Civic Intelligence

Halifax Regional Medical Center

EIN 56-1698825 • 501(c)3 • Roanoke Rapids, NC

Profile

Halifax regional medical center foundation, inc. Is a not-for-profit corporation organized solely for general charitable purposes. Its mission is to support halifax regional medical center, inc. In its effort to put "patients first through: quality service, excellence, compassion, teamwork and commitment." the foundation will raise funds to maintain and improve health services. This will include the acquisition of equipment and the provision of research and educational programs, placing a special emphasis on community wellness, as well as disease and injury prevention programs.

250 Smith Church RoadRoanoke Rapids, NC 27870

www.halifaxregional.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2021

Liabilities / Revenue

62nd percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • <$500k nonprofits • Source year 2021

Net Margin

97th percentile

90%

Higher net margin than 97% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2021

Top Officer Pay

99th percentile

$280,957

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 442.7% of source-year revenue.

501(c)3 • <$500k nonprofits • Source year 2021

Asset Growth

10th percentile

-100%

Faster asset growth than 10% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2020 to 2021

Revenue Growth

18th percentile

-51%

Faster revenue growth than 18% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2020 to 2021

Balance Sheet
Liabilities / AssetsScore unavailable

Assets

Down

$0

Down $2,053,824 (-100%) from 2020

Liabilities

Down

$0

Down $37,951 (-100%) from 2020

Net Assets

Down

$0

Down $2,015,873 (-100%) from 2020

Operations
Liabilities / Revenue62nd percentileNet Margin97th percentile

Revenue

Down

$63,460

Down $67,088 (-51%) from 2020

Expenses

Down

$6,659

Down $307,937 (-98%) from 2020

Net Income

Up

$56,801

Up $240,849 (+131%) from 2020

Trend Graphs

Balance Sheet Trend

Asset Growth10th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$3.0M$2.0M$1.0M$0Assets 2010: $1,476,858Liabilities 2010: $0Net Assets 2010: $1,476,8582010Assets 2011: $1,609,256Liabilities 2011: $0Net Assets 2011: $1,609,2562011Assets 2012: $2,373,884Liabilities 2012: $125,287Net Assets 2012: $2,248,5972012Assets 2013: $2,003,906Liabilities 2013: $28,096Net Assets 2013: $1,975,8102013Assets 2014: $2,008,096Liabilities 2014: $6,180Net Assets 2014: $2,001,9162014Assets 2015: $2,008,998Liabilities 2015: $16,483Net Assets 2015: $1,992,5152015Assets 2016: $1,721,621Liabilities 2016: $13,212Net Assets 2016: $1,708,4092016Assets 2017: $1,904,721Liabilities 2017: $5,203Net Assets 2017: $1,899,5182017Assets 2018: $2,109,236Liabilities 2018: $12,826Net Assets 2018: $2,096,4102018Assets 2019: $2,172,309Liabilities 2019: $18,833Net Assets 2019: $2,153,4762019Assets 2020: $2,053,824Liabilities 2020: $37,951Net Assets 2020: $2,015,8732020Assets 2021: $0Liabilities 2021: $0Net Assets 2021: $02021

Highlighted filing

2021

Assets$0
Liabilities$0
Net Assets$0
Open 2021 Filing

Operations Trend

Revenue Growth18th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$1.0M$500K$0-$500KExpenses 2010: $39,9412010Expenses 2011: $85,7332011Expenses 2012: $77,4312012Revenue 2013: $70,643Expenses 2013: $65,462Net Income 2013: $5,1812013Revenue 2014: $153,769Expenses 2014: $322,919Net Income 2014: -$169,1502014Revenue 2015: $134,245Expenses 2015: $66,208Net Income 2015: $68,0372015Revenue 2016: $158,929Expenses 2016: $569,867Net Income 2016: -$410,9382016Revenue 2017: $141,306Expenses 2017: $81,028Net Income 2017: $60,2782017Revenue 2018: $148,546Expenses 2018: $81,944Net Income 2018: $66,6022018Revenue 2019: $154,294Expenses 2019: $83,615Net Income 2019: $70,6792019Revenue 2020: $130,548Expenses 2020: $314,596Net Income 2020: -$184,0482020Revenue 2021: $63,460Expenses 2021: $6,659Net Income 2021: $56,8012021

Highlighted filing

2021

Revenue$63,460
Expenses$6,659
Net Income$56,801
Open 2021 Filing

Filings

Most recent year

2021 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$0
Liabilities
$0
Net assets
$0
Revenue
$63,460
Expenses
$6,659
Net income
$56,801
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2021Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.06$0.01$0.06
2020Detailed filing. Detailed filing data is available for this year.$2.05$0.04$2.02$0.13$0.31$0.18
2019Detailed filing. Detailed filing data is available for this year.$2.17$0.02$2.15$0.15$0.08$0.07
2018Detailed filing. Detailed filing data is available for this year.$2.11$0.01$2.10$0.15$0.08$0.07
2017Detailed filing. Detailed filing data is available for this year.$1.90$0.01$1.90$0.14$0.08$0.06
2016Detailed filing. Detailed filing data is available for this year.$1.72$0.01$1.71$0.16$0.57$0.41
2015Detailed filing. Detailed filing data is available for this year.$2.01$0.02$1.99$0.13$0.07$0.07
2014Detailed filing. Detailed filing data is available for this year.$2.01$0.01$2.00$0.15$0.32$0.17
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.00$0.03$1.98$0.07$0.07$0.01
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.37$0.13$2.25$0.08
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.61$0.00$1.61$0.09
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.48$0.00$1.48$0.04
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2020 to Sep 30, 2021
Signed
Jul 21, 2022
Return Version
2020v4.2
Gross Receipts
$63,460
Mission and Program Overview

Mission

Halifax regional medical center foundation, inc. Is a not-for-profit corporation organized solely for general charitable purposes. Its mission is to support halifax regional medical center, inc. In its effort to put "patients first through: quality service, excellence, compassion, teamwork and commitment." the foundation will raise funds to maintain and improve health services. This will include the acquisition of equipment and the provision of research and educational programs, placing a special emphasis on community wellness, as well as disease and injury prevention programs.

To support the halifax regional medical center, inc.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$1,935,549$0▼ $1,935,549
Cash and Non-Interest-Bearing Accounts$118,185$0▼ $118,185
Accounts Receivable$90$0▼ $90
Savings and Temporary Cash Investments-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Land, Buildings, and Equipment, Net-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$2,053,824$0▼ $2,053,824
Other Assets Total-$0-
Liabilities
Grants Payable$26,629$0▼ $26,629
Accounts Payable and Accrued Expenses$11,322$0▼ $11,322
Total Liabilities$37,951$0▼ $37,951
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$2,003,979$0▼ $2,003,979
Net Assets With Donor Restrictions$11,894$0▼ $11,894
Total Net Assets Fund Balance$2,015,873$0▼ $2,015,873
Total Liabilities and Net Assets / Fund Balance$2,053,824$0▼ $2,053,824
Compensation and Service Providers
Top Officer Pay99th percentile

Employees

NameTitleOtherTotal
Betsy MorrisCoordinator$60,488$60,488

Board Members and Trustees

NameTitle
Ann Boyd SmithBoard Member
Becky NewtonBoard Member
Bruce RobistowBoard Member
Chris LehmanBoard Member
Christina CaudleBoard Member
Christina WellsBoard Member
Edward ClarkeBoard Member
Fannie GreeneBoard Member
Hugh BazemoreBoard Member
JOYCE D'OTTAVIOBoard Member
Jerry ShcillBoard Member
Jimmie BurnetteBoard Member
Peggy BentonBoard Member
Robert GordonBoard Member
Undine GarnerBoard Member
Vickie EvansBoard Member
Jason HarrellCEO
Revenue and Support

Revenue Composition

Contributions and Grants
$26,605
Program Service Revenue
$0
Investment Income
$36,855
Other Revenue
$0
All Other Contributions
$26,605
Change in Net Assets
$56,801
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$5,850
Other Expenses$809
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Comp Disqual Persons$5,850--$5,850
Fees for Services Other$789--$789
Fees for Service Investment Mgmnt Fees-$20-$20
Total Functional Expenses$6,639$20$0$6,659
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 3

“The hospital system had a management services agreement with novant health inc. The board of hrmc continues to oversee the operations of the healthcare facility and related exempt activities. Hrmc receives management services as well as expense savings for an annual management fee. Novant provides hrmc with a ceo and coo and hrmc provides reimbursement for those costs. During the 2018 calendar year year, novant paid compensation of $369,835 to the organization's ceo and $216,187 to the organization's coo.”

Form 990, Part VI, Section B, Line 11B

“The form 990 was reviewed by designated representatives and distributed to the board prior to filing.”

Form 990, Part VI, Section B, Line 12C

“Halifax regional medical foundation follows the procedures instilled by its controlling organization, halifax regional medical center, inc. The conflict of interest policy is reviewed annually, and board members and hospital management personnel are required to complete a questionnaire each year.”

Form 990, Part VI, Section B, Line 15

“An outside consultant is used to determine the appropriate compensation based on comparable positions and benchmarks. The consultant evaluates the salaries for the vps. The ceo approves the vp salaries. Novant determines the compensation for the ceo.”

Form 990, Part VI, Section C, Line 18

“Photocopies of the form 990 are available upon 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 written request at the organization's administrative office.”

Filing and Contact Details

Filer

Filer Name
Halifax Regional Medical Center
EIN
56-1698825
Phone
2525358130
Address
250 SMITH CHURCH ROAD, ROANOKE RAPIDS, NC 27870

Signing Officer

Name
Signing Officer
Title
CEO
Phone
2525358130
Signed
2022-07-21
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jason Harrell
Formed
1972
Legal Domicile
Nc
Voting Board Members
18
Independent Board Members
15
Employees
0
Volunteers
0

Preparer

Firm
Forvis Llp
Address
500 RIDGEFIELD COURT, ASHEVILLE, NC 28806
Preparer
Amy Bibby
Phone
8282542254
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

“Other purchased service fees: program service expenses 789. Management and general expenses 0. Fundraising expenses 0. Total expenses 789.”

FORM 990, PART XI, LINE 9:

“Transfers to affiliate -2,378,849.”

FORM 990, PART XII, LINE 2C:

“The process has not changed from the prior year.”

Raw XML AppendixShowing 400 of 568 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
IRS990/AccountantCompileOrReviewInd00
IRS990/AccountsPayableAccrExpnssGrp/BOYAmt011322
IRS990/AccountsPayableAccrExpnssGrp/EOYAmt00
IRS990/AccountsReceivableGrp/BOYAmt090
IRS990/AccountsReceivableGrp/EOYAmt00
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0TO SUPPORT THE HALIFAX REGIONAL MEDICAL CENTER, INC.
IRS990/AllOtherContributionsAmt026605
IRS990/AnnualDisclosureCoveredPrsnInd01
IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt0CINDY ROBINSON
IRS990/BooksInCareOfDetail/PhoneNum02525358199
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt0250 SMITH CHURCH ROAD
IRS990/BooksInCareOfDetail/USAddress/CityNm0ROANOKE RAPIDS
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0NC
IRS990/BooksInCareOfDetail/USAddress/ZIPCd027870
IRS990/BusinessRlnWith35CtrlEntInd00
IRS990/BusinessRlnWithFamMemInd00
IRS990/BusinessRlnWithOrgMemInd00
IRS990/CashNonInterestBearingGrp/BOYAmt0118185
IRS990/CashNonInterestBearingGrp/EOYAmt00
IRS990/ChangeToOrgDocumentsInd00
IRS990/CntrctRcvdGreaterThan100KCnt00
IRS990/CollectionsOfArtInd00
IRS990/CompDisqualPersonsGrp/ProgramServicesAmt05850
IRS990/CompDisqualPersonsGrp/TotalAmt05850
IRS990/CompensationFromOtherSrcsInd00
IRS990/CompensationProcessCEOInd00
IRS990/CompensationProcessOtherInd00
IRS990/ConflictOfInterestPolicyInd01
IRS990/ConservationEasementsInd00
IRS990/ConsolidatedAuditFinclStmtInd00
IRS990/ContractTerminationInd0X
IRS990/CreditCounselingInd00
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt026605
IRS990/CYGrantsAndSimilarPaidAmt00
IRS990/CYInvestmentIncomeAmt036855
IRS990/CYOtherExpensesAmt0809
IRS990/CYOtherRevenueAmt00
IRS990/CYProgramServiceRevenueAmt00
IRS990/CYRevenuesLessExpensesAmt056801
IRS990/CYSalariesCompEmpBnftPaidAmt05850
IRS990/CYTotalExpensesAmt06659
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt063460
IRS990/DecisionsSubjectToApprovaInd00
IRS990/DeductibleArtContributionInd00
IRS990/DeductibleNonCashContriInd00
IRS990/DelegationOfMgmtDutiesInd01
IRS990/Desc0DONATED TO HALIFAX OVER 38K REGIONAL MEDICAL CENTER (VIDANT NORTH) FOR PURCHASES OF CAPITAL AND SUPPLIES. DONATED $250,000 FOR RENOVATIONS TO THE ONCOLOGY UNIT AT HRMC.
IRS990/DescribedInSection501c3Ind01
IRS990/DisregardedEntityInd00
IRS990/DocumentRetentionPolicyInd01
IRS990/DonorAdvisedFundInd00
IRS990/DonorRestrictionNetAssetsGrp/BOYAmt011894
IRS990/DonorRestrictionNetAssetsGrp/EOYAmt00
IRS990/DonorRstrOrQuasiEndowmentsInd00
IRS990/ElectionOfBoardMembersInd00
IRS990/EmployeeCnt00
IRS990/EngagedInExcessBenefitTransInd00
IRS990/ExpenseAmt06639
IRS990/FamilyOrBusinessRlnInd00
IRS990/FederalGrantAuditRequiredInd00
IRS990/FeesForServicesOtherGrp/ProgramServicesAmt0789
IRS990/FeesForServicesOtherGrp/TotalAmt0789
IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt020
IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt020
IRS990/FinalReturnInd0X
IRS990/ForeignActivitiesInd00
IRS990/ForeignFinancialAccountInd00
IRS990/ForeignOfficeInd00
IRS990/Form8282PropertyDisposedOfInd00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt040.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt140.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt240.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt01.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt10.50
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt20.50
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt30.50
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt40.50
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt50.50
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt60.50
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt70.50
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt80.50
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt90.50
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt100.50
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt110.50
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt121.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt130.50
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt141.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt150.50
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt160.50
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt170.50
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd0X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd1X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd2X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd3X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd4X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd5X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd6X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd7X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd8X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd9X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd10X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd11X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd12X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd13X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd14X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd15X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd16X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd17X
IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd1X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt074374
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt40
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt50
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt60
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt70
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt80
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt90
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt100
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt110
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1212685
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt130
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt142132
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt150
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt160
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt170
IRS990/Form990PartVIISectionAGrp/PersonNm0JASON HARRELL
IRS990/Form990PartVIISectionAGrp/PersonNm1HUGH BAZEMORE
IRS990/Form990PartVIISectionAGrp/PersonNm2BECKY NEWTON
IRS990/Form990PartVIISectionAGrp/PersonNm3JERRY SHCILL
IRS990/Form990PartVIISectionAGrp/PersonNm4JIMMIE BURNETTE
IRS990/Form990PartVIISectionAGrp/PersonNm5CHRISTINA CAUDLE
IRS990/Form990PartVIISectionAGrp/PersonNm6EDWARD CLARKE
IRS990/Form990PartVIISectionAGrp/PersonNm7JOYCE D'OTTAVIO
IRS990/Form990PartVIISectionAGrp/PersonNm8UNDINE GARNER
IRS990/Form990PartVIISectionAGrp/PersonNm9BRUCE ROBISTOW
IRS990/Form990PartVIISectionAGrp/PersonNm10CHRIS LEHMAN
IRS990/Form990PartVIISectionAGrp/PersonNm11ANN BOYD SMITH
IRS990/Form990PartVIISectionAGrp/PersonNm12ROBERT GORDON
IRS990/Form990PartVIISectionAGrp/PersonNm13FANNIE GREENE
IRS990/Form990PartVIISectionAGrp/PersonNm14BETSY MORRIS
IRS990/Form990PartVIISectionAGrp/PersonNm15PEGGY BENTON
IRS990/Form990PartVIISectionAGrp/PersonNm16VICKIE EVANS
IRS990/Form990PartVIISectionAGrp/PersonNm17CHRISTINA WELLS
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt100
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt110
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt120
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt130
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt140
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt150
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt160
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt170
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt0206583
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt100
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt110
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt12154816
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt130
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt1458356
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt150
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt160
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt170
IRS990/Form990PartVIISectionAGrp/TitleTxt0CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt1BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt2BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt3BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt4BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt5BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt6BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt7BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt8BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt9BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt10BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt11BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt12BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt13BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt14COORDINATOR
IRS990/Form990PartVIISectionAGrp/TitleTxt15BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt16BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt17BOARD MEMBER
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr01972
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedInd00
IRS990/FundraisingActivitiesInd00
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt018
IRS990/GrantsPayableGrp/BOYAmt026629
IRS990/GrantsPayableGrp/EOYAmt00
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt063460
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd00
IRS990/IndependentAuditFinclStmtInd00
IRS990/IndependentVotingMemberCnt015
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartIIIInd0X
IRS990/InfoInScheduleOPartIXInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIIInd0X
IRS990/InfoInScheduleOPartXIInd0X
IRS990/IntangibleAssetsGrp/EOYAmt00
IRS990/InventoriesForSaleOrUseGrp/EOYAmt00
IRS990/InvestmentIncomeGrp/ExclusionAmt036855
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt036855
IRS990/InvestmentInJointVentureInd00
IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt00
IRS990/InvestmentsProgramRelatedGrp/EOYAmt00
IRS990/InvestmentsPubTradedSecGrp/BOYAmt01935549
IRS990/InvestmentsPubTradedSecGrp/EOYAmt00
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipBasisNetGrp/EOYAmt00
IRS990/LegalDomicileStateCd0NC
IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd00
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0HALIFAX REGIONAL MEDICAL CENTER FOUNDATION, INC. IS A NOT-FOR-PROFIT CORPORATION ORGANIZED SOLELY FOR GENERAL CHARITABLE PURPOSES. ITS MISSION IS TO SUPPORT HALIFAX REGIONAL MEDICAL CENTER, INC. IN ITS EFFORT TO PUT "PATIENTS FIRST THROUGH: QUALITY SERVICE, EXCELLENCE, COMPASSION, TEAMWORK AND COMMITMENT." THE FOUNDATION WILL RAISE FUNDS TO MAINTAIN AND IMPROVE HEALTH SERVICES. THIS WILL INCLUDE THE ACQUISITION OF EQUIPMENT AND THE PROVISION OF RESEARCH AND EDUCATIONAL PROGRAMS, PLACING A SPECIAL EMPHASIS ON COMMUNITY WELLNESS, AS WELL AS DISEASE AND INJURY PREVENTION PROGRAMS.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt02015873
IRS990/NetAssetsOrFundBalancesEOYAmt00
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NetUnrlzdGainsLossesInvstAmt0306175
IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt02003979
IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt00
IRS990/NondeductibleContributionsInd00
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsFASB117Ind0X
IRS990/OtherAssetsTotalGrp/EOYAmt00
IRS990/OtherChangesInNetAssetsAmt0-2378849
IRS990/OthNotesLoansReceivableNetGrp/EOYAmt00
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt00
IRS990/PrincipalOfficerNm0JASON HARRELL
IRS990/ProfessionalFundraisingInd00
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt074477
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt0288749
IRS990/PYInvestmentIncomeAmt050028
IRS990/PYOtherExpensesAmt08277
IRS990/PYOtherRevenueAmt06043
IRS990/PYProgramServiceRevenueAmt00
IRS990/PYRevenuesLessExpensesAmt0-184048
IRS990/PYSalariesCompEmpBnftPaidAmt017570
IRS990/PYTotalExpensesAmt0314596
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt0130548
IRS990/QuidProQuoContributionsInd00
IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt00
IRS990/ReconcilationRevenueExpnssAmt056801
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/SavingsAndTempCashInvstGrp/EOYAmt00
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0THE ORGANIZATION OPERATED UNDER A SHORT YEAR WITH A FINAL DATE OF OPERATIONS OF 03/31/2021.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0PART II, SHORT YEAR EXPLANATION:
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt025905
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt084477
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt071701
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt067927
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt098346
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt0348356
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt036855
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt050028
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt063938
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt054116
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt044460
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt0249397
IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt062202
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus1YearAmt02550
IRS990ScheduleA/OtherIncome170Grp/TotalAmt02550
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.49870
IRS990ScheduleA/PublicSupportPY170Pct00.53380
IRS990ScheduleA/PublicSupportTotal170Amt0299374
IRS990ScheduleA/SubstantialContributorsTotAmt048982
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt025905
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt084477
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt071701
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt067927
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt098346
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt0348356
IRS990ScheduleA/TotalSupportAmt0600303
IRS990/ScheduleBRequiredInd00
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0206583
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt1154816
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt040192
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt034182
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt112685
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0JASON HARRELL
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1ROBERT GORDON
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0CEO
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1BOARD MEMBER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0280957
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt1167501
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0INDEPENDENT REVIEW OF COMPENSATION: THE ORGANIZATION PROVIDES DIRECT COMPENSATION FOR ONLY ONE BOARD MEMBER WHO PROVIDES FUNDRAISING AND CLERICAL SUPPORT. OFFICERS AND CERTAIN 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: - INDEPENDENT COMPENSATION CONSULTANTS - WRITTEN EMPLOYEMENT CONTRACTS - COMPENSATION STUDY OR SURVEY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 3
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990ScheduleN/AssetsDistributedInd01
IRS990ScheduleN/AttorneyGeneralNotifiedInd01
IRS990ScheduleN/BondsOutstandingInd00
IRS990ScheduleN/DirectorOfSuccessorInd00
IRS990ScheduleN/EmployeeOfSuccessorInd00
IRS990ScheduleN/LiabilitiesPaidInd01
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc0CASH
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc1ACCOUNTS RECEIVABLE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc2INVESTMENTS
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/BusinessName/BusinessNameLine1Txt0UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA FOUNDATION INC
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/BusinessName/BusinessNameLine1Txt1UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA FOUNDATION INC
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/BusinessName/BusinessNameLine1Txt2UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA FOUNDATION INC
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt02021-03-31
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt12021-03-31
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt22021-03-31
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN0200777374
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN1200777374
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN2200777374
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt0118185
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt190
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt21935549
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt0501(C)(3)
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt1501(C)(3)
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt2501(C)(3)

Document Assets

No mirrored PDF or thumbnail assets are attached yet.