2014-08-08T14:27:08-05:00 2013-09-30 420714325 MCGLADREY LLP 1 S WACKER DRIVE STE 800 CHICAGO IL 60606 990 2012-10-01 560585243 Pitt County Memorial Hospital Inc PITT 2528475129 2100 Stantonsburg Road Greenville NC 27835 David S Hughes 2528475129 2014-08-08 1 Wayne Harder P00294296 3126343400 2012 2015-11-30 17:44:51Z Vidant Medical Center Steve Lawler 2100 Stantonsburg Road Greenville NC 27835 1167952595 0 X www.vidanthealth.com X 1953 NC Providing access to quality medical service to all citizens of Pitt County and Eastern NC. 20 18 8337 857 205992 -12056 12887844 2794942 1084885147 1156239889 10966557 8917764 -3900899 0 1104838649 1167952595 3150815 2855000 0 0 458394291 477948601 0 0 0 526865640 595156719 988410746 1075960320 116427903 91992275 984768667 1099428443 532712098 547484398 452056569 551944045 X To enhance the quality of life for the people and communities we serve, touch and support. 0 0 323539142 360500857 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 2013, VMC performed 2,400,868 lab tests, 145,022 radiology procedures, 1,722 pet scans, 99 gamma knife procedures, and 361,287 respiratory treatments. 235662972 281682015 Surgical ServicesSurgeons at Vidant Medical Center are leaders in their fields. Our bariatric surgeons were pioneers of gastric bypass surgery and now perform gastric banding as well. Other areas of surgical emphasis include: orthopedics, cardiothoracic, gynecology, trauma and general surgery. VMC Surgical Services performed 20,552 surgeries in 2013. 110248195 136521647 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 66,468 EKGs. 309300757 2855000 377535370 All Other Services 309300757 2855000 377535370 978751066 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 1 1 1 0 0 0 0 1 1 1 0 0 1 0 0 8337 1 1 1 0 0 0 0 0 0 0 0 0 X 20 18 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 NC X X Chris Townsend 2528475129 2100 Stantonsburg Road Greenville NC 27835 Marcus A Albernaz MD 2.00 4.00 X 0 0 0 Noel L Baucom 2.00 0.00 X 0 0 0 Jo Anne K Burgdorff 2.00 2.00 X 0 0 0 Shirley Carraway EdD 2.00 0.00 X 0 0 0 Bruce E Gray 2.00 2.00 X 0 0 0 Robert J Greczyn Jr 2.00 0.00 X 0 0 0 Ralph R Hall Jr 2.00 0.00 X 60000 0 0 W David Harris 2.00 0.00 X 0 0 0 Polly Johnson 2.00 0.00 X 0 0 0 William J Jones Jr PhD 2.00 0.00 X 0 0 0 Arthur H Keeney III 2.00 6.00 X 0 0 0 Thomasine S Kennedy 2.00 4.00 X 0 0 0 J Bryant Kittrell III 2.00 0.00 X 0 0 0 Melvin C McLawhorn 2.00 2.00 X 0 0 0 Walter E Pofahl II MD 2.00 4.00 X 0 0 0 Mary J Raab MD 2.00 0.00 X 0 0 0 A Ray Rogers 2.00 0.00 X 0 0 0 C Bynum Satterwhite 2.00 0.00 X 0 0 0 David Womack 2.00 2.00 X 0 0 0 Bruce N Austin 2.00 0.00 X 0 0 0 Janet M Bullock 2.00 0.00 X 0 0 0 Allan B Harvin MD 2.00 0.00 X 0 0 0 Dr David Herman 2.00 50.00 X 0 1187622 89223 Stephen Lawler 40.00 2.00 X 725691 0 161181 William Floyd 40.00 2.00 X 314590 0 82893 Linda Hofler 40.00 0.00 X 254135 0 79395 Seth VanEssendelft 40.00 0.00 X 0 197092 60525 Scott Lieberenz 40.00 0.00 X 0 0 0 Donald Shackelford 40.00 0.00 X 421815 0 83707 Tracy Eskra 40.00 0.00 X 304395 0 34213 Donald Smith 40.00 0.00 X 238514 0 69286 Tyree Walker 40.00 0.00 X 244597 0 56322 Ryan Hickey 40.00 0.00 X 223166 0 66903 Reggie Pearson 40.00 0.00 X 189840 0 49636 Beverly Owen 40.00 0.00 X 222700 0 21879 James Worden Jr 40.00 0.00 X 197787 0 31472 Stephen Koska 40.00 0.00 X 184478 0 41825 John Randall 40.00 0.00 X 180886 0 14055 Katharine Fodor 40.00 0.00 X 169795 0 42252 3932389 1384714 984767 337 0 1 0 ECU School of Medicine PO Box 75514 Charlotte NC 28275 Medical Staff Services 23443642 Pitt County Anesthesia Services 2080 B Arlington Boulevard Greenville NC 27834 Anesthesia Services 7646271 Shiftwise PO Box 70870 St Paul MN 55170 Temporary Staff Services 5216874 Medcost Benefit Services PO Box 25987 Winston Salem NC 27714 Third Party Admin Fees 4475421 TGC LLC PO Box 130 Highland MD 20777 Consulting Services 2545889 101 2539003 255939 276656 2794942 Cancer and Clinical Services 621110 360500857 360500857 Surgical Services 621110 281682015 281682015 Cardiovascular Services 621110 136521647 136521647 377535370 377329378 205992 1156239889 7172961 7172961 1744803 0 1744803 1744803 1744803 1167952595 1156033897 205992 8917764 2855000 2855000 2976743 2651713 325030 362068154 322533988 39534166 23751931 21158461 2593470 63052706 56167991 6884715 26099067 23249314 2849753 2642073 2192921 449152 295810 245522 50288 30276 30276 101647135 84367122 17280013 1809693 1502045 307648 2506284 2080216 426068 974791 974791 17308320 14365906 2942414 2407304 1836869 570435 13678646 11353276 2325370 55868469 46370829 9497640 8336322 6919147 1417175 Patient Supplies 230765666 230765666 Bad Debt Expense 77584533 77584533 Contracted Services 29465062 24456002 5009060 Physicians 24946740 24946740 24889595 20173014 4716581 1075960320 978751066 97209254 0 15352106 17579596 158633560 173373229 24497266 23164397 3779342 3434944 1060245448 649144791 415151535 411100657 237867713 329476467 129487145 141299153 984768667 1099428443 108660204 107772413 424051894 439711985 532712098 547484398 X 452056569 551944045 452056569 551944045 984768667 1099428443 91992275 -85081 7980282 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 30276 30276 0 Explanation of Lobbying Activities: Part II-B, Line 1: Dues to NCHA are allocated 25.23% to lobbying. 31011089 31011089 524751541 271582182 253169359 504482818 377562609 126920209 411100657 Trustee Held Funds- Bonds 10366085 F Trustee Held Funds- Capital Expenditures 302871415 F Trustee Held Funds- Pension 16238967 F 329476467 Other Receivables 24942539 Due from Third Party Payors 57436917 Investments in Subsidiaries 23412899 Current Due from Affiliates 214964 Intangible Assets 4268408 Cash Held in Escrow 2455366 Deferred Loss on Refunding 28568060 141299153 Due to Affiliates 408322592 Due to Third Party Payors 6030557 Asset Retirement Obligation 675000 Deferred Gain 819883 SERP Payable 14638417 Workers Comp Long Term 9225536 439711985 X Description of Uncertain Tax Positions Under FIN 48: 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, 2013 and 2012. 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 2009. 1 1 X 1 X 1 X 1 1 1 0 1 1 38583439 0 38583439 0.03590 161640450 161640450 200223889 161640450 38583439 0.03590 26 46637 4559426 6730 4552696 0.00420 6 6439 72643436 24843688 47799748 0.04440 0 2 2047 517857 0 517857 0.00050 6 92092 6104920 0 6104920 0.00570 40 147215 83825639 24850418 58975221 0.05480 40 147215 284049528 186490868 97558660 0.09070 1 1500 0 1500 0.00000 1 26543 0 26543 0.00000 2 794 758934 0 758934 0.00070 1 6366 0 6366 0.00000 1 2439 61342 0 61342 0.00010 3 3172 2504310 0 2504310 0.00230 9 6405 3358995 3358995 0.00310 1 30411906 0 314912304 369564896 -54652592 X 1 1 1 Surgicenter of Eastern Carolina LLC Ambulatory Surgery Center 0.55000 0.00000 0.00000 2 Onslow Radiation Oncology LLC Outpatient Radiation and Chemotherapy 0.50000 0.00000 0.00000 3 Moye Medical Endoscopy Center LLC Outpatient Endoscopy Services 0.50000 0.00000 0.00000 4 Newco Cancer Services LLC Outpatient Cancer Services 0.50000 0.00000 0.00000 1 1 Pitt County Memorial Hospital Inc

2100 Stantonsburg Road Greenville NC 27835

X X X X X Pitt County Memorial Hospital Inc 1 1 X X X X X X X X 11 1 0 1 X X X X X X X X X X 0 0 1 1 200.000000000000 1 200.000000000000 1 X X X X X X 1 1 X X X 1 0 X X X X 1 X 0 0 Part I, Line 6a: In addition to the Community Benefit Report for PCMH, information regarding this entity is found in the annual report for University Health Systems of Eastern Carolina d/b/a Vidant Health. 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, L7 Col(f): 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 II: 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 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 20 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 $135.1 million and $112.7 million as of September 30, 2013 and 2012, 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. Pitt County Memorial Hospital, Inc. Part V, Section B, Line 3: The development of the 2011 Pitt County Community Health Assessment was a collaborative effort between Pitt County Health Department, Pitt Partners for Health, Vidant Medical Center and East Carolina University.A special thank you is extended to the membership of Pitt Partners for Health, Pitt County's Healthy Carolinians task force. The Partnership is chaired by community member, Ann Huggins, and financially supported by Vidant Medical Center Community Health programs. The group's 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. Pitt Partners for Health 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 Pitt Partners for Health are shared with the Pitt County Board of Health, the Vidant Medical Center Foundation and the Vidant Medical Center Board of Directors prior to these groups selecting priority health areas for their respective organizations/agencies.The collaborators wish to acknowledge the participation of individuals from a number of groups throughout Pitt County who shared their knowledge, expertise and creative ideas for improving community health in Pitt County.- Dr. John Morrow, Public Health Director, and Mr. Steve Lawler, President of Vidant Medical Center, hosted a key leaders meeting to solicit input on the problems and possible strategies to creating a healthier Pitt County. Approximately 30 key leaders participated, including both formal and informal leaders from a number of organizations, including Vidant Medical Center (Vice-Presidents - Nursing, Community Health, Pastoral Services, etc.), City of Greenville (Mayor), Town of Bethel (Council Member), Village of Simpson (Mayor), Town of Farmville (Mayor), County of Pitt (Manager), United Way (Interim Director), Vidant Medical Center Foundation (Executive Director), Brody School of Medicine (Dean and faculty) East Carolina University College of Nursing (Dean), East Carolina University College of Health and Human Performance (Dean), Pitt Community College (Health Sciences Dean), Pitt County Sheriff, Area Health Education Center (Executive Director), Chamber of Commerce (President), Pitt County Development Commission, (Executive Director), Department of Social Services (Director) and Pitt County Medical Society (Executive Director).- The Association of Mexicans in North Carolina (AMEXCAN) led by Mr. Juvencio Peralta, provided a vital link between the needs of the immigrant population and the health care agencies/organizations within the community. Lay health leaders within this organization participated in a listening session designed to ensure that Latinos were given a voice in determining priority health concerns.- The Vidant Medical Center School Health Program, led by Charla Holbrook, provided input on the needs of school-age children and their families.- The Cornerstone Ministries Lay Health Advisors Program, a network of more than 30 churches and led by Barbara Lee, has for more than 10 years collaborated with public health to identify and address the needs of African-Americans and others in Pitt County.- The Community Care Plan of Eastern Carolina, led by Jim Baluss, provided input on the needs of the Medicaid clients that are served by this program.- The outreach team of the Pitt County Health Department serves primarily women of childbearing age and children. The staff of this team was instrumental in helping the collaborators understand the issues and needs of the special populations they serve.- The Pitt County Medical Society Executive Board provided physician perspectives to the health needs of populations in Pitt County.- The Pitt County Schools allowed the Youth Risk Behavior Survey and High School Health Survey to be conducted within their middle and high schools. These surveys provided extremely valuable information on health behaviors, attitudes and perceptions of youth in Pitt County.- The Greenville Youth Council, which has representation from each of the county's six high schools, and youth peer leaders at a local high school, provided input on the needs of adolescents within Pitt County.- Last, but not least, appreciation is expressed to the people within Pitt County who participated in the 2011 Community Health Assessment Survey, providing invaluable information regarding what concerned them the most and proposed act ion steps to make Pitt County a healthier community. Pitt County Memorial Hospital, Inc. Part V, Section B, Line 7: 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 14g: 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 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 Part VI, Line 5: See Schedule O, Part III Part VI, Line 6: See Schedule O, Part III Reports Filed With States Part VI, Line 7 NC 1 Vidant Medical Center Foundation PO Box 8469 Greenville NC 27835 581399266 501(c)(3) 1000000 Charity East Carolina University PO Box 75514 Charlotte NC 28275 566000403 501(c)(3) 1850000 Joint research projects North Carolina Physicians Health Programs 220 Horizon Drive Suite 201 Raleigh NC 27615 561846599 501(c)(3) 5000 Donation 3 0 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: Primary oversight responsibility for all grants received by UHS organizations rests with the entity receiving the funds. Each entity is responsible for documenting the receipt of funds, assigning a cost center to track expenses and/or creating a restricted liability for deposit of the funds, documenting expenditures and completing all grantor required reporting. The compliance with the terms of the agreement related to project implementation and management, fund expenditures and reporting is monitored by the granting agency's designated contact person with assistance from the UHS grants office. Note: The majority of the grant funds received for programs at VMC are acquired through the PMH Foundation which has a compliance audit completed each year. Grant funds for UHS are sent to the UHS Foundation and have the same audit procedures. All grant funds are recorded/monitored by the Corporate Accountant and the Assistant Vice President of Financial Services. Selection Criteria/Process Grants provided by the UHS and PMH Foundations require the applicant to be a 501(c)(3) or government entity and recipients are required to provide proof of their status by submitting a copy of their IRS Letter of Determination. Requests must be related to disease prevention and disease management or wellness. There are different health related focus areas for each of the hospital's community benefits grant programs. Each hospital's program has their own local Community Benefits Grants Review Committee comprised of local representatives from their respective communities. These committees review letters of intent, decide which organizations are to be invited to submit a grant application, then review the grant applications and make funding recommendations. Their funding recommendations are then reviewed by the UHS Foundation Community Benefits Committee and final decisions are confirmed by the UHS Foundation Board. X X X X 0 1 0 0 0 0 0 0 0 Dr David Herman 0 907202 0 185006 0 95414 0 72500 0 16723 0 1276845 0 0 Stephen Lawler 609947 0 110023 0 5721 0 120209 0 40972 0 886872 0 0 0 William Floyd 294412 0 19826 0 352 0 48652 0 34241 0 397483 0 0 0 Linda Hofler 237831 0 15666 0 638 0 38954 0 40441 0 333530 0 0 0 Seth VanEssendelft 0 184827 0 12265 0 0 0 22639 0 37886 0 257617 0 0 Donald Shackelford 396240 0 25575 0 0 0 42900 0 40807 0 505522 0 0 0 Tracy Eskra 285805 0 18590 0 0 0 30600 0 3613 0 338608 0 0 0 Donald Smith 223305 0 14919 0 290 0 33850 0 35436 0 307800 0 0 0 Tyree Walker 229239 0 14611 0 747 0 40959 0 15363 0 300919 0 0 0 Ryan Hickey 209203 0 13963 0 0 0 25802 0 41101 0 290069 0 0 0 Reggie Pearson 178124 0 11716 0 0 0 19705 0 29931 0 239476 0 0 0 Beverly Owen 222200 0 500 0 0 0 6400 0 15479 0 244579 0 0 0 James Worden Jr 197287 0 500 0 0 0 9435 0 22037 0 229259 0 0 0 Stephen Koska 183978 0 500 0 0 0 7062 0 34763 0 226303 0 0 0 John Randall 180386 0 500 0 0 0 2038 0 12017 0 194941 0 0 0 Katharine Fodor 169295 0 500 0 0 0 3040 0 39212 0 212047 0 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 2012. It will be performed again in fiscal year 2014. Compensation of other officers and key employees is also determined by the Compensation and Benefits Committee of the VH Board using comparative data from like organizations and input from consultants. This process is performed every two years, the last year being 2012. It will be performed again in fiscal year 2014. All compensation discussions and actions are documented and approved in the minutes of the Committee. Part I, Line 4b The following individuals participated in a supplemental non-qualified retirement plan during the year. The yearly change of such plan is included in their compensation per Schedule J, Part II, column C: - Stephen Lawler, $45,804 - William Floyd, 12,396 - Linda Hofler, (648) - Donald Smith, 6,396 - Tyree Walker, 12,252 Phillip Austin Bruce Austin (Board Director) has a family relationship with Phillip Austin 26640 Employee of Vidant Medical Center 0 Eastern Carolina ENT Marcus Albernaz (Board Director) is member and Director of E. Carolina ENT. 351217 Provides on-call services to Vidant Medical Center. 0 X Telemedicine Equipment 1 136832 Purchase Price X Emergency Preparedness Bus 1 139824 Purchase Price 0 0 0 0 Method for Determining Number of Contributions: Part I, Column (b): Contributions listed represent the number of contributions received in the year. Form 990, Part III Overview of University Health Systems of Eastern Carolina, D.B.A Vidant Health ("VH") At Vidant Health ("VH"), we are committed to improving the health of our communities. Eastern North Carolina residents look to our hospitals for quality health care. We work hard to uphold the trust that our communities place in us. Through a clear vision, disciplined leadership and committed employees, VH serves the needs of the region, including those who are underserved and need us the most. Our mission at VH - to enhance the quality of life for the people and communities we serve, touch and support - drives us far beyond caring for patients within the confines of our hospital walls. It calls us to help make Eastern North Carolina a better, healthier place to live. VH is a North Carolina non-profit corporation with headquarters in Greenville, North Carolina. VH and its affiliates operate an integrated health care delivery system that serves a total market of approximately 1.4 million people in 29 contiguous counties in Eastern North Carolina. The health system includes hospitals, physician practices, outpatient services, long-term care, home health, hospice, and wellness services. The health system's owned hospitals are Vidant Medical Center ("VMC"), which is a tertiary care hospital and an academic medical center, and eight other acute care hospitals; Vidant Roanoke-Chowan Hospital, Vidant Edgecombe Hospital, Vidant Chowan Hospital, Vidant Bertie Hospital, Vidant Duplin Hospital, Vidant Beaufort Hospital, Vidant Pungo Hospital and the Outer Banks Hospital. VH also manages Albemarle Hospital. VMC serves as the teaching hospital for the Brody School of Medicine, East Carolina Schools of Nursing and Allied Health and Pitt Community College. The system also serves as a regional referral center for Eastern North Carolina. The system's nine owned acute care hospitals are licensed to operate 1,488 beds. Each hospital is licensed by the division of facility services of the North Carolina Department of Health and Human Services and approved as a provider by the Medicare and Medicaid programs. VH and its hospitals and affiliate organizations provide services to patients without regard to their ability to pay. In fiscal year 2013 VH combined patient care statistics were: inpatient admissions, 67,383; inpatient days of care, 353,862; surgeries, 46,802; births, 5,911; and outpatient visits, 486,429. Our system's workforce included 12,561 employees. Each of VH's hospitals operates an emergency room, which is open 24 hours a day. VMC also offers a full spectrum of trauma services. Emergency and trauma services are provided to patients without regard to their ability to pay. In fiscal year 2013 VH provided care to 273,073 emergency room patients. VH's Board of Directors consists of 11 voting members, six of whom must be current or former Pitt County, North Carolina appointees of VMC's Board of Trustees and five of whom must be current or former Board of Governors of the University of North Carolina appointees of VMC's Board of Trustees. VMC, in affiliation with the Brody School of Medicine, which is owned by the state of North Carolina, operates 30 resident-training programs with over 400 medical residents. This relationship enables VMC and the Brody School of Medicine to combine their resources for the provision of quality patient care, medical education and research for the residents of Eastern North Carolina. The Brody School of Medicine has three important goals: educating primary care physicians, making medical care more readily available to the people of Eastern North Carolina, and providing opportunities to minority and disadvantaged students. As a non-profit organization, VH reinvests all excess of revenues over expenses in programs, services, and facilities that provide access to patient care and health services to the citizens of Eastern Carolina. Overview of Vidant Health Company Benefit Programs: 1. Eastern North Carolina is comprised of 1.4 million people living in 14,000 square miles. Boundaries are from I-95 east to the coast, and from the Virginia line up to and including Onslow County. The area is largely rural and largely poor, with higher than state or national average rates for poverty and uninsured. Health status indicators show increased incidence of disease in the region, especially cancer, heart disease and stroke. VH determines priorities for target populations by working in concert with medical and community agency partners in ongoing assessment of the most pressing health care needs. Many efforts over the past decade have focused on diabetes, pediatric asthma, school health, injury prevention, access to care, nutrition enhancement, physical activities and chronic disease screenings. Also, special programs to manage the care of Medicaid enrollees, address access to both medical care and medications for the uninsured, and coordination of services for children with obesity have been undertaken. The populations that are served by addressing these issues are largely the poor, the underserved, and minorities. Determination of specific populations to address occurs when partners such as the North Carolina Department of Health and Human Services, local health departments, county Healthy Carolinian task forces, and physicians identify a quantifiable need, and community partners are engaged to work together with the health system. 2. Funding for community health programs is obtained from both the operating funds of VH entities and external grant-awarding organizations. The VH board annually provides financial support for the community benefit initiatives program of its foundation. These funds are then awarded to community agencies that successfully demonstrate both need and a well-designed plan to address one of the foundation's priority categories. In addition, each VH hospital financially supports community health resources within its operating budget. Programs vary according to the hospital's financial ability and community need, but all include collaborative efforts with local health departments, including health screenings and education to targeted populations. VH also has a successful track record of obtaining community health program support from external agencies that award grant funding to approve projects. The VH grants office was established in 2008 and serves as the central point from grant mining, acquisition and management of grants awarded to VH hospitals from community-based programs. Grant funds are utilized to demonstrate the effectiveness of a proposed community program, measure the outcomes achieved, and garner long-term sustainability from either the health system, other community agencies or as a collaborative program. Many community health programs are collaborative in nature with local service agencies, and often a portion of the grant funds are used to support resources or services in these agencies. 3. Community health priorities are determined in several ways. In partnership with the local health departments, the results of state-mandated community health assessments are studied by each local Healthy Carolinians task force. Those task force groups then compile a list of the most pressing issues in their communities based on data community input. Both established resources within various agencies and potential opportunities to garner new support are reviewed. 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: a. Community Health Improvement Services - Community health improvement services are programs and services that meet an identified need and are offered to the community at little or no charge. VH hospitals sponsor programs that improve access to health care for the underserved and enhance the identification and management of chronic diseases, such as cancer, diabetes and heart disease. Here are a few examples of these programs: - Medication assistance programs for uninsured patients - The Pediatric Healthy Weight Program - Support for Healthy Carolinians collobaratives, including Pitt Partners for Health, the Hertford Partnership for Health and Three Rivers Healthy Carolinians. - School nurse programs - Support for the Community Care Plan of Eastern Carolina for Medicaid recipients and HealthAssist for the uninsured - Support of local Federally Qualified Health Center b. Health Professional Education - preparing future health care professionals is important to us. Our hospitals provide clinical settings for students of health professions, such as future physicians, nurses and other allied health professionals. We also support students through deferred forgivable loans and internships including resident training, nursing clinic sites, allied health professionals, and financial support of nursing programs. c. Research - East Carolina University (ECU) conducts research to evaluate new treatments and protocols. These studies help health professionals everywhere provide quality care to patients. VH supports this through various means including supporting the institutional review board at ECU and providing study sites. d. Financial and In-Kind Contributions - VH donates money and in-kind services to community groups and activities that share our mission of improving health. They include Meals on Wheels, American Red Cross blood drives, medical supplies to emergency medical services, and free medication to qualifying patients. VH hospitals are key partners in fundraising for organizations such as the United Way, American Heart Association, Juvenile Diabetes Association and the American Cancer Society. VH contributed $1.0 million to the Community Benefits Grants Program which awards grants to local non-profits for health related programs. e. Community Building - Community-building activities include programs that are not directly related to health care but address underlying issues that impact the health of communities. Poverty, crime, homelessness, workforce development and economic development all affect the overall health of communities. VH has provided support for our local Chambers of Commerce, financial support for road improvements, investments in communication infrastructure via information technology connections, support for the teen leadership academy, recruitment of physicians to our rural communities, and programs that encourage students to pursue health careers. Form 990, Part VI, Section A, line 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 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 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 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 2012. It will be performed again in fiscal year 2014. Compensation of other officers and key employees is also determined by the Compensation and Benefits Committee of the VH Board using comparative data from like organizations and input from consultants. This process is performed every two years, the last year being 2012. It will be performed again in fiscal year 2014. All compensation discussions and actions are documented and approved in the minutes of the Committee. Form 990, Part VI, Section C, line 19 The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. University Health Systems of Eastern Carolina Inc (DBA Vidant Health) 2100 Stantonsburg Road Greenville NC 27835 562141073 Healthcare NC 501(c)(3) Line 11c, III-FI N/A 0 Surgicenter Services of Pitt Inc 102 Bethesda Drive Greenville NC 27835 561690553 Healthcare NC 501(c)(3) Line 11b, 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 HealthAccess Inc 2100 Stantonsburg Road Greenville NC 27835 561396133 Healthcare NC 501(c)(3) Line 11b, 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 7173173 22655777 0 0 0.55000 1 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 0 0 Surgicenter of Eastern Carolina LLC N 6425801 Actual Cash Payment Surgicenter of Eastern Carolina LLC B 7425000 Actual Cash Payment Surgicenter of Eastern Carolina LLC P 241038 Actual Cash Payment Surgicenter of Eastern Carolina LLC O 323696 Actual Cash Payment Surgicenter of Eastern Carolina LLC K 306867 Actual Cash Payment