ROANOKE VALLEY HEALTH SERVICES INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- ROANOKE VALLEY HEALTH SERVICES INC (EIN 56-1925492)
- Tax period
- 2018-10-01 to 2019-09-30
- Filed
- 2020-08-14
- IRS object ID
- 202032279349300608
- Schema version
- 2018v3.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-08-14T08:01:47-05:00 | ReturnTs |
| Tax Period End | 2019-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 560747981 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 RIDGEFIELD COURT | AddressLine1Txt |
| City | ASHEVILLE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28806 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 561925492 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROANOKE VALLEY HEALTH SERVICES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ROAN | BusinessNameControlTxt |
| Phone | 2525358130 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 SMITH CHURCH ROAD | AddressLine1Txt |
| City | ROANOKE RAPIDS | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27870 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SHERRY JENSEN | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 2525358130 | PhoneNum |
| Signature | 2020-08-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMY BIBBY | PreparerPersonNm |
| PTIN | P00445891 | PTIN |
| Phone | 8282542254 | PhoneNum |
| Preparation | 2020-08-11 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 99.47.28.203 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-08-14 | IPDt |
| IP Tm | 06:34:11 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 48FB394F9AA065459641371F168D9F2AFFFBB473 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-09-22 18:59:49Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SHERRY JENSEN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 SMITH CHURCH ROAD | AddressLine1Txt |
| City | ROANOKE RAPIDS | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27870 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $9,008,853 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HALIFAXREGIONAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1994 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE THE HEALTH AND WELL-BEING OF EASTERN NORTH CAROLINA. | ActivityOrMissionDesc |
| Voting Members Governing Body | 2 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 79 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $199,996 | PYContributionsGrantsAmt |
| CY Contributions Grants | $183,338 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $6,827,573 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $8,820,685 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | -$142 | CYInvestmentIncomeAmt |
| PY Other Revenue | $180,681 | PYOtherRevenueAmt |
| CY Other Revenue | $4,830 | CYOtherRevenueAmt |
| PY Total Revenue | $7,208,250 | PYTotalRevenueAmt |
| CY Total Revenue | $9,008,711 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $7,405,095 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $8,165,384 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,964,037 | PYOtherExpensesAmt |
| CY Other Expenses | $3,665,982 | CYOtherExpensesAmt |
| PY Total Expenses | $11,369,132 | PYTotalExpensesAmt |
| CY Total Expenses | $11,831,366 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$4,160,882 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,822,655 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,041,838 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,133,623 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $19,363,770 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $19,878,210 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$17,321,932 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$17,744,587 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO IMPROVE THE HEALTH AND WELL-BEING OF EASTERN NORTH CAROLINA. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $11,214,896 | ExpenseAmt |
| Revenue | $8,825,515 | RevenueAmt |
| Desc | OBTAINED GEOGRAPHIC HPSA DESIGNATION IN SEPTEMBER 2019 ALLOWING FOR ADDITIONAL BONUS OF 10% OF ALL PAYMENT FOR MEDICARE FFS CLAIMS TO ALL PROVIDERS PROVIDING SERVICES WITHIN THE ZIP CODE OF 27870.MET ALL OF THE QUALITY METRICS FOR COASTAL PLAINS ACO AND SURPASSED ALL OTHER MEMBERS' SCORES IN 8/10 METRICS. CROSS TRAINED ALL STAFF (CLINICAL AND CLERICAL) TO BE ABLE TO WORK ACROSS MULTIPLE LOCATIONS TO LEVERAGE STAFFING CAPABILITIES.SUCCESSFULLY SUBMITTED MIPS ATTESTATIONS IN 2019 FOR ALL ELIGIBLE RVHS PROVIDERS FOR 2018 DATA. SURGEONS AND CARDIOLOGIST RECEIVED A POSITIVE REIMBURSEMENT STRUCTURE. ROANOKE CLINIC PROVIDERS PASSED THE SUBMISSION BUT ARE NOT ELIGIBLE TO RECEIVE THE POSITIVE BONUS RELATED TO OUR RURAL HEALTH STATUS. UPDATE AND/OR RETIRED ALL POLICIES AND TRANSITIONED THEM TO VIDANT'S POLICY STAT SYSTEM.CHART AUDITS FOR DOCUMENTATION AND CODING COMPLETED BY THIRD PART COMPANY IN JANUARY 2019. | Desc |
| Total Program Service Expenses | $11,214,896 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 79 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 2 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NC | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHERRY JENSEN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2525358005 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 SMITH CHURCH ROAD | AddressLine1Txt |
| City | ROANOKE RAPIDS | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27870 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| WILLIAM MAHONE | ||||||||
| CEO | 1.00 | 40.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SHERRY JENSEN | ||||||||
| CFO | 1.00 | 40.00 | Yes (X) | Yes (X) | $0 | $286,286 | $59,524 | |
| JASON HARRELL | ||||||||
| COO | 0.00 | 40.00 | Yes (X) | $0 | $0 | $0 | ||
| KAREN DANIELS | ||||||||
| CNO | 1.00 | 40.00 | Yes (X) | $0 | $126,366 | $19,593 | ||
| DR HAILE JONES | ||||||||
| CARDIOLOGIST | 1.00 | 40.00 | $0 | $497,506 | $57,681 | Yes (X) | ||
| DR JAMES KETOFF | ||||||||
| SURGEON | 1.00 | 40.00 | $0 | $451,640 | $63,202 | Yes (X) | ||
| DR TOCHUKWU AGBATA | ||||||||
| HOSPITALIST | 1.00 | 40.00 | $0 | $421,192 | $57,681 | Yes (X) | ||
| DR HAZEL DUCAN-GUY | ||||||||
| HOSPITALIST | 1.00 | 40.00 | $0 | $375,292 | $63,681 | Yes (X) | ||
| DR NIKECHRNYERE OBIEFUNA | ||||||||
| HOSPITALIST | 1.00 | 40.00 | $0 | $394,264 | $57,681 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,552,546 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $379,043 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 14 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| JO MEDICALS | |||||
| 824 BENTBURY WAY | CARY | NC | 275188809 | HOSPITALIST PHYSICIAN | $471,600 |
| AXIA PHYSICIAN SOLUTIONS | |||||
| 101 N CHERRY ST STE 600 | WINSTONSALEM | NC | 27101 | PHYSICIAN BILLING SVCS | $450,801 |
| COMPHEALTH | |||||
| PO BOX 972651 | DALLAS | TX | 753972651 | PHYSICIAN CONTRACTING | $369,341 |
| JOSEPH AKANINYENE - DAMAK MEDICS | |||||
| 113 ASPEN RIDGE DR | HOLLY SPRINGS | NC | 27540 | HOSPITALIST PHYSICIAN | $347,400 |
| SURAFEAL ABRAHA MD | |||||
| 5028 MYRTLE OAK DR | CARY | NC | 27519 | HOSPITALIST PHYSICIAN | $342,337 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $183,338 | AllOtherContributionsAmt |
| Total Contributions | $183,338 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE RE | Desc |
| Business | 621610 | BusinessCd |
| Total Revenue Column | $8,820,685 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,820,685 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $8,820,685 | TotalProgramServiceRevenueAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $4,830 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $4,830 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,830 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,830 | RelatedOrExemptFuncIncomeAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $142 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$142 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$142 | TotalRevenueColumnAmt |
| Exclusion | -$142 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,008,711 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,825,515 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$142 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,984,585 | TotalAmt |
| Program Services | $6,523,444 | ProgramServicesAmt |
| Management And General | $461,141 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $714,613 | TotalAmt |
| Program Services | $667,432 | ProgramServicesAmt |
| Management And General | $47,181 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $466,186 | TotalAmt |
| Program Services | $435,407 | ProgramServicesAmt |
| Management And General | $30,779 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,900 | TotalAmt |
| Management And General | $11,900 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,800 | TotalAmt |
| Management And General | $16,800 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,219,865 | TotalAmt |
| Program Services | $2,216,130 | ProgramServicesAmt |
| Management And General | $3,735 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,995 | TotalAmt |
| Program Services | $2,995 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $111,791 | TotalAmt |
| Program Services | $87,329 | ProgramServicesAmt |
| Management And General | $24,462 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,986 | TotalAmt |
| Program Services | $55,986 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,441 | TotalAmt |
| Program Services | $35,441 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,305 | TotalAmt |
| Program Services | $25,305 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $116,097 | TotalAmt |
| Program Services | $116,097 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,537 | TotalAmt |
| Program Services | $101,537 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT EXPENSE | $611,210 | $611,210 | |
| MEDICAL SUPPLIES | $326,774 | $326,774 | |
| RECRUITMENT AND RELOCAT | $20,472 | $20,472 | |
| OTHER EXPENSES | $9,809 | $9,809 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,831,366 | TotalAmt |
| Program Services | $11,214,896 | ProgramServicesAmt |
| Management And General | $616,470 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,648 | BOYAmt |
| EOY | $40,972 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $515,212 | BOYAmt |
| EOY | $885,203 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,512,275 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,304,827 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,356,985 | BOYAmt |
| EOY | $1,207,448 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $117,993 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,041,838 | BOYAmt |
| EOY | $2,133,623 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $188,066 | BOYAmt |
| EOY | $1,182,418 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,175,704 | BOYAmt |
| EOY | $18,695,792 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,363,770 | BOYAmt |
| EOY | $19,878,210 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$17,324,577 | BOYAmt |
| EOY | -$17,747,232 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,645 | BOYAmt |
| EOY | $2,645 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$17,321,932 | BOYAmt |
| EOY | -$17,744,587 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,041,838 | BOYAmt |
| EOY | $2,133,623 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$2,822,655 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $2,400,000 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,558,624 | OtherCostOrOtherBasisAmt |
| Depreciation | $809,519 | DepreciationAmt |
| Book Value | $749,105 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $842,161 | OtherCostOrOtherBasisAmt |
| Depreciation | $437,402 | DepreciationAmt |
| Book Value | $404,759 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $111,490 | OtherCostOrOtherBasisAmt |
| Depreciation | $57,906 | DepreciationAmt |
| Book Value | $53,584 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,207,448 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO HALIFAX REGIONAL MEDICAL CENTER | Desc |
| Amt | $18,695,792 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $18,695,792 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SHERRY JENSEN | ||||||||||||||
| CFO | $0 | $243,088 | $0 | $43,198 | $0 | $0 | $0 | $43,000 | $0 | $16,524 | $0 | $345,810 | $0 | $0 |
| DR HAILE JONES | ||||||||||||||
| CARDIOLOGIST | $0 | $322,506 | $0 | $175,000 | $0 | $0 | $0 | $37,000 | $0 | $20,681 | $0 | $555,187 | $0 | $0 |
| DR JAMES KETOFF | ||||||||||||||
| SURGEON | $0 | $415,841 | $0 | $35,799 | $0 | $0 | $0 | $42,521 | $0 | $20,681 | $0 | $514,842 | $0 | $0 |
| DR TOCHUKWU AGBATA | ||||||||||||||
| HOSPITALIST | $0 | $407,317 | $0 | $13,875 | $0 | $0 | $0 | $37,000 | $0 | $20,681 | $0 | $478,873 | $0 | $0 |
| DR HAZEL DUCAN-GUY | ||||||||||||||
| HOSPITALIST | $0 | $365,542 | $0 | $9,750 | $0 | $0 | $0 | $43,000 | $0 | $20,681 | $0 | $438,973 | $0 | $0 |
| DR NIKECHRNYERE OBIEFUNA | ||||||||||||||
| HOSPITALIST | $0 | $381,514 | $0 | $12,750 | $0 | $0 | $0 | $37,000 | $0 | $20,681 | $0 | $451,945 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | INDEPENDENT REVIEW OF COMPENSATION: THE ORGANIZATION DOES NOT DIRECTLY COMPENSATE ANY OFFICER OR KEY EMPLOYEE. SOME OFFICERS AND BOARD MEMBERS OF THE ORGANIZATION ARE EMPLOYEES OF HALIFAX REGIONAL MEDICAL CENTER, INC., A RELATED ORGANIZATION. THE BOARD OF DIRECTORS OF THAT ORGANIZATION USES THE FOLLOWING METHODS TO ESTABLISH COMPENSATION AMOUNTS FOR ITS CEO AND OTHER KEY PERSONNEL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANTS - WRITTEN EMPLOYEMENT CONTRACTS - COMPENSATION STUDY OR SURVEY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE |
| PART I, LINE 6 | INCENTIVE PAYMENTS FOR THE VPS ARE BASED ON MEETING CERTAIN GOALS ON THE ORGANIZATION'S BALANCED SCORECARD. PERCENTAGES ARE GIVEN FOR EACH GOAL MET. THIS AT RISK PAY IS USUALLY NOT GIVEN UNLESS THERE IS AN OPERATING MARGIN FOR THE ORGANIZATION |
| PART II | WILLIAM MAHONE, CEO, AND JASON HARRELL, VP OF OPERATIONS, BOTH WERE EMPLOYEES OF NOVANT HEALTH THROUGH MAY 31, 2019. WE CONTRACTED WITH NOVANT FOR THESE EMPLOYEES AND PAID THEIR FEES QUARTERLY AS BILLED ON NOVANT INVOICES. JUNE 1, 2019, THESE EMPLOYEES BECAME PART OF VIDANT MEDICAL CORP. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| HEADER: REASON FOR AMENDMENT | THE RETURN HAS BEEN AMENDED TO UPDATE PART VI AND PART VII OF THE RETURN TO ALIGN WITH THE ORGANIZATION'S GOVERNING DOCUMENTS. |
| FORM 990, PART VI, SECTION A, LINE 3 | THE HOSPITAL SYSTEM HAD A MANAGEMENT SERVICES AGREEMENT WITH NOVANT HEALTH INC. THE BOARD OF HRMC CONTINUES TO OVERSEE THE OPERATIONS OF THE HEALTHCARE FACILITY AND RELATED EXEMPT ACTIVITIES. HRMC RECEIVES MANAGEMENT SERVICES AS WELL AS EXPENSE SAVINGS FOR AN ANNUAL MANAGEMENT FEE. NOVANT PROVIDES HRMC WITH A CEO AND COO AND HRMC PROVIDES REIMBURSEMENT FOR THOSE COSTS. DURING THE 2018 CALENDAR YEAR YEAR, NOVANT PAID COMPENSATION OF $369,835 TO THE ORGANIZATION'S CEO AND $216,187 TO THE ORGANIZATION'S COO. |
| FORM 990, PART VI, SECTION A, LINE 4 | MERGED WITH VIDANTH HEALTH JUNE 1, 2019. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE 990 RETURNS ARE PRESENTED BY DIXON HUGHES GOODMAN TO THE FINANCE COMMITTEE OF THE HRMC BOARD. THE FINANCE COMMITTEE RECOMMENDS TO THE FULL BOARD APPROVAL OF THE TAX RETURNS. THESE RETURNS ARE MADE AVAILABLE DURING THESE PRESENTATIONS FOR DISCUSSION AND REVIEW. THE RETURNS ARE NOT TAKEN OUT OF THE MEETING BUT ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION FOLLOWS THE SAME CONFLICT OF INTEREST POLICY AS ITS AFFILIATE, HALIFAX REGIONAL MEDICAL CENTER. THE POLICY IS REVIEWED ANNUALLY, AND BOARD MEMBERS AND MANAGEMENT ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE EVERY YEAR. |
| FORM 990, PART VI, SECTION B, LINE 15 | AN OUTSIDE CONSULTANT IS USED TO DETERMINE THE APPROPRIATE COMPENSATION BASED ON COMPARABLE POSITIONS AND BENCHMARKS. THE CONSULTANT EVALUATES THE SALARIES FOR THE VP OF FINANCE. THE CEO APPROVES THE VP OF FINANCE SALARY. NOVANT DETERMINED THE COMPENSATION FOR THE CEO AND THE VP OF OPERATIONS BASED ON THE SAME PROCESS UNTIL WE MERGED WITH VIDANT JUNE 1, 2019. |
| FORM 990, PART VI, SECTION C, LINE 18 | PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON WRITTEN REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. |
| FORM 990, PART VI, SECTION C, LINE 19 | PHOTOCOPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON WRITEN REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. |
| PART VI LN 1: BOARD INDEPENDENCE | THE ORGANIZATION'S BOARD OF DIRECTORS CONSISTS OF TOP MANAGEMENT OFFICIALS OF HALIFAX REGIONAL MEDICAL CENTER, INC A RELATED ORGANIZATION. THESE INDIVIDUALS ARE OVERSEEN AND GOVERNED BY THE MEDICAL CENTER'S INDEPENDENT BOARD OF DIRECTORS. |
| FORM 990, PART IX, LINE 11G | PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 1,613,915. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,613,915. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 10,237. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,237. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 591,978. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 591,978. COLLECTION FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 3,735. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,735. |
| FORM 990, PART XI, LINE 9: | TRANSFER OF EQUITY FROM AFFILIATE 2,400,000. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (17 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| PITT COUNTY MEMORIAL HOSPITAL INC (DBA VIDANT MEDICAL CENTER) | |||||||||||
| 2100 STANTONSBURG RD | GREENVILLE | NC | 27835 | 560585243 | HOSPITAL | NC | 501(C)(3) | LINE 3 | VIDANT HEALTH | 0 | |
| EAST CAROLINA HEALTH INC (DBA VIDANT COMMUNITY HOSPITALS - CENTRAL) | |||||||||||
| 2100 STANTONSBURG RD | GREENVILLE | NC | 27835 | 562003393 | HOSPITAL | NC | 501(C)(3) | LINE 3 | VIDANT HEALTH | 0 | |
| PCMH MANAGEMENT INC (DBA VIDANT PROPERTIES) | |||||||||||
| 2100 STANTONSBURG RD | GREENVILLE | NC | 27835 | 561690740 | MEDICAL PROPERTY MANAGEMENT | NC | 501(C)(2) | VIDANT HEALTH | 0 | ||
| HEALTHACCESS INC | |||||||||||
| 2100 STANTONSBURG RD | GREENVILLE | NC | 27835 | 561396133 | HEALTHCARE | NC | 501(C)(3) | LINE 12B, II | VIDANT HEALTH | 0 | |
| VIDANT MEDICAL GROUP INC | |||||||||||
| 2100 STANTONSBURG RD | GREENVILLE | NC | 27835 | 383740839 | HEALTHCARE | NC | 501(C)(3) | LINE 12C, III-FI | VIDANT HEALTH | 0 | |
| THE OUTER BANKS HOSPITAL INC | |||||||||||
| 2100 STANTONSBURG RD | GREENVILLE | NC | 27835 | 562112733 | HOSPITAL | NC | 501(C)(3) | LINE 3 | EAST CAROLINA HEALTH | 0 | |
| EAST CAROLINA HEALTH - BERTIE (DBA VIDANT BERTIE HOSPITAL) | |||||||||||
| 2100 STANTONSBURG RD | GREENVILLE | NC | 27835 | 562072002 | HOSPITAL | NC | 501(C)(3) | LINE 3 | VIDANT HEALTH | 0 | |
| EAST CAROLINA HEALTH - CHOWAN (DBA VIDANT CHOWAN HOSPITAL) | |||||||||||
| 2100 STANTONSBURG RD | GREENVILLE | NC | 27835 | 562101090 | HOSPITAL | NC | 501(C)(3) | LINE 3 | VIDANT HEALTH | 0 | |
| EAST CAROLINA HEALTH - HERITAGE (DBA VIDANT EDGECOMBE HOSPITAL) | |||||||||||
| 2100 STANTONSBURG RD | GREENVILLE | NC | 27835 | 562093700 | HOSPITAL | NC | 501(C)(3) | LINE 3 | VIDANT HEALTH | 0 | |
| EAST CAROLINA HEALTH - BEAUFORT (DBA VIDANT BEAUFORT HOSPITAL) | |||||||||||
| 2100 STANTONSBURG RD | GREENVILLE | NC | 27835 | 452436270 | HOSPITAL | NC | 501(C)(3) | LINE 3 | VIDANT HEALTH | 0 | |
| DUPLIN GENERAL HOSPITAL (DBA VIDANT DUPLIN HOSPITAL) | |||||||||||
| 2100 STANTONSBURG RD | 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 RD | GREENVILLE | NC | 27835 | 264634725 | HOSPITAL | NC | 501(C)(3) | LINE 3 | VIDANT HEALTH | 0 | |
| VIDANT NORPUNGO DISTRICT HOSPITAL CORPORATION DBA VIDANT PUNGO HOSPITALTH | |||||||||||
| 2100 STANTONSBURG RD | GREENVILLE | NC | 27835 | 560518757 | HOSPITAL | NC | 501(C)(3) | LINE 3 | VIDANT HEALTH | 0 | |
| VIDANT NORTH | |||||||||||
| 2100 STANTONSBURG RD | GREENVILLE | NC | 27835 | 560989789 | HOSPITAL | NC | 501(C)(3) | LINE 3 | VIDANT HEALTH | 0 | |
| ACCESS EAST | |||||||||||
| 2410 STATONSBURG RD STANTON SQUARE | GREENVILLE | NC | 27834 | 561949493 | HEALTHCARE | NC | 501(C)(3) | LINE 10 | VIDANT HEALTH | 0 | |
| UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA INC | |||||||||||
| 2100 STANTONSBURG RD | GREENVILLE | NC | 27835 | 562141073 | HEALTHCARE | NC | 501(C)(3) | LINE 12A, I | 0 | N/A | |
| HALIFAX REGIONAL MEDICAL CENTER FOUNDATION INC | |||||||||||
| 250 SMITH CHURCH ROAD | ROANOKE RAPIDS | NC | 27870 | 561698825 | SUPPORT/FUNDRAISING | NC | 501(C)(3) | LINE 7 | VIDANT NORTH | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt |
|---|---|
| HRMC | |
| C | $21,210,412 |
| HRMC | |
| R | $7,205,225 |
| HRMC | |
| S | $7,421,289 |
Comments