FURP.ORG / PUBLIC DATA EXPLORER

THE OUTER BANK HOSPITAL INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
THE OUTER BANK HOSPITAL INC (EIN 56-2112733)
Tax period
2013-10-01 to 2014-09-30
Filed
2015-08-12
IRS object ID
201512249349301191
Schema version
2013v4.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2015-08-12T09:23:47-05:00ReturnTs
Tax Period End2014-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN420714325PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MCGLADREY LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11 S WACKER DRIVE STE 800AddressLine1
CityCHICAGOCity
StateILState
ZIP Code60606ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN562112733EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The Outer Banks Hospital IncBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlOUTEBusinessNameControlTxt
Phone2528475129PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12100 Stantonsburg RoadAddressLine1
CityGreenvilleCity
StateNCState
ZIP Code27835ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDavid HughesPersonNm
Person TitleSecretary/TreasurerPersonTitleTxt
Phone2528475129PhoneNum
Signature2015-08-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonWayne HarderPreparerPersonNm
PTINP00294296PTIN
Phone3126343400PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRonald SloanPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12100 Stantonsburg RoadAddressLine1
CityGreenvilleCity
StateNCState
ZIP Code27835ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$69,200,763GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.theouterbankshospital.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2002FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionTo provide a wide range of quality services to the residents and visitors of the Outer Banks.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee328TotalEmployeeCnt
Total Volunteers63TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$224,339CYContributionsGrantsAmt
PY Program Service Revenue$62,434,669PYProgramServiceRevenueAmt
CY Program Service Revenue$67,810,517CYProgramServiceRevenueAmt
PY Investment Income$88,388PYInvestmentIncomeAmt
CY Investment Income$94,905CYInvestmentIncomeAmt
PY Other Revenue$1,079,310PYOtherRevenueAmt
CY Other Revenue$1,071,002CYOtherRevenueAmt
PY Total Revenue$63,602,367PYTotalRevenueAmt
CY Total Revenue$69,200,763CYTotalRevenueAmt
PY Grants And Similar Paid$49,500PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$21,038,717PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$19,883,888CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$33,481,470PYOtherExpensesAmt
CY Other Expenses$36,286,804CYOtherExpensesAmt
PY Total Expenses$54,569,687PYTotalExpensesAmt
CY Total Expenses$56,170,692CYTotalExpensesAmt
PY Revenues Less Expenses$9,032,680PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$13,030,071CYRevenuesLessExpensesAmt
Total Assets BOY$59,601,069TotalAssetsBOYAmt
Total Assets EOY$67,059,177TotalAssetsEOYAmt
Total Liabilities BOY$7,747,736TotalLiabilitiesBOYAmt
Total Liabilities EOY$7,450,328TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$51,853,333NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$59,608,849NetAssetsOrFundBalancesEOYAmt
MissionTo enhance the quality of life for the people and communities we serve, touch and support.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$37,335,827ExpenseAmt
Revenue$56,119,057RevenueAmt
DescOutpatient and emergency services;Provided emergency services to 22,691 patients 24 hours a day for 365 days. Provided outpatient diagnostic and therapeutic services to 22,522 patients. Performed 1,675 outpatient surgical procedures.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$9,380,757ExpenseAmt
Revenue$11,691,460RevenueAmt
DescInpatient Services:Provided inpatient care 24 hours a day for 365 days to 1,405 patients. Delivered 371 babies. Performed 544 inpatient surgical procedures.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$46,716,584TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee328EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Form1098 C Filed0Form1098CFiledInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy0ConflictOfInterestPolicyInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonTodd WarlitnerPersonNm
Phone2528475129PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12100 Stantonsburg RoadAddressLine1
CityGreenvilleCity
StateNCState
ZIP Code27835ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Linda D Palombo EdD
Chairman2.000.00Yes (X)$0$0$0
Ernest W Larkin MD
Vice Chairman2.000.00Yes (X)$0$0$0
Beulah Charity Ashby
Board Director2.000.00Yes (X)$0$0$0
Peter Bastone
Board Director2.000.00Yes (X)$0$0$0
Christine Petzing MD
Board Director2.000.00Yes (X)$0$0$0
Roger Robertson
Board Director2.0046.00Yes (X)$0$426,654$111,345
Terry Wheeler
Board Director2.000.00Yes (X)$0$0$0
Jody Midgette
Board Director2.000.00Yes (X)$0$0$0
Arthur H Keeney III
Board Director2.006.00Yes (X)$0$0$0
Steve Rodriquez
Board Director2.000.00Yes (X)$0$0$0
Bob Guanci
Past Board Director2.000.00Yes (X)$0$0$0
Todd Warlitner
VP, Business Operations40.000.00$154,171$0$55,560Yes (X)
Ronald Sloan
President, Outer Banks Hospital40.000.00$245,486$0$74,848Yes (X)
Judy Bruno
VP, Clinical Operations40.000.00$148,387$0$53,210Yes (X)
Gary Hunter
Anesthesiologist40.000.00$436,804$0$43,613Yes (X)
Monte Thompson
Director, Pharmacy40.000.00$152,651$0$20,432Yes (X)
Steven McLawhorn
Oncology Physicist - OBH40.000.00$165,958$0$31,028Yes (X)
Edward Heise
Director, Emergency - AMU40.000.00$124,010$0$35,327Yes (X)
Mary Terrell Parnell
Pharmacist40.000.00$120,303$0$26,708Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,547,770TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$426,654TotReportableCompRltdOrgAmt
Total Other Compensation$452,071TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K13IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
SE Emergency Physicians
PO Box 634850CincinnatiIL452634850Contract Employees$433,559
Aviation Anesthesia Association Inc
158 Battlefield CourtManteoNC27954Equipment Service/Repair$357,181
Frank X Biondi
PO Box 1464Nags HeahNC279591464CRNA Staffing$291,435
Shiftwise
PO Box 70870St PaulMN55170Staff Management$264,131
Shared Hospital Services Corp
3530 Elmhurst LanePortsmouthVA23701Contract Employees$226,417
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
All Other Contributions$224,339AllOtherContributionsAmt
Noncash Contributions$224,339NoncashContributionsAmt
Total Contributions$224,339TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Outpatient Revenue621110$56,119,057$56,119,057
Inpatient Revenue621110$11,691,460$11,691,460
FieldValueIRS element (for citing)
Total Program Service Revenue$67,810,517TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$94,905TotalRevenueColumnAmt
Exclusion$94,905ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$250,277RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$250,277RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$250,277TotalRevenueColumnAmt
Exclusion$250,277ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
Employee Pharmacy900099$291,100$291,100
I/C Environmental Services900099$204,501$204,501
Cafeteria Meals722210$94,290$94,290

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$230,834TotalRevenueColumnAmt
Exclusion$230,834ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$820,725OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$69,200,763TotalRevenueColumnAmt
Related Or Exempt Func Income$67,810,517RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,165,907ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$576,411TotalAmt
Management And General$576,411ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$15,418,367TotalAmt
Program Services$12,334,694ProgramServicesAmt
Management And General$3,083,673ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$197,235TotalAmt
Program Services$157,788ProgramServicesAmt
Management And General$39,447ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,588,149TotalAmt
Program Services$2,070,519ProgramServicesAmt
Management And General$517,630ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,103,726TotalAmt
Program Services$882,981ProgramServicesAmt
Management And General$220,745ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$26,172TotalAmt
Program Services$20,938ProgramServicesAmt
Management And General$5,234ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$57,571TotalAmt
Program Services$11,514ProgramServicesAmt
Management And General$46,057ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$12,150TotalAmt
Management And General$12,150ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,297,729TotalAmt
Program Services$2,647,903ProgramServicesAmt
Management And General$649,826ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$161,671TotalAmt
Program Services$129,337ProgramServicesAmt
Management And General$32,334ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$819,576TotalAmt
Program Services$655,661ProgramServicesAmt
Management And General$163,915ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$301,910TotalAmt
Program Services$241,528ProgramServicesAmt
Management And General$60,382ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,631,695TotalAmt
Program Services$1,305,356ProgramServicesAmt
Management And General$326,339ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$220,236TotalAmt
Program Services$176,189ProgramServicesAmt
Management And General$44,047ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$16,982TotalAmt
Management And General$16,982ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,357,603TotalAmt
Program Services$2,357,603ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$33,524TotalAmt
Program Services$26,819ProgramServicesAmt
Management And General$6,705ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Bad Debt Expense$9,088,855$9,088,855
Patient Supplies$8,465,372$6,772,298$1,693,074
Shared Services Expense$4,259,289$3,407,427$851,862
Repairs$1,201,717$961,374$240,343

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,334,752TotalAmt
Program Services$3,467,800ProgramServicesAmt
Management And General$866,952ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$56,170,692TotalAmt
Program Services$46,716,584ProgramServicesAmt
Management And General$9,454,108ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,925,123BOYAmt
EOY$4,293,494EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$8,954,795BOYAmt
EOY$8,517,728EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,149,000BOYAmt
EOY$1,412,585EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$204,338BOYAmt
EOY$260,558EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$45,907,866LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$27,035,691LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$18,555,996BOYAmt
EOY$18,872,175EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$24,838,770BOYAmt
EOY$28,607,066EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,973,047BOYAmt
EOY$5,095,571EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$59,601,069BOYAmt
EOY$67,059,177EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,779,072BOYAmt
EOY$6,632,058EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,968,664BOYAmt
EOY$818,270EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,747,736BOYAmt
EOY$7,450,328EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$51,853,333BOYAmt
EOY$59,608,849EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$51,853,333BOYAmt
EOY$59,608,849EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$59,601,069BOYAmt
EOY$67,059,177EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$13,030,071ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$5,274,555OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$12,150OtherActivitiesAmt
Total Lobbying Expenditures$12,150TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationDues to NCHA are allocated 27.14% to lobbying.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,694,182OtherCostOrOtherBasisAmt
Book Value$1,694,182BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$29,467,327OtherCostOrOtherBasisAmt
Depreciation$16,921,865DepreciationAmt
Book Value$12,545,462BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,737,440OtherCostOrOtherBasisAmt
Depreciation$10,113,826DepreciationAmt
Book Value$4,623,614BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,917OtherCostOrOtherBasisAmt
Book Value$8,917BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$18,872,175TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
Deferred Medicaid Cost Report$4,724,920
Intercompany Receivables$370,651
FieldValueIRS element (for citing)
Total Book Value Other Assets$5,095,571TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Due to Third Party Payors$541,270
Reserve for Professional Liability Losses$277,000
FieldValueIRS element (for citing)
Total Liability$818,270TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationThe Outer Banks Hospital, Inc. has been determined to qualify as a tax-exempt organization under Section 501(c)(3) of the Internal Revenue Code. The Outer Banks Hospital, Inc. has reviewed its tax positions for all open years and has concluded that no material liabilities exist as of September 30, 2014 and 2013. The Outer Banks Hospital, Inc. files tax returns with the U.S. federal and State of North Carolina jurisdictions. With few exceptions, The Outer Banks Hospital, Inc. is no longer subject to U.S. federal examinations by tax authorities for years before 2010.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent200 DYes (X)Percent200DInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,037,082TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,037,082NetCommunityBenefitExpnsAmt
Total Expense0.03630TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,037,082TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,037,082NetCommunityBenefitExpnsAmt
Total Expense0.03630TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs16ActivitiesOrProgramsCnt
Persons Served5509PersonsServedCnt
Total Community Benefit Expns$1,160,877TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,776DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,146,101NetCommunityBenefitExpnsAmt
Total Expense0.02040TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served24PersonsServedCnt
Total Community Benefit Expns$29,326TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$29,326NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs6ActivitiesOrProgramsCnt
Persons Served12885PersonsServedCnt
Total Community Benefit Expns$187,742TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$187,742NetCommunityBenefitExpnsAmt
Total Expense0.00330TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs25ActivitiesOrProgramsCnt
Persons Served18418PersonsServedCnt
Total Community Benefit Expns$1,377,945TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,776DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,363,169NetCommunityBenefitExpnsAmt
Total Expense0.02420TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs25ActivitiesOrProgramsCnt
Persons Served18418PersonsServedCnt
Total Community Benefit Expns$3,415,027TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,776DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,400,251NetCommunityBenefitExpnsAmt
Total Expense0.06050TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$17,383TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$17,383NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$1,482TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,482NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$9,933TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$9,933NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served78PersonsServedCnt
Total Community Benefit Expns$15,781TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$15,781NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served78PersonsServedCnt
Total Community Benefit Expns$44,579TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$44,579NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$3,545,155BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$16,488,393ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$17,162,839CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$674,446MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctOfcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 The Outer Banks Hospital Medical Office Building LLC
Provision of Space for Providing Health Care1.000000.000000.00000
2 Outer Banks Professional Services LLC
Provision of Primary and Urgent Health Care1.000000.000000.00000
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The Outer Banks Hospital IncBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line14800 South Croatan HighwayAddressLine1
CityNags HeadCity
StateNCState
ZIP Code27959ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1The Outer Banks Hospital IncBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted12CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Develop Community Wide PlanYes (X)DevelopCommunityWidePlanInd
Exec Community Wide PlanYes (X)ExecCommunityWidePlanInd
Include Operational PlanYes (X)IncludeOperationalPlanInd
Adopt BudgetYes (X)AdoptBudgetInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs Addressed0AllNeedsAddressedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (1)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (1)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care200.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (1)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Asset LevelYes (X)AssetLevelInd
Medical IndigencyYes (X)MedicalIndigencyInd
Insurance StatusYes (X)InsuranceStatusInd
Uninsured DiscountYes (X)UninsuredDiscountInd
State RegulationYes (X)StateRegulationInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
Posted On WebsiteYes (X)PostedOnWebsiteInd
Posted In Emergency RoomYes (X)PostedInEmergencyRoomInd
Posted In Admission OfficeYes (X)PostedInAdmissionOfficeInd
Available On RequestYes (X)AvailableOnRequestInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Average Negotiated RatesYes (X)AverageNegotiatedRatesInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
The Outer Banks Hospital, Inc.Part V, Section B, Line 3: The CHNA document is the culmination of a partnership between the Dare County Department of Public Health (DCDPH) and The Outer Banks Hospital (TOBH). In communities where there is an active Healthy Carolinians coalition, the CHNA partnership also usually includes that entity. Healthy Carolinians is "a network of public-private partnerships across North Carolina that shares the common goal of helping all North Carolinians to be healthy." The members of local coalitions are representatives of the agencies and organizations that serve the health and human service needs of the local population, as well as representatives from businesses, communities of faith, schools and civic groups. In Dare County, the local Healthy Carolinians coalition is Healthy Carolinians of the Outer Banks (HCOB). The community health assessment, which is both a process and a document, investigates and describes the current health status of the community, what has changed since the last assessment, and what still needs to change to improve the health of the community. The process involves the collection and analysis of a large range of data, including demographic, socioeconomic and health statistics, environmental data, and professional and public opinion. The document is a summary of all the available evidence and serves as a resource until the next assessment. The completed CHNA serves as the basis for prioritizing the community's health needs, and culminates in planning to meet those needs.
The Outer Banks Hospital, Inc.Part V, Section B, Line 5d: The CHNA is available at: https://www.vidanthealth.com/uploadedFiles/UHSEastMain/UHS_East/CHNA_reports/TOBH%20CHNA%202013.pdf
The Outer Banks Hospital, Inc.Part V, Section B, Line 7: 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 The Outer Banks Hospital. TOBH is not equipped to handle all needs and has prioritized those that it can fully address.
The Outer Banks Hospital, Inc.Part V, Section B, Line 14g: 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.

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 6a:In addition to the Community Benefit Report for TOBH, 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 The Outer Banks Hospital 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, The Outer Banks Hospital 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 The Outer Banks Hospital are presented on a consolidated basis as part of the consolidated financial statements of Vidant Health; the text of the footnote from page 20 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 $135.1 million and $112.7 million as of September 30, 2013 and 2012, 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 TOBH, 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 TOBH.
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 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 StatesNC

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Roger Robertson
Board Director$0$382,629$0$41,994$0$2,031$0$74,172$0$37,173$0$537,999$0$0
Todd Warlitner
VP, Business Operations$139,911$0$14,260$0$0$0$16,328$0$39,232$0$209,731$0$0$0
Ronald Sloan
President, Outer Banks Hospital$203,307$0$42,179$0$0$0$34,365$0$40,483$0$320,334$0$0$0
Judy Bruno
VP, Clinical Operations$134,250$0$14,137$0$0$0$15,644$0$37,566$0$201,597$0$0$0
Gary Hunter
Anesthesiologist$424,804$0$12,000$0$0$0$0$0$43,613$0$480,417$0$0$0
Monte Thompson
Director, Pharmacy$151,151$0$1,500$0$0$0$0$0$20,432$0$173,083$0$0$0
Steven McLawhorn
Oncology Physicist - OBH$164,458$0$1,500$0$0$0$0$0$31,028$0$196,986$0$0$0
Edward Heise
Director, Emergency - AMU$122,510$0$1,500$0$0$0$0$0$35,327$0$159,337$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3The Top Management Official is the President who is an employee of TOBH. 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 4As 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).

Schedule M IRS990ScheduleM

Cars And Other Vehicles CarsAndOtherVehiclesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$224,339NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Column (b):FormAndLineReferenceDesc
ExplanationThe amount in Column (b) represents the number of contributions received.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6According to the organization's amended and restated bylaws, Article II, the Organization has two members, East Carolina Health and Chesapeake Hospital Authority.
Form 990, Part VI, Section A, line 7aThe members elect the Board of Directors.
Form 990, Part VI, Section A, line 7bThe following actions shall not be taken without unanimous consent of the members: possess property, invest funds, additional capital contributions, admit members, merger or dissolution, amendment, certificate of need litigation, sale of assets, and business of the Corporation.
Form 990, Part VI, Section B, line 11Form 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.
Form 990, Part VI, Section B, line 12All Officers, Board Members and Key Employees are required to complete a yearly comprehensive conflict of interest questionnaire. These responses 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 15The Top Management Official is the President who is an employee of The Outer Banks Hospital, Inc. 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 19The 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 XI, line 9:Net Asset Transfer -5,274,555.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Outer Banks Professional Svcs LLC
604 Amanda StreetManteoNC27954270484506Family PracticeNCThe Outer Banks Hospital
Outer Banks Medical Office Building LLC
4810 South Croatan HighwayNags HeadNC27959161740979Medical Office BuildingNCThe Outer Banks Hospital

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
University Health Systems of Eastern Carolina (DBA Vidant Health)
2100 Stantonsburg RoadGreenvilleNC27835562141073HealthcareNC501(c)(3)Line 11c, III-FIN/A0
Pitt County Memorial Hospital Inc (DBA Vidant Medical Center)
2100 Stantonsburg RoadGreenvilleNC27835560585243HospitalNC501(c)(3)Line 30Vidant Health
Surgicenter Services of Pitt Inc
102 Bethesda DriveGreenvilleNC27835561690553HealthcareNC501(c)(3)Line 11b, II0Vidant Medical Center
East Carolina Health Inc (DBA Vidant Community Hospitals - Central)
2100 Stantonsburg RoadGreenvilleNC27835562003393HospitalNC501(c)(3)Line 30Vidant Health
East Carolina Health-Bertie (DBA Vidant Bertie Hospital)
2100 Stantonsburg RoadGreenvilleNC27835562072002HospitalNC501(c)(3)Line 30Vidant Health
East Carolina Health-Chowan (DBA Vidant Chowan Hospital)
2100 Stantonsburg RoadGreenvilleNC27835562101090HospitalNC501(c)(3)Line 30Vidant Health
East Carolina Health-Heritage (DBA Vidant Edgecombe Hospital)
2100 Stantonsburg RoadGreenvilleNC27835562093700HospitalNC501(c)(3)Line 30Vidant Health
East Carolina Health-Beaufort (DBA Vidant Beaufort Hospital)
2100 Stantonsburg RoadGreenvilleNC27835452436270HospitalNC501(c)(3)Line 30Vidant Health
Duplin General Hospital (DBA Vidant Duplin Hospital)
2100 Stantonsburg RoadGreenvilleNC27835566011594HospitalNC501(c)(3)Line 30Vidant Health
East Carolina Health Inc (DBA Vidant Roanoke-Chowan Hospital)
2100 Stantonsburg RoadGreenvilleNC27835264634725HospitalNC501(c)(3)Line 30Vidant Health
Pungo District Hospital Corporation (DBA Vidant Pungo Hospital)
2100 Stantonsburg RoadGreenvilleNC27835560518757HospitalNC501(c)(3)Line 30Vidant Health
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd