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Return of Organization Exempt from Income

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Return of Organization Exempt from Income efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93493224010375 Return of Organization Exempt From Income Tax OMB No 1545-0047 Form 990 Under section 501 ( c), 527, or 4947 ( a)(1) of the Internal Revenue Code ( except private foundations) 2O1 3 Do not enter Social Security numbers on this form as it may be made public By law, the IRS Department of the Treasury Open generally cannot redact the information on the form Internal Revenue Service Inspection - Information about Form 990 and its instructions is at www.IRS.gov/form990 For the 2013 calendar year, or tax year beginning 10-01-2013 , 2013, and ending 09-30-2014 C Name of organization B Check if applicable D Employer identification number University Health Systems of Eastern F Address change Carolina Inc 56-2141073 Doing Business As F Name change Vidant Health 1 Initial return Number and street (or P 0 box if mail is not delivered to street address) Room/suite E Telephone number 2100 Stantonsburg Road p Terminated (252)847-5129 (- Amended return City or town, state or province, country, and ZIP or foreign postal code Greenville, NC 27835 1 Application pending G Gross receipts $ 143,238,746 F Name and address of principal officer H(a) Is this a group return for David Herman subordinates? fl Yes F No 2100 Stantonsburg Road Greenville, NC 27835 H(b) Are a l l subordinates 1 Yes 1 No included? I Tax-exempt status F 501(c)(3) 1 501(c) ( ) I (insert no (- 4947(a)(1) or F_ 527 If "No," attach a list (see instructions) J Website : - www vidanthealth com H(c) Group exemption number 0- K Form of organization F Corporation 1 Trust F_ Association (- Other 0- L Year of formation 1998 M State of legal domicile NC Summary 1 Briefly describe the organization's mission or most significant activities To advance and support the healthcare needs of the communities of Eastern North Carolina w 2 Check this box if the organization discontinued its operations or disposed of more than 25% of its net assets 3 Number of voting members of the governing body (Part VI, line 1a) . 3 11 4 Number of independent voting members of the governing body (Part VI, line 1 b) . 4 9 5 Total number of individuals employed in calendar year 2013 (Part V, line 2a) . 5 977 6 Total number of volunteers (estimate if necessary) 6 9 7aTotal unrelated business revenue from Part VIII, column (C), line 12 . 7a 0 b Net unrelated business taxable income from Form 990-T, line 34 . 7b 0 Prior Year Current Year 8 Contributions and grants (Part VIII, line 1h) . 329,599 182,235 9 Program service revenue (Part V I I I , l i n e 2g) . 120,574,040 148,337,775 N 10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) . 561,622 -5,281,264 11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 0 0 12 Total revenue-add lines 8 through 11 (must equal Part VIII, column (A), line 12) . 121,465,261 143,238,746 13 Grants and similar amounts paid (Part IX, column (A), lines 1-3) . 1,505,886 1,216,927 14 Benefits paid to or for members (Part IX, column (A), line 4) . 0 0 15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5-10) 68,728,787 76,023,524 16a Professional fundraising fees (Part IX, column (A), line 11e) 0 0 b Total fundraising expenses (Part IX, column (D), line 25) 0-0 LLJ 17 Other expenses (Part IX, column (A), lines 11a-11d, 11f-24e) . 86,246,882 96,448,359 18 Total expenses Add lines 13-17 (must equal Part IX, column (A), line 25) 156,481,555 173,688,810 19 Revenue less expenses Subtract line 18 from line 12 . -35,016,294 -30,450,064 Beginning of Current End of Year Year 20 Total assets (Part X, line 16) . 791,425,690 727,485,564 % 21 Total liabilities (Part X, line 26) . 622,950,006 603,792,152 ZLL 22 Net assets or fund balances Subtract line 21 from line 20 168,475,684 123,693,412 lijaM Signature Block Under penalties of perjury, I declare that I have examined this return, includin my knowledge and belief, it is true, correct, and complete Declaration of preps preparer has any knowledge Signature of officer Sign Here David Hughes Chief Financial Officer Type or print name and title Print/Type preparer's name Preparers signature Wayne Harder Paid Firm's name 1- MCGLADREY LLP Pre pare r Use Only Firm's address 1 1 S WACKER DRIVE STE 800 CHICAGO, IL 60606 May the IRS discuss this return with the preparer shown above? (see instructs For Paperwork Reduction Act Notice, see the separate instructions. Form 990 (2013) Page 2 Statement of Program Service Accomplishments Check if Schedule 0 contains a response or note to any line in this Part III .F 1 Briefly describe the organization's mission The mission ofVidant Health is to enhance the quality of life for the people and communities we serve, touch and support 2 Did the organization undertake any significant program services during the year which were not listed on the prior Form 990 or 990-EZ? . fl Yes F No If "Yes," describe these new services on Schedule 0 3 Did the organization cease conducting, or make significant changes in how it conducts, any program services? . F Yes F No If "Yes," describe these changes on Schedule 0 4 Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported 4a (Code ) (Expenses $ 165,760,324 including grants of $ 1,216,927 ) (Revenue $ 148,337,775 See Schedule 0 4b (Code ) (Expenses $ including grants of $ ) (Revenue $ 4c (Code ) (Expenses $ including grants of $ ) (Revenue $ 4d Other program services (Describe in Schedule 0 (Expenses $ including grants of $ ) (Revenue $ 4e Total program service expenses 0- 165,760,324 Form 990 (2013) Form 990 (2013) Page 3 Checklist of Required Schedules Yes No 1 Is the organization described in section 501(c)(3) or4947(a)(1) (other than a private foundation)? If "Yes," Yes complete Schedule As . 1 2 Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? . 2 Yes 3 Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to No candidates for public office? If "Yes,"complete Schedule C, Part Is . 4 Section 501 ( c)(3) organizations . Did the organization engage in lobbying activities, or have a section 501(h) Yes election in effect during the tax year? If "Yes,"complete Schedule C, Part II . 4 5 Is the organization a section 501 (c)(4), 501 (c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, N o Part HIS . 5 6 Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes,"complete N o Schedule D, Part I . 6 7 Did the organization receive or hold a conservation easement, including easements to preserve open space, No the environment, historic land areas, or historic structures? If "Yes,"complete Schedule D, Part IIS . 7 8 Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," N o complete Schedule D, Part 111 19 . 8 9 Did the organization report an amount in Part X, line 21 for escrow or custodial account liability, serve as a custodian for amounts not listed in Part X, or provide credit counseling, debt management, credit repair, or debt No negotiation services? If "Yes," complete Schedule D, Part IV . 9 10 Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, 10 No permanent endowments, or quasi-endowments? If "Yes,"complete Schedule D, Part V . 11 If the organization's answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable a Did the organization report an amount for land, buildings, and equipment in Part X, line 10? Yes If "Yes," complete Schedule D, Part VI. lla b Did the organization report an amount for investments-other securities in Part X, line 12 that is 5% or more of No its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIS . llb c Did the organization report an amount for investments-program related in Part X, line 13 that is 5% or more of No its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII . llc d Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets Yes reported in Part X, line 16? If "Yes," complete Schedule D, Part IX' . lid e Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part X I lle I Yes f Did the organization's separate or consolidated financial statements for the tax year include a footnote that llf Yes addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes,"complete Schedule D, Part X.
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