Civic Intelligence

Sampson Regional Medical Center

EIN 56-1751968 • 501(c)3 • Clinton, NC

Profile

To operate exclusively for the benefit of, to perform the functions of, or to carry out the purposes of sampson regional medical center, inc.

607 Beaman StreetClinton, NC 28328

www.sampsonrmc.org/GIVING/FOUNDATION.ASPX

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

89th percentile

0.75x

Higher debt load relative to assets than 89% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Liabilities / Revenue

97th percentile

6.84x

Higher debt load relative to revenue than 97% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Net Margin

82nd percentile

32%

Higher net margin than 82% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Top Officer Pay

97th percentile

$461,707

Higher top officer pay than 97% of similar nonprofits.

Top officer pay equals 357.5% of source-year revenue.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Asset Growth

68th percentile

11%

Faster asset growth than 68% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2023 to 2024

Revenue Growth

27th percentile

-6.2%

Faster revenue growth than 27% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets89th percentile

Assets

Up

$1,179,334

Up $118,266 (+11%) from 2023

Liabilities

Up

$883,515

Up $76,335 (+9.5%) from 2023

Net Assets

Up

$295,819

Up $41,931 (+17%) from 2023

Operations
Liabilities / Revenue97th percentileNet Margin82nd percentile

Revenue

Down

$129,155

Down $8,522 (-6.2%) from 2023

Expenses

Up

$87,224

Up $2,807 (+3.3%) from 2023

Net Income

Down

$41,931

Down $11,329 (-21%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth68th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$1.5M$1.0M$500K$0-$500KAssets 2010: $763,599Liabilities 2010: $1,077,058Net Assets 2010: -$313,4592010Assets 2011: $966,372Liabilities 2011: $1,349,404Net Assets 2011: -$383,0322011Assets 2012: $373,753Liabilities 2012: $561,507Net Assets 2012: -$187,7542012Assets 2013: $610,892Liabilities 2013: $669,561Net Assets 2013: -$58,6692013Assets 2014: $527,326Liabilities 2014: $530,165Net Assets 2014: -$2,8392014Assets 2015: $690,766Liabilities 2015: $633,010Net Assets 2015: $57,7562015Assets 2016: $799,705Liabilities 2016: $692,837Net Assets 2016: $106,8682016Assets 2017: $500,477Liabilities 2017: $378,252Net Assets 2017: $122,2252017Assets 2018: $583,151Liabilities 2018: $452,416Net Assets 2018: $130,7352018Assets 2019: $679,909Liabilities 2019: $575,564Net Assets 2019: $104,3452019Assets 2020: $760,771Liabilities 2020: $560,143Net Assets 2020: $200,6282020Assets 2021: $835,022Liabilities 2021: $646,633Net Assets 2021: $188,3892021Assets 2022: $932,485Liabilities 2022: $731,857Net Assets 2022: $200,6282022Assets 2023: $1,061,068Liabilities 2023: $807,180Net Assets 2023: $253,8882023Assets 2024: $1,179,334Liabilities 2024: $883,515Net Assets 2024: $295,8192024

Highlighted filing

2024

Assets$1,179,334
Liabilities$883,515
Net Assets$295,819
Open 2024 Filing

Operations Trend

Revenue Growth27th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$300K$200K$100K$0-$100KRevenue 2010: $85,109Expenses 2010: $93,725Net Income 2010: -$8,6162010Expenses 2011: $79,1452011Expenses 2012: $84,4082012Revenue 2013: $145,311Expenses 2013: $63,797Net Income 2013: $81,5142013Revenue 2014: $67,712Expenses 2014: $57,160Net Income 2014: $10,5522014Revenue 2015: $95,509Expenses 2015: $40,209Net Income 2015: $55,3002015Revenue 2016: $93,375Expenses 2016: $44,263Net Income 2016: $49,1122016Revenue 2017: $84,712Expenses 2017: $69,355Net Income 2017: $15,3572017Revenue 2018: $68,015Expenses 2018: $59,505Net Income 2018: $8,5102018Revenue 2019: $81,158Expenses 2019: $107,548Net Income 2019: -$26,3902019Revenue 2020: $183,118Expenses 2020: $86,835Net Income 2020: $96,2832020Revenue 2021: $70,358Expenses 2021: $82,597Net Income 2021: -$12,2392021Revenue 2022: $252,975Expenses 2022: $76,295Net Income 2022: $176,6802022Revenue 2023: $137,677Expenses 2023: $84,417Net Income 2023: $53,2602023Revenue 2024: $129,155Expenses 2024: $87,224Net Income 2024: $41,9312024

Highlighted filing

2024

Revenue$129,155
Expenses$87,224
Net Income$41,931
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$1,179,334
Liabilities
$883,515
Net assets
$295,819
Revenue
$129,155
Expenses
$87,224
Net income
$41,931
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$1.18$0.88$0.30$0.13$0.09$0.04
2023Detailed filing. Detailed filing data is available for this year.$1.06$0.81$0.25$0.14$0.08$0.05
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.93$0.73$0.20$0.25$0.08$0.18
2021Detailed filing. Detailed filing data is available for this year.$0.84$0.65$0.19$0.07$0.08$0.01
2020Detailed filing. Detailed filing data is available for this year.$0.76$0.56$0.20$0.18$0.09$0.10
2019Detailed filing. Detailed filing data is available for this year.$0.68$0.58$0.10$0.08$0.11$0.03
2018Detailed filing. Detailed filing data is available for this year.$0.58$0.45$0.13$0.07$0.06$0.01
2017Detailed filing. Detailed filing data is available for this year.$0.50$0.38$0.12$0.08$0.07$0.02
2016Detailed filing. Detailed filing data is available for this year.$0.80$0.69$0.11$0.09$0.04$0.05
2015Detailed filing. Detailed filing data is available for this year.$0.69$0.63$0.06$0.10$0.04$0.06
2014Detailed filing. Detailed filing data is available for this year.$0.53$0.53$0.00$0.07$0.06$0.01
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.61$0.67$0.06$0.15$0.06$0.08
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.37$0.56$0.19$0.08
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.97$1.35$0.38$0.08
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.76$1.08$0.31$0.09$0.09$0.01
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
May 27, 2025
Return Version
2023v6.0
Gross Receipts
$129,155
Mission and Program Overview

Mission

To operate exclusively for the benefit of, to perform the functions of, or to carry out the purposes of sampson regional medical center, inc.

To gather funds for the benefit of sampson regional medical center, inc.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$746,035$847,398▲ $101,363
Savings and Temporary Cash Investments$315,033$331,936▲ $16,903
Total Assets$1,061,068$1,179,334▲ $118,266
Liabilities
Other Liabilities$807,180$881,387▲ $74,207
Accounts Payable and Accrued Expenses-$2,128-
Total Liabilities$807,180$883,515▲ $76,335
Net Assets / Fund Balance
Net Assets With Donor Restrictions$511,525$416,709▼ $94,816
Net Assets Without Donor Restrictions$-257,637$-120,890▲ $136,747
Total Net Assets Fund Balance$253,888$295,819▲ $41,931
Total Liabilities and Net Assets / Fund Balance$1,061,068$1,179,334▲ $118,266
Compensation and Service Providers
Top Officer Pay97th percentile

Board Members and Trustees

NameTitle
Mandy DubosePresident
Chris FannBoard Member
Deborah HallBoard Member
Deborah JohnsonBoard Member
Janet PrestageBoard Member
John SurrattBoard Member
Joni Fay FettermanBoard Member
Patty CherryBoard Member
Sherry MatthewsBoard Member
Amber HalsteadExecutive Director
Shawn HowertonCEO Ex-officio
Revenue and Support

Revenue Composition

Contributions and Grants
$112,253
Program Service Revenue
$0
Investment Income
$16,902
Other Revenue
$0
All Other Contributions
$112,253
Change in Net Assets
$41,931

Audited Revenue Reconciliation

Revenue per Audited Statements
$129,155
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$129,155
Total Revenue per Form 990
$129,155
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$85,575
Grants and Similar Amounts Paid$1,649
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Office Expenses$67,637--$67,637
Fees for Services Other$17,881--$17,881
Grants to Domestic Individuals$1,649--$1,649
Travel$57--$57
Total Functional Expenses$87,224$0$0$87,224

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$87,224
Total Expenses per Audited Statements$87,224
Total Expenses per Form 990$87,224
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliate$881,387
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 7A

“All members of the board of directors of the foundation shall be appointed by the board of trustees of sampson regional medical center, inc. Nominees for the foundation board of directors shall be submitted by the foundation board to the sampson regional medical center board of trustees for approval.”

Form 990, Part VI, Section B, Line 11B

“The form 990 was provided to each voting board member for discussion and comment before filing with the irs.”

Form 990, Part VI, Section B, Line 12C

“The organization has a conflict of interest policy that each board member must follow. All board members sign the conflict of interest policy stating that they will abide by the policy.”

Form 990, Part VI, Section B, Line 15A

“The salary of the executive director for the foundation is determined using the published averages for our size hospital from the north carolina hospital association. That is used as a baseline and percentiles of the salary for the position are determined.”

Form 990, Part VI, Section C, Line 19

“The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. In addition, recent fillings of the form 990 are available at www.guidestar.org.”

Filing and Contact Details

Filer

Filer Name
Sampson Regional Medical Center
EIN
56-1751968
Phone
9105928511
Address
607 BEAMAN STREET, CLINTON, NC 28328

Signing Officer

Name
Shawn Howerton
Title
Board Member (CEO & CMO of Srmc)
Phone
9105928511
Signed
2025-05-27
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Shawn Howerton
Formed
1991
Legal Domicile
Nc
Voting Board Members
9
Independent Board Members
9
Employees
0
Volunteers
9

Preparer

Firm
Baker Tilly Advisory Group Lp
Address
20 STANWIX STREET, PITTSBURGH, PA 15222
Preparer
Kelly a Brocious CPA
Phone
4126976400
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

“Other: program service expenses 17,881. Management and general expenses 0. Fundraising expenses 0. Total expenses 17,881.”

FORM 990, PART XII, LINE 2C:

“The process has not changed since the prior year.”

Financial Statement Notes

PART X, LINE 2:

“As an essential government function of the county, the hospital is generally exempt from federal and state income taxes under section 115 of the internal revenue code and a similar provision of state law. However, the hospital is subject to federal income tax on any unrelated business taxable income. The foundation is a not-for-profit corporation as described in section 501(c)(3); therefore, no income taxes are reflected in the combined financial statements. Srs is a limited liability corporation ("llc") and is taxed as a partnership under the internal revenue code and a similar state statute. Instead of income taxes, the members of an llc are taxed on the llc's taxable income; therefore, no provision or liability for federal or state taxes has been recorded by srs. The hospital owns 77.5% of srs, but as a not-for-profit corporation, the hospital does not pay taxes on its proportional share of the income of srs. The hospital has determined that it does not have any material unrecognized tax benefits or obligations as of september 30, 2024.”

Raw XML AppendixShowing 400 of 469 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt0-120890
IRS990/NondeductibleContributionsInd00
IRS990/OfficeExpensesGrp/ProgramServicesAmt067637
IRS990/OfficeExpensesGrp/TotalAmt067637
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsFASB117Ind0X
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherLiabilitiesGrp/BOYAmt0807180
IRS990/OtherLiabilitiesGrp/EOYAmt0881387
IRS990/PartialLiquidationInd00
IRS990/PoliticalCampaignActyInd00
IRS990/PrincipalOfficerNm0SHAWN HOWERTON
IRS990/ProfessionalFundraisingInd00
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt0123882
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt06945
IRS990/PYInvestmentIncomeAmt013795
IRS990/PYOtherExpensesAmt077472
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt00
IRS990/PYRevenuesLessExpensesAmt053260
IRS990/PYSalariesCompEmpBnftPaidAmt00
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IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt0137677
IRS990/QuidProQuoContributionsInd00
IRS990/ReconcilationRevenueExpnssAmt041931
IRS990/RegularMonitoringEnfrcInd01
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IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
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IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionControllerInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionFamilyInd00
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IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnControllIntInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnOwnrIntInd00
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IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/OperateBenefitNonSuprtOrgInd00
IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/PowerAppointMajorityDirTrstInd01
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IRS990ScheduleA/SupportedOrganizationsCnt01
IRS990ScheduleA/SupportedOrganizationsTotalCnt01
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IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd03
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IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0SAMPSON REGIONAL MEDICAL CENTER INC
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType1Ind0X
IRS990ScheduleA/SupportSumAmt00
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IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd01
IRS990ScheduleD/ExpensesNotReportedAmt00
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt00
IRS990ScheduleD/ExpensesSubtotalAmt087224
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt0881387
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0DUE TO AFFILIATE
IRS990ScheduleD/RevenueNotReportedAmt00
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt00
IRS990ScheduleD/RevenueSubtotalAmt0129155
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0AS AN ESSENTIAL GOVERNMENT FUNCTION OF THE COUNTY, THE HOSPITAL IS GENERALLY EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 115 OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, THE HOSPITAL IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE FOUNDATION IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3); THEREFORE, NO INCOME TAXES ARE REFLECTED IN THE COMBINED FINANCIAL STATEMENTS. SRS IS A LIMITED LIABILITY CORPORATION ("LLC") AND IS TAXED AS A PARTNERSHIP UNDER THE INTERNAL REVENUE CODE AND A SIMILAR STATE STATUTE. INSTEAD OF INCOME TAXES, THE MEMBERS OF AN LLC ARE TAXED ON THE LLC'S TAXABLE INCOME; THEREFORE, NO PROVISION OR LIABILITY FOR FEDERAL OR STATE TAXES HAS BEEN RECORDED BY SRS. THE HOSPITAL OWNS 77.5% OF SRS, BUT AS A NOT-FOR-PROFIT CORPORATION, THE HOSPITAL DOES NOT PAY TAXES ON ITS PROPORTIONAL SHARE OF THE INCOME OF SRS. THE HOSPITAL HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2024.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleD/TotalExpensesPerForm990Amt087224
IRS990ScheduleD/TotalLiabilityAmt0881387
IRS990ScheduleD/TotalRevenuePerForm990Amt0129155
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt0129155
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt087224
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt14939
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0439351
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt1165593
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt022356
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt114438
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0SHAWN HOWERTON
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1AMBER HALSTEAD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0CEO EX-OFFICIO
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1EXECUTIVE DIRECTOR
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0461707
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt1184970
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0SAMPSON REGIONAL MEDICAL CENTER FOUNDATION'S TOP MANAGEMENT OFFICIAL IS PAID BY SAMPSON REGIONAL MEDICAL CENTER. SAMPSON REGIONAL MEDICAL CENTER USES THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE CEO: -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 3
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0ALL MEMBERS OF THE BOARD OF DIRECTORS OF THE FOUNDATION SHALL BE APPOINTED BY THE BOARD OF TRUSTEES OF SAMPSON REGIONAL MEDICAL CENTER, INC. NOMINEES FOR THE FOUNDATION BOARD OF DIRECTORS SHALL BE SUBMITTED BY THE FOUNDATION BOARD TO THE SAMPSON REGIONAL MEDICAL CENTER BOARD OF TRUSTEES FOR APPROVAL.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE FORM 990 WAS PROVIDED TO EACH VOTING BOARD MEMBER FOR DISCUSSION AND COMMENT BEFORE FILING WITH THE IRS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY THAT EACH BOARD MEMBER MUST FOLLOW. ALL BOARD MEMBERS SIGN THE CONFLICT OF INTEREST POLICY STATING THAT THEY WILL ABIDE BY THE POLICY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE SALARY OF THE EXECUTIVE DIRECTOR FOR THE FOUNDATION IS DETERMINED USING THE PUBLISHED AVERAGES FOR OUR SIZE HOSPITAL FROM THE NORTH CAROLINA HOSPITAL ASSOCIATION. THAT IS USED AS A BASELINE AND PERCENTILES OF THE SALARY FOR THE POSITION ARE DETERMINED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. IN ADDITION, RECENT FILLINGS OF THE FORM 990 ARE AVAILABLE AT WWW.GUIDESTAR.ORG.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5OTHER: PROGRAM SERVICE EXPENSES 17,881. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,881.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION B, LINE 15A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART IX, LINE 11G
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART XII, LINE 2C:
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/DisproportionateAllocationsInd00
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/EIN0261845096
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/GeneralOrManagingPartnerInd00
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/LegalDomicileStateCd0NC
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/PrimaryActivitiesTxt0MEDICAL EQUIPMENT
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/RelatedOrganizationName/BusinessNameLine1Txt0SAMPSON RADIOLOGY SERVICES LLC
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/USAddress/AddressLine1Txt0607 BEAMAN STREET
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/USAddress/CityNm0CLINTON
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/USAddress/StateAbbreviationCd0NC
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/USAddress/ZIPCd028328
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0SAMPSON REGIONAL MEDICAL CENTER INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0560562304
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0NC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0HEALTHCARE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt0LINE 3
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt0607 BEAMAN STREET
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0CLINTON
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0NC
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IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd01
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IRS990ScheduleR/PaidEmployeesSharingInd01
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd00
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd00
IRS990ScheduleR/TransferFromOtherOrgInd00
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
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IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
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IRS990/TotalAssetsEOYAmt01179334
IRS990/TotalAssetsGrp/BOYAmt01061068
IRS990/TotalAssetsGrp/EOYAmt01179334

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