2021-08-12T08:26:17-05:00 2020-09-30 560747981 Dixon Hughes Goodman LLP 500 Ridgefield Court Asheville NC 28806 990 2019-10-01 383740839 Vidant Medical Group LLC VIDA 2528475129 2100 Stantonsburg Rd Greenville NC 27835 David S Hughes Treasurer 2528475129 2021-08-11 1 Amy Bibby P00445891 8282542254 2019 2022-09-23 18:48:47Z David S Hughes 2100 Stantonsburg Rd Greenville NC 27835 234395470 0 X www.vidanthealth.com X 2006 NC To provide medical services in Eastern North Carolina. 6 0 681 0 0 0 56806 14554 242683340 234194262 29449 4640 167411 167355 242937006 234380811 2300 0 0 0 200097089 208260359 0 0 0 122796151 109451299 322895540 317711658 -79958534 -83330847 44945042 52000944 36550954 49899336 8394088 2101608 To enhance the quality of life for the people and communities we serve, touch and support. 0 0 303038523 230491884 Vidant Health professionals provided evaluations, clinical care management, and medically necessary procedures. 303038523 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 0 681 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X X Brian Dunn 2528477479 2100 Stantonsburg Rd Greenville NC 27835 Michael Waldrum MD CEO 2.00 50.00 X X 0 1236323 228984 Jay Briley President Of VCom 2.00 46.00 X 0 371506 119284 David Hughes CFO 2.00 50.00 X X 0 528071 226370 William Floyd President Of VMC 2.00 42.00 X 0 563399 149184 Anthony Bartholomew VP, of Operations 40.00 X 228952 0 49826 Daniel Drake PHD President of VMG 40.00 2.00 X 280836 0 148764 Manjunath Markandaya Physician 40.00 X 1901842 0 35120 Aaron Danison Physician 40.00 X 1387113 0 10994 Pradeep Arumugham Physician 40.00 X 1310716 0 30111 Richard Dalyai Physician 40.00 X 1120237 0 34522 Teigha Randolph Physician 40.00 X 1029838 0 45420 7259534 2699299 1078579 519 0 1 0 ECU School of Medicine PO Box 75514 Charlotte NC 282750514 Physician Services 11279683 Weatherby Locums Inc PO Box 972633 Dallas TX 753972633 Physician Services 2289152 Bunn Medical Associates 606 Ashburton Drive Greenville NC 27858 Physician Services 2172215 Hayes Locums LLC 6700 North Andrews Ave Suite 600 Ft Lauderdale FL 33309 Physician Services 1684385 Howard Richard Brown MD 11219 Draper Court Bakersfield CA 93311 Physician Services 1676794 62 14554 14554 Patient Services 621110 185115555 185115555 Contract Management Fees 621110 45208974 45208974 Provider Relief 900099 3869733 3869733 234194262 19299 19299 167355 0 167355 167355 167355 14659 -14659 -14659 -14659 234380811 234361617 0 4640 X 509788 509788 182570259 175756845 6813414 4389935 4214338 175597 11533254 11071924 461330 9257123 8886838 370285 19323 18550 773 31664 30397 1267 49820621 47827796 1992825 562153 539667 22486 808123 775798 32325 224705 215717 8988 8123620 7798675 324945 643117 418026 225091 424 407 17 2272341 2181447 90894 4662798 2098259 2564539 Medical Supplies 22566750 21664080 902670 Bad Debt 18116050 18116050 Other expenses 1599610 1423709 175901 317711658 303038523 14673135 0 5500630 4634609 14601866 15670268 144926 56228 2047555 2224996 945047 602580 40950369 20459912 17783322 20490457 12046 12046 3909650 8309760 44945042 52000944 32437529 39486875 4113425 10412461 36550954 49899336 X 8394088 2101608 8394088 2101608 44945042 52000944 X -83330847 77038367 X X 0 1 X 1 0 X 15523 56806 3884287 3956616 164870197 178081637 165014722 183916077 185115554 876998187 164870197 178081637 165030245 183972883 188999841 880954803 0 0 0 880954803 17268 30567 30515 27504 19299 125153 17268 30567 30515 27504 19299 125153 164887465 178112204 165060760 184000387 189019140 881079956 0.99990 0.99990 0.00010 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2349168 2349168 15458011 9278698 6179313 18627542 11181214 7446328 4515648 4515648 20490457 Other Assets 3315363 Other Receivables 3050579 Deferred Pension Outflows 1943818 8309760 Reserve for Professional Liability 3484000 Deferred Pension Inflows 216261 Other liability 52323 Net Pension Liability 6659877 10412461 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 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. 0 0 0 0 0 0 0 0 0 Michael Waldrum MD CEO 0 1192572 0 34500 0 9251 0 184835 0 44149 0 1465307 0 0 Jay Briley President Of VCom 0 371506 0 0 0 0 0 82987 0 36297 0 490790 0 0 David Hughes CFO 0 525801 0 0 0 2270 0 190892 0 35478 0 754441 0 0 William Floyd President Of VMC 0 562467 0 0 0 932 0 113083 0 36101 0 712583 0 0 Anthony Bartholomew VP, of Operations 228952 0 0 0 0 0 23276 0 26550 0 278778 0 0 0 Daniel Drake PHD President of VMG 280836 0 0 0 0 0 107096 0 41668 0 429600 0 0 0 Manjunath Markandaya Physician 1901842 0 0 0 0 0 0 0 35120 0 1936962 0 0 0 Aaron Danison Physician 1377113 0 10000 0 0 0 0 0 10994 0 1398107 0 0 0 Pradeep Arumugham Physician 1310716 0 0 0 0 0 0 0 30111 0 1340827 0 0 0 Richard Dalyai Physician 1120237 0 0 0 0 0 0 0 34522 0 1154759 0 0 0 Teigha Randolph Physician 1029838 0 0 0 0 0 0 0 45420 0 1075258 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 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 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 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 1 1 0 0 0 1 0 0 1 1 1 1 0 1 1 1 0 0