2018-07-17T09:00:04-05:00 2017-09-30 420714325 RSM US LLP 1 S WACKER DRIVE STE 800 CHICAGO IL 60606 990 2016-10-01 560585243 Pitt County Memorial Hospital Inc PITT 2528477479 2100 Stantonsburg Road Greenville NC 27835 David Hughes Chief Financial Officer 2528477479 2018-07-16 1 Wayne Harder P00294296 3126343400 2016 2022-09-23 18:48:47Z Vidant Medical Center William Floyd 2100 Stantonsburg Road Greenville NC 27835 1213164163 0 X www.vidanthealth.com X 1953 NC To provide access to quality medical service to all citizens of Pitt County and Eastern NC. 20 19 13291 752 155831 -92741 1136140 9050149 1115884400 1171525558 30616449 32588456 0 0 1147636989 1213164163 1028200 1075000 0 0 460770985 462650193 0 0 0 584025781 621579749 1045824966 1085304942 101812023 127859221 1398633431 1581876294 328800608 345924766 1069832823 1235951528 X To improve the health and well-being of eastern North Carolina. 0 0 411906423 415724702 Cancer and Clinical ServicesPCMH (D/B/A Vidant Medical Center) Cancer Services include the most advanced treatments for the people of Eastern North Carolina. We use the latest technologies, including gamma knife radiosurgery, available to our expert medical staff, nurses and therapists. Combining national treatment protocols and the highest standards of clinical quality, our team of specialists take care of thousands of patients each year. In cancer and clinical services during fiscal year 2017, VMC performed 2,331,621 lab tests, 122,922 radiology cases, 2,304 pet scans, 164 gamma knife cases, and 204,829 respiratory treatments. 261037291 299636316 Surgical ServicesSurgeons at Vidant Medical Center are leaders in their fields. Our bariatric surgeons were pioneers of gastric bypass surgery. Other areas of surgical emphasis include: orthopedics, cardiothoracic, gynecology, trauma and general surgery. VMC Surgical Services performed 20,640 surgeries in fiscal year 2017. 182336332 200087735 Cardiovascular ServicesVidant Medical Center provides patients with the latest treatments and technology available. We have nationally and internationally recognized physicians at the East Carolina Heart Institute, performing delicate heart surgeries and procedures using the DaVinci Robot. Our heart and vascular services include: stents, imaging studies, pacemaker placement, ablation, robot-assisted heart surgery, and heart failure programs. These and many more services are provided at the East Carolina Heart Institute at VMC, the first facility in North Carolina devoted exclusively to education, research, treatment and prevention of cardiovascular diseases. Cardiovascular services performed 72,422 EKGs. 62837410 74263173 Emergency Services 34166773 34927413 Rehabilitative Services 30990255 1075000 146886219 All Other Services 127994438 1075000 256076805 983274484 1 1 0 1 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 1 7 0 1 13291 1 1 1 0 0 0 0 0 0 0 0 0 X 20 19 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 NC X X Brian Dunn 2528477479 2100 Stantonsburg Road Greenville NC 27835 Shirley Carraway EdD Chairman 2.00 X 0 0 0 C Bynum Satterwhite Vice Chairman 2.00 X 0 0 0 Dr Mary J Raab MD Secretary 2.00 X 0 0 0 James W Chesnutt Assistant Secretary 2.00 X 0 0 0 Carlester Crumpler Treasurer 2.00 X 0 0 0 J Bryant Kittrell III Assistant Treasurer 2.00 2.00 X 0 0 0 Dr Marcus A Albernaz MD Board Director 2.00 4.00 X 0 0 0 Noel L Baucom Board Director 2.00 X 0 0 0 JoAnne K Burgdorff Board Director 2.00 2.00 X 0 0 0 Phillip R Dixon Sr Board Director 2.00 X 0 0 0 Jimmy Garris Board Director 2.00 X 0 0 0 Bruce E Gray Board Director 2.00 4.00 X 0 0 0 Robert J Greczyn Jr Board Director 2.00 X 0 0 0 Phil Hodges Board Director 2.00 X 0 0 0 Polly Johnson Board Director 2.00 2.00 X 0 0 0 Dr William J Jones Jr PhD Board Director 2.00 X 0 0 0 Arthur H Keeney III Board Director 2.00 6.00 X 0 0 0 Thomasine S Kennedy Board Director 2.00 4.00 X 0 0 0 Dr Suzanne Kraemer MD Board Director 2.00 X 0 0 0 Mark W Owens Jr Past Board Director 2.00 X 0 0 0 Dr Walter E Pofahl II MD Board Director 2.00 4.00 X 0 0 0 Dr Michael Waldrum MD Chief Executive Officer 2.00 50.00 X 0 1036014 196878 William Floyd Executive VP/President of VMC 40.00 2.00 X 491222 0 134855 Linda Hofler Sr. VP, Chief Nursing Officer 40.00 X 265307 0 170975 Donald Smith Senior Vice President 40.00 X 247974 0 97744 Jennifer Thomas VP of Financial Services 40.00 X 0 219674 68096 Donald Shackelford Sr. VP, Medical Affairs 40.00 X 420810 0 88196 Tracy Eskra VPMA for Clinical Efficiency 40.00 X 323184 0 43570 Ryan Todd Hickey Chief Clinical Network Develp. Offcr. 40.00 X 0 239404 91857 Reggie Pearson Past Senior Vice President 40.00 X 225838 0 56779 Christel Grazier VP, Operative Services 40.00 X 232582 0 37917 Kimberly C Osborne VP, Medicine and Care Coordination 40.00 X 203301 0 102626 Teresa Anderson VP, Quality 40.00 X 173090 0 77681 Anna Weaver VP, Surgical Services 40.00 X 174485 0 139255 Jeffery Dial VP, Operations/President of Bertie 40.00 X 202647 0 96331 James Worden Jr System Service Line Admin., Pharmacy 40.00 X 208201 0 120240 Mary Williams Past Patient Care Coordinator 40.00 X 198900 0 92294 Michael Gooch Past Antimicrobial Use Coordinator 40.00 X 194478 0 84146 Jennifer Styron Pharmacist IV 40.00 X 199621 0 53384 Deborah Westbrook Clinical Pharmacy Specialist 40.00 X 187720 0 79837 Scott Lieberenz Former Sr. VP, Financial Services 0.00 X 0 237726 55573 3949360 1732818 1888234 340 1 1 0 ECU School of Medicine PO Box 75514 Charlotte NC 28275 Medical Staff Services 19267371 Shiftwise PO Box 70870 St Paul MN 55170 Temporary Staffing Services 11530973 Pitt County Anesthesia Services 2080 B Arlington Boulevard Greenville NC 27834 Anesthesia Services 7681254 Specialty Care Cardiovascular Resources 25271 Network Place Chicago IL 60673 Auto Transfusion Services 3737071 Sodexo Inc & Affiliates PO Box 536922 Atlanta GA 30353 Dietary & Environmental Svcs. 3652931 84 176541 8873608 9050149 Cancer and Clinical Services 621110 415724702 415724702 Surgical Services 621110 299636316 299636316 Cardiovascular Services 621110 200087735 200087735 Emergency Services 621110 74263173 74263173 Rehabilitative Services 621110 34927413 34927413 146886219 146730388 155831 1171525558 30071221 30071221 2517235 0 2517235 2517235 2517235 1213164163 1171369727 155831 32588456 X 1075000 1075000 4006369 3548292 458077 345213586 305742789 39470797 24040155 21291468 2748687 65071911 57631763 7440148 24318172 21537697 2780475 1765833 1465641 300192 173149 143714 29435 110710 110710 26487 26487 173283100 143824973 29458127 180266 149621 30645 940523 771697 168826 1600270 1328224 272046 14495658 12058520 2437138 1603204 1330659 272545 11913036 9887820 2025216 45694941 37936159 7758782 10400329 8632541 1767788 Patient Supplies 208371375 208371375 Bad Debt Expense 67290811 67290811 Contracted Services 29913385 29913385 Physicians 27619662 27619662 26197010 21722673 4474337 1085304942 983274484 102030458 0 18735317 17665713 165116190 156993639 24898386 26505224 5727977 5864578 1161763131 714323721 420954447 447439410 593362193 719114113 169838921 208293617 1398633431 1581876294 277242093 276932587 51558515 68992179 328800608 345924766 X 1069832823 1235951528 1069832823 1235951528 1398633431 1581876294 X 127859221 -778667 39038151 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 26487 26487 0 Part II-B, Line 1: 16.11% of dues to NCHA are allocated to lobbying. 31611348 31611348 511828349 334704660 177123689 134192 134192 460218726 379619061 80599665 157970516 157970516 447439410 Trustee Held Funds - Capital Expenditures 697933311 F Trustee Held Funds - Pension 21180802 F 719114113 Other Receivables 20321055 Due from Third Party Payors 93156712 Investments in Subsidiaries 44074774 Intangible Assets 2682167 Cash Held in Escrow 3665016 Deferred Pension Outflows 44393893 208293617 Due to Affiliates 174310 Due to Third Party Payors 18639512 Asset Retirement Obligation 675000 SERP Payable 28355813 Workers Compensation - Long Term 11155534 Deferred Pension Inflows 6647509 Donated Equipment 3344501 68992179 X Part X, Line 2: Pitt County Memorial Hospital has been determined to qualify as a tax-exempt organization under Section 501(c)(3) of the Internal Revenue Code. Pitt County Memorial Hospital has reviewed its tax positions for all open years and has concluded that no material liabilities exist as of September 30, 2017 and 2016. Pitt County Memorial Hospital files tax returns with the U.S. federal and State of North Carolina jurisdictions. With few exceptions, Pitt County Memorial Hospital is no longer subject to U.S. federal examinations by tax authorities for years before 2014. 1 1 X 1 X 1 X 1 1 0 0 35823272 35823272 0.03300 169665040 207945281 0 0.00000 205488312 207945281 35823272 0.03300 23 43749 4848763 4848763 0.00450 6 6005 62452972 17570573 44882399 0.04140 2 54 1178471 1178471 0.00110 10 155865 3589715 3589715 0.00330 41 205673 72069921 17570573 54499348 0.05030 41 205673 277558233 225515854 90322620 0.08330 2 28815 28815 0.00000 3 118484 118484 0.00010 1 40 2723 2723 0.00000 2 6614 6614 0.00000 4 615 192023 192023 0.00020 12 655 348659 348659 0.00030 1 25001854 0 360542300 422972516 -62430216 X 1 1 1 1 Pitt County Memorial Hospital Inc 2100 Stantonsburg Road Greenville NC 27835 X X X X X Rehabilitation Behavioral Health Pitt County Memorial Hospital Inc 1 0 0 1 X X X X X X X X X 15 1 0 1 1 X See Schedule H, Part V, Section C X 1 16 1 See Schedule H, Part V, Section C 0 1 X 200.000000000000 200.000000000000 X X 1 1 X X X 1 X www.vidanthealth.com/billing-assistance X www.vidanthealth.com/billing-assistance X www.vidanthealth.com/billing-assistance X X X X X X 1 X 0 X X X X 1 X 0 0 Pitt County Memorial Hospital, Inc. Part V, Section B, Line 5: The preparation of the 2016 Pitt County Community Health Needs Assessment (CHNA) was a joint effort between Pitt Partners for Health (PPH), Vidant Medical Center (VMC), Pitt County Health Department (PCHD) and East Carolina University (ECU). Although Vidant Medical Center had completed a CHNA in 2015, another CHNA was completed in 2016 in an effort to align all Vidant Health hospitals' CHNAs in the same tax year to facilitate system wide Community Health Improvement work. Sincere appreciation is extended to the PPH membership for their guidance and contributions to the 2015 and 2016 CHNAs. The Partnership is chaired by Colleen Coda, a community member and retired VMC Cancer Services nurse. The vice chair is Alice Keene, retired Director, Pitt County Community Schools and Recreation and current Special Projects Coordinator, Pitt County Planning Department / Community Schools and Recreation. Action Team leaders include Robin Tant (Physical Activity and Nutrition), Jennifer Smith (Injury Prevention), and Sandra Hickman (Chronic Disease). PPH membership is comprised of individuals from a variety of organizations and communities within Pitt County representing government, health care, the faith community, civic organizations and members of the general public. PPH serves a critical role in assuring that the community has input into the collection and review of health status data, as well as the selection of health priorities for the County. The priorities recommended by PPH were shared with the Pitt County Board of Health, the VMC Board of Trustees and the VMC Foundation. Each of these groups selected priority health areas for their respective organizations as outlined in this document. PPH, VMC Community Health Programs, Pitt County Health Department and other partners express gratitude to the Pitt County Board of Health, VMC Board of Trustees and the VMC Foundation for receiving presentations regarding key finding of this assessment and for their recommendations and careful selection of priority health areas for Pitt County that will be addressed from 2016-2019. A special thank you is also extended to a number of Pitt County individuals and groups who shared their knowledge, expertise, and creative ideas for improving health within the Pitt County community: - Dr. John Morrow, Pitt County Public Health Director, Mr. Brian Floyd, President of VMC and Dr. Paul Cunningham, Dean of the Brody School of Medicine (BSOM) hosted a Key Leaders' listening session to solicit input on health issues and strategies to create a healthier community. Dr. Doyle Cummings from the Research Division of Family Medicine at the BSOM served as moderator of the Key Leaders' listening session. Forty - one (41) key leaders participated representing County Recreation, area churches, County Management, Vidant Health, United Way, AMEXCAN - Hispanic/Latino community, ECU - (SOM, Dental, Health and Human Performance, Public Health, College of Nursing), Eastern AHEC, Department of Social Services, City of Greenville, Family Violence, Pitt County Health Department, Greenville Community Shelter, Town of Ayden, Pitt County EMS, Pitt Community College, Access East, Council on Aging, Town of Bethel, Pitt County Planning and Pitt Partners for Health. - Jo Morgan, retired Health Education Director with Pitt County Health Department kindly shared her expertise from over 30 years of conducting health assessments for the Pitt County community. PPH is grateful for her leadership and for her recommendations regarding the collection and analysis of data. Mrs. Morgan conducted listening sessions among nineteen (19) Pitt County groups/organizations that serve the people of Pitt County and that are familiar with the health status of the community. She also compiled and analyzed this data.Acknowledgement and appreciation are also extended to the 281 representatives of the following groups who participated in community listening sessions and provided feedback concerning health issues they have identified among community members whom they serve as part of their profession or affiliation with these groups: - Gold Path, Martin Pitt Partnership for Children, Homeless Shelter, Senior Fitness Group, Human Resource Managers, Community Care Plan, Safe Communities Coalition, Vidant Case Managers, Pitt County Schools Social Workers, Vidant Medical Center School Nurses, Grifton Emergency Medical Services, Pitt County Emergency Medical Services, Pitt County Health Department Outreach Team, AMEXCAN (Association of Mexicans in North Carolina), Greenville Youth Council, Winterville Youth Council , Total Christian Ministries Lay Health Advisors, Council on Aging, and the M.E.N.D. (Medically Enduring Neighborhood Dream) Project. Appreciation is extended to the community members who participated in community listening sessions at the following locations and provided feedback and recommendations for community health improvement: - The Bethel Senior Center, Eastern Radiology Breast Clinic and The United Way's Expanded Learning Opportunity Group - Pitt County is known for its collaborative spirit and has a long history of partnering to share resources. Acknowledgement is given to the following individuals / organizations for their contributions and support of this process through data collection and analysis: - The Department of Family Medicine, Brody School of Medicine at East Carolina University, under the direction of Dr. Doyle Cummings and with assistance from Alyssa Adams, collected and analyzed data from the 2015 online Community Health Opinion Survey which received feedback from 545 Pitt County community members. - The Vidant Medical Center's Community Health Programs, under the direction of Mrs. Catherine Nelson, provided funding to support primary data collection and analysis through the online Community Health Opinion Survey and community listening sessions. - Vidant Health Corporate Community Health Improvement (Mrs. Melissa Roupe) provided guidance and direction regarding CHNA requirements for not-for-profit hospitals. - The Vidant Health Strategic Development staff provided statistical information and interpretation regarding emergency department use and hospital admissions. - The Pitt County Health Department's Health Education Division (Amy Hattem, Jennifer Hardee, Kathy Sheppard and Terry Quinn) collected and analyzed data and contributed to the Health Resources section of this document and prepared the final 2015 CHNA document. The 2016 CHNA document was updated to include the most recent secondary data community member feedback and was finalized by Vidant Health.- The Pitt County Government's Planning Department compiled and analyzed data regarding populations within Pitt County and its municipalities. Pitt County Memorial Hospital, Inc. Part V, Section B, Line 6b: The preparation of the Pitt County Community Health Needs Assessment (CHNA) was a joint effort between Pitt Partners for Health (PPH), Vidant Medical Center (VMC), Pitt County Health Department (PCHD) and East Carolina University (ECU). Pitt County Memorial Hospital, Inc. Part V, Section B, Line 11: 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 Vidant Medical Center. VMC is not equipped to handle all needs and has prioritized those that it can fully address. Pitt County Memorial Hospital, Inc. Part V, Section B, Line 16j: The full policy is not available on the facility website. In lieu of the policy, a concise summary is provided with pertinent details and phone numbers for additional information. Part V, section B, Line 7a: The Hospital makes its CHNA report available to the public on the Hospital's website:vidanthealth.com/About-Vidant-Health/Community-Health-Needs-Assessments Part V, section B, Line 10a: The Hospital makes its most recently adopted implementation strategy available to the public on the Hospital's website:vidanthealth.com/About-Vidant-Health/Community-Health-Needs-Assessments 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 II, Community Building Activities: The community building activities of Vidant Medical Center involve services that are otherwise not provided by other organizations in the patient area. Part III, Line 2: In connection with the Presumptive Eligibility consideration of the Affordable Care Act, Vidant Medical Center 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 III, Line 4: The financial statements of Vidant Medical Center are presented on a consolidated basis as part of the consolidated financial statements of Vidant Health; 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 $73.2 million and $79.6 million as of September 30, 2017 and 2016, 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 VMC, 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 VMC. 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 $1,200 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 withvidanthealth.com/About-Vidant-Health/Community-Health-Needs-Assessments Part VI, Line 5: See Schedule O, Part III, Line 4a in connection withvidanthealth.com/About-Vidant-Health/Community-Health-Needs-Assessments Part VI, Line 6: See Schedule O, Part III, Line 4a in connection withvidanthealth.com/About-Vidant-Health/Community-Health-Needs-Assessments Part VI, Line 7, Reports Filed With States NC 1 Vidant Health Founation 690 Medical Drive Greenville NC 27835 200777374 501(c)(3) 1000000 General Operating Support ECU Medical & Health Sciences Foundation Inc 525 Moye Boulevard Greenville NC 27835 237138921 501(c)(3) 35000 Honorarium for Professorship Uptown Greenville PO Box 92 Greenville NC 27835 581539575 501(c)(3) 25000 General Operating Support NC Prevention Partners 88 Vilcom Circle Chapel Hill NC 27514 311722051 501(c)(3) 10000 Health Initiative Sponsorship 4 0 Part I, Line 2: VMC 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 0 0 0 0 0 0 0 0 Dr Michael Waldrum MD Chief Executive Officer 0 937938 0 86400 0 11676 0 142241 0 54637 0 1232892 0 0 William Floyd Executive VP/President of VMC 458653 0 31926 0 643 0 90770 0 44085 0 626077 0 0 0 Linda Hofler Sr. VP, Chief Nursing Officer 255621 0 8669 0 1017 0 139379 0 31596 0 436282 0 0 0 Donald Smith Senior Vice President 239176 0 8438 0 360 0 58700 0 39044 0 345718 0 0 0 Jennifer Thomas VP of Financial Services 0 212554 0 7120 0 0 0 55089 0 13007 0 287770 0 0 Donald Shackelford Sr. VP, Medical Affairs 407064 0 13746 0 0 0 42800 0 45396 0 509006 0 0 0 Tracy Eskra VPMA for Clinical Efficiency 312595 0 10589 0 0 0 32400 0 11170 0 366754 0 0 0 Ryan Todd Hickey Chief Clinical Network Develp. Offcr 0 227535 0 11869 0 0 0 46524 0 45333 0 331261 0 0 Reggie Pearson Past Senior Vice President 218317 0 7521 0 0 0 22575 0 34204 0 282617 0 0 0 Christel Grazier VP, Operative Services 225707 0 6875 0 0 0 23480 0 14437 0 270499 0 0 0 Kimberly C Osborne VP, Medicine and Care Coordination 196700 0 6601 0 0 0 86212 0 16414 0 305927 0 0 0 Teresa Anderson VP, Quality 167284 0 5806 0 0 0 39379 0 38302 0 250771 0 0 0 Anna Weaver VP, Surgical Services 167830 0 5880 0 775 0 95639 0 43616 0 313740 0 0 0 Jeffery Dial VP, Operations/President of Bertie 195501 0 6867 0 279 0 55631 0 40700 0 298978 0 0 0 James Worden Jr System Service Line Admin., Pharmacy 207951 0 250 0 0 0 95357 0 24883 0 328441 0 0 0 Mary Williams Past Patient Care Coordinator 198650 0 250 0 0 0 56848 0 35446 0 291194 0 0 0 Michael Gooch Past Antimicrobial Use Coordinator 194228 0 250 0 0 0 62628 0 21518 0 278624 0 0 0 Jennifer Styron Pharmacist IV 199371 0 250 0 0 0 18704 0 34680 0 253005 0 0 0 Deborah Westbrook Clinical Pharmacy Specialist 187470 0 250 0 0 0 44960 0 34877 0 267557 0 0 0 Scott Lieberenz Former Sr. VP, Financial Services 0 228335 0 9391 0 0 0 23424 0 32149 0 293299 0 0 Part I, Line 3 The Top Management Official is the President who is an employee of VMC. 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. This process is performed every two years, the last year being 2017. It will be performed again in fiscal year 2019. 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 2017. It will be performed again in fiscal year 2019. All compensation discussions and actions are documented and approved in the minutes of the Committee. Part I, Line 4 As of January 1, 2013, the supplemental nonqualified retirement plan was frozen and no further amounts have accrued to its benefit. In lieu of the SERP, the comprehensive defined benefit pension plan will provide an equivalent benefit. The increase in the value of such plans is reflected in the sum of Part II, Column (C). Eastern Carolina ENT Marcus Albernaz (Board Director) is member and Director of E. Carolina ENT. 336164 Provides on-call services to Vidant Medical Center. 0 Form 990, Part VI, Section A, line 7a The Board of Commissioners of Pitt County and the Board of Governors of the University of North Carolina shall have the power to appoint the twenty members of the Board of Trustees of Pitt County Memorial Hospital. Form 990, Part VI, Section A, line 7b The Restated Articles of Incorporation for Pitt County Memorial Hospital, Inc. state the Articles and Bylaws may not be amended without the approval of University Health Systems of Eastern Carolina, Inc. (Vidant Health). The CEO of Vidant Health, in consultation with the Governing Board, shall select and appoint a qualified President of the corporation, shall have control and authority over its other officers, agents, and employees, and shall have general charge of the business affairs and property of the corporation. Form 990, Part VI, Section B, line 11b 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 prior to filing with the IRS. 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 Top Management Official is the President who is an employee of Pitt County Memorial Hospital (D/B/A Vidant Medical Center). 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. This process is performed every two years, the last year being 2017. It will be performed again in fiscal year 2019. 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 2017. It will be performed again in fiscal year 2019. All compensation discussions and actions are documented and approved in the minutes of the Committee. Form 990, Part VI, Section C, line 19 The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request for the same period of disclosure as set forth in IRC Section 6104(d). Form 990, Part IX, line 11g Other Professional Fees: Program service expenses 143,824,973. Management and general expenses 29,458,127. Fundraising expenses 0. Total expenses 173,283,100. Form 990, Part XI, line 9: Bond Proceeds Contributed to VMC 42,554,819. SERP Liability -10,080,000. Net Asset Transfer 6,563,332. Form 990, Part III, Line 4a: Overview of University Health Systems of Eastern Carolina: 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 seven other acute care hospitals: Vidant Roanoke-Chowan Hospital, 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 eight hospitals are licensed to operate 1,439 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 2017 VH's combined patient care statistics were: inpatient admissions, 63,382; inpatient days of care, 339,393; surgeries, 46,558; births, 5,710; and outpatient visits, 332,795. Our System's workforce included 11,004 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 2017 VH provided care to 272,477 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 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 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 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 from community input. Both established resources within various agencies and potential opportunities to garner new support are reviewed. 4. 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: 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 health need and are offered to the community at little or no charge. Vidant Medical Center sponsors programs that improve access to health care for the underserved; promote healthy lifestyles; and enhance the prevention, early 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 - Pediatric Asthma Case Management Program - Support for local community health collaboratives including Pitt Partners for Health and the regional HealThy Neighbors faith health partnership - 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 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. VMC 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. VMC 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. Moye Medical Endoscopy Center 521 Moye Boulevard Greenville NC 27834 261671435 Healthcare NC -236224 32606 Vidant Medical Center University Health Systems of Eastern Carolina Inc (DBA Vidant Health) 2100 Stantonsburg Road Greenville NC 27835 562141073 Healthcare NC 501(c)(3) Line 12c, III-FI N/A 0 Surgicenter Services of Pitt Inc 102 Bethesda Drive Greenville NC 27835 561690553 Healthcare NC 501(c)(3) Line 12b, II Vidant Medical Center 1 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)(2) Vidant Health 0 Vidant Medical Group LLC 2100 Stantonsburg Road Greenville NC 27835 383740839 Healthcare NC 501(c)(3) Line 10 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 HealthAccess Inc 2100 Stantonsburg Road Greenville NC 27835 561396133 Healthcare NC 501(c)(3) Line 12b, II 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 Surgicenter of Eastern Carolina LLC 2100 Stantonsburg Road Greenville NC 27835 262558314 Ambulatory Surgical Center NC Vidant Medical Center Related 10542666 3955702 0 0 0.55000 1 1 0 0 0 0 0 0 1 0 1 1 1 0 1 1 1 0 1