW THE HOSPITAL FACILITIES WILL COLLABERATE WITH PARTNERS TO ADDRESS THE IDENTIFIED AREAS. PART I, LINE 6A - RELATED ORGANIZATION INFORMATION COMMUNITY BENEFIT REPORT IS PUBLISHED ANNUALLY. PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION COMMUNITY BENEFITS COST FOR PROVIDING PATIENT CARE TO THE MEDICAID POPULATION AND FOR PROVIDING FINANCIAL ASSISTANCE TO THE UNINSURED AND UNDERINSURED ARE BASED ON THE MEDICAID COST REPORT. PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY SEE PAGE 7 OF THE ATTACHED FINANCIAL STATEMENTS FOR THE FOOTNOTE RELATED TO BAD DEBT EXPENSE. PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE SEE PAGE 7 OF THE ATTACHED FINANCIAL STATEMENTS FOR THE FOOTNOTE RELATED TO BAD DEBT EXPENSE. BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS SEE PAGE 7 OF THE ATTACHED FINANCIAL STATEMENTS FOR THE FOOTNOTE RELATED TO BAD DEBT EXPENSE. PART III, LINE 8 - MEDICARE EXPLANATION ANSWERS ARE BASED ON THE MEDICARE COST REPORT. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION COLLECTION PRACTICES ARE CONSISTENT AND EQUALLY APPLIED ACROSS ALL PAYOR CLASSES IN ACCORDANCE WITH MEDICARE GUIDELINES. PART VI, LINE 2 - NEEDS ASSESSMENT SOUTHEASTERN ATTEMPTS TO ADDRESS PUBLIC CONCERN AND COMMUNITY NEEDS BY BEING HIGHLY INVOLVED WITH THE COMMUNITY AND AWARE OF PUBLIC PERCEPTION OF THE ORGANZATION. THE CEO AND SENIOR LEADERS ARE AVAILABLE TO THE MEDIA, AND HAVE DISCUSSED HEALTH CARE REFORM AND OTHER PUBLIC ISSUES IN MANY EVENTS AND FORUMS. THE CEO AND SENIOR LEADERS PARTICIPATE WITH MANY COMMUNITY ORGANIZATIONS, PRESENT REGULARLY, AND ANSWER QUESTIONS AND CONCERNS. TO ENSURE COMMUNITY NEEDS ARE ADDRESSED, SOUTHEASTERN COMMISSIONS A CONSUMER TOP OF MIND SURVEY TO IDENTIFY NEEDS, BELIEFS AND CONCERNS. THIS SURVEY IS USED TO TAILOR NEEDS TO THE COMMUNITY. PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SOUTHEASTERN HAS FOUR BENEFIT ADVISORS WHO MEET WITH ALL SELF PAY PATIENTS. THEY SCREEN FOR MEDICAID, SSI-DISABILITY, AND CHARITY ASSISTANCE. THEY HELP PATIENTS APPLY FOR AND QUALIFY FOR ANY NUMBER OF ASSISTANCE PROGRAMS. CUSTOMER SERVICE REPRESENTATIVES ADDITIONALLY REFER PATIENTS TO THESE ADVISORS BASED ON TELEPHONE INQUIRIES, E-MAILS, AND/OR LETTERS. PATIENT STATEMENTS INCLUDE THE CUSTOMER SERVICE TELEPHONE NUMBER IN THE EVENT A PATIENT FEELS THEY NEED ASSISTANCE WITH THEIR BILLS. THE SRMC WEB SITE, SRMC.ORG, INCLUDES INFORMATION AND AN ARTICLE PERTAINING TO CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS OFFERED. SRMC ALSO USES THE LOCAL NEWSPAPER AND BROCHURES FOR EDUCATING THE PUBLIC REGARDING FINANCIAL ASSISTANCE. PART VI, LINE 4 - COMMUNITY INFORMATION SOUTHEASTERN REGIONAL MEDICAL CENTER SERVES THE RESIDENTS OF ROBESON AND SURROUNDING COUNTIES. THE POPULATION IS COMPRISED OF TRIRACIAL DECENT, WHITE, AMERICAN INDIAN AND AFRICAN AMERICAN. RECENT YEARS HAS SEEN AN INCREASE IN THE HISPANIC POPULATION. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH WORKING IN PARTNERSHIP WITH OTHER LOCAL HEALTH AND HUMAN SERVICE AGENCIES, SOUTHEASTERN OFFERS FREE HEALTH SCREENS, EDUCATION PROGRAMS AND EVENTS DESIGNED TO PREVENT, DETECT AND/OR MANAGE CHRONIC DISEASE IN HIGH RISK, UNDERSERVED INDIVIDUALS, NEIGHBORHOODS, AND COMMUNITIES. SOUTHEASTERN MAINTAINS AN OPEN MEDICAL STAFF AND THE LEADERS ARE MEMBERS OF VARIOUS COMMUNITY ORGANIZATION BOARDS. ALL SURPLUS FUNDS GENERATED FROM THE OPERATIONS ARE UTILIZED TO PROVIDE ADDITIONAL RESOURCES AND SERVICES TO MAINTAIN AND UPGRADE THE HEALTH SERVICES OFFERED TO THE COMMUNITY. PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM N/A PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT NORTH CAROLINA X X X X X false false false false false false false false false JOANN ANDERSON PRES, CEO 645016 645016 JOSEPH ROBERTS VP-MEDICAL AFFAIRS 358783 358783 JASON COX VP-COO 295438 295438 PATRICIA MATTO VP-MEDICAL EDUCATION 281825 281825 DAVID SUMNER VP-CHIEF STRAT OFFIC 256476 256476 PATRICK EBRI VP-CHIEF ENGAG OFFIC 220369 15000 235369 LORI DOVE VP-CHIEF CONTIN CARE 232549 232549 GODFREY ONIME PHYSICIAN 257326 303900 561226 JAMES WEST PHYSICIAN 263255 222000 485255 BAJAJ NAVIN PHYSICIAN 404907 61279 466186 LAKSMHI YARLAGADDA PHYSICIAN 245702 186000 431702 KAUR TARANDEEP PHYSICIAN 235394 193800 429194 C THOMAS JOHNSON III FORMER VP-FINANCE 356650 356650 A NC MEDICAL CARE COMMISSION 65820HK36 2012-10-31 40210000 PROCEEDS WERE USED TO REFUND THE SERIES 1999 REVENUE BONDS AND THE SERIES false false false B NC MEDICAL CARE COMMISSION 2017-12-01 42160000 PROCEEDS USED TO FINANCE ONGOING CAPITAL PROJECTS AND TO REPAY AN INTERIM false false false C NC MEDICAL CARE COMMISSION 2017-12-01 15780000 PROCEEDS TO REFUND 17,000,000 OF OUTSTANDING DEBT RELATED TO THE SERIES false false false A 2013 true false true true B 2017 false false true true C 2017 true false true true A false false false false true false false B false false false false true false false C false false false false true false false A false false false false false false false false true B false false false false false false false false true C false false false false false false false false true A true B true C true SCHEDULE K - PURPOSE OF ISSUE DESCRIPTION NC MEDICAL CARE COMMISSION 2002 REVENUE BONDS AND TO PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE AND SALE OF THE 2012 BONDS. NC MEDICAL CARE COMMISSION NON-REVOLVING LINE OF CREDIT WITH BRANCH BANK AND TRUST USED TO FINANCE CERTAIN COSTS OF ONGOING CAPITAL PROJECTS. NC MEDICAL CARE COMMISSION 2005 HOSPITAL REVENUE BONDS FORM 990, PAGE 6, PART VI, LINE 11B CORPORATE OFFICERS TO REVIEW COMPLETED FORM 990 FORM 990, PAGE 6, PART VI, LINE 12C A COPY OF SOUTHEASTERN REGIONAL MEDICAL CENTER'S (CENTER) CONFLICT OF INTEREST POLICY ALONG WITH A STATEMENT OF CONFLICT OF INTEREST IS GIVEN TO THE CENTER'S OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES ANNUALLY TO REVIEW AND SIGN. IF ANY DISCLOSURES ARE MADE, DISCUSSIONS WITH THE INTERESTED PERSON OCCUR AND THEN HE OR SHE LEAVES THE MEETING, AT WHICH TIME THE REMAINING BOARD OR COMMITTEE MEMBERS DECIDE IF A CONFLICT OF INTEREST EXISTS. IF A CONFLICT OF INTEREST IS DETERMINED TO EXIST, THE BOARD DETERMINES WHETHER THE CENTER CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF THAT IS NOT REASONABLY ATTAINABLE, THE BOARD OR COMMITTEE, BY A MAJORITY VOTE OF DISINTERESTED DIRECTORS, SHALL DETERMINE WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE CENTER'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE CENTER. FORM 990, PAGE 6, PART VI, LINE 15A THE CEO AND VICE PRESIDENT POSITIONS WERE EVALUATED BY A SEPARATE COMPENSATION COMMITTEE AND AN INDEPENDENT CONSULTING FIRM. THE EXECUTIVE COMPENSATION PHILOSOPHY WAS UPDATED. INFORMATION WAS GATHERED ON COMPETITIVE PRACTICES AND A REASONABLE COMPENSATION PLAN WAS DETERMINED. ACTIONS OF THE COMMITTEE ARE APPROVED REGULARLY AND IS BASED ON THE ORGANIZATION'S REBUTTABLE PRESUMPTION POLICY THAT REQUIRES THE COMMITTEE TO EXERCISE THE DILIGENCE NEEDED TO MEET THE REQUIREMENTS FOR THE PRESUMPTION OF REASONABLENESS. FORM 990, PAGE 6, PART VI, LINE 15B SAME AS A ABOVE FORM 990, PAGE 6, PART VI, LINE 19 VARIOUS GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE GENERAL PUBLIC USING SRMC'S WEBSITE, OTHER WEBSITE,AND PROVIDING COPIES UPON REQUEST FORM 990, PART XI, LINE 9 TRANSFERS TO TAX EXEMPT RELATED ORGANIZATIONS -18,852,270 PENSION RELATED CHANGES -6,341,759 TOTAL -25,194,029