2017-06-13T09:03:37-05:00 2016-09-30 420714325 RSM US LLP 1 S WACKER DRIVE STE 800 CHICAGO IL 60606 990 2015-10-01 561396133 HealthAccess Inc HEAL 2528475129 2100 Stantonsburg Road Greenville NC 27835 David S Hughes Secretary and Treasurer 2528475129 2017-06-13 1 David Biller P01251566 3126343400 2015 2021-01-29 14:40:06Z Michael R Waldrum 2100 Stantonsburg Road Greenville NC 27835 17074973 0 X www.vidanthealth.com X 1983 NC To provide home care, wellness, outreach and support services within Eastern North Carolina. 1 0 428 140 0 0 40807 33485 13350180 15306328 2794 1920 710470 1733240 14104251 17074973 0 0 0 0 13751028 17134797 0 0 0 8194528 9580867 21945556 26715664 -7841305 -9640691 8757346 11324607 5561710 6402164 3195636 4922443 X To improve the health and well-being of eastern North Carolina. 0 0 5252405 7551791 Vidant Home Health provides in-home care services. 3512633 4269518 Vidant Hospice provides home and in-patient hospice services. 2795615 3264285 Vident Wellness Center provides exercise and wellness services. 3525409 213328 Care Coordination links high-risk patients with resources while transitions in care are managed. 7190602 7406 HealthAccess Administration 10716011 220734 22276664 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 0 428 1 0 0 0 0 0 0 0 0 0 0 X 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 X X Brian Dunn 2528477479 2100 Stantonsburg Road Greenville NC 27835 Dr Michael R Waldrum MD Chairman 2.00 50.00 X 0 483826 74071 Dr Joan Wynn PhD President 2.00 40.00 X 0 309594 205348 David S Hughes Secretary and Treasurer 2.00 50.00 X 0 497452 169107 Pamela Cowin Director of Clinical Operations 40.00 X 115609 0 35543 Sandra Gaskins Senior Administrator, HealthAccess 40.00 X 129503 0 32751 Dwight Speaker Administrator, Wellness Centers 40.00 X 122964 0 72383 Frances Perry Director, Wellness Center 40.00 X 109822 0 58301 Jacquelyn Music Director, Home Based Services 40.00 X 100208 0 32223 Dr David C Herman MD Former Chairman 0.00 0.00 X 0 270651 31973 578106 1561523 711700 5 1 1 0 Shiftwise PO Box 70870 St Paul MN 55170 Temporary Staffing Services 353550 Ideal Life US Inc 2110 N Ocean Blvd Suite 120 Ft Lauderdale FL 33305 Telehealth Unit Services 216750 Independent Rehab Group Inc 2550 Arthur Modlin Road Jamesville NC 27846 OT & PT Services 131484 3 33485 33485 Home Health Care 621610 7551791 7551791 Hospice Care 621610 4269518 4269518 ViQuest 713940 3264285 3264285 Care Coordination 621610 213328 213328 7406 7406 15306328 1920 1920 Intercompany Revenue 900099 1733240 1733240 1733240 17074973 15306328 0 1735160 X 13645629 11325872 2319757 635305 527303 108002 1870575 1552577 317998 983288 816129 167159 18740 15554 3186 21714 18023 3691 4368560 3625905 742655 186776 155024 31752 583507 484311 99196 838086 695611 142475 563605 467792 95813 46105 38267 7838 6940 5760 1180 742812 616534 126278 63418 52637 10781 Medical Supplies 1282177 1064207 217970 Bad Debt Expense 594975 594975 Repairs & Maintenance 107194 88971 18223 Dues,Accred.,Education 77837 64605 13232 78421 66607 11814 26715664 22276664 4439000 0 641645 1175901 2088845 3299651 69950 80454 125880 88645 15849901 10980602 4457793 4869299 683670 683670 20374 689563 1106613 8757346 11324607 4655378 5323360 230855 300373 675477 778431 5561710 6402164 X 3195636 4922443 3195636 4922443 8757346 11324607 X -9640691 11367498 X 0 1 X 1 0 X X 2 Pitt County Memorial Hospital 560585243 3 1 705552 0 UHSEC (DBA Vidant Health) 562141073 3 1 169139 0 2 874691 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 11137863 7342005 3795858 13401 13401 4173328 3257622 915706 525309 380975 144334 4869299 Investments 683670 F 683670 Deferred Pension Outflows 796634 Other Receivables 309979 1106613 Third Party Settlement Reserves 103809 Intercompany Payable 643676 Other Long Term Debt 30946 778431 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, 2016 and 2015. HealthAccess, Inc. files tax returns with the U.S. federal and State of North Carolina jurisdictions. With few exceptions, HealthAccess, Inc. is no longer subject to U.S. federal examinations by tax authorities for years before 2013. 0 0 0 0 0 0 0 0 0 Dr Michael R Waldrum MD Chairman 0 483826 0 0 0 0 0 48600 0 25471 0 557897 0 0 Dr Joan Wynn PhD President 0 259907 0 48853 0 834 0 160675 0 44673 0 514942 0 0 David S Hughes Secretary and Treasurer 0 422256 0 73638 0 1558 0 126996 0 42111 0 666559 0 0 Pamela Cowin Director of Clinical Operations 114859 0 750 0 0 0 12168 0 23375 0 151152 0 0 0 Sandra Gaskins Senior Administrator, HealthAccess 128753 0 750 0 0 0 17358 0 15393 0 162254 0 0 0 Dwight Speaker Administrator, Wellness Centers 122214 0 750 0 0 0 35669 0 36714 0 195347 0 0 0 Frances Perry Director, Wellness Center 109072 0 750 0 0 0 44284 0 14017 0 168123 0 0 0 Dr David C Herman MD Former Chairman 0 270651 0 0 0 0 0 27059 0 4914 0 302624 0 0 Part I, Line 1a All compensation and reimbursement listed for such items are paid at the Vidant Health entity, and the written policy and adherence to the policy is maintained at VH. Part I, Line 3 The compensation is determined by the Compensation and Benefits Committee of the VH Board using comparative data from like organizations and input from consultants. This process is performed every two years, the last year being 2015. It will be performed again in fiscal year 2017. All compensation discussions and actions are documented and approved in the minutes of the Committee. Part I, Line 4 As of January 1, 2013, the supplemental nonqualified retirement plan was frozen and no further amounts have accrued to its benefit. In lieu of the SERP, the comprehensive defined benefit pension plan will provide an equivalent benefit. The increase in the value of such plans is reflected in the sum of Part II, Column (C). Form 990, Part VI, Section B, line 11 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 12 As described in the Conflict of Interest policy maintained by VH, all Officers, Board Members and Key Employees are required to complete a yearly comprehensive conflict of interest questionnaire. These are reviewed by legal counsel and any potential or actual conflicts are brought to the Board for disposition. Board Members are instructed to report any potential conflicts arising during the year for review. Board Members are required to recuse themselves from voting on issues in which they are deemed to have a conflict. Form 990, Part VI, Section B, line 15 The compensation is determined by the Compensation and Benefits Committee of the VH Board using comparative data from like organizations and input from consultants. This process is performed every two years, the last year being fiscal year 2015. It will be performed again in fiscal year 2017. Compensation of other officers and key employees is also determined by the Compensation and Benefits Committee of the VH Board using comparative data from like organizations and input from consultants. This process is performed every two years, the last year being fiscal year 2015. It will be performed again in fiscal year 2017. All compensation discussions and actions are documented and approved in the minutes of the Committee. Form 990, Part VI, Section C, line 19 The 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 Professional Fees: Program service expenses 3,625,905. Management and general expenses 742,655. Fundraising expenses 0. Total expenses 4,368,560. Form 990, Part XI, line 9: Capital Contribution 11,198,314. Change in Pension Funding -203,855. Adjustment for Purchase in CEHCH 373,039. University Health Systems of Eastern Carolina (DBA Vidant Health) 2100 Stantonsburg Road Greenville NC 27835 562141073 Healthcare NC 501(c)(3) Line 11c, III-FI N/A 0 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 Drive Greenville NC 27835 561690553 Healthcare NC 501(c)(3) Line 11b, II Vidant Medical Center 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)(2) 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 1 1 1 1 0 0 1 1 0 0