EAST CAROLINA HEALTH: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- EAST CAROLINA HEALTH (EIN 56-6011594)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-05-11
- IRS object ID
- 201111319349300911
- Schema version
- 2009v1.7
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-11T07:11:14-05:00 | Timestamp |
| Tax Period End Date | 2010-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LarsonAllen 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 | 2009-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 566011594 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Duplin General Hospital Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | DUPL | NameControl |
| Phone | 9102960941 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 NORTH MAIN STREET | AddressLine1 |
| City | kenansville | City |
| State | NC | State |
| ZIP Code | 28349 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | susan davis | Name |
| Title | ceo | Title |
| Phone | 9102960941 | Phone |
| Date Signed | 2011-05-10 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7049985200 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | susan davis | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 NORTH MAIN STREET | AddressLine1 |
| City | kenansville | City |
| State | NC | State |
| ZIP Code | 28349 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 32416354 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | www.uhseast.com/duplin | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1955 | YearFormation |
| State Legal Domicile | NC | StateLegalDomicile |
| Activity Or Mission Description | To enhance the quality of life for the people and communities we serve, touch and support. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 10 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 493 | TotalNbrEmployees |
| Total Nbr Volunteers | 13 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 521203 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 316689 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 29756597 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 31843976 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 116520 | InvestmentIncomePriorYear |
| Investment Income Current Year | 83760 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 515706 | OtherRevenuePriorYear |
| Other Revenue Current Year | 171929 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 30910026 | TotalRevenuePriorYear |
| Total Revenue Current Year | 32416354 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 18750 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 21181598 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 21244840 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 11132554 | OtherExpensePriorYear |
| Other Expenses Current Year | 11697661 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 32332902 | TotalExpensesPriorYear |
| Total Expenses Current Year | 32942501 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1422876 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -526147 | RevenuesLessExpensesCY |
| Total Assets BOY | 27945402 | TotalAssetsBOY |
| Total Assets EOY | 25022132 | TotalAssetsEOY |
| Total Liabilities BOY | 6883391 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 6339869 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 21062011 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 18682263 | NetAssetsOrFundBalancesEOY |
| Mission Description | To enhance the quality of life for the people and communities we serve, touch and support. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 27597720 | Expense |
| Revenue | 31843976 | Revenue |
| Description | hospital servicesThe organization provides the best possible comprehensive primary and secondary care, including inpatient, outpatient, and emergency care with referral of very specialized secondary and tertiary care to other health care providers. During fiscal year 2010, the organization admitted 3,765 patients for a total of 15,663 inpatient days of care, including newborn nursery days and admissions. The organization provided care for 51,487 outpatient vists, including emergency department visits. The organization provides a significant amount of charity care to members of the surrounding community and expects to continue and to improve its charity program in the coming years. | Description |
| Total Program Service Expense | 27597720 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| 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 |
| Grants To Organizations | 0 | 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 | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | 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 | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 14 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 493 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| 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 |
| Nbr Voting Governing Body Members | 10 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | 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 | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NC | StatesWhereCopyOfReturnIsFiled |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lucinda Maready | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9102960941 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 NORTH MAIN STREET | AddressLine1 |
| City | kenansville | City |
| State | NC | State |
| ZIP Code | 28349 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (17 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| Willie Gillespie | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| James A Jackson | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Glenn Jernigan | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| C Daniel Pate Jr MD | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Murray Roberts | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Kenneth L Smith | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Franklin Williams | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| EARL BRINKLEY | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| thomasine kennedy | |||||||
| board Member | 1.00 | X | 0 | 0 | 0 | ||
| wendy murphy | |||||||
| board Member | 1.00 | X | 0 | 0 | 0 | ||
| harvey case | |||||||
| president | 40.00 | 0 | 217956 | 81747 | X | ||
| rebecca ross | |||||||
| vp of patient care service | 40.00 | 0 | 133363 | 50655 | X | ||
| lucinda maready | |||||||
| vp of financial services | 40.00 | 0 | 123387 | 46884 | X | ||
| TAMMI ROOS | |||||||
| ANESTHISIOLOGIST | 40.00 | 330374 | 0 | 0 | X | ||
| CLARENCE H WAGONER | |||||||
| CRNA | 40.00 | 184312 | 0 | 0 | X | ||
| TERRENCE KRISS | |||||||
| CRNA | 40.00 | 176444 | 0 | 0 | X | ||
| ABAYOMI ADEDIRAN | |||||||
| HOSPITALIST | 40.00 | 163756 | 0 | 0 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 854886 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 474706 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 179286 | TotalOtherCompensation |
| Number Individuals GT100 K | 4 | 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 |
|---|---|---|---|---|---|
| CARDINAL HEALTH GREENSBORO | |||||
| PO BOX 402603 | ATLANTA | GA | 303842603 | PHARMACY SUPPLIES | 993454 |
| university health systems of eastern car | |||||
| 2100 Stantonsburg Road | greenville | NC | 27835 | management services | 908552 |
| ALLIANCE HEALTHCARE SERVICES | |||||
| PO BOX 96485 | CHICAGO | IL | 606936485 | IMAGING SERVICES | 696690 |
| HORIZON MENTAL HEALTH MANAGEMENT | |||||
| PO BOX 840839 | DALLAS | TX | 752840839 | MANAGEMENT INPATIENT PSYCHIATRIC SERVICE | 681320 |
| WELLS FARGO INSURANCE SERVICES | |||||
| PO BOX 535106 | ATLANTA | GA | 303535106 | INSURANCE SERVICES | 604645 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Government Grants | 133655 | GovernmentGrants |
| All Other Contributions | 183034 | AllOtherContributions |
| Total Contributions | 316689 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | net patient revenue | Description |
| Business Code | 621400 | BusinessCode |
| Total Revenue Column | 31725582 | TotalRevenueColumn |
| Related Or Exempt Function Income | 31725582 | RelatedOrExemptFunctionIncome |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 118394 | TotalRevenueColumn |
| Related Or Exempt Function Income | 118394 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 31843976 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 83760 | TotalRevenueColumn |
| Exclusion | $83,760 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 171929 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 171929 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 171929 | TotalRevenueColumn |
| Exclusion | $171,929 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 32416354 | TotalRevenueColumn |
| Related Or Exempt Function Income | 31843976 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $255,689 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17113065 | Total |
| Program Services | 15602072 | ProgramServices |
| Management And General | 1510993 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 607833 | Total |
| Program Services | 547050 | ProgramServices |
| Management And General | 60783 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2476188 | Total |
| Program Services | 2228570 | ProgramServices |
| Management And General | 247618 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1047754 | Total |
| Program Services | 942979 | ProgramServices |
| Management And General | 104775 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 166051 | Total |
| Management And General | 166051 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 107110 | Total |
| Management And General | 107110 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2825510 | Total |
| Program Services | 1807376 | ProgramServices |
| Management And General | 1018134 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 88044 | Total |
| Program Services | 27637 | ProgramServices |
| Management And General | 60407 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 234396 | Total |
| Program Services | 7939 | ProgramServices |
| Management And General | 226457 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4500 | Total |
| Program Services | 4500 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 609780 | Total |
| Program Services | 609780 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 110058 | Total |
| Program Services | 74442 | ProgramServices |
| Management And General | 35616 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1391763 | Total |
| Program Services | 1391763 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 718452 | Total |
| Management And General | 718452 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Program Supplies | 3578390 | 3578390 | |
| Program Leases | 537496 | 537496 | |
| Collection and Billing | 230465 | 230465 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1095646 | Total |
| Program Services | 237726 | ProgramServices |
| Management And General | 857920 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32942501 | Total |
| Program Services | 27597720 | ProgramServices |
| Management And General | 5344781 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1675 | BOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5621267 | BOY |
| EOY | 4602036 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4470507 | BOY |
| EOY | 4309311 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 689824 | BOY |
| EOY | 736939 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 242800 | BOY |
| EOY | 285358 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 30729865 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 20193007 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10877437 | BOY |
| EOY | 10536858 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6041892 | BOY |
| EOY | 4551630 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27945402 | BOY |
| EOY | 25022132 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4041424 | BOY |
| EOY | 4051405 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1550532 | BOY |
| EOY | 70649 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1291435 | BOY |
| EOY | 2217815 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6883391 | BOY |
| EOY | 6339869 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21062011 | BOY |
| EOY | 18682263 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21062011 | BOY |
| EOY | 18682263 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27945402 | BOY |
| EOY | 25022132 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 28302 | OtherCostOrOtherBasis |
| Book Value | 28302 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 15229945 | OtherCostOrOtherBasis |
| Depreciation | 8270352 | Depreciation |
| Book Value | 6959593 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 15471618 | OtherCostOrOtherBasis |
| Depreciation | 11922655 | Depreciation |
| Book Value | 3548963 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 10536858 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| other assets | 106566 |
| Other Receivables | 234562 |
| Prepaid pension liability | 3906215 |
| restricted assets | 70649 |
| Investment in JV | 233638 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 4551630 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Third-Party Settlements | Description |
| Amount | $2,217,815 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 2217815 | TotalOfAmounts |
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 | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 436570 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 436570 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01330 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 24571 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 24571 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 106890 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 106890 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00320 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 568031 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 568031 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01720 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 568031 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 568031 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01720 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 1612 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1612 | 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 | 12 | PersonsServed |
| Total Community Building Expense | 865 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 865 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 74 | PersonsServed |
| Total Community Building Expense | 10019 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 10019 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 4 | NumberOfActivitiesOrPrograms |
| Persons Served | 86 | PersonsServed |
| Total Community Building Expense | 12496 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 12496 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense | $14,643,024 | BadDebtExpenseAmount |
| Amount Attributable To | 618940 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 32103122 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 28272102 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 3831020 | 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 (2 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership |
|---|---|
| university health systems of eastern carolina inc | |
| management company | |
| dgh-ech partnership llc | |
| physician practice | 0.50000 |
Form990 Schedule H Part V Form990ScheduleHPartV
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | duplin general hospital inc | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 north main street | AddressLine1 |
| City | kenansville | City |
| State | NC | State |
| ZIP Code | 28349 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Income Based Criteria | Part I, Line 3c: To be eligible for the charity care adjustment, a patient's income must not exceed 200% of the most current Poverty Income Guidelines issued by the Department of Health and Human Services. If income is greater that 120% of the poverty income guidelines not to exceed 200%, then the patient may be eligible for an adjustment based on a sliding scale (see Table 1 and Table 11), which are updated annually. If a household has a net worth (assets minus liabilities) of $25,000 or more, they are ineligible for charity care. | IncomeBasedCriteria |
| Annual Community Benefit Expln | Part I, Line 6a: Separate report and also included in UHS's report. | AnnualCommunityBenefitExpln |
| Costing Method Used | Part I, Line 7: Actual Cost | CostingMethodUsed |
| Subsidized Health Services Expln | Part I, Line 7g: None | SubsidizedHealthServicesExpln |
| Debt Collection Policy | Part III, Line 9b: An account balance remaining after a patient has exhausted all efforts to obtain coverage from other programs will be eligible for charity care; however, a patient must make a good faith effort to obtain coverage from available public assistance programs (i.e., Medicaid, Vocational Rehabilitation, etc.), and provide documentation of application denial, and the reason for denial. A patient who refuses to apply or follow through with applications for other assistance will not be eligible for charity care. | DebtCollectionPolicy |
| Needs Assessment | Part VI, Line 2: The hospital assesses the health care needs of the communities it serves by utilizing the Community Needs Assessment obtained by the Duplin County Health Department. The Community Services Coordinator also attends meetings of the Duplin Partners for Health, the Duplin Partnership for Children, the Health Advisory Committee at the Board of Education (D.A.I.S.Y), and the National Children's Study advisory board meetings. Information sharing occurs at these meetings which helps the hospital prioritize initiatives and participate in projects to meet the needs of community members. By being involved with other committees in the community, joint efforts can be made to help improved the health of our citizens. Frequently, support for grants are obtained from coordinating facilities so that additional resources are obtained for our citizens. | NeedsAssessment |
| Patient Education Assistance | Part VI, Line 3: Health screenings and educational programs are provided to help educate the community on prevention of chronic diseases and management of acute diseases. | PatientEducationAssistance |
| Community Information | Part VI, Line 4: Duplin County is the 9th largest county in the state in land area, 819 square miles. The 2000 population was 49,063. There are 10 incorporated towns in the county: Calypso, Faison, Warsaw, Kenansville, Magnolia, Rose Hill, Teachey, Wallace, Greenevers and Beulaville. The county is served by Interstate 40, U.S. Highway 117, NC Highways 11, 24, 50, 403 and 903. Rail service is available through CSX Rail service and the Duplin County Airport provides a 6,001-foot paved, lighted runway. | CommunityInformation |
| Community Building Activities | Part VI, Line 5: Community outreach education program; community screenings by employee health nurse. | CommunityBuildingActivities |
| Affiliated Health Care System | Part VI, Line 7: As of 9/30/10 affiliated with UHS. UHS assists DGH in community outreach & promotions. | AffiliatedHealthCareSystem |
| Reports Filed With States | NC | ReportsFiledWithStates |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | X | WrittenEmploymentContract |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | 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 | 1 | 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 (7 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| harvey case | |||||||||||||
| 0 | 188662 | 0 | 26246 | 0 | 3048 | 0 | 76132 | 0 | 5615 | 0 | 299703 | 0 | 0 |
| rebecca ross | |||||||||||||
| 0 | 122947 | 0 | 8444 | 0 | 1972 | 0 | 46049 | 0 | 4606 | 0 | 184018 | 0 | 0 |
| lucinda maready | |||||||||||||
| 0 | 116697 | 0 | 6690 | 0 | 0 | 0 | 43576 | 0 | 3308 | 0 | 170271 | 0 | 0 |
| TAMMI ROOS | |||||||||||||
| 330374 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 330374 | 0 | 0 | 0 |
| CLARENCE H WAGONER | |||||||||||||
| 184312 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 184312 | 0 | 0 | 0 |
| TERRENCE KRISS | |||||||||||||
| 176444 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 176444 | 0 | 0 | 0 |
| ABAYOMI ADEDIRAN | |||||||||||||
| 163756 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 163756 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | Part I, Line 6 | ReturnReference |
| Explanation | bonuses were awarded contingent upon the hospital's net income. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990, Part VI, Section A, line 2 | Earl Brinkley, board member, and C. Daniel Pate, Jr., board member, have a family relationship. |
| Form 990, Part VI, Section A, line 3 | Effective January 1, 2007, the Hospital and University Health Systems of Eastern Carolina, INc. ("UHS") entered into a management service agreement for a period of five years. Under this agreement, UHS provides the Hospital the servies of certain key management personnel, including the Hospital Administrator, Chief Financial Officer, Chief nursing officer, and such other high level management personnel as the hospital and UHS may agree to in writing. UHS will be reimbursed for its direct expenses, including the salaries and benefits of the key employees. under the terms of the agreement, uhs has a responsibility to effectively manage the operations of the hospital in conjunction with the hospital's senior management under the overall direction and control of the hospital's board of directors. |
| Form 990, Part VI, Section B, line 11 | A copy of the draft is emailed to all board members. The CFO reviews the return prior to filing. |
| Form 990, Part VI, Section B, line 12c | The conflict of interest policy is reviewed in depth with all new employees upon their date of hire. Additionally, the policy is reviewed in departmental meetings, as appropriately on a regular and consistent basis throughout the year. |
| Form 990, Part VI, Section B, line 15 | Compensation of top management and key employees are determined through a comparison of salaries in the industry. This process was last performed in 2008. |
| Form 990, Part VI, Section C, line 18 | The organization does not make these documents available to the public. |
| Form 990, Part VI, Section C, line 19 | The organization does not make these documents available to the public. |
| Form 990, part xi, line 2c: | This process has not changed from the prior year. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 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 |
|---|---|---|---|---|---|---|---|---|---|
| duplin general hospital foundation inc | |||||||||
| 401 north main street | kenansville | NC | 28349 | 561380174 | fundraising | NC | 501(c)(3) | 170(b)(1)(A)(vi) | N/A |
| university health systems of eastern carolina inc | |||||||||
| 2100 Stantonsburg Road | Greenville | NC | 27835 | 562141073 | healthcare | NC | 501(c)(3) | 509(a)(3) | N/A |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | 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 | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| university health systems of eastern carolina inc | |
| L | 1054679 |
| university health systems of eastern carolina inc | |
| O | 1054679 |
| DUPLIN GENERAL HOSPITAL FOUNDATION | |
| B | 1854659 |
| university health systems of eastern carolina inc - UHSP | |
| O | 72037 |
| university health systems of eastern carolina inc - Pitt Professional | |
| O | 195951 |