HARNETT HEALTH SYSTEM INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- HARNETT HEALTH SYSTEM INC (EIN 56-0603898)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-07-31
- IRS object ID
- 201412129349300031
- Schema version
- 2012v2.1
- 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 H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-07-31T10:39:08-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410746749 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 N TRYON STREET SUITE 1000 | AddressLine1 |
| City | CHARLOTTE | City |
| State | NC | State |
| ZIP Code | 28246 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560603898 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HARNETT HEALTH SYSTEM INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HARN | NameControl |
| Phone | 9108927161 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1707 | AddressLine1 |
| City | DUNN | City |
| State | NC | State |
| ZIP Code | 28335 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KENNETH BRYAN | Name |
| Title | PRESIDENT/CEO | Title |
| Phone | 9108927161 | Phone |
| Date Signed | 2014-07-30 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOHN NORMAN | Name |
| PTIN | P01506766 | PTIN |
| Phone | 7049985200 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BETSY JOHNSON REGIONAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | KENNETH BRYAN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1707 | AddressLine1 |
| City | DUNN | City |
| State | NC | State |
| ZIP Code | 28335 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 84740702 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.BJRH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1937 | YearFormation |
| State Legal Domicile | NC | StateLegalDomicile |
| Activity Or Mission Description | PROVIDING MEDICAL CARE FOR PATIENTS OF THE HOSPITAL | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1097 | TotalNbrEmployees |
| Total Nbr Volunteers | 71 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 175608 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 90004 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 103096912 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 83707336 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 313774 | InvestmentIncomePriorYear |
| Investment Income Current Year | -5904 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 846727 | OtherRevenuePriorYear |
| Other Revenue Current Year | 949266 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 104433021 | TotalRevenuePriorYear |
| Total Revenue Current Year | 84740702 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1200 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 43381919 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 57999564 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 62671954 | OtherExpensePriorYear |
| Other Expenses Current Year | 51115528 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 106055073 | TotalExpensesPriorYear |
| Total Expenses Current Year | 109115092 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1622052 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -24374390 | RevenuesLessExpensesCY |
| Total Assets BOY | 117102861 | TotalAssetsBOY |
| Total Assets EOY | 131241890 | TotalAssetsEOY |
| Total Liabilities BOY | 80769174 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 119262535 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 36333687 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 11979355 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | HARNETT HEALTH IS DEDICATED TO PROVIDING QUALITY AND PERSONALIZED CARE WITH RESPECT AND COMPASSION. WE ARE COMMITTED TO MAKING A DIFFERENCE THROUGHOUT OUR COMMUNITIES WITH SERVICE EXCELLENCE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 94123186 | Expense |
| Revenue | 84656602 | Revenue |
| Description | THE HOSPITAL CELEBRATED ITS 75TH BIRTHDAY WHILE SERVING THE HARNETT COUNTY POPULATION AND REACHING INTO THE COUNTIES OF SAMPSON, JOHNSTON AND CUMBERLAND. THE HOSPITAL SERVED 27,167 INPATIENTS FOR FY12, WITH 675 INFANT DELIVERIES. THE HOSPITAL ALSO HAD 44,094 EMERGENCY VISITS AND 16,286 PHYSICAL THERAPY-OCCUPATIONAL THERAPY-SPEECH THERAPY VISITS. ALL OTHER OUTPATIENT VISITS TOTALED 26,222. CARDIACREHAB TREATED 121 PATIENTS AND SOME OF THE OUTCOMES WERE THE FOLLOWING - FERRANS AND POWERS SURVEY, OVERALL QUALITY OF UFE IMPROVED 2 POINTS (GOAL IS 2-3 POINT INCREASE; HEALTH AND FUNCTIONING SUB-SCORE IMPROVED 4 POINTS (GOAL IS 2-3 POINT INCREASE); EDUCATIONAL ASSESSMENT SCORE IMPROVED 30%. MEDICATION MANAGEMENT OF HARNETT COUNTY (BETSY JOHNSON REGIONAL HOSPITAL) ENCOUNTERED 154 NEW PATIENTS WITH A TOTAL OF 615 ACTIVE PARTICIPANTS IN THE PROGRAM. WE RECEIVED 1,968 MEDICATIONS WITH A TOTAL VALUE OF $1,029,689. OUTREACH PROGRAMS THE HOSPITAL PARTICIPATES IN ARE (1) THE ASTHMA MANAGEMENT PROGRAM, WHICH IS LOCATED IN THE COUNTY'S SCHOOLS (SAW 134 CHILDREN).(2) TEENS AS PARENTS PROGRAM, WHICH COLLABORATES WITH TWO OTHER COUNTY AGENCIES, PROVIDES A HOME VISITATION PROGRAM AND THE CONTINUATION OF EDUCATION CLASSES ON CHILDBIRTH AND PARENTING. THE PROGRAM ALSO PROVIDES HARNETT COUNTY TEEN PARENTS WITH OPPORTUNITIES TO DEVELOP SELF-RESPECT, PARENTING, AND DECISION-MAKING SKILLS WHILE CONTINUING THEIR EDUCATION. TAP SERVED 32 TEENS. THE REPEAT PREGNANCY RATE FOR TAP PARTICIPATES IS 0%, COMPARED TO THE COUNTY RATE OF 179%. THE TAP PROGRAM PARTICIPANTS RECEIVED 642 HOURS OF GROUP INSTRUCTION INCLUDING THE FOLLOWING TOPICS: 22 HOURS ACADEMIC SUPPORT, 45 HOURS OF COLLEGE PREPAREDNESS, 72 HOURS OF COMMUNICATION SKILLS, 300 HOURS OF FAMILY NUTRITION AND PHYSICAL ACTIVITY, 48 HOURS OF INDOOR SAFETY, AND 60 HOURS OF INFANT/TODDLER PLAY. (3) HEALTH HARNETT PROGRAM OR "GO RED" IS A PROGRAM THAT PROMOTES HEALTHY EATING, WHICH LEADS TO A HEALTHY LIFESTYLE. HARNETT HEALTH COLLABORATED WITH THE NC COOPERATIVE EXTENSION AND THE HARNETT COUNTY HEALTH DEPARTMENT. THERE WERE A TOTAL OF 103 PARTICIPATES IN TWO PRESENTATIONS GIVEN BY THE HARNETT HEALTH CARDIAC REHAB DEPARTMENT AS WELL AS THE SUPPORTING PHYSICIAN. (4) WE PARTICIPATED IN THE HARNETT COUNTY SENIOR HEALTH FAIR AND WE ALSO HOSTED MULTIPLE FREE DIABETES SCREENINGS AND PARTICIPANTS RECEIVED FREE EDUCATIONAL BROCHURES AND INFORMATION. (5) WE PARTICIPATE IN PROJECT ACCESS OF JOHNSON/HARNETT COUNTY WHICH IS A PHYSICIAN LED VOLUNTEER INITIATIVE THAT GIVES LOW INCOME, UNINSURED COUNTY RESIDENTS ACCESS TO COMPREHENSIVE MEDICAL CARE. PHYSICIANS AND COMMUNITY PARTNERS, LIKE HARNETT HEALTH, DONATE MEDICAL SERVICES WITHOUT RECEIVING REIMBURSEMENT OR COMPENSATION. THE PROGRAM HAS ASSISTED 158 PATIENTS FOR THE LAST FISCAL YEAR. | Description |
| Total Program Service Expense | 94123186 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 90 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1097 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 0 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DEBORAH WHITTINGTON | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9108927161 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 TILGHMAN DRIVE | AddressLine1 |
| City | DUNN | City |
| State | NC | State |
| ZIP Code | 28334 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (24 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| DR RON MADDOX PHARM D | ||||||||
| CHAIRMAN | 4.00 | X | X | 0 | 0 | 0 | ||
| CORNELIA STEWART | ||||||||
| VICE-CHAIRMAN | 2.00 | X | X | 0 | 0 | 0 | ||
| ERNEST ALPHIN | ||||||||
| TREASURER | 2.00 | X | X | 0 | 0 | 0 | ||
| TEDDY BYRD | ||||||||
| SECRETARY | 2.00 | X | X | 0 | 0 | 0 | ||
| WALTER T WEEKS JR | ||||||||
| ASSISTANT SEC. | 2.00 | X | 0 | 0 | 0 | |||
| JIM MCCORMICK | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| BARBARA BETHEA MD | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| WILEY POPE | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| HEATHER H WILLIAMS | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| H WEST LAWSON MD | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| DEWEY BLALOCK | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| BARBARA MCKOY | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| FRANK STEWART | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| KENNETH BRYAN | ||||||||
| PRESIDENT/CEO | 40.00 | X | 436621 | 0 | 80105 | |||
| ROBIN NICHOLS | ||||||||
| CFO | 40.00 | X | 124978 | 0 | 24760 | |||
| VICKI ALLEN | ||||||||
| CNO/VP | 40.00 | X | 191133 | 0 | 12980 | |||
| WALLACE HORNE MD | ||||||||
| VP MED AFFAIRS | 40.00 | X | 274660 | 0 | 8286 | |||
| SONDRA DAVIS | ||||||||
| VP HR | 40.00 | X | 151417 | 0 | 24900 | |||
| MIKE JONES | ||||||||
| VP CENTRAL HOSPITAL AND SUPPORT SERVICES | 40.00 | 157251 | 0 | 17420 | X | |||
| MICHAEL ZICH | ||||||||
| PHYSICIAN | 40.00 | 284428 | 0 | 42068 | X | |||
| BEVERLY YEARWOOD | ||||||||
| PHYSICIAN | 40.00 | 204023 | 0 | 18808 | X | |||
| BRAD BUTLER | ||||||||
| PHYSICIAN | 40.00 | 187083 | 0 | 25410 | X | |||
| VIDETTE COOPER | ||||||||
| PHYSICIAN | 40.00 | 181995 | 0 | 14672 | X | |||
| ASIF ZIA | ||||||||
| PHYSICIAN | 40.00 | 173119 | 0 | 35408 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2366708 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 304817 | TotalOtherCompensation |
| Number Individuals GT100 K | 36 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| BRASFIELD & GORRIE LLC | |||||
| 3700 GLENWOOD AVE SUITE 300 | RALEIGH | NC | 27612 | ENGINEERING & GEN CONTRACTING | 6089305 |
| HMP OF HARNETT COUNTY | |||||
| 4535 DRESSLER RD | NW CANTON | OH | 44718 | PHYSICIANS | 1225507 |
| AMSOL | |||||
| PO BOX 6633 | HIGH POINT | NC | 27262 | ANESTHIOLOGY | 935119 |
| WAKEMED | |||||
| 3000 NEW BERN AVE | RALEIGH | NC | 27620 | MANAGED SERVICES | 719935 |
| TRINITY HEALTHCARE | |||||
| PO BOX 823473 | PHILADELPHIA | PA | 19182 | STAFFING | 696140 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 38 | NumberOfContractorsGT100K |
| Government Grants | 36542 | GovernmentGrants |
| All Other Contributions | 53462 | AllOtherContributions |
| Total Contributions | 90004 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT SERVICE REVENUE | Description |
| Business Code | 621400 | BusinessCode |
| Total Revenue Column | 80153454 | TotalRevenueColumn |
| Related Or Exempt Function Income | 80153454 | RelatedOrExemptFunctionIncome |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3553882 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3553882 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 83707336 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -5904 | TotalRevenueColumn |
| Exclusion | -$5,904 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 579164 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 579164 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 579164 | TotalRevenueColumn |
| Related Or Exempt Function Income | 579164 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | CAFETERIA SALES | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 370102 | TotalRevenueColumn |
| Related Or Exempt Function Income | 370102 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 370102 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 84740702 | TotalRevenueColumn |
| Related Or Exempt Function Income | 84656602 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | -$5,904 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1794000 | Total |
| Program Services | 1524900 | ProgramServices |
| Management And General | 269100 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 47677193 | Total |
| Program Services | 40551838 | ProgramServices |
| Management And General | 7125355 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5196417 | Total |
| Program Services | 4417018 | ProgramServices |
| Management And General | 779399 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3331954 | Total |
| Program Services | 2832161 | ProgramServices |
| Management And General | 499793 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 719935 | Total |
| Management And General | 719935 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 188312 | Total |
| Management And General | 188312 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 68391 | Total |
| Management And General | 68391 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 437113 | Total |
| Management And General | 437113 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1125816 | Total |
| Management And General | 1125816 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1915690 | Total |
| Management And General | 1915690 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1664383 | Total |
| Management And General | 1664383 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 198619 | Total |
| Management And General | 198619 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2258937 | Total |
| Program Services | 2258937 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55453 | Total |
| Program Services | 55453 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7054477 | Total |
| Program Services | 7054477 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 932570 | Total |
| Program Services | 932570 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| OTHER SUPPLIES | 13302798 | 13302798 |
| CONTRACTED SERVICES | 9326836 | 9326836 |
| OTHER EXPENSES | 8163287 | 8163287 |
| CONTRACT LABOR | 3702911 | 3702911 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 109115092 | Total |
| Program Services | 94123186 | ProgramServices |
| Management And General | 14991906 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3630 | BOY |
| EOY | 2282814 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7703260 | BOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18435194 | BOY |
| EOY | 21085142 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38897 | BOY |
| EOY | 22066 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2392142 | BOY |
| EOY | 3048290 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1005040 | BOY |
| EOY | 563422 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 148632975 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 51625080 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 84447769 | BOY |
| EOY | 97007895 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 964456 | BOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 1131189 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2112473 | BOY |
| EOY | 6101072 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 117102861 | BOY |
| EOY | 131241890 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12444679 | BOY |
| EOY | 23952402 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 764814 | BOY |
| EOY | 848505 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 18975918 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 65933045 | BOY |
| EOY | 72016792 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1626636 | BOY |
| EOY | 3468918 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 80769174 | BOY |
| EOY | 119262535 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35369231 | BOY |
| EOY | 10848166 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 964456 | BOY |
| EOY | 1131189 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36333687 | BOY |
| EOY | 11979355 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 117102861 | BOY |
| EOY | 131241890 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -24374390 | ReconcilationRevenueExpenses |
| Reconcilation Prior Adjustment | 20058 | ReconcilationPriorAdjustment |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $13,993 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 13993 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | THE HOSPITAL PAID ANNUAL DUES TO THE AMERICAN HOSPITAL ASSOCIATION AND THE NORTH CAROLINA HOSPITAL ASSOCIATION. THOSE ORGANIZATIONS ESTIMATED THAT $13,993 OF THE DUES WAS ATTRIBUTABLE TO LOBBYING. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1189620 | OtherCostOrOtherBasis |
| Book Value | 1189620 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 91679128 | OtherCostOrOtherBasis |
| Depreciation | 20206113 | Depreciation |
| Book Value | 71473015 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 654705 | OtherCostOrOtherBasis |
| Depreciation | 417400 | Depreciation |
| Book Value | 237305 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 54013444 | OtherCostOrOtherBasis |
| Depreciation | 31001567 | Depreciation |
| Book Value | 23011877 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1096078 | OtherCostOrOtherBasis |
| Book Value | 1096078 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 97007895 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | ESTIMATED THIRD PARTY SETTLEMENTS | Description |
| Amount | $3,468,918 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 3468918 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X, LINE 2: | ReturnReference |
| Explanation | THE SYSTEM IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, THE ACCOMPANYING COMBINED FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2962952 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2962952 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02720 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 23142616 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 20126067 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3016549 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02760 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 26105568 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 20126067 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5979501 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05480 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8989 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 8989 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 42544 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 42544 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11156 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9536 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1620 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2660 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2660 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 65349 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9536 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 55813 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 26170917 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 20135603 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6035314 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05530 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 87771 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 87771 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 87771 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 87771 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $48,767,398 | BadDebtExpenseAmount |
| Amount Attributable To | 14350214 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 39754403 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 44779491 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -5025088 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 2 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Er24 HoursEr24Hours | OtherOther |
|---|---|---|---|---|---|---|---|---|
| BETSY JOHNSON REGIONAL HOSPITAL | ||||||||
| 1 | 800 TILGHMAN DRIVE | DUNN | NC | 28835 | X | X | X | DISPROPORTIONATE SHARE HOSPITAL |
| CENTRAL HARNETT HOSPITAL | ||||||||
| 2 | 215 BRIGHTWATER DRIVE | LILLINGTON | NC | 27546 | X | X | X | |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)
| Hospital Facility NumberHospitalFacilityNumber | CHNA ConductedCHNAConducted | Community DefinitionCommunityDefinition | Community DemographicsCommunityDemographics | Existing ResourcesExistingResources | How Data ObtainedHowDataObtained | Community Health NeedsCommunityHealthNeeds | Other Health IssuesOtherHealthIssues | Identifying ProcessIdentifyingProcess | Consulting ProcessConsultingProcess | Information GapsInformationGaps | Needs Assessment ConductedNeedsAssessmentConducted | Take Into AccountTakeIntoAccount | Other FacilitiesOtherFacilities | CHNA Widely AvailableCHNAWidelyAvailable | Own WebsiteOwnWebsite | On RequestOnRequest | Other MethodOtherMethod | Adopt Implement StrategyAdoptImplementStrategy | Execute Implement StrategyExecuteImplementStrategy | Develop Community PlanDevelopCommunityPlan | Participate Community PlanParticipateCommunityPlan | Include Operational PlansIncludeOperationalPlans | Adopt BudgetAdoptBudget | Prioritize Health NeedsPrioritizeHealthNeeds | Prioritize ServicesPrioritizeServices | All Needs AddressedAllNeedsAddressed | Organization Incur Excise TaxOrganizationIncurExciseTax | Eligibility Criteria ExplainedEligibilityCriteriaExplained | Uses FPG FreeUsesFPGFree | FPG Free PercentFPGFreePercent | Uses FPG DiscountedUsesFPGDiscounted | FPG Discount PercentFPGDiscountPercent | Explains BasisExplainsBasis | Income LevelIncomeLevel | Asset LevelAssetLevel | Medical IndigencyMedicalIndigency | Insurance StatusInsuranceStatus | Uninsured DiscountUninsuredDiscount | Medicaid MedicareMedicaidMedicare | Explains Application MethodExplainsApplicationMethod | Includes Publicity MeasuresIncludesPublicityMeasures | Posted On WebsitePostedOnWebsite | Attached To InvoicesAttachedToInvoices | Posted In Admission OfficePostedInAdmissionOffice | Provided On AdmissionProvidedOnAdmission | Available On RequestAvailableOnRequest | Actions On NonpaymentActionsOnNonpayment | Permit Report To Credit AgencyPermitReportToCreditAgency | Collection ActivitiesCollectionActivities | Report To Credit AgencyReportToCreditAgency | Notify Upon AdmissionNotifyUponAdmission | Notify Before DischargeNotifyBeforeDischarge | Notified All PatientsNotifiedAllPatients | Documented DeterminationDocumentedDetermination | Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy | Lowest Negotiated RatesLowestNegotiatedRates | Amounts Generally BilledAmountsGenerallyBilled | Gross ChargesGrossCharges |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BETSY JOHNSON REGIONAL HOSPITAL | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | 1 | X | X | X | X | X | X | X | X | X | 12 | 1 | 0 | 1 | X | X | X | X | X | X | X | X | X | X | X | 0 | 0 | 1 | 1 | 200.000000000000 | 1 | 400.000000000000 | 1 | X | X | X | X | X | X | 1 | 1 | X | X | X | X | X | 1 | X | 1 | X | X | X | X | X | 1 | X | 0 | 0 |
| CENTRAL HARNETT HOSPITAL | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | 1 | X | X | X | X | X | X | X | X | X | 12 | 1 | 0 | 1 | X | X | X | X | X | X | X | X | X | X | X | 0 | 0 | 1 | 1 | 200.000000000000 | 1 | 400.000000000000 | 1 | X | X | X | X | X | X | 1 | 1 | X | X | X | X | X | 1 | X | 1 | X | X | X | X | X | 1 | X | 0 | 0 |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 5 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (5 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| HARNETT HEALTH ANGIER MEDICAL SERVICES | ||||
| 185 RAWLS ROAD | ANGIER | NC | 27501 | PHYSICIAN PRACTICE |
| HARNETT HEALTH LILLINGTON MEDICAL SERVIC | ||||
| 716 10TH STREET | LILLINGTON | NC | 27546 | PHYSICIAN PRACTICE |
| HARNETT HEALTH DUNN MEDICAL SERVICES | ||||
| 700 TILGHMAN DRIVE 700 | DUNN | NC | 28335 | PHYSICIAN PRACTICE |
| HARNETT HEALTH HARNETT OBGYN | ||||
| 608 TILGHMAN DRIVE | DUNN | NC | 28335 | PHYSICIAN PRACTICE |
| HARNETT HEALTH PREMIER PEDIATRICS | ||||
| 802 TILGHMAN DRIVE | DUNN | NC | 28335 | PHYSICIAN PRACTICE |
Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| PART III, LINE 4: THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE ON BAD DEBT. BAD DEBT IS PRESENTED AT GROSS CHARGES. PER THE HOSPITAL'S AUDITED FINANCIAL STATEMENTS, THE ORGANIZATION ESTIMATES THAT SOME PORTION OF ITS BAD DEBT MAY QUALIFY FOR FINANCIAL ASSISTANCE DUE TO THE FACT THAT THE HOSPITAL DOES NOT HAVE 24 HOUR COVERAGE IN THE ED FOR FINANCIAL ASSISTANCE. ALSO, SOME PATIENTS TREATED REFUSE TO MEET AND DISCUSS FINANCIAL ASSISTANCE OPTIONS. THE ANDI REPORT WAS USED TO CALCULATE THE AMOUNT OF BAD DEBT THAT QUALIFIES FOR FINANCIAL ASSISTANCE. ANOTHER FACTOR CONTRIBUTING TO THE ESTIMATE OF BAD DEBT THAT MAY QUALIFY FOR FINANCIAL ASSISTANCE IS THAT WE DO NOT VISIT OUR INSURED INPATIENTS THAT MAY HAVE HIGH DEDUCTIBLES OR CO-INSURANCES. IN FUTURE YEARS, THE ORGANIZATION PLANS TO IMPROVE CONSULTATION SESSIONS TO INLCUDE INSURED PATIENTS WITH POTENTIALLY HIGH DEDUCTIBLES OR CO-PAYMENTS. | ||
| PART III, LINE 8: THE ORGANIZATION USES ITS ANDI REPORT TO COMPUTE PART III, LINES 5 AND 6. | ||
| PART III, LINE 9B: ALL PATIENTS RECEIVE LETTERS AND/OR STATEMENTS REGARDING THEIR ACCOUNTS AND THEY ARE GIVEN 120 DAYS FROM THE BILL DATE TO MAKE SATISFACTORY PAYMENT ARRANGEMENTS OR TO APPLY FOR FINANCIAL ASSISTANCE BEFORE THE ACCOUNT GOES TO BAD DEBT STATUS. PATIENTS WHO APPLY FOR FINANCIAL ASSISTANCE MUST COMPLY WITH THE REQUIREMENTS OF THE APPLICATION TO AVOID THE ACCOUNT GOING INTO BAD DEBT STATUS. PATIENTS APPLYING FOR AID ARE PLACED IN A HOLD STATUS BY THE PALS TEAM TO AVOID COLLECTIONS. PATIENTS WHO HAVE MADE AN EFFORT TO COMPLETE AN APPLICATION OR WHO MAY NOT HAVE HAD AN OPPORTUNITY TO DISCUSS THEIR FINANCIAL SITUATION AND THEIR ACCOUNT GOES TO A COLLECTION STATUS ARE EVALUATED ON A CASE BY CASE BASIS TO DETERMINE IF THE ACCOUNT IS REMOVED FROM COLLECTIONS AND FINANCIAL ASSISTANCE IS PROVIDED. | ||
| PART V, SECTION B, LINE 3: IN 2012, FIRST CHOICE COMMUNITY HEALTH CENTERS (FCCHC), HARNETT HEALTH, AND THE HARNETT COUNTY PUBLIC HEALTH DEPARTMENT (HCPHD) BEGAN DISCUSSIONS AIMED AT DEVELOPING A SHARED CHNA. ALTHOUGH EACH ENTITY HAD A DIFFERENT TIMETABLE FOR ITS "NEXT" ASSESSMENT, SCHEDULES WERE ADJUSTED WITH THE GOAL OF COMPLETING A JOINT ASSESSMENT, DURING 2013, THAT COULD THEN BE SIMULTANEOUSLY USED BY ALL PARTNERS AND THE COMMUNITY. AN INVITATION TO PARTICIPATE IN THE CHNA PROCESS WAS EXTENDED TO CAMPBELL UNIVERSITY, GIVEN ITS ROLES IN THE COMMUNITY, ITS EXISTING PROGRAMS, AND THE OPENING OF ITS NEW MEDICAL SCHOOL IN AUGUST OF 2013. CAMPBELL UNIVERSITY ENTHUSIASTICALLY AGREED AND CAMPBELL'S DEPARTMENT OF PUBLIC HEALTH REPRESENTED THE UNIVERSITY.A WORK GROUP WAS FORMED WITH REPRESENTATIVES OF HARNETT HEALTH, HARNETT COUNTY PUBLIC HEALTH DEPARTMENT, CAMPBELL UNIVERSITY, AND FIRST CHOICE COMMUNITY HEALTH CENTERS TO UPDATE AND EXTEND THE AVAILABLE DATABASE AND SURVEY, ANALYZE FINDINGS, AND PREPARE THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR HARNETT COUNTY. | BETSY JOHNSON REGIONAL HOSPITAL | |
| PART V, SECTION B, LINE 3: BASED ON THE DATA FROM THE HARNETT COUNTY NEEDS ASSESSMENT WE REVIEW WHAT KEY ISSUES ARE ALIGNED WITH OUR MISSION. FROM THERE, WE DEVELOP PLANS ON WHICH STRATEGIES WILL HAVE THE MOST IMPACT ON OUR COMMUNITY. | CENTRAL HARNETT HOSPITAL | |
| PART V, SECTION B, LINE 5C: THE HOSPITAL MADE THE CHNA AVAILABLE IN PRINT AT THE HEALTH DEPARTMENT. | BETSY JOHNSON REGIONAL HOSPITAL | |
| PART V, SECTION B, LINE 7: BECAUSE THE HEALTH ASSESSMENT IS RELATIVELY NEW, WE HAVE BEEN WORKING ON STRATEGIES TO ADDRESS THE NEEDS ASSESSED. ONE NEED THAT WE HAVE ADDRESSED IS CHILDHOOD OBESITY BY IMPLEMENTING A CHILDHOOD OBESITY PROGRAM. WE WILL CONTINUE TO LOOK FOR WAYS TO ADDRESS THE OTHER NEEDS DETERMINED IN THE CHNA. | BETSY JOHNSON REGIONAL HOSPITAL | |
| PART V, SECTION B, LINE 7: BECAUSE THE HEALTH ASSESSMENT IS RELATIVELY NEW, WE HAVE BEEN WORKING ON STRATEGIES TO ADDRESS THE NEEDS ASSESSED. ONE NEED THAT WE HAVE ADDRESSED IS CHILDHOOD OBESITY BY IMPLEMENTING A CHILDHOOD OBESITY PROGRAM. WE WILL CONTINUE TO LOOK FOR WAYS TO ADDRESS THE OTHER NEEDS DETERMINED IN THE CHNA. | CENTRAL HARNETT HOSPITAL | |
| PART VI, LINE 2: BASED ON THE DATA FROM THE HARNETT COUNTY NEEDS ASSESSMENT WE REVIEW WHAT KEY ISSUES ARE ALIGNED WITH OUR MISSION. FROM THERE, WE DEVELOP PLANS ON WHICH STRATEGIES WILL HAVE THE MOST IMPACT ON OUR COMMUNITY. | ||
| PART VI, LINE 3: THE HOSPITAL SYSTEM OFFERS FINANCIAL ASSISTANCE TO ANYONE BASED ON NEED AND ABILITY TO PAY. OUR PATIENT ACCOUNT LIAISONS WILL ASSIST PATIENTS IN APPLYING FOR FINANCIAL ASSISTANCE AND ANY OTHER FUNDING SOURCES THAT MAY BE AVAILABLE. PRE-SCREEING MAYBE CONDUCTED AT PRE-ADMISSION OR POINT OF SERVICE FOR ALL UNISURED OR UNDERINSURED PATIENTS THAT CAN NOT MEET THE DEPOSIT REQUIREMENTS; HOWEVER, ALL EMERGENT SERVICES ARE PROVIDED WITHOUT REGARD TO THE ABLITY TO PAY OR NOT. | ||
| PART VI, LINE 4: HARNETT HEALTH SYSTEM, INC. IS LOCATED IN THE SOUTHEASTERN/MIDDLE SECTION OF HARNETT COUNTY NORTH CAROLINA. AS A RURAL HOSPITAL, WE ARE A KEY COMPONENT OF OUR STATE'S HEALTH CARE SAFETY NET BY TREATING EVERYONE WHO COMES THROUGH OUR DOORS. OUR PATIENT VOLUMES EXEMPLIFY OUR COMMITTMENT: % OF ADMISSIONS, MEDICARE 48.8%,MEDICAID 28.6%,MANAGED CARE 11%, SELF PAY 8%, TRICARE AND ALL OTHER 3.6%. THE HOSPITAL'S SERVICE AREA INCLUDED HARNETT AND A PORTION OF THREE NEIGHBORING COUNTIES, CUMBERLAND, JOHNSTON AND SAMPSON. AGRICULTURE AND CONSTRUCTION ARE THE LEADING INDUSTRIES OF OUR ECONOMIC STRUCTURE. THE TOP LARGEST EMPLOYER IN HARNETT COUNTY IS THE PUBLIC SCHOOL SYSTEM. | ||
| PART VI, LINE 5: THE ROLE OF HARNETT HEALTH SYSTEM PLAYS IN THE COMMUNITY IS TO CARE FOR AND HEAL THE SICK AND INJURED, BUT EQUALLY IMPORTANT IS EDUCATING OUR COMMUNITY THE IMPORTANCE OF GOOD HEALTH AND WAYS TO IMPROVE THEIR LIFESTYLES. WE DEFINE OUR OBLIGATION BY HOLDING COMMUNITY EDUCATION AND WELLNESS CLASSES, PARTICIPATING IN ANNUAL COMMUNITY EVENTS, AND EDUCATING HIGH SCHOOL STUDENT ON THE MANY AREA OF EMPLOYMENT IN THE HEALTHCARE FIELD.WITH THE FEDERAL FUNDING AND STATE CUTS IN REIMBURSEMENT NO SURPLUS OF FUNDS TO PROVIDE MANY OF THE EXTRA ACTIVITIES THAT THE SYSTEM WOULD LIKE TO BE ABLE TO PROVIDE TO THE COMMUNITY. WE HAVE STILL MAINTAINED A COUPLE OF OUR COMMUNITY OUTREACH PROGRAM, "CHAMP", PROGRAM WHICH IS HOUSED IN THE ELEMENTARY SCHOOLS THROUGHOUT THE COUNTY, ASSIST CHILDREN WITH ASTHMA WHICH HAS CUT DOWN ON ABSENTEEISM. THE TEENS AS PARENTS PROGRAM, WORKS WITH TEENS WHO ARE PREGANANT OR HAVE HAD BABIES TO PROVIDE ADDITIONAL SUPPORT BY THE MEANS OF HOME BASED VISITS AND SUPPORT GROUP MEETINGS. EMPHASIS IS TO HAVE THE TEEN RETURN TO THE EDUCATION ARENA AND TO CONTINUE TO PROVIDE PARENTING SUPPORT AND HAVE HEALTHY BABIES. SOME OF OUR STAFF SERVES OR HAS SERVED ON LOCAL BOARDS WITHIN THE COMMUNITES INCLUDING THE NC COOPERATIVE EXTENSION ADVISORY BOARD, TEENS AS PARENTS EXECUTIVE AND ADVISORY BOARD,UNITED WAY BOARD AND VARIOUS OTHER CIVIC BOARDS. | ||
| PART VI, LINE 6: THE ORGANIZATION IS NOT PART OF AN AFFILIATED HEALTH SYSTEM. | ||
| NC | REPORTS FILED WITH STATES | PART VI, LINE 7 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 0 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KENNETH BRYAN | ||||||||||||||
| PRESIDENT/CEO | 336646 | 0 | 84883 | 0 | 15092 | 0 | 22500 | 0 | 57605 | 0 | 516726 | 0 | 0 | 0 |
| VICKI ALLEN | ||||||||||||||
| CNO/VP | 176764 | 0 | 14369 | 0 | 0 | 0 | 3826 | 0 | 9154 | 0 | 204113 | 0 | 0 | 0 |
| WALLACE HORNE MD | ||||||||||||||
| VP MED AFFAIRS | 246620 | 0 | 28040 | 0 | 0 | 0 | 5366 | 0 | 2920 | 0 | 282946 | 0 | 0 | 0 |
| SONDRA DAVIS | ||||||||||||||
| VP HR | 136900 | 0 | 14517 | 0 | 0 | 0 | 3979 | 0 | 20921 | 0 | 176317 | 0 | 0 | 0 |
| MIKE JONES | ||||||||||||||
| VP CENTRAL HOSPITAL AND SUPPORT SERV | 144774 | 0 | 12477 | 0 | 0 | 0 | 2974 | 0 | 14446 | 0 | 174671 | 0 | 0 | 0 |
| MICHAEL ZICH | ||||||||||||||
| PHYSICIAN | 278428 | 0 | 6000 | 0 | 0 | 0 | 5373 | 0 | 36695 | 0 | 326496 | 0 | 0 | 0 |
| BEVERLY YEARWOOD | ||||||||||||||
| PHYSICIAN | 199523 | 0 | 4500 | 0 | 0 | 0 | 5226 | 0 | 13582 | 0 | 222831 | 0 | 0 | 0 |
| BRAD BUTLER | ||||||||||||||
| PHYSICIAN | 187083 | 0 | 0 | 0 | 0 | 0 | 4843 | 0 | 20567 | 0 | 212493 | 0 | 0 | 0 |
| VIDETTE COOPER | ||||||||||||||
| PHYSICIAN | 181995 | 0 | 0 | 0 | 0 | 0 | 1779 | 0 | 12893 | 0 | 196667 | 0 | 0 | 0 |
| ASIF ZIA | ||||||||||||||
| PHYSICIAN | 173119 | 0 | 0 | 0 | 0 | 0 | 1096 | 0 | 34312 | 0 | 208527 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SUPPLEMENTAL INFORMATION | PART III | PART I, LINE 2: INVOICE VALUE $0-25,000 REQUIRES DIRECTOR SIGNATURE, $25,000 AND GREATER REQUIRES DIRECTOR SIGNATURE AND A COSIGNATURE FROM A VP. PURCHASES OF PHARMACEUTICALS AND MEDICAL SUPPLIES HELD IN INVENTORY MAY BE PURCHASED UNDER THE SIGNATURE OF THE DEPT DIRECTOR WITHOUT REGARD TO THE ABOVE MENTIONED LIMITS. |
| SUPPLEMENTAL INFORMATION | PART III | PART I, LINE 5 THE ORGANIZATION HAS A BONUS INCENTIVE PLAN THAT CERTAIN EMPLOYEES ARE ELIGIBLE FOR. THE PLAN IS BASED ON A COMBINATION OF PATIENT SATISFACTION, MEETING THE BUDGET, AND SAFETY REPORTS. THE BOARD OF DIRECTORS APPROVES HOW MUCH CAN BE PAID OUT IN TOTAL EACH YEAR. |
| SUPPLEMENTAL INFORMATION | PART III | PART III -- COMPENSATION FROM UNRELATED ORGANIZATIONS KENNETY BRYAN, THE HOSPITAL PRESIDENT AND CEO, WAS COMPENSATED FOR HIS POSITION BY WAKEMED, AN UNRELATED ORGANIZATION. COMPENSATION FOR WAKEMED EMPLOYEES IS EVALUATED BY SULLIVAN & COTTER, AN EXECUTIVE AND PHYSICIAN COMPENSATION BENEFIT CONSULTING GROUP. |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| HEATHER WILLIAMS | |||
| BOARD MEMBER | 113880 | EMPLOYMENT COMPENSATION: ALLISON TAYLOR IS FAMILY MEMBER OF BOARD MEMBER HEATHER WILLIAMS. | 0 |
| KENNETH BRYAN | |||
| CEO | 238294 | DISCOUNTS AND REBATES: PAYMENTS RECEIVED FROM VHA INC, WHERE KENNETH BRYAN IS ALSON ON THE BOARD. | 0 |
| KENNETH BRYAN | |||
| CEO | 9573791 | PURCHASE OF SUPPLIES: PURCHASES OF MEDICAL SUPPLIES THROUGH VHA INC, WHERE KENNETH BRYAN IS ALSO ON THE BOARD. | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | ON NOVEMBER 8, 2005, HARNETT HEALTH SYSTEM ENTERED INTO AN AGREEMENT WITH WAKEMED TO PROVIDE DAY-TO-DAY MANAGEMENT SERVICES, PRIMARILY A CHIEF EXECUTIVE OFFICER. THE AGREEMENT REQUIRES THE SYSTEM TO REIMBURSE WAKEMED FOR THE SALARY AND BENEFITS ASSOCIATED WITH THE CEO POSITION. IN ADDITION, WAKEMED RECEIVES A MANAGEMENT FEE. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE BOARD OF TRUSTEES OF THE ORGANIZATION IS COMPRISED OF THIRTEEN RESIDENTS OF HARNETT COUNTY, NC AND THE APPOINTED TRUSTEES SHALL SERVE A STAGGERED TERM FOR 1 TO 3 YEARS. SEVEN TRUSTEES OF THE ORGANIZATION ARE APPOINTED BY THE HARNETT COUNTY BOARD OF COMMISSIONERS, AND SHALL, AT ALL TIMES, INCLUDE AT LEAST ONE RESIDENT OF EACH OF THE FIVE COMMISSIONERS' DISTRICTS AND TWO OTHER PERSONS RESIDING IN HARNETT COUNTY. THE REMAINING SIX TRUSTEES ARE APPOINTED BY THE ORGANIZATION'S BOARD OF TRUSTEES AT ITS ANNUAL MEETING FROM NOMINEES THAT MEET RESIDENCY AND AGE REQUIREMENTS AS DEFINED IN THE ORGANIZATION'S BYLAWS. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH THE ASSISTANCE AND OVERSIGHT OF MANAGEMENT. UPON COMPLETION, THE RETURN WAS REVIEWED IN DETAIL BY THE FINANCE COMMITTEE AND THE EXECUTIVE COMMITTEE OF THE BOARD, THEN PRESENTED TO THE FULL BOARD FOR APPROVAL AT A SCHEDULED MEETING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONCLICT OF INTEREST POLICY IS REVIEWED ANNUALLY BY THE LEADERSHIP OF THE BOARD OF TRUSTEES (THROUGHOUT THE YEAR IF NEEDED) AND ADMINISTERED TO ALL VOTING BOARD MEMBERS. |
| FORM 990, PART VI, SECTION B, LINE 15 | EXECUTIVE SALARIES ARE DETERMINED BY A MARKET ANALYSIS INVOLVING COMPARABILITY DATA, INDUSTRY STANDARDS, AND LOCAL ECONOMICS. THE CEO'S SALARY IS A CONDITION OF THE MANAGEMENT AGREEMENT BETWEEN THE BOARD OF DIRECTORS AND WAKEMED (SEE THE RESPONSE TO LINE 3 ABOVE). THE BOARD HAS INDIRECT APPROVAL OVER THE COMPENSATION PAID TO THE CEO THROUGH THIS AGREEMENT, AND HAS APPROVAL OVER ANY ADDITIONAL AMOUNTS AND INCREASES. WAKEMED PREPARES A COMPENSATION STUDY FOR OFFICERS AND KEY EMPLOYEES EXCLUDING THE CEO AND MAKES THE RECOMMENDATIONS TO THE CEO OF HARNETT HEALTH SYSTEM. THOSE RECOMMENDATIONS, INCLUDING ANY AMOUNTS ALLOCATED FOR RAISES AND INCENTIVES, ARE INCLUDED IN THE ANNUAL BUDGET PROCESS WHICH IS APPROVED BY THE FINANCE COMMITIEE OF THE BOARD. |
| FORM 990, PART VI, SECTION C, LINE 18 | PHOTOCOPIES OF RECENT FILINGS OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE AT WWW.GUIDESTAR.ORG. |
| FORM 990, PART VI, SECTION C, LINE 19 | PHOTOCOPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. |
| THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | EOY AssetsEOYAssets | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|
| ANGIER MEDICAL SERVICES LLC | |||||||||
| 185 RAWLS ROAD | ANGIER | NC | 27501 | 270906936 | PHYSICIAN PRACTICE | NC | 1726416 | 924766 | N/A |
| LILLINGTON MEDICAL SERVICES LLC | |||||||||
| 716 S 10TH STREET | LILLINGTON | NC | 27546 | 272944176 | PHYSICIAN PRACTICE | NC | 806511 | 171814 | N/A |
| HARNETT OBGYN | |||||||||
| 608 TILGHMAN DRIVE | DUNN | NC | 28335 | 273320275 | PHYSICIAN PRACTICE | NC | 1275476 | 175823 | N/A |
| DUNN MEDICAL SERVICES | |||||||||
| 700 TILGHMAN DRIVE | DUNN | NC | 28335 | 273320115 | PHYSICIAN PRACTICE | NC | 935949 | 165013 | N/A |
| COATS MEDICAL SERVICES LLC | |||||||||
| 25 N JOHNSON STREET | COATS | NC | 27521 | 462540799 | PHYSICIAN PRACTICE | NC | 387459 | 305321 | N/A |
| PREMIER PEDIATRICS LLC | |||||||||
| 802 TILGHMAN DRIVE | DUNN | NC | 28335 | PHYSICIAN PRACTICE | NC | 1883977 | 185079 | N/A | |
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BETSY JOHNSON MEMORIAL HOSPITAL FOUNDATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 TILGHMAN DRIVE | AddressLine1 |
| City | DUNN | City |
| State | NC | State |
| ZIP Code | 28334 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201929953 | EIN |
| Primary Activities | FUNDRAISING | PrimaryActivities |
| Legal Domicile State | NC | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | LINE 7 | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HARNETT HEALTH SYSTEM INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Org | 1 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |