The building blocks of a healthy community 2016 REPORT TO THE REGION

The building blocks of a healthy community 2016 REPORT TO THE REGION

A legacy of improving the health and well-being of eastern North Carolina Vidant Health has a long, proud history of serving eastern North Carolina. In fact, that commitment goes back more than 65 years when the first building blocks of a healthy community were created. In 2016, Vidant focused on its mission, vision and values. The result? Significant improvements in patient quality, access and experience the outcome of new services, treatment options and facilities. Many of these achievements for patients and families would not be possible without Vidant s longtime partner, the Brody School of Medicine at East Carolina University. Together, these two nationally recognized organizations are training the next generation of health professionals who dedicate their lives to helping those in need. By remaining dedicated to its mission, vision and values, Vidant is well-positioned to continue building upon the legacy of those first building blocks 65 years later. Marcus S. Albernaz, MD Chair, Vidant Health Board of Directors Mike Waldrum, MD, MS, MBA Chief Executive Officer, Vidant Health Services close to where you live As of September 30, 2016 Vidant Roanoke- Chowan Nash Northampton Hertford Halifax Bertie Gates Chowan Pasquotank Perquimans Currituck Camden Vidant Bertie Vidant Chowan Wilson Edgecombe Martin Washington Tyrrell Dare The Outer Banks Wayne Greene Pitt Beaufort Hyde Vidant Edgecombe Sampson Duplin Lenoir Jones Craven Pamlico Vidant Beaufort Onslow Carteret Vidant Medical Center Pender Vidant Duplin Green-shaded counties represent Vidant Health s 29-county service area. Vidant Health-owned hospital Vidant Health primary care physicians Vidant Health specialists Vidant Health hospitalists Co-branded relationship/joint venture Vidant Wellness Center Vidant Home Health & Hospice service area county Ambulatory surgery Outer Banks Medical Group primary care physicians Outer Banks Medical Group specialists

MISSION We re on a mission with you To improve the health and well-being of eastern North Carolina. $195 MILLION in uncompensated care Includes charity care, bad debt and unreimbursed Medicare, Medicaid and other need-based government programs. Connecting with you Vidant Health contributes $2.85 billion To the gross regional product of eastern NC $3.5 billion To NC gross state product 25% Increase in likes 16% Increase in followers For every full time employee at Vidant Health, an additional 0.77 jobs are created in the region NICU GRADUATES of the tiniest, 974 sickest babies got strong enough to leave the intensive care unit and get a healthy start. Welcomed 5,914 new babies into the world The Brody School of Medicine and Vidant Health together employ more than 13,500 people and deliver an economic impact for the east in excess of $3 billion. PATIENT SURVEYS 83 percent of patients surveyed at Vidant Health rated their experience a 9 or 10 on a 10-point scale. Keeping you healthy Wellness Centers in Ahoskie, Washington and Greenville 9,733 428,000 Members Join those who have made health part of their routine. Visits Get healthy and stay healthy. Grab a buddy and join now. VidantWellnessCenter.com

VISION Bringing our vision into focus To become the national model for rural health and wellness by creating a premier, trusted health care delivery and education system. WE BELIEVE IN LIFE WITHOUT CANCER That's why we focus on prevention and early detection. 3,700 800+ 14,600 Newly diagnosed cancer patients in eastern North Carolina People received a cancer screening at a Vidant Health event People attended an educational event for cancer prevention Navigators Our navigators guide patients and caregivers through their journey from the moment a diagnosis is made. 13,700 Interactions with patients and caregivers A partner in training the workforce of the future $9.5M 93,000+ Volunteer hours 912 Students in scholarships EastCare transports INVESTING IN THE EAST 142 grants awarded $2 million 17 counties Community benefit grants fund groups who share our passion for healthy communities. 2,476 flights 6,495 ground transports Wherever you re located in the east, we re with you on the journey to receive the care you need. Your health. Your home. 63,284 889 Visits to over 5,500 patients in the comfort of their own homes Patients received hospice for end-of-life care Rural health in action throughout the east Vidant Medical Group 444 Providers 15 new specialists 80+ Practices 7 new facilities Vidant Home Health & Hospice serves 20 counties and added a new location in Duplin County in 2016. 895,353 Patients seen either in practices or in the hospital

VALUES Putting words into action Integrity Compassion Education Accountability Safety Teamwork Quality Prevention Patient Experience Safety Excellence was recognized throughout the health system, resulting in impressive national awards for each of our entities. VidantHealth.com/Awards PROJECT SEARCH A leading-edge program that teaches young people with developmental disabilities job skills needed in hospitals. 8 students x 1,300 hours on campus = independence and a bright future 12,224 TEAM MEMBERS THROUGHOUT THE EAST If these values are in your DNA and you want to join a growing health system, check out your options at VidantHealth.com/Careers. VidantHealth.com VOLUNTEERS 1,568 volunteers devoting 124,754 hours in hospitals near you. Join these community leaders and make a meaningful difference every day. Learn more at VidantHealth.com/Volunteers

FINANCIAL REVIEW Combined statements of revenue and expenses Vidant Health closed 2016 with higher quality patient care, strong patient satisfaction metrics and sound financial performance. Most significant were a nine percent decrease in harmful events and a 14 percent reduction in readmissions. In addition, 83 percent of patients rated their experience with us a 9 or 10 on a 10-point scale. Vidant finished the year with overall net income of $80.7 million, which will be invested in better health care throughout the east. Operating revenues 2016 Net patient revenues $1,570,832 Other operating revenues 74,007 Total operating revenues 1,644,839 Operating expenses Salaries and benefits 894,754 Supplies and other 586,412 Depreciation 88,007 Total operating expenses 1,569,173 Income from operations 75,666 Interest expense (25,669) Investment income (loss) and other non-operating income (loss) Excess (deficit) of revenues over expenses 30,722 $80,719 For the fiscal year ended September 30, 2016 (in thousands) TOTAL DIRECT COMMUNITY BENEFIT Unreimbursed care* Charity care *Unreimbursed Medicaid and other unreimbursed need-based government programs Community benefit programs and services Total community benefit Vidant Medical Center $21,835,551 $35,769,902 $53,720,500 $111,325,953 Vidant Beaufort 3,103,792 2,472,140 871,945 6,447,877 Vidant Bertie 1,043,840 1,007,520 315,763 2,367,123 Vidant Chowan (34,878) 2,207,765 584,883 2,757,770 Vidant Duplin (834,758) 3,248,509 570,320 2,984,071 Vidant Edgecombe 4,822,284 4,099,908 1,235,442 10,157,634 Vidant Roanoke-Chowan 4,581,951 2,980,616 786,703 8,349,270 The Outer Banks (615,075) 1,741,798 955,105 2,121,828 Total $33,902,707 $53,528,158 $59,080,661 $146,511,526 PATIENT SERVICE STATISTICS Admissions Surgeries Births Emergency visits Outpatient visits Vidant Medical Center* 43,506 33,206 3,711 121,856 167,214 Vidant Beaufort 3,684 2,855 250 23,672 27,194 Vidant Bertie 414 726 10,311 14,045 Vidant Chowan 1,828 1,776 328 16,356 24,218 Vidant Duplin 3,676 2,203 496 28,420 23,258 Vidant Edgecombe 4,097 2,506 439 28,519 17,879 Vidant Roanoke-Chowan 4,424 1,912 338 23,004 42,600 The Outer Banks 1,464 2,446 352 21,901 18,596 Total 63,093 47,630 5,914 274,039 335,004 * Surgeries for Vidant SurgiCenter included in total FY2016 ended September 30, 2016 16-VH-399 3/17