2013-08-05T12:37:34-05:00 2012-09-30 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2011-10-01 566000674 LENOIR MEMORIAL HOSPITAL INC LENO 2525227927 100 AIRPORT ROAD KINSTON NC 28501 SARAH MAYO 2525227927 2013-08-05 1 AMY BIBBY P00445891 8282542254 2011 2016-02-24 21:20:13Z GARY BLACK 100 AIRPORT ROAD KINSTON NC 28501 137608639 0 X WWW.LENOIRMEMORIAL.ORG X 1950 NC PROVIDING EXCEPTIONAL HEALTHCARE AS AN OUTSTANDING COMMUNITY HOSPITAL 17 15 1199 295 322053 41353 110980 131987 118066876 129791518 4259213 3034377 3319392 3601285 125756461 136559167 199111 179893 0 0 54822042 58615229 0 0 57831 67132607 77225464 122153760 136020586 3602701 538581 180459030 189443013 49550658 51277192 130908372 138165821 X THE MISSION OF LENOIR MEMORIAL IS TO ENSURE EXCEPTIONAL HEALTHCARE FOR THE PEOPLE WE SERVE. 0 0 116425079 179893 132229675 STRATEGIC PRIORITIES FOCUS ON DELIVERING HEALTHCARE SERVICES CONSISTENT WITH COMMUNITY NEED. SERVICES ARE PROVIDED TO INDIVIDUALS REGARDLESS OF THE RACE, CREED, SEX, NATURAL ORIGIN AND/OR AN INDIVIDUAL'S INABILITY TO PAY.THE ORGANIZATION'S MOST RECENT COMMUNITY HEALTH REPORT IS LOCATED ON THE HOSPITAL WEBSITE AT WWW.LENOIRMEMORIAL.ORG.LMH PROVIDES LEADERSHIP AND EMPLOYEE EXPERTISE TO THE COMMUNITY ON AND OFF SITE. COMMUNITY BENEFIT OPERATIONS INCLUDED IN THIS AREA. HIGHLIGHTS INCLUDE BUT NOT LIMITED TO:COMMUNITY HEALTH NEEDS ASSESSMENT LENOIR MEMORIAL HOSPITAL AND THE LENOIR COUNTY HEALTH DEPARTMENT LED AN EFFORT IN 2011 THAT TOOK A STRUCTURED APPROACH TO REVIEW PUBLIC HEALTH DATA, CONDUCT SURVEYS, AND FOSTER COMMUNITY DISCUSSIONS AND INPUT INTO AN ASSESSMENT. THE PRIORITIZATION PROCESS IDENTIFIED FOUR PRIORITY ISSUES FOR THE COMMUNITY: OBESITY ( PHYSICAL ACTIVITY AND NUTRITION), DIABETES, HIGH BLOOD PRESSURE, AND RESPONSIBLE PARENTING. STRATEGIES WERE DEVELOPED FOR EACH AREA AND ACTIVITIES IMPLEMENTED IN 2012 AND REPORTED ON AT THE LENOIR COUNTY ALLIANCE FOR A HEALTHY COMMUNITY COALITION.LENOIR COUNTY CHILDHOOD OBESITY PREVENTION TASK FORCELENOIR MEMORIAL IS AN ACTIVE PARTNER IN A NEWLY FORMED LENOIR COUNTY CHILDHOOD OBESITY PREVENTION TASK FORCE THAT HAS REPRESENTATIVES FROM THE LOCAL SCHOOLS, COUNTY GOVERNMENT, AND KEY COMMUNITY AGENCIES. DURING 2012, TWO LOCAL SCHOOLS WERE TARGETED FOR PHYSICAL ACTIVITY AND NUTRITION EDUCATION PROGRAMS REACHING STUDENTS AND FAMILIES IN THE NEIGHBORHOOD. FUEL FOR SUCCESS, A YEAR-LONG NUTRITION EDUCATION PROGRAM LED BY DIETITIANS WAS INITIATED AT SE ELEMENTARY. PROJECT DIGG, A COMPREHENSIVE SCHOOL SITE GARDENING PROGRAM AT SAVANNAH- CONTENTNEA SCHOOL WAS INITIATED WITH PLANS FOR REPLICATION AT OTHER SCHOOLS. MORE INFORMATION ABOUT THE ACTIVITIES OF THE TASK FORCE CAN BE FOUND AT HTTP://WWW.LENOIRCOUNTYNCHEALTHYKIDS.COM/. LENOIR MEMORIAL IS PROVIDING A STAFF DIETITIAN TO ASSIST WITH THE COMMON GROUND OF ENC, A COMMUNITY GARDENING PROJECT IN AN EFFORT TO INCREASE ACCESS TO FRESH FRUITS AND VEGETABLES FOR PEOPLE WHO COULD NOT OTHERWISE AFFORD IT.COMMUNITY COALITION ACTIVITIESLENOIR MEMORIAL PROVIDES LEADERSHIP AND ADMINISTRATIVE SUPPORT FOR COMMUNITY HEALTH COALITIONS. THE LENOIR COUNTY ALLIANCE FOR A HEALTHY COMMUNITY MEETS ON A MONTHLY BASIS FOR COMMUNITY NETWORKING AND INFORMATION SHARING. THE LENOIR-GREENE ASTHMA COALITION MEETS FOUR TIMES A YEAR TO INCREASE COMMUNITY AWARENESS ABOUT ASTHMA.SUPPORT GROUPSCOORDINATED 16 HOSPITAL BASED GROUPS, ATTENDED BY 1905 PARTICIPANTS. A STROKE SUPPORT GROUP WAS REORGANIZED THIS YEAR. THE UPGRADING OF A MEETING ROOM THIS YEAR IN THE MINGES WELLNESS CENTER HAS ALLOWED MOST SUPPORT GROUPS TO HOST MEETINGS MORE CONVENIENTLY NOW.FOUR COMMUNITY BLOOD PRESSURE MACHINESPROVIDED 49,920 SCREENING BLOOD PRESSURES INCLUDING SITES FOR BLOOD PRESSURE MACHINES AT VERNON PARK MALL AND A MACHINE THAT TRAVELS TO VARIOUS COMMUNITY CHURCHES EACH MONTH.SCREENING EVENTSPROVIDED EARLY DETECTION SCREENING EVENTS OF DISEASES/ DISORDERS/RISKS INCLUDING COLORECTAL, SKIN, PROSTATE CANCERS, MAMMOGRAM, CHOLESTEROL, AND BLOOD PRESSURES. A FIRST-TIME CHRONIC KIDNEY DISEASE SCREENING WAS PROVIDED IN SEPTEMBER, 2012 BY UNC AT THE HOSPITAL AND 27 HIGH RISK INDIVIDUALS WERE SCREENED.COMMUNITY AIR QUALITY PROGRAMPROVIDED OUTDOOR FLAGS FOR ALL GREENE COUNTY SCHOOL SITES FOR AN AIR ALERT PROGRAM . THROUGH THE PARTNERSHIP OF THE LENOIR-GREENE ASTHMA COALITION AND NC AIR, DIFFERENT COLORED PENNANT FLAGS FLY TO SIGNIFY THE OUTDOOR AIR QUALITY FOR EASTERN NC AS TESTED DAILY BY THE EPA IN ROCKY MOUNT, NC.LIGHTEN UP LENOIRIMPLEMENTED A FREE COMMUNITY-WIDE WEIGHT LOSS CHALLENGE THROUGH AN ONLINE WEB-BASED APPLICATION. NEARLY 1000 PARTICIPANTS LOST ALMOST 6000 POUNDS DURING THREE 16 WEEK SESSIONS. THE SITE WAS LOADED WITH THOUSANDS OF HEALTHY RECIPES, EXERCISE VIDEOS, AND INFORMATION ABOUT SPECIAL COMMUNITY LIGHTEN UP LENOIR EDUCATIONAL EVENTS. OVER 35 LOCAL EMPLOYERS PARTICIPATED WITH TEAMS IN THE FUN COMPETITIVE EVENT. LOCAL COMPANIES WHO SUPPORTED THE CAMPAIGN WITH A TEAM WERE ABLE TO LIST THEIR COMPANY AS A SPONSOR AT NO FEE. THE KINSTON FREE PRESS RAN ARTICLES AND STORIES TO SPUR ON ATTENDANCE AND AWARENESS AND SPONSORED A BEST TEAM NAME CONTEST.LENOIR MEMORIAL COMMUNITY WALKING TRACK AVERAGES OVER 700 WALKERS PER MONTH. ALLOWED TWO EXTERNAL NOT-FOR-PROFIT GROUPS TO HOST WALK CAMPAIGNS ON THE TRACK ON TWO SEPARATE SATURDAY MORNINGS.CORPORATE HEALTH SERVICESSERVICES INCLUDED 100 CORPORATE CLIENTS, 240 WORKSITE WELLNESS VISITS WITH 2819 EMPLOYEE CONTACTS. FLU SHOTS, CPR TRAINING, AND TARGETED HEALTH EDUCATION IS PROVIDED.LIVING THE GOOD LIFE IN EASTERN NCSPONSOR FOR THE KINSTON/LENOIR COUNTY CHAMBER OF COMMERCE EVENT WHICH FOCUSED ON REGIONAL HEALTHY LIVING ISSUES. OVER 2000 PARTICIPANTS AT VERNON PARK MALL RECEIVED DIABETES RISK FACTOR EDUCATION AND HEALTHY FOOD SAMPLES. HEART HEALTHY LENOIRCOLLABORATION WITH UNC CENTER FOR POPULATION HEALTH AND HEALTH DISPARITIES IS ONGOING IN A 5 YEAR NIH GRANT TO REDUCE STROKE AND HEART DISEASE IN LENOIR COUNTY. THE PROJECT IS OVERSEEN BY RESEARCHERS AT UNC, ASSISTING IN THE COORDINATION OF PROCESSES TO IMPLEMENT A BLOOD PRESSURE STUDY WITH 600 LOCAL PARTICIPANTS. THIS PROJECT INCLUDES SIX PHYSICIAN PRACTICES AND THE IMPLEMENTATION OF STANDARDIZED HYPERTENSION GUIDELINES, HOME BLOOD PRESSURE MONITORING AND TELEPHONE COACHING AS AN EVIDENCE-BASED APPROACH FOR BETTER HYPERTENSION MANAGEMENT. THE PROJECT PARTNERSHIP INCLUDES A LOCAL ADVISORY COMMITTEE ON WHICH SEVERAL HOSPITAL LEADERS SERVE. COMMUNITY HEALTH EDUCATION PROGRAMMING PROVIDED 4151PARTICIPANTS ON AND OFF-SITE PROGRAMMING. PROGRAMMING INCLUDED 55 ALIVE, INFANT CPR, QUITSMART, EXERCISE, NUTRITION AND OTHER HEALTH EDUCATION CLASSES. SHREDDING EVENTTHIS FALL, 2012 EVENT ALLOWED AREA RESIDENTS TO SAFELY AND CONFIDENTIALLY DISPOSE OF OLD PERSONAL RECORDS AND DOCUMENTS BY PARTNERING WITH CINTAS FOR THE FREE EVENT. OVER 125 RESIDENTS UTILIZED THE EVENT.STROKE PREVENTION AND CARELENOIR MEMORIAL PARTNERED WITH THE ENC STROKE NETWORK TO PROVIDE STAFF WITH ADVANCED STROKE LIFE SUPPORT EDUCATION, IMPLEMENTED A STROKE TEAM, AND IS COLLABORATING WITH LENOIR COUNTY EMS IN A COUNTY-WIDE EFFORT TO DECREASE STROKE TREATMENT TIMES AND INCREASE COMMUNITY AWARENESS OF STROKE RISK FACTORS. LENOIR MEMORIAL BEGAN INCORPORATING THE CDC MILLION HEARTS RISK FACTOR CAMPAIGN AWARENESS IN HOSPITAL SOCIAL MEDIADIABETES WELLNESS PROGRAMLOCATED IN THE MINNIE P. STACKHOUSE DIABETES CENTER, WITHIN LENOIR MEMORIAL HOSPITAL, THE DIABETES WELLNESS PROGRAM PROVIDED FREE DIABETES SELF-MANAGEMENT EDUCATION TO 139 INDIVIDUALS LIVING WITH DIABETES. OUTREACH EDUCATION AND SCREENINGS WERE PROVIDED MONTHLY REACHING 1446 COMMUNITY MEMBERS. ADDITIONALLY, A GRANT FROM KATE B. REYNOLDS CHARITABLE TRUST ALLOWED A REGISTERED DIETITIAN TO PROVIDE MEDICAL NUTRITION COUNSELING FOR 185 INDIVIDUALS DURING THIS YEAR. FOUR AFRICAN AMERICAN CHURCHES RECEIVED TARGETED WEIGHT LOSS EDUCATION IN AN EFFORT TO PREVENT TYPE 2 DIABETES RISK FACTORS AND COMPLICATIONSPINK HILL WELLNESS CENTERDIABETES AND PRE-DIABETES EDUCATION WAS PROVIDED ON-SITE IN PINK HILL IN ORDER TO IDENTIFY PERSONS AT RISK FOR DIABETES AND PROVIDE DIABETES SELF- MANAGEMENT EDUCATION BY A CERTIFIED DIABETES EDUCATOR AND A REGISTERED DIETITIANBREASTFEEDING SUPPORT GROUPA LOCAL BREAST FEEDING COALITION WAS INITIATED BY THE HOSPITAL IN AN EFFORT TO INCREASE BREASTFEEDING EDUCATION AND AWARENESS. LMH HAS PARTNERED WITH THE CAROLINA GLOBAL BREASTFEEDING INSTITUTE TO IMPROVE OUR PRACTICES RELATED TO BREASTFEEDING EDUCATION AND SUPPORT OF OUR FAMILIES. AS A RESULT, WE HAVE OBTAINED 4 OUT OF 5 BREASTFEEDING STARS AND HAVE SEEN AN INCREASE OF OUR EXCLUSIVE BREASTFEEDING RATE BY 83% OVER THE PAST TWO YEARS. THE FAMILY BIRTH CENTER IS WORKING WITH THE NC HEALTHY START FOUNDATION TO PUT STANDARDS IN PLACE FOR THE INFANT SAFE SLEEP HOSPITAL MODEL OF EXCELLENCE REGARDING COMMUNITY EDUCATION FOR INFANT SAFE SLEEP PRACTICES. THE FAMILY BIRTH CENTER IS ALSO IMPLEMENTING A PURPLE CRYING EDUCATION PROGRAM IN AN EFFORT TO JOIN OTHER HOSPITALS IN NC TO REDUCE THE INCIDENCE OF SHAKEN BABY SYNDROME BY 50% BY THE YEAR 2014FOOD DRIVELENOIR MEMORIAL EMPLOYEES PROVIDE TIME AND LEADERSHIP TO COLLECT FOOD FOR THE NEEDY FAMILIES IN LENOIR COUNTYLIVING WILLSTHE HIS DEPARTMENT OF LENOIR MEMORIAL HOSPITAL PROVIDED ASSISTANCE TO COMMUNITY MEMBERS IN COMPLETING EMERGENCY PREPARDNESSLENOIR MEMORIAL PARTICIPATES IN THE LOCAL EMERGENCY PLANNING COMMITTEE, AND AS A MEMBER OF THE LENOIR COUNTY TEAM IN THE EASTERN REGIONAL ADVISORY COUNCIL OF 29 COUNTIES TO PLAN, COORDINATE, AND EXECUTE DISASTER READINESS AND DRILLS. ONE COUNTY-WIDE DRILL WAS PERFORMED. A DECONTAMINATION TRAILER WAS GIVEN TO LENOIR COUNTY EMERGENCY MANAGEMENT IN ORDER TO PROVIDE COUNTY WIDE DECONTAMINATION SERVICES. CONTINUATION OF COMMUNITY BENEFITSPHYSICIAN RECRUITMENT LENOIR MEMORIAL PROVIDED PHYSICIAN RECRUITMENT SERVICES FOR PROVIDORS IN ORDER TO MEET COMMUNITY NEEDS IN A MEDICALLY UNDERSERVED GEOGRAPHIC AREA. PRIORITY AREAS INCLUDE, BUT ARE NOT LIMITED TO GENERAL SURGERY, INTERNAL MEDICINE, PEDIATRICS, AND ORTHOPEDICS. FOUR PROVIDORS WERE SUCCESSFULLY RECRUITED TO AREA PRACTICES. TUMOR BOARDLMH COORDINATES A COMPREHENSIVE CANCER PROGRAM THAT INVOLVES COMMUNITY PHYSICIAN EDUCATION AND PLANNING FOR COMMUNITY CANCER TREATMENT.NURSING EDUCATION LENOIR MEMORIAL PROVIDES PRECEPTORS AND ACTS AS A TRAINING FACILITY FOR NURSING STUDENTS FROM COLLEGES ACROSS EASTERN NC AS WELL AS AWARDS SCHOLARSHIPS.LANGUAGE INTERPRETATIONLENOIR MEMORIAL HOSPITAL PROVIDED LANGUAGE INTERPREATION SERVICES TO EXTERNAL AGENCIES AT NO CHARGE. FINANCIAL CASE WORKERS LENOIR MEMORIAL PROVIDES HALF THE SALARIES OF TWO, ON SITE, DSS, CASE WORKERS IN ORDER TO PROMOTE AND SUPPORT ACCESS TO HEALTHCARE. MENTORING PROGRAMTWELVE LMH MANAGEMENT TEAM MEMBERS PARTICIPATE IN A COMMUNITY MENTORING PROGRAM IN LENOIR COUNTY IN ORDER TO MENTOR ELEMENTARY SCHOOL CHILDEN IN AN UNDERSERVED SCHOOL DISTRICT. LEADERS ARE MATCHED WITH SPECIFIC CHILDREN OVER THE SCHOOL YEAR AND PROVIDE SUPPORT DIRECTLY TO STUDENTS BY COACHING, HELPING WITH HOMEWORK, AND READING TO THEIR CHILD. MENTORS ALSO PROVIDE FINANCIAL SUPPPORT FOR SCHOOL SUPPLIES AND EDUCATIONAL MATERIALS. 116425079 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 170 0 1 1199 1 1 1 0 0 0 0 0 0 0 0 0 X 17 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 NC X X MICHELLE MITTEN CPA FINANCE DIR 2525227927 100 AIRPORT ROAD KINSTON NC 28501 GARY BLACK 40.00 X X 447381 0 71412 KAY HARRELL 2.00 X X 0 0 0 MARY M CAULEY EDD 2.00 X 0 0 0 RAY COLLIER JR 2.00 X 0 0 0 RALPH LEE COX MD 2.00 X 0 0 0 DEXTER FLOYD 2.00 X 0 0 0 OSCAR SKIP GREENE III 2.00 X 0 0 0 MICHEL HADDAD MD 2.00 X 12500 0 0 CLIFTON HARRISON 2.00 X 0 0 0 AGNES HO 2.00 X 0 0 0 ADRIAN KING 2.00 X 0 0 0 WILLIAM ANTHONY LAWSON JR 2.00 X 0 0 0 THOMAS A PHARO 2.00 X 0 0 0 DAPHNE POLLOCK 2.00 X 0 0 0 LADDIE M CRISP JR MD 2.00 X 1375 0 0 ARMISTEAD MAUCK 2.00 X 0 0 0 CARLTON YOUNGER JR 2.00 X 0 0 0 JIM DOBBINS 40.00 X 207198 0 28530 SARAH MAYO 40.00 X 256345 0 34735 WILLIAM LEASE 40.00 X 201030 0 15474 ROSILAND MCDONALD 40.00 X 206784 0 15481 DALE HARDY 40.00 X 172889 0 14876 SCOTT STEGBAUER MD 40.00 X 513011 0 21498 ARTHUR HUNSINGER 40.00 X 198974 0 16696 CONNIE MANGEL 40.00 X 188655 0 16207 GEORGE YVETTE 40.00 X 196821 0 15840 MARK HENNING 40.00 X 198833 0 15987 2801796 0 266736 29 0 1 0 LENOIR HM SERVICES PO BOX 82368 LAFAYETTE LA 705982368 HOSPITALIST STAFFING 1231003 CHARLES H CLASSEN JR PLLC 2007 STANTON ROAD KINSTON NC 28504 CONTRACT ORTHOPEDIC SURGEON 392500 K&L GATES LLP 925 FOURTH AVE STE 2900 SEATTLE WA 98104 LEGAL COUNCIL 264771 DR PREECHA BHOTIWIHOK 1910 STANTON ROAD KINSTON NC 28504 CONTRACT ANESTHESIA SERVICES 202447 EMERGENCY MEDICINE PHYSICIANS PO BOX 71-4287 COLUMBUS OH 432714287 EMERGENCY DEPARTMENT PHYSICIAN SERVICES 201000 10 81750 50237 40322 131987 PATIENT SERVICES 621990 129070323 129070323 AUXILLARY SERVICE REVE 621990 582701 574531 8170 WELLNESS CENTER REVEUN 713940 163237 163237 LAB REVENUE 541380 69104 34552 34552 PRINTING REVENUE 323100 9398 9398 -103245 -103245 129791518 3142508 3571 3138937 1735448 0 1735448 1735448 1365841 369607 108131 -108131 -108131 -108131 1653448 941341 712107 518715 193392 DIETARY AND CAFETERIA 900099 906570 906570 GIFT SHOP 900099 189474 189474 VENDING 900099 57686 57686 1153730 136559167 131727199 515445 4184536 37000 37000 142893 142893 1682474 339494 1297335 45645 44582089 36411180 8170909 1622387 1288758 332028 1601 7230362 5743503 1479725 7134 3497917 2778602 715864 3451 49632 49632 347114 347114 75722 75722 254612 254612 8747444 7105354 1642090 379673 51849 327824 14126970 9534009 4592961 2356473 2356473 3115018 3016360 98658 97698 56019 41679 61661 37816 23845 39263 132 39131 7684475 7684475 62340 62340 BAD DEBT EXPENSE 29469974 29469974 MEDICAL SUPPLIES 9801494 9801494 RECRUITMENT 499404 499404 MISCELLANEOUS 56497 7950 48547 136020586 116425079 19537676 57831 3112445 6194893 17442567 15111537 11573208 12372280 3059169 3089169 1353423 1424388 150439365 88009309 63086764 62430056 76644225 83427286 4187229 5393404 180459030 189443013 9026065 10167086 10130696 10340391 19364230 18940000 6500000 6000000 4529667 5829715 49550658 51277192 X 93704950 100909661 37203422 37256160 130908372 138165821 180459030 189443013 X 538581 6718868 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 7647 7647 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: THE ORGANIZATION IS A MEMBER OF THE NORTH CAROLINA HOSPITAL ASSOCIATION. A PORTION OF THE DUES PAID TO THAT ORGANIZATION ARE ALLOCATED EACH YEAR TO LOBBYING EFFORTS ON BEHALF OF ITS MEMBERSHIP BODY. FOR THE YEAR, APPROXIMATELY $7,647 HAS BEEN ALLOCATED TO LOBBYING EXPENDITURES. 425406 425406 71058179 31410497 39647682 77811087 56598812 21212275 1144693 1144693 62430056 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 5595823 CAPITAL LEASE OBLIGATION 233892 5829715 136559167 136020586 538581 6718868 6718868 7257449 114749402 6718868 941341 7660209 107089193 29469974 29469974 136559167 107491953 941341 941341 106550612 29469974 29469974 136020586 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE HOSPITAL AND FOUNDATION ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. THE HOSPITAL AND THE FOUNDATION HAVE DETERMINED THAT THEY DO NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2012. THE HOSPITAL AND FOUNDATION BELIEVE THEY ARE NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO SEPTEMBER 30, 2009. PART XII, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD 941,341. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 29,469,974. PART XIII, LINE 2D - OTHER ADJUSTMENTS: COSTS OF GOODS SOLD 941,341. PART XIII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 29,469,974. 1 1 1 X 1 X 1 1 1 0 1 1 822816 259480 563336 0.00530 19028611 18650255 378356 0.00360 19851427 18909735 941692 0.00890 829082 154912 674170 0.00630 825293 825293 0.00770 4266244 3504795 761449 0.00710 23382 23382 0.00020 171573 171573 0.00160 6115574 3659707 2455867 0.02290 25967001 22569442 3397559 0.03180 0 1 657 657 0.00000 3 64931 64931 0.00060 1 38411 38411 0.00040 0 0 0 2 591425 591425 0.00560 0 7 695424 695424 0.00660 0 10941216 3750126 47420420 47567865 -147445 X 1 1 1 1 LENOIR MEMORIAL HOSPITAL INC

100 AIRPORT ROAD KINSTON NC 28501

X X X X DISPROPORTIONARE SHARE HOSPITAL LENOIR MEMORIAL HOSPITAL INC 1 1 1 100.000000000000 1 250.000000000000 1 X X X X X 1 1 X X X X X 1 0 1 X 0 0 2 LENOIR ORTHOPEDICS

701 DOCTORS DRIVE KINSTON NC 28501

ORTHOPEDIC CENTER LENOIR SURGICAL

701 DOCTORS DRIVE KINSTON NC 28501

SURGERY CENTER PART I, LINE 3C: IN ADDITION TO DETERMINING ELIGIBILITY FOR FREE OR REDUCED-PRICE CARE USING INCOME LEVELS AND FEDERAL POVERTY GUIDELINES, PATIENTS MAY ALSO QUALIFY FOR FINANCIAL ASSISTANCE BASED UPON THEIR ELIGIBILITY FOR SUBSIDIZED HOUSING UNDER HUD GUIDELINES. ALTHOUGH THE HOSPITAL PREFERS TO BE ABLE TO DISCUSS OPTIONS FOR FINANCIAL ASSISTANCE WITH HEALTHCARE COSTS - INCLUDING POSSIBLE ELIGIBILITY FOR MEDICAID OR OTHER PROGRAMS - WITH PATIENTS, IF EFFORTS TO DO SO PROVE UNSUCCESSFUL, ELIGIBILITY FOR LMH'S FINANCIAL ASSISTANCE PROGRAM MAY BE DETERMINED BASED UPON PATIENT ADDRESS IN A SUBSIDIZED HOUSING COMMUNITY. COMMUNITIES MEETING THIS DEFINITION, AS WELL AS INCOME AND ASSET CRITERIA FOR RESIDENTS, ARE REVIEWED PERIODICALLY WITH THE LOCAL HOUSING AUTHORITY. ADDITIONALLY, PATIENTS FACING EXTENSIVE MEDICAL COSTS WHO DO NOT MEET STANDARD FINANCIAL INDIGENCE CRITERIA BASED UPON INCOME LEVEL MAY QUALIFY FOR DISCOUNTED CARE IF THEY ARE DETERMINED TO BE "MEDICALLY INDIGENT"; THAT IS, HAVING INCURRED COSTS OF CARE IN EXCESS OF 20% OF FAMILY GROSS INCOME, AND FOR WHICH PAYMENT WOULD REQUIRE LIQUIDATION OF THOSE ASSETS CRITICAL TO LIVING OR EARNING A LIVING. THEREFORE, FINANCIAL AND OTHER ASSETS MUST BE FULLY DISCLOSED BY PATIENTS SEEKING THIS DESIGNATION IN ORDER FOR A MEDICAL INDIGENCE DETERMINATION TO BE MADE. ADDITIONALLY, DISCOUNTS FOR PROMPT PAYMENT OF BALANCES ARE AVAILABLE FOR ALL UNINSURED PATIENTS, AND ARE TIERED BASED UPON THE AMOUNT OWED (LARGER DISCOUNTS ARE APPLIED TO HIGHER BALANCES). PATIENT ACCOUNT LIAISONS (PALS) AND FINANCIAL COUNSELORS SCREEN PATIENTS FOR FINANCIAL ASSISTANCE EITHER AT THE POINT OF SERVICE OR AFTER SERVICE HAS BEEN RENDERED. THE STAFF ALSO UTILIZES A SOFTWARE SYSTEM THAT SCREENS PATIENTS FOR MEDICAID ELIGIBILITY AS WELL AS FINANCIAL ASSISTANCE. PALS INTERVIEW SCHEDULED PATIENTS PRIOR TO SERVICE, AFTER ADMISSION AS AN INPATIENT AND AFTER SERVICE IS RECEIVED THROUGH THE EMERGENCY DEPARTMENT REGARDING THEIR LIABILITY AND DISCUSS OPTIONS FOR PAYMENT INCLUDING FINANCIAL ASSISTANCE. FINANCIAL COUNSELORS CONTACT PATIENTS AFTER THEY RECEIVE A STATEMENT FOR SERVICES TO DISCUSS PAYMENT OPTIONS INCLUDING FINANCIAL ASSISTANCE. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 29469974. PART II: LENOIR MEMORIAL PARTNERS WITH AREA ORGANIZATIONS TO PROVIDE COMMUNITY HEALTH PROGRAMMING, HEALTH COALITION WORK, AND IN-KIND LEADERSHIP TO AREA BOARDS, AND NON-PROFITS. HOSPITAL LEADERSHIP TEAM MEMBERS SERVE ON COMMUNITY TASK FORCES AND ACTION GROUPS. SOME OF THESE INCLUDE THE LENOIR COUNTY SCHOOL HEALTH ADVISORY COMMITTEE, EASTERN AHEC, KINSTON-LENOIR COUNTY CHAMBER OF COMMERCE, PRIDE OF KINSTON, LENOIR COMMITTEE OF 100, LENOIR-GREENE UNITED WAY, KINSTON COMMUNITY HEALTH CENTER, LENOIR COUNTY ALLIANCE FOR A HEALTHY COMMUNITY, THE COMMUNITY MARKETING COMMITTEE, AND LENOIR-GREENE ASTHMA COALITION. LENOIR ALSO PARTICIPATES IN A MENTORING PROGRAM WITH SOUTH EAST ELEMENTARY SCHOOL. LENOIR PROVIDES MEETING SPACE FOR VARIOUS LOCAL COMMITTEES. WE WERE A SPONSOR OF THE 2011 LIVING THE GOOD LIFE EVENT AT VERNON PARK MALL WITH OVER 100 AREA AGENCIES AND BUSINESSES PARTICIPATING IN THE HEALTHY LIVING EVENT. DURING 2011, LENOIR MEMORIAL COMPLETED A GOLDEN LEAF FOUNDATION INITIATIVE FOR WORKFORCE DEVELOPMENT LEADERSHIP WHICH MENTORED AND TRAINED 25 NEW CERTIFIED NURSING ASSISTANTS FOR THE LOCAL HEALTHCARE WORKFORCE. LENOIR MEMORIAL PROVIDES WORKSITE WELLNESS CARE TO AREA BUSINESS AND INDUSTRY AND PROVIDED EMPLOYEE HEALTH SERVICES IN FY11 TO 108 CORPORATE CLIENTS WITH 234 REGIONAL SITE VISITS. LENOIR ALSO DONATED A DECONTAMINATION TRAILER TO LCEM. PART III, LINE 4: THE TOTAL BAD DEBT EXPENSE FOR FY12 WAS MULTIPLIED BY THE COST-CHARGE RATIO TO ESTIMATE TOTAL BAD DEBT AT COST.BAD DEBT ACCOUNTS WERE GEOCODED TO DETERMINE THE CENSUS TRACT WHICH CORRESPONDED TO THE ADDRESS ON FILE FOR EACH BAD DEBT ACCOUNT. THE AVERAGE PERCENTAGE OF HOUSEHOLDS FOR EACH CENSUS TRACT WHICH MET THE LMH CHARITY CARE GUILDELINES WAS THEN APPLIED TO DETERMINE AN ESTIMATED PERCENTAGE OF BAD DEBT WHICH COULD BE ATTRIBUTED TO PATIENTS ELIGIBLE UNDER THE LMH CHARITY CARE POLICY. PART III, LINE 8: THE MEDICARE COST REPORT WAS USED TO DETERMINE MEDICARE ALLOWABLE COSTS OF CARE. PART III, LINE 9B: THE HOSPITAL SENDS PATIENTS A STATEMENT EACH MONTH NOTING THE BALANCE DUE. INFORMATION IS INCLUDED ON THE STATEMENT REGARDING OPTIONS FOR PAYMENT INCLUDING FINANCIAL ASSISTANCE AND CONTACT NUMBERS. SELF PAY PATIENTS ARE OFFERED A PROMPT PAY DISCOUNT. NOTIFICATION OF THE DISCOUNT IS INCLUDED ON THE PATIENT'S STATEMENTS.FINANCIAL COUNSELORS AND PATIENT ACCOUNT LIAISONS ARE TRAINED TO INFORM PATIENTS OF FINANCIAL ASSISTANCE AS AN OPTION SHOULD THEY HAVE DIFFICULTY PAYING THEIR ACCOUNTS. THE PALS UTILIZE A SOFTWARE SYSTEM (RAMP) THAT SCREENS PATIENTS FOR POTENTIAL MEDICAID ELIGIBILITY AND FOR FINANCIAL ASSISTANCE. THE SCREENING IS BASED ON SOME PRELIMINARY QUESTIONS, AND THEN PATIENTS ARE SCHEDULED FOR AN INTERVIEW TO COMPLETE THE APPLICATION AND SUBMIT THE NECESSARY DOCUMENTS. PATIENTS RECEIVING LESS THAN 100% FINANCIAL ASSISTANCE WILL BE REQUESTED TO MAKE PAYMENT ARRANGEMENTS FOR THE REMAINING BALANCE.TELEPHONE CONTACTS TO DISCUSS ACCOUNT BALANCES WITH PATIENTS AND OFFER OPTIONS FOR RESOLUTION ARE ATTEMPTED ON MOST ACCOUNTS. THE HOSPITAL WILL OFFER PAYMENT PLANS TO PATIENTS THAT ARE ABLE TO PAY WITH A MINIMUM MONTHLY PAYMENT OF $50.00. PATIENTS ARE ALSO OFFERED ASSISTANCE WITH MEDICAID ELIGIBILITY APPLICATIONS. IF THE PATIENT IS NONRESPONSIVE AFTER RECEIVING THREE STATEMENTS (90 DAYS FROM DATE OF SERVICE OR LAST PAYMENT DATE), THE ACCOUNT MAY BE FORWARDED TO A COLLECTION AGENCY FOR FURTHER COLLECTION PROCEDURES. THE HOSPITAL DOES NOT UTILIZE PRACTICES SUCH AS GARNISHMENTS, LIENS, AND PERSONAL ATTACHMENTS AS PART OF THE COLLECTION PROCESS. LENOIR MEMORIAL HOSPITAL, INC. PART V, SECTION B, LINE 11H: SLIDING SCALED BASED ON PERCENTAGE OF FPG LENOIR MEMORIAL HOSPITAL, INC. PART V, SECTION B, LINE 13G: SIGNS ARE POSTED NOTIFYING PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE AND INCLUDED ON PATIENT'S STATEMENTS. BROCHURES ARE ALSO PROVIDED NOTIFYING OF PATIENTS AVAILABILITY. LENOIR MEMORIAL HOSPITAL, INC. PART V, SECTION B, LINE 19D: THE MAXIMUM AMOUNT CHARGED IS BASED ON A SLIDING SCALE OF 250% OF FPG. PATIENT WOULD BE BILLED 75%. PART VI, LINE 2: LENOIR MEMORIAL WORKS CLOSELY WITH THE LENOIR COUNTY HEALTH DEPARTMENT TO CONDUCT THE COMMUNITY HEALTH ASSESSMENT PROCESS FOR LENOIR COUNTY, OUR LARGEST POPULATION SERVED. LOCAL DEMOGRAPHIC AND HEALTH STATISTICS ARE COMPILED ALONG WITH THE COMMUNITY SURVEY DATA ABOUT PERCEIVED HEALTH ISSUES IN ORDER TO DEVELOP TARGETED COMMUNITY HEALTH STRATEGIES. LENOIR MEMORIAL ALSO PARTNERS WITH LENOIR, GREENE AND JONES COUNTIES IN HEALTHY CAROLINIANS LOCAL TASK FORCES. ANNUAL CANCER REPORTING AND HOSPITAL DIAGNOSIS TRENDS ARE USED TO PRIORITIZE PROGRAMMING, SERVICES, AND INITIATIVES AS WELL AS PHYSICIAN NEEDS ASSESSMENTS. PART VI, LINE 3: - THE HOSPITAL HAS POSTED SIGNS INFORMING PATIENTS OF PAYMENT OPTIONS INCLUDING THE FINANCIAL ASSISTANCE PROGRAM IN THE CASHIER'S OFFICE AND REGISTRATION AREAS OF THE HOSPITAL. - BROCHURES (PATIENT FINANCIAL HEALTH GUIDELINES) ARE PUBLISHED EXPLAINING "WHAT YOU NEED TO KNOW ABOUT PAYING FOR YOUR HEALTH SERVICES," AND INCLUDE INFORMATION REGARDING THE AVAILABILITY OF OUR FINANCIAL ASSISTANCE PROGRAM. THESE BROCHURES ARE INCLUDED AS PART OF THE INPATIENT ADMISSION INFORMATION PACKET, ARE ON DISPLAY IN WAITING ROOMS THROUGHOUT THE HOSPITAL AND ARE PROVIDED TO PATIENTS DURING INTERVIEWS SHOULD THEY HAVE ANY QUESTIONS. THE BROCHURE OFFERS ASSISTANCE THROUGH THE HOSPITAL INTERPRETER FOR SPANISH SPEAKING PATIENTS AND THE HOSPITAL HAS ACCESS TO TRANSLATION TELEPHONES FOR OTHER LANGUAGES.- THE FINANCIAL ASSISTANCE POLICY OVERVIEW IS ALSO INCLUDED ON THE HOSPITAL'S WEBSITE. - INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE IS INCLUDED ON PATIENT'S STATEMENT.- THE FINANCIAL COUNSELORS AND PATIENT ACCOUNT LIAISONS DISCUSS FINANCIAL ASSISTANCE AS AN OPTION FOR PATIENTS THAT CONTACT THE HOSPITAL WITH CONCERNS ABOUT PAYING THEIR ACCOUNT WITH PATIENTS AND THEIR FAMILY MEMBERS (WITH APPROPRIATE CONSENT). - THE HOSPITAL ALSO SCREENS SELF PAY PATIENTS FOR MEDICAID OR OTHER GOVERNMENT PROGRAMS. PART VI, LINE 4: LENOIR MEMORIAL HOSPITAL IS LOCATED IN KINSTON, NORTH CAROLINA (POPULATION 21,677), WHICH IS THE COUNTY SEAT AND LARGEST TOWN IN LENOIR COUNTY (POPULATION 59,495); KINSTON AND OTHER LENOIR COUNTY MUNICIPALITIES CONSTITUTE THE HOSPITAL'S PRIMARY SERVICE AREA. LMH IS DESIGNATED A SOLE COMMUNITY HOSPITAL BY CMS. THOUGH STRONG ECONOMIC AND CORRESPONDING POPULATION GROWTH OCCURRED THROUGHOUT MUCH OF NORTH CAROLINA DURING THE MOST RECENT DECADE (2000-2010), LOCAL TRENDS DID NOT FOLLOW SUIT. LENOIR COUNTY WAS ONE OF ONLY SEVEN COUNTIES STATEWIDE THAT LOST POPULATION (-.3%), VS. THE NC AVERAGE OF +18.5%. KINSTON'S DECLINE WAS EVEN STEEPER, AT -8.5%. OVER THE LAST TWO DECADES THE LOCAL AREA HAS WITNESSED THE CLOSING OR SIGNIFICANT DOWNSIZING OF FORMERLY LARGE EMPLOYERS - PARTICULARLY LIGHT MANUFACTURING ENTERPRISES - AS LESS EXPENSIVE LABOR HAS BEEN SOUGHT OVERSEAS. IN THE MOST RECENT YEARS, THE AREA'S CHALLENGES HAVE BEEN EXACERBATED BY THE DRAMATIC NATIONWIDE ECONOMIC DOWNTURN, AND LENOIR COUNTY'S UNEMPLOYMENT RATE HAS TYPICALLY EXCEEDED BOTH STATE AND NATIONAL AVERAGES. THE COUNTY HAS BEEN DESIGNATED TIER 1 - I.E., THE RANKING GIVEN TO THE MOST ECONOMICALLY DISTRESSED COUNTIES IN THE STATE - BY THE NC DEPARTMENT OF COMMERCE. POVERTY LEVELS IN KINSTON AND LENOIR COUNTY EXCEED STATE AVERAGES; IN 2010 THE COUNTY'S POVERTY LEVEL WAS RANKED THIRD HIGHEST FOR COUNTIES WITH POPULATIONS GREATER THAN 20,000 BY THE NC JUSTICE CENTER. THE ECONOMICALLY DISADVANTAGED PERCENTAGE OF CHILDREN IN LENOIR COUNTY SCHOOLS FOR 2009-2010 WAS 66.53%, AND ALL SCHOOLS WITH ELEMENTARY AND MIDDLE GRADES WERE TITLE 1. PORTIONS OF KINSTON ARE DESIGNATED AS HEALTH PROFESSIONAL SHORTAGE AREAS. THE TABLE BELOW PROVIDES SELECTED POPULATION, INCOME, AND POVERTY STATISTICS FROM THE US CENSUS BUREAU, INCLUDING THE AMERICAN COMMUNITY SURVEY. KINSTON LENOIR COUNTY NORTH CAROLINAPOP. CHANGE, 2000-2010 - 8.5% - 0.3% 18.5%PERCENT BELOW POV. LV, 2010 34.1% 22.7% 15.5%MEDIAN HOUSEHOLD INCOME, $27,725 $33,625 $45,570CHILDREN IN POVERTY, 2010 50.4% 31.2% 21.6%THE HISTORICAL DEPENDENCE UPON FARMING AND LIGHT MANUFACTURING JOBS, AS WELL AS POVERTY AND EDUCATION LEVELS THAT ARE HIGHER AND LOWER, RESPECTIVELY, THAN NC AVERAGES WILL LIKELY CONTINUE TO BE LIMITING FACTORS TO CONSISTENTLY STRONG OR RAPID ECONOMIC GROWTH. IN ORDER TO ADDRESS THESE CHALLENGES, NUMEROUS AREA ORGANIZATIONS CONTINUE TO WORK TOWARD DEVELOPMENT INITIATIVES THAT WILL CREATE LONG TERM SOCIAL AND ECONOMIC IMPROVEMENT. PART VI, LINE 5: THE HOSPITAL BOARD IS COMPRISED OF UNRELATED COMMUNITY MEMBERS. LOCAL PHYSICIANS HAVE PRIVILEDGES IN A MAJORITY OF HOSPITAL DEPARTMENTS. SURPLUS FUNDS MAY BE USED TO PURCHASE CAPTIAL EQUIPMENT OR OTHER MEDICAL EQUIPMENT USED IN PATIENT CARE. THEY ARE ALSO USED TO PURCHASE TECHNOLOGY, SUCH AS COMPUTER EQUIPMENT, SOFTWARE, AND CONNECTIVITY. THESE FUNDS ALSO SUPPORT GENERAL BUILDING REFURBISHMENTS AS WELL AS REPAIRS AND MAINTENANCE. REPORTS FILED WITH STATES PART VI, LINE 7 NC 1 LENOIR MEMORIAL HOSPITAL FOUNDATION INC 100 AIRPORT ROAD KINSTON NC 28501 581584139 501(C)(3) 5500 N/A N/A OPERATIONAL SUPPORT 1 SCHOLARSHIPS 7 21953 N/A N/A ASSISTANCE WITH PURCHASE OF MEDICATION 68 35734 N/A N/A STIPEND FOR HEALTHCARE PROGRAM 1 2814 N/A N/A PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE ORGANIZATION PROVIDES PRE-APPROVED FUNDS TO SELECTED ORGANIZATIONS AND INDIVIDUALS BASED UPON APPROVED CRITERIA. THE FUNDS ARE ONLY DISBURSED FOR THE APPROVED ACTIVITIES. X X X X X 0 1 0 0 0 0 0 0 0 GARY BLACK 359055 0 21914 0 66412 0 61341 0 10071 0 518793 0 38457 0 JIM DOBBINS 167483 0 10261 0 29454 0 20251 0 8279 0 235728 0 16036 0 SARAH MAYO 218085 0 13201 0 25059 0 26014 0 8721 0 291080 0 16258 0 WILLIAM LEASE 168584 0 10080 0 22366 0 7123 0 8351 0 216504 0 15646 0 ROSILAND MCDONALD 166533 0 9781 0 30470 0 7413 0 8068 0 222265 0 0 0 DALE HARDY 147501 0 8000 0 17388 0 6707 0 8169 0 187765 0 0 0 SCOTT STEGBAUER MD 472324 0 24187 0 16500 0 9800 0 11698 0 534509 0 0 0 ARTHUR HUNSINGER 152398 0 4000 0 42576 0 8122 0 8574 0 215670 0 0 0 CONNIE MANGEL 139199 0 4000 0 45456 0 7728 0 8479 0 204862 0 0 0 GEORGE YVETTE 147741 0 4000 0 45080 0 7902 0 7938 0 212661 0 0 0 MARK HENNING 154914 0 4000 0 39919 0 8077 0 7910 0 214820 0 0 0 PART I, LINE 4B THE FOLLOWING INDIVIDUALS RECEIVED AMOUNTS FROM A 457F PLAN: GARY BLACK, CEO, $38,457; JAMES CLINE DOBBINS, VP HUMAN RESOURCES, $16,036; WILLIAM LEASE, VP PLANT AND FACILITY, $15,646; SARAH MAYO, CFO, $16,258; ROSALIND MCDONALD, VP BURSING, $11,411 NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 657902Y63 2005-09-22 22000000 CAPITAL PROJECTS 0 0 0 3060000 22021552 178646 20213 9657270 2005 1 0 1 1 0 0 0 0 0.00150 0.00150 1 0 1 0 0 0 1 X SCHEDULE K SUPPLENTAL INFORMATION THE PURPOSE OF THE ISSUE WAS TO ACCOMPLISH A CONVERSION OF THE HOSPITAL FROM PUBLIC TO A PRIVATE, NONPROFIT HOSPITAL IN ORDER TO PROVIDE GREATER OPERATING FLEXIBILITY AFFORDED PRIVATE, NONPROFIT HOSPITALS UNDER NORTH CAROLINA LAW. IN ADDITION TO REDEEMING PRIOR BONDS, A PORTION OF THE PROCEEDS WERE USED TO FUND VARIOUS CAPITAL PROJECTS THAT ENHANCED PATIENT CARE, SAFETY, AND COMMUNITY ACCESS TO HEALTH SERVICES. X EQUIPMENT 1 40322 FMV 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION'S ACCOUNTING FIRM PRESENTED THE FORM 990 TO THE BOARD OF DIRECTORS AT A SCHEDULED BOARD MEETING. EACH VOTING DIRECTOR OF THE BOARD RECEIVED A COPY OF THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C UPON THEIR APPOINTMENT TO THE BOARD, AND BEFORE ACTUALLY PARTICIPATING IN MEETINGS, MEMBERS MUST READ THE CONFLICTS OF INTEREST POLICY AND DISCLOSE ANY FINANCIAL INTERESTS THAT COULD CREATE A CONFLICT OF INTEREST. AS LONG AS THEY CONTINUE TO SERVE ON THE BOARD, MEMBERS THEN COMPLETE THESE FINANCIAL RELATIONSHIP DISCLOSURE STATEMENTS ON AN ANNUAL BASIS. IF SUCH INTERESTS ARE NOT DISCLOSED, THE CEO, BOARD CHAIR, OR ANY OTHER BOARD MEMBER MAY BRING THE FINANCIAL INTEREST OR ACTUAL/POSSIBLE CONFLICT TO THE ATTENTION OF THE BOARD; THUS THE ENTIRE BOARD IS RESPONSIBLE FOR ONGOING MONITORING OF POTENTIAL CONFLICTS AND THEIR DISCLOSURE. INTENTIONAL FAILURE TO DISCLOSE SUCH FINANCIAL INTERESTS WILL, BY POLICY, RESULT IN APPROPRIATE CORRECTIVE ACTION BY THE BOARD. SHOULD A CONFLICT OF INTEREST ARISE IN CONDUCTING THE BUSINESS OF THE HOSPITAL, THE AFFECTED MEMBER(S) MAY NOT PARTICIPATE IN DISCUSSION REGARDING THE RELEVANT TRANSACTION, AND DEPENDING UPON THE SPECIFIC NATURE OF THE MATTER, THE BOARD CAN TAKE A RANGE OF ACTIONS, SUCH AS APPOINTING A DISINTERESTED PERSON TO INVESTIGATE POSSIBLE ALTERNATIVES, REQUIRING THE INTERESTED PERSON TO REFRAIN FROM PERFORMING ANY FUNCTIONS RELATED TO THE INTEREST CREATING THE CONFLICT, OR REQUIRING THE INTERESTED PERSON TO DIVEST HIMSELF OF THE CONFLICT-CREATING INTEREST IN ORDER TO REMAIN ON THE BOARD. EDUCATION AND COMPLIANCE FORMS ARE UPDATED ANNUALLY BY THE HOSPITAL'S CORPORATE COMPLIANCE OFFICER. FORM 990, PART VI, SECTION B, LINE 15 THE HUMAN RESOURCES COMMITTEE OF THE BOARD OF DIRECTORS CONTRACTS WITH AN OUTSIDE, INDEPENDENT, PROFESSIONAL FIRM TO EXAMINE AND REVIEW THE WAGES AND BENEFITS OF THE CEO AND TOP MANAGEMENT OFFICIALS OF THE HOSPITAL EACH YEAR. FORM 990, PART VI, SECTION C, LINE 18 PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. ADDITIONALLY, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 THE HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 6,718,868. LENOIR MEMORIAL HOSPITAL FOUNDATION INC 100 AIRPORT ROAD KINSTON NC 28501 581584139 SUPPORT THE CHARITABLE, EDUCATIONAL, AND SCIENTIFIC PURPOSES OF LMH, INC. NC 501(C)(3) LINE 11A, I N/A 0 LENOIR HEALTH SERVICES INC 100 AIRPORT ROAD KINSTON NC 28501 581705689 SUPPORT CHARITABLE, EDUCATIONAL, AND SCIENTIFIC PURPOSES OF LMH, INC. NC 501(C)(3) LINE 11A, I N/A 0 PAMLICO MEDICAL EQUIPMENT LLC 628 EAST TWELFTH STREET WASHINGTON NC 27889 562101748 RENTAL/SALES OF MEDICAL EQUIPMENT NC N/A UNRELATED -103560 310515 0 1 SPRING ARBOR OF KINSTON LP 800 HETHWOOD BOULEVARD BLACKSBURG VA 24060 522118245 RENTAL REAL ESTATE VA N/A RELATED 126691 0 0 0 1 1 0 0 0 0 0 0 0 1 0 1 1 0 1 0 0 LENOIR MEMORIAL HOSPITAL FOUNDATION M 83449 LENOIR MEMORIAL HOSPITAL FOUNDATION C 44750 LENOIR MEMORIAL HOSPITAL VOLUNTEERS C 37000