LENOIR MEMORIAL HOSPITAL INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- LENOIR MEMORIAL HOSPITAL INC (EIN 56-6000674)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-08-07
- IRS object ID
- 201232209349300623
- Schema version
- 2010v3.4
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-07T11:12:37-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 RIDGEFIELD COURT | AddressLine1 |
| City | ASHEVILLE | City |
| State | NC | State |
| ZIP Code | 28806 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 566000674 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LENOIR MEMORIAL HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | LENO | NameControl |
| Phone | 2525227927 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 AIRPORT ROAD | AddressLine1 |
| City | KINSTON | City |
| State | NC | State |
| ZIP Code | 28501 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SARAH MAYO | Name |
| Title | CFO | Title |
| Phone | 2525227927 | Phone |
| Date Signed | 2012-07-03 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | AMY BIBBY | Name |
| Phone | 8282542254 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | GARY BLACK | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 AIRPORT ROAD | AddressLine1 |
| City | KINSTON | City |
| State | NC | State |
| ZIP Code | 28501 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 126937841 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.LENOIRMEMORIAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1950 | YearFormation |
| State Legal Domicile | NC | StateLegalDomicile |
| Activity Or Mission Description | PROVIDING EXCEPTIONAL HEALTHCARE AS AN OUTSTANDING COMMUNITY HOSPITAL | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1305 | TotalNbrEmployees |
| Total Nbr Volunteers | 280 | TotalNbrVolunteers |
| Total Gross UBI | 407573 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 183672 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 150765 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 110980 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 119991893 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 118066876 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 3475469 | InvestmentIncomePriorYear |
| Investment Income Current Year | 4259213 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 3418767 | OtherRevenuePriorYear |
| Other Revenue Current Year | 3319392 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 127036894 | TotalRevenuePriorYear |
| Total Revenue Current Year | 125756461 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 178096 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 199111 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 60925290 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 54822042 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 52944 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 67642967 | OtherExpensePriorYear |
| Other Expenses Current Year | 67132607 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 128746353 | TotalExpensesPriorYear |
| Total Expenses Current Year | 122153760 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1709459 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 3602701 | RevenuesLessExpensesCY |
| Total Assets BOY | 180931509 | TotalAssetsBOY |
| Total Assets EOY | 180459030 | TotalAssetsEOY |
| Total Liabilities BOY | 51400913 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 49550658 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 129530596 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 130908372 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE MISSION OF LENOIR MEMORIAL IS TO ENSURE EXCEPTIONAL HEALTHCARE FOR THE PEOPLE WE SERVE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 105206136 | Expense |
| Grants | 199111 | Grants |
| Revenue | 119667341 | Revenue |
| Description | 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 2011 ANNUAL COMMUNITY HEALTH REPORT IS LOCATED ON THE HOSPITAL WEBSITE AT WWW.LENOIRMEMORIAL.ORG.2011 COMMUNITY HEALTH ACCOMPLISHMENTS:NC SAFE KIDS:LENOIR MEMORIAL HOSPITAL TRANSFERRED THE 2002 SAFEKIDS GMC VAN, BIKE RODEO TRAILER AND BIKES, AND APPROXIMATELY 600 CHILD PASSENGER SAFETY SEATS, 120 BIKE HELMETS, AND HUNDREDS OF EDUCATIONAL SUPPORT MATERIALS TO LENOIR-GREENE PARTNERSHIP FOR CHILDREN TO ENSURE A VIABLE LOCAL SAFEKIDS ORGANIZATION. A DONATION OF $1,000 WAS GIVEN TO SUPPORT CO-PAY COVERAGE FOR UNDERSERVED IN ORDER TO PROVIDE FREE CHILD PASSENGER SAFETY SEATS.ECONOMIC DEVELOPMENT:DOWNTOWN REVITALIZATION CASH DONATIONS INCLUDED SUPPORT FOR MAPLEWOOD CEMETERY ENTRANCE ENHANCEMENTS, CENTENNIAL PARK BEAUTIFICATION, LAGRANGE GARDEN SPOT FESTIVAL, AND A PRIDE OF KINSTON 10K RUN. DONATIONS WERE ALSO MADE TO SUPPORT ENHANCEMENTS AT THE KINSTON-LENOIR PUBLIC LIBRARY AND GREENE COUNTY PUBLIC LIBRARY.PINK HILL WELLNESS CENTER:A $5,000 DONATION WAS MADE TO ASSIST IN THE START-UP OF A COMMUNITY WELLNESS CENTER IN THE SOUTHERN PART OF THE COUNTY. COMMUNITY ART SUPPORT:CASH DONATIONS WERE PROVIDED TO SUPPORT COMMUNITY COUNCIL FOR THE ARTS, AND CONNECTING THE DOTS ERASING THE LINES PRE-SCHOOL PROGRAM.LITTLE BY LITTLE:OVER 15 MANAGEMENT TEAM MEMBERS JOINED A COMMUNITY MENTORING PROGRAM IN ORDER TO WEEKLY READ AND MENTOR UNDERSERVED ELEMENTARY CHILDREN AT SOUTHEAST ELEMENTARY SCHOOL. LEADERS ARE MATCHED WITH SPECIFIC CHILDREN OVER THE SCHOOL YEAR AND PROVIDED SUPPORT IN THE CLASSROOM FOR SUPPLIES AND CELEBRATIONS. A $1,000 DONATION WAS PRESENTED TO THE SCHOOL AT THE END OF THE SCHOOL YEAR FOR PURCHASING LIBRARY BOOKS AND IT EQUIPMENT IN THE ACCELERATED READER PROGRAM.COMMUNITY COALITION ACTIVITIES: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 GROUPS:COORDINATED 18 HOSPITAL BASED GROUPS, ATTENDED BY 3,396 PARTICIPANTS. A STROKE SUPPORT GROUP WAS REORGANIZED THIS YEAR.FOUR COMMUNITY BLOOD PRESSURE MACHINES:PROVIDED 53,797 SCREENING BLOOD PRESSURES, INCLUDING SITES FOR BLOOD PRESSURE MACHINES AT VERNON PARK MALL AND A MACHINE THAT TRAVELS TO VARIOUS COMMUNITY CHURCHES.EMERGENCY PREPAREDNESS:LENOIR MEMORIAL PARTICIPATES IN THE LOCAL EMERGENCY PLANNING COMMITTEE, AND AS A MEMBER OF THE LENOIR COUNTY TEAM IN THE EASTERN REGIONAL ADVISORY COUNCIL FOR 29 COUNTIES TO PLAN, COORDINATE, AND EXECUTE DISASTER READINESS AND DRILLS. ONE COUNTY-WIDE DRILL WAS PERFORMED. A DE-CONTAMINATION TRAILER WAS GIVEN TO LENOIR COUNTY EMERGENCY MANAGEMENT IN ORDER TO PROVIDE COUNTY WIDE DECONTAMINATION SERVICES.MINGES WELLNESS CENTER:THE MEDICALLY BASED FITNESS CENTER FOR THE COMMUNITY HAS 73 PIECES OF STATIONARY EXERCISE EQUIPMENT WITH 25 GROUP EXERCISE CLASSES WEEKLY. A TOTAL OF 915 ACTIVE INDIVIDUAL MEMBERS WITH 169 MEMBERS PROVIDED PARTIAL SCHOLARSHIPS IN ORDER TO AFFORD TO JOIN. SIX CORPORATE MEMBERSHIPS DURING THIS PERIOD. VOTED THE #1 PLACE TO SHAPE UP, ONCE AGAIN, IN 2011, BY FREE PRESS READERS.SCREENING EVENTS:PROVIDED EARLY DETECTION SCREENING EVENTS OF DISEASES/DISORDERS/RISKS INCLUDING COLORECTAL, SKIN, PROSTATE CANCERS, MAMMOGRAM, CHOLESTEROL, AND BLOOD PRESSURES.COMMUNITY AIR QUALITY PROGRAM:INITIATED AN OUTDOOR FLAG ALERT PROGRAM WITH THE PARTNERSHIP OF THE 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.COMMUNITY EXERCISE INITIATIVES:IMPLEMENTED THE FIFTH ANNUAL COMMUNITY NEW YEAR'S CHALLENGE WITH OVER 200 ATTENDEES EVERY MONDAY NIGHT IN JANUARY, AND THE DIABETES WELLNESS 10,000 LIFE STEPS PROGRAM.LENOIR MEMORIAL COMMUNITY WALKING TRACK:AVERAGES OVER 700 WALKERS PER MONTH. CORPORATE HEALTH SERVICES:SERVICES INCLUDED 108 CORPORATE CLIENTS, 234 WORKSITE WELLNESS VISITS WITH 2,587 EMPLOYEE CONTACTS. FLU SHOTS, CPR TRAINING, AND TARGETED HEALTH EDUCATION IS PROVIDED.LIVING THE GOOD LIFE IN EASTERN NC:SPONSOR FOR THE KINSTON/LENOIR COUNTY CHAMBER OF COMMERCE EVENT WHICH FOCUSED ON HEALTHY LIVING ISSUES. OVER 2,000 PARTICIPANTS AT VERNON PARK MALL RECEIVED BP SCREENINGS. PLACED 2ND PLACE IN THE HEALTHY FOOD TASTE-TESTING AND BEST HEART HEALTHY RECIPE CONTEST.HEART HEALTHY LENOIR:WORKING WITH UNC CENTER FOR POPULATION HEALTH AND HEALTH DISPARITIES ON THE 5 YEAR NIH GRANT TO REDUCE STROKE AND HEART DISEASE IN LENOIR COUNTY. PARTNERSHIP INCLUDES A LOCAL ADVISORY COMMITTEE ON WHICH SEVERAL HOSPITAL LEADERS SERVE. A SITE OFFICE WAS OPENED IN FY11 AS PART OF THE STRATEGY TO FOCUS ON HYPERTENSION, GENETIC TESTING, AND LIFESTYLE INTERVENTION. GROW OUR OWN:THE GOLDEN LEAF FOUNDATION PROVIDED GRANT FUNDING FOR A HEALTHCARE WORKFORCE DEVELOPMENT PROJECT THAT CONCLUDED IN MARCH, 2011, WITH 25 COMMUNITY RESIDENTS HAVING WORKER SKILLS UPGRADES INTO CERTIFIED NURSING ASSISTANTS. THESE INDIVIDUALS WERE ALL SUCCESSFULLY PLACED INTO JOBS IN THE LOCAL JOB MARKET.DIABETES WELLNESS PROGRAM:LOCATED IN THE MINNIE P. STACKHOUSE DIABETES CENTER, THE FREE OUTPATIENT DIABETES SELF-MANAGEMENT PROGRAM FEATURES A MANDATORY EXERCISE COMPONENT. 136 NEW STARTS, WITH COMMUNITY OUTREACH WAS PERFORMED, INCLUDING EDUCATION AND SCREENINGS. KATE B. REYNOLDS CHARITABLE TRUST FUNDING ALLOWED PROGRAM EXPANSION TO INCLUDE A REGISTERED DIETITIAN AND MEDICAL NUTRITION COUNSELING AS PART OF A TWO YEAR $138, 307 GRANT WAS RECEIVED DURING THIS YEAR. TWO LOCAL AFRICAN AMERICAN CHURCHES RECEIVED TARGETED WEIGHT LOSS EDUCATION IN ORDER TO DECREASE TYPE 2 DIABETES RISK FACTORS.COMMUNITY HEALTH EDUCATION PROGRAMMING: WAS PROVIDED TO 2,557 PARTICIPANTS BY ON AND OFF-SITE PROGRAMMING. PROGRAMMING INCLUDED 55 ALIVE, INFANT CPR, QUITSMART, EXERCISE AND NUTRITION CLASSES. SHREDDING EVENT:THIS EVENT ALLOWED AREA RESIDENTS TO SAFELY AND CONFIDENTIALLY DISPOSE OF OLD PERSONAL RECORDS AND DOCUMENTS BY PARTNERING WITH CINTAS FOR THE FREE EVENT. OVER 200 RESIDENTS UTILIZED THE EVENT.FAMILY BIRTH CENTER COMMUNITY EDUCATION:LAMAZE/SIBLING/EARLY PRENATAL CLASSES INCLUDED OVER 220 ATTENDEES.EMPLOYEE OUTREACH:LENOIR MEMORIAL EMPLOYEES PARTICIPATED IN FUNDRAISING TO SUPPORT THE AMERICAN CANCER SOCIETY RELAY FOR LIFE, LENOIR MEMORIAL FOUNDATION, AND LENOIR-GREENE UNITED WAY. EMPLOYEES WORKED TOGETHER TO GIVE TIME, TALENT AND PERSONAL DONATIONS OF OVER $83,000 DURING FY11.NURSING SCHOLARSHIPS:NURSING LEADERSHIP, HIGH SCHOOL HEALTH OCCUPATION STUDENTS RECEIVE SCHOLARSHIP AWARDS.HOSPITAL VOLUNTEER PROGRAM:DURING FY 11, 200 ADULT VOLUNTEERS AND 55 YOUTH VOLUNTEERS PROVIDED 40,010 VOLUNTEER HOURS IN A VARIETY OF HOSPITAL SETTINGS ENRICHING THE PATIENT EXPERIENCE AND PERFORMING THE WORK OF 19.2 UNPAID FTES. LIGHTS OF LOVE HOLIDAY TREE LIGHTING CAMPAIGN COMMUNITY DONATIONS FUND A NUMBER OF HOSPITAL PROGRAMS AND PROJECTS EACH YEAR. | Description |
| Total Program Service Expense | 105206136 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 185 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1305 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | NC | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MICHELLE MITTEN CPA FINANCE DIR | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2525227927 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 AIRPORT ROAD | AddressLine1 |
| City | KINSTON | City |
| State | NC | State |
| ZIP Code | 28501 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (27 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| GARY BLACK | ||||||||
| CEO | 40.00 | X | X | 433132 | 0 | 54673 | ||
| KAY HARRELL | ||||||||
| CHAIRPERSON | 1.00 | X | 0 | 0 | 0 | |||
| MARY M CAULEY EDD | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| RAY COLLIER JR | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| RALPH LEE COX MD | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| DEXTER FLOYD | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| OSCAR SKIP GREENE III | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| MICHAEL HADDAD MD | ||||||||
| BOARD MEMBER | 1.00 | X | 12500 | 0 | 0 | |||
| CLIFTON HARRISON | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| AGNES HO | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| ADRIAN KING | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| WILLIAM ANTHONY LAWSON JR | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| THOMAS A PHARO | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| DAPHNE POLLOCK | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| LESLIE REYNOLDS MD | ||||||||
| BOARD MEMBER | 1.00 | X | 96433 | 0 | 0 | |||
| CURTIS S SMITH CPA | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| CARLTON YOUNGER JR | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| JIM DOBBINS | ||||||||
| VP - HUMAN RESOUCES | 40.00 | X | 201711 | 0 | 30889 | |||
| SARAH MAYO | ||||||||
| CFO | 40.00 | X | 261575 | 0 | 36379 | |||
| WILLIAM LEASE | ||||||||
| VP - PLANT AND FACILITY | 40.00 | X | 207343 | 0 | 29934 | |||
| ROSILAND MCDONALD | ||||||||
| VP - NURSING SERVICES | 40.00 | X | 237718 | 0 | 16210 | |||
| DALE HARDY | ||||||||
| PHARMACY DIRECTOR | 40.00 | 186845 | 0 | 15557 | X | |||
| SCOTT STEGBAUER MD | ||||||||
| ORTHOPEDIC SURGEON | 40.00 | 532804 | 0 | 21741 | X | |||
| ARTHUR HUNSINGER | ||||||||
| CRNA | 40.00 | 213743 | 0 | 16858 | X | |||
| CONNIE MANGEL | ||||||||
| CRNA | 40.00 | 195814 | 0 | 16160 | X | |||
| GEORGE YVETTE | ||||||||
| CRNA | 40.00 | 194259 | 0 | 14335 | X | |||
| MARK HENNING | ||||||||
| CRNA | 40.00 | 192554 | 0 | 14442 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2966431 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 267178 | TotalOtherCompensation |
| Number Individuals GT100 K | 22 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 1 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| LENOIR HM SERVICES | |||||
| PO BOX 82368 | LAFAYETTE | LA | 705982368 | HOSPITALIST STAFFING | 541645 |
| COMPREHENSIVE HOSPITALISTS SERVICES OF N | |||||
| PO BOX 203251 | HOUSTON | TX | 77216 | HOSPITALIST STAFFING | 444037 |
| EMERGENCY MEDICINE PHYSICIANS | |||||
| PO BOX 71-4287 | COLUMBUS | OH | 432714287 | EMERGENCY DEPARTMENT PHYSICIAN SERVICES | 201000 |
| DR ALAN KIROLLOS | |||||
| 2503 N QUEEN STREET | KINSTON | NC | 285035455 | PHYSICIAN GUARANTEE | 187365 |
| DIXON HUGHES GOODMAN LLP | |||||
| PO BOX 3049 | ASHEVILLE | NC | 288023049 | ACCOUNTING SERVICES | 166510 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 9 | NumberOfContractorsGT100K |
| Related Organizations | 19000 | RelatedOrganizations |
| All Other Contributions | 91980 | AllOtherContributions |
| Total Contributions | 110980 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PATIENT SERVICES | 621990 | 117606930 | 117606930 | |
| AUXILLARY SERVICE REVE | 621990 | 180468 | 180468 | |
| WELLNESS CENTER REVEUN | 713940 | 170753 | 170753 | |
| LAB REVENUE | 541380 | 80795 | 40398 | 40397 |
| PARTNERSHIP INCOME | 541900 | 16645 | 16645 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 11285 | TotalRevenueColumn |
| Unrelated Business Revenue | 11285 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 118066876 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4506566 | TotalRevenueColumn |
| Exclusion | $4,506,566 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Personal | 1597445 | Personal |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Personal | 1597445 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1597445 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1258199 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 339246 | UnrelatedBusinessRevenue |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 2826 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 250179 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -247353 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -247353 | TotalRevenueColumn |
| Exclusion | -$247,353 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 1546821 | GrossSalesOfInventory |
| Cost Of Goods Sold | 931201 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 615620 | TotalRevenueColumn |
| Related Or Exempt Function Income | 410593 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 205027 | UnrelatedBusinessRevenue |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| DIETARY AND CAFETERIA | 900099 | 847957 | $847,957 |
| GIFT SHOP | 900099 | 200560 | $200,560 |
| VENDING | 900099 | 57810 | $57,810 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1106327 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 125756461 | TotalRevenueColumn |
| Related Or Exempt Function Income | 119667341 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 612600 | UnrelatedBusinessRevenue |
| Exclusion | $5,365,540 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36379 | Total |
| Program Services | 36379 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 162732 | Total |
| Program Services | 162732 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1712710 | Total |
| Program Services | 331240 | ProgramServices |
| Management And General | 1338615 | ManagementAndGeneral |
| Fundraising | 42855 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42661720 | Total |
| Program Services | 34847665 | ProgramServices |
| Management And General | 7814055 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1576374 | Total |
| Program Services | 1249709 | ProgramServices |
| Management And General | 325143 | ManagementAndGeneral |
| Fundraising | 1522 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5716068 | Total |
| Program Services | 4531552 | ProgramServices |
| Management And General | 1178996 | ManagementAndGeneral |
| Fundraising | 5520 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3155170 | Total |
| Program Services | 2501338 | ProgramServices |
| Management And General | 650785 | ManagementAndGeneral |
| Fundraising | 3047 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49632 | Total |
| Management And General | 49632 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 450403 | Total |
| Management And General | 450403 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 70034 | Total |
| Management And General | 70034 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 317245 | Total |
| Management And General | 317245 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7811988 | Total |
| Program Services | 6171930 | ProgramServices |
| Management And General | 1640058 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 445234 | Total |
| Program Services | 23802 | ProgramServices |
| Management And General | 421432 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20725937 | Total |
| Program Services | 18436454 | ProgramServices |
| Management And General | 2289483 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2125490 | Total |
| Program Services | 2125490 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3328061 | Total |
| Program Services | 3116809 | ProgramServices |
| Management And General | 211252 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 75330 | Total |
| Program Services | 44046 | ProgramServices |
| Management And General | 31284 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 45661 | Total |
| Program Services | 27537 | ProgramServices |
| Management And General | 18124 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 47876 | Total |
| Management And General | 47876 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7898342 | Total |
| Program Services | 7898342 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 62440 | Total |
| Program Services | 62440 | ProgramServices |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT EXPENSE | 23584344 | 23584344 | |
| RECRUITMENT | 50872 | 50872 | |
| MISCELLANEOUS | 43718 | 3455 | 40263 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 122153760 | Total |
| Program Services | 105206136 | ProgramServices |
| Management And General | 16894680 | ManagementAndGeneral |
| Fundraising | 52944 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2709213 | BOY |
| EOY | 3112445 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15638265 | BOY |
| EOY | 17442567 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9233420 | BOY |
| EOY | 11573208 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3120114 | BOY |
| EOY | 3059169 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1464055 | BOY |
| EOY | 1353423 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 143966945 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 80880181 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 65545845 | BOY |
| EOY | 63086764 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 78857992 | BOY |
| EOY | 76644225 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4362605 | BOY |
| EOY | 4187229 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 180931509 | BOY |
| EOY | 180459030 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10811648 | BOY |
| EOY | 9026065 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9875313 | BOY |
| EOY | 10130696 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19768872 | BOY |
| EOY | 19364230 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7000000 | BOY |
| EOY | 6500000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3945080 | BOY |
| EOY | 4529667 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 51400913 | BOY |
| EOY | 49550658 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 90833596 | BOY |
| EOY | 93704950 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38697000 | BOY |
| EOY | 37203422 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 129530596 | BOY |
| EOY | 130908372 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 180931509 | BOY |
| EOY | 180459030 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 3602701 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -2224925 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $10,000 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 10000 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF OTHER LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1I: | ReturnReference |
| Explanation | 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 $10,000 HAS BEEN ALLOCATED TO LOBBYING EXPENDITURES. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 425406 | OtherCostOrOtherBasis |
| Book Value | 425406 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 69451050 | OtherCostOrOtherBasis |
| Depreciation | 39321315 | Depreciation |
| Book Value | 30129735 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 73403110 | OtherCostOrOtherBasis |
| Depreciation | 41558866 | Depreciation |
| Book Value | 31844244 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 687379 | OtherCostOrOtherBasis |
| Book Value | 687379 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 63086764 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS | $4,510,559 |
| CAPITAL LEASE OBLIGATION | $19,108 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 4529667 | TotalOfAmounts |
| Total Revenue | 125756461 | TotalRevenue |
| Total Expenses | 122153760 | TotalExpenses |
| Excess Or Deficit For Year | 3602701 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -2224925 | NetUnrealizedGLOnInvestments |
| Total Adjustments | -2224925 | TotalAdjustments |
| Excess Or Deficit Per FS | 1377776 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 100878393 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -2224925 | NetUnrealizedGainsInvestments |
| Other Revenues | 931201 | OtherRevenues |
| Revenue Not Rptd F990 | -1293724 | RevenueNotRptdF990 |
| Revenue Subtotal | 102172117 | RevenueSubtotal |
| Other Revenues Not Included | 23584344 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 23584344 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 125756461 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 99500617 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 931201 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 931201 | ExpensesNotRptdF990 |
| Expenses Subtotal | 98569416 | ExpensesSubtotal |
| Other Expenses Not Included | 23584344 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 23584344 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 122153760 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 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, 2011. THE HOSPITAL AND FOUNDATION BELIEVE THEY ARE NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO SEPTEMBER 30, 2008. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | COST OF GOODS SOLD 931,201. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR BAD DEBTS 23,584,344. | |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | COSTS OF GOODS SOLD 931,201. | |
| PART XIII, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR BAD DEBTS 23,584,344. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent250 | X | Pcent250 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 938475 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 332803 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 605672 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00610 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14946659 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12824227 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2122432 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02150 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 293122 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 218913 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 74209 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 16178256 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13375943 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2802313 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02840 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1353921 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 525908 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 828013 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00840 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 224409 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 224409 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00230 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 402429 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 402429 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00410 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1980759 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 525908 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1454851 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01480 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 18159015 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13901851 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4257164 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04320 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1891 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1891 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 11108 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 11108 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 12999 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 12999 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $8,077,444 | BadDebtExpenseAmount |
| Amount Attributable To | 3050219 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 47682299 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 48359559 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -677260 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| 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 | LENOIR MEMORIAL HOSPITAL INC | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 AIRPORT ROAD | AddressLine1 |
| City | KINSTON | City |
| State | NC | State |
| ZIP Code | 28501 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
| Er Other | X | ErOther |
| Other | DISPROPORTIONARE SHARE HOSPITAL | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LENOIR MEMORIAL HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 1 | NumberOfOtherFacilities |
Other Facilities OtherFacilities
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LENOIR ORTHOPEDICS | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 DOCTORS DRIVE | AddressLine1 |
| City | KINSTON | City |
| State | NC | State |
| ZIP Code | 28501 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Type | ORTHOPEDIC CENTER | FacilityType |
Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| 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 $ 23584344. | ||
| 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 FY11 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 FILES COMMUNITY BENEFIT DATA WITH THE NORTH CAROLINA HOSPITAL ASSOCIATION THROUGH ITS ANDI DATABASE; THIS DATA IS ALSO REPORTED TO THE NORTH CAROLINA MEDICAL CARE COMMISSION. DETAILED COMMUNITY BENEFITS INFORMATION HAS HISTORICALLY BEEN INCLUDED AS PART OF THE LENOIR MEMORIAL'S 990 FILING, WHICH IS AVAILABLE TO ANY MEMBER OF THE PUBLIC UPON REQUEST AND AT WWW.GUIDESTAR.ORG. INFORMATION ABOUT SOME OF THE SPECIFIC PROGRAMS THAT ADDRESS A VARIETY OF COMMUNITY HEALTH AND WELLNESS CONCERNS MAY BE FOUND ON THE HOSPITAL'S WEB SITE, WWW.LENOIRMEMORIAL.ORG. | ||
| THE ORGANIZATION IS PART OWNER OF SPRING ARBOR, LLC WHICH OPERATES AN ASSISTED LIVING FACILITY. | ||
| 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. 2011 WAS THE CYCLICAL YEAR FOR SURVEYING THE COMMUNITY AND THIS WAS BEING IMPLEMENTED IN THE FALL OF 2011, WITH BOTH ENGLISH AND HISPANIC SURVEY INSTRUMENTS. 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. THE FINAL 2011 SURVEY WILL BE READY EARLY SUMMER, 2012. 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, 2009 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 6: 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. | ||
| NC | REPORTS FILED WITH STATES | PART VI, LINE 7 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|---|---|
| LENOIR MEMORIAL HOSPITAL FOUNDATION INC | |||||||||
| 100 AIRPORT ROAD | KINSTON | NC | 28501 | 581584139 | 501(C)(3) | 28859 | N/A | N/A | OPERATIONAL SUPPORT |
| PRIDE OF KINSTON | |||||||||
| 327 NORTH QUEEN STREET | KINSTON | NC | 28501 | 561434180 | 501(C)(3) | 8500 | N/A | N/A | REVITALIZATION OF THE KINSTON COMMUNITY AND SPONSORSHIPS FOR COMMUNITY EVENTS |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII (4 entries)
| Type Of GrantTypeOfGrant | Number Of RecipientsNumberOfRecipients | Amount Of Cash GrantAmountOfCashGrant | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance |
|---|---|---|---|---|
| SCHOLARSHIPS | 33 | 33094 | N/A | N/A |
| ASSISTANCE WITH PURCHASE OF MEDICATION | 1 | 82 | N/A | N/A |
| EMPLOYEE MENTAL HEALTHCARE ASSISTANCE | 11 | 1750 | N/A | N/A |
| PATIENT TRANSPORTATION ASSISTANCE | 2 | 232 | N/A | N/A |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | 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. | Explanation |
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 | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GARY BLACK | |||||||||||||
| 400713 | 0 | 32419 | 0 | 0 | 0 | 39841 | 0 | 14832 | 0 | 487805 | 0 | 0 | 0 |
| JIM DOBBINS | |||||||||||||
| 180901 | 0 | 16008 | 0 | 4802 | 0 | 21796 | 0 | 9093 | 0 | 232600 | 0 | 0 | 0 |
| SARAH MAYO | |||||||||||||
| 224725 | 0 | 20350 | 0 | 16500 | 0 | 26827 | 0 | 9552 | 0 | 297954 | 0 | 0 | 0 |
| WILLIAM LEASE | |||||||||||||
| 175303 | 0 | 15540 | 0 | 16500 | 0 | 20869 | 0 | 9065 | 0 | 237277 | 0 | 0 | 0 |
| ROSILAND MCDONALD | |||||||||||||
| 202263 | 0 | 15078 | 0 | 20377 | 0 | 7374 | 0 | 8836 | 0 | 253928 | 0 | 0 | 0 |
| DALE HARDY | |||||||||||||
| 162789 | 0 | 8000 | 0 | 16056 | 0 | 6684 | 0 | 8873 | 0 | 202402 | 0 | 0 | 0 |
| SCOTT STEGBAUER MD | |||||||||||||
| 487984 | 0 | 28320 | 0 | 16500 | 0 | 9800 | 0 | 11941 | 0 | 554545 | 0 | 0 | 0 |
| ARTHUR HUNSINGER | |||||||||||||
| 195754 | 0 | 4000 | 0 | 13989 | 0 | 8154 | 0 | 8704 | 0 | 230601 | 0 | 0 | 0 |
| CONNIE MANGEL | |||||||||||||
| 180366 | 0 | 4000 | 0 | 11448 | 0 | 7556 | 0 | 8604 | 0 | 211974 | 0 | 0 | 0 |
| GEORGE YVETTE | |||||||||||||
| 190259 | 0 | 4000 | 0 | 0 | 0 | 5729 | 0 | 8606 | 0 | 208594 | 0 | 0 | 0 |
| MARK HENNING | |||||||||||||
| 188554 | 0 | 4000 | 0 | 0 | 0 | 5780 | 0 | 8662 | 0 | 206996 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 4B | ReturnReference |
| Explanation | THE FOLLOWING INDIVIDUALS RECEIVED AMOUNTS FROM A 457F PLAN: GARY BLACK, CEO, $30,041; JAMES CLINE DOBBINS, VP HUMAN RESOURCES, $14,052; WILLIAM LEASE, VP PLANT AND FACILITY, $13,527; SARAH MAYO, CFO, $17,212 | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTH CAROLINA MEDICAL CARE COMMISSION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 521309402 | IssuerEIN |
| CUSIP Number | 657902Y63 | CUSIPNumber |
| Date Issued | 2005-09-22 | DateIssued |
| Issue Price | 22000000 | IssuePrice |
| Description Of Purpose | CAPITAL PROJECTS | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amount Retired | 2630000 | AmountRetired |
| Total Proceeds | 22021552 | TotalProceeds |
| Issuance Costs From Proceeds | 198858 | IssuanceCostsFromProceeds |
| Credit Enhancement | 1159494 | CreditEnhancement |
| Capital Expenditures | 9657270 | CapitalExpenditures |
| Year Of Subst Completion | 2005 | YearOfSubstCompletion |
| Current Refunding | 1 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Bond Counsel Routinely Engaged | 1 | BondCounselRoutinelyEngaged |
| Prcntge Prvt Business Use By Others | 0.00100 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00100 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | 1 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 0 | Form8038TFiled |
| Variable Rate Issue | 1 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Exception To Rebate | 1 | ExceptionToRebate |
Form990 Schedule K Part V Form990ScheduleKPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE K SUPPLENTAL INFORMATION | Identifier |
| Explanation | 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. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| 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. | |
| 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 12C | |
| 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 B, LINE 15 | |
| 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 18 | |
| THE HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. | FORM 990, PART VI, SECTION C, LINE 19 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED LOSSES ON INVESTMENTS: -2,224,925. | FORM 990, PART XI, LINE 5: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PAMLICO MEDICAL EQUIPMENT LLC | ||||||||||||
| 628 EAST TWELFTH STREET | WASHINGTON | NC | 27889 | 562101748 | RENTAL/SALES OF MEDICAL EQUIPMENT | NC | N/A | UNRELATED | -16417 | 693583 | 0 | 1 |
| SPRING ARBOR OF KINSTON LP | ||||||||||||
| 800 HETHWOOD BOULEVARD | BLACKSBURG | VA | 24060 | 522118245 | RENTAL REAL ESTATE | VA | N/A | RELATED | 35310 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
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