[1] In 2011 Vidant Health acquired the hospital, and PDHC was reformed into Pantego Creek LLC.

In addition, Pantego Creek did not have the sufficient funds to keep the hospital running.

[6] Mayor Adam O'Neal advocated for spending $500,000 to buy the hospital buildings, but Pantego Creek chose not to sell it.

[7] O'Neal also criticized the closing and held marches to Washington, DC, and he began facing political opposition due to his activism as there were residents who were afraid that his activism was too aggressive and would cause Vidant to cancel its proposed clinic in Belhaven.

The Guardian reported that personal relationships in Belhaven became frayed as a result of the hospital closing controversy.