2012-03-30T12:41:34-05:00 2011-09-30 CLIFTONLARSONALLEN LLP 101 N TRYON STREET SUITE 1000 CHARLOTTE NC 28246 990 2010-10-01 562141073 UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA INC UNIV 2528475129 2100 STANTONSBURG ROAD GREENVILLE NC 27835 DAVID HUGHES 2528478988 2012-03-29 1 GREGORY W JOHNS 7049985200 2010 2016-02-24 21:20:13Z DAVE MCRAE 2100 STANTONSBURG ROAD GREENVILLE NC 27835 74467888 0 X WWW.UHSEAST.COM X 1998 NC TO ADVANCE AND SUPPORT THE HEALTHCARE NEEDS OF THE COMMUNITIES OF EASTERN NORTH CAROLINA. 20 17 571 18 0 0 0 170146 80206432 77977412 15216801 -3679670 0 0 95423233 74467888 838500 1395562 0 0 42376895 47778677 0 0 0 68964059 63699577 112179454 112873816 -16756221 -38405928 608925733 845138049 583621113 629789619 25304620 215348430 X SEE SCHEDULE O 0 0 100415554 1395562 77977412 UHS IS A NORTH CAROLINA NON-PROFIT CORPORATION WITH HEADQUARTERS IN GREENVILLE, NORTH CAROLINA. UHS 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 PITT COUNTY MEMORIAL HOSPITAL (PCMH), WHICH IS A TERTIARY CARE HOSPITAL AND AN ACADEMIC MEDICAL CENTER, AND SEVEN OTHER ACUTE CARE HOSPITALS: ROANOKE-CHOWAN HOSPITAL, HERITAGE HOSPITAL, CHOWAN HOSPITAL, BERTIE MEMORIAL HOSPITAL, DUPLIN GENERAL HOSPITAL, BEAUFORT HOSPITAL AND THE OUTER BANKS HOSPITAL. UHS ALSO MANAGES ALBEMARLE HOSPITAL. PCMH 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. 100415554 1 1 0 1 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 1 706 0 571 1 0 0 0 0 0 0 0 0 0 0 X 20 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X CHRIS TOWNSEND 2528475129 2100 STANTONSBURG ROAD GREENVILLE NC 27835 MARCUS S ALBERNAZ MD 2.00 X 0 0 0 BRUCE N AUSTIN 2.00 X 0 0 0 NOEL L BAUCOM 2.00 X 0 0 0 JANET M BULLOCK 2.00 X 0 0 0 JOANNE K BURGDORFF 2.00 X 0 0 0 JANICE H FAULKNER 2.00 X 0 0 0 PHILLIP K FLOWERS 2.00 X 0 0 0 BRUCE E GRAY 2.00 X 0 0 0 RALPH R HALL JR 2.00 X 0 0 60000 W DAVID HARRIS 2.00 X 0 0 0 ALLAN B HARVIN MD 2.00 X 0 0 0 WILLIAM J JONES JR PHD 2.00 X 0 0 0 ARTHUR H KEENEY III 2.00 X 0 0 0 THOMASINE S KENNEDY 2.00 X 0 0 0 J BRYANT KITTRELL III 2.00 X 0 0 0 MELVIN C MCLAWHORN 2.00 X 0 0 0 WALTER E POFAHL II MD 2.00 X 0 0 0 A RAY ROGERS 2.00 X 0 0 0 JEFFREY B TURNER 2.00 X 0 0 0 DAVID WOMACK 2.00 X 0 0 0 DAVID MCRAE 40.00 X 1328785 0 276458 JACK HOLSTEN 40.00 X 445789 0 284859 ROGER ROBERTSON 40.00 X 297420 0 133683 JANET MULLANEY 40.00 X 322282 0 145632 STUART JAMES 40.00 X 279295 0 60586 KATHY BARGER 40.00 X 286366 0 95959 STEPHEN LAWLER 40.00 X 0 547752 196738 NANCY AYCOCK 40.00 X 288110 0 134263 TYREE WALKER 40.00 X 225423 0 86943 LARRY CALLAHAN 40.00 X 54423 0 5442 JOEL BUTLER 40.00 X 217396 0 88999 JOAN WYNN 40.00 X 185947 0 88447 TIMOTHY MCDONNELL 40.00 X 180523 0 60754 JOHN FALCETANO 40.00 X 181339 0 74836 TRAVIS DOUGLAS 40.00 X 239156 0 47317 DIANE POOLE 40.00 X 0 2279231 76771 DAVE HERMAN 40.00 X 0 0 0 JEFFREY CHAMBERS 40.00 X 0 0 0 DAVID HUGHES 40.00 X 266702 0 88141 PRESTON COMEAUX III 40.00 X 191279 0 93564 MARY COLLIER 40.00 X 178175 0 82467 LYNN LANIER 40.00 X 184609 0 72369 CARMEN VINCENT 40.00 X 167071 0 71082 ANISSA DAVENPORT 40.00 X 182678 0 48046 WILLIAM FLOYD 40.00 X 0 220546 42272 DONALD SMITH 40.00 X 228981 0 43094 SANJAY SAHA 40.00 X 0 193823 39447 RYAN HICKEY 40.00 X 0 190394 35911 SHARON TANNER 40.00 X 485472 0 94197 RAYMOND OWINGS 40.00 X 272676 0 50864 WILLIAM CASE 40.00 X 209545 0 68539 LINDA ROBERSON 40.00 X 164757 0 28065 SETH VAN ESSENDELFT 40.00 X 166395 0 35691 7230594 3431746 2811436 73 0 1 0 EPIC SYSTEMS CORPORATION PO BOX 88314 MILWAUKEE WI 53288 CONTRACTED SERVICES 1887206 PHILIPS HEALTHCARE INFORMATICS 4100 EAST THIRD AVE FOSTER CITY CA 94404 SERVICE CONTRACTS 1557290 JENNINGS & COMPANY 104A NORTH ELLIOTT RD CHAPEL HILL NC 75254 MARKETING SERVICES 1242933 VHA INC 75 REMITTANCE DRIVE SUITE 1855 CHICAGO IL 60675 CONSULTING SERVICES 1144195 NAVVIS AND COMPANY 15945 CLAYTON ROAD SUITE 360 BALLWIN MO 63011 CONSULTING SERVICES 590663 36 170146 170146 INTERCOMPANY REVENUE 900099 77977412 77977412 77977412 -3679670 -3679670 74467888 77977412 0 -3679670 1395562 1395562 40091103 40091103 4902059 4902059 2785515 2785515 795170 795170 157089 157089 1164626 582313 582313 19804100 9727155 10076945 2859627 2859627 4064173 3877522 186651 1621647 1621647 16302 16302 1052403 1052403 944381 944381 26351920 26351920 1750572 1750572 1803026 1803026 MEMBERSHIP DUES 519501 519501 ACADEMIC LOANS 190108 190108 604932 464339 140593 112873816 100415554 12458262 0 16488763 18130400 3493695 5530058 12020286 1016376 1471775 11003910 587471500 810473681 608925733 845138049 31829391 43797078 516824029 555508661 34967693 30483880 583621113 629789619 X 25304620 215348430 25304620 215348430 608925733 845138049 X -38405928 228449738 X X 0 1 1 X 0 X X X 0 0 0 PITT COUNTY MEMORIAL HOSPITAL INC 560585243 03 1 1 1 13867553 EAST CAROLINA HEALTH INC 562003393 03 1 1 1 0 2 13867553 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 157089 0 0 157089 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: PAID STAFF SPECIFICALLY INVOLVED WITH LOBBYING ACTIVITIES TO INFLUENCE LEGISLATORS, THEIR STAFF AND OTHER GOVERNMENT OFFICIALS. 1320706 1320706 79255 563 78692 0 10620325 1015813 9604512 0 11003910 DUE FROM AFFILIATES 474253401 ASSETS LIMITED FOR IMPROVEMENTS 232072877 ASSETS LIMITED FOR LIABILITY LOSSES 27356359 ASSETS HELD BY TRUSTEE 54565286 OTHER ASSETS 22225758 810473681 RESERVE FOR PROFESSIONAL LIABILITY LOSSES 29717786 OTHER LIABILITIES 766094 30483880 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA, INC. IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. 1 PITT MEMORIAL HOSPITAL FOUNDATION PO BOX 8489 GREENVILLE NC 27835 581399266 501(C)(3) 25000 CHARITABLE UNIVERISTY HEALTH SYSTEMS OF EASTERN CAROLINA INC 2100 STANTONSBURG ROAD GREENVILLE NC 27835 200777374 501(C)(3) 1000000 CHARITABLE VHA FOUNDATION INC 220 EAST LAS COLINAS BLVD IRVING TX 75039 222710552 501(C)(3) 10000 CHARITABLE EAST CAROLINA UNIVERSITY 120 READE STREET GREENVILLE NC 27858 566000403 501(C)(3) 360562 CHARITABLE 4 4 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: GRANT MONITORING 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. THEIR 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 PCMH 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. SELECTION CRITERIA/PROCESS GRANTS PROVIDED BY THE UHS AND PMH FOUNDATIONS REQUIRE THE APPLICANT TO BE A 501(C)3 OR GOVERNMENT ENTITY AND RECIPIENTS ARE REQUIRED TO PROVIDE PROOF OF THEIR STATUS BY SUBMITTING A COPY OF THEIR IRS LETTER OF DETERMINATION. REQUESTS MUST BE RELATED TO DISEASE PREVENTION AND DISEASE MANAGEMENT OR WELLNESS. THERE ARE DIFFERENT HEALTH RELATED FOCUS AREAS FOR EACH OF THE HOSPITALS COMMUNITY BENEFITS GRANT PROGRAMS. EACH HOSPITAL'S PROGRAM HAS THEIR OWN LOCAL COMMUNITY BENEFITS GRANTS REVIEW COMMITTEE COMPRISED OF LOCAL REPRESENTATIVES FROM THEIR RESPECTIVE COMMUNITIES. THESE COMMITTEES REVIEW LETTERS OF INTENT, DECIDE WHICH ORGANIZATIONS ARE TO BE INVITED TO SUBMIT A GRANT APPLICATION, THEN REVIEW THE GRANT APPLICATIONS AND MAKE FUNDING RECOMMENDATIONS. THEIR FUNDING RECOMMENDATIONS ARE THEN REVIEWED BY THE UHS FOUNDATION COMMUNITY BENEFITS COMMITTEE AND FINAL DECISIONS ARE CONFIRMED BY THE UHS FOUNDATION BOARD. X X X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 DAVID MCRAE 911085 0 114693 0 303007 0 262929 0 13529 0 1605243 0 294157 0 JACK HOLSTEN 430709 0 12454 0 2626 0 272465 0 12394 0 730648 0 0 0 ROGER ROBERTSON 289345 0 7077 0 998 0 124745 0 8938 0 431103 0 0 0 JANET MULLANEY 316836 0 4667 0 779 0 139268 0 6364 0 467914 0 0 0 STUART JAMES 273633 0 5354 0 308 0 54421 0 6165 0 339881 0 0 0 KATHY BARGER 282933 0 2833 0 600 0 88576 0 7383 0 382325 0 0 0 STEPHEN LAWLER 0 542201 0 0 0 5551 0 190374 0 6364 0 744490 0 0 NANCY AYCOCK 282739 0 4173 0 1198 0 123691 0 10572 0 422373 0 0 0 TYREE WALKER 224788 0 0 0 635 0 82479 0 4464 0 312366 0 0 0 JOEL BUTLER 210218 0 6170 0 1008 0 81638 0 7361 0 306395 0 0 0 JOAN WYNN 182095 0 3562 0 290 0 83566 0 4881 0 274394 0 0 0 TIMOTHY MCDONNELL 178368 0 1752 0 403 0 56012 0 4742 0 241277 0 0 0 JOHN FALCETANO 177423 0 3356 0 560 0 70078 0 4758 0 256175 0 0 0 TRAVIS DOUGLAS 236837 0 2319 0 0 0 44856 0 2461 0 286473 0 0 0 DIANE POOLE 0 352242 0 0 0 1926989 0 65226 0 11545 0 2356002 0 0 DAVID HUGHES 266107 0 0 0 595 0 81782 0 6359 0 354843 0 0 0 PRESTON COMEAUX III 185755 0 4545 0 979 0 89030 0 4534 0 284843 0 0 0 MARY COLLIER 176160 0 1661 0 354 0 77782 0 4685 0 260642 0 0 0 LYNN LANIER 180660 0 3537 0 412 0 68420 0 3949 0 256978 0 0 0 CARMEN VINCENT 163589 0 3150 0 332 0 66674 0 4408 0 238153 0 0 0 ANISSA DAVENPORT 178945 0 3502 0 231 0 43245 0 4801 0 230724 0 0 0 WILLIAM FLOYD 0 218375 0 1951 0 220 0 42033 0 239 0 262818 0 0 DONALD SMITH 198062 0 30673 0 246 0 42874 0 220 0 272075 0 0 0 SANJAY SAHA 0 193823 0 0 0 0 0 34382 0 5065 0 233270 0 0 RYAN HICKEY 0 186656 0 3738 0 0 0 35039 0 872 0 226305 0 0 SHARON TANNER 425683 0 51552 0 8237 0 87833 0 6364 0 579669 0 0 0 RAYMOND OWINGS 254522 0 18154 0 0 0 44500 0 6364 0 323540 0 0 0 WILLIAM CASE 190023 0 16698 0 2824 0 60672 0 7867 0 278084 0 0 0 LINDA ROBERSON 163454 0 750 0 553 0 23284 0 4781 0 192822 0 0 0 SETH VAN ESSENDELFT 162855 0 3540 0 0 0 31640 0 4051 0 202086 0 0 0 PART I, LINE 1A DAVE MCRAE, DAVID HERMAN, STEVE LAWLER, ROGER ROBERTSON, PHIL FLOWERS, DAVID WOMACK, JOEL BUTLER, ANISSA DAVENPORT AND JEFF CHAMBERS ARE PROVIDED WITH FIRST-CLASS OR CHARTER TRAVEL. TOTALS DURING THE YEAR AMOUNTED TO $101,879. ALLAN HARVIN ($150.00), ART KENNEY ($150.00), WILLIAM JONES ($300.00), BRUCE GRAY ($150.00), JOANNE BURGDORFF ($300.00), MELVIN MCLAWHORN ($150.00), RALPH HALL ($300.00), THOMASINE KENNEDY ($250.00), WALTER POFAHL ($150.00) WERE ALLOWED TRAVEL FOR COMPANIONS DURING THE YEAR. THE ORGANIZATION PAID FOR SOCIAL CLUB DUES FOR DAVE MCRAE IN THE AMOUNT OF $3,624 DURING THE YEAR. PART I, LINE 4B COMPENSATION OF DIANE POOLE: OF THE COMPENSATION REPORTED IN COLUMN (D) OF SUBSECTION 1A, $1,924,759 IS RELATED TO A DISTRIBUTION FROM A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. OF THIS AMOUNT, $866,142 WAS PAID TO FEDERAL AND STATE GOVERNMENTS AS WITHHELD TAXES. THE REMAINDER IS HELD BY A TRUSTEE WITH ACTUARIALLY DETERMINED MONTHLY PAYMENTS CONSISTING OF PRINCIPAL AND EARNINGS BEING PAID TO THE RECIPIENT OVER A SPECIFIED NUMBER OF YEARS. THIS COMPENSATION WAS EARNED BY MS. POOLE BASED ON 28 YEARS OF SERVICE. DAVE C MCRAE WAS A PARTICIPANT IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN DURING THE YEAR. NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 65821DCB5 2008-12-10 112690000 PROCEEDS WERE USED TO REFUND ALL OF THE OUTSTANDING SERIES 2006A-D BONDS 0 0 0 NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 65821DCC3 2008-12-10 123850000 PROCEEDS WERE USED TO REFUND ALL OF THE OUTSTANDING SERIES 2006A-D BONDS 0 0 0 NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 65821DBF7 2008-12-10 74455000 PROCEEDS WERE USED TO REFUND ALL OF THE OUTSTANDING SERIES 2006A-D BONDS 0 0 0 NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 65821DBW0 2008-12-10 119715000 PROCEEDS WERE USED TO REFUND ALL OF THE OUTSTANDING SERIES 2006A-D BONDS 0 0 0 112380208 497140 2009 0 1 1 1 123510128 747060 2009 0 1 1 1 72621918 201418 2009 0 1 1 1 111025083 322582 2009 0 1 1 1 1 0 0 0 1 1 1 0 0 0 1 1 1 0 0 0 1 1 1 0 0 0 1 1 0 1 1 CITIBANK NA 27.000000000000 0 0 0 0 0 0 1 1 CITIBANK NA 27.000000000000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 65821DBU4 2008-12-10 77900000 PROCEEDS WERE USED TO REFUND ALL OF THE OUTSTANDING SERIES 2006A-D BONDS 0 0 0 NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 NONEAVAIL 2011-06-23 50000000 TO PURCHASE CAPITAL EQUIPMENT, BUILDINGS AND LAND 0 0 0 77332631 212631 2009 0 1 1 1 50000000 50000000 2011 0 0 1 1 1 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 PHILLIP K FLOWERS BUSINESS RELATIONSHIP 100004 PAYMENT FOR SERVICES DURING THE YEAR. 0 FORM 990, PART VI, SECTION B, LINE 11 THE 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 BOARD MEMBERS ARE REQUIRED TO COMPLETE A 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 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 CEO WHO IS AN EMPLOYEE OF UHSEC. THE COMPENSATION IS DETERMINED BY THE UHSEC BOARD USING COMPARATIVE DATA FROM LIKE ORGANIZATIONS AND INPUT FROM CONSULTANTS. THIS PROCESS IS PERFORMED EVERY THREE YEARS, THE LAST YEAR BEING 2010. IT WILL BE PERFORMED AGAIN IN 2013. COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS DETERMINED BY THE UHSEC BOARD USING COMPARATIVE DATA FROM LIKE ORGANIZATIONS AND INPUT FROM CONSULTANTS. THIS PROCESS IS PERFORMED EVERY THREE YEARS, THE LAST YEAR BEING 2010. IT WILL BE PERFORMED AGAIN IN 2013. 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -13,671,059. CAPITAL CONTRIBUTIONS AND TRANSFERS WITH AFFILIATES, NET 221,820,461. UNRESTRICTED CONTRIBUTION ELIMINATION 20,300,336. TOTAL TO FORM 990, PART XI, LINE 5: 228,449,738. FORM 990, PART XII, LINE 2C: NO CHANGES FOR APPROVING AUDITED FINANCIAL STATEMENTS OR SELECTION OF INDEPENDENT ACCOUNTANTS HAVE OCCURRED FROM THE PRIOR YEAR. FORM 990, PART 1, LINE 1: OVERVIEW OF UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA AT UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA (UHS), WE ARE COMMITTED TO IMPROVING THE HEALTH OF OUR COMMUNITIES. EASTERN NORTH CAROLINA RESIDENTS LOOK TO OUR HOSPITALS FOR QUALITY HEALTH CARE. WE WORK HARD TO UPHOLD THE TRUST THAT OUR COMMUNITIES PLACE IN US. THROUGH A CLEAR VISION, DISCIPLINED LEADERSHIP AND COMMITTED EMPLOYEES, UHS SERVES THE NEEDS OF THE REGION, INCLUDING THOSE WHO ARE UNDERSERVED AND NEED US THE MOST. OUR MISSION AT UHS - 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. UHS IS A NORTH CAROLINA NON-PROFIT CORPORATION WITH HEADQUARTERS IN GREENVILLE, NORTH CAROLINA. UHS 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 PITT COUNTY MEMORIAL HOSPITAL (PCMH), WHICH IS A TERTIARY CARE HOSPITAL AND AN ACADEMIC MEDICAL CENTER, AND SEVEN OTHER ACUTE CARE HOSPITALS: ROANOKE-CHOWAN HOSPITAL, HERITAGE HOSPITAL, CHOWAN HOSPITAL, BERTIE MEMORIAL HOSPITAL, DUPLIN GENERAL HOSPITAL, BEAUFORT HOSPITAL AND THE OUTER BANKS HOSPITAL. UHS ALSO MANAGES ALBEMARLE HOSPITAL. PCMH SERVES AS THE TEACHING HOSPITAL FOR THE BRODY SCHOOL OF MEDICINE, EAST CAROLINA SCHOOLS OF NURSING AND ALLIED HEALTH AND PITT COMMUNITY COLLEGE. THE SYSTEM ALSO SERVES AS A REGIONAL REFERRAL CENTER FOR EASTERN NORTH CAROLINA. THE SYSTEM'S EIGHT OWNED ACUTE CARE HOSPITALS ARE LICENSED TO OPERATE 1,451 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. UHS AND ITS HOSPITALS AND AFFILIATE ORGANIZATIONS PROVIDE SERVICES TO PATIENTS WITHOUT REGARD TO THEIR ABILITY TO PAY. IN FISCAL YEAR 2011 UHS' COMBINED PATIENT CARE STATISTICS WERE: INPATIENT ADMISSIONS, 62,839; INPATIENT DAYS OF CARE, 339,060; SURGERIES, 43,155; BIRTHS, 5,781; AND OUTPATIENT VISITS, 434,794. OUR SYSTEMS WORKFORCE INCLUDED 11,485 EMPLOYEES. EACH OF UHS' HOSPITALS OPERATES AN EMERGENCY ROOM, WHICH IS OPEN 24 HOURS A DAY. PCMH ALSO OFFERS A FULL SPECTRUM OF TRAUMA SERVICES. EMERGENT AND TRAUMA SERVICES ARE PROVIDED TO PATIENTS WITHOUT REGARD TO THEIR ABILITY TO PAY. IN FISCAL YEAR 2011 UHS PROVIDED CARE TO 225,289 EMERGENCY ROOM PATIENTS. IN 2011 UHS AND PCMH HAD THE SAME GOVERNING BOARD, WHICH IS COMPRISED OF 20 VOTING MEMBERS THAT MEET MONTHLY. THE BOARD OF COMMISSIONERS OF PITT COUNTY APPOINTS 11 MEMBERS, AND 9 MEMBERS ARE APPOINTED BY THE BOARD OF GOVERNORS OF THE UNIVERSITY OF NORTH CAROLINA. THE BOARD MEMBERS HAVE DIVERSE BACKGROUNDS AND ARE SELECTED TO REPRESENT THE CITIZENS OF EASTERN CAROLINA. PCMH, IN AFFILIATION WITH THE BRODY SCHOOL OF MEDICINE, WHICH IS OWNED BY THE STATE OF NORTH CAROLINA, OPERATES 30 RESIDENT-TRAINING PROGRAMS WITH OVER 340 MEDICAL RESIDENTS. THIS RELATIONSHIP ENABLES PCMH 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, UHS 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 UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA 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. UHS 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 UHS ENTITIES AND EXTERNAL GRANT-AWARDING ORGANIZATIONS. THE UHS 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 UHS 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. UHS ALSO HAS A SUCCESSFUL TRACK RECORD OF OBTAINING COMMUNITY HEALTH PROGRAM SUPPORT FROM EXTERNAL AGENCIES THAT AWARD GRANT FUNDING TO APPROVED PROJECTS. THE UHS GRANTS OFFICE WAS ESTABLISHED IN 2008 AND SERVES AS THE CENTRAL POINT FOR GRANT MINING, ACQUISITION AND MANAGEMENT OF GRANTS AWARDED TO UHS 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 COMMUNITY INPUT. BOTH ESTABLISHED RESOURCES WITHIN VARIOUS AGENCIES AND POTENTIAL OPPORTUNITIES TO GARNER NEW SUPPORT ARE REVIEWED. JOINT VENTURES FORM 990, PART VI, SECTION B, LINE 16A AND 16B: THE OUTER BANKS HOSPITAL, A RELATED PARTY, IS A JOINT VENTURE BETWEEN UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA, INC. AND CHESAPEAKE GENERAL HOSPITAL. 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. UHS 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 UHS 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: A. 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. UHS 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: - MEDICATION 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 B. 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. C. RESEARCH - EAST CAROLINA UNIVERSITY (ECU) CONDUCTS RESEARCH TO EVALUATE NEW TREATMENTS AND PROTOCOLS. THESE STUDIES HELP HEALTH PROFESSIONALS EVERYWHERE PROVIDE QUALITY CARE TO PATIENTS. UHS SUPPORTS THIS THROUGH VARIOUS MEANS INCLUDING SUPPORTING THE INSTITUTIONAL REVIEW BOARD AT ECU AND PROVIDING STUDY SITES. D. FINANCIAL AND IN-KIND CONTRIBUTIONS - UHS 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. UHS HOSPITALS ARE KEY PARTNERS IN FUNDRAISING FOR ORGANIZATIONS SUCH AS THE UNITED WAY, AMERICAN HEART ASSOCIATION, JUVENILE DIABETES ASSOCIATION AND THE AMERICAN CANCER SOCIETY. UHS CONTRIBUTED $1.7 MILLION TO THE COMMUNITY BENEFITS GRANTS PROGRAM WHICH AWARDS GRANTS TO LOCAL NON-PROFITS FOR HEALTH RELATED PROGRAMS. E. 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. UHS 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. 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