Community Benefit

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At Vidant North Hospital, we track the value of our benefits to ensure that the community is receiving value in return for our tax exempt status. Last year alone, we extended nearly $11 million in Charity Care.

What is a Community Benefit?

Programs and services that increase access to healthcare, improve the health of communities and educate health professionals are considered community benefits. Major elements of our community benefits program include charity care, unreimbursed costs for treating Medicare and Medicaid patients, community health improvement services, cash and in-kind contributions to community groups.

The Value of Community Benefit

The value of the community benefits is more than what is reflected in the numbers. Vidant North Hospital plays additional roles in the community:

  • Vidant North Hospital is open 24/7, regardless of how many people seek treatment. We are always at the ready, but there is no payment until a patient arrives with a need.
  • Vidant North Hospital is the area’s safety net. We care for all patients who seek emergency care, regardless of ability to pay.
  • Vidant North Hospital is prepared to care for disasters (e.g., accidents, natural disasters, epidemics, and terrorist actions). There is no funding available for this standby role.
  • Vidant North Hospital is a major factor in the local economy, providing nearly 1,000 full- and part-time jobs with a payroll of approximately $50 million.
  • Vidant North Hospital contributes to community organizations, including the United Way, Roanoke Valley Medical Ministries, and the Chamber of Commerce, among others.
  • As a full-service community hospital, Vidant North Hospital is important for the economic development efforts of the region.

What Does “Not-for-Profit” Mean?

“Not-for-Profit” means that the Hospital is exempt from certain taxes. However, Vidant North Hospital aims to earn a profit, defined as excess of revenue over expenses for a fiscal year. We refer to it as our “margin.”

  • Every organization—for-profit or not-for-profit—needs to have money left over at the end of the year. We cannot fulfill our mission without earning a “margin.” The difference between for-profit and not-for-profit is what is done with the “margin” money.
  • As a not-for-profit organization, Vidant North Hospital invests any money remaining at the end of the year to improve the healthcare of the community. That money is used in many ways, including the purchase of equipment, developing and expanding new services, and hiring additional staff.

Community Health Needs Assessment

 The Community Health Needs Assessment (CHNA) is an assessment of the health status of our community.  This process allows Vidant North Hospital to identify needs in the community and develop an improvement plan to address those needs. Below are links to the last two CHNAs and the Improvement Plans.  The community is invited to review the current CHNA and offer comments or suggestions.  Please send any comments or suggestions to Darlene Wolgemuth at  or call 252-535-8629.

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