2024-07-09T12:44:04-05:00 2023-09-30 BDO USA 421 Fayetteville Street Suite 300 Raleigh NC 27601 990 2022-10-01 561925492 Roanoke Valley Health Services Inc % JENNIFER WORSLEY ROAN 2525358130 250 SMITH CHURCH ROAD ROANOKE RAPIDS NC 27870 ANDREW K ZUKOWSKI CFO 2525358130 2024-06-20 true ANDREW K ZUKOWSKI 999009999 SANDRA L FEINSMITH P01064157 9192781936 2024-06-20 3 2022 2023-04-26 12:10:37Z ECU Health Roanoke Valley Health ANDREW K ZUKOWSKI 250 SMITH CHURCH ROAD ROANOKE RAPIDS NC 27870 3016394 false X WWW.ECUHEALTH.ORG X 1994 NC TO IMPROVE THE HEALTH AND WELL-BEING OF EASTERN NORTH CAROLINA. 6 0 0 0 0 0 0 64953 3231535 2900133 298 1688 -15874 49620 3215959 3016394 0 0 0 0 2810398 2970358 0 0 0 2028902 1309010 4839300 4279368 -1623341 -1262974 4573841 4418612 945639 3167681 3628202 1250931 TO IMPROVE THE HEALTH AND WELL-BEING OF EASTERN NORTH CAROLINA. false false 4104448 0 2900133 ECU HEALTH PROFESSIONALS PROVIDED EVALUATIONS, CLINICAL CARE MANAGEMENT AND MEDICALLY NECESSARY PROCEDURES. 4104448 true false false false false false false false false false true false false true false true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 0 0 0 false false false false false false false false false false false false X 6 0 false false false false false true true true true false false true true true true true true true true false NC X X JENNIFER WORSLEY 2528472254 2100 STANTONSBURG ROAD GREENVILLE NC 27834 MICHAEL WALDRUM CEO 2.0 52.0 X 0 986095 792121 DAVID HUGHES CFO 2.0 48.0 X X 0 607253 465113 WILLIAM FLOYD BOARD MEMBER 2.0 44.0 X 0 640470 242062 JAY BRILEY BOARD MEMBER 2.0 46.0 X 0 395814 185320 DANIEL DRAKE BOARD MEMBER 2.0 44.0 X 0 345393 215675 KENNETH ROBERT BOARD MEMBER 2.0 40.0 X 0 286086 52165 ANTHONY BARTHOLOMEW BOARD MEMBER 2.0 40.0 X 0 268575 57563 FNU SABA MUSHTAQ PHYSICIAN 40.0 0.0 X 269434 0 173 SARAH MASSEY NURSE PRACTITIONER 40.0 0.0 X 162605 0 68431 BRANDON CARLISLE PHYSICIAN ASSISTANT 40.0 0.0 X 163262 0 28644 ROBERT A KEETER NURSE PRACTITIONER 40.0 0.0 X 128297 0 58133 723598 3529686 2165400 4 false true false 0 64953 64953 NET PATIENT SERVICE REVENUE 621610 2900133 2900133 2900133 1688 1688 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 MISCELLANEOUS 900099 49620 49620 49620 3016394 2900133 51308 0 0 0 0 0 0 2680098 2569332 110766 89675 85969 3706 25190 24149 1041 175395 168146 7249 543104 520658 22446 0 0 0 0 0 15533 14891 642 460 441 19 19491 18685 806 0 0 200343 192063 8280 2489 1618 871 0 0 0 0 22454 21526 928 0 MEDICAL SUPPLIES 322839 309496 13343 BAD DEBT 172668 172668 OTHER EXPENSE 9629 4806 4823 4279368 4104448 174920 0 0 0 3846040 3342886 0 0 275910 382193 0 0 0 0 0 0 63189 23576 -1427 -1504 1166535 804849 384140 361686 0 0 0 0 0 0 0 0 5989 309775 4573841 4418612 945639 3167681 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 945639 3167681 X 3628202 1250931 0 0 3628202 1250931 4573841 4418612 X -1262974 -1114297 X X false true X true false X 111490 111490 937723 688985 248738 117322 115864 1458 361686 OTHER RECEIVABLES 309775 309775 0 0 X SCHEDULE D, PART X, LINE 2: ROANOKE VALLEY HEALTH SERVICES HAS BEEN DETERMINED TO QUALIFY AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ROANOKE VALLEY HEALTH SERVICES HAS REVIEWED ITS TAX POSITIONS FOR ALL OPEN YEARS AND HAS CONCLUDED THAT NO MATERIAL LIABILITIES EXIST AS OF SEPTEMBER 30, 2023 AND 2022 ROANOKE VALLEY HEALTH SERVICES FILES TAX RETURNS WITH THE U.S. FEDERAL JURISDICTION. WITH FEW EXCEPTIONS, ROANOKE VALLEY HEALTH SERVICES IS NO LONGER SUBJECT TO U.S. FEDERAL EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2020. false false false false false false false false false MICHAEL WALDRUM CEO 0 849206 0 121932 0 14957 0 740546 0 51575 0 1778216 0 0 KENNETH ROBERT BOARD MEMBER 0 286086 0 0 0 0 0 0 0 52165 0 338251 0 0 JAY BRILEY BOARD MEMBER 0 395814 0 0 0 0 0 142532 0 42788 0 581134 0 0 DAVID HUGHES CFO 0 607253 0 0 0 0 0 428227 0 36886 0 1072366 0 0 WILLIAM FLOYD BOARD MEMBER 0 640470 0 0 0 0 0 195380 0 46682 0 882532 0 0 ANTHONY BARTHOLOMEW BOARD MEMBER 0 268575 0 0 0 0 0 27268 0 30295 0 326138 0 0 DANIEL DRAKE BOARD MEMBER 0 345393 0 0 0 0 0 168993 0 46682 0 561068 0 0 FNU SABA MUSHTAQ PHYSICIAN 269434 0 0 0 0 0 0 0 173 0 269607 0 0 0 SARAH MASSEY NURSE PRACTITIONER 162605 0 0 0 0 0 36565 0 31866 0 231036 0 0 0 BRANDON CARLISLE PHYSICIAN ASSISTANT 163262 0 0 0 0 0 0 0 28644 0 191906 0 0 0 ROBERT A KEETER NURSE PRACTITIONER 128297 0 0 0 0 0 19596 0 38537 0 186430 0 0 0 SCHEDULE J, PART I, LINE 3: THE COMPENSATION IS DETERMINED BY THE COMPENSATION AND BENEFITS COMMITTEE OF THE ECU HEALTH BOARD USING COMPARATIVE DATA FROM LIKE ORGANIZATIONS AND INPUT FROM CONSULTANTS. ALL COMPENSATION DISCUSSIONS AND ACTIONS ARE DOCUMENTED AND APPROVED IN THE MINUTES OF THE COMMITTEE. FORM 990, ITEM C, DOING BUSINESS AS: ECU HEALTH ROANOKE VALLEY HEALTH SERVICES. FORM 990, PART VI, SECTION A, LINE 7A: UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA, INC. (ECU HEALTH) SHALL HAVE THE RESPONSIBILITY TO ELECT OR APPOINT NO MORE THAN 7 INDIVIDUALS TO THE BOARD OF TRUSTEES OF ROANOKE VALLEY HEALTH SERVICES, INC. FORM 990, PART VI, SECTION A, LINE 7B: THE FOLLOWING RIGHTS ARE RESERVED BY UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA, INC.: A. AMENDING THE ARTICLES OF INCORPORATION OR THE BYLAWS; B. TAKING ANY ACTION THAT WOULD MAKE IT IMPOSSIBLE TO CARRY ON THE ORDINARY BUSINESS OF THE COMPANY; C. SELLING, LEASING OR OTHERWISE DISPOSING OF, OR AGREEING TO SELL, LEASE OR OTHERWISE DISPOSE OF, ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE COMPANY; D. WINDING UP, DISSOLVING, LIQUIDATING, REORGANIZING, OR OTHERWISE TERMINATING THE EXISTENCE OF THE COMPANY; OR E. MERGING OR CONSOLIDATING THE COMPANY WITH OR INTO ANY OTHER ENTITY OR CONVERTING THE COMPANY INTO ANY OTHER TYPE OF ENTITY. FORM 990, PART VI, SECTION B, LINE 11B: THE BOARD MEMBER IS PROVIDED A COPY OF THE RETURN FOR REVIEW PRIOR TO FILING. 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, INC. (D/B/A ECU HEALTH) PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C: AS DESCRIBED IN THE CONFLICT OF INTEREST POLICY MAINTAINED BY ECU HEALTH, 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 15: THE COMPENSATION IS DETERMINED BY THE COMPENSATION AND BENEFITS COMMITTEE OF THE ECU HEALTH BOARD USING COMPARATIVE DATA FROM LIKE ORGANIZATIONS AND INPUT FROM CONSULTANTS. ALL COMPENSATION DISCUSSIONS AND ACTIONS ARE DOCUMENTED AND APPROVED IN THE MINUTES OF THE COMMITTEE. 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 UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN IRC SECTION 6104(D). FORM 990, PART XI, LINE 9: OTHER CHANGES IN NET ASSETS: NET ASSET TRANSFER ($1,114,297) FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. PITT COUNTY MEMORIAL HOSPITAL INC 2100 STANTONSBURG RD GREENVILLE NC 27835 560585243 HOSPITAL NC 501(C)(3) LINE 3 ECU HEALTH false EAST CAROLINA HEALTH INC 2100 STANTONSBURG RD GREENVILLE NC 27835 562003393 HOSPITAL NC 501(C)(3) LINE 3 ECU HEALTH false PCMH MANAGEMENT INC 2100 STANTONSBURG RD GREENVILLE NC 27835 561690740 MEDICAL PROPE NC 501(C)(2) N/A ECU HEALTH false HEALTHACCESS INC 2100 STANTONSBURG RD GREENVILLE NC 27835 561396133 HEALTHCARE NC 501(C)(3) LINE 12B,II ECU HEALTH false VIDANT MEDICAL GROUP LLC 2100 STANTONSBURG RD GREENVILLE NC 27835 383740839 HEALTHCARE NC 501(C)(3) LINE 12C,FI ECU HEALTH false THE OUTER BANKS HOSPITAL INC 2100 STANTONSBURG RD GREENVILLE NC 27835 562112733 HOSPITAL NC 501(C)(3) LINE 3 EC HEALTH false EAST CAROLINA HEALTH - BERTIE 2100 STANTONSBURG RD GREENVILLE NC 27835 562072002 HOSPITAL NC 501(C)(3) LINE 3 ECU HEALTH false EAST CAROLINA HEALTH - CHOWAN 2100 STANTONSBURG RD GREENVILLE NC 27835 562101090 HOSPITAL NC 501(C)(3) LINE 3 ECU HEALTH false EAST CAROLINA HEALTH - HERITAGE 2100 STANTONSBURG RD GREENVILLE NC 27835 562093700 HOSPITAL NC 501(C)(3) LINE 3 ECU HEALTH false EAST CAROLINA HEALTH - BEAUFORT 2100 STANTONSBURG RD GREENVILLE NC 27835 452436270 HOSPITAL NC 501(C)(3) LINE 3 ECU HEALTH false DUPLIN GENERAL HOSPITAL 2100 STANTONSBURG RD GREENVILLE NC 27835 566011594 HOSPITAL NC 501(C)(3) LINE 3 ECU HEALTH false HALIFAX REGIONAL MEDICAL CENTER 2100 STANTONSBURG RD GREENVILLE NC 27835 560989789 HOSPITAL NC 501(C)(3) LINE 3 ECU HEALTH false ACCESS EAST 2410 STANTONSBURG RD STANTON SQUA GREENVILLE NC 27834 561949493 HEALTHCARE NC 501(C)(3) LINE 10 ECU HEALTH false UNIV HEALTH SYSTEMS OF EASTERN CAROLINA 2100 STANTONSBURG RD GREENVILLE NC 27835 562141073 HEALTHCARE NC 501(C)(3) 12C-III FI NA false EAST CAROLINA HEALTH INC 2100 STANTONSBURG ROAD GREENVILLE NC 27835 911997979 HOSPITAL NC 501(C)(3) LINE 3 ECU HEALTH false false false true false false false false false false false true false true false false true true false false SCHEDULE R, PART II, IDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATIONS: Full Name, EIN, and Address of Related Organizations: Name: PITT COUNTY MEMORIAL HOSPITAL, INC. D/B/A ECU HEALTH MEDICAL CENTER EIN: 56-0585243 Address: 2100 STANTONSBURG ROAD, GREENVILLE, NC 27835 Name: EAST CAROLINA HEALTH, INC. D/B/A ECU HEALTH COMMUNITY HOSPITALS EIN: 56-2003393 Address: 2100 STANTONSBURG ROAD, GREENVILLE, NC 27835 Name: PCMH Management, Inc. D/B/A ECU Health Properties EIN: 56-1690740 Address: 2100 STANTONSBURG ROAD, GREENVILLE, NC 27835 Name: VIDANT MEDICAL GROUP, LLC. D/B/A ECU HEALTH PHYSICIANS EIN: 38-3740839 Address: 2100 STANTONSBURG ROAD, GREENVILLE, NC 27835 Name: THE OUTER BANKS HOSPITAL, INC. D/B/A OUTER BANKS HEALTH EIN: 56-2112733 Address: 2100 STANTONSBURG ROAD, GREENVILLE, NC 27835 Name: EAST CAROLINA HEALTH-BERTIE D/B/A ECU HEALTH BERTIE HOSPITAL EIN: 56-2072002 Address: 2100 STANTONSBURG ROAD, GREENVILLE, NC 27835 Name: EAST CAROLINA HEALTH-CHOWAN D/B/A ECU HEALTH CHOWAN HOSPITAL EIN: 56-2101090 Address: 2100 STANTONSBURG ROAD, GREENVILLE, NC 27835 Name: EAST CAROLINA HEALTH-HERITAGE D/B/A ECU HEALTH EDGECOMBE HOSPITAL EIN: 56-2093700 Address: 2100 STANTONSBURG ROAD, GREENVILLE, NC 27835 Name: EAST CAROLINA HEALTH-BEAUFORT D/B/A ECU HEALTH BEAUFORT HOSPITAL EIN: 45-2436270 Address: 2100 STANTONSBURG ROAD, GREENVILLE, NC 27835 Name: DUPLIN GENERAL HOSPITAL D/B/A ECU HEALTH DUPLIN HOSPITAL EIN: 56-6011594 Address: 2100 STANTONSBURG ROAD, GREENVILLE, NC 27835 Name: HALIFAX REGIONAL MEDICAL CENTER, INC. D/B/A ECU HEALTH NORTH HOSPITAL EIN: 56-0989789 Address: 2100 STANTONSBURG ROAD, GREENVILLE, NC 27835 Name: UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA D/B/A ECU HEALTH EIN: 56-2141073 Address: 2100 STANTONSBURG ROAD, GREENVILLE, NC 27835 Name: EAST CAROLINA HEALTH, INC. D/B/A ECU HEALTH COMMUNITY HOSPITALS GROUP EIN: 91-1997979 ADDRESS: 2100 STANTONSBURG ROAD, GREENVILLE, NC 27835