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VIDANT MEDICAL GROUP LLC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
VIDANT MEDICAL GROUP LLC (EIN 38-3740839)
Tax period
2013-10-01 to 2014-09-30
Filed
2015-08-12
IRS object ID
201542249349301189
Schema version
2013v4.0
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)
Return2015-08-12T09:24:22-05:00ReturnTs
Tax Period End2014-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN420714325PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1McGladrey LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11 S Wacker Drive Ste 800AddressLine1
CityChicagoCity
StateILState
ZIP Code60606ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN383740839EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Vidant Medical Group LLCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlVIDABusinessNameControlTxt
Phone2528475129PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12100 Stantonsburg RoadAddressLine1
CityGreenvilleCity
StateNCState
ZIP Code27835ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDavid S HughesPersonNm
Person TitleManagerPersonTitleTxt
Phone2528475129PhoneNum
Signature2015-08-05SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonWayne HarderPreparerPersonNm
PTINP00294296PTIN
Phone3126343400PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDavid S HughesPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12100 Stantonsburg RoadAddressLine1
CityGreenvilleCity
StateNCState
ZIP Code27835ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$152,375,986GrossReceiptsAmt
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 Employee813TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$143,049,358PYProgramServiceRevenueAmt
CY Program Service Revenue$152,362,129CYProgramServiceRevenueAmt
PY Investment Income$16,289PYInvestmentIncomeAmt
CY Investment Income$13,857CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$143,065,647PYTotalRevenueAmt
CY Total Revenue$152,375,986CYTotalRevenueAmt
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$106,409,760PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$116,623,475CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$71,007,268PYOtherExpensesAmt
CY Other Expenses$77,686,063CYOtherExpensesAmt
PY Total Expenses$177,417,028PYTotalExpensesAmt
CY Total Expenses$194,309,538CYTotalExpensesAmt
PY Revenues Less Expenses-$34,351,381PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$41,933,552CYRevenuesLessExpensesAmt
Total Assets BOY$35,217,938TotalAssetsBOYAmt
Total Assets EOY$33,143,484TotalAssetsEOYAmt
Total Liabilities BOY$22,634,357TotalLiabilitiesBOYAmt
Total Liabilities EOY$25,904,205TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$12,583,581NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$7,239,279NetAssetsOrFundBalancesEOYAmt
MissionTo enhance the quality of life for the people and communities we serve, touch and support.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$187,910,118ExpenseAmt
Revenue$152,362,129RevenueAmt
DescVidant Health professionals provided evaluations, clinical care management and medically necessary procedures.Desc
Total Program Service Expenses$187,910,118TotalProgramServiceExpensesAmt
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 Entity0DisregardedEntityInd
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
Employee813EmployeeCnt
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 TownsendBusinessNameLine1
FieldValueIRS element (for citing)
Phone2528475129PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12100 Stantonsburg RoadAddressLine1
CityGreenvilleCity
StateNCState
ZIP Code27835ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
David Herman MD
CEO2.0050.00Yes (X)Yes (X)$0$1,273,732$96,302
Travis Douglass
Manager40.00Yes (X)$0$308,523$71,003
Roger Robertson
President, VCOM2.0046.00Yes (X)$0$426,654$111,345
David S Hughes
Treasurer2.0050.00Yes (X)Yes (X)$0$440,003$138,991
William Floyd
Executive Vice President2.0040.00Yes (X)$0$356,826$89,333
Mark Rumans
Chief Medical Officer40.00Yes (X)$0$311,628$47,722
Clyde Brooks
VP, Medical Affairs40.00Yes (X)$285,577$0$74,623
Matthew Meyers
VP, Operations40.00$191,887$0$52,847Yes (X)
Gary Fontana
Physician40.00$831,653$0$42,685Yes (X)
Michael K Smith
Physician40.00$757,380$0$39,941Yes (X)
Jerry A Simpson
Physician40.00$715,770$0$42,365Yes (X)
Anthony J Christiano Jr
Physician40.00$717,627$0$42,618Yes (X)
Charles B Jones
Physician40.00$712,857$0$39,625Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,212,751TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,117,366TotReportableCompRltdOrgAmt
Total Other Compensation$889,400TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K263IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
ECU School of Medicine
PO Box 75514CharlotteNC282750514Physician Services$6,358,429
Accenture LLP
PO Box 70629ChicagoIL60673EPIC Ambulatory Build Services$3,335,665
Bunn Medical Associates
606 Ashburton DriveGreenvilleNC27858Physician Services$1,959,362
Eastern Carolina Emergency Services
606 Ashburton DriveGreenvilleNC27858Physician Services$1,450,561
Eastern Emergency Physicians Inc
3102 Star Hill Farm RoadGreenvilleNC27834Physician Services$1,425,697
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K27CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Revenue621110$100,517,432$100,517,432
Contract Management Fees621110$51,844,697$51,844,697
FieldValueIRS element (for citing)
Total Program Service Revenue$152,362,129TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,857TotalRevenueColumnAmt
Exclusion$13,857ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$152,375,986TotalRevenueColumnAmt
Related Or Exempt Func Income$152,362,129RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$13,857ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$604,934TotalAmt
Program Services$588,686ProgramServicesAmt
Management And General$16,248ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$101,147,150TotalAmt
Program Services$98,430,419ProgramServicesAmt
Management And General$2,716,731ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,770,912TotalAmt
Program Services$1,723,347ProgramServicesAmt
Management And General$47,565ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$7,575,067TotalAmt
Program Services$7,371,607ProgramServicesAmt
Management And General$203,460ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,525,412TotalAmt
Program Services$5,377,004ProgramServicesAmt
Management And General$148,408ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$154,409TotalAmt
Program Services$150,261ProgramServicesAmt
Management And General$4,148ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$11,391TotalAmt
Program Services$11,085ProgramServicesAmt
Management And General$306ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$35,793,346TotalAmt
Program Services$35,350,899ProgramServicesAmt
Management And General$442,447ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$699,520TotalAmt
Program Services$679,552ProgramServicesAmt
Management And General$19,968ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$12,225,789TotalAmt
Program Services$11,897,414ProgramServicesAmt
Management And General$328,375ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$232,723TotalAmt
Program Services$226,472ProgramServicesAmt
Management And General$6,251ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$593,071TotalAmt
Program Services$577,142ProgramServicesAmt
Management And General$15,929ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$290,512TotalAmt
Program Services$188,833ProgramServicesAmt
Management And General$101,679ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$46,610TotalAmt
Program Services$45,358ProgramServicesAmt
Management And General$1,252ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$155,074TotalAmt
Program Services$13,957ProgramServicesAmt
Management And General$141,117ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,347,449TotalAmt
Program Services$2,284,398ProgramServicesAmt
Management And General$63,051ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,887,353TotalAmt
Program Services$1,749,309ProgramServicesAmt
Management And General$2,138,044ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescBad Debt ExpenseDesc
Total$21,083,476TotalAmt
Program Services$21,083,476ProgramServicesAmt

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$165,340TotalAmt
Program Services$160,899ProgramServicesAmt
Management And General$4,441ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$194,309,538TotalAmt
Program Services$187,910,118ProgramServicesAmt
Management And General$6,399,420ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,866,338BOYAmt
EOY$3,032,698EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$16,025,529BOYAmt
EOY$15,798,357EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$768,714BOYAmt
EOY$905,793EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,272,388BOYAmt
EOY$925,309EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$11,576,633LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,462,423LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$7,695,800BOYAmt
EOY$6,114,210EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$10,507BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$5,578,662BOYAmt
EOY$6,367,117EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$35,217,938BOYAmt
EOY$33,143,484EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$17,369,838BOYAmt
EOY$19,644,180EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,264,519BOYAmt
EOY$6,260,025EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$22,634,357BOYAmt
EOY$25,904,205EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$12,583,581BOYAmt
EOY$7,239,279EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$12,583,581BOYAmt
EOY$7,239,279EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$35,217,938BOYAmt
EOY$33,143,484EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$41,933,552ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$36,589,250OtherChangesInNetAssetsAmt
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$19,217,070CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$34,419,109CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$96,211,200CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$127,385,368CurrentTaxYearMinus1YearAmt
Current Tax Year$152,362,129CurrentTaxYearAmt
Total$429,594,876TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$19,217,070CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$34,419,109CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$96,211,200CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$127,385,368CurrentTaxYearMinus1YearAmt
Current Tax Year$152,362,129CurrentTaxYearAmt
Total$429,594,876TotalAmt

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$429,594,876PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,515CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,728CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,105CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16,287CurrentTaxYearMinus1YearAmt
Current Tax Year$13,857CurrentTaxYearAmt
Total$51,492TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,515CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,728CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,105CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16,287CurrentTaxYearMinus1YearAmt
Current Tax Year$13,857CurrentTaxYearAmt
Total$51,492TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$19,221,585CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$34,426,837CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$96,220,305CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$127,401,655CurrentTaxYearMinus1YearAmt
Current Tax Year$152,375,986CurrentTaxYearAmt
Total$429,646,368TotalAmt
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$1,500OtherCostOrOtherBasisAmt
Book Value$1,500BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,210,894OtherCostOrOtherBasisAmt
Depreciation$263,241DepreciationAmt
Book Value$947,653BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,364,239OtherCostOrOtherBasisAmt
Depreciation$5,199,182DepreciationAmt
Book Value$5,165,057BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,114,210TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
Other Receivables$3,015,552
Sales Tax Receivables$366,132
Intercompany Receivables$1,873,327
Physician Loan Receivables$1,112,106
FieldValueIRS element (for citing)
Total Book Value Other Assets$6,367,117TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Worker Compensation Long Term$302,025
Self-Insurance Reserve$5,092,686
Current Reserve for Professional Liability$865,314
FieldValueIRS element (for citing)
Total Liability$6,260,025TotalLiabilityAmt
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, 2014 and 2013. 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 2010.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 (13 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
David Herman MD
CEO$0$1,019,677$0$186,404$0$67,651$0$74,000$0$22,302$0$1,370,034$0$0
Travis Douglass
Manager$0$270,660$0$37,863$0$0$0$37,530$0$33,473$0$379,526$0$0
Roger Robertson
President, VCOM$0$382,629$0$41,994$0$2,031$0$74,172$0$37,173$0$537,999$0$0
David S Hughes
Treasurer$0$384,865$0$53,900$0$1,238$0$99,644$0$39,347$0$578,994$0$0
William Floyd
Executive Vice President$0$316,758$0$39,652$0$416$0$56,460$0$32,873$0$446,159$0$0
Mark Rumans
Chief Medical Officer$0$309,245$0$0$0$2,383$0$31,357$0$16,365$0$359,350$0$0
Clyde Brooks
VP, Medical Affairs$268,035$0$17,542$0$0$0$32,954$0$41,669$0$360,200$0$0$0
Matthew Meyers
VP, Operations$191,887$0$0$0$0$0$15,771$0$37,076$0$244,734$0$0$0
Gary Fontana
Physician$831,653$0$0$0$0$0$0$0$42,685$0$874,338$0$0$0
Michael K Smith
Physician$757,380$0$0$0$0$0$0$0$39,941$0$797,321$0$0$0
Jerry A Simpson
Physician$715,770$0$0$0$0$0$0$0$42,365$0$758,135$0$0$0
Anthony J Christiano Jr
Physician$717,627$0$0$0$0$0$0$0$42,618$0$760,245$0$0$0
Charles B Jones
Physician$712,857$0$0$0$0$0$0$0$39,625$0$752,482$0$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 4,015,847. Management and general expenses 110,839. Fundraising expenses 0. Total expenses 4,126,686. Physician Fees: Program service expenses 19,320,496. Management and general expenses 0. Fundraising expenses 0. Total expenses 19,320,496. Other Service Contracts: Program service expenses 12,014,556. Management and general expenses 331,608. Fundraising expenses 0. Total expenses 12,346,164.
Form 990, Part XI, line 9:Net Asset Transfer 36,589,250.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
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 Org0GiftGrntCapContriFromOthOrgInd
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
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Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd