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VIDANT MEDICAL GROUP LLC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
VIDANT MEDICAL GROUP LLC (EIN 38-3740839)
Tax period
2019-10-01 to 2020-09-30
Filed
2021-08-12
IRS object ID
202112249349300321
Schema version
2019v5.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-08-12T08:26:17-05:00ReturnTs
Tax Period End2020-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN560747981PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Dixon Hughes Goodman LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 Ridgefield CourtAddressLine1Txt
CityAshevilleCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28806ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN383740839EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Vidant Medical Group LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlVIDABusinessNameControlTxt
Phone2528475129PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12100 Stantonsburg RdAddressLine1Txt
CityGreenvilleCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27835ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDavid S HughesPersonNm
Person TitleTreasurerPersonTitleTxt
Phone2528475129PhoneNum
Signature2021-08-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAmy BibbyPreparerPersonNm
PTINP00445891PTIN
Phone8282542254PhoneNum
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDavid S HughesPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12100 Stantonsburg RdAddressLine1Txt
CityGreenvilleCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27835ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$234,395,470GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.vidanthealth.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2006FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionTo provide medical services in Eastern North Carolina.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee681TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$56,806PYContributionsGrantsAmt
CY Contributions Grants$14,554CYContributionsGrantsAmt
PY Program Service Revenue$242,683,340PYProgramServiceRevenueAmt
CY Program Service Revenue$234,194,262CYProgramServiceRevenueAmt
PY Investment Income$29,449PYInvestmentIncomeAmt
CY Investment Income$4,640CYInvestmentIncomeAmt
PY Other Revenue$167,411PYOtherRevenueAmt
CY Other Revenue$167,355CYOtherRevenueAmt
PY Total Revenue$242,937,006PYTotalRevenueAmt
CY Total Revenue$234,380,811CYTotalRevenueAmt
PY Grants And Similar Paid$2,300PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$200,097,089PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$208,260,359CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$122,796,151PYOtherExpensesAmt
CY Other Expenses$109,451,299CYOtherExpensesAmt
PY Total Expenses$322,895,540PYTotalExpensesAmt
CY Total Expenses$317,711,658CYTotalExpensesAmt
PY Revenues Less Expenses-$79,958,534PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$83,330,847CYRevenuesLessExpensesAmt
Total Assets BOY$44,945,042TotalAssetsBOYAmt
Total Assets EOY$52,000,944TotalAssetsEOYAmt
Total Liabilities BOY$36,550,954TotalLiabilitiesBOYAmt
Total Liabilities EOY$49,899,336TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$8,394,088NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,101,608NetAssetsOrFundBalancesEOYAmt
MissionTo enhance the quality of life for the people and communities we serve, touch and support.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$303,038,523ExpenseAmt
Revenue$230,491,884RevenueAmt
DescVidant Health professionals provided evaluations, clinical care management, and medically necessary procedures.Desc
Total Program Service Expenses$303,038,523TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee681EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Brian DunnBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2528477479PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12100 Stantonsburg RdAddressLine1Txt
CityGreenvilleCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27835ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Michael Waldrum MD
CEO2.0050.00Yes (X)Yes (X)$0$1,236,323$228,984
Jay Briley
President Of VCom2.0046.00Yes (X)$0$371,506$119,284
David Hughes
CFO2.0050.00Yes (X)Yes (X)$0$528,071$226,370
William Floyd
President Of VMC2.0042.00Yes (X)$0$563,399$149,184
Anthony Bartholomew
VP, of Operations40.00Yes (X)$228,952$0$49,826
Daniel Drake PHD
President of VMG40.002.00Yes (X)$280,836$0$148,764
Manjunath Markandaya
Physician40.00$1,901,842$0$35,120Yes (X)
Aaron Danison
Physician40.00$1,387,113$0$10,994Yes (X)
Pradeep Arumugham
Physician40.00$1,310,716$0$30,111Yes (X)
Richard Dalyai
Physician40.00$1,120,237$0$34,522Yes (X)
Teigha Randolph
Physician40.00$1,029,838$0$45,420Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,259,534TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,699,299TotReportableCompRltdOrgAmt
Total Other Compensation$1,078,579TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K519IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ECU School of Medicine
PO Box 75514CharlotteNC282750514Physician Services$11,279,683
Weatherby Locums Inc
PO Box 972633DallasTX753972633Physician Services$2,289,152
Bunn Medical Associates
606 Ashburton DriveGreenvilleNC27858Physician Services$2,172,215
Hayes Locums LLC
6700 North Andrews Ave Suite 600Ft LauderdaleFL33309Physician Services$1,684,385
Howard Richard Brown MD
11219 Draper CourtBakersfieldCA93311Physician Services$1,676,794
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K62CntrctRcvdGreaterThan100KCnt
All Other Contributions$14,554AllOtherContributionsAmt
Total Contributions$14,554TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Services621110$185,115,555$185,115,555
Contract Management Fees621110$45,208,974$45,208,974
Provider Relief900099$3,869,733$3,869,733
FieldValueIRS element (for citing)
Total Program Service Revenue$234,194,262TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$19,299TotalRevenueColumnAmt
Exclusion$19,299ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$167,355RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$167,355RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$167,355TotalRevenueColumnAmt
Related Or Exempt Func Income$167,355RelatedOrExemptFuncIncomeAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$14,659OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$14,659OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$14,659TotalRevenueColumnAmt
Exclusion-$14,659ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$234,380,811TotalRevenueColumnAmt
Related Or Exempt Func Income$234,361,617RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$4,640ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$509,788TotalAmt
Management And General$509,788ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$182,570,259TotalAmt
Program Services$175,756,845ProgramServicesAmt
Management And General$6,813,414ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$4,389,935TotalAmt
Program Services$4,214,338ProgramServicesAmt
Management And General$175,597ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$11,533,254TotalAmt
Program Services$11,071,924ProgramServicesAmt
Management And General$461,330ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$9,257,123TotalAmt
Program Services$8,886,838ProgramServicesAmt
Management And General$370,285ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$19,323TotalAmt
Program Services$18,550ProgramServicesAmt
Management And General$773ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$31,664TotalAmt
Program Services$30,397ProgramServicesAmt
Management And General$1,267ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$49,820,621TotalAmt
Program Services$47,827,796ProgramServicesAmt
Management And General$1,992,825ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$562,153TotalAmt
Program Services$539,667ProgramServicesAmt
Management And General$22,486ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$808,123TotalAmt
Program Services$775,798ProgramServicesAmt
Management And General$32,325ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$224,705TotalAmt
Program Services$215,717ProgramServicesAmt
Management And General$8,988ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$8,123,620TotalAmt
Program Services$7,798,675ProgramServicesAmt
Management And General$324,945ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$643,117TotalAmt
Program Services$418,026ProgramServicesAmt
Management And General$225,091ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$424TotalAmt
Program Services$407ProgramServicesAmt
Management And General$17ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,272,341TotalAmt
Program Services$2,181,447ProgramServicesAmt
Management And General$90,894ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,662,798TotalAmt
Program Services$2,098,259ProgramServicesAmt
Management And General$2,564,539ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$22,566,750$21,664,080$902,670
Bad Debt$18,116,050$18,116,050
Other expenses$1,599,610$1,423,709$175,901

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$317,711,658TotalAmt
Program Services$303,038,523ProgramServicesAmt
Management And General$14,673,135ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$5,500,630BOYAmt
EOY$4,634,609EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$14,601,866BOYAmt
EOY$15,670,268EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$144,926BOYAmt
EOY$56,228EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,047,555BOYAmt
EOY$2,224,996EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$945,047BOYAmt
EOY$602,580EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$40,950,369LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$20,459,912LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$17,783,322BOYAmt
EOY$20,490,457EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$12,046BOYAmt
EOY$12,046EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,909,650BOYAmt
EOY$8,309,760EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$44,945,042BOYAmt
EOY$52,000,944EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$32,437,529BOYAmt
EOY$39,486,875EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,113,425BOYAmt
EOY$10,412,461EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$36,550,954BOYAmt
EOY$49,899,336EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$8,394,088BOYAmt
EOY$2,101,608EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,394,088BOYAmt
EOY$2,101,608EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$44,945,042BOYAmt
EOY$52,000,944EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$83,330,847ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$77,038,367OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$15,523CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$56,806CurrentTaxYearMinus1YearAmt
Current Tax Year$3,884,287CurrentTaxYearAmt
Total$3,956,616TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$164,870,197CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$178,081,637CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$165,014,722CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$183,916,077CurrentTaxYearMinus1YearAmt
Current Tax Year$185,115,554CurrentTaxYearAmt
Total$876,998,187TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$164,870,197CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$178,081,637CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$165,030,245CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$183,972,883CurrentTaxYearMinus1YearAmt
Current Tax Year$188,999,841CurrentTaxYearAmt
Total$880,954,803TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$880,954,803PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17,268CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$30,567CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$30,515CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$27,504CurrentTaxYearMinus1YearAmt
Current Tax Year$19,299CurrentTaxYearAmt
Total$125,153TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17,268CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$30,567CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$30,515CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$27,504CurrentTaxYearMinus1YearAmt
Current Tax Year$19,299CurrentTaxYearAmt
Total$125,153TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$164,887,465CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$178,112,204CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$165,060,760CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$184,000,387CurrentTaxYearMinus1YearAmt
Current Tax Year$189,019,140CurrentTaxYearAmt
Total$881,079,956TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99990PublicSupportCY509Pct
Public Support PY5090.99990PublicSupportPY509Pct
Investment Income CY0.00010InvestmentIncomeCYPct
Investment Income PY0.00010InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,349,168OtherCostOrOtherBasisAmt
Book Value$2,349,168BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,458,011OtherCostOrOtherBasisAmt
Depreciation$9,278,698DepreciationAmt
Book Value$6,179,313BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,627,542OtherCostOrOtherBasisAmt
Depreciation$11,181,214DepreciationAmt
Book Value$7,446,328BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,515,648OtherCostOrOtherBasisAmt
Book Value$4,515,648BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$20,490,457TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
Other Assets$3,315,363
Other Receivables$3,050,579
Deferred Pension Outflows$1,943,818
FieldValueIRS element (for citing)
Total Book Value Other Assets$8,309,760TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
Reserve for Professional Liability$3,484,000
Deferred Pension Inflows$216,261
Other liability$52,323
Net Pension Liability$6,659,877
FieldValueIRS element (for citing)
Total Liability$10,412,461TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationVidant Medical Group has been determined to qualify as a tax-exempt organization under Section 501(c)(3) of the Internal Revenue Code. Vidant Medical Gruop has reviewed its tax positions for all open years and has concluded that no material liabilities exist as of September 30, 2020 and 2019. 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 2017.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Michael Waldrum MD
CEO$0$1,192,572$0$34,500$0$9,251$0$184,835$0$44,149$0$1,465,307$0$0
Jay Briley
President Of VCom$0$371,506$0$0$0$0$0$82,987$0$36,297$0$490,790$0$0
David Hughes
CFO$0$525,801$0$0$0$2,270$0$190,892$0$35,478$0$754,441$0$0
William Floyd
President Of VMC$0$562,467$0$0$0$932$0$113,083$0$36,101$0$712,583$0$0
Anthony Bartholomew
VP, of Operations$228,952$0$0$0$0$0$23,276$0$26,550$0$278,778$0$0$0
Daniel Drake PHD
President of VMG$280,836$0$0$0$0$0$107,096$0$41,668$0$429,600$0$0$0
Manjunath Markandaya
Physician$1,901,842$0$0$0$0$0$0$0$35,120$0$1,936,962$0$0$0
Aaron Danison
Physician$1,377,113$0$10,000$0$0$0$0$0$10,994$0$1,398,107$0$0$0
Pradeep Arumugham
Physician$1,310,716$0$0$0$0$0$0$0$30,111$0$1,340,827$0$0$0
Richard Dalyai
Physician$1,120,237$0$0$0$0$0$0$0$34,522$0$1,154,759$0$0$0
Teigha Randolph
Physician$1,029,838$0$0$0$0$0$0$0$45,420$0$1,075,258$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1aAll 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 3The 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.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6University 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 7aAs 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 7bThe 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 11bThe 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 12cAs 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 15The 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 19The 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 11gPurchased Services: Program service expenses 47,827,796. Management and general expenses 1,992,825. Fundraising expenses 0. Total expenses 49,820,621.
Form 990, Part XI, line 9:Net Asset Transfer 77,038,367.
Form 990, Part XII, Line 2CThis process has not changed from the prior year.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Vidant Medical Group Affiliates LLC
2100 Stantonsburg RdGreenvilleNC27835472875992HealthcareNC$0$0Vidant Medical Group LLC
Tarboro Endoscopy Center LLC
201 Clinic DrTarboroNC27886271345858HealthcareNC$0$0Vidant Medical Group LLC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (15 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
University Health Systems Of Eastern Carolina DBA Vidant Health
2100 Stantonsburg RdGreenvilleNC27835562141073HealthcareNC501(c)(3)Line 12c, III-FIN/A0
Pitt County Memorial Hospital Inc DBA Vidant Medical Center
2100 Stantonsburg RdGreenvilleNC27835560585243HospitalNC501(c)(3)Line 30Vidant Health
The Outer Banks Hospital Inc
2100 Stantonsburg RdGreenvilleNC27835562112733HospitalNC501(c)(3)Line 30East Carolina Health
PCMH Management Inc DBA Vidant Properties
2100 Stantonsburg RdGreenvilleNC27835561690740Medical Property ManagementNC501(c)(2)0Vidant Health
East Carolina Health Inc DBA Vidant Community Hospitals - Central
2100 Stantonsburg RdGreenvilleNC27835562003393HospitalNC501(c)(3)Line 30Vidant Health
HealthAccess Inc
2100 Stantonsburg RdGreenvilleNC27835561396133HealthcareNC501(c)(3)Line 12b, II0Vidant Health
East Carolina Health-Bertie DBA Vidant Bertie Hospital
2100 Stantonsburg RdGreenvilleNC27835562072002HospitalNC501(c)(3)Line 30Vidant Health
East Carolina Health-Chowan DBA Vidant Chowan Hospital
2100 Stantonsburg RdGreenvilleNC27835562101090HospitalNC501(c)(3)Line 30Vidant Health
East Carolina Health-Heritage DBA Vidant Edgecombe Hospital
2100 Stantonsburg RdGreenvilleNC27835562093700HospitalNC501(c)(3)Line 30Vidant Health
East Carolina Health-Beaufort DBA Vidant Beaufort Hospital
2100 Stantonsburg RdGreenvilleNC27835452436270HospitalNC501(c)(3)Line 30Vidant Health
Duplin General Hospital DBA Vidant Duplin Hospital
2100 Stantonsburg RdGreenvilleNC27835566011594HospitalNC501(c)(3)Line 30Vidant Health
East Carolina Health Inc DBA Vidant Roanoke-Chowan Hospital
2100 Stantonsburg RdGreenvilleNC27835264634725HospitalNC501(c)(3)Line 30Vidant Health
Access East Inc
2410 Stantonsburg Rd Stanton SquareGreenvilleNC27834561949493HealthcareNC501(c)(3)Line 100Vidant Health
Roanoke Valley Health Services Inc
2100 Stantonsburg RdGreenvilleNC27835561925492HealthcareNC501(c)(3)Line 30Vidant Health
Halifax Regional Medical Center Inc DBA Vidant North
2100 Stantonsburg RdGreenvilleNC27835560989789HospitalNC501(c)(3)Line 30Vidant Health
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other OrgYes (1)AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd