2020-08-14T08:01:47-05:00 2019-09-30 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2018-10-01 560989789 HALIFAX REGIONAL MEDICAL CENTER INC HALI 2525358011 250 SMITH CHURCH ROAD ROANOKE RAPIDS NC 27870 SHERRY JENSEN VP OF FINANCE/CFO 2525358011 2020-08-14 1 AMY BIBBY P00445891 8282542254 2020-08-14 99.47.28.203 2020-08-14 07:53:59 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 48FB394F9AA065459641371F168D9F2AFFFBB473 2018 2020-11-06 18:47:13Z VIDANT NORTH WILL MAHONE 250 SMITH CHURCH ROAD ROANOKE RAPIDS NC 27870 102047420 0 X WWW.HALIFAXREGIONAL.ORG X 1972 NC TO IMPROVE THE HEALTH AND WELL-BEING OF EASTERN NORTH CAROLINA. 14 12 986 50 8975 5304 197545 174864 109770592 101745912 427364 -256734 49385 11060 110444886 101675102 0 0 0 0 43754228 44758646 0 0 0 60934007 59832019 104688235 104590665 5756651 -2915563 96800365 82510666 42714018 33379575 54086347 49131091 X TO IMPROVE THE HEALTH AND WELL-BEING OF EASTERN NORTH CAROLINA. 0 0 93741374 101745912 COMPLETED DUE DILIGENCE REQUIREMENTS AND TRANSACTIONS NECESSARY TO MERGE WITH VIDANT HEALTH AS OF JUNE 1, 2019.STROKE PROGRAM IMPLEMENTED.GENERAL SURGEON WAS RECRUITED.ALL COMPUTER SYSTEMS WERE EVALUATED FOR THE VIDANT MERGER AND IMPLEMENTATION OF THE EPIC SYSTEM.GENERATOR REPLACEMENT PROJECT STARTED.REDESIGN OF PSYCH BEHAVIORAL HEALTH UNIT.ACCREDITATION FOR SLEEP LAB AND HOME SLEEP TESTING.PHARMACY CERTIFIED FOR NEW USP 800 STANDARDS.JOINT CARE CENTER WAS RECERTIFIED BY THE JOINT COMMISSION FOR HIP AND KNEE REPLACEMENT PROGRAMS. RURAL HEALTH CENTER CONSTRUCTION WAS COMPLETED ON HRMC CAMPUS.IMPLEMENTED NEW PROCESS FOR USING EMT TRAINED STAFF FOR EMERGENCY PATIENT CARE.NURSE RESIDENCY PROGRAM WAS INITIATED WITH COMMUNITY COLLEGES.HRMC NURSE RECOGNIZED AS ONE OF THE STATE'S GREAT 100 NURSES.340B AUDIT WAS COMPLETED FOR PHARMACY. 93741374 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 1 0 0 0 1 154 0 1 986 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 14 12 0 1 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NC X SHERRY JENSEN 2525358005 250 SMITH CHURCH ROAD ROANOKE RAPIDS NC 27870 WILLIAM MAHONE CEO 40.00 X X 0 0 0 FANNIE GREENE CHAIRWOMAN 1.00 X 2100 0 0 DR NATARAJAN RAJAN MEMBER 1.00 X 1450 0 0 EVELYN DAWSON MEMBER 1.00 X 1250 0 0 TOM LYNCH MEMBER 1.00 X 2100 0 0 DR LORENZO SANTARINA MEMBER 1.00 X 100 0 0 DR JOEY THOMAS MEMBER 1.00 X 10760 0 0 BOB PATTERSON MEMBER 1.00 X 1700 0 0 VERNON BRYANT MEMBER 1.00 X 700 0 0 HUGH BAZEMORE MEMBER 1.00 X 1650 0 0 JOHNNY DRAPER MEMBER 1.00 X 700 0 0 JAMES PIERCE MEMBER 1.00 X 650 0 0 WILLIAM HODGE MEMBER 1.00 X 950 0 0 REV RANDY MARTIN MEMBER 1.00 X 500 0 0 SHERRY JENSEN CFO 40.00 X 286286 0 86000 JASON HARRELL COO 40.00 X 0 0 0 STEVEN HILL CRNA 40.00 X 223176 0 44854 BRIAN SOMMER CRNA 40.00 X 219524 0 36906 STEVEN ULSAS CRNA 40.00 X 212151 0 49000 KENNETH HARTZ CRNA 40.00 X 210341 0 49000 CLAUDE DIETTRICH CRNA 40.00 X 206607 0 46584 KAREN DANIELS CNO 40.00 X 126366 0 30926 1509061 0 343270 29 1 1 1 NOVANT HEALTH SHARED SERVICES 108 PROVIDENCE RD CHARLOTTE NC 28207 MANAGEMENT 2134079 SODEXO PO BOX 360170 PITTSBURGH PA 631502096 DIETARY SERVICES 1687220 MEDICAL SOLUTIONS 1010 N 102ND ST SUITE 300 OMAHA NE 68114 CONTRACT NURSING 1295245 THEREX INC DBA REHABCARE PO BOX 502096 ST LOUIS MO 631502096 PT/ST/OT SERVICES 1106191 BIO-MEDICAL APPLICATIONS 16343 COLLECTIONS CENTER DR CHICAGO IL 60693 DIALYSIS SVCS 452093 41 57274 117590 174864 NET PATIENT SERVICE REV 541380 101557295 101557295 PURCHASE DISCOUNTS 541900 123965 123965 PHARMACY 446110 35515 35515 OTHER PATIENT SERVICES 900099 29137 29137 101745912 40292 8975 31317 51139 75292 -24153 -24153 -24153 297026 -297026 -297026 -297026 FOOD/VENDING REVENUE 900099 22187 22187 MISCELLANEOUS INCOME 900099 13026 13026 35213 101675102 101448886 8975 42377 X 437262 150976 286286 115653 115653 34849479 28960216 5889263 1229886 1015346 214540 5316115 4388779 927336 2810251 2320034 490217 635955 635955 554635 554635 14979246 14177309 801937 228501 228501 3910565 3168812 741753 1331243 1307886 23357 1087481 1087481 77079 56233 20846 4083526 4083526 646714 442187 204527 BAD DEBT EXPENSE 17287024 17287024 MEDICAL SUPPLIES 9050022 9049970 52 DRUG EXPENSE 2740327 2740327 MISCELLANEOUS EXPENSES 2721787 2685434 36353 497914 475680 22234 104590665 93741374 10849291 0 23110440 16510587 10079078 10629557 1612688 1561550 1054771 1429687 91275094 61215899 28180980 30059195 12237007 11361377 9001592 1139454 1384493 19385947 572628 96800365 82510666 23179045 15501580 11875911 10764171 5840000 5520000 1819062 1593824 42714018 33379575 X 53959066 49003810 127281 127281 54086347 49131091 96800365 82510666 X -2915563 360307 -2400000 X X 0 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 867707 867707 27977365 18943801 9033564 18339040 12417578 5921462 38435081 26024843 12410238 5655901 3829677 1826224 30059195 DUE FROM OTHER ORGANIZATION 9001592 C 9001592 DUE TO/FROM OTHER CORP 1593824 1593824 1 1 X 1 X 1 X 1 1 1 0 1 1 3776698 3776698 0.04330 14751897 12255663 2496234 0.02860 18528595 12255663 6272932 0.07190 676324 533 675791 0.00770 1150 1150 0.00000 677474 533 676941 0.00770 19206069 12256196 6949873 0.07960 1194 1194 0.00000 604 604 0.00000 1798 1798 0.00000 1 17287024 548172 30571887 34411280 -3839393 X 1 1 1 1 HALIFAX REGIONAL MEDICAL CENTER 250 SMITH CHURCH ROAD ROANOKE RAPIDS NC 27870 X X X DISPROPORTIONATE SHARE HOSPITAL HALIFAX REGIONAL MEDICAL CENTER 1 0 0 1 X X X X X X X X X 18 1 0 0 1 X HTTPS://VIDANTNORTHHOSPITAL.COM X 1 18 1 HTTPS://VIDANTNORTHHOSPITAL.COM 0 1 X 200.000000000000 250.000000000000 X X X X X 1 1 X X X 1 X HTTPS://VIDANTNORTHHOSPITAL.COM X HTTPS://VIDANTNORTHHOSPITAL.COM X HTTPS://VIDANTNORTHHOSPITAL.COM X X X X X 1 X 0 X X X 1 X 0 1 HALIFAX REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 5: PRIMARY DATA WAS OBTAINED FROM COMMUNITY-WIDE HEALTH SURVEYS CONDUCTED BY HALIFAX AND NORTHAMPTON COUNTY HEALTH DEPARTMENTS. SURVEYS WERE DISTRIBUTED ACROSS THE COUNTIES IN AN EFFORT TO INCLUDE THE OPINIONS OF A DIVERSE POPULATION. HALIFAX REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 11: THE TOP PRIORITY ADDRESSED IN THIS CHNA WAS IDENTIFIED AS OVERWEIGHT/OBESITY. THE OBJECTIVES TO ADDRESSING THIS NEED INCLUDE: INCREASE AWARENESS OF THE OBESITY EPIDEMIC AND PROMOTE HEALTHY LIFESTYLES, BECOME A LEADING PARTNER WITH THE ROANOKE VALLEY COMMUNITY HEALTH INITIATIVE, AND CREATE A COMMUNITY RESOURCE DIRECTORY OF AVAILABLE RESOURCES TO HELP LEAD A HEALTHY LIFESTYLE. THE OTHER RISK FACTORS THAT WERE IDENTIFIED INCLUDE: DIET, PHYSICAL INACTIVITY, HIGH BLOOD CHOLESTEROL/HYPERTENSION, SUBSTANCE ABUSE, AND STRESS. THESE OTHER RISK FACTORS ARE BEING ADDRESSED BY OTHER AGENCIES IN THE AREA. ALSO, ADDRESSING THIS TOP PRIORITY OF OBESITY WILL ALSO HELP WITH THE OTHER FACTORS IDENTIFIED. HALIFAX REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 16J: ON THE BACK OF THE BILLING STATEMENT, THE ORGANIZATION LISTS THE CHARITY POLICY AND PROVIDES THE PATIENT WITH A FINANCIAL COUNSELOR TO DISCUSS THEIR ABILITY TO PAY THE INVOICE/RECEIVE CHARITY CARE. HALIFAX REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 20E: SIGNAGE IS PLACED IN VARIOUS PLACES IN THE HOSPITAL INCLUDING ADMISSIONS AND EMERGENCY DEPT. PART I, LINE 7: THE ORGANIZATION USED WORKSHEET 2 OF THE 2018 SCHEDULE H INSTRUCTIONS TO COMPUTE CHARITY CARE, UNREIMBURSED MEDICAID, AND SUBSIDIZED HEALTH SERVICES AT COST FOR PURPOSES OF PART I, LINE 7. PART I, LN 7 COL(F): THE TOTAL EXPENSE LISTED ON FORM 990, PART XI, LINE 25 CONTAINS BAD DEBT EXPENSE OF $17,287,024 WHICH HAS BEEN REMOVED FOR PURPOSES OF THE CALCULATION OF CHARITY CARE PERCENTAGE FOR PART I, LINE 7, COLUMN (F). PART II, COMMUNITY BUILDING ACTIVITIES: HOSPITAL EMPLOYEES ROUTINELY DEVOTE THEIR TIME TO SERVICE ON THE CITY COUNCIL AND THE LOCAL CHAMBER OF COMMERCE TO PROMOTE COMMUNITY ECONOMIC DEVELOPMENT. THE HOSPITAL SPONSORS NUMEROUS EDUCATIONAL PROGRAMS INCLUDING DIABETES AND CHILDHOOD OBESITY PROJECTS. OUR WEBSITE OFFERS HEALTHY LIFE STYLE TIPS AND TOOLS TO IMPROVE HEALTHY LIVING AS WELL AS SENDS OUT EMAILS FOR THIS PROMOTION. WE PROMOTE FAMILY FEST TO ENCOURAGE EXERCISE AND HEALTHY EATING FOR THE CHILDREN OF OUR COMMUNITY. PART III, LINE 2: THIS IS THE TOTAL NET BAD DEBT EXPENSE PER THE FY2019 FINANCIAL STMTS. PART III, LINE 3: IN OUR COMMUNITY, THE POPULATIONS OF PEOPLE WHO LIVE BELOW THE POVERTY LEVEL IS ABOUT 27%. PEOPLE WITHOUT HEALTH INSURANCE IS 13.7% IN THE AREA. BASED ON OUR PAST EXPERIENCE WITH CHARITY CARE AND BAD DEBT, ABOUT 10% OF THE PEOPLE THAT ARE CURRENTLY IN BAD DEBT WOULD QUALIFY FOR FINANCIAL ASSISTANCE. PART III, LINE 4: THERE IS NOT A FOOTNOTE IN THE ORGANIZATION'S FINANCIAL STATEMENTS TO DISCUSS THE BAD DEBT EXPENSE.TOTAL BAD DEBT CONSISTS OF TOTAL CHARGES WRITTEN OFF TO BAD DEBT LESS ANY RECOVERIES AND PASS-THROUGH AMOUNTS FROM MEDICARE. IN OUR COMMUNITY, THE POPULATIONS OF PEOPLE WHO LIVE BELOW THE POVERTY LEVEL IS ABOUT 27%. PEOPLE WITHOUT HEALTH INSURANCE IS 13.7% IN THE AREA. BASED ON OUR PAST EXPERIENCE WITH CHARITY CARE AND BAD DEBT, ABOUT 10% OF THE PEOPLE THAT ARE CURRENTLY IN BAD DEBT WOULD QUALIFY FOR FINANCIAL ASSISTANCE. PART III, LINE 8: APPROXIMATELY 50% OF THE HOSPITAL'S TOTAL CHARGES ARE FROM MEDICARE. APPROXIMATELY 18% OF THE POPULATION OF HALIFAX COUNTY IS AGE 65 AND OVER. THE HOSPITAL HAS A RESPONSIBILITY TO THE COMMUNITY TO PROVIDE QUALITY CARE, AND A SHORTFALL WHEN APPLICABLE FOR OUR MEDICARE COST OF CARE SHOULD BE CONSIDERED A COMMUNITY BENEFIT. PART III, LINE 9B: HRMC DETERMINES IF PATIENTS QUALIFY UNDER OUR FINANCIAL ASSISTANCE POLICY BEFORE THEY ARE SEND TO AN OUTSIDE COLLECTION ACGENCY. THE COLLECTION AGENCIES AND OUTSOURCED BILLING COMPANIES FOR ED PHYSICIAN AND CRNAS ALSO FOLLOW THE HRMC FAP AND BILLING AND COLLECTIONS POLICIES. PART VI, LINE 2: THE COMMUNITY HEALTH NEEDS ASSESSMENT TEAM IS COMPRISED OF MANY PARTICIPANTS REPRESENTING AREA AGENCIES IN HALIFAX COUNTY, NORTH CAROLINA. MANY LOCAL ORGANIZATIONS ASSISTED HALIFAX REGIONAL, THE HALIFAX COUNTY HEALTH DEPARTMENT, AND HEALTHY HALIFAX PARTNERS, WITH THE CREATION OF THE ASSESSMENT. THESE PARTNERS INCLUDE ROANOKE VALLEY COMMUNITY HEALTH INITIATIVE, HALIFAX COUNTY COMMISSIONERS, HALIFAX COUNTY BOARD OF HEALTH, AND HALIFAX REGIONAL BOARD. THE 2019 HALIFAX COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT WAS DEVELOPED THROUGH A PARTNERSHIP BETWEEN THE HALIFAX COUNTY HEALTH DEPARTMENT, HALIFAX REGIONAL, HEALTH ENC AND CONDUENT HEALTHY COMMUNITIES INSTITUTE, WITH HALIFAX REGIONAL AND THE HALIFAX COUNTY HEALTH DEPARTMENT SERVING AS THE FISCAL SPONSORS. HEALTH ENC COMMISSIONED CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI) TO ASSIST WITH ITS COMMUNITY HEALTH NEEDS ASSESSMENT. CONDUENT HCI USES COLLABORATIVE APPROACHES TO IMPROVE COMMUNITY HEALTH AND PROVIDES WEB-BASED INFORMATION SYSTEMS TO PUBLIC HEALTH, HOSPITAL AND COMMUNITY DEVELOPMENT SECTORS, TO HELP THEM ASSESS POPULATION HEALTH. PART VI, LINE 3: OUR FINANCIAL ASSISTANCE POLICY IS ON OUR WEBSITE, AND SIGNAGE IS POSTED THROUGHOUT THE HOSPITAL TO INFORM PATIENTS ABOUT OUR POLICY. THE PROCESS AND PHONE NUMBERS TO CALL ARE ALSO NOTED ON OUR PATIENT STATEMENTS. WE HAVE STAFF FROM OUR COLLECTIONS DEPARTMENT AVAILABLE TO DISCUSS THE PROCESS WITH PATIENTS. THE COLLECTIONS DEPT APPLIES THE POLICY AS APPROPRIATE WHEN ASSISTING PATIENTS IN QUALIFYING FOR CHARITY CARE OR COLLECTING PAYMENTS FROM OUR PATIENTS. WE ALSO USE SOFTWARE TO HELP DETERMINE IF PATIENTS QUALIFY FOR CHARITY CARE. THIS MAKES IT EASIER FOR PATIENTS TO QUALIFY WITHOUT HAVING TO PRESENT A LOT OF PAPERWORK. PART VI, LINE 4: OUR PRIMARY SERVICE AREA CONSISTS OF HALIFAX, NORTHAMPTON, AND WARREN COUNTIES. THE PERCENTAGE OF THE HOSPITAL PATIENTS WITH MEDICARE AND MEDICAID IS 71.6% OF OUR TOTAL REVENUE. THE TOTAL POPULATION ESTIMATES JULY 2019 ARE 50,010 HALIFAX; 19,483 NORTHAMPTON; AND 19,731 WARREN. PERSONS AGE 65 AND OLDER JULY 2019 ARE 20.7% HALIFAX; 25.9% NORTHAMPTON; AND 25.4% WARREN. PEOPLE LIVING IN POVERTY ARE 22% HALIFAX; 21.4% NORTHAMPTON; AND 19.8% WARREN COMPARED TO THE NC RATE OF 14%. THE POPULATION UNDER AGE 65 LIVING WITH A DISABILITY ARE 13.9% HALIFAX; 14.9% NORTHAMPTON; AND 13.8% WARREN. PERSONS WITHOUT HEALTH INSURANCE ARE 13.5% HALIFAX; 11.5% NORTHAMPTON; AND 16.4% WARREN. PART VI, LINE 5: THE HOSPITAL SPONSORS NUMEROUS EDUCATIONAL PROGRAMS INCLUDING DIABETES AND CHILDHOOD OBESITY PROJECTS. WE HAVE RECEIVED GRANTS FOR DIABETES EDUCATION AND COMMUNITY HEALTH PROGRAMS. UNDER THESE GRANTS, WE ARE ABLE TO HAVE DEDICATED STAFF AND PROGRAMS TO IMPROVE THE HEALTH OF PEOPLE IN OUR COMMUNITY. WE PROMOTE FAMILY FEST TO ENCOURAGE EXERCISE AND HEALTH EATING FOR THE CHILDREN IN OUR COMMUNITY. OUR HOSPITAL WEBSITE OFFERS HEALTHY LIVING TIPS AND TOOLS TO IMPROVE HEALTH. PART VI, LINE 6: HALIFAX REGIONAL WAS UNDER A MANAGEMENT CONTRACT WITH NOVANT HEALTH THROUGH MAY 31, 2019. EFFECTIVE JUNE 1, 2019, HALIFAX REGIOANL MERGED WITH VIDANT HEALTH IN GREENVILLE, NC. PART VI, LINE 7, REPORTS FILED WITH STATES NC X X X X 0 0 0 0 0 1 0 0 0 SHERRY JENSEN CFO 243088 0 43198 0 0 0 43000 0 43000 0 372286 0 0 0 STEVEN HILL CRNA 222426 0 750 0 0 0 22427 0 22427 0 268030 0 0 0 BRIAN SOMMER CRNA 219524 0 0 0 0 0 18453 0 18453 0 256430 0 0 0 STEVEN ULSAS CRNA 212151 0 0 0 0 0 24500 0 24500 0 261151 0 0 0 KENNETH HARTZ CRNA 210341 0 0 0 0 0 24500 0 24500 0 259341 0 0 0 CLAUDE DIETTRICH CRNA 206607 0 0 0 0 0 23292 0 23292 0 253191 0 0 0 KAREN DANIELS CNO 121366 0 5000 0 0 0 15463 0 15463 0 157292 0 0 0 PART I, LINE 6 INCENTIVE PAYMENTS FOR THE VPS ARE BASED ON MEETING CERTAIN GOALS ON THE ORGANIZATION'S BALANCED SCORECARD. PERCENTAGES ARE GIVEN FOR EACH GOAL MET. THIS AT RISK PAY IS USUALLY NOT GIVEN UNLESS THERE IS AN OPERATING MARGIN FOR THE ORGANIZATION. PART II WILLIAM MAHONE, CEO, AND JASON HARRELL, VP OF OPERATIONS, BOTH WERE EMPLOYEES OF NOVANT HEALTH THROUGH MAY 31, 2019. WE CONTRACTED WITH NOVANT FOR THESE EMPLOYEES AND PAID THEIR FEES QUARTERLY AS BILLED ON NOVANT INVOICES. JUNE 1, 2019, THESE EMPLOYEES BECAME PART OF VIDANT MEDICAL CORP. A NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 NONEAVAIL 2011-07-28 6500000 CAPITAL ACQUISITION 0 0 0 B NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 NONEAVAIL 2016-09-27 8845000 REFUNDING BONDS 0 0 0 A 6502377 130000 6372043 2013 0 0 1 1 B 8845135 145064 8699936 0 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 A 0 1 1 0 1 0 0 0 0 B 0 0 0 0 1 0 0 0 0 A 0 B 0 PART II, LINE 3: TOTAL PROCEEDS TOTAL PROCEEDS ON LINE 3 INCLUDE INVESTMENT EARNINGS TO DATE OF $ 2,488. AUDREY HARDY RELATIVE OF BOARD MEMBER 88814 COMPENSATION FOR SERVICES 0 BETTY ANDERSON RELATIVE OF BOARD MEMBER 26839 COMPENSATION FOR SERVICES 0 LYNCH'S OFFICE SUPPLY BOARD MEMBER, TOM LYNCH 138211 PURCHASE OF OFFICE SUPPLIES 0 FORM 990, PART VI, SECTION A, LINE 3 THE HOSPITAL SYSTEM HAD A MANAGEMENT SERVICES AGREEMENT WITH NOVANT HEALTH INC. THE BOARD OF HRMC CONTINUES TO OVERSEE THE OPERATIONS OF THE HEALTHCARE FACILITY AND RELATED EXEMPT ACTIVITIES. HRMC RECEIVES MANAGEMENT SERVICES AS WELL AS EXPENSE SAVINGS FOR AN ANNUAL MANAGEMENT FEE. NOVANT PROVIDES HRMC WITH A CEO AND COO AND HRMC PROVIDES REIMBURSEMENT FOR THOSE COSTS. DURING THE 2018 CALENDAR YEAR YEAR, NOVANT PAID COMPENSATION OF $369,835 TO THE ORGANIZATION'S CEO AND $216,187 TO THE ORGANIZATION'S COO. FORM 990, PART VI, SECTION A, LINE 4 MERGED WITH VIDANTH HEALTH JUNE 1, 2019. FORM 990, PART VI, SECTION B, LINE 11B THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH ASSISTANCE AND INFORMATION PROVIDED BY MANAGEMENT. THE HOSPITAL PROVIDED EVERY VOTING BOARD MEMBER A COPY OF THE DRAFT 990 PRIOR TO A SCHEDULED MEETING. DETAILS OF THE RETURN WERE DISCUSSED WITH MANAGEMENT AND THE FINANCE COMMITTEE OF THE BOARD, WHO THEN DELIVERED A REPORT TO THE FULL BOARD PRIOR TO FILING THE RETURN WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C (BYLAWS, ARTICLE 2, SECTION 3) "ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON THE PART OF ANY GOVERNING BOARD MEMBER SHALL BE DISCLOSED TO THE OTHER MEMBERS OF THE BOARD OF DIRECTORS AND MADE A MATTER OF RECORD THROUGH AN ANNUAL PROCEDURE AND ALSO WHEN THE INTEREST BECOMES A MATTER OF BOARD ACTION. ANY GOVERNING BOARD MEMBER HAVING A DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON ANY MATTER SHALL NOT VOTE OR USE PERSONAL INFLUENCE ON THAT MATTER, AND SHALL NOT BE COUNTED IN DETERMINING THE QUORUM FOR THE MEETING, EVEN WHERE PERMITTED BY LAW. THE MINUTES OF THE MEETING SHALL REFLECT THAT A DISCLOSURE WAS MADE, THE ABSTENTION FROM VOTING, AND THE QUORUM SITUATION. ANY EXISTING OR APPARENT CONFLICT OF INTEREST WILL BE REFERRED TO THE EXECUTIVE COMMITTEE OF THE BOARD FOR RESOLUTION." THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY. BOARD MEMBERS AND HOSPITAL MANAGEMENT PERSONNEL ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE EACH YEAR. FORM 990, PART VI, SECTION B, LINE 15 AN OUTSIDE CONSULTANT IS USED TO DETERMINE THE APPROPRIATE COMPENSATION BASED ON COMPARABLE POSITIONS AND BENCHMARKS. THE CONSULTANT EVALUATES THE SALARIES FOR THE VP OF FINANCE. THE CEO APPROVES THE VP OF FINANCE SALARY. NOVANT DETERMINED THE COMPENSATION FOR THE CEO AND THE VP OF OPERATIONS BASED ON THE SAME PROCESS UNTIL WE MERGED WITH VIDANT JUNE 1, 2019. FORM 990, PART VI, SECTION C, LINE 18 PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. FORM 990, PART VI, SECTION C, LINE 19 PHOTOCOPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON WRITTEN REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3,134,193. MANAGEMENT AND GENERAL EXPENSES 89,232. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,223,425. MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 1,996,185. MANAGEMENT AND GENERAL EXPENSES 4,131. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,000,316. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 3,195,001. MANAGEMENT AND GENERAL EXPENSES 551,856. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,746,857. SUPPORT FEES: PROGRAM SERVICE EXPENSES 32,566. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,566. NURSING SERVICES: PROGRAM SERVICE EXPENSES 1,038,261. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,038,261. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 4,764,868. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,764,868. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 16,235. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,235. CONSULTING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 156,718. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 156,718. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF DEFINED PENSION PLAN TRANSFER OF EQUITY -2,400,000. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. HALIFAX REGIONAL MEDICAL CENTER CRNA BILLING LLC 250 SMITH CHURCH ROAD ROANOKE RAPIDS NC 27870 461929125 BILLING SUPPORT NC 1750766 HALIFAX REGIONAL MEDICAL CENTER INC 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 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 PCMH MANAGEMENT INC (DBA VIDANT PROPERTIES) 2100 STANTONSBURG RD GREENVILLE NC 27835 561690740 MEDICAL PROPERTY MANAGEMENT NC 501(C)(2) VIDANT HEALTH 0 HEALTHACCESS INC 2100 STANTONSBURG RD GREENVILLE NC 27835 561396133 HEALTHCARE NC 501(C)(3) LINE 12B, II VIDANT HEALTH 0 VIDANT MEDICAL GROUP INC 2100 STANTONSBURG RD GREENVILLE NC 27835 383740839 HEALTHCARE NC 501(C)(3) LINE 12C, III-FI 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 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 VIDANT NORPUNGO DISTRICT HOSPITAL CORPORATION DBA VIDANT PUNGO HOSPITALTH 2100 STANTONSBURG RD GREENVILLE NC 27835 560518757 HOSPITAL NC 501(C)(3) LINE 3 VIDANT HEALTH 0 ROANOKE VALLEY HEALTH SERVICES 2100 STANTONSBURG RD GREENVILLE NC 27835 561925492 HEALTHCARE NC 501(C)(3) LINE 3 VIDANT HEALTH 0 ACCESS EAST 2410 STATONSBURG RD STANTON SQUARE GREENVILLE NC 27834 561949493 HEALTHCARE NC 501(C)(3) LINE 10 VIDANT HEALTH 0 UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA INC 2100 STANTONSBURG RD GREENVILLE NC 27835 562141073 HEALTHCARE NC 501(C)(3) LINE 12A, I N/A 0 HALIFAX REGIONAL MEDICAL CENTER FOUNDATION INC 250 SMITH CHURCH ROAD ROANOKE RAPIDS NC 27870 561698825 SUPPORT/FUNDRAISING NC 501(C)(3) LINE 7 VIDANT NORTH 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 ROANOKE VALLEY HEALTH SERVICES B 21210412 CASH HALIFAX REGIONAL MEDICAL CENTER FOUNDATION C 61240 CASH ROANOKE VALLEY HEALTH SERVICES R 7421289 CASH ROANOKE VALLEY HEALTH SERVICES S 7205225 CASH HALIFAX REGIONAL MEDICAL CENTER FOUNDATION M 55000 CASH