EAST CAROLINA HEALTH: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- EAST CAROLINA HEALTH (EIN 56-0989789)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-06-01
- IRS object ID
- 201101529349300405
- Schema version
- 2009v1.7
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-06-01T08:35:58-05:00 | Timestamp |
| Tax Period End Date | 2010-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
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 | 2009-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560989789 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HALIFAX REGIONAL MEDICAL CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HALI | 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 | 2011-05-31 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Michael Rauchwarg | Name |
| Phone | 8282542254 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | WILL MAHONE | 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 | 101690406 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | www.halifaxmedicalcenter.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1972 | YearFormation |
| State Legal Domicile | NC | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE MEDICAL SERVICES TO THE RESIDENTS OF HALIFAX COUNTY AND SURROUNDING COUNTIES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1038 | TotalNbrEmployees |
| Total Nbr Volunteers | 95 | TotalNbrVolunteers |
| Total Gross UBI | 326719 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 136125 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 138124 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 98659685 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 100452858 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 106310 | InvestmentIncomePriorYear |
| Investment Income Current Year | 379341 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 687962 | OtherRevenuePriorYear |
| Other Revenue Current Year | 709529 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 99590082 | TotalRevenuePriorYear |
| Total Revenue Current Year | 101679852 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 58000 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 42863327 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 41804281 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 42000 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 56000 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 53745963 | OtherExpensePriorYear |
| Other Expenses Current Year | 55035846 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 96709290 | TotalExpensesPriorYear |
| Total Expenses Current Year | 96840127 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2880792 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 4839725 | RevenuesLessExpensesCY |
| Total Assets BOY | 69017119 | TotalAssetsBOY |
| Total Assets EOY | 74579254 | TotalAssetsEOY |
| Total Liabilities BOY | 33339347 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 35056228 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 35677772 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 39523026 | NetAssetsOrFundBalancesEOY |
| Mission Description | HALIFAX REGIONAL MEDICAL CENTER 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 | 0 | SignificantChange |
| Expense | 90936529 | Expense |
| Revenue | 100126139 | Revenue |
| Description | PROVIDING QUALITY HEALTHCARE IS ONLY PART OF THE HOSPITAL'S CONTRIBUTION TO THE COMMUNITY. WITH OVER 1,000 EMPLOYEES, HALIFAX REGIONAL IS ONE OF THE REGION'S LARGEST EMPLOYERS. MANY OF THE APPROXIMATELY 60 PHYSICIANS ON THE HOSPITAL STAFF HIRE THEIR OWN EMPLOYEES AS WELL AND INVEST IN DEVELOPING THEIR PRACTICES, EXTENDING ECONOMIC IMPACT. THE MEDICAL CENTER PURCHASES MILLIONS OF DOLLARS OF GOODS AND SERVICES FROM THE REGION.WITH ITS ABUNDANT NATURAL RESOURCES AND STRATEGIC LOCATION, THE HOSPITAL'S MARKET IS DYNAMIC AND OFFERS EXCITING OPPORTUNITIES. AT HALIFAX REGIONAL, THE STAFF IS COMMITTED TO GROWING TO MEET THE EVOLVING HEALTHCARE NEEDS OF THE WONDERFUL PEOPLE WHO MAKE ITS REGION SPECIAL.SIGNIFICANT ACCOMPLISHMENTS INCLUDE: 1. CONTINUED DEVELOPMENT OF THE BOARD OF DIRECTORS WITH TWO NEW MEMBERS. 2. TWO NURSES WERE SELECTED AS ONE OF "THE GREAT 100 NURSES" AS IDENTIFIED BY THE NORTH CAROLINA NURSES ASSOCIATION. THEY WERE SARAH HARRIS AND AUDREY HARDY. 3. RECRUITMENT OF 2 NEW PHYSICIANS: WOUND CARE (1) AND RADIOLOGY (1). 4. OPENED OUR WOUND CARE CLINIC WITH DR. CACERES AND PATIENT VOLUMES WERE SO OVERWHELMING, WE HAD TO RELOCATE FOR ADDITIONAL SPACE. 5. IMPLEMENTED ONLINE PHARMACIST REVIEW FOR EVENING AND WEEKEND COVERAGE OF THE DISPENSING OF PHYSICIAN PHARMACY ORDERS WITH INCREASED PATIENT SAFETY. THIS IS THE FIRST TIME THE MEDICAL CENTER HAS HAD 24/7 COVERAGE BY PHARMACISTS. 6. DEVELOPED MASTER FACILITY PLAN PHASING FOR SURGERY CONSTRUCTION AND RENOVATION PROJECT AND APPLIED FOR CONSTRUCTION LOAN. 7. ACQUIRED ULTRASOUND MACHINE FOR ANESTHESIA SERVICE FOR ULTRASOUND GUIDED NERVE BLOCKS IN THE OPERATING ROOMS WITH IMPROVED SUCCESS RATES AND INCREASED PATIENT SAFETY. 8. RE-ENGINEERED THE PHYSYCIANS' BILLING OFFICE (PBO) WITH RETRAINING FOR ALL STAFF WITH ESTABLISHED BEST PRACTICES, ONLINE BILL PAY, AND BEGAN SERVING PRIVATE PRACTICES SUCH AS RADIOLOGY AND WOUND CARE. 9. PROVIDED FIVE PHYSICIAN PRACTICE MANAGEMENT SEMINARS FOR THE OFFICE STAFF OF OUR PHYSICIANS. 10. SIGNIFICANTLY IMPROVED OUR RELATIONSHIP WITH RURAL HEALTH GROUP WORKING ON JOINT VENTURES OF OUR HIV SUPPORT GROUP AND UNINSURED CASE MANAGEMENT. 11. DEVELOPED AND IMPLEMENTED A STRUCTURED PLAN FOR IMPROVED CLEANLINESS OF THE MEDICAL CENTER FACILITY WITH BASELINE INSPECTION SCORE OF 51.9% INCREASING TO 84.8%. 12. RELOCATED MAMMOGRAPHY CENTER TO RIVERSTONE MEDICAL PLAZA BUILDING NEAR THE MRI SCANNER FOR THE SERVICE OF PATIENTS AND EFFICIENCY OF THE RADIOLOGIST. 13. RECEIVED REACCREDITATION OF LAB FROM THE COLLEGE OF AMERICAN PATHOLOGISTS. 14. INSTALLED TUBE TRANSPORT SYSTEM FROM EMERGENCY ROOM TO LABORATORY FOR IMPROVED TURN AROUND TIMES. 15. REPLACED THE HARDWARE FOR THE HOSPITAL INFORMATION SYSTEM AND SIGNIFICANTLY UPGRADED THE MAINFRAME OPERATING SYSTEM TO A NEW VERSION. 16. REPLACED 200 OF OUR 600 PCS AND LAPTOPS TO MAINTAIN CURRENT TECHNOLOGY. 17. RECRUITMENT OF NEW FOUNDATION AND VOLUNTEER SERVICES COORDINATOR, GEOFFREY HARDEE. 18. EMPLOYEE CAMPAIGNS RAISED OVER $94,000 FOR THE UNITED WAY AND THE HALIFAX REGIONAL FOUNDATION. 19. THE MEDICAL CENTER AWARDED $78,000 IN TUITION REIMBURSEMENT FOR UNDERGRADUATE AND GRADUATE DEGREES. 20. APPLIED FOR AND RECEIVED THE FOLLOWING FINANCIAL GRANTS: GRANTING AGENCY: AMOUNT: DUKE ENDOWMENT (HEART FAILURE PROGRAM) $ 72,816HALIFAX REGIONAL FOUNDATION 33,501 HALIFAX REGIONAL AUXILIARY 28,996N.C. ASSOCIATION OF FREE CLINICS 15,000 ROANOKE VALLEY UNITED WAY RVMM FREE CLINIC 11,250ROANOKE VALLEY UNITED WAY HIV SUPPORT GROUP 2,500UNC STROKE GRANT 1,290GREGORY B. DAVIS - HIV GRANT 150UPPER COASTAL PLAINS INCUMBENT WORKFORCE DEV. 7,563UNIVERSITY OF MARYLAND HEART FAILURE COLLABORATIVE 1,000 TOTAL FOR FY2010 $174,066 | Description |
| Total Program Service Expense | 90936529 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| 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 | 1 | 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 | 1 | 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 | 1 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 76 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1038 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| 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 |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | 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 | 0 | 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 | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NC | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| 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 (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| JOHNNY DRAPER | ||||||||
| CHAIRMAN | 1.00 | X | X | 1100 | 0 | 0 | ||
| VERNON BRYANT | ||||||||
| VICE CHAIRMAN | 1.00 | X | X | 1100 | 0 | 0 | ||
| TOM LYNCH | ||||||||
| TREASURER | 1.00 | X | X | 1000 | 0 | 0 | ||
| BOB PATTERSON | ||||||||
| SECRETARY | 1.00 | X | X | 950 | 0 | 0 | ||
| J HUGH BAZEMORE | ||||||||
| MEMBER-AT-LARGE | 1.00 | X | 1000 | 0 | 0 | |||
| GERARDO MARADIAGA | ||||||||
| CHIEF OF STAFF | 1.00 | X | 0 | 0 | 0 | |||
| ERNEST BARNER | ||||||||
| BOARD MEMBER | 1.00 | X | 650 | 0 | 0 | |||
| DREWERY BEALE | ||||||||
| BOARD MEMBER | 1.00 | X | 750 | 0 | 0 | |||
| WILLIAM HODGE | ||||||||
| BOARD MEMBER | 1.00 | X | 1100 | 0 | 0 | |||
| REV JOHN W SMITH | ||||||||
| BOARD MEMBER | 1.00 | X | 150 | 0 | 0 | |||
| EVELYN DAWSON | ||||||||
| BOARD MEMBER | 1.00 | X | 500 | 0 | 0 | |||
| FANNIE GREENE | ||||||||
| BOARD MEMBER | 1.00 | X | 150 | 0 | 0 | |||
| NEAL PHILLIPS | ||||||||
| BOARD MEMBER | 1.00 | X | 200 | 0 | 0 | |||
| JAMES PIERCE | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| WILL MAHONE | ||||||||
| PRESIDENT/CEO | 40.00 | X | X | 295786 | 0 | 56578 | ||
| SHERRY JENSEN | ||||||||
| VP OF FINANCE | 40.00 | X | 208597 | 0 | 29218 | |||
| KAREN DANIELS | ||||||||
| VP OF NURSING | 40.00 | 173505 | 0 | 32170 | X | |||
| STEVE HILL | ||||||||
| ANES. MANAGER | 40.00 | 207724 | 0 | 34730 | X | |||
| CLAUDE DIETRICH | ||||||||
| CRNA | 40.00 | 196935 | 0 | 31763 | X | |||
| JOHN CAMPBELL | ||||||||
| CRNA | 40.00 | 162207 | 0 | 36234 | X | |||
| JEANNIE SCHULTZ | ||||||||
| CRNA | 40.00 | 161029 | 0 | 30135 | X | |||
| KENNETH HARTZ | ||||||||
| CRNA | 40.00 | 203076 | 0 | 39690 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1617509 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 290518 | TotalOtherCompensation |
| Number Individuals GT100 K | 8 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| HALIFAX EMERGENCY GROUP | |||||
| 9820 DEPRAM RD | ZEBULON | NC | 27597 | ED PHYSICIAN SERVICES | 3590016 |
| THEREX | |||||
| DEPT AT 952740 | ATLANTA | GA | 31192 | PT CONTRACT SERVICES | 1295071 |
| SODEXO | |||||
| PO BOX 536922 | ATLANTA | GA | 30353 | DIETARY CONTRACT SERVICES | 537721 |
| SOUTHEAST ACUTE CARE | |||||
| PO BOX 565 | STATEBORO | GA | 30419 | DIALYSIS SERVICES | 357875 |
| HALIFAX LINEN | |||||
| 405 WEST LITTLETON RD | ROANOKE RAPIDS | NC | 27870 | LINEN CLEANING | 351993 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 14 | NumberOfContractorsGT100K |
| Related Organizations | 21501 | RelatedOrganizations |
| All Other Contributions | 116623 | AllOtherContributions |
| Total Contributions | 138124 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| NET PATIENT SERVICE RE | 541380 | 99999586 | 99681895 | 317691 |
| PURCHASE DISCOUNTS | 541900 | 387148 | 378120 | 9028 |
| PHARMACY | 446110 | 15228 | 15228 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 50896 | TotalRevenueColumn |
| Related Or Exempt Function Income | 50896 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 100452858 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 321098 | TotalRevenueColumn |
| Exclusion | $321,098 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 56116 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 10554 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 45562 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 45562 | TotalRevenueColumn |
| Exclusion | $45,562 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 49978 | Securities |
| Other | 8265 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 49978 | Securities |
| Other | 8265 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 58243 | TotalRevenueColumn |
| Exclusion | $58,243 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| FOOD/VENDING REVENUE | 900099 | 492805 | $492,805 |
| COFFEE SHOP | 453000 | 145814 | $145,814 |
| MISCELLANEOUS | 900099 | 25348 | $25,348 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 663967 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 101679852 | TotalRevenueColumn |
| Related Or Exempt Function Income | 100126139 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 326719 | UnrelatedBusinessRevenue |
| Exclusion | $1,088,870 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 697281 | Total |
| Program Services | 86832 | ProgramServices |
| Management And General | 610449 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32701670 | Total |
| Program Services | 29966750 | ProgramServices |
| Management And General | 2734920 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1320749 | Total |
| Program Services | 1188458 | ProgramServices |
| Management And General | 132291 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4710542 | Total |
| Program Services | 4238716 | ProgramServices |
| Management And General | 471826 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2374039 | Total |
| Program Services | 2136246 | ProgramServices |
| Management And General | 237793 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 202693 | Total |
| Management And General | 202693 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51367 | Total |
| Management And General | 51367 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 109612 | Total |
| Management And General | 109612 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10481109 | Total |
| Program Services | 10410625 | ProgramServices |
| Management And General | 14484 | ManagementAndGeneral |
| Fundraising | 56000 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 209811 | Total |
| Program Services | 209811 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17668368 | Total |
| Program Services | 16812930 | ProgramServices |
| Management And General | 855438 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 623967 | Total |
| Program Services | 623967 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1194461 | Total |
| Program Services | 1194461 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 197263 | Total |
| Program Services | 176190 | ProgramServices |
| Management And General | 21073 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 834433 | Total |
| Program Services | 834433 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3821191 | Total |
| Program Services | 3821191 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 855389 | Total |
| Program Services | 619353 | ProgramServices |
| Management And General | 236036 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT EXPENSE | 18572528 | 18572528 | |
| MISCELLANEOUS EXPENSES | 111876 | 44038 | 67838 |
| RECRUITMENT | 101778 | 101778 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 96840127 | Total |
| Program Services | 90936529 | ProgramServices |
| Management And General | 5847598 | ManagementAndGeneral |
| Fundraising | 56000 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11983122 | BOY |
| EOY | 14038284 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12411198 | BOY |
| EOY | 13322408 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1056217 | BOY |
| EOY | 1116735 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1149692 | BOY |
| EOY | 1094848 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 64888323 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 42446784 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23742078 | BOY |
| EOY | 22441539 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5547558 | BOY |
| EOY | 8854799 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 98289 | BOY |
| EOY | 89574 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13028965 | BOY |
| EOY | 13621067 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 69017119 | BOY |
| EOY | 74579254 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8531495 | BOY |
| EOY | 9441088 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16200912 | BOY |
| EOY | 15460376 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 300829 | BOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8306111 | BOY |
| EOY | 10154764 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33339347 | BOY |
| EOY | 35056228 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35648275 | BOY |
| EOY | 39506357 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29497 | BOY |
| EOY | 16669 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35677772 | BOY |
| EOY | 39523026 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 69017119 | BOY |
| EOY | 74579254 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $13,393 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 13393 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part II-B, Line 1i: | Identifier |
| Return Reference | Explanation of Other Lobbying Activities: | ReturnReference |
| Explanation | THE ORGANIZATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION AND THE NORTH CAROLINA HOSPITAL ASSOCIATION. A PORTION OF DUES PAID TO THESE ORGANIZATIONS IS ALLOCATED TO LOBBYING EFFORTS ON BEHALF OF THE MEMBERSHIP BODY. THE PORTION OF DUES PAID TO THESE ORGANIZATIONS FOR THE YEAR THAT CONSTITUED LOBBYING WAS APPROXIMATELY $ 13,393. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 932707 | OtherCostOrOtherBasis |
| Book Value | 932707 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 31274306 | OtherCostOrOtherBasis |
| Depreciation | 20000000 | Depreciation |
| Book Value | 11274306 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1281997 | OtherCostOrOtherBasis |
| Depreciation | 910523 | Depreciation |
| Book Value | 371474 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 30938317 | OtherCostOrOtherBasis |
| Depreciation | 21536261 | Depreciation |
| Book Value | 9402056 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 460996 | OtherCostOrOtherBasis |
| Book Value | 460996 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 22441539 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| OTHER RECEIVABLES | 1145211 |
| DUE FROM ROANOKE VALLEY HEALTH SERVICES, INC. | 12146365 |
| UNAMORTIZED BOND ISSUANCE COSTS | 329491 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 13621067 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| THIRD PARTY PAYOR SETTLEMENT | $3,108,048 |
| PENSION PLAN CONTRIBUTION LIABILITY | $7,046,716 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 10154764 | TotalOfAmounts |
| Total Revenue | 101679852 | TotalRevenue |
| Total Expenses | 96840127 | TotalExpenses |
| Excess Or Deficit For Year | 4839725 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 49012 | NetUnrealizedGLOnInvestments |
| Other | -$1,043,483 | OtherAmount |
| Total Adjustments | -994471 | TotalAdjustments |
| Excess Or Deficit Per FS | 3845254 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 100695935 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 49012 | NetUnrealizedGainsInvestments |
| Other Revenues | -1032929 | OtherRevenues |
| Revenue Not Rptd F990 | -983917 | RevenueNotRptdF990 |
| Revenue Subtotal | 101679852 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 101679852 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 96850681 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 10554 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 10554 | ExpensesNotRptdF990 |
| Expenses Subtotal | 96840127 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 96840127 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Part XI, Line 8 - Other Adjustments: | CHANGE IN VALUE OF DEFINED PENSION PLAN: -1043483. |
| Part XII, Line 2d - Other Adjustments: | RENTAL EXPENSES: 10554. CHANGE IN VALUE OF DEFINED PENSION PLAN: -1043483. |
| Part XIII, Line 2d - Other Adjustments: | RENTAL EXPENSES NET W/ REVENUES: 10554. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent250 | X | Pcent250 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 510903 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 510903 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00650 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 16687905 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13239836 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3448069 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04410 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 17198808 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13239836 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3958972 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05060 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 593318 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 111457 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 481861 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00620 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 34676 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 34676 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 627994 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 111457 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 516537 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00660 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 17826802 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13351293 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4475509 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05720 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 7 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 14182 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 14182 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 7576 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 7576 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 8 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 21758 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 21758 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $6,134,512 | BadDebtExpenseAmount |
| Amount Attributable To | 736141 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 38280598 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 39028407 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -747809 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 0 | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HALIFAX REGIONAL MEDICAL CENTER | BusinessNameLine1 |
Address Address
| 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) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
| Other | DISPROPORTIONATE SHARE HOSPITAL | Other |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Costing Method Used | Part I, Line 7: WORKSHEET 2 OF THE 2009 SCHEDULE H INSTRUCTIONS WAS USED TO COMPUTE A COST-TO-CHARGES RATIO USED TO COMPUTE COMMUNITY BENEFIT EXPENSES AT COST FOR PURPOSES OF PART I, LINE 7. | CostingMethodUsed |
| Percent Of Total Expense Expln | Part I, Line 7f: THE TOTAL EXPENSE LISTED ON FORM 990, PART XI, LINE 25 CONTAINS BAD DEBT EXPENSE OF $18,572,528 WHICH HAS BEEN REMOVED FOR PURPOSES OF THE CALCULATION OF CHARITY CARE PERCENTAGE FOR PART I, LINE 7, COLUMN (F). | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | Part III, Line 4: THERE IS NOT A FOOTNOTE IN THE FINANCIAL STATEMENTS TO DESCRIBE THE BAD DEBT EXPENSE.THE METHODOLOGY USED TO DETERMINE BAD DEBT AT COST IS THE ANDI METHODOLOGY WHICH USES A FACILITY WIDE COST TO CHARGE RATIO AS DESCRIBED IN THE 2010 NCHA COMMUNITY BENEFITS GUIDELINES.THE PERCENTAGE OF THE POPULATION BELOW THE POVERTY LINE IN OUR SERVICE AREA IS APPROXIMATELY 25%. BASED ON OUR PAST EXPERIENCE WITH PATIENTS WITH UNPAID CHARGES, ABOUT 10 TO 12% WOULD QUAILFY FOR CHARITY CARE IF THE APPROPRIATE DOCUMENTATION WERE RETURNED. | BadDebtFootnote |
| Shortfall As Community Benefit | Part III, Line 8: 53% OF HRMC'S TOTAL CHARGES ARE FROM MEDICARE. 16.2% OF THE POPULATION OF HALIFAX COUNTY IS AGE 65 AND OVER. WE HAVE A RESPONSIBILITY TO THIS COMMUNITY TO PROVIDE QUALITY CARE. THE SHORTFALL FOR OUR COST OF CARE SHOULD BE CONSIDERED A COMMUNITY BENEFIT. | ShortfallAsCommunityBenefit |
| Number Of Facility Type Expln | Part V: THE ORGANIZATION INCLUDES THE FOLLOWING CENTERS AND SPECIALTY DEPARTMENTS WITHIN THE FACILITY LISTED ON PART V: - BIRTHING CENTER - CARDIAC AND VASCULAR CENTER - JOINT CARE CENTER - SLEEP CENTERIN ADDITION TO THE FACILITY LISTED ON PART V REQUIRED TO BE LISTED AS A FACILITY LICENSED AS A HOSPITAL, THE ORGANIZATION ALSO OPERATES (DIRECTLY OR THROUGH JOINT VENTURE) THE FOLLOWING FACILITIES: - ONE DIGESTIVE HEALTH CENTER - ONE HEALTHLINK EVENT CENTER - ONE SURGERY CENTER - ONE PHYICAL THERAPY CENTER | NumberOfFacilityTypeExpln |
| General Explanation | THE COMMUNITY HEALTH IMPROVEMENTS SERVICES NOTES ON PART I, LINE 7E INCLUDE THE FOLLOWING; THE ROANOKE VALLEY MEDICAL MINISTRIES FREE CLINIC, PATIENT EDUCATION, THE MEDICAL LIBRARY, HALIFAX HEALTHLINKS, HIV PROGRAMS, AND THE CASE MANAGEMENT HEART FAILURE PROGRAM. | GeneralExplanation |
| Needs Assessment | Part VI, Line 2: HRMC WORKS CLOSELY WITH THE LOCAL HEALTH DEPARTMENT TO DETERMINE THE HEALTHCARE NEEDS OF OUR COMMUNITY. OUR CASE MANAGERS AND OTHER STAFF PROVIDE FEEDBACK ON HEALTHCARE NEEDS THEY SEE WHEN WORKING WITH OUR PATIENTS. OUR BOARD OF DIRECTORS IS COMPRISED OF LOCAL COMMUNITY RESIDENTS AND LEADERS, AND THEY GIVE VALUABLE INFORMATION ABOUT SERVICES THAT ARE NEEDED IN OUR COMMUNITY. | NeedsAssessment |
| Patient Education Assistance | Part VI, Line 3: HRMC POSTS ITS CHARITY CARE POLICY ON OUR WEBSITE. WE ALSO INFORM PATIENTS WITH SIGNAGE THROUGHOUT THE HOSPITAL. COLLECTORS APPLY THE CHARITY CARE POLICY AS APPROPRIATE WHEN ATTEMPTING COLLECTIONS FROM OUR PATIENTS. THE HOSPITAL CURRENTLY RELIES ON THE PATIENT TO ASSESS HIS OR HER FINANCIAL SITUATION AND APPROACH THE HOSPITAL REGARDING CHARITY CARE, GIVEN THE INFORMATION ON THE AVAILABLE POLICIES THAT IS PROVIDED. THE HOSPITAL IS ADOPTING A NEW POLICY IN THE COMING YEAR THAT, IN COOPERATION WITH EXPERIAN, WILL ALLOW IT TO REVIEW CREDIT STANDINGS AND WAGES UPON PATIENT ARRIVAL TO HELP ASSESS AND DETERMINE WHO MAY QUALIFY FOR FINANCIAL ASSISTANCE. | PatientEducationAssistance |
| Community Information | Part VI, Line 4: HALIFAX REGIONAL PRIMARILY SERVICES THE CITIZENS OF HALIFAX, NORTHAMPTON, AND WARREN COUNTIES. WE ARE A RURAL, SOLE COMMUNITY PROVIDER IN A DESIGNATED MEDICALLY UNDERSERVED AREA. THE POPULATION OF THESE THREE COUNTIES IS AROUND 95,000. THE RACIAL/ETHNIC DEMOGRAPHICS ARE APPROXIMATELY 53% AFRICAN AMERICAN, 41% CAUCASIAN, AND 6% OTHER. THE UNEMPLOYMENT RATE FOR THESE COUNTIES RANGES FROM 11.7% TO 12.4% COMPARED TO A RATE OF 9.7% FOR NORTH CAROLINA. THE AVERAGE INCOME IS $30,000. THE PERCENTAGE OF CITIZENS WHO LIVE BELOW THE POVERTY LINE IS ABOUT 25% COMPARED TO 15.1% FOR NORTH CAROLINA. | CommunityInformation |
| Community Building Activities | Part VI, Line 5: PARTICIPATING IN LOCAL CHAMBER ACTIVITIES PROMOTES ECONOMIC DEVELOPMENT IN THE COMMUNITY. ONE OF OUR EMPLOYEES SERVICES ON THE ROANOKE RAPIDS CITY COUNCIL AND IN THIS CAPACITY ALSO PROMOTES ECONOMIC DEVELOPMENT COMMUNITY SUPPORT. THE TIME INCLUDED IN PART II IS TIME THE HOSPITAL AFFORDS HIM TO PARTICIPATE IN COUNCIL ACTIVITIES. | CommunityBuildingActivities |
| Other Information | Part VI, Line 6: HALIFAX REGIONAL WORKS CLOSELY WITH THE COUNTY HEALTH DEPARTMENT TO DO COMMUNITY ASSESSMENTS AND COLLABORATE ON VARIOUS PROJECTS TO SERVE THE COMMUNITY. WE ALSO WORK CLOSELY WITH A LOCAL RURAL HEALTH CLINIC AND CURRENTLY ARE COLLABORATING TO IMPLEMENT A CASE MANAGEMENT PROGRAM TO PROVIDE ON-GOING CARE ONCE THE PATIENT IS DISCHARGED FROM THE HOSPITAL. WE PROVIDE COMMUNITY HEALTH INFORMATION, EDUCATION, AND AN EXERCISE PROGRAM THROUGH OUR HEALTHLINKS DEPARTMENT SET IN OUR LOCAL MALL.A MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION NOR FAMILY MEMBERS THEREOF. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEDGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR MANY OF ITS DEPARTMENTS. | OtherInformation |
| Reports Filed With States | NC | ReportsFiledWithStates |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| 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 | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)
| 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 | |||||||||||||
| 251000 | 0 | 36783 | 0 | 8003 | 0 | 38562 | 0 | 18016 | 0 | 352364 | 0 | 0 | 0 |
| SHERRY JENSEN | |||||||||||||
| 183285 | 0 | 22754 | 0 | 2558 | 0 | 14905 | 0 | 14313 | 0 | 237815 | 0 | 0 | 0 |
| KAREN DANIELS | |||||||||||||
| 152654 | 0 | 18808 | 0 | 2043 | 0 | 22000 | 0 | 10170 | 0 | 205675 | 0 | 0 | 0 |
| STEVE HILL | |||||||||||||
| 205612 | 0 | 600 | 0 | 1512 | 0 | 20736 | 0 | 13994 | 0 | 242454 | 0 | 0 | 0 |
| CLAUDE DIETRICH | |||||||||||||
| 196123 | 0 | 50 | 0 | 762 | 0 | 12016 | 0 | 19747 | 0 | 228698 | 0 | 0 | 0 |
| JOHN CAMPBELL | |||||||||||||
| 161946 | 0 | 20 | 0 | 241 | 0 | 16500 | 0 | 19734 | 0 | 198441 | 0 | 0 | 0 |
| JEANNIE SCHULTZ | |||||||||||||
| 160461 | 0 | 0 | 0 | 568 | 0 | 22000 | 0 | 8135 | 0 | 191164 | 0 | 0 | 0 |
| KENNETH HARTZ | |||||||||||||
| 201577 | 0 | 50 | 0 | 1449 | 0 | 22000 | 0 | 17690 | 0 | 242766 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | Part I, Line 7 | ReturnReference |
| Explanation | THE OFFICERS LISTED BELOW ARE RECIPIENTS OF NON-FIXED PAYMENTS FROM THE ORGANIZATION. THE CEO AND VICE PRESIDENT RECEIVE AT-RISK SALARY PAYMENTS FROM THE ORGANIZATION BASED ON REACHING BALANCED SCORECARD OBJECTIVES. THE AMOUNT AVAILABLE IS THE AT-RISK SALARY AVAILABLE FOR THE INDIVIDUAL POSITIONS. FOR 2009, THE FOLLOWING OFFICERS RECEIVED PAYMENTS UNDER THIS PLAN: WILL MAHONE $ 36,783 SHERRY JENSEN 22,754 KAREN DANIELS 18,808 | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | PAULA ELIAS | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | DAUGHTER-IN-LAW OF DREWERY BEALE, BOARD MEMBER | Relationship |
| Amount Of Transaction | 18515 | AmountOfTransaction |
| Description Of Transaction | COMPENSATION AS AN EMPLOYEE OF ORGANIZATION | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| 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 HOSPITAL 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 | (BYLAWS, ARTICLE 2, SECTION 3) "ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON THE PART OF ANY GOVERNING BOARD MEMBER SHALL BE DISCLOSED TO THE OTHER MEMBERS OF THE BOARD OF DIRECTORS AND MADE A MATTER OF RECORD THROUGH AN ANNUAL PROCEDURE AND ALSO WHEN THE INTEREST BECOMES A MATTER OF BOARD ACTION. ANY GOVERNING BOARD MEMBER HAVING A DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON ANY MATTER SHALL NOT VOTE OR USE PERSONAL INFLUENCE ON THAT MATTER, AND SHALL NOT BE COUNTED IN DETERMINING THE QUORUM FOR THE MEETING, EVEN WHERE PERMITTED BY LAW. THE MINUTES OF THE MEETING SHALL REFLECT THAT A DISCLOSURE WAS MADE, THE ABSTENTION FROM VOTING, AND THE QUORUM SITUATION. ANY EXISTING OR APPARENT CONFLICT OF INTEREST WILL BE REFERRED TO THE EXECUTIVE COMMITTEE OF THE BOARD FOR RESOLUTION." THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY. BOARD MEMBERS AND HOSPITAL MANAGEMENT PERSONNEL ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE EACH YEAR. |
| Form 990, Part VI, Section B, line 15a | THE ORGANIZATION ENGAGES AN OUTSIDE INDEPENDENT CONSULTANT FOR REVIEW OF COMPENSATION PACKAGES. THE CONSULTANT USES COMPARABLE POSITIONS AND BENCHMARKS TO EVALUATE THE SALARIES FOR THE CEO AND VICE PRESIDENTS. THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS THE CONSULTANT'S RECOMMENDATIONS, AND THE FULL BOARD APPROVES THE COMPENSATION PACKAGE SELECTED FOR THE CEO. THE CONSULTATION PROCESS FOR OTHER OFFICERS INVOLVES THE INDEPENDENT CONSULTANTS; HOWEVER, THE CEO HAS FINAL APPROVAL OVER COMPENSATION PACKAGES FOR VICE PRESIDENTS AND BELOW. |
| Form 990, Part VI, Section C, line 18 | RECENT FILINGS OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG. |
| 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 WRITTEN REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. |
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 |
|---|---|---|---|---|---|---|---|---|---|
| HALIFAX REGIONAL MEDICAL CENTER FOUNDATION INC | |||||||||
| 250 SMITH CHURCH ROAD | ROANOKE RAPIDS | NC | 27870 | 561698825 | FUNDRAISING FOR ASSOCIATED CHARITABLE ORGANIZATION | NC | 501(c)(3) | Line 7 | N/A |
| ROANOKE VALLEY HEALTH SERVICES INC | |||||||||
| 250 SMITH CHURCH ROAD | ROANOKE RAPIDS | NC | 27870 | 561925492 | HEALTHCARE | NC | 501(c)(3) | Line 3 | N/A |
| 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 |
| 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 | 0 | 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 | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| HALIFAX REGIONAL MEDICAL CENTER FOUNDATION INC | |
| C | 21501 |
| ROANOKE VALLEY HEALTH SERVICES INC | |
| P | 297163 |