PA ID# 147-90300; Pitt County
DSR ID# 05072; Pitt County Memorial Hospital
Citation: FEMA-1240-DR-NC; Pitt County Memorial Hospital; DSR #05072
Cross-reference: Increased operating costs, eligible work for hospitals (sheltering/medical)
Hurricane Bonnie struck Pitt County, NC on August 26, 1998. Pitt County Memorial Hospital (PCH) is the only hospital in the county and it experienced emergency expenses during the period of August 25-28, 1998. The hospital operated in an emergency mode per its emergency operating plan; expenses were incurred due to emergency mode operations. The narrative in Damage Survey Report (DSR) #05072 stated that prior to the storm, PCH took preparatory measures in conjunction with the county emergency management operations center to track the storm, plan capacity and coordinate with other regional hospitals. During the storm, additional staff was mobilized, and staff already on duty was required to work overtime. During the emergency period, 14 ambulance transports were employed to evacuate patients. These transports were necessitated by the storm and the patients were not billed for these services. There was no damage to the hospital facilities. Expenses incurred include labor, equipment, materials, food/lodging and contracts.
The original DSR was obligated for $330,923. Based on the final inspection and financial review, the expenses claimed by PCH were determined to be increased operating costs and therefore, not eligible for FEMA funding. In the response to the first appeal, the Regional Director denied these costs as routine and ongoing medical care provided to patients who had preexisting conditions unrelated to Hurricane Bonnie. These costs were made ineligible in accordance with 44 CFR §206.225, and the Public Assistance Guide (1996), pages 43-44. The costs related to the evacuation of seven patients were approved and reinstated. The costs in question were de-obligated February 25, 2002.
Issues: Were costs incurred while performing eligible work?
Findings: No. None of the expenses incurred by PCH were for emergency mass care and shelter, or emergency medical care directly caused by Hurricane Bonnie.
Rationale: 44 CFR §206.225; Public Assistance Guide (1996), pp. 43-44.