2015-08-14T15:28:15-05:00 2014-09-30 560731535 S PRESTON DOUGLAS & ASSOCIATES LLP PO BOX 2339 LUMBERTON NC 283592339 990 2013-10-01 560530233 SOUTHEASTERN REGIONAL MEDICAL CENTER SOUT 9106715090 P O BOX 1408 300 W 27TH ST LUMBERTON NC 283591408 C THOMAS JOHNSON III VICE-PRESIDENT, CFO 9106715090 2015-08-13 true JOHN L GRISSOM JR P00116611 9107397523 2015-08-14 2013 2016-03-07 17:11:31Z C THOMAS JOHNSON III VP CFO PO BOX 1408 LUMBERTON NC 283591408 278041794 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 16 15 2364 68 6414931 -377359 0 255163741 257470481 11658770 12785665 4016129 7785648 270838640 278041794 0 0 139071926 133368544 0 0 111903617 119890839 250975543 253259383 19863097 24782411 353283713 365753150 124290930 121398044 228992783 244355106 SOUTHEASTERN REGIONAL MEDICAL CENTER EXISTS TO PROVIDE QUALITY REGIONAL HEALTH CARE IN A SAFE, COMPASSIONATE, AND EFFICIENT ENVIRONMENT false false 191681491 SERVICES PROVIDED FOR MORE THAN 14,000 INPATIENTS AND OVER 63,000 EMERGENCY ROOM PATIENTS 191681491 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 false 132 0 true 2364 true true true false false false false false X 16 15 false false false false false false false true true false false false true true true false false true true false X X X C THOMAS JOHNSON III 9106715000 PO BOX 1408 LUMBERTON NC 283591408 CHANCELLOR KYLE CARTER TRUSTEE 5.00 X 0 0 0 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 WAYLAND B LENNON III TRUSTEE 5.00 X 0 0 0 ALPHONZO MCRAE JR TRUSTEE 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 JOSEPH R THOMPSON 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 JERRY JOHNSON VICE CHAIR & 5.00 X 0 0 0 MICHAEL T STONE CHAIRMAN 5.00 X 0 0 0 LYNN WIETIES VP MED AFFAI 40.00 X 229771 0 37951 TERESA BARNES VP, CNO 40.00 X 226586 0 15293 DAVID SUMNER VP HUMAN SER 40.00 X 208002 0 16496 LORI DOVE VP POST ACUT 40.00 X 163975 0 25448 MICHAEL G KIDD PHYSICIAN 40.00 X 506392 0 25320 2482378 253844 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 3947886 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 251055550 251055550 GROSS PHARMACY INCOME 446110 6414931 6414931 257470481 3887627 3887627 96886 96886 96886 96886 8898038 8898038 8898038 8898038 OTHER REVENUE 6522601 6522601 SALES OF CAFETERIA MEALS 1166161 1166161 7688762 278041794 263938101 6414931 7688762 1975986 1975986 98614754 79641275 18973479 4882292 3942939 939353 19668991 15884677 3784314 8226521 6643738 1582783 260110 260110 830059 830059 19190466 15423077 3767389 776698 776698 931370 387088 544282 3894002 3411661 482341 130969 98641 32328 401142 219936 181206 1656196 1656196 14254682 5434320 8820362 933645 461929 471716 MEDICAL SUPPLIES 48097152 46739490 1357662 EQUIPMENT RENTAL 13528238 6075209 7453029 OUTSIDE SERVICES 11781576 7293634 4487942 OTHER OPERATING EXPENSES 3186766 3186766 37768 23877 13891 253259383 191681491 61577892 0 12031634 16083144 9497163 9382380 45191369 45790109 5288762 5181705 1679946 1837630 314635381 164628672 124270928 150006709 153317359 135567315 2006552 1904158 353283713 365753150 51475846 47661908 61112465 58914967 2589410 11702619 12231759 124290930 121398044 X 228992783 244355106 228992783 244355106 353283713 365753150 24782411 -358003 -9062085 X false true X true false X 3995359 3995359 126401027 61372124 65028903 184238995 103256548 80982447 150006709 LIABILITY FOR PENSION BENEFITS 12231759 12231759 308293912 -358003 30610121 30252118 278041794 278041794 294184075 40924692 40924692 253259383 253259383 SCHEDULE D, PAGE 4, PART XI, LINE 2D REVENUE OF RELATED ORGANIZATONS REPORTED 0 ON SEPARATE 990'S 30,610,121 SCHEDULE D, PAGE 4, PART XII, LINE 2D PENSION RELATED CHANGES 2,713,621 EXPENSES OF RELATED ORGANIZATIONS REPORTED 0 ON SEPARATE 990'S 38,211,071 true true true X true X true true false true true 10591202 10591202 0.04180 337530 337530 0.00130 10928732 10928732 0.04320 406908 406908 0.00160 46550 46550 0.00020 660770 660770 0.00260 1114228 1114228 0.00440 12042960 12042960 0.04760 false 14700370 2224374 75484671 78592017 -3107346 X false 1 1 SOUTHEASTERN REGIONAL MEDICAL CENTE 300 W 27TH STREET LUMBERTON NC 28358 X SOUTHEASTERN REGIONAL MEDICAL CENTE 1 true X X X X X X X X X X 11 true false true X WWW.SRMC.ORG X X X X X X X X X X true false true true 200.000000000000 true 300.000000000000 true X true true X X true false true X false false FACILITY 1, SOUTHEASTERN REGIONAL MEDICAL CENTE - PART V, LINE 1J 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 3 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 5C 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 20D PART V, 19D: SRMC DISCOUNTS ALL FINANCIAL ASSISTANCE PATIENT'S CHARGES A FLAT 25% PER POLICY. ADDITIONAL INFORMATION SCHEDULE H, PART VI 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. 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. 4 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. 6 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. 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 MED AFFAIRS/CM0 229771 37951 267722 TERESA BARNES VP, CNO 226586 15293 241879 DAVID SUMNER VP HUMAN SERV & PLAN 208002 16496 224498 LORI DOVE VP POST ACUTE SERV 163975 25448 189423 MICHAEL G KIDD PHYSICIAN 506392 25320 531712 A SERIES 2005 HOSPITAL REVENUE BONDS 2005-09-15 20000000 false false false B SERIES 2012 HOSPITAL REVENUE BONDS 2012-10-31 40210000 false false false A false false false true B false false false true A false false false false false false false B false false false false false false false A false false false false false false false false false B false false false false false false false false false FORM 990, PAGE 6, PART VI, LINE 11B NO REVIEW WAS OR WILL BE CONDUCTED. 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. 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 30,610,121 PENSION RELATED CHANGES -2,713,621 EXPENSES OF RELATED ORGANIZATIONS REPORTED 0 ON SEPARATE 990'S -38,211,071 FORM 990, PART XI, LINE 9 LOSSES OF RELATED TAX EXEMPT ORGANIZATIONS 0 REPORTED ON SEPARATE 990'S 7,600,950 TRANSFERS TO TAX EXEMPT RELATED ORGANIZATIONS 6,348,464