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VIDANT MEDICAL GROUP LLC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
VIDANT MEDICAL GROUP LLC (EIN 38-3740839)
Tax period
2014-10-01 to 2015-09-30
Filed
2016-08-02
IRS object ID
201642159349300709
Schema version
2014v6.0
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)
Return2016-08-02T08:32:10-05:00ReturnTs
Tax Period End2015-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN420714325PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RSM US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11 S Wacker Drive Ste 800AddressLine1Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP60606ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-10-01TaxPeriodBeginDt

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 RoadAddressLine1Txt
CityGreenvilleCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27835ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDavid HughesPersonNm
Person TitleManagerPersonTitleTxt
Phone2528475129PhoneNum
Signature2016-08-01SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDavid BillerPreparerPersonNm
PTINP01251566PTIN
Phone3126343400PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-12-15 16:53:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDavid HughesPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12100 Stantonsburg RoadAddressLine1Txt
CityGreenvilleCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27835ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$164,131,468GrossReceiptsAmt
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 Body7VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee1252TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$152,362,129PYProgramServiceRevenueAmt
CY Program Service Revenue$164,114,286CYProgramServiceRevenueAmt
PY Investment Income$13,857PYInvestmentIncomeAmt
CY Investment Income$17,182CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$152,375,986PYTotalRevenueAmt
CY Total Revenue$164,131,468CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$116,623,475PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$134,582,961CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$77,686,063PYOtherExpensesAmt
CY Other Expenses$80,041,238CYOtherExpensesAmt
PY Total Expenses$194,309,538PYTotalExpensesAmt
CY Total Expenses$214,624,199CYTotalExpensesAmt
PY Revenues Less Expenses-$41,933,552PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$50,492,731CYRevenuesLessExpensesAmt
Total Assets BOY$33,143,484TotalAssetsBOYAmt
Total Assets EOY$44,225,474TotalAssetsEOYAmt
Total Liabilities BOY$25,904,205TotalLiabilitiesBOYAmt
Total Liabilities EOY$33,161,581TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$7,239,279NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$11,063,893NetAssetsOrFundBalancesEOYAmt
MissionTo enhance the quality of life for the people and communities we serve, touch and support.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$207,322,722ExpenseAmt
Revenue$164,114,286RevenueAmt
DescVidant Health professionals provided evaluations, clinical care management and medically necessary procedures.Desc
Total Program Service Expenses$207,322,722TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
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
Employee1252EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
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 Policy0ConflictOfInterestPolicyInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
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 Line1Chris TownsendBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2528475129PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12100 Stantonsburg RoadAddressLine1Txt
CityGreenvilleCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27835ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Dr Michael R Waldrum MD
CEO2.0050.00Yes (X)Yes (X)$0$0$0
Janet Mullaney
CAO/Interim CEO2.0050.00Yes (X)Yes (X)$0$491,030$129,263
Travis Douglass
Former Manager2.0040.00Yes (X)$0$301,541$71,900
Roger Robertson
President of VCOM2.0046.00Yes (X)$0$441,646$116,650
David S Hughes
Treasurer2.0050.00Yes (X)Yes (X)$0$481,088$144,269
William Floyd
EVP/President of VMC2.0042.00Yes (X)$0$415,190$103,594
Dr Mark Rumans MD
Chief Medical Officer40.00Yes (X)$0$558,668$89,460
Dr Clyde Brooks MD
VP of Medical Affairs40.00Yes (X)$295,374$0$53,713
Anthony Bartholomew
VP of Operations40.00Yes (X)$134,578$0$30,700
Dr Gary Fontana MD
Physician40.00$685,946$0$0Yes (X)
Dr Rony Shammas MD
Physician40.00$665,836$0$0Yes (X)
Dr Brian Cabarrus MD
Physician40.00$662,578$0$0Yes (X)
Dr Charles B Jones MD
Physician40.00$649,238$0$0Yes (X)
Dr Jerry A Simpson MD
Physician40.00$648,792$0$0Yes (X)
Dr David Herman MD
Former CEO0.000.00$0$1,268,381$115,608Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,742,342TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,957,544TotReportableCompRltdOrgAmt
Total Other Compensation$855,157TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K299IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
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$5,473,378
Bunn Medical Associates
606 Ashburton DriveGreenvilleNC27858Physician Services$1,942,563
Eastern Carolina Emergency Services
606 Ashburton DriveGreenvilleNC27858Physician Services$1,097,902
Eastern Urological Associates
275 Bethesda DriveGreenvilleNC27834Physician Services$989,963
Goldfish Locums LLC
5741 Legacy Drive Suite 200PlanoTX75024Physician Services$849,546
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K40CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Revenue621110$109,253,131$109,253,131
Contract Management Fees621110$54,861,155$54,861,155
FieldValueIRS element (for citing)
Total Program Service Revenue$164,114,286TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,182TotalRevenueColumnAmt
Exclusion$17,182ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$164,131,468TotalRevenueColumnAmt
Related Or Exempt Func Income$164,114,286RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$17,182ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$349,087TotalAmt
Program Services$340,655ProgramServicesAmt
Management And General$8,432ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$117,581,148TotalAmt
Program Services$114,741,083ProgramServicesAmt
Management And General$2,840,065ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,137,227TotalAmt
Program Services$2,085,604ProgramServicesAmt
Management And General$51,623ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,359,958TotalAmt
Program Services$8,158,031ProgramServicesAmt
Management And General$201,927ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$6,155,541TotalAmt
Program Services$6,006,860ProgramServicesAmt
Management And General$148,681ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$285,786TotalAmt
Program Services$278,883ProgramServicesAmt
Management And General$6,903ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$15,654TotalAmt
Program Services$15,276ProgramServicesAmt
Management And General$378ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$37,380,446TotalAmt
Program Services$36,914,558ProgramServicesAmt
Management And General$465,888ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$777,631TotalAmt
Program Services$700,720ProgramServicesAmt
Management And General$76,911ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$14,054,758TotalAmt
Program Services$13,715,278ProgramServicesAmt
Management And General$339,480ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$323,236TotalAmt
Program Services$315,429ProgramServicesAmt
Management And General$7,807ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$666,272TotalAmt
Program Services$650,179ProgramServicesAmt
Management And General$16,093ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$345,403TotalAmt
Program Services$224,512ProgramServicesAmt
Management And General$120,891ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$43,806TotalAmt
Program Services$42,748ProgramServicesAmt
Management And General$1,058ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$69,855TotalAmt
Program Services$6,287ProgramServicesAmt
Management And General$63,568ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,473,905TotalAmt
Program Services$2,414,150ProgramServicesAmt
Management And General$59,755ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,248,342TotalAmt
Program Services$2,361,754ProgramServicesAmt
Management And General$2,886,588ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescBad Debt ExpenseDesc
Total$18,131,427TotalAmt
Program Services$18,131,427ProgramServicesAmt

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$224,717TotalAmt
Program Services$219,288ProgramServicesAmt
Management And General$5,429ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$214,624,199TotalAmt
Program Services$207,322,722ProgramServicesAmt
Management And General$7,301,477ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,032,698BOYAmt
EOY$8,410,156EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$15,798,357BOYAmt
EOY$13,063,972EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$905,793BOYAmt
EOY$1,011,394EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$925,309BOYAmt
EOY$1,273,775EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$22,813,185LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$7,930,328LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,114,210BOYAmt
EOY$14,882,857EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$6,367,117BOYAmt
EOY$5,583,320EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$33,143,484BOYAmt
EOY$44,225,474EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$19,644,180BOYAmt
EOY$23,780,217EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$27,518EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
EOY$169,423EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,260,025BOYAmt
EOY$9,184,423EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$25,904,205BOYAmt
EOY$33,161,581EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,239,279BOYAmt
EOY$11,063,893EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,239,279BOYAmt
EOY$11,063,893EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$33,143,484BOYAmt
EOY$44,225,474EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$50,492,731ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$54,317,345OtherChangesInNetAssetsAmt
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

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$34,419,109CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$96,211,200CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$127,385,368CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$152,362,129CurrentTaxYearMinus1YearAmt
Current Tax Year$164,114,286CurrentTaxYearAmt
Total$574,492,092TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$34,419,109CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$96,211,200CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$127,385,368CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$152,362,129CurrentTaxYearMinus1YearAmt
Current Tax Year$164,114,286CurrentTaxYearAmt
Total$574,492,092TotalAmt

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$574,492,092PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,728CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,105CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$16,287CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,857CurrentTaxYearMinus1YearAmt
Current Tax Year$17,182CurrentTaxYearAmt
Total$64,159TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,728CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,105CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$16,287CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,857CurrentTaxYearMinus1YearAmt
Current Tax Year$17,182CurrentTaxYearAmt
Total$64,159TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$34,426,837CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$96,220,305CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$127,401,655CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$152,375,986CurrentTaxYearMinus1YearAmt
Current Tax Year$164,131,468CurrentTaxYearAmt
Total$574,556,251TotalAmt
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 D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$350,669OtherCostOrOtherBasisAmt
Book Value$350,669BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,524,488OtherCostOrOtherBasisAmt
Depreciation$544,547DepreciationAmt
Book Value$7,979,941BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,511,064OtherCostOrOtherBasisAmt
Depreciation$7,385,781DepreciationAmt
Book Value$4,125,283BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,426,964OtherCostOrOtherBasisAmt
Book Value$2,426,964BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$14,882,857TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
Other Receivables$2,866,418
Sales Tax Receivables$694,701
Intercompany Receivables$1,180,319
Physician Loan Receivables$826,907
Deferred Pension$14,975
FieldValueIRS element (for citing)
Total Book Value Other Assets$5,583,320TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
Worker Compensation Long Term$302,439
Self-Insurance Reserve$5,413,177
Current Reserve for Professional Liability$3,257,823
Current Portion of Long Term Debt$210,984
FieldValueIRS element (for citing)
Total Liability$9,184,423TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationVidant Medical Group LLC has been determined to qualify as a tax-exempt organization under Section 501(c)(3) of the Internal Revenue Code. Vidant Medical Group has reviewed its tax positions for all open years and has concluded that no material liabilities exist as of September 30, 2015 and 2014. Vidant Medical Group files tax returns with the US federal and State of North Carolina jurisdictions. With few exceptions, Vidant Medical Group is no longer subject to US federal examinations by tax authorities for years before 2012.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 (14 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
Janet Mullaney
CAO/Interim CEO$0$438,524$0$50,896$0$1,610$0$102,014$0$27,249$0$620,293$0$0
Travis Douglass
Former Manager$0$271,791$0$29,750$0$0$0$37,900$0$34,000$0$373,441$0$0
Roger Robertson
President of VCOM$0$391,637$0$47,720$0$2,289$0$77,285$0$39,365$0$558,296$0$0
David S Hughes
Treasurer$0$429,838$0$49,809$0$1,441$0$102,367$0$41,902$0$625,357$0$0
William Floyd
EVP/President of VMC$0$375,078$0$39,652$0$460$0$60,618$0$42,976$0$518,784$0$0
Dr Mark Rumans MD
Chief Medical Officer$0$497,418$0$61,250$0$0$0$54,000$0$35,460$0$648,128$0$0
Dr Clyde Brooks MD
VP of Medical Affairs$277,531$0$17,843$0$0$0$33,025$0$20,688$0$349,087$0$0$0
Anthony Bartholomew
VP of Operations$128,602$0$5,976$0$0$0$13,866$0$16,834$0$165,278$0$0$0
Dr Gary Fontana MD
Physician$685,946$0$0$0$0$0$0$0$0$0$685,946$0$0$0
Dr Rony Shammas MD
Physician$665,836$0$0$0$0$0$0$0$0$0$665,836$0$0$0
Dr Brian Cabarrus MD
Physician$662,578$0$0$0$0$0$0$0$0$0$662,578$0$0$0
Dr Charles B Jones MD
Physician$649,238$0$0$0$0$0$0$0$0$0$649,238$0$0$0
Dr Jerry A Simpson MD
Physician$648,792$0$0$0$0$0$0$0$0$0$648,792$0$0$0
Dr David Herman MD
Former CEO$0$1,062,319$0$146,340$0$59,722$0$98,000$0$17,608$0$1,383,989$0$0

Supplemental Information Detail SupplementalInformationDetail (3 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. This process is performed every two years, the last year being 2015. It will be performed again in fiscal year 2017. All compensation discussions and actions are documented and approved in the minutes of the Committee.
Part I, Line 4As of January 1, 2013, the supplemental nonqualified retirement plan was frozen and no further amounts have accrued to its benefit. In lieu of the SERP, the comprehensive defined benefit pension plan will provide an equivalent benefit. The increase in the value of such plans is reflected in the sum of Part II, Column (C).

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 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 11The 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 12As 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 two years, the last year being 2015. It will be performed again in fiscal year 2017. 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 two years, the last year being 2015. It will be performed again in fiscal year 2017. 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 11gIntercompany Shared Services: Program service expenses 13,318,848. Management and general expenses 329,667. Fundraising expenses 0. Total expenses 13,648,515. Physician Fees: Program service expenses 18,092,258. Management and general expenses 0. Fundraising expenses 0. Total expenses 18,092,258. Other Service Contracts: Program service expenses 5,503,452. Management and general expenses 136,221. Fundraising expenses 0. Total expenses 5,639,673.
Form 990, Part XI, line 9:Net Asset Transfer 54,317,345.

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 RoadGreenvilleNC27835472875992HealthcareNC$0$0Vidant Medical Group LLC
Tarboro Endoscopy Center LLC
201 Clinic DriveTarboroNC27886271345858HealthcareNC$0$0Vidant Medical Group LLC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 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 RoadGreenvilleNC27835562141073HealthcareNC501(c)(3)Line 11c, III-FIN/A0
East Carolina Health - Beaufort Inc
2100 Stantonsburg RoadGreenvilleNC27835452436270HealthcareNC501(c)(3)Line 30Vidant Health
Duplin General Hospital Inc
2100 Stantonsburg RoadGreenvilleNC27835566011594HealthcareNC501(c)(3)Line 30Vidant Health
The Outer Banks Hospital Inc
2100 Stantonsburg RoadGreenvilleNC27835562112733HealthcareNC501(c)(3)Line 30East Carolina Health
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
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 Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset ExchangeYes (1)AssetExchangeInd
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