2016-08-15T15:08:44-05:00 2015-09-30 560731535 S PRESTON DOUGLAS & ASSOCIATES LLP PO BOX 2339 LUMBERTON NC 283592339 990 2014-10-01 560530233 SOUTHEASTERN REGIONAL MEDICAL CENTER SOUT 9106715090 PO BOX 1408 300 W 27TH ST LUMBERTON NC 283591408 C THOMAS JOHNSON III VICE-PRESIDENT, CFO 9106715090 2016-08-09 true JOHN L GRISSOM JR P00116611 9107397523 2016-08-15 2014 2016-09-27 15:27:22Z C THOMAS JOHNSON III VP CFO PO BOX 1408 LUMBERTON NC 283591408 284934392 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 14 14 2364 82 5951763 -50947 0 257470481 272410527 12785665 6316202 7785648 6207663 278041794 284934392 0 0 133368544 134330506 0 0 119890839 132246487 253259383 266576993 24782411 18357399 365753150 365151555 121398044 126169812 244355106 238981743 SOUTHEASTERN REGIONAL MEDICAL CENTER EXISTS TO PROVIDE QUALITY REGIONAL HEALTH CARE IN A SAFE, COMPASSIONATE, AND EFFICIENT ENVIRONMENT false false 200886238 SERVICES PROVIDED FOR MORE THAN 14,000 INPATIENTS AND OVER 63,000 EMERGENCY ROOM PATIENTS 200886238 true false false false false false false false false false true false false false true false true 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 132 0 2364 true true true false false false false true true false false false false false false X 14 14 false false false false false false false true true false false false true true true false false true true false X C THOMAS JOHNSON III 9106715000 PO BOX 1408 LUMBERTON NC 283591408 DANIEL E COOK TRUSTEE 5.00 X 0 0 0 LARRY R CHAVIS TRUSTEE 5.00 X 0 0 0 FAYE C CATON TRUSTEE 5.00 X 0 0 0 DENNIS HEMPSTEAD TRUSTEE 5.00 X 0 0 0 JERRY JOHNSON VICE CHAIR & 5.00 X 0 0 0 WAYLAND B LENNON III TRUSTEE 5.00 X 0 0 0 ALPHONZO MCRAE JR TRUSTEE 5.00 X 0 0 0 MICHAEL T STONE CHAIRMAN 5.00 X 0 0 0 F KENNETH BIGGS TRUSTEE 5.00 X 0 0 0 W C WASHINGTON TRUSTEE 5.00 X 0 0 0 KENNETH RUST TRUSTEE 5.00 X 0 0 0 JAN D SPELL TRUSTEE 5.00 X 0 0 0 RANDALL S JONES TRUSTEE 5.00 X 0 0 0 JOSEPH E ROBERTS MD TRUSTEE 5.00 X 0 0 0 JOANN ANDERSON PRES, CEO 40.00 X 537548 0 78877 C THOMAS JOHNSON III VP FINANCE & 40.00 X 333315 0 40620 ROBERT HASTY VP-MEDICAL E 40.00 X 276789 0 13839 LYNN WIETIES VP-CHIEF ENG 40.00 X 229771 0 37951 TERESA BARNES VP-CNO 40.00 X 226586 0 15293 DAVID SUMNER VP-CHIEF STR 40.00 X 208002 0 16496 LORI DOVE VP-CHIEF CON 40.00 X 163975 0 25448 MICHAEL G KIDD PHYSICIAN 40.00 X 506392 0 25320 TAMERA HIXON PHYSICIAN 40.00 X 504892 0 25245 ERIC MILLER PHYSICIAN 40.00 X 504892 0 25245 DORA FRANZONI PHYSICIAN 40.00 X 457622 0 22881 JAYNE MAYNOR PHYSICIAN 40.00 X 457622 0 22881 4407406 350096 132 false true false LUMBERTON RADIOLOGY CONSULTANTS PO BOX 2750 LUMBERTON NC 28359 RADIOLOGY 4382015 PRIVATE DIAGNOSTIC CLINIC DUMC BOX 3070 DURHAM NC 27710 PHYS MED 3947885 SIMPLIFI MANAGED 1934 SALLY HILL FARMS BLVD FLORENCE SC 29501 STAFFING 3649412 YOUNGBLOOD STAFFING 2517 DELANEY AVENUE WILMINGTON NC 28403 STAFFING AGENCY 1103890 LUMBERTON EMERGENCY MEDICAL ASSOC 3 CENTURY DRIVE PARSIPPANDY NJ 07054 EMERGENCY MEDIC 950000 19 NET PATIENT SERVICE REVENUE 266458764 266458764 GROSS PHARMACY INCOME 446110 5951763 5951763 272410527 4595347 4595347 689842 689842 689842 689842 1720855 1720855 1720855 1720855 OTHER REVENUE 4310917 4310917 SALES OF CAFETERIA MEALS 1206904 1206904 5517821 284934392 273464808 5951763 5517821 1975986 1975986 100015010 80461953 19553057 6046093 4766135 1279958 17661451 13922522 3738929 8631966 6804579 1827387 221840 221840 686025 686025 20591320 16328402 4262918 962710 962710 949652 392062 557590 6135485 6135485 4651507 3796213 855294 168466 119475 48991 533058 280042 253016 2016162 2016162 16744306 5871208 10873098 1002106 1002106 MEDICAL SUPPLIES 50567159 49336297 1230862 OUTSIDE SERVICES 17327581 12466527 4861054 EQUIPMENT RENTAL 7428160 6298870 1129290 OTHER OPERATING EXPENSES 2207583 2207583 53367 41953 11414 266576993 200886238 65690755 0 16083144 16032394 9382380 8455095 45790109 44042939 5181705 7035966 1837630 1481094 340819719 182474111 150006709 158345608 135567315 127956695 1904158 1801764 365753150 365151555 47661908 41076938 58914967 56672469 2589410 6845598 12231759 21574807 121398044 126169812 X 244355106 238981743 244355106 238981743 365753150 365151555 18357399 -6195232 -17535530 X false true X true false X 3995359 3995359 157628211 65697370 91930841 179196149 116776741 62419408 158345608 LIABILITY FOR PENSION BENEFITS 21574807 21574807 309638845 -6195232 30899685 24704453 284934392 284934392 315679587 49102594 49102594 266576993 266576993 SCHEDULE D, PAGE 4, PART XI, LINE 2D REVENUE OF RELATED ORGANIZATONS REPORTED 0 ON SEPARATE 990'S 30,899,685 SCHEDULE D, PAGE 4, PART XII, LINE 2D PENSION RELATED CHANGES 11,142,472 EXPENSES OF RELATED ORGANIZATIONS REPORTED 0 ON SEPARATE 990'S 37,960,122 true true true X true X true true false true true 35840114 15392294 20447820 0.07670 44590039 40470717 4119322 0.01550 80430153 55863011 24567142 0.09220 812438 812438 0.00300 44545 44545 0.00020 750941 750941 0.00280 1607924 1607924 0.00600 82038077 55863011 26175066 0.09820 true 87411901 11976104 71938973 84707903 -12768930 X true true 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 X 14 true false false true X WWW.SRMC.ORG X true 14 true WWW.SRMC.ORG false false true X 200.000000000000 300.000000000000 true true X X X X true X X X true X true X X X true X false false FACILITY 1, SOUTHEASTERN REGIONAL MEDICAL CENTE - PART V, LINE 3J PART V, QUESTION 1, LINE 1J - 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 PART V, QUESTION 3 - 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 7D PART V, QUESTION 5C - 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 22D SRMC DISCOUNTS ALL FINANCIAL ASSISTANCE PATIENT'S CHARGES A FLAT 25% PER POLICY. 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 NINE IN-HOUSE 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 537548 78877 616425 C THOMAS JOHNSON III VP FINANCE & CFO 333315 40620 373935 ROBERT HASTY VP-MEDICAL EDUCATION 276789 13839 290628 LYNN WIETIES VP-CHIEF ENGAG OFFIC 229771 37951 267722 TERESA BARNES VP-CNO 226586 15293 241879 DAVID SUMNER VP-CHIEF STRAT OFFIC 208002 16496 224498 LORI DOVE VP-CHIEF CONTIN CARE 163975 25448 189423 MICHAEL G KIDD PHYSICIAN 506392 25320 531712 TAMERA HIXON PHYSICIAN 504892 25245 530137 ERIC MILLER PHYSICIAN 504892 25245 530137 DORA FRANZONI PHYSICIAN 457622 22881 480503 JAYNE MAYNOR PHYSICIAN 457622 22881 480503 A NC MEDICAL CARE COMMISSION 2005-09-15 20000000 false false false B NC MEDICAL CARE COMMISSION 65820HK36 2012-10-31 40210000 false false false A 1150000 20000000 509157 319292 79145 19092406 2005 false false true true B 50624705 49706345 521640 2013 true false true true A false false false false false false false B false false false false false false false A false false false false true false false false false B false false false false false false false false false A false B false SCHEDULE K - PURPOSE OF ISSUE DESCRIPTION NC MEDICAL CARE COMMISSION PROCEEDS ON ISSUED 20,000,000 BONDS ON 9/15/05 FOR THE CONSTRUCTION OF THE HEART CENTER AND THE 7TH FLOOR OF THE BED TOWER. NC MEDICAL CARE COMMISSION PROCEEDS WERE USED TO REFUND THE SERIES 1999 REVENUE BONDS AND THE SERIES 2002 REVENUE BONDS AND TO PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE AND SALE OF THE 2012 BONDS. SCHEDULE K - ADDITIONAL INFORMATION NC MEDICAL CARE COMMISSION SCHEDULE K, PART II, LINE 3, COLUMN B - DIFFERENCE BETWEEN ISSUE PRICE AND TOTAL PROCEEDS - ORIGINAL ISSUE PREMIUM OF 4,049,963 AND PREVIOUSLY TRUSTEED HELD FUNDS OF 5,446,382 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 REVENUE OF RELATED ORGANIZATONS REPORTED 0 ON SEPARATE 990'S 30,899,685 PENSION RELATED CHANGES -11,142,472 EXPENSES OF RELATED ORGANIZATIONS REPORTED 0 ON SEPARATE 990'S -37,960,122 FORM 990, PART XI, LINE 9 LOSSES OF RELATED TAX EXEMPT ORGANIZATIONS 0 REPORTED ON SEPARATE 990'S 7,060,437 TRANSFERS TO TAX EXEMPT RELATED ORGANIZATIONS 6,010,670 RESTATEMENT OF NET ASSETS 382,388