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PITT COUNTY MEMORIAL HOSPITAL INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
PITT COUNTY MEMORIAL HOSPITAL INC (EIN 56-0585243)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-15
IRS object ID
201132279349302123
Schema version
2009v1.7
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)
Timestamp2011-08-15T10:50:03-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LarsonAllen 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 Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN560585243EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Pitt County Memorial Hospital IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPITTNameControl
Phone2528475129Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12100 Stantonsburg RoadAddressLine1
CityGreenvilleCity
StateNCState
ZIP Code27835ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDavid S HughesName
Titlesenior vpTitle
Phone2528478988Phone
Date Signed2011-08-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone7049985200Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSteve LawlerNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12100 Stantonsburg RoadAddressLine1
CityGreenvilleCity
StateNCState
ZIP Code27835ZIPCode
FieldValueIRS element (for citing)
Gross Receipts927874189GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.uhseast.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1953YearFormation
State Legal DomicileNCStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE ACCESS TO QUALITY MEDICAL SERVICE TO all CITIZENS OF PITT COUNTY AND EASTERN NC.ActivityOrMissionDescription
Nbr Voting Members Governing Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees7533TotalNbrEmployees
Total Nbr Volunteers832TotalNbrVolunteers
Total Gross UBI299281TotalGrossUBI
Net Unrelated Business Txbl Income-29269NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1968978ContributionsGrantsPriorYear
Contributions Grants Current Year782420ContributionsGrantsCurrentYear
Program Service Revenue Prior Year856056581ProgramServiceRevenuePriorYear
Program Service Revenue CY913172094ProgramServiceRevenueCY
Investment Income Prior Year10675345InvestmentIncomePriorYear
Investment Income Current Year13778680InvestmentIncomeCurrentYear
Other Revenue Prior Year-111827OtherRevenuePriorYear
Other Revenue Current Year140995OtherRevenueCurrentYear
Total Revenue Prior Year868589077TotalRevenuePriorYear
Total Revenue Current Year927874189TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2040944GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1677366GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year408841132SalariesEtcPriorYear
Salaries Etc Current Year421987304SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year430060161OtherExpensePriorYear
Other Expenses Current Year455568434OtherExpensesCurrentYear
Total Expenses Prior Year840942237TotalExpensesPriorYear
Total Expenses Current Year879233104TotalExpensesCurrentYear
Revenues Less Expenses Prior Year27646840RevenuesLessExpensesPriorYear
Revenues Less Expenses CY48641085RevenuesLessExpensesCY
Total Assets BOY995278195TotalAssetsBOY
Total Assets EOY1022702998TotalAssetsEOY
Total Liabilities BOY529287836TotalLiabilitiesBOY
Total Liabilities EOY529612998TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY465990359NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY493090000NetAssetsOrFundBalancesEOY
Mission DescriptionIN AFFILIATION WITH THE Brody SCHOOL OF MEDICINE, pitt county memorial hospital, inc. ("PCMH") IS COMMITTED TO PROVIDING ACCESS TO QUALITY MEDICAL SERVICEs TO ALL CITIZENS OF PITT COUNTY AND EASTERN NORTH CAROLINA. see also schedule O.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense228553810Expense
Revenue336917853Revenue
DescriptionCancer and clinical servicesPCMH 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 2010, PCMH performed 2,187,435 lab tests, 137,260 radiology procedures, 1,321 PET scans, 71 Gamma Knife procedures, and 297,995 respiratory treatments.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense220289495Expense
Revenue218240615Revenue
DescriptionSurgical ServicesSurgeons at Pitt County Memorial Hospital 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. PCMH surgical services performed 19,969 surgeries in 2010.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense101915880Expense
Revenue118804974Revenue
DescriptionCardiovascular ServicesPitt County Memorial Hospital 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 Pitt County Memorial Hospital, the first facility in North Carolina devoted exclusively to education, research, treatment and prevention of cardiovascular diseases. Cardiovascular services performed 58,873 EKGs, 6,296 Cardiac Cath Visits.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense238039830Expense
Revenue239208652Revenue
DescriptionOther programs.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp238039830TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev239208652TotalOfOtherProgramServiceRev
Total Program Service Expense788799015TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
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
Grants To Organizations1GrantsToOrganizations
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 Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10961NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees7533NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
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
Nbr Voting Governing Body Members20NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
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
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1chris townsendBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2528475129TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12100 Stantonsburg RoadAddressLine1
CityGreenvilleCity
StateNCState
ZIP Code27835ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (35 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
A Ray Rogers
board director2.00X000
Allan Harvin MD
board director2.00X000
Arthur H Keeney III
board director2.00X000
Bruce E Gray
board director2.00X000
Bruce N Austin
board director2.00X000
David H Womack
board director2.00X000
Janet M Bullock
board director2.00X000
Janice H Faulkner
board director2.00X000
Jeffery B Turner
board director2.00X000
Joanne K Burgdorff
board director2.00X000
Marcus S Albernaz MD
board director2.00X000
Melvin C McLawhorn
board director2.00X000
Noel L Baucom
board director2.00X000
Phillip K Flowers
board director4.00X000
R Kelly Barnhill
board director2.00X000
Ralph R Hall Jr
board director2.00X05951659516
Thomasine Kennedy
board director2.00X000
W David Harris
board director2.00X000
Walter E Pofahl II MD
board director2.00X000
William J Jones Jr PhD
board director2.00X000
Dave C McRae
ceo, uhs40.00X01556548271792X
David Hughes
Sr VP, PCMH Financial Services40.00028476880046X
Diane Poole
evp, pcmh40.003701640330240X
Jack Holsten
CFO, UHS40.000478967287642X
LINda Hofler
VP PATIENT CARE SERVICES, CNO40.001786380151377X
Stephen Lawler
President, PCMH40.006205860202841X
WILLIAM FLOYD
VP EX DIR, CARDIO & EMER SVS40.00218154036940X
bRENT MALLEK
VP HUMAN RESOURCES40.001767310144294X
RYAN HICKEY
VP EX DIR, CLIN CANCER, REHAB BEH S40.00200037026310X
sAnjay Saha
vp ed surgical services40.00201295031119X
ANNA Weaver
avp, sURgical Services40.001642350125031X
James Worden Jr
Asst Dir, Pharmacy40.00175682018048X
jOHN RANDALL
administrator, pharmacy40.00180282018355X
nANCY hART
ed, UHS-PMH Foundation40.00167881093659X
STEPHEN KOSKA
aSST DIR, Pharmacy40.00174175017217X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2827860TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2379799TotalReportableCompFrmRltdOrgs
Total Other Compensation1894427TotalOtherCompensation
Number Individuals GT100 K257NumberIndividualsGT100K
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
ECU SCHOOL OF MEDICINE
PO Box 75514CharlotteNC28275Various18024724
PITT COUNTY ANESTHESIA
2080 B Arlington BlvdGreenvilleNC27834CRNA Staff7959999
GE MEDICAL SYSTEMS
PO Box 402076AtlantaGA30384Radiology Equipment Maintanence2521373
CARILLION LAUNDRY SERVICE
2823 Franklin Rd SW Bld CRoanokeVA24014Laundry Services1945387
QUEST DIAGNOSTICS
12436 Collections Center DriveChicagoIL60693Outside Lab Testing Service1715615
FieldValueIRS element (for citing)
Number Of Contractors GT100 K95NumberOfContractorsGT100K
All Other Contributions782420AllOtherContributions
Total Contributions782420TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT REVENUEDescription
Business Code621400BusinessCode
Total Revenue Column913172094TotalRevenueColumn
Related Or Exempt Function Income913172094RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue913172094TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column13778680TotalRevenueColumn
Exclusion$13,778,680ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Outside SErvices900099299281299281
equity investment900099-158286-$158,286
FieldValueIRS element (for citing)
Total Other Revenue140995TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column927874189TotalRevenueColumn
Related Or Exempt Function Income913172094RelatedOrExemptFunctionIncome
Unrelated Business Revenue299281UnrelatedBusinessRevenue
Exclusion$13,620,394ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1677366Total
Program Services1677366ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2888726Total
Management And General2888726ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total314048516Total
Program Services281432101ProgramServices
Management And General32616415ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total23013845Total
Program Services20482322ProgramServices
Management And General2531523ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total59571637Total
Program Services53660801ProgramServices
Management And General5910836ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total22464580Total
Program Services19993476ProgramServices
Management And General2471104ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total2471833Total
Program Services2471833ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total682347Total
Program Services564683ProgramServices
Management And General117664ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total120625698Total
Program Services103391907ProgramServices
Management And General17233791ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total826206Total
Program Services661014ProgramServices
Management And General165192ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2486626Total
Program Services1904457ProgramServices
Management And General582169ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total592192Total
Program Services490656ProgramServices
Management And General101536ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total31616451Total
Program Services26275536ProgramServices
Management And General5340915ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total727815Total
Program Services462921ProgramServices
Management And General264894ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total17661056Total
Program Services17661056ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total57489437Total
Program Services47716233ProgramServices
Management And General9773204ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total12201687Total
Program Services5490758ProgramServices
Management And General6710929ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
program supplies196748673196748673
transplants costs29698182969818
county taxes22259272225927
vehicle expenses827220686593140627
recruiting767017636624130393

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total4648431Total
Program Services3420187ProgramServices
Management And General1228244ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total879233104Total
Program Services788799015ProgramServices
Management And General90434089ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4961477BOY
EOY8502010EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY163169721BOY
EOY160399308EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY18977528BOY
EOY21944169EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY7509855BOY
EOY4561768EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis919419141LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec488862065LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY452786870BOY
EOY430557076EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY347872744BOY
EOY396738667EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY995278195BOY
EOY1022702998EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY106937000BOY
EOY104785320EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY422350836BOY
EOY424827678EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY529287836BOY
EOY529612998EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY465990359BOY
EOY493090000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY465990359BOY
EOY493090000EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY995278195BOY
EOY1022702998EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$23,345OtherActivitiesAmount
Total Lobbying Expenditures IIB23345TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1i:Identifier
Return ReferenceExplanation of Other Lobbying Activities:ReturnReference
Explanation23.25% of dues to NCHA are allocated to lobbying.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis23302944OtherCostOrOtherBasis
Book Value23302944BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis441341069OtherCostOrOtherBasis
Depreciation240766663Depreciation
Book Value200574406BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis432465829OtherCostOrOtherBasis
Depreciation235924916Depreciation
Book Value196540913BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis22309299OtherCostOrOtherBasis
Depreciation12170486Depreciation
Book Value10138813BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings430557076TotalOfBookValueLandBuildings

Other Assets OtherAssets (9 entries)

DescriptionDescriptionBook ValueBookValue
Other Receivables24386383
trustee held funds - bonds21803850
due from third party payors35014388
trustee held funds - capital expenditures276393000
investments in subsidiaries20791152
trustee funds pension14616367
Current Due from Affiliates514383
other investments in subsidiaries199550
Bond amortization3019594
FieldValueIRS element (for citing)
Total Book Value Other Assets396738667TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
due to affiliates$391,358,830
due to third party payors$18,861,003
asset retirement obligation$350,000
deferred gain$819,883
serp payable$12,889,672
InterCompany A/P Due$548,290
FieldValueIRS element (for citing)
Total Of Amounts424827678TotalOfAmounts

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 Expense40783000TotalCommunityBenefitExpense
Net Community Benefit Expense40783000NetCommunityBenefitExpense
Percent Of Total Expense0.05060PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense17767607TotalCommunityBenefitExpense
Net Community Benefit Expense17767607NetCommunityBenefitExpense
Percent Of Total Expense0.02200PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense58550607TotalCommunityBenefitExpense
Net Community Benefit Expense58550607NetCommunityBenefitExpense
Percent Of Total Expense0.07260PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs29NumberOfActivitiesOrPrograms
Persons Served173473PersonsServed
Total Community Benefit Expense9626910TotalCommunityBenefitExpense
Direct Offsetting Revenue71917DirectOffsettingRevenue
Net Community Benefit Expense9554993NetCommunityBenefitExpense
Percent Of Total Expense0.01190PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs6NumberOfActivitiesOrPrograms
Persons Served2810PersonsServed
Total Community Benefit Expense546226TotalCommunityBenefitExpense
Net Community Benefit Expense546226NetCommunityBenefitExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense411549TotalCommunityBenefitExpense
Net Community Benefit Expense411549NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs6NumberOfActivitiesOrPrograms
Persons Served4255PersonsServed
Total Community Benefit Expense4493938TotalCommunityBenefitExpense
Net Community Benefit Expense4493938NetCommunityBenefitExpense
Percent Of Total Expense0.00560PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs42NumberOfActivitiesOrPrograms
Persons Served180538PersonsServed
Total Community Benefit Expense15078623TotalCommunityBenefitExpense
Direct Offsetting Revenue71917DirectOffsettingRevenue
Net Community Benefit Expense15006706NetCommunityBenefitExpense
Percent Of Total Expense0.01870PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs42NumberOfActivitiesOrPrograms
Persons Served180538PersonsServed
Total Community Benefit Expense73629230TotalCommunityBenefitExpense
Direct Offsetting Revenue71917DirectOffsettingRevenue
Net Community Benefit Expense73557313NetCommunityBenefitExpense
Percent Of Total Expense0.09130PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Total Community Building Expense3979TotalCommunityBuildingExpense
Net Community Building Expense3979NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense3000TotalCommunityBuildingExpense
Net Community Building Expense3000NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense1140559TotalCommunityBuildingExpense
Net Community Building Expense1140559NetCommunityBuildingExpense
Percent Of Total Expense0.00140PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense4680TotalCommunityBuildingExpense
Net Community Building Expense4680NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense22607TotalCommunityBuildingExpense
Net Community Building Expense22607NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense2351900TotalCommunityBuildingExpense
Net Community Building Expense2351900NetCommunityBuildingExpense
Percent Of Total Expense0.00290PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense3526725TotalCommunityBuildingExpense
Net Community Building Expense3526725NetCommunityBuildingExpense
Percent Of Total Expense0.00430PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$29,865,000BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare318368708AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare334313574CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-15944866MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (3 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipOfficers Etc Profit Or OwnershipOfficersEtcProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
SurgiCenter of Eastern Carolina LLC
Ambulatory Surgery Center0.550000.000000.00000
Onslow Radiation Oncology LLC
Outpatient Radiation and Chemotherapy0.500000.000000.00000
Moye Medical Endoscopy Center LLC
Outpatient Endoscopy Services0.500000.000000.00000

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

FieldValueIRS element (for citing)
Business Name Line1PITT COUNTY MEMORIAL HOSPITAL INCBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line12100 STANTONSBURG ROADAddressLine1
CitygreenvilleCity
StateNCState
ZIP Code27835ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Childrens HospitalXChildrensHospital
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Income Based CriteriaPart I, Line 3c: N/A.IncomeBasedCriteria
Annual Community Benefit ExplnPart 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.AnnualCommunityBenefitExpln
Costing Method UsedPart I, Line 7: Costs were calculated using the cost to charge ratio from the Medicare Cost Report.CostingMethodUsed
Subsidized Health Services ExplnPart I, Line 7g: N/A.SubsidizedHealthServicesExpln
Bad Debt FootnotePart III, Line 4: Line 2 costs were calculated using the cost to charge ratio from the Medicare Cost Report.BadDebtFootnote
Shortfall As Community BenefitPart III, Line 8: the 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.ShortfallAsCommunityBenefit
Debt Collection PolicyPart III, Line 9b: PCMH does not pursue collection of amounts determined to qualify as charity care or determined to qualify for financial assistance.DebtCollectionPolicy
Needs AssessmentPart 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 O.NeedsAssessment
Patient Education AssistancePart 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.PatientEducationAssistance
Community InformationPart VI, Line 4: See Schedule OCommunityInformation
Community Building ActivitiesPart VI, Line 5: For additional information see Schedule O.CommunityBuildingActivities
Other InformationPart VI, Line 6: For additional information see Schedule O.OtherInformation
Affiliated Health Care SystemPart VI, Line 7: For additional information see schedule o.AffiliatedHealthCareSystem
Reports Filed With StatesNCReportsFiledWithStates

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
Pitt Memorial Hospital Foundation
PO Box 8469greenvilleNC27835581399266501(c)(3)1652965charity
Outer Banks Hospital
4800 S Croatan Highwaynags headNC27959562112733501(c)(3)charity6639net book valueLobby Furniture
Roanoke Chowan Hospital
PO Box 1385AhoskieNC27910562003393501(c)(3)charity6639net book valueLobby Furniture
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants3TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule 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. 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 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 hospital's 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
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 (15 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
Dave C McRae
01023847022629003064110257929013863018283400294157
David Hughes
0265394018785058907367906367036481400
Diane Poole
3428490251340218103187010115390700404000
Jack Holsten
0413574062776026170274997012645076660900
LINda Hofler
16661401166903550146678046990330015000
Stephen Lawler
523938091653049950196474063670823427000
WILLIAM FLOYD
203762014175021703669802420255094000
bRENT MALLEK
164448012000028301317360125580321025000
RYAN HICKEY
1810000153850365202610802020226347000
sAnjay Saha
18927001202500026419047000232414000
ANNA Weaver
15136601250303660119851051800289266000
James Worden Jr
1756820000013414046340193730000
jOHN RANDALL
1802820000013606047490198637000
nANCY hART
1678810000090591030680261540000
STEPHEN KOSKA
1741750000013284039330191392000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part I, Line 1aHousing allowance consisted of $3,600 to Todd Hickey.
Part I, Line 4b:dave c mcrae was a participant in a supplemental non-qualified retirement plan during the year.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Surgicenter of Eastern Carolina LLCBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipSurgicenter of Eastern Carolina, LLC is 55% owned by pcmh.Relationship
Amount Of Transaction6116167AmountOfTransaction
Description Of Transactionofficers of PCMH are also officers of this LLC. Several transactions took place during the year between PCMH and Surgicenter of Eastern Carolina, LLC. See Schedule R for details.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section B, line 11The 990 is made available to board members by posting to a board member's website. Any board member who does not have the ability to access the return in this manner will receive a copy via electronic or regular mail. The return is also reviewed by the Chief Financial Officer, Chief General Counsel and the Chief Audit and Compliance officer of University Health Systems prior to filing.
Form 990, Part VI, Section B, line 12cAll 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 15The top management official is the president who is an employee of Pitt County Memorial Hospital. 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.
Form 990, Part VI, Section C, line 19the organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.
Form 990, Part XI 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 1.3 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 five other acute care hospitals: Roanoke-Chowan Hospital, Heritage Hospital, Chowan Hospital, Bertie Memorial Hospital, and The Outer Banks Hospital. UHS also manages Albemarle Hospital and Duplin General 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 six owned acute care hospitals are licensed to operate 1,208 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 2010 UHS' combined patient care statistics were: inpatient admissions, 56,622; inpatient days of care, 318,144; surgeries, 41,101; births, 5,397; and outpatient visits, 399,337. Our System's workforce included 11,215 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 2010 UHS provided care to 194,408 emergency room patients. UHS and PCMH have 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 1.3 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.
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 $1.6 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 II Form990ScheduleRPartII (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNA
University Health Systems of Eastern Carolina Inc
2100 Stantonsburg RaodgreenvilleNC27835562141073healthcareNC501(c)(3)509(a)(3)N/A
East Carolina Health
2100 Stantonsburg RaodgreenvilleNC27835562003393healthcareNC501(c)(3)509(a)(3)N/A
East Carolina Health-Heritage Inc
2100 Stantonsburg RaodgreenvilleNC27835562093700healthcareNC501(c)(3)509(a)(3)N/A
PCMH Management Inc
2100 Stantonsburg RoadgreenvilleNC27835561690740healthcareNC501(c)(3)509(a)(3)N/A
East Carolina Health-Chowan Inc
2100 Stantonsburg RoadgreenvilleNC27835562101090healthcareNC501(c)(3)509(a)(3)N/A
East Carolina Health-Bertie
2100 Stantonsburg RoadgreenvilleNC27835562072002healthcareNC501(c)(3)509(a)(3)N/A
Surgicenter Services of Pitt Inc
2100 Stantonsburg RoadgreenvilleNC27835561690553healthcareNC501(c)(3)509(a)(3)N/A
The Outer Banks Hospital Inc
2100 Stantonsburg RoadgreenvilleNC27835562112733healthcareNC501(c)(3)509(a)(3)N/A
pitt professional services llc
2100 Stantonsburg RoadgreenvilleNC27835383740839healthcareNC501(c)(3)509(a)(3)N/A
HEALTHACCESS INC
2100 Stantonsburg RoadgreenvilleNC27835561396133HEALTHcareNC501(c)(3)509(a)(3)N/A

Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
surgicenter of eastern carolina llc
2100 Stantonsburg RoadgreenvilleNC27835262558314ambulatory surgical centerNCnorelated55749362102760801
Eastpointe LLC (Beaufort Hospital MRI Equiped)
628 East 12th StwashingtonNC27889562248909MRI ServicesNCnorelated68150700
Moye Medical Endoscopy Center LLC
2100 Stantonsburg RoadgreenvilleNC27835261671435Professional Medical ServicesNCnorelated-282610100170501
Onslow Radiation Oncology LLC
317 Western BoulevardjacksonvilleNC28546261694368Cancer TreatmentNCnorelated-660538649500
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
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 Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (75 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
East Carolina Health Inc
L198
East Carolina Health Inc
L2282
East Carolina Health Inc
N42450
East Carolina Health Inc
P939
East Carolina Health Inc
P129236
East Carolina Health-Bertie
L2096
East Carolina Health-Bertie
L107281
East Carolina Health-Bertie
P3381
East Carolina Health-Bertie
P1180738
East Carolina Health-Chowan
L3583
East Carolina Health-Chowan
L180274
East Carolina Health-Chowan
P11053
East Carolina Health-Chowan
P4083953
East Carolina Health-Heritage
K6208
East Carolina Health-Heritage
L1780
East Carolina Health-Heritage
L204503
East Carolina Health-Heritage
N5250
East Carolina Health-Heritage
P16976
East Carolina Health-Heritage
P4445402
East Carolina Health-RCH
K452
East Carolina Health-RCH
L3864
East Carolina Health-RCH
L106812
East Carolina Health-RCH
P26590
East Carolina Health-RCH
P5420137
HealthAccess Inc
A44795
HealthAccess Inc
K199091
HealthAccess Inc
L28377
HealthAccess Inc
L48637
HealthAccess Inc
N1195044
HealthAccess Inc
N3600
HealthAccess Inc
O792239
HealthAccess Inc
O251823
HealthAccess Inc
P7875
HealthAccess Inc
P1882214
PCMH Management Inc
L101033
PCMH Management Inc
O1220233
PCMH Management Inc
O54590
PCMH Management Inc
P16632
PCMH Management Inc
R76655
Surgicenter Services of Pitt Inc
C3040708
Surgicenter Services of Pitt Inc
C6215000
The Outer Banks Hospital Inc
L1091
The Outer Banks Hospital Inc
L137202
The Outer Banks Hospital Inc
N7320
The Outer Banks Hospital Inc
P34
The Outer Banks Hospital Inc
P2470629
UHS Physicians LLC
C32838
UHS Physicians LLC
C2118340
UHS Physicians LLC
K5004
UHS Physicians LLC
K21598
UHS Physicians LLC
L87
UHS Physicians LLC
L1250905
UHS Physicians LLC
L531
UHS Physicians LLC
L45545
UHS Physicians LLC
L407331
UHS Physicians LLC
O135459
UHS Physicians LLC
P400
UHS Physicians LLC
P2560050
University Health Systems of Eastern Carolina Inc
A7521
University Health Systems of Eastern Carolina Inc
A577147
University Health Systems of Eastern Carolina Inc
A11695492
University Health Systems of Eastern Carolina Inc
B75933342
University Health Systems of Eastern Carolina Inc
K251
University Health Systems of Eastern Carolina Inc
L49846832
University Health Systems of Eastern Carolina Inc
L828422
University Health Systems of Eastern Carolina Inc
L3279
University Health Systems of Eastern Carolina Inc
L70543
University Health Systems of Eastern Carolina Inc
O8520521
University Health Systems of Eastern Carolina Inc
O17617966
Surgicenter of Eastern Carolina LLC
O12851
Surgicenter of Eastern Carolina LLC
L5925843
Surgicenter of Eastern Carolina LLC
L169534
Surgicenter of Eastern Carolina LLC
O421
Surgicenter of Eastern Carolina LLC
O1962
Surgicenter of Eastern Carolina LLC
P5555