STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA INC (EIN 56-2141073)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-08
IRS object ID
201402209349300990
Schema version
2012v2.1
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)
Timestamp2014-08-08T14:27:26-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN420714325EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MCGLADREY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11 S WACKER DRIVE STE 800AddressLine1
CityCHICAGOCity
StateILState
ZIP Code60606ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN562141073EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1University Health Systems of EasternBusinessNameLine1
Business Name Line2Carolina IncBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlUNIVNameControl
Phone2528475129Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameDavid HughesName
TitleChief Financial OfficerTitle
Phone2528475129Phone
Date Signed2014-08-08DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameWayne HarderName
PTINP00294296PTIN
Phone3126343400Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1Vidant HealthBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonDavid HermanNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12100 Stantonsburg RoadAddressLine1
CityGreenvilleCity
StateNCState
ZIP Code27835ZIPCode
FieldValueIRS element (for citing)
Gross Receipts121465261GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.vidanthealth.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1998YearFormation
State Legal DomicileNCStateLegalDomicile
Activity Or Mission DescriptionTo advance and support the healthcare needs of the communities of Eastern North Carolina.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees806TotalNbrEmployees
Total Nbr Volunteers13TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year178852ContributionsGrantsPriorYear
Contributions Grants Current Year329599ContributionsGrantsCurrentYear
Program Service Revenue Prior Year103483821ProgramServiceRevenuePriorYear
Program Service Revenue CY120574040ProgramServiceRevenueCY
Investment Income Prior Year4341133InvestmentIncomePriorYear
Investment Income Current Year561622InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year108003806TotalRevenuePriorYear
Total Revenue Current Year121465261TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year3419509GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1505886GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year56818469SalariesEtcPriorYear
Salaries Etc Current Year68728787SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year86115441OtherExpensePriorYear
Other Expenses Current Year86246882OtherExpensesCurrentYear
Total Expenses Prior Year146353419TotalExpensesPriorYear
Total Expenses Current Year156481555TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-38349613RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-35016294RevenuesLessExpensesCY
Total Assets BOY796136985TotalAssetsBOY
Total Assets EOY791425690TotalAssetsEOY
Total Liabilities BOY609681430TotalLiabilitiesBOY
Total Liabilities EOY622950006TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY186455555NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY168475684NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionThe mission of Vidant Health is to enhance the quality of life for the people and communities we serve, touch and support.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense146505058Expense
Grants1505886Grants
Revenue120574040Revenue
DescriptionSee Schedule ODescription

Activity2 Activity2

FieldValueIRS element (for citing)
DescriptionSee Schedule ODescription
FieldValueIRS element (for citing)
Total Program Service Expense146505058TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096836NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees806NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Own WebsiteXOwnWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Chris TownsendBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2528475129TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (37 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Marcus S Albernaz MD
Vice Chairman2.004.00X000
Joanne K Burgdorff
Asst. Secretary2.002.00X000
Phillip K Flowers
Board Director2.002.00X000
Arthur H Keeney III
Chairman2.006.00X000
Thomasine S Kennedy
Secretary2.004.00X000
Melvin C McLawhorn
Board Director2.002.00X000
Walter E Pofahl II MD
Board Director2.004.00X000
David Womack
Board Director2.002.00X000
S Lawrence Davenport
Board Director2.000.00X000
Ernest L Evans
Treasurer2.000.00X000
Cassius S Williams
Board Director2.006.00X000
Dr David Herman
Chief Executive Officer40.0012.001187622089223X
David Hughes
CFO40.0012.004040520139056X
Roger Robertson
President, VCOM40.008.00400870090819X
Janet Mullaney
Chief Administrative Officer40.000.003802690105670X
Kathy Barger
Chief Sys Growth & Dev Off40.000.00321001074880X
Stephen Lawler
President, VMC2.0040.000725691161181X
Anissa Davenport
Chief Strategic Dev & Mktg Officer40.000.00222503073976X
Joel Butler
Chief External Affairs Officer40.000.00269786076979X
Joan Wynn
Chief Quality&Patient Safety Officer40.000.00237355085242X
Timothy McDonnell
Chief Facilities Officer40.002.00217260081945X
John Falcetano
Chief Audit/Compliance Officer40.000.00194167068563X
Laura Land
Chief Human Resouces Officer40.000.00000X
David McRae
Chief Executive Officer, Emeritus40.000.0016852990104278X
Nancy Aycock
Chief General Counsel40.000.001658395052001X
Stuart James
Chief Information Officer40.000.00762573068546X
Preston Comeaux III
VP, FinSuptSvs-SupChainMgt-UHS40.000.00206220041540X
Mary Collier
VP, Service&Patient Family Exp40.000.00197608035879X
Lynn Lanier
VP, ECH Financial Svcs - UHS2.0042.00216020076267X
Carmen Vincent
VP, Corp Accred & Reg Comp-UHS40.000.00185969043001X
Sharon Tanner
President, Albemarle Health40.000.00937430046030X
Raymond Owings
VP, Financial Svs-Albemarle40.000.00249631044098X
William Case
President, Beaufort40.000.00297817093911X
David Michael
Chief Medical Info Officer40.000.00256122064652X
Jay Briley
President, Duplin40.000.00191692053988X
Jack Holsten
Chief Financial Officer0.000.00292344060258X
Jeffrey Chambers
Chief Human Resouces Officer0.000.00268559016338X
FieldValueIRS element (for citing)
Total Reportable Comp From Org11240564TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs725691TotalReportableCompFrmRltdOrgs
Total Other Compensation1848321TotalOtherCompensation
Number Individuals GT100 K109NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
EPIC Systems Corporation
PO Box 88314MilwaukeeWI53288Contracted Services2145785
OptuminSight
PO Box 86 SDS 23-2547MinneapolisMN55486Consulting Services1870978
Jennings & Company
104A North Elliott RoadChapel HillNC75254Marketing Services1604349
Philips Healthcare Informatics
4100 East Third AvenueFoster CityCA94404Service Contracts1397431
VHA Inc
75 Remittance Drive Suite 1855ChicagoIL60675Consulting Services1120932
FieldValueIRS element (for citing)
Number Of Contractors GT100 K44NumberOfContractorsGT100K
All Other Contributions329599AllOtherContributions
Total Contributions329599TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionAdministrative Support for SupporDescription
Business Code900099BusinessCode
Total Revenue Column120574040TotalRevenueColumn
Related Or Exempt Function Income120574040RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue120574040TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column561622TotalRevenueColumn
Exclusion$561,622ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column121465261TotalRevenueColumn
Related Or Exempt Function Income120574040RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$561,622ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1505886Total
Program Services1505886ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total7681870Total
Program Services7681870ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total783406Total
Program Services783406ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total49317011Total
Program Services49317011ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total875707Total
Program Services875707ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6569734Total
Program Services6569734ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3501059Total
Program Services3501059ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total724653Total
Management And General724653ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total145201Total
Management And General145201ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total1349693Total
Program Services1349693ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total17836162Total
Program Services8918081ProgramServices
Management And General8918081ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2828564Total
Program Services2828564ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4714045Total
Program Services4525483ProgramServices
Management And General188562ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3571458Total
Program Services3571458ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2211351Total
Program Services2211351ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total1229804Total
Program Services1229804ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total24869333Total
Program Services24869333ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total10680390Total
Program Services10680390ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total8720854Total
Program Services8720854ProgramServices

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
Medical Supplies56245125624512
Membership Dues789970789970

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total950892Total
Program Services950892ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total156481555Total
Program Services146505058ProgramServices
Management And General9976497ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY16090963BOY
EOY7960648EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3734117BOY
EOY4319526EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis51413722LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec16918759LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY28979279BOY
EOY34494963EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY305374BOY
EOY305374EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY747027252BOY
EOY744345179EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY796136985BOY
EOY791425690EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY39154049BOY
EOY35702926EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY541188843BOY
EOY543087079EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY29338538BOY
EOY44160001EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY609681430BOY
EOY622950006EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY186455555BOY
EOY168475684EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY186455555BOY
EOY168475684EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY796136985BOY
EOY791425690EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-35016294ReconcilationRevenueExpenses
Reconciliation Unrealized Invest17036423ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (5 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
Pitt County Memorial Hospital
5605852433111$10,706,277
East Carolina Health
9119979793111$768,918
East Carolina Health (RCH)
5620033933111$1,006,153
PCMH Management
5616907409111$1,560,951
HealthAccess Inc
5613961339111$59,713
FieldValueIRS element (for citing)
Total Number Of Supported Orgs5TotalNumberOfSupportedOrgs
Sum Of Amounts14102012SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$46,726OtherActivitiesAmount
Total Lobbying Expenditures IIB46726TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierExplanation of Lobbying Activities:Identifier
Return ReferencePart II-B, Line 1:ReturnReference
Explanation23.65% of dues to AHA are allocated to lobbying.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1764436OtherCostOrOtherBasis
Book Value1764436BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1574590OtherCostOrOtherBasis
Depreciation183027Depreciation
Book Value1391563BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis48074696OtherCostOrOtherBasis
Depreciation16735732Depreciation
Book Value31338964BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings34494963TotalOfBookValueLandBuildings

Other Assets OtherAssets (8 entries)

DescriptionDescriptionBook ValueBookValue
Due from affiliates464870860
Assets limited for improvements159396784
Assets limited for liability losses30268354
Assets held by trustee18069237
Other assets6961911
Other receivables27793006
Inventory1383625
Deferred Outflows from Refunding35601402
FieldValueIRS element (for citing)
Total Book Value Other Assets744345179TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Reserve for Professional Liability Losses$30,700,001
Other Liabilities$13,460,000
FieldValueIRS element (for citing)
Total Of Amounts44160001TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDescription of Uncertain Tax Positions Under FIN 48:Identifier
Return ReferencePart X, Line 2:ReturnReference
ExplanationVidant Health has been determined to qualify as a tax-exempt organization under Section 501(c)(3) of the Internal Revenue Code. Vidant Health has reviewed its tax positions for all open years and has concluded that no material liabilities exist as of September 30, 2013 and 2012. Vidant Health files tax returns with the U.S. federal and State of North Carolina jurisdictions. With few exceptions, Vidant Health is no longer subject to U.S. federal examinations by tax authorities for years before 2009.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
Foundation of Nursing
PO Box 2129RaleighNC27602560340470501(c)(3)10000General Support
NC Physicians Health Program Inc
220 Horizon Drive Suite 201RaleighNC27615561846599501(c)(3)12000General Support
East Carolina University
120 Reade StreetGreenvilleNC278585660004031483886General Support
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants3TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: Primary oversight responsibility for all grants received by Vidant Health organizations rests with the entity receiving the funds. Each entity is responsible for documenting the receipt of funds, assigning a cost center to track expenses and/or creating a restricted liability for deposit of the funds, documenting expenditures and completing all grantor required reporting. Their compliance with the terms of the agreement related to project implementation and management, fund expenditures and reporting is monitored by the granting agency's designated contact person with assistance from the Vidant Health Grants office. Note: The majority of the grant funds received for programs at PCMH (D/B/A Vidant Medical Center) are acquired through the VMC Foundation which has a compliance audit completed each year. Grant funds for Vidant Health are sent to the Vidant Health Foundation and have the same audit procedures. All grant funds are recorded/monitored by the corporate accountant and the Assistant Vice President of Financial Services. Selection Criteria/Process Grants provided by the Vidant Health and VMC Foundations require the applicant to be a 501(c)(3) or government entity and recipients are required to provide proof of their status by submitting a copy of their IRS Letter of Determination. Requests must be related to disease prevention and disease management or wellness. There are different health related focus areas for each of the hospitals community benefits grant programs. Each hospital's program has their own local community benefits grants review committee comprised of local representatives from their respective communities. These committees review letters of intent, decide which organizations are to be invited to submit a grant application, then review the grant applications and make funding recommendations. Their funding recommendations are then reviewed by the Vidant Health Foundation Community Benefits Committee and final decisions are confirmed by the Vidant Health Foundation Board.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelXFirstClassOrCharterTravel
Travel For CompanionsXTravelForCompanions
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (25 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Dr David Herman
Chief Executive Officer907202018500609541407250001672301276845000
David Hughes
CFO3575020455000105001009660380900543108000
Roger Robertson
President, VCOM362398036780016920705560202630491689000
Janet Mullaney
Chief Administrative Officer330457048793010190686200370500485939000
Kathy Barger
Chief Sys Growth & Dev Off30059401962707800557860190940395881000
Stephen Lawler
President, VMC06099470110023057210120209040972088687200
Anissa Davenport
Chief Strategic Dev & Mktg Officer20912701308302930356960382800296479000
Joel Butler
Chief External Affairs Officer232700035588014980370890398900346765000
Joan Wynn
Chief Quality&Patient Safety Officer22328101362404500463070389350322597000
Timothy McDonnell
Chief Facilities Officer20082301587105660408800410650299205000
John Falcetano
Chief Audit/Compliance Officer17978701360907710361650323980262730000
David McRae
Chief Executive Officer, Emeritus1157570022162603061030725000317780178957702941570
Nancy Aycock
Chief General Counsel298131042793013174710338170181840171039602480770
Stuart James
Chief Information Officer30011002150704409560310030375430831119000
Preston Comeaux III
VP, FinSuptSvs-SupChainMgt-UHS192387012596012370234760180640247760000
Mary Collier
VP, Service&Patient Family Exp18407201308504510198600160190233487000
Lynn Lanier
VP, ECH Financial Svcs - UHS20320501227605390458910303760292287000
Carmen Vincent
VP, Corp Accred & Reg Comp-UHS17301701253304190268950161060228970000
Sharon Tanner
President, Albemarle Health3263380006110920294100166200983460000
Raymond Owings
VP, Financial Svs-Albemarle173065000765660168620272360293729000
William Case
President, Beaufort267749028708013600522040417070391728000
David Michael
Chief Medical Info Officer241185014937000266000380520320774000
Jay Briley
President, Duplin173692018000000241870298010245680000
Jack Holsten
Chief Financial Officer29036900019750292080310500352602000
Jeffrey Chambers
Chief Human Resouces Officer139809000128750013953023850284897000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part I, Line 1aDavid Herman, Roger Robertson, Kathy Barger, Joan Wynn, Janet Mullaney were provided with first-class or charter travel. Totals during the year amounted to $42,892. These amounts are nontaxable to the recipients. David Herman also was provided with spousal travel, temporary housing and travel reimbursements for business travel to Minnesota, in the following amounts: - Spousal Travel $4,692 - Housing Allowance 20,000 - Mileage/Other Reimb 69,339 David McRae received taxable compensation for social club dues in the amount of $3,624.
Part I, Lines 4a-bThe following individuals received severance payments during the year in the following amounts: - Stuart James, $440,000 - Sharon Tanner, 601,945 - Raymond Owings, 76,566 - Jeffrey Chambers, 128,750 The amounts of compensation reported to these individuals are included in Schedule J, Part II, column B(iii) as taxable W-2 wages during the 2012 calendar year. David McRae, CEO Emeritus, received payment from his SERP. Of the compensation reported in Column B(iii) of Part II to this Schedule, $294,157 is attributable to a distribution from a SERP. This amount has been reported as deferred compensation on prior filings. Nancy Aycock, Chief General Counsel, received payment from her SERP. Of the compensation reported in Column B(iii) of Part II to this Schedule, $1,315,494 is attributable to a distribution from a SERP. Of the total amount, $591,972 was paid to Federal and State governments as withheld taxes. The remainder is held by a trustee with actuarially determined monthly payments, consisting of principal and earnings, being made to Mrs. Aycock over a specified number of years. This retirement compensation was earned by the recipient over 21 years of service. The following individuals participated in a supplemental non-qualified retirement plan during the year. The yearly change of such plan is included in their compensation per Schedule J, Part II, column C: - Kathy Barger, $13,536 - Joel Butler, (1,224) - William Case, 16,824 - Anissa Davenport, 8,976 - John Falcetano, 12,480 - David Hughes, 55,608 - Lynn Lanier, 16,812 - Stephen Lawler, 45,804 - Timothy McDonnell, 13,500 - Janet Mullaney, 22,452 - Roger Robertson, 19,716 - Carmen Vincent, 2,076 - Joan Wynn, 13,812

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
North Carolina Medical Care Commission
A52130940265821DCB52008-12-10112690000Proceeds were used to refund100
North Carolina Medical Care Commission
B52130940265821DCC32008-12-10123850000Proceeds were used to refund100
North Carolina Medical Care Commission
C52130940265821DBF72008-12-1074455000Proceeds were used to refund100
North Carolina Medical Care Commission
D52130940265821DBW02008-12-10119715000Proceeds were used to refund000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCdAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsOther Spent ProceedsOtherSpentProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount In Reserve FundAmountInReserveFundRefunding EscrowRefundingEscrow
A10126813511238020849714011188306820090111
B11180392012351012874706012276306820090111
C715250007949757920141846225552009011183223773841369
D111172271322582994800002009011111369689

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A1000001
B1000001
C0000001
D0000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
Citibank NA
A01001127.00000000000000000
Citibank NA
B01001127.00000000000000000
(no name)
C01000000
(no name)
D010000000

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A1
B1
C1
D1

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
North Carolina Medical Care Commission
A52130940265821DBU42008-12-1077900000Proceeds were used to refund100
North Carolina Medical Care Commission
B521309402NONEAVAIL2011-06-2350000000To purchase capital equipment000
North Carolina Medical Care Commission
C52130940265821DKH32012-05-03159226894Proceeds used to partially refund000
North Carolina Medical Care Commission
D521309402noneAVAIL2013-08-22213605000Proceeds used to refund 2008000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCdAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsOther Spent ProceedsOtherSpentProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindCapital ExpendituresCapitalExpenditures
A759350008600816250664680787160212631450172520090111
B500000002011001150000000
C159226894157792115764897320121111
D21361205621307205654000020131111

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A1000001
B0000001
C0000001
D0000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
A010000000
B010010000
C010000000
D010000000

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A1
B1
C1
D1

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Rock Springs
Phillip Flowers (Board Director) owns/has material interest in Rock Springs142000Occasional catering services for Vidant Health entities.0
Anissa Davenport Chief Strategic Development & Marketing Officer
Lawrence Davenport (Board Director) has a family relationship with Anissa222503Employee of Vidant Health0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Program Service StatementForm 990, Part III, Line 4aOverview of University Health Systems of Eastern Carolina, D.B.A Vidant Health ("VH") At Vidant Health ("VH"), we are committed to improving the health of our communities. Eastern North Carolina residents look to our hospitals for quality health care. We work hard to uphold the trust that our communities place in us. Through a clear vision, disciplined leadership and committed employees, VH serves the needs of the region, including those who are underserved and need us the most. Our mission at VH, to enhance the quality of life for the people and communities we serve, touch and support, drives us far beyond caring for patients within the confines of our hospital walls. It calls us to help make Eastern North Carolina a better, healthier place to live. VH is a North Carolina non-profit corporation with headquarters in Greenville, North Carolina. VH and its affiliates operate an integrated health care delivery system that serves a total market of approximately 1.4 million people in 29 contiguous counties in Eastern North Carolina. The health system includes hospitals, physician practices, outpatient services, long-term care, home health, hospice, and wellness services. The health system's owned hospitals are Vidant Medical Center ("VMC"), which is a tertiary care hospital and an academic medical center, and eight other acute care hospitals; Vidant Roanoke-Chowan Hospital, Vidant Edgecombe Hospital, Vidant Chowan Hospital, Vidant Bertie Hospital, Vidant Duplin Hospital, Vidant Beaufort Hospital, Vidant Pungo Hospital and the Outer Banks Hospital. VH also manages Albemarle Hospital. VMC serves as the teaching hospital for the Brody School of Medicine, East Carolina Schools of Nursing and Allied Health and Pitt Community College. The system also serves as a regional referral center for Eastern North Carolina. The system's nine owned acute care hospitals are licensed to operate 1,488 beds. Each hospital is licensed by the division of facility services of the North Carolina Department of Health and Human Services and approved as a provider by the Medicare and Medicaid programs. VH and its hospitals and affiliate organizations provide services to patients without regard to their ability to pay. In fiscal year 2013 VH combined patient care statistics were: inpatient admissions, 67,383; inpatient days of care, 353,862; surgeries, 46,802; births, 5,911; and outpatient visits, 486,429. Our system's workforce included 12,561 employees. Each of VH's hospitals operates an emergency room, which is open 24 hours a day. VMC also offers a full spectrum of trauma services. Emergency and trauma services are provided to patients without regard to their ability to pay. In fiscal year 2013 VH provided care to 273,073 emergency room patients. VH's Board of Directors consists of 11 voting members, six of whom must be current or former Pitt County, North Carolina appointees of VMC's Board of Trustees and five of whom must be current or former Board of Governors of the University of North Carolina appointees of VMC's Board of Trustees. VMC, in affiliation with the Brody School of Medicine, which is owned by the state of North Carolina, operates 30 resident-training programs with over 400 medical residents. This relationship enables VMC and the Brody School of Medicine to combine their resources for the provision of quality patient care, medical education and research for the residents of Eastern North Carolina. The Brody School of Medicine has three important goals: educating primary care physicians, making medical care more readily available to the people of Eastern North Carolina, and providing opportunities to minority and disadvantaged students. As a non-profit organization, VH reinvests all excess of revenues over expenses in programs, services, and facilities that provide access to patient care and health services to the citizens of Eastern Carolina. Overview of Vidant Health Company Benefit Programs: 1. Eastern North Carolina is comprised of 1.4 million people living in 14,000 square miles. Boundaries are from I-95 east to the coast, and from the Virginia line up to and including Onslow County. The area is largely rural and largely poor, with higher than state or national average rates for poverty and uninsured. Health status indicators show increased incidence of disease in the region, especially cancer, heart disease and stroke. VH determines priorities for target populations by working in concert with medical and community agency partners in ongoing assessment of the most pressing health care needs. Many efforts over the past decade have focused on diabetes, pediatric asthma, school health, injury prevention, access to care, nutrition enhancement, physical activities and chronic disease screenings. Also, special programs to manage the care of Medicaid enrollees, address access to both medical care and medications for the uninsured, and coordination of services for children with obesity have been undertaken. The populations that are served by addressing these issues are largely the poor, the underserved, and minorities. Determination of specific populations to address occurs when partners such as the North Carolina Department of Health and Human Services, local health departments, county Healthy Carolinian task forces, and physicians identify a quantifiable need, and community partners are engaged to work together with the health system. 2. Funding for community health programs is obtained from both the operating funds of VH entities and external grant-awarding organizations. The VH board annually provides financial support for the community benefit initiatives program of its foundation. These funds are then awarded to community agencies that successfully demonstrate both need and a well-designed plan to address one of the foundation's priority categories. In addition, each VH hospital financially supports community health resources within its operating budget. Programs vary according to the hospital's financial ability and community need, but all include collaborative efforts with local health departments, including health screenings and education to targeted populations. VH also has a successful track record of obtaining community health program support from external agencies that award grant funding to approve projects. The VH grants office was established in 2008 and serves as the central point from grant mining, acquisition and management of grants awarded to VH hospitals from community-based programs. Grant funds are utilized to demonstrate the effectiveness of a proposed community program, measure the outcomes achieved, and garner long-term sustainability from either the health system, other community agencies or as a collaborative program. Many community health programs are collaborative in nature with local service agencies, and often a portion of the grant funds are used to support resources or services in these agencies. 3. Community health priorities are determined in several ways. In partnership with the local health departments, the results of state-mandated community health assessments are studied by each local Healthy Carolinians task force. Those task force groups then compile a list of the most pressing issues in their communities based on data community input. Both established resources within various agencies and potential opportunities to garner new support are reviewed.
Program Service StatementForm 990, Part III, Line 4b4. Community priorities are also established in response to a compelling need identified by health practitioners or community groups. Examples include the pediatric asthma program that has been in place for over 10 years in Pitt County, and expanded to other communities in the region. This major community-based program was established following a plea for assistance by pediatricians and pediatric clinical nurse specialists caring for children with asthma in the acute care setting. The Pitt County School system and local parents identified a lack of health care support in the schools, resulting in an award-winning school nurse program that has been replicated in several counties. Most recently, the focused attention on pediatric obesity and associated diseases has resulted in multiple community-based programs directed at improving nutrition, physical activity, and case management for that population. VH is fortunate to have a strong collaborative partnership with East Carolina University, and works closely with the schools within the health sciences division, especially the Brody School of Medicine. BSOM is an active participant in almost every community health initiative, supporting the research and evaluation of these programs, and contributes to programs for the under and uninsured in multiple ways. ECU and other educational institutions whose students matriculate through VH facilities also provide opportunities for collaboration and participation in various community health initiatives. 5. Provided below are a few highlights of the community benefit and education activities: a. Community Health Improvement Services - Community health improvement services are programs and services that meet an identified need and are offered to the community at little or no charge. VH hospitals sponsor programs that improve access to health care for the underserved and enhance the identification and management of chronic diseases, such as cancer, diabetes and heart disease. Here are a few examples of these programs: - Medication assistance programs for uninsured patients - The Pediatric Healthy Weight Program - Support for Healthy Carolinians collobaratives, including Pitt Partners for Health, the Hertford Partnership for Health and Three Rivers Healthy Carolinians. - School nurse programs - Support for the Community Care Plan of Eastern Carolina for Medicaid recipients and HealthAssist for the uninsured - Support of local Federally Qualified Health Center b. Health Professional Education - preparing future health care professionals is important to us. Our hospitals provide clinical settings for students of health professions, such as future physicians, nurses and other allied health professionals. We also support students through deferred forgivable loans and internships including resident training, nursing clinic sites, allied health professionals, and financial support of nursing programs. c. Research - East Carolina University (ECU) conducts research to evaluate new treatments and protocols. These studies help health professionals everywhere provide quality care to patients. VH supports this through various means including supporting the institutional review board at ECU and providing study sites. d. Financial and In-Kind Contributions - VH donates money and in-kind services to community groups and activities that share our mission of improving health. They include Meals on Wheels, American Red Cross blood drives, medical supplies to emergency medical services, and free medication to qualifying patients. VH hospitals are key partners in fundraising for organizations such as the United Way, American Heart Association, Juvenile Diabetes Association and the American Cancer Society. VH contributed $1.0 million to the Community Benefits Grants Program which awards grants to local non-profits for health related programs. e. Community Building - Community-building activities include programs that are not directly related to health care but address underlying issues that impact the health of communities. Poverty, crime, homelessness, workforce development and economic development all affect the overall health of communities. VH has provided support for our local Chambers of Commerce, financial support for road improvements, investments in communication infrastructure via information technology connections, support for the teen leadership academy, recruitment of physicians to our rural communities, and programs that encourage students to pursue health careers.
Form 990, Part VI, Section A, line 2Lawrence Davenport, Board Director, is related to Anissa Davenport, Chief Strategic Development and Marketing Officer.
Form 990, Part VI, Section B, line 11The 990 is made available to Board Members by posting to a Board Member's website. Any Board Member who does not have the ability to access the return in this manner will receive a copy via electronic or regular mail. The return is also reviewed by the Chief Financial Officer, Chief General Counsel and the Chief Audit and Compliance Officer of University Health Systems prior to filing.
Form 990, Part VI, Section B, line 12cAll 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 Top Management Official is the CEO who is an employee of VH. 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 2012. It will be performed again in fiscal year 2014. 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 2012. It will be performed again in fiscal year 2014. 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.
Other FeesForm 990, Part IX, line 11gConsultant Fees: Program service expenses 8,918,081. Management and general expenses 8,918,081. Fundraising expenses 0. Total expenses 17,836,162.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (14 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Pitt County Memorial Hospital Inc (DBA Vidant Medical Center)
2100 Stantonsburg RoadGreenvilleNC27835560585243HospitalNC501(c)(3)Line 3Vidant Health1
Surgicenter Services of Pitt Inc
102 Bethesda DriveGreenvilleNC27835561690553HealthcareNC501(c)(3)Line 11b, IIVidant Medical Center1
East Carolina Health Inc (DBA Vidant Community Hospitals - Central)
2100 Stantonsburg RoadGreenvilleNC27835562003393HospitalNC501(c)(3)Line 3Vidant Health1
PCMH Management Inc (DBA Vidant Properties)
2100 Stantonsburg RoadGreenvilleNC27835561690740Medical Property ManagementNC501(c)(2)Vidant Health1
HealthAccess Inc
2100 Stantonsburg RoadGreenvilleNC27835561396133HealthcareNC501(c)(3)Line 11b, IIVidant Health1
Vidant Medical Group LLC
2100 Stantonsburg RoadGreenvilleNC27835383740839HealthcareNC501(c)(3)Line 9Vidant Health1
The Outer Banks Hospital
2100 Stantonsburg RoadGreenvilleNC27835562112733HospitalNC501(c)(3)Line 3East Carolina Health1
East Carolina Health-Bertie (DBA Vidant Bertie Hospital)
2100 Stantonsburg RoadGreenvilleNC27835562072002HospitalNC501(c)(3)Line 3Vidant Health1
East Carolina Health-Chowan (DBA Vidant Chowan Hospital)
2100 Stantonsburg RoadGreenvilleNC27835562101090HospitalNC501(c)(3)Line 3Vidant Health1
East Carolina Health-Heritage (DBA Vidant Edgecombe Hospital)
2100 Stantonsburg RoadGreenvilleNC27835562093700HospitalNC501(c)(3)Line 3Vidant Health1
East Carolina Health-Beaufort (DBA Vidant Beaufort Hospital)
2100 Stantonsburg RoadGreenvilleNC27835452436270HospitalNC501(c)(3)Line 3Vidant Health1
Duplin General Hospital (DBA Vidant Duplin Hospital)
2100 Stantonsburg RoadGreenvilleNC27835566011594HospitalNC501(c)(3)Line 3Vidant Health1
East Carolina Health Inc (DBA Vidant Roanoke-Chowan Hospital)
2100 Stantonsburg RoadGreenvilleNC27835264634725HospitalNC501(c)(3)Line 3Vidant Health1
Pungo District Hospital Corporation (DBA Vidant Pungo Hospital)
2100 Stantonsburg RoadGreenvilleNC27835560518757HospitalNC501(c)(3)Line 3Vidant Health1

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Surgicenter of Eastern Carolina LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12100 Stantonsburg RoadAddressLine1
CityGreenvilleCity
StateNCState
ZIP Code27835ZIPCode
FieldValueIRS element (for citing)
EIN262558314EIN
Primary ActivityAmbulatory Surgical ServicesPrimaryActivity
Legal Domicile StateNCLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1VMCBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRelatedPredominantIncomeType
Share Of Total Income36507995ShareOfTotalIncome
Share Of EOY Assets41192321ShareOfEOYAssets
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner0GeneralOrManagingPartner
Percentage Ownership0.55000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (46 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Pitt County Memorial Hospital Inc
A14951267Actual Cash Payment
East Carolina Health-Heritage Inc
A2733650Actual Cash Payment
East Carolina Health (RCH)
A431479Actual Cash Payment
East Carolina Health-Chowan Inc
A156790Actual Cash Payment
East Carolina Health-Beaufort Inc
A252622Actual Cash Payment
PCMH Management Inc
O96658Actual Cash Payment
HealthAccess Inc
O59713Actual Cash Payment
Pitt County Memorial Hospital Inc
O10414030Actual Cash Payment
East Carolina Health
O1006153Actual Cash Payment
Duplin General Inc
P1006773Actual Cash Payment
Pitt County Memorial Hospital Inc
P26518821Actual Cash Payment
HealthAccess Inc
P233872Actual Cash Payment
East Carolina Health-Bertie
P279509Actual Cash Payment
East Carolina Health-Heritage Inc
P1714534Actual Cash Payment
East Carolina Health (RCH)
P960837Actual Cash Payment
Surgicenter of Eastern Carolina LLC
P146256Actual Cash Payment
PCMH Management Inc
P1648389Actual Cash Payment
East Carolina Health
P146108Actual Cash Payment
The Outer Banks Hospital Inc
P178653Actual Cash Payment
East Carolina Health-Beaufort Inc
P529332Actual Cash Payment
East Carolina Health-Pungo Inc
P350733Actual Cash Payment
Vidant Medical Group LLC
P1434428Actual Cash Payment
Surgicenter of Eastern Carolina LLC
K1096727Actual Cash Payment
HealthAccess Inc
K1354447Actual Cash Payment
PCMH Management Inc
K498384Actual Cash Payment
Vidant Medical Group LLC
K3282266Actual Cash Payment
East Carolina Health
K67128Actual Cash Payment
East Carolina Health-Bertie
K1497794Actual Cash Payment
East Carolina Health-Chowan Inc
K3815329Actual Cash Payment
East Carolina Health (RCH)
K5878419Actual Cash Payment
East Carolina Health-Heritage Inc
K6030526Actual Cash Payment
The Outer Banks Hospital Inc
K3047088Actual Cash Payment
Pitt County Memorial Hospital Inc
K79852910Actual Cash Payment
Duplin General Inc
K3308264Actual Cash Payment
East Carolina Health-Beaufort Inc
K4461508Actual Cash Payment
East Carolina Health-Pungo Inc
K1098948Actual Cash Payment
Pitt County Memorial Hospital Inc
P105655Actual Cash Payment
HealthAccess Inc
P58757Actual Cash Payment
Duplin General Inc
N614931Actual Cash Payment
Vidant Medical Group LLC
N363465Actual Cash Payment
Pitt County Memorial Hospital Inc
L186592Actual Cash Payment
East Carolina Health-Chowan Inc
L298711Actual Cash Payment
East Carolina Health-Heritage Inc
L364810Actual Cash Payment
PCMH Management Inc
J1464293Actual Cash Payment
Vidant Medical Group LLC
B48408156Actual Cash Payment
East Carolina Health (RCH)
B97252Actual Cash Payment