Civic Intelligence

Chowan Regional Health Care

EIN 56-1795686 • 501(c)3 • Edenton, NC

Profile

To support chowan hospital's mission of enhancing the quality of life for the people and communities it serves, touches, and supports by developing relationships and securing financial resources for targeted health and wellness services.

PO Box 629Edenton, NC 27932

www.vidanthealth.com/CHOWANFOUNDATION

Siviq Scores

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

Liabilities / Assets

33rd percentile

0.00x

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

501(c)3 • $500k-$1M nonprofits • Source year 2019

Liabilities / Revenue

35th percentile

0.00x

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

501(c)3 • $500k-$1M nonprofits • Source year 2019

Net Margin

75th percentile

22%

Higher net margin than 75% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2019

Top Officer Pay

97th percentile

$242,929

Higher top officer pay than 97% of similar nonprofits.

Top officer pay equals 126.5% of source-year revenue.

501(c)3 • $500k-$1M nonprofits • Source year 2019

Asset Growth

61st percentile

8.1%

Faster asset growth than 61% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2018 to 2019

Revenue Growth

18th percentile

-19%

Faster revenue growth than 18% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2018 to 2019

Assets

Up

$721,068

Up $53,859 (+8.1%) from 2018

Liabilities

Flat

$0

Flat from 2018

Net Assets

Up

$721,068

Up $53,859 (+8.1%) from 2018

Revenue

Down

$191,989

Down $45,235 (-19%) from 2018

Expenses

Up

$148,801

Up $4,160 (+2.9%) from 2018

Net Income

Down

$43,188

Down $49,395 (-53%) from 2018

Trend Graphs

Balance Sheet Trend

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

$800K$600K$400K$200K$0Assets 2011: $279,562Liabilities 2011: $14,592Net Assets 2011: $264,9702011Assets 2012: $309,231Liabilities 2012: $10,430Net Assets 2012: $298,8012012Assets 2013: $489,686Liabilities 2013: $12,752Net Assets 2013: $476,9342013Assets 2014: $530,922Liabilities 2014: $32,278Net Assets 2014: $498,6442014Assets 2015: $548,736Liabilities 2015: $3,091Net Assets 2015: $545,6452015Assets 2016: $500,351Liabilities 2016: $0Net Assets 2016: $500,3512016Assets 2017: $558,943Liabilities 2017: $3,350Net Assets 2017: $555,5932017Assets 2018: $667,209Liabilities 2018: $0Net Assets 2018: $667,2092018Assets 2019: $721,068Liabilities 2019: $0Net Assets 2019: $721,0682019

Highlighted filing

2019

Assets$721,068
Liabilities$0
Net Assets$721,068

Operations Trend

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

$400K$300K$200K$100K$0-$100KRevenue 2011: $285,375Expenses 2011: $275,147Net Income 2011: $10,2282011Revenue 2012: $189,997Expenses 2012: $156,166Net Income 2012: $33,8312012Revenue 2013: $317,377Expenses 2013: $145,895Net Income 2013: $171,4822013Revenue 2014: $199,294Expenses 2014: $197,939Net Income 2014: $1,3552014Revenue 2015: $233,900Expenses 2015: $174,621Net Income 2015: $59,2792015Revenue 2016: $158,216Expenses 2016: $224,740Net Income 2016: -$66,5242016Revenue 2017: $161,930Expenses 2017: $136,919Net Income 2017: $25,0112017Revenue 2018: $237,224Expenses 2018: $144,641Net Income 2018: $92,5832018Revenue 2019: $191,989Expenses 2019: $148,801Net Income 2019: $43,1882019

Highlighted filing

2019

Revenue$191,989
Expenses$148,801
Net Income$43,188

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2018 to Sep 30, 2019
Signed
Aug 17, 2020
Return Version
2018v3.2
Gross Receipts
$196,682
Mission and Program Overview

Mission

To support chowan hospital's mission of enhancing the quality of life for the people and communities it serves, touches, and supports by developing relationships and securing financial resources for targeted health and wellness services.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$596,611$653,107▲ $56,496
Cash and Non-Interest-Bearing Accounts$58,216$65,960▲ $7,744
Accounts Receivable$12,382$2,001▼ $10,381
Total Assets$667,209$721,068▲ $53,859
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Unrestricted Net Assets$556,594$624,519▲ $67,925
Temporarily Rstr Net Assets$110,615$96,549▼ $14,066
Total Net Assets Fund Balance$667,209$721,068▲ $53,859
Total Liabilities and Net Assets / Fund Balance$667,209$721,068▲ $53,859
Compensation and Service Providers

Employees

NameTitleOtherTotal
Ginny WaffExec Directo$67,053$67,053

Board Members and Trustees

NameTitle
Bill ShultzChair
Kristy WorrellVice Chair
Bill ChessonBoard Member
Dr Key StageBoard Member
Dr Sam MoskowitzBoard Member
Kirsten BradleyBoard Member
Leroy SpiveyBoard Member
Lynne LaytonBoard Member
Susan DayBoard Member
Ted HaiglerBoard Member
Virginia HopeBoard Member
Mary BoehlingSecretary
Brian HarvillTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$160,127
Program Service Revenue
$0
Investment Income
$29,059
Other Revenue
$2,803
All Other Contributions
$144,297
Change in Net Assets
$43,188

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported Amount
Other Non Cash Contri Table1$110,916
Total Noncash Contributions1$110,916

Audited Revenue Reconciliation

Revenue per Audited Statements
$191,989
Revenue Not Reported on Form 990
$15,363
Total Revenue per Audited Statements
$207,352
Total Revenue per Form 990
$191,989
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$148,801
Total Fundraising Expense$58,910
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Office Expenses--$5,582$5,582
Other Expenses$1,941$10,380$2,911$4,852
Fees for Services Other-$4,800-$4,800
All Other Expenses$180$35$3,718$3,933
Travel$2,272$1,329-$3,601
Conferences and Meetings-$169-$169
Total Functional Expenses$49,828$40,063$58,910$148,801

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$153,494
Expenses per Audited Statements$148,801
Total Expenses per Form 990$148,801
Expenses Not Reported on Form 990$4,693
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$7,496
Fundraising Direct Expenses$4,693
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Golf Tournament$23,326$7,496$4,693$2,803
Total Events$23,326$7,496$4,693$2,803
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
Yes
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
Yes
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
No

Governance Explanations

Form 990, Page 6, Part VI, Line 11B

Form 990 is reviewed by the finance committee and presented to the full board for approval before filing.

Form 990, Page 6, Part VI, Line 12C

The conflict of interest policy is discussed with the board annually and signed.

Form 990, Page 6, Part VI, Line 19

Governing documents, conflict of interest policy, and financial statements are made available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Chowan Regional Health Care
EIN
56-1795686
Phone
2524826440
Address
PO BOX 629, EDENTON, NC 27932

Signing Officer

Name
Ginny Waff
Title
Exec Director
Phone
2524826440
Signed
2020-08-17
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Ginny Waff
Formed
1992
Legal Domicile
Nc
Voting Board Members
14
Independent Board Members
14
Employees
0
Volunteers
20

Preparer

Firm
Sullivan Shearin & Co
Address
1100 CONFERENCE DR, GREENVILLE, NC 27858
Preparer
J Calvin Shearin
Phone
2527568888
Supplemental Narrative

Additional Explanations

FORM 990 - ORGANIZATION'S MISSION

To support chowan hospital's mission of enhancing the quality of life for the people and communities it serves, touches, and supports by developing relationships and securing financial resources for targeted health and wellness services.

Form 990, Page 2, Part III, Line 4D

Improvement of health care services in chowan county - the foundation helps

Form 990, Part XI, Line 9

ROUNDING 1

Financial Statement Notes

Schedule D, Page 4, Part XI, Line 2D

Special event expenses 4,693 rounding 0

Schedule D, Page 4, Part XII, Line 2D

Special event expenses 4,693 rounding 0

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IRS990ScheduleA/Form990SchASupportingOrgGrp/ListedByNameGoverningDocInd0true
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IRS990ScheduleA/Form990SchASupportingOrgGrp/OrganizationChangeSuprtOrgInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/PaymentSubstantialContribtrInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgNotOrganizedUSInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgSectionC456Ind0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportNonSupportedOrgInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SuprtOrgNoIRSDeterminationInd0false
IRS990ScheduleA/MajorityDirTrstSupportedOrgInd0true
IRS990ScheduleA/OtherSupportSumAmt00
IRS990ScheduleA/SupportedOrganizationsCnt01
IRS990ScheduleA/SupportedOrganizationsTotalCnt01
IRS990ScheduleA/SupportedOrgInformationGrp/EIN0562101090
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IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd03
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt022085
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0VIDANT CHOWAN HOSPITAL
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine2Txt0VIDANT CHOWAN HOSPITAL
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType2Ind0X
IRS990ScheduleA/SupportSumAmt022085
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd0true
IRS990ScheduleD/ExpensesNotReportedAmt04693
IRS990ScheduleD/ExpensesSubtotalAmt0148801
IRS990ScheduleD/NetUnrealizedGainsInvstAmt010670
IRS990ScheduleD/OtherExpensesIncludedAmt04693
IRS990ScheduleD/OtherRevenueAmt04693
IRS990ScheduleD/RevenueNotReportedAmt015363
IRS990ScheduleD/RevenueSubtotalAmt0191989
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0SPECIAL EVENT EXPENSES 4,693 ROUNDING 0
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1SPECIAL EVENT EXPENSES 4,693 ROUNDING 0
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE D, PAGE 4, PART XI, LINE 2D
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1SCHEDULE D, PAGE 4, PART XII, LINE 2D
IRS990ScheduleD/TotalExpensesPerForm990Amt0148801
IRS990ScheduleD/TotalRevenuePerForm990Amt0191989
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt0207352
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt0153494
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContributionsTotAmt015830
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent1Amt015830
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt04693
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0GOLF TOURNAMENT
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt023326
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt023326
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt07496
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt07496
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt02803
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt04693
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent1Amt04693
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IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd0false
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd0false
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd0false
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd0false
IRS990ScheduleJ/EquityBasedCompArrngmInd0false
IRS990ScheduleJ/InitialContractExceptionInd0false
IRS990/ScheduleJRequiredInd0true
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0188136
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt019520
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt035273
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0BRIAN HARVILL
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0TREASURER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0242929
IRS990ScheduleJ/SeverancePaymentInd0false
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd0false
IRS990ScheduleM/AnyPropertyThatMustBeHeldInd0false
IRS990ScheduleM/OtherNonCashContriTableGrp/ContributionCnt01
IRS990ScheduleM/OtherNonCashContriTableGrp/NonCashCheckboxInd0X
IRS990ScheduleM/OtherNonCashContriTableGrp/NoncashContributionsRptF990Amt0110916
IRS990ScheduleM/ReviewProcessUnusualNCGiftsInd0false
IRS990ScheduleM/ThirdPartiesUsedInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0TO SUPPORT CHOWAN HOSPITAL'S MISSION OF ENHANCING THE QUALITY OF LIFE FOR THE PEOPLE AND COMMUNITIES IT SERVES, TOUCHES, AND SUPPORTS BY DEVELOPING RELATIONSHIPS AND SECURING FINANCIAL RESOURCES FOR TARGETED HEALTH AND WELLNESS SERVICES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1IMPROVEMENT OF HEALTH CARE SERVICES IN CHOWAN COUNTY - THE FOUNDATION HELPS
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2FORM 990 IS REVIEWED BY THE FINANCE COMMITTEE AND PRESENTED TO THE FULL BOARD FOR APPROVAL BEFORE FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE CONFLICT OF INTEREST POLICY IS DISCUSSED WITH THE BOARD ANNUALLY AND SIGNED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5ROUNDING 1
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990 - ORGANIZATION'S MISSION
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 2, PART III, LINE 4D
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PAGE 6, PART VI, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PAGE 6, PART VI, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART XI, LINE 9
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IRS990ScheduleR/AssetPurchaseFromOtherOrgInd0false
IRS990ScheduleR/AssetSaleToOtherOrgInd0false
IRS990ScheduleR/DivRelatedOrganizationInd0false
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd0false
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd0true
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd0false
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0VIDANT CHOWAN HOSPITAL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0562101090
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501C3
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0NC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0HOSPITAL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt0211 VIRGINIA RD
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0EDENTON
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0NC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd027932
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd0false
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd0false
IRS990ScheduleR/PaidEmployeesSharingInd0true
IRS990ScheduleR/PerformOfServicesByOtherOrgInd0false
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IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd0false
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd0true
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd0false
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd0false
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd0false
IRS990ScheduleR/SharingOfFacilitiesInd0true
IRS990ScheduleR/TransactionsRelatedOrgGrp/InvolvedAmt022085
IRS990ScheduleR/TransactionsRelatedOrgGrp/InvolvedAmt193461
IRS990ScheduleR/TransactionsRelatedOrgGrp/InvolvedAmt217455
IRS990ScheduleR/TransactionsRelatedOrgGrp/MethodOfAmountDeterminationTxt0PURCHASED EQUIPMENT FOR
IRS990ScheduleR/TransactionsRelatedOrgGrp/MethodOfAmountDeterminationTxt1ADMINISTRATIVE FEES
IRS990ScheduleR/TransactionsRelatedOrgGrp/MethodOfAmountDeterminationTxt2INS/TRAVEL/ADV/SUPPLIES/
IRS990ScheduleR/TransactionsRelatedOrgGrp/OtherOrganizationName/BusinessNameLine1Txt0VIDANT CHOWAN HEALTH
IRS990ScheduleR/TransactionsRelatedOrgGrp/OtherOrganizationName/BusinessNameLine1Txt1VIDANT CHOWAN HEALTH
IRS990ScheduleR/TransactionsRelatedOrgGrp/OtherOrganizationName/BusinessNameLine1Txt2VIDANT CHOWAN HEALTH
IRS990ScheduleR/TransactionsRelatedOrgGrp/TransactionTypeTxt0B
IRS990ScheduleR/TransactionsRelatedOrgGrp/TransactionTypeTxt1O
IRS990ScheduleR/TransactionsRelatedOrgGrp/TransactionTypeTxt2Q
IRS990ScheduleR/TransferFromOtherOrgInd0true
IRS990ScheduleR/TransferToOtherOrgInd0false
IRS990/SchoolOperatingInd0false

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