NORTH CAROLINA BAPTIST HOSPITAL: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- NORTH CAROLINA BAPTIST HOSPITAL (EIN 56-0552787)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2016-05-13
- IRS object ID
- 201601349349301160
- Schema version
- 2014v6.0
- 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 F
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-05-13T08:07:23-05:00 | ReturnTs |
| Tax Period End | 2015-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 135565207 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 NORTH GREENE STREET | AddressLine1Txt |
| City | GREENSBORO | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27401 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560552787 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTH CAROLINA BAPTIST HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NORT | BusinessNameControlTxt |
| Phone | 3367164445 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | MEDICAL CENTER BLVD | AddressLine1Txt |
| City | WINSTONSALEM | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27157 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN D MCCONNELL MD | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 3367164445 | PhoneNum |
| Signature | 2016-05-09 | SignatureDt |
| Discuss With Paid Preparer | 0 | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| PTIN | P00008888 | PTIN |
| Phone | 3362753394 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOHN D MCCONNELL MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | MEDICAL CENTER BLVD | AddressLine1Txt |
| City | WINSTONSALEM | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27157 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,434,838,138 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.WAKEHEALTH.EDU | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1923 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | IMPROVING THE HEALTH OF OUR REGION, STATE AND NATION | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 9919 | TotalEmployeeCnt |
| Total Volunteers | 1567 | TotalVolunteersCnt |
| Total Gross UBI | $1,569,779 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $26,215 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,779,473 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,581,491 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,248,886,678 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,378,021,295 | CYProgramServiceRevenueAmt |
| PY Investment Income | $28,301,498 | PYInvestmentIncomeAmt |
| CY Investment Income | $42,522,391 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,875,926 | PYOtherRevenueAmt |
| CY Other Revenue | $6,234,990 | CYOtherRevenueAmt |
| PY Total Revenue | $1,286,843,575 | PYTotalRevenueAmt |
| CY Total Revenue | $1,431,360,167 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,333,090 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $890,705 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $588,281,320 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $586,192,713 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $710,751,095 | PYOtherExpensesAmt |
| CY Other Expenses | $805,883,772 | CYOtherExpensesAmt |
| PY Total Expenses | $1,300,365,505 | PYTotalExpensesAmt |
| CY Total Expenses | $1,392,967,190 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$13,521,930 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $38,392,977 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,812,990,944 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,805,945,830 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $860,530,734 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $851,291,673 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $952,460,210 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $954,654,157 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O FOR CONTINUATIONWAKE FOREST BAPTIST MEDICAL CENTER'S MISSION IS TO IMPROVE THE HEALTH OF THE REGION, STATE AND NATION BY:- SERVING AS THE PREMIER HEALTH SYSTEM IN THE REGION, WITH SPECIFIC CENTERS OF EXCELLENCE RECOGNIZED AS NATIONAL AND INTERNATIONAL CARE DESTINATIONS.- GENERATING AND TRANSLATING KNOWLEDGE TO PREVENT, DIAGNOSE AND TREAT DISEASE.- TRAINING TOMORROW'S LEADERS IN HEALTH CARE AND BIOMEDICAL SCIENCE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,233,074,506 | ExpenseAmt |
| Grant | $890,705 | GrantAmt |
| Revenue | $1,377,311,805 | RevenueAmt |
| Desc | SEE SCHEDULE O FOR COMPLETE DESCRIPTIONNORTH CAROLINA BAPTIST HOSPITAL IS AN INTEGRAL PART OF WAKE FOREST BAPTIST MEDICAL CENTER, A PREEMINENT, INTERNATIONALLY RECOGNIZED ACADEMIC MEDICAL CENTER OF THE HIGHEST QUALITY WITH BALANCED EXCELLENCE IN PATIENT CARE, RESEARCH AND EDUCATION. THE FOLLOWING PARAGRAPHS ARE PROVIDED TO EXPLAIN THE RELATIONSHIP OF THE FILING ORGANIZATION WITH OTHER ORGANIZATIONS WHICH TOGETHER COMPRISE "WAKE FOREST BAPTIST MEDICAL CENTER", THE NAME, NOT OF ANY ONE CORPORATE ENTITY, BUT THAT IS USED GENERICALLY TO DESCRIBE A LARGE GROUP OF MOSTLY TAX-EXEMPT 501 (C)(3) ORGANIZATIONS PERFORMING VARIOUS ACADEMIC MEDICAL CENTER ACTIVITIES IN NORTHWEST NORTH CAROLINA, INCLUDING PATIENT CARE (THE "CLINICAL ENTERPRISE"), MEDICAL RESEARCH AND TECHNOLOGY TRANSFER (THE "INNOVATION ENTERPRISE") AND MEDICAL EDUCATION (THE "ACADEMIC ENTERPRISE"). BECAUSE THESE ACTIVITIES ARE NOT ALL PERFORMED BY EACH ORGANIZATION, THE NARRATIVE THAT FOLLOWS WILL INCLUDE DESCRIPTIONS OF ACTIVITIES THAT ARE NOT PERFORMED BY THE FILING ORGANIZATION BUT BY A RELATED (OR UNRELATED BUT AFFILIATED) ORGANIZATION; THEY ARE AGAIN PROVIDED TO ILLUSTRATE A COMPLETE PICTURE OF THE FILING ORGANIZATION'S ROLE IN THIS INTEGRATED ACADEMIC MEDICAL CENTER'S COMPREHENSIVE ACTIVITIES. WAKE FOREST BAPTIST MEDICAL CENTER IS NORTHWEST NORTH CAROLINA'S SOLE ACADEMIC MEDICAL CENTER, BRINGING TO THE REGION THE RESOURCES OF ONE OF AMERICA'S TOP HOSPITALS AND INNOVATIVE RESEARCH CENTERS AND A PREMIER MEDICAL SCHOOL. WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER IS A CORPORATION WHOSE MEMBERS ARE WAKE FOREST UNIVERSITY AND NORTH CAROLINA BAPTIST HOSPITAL. THE MEDICAL CENTER OPERATES WAKE FOREST SCHOOL OF MEDICINE, WHICH HAS A FACULTY OF 1,215, INCLUDING PHYSICIANS AND BASIC SCIENTISTS. THE MEDICAL CENTER HAS 1,060 ACUTE CARE AND REHABILITATION BEDS OPERATIVE ACROSS THE SYSTEM, WHICH ENCOMPASSES ITS MAIN CAMPUS (885 BEDS), WAKE FOREST BAPTIST HEALTH-LEXINGTON MEDICAL CENTER (94 BEDS) AND WAKE FOREST BAPTIST HEALTH-DAVIE MEDICAL CENTER (81 BEDS). IN DECEMBER 2015, THE MEDICAL CENTER BROKE GROUND ON A $47 MILLION, 50-BED TOWER AT ITS DAVIE MEDICAL CENTER-BERMUDA RUN CAMPUS. THE FACILITY IS EXPECTED TO OPEN IN THE SPRING OF 2017. OVERALL, WAKE FOREST BAPTIST MEDICAL CENTER SERVES A 24-COUNTY REGION IN NORTHWESTERN NORTH CAROLINA AND SOUTHWESTERN VIRGINIA. IT ALSO DRAWS PATIENTS FROM ACROSS THE NATION FOR SELECT SERVICES.THE MEDICAL CENTER IS THE DRIVING FORCE BEHIND THE ESTABLISHMENT OF WAKE FOREST INNOVATION QUARTER, A GROWING URBAN-BASED DISTRICT FOR RESEARCH, BUSINESS AND EDUCATION IN BIOMEDICAL SCIENCE, INFORMATION TECHNOLOGY, CLINICAL SERVICES AND ADVANCED MATERIALS LOCATED IN DOWNTOWN WINSTON SALEM. HOME TO MORE THAN 50 COMPANIES, FOUR LEADING INSTITUTIONS, MORE THAN 3,100 WORKERS AND 2,000 STUDENTS, THE INNOVATION QUARTER CURRENTLY COMPRISES 1.5 MILLION SQUARE FEET OF INSPIRATIONAL OFFICE, LABORATORY AND EDUCATIONAL SPACE ON ITS 145 DEVELOPABLE ACRES. THE QUARTER HOUSES A WIDE RANGE OF PROGRAMS AND PROJECTS BRIDGING ART, SCIENCE AND TECHNOLOGY.IN JULY 2016, WAKE FOREST SCHOOL OF MEDICINE WILL MOVE INTO THE BOWMAN GRAY CENTER FOR MEDICAL EDUCATION IN THE INNOVATION QUARTER. THE $50 MILLION PROJECT IS A STATE OF THE ART FACILITY WHERE FUTURE GENERATIONS OF PHYSICIANS AND RESEARCHERS WILL BE TRAINED. IT IS THE RESULT OF RENOVATIONS TO A FORMER R.J. REYNOLDS TOBACCO CO. BUILDING.1. CLINICAL SERVICES WAKE FOREST BAPTIST MEDICAL CENTER IS NATIONALLY RECOGNIZED FOR CLINICAL EXCELLENCE AND INTERNATIONALLY KNOWN FOR PIONEERING RESEARCH AND CLINICAL INNOVATION. ITS CLINICAL ENTERPRISE, WAKE FOREST BAPTIST HEALTH, OFFERS EXPERTISE IN MORE THAN 100 AREAS OF MEDICINE, ENCOMPASSING COMPREHENSIVE PREVENTIVE AND HIGHLY SPECIALIZED CARE FOR ALL AGES. THE MEDICAL CENTER NETWORK INCLUDES THE 167-BED COMPREHENSIVE CANCER CENTER AND THE 144-BED BRENNER CHILDREN'S HOSPITAL, BOTH OF WHICH ARE ON THE MAIN CAMPUS IN WINSTON SALEM, AS WELL AS COMMUNITY HOSPITALS IN NEIGHBORING DAVIDSON AND DAVIE COUNTIES. ACROSS ITS SERVICE AREA OF NORTHWEST NORTH CAROLINA AND SOUTHWEST VIRGINIA, WAKE FOREST BAPTIST HAS 11 EMERGENCY DEPARTMENTS, 27 PRIMARY CARE CLINICS, 16 DIALYSIS CENTERS, AND FREESTANDING IMAGING AND ENDOSCOPY CENTERS. THE MEDICAL CENTER EMPLOYS 1,215 PHYSICIANS, 2,985 REGISTERED NURSES, 578 RESIDENTS AND 129 FELLOWS, AND HAS A TOTAL STAFF OF 13,441.OVERALL IN FY 2015, WAKE FOREST BAPTIST HAD 40,251 INPATIENT ADMISSIONS, 108,583 EMERGENCY DEPARTMENT VISITS AND 1,111,409 OUTPATIENT ENCOUNTERS (AMBULATORY VISITS AND OUTPATIENT DEPARTMENTS). 2. OUTREACHWAKE FOREST BAPTIST MEDICAL CENTER CONTINUES A BROAD-BASED EFFORT TO REACH UNDERSERVED POPULATIONS ACROSS ITS SERVICE AREA. THE MEDICAL CENTER'S ANNUAL COMMUNITY BENEFITS REPORT REFLECTS THIS COMMITMENT. IN FISCAL 2014, THE MOST RECENT YEAR FOR WHICH FIGURES ARE AVAILABLE, THE MEDICAL CENTER SPENT $272.6 MILLION TO SUPPORT THESE AREAS: - SUBSIDIZED HEALTH COSTS- COMMUNITY HEALTH OUTREACH- CHARITY CARE- RESEARCH- EDUCATIONONE ANCHOR OF OUTREACH FOR THE MEDICAL CENTER IS ITS DOWNTOWN HEALTH PLAZA, A FULL-SERVICE, OUTPATIENT MEDICAL CLINIC THAT SERVES MANY OF FORSYTH COUNTY'S UNINSURED AND UNDERINSURED RESIDENTS WITH A STATE OF THE ART MEDICAL HOME. IN ADDITION TO CLINICAL CARE, THE DOWNTOWN HEALTH PLAZA OFFERS COMMUNITY HEALTH FAIRS, DIABETES EDUCATION AND A CENTERING PREGNANCY PROGRAM THAT IS REDUCING THE INCIDENCE OF LOW BIRTH WEIGHT BABIES. ALTOGETHER, 67,103 PATIENT VISITS WERE RECORDED AT THE DOWNTOWN HEALTH PLAZA BETWEEN JULY 2014 AND JUNE 2015.THE MEDICAL CENTER'S PROGRAMS AND PARTNERSHIPS REFLECT INNOVATIVE EFFORTS TO REACH UNDERSERVED POPULATIONS. THEY INCLUDE: - REGULAR COMMUNITY-BASED HEALTH CLINICS, INCLUDING: THE WEEKLY DELIVERING EQUAL ACCESS TO CARE (DEAC) CLINIC AT THE COMMUNITY CARE CENTER IN WINSTON SALEM, THE MONTHLY TRIAD FREE HEALTH CLINIC AT COMMUNITY MOSQUE IN WINSTON SALEM, THE MONTHLY GRACE CLINIC AT NEW LIGHT MISSIONARY BAPTIST CHURCH IN WINSTON SALEM AND THE ANNUAL SHARE THE HEALTH FAIR AT THE DOWNTOWN HEALTH PLAZA IN WINSTON SALEM. THESE CLINICS, SPONSORED BY PRIVATE ORGANIZATIONS AND CHURCHES WITH VOLUNTEER ASSISTANCE FROM WAKE FOREST BAPTIST PHYSICIANS, NURSES, MEDICAL STUDENTS AND OTHERS, ATTRACT THOUSANDS OF PEOPLE TO SCREENINGS FOR ACUTE AND CHRONIC CONDITIONS. -PROVIDING STAFF SUPPORT SERVICES TO A MENTAL HEALTH CLINIC DESIGNED TO HELP HOMELESS PEOPLE STABILIZE THEIR MENTAL HEALTH. THE HOMELESS OPPORTUNITIES & TREATMENT (HOT) PROJECT IS CONDUCTED AT SAMARITAN MINISTRIES, A HOMELESS SHELTER IN WINSTON SALEM. IT IS PART OF THE LARGER EMPOWERMENT PROJECT CONNECTING HOMELESS PEOPLE IN NEED WITH HOUSING, EDUCATION AND TRAINING.-THE SCHOOL OF MEDICINE'S PHYSICIAN ASSISTANT (PA) PROGRAM, WHICH IS INCREASING THE NUMBER OF PAS WORKING IN PRIMARY CARE IN NORTH CAROLINA'S RURAL APPALACHIAN COUNTIES THROUGH ITS NEW SECOND CAMPUS AT APPALACHIAN STATE UNIVERSITY IN BOONE. - FAITHHEALTHNC, AN INITIATIVE THAT CONNECTS THE CARING STRENGTHS OF CONGREGATIONS, THE CLINICAL EXPERTISE OF PROVIDERS AND A NETWORK OF COMMUNITY RESOURCES TO EASE THOSE ON THE JOURNEY TO HEALTH AND HEALING, WHILE STRENGTHENING COMMUNITIES IN THE PROCESS.ALSO THIS YEAR, THE WAKE FOREST BAPTIST MEDICAL CENTER CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTE (CTSI) RECEIVED A FOUR-YEAR, $15.6 MILLION CLINICAL AND TRANSLATIONAL SCIENCE AWARD (CTSA) FROM THE NATIONAL INSTITUTES OF HEALTH (NIH). THE PROGRAM GIVES WAKE FOREST BAPTIST ENTRY INTO THE NATIONAL CLINICAL AND TRANSLATIONAL SCIENCE AWARD CONSORTIUM, WHICH IS COMPRISED OF MORE THAN 60 ACADEMIC MEDICAL CENTERS AND PARTNER ORGANIZATIONS, WORKING COLLABORATIVELY TO ACCELERATE TRANSLATION OF DISCOVERIES INTO BETTER PREVENTIVE AND TREATMENT SOLUTIONS TO IMPROVE HEALTH. THE CTSI WILL SPEED THE TRANSLATION OF DISCOVERIES TO IMPROVE HEALTH, EXPANDING OPPORTUNITIES FOR PATIENTS TO PARTICIPATE IN LEADING EDGE CLINICAL TRIALS AND STUDIES, MANY OF WHICH ARE AIMED AT REDUCING CHRONIC DISEASES SUCH AS DIABETES AND HYPERTENSION.3. EDUCATIONAL MISSION AND ACCOMPLISHMENTS THE CONSTITUENT ORGANIZATIONS OF WAKE FOREST BAPTIST MEDICAL CENTER OPERATE A BROAD RANGE OF EDUCATIONAL PROGRAMS, GRADUATING SKILLED PRACTITIONERS. IT ATTRACTS SOME OF THE WORLD'S MOST COMPETITIVE MEDICAL STUDENTS, RESIDENTS AND FELLOWS, AS WELL AS STUDENTS IN CLINICAL PASTORAL CARE, NURSE ANESTHESIA AND OTHER AREAS. IN THE MOST RECENT REPORTING PERIOD, WAKE FOREST BAPTIST INVESTED MORE THAN $77.5 MILLION IN THE EDUCATION OF TOMORROW'S HEALTH CARE AND BIOMEDICAL LEADERS. THAT INVESTMENT SUPPORTED THE TRAINING OF 467 MEDICAL STUDENTS, 707 PHYSICIAN RESIDENTS AND FELLOWS, 291 GRADUATE STUDENTS AND 177 PHYSICIAN ASSISTANTS. IN ADDITION, THE NORTHWEST AREA HEALTH EDUCATION CENTER, PART OF WAKE FOREST SCHOOL OF MEDICINE, OFFERED 1,908 CONTINUING MEDICAL EDUCATION ACTIVITIES THAT DREW 34,765 PARTICIPANTS FROM THROUGHOUT THE REGION. | Desc |
| Total Program Service Expenses | $1,233,074,506 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | Yes (1) | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 250 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 9919 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | NC | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOSEPH DOLAN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3367164445 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | MEDICAL CENTER BLVD | AddressLine1Txt |
| City | WINSTON SALEM | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27157 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (45 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| RON D KESSINGER | |||||||||
| CHAIRMAN | 2.00 | 6.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ARTHUR A GIBEL | |||||||||
| TRUSTEE | 2.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| KATHRYN H HAMRICK | |||||||||
| TRUSTEE | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| A LEE HERRING | |||||||||
| TRUSTEE | 2.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| J WAYNE MEREDITH MD | |||||||||
| TRUSTEE | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| CAROL F POLK | |||||||||
| TRUSTEE | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM C WARDEN JR | |||||||||
| VICE - CHAIRMAN | 2.00 | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| SHEREE B WATSON | |||||||||
| TRUSTEE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| RAY N HOWELL III D MIN | |||||||||
| TRUSTEE | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN D KIMBERLY TO 111014 | |||||||||
| TRUSTEE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| STEPHEN L ROBERTSON | |||||||||
| TRUSTEE | 2.00 | 6.00 | Yes (X) | $0 | $0 | $0 | |||
| EDWIN L WELCH JR | |||||||||
| TRUSTEE | 2.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| LINWOOD L DAVIS | |||||||||
| TRUSTEE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| BRENDA B DIGGS | |||||||||
| TRUSTEE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| LOUIS B BALDWIN JR | |||||||||
| TRUSTEE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| GEORGE D RENFRO | |||||||||
| TRUSTEE | 2.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN D MCCONNELL MD | |||||||||
| TRUSTEE & CEO | 19.00 | 21.00 | Yes (X) | Yes (X) | $1,551,136 | $0 | $232,372 | ||
| H GREG BRAY | |||||||||
| ASST. SECRETARY | 30.00 | 10.00 | Yes (X) | $221,679 | $0 | $24,425 | |||
| J MCLAIN WALLACE JR | |||||||||
| VP GENERAL COUNSEL/SECR | 27.90 | 12.10 | Yes (X) | $458,252 | $0 | $105,752 | |||
| KAREN H HUEY | |||||||||
| VP FACILITIES | 23.00 | 17.00 | Yes (X) | $301,785 | $0 | $65,113 | |||
| ERIC TOMLINSON | |||||||||
| CHIEF INNOVATION OFFICER | 0.00 | 40.00 | Yes (X) | $548,647 | $0 | $94,369 | |||
| NORMAN D POTTER JR | |||||||||
| VP DEVELOPMENT & ALUMNI AF | 20.00 | 20.00 | Yes (X) | $331,464 | $0 | $73,190 | |||
| CHERYL EH LOCKE | |||||||||
| VP CHIEF HUMAN RESOURCES | 30.00 | 10.00 | Yes (X) | $394,692 | $0 | $84,972 | |||
| LISA M WYATT | |||||||||
| VP CHIEF COMM & MARKETING | 20.00 | 20.00 | Yes (X) | $342,656 | $0 | $71,045 | |||
| EDWARD ABRAHAM MD | |||||||||
| DEAN, SCHOOL OF MEDICINE | 0.00 | 40.00 | Yes (X) | $619,588 | $0 | $153,776 | |||
| C MICHAEL RUTHERFORD | |||||||||
| CFO/TREASURER | 22.00 | 18.00 | Yes (X) | $0 | $0 | $0 | |||
| BRADLEY A CLARK | |||||||||
| ASSISTANT TREASURER | 23.00 | 17.00 | Yes (X) | $229,845 | $0 | $28,451 | |||
| TERRY G WILLIAMS | |||||||||
| EXEC. VP STRAT & NET WK DE | 21.00 | 19.00 | Yes (X) | $572,543 | $0 | $165,039 | |||
| K BARBARA CARBONE MD | |||||||||
| PRESIDENT/COO | 14.00 | 26.00 | Yes (X) | $895,532 | $0 | $197,496 | |||
| CHAD A ECKES | |||||||||
| CFO, TREAS., CIO | 23.00 | 17.00 | Yes (X) | $390,305 | $0 | $88,718 | |||
| KEVIN P HIGH MD | |||||||||
| EVP, HS AFFAIRS | 14.00 | 26.00 | Yes (X) | $439,852 | $0 | $26,774 | |||
| DEETTE M EMON | |||||||||
| CIO | 20.00 | 20.00 | Yes (X) | $145,538 | $0 | $6,124 | |||
| BETTY PETREE | |||||||||
| DIRECTOR NURSE ANESTHESIA | 40.00 | 0.00 | $266,675 | $0 | $8,186 | Yes (X) | |||
| MICHAEL RIEKER | |||||||||
| DIRECTOR OF NURSE ANESTHES | 40.00 | 0.00 | $226,101 | $0 | $27,085 | Yes (X) | |||
| VANCE MCVAY JR | |||||||||
| CLINICAL INSTRUCTOR CRNA | 40.00 | 0.00 | $244,726 | $0 | $26,151 | Yes (X) | |||
| MICHAEL T WAID | |||||||||
| VP CLINICAL OPERATIONS | 40.00 | 0.00 | $267,650 | $0 | $68,515 | Yes (X) | |||
| JOHN K LEW | |||||||||
| AVP - HR | 20.00 | 20.00 | $243,872 | $0 | $20,761 | Yes (X) | |||
| JOANNE C RUHLAND | |||||||||
| FORMER OFFICER | 25.00 | 15.00 | $269,000 | $0 | $58,292 | Yes (X) | |||
| EDWARD G CHADWICK | |||||||||
| FORMER OFFICER | 0.00 | 0.00 | $1,588,175 | $0 | $20,524 | Yes (X) | |||
| THOMAS E SIBERT MD | |||||||||
| FORMER OFFICER | 0.00 | 0.00 | $1,403,531 | $0 | $21,223 | Yes (X) | |||
| RUSSELL M HOWERTON MD | |||||||||
| FORMER OFFICER | 22.00 | 18.00 | $555,519 | $0 | $143,586 | Yes (X) | |||
| SHEILA M SANDERS | |||||||||
| FORMER OFFICER | 0.00 | 0.00 | $155,697 | $0 | $6,842 | Yes (X) | |||
| MAUREEN E SINTICH | |||||||||
| FORMER OFFICER | 39.00 | 1.00 | $227,642 | $0 | $15,129 | Yes (X) | |||
| DONNY C LAMBETH | |||||||||
| FORMER OFFICER | 0.00 | 0.00 | $272,778 | $0 | $6,504 | Yes (X) | |||
| SHARON ENGEBRETSON | |||||||||
| FORMER OFFICER | 34.00 | 6.00 | $130,764 | $0 | $50,656 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $13,295,644 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,891,070 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 432 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (1) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ARAMARK | |||||
| 2300 WARRENVILLE ROAD | DOWNER GROVE | IL | 60515 | MANAGEMENT SERVICES | $5,472,369 |
| ORACLE AMERICA INC | |||||
| 500 ORACLE PKWY | REDWOOD SHORES | CA | 94065 | TECHNOLOGY | $4,242,397 |
| ANGELICA TEXTILE SERVICES INC | |||||
| 4 ANSON ST | DURHAM | NC | 27703 | LINENS & TEXTILE SRV | $4,084,498 |
| MEDCOST BENEFIT SERVICES | |||||
| 165 KIMEL PARK DRIVE | WINSTON SALEM | NC | 27103 | TPA | $3,416,020 |
| HCCA INTERNATIONAL | |||||
| 12 CADILLAC DRIVE | BRENTWOOD | TN | 37027 | STAFFING SERVICES | $3,235,688 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 121 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,000,000 | RelatedOrganizationsAmt |
| Government Grants | $915,864 | GovernmentGrantsAmt |
| All Other Contributions | $2,665,627 | AllOtherContributionsAmt |
| Noncash Contributions | $119,508 | NoncashContributionsAmt |
| Total Contributions | $4,581,491 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT SERVICE REVENUE | 621990 | $1,363,026,955 | $1,363,026,955 | |
| COST RECOVERY & OTHER | 621990 | $5,849,554 | $6,267,039 | -$417,485 |
| MEDICAL/LAB SERVICE | 621500 | $4,646,257 | $2,943,677 | $1,702,580 |
| DIETARY | 722210 | $4,498,529 | $4,213,845 | $284,684 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,378,021,295 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,454,170 | TotalRevenueColumnAmt |
| Exclusion | $16,454,170 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $608,625 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $608,625 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $608,625 | TotalRevenueColumnAmt |
| Exclusion | $608,625 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $25,283,215 | SecuritiesAmt |
| Other | $4,262,977 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $3,477,971 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $25,283,215 | SecuritiesAmt |
| Other | $785,006 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $26,068,221 | TotalRevenueColumnAmt |
| Exclusion | $26,068,221 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| PARKING FEES | 900099 | $3,359,163 | $3,359,163 | |
| GIFT SHOP REVENUE | 453220 | $1,406,913 | $1,406,913 | |
| TUITION | 900099 | $860,289 | $860,289 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $5,626,365 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,431,360,167 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,377,311,805 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,569,779 | UnrelatedBusinessRevenueAmt |
| Exclusion | $47,897,092 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $825,205 | TotalAmt |
| Program Services | $825,205 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,500 | TotalAmt |
| Program Services | $65,500 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,774,644 | TotalAmt |
| Management And General | $7,774,644 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $299,035 | TotalAmt |
| Management And General | $299,035 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $465,648,347 | TotalAmt |
| Program Services | $383,016,582 | ProgramServicesAmt |
| Management And General | $82,631,765 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,334,136 | TotalAmt |
| Program Services | $9,250,602 | ProgramServicesAmt |
| Management And General | $3,083,534 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,112,731 | TotalAmt |
| Program Services | $57,506,112 | ProgramServicesAmt |
| Management And General | $13,606,619 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,023,820 | TotalAmt |
| Program Services | $21,767,865 | ProgramServicesAmt |
| Management And General | $7,255,955 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,900 | TotalAmt |
| Program Services | $18,675 | ProgramServicesAmt |
| Management And General | $6,225 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $277,983 | TotalAmt |
| Management And General | $277,983 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $558,276 | TotalAmt |
| Program Services | $558,276 | ProgramServicesAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,866,718 | TotalAmt |
| Program Services | $1,933,359 | ProgramServicesAmt |
| Management And General | $1,933,359 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $176,729,258 | TotalAmt |
| Program Services | $161,245,428 | ProgramServicesAmt |
| Management And General | $15,483,830 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,688,357 | TotalAmt |
| Program Services | $1,357,943 | ProgramServicesAmt |
| Management And General | $1,330,414 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,268,460 | TotalAmt |
| Program Services | $30,927,515 | ProgramServicesAmt |
| Management And General | $11,340,945 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,781,986 | TotalAmt |
| Program Services | $14,086,490 | ProgramServicesAmt |
| Management And General | $4,695,496 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,523,107 | TotalAmt |
| Program Services | $28,833,801 | ProgramServicesAmt |
| Management And General | $7,689,306 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $706,531 | TotalAmt |
| Program Services | $393,984 | ProgramServicesAmt |
| Management And General | $312,547 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,302,552 | TotalAmt |
| Program Services | $806,813 | ProgramServicesAmt |
| Management And General | $495,739 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,628,224 | TotalAmt |
| Program Services | $19,271,429 | ProgramServicesAmt |
| Management And General | $356,795 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,208,101 | TotalAmt |
| Program Services | $79,208,101 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,089,707 | TotalAmt |
| Program Services | $6,267,170 | ProgramServicesAmt |
| Management And General | $822,537 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $291,202,251 | $291,202,251 | |
| BAD DEBT | $80,727,492 | $80,727,492 | |
| PROVIDER ASSESSMENT | $43,803,913 | $43,803,913 | |
| INCOME TAXES | $495,956 | $495,956 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,392,967,190 | TotalAmt |
| Program Services | $1,233,074,506 | ProgramServicesAmt |
| Management And General | $159,892,684 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,843,783 | BOYAmt |
| EOY | $125,810,492 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $308,239,500 | BOYAmt |
| EOY | $232,727,473 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,178,976 | BOYAmt |
| EOY | $25,630,737 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,843,735 | BOYAmt |
| EOY | $35,527,359 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,024,279 | BOYAmt |
| EOY | $12,568,734 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,464,130,719 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $834,099,841 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $657,293,520 | BOYAmt |
| EOY | $630,030,878 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $644,739,683 | BOYAmt |
| EOY | $534,318,259 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $130,137,782 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,321,353 | BOYAmt |
| EOY | $78,478,785 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,506,115 | BOYAmt |
| EOY | $715,331 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,812,990,944 | BOYAmt |
| EOY | $1,805,945,830 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $196,034,485 | BOYAmt |
| EOY | $236,381,542 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $499,980,630 | BOYAmt |
| EOY | $489,181,693 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $164,515,619 | BOYAmt |
| EOY | $125,728,438 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $860,530,734 | BOYAmt |
| EOY | $851,291,673 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $947,453,029 | BOYAmt |
| EOY | $948,890,434 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,798,551 | BOYAmt |
| EOY | $3,408,625 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,208,630 | BOYAmt |
| EOY | $2,355,098 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $952,460,210 | BOYAmt |
| EOY | $954,654,157 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,812,990,944 | BOYAmt |
| EOY | $1,805,945,830 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $38,392,977 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$31,912,675 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$4,286,355 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | Yes (1) | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $376,927 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $181,349 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $558,276 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | SUPPORT OF GOVT. RELATIONS OFFICE AND PRORATA PORTION OF DUES PAID TO STATE AND LOCAL 501(C)(6) ORGANIZATIONS THAT REPRESENTS LOBBYING ON BEHALF OF ITS MEMBERS. GOVERNMENT RELATIONS THE OFFICE OF GOVERNMENT RELATIONS WAS ACTIVELY INVOLVED WITH SEVERAL FEDERAL AND STATE ISSUES. THE OFFICE ASSISTED IN DEVELOPING POLITICAL ADVOCACY STRATEGIES REGARDING THE PERMANENT REPEAL OF THE PHYSICIAN SUSTAINABLE GROWTH RATE (SGR) FORMULA AND THE DEVELOPMENT OF A REPLACEMENT FORMULA; FUNDING FOR RESOURCES FOR DESIGNATED EBOLA PREPAREDNESS TREATMENT FACILITIES; OPPOSITION TO THE EXTENSION OF THE MEDICARE SEQUESTER IN THE REAUTHORIZATION OF THE TRADE ADJUSTMENT ASSISTANCE (TAA) PROGRAM; LEGISLATION TO MAKE MUCH NEEDED IMPROVEMENTS TO THE CENTER FOR MEDICARE & MEDICAID SERVICES' (CMS) RECOVERY AUDIT CONTRACT (RAC) PROGRAM; BILLS TO INCREASE PHYSICIAN RESIDENCY SLOTS BY 15,000 OVER FIVE YEARS AT TEACHING HOSPITALS; HEALTH RESOURCES AND SERVICES' (HRSA) PROPOSED 340(B) DRUG PRICING PROGRAM MEGA GUIDANCE; FY 2016 INPATIENT PROSPECTIVE PAYMENT SYSTEM (IPPS) RULE; TWO-MIDNIGHT/PATIENT STATUS RULE AND LAWSUIT RULING AND REPEAL; SITE NEUTRAL PAYMENTS REGARDING PROPOSED PAYMENT CUTS FOR EVALUATION AND MANAGEMENT (E/M) SERVICES AND CERTAIN OTHER PROCEDURES PROVIDED IN HOSPITAL OUTPATIENT DEPARTMENTS (HOPD'S); REPEAL OF THE MEDICAL DEVICE TAX AND INDEPENDENT PAYMENT ADVISORY BOARD (IPAB) PROVISIONS OF THE AFFORDABLE CARE ACT; REDUCTIONS TO PAYMENTS FOR INDIRECT MEDICAL EDUCATION (IME) AND DIRECT GRADUATE MEDICAL EDUCATION (DGME) TO TEACHING HOSPITALS; LEGISLATION FOR AN EXTENSION AND MORE FLEXIBILITY FOR HOSPITALS TO MEET THEIR FY 15 ELECTRONIC HEALTH RECORD (EHR) REQUIREMENTS. STAFF WORKED ON THE FY2016 BUDGET; AND THE CY 2016 MEDICARE PHYSICIAN FEE SCHEDULE AND OTHER CHANGES TO MEDICARE PART B. STAFF ALSO WORKED ON MANY OF THE FY 2016 APPROPRIATIONS BILLS AND PROPOSED LEGISLATION AND REGULATIONS THAT WERE INTRODUCED, INCLUDING THE DEPARTMENT OF HEALTH AND HUMAN SERVICES REGARDING THE NATIONAL INSTITUTES OF HEALTH (NIH) BUDGET, AND VETERANS AFFAIRS (VA) RESEARCH AND MEDICAL CARE FUNDING TO EASE ACCESS FOR VETERANS SEEKING HEALTH CARE FROM NON-VA PROVIDERS; AND LEGISLATION REGARDING PATENT TROLLING AND INTELLECTUAL PROPERTY ISSUES. AT THE STATE LEVEL, EFFORTS WERE CONCENTRATED ON MEDICAID REORGANIZATION AND TRANSFORMATION; CONTINGENCY RESERVE FUNDING FOR MEDICAID; PREVENTING ELIMINATION OF MEDICAID GRADUATE MEDICAL EDUCATION FUNDING; INCREASES TO THE MEDICAID PROVIDER ASSESSMENT; CHANGES TO THE STATE HEALTH INFORMATION EXCHANGE (HIE) PROGRAM; INCREASE IN AUTOPSY AND MEDICAL EXAMINER FEES; INSURANCE COVERAGE FOR AUTISM PATIENTS, ORAL CHEMOTHERAPY AND REQUIRED LIABILITY INSURANCE FOR MOPED OWNERS; FUNDING FOR THE WAKE FOREST ARMED FORCES INSTITUTE FOR REGENERATIVE MEDICINE (AFIRM); REPEAL OF THE CERTIFICATE OF NEED LAW; LEGISLATION TO REVISE THE HISTORIC MILL RESTORATION TAX CREDIT IMPACTING THE WAKE FOREST INNOVATION QUARTER; REVISIONS TO THE HEALTH CARE COST REDUCTION AND TRANSPARENCY ACT; FUNDING FOR ADDITIONAL INPATIENT PSYCHIATRIC BEDS; PROTECTION OF THE $45 MILLION HOSPITAL SALES TAX REFUND CAP; THE EXTENSION OF THE LAW PROTECTING EMERGENCY DEPARTMENT PROVIDERS FROM ASSAULT TO ALL HOSPITAL PERSONNEL AND LEGISLATION PROHIBITING OWNERS OF TANNING EQUIPMENT OR FACILITIES FROM PROVIDING TANNING SERVICES TO ANYONE UNDER THE AGE OF 18. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,007,181 | BeginningYearBalanceAmt |
| Contributions | $2,132,638 | ContributionsAmt |
| Investment Earnings Or Losses | $26,445 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,402,541 | OtherExpendituresAmt |
| End Year Balance | $5,763,723 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,768,404 | BeginningYearBalanceAmt |
| Contributions | $1,443,959 | ContributionsAmt |
| Investment Earnings Or Losses | $389,849 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,595,031 | OtherExpendituresAmt |
| End Year Balance | $5,007,181 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,088,305 | BeginningYearBalanceAmt |
| Contributions | $616,961 | ContributionsAmt |
| Investment Earnings Or Losses | $185,112 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $4,121,974 | OtherExpendituresAmt |
| End Year Balance | $4,768,404 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,303,928 | BeginningYearBalanceAmt |
| Contributions | $1,221,778 | ContributionsAmt |
| Investment Earnings Or Losses | -$65,209 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $124,978 | GrantsOrScholarshipsAmt |
| Other Expenditures | $709,300 | OtherExpendituresAmt |
| Administrative Expenses | -$462,086 | AdministrativeExpensesAmt |
| End Year Balance | $8,088,305 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,383,158 | BeginningYearBalanceAmt |
| Contributions | $841,681 | ContributionsAmt |
| Investment Earnings Or Losses | $576,477 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $113,868 | GrantsOrScholarshipsAmt |
| Other Expenditures | $738,112 | OtherExpendituresAmt |
| Administrative Expenses | -$1,354,592 | AdministrativeExpensesAmt |
| End Year Balance | $7,303,928 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.40860 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.59140 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $29,369,819 | OtherCostOrOtherBasisAmt |
| Book Value | $29,369,819 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $842,136,320 | OtherCostOrOtherBasisAmt |
| Depreciation | $479,756,187 | DepreciationAmt |
| Book Value | $362,380,133 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,387,454 | OtherCostOrOtherBasisAmt |
| Depreciation | $790,418 | DepreciationAmt |
| Book Value | $597,036 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $525,067,380 | OtherCostOrOtherBasisAmt |
| Depreciation | $353,553,236 | DepreciationAmt |
| Book Value | $171,514,144 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $66,169,746 | OtherCostOrOtherBasisAmt |
| Book Value | $66,169,746 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $630,030,878 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PUBLICLY TRADED S&P INDEX FUND | Desc |
| Book Value | $130,137,782 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $130,137,782 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| PLI & OTHER LIABILITIES | $56,032,012 |
| PENSION LIABILITIES | $60,138,132 |
| CAPITAL LEASE | $9,558,294 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $125,728,438 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE HOSPITAL'S ENDOWMENT FUNDS ARE USED TO PROVIDE SUPPORT FOR EDUCATION, SCHOLARSHIPS, INDIGENT CARE, AND OTHER DEPARTMENTAL FUNDING. |
| PART X, LINE 2: | THE ORGANIZATION HAS EVALUATED UNCERTAIN TAX POSITIONS FOR ITS FISCAL YEARS ENDED JUNE 30, 2015 AND 2014, INCLUDING A QUANTIFICATION OF TAX RISK IN AREAS SUCH AS UNRELATED BUSINESS TAXABLE INCOME AND THE TAXATION OF ITS FOR-PROFIT SUBSIDIARIES. THIS EVALUATION DID NOT HAVE A MATERIAL EFFECT ON THE ORGANIZATION'S FINANCIAL STATEMENTS FOR THE YEARS ENDED JUNE 30, 2015 AND 2014. |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)
| RegionRegionTxt | OfficesOfficesCnt | EmployeeEmployeeCnt | Type Of Activities ConductedTypeOfActivitiesConductedTxt | Region Total ExpendituresRegionTotalExpendituresAmt |
|---|---|---|---|---|
| CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, | 0 | 0 | INVESTMENTS | $153,292,369 |
| EUROPE (INCLUDING ICELAND & GREENLAND) | 0 | 0 | FOREIGN INVESTMENTS | $12,500,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continutation Total Office | 0 | ContinutationTotalOfficeCnt |
| Continutation Total Employee | 0 | ContinutationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $165,792,369 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $165,792,369 | TotalSpentAmt |
| Transfer To Foreign Corp | Yes (1) | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (1) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | 0 | PassiveForeignInvestmestCoInd |
| Foreign Partnership | 0 | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $59,686,844 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,367,151 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $49,319,693 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03760 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $229,763,284 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $230,448,886 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$685,602 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $40,483,731 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $25,643,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,840,731 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01130 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $329,933,859 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $266,459,037 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $63,474,822 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04890 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,561,190 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,561,190 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00200 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $96,986,865 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $22,546,262 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $74,440,603 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05670 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,089,791 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,089,791 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $920,474 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $920,474 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $102,558,320 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $22,546,262 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $80,012,058 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06100 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $432,492,179 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $289,005,299 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $143,486,880 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10990 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $97,421 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $97,421 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $248,383 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $248,383 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $345,804 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $345,804 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $26,334,025 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $398,374,546 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $483,520,044 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$85,145,498 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTH CAROLINA BAPTIST HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | MEDICAL CENTER BLVD | AddressLine1Txt |
| City | WINSTON SALEM | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27157 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| State License | H0011 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTH CAROLINA BAPTIST HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.WAKEHEALTH.EDU/HCI/ | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 12 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.WAKEHEALTH.EDU/HCI/NEEDS-ASSESSMENT-AND-IMPLEMENTATION-REPORTS.HTM | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.WAKEHEALTH.EDU/HCI/NEEDS-ASSESSMENT-AND-IMPLEMENTATION-REPORTS.H | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.WAKEHEALTH.EDU/FINANCIAL-ASSISTANCE.HTM | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.WAKEHEALTH.EDU/FINANCIAL-ASSISTANCE.HTM | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| NORTH CAROLINA BAPTIST HOSPITAL | PART V, SECTION B, LINE 5: COMMUNITY INPUT WAS OBTAINED THROUGH THREE SOURCES OF PRIMARY DATA COLLECTION; (1) DOOR TO DOOR SURVEY; (2) NINE FOCUS GROUPS WITH UNDERSERVED, LOW INCOME AND MINORITY COMMUNITIES; AND (3) A YOUTH RISK BEHAVIOR SURVEY. THE HOSPITAL WORKED WITH PUBLIC HEALTH EXPERTS FROM THE FORSYTH COUNTY DEPARTMENT OF HEALTH AND FORTY ONE COMMUNITY LEADERS REPRESENTING THE FAITH COMMUNITY, PRIVATE BUSINESS, HEALTHCARE, HIGHER EDUCATION, PUBLIC SAFETY, SOCIAL SERVICES, MENTAL HEALTH, GOVERNMENT AND PRIVATE AND PUBLIC FOUNDATIONS. |
| NORTH CAROLINA BAPTIST HOSPITAL | PART V, SECTION B, LINE 6A: THE HOSPITAL'S CHNA WAS CONDUCTED IN COLLABORATION WITH FORSYTH MEMORIAL HOSPITAL (DBA FORSYTH MEDICAL CENTER), A TAX-EXEMPT HOSPITAL IN FORSYTH COUNTY. |
| NORTH CAROLINA BAPTIST HOSPITAL | PART V, SECTION B, LINE 11: THE COMMUNITY'S HEALTH NEEDS IDENTIFIED THROUGH THE MOST RECENT ASSESSMENT INCLUDE: (1) PHYSICAL ACTIVITY & NUTRITION; (2) CHRONIC DISEASE PREVENTION & MANAGEMENT; (3) MATERNAL & INFANT HEALTH; (4) SOCIAL DETERMINANTS OF HEALTH; (5) ACCESS TO CARE; (6) MENTAL HEALTH; AND (7) SUBSTANCE ABUSE PREVENTION. NORTH CAROLINA BAPTIST HOSPITAL (NCBH) PRIORITIZED THE FOLLOWING FOUR SIGNIFICANT COMMUNITY HEALTH NEEDS FOR ITS CURRENT CHNA BASED ON INTERNAL STRATEGIC PRIORITIES: (1) PHYSICAL ACTIVITY & NUTRITION; (2) CHRONIC DISEASE PREVENTION & MANAGEMENT; (3) ACCESS TO CARE; AND (4) BEHAVIORAL/ MENTAL HEALTH. MATERNAL AND INFANT HEALTH WAS NOT INCLUDED IN THE HOSPITAL'S TOP PRIORITIZED HEALTH NEEDS BECAUSE THE HOSPITAL DOES NOT DELIVER BABIES, EXCEPT IN EMERGENCY SITUATIONS. FORSYTH MEMORIAL HOSPITAL IS THE PRIMARY PROVIDER OF MATERNITY SERVICES IN THE COMMUNITY.THE NCBH ACTION PLANS OUTLINE THE PROBLEMS, STRATEGIES, ACTIVITIES AND DESIRED OUTCOMES FOR EACH OF THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE CHNA. THE ACTION PLANS WERE DEVELOPED THROUGH EVALUATION OF NCBH PROGRAMS AND THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES "HEALTHY PEOPLE 2020" TOPICS. SPECIFICALLY, THE HOSPITAL IS ADDRESSING THESE SIGNIFICANT NEEDS AS FOLLOWS:1. PHYSICAL ACTIVITY AND NUTRITIONNCBH OFFERS SEVERAL PROGRAMS TO ADDRESS THE COMMUNITY'S OBESITY NEEDS, INCLUDING BRENNER FIT (FAMILIES IN TRAINING), A COMPREHENSIVE PEDIATRIC WEIGHT MANAGEMENT PROGRAM FOUNDED ON THE PRINCIPLES OF BEHAVIOR CHANGE, FAMILY-CENTERED CARE THROUGH ITS COMMUNITY WELLNESS OUTREACH PROGRAM, BEST HEALTH, FREE HEALTHY COOKING CLASSES AT ITS DIABETES CENTER TEST KITCHEN AND FREE BMI SCREENINGS, NUTRITION AND FITNESS PROGRAMS OFFERED THROUGHOUT FORSYTH COUNTY.2. CHRONIC DISEASE PREVENTION AND MANAGEMENT-DIABETESNCBH OFFERS COMMUNITY BASED SERVICES INCLUDING A DIABETES EDUCATION GROUP AT DOWNTOWN HEALTH PLAZA AS WELL AS GLUCOSE SCREENINGS. ADDITIONALLY, THE NCBH DIABETES CENTER PROVIDES COORDINATED CARE FOR DIABETES PATIENTS OFFERING THE CONVENIENCE OF ALL PATIENT APPOINTMENTS IN ONE SETTING - AN ENDOCRINOLOGIST, AN OPHTHALMOLOGIST, A PODIATRIST AND A DIABETES EDUCATOR WORK TOGETHER IN ONE LOCATION TO TREAT AND DEVELOP THE PATIENT CARE PLAN. ALL OF THE AFOREMENTIONED PROGRAMS ARE INTENDED TO INCREASE AWARENESS OF DIABETES, PROVIDE PREVENTION AND MANAGEMENT TECHNIQUES AND SUPPORT PATIENTS IN THEIR DIAGNOSIS. NCBH WORKS IN CONJUNCTION WITH THE JERRY LONG FAMILY YMCA TO SUPPORT THEIR DIABETES PREVENTION PROGRAM, WHICH ASSESSES PRE-DIABETES AND PROVIDES A 16 WEEK COURSE, WITH NUTRITION, EXERCISE AND COACHING TO REDUCE RISK FACTORS ASSOCIATED WITH THE ONSET OF DIABETES.3. ACCESS TO CAREFORSYTH COUNTY CONTINUES TO HAVE A HIGH PERCENTAGE OF UNINSURED RESIDENTS WHEN COMPARED TO STATE AND NATIONAL BENCHMARKS. DESPITE THE FACT THAT THE MEDIAN INCOME OF FORSYTH COUNTY RESIDENTS IS ABOVE THE STATE AND NATIONAL AVERAGE, MANY RESIDENTS ARE WITHOUT HEALTH INSURANCE. BARRIERS LIKE LACK OF HEALTH INSURANCE AND THE HIGH COST OF MEDICAL CARE DECREASE ACCESS TO QUALITY HEALTH CARE AND CAN LEAD TO UNMET HEALTH NEEDS. THE HOSPITAL'S CURRENT ACCESS STRATEGIES INCLUDE: 1) CONTINUE SUPPORT OF DOWNTOWN HEALTH PLAZA. NCBH IS SPECIFICALLY RESPONSIVE TO THE NEEDS OF THE MEDICAID AND UNINSURED COMMUNITY AND PROVIDES $4 MILLION IN SUBSIDY FUNDING FOR THE DOWNTOWN HEALTH PLAZA (DHP), A LEVEL 3 NCQA SITE AND NATIONAL HEALTH SERVICE CORP SITE. 2) CONTINUE TO SUPPORT THE "SHARE THE HEALTH" FREE HEALTH FAIR AT DHP. THIS EVENT PROVIDES FREE HEALTH SCREENINGS AND OTHER HEALTH-RELATED SERVICES TO ADULTS AND CHILDREN REGARDLESS OF AGE, INSURANCE COVERAGE, INCOME LEVEL OR IMMIGRATION STATUS. 3) CONTINUE THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM AND EDUCATION TO HELP UNINSURED INDIVIDUALS AND FAMILIES LEARN ABOUT ENROLLMENT IN SOURCES OF INSURANCE SUCH AS MEDICAID, MEDICARE, CHIP, WIC AND HEALTHCARE EXCHANGES. 4) CONTINUE TO SUPPORT THE DEAC CLINIC AT THE COMMUNITY CARE CENTER WHOSE MISSION IS TO PROVIDE FREE HIGH QUALITY HEALTH CARE TO UNDERSERVED INDIVIDUALS. 5) IMPLEMENT A NEW ACCESS TO CARE INITIATIVE THROUGH THE HOSPITAL'S DIVISION OF FAITH AND HEALTH MINISTRIES, FAITHHEALTHNC. FAITHHEALTHNC PROVIDES HEALTH CARE LIAISONS WHO ASSIST THE COMMUNITY'S CLERGY AND FAITH VOLUNTEERS TO ENSURE THAT THEIR MEMBERS' HEALTHCARE NEEDS ARE MET BEFORE, DURING AND AFTER TIMES OF ILLNESS.4. BEHAVIORAL HEALTHNCBH RECOGNIZES THE OVERLAP OF MENTAL, MEDICAL AND SOCIAL DISPARITIES AND THE IMPORTANT ROLE OF BEHAVIORAL HEALTH IN TREATING THE WHOLE PERSON. NCBH WILL CONTINUE TO SUPPORT THE FOLLOWING PROGRAMS AND ACTIVITIES: 1) CONTINUE TO SUPPORT CARENET THAT PROVIDES MENTAL HEALTH SCREENINGS AND SERVICES TO THE UNINSURED AND UNDERINSURED ACROSS A BROAD REGION. 2) CONTINUE THE DEVELOPMENT OF A COMMUNITY BASED BEHAVIORAL HEALTH ED CARE STRATEGY IN COLLABORATION WITH FORSYTH MEDICAL CENTER AND NORTHWEST COMMUNITY CARE NETWORK. 3) CONTINUE TO SUPPORT THE IMPLEMENTATION OF A BEHAVIORAL HEALTH PILOT PROJECT IN NCBH PRIMARY CARE COMMUNITY PRACTICES. 4) CONTINUE TO SUPPORT THE HOMELESS OPPORTUNITIES & TREATMENT (HOT) PROJECT WITH SAMARITAN MINISTRIES. 5) CONTINUE TO SUPPORT THE CAREPLUS POPULATION MANAGEMENT MODEL FOR DUALLY ELIGIBLE MEDICARE AND MEDICAID PATIENTS TO TREAT AND MANAGE BEHAVIORAL HEALTH IN COORDINATION WITH CHRONIC DISEASE MANAGEMENT. 6)CONTINUE TO SUPPORT THE DHP INITIATIVE TO COLLABORATE WITH THE KATE B. REYNOLDS FOUNDATION, CENTERPOINTE AND DAYMARK TO MOVE TOWARD AN INTEGRATED BEHAVIORAL HEALTHCARE MODEL. |
| NORTH CAROLINA BAPTIST HOSPITAL | PART V, SECTION B, LINE 13H: THE HOSPITAL MAY USE COMMERICALLY AVAILABLE FINANCIAL PROFILING AND CREDIT SCORING TECHNOLOGIES TO PRESUMPTIVELY SCREEN INDIVIDUALS TO BE FAP ELIGIBLE. |
| NORTH CAROLINA BAPTIST HOSPITAL | PART V, SECTION B, LINE 22D: THE MAXIMUM AMOUNTS CHARGED TO FAP ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE IS GROSS CHARGES LESS THEIR FAP DISCOUNTS (DETERMINED BY THEIR FPL THRESHOLD). THE FAP DISCOUNTS ARE HIGHER THAN THE AGB DISCOUNTS, THE LATTER WHICH IS BASED ON THE AVERAGE MEDICARE AND PRIVATE HEALTH INSURANCE RATES. ACCORDINGLY, NO FAP ELIGIBLE INDIVIDUAL IS CHARGED MORE THAN AGB FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. |
| PART V, SECTION B, LINE 16 | FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY |
| NORTH CAROLINA BAPTIST HOSPITAL PART V, SECTION B, LINE 16A WEBSITE: | WWW.WAKEHEALTH.EDU/HCI/NEEDS-ASSESSMENT-AND-IMPLEMENTATION-REPORTS.H |
| NORTH CAROLINA BAPTIST HOSPITAL PART V, SECTION B, LINE 16B WEBSITE: | WWW.WAKEHEALTH.EDU/FINANCIAL-ASSISTANCE.HTM |
| NORTH CAROLINA BAPTIST HOSPITAL PART V, SECTION B, LINE 16C WEBSITE: | WWW.WAKEHEALTH.EDU/FINANCIAL-ASSISTANCE.HTM |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 33 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (33 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| STRATFORD EXECUTIVE PARK ABDOMINAL ORGAN | ||||
| 140 CHARLOIS BOULEVARD | WINSTONSALEM | NC | 271031522 | ABDOMINAL ORGAN TRANSPLANT PROGRAM |
| DOWNTOWN HEALTH PLAZA | ||||
| 1200 N MARTIN LUTHER KING JR DRIVE | WINSTONSALEM | NC | 271013006 | ADULT MEDICINE |
| WAKE FOREST UNIVERSITY BAPTIST IMAGING | ||||
| 265 EXECUTIVE PARK BLVD | WINSTONSALEM | NC | 27103 | IMAGING CENTER |
| WINSTON EAST PEDIATRICS OF BAPTIST HOSP | ||||
| 2295 EAST 14TH STREET | WINSTONSALEM | NC | 27105 | PEDIATRICS |
| NCBH INTERNAL MEDICINE | ||||
| 500 SHEPHARD STREET SUITE 300 | WINSTONSALEM | NC | 271031633 | IM MULTISPECIALTY CLINICS |
| MEDICAL PLAZA COUNTRY CLUB DERMATOLOGY | ||||
| 4618 COUNTRY CLUB ROAD | WINSTONSALEM | NC | 271043520 | GENERAL DERMATOLOGY |
| MEDICAL PLAZA COUNTRY CLUB GENERAL DERMA | ||||
| 4618 COUNTRY CLUB ROAD | WINSTONSALEM | NC | 271043520 | DERMATOLOGY & MOHS SURGERY |
| NCBH OBGYN CLINIC | ||||
| 500 SHEPHARD STREET SUITE 201 | WINSTONSALEM | NC | 271031633 | OB/GYN |
| WAKE FOREST BAPTIST HEALTH FAMILY MEDICI | ||||
| 1920 W FIRST STREET | WINSTONSALEM | NC | 271044220 | FAMILY MEDICINE |
| COMPREHENSIVE FETAL CARE CENTER | ||||
| 500 SHEPHARD STREET SUITE 200 | WINSTONSALEM | NC | 271031633 | MATERNAL-FETAL MEDICINE |
| NCBH OUTPATIENT ENDOSCOPY CENTER LLC | ||||
| 100 CHARLOIS BLVD SUITE 100 | WINSTONSALEM | NC | 27103 | OUTPATIENT ENDOSCOPY |
| MEDICAL PLAZA COUNTRY CLUB - JOSLIN ADUL | ||||
| 4610 COUNTRY CLUB ROAD | WINSTONSALEM | NC | 271043520 | ADULT DIABETES CENTER |
| MEDICAL PLAZA COUNTRY CLUB - JOSLIN PEDI | ||||
| 4610 COUNTRY CLUB ROAD | WINSTONSALEM | NC | 271043520 | PEDIATRIC DIABETES CENTER |
| UNIVERSITY INTERNAL MEDICINE COUNTRY CLU | ||||
| 4614 COUNTRY CLUB ROAD | WINSTONSALEM | NC | 271043520 | INTERNAL MEDICINE |
| CARDIOLOGY COUNTRY CLUB NCBH CLINIC | ||||
| 4614 COUNTRY CLUB ROAD | WINSTONSALEM | NC | 271043520 | CARDIOLOGY |
| WEIGHT MGMT CTR - COUNTRY CLUB | ||||
| 4614 COUNTRY CLUB ROAD | WINSTONSALEM | NC | 271043520 | WEIGHT MANAGEMENT |
| PEDIATRICS - CLEMMONS NCBH CLINICS | ||||
| 2311 LEWISVILLE-CLEMMONS ROAD | CLEMMONS | NC | 27012 | PEDIATRICS |
| BRENNER CHILDREN'S SPECIALTY SERVICES | ||||
| 2311 LEWISVILLE-CLEMMONS ROAD | CLEMMONS | NC | 27012 | PEDIATRIC SPECIALTIES |
| UNIVERSITY INTERNAL MEDICINE - CLEMMONS | ||||
| 2311 LEWISVILLE-CLEMMONS ROAD | CLEMMONS | NC | 27012 | INTERNAL MEDICINE & PRIMARY CARE |
| ALLERGY ASTHMA & IMMUNOLOGY - CLEMMONS | ||||
| 2311 LEWISVILLE-CLEMMONS ROAD | CLEMMONS | NC | 27012 | ALLERGY, ASTHMA & IMMUNOLOGY |
| HEMATOLOGY & ONCOLOGY - CLEMMONS | ||||
| 2311 LEWISVILLE-CLEMMONS ROAD | CLEMMONS | NC | 27012 | ONCOLOGY |
| COMPREHENSIVE REHAB | ||||
| 131 MILLER STREET | WINSTONSALEM | NC | 27103 | REHABILITATION |
| BREAST CARE SERVICES - CLEMMONS | ||||
| 2341 LEWISVILLE-CLEMMONS ROAD | CLEMMONS | NC | 27012 | BREAST CARE SERVICES |
| ENTHEAD & NECK SURGERY - CLEMMONS | ||||
| 2341 LEWISVILLE-CLEMMONS ROAD | CLEMMONS | NC | 27012 | ENT/HEAD AND NECK SURGERY |
| MT AIRY HEMATOLOGY & ONCOLOGY | ||||
| 450 PRICE STREET | MT AIRY | NC | 27030 | HEMATOLOGY AND ONCOLOGY |
| NEUROLOGY - CLEMMONS | ||||
| 2341 LEWISVILLE-CLEMMONS ROAD | CLEMMONS | NC | 27012 | NEUROLOGY |
| OBSTETRICS AND GYNECOLOGY - CLEMMONS | ||||
| 2341 LEWISVILLE-CLEMMONS ROAD | CLEMMONS | NC | 27012 | OB/GYN |
| PAIN CENTER BROOKSTOWN | ||||
| 605 COTTON STREET | WINSTONSALEM | NC | 27101 | PAIN CLINIC AND SERVICES |
| SPINE CENTER - CLEMMONS | ||||
| 2341 LEWISVILLE-CLEMMONS ROAD | CLEMMONS | NC | 27012 | SPINE CENTER - CLEMMONS |
| VEIN SERVICES - CLEMMONS | ||||
| 2341 LEWISVILLE-CLEMMONS ROAD | CLEMMONS | NC | 27012 | VEIN SERVICES |
| PEDIATRICS - DOWNTOWN HEALTH PLAZA | ||||
| 1200 N MARTIN LUTHER KING JR DRIVE | WINSTONSALEM | NC | 27101 | PEDIATRICS |
| OBSTETRICS AND GYNECOLOGY - DOWNTOWN HP | ||||
| 1200 N MARTIN LUTHER KING JR DRIVE | WINSTONSALEM | NC | 27101 | OB/GYN |
| HEMATOLOGY & ONCOLOGY - ELKIN | ||||
| 300 JOHNSON RIDGE ROAD | ELKIN | NC | 28621 | HEMATOLOGY AND ONCOLOGY |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | THE ORGANIZATION ALSO EVALUATES CERTAIN CREDIT FILE DATA ELEMENTS TO IDENTIFY POTENTIAL SOURCES OF HIDDEN INCOME TO MORE ACCURATELY INFORM CHARITY CARE ELIGIBILITY ASSESSMENTS. PATIENTS WITH ESTIMATED HOUSEHOLD INCOME BELOW 200% OF FPG, WHO ARE IDENTIFIED AS HAVING COMMERCIAL CREDIT ACCOUNTS THAT ARE BEING SERVICED IN A MANNER THAT SUGGESTS ADDITIONAL SOURCES OF INCOME, ARE NOT AUTOMATICALLY GRANTED PRESUMPTIVE CHARITY CARE. |
| PART I, LINE 7: | THE ORGANIZATION USED THE WORKSHEETS PROVIDED IN THE INSTRUCTIONS TO SCHEDULE H TO COMPUTE ITS COST-TO-CHARGE RATIO FOR PURPOSES OF THE 2014 SCHEDULE H.PART I, LINE 7B MEDICAID DIRECT OFF-SETTING REVENUETHE HOSPITAL PARTICIPATES IN A PROVIDER ASSESSMENT PROGRAM ADMINISTERED BY THE NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES. UNDER THE PROGRAM, A FEE IS ASSESSED AGAINST NON-MEDICAID NET PATIENT SERVICE REVENUES OF PRIVATE HOSPITALS. THE FEDERAL GOVERNMENT MATCHES THE ASSESSMENT AT A RATE OF NEARLY 2 TO 1, AND THESE AMOUNTS ARE ALLOCATED TO NORTH CAROLINA HOSPITALS ON A QUARTERLY BASIS. |
| PART I, LN 7 COL(F): | THE ORGANIZATION'S PATIENT BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENTS WAS $80,727,492 FOR THE FISCAL YEAR ENDED JUNE 30, 2015. THIS AMOUNT HAS BEEN REMOVED FROM THE CALCULATION OF CHARITY CARE FOR PART I, LINE 7. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | THE HOSPITAL IS RESPONSIVE TO THE COMMUNITIES IT SERVES THROUGH A NUMBER OF ACTIVITIES, PROGRAMS AND INITIATIVES. THE HOSPITAL IS CURRENTLY ALIGNED WITH THE FORSYTH COUNTY HEALTH DEPARTMENT AND LEADS AND/OR PARTICIPATES IN A WIDE VARIETY OF PARTNERSHIPS AND LOCAL COALITIONS. THESE INCLUDE THE BE HEALTH- OBESITY COALITION, HEAT- HEALTH DISPARITIES AND THE CHRONIC DISEASE COALITION. COLLECTIVELY THESE COALITIONS ARE TASKED WITH IMPROVING THE HEALTH STATUS OF THE COMMUNITIES THEY SERVE WITH A SPECIFIC FOCUS ON CHRONIC DISEASE, PHYSICAL ACTIVITY/ NUTRITION AND TOBACCO USE. SPECIFICALLY, THE COALITIONS ARE WORKING COLLABORATIVELY TO 1) REDUCE THE CARDIOVASCULAR DISEASE MORTALITY RATE, 2) DECREASE THE INCIDENCE OF DIABETES, 3) INCREASE THE PERCENTAGE OF ADULTS REPORTING GOOD, VERY GOOD OR EXCELLENT HEALTH, 4) INCREASE THE PERCENTAGE OF HIGH SCHOOL STUDENTS WHO ARE NEITHER OVERWEIGHT NOR OBESE, 5) INCREASE THE PERCENTAGE OF ADULTS WHO REPORT THAT THEY CONSUME FRUITS AND VEGETABLES FIVE OR MORE TIMES PER DAY, 6) INCREASE THE PERCENTAGE OF ADULTS GETTING THE RECOMMENDED AMOUNT OF PHYSICAL ACTIVITY, AND 7) DECREASE THE PERCENTAGE OF HIGH SCHOOL STUDENTS REPORTING CURRENT USE OF ANY TOBACCO PRODUCT. THE HOSPITAL IS SPECIFICALLY RESPONSIVE TO THE CHRONIC HEALTH NEEDS OF THE COMMUNITY BY PROVIDING FREE CARE TO ITS RESIDENTS AND PROVIDES $4 MILLION IN SUBSIDY FUNDING FOR THE DOWNTOWN HEALTH PLAZA, A LEVEL 3 NCQA SITE AND NATIONAL HEALTH SERVICE CORP SITE. DURING FY15, DOWNTOWN HEALTH PLAZA HAD OVER 67,000 PATIENT VISITS, INCLUDING 28,800 ADULTS, 27% OF WHICH ARE SELF-PAY; 19,400 OB/GYN PATIENTS, 41% ARE SELF-PAY; AND 18,900 PEDIATRIC PATIENTS, 8% OF WHICH ARE SELF-PAY. MANY OF THE SELF-PAY PATIENTS ARE MANAGING CHRONIC DISEASES SUCH AS DIABETES, KIDNEY FAILURE AND HEART FAILURE, AND DHP PROVIDES CARE AND COUNSELING AT NO COST FOR THESE CONDITIONS. SPECIFICALLY DHP PROVIDES SIGNIFICANT BENEFIT TO THE COMMUNITY THROUGH THE FOLLOWING INITIATIVES: COLLABORATION WITH NORTHWEST COMMUNITY CARE NETWORK THROUGH ONSITE PEDIATRIC AND INTERNAL MEDICINE CASE MANAGERS; AS A PARTICIPATING WIC SITE; PROVIDES A COMMUNITY GARDEN PROVIDING FRESH VEGETABLES AND HERBS TO PATIENTS; PROVIDES A FREE FOOD PANTRY TO PATIENTS; OFFERS A CO-LOCATED MENTAL HEALTH COUNSELOR FOR CHILDREN IN PARTNERSHIP WITH THE CHILDREN'S HOME; AND A CO-LOCATED PARENT EDUCATOR PROGRAM IN PARTNERSHIP WITH IMPRINTS TO HELP FAMILIES ADDRESS DEVELOPMENTAL DELAYS. DHP ALSO COORDINATES WITH NORTHWEST COMMUNITY CARE NETWORK AND CENTERPOINT TO PROVIDE AN INNOVATIVE COMPREHENSIVE CARE MANAGEMENT FOR A HIGH RISK POPULATION (INCLUSIVE OF THE UNINSURED) THROUGH AN INTENSIVE CARE COORDINATION PROGRAM (HIGHER RISK FOR READMISSIONS AND ED VISITS). DHP ALSO PROVIDES AN ANNUAL SHARE THE HEALTH FREE HEALTH FAIR, PROVIDING FREE HEALTH SCREENINGS AND OTHER HEALTH-RELATED SERVICES AVAILABLE TO EVERYONE (ADULTS AND CHILDREN) REGARDLESS OF AGE, INSURANCE COVERAGE, AND INCOME LEVEL OR IMMIGRATION STATUS. THE HEALTH FAIR SERVES APPROXIMATELY 650 CHILDREN AND ADULTS ON AN ANNUAL BASIS. BRENNER FIT (FAMILIES IN TRAINING) HAS THE LONGEST TRACK RECORD AND THE MOST EXPERIENCE IN PROVIDING PREVENTION AND TREATMENT PROGRAMS FOR OVERWEIGHT AND OBESE POPULATIONS IN THE HOSPITAL'S SERVICE AREA. IN FY 2015, BRENNER FIT PROVIDED THE FOLLOWING:* RECEIVED 584 REFERRALS; BEGAN TREATMENT OF 130 NEW PATIENTS; INCREASED ORIENTATION ATTENDANCE BY 49%* INITIATED REDESIGN OF BRENNER FIT'S CLINICAL TREATMENT, DEVELOPING ADDITIONAL EXPERIENTIAL EDUCATION COMPONENTS AND INCREASING CLINIC VOLUME * GAVE 13 ACADEMIC PRESENTATIONS WITH OVER 600 PROFESSIONALS IN ATTENDANCE * REACHED OVER 1,900 INDIVIDUALS THROUGH COMMUNITY EDUCATION * FEATURED 11 TIMES IN BOTH REGIONAL AND NATIONAL MEDIA TOTALING OVER $900,000 IN VALUE FOR THE MEDICAL CENTER AND REACHING NEARLY 9 MILLION INDIVIDUALS * TAUGHT NEARLY 1,100 SCHOOL CHILDREN BRENNER FIT'S MESSAGE * PARTICIPATED IN 15 COMMUNITY HEALTH FAIRS REACHING AN ESTIMATED 68,000 INDIVIDUALS * OFFERED 91 COOKING CLASSES, TEACHING 1,202 COMMUNITY MEMBERS ABOUT HEALTHY EATING * OFFERED 45 CLASSES FOCUSED ON PHYSICAL ACTIVITY REACHING 562 COMMUNITY MEMBERS * CONTRIBUTED TO ACADEMIC AND MEDICAL LITERATURE THROUGH 7 JOURNAL PUBLICATIONS AND 5 RESEARCH PRESENTATIONS THE HOSPITAL ALSO PROVIDES A NUMBER OF PUBLIC EDUCATIONAL PROGRAMS THROUGH BEST HEALTH. BESTHEALTH , THE COMMUNITY WELLNESS OUTREACH PROGRAM OF WAKE FOREST BAPTIST HEALTH, OFFERED 145 CLASSES AND SCREENINGS IN FY 2015. MORE THAN HALF OF THESE EVENTS FOCUSED ON NUTRITION, HEART DISEASE, OBESITY AND EXERCISE. BESTHEALTH PROVIDED 7 COOKING CLASSES, 16 EXERCISE CLASSES, 28 SCREENINGS AND 94 SEMINARS FREE TO THE PUBLIC. IN ADDITION, BESTHEALTH COMMUNICATES MONTHLY TO THE COMMUNITY ABOUT ACCESS TO THE MANY SUPPORT GROUPS AND CLINICAL TRIALS AVAILABLE AT WAKE FOREST BAPTIST HEALTH. AS A HEART AND VASCULAR CENTER OF EXCELLENCE, THE HOSPITAL ALSO SPONSORS SEVERAL HEART RELATED SCREENINGS EACH YEAR INCLUDING FREE EKG SCREENINGS, HEART HEALTH TALKS, FREE COMMUNITY CPR CLASSES, COORDINATION WITH THE BE HEALTHY COALITION TO ENCOURAGE PHYSICAL ACTIVITY AMONG ALL FORSYTH COUNTY RESIDENTS THROUGH A TWO-MONTH PROGRAM WITH STEP UP FORSYTH, A FREE COMMUNITY WIDE PROGRAM COLLABORATION WITH THE YMCA, A SIX WEEK CHRONIC DISEASE MANAGEMENT WORKSHOP AND HEART AND STROKE PREVENTION CLASSES AT COUNTY GOVERNMENT WORKSITES. AS A CANCER CENTER OF EXCELLENCE AND AN NCI DESIGNATED CANCER CENTER, OUTREACH TO THE COMMUNITY IS A VITAL COMPONENT TO SERVING PATIENTS AND FAMILIES. OUTREACH AND COLLABORATIONS INCLUDE ANNUAL SKIN CANCER SCREENINGS, NUTRITION CLASSES, FREE YOGA FOR BREAST CANCER PATIENTS AND SURVIVORS, AS WELL AS SEVERAL FREE LUNCH AND LEARN WORKSHOPS ON CANCER AWARENESS AND PREVENTION.THE HOSPITAL'S DIVISION OF FAITH AND HEALTH MINISTRIES HAS A NEW INITIATIVE, FAITHHEALTHNC. FAITHHEALTHNC IS A DYNAMIC PARTNERSHIP BETWEEN FAITH COMMUNITIES, HEALTH SYSTEMS AND HEALTHCARE PROVIDERS FOCUSED ON IMPROVING HEALTH IN THE COMMUNITY. SINCE ITS IMPLEMENTATION, 222 NORTH CAROLINA CONGREGATIONS ACROSS 14 COUNTIES HAVE PARTNERED WITH FAITHHEALTH NC TO SHARE IN THE MISSION OF HEALING. FAITHHEALTHNC PROVIDES HEALTH CARE LIAISONS WHO ASSIST THE COMMUNITY'S CLERGY AND FAITH VOLUNTEERS TO ENSURE THAT THEIR MEMBERS' HEALTHCARE NEEDS ARE MET DURING TIMES OF ILLNESS.THE HOSPITAL IS AN ACTIVE PARTICIPANT IN THE FORSYTH BEHAVIORAL HEALTH COALITION WHICH INCLUDES REPRESENTATIVES FROM WAKE FOREST BAPTIST MEDICAL CENTER, FORSYTH MEDICAL CENTER, CENTERPOINT AND NORTHWEST COMMUNITY CARE NETWORK (NCCN). DURING THE FISCAL YEAR, THE COALITION WORKED WITH THE NORTH CAROLINA HOSPITAL ASSOCIATION ON A COMPREHENSIVE PLAN TO TAKE TO THE NORTH CAROLINA STATE LEGISLATURE WITH THE FOLLOWING PRIORITIES:- DEVELOPMENT AND OBTAIN FUNDING FOR A COUNTY ED CRISIS INTERVENTION PROGRAM, AS THERE IS NO CURRENT CRISIS INTERVENTION SUPPORT IN FORSYTH OR SURROUNDING COUNTIES; AND- OBTAIN LEGISLATIVE SUPPORT FOR A WET SHELTER PROGRAM.THE COALITION IS ALSO WORKING TO ENSURE THAT WE HAVE STRUCTURES AND PROCESSES IN PLACE TO IMPROVE THE PATIENT FLOW AND TO ELIMINATE DUPLICATION OF SERVICES. LASTLY, NCCN IS WORKING WITH CENTERPOINT TO ENSURE THE BIDIRECTIONAL FLOW OF ELECTRONIC INFORMATION. |
| PART III, LINE 4: | THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A DISCRETE FOOTNOTE EXPLAINING BAD DEBT EXPENSE. BAD DEBT HAS NOT BEEN INCLUDED IN THE COMPUTATION OF COMMUNITY BENEFIT ON PART I, LINE 7. AMOUNTS USED TO COMPUTE CHARITY CARE AND BAD DEBT ON SCHEDULE H USE THE MOST CURRENT DATA AVAILABLE AT THE TIME OF FILING. THE ORGANIZATION USED WORKSHEET 2 OF THE 2014 SCHEDULE H INSTRUCTIONS TO COMPUTE A COST TO CHARGES RATIO USED TO CALCULATE BAD DEBT AT COST. |
| PART III, LINE 8: | THE HOSPITAL USES AN OVERALL COST TO CHARGE RATIO CALCULATION BASED ON AUDITED FINANCIAL STATEMENTS BUT REMOVES COST ASSOCIATED WITH BAD DEBT, GME, COMMUNITY BUILDING, AND CHARITY CARE SO AS NOT TO COUNT THOSE COSTS TWICE. |
| PART III, LINE 9B: | PATIENT FINANCIAL RESOURCES SERVICES WORKS WITH THE PATIENT FOR ANY PATIENT LIABILITY. OUR MAIN FOCUS IS PRIOR TO SERVICESAND/OR DISCHARGE; HOWEVER, WE DO WORK WITH PATIENTS AFTER SERVICES HAVEBEEN RECEIVED AND BILLED. PATIENT FINANCIAL RESOURCES SERVICES IS REALLYTWO AREAS IN ONE--THE RESOURCE RECOVERY SPECIALIST/RRS (FORMERLY FINANCIALCOUNSELING) AND THE MEDICAID ELIGIBILITY TEAM/MPS. THESE TWO AREAS WORKTOGETHER TO FIND A RESOLUTION TO PATIENT LIABILITY, SELF PAY OR INSURED.THE RRS WORKS TO NOTIFY THE PATIENT OF ANY PATIENT LIABILITY AND ASK FORPAYMENT FOR THAT LIABILITY. IF THE PATIENT INDICATES THAT HE/SHE NEEDSASSISTANCE, THEN THE RRS WILL COMPLETE A FINANCIAL STATEMENT ON THEPATIENT. WHILE TAKING THAT FINANCIAL STATEMENT THE RRS IS LOOKING FORINFORMATION THAT COULD QUALIFY THE PATIENT FOR MEDICAID OR FOR OTHERAGENCY PROGRAMS THAT ARE AVAILABLE TO THE MEDICAL CENTER. WHEN THATINFORMATION IS IDENTIFIED THE RRS WILL LET THE PATIENT KNOW THAT AREFERRAL WILL BE MADE FOR MEDICAID OR OTHER ASSISTANCE AND A MPS WILL BEIN TOUCH WITH HIM/HER. THE RRS ALSO EXPLAINS TO THE PATIENT OR FAMILY THATCHARITY CARE IS A LAST RESORT AND THEY MUST COOPERATE WITH ANY OTHERASSISTANCE PROGRAMS THAT WE HAVE IDENTIFIED AND BE FOUND INELIGIBLE BEFORECHARITY CARE WILL BE APPROVED/APPLIED. IT IS ALSO COMMUNICATED WITH THEPATIENT OR FAMILY IS INFORMED IF ANY SUPPORTING DOCUMENTATION IS NEEDED FOR ANY ASSISTANCE, WHETHER THAT BE CHARITY, MEDICAID, OR OTHER PROGRAMS. |
| PART VI, LINE 2: | TO COMPLETE A COMPREHENSIVE ASSESSMENT OF THE NEEDS OF THE COMMUNITY, AN INTERNAL COMMUNITY HEALTH TEAM RELIED ON THE ASSOCIATION FOR COMMUNITY HEALTH IMPROVEMENT'S (ACHI) 6-STEP COMMUNITY HEALTH ASSESSMENT PROCESS AND PARTICIPATED WITH THE NORTH CAROLINA DIVISION OF PUBLIC HEALTH IN THEIR ASSESSMENT PROCESS. A COMMUNITY WIDE TEAM COMPRISED OF THE FORSYTH COUNTY HEALTH DEPARTMENT, WAKE FOREST BAPTIST MEDICAL CENTER, FORSYTH MEDICAL CENTER AND VARIOUS COMMUNITY GROUPS INCLUDING THE UNITED WAY, THE YMCA, YWCA AND THE COUNTY GOVERNMENT AMONG MANY OTHERS HAS CONVENED TO CONDUCT A COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EVERY THREE YEARS WITH INPUT FROM KEY COMMUNITY LEADERS, THE ACADEMIC COMMUNITY, THE SCHOOL DISTRICT, THE PUBLIC AND OTHERS. FOUNDED ON THE PRINCIPLES OF COLLABORATION, COMMUNITY MOBILIZATION AND EMPOWERMENT, THE COMMUNITY HEALTH ASSESSMENT PROCESS IS USED TO IDENTIFY PRIORITY HEALTH ISSUES AND TO PLAN INTERVENTIONS TO BUILD HEALTHIER COMMUNITIES WITH THE ULTIMATE GOAL OF MAKING NORTH CAROLINA, INCLUDING FORSYTH COUNTY, ONE OF THE HEALTHIEST STATES IN THE NATION. THE HOSPITAL'S INTERNAL TEAM HAS ADOPTED THE ACHI PROCESS TO ENSURE BOTH PUBLIC HEALTH AND THE REQUIRED COMMUNITY HEALTH NEEDS ASSESSMENT REQUIREMENTS INCLUDED IN THE AFFORDABLE CARE ACT WOULD BE MET. THE FIVE STEP PROCESS INCLUDES:1) DEFINE AND UNDERSTAND THE SERVICE AREASTEP 1: DEFINE SERVICE AREASTEP 2: RESEARCH THE SERVICE AREA'S DEMOGRAPHICSSTEP 3: IDENTIFY ZIP CODES WITH HIGH SOCIOECONOMIC NEED2) ANALYZE SECONDARY DATASTEP 1: COMPARE DATA TO OTHER LOCATIONSSTEP 2: COMPARE DATA TO HEALTHY PEOPLE 2020STEP 3: COMPARE DATA TO A PREVIOUS YEARSTEP 4: IDENTIFY DISPARITIES3) GATHER COMMUNITY INPUT ABOUT HEALTH NEEDSIDENTIFY COMMUNITY INPUT SOURCES, PRIMARILY FOCUSING ON:A) COMMUNITY PERSPECTIVE THROUGH RESIDENT INTERVIEWS AND FOCUS GROUPSB) HEALTH EXPERTS C) COMMUNITY-KEY INFORMANT LEADERS 4) DETERMINE SIGNIFICANT HEALTH NEEDSDETERMINE IF SOMETHING IS A SIGNIFICANT HEALTH NEED, BY USING SPECIFIC CRITERIA TO PRIORITIZE THE SIGNIFICANT HEALTH NEEDS. SUCH CRITERIA INCLUDES:- MULTIPLE INDICATORS TRENDING POORLY- LARGE DISPARITIES AMONG DIFFERENT GROUPS- ROOT CAUSES TO SEVERAL CHRONIC CONDITIONS- COMMON THEMES DISCUSSED BY FOCUS GROUPS/KEY INFORMANTS- SIGNIFICANT HEALTH PROBLEMS INDENTIFIED DURING COMMUNITY INPUT - SIGNIFICANT POPULATION IS AFFECTED5) UNDERSTAND COMMUNITY RESOURCESAN IMPORTANT PART OF ASSESSING THE HEALTH OF OUR COMMUNITY NEEDS IS ANALYZING ACTIVITIES CURRENTLY AVAILABLE. STEP 1: COMPILE CURRENT COMMUNITY PROGRAMS AND ASSET INVENTORYSTEP 2: CONTACT COMMUNITY ORGANIZATIONS TO DETERMINE THE CURRENT PROGRAM'S VALIDITY |
| PART VI, LINE 3: | THE ORGANIZATION USES A VARIETY OF MEANS TO EDUCATE AND INFORM PATIENTS OF THEIR CHARITY CARE OPTIONS, INCLUDING INFORMATION ON A WEBSITE, INFORMATION ON PATIENT BILL STATEMENTS, AND FROM STAFF MEMBERS DURING CONVERSATIONS CONCERNING A PATIENT'S LIABILITY FOR SERVICES. THE HOSPITAL EMPLOYS A ROBUST PRE-SERVICE FINANCIAL CLEARANCE PROCESS THAT SCREENS PATIENTS PRIOR TO SERVICE DELIVERY FOR EXISTING OR AVAILABLE PAYER SOURCES AS A MEANS OF AVOIDING BAD DEBT AND INAPPROPRIATE BILLING TO PATIENTS WITHOUT THE MEANS TO PAY. IF A PAYER SOURCE IS IDENTIFIED, HOSPITAL STAFF ASSIST THE PATIENT WITH ENROLLMENT. |
| PART VI, LINE 4: | IN FISCAL YEAR 2015, THE MEDICAL CENTER PROVIDED CARE TO A NINETEEN COUNTY SERVICE AREA. THE MEDICAL CENTER WAS RESPONSIBLE FOR 3.7% OF TOTAL INPATIENT DISCHARGES FOR THE STATE OF NORTH CAROLINA DURING ITS YEAR ENDED JUNE 30, 2015. THE PRIMARY AND SECONDARY SERVICE AREA INCLUDE:PRIMARY SERVICE AREA COUNTIES - FORSYTH, DAVIE, DAVIDSON, GUILFORD, STOKES, SURRY, YADKINSECONDARY SERVICE AREA COUNTIES - ROCKINGHAM, RANDOLPH, ROWAN, IREDELL, CATAWBA, ALEXANDER, WILKES, ALLEGHANY, ASHE, WATAUGA, CALDWELL, BURKE PERCENT OF UNINSURED INPATIENTS 6.3%PERCENT OF INPATIENTS WHO ARE MEDICAID RECIPIENTS 19.9%THE HOSPITAL IS LOCATED IN CENTRAL FORSYTH COUNTY, WHICH MAKES UP THE SINGLE LARGEST COUNTY IN TOTAL INPATIENT DISCHARGES. IN FISCAL YEAR 2015, FORSYTH COUNTY ACCOUNTED FOR 13,239 OR 33% OF ALL DISCHARGES FROM THE MEDICAL CENTER. ACCORDINGLY, THE HOSPITAL SERVES A WIDE SERVICE AREA; HOWEVER, IT IS RESOURCE PROHIBITIVE TO PARTICIPATE AND FUND HEALTH ASSESSMENTS IN EACH COMMUNITY/COUNTY FROM WHICH ITS PATIENT POPULATION ORIGINATES. THEREFORE, THE PRIMARY COMMUNITY BENEFIT SERVICE AREA (CBSA)IS FORSYTH COUNTY, NORTH CAROLINA.BELOW IS A DEMOGRAPHIC SNAPSHOT OF FORSYTH COUNTY BASED ON 2010 CENSUS DATA: POPULATION AND GEOGRAPHY TOTAL POPULATION 350,670POPULATION CHANGE SINCE 2000 + 12.7%LAND AREA 408.1 SQUARE MILESPOPULATION DENSITY 859.5 PERSONS PER SQUARE MILE POPULATION BY RACE/ETHNICITYWHITE 58.7%BLACK/AFRICAN-AMERICAN 25.5%HISPANIC 11.9%ASIAN 1.8%AMERICAN INDIAN/ 0.3%ALASKA NATIVE NATIVE HAWAIIAN/ 0.04%PACIFIC ISLANDERMULTIRACIAL 1.5%OTHER 0.2% POPULATION BY AGE DISTRIBUTIONUNDER 5 YEARS OLD 6.8%UNDER 18 YEARS OLD 24.4%= 65 YEARS OLD 13.0%MEDIAN AGE 37.5 YEARS POPULATION BY SEXMALE 47.5%FEMALE 52.5% POPULATION BY EDUCATIONAL ATTAINMENT PERCENT OF PERSONS = 25 YEARS OLD WHO HAVE:< HIGH SCHOOL DIPLOMA OR GED 13.8%A HIGH SCHOOL DIPLOMA OR GED 28.2%A BACHELOR'S DEGREE 20.7%GRADUATE DEGREE 10.0%PERCENTAGE OF FAMILIES LIVING BELOW POVERTY LEVELALL FAMILIES 11.0%FAMILIES WITH A HOUSEHOLDER WHO IS:WHITE 4.6%BLACK/AFRICAN AMERICAN 21.6%HISPANIC 31.4%ASIAN 6.6%AMERICAN INDIAN/ 17.2%OTHER RACE 34.7 PERCENTAGE OF POPULATION LIVING BELOW POVERTY LEVELCHILDREN (0-17YR OLD) 22.8%ADULTS (18-64YR OLD) 12.9%SENIORS (= 65YR OLD) 7.1% COUNTY SCHOOLSK-12 ENROLLMENT 53,627GRADUATION RATE 72.7% UNEMPLOYMENT UNEMPLOYMENT RATE 9.9%LOST JOBS & LAYOFFS 1,900 INCOMEMEDIAN FAMILY HOUSEHOLD $55,075MEDIAN NON-FAMILY HOUSEHOLD $28,023 |
| PART VI, LINE 6: | WAKE FOREST BAPTIST MEDICAL CENTER'S MISSION IS TOIMPROVE THE HEALTH OF OUR REGION, STATE AND NATION BY:1) GENERATING AND TRANSLATING KNOWLEDGE TO PREVENT, DIAGNOSE AND TREATDISEASE.2) TRAINING LEADERS IN HEALTH CARE AND BIOMEDICAL SCIENCE.3) SERVING AS THE PREMIER HEALTH SYSTEM IN OUR REGION, WITH SPECIFICCENTERS OF EXCELLENCE RECOGNIZED AS NATIONAL AND INTERNATIONAL CAREDESTINATIONS. THE HOSPITAL, WHICH IS THE INPATIENT COMPONENT OF WAKE FOREST BAPTIST MEDICAL CENTER, OPERATES THE FOLLOWING PROGRAMS CONSTITUTING COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS REPORTED ON PART I,LINE 7E:WINSTON-SALEM/FORSYTH CTY SCHOOLS'ALLIED HEALTH PROGRAM $5,000COMMUNITY HEALTHCARE ACCESS $96,325COMMUNITY EMS PREPAREDNESS $104,252PALLIATIVE CARE PROGRAMS $146,188COMMUNITY HEALTH SALARIES $270,638PHYSICIANS COMMUNITY HEALTH ACCESS $475,726CARENET/PASTORAL COUNSELING $1,343,097BRENNER FIT $101,974FAMILY RESOURCES $17,990TOTAL TO PART I, LINE 7E: $2,561,190 |
| PART VI, LINE 7, REPORTS FILED WITH STATES | NC |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (25 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| ABC OF NC CHILD DEVELOPMENT | |||||||
| 3904 OLD VINEYARD ROAD | WINSTONSALEM | NC | 27104 | 300111894 | 501(C)(3) | $10,000 | SUPPORTING PROGRAMS FOR DISABLED CHILDREN |
| AMERICAN HEART ASSOCIATION | |||||||
| 101 CENTREPORT DRIVE | GREENSBORO | NC | 27409 | 135613797 | 501(C)(3) | $50,000 | SUPPORTING CARDIOVASCULAR RESEARCH AND PROGRAMS |
| ARTS COUNCIL WINSTON SALEM FORSYTH CTY | |||||||
| 206 N SPRUCE STREET | WINSTONSALEM | NC | 27101 | 560526856 | 501(C)(3) | $14,455 | SUPPORTING CULTURAL PROGRAMS IN THE COMMUNITY |
| CANCER SERVICES | |||||||
| 3175 MAPLEWOOD AVE | WINSTONSALEM | NC | 27103 | 560656375 | 501(C)(3) | $10,000 | CANCER RESEARCH AND SUPPORT |
| DAVIE COUNTY ECONOMIC DEVELOPMENT | |||||||
| 135 SOUTH SALISBURY ST | MOCKSVILLE | NC | 27028 | 561932514 | 501(C)(3) | $45,000 | SUPPORTING HEALTHCARE DEVELOPMENT |
| HABITAT FOR HUMANITY | |||||||
| 339 WITT ST | WINSTONSALEM | NC | 27103 | 561448955 | 501(C)(3) | $32,500 | COMMUNITY SUPPORT |
| HOSPICE AND PALLIATIVE CARE CENTER | |||||||
| 101 HOSPICE LANE | WINSTONSALEM | NC | 27103 | 581343313 | 501(C)(3) | $11,500 | SUPPORTING FACILITIES & PROGRAMS FOR SERIOUSLY ILL PATIENTS |
| JDRF PIEDMONT TRIAD CHAPTER | |||||||
| 312 N EUGENE STREET | GREENSBORO | NC | 27401 | 231907729 | 501(C)(3) | $55,000 | SUPPORTING JUVENILE DIABETES RESEARCH |
| LEADERSHIP WINSTON SALEM | |||||||
| 501 N CLEVELAND AVENUE | WINSTONSALEM | NC | 27101 | 581574887 | 501(C)(3) | $9,500 | COMMUNITY SUPPORT |
| MAKE A WISH FOUNDATION | |||||||
| 1131 HARDING PLACE | CHARLOTTE | NC | 28204 | 561492432 | 501(C)(3) | $12,000 | SUPPORTING CHILDREN WITH LIFE THREATENING ILLNESSES |
| MARCH OF DIMES | |||||||
| 410 BROOKSTOWN AVE | WINSTONSALEM | NC | 27101 | 131846366 | 501(C)(3) | $15,000 | SUPPORTING RESEARCH AND PROGRAMS TO END INFANT MORTALITY AND BIRTH DEFECTS |
| NC TRIAD KOMEN AFFILIATE OF SUSAN G KOMEN FND | |||||||
| 1106 BURKE STREET | WINSTONSALEM | NC | 27101 | 752891104 | 501(C)(3) | $25,000 | SUPPORTING BREAST CANCER RESEARCH |
| NATIONAL MS SOCIETY | |||||||
| 3101 INDUSTRIAL DRIVE | RALEIGH | NC | 27609 | 560903569 | 501(C)(3) | $21,000 | SUPPORTING RESEARCH & PROGRAMS FOR PATIENTS AFFECTED BY MS |
| NC MED SOCIETY CENTER FOR LEADERSHIP | |||||||
| PO BOX 27167 | RALEIGH | NC | 27611 | 566088142 | 501(C)(3) | $25,000 | SUPPORTING HEALTHCARE IN NORTH CAROLINA |
| OLD HICKORY BOY SCOUTS | |||||||
| 6600 SILAS CREEK PARKWAY | WINSTONSALEM | NC | 27106 | 560529985 | 501(C)(3) | $22,500 | SUPPORTING VALUE BASED PROGRAMS FOR THE COMMUNITY'S YOUTH |
| OLD SALEM MUSEUMS & GARDEN | |||||||
| 600 MAIN ST | WINSTONSALEM | NC | 27101 | 560587289 | 501(C)(3) | $50,000 | COMMUNITY SUPPORT |
| PIEDMONT REGIONAL TRAUMA SYSTEMS | |||||||
| MEDICAL CENTER BLVD | WINSTONSALEM | NC | 27157 | 562036036 | 501(C)(3) | $100,000 | SUPPORTING INTEGRATED TRAUMA SYSTEM |
| RONALD MCDONALD HOUSE | |||||||
| 419 S HAWTHORNE ROAD | WINSTONSALEM | NC | 27103 | 581454715 | 501(C)(3) | $10,000 | COMMUNITY SUPPORT |
| SCIWORKS | |||||||
| 400 HANES MILL ROAD | WINSTONSALEM | NC | 27105 | 560815746 | 501(C)(3) | $10,000 | EDUCATIONAL AND SCIENTIFIC SUPPORT |
| THE WOMEN'S FUND OF WINSTON SALEM | |||||||
| 860 W FIFTH STREET | WINSTONSALEM | NC | 27101 | 566037616 | 501(C)(3) | $10,000 | SUPPORTING & EMPOWERING WOMEN IN THE COMMUNITY |
| TRIAD STAGE | |||||||
| 232 S ELM STREET | GREENSBORO | NC | 27401 | 621743981 | 501(C)(3) | $20,000 | COMMUNITY SUPPORT |
| UNITED WAY OF FORSYTH COUNTY | |||||||
| 301 N MAIN STREET | WINSTONSALEM | NC | 27101 | 237357234 | 501(C)(3) | $50,000 | COMMUNITY SUPPORT |
| WAKE FOREST UNIVERSITY | |||||||
| PO BOX 7201 | WINSTONSALEM | NC | 27109 | 560532138 | 501(C)(3) | $10,000 | SUPPORTING HEALTHCARE PROGRAMS |
| WINSTON-SALEM CHAMBER OF COMMERCE | |||||||
| 411 WEST 4TH STREET | WINSTONSALEM | NC | 27101 | 560459820 | 501(C)(6) | $12,350 | COMMUNITY SUPPORT |
| CARENET | |||||||
| MEDICAL CENTER BLVD | WINSTONSALEM | NC | 27157 | 561977341 | 501(C)(3) | $125,000 | HEALTHCARE COUNSELOR RESIDENCY SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 24 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt |
|---|---|---|---|
| LETTIE PATE WHITEHEAD SCHOLARS | 51 | $50,500 | $0 |
| MEDICAL SCHOLARSHIPS | 7 | $10,000 | $0 |
| RUTH HOLLEMAN SCHOLARSHIPS | 5 | $5,000 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL FOLLOWS THE MEDICAL CENTER'S CORPORATE POLICY USED IN REVIEWING THE ELIGIBILITY AND SELECTION OF GRANTEES RECEIVING CERTAIN EXEMPT PURPOSE FUNDS. THE HOSPITAL MAINTAINS DOCUMENTATION OF THE ELIGIBILITY AND SELECTION CRITERIA AND RECORDS OF THE AMOUNTS DISBURSED. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Housing Allowance Or Residence | Yes (X) | HousingAllowanceOrResidenceInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (28 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN D MCCONNELL MD | ||||||||||||||
| TRUSTEE & CEO | $997,692 | $0 | $0 | $0 | $553,444 | $0 | $212,316 | $0 | $20,056 | $0 | $1,783,508 | $0 | $0 | $0 |
| H GREG BRAY | ||||||||||||||
| ASST. SECRETARY | $213,217 | $0 | $7,608 | $0 | $854 | $0 | $5,711 | $0 | $18,714 | $0 | $246,104 | $0 | $0 | $0 |
| J MCLAIN WALLACE JR | ||||||||||||||
| VP GENERAL COUNSEL/SECR | $398,920 | $0 | $39,900 | $0 | $19,432 | $0 | $86,901 | $0 | $18,851 | $0 | $564,004 | $0 | $0 | $0 |
| KAREN H HUEY | ||||||||||||||
| VP FACILITIES | $268,782 | $0 | $32,093 | $0 | $910 | $0 | $42,269 | $0 | $22,844 | $0 | $366,898 | $0 | $0 | $0 |
| ERIC TOMLINSON | ||||||||||||||
| CHIEF INNOVATION OFFICER | $390,502 | $0 | $60,040 | $0 | $98,105 | $0 | $83,072 | $0 | $11,297 | $0 | $643,016 | $0 | $0 | $0 |
| NORMAN D POTTER JR | ||||||||||||||
| VP DEVELOPMENT & ALUMNI AF | $297,266 | $0 | $28,690 | $0 | $5,508 | $0 | $50,474 | $0 | $22,716 | $0 | $404,654 | $0 | $0 | $0 |
| CHERYL EH LOCKE | ||||||||||||||
| VP CHIEF HUMAN RESOURCES | $360,384 | $0 | $29,898 | $0 | $4,410 | $0 | $68,830 | $0 | $16,142 | $0 | $479,664 | $0 | $0 | $0 |
| LISA M WYATT | ||||||||||||||
| VP CHIEF COMM & MARKETING | $296,444 | $0 | $26,235 | $0 | $19,977 | $0 | $53,174 | $0 | $17,871 | $0 | $413,701 | $0 | $0 | $0 |
| EDWARD ABRAHAM MD | ||||||||||||||
| DEAN, SCHOOL OF MEDICINE | $526,889 | $0 | $70,180 | $0 | $22,519 | $0 | $131,656 | $0 | $22,120 | $0 | $773,364 | $0 | $0 | $0 |
| BRADLEY A CLARK | ||||||||||||||
| ASSISTANT TREASURER | $219,624 | $0 | $9,830 | $0 | $391 | $0 | $6,041 | $0 | $22,410 | $0 | $258,296 | $0 | $0 | $0 |
| TERRY G WILLIAMS | ||||||||||||||
| EXEC. VP STRAT & NET WK DE | $476,556 | $0 | $83,125 | $0 | $12,862 | $0 | $113,493 | $0 | $51,546 | $0 | $737,582 | $0 | $0 | $0 |
| K BARBARA CARBONE MD | ||||||||||||||
| PRESIDENT/COO | $661,490 | $0 | $118,000 | $0 | $116,042 | $0 | $162,700 | $0 | $34,796 | $0 | $1,093,028 | $0 | $0 | $0 |
| CHAD A ECKES | ||||||||||||||
| CFO, TREAS., CIO | $309,491 | $0 | $71,667 | $0 | $9,147 | $0 | $48,767 | $0 | $39,951 | $0 | $479,023 | $0 | $0 | $0 |
| KEVIN P HIGH MD | ||||||||||||||
| EVP, HS AFFAIRS | $411,496 | $0 | $26,898 | $0 | $1,458 | $0 | $5,200 | $0 | $21,574 | $0 | $466,626 | $0 | $0 | $0 |
| DEETTE M EMON | ||||||||||||||
| CIO | $145,347 | $0 | $0 | $0 | $191 | $0 | $1,625 | $0 | $4,499 | $0 | $151,662 | $0 | $0 | $0 |
| BETTY PETREE | ||||||||||||||
| DIRECTOR NURSE ANESTHESIA | $111,230 | $0 | $0 | $0 | $155,445 | $0 | $3,083 | $0 | $5,103 | $0 | $274,861 | $0 | $0 | $0 |
| MICHAEL RIEKER | ||||||||||||||
| DIRECTOR OF NURSE ANESTHES | $225,805 | $0 | $0 | $0 | $296 | $0 | $5,867 | $0 | $21,218 | $0 | $253,186 | $0 | $0 | $0 |
| VANCE MCVAY JR | ||||||||||||||
| CLINICAL INSTRUCTOR CRNA | $244,375 | $0 | $0 | $0 | $351 | $0 | $6,105 | $0 | $20,046 | $0 | $270,877 | $0 | $0 | $0 |
| MICHAEL T WAID | ||||||||||||||
| VP CLINICAL OPERATIONS | $240,606 | $0 | $21,720 | $0 | $5,324 | $0 | $45,558 | $0 | $22,957 | $0 | $336,165 | $0 | $0 | $0 |
| JOHN K LEW | ||||||||||||||
| AVP - HR | $197,618 | $0 | $45,739 | $0 | $515 | $0 | $5,243 | $0 | $15,518 | $0 | $264,633 | $0 | $0 | $0 |
| JOANNE C RUHLAND | ||||||||||||||
| FORMER OFFICER | $248,300 | $0 | $0 | $0 | $20,700 | $0 | $38,510 | $0 | $19,782 | $0 | $327,292 | $0 | $0 | $0 |
| EDWARD G CHADWICK | ||||||||||||||
| FORMER OFFICER | $257,661 | $0 | $152,385 | $0 | $1,178,129 | $0 | $5,100 | $0 | $15,424 | $0 | $1,608,699 | $0 | $765,751 | $0 |
| THOMAS E SIBERT MD | ||||||||||||||
| FORMER OFFICER | $504,079 | $0 | $109,655 | $0 | $789,797 | $0 | $5,200 | $0 | $16,023 | $0 | $1,424,754 | $0 | $643,252 | $0 |
| RUSSELL M HOWERTON MD | ||||||||||||||
| FORMER OFFICER | $494,639 | $0 | $40,170 | $0 | $20,710 | $0 | $120,475 | $0 | $23,111 | $0 | $699,105 | $0 | $0 | $0 |
| SHEILA M SANDERS | ||||||||||||||
| FORMER OFFICER | $0 | $0 | $0 | $0 | $155,697 | $0 | $0 | $0 | $6,842 | $0 | $162,539 | $0 | $0 | $0 |
| MAUREEN E SINTICH | ||||||||||||||
| FORMER OFFICER | $201,243 | $0 | $25,428 | $0 | $971 | $0 | $4,511 | $0 | $10,618 | $0 | $242,771 | $0 | $0 | $0 |
| DONNY C LAMBETH | ||||||||||||||
| FORMER OFFICER | $0 | $0 | $0 | $0 | $272,778 | $0 | $0 | $0 | $6,504 | $0 | $279,282 | $0 | $0 | $0 |
| SHARON ENGEBRETSON | ||||||||||||||
| FORMER OFFICER | $121,031 | $0 | $8,000 | $0 | $1,733 | $0 | $4,264 | $0 | $46,392 | $0 | $181,420 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | CERTAIN OFFICERS RECEIVE, AS PART OF THEIR APPROVED COMPENSATION PACKAGE, RELOCATION ASSISTANCE INCLUDING A HOUSING ALLOWANCE. BELOW IS A SUMMARY OF THE BENEFITS PAID BY THE ORGANIZATION AND INCLUDED IN THE OFFICERS' 2014 CALENDAR YEAR COMPENSATION: - RELOCATION ASSISTANCE & HOUSING ALLOWANCE SHARON ENGEBRETSON - $38,000 MINISTERIAL HOUSING |
| PART I, LINE 3 | FROM JULY 1, 2014 THROUGH JANUARY 31, 2015, THE EXECUTIVE COMMITTEE OF THE WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER ("WFUBMC") BOARD OF DIRECTORS WAS RESPONSIBLE FOR REVIEWING AND APPROVING ALL WFUBMC OFFICERS' COMPENSATION (INCLUDING THE COMPENSATION OF THE OFFICERS OF NCBH) . BEGINNING FEBRUARY 1, 2015, THE GOVERNANCE AND COMPENSATION COMMITTEE OF THE WFUBMC BOARD OF DIRECTORS IS RESPONSIBLE FOR REVIEWING AND APPROVING ALL MEDICAL CENTER OFFICERS' COMPENSATION (INCLUDING THE COMPENSATION OF THE OFFICERS OF NCBH). THE COMMITTEE UTILIZES AN INDEPENDENT, EXTERNAL COMPENSATION CONSULTANT FIRM EXPERIENCED IN HEALTH CARE AND HIGHER EDUCATION COMPENSATION THAT BASED RECOMMENDATIONS ON COMPENSATION SURVEYS AND STUDIES TO DETERMINE THE APPROPRIATENESS OF EACH OFFICER'S COMPENSATION. THESE COMPENSATION CONSULTANTS PRESENT TOTAL COMPENSATION COMPARABILITY DATA FOR THE POSITIONS FOR WHICH COMPENSATION IS BEING DETERMINED. THE DATA IS REVIEWED BY THE GOVERNANCE AND COMPENSATION COMMITTEE OF WFUBMC'S GOVERNING BOARD AT ITS MEETING; NONE OF THE MEMBERS OF THAT COMMITTEE ARE EMPLOYEES OF THE FILING ORGANIZATION. MINUTES OF THE DELIBERATIONS OF THE COMMITTEE ARE CONTEMPORANEOUSLY RECORDED. IN THE EVENT THAT ANY MEMBER OF THE GOVERNANCE AND COMPENSATION COMMITTEE HAS A CONFLICT OF INTEREST, THAT COMMITTEE MEMBER DOES NOT PARTICIPATE IN THE DELIBERATION OR APPROVAL PROCESS, AND THEIR ABSTENTION FROM THE PROCESS IS REFLECTED IN THE MINUTES. |
| PART I, LINES 4A-B | CERTAIN EXECUTIVES PARTICIPATE IN OR RECEIVE SEVERANCE PAYMENTS AND PAYMENTS FROM SUPPLEMENTAL NON QUALIFIED RETIREMENT PLANS. THE DETERMINATION OF THE AMOUNT OF THE NON QUALIFIED RETIREMENT PLANS FOLLOWED THE FILING ORGANIZATION'S COMPENSATION PROCEDURES AS OUTLINED IN PART VI, SECTION B, LINE 15 OF THE FORM 990. THE FOLLOWING KEY EMPLOYEE AND FORMER OFFICERS RECEIVED SEVERANCE AND SERP PAYMENTS IN THEIR CALENDAR YEAR 2014 COMPENSATION: NAME SEVERANCE NON-QUAL RETIRE SHELIA SANDERS 155,697 DONNY C LAMBETH 272,778 JOHN D. MCCONNELL, MD 530,400 EDWARD CHADWICK 185,424 970,299 THOMAS SIBERT, MD 764,135 BETTY PETREE 125,265 |
| PART I, LINE 7 | OFFICERS AND KEY EMPLOYEES HAVE INCENTIVE COMPENSATION COMPONENTS CONTAINED IN THEIR EMPLOYMENT AGREEMENTS. THESE ARE OFTEN GOAL-BASED AND ARE DETERMINED IN THE COURSE OF EVALUATION OF THE INDIVIDUAL'S PERFORMANCE BY HIS/HER DEPARTMENT CHAIR, SUPERVISOR OR THE COMPENSATION COMMITTEE OF THE BOARD, AS APPLICABLE. OTHER NON-FIXED PAYMENTS MAY INCLUDE SUMS FOR RELOCATION AND/OR TEMPORARY HOUSING THAT ARE TYPICALLY INCLUDED AS A PROVISION IN THE EMPLOYMENT AGREEMENT. ALL SUCH PAYMENTS ARE REFLECTED ON THE INDIVIDUAL'S W-2. |
| FORM 990, PART VII, LINE 5 - COMPENSATION FROM UNRELATED ORGANIZATION | THE FOLLOWING CURRENT AND FORMER OFFICERS WERE COMPENSATED BY WAKE FOREST UNIVERSITY HEALTH SCIENCES FOR SERVICES PERFORMED FOR THE HOSPITAL. SEE PART VII AND SCHEDULE J, PART II FOR THEIR COMPENSATION: JOHN D. MCCONNELL, MD JOANNE C RUHLAND NORMAN D POTTER, JR CHERYL E.H. LOCKE EDWARD CHADWICK THOMAS E. SIBERT, MD RUSSELL M HOWERTON, MD LISA W WYATT SHEILA M SANDERS EDWARD ABRAHAM ERIC TOMLINSON, DCS, PHD BRADLEY A. CLARK TERRY WILLIAMS CHAD ECKES K. BARBARA CARBONE, MD KEVIN P. HIGH, MD |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| NORTH CAROLINA MEDICAL CARE COMMISSION | ||||||||
| A | 521309402 | 65820HD67 | 2010-03-01 | $334,002,408 | CURRENT REFUNDING | 0 | 0 | 0 |
| NORTH CAROLINA MEDICAL CARE COMMISSION | ||||||||
| B | 521309402 | NONEAVAIL | 2012-12-31 | $80,000,000 | VARIOUS CAPITAL PROJECTS | 0 | 0 | 0 |
| NORTH CAROLINA MEDICAL CARE COMMISSION | ||||||||
| C | 521309402 | 65821DMM0 | 2012-11-15 | $122,822,821 | VARIOUS CAPITAL PROJECTS | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Capital ExpendituresCapitalExpendituresAmt |
|---|---|---|---|---|---|---|---|---|---|---|
| A | $41,155,000 | $334,002,408 | $3,307,037 | $330,695,370 | 2010 | Yes (1) | 0 | Yes (1) | Yes (1) | |
| B | $80,000,000 | $1,000 | 2014 | 0 | 0 | Yes (1) | Yes (1) | $79,999,000 | ||
| C | $122,822,821 | $2,485 | 2013 | 0 | 0 | Yes (1) | Yes (1) | $122,820,336 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| B | 0 | Yes (1) | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| C | 0 | Yes (1) | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Term Of HedgeTermOfHedgePct | Superintegrated HedgeSuperintegratedHedgeInd | Hedge TerminatedHedgeTerminatedInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DEUTSCHE BANK AG | ||||||||||||
| A | 0 | 0 | 0 | Yes (1) | 0 | Yes (1) | 5.000000000000 | 0 | 0 | 0 | 0 | Yes (1) |
| (no name) | ||||||||||||
| B | 0 | Yes (1) | 0 | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) | |||
| (no name) | ||||||||||||
| C | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) | |||
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE A, COLUMN F | PURPOSE OF THE ISSUE WAS TO REFUND ISSUES DATED 10/29/1992, 06/27/1996, 06/15/2000 AND 01/29/2009 |
| PART II, COLUMN A, LINE 11 | OTHER SPENT PROCEEDS ARE THE CURRENT REFUNDING PROCEEDS OF THE ISSUE. |
| PART III, COLUMN A | ALL ISSUES REFUNDED BY THE 2010 ISSUE ARE EITHER PRIOR TO 12/31/2002 OR THROUGH A SERIES OF REFUNDINGS THAT REFUND AN ISSUE PRIOR TO 12/31/2002. ACCORDINGLY, THIS ISSUE IS EXEMPT FROM SECTION III REPORTING |
| PART IV, LINE 2C, COLUMN A: | A REBATE CALCULATION WAS PERFORMED, WITH NO REBATE LIABILITY BEING DUE, ON 6/13/2014. |
| PART IV, LINE 4C, COLUMN A: | THE HEDGE WAS NOT TERMINATED EARLY BUT REACHED THE FULL TERM BEFORE 6/30/2015. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| DAVID E BRANN | |||
| FAMILY MEMBER OF DONNY LAMBETH | $91,721 | REPORTABLE COMPENSATION | 0 |
| JUDY M SLOCUM | |||
| FAMILY MEMBER OF MAUREEN SINTICH | $43,362 | REPORTABLE COMPENSATION | 0 |
| KRISTIN LAMBETH | |||
| FAMILY MEMBER OF DONNY LAMBETH | $26,252 | REPORTABLE COMPENSATION | 0 |
Schedule M IRS990ScheduleM
Books And Publications BooksAndPublicationsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Noncash Contributions Rpt F990 | $575 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
Clothing And Household Goods ClothingAndHouseholdGoodsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Noncash Contributions Rpt F990 | $102,109 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $9,474 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | EQUIPMENT | 3 | $7,150 | FMV |
| Yes (X) | GIFT CARD | 1 | $200 | FMV |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION DETERMINES THE NUMBER OF CONTRIBUTIONS BY USING THE TOTAL NUMBER OF NON-CASH ITEMS RECEIVED PER DONOR PER OCCURANCE. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART IV, LINE 20B | THE HOSPITAL HAS ATTACHED A COPY OF ITS CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR ITS FISCAL YEAR ENDED JUNE 30, 2015 TO THE FORM 990. THE CONSOLIDATED FINANCIAL STATEMENTS HAVE BEEN PREPARED ON THE ACCRUAL BASIS IN CONFORMITY WITH U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) AND INCLUDE THE ASSETS AND OPERATIONS OF NORTH CAROLINA BAPTIST HOSPITAL (NCBH), DAVIE COUNTY EMERGENCY HEALTH CORPORATION, CARENET, INC., THE HAWTHORNE INN AND CONFERENCE CENTER, NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION AND CLEMMONS MEDICAL PARK, LLC. ALL SIGNIFICANT INTERCOMPANY TRANSACTIONS HAVE BEEN ELIMINATED IN CONSOLIDATION. NET ASSETS AND REVENUES, GAINS, AND LOSSES ARE CLASSIFIED BASED ON THE EXISTENCE OR ABSENCE OF DONOR IMPOSED RESTRICTIONS. ACCORDINGLY, NET ASSETS OF NCBH AND CHANGES THEREIN ARE CLASSIFIED AND REPORTED AS FOLLOWS: -UNRESTRICTED NET ASSETS - NET ASSETS THAT ARE NOT SUBJECT TO DONOR IMPOSED STIPULATIONS. -TEMPORARILY RESTRICTED NET ASSETS - NET ASSETS SUBJECT TO DONOR IMPOSED STIPULATIONS THAT WILL BE MET BY ACTIONS OF NCBH AND/OR BY THE PASSAGE OF TIME. -PERMANENTLY RESTRICTED NET ASSETS - NET ASSETS SUBJECT TO DONOR IMPOSED STIPULATIONS THAT THE ASSETS BE MAINTAINED PERMANENTLY BY NCBH. GENERALLY, THE DONORS OF THESE ASSETS PERMIT NCBH TO USE ALL, OR PART OF, THE INCOME EARNED ON RELATED INVESTMENTS FOR GENERAL OR SPECIFIC PURPOSES. |
| FORM 990, PART VI, SECTION A, LINE 2 | MICHAEL RUTHERFORD AND TERRY WILLIAMS, BOTH OFFICERS OF THE ORGANIZATION, WERE BOARD MEMBERS OF MEDCOST BENEFIT SERVICES. |
| FORM 990, PART VI, SECTION A, LINE 3 | EFFECTIVE JULY 1, 2010, THE GOVERNING BOARDS OF FOUR NORTH CAROLINA NONPROFIT CORPORATIONS (WAKE FOREST UNIVERSITY, NORTH CAROLINA BAPTIST HOSPITAL, WAKE FOREST UNIVERSITY HEALTH SCIENCES, AND WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER) ENTERED INTO AN AGREEMENT (THE "MEDICAL CENTER INTEGRATION AGREEMENT OR "MCIA") UNDER WHICH THE OPERATION OF EACH OF NORTH CAROLINA BAPTIST HOSPITAL ("NCBH") AND WAKE FOREST UNIVERSITY HEALTH SCIENCES ("WFUHS") WAS DELEGATED TO WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER ("WFUBMC"). THE MCIA WAS AMENDED AND RESTATED ON JULY 1, 2013 AND AGAIN ON JULY 1, 2015. ON FEBRUARY 1, 2015 CERTAIN SECTIONS OF THE MCIA WERE AMENDED. WFUHS IS A WHOLLY-CONTROLLED SUBSIDIARY ENTITY OF WAKE FOREST UNIVERSITY ("WFU"). WFUBMC IS A MEMBERSHIP NONPROFIT CORPORATION WHOSE TWO EQUAL MEMBERS ARE NCBH (WHICH ENTITY IS UNRELATED TO WFUHS AND WFU) AND WFU. THE GOAL IS CONSOLIDATION OF MANAGEMENT IN WFUBMC OF THE VARIOUS ACADEMIC MEDICAL CENTER OPERATIONS, SUBJECT TO SUBSTANTIAL RESERVED POWERS IN EACH OF THE CONSTITUENT MEMBERS' BOARDS. DURING THE YEAR, THE ENTITY CONTRACTED WITH C. MICHAEL RUTHERFORD AS ITS CHIEF FINANCIAL OFFICER AND TREASURER. MR. RUTHERFORD IS AN EMPLOYEE OF WARBIRD CONSULTING PARTNERS, A HEALTHCARE EXECUTIVE MANAGEMENT SERVICES COMPANY. MR. RUTHERFORD RECEIVED $670,192 IN CALENDAR YEAR 2014 COMPENSATION FROM WARBIRD CONSULTING PARTNERS FOR HIS SERVICES AS THE MEDICAL CENTER'S CHIEF FINANCIAL OFFICER AND TREASURER. |
| FORM 990, PART VI, SECTION A, LINE 4 | MCIA AMENDMENTS ON NOVEMBER 5, 2014, THE BOARD OF TRUSTEES OF THE FILING ORGANIZATION [NCBH] APPROVED SEVERAL CHANGES TO THE MEDICAL CENTER INTEGRATION AGREEMENT ("MCIA"). THE FILING ORGANIZATION WAS ONE OF FOUR PARTIES TO THE MCIA; THE APPROVAL BY THE BOARD OF TRUSTEES OF WAKE FOREST UNIVERSITY OF THESE MCIA CHANGES ON JANUARY 30, 2015 MADE THEM FINAL. EFFECTIVE FEBRUARY 1, 2015, CHANGES RELATE TO MEDICAL CENTER BOARD COMMITTEES AND THE ESTABLISHMENT OF A NEW COMMUNITY BENEFIT ADVISORY BOARD. MEDICAL CENTER BOARD COMMITTEES WILL NOW INCLUDE THE MEDICAL CENTER CEO AS AN EX OFFICIO MEMBER OF EACH COMMITTEE; THE EXECUTIVE COMMITTEE WILL BE COMPRISED OF THE MEDICAL CENTER CHAIR AND VICE-CHAIR, THE CHAIR AND VICE-CHAIR OF THE AUDIT AND COMPLIANCE COMMITTEE, AND THE CHAIR AND VICE-CHAIR OF THE NEW GOVERNANCE AND COMPENSATION COMMITTEE. FIVE EXISTING MEDICAL CENTER BOARD COMMITTEES (FINANCE AND BUSINESS AFFAIRS; HEALTH SYSTEMS OPERATIONS AND QUALITY; ACADEMIC AFFAIRS; FACILITIES AND INNOVATION QUARTER; AND FAITH AND COMMUNITY HEALTH) ARE ELIMINATED. THE MEDICAL CENTER AUDIT AND COMPLIANCE COMMITTEE WILL BE COMPRISED OF THREE (3) WFU APPOINTEES AND THREE (3) NCBH APPOINTEES, PLUS THE MEDICAL CENTER BOARD CHAIR, EX OFFICIO. THE CHAIR AND CHAIR DESIGNATE FOR THIS COMMITTEE WILL FOLLOW A SIMILAR TWO-YEAR ROTATION PLAN AS THAT FOR THE MEDICAL CENTER BOARD. THE GOVERNANCE AND COMPENSATION COMMITTEE WILL CONSIST OF THE BOARD CHAIR AND VICE-CHAIR, AND TWO (2) APPOINTEES EACH FROM THE WFU AND NCBH BOARD FROM THEIR MEDICAL CENTER BOARD ELECTEES. THE CHAIR/CHAIR DESIGNATE TWO-YEAR ROTATION PLAN ALSO APPLIES TO THIS COMMITTEE. GOING FORWARD, ONLY MEDICAL CENTER BOARD MEMBERS WILL POPULATE MEDICAL CENTER BOARD COMMITTEES, BUT THE WFUHS AND NCBH SEPARATE INVESTMENT COMMITTEES WILL CONTINUE. NCBH BYLAWS AMENDMENTS IN CONJUNCTION WITH THE AMENDMENT OF THE MCIA, NCBH AMENDED ITS BYLAWS ON MARCH 3, 2015 TO DELETE THE PROVISION MAKING THE FINANCE AND BUSINESS AFFAIRS, HEALTH SYSTEMS OPERATIONS, FACILITIES AND INNOVATION QUARTER AND ACADEMIC AFFAIRS COMMITTEES OF THE MEDICAL CENTER STANDING COMMITTEES OF THE NCBH BOARD. NCBH CHANGED THE DATE OF THE BEGINNING OF THE TERM OF OFFICE OF TRUSTEES AND COMMITTEES MEMBERS FROM JANUARY 1 TO JULY 1. FURTHER, NCBH ELIMINATED THE ARTICLES OF INCORPORATION AND BYLAWS COMMITTEE AND ADDED TO THE GOVERNANCE AND NOMINATING COMMITTEE THE REQUIREMENT THAT IT ANNUALLY REVIEW NCBH'S ARTICLES OF INCORPORATION AND BYLAWS AND MAKE RECOMMENDATIONS TO THE BOARD OF ANY PROPOSED AMENDMENTS. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FILING ORGANIZATION'S BOARD OF DIRECTORS RECEIVE A COPY OF THE FORM 990 WITH SUFFICIENT TIME TO PERMIT REVIEW, COMMENT, AND QUESTIONS PRIOR TO ITS FILING. THE AUDIT AND COMPLIANCE COMMITTEE OF THE GOVERNING BOARD OF WFUBMC, COMPRISED OF THE AUDIT AND COMPLIANCE COMMITTEES OF WFUHS AND NCBH, REVIEW IN ADDITIONAL DETAIL THE FILING ORGANIZATION'S FORM 990 WITH THE ORGANIZATION'S CHIEF FINANCIAL OFFICER OR HIS DESIGNEE, WHO ANSWERS QUESTIONS AND ADDRESSES CONCERNS RAISED BY SUCH COMMITTEE MEMBERS OR OTHER FILING ORGANIZATION DIRECTORS. IF MODIFICATIONS ARE REQUIRED FOLLOWING SUCH REVIEW AND COMMENT, THE REVISED FORM 990 IS REDISTRIBUTED TO ALL BOARD MEMBERS PRIOR TO ITS FILING WITH THE IRS, ALONG WITH A REPORT NOTING THE MODIFICATIONS. |
| FORM 990, PART VI, SECTION B, LINE 12C | ON AN ANNUAL BASIS (AND AS THEY ARISE), ALL TRUSTEES AND OFFICERS OF THE FILING ORGANIZATION ARE ASKED TO REVIEW THE APPLICABLE CONFLICTS OF INTEREST POLICY AND TO DESCRIBE ANY POTENTIAL CONFLICTS OF INTEREST THEY MAY HAVE. UPON COMPLETION OF THE CONFLICTS OF INTEREST SURVEY, THE LEGAL DEPARTMENT REVIEWS THE COMPLETED QUESTIONNAIRES ON BEHALF OF THE FILING ORGANIZATION. ANY CONFLICTS IDENTIFIED ARE COMMUNICATED TO THE FILING ORGANIZATION'S CHAIRMAN OF THE BOARD AND ARE PRESENTED TO THE AUDIT AND COMPLIANCE COMMITTEE. ALL CONFLICTS OF INTEREST ARE RESOLVED BY MANAGEMENT PLANS DEVELOPED BY THE FILING ORGANIZATION BOARD'S AUDIT AND COMPLIANCE COMMITTEE AND THE INTERNAL AUDIT AND COMPLIANCE OFFICES. THE AUDIT AND COMPLIANCE COMMITTEE'S CHAIR PRESENTS AN ANNUAL REPORT ON CONFLICTS TO THE FULL BOARD OF THE FILING ORGANIZATION. |
| FORM 990, PART VI, SECTION B, LINE 15 | FROM JULY 1, 2014 THROUGH JANUARY 31, 2015, THE EXECUTIVE COMMITTEE OF WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER ("WFUBMC") BOARD OF DIRECTORS FUNCTIONS AS THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND PURSUANT TO A DELEGATION BY THE FILING ORGANIZATION, REVIEWS AND APPROVES THE APPOINTMENT AND COMPENSATION OF THE SENIOR EXECUTIVES OF THE FILING ORGANIZATION. BEGINNING FEBRUARY 1, 2015, THAT ROLE IS FULFILLED BY THE GOVERNANCE AND COMPENSATION COMMITTEE OF WFUBMC. NO MEMBER OF THE WFUBMC GOVERNANCE AND COMPENSATION COMMITTEE IS AN EMPLOYEE OF THE MEDICAL CENTER. THE GOVERNANCE AND COMPENSATION COMMITTEE RELIES UPON AN EXTERNAL, INDEPENDENT COMPENSATION CONSULTANT EXPERIENCED IN HEALTHCARE TO PROVIDE THE COMMITTEE WITH COMPENSATION COMPARABILITY DATA FOR NEW EXECUTIVE POSITION APPOINTMENTS AND FOR COMPENSATION REVIEWS FOR EXISTING EXECUTIVES. THE CONSULTANT, WHICH IS RETAINED DIRECTLY BY THE GOVERNANCE AND COMPENSATION COMMITTEE, PROVIDES THIRD-PARTY INFORMATION AND EVALUATES THE COMPETITIVENESS AND REASONABLENESS OF EXECUTIVE COMPENSATION AND BENEFITS PROGRAMS IN RELATION TO MARKET PRACTICES FOR SIMILARLY-SITUATED NONPROFIT HEALTHCARE ORGANIZATIONS. THE COMMITTEE MAKES ITS DECISIONS WITH RESPECT TO EXECUTIVE COMPENSATION IN ACCORDANCE WITH THE FILING ORGANIZATION'S POLICIES, IRS REGULATIONS, AND STANDARD CORPORATE GOVERNANCE PRACTICES. SUCH POLICIES INCLUDE ADHERENCE TO: BOARD-ESTABLISHED EXECUTIVE COMPENSATION PHILOSOPHY AND REVIEW PROCESSES; PROCESSES ENSURING GOVERNANCE AND COMPENSATION COMMITTEE MEMBER AND COMPENSATION CONSULTANT INDEPENDENCE; USE OF VALID MARKET COMPARISONS OF DATA FROM PEER ACADEMIC MEDICAL CENTERS OF SIMILAR ORGANIZATIONAL STRUCTURE, SIZE, AND COMPLEXITY; CAREFUL DOCUMENTATION OF ALL COMPENSATION DECISIONS; AND ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS, PER IRS GUIDELINES. MINUTES OF THE DELIBERATIONS OF THE GOVERNANCE AND COMPENSATION COMMITTEE ARE CONTEMPORANEOUSLY MAINTAINED AND THAT COMPARABILITY DATA IS MAINTAINED IN THE MEDICAL CENTER'S OFFICE OF EXECUTIVE COMPENSATION SERVICES. IN THE EVENT THAT A MEMBER OF THE GOVERNANCE AND COMPENSATION COMMITTEE HAS A CONFLICT OF INTEREST RELATED TO EXECUTIVE APPOINTMENT OR COMPENSATION, THAT MEMBER DOES NOT PARTICIPATE IN THE DELIBERATION OR APPROVAL OF APPOINTMENT OR COMPENSATION AND SUCH ABSTENTION IS NOTED IN THE COMMITTEE'S MEETING MINUTES. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE TO THE PUBLIC ON REQUEST AND ARE AVAILABLE ON THE WEBSITE OF THE NORTH CAROLINA SECRETARY OF STATE. THE ORGANIZATION'S BYLAWS ARE NOT PUBLISHED, BUT PROVISIONS FROM THE BYLAWS ARE INCLUDED AS NECESSARY IN THE ORGANIZATION'S POLICIES, AND ARE ATTACHED TO THE FORM 1023 FILED FOR THE ORGANIZATION WITH THE IRS, WHICH IS PUBLICLY AVAILABLE. THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC. |
| PART VII, SECTION A, COLUMN B - HOURS | RON D KESSINGER FILING ORG 2.0 RELATED ORG 6.0 ARTHUR A GIBEL FILING ORG 2.0 RELATED ORG 4.0 KATHRYN H HAMRICK FILING ORG 2.0 RELATED ORG 2.0 A. LEE HERRING FILING ORG 2.0 RELATED ORG 4.0 J. WAYNE MEREDITH, MD FILING ORG 2.0 RELATED ORG 2.0 CAROL F. POLK FILING ORG 2.0 RELATED ORG 2.0 WILLIAM C. WARDEN, JR. FILING ORG 2.0 RELATED ORG 4.0 SHEREE B WATSON FILING ORG 2.0 RAY N HOWELL, III D. MIN FILING ORG 2.0 RELATED ORG 2.0 JOHN D KIMBERLY FILING ORG 2.0 STEPHEN L ROBERTSON FILING ORG 2.0 RELATED ORG 6.0 EDWIN L WELCH, JR. FILING ORG 2.0 RELATED ORG 4.0 LINWOOD L DAVIS FILING ORG 2.0 BRENDA B DIGGS FILING ORG 2.0 LOUIS B BALDWIN, JR. FILING ORG 2.0 GEORGE D RENFRO FILING ORG 2.0 RELATED ORG 4.0 JOHN D MCCONNELL, MD FILING ORG 19.0 RELATED ORG 7.0 UNRELATED ORG 14.0 H. GREG BRAY FILING ORG 30.0 RELATED ORG 7.0 UNRELATED ORG 3.0 J MCLAIN WALLACE, JR FILING ORG 27.9 RELATED ORG 10.0 UNRELATED ORG 2.1 KAREN H HUEY FILING ORG 23.0 RELATED ORG 6.0 UNRELATED ORG 11.0 ERIC TOMLINSON FILING ORG 0.0 RELATED ORG 5.0 UNRELATED ORG 35.0 NORMAN D POTTER, JR. FILING ORG 20.0 RELATED ORG 5.0 UNRELATED ORG 15.0 CHERYL E.H. LOCKE FILING ORG 30.0 RELATED ORG 6.0 UNRELATED ORG 4.0 LISA M WYATT FILING ORG 20.0 RELATED ORG 5.0 UNRELATED ORG 15.0 EDWARD ABRAHAM, MD FILING ORG 0.0 RELATED ORG 5.0 UNRELATED ORG 35.0 C. MICHAEL RUTHERFORD FILING ORG 22.0 RELATED ORG 8.0 UNRELATED ORG 10.0 BRADLEY A. CLARK FILING ORG 23.0 RELATED ORG 7.0 UNRELATED ORG 10.0 TERRY G. WILLIAMS FILING ORG 21.0 RELATED ORG 6.0 UNRELATED ORG 13.0 K. BARBARA CARBONE, MD FILING ORG 14.0 RELATED ORG 14.0 UNRELATED ORG 12.0 CHAD A. ECKES FILING ORG 23.0 RELATED ORG 8.0 UNRELATED ORG 9.0 KEVIN HIGH, M.D. FILING ORG 14.0 RELATED ORG 9.0 UNRELATED ORG 17.0 DEETTE M. EMON FILING ORG 20.0 RELATED ORG 10.0 UNREALTED ORG 10.0 BETTY PETREE FILING ORG 40.0 MICHAEL RIEKER FILING ORG 40.0 VANCE MCVAY, JR. FILING ORG 40.0 MICHAEL T. WAID FILING ORG 40.0 JOHN K. LEW FILING ORG 20.0 RELATED ORG 10.0 UNRELATED ORG 10.0 EDWARD G CHADWICK FILING ORG 0.0 RELATED ORG 0.0 UNRELATED ORG 0.0 THOMAS E SIBERT, MD FILING ORG 0.0 RELATED ORG 0.0 UNRELATED ORG 0.0 JOANNE C RUHLAND FILING ORG 25.0 RELATED ORG 0.0 UNRELATED ORG 15.0 RUSSELL M HOWERTON, MD FILING ORG 22.0 RELATED ORG 0.0 UNRELATED ORG 18.0 STEVE C SNELGROVE FILING ORG 0.0 RELATED ORG 0.0 MAUREEN E SINTICH FILING ORG 39.0 RELATED ORG 1.0 DONNY C LAMBETH FILING ORG 0.0 RELATED ORG 1.0 SHARON ENGEBRETSON FILING ORG 34.0 RELATED ORG 6.0 WAKE FOREST UNIVERSITY HEALTH SCIENCES IS AN UNRELATED ORGANIZATION TO THE FILING ORGANIZATION AND THE INFORMATION CONCERNING HOURS DEVOTED TO IT ARE NOT REQUIRED TO BE REPORTED, BUT ARE INCLUDED BECAUSE OF THE STRUCTURE OF WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER, OF WHICH THE FILING ORGANIZATION AND WAKE FOREST UNIVERSITY HEALTH SCIENCES ARE PRINCIPAL PARTS. THE CORPORATE OFFICERS OF THE MEDICAL CENTER ALSO SERVE AS THE CORPORATE OFFICERS OF NORTH CAROLINA BAPTIST HOSPITAL AND WAKE FOREST UNIVERSITY HEALTH SCIENCES. |
| FORM 990, PART IX, LINE 11G | OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 53,861,230. MANAGEMENT AND GENERAL EXPENSES 15,483,830. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 69,345,060. MCIA: PROGRAM SERVICE EXPENSES 107,384,198. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 107,384,198. |
| FORM 990, PART XI, LINE 9: | ACTUARY LOSS -16,161,982. AFFILIATE EARNINGS 11,875,627. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLEMMONS MEDICAL PARK LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | MEDICAL CENTER BLVD | AddressLine1Txt |
| City | WINSTON SALEM | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27157 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 800870210 | EIN |
| Primary Activities | REAL ESTATE HOLDING COMPANY | PrimaryActivitiesTxt |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Total Income | $1,208,229 | TotalIncomeAmt |
| End Of Year Assets | $30,562,527 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTH CAROLINA BAPTIST HOSPITAL | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION | |||||||||||
| MEDICAL CENTER BLVD | WINSTON SALEM | NC | 27157 | 561685120 | SUPPORTING ORGANIZATION | NC | 501(C)(3) | LINE 11A, I | NORTH CAROLINA BAPTIST HOSPITAL | Yes (1) | |
| THE REHABILITATION & SKILLED NURSING | |||||||||||
| MEDICAL CENTER BLVD | WINSTON SALEM | NC | 27157 | 561826396 | HEALTHCARE (INACTIVE) | NC | 501(C)(3) | LINE 9 | NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION | Yes (1) | |
| THE HAWTHORNE INN & CONFERENCE CENTER INC | |||||||||||
| 420 HIGH STREET | WINSTON SALEM | NC | 27101 | 561793617 | LODGING/CONFERENCE ACCOMODATION | NC | 501(C)(3) | LINE 11A, I | NORTH CAROLINA BAPTIST HOSPITAL | Yes (1) | |
| CARENET INC | |||||||||||
| 2000 WEST FIRST STREET SUITE 410 | WINSTON SALEM | NC | 27104 | 561977341 | HEALTHCARE | NC | 501(C)(3) | LINE 11B, II | NORTH CAROLINA BAPTIST HOSPITAL | Yes (1) | |
| WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER | |||||||||||
| MEDICAL CENTER BLVD | WINSTON SALEM | NC | 27157 | 510190238 | HEALTHCARE | NC | 501(C)(3) | LINE 11A, I | 0 | N/A | |
| FAITHHEALTH INNOVATIONS INC | |||||||||||
| MEDICAL CENTER BLVD | WINSTON SALEM | NC | 27157 | 237426944 | HEALTHCARE | NC | 501(C)(3) | LINE 9 | WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER | Yes (1) | |
| DAVIE COUNTY EMERGENCY HEALTH CORPORATION | |||||||||||
| 223 HOSPITAL STREET | MOCKSVILLE | NC | 27028 | 562276994 | HEALTHCARE | NC | 501(C)(3) | LINE 3 | NORTH CAROLINA BAPTIST HOSPITAL | Yes (1) | |
| MEDICAL FND OF WFUHS & NCBH | |||||||||||
| MEDICAL CENTER BLVD | WINSTON SALEM | NC | 27157 | 566036688 | HEALTHCARE | NC | 501(C)(3) | LINE 11A, I | 0 | N/A | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (10 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION | ||
| A | $119,934 | COST |
| THE HAWTHORNE INN & CONFERENCE CENTER INC | ||
| K | $227,760 | COST |
| THE HAWTHORNE INN & CONFERENCE CENTER INC | ||
| Q | $360,529 | COST |
| CARENET INC | ||
| Q | $3,753,997 | FMV |
| DAVIE COUNTY EMERGENCY HEALTH CORP | ||
| Q | $8,326,717 | FMV |
| NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION | ||
| Q | $161,464 | FMV |
| NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION | ||
| S | $348,549 | COST |
| NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION | ||
| C | $1,000,000 | COST |
| DAVIE COUNTY EMERGENCY HEALTH CORP | ||
| J | $2,803,025 | COST |
| CARENET INC | ||
| B | $125,000 | COST |