AHSNF INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- AHSNF INC (EIN 84-2727303)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-15
- IRS object ID
- 202143199349314519
- Schema version
- 2020v4.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-15T13:36:56-06:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 227 WEST TRADE STREET SUITE 800 | AddressLine1Txt |
| City | CHARLOTTE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 842727303 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AHSNF INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | AHSN | BusinessNameControlTxt |
| Phone | 7045125219 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 BLYTHE BLVD | AddressLine1Txt |
| City | CHARLOTTE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28203 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANTHONY C DEFURIO | PersonNm |
| Person Title | SECRETARY AND TREASURER | PersonTitleTxt |
| Phone | 7045125219 | PhoneNum |
| Signature | 2021-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | ANTHONY | PersonFirstNm |
| Person Last | DEFURIO | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOHN NORMAN | PreparerPersonNm |
| PTIN | P01506766 | PTIN |
| Phone | 7049985200 | PhoneNum |
| Preparation | 2021-11-14 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Initial Return | Yes (X) | InitialReturnInd |
| Principal Officer | KEN D HAYNES | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 BLYTHE BLVD | AddressLine1Txt |
| City | CHARLOTTE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28203 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $43,712,731 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2019 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | THE CORPORATION OWNS THE ASSETS AND OPERATIONS OF FIVE SKILLED NURSING FACILITIES LOCATED IN AND AROUND CHARLOTTE, NC. THE FACILITIES PROVIDE SHORT-TERM NURSING AND REHABILITATION SERVICES, LONG-TERM CARE SERVICES, AND END OF LIFE CARE TO PATIENTS IN THE COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 3 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 13 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| CY Contributions Grants | $1,109,928 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $42,084,897 | CYProgramServiceRevenueAmt |
| CY Investment Income | -$73 | CYInvestmentIncomeAmt |
| CY Other Revenue | $517,898 | CYOtherRevenueAmt |
| CY Total Revenue | $43,712,650 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| CY Salaries Comp Emp Bnft Paid | $26,583,854 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| CY Other Expenses | $31,708,754 | CYOtherExpensesAmt |
| CY Total Expenses | $58,292,608 | CYTotalExpensesAmt |
| CY Revenues Less Expenses | -$14,579,958 | CYRevenuesLessExpensesAmt |
| Total Assets EOY | $42,778,339 | TotalAssetsEOYAmt |
| Total Liabilities EOY | $17,141,267 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances EOY | $25,637,072 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE CORPORATION OWNS THE ASSETS AND OPERATIONS OF FIVE SKILLED NURSING FACILITIES LOCATED IN AND AROUND CHARLOTTE, NC. THE FACILITIES PROVIDE SHORT-TERM NURSING AND REHABILITATION SERVICES, LONG-TERM CARE SERVICES, AND END OF LIFE CARE TO PATIENTS IN THE COMMUNITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $47,258,540 | ExpenseAmt |
| Revenue | $42,602,795 | RevenueAmt |
| Desc | THE FACILITIES PROVIDE SHORT-TERM NURSING AND REHABILITATION SERVICES, LONG-TERM CARE SERVICES, AND END OF LIFE CARE TO PATIENTS IN THE COMMUNITY. DURING COVID, A COVID SPECIFIC UNIT WAS ESTABLISHED FOR THE CARE AND RECOVERY OF THESE PATIENTS WHICH WAS VERY BENEFICIAL TO THE BROADER HEALTHCARE COMMUNITY. | Desc |
| Total Program Service Expenses | $47,258,540 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | 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 | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | 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 | 0 | EmployeeCnt |
| 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 | 3 | 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 | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | 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 |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RODNEY BALL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7045125219 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 32861 | AddressLine1Txt |
| City | CHARLOTTE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28232 | 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 |
|---|---|---|---|---|---|---|---|---|---|
| KEN D HAYNES | |||||||||
| PRESIDENT | 1.00 | 49.00 | Yes (X) | Yes (X) | $0 | $1,972,089 | $260,459 | ||
| ANTHONY C DEFURIO | |||||||||
| SECRETARY AND TREASURER | 1.00 | 49.00 | Yes (X) | Yes (X) | $0 | $2,213,785 | $272,890 | ||
| SCOTT C RISSMILLER MD | |||||||||
| DIRECTOR | 1.00 | 49.00 | Yes (X) | $0 | $1,814,679 | $226,791 | |||
| RODNEY BALL | |||||||||
| GROUP VP, CFO | 2.00 | 48.00 | Yes (X) | $0 | $615,742 | $62,414 | |||
| ROSE COOK CFO UNTIL 1020 | |||||||||
| VP, FINANCE | 2.00 | 48.00 | Yes (X) | $0 | $446,531 | $48,955 | |||
| COLLIN LANE | |||||||||
| ENTERPRISE SVP, FACILITIES MGMT GRP | 5.00 | 45.00 | Yes (X) | $0 | $701,538 | $78,167 | |||
| MIKE STOLZENZBACH | |||||||||
| VP, FACILITY EXEC., CONT. CARE | 15.00 | 35.00 | $0 | $326,616 | $55,033 | Yes (X) | |||
| SCHAREE LEE | |||||||||
| EXEC DIR - CONT CARE | 50.00 | 0.00 | $0 | $168,006 | $31,603 | Yes (X) | |||
| SYLVIA OKUGO | |||||||||
| REGISTERED NURSE | 55.00 | $0 | $202,244 | $41,448 | Yes (X) | ||||
| ROSE SARFO-KANTANKA | |||||||||
| REGISTERED NURSE | 57.00 | $0 | $142,517 | $27,384 | Yes (X) | ||||
| COLIN CLODE | |||||||||
| EXEC. DIR - COMMUNITY MENTOR - LTC | 50.00 | $0 | $145,991 | $40,709 | Yes (X) | ||||
| MUNA ABRAHAM | |||||||||
| RN SUPERVISOR | 52.00 | $0 | $131,948 | $27,341 | Yes (X) | ||||
| LINDEN SCOTLAND | |||||||||
| EXEC DIR - COMM. MENTOR - LTC | 40.00 | $0 | $117,727 | $32,814 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $8,999,413 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,206,008 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| HEALTHPRO HERITAGE LLC | |||||
| 536 OLD HOWELL RD | GREENVILLE | SC | 29615 | THERAPY SERVICES | $3,593,586 |
| SODEXO INC | |||||
| PO BOX 360170 | PITTSBURGH | PA | 152516170 | DIETARY SERVICES | $3,128,630 |
| ARAMARK HEALTHCARE SUPPORT SERVICES LLC | |||||
| PO BOX 978839 | DALLAS | TX | 753978839 | ENVIRONMENTAL SERVICES | $833,573 |
| MORRISON MANAGEMENT SPECIALISTS INC | |||||
| PO BOX 102289 | ATLANTA | GA | 303682289 | DIETARY SERVICES | $495,417 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,105,813 | GovernmentGrantsAmt |
| All Other Contributions | $4,115 | AllOtherContributionsAmt |
| Total Contributions | $1,109,928 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICES | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $42,084,897 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $42,084,897 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $42,084,897 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8 | TotalRevenueColumnAmt |
| Exclusion | $8 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $81 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$81 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$81 | TotalRevenueColumnAmt |
| Exclusion | -$81 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $517,898 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $517,898 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $517,898 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $43,712,650 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $42,602,795 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$73 | 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 | $20,920,778 | TotalAmt |
| Program Services | $16,736,622 | ProgramServicesAmt |
| Management And General | $4,184,156 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $980,721 | TotalAmt |
| Program Services | $784,577 | ProgramServicesAmt |
| Management And General | $196,144 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,162,634 | TotalAmt |
| Program Services | $2,530,107 | ProgramServicesAmt |
| Management And General | $632,527 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,519,721 | TotalAmt |
| Program Services | $1,215,777 | ProgramServicesAmt |
| Management And General | $303,944 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,473 | TotalAmt |
| Management And General | $6,473 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,319,929 | TotalAmt |
| Program Services | $5,855,943 | ProgramServicesAmt |
| Management And General | $1,463,986 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $190,658 | TotalAmt |
| Program Services | $152,526 | ProgramServicesAmt |
| Management And General | $38,132 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,732 | TotalAmt |
| Program Services | $42,186 | ProgramServicesAmt |
| Management And General | $10,546 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $899,735 | TotalAmt |
| Program Services | $719,788 | ProgramServicesAmt |
| Management And General | $179,947 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,242 | TotalAmt |
| Program Services | $35,394 | ProgramServicesAmt |
| Management And General | $8,848 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $661,152 | TotalAmt |
| Program Services | $661,152 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,463,689 | TotalAmt |
| Program Services | $2,770,951 | ProgramServicesAmt |
| Management And General | $692,738 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $130,941 | TotalAmt |
| Program Services | $104,753 | ProgramServicesAmt |
| Management And General | $26,188 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| INTERCOMPANY EXPENSES | $14,470,112 | $11,576,090 | $2,894,022 |
| FOOD & HOUSEKEEPING SUP | $1,615,318 | $1,292,254 | $323,064 |
| MEDICAL SUPPLIES | $1,373,455 | $1,373,455 | |
| BAD DEBT EXPENSE | $1,113,554 | $1,113,554 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $366,764 | TotalAmt |
| Program Services | $293,411 | ProgramServicesAmt |
| Management And General | $73,353 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,292,608 | TotalAmt |
| Program Services | $47,258,540 | ProgramServicesAmt |
| Management And General | $11,034,068 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $15,667 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $7,490,871 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $750 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $35,017 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $69,432,286 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $34,196,252 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $35,236,034 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $42,778,339 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,572,738 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $15,568,529 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $17,141,267 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $25,637,072 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $25,637,072 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $42,778,339 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$14,579,958 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $40,217,030 | OtherChangesInNetAssetsAmt |
| 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 | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,193,138 | OtherCostOrOtherBasisAmt |
| Book Value | $2,193,138 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $47,311,899 | OtherCostOrOtherBasisAmt |
| Depreciation | $24,061,721 | DepreciationAmt |
| Book Value | $23,250,178 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $17,935,527 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,121,588 | DepreciationAmt |
| Book Value | $8,813,939 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,991,722 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,012,943 | DepreciationAmt |
| Book Value | $978,779 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $35,236,034 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO AFFILIATES | Desc |
| Amt | $15,568,529 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $15,568,529 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ANTHONY C DEFURIO | ||||||||||||||
| SECRETARY AND TREASURER | $0 | $1,175,449 | $0 | $997,725 | $0 | $40,611 | $0 | $249,619 | $0 | $23,271 | $0 | $2,486,675 | $0 | $0 |
| KEN D HAYNES | ||||||||||||||
| PRESIDENT | $0 | $1,022,193 | $0 | $915,276 | $0 | $34,620 | $0 | $223,623 | $0 | $36,836 | $0 | $2,232,548 | $0 | $0 |
| SCOTT C RISSMILLER MD | ||||||||||||||
| DIRECTOR | $0 | $877,443 | $0 | $904,575 | $0 | $32,661 | $0 | $194,269 | $0 | $32,522 | $0 | $2,041,470 | $0 | $0 |
| COLLIN LANE | ||||||||||||||
| ENTERPRISE SVP, FACILITIES MGMT GRP | $0 | $443,399 | $0 | $232,638 | $0 | $25,501 | $0 | $48,036 | $0 | $30,131 | $0 | $779,705 | $0 | $0 |
| RODNEY BALL | ||||||||||||||
| GROUP VP, CFO | $0 | $372,714 | $0 | $231,775 | $0 | $11,253 | $0 | $37,589 | $0 | $24,825 | $0 | $678,156 | $0 | $0 |
| ROSE COOK CFO UNTIL 1020 | ||||||||||||||
| VP, FINANCE | $0 | $263,455 | $0 | $144,464 | $0 | $38,612 | $0 | $30,843 | $0 | $18,112 | $0 | $495,486 | $0 | $0 |
| MIKE STOLZENZBACH | ||||||||||||||
| VP, FACILITY EXEC., CONT. CARE | $0 | $235,733 | $0 | $89,056 | $0 | $1,827 | $0 | $23,299 | $0 | $31,734 | $0 | $381,649 | $0 | $0 |
| SYLVIA OKUGO | ||||||||||||||
| REGISTERED NURSE | $0 | $187,261 | $0 | $5,750 | $0 | $9,233 | $0 | $12,545 | $0 | $28,903 | $0 | $243,692 | $0 | $0 |
| SCHAREE LEE | ||||||||||||||
| EXEC DIR - CONT CARE | $0 | $135,774 | $0 | $21,086 | $0 | $11,146 | $0 | $12,199 | $0 | $19,404 | $0 | $199,609 | $0 | $0 |
| COLIN CLODE | ||||||||||||||
| EXEC. DIR - COMMUNITY MENTOR - LTC | $0 | $121,204 | $0 | $24,521 | $0 | $266 | $0 | $11,691 | $0 | $29,018 | $0 | $186,700 | $0 | $0 |
| ROSE SARFO-KANTANKA | ||||||||||||||
| REGISTERED NURSE | $0 | $140,006 | $0 | $2,250 | $0 | $261 | $0 | $10,330 | $0 | $17,054 | $0 | $169,901 | $0 | $0 |
| MUNA ABRAHAM | ||||||||||||||
| RN SUPERVISOR | $0 | $123,761 | $0 | $2,250 | $0 | $5,937 | $0 | $9,607 | $0 | $17,734 | $0 | $159,289 | $0 | $0 |
| LINDEN SCOTLAND | ||||||||||||||
| EXEC DIR - COMM. MENTOR - LTC | $0 | $117,375 | $0 | $0 | $0 | $352 | $0 | $7,212 | $0 | $25,602 | $0 | $150,541 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4B | FormAndLineReferenceDesc |
| Explanation | CERTAIN EXECUTIVES PARTICIPATE IN OR RECEIVE PAYMENTS FROM SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLANS. THE DETERMINATION OF THE AMOUNT OF THE NON-QUALIFIED RETIREMENT PLANS FOLLOWED THE FILING ORGANIZATION'S COMPENSATION PROCEDURES AS OUTLINED IN PART VI, SECTION B, LINE 15 OF THE FORM 990. THE FOLLOWING OFFICERS RECEIVED PAYMENTS FROM NON-QUALIFIED RETIREMENT PLANS IN 2020: COLLIN LANE $4,552 RODNEY BALL $1,869 ROSE COOK $1,597 | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE ORGANIZATION'S BOARD OF DIRECTORS RECEIVE COPIES OF THE FORM 990 WITH SUFFICIENT TIME TO PERMIT REVIEW, COMMENT, AND QUESTIONS PRIOR TO ITS FILING. IF MODIFICATIONS ARE REQUIRED FOLLOWING SUCH REVIEW AND COMMENT, THE REVISED FORM 990 IS REDISTRIBUTED TO ALL DIRECTORS PRIOR TO ITS FILING WITH THE IRS, ALONG WITH A REPORT NOTING THE MODIFICATIONS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST POLICY APPLIES TO COVERED INDIVIDUALS, AND INCLUDES ALL AHSNF, INC TEAMMATES IN THEIR PERFORMANCE OF THE ADMINISTRATION, TEACHING, PATIENT CARE AND OTHER BUSINESS OPERATIONS OF THE ORGANIZATION AND TO NON-EMPLOYEES WHO ARE APPOINTED BY AHSNF, INC TO REPRESENT ITS INTEREST ON VARIOUS COMMITTEES OR IN OTHER DECISION MAKING CAPACITIES OR WHOSE CONTRACTUAL RELATIONSHIP WITH THE ORGANIZATION REQUIRES COMPLIANCE WITH THIS POLICY. DUE TO THE NATURE OF COIS, THE ACTIVITIES OF A COVERED INDIVIDUAL'S FAMILY MEMBER(S) MAY ALSO BE RELEVANT TO PROVIDE THE CORPORATE COMPLIANCE DEPARTMENT WITH A FULL ACCOUNTING OF RELATIONSHIPS THAT MAY INFLUENCE OR APPEAR TO INFLUENCE DECISIONS MADE ON BEHALF OF ATRIUM HEALTH. "COVERED INDIVIDUAL" IS DEFINED AS ANY AHSNF, INC TEAMMATE IN HIS/HER PERFORMANCE OF THE ADMINISTRATION, TEACHING, PATIENT CARE AND OTHER BUSINESS OPERATIONS OF AHSNF, INC AND TO NON-EMPLOYEES WHO ARE APPOINTED BY AHSNF, INC TO REPRESENT ITS INTEREST ON VARIOUS COMMITTEES OR IN OTHER DECISION MAKING CAPACITIES OR WHOSE CONTRACTUAL RELATIONSHIP WITH ATRIUM HEALTH REQUIRES COMPLIANCE WITH THIS POLICY. A COVERED INDIVIDUAL, REGARDLESS OF LEVEL, WHO BELIEVES A RELATIONSHIP MAY GIVE RISE TO A COI SHOULD WORK WITH RELEVANT LEADERS, THE CORPORATE COMPLIANCE DEPARTMENT AND OTHER DEPARTMENTS AS NEEDED TO PROPERLY EVALUATE, DISCLOSE AND MANAGE ANY POTENTIAL COIS. AHSNF, INC. REQUIRES TEAMMATES AT A DIRECTOR LEVEL OR ABOVE TO COMPLETE AN ANNUAL DISCLOSURE. THESE DISCLOSURES ARE REVIEWED AND ANY NECESSARY RESOLUTION IS ADDRESSED. WHEN A POTENTIAL CONFLICT OF INTEREST IS IDENTIFIED AND DETERMINED TO REQUIRE MANAGEMENT IN ORDER TO REDUCE OR ELIMINATE THE CONFLICT, AHSNF, INC TAKES STEPS TO MANAGE/RESOLVE THE CONFLICT. RESTRICTIONS IMPOSED FOR AN ACTUAL CONFLICT ARE ADJUSTED TO ADDRESS THE ACTUAL CONFLICT. CONFLICT OF INTEREST ARE DOCUMENTED IN MULTIPLE DATABASES, DEPENDENT UPON THE COVERED INDIVIDUAL'S LEVEL AND REPORTING STRUCTURE. FAILURE OF A COVERED INDIVIDUAL TO COMPLY MAY RESULT IN DISCIPLINARY ACTION AND/OR SANCTIONS; EXAMPLES OF POSSIBLE SANCTIONS INCLUDE FORMAL REPRIMAND; SUSPENSION AND/OR TERMINATION OF MEDICAL STAFF PRIVILEGES; AND/OR ANY OTHER ENFORCEMENT ACTION MANDATED BY THE APPLICABLE GOVERNMENT GRANTING AGENCY OR AHSNF, INC ADMINISTRATION. |
| FORM 990, PART VI, SECTION B, LINE 15 | AHSNF, INC. IS AN INTEGRATED PART OF THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY ("CMHA." DBA ATRIUM HEALTH), ONE OF THE NATION'S LEADING AND MOST INNOVATIVE HEALTHCARE ORGANIZATIONS. THE FILING ORGANIZATION PAYS NO COMPENSATION TO OFFICERS, DIRECTORS AND KEY EMPLOYEES. ALL COMPENSATION PAID TO OFFICERS, DIRECTORS AND KEY EMPLOYEES WAS PAID BY CMHA. COMPENSATION PAID TO THESE INDIVIDUALS IS REVIEWED AND APPROVED IN ACCORDANCE WITH CMHA'S COMPENSATION POLICIES AND PROCEDURES WHICH INCLUDE INDEPENDENT COMPENSATION CONSULTANTS, COMPENSATION SURVEYS AND STUDIES TO DETERMINE THE APPROPRIATENESS OF EACH OFFICER'S AND DIRECTOR'S COMPENSATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | FILED ON MSRB WEBSITE (EMMA) AS PART OF CMHA ANNUAL INFORMATION STATEMENT. |
| FORM 990, PART IX, LINE 11G | OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 5,855,943. MANAGEMENT AND GENERAL EXPENSES 1,463,986. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,319,929. |
| FORM 990, PART XI, LINE 9: | BEGINNING NET ASSET CONTRIBUTIONS 40,217,030. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 32861 | AddressLine1Txt |
| City | CHARLOTTE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28203 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 580529945 | EIN |
| Primary Activities | HEALTHCARE | PrimaryActivitiesTxt |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Exempt Code Section | 115 | ExemptCodeSectionTxt |
| Public Charity Status | N/A | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | ControlledOrganizationInd |
| 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 | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | 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 | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |