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PITT COUNTY MEMORIAL HOSPITAL INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
PITT COUNTY MEMORIAL HOSPITAL INC (EIN 56-0585243)
Tax period
2019-10-01 to 2020-09-30
Filed
2021-08-12
IRS object ID
202112249349300716
Schema version
2019v5.2
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 ReturnHeader

FieldValueIRS element (for citing)
Return2021-08-12T08:26:17-05:00ReturnTs
Tax Period End2020-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN560747981PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Dixon Hughes Goodman LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 Ridgefield CourtAddressLine1Txt
CityAshevilleCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28806ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN560585243EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Pitt County Memorial Hospital IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPITTBusinessNameControlTxt
Phone2528477479PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12100 Stantonsburg RoadAddressLine1Txt
CityGreenvilleCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27835ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDavid S HughesPersonNm
Person TitleChief Financial OfficerPersonTitleTxt
Phone2528477479PhoneNum
Signature2021-08-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAmy BibbyPreparerPersonNm
PTINP00445891PTIN
Phone8282542254PhoneNum
Preparation2021-08-11PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Vidant Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerW Brian FloydPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12100 Stantonsburg RoadAddressLine1Txt
CityGreenvilleCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27835ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,383,470,656GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.vidanthealth.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1953FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionTo provide access to quality medical service to all citizens of Pitt County and eastern NC.ActivityOrMissionDesc
Voting Members Governing Body20VotingMembersGoverningBodyCnt
Voting Members Independent18VotingMembersIndependentCnt
Total Employee15401TotalEmployeeCnt
Total Volunteers424TotalVolunteersCnt
Total Gross UBI$176,526TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$9,034,825PYContributionsGrantsAmt
CY Contributions Grants$14,595,497CYContributionsGrantsAmt
PY Program Service Revenue$1,304,396,936PYProgramServiceRevenueAmt
CY Program Service Revenue$1,278,163,705CYProgramServiceRevenueAmt
PY Investment Income$41,245,671PYInvestmentIncomeAmt
CY Investment Income$42,838,741CYInvestmentIncomeAmt
PY Other Revenue$37,181,417PYOtherRevenueAmt
CY Other Revenue$47,872,713CYOtherRevenueAmt
PY Total Revenue$1,391,858,849PYTotalRevenueAmt
CY Total Revenue$1,383,470,656CYTotalRevenueAmt
PY Grants And Similar Paid$1,136,133PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,017,428CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$482,822,735PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$485,731,780CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$800,637,751PYOtherExpensesAmt
CY Other Expenses$780,609,239CYOtherExpensesAmt
PY Total Expenses$1,284,596,619PYTotalExpensesAmt
CY Total Expenses$1,267,358,447CYTotalExpensesAmt
PY Revenues Less Expenses$107,262,230PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$116,112,209CYRevenuesLessExpensesAmt
Total Assets BOY$1,620,192,678TotalAssetsBOYAmt
Total Assets EOY$1,573,138,998TotalAssetsEOYAmt
Total Liabilities BOY$340,061,343TotalLiabilitiesBOYAmt
Total Liabilities EOY$279,924,469TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,280,131,335NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,293,214,529NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTo improve the health and well-being of eastern North Carolina.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$469,386,864ExpenseAmt
Revenue$443,026,518RevenueAmt
DescCancer and Clinical ServicesPCMH (D/B/A Vidant Medical Center) Cancer Services include the most advanced treatments for the people of Eastern North Carolina. We use the latest technologies, including gamma knife radiosurgery, available to our expert medical staff, nurses and therapists. Combining national treatment protocols and the highest standards of clinical quality, our team of specialists take care of thousands of patients each year. In cancer and clinical services during fiscal year 2020, VMC performed 2,767,101 lab tests, 128,447 radiology cases, 2,665 pet scans, 198 gamma knife cases, and 195,563 respiratory treatments.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$347,695,055ExpenseAmt
Revenue$377,923,412RevenueAmt
DescSurgical ServicesSurgeons at Vidant Medical Center are leaders in their fields. Our bariatric surgeons were pioneers of gastric bypass surgery. Other areas of surgical emphasis include: orthopedics, cardiothoracic, gynecology, trauma and general surgery. VMC Surgical Services performed 21,296 surgeries in fiscal year 2020.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$193,336,823ExpenseAmt
Revenue$201,931,012RevenueAmt
DescCardiovascular ServicesVidant Medical Center provides patients with the latest treatments and technology available. We have nationally and internationally recognized physicians at the East Carolina Heart Institute, performing delicate heart surgeries and procedures using the DaVinci Robot. Our heart and vascular services include: stents, imaging studies, pacemaker placement, ablation, robot-assisted heart surgery, and heart failure programs. These and many more services are provided at the East Carolina Heart Institute at VMC, the first facility in North Carolina devoted exclusively to education, research, treatment and prevention of cardiovascular diseases. Cardiovascular services performed 66,079 EKGs.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (3 entries)

ExpenseExpenseAmtRevenueRevenueAmtDescDescGrantGrantAmt
$53,767,199$67,424,322Emergency Services
$46,285,545$43,949,216Rehabilitative Services
$59,393,565$143,732,699All Other Services$1,017,428
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$159,446,309TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$1,017,428TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$255,106,237TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$1,169,865,051TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (1)BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document13IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee15401EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members20GoverningBodyVotingMembersCnt
Independent Voting Member18IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldNCStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Brian DunnBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2528477479PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12100 Stantonsburg RoadAddressLine1Txt
CityGreenvilleCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27835ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (40 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Bynum Satterwhite
Chairman2.002.00Yes (X)$0$0$0
James W Chesnutt
Vice Chairman (Thru 9/20)2.00Yes (X)$0$0$0
Robert Greczyn
Secretary2.00Yes (X)$0$0$0
Phillip Dixon Sr
Treasurer2.00Yes (X)$0$0$0
Mike Fitzpatrick
Asst. Secretary2.00Yes (X)$0$0$0
Phil Hodges
Asst. Treasurer (Thru 9/20)2.002.00Yes (X)$0$0$0
Marcus Albernaz MD
Board Member2.004.00Yes (X)$0$0$0
Shirley Carraway EdD
Board Member2.00Yes (X)$0$0$0
Carlester Crumpler
Board Member2.002.00Yes (X)$0$0$0
Bruce Gray
Board Member2.002.00Yes (X)$0$0$0
Polly Johnson
Board Member2.00Yes (X)$0$0$0
Arthur Keeney
Board Member (Thru 6/20)2.004.00Yes (X)$0$0$0
Thomasine Kenendy
Board Member (Thru 12/19)2.006.00Yes (X)$0$0$0
Bryant Kittrell
Board Member2.002.00Yes (X)$0$0$0
Ron Mitchelson
Board Member (Beg 3/20)2.00Yes (X)$0$0$0
William Monk Jr
Board Member2.00Yes (X)$0$0$0
Mary J Raab MD
Board Member2.00Yes (X)$0$0$0
Mark Stacy MD
Board Member (Beg 3/20)2.00Yes (X)$0$0$0
Diane Taylor
Board Member2.00Yes (X)$0$0$0
Anand Tewari MD
Board Member2.00Yes (X)$0$0$0
Michael R Waldrum MD
Board Member2.0050.00Yes (X)$0$1,236,323$228,984
Deborah Davis
Board Member (Beg 7/20)2.00Yes (X)$0$0$0
Tony Cannon
Board Member (Beg 9/20)2.00Yes (X)$0$0$0
Donald Thompson
Board Member (Beg 9/20)2.00Yes (X)$0$0$0
W Brian Floyd
President40.002.00$563,399$0$149,184Yes (X)
Linda Hofler
Senior VP, Nurse Executive40.00$297,422$0$307,759Yes (X)
Van Smith
Executive VP as of Jan 2020; Senior VP before that40.00$318,551$0$119,060Yes (X)
Jennifer Thomas
VP, Financial Services40.00$0$289,159$105,480Yes (X)
Tracy Eskra
VP, Med Aff-Clin Effic & Docum40.00$336,972$0$64,087Yes (X)
Kimberly Crickmore Osborne
VP, Womens&Childrens Svs40.00$212,182$0$116,493Yes (X)
Teresa Anderson
VP, Quality40.00$0$187,461$79,800Yes (X)
Anna Weaver
VP, Nursing Workforce-Sup Ser40.00$188,656$0$129,500Yes (X)
Jeffery Dial
VP, Operations40.00$162,201$0$110,119Yes (X)
Stephen Tripp
VP, Perioperative Services and SMS40.00$0$217,748$145,563Yes (X)
James Worden Jr
System Serv Line Admin, Pharma40.00$223,007$0$105,479Yes (X)
Jennifer Styron
Pharmacist IV40.00$218,475$0$52,864Yes (X)
Angela Mayo
Asst Dir, Pharmacy40.00$199,472$0$76,304Yes (X)
Christie Woolard
Pharmacist III40.00$197,700$0$56,905Yes (X)
Tammy Worden
Pyxis Manager40.00$193,119$0$71,352Yes (X)
Donald Shackelford
Former SR VP, Medical Affairs40.00$371,302$0$26,188Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,482,458TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,930,691TotReportableCompRltdOrgAmt
Total Other Compensation$1,945,121TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K442IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
AMN Healthcare Inc
PO Box 281923AtlantaGA30384Temporary staffing svc$37,514,283
East Carolina University School of Medic
PO Box 75514CharlotteNC28275Medical staff services$21,513,129
East Carolina Anesthesia Assoc
2080 B Arilington BlvdGreenvilleNC27834Medical services$9,124,255
SpecialtyCare Cardiovascular Resources
PO Box 11407BirminghamAL35246Medical services$5,105,352
Fastaff LLC
PO Box 911452DenverCO80291Temporary staffing svc$4,645,098
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K95CntrctRcvdGreaterThan100KCnt
Government Grants$206,925GovernmentGrantsAmt
All Other Contributions$14,388,572AllOtherContributionsAmt
Total Contributions$14,595,497TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Cancer & Clinical Services621110$443,026,518$443,026,518
Surgical Services621110$377,923,412$377,923,412
Cardiovascular Services621110$201,931,012$201,931,012
All Other Program Service Revenue621110$86,558,417$86,381,891$176,526
Emergency Services621110$67,424,322$67,424,322

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$101,300,024TotalRevenueColumnAmt
Related Or Exempt Func Income$101,300,024RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,278,163,705TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$41,027,011TotalRevenueColumnAmt
Exclusion$41,027,011ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,546,644RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,546,644RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,546,644TotalRevenueColumnAmt
Exclusion$1,546,644ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$1,811,730OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$1,811,730OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,811,730TotalRevenueColumnAmt
Exclusion$1,811,730ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
Cafeteria Meals722514$4,931,247$4,931,247
Rebates900099$1,901,905$1,901,905

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$39,492,917TotalRevenueColumnAmt
Exclusion$39,492,917ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$46,326,069OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,383,470,656TotalRevenueColumnAmt
Related Or Exempt Func Income$1,277,987,179RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$176,526UnrelatedBusinessRevenueAmt
Exclusion$90,711,454ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,017,428TotalAmt
Program Services$1,017,428ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,513,228TotalAmt
Program Services$1,697,051ProgramServicesAmt
Management And General$816,177ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$365,831,545TotalAmt
Program Services$327,450,283ProgramServicesAmt
Management And General$38,381,262ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$31,136,075TotalAmt
Program Services$27,711,107ProgramServicesAmt
Management And General$3,424,968ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$59,615,234TotalAmt
Program Services$53,057,558ProgramServicesAmt
Management And General$6,557,676ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$26,635,698TotalAmt
Program Services$23,705,771ProgramServicesAmt
Management And General$2,929,927ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$883,564TotalAmt
Program Services$786,372ProgramServicesAmt
Management And General$97,192ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$240,553TotalAmt
Program Services$214,092ProgramServicesAmt
Management And General$26,461ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$129,040TotalAmt
Management And General$129,040ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$66,860TotalAmt
Management And General$66,860ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$310,867,246TotalAmt
Program Services$276,761,629ProgramServicesAmt
Management And General$34,105,617ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$180,211TotalAmt
Program Services$160,388ProgramServicesAmt
Management And General$19,823ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,406,311TotalAmt
Program Services$2,136,279ProgramServicesAmt
Management And General$270,032ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,522,094TotalAmt
Program Services$2,522,094ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$15,630,075TotalAmt
Program Services$13,927,900ProgramServicesAmt
Management And General$1,702,175ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,030,617TotalAmt
Program Services$917,249ProgramServicesAmt
Management And General$113,368ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$20,777,732TotalAmt
Program Services$18,492,175ProgramServicesAmt
Management And General$2,285,557ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$47,710,275TotalAmt
Program Services$42,465,215ProgramServicesAmt
Management And General$5,245,060ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$12,021,399TotalAmt
Program Services$10,699,198ProgramServicesAmt
Management And General$1,322,201ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
Medical Supplies$278,931,160$278,931,160
Bad Debt$70,006,723$70,006,723
Other$17,205,379$17,205,379

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,267,358,447TotalAmt
Program Services$1,169,865,051ProgramServicesAmt
Management And General$97,493,396ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$10,563,418BOYAmt
EOY$31,107,269EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$217,981,125BOYAmt
EOY$231,363,517EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$30,181,808BOYAmt
EOY$36,481,752EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$6,502,402BOYAmt
EOY$7,170,934EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,184,784,973LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$738,384,902LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$454,866,858BOYAmt
EOY$446,400,071EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$702,098,599BOYAmt
EOY$659,979,728EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$197,998,468BOYAmt
EOY$160,635,727EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,620,192,678BOYAmt
EOY$1,573,138,998EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$284,554,083BOYAmt
EOY$229,769,742EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$55,507,260BOYAmt
EOY$50,154,727EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$340,061,343BOYAmt
EOY$279,924,469EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,280,131,335BOYAmt
EOY$1,293,214,529EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,280,131,335BOYAmt
EOY$1,293,214,529EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,620,192,678BOYAmt
EOY$1,573,138,998EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$116,112,209ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$204,809NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$102,824,206OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$66,860OtherActivitiesAmt
Total Lobbying Expenditures$66,860TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
Explanation24.21% of dues to NCHA are allocated to lobbying.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$47,910,929OtherCostOrOtherBasisAmt
Book Value$47,910,929BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$696,457,408OtherCostOrOtherBasisAmt
Depreciation$459,183,912DepreciationAmt
Book Value$237,273,496BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$421,645,656OtherCostOrOtherBasisAmt
Depreciation$277,996,759DepreciationAmt
Book Value$143,648,897BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,770,980OtherCostOrOtherBasisAmt
Depreciation$1,204,231DepreciationAmt
Book Value$17,566,749BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$446,400,071TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescOther InvestmentsDesc
Book Value$659,979,728BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$659,979,728TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
Other Receivables$24,575,901
Investments in Subsidiaries$17,746,131
Deferred Outflows$34,363,952
Due from Third Party Payors$83,949,743
FieldValueIRS element (for citing)
Total Book Value Other Assets$160,635,727TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
Due to Affiliates$2,050,602
Due to Third Party Payors$19,911,420
Asset Retirement Obligation$675,000
SERP Payable$18,343,188
Deferred Pension Inflows$4,525,383
Donated Equipment$821,730
Workers Compensation - Long Term$3,827,404
FieldValueIRS element (for citing)
Total Liability$50,154,727TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationPitt County Memorial Hospital has been determined to qualify as a tax-exempt organization under Section 501(c)(3) of the Internal Revenue Code. Pitt County Memorial Hospital has reviewed its tax positions for all open years and has concluded that no material liabilities exist as of September 30, 2020 and 2019. Pitt County Memorial Hospital files tax returns with the U.S. federal and State of North Carolina jurisdictions. With few exceptions, Pitt County Memorial Hospital is no longer subject to U.S. federal examinations by tax authorities for years before 2017.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent200 DYes (X)Percent200DInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$47,964,889TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$47,964,889NetCommunityBenefitExpnsAmt
Total Expense0.03780TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$181,743,555TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$180,114,879DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,628,676NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$229,708,444TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$180,114,879DirectOffsettingRevenueAmt
Net Community Benefit Expns$49,593,565NetCommunityBenefitExpnsAmt
Total Expense0.03910TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs19ActivitiesOrProgramsCnt
Persons Served267420PersonsServedCnt
Total Community Benefit Expns$4,854,137TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,854,137NetCommunityBenefitExpnsAmt
Total Expense0.00380TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Persons Served2436PersonsServedCnt
Total Community Benefit Expns$65,141,832TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,356,977DirectOffsettingRevenueAmt
Net Community Benefit Expns$48,784,855NetCommunityBenefitExpnsAmt
Total Expense0.03850TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served126PersonsServedCnt
Total Community Benefit Expns$1,593,208TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,593,208NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Persons Served243173PersonsServedCnt
Total Community Benefit Expns$1,221,335TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,221,335NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs31ActivitiesOrProgramsCnt
Persons Served513155PersonsServedCnt
Total Community Benefit Expns$72,810,512TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,356,977DirectOffsettingRevenueAmt
Net Community Benefit Expns$56,453,535NetCommunityBenefitExpnsAmt
Total Expense0.04460TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs31ActivitiesOrProgramsCnt
Persons Served513155PersonsServedCnt
Total Community Benefit Expns$302,518,956TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$196,471,856DirectOffsettingRevenueAmt
Net Community Benefit Expns$106,047,100NetCommunityBenefitExpnsAmt
Total Expense0.08370TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served609PersonsServedCnt
Total Community Benefit Expns$2,845TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,845NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served317PersonsServedCnt
Total Community Benefit Expns$95,434TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$95,434NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served926PersonsServedCnt
Total Community Benefit Expns$98,279TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$98,279NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$30,607,515BadDebtExpenseAmt
Reimbursed By Medicare$254,305,382ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$334,810,430CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$80,505,048MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Pitt County Memorial Hospital IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12100 Stantonsburg RoadAddressLine1Txt
CityGreenvilleCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27835ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Childrens HospitalYes (X)ChildrensHospitalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherRehabilitation, Behavioral HealthOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Pitt County Memorial Hospital IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V DISCLOSUREOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V DISCLOSUREStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care200.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V DISCLOSUREFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V DISCLOSUREFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V DISCLOSUREFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pitt County Memorial Hospital, Inc.Part V, Section B, Line 5: The preparation of the 2018 Pitt County Community Health Needs Assessment (CHNA) was a joint effort between Pitt Partners for Health (PPH), Vidant Medical Center (VMC), Pitt County Health Department (PCHD) and East Carolina University (ECU). Vidant Medical Center and other partners hosted a Key Leaders' listening session to include input from persons who represent the broad interests of the community served, including those with special knowledge of or expertise in public health. Various key leaders participated representing County Recreation, area churches, County Management, Vidant Health, United Way, AMEXCAN - Hispanic/Latino community, ECU - (SOM, Dental, Health and Human Performance, Public Health, College of Nursing), Eastern AHEC, Department of Social Services, City of Greenville, Family Violence, Pitt County Health Department, Greenville Community Shelter, Town of Ayden, Pitt County EMS, Pitt Community College, Access East, Council on Aging, Town of Bethel, Pitt County Planning and Pitt Partners for Health.
Pitt County Memorial Hospital, Inc.Part V, Section B, Line 6b: The preparation of the Pitt County Community Health Needs Assessment (CHNA) was a joint effort between Pitt Partners for Health (PPH), Vidant Medical Center (VMC), Pitt County Health Department (PCHD) and East Carolina University (ECU).
Pitt County Memorial Hospital, Inc.Part V, Section B, Line 11: Please see attached Vidant Medical Center Implementation Strategy for detailed action plans. Certain community needs may not be fully documented or addressed in the Community Health Needs Assessment. These needs are generally those which other organizations share an overlap with Vidant Medical Center. VMC is not equipped to handle all needs and has prioritized those that it can fully address.
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 thw Hosital'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 is 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 ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 7:Costs were calculated using the estimated cost to charge ratio from The North Carolina Hospital Association's Advocacy Needs Data Initiative which is the standard for reporting community benefits in North Carolina.
Part II, Community Building Activities:The community building activities of Vidant Medical Center involve services that are otherwise not provided by other organizations in the patient area.
Part III, Line 2:In connection with the Presumptive Eligibility consideration of the Affordable Care Act, Vidant Medical Center does not reflect any bad debt in connection with FAP-eligible patients. These patients are presumed to be part of the Medicaid population and afforded coverage as such.
Part III, Line 4:The financial statements of East Carolina Health are presented on a consolidated basis; the text of the footnote from page 20 is presented below:Patient Accounts ReceivablePatient Accounts Receivable are reported net of estimated allowances for contractual adjustments and allowances for bad debts. Estimated allowances for bad debts are approximately $85.6 million and $90.5 million as of September 30, 2020 and 2019 respectively.
Part III, Line 8:The shortfall of Medicare revenue to Medicare was calculated according to the cost to charge ratio. Allowable costs of care should be considered community benefit because in the area served by VMC, there are no other providers available to provide the required services. Therefore, the care would become a government obligation and is treated as a community benefit provided by VMC.
Part III, Line 9b:Recommended patient accounts will continue to go through the accounts receivable billing cycle as normal. When the account reaches the customer service/collections manager, financial counseling supervisor or patient accounts supervisor, based on the information given, a decision will be made whether to proceed with collection or refer the account for approval of charity care. The process will occur as follows:I. Financial counselors will try to locate third party payors. If not eligible for any third party coverage (including charities), they may, based upon the financial information received, recommend the patient for charity care.II. Patient counselors will review for any third party payors and verify employment and assets. A charity care application will need to be completed along with tax return, pay stubs, social security award letter and other financial information as may be required.III. The patient accounts supervisor, financial counseling supervisor or customer service/collections manager, based upon account balance and the information given, will make a decision whether to proceed with collection or refer the patient account for approval for charity care. Presumptive eligibility for charity care - there are occasions in which a patient may appear eligible for a charity care discount, but there is no financial assistance information available to support financial aid.A. Some patients are presumed to be eligible for charity care discounts on the basis of individual life circumstances (e.g., homelessness, patients with no income, bankruptcy, deceased patients with no estate or spouse, etc).B. Through the assistance of a third party vendor and certain algorithms, in conjuction with our charity policy guidelines, all accounts, prior to outside collection agency referral, will be tested for presumptive charity.C. The accounts deemed charity will be adjusted off and the remaining accounts will be referred to an outside collection agency. D. Once the agency has had the accounts for six months and has deemed them uncollectible, the accounts with balances of $1,580 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 withhttps://www.vidanthealth.com/About-Vidant-Health/Community-Health-Needs-Assessments#
Part VI, Line 5:See Schedule O, Part III, Line 4a in connection withhttps://www.vidanthealth.com/About-Vidant-Health/Community-Health-Needs-Assessments#
Part VI, Line 6:See Schedule O, Part III, Line 4a in connection withhttps://www.vidanthealth.com/About-Vidant-Health/Community-Health-Needs-Assessments#
Part VI, Line 7, Reports Filed With StatesNC

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1Vidant Health FoundationBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1690 Medical DriveAddressLine1Txt
CityGreenvilleCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27835ZIPCd
FieldValueIRS element (for citing)
Recipient EIN200777374RecipientEIN
IRC Section501 C (3)IRCSectionDesc
Cash Grant$1,000,000CashGrantAmt
Purpose Of Grantcharitable contributionPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationVMC 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

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Michael R Waldrum MD
Board Member$0$1,192,572$0$34,500$0$9,251$0$184,835$0$44,149$0$1,465,307$0$0
W Brian Floyd
President$562,467$0$0$0$932$0$113,083$0$36,101$0$712,583$0$0$0
Linda Hofler
Senior VP, Nurse Executive$295,884$0$0$0$1,538$0$277,151$0$30,608$0$605,181$0$0$0
Van Smith
Executive VP as of Jan 2020; Senior$318,282$0$0$0$269$0$80,308$0$38,752$0$437,611$0$0$0
Jennifer Thomas
VP, Financial Services$0$289,159$0$0$0$0$0$88,114$0$17,366$0$394,639$0$0
Tracy Eskra
VP, Med Aff-Clin Effic & Docum$336,972$0$0$0$0$0$33,100$0$30,987$0$401,059$0$0$0
Kimberly Crickmore Osborne
VP, Womens&Childrens Svs$212,182$0$0$0$0$0$100,697$0$15,796$0$328,675$0$0$0
Teresa Anderson
VP, Quality$0$187,461$0$0$0$0$0$43,560$0$36,240$0$267,261$0$0
Anna Weaver
VP, Nursing Workforce-Sup Ser$187,503$0$0$0$1,153$0$95,922$0$33,578$0$318,156$0$0$0
Jeffery Dial
VP, Operations$161,904$0$0$0$297$0$72,389$0$37,730$0$272,320$0$0$0
Stephen Tripp
VP, Perioperative Services and SMS$0$217,748$0$0$0$0$0$111,050$0$34,513$0$363,311$0$0
James Worden Jr
System Serv Line Admin, Pharma$223,007$0$0$0$0$0$81,931$0$23,548$0$328,486$0$0$0
Jennifer Styron
Pharmacist IV$218,475$0$0$0$0$0$24,151$0$28,713$0$271,339$0$0$0
Angela Mayo
Asst Dir, Pharmacy$199,472$0$0$0$0$0$42,883$0$33,421$0$275,776$0$0$0
Christie Woolard
Pharmacist III$197,700$0$0$0$0$0$40,435$0$16,470$0$254,605$0$0$0
Tammy Worden
Pyxis Manager$193,119$0$0$0$0$0$56,749$0$14,603$0$264,471$0$0$0
Donald Shackelford
Former SR VP, Medical Affairs$137,901$0$0$0$233,401$0$13,918$0$12,270$0$397,490$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 3FormAndLineReferenceDesc
ExplanationThe Top Management Official is the President who is an employee of VMC. The compensation is determined by the Compensation and Benefits Committee of the Vidant Health Board using comparative data from like organizations and input from consultants. 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 L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Eastern Carolina ENTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionMarcus Albernaz (board member) is member and Director of E. Carolina ENTRelationshipDescriptionTxt
Transaction$439,200TransactionAmt
TransactionProvides on call services to Vidant Medical CenterTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4aOverview 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 are our neighbors, friends and family they 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, Halifax Regional Medical Center, 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 1,708 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, 67,974; inpatient days of care, 368,576; surgeries, 45,845; births, 6,558; and Outpatient visits, 397,266. 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 262,808 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 4a5. 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 $1.0 million to the Community Benefits Grants Program which awards grants to local non-profits for health related programs. 5e. Community Building: Community-building activities include programs that are not directly related to health care but address underlying issues that impact the health of communities. Poverty, crime, homelessness, workforce development and economic development all affect the overall health of communities. VH has provided support for our local Chambers of Commerce, financial support for road improvements, investments in communication infrastructure via information technology connections, support for the Teen Leadership Academy, recruitment of physicians to our rural communities, and programs that encourage students to pursue health careers.
Form 990, Part VI, Section A, line 1The Executive Committee of the Board of Trustees shall consist of nine members including the Chairman, Vice Chairman, Secretary, and six members elected by the Board of Trustees from the at larger membership in a manner such that a total of five members of the Executive Committee are members of the Board appointed by the County Commissioners and a total of four members of the Executive Committee are members of the board appointed by the Board of Governors of the University of North Carolina. The Executive Committee shall have and may exercise, in the interim between meetings of the Board of Trustees, and except as other provided in the Bylaws, all the powers of the Board of Trustees of Pitt County Memorial Hospital, Incorporated. If the Executive Committee determines that emergency circumstances exist which require action, the Committee shall have the power to take such action as it may deem to be wise and in the best interest of the Hospital and the patients therein and report the actions taken together with the emergency circumstances to the next meeting of the full board. Meetings may also be called by or at the request of the Chairman of the Executive Committee or by two or more of the Executive Committee members.
Form 990, Part VI, Section A, line 7aThe Board of Commissioners of Pitt County and the Board of Governors of the University of North Carolina shall have the power to appoint the twenty members of the Board of Trustees of Pitt County Memorial Hospital.
Form 990, Part VI, Section A, line 7bThe Restated Articles of Incorporation for Pitt County Memorial Hospital, Inc. state the Articles and Bylaws may not be amended without the approval of University Health Systems of Eastern Carolina, Inc. (Vidant Health). The CEO of Vidant Health, in consultation with the Governing Board, shall select and appoint a qualified President of the corporation, shall have control and authority over its other officers, agents, and employees, and shall have general charge of the business affairs and property of the corporation.
Form 990, Part VI, Section B, line 11bForm 990 is made available to Board Members by posting to a Board Member's website. Any Board Member who does not have the ability to access the return in this manner will receive a copy via electronic or regular mail. The return is also reviewed by the Chief Financial Officer, Chief General Counsel and the Chief Audit and Compliance Officer of University Health Systems prior to filing with the IRS.
Form 990, Part VI, Section B, line 12cAll Officers, Board Members and Key Employees are required to complete a yearly comprehensive conflict of interest questionnaire. These are reviewed by legal counsel and any potential or actual conflicts are brought to the Board for disposition. Board Members are instructed to report any potential conflicts arising during the year for review. Board Members are required to recuse themselves from voting on issues in which they are deemed to have a conflict.
Form 990, Part VI, Section B, line 15The 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 19The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request for the same period of disclosure as set forth in IRC Section 6104(d).
Form 990, Part IX, line 11gContracted Services: Program service expenses 276,761,629. Management and general expenses 34,105,617. Fundraising expenses 0. Total expenses 310,867,246.
Form 990, Part XI, line 9:Net Asset Transfer -102,824,206.
Form 990, Part XII, Line 2C:The process has not changed from the prior year.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Moye Medical Endoscopy CenterBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1521 Moye BoulevardAddressLine1Txt
CityGreenvilleCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27834ZIPCd
FieldValueIRS element (for citing)
EIN261671435EIN
Primary ActivitiesHealthcarePrimaryActivitiesTxt
Legal Domicile StateNCLegalDomicileStateCd
Total Income$955,864TotalIncomeAmt
End Of Year Assets$439,200EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Vidant Medical CenterBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (15 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
University Health Systems of Eastern Carolina DBA Vidant Health
2100 Stantonsburg RoadGreenvilleNC27835562141073HealthcareNC501(c)(3)Line 12c, III-FIN/A0
East Carolina Health Inc DBA Vidant Community Hospitals - Central
2100 Stantonsburg RoadGreenvilleNC27835562003393HospitalNC501(c)(3)Line 30Vidant Health
PCMH Management Inc DBA Vidant Properties
2100 Stantonsburg RoadGreenvilleNC27835561690740Medical Property ManagementNC501(c)(2)0Vidant Health
Vidant Medical Group LLC
2100 Stantonsburg RoadGreenvilleNC27835383740839HealthcareNC501(c)(3)Line 100Vidant Health
The Outerbanks Hospital Inc
2100 Stantonsburg RoadGreenvilleNC27835562112733HospitalNC501(c)(3)Line 30East Carolina Health
HealthAccess
2100 Stantonsburg RoadGreenvilleNC27835561396133HealthcareNC501(c)(3)Line 12b, II0Vidant Health
East Carolina Health-Bertie DBA Vidant Bertie Hospital
2100 Stantonsburg RoadGreenvilleNC27835562072002HospitalNC501(c)(3)Line 30Vidant Health
East Carolina Health-Chowan DBA Vidant Chowan Hospital
2100 Stantonsburg RoadGreenvilleNC27835562101090HospitalNC501(c)(3)Line 30Vidant Health
East Carolina Health-Heritage DBA Vidant Edgecombe Hospital
2100 Stantonsburg RoadGreenvilleNC27835562093700HospitalNC501(c)(3)Line 30Vidant Health
East Carolina Health-Beaufort DBA Vidant Beaufort Hospital
2100 Stantonsburg RoadGreenvilleNC27835452436270HospitalNC501(c)(3)Line 30Vidant Health
Duplin General Hospital DBA Vidant Duplin Hospital
2100 Stantonsburg RoadGreenvilleNC27835566011594HospitalNC501(c)(3)Line 30Vidant Health
East Carolina Health Inc DBA Vidant Roanoke-Chowan Hospital
2100 Stantonsburg RoadGreenvilleNC27835264634725HospitalNC501(c)(3)Line 30Vidant Health
Access East Inc
2410 Stantonsburg Rd Stanton SquareGreenvilleNC27835561949493HealthcareNC501(c)(3)Line 100Vidant Health
Halifax Regional Medical Center Inc DBA Vidant North
2100 Stantonsburg RoadGreenvilleNC27835560989789HospitalNC501(c)(3)Line 30Vidant Health
Roanoke Valley Health Services Inc
2100 Stantonsburg RoadGreenvilleNC27835561925492HealthcareNC501(c)(3)Line 30Vidant Health

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Surgicenter Center of Eastern Carolina LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12100 Stantonsburg RoadAddressLine1Txt
CityGreenvilleCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27835ZIPCd
FieldValueIRS element (for citing)
EIN262558314EIN
Primary ActivitiesAmbulatory Surgical CenterPrimaryActivitiesTxt
Legal Domicile StateNCLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Vidant Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeRelatedPredominantIncomeTypeTxt
Share Of Total Income$10,335,188ShareOfTotalIncomeAmt
Share Of EOY Assets$4,393,187ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd
Ownership0.55000OwnershipPct
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset ExchangeYes (1)AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd