LENOIR MEMORIAL HOSPITAL INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
LENOIR MEMORIAL HOSPITAL INC (EIN 56-6000674)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-08
IRS object ID
201132209349301363
Schema version
2009v1.7
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-08-08T12:32:30-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DIXON HUGHES GOODMAN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1500 Ridgefield CourtAddressLine1
CityAshevilleCity
StateNCState
ZIP Code28806ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN566000674EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LENOIR MEMORIAL HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLENONameControl
Phone2525227927Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 AIRPORT ROADAddressLine1
CityKINSTONCity
StateNCState
ZIP Code28501ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSARAH MAYOName
TitleCFOTitle
Phone2525227927Phone
Date Signed2011-08-08DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAmy BibbyName
Phone8282542254Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonGARY BLACKNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1100 AIRPORT ROADAddressLine1
CityKINSTONCity
StateNCState
ZIP Code28501ZIPCode
FieldValueIRS element (for citing)
Gross Receipts128233676GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.lenoirmemorial.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1950YearFormation
State Legal DomicileNCStateLegalDomicile
Activity Or Mission DescriptionPROVIDING EXCEPTIONAL HEALTHCARE AS AN OUTSTANDING COMMUNITY HOSPITALActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees1332TotalNbrEmployees
Total Nbr Volunteers290TotalNbrVolunteers
Total Gross UBI1084500TotalGrossUBI
Net Unrelated Business Txbl Income380648NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year401444ContributionsGrantsPriorYear
Contributions Grants Current Year150765ContributionsGrantsCurrentYear
Program Service Revenue Prior Year126335863ProgramServiceRevenuePriorYear
Program Service Revenue CY119991893ProgramServiceRevenueCY
Investment Income Prior Year4271585InvestmentIncomePriorYear
Investment Income Current Year3475469InvestmentIncomeCurrentYear
Other Revenue Prior Year2536406OtherRevenuePriorYear
Other Revenue Current Year3418767OtherRevenueCurrentYear
Total Revenue Prior Year133545298TotalRevenuePriorYear
Total Revenue Current Year127036894TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year157076GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY178096GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year60647281SalariesEtcPriorYear
Salaries Etc Current Year60925290SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year52824TotalFundrsngExpCurrentYear
Other Expense Prior Year68453849OtherExpensePriorYear
Other Expenses Current Year67642967OtherExpensesCurrentYear
Total Expenses Prior Year129258206TotalExpensesPriorYear
Total Expenses Current Year128746353TotalExpensesCurrentYear
Revenues Less Expenses Prior Year4287092RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1709459RevenuesLessExpensesCY
Total Assets BOY174976842TotalAssetsBOY
Total Assets EOY180931509TotalAssetsEOY
Total Liabilities BOY49788359TotalLiabilitiesBOY
Total Liabilities EOY51400913TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY125188483NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY129530596NetAssetsOrFundBalancesEOY
Mission DescriptionTHE MISSION OF LENOIR MEMORIAL IS TO ENSURE EXCEPTIONAL HEALTHCARE FOR THE PEOPLE WE SERVE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense109686135Expense
Grants178096Grants
Revenue120571834Revenue
DescriptionSTRATEGIC 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 2010 ANNUAL COMMUNITY HEALTH REPORT IS LOCATED ON THE HOSPITAL WEBSITE AT WWW.LENOIRMEMORIAL.ORG.2010 COMMUNITY HEALTH ACCOMPLISHMENTS:INJURY PREVENTION CENTER - 189 CAR SEATS INSPECTED, 122 CAR SEATS DISTRIBUTED, 660 GUN LOCKS DISTRIBUTED, 90 COMMUNITY PROGRAMS PROVIDED, 84 VAN EVENTS, AND FACILITATED THE TRI-COUNTY SAFE KIDS/SAFE COMMUNITIES COALITION. LINKLINE - PARTNERED WITH LENOIR-GREENE UNITED WAY TO RECEIVE CALLS AND MADE 1,316 REFERRALS FROM A COMPREHENSIVE NEWLY UPGRADED DATABASE THAT INCLUDED 983 PROGRAMS WITHIN 673 AGENCIES. PROVIDES COMMUNITY UNMET NEEDS INFORMATION, ON A MONTHLY BASIS, FOR COMMUNITY NETWORKING TO THE LENOIR COUNTY ALLIANCE FOR A HEALTHY COMMUNITY. HOSTED THE NINTH AGENCY EXPO WITH 70 AREA AGENCIES PARTICIPATING AT A VERNON PARK MALL EVENT.COMPLETED THE 3 YEAR DUKE ENDOWMENT GRANT FOR THE NEWLY NAMED MINNIE P. STACKHOUSE DIABETES CENTER. THE FREE OUTPATIENT DIABETES SELF-MANAGEMENT PROGRAM FEATURED A MANDATORY EXERCISE COMPONENT. 141 NEW STARTS, 652 COMMUNITY CONTACTS INCLUDING EDUCATION, SCREENINGS, AND "DEBILITATOR" ATTENDEES.SUPPORT GROUPS - COORDINATED 17 HOSPITAL BASED GROUPS, ATTENDED BY 4751 PARTICIPANTS. WE ADDED THE HEART FAILURE SUPPORT GROUP THIS YEAR.ANNUAL SCREENING EVENTS - PROVIDED EARLY DETECTION SCREENING EVENTS OF SEVEN DISEASES/DISORDERS/RISKS INCLUDING COLORECTAL, SKIN, PROSTATE CANCERS, MAMMOGRAM, CHOLESTEROL, AND BLOOD PRESSURES. COMMUNITY HEALTH EDUCATION CLASSES - PROVIDED TO 4,316 PARTICIPANTS IN ON-SITE AND OFF-SITE PROGRAMMING.CONDUCTED HOSPITAL TOURS OF FACILITIES AND HEALTH SERVICE CAPABILITIES WITH SCHOOL GROUPS AND CIVIC ORGANIZATIONS PHYSICIAN RECRUITMENT FOR HOSPITAL AND RELATED PRACTICES FOR IMPROVED CARE ACCESS IN COMMUNITY.LENOIR MEMORIAL HOSPITAL WALKING TRACK - AVERAGES 500 WALKERS PER MONTH. WRITE IT RIGHT - MEDICATION CARD INITIATIVE - PROVIDED OVER 500 FREE MEDICATION CARDS TO AREA RESIDENTS.HEALTH INFORMATION SERVICES DEPARTMENT PROVIDED OVER TEN HOURS ASSISTING PERSONS IN COMPLETING LIVING WILLS.COMMUNITY PARTNERSHIPS/YOUTH PROGRAMMING - COLLABORATED WITH OUTSIDE AGENCIES TO OFFER THE MONTHLY COMMUNITY DIABETES NUTRITION SERIES, 300 ASTHMA ACTION BOOKLETS FOR LC PUBLIC SCHOOLS AND AREA DAYCARE FACILITIES. 59 JUNIOR VOLUNTEERS PARTICIPATED IN ANNUAL VOLUNTEER PROGRAM THAT HELPS TEENS EXPLORE HEALTH CAREERS AND VALUABLE LIFE SKILLS.CANCER CENTER SOCIAL WORKER SERVICES PROVIDED TO CANCER CENTER CLIENTS AND FAMILIES IN ORDER TO MATCH COMMUNITY RESOURCES DURING THERAPIES.COMMUNITY EDUCATION FROM EMERGENCY DEPARTMENT STAFF ON A VARIETY OF EMERGENCY MEDICAL ISSUES AND PREPAREDNESS.LENOIR MEMORIAL HOSPITAL CONTINUES TO MAINTAIN THE JOHN HOOTEN RESOURCE CENTER, LOCATED IN THE HOSPITAL LOBBY, FOR VISITORS, STAFF, PHYSICIANS AND PATIENTS WHO DESIRE ACCESS TO HEALTH INFORMATION, 1000 + VISITORS.COMMUNITY EDUCATION FROM FAMILY BIRTH CENTER ON A VARIETY OF MATERNAL/CHILD HEALTH TOPICS FOR 220 ATTENDEES.LENOIR MEMORIAL HOSPITAL CONTRACTS STAFF WHO ARE MEDICAID COUNSELORS FROM THE LENOIR COUNTY DEPARTMENT OF SOCIAL SERVICES TO ASSIST LOW INCOME INDIVIDUALS WITH MEDICAID ELIGIBILITY.MULTIMEDIA HEALTH MARKETING - PUBLISHED NEWSLETTERS, TV SHOW, HEALTH PROMOTION INSERTS AND OTHER SPECIALTY HEALTH PROMOTIONS FOR EARLY DETECTION, DISEASE MANAGEMENT, AND RISK FACTOR REDUCTION IN THE COMMUNITY. PASTORAL SERVICES - PROVIDED TO COMMUNITY ORGANIZATIONS AND COMMUNITY CHAPLAINCY PROGRAM.COMMUNITY COMMUNICABLE DISEASE H1N1 READINESS AND PREPARATION WAS DONE IN 2010 UTILIZING TIME AND MANAGEMENT RESOURCES.CANCER REGISTRY PROGRAM AND COMMUNITY CANCER SURVEILLANCE - ANNUAL REPORTS AVAILABLE THROUGH ON-LINE LINK WWW.LENOIRMEMORIAL.ORG.BI-MONTHLY SAFE KIDS MEETINGS AND VEHICLE REGISTRATIONS AND INSURANCE. LENOIR MEMORIAL HOSPITAL IS LEAD ORGANIZATION FOR TRI-COUNTY CHAPTER.CLINICAL TRIAL OVERSIGHT AND MEDICAL TUMOR BOARD MANAGEMENT.FOUR COMMUNITY BLOOD PRESSURE MACHINES - PROVIDED 57,030 BLOOD PRESSURES INCLUDING SITES AT HOSPITAL, VERNON PARK MALL AND A TRAVELING CHURCH MACHINE.CORPORATE AND COMMUNITY HEALTH SERVICES - 252 WORKSITE WELLNESS VISITS WITH 2,829 EMPLOYEE CONTACTS. ALSO, PROVIDED COMMUNITY HEALTH SERVICES INCLUDING SMOKING CESSATION, DRIVERS SAFETY COURSE, HEALTH RISK APPRAISALS, AND BLS INSTRUCTION.MINGES WELLNESS CENTER - MEDICALLY BASED FITNESS CENTER FOR THE COMMUNITY HAS 65 PIECES OF EXERCISE EQUIPMENT WITH 25 GROUP EXERCISE CLASSES WEEKLY. WE EXPERIENCED 7 CORPORATE MEMBERSHIPS DURING THIS PERIOD AND 915 INDIVIDUAL MEMBERS. WE WERE VOTED THE #1 PLACE TO SHAPE UP BY 2010 FREE PRESS READERS.COMMUNITY EXERCISE INITIATIVES - WE FACILITATED THE FITKIDS AFTER SCHOOL EXERCISE PROGRAM FOR AREA YOUTH; THE THIRD ANNUAL COMMUNITY NEW YEAR'S CHALLENGE (EXERCISE FOCUS WITH OVER 200 ATTENDEES EVERY MONDAY NIGHT IN JANUARY); THE WALKTOBER COMMUNITY WALKING CAMPAIGN WHICH INCLUDED 100 PARTICIPANTS IN FALL; AND THE DIABETES WELLNESS 10,000 LIFE STEPS PROGRAM.CERTIFIED CARDIAC REHABILITATION - PROGRAM OFFERS CONTINUED EXERCISE MAINTENANCE CLASSES FOR INDIVIDUALS WHO COMPLETE 36 SESSIONS.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. DONATIONS OF RETIRED EQUIPMENT & MISCELLANEOUS SUPPLIES TO HAITI RELIEF EFFORTS - ORTHOPEDIC SURGICAL EQUIPMENT, OVER 300 GENTLY USED SHOES AND PERSONAL HYGIENE KITS.HOSPITAL LEADERSHIP TO COMMUNITY AGENCIES, BOARDS, COMMUNITY EVENTS - SPONSORED TEAM IN THE LENOIR COUNTY RELAY FOR LIFE, ALZHEIMER'S WALK, AND LEADERSHIP TO THE LENOIR COUNTY ALLIANCE FOR HEALTHY COMMUNITY, TRI-COUNTY SAFE KIDS, KINSTON COMMUNITY HEALTH CENTER, COUNCIL ON AGING, RED CROSS, AND BOYS & GIRLS CLUB.CAB FARES FOR THE DESTITUTE PATIENTS OR FAMILIES.COMMUNITY VOLUNTEER PROGRAM HAS 231 ADULT VOLUNTEERS AND 59 TEEN VOLUNTEERS FROM THE COMMUNITY WHO WORKED 38,000 HOURS TO ASSIST LENOIR MEMORIAL HOSPITAL WITH SERVICE INITIATIVES AND HOSPITAL PROGRAMMING.TRAINING - PRECEPTORSHIP AND TRAINING FOR MULTI-DISCIPLINE CLINICAL EDUCATION.FACILITY MEETING AND EVENT SPACE, COORDINATED COMMUNITY CONTRIBUTIONS.SPANISH INTERPRETATION FOR OUTSIDE AGENCIES.FACILITY ENVIRONMENTAL & ENERGY IMPROVEMENTS.LENOIR MEMORIAL HOLDS 6 BLOOD DRIVES PER YEAR AND COLLECTED OVER 300 PINTS OF BLOOD FOR THE AMERICAN RED CROSS. STAFF DONATED TIME FOR EVENTS.CASH DONATIONS INCLUDING HEALTH PROFESSIONAL SCHOLARSHIPS.EMPLOYEES RAISED $72,263 THROUGH EMPLOYEE PARTICIPATION IN THE 2010 UNITED WAY AND LENOIR MEMORIAL HOSPITAL FOUNDATION CAMPAIGNS TO SUPPORT OUTREACH IN THE COMMUNITY.PROVIDED ECONOMIC DEVELOPMENT FUNDING AND LEADERSHIP TO PROJECTS IN THE COMMUNITY THAT INCLUDE PRIDE OF KINSTON, KINSTON-LENOIR COUNTY PUBLIC LIBRARY, COMMUNITY COUNCIL FOR THE ARTS, COMMITTEE OF 100, KINSTON-LENOIR COUNTY CHAMBER OF COMMERCE, LAGRANGE CHAMBER OF COMMERCE AND GREENE COUNTY CHAMBER OF COMMERCE.Description
Total Program Service Expense109686135TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096206NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1332NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledNCStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MICHELLE MITTEN CPA FINANCE DIRBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2525227927TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1100 AIRPORT ROADAddressLine1
CityKINSTONCity
StateNCState
ZIP Code28501ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
GARY BLACK
CEO40.00XX399713054212
MARY M CAULEY ED D
TREASURER1.00XX000
RAY COLLIER JR
VICE CHAIRMAN1.00XX000
RAY DEANE
DIRECTOR1.00X000
DEXTER FLOYD
DIRECTOR1.00X000
OSCAR GREENE III
DIRECTOR1.00X000
KAY HARRELL
CHAIRPERSON1.00XX000
CLIFTON HARRISON
DIRECTOR1.00X000
AGNES HO
DIRECTOR1.00X000
ADRIAN KING
DIRECTOR1.00X000
WILLIAM ANTHONY LAWSON JR
DIRECTOR1.00X000
THOMAS A PHARO
DIRECTOR1.00X000
DAPHNE POLLOCK
DIRECTOR1.00X000
DONALD RIDDLE MD
DIRECTOR1.00X1145800
LESLIE REYNOLDS MD
DIRECTOR1.00X6718700
CURTIS S SMITH
DIRECTOR1.00X000
RALPH LEE COX MD
DIRECTOR1.00X000
JAMES CLINE DOBBINS
VP HR40.00X180515031109
WILLIAM DAVID LEASE
VP PLANT AND FACILITY40.00X175303031423
SARAH MAYO
CFO40.00X207843035825
ROSALIND MCDONALD
VP NURSING40.00X182458033452
DALE ALTON HARDY
PHARMACY DIRECTOR40.00168703011925X
SCOTT A STEGBAUER
OTHOPEDIC SURGEON40.00530225015300X
ARTHUR HUNSINGER
CRNA44.00204561011648X
YVETTE GEORGE
CRNA40.0019505901006X
ELIZABETH PRIDGEN PUTNAM
CRNA43.00194650011720X
CONNIE SUE MANGEL
CRNA43.00193113011098X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2710788TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation248718TotalOtherCompensation
Number Individuals GT100 K29NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
LENOIR HM SERVICES
PO BOX 82368LAFAYETTELA705982368HOSPITALIST STAFFING541645
COMPREHENSIVE HOSPITALISTS SERVICES OF N
PO BOX 203251HOUSTONTX77216HOSPITALIST STAFFING444037
EMERGENCY MEDICINE PHYSICIANS
PO BOX 71-4287COLUMBUSOH432714287EMERGENCY DEPARTMENT PHYSICIAN SERVICES201000
DIXON HUGHES PLLC
PO BOX 3049ASHEVILLENC288023049ACCOUNTING SERVICES166510
K&L GATES
PO BOX 402988ATLANTAGA303842988LEGAL SERVICES162096
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K
Related Organizations46806RelatedOrganizations
All Other Contributions103959AllOtherContributions
Total Contributions150765TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICES621990119543190119543190
WELLNESS CENTER REVEUN713940159979159979
PARTNERSHIP INCOME541900130085130085
LAB REVENUE541380890934454744546
AUXILLARY SERVICE REVE6219905346053460

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column16086TotalRevenueColumn
Unrelated Business Revenue16086UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Program Service Revenue119991893TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3548008TotalRevenueColumn
Exclusion$3,548,008ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Personal1502949Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Personal1502949Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1502949TotalRevenueColumn
Related Or Exempt Function Income938411RelatedOrExemptFunctionIncome
Unrelated Business Revenue564538UnrelatedBusinessRevenue

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other241154Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other313693Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-72539Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-72539TotalRevenueColumn
Related Or Exempt Function Income-72539RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Sales Of Inventory1573450GrossSalesOfInventory
Cost Of Goods Sold883089CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column690361TotalRevenueColumn
Related Or Exempt Function Income361116RelatedOrExemptFunctionIncome
Unrelated Business Revenue329245UnrelatedBusinessRevenue

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
DIETARY AND CAFETERIA900099935486$935,486
GIFT SHOP900099231008$231,008
VENDING90009958963$58,963
FieldValueIRS element (for citing)
Total Other Revenue1225457TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column127036894TotalRevenueColumn
Related Or Exempt Function Income121028164RelatedOrExemptFunctionIncome
Unrelated Business Revenue1084500UnrelatedBusinessRevenue
Exclusion$4,773,465ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total26908Total
Program Services26908ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total151188Total
Program Services151188ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1591125Total
Program Services315009ProgramServices
Management And General1234690ManagementAndGeneral
Fundraising41426Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total46188067Total
Program Services37584777ProgramServices
Management And General8603290ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1673357Total
Program Services1327353ProgramServices
Management And General344553ManagementAndGeneral
Fundraising1451Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total8046229Total
Program Services6382493ProgramServices
Management And General1656760ManagementAndGeneral
Fundraising6976Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3426512Total
Program Services2718005ProgramServices
Management And General705536ManagementAndGeneral
Fundraising2971Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total49629Total
Program Services49629ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total358417Total
Management And General358417ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total122265Total
Management And General122265ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total7500Total
Management And General7500ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total8321390Total
Program Services5686773ProgramServices
Management And General2634617ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total373303Total
Program Services29504ProgramServices
Management And General343799ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total22445522Total
Program Services19836578ProgramServices
Management And General2608944ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1756999Total
Program Services1756999ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3232205Total
Program Services3010711ProgramServices
Management And General221494ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total77417Total
Program Services50982ProgramServices
Management And General26435ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total65729Total
Program Services37140ProgramServices
Management And General28589ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total58731Total
Program Services5ProgramServices
Management And General58726ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total7885173Total
Program Services7885173ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total62395Total
Program Services62395ProgramServices

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT EXPENSE2269778122697781
MISCELLANEOUS957284394951779
RECRUITMENT3278332783

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total128746353Total
Program Services109686135ProgramServices
Management And General19007394ManagementAndGeneral
Fundraising52824Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2251035BOY
EOY2709213EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY25096054BOY
EOY15638265EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY8446946BOY
EOY9233420EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3596659BOY
EOY3120114EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1038303BOY
EOY1464055EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis140473540LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec74927695LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY70433022BOY
EOY65545845EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY60806419BOY
EOY78857992EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3308404BOY
EOY4362605EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY174976842BOY
EOY180931509EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY10594215BOY
EOY10811648EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY8313473BOY
EOY9875313EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY20148911BOY
EOY19768872EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY7500000BOY
EOY7000000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3231760BOY
EOY3945080EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY49788359BOY
EOY51400913EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY82541675BOY
EOY90833596EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY42646808BOY
EOY38697000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY125188483BOY
EOY129530596EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY174976842BOY
EOY180931509EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$9,981OtherActivitiesAmount
Total Lobbying Expenditures IIB9981TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1i:Identifier
Return ReferenceExplanation of Other Lobbying Activities:ReturnReference
ExplanationTHE 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 $ 9,981 HAS BEEN ALLOCATED TO LOBBYING EXPENDITURES.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis425406OtherCostOrOtherBasis
Book Value425406BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis69349937OtherCostOrOtherBasis
Depreciation37341059Depreciation
Book Value32008878BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis69806022OtherCostOrOtherBasis
Depreciation37586636Depreciation
Book Value32219386BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis892175OtherCostOrOtherBasis
Book Value892175BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings65545845TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS$3,865,107
CAPITAL LEASE OBLIGATION$79,973
FieldValueIRS element (for citing)
Total Of Amounts3945080TotalOfAmounts
Total Revenue127036894TotalRevenue
Total Expenses128746353TotalExpenses
Excess Or Deficit For Year-1709459ExcessOrDeficitForYear
Net Unrealized GL On Investments6051573NetUnrealizedGLOnInvestments
Total Adjustments6051573TotalAdjustments
Excess Or Deficit Per FS4342114ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt111273775TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments6051573NetUnrealizedGainsInvestments
Other Revenues883089OtherRevenues
Revenue Not Rptd F9906934662RevenueNotRptdF990
Revenue Subtotal104339113RevenueSubtotal
Other Revenues Not Included22697781OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt22697781RevenueNotRptdOnFinStmt
Total Revenue Per Form990127036894TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt106931662TotExpensesEtcAuditedFinclStmt
Other Expenses Included883089OtherExpensesIncluded
Expenses Not Rptd F990883089ExpensesNotRptdF990
Expenses Subtotal106048573ExpensesSubtotal
Other Expenses Not Included22697781OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt22697781ExpensesNotRptdOnFinStmt
Total Expenses Per Form990128746354TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierExplanationExplanation
Part XII, Line 2d - Other Adjustments:COST OF GOODS SOLD: 883089.
Part XII, Line 4b - Other Adjustments:PROVISION FOR BAD DEBTS: 22697781.
Part XIII, Line 2d - Other Adjustments:COSTS OF GOODS SOLD: 883089.
Part XIII, Line 4b - Other Adjustments:PROVISION FOR BAD DEBTS: 22697781.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent250XPcent250
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense1267807TotalCommunityBenefitExpense
Direct Offsetting Revenue377673DirectOffsettingRevenue
Net Community Benefit Expense890134NetCommunityBenefitExpense
Percent Of Total Expense0.00840PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense15735747TotalCommunityBenefitExpense
Direct Offsetting Revenue14333568DirectOffsettingRevenue
Net Community Benefit Expense1402179NetCommunityBenefitExpense
Percent Of Total Expense0.01320PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense271692TotalCommunityBenefitExpense
Net Community Benefit Expense271692NetCommunityBenefitExpense
Percent Of Total Expense0.00260PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense17275246TotalCommunityBenefitExpense
Direct Offsetting Revenue14711241DirectOffsettingRevenue
Net Community Benefit Expense2564005NetCommunityBenefitExpense
Percent Of Total Expense0.02420PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense468776TotalCommunityBenefitExpense
Direct Offsetting Revenue82126DirectOffsettingRevenue
Net Community Benefit Expense386650NetCommunityBenefitExpense
Percent Of Total Expense0.00360PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense210950TotalCommunityBenefitExpense
Net Community Benefit Expense210950NetCommunityBenefitExpense
Percent Of Total Expense0.00200PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense685588TotalCommunityBenefitExpense
Direct Offsetting Revenue110720DirectOffsettingRevenue
Net Community Benefit Expense574868NetCommunityBenefitExpense
Percent Of Total Expense0.00540PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense1365314TotalCommunityBenefitExpense
Direct Offsetting Revenue192846DirectOffsettingRevenue
Net Community Benefit Expense1172468NetCommunityBenefitExpense
Percent Of Total Expense0.01100PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense18640560TotalCommunityBenefitExpense
Direct Offsetting Revenue14904087DirectOffsettingRevenue
Net Community Benefit Expense3736473NetCommunityBenefitExpense
Percent Of Total Expense0.03520PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense10380TotalCommunityBuildingExpense
Net Community Building Expense10380NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense1882TotalCommunityBuildingExpense
Net Community Building Expense1882NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense1614TotalCommunityBuildingExpense
Net Community Building Expense1614NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense19693TotalCommunityBuildingExpense
Net Community Building Expense19693NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense33569TotalCommunityBuildingExpense
Net Community Building Expense33569NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$7,117,392BadDebtExpenseAmount
Amount Attributable To3005416AmountAttributableTo
Amount Reimbursed By Medicare52756445AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare53988627CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-1232182MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

FieldValueIRS element (for citing)
Business Name Line1LENOIR MEMORIAL HOSPITAL INCBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1100 AIRPORT ROADAddressLine1
CityKINSTONCity
StateNCState
ZIP Code28501ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours
Er OtherXErOther
OtherDISPROPORTIONARE SHARE HOSPITALOther

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Income Based CriteriaPart 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.IncomeBasedCriteria
Bad Debt FootnotePart III, Line 4: THE TOTAL BAD DEBT EXPENSE FOR FY10 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.BadDebtFootnote
Debt Collection PolicyPart 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.DebtCollectionPolicy
General ExplanationLENOIR 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.GeneralExplanation
General ExplanationTHE ORGANIZATION IS PART OWNER OF SPRING ARBOR, LLC WHICH OPERATES AN ASSISTED LIVING FACILITY.GeneralExplanation
Needs AssessmentPart VI, Line 2: LENOIR MEMORIAL WORKS CLOSELY WITH THE LENOIR COUNTY HEALTH DEPARTMENT TO CONDUCT THE COMMUNITY HEALTH ASSESSMENT PROCESS EVERY FOUR YEARS. THE NEXT ASSESSMENT IS DUE IN 2011 AND INITIAL STEPS HAVE BEGUN FOR COMMUNITY SURVEY. LOCAL DEMOGRAPHIC INFORMATION AND HEALTH STATISTICS ARE COMPILED ALONG WITH USE OF COMMUNITY SURVEY DATA ABOUT PERCEIVED HEALTH ISSUES IN ORDER TO DEVELOP TARGETED COMMUNITY HEALTH STRATEGIES. LENOIR MEMORIAL PARTNERS WITH LENOIR, GREENE, AND JONES COUNTIES IN THE HEALTHY CAROLINIANS PROCESSES IN EACH COUNTY. ANNUAL CANCER REPORTS AND HOSPITAL DIAGNOSIS TRENDS ARE USED TO PRIORITIZE PROGRAMMING, SERVICES, AND INITIATIVES. PHYSICIAN NEEDS ASSESSMENT IS PERFORMED.NeedsAssessment
Patient Education AssistancePart 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.PatientEducationAssistance
Community InformationPart 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 (-.2%), VS. THE NC AVERAGE OF +18.5%. KINSTON'S DECLINE WAS EVEN STEEPER, AT -8.4%. 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 - 8.4% - 0.2% 18.5%PERCENT BELOW POV. LV, 2009 35.8% 25.7% 15.1%MEDIAN HOUSEHOLD INCOME, $25,881 $32,457 $45,069CHILDREN IN POVERTY, 2009 52.9% 31.5% 20.8%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.CommunityInformation
Community Building ActivitiesPart VI, Line 5: 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, COMMITTEE OF 100, LENOIR-GREENE UNITED WAY, KINSTON COMMUNITY HEALTH CENTER, LENOIR COUNTY ALLIANCE FOR A HEALTHY COMMUNITY, SAFE KIDS, AND LENOIR-GREENE ASTHMA COALITION. WE WERE A SPONSOR OF THE 2010 LIVING THE GOOD LIFE EVENT AT VERNON PARK MALL WITH OVER 100 AREA AGENCIES AND BUSINESSES PARTICIPATING IN THE HEALTHY LIVING EVENT. DURING 2010, LENOIR MEMORIAL BEGAN A FIVE YEAR COLLABORATION WITH UNC-CH TO IMPLEMENT THE HEART HEALTHY LENOIR WITH THE PROJECT KICK-OFF. OVER 250 WORKSITE WELLNESS VISITS WERE PROVIDED TO AREA BUSINESS AND INDUSTRY.CommunityBuildingActivities
Other InformationPart VI, Line 6: 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.OtherInformation
Reports Filed With StatesNCReportsFiledWithStates

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistancePurpose Of GrantPurposeOfGrant
LENOIR MEMORIAL HOSPITAL FOUNDATION INC
100 AIRPORT ROADKINSTONNC28501581584139501(C)(3)20908N/AN/AOPERATIONAL SUPPORT
PRIDE OF KINSTON
327 NORTH QUEEN STREETKINSTONNC28501561434180501(C)(3)6000N/AN/AREVITALIZATION OF THE KINSTON COMMUNITY AND SPONSORSHIPS FOR COMMUNITY EVENTS
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (4 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrantMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
SCHOLARSHIPS6776185N/AN/A
EDUCATIONAL STIPENDS514671N/AN/A
EMPLOYEE MENTAL HEALTHCARE ASSISTANCE125700N/AN/A
RESOURCE MANAGEMENT COMMUNITY ASSISTANCE - MEDICATION COST SUPPORT19357N/AN/A

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule 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

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
GARY BLACK
385673000140400391860150260453925000
JAMES CLINE DOBBINS
1713140450087510188120122970211624000
WILLIAM DAVID LEASE
149495000258080184800129430206726000
SARAH MAYO
183955000238880234020124230243668000
ROSALIND MCDONALD
154436000280220179310155210215910000
DALE ALTON HARDY
14008308180020440000119250180628000
SCOTT A STEGBAUER
449723042241038261000153000545525000
ARTHUR HUNSINGER
18605404000014507000116480216209000
YVETTE GEORGE
1772930150000276600010060196065000
ELIZABETH PRIDGEN PUTNAM
190406041003834000117200206370000
CONNIE SUE MANGEL
1833030400005810000110980204211000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part I, Line 4b:THE FOLLOWING INDIVIDUALS RECEIVED AMOUNTS FROM A 457B PLAN: GARY BLACK, CEO, $39,186.16; JIM DOBBINS, VP HUMAN RESOURCES, $18,811.93; WILLIAM LEASE, VP PLANT AND FACILITY, $18,480.17; SARAH MAYO, CFO, $23,402.08; ROSILAND MCDONALD, VP NURSING SERVICES, $17,931.05.
Part I, Line 7A PORTION OF THE SALARIES OF THE CEO AND VICE PRESIDENTS IS VARIABLE AND IS BASED UPON ATTAINMENT OF ANNUAL GOALS RELATED TO QUALITY, PATIENT SAFETY, STAFF ENGAGEMENT, PATIENT SATISFACTION, AND FINANCIAL STEWARDSHIP.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1NORTH CAROLINA MEDICAL CARE COMMISSIONBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN521309402IssuerEIN
CUSIP Number657902Y63CUSIPNumber
Date Issued2005-09-22DateIssued
Issue Price22000000IssuePrice
Description Of PurposeCAPITAL PROJECTSDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds22021552TotalProceeds
Issuance Costs From Proceeds198858IssuanceCostsFromProceeds
Capital Expenditures9678822CapitalExpenditures
Year Of Subst Completion2005YearOfSubstCompletion
Current Refunding1CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Counsel Routinely Engaged0BondCounselRoutinelyEngaged
Percentage Of Prvt Business Re UBI0.00520PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00520TotalPrivateBusinessUse
Post Issuance Compliance Procdrs0PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue1VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate1ExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section B, line 11THE ORGANIZATION'S ACCOUNTING FIRM PRESENTED THE FORM 990 TO THE BOARD OF DIRECTORS AT A SCHEDULED MEETING JUNE 2011. EACH VOTING DIRECTOR OF THE BOARD RECEIVED A COPY OF THE FORM 990.
Form 990, Part VI, Section B, line 12cUPON 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 15THE 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 18PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG.
Form 990, Part VI, Section C, line 19THE HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
Schedule K Supplental InformationTHE 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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNA
LENOIR MEMORIAL HOSPITAL FOUNDATION INC
100 AIRPORT ROADKINSTONNC28501581584139SUPPORT THE CHARITABLE, EDUCATIONAL, AND SCIENTIFIC PURPOSES OF LMH, INC.NC501(C)(3)Line 11a, IN/A
LENOIR HEALTH SERVICES INC
100 AIRPORT ROADKINSTONNC28501581705689SUPPORT CHARITABLE, EDUCATIONAL, AND SCIENTIFIC PURPOSES OF LMH, INC.NC501(C)(3)Line 11a, IN/A

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAPredominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartner
DME VENTURES LLC DBA PAMLICO MEDICAL EQUIPMENT
628 EAST TWELFTH STREETWASHINGTONNC27889562101748RENTAL/SALES OF MEDICAL EQUIPMENTNCN/AUNRELATED1235875060010$119,9171
SPRING ARBOR OF KINSTON LP
800 HETHWOOD BOULEVARDBLACKSBURGVA24060522118245RENTAL REAL ESTATEVAN/ARELATED3470000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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