2022-06-27T09:24:17-05:00 2021-09-30 440160260 FORVIS LLP 500 Ridgefield Court Asheville NC 28806 990 2020-10-01 560585243 Pitt County Memorial Hospital Inc PITT 2528477479 2100 Stantonsburg Road Greenville NC 27835 David S Hughes Chief Financial Officer 2528477479 2022-06-27 1 David Hughes 999009999 Amy Bibby P00445891 8282542254 2022-06-27 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z Vidant Medical Center W Brian Floyd 2100 Stantonsburg Road Greenville NC 27835 1426149610 0 X www.vidanthealth.com X 1953 NC To provide access to quality medical service to all citizens of Pitt County and eastern NC. 19 17 15513 389 147059 0 14595497 6670105 1278163705 1306925109 42838741 46429820 47872713 66124576 1383470656 1426149610 1017428 750600 0 0 485731780 494849644 0 0 0 780609239 821466483 1267358447 1317066727 116112209 109082883 1573138998 1732328175 279924469 309064443 1293214529 1423263732 X To improve the health and well-being of eastern North Carolina. 0 0 484512262 429040858 Cancer and Clinical ServicesPCMH (D/B/A Vidant 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 2021, VMC performed 3,226,851 lab tests, 129,055 radiology cases, 3,172 pet scans, 180 gamma knife cases, and 187,835 respiratory treatments. 341816144 349688635 Surgical ServicesSurgeons at Vidant 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. VMC Surgical Services performed 23,036 surgeries in fiscal year 2021. 192849199 207770013 Cardiovascular ServicesVidant 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 VMC, the first facility in North Carolina devoted exclusively to education, research, treatment and prevention of cardiovascular diseases. Cardiovascular services performed 72,148 EKGs. 53388359 68191395 Emergency Services 44822490 35160634 Rehabilitative Services 108175573 750600 216926515 All other services 206386422 750600 320278544 1225564027 1 1 0 1 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 1 17 0 1 15513 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 19 17 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 NC X X Chris Townsend 2528470848 2100 Stantonsburg Road Greenville NC 27835 Bynum Satterwhite Chairman 2.00 2.00 X 0 0 0 William Monk Jr Vice Chair (Beg 3/21) 2.00 X 0 0 0 Robert Greczyn Secretary (Thru 3/21) 2.00 2.00 X 0 0 0 Phillip Dixon Sr Secretary (Beg 3/21) 2.00 X 0 0 0 Deborah Davis Asst. Treasurer (Beg 3/21) 2.00 X 0 0 0 Mike Fitzpatrick Asst. Secretary (Thru 3/21) 2.00 X 0 0 0 Carlester Crumpler Treasurer (Beg 3/21) 2.00 2.00 X 0 0 0 Marcus Albernaz MD Board Member 2.00 6.00 X 0 0 0 Tony Cannon Board Member 2.00 X 0 0 0 Shirley Carraway EdD Board Member 2.00 2.00 X 0 0 0 Vern Davenport Board Member 2.00 X 0 0 0 Christopher Jenkins Board Member (Beg 3/21) 2.00 X 0 0 0 Bruce Gray Board Member (Thru 12/20) 2.00 4.00 X 0 0 0 Polly Johnson Board Member 2.00 4.00 X 0 0 0 Bryant Kittrell Board Member 2.00 2.00 X 0 0 0 Ron Mitchelson Board Member (Thru 12/20) 2.00 X 0 0 0 Mary J Raab MD Board Member 2.00 X 0 0 0 Philip Rogers Board Member (Beg 3/21) 2.00 X 0 0 0 Mark Stacy MD Board Member (Thru 3/21) 2.00 X 0 0 0 Diane Taylor Board Member 2.00 4.00 X 0 0 0 Anand Tewari MD Board Member 2.00 2.00 X 0 0 0 Donald Thompson Board Member 2.00 X 0 0 0 Michael Waldrum MD Board Member 2.00 50.00 X 0 1236677 236036 W Brian Floyd President 40.00 4.00 X 541368 0 193166 Linda Hofler Senior VP, Nurse Executive 40.00 X 405805 0 213725 Daphne Brewington Senior VP, Nurse Executive 40.00 X 181643 0 141772 Van Smith Executive VP 40.00 X 313055 0 147476 Jennifer Thomas VP, Financial Services 40.00 X 0 292321 127308 Kimberly Crickmore Osborne VP, Womens&Childrens Svs 40.00 X 206291 0 105197 Tracy Eskra VP, Med Aff-Clin Effic & Docum 40.00 X 337873 0 57033 Jeffery Dial VP, Operations 40.00 X 140654 79534 124345 Louis Harlow VP, Operations 40.00 X 238974 0 55700 Wendy Leutgens SVP, Clinical Services 20.00 X 182717 0 44497 James Worden Jr System Serv Line Admin, Pharma 40.00 X 228636 0 114991 Jennifer Styron Pharmacist IV 40.00 X 214570 0 62161 Angela Mayo Asst Dir, Pharmacy 40.00 X 199077 0 95139 Kathey Rumley Pharmacist II 40.00 X 208491 0 25994 Shakira Henderson Sr. Admin, Ctr Grants-Research 40.00 X 205813 0 23399 Tammy Worden Pyxis Manager 40.00 X 197200 0 78542 Donald Shackelford SVP, Medical Affairs-Former 0.00 X 233401 0 0 4035568 1608532 1846481 476 1 1 0 AMN Healthcare Inc PO Box 281923 Atlanta GA 30384 Temporary staffing svc 25224503 East Carolina University School of Medic PO Box 75514 Charlotte NC 28275 Medical staff services 23957360 East Carolina Anesthesia Assoc 2080 B Arilington Blvd Greenville NC 27834 Medical services 10728440 Metro Aviation Inc PO Box 7008 Shreveport LA 07137 Managment Services 9543239 SpecialtyCare Cardiovascular Resources PO Box 11407 Birmingham AL 35246 Medical services 4827424 94 6670105 6670105 Cancer & Clinical Services 621110 429040858 429040858 Surgical Services 621110 349688634 349688634 Cardiovascular Services 621110 207770013 207770013 All Other Program Service Revenue 621110 203004884 202857825 147059 Emergency Services 621110 68191395 68191395 49229325 49229325 1306925109 44816140 44816140 1576691 0 1576691 1576691 1576691 1613680 0 1613680 1613680 1613680 Cafeteria Meals 722514 4348574 4348574 Rebates 900099 2311311 2311311 57888000 57888000 64547885 1426149610 1306778050 147059 112554396 X 750600 750600 2548380 1707415 840965 379445854 341004398 38441456 23633756 21270380 2363376 61474472 55327025 6147447 27747182 24972464 2774718 916198 824578 91620 137383 123645 13738 110595 110595 46427 46427 315181364 283796842 31384522 58528 52675 5853 2503314 2247750 255564 3075706 3075706 14351115 12931738 1419377 839233 755310 83923 19366511 17429852 1936659 45423582 40884015 4539567 10470724 9423831 1046893 Medical Supplies 300119934 300119934 Bad Debt 91450104 91450104 17415765 17415765 1317066727 1225564027 91502700 0 31107269 34316260 231363517 261051163 36481752 40737189 7170934 7705085 1208170537 772375849 446400071 435794688 659979728 801710316 160635727 151013474 1573138998 1732328175 229769742 242229190 3842507 50154727 62992746 279924469 309064443 X 1293214529 1423263732 1293214529 1423263732 1573138998 1732328175 X 109082883 -1041083 22007404 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 46427 46427 0 Part II-B, Line 1: 17.59% of dues to NCHA are allocated to lobbying. 47937059 47937059 703477666 480396498 223081168 427565465 291979351 135586114 29190347 29190347 435794688 Other Investments 801710316 F 801710316 Other Receivables 38163444 Investments in Subsidiaries 21394584 Deferred Outflows 44481303 Due from Third Party Payors 46974143 151013474 Due to Affiliates 2751382 Due to Third Party Payors 24353956 Asset Retirement Obligation 675000 SERP Payable 18271294 Deferred Pension Inflows 5318919 Other 11622195 62992746 X Part X, Line 2: Pitt County Memorial Hospital has been determined to qualify as a tax-exempt organization under Section 501(c)(3) of the Internal Revenue Code. Pitt County Memorial Hospital has reviewed its tax positions for all open years and has concluded that no material liabilities exist as of September 30, 2021 and 2020. Pitt County Memorial Hospital files tax returns with the U.S. federal and State of North Carolina jurisdictions. With few exceptions, Pitt County Memorial Hospital is no longer subject to U.S. federal examinations by tax authorities for years before 2018. 1 1 X 1 X 1 X 1 1 1 0 1 1 37254203 37254203 0.02830 193029466 192490000 539466 0.00040 230283669 192490000 37793669 0.02870 17 494573 5110562 5110562 0.00390 5 3072 67698504 17233918 50464586 0.03830 1 2 119 119 0.00000 5 396292 6508990 6508990 0.00490 28 893939 79318175 17233918 62084257 0.04710 28 893939 309601844 209723918 99877926 0.07580 1 0 677 677 0.00000 2 103 104088 104088 0.00010 1 378 3192 3192 0.00000 1 8 173336 173336 0.00010 5 489 281293 281293 0.00020 1 30686118 256278923 303958757 -47679834 X 1 1 1 1 Pitt County Memorial Hospital Inc 2100 Stantonsburg Road Greenville NC 27835 X X X X X Rehabilitation, Behavioral Health Pitt County Memorial Hospital Inc 1 0 0 1 X X X X X X X X X 18 1 0 1 1 X SEE PART V DISCLOSURE X 1 18 1 SEE PART V DISCLOSURE 0 1 X 200.000000000000 200.000000000000 X X 1 1 X X X 1 X SEE PART V DISCLOSURE X SEE PART V DISCLOSURE X SEE PART V DISCLOSURE X X X X X 1 X 0 X X X X 1 X 0 0 Pitt County Memorial Hospital, Inc. Part V, Section B, Line 5: The preparation of the 2018 Pitt County Community Health Needs Assessment (CHNA) was a joint effort between Pitt Partners for Health (PPH), Vidant Medical Center (VMC), Pitt County Health Department (PCHD) and East Carolina University (ECU). Vidant 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, Vidant 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. Pitt County Memorial Hospital, Inc. 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), Vidant Medical Center (VMC), Pitt County Health Department (PCHD) and East Carolina University (ECU). Pitt County Memorial Hospital, Inc. Part V, Section B, Line 11: Please see attached Vidant Medical Center 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 Vidant Medical Center. VMC 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 thw Hosital's website: https://www.vidanthealth.com/About-Vidant-Health/Community-Health-Needs-Assessments# 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: http://www.vidanthealth.com/Patients-Families/Billing/Financial-Assistance-Policy# 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 Vidant Medical Center 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, Vidant Medical Center does 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 $96.1 million and $85.6 million as of September 30, 2021 and 2020 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 VMC, 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 VMC. 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.vidanthealth.com/About-Vidant-Health/Community-Health-Needs-Assessments# Part VI, Line 5: See Schedule O, Part III, Line 4a in connection withhttps://www.vidanthealth.com/About-Vidant-Health/Community-Health-Needs-Assessments# Part VI, Line 6: See Schedule O, Part III, Line 4a in connection withhttps://www.vidanthealth.com/About-Vidant-Health/Community-Health-Needs-Assessments# Part VI, Line 7, Reports Filed With States NC 1 Vidant Health Foundation 690 Medical Drive Greenville NC 27835 200777374 501 C (3) 750000 charitable contribution 1 Part I, Line 2: VMC maintains records to substantiate all disbursements made in accordance with its document retention policy. All grants and assistance are approved at the appropriate level outlined in its policy and procedures. X X X X 0 0 0 0 0 0 0 0 0 Michael Waldrum MD Board Member 0 1223061 0 0 0 13616 0 184760 0 51276 0 1472713 0 0 W Brian Floyd President 540617 0 0 0 751 0 148988 0 44178 0 734534 0 0 0 Linda Hofler Senior VP, Nurse Executive 405805 0 0 0 0 0 180471 0 33254 0 619530 0 0 0 Van Smith Executive VP 312564 0 0 0 491 0 105623 0 41853 0 460531 0 0 0 Jennifer Thomas VP, Financial Services 0 292321 0 0 0 0 0 108633 0 18675 0 419629 0 0 Tracy Eskra VP, Med Aff-Clin Effic & Docum 337873 0 0 0 0 0 34068 0 22965 0 394906 0 0 0 Jeffery Dial VP, Operations 140321 79534 0 0 333 0 71123 11333 39598 2291 251375 93158 0 0 James Worden Jr System Serv Line Admin, Pharma 228636 0 0 0 0 0 89506 0 25485 0 343627 0 0 0 Daphne Brewington Senior VP, Nurse Executive 181643 0 0 0 0 0 124702 0 17070 0 323415 0 0 0 Kimberly Crickmore Osborne VP, Womens&Childrens Svs 206291 0 0 0 0 0 88262 0 16935 0 311488 0 0 0 Louis Harlow VP, Operations 231830 0 0 0 7144 0 24161 0 31539 0 294674 0 0 0 Angela Mayo Asst Dir, Pharmacy 199077 0 0 0 0 0 58664 0 36475 0 294216 0 0 0 Jennifer Styron Pharmacist IV 214570 0 0 0 0 0 31129 0 31032 0 276731 0 0 0 Tammy Worden Pyxis Manager 197200 0 0 0 0 0 62778 0 15764 0 275742 0 0 0 Kathey Rumley Pharmacist II 208491 0 0 0 0 0 0 0 25994 0 234485 0 0 0 Donald Shackelford SVP, Medical Affairs-Former 0 0 0 0 233401 0 0 0 0 0 233401 0 0 0 Shakira Henderson Sr. Admin, Ctr Grants-Research 205813 0 0 0 0 0 4087 0 19312 0 229212 0 0 0 Wendy Leutgens SVP, Clinical Services 182717 0 0 0 0 0 18740 0 25757 0 227214 0 0 0 Part I, Line 3 The Top Management Official is the President who is an employee of VMC. The compensation is determined by the Compensation and Benefits Committee of the Vidant Health Board using comparative data from like organizations and input from consultants. 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. All compensation discussions and actions are documented and approved in the minutes of the Committee. Eastern Carolina ENT Marcus Albernaz (board member) is member and Director of E. Carolina ENT 438000 Provides on call services to Vidant Medical Center 0 X 3 797736 Cost 0 0 0 Form 990, Part III, Line 4a Overview of University Health Systems of Eastern Carolina: Our mission at VH is to improve the health and well-being of eastern North Carolina. Our mission, vision and values continue to lead us on a voyage to excellence. Because the people we take care of are our neighbors, friends and family they deserve the best. VH is a North Carolina non-profit corporation with headquarters in Greenville, North Carolina. VH and its affiliates operate an integrated health care delivery system that serves a total market of approximately 1.4 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 Vidant Medical Center ("VMC"),which is a tertiary care hospital and an academic medical center, and eight other acute care hospitals: Vidant Roanoke-Chowan Hospital, Vidant Edgecombe Hospital, Vidant Chowan Hospital, Vidant Bertie Hospital, Vidant Duplin Hospital, Vidant Beaufort Hospital, Halifax Regional Medical Center, and The Outer Banks Hospital. VMC 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 nine owned acute care hospitals are licensed to operate 1,708 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. VH and its hospitals and affiliate organizations provide services to patients without regard to their ability to pay. In fiscal year 2021 VH's combined patient care statistics were: inpatient admissions, 65,039; inpatient days of care, 362,897; surgeries, 49,992; births, 6,188; and Outpatient visits, 395,801. Our System's workforce included 12,592 employees. Each of VH's hospitals operates an emergency room, which is open 24 hours a day. VMC also offers a full spectrum of trauma Services. Emergency and trauma services are provided to patients without regard to their ability to pay. In fiscal year 2021 VH provided care to 245,125 emergency room patients. VH's Board of Directors consists of 11 voting members, six of whom must be current or former Pitt County, North Carolina appointees of VMC's Board of Trustees and five of whom must be current or former Board of Governors of the University of North Carolina appointees of VMC's Board of Trustees. VMC, in affiliation with the Brody School of Medicine, which is owned by the State of North Carolina, operates 30 resident-training programs with over 400 medical residents. This Relationship enables VMC 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, VH 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 Vidant Health Community Benefit Programs 1. Eastern North Carolina is comprised of 1.4 million people living in 14,000 square miles. Boundaries are from I-95 East to the coast, and from the Virginia line down 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. VH 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 coalitions, 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 VH entities and external grant-awarding organizations. The VH Board annually provides financial support for the Community Benefit Initiatives program based within each VH hospital. Funds are awarded to community agencies that successfully demonstrate both need and a well-designed plan to address one of the health priorities identified in the Community Health Assessment process. 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 VH 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. VH also has a successful track record of obtaining community health program support from external agencies that award grant funding to approve projects. The VH Grants Office was established in 2008 and serves as the central point for grant mining, acquisition and management of grants awarded to VH 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 following the completion of a Community Health Needs Assessment every three years. The Community Health Needs Assessment includes input from community members received through community surveys and focus group discussions, as well as a review of secondary health data. Community alliances, partners and organizations, including local health departments, participate in this review. A list of the most pressing health issues are compiled for each community and then prioritized following an assessment of current health resources to address the identified health issues. Established resources/coalitions and new partnerships are formed to address the identified health priorities. 4. Community health priorities are also established in response to a compelling need identified by health practitioners or community groups. VH 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 VH facilities also provide opportunities for collaboration and participation in various community health initiatives. Form 990, Part III, Line 4a 5. Provided below are a few highlights of the community benefit and education activities: Form 990, Schedule H, Part VI, Line 5: 5a. 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. VH 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: - Medical assistance programs for uninsured patients - Support for Community Coalitions focused on Health - Support of local Federally Qualified Health Center - Support for Healthy Neighbors faith health partnership - Support for school health partnerships 5b. 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. 5c. Research: East Carolina University (ECU) conducts research to evaluate new treatments and protocols. These studies help health professionals everywhere provide quality care to patients. VH supports this through various means including supporting the Institutional Review Board at ECU and providing study sites. 5d. Financial and In-Kind Contributions: VH 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. VH hospitals are key partners in fundraising for organizations such as the United Way, American Heart Association, Juvenile Diabetes Association and the American Cancer Society. VH contributed $760,000 to the Community Benefits Grants Program which awards grants to local non-profits for health related programs. 5e. 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. VH 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. Form 990, Part VI, Section A, line 1 The Executive Committee of the Board of Trustees shall consist of nine members including the Chairman, Vice Chairman, Secretary, and six members elected by the Board of Trustees from the at larger membership in a manner such that a total of five members of the Executive Committee are members of the Board appointed by the County Commissioners and a total of four members of the Executive Committee are members of the board appointed by the Board of Governors of the University of North Carolina. The Executive Committee shall have and may exercise, in the interim between meetings of the Board of Trustees, and except as other provided in the Bylaws, all the powers of the Board of Trustees of Pitt County Memorial Hospital, Incorporated. If the Executive Committee determines that emergency circumstances exist which require action, the Committee shall have the power to take such action as it may deem to be wise and in the best interest of the Hospital and the patients therein and report the actions taken together with the emergency circumstances to the next meeting of the full board. Meetings may also be called by or at the request of the Chairman of the Executive Committee or by two or more of the Executive Committee members. Form 990, Part VI, Section A, line 7a The Board of Commissioners of Pitt County and the Board of Governors of the University of North Carolina shall have the power to appoint the twenty members of the Board of Trustees of Pitt County Memorial Hospital. Form 990, Part VI, Section A, line 7b The Restated Articles of Incorporation for Pitt County Memorial Hospital, Inc. state the Articles and Bylaws may not be amended without the approval of University Health Systems of Eastern Carolina, Inc. (Vidant Health). The CEO of Vidant Health, in consultation with the Governing Board, shall select and appoint a qualified President of the corporation, shall have control and authority over its other officers, agents, and employees, and shall have general charge of the business affairs and property of the corporation. Form 990, Part VI, Section B, line 11b Form 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 with the IRS. Form 990, Part VI, Section B, line 12c 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 Contracted Services: Program service expenses 283,796,842. Management and general expenses 31,384,522. Fundraising expenses 0. Total expenses 315,181,364. Form 990, Part XI, line 9: Net Asset Transfer 22,007,404. Form 990, Part XII, Line 2C: The process has not changed from the prior year. Moye Medical Endoscopy Center 521 Moye Boulevard Greenville NC 27834 261671435 Healthcare NC 988433 427395 Vidant Medical Center University Health Systems of Eastern Carolina DBA Vidant Health 2100 Stantonsburg Road Greenville NC 27835 562141073 Healthcare NC 501(c)(3) Line 12c, III-FI N/A 0 East Carolina Health Inc DBA Vidant Community Hospitals - Central 2100 Stantonsburg Road Greenville NC 27835 562003393 Hospital NC 501(c)(3) Line 3 Vidant Health 0 PCMH Management Inc DBA Vidant Properties 2100 Stantonsburg Road Greenville NC 27835 561690740 Medical Property Management NC 501(c)(2) Vidant Health 0 Vidant Medical Group LLC 2100 Stantonsburg Road Greenville NC 27835 383740839 Healthcare NC 501(c)(3) Line 10 Vidant Health 0 The Outerbanks Hospital Inc 2100 Stantonsburg Road Greenville NC 27835 562112733 Hospital NC 501(c)(3) Line 3 East Carolina Health 0 HealthAccess 2100 Stantonsburg Road 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 Road Greenville NC 27835 562072002 Hospital NC 501(c)(3) Line 3 Vidant Health 0 East Carolina Health-Chowan DBA Vidant Chowan Hospital 2100 Stantonsburg Road Greenville NC 27835 562101090 Hospital NC 501(c)(3) Line 3 Vidant Health 0 East Carolina Health-Heritage DBA Vidant Edgecombe Hospital 2100 Stantonsburg Road Greenville NC 27835 562093700 Hospital NC 501(c)(3) Line 3 Vidant Health 0 East Carolina Health-Beaufort DBA Vidant Beaufort Hospital 2100 Stantonsburg Road Greenville NC 27835 452436270 Hospital NC 501(c)(3) Line 3 Vidant Health 0 Duplin General Hospital DBA Vidant Duplin Hospital 2100 Stantonsburg Road 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 Road Greenville NC 27835 264634725 Hospital NC 501(c)(3) Line 3 Vidant Health 0 Access East Inc 2410 Stantonsburg Rd Stanton Square Greenville NC 27835 561949493 Healthcare NC 501(c)(3) Line 10 Vidant Health 0 Halifax Regional Medical Center Inc DBA Vidant North 2100 Stantonsburg Road Greenville NC 27835 560989789 Hospital NC 501(c)(3) Line 3 Vidant Health 0 Roanoke Valley Health Services Inc 2100 Stantonsburg Road Greenville NC 27835 561925492 Healthcare NC 501(c)(3) Line 3 Vidant Health 0 Surgicenter Center of Eastern Carolina LLC 2100 Stantonsburg Road Greenville NC 27835 262558314 Ambulatory Surgical Center NC Vidant Medical Center Related 11490924 7635690 0 0 0.55000 1 1 0 0 0 0 0 0 1 0 1 1 1 0 1 1 1 0 0