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THE OUTER BANK HOSPITAL INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
THE OUTER BANK HOSPITAL INC (EIN 56-2112733)
Tax period
2017-10-01 to 2018-09-30
Filed
2019-08-15
IRS object ID
201912279349300521
Schema version
2017v2.3
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)
Return2019-08-15T11:32:36-05:00ReturnTs
Tax Period End2018-09-30TaxPeriodEndDt

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 Begin2017-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN562112733EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The Outer Banks Hospital IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlOUTEBusinessNameControlTxt
Phone2528475129PhoneNum

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 TitleSecretary and TreasurerPersonTitleTxt
Phone2528475129PhoneNum
Signature2019-08-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAmy BibbyPreparerPersonNm
PTINP00445891PTIN
Phone8282542254PhoneNum
Preparation2019-08-15PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address24.241.144.70IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-08-15IPDt
IP Tm08:23:37IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdADBFC64F84809A3D359AE279AE52D225AAF16287AtSubmissionCreationDeviceId
At Submission Filing Device Id48FB394F9AA065459641371F168D9F2AFFFBB473AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRonald SloanPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12100 Stantonsburg RoadAddressLine1Txt
CityGreenvilleCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27835ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$89,141,283GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww. theouterbankshospital.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2002FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionTo advance and support the healthcare needs of the communities of eastern North Carolina.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers101TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$104,118PYContributionsGrantsAmt
CY Contributions Grants$282,162CYContributionsGrantsAmt
PY Program Service Revenue$79,973,121PYProgramServiceRevenueAmt
CY Program Service Revenue$87,908,688CYProgramServiceRevenueAmt
PY Investment Income$137,089PYInvestmentIncomeAmt
CY Investment Income$243,062CYInvestmentIncomeAmt
PY Other Revenue$793,493PYOtherRevenueAmt
CY Other Revenue$666,538CYOtherRevenueAmt
PY Total Revenue$81,007,821PYTotalRevenueAmt
CY Total Revenue$89,100,450CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$24,057,607PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$25,428,942CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$50,254,943PYOtherExpensesAmt
CY Other Expenses$54,291,390CYOtherExpensesAmt
PY Total Expenses$74,312,550PYTotalExpensesAmt
CY Total Expenses$79,720,332CYTotalExpensesAmt
PY Revenues Less Expenses$6,695,271PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$9,380,118CYRevenuesLessExpensesAmt
Total Assets BOY$73,210,071TotalAssetsBOYAmt
Total Assets EOY$76,218,659TotalAssetsEOYAmt
Total Liabilities BOY$9,109,671TotalLiabilitiesBOYAmt
Total Liabilities EOY$10,232,044TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$64,100,400NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$65,986,615NetAssetsOrFundBalancesEOYAmt
MissionTo improve the health and well-being of eastern North Carolina.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$68,446,317ExpenseAmt
Revenue$76,511,795RevenueAmt
DescOutpatient and emergency services;Provided emergency services to 20,502 patients 24 hours a day for 365days. Provided outpatient diagnostic and therapeutic services to 24,442patients. Performed 2,734 outpatient surgical procedures.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Revenue$11,396,893RevenueAmt
DescInpatient Services:Provided inpatient care 24 hours a day for 365 days to 1,472 patients.Delivered 315 babies. Performed 381 inpatient surgical procedures.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$68,446,317TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest 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 Venture0InvestmentInJointVentureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonTodd WarlitnerPersonNm
Phone2528477479PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12100 Stantonsburg RoadAddressLine1Txt
CityGreenvilleCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27834ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Steve Rodriguez
Chairman2.00Yes (X)$0$0$0
Dr Christine Petzing MD
Vice Chairman2.00Yes (X)$0$0$0
Dr Ernie Larkin MD
Board Director2.00Yes (X)$0$0$0
Roger Robertson
Board Director (rotated off)2.00Yes (X)$0$2,308,007$268,97544.00
Jay Briley
Board Director2.00Yes (X)$0$214,114$84,12744.00
Jody Midgette
Board Director2.00Yes (X)$0$0$0
Art Keeney III
Board Director2.00Yes (X)$0$0$0
Stuart Bell
Board Director2.00Yes (X)$0$0$0
Susan Fearing
Board Director2.00Yes (X)$0$0$0
Susie Archer
Board Director2.00Yes (X)$0$0$0
Tess Judge
Board Director2.00Yes (X)$0$0$0
Ronald Sloan
President40.00$225,108$0$84,528Yes (X)
Todd Warlitner
VP, Business Operations40.00$147,339$0$51,532Yes (X)
Marcella Bryant
VP, Clinical Operations40.00$153,347$0$45,760Yes (X)
Gary Hunter
Anesthesiologist40.00$486,557$0$36,070Yes (X)
Mary Terrell Parnell
Pharmacist - OBH40.00$135,262$0$38,434Yes (X)
Vance Collins
Dir, Pharmacy - OBH40.00$164,831$0$17,105Yes (X)
Debra Johnson
Dir, Clinical Support Services40.00$127,658$0$19,439Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,440,102TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,522,121TotReportableCompRltdOrgAmt
Total Other Compensation$645,970TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K16IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
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
Weatherby Locums Inc
PO Box 972633DallasTX753972633Physician Coverage$763,505
Shiftwise
PO Box 70870St PaulMN551709705Staff Management$675,938
Eastern Carolina Cardiology
1134 N Rd Street Bldg 9Elizabeth CityNC27909Physician Coverage - Cardiology$502,726
Aviation Anesthesia Assoc Inc
158 Battlefied CourtManteoNC27954CRNA Contractor$266,250
Staff Care Inc
12400 High Bluff DriveSan DiegoCA92130Physician Coverage$229,318
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K16CntrctRcvdGreaterThan100KCnt
All Other Contributions$282,162AllOtherContributionsAmt
Total Contributions$282,162TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Outpatient Services621110$76,511,795$76,511,795
Inpatient Services621110$11,396,893$11,396,893
FieldValueIRS element (for citing)
Total Program Service Revenue$87,908,688TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$283,895TotalRevenueColumnAmt
Exclusion$283,895ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$109,699RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$109,699RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$109,699TotalRevenueColumnAmt
Exclusion$109,699ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$40,833OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$40,833OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$40,833TotalRevenueColumnAmt
Exclusion-$40,833ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
Rebates900099$149,466$149,466
Cafeteria Meals722514$108,814$108,814
Employee Pharmacy900099$101,622$101,622

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$196,937TotalRevenueColumnAmt
Exclusion$196,937ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$556,839OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$89,100,450TotalRevenueColumnAmt
Related Or Exempt Func Income$87,908,688RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$909,600ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$689,257TotalAmt
Program Services$654,794ProgramServicesAmt
Management And General$34,463ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$19,516,383TotalAmt
Program Services$18,540,564ProgramServicesAmt
Management And General$975,819ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$543,086TotalAmt
Program Services$515,932ProgramServicesAmt
Management And General$27,154ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,282,361TotalAmt
Program Services$3,118,243ProgramServicesAmt
Management And General$164,118ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,397,855TotalAmt
Program Services$1,327,962ProgramServicesAmt
Management And General$69,893ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$8,364,364TotalAmt
Program Services$6,691,491ProgramServicesAmt
Management And General$1,672,873ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$12,579TotalAmt
Management And General$12,579ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$56,894TotalAmt
Management And General$56,894ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$17,016,527TotalAmt
Program Services$13,613,222ProgramServicesAmt
Management And General$3,403,305ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$288,793TotalAmt
Program Services$231,034ProgramServicesAmt
Management And General$57,759ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$320,267TotalAmt
Program Services$288,240ProgramServicesAmt
Management And General$32,027ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$118,270TotalAmt
Program Services$23,654ProgramServicesAmt
Management And General$94,616ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,577,638TotalAmt
Program Services$2,062,110ProgramServicesAmt
Management And General$515,528ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$205,531TotalAmt
Program Services$164,425ProgramServicesAmt
Management And General$41,106ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$25,672TotalAmt
Management And General$25,672ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,180,089TotalAmt
Program Services$3,180,089ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$66,545TotalAmt
Program Services$13,309ProgramServicesAmt
Management And General$53,236ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$11,811,005$9,448,804$2,362,201
Bad Debt$8,263,729$8,263,729
Repairs$1,543,574$308,715$1,234,859

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$439,913TotalAmt
Management And General$439,913ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$79,720,332TotalAmt
Program Services$68,446,317ProgramServicesAmt
Management And General$11,274,015ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$9,596,878BOYAmt
EOY$10,530,642EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$12,907,815BOYAmt
EOY$14,592,305EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,728,848BOYAmt
EOY$1,748,644EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$341,355BOYAmt
EOY$172,233EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$64,742,938LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$38,892,819LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$22,107,979BOYAmt
EOY$25,850,119EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$24,254,168BOYAmt
EOY$21,488,517EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,273,028BOYAmt
EOY$1,836,199EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$73,210,071BOYAmt
EOY$76,218,659EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$7,490,860BOYAmt
EOY$7,913,869EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,618,811BOYAmt
EOY$2,318,175EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,109,671BOYAmt
EOY$10,232,044EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$64,100,400BOYAmt
EOY$65,986,615EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$64,100,400BOYAmt
EOY$65,986,615EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$73,210,071BOYAmt
EOY$76,218,659EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$9,380,118ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$7,493,903OtherChangesInNetAssetsAmt
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)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
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

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,074,435OtherCostOrOtherBasisAmt
Book Value$2,074,435BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$38,169,380OtherCostOrOtherBasisAmt
Depreciation$24,149,614DepreciationAmt
Book Value$14,019,766BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,073,847OtherCostOrOtherBasisAmt
Depreciation$922,783DepreciationAmt
Book Value$151,064BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$21,370,796OtherCostOrOtherBasisAmt
Depreciation$13,820,422DepreciationAmt
Book Value$7,550,374BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,054,480OtherCostOrOtherBasisAmt
Book Value$2,054,480BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$25,850,119TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Other Liabilities$1,060
Reserve for Professional Liability$360,000
Due to Third Party Payors$1,957,115
FieldValueIRS element (for citing)
Total Liability$2,318,175TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$80,836,721TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$80,836,721RevenueSubtotalAmt
Other Revenues Not Included$8,263,729OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$8,263,729RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$89,100,450TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$71,649,683TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$193,080OtherExpensesIncludedAmt
Expenses Not Reported$193,080ExpensesNotReportedAmt
Expenses Subtotal$71,456,603ExpensesSubtotalAmt
Other Expenses Not Included$8,263,729OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$8,263,729ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$79,720,332TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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, 2018 and 2017. 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 2015.
Part XI, Line 4b - Other Adjustments:Bad Debt 8,263,729.
Part XII, Line 2d - Other Adjustments:Adjustment to Net Asset Transfer 193,080.
Part XII, Line 4b - Other Adjustments:Bad Debt 8,263,729.

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 Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,063,977TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,063,977NetCommunityBenefitExpnsAmt
Total Expense0.02590TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,058,870TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,789,893DirectOffsettingRevenueAmt
Net Community Benefit Expns$268,977NetCommunityBenefitExpnsAmt
Total Expense0.00340TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,122,847TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,789,893DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,332,954NetCommunityBenefitExpnsAmt
Total Expense0.02930TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs14ActivitiesOrProgramsCnt
Persons Served3931PersonsServedCnt
Total Community Benefit Expns$362,063TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$362,063NetCommunityBenefitExpnsAmt
Total Expense0.00450TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served29PersonsServedCnt
Total Community Benefit Expns$73,139TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$73,139NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Persons Served5363PersonsServedCnt
Total Community Benefit Expns$243,212TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$243,212NetCommunityBenefitExpnsAmt
Total Expense0.00310TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs22ActivitiesOrProgramsCnt
Persons Served9323PersonsServedCnt
Total Community Benefit Expns$678,414TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$678,414NetCommunityBenefitExpnsAmt
Total Expense0.00850TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs22ActivitiesOrProgramsCnt
Persons Served9323PersonsServedCnt
Total Community Benefit Expns$6,801,261TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,789,893DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,011,368NetCommunityBenefitExpnsAmt
Total Expense0.03780TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$25,392TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$25,392NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$45,987TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$45,987NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served19PersonsServedCnt
Total Community Benefit Expns$1,205TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,205NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$5,483TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,483NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served24PersonsServedCnt
Total Community Benefit Expns$10,691TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$10,691NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Persons Served43PersonsServedCnt
Total Community Benefit Expns$88,758TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$88,758NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$2,720,478BadDebtExpenseAmt
Reimbursed By Medicare$20,142,550ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$22,049,003CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$1,906,453MedicareSurplusOrShortfallAmt

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 Line1The Outer Banks Hospital IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14800 South Croatan HighwayAddressLine1Txt
CityNags HeadCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27959ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1The Outer Banks Hospital IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility4FacilityNum
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 Conducted15CHNAConductedYr
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 Adpt16ImplementationStrategyAdptYr
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
Other PublicityYes (X)OtherPublicityInd
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 (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 creaed 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 members of local coalitions are representatives of the agencies and organizations that serve the health and human service needs of the local population, as well as representatives from businesses, communities of faith, schools and civic groups. In Dare County, the local Healthy Carolinians coalition is Healthy Carolinians of the Outer Banks (HCOB).
The Outer Banks Hospital, Inc.Part V, Section B, Line 6b: The CHNA document is the culmination of a partnership between the Dare County Department of Public Health (DCDPH) and The Outer Banks Hospital (TOBH).
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 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 ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 7:Costs were calculated using the estimated cost to charge ratio from TheNorth Carolina Hospital Association's Advocacy Needs Data Initiative whichis 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 Receivable:Patient Accounts Receivable are reported net of estimated allowances for contractual adjustments and allowances for bad debts. Estimated allowances for bad debts are approximately $8.2 million and $7.3 million as of September 30, 2018 and 2017, 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 or spouse, etc).B. Through the assistance of a third party vendor and certain algorithms, in conjuction with our charity policy guidelines, all accounts, prior to outside collection agency referral, will be tested for presumptive charity.C. The accounts deemed charity will be adjusted and the remaining accounts will be referred to an outside collection agency. D. Once the agency has had the accounts for six months and has deemed them uncollectible, the accounts with balances of $1,200 or greater will remain with the agency and be kept on the patient's credit file.E. The accounts returned to the hospital will be placed in a unique financial class and will not be pursued for collections.
Part VI, Line 2:The organization assesses community need in conjunction with the state affiliated county health departments and other local health care organizations. See also Schedule H, Part V, Section B, lines 1-7.
Part VI, Line 3:Information is available on the organization's website and at registration for patients. In addition, face-to-face financial counseling is available to patients and their families in the central business office.
Part VI, Line 4:See Schedule O, Part III, 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 StatesNC

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Roger Robertson
Board Director (rotated off)$0$406,671$0$0$0$1,901,336$0$234,440$0$34,535$0$2,576,982$0$0
Jay Briley
Board Director$0$213,764$0$350$0$0$0$48,964$0$35,163$0$298,241$0$0
Ronald Sloan
President$224,758$0$350$0$0$0$44,153$0$40,375$0$309,636$0$0$0
Todd Warlitner
VP, Business Operations$146,989$0$350$0$0$0$15,527$0$36,005$0$198,871$0$0$0
Marcella Bryant
VP, Clinical Operations$148,607$0$350$0$4,390$0$15,441$0$30,319$0$199,107$0$0$0
Gary Hunter
Anesthesiologist$473,557$0$13,000$0$0$0$0$0$36,070$0$522,627$0$0$0
Mary Terrell Parnell
Pharmacist - OBH$134,912$0$350$0$0$0$0$0$38,434$0$173,696$0$0$0
Vance Collins
Dir, Pharmacy - OBH$164,481$0$350$0$0$0$3,262$0$13,843$0$181,936$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3The Top Management Official is the President who is an employee of TOBH. The compensation is determined by the Compensation and Benefits Committee of the Vidant Health Board using comparative data from like organizations and input from consultants. 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.
Part I, Line 4bAs of January 1, 2013, the supplemental nonqualified retirement plan was frozen and no further amounts have accrued to its benefit. In lieu of the SERP, the comprehensive defined benefit pension plan will provide an equivalent benefit. The increase in the value of such plans is reflected in the sum of Part II, Column (C). Compensation of Roger Robertson: of the compensation reported in column (b)(iii) of part ii, $1,901,336 is attributable to a distribution from a supplemental executive retirement plan. Of the total amount, $855,601 was paid to federal and state government as withheld taxes. The remainder is held by a trustee with actuarially determined monthly payments, consisting of principal and earnings, being made to Robertson over a specified number of years. This retirement compensation was earned by the recipient over 28 years of service.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 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 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 are hospital and an academic medical center, and seven other acute care hospitals: Vidant Roanoke-Chowan Hospital, Vidant Edgecombe Hospital, Vidant Chowan Hospital, Vidant Bertie Hospital, Vidant Duplin Hospital, Vidant Beaufort 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 eight owned acute care hospitals are licensed to operate 1483 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 2018 VH's combined patient care statistics were: inpatient admissions, 64,333; inpatient days of care, 354,964; surgeries, 46,815; births, 5,632; and Outpatient visits, 347,761. Our System's workforce included 11,552 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 2018 VH provided care to 265,488 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 of former Board of Governors of the University of North Carolina appointees of VMC's Board of Trustees. VMC, in affiliation with the Brody School of Medicine, which is owned by the State of North Carolina, operates 30 resident-training programs with over 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 up to and including Onslow County. The area is largely rural and largely poor, with higher than state or national average rates for poverty and uninsured. Health status indicators show increased incidence of disease in the region, especially cancer, heart disease and stroke. VH determines priorities for target populations by working in concert with medical and community agency partners in ongoing assessment of the most pressing health care needs. Many efforts over the past decade have focused on diabetes, pediatric asthma, school health, injury prevention, access to care, nutrition enhancement, physical activities and chronic disease screenings. Also, special programs to manage the care of Medicaid enrollees, address access to both medical care and medications for the uninsured, and coordination of services for children with obesity have been undertaken. The populations that are served by addressing these issues are largely the poor, the underserved, and minorities. Determination of specific populations to address occurs when partners such as the North Carolina Department of Health and Human Services, local health departments, county 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 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 6According to the organization's amended and restated bylaws, Article II, the Organization has two members, East Carolina Health and Chesapeake Hospital Authority.
Form 990, Part VI, Section A, line 7aEach 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 7bThe 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 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.
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 responses are reviewed by legal counsel and any potential or actual conflicts are brought to the Board for disposition. Board Members are instructed to report any potential conflicts arising during the year for review. Board Members are required to recuse themselves from voting on issues in which they are deemed to have a conflict.
Form 990, Part VI, Section B, line 15The Top Management Official is the President who is an employee of The Outer Banks Hospital, Inc. The compensation is determined by the Compensation and Benefits Committee of the Vidant Health Board using comparative data from like organizations and input from consultants. 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.
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 13,613,222. Management and general expenses 3,403,305. Fundraising expenses 0. Total expenses 17,016,527.
Form 990, Part XI, line 9:Net Asset Transfer -7,493,903.
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/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Outer Banks Professional Services LLC
604 Amanda StManteoNC27954270484506Family practiceNC-$8,021,274$2,968,365The Outer Banks Hospital
Outer Banks Medical Office Building LLC
4810 South Croatan HwyNags HeadNC27959161740979Medical office buildingNC-$675,744$2,415,465The Outer Banks Hospital

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 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
Pitt County Memorial Hospital Inc DBA Vidant Medical Center
2100 Stantonsburg RoadGreenvilleNC27835560585243HospitalNC501(c)(3)Line 30Vidant Health
Surgicenter Services of Pitt Inc
102 Bethesda DrGreenvilleNC27835561690553Medical Property ManagementNC501(c)(3)Line 12b, II0Vidant Medical Center
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
East Carolina Health Inc DBA Vidant Community Hospitals - Central
2100 Stantonsburg RoadGreenvilleNC27835562003393HospitalNC501(c)(3)Line 30Vidant Health
HealthAccess Inc
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 Beafort 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 DBA Vidant Roanoke-Chowan Hospital
2100 Stantonsburg RoadGreenvilleNC27835264634725HospitalNC501(c)(3)Line 30Vidant Health
Pungo District Hospital Corporation DBA Vidant Pungo Hospital
2100 Stantonsburg RoadGreenvilleNC27835560518757HospitalNC501(c)(3)Line 30Vidant Health
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
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 Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
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