PITT COUNTY MEMORIAL HOSPITAL INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- PITT COUNTY MEMORIAL HOSPITAL INC (EIN 56-0585243)
- Tax period
- 2015-10-01 to 2016-09-30
- Filed
- 2017-06-13
- IRS object ID
- 201711649349300421
- Schema version
- 2015v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-06-13T10:27:27-05:00 | ReturnTs |
| Tax Period End | 2016-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 420714325 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RSM US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 S WACKER DRIVE STE 800 | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560585243 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Pitt County Memorial Hospital Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PITT | BusinessNameControlTxt |
| Phone | 2528477479 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2100 Stantonsburg Road | AddressLine1Txt |
| City | Greenville | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27835 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | David Hughes | PersonNm |
| Person Title | Chief Financial Officer | PersonTitleTxt |
| Phone | 2528477479 | PhoneNum |
| Signature | 2017-06-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Wayne Harder | PreparerPersonNm |
| PTIN | P00294296 | PTIN |
| Phone | 3126343400 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Vidant Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | William Floyd | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2100 Stantonsburg Road | AddressLine1Txt |
| City | Greenville | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27835 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,147,636,989 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.vidanthealth.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1953 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | To provide access to quality medical service to all citizens of Pitt County and Eastern NC. | ActivityOrMissionDesc |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 19 | VotingMembersIndependentCnt |
| Total Employee | 13097 | TotalEmployeeCnt |
| Total Volunteers | 814 | TotalVolunteersCnt |
| Total Gross UBI | $271,997 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$54,921 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,815,754 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,136,140 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,090,225,240 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,115,884,400 | CYProgramServiceRevenueAmt |
| PY Investment Income | $23,578,953 | PYInvestmentIncomeAmt |
| CY Investment Income | $30,616,449 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $1,116,619,947 | PYTotalRevenueAmt |
| CY Total Revenue | $1,147,636,989 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,643,709 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,028,200 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $451,204,052 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $460,770,985 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $587,249,565 | PYOtherExpensesAmt |
| CY Other Expenses | $584,025,781 | CYOtherExpensesAmt |
| PY Total Expenses | $1,041,097,326 | PYTotalExpensesAmt |
| CY Total Expenses | $1,045,824,966 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $75,522,621 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $101,812,023 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,151,563,129 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,398,633,431 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $313,307,344 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $328,800,608 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $838,255,785 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,069,832,823 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | To improve the health and well-being of eastern North Carolina. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $383,285,187 | ExpenseAmt |
| Revenue | $384,499,437 | RevenueAmt |
| Desc | Cancer and Clinical ServicesPCMH (D/B/A Vidant Medical Center) Cancer Services include the most advanced treatments for the people of Eastern North Carolina. We use the latest technologies, including gamma knife radiosurgery, available to our expert medical staff, nurses and therapists. Combining national treatment protocols and the highest standards of clinical quality, our team of specialists take care of thousands of patients each year. In cancer and clinical services during tax year 2015, VMC performed 2,295,339 lab tests, 126,463 radiology cases, 2,054 pet scans, 123 gamma knife cases, and 205,514 respiratory treatments. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $270,964,934 | ExpenseAmt |
| Revenue | $323,691,262 | RevenueAmt |
| Desc | Surgical ServicesSurgeons at Vidant Medical Center are leaders in their fields. Our bariatric surgeons were pioneers of gastric bypass surgery and now perform gastric banding as well. Other areas of surgical emphasis include: orthopedics, cardiothoracic, gynecology, trauma and general surgery. VMC Surgical Services performed 21,587 surgeries in 2015. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $179,433,862 | ExpenseAmt |
| Revenue | $202,086,765 | RevenueAmt |
| Desc | Cardiovascular ServicesVidant Medical Center provides patients with the latest treatments and technology available. We have nationally and internationally recognized physicians at the East Carolina Heart Institute, performing delicate heart surgeries and procedures using the DaVinci Robot. Our heart and vascular services include: stents, imaging studies, pacemaker placement, ablation, robot-assisted heart surgery, and heart failure programs. These and many more services are provided at the East Carolina Heart Institute at VMC, the first facility in North Carolina devoted exclusively to education, research, treatment and prevention of cardiovascular diseases. Cardiovascular services performed 72,951 EKGs. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $113,526,358 | ExpenseAmt |
| Grant | $1,028,200 | GrantAmt |
| Revenue | $205,606,936 | RevenueAmt |
| Desc | All Other Services | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $113,526,358 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $1,028,200 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $205,606,936 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $947,210,341 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 1 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 13097 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 19 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | NC | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Brian Dunn | PersonNm |
| Phone | 2528477479 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2100 Stantonsburg Road | AddressLine1Txt |
| City | Greenville | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27835 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (44 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| JoAnne K Burgdorff | ||||||||||
| Chairman | 2.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Bruce E Gray | ||||||||||
| Vice Chairman | 2.00 | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Shirley Carraway EdD | ||||||||||
| Secretary | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||||
| Dr Mary J Raab MD | ||||||||||
| Assistant Secretary | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||||
| C Bynum Satterwhite | ||||||||||
| Treasurer | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||||
| Carlester Crumpler | ||||||||||
| Assistant Treasurer | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||||
| Robert J Greczyn Jr | ||||||||||
| Past Assistant Treasurer | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||||
| Dr Marcus A Albernaz MD | ||||||||||
| Board Director | 2.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| Noel L Baucom | ||||||||||
| Board Director | 2.00 | Yes (X) | $0 | $0 | $0 | |||||
| James W Chesnutt | ||||||||||
| Board Director | 2.00 | Yes (X) | $0 | $0 | $0 | |||||
| Phillip R Dixon Sr | ||||||||||
| Board Director | 2.00 | Yes (X) | $0 | $0 | $0 | |||||
| Phil Hodges | ||||||||||
| Board Director | 2.00 | Yes (X) | $0 | $0 | $0 | |||||
| Polly Johnson | ||||||||||
| Board Director | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Dr William J Jones Jr PhD | ||||||||||
| Board Director | 2.00 | Yes (X) | $0 | $0 | $0 | |||||
| Arthur H Keeney III | ||||||||||
| Board Director | 2.00 | 6.00 | Yes (X) | $0 | $0 | $0 | ||||
| Thomasine S Kennedy | ||||||||||
| Board Director | 2.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| J Bryant Kittrell III | ||||||||||
| Board Director | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Dr Susan Kraemer MD | ||||||||||
| Board Director | 2.00 | Yes (X) | $0 | $0 | $0 | |||||
| Mark W Owens Jr | ||||||||||
| Board Director | 2.00 | Yes (X) | $0 | $0 | $0 | |||||
| Dr Walter E Pofahl II MD | ||||||||||
| Board Director | 2.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| David H Womack | ||||||||||
| Past Board Director | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Dr Michael Waldrum MD | ||||||||||
| Chief Executive Officer | 2.00 | 50.00 | Yes (X) | $0 | $483,826 | $74,071 | ||||
| William Floyd | ||||||||||
| Executive VP/President of VMC | 40.00 | 4.00 | Yes (X) | $497,092 | $0 | $127,667 | ||||
| Linda Hofler | ||||||||||
| Sr. VP, Chief Nursing Officer | 40.00 | Yes (X) | $273,914 | $0 | $200,106 | |||||
| Jennifer Thomas | ||||||||||
| VP of Financial Services | 40.00 | Yes (X) | $0 | $194,023 | $63,410 | |||||
| Scott Lieberenz | ||||||||||
| Sr. VP, Financial Services | 40.00 | Yes (X) | $0 | $285,127 | $63,719 | |||||
| Donald Shackelford | ||||||||||
| Sr. VP, Medical Affairs | 40.00 | $431,569 | $0 | $84,608 | Yes (X) | |||||
| Tracy Eskra | ||||||||||
| VPMA for Clinical Efficiency | 40.00 | $320,367 | $0 | $41,055 | Yes (X) | |||||
| Donald Smith | ||||||||||
| Senior Vice President | 40.00 | $246,086 | $0 | $63,301 | Yes (X) | |||||
| Ryan Hickey | ||||||||||
| Senior Vice President | 40.00 | $231,572 | $0 | $83,336 | Yes (X) | |||||
| Reggie Pearson | ||||||||||
| Senior Vice President | 40.00 | $223,516 | $0 | $56,601 | Yes (X) | |||||
| Kimberly C Osborne | ||||||||||
| VP, Medicine and Care Coordination | 40.00 | $185,174 | $0 | $90,930 | Yes (X) | |||||
| Teresa Anderson | ||||||||||
| VP, Quality | 40.00 | $174,264 | $0 | $77,627 | Yes (X) | |||||
| Barbara Batts | ||||||||||
| VP, Women's and Children's Services | 40.00 | $225,445 | $0 | $136,429 | Yes (X) | |||||
| Anna Weaver | ||||||||||
| VP, Surgical Services | 40.00 | $184,438 | $0 | $37,635 | Yes (X) | |||||
| Jeffrey Dial | ||||||||||
| VP, Operations/President of Bertie | 40.00 | $225,089 | $0 | $95,158 | Yes (X) | |||||
| Lisa Jackson | ||||||||||
| Pharmacist IV | 40.00 | $260,310 | $0 | $155,223 | Yes (X) | |||||
| Olen Naylor | ||||||||||
| Pharmacist II | 40.00 | $278,467 | $0 | $178,261 | Yes (X) | |||||
| Susan Edwards | ||||||||||
| Pharmacist II | 40.00 | $237,255 | $0 | $96,081 | Yes (X) | |||||
| George Williams | ||||||||||
| Svs Lin Admin, Labratory Systems | 40.00 | $236,962 | $0 | $187,198 | Yes (X) | |||||
| Wanda Bennett | ||||||||||
| Sr. Admin, Rehabilitation Services | 40.00 | $235,411 | $0 | $144,920 | Yes (X) | |||||
| Dr David Herman MD | ||||||||||
| Former CEO | 0.00 | 0.00 | $0 | $270,651 | $31,973 | Yes (X) | ||||
| Stephen Lawler | ||||||||||
| President Emeritus of VMC/CPAO | 2.00 | 40.00 | $0 | $3,110,034 | $157,833 | Yes (X) | ||||
| Tyree Walker | ||||||||||
| Former VP, Human Resources | 0.00 | $230,037 | $0 | $23,494 | Yes (X) | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,696,968 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,343,661 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,270,636 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 347 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ECU School of Medicine | |||||
| PO Box 75514 | Charlotte | NC | 28275 | Medical Staff Services | $18,115,684 |
| Pitt County Anesthesia Services | |||||
| 2080 B Arlington Boulevard | Greenville | NC | 27834 | Anesthesia Services | $8,028,414 |
| Medcost Benefit Services | |||||
| PO Box 25987 | Winston Salem | NC | 27714 | Third Party Administrative Fees | $3,375,179 |
| Sodexo Inc & Affiliates | |||||
| PO Box 536922 | Atlanta | GA | 30353 | Dietary & Environmental Svcs. | $2,836,254 |
| GE Healthcare | |||||
| 101 Carnegie Center | Princeton | NJ | 08540 | Service Agreements | $2,770,525 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 80 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,136,140 | GovernmentGrantsAmt |
| Total Contributions | $1,136,140 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Cancer and Clinical Services | 621110 | $384,499,437 | $384,499,437 |
| Surgical Services | 621110 | $323,691,262 | $323,691,262 |
| Cardiovascular Services | 621110 | $202,086,765 | $202,086,765 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $205,606,936 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $205,334,939 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $271,997 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,115,884,400 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $28,734,066 | TotalRevenueColumnAmt |
| Exclusion | $28,734,066 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,882,383 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,882,383 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,882,383 | TotalRevenueColumnAmt |
| Exclusion | $1,882,383 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,147,636,989 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,115,612,403 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $271,997 | UnrelatedBusinessRevenueAmt |
| Exclusion | $30,616,449 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,028,200 | TotalAmt |
| Program Services | $1,028,200 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,312,979 | TotalAmt |
| Program Services | $3,825,818 | ProgramServicesAmt |
| Management And General | $487,161 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $343,091,316 | TotalAmt |
| Program Services | $304,338,385 | ProgramServicesAmt |
| Management And General | $38,752,931 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,265,098 | TotalAmt |
| Program Services | $21,524,301 | ProgramServicesAmt |
| Management And General | $2,740,797 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,339,435 | TotalAmt |
| Program Services | $57,072,152 | ProgramServicesAmt |
| Management And General | $7,267,283 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,762,157 | TotalAmt |
| Program Services | $21,965,216 | ProgramServicesAmt |
| Management And General | $2,796,941 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,858,293 | TotalAmt |
| Program Services | $1,542,383 | ProgramServicesAmt |
| Management And General | $315,910 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $388,855 | TotalAmt |
| Program Services | $322,750 | ProgramServicesAmt |
| Management And General | $66,105 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,954 | TotalAmt |
| Management And General | $90,954 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,567 | TotalAmt |
| Management And General | $31,567 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $158,418,239 | TotalAmt |
| Program Services | $131,759,138 | ProgramServicesAmt |
| Management And General | $26,659,101 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,221,740 | TotalAmt |
| Program Services | $1,014,044 | ProgramServicesAmt |
| Management And General | $207,696 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,032,981 | TotalAmt |
| Program Services | $1,678,433 | ProgramServicesAmt |
| Management And General | $354,548 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,387,492 | TotalAmt |
| Program Services | $1,387,492 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,933,130 | TotalAmt |
| Program Services | $12,421,437 | ProgramServicesAmt |
| Management And General | $2,511,693 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,742,601 | TotalAmt |
| Program Services | $1,446,359 | ProgramServicesAmt |
| Management And General | $296,242 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,273,768 | TotalAmt |
| Program Services | $10,187,227 | ProgramServicesAmt |
| Management And General | $2,086,541 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,016,825 | TotalAmt |
| Program Services | $39,864,532 | ProgramServicesAmt |
| Management And General | $8,152,293 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,289,523 | TotalAmt |
| Program Services | $7,710,385 | ProgramServicesAmt |
| Management And General | $1,579,138 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| Patient Supplies | $202,351,628 | $202,351,628 |
| Bad Debt Expense | $49,693,200 | $49,693,200 |
| Contracted Services | $29,342,205 | $29,342,205 |
| Physicians | $26,178,468 | $26,178,468 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,774,312 | TotalAmt |
| Program Services | $20,556,588 | ProgramServicesAmt |
| Management And General | $4,217,724 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,045,824,966 | TotalAmt |
| Program Services | $947,210,341 | ProgramServicesAmt |
| Management And General | $98,614,625 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,461,144 | BOYAmt |
| EOY | $18,735,317 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $157,483,129 | BOYAmt |
| EOY | $165,116,190 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,619,000 | BOYAmt |
| EOY | $24,898,386 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,459,811 | BOYAmt |
| EOY | $5,727,977 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,218,154,100 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $797,199,653 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $371,729,152 | BOYAmt |
| EOY | $420,954,447 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $462,074,982 | BOYAmt |
| EOY | $593,362,193 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $107,735,911 | BOYAmt |
| EOY | $169,838,921 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,151,563,129 | BOYAmt |
| EOY | $1,398,633,431 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $253,752,372 | BOYAmt |
| EOY | $277,242,093 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,554,972 | BOYAmt |
| EOY | $51,558,515 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $313,307,344 | BOYAmt |
| EOY | $328,800,608 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $838,255,785 | BOYAmt |
| EOY | $1,069,832,823 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $838,255,785 | BOYAmt |
| EOY | $1,069,832,823 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,151,563,129 | BOYAmt |
| EOY | $1,398,633,431 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $101,812,023 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,122,725 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $128,642,290 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $31,567 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $31,567 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | 22.39% of dues to NCHA are allocated to lobbying. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $31,390,880 | OtherCostOrOtherBasisAmt |
| Book Value | $31,390,880 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $539,871,997 | OtherCostOrOtherBasisAmt |
| Depreciation | $340,181,980 | DepreciationAmt |
| Book Value | $199,690,017 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $539,684,133 | OtherCostOrOtherBasisAmt |
| Depreciation | $457,017,673 | DepreciationAmt |
| Book Value | $82,666,460 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $107,207,090 | OtherCostOrOtherBasisAmt |
| Book Value | $107,207,090 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $420,954,447 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| Trustee Held Funds - Capital Expenditures | $574,371,557 | F |
| Trustee Held Funds - Pension | $18,990,636 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $593,362,193 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Other Receivables | $23,418,383 |
| Due from Third Party Payors | $61,004,854 |
| Investments in Subsidiaries | $32,137,824 |
| Intangible Assets | $2,763,444 |
| Cash Held in Escrow | $7,716,192 |
| Deferred Pension Outflows | $42,798,224 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $169,838,921 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)
| DescDesc | AmtAmt |
|---|---|
| Due to Affiliates | $165,493 |
| Due to Third Party Payors | $7,476,332 |
| Asset Retirement Obligation | $675,000 |
| Deferred Gain | $819,883 |
| SERP Payable | $17,139,009 |
| Workers Compensation - Long Term | $12,686,599 |
| Deferred Pension Inflows | $8,410,774 |
| Donated Equipment | $4,185,425 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $51,558,515 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | Pitt 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, 2016 and 2015. 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 2013. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $35,769,902 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $35,769,902 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03420 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $160,212,018 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $133,514,155 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $26,697,863 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02550 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $195,981,920 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $133,514,155 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $62,467,765 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05970 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 19 | ActivitiesOrProgramsCnt |
| Persons Served | 51804 | PersonsServedCnt |
| Total Community Benefit Expns | $3,390,185 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,390,185 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00320 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 6 | ActivitiesOrProgramsCnt |
| Persons Served | 4625 | PersonsServedCnt |
| Total Community Benefit Expns | $57,792,043 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,059,961 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $41,732,082 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03990 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 455 | PersonsServedCnt |
| Total Community Benefit Expns | $903,731 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $903,731 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 6 | ActivitiesOrProgramsCnt |
| Persons Served | 192040 | PersonsServedCnt |
| Total Community Benefit Expns | $4,963,132 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,963,132 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00470 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 33 | ActivitiesOrProgramsCnt |
| Persons Served | 248924 | PersonsServedCnt |
| Total Community Benefit Expns | $67,049,091 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,059,961 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $50,989,130 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04870 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 33 | ActivitiesOrProgramsCnt |
| Persons Served | 248924 | PersonsServedCnt |
| Total Community Benefit Expns | $263,031,011 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $149,574,116 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $113,456,895 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10840 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 382 | PersonsServedCnt |
| Total Community Benefit Expns | $40,769 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $40,769 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $1,504 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,504 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 1111 | PersonsServedCnt |
| Total Community Benefit Expns | $246,036 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $246,036 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 6 | ActivitiesOrProgramsCnt |
| Persons Served | 1493 | PersonsServedCnt |
| Total Community Benefit Expns | $288,309 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $288,309 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $18,723,167 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $350,673,014 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $403,369,383 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$52,696,369 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Pitt County Memorial Hospital Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2100 Stantonsburg Road | AddressLine1Txt |
| City | Greenville | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27835 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Childrens Hospital | Yes (X) | ChildrensHospitalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | Rehabilitation Behavioral Health | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Pitt County Memorial Hospital Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Schedule H, Part V, Section C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Schedule H, Part V, Section C | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | www.vidanthealth.com/billing-assistance | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | www.vidanthealth.com/billing-assistance | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | www.vidanthealth.com/billing-assistance | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Average Negotiated Rates | Yes (X) | AverageNegotiatedRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pitt County Memorial Hospital, Inc. | Part V, Section B, Line 5: The preparation of the 2015 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). Sincere appreciation is extended to the PPH membership for their guidance and contributions to the 2015 CHNA. The Partnership is chaired by Colleen Coda, a community member and retired VMC Cancer Services nurse. The vice chair is Alice Keene, retired Director, Pitt County Community Schools and Recreation and current Special Projects Coordinator, Pitt County Planning Department / Community Schools and Recreation. Action Team leaders include Robin Tant (Physical Activity and Nutrition), Jennifer Smith (Injury Prevention), and Sandra Hickman (Chronic Disease). PPH membership is comprised of individuals from a variety of organizations and communities within Pitt County representing government, health care, the faith community, civic organizations and members of the general public. PPH serves a critical role in assuring that the community has input into the collection and review of health status data, as well as the selection of health priorities for the County. The priorities recommended by PPH were shared with the Pitt County Board of Health, the VMC Board of Trustees and the VMC Foundation. Each of these groups selected priority health areas for their respective organizations as outlined in this document. PPH, VMC Community Health Programs, Pitt County Health Department and other partners express gratitude to the Pitt County Board of Health, VMC Board of Trustees and the VMC Foundation for receiving presentations regarding key finding of this assessment and for their recommendations and careful selection of priority health areas for Pitt County that will be addressed from 2015-2018. A special thank you is also extended to a number of Pitt County individuals and groups who shared their knowledge, expertise, and creative ideas for improving health within the Pitt County community: - Dr. John Morrow, Pitt County Public Health Director, Mr. Brian Floyd, President of VMC and Dr. Paul Cunningham, Dean of the Brody School of Medicine (BSOM) hosted a Key Leaders' listening session to solicit input on health issues and strategies to create a healthier community. Dr. Doyle Cummings from the Research Division of Family Medicine at the BSOM served as moderator of the Key Leaders' listening session. Forty - one (41) 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. - Jo Morgan, retired Health Education Director with Pitt County Health Department kindly shared her expertise from over 30 years of conducting health assessments for the Pitt County community. PPH is grateful for her leadership and for her recommendations regarding the collection and analysis of data. Mrs. Morgan conducted listening sessions among nineteen (19) Pitt County groups/organizations that serve the people of Pitt County and that are familiar with the health status of the community. She also compiled and analyzed this data.Acknowledgement and appreciation are also extended to the 281 representatives of the following groups who participated in community listening sessions and provided feedback concerning health issues they have identified among community members whom they serve as part of their profession or affiliation with these groups: - Gold Path, Martin Pitt Partnership for Children, Homeless Shelter, Senior Fitness Group, Human Resource Managers, Community Care Plan, Safe Communities Coalition, Vidant Case Managers, Pitt County Schools Social Workers, Vidant Medical Center School Nurses, Grifton Emergency Medical Services, Pitt County Emergency Medical Services, Pitt County Health Department Outreach Team, AMEXCAN (Association of Mexicans in North Carolina), Greenville Youth Council, Winterville Youth Council , Total Christian Ministries Lay Health Advisors, Council on Aging, and the M.E.N.D. (Medically Enduring Neighborhood Dream) Project. Appreciation is extended to the community members who participated in community listening sessions at the following locations and provided feedback and recommendations for community health improvement: - The Bethel Senior Center, Eastern Radiology Breast Clinic and The United Way's Expanded Learning Opportunity Group - Pitt County is known for its collaborative spirit and has a long history of partnering to share resources. Acknowledgement is given to the following individuals / organizations for their contributions and support of this process through data collection and analysis: - The Department of Family Medicine, Brody School of Medicine at East Carolina University, under the direction of Dr. Doyle Cummings and with assistance from Alyssa Adams, collected and analyzed data from the 2015 online Community Health Opinion Survey which received feedback from 545 Pitt County community members. - The Vidant Medical Center's Community Health Programs, under the direction of Mrs. Catherine Nelson, provided funding to support primary data collection and analysis through the online Community Health Opinion Survey and community listening sessions. - Vidant Health Corporate Community Health Improvement (Mrs. Melissa Roupe) provided guidance and direction regarding CHNA requirements for not-for-profit hospitals. - The Vidant Health Strategic Development staff provided statistical information and interpretation regarding emergency department use and hospital admissions. - The Pitt County Health Department's Health Education Division (Amy Hattem, Jennifer Hardee, Kathy Sheppard and Terry Quinn) collected and analyzed data and contributed to the Health Resources section of this document and prepared the final 2015 CHNA document. - The Pitt County Government's Planning Department compiled and analyzed data regarding populations within Pitt County and its municipalities. |
| 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: 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. |
| Pitt County Memorial Hospital, Inc. | Part V, Section B, Line 16i: 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: | The Hospital makes its CHNA report available to the public on the Hospital's website: www.vidanthealth.com/vidant/dynamic-detail.aspx?id=13673 |
| Part V, section B, Line 10a: | The Hospital makes its most recently adopted implementation strategy available to the public on the Hospital's website: www.vidanthealth.com/vidant/dynamic-detail.aspx?id=13673 |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 6a: | In addition to the Community Benefit Report for PCMH, information regarding this entity is found in the annual report for University Health Systems of Eastern Carolina d/b/a Vidant Health. |
| 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 Vidant Medical Center are presented on a consolidated basis as part of the consolidated financial statements of Vidant Health; the text of the footnote from page 21 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 $79.6 million and $74.7 million as of September 30, 2016 and 2015, 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 $1,200 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 with www.vidanthealth.com/vidant/dynamic-detail.aspx?id=13673 |
| Part VI, Line 5: | See Schedule O, Part III, Line 4a in connection with www.vidanthealth.com/vidant/dynamic-detail.aspx?id=13673 |
| Part VI, Line 6: | See Schedule O, Part III, Line 4a in connection with www.vidanthealth.com/vidant/dynamic-detail.aspx?id=13673 |
| Part VI, Line 7, Reports Filed With States | NC |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| Pitt Memorial Hospital Foundation | |||||||
| 2800 Stantonsburg Road | Greenville | NC | 27835 | 581399266 | 501(c)(3) | $1,000,000 | General Support |
| Uptown Greenville | |||||||
| PO Box 92 | Greenville | NC | 27835 | 581539575 | 501(c)(3) | $25,000 | General Support |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | Primary oversight responsibility for all grants received by UHS organizations rests with the entity receiving the funds. Each entity is responsible for documenting the receipt of funds, assigning a cost center to track expenses and/or creating a restricted liability for deposit of the funds, documenting expenditures and completing all grantor required reporting. The compliance with the terms of the agreement related to project implementation and management, fund expenditures and reporting is monitored by the granting agency's designated contact person with assistance from the UHS grants office. Note: The majority of the grant funds received for programs at VMC are acquired through the PMH Foundation which has a compliance audit completed each year. Grant funds for UHS are sent to the UHS Foundation and have the same audit procedures. All grant funds are recorded/monitored by the Corporate Accountant and the Assistant Vice President of Financial Services. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Dr Michael Waldrum MD | ||||||||||||||
| Chief Executive Officer | $0 | $483,826 | $0 | $0 | $0 | $0 | $0 | $48,600 | $0 | $25,471 | $0 | $557,897 | $0 | $0 |
| William Floyd | ||||||||||||||
| Executive VP/President of VMC | $429,632 | $0 | $66,828 | $0 | $632 | $0 | $89,498 | $0 | $38,169 | $0 | $624,759 | $0 | $0 | $0 |
| Linda Hofler | ||||||||||||||
| Sr. VP, Chief Nursing Officer | $255,666 | $0 | $17,217 | $0 | $1,031 | $0 | $169,476 | $0 | $30,630 | $0 | $474,020 | $0 | $0 | $0 |
| Jennifer Thomas | ||||||||||||||
| VP of Financial Services | $0 | $183,249 | $0 | $10,774 | $0 | $0 | $0 | $46,277 | $0 | $17,133 | $0 | $257,433 | $0 | $0 |
| Scott Lieberenz | ||||||||||||||
| Sr. VP, Financial Services | $0 | $263,969 | $0 | $21,158 | $0 | $0 | $0 | $29,300 | $0 | $34,419 | $0 | $348,846 | $0 | $0 |
| Donald Shackelford | ||||||||||||||
| Sr. VP, Medical Affairs | $403,734 | $0 | $27,835 | $0 | $0 | $0 | $44,000 | $0 | $40,608 | $0 | $516,177 | $0 | $0 | $0 |
| Tracy Eskra | ||||||||||||||
| VPMA for Clinical Efficiency | $299,936 | $0 | $20,431 | $0 | $0 | $0 | $32,093 | $0 | $8,962 | $0 | $361,422 | $0 | $0 | $0 |
| Donald Smith | ||||||||||||||
| Senior Vice President | $229,438 | $0 | $16,276 | $0 | $372 | $0 | $25,777 | $0 | $37,524 | $0 | $309,387 | $0 | $0 | $0 |
| Ryan Hickey | ||||||||||||||
| Senior Vice President | $216,190 | $0 | $15,382 | $0 | $0 | $0 | $39,721 | $0 | $43,615 | $0 | $314,908 | $0 | $0 | $0 |
| Reggie Pearson | ||||||||||||||
| Senior Vice President | $209,299 | $0 | $14,217 | $0 | $0 | $0 | $23,156 | $0 | $33,445 | $0 | $280,117 | $0 | $0 | $0 |
| Kimberly C Osborne | ||||||||||||||
| VP, Medicine and Care Coordination | $173,359 | $0 | $11,815 | $0 | $0 | $0 | $74,981 | $0 | $15,949 | $0 | $276,104 | $0 | $0 | $0 |
| Teresa Anderson | ||||||||||||||
| VP, Quality | $162,850 | $0 | $11,414 | $0 | $0 | $0 | $39,980 | $0 | $37,647 | $0 | $251,891 | $0 | $0 | $0 |
| Barbara Batts | ||||||||||||||
| VP, Women's and Children's Services | $214,896 | $0 | $10,549 | $0 | $0 | $0 | $118,372 | $0 | $18,057 | $0 | $361,874 | $0 | $0 | $0 |
| Anna Weaver | ||||||||||||||
| VP, Surgical Services | $171,929 | $0 | $11,705 | $0 | $804 | $0 | $24,039 | $0 | $13,596 | $0 | $222,073 | $0 | $0 | $0 |
| Jeffrey Dial | ||||||||||||||
| VP, Operations/President of Bertie | $187,696 | $0 | $37,080 | $0 | $313 | $0 | $54,565 | $0 | $40,593 | $0 | $320,247 | $0 | $0 | $0 |
| Lisa Jackson | ||||||||||||||
| Pharmacist IV | $259,560 | $0 | $750 | $0 | $0 | $0 | $113,811 | $0 | $41,412 | $0 | $415,533 | $0 | $0 | $0 |
| Olen Naylor | ||||||||||||||
| Pharmacist II | $277,717 | $0 | $750 | $0 | $0 | $0 | $137,537 | $0 | $40,724 | $0 | $456,728 | $0 | $0 | $0 |
| Susan Edwards | ||||||||||||||
| Pharmacist II | $236,505 | $0 | $750 | $0 | $0 | $0 | $85,154 | $0 | $10,927 | $0 | $333,336 | $0 | $0 | $0 |
| George Williams | ||||||||||||||
| Svs Lin Admin, Labratory Systems | $236,212 | $0 | $750 | $0 | $0 | $0 | $168,782 | $0 | $18,416 | $0 | $424,160 | $0 | $0 | $0 |
| Wanda Bennett | ||||||||||||||
| Sr. Admin, Rehabilitation Services | $235,411 | $0 | $0 | $0 | $0 | $0 | $128,330 | $0 | $16,590 | $0 | $380,331 | $0 | $0 | $0 |
| Dr David Herman MD | ||||||||||||||
| Former CEO | $0 | $270,651 | $0 | $0 | $0 | $0 | $0 | $27,059 | $0 | $4,914 | $0 | $302,624 | $0 | $0 |
| Stephen Lawler | ||||||||||||||
| President Emeritus of VMC/CPAO | $0 | $859,732 | $0 | $115,947 | $0 | $2,134,355 | $0 | $122,425 | $0 | $35,408 | $0 | $3,267,867 | $0 | $2,125,261 |
| Tyree Walker | ||||||||||||||
| Former VP, Human Resources | $216,525 | $0 | $0 | $0 | $13,512 | $0 | $23,494 | $0 | $0 | $0 | $253,531 | $0 | $13,512 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | The 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. This process is performed every two years, the last year being 2015. It will be performed again in fiscal year 2017. 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 two years, the last year being 2015. It will be performed again in fiscal year 2017. All compensation discussions and actions are documented and approved in the minutes of the Committee. |
| Part I, Line 4b | As 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 John Falcetano: Of the compensation reported in Column (B)(iii) of Part II, $559,039 is attributable to a distribution from a Supplemental Executive Retirement Plan. Of the total amount, $251,568 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 Mr. Falcetano over a specified number of years. This retirement compensation was earned by the recipient over several years of service. Compensation of Stephen Lawler: Of the compensation reported in Column (B)(iii) of Part II, $2,125,261 is attributable to a distribution from a Supplemental Executive Retirement Plan. Of this total, $948,990 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 Mr. Lawler over a specified number of years. This retirement compensation was earned by the recipient over several years of service. Compensation of Tyree Walker: Of the compensation reported in Column (B)(iii) of Part II, $13,512 is attributable to a distribution from a Supplemental Executive Retirement Plan. This retirement compensation was earned by the recipient over several years of service. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Eastern Carolina ENT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Marcus Albernaz (Board Director) is Member & Director of East Carolina ENT. | RelationshipDescriptionTxt |
| Transaction | $351,260 | TransactionAmt |
| Transaction | Provides on-call services to Vidant Medical Center. | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part V, Line 2b | On January 1, 2015, Pitt County Memorial Hospital, Inc. d/b/a Vidant Medical Center (VMC) became a joint employer for employees of University Health Systems of Eastern Carolina, Inc. d/b/a Vidant Health, SurgiCenter of Eastern Carolina, LLC d/b/a Vidant SurgiCenter, East Carolina Health, Inc. d/b/a Vidant Community Hospitals and the non-provider employees of Vidant Medical Group. These employees are reported on the Form W-3, Transmittal of Wage and Tax Statements, of VMC. |
| Form 990, Part VI, Section A, line 7a | The 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 7b | The 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 11 | Form 990 is made available to Board Members by posting to a Board Member's website. Any Board Member who does not have the ability to access the return in this manner will receive a copy via electronic or regular mail. The return is also reviewed by the Chief Financial Officer, Chief General Counsel and the Chief Audit and Compliance Officer of University Health Systems prior to filing with the IRS. |
| Form 990, Part VI, Section B, line 12c | All Officers, Board Members and Key Employees are required to complete a yearly comprehensive conflict of interest questionnaire. These are reviewed by legal counsel and any potential or actual conflicts are brought to the Board for disposition. Board Members are instructed to report any potential conflicts arising during the year for review. Board Members are required to recuse themselves from voting on issues in which they are deemed to have a conflict. |
| Form 990, Part VI, Section B, line 15 | The Top Management Official is the President who is an employee of Pitt County Memorial Hospital (D/B/A Vidant Medical Center). The compensation is determined by the Compensation and Benefits Committee of the Vidant Health Board using comparative data from like organizations and input from consultants. This process is performed every two years, the last year being 2015. It will be performed again in fiscal year 2017. 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 two years, the last year being 2015. It will be performed again in fiscal year 2017. All compensation discussions and actions are documented and approved in the minutes of the Committee. |
| Form 990, Part VI, Section C, line 19 | The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request for the same period of disclosure as set forth in IRC Section 6104(d). |
| Form 990, Part IX, line 11g | Other Professional Fees: Program service expenses 131,759,138. Management and general expenses 26,659,101. Fundraising expenses 0. Total expenses 158,418,239. |
| Form 990, Part XI, line 9: | Bond Proceeds Contributed to VMC 105,773,774. Pension Liability 3,343,720. Net Asset Transfer 19,524,796. |
| Form 990, Part III, Line 4a: | Overview of University Health Systems of Eastern Carolina: Our mission at VH to enhance the quality of life for the people and communities we serve, touch and support drives us far beyond caring for patients within the confines of our hospital walls. It calls us to help make eastern North Carolina a better, healthier place to live. VH is a North Carolina non-profit corporation with headquarters in Greenville, North Carolina. VH and its affiliates operate an integrated health care delivery system that serves a total market of approximately 1.4 million people in 29 contiguous counties in eastern North Carolina. The Health System includes hospitals, physician practices, outpatient services, long-term care, home health, hospice, and wellness services. The Health System's owned hospitals are Vidant Medical Center ("VMC"), which is a tertiary care hospital and an academic medical center, and 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 seven owned acute care hospitals are licensed to operate 1,439 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 2015 VH's combined patient care statistics were: inpatient admissions, 64,388; inpatient days of care, 335,772; surgeries, 46,544; births, 6,019; and outpatient visits, 330,836. Our System's workforce included 11,889 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 2015 VH provided care to 273,688 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 Healthy Carolinian task forces, and physicians identify a quantifiable need, and community partners are engaged to work together with the health system. 2. Funding for community health programs is obtained from both the operating funds of VH entities and external grant-awarding organizations. The VH Board annually provides financial support for the Community Benefit Initiatives program of its foundation. These funds are then awarded to community agencies that successfully demonstrate both need and a well-designed plan to address one of the Foundation's priority categories. In addition, each VH hospital financially supports community health resources within its operating budget. Programs vary according to the hospital's financial ability and community need, but all include collaborative efforts with local health departments, including health screenings and education to targeted populations. VH also has a successful track record of obtaining community health program support from external agencies that award grant funding to 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 in several ways. In partnership with the local health departments, the results of state-mandated community health assessments are studied by each local Healthy Carolinians task force. Those task force groups then compile a list of the most pressing issues in their communities based on data from community input. Both established resources within various agencies and potential opportunities to garner new support are reviewed. 4. Community priorities are also established in response to a compelling need identified by health practitioners or community groups. Examples include the pediatric asthma program that has been in place for over 10 years in Pitt County, and expanded to other communities in the region. This major community-based program was established following a plea for assistance by pediatricians and pediatric clinical nurse specialists caring for children with asthma in the acute care setting. The Pitt County School System and local parents identified a lack of health care support in the schools, resulting in an award-winning school nurse program that has been replicated in several counties. Most recently, the focused attention on pediatric obesity and associated diseases has resulted in multiple community-based programs directed at improving nutrition, physical activity, and case management for that population. VH is fortunate to have a strong collaborative partnership with East Carolina University, and works closely with the schools within the Health Sciences Division, especially the Brody School of Medicine. BSOM is an active participant in almost every community health initiative, supporting the research and evaluation of these programs, and contributes to programs for the under and uninsured in multiple ways. ECU and other educational institutions whose students matriculate through VH facilities also provide opportunities for collaboration and participation in various community health initiatives. 5. Provided below are a few highlights of the community benefit and education activities: |
| 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 - The Pediatric Healthy Weight Program - Support for Health Carolinians collaboratives, including Pitt Partners for Health, the Hertford Partnership for Health and Three Rivers Healthy Carolinians. - School nurse programs - Support for the Community Care Plan of Eastern Carolina for Medicaid recipients and HealthAssist for the uninsured - Support of local Federally Qualified Health Center 5b. Health Professional Education: Preparing future health care professionals is important to us. Our hospitals provide clinical settings for students of health professions, such as future physicians, nurses and other allied health professionals. We also support students through deferred forgivable loans and internships including resident training, nursing clinic sites, allied health professionals, and financial support of nursing programs. 5c. Research: East Carolina University (ECU) conducts research to evaluate new treatments and protocols. These studies help health professionals everywhere provide quality care to patients. VH supports this through various means including supporting the Institutional Review Board at ECU and providing study sites. 5d. Financial and In-Kind Contributions: VH donates money and in-kind services to community groups and activities that share our mission of improving health. They include Meals on Wheels, American Red Cross blood drives, medical supplies to emergency medical services, and free medications to qualifying patients. VH hospitals are key partners in fundraising for organizations such as the United Way, American Heart Association, Juvenile Diabetes Association and the American Cancer Society. VH contributed $1.0 million to the Community Benefits Grants Program which awards grants to local non-profits for health related programs. 5e. Community Building: Community-building activities include programs that are not directly related to health care but address underlying issues that impact the health of communities. Poverty, crime, homelessness, workforce development and economic development all affect the overall health of communities. VH has provided support for our local Chambers of Commerce, financial support for road improvements, investments in communication infrastructure via information technology connections, support for the Teen Leadership Academy, recruitment of physicians to our rural communities, and programs that encourage students to pursue health careers. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Moye Medical Endoscopy Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 521 Moye Boulevard | AddressLine1Txt |
| City | Greenville | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27834 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 261671435 | EIN |
| Primary Activities | Healthcare | PrimaryActivitiesTxt |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Total Income | -$59,683 | TotalIncomeAmt |
| End Of Year Assets | $1,415,036 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Vidant Medical Center | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| University Health Systems of Eastern Carolina Inc (DBA Vidant Health) | |||||||||||
| 2100 Stantonsburg Road | Greenville | NC | 27835 | 562141073 | Healthcare | NC | 501(c)(3) | Line 11c, III-FI | N/A | 0 | |
| Surgicenter Services of Pitt Inc | |||||||||||
| 102 Bethesda Drive | Greenville | NC | 27835 | 561690553 | Healthcare | NC | 501(c)(3) | Line 11b, II | Yes (1) | Vidant Medical Center | |
| East Carolina Health Inc (DBA Vidant Community Hospitals - Central) | |||||||||||
| 2100 Stantonsburg Road | Greenville | NC | 27835 | 562003393 | Hospital | NC | 501(c)(3) | Line 3 | 0 | Vidant Health | |
| PCMH Management Inc (DBA Vidant Properties) | |||||||||||
| 2100 Stantonsburg Road | Greenville | NC | 27835 | 561690740 | Medical Property Management | NC | 501(c)(2) | 0 | Vidant Health | ||
| HealthAccess Inc | |||||||||||
| 2100 Stantonsburg Road | Greenville | NC | 27835 | 561396133 | Healthcare | NC | 501(c)(3) | Line 11b, II | 0 | Vidant Health | |
| East Carolina Health-Bertie (DBA Vidant Bertie Hospital) | |||||||||||
| 2100 Stantonsburg Road | Greenville | NC | 27835 | 562072002 | Hospital | NC | 501(c)(3) | Line 3 | 0 | Vidant Health | |
| East Carolina Health-Chowan (DBA Vidant Chowan Hospital) | |||||||||||
| 2100 Stantonsburg Road | Greenville | NC | 27835 | 562101090 | Hospital | NC | 501(c)(3) | Line 3 | 0 | Vidant Health | |
| East Carolina Health-Heritage (DBA Vidant Edgecombe Hospital) | |||||||||||
| 2100 Stantonsburg Road | Greenville | NC | 27835 | 562093700 | Hospital | NC | 501(c)(3) | Line 3 | 0 | Vidant Health | |
| East Carolina Health-Beaufort (DBA Vidant Beaufort Hospital) | |||||||||||
| 2100 Stantonsburg Road | Greenville | NC | 27835 | 452436270 | Hospital | NC | 501(c)(3) | Line 3 | 0 | Vidant Health | |
| Duplin General Hospital (DBA Vidant Duplin Hospital) | |||||||||||
| 2100 Stantonsburg Road | Greenville | NC | 27835 | 566011594 | Hospital | NC | 501(c)(3) | Line 3 | 0 | Vidant Health | |
| East Carolina Health Inc (DBA Vidant Roanoke-Chowan Hospital) | |||||||||||
| 2100 Stantonsburg Road | Greenville | NC | 27835 | 264634725 | Hospital | NC | 501(c)(3) | Line 3 | 0 | Vidant Health | |
| Pungo District Hospital Corporation (DBA Vidant Pungo Hospital) | |||||||||||
| 2100 Stantonsburg Road | Greenville | NC | 27835 | 560518757 | Hospital | NC | 501(c)(3) | Line 3 | 0 | Vidant Health | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Surgicenter of Eastern Carolina LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2100 Stantonsburg Road | AddressLine1Txt |
| City | Greenville | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27835 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 262558314 | EIN |
| Primary Activities | Ambulatory Surgical Center | PrimaryActivitiesTxt |
| Legal Domicile State | NC | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Vidant Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | Related | PredominantIncomeTypeTxt |
| Share Of Total Income | $8,658,258 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $2,985,580 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
| Ownership | 0.55000 | OwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | Yes (1) | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |