PITT COUNTY MEMORIAL HOSPITAL INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- PITT COUNTY MEMORIAL HOSPITAL INC (EIN 56-0585243)
- Tax period
- 2011-10-01 to 2012-09-30
- Filed
- 2013-05-14
- IRS object ID
- 201341349349300619
- Schema version
- 2011v1.5
- 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 M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-14T07:52:44-05:00 | Timestamp |
| Tax Period End Date | 2012-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410746749 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 N TRYON STREET SUITE 1000 | AddressLine1 |
| City | CHARLOTTE | City |
| State | NC | State |
| ZIP Code | 28246 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560585243 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PITT COUNTY MEMORIAL HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | PITT | NameControl |
| Phone | 2528475129 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2100 STANTONSBURG ROAD | AddressLine1 |
| City | GREENVILLE | City |
| State | NC | State |
| ZIP Code | 27835 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DAVID S HUGHES | Name |
| Title | CHIEF FINANCIAL OFFICER | Title |
| Phone | 2528478988 | Phone |
| Date Signed | 2013-05-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOHN NORMAN | Name |
| PTIN | P01506766 | PTIN |
| Phone | 7049985200 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VIDANT MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | STEVE LAWLER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2100 STANTONSBURG ROAD | AddressLine1 |
| City | GREENVILLE | City |
| State | NC | State |
| ZIP Code | 27835 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 1104838649 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.VIDANTHEALTH.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1953 | YearFormation |
| State Legal Domicile | NC | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE ACCESS TO QUALITY MEDICAL SERVICE TO ALL CITIZENS OF PITT COUNTY AND EASTERN NC. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 20 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 17 | NbrIndependentVotingMembers |
| Total Nbr Employees | 7580 | TotalNbrEmployees |
| Total Nbr Volunteers | 834 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -16906 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 7748197 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 12887844 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 947370700 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 1084885147 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 14909010 | InvestmentIncomePriorYear |
| Investment Income Current Year | 10966557 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -2282887 | OtherRevenuePriorYear |
| Other Revenue Current Year | -3900899 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 967745020 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1104838649 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 950000 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 3150815 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 428426015 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 458394291 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 462982967 | OtherExpensePriorYear |
| Other Expenses Current Year | 526865640 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 892358982 | TotalExpensesPriorYear |
| Total Expenses Current Year | 988410746 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 75386038 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 116427903 | RevenuesLessExpensesCY |
| Total Assets BOY | 859100190 | TotalAssetsBOY |
| Total Assets EOY | 984768667 | TotalAssetsEOY |
| Total Liabilities BOY | 541814745 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 532712098 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 317285445 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 452056569 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | IN AFFILIATION WITH THE BRODY SCHOOL OF MEDICINE, PITT COUNTY MEMORIAL HOSPITAL, INC. (D/B/A VIDANT MEDICAL CENTER) IS COMMITTED TO PROVIDING ACCESS TO QUALITY MEDICAL SERVICES TO ALL CITIZENS OF PITT COUNTY AND EASTERN NORTH CAROLINA. SEE ALSO SCHEDULE O. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 325303343 | Expense |
| Revenue | 398277240 | Revenue |
| Description | 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 2012, VMC PERFORMED 2,339,416 LAB TESTS, 143,867 RADIOLOGY PROCEDURES, 1,674 PET SCANS, 76 GAMMA KNIFE PROCEDURES, AND 322,813 RESPIRATORY TREATMENTS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 235631559 | Expense |
| Revenue | 282874426 | Revenue |
| Description | 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 20,441 SURGERIES IN 2012. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 103628501 | Expense |
| Revenue | 134500254 | Revenue |
| Description | 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 65,198 EKGS, 5,647 CARDIAC CATH VISITS DURING 2012. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 224580260 | Expense |
| Grants | 3150815 | Grants |
| Revenue | 269233227 | Revenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 224580260 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 3150815 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 269233227 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 889143663 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 7580 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 20 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 17 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | NC | StatesWhereCopyOfReturnIsFiled |
| Own Website | X | OwnWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHRIS TOWNSEND | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2528475129 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2100 STANTONSBURG ROAD | AddressLine1 |
| City | GREENVILLE | City |
| State | NC | State |
| ZIP Code | 27835 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (38 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| MARCUS S ALBERNAZ MD | ||||||||
| BOARD DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| BRUCE N AUSTIN | ||||||||
| BOARD DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| NOEL L BAUCOM | ||||||||
| BOARD DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| JANET M BULLOCK | ||||||||
| BOARD DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| JOANNE K BURGDORFF | ||||||||
| BOARD DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| JANICE H FAULKNER | ||||||||
| BOARD DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| PHILLIP K FLOWERS | ||||||||
| BOARD DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| BRUCE E GRAY | ||||||||
| BOARD DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| RALPH R HALL JR | ||||||||
| BOARD DIRECTOR | 2.00 | X | 0 | 0 | 60000 | |||
| W DAVID HARRIS | ||||||||
| BOARD DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| ALLAN B HARVIN MD | ||||||||
| BOARD DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| WILLIAM J JONES JR PHD | ||||||||
| BOARD DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| ARTHUR H KEENEY III | ||||||||
| BOARD DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| THOMASINE S KENNEDY | ||||||||
| BOARD DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| J BRYANT KITTRELL III | ||||||||
| BOARD DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| MELVIN C MCLAWHORN | ||||||||
| BOARD DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| WALTER E POFAHL II MD | ||||||||
| BOARD DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| A RAY ROGERS | ||||||||
| BOARD DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| JEFFREY B TURNER | ||||||||
| BOARD DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| DAVID WOMACK | ||||||||
| BOARD DIRECTOR | 4.00 | X | 0 | 0 | 0 | |||
| ROBERT J GRECZYN JR | ||||||||
| BOARD DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| MARY J RAAB MD | ||||||||
| BOARD DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| C BYNUM SATTERWHITE | ||||||||
| BOARD DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| DAVID MCRAE | ||||||||
| CHIEF EXECUTIVE OFFICER-UHS | 40.00 | 0 | 1554312 | 278936 | X | |||
| STEPHEN LAWLER | ||||||||
| PRESIDENT PCMH | 40.00 | 694749 | 0 | 216690 | X | |||
| SETH D VANESSENDELFT | ||||||||
| VP, FINANCIAL SERVICES | 40.00 | 0 | 201338 | 56843 | X | |||
| LINDA HOFLER | ||||||||
| VP, PATIENT CARE SERVICES, CNO | 40.00 | 254994 | 0 | 69750 | X | |||
| DAVID HUGHES | ||||||||
| SR VP, PCMH FINANCIAL SERVICES | 40.00 | 0 | 310597 | 88795 | X | |||
| WILLIAM FLOYD | ||||||||
| EXECUTIVE VICE PRESIDENT-PCMH | 40.00 | 308092 | 0 | 62669 | X | |||
| SANJAY SAHA | ||||||||
| SR VP SURGICAL SVS PCMH | 40.00 | 192877 | 0 | 37507 | X | |||
| RYAN HICKEY | ||||||||
| SR VP, CANCER AND CLINICAL SVCS PCMH | 40.00 | 219566 | 0 | 49121 | X | |||
| DONALD SMITH | ||||||||
| SR VP CARDIAC, EMER & MED SVS PCMH | 40.00 | 260391 | 0 | 47677 | X | |||
| TYREE WALKER | ||||||||
| VP, HUMAN RESOURCES | 40.00 | 248249 | 0 | 52091 | X | |||
| JOHN RANDALL | ||||||||
| ADMIN, PHARMACY | 40.00 | 187498 | 0 | 24361 | X | |||
| NANCY HART | ||||||||
| EXEC DIR, UHS-PMH FOUNDATION | 40.00 | 190385 | 0 | 36102 | X | |||
| STEPHEN KOSKA | ||||||||
| ASST DIR, PHARMACY | 40.00 | 181635 | 0 | 22278 | X | |||
| JAMES WORDEN JR | ||||||||
| ASST DIR, PHARMACY | 40.00 | 181460 | 0 | 21614 | X | |||
| TAMMY WORDEN | ||||||||
| CQI-INVESTIGATIONAL DRUG SPLST | 40.00 | 172089 | 0 | 15487 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3091985 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2066247 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1139921 | TotalOtherCompensation |
| Number Individuals GT100 K | 306 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| ECU SCHOOL OF MEDICINE | |||||
| PO BOX 75514 | CHARLOTTE | NC | 28275 | MEDICAL STAFF SERVICES | 22065099 |
| PITT COUNTY ANESTHESIA | |||||
| 2080 B ARLINGTON BLVD | GREENVILLE | NC | 27834 | ANESTHESIA SERVICES | 7496197 |
| MEDCOST BENEFIT SERVICES | |||||
| PO BOX 25987 | WINSTON SALEM | NC | 277145987 | EMPLOYEE INSURANCE PROVIDER | 4396480 |
| GE MEDICAL SYSTEMS | |||||
| PO BOX 402076 | ATLANTA | GA | 303842076 | RADIOLOGY EQUIPMENT MAINTENANCE | 2428618 |
| AMN HEALTHCARE | |||||
| 2735 COLLECTION CENTER DRIVE | CHICAGO | IL | 60693 | TEMPORARY NURSING STAFF | 2111924 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 109 | NumberOfContractorsGT100K |
| All Other Contributions | 12887844 | AllOtherContributions |
| Noncash Contributions | 354406 | NoncashContributions |
| Total Contributions | 12887844 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT REVENUE | 621110 | 1084059697 | 1084059697 |
| NC DHHS REVENUE | 621110 | 825450 | 825450 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 1084885147 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 10966557 | TotalRevenueColumn |
| Exclusion | $10,966,557 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | EQUITY INVESTMENT | Description |
| Business Code | 900003 | BusinessCode |
| Total Revenue Column | -3900899 | TotalRevenueColumn |
| Exclusion | -$3,900,899 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | -3900899 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1104838649 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1084885147 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $7,065,658 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3150815 | Total |
| Program Services | 3150815 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2714423 | Total |
| Management And General | 2714423 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 343962624 | Total |
| Program Services | 306817851 | ProgramServices |
| Management And General | 37144773 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21262442 | Total |
| Program Services | 18817793 | ProgramServices |
| Management And General | 2444649 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 65971904 | Total |
| Program Services | 58386784 | ProgramServices |
| Management And General | 7585120 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24482898 | Total |
| Program Services | 21667977 | ProgramServices |
| Management And General | 2814921 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2649060 | Total |
| Program Services | 2198720 | ProgramServices |
| Management And General | 450340 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 513506 | Total |
| Program Services | 426210 | ProgramServices |
| Management And General | 87296 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26901 | Total |
| Management And General | 26901 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 133522780 | Total |
| Program Services | 110846235 | ProgramServices |
| Management And General | 22676545 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1624875 | Total |
| Program Services | 1348646 | ProgramServices |
| Management And General | 276229 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2530183 | Total |
| Program Services | 2100052 | ProgramServices |
| Management And General | 430131 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 826631 | Total |
| Program Services | 826631 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16790913 | Total |
| Program Services | 13936458 | ProgramServices |
| Management And General | 2854455 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2272357 | Total |
| Program Services | 1798879 | ProgramServices |
| Management And General | 473478 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17828884 | Total |
| Program Services | 14797973 | ProgramServices |
| Management And General | 3030911 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 57381985 | Total |
| Program Services | 47627048 | ProgramServices |
| Management And General | 9754937 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8422808 | Total |
| Program Services | 6990931 | ProgramServices |
| Management And General | 1431877 | ManagementAndGeneral |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| PATIENT SUPPLIES | 230636807 | 230636807 |
| PHYSICIAN SERVICES | 25164663 | 25164663 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26673287 | Total |
| Program Services | 21603190 | ProgramServices |
| Management And General | 5070097 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 988410746 | Total |
| Program Services | 889143663 | ProgramServices |
| Management And General | 99267083 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10616529 | BOY |
| EOY | 15352106 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 173390404 | BOY |
| EOY | 158633560 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24056657 | BOY |
| EOY | 24497266 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2937329 | BOY |
| EOY | 3779342 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 1009078743 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 593927208 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 407296647 | BOY |
| EOY | 415151535 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 145704945 | BOY |
| EOY | 237867713 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 95097679 | BOY |
| EOY | 129487145 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 859100190 | BOY |
| EOY | 984768667 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 108295880 | BOY |
| EOY | 108660204 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 433518865 | BOY |
| EOY | 424051894 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 541814745 | BOY |
| EOY | 532712098 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 317285445 | BOY |
| EOY | 452056569 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 317285445 | BOY |
| EOY | 452056569 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 859100190 | BOY |
| EOY | 984768667 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 116427903 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 18343221 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $26,901 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 26901 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | 25.23% OF DUES TO NCHA ARE ALLOCATED TO LOBBYING. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 30847263 | OtherCostOrOtherBasis |
| Book Value | 30847263 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 443478963 | OtherCostOrOtherBasis |
| Depreciation | 235519361 | Depreciation |
| Book Value | 207959602 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 475249759 | OtherCostOrOtherBasis |
| Depreciation | 344751014 | Depreciation |
| Book Value | 130498745 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 59502758 | OtherCostOrOtherBasis |
| Depreciation | 13656833 | Depreciation |
| Book Value | 45845925 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 415151535 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (3 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| TRUSTEE HELD FUNDS - BONDS | 10423195 | F |
| TRUSTEE HELD FUNDS - CAPITAL EXPENDITURES | 212759972 | F |
| TRUSTEE FUNDS PENSION | 14684546 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 237867713 | TotalOfBookValueSecurities |
Other Assets OtherAssets (7 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| OTHER RECEIVABLES | 22859976 |
| DUE FROM THIRD PARTY PAYORS | 74272017 |
| INVESTMENTS IN SUBSIDIARIES | 23977507 |
| CURRENT DUE FROM AFFILIATES | 253616 |
| BOND AMORTIZATION | 1620306 |
| INTANGIBLE ASSETS | 4819508 |
| CASH HELD IN ESCROW | 1684215 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 129487145 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (7 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO AFFILIATES | $380,301,961 |
| DUE TO THIRD PARTY PAYORS | $19,786,433 |
| ASSET RETIREMENT OBLIGATION | $675,000 |
| DEFERRED GAIN | $819,883 |
| SERP PAYABLE | $13,111,658 |
| INTERCOMPANY A/P DUE | $631,765 |
| WORKERS COMP LONG TERM | $8,725,194 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 424051894 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X: | ReturnReference |
| Explanation | PITT COUNTY MEMORIAL HOSPITAL, INC. (D/B/A VIDANT MEDICAL CENTER) IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 41254919 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 41254919 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04170 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 162581210 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 162581210 | DirectOffsettingRevenue |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2629403 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1746456 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 882947 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00090 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 206465532 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 164327666 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 42137866 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04260 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 26 | NumberOfActivitiesOrPrograms |
| Persons Served | 47842 | PersonsServed |
| Total Community Benefit Expense | 12388653 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15960 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 12372693 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01250 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 6 | NumberOfActivitiesOrPrograms |
| Persons Served | 10897 | PersonsServed |
| Total Community Benefit Expense | 70166462 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 24558285 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 45608177 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04610 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 267916 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 267916 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 6 | NumberOfActivitiesOrPrograms |
| Persons Served | 4549 | PersonsServed |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 39 | NumberOfActivitiesOrPrograms |
| Persons Served | 63288 | PersonsServed |
| Total Community Benefit Expense | 82823031 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 24574245 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 58248786 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05890 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 39 | NumberOfActivitiesOrPrograms |
| Persons Served | 63288 | PersonsServed |
| Total Community Benefit Expense | 289288563 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 188901911 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 100386652 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10150 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 2768 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 2768 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 5721 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 5721 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 2049 | PersonsServed |
| Total Community Building Expense | 970873 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 970873 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00100 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 750 | PersonsServed |
| Total Community Building Expense | 10551 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 10551 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 521 | PersonsServed |
| Total Community Building Expense | 50395 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 50395 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 2366 | PersonsServed |
| Total Community Building Expense | 2161042 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 2161042 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00220 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 10 | NumberOfActivitiesOrPrograms |
| Persons Served | 5686 | PersonsServed |
| Total Community Building Expense | 3201350 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 3201350 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00330 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $29,718,709 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 331646183 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 369673589 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -38027406 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV (4 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership | Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership | Physicans Profit Or OwnershipPhysicansProfitOrOwnership |
|---|---|---|---|
| 1 SURGICENTER OF EASTERN CAROLINA LLC | |||
| AMBULATORY SURGERY CENTER | 0.55000 | 0.00000 | 0.00000 |
| 2 ONSLOW RADIATION ONCOLOGY LLC | |||
| OUTPATIENT RADIATION AND CHEMOTHERAPY | 0.50000 | 0.00000 | 0.00000 |
| 3 MOYE MEDICAL ENDOSCOPY CENTER LLC | |||
| OUTPATIENT ENDOSCOPY SERVICES | 0.50000 | 0.00000 | 0.00000 |
| 4 NEWCO CANCER SERVICES LCC | |||
| OUTPATIENT CANCER SERVICES | 0.50000 | 0.00000 | 0.00000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PITT COUNTY MEMORIAL HOSPITAL INC | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2100 STANTONSBURG ROAD | AddressLine1 |
| City | GREENVILLE | City |
| State | NC | State |
| ZIP Code | 27835 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Childrens Hospital | X | ChildrensHospital |
| Teaching Hospital | X | TeachingHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PITT COUNTY MEMORIAL HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 200.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Collection Activities | 1 | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Average Negotiated Rates | X | AverageNegotiatedRates |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (24 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| PART I, LINE 3C: N/A | ||
| 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. | ||
| PART I, LINE 7: COSTS WERE CALCULATED USING THE ESTIMATED COST TO CHARGE RATIO FROM THE MEDICARE COST REPORT. | ||
| PART I, LINE 7G: N/A. | ||
| PART II: SEE SCHEDULE O. | ||
| PART III, LINE 4: LINE 2 COSTS WERE CALCULATED USING THE ESTIMATED COST TO CHARGE RATIO FROM THE MEDICARE COST REPORT. | ||
| PART III, LINE 8: THE SHORTFALL OF MEDICARE REVENUE TO MEDICARE ALLOWABLE COSTS OF CARE COULD BE CONSIDERED COMMUNITY BENEFIT BECAUSE IN THE AREA SERVED BY THE ORGANIZATION OTHER PROVIDERS WOULD NOT BE AVAILABLE TO PROVIDE THE SERVICES REQUIRED. THEREFORE, THE CARE WOULD BECOME A GOVERNMENT OBLIGATION. | ||
| 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, SUPERVISOR FINANCIAL COUNSELING 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, SUPERVISOR FINANCIAL COUNSELING 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 CONJUNCTION 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 $1,200.00 AND LESS WILL BE RETURNED TO THE HOSPITAL AND REMOVED FROM THE PATIENTS CREDIT FILE. ACCOUNTS WITH BALANCES ABOVE $1,200.00 WILL REMAIN WITH THE AGENCY AND KEPT ON THE PATIENTS 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 V, SECTION B, LINE 11H: N/A | PITT COUNTY MEMORIAL HOSPITAL, INC. | |
| PART V, SECTION B, LINE 13G: N/A | PITT COUNTY MEMORIAL HOSPITAL, INC. | |
| PART V, SECTION B, LINE 15E: N/A | PITT COUNTY MEMORIAL HOSPITAL, INC. | |
| PART V, SECTION B, LINE 16E: N/A | PITT COUNTY MEMORIAL HOSPITAL, INC. | |
| PART V, SECTION B, LINE 17E: N/A | PITT COUNTY MEMORIAL HOSPITAL, INC. | |
| PART V, SECTION B, LINE 18C: N/A | PITT COUNTY MEMORIAL HOSPITAL, INC. | |
| PART V, SECTION B, LINE 18D: N/A | PITT COUNTY MEMORIAL HOSPITAL, INC. | |
| PART V, SECTION B, LINE 19D: N/A | PITT COUNTY MEMORIAL HOSPITAL, INC. | |
| PART V, SECTION B, LINE 20: N/A | PITT COUNTY MEMORIAL HOSPITAL, INC. | |
| PART V, SECTION B, LINE 21: N/A | PITT COUNTY MEMORIAL HOSPITAL, INC. | |
| 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 O. | ||
| 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 VI, LINE 5: SEE SCHEDULE O. | ||
| PART VI, LINE 6: SEE SCHEDULE O. | ||
| NC | REPORTS FILED WITH STATES | PART VI, LINE 7 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| PITT MEMORIAL HOSPITAL FOUNDATION | |||||||
| PO BOX 8469 | GREENVILLE | NC | 27835 | 581399266 | 501(C)(3) | 1000000 | CHARITY |
| CITY OF GREENVILLE | |||||||
| PO BOX 7207 | GREENVILLE | NC | 27835 | 566000229 | 501(C)(3) | 250000 | DONATION |
| EAST CAROLINA UNIVERSITY | |||||||
| PO BOX 75514 | CHARLOTTE | NC | 28275 | 566000403 | 501(C)(3) | 1850000 | JOINT RESEARCH PROJECT |
| ROANOKE CHOWAN COMMUNITY HEALTH CENTER | |||||||
| 120 HEALTH CENTER DRIVE | AHOSKIE | NC | 27910 | 421638714 | 501(C)(3) | 39759 | DONATION |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: GRANT MONITORING 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 PCMH 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. SELECTION CRITERIA/PROCESS GRANTS PROVIDED BY THE UHS AND PMH FOUNDATIONS REQUIRE THE APPLICANT TO BE A 501(C)(3) OR GOVERNMENT ENTITY AND RECIPIENTS ARE REQUIRED TO PROVIDE PROOF OF THEIR STATUS BY SUBMITTING A COPY OF THEIR IRS LETTER OF DETERMINATION. REQUESTS MUST BE RELATED TO DISEASE PREVENTION AND DISEASE MANAGEMENT OR WELLNESS. THERE ARE DIFFERENT HEALTH RELATED FOCUS AREAS FOR EACH OF THE HOSPITAL'S COMMUNITY BENEFITS GRANT PROGRAMS. EACH HOSPITAL'S PROGRAM HAS THEIR OWN LOCAL COMMUNITY BENEFITS GRANTS REVIEW COMMITTEE COMPRISED OF LOCAL REPRESENTATIVES FROM THEIR RESPECTIVE COMMUNITIES. THESE COMMITTEES REVIEW LETTERS OF INTENT, DECIDE WHICH ORGANIZATIONS ARE TO BE INVITED TO SUBMIT A GRANT APPLICATION, THEN REVIEW THE GRANT APPLICATIONS AND MAKE FUNDING RECOMMENDATIONS. THEIR FUNDING RECOMMENDATIONS ARE THEN REVIEWED BY THE UHS FOUNDATION COMMUNITY BENEFITS COMMITTEE AND FINAL DECISIONS ARE CONFIRMED BY THE UHS FOUNDATION BOARD. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DAVID MCRAE | |||||||||||||
| 0 | 1018659 | 0 | 231808 | 0 | 303845 | 0 | 262000 | 0 | 16936 | 0 | 1833248 | 0 | 294157 |
| STEPHEN LAWLER | |||||||||||||
| 582233 | 0 | 106818 | 0 | 5698 | 0 | 208900 | 0 | 7790 | 0 | 911439 | 0 | 0 | 0 |
| SETH D VANESSENDELFT | |||||||||||||
| 0 | 187665 | 0 | 13673 | 0 | 0 | 0 | 50134 | 0 | 6709 | 0 | 258181 | 0 | 0 |
| LINDA HOFLER | |||||||||||||
| 239106 | 0 | 15210 | 0 | 678 | 0 | 63250 | 0 | 6500 | 0 | 324744 | 0 | 0 | 0 |
| DAVID HUGHES | |||||||||||||
| 0 | 291992 | 0 | 17862 | 0 | 743 | 0 | 81000 | 0 | 7795 | 0 | 399392 | 0 | 0 |
| WILLIAM FLOYD | |||||||||||||
| 289420 | 0 | 18357 | 0 | 315 | 0 | 60994 | 0 | 1675 | 0 | 370761 | 0 | 0 | 0 |
| SANJAY SAHA | |||||||||||||
| 181561 | 0 | 11316 | 0 | 0 | 0 | 32156 | 0 | 5351 | 0 | 230384 | 0 | 0 | 0 |
| RYAN HICKEY | |||||||||||||
| 206204 | 0 | 13362 | 0 | 0 | 0 | 41957 | 0 | 7164 | 0 | 268687 | 0 | 0 | 0 |
| DONALD SMITH | |||||||||||||
| 231545 | 0 | 14626 | 0 | 14220 | 0 | 45991 | 0 | 1686 | 0 | 308068 | 0 | 0 | 0 |
| TYREE WALKER | |||||||||||||
| 230677 | 0 | 16859 | 0 | 713 | 0 | 46754 | 0 | 5337 | 0 | 300340 | 0 | 0 | 0 |
| JOHN RANDALL | |||||||||||||
| 186998 | 0 | 500 | 0 | 0 | 0 | 18750 | 0 | 5611 | 0 | 211859 | 0 | 0 | 0 |
| NANCY HART | |||||||||||||
| 177620 | 0 | 12765 | 0 | 0 | 0 | 32343 | 0 | 3759 | 0 | 226487 | 0 | 0 | 0 |
| STEPHEN KOSKA | |||||||||||||
| 181135 | 0 | 500 | 0 | 0 | 0 | 16133 | 0 | 6145 | 0 | 203913 | 0 | 0 | 0 |
| JAMES WORDEN JR | |||||||||||||
| 180960 | 0 | 500 | 0 | 0 | 0 | 16129 | 0 | 5485 | 0 | 203074 | 0 | 0 | 0 |
| TAMMY WORDEN | |||||||||||||
| 171589 | 0 | 500 | 0 | 0 | 0 | 10250 | 0 | 5237 | 0 | 187576 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 4B | ReturnReference |
| Explanation | DAVE C MCRAE WAS A PARTICIPANT IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN DURING THE YEAR. AMOUNTS REPORTED IN COLUMN F ARE PERIODIC PAYMENTS FROM A SERP DISTRIBUTIONS PREVIOUSLY RECORDED AS INCOME. | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| EAST CAROLINA ENT | |||
| BUSINESS RELATIONSHIP | 354424 | DR. ALBERNAZ IS A MEMBER AND DIRECTOR OF EASTERN CAROLINA ENT THAT RECEIVED CALL PAY COMPENSATION OR OTHER COMPENSATION FROM VIDANT MEDICAL CENTER PURSUANT TO A FAIR MARKET VALUE CONTRACT. | 0 |
| BRUCE AUSTIN | |||
| EMPLOYEE | 51358 | BRUCE AUSTIN IS A MEMBER OF THE BOARD OF DIRECTORS OF VIDANT MEDICAL CENTER. DURING THE YEAR, HIS SON WAS A RESIDENT AT THE MEDICAL CENTER AND RECEIVED COMPENSATION FOR HIS SERVICES. | 0 |
Schedule M IRS990ScheduleM
Other Non Cash Contributions Table OtherNonCashContributionsTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Description | AIR HANDLER UNIT | Description |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 354406 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | PURCHASE PRICE | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PROGRAM SERVICE STATEMENT | FORM 990, PART III, LINE 4A | OVERVIEW OF UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA, D.B.A VIDANT HEALTH ("VH"): AT VIDANT HEALTH ("VH"), WE ARE COMMITTED TO IMPROVING THE HEALTH OF OUR COMMUNITIES. EASTERN NORTH CAROLINA RESIDENTS LOOK TO OUR HOSPITALS FOR QUALITY HEALTH CARE. WE WORK HARD TO UPHOLD THE TRUST THAT OUR COMMUNITIES PLACE IN US. THROUGH A CLEAR VISION, DISCIPLINED LEADERSHIP AND COMMITTED EMPLOYEES, VH SERVES THE NEEDS OF THE REGION, INCLUDING THOSE WHO ARE UNDERSERVED AND NEED US THE MOST. OUR MISSION AT VH - TO ENHANCE THE QUALITY OF LIFE FOR THE PEOPLE AND COMMUNITIES WE SERVE, TOUCH AND SUPPORT - DRIVES US FAR BEYOND CARING FOR PATIENTS WITHIN THE CONFINES OF OUR HOSPITAL WALLS. IT CALLS US TO HELP MAKE EASTERN NORTH CAROLINA A BETTER, HEALTHIER PLACE TO LIVE. VH IS A NORTH CAROLINA NON-PROFIT CORPORATION WITH HEADQUARTERS IN GREENVILLE, NORTH CAROLINA. VH AND ITS AFFILIATES OPERATE AN INTEGRATED HEALTH CARE DELIVERY SYSTEM THAT SERVES A TOTAL MARKET OF APPROXIMATELY 1.4 MILLION PEOPLE IN 29 CONTIGUOUS COUNTIES IN EASTERN NORTH CAROLINA. THE HEALTH SYSTEM INCLUDES HOSPITALS, PHYSICIAN PRACTICES, OUTPATIENT SERVICES, LONG-TERM CARE, HOME HEALTH, HOSPICE, AND WELLNESS SERVICES. THE HEALTH SYSTEM'S OWNED HOSPITALS ARE VIDANT MEDICAL CENTER ("VMC"), WHICH IS A TERTIARY CARE HOSPITAL AND AN ACADEMIC MEDICAL CENTER, AND EIGHT OTHER ACUTE CARE HOSPITALS: VIDANT ROANOKE-CHOWAN HOSPITAL, VIDANT EDGECOMBE HOSPITAL, VIDANT CHOWAN HOSPITAL, VIDANT BERTIE HOSPITAL, VIDANT DUPLIN HOSPITAL, VIDANT BEAUFORT HOSPITAL, VIDANT PUNGO HOSPITAL AND THE OUTER BANKS HOSPITAL. VH ALSO MANAGES ALBEMARLE HOSPITAL. VMC SERVES AS THE TEACHING HOSPITAL FOR THE BRODY SCHOOL OF MEDICINE, EAST CAROLINA SCHOOLS OF NURSING AND ALLIED HEALTH AND PITT COMMUNITY COLLEGE. THE SYSTEM ALSO SERVES AS A REGIONAL REFERRAL CENTER FOR EASTERN NORTH CAROLINA. THE SYSTEM'S NINE OWNED ACUTE CARE HOSPITALS ARE LICENSED TO OPERATE 1,514 BEDS. EACH HOSPITAL IS LICENSED BY THE DIVISION OF FACILITY SERVICES OF THE NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES AND APPROVED AS A PROVIDER BY THE MEDICARE AND MEDICAID PROGRAMS. VH AND ITS HOSPITALS AND AFFILIATE ORGANIZATIONS PROVIDE SERVICES TO PATIENTS WITHOUT REGARD TO THEIR ABILITY TO PAY. IN FISCAL YEAR 2012 VH COMBINED PATIENT CARE STATISTICS WERE: INPATIENT ADMISSIONS, 68,618; INPATIENT DAYS OF CARE, 358,299; SURGERIES, 47,501; BIRTHS, 6,157; AND OUTPATIENT VISITS, 500,712. OUR SYSTEM'S WORKFORCE INCLUDED 11,688 EMPLOYEES. EACH OF VH'S HOSPITALS OPERATES AN EMERGENCY ROOM, WHICH IS OPEN 24 HOURS A DAY. VMC ALSO OFFERS A FULL SPECTRUM OF TRAUMA SERVICES. EMERGENT AND TRAUMA SERVICES ARE PROVIDED TO PATIENTS WITHOUT REGARD TO THEIR ABILITY TO PAY. IN FISCAL YEAR 2012 VH PROVIDED CARE TO 257,591 EMERGENCY ROOM PATIENTS. DURING A PORTION OF 2012, VH AND VMC HAD THE SAME GOVERNING BOARD, WHICH WAS COMPRISED OF 20 VOTING MEMBERS THAT MEET MONTHLY. THE BOARD OF COMMISSIONERS OF PITT COUNTY APPOINTS 11 MEMBERS, AND 9 MEMBERS ARE APPOINTED BY THE BOARD OF GOVERNORS OF THE UNIVERSITY OF NORTH CAROLINA. THE BOARD MEMBERS HAVE DIVERSE BACKGROUNDS AND ARE SELECTED TO REPRESENT THE CITIZENS OF EASTERN CAROLINA. EFFECTIVE MARCH 1, 2012, VH'S BOARD OF DIRECTORS CONSISTS OF 11 VOTING MEMBERS, SIX OF WHOM MUST BE CURRENT OR FORMER PITT COUNTY, NORTH CAROLINA APPOINTEES OF VMC'S BOARD OF TRUSTEES AND FIVE OF WHOM MUST BE CURRENT OF FORMER BOARD OF GOVERNORS OF THE UNIVERSITY OF NORTH CAROLINA APPOINTEES OF VMC'S BOARD OF TRUSTEES. VMC, IN AFFILIATION WITH THE BRODY SCHOOL OF MEDICINE, WHICH IS OWNED BY THE STATE OF NORTH CAROLINA, OPERATES 30 RESIDENT-TRAINING PROGRAMS WITH OVER 340 MEDICAL RESIDENTS. THIS RELATIONSHIP ENABLES VMC AND THE BRODY SCHOOL OF MEDICINE TO COMBINE THEIR RESOURCES FOR THE PROVISION OF QUALITY PATIENT CARE, MEDICAL EDUCATION AND RESEARCH FOR THE RESIDENTS OF EASTERN NORTH CAROLINA. THE BRODY SCHOOL OF MEDICINE HAS THREE IMPORTANT GOALS: EDUCATING PRIMARY CARE PHYSICIANS, MAKING MEDICAL CARE MORE READILY AVAILABLE TO THE PEOPLE OF EASTERN NORTH CAROLINA, AND PROVIDING OPPORTUNITIES TO MINORITY AND DISADVANTAGED STUDENTS. AS A NON-PROFIT ORGANIZATION, VH REINVESTS ALL EXCESS OF REVENUES OVER EXPENSES IN PROGRAMS, SERVICES, AND FACILITIES THAT PROVIDE ACCESS TO PATIENT CARE AND HEALTH SERVICES TO THE CITIZENS OF EASTERN CAROLINA. OVERVIEW OF VIDANT HEALTH COMMUNITY BENEFIT PROGRAMS: 1. EASTERN NORTH CAROLINA IS COMPRISED OF 1.4 MILLION PEOPLE LIVING IN 14,000 SQUARE MILES. BOUNDARIES ARE FROM I-95 EAST TO THE COAST, AND FROM THE VIRGINIA LINE UP TO AND INCLUDING ONSLOW COUNTY. THE AREA IS LARGELY RURAL AND LARGELY POOR, WITH HIGHER THAN STATE OR NATIONAL AVERAGE RATES FOR POVERTY AND UNINSURED. HEALTH STATUS INDICATORS SHOW INCREASED INCIDENCE OF DISEASE IN THE REGION, ESPECIALLY CANCER, HEART DISEASE AND STROKE. VH DETERMINES PRIORITIES FOR TARGET POPULATIONS BY WORKING IN CONCERT WITH MEDICAL AND COMMUNITY AGENCY PARTNERS IN ONGOING ASSESSMENT OF THE MOST PRESSING HEALTH CARE NEEDS. MANY EFFORTS OVER THE PAST DECADE HAVE FOCUSED ON DIABETES, PEDIATRIC ASTHMA, SCHOOL HEALTH, INJURY PREVENTION, ACCESS TO CARE, NUTRITION ENHANCEMENT, PHYSICAL ACTIVITIES AND CHRONIC DISEASE SCREENINGS. ALSO, SPECIAL PROGRAMS TO MANAGE THE CARE OF MEDICAID ENROLLEES, ADDRESS ACCESS TO BOTH MEDICAL CARE AND MEDICATIONS FOR THE UNINSURED, AND COORDINATION OF SERVICES FOR CHILDREN WITH OBESITY HAVE BEEN UNDERTAKEN. THE POPULATIONS THAT ARE SERVED BY ADDRESSING THESE ISSUES ARE LARGELY THE POOR, THE UNDERSERVED, AND MINORITIES. DETERMINATION OF SPECIFIC POPULATIONS TO ADDRESS OCCURS WHEN PARTNERS SUCH AS THE NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES, LOCAL HEALTH DEPARTMENTS, COUNTY HEALTHY CAROLINIAN TASK FORCES, AND PHYSICIANS IDENTIFY A QUANTIFIABLE NEED, AND COMMUNITY PARTNERS ARE ENGAGED TO WORK TOGETHER WITH THE HEALTH SYSTEM. 2. FUNDING FOR COMMUNITY HEALTH PROGRAMS IS OBTAINED FROM BOTH THE OPERATING FUNDS OF VH ENTITIES AND EXTERNAL GRANT-AWARDING ORGANIZATIONS. THE VH BOARD ANNUALLY PROVIDES FINANCIAL SUPPORT FOR THE COMMUNITY BENEFIT INITIATIVES PROGRAM OF ITS FOUNDATION. THESE FUNDS ARE THEN AWARDED TO COMMUNITY AGENCIES THAT SUCCESSFULLY DEMONSTRATE BOTH NEED AND A WELL-DESIGNED PLAN TO ADDRESS ONE OF THE FOUNDATION'S PRIORITY CATEGORIES. IN ADDITION, EACH VH HOSPITAL FINANCIALLY SUPPORTS COMMUNITY HEALTH RESOURCES WITHIN ITS OPERATING BUDGET. PROGRAMS VARY ACCORDING TO THE HOSPITAL'S FINANCIAL ABILITY AND COMMUNITY NEED, BUT ALL INCLUDE COLLABORATIVE EFFORTS WITH LOCAL HEALTH DEPARTMENTS, INCLUDING HEALTH SCREENINGS AND EDUCATION TO TARGETED POPULATIONS. VH ALSO HAS A SUCCESSFUL TRACK RECORD OF OBTAINING COMMUNITY HEALTH PROGRAM SUPPORT FROM EXTERNAL AGENCIES THAT AWARD GRANT FUNDING TO APPROVED PROJECTS. THE VH GRANTS OFFICE WAS ESTABLISHED IN 2008 AND SERVES AS THE CENTRAL POINT FOR GRANT MINING, ACQUISITION AND MANAGEMENT OF GRANTS AWARDED TO VH HOSPITALS FOR COMMUNITY-BASED PROGRAMS. GRANT FUNDS ARE UTILIZED TO DEMONSTRATE THE EFFECTIVENESS OF A PROPOSED COMMUNITY PROGRAM, MEASURE THE OUTCOMES ACHIEVED, AND GARNER LONG-TERM SUSTAINABILITY FROM EITHER THE HEALTH SYSTEM, OTHER COMMUNITY AGENCIES OR AS A COLLABORATIVE PROGRAM. MANY COMMUNITY HEALTH PROGRAMS ARE COLLABORATIVE IN NATURE WITH LOCAL SERVICE AGENCIES, AND OFTEN A PORTION OF THE GRANT FUNDS ARE USED TO SUPPORT RESOURCES OR SERVICES IN THESE AGENCIES. 3. COMMUNITY HEALTH PRIORITIES ARE DETERMINED IN SEVERAL WAYS. IN PARTNERSHIP WITH THE LOCAL HEALTH DEPARTMENTS, THE RESULTS OF STATE-MANDATED COMMUNITY HEALTH ASSESSMENTS ARE STUDIED BY EACH LOCAL HEALTHY CAROLINIANS TASK FORCE. THOSE TASK FORCE GROUPS THEN COMPILE A LIST OF THE MOST PRESSING ISSUES IN THEIR COMMUNITIES BASED ON DATA COMMUNITY INPUT. BOTH ESTABLISHED RESOURCES WITHIN VARIOUS AGENCIES AND POTENTIAL OPPORTUNITIES TO GARNER NEW SUPPORT ARE REVIEWED. |
| 4. COMMUNITY PRIORITIES ARE ALSO ESTABLISHED IN RESPONSE TO A COMPELLING NEED IDENTIFIED BY HEALTH PRACTITIONERS OR COMMUNITY GROUPS. EXAMPLES INCLUDE THE PEDIATRIC ASTHMA PROGRAM THAT HAS BEEN IN PLACE FOR OVER 10 YEARS IN PITT COUNTY, AND EXPANDED TO OTHER COMMUNITIES IN THE REGION. THIS MAJOR COMMUNITY-BASED PROGRAM WAS ESTABLISHED FOLLOWING A PLEA FOR ASSISTANCE BY PEDIATRICIANS AND PEDIATRIC CLINICAL NURSE SPECIALISTS CARING FOR CHILDREN WITH ASTHMA IN THE ACUTE CARE SETTING. THE PITT COUNTY SCHOOL SYSTEM AND LOCAL PARENTS IDENTIFIED A LACK OF HEALTH CARE SUPPORT IN THE SCHOOLS, RESULTING IN AN AWARD-WINNING SCHOOL NURSE PROGRAM THAT HAS BEEN REPLICATED IN SEVERAL COUNTIES. MOST RECENTLY, THE FOCUSED ATTENTION ON PEDIATRIC OBESITY AND ASSOCIATED DISEASES HAS RESULTED IN MULTIPLE COMMUNITY-BASED PROGRAMS DIRECTED AT IMPROVING NUTRITION, PHYSICAL ACTIVITY, AND CASE MANAGEMENT FOR THAT POPULATION. VH IS FORTUNATE TO HAVE A STRONG COLLABORATIVE PARTNERSHIP WITH EAST CAROLINA UNIVERSITY, AND WORKS CLOSELY WITH THE SCHOOLS WITHIN THE HEALTH SCIENCES DIVISION, ESPECIALLY THE BRODY SCHOOL OF MEDICINE. BSOM IS AN ACTIVE PARTICIPANT IN ALMOST EVERY COMMUNITY HEALTH INITIATIVE, SUPPORTING THE RESEARCH AND EVALUATION OF THESE PROGRAMS, AND CONTRIBUTES TO PROGRAMS FOR THE UNDER AND UNINSURED IN MULTIPLE WAYS. ECU AND OTHER EDUCATIONAL INSTITUTIONS WHOSE STUDENTS MATRICULATE THROUGH VH FACILITIES ALSO PROVIDE OPPORTUNITIES FOR COLLABORATION AND PARTICIPATION IN VARIOUS COMMUNITY HEALTH INITIATIVES. 5. PROVIDED BELOW ARE A FEW HIGHLIGHTS OF THE COMMUNITY BENEFIT AND EDUCATION ACTIVITIES: 5A. COMMUNITY HEALTH IMPROVEMENT SERVICES - COMMUNITY HEALTH IMPROVEMENT SERVICES ARE PROGRAMS AND SERVICES THAT MEET AN IDENTIFIED NEED AND ARE OFFERED TO THE COMMUNITY AT LITTLE OR NO CHARGE. VH HOSPITALS SPONSOR PROGRAMS THAT IMPROVE ACCESS TO HEALTH CARE FOR THE UNDERSERVED AND ENHANCE THE IDENTIFICATION AND MANAGEMENT OF CHRONIC DISEASES, SUCH AS CANCER, DIABETES AND HEART DISEASE. HERE ARE A FEW EXAMPLES OF THESE PROGRAMS: - MEDICATION ASSISTANCE PROGRAMS FOR UNINSURED PATIENTS - THE PEDIATRIC HEALTHY WEIGHT PROGRAM - SUPPORT FOR HEALTH CAROLINIANS COLLABORATIVES, INCLUDING PITT PARTNERS FOR HEALTH, THE HERTFORD PARTNERSHIP FOR HEALTH AND THREE RIVERS HEALTHY CAROLINIANS - SCHOOL NURSE PROGRAMS - SUPPORT FOR THE COMMUNITY CARE PLAN OF EASTERN CAROLINA FOR MEDICAID RECIPIENTS AND HEALTHASSIST FOR THE UNINSURED - SUPPORT OF LOCAL FEDERALLY QUALIFIED HEALTH CENTER 5B. HEALTH PROFESSIONAL EDUCATION - PREPARING FUTURE HEALTH CARE PROFESSIONALS IS IMPORTANT TO US. OUR HOSPITALS PROVIDE CLINICAL SETTINGS FOR STUDENTS OF HEALTH PROFESSIONS, SUCH AS FUTURE PHYSICIANS, NURSES AND OTHER ALLIED HEALTH PROFESSIONALS. WE ALSO SUPPORT STUDENTS THROUGH DEFERRED FORGIVABLE LOANS AND INTERNSHIPS INCLUDING RESIDENT TRAINING, NURSING CLINIC SITES, ALLIED HEALTH PROFESSIONALS, AND FINANCIAL SUPPORT OF NURSING PROGRAMS. 5C. RESEARCH - EAST CAROLINA UNIVERSITY (ECU) CONDUCTS RESEARCH TO EVALUATE NEW TREATMENTS AND PROTOCOLS. THESE STUDIES HELP HEALTH PROFESSIONALS EVERYWHERE PROVIDE QUALITY CARE TO PATIENTS. VH SUPPORTS THIS THROUGH VARIOUS MEANS INCLUDING SUPPORTING THE INSTITUTIONAL REVIEW BOARD AT ECU AND PROVIDING STUDY SITES. 5D. FINANCIAL AND IN-KIND CONTRIBUTIONS - VH DONATES MONEY AND IN-KIND SERVICES TO COMMUNITY GROUPS AND ACTIVITIES THAT SHARE OUR MISSION OF IMPROVING HEALTH. THEY INCLUDE MEALS ON WHEELS, AMERICAN RED CROSS BLOOD DRIVES, MEDICAL SUPPLIES TO EMERGENCY MEDICAL SERVICES, AND FREE MEDICATIONS TO QUALIFYING PATIENTS. VH HOSPITALS ARE KEY PARTNERS IN FUNDRAISING FOR ORGANIZATIONS SUCH AS THE UNITED WAY, AMERICAN HEART ASSOCIATION, JUVENILE DIABETES ASSOCIATION AND THE AMERICAN CANCER SOCIETY. VH CONTRIBUTED $1.0 MILLION TO THE COMMUNITY BENEFITS GRANTS PROGRAM WHICH AWARDS GRANTS TO LOCAL NON-PROFITS FOR HEALTH RELATED PROGRAMS. 5E. COMMUNITY BUILDING - COMMUNITY-BUILDING ACTIVITIES INCLUDE PROGRAMS THAT ARE NOT DIRECTLY RELATED TO HEALTH CARE BUT ADDRESS UNDERLYING ISSUES THAT IMPACT THE HEALTH OF COMMUNITIES. POVERTY, CRIME, HOMELESSNESS, WORKFORCE DEVELOPMENT AND ECONOMIC DEVELOPMENT ALL AFFECT THE OVERALL HEALTH OF COMMUNITIES. VH HAS PROVIDED SUPPORT FOR OUR LOCAL CHAMBERS OF COMMERCE, FINANCIAL SUPPORT FOR ROAD IMPROVEMENTS, INVESTMENTS IN COMMUNICATION INFRASTRUCTURE VIA INFORMATION TECHNOLOGY CONNECTIONS, SUPPORT FOR THE TEEN LEADERSHIP ACADEMY, RECRUITMENT OF PHYSICIANS TO OUR RURAL COMMUNITIES, AND PROGRAMS THAT ENCOURAGE STUDENTS TO PURSUE HEALTH CAREERS. | ||
| FORM 990, PART VI, SECTION B, LINE 11 | THE 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 12C | ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE A 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 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 VIDANT HEALTH BOARD USING COMPARATIVE DATA FROM LIKE ORGANIZATIONS AND INPUT FROM CONSULTANTS. THIS PROCESS IS PERFORMED EVERY THREE YEARS, THE LAST YEAR BEING 2010. IT WILL BE PERFORMED AGAIN IN 2013. | |
| 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. | |
| FORM 990, PART VII, SECTION B, LINE 1: | COMBINED FORMS 1099 WERE ISSUED BY VIDANT HEALTH TO THE INDEPENDENT CONTRACTORS IN THE FOLLOWING AMOUNTS: $7,496,197 TO PITT COUNTY ANESTHESIA; $2,474,497 TO AMN HEALTHCARE. THE REPORTED COMPENSATION ON PART VII INCLUDES ONLY THOSE AMOUNTS PAID DIRECTLY BY PITT COUNTY MEMORIAL HOSPITAL, INC (D/B/A VIDANT MEDICAL CENTER). | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 5: | NET UNREALIZED GAINS ON INVESTMENTS: 1,808,899. CAPITAL CONTRIBUTION AND TRANSFERS TO AFFILIATES, NET 16,534,322. TOTAL TO FORM 990, PART XI, LINE 5: 18,343,221. |
| FORM 990, PART XII, LINE 2C: | NO CHANGE IN METHOD FROM PRIOR YEAR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| UHSEC (DBA VIDANT HEALTH) | ||||||||||
| 2100 STANTONSBURG ROAD | GREENVILLE | NC | 27835 | 562141073 | HEALTHCARE | NC | 501(C)(3) | 509(A)(3) | N/A | 0 |
| EAST CAROLINA HEALTH INC (DBA VIDANT COMM HOSPITALS GROUP) | ||||||||||
| 2100 STANTONSBURG ROAD | GREENVILLE | NC | 27835 | 911997979 | HEALTHCARE | NC | 501(C)(3) | 509(A)(3) | N/A | 0 |
| EAST CAROLINA HEALTH INC (DBA VIDANT COMM HOSPITALS ADMIN) | ||||||||||
| 2100 STANTONSBURG ROAD | GREENVILLE | NC | 27835 | 562003393 | HEALTHCARE | NC | 501(C)(3) | 509(A)(3) | N/A | 0 |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SURGICENTER OF EASTERN CAROLINA LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2100 STANTONSBURG ROAD | AddressLine1 |
| City | GREENVILLE | City |
| State | NC | State |
| ZIP Code | 27835 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 262558314 | EIN |
| Primary Activity | AMBULATORY SURGICAL CENTER | PrimaryActivity |
| Legal Domicile State | NC | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Predominant Income Type | RELATED | PredominantIncomeType |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 1 | GeneralOrManagingPartner |
| Percentage Ownership | 0.55000 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (23 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| UHSEC (DBA VIDANT HEALTH) | ||
| A | 12281753 | INTERCOMPANY INVOICE |
| UHSEC (DBA VIDANT HEALTH) | ||
| L | 69769288 | INTERCOMPANY INVOICE |
| SURGICENTER OF EASTERN CAROLINA (DBA VIDANT SURGICENTER) | ||
| N | 6993660 | INTERCOMPANY INVOICE |
| SURGICENTER OF EASTERN CAROLINA (DBA VIDANT SURGICENTER) | ||
| B | 8030000 | ACTUAL CASH PAYMENT |
| VIDANT COMMUNITY HOSPITALS GROUP | ||
| P | 4969269 | INTERCOMPANY INVOICE |
| VIDANT COMMUNITY HOSPITALS GROUP | ||
| P | 4022134 | INTERCOMPANY INVOICE |
| VIDANT COMMUNITY HOSPITALS GROUP | ||
| P | 1327246 | INTERCOMPANY INVOICE |
| VIDANT COMMUNITY HOSPITALS GROUP | ||
| P | 6184367 | INTERCOMPANY INVOICE |
| SURGICENTER OF EASTERN CAROLINA (DBA VIDANT SURGICENTER) | ||
| P | 13163 | INTERCOMPANY INVOICE |
| VIDANT COMMUNITY HOSPITALS GROUP | ||
| P | 3455206 | INTERCOMPANY INVOICE |
| VIDANT COMMUNITY HOSPITALS GROUP | ||
| P | 3658723 | INTERCOMPANY INVOICE |
| VIDANT COMMUNITY HOSPITALS GROUP | ||
| P | 957576 | INTERCOMPANY INVOICE |
| VIDANT COMMUNITY HOSPITALS GROUP | ||
| P | 1713 | INTERCOMPANY INVOICE |
| UHSEC (DBA VIDANT HEALTH) | ||
| P | 121574 | INTERCOMPANY INVOICE |
| UHSEC (DBA VIDANT HEALTH) | ||
| O | 8175810 | INTERCOMPANY INVOICE |
| SURGICENTER OF EASTERN CAROLINA (DBA VIDANT SURGICENTER) | ||
| K | 262055 | INTERCOMPANY INVOICE |
| VIDANT COMMUNITY HOSPITALS GROUP | ||
| K | 143653 | INTERCOMPANY INVOICE |
| VIDANT COMMUNITY HOSPITALS GROUP | ||
| K | 515810 | INTERCOMPANY INVOICE |
| VIDANT COMMUNITY HOSPITALS GROUP | ||
| K | 428608 | INTERCOMPANY INVOICE |
| VIDANT COMMUNITY HOSPITALS GROUP | ||
| K | 239086 | INTERCOMPANY INVOICE |
| VIDANT COMMUNITY HOSPITALS GROUP | ||
| K | 71482 | INTERCOMPANY INVOICE |
| UHSEC (DBA VIDANT HEALTH) | ||
| K | 123797 | INTERCOMPANY INVOICE |
| VIDANT COMMUNITY HOSPITALS GROUP | ||
| N | 129168 | INTERCOMPANY INVOICE |
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