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THE OUTER BANK HOSPITAL INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
THE OUTER BANK HOSPITAL INC (EIN 56-2112733)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-03-30
IRS object ID
201220909349300447
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-03-30T12:41:34-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1101 N TRYON STREET SUITE 1000AddressLine1
CityCHARLOTTECity
StateNCState
ZIP Code28246ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN562112733EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE OUTER BANKS HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlOUTENameControl
Phone2528475129Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line14800 S CROATAN HIGHWAYAddressLine1
CityNAGS HEADCity
StateNCState
ZIP Code27959ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDAVID HUGHESName
TitleSECRETARY/TREASURERTitle
Phone2524494500Phone
Date Signed2012-03-29DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameGREGORY W JOHNSName
Phone7049985200Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonD VAN SMITH JRNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line14800 S CROATAN HIGHWAYAddressLine1
CityNAGS HEADCity
StateNCState
ZIP Code27959ZIPCode
FieldValueIRS element (for citing)
Gross Receipts48855921GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.UHSEAST.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2002YearFormation
State Legal DomicileNCStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE A WIDE RANGE OF QUALITY SERVICES TO THE RESIDENTS AND VISITORS OF THE OUTER BANKS.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers50TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year8655ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year45352980ProgramServiceRevenuePriorYear
Program Service Revenue CY48733785ProgramServiceRevenueCY
Investment Income Prior Year59117InvestmentIncomePriorYear
Investment Income Current Year52862InvestmentIncomeCurrentYear
Other Revenue Prior Year-544531OtherRevenuePriorYear
Other Revenue Current Year69274OtherRevenueCurrentYear
Total Revenue Prior Year44876221TotalRevenuePriorYear
Total Revenue Current Year48855921TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year6030GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year17645018SalariesEtcPriorYear
Salaries Etc Current Year19226039SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year18604995OtherExpensePriorYear
Other Expenses Current Year19726938OtherExpensesCurrentYear
Total Expenses Prior Year36256043TotalExpensesPriorYear
Total Expenses Current Year38952977TotalExpensesCurrentYear
Revenues Less Expenses Prior Year8620178RevenuesLessExpensesPriorYear
Revenues Less Expenses CY9902944RevenuesLessExpensesCY
Total Assets BOY61098866TotalAssetsBOY
Total Assets EOY59742470TotalAssetsEOY
Total Liabilities BOY16416610TotalLiabilitiesBOY
Total Liabilities EOY5157270TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY44682256NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY54585200NetAssetsOrFundBalancesEOY
Mission DescriptionTO ENHANCE THE QUALITY OF LIFE FOR THE RESIDENTS & VISITORS OF DARE COUNTY & THE SURROUNDING REGION BY PROMOTING WELLNESS & PROVIDING THE HIGHEST QUALITY HEALTHCARE SERVICE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense23307361Expense
Revenue38885016Revenue
DescriptionOUTPATIENT AND EMERGENCY SERVICES:PROVIDED EMERGENCY SERVICES TO 22,496 PATIENTS 24 HOURS A DAY FOR 365 DAYS. PROVIDED OUTPATIENT DIAGNOSTIC AND THERAPEUTIC SERVICES TO 18,699 PATIENTS. PERFORMED 1,449 OUTPATIENT SURGICAL PROCEDURES. PROVIDED A PHYSICIAN CLINIC STAFFED WITH 6 PHYSICIANS THAT CARED FOR 18,699 PATIENTS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense12606424Expense
Revenue9848769Revenue
DescriptionINPATIENT SERVICES:PROVIDED INPATIENT CARE 24 HOURS A DAY FOR 365 DAYS TO 1,295 PATIENTS. DELIVERED 348 BABIES. PERFORMED 461 INPATIENT SURGICAL PROCEDURES.Description
FieldValueIRS element (for citing)
Total Program Service Expense35913785TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledNCStatesWhereCopyOfReturnIsFiled
Own WebsiteXOwnWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1TODD WARLITNERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2524494514TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14800 S CROATAN HIGHWAYAddressLine1
CityNAGS HEADCity
StateNCState
ZIP Code27959ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
ROBERT OWENS
CHAIRMAN4.00XX000
LINDA PALOMBO
VICE CHAIRMAN4.00XX000
BEULAH CHARITY ASHBY
BOARD DIRECTOR2.00X000
DR JEFF C HAMMER
BOARD DIRECTOR2.00X000
ROGER ROBERTSON
PRESIDENT, ECH & HA40.00XX0297420133683
MARGARET WELLS
BOARD DIRECTOR2.00X000
TERRY WHEELER
BOARD DIRECTOR2.00X000
WYNN DIXON
BOARD DIRECTOR, PRESIDENT CHESAPEAKE REGIONAL2.00XX000
ERNIE LARKIN
BOARD DIRECTOR2.00X000
JODY MIDGETTE
BOARD DIRECTOR2.00X000
DONALD SMITH
PRESIDENT, OUTER BANKS HOSP-UHS40.00X022898143094
VERN METCALF
PHYSICIAN40.00359780015315X
JENNIFER HALLORAN
PHYSICIAN40.00183771011425X
DAVID THOMPSON
PHYSICIAN40.00213301017919X
GEORGIA HENNESSY
PHYSICIAN40.001692970116X
DAVID LUSTIG
PHYSICIAN40.0016153800X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1087687TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs526401TotalReportableCompFrmRltdOrgs
Total Other Compensation221552TotalOtherCompensation
Number Individuals GT100 K14NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
GE MEDICAL SYSTEMS
PO BOX 402076ATLANTAGA303842076SERVICE CONTRACT385448
AVIATION ANESTHESIA ASSOC INC
158 BATTLEFIELD COURTMANTEONC27954PROVIDE CNAS316980
OUTER BANKS ANESTHESIA PC
128 WEIR POINT DRMANTEONC27954PROVIDE CNAS305745
AUREUS RADIOLOGY LLC
PO BOX 3037OMAHANE68103PROFESSIONAL SERVICES237685
SHARED HOSPITAL SERVICES
3530 ELMHURST LANEPORTSMOUTHVA23701CONTRACT EMPLOYEES168543
FieldValueIRS element (for citing)
Number Of Contractors GT100 K9NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT REVENUEDescription
Business Code621110BusinessCode
Total Revenue Column48130288TotalRevenueColumn
Related Or Exempt Function Income48130288RelatedOrExemptFunctionIncome

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column603497TotalRevenueColumn
Related Or Exempt Function Income603497RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue48733785TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column52862TotalRevenueColumn
Exclusion$52,862ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionCAFETERIA MEALSDescription
Business Code722210BusinessCode
Total Revenue Column69274TotalRevenueColumn
Exclusion$69,274ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue69274TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column48855921TotalRevenueColumn
Related Or Exempt Function Income48733785RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$122,136ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total15485631Total
Program Services14848004ProgramServices
Management And General637627ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total517295Total
Program Services509643ProgramServices
Management And General7652ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2027417Total
Program Services1964292ProgramServices
Management And General63125ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1195696Total
Program Services1145961ProgramServices
Management And General49735ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total113040Total
Management And General113040ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total34733Total
Management And General34733ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total13700Total
Management And General13700ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3390641Total
Program Services3386237ProgramServices
Management And General4404ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total92725Total
Management And General92725ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3266295Total
Program Services3244142ProgramServices
Management And General22153ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total113357Total
Program Services113357ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1639463Total
Program Services1639463ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total181187Total
Program Services181187ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2473583Total
Program Services2473583ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total487757Total
Program Services487757ProgramServices

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CHARGEABLE SUPPLIES56187525618752
INTERCO SHARED SERV20002982000298
RECRUITMENT301407301407

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total38952977Total
Program Services35913785ProgramServices
Management And General3039192ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4248043BOY
EOY4564646EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY8485064BOY
EOY8493586EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY891706BOY
EOY949673EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY261993BOY
EOY266669EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis39853256LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec19918767LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY21078862BOY
EOY19934489EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY24170178BOY
EOY23173997EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1963020BOY
EOY2359410EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY61098866BOY
EOY59742470EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3945588BOY
EOY4027978EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY10842223BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1628799BOY
EOY1129292EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY16416610BOY
EOY5157270EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY44682256BOY
EOY54585200EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY44682256BOY
EOY54585200EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY61098866BOY
EOY59742470EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses9902944ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1694182OtherCostOrOtherBasis
Book Value1694182BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis27959996OtherCostOrOtherBasis
Depreciation12938947Depreciation
Book Value15021049BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis10194006OtherCostOrOtherBasis
Depreciation6979820Depreciation
Book Value3214186BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5072OtherCostOrOtherBasis
Book Value5072BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings19934489TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
DescriptionINVESTMENTSDescription
Book Value23173997BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Program Related23173997TotalOfBookValueProgramRelated

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO THIRD PARTY PAYORS$851,292
RESERVE FOR PROFESSIONAL LIABILITY LOSSES$278,000
FieldValueIRS element (for citing)
Total Of Amounts1129292TotalOfAmounts
Total Revenue48855921TotalRevenue
Total Expenses38952977TotalExpenses
Excess Or Deficit For Year9902944ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS9902944ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt48855921TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal48855921RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99048855921TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt38952977TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal38952977ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99038952977TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:THE OUTER BANKS HOSPITAL, INC. IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES
PART XIII, LINE 4B - OTHER ADJUSTMENTS:INTEREST EXPENSE NON-OPERATING EXPENSES

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense1695138TotalCommunityBenefitExpense
Net Community Benefit Expense1695138NetCommunityBenefitExpense
Percent Of Total Expense0.04350PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense4234134TotalCommunityBenefitExpense
Direct Offsetting Revenue4111903DirectOffsettingRevenue
Net Community Benefit Expense122231NetCommunityBenefitExpense
Percent Of Total Expense0.00310PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense5929272TotalCommunityBenefitExpense
Direct Offsetting Revenue4111903DirectOffsettingRevenue
Net Community Benefit Expense1817369NetCommunityBenefitExpense
Percent Of Total Expense0.04660PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs14NumberOfActivitiesOrPrograms
Persons Served2731PersonsServed
Total Community Benefit Expense290928TotalCommunityBenefitExpense
Net Community Benefit Expense290928NetCommunityBenefitExpense
Percent Of Total Expense0.00750PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served30PersonsServed
Total Community Benefit Expense36302TotalCommunityBenefitExpense
Net Community Benefit Expense36302NetCommunityBenefitExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs6NumberOfActivitiesOrPrograms
Persons Served11999PersonsServed
Total Community Benefit Expense129386TotalCommunityBenefitExpense
Net Community Benefit Expense129386NetCommunityBenefitExpense
Percent Of Total Expense0.00330PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs22NumberOfActivitiesOrPrograms
Persons Served14760PersonsServed
Total Community Benefit Expense456616TotalCommunityBenefitExpense
Net Community Benefit Expense456616NetCommunityBenefitExpense
Percent Of Total Expense0.01170PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs22NumberOfActivitiesOrPrograms
Persons Served14760PersonsServed
Total Community Benefit Expense6385888TotalCommunityBenefitExpense
Direct Offsetting Revenue4111903DirectOffsettingRevenue
Net Community Benefit Expense2273985NetCommunityBenefitExpense
Percent Of Total Expense0.05830PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense2856TotalCommunityBuildingExpense
Net Community Building Expense2856NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense2178TotalCommunityBuildingExpense
Net Community Building Expense2178NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense3400TotalCommunityBuildingExpense
Net Community Building Expense3400NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served219PersonsServed
Total Community Building Expense10881TotalCommunityBuildingExpense
Net Community Building Expense10881NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs4NumberOfActivitiesOrPrograms
Persons Served219PersonsServed
Total Community Building Expense19315TotalCommunityBuildingExpense
Net Community Building Expense19315NetCommunityBuildingExpense
Percent Of Total Expense0.00060PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$2,912,775BadDebtExpenseAmount
Amount Reimbursed By Medicare12251305AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare12128575CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall122730MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnership
1 THE OUTER BANKS HOSPITAL MEDICAL OFFICE BUILDING LLC
HEALTHCARE1.00000
2 OUTER BANKS PROFESSIONAL SERVICES LLC
HEALTHCARE1.00000
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE OUTER BANKS HOSPITAL INCBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line14800 SOUTH CROATAN HIGHWAYAddressLine1
CityNAGS HEADCity
StateNCState
ZIP Code27959ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
Critical Access HospitalXCriticalAccessHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1THE OUTER BANKS HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent200.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Collection Activities1CollectionActivities
Report To Credit AgencyXReportToCreditAgency
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Average Negotiated RatesXAverageNegotiatedRates
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (22 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
PART I, LINE 3C: CHARITY CARE IS DETERMINED BASED UPON MEETING 200% OF FEDERAL POVERTY GUIDELINES AND HAVING LIMITED ASSETS OTHER THAN A HOME. DISCOUNTS ARE ALSO PROVIDED FOR ANY PATIENTS WITHOUT INSURANCE, REGARDLESS OF INCOME LEVELS.
PART I, LINE 6A: REPORTS ARE PREPARED FOR EACH INDIVIDUAL HOSPITAL. ALSO INFORMATION REGARDING COMMUNITY BENEFITS IS INCLUDED IN THE REPORT FOR UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA.
PART II: SEE SCHEDULE O.
PART III, LINE 4: LINE 2 COSTS WERE CALCULATED USING THE ESTIMATED COST TO CHARGE RATIO FROM THE MEDICARE COST REPORT.
PART III, LINE 8: ANY SHORTFALL OF MEDICARE REVENUE TO MEDICARE ALLOWABLE COSTS OF CARE COULD BE CONSIDERED COMMUNITY BENEFIT BECAUSE IN THE AREA SERVED BY THE ORGANIZATION OTHER PROVIDERS WOULD NOT BE AVAILABLE TO PROVIDE THE SERVICES REQUIRED. THEREFORE, THE CARE WOULD BECOME A GOVERNMENT OBLIGATION.
PART III, LINE 9B: THE ORGANIZATION DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE OR DETERMINED TO QUALIFY FOR FINANCIAL ASSISTANCE.
PART V, SECTION B, LINE 11H: N/ATHE OUTER BANKS HOSPITAL, INC.
PART V, SECTION B, LINE 13G: N/ATHE OUTER BANKS HOSPITAL, INC.
PART V, SECTION B, LINE 15E: N/ATHE OUTER BANKS HOSPITAL, INC.
PART V, SECTION B, LINE 16E: N/ATHE OUTER BANKS HOSPITAL, INC.
PART V, SECTION B, LINE 17E: N/ATHE OUTER BANKS HOSPITAL, INC.
PART V, SECTION B, LINE 18C: N/ATHE OUTER BANKS HOSPITAL, INC.
PART V, SECTION B, LINE 18D: N/ATHE OUTER BANKS HOSPITAL, INC.
PART V, SECTION B, LINE 19D: N/ATHE OUTER BANKS HOSPITAL, INC.
PART V, SECTION B, LINE 20: N/ATHE OUTER BANKS HOSPITAL, INC.
PART V, SECTION B, LINE 21: N/ATHE OUTER BANKS HOSPITAL, INC.
PART VI, LINE 2: THE ORGANIZATION ASSESSES COMMUNITY NEED IN CONJUNCTION WITH THE STATE AFFILIATED COUNTY HEALTH DEPARTMENTS IN EACH AREA.
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 VI, LINE 6: SEE SCHEDULE O.
PART VI, LINE 7: SEE SCHEDULE O.
NCREPORTS FILED WITH STATESPART VI, LINE 7

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ROGER ROBERTSON
0289345070770998012474508938043110300
DONALD SMITH
019806203067302460428740220027207500
VERN METCALF
3597800000000153150375095000
JENNIFER HALLORAN
1837710000000114250195196000
DAVID THOMPSON
2133010000000179190231220000
GEORGIA HENNESSY
16929700000001160169413000
DAVID LUSTIG
161538000000000161538000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 6ACCORDING TO THE ORGANIZATION'S AMENDED AND RESTATED BYLAWS, ARTICLE II, THE ORGANIZATION HAS TWO MEMBERS, EAST CAROLINA HEALTH AND CHESAPEAKE HOSPITAL AUTHORITY.
FORM 990, PART VI, SECTION A, LINE 7ATHE MEMBERS ELECT THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7BTHE FOLLOWING ACTIONS SHALL NOT BE TAKEN WITHOUT UNANIMOUS CONSENT OF THE MEMBERS: POSSESS PROPERTY, INVEST FUNDS, ADDITIONAL CAPITAL CONTRIBUTIONS, ADMIT MEMBERS, MERGER OR DISSOLUTION, AMENDMENT, CON LITIGATION, SALE OF ASSETS, BUSINESS OF CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11A DRAFT FORM 990 WILL BE REVIEWED BY THE PRESIDENT AND THE VP OF BUSINESS OPERATIONS BEFORE IT IS FILED WITH THE IRS.
CONFLICTS OF INTEREST ARE REQUIRED TO BE SUBMITTED ANNUALLY. THESE SUBMISSIONS ARE REVIEWED BY LEGAL COUNSEL AGAINST CORPORATE COMPLIANCE POLICIES. WHEN A CONFLICT ARISES, THE MEMBER OF THE GOVERNING BODY IS RECUSED FROM VOTING.FORM 990, PART VI, SECTION B, LINE 12C
COMPENSATION IS DETERMINED BY THE BOARD IN CONSULTATION WITH THE MEMBERS, CONSIDERING THE PERFORMANCE AND PREVAILING MARKET RATES. THIS PROCESS WAS LAST PERFORMED IN 2009.FORM 990, PART VI, SECTION B, LINE 15
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
NO CHANGES FOR APPROVING AUDITED FINANCIAL STATEMENTS OR SELECTION OF INDEPENDENT ACCOUNTANTS HAVE OCCURRED FROM THE PRIOR YEAR.FORM 990, PART XII, LINE 2C:
WYNN DIXONWYNN DIXON IS A BOARD MEMBER OF THE OUTER BANKS HOSPITAL, INC. AND IS ALSO THE PRESIDENT OF CHESAPEAKE HOSPITAL AUTHORITY, AN ENTITY THAT IS LISTED ON SCHEDULE R AS A RELATED PARTNERSHIP. CHESAPEAKE HOSPITAL AUTHORITY IS A NON-MAJORITY PARTNER OF THE OUTER BANKS HOSPITAL AND DOES NOT CONTROL THE OUTER BANKS HOSPITAL ACCORDING TO IRS DEFINITIONS. CHESAPEAKE HOSPITAL AUTHORITY IS A TAX-EXEMPT HOSPITAL THAT IS CONSIDERED A GOVERNMENTAL INSTRUMENTALITY AND IS NOT REQUIRED TO FILE A 990 OR MAKE PUBLIC COMPENSATION DISCLOSURES. CONSEQUENTLY, NO COMPENSATION INFORMATION IS REPORTED ON PART VII FOR WYNN DIXON.FORM 990, PART VII:
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.FORM 990, PART 1, LINE 1:
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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsDirect Controlling Entity NADirectControllingEntityNA
OUTER BANKS PROFESSIONAL SVC LLC
604 AMANDA STMANTEONC27954270484506FAMILY PRACTICENC-432560828552N/A
OUTER BANKS MEDICAL OFFICE BUILDING LLC
4810 S CROATAN HWYNAGS HEADNC27959161740979MED OFFICE BLDGNC-5552344659630N/A

Form990 Schedule R Part II Form990ScheduleRPartII (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA INC
2100 STANTONSBURG ROADGREENVILLENC27835562141073HEALTHCARENC501(C)(3)LINE 11C, III-FIN/A0
EAST CAROLINA HEALTH INC
2100 STANTONSBURG ROADGREENVILLENC27835911997979HEALTHCARENC501(C)(3)509(A)(3)N/A0
PCMH MANAGEMENT INC
2100 STANTONSBURG ROADGREENVILLENC27835561690740HEALTHCARENC501(C)(3)509(A)(3)N/A0
SURGICENTER SERVICES OF PITTINC
2100 STANTONSBURG ROADGREENVILLENC27835561690553HEALTHCARENC501(C)(3)509(A)(3)N/A0
THE OUTER BANKS HOSPITAL INC
2100 STANTONSBURG ROADGREENVILLENC27835562112733HEALTHCARENC501(C)(3)509(A)(3)N/A0
HEALTHACCESS
2100 STANTONSBURG ROADGREENVILLENC27835561396133HEALTHCARENC501(C)(3)509(A)(3)N/A0
UHS PHYSICIANS LLC
2100 STANTONSBURG ROADGREENVILLENC27835383740839HEALTHCARENC501(C)(3)509(A)(3)N/A0
PITT COUNTY MEMORIAL HOSPITAL
2100 STANTONSBURG ROADGREENVILLENC27835560585243HEALTHCARENC501(C)(3)LINE 3N/A0
CHESAPEAKE HOSPITAL AUTHORITY
736 N BATTLEFIELD BLVDCHESAPEAKEVA23320HEALTHCAREVA501(C)(3)N/AN/A0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA INC
O2273597ACTUAL CASH PAYMENT
EAST CAROLINA HEALTH INC
Q6702513ACTUAL CASH PAYMENT
CHESAPEAKE HOSPITAL AUTHORITY
Q4426542ACTUAL CASH PAYMENT
UHS PHYSICIANS LLC
L113040ACTUAL CASH PAYMENT
PITT COUNTY MEMORIAL HOSPITAL
O3105494ACTUAL CASH PAYMENT