SOUTHEASTERN REGIONAL MEDICAL CENTER: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- SOUTHEASTERN REGIONAL MEDICAL CENTER (EIN 56-0530233)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-10-24
- IRS object ID
- 201412979349300306
- Schema version
- 2012v2.3
- Note
- A later return for the same period supersedes this one.
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-10-24T09:50:35-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | S PRESTON DOUGLAS & ASSOCIATES LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2339 | AddressLine1 |
| City | LUMBERTON | City |
| State | NC | State |
| ZIP Code | 283592339 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560530233 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTHEASTERN REGIONAL MEDICAL | BusinessNameLine1 |
| Business Name Line2 | CENTER | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SOUT | NameControl |
| Phone | 9106715090 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 1408 300 W 27TH ST | AddressLine1 |
| City | LUMBERTON | City |
| State | NC | State |
| ZIP Code | 283591408 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | C THOMAS JOHNSON III | Name |
| Title | VICE-PRESIDENT, CFO | Title |
| Phone | 9106715090 | Phone |
| Date Signed | 2014-10-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOHN L GRISSOM JR | Name |
| Phone | 9107397523 | Phone |
| Date Prepared | 2014-10-15 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amended Return | X | AmendedReturn |
| Name Of Principal Officer Person | C THOMAS JOHNSON III VP CFO | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1408 | AddressLine1 |
| City | LUMBERTON | City |
| State | NC | State |
| ZIP Code | 283591408 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 270838640 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.SRMC.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1960 | YearFormation |
| State Legal Domicile | NC | StateLegalDomicile |
| Activity Or Mission Description | SOUTHEASTERN REGIONAL MEDICAL CENTER EXISTS TO PROVIDE QUALITY REGIONAL HEALTH CARE IN A SAFE, COMPASSIONATE, AND EFFICIENT ENVIRONMENT | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 16 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 15 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2359 | TotalNbrEmployees |
| Total Nbr Volunteers | 75 | TotalNbrVolunteers |
| Total Gross UBI | 4884274 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -47068 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 252947384 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 255163741 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 7126131 | InvestmentIncomePriorYear |
| Investment Income Current Year | 11658770 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 5314384 | OtherRevenuePriorYear |
| Other Revenue Current Year | 4016129 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 265387899 | TotalRevenuePriorYear |
| Total Revenue Current Year | 270838640 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 132339144 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 139071926 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 107236042 | OtherExpensePriorYear |
| Other Expenses Current Year | 111903617 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 239575186 | TotalExpensesPriorYear |
| Total Expenses Current Year | 250975543 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 25812713 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 19863097 | RevenuesLessExpensesCY |
| Total Assets BOY | 349178356 | TotalAssetsBOY |
| Total Assets EOY | 353283713 | TotalAssetsEOY |
| Total Liabilities BOY | 151534668 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 124290930 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 197643688 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 228992783 | NetAssetsOrFundBalancesEOY |
| Mission Description | SOUTHEASTERN REGIONAL MEDICAL CENTER EXISTS TO PROVIDE QUALITY REGIONAL HEALTH CARE IN A SAFE, COMPASSIONATE, AND EFFICIENT ENVIRONMENT | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 196346586 | Expense |
| Description | SERVICES PROVIDED FOR MORE THAN 16,000 INPATIENTS AND OVER 68,000 EMERGENCY ROOM PATIENTS | Description |
| Total Program Service Expense | 196346586 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | true | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | false | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | false | ScheduleORequired |
| Number Forms Transmitted With1096 | 197 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 2359 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 16 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 15 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | false | WhistleblowerPolicy |
| Document Retention Policy | false | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Own Website | X | OwnWebsite |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | C THOMAS JOHNSON III | NamePerson |
| Telephone Number | 9106715000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1408 | AddressLine1 |
| City | LUMBERTON | City |
| State | NC | State |
| ZIP Code | 283591408 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (25 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| CHANCELLOR KYLE CARTER | ||||||||
| TRUSTEE | 5.00 | X | 0 | 0 | 0 | |||
| JOHN C ROZIER JR MD | ||||||||
| TRUSTEE | 5.00 | X | 0 | 0 | 0 | |||
| LARRY R CHAVIS | ||||||||
| TRUSTEE | 5.00 | X | 0 | 0 | 0 | |||
| FAYE C CATON | ||||||||
| CHAIRMAN | 5.00 | X | 0 | 0 | 0 | |||
| DENNIS HEMPSTEAD | ||||||||
| TRUSTEE | 5.00 | X | 0 | 0 | 0 | |||
| JERRY JOHNSON | ||||||||
| 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 | |||
| MICHAEL T STONE | ||||||||
| TRUSTEE | 5.00 | X | 0 | 0 | 0 | |||
| MICHAEL P WALTERS | ||||||||
| TRUSTEE | 5.00 | X | 0 | 0 | 0 | |||
| W C WASHINGTON | ||||||||
| TRUSTEE | 5.00 | X | 0 | 0 | 0 | |||
| JAMES R RUST | ||||||||
| TRUSTEE | 5.00 | X | 0 | 0 | 0 | |||
| MARY ALICE TEETS | ||||||||
| TRUSTEE | 5.00 | X | 0 | 0 | 0 | |||
| FRED G WILLIAMS | ||||||||
| TRUSTEE | 5.00 | X | 0 | 0 | 0 | |||
| JOSEPH R THOMPSON | ||||||||
| TRUSTEE | 5.00 | X | 0 | 0 | 0 | |||
| JOANN ANDERSON | ||||||||
| PRES, CEO | 40.00 | 730452 | 0 | 71828 | X | |||
| C THOMAS JOHNSON III | ||||||||
| VP, TREA, AS | 40.00 | 430606 | 0 | 35775 | X | |||
| ROBERT HASTY | ||||||||
| VP MEDICAL E | 40.00 | 159551 | 0 | 0 | X | |||
| TERESA BARNES | ||||||||
| VP, CNO | 40.00 | 286575 | 0 | 12380 | X | |||
| DAVID SUMNER | ||||||||
| VP | 40.00 | 258035 | 0 | 11659 | X | |||
| LYNN WIETIES | ||||||||
| VP MED AFFAI | 40.00 | 230006 | 0 | 40525 | X | |||
| TAMARA HIXON | ||||||||
| PHYSICIAN | 40.00 | 528005 | 0 | 0 | X | |||
| MICHEAL G KIDD | ||||||||
| PHYSICIAN | 40.00 | 528005 | 0 | 0 | X | |||
| ERIC W MILLER | ||||||||
| PHYSICIAN | 40.00 | 528005 | 0 | 0 | X | |||
| MARK JORDAN | ||||||||
| PHYSICIAN | 40.00 | 499529 | 0 | 0 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 4178769 | TotalReportableCompFromOrg |
| Total Other Compensation | 172167 | TotalOtherCompensation |
| Number Individuals GT100 K | 100 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| PRIVATE DIAGNOSTIC CLINIC | |||||
| DUMC BOX 3070 | DURHAM | NC | 27710 | PHYS MED | 4308069 |
| SIMPLIFI MANAGED | |||||
| 1934 SALLY HILL FARMS BLVD | FLORENCE | SC | 29501 | STAFFING | 2319039 |
| YOUNGBLOOD STAFFING | |||||
| 2517 DELANEY AVENUE | WILMINGTON | NC | 28403 | STAFFING AGENCY | 1326914 |
| SPEECH PATHOLOGY | |||||
| 765 OAKRIDGE BLVD | LUMBERTON | NC | 28358 | SPEECH THERAPY | 638266 |
| HANNLEB INC | |||||
| 2550 GLENEAGLES DRIVE | GASTONIA | NC | 28056 | MEDICAL CONSULT | 395000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 19 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Business CodeBusinessCode | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 250279467 | 250279467 | ||
| GROSS PHARMACY INCOME | 4884274 | 446110 | 4884274 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 255163741 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5424163 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5424163 | RelatedOrExemptFunctionIncome |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 84383 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 84383 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 84383 | TotalRevenueColumn |
| Related Or Exempt Function Income | 84383 | RelatedOrExemptFunctionIncome |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 6234607 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 6234607 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6234607 | TotalRevenueColumn |
| Related Or Exempt Function Income | 6234607 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|
| OTHER REVENUE | 2679400 | $2,679,400 |
| SALES OF CAFETERIA MEALS | 1252346 | $1,252,346 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 3931746 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 270838640 | TotalRevenueColumn |
| Related Or Exempt Function Income | 262022620 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 4884274 | UnrelatedBusinessRevenue |
| Exclusion | $3,931,746 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2147878 | Total |
| Management And General | 2147878 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 101538002 | Total |
| Program Services | 82950702 | ProgramServices |
| Management And General | 18587300 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5136615 | Total |
| Program Services | 4148522 | ProgramServices |
| Management And General | 988093 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21884267 | Total |
| Program Services | 18464429 | ProgramServices |
| Management And General | 3419838 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8365164 | Total |
| Program Services | 6756018 | ProgramServices |
| Management And General | 1609146 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 360024 | Total |
| Management And General | 360024 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 797617 | Total |
| Management And General | 797617 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17330822 | Total |
| Program Services | 13506939 | ProgramServices |
| Management And General | 3823883 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 966733 | Total |
| Program Services | 367886 | ProgramServices |
| Management And General | 598847 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3615027 | Total |
| Program Services | 3336788 | ProgramServices |
| Management And General | 278239 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 133662 | Total |
| Program Services | 101259 | ProgramServices |
| Management And General | 32403 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 443270 | Total |
| Program Services | 279419 | ProgramServices |
| Management And General | 163851 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1874968 | Total |
| Management And General | 1874968 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12758410 | Total |
| Program Services | 4197909 | ProgramServices |
| Management And General | 8560501 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1750651 | Total |
| Program Services | 1085492 | ProgramServices |
| Management And General | 665159 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 43938120 | 42306077 | 1632043 |
| EQUIPMENT RENTAL | 13394931 | 6386026 | 7008905 |
| OUTSIDE SERVICES | 12459120 | 12459120 | |
| OTHER OPERATING EXPENSES | 2042173 | 2042173 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38089 | Total |
| Management And General | 38089 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 250975543 | Total |
| Program Services | 196346586 | ProgramServices |
| Management And General | 54628957 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4334654 | BOY |
| EOY | 12031634 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9126691 | BOY |
| EOY | 9497163 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44017844 | BOY |
| EOY | 45191369 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4960285 | BOY |
| EOY | 5288762 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1675783 | BOY |
| EOY | 1679946 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 274788541 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 150517613 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 116902163 | BOY |
| EOY | 124270928 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 166965228 | BOY |
| EOY | 153317359 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1195708 | BOY |
| EOY | 2006552 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 349178356 | BOY |
| EOY | 353283713 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 56943310 | BOY |
| EOY | 51475846 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 68420000 | BOY |
| EOY | 61112465 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26171358 | BOY |
| EOY | 11702619 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 151534668 | BOY |
| EOY | 124290930 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 197643688 | BOY |
| EOY | 228992783 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 197643688 | BOY |
| EOY | 228992783 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 349178356 | BOY |
| EOY | 353283713 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 19863097 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 2663774 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 8822224 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3555359 | OtherCostOrOtherBasis |
| Book Value | 3555359 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 125294719 | OtherCostOrOtherBasis |
| Depreciation | 57634098 | Depreciation |
| Book Value | 67660621 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 145938463 | OtherCostOrOtherBasis |
| Depreciation | 92883515 | Depreciation |
| Book Value | 53054948 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 124270928 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | LIABILITY FOR PENSION BENEFITS | Description |
| Amount | $11,702,619 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 11702619 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 303646326 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 2663774 | NetUnrealizedGainsInvestments |
| Other Revenues | 30143912 | OtherRevenues |
| Revenue Not Rptd F990 | 32807686 | RevenueNotRptdF990 |
| Revenue Subtotal | 270838640 | RevenueSubtotal |
| Total Revenue Per Form990 | 270838640 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 273331116 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 22355573 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 22355573 | ExpensesNotRptdF990 |
| Expenses Subtotal | 250975543 | ExpensesSubtotal |
| Total Expenses Per Form990 | 250975543 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER | SCHEDULE D, PAGE 4, PART XI, LINE 2D | REVENUE OF RELATED ORGANIZATONS REPORTED 0 ON SEPARATE 990'S 30,143,912 |
| EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER | SCHEDULE D, PAGE 4, PART XII, LINE 2D | PENSION RELATED CHANGES -13,209,465 EXPENSES OF RELATED ORGANIZATIONS REPORTED 0 ON SEPARATE 990'S 35,565,038 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6413202 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 6413202 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02560 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 7258979 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 7258979 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02890 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 13672181 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 13672181 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05450 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 489073 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 489073 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00190 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 378490 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 378490 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00150 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 34730 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 34730 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3801519 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3801519 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01510 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4703812 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 4703812 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01870 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 18375993 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 18375993 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07320 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $16,442,732 | BadDebtExpenseAmount |
| Amount Attributable To | 4937182 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 80656697 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 78875822 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 1780875 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | X | CostAccountingSystem |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | false | WrittenDebtCollectionPolicy |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTHEASTERN REGIONAL MEDICAL CENTE | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 W 27TH STREET | AddressLine1 |
| City | LUMBERTON | City |
| State | NC | State |
| ZIP Code | 28358 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTHEASTERN REGIONAL MEDICAL CENTE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | true | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Other | X | Other |
| Needs Assessment Conducted | 11 | NeedsAssessmentConducted |
| Take Into Account | true | TakeIntoAccount |
| Other Facilities | false | OtherFacilities |
| CHNA Widely Available | true | CHNAWidelyAvailable |
| On Request | X | OnRequest |
| Other Method | X | OtherMethod |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Participate Community Plan | X | ParticipateCommunityPlan |
| Include Operational Plans | X | IncludeOperationalPlans |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | true | AllNeedsAddressed |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 200.0 | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 300.0 | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ADDITIONAL INFORMATION | PART VI | 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 INHOUSE BENEFIT ADVISORS WHO MEET WITH ALL SELF PAY PATIENTS THEY SCREEN FOR MEDICAID SSIDISABILITY 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 EMAILS ANDOR 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 SRMCORG 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 ANDOR 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 |
| SOUTHEASTERN REGIONAL MEDICAL CENTE LINE NUMBER 1 PART V LINE 3 | PART V LINE 3 | PART V QUESTION 3 THE CHNA TEAM COLLECTED DATA FROM A DIVERSE REPRESENTATION OF ROBESON COUNTY RESIDENTS IN ORDER TO ENSURE THAT DATA COLLECTED WAS REPRESENTATIVE OF THE COUNTYS ENTIRE POPULATION SURVEYS WERE GEOGRAPHICALLY DISPERSED AMONG ROBESON COUNTYS CITIES AND TOWNSHIPS THE TWO TYPES OF DATA COLLECTION METHODS INCLUDED AN INVENTORY OF HEALTH RESOURCES AND A COMMUNITY OPINION SURVEY OUR PRIMARY DATA WAS OBTAINED THROUGH THE COMMUNITY OPINION SURVEY OUR SECONDARY DATA CAME FROM VARIOUS LOCAL AGENCIES COMPRISING THE HEALTHY ROBESON TASK FORCE AS WELL AS THE STATE CENTER FOR HEALTH STATISTICS SCHS AND OTHER STATELEVEL RESOURCES THE COMMUNITY HEALTH SURVEY TEAM WAS RESPONSIBLE FOR DEVELOPING THE ASSESSMENT TOOL THE TEAM WORKED WITH HOSPITALS AND HEALTH DEPARTMENTS ON A REGIONAL LEVEL TO DEVELOP A SURVEY TEMPLATE THAT COULD BE USED IN EACH COUNTY THE SURVEY INCLUDED 23 QUESTIONS OF THAT NUMBER 9 WERE RELEVANT TO HEALTH AND HUMAN SERVICE 4 PERTAINED TO PREPAREDNESS AND RESPONSE AND 10 WERE DESIGNED TO CAPTURE THE DEMOGRAPHIC MAKEUP OF PERSONS COMPLETING THE SURVEY THIS ONE PAGE ASSESSMENT TOOL WAS AVAILABLE IN BOTH ENGLISH AND SPANISH THE COMMUNITY HEALTH SURVEY TEAM TARGETED A RETURN RATE OF 500 SURVEYS TO GUARANTEE THAT RATE THEY OPTED TO DISTRIBUTE 1000 THE SURVEYS WERE DISTRIBUTED BY ZIP CODES AND QUANTITIES WERE BASED UPON THE NUMBER OF PERSONS RESIDING WITHIN THE CODES THE COMMUNITY SURVEY TEAM FOLLOWED THIS PROCEDURE FOR EACH ZIP CODE THIS METHOD HELPED ENSURE THAT REPRESENTATION WAS RECEIVED FROM COMMUNITIES THROUGHOUT THE COUNTY |
| SOUTHEASTERN REGIONAL MEDICAL CENTE LINE NUMBER 1 PART V LINE 5C | PART V LINE 5C | PART V QUESTION 5C THE CHNA REPORT WAS MADE WIDELY AVAILABLE THROUGH 1 SOUTHEASTION REGIONAL MEDICAL CENTER AND ROBESON COUNTY HEALTH DEPT UTILIZED THEIR COLUMN SPACES IN THE LOCAL ROBESONIAN NEWSPAPER TO REPORT THE FINDINGS OF THE CHNA 2 THE ROBESON COUNTY HEALTH DEPARTMENT PLACED THE CHNA DOCUMENT ON ITS WEBSITE 3 PRESENTATIONS WERE MADE TO HEALTHY ROBESON AND THE ROBESON COUNTY BOARD OF HEALTH MEMBERS |
| SOUTHEASTERN REGIONAL MEDICAL CENTE LINE NUMBER 1 PART V LINE 20D | PART V LINE 20D | PART V 19D WE DISCOUNT ALL FINANCIAL ASSISTANCE PATIENTS CHARGES A FLAT 25 PER POLICY |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg |
|---|---|---|---|---|
| JOANN ANDERSON | ||||
| PRES CEO | 552960 | 177492 | 71828 | 802280 |
| C THOMAS JOHNSON III | ||||
| VP TREA ASSIS SEC | 362984 | 67622 | 35775 | 466381 |
| ROBERT HASTY | ||||
| VP MEDICAL EDUCATION | 159551 | 159551 | ||
| TERESA BARNES | ||||
| VP CNO | 239181 | 47394 | 12380 | 298955 |
| DAVID SUMNER | ||||
| VP | 217979 | 40056 | 11659 | 269694 |
| LYNN WIETIES | ||||
| VP MED AFFAIRSCM0 | 230006 | 40525 | 270531 | |
| TAMARA HIXON | ||||
| PHYSICIAN | 517205 | 10800 | 528005 | |
| MICHEAL G KIDD | ||||
| PHYSICIAN | 517205 | 10800 | 528005 | |
| ERIC W MILLER | ||||
| PHYSICIAN | 517205 | 10800 | 528005 | |
| MARK JORDAN | ||||
| PHYSICIAN | 268186 | 231343 | 499529 | |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Bond ReferenceBondReferenceCd | Date IssuedDateIssued | Issue PriceIssuePrice | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|
| SERIES 2005 HOSPITAL REVENUE BONDS | |||||
| A | 2005-09-15 | 20000000 | false | false | false |
| SERIES 2012 HOSPITAL REVENUE BONDS | |||||
| B | 2012-10-31 | 40210000 | false | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Bond ReferenceBondReferenceCd | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|
| A | false | false | false | false |
| B | false | false | false | false |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Remedial Action TakenRemedialActionTaken | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | false | false | false | false |
| B | false | false | false | false | false | false | false | false |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | false | false | false | false | false |
| B | false | false | false | false | false | false | false | false | false |
Form990 Schedule K Part V Form990ScheduleKPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Proc To Undertk Corrective Action | false | ProcToUndertkCorrectiveAction |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| AMENDED RETURN EXPLANATION | FORM 990, PAGE 1, ITEM B | RETURN AMENDED TO CORRECTLY REPORT OFFICERS,DIRECTORS, AND KEY EMPLOYEES SALARIES ON PARTS VII AND VIII OF FORM 990 AND PART II OF SCHEDULE J. |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | NO REVIEW WAS OR WILL BE CONDUCTED. |
| ENFORCEMENT OF CONFLICTS POLICY | 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. |
| COMPENSATION PROCESS FOR TOP OFFICIAL | 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 WERE APPROVED IN 2009. |
| COMPENSATION PROCESS FOR OFFICERS | FORM 990, PAGE 6, PART VI, LINE 15B | SAME AS A ABOVE |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | 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 |
| RECONCILIATION OF CHANGES - OTHER | FORM 990, PART XI, LINE 9 | REVENUE OF RELATED ORGANIZATONS REPORTED 0 ON SEPARATE 990'S 30,143,912 PENSION RELATED CHANGES 13,209,465 EXPENSES OF RELATED ORGANIZATIONS REPORTED 0 ON SEPARATE 990'S -35,565,038 |
| OTHER CHANGES IN NET ASSETS EXPLANATION | FORM 990, PART XI, LINE 9 | LOSSES OF RELATED TAX EXEMPT ORGANIZATIONS 0 REPORTED ON SEPARATE 990'S 5,421,126 TRANSFERS TO TAX EXEMPT RELATED ORGANIZATIONS 4,387,241 |
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