Community Benefit Insight - Tax-exempt hospital

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Pitt County Memorial Hospital Inc

2100 Stantonsburg Road

Greenville, NC 27835

EIN: 560585243

The hospital that you have selected is part of a multi-facility organization that reports community benefit expenditures in the aggregate and not by individual hospital. The data shown below are for the multi-facility organization. We encourage you to contact the individual hospital directly if you would like community benefit information on the hospital.Learn more

Individual Facility Details: Vidant Beaufort Hospital

628 E 12th Street
Washington, NC 27889

2 hospitals in organization:
(click a facility name to update Individual Facility Details panel)

Pitt County Memorial Hospital

Vidant Beaufort Hospital

Bed count	142	Medicare provider number	340186	Member of the Council of Teaching Hospitals	NO	Children's hospital	NO

Pitt County Memorial Hospital IncDisplay data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

7.1%

Spending by Community Benefit Category- 2021
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2011-2021

Additional data

Community Benefit Expenditures: 2021

All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 38,256,612 2.52 %
Medicaid as % of operating expenses	$ 4,176,290 0.27 %
Costs of other means-tested government programs as % of operating expenses	$ 0 0 %
Health professions education as % of operating expenses	$ 53,447,340 3.52 %
Subsidized health services as % of operating expenses	$ 0 0 %
Research as % of operating expenses	$ 0 0 %
Community health improvement services and community benefit operations* as % of operating expenses Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.	$ 6,308,381 0.42 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 5,628,921 0.37 %
Community building* as % of operating expenses	$ 316,665 0.02 %

* = CBI denoted preventative categories

Community building activities details:

Did tax-exempt hospital report community building activities?	YES
Number of activities or programs (optional)	8
Physical improvements and housing	0
Economic development	1
Community support	4
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	1
Community health improvement advocacy	0
Workforce development	2
Other	0
Persons served (optional)	113
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	113
Other	0
Community building expense as % of operating expenses	$ 316,665 0.02 %
Physical improvements and housing as % of community building expenses	$ 0 0 %
Economic development as % of community building expenses	$ 677 0.21 %
Community support as % of community building expenses	$ 102,169 32.26 %
Environmental improvements as % of community building expenses	$ 0 0 %
Leadership development and training for community members as % of community building expenses	$ 0 0 %
Coalition building as % of community building expenses	$ 836 0.26 %
Community health improvement advocacy as % of community building expenses	$ 0 0 %
Workforce development as % of community building expenses	$ 212,983 67.26 %
Other as % of community building expenses	$ 0 0 %
Direct offsetting revenue	$ 0
Physical improvements and housing	$ 0
Economic development	$ 0
Community support	$ 0
Environmental improvements	$ 0
Leadership development and training for community members	$ 0
Coalition building	$ 0
Community health improvement advocacy	$ 0
Workforce development	$ 0
Other	$ 0

Other Useful Tax-exempt Hospital Information: 2021

In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt as % of operating expenses	$ 19,605,784 1.29 %
Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?	NO

Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

Does the organization have a written financial assistance (charity care) policy?	YES
Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?	YES
Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy as % of operating expenses	$ 0 0 %

Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

Community Health Needs Assessment Activities: 2021

The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

Did the tax-exempt hospital report that they had conducted a CHNA?	YES
Did the CHNA define the community served by the tax-exempt hospital?	YES
Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?	YES
Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?	YES
Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?	YES

Supplemental Information: 2021

This section presents qualitative information submitted by the hospital, verbatim from the 990H record.

Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.

4A (Expenses $ 575533519 including grants of $ 0) (Revenue $ 491731318)
Cancer and Clinical ServicesPCMH (D/B/A ECU Health Medical Center) Cancer Services include the most advanced treatments for the people of Eastern North Carolina. We use the latest technologies, including gamma knife radiosurgery, available to our expert medical staff, nurses and therapists. Combining national treatment protocols and the highest standards of clinical quality, our team of specialists take care of thousands of patients each year. In cancer and clinical services during fiscal year 2022, ECU Health Medical Center performed 3,168,319 lab tests, 125,419 radiology cases, 5,436 pet scans, 176 gamma knife cases, and 164,785 respiratory treatments.

4B (Expenses $ 391831239 including grants of $ 0) (Revenue $ 393287146)
Surgical ServicesSurgeons at ECU Health Medical Center are leaders in their fields. Our bariatric surgeons were pioneers of gastric bypass surgery. Other areas of surgical emphasis include: orthopedics, cardiothoracic, gynecology, trauma and general surgery. ECU Health Medical Center Surgical Services performed 26,398 surgeries in fiscal year 2022.

4C (Expenses $ 211414789 including grants of $ 0) (Revenue $ 213913180)
Cardiovascular ServicesECU Health Medical Center provides patients with the latest treatments and technology available. We have nationally and internationally recognized physicians at the East Carolina Heart Institute, performing delicate heart surgeries and procedures using the DaVinci Robot. Our heart and vascular services include: stents, imaging studies, pacemaker placement, ablation, robot-assisted heart surgery, and heart failure programs. These and many more services are provided at the East Carolina Heart Institute at ECU Health Medical Center, the first facility in North Carolina devoted exclusively to education, research, treatment and prevention of cardiovascular diseases. Cardiovascular services performed 70,408 EKGs.

4D (Expenses $ 91851810 including grants of $ 853000) (Revenue $ 271230864)
All other services

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

Facility Report Group A
Part V, Section B, Line 5: The preparation of the 2022 Pitt County Community Health Needs Assessment (CHNA) was a joint effort between Pitt Partners for Health (PPH), ECU Health Medical Center, Pitt County Health Department (PCHD), and East Carolina University (ECU). ECU Health Medical Center and other partners hosted a Key Leaders' listening session to include input from persons who represent the broad interests of the community served, including those with special knowledge of or expertise in public health. Various key leaders participated representing County Recreation, area churches, County Management, ECU Health, United Way, AMEXCAN - Hispanic/Latino community, ECU - (SOM, Dental, Health and Human Performance, Public Health, College of Nursing), Eastern AHEC, Department of Social Services, City of Greenville, Family Violence, Pitt County Health Department, Greenville Community Shelter, Town of Ayden, Pitt County EMS, Pitt Community College, Access East, Council on Aging, Town of Bethel, Pitt County Planning and Pitt Partners for Health.

Facility Report Group A
Part V, Section B, Line 6a: The Community Health Needs Assessment was conducted with the following hospitals:Pitt County Memorial Hospital, Inc. DBA ECU Health Medical CenterEast Carolina Health Beaufort, Inc. DBA ECU Health Beaufort Hospital

Facility Report Group A
Part V, Section B, Line 6b: The preparation of the Pitt County Community Health Needs Assessment (CHNA) was a joint effort between Pitt Partners for Health (PPH), ECU Health Medical Center, Pitt County Health Department (PCHD) East Carolina University (ECU), and Beaufort County Health Department (BCHD).

Facility Report Group A
Part V, Section B, Line 11: Please see attached ECU Health Medical Center and Beaufort Implementation Strategy for detailed action plans. Certain community needs may not be fully documented or addressed in the Community Health Needs Assessment. These needs are generally those which other organizations share an overlap with ECU Health Medical Center and Beaufort. ECU Health Medical Center is not equipped to handle all needs and has prioritized those that it can fully address.

Part V, SECTION B, line 7a and 10a:
The Hospital makes its Community Health Needs Assessment and most recently adopted Implementation Strategy available to the public on the Hospital's website: https://www.ecuhealth.org/about-us/community/health-needs-assessment/

Part V, Section B, Line 16A, 16B, and 16C:
The Hospital makes is Financial Assistance Policy, Application, and Plain Language Summary available at the following website: https://www.ecuhealth.org/patients-and-families/your-bill/financial-assistance/

Supplemental Information

Schedule H (Form 990) Part VI

Part I, Line 7:
Costs were calculated using the estimated cost to charge ratio from The North Carolina Hospital Association's Advocacy Needs Data Initiative which is the standard for reporting community benefits in North Carolina.

Part II, Community Building Activities:
The community building activities of ECU Health Medical Center and Beaufort involve services that are otherwise not provided by other organizations in the patient area.

Part III, Line 2:
In connection with the Presumptive Eligibility consideration of the Affordable Care Act, ECU Health Medical Center and Beaufort do not reflect any bad debt in connection with FAP-eligible patients. These patients are presumed to be part of the Medicaid population and afforded coverage as such.

Part III, Line 4:
The financial statements of East Carolina Health are presented on a consolidated basis; the text of the footnote from page 20 is presented below:Patient Accounts ReceivablePatient Accounts Receivable are reported net of estimated allowances for contractual adjustments and allowances for bad debts. Estimated allowances for bad debts are approximately $91.7 million and $96.1 million as of September 30, 2022 and 2021 respectively.

Part III, Line 8:
The shortfall of Medicare revenue to Medicare was calculated according to the cost to charge ratio. Allowable costs of care should be considered community benefit because in the area served by ECU Health Medical Center, there are no other providers available to provide the required services. Therefore, the care would become a government obligation and is treated as a community benefit provided by ECU Health Medical Center.

Part III, Line 9b:
Recommended patient accounts will continue to go through the accounts receivable billing cycle as normal. When the account reaches the customer service/collections manager, financial counseling supervisor or patient accounts supervisor, based on the information given, a decision will be made whether to proceed with collection or refer the account for approval of charity care. The process will occur as follows:I. Financial counselors will try to locate third party payors. If not eligible for any third party coverage (including charities), they may, based upon the financial information received, recommend the patient for charity care.II. Patient counselors will review for any third party payors and verify employment and assets. A charity care application will need to be completed along with tax return, pay stubs, social security award letter and other financial information as may be required.III. The patient accounts supervisor, financial counseling supervisor or customer service/collections manager, based upon account balance and the information given, will make a decision whether to proceed with collection or refer the patient account for approval for charity care. Presumptive eligibility for charity care - there are occasions in which a patient may appear eligible for a charity care discount, but there is no financial assistance information available to support financial aid.A. Some patients are presumed to be eligible for charity care discounts on the basis of individual life circumstances (e.g., homelessness, patients with no income, bankruptcy, deceased patients with no estate or spouse, etc).B. Through the assistance of a third party vendor and certain algorithms, in conjuction with our charity policy guidelines, all accounts, prior to outside collection agency referral, will be tested for presumptive charity.C. The accounts deemed charity will be adjusted off and the remaining accounts will be referred to an outside collection agency. D. Once the agency has had the accounts for six months and has deemed them uncollectible, the accounts with balances of $1,580 or greater will remain with the agency and be kept on the patient's credit file.E. The accounts returned to the hospital will be placed in a unique financial class and will not be pursued for collections.

Part VI, Line 2:
The organization assesses community need in conjunction with the state affiliated county health departments and other local health care organizations. See also Schedule H, Part V, Section B, lines 1-7.

Part VI, Line 3:
Information is available on the organization's website and at registration for patients. In addition, face to face financial counseling is available to patients and their families in the central business office.

Part VI, Line 4:
See Schedule O, Part III, Line 4a in connection withhttps://www.ecuhealth.org/about-us/community/health-needs-assessment/

Part VI, Line 5:
See Schedule O, Part III, Line 4a in connection withhttps://www.ecuhealth.org/about-us/community/health-needs-assessment/

Part VI, Line 6:
See Schedule O, Part III, Line 4a in connection withhttps://www.ecuhealth.org/about-us/community/health-needs-assessment/

Part VI, Line 7, Reports Filed With States
NC