2014-10-24T09:50:18-05:00 2012-09-30 S PRESTON DOUGLAS & ASSOCIATES LLP PO BOX 2339 LUMBERTON NC 283592339 990 2011-10-01 560530233 SOUTHEASTERN REGIONAL MEDICAL CENTER SOUT 9106715090 P O BOX 1408 300 W 27TH ST LUMBERTON NC 283591408 C THOMAS JOHNSON III 9106715090 2014-10-15 true JOHN L GRISSOM JR 9107397523 2014-10-15 2011 2016-03-07 17:11:31Z X C THOMAS JOHNSON III VP CFO PO BOX 1408 LUMBERTON NC 283591408 265387899 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 2359 52 0 0 269883287 252947384 9002128 7126131 3274178 5314384 282159593 265387899 0 0 124426378 132339144 0 0 140217420 107236042 264643798 239575186 17515795 25812713 306796490 349178356 139969815 151534668 166826675 197643688 SOUTHEASTERN REGIONAL MEDICAL CENTER EXISTS TO PROVIDE QUALITY REGIONAL HEALTH CARE IN A SAFE, COMPASSIONATE, AND EFFICIENT ENVIRONMENT false false 174764188 SERVICES PROVIDED FOR MORE THAN 15,000 INPATIENTS AND OVER 75,000 EMERGENCY ROOM PATIENTS 174764188 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 true 197 0 true 2359 true false 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 C THOMAS JOHNSON III 9106715000 PO BOX 1408 LUMBERTON NC 283591408 CHANCELLOR KYLE CARTER 5.00 X 0 0 0 JOHN C ROZIER JR MD 5.00 X 0 0 0 MARTIN L BROOKS MD 5.00 X 0 0 0 FAYE C CATON 5.00 X 0 0 0 DENNIS HEMPSTEAD 5.00 X 0 0 0 JERRY JOHNSON 5.00 X 0 0 0 RANDALL S JONES 5.00 X 0 0 0 AL LEWIS 5.00 X 0 0 0 ALPHONZO MCRAE JR 5.00 X 0 0 0 MICHAEL T STONE 5.00 X 0 0 0 MICHAEL P WALTERS 5.00 X 0 0 0 W C WASHINGTON 5.00 X 0 0 0 JAMES R RUST 5.00 X 0 0 0 MARY ALICE TEETS 5.00 X 0 0 0 FRED G WILLIAMS 5.00 X 0 0 0 JOSEPH R THOMPSON 5.00 X 0 0 0 JOANN ANDERSON 40.00 X 692504 0 57739 C THOMAS JOHNSON III 40.00 X 395128 0 27213 ANDREW SCHWARTZ 40.00 X 349603 0 42644 TERESA BARNES 40.00 X 257691 0 10082 DAVID SUMNER 40.00 X 226271 0 7999 W REID CALDWELL 40.00 X 222500 0 0 MARK JORDAN 40.00 X 550521 0 0 VINOD KUMAR 40.00 X 501987 0 0 ERIC W MILLER 40.00 X 483083 0 0 MICHEAL G KIDD 40.00 X 483080 0 0 4162368 145677 100 false true false PRIVATE DIAGNOSTIC CLINIC DUMC BOX 3070 DURHAM NC 27710 PHYS MED 2916924 SIMPLIFI MANAGED 1934 SALLY HILL FARMS BLVD FLORENCE SC 29501 STAFFING 1656848 YOUNGBLOOD STAFFING 2517 DELANEY AVENUE WILMINGTON NC 28403 STAFFING AGENCY 1336924 SPEECH PATHOLOGY 765 OAKRIDGE BLVD LUMBERTON NC 28358 SPEECH THERAPY 544622 DIRECCARE PHYSICAL THERAPY INC 63 PRIDGEN ROAD LUMBERTON NC 28358 PHYSICAL THERAP 437359 21 NET PATIENT SERVICE REVENUE 252947384 252947384 252947384 4471496 4471496 154286 154286 154286 154286 2654635 2654635 2654635 2654635 OTHER REVENUE 3939456 3939456 SALES OF CAFETERIA MEALS 1220642 1220642 5160098 265387899 260227801 5160098 2143698 2143698 95989361 79018316 16971045 4518473 3027377 1491096 21124120 14153160 6970960 8563492 5737540 2825952 211834 211834 697301 697301 15462900 8970458 6492442 1139798 350701 789097 3788773 3346010 442763 107248 83556 23692 523954 245081 278873 3194197 3194197 12762110 3593810 9168300 2918046 2214323 703723 MEDICAL SUPPLIES 42631151 40007298 2623853 OUTSIDE SERVICES 11566428 7624699 3941729 EQUIPMENT RENTAL 11548906 6037426 5511480 OTHER OPERATING EXPENSES 668929 354433 314496 14467 14467 239575186 174764188 64810998 0 12525281 9524176 35957053 44017844 3631280 4960285 1262751 1675783 310355905 193453742 116398899 116902163 135803721 170902397 1217505 1195708 306796490 349178356 41042079 56943310 71060000 68420000 27867736 26171358 139969815 151534668 X 166826675 197643688 166826675 197643688 306796490 349178356 25812713 5004300 X false true true X false X false false false false false false false false false false 3339259 3339259 124494996 51632616 72862380 182521650 141821126 40700524 116902163 LIABILITY FOR PENSION BENEFITS 26171358 26171358 265387899 239575186 25812713 15535323 -4107769 11427554 37240267 309607488 15535323 28684266 44219589 265387899 265387899 272367221 32792035 32792035 239575186 239575186 RECONCILIATION OF CHANGES - 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300 W 27TH STREET LUMBERTON NC 28358

X SOUTHEASTERN REGIONAL MEDICAL CENTE 1 true true 200.0 true 300.0 true X true true X X true X true X X X X true X false false 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 1J PART V LINE 1J PART V QUESTION 5C THE CHNA REPORT WAS MADE WIDELY AVAILABLE THROUGH 1 SOUTHEASTERN REGIONAL MEDICAL CENTER AND ROBESON COUNTY HEALTH DEPT UTILIZED THEIR COLUMN SPACES IN THE LOCAL ROBESONIAN NEWSPAPER TO REPORT FINDINGS OF THE CHNA 2 THE ROBESON COUNTY HEALTH DEPARTMENT PLACE 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 19D PART V LINE 19D PART V 19D WE DISCOUNT ALL FINANCIAL ASSISTANCE PATIENTS CHARGES A FLAT 25 PER POLICY X X X X X false false false false false false false false false JOANN ANDERSON 530362 162142 57739 750243 C THOMAS JOHNSON III 342654 52474 27213 422341 ANDREW SCHWARTZ 309777 39826 42644 392247 TERESA BARNES 225223 32468 10082 267773 DAVID SUMNER 194928 31343 7999 234270 W REID CALDWELL 188554 33946 222500 MARK JORDAN 276086 274435 550521 VINOD KUMAR 273571 228416 501987 ERIC W MILLER 483083 483083 MICHEAL G KIDD 483080 483080 SERIES 2005 HOSPITAL REVENUE BONDS 2005-09-15 20000000 false false false false false false false false false false false false false false false false false false false false AMENDED RETURN EXPLANATION FORM 990, PAGE 1, ITEM B RETURN AMENDED TO CORRECTLY REPORT OFFICERS, DIRECTORS, AN KEY EMPLOYEES SALARIES ON PART 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