2015-08-12T09:24:22-05:00 2014-09-30 420714325 McGladrey LLP 1 S Wacker Drive Ste 800 Chicago IL 60606 990 2013-10-01 383740839 Vidant Medical Group LLC VIDA 2528475129 2100 Stantonsburg Road Greenville NC 27835 David S Hughes Manager 2528475129 2015-08-05 1 Wayne Harder P00294296 3126343400 2013 2016-02-25 16:41:14Z David S Hughes 2100 Stantonsburg Road Greenville NC 27835 152375986 0 X www.vidanthealth.com X 2006 NC To provide medical services in Eastern North Carolina. 7 0 813 0 0 0 0 0 143049358 152362129 16289 13857 0 0 143065647 152375986 0 0 0 0 106409760 116623475 0 0 0 71007268 77686063 177417028 194309538 -34351381 -41933552 35217938 33143484 22634357 25904205 12583581 7239279 To enhance the quality of life for the people and communities we serve, touch and support. 0 0 187910118 152362129 Vidant Health professionals provided evaluations, clinical care management and medically necessary procedures. 187910118 1 0 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 0 1 0 0 0 1 0 0 813 1 0 0 0 0 0 0 0 0 0 0 X 7 0 0 0 0 0 1 1 1 1 1 0 0 1 0 0 0 0 0 0 X X Chris Townsend 2528475129 2100 Stantonsburg Road Greenville NC 27835 David Herman MD CEO 2.00 50.00 X X 0 1273732 96302 Travis Douglass Manager 40.00 X 0 308523 71003 Roger Robertson President, VCOM 2.00 46.00 X 0 426654 111345 David S Hughes Treasurer 2.00 50.00 X X 0 440003 138991 William Floyd Executive Vice President 2.00 40.00 X 0 356826 89333 Mark Rumans Chief Medical Officer 40.00 X 0 311628 47722 Clyde Brooks VP, Medical Affairs 40.00 X 285577 0 74623 Matthew Meyers VP, Operations 40.00 X 191887 0 52847 Gary Fontana Physician 40.00 X 831653 0 42685 Michael K Smith Physician 40.00 X 757380 0 39941 Jerry A Simpson Physician 40.00 X 715770 0 42365 Anthony J Christiano Jr Physician 40.00 X 717627 0 42618 Charles B Jones Physician 40.00 X 712857 0 39625 4212751 3117366 889400 263 0 1 0 ECU School of Medicine PO Box 75514 Charlotte NC 282750514 Physician Services 6358429 Accenture LLP PO Box 70629 Chicago IL 60673 EPIC Ambulatory Build Services 3335665 Bunn Medical Associates 606 Ashburton Drive Greenville NC 27858 Physician Services 1959362 Eastern Carolina Emergency Services 606 Ashburton Drive Greenville NC 27858 Physician Services 1450561 Eastern Emergency Physicians Inc 3102 Star Hill Farm Road Greenville NC 27834 Physician Services 1425697 27 Patient Revenue 621110 100517432 100517432 Contract Management Fees 621110 51844697 51844697 152362129 13857 13857 152375986 152362129 0 13857 X 604934 588686 16248 101147150 98430419 2716731 1770912 1723347 47565 7575067 7371607 203460 5525412 5377004 148408 154409 150261 4148 11391 11085 306 35793346 35350899 442447 699520 679552 19968 12225789 11897414 328375 232723 226472 6251 593071 577142 15929 290512 188833 101679 46610 45358 1252 155074 13957 141117 2347449 2284398 63051 3887353 1749309 2138044 Bad Debt Expense 21083476 21083476 165340 160899 4441 194309538 187910118 6399420 0 3866338 3032698 16025529 15798357 768714 905793 1272388 925309 11576633 5462423 7695800 6114210 10507 5578662 6367117 35217938 33143484 17369838 19644180 5264519 6260025 22634357 25904205 X 12583581 7239279 12583581 7239279 35217938 33143484 X -41933552 36589250 X 0 1 X 1 0 X 19217070 34419109 96211200 127385368 152362129 429594876 19217070 34419109 96211200 127385368 152362129 429594876 0 0 0 429594876 4515 7728 9105 16287 13857 51492 4515 7728 9105 16287 13857 51492 19221585 34426837 96220305 127401655 152375986 429646368 0.99990 0.99990 0.00010 0.00010 X 1500 1500 1210894 263241 947653 10364239 5199182 5165057 6114210 Other Receivables 3015552 Sales Tax Receivables 366132 Intercompany Receivables 1873327 Physician Loan Receivables 1112106 6367117 Worker Compensation Long Term 302025 Self-Insurance Reserve 5092686 Current Reserve for Professional Liability 865314 6260025 X Part X, Line 2: Vidant 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. 0 0 0 0 0 0 0 0 0 David Herman MD CEO 0 1019677 0 186404 0 67651 0 74000 0 22302 0 1370034 0 0 Travis Douglass Manager 0 270660 0 37863 0 0 0 37530 0 33473 0 379526 0 0 Roger Robertson President, VCOM 0 382629 0 41994 0 2031 0 74172 0 37173 0 537999 0 0 David S Hughes Treasurer 0 384865 0 53900 0 1238 0 99644 0 39347 0 578994 0 0 William Floyd Executive Vice President 0 316758 0 39652 0 416 0 56460 0 32873 0 446159 0 0 Mark Rumans Chief Medical Officer 0 309245 0 0 0 2383 0 31357 0 16365 0 359350 0 0 Clyde Brooks VP, Medical Affairs 268035 0 17542 0 0 0 32954 0 41669 0 360200 0 0 0 Matthew Meyers VP, Operations 191887 0 0 0 0 0 15771 0 37076 0 244734 0 0 0 Gary Fontana Physician 831653 0 0 0 0 0 0 0 42685 0 874338 0 0 0 Michael K Smith Physician 757380 0 0 0 0 0 0 0 39941 0 797321 0 0 0 Jerry A Simpson Physician 715770 0 0 0 0 0 0 0 42365 0 758135 0 0 0 Anthony J Christiano Jr Physician 717627 0 0 0 0 0 0 0 42618 0 760245 0 0 0 Charles B Jones Physician 712857 0 0 0 0 0 0 0 39625 0 752482 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. 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 4 As 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). 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 11 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 12 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 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 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 Intercompany 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. University Health Systems of Eastern Carolina (DBA Vidant Health) 2100 Stantonsburg Road Greenville NC 27835 562141073 Healthcare NC 501(c)(3) Line 11c, III-FI N/A 0 East Carolina Health - Beaufort Inc 2100 Stantonsburg Road Greenville NC 27835 452436270 Healthcare NC 501(c)(3) Line 3 Vidant Health 0 Duplin General Hospital Inc 2100 Stantonsburg Road Greenville NC 27835 566011594 Healthcare NC 501(c)(3) Line 3 Vidant Health 0 The Outer Banks Hospital Inc 2100 Stantonsburg Road Greenville NC 27835 562112733 Healthcare NC 501(c)(3) Line 3 East Carolina Health 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0