2022-06-27T09:24:17-05:00 2021-09-30 440160260 FORVIS LLP 500 Ridgefield Court Asheville NC 28806 990 2020-10-01 383740839 Vidant Medical Group LLC VIDA 2528475129 2100 Stantonsburg Rd Greenville NC 27835 David S Hughes Treasurer 2528475129 2022-06-27 1 David Hughes 999009999 Amy Bibby P00445891 8282542254 2022-06-27 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z David S Hughes 2100 Stantonsburg Rd Greenville NC 27835 254516172 0 X www.vidanthealth.com X 2006 NC To provide medical services in Eastern North Carolina. 5 0 729 0 0 0 14554 14272 234194262 254312185 4640 26738 167355 162977 234380811 254516172 0 0 0 0 208260359 228772223 0 0 0 109451299 101431452 317711658 330203675 -83330847 -75687503 52000944 55574083 49899336 53967802 2101608 1606281 X To enhance the quality of life for the people and communities we serve, touch and support. 0 1 314128667 254312185 Vidant Health professionals provided evaluations, clinical care management, and medically necessary procedures. 314128667 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 729 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X X Chris Townsend 2528470848 2100 Stantonsburg Rd Greenville NC 27835 Michael Waldrum MD CEO 2.00 50.00 X X 0 1236677 236036 Jay Briley President Of VCom 2.00 44.00 X 0 349800 136287 David Hughes CFO 2.00 50.00 X X 0 524333 194287 William Floyd President Of VMC 2.00 42.00 X 0 541368 193166 Anthony Bartholomew VP, of Operations 40.00 2.00 X 233833 0 53221 Daniel Drake PHD President of VMG 40.00 2.00 X 290416 0 182768 Manjunath Markandaya Physician 40.00 X 1942879 0 38133 Aaron Danison Physician 40.00 X 1442047 0 26294 Pradeep Arumugham Physician 40.00 X 1021520 0 44710 Richard Dalyai Physician 40.00 X 1061204 0 37499 Kenneth Lee Physician 40.00 X 1021961 0 42106 7013860 2652178 1184507 556 0 1 0 ECU School of Medicine PO Box 75514 Charlotte NC 282750514 Physician Services 10778646 Weatherby Locums Inc PO Box 972633 Dallas TX 753972633 Physician Services 3072547 Bunn Medical Associates 606 Ashburton Drive Greenville NC 27858 Physician Services 2552026 Center for Neuropsychiatric Services PA 12417 Moriah Way Raleigh NC 27614 Physician Services 1462870 Eastern Nephrology Associates 511 Paladin Drive Greenville NC 28734 Physician Services 874208 52 14272 14272 Patient Services 621110 204457754 204457754 Contract Management Fees 621110 49854431 49854431 254312185 20438 20438 162977 0 162977 162977 162977 6300 0 6300 6300 6300 254516172 254475162 0 26738 X 524249 524249 199730269 192244338 7485931 4809404 4617028 192376 13374906 12839910 534996 10333395 9920059 413336 23400 22464 936 31226 29977 1249 48721500 46772640 1948860 573847 550893 22954 1000590 960566 40024 101371 97316 4055 8886503 8531043 355460 869172 564962 304210 509 489 20 2184653 2097267 87386 4992620 2246679 2745941 Medical Supplies 28562104 27419620 1142484 Bad Debt 2705546 2705546 2778411 2507870 270541 330203675 314128667 16075008 0 4634609 2658769 15670268 17995400 56228 2224996 2569852 602580 693178 42372605 22075228 20490457 20297377 12046 12046 8309760 11347461 52000944 55574083 39486875 43526278 10412461 10441524 49899336 53967802 X 2101608 1606281 2101608 1606281 52000944 55574083 X -75687503 75192176 X X 0 1 X 1 1 1 X 15523 56806 3884287 14272 3970888 178081637 165014722 183916077 185115554 256299540 968427530 178081637 165030245 183972883 188999841 256313812 972398418 0 0 0 972398418 30567 30515 27504 19299 20438 128323 30567 30515 27504 19299 20438 128323 178112204 165060760 184000387 189019140 256334250 972526741 0.99990 0.99990 0.00010 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2238598 2238598 20080523 11086703 8993820 19676805 10988525 8688280 376679 376679 20297377 Other Assets 5190336 Other Receivables 3745806 Deferred Pension Outflows 2411319 11347461 Reserve for Professional Liability 3037000 Deferred Pension Inflows 308690 Net Pension Liability 7095834 10441524 X Part X, Line 2: Vidant Medical Group has been determined to qualify as a tax-exempt organization under Section 501(c)(3) of the Internal Revenue Code. Vidant Medical Group has reviewed its tax positions for all open years and has concluded that no material liabilities exist as of September 30, 2021 and 2020. Vidant Medical Group files tax returns with the U.S. federal jurisdiction. With few exceptions, Vidant Medical Group is no longer subject to U.S. federal examinations by tax authorities for years before 2018. 0 0 0 0 0 0 0 0 0 Manjunath Markandaya Physician 1942879 0 0 0 0 0 0 0 38133 0 1981012 0 0 0 Michael Waldrum MD CEO 0 1223061 0 0 0 13616 0 184760 0 51276 0 1472713 0 0 Aaron Danison Physician 1442047 0 0 0 0 0 0 0 26294 0 1468341 0 0 0 Richard Dalyai Physician 1061204 0 0 0 0 0 0 0 37499 0 1098703 0 0 0 Pradeep Arumugham Physician 1011520 0 10000 0 0 0 0 0 44710 0 1066230 0 0 0 Kenneth Lee Physician 1021961 0 0 0 0 0 0 0 42106 0 1064067 0 0 0 William Floyd President Of VMC 0 540617 0 0 0 751 0 148988 0 44178 0 734534 0 0 David Hughes CFO 0 521847 0 0 0 2486 0 152504 0 41783 0 718620 0 0 Jay Briley President Of VCom 0 349800 0 0 0 0 0 96162 0 40125 0 486087 0 0 Daniel Drake PHD President of VMG 290416 0 0 0 0 0 137366 0 45402 0 473184 0 0 0 Anthony Bartholomew VP, of Operations 233833 0 0 0 0 0 23824 0 29397 0 287054 0 0 0 Part I, Line 1a All compensation and reimbursement listed for such items are paid at the Vidant Health entity, and the written policy and adherence to the policy is maintained at VH. Part I, Line 3 The compensation is determined by the Compensation and Benefits Committee of the VH Board using comparative data from like organizations and input from consultants. All compensation discussions and actions are documented and approved in the minutes of the Committee. Form 990, Part III, line 3 Some operations of Roanoke Valley Health Services were moved to Vidant Medical Group in June of 2021. Form 990, Part VI, Section A, line 6 University Health Systems of Eastern Carolina, Inc. ("Vidant Health") is the sole corporate member of Vidant Medical Group, LLC. Form 990, Part VI, Section A, line 7a As the corporate member, Vidant Health shall have the responsibility to elect or appoint the seven individual voting members of Vidant Medical Group, LLC. Form 990, Part VI, Section A, line 7b The rights reserved to the corporate member include the rights of: a. Selling, leasing or otherwise disposing of, or agreeing to sell, lease or otherwise dispose of, all or substantially all of the assets of Vidant Medical Group, LLC; b. Winding up, dissolving, liquidating, reorganizing, or otherwise terminating the existence of Vidant Medical Group, LLC; c. Merging or consolidating Vidant Medical Group, LLC with or into any other entity or converting into any other type of entity; d. Amending the Articles of Organization or Operating Agreement, and; e. Admitting additional Members or issuing additional Membership Interests. Form 990, Part VI, Section B, line 11b The Board Member is provided a copy of the return for review prior to filing. The return is also reviewed by the Chief Financial Officer, Chief General Counsel, and the Chief Audit and Compliance Officer of University Health Systems of Eastern Carolina, Inc. (D/B/A Vidant Health) prior to filing with the Internal Revenue Service. Form 990, Part VI, Section B, line 12c As described in the Conflict of Interest policy maintained by VH, all Officers, Board Members and Key Employees are required to complete a yearly 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 instructed to report any potential conflicts arising during the year for review. 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 15 The compensation is determined by the Compensation and Benefits Committee of the VH Board using comparative data from like organizations and input from consultants. This process is performed every year. Compensation of other officers and key employees is also determined by the Compensation and Benefits Committee of the VH Board using comparative data from like organizations and input from consultants. This process is performed every year. All compensation discussions and actions are documented and approved in the minutes of the Committee. Form 990, Part VI, Section C, line 19 The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request for the same period of disclosure as set forth in IRC Section 6104(d). Form 990, Part IX, line 11g Purchased Services: Program service expenses 46,772,640. Management and general expenses 1,948,860. Fundraising expenses 0. Total expenses 48,721,500. Form 990, Part XI, line 9: Net Asset Transfer 75,192,176. Form 990, Part XII, Line 2C This process has not changed from the prior year. Vidant Medical Group Affiliates LLC 2100 Stantonsburg Rd Greenville NC 27835 472875992 Healthcare NC 0 0 Vidant Medical Group LLC Tarboro Endoscopy Center LLC 201 Clinic Dr Tarboro NC 27886 271345858 Healthcare NC 0 0 Vidant Medical Group LLC University Health Systems Of Eastern Carolina DBA Vidant Health 2100 Stantonsburg Rd Greenville NC 27835 562141073 Healthcare NC 501(c)(3) Line 12c, III-FI N/A 0 Pitt County Memorial Hospital Inc DBA Vidant Medical Center 2100 Stantonsburg Rd Greenville NC 27835 560585243 Hospital NC 501(c)(3) Line 3 Vidant Health 0 The Outer Banks Hospital Inc 2100 Stantonsburg Rd Greenville NC 27835 562112733 Hospital NC 501(c)(3) Line 3 East Carolina Health 0 PCMH Management Inc DBA Vidant Properties 2100 Stantonsburg Rd Greenville NC 27835 561690740 Medical Property Management NC 501(c)(2) Vidant Health 0 East Carolina Health Inc DBA Vidant Community Hospitals - Central 2100 Stantonsburg Rd Greenville NC 27835 562003393 Hospital NC 501(c)(3) Line 3 Vidant Health 0 HealthAccess Inc 2100 Stantonsburg Rd Greenville NC 27835 561396133 Healthcare NC 501(c)(3) Line 12b, II Vidant Health 0 East Carolina Health-Bertie DBA Vidant Bertie Hospital 2100 Stantonsburg Rd Greenville NC 27835 562072002 Hospital NC 501(c)(3) Line 3 Vidant Health 0 East Carolina Health-Chowan DBA Vidant Chowan Hospital 2100 Stantonsburg Rd Greenville NC 27835 562101090 Hospital NC 501(c)(3) Line 3 Vidant Health 0 East Carolina Health-Heritage DBA Vidant Edgecombe Hospital 2100 Stantonsburg Rd Greenville NC 27835 562093700 Hospital NC 501(c)(3) Line 3 Vidant Health 0 East Carolina Health-Beaufort DBA Vidant Beaufort Hospital 2100 Stantonsburg Rd Greenville NC 27835 452436270 Hospital NC 501(c)(3) Line 3 Vidant Health 0 Duplin General Hospital DBA Vidant Duplin Hospital 2100 Stantonsburg Rd Greenville NC 27835 566011594 Hospital NC 501(c)(3) Line 3 Vidant Health 0 East Carolina Health Inc DBA Vidant Roanoke-Chowan Hospital 2100 Stantonsburg Rd Greenville NC 27835 264634725 Hospital NC 501(c)(3) Line 3 Vidant Health 0 Access East Inc 2410 Stantonsburg Rd Stanton Square Greenville NC 27834 561949493 Healthcare NC 501(c)(3) Line 10 Vidant Health 0 Roanoke Valley Health Services Inc 2100 Stantonsburg Rd Greenville NC 27835 561925492 Healthcare NC 501(c)(3) Line 3 Vidant Health 0 Halifax Regional Medical Center Inc DBA Vidant North 2100 Stantonsburg Rd Greenville NC 27835 560989789 Hospital NC 501(c)(3) Line 3 Vidant Health 0 0 0 1 0 0 0 0 0 0 1 1 1 1 0 1 1 1 0 1