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WAKE FOREST UNIVERSITY HEALTH SCIENCES GROUP RETURN: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
WAKE FOREST UNIVERSITY HEALTH SCIENCES GROUP RETURN (EIN 90-0222618)
Tax period
2013-07-01 to 2014-06-30
Filed
2015-05-14
IRS object ID
201501349349305415
Schema version
2013v4.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2015-05-14T14:00:32-05:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN900222618EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WAKE FOREST UNIVERSITY HEALTH SCIENCESBusinessNameLine1
Business Name Line2GROUP RETURNBusinessNameLine2
FieldValueIRS element (for citing)
Business Name ControlWAKEBusinessNameControlTxt
Phone3367164445PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1MEDICAL CENTER BLVDAddressLine1
CityWINSTONSALEMCity
StateNCState
ZIP Code27157ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOHN D MCCONNELL MDPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone3367164445PhoneNum
Signature2015-05-13SignatureDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJOHN D MCCONNELL MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1MEDICAL CENTER BLVDAddressLine1
CityWINSTONSALEMCity
StateNCState
ZIP Code27157ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$73,311,774GrossReceiptsAmt
Group Return For AffiliatesYes (1)GroupReturnForAffiliatesInd
All Affiliates IncludedYes (1)AllAffiliatesIncludedInd
Group Exemption3884GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2003FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionOUTPATIENT MEDICAL CLINICS FOR THE PROMOTION OF HEALTH FOR THE BENEFIT OF THE COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body3VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$72,928,533PYProgramServiceRevenueAmt
CY Program Service Revenue$73,311,774CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$72,928,533PYTotalRevenueAmt
CY Total Revenue$73,311,774CYTotalRevenueAmt
PY Grants And Similar Paid$351,683PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$339,731CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$56,219,445PYOtherExpensesAmt
CY Other Expenses$58,813,832CYOtherExpensesAmt
PY Total Expenses$56,571,128PYTotalExpensesAmt
CY Total Expenses$59,153,563CYTotalExpensesAmt
PY Revenues Less Expenses$16,357,405PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$14,158,211CYRevenuesLessExpensesAmt
Total Assets BOY$131,042,363TotalAssetsBOYAmt
Total Assets EOY$144,107,086TotalAssetsEOYAmt
Total Liabilities BOY$5,705,311TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,611,823TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$125,337,052NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$139,495,263NetAssetsOrFundBalancesEOYAmt
MissionOUTPATIENT MEDICAL CLINICS FOR THE PROMOTION OF HEALTH FOR THE BENEFIT OF THE COMMUNITY AND AS A SUPPORTING ORGANIZATION EXCLUSIVELY FOR THE BENEFIT OF WAKE FOREST UNIVERSITY AND WAKE FOREST UNIVERSITY HEALTH SCIENCES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$52,213,356ExpenseAmt
Grant$339,731GrantAmt
Revenue$73,311,774RevenueAmt
DescHEMODIALYSIS: THE CLINICS SERVE THE TEACHING AND RESEARCH PROGRAMS OF WAKE FOREST UNIVERSITY HEALTH SCIENCES AND WAKE FOREST UNIVERSITY BY PROVIDING DIALYSIS TREATMENTS TO END STAGE RENAL DISEASE PATIENTS (1,348 INPATIENT AND 293 HOME DIALYSIS PATIENTS).Desc
Total Program Service Expenses$52,213,356TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document110IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members3GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HEALTH SYSTEMS MANAGEMENT INCBusinessNameLine1
FieldValueIRS element (for citing)
Phone2293865505PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 7710AddressLine1
CityTIFTONCity
StateGAState
ZIP Code317937710ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JOHN D MCCONNELL MD
CHAIRMAN & PRESIDENT0.5039.50Yes (X)Yes (X)$0$1,019,933$732,938
BARRY I FREEDMAN MD
DIRECTOR1.0039.00Yes (X)$0$650,219$41,316
TERRY L HALES JR
DIRECTOR & ASST TREAS2.0038.00Yes (X)Yes (X)$0$366,527$85,641
J REID MORGAN
SECRETARY0.5039.50Yes (X)$0$468,408$94,436
WILLIAM B APPLEGATE MD
FORMER DIRECTOR & OFFICER0.0040.00$0$420,742$37,723Yes (X)
DOUGLAS L EDGETON
FORMER DIRECTOR & OFFICER0.000.00$0$495,405$245Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,421,234TotReportableCompRltdOrgAmt
Total Other Compensation$992,299TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
HSM DIALYSIS CENTERS LLC
PO BOX 7710TIFTONGA31793MANAGEMENT COMPANY$6,812,999
NEPHROLOGY ASSOCIATES
730 HIGHLAND OAKS DRIVEWINSTONSALEMNC27103MEDICAL DIRECTOR$295,000
METROLINA NEPHROLOGY ASSOC
1300 BAXTER ST SUITE 215CHARLOTTENC28204MEDICAL DIRECTOR$140,467
IREDELL NEPHROLOGY CENTER
2043 SIMONTON RD SUITE BSTATESVILLENC28625MEDICAL DIRECTOR$110,000
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescMEDICAL SERVICESDesc
Business621300BusinessCd
Total Revenue Column$73,311,774TotalRevenueColumnAmt
Related Or Exempt Func Income$73,311,774RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$73,311,774TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$73,311,774TotalRevenueColumnAmt
Related Or Exempt Func Income$73,311,774RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$339,731TotalAmt
Program Services$339,731ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$6,861,835TotalAmt
Management And General$6,861,835ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$32,194TotalAmt
Management And General$32,194ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$21,996,732TotalAmt
Program Services$21,950,554ProgramServicesAmt
Management And General$46,178ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$5,337TotalAmt
Program Services$5,337ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$436,514TotalAmt
Program Services$436,514ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$452,720TotalAmt
Program Services$452,720ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,145,700TotalAmt
Program Services$3,145,700ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$182,438TotalAmt
Program Services$182,438ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$48,217TotalAmt
Program Services$48,217ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$270,791TotalAmt
Program Services$270,791ProgramServicesAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEDICAL SUPPLIES$18,812,454$18,812,454
BAD DEBT$5,432,902$5,432,902
LABORATORY$1,135,998$1,135,998

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$59,153,563TotalAmt
Program Services$52,213,356ProgramServicesAmt
Management And General$6,940,207ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,879,607BOYAmt
EOY$3,869,611EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$9,796,836BOYAmt
EOY$10,045,111EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,465,367BOYAmt
EOY$1,393,045EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$21,486BOYAmt
EOY$10,252EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$115,879,067BOYAmt
EOY$128,789,067EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$131,042,363BOYAmt
EOY$144,107,086EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,255,311BOYAmt
EOY$4,201,823EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$450,000BOYAmt
EOY$410,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,705,311BOYAmt
EOY$4,611,823EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$125,337,052BOYAmt
EOY$139,495,263EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$125,337,052BOYAmt
EOY$139,495,263EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$131,042,363BOYAmt
EOY$144,107,086EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$14,158,211ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
CertificationYes (X)CertificationInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Supported Org Information SupportedOrgInformationGrp (2 entries)

EINEINOrganization TypeOrganizationTypeDescGoverning Document ListedGoverningDocumentListedIndUS OrganizedUSOrganizedIndSupportSupportAmt
WAKE FOREST UNIVERSITY
5605321382Yes (1)Yes (1)$0
WAKE FOREST UNIVERSITY HEALTH SCIENCES
2238491992Yes (1)Yes (1)$0
FieldValueIRS element (for citing)
Supported Organizations Total2SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt

Schedule D IRS990ScheduleD

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

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescWFUHS CAPITAL CONTRIBUTIONDesc
Book Value$128,789,067BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$128,789,067TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO WFUDesc
Amt$410,000Amt
FieldValueIRS element (for citing)
Total Liability$410,000TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$70,080,807TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$2,201,935DonatedServicesAndUseFcltsAmt
Revenue Not Reported$2,201,935RevenueNotReportedAmt
Revenue Subtotal$67,878,872RevenueSubtotalAmt
Other Revenues Not Included$5,432,902OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$5,432,902RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$73,311,774TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$55,922,596TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$2,201,935DonatedServicesUseFcltsAmt
Expenses Not Reported$2,201,935ExpensesNotReportedAmt
Expenses Subtotal$53,720,661ExpensesSubtotalAmt
Other Expenses Not Included$5,432,902OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$5,432,902ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$59,153,563TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE ORGANIZATION RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED. THE ORGANIZATION WAS REQUIRED TO EVALUATE UNCERTAIN TAX POSITIONS. THIS EVALUATION INCLUDES A QUANTIFICATION OF TAX RISK IN AREAS SUCH AS UNRELATED BUSINESS TAXABLE INCOME AND THE TAXATION OF FOR-PROFIT SUBSIDIARIES, IF APPLICABLE. THIS EVALUATION DID NOT HAVE A MATERIAL EFFECT ON THE ORGANIZATION'S STATEMENT OF OPERATIONS FOR THE YEARS ENDED JUNE 30, 2014 AND 2013.
PART XI, LINE 4B - OTHER ADJUSTMENTS:RECLASS BAD DEBT 5,432,902.
PART XII, LINE 4B - OTHER ADJUSTMENTS:RECLASS BAD DEBT 5,432,902.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
UNITED WAY OF FORSYTH COUNTY
301 N MAIN STREETWINSTON SALEMNC271012373572343$15,000COMMUNITY SUPPORT
AMERICAN KIDNEY FUND
11921 ROCKVILLE PIKEROCKVILLEMD208522371242613$319,377FINANCIAL ASSISTANCE PROGRAM FOR QUALIFIED KIDNEY PATIENTS
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION FOLLOWS THE POLICY USED BY WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER (TO WHICH ENTITY THE OPERATION OF THE SUBSIDIARIES OF ITS TWO MEMBERS, WAKE FOREST UNIVERSITY HEALTH SCIENCES AND NORTH CAROLINA BAPTIST HOSPITAL, - INCLUDING THE FILING ORGANIZATION - HAS BEEN DELEGATED) IN REVIEWING ELIGIBILITY AND SELECTION OF GRANTEES RECEIVING CERTAIN EXEMPT PURPOSE FUNDS. THE ORGANIZATION MAINTAINS DOCUMENTATION OF THE ELIGIBILITY AND SELECTION CRITERIA AND RECORDS OF AMOUNTS DISBURSED.ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOHN D MCCONNELL MD
CHAIRMAN & PRESIDENT$0$996,889$0$0$0$23,044$0$711,356$0$21,582$0$1,752,871$0$0
BARRY I FREEDMAN MD
DIRECTOR$0$363,512$0$284,775$0$1,932$0$19,793$0$21,523$0$691,535$0$0
TERRY L HALES JR
DIRECTOR & ASST TREAS$0$365,687$0$0$0$840$0$64,173$0$21,468$0$452,168$0$0
J REID MORGAN
SECRETARY$0$424,097$0$26,500$0$17,811$0$28,750$0$65,686$0$562,844$0$0
WILLIAM B APPLEGATE MD
FORMER DIRECTOR & OFFICER$0$400,956$0$0$0$19,786$0$17,107$0$20,616$0$458,465$0$0
DOUGLAS L EDGETON
FORMER DIRECTOR & OFFICER$0$0$0$0$0$495,405$0$0$0$245$0$495,650$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINES 4A-BFormAndLineReferenceDesc
ExplanationCERTAIN EXECUTIVES OF THE FILING ORGANIZATION DURING THE TAX PERIOD PARTICIPATED IN OR RECEIVED SEVERANCE PAYMENTS OR PAYMENTS FROM SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLANS (ALL OF WHICH WAS PAID BY RELATED ORGANIZATIONS, WAKE FOREST UNIVERSITY HEALTH SCIENCES OR WAKE FOREST UNIVERSITY, AS PART OF THE INDIVIDUAL'S COMPENSATION FROM RELATED ORGANIZATIONS). THE FOLLOWING FORMER OFFICER AND DIRECTOR RECEIVED SEVERANCE PAYMENTS FROM A RELATED ORGANIZATION, WAKE FOREST UNIVERSITY HEALTH SCIENCES: DOUGLAS L EDGETON $495,405ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6WAKE FOREST UNIVERSITY HEALTH SCIENCES IS THE PARENT ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7ATHE MEMBERS OF THE BOARD OF DIRECTORS OF THE ORGANIZATION ARE APPOINTED BY THE GOVERNING BODY OF WAKE FOREST UNIVERSITY HEALTH SCIENCES OR BY A MEMBER OF THE GOVERNING BODY OR BY AN OFFICER OF WAKE FOREST UNIVERSITY HEALTH SCIENCES ACTING IN HIS OFFICIAL CAPACITY, IN ACCORDANCE WITH PROCEDURES PRESCRIBED BY THE BOARD OF DIRECTORS OF WAKE FOREST UNIVERSITY HEALTH SCIENCES.
FORM 990, PART VI, SECTION A, LINE 7BDECISIONS OF THE ORGANIZATION'S GOVERNING BODY WHICH REQUIRE APPROVAL BY THE PARENT ORGANIZATION, WAKE FOREST UNIVERSITY HEALTH SCIENCES, INCLUDE AMENDMENTS TO THE ORGANIZATION'S GOVERNANCE DOCUMENTS (ARTICLES OF INCORPORATION AND BYLAWS), AND THE ELECTION AND REMOVAL OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11THE FILING ORGANIZATION'S BOARD OF DIRECTORS RECEIVES A COPY OF THE FORM 990 WITH SUFFICIENT TIME TO PERMIT REVIEW, COMMENT, AND QUESTIONS PRIOR TO ITS FILING. IF MODIFICATIONS ARE REQUIRED FOLLOWING SUCH REVIEW, THE REVISED FORM 990 IS REDISTRIBUTED PRIOR TO ITS FILING WITH THE IRS, ALONG WITH A SUMMARY OF THE MODIFICATIONS.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION REQUIRES ITS OFFICERS AND DIRECTORS TO DISCLOSE CONFLICTS OF INTEREST ANNUALLY, AND AS THEY ARISE. ANY ITEMS DISCLOSED ARE REVIEWED AND MANAGED IN ACCORDANCE WITH THE ORGANIZATION'S POLICY ON CONFLICTS OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION PAYS NO COMPENSATION TO OFFICERS OR DIRECTORS; AS THE ORGANIZATION HAS NO EMPLOYEES, IT DOES NOT PAY ANY COMPENSATION TO ANY KEY EMPLOYEES. ALL COMPENSATION PAID TO OFFICERS AND DIRECTORS AND FORMER OFFICERS OR DIRECTORS WAS PAID BY RELATED ORGANIZATIONS. THE EXECUTIVE COMMITTEE OF THE WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER BOARD IS (THROUGH AUTHORITY DELEGATED TO IT BY WAKE FOREST UNIVERSITY HEALTH SCIENCES - THE PARENT OF THE FILING ORGANIZATION) RESPONSIBLE FOR REVIEWING AND APPROVING MOST OFFICERS' COMPENSATION. THE COMMITTEE UTILIZES INDEPENDENT COMPENSATION CONSULTANTS, COMPENSATION SURVEYS AND STUDIES TO DETERMINE THE APPROPRIATENESS OF EACH SUCH OFFICERS'COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19THE 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, AVERAGE HOURS PER WEEKJOHN D MCCONNELL MD FILING ORG .5 RELATED ORG 17.5 UNRELATED ORG 22.0 BARRY I FREEDMAN FILING ORG 1.0 RELATED ORG 39.0 TERRY L HALES JR FILING ORG 2.0 RELATED ORG 21.0 UNRELATED ORG 17.0 J REID MORGAN FILING ORG .5 RELATED ORG 39.5 NORTH CAROLINA BAPTIST HOSPITAL IS AN UNRELATED ORGANIZATION TO THE FILING ORGANIZATION. PURSUANT TO THE TERMS OF A MEDICAL CENTER INTEGRATION AGREEMENT ENTERED INTO AMONG WAKE FOREST UNIVERSITY, WAKE FOREST UNIVERSITY HEALTH SCIENCES (BOTH RELATED ORGANIZATIONS OF THE FILING ORGANIZATION), WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER AND NORTH CAROLINA BAPTIST HOSPITAL (AN UNRELATED ORGANIZATION TO THE FILING ORGANIZATION),CORPORATE OFFICERS OF THE MEDICAL CENTER ALSO SERVE AS THE CORPORATE OFFICERS OF NORTH CAROLINA BAPTIST HOSPITAL AND WAKE FOREST UNIVERSITY HEALTH SCIENCES. SEVERAL OF SUCH OFFICERS' HOURS ARE SHOWN HERE AS HOURS DEVOTED TO SUCH OTHER ORGANIZATIONS.
FORM 990, PART IX, LINE 11GCONTRACTED SERVICES & MEDICAL DIRECTOR: PROGRAM SERVICE EXPENSES 21,886,329. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,886,329. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 64,225. MANAGEMENT AND GENERAL EXPENSES 46,178. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 110,403.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
WFUBMC COMMUNITY PHYSICIANS
MEDICAL CENTER BLVDWINSTON SALEMNC27157561903275HEALTHCARENC501(C)(3)LINE 3WAKE FOREST UNIVERSITY HEALTH SCIENCES0
WAKE FOREST UNIVERSITY HEALTH SCIENCES
MEDICAL CENTER BLVDWINSTON SALEMNC27157223849199EDUCATION, RESEARCH, HEALTHCARENC501(C)(3)LINE 2WAKE FOREST UNIVERSITY0
WAKE FOREST UNIVERSITY
BOX 7201WINSTON SALEMNC27109560532138EDUCATIONNC501(C)(3)LINE 20N/A
WAKE FOREST INNOVATION QUARTER MANGEMENT CO
MEDICAL CENTER BLVDWINSTON SALEMNC27157061818498RESEARCH PARK DEVELOPMENTNC501(C)(3)LINE 11A, IWAKE FOREST UNIVERSITY HEALTH SCIENCES0
WAKE FOREST INNOVATION QUARTER CDC
MEDICAL CENTER BLVDWINSTON SALEMNC27157200177581RESEARCH PARK DEVELOPMENTNC501(C)(3)LINE 11A, IWAKE FOREST UNIVERSITY HEALTH SCIENCES0
IDEALLIANCE FOUNDATION
MEDICAL CENTER BLVDWINSTON SALEMNC27157562094060BUSINESS DEVELOPMENT ACTIVITIESNC501(C)(3)LINE 11A, IWAKE FOREST UNIVERSITY HEALTH SCIENCES0
WAKE FOREST INNOVATION QUARTER DEVELOPMENT CO
MEDICAL CENTER BLVDWINSTON SALEMNC27157562094067RESEARCH PARK DEVELOPMENTNC501(C)(6)WAKE FOREST UNIVERSITY HEALTH SCIENCES0
DIALYSIS ACCESS GROUP OF WFU LLC
MEDICAL CENTER BLVDWINSTON SALEMNC27157204241942HEALTHCARENC501(C)(3)LINE 9WAKE FOREST UNIVERSITY HEALTH SCIENCES0
CHILDRESS INSTITUTE FOR PEDIATRIC TRAUMA
575 N PATTERSON AVENUEWINSTON SALEMNC27101463674691HEALTHCARE RESEARCHNC501(C)(3)LINE 7WAKE FOREST UNIVERSITY HEALTH SCIENCES0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1NORTH DISTRICT OWNERS ASSOCIATIONBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1MEDICAL CENTER BLVDAddressLine1
CityWINSTON SALEMCity
StateNCState
ZIP Code27157ZIPCode
FieldValueIRS element (for citing)
EIN471128865EIN
Primary ActivitiesPROPERTY OWNERS ASSOCIATIONPrimaryActivitiesTxt
Legal Domicile StateNCLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd