2019-08-15T11:36:19-05:00 2018-09-30 560747981 Dixon Hughes Goodman LLP 500 Ridgefield Court Asheville NC 28806 990 2017-10-01 561396133 HealthAccess Inc HEAL 2528475129 2100 Stantonsburg Road Greenville NC 27835 David S Hughes Secretary and Treasurer 2528475129 2019-08-15 1 Amy Bibby P00445891 8282542254 2019-08-15 24.241.144.70 2019-08-15 08:18:47 ED P 083993E8E059FCB3C563BE1594239D73DD9572BD 48FB394F9AA065459641371F168D9F2AFFFBB473 2017 2019-02-21 02:37:17Z David S Hughes 2100 Stantonsburg Road Greenville NC 27835 16283377 0 X www.vidanthealth.com X 1983 NC To provide home care, hospice and support services within eastern North Carolina. 1 0 486 122 0 0 30670 33934 16083718 16088638 -1301 48074 3196282 112731 19309369 16283377 0 500 0 0 19623062 18505864 0 0 0 10240009 8127023 29863071 26633387 -10553702 -10350010 10194295 7118047 6264310 5889729 3929985 1228318 X To improve the health and well-being of eastern North Carolina. 0 1 7686119 8475077 Vidant Home Health provides in-home care services. 4548727 3877728 Vidant Hospice provides home and in-patient hospice services. 4935442 500 247396 Care Coordination links high-risk patients with resources while transactions in care are managed 4524311 3601168 Administrative departments 4524311 3601168 21694599 1 1 0 0 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 486 1 0 0 0 0 0 0 0 0 0 0 X 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 1 1 1 0 0 0 X X Brian Dunn 2528477479 2100 Stantonsburg Road Greenville NC 27835 Michael Waldrum MD Chairman 2.00 50.00 X 0 1066517 208266 Dan Drake PhD President (Beg 8/18) 2.00 40.00 X 0 237513 115593 David S Hughes Secretary/Treasurer 2.00 50.00 X 0 496699 183355 Joan Wynn PhD President (Thru 8/18) 2.00 40.00 X 0 277893 177439 Janet Moye Director, Palliative Care & Hospice 40.00 X 154731 0 20346 Pamela Cowin Administrator, Clinical Services 40.00 X 136379 0 40672 James Zambardino Director, Home Based Services 40.00 X 132869 0 24996 Jacqulyn Music Director, Home Based Services 40.00 X 133034 0 39278 Thaddious Locklair Sr. Administrator, Clinic Supervisor Therapy Serv. 40.00 X 100105 0 52007 Heather Deanes Director, Care Management 40.00 X 109368 0 14078 Sandra Gaskin Sr. Administrator, Health Access 40.00 X 115359 41657 33851 Dwight Speaker Sr. Administrator, Wellness Centers 40.00 X 100479 38418 56960 982324 2158697 966841 10 1 1 0 Shiftwise P O Box 70870 St Paul MN 55170 Temporary Staffing 396272 Independent Rehab Group Inc 2550 Arthur Modlin Rd Jamesville NC 27846 OT & PT Services 291476 Ideal Life US Inc 2110 N Ocean Blvd Suite 12D Ft Lauderdale FL 33305 Telehealth Unit Svc Fees 164475 HomeHealth Advantage Inc P O Box 1076 Kaysville UT 84037 DX coding 137210 4 33934 33934 Home Health Care 621610 8475077 8475077 Hospice Care 621610 3877728 3877728 Care Coordination 621610 247396 247396 3488437 3488437 16088638 2298 2298 45776 0 45776 45776 45776 VIQUEST FITNESS 900099 112731 112731 112731 16283377 16201369 0 48074 X 500 500 154731 125332 29399 14263737 11553627 2710110 777132 629477 147655 2276570 1844022 432548 1033694 837292 196402 8093 6555 1538 8175 6622 1553 4501698 3646375 855323 60225 48782 11443 332843 269603 63240 505213 409223 95990 602326 487884 114442 16854 13653 3201 1051 851 200 305510 247463 58047 38551 31226 7325 Medical Supplies 954307 772989 181318 Bad Debt 639261 639261 Freight, Shipping, Hand 68747 55685 13062 Repairs and Maintenance 46194 37417 8777 37975 30760 7215 26633387 21694599 4938788 0 211254 274310 3096426 2648160 66826 12635 88513 98978 6119117 4579046 4596742 1540071 683670 683670 20374 20374 1430490 1839849 10194295 7118047 5243867 5352951 248850 266827 771593 269951 6264310 5889729 X 3929985 1228318 3929985 1228318 10194295 7118047 X -10350010 7648343 X X 0 1 X 1 0 X X 2 Pitt County Memorial Hospital 560585243 3 1 0 10847299 UHSEC (DBA Vidant Health) 562141073 3 1 0 10847300 2 0 21694599 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3195560 2544751 650809 410548 33086 377462 2513009 2001209 511800 1540071 Investments 683670 F 683670 Other Assets 789650 Other Receivables 51124 Deferred Pension Outflows 999075 1839849 Due to Third Party Payors 24163 Deferred Pension Inflows 245788 269951 X Part X, Line 2: HealthAccess, Inc. has been determined to qualify as a tax-exempt organization under Section 501(c)(3) of the Internal Revenue Code. HealthAccess, Inc. has reviewed its tax positions for all open years and has concluded that no material liabilities exist as of September 30, 2018 and 2017. HealthAccess, Inc. files tax returns with the U.S. federal jurisdictions. With few exceptions, HealthAccess, Inc. is no longer subject to U.S. federal examinations by tax authorities for years before 2015. 0 0 0 0 0 0 0 0 0 Michael Waldrum MD Chairman 0 1004252 0 53854 0 8411 0 157846 0 50420 0 1274783 0 0 Dan Drake PhD President (Beg 8/18) 0 237163 0 350 0 0 0 75345 0 40248 0 353106 0 0 David S Hughes Secretary/Treasurer 0 494998 0 0 0 1701 0 145740 0 37615 0 680054 0 0 Joan Wynn PhD President (Thru 8/18) 0 277045 0 0 0 848 0 138037 0 39402 0 455332 0 0 Janet Moye Director, Palliative Care & Hospice 154241 0 490 0 0 0 3048 0 17298 0 175077 0 0 0 Pamela Cowin Administrator, Clinical Services 136029 0 350 0 0 0 18129 0 22543 0 177051 0 0 0 James Zambardino Director, Home Based Services 132519 0 350 0 0 0 12418 0 12578 0 157865 0 0 0 Jacqulyn Music Director, Home Based Services 132684 0 350 0 0 0 15971 0 23307 0 172312 0 0 0 Thaddious Locklair Sr. Administrator, Clinic Supervisor 99755 0 350 0 0 0 17028 0 34979 0 152112 0 0 0 Sandra Gaskin Sr. Administrator, Health Access 115359 34766 0 350 0 6541 20795 0 4050 0 140204 41657 0 0 Dwight Speaker Sr. Administrator, Wellness Centers 100479 29135 0 350 0 8933 29940 0 7634 0 138053 38418 0 0 Part I, Line 4 As of January 1, 2013, the supplemental nonqualified retirement plan was frozen and no further amounts have accrued to its benefit. In lieu of the SERP, the comprehensive defined benefit pension plan will provide an equivalent benefit. The increase in the value of such plans is reflected in the sum of Part II, Column (C). Form 990, Part III, line 3 The Wellness Centers portion of Health Access's program service is still in existence but is now operated under Vidant Health. Form 990, Part VI, Section A, line 7a Board of University Health Systems of Eastern Carolina elects board members of HealthAccess. Form 990, Part VI, Section A, line 8b The organization did not have any committees for the fiscal year. Only one board member served during the fiscal year. Form 990, Part VI, Section B, line 11b The Form 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 of Eastern Carolina (D/B/A Vidant Health) prior to filing with the Internal Revenue Service. Form 990, Part VI, Section B, line 12c As described in the Conflict of Interest policy maintained by VH, all Officers, Board Members and Key Employees are required to complete a yearly comprehensive conflict of interest questionnaire. These are reviewed by legal counsel and any potential or actual conflicts are brought to the Board for disposition. Board Members are instructed to report any potential conflicts arising during the year for review. Board Members are required to recuse themselves from voting on issues in which they are deemed to have a conflict. Form 990, Part VI, Section B, line 15 The compensation is determined by the Compensation and Benefits Committee of the VH Board using comparative data from like organizations and input from consultants. 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. Form 990, Part VI, Section C, line 19 The governing documents, conflict of interest policy and financial statements are 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 3,646,375. Management and general expenses 855,323. Fundraising expenses 0. Total expenses 4,501,698. Form 990, Part XI, line 9: VH Capital Contribution 10,629,000. Wellness Center asset transfer to VH -2,854,284. OPEB net asset opening adjustment -126,373. Form 990, Part XII, Line 2C This process has not changed from the prior year. 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 Surgicenter Services of Pitt Inc 102 Bethesda Dr Greenville NC 27835 561690553 Medical Property Management NC 501(c)(3) Line 12b, II Vidant Medical Center 0 The Outerbanks Hospital Inc 2100 Stantonsburg Road Greenville NC 27835 562112733 Hospital NC 501(c)(3) Line 3 East Carolina Health 0 PCMH Management Inc DBA Vidant Properties 2100 Stantonsburg Road Greenville NC 27835 561690740 Medical Property Management NC 501(c)(2) Vidant Health 0 East Carolina Healt INC DBA Vidant Community Hospitals - Central 2100 Stantonsburg Road Greenville NC 27835 562003393 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-Bertie DBA Vidant Bertie Hospital 2100 Stantonsburg Road Greenville NC 27835 562072002 Hospital NC 501(c)(3) Line 3 Vidant Health 0 East Carolina Health-Chowan DBA Vidant Chowan Hospital 2100 Stantonsburg Road Greenville NC 27835 562101090 Hospital NC 501(c)(3) Line 3 Vidant Health 0 East Carolina Health-Heritage DBA Vidant Edgecombe Hospital 2100 Stantonsburg Road Greenville NC 27835 562093700 Hospital NC 501(c)(3) Line 3 Vidant Health 0 East Carolina Health-Beaufort DBA Vidant Beaufort Hospital 2100 Stantonsburg Road Greenville NC 27835 452436270 Hospital NC 501(c)(3) Line 3 Vidant Health 0 Duplin General Hospital DBA Vidant Duplin Hospital 2100 Stantonsburg Road Greenville NC 27835 566011594 Hospital NC 501(c)(3) Line 3 Vidant Health 0 East Carolina Health Inc DBA Vidant Roanoke-Chowan Hospital 2100 Stantonsburg Road Greenville NC 27835 264634725 Hospital NC 501(c)(3) Line 3 Vidant Health 0 Pungo District Hospital Corporation DBA Vidant Pungo Hospital 2100 Stantonsburg Road Greenville NC 27835 560518757 Hospital NC 501(c)(3) Line 3 Vidant Health 0 0 0 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 1 0