PITT COUNTY MEMORIAL HOSPITAL INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- PITT COUNTY MEMORIAL HOSPITAL INC (EIN 56-0585243)
- Tax period
- 2013-10-01 to 2014-09-30
- Filed
- 2015-08-12
- IRS object ID
- 201502249349301190
- Schema version
- 2013v4.0
- 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 | 2015-08-12T09:23:16-05:00 | ReturnTs |
| Tax Period End | 2014-09-30 | 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 | MCGLADREY LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 S WACKER DRIVE STE 800 | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 60606 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-10-01 | 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 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PITT | BusinessNameControlTxt |
| Phone | 5258475129 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2100 Stantonsburg Road | AddressLine1 |
| City | Greenville | City |
| State | NC | State |
| ZIP Code | 27835 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | David S Hughes | PersonNm |
| Person Title | Chief Financial Officer | PersonTitleTxt |
| Phone | 5258475129 | PhoneNum |
| Signature | 2015-08-12 | 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 | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Vidant Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Steve Lawler | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2100 Stantonsburg Road | AddressLine1 |
| City | Greenville | City |
| State | NC | State |
| ZIP Code | 27835 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,148,398,097 | 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 | 18 | VotingMembersIndependentCnt |
| Total Employee | 8311 | TotalEmployeeCnt |
| Total Volunteers | 831 | TotalVolunteersCnt |
| Total Gross UBI | $294,097 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$26,380 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,794,942 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,653,217 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,156,239,889 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,135,441,696 | CYProgramServiceRevenueAmt |
| PY Investment Income | $8,917,764 | PYInvestmentIncomeAmt |
| CY Investment Income | $11,303,184 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $1,167,952,595 | PYTotalRevenueAmt |
| CY Total Revenue | $1,148,398,097 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,855,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,650,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $477,948,601 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $478,425,804 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $595,156,719 | PYOtherExpensesAmt |
| CY Other Expenses | $589,220,725 | CYOtherExpensesAmt |
| PY Total Expenses | $1,075,960,320 | PYTotalExpensesAmt |
| CY Total Expenses | $1,069,296,529 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $91,992,275 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $79,101,568 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,099,428,443 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,168,792,547 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $547,484,398 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $539,218,376 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $551,944,045 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $629,574,171 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | To enhance the quality of life for the people and communities we serve, touch and support. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $309,113,557 | ExpenseAmt |
| Revenue | $354,050,008 | 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 2013, VMC performed 2,289,583 lab tests, 144,059 radiology cases, 1,773 pet scans, 134 gamma knife cases, and 376,984 respiratory treatments. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $235,899,435 | ExpenseAmt |
| Revenue | $273,057,342 | 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 21,453 surgeries in 2013. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $106,225,043 | ExpenseAmt |
| Revenue | $135,708,159 | 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 69,753 EKGs. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $317,770,324 | ExpenseAmt |
| Grant | $1,650,000 | GrantAmt |
| Revenue | $372,626,187 | RevenueAmt |
| Desc | All Other Services | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $317,770,324 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $1,650,000 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $372,626,187 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $969,008,359 | 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 | Yes (1) | 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 | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 8311 | 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 | 18 | 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 | 0 | 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 | Chris Townsend | PersonNm |
| Phone | 2528475129 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2100 Stantonsburg Road | AddressLine1 |
| City | Greenville | City |
| State | NC | State |
| ZIP Code | 27835 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (39 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Marcus A Albernaz MD | |||||||||
| Board Director | 2.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| Noel L Baucom | |||||||||
| Board Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Jo Anne K Burgdorff | |||||||||
| Board Director | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Shirley Carraway EdD | |||||||||
| Board Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Bruce E Gray | |||||||||
| Board Director | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Robert J Greczyn Jr | |||||||||
| Board Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Ralph R Hall Jr | |||||||||
| Board Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| W David Harris | |||||||||
| Past Board Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Polly Johnson | |||||||||
| Board Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| William J Jones Jr PhD | |||||||||
| Board Director | 2.00 | 0.00 | 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 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Melvin C McLawhorn | |||||||||
| Board Director | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Walter E Pofahl II MD | |||||||||
| Board Director | 2.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| Mary J Raab MD | |||||||||
| Board Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| A Ray Rogers | |||||||||
| Past Board Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| C Bynum Satterwhite | |||||||||
| Board Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| David H Womack | |||||||||
| Board Director | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Peter L Jacobson MD | |||||||||
| Board Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Carlester Crumpler | |||||||||
| Board Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Phil Hodges | |||||||||
| Board Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Dr David Herman | |||||||||
| Chief Executive Officer | 2.00 | 50.00 | $0 | $1,273,732 | $96,302 | Yes (X) | |||
| Stephen Lawler | |||||||||
| President VMC | 40.00 | 2.00 | $730,138 | $0 | $160,242 | Yes (X) | |||
| William Floyd | |||||||||
| Executive Vice President | 40.00 | 2.00 | $356,826 | $0 | $89,333 | Yes (X) | |||
| Linda Hofler | |||||||||
| SVP, Chief Nursing Officer | 40.00 | 0.00 | $259,331 | $0 | $83,030 | Yes (X) | |||
| Seth VanEssendelft | |||||||||
| VP, Financial Services | 40.00 | 0.00 | $0 | $207,164 | $63,646 | Yes (X) | |||
| Scott Lieberenz | |||||||||
| Sr. VP, Financial Services | 40.00 | 0.00 | $0 | $247,058 | $49,620 | Yes (X) | |||
| Donald Shackelford | |||||||||
| Sr. VP, Medical Affairs | 40.00 | 0.00 | $429,621 | $0 | $85,186 | Yes (X) | |||
| Tracy Eskra | |||||||||
| VPMA for Clinical Efficiency & Doc. | 40.00 | 0.00 | $285,186 | $0 | $38,369 | Yes (X) | |||
| Donald Smith | |||||||||
| Senior Vice President | 40.00 | 0.00 | $245,513 | $0 | $70,907 | Yes (X) | |||
| Tyree Walker | |||||||||
| VP, Human Resources | 40.00 | 0.00 | $242,590 | $0 | $57,497 | Yes (X) | |||
| Ryan Hickey | |||||||||
| Senior Vice President | 40.00 | 0.00 | $230,858 | $0 | $69,067 | Yes (X) | |||
| Reggie Pearson | |||||||||
| Senior Vice President | 40.00 | 0.00 | $210,871 | $0 | $54,306 | Yes (X) | |||
| Claude Paoloni | |||||||||
| Pharmacy Business Coordinator | 40.00 | 0.00 | $280,679 | $0 | $9,630 | Yes (X) | |||
| James Worden Jr | |||||||||
| Admin., Pharmacy | 40.00 | 0.00 | $205,131 | $0 | $32,403 | Yes (X) | |||
| Glen Meade Jr | |||||||||
| Pharmacist IV | 40.00 | 0.00 | $264,811 | $0 | $27,010 | Yes (X) | |||
| Bruce Dunham | |||||||||
| Pharmacist Supervisor | 40.00 | 0.00 | $263,339 | $0 | $22,130 | Yes (X) | |||
| Rhonda Joyner | |||||||||
| Admin., Inpatient Rehab Therapy | 40.00 | 0.00 | $202,832 | $0 | $24,802 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,207,726 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,727,954 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,033,480 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 363 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ECU School of Medicine | |||||
| PO Box 75514 | Charlotte | NC | 28275 | Medical Staff Services | $21,313,860 |
| Pitt County Anesthesia Services | |||||
| 2080 B Arlington Boulevard | Greenville | NC | 27834 | Anesthesia Services | $8,021,335 |
| Medcost Benefit Services | |||||
| PO Box 25987 | Winston Salem | NC | 27714 | Third Party Administrative Fees | $5,741,741 |
| GE Healthcare | |||||
| PO Box 410400 | Charlotte | NC | 28241 | Radiology Equipment Maintenance | $2,964,748 |
| Aramark HealthCare Services | |||||
| 25271 Network Place | Chicago | IL | 60673 | Dietary/Housekeeping | $2,748,613 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 84 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,245,565 | RelatedOrganizationsAmt |
| Government Grants | $407,652 | GovernmentGrantsAmt |
| Total Contributions | $1,653,217 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Cancer and Clinical Services | 621110 | $354,050,008 | $354,050,008 |
| Surgical Services | 621110 | $273,057,342 | $273,057,342 |
| Cardiovascular Services | 621110 | $135,708,159 | $135,708,159 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $372,626,187 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $372,332,090 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $294,097 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,135,441,696 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,188,385 | TotalRevenueColumnAmt |
| Exclusion | $10,188,385 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,114,799 | 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 | $1,114,799 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,114,799 | TotalRevenueColumnAmt |
| Exclusion | $1,114,799 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,148,398,097 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,135,147,599 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $294,097 | UnrelatedBusinessRevenueAmt |
| Exclusion | $11,303,184 | 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 | $1,650,000 | TotalAmt |
| Program Services | $1,650,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,698,871 | TotalAmt |
| Program Services | $3,298,374 | ProgramServicesAmt |
| Management And General | $400,497 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $352,479,009 | TotalAmt |
| Program Services | $314,314,190 | ProgramServicesAmt |
| Management And General | $38,164,819 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,598,099 | TotalAmt |
| Program Services | $25,452,308 | ProgramServicesAmt |
| Management And General | $3,145,791 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,928,923 | TotalAmt |
| Program Services | $60,456,741 | ProgramServicesAmt |
| Management And General | $7,472,182 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,720,902 | TotalAmt |
| Program Services | $22,891,603 | ProgramServicesAmt |
| Management And General | $2,829,299 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,716,222 | TotalAmt |
| Program Services | $2,254,464 | ProgramServicesAmt |
| Management And General | $461,758 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $322,877 | TotalAmt |
| Program Services | $267,988 | ProgramServicesAmt |
| Management And General | $54,889 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,488 | TotalAmt |
| Management And General | $94,488 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,841 | TotalAmt |
| Management And General | $36,841 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $122,261,498 | TotalAmt |
| Program Services | $96,409,120 | ProgramServicesAmt |
| Management And General | $25,852,378 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $763,221 | TotalAmt |
| Program Services | $633,473 | ProgramServicesAmt |
| Management And General | $129,748 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,340,080 | TotalAmt |
| Program Services | $1,942,266 | ProgramServicesAmt |
| Management And General | $397,814 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,242,842 | TotalAmt |
| Program Services | $1,242,842 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,184,551 | TotalAmt |
| Program Services | $15,093,177 | ProgramServicesAmt |
| Management And General | $3,091,374 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,028,667 | TotalAmt |
| Program Services | $1,602,645 | ProgramServicesAmt |
| Management And General | $426,022 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,608,322 | TotalAmt |
| Program Services | $12,124,907 | ProgramServicesAmt |
| Management And General | $2,483,415 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,450,396 | TotalAmt |
| Program Services | $46,023,829 | ProgramServicesAmt |
| Management And General | $9,426,567 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,593,134 | TotalAmt |
| Program Services | $7,962,301 | ProgramServicesAmt |
| Management And General | $1,630,833 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| Patient Supplies | $214,127,984 | $214,127,984 |
| Bad Debt Expense | $69,514,948 | $69,514,948 |
| Contracted Services | $28,161,314 | $28,161,314 |
| Physicians | $23,237,407 | $23,237,407 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,535,933 | TotalAmt |
| Program Services | $20,346,478 | ProgramServicesAmt |
| Management And General | $4,189,455 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,069,296,529 | TotalAmt |
| Program Services | $969,008,359 | ProgramServicesAmt |
| Management And General | $100,288,170 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,579,596 | BOYAmt |
| EOY | $18,588,967 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $173,373,229 | BOYAmt |
| EOY | $167,044,399 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,164,397 | BOYAmt |
| EOY | $23,777,075 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,434,944 | BOYAmt |
| EOY | $3,707,376 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,081,484,096 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $702,666,782 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $411,100,657 | BOYAmt |
| EOY | $378,817,314 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $329,476,467 | BOYAmt |
| EOY | $425,035,504 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $141,299,153 | BOYAmt |
| EOY | $151,821,912 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,099,428,443 | BOYAmt |
| EOY | $1,168,792,547 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $107,772,413 | BOYAmt |
| EOY | $119,326,632 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $439,711,985 | BOYAmt |
| EOY | $419,891,744 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $547,484,398 | BOYAmt |
| EOY | $539,218,376 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $551,944,045 | BOYAmt |
| EOY | $629,574,171 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $551,944,045 | BOYAmt |
| EOY | $629,574,171 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,099,428,443 | BOYAmt |
| EOY | $1,168,792,547 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $79,101,568 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $780,478 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | $748,087 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | -$3,000,007 | 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 | $36,841 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $36,841 | 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 | Dues to NCHA are allocated 27.14% to lobbying. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $31,076,231 | OtherCostOrOtherBasisAmt |
| Book Value | $31,076,231 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $531,359,781 | OtherCostOrOtherBasisAmt |
| Depreciation | $295,326,468 | DepreciationAmt |
| Book Value | $236,033,313 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $514,335,034 | OtherCostOrOtherBasisAmt |
| Depreciation | $407,340,314 | DepreciationAmt |
| Book Value | $106,994,720 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,713,050 | OtherCostOrOtherBasisAmt |
| Book Value | $4,713,050 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $378,817,314 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (3 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| Trustee Held Funds- Bonds | $9,680,448 | F |
| Trustee Held Funds- Capital Expenditures | $397,444,330 | F |
| Trustee Held Funds- Pension | $17,910,726 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $425,035,504 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (7 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Other Receivables | $24,512,663 |
| Due from Third Party Payors | $69,746,693 |
| Investments in Subsidiaries | $22,576,171 |
| Current Due from Affiliates | $17,325 |
| Intangible Assets | $3,717,308 |
| Cash Held in Escrow | $4,073,985 |
| Deferred Loss on Refunding | $27,177,767 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $151,821,912 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| Due to Affiliates | $392,934,559 |
| Due to Third Party Payors | $116,669 |
| Asset Retirement Obligation | $675,000 |
| Deferred Gain | $819,883 |
| SERP Payable | $15,361,076 |
| Workers Comp Long Term | $9,984,557 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $419,891,744 | 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, 2014 and 2013. 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 2011. | 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 | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $42,706,028 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $42,706,028 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03990 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $166,906,576 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $157,100,626 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,805,950 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00920 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $209,612,604 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $157,100,626 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $52,511,978 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04910 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 25 | ActivitiesOrProgramsCnt |
| Persons Served | 66329 | PersonsServedCnt |
| Total Community Benefit Expns | $3,617,786 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,975 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,612,811 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00340 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 6 | ActivitiesOrProgramsCnt |
| Persons Served | 3253 | PersonsServedCnt |
| Total Community Benefit Expns | $58,078,352 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,340,672 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $41,737,680 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03900 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 469 | PersonsServedCnt |
| Total Community Benefit Expns | $530,366 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $530,366 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 6 | ActivitiesOrProgramsCnt |
| Persons Served | 195201 | PersonsServedCnt |
| Total Community Benefit Expns | $5,497,212 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,497,212 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00510 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 39 | ActivitiesOrProgramsCnt |
| Persons Served | 265252 | PersonsServedCnt |
| Total Community Benefit Expns | $67,723,716 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,345,647 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $51,378,069 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04800 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 39 | ActivitiesOrProgramsCnt |
| Persons Served | 265252 | PersonsServedCnt |
| Total Community Benefit Expns | $277,336,320 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $173,446,273 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $103,890,047 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09710 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $30,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $30,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 305 | PersonsServedCnt |
| Total Community Benefit Expns | $51,031 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $51,031 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $1,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 82 | PersonsServedCnt |
| Total Community Benefit Expns | $37,822 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $37,822 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 3208 | PersonsServedCnt |
| Total Community Benefit Expns | $1,749,556 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,749,556 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 8 | ActivitiesOrProgramsCnt |
| Persons Served | 3595 | PersonsServedCnt |
| Total Community Benefit Expns | $1,869,409 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,869,409 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $25,383,996 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $387,430,901 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $415,964,546 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$28,533,645 | 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 |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (4 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|---|
| 1 SurgiCenter of Eastern Carolina LLC | |||
| Ambulatory Surgery Center | 0.55000 | 0.00000 | 0.00000 |
| 2 Onslow Radiation Oncology LLC | |||
| Outpatient Radiation and Chemotherapy | 0.50000 | 0.00000 | 0.00000 |
| 3 Moye Medical Endoscopy Center LLC | |||
| Outpatient Endoscopy Services | 0.50000 | 0.00000 | 0.00000 |
| 4 NewCo Cancer Services LLC | |||
| Outpatient Cancer Services | 0.50000 | 0.00000 | 0.00000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2100 Stantonsburg Road | AddressLine1 |
| City | Greenville | City |
| State | NC | State |
| ZIP Code | 27835 | ZIPCode |
| 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 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| 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 | 11 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.vidanthealth.com/medicalcenter | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | www.pittcountync.gov/depts/health/stats | OtherWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | 0 | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| State Regulation | Yes (X) | StateRegulationInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| 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 (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pitt County Memorial Hospital, Inc. | Part V, Section B, Line 3: The development of the 2011 Pitt County Community Health Assessment was a collaborative effort between Pitt County Health Department, Pitt Partners for Health, Vidant Medical Center and East Carolina University.A special thank you is extended to the membership of Pitt Partners for Health, Pitt County's Healthy Carolinians task force. The Partnership is chaired by community member, Ann Huggins, and financially supported by Vidant Medical Center Community Health programs. The group's 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. Pitt Partners for Health 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 Pitt Partners for Health are shared with the Pitt County Board of Health, the Vidant Medical Center Foundation and the Vidant Medical Center Board of Directors prior to these groups selecting priority health areas for their respective organizations/agencies.The collaborators wish to acknowledge the participation of individuals from a number of groups throughout Pitt County who shared their knowledge, expertise and creative ideas for improving community health in Pitt County.- Dr. John Morrow, Public Health Director, and Mr. Steve Lawler, President of Vidant Medical Center, hosted a key leaders meeting to solicit input on the problems and possible strategies to creating a healthier Pitt County. Approximately 30 key leaders participated, including both formal and informal leaders from a number of organizations, including Vidant Medical Center (Vice-Presidents - Nursing, Community Health, Pastoral Services, etc.), City of Greenville (Mayor), Town of Bethel (Council Member), Village of Simpson (Mayor), Town of Farmville (Mayor), County of Pitt (Manager), United Way (Interim Director), Vidant Medical Center Foundation (Executive Director), Brody School of Medicine (Dean and faculty) East Carolina University College of Nursing (Dean), East Carolina University College of Health and Human Performance (Dean), Pitt Community College (Health Sciences Dean), Pitt County Sheriff, Area Health Education Center (Executive Director), Chamber of Commerce (President), Pitt County Development Commission, (Executive Director), Department of Social Services (Director) and Pitt County Medical Society (Executive Director).- The Association of Mexicans in North Carolina (AMEXCAN) led by Mr. Juvencio Peralta, provided a vital link between the needs of the immigrant population and the health care agencies/organizations within the community. Lay health leaders within this organization participated in a listening session designed to ensure that Latinos were given a voice in determining priority health concerns.- The Vidant Medical Center School Health Program, led by Charla Holbrook, provided input on the needs of school-age children and their families.- The Cornerstone Ministries Lay Health Advisors Program, a network of more than 30 churches and led by Barbara Lee, has for more than 10 years collaborated with public health to identify and address the needs of African-Americans and others in Pitt County.- The Community Care Plan of Eastern Carolina, led by Jim Baluss, provided input on the needs of the Medicaid clients that are served by this program.- The outreach team of the Pitt County Health Department serves primarily women of childbearing age and children. The staff of this team was instrumental in helping the collaborators understand the issues and needs of the special populations they serve.- The Pitt County Medical Society Executive Board provided physician perspectives to the health needs of populations in Pitt County.- The Pitt County Schools allowed the Youth Risk Behavior Survey and High School Health Survey to be conducted within their middle and high schools. These surveys provided extremely valuable information on health behaviors, attitudes and perceptions of youth in Pitt County.- The Greenville Youth Council, which has representation from each of the county's six high schools, and youth peer leaders at a local high school, provided input on the needs of adolescents within Pitt County.- Last, but not least, appreciation is expressed to the people within Pitt County who participated in the 2011 Community Health Assessment Survey, providing invaluable information regarding what concerned them the most and proposed action steps to make Pitt County a healthier community. |
| Pitt County Memorial Hospital, Inc. | Part V, Section B, Line 7: 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 14g: 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. |
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 20 is presented below:Patient Accounts ReceivablePatient Accounts Receivable are reported net of estimated allowances for contractual adjustments and allowances for bad debts. Estimated allowances for bad debts are approximately $134.7 million and $135.1 million as of September 30, 2014 and 2013, 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 |
| Part VI, Line 5: | See Schedule O, Part III |
| Part VI, Line 6: | See Schedule O, Part III |
| 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/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| East Carolina University | |||||||
| PO Box 75514 | Charlotte | NC | 28275 | 566000403 | 501(c)(3) | $1,600,000 | Joint research projects |
| Uptown Greenville | |||||||
| PO Box 92 | Greenville | NC | 27835 | 581539575 | 501(c)(3) | $50,000 | City Center Revitalization |
| 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 | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 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 David Herman | ||||||||||||||
| Chief Executive Officer | $0 | $1,019,677 | $0 | $186,404 | $0 | $67,651 | $0 | $74,000 | $0 | $22,302 | $0 | $1,370,034 | $0 | $0 |
| Stephen Lawler | ||||||||||||||
| President VMC | $623,513 | $0 | $101,454 | $0 | $5,171 | $0 | $118,500 | $0 | $41,742 | $0 | $890,380 | $0 | $0 | $0 |
| William Floyd | ||||||||||||||
| Executive Vice President | $316,758 | $0 | $39,652 | $0 | $416 | $0 | $56,460 | $0 | $32,873 | $0 | $446,159 | $0 | $0 | $0 |
| Linda Hofler | ||||||||||||||
| SVP, Chief Nursing Officer | $245,038 | $0 | $13,620 | $0 | $673 | $0 | $41,782 | $0 | $41,248 | $0 | $342,361 | $0 | $0 | $0 |
| Seth VanEssendelft | ||||||||||||||
| VP, Financial Services | $0 | $196,371 | $0 | $10,793 | $0 | $0 | $0 | $24,610 | $0 | $39,036 | $0 | $270,810 | $0 | $0 |
| Scott Lieberenz | ||||||||||||||
| Sr. VP, Financial Services | $0 | $233,197 | $0 | $11,375 | $0 | $2,486 | $0 | $25,074 | $0 | $24,546 | $0 | $296,678 | $0 | $0 |
| Donald Shackelford | ||||||||||||||
| Sr. VP, Medical Affairs | $407,386 | $0 | $22,235 | $0 | $0 | $0 | $43,636 | $0 | $41,550 | $0 | $514,807 | $0 | $0 | $0 |
| Tracy Eskra | ||||||||||||||
| VPMA for Clinical Efficiency & Doc. | $269,023 | $0 | $16,163 | $0 | $0 | $0 | $29,075 | $0 | $9,294 | $0 | $323,555 | $0 | $0 | $0 |
| Donald Smith | ||||||||||||||
| Senior Vice President | $232,190 | $0 | $13,002 | $0 | $321 | $0 | $35,563 | $0 | $35,344 | $0 | $316,420 | $0 | $0 | $0 |
| Tyree Walker | ||||||||||||||
| VP, Human Resources | $229,438 | $0 | $12,363 | $0 | $789 | $0 | $41,804 | $0 | $15,693 | $0 | $300,087 | $0 | $0 | $0 |
| Ryan Hickey | ||||||||||||||
| Senior Vice President | $218,570 | $0 | $12,288 | $0 | $0 | $0 | $27,655 | $0 | $41,412 | $0 | $299,925 | $0 | $0 | $0 |
| Reggie Pearson | ||||||||||||||
| Senior Vice President | $200,164 | $0 | $10,707 | $0 | $0 | $0 | $21,760 | $0 | $32,546 | $0 | $265,177 | $0 | $0 | $0 |
| Claude Paoloni | ||||||||||||||
| Pharmacy Business Coordinator | $280,179 | $0 | $500 | $0 | $0 | $0 | $4,100 | $0 | $5,530 | $0 | $290,309 | $0 | $0 | $0 |
| James Worden Jr | ||||||||||||||
| Admin., Pharmacy | $204,631 | $0 | $500 | $0 | $0 | $0 | $9,829 | $0 | $22,574 | $0 | $237,534 | $0 | $0 | $0 |
| Glen Meade Jr | ||||||||||||||
| Pharmacist IV | $264,311 | $0 | $500 | $0 | $0 | $0 | $3,900 | $0 | $23,110 | $0 | $291,821 | $0 | $0 | $0 |
| Bruce Dunham | ||||||||||||||
| Pharmacist Supervisor | $262,839 | $0 | $500 | $0 | $0 | $0 | $3,850 | $0 | $18,280 | $0 | $285,469 | $0 | $0 | $0 |
| Rhonda Joyner | ||||||||||||||
| Admin., Inpatient Rehab Therapy | $202,332 | $0 | $500 | $0 | $0 | $0 | $8,987 | $0 | $15,815 | $0 | $227,634 | $0 | $0 | $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 2012. It will be performed again in fiscal year 2014. 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 2012. It will be performed again in fiscal year 2014. All compensation discussions and actions are documented and approved in the minutes of the Committee. |
| Part I, Line 4 | 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). |
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 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Marcus Albernaz (Board Director) is member and Director of E. Carolina ENT. | RelationshipDescriptionTxt |
| Transaction | $348,471 | TransactionAmt |
| Transaction | Provides on-call services to Vidant Medical Center. | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 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. |
| 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 96,409,120. Management and general expenses 25,852,378. Fundraising expenses 0. Total expenses 122,261,498. |
| Form 990, Part XI, line 9: | Net Asset Transfers -3,000,007. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2100 Stantonsburg Road | AddressLine1 |
| City | Greenville | City |
| State | NC | State |
| ZIP Code | 27835 | ZIPCode |
| 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 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | Related | PredominantIncomeTypeTxt |
| 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 | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 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 | Yes (1) | 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 | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Surgicenter Services of Pitt Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionTypeTxt |
| Involved | $2,400,000 | InvolvedAmt |
| Method Of Amount Determination | Actual Cash Payment | MethodOfAmountDeterminationTxt |