PITT COUNTY MEMORIAL HOSPITAL INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- PITT COUNTY MEMORIAL HOSPITAL INC (EIN 56-0585243)
- Tax period
- 2014-10-01 to 2015-09-30
- Filed
- 2016-08-02
- IRS object ID
- 201642159349301804
- Schema version
- 2014v6.0
- 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 L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-08-02T16:27:30-05:00 | ReturnTs |
| Tax Period End | 2015-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 420714325 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RSM US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 S WACKER DRIVE STE 800 | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560585243 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Pitt County Memorial Hospital Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PITT | BusinessNameControlTxt |
| Phone | 5258475129 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2100 Stantonsburg Road | AddressLine1Txt |
| City | Greenville | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27835 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | David Hughes | PersonNm |
| Person Title | Chief Financial Officer | PersonTitleTxt |
| Phone | 5258475129 | PhoneNum |
| Signature | 2016-08-01 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Wayne Harder | PreparerPersonNm |
| PTIN | P00294296 | PTIN |
| Phone | 3126343400 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-12-15 16:53:06Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Vidant Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | William Floyd | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2100 Stantonsburg Road | AddressLine1Txt |
| City | Greenville | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27835 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,116,619,947 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.vidanthealth.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1953 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | To provide access to quality medical service to all citizens of Pitt County and Eastern NC. | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 18 | VotingMembersIndependentCnt |
| Total Employee | 8093 | TotalEmployeeCnt |
| Total Volunteers | 725 | TotalVolunteersCnt |
| Total Gross UBI | $325,171 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$47,910 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,653,217 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,815,754 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,135,441,696 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,090,225,240 | CYProgramServiceRevenueAmt |
| PY Investment Income | $11,303,184 | PYInvestmentIncomeAmt |
| CY Investment Income | $23,578,953 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $1,148,398,097 | PYTotalRevenueAmt |
| CY Total Revenue | $1,116,619,947 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,650,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,643,709 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $478,425,804 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $451,204,052 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $589,220,725 | PYOtherExpensesAmt |
| CY Other Expenses | $587,249,565 | CYOtherExpensesAmt |
| PY Total Expenses | $1,069,296,529 | PYTotalExpensesAmt |
| CY Total Expenses | $1,041,097,326 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $79,101,568 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $75,522,621 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,168,792,547 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,151,563,129 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $539,218,376 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $313,307,344 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $629,574,171 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $838,255,785 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | To enhance the quality of life for the people and communities we serve, touch and support. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $385,400,264 | ExpenseAmt |
| Revenue | $393,883,116 | RevenueAmt |
| Desc | Cancer and Clinical ServicesPCMH (D/B/A Vidant Medical Center) Cancer Services include the most advanced treatments for the people of Eastern North Carolina. We use the latest technologies, including gamma knife radiosurgery, available to our expert medical staff, nurses and therapists. Combining national treatment protocols and the highest standards of clinical quality, our team of specialists take care of thousands of patients each year. In cancer and clinical services during tax year 2014, VMC performed 2,268,424 lab tests, 131,195 radiology cases, 1,915 pet scans, 123 gamma knife cases, and 183,805 respiratory treatments. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $259,291,132 | ExpenseAmt |
| Revenue | $301,400,529 | RevenueAmt |
| Desc | Surgical ServicesSurgeons at Vidant Medical Center are leaders in their fields. Our bariatric surgeons were pioneers of gastric bypass surgery and now perform gastric banding as well. Other areas of surgical emphasis include: orthopedics, cardiothoracic, gynecology, trauma and general surgery. VMC Surgical Services performed 21,481 surgeries in 2014. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $172,211,415 | ExpenseAmt |
| Revenue | $197,701,245 | RevenueAmt |
| Desc | Cardiovascular ServicesVidant Medical Center provides patients with the latest treatments and technology available. We have nationally and internationally recognized physicians at the East Carolina Heart Institute, performing delicate heart surgeries and procedures using the DaVinci Robot. Our heart and vascular services include: stents, imaging studies, pacemaker placement, ablation, robot-assisted heart surgery, and heart failure programs. These and many more services are provided at the East Carolina Heart Institute at VMC, the first facility in North Carolina devoted exclusively to education, research, treatment and prevention of cardiovascular diseases. Cardiovascular services performed 72,607 EKGs. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $128,760,308 | ExpenseAmt |
| Grant | $2,643,709 | GrantAmt |
| Revenue | $197,240,350 | RevenueAmt |
| Desc | All Other Services | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $128,760,308 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $2,643,709 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $197,240,350 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $945,663,119 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 8093 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 18 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NC | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Chris Townsend | PersonNm |
| Phone | 2528475129 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2100 Stantonsburg Road | AddressLine1Txt |
| City | Greenville | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27835 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (44 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| JoAnne K Burgdorff | ||||||||||
| Chairman | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Bruce E Gray | ||||||||||
| Vice Chairman | 2.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| Shirley Carraway EdD | ||||||||||
| Secretary | 2.00 | Yes (X) | $0 | $0 | $0 | |||||
| Dr Mary J Raab MD | ||||||||||
| Assistant Secretary | 2.00 | Yes (X) | $0 | $0 | $0 | |||||
| C Bynum Satterwhite | ||||||||||
| Treasurer | 2.00 | Yes (X) | $0 | $0 | $0 | |||||
| Robert J Greczyn Jr | ||||||||||
| Assistant Treasurer | 2.00 | Yes (X) | $0 | $0 | $0 | |||||
| Dr Marcus A Albernaz MD | ||||||||||
| Board Director | 2.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| Noel L Baucom | ||||||||||
| Board Director | 2.00 | Yes (X) | $0 | $0 | $0 | |||||
| Carlester Crumpler | ||||||||||
| Board Director | 2.00 | Yes (X) | $0 | $0 | $0 | |||||
| Phillip R Dixon Sr | ||||||||||
| Board Director | 2.00 | Yes (X) | $0 | $0 | $0 | |||||
| Ralph R Hall Jr | ||||||||||
| Board Director | 2.00 | Yes (X) | $0 | $0 | $0 | |||||
| Phil Hodges | ||||||||||
| Board Director | 2.00 | Yes (X) | $0 | $0 | $0 | |||||
| Dr Peter Jacobson MD | ||||||||||
| Board Director | 2.00 | Yes (X) | $0 | $0 | $0 | |||||
| Polly Johnson | ||||||||||
| Board Director | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Dr William J Jones Jr PhD | ||||||||||
| Board Director | 2.00 | Yes (X) | $0 | $0 | $0 | |||||
| Arthur H Keeney III | ||||||||||
| Board Director | 2.00 | 6.00 | Yes (X) | $0 | $0 | $0 | ||||
| Thomasine S Kennedy | ||||||||||
| Board Director | 2.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| J Bryant Kittrell III | ||||||||||
| Board Director | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Mark W Owens Jr | ||||||||||
| Board Director | 2.00 | Yes (X) | $0 | $0 | $0 | |||||
| Dr Walter E Pofahl II MD | ||||||||||
| Board Director | 2.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| Melvin McLawhorn | ||||||||||
| Board Director | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| David H Womack | ||||||||||
| Board Director | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Dr Michael Waldrum MD | ||||||||||
| Chief Executive Officer | 2.00 | 50.00 | $0 | $0 | $0 | Yes (X) | ||||
| Janet Mullaney | ||||||||||
| CAO/Interim CEO | 2.00 | 50.00 | $0 | $491,030 | $129,263 | Yes (X) | ||||
| William Floyd | ||||||||||
| Executive VP/President of VMC | 40.00 | 4.00 | $415,190 | $0 | $103,594 | Yes (X) | ||||
| Stephen Lawler | ||||||||||
| President Emeritus of VMC/CPAO | 2.00 | 40.00 | $444,869 | $287,748 | $164,153 | Yes (X) | ||||
| Linda Hofler | ||||||||||
| Sr. VP, Chief Nursing Officer | 40.00 | $261,991 | $0 | $71,985 | Yes (X) | |||||
| Jennifer Thomas | ||||||||||
| VP of Financial Services | 40.00 | $0 | $175,702 | $30,866 | Yes (X) | |||||
| Scott Lieberenz | ||||||||||
| Sr. VP, Financial Services | 40.00 | $0 | $278,215 | $61,981 | Yes (X) | |||||
| Donald Shackelford | ||||||||||
| Sr. VP, Medical Affairs | 40.00 | $427,934 | $0 | $80,754 | Yes (X) | |||||
| Tracy Eskra | ||||||||||
| VPMA for Clinical Efficiency & Docs. | 40.00 | $308,011 | $0 | $38,129 | Yes (X) | |||||
| Donald Smith | ||||||||||
| Senior Vice President | 40.00 | $250,020 | $0 | $74,674 | Yes (X) | |||||
| Tyree Walker | ||||||||||
| VP, Human Resources | 40.00 | $667,780 | $0 | $37,183 | Yes (X) | |||||
| Ryan Hickey | ||||||||||
| Senior Vice President | 40.00 | $230,953 | $0 | $71,475 | Yes (X) | |||||
| Reggie Pearson | ||||||||||
| Senior Vice President | 40.00 | $205,536 | $0 | $57,638 | Yes (X) | |||||
| Kimberly C Osborne | ||||||||||
| VP, Medicine and Care Coordination | 40.00 | $183,003 | $0 | $40,154 | Yes (X) | |||||
| Teresa Anderson | ||||||||||
| VP, Quality | 40.00 | $172,751 | $0 | $60,371 | Yes (X) | |||||
| Sue Edwards | ||||||||||
| Admin., Outpatient Cvs. Services | 40.00 | $216,164 | $0 | $27,568 | Yes (X) | |||||
| James Worden Jr | ||||||||||
| Admin., Pharmacy | 40.00 | $204,805 | $0 | $38,521 | Yes (X) | |||||
| James Barrett | ||||||||||
| Program Manager, Rehabilitation | 40.00 | $201,006 | $0 | $25,556 | Yes (X) | |||||
| Mary Pender | ||||||||||
| Neonatal Nurse Practioner | 40.00 | $192,652 | $0 | $33,471 | Yes (X) | |||||
| Deborah Westbrook | ||||||||||
| Clinical Pharmacy Specialist | 40.00 | $189,257 | $0 | $12,405 | Yes (X) | |||||
| Dr David Herman MD | ||||||||||
| Chief Executive Officer | 0.00 | 0.00 | $0 | $1,268,381 | $115,608 | Yes (X) | ||||
| Seth Van Essendelft | ||||||||||
| Former VP of Financial Services | 40.00 | $0 | $133,565 | $39,092 | Yes (X) | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,571,922 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,634,641 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,314,441 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 319 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ECU School of Medicine | |||||
| PO Box 75514 | Charlotte | NC | 28275 | Medical Staff Services | $19,483,436 |
| Pitt County Anesthesia Services | |||||
| 2080 B Arlington Boulevard | Greenville | NC | 27834 | Anesthesia Services | $7,759,980 |
| Medcost Benefit Services | |||||
| PO Box 25987 | Winston Salem | NC | 27714 | Third Party Administrative Fees | $5,886,455 |
| Crothall Laundry Services | |||||
| 13028 Collection Center Drive | Chicago | IL | 60693 | Laundry Services | $2,515,274 |
| Specialty Care Cardiovascular Resources | |||||
| 25271 Network Place | Chicago | IL | 60673 | Auto Transfusion Services | $2,355,014 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 73 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $2,815,754 | GovernmentGrantsAmt |
| Total Contributions | $2,815,754 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Cancer and Clinical Services | 621110 | $393,883,116 | $393,883,116 |
| Surgical Services | 621110 | $301,400,529 | $301,400,529 |
| Cardiovascular Services | 621110 | $197,701,245 | $197,701,245 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $197,240,350 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $196,915,179 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $325,171 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,090,225,240 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,993,744 | TotalRevenueColumnAmt |
| Exclusion | $21,993,744 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,585,209 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,585,209 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,585,209 | TotalRevenueColumnAmt |
| Exclusion | $1,585,209 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,116,619,947 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,089,900,069 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $325,171 | UnrelatedBusinessRevenueAmt |
| Exclusion | $23,578,953 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,643,709 | TotalAmt |
| Program Services | $2,643,709 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $340,219,371 | TotalAmt |
| Program Services | $302,669,022 | ProgramServicesAmt |
| Management And General | $37,550,349 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,372,550 | TotalAmt |
| Program Services | $20,801,569 | ProgramServicesAmt |
| Management And General | $2,570,981 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,852,662 | TotalAmt |
| Program Services | $55,915,551 | ProgramServicesAmt |
| Management And General | $6,937,111 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,759,469 | TotalAmt |
| Program Services | $22,026,742 | ProgramServicesAmt |
| Management And General | $2,732,727 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,499,702 | TotalAmt |
| Program Services | $2,904,753 | ProgramServicesAmt |
| Management And General | $594,949 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $247,121 | TotalAmt |
| Program Services | $205,110 | ProgramServicesAmt |
| Management And General | $42,011 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,122 | TotalAmt |
| Management And General | $96,122 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,312 | TotalAmt |
| Management And General | $30,312 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $137,763,346 | TotalAmt |
| Program Services | $114,343,577 | ProgramServicesAmt |
| Management And General | $23,419,769 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $912,990 | TotalAmt |
| Program Services | $757,782 | ProgramServicesAmt |
| Management And General | $155,208 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,309,315 | TotalAmt |
| Program Services | $1,916,732 | ProgramServicesAmt |
| Management And General | $392,583 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,448,883 | TotalAmt |
| Program Services | $1,448,883 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,955,343 | TotalAmt |
| Program Services | $14,902,935 | ProgramServicesAmt |
| Management And General | $3,052,408 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,758,385 | TotalAmt |
| Program Services | $1,392,748 | ProgramServicesAmt |
| Management And General | $365,637 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,424,204 | TotalAmt |
| Program Services | $11,972,089 | ProgramServicesAmt |
| Management And General | $2,452,115 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,058,706 | TotalAmt |
| Program Services | $42,378,726 | ProgramServicesAmt |
| Management And General | $8,679,980 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,761,706 | TotalAmt |
| Program Services | $11,422,216 | ProgramServicesAmt |
| Management And General | $2,339,490 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| Patient Supplies | $206,836,775 | $206,836,775 |
| Bad Debt Expense | $61,210,981 | $61,210,981 |
| Contracted Services | $26,345,776 | $26,345,776 |
| Physicians | $23,928,391 | $23,928,391 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,661,507 | TotalAmt |
| Program Services | $19,639,052 | ProgramServicesAmt |
| Management And General | $4,022,455 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,041,097,326 | TotalAmt |
| Program Services | $945,663,119 | ProgramServicesAmt |
| Management And General | $95,434,207 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,588,967 | BOYAmt |
| EOY | $21,461,144 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $167,044,399 | BOYAmt |
| EOY | $157,483,129 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,777,075 | BOYAmt |
| EOY | $23,619,000 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,707,376 | BOYAmt |
| EOY | $7,459,811 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,124,649,370 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $752,920,218 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $378,817,314 | BOYAmt |
| EOY | $371,729,152 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $425,035,504 | BOYAmt |
| EOY | $462,074,982 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $151,821,912 | BOYAmt |
| EOY | $107,735,911 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,168,792,547 | BOYAmt |
| EOY | $1,151,563,129 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $119,326,632 | BOYAmt |
| EOY | $253,752,372 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $419,891,744 | BOYAmt |
| EOY | $59,554,972 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $539,218,376 | BOYAmt |
| EOY | $313,307,344 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $629,574,171 | BOYAmt |
| EOY | $838,255,785 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $629,574,171 | BOYAmt |
| EOY | $838,255,785 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,168,792,547 | BOYAmt |
| EOY | $1,151,563,129 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $75,522,621 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$1,350,141 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $134,509,134 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $30,312 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $30,312 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | Dues to NCHA are allocated 25.26% to lobbying. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $31,161,094 | OtherCostOrOtherBasisAmt |
| Book Value | $31,161,094 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $542,183,647 | OtherCostOrOtherBasisAmt |
| Depreciation | $317,826,635 | DepreciationAmt |
| Book Value | $224,357,012 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $523,792,969 | OtherCostOrOtherBasisAmt |
| Depreciation | $435,093,583 | DepreciationAmt |
| Book Value | $88,699,386 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $27,511,660 | OtherCostOrOtherBasisAmt |
| Book Value | $27,511,660 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $371,729,152 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| Trustee Held Funds - Capital Expenditures | $444,330,625 | F |
| Trustee Held Funds - Pension | $17,744,357 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $462,074,982 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Other Receivables | $30,443,793 |
| Due from Third Party Payors | $37,222,767 |
| Investments in Subsidiaries | $8,284,541 |
| Intangible Assets | $3,108,680 |
| Cash Held in Escrow | $2,700,629 |
| Deferred Pension Outflows | $25,975,501 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $107,735,911 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| Due to Affiliates | $264,948 |
| Due to Third Party Payors | $5,477,325 |
| Asset Retirement Obligation | $675,000 |
| Deferred Gain | $819,883 |
| SERP Payable | $16,728,244 |
| Workers Comp Long Term | $12,136,914 |
| Deferred Pension Inflows | $23,452,658 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $59,554,972 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | Pitt County Memorial Hospital has been determined to qualify as a tax-exempt organization under Section 501(c)(3) of the Internal Revenue Code. Pitt County Memorial Hospital has reviewed its tax positions for all open years and has concluded that no material liabilities exist as of September 30, 2015 and 2014. Pitt County Memorial Hospital files tax returns with the U.S. federal and State of North Carolina jurisdictions. With few exceptions, Pitt County Memorial Hospital is no longer subject to U.S. federal examinations by tax authorities for years before 2012. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $40,584,826 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $40,584,826 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03900 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $151,633,741 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $118,988,190 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $32,645,551 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03140 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $192,218,567 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $118,988,190 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $73,230,377 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07040 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 19 | ActivitiesOrProgramsCnt |
| Persons Served | 33115 | PersonsServedCnt |
| Total Community Benefit Expns | $3,550,760 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,550,760 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00340 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 6 | ActivitiesOrProgramsCnt |
| Persons Served | 4278 | PersonsServedCnt |
| Total Community Benefit Expns | $58,862,141 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,826,441 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $42,035,700 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04040 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 430 | PersonsServedCnt |
| Total Community Benefit Expns | $497,232 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $497,232 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 6 | ActivitiesOrProgramsCnt |
| Persons Served | 145293 | PersonsServedCnt |
| Total Community Benefit Expns | $5,688,169 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,688,169 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00550 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 33 | ActivitiesOrProgramsCnt |
| Persons Served | 183116 | PersonsServedCnt |
| Total Community Benefit Expns | $68,598,302 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,826,441 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $51,771,861 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04980 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 33 | ActivitiesOrProgramsCnt |
| Persons Served | 183116 | PersonsServedCnt |
| Total Community Benefit Expns | $260,816,869 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $135,814,631 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $125,002,238 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12020 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $550 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $550 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $807 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $807 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 1208 | PersonsServedCnt |
| Total Community Benefit Expns | $72,311 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $72,311 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 181 | PersonsServedCnt |
| Total Community Benefit Expns | $20,094 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $20,094 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 1798 | PersonsServedCnt |
| Total Community Benefit Expns | $1,844,316 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,844,316 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 8 | ActivitiesOrProgramsCnt |
| Persons Served | 3187 | PersonsServedCnt |
| Total Community Benefit Expns | $1,938,078 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,938,078 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00190 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $22,494,726 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $358,993,293 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $400,968,474 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$41,975,181 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Pitt County Memorial Hospital Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2100 Stantonsburg Road | AddressLine1Txt |
| City | Greenville | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27835 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Childrens Hospital | Yes (X) | ChildrensHospitalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | Rehabilitation Behavioral Health | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Pitt County Memorial Hospital Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 14 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Schedule H, Part V, Section C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 14 | ImplementationStrategyAdptYr |
| Strategy Posted Website | 0 | StrategyPostedWebsiteInd |
| Strategy Attached | Yes (1) | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | www.vidanthealth.com/billing-assistance | FAPAvailableOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Average Negotiated Rates | Yes (X) | AverageNegotiatedRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pitt County Memorial Hospital, Inc. | Part V, Section B, Line 5: The preparation of the 2015 Pitt County Community Health Needs Assessment (CHNA) was a joint effort between Pitt Partners for Health (PPH), Vidant Medical Center (VMC), Pitt County Health Department (PCHD) and East Carolina University (ECU). Sincere appreciation is extended to the PPH membership for their guidance and contributions to the 2015 CHNA. The Partnership is chaired by Colleen Coda, a community member and retired VMC Cancer Services nurse. The vice chair is Alice Keene, retired Director, Pitt County Community Schools and Recreation and current Special Projects Coordinator, Pitt County Planning Department / Community Schools and Recreation. Action Team leaders include Robin Tant (Physical Activity and Nutrition), Jennifer Smith (Injury Prevention), and Sandra Hickman (Chronic Disease). PPH membership is comprised of individuals from a variety of organizations and communities within Pitt County representing government, health care, the faith community, civic organizations and members of the general public. PPH serves a critical role in assuring that the community has input into the collection and review of health status data, as well as the selection of health priorities for the County. The priorities recommended by PPH were shared with the Pitt County Board of Health, the VMC Board of Trustees and the VMC Foundation. Each of these groups selected priority health areas for their respective organizations as outlined in this document. PPH, VMC Community Health Programs, Pitt County Health Department and other partners express gratitude to the Pitt County Board of Health, VMC Board of Trustees and the VMC Foundation for receiving presentations regarding key finding of this assessment and for their recommendations and careful selection of priority health areas for Pitt County that will be addressed from 2015-2018. A special thank you is also extended to a number of Pitt County individuals and groups who shared their knowledge, expertise, and creative ideas for improving health within the Pitt County community: -Dr. John Morrow, Pitt County Public Health Director, Mr. Brian Floyd, President of VMC and Dr. Paul Cunningham, Dean of the Brody School of Medicine (BSOM) hosted a Key Leaders' listening session to solicit input on health issues and strategies to create a healthier community. Dr. Doyle Cummings from the Research Division of Family Medicine at the BSOM served as moderator of the Key Leaders' listening session. Forty - one (41) key leaders participated representing County Recreation, area churches, County Management, Vidant Health, United Way, AMEXCAN - Hispanic/Latino community, ECU - (SOM, Dental, Health and Human Performance, Public Health, College of Nursing), Eastern AHEC, Department of Social Services, City of Greenville, Family Violence, Pitt County Health Department, Greenville Community Shelter, Town of Ayden, Pitt County EMS, Pitt Community College, Access East, Council on Aging, Town of Bethel, Pitt County Planning and Pitt Partners for Health. -Jo Morgan, retired Health Education Director with Pitt County Health Department kindly shared her expertise from over 30 years of conducting health assessments for the Pitt County community. PPH is grateful for her leadership and for her recommendations regarding the collection and analysis of data. Mrs. Morgan conducted listening sessions among nineteen (19) Pitt County groups/organizations that serve the people of Pitt County and that are familiar with the health status of the community. She also compiled and analyzed this data.Acknowledgement and appreciation are also extended to the 281 representatives of the following groups who participated in community listening sessions and provided feedback concerning health issues they have identified among community members whom they serve as part of their profession or affiliation with these groups: -Gold Path, Martin Pitt Partnership for Children, Homeless Shelter, Senior Fitness Group, Human Resource Managers, Community Care Plan, Safe Communities Coalition, Vidant Case Managers, Pitt County Schools Social Workers, Vidant Medical Center School Nurses, Grifton Emergency Medical Services, Pitt County Emergency Medical Services, Pitt County Health Department Outreach Team, AMEXCAN (Association of Mexicans in North Carolina), Greenville Youth Council, Winterville Youth Council , Total Christian Ministries Lay Health Advisors, Council on Aging, and the M.E.N.D. (Medically Enduring Neighborhood Dream) Project. Appreciation is extended to the community members who participated in community listening sessions at the following locations and provided feedback and recommendations for community health improvement: -The Bethel Senior Center, Eastern Radiology Breast Clinic and The United Way's Expanded Learning Opportunity Group -Pitt County is known for its collaborative spirit and has a long history of partnering to share resources. Acknowledgement is given to the following individuals / organizations for their contributions and support of this process through data collection and analysis: -The Department of Family Medicine, Brody School of Medicine at East Carolina University, under the direction of Dr. Doyle Cummings and with assistance from Alyssa Adams, collected and analyzed data from the 2015 online Community Health Opinion Survey which received feedback from 545 Pitt County community members. -The Vidant Medical Center's Community Health Programs, under the direction of Mrs. Catherine Nelson, provided funding to support primary data collection and analysis through the online Community Health Opinion Survey and community listening sessions. -Vidant Health Corporate Community Health Improvement (Mrs. Melissa Roupe) provided guidance and direction regarding CHNA requirements for not-for-profit hospitals. -The Vidant Health Strategic Development staff provided statistical information and interpretation regarding emergency department use and hospital admissions. -The Pitt County Health Department's Health Education Division (Amy Hattem, Jennifer Hardee, Kathy Sheppard and Terry Quinn) collected and analyzed data and contributed to the Health Resources section of this document and prepared the final 2015 CHNA document. -The Pitt County Government's Planning Department compiled and analyzed data regarding populations within Pitt County and its municipalities. |
| Pitt County Memorial Hospital, Inc. | Part V, Section B, Line 6b: The preparation of the Pitt County Community Health Needs Assessment (CHNA) was a joint effort between Pitt Partners for Health (PPH), Vidant Medical Center (VMC), Pitt County Health Department (PCHD) and East Carolina University (ECU). |
| Pitt County Memorial Hospital, Inc. | Part V, Section B, Line 11: Certain community needs may not be fully documented or addressed in the Community Health Needs Assessment. These needs are generally those which other organizations share an overlap with Vidant Medical Center. VMC is not equipped to handle all needs and has prioritized those that it can fully address. |
| Pitt County Memorial Hospital, Inc. | Part V, Section B, Line 16i: The full policy is not available on the facility website. In lieu of the policy, a concise summary is provided with pertinent details and phone numbers for additional information. |
| Part V, section B, Line 7a: | The Hospital makes its CHNA report available to the public on the Hospital's website: www.vidanthealth.com/medicalcenter/dynamic-detail.aspx?id=13674. |
| Part V, Section B, Line 16 | Financial Assistance Policy Website Availability |
| Pitt County Memorial Hospital, Inc. Part V, Section B, line 16a website: | www.vidanthealth.com/billing-assistance |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 6a: | In addition to the Community Benefit Report for PCMH, information regarding this entity is found in the annual report for University Health Systems of Eastern Carolina d/b/a Vidant Health. |
| Part I, Line 7: | Costs were calculated using the estimated cost to charge ratio from The North Carolina Hospital Association's Advocacy Needs Data Initiative which is the standard for reporting community benefits in North Carolina. |
| Part II, Community Building Activities: | The community building activities of Vidant Medical Center involve services that are otherwise not provided by other organizations in the patient area. |
| Part III, Line 2: | In connection with the Presumptive Eligibility consideration of the Affordable Care Act, Vidant Medical Center does not reflect any bad debt in connection with FAP-eligible patients. These patients are presumed to be part of the Medicaid population and afforded coverage as such. |
| Part III, Line 4: | The financial statements of Vidant Medical Center are presented on a consolidated basis as part of the consolidated financial statements of Vidant Health; the text of the footnote from page 21 is presented below:Patient Accounts ReceivablePatient Accounts Receivable are reported net of estimated allowances for contractual adjustments and allowances for bad debts. Estimated allowances for bad debts are approximately $117.5 million and $134.7 million as of September 30, 2015 and 2014, respectively. |
| Part III, Line 8: | The shortfall of Medicare revenue to Medicare was calculated according to the cost to charge ratio. Allowable costs of care should be considered community benefit because in the area served by VMC, there are no other providers available to provide the required services. Therefore, the care would become a government obligation and is treated as a community benefit provided by VMC. |
| Part III, Line 9b: | Recommended patient accounts will continue to go through the accounts receivable billing cycle as normal. When the account reaches the customer service/collections manager, financial counseling supervisor or patient accounts supervisor, based on the information given, a decision will be made whether to proceed with collection or refer the account for approval of charity care. The process will occur as follows: I. Financial counselors will try to locate third party payors. If not eligible for any third party coverage (including charities), they may, based upon the financial information received, recommend the patient for charity care. II. Patient counselors will review for any third party payors and verify employment and assets. A charity care application will need to be completed along with tax return, pay stubs, social security award letter and other financial information as may be required. III. The patient accounts supervisor, financial counseling supervisor or customer service/collections manager, based upon account balance and the information given, will make a decision whether to proceed with collection or refer the patient account for approval for charity care.Presumptive eligibility for charity care - there are occasions in which a patient may appear eligible for a charity care discount, but there is no financial assistance information available to support financial aid. A. Some patients are presumed to be eligible for charity care discounts on the basis of individual life circumstances (e.g., homelessness, patients with no income, bankruptcy, deceased patients with no estate or spouse, etc). B. Through the assistance of a third party vendor and certain algorithms, in conjuction with our charity policy guidelines, all accounts, prior to outside collection agency referral, will be tested for presumptive charity. C. The accounts deemed charity will be adjusted off and the remaining accounts will be referred to an outside collection agency. D. Once the agency has had the accounts for six months and has deemed them uncollectible, the accounts with balances of $1,200 or greater will remain with the agency and be kept on the patient's credit file. E. The accounts returned to the hospital will be placed in a unique financial class and will not be pursued for collections. |
| Part VI, Line 2: | The organization assesses community need in conjunction with the state affiliated county health departments and other local health care organizations. See also Schedule H, Part V, Section B, lines 1-7 |
| Part VI, Line 3: | Information is available on the organization's website and at registration for patients. In addition, face to face financial counseling is available to patients and their families in the central business office. |
| Part VI, Line 4: | See Schedule O, Part III |
| Part VI, Line 5: | See Schedule O, Part III |
| Part VI, Line 6: | See Schedule O, Part III |
| Part VI, Line 7, Reports Filed With States | NC |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| East Carolina University | |||||||
| PO Box 75514 | Charlotte | NC | 28275 | 566000403 | 501(c)(3) | $1,600,000 | Joint research projects |
| Pitt Memorial Hospital Foundation | |||||||
| 2800 Stantonsburg Road | Greenville | NC | 27835 | 581399266 | 501(c)(3) | $1,000,000 | General Support |
| North Carolina Hospital Association | |||||||
| PO Box 4449 | Cary | NC | 27519 | 560641290 | 501(c)(3) | $36,859 | General Support |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | Primary oversight responsibility for all grants received by UHS organizations rests with the entity receiving the funds. Each entity is responsible for documenting the receipt of funds, assigning a cost center to track expenses and/or creating a restricted liability for deposit of the funds, documenting expenditures and completing all grantor required reporting. The compliance with the terms of the agreement related to project implementation and management, fund expenditures and reporting is monitored by the granting agency's designated contact person with assistance from the UHS grants office. Note: The majority of the grant funds received for programs at VMC are acquired through the PMH Foundation which has a compliance audit completed each year. Grant funds for UHS are sent to the UHS Foundation and have the same audit procedures. All grant funds are recorded/monitored by the Corporate Accountant and the Assistant Vice President of Financial Services. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Janet Mullaney | ||||||||||||||
| CAO/Interim CEO | $0 | $438,524 | $0 | $50,896 | $0 | $1,610 | $0 | $102,014 | $0 | $27,249 | $0 | $620,293 | $0 | $0 |
| William Floyd | ||||||||||||||
| Executive VP/President of VMC | $375,078 | $0 | $39,652 | $0 | $460 | $0 | $60,618 | $0 | $42,976 | $0 | $518,784 | $0 | $0 | $0 |
| Stephen Lawler | ||||||||||||||
| President Emeritus of VMC/CPAO | $440,350 | $186,294 | $0 | $101,454 | $4,519 | $0 | $79,347 | $42,100 | $30,500 | $12,206 | $554,716 | $342,054 | $0 | $0 |
| Linda Hofler | ||||||||||||||
| Sr. VP, Chief Nursing Officer | $247,644 | $0 | $13,620 | $0 | $727 | $0 | $41,600 | $0 | $30,385 | $0 | $333,976 | $0 | $0 | $0 |
| Jennifer Thomas | ||||||||||||||
| VP of Financial Services | $0 | $167,745 | $0 | $7,957 | $0 | $0 | $0 | $22,759 | $0 | $8,107 | $0 | $206,568 | $0 | $0 |
| Scott Lieberenz | ||||||||||||||
| Sr. VP, Financial Services | $0 | $263,777 | $0 | $14,438 | $0 | $0 | $0 | $28,497 | $0 | $33,484 | $0 | $340,196 | $0 | $0 |
| Donald Shackelford | ||||||||||||||
| Sr. VP, Medical Affairs | $405,699 | $0 | $22,235 | $0 | $0 | $0 | $43,400 | $0 | $37,354 | $0 | $508,688 | $0 | $0 | $0 |
| Tracy Eskra | ||||||||||||||
| VPMA for Clinical Efficiency & Docs. | $291,848 | $0 | $16,163 | $0 | $0 | $0 | $30,900 | $0 | $7,229 | $0 | $346,140 | $0 | $0 | $0 |
| Donald Smith | ||||||||||||||
| Senior Vice President | $236,657 | $0 | $13,002 | $0 | $361 | $0 | $37,500 | $0 | $37,174 | $0 | $324,694 | $0 | $0 | $0 |
| Tyree Walker | ||||||||||||||
| VP, Human Resources | $306,400 | $0 | $0 | $0 | $361,380 | $0 | $24,863 | $0 | $12,320 | $0 | $704,963 | $0 | $360,337 | $0 |
| Ryan Hickey | ||||||||||||||
| Senior Vice President | $218,665 | $0 | $12,288 | $0 | $0 | $0 | $28,279 | $0 | $43,196 | $0 | $302,428 | $0 | $0 | $0 |
| Reggie Pearson | ||||||||||||||
| Senior Vice President | $194,289 | $0 | $11,247 | $0 | $0 | $0 | $22,949 | $0 | $34,689 | $0 | $263,174 | $0 | $0 | $0 |
| Kimberly C Osborne | ||||||||||||||
| VP, Medicine and Care Coordination | $173,565 | $0 | $9,438 | $0 | $0 | $0 | $24,440 | $0 | $15,714 | $0 | $223,157 | $0 | $0 | $0 |
| Teresa Anderson | ||||||||||||||
| VP, Quality | $163,722 | $0 | $9,029 | $0 | $0 | $0 | $23,096 | $0 | $37,275 | $0 | $233,122 | $0 | $0 | $0 |
| Sue Edwards | ||||||||||||||
| Admin., Outpatient Cvs. Services | $215,514 | $0 | $650 | $0 | $0 | $0 | $10,260 | $0 | $17,308 | $0 | $243,732 | $0 | $0 | $0 |
| James Worden Jr | ||||||||||||||
| Admin., Pharmacy | $204,155 | $0 | $650 | $0 | $0 | $0 | $10,082 | $0 | $28,439 | $0 | $243,326 | $0 | $0 | $0 |
| James Barrett | ||||||||||||||
| Program Manager, Rehabilitation | $200,356 | $0 | $650 | $0 | $0 | $0 | $3,975 | $0 | $21,581 | $0 | $226,562 | $0 | $0 | $0 |
| Mary Pender | ||||||||||||||
| Neonatal Nurse Practioner | $192,002 | $0 | $650 | $0 | $0 | $0 | $0 | $0 | $33,471 | $0 | $226,123 | $0 | $0 | $0 |
| Deborah Westbrook | ||||||||||||||
| Clinical Pharmacy Specialist | $188,607 | $0 | $650 | $0 | $0 | $0 | $6,000 | $0 | $6,405 | $0 | $201,662 | $0 | $0 | $0 |
| Dr David Herman MD | ||||||||||||||
| Chief Executive Officer | $0 | $1,062,319 | $0 | $146,340 | $0 | $59,722 | $0 | $98,000 | $0 | $17,608 | $0 | $1,383,989 | $0 | $0 |
| Seth Van Essendelft | ||||||||||||||
| Former VP of Financial Services | $0 | $124,571 | $0 | $8,994 | $0 | $0 | $0 | $12,923 | $0 | $26,169 | $0 | $172,657 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | The Top Management Official is the President who is an employee of VMC. The compensation is determined by the Compensation and Benefits Committee of the Vidant Health Board using comparative data from like organizations and input from consultants. This process is performed every two years, the last year being 2015. It will be performed again in fiscal year 2017. Compensation of other officers and key employees is also determined by the Compensation and Benefits Committee of the VH Board using comparative data from like organizations and input from consultants. This process is performed every two years, the last year being 2015. It will be performed again in fiscal year 2017. All compensation discussions and actions are documented and approved in the minutes of the Committee. |
| Part I, Line 4 | As of January 1, 2013, the supplemental nonqualified retirement plan was frozen and no further amounts have accrued to its benefit. In lieu of the SERP, the comprehensive defined benefit pension plan will provide an equivalent benefit. The increase in the value of such plans is reflected in the sum of Part II, Column (C). Compensation of Tyree Walker: Of the compensation reported in Column (B)(iii) of Part II, $360,337 is attributable to a distribution from a Supplemental Executive Retirement Plan. Of this total amount $162,152 was paid to Federal and State government as withheld taxes. The remainder is held by a trustee with actuarially determined monthly payments, consisting of principal and earnings, being made to Walker over a specified number of years. This retirement compensation was earned by the recipient over 20 years of service. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Eastern Carolina ENT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Marcus Albernaz (Board Director) is member and Director of E. Carolina ENT. | RelationshipDescriptionTxt |
| Transaction | $347,201 | TransactionAmt |
| Transaction | Provides on-call services to Vidant Medical Center. | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 7a | The Board of Commissioners of Pitt County and the Board of Governors of the University of North Carolina shall have the power to appoint the twenty members of the Board of Trustees of Pitt County Memorial Hospital. |
| Form 990, Part VI, Section B, line 11 | Form 990 is made available to Board Members by posting to a Board Member's website. Any Board Member who does not have the ability to access the return in this manner will receive a copy via electronic or regular mail. The return is also reviewed by the Chief Financial Officer, Chief General Counsel and the Chief Audit and Compliance Officer of University Health Systems prior to filing with the IRS. |
| Form 990, Part VI, Section B, line 12c | All Officers, Board Members and Key Employees are required to complete a yearly comprehensive conflict of interest questionnaire. These are reviewed by legal counsel and any potential or actual conflicts are brought to the Board for disposition. Board Members are instructed to report any potential conflicts arising during the year for review. Board Members are required to recuse themselves from voting on issues in which they are deemed to have a conflict. |
| Form 990, Part VI, Section B, line 15 | The Top Management Official is the President who is an employee of Pitt County Memorial Hospital (D/B/A Vidant Medical Center). The compensation is determined by the Compensation and Benefits Committee of the Vidant Health Board using comparative data from like organizations and input from consultants. This process is performed every two years, the last year being 2015. It will be performed again in fiscal year 2017. Compensation of other officers and key employees is also determined by the Compensation and Benefits Committee of the VH Board using comparative data from like organizations and input from consultants. This process is performed every two years, the last year being 2015. It will be performed again in fiscal year 2017. All compensation discussions and actions are documented and approved in the minutes of the Committee. |
| 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 for the same period of disclosure as set forth in IRC Section 6104(d). |
| Form 990, Part IX, line 11g | Other Professional Fees: Program service expenses 114,343,577. Management and general expenses 23,419,769. Fundraising expenses 0. Total expenses 137,763,346. |
| Form 990, Part XI, line 9: | Change in Bond Accounting 134,509,134. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Moye Medical Endoscopy Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 521 Moye Boulevard | AddressLine1Txt |
| City | Greenville | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27834 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 261671435 | EIN |
| Primary Activities | Healthcare | PrimaryActivitiesTxt |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Total Income | -$168,072 | TotalIncomeAmt |
| End Of Year Assets | $1,519,922 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Vidant Medical Center | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| University Health Systems of Eastern Carolina Inc (DBA Vidant Health) | |||||||||||
| 2100 Stantonsburg Road | Greenville | NC | 27835 | 562141073 | Healthcare | NC | 501(c)(3) | Line 11c, III-FI | N/A | 0 | |
| Surgicenter Services of Pitt Inc | |||||||||||
| 102 Bethesda Drive | Greenville | NC | 27835 | 561690553 | Healthcare | NC | 501(c)(3) | Line 11b, II | Yes (1) | Vidant Medical Center | |
| East Carolina Health Inc (DBA Vidant Community Hospitals - Central) | |||||||||||
| 2100 Stantonsburg Road | Greenville | NC | 27835 | 562003393 | Hospital | NC | 501(c)(3) | Line 3 | 0 | Vidant Health | |
| PCMH Management Inc (DBA Vidant Properties) | |||||||||||
| 2100 Stantonsburg Road | Greenville | NC | 27835 | 561690740 | Medical Property Management | NC | 501(c)(2) | 0 | Vidant Health | ||
| HealthAccess Inc | |||||||||||
| 2100 Stantonsburg Road | Greenville | NC | 27835 | 561396133 | Healthcare | NC | 501(c)(3) | Line 11b, II | 0 | Vidant Health | |
| East Carolina Health-Bertie (DBA Vidant Bertie Hospital) | |||||||||||
| 2100 Stantonsburg Road | Greenville | NC | 27835 | 562072002 | Hospital | NC | 501(c)(3) | Line 3 | 0 | Vidant Health | |
| East Carolina Health-Chowan (DBA Vidant Chowan Hospital) | |||||||||||
| 2100 Stantonsburg Road | Greenville | NC | 27835 | 562101090 | Hospital | NC | 501(c)(3) | Line 3 | 0 | Vidant Health | |
| East Carolina Health-Heritage (DBA Vidant Edgecombe Hospital) | |||||||||||
| 2100 Stantonsburg Road | Greenville | NC | 27835 | 562093700 | Hospital | NC | 501(c)(3) | Line 3 | 0 | Vidant Health | |
| East Carolina Health-Beaufort (DBA Vidant Beaufort Hospital) | |||||||||||
| 2100 Stantonsburg Road | Greenville | NC | 27835 | 452436270 | Hospital | NC | 501(c)(3) | Line 3 | 0 | Vidant Health | |
| Duplin General Hospital (DBA Vidant Duplin Hospital) | |||||||||||
| 2100 Stantonsburg Road | Greenville | NC | 27835 | 566011594 | Hospital | NC | 501(c)(3) | Line 3 | 0 | Vidant Health | |
| East Carolina Health Inc (DBA Vidant Roanoke-Chowan Hospital) | |||||||||||
| 2100 Stantonsburg Road | Greenville | NC | 27835 | 264634725 | Hospital | NC | 501(c)(3) | Line 3 | 0 | Vidant Health | |
| Pungo District Hospital Corporation (DBA Vidant Pungo Hospital) | |||||||||||
| 2100 Stantonsburg Road | Greenville | NC | 27835 | 560518757 | Hospital | NC | 501(c)(3) | Line 3 | 0 | Vidant Health | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Surgicenter of Eastern Carolina LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2100 Stantonsburg Road | AddressLine1Txt |
| City | Greenville | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27835 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 262558314 | EIN |
| Primary Activities | Ambulatory Surgical Center | PrimaryActivitiesTxt |
| Legal Domicile State | NC | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Vidant Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | Related | PredominantIncomeTypeTxt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
| Ownership | 0.55000 | OwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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