ROANOKE VALLEY HEALTH SERVICES INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- ROANOKE VALLEY HEALTH SERVICES INC (EIN 56-1925492)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-05-11
- IRS object ID
- 201411319349300106
- Schema version
- 2012v2.1
- 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) |
|---|---|---|
| Timestamp | 2014-05-11T17:57:52-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560747981 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 RIDGEFIELD COURT | AddressLine1 |
| City | ASHEVILLE | City |
| State | NC | State |
| ZIP Code | 28806 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 561925492 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROANOKE VALLEY HEALTH SERVICES INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | ROAN | NameControl |
| Phone | 2525358011 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 SMITH CHURCH ROAD | AddressLine1 |
| City | ROANOKE RAPIDS | City |
| State | NC | State |
| ZIP Code | 27870 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SHERRY JENSEN | Name |
| Title | CFO | Title |
| Phone | 2525358011 | Phone |
| Date Signed | 2014-05-11 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | AMY BIBBY | Name |
| PTIN | P00445891 | PTIN |
| Phone | 8282542254 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | SHERRY JENSEN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 SMITH CHURCH ROAD | AddressLine1 |
| City | ROANOKE RAPIDS | City |
| State | NC | State |
| ZIP Code | 27870 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 5338462 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.HALIFAXMEDICALCENTER.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1994 | YearFormation |
| State Legal Domicile | NC | StateLegalDomicile |
| Activity Or Mission Description | OPERATION OF PRIMARY CARE MEDICAL OFFICES | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 55 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 14707 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1935 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 4810821 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 5124483 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 3156 | InvestmentIncomePriorYear |
| Investment Income Current Year | -1777 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 291983 | OtherRevenuePriorYear |
| Other Revenue Current Year | 212015 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 5120667 | TotalRevenuePriorYear |
| Total Revenue Current Year | 5336656 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 5808011 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 4851992 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 2027652 | OtherExpensePriorYear |
| Other Expenses Current Year | 3569230 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 7835663 | TotalExpensesPriorYear |
| Total Expenses Current Year | 8421222 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -2714996 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -3084566 | RevenuesLessExpensesCY |
| Total Assets BOY | 2403602 | TotalAssetsBOY |
| Total Assets EOY | 1930373 | TotalAssetsEOY |
| Total Liabilities BOY | 15572838 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 16008095 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -13169236 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -14077722 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | ROANOKE VALLEY HEALTH SERVICES EXISTS TO MEET THE HEALTHCARE NEEDS OF OUR COMMUNITY BY PROVIDING EXCELLENT AND COMPASSIONATE SERVICES AND ALWAYS PLACING PATIENTS FIRST. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 1 | SignificantChange |
| Expense | 7634350 | Expense |
| Revenue | 5124483 | Revenue |
| Description | ROANOKE VALLEY HEALTH SERVICES, INC. OPERATES NON-PROFIT PRIMARY CARE MEDICAL OFFICES. THE ORGANIZATION WORKS IN CLOSE TIES WITH HALIFAX REGIONAL MEDICAL CENTER, AND SHARES IN ITS GOALS AND ACHIEVEMENTS THROUGH A CONSTANT PARTNERSHIP OF FULFILLING THE HOSPITAL'S EXEMPT PURPOSE--PROVIDING EXCELLENT HEALTHCARE SERVICE TO THE COMMUNITY. PLEASE SEE SCHEDULE O FOR A CONTINUATION OF THE PROGRAM SERVICE ACCOMPLISHMENTS.IN THE CURRENT TAX YEAR, THE ORGANIZATION REACHED THE FOLLOWING MILESTONES:-IMPLEMENTED THE ALLSCRIPTS PRACTICE MANAGEMENT SYSTEM IN ALL MEDICAL CENTER BASED CLINICS.-IMPLEMENTED EXERCISE STRESS TESTING AND EKG READINGS AT THE MEDICAL CENTER'S CARDIOLOGY CLINIC.-WORKED WITH THE ROANOKE VALLEY BREAST CANCER COALITION TO OFFER THE ANNUAL FREE BREAST CANCER SCREENING CLINIC HELD AT THE ROANOKE CLINIC.-ACHIEVED FEDERAL COMPLIANCE WITH THE MEANINGFUL USE PRACTICE REQUIREMENTS. -CONTINUED THE EXPANSION OF HOSPITALIST SERVICES BY RECRUITING TWO NEW HOSPITALISTS. THE EXPANSION EFFORTS WERE MADE TO MAINTAIN THE GOAL OF COVERING 90% OF ALL MEDICAL INPATIENTS, ALLOWING MORE OPENINGS FOR THE HALIFAX MEDICAL SPECIALISTS.-CONTINUED GROWTH OF THE NEWLY ACQUIRED CARDIOLOGY CLINIC WITH FULL TIME SERVICES OF DR. JOHN PUTHENVEETIL AND KIM DANG, PA TO MAINTAIN LOCAL CARDIOLOGY SERVICES. | Description |
| Total Program Service Expense | 7634350 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 55 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NC | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHERRY JENSEN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2525358005 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 SMITH CHURCH ROAD | AddressLine1 |
| City | ROANOKE RAPIDS | City |
| State | NC | State |
| ZIP Code | 27870 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (33 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| BOB PATTERSON | ||||||||
| CHAIRMAN | 1.00 | 1.00 | X | X | 0 | 1300 | 0 | |
| TOM LYNCH | ||||||||
| VICE CHAIR | 1.00 | 1.00 | X | X | 0 | 1500 | 0 | |
| FANNIE GREEN | ||||||||
| TREASURER | 1.00 | 1.00 | X | X | 0 | 1000 | 0 | |
| DREWERY BEALE | ||||||||
| SECRETARY | 1.00 | 1.00 | X | X | 0 | 950 | 0 | |
| VERNON BRYANT | ||||||||
| PAST CHAIR | 1.00 | 1.00 | X | 0 | 1600 | 0 | ||
| DR SOMASEKHARA BALLA | ||||||||
| CHIEF OF STAFF | 1.00 | 1.00 | X | 0 | 200 | 0 | ||
| DR NATARAJAN RAJAN | ||||||||
| PAST CHIEF OF STAFF | 1.00 | 1.00 | X | 0 | 1050 | 0 | ||
| DR GERARDO MARADIAGA | ||||||||
| PAST CHIEF OF STAFF (THROUGH JAN.'13) | 1.00 | 1.00 | X | 0 | 500 | 0 | ||
| JOHNNY DRAPER | ||||||||
| BOARD MEMBER | 1.00 | 1.00 | X | 0 | 1100 | 0 | ||
| ERNEST L BARNER | ||||||||
| BOARD MEMBER (THROUGH DEC. '12) | 1.00 | 1.00 | X | 0 | 250 | 0 | ||
| WILLIAM HODGE | ||||||||
| BOARD MEMBER | 1.00 | 1.00 | X | 0 | 1350 | 0 | ||
| JAMES PIERCE | ||||||||
| BOARD MEMBER | 1.00 | 1.00 | X | 0 | 850 | 0 | ||
| EVELYN DAWSON | ||||||||
| BOARD MEMBER | 1.00 | 1.00 | X | 0 | 550 | 0 | ||
| REV RANDY MARTIN | ||||||||
| BOARD MEMBER | 1.00 | 1.00 | X | 0 | 500 | 0 | ||
| J HUGH BAZEMORE | ||||||||
| BOARD MEMBER | 1.00 | 1.00 | X | 0 | 1000 | 0 | ||
| ALFRED W KWASKIKPUI | ||||||||
| BOARD MEMBER (THROUGH MAY '13) | 1.00 | 1.00 | X | 0 | 600 | 0 | ||
| WILL MAHONE | ||||||||
| PRESIDENT / CEO | 1.00 | 40.00 | X | X | 0 | 369708 | 47015 | |
| SHERRY JENSEN | ||||||||
| RVMM BOARD MEMBER (THROUGH MAY '13) | 1.00 | 40.00 | X | X | 0 | 256037 | 21221 | |
| ME GILSTRAP | ||||||||
| RVMM VICE CHAIR (THROUGH MAY '13) | 1.00 | 1.00 | X | 0 | 0 | 0 | ||
| GEOFFREY HARDEE | ||||||||
| RVMM SECRETARY (THROUGH MAY '13) | 1.00 | 40.00 | X | 0 | 38165 | 18883 | ||
| BETTY COOK | ||||||||
| RVMM BOARD MEMBER (THROUGH MAY '13) | 1.00 | 40.00 | X | 0 | 27309 | 688 | ||
| CARL FEREBEE | ||||||||
| RVMM BOARD MEMBER (THROUGH MAY '13) | 1.00 | 40.00 | X | 0 | 95901 | 17372 | ||
| CONNIE HILL | ||||||||
| RVMM BOARD MEMBER (THROUGH MAY '13) | 1.00 | X | 0 | 0 | 0 | |||
| REV MARJORIE HOLM | ||||||||
| RVMM BOARD MEMBER (THROUGH MAY '13) | 1.00 | X | 0 | 0 | 0 | |||
| RUBY PALMER | ||||||||
| RVMM BOARD MEMBER (THROUGH MAY '13) | 1.00 | X | 0 | 0 | 0 | |||
| DR KENNETH ROBERT | ||||||||
| RVMM BOARD MEMBER (THROUGH MAY '13) | 1.00 | X | 0 | 202186 | 24176 | |||
| MICHAEL FELT | ||||||||
| RVMM BOARD MEMBER (THROUGH MAY '13) | 1.00 | X | 0 | 0 | 0 | |||
| ROSE FLEMING | ||||||||
| EXECUTIVE DIRECTOR | 10.00 | 1.00 | X | 0 | 0 | 0 | ||
| ROY O'CONNOR | ||||||||
| GI PHYSICIAN | 42.00 | 448775 | 0 | 19483 | X | |||
| CHINEDU ONUORAH | ||||||||
| HOSPITALIST | 42.00 | 409994 | 0 | 25590 | X | |||
| TOCHUKWU AGBATA | ||||||||
| HOSPITALIST | 42.00 | 368058 | 0 | 25229 | X | |||
| SAM SOOKSOOK | ||||||||
| HOSPITALIST | 42.00 | 291310 | 0 | 19016 | X | |||
| COURAGE EMOKPAE | ||||||||
| HOSPITALIST | 42.00 | 288613 | 0 | 15763 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1806750 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1003606 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 234436 | TotalOtherCompensation |
| Number Individuals GT100 K | 12 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| All Other Contributions | 1935 | AllOtherContributions |
| Total Contributions | 1935 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT SERVICE RE | Description |
| Business Code | 621610 | BusinessCode |
| Total Revenue Column | 5124483 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5124483 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 5124483 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 29 | TotalRevenueColumn |
| Exclusion | $29 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 1806 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -1806 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -1806 | TotalRevenueColumn |
| Exclusion | -$1,806 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | OTHER REVENUE | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 212015 | TotalRevenueColumn |
| Exclusion | $212,015 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 212015 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5336656 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5124483 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $210,238 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4071535 | Total |
| Program Services | 3479966 | ProgramServices |
| Management And General | 591569 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 561917 | Total |
| Program Services | 480274 | ProgramServices |
| Management And General | 81643 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 218540 | Total |
| Program Services | 186787 | ProgramServices |
| Management And General | 31753 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1215 | Total |
| Management And General | 1215 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19800 | Total |
| Management And General | 19800 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2181741 | Total |
| Program Services | 2181741 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4519 | Total |
| Program Services | 4519 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 150962 | Total |
| Program Services | 118696 | ProgramServices |
| Management And General | 32266 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 84557 | Total |
| Program Services | 84557 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33861 | Total |
| Program Services | 33861 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44198 | Total |
| Program Services | 44198 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 331345 | Total |
| Program Services | 331345 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55873 | Total |
| Program Services | 55873 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT EXPENSE | 530067 | 530067 | |
| MEDICAL SUPPLIES | 102466 | 102466 | |
| RECRUITMENT AND RELOCAT | 26928 | 26928 | |
| OTHER EXPENSES | 1698 | 1698 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8421222 | Total |
| Program Services | 7634350 | ProgramServices |
| Management And General | 786872 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 139499 | BOY |
| EOY | 159151 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 640827 | BOY |
| EOY | 471302 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6296 | BOY |
| EOY | 22389 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 2375861 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1158266 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1573195 | BOY |
| EOY | 1217595 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43785 | BOY |
| EOY | 59936 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2403602 | BOY |
| EOY | 1930373 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 360834 | BOY |
| EOY | 74019 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15212004 | BOY |
| EOY | 15934076 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15572838 | BOY |
| EOY | 16008095 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -13174203 | BOY |
| EOY | -14083254 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4967 | BOY |
| EOY | 5532 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -13169236 | BOY |
| EOY | -14077722 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2403602 | BOY |
| EOY | 1930373 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -3084566 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 2176080 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule D IRS990ScheduleD
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1059192 | OtherCostOrOtherBasis |
| Depreciation | 538567 | Depreciation |
| Book Value | 520625 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 111741 | OtherCostOrOtherBasis |
| Depreciation | 56817 | Depreciation |
| Book Value | 54924 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1107011 | OtherCostOrOtherBasis |
| Depreciation | 562882 | Depreciation |
| Book Value | 544129 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 97917 | OtherCostOrOtherBasis |
| Book Value | 97917 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1217595 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE TO HALIFAX REGIONAL MEDICAL CENTER | Description |
| Amount | $15,934,076 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 15934076 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 6982669 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 2176080 | OtherRevenues |
| Revenue Not Rptd F990 | 2176080 | RevenueNotRptdF990 |
| Revenue Subtotal | 4806589 | RevenueSubtotal |
| Other Revenues Not Included | 530067 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 530067 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 5336656 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 7891155 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 7891155 | ExpensesSubtotal |
| Other Expenses Not Included | 530067 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 530067 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 8421222 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X, LINE 2: | THE MEDICAL CENTER IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, THE ACCOMPANYING COMBINED FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. THE MEDICAL CENTER HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2013 AND 2012. THE MEDICAL CENTER BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO SEPTEMBER 30, 2010. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | TRANSFER OF EQUITY FROM AFFILIATE 2,176,080. | |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE NET W/ REVENUES 530,067. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE NET W/ REVENUES 530,067. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WILL MAHONE | ||||||||||||||
| PRESIDENT / CEO | 0 | 287393 | 0 | 60130 | 0 | 22185 | 0 | 23828 | 0 | 23187 | 0 | 416723 | 0 | 0 |
| SHERRY JENSEN | ||||||||||||||
| RVMM BOARD MEMBER (THROUGH MAY '13) | 0 | 209366 | 0 | 46671 | 0 | 0 | 0 | 5531 | 0 | 15690 | 0 | 277258 | 0 | 0 |
| DR KENNETH ROBERT | ||||||||||||||
| RVMM BOARD MEMBER (THROUGH MAY '13) | 0 | 202186 | 0 | 0 | 0 | 0 | 0 | 5231 | 0 | 18945 | 0 | 226362 | 0 | 0 |
| ROY O'CONNOR | ||||||||||||||
| GI PHYSICIAN | 448775 | 0 | 0 | 0 | 0 | 0 | 4154 | 0 | 15329 | 0 | 468258 | 0 | 0 | 0 |
| CHINEDU ONUORAH | ||||||||||||||
| HOSPITALIST | 409994 | 0 | 0 | 0 | 0 | 0 | 6516 | 0 | 19074 | 0 | 435584 | 0 | 0 | 0 |
| TOCHUKWU AGBATA | ||||||||||||||
| HOSPITALIST | 368058 | 0 | 0 | 0 | 0 | 0 | 6155 | 0 | 19074 | 0 | 393287 | 0 | 0 | 0 |
| SAM SOOKSOOK | ||||||||||||||
| HOSPITALIST | 291310 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 19016 | 0 | 310326 | 0 | 0 | 0 |
| COURAGE EMOKPAE | ||||||||||||||
| HOSPITALIST | 288613 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 15763 | 0 | 304376 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL INFORMATION | Identifier |
| Return Reference | PART III | ReturnReference |
| Explanation | PART I, LINE 3: INDEPENDENT REVIEW OF COMPENSATION: THE ORGANIZATION DOES NOT DIRECTLY COMPENSATE ANY OFFICER OR KEY EMPLOYEE. SOME OFFICERS AND BOARD MEMBERS OF THE ORGANIZATION ARE EMPLOYEES OF HALIFAX REGIONAL MEDICAL CENTER, INC., A RELATED ORGANIZATION. THE BOARD OF DIRECTORS OF THAT ORGANIZATION USES THE FOLLOWING METHODS TO ESTABLISH COMPENSATION AMOUNTS FOR ITS CEO AND OTHER KEY PERSONNEL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANTS - WRITTEN EMPLOYEMENT CONTRACTS - COMPENSATION STUDY OR SURVEY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| CHANGES IN PROGRAM SERVICES | FORM 990, PART III, LINE 3 | THE ORGANIZATION COMPLETED THE TRANSITION FOR THE ROANOKE VALLEY MEDICAL MINISTRIES "FREE CLINIC"(RVMM). RVMM WAS ESTABLISHED YEARS AGO TO PROVIDE FREE SERVICES FOR INDIGENT PATIENTS INLCUDING PHYSICIAN VISITS AND ASSISTANCE WITH ORDERING MEDICATIONS THROUGH VARIOUS DRUG PROGRAMS. RVMM CEASED OPERATIONS IN THE CURRENT YEAR AFTER THE ORGANIZATION ASSISTED THE 100 PATIENTS TO NEW PRIMARY CARE MEDICAL HOMES. |
| FORM 990, PART VI, SECTION A, LINE 7A | PRIOR TO THE ANNUAL MEETING, MEMBERS OF THE BOARD OF DIRECTORS SHALL BE SELECTED BY THE CURRENT BOARD AND RECOMMENDED TO THE BOARD OF DIRECTORS OF HALIFAX REGIONAL MEDICAL CENTER, A RELATED 501(C)(3) HEALTHCARE ORGANIZATION, FOR APPROVAL. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH ASSISTANCE AND INFORMATION PROVIDED BY MANAGEMENT. THE ORGANIZATION PROVIDED EVERY VOTING BOARD MEMBER A COPY OF THE DRAFT 990 PRIOR TO A SCHEDULED MEETING. DETAILS OF THE RETURN WERE DISCUSSED WITH MANAGEMENT AND THE FINANCE COMMITTEE OF THE BOARD, WHO THEN DELIVERED A REPORT TO THE FULL BOARD PRIOR TO FILING THE RETURN WITH THE IRS. | |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION FOLLOWS THE SAME CONFLICT OF INTEREST POLICY AS ITS AFFILIATE, HALIFAX REGIONAL MEDICAL CENTER. THE POLICY IS REVIEWED ANNUALLY, AND BOARD MEMBERS AND MANAGEMENT ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE EVERY YEAR. | |
| FORM 990, PART VI, SECTION C, LINE 18 | PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON WRITTEN REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. | |
| FORM 990, PART VI, SECTION C, LINE 19 | PHOTOCOPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON WRITEN REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. | |
| OTHER FEES | FORM 990, PART IX, LINE 11G | PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 2,071,238. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,071,238. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 14,257. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,257. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 92,588. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 92,588. COLLECTION FEES: PROGRAM SERVICE EXPENSES 3,658. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,658. |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 9: | TRANSFER OF EQUITY FROM AFFILIATE 2,176,080. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| HALIFAX REGIONAL MEDICAL CENTER | |||||||||||
| 250 SMITH CHURCH ROAD | ROANOKE RAPIDS | NC | 27870 | 560989789 | HEALTHCARE | NC | 501(C)(3) | LINE 3 | N/A | 0 | |
| HALIFAX REGIONAL MEDICAL CENTER FOUNDATION | |||||||||||
| 250 SMITH CHURCH ROAD | ROANOKE RAPIDS | NC | 27870 | 561698825 | FUNDRAISING/OPERATIONAL SUPPORT | NC | 501(C)(3) | LINE 7 | 0 | HALIFAX REGIONAL MEDICAL CENTER | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |