FURP.ORG / PUBLIC DATA EXPLORER

HEALTHACCESS INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
HEALTHACCESS INC (EIN 56-1396133)
Tax period
2015-10-01 to 2016-09-30
Filed
2017-06-13
IRS object ID
201711649349300611
Schema version
2015v3.0
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

FieldValueIRS element (for citing)
Return2017-06-13T09:03:37-05:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN420714325PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RSM US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11 S WACKER DRIVE STE 800AddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60606ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN561396133EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HealthAccess IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHEALBusinessNameControlTxt
Phone2528475129PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12100 Stantonsburg RoadAddressLine1Txt
CityGreenvilleCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27835ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDavid S HughesPersonNm
Person TitleSecretary and TreasurerPersonTitleTxt
Phone2528475129PhoneNum
Signature2017-06-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDavid BillerPreparerPersonNm
PTINP01251566PTIN
Phone3126343400PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMichael R WaldrumPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12100 Stantonsburg RoadAddressLine1Txt
CityGreenvilleCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27835ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$17,074,973GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.vidanthealth.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1983FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionTo provide home care, wellness, outreach and support services within Eastern North Carolina.ActivityOrMissionDesc
Voting Members Governing Body1VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee428TotalEmployeeCnt
Total Volunteers140TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$40,807PYContributionsGrantsAmt
CY Contributions Grants$33,485CYContributionsGrantsAmt
PY Program Service Revenue$13,350,180PYProgramServiceRevenueAmt
CY Program Service Revenue$15,306,328CYProgramServiceRevenueAmt
PY Investment Income$2,794PYInvestmentIncomeAmt
CY Investment Income$1,920CYInvestmentIncomeAmt
PY Other Revenue$710,470PYOtherRevenueAmt
CY Other Revenue$1,733,240CYOtherRevenueAmt
PY Total Revenue$14,104,251PYTotalRevenueAmt
CY Total Revenue$17,074,973CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$13,751,028PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$17,134,797CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$8,194,528PYOtherExpensesAmt
CY Other Expenses$9,580,867CYOtherExpensesAmt
PY Total Expenses$21,945,556PYTotalExpensesAmt
CY Total Expenses$26,715,664CYTotalExpensesAmt
PY Revenues Less Expenses-$7,841,305PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$9,640,691CYRevenuesLessExpensesAmt
Total Assets BOY$8,757,346TotalAssetsBOYAmt
Total Assets EOY$11,324,607TotalAssetsEOYAmt
Total Liabilities BOY$5,561,710TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,402,164TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,195,636NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,922,443NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTo improve the health and well-being of eastern North Carolina.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$5,252,405ExpenseAmt
Revenue$7,551,791RevenueAmt
DescVidant Home Health provides in-home care services.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$3,512,633ExpenseAmt
Revenue$4,269,518RevenueAmt
DescVidant Hospice provides home and in-patient hospice services.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$2,795,615ExpenseAmt
Revenue$3,264,285RevenueAmt
DescVident Wellness Center provides exercise and wellness services.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)

ExpenseExpenseAmtRevenueRevenueAmtDescDesc
$3,525,409$213,328Care Coordination links high-risk patients with resources while transitions in care are managed.
$7,190,602$7,406HealthAccess Administration
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$10,716,011TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$220,734TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$22,276,664TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee428EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members1GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy0ConflictOfInterestPolicyInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonBrian DunnPersonNm
Phone2528477479PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12100 Stantonsburg RoadAddressLine1Txt
CityGreenvilleCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27835ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Dr Michael R Waldrum MD
Chairman2.0050.00Yes (X)$0$483,826$74,071
Dr Joan Wynn PhD
President2.0040.00$0$309,594$205,348Yes (X)
David S Hughes
Secretary and Treasurer2.0050.00$0$497,452$169,107Yes (X)
Pamela Cowin
Director of Clinical Operations40.00$115,609$0$35,543Yes (X)
Sandra Gaskins
Senior Administrator, HealthAccess40.00$129,503$0$32,751Yes (X)
Dwight Speaker
Administrator, Wellness Centers40.00$122,964$0$72,383Yes (X)
Frances Perry
Director, Wellness Center40.00$109,822$0$58,301Yes (X)
Jacquelyn Music
Director, Home Based Services40.00$100,208$0$32,223Yes (X)
Dr David C Herman MD
Former Chairman0.000.00$0$270,651$31,973Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$578,106TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,561,523TotReportableCompRltdOrgAmt
Total Other Compensation$711,700TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K5IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Shiftwise
PO Box 70870St PaulMN55170Temporary Staffing Services$353,550
Ideal Life US Inc
2110 N Ocean Blvd Suite 120Ft LauderdaleFL33305Telehealth Unit Services$216,750
Independent Rehab Group Inc
2550 Arthur Modlin RoadJamesvilleNC27846OT & PT Services$131,484
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
All Other Contributions$33,485AllOtherContributionsAmt
Total Contributions$33,485TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Home Health Care621610$7,551,791$7,551,791
Hospice Care621610$4,269,518$4,269,518
ViQuest713940$3,264,285$3,264,285
Care Coordination621610$213,328$213,328

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,406TotalRevenueColumnAmt
Related Or Exempt Func Income$7,406RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$15,306,328TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,920TotalRevenueColumnAmt
Exclusion$1,920ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescIntercompany RevenueDesc
Business900099BusinessCd
Total Revenue Column$1,733,240TotalRevenueColumnAmt
Exclusion$1,733,240ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,733,240OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,074,973TotalRevenueColumnAmt
Related Or Exempt Func Income$15,306,328RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,735,160ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$13,645,629TotalAmt
Program Services$11,325,872ProgramServicesAmt
Management And General$2,319,757ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$635,305TotalAmt
Program Services$527,303ProgramServicesAmt
Management And General$108,002ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,870,575TotalAmt
Program Services$1,552,577ProgramServicesAmt
Management And General$317,998ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$983,288TotalAmt
Program Services$816,129ProgramServicesAmt
Management And General$167,159ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$18,740TotalAmt
Program Services$15,554ProgramServicesAmt
Management And General$3,186ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$21,714TotalAmt
Program Services$18,023ProgramServicesAmt
Management And General$3,691ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,368,560TotalAmt
Program Services$3,625,905ProgramServicesAmt
Management And General$742,655ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$186,776TotalAmt
Program Services$155,024ProgramServicesAmt
Management And General$31,752ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$583,507TotalAmt
Program Services$484,311ProgramServicesAmt
Management And General$99,196ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$838,086TotalAmt
Program Services$695,611ProgramServicesAmt
Management And General$142,475ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$563,605TotalAmt
Program Services$467,792ProgramServicesAmt
Management And General$95,813ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$46,105TotalAmt
Program Services$38,267ProgramServicesAmt
Management And General$7,838ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$6,940TotalAmt
Program Services$5,760ProgramServicesAmt
Management And General$1,180ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$742,812TotalAmt
Program Services$616,534ProgramServicesAmt
Management And General$126,278ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$63,418TotalAmt
Program Services$52,637ProgramServicesAmt
Management And General$10,781ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$1,282,177$1,064,207$217,970
Bad Debt Expense$594,975$594,975
Repairs & Maintenance$107,194$88,971$18,223
Dues,Accred.,Education$77,837$64,605$13,232

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$78,421TotalAmt
Program Services$66,607ProgramServicesAmt
Management And General$11,814ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$26,715,664TotalAmt
Program Services$22,276,664ProgramServicesAmt
Management And General$4,439,000ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$641,645BOYAmt
EOY$1,175,901EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,088,845BOYAmt
EOY$3,299,651EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$69,950BOYAmt
EOY$80,454EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$125,880BOYAmt
EOY$88,645EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$15,849,901LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$10,980,602LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,457,793BOYAmt
EOY$4,869,299EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$683,670BOYAmt
EOY$683,670EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$20,374EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$689,563BOYAmt
EOY$1,106,613EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$8,757,346BOYAmt
EOY$11,324,607EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,655,378BOYAmt
EOY$5,323,360EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$230,855BOYAmt
EOY$300,373EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$675,477BOYAmt
EOY$778,431EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,561,710BOYAmt
EOY$6,402,164EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,195,636BOYAmt
EOY$4,922,443EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,195,636BOYAmt
EOY$4,922,443EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,757,346BOYAmt
EOY$11,324,607EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$9,640,691ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$11,367,498OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type2Yes (X)SupportingOrgType2Ind
Supported Organizations2SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (2 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
Pitt County Memorial Hospital
5605852433Yes (1)$705,552$0
UHSEC (DBA Vidant Health)
5621410733Yes (1)$169,139$0
FieldValueIRS element (for citing)
Supported Organizations Total2SupportedOrganizationsTotalCnt
Support Sum$874,691SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd
FieldValueIRS element (for citing)
Majority Dir Trst Supported OrgYes (1)MajorityDirTrstSupportedOrgInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,137,863OtherCostOrOtherBasisAmt
Depreciation$7,342,005DepreciationAmt
Book Value$3,795,858BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,401OtherCostOrOtherBasisAmt
Book Value$13,401BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,173,328OtherCostOrOtherBasisAmt
Depreciation$3,257,622DepreciationAmt
Book Value$915,706BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$525,309OtherCostOrOtherBasisAmt
Depreciation$380,975DepreciationAmt
Book Value$144,334BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,869,299TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescInvestmentsDesc
Book Value$683,670BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$683,670TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
Deferred Pension Outflows$796,634
Other Receivables$309,979
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,106,613TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Third Party Settlement Reserves$103,809
Intercompany Payable$643,676
Other Long Term Debt$30,946
FieldValueIRS element (for citing)
Total Liability$778,431TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationHealthAccess, Inc. has been determined to qualify as a tax-exempt organization under Section 501(c)(3) of the Internal Revenue Code. HealthAccess, Inc. has reviewed its tax positions for all open years and has concluded that no material liabilities exist as of September 30, 2016 and 2015. HealthAccess, Inc. files tax returns with the U.S. federal and State of North Carolina jurisdictions. With few exceptions, HealthAccess, Inc. is no longer subject to U.S. federal examinations by tax authorities for years before 2013.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Dr Michael R Waldrum MD
Chairman$0$483,826$0$0$0$0$0$48,600$0$25,471$0$557,897$0$0
Dr Joan Wynn PhD
President$0$259,907$0$48,853$0$834$0$160,675$0$44,673$0$514,942$0$0
David S Hughes
Secretary and Treasurer$0$422,256$0$73,638$0$1,558$0$126,996$0$42,111$0$666,559$0$0
Pamela Cowin
Director of Clinical Operations$114,859$0$750$0$0$0$12,168$0$23,375$0$151,152$0$0$0
Sandra Gaskins
Senior Administrator, HealthAccess$128,753$0$750$0$0$0$17,358$0$15,393$0$162,254$0$0$0
Dwight Speaker
Administrator, Wellness Centers$122,214$0$750$0$0$0$35,669$0$36,714$0$195,347$0$0$0
Frances Perry
Director, Wellness Center$109,072$0$750$0$0$0$44,284$0$14,017$0$168,123$0$0$0
Dr David C Herman MD
Former Chairman$0$270,651$0$0$0$0$0$27,059$0$4,914$0$302,624$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1aAll compensation and reimbursement listed for such items are paid at the Vidant Health entity, and the written policy and adherence to the policy is maintained at VH.
Part I, Line 3The compensation is 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 2015. It will be performed again in fiscal year 2017. All compensation discussions and actions are documented and approved in the minutes of the Committee.
Part I, Line 4As of January 1, 2013, the supplemental nonqualified retirement plan was frozen and no further amounts have accrued to its benefit. In lieu of the SERP, the comprehensive defined benefit pension plan will provide an equivalent benefit. The increase in the value of such plans is reflected in the sum of Part II, Column (C).

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, line 11The 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 of Eastern Carolina (D/B/A Vidant Health) prior to filing with the Internal Revenue Service.
Form 990, Part VI, Section B, line 12As described in the Conflict of Interest policy maintained by VH, 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 15The compensation is 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 fiscal year 2015. It will be performed again in fiscal year 2017. 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 fiscal year 2015. It will be performed again in fiscal year 2017. All compensation discussions and actions are documented and approved in the minutes of the Committee.
Form 990, Part VI, Section C, line 19The governing documents, conflict of interest policy and financial statements are available upon request for the same period of disclosure as set forth in IRC Section 6104(d).
Form 990, Part IX, line 11gProfessional Fees: Program service expenses 3,625,905. Management and general expenses 742,655. Fundraising expenses 0. Total expenses 4,368,560.
Form 990, Part XI, line 9:Capital Contribution 11,198,314. Change in Pension Funding -203,855. Adjustment for Purchase in CEHCH 373,039.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
University Health Systems of Eastern Carolina (DBA Vidant Health)
2100 Stantonsburg RoadGreenvilleNC27835562141073HealthcareNC501(c)(3)Line 11c, III-FIN/A0
Pitt County Memorial Hospital Inc (DBA Vidant Medical Center)
2100 Stantonsburg RoadGreenvilleNC27835560585243HospitalNC501(c)(3)Line 30Vidant Health
Surgicenter Services of Pitt Inc
102 Bethesda DriveGreenvilleNC27835561690553HealthcareNC501(c)(3)Line 11b, II0Vidant Medical Center
East Carolina Health Inc (DBA Vidant Community Hospitals - Central)
2100 Stantonsburg RoadGreenvilleNC27835562003393HospitalNC501(c)(3)Line 30Vidant Health
PCMH Management Inc (DBA Vidant Properties)
2100 Stantonsburg RoadGreenvilleNC27835561690740Medical Property ManagementNC501(c)(2)0Vidant Health
East Carolina Health-Bertie (DBA Vidant Bertie Hospital)
2100 Stantonsburg RoadGreenvilleNC27835562072002HospitalNC501(c)(3)Line 30Vidant Health
East Carolina Health-Chowan (DBA Vidant Chowan Hospital)
2100 Stantonsburg RoadGreenvilleNC27835562101090HospitalNC501(c)(3)Line 30Vidant Health
East Carolina Health-Heritage (DBA Vidant Edgecombe Hospital)
2100 Stantonsburg RoadGreenvilleNC27835562093700HospitalNC501(c)(3)Line 30Vidant Health
East Carolina Health-Beaufort (DBA Vidant Beaufort Hospital)
2100 Stantonsburg RoadGreenvilleNC27835452436270HospitalNC501(c)(3)Line 30Vidant Health
Duplin General Hospital (DBA Vidant Duplin Hospital)
2100 Stantonsburg RoadGreenvilleNC27835566011594HospitalNC501(c)(3)Line 30Vidant Health
East Carolina Health Inc (DBA Vidant Roanoke-Chowan Hospital)
2100 Stantonsburg RoadGreenvilleNC27835264634725HospitalNC501(c)(3)Line 30Vidant Health
Pungo District Hospital Corporation (DBA Vidant Pungo Hospital)
2100 Stantonsburg RoadGreenvilleNC27835560518757HospitalNC501(c)(3)Line 30Vidant Health
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd