2020-08-14T08:01:47-05:00 2019-09-30 560747981 Dixon Hughes Goodman LLP 500 Ridgefield Court Asheville NC 28806 990 2018-10-01 911997979 East Carolina Health Inc EAST 2528477479 2100 Stantonsburg Road Greenville NC 27835 David S Hughes Secretary and Treasurer 2528477479 2020-08-14 1 Amy Bibby P00445891 8282542254 2020-08-14 99.47.28.203 2020-08-14 07:21:33 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 48FB394F9AA065459641371F168D9F2AFFFBB473 2018 2020-09-23 17:36:50Z Vidant Comm Hospitals Group Jay Briley 2100 Stantonsburg Road Greenville NC 27835 419890652 1 1 8242 X www.vidanthealth.com X 1996 NC To advance and support the healthcare needs of the communities of eastern North Carolina. 7 4 0 496 0 0 2272032 2068432 389657890 411667858 228030 230687 7249370 5889015 399407322 419855992 0 264691 0 0 162217572 166246353 0 0 0 178104920 247383949 340322492 413894993 59084830 5960999 262649580 254726692 89155316 83391871 173494264 171334821 X To improve the health and well-being of eastern North Carolina 0 0 80298695 0 91869533 Vidant Edgecombe HospitalFormerly Heritage Hospital, is a 101-bed facility located in Tarboro, North Carolina, that is also licensed for 16 inpatient rehabilitiation beds. Services at Vidant Edgecombe include acute care, inpatient and same day surgery, emergency, critical care, obstetrics/gynecology, rehabilitiation and oncology services. It also operates a rural health center, which provides general, pediatric, women's and occupational health services. 82014182 1000 85283276 Vidant Beaufort HospitalVidant Beaufort Hospital is a 120-bed hospital located in Washington, North Carolina, that is also licensed for 22 inpatient Psychiatric beds. Services at Vidant Beaufort Hospital include acute care, obstetrics/gynecology, emergency, sub-acute care, speciality clinics and behavioral health. 86458024 155191 91440855 Vidant Roanoke-Chowan HospitalVidant Roanoke-Chowan Hospital is an 86-bed hospital located in Ahoskie, Northe Carolina, that is also licensed for 28 inpatient psychiatric beds. Services at Roanoake-Chowan Hospital include acute care, obstetrics/gynecology, emergency, sub-acute care, speciality clinics and behavioral health. The hospital also operates a wellness center for the community. 120522357 108500 143074194 All other services 120522357 108500 143074194 369293258 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 7 4 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NC X X Brian Dunn 2528477479 2100 Stantonsburg Road Greenville NC 27835 Michael Waldrum MD Chairman 2.00 48.00 X 0 1155199 218911 Marcus Albernaz MD Board Member 2.00 2.00 X 0 0 0 Bruce Gray Board Member 2.00 2.00 X 0 0 0 Polly Johnson Board Member 2.00 2.00 X 0 0 0 Phil Flowers Board Member 2.00 2.00 X 0 0 0 Arthur Keeney Board Member 2.00 4.00 X 0 0 0 Thomasine Kennedy Board Member 2.00 4.00 X 0 0 0 David Hughes Secretary/Treasurer 2.00 48.00 X 0 524535 1471416 Jay Briley President 40.00 6.00 X 101775 212156 111700 Chris Townsend VP, Financial Services 40.00 X 0 228567 96582 William Case President, Vidant Beaufort 40.00 X 0 245643 1050371 Wick Baker President, Vidant Edgecombe 40.00 X 250103 0 133511 Patrick Heins President, Vidant Edgecombe 40.00 X 228762 0 107890 Judy Bruno President VROA 40.00 X 0 159068 53741 Jeffrey Sackrison President, Chowan & Bertie 40.00 X 354564 0 254233 Brian Harvill President, Chowan & Bertie 40.00 X 188136 0 54793 Charles Alford VP Financial Services, Edgecombe & Roanoke-Chowan 40.00 X 167634 0 55137 Cindy Coker VP Pt Care Services, Chowan 40.00 X 150828 0 114218 Sue Taylor VP, Patient Care Services Duplin 40.00 X 162708 0 105028 Susan Suiter VP Patient Care Services, Edgecombe 40.00 X 156564 0 66765 Lucinda Crawford VP Financial Services, Duplin 40.00 X 153528 0 60641 Todd Warlitner VP Financial Services, Chowan & Bertie 40.00 X 0 159931 53728 Tammi Roos Anesthesiologist, Duplin 40.00 X 407867 0 62145 Robert Daniluk Mgr, Anesthesia, Edgecombe 40.00 X 297950 0 16847 Meri Gilman-Mays Mgr, Anesthesia, Chowan 40.00 X 294365 0 41636 Don Marshburn Mgr, Anesthesia, Roanoke Chowan 40.00 X 273896 0 154994 Betty Macias Nurse Anesthetist, Chowan 40.00 X 260809 0 89584 Roger Robertson Former President, ECH 40.00 X 0 461025 78388 3449489 3146124 4452259 117 1 1 0 Shiftwise PO Box 70870 St Paul MN 551709705 Temporary Services - Nursers 4139333 Horizon Health PO Box 840839 Dallas TX 752840839 Behavioral Health Management 999698 Sightpath Medical Inc PO Box 204253 Dallas TX 753204253 Opthamalogist Services 928174 Timothy Brent Chafin 522 Cabin Branch Road Tarboro NC 27886 Pain Management Services 771507 Quality Textile Services Inc 313 S Rogers Lane Raleigh NC 27610 Laundry Services 591054 48 444336 1624096 2068432 Outpatient Services 621110 240252352 240252352 Inpatient Services 621400 171415506 171415506 411667858 265347 265347 187116 0 187116 187116 187116 34660 -34660 -34660 -34660 Cafeteria Meals 722514 2083312 2083312 Viquest Fitness 900099 605286 605286 Rebates 900099 138759 138759 2874542 2874542 5701899 419855992 411667858 0 6116820 X 264691 264691 1943564 1943564 126424479 121949641 4474838 7476728 7102892 373836 21182249 18430673 2751576 9219333 8758366 460967 260099 213012 47087 13622 13622 187296 187296 79681 79681 90210500 71157517 19052983 436123 436123 1150600 907262 243338 462126 170094 292032 5012102 3835737 1176365 393357 314686 78671 5251644 5251644 14101944 14101944 3479149 695830 2783319 Medical Supplies 64392475 61172851 3219624 Bad Debt 52958662 52958662 Other Expenses 8994569 7259400 1735169 413894993 369293258 44601735 0 31431017 25642863 56104863 55055364 12085258 12799961 3511615 4192430 334036268 214812950 121803819 119223318 18852619 1126222 18860389 36686534 262649580 254726692 41691811 39328437 543681 2509209 1804596 44410615 42258838 89155316 83391871 X 170314682 167851441 2643576 2947374 536006 536006 173494264 171334821 262649580 254726692 X 5960999 -8120442 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 79681 79681 0 Part II-B, Line 1: 24.21% of dues to NCHA are allocated to lobbying. 2515984 2515984 190902946 124161222 66741724 5549701 3609466 1940235 133831031 87042262 46788769 1236606 1236606 119223318 Other Assets 503107 Other Receivables 4256658 Investments in Subsidiaries 539554 Deferred Outflows 24617648 Due from Third Party Payors 6769567 36686534 Other liabilities 1585982 Due to Third Party Payors 7879439 Net Pension Liability 30605840 Deferred Inflow 2187577 42258838 X Part X, Line 2: East Carolina Health, Inc. has been determined to qualify as a tax-exempt organization under Section 501(c)(3) of the Internal Revenue Code. East Carolina Health, Inc. has reviewed its tax positions for all open years and has concluded that no material liabilities exist as of September 30, 2019 and 2018. East Carolina Health files tax returns with the U.S. federal and State of North Carolina jurisdictions. With few exceptions, East Carolina Health is no longer subject to U.S. federal examinations by tax authorities for years before 2016. 1 1 X 1 X 1 X 1 1 1 0 1 1 20108644 20108644 0.04860 66625128 57419516 9205612 0.02220 86733772 57419516 29314256 0.07080 65 19499 1278591 6075 1272516 0.00310 17 1277 1492512 1492512 0.00360 1 50 114248 114248 0.00030 33 130448 1033355 1033355 0.00250 116 151274 3918706 6075 3912631 0.00950 116 151274 90652478 57425591 33226887 0.08030 1 4651 4651 0.00000 4 16794 16794 0.00000 9 20 56296 56296 0.00010 1 1 35 10239 10239 0.00000 12 3149 90675 90675 0.00020 28 3204 178655 178655 0.00030 1 16204019 99388421 126765912 -27377491 X 1 1 6 1 East Carolina Health - Heritage Inc 111 Hospital Drive TARBORO NC 27886 X X X X X Rehab A 2 East Carolina Health - Roanoke-Chowan 500 Academy Street AHOSKIE NC 27910 X X X X Behavioral Health A 3 East Carolina Health - Beaufort Inc 628 East Twelth Street WASHINGTON NC 27889 X X X X Behavioral Health A 4 East Carolina Health - Chowan Inc 211 Virginia Road EDENTON NC 27932 X X X X A 5 Duplin General Hopsital Inc 401 North Main Street KENANSVILLE NC 28349 X X X X Behavioral Health A 6 East Carolina Health - Bertie 1403 South King Street WINDSOR NC 27983 X X X X A Facility Report Group A 0 0 1 X X X X X X X X X 18 1 1 1 1 X SEE PART V DISCLOSURE X 1 18 1 SEE PART V DISCLOSURE 0 1 X 200.000000000000 200.000000000000 X X 1 1 X X X 1 X SEE PART V DISCLOSURE X SEE PART V DISCLOSURE X SEE PART V DISCLOSURE X X X X X 1 X 0 X X X X 1 X 0 0 Part V, Section B Facility Reporting Group A Facility Reporting Group A consists of: - Facility 1: East Carolina Health - Heritage, Inc., - Facility 2: East Carolina Health - Roanoke-Chowan, - Facility 3: East Carolina Health - Beaufort, Inc., - Facility 4: East Carolina Health - Chowan, Inc., - Facility 5: Duplin General Hopsital, Inc., - Facility 6: East Carolina Health - Bertie Facility Report Group A Part V, Section B, line 5: Each of the Vidant Community Hospitals collaborate with local county health departments and other interestedparties in the local communities to produce the Community Health Needs Assessment. These partners include schools, health-focused not-for-profits, community health initiatives, chambers of commerce, and other agencies dedicated to promoting the well-being of their communities. The partners represent a wide range of diverse constituencies including children, seniors, and underserved populations. The information created through this collaborative effort is then used to determine areas of health needs focus for the individual entities and also for creating partnerships to address needs where possible. Facility Report Group A Part V, Section B, line 6a: The Community Health Needs Assessment was conducted with the following hospitals:East Carolina Health - Heritage, Inc. DBA Vidant Edgecombe HospitalEast Carolina Health DBA Vidant Roanoke-Chowan HospitalEast Carolina Health - Beaufort, Inc. DBA Vidant Beaufort HospitalEast Carolina Health - Chowan, Inc. DBA Vidant Chowan HospitalDuplin General Hospital, Inc. DBA Vidant Duplin HospitalEast Carolina Health - Bertie DBA Vidant Bertie Hospital Facility Report Group A Part V, Section B, line 6b: The Community Health Needs Assessment was conducted with the following organizations:Albemarle Regional Health ServicesDuplin County Health DepartmentBeaufort County Public HealthEast Carolina UniversityEdgecombe County Health DepartmentHertford County Public Health AuthorityHyde County Health Department Facility Report Group A Part V, Section B, line 11: Please refer to the attached hospital Implementation Strategy for detailed action plans. Certain community needs may not be fully documented or addressed in the Community Health Needs Assessment. These needs are generally those which other organizations share an overlap with East Carolina Health. Those other organizations are better EquipPed to address these specific needs, and therefore, function as the lead agency to address those priorities. Priorities being led by other organizations are subsequently not considered as priority issues of East Carolina Health and are noted accordingly in the Implementation Strategy. Part V, Section B, line 7a and 10a: The Hospital makes its Community Health Needs Assessment and most recently adopted Implementation Strategy available to the public on the Hospital's website: https://www.vidanthealth.com/About-Vidant-Health/Community-Health-Needs-Assessments# Part V, Section B, Line 16A, 16B, AND 16C: The Hospital makes its Financial Assistance Policy, Application, and Plain Language Summary available at the following website: http://www.vidanthealth.com/Patients-Families/Billing/Financial-Assistance-Policy# Part I, Line 7: Costs were calculated using the estimated cost to charge ratio from The North Carolina Hospital Association's Advocacy Needs Data Initiative which is the standard for reporting community benefits in North Carolina. Part I, Ln 7 Col(f): In connection with the Presumptive Eligibility consideration of the Affordable Care Act, East Carolina Health does not reflect any bad debt in connection with FAP-eligible patients. These patients are presumed to be part of the Medicaid population and afforded coverage as such. Part II, Community Building Activities: See Schedule O, Part III, Line 4a in connection with vidanthealth.com/About-Vidant-Health/Community-Health-Needs-Assessments Part III, Line 4: The financial statements of East Carolina Health are presented on a consolidated basis; the text of the footnote from page 21 is presented below:Patient Accounts ReceivablePatient Accounts Receivable are reported net of estimated allowances for contractual adjustments and allowances for bad debts. Estimated allowances for bad debts are approximately $90.5 million and $74.5 million as of September 30, 2019 and 2018, respectively. Part III, Line 8: The shortfall of Medicare revenue to Medicare was calculated according to the cost to charge ratio. Allowable costs of care should be considered community benefit because in the area served by ECH, there are no other providers available to provide the required services. Therefore, the care would become a government obligation and is treated as a community benefit provided by ECH. Part III, Line 9b: Recommended patient accounts will continue to go through the accounts receivable billing cycle as normal. When the account reaches the customer service/collections manager, financial counseling supervisor or patient accounts supervisor, based on the information given, a decision will be made whether to proceed with collection or refer the account for approval of charity care. The process will occur as follows:I. Financial counselors will try to locate third party payors. If not eligible for any third party coverage (including charities), they may, based upon the financial information received, recommend the patient for charity care.II. Patient counselors will review for any third party payors and verify employment and assets. A charity care application will need to be completed along with tax return, pay stubs, social security award letter and other financial information as may be required.III. The patient accounts supervisor, financial counseling supervisor or customer service/collections manager, based upon account balance and the information given, will make a decision whether to proceed with collection or refer the patient account for approval for charity care.Presumptive eligibility for charity care - there are occasions in which a patient may appear eligible for a charity care discount, but there is no financial assistance information available to support financial aid.A. Some patients are presumed to be eligible for charity care discounts on the basis of individual life circumstances (e.g., homelessness, patients with no income, bankruptcy, deceased patients with no estate or spouse, etc).B. Through the assistance of a third party vendor and certain algorithms, in conjuction with our charity policy guidelines, all accounts, prior to outside collection agency referral, will be tested for presumptive charity.C. The accounts deemed charity will be adjusted off and the remaining accounts will be referred to an outside collection agency.D. Once the agency has had the accounts for six months and has deemed them uncollectible, the accounts with balances of $1,580 or greater will remain with the agency and be kept on the patient's credit file.E. The accounts returned to the hospital will be placed in a unique financial class and will not be pursued for collections. Part VI, Line 2: The organization assesses community need in conjunction with the state affiliated county health departments and other local health care organizations. See also Schedule H, Part V, Section B, lines 1-7 Part VI, Line 3: Information is available on the organization's website and at registration for patients. In addition, face to face financial counseling is available to patients and their families in the central business office. Part VI, Line 4: See Schedule O, Part III, Line 4a in connection with vidanthealth.com/About-Vidant-Health/Community-Health-Needs-Assessments Part VI, Line 5: See Schedule O, Part III, Line 4a in connection with vidanthealth.com/About-Vidant-Health/Community-Health-Needs-Assessments Part VI, Line 6: See Schedule O, Part III, Line 4a in connection with vidanthealth.com/About-Vidant-Health/Community-Health-Needs-Assessments Part VI, Line 7, Reports Filed With States NC 1 Town of Faison Recreation Center 184 Park Circle Faison NC 28341 566001224 Government 5000 Working towards a healthy lifestyle Rones Chapel Area Community Center 599 Garner Chapel Road Mount Olive NC 28365 810686959 501 ( c ) 3 5240 Outreach and fit kids program Food Bank of Central & Eastern NC 1924 Capital Blvd Raleigh NC 27604 561283426 501 ( c ) 3 8000 Provides nutritious food and fresh produce Tarheel Human Services PO Box 1321 Beulaville NC 28518 474705313 501 ( c ) 3 10000 Mental health services subsidies NC MedAssist 4428 Taggart Creek Road Suite 101 Charlotte NC 28208 562018957 501 ( c ) 3 40000 Assist low income, uninsured residents obtain free medications Duplin County Health Department 340 Seminary Street Kenansville NC 28349 566000296 Government 15500 Diabetes prevention and management NC Cooperative Extension Service of Duplin County- 4H & EFNEP PO Box 949 Kenansville NC 28349 566000296 Government 24910 Expanded food and nutrition program Boys & Girls Club of the Tar River Region PO Box 1622 Rocky Mount NC 27802 560934910 501 ( c ) 3 10000 Comprehensive heatlh and wellness initiative to improve overall health of youth Down East Partnership for Children 215 Lexington St Rocky Mount NC 27802 561859313 501 ( c ) 3 7500 Support healthy school food environment Edgecombe County Extension PO Box 129 Tarboro NC 27886 566000298 Government 5000 Expanded food and nutrition program Edgecombe County Sheriff's Office CORE 3005 Anaconda Road Tarboro NC 27886 566000298 Government 10000 Opiate abuse awareness and rapid response team Edgecombe County Health Department PO Box 100 Tarboro NC 27886 566000298 Government 16000 Chronic disease prevention self-management program Opportunities Industialization CenterInc P O Box 2723 Rocky Mount NC 27802 560946196 501 ( c ) 3 5000 Medication assistance for uninsured patients Rocky Mount Family YMCA Inc PO Box 4063 Rocky Mount NC 27803 560543251 501 ( c ) 3 5000 Prevention and management of chronic conditions or diseases West Martin Community Center PO Box 193 Oak City NC 27857 300792798 501 ( c ) 3 5000 Exercise and fitness program Christian Fellowship Home 301 S Grace St Rocky Mount NC 27804 561218951 501 ( c ) 3 5000 Substance abuse recovery program Mental Health of America PO Box 2833 Greenville NC 27836 464789293 501 ( c ) 3 19500 Peer navigation program Albemarle Development Corporation 512 South Church St HErtford NC 27944 262495965 501 ( c ) 3 12500 Meals on Wheels Albemarle Regional Health Services PO Box 189 Elizabeth City NC 27909 566000798 501 ( c ) 3 11750 Heath Coordinator position; Get Fit program; Diabetes support group Food Bank of The Albemarle PO Box 1704 Elizabeth City NC 279061704 561341658 501 ( c ) 3 62500 Mobile food pantry; Kids backpack program Hertford County Office of Aging 408 South Camp Street Winton NC 27986 566001523 Government 20000 SPICE home safety program Northamption County Schools PO Box 158 Jackson NC 27845 566001087 Government 6300 Expanded food and nutrition education program Roanoke-Chowan Communty Health Center 120 Health Center Drive Ahoskie NC 27910 421638714 501 ( c ) 3 33000 Diabetes self-management and prescription assistance Town Murfreesboro PO Box 6 Murfreesboro NC 27855 566001298 Government 8000 Youth recreation program Area L AHEC 1631 S Wesleyan Blvd Rocky Mount NC 27803 237338802 501 ( c ) 3 10000 Trauma informed resilience Edenton-Chowan Recreation Department PO Box 1030 Edenton NC 27932 566000286 Government 5000 Cubbie's Water Buddies Hyde County Non-profit Private Transportation PO Box 205 Swan Quarter NC 27885 581752871 501 ( c ) 3 15000 Care to Ride Martin Tyrell Washington District Health Department 198 NC Hwy 45 North Plymouth NC 27962 561066387 Government 7000 Community gardens; Health access Perquimans County Schools Foundation 411 Edenton Road Street Hertford NC 27944 550788873 501 ( c ) 3 5000 Overdose response team Tyrell-Washington Partnership for Children 125-B West Water Street Plymouth NC 27962 561862036 501 ( c ) 3 5400 Spot vision screener Bertie County Schools 715 US 13 North Windsor NC 27983 566000110 Government 5000 Kinderswim Boys & Girls Club of the Coastal Plain 621 W Fire Tower Road Winterville NC 28590 560927694 501 ( c ) 3 12500 Triple play NC Cooperative Extension Bertie County PO Box 280 Windsor NC 27983 566000276 Government 20000 Expanded food and nutrition program Town of Aulander POB 100 Aulander NC 27805 566001168 Government 10000 Fitness trail lighting improvements Youth Bertie Inc 134 Ward Road Windsor NC 27983 473106835 501 ( c ) 3 7500 Backpack initiative Beaufort Community College 5337 Hwy 264 East Washington NC 27889 560894923 Government 6500 Community health coaches training Beaufort County Developmental Center 1534 W 5th Street Washington NC 27889 561074342 501 ( c ) 3 5000 Beaufort area transit system Community Assistance Rural Enpowerment (CARE) 2400 Saint John Church Road Washingon NC 27889 651225584 501 ( c ) 3 5000 Champion your fitness Cornerstone Family Worship Center Church of God 1918 West 5th Street Washington NC 27889 251902422 501 ( c ) 3 7000 Health clergy, congregations, and communities Mid-East Commission Area Agency on Aging 1385 John Small Ave Washington NC 27889 560905636 501 ( c ) 3 10000 Aging in place Northampton County Cooperative Extension PO Box 636 Jackson NC 27845 566000325 Government 5000 Expanded food and nutrition program; Diabetes support group NC Cooperative Extension Martin County 104 Kehukee Park Rd Williamston NC 27892 566000317 Government 5000 Eat smart, move more program; Expanded food and nutrition program NC Cooperative Extension Chowan County 730 N Granville St Edenton NC 27932 566000286 Government 6000 Expanded food and nutrition program; Junior chefs; Born to eat program VOICE Community Foundation PO Box 100 Tarboro NC 27886 561222730 501 ( c ) 3 10000 Medical and wellness transportation 44 Part I, Line 2: The Organization maintains records to substantiate all disbursements made in accordance with its document retention policy. All grants and assistance are approved at the appropriate level outlined in its policy and procedures. X X X X 0 1 0 0 0 0 0 0 0 Michael Waldrum MD Chairman 0 1143540 0 0 0 11659 0 175115 0 43796 0 1374110 0 0 David Hughes Secretary/Treasurer 0 522510 0 0 0 2025 0 1433650 0 37766 0 1995951 0 0 Jay Briley President 101775 212156 0 0 0 0 10528 65489 3122 32561 115425 310206 0 0 Chris Townsend VP, Financial Services 0 228567 0 0 0 0 0 78843 0 17739 0 325149 0 0 William Case President, Vidant Beaufort 0 244888 0 0 0 755 0 1011762 0 38609 0 1296014 0 0 Wick Baker President, Vidant Edgecombe 250103 0 0 0 0 0 98878 0 34633 0 383614 0 0 0 Patrick Heins President, Vidant Edgecombe 228762 0 0 0 0 0 92380 0 15510 0 336652 0 0 0 Judy Bruno President VROA 0 159068 0 0 0 0 0 17371 0 36370 0 212809 0 0 Jeffrey Sackrison President, Chowan & Bertie 354564 0 0 0 0 0 235120 0 19113 0 608797 0 0 0 Brian Harvill President, Chowan & Bertie 188136 0 0 0 0 0 19520 0 35273 0 242929 0 0 0 Charles Alford VP Financial Services, Edgecombe & R 167634 0 0 0 0 0 49776 0 5361 0 222771 0 0 0 Cindy Coker VP Pt Care Services, Chowan 150828 0 0 0 0 0 76369 0 37849 0 265046 0 0 0 Sue Taylor VP, Patient Care Services Duplin 162708 0 0 0 0 0 66378 0 38650 0 267736 0 0 0 Susan Suiter VP Patient Care Services, Edgecombe 156564 0 0 0 0 0 52206 0 14559 0 223329 0 0 0 Lucinda Crawford VP Financial Services, Duplin 153528 0 0 0 0 0 42830 0 17811 0 214169 0 0 0 Todd Warlitner VP Financial Services, Chowan & Bert 0 159931 0 0 0 0 0 16811 0 36917 0 213659 0 0 Tammi Roos Anesthesiologist, Duplin 407867 0 0 0 0 0 36501 0 25644 0 470012 0 0 0 Robert Daniluk Mgr, Anesthesia, Edgecombe 297950 0 0 0 0 0 5882 0 10965 0 314797 0 0 0 Meri Gilman-Mays Mgr, Anesthesia, Chowan 294365 0 0 0 0 0 5961 0 35675 0 336001 0 0 0 Don Marshburn Mgr, Anesthesia, Roanoke Chowan 273896 0 0 0 0 0 122158 0 32836 0 428890 0 0 0 Betty Macias Nurse Anesthetist, Chowan 260809 0 0 0 0 0 54752 0 34832 0 350393 0 0 0 Roger Robertson Former President, ECH 0 461025 0 0 0 0 0 46618 0 31770 0 539413 0 0 Part I, Line 3 The Top Management Official is the President who is an employee of East Carolina Health. The compensation is determined by the Compensation and Benefits Committee of the Vidant Health Board using comparative data from like organizations and input from consultants. 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. All compensation discussions and actions are documented and approved in the minutes of the Committee. Part I, Line 4b 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). On May 3, 2018 an amendment was adopted in the non-vesting supplemental executive retirement plan (SERP) that effectively transferred the frozen SERP benefits for the remaining 10 active participants to the qualified pension plan to the extent permitted by IRS limits. This resulted in an increase in the reported deferred compensation for these 10 executives. The deferred compensation reported, in part, represent the amounts transferred to their qualified pension plan that was earned over and related to their years of service to the Organization ranging from 14 to 30 years. Curtis Construction Owned by Board Member Phil Flowers 660095 Payments for construction services paid to Curtis Construction. Phil Flowers is the owner of Curtis Construction. 0 Form 990, Part III, Line 4a Overview of University Health Systems of Eastern Carolina: Our mission at VH to improve the health and well-being of eastern North Carolina. Our mission, vision and values continue to lead us on a voyage to excellence. Because the people we take care of our neighbors, friends and family deserve the best. 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 are hospital and an academic medical center, and eight other acute care hospitals: Halifax Regional Medical Center, Vidant Edgecombe Hospital, Vidant Chowan Hospital, Vidant Bertie Hospital, Vidant Duplin Hospital, Vidant Beaufort Hospital, and The Outer Banks 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 1,708 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 2019 VH's combined patient care statistics were: inpatient admissions, 68,725; inpatient days of care, 384,870; surgeries, 49,249; births, 5,943; and Outpatient visits, 371,954. Our System's workforce included 12,393 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 2019 VH provided care to 282,062 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 of 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 Community 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 coalitions, 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 based within each VH hospital. Funds are awarded to community agencies that successfully demonstrate both need and a well-designed plan to address one of the health priorities identified in the Community Health Assessment process. 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 for grant mining, acquisition and management of grants awarded to VH hospitals for 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 following a comprehensive review of community member feedback and secondary health data. Community alliances, partners and organizations, including local health departments, participate in this review. A list of the most pressing health issues are compiled for each community and then prioritized following an assessment of current health resources to address the identified health issues. Established resources/coalitions and new partnerships are formed to address the identified health priorities. 4. Community health priorities are also established in response to a compelling need identified by health practitioners or community groups. 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. Form 990, Part III, Line 4a 5. Provided below are a few highlights of the community benefit and education activities: Form 990, Schedule H, Part VI, Line 5: 5a. 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: - Medical assistance programs for uninsured patients - Support for Community Coalitions focused on Health - Support of local Federally Qualified Health Center - Support for Healthy Neighbors faith health partnership - Support for school health partnerships 5b. 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. 5c. 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. 5d. 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 medications 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. 5e. 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 4 Pungo District Hospital was formally merged into East Carolina Health - Beaufort, Inc. Form 990, Part VI, Section B, line 11b The 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 12c 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 year. 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 year. 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 combined financial statements available upon request for the same period of disclosure as set forth in IRC Section 6104(d). Form 990, Part IX, line 11g Contracted Services: Program service expenses 71,157,517. Management and general expenses 19,052,983. Fundraising expenses 0. Total expenses 90,210,500. Form 990, Part XI, line 9: Net Asset Transfer -8,120,442. Form 990, Part XII, Line 2C: This process has not changed from the prior year. Ashoski Imaging LLC 203 Academy St S Ashoskie NC 27910 954896961 Healthcare NC 0 0 East Carolina Health Radiation Services of North Carolina LLC 301 Academy Street S Ashoskie NC 27910 621808495 Healthcare NC 0 0 East Carolina Health Duplin Health Care Services LLC 401 N Main Street Kenansville NC 28349 566011594 Healthcare NC 0 0 Duplin General Hospital Inc University Health Systems of Eastern Carolina (DBA Vidant Health) 2100 Stantonsburg Road Greenville NC 27835 562141073 Healthcare NC 501(c)(3) Line 12c, III-FI N/A 0 Pitt County Memorial Hospital Inc (DBA Vidant Medical Center) 2100 Stantonsburg Road Greenville NC 27835 560585243 Hospital NC 501(c)(3) Line 3 Vidant Health 0 Vidant Medical Group LLC 2100 Stantonsburg Road Greenville NC 27835 383740839 Healthcare NC 501(c)(3) Line 10 Vidant Health 0 East Carolina Health Inc (DBA Vidant Community Hospitals - Central) 2100 Stantonsburg Road Greenville NC 27835 562003393 Hospital NC 501(c)(3) Line 3 Vidant Health 0 PCMH Management Inc (DBA Vidant Properties) 2100 Stantonsburg Road Greenville NC 27835 561690740 Medical Property Management NC 501(c)(3) Vidant Health 0 HealthAccess Inc 2100 Stantonsburg Road Greenville NC 27835 561396133 Healthcare NC 501(c)(3) Line 12b, II Vidant Health 0 The Outer Banks Hospital Inc 2100 Stantonsburg Road Greenville NC 27835 562112733 Hospital NC 501(c)(3) Line 3 East Carolina Health 0 Access East Inc 2410 Stantonsburg Rd Stanton Square Greenville NC 27834 561949493 Healthcare NC 501(c)(3) Line 10 Vidant Health 0 Vidant North 2100 Stantonsburg Road Greenville NC 27835 560989789 Hospital NC 501(c)(3) Line 3 Vidant Health 0 Roanoke Valley Health Services 2100 Stantonsburg Road Greenville NC 27835 561925492 Healthcare NC 501(c)(3) Line 3 Vidant Health 0 1 0 0 0 0 0 0 0 0 1 0 1 1 1 1 1 1 0 0