THE OUTER BANK HOSPITAL INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- THE OUTER BANK HOSPITAL INC (EIN 56-2112733)
- Tax period
- 2020-10-01 to 2021-09-30
- Filed
- 2022-06-27
- IRS object ID
- 202201789349300705
- Schema version
- 2020v4.2
- 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 O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-06-27T09:24:17-05:00 | ReturnTs |
| Tax Period End | 2021-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 440160260 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FORVIS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 Ridgefield Court | AddressLine1Txt |
| City | Asheville | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28806 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 562112733 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Outer Banks Hospital Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | OUTE | BusinessNameControlTxt |
| Phone | 2528475129 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2100 Stantonsburg Road | AddressLine1Txt |
| City | Greenville | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27835 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Ronald Sloan | PersonNm |
| Person Title | President | PersonTitleTxt |
| Phone | 2528475129 | PhoneNum |
| Signature | 2022-06-27 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Ronald | PersonFirstNm |
| Person Last | Sloan | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Amy Bibby | PreparerPersonNm |
| PTIN | P00445891 | PTIN |
| Phone | 8282542254 | PhoneNum |
| Preparation | 2022-06-27 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Ronald Sloan | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2100 Stantonsburg Road | AddressLine1Txt |
| City | Greenville | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27835 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $117,236,071 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www. theouterbankshospital.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2002 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | To advance and support the healthcare needs of the communities of eastern North Carolina. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 50 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $228,734 | PYContributionsGrantsAmt |
| CY Contributions Grants | $476,921 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $101,168,895 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $114,867,863 | CYProgramServiceRevenueAmt |
| PY Investment Income | $364,175 | PYInvestmentIncomeAmt |
| CY Investment Income | $341,483 | CYInvestmentIncomeAmt |
| PY Other Revenue | $841,945 | PYOtherRevenueAmt |
| CY Other Revenue | $1,549,804 | CYOtherRevenueAmt |
| PY Total Revenue | $102,603,749 | PYTotalRevenueAmt |
| CY Total Revenue | $117,236,071 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $41,658 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $226,429 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $39,963,405 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $43,573,268 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $48,937,018 | PYOtherExpensesAmt |
| CY Other Expenses | $56,496,253 | CYOtherExpensesAmt |
| PY Total Expenses | $88,942,081 | PYTotalExpensesAmt |
| CY Total Expenses | $100,295,950 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $13,661,668 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $16,940,121 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $99,697,274 | TotalAssetsBOYAmt |
| Total Assets EOY | $114,163,426 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $12,473,058 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $14,999,088 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $87,224,216 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $99,164,338 | NetAssetsOrFundBalancesEOYAmt |
| Mission | To enhance the quality of life for the residents and visitors of Dare County and the surrounding region by promoting wellness and providing the highest quality healthcare services. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $88,685,384 | ExpenseAmt |
| Grant | $226,429 | GrantAmt |
| Revenue | $102,118,062 | RevenueAmt |
| Desc | Outpatient and emergency services;Provided emergency services to 19,408 patients 24 hours a day for 365 days. Provided outpatient diagnostic and therapeutic services to 30,243 patients. Performed 2,375 outpatient surgical procedures. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Revenue | $12,749,801 | RevenueAmt |
| Desc | Inpatient Services:Provided inpatient care 24 hours a day for 365 days to 1,367 patients. Delivered 298 babies. Performed 236 inpatient surgical procedures. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $88,685,384 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Chris Townsend | PersonNm |
| Phone | 2528470848 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2100 Stantonsburg Road | AddressLine1Txt |
| City | Greenville | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27834 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Robert Tull | |||||||||
| Chairman (Beg 4/21) | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Christine Petzing MD | |||||||||
| Chairman (Thru 4/21) | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Tess Judge | |||||||||
| Vice Chair (Beg 4/21) | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Stuart Bell | |||||||||
| Board Member | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Myra Bowen | |||||||||
| Board Member (Beg 6/21) | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Jay Briley | |||||||||
| Board Member | 2.00 | Yes (X) | $0 | $349,800 | $136,287 | 44.00 | |||
| Pete Burkhimer | |||||||||
| Board Member (Beg 6/21) | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Susan Fearing | |||||||||
| Board Member (Thru 3/21) | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Jamie Fountain MD | |||||||||
| Board Member | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Reese Jackson | |||||||||
| Board Member | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Art Keeney III | |||||||||
| Board Member (Thru 3/21) | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Myra Ladd-Bone | |||||||||
| Board Member | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Cindy Thornsvard | |||||||||
| Board Member (Beg 6/21) | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Ronnie Sloan | |||||||||
| President | 40.00 | $239,701 | $0 | $95,607 | Yes (X) | ||||
| Todd Warlitner | |||||||||
| VP Finance-Critical Access Hospitals | 16.00 | $64,435 | $96,652 | $51,834 | 24.00 | Yes (X) | |||
| Marcella Bryant | |||||||||
| VP, Clinical Operations | 40.00 | $155,032 | $0 | $49,134 | Yes (X) | ||||
| Gary Hunter | |||||||||
| Anesthesiologist | 40.00 | $554,844 | $0 | $44,287 | Yes (X) | ||||
| Christopher Mann | |||||||||
| Physician | 40.00 | $630,805 | $0 | $45,245 | Yes (X) | ||||
| Matthew McKenna | |||||||||
| Physician | 40.00 | $577,219 | $0 | $46,237 | Yes (X) | ||||
| Jeffrey Chase | |||||||||
| Physician | 40.00 | $511,837 | $0 | $41,673 | Yes (X) | ||||
| Charles Shelton | |||||||||
| Physician | 40.00 | $478,606 | $0 | $45,245 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,212,479 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $446,452 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $555,549 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 67 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Chesapeake Regional Medical Group | |||||
| 667 Kingsborough Square Suite 101 | Chesapeake | VA | 23320 | Physician | $658,171 |
| Eastern Carolina Cardiology | |||||
| 1134 N RD Street Bldg 9 | Elizabeth City | NC | 27909 | Physician | $507,081 |
| Weatherby Locums | |||||
| PO Box 972633 | Dallas | TX | 75397 | Supplier - Locums | $407,543 |
| Sodexo Inc & Affiliates | |||||
| PO Box 905374 | Charlotte | NC | 28290 | Contracted Labor & Management | $366,845 |
| AMN Healthcare Inc | |||||
| PO Box 70870 | St Paul | MN | 55170 | Temporary Labor Services | $308,553 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 15 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $95,000 | RelatedOrganizationsAmt |
| All Other Contributions | $381,921 | AllOtherContributionsAmt |
| Total Contributions | $476,921 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Outpatient Services | 621110 | $102,118,062 | $102,118,062 |
| Inpatient Services | 621110 | $12,749,801 | $12,749,801 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $114,867,863 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $221,483 | TotalRevenueColumnAmt |
| Exclusion | $221,483 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $94,419 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $94,419 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $94,419 | TotalRevenueColumnAmt |
| Exclusion | $94,419 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $120,000 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $120,000 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $120,000 | TotalRevenueColumnAmt |
| Exclusion | $120,000 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| Other Revenue | 900099 | $1,114,781 | $1,114,781 |
| Rebates | 900099 | $178,681 | $178,681 |
| Cafeteria Meals | 722514 | $125,983 | $125,983 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $35,940 | TotalRevenueColumnAmt |
| Exclusion | $35,940 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,455,385 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $117,236,071 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $114,867,863 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,891,287 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $226,429 | TotalAmt |
| Program Services | $226,429 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $459,168 | TotalAmt |
| Management And General | $459,168 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,498,314 | TotalAmt |
| Program Services | $35,109,607 | ProgramServicesAmt |
| Management And General | $1,388,707 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $681,902 | TotalAmt |
| Program Services | $647,807 | ProgramServicesAmt |
| Management And General | $34,095 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,542,373 | TotalAmt |
| Program Services | $3,365,254 | ProgramServicesAmt |
| Management And General | $177,119 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,391,511 | TotalAmt |
| Program Services | $2,271,935 | ProgramServicesAmt |
| Management And General | $119,576 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,990 | TotalAmt |
| Program Services | $41,592 | ProgramServicesAmt |
| Management And General | $10,398 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,624 | TotalAmt |
| Management And General | $33,624 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,500 | TotalAmt |
| Management And General | $36,500 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,818,301 | TotalAmt |
| Program Services | $16,654,641 | ProgramServicesAmt |
| Management And General | $4,163,660 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $228,824 | TotalAmt |
| Program Services | $183,059 | ProgramServicesAmt |
| Management And General | $45,765 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $259,093 | TotalAmt |
| Program Services | $233,184 | ProgramServicesAmt |
| Management And General | $25,909 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,521 | TotalAmt |
| Program Services | $7,504 | ProgramServicesAmt |
| Management And General | $30,017 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,025,229 | TotalAmt |
| Program Services | $1,620,183 | ProgramServicesAmt |
| Management And General | $405,046 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,216 | TotalAmt |
| Program Services | $75,373 | ProgramServicesAmt |
| Management And General | $18,843 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $427 | TotalAmt |
| Management And General | $427 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,950,830 | TotalAmt |
| Program Services | $2,950,830 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $569,637 | TotalAmt |
| Program Services | $113,927 | ProgramServicesAmt |
| Management And General | $455,710 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $20,065,031 | $16,052,025 | $4,013,006 |
| Bad Debt | $8,360,046 | $8,360,046 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $964,984 | TotalAmt |
| Program Services | $771,988 | ProgramServicesAmt |
| Management And General | $192,996 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,295,950 | TotalAmt |
| Program Services | $88,685,384 | ProgramServicesAmt |
| Management And General | $11,610,566 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,402,335 | BOYAmt |
| EOY | $15,785,034 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,735,628 | BOYAmt |
| EOY | $19,534,729 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,737,832 | BOYAmt |
| EOY | $1,923,773 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $296,015 | BOYAmt |
| EOY | $337,511 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $78,863,486 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $48,144,933 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,143,183 | BOYAmt |
| EOY | $30,718,553 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,670,775 | BOYAmt |
| EOY | $42,716,290 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,711,506 | BOYAmt |
| EOY | $3,147,536 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $99,697,274 | BOYAmt |
| EOY | $114,163,426 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,822,941 | BOYAmt |
| EOY | $11,949,881 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,400,000 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,250,117 | BOYAmt |
| EOY | $3,049,207 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,473,058 | BOYAmt |
| EOY | $14,999,088 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $87,224,216 | BOYAmt |
| EOY | $99,164,338 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $87,224,216 | BOYAmt |
| EOY | $99,164,338 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $99,697,274 | BOYAmt |
| EOY | $114,163,426 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $16,940,121 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$5,000,000 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $3,193 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $3,193 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | 17.59% of dues to NCHA are allocated to lobbying. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,977,303 | OtherCostOrOtherBasisAmt |
| Book Value | $4,977,303 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $47,483,578 | OtherCostOrOtherBasisAmt |
| Depreciation | $31,147,646 | DepreciationAmt |
| Book Value | $16,335,932 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $464,435 | OtherCostOrOtherBasisAmt |
| Depreciation | $304,654 | DepreciationAmt |
| Book Value | $159,781 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $25,447,378 | OtherCostOrOtherBasisAmt |
| Depreciation | $16,692,633 | DepreciationAmt |
| Book Value | $8,754,745 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $490,792 | OtherCostOrOtherBasisAmt |
| Book Value | $490,792 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $30,718,553 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Reserve for Professional Liability | $217,000 |
| Due to Third Party Payors | $2,832,207 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,049,207 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $108,876,025 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $108,876,025 | RevenueSubtotalAmt |
| Other Revenues Not Included | $8,360,046 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $8,360,046 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $117,236,071 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $91,935,903 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $91,935,903 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $8,360,046 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $8,360,046 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $100,295,949 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part X, Line 2: | The Outer Banks Hospital, Inc. has been determined to qualify as a tax-exempt organization under Section 501(c)(3) of the Internal Revenue Code. The Outer Banks Hospital, Inc. has reviewed its tax positions for all open years and has concluded that no material liabilities exist as of September 30, 2021 and 2020. The Outer Banks Hospital, Inc. files tax returns with the U.S. federal and State of North Carolina jurisdictions. With few exceptions, The Outer Banks Hospital, Inc. is no longer subject to U.S. federal examinations by tax authorities for years before 2018. |
| Part XI, Line 4b - Other Adjustments: | Bad Debt 8,360,046. |
| Part XII, Line 4b - Other Adjustments: | Bad Debt 8,360,046. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,563,712 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,563,712 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01560 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,808,218 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,792,548 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,670 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,371,930 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,792,548 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,579,382 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01580 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 12 | ActivitiesOrProgramsCnt |
| Persons Served | 1471 | PersonsServedCnt |
| Total Community Benefit Expns | $417,616 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $417,616 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00420 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 39 | PersonsServedCnt |
| Total Community Benefit Expns | $98,483 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $98,483 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Persons Served | 33374 | PersonsServedCnt |
| Total Community Benefit Expns | $283,457 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $283,457 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00280 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 20 | ActivitiesOrProgramsCnt |
| Persons Served | 34884 | PersonsServedCnt |
| Total Community Benefit Expns | $799,556 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $799,556 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00800 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 20 | ActivitiesOrProgramsCnt |
| Persons Served | 34884 | PersonsServedCnt |
| Total Community Benefit Expns | $7,171,486 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,792,548 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,378,938 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02380 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $64,233 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $64,233 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $21,429 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $21,429 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $5,002 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,002 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $90,664 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $90,664 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,956,135 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $21,242,437 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $22,698,946 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,456,509 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Outer Banks Hospital Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4800 South Croatan Highway | AddressLine1Txt |
| City | Nags Head | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27959 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Outer Banks Hospital Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V DISCLOSURE | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 18 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V DISCLOSURE | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V DISCLOSURE | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V DISCLOSURE | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V DISCLOSURE | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| The Outer Banks Hospital, Inc. | Part V, Section B, Line 5: The CHNA document is the culmination of a partnership between the Dare County Department of Public Health (DCDPH) and The Outer Banks Hospital (TOBH). These partners include schools, health-focused not-for-profits, community health initiatives, local chamber of commerce representatives, and other agencies dedicated to promoting the well-being of their communities.These partners represent a wide range of diverse constituencies including children, seniors, and underserved populations. The information created through this collaborative effort is then used to determine areas of health needs focus for the individual entities and also for creating partnerships to address needs where possible. |
| The Outer Banks Hospital, Inc. | Part V, Section B, Line 6b: The members of local coalitions are representatives of the agencies and organizations that serve the health and human service needs of the local population, as well as representatives from businesses, communities offaith, schools and civic groups. In Dare County, the local Healthy Carolinians coalition is Healthy Carolinians of the Outer Banks (HCOB). The Community Health Needs Assessment was completed in a joint partnership betweenThe Outer Banks Hospital, Dare County Department of Public Health and the members of the Healthy Carolinians of the Outer Banks (HCOB). |
| The Outer Banks Hospital, Inc. | Part V, Section B, Line 11: Certain community needs may not be fully documented or addressed in the Community Health Needs Assessment. These needs are generally those which other organizations share an overlap with The Outer Banks Hospital. TOBH is not equipped to handle all needs and has prioritized those that it can fully address. |
| The Outer Banks Hospital, Inc. | Part V, Section B, Line 16j: The full policy is not available on the facility website. In lieu of the policy, a concise summary is provided with pertinent details and phone numbers for additional information. |
| Part V, section B, Line 7A and 10a: | The Hospital makes its Community Health Needs Assessment and most recently adopted Implementation Strategy available to the public on the Hospital's website: https://www.vidanthealth.com/About-Vidant-Health/Community-Health-Needs-Assessments# |
| Part V, Section B, line 16a, 16b, and 16c: | The Hospital makes its Financial Assistance Policy, Application, and Plain Language Summary available at the following website: http://www.vidanthealth.com/Patients-Families/Billing/Financial-Assistance-Policy# |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7: | Costs were calculated using the estimated cost to charge ratio from The North Carolina Hospital Association's Advocacy Needs Data Initiative which is the standard for reporting community benefits in North Carolina. |
| Part II, Community Building Activities: | The community building activities of The Outer Banks Hospital involve services that are otherwise not provided by other organizations in the patient area. |
| Part III, Line 2: | In connection with the Presumptive Eligibility consideration of the Affordable Care Act, The Outer Banks Hospital does not reflect any bad debt in connection with FAP-eligible patients. These patients are presumed to be part of the Medicaid population and afforded coverage as such. |
| Part III, Line 4: | The financial statements of The Outer Banks Hospital are presented on a stand-alone basis; the text of the footnote from page 11 is presented below:Patient Accounts ReceivablePatient Accounts Receivable are reported net of estimated allowances for contractual adjustments and allowances for bad debts. Estimated allowances for bad debts are approximately $5.3 million and $4.6 million as of September 30, 2021 and 2020, respectively. |
| Part III, Line 8: | The shortfall of Medicare revenue to Medicare was calculated according to the cost to charge ratio. Allowable costs of care should be considered community benefit because in the area served by TOBH, there are no otherproviders available to provide the required services. Therefore, the care would become a government obligation and is treated as a community benefit provided by TOBH. |
| Part III, Line 9b: | Recommended patient accounts will continue to go through the accounts receivable billing cycle as normal. When the account reaches the customer service/collections manager, financial counseling supervisor or patientaccounts supervisor, based on the information given, a decision will be made whether to proceed with collection or refer the account for approval of charity care. The process will occur as follows:I. Financial counselors will try to locate third party payors. If not eligible for any third party coverage (including charities), they may, based upon the financial information received, recommend the patient for charity care. II. Patient counselors will review for any third party payors and verify employment and assets. A charity care application will need to be completed along with tax return, pay stubs, social security award letter and other financial information as may be required. III. The patient accounts supervisor, financial counseling supervisor or customer service/collections manager, based upon account balance and the information given, will make a decision whether to proceed with collectionor 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 orspouse, etc).B. Through the assistance of a third party vendor and certain algorithms, in conjuction with our charity policy guidelines, all accounts, prior to outside collection agency referral, will be tested for presumptive charity.C. The accounts deemed charity will be adjusted off and the remaining accounts will be referred to an outside collection agency.D. Once the agency has had the accounts for six months and has deemed them uncollectible, the accounts with balances of $1,580 or greater will remain with the agency and be kept on the patient's credit file.E. The accounts returned to the hospital will be placed in a unique financial class and will not be pursued for collections. |
| Part VI, Line 2: | The organization assesses community need in conjunction with the state affiliated county health departments and other local health care organizations. See also Schedule H, Part V, Section B, lines 1-7. |
| Part VI, Line 3: | Information is available on the organization's website and at registration for patients. In addition, face-to-face financial counseling is available to patients and their families in the central business office. |
| Part VI, Line 4: | See Schedule O, Part III, Line 4a in connection withvidanthealth.com/About-Vidant-Health/Community-Health-Needs-Assessments# |
| Part VI, Line 5: | See Schedule O, Part III, Line 4a in connection withvidanthealth.com/About-Vidant-Health/Community-Health-Needs-Assessments# |
| Part VI, Line 6: | See Schedule O, Part III, Line 4a in connection withvidanthealth.com/About-Vidant-Health/Community-Health-Needs-Assessments# |
| Part VI, Line 7, Reports Filed With States | NC |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| Children and Youth Partnership for Dare County | |||||||
| 534 Ananias Dare Street | Manteo | NC | 27954 | 561885539 | 501 ( c ) 3 | $7,500 | Kidsfest event sponsorship; Community benefit grants program |
| Community Care Clinic of Dare | |||||||
| 425 Health Center Drive | Nags Head | NC | 27959 | 202230717 | 501 ( c ) 3 | $84,000 | Support in hiring executive director; Community benefit grant program |
| Dare County Department of Health and Human Services | |||||||
| PO Box 669 | Manteo | NC | 27954 | 566000293 | Government | $37,000 | Community benefit grants program; Vidant Health Foundation community benefit grant |
| Dare County Transportation | |||||||
| 954 Marshall C Collins Drive | Manteo | NC | 27954 | 566000293 | Government | $9,500 | Community benefit grants program |
| Interfaith Community Outreach | |||||||
| 115 Mustian Street | Kill Devil Hills | NC | 27948 | 223902355 | 501 ( c ) 3 | $20,500 | Event sponsorship, Community benefit grant program |
| NC MedAssist | |||||||
| 4428 Taggart Creek Road Suite 101 | Charlotte | NC | 28208 | 562018957 | 501 ( c ) 3 | $7,500 | Community benefit grants program |
| College of Albemarle Foundation | |||||||
| PO Box 2327 | Elizabeth City | NC | 27906 | 566024012 | 501 ( c ) 3 | $11,500 | Foundation support |
| North Carolina Aquarium Society | |||||||
| 3125 Poplarwood Ct Suite 160 | Raleigh | NC | 27604 | 561512990 | 501 ( c ) 3 | $7,500 | NC Aquarium society pledge |
| Chesapeake Regional Health Foundation | |||||||
| 736 Battlefield Blvd | Chesapeake | VA | 23320 | 541693739 | 501 ( c ) 3 | $5,500 | Donation and Sponsorship for Gala |
| Beach Food Pantry | |||||||
| PO Box 468 | Kitty Hawk | NC | 27949 | 501 ( c ) 3 | $10,000 | Community benefit grants program | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 10 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | TOBH maintains records to substantiate all disbursements made in accordance with its document retention policy. All grants and assistance are approved at the appropriate level outlined in its policy and procedures. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Christopher Mann | ||||||||||||||
| Physician | $630,805 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $45,245 | $0 | $676,050 | $0 | $0 | $0 |
| Matthew McKenna | ||||||||||||||
| Physician | $577,219 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $46,237 | $0 | $623,456 | $0 | $0 | $0 |
| Gary Hunter | ||||||||||||||
| Anesthesiologist | $554,844 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $44,287 | $0 | $599,131 | $0 | $0 | $0 |
| Jeffrey Chase | ||||||||||||||
| Physician | $511,837 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $41,673 | $0 | $553,510 | $0 | $0 | $0 |
| Charles Shelton | ||||||||||||||
| Physician | $478,606 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $45,245 | $0 | $523,851 | $0 | $0 | $0 |
| Jay Briley | ||||||||||||||
| Board Member | $0 | $349,800 | $0 | $0 | $0 | $0 | $0 | $96,162 | $0 | $40,125 | $0 | $486,087 | $0 | $0 |
| Ronnie Sloan | ||||||||||||||
| President | $239,701 | $0 | $0 | $0 | $0 | $0 | $49,017 | $0 | $46,590 | $0 | $335,308 | $0 | $0 | $0 |
| Todd Warlitner | ||||||||||||||
| VP Finance-Critical Access Hospitals | $64,435 | $96,652 | $0 | $0 | $0 | $0 | $6,896 | $10,344 | $13,838 | $20,756 | $85,169 | $127,752 | $0 | $0 |
| Marcella Bryant | ||||||||||||||
| VP, Clinical Operations | $155,032 | $0 | $0 | $0 | $0 | $0 | $16,531 | $0 | $32,603 | $0 | $204,166 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 3 | FormAndLineReferenceDesc |
| Explanation | The Top Management Official is the President who is an employee of TOBH. The compensation is determined by the Compensation and Benefits Committee of the Vidant Health Board using comparative data from like organizations and input from consultants. Compensation of other officers and key employees is also determined by the Compensation and Benefits Committee of the VH Board using comparative data from like organizations and input from consultants. All compensation discussions and actions are documented and approved in the minutes of the Committee. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4a | Overview of University Health Systems of Eastern Carolina: Our mission at VH is to improve the health and well-being of eastern North Carolina. Our mission, vision and values continue to lead us on a voyage to excellence. Because the people we take care of our neighbors, friends and family deserve the best. 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 North Hospital, and The Outer Banks 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 1708 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 2020 VH's combined patient care statistics were: inpatient admissions, 65,039; inpatient days of care, 362,897; surgeries, 49,992; births, 6,188; and Outpatient visits, 395,801. Our System's workforce included 12,592 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. Emergency and trauma services are provided to patients without regard to their ability to pay. In fiscal year 2020 VH provided care to 245,125 emergency room patients. 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 or 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 400 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 down 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 coalitions, 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 based within each VH hospital. Funds are awarded to community agencies that successfully demonstrate both need and a well-designed plan to address one of the health priorities identified in the Community Health Assessment process. 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 approve 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 following the completion of a Community Health Needs Assessment every three years. The Community Health Needs Assessment includes input from community members received through community surveys and focus group discussions, as well as a review of secondary health data. Community alliances, partners and organizations, including local health departments, participate in this review. A list of the most pressing health issues are compiled for each community and then prioritized following an assessment of current health resources to address the identified health issues. Established resources/coalitions and new partnerships are formed to address the identified health priorities. 4. Community health priorities are also established in response to a compelling need identified by health practitioners or community groups. 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. |
| Form 990, Part III, Line 4a | 5. Provided below are a few highlights of the community benefit and education activities: Form 990, Schedule H, Part VI, Line 5: 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: - Medical assistance programs for uninsured patients - Support for Community Coalitions focused on Health - Support of local Federally Qualified Health Center - Support for Healthy Neighbors faith health partnership - Support for school health partnerships 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 $760,000 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 A, line 1 | The Board of Directors may create an Executive Committee consisting of two or more voting members. The Executive Committee shall have and may exercise, in the interim between meetings of the Board of Directors, and except as other provided in section 8 of the Bylaws, all the powers of the Board of Directors. |
| Form 990, Part VI, Section A, line 6 | According to the organization's amended and restated bylaws, Article II, the Organization has two members, East Carolina Health and Chesapeake Hospital Authority. |
| Form 990, Part VI, Section A, line 7a | Each Member has the right to appoint board members. East Carolina Health appoints 6 board members and Chesapeake Hospital Authority appoints 4 board members. |
| Form 990, Part VI, Section A, line 7b | The following actions shall not be taken without unanimous consent of the members: (a) Possess Property. Possess corporation property for other than a purpose of the corporation; or assign, transfer, or pledge the rights of the corporation in specific property, for other than the exclusive benefit of the corporation. (b) Invest Funds. Employ, or permit to be employed, the funds or assets of the corporation in any manner except for the exclusive benefit of the corporation; or commingle the corporation's funds with its own or any other Person's funds; (c) Additional Capital contributions. Cause the corporation to require additional capital contributions beyond the amounts necessary to cover the cost of the corporation's certificate of need project for the development of an acute care hospital in Dare County, including the acquisition of real property and working captial, which the members have already specifically committed; (d) Admit members. Cause the corporation to admit new members; (e) Merge or Dissolution. Cause the corporation to merage with or into any other entity or any entity to merge with or into the corporation or cause the corporation to dissolve; (f) Amendment. Amend the corporation's articles of incorporation or bylaws. (g) CON litigation. Commence or settle any litigation associated with the issuance of a certificate of need for an acute care hospital in dare county; (h) sale of assets. Sell all or substantially all of the assets of the corporation; or (i) business of corporation. change the type of business in which the corporation is engaged from the operation of an acute care hospital and the provision of related medical services in dare county, north carolina. |
| Form 990, Part VI, Section B, line 11b | Form 990 is made available to Board Members by posting to a Board Member's website. Any Board Member who does not have the ability to access the return in this manner will receive a copy via electronic or regular mail. The return is also reviewed by the Chief Financial Officer, Chief General Counsel and the Chief Audit and Compliance Officer of University Health Systems prior to filing. |
| Form 990, Part VI, Section B, line 12c | All Officers, Board Members and Key Employees are required to complete a yearly comprehensive conflict of interest questionnaire. These responses are reviewed by legal counsel and any potential or actual conflicts are brought to the Board for disposition. Board Members are instructed to report any potential conflicts arising during the year for review. Board Members are required to recuse themselves from voting on issues in which they are deemed to have a conflict. |
| Form 990, Part VI, Section B, line 15 | The compensation is determined by the Compensation and Benefits Committee of the VH Board using comparative data from like organizations and input from consultants. This process is performed every year. Compensation of other officers and key employees is also determined by the Compensation and Benefits Committee of the VH Board using comparative data from like organizations and input from consultants. This process is performed every year. All compensation discussions and actions are documented and approved in the minutes of the Committee. |
| Form 990, Part VI, Section C, line 19 | The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request for the same period of disclosure as set forth in IRC Section 6104(d). |
| Form 990, Part IX, line 11g | Contracted Services: Program service expenses 16,654,641. Management and general expenses 4,163,660. Fundraising expenses 0. Total expenses 20,818,301. |
| Form 990, Part XI, line 9: | Net Asset Transfer -5,000,000. |
| Form 990, Part XII, Line 2C: | The process has not changed from the prior year. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| Outer Banks Professional Services LLC | |||||||||
| 604 Amanda St | Manteo | NC | 27954 | 270484506 | Family practice | NC | $18,932,682 | $5,715,847 | The Outer Banks Hospital |
| Outer Banks Medical Office Building LLC | |||||||||
| 4810 South Croatan Hwy | Nags Head | NC | 27959 | 161740979 | Medical office building | NC | $580,896 | $5,320,226 | The Outer Banks Hospital |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (15 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| University Health Systems of Eastern Carolina DBA Vidant Health | |||||||||||
| 2100 Stantonsburg Road | Greenville | NC | 27835 | 562141073 | Healthcare | NC | 501(c)(3) | Line 12c, III-FI | N/A | 0 | |
| Pitt County Memorial Hospital Inc DBA Vidant Medical Center | |||||||||||
| 2100 Stantonsburg Road | Greenville | NC | 27835 | 560585243 | Hospital | NC | 501(c)(3) | Line 3 | 0 | Vidant Health | |
| PCMH Management Inc DBA Vidant Properties | |||||||||||
| 2100 Stantonsburg Road | Greenville | NC | 27835 | 561690740 | Medical Property Management | NC | 501(c)(2) | 0 | Vidant Health | ||
| Vidant Medical Group LLC | |||||||||||
| 2100 Stantonsburg Road | Greenville | NC | 27835 | 383740839 | Healthcare | NC | 501(c)(3) | Line 10 | 0 | Vidant Health | |
| East Carolina Health Inc DBA Vidant Community Hospitals - Central | |||||||||||
| 2100 Stantonsburg Road | Greenville | NC | 27835 | 562003393 | Hospital | NC | 501(c)(3) | Line 3 | 0 | Vidant Health | |
| HealthAccess Inc | |||||||||||
| 2100 Stantonsburg Road | Greenville | NC | 27835 | 561396133 | Healthcare | NC | 501(c)(3) | Line 12b, II | 0 | Vidant Health | |
| East Carolina Health-Bertie DBA Vidant Bertie Hospital | |||||||||||
| 2100 Stantonsburg Road | Greenville | NC | 27835 | 562072002 | Hospital | NC | 501(c)(3) | Line 3 | 0 | Vidant Health | |
| East Carolina Health-Chowan DBA Vidant Chowan Hospital | |||||||||||
| 2100 Stantonsburg Road | Greenville | NC | 27835 | 562101090 | Hospital | NC | 501(c)(3) | Line 3 | 0 | Vidant Health | |
| East Carolina Health-Heritage DBA Vidant Edgecombe Hospital | |||||||||||
| 2100 Stantonsburg Road | Greenville | NC | 27835 | 562093700 | Hospital | NC | 501(c)(3) | Line 3 | 0 | Vidant Health | |
| East Carolina Health-Beaufort DBA Vidant Beafort Hospital | |||||||||||
| 2100 Stantonsburg Road | Greenville | NC | 27835 | 452436270 | Hospital | NC | 501(c)(3) | Line 3 | 0 | Vidant Health | |
| Duplin General Hospital DBA Vidant Duplin Hospital | |||||||||||
| 2100 Stantonsburg Road | Greenville | NC | 27835 | 566011594 | Hospital | NC | 501(c)(3) | Line 3 | 0 | Vidant Health | |
| East Carolina Health DBA Vidant Roanoke-Chowan Hospital | |||||||||||
| 2100 Stantonsburg Road | Greenville | NC | 27835 | 264634725 | Hospital | NC | 501(c)(3) | Line 3 | 0 | Vidant Health | |
| Halifax Regional Medical Center Inc DBA Vidant North | |||||||||||
| 2100 Stantonsburg Road | Greenville | NC | 27835 | 560989789 | Hospital | NC | 501(c)(3) | Line 3 | 0 | Vidant Health | |
| Roanoke Valley Health Services Inc | |||||||||||
| 2100 Stantonsburg Road | Greenville | NC | 27835 | 561925492 | Healthcare | NC | 501(c)(3) | Line 3 | 0 | Vidant Health | |
| Access East | |||||||||||
| 2410 Stantonsburg Road Stanton Stat | Greenville | NC | 27834 | 561949493 | Healthcare | NC | 501(c)(3) | Line 10 | 0 | Vidant Health | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |