ACCESS EAST INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- ACCESS EAST INC (EIN 56-1949493)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-07-22
- IRS object ID
- 201432039349300903
- Schema version
- 2012v2.1
- 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) |
|---|---|---|
| Timestamp | 2014-07-22T12:18:53-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560747981 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1003 RED BANKS ROAD | AddressLine1 |
| City | GREENVILLE | City |
| State | NC | State |
| ZIP Code | 27858 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 561949493 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ACCESS EAST INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | ACCE | NameControl |
| Phone | 2528478988 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2100 STANTONSBURG ROAD | AddressLine1 |
| City | GREENVILLE | City |
| State | NC | State |
| ZIP Code | 27834 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOEL BUTLER | Name |
| Title | PRESIDENT | Title |
| Phone | 2528478988 | Phone |
| Date Signed | 2014-07-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BRAD G GARNER | Name |
| PTIN | P00238579 | PTIN |
| Phone | 2523210505 | Phone |
| Date Prepared | 2014-07-03 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JOEL BUTLER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | VIDANT FOUNDATION BLDG PO BOX 6028 | AddressLine1 |
| City | GREENVILLE | City |
| State | NC | State |
| ZIP Code | 27835 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 18531961 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1995 | YearFormation |
| State Legal Domicile | NC | StateLegalDomicile |
| Activity Or Mission Description | ACCESS EAST, INC.'S MISSION IS TO SUPPORT THE COORDINATION OF HIGH QUALITY, LOW COST HEALTH CARE TO UNDERSERVED POPULATIONS IN THE REGION AND TO DEVELOP A CARE DELIVERY MODEL TO FACILITATE IMPROVED PATIENT OUTCOMES AND THE DELIVERY OF EFFICIENT, HIGH QUALITY, COST-EFFECTIVE MEDICAL CARE FOR THE BENEFIT OF THE REGION. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 16 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 15 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1792201 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1220008 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 18027373 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 17219390 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 85835 | InvestmentIncomePriorYear |
| Investment Income Current Year | 92563 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 19905409 | TotalRevenuePriorYear |
| Total Revenue Current Year | 18531961 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 0 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 0 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 17166775 | OtherExpensePriorYear |
| Other Expenses Current Year | 17745236 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 17166775 | TotalExpensesPriorYear |
| Total Expenses Current Year | 17745236 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2738634 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 786725 | RevenuesLessExpensesCY |
| Total Assets BOY | 15791212 | TotalAssetsBOY |
| Total Assets EOY | 17128140 | TotalAssetsEOY |
| Total Liabilities BOY | 1518198 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 2068401 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 14273014 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 15059739 | NetAssetsOrFundBalancesEOY |
| Mission Description | ACCESS EAST, INC., THROUGH GRANT FUNDED PROGRAMS, PROVIDES THE COORDINATION OF HEALTHCARE SERVICES TO MEDICAID RECIPIENTS AND UNINSURED/UNDERINSURED RESIDENTS OF EASTERN NORTH CAROLINA. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 17456280 | Expense |
| Revenue | 17311953 | Revenue |
| Description | ACCESS EAST, INC., THROUGH GRANT FUNDED PROGRAMS, PROVIDES THE COORDINATION OF HEALTHCARE SERVICES TO MEDICAID RECIPIENTS AND UNINSURED/UNDERINSURED RESIDENTS OF EASTERN NORTH CAROLINA. DURING THE CURRENT YEAR, ACCESS EAST ENROLLED AND SERVED OVER 1,800,000 ADULTS AND NEARLY 540,000 AGED, BLIND, OR DISABLED PATIENTS. | Description |
| Total Program Service Expense | 17456280 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 16 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 15 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 0 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHRIS TOWNSEND | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2528475129 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2100 STANTONSBURG RD | AddressLine1 |
| City | GREENVILLE | City |
| State | NC | State |
| ZIP Code | 27835 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (16 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|
| CHARLES WILLSON MD | |||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 |
| DAVID HUGHES | |||||
| SECRETARY/TREASURER | 1.00 | X | 0 | 0 | 0 |
| DR THOMAS IRONS | |||||
| CHAIRMAN | 1.00 | X | 0 | 0 | 0 |
| JOHN MORROW MD | |||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 |
| DEBBIE AINSWORTH | |||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 |
| CHRISTY NASH | |||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 |
| WICK BAKER | |||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 |
| NORMAN LEWIS | |||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 |
| JOEL BUTLER | |||||
| PRESIDENT | 1.00 | X | 0 | 0 | 0 |
| JAMES WINSLOW MD | |||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 |
| BRIAN HARRIS | |||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 |
| JERRY PARKS | |||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 |
| MIKE KUPECKI | |||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 |
| MICHELLE BROOKS | |||||
| VICE PRESIDENT | 1.00 | X | 0 | 0 | 0 |
| KATHY BARGER | |||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 |
| LAWRENCE CUTCHIN MD | |||||
| DIRECTOR | 1.00 | X | 0 | 79615 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 79615 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| PITT COUNTY MEMORIAL HOSPITAL | |||||
| 2100 STANTONSBURG RD | GREENVILLE | NC | 27834 | CONTRACT SALARIES | 5670190 |
| NCCCN INC | |||||
| PO BOX 185 | MORRISVILLE | NC | 27560 | OFFICE SUPPORT, ABD ENROLLEES FOR CCPEC | 2479380 |
| KINSTON COMMUNITY HEALTH CENTER | |||||
| PO BOX 2278 | KINSTON | NC | 28502 | CONTRACT SALARIES | 362012 |
| ALBEMARLE REGIONAL HEALTH SERVICES | |||||
| PO BOX 189 | ELIZABETH CITY | NC | 27907 | CONTRACT SALARIES | 319739 |
| VIDANT BERTIE HOSPITAL | |||||
| PO BOX 440 | WINDSOR | NC | 27983 | CONTRACT SALARIES | 300866 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 21 | NumberOfContractorsGT100K |
| Government Grants | 1220008 | GovernmentGrants |
| Total Contributions | 1220008 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | ACCESS FEES | Description |
| Business Code | 624100 | BusinessCode |
| Total Revenue Column | 17219390 | TotalRevenueColumn |
| Related Or Exempt Function Income | 17219390 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 17219390 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 92563 | TotalRevenueColumn |
| Related Or Exempt Function Income | 92563 | RelatedOrExemptFunctionIncome |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 18531961 | TotalRevenueColumn |
| Related Or Exempt Function Income | 17311953 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8839 | Total |
| Management And General | 8839 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35069 | Total |
| Management And General | 35069 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34530 | Total |
| Program Services | 34530 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 221487 | Total |
| Program Services | 221487 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 225980 | Total |
| Program Services | 225980 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| CONTRACT SERVICES | 10826227 | 10581179 | 245048 |
| NCCCN/DPH PAYMENTS | 5417221 | 5417221 | |
| PHYSICIAN FEES | 273487 | 273487 | |
| SUPPLIES | 160283 | 160283 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 542113 | Total |
| Program Services | 542113 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17745236 | Total |
| Program Services | 17456280 | ProgramServices |
| Management And General | 288956 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13703641 | BOY |
| EOY | 13643885 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28065 | BOY |
| EOY | 253721 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33743 | BOY |
| EOY | 54655 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 4574351 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1398472 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1971347 | BOY |
| EOY | 3175879 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 54416 | BOY |
| EOY | 0 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15791212 | BOY |
| EOY | 17128140 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1518198 | BOY |
| EOY | 2068401 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1518198 | BOY |
| EOY | 2068401 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13600647 | BOY |
| EOY | 13942786 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 672367 | BOY |
| EOY | 1116953 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14273014 | BOY |
| EOY | 15059739 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15791212 | BOY |
| EOY | 17128140 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 786725 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 0 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 884577 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 971568 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1008147 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1792201 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1220008 | CurrentTaxYear |
| Total | 5876501 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 884577 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 971568 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1008147 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1792201 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1220008 | CurrentTaxYear |
| Total | 5876501 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 5876501 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 27293 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 35727 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 63984 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 85835 | CurrentTaxYearMinus1Year |
| Current Tax Year | 92563 | CurrentTaxYear |
| Total | 305402 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 6181903 | TotalSupport |
| Gross Receipts From Admissions Etc | 62685182 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.95060 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.95090 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 552085 | InvestmentCostOrOtherBasis |
| Book Value | 552085 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 1960109 | InvestmentCostOrOtherBasis |
| Depreciation | 420294 | Depreciation |
| Book Value | 1539815 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 882566 | InvestmentCostOrOtherBasis |
| Depreciation | 53249 | Depreciation |
| Book Value | 829317 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 1179591 | InvestmentCostOrOtherBasis |
| Depreciation | 924929 | Depreciation |
| Book Value | 254662 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 3175879 | TotalOfBookValueLandBuildings |
| Tot Revenue Etc Audited Fincl Stmt | 19154890 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 19154890 | RevenueSubtotal |
| Other Revenues Not Included | -622929 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -622929 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 18531961 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 17745236 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 17745236 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 17745236 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART XI, LINE 4B - OTHER ADJUSTMENTS: | Identifier |
| Explanation | CHANGE IN DEFERRED INCOME NOT YET RECOGNIZED AS REVENUE ON BOOKS -622,929. | Explanation |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 0 | RecordsMaintained |
Recipient Table RecipientTable (9 entries)
| EIN Of RecipientEINOfRecipient | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant | IRC SectionIRCSection |
|---|---|---|---|
| ABOVE AND BEYOND COMMUNITY CLINIC | |||
| 721600244 | 123173 | FOR ORGANIZATION TO ACCEPT ROLE OF PRIMARY CARE MEDICAL HOME FOR UNISURED OF MARTIN CO | |
| CRAVEN COUNTY HEALTH DEPARTMENT | |||
| 566000290 | 40000 | FOR ORGANIZATION TO ACCEPT ROLE OF PRIMARY CARE MEDICAL HOME FOR UNISURED OF CRAVEN COFOR ORGANIZATION TO ACCEPT ROLE OF PRIMARY CARE MEDICAL HOME FOR UNISURED OF CRAVEN CO | CRAVEN COUNTY, NC |
| COLUMBIA MEDICAL CENTER | |||
| 561249773 | 116453 | FOR ORGANIZATION TO ACCEPT ROLE OF PRIMARY CARE MEDICAL HOME FOR UNISURED OF TYRRELL CO | 501(C)(3) |
| DARE CO DEPT OF PUBLIC HEALTH | |||
| 566000293 | 54522 | FOR ORGANIZATION TO ACCEPT ROLE OF PRIMARY CARE MEDICAL HOME FOR UNISURED OF DARE CO | DARE COUNTY, NC |
| OCRACOKE MEDICAL CENTER | |||
| 561273237 | 46118 | FOR ORGANIZATION TO ACCEPT ROLE OF PRIMARY CARE MEDICAL HOME FOR UNISURED OF HYDE CO | 501(C)(3) |
| RURAL HEALTH GROUP | |||
| 581640184 | 200000 | FOR ORGANIZATION TO ACCEPT ROLE OF PRIMARY CARE MEDICAL HOME FOR UNISURED OF HALIFAX, NORTHAMPTON, & HERTFORD CO | 501(C)(3) |
| VIDANT BERTIE HOSPITAL | |||
| 562072002 | 49100 | FOR ORGANIZATION TO ACCEPT ROLE OF TRANSITIONAL CARE NAVIGATOR FOR UNISURED OF BERTIE CO | 501(C)(3) |
| VIDANT DUPLIN HOSPITAL | |||
| 566011594 | 31720 | FOR ORGANIZATION TO ENHANCE IT'S ABILITY TO CARE FOR THE UNISURED HEALTHNET ENROLLEES OF DUPLIN CO | 501(C)(3) |
| OIC FAMILY MEDICAL CENTER | |||
| 560946196 | 51164 | FOR ORGANIZATION TO ENHANCE IT'S ABILITY TO CARE FOR THE UNISURED HEALTHNET ENROLLEES OF EDGECOMBE & NASH CO | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of Other Organizations | 9 | TotalNbrOfOtherOrganizations |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 8B | THERE ARE NO SUB-COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 11 | A COPY OF THE FORM 990 WAS PROVIDED TO THE ORGANIZATIONS BOARD OF DIRECTORS FOR REVIEW PRIOR TO THE RETURN BEING FILED. THE RETURN IS ALSO REVIEWED BY THE CHIEF FINANCIAL OFFICER, CHIEF GENERAL COUNSEL, AND THE CHIEF AUDIT AND COMPLIANCE OFFICER OF THE VIDANT HEALTH SYSTEMS PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST IS REVIEWED, MONITORED, AND ENFORCED BY THE ENTITY'S COUNCIL AND BOARD OF DIRECTORS. THE BOARD FURTHER DISCUSSES ANY CONFLICTS AND RESOLVES ANY ISSUES, IF NECESSARY. |
| FORM 990, PART VI, SECTION C, LINE 18 | THE ORGANIZATION MAKES ITS FORM 1023 AND FORM 990 AVAILABLE TO THE PUBLIC FOR INSPECTION UPON REQUEST. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC FOR INSPECTION UPON REQUEST. |
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