STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

WAKE FOREST UNIVERSITY HEALTH SCIENCES GROUP RETURN: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
WAKE FOREST UNIVERSITY HEALTH SCIENCES GROUP RETURN (EIN 90-0222618)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-07-14
IRS object ID
202011969349300336
Schema version
2018v3.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-07-14T10:47:49-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN900222618EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WAKE FOREST UNIVERSITY HEALTH SCIENCESBusinessNameLine1Txt
Business Name Line2GROUP RETURNBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlWAKEBusinessNameControlTxt
Phone3367164445PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1MEDICAL CENTER BLVDAddressLine1Txt
CityWINSTONSALEMCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27157ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBRADLEY A CLARKPersonNm
Person TitleTREASURERPersonTitleTxt
Phone3367164445PhoneNum
Signature2020-07-08SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address152.11.92.106IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-07-08IPDt
IP Tm08:10:29IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id92F11F32722E8792293CAF8DF02A44B038BF976AAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJULIE A FREISCHLAG MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1MEDICAL CENTER BLVDAddressLine1Txt
CityWINSTONSALEMCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27157ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$104,012,236GrossReceiptsAmt
Group Return For AffiliatesYes (1)GroupReturnForAffiliatesInd
All Affiliates IncludedYes (1)AllAffiliatesIncludedInd
Group Exemption3884GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2003FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionOUTPATIENT MEDICAL CLINICS FOR THE PROMOTION OF HEALTH FOR THE BENEFIT OF THE COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent1VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$93,089,713PYProgramServiceRevenueAmt
CY Program Service Revenue$103,985,583CYProgramServiceRevenueAmt
PY Investment Income$1,710PYInvestmentIncomeAmt
CY Investment Income$26,653CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$93,091,423PYTotalRevenueAmt
CY Total Revenue$104,012,236CYTotalRevenueAmt
PY Grants And Similar Paid$1,147,340PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,074,395CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$75,180,438PYOtherExpensesAmt
CY Other Expenses$83,691,116CYOtherExpensesAmt
PY Total Expenses$76,327,778PYTotalExpensesAmt
CY Total Expenses$84,765,511CYTotalExpensesAmt
PY Revenues Less Expenses$16,763,645PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$19,246,725CYRevenuesLessExpensesAmt
Total Assets BOY$218,753,107TotalAssetsBOYAmt
Total Assets EOY$238,734,104TotalAssetsEOYAmt
Total Liabilities BOY$6,892,512TotalLiabilitiesBOYAmt
Total Liabilities EOY$7,626,784TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$211,860,595NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$231,107,320NetAssetsOrFundBalancesEOYAmt
MissionOUTPATIENT MEDICAL CLINICS FOR THE PROMOTION OF HEALTH FOR THE BENEFIT OF THE COMMUNITY AND AS A SUPPORTING ORGANIZATION EXCLUSIVELY FOR THE BENEFIT OF WAKE FOREST UNIVERSITY AND WAKE FOREST UNIVERSITY HEALTH SCIENCES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$75,782,393ExpenseAmt
Grant$1,074,395GrantAmt
Revenue$103,985,583RevenueAmt
DescHEMODIALYSIS: THE CLINICS SERVE THE TEACHING AND RESEARCH PROGRAMS OF WAKE FOREST UNIVERSITY HEALTH SCIENCES AND WAKE FOREST UNIVERSITY BY PROVIDING DIALYSIS TREATMENTS TO END STAGE RENAL DISEASE PATIENTS (1,693 IN-CENTER AND 294 HOME DIALYSIS PATIENTS).Desc
Total Program Service Expenses$75,782,393TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document106IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member1IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HEALTH SYSTEMS MANAGEMENT INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2293865505PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 7710AddressLine1Txt
CityTIFTONCityNm
State AbbreviationGAStateAbbreviationCd
ZIP317937710ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
BARRY I FREEDMAN MD
DIRECTOR0.5039.50Yes (X)$0$556,709$49,258
TERRY L HALES JR
DIRECTOR & ASST TREAS0.5039.50Yes (X)$0$579,911$68,917Yes (X)
TERRY G WILLIAMS
DIRECTOR0.5039.50Yes (X)$0$0$0
KEVIN P HIGH MD
DIRECTOR & VP0.5039.50Yes (X)$0$828,234$219,300Yes (X)
JULIE A FREISCHLAG MD
CHAIR & PRESIDENT0.5039.50Yes (X)$0$1,742,588$353,250Yes (X)
J REID MORGAN
SECRETARY0.5039.50$0$560,012$187,816Yes (X)
BRADLEY A CLARK
TREASURER0.5039.50$0$0$0Yes (X)
JOHN D MCCONNELL MD
FORMER OFFICER (4-26-17)0.0040.00$0$5,552,781$44,771Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$9,820,235TotReportableCompRltdOrgAmt
Total Other Compensation$923,312TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
HSM DIALYSIS CENTERS LLC
PO BOX 7710TIFTONGA31793PROFESSIONAL SERVICES$8,233,274
NEPHROLOGY ASSOCIATES
730 HIGHLAND OAKS DRIVEWINSTONSALEMNC27103MEDICAL DIRECTOR$518,580
METROLINA NEPHROLOGY ASSOC
1300 BAXTER ST SUITE 215CHARLOTTENC28204MEDICAL DIRECTOR$149,100
HIGH POINT NEPHROLOGY ASSOC
404 WESTWOOD AVE 105HIGH POINTNC27262MEDICAL DIRECTOR$137,700
IREDELL NEPHROLOGY
2117 SIMONTON ROAD 102STATESVILLENC28625MEDICAL DIRECTOR$122,100
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescMEDICAL SERVICESDesc
Business621300BusinessCd
Total Revenue Column$103,985,583TotalRevenueColumnAmt
Related Or Exempt Func Income$103,985,583RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$103,985,583TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$26,653TotalRevenueColumnAmt
Exclusion$26,653ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$104,012,236TotalRevenueColumnAmt
Related Or Exempt Func Income$103,985,583RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$26,653ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,074,395TotalAmt
Program Services$1,074,395ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$8,474,496TotalAmt
Management And General$8,474,496ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$139,933TotalAmt
Program Services$97,953ProgramServicesAmt
Management And General$41,980ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$33,191,480TotalAmt
Program Services$33,191,480ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$597,166TotalAmt
Program Services$514,641ProgramServicesAmt
Management And General$82,525ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$748,633TotalAmt
Program Services$663,661ProgramServicesAmt
Management And General$84,972ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,532,400TotalAmt
Program Services$3,233,255ProgramServicesAmt
Management And General$299,145ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$205,448TotalAmt
Program Services$205,448ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$19,528TotalAmt
Program Services$19,528ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$566,170TotalAmt
Program Services$566,170ProgramServicesAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEDICAL SUPPLIES$28,490,044$28,490,044
BAD DEBT$7,725,818$7,725,818

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$84,765,511TotalAmt
Program Services$75,782,393ProgramServicesAmt
Management And General$8,983,118ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,219,521BOYAmt
EOY$5,054,531EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$13,410,765BOYAmt
EOY$13,121,947EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,134,116BOYAmt
EOY$1,953,643EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$59,638BOYAmt
EOY$74,916EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$199,929,067BOYAmt
EOY$218,529,067EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$218,753,107BOYAmt
EOY$238,734,104EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$6,892,512BOYAmt
EOY$7,626,784EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,892,512BOYAmt
EOY$7,626,784EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$211,860,595BOYAmt
EOY$231,107,320EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$211,860,595BOYAmt
EOY$231,107,320EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$218,753,107BOYAmt
EOY$238,734,104EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$19,246,725ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
Supported Organizations2SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (2 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
WAKE FOREST UNIVERSITY
5605321382Yes (1)$0$0
WAKE FOREST UNIVERSITY HEALTH SCIENCES
2238491992Yes (1)$0$0
FieldValueIRS element (for citing)
Supported Organizations Total2SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (1)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org0OperateBenefitNonSuprtOrgInd

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescWFUHS CAPITAL CONTRIBUTIONDesc
Book Value$218,529,067BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$218,529,067TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationALL DIALYSIS CENTER ORGANIZATIONS REPRESENTED IN THIS GROUP RETURN HAVE EVALUATED UNCERTAIN TAX POSITIONS FOR THEIR FISCAL YEARS ENDED JUNE 30, 2018 AND 2019, INCLUDING A QUANTIFICATION OF TAX RISK IN AREAS SUCH AS UNRELATED BUSINESS TAXABLE INCOME AND THE TAXATION OF JOINT VENTURES. THIS EVALUATION DID NOT HAVE A MATERIAL EFFECT ON THE ORGANIZATIONS' FINANCIAL STATEMENTS FOR THE YEARS ENDED JUNE 30, 2018 AND 2019.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
AMERICAN KIDNEY FUND
11921 ROCKVILLE PIKEROCKVILLEMD20852237124261501(C)(3)$1,054,295FINANCIAL ASSISTANCE PROGRAM FOR QUALIFIED KIDNEY PATIENTS
UNITED WAY OF FORSYTH COUNTY
301 N MAIN STREETWINSTON SALEMNC27101237357234501(C)(3)$20,000COMMUNITY SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationALL ORGANIZATIONS REPRESENTED IN THIS GROUP EXEMPTION RETURN FOLLOW THE CORPORATE POLICY USED BY WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER (TO WHICH ENTITY THE OPERATION OF THE SUBSIDIARIES OF WAKE FOREST UNIVERSITY HEALTH SCIENCES "WFUHS AND NORTH CAROLINA BAPTIST HOSPITAL "NCBH" (INCLUDING THE FILING ORGANIZATION) HAS BEEN DELEGATED) IN REVIEWING ELIGIBILITY AND SELECTION OF GRANTEES RECEIVING CERTAIN EXEMPT PURPOSE FUNDS. THE ORGANIZATIONS MAINTAIN DOCUMENTATION OF THE ELIGIBILITY AND SELECTION CRITERIA AND RECORDS OF AMOUNTS DISBURSED.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BARRY I FREEDMAN MD
DIRECTOR$0$553,097$0$0$0$3,612$0$23,649$0$25,609$0$605,967$0$0
TERRY L HALES JR
DIRECTOR & ASST TREAS$0$407,549$0$112,287$0$60,075$0$44,824$0$24,093$0$648,828$0$0
KEVIN P HIGH MD
DIRECTOR & VP$0$628,644$0$177,478$0$22,112$0$199,887$0$19,413$0$1,047,534$0$0
JULIE A FREISCHLAG MD
CHAIR & PRESIDENT$0$1,198,945$0$533,149$0$10,494$0$330,402$0$22,848$0$2,095,838$0$0
J REID MORGAN
SECRETARY$0$499,312$0$40,000$0$20,700$0$107,368$0$80,448$0$747,828$0$0
JOHN D MCCONNELL MD
FORMER OFFICER (4-26-17)$0$1,038,530$0$0$0$4,514,251$0$23,648$0$21,123$0$5,597,552$0$3,858,352

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 4BFormAndLineReferenceDesc
ExplanationCERTAIN OFFICERS AND DIRECTORS OF THE ORGANIZATIONS INCLUDED IN THIS GROUP RETURN PARTICIPATED IN AND/OR RECEIVED PAYMENTS FROM SUPPLEMENTAL NON QUALIFIED RETIREMENT PLANS (SERP) AND EXECUTIVE INCENTIVE COMPENSATION PLANS (ALL OF WHICH WERE PAID BY A RELATED ORGANIZATION, WAKE FOREST UNIVERSITY HEALTH SCIENCES, AS PART OF THE INDIVIDUAL'S COMPENSATION FROM RELATED ORGANIZATIONS). THE FOLLOWING CURRENT AND FORMER DIRECTORS AND/OR OFFICERS RECEIVED SERP PAYMENTS FROM THE RELATED ORGANIZATION (WAKE FOREST UNIVERSITY HEALTH SCIENCES) IN CALENDAR YEAR 2018: JOHN D. MCCONNELL, M.D. $4,477,272 TERRY L. HALES, JR. $58,815ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF ALL ORGANIZATIONS INCLUDED IN THIS GROUP RETURN IS WAKE FOREST UNIVERSITY HEALTH SCIENCES.
FORM 990, PART VI, SECTION A, LINE 7ATHE MEMBERS OF THE BOARD OF DIRECTORS OF THE ORGANIZATIONS INCLUDED IN THIS GROUP RETURN ARE APPOINTED BY THE GOVERNING BODY OF WAKE FOREST UNIVERSITY HEALTH SCIENCES OR BY A MEMBER OF THE GOVERNING BODY OR BY AN OFFICER OF WAKE FOREST UNIVERSITY HEALTH SCIENCES ACTING IN THEIR OFFICIAL CAPACITY, IN ACCORDANCE WITH PROCEDURES PRESCRIBED BY THE BOARD OF DIRECTORS OF WAKE FOREST UNIVERSITY HEALTH SCIENCES.
FORM 990, PART VI, SECTION A, LINE 7BDECISIONS OF THE ORGANIZATIONS' GOVERNING BODIES WHICH REQUIRE APPROVAL BY THE PARENT ORGANIZATION, WAKE FOREST UNIVERSITY HEALTH SCIENCES, INCLUDE AMENDMENTS TO THE ORGANIZATIONS' GOVERNANCE DOCUMENTS (ARTICLES OF INCORPORATION AND BYLAWS), AND THE ELECTION AND REMOVAL OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11BTHE BOARDS OF DIRECTORS OF ALL ORGANIZATIONS REPRESENTED ON THIS GROUP RETURN RECEIVE A COPY OF THE FORM 990 WITH SUFFICIENT TIME TO PERMIT REVIEW, COMMENT, AND QUESTIONS PRIOR TO ITS FILING. IF MODIFICATIONS ARE REQUIRED FOLLOWING SUCH REVIEW, THE REVISED FORM 990 IS REDISTRIBUTED PRIOR TO ITS FILING WITH THE IRS, ALONG WITH A SUMMARY OF THE MODIFICATIONS.
FORM 990, PART VI, SECTION B, LINE 12CALL ORGANIZATIONS INCLUDED IN THIS GROUP RETURN REQUIRE OFFICERS AND DIRECTORS TO DISCLOSE CONFLICTS OF INTEREST ANNUALLY, AND AS THEY ARISE. ANY ITEMS DISCLOSED ARE REVIEWED AND MANAGED IN ACCORDANCE WITH THE ORGANIZATIONS' POLICY ON CONFLICTS OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15NO ORGANIZATIONS INCLUDED IN THIS GROUP RETURN PAY COMPENSATION TO OFFICERS OR DIRECTORS. ALL COMPENSATION PAID TO OFFICERS AND DIRECTORS AND FORMER OFFICERS OR DIRECTORS IS PAID BY RELATED ORGANIZATIONS. THE GOVERNANCE & COMPENSATION COMMITTEE OF THE WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER BOARD IS RESPONSIBLE FOR REVIEWING AND APPROVING MOST OFFICERS' COMPENSATION. THE COMMITTEE UTILIZES INDEPENDENT COMPENSATION CONSULTANTS, COMPENSATION SURVEYS AND STUDIES TO DETERMINE THE APPROPRIATENESS OF EACH SUCH OFFICERS' COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19THE ARTICLES OF INCORPORATION OF EACH OF THE SEPARATE DIALYSIS CENTER ORGANIZATIONS INCLUDED IN THIS GROUP EXEMPTION RETURN ARE AVAILABLE TO THE PUBLIC ON REQUEST AND ARE AVAILABLE ON THE WEBSITE OF THE NORTH CAROLINA SECRETARY OF STATE. SUCH ORGANIZATIONS' BYLAWS ARE NOT PUBLISHED, BUT PROVISIONS FROM THEIR BYLAWS ARE INCLUDED AS NECESSARY IN SUCH ORGANIZATIONS' POLICIES, AND ARE ATTACHED TO THE FORMS 1023 FILED FOR THE ORGANIZATION WITH THE IRS, WHICH IS PUBLICLY AVAILABLE. THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS OF SUCH ORGANIZATIONS ARE AVAILABLE TO THE PUBLIC ON REQUEST.
PART VII, SECTION A, COLUMN B, HOURSJOHN D. MCCONNELL, MD FILING ORG 0.0 RELATED ORG 0.1 UNRELATED ORG 39.9 JULIE A. FREISCHLAG, MD FILING ORG 0.5 RELATED ORG 18.3 UNRELATED ORG 21.2 BARRY I. FREEDMAN, MD FILING ORG 0.5 RELATED ORG 39.5 TERRY L. HALES, JR. FILING ORG 0.5 RELATED ORG 39.5 TERRY G. WILLIAMS FILING ORG 0.5 RELATED ORG 4.0 UNRELATED ORG 35.5 KEVIN P. HIGH, MD FILING ORG 0.5 RELATED ORG 6.7 UNRELATED ORG 32.8 J. REID MORGAN FILING ORG 0.5 RELATED ORG 33.5 UNRELATED ORG 6.0 BRADLEY A. CLARK FILING ORG 0.5 RELATED ORG 7.1 UNRELATED ORG 32.4 NORTH CAROLINA BAPTIST HOSPITAL ("NCBH") AND WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER ("WFUBMC") ARE UNRELATED ORGANIZATIONS TO THE SEPARATE DIALYSIS CENTER ORGANIZATIONS INCLUDED IN THIS GROUP RETURN. PURSUANT TO THE TERMS OF THE "MEDICAL CENTER INTEGRATION AGREEMENT" (AN AGREEMENT ENTERED INTO IN 2010 AMONG FOUR PARTIES: WAKE FOREST UNIVERSITY, WAKE FOREST UNIVERSITY HEALTH SCIENCES (BOTH RELATED ORGANIZATIONS OF THE FILING ORGANIZATION), WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER AND NORTH CAROLINA BAPTIST HOSPITAL (BOTH UNRELATED TO THE FILING ORGANIZATION), UNDER WHICH AGREEMENT THE OPERATION OF WFUHS AND NCBH, AND ALL OF THE RESPECTIVE SUBSIDIARIES OF EACH, WAS DELEGATED TO WFUBMC), THE CORPORATE OFFICERS OF WFUBMC GENERALLY SERVE ALSO AS THE CORPORATE OFFICERS OF WFUHS AND NCBH. THUS, CERTAIN OFFICERS OF THE ORGANIZATIONS INCLUDED IN THIS GROUP RETURN ALSO DEVOTE HOURS TO THE RELATED ORGANIZATIONS, AS WELL AS TO THE UNRELATED ORGANIZATIONS (WFUBMC AND NCBH), AS SHOWN IN THE BREAKDOWN OF HOURS ABOVE.
FORM 990, PART IX, LINE 11GCONTRACTED SERVICES & MEDICAL DIRECTOR: PROGRAM SERVICE EXPENSES 30,964,378. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,964,378. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 2,227,102. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,227,102.
FORM 990, PART XII, LINE 2C:THIS PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
WAKE FOREST EMERGENCY PROVIDERS
MEDICAL CENTER BLVDWINSTON SALEMNC27157561903275HEALTHCARENC501(C)(3)LINE 3WAKE FOREST UNIVERSITY HEALTH SCIENCES0
WAKE FOREST UNIVERSITY HEALTH SCIENCES
MEDICAL CENTER BLVDWINSTON SALEMNC27157223849199EDUCATION, RESEARCH, HEALTHCARENC501(C)(3)LINE 2WAKE FOREST UNIVERSITY0
WAKE FOREST UNIVERSITY
BOX 7201WINSTON SALEMNC27109560532138EDUCATIONNC501(C)(3)LINE 20N/A
WAKE FOREST INNOVATION QUARTER MANAGEMENT CO
MEDICAL CENTER BLVDWINSTON SALEMNC27157061818498RESEARCH PARK DEVELOPMENTNC501(C)(3)LINE 12A, IWAKE FOREST UNIVERSITY HEALTH SCIENCES0
WAKE FOREST INNOVATION QUARTER CDC
MEDICAL CENTER BLVDWINSTON SALEMNC27157200177581RESEARCH PARK DEVELOPMENTNC501(C)(3)LINE 12A, IWAKE FOREST UNIVERSITY HEALTH SCIENCES0
WAKE FOREST INNOVATION QUARTER DEVELOPMENT CO
MEDICAL CENTER BLVDWINSTON SALEMNC27157562094067RESEARCH PARK DEVELOPMENTNC501(C)(6)WAKE FOREST UNIVERSITY HEALTH SCIENCES0
CHILDRESS INSTITUTE FOR PEDIATRIC TRAUMA
575 N PATTERSON AVENUEWINSTON SALEMNC27101463674691HEALTHCARE RESEARCHNC501(C)(3)LINE 7WAKE FOREST UNIVERSITY HEALTH SCIENCES0
REGENMED DEVELOPMENT ORGANIZATION
MEDICAL CENTER BLVDWINSTON SALEMNC27157202710571ACCELERATE DEVELOPMENT OF REGENERATIVE MEDICINE THERAPYNC501(C)(3)LINE 7WAKE FOREST UNIVERSITY HEALTH SCIENCES0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
VERGER FUND II LLC
PO BOX 7201WINSTON SALEMNC27109352514227INVESTMENTNCN/A
WAKE FOREST TECHNOLOGY DEVELOPMENT PROGRAM LP
2520 MERIDIAN PARKWAYDURHAMNC27713475437596INVESTMENTNCN/A
WAKE FOREST AMBULATORY VENTURES LLC
MEDICAL CENTER BOULEVARDWINSTON SALEMNC27157820777206HEALTHCARENCN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1NORTH DISTRICT OWNERS ASSOCIATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1MEDICAL CENTER BLVDAddressLine1Txt
CityWINSTON SALEMCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27157ZIPCd
FieldValueIRS element (for citing)
EIN471128865EIN
Primary ActivitiesPROPERTY OWNERS ASSOCIATIONPrimaryActivitiesTxt
Legal Domicile StateNCLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd