ACCESS EAST INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ACCESS EAST INC (EIN 56-1949493)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-05-15
IRS object ID
201221369349300962
Schema version
2010v3.4
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)
Timestamp2012-05-15T07:58:52-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DIXON HUGHES GOODMAN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11003 RED BANKS ROADAddressLine1
CityGREENVILLECity
StateNCState
ZIP Code27858ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN561949493EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ACCESS EAST INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlACCENameControl
Phone2528478988Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12100 STANTONSBURG ROADAddressLine1
CityGREENVILLECity
StateNCState
ZIP Code27834ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOEL BUTLERName
TitlePRESIDENTTitle
Phone2528478988Phone
Date Signed2012-05-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBRAD G GARNERName
Phone2523210505Phone
Date Prepared2012-05-14DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOEL BUTLERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1UHS FOUNDATION BLDG PO BOX 6028AddressLine1
CityGREENVILLECity
StateNCState
ZIP Code27835ZIPCode
FieldValueIRS element (for citing)
Gross Receipts14527711GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileNCStateLegalDomicile
Activity Or Mission DescriptionACCESS 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 Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year971568ContributionsGrantsPriorYear
Contributions Grants Current Year1008147ContributionsGrantsCurrentYear
Program Service Revenue Prior Year8141834ProgramServiceRevenuePriorYear
Program Service Revenue CY13455580ProgramServiceRevenueCY
Investment Income Prior Year35727InvestmentIncomePriorYear
Investment Income Current Year63984InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year9149129TotalRevenuePriorYear
Total Revenue Current Year14527711TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY104702GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6625546OtherExpensePriorYear
Other Expenses Current Year11488778OtherExpensesCurrentYear
Total Expenses Prior Year6625546TotalExpensesPriorYear
Total Expenses Current Year11593480TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2523583RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2934231RevenuesLessExpensesCY
Total Assets BOY9584186TotalAssetsBOY
Total Assets EOY12999797TotalAssetsEOY
Total Liabilities BOY588543TotalLiabilitiesBOY
Total Liabilities EOY1069923TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY8995643NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY11929874NetAssetsOrFundBalancesEOY
Mission DescriptionACCESS 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 Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense11308409Expense
Revenue13519564Revenue
DescriptionACCESS 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 1,600,000 ADULTS, NEARLY 439,000 AGED, BLIND, OR DISABLED PATIENTS, AND OVER 1,200,000 CHILDREN.Description
Total Program Service Expense11308409TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs1ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees0MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CHRIS TOWNSENDBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2528475129TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12100 STANTONSBURG RDAddressLine1
CityGREENVILLECity
StateNCState
ZIP Code27835ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
CHARLES WILLSON MD
DIRECTOR1.00X000
JACK HOLSTEN
TREASURER1.00X000
DR THOMAS IRONS
CHAIRMAN1.00X000
JOHN MORROW MD
DIRECTOR1.00X000
DEBBIE AINSWORTH
DIRECTOR1.00X000
CHRISTY NASH
DIRECTOR1.00X000
WICK BAKER
DIRECTOR1.00X000
NORMAN LEWIS
DIRECTOR1.00X000
JOEL BUTLER
PRESIDENT1.00X000
JAMES WINSLOW MD
DIRECTOR1.00X000
BRIAN HARRIS
DIRECTOR1.00X000
JERRY PARKS
DIRECTOR1.00X000
MIKE KUPECKI
DIRECTOR1.00X000
MICHELLE BROOKS
VICE PRESIDENT1.00X000
PAUL CUNNINGHAM MD
DIRECTOR - EX-OFFICIO1.00X000
DAVE MCRAE
DIRECTOR - EX-OFFICIO1.00X000
LAWRENCE CUTCHIN MD
DIRECTOR1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
PITT COUNTY MEMORIAL HOSPITAL
2100 STANTONSBURG RDGREENVILLENC27834CONTRACT SALARIES3178579
NCCCN INC
PO BOX 185MORRISVILLENC27560CONTRACT SALARIES2030517
NORTHAMPTON CO LOCAL GOVERNMENT
PO BOX 663JACKSONNC27845CONTRACT SALARIES264549
ALBEMARLE REGIONAL HEALTH SERVICES
PO BOX 189ELIZABETH CITYNC27907CONTRACT SALARIES251619
KINSTON COMMUNITY HEALTH CENTER
PO BOX 2278KINSTONNC28502CONTRACT SALARIES189781
FieldValueIRS element (for citing)
Number Of Contractors GT100 K16NumberOfContractorsGT100K
Government Grants1008147GovernmentGrants
Total Contributions1008147TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionACCESS FEESDescription
Business Code624100BusinessCode
Total Revenue Column13455580TotalRevenueColumn
Related Or Exempt Function Income13455580RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue13455580TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column63984TotalRevenueColumn
Related Or Exempt Function Income63984RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column14527711TotalRevenueColumn
Related Or Exempt Function Income13519564RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total104702Total
Program Services104702ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total23960Total
Management And General23960ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total11281Total
Management And General11281ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total19114Total
Program Services19114ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total149627Total
Program Services149627ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total148774Total
Program Services148774ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CONTRACT SERVICES83245828074752249830
NCCCN/DPH PAYMENTS23789132378913
SUPPLIES105959105959
BUILDING RENTAL EXPENSE9388293882
DRUG EXPENSE & PATIENT6865268652

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total164034Total
Program Services164034ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total11593480Total
Program Services11308409ProgramServices
Management And General285071ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY7397351BOY
EOY10886849EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY17323BOY
EOY59576EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY21924BOY
EOY30100EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2979676LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1010820LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2093172BOY
EOY1968856EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY54416BOY
EOY54416EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9584186BOY
EOY12999797EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY588543BOY
EOY1069923EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY588543BOY
EOY1069923EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY8360009BOY
EOY11177202EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY635634BOY
EOY752672EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8995643BOY
EOY11929874EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9584186BOY
EOY12999797EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses2934231ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee0AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years789818CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years735543CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years884577CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year971568CurrentTaxYearMinus1Year
Current Tax Year1008147CurrentTaxYear
Total4389653Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years789818CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years735543CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years884577CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year971568CurrentTaxYearMinus1Year
Current Tax Year1008147CurrentTaxYear
Total4389653Total
FieldValueIRS element (for citing)
Public Support Total1704389653PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years91243CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years65498CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years27293CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year35727CurrentTaxYearMinus1Year
Current Tax Year63984CurrentTaxYear
Total283745Total
FieldValueIRS element (for citing)
Total Support4673398TotalSupport
Gross Receipts From Admissions Etc34727835GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.93930PublicSupportPertcentage170
Public Support Pertcent Prior Year0.94460PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis550217InvestmentCostOrOtherBasis
Book Value550217BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis1494521InvestmentCostOrOtherBasis
Depreciation294147Depreciation
Book Value1200374BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis12460InvestmentCostOrOtherBasis
Depreciation5924Depreciation
Book Value6536BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis922478InvestmentCostOrOtherBasis
Depreciation710749Depreciation
Book Value211729BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1968856TotalOfBookValueLandBuildings
Total Revenue14527711TotalRevenue
Total Expenses11593480TotalExpenses
Excess Or Deficit For Year2934231ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS2934231ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt14608016TotRevenueEtcAuditedFinclStmt
Other Revenues80305OtherRevenues
Revenue Not Rptd F99080305RevenueNotRptdF990
Revenue Subtotal14527711RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99014527711TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt11593480TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal11593480ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99011593480TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPART XII, LINE 2D - OTHER ADJUSTMENTS:Identifier
ExplanationCHANGE IN DEFERRED INCOME NOT YET RECOGNIZED AS REVENUE ON 990 80,305.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1GREENE COUNTY HEALTH CARE INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line17 PROFESSIONAL DRIVEAddressLine1
CitySNOW HILLCity
StateNCState
ZIP Code28580ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient560992353EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Non Cash Assistance104702AmountOfNonCashAssistance
Method Of ValuationBOOK VALUEMethodOfValuation
Description Of Non Cash AssistanceDENTAL EQUIPMENTDescriptionOfNonCashAssistance
Purpose Of GrantTO ASSIST THE DONEE WITH ITS MISSION OF ENSURING THE AVAILABILITY OF QUALITY HEALTH CARE TO ALL RESIDENTS OF GREENE AND PITT COUNTIES AND THE SURROUNDING RURAL AREA.PurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)

RelationshipRelationshipDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
BRIAN HARRIS
CEO, RURAL HEALTH GROUP, INC.ACCESS EAST HAS A CONTRACTUAL RELATIONASHIP WITH RURAL HEALTH GROUP TO PAY FOR (1) A SOCIAL WORK CASE MANAGER FOR THE HEALTHNET PROJECT FOR HALIFAX, NORTHHAMPTON, AND HERTFORD COUNTIES AND (2) UP TO TWO NURSE CASE MANAGERS FOR THE COMMUNITY CARE PLAN PROGRAM.0
JOHN MORROW
HEALTH DIRECTOR OF PITT COUNTY HEALTH DEPARTMENTACCESS EAST HAS A CONTRACTUAL RELATIONSHIP WITH PITT COUNTY HEALTH DEPARTMENT TO PAY FOR THE SERVICES OF A HEALTH CHECK COORDINATOR FOR THE HEALTH CHECK INITIATIVE. ACCESS EAST ALSO HAS A CONTRACTUAL RELATIONSHIP TO PAY FOR OB CASE MANAGEMENT AND CC4C PROGRAM SERVICES.0
CHRISTY NASH
DIRECTOR OF GREENE COUNTY DEPARTMENT OF SOCIAL SERVICESACCESS EAST HAS A CONTRACT WITH GREENE COUNTY DEPARTMENT OF SOCIAL SERVICES TO SCREEN UNINSURED PATIENTS UNDER THE HEALTHASSIST PROGRAM.0
JERRY PARKS
HEALTH DIRECTOR OF ALBEMARLE REGIONAL HEALTH SERVICESACCESS EAST HAS STAFFING CONTRACTS WITH ALBEMARLE REGIONAL HEALTH SERVICES FOR THE HEALTH CHECK PROGRAM AND FOR CASE MANAGERS FOR CCPEC.0
WICK BAKER
PRESIDENT OF HERITAGE HOSPITALACCESS EAST HAS A STAFFING CONTRACT WITH HERITAGE HOSPITAL FOR CASE MANAGERS FOR THE CCPEC PROGRAM.0
LAWRENCE CUTCHIN
MEDICAL DIRECTOR FOR CCPECACCESS EAST HAS A CONTRACT WITH DR. CUTCHIN TO SERVE AS MEDICAL DIRECTOR FOR CCPEC.0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 4DURING THE CURRENT YEAR, THE CORPORATION REVISED ITS BY-LAWS. THE REVISIONS CONSISTED OF CHANGES TO THE ELECTION AND APPOINTMENT OF BOARD MEMBERS.
FORM 990, PART VI, SECTION A, LINE 8BTHERE ARE NO SUB-COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11A 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 UNVIERSITY HEALTH SYSTEMS PRIOR TO FILING.
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 B, LINE 12C
THE ORGANIZATION MAKES ITS FORM 1023 AND FORM 990 AVAILABLE TO THE PUBLIC FOR INSPECTION UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 18
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC FOR INSPECTION UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19

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