ROANOKE VALLEY HEALTH SERVICES INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- ROANOKE VALLEY HEALTH SERVICES INC (EIN 56-1925492)
- Tax period
- 2019-10-01 to 2020-09-30
- Filed
- 2021-08-12
- IRS object ID
- 202122249349300712
- Schema version
- 2019v5.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-08-12T08:26:17-05:00 | ReturnTs |
| Tax Period End | 2020-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 560747981 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 RIDGEFIELD COURT | AddressLine1Txt |
| City | ASHEVILLE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28806 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 561925492 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROANOKE VALLEY HEALTH SERVICES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ROAN | BusinessNameControlTxt |
| Phone | 2525358130 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 SMITH CHURCH ROAD | AddressLine1Txt |
| City | ROANOKE RAPIDS | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27870 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SHERRY JENSEN | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 2525358130 | PhoneNum |
| Signature | 2021-08-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMY BIBBY | PreparerPersonNm |
| PTIN | P00445891 | PTIN |
| Phone | 8282542254 | PhoneNum |
| Preparation | 2021-08-02 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DAVID HUGHES | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 SMITH CHURCH ROAD | AddressLine1Txt |
| City | ROANOKE RAPIDS | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27870 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $10,353,252 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HALIFAXREGIONAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1994 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE THE HEALTH AND WELL-BEING OF EASTERN NORTH CAROLINA. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 76 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $183,338 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $8,820,685 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $9,978,930 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$142 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,830 | PYOtherRevenueAmt |
| CY Other Revenue | $374,322 | CYOtherRevenueAmt |
| PY Total Revenue | $9,008,711 | PYTotalRevenueAmt |
| CY Total Revenue | $10,353,252 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $8,165,384 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,279,893 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,665,982 | PYOtherExpensesAmt |
| CY Other Expenses | $3,760,277 | CYOtherExpensesAmt |
| PY Total Expenses | $11,831,366 | PYTotalExpensesAmt |
| CY Total Expenses | $11,040,170 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,822,655 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$686,918 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,133,623 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,204,665 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $19,878,210 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,751,723 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$17,744,587 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,452,942 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO IMPROVE THE HEALTH AND WELL-BEING OF EASTERN NORTH CAROLINA. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $10,694,900 | ExpenseAmt |
| Revenue | $9,979,332 | RevenueAmt |
| Desc | VIDANT HEALTH PROFESSIONALS PROVIDED EVALUATIONS, CLINICAL CARE MANAGEMENT AND MEDICALLY NECESSARY PROCEDURES. | Desc |
| Total Program Service Expenses | $10,694,900 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 76 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NC | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CINDY ROBINSON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2525358005 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 SMITH CHURCH ROAD | AddressLine1Txt |
| City | ROANOKE RAPIDS | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27870 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| MICHAEL R WALDRUM MD | |||||||||
| MANAGER | 2.00 | 50.00 | Yes (X) | Yes (X) | $0 | $1,236,323 | $228,984 | ||
| JAY BRILEY | |||||||||
| MANAGER | 2.00 | 46.00 | Yes (X) | $0 | $371,506 | $119,284 | |||
| DAVID HUGHES | |||||||||
| MANAGER | 2.00 | 50.00 | Yes (X) | Yes (X) | $0 | $528,071 | $226,370 | ||
| WILLIAM FLOYD | |||||||||
| MANAGER | 2.00 | 42.00 | Yes (X) | $0 | $563,399 | $149,184 | |||
| ANTHONY BARTHOLOMEW | |||||||||
| MANAGER | 1.00 | 40.00 | Yes (X) | $0 | $228,952 | $49,826 | |||
| DANIEL DRAKE PHD | |||||||||
| MANAGER | 40.00 | Yes (X) | $0 | $280,836 | $148,764 | ||||
| WILLIAM MAHONE | |||||||||
| CEO | 40.00 | $0 | $171,341 | $55,232 | Yes (X) | ||||
| SHERRY JENSEN | |||||||||
| CFO | 40.00 | $0 | $340,494 | $61,600 | Yes (X) | ||||
| HAILE JONES | |||||||||
| PHYSICIAN | 40.00 | $263,028 | $375,159 | $51,060 | Yes (X) | ||||
| TOCHUKWU AGBATA | |||||||||
| MEDICAL DIR. HOSPITALIST | 40.00 | $216,352 | $152,809 | $47,652 | Yes (X) | ||||
| JAMES KETOFF | |||||||||
| PHYSICIAN | 40.00 | $219,317 | $187,649 | $40,667 | Yes (X) | ||||
| HAZEL DUNCAN | |||||||||
| HOSPITALIST | 40.00 | $216,208 | $169,670 | $49,624 | Yes (X) | ||||
| NKECHINYERE OBIEFUNA | |||||||||
| HOSPITALIST | 40.00 | $207,176 | $178,345 | $41,955 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,122,081 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,784,554 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,270,202 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 12 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| AXIA PHYSICIAN SOLUTIONS | |||||
| 101 N CHERRY ST STE 600 | WINSTONSALEM | NC | 27101 | PHYSICIAN BILLING | $598,340 |
| JO MEDICALS PC | |||||
| 824 BENTBURY WAY | CARY | NC | 275188809 | HOSPITALIST | $448,200 |
| SURAFEAL ABRAHA | |||||
| 5028 MYRTLE OAK DR | CARY | NC | 27519 | HOSPITALIST | $273,094 |
| NC SEKARAN MD | |||||
| 313 ROLLINGWOOD RD | ROANOKE RAPIDS | NC | 27870 | PULMONOLOGIST | $234,578 |
| AKANINYENE JOSEPH-DAMAK MEDICS | |||||
| 113 ASPEN RIDGE RD | HOLLY SPRINGS | NC | 27540 | HOSPITALIST | $228,300 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 33 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REV | 621610 | $9,504,043 | $9,504,043 |
| PROVIDER RELIEF FUNDS | 900099 | $474,887 | $474,887 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $9,978,930 | TotalProgramServiceRevenueAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $402 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $402 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $402 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $402 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $373,920 | TotalRevenueColumnAmt |
| Exclusion | $373,920 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $373,920 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,353,252 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $9,979,332 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $373,920 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,004,369 | TotalAmt |
| Program Services | $6,794,238 | ProgramServicesAmt |
| Management And General | $210,131 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $133,943 | TotalAmt |
| Program Services | $129,925 | ProgramServicesAmt |
| Management And General | $4,018 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$251,193 | TotalAmt |
| Program Services | -$243,657 | ProgramServicesAmt |
| Management And General | -$7,536 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $392,774 | TotalAmt |
| Program Services | $380,991 | ProgramServicesAmt |
| Management And General | $11,783 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$9,910 | TotalAmt |
| Program Services | -$9,613 | ProgramServicesAmt |
| Management And General | -$297 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,462,258 | TotalAmt |
| Program Services | $2,388,391 | ProgramServicesAmt |
| Management And General | $73,867 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,291 | TotalAmt |
| Program Services | $19,682 | ProgramServicesAmt |
| Management And General | $609 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,201 | TotalAmt |
| Program Services | $48,695 | ProgramServicesAmt |
| Management And General | $1,506 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,280 | TotalAmt |
| Program Services | $50,712 | ProgramServicesAmt |
| Management And General | $1,568 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,013 | TotalAmt |
| Program Services | $30,083 | ProgramServicesAmt |
| Management And General | $930 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,654 | TotalAmt |
| Program Services | $1,075 | ProgramServicesAmt |
| Management And General | $579 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,709 | TotalAmt |
| Program Services | $111,268 | ProgramServicesAmt |
| Management And General | $3,441 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,951 | TotalAmt |
| Program Services | $12,578 | ProgramServicesAmt |
| Management And General | $15,373 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT EXPENSE | $782,436 | $782,436 | |
| MEDICAL SUPPLIES | $201,853 | $195,797 | $6,056 |
| OTHER EXPENSES | $25,541 | $2,299 | $23,242 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,040,170 | TotalAmt |
| Program Services | $10,694,900 | ProgramServicesAmt |
| Management And General | $345,270 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,972 | BOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,132,272 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $885,203 | BOYAmt |
| EOY | $747,612 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $77,755 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $58,556 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,563,434 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,419,536 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,207,448 | BOYAmt |
| EOY | $1,143,898 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $44,572 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,133,623 | BOYAmt |
| EOY | $3,204,665 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,182,418 | BOYAmt |
| EOY | $1,751,723 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,695,792 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,878,210 | BOYAmt |
| EOY | $1,751,723 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$17,747,232 | BOYAmt |
| EOY | $1,452,942 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,645 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$17,744,587 | BOYAmt |
| EOY | $1,452,942 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,133,623 | BOYAmt |
| EOY | $3,204,665 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$686,918 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $19,884,447 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $111,490 | OtherCostOrOtherBasisAmt |
| Book Value | $111,490 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,576,724 | OtherCostOrOtherBasisAmt |
| Depreciation | $912,833 | DepreciationAmt |
| Book Value | $663,891 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $875,220 | OtherCostOrOtherBasisAmt |
| Depreciation | $506,703 | DepreciationAmt |
| Book Value | $368,517 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,143,898 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | 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, 2020 AND 2019. 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 2017. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL R WALDRUM MD | ||||||||||||||
| MANAGER | $0 | $1,192,572 | $0 | $34,500 | $0 | $9,251 | $0 | $184,835 | $0 | $44,149 | $0 | $1,465,307 | $0 | $0 |
| JAY BRILEY | ||||||||||||||
| MANAGER | $0 | $371,506 | $0 | $0 | $0 | $0 | $0 | $82,987 | $0 | $36,297 | $0 | $490,790 | $0 | $0 |
| DAVID HUGHES | ||||||||||||||
| MANAGER | $0 | $525,801 | $0 | $0 | $0 | $2,270 | $0 | $190,892 | $0 | $35,478 | $0 | $754,441 | $0 | $0 |
| WILLIAM FLOYD | ||||||||||||||
| MANAGER | $0 | $562,467 | $0 | $0 | $0 | $932 | $0 | $113,083 | $0 | $36,101 | $0 | $712,583 | $0 | $0 |
| ANTHONY BARTHOLOMEW | ||||||||||||||
| MANAGER | $0 | $228,952 | $0 | $0 | $0 | $0 | $0 | $23,276 | $0 | $26,550 | $0 | $278,778 | $0 | $0 |
| DANIEL DRAKE PHD | ||||||||||||||
| MANAGER | $0 | $280,836 | $0 | $0 | $0 | $0 | $0 | $107,096 | $0 | $41,668 | $0 | $429,600 | $0 | $0 |
| WILLIAM MAHONE | ||||||||||||||
| CEO | $0 | $171,341 | $0 | $0 | $0 | $0 | $0 | $32,277 | $0 | $22,955 | $0 | $226,573 | $0 | $0 |
| SHERRY JENSEN | ||||||||||||||
| CFO | $0 | $340,494 | $0 | $0 | $0 | $0 | $0 | $13,461 | $0 | $48,139 | $0 | $402,094 | $0 | $0 |
| HAILE JONES | ||||||||||||||
| PHYSICIAN | $263,028 | $375,159 | $0 | $0 | $0 | $0 | $0 | $0 | $19,968 | $31,092 | $282,996 | $406,251 | $0 | $0 |
| TOCHUKWU AGBATA | ||||||||||||||
| MEDICAL DIR. HOSPITALIST | $216,352 | $152,809 | $0 | $0 | $0 | $0 | $0 | $0 | $24,976 | $22,676 | $241,328 | $175,485 | $0 | $0 |
| JAMES KETOFF | ||||||||||||||
| PHYSICIAN | $219,317 | $187,649 | $0 | $0 | $0 | $0 | $0 | $0 | $17,438 | $23,229 | $236,755 | $210,878 | $0 | $0 |
| HAZEL DUNCAN | ||||||||||||||
| HOSPITALIST | $216,208 | $169,670 | $0 | $0 | $0 | $0 | $0 | $0 | $24,158 | $25,466 | $240,366 | $195,136 | $0 | $0 |
| NKECHINYERE OBIEFUNA | ||||||||||||||
| HOSPITALIST | $207,176 | $178,345 | $0 | $0 | $0 | $0 | $0 | $0 | $18,528 | $23,427 | $225,704 | $201,772 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | ALL COMPENSATION AND REIMBURSEMENT LISTED FOR SUCH ITEMS ARE PAID AT THE VIDANT HEALTH ENTITY, AND THE WRITTEN POLICY AND ADHERENCE TO THE POLICY IS MAINTAINED AT VH. |
| PART I, LINE 3 | THE COMPENSATION IS DETERMINED BY THE COMPENSATION AND BENEFITS COMMITTEE OF THE VH 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. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | VIDANT MEDICAL GROUP, LLC IS THE SOLE CORPORATE MEMBER OF ROANOKE VALLEY HEALTH SERVICES, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | AS THE CORPORATE MEMBER, VIDANT MEDICAL GROUP, LLC. SHALL HAVE THE RESPONSIBILITY TO ELECT OR APPOINT THE SIX INDIVIDUAL VOTING MEMBERS OF ROANOKE VALLEY HEALTH SERVICES, INC. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE RIGHTS RESERVED TO THE CORPORATE MEMBER INCLUDE THE RIGHTS OF: A. SELLING, LEASING OR OTHERWISE DISPOSING OF, OR AGREEING TO SELL, LEASE OR OTHERWISE DISPOSE OF, ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF ROANOKE VALLEY HEALTH SERVICES, INC.; B. WINDING UP, DISSOLVING, LIQUIDATING, REORGANIZING, OR OTHERWISE TERMINATING THE EXISTENCE OF ROANOKE VALLEY HEALTH SERVICES, INC.; C. MERGING OR CONSOLIDATING ROANOKE VALLEY HEALTH SERVICES, INC. WITH OR INTO ANY OTHER ENTITY OR CONVERTING INTO ANY OTHER TYPE OF ENTITY; D. AMENDING THE ARTICLES OF ORGANIZATION OR OPERATING AGREEMENT, AND; E. ADMITTING ADDITIONAL MEMBERS OR ISSUING ADDITIONAL MEMBERSHIP INTERESTS. |
| 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 VIDANT 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 VH, ALL OFFICERS, BOARD MEMBERS AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A YEARLY COMPREHENSIVE CONFLICT OF INTEREST QUESTIONNAIRE. THESE ARE REVIEWED BY LEGAL COUNSEL AND ANY POTENTIAL OR ACTUAL CONFLICTS ARE BROUGHT TO THE BOARD FOR DISPOSITION. BOARD MEMBERS ARE INSTRUCTED TO REPORT ANY POTENTIAL CONFLICTS ARISING DURING THE YEAR FOR REVIEW. BOARD MEMBERS ARE REQUIRED TO RECUSE THEMSELVES FROM VOTING ON ISSUES IN WHICH THEY ARE DEEMED TO HAVE A CONFLICT. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE COMPENSATION IS DETERMINED BY THE COMPENSATION AND BENEFITS COMMITTEE OF THE VH 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 IX, LINE 11G | PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 1,813,198. MANAGEMENT AND GENERAL EXPENSES 56,078. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,869,276. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 575,193. MANAGEMENT AND GENERAL EXPENSES 17,789. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 592,982. |
| FORM 990, PART XI, LINE 9: | TRANSFER OF EQUITY FROM AFFILIATE 19,884,447. |
| 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/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| PITT COUNTY MEMORIAL HOSPITAL INC (DBA VIDANT MEDICAL CENTER) | |||||||||||
| 2100 STANTONSBURG RD | GREENVILLE | NC | 27835 | 560585243 | HOSPITAL | NC | 501(C)(3) | LINE 3 | VIDANT HEALTH | 0 | |
| EAST CAROLINA HEALTH INC (DBA VIDANT COMMUNITY HOSPITALS - CENTRAL) | |||||||||||
| 2100 STANTONSBURG RD | GREENVILLE | NC | 27835 | 562003393 | HOSPITAL | NC | 501(C)(3) | LINE 3 | VIDANT HEALTH | 0 | |
| PCMH MANAGEMENT INC (DBA VIDANT PROPERTIES) | |||||||||||
| 2100 STANTONSBURG RD | GREENVILLE | NC | 27835 | 561690740 | MEDICAL PROPERTY MANAGEMENT | NC | 501(C)(2) | VIDANT HEALTH | 0 | ||
| HEALTHACCESS INC | |||||||||||
| 2100 STANTONSBURG RD | GREENVILLE | NC | 27835 | 561396133 | HEALTHCARE | NC | 501(C)(3) | LINE 12B, II | VIDANT HEALTH | 0 | |
| VIDANT MEDICAL GROUP INC | |||||||||||
| 2100 STANTONSBURG RD | GREENVILLE | NC | 27835 | 383740839 | HEALTHCARE | NC | 501(C)(3) | LINE 12C, III-FI | VIDANT HEALTH | 0 | |
| THE OUTER BANKS HOSPITAL INC | |||||||||||
| 2100 STANTONSBURG RD | GREENVILLE | NC | 27835 | 562112733 | HOSPITAL | NC | 501(C)(3) | LINE 3 | EAST CAROLINA HEALTH | 0 | |
| EAST CAROLINA HEALTH - BERTIE (DBA VIDANT BERTIE HOSPITAL) | |||||||||||
| 2100 STANTONSBURG RD | GREENVILLE | NC | 27835 | 562072002 | HOSPITAL | NC | 501(C)(3) | LINE 3 | VIDANT HEALTH | 0 | |
| EAST CAROLINA HEALTH - CHOWAN (DBA VIDANT CHOWAN HOSPITAL) | |||||||||||
| 2100 STANTONSBURG RD | GREENVILLE | NC | 27835 | 562101090 | HOSPITAL | NC | 501(C)(3) | LINE 3 | VIDANT HEALTH | 0 | |
| EAST CAROLINA HEALTH - HERITAGE (DBA VIDANT EDGECOMBE HOSPITAL) | |||||||||||
| 2100 STANTONSBURG RD | GREENVILLE | NC | 27835 | 562093700 | HOSPITAL | NC | 501(C)(3) | LINE 3 | VIDANT HEALTH | 0 | |
| EAST CAROLINA HEALTH - BEAUFORT (DBA VIDANT BEAUFORT HOSPITAL) | |||||||||||
| 2100 STANTONSBURG RD | GREENVILLE | NC | 27835 | 452436270 | HOSPITAL | NC | 501(C)(3) | LINE 3 | VIDANT HEALTH | 0 | |
| DUPLIN GENERAL HOSPITAL (DBA VIDANT DUPLIN HOSPITAL) | |||||||||||
| 2100 STANTONSBURG RD | GREENVILLE | NC | 27835 | 566011594 | HOSPITAL | NC | 501(C)(3) | LINE 3 | VIDANT HEALTH | 0 | |
| EAST CAROLINA HEALTH INC (DBA VIDANT ROANOKE-CHOWAN HOSPITAL) | |||||||||||
| 2100 STANTONSBURG RD | GREENVILLE | NC | 27835 | 264634725 | HOSPITAL | NC | 501(C)(3) | LINE 3 | VIDANT HEALTH | 0 | |
| HALIFAX REGIONAL MEDICAL CENTER DBA VIDANT NORTH | |||||||||||
| 2100 STANTONSBURG RD | GREENVILLE | NC | 27835 | 560989789 | HOSPITAL | NC | 501(C)(3) | LINE 3 | VIDANT HEALTH | 0 | |
| ACCESS EAST | |||||||||||
| 2410 STATONSBURG RD STANTON SQUARE | GREENVILLE | NC | 27834 | 561949493 | HEALTHCARE | NC | 501(C)(3) | LINE 10 | VIDANT HEALTH | 0 | |
| UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA INC | |||||||||||
| 2100 STANTONSBURG RD | GREENVILLE | NC | 27835 | 562141073 | HEALTHCARE | NC | 501(C)(3) | LINE 12A, I | 0 | N/A | |
| HALIFAX REGIONAL MEDICAL CENTER FOUNDATION INC | |||||||||||
| 250 SMITH CHURCH ROAD | ROANOKE RAPIDS | NC | 27870 | 561698825 | SUPPORT/FUNDRAISING | NC | 501(C)(3) | LINE 7 | VIDANT NORTH | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |