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ROANOKE VALLEY HEALTH SERVICES INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
ROANOKE VALLEY HEALTH SERVICES INC (EIN 56-1925492)
Tax period
2021-10-01 to 2022-09-30
Filed
2023-08-10
IRS object ID
202342229349302124
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-08-10T15:32:41-05:00ReturnTs
Tax Period End2022-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN440160260PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FORVIS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 RIDGEFIELD COURTAddressLine1Txt
CityASHEVILLECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28806ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN561925492EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ROANOKE VALLEY HEALTH SERVICES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlROANBusinessNameControlTxt
Phone2525358130PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1250 SMITH CHURCH ROADAddressLine1Txt
CityROANOKE RAPIDSCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27870ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonANDREW K ZUKOWSKIPersonNm
Person TitleCFOPersonTitleTxt
Phone2525358130PhoneNum
Signature2023-08-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstANDREWPersonFirstNm
Person LastZUKOWSKIPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMY BIBBYPreparerPersonNm
PTINP00445891PTIN
Phone8282542254PhoneNum
Preparation2023-08-10PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1ECU HEALTH ROANOKE VALLEY HEALTH SERVICESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerANDREW K ZUKOWSKIPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1250 SMITH CHURCH ROADAddressLine1Txt
CityROANOKE RAPIDSCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27870ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$3,215,959GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ECUHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1994FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionTO IMPROVE THE HEALTH AND WELL-BEING OF EASTERN NORTH CAROLINA.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$9,660,190PYProgramServiceRevenueAmt
CY Program Service Revenue$3,231,535CYProgramServiceRevenueAmt
PY Investment Income$100PYInvestmentIncomeAmt
CY Investment Income$298CYInvestmentIncomeAmt
PY Other Revenue$530,740PYOtherRevenueAmt
CY Other Revenue-$15,874CYOtherRevenueAmt
PY Total Revenue$10,191,030PYTotalRevenueAmt
CY Total Revenue$3,215,959CYTotalRevenueAmt
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$6,755,664PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,810,398CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$8,539,319PYOtherExpensesAmt
CY Other Expenses$2,028,902CYOtherExpensesAmt
PY Total Expenses$15,294,983PYTotalExpensesAmt
CY Total Expenses$4,839,300CYTotalExpensesAmt
PY Revenues Less Expenses-$5,103,953PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,623,341CYRevenuesLessExpensesAmt
Total Assets BOY$4,660,228TotalAssetsBOYAmt
Total Assets EOY$4,573,841TotalAssetsEOYAmt
Total Liabilities BOY$4,407,531TotalLiabilitiesBOYAmt
Total Liabilities EOY$945,639TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$252,697NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,628,202NetAssetsOrFundBalancesEOYAmt
MissionTO IMPROVE THE HEALTH AND WELL-BEING OF EASTERN NORTH CAROLINA.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$4,582,746ExpenseAmt
Revenue$3,231,535RevenueAmt
DescECU HEALTH PROFESSIONALS PROVIDED EVALUATIONS, CLINICAL CARE MANAGEMENT AND MEDICALLY NECESSARY PROCEDURES.Desc
Total Program Service Expenses$4,582,746TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
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 With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
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
Employee0EmployeeCnt
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
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
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 MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
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 PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNCStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJENNIFER WORSLEYPersonNm
Phone2528472254PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12100 STANTONSBURG ROADAddressLine1Txt
CityGREENVILLECityNm
State AbbreviationNCStateAbbreviationCd
ZIP27834ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
KENNETH ROBERT
BOARD MEMBER2.0040.00Yes (X)$0$289,123$48,481
JAY BRILEY
BOARD MEMBER2.0044.00Yes (X)$0$455,642$155,831
DAVID HUGHES
CFO2.0050.00Yes (X)$0$673,007$388,122Yes (X)
WILLIAM FLOYD
BOARD MEMBER2.0042.00Yes (X)$0$705,626$215,627
ANTHONY BARTHOLOMEW
BOARD MEMBER2.0040.00Yes (X)$0$283,608$49,128
DANIEL DRAKE
BOARD MEMBER2.0040.00Yes (X)$0$386,255$199,996
MICHAEL WALDRUM
CEO1.0050.00$0$1,408,998$255,791Yes (X)
ELIZABETH BOND
PHYSICIAN40.00$184,783$0$14,932Yes (X)
SARAH MASSEY
NURSE PRACTITIONER40.00$153,496$0$58,927Yes (X)
MICHAEL WEGENER
PHYSICIAN40.00$143,967$0$16,357Yes (X)
BRANDON CARLISLE
PHYSICIAN ASSISTANT40.00$141,904$0$25,595Yes (X)
KELLY HARVEY
NURSE PRACTITIONER40.00$121,431$0$38,830Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$745,581TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,202,259TotReportableCompRltdOrgAmt
Total Other Compensation$1,467,617TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K8IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT SERVICE REDesc
Business621610BusinessCd
Total Revenue Column$3,231,535TotalRevenueColumnAmt
Related Or Exempt Func Income$3,231,535RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$3,231,535TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$298TotalRevenueColumnAmt
Exclusion$298ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Business900099BusinessCd
Total Revenue Column-$15,874TotalRevenueColumnAmt
Exclusion-$15,874ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total-$15,874OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,215,959TotalRevenueColumnAmt
Related Or Exempt Func Income$3,231,535RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$15,576ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,517,482TotalAmt
Program Services$2,348,006ProgramServicesAmt
Management And General$169,476ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$76,284TotalAmt
Program Services$71,149ProgramServicesAmt
Management And General$5,135ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$42,247TotalAmt
Program Services$39,403ProgramServicesAmt
Management And General$2,844ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$174,385TotalAmt
Program Services$162,645ProgramServicesAmt
Management And General$11,740ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$545,589TotalAmt
Program Services$507,398ProgramServicesAmt
Management And General$38,191ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$15,646TotalAmt
Program Services$14,593ProgramServicesAmt
Management And General$1,053ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$11,463TotalAmt
Program Services$10,691ProgramServicesAmt
Management And General$772ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$177,964TotalAmt
Program Services$165,984ProgramServicesAmt
Management And General$11,980ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,120TotalAmt
Program Services$728ProgramServicesAmt
Management And General$392ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$28,842TotalAmt
Program Services$26,900ProgramServicesAmt
Management And General$1,942ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT EXPENSE$1,060,751$1,060,751
MEDICAL SUPPLIES$175,086$163,299$11,787

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$12,441TotalAmt
Program Services$11,199ProgramServicesAmt
Management And General$1,242ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$4,839,300TotalAmt
Program Services$4,582,746ProgramServicesAmt
Management And General$256,554ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,938,943BOYAmt
EOY$3,846,040EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$207,833BOYAmt
EOY$275,910EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$74,173BOYAmt
EOY$63,189EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,700BOYAmt
EOY-$1,427EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,178,535LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$794,395LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$412,982BOYAmt
EOY$384,140EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$23,597BOYAmt
EOY$5,989EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,660,228BOYAmt
EOY$4,573,841EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,407,531BOYAmt
EOY$945,639EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,407,531BOYAmt
EOY$945,639EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$252,697BOYAmt
EOY$3,628,202EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$252,697BOYAmt
EOY$3,628,202EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,660,228BOYAmt
EOY$4,573,841EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$1,623,341ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$4,998,846OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
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)
HospitalYes (X)HospitalInd

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$111,490OtherCostOrOtherBasisAmt
Book Value$111,490BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$937,723OtherCostOrOtherBasisAmt
Depreciation$698,117DepreciationAmt
Book Value$239,606BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$129,322OtherCostOrOtherBasisAmt
Depreciation$96,278DepreciationAmt
Book Value$33,044BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$384,140TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationROANOKE 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, 2022 AND 2021 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 2019ExplanationTxt

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 (12 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
MICHAEL WALDRUM
CEO$0$1,108,020$0$285,793$0$15,185$0$204,321$0$51,470$0$1,664,789$0$0
DAVID HUGHES
CFO$0$579,725$0$93,282$0$0$0$347,501$0$40,621$0$1,061,129$0$0
WILLIAM FLOYD
BOARD MEMBER$0$607,477$0$98,149$0$0$0$170,736$0$44,891$0$921,253$0$0
JAY BRILEY
BOARD MEMBER$0$390,807$0$64,835$0$0$0$116,734$0$39,097$0$611,473$0$0
DANIEL DRAKE
BOARD MEMBER$0$331,920$0$54,335$0$0$0$155,725$0$44,271$0$586,251$0$0
KENNETH ROBERT
BOARD MEMBER$0$289,123$0$0$0$0$0$0$0$48,481$0$337,604$0$0
ANTHONY BARTHOLOMEW
BOARD MEMBER$0$258,727$0$24,881$0$0$0$21,823$0$27,305$0$332,736$0$0
SARAH MASSEY
NURSE PRACTITIONER$153,496$0$0$0$0$0$28,598$0$30,329$0$212,423$0$0$0
ELIZABETH BOND
PHYSICIAN$184,783$0$0$0$0$0$0$0$14,932$0$199,715$0$0$0
BRANDON CARLISLE
PHYSICIAN ASSISTANT$141,904$0$0$0$0$0$0$0$25,595$0$167,499$0$0$0
MICHAEL WEGENER
PHYSICIAN$143,967$0$0$0$0$0$0$0$16,357$0$160,324$0$0$0
KELLY HARVEY
NURSE PRACTITIONER$121,431$0$0$0$0$0$0$0$38,830$0$160,261$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3FormAndLineReferenceDesc
ExplanationTHE 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.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 7AUNIVERSITY 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 7BTHE 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 11BTHE 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 12CAS 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 15THE 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 19THE 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:TRANSFER OF EQUITY FROM AFFILIATE 4,998,846.
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (16 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
PITT COUNTY MEMORIAL HOSPITAL INC (DBA ECU HEALTH MEDICAL CENTER)
2100 STANTONSBURG RDGREENVILLENC27835560585243HOSPITALNC501(C)(3)LINE 3ECU HEALTH0
EAST CAROLINA HEALTH INC (DBA ECU HEALTH COMMUNITY HOSPITALS - CENTRAL)
2100 STANTONSBURG RDGREENVILLENC27835562003393HOSPITALNC501(C)(3)LINE 3ECU HEALTH0
PCMH MANAGEMENT INC (DBA ECU HEALTH PROPERTIES)
2100 STANTONSBURG RDGREENVILLENC27835561690740MEDICAL PROPERTY MANAGEMENTNC501(C)(2)ECU HEALTH0
HEALTHACCESS INC
2100 STANTONSBURG RDGREENVILLENC27835561396133HEALTHCARENC501(C)(3)LINE 12B, IIECU HEALTH0
VIDANT MEDICAL GROUP INC (DBA ECU HEALTH PHYSICIANS)
2100 STANTONSBURG RDGREENVILLENC27835383740839HEALTHCARENC501(C)(3)LINE 12C, III-FIECU HEALTH0
THE OUTER BANKS HOSPITAL INC
2100 STANTONSBURG RDGREENVILLENC27835562112733HOSPITALNC501(C)(3)LINE 3EAST CAROLINA HEALTH0
EAST CAROLINA HEALTH - BERTIE (DBA ECU HEALTH BERTIE HOSPITAL)
2100 STANTONSBURG RDGREENVILLENC27835562072002HOSPITALNC501(C)(3)LINE 3ECU HEALTH0
EAST CAROLINA HEALTH - CHOWAN (DBA ECU HEALTH CHOWAN HOSPITAL)
2100 STANTONSBURG RDGREENVILLENC27835562101090HOSPITALNC501(C)(3)LINE 3ECU HEALTH0
EAST CAROLINA HEALTH - HERITAGE (DBA ECU HEALTH EDGECOMBE HOSPITAL)
2100 STANTONSBURG RDGREENVILLENC27835562093700HOSPITALNC501(C)(3)LINE 3ECU HEALTH0
EAST CAROLINA HEALTH - BEAUFORT (DBA ECU HEALTH BEAUFORT HOSPITAL)
2100 STANTONSBURG RDGREENVILLENC27835452436270HOSPITALNC501(C)(3)LINE 3ECU HEALTH0
DUPLIN GENERAL HOSPITAL (DBA ECU HEALTH DUPLIN HOSPITAL)
2100 STANTONSBURG RDGREENVILLENC27835566011594HOSPITALNC501(C)(3)LINE 3ECU HEALTH0
EAST CAROLINA HEALTH INC (DBA ECU HEALTH ROANOKE-CHOWAN HOSPITAL)
2100 STANTONSBURG RDGREENVILLENC27835264634725HOSPITALNC501(C)(3)LINE 3ECU HEALTH0
HALIFAX REGIONAL MEDICAL CENTER DBA ECU HEALTH NORTH HOSPITAL
2100 STANTONSBURG RDGREENVILLENC27835560989789HOSPITALNC501(C)(3)LINE 3ECU HEALTH0
ACCESS EAST
2410 STATONSBURG RD STANTON SQUAREGREENVILLENC27834561949493HEALTHCARENC501(C)(3)LINE 10ECU HEALTH0
UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA INC
2100 STANTONSBURG RDGREENVILLENC27835562141073HEALTHCARENC501(C)(3)LINE 12A, I0N/A
HALIFAX REGIONAL MEDICAL CENTER FOUNDATION INC
250 SMITH CHURCH ROADROANOKE RAPIDSNC27870561698825SUPPORT/FUNDRAISINGNC501(C)(3)LINE 7ECU HEALTH0
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 Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd