2013-05-13T14:12:38-05:00 2012-06-30 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2011-07-01 562276994 DAVIE COUNTY EMERGENCY HEALTH CORPORATION DAVI 3367518100 223 HOSPITAL STREET MOCKSVILLE NC 27028 DANNY SQUIRES 3367518100 2013-05-13 1 AMY BIBBY P00445891 8282542254 2011 2016-02-25 16:41:14Z WAKE FOREST BAPTIST HEALTH-DAVIE HOSPITAL THOMAS E SIBERT 223 HOSPITAL STREET MOCKSVILLE NC 27028 12220756 0 X WWW.WAKEHEALTH.EDU/DAVIE-HOSPITAL/ X 2001 NC PROVISION OF PATIENT-CENTERED HEALTHCARE SERVICES TO THE SURROUNDING AREA 14 9 205 10 0 0 12412 28165 11299132 12065324 14563 78072 60195 30821 11386302 12202382 850 500 0 0 4643897 4964800 0 0 0 8140117 8988115 12784864 13953415 -1398562 -1751033 3240109 2733773 3367638 4148507 -127529 -1414734 DAVIE HOSPITAL PROVIDES PATIENT-CENTERED HEALTH CARE SERVICES FOR THE RESIDENTS AND INDUSTRIES OF THE COUNTY AND SURROUNDING COMMUNITIES. 0 0 12751136 500 12065324 DAVIE HOSPITAL PROVIDED MEDICAL, EMERGENCY, AND OUTPATIENT CARE SERVICES TO THE RESIDENTS OF DAVIE COUNTY, NORTH CAROLINA, AND THE SURROUNDING AREAS. DURING THE FISCAL YEAR, THE HOSPITAL HAD 5,878 OUTPATIENT VISITS AND 9,069 EMERGENCY ROOM VISITS. IN ADDITION, THE HOSPITAL PERFORMED 180 CATARACT SURGERIES, 104 OTHER OUTPATIENT SURGERIES, AND 63 SLEEP STUDIES. 12751136 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 1 0 0 0 0 0 0 1 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 26 0 1 205 1 0 0 0 0 0 1 1 0 0 0 0 X 14 9 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 NC X DANNY SQUIRES 3362384287 223 HOSPITAL STREET MOCKSVILLE NC 27028 X DONNY C LAMBETH 6.00 X X 0 2328700 143909 DAN BARRETT 6.00 X X 0 0 0 TERRY BRALLEY 6.00 X X 0 0 0 KEN WHITE 2.00 X 0 0 0 DR RUSSELL HOWERTON 2.00 X 0 0 0 WILLIAM F JUNKER 2.00 X 0 0 0 RONALD SMALL 2.00 X 0 333441 16199 STEVEN C SNELGROVE 2.00 X 0 329647 115765 BETH DIRKS 2.00 X 0 0 0 DOUG NELSON 2.00 X 0 0 0 HEATHER L HAYES 2.00 X 0 75425 12967 LYNN PITMAN 2.00 X 0 202798 40143 CHARLES TEGELER MD 2.00 X 0 0 0 STEPHEN ROBERTSON 2.00 X 0 0 0 KEVIN WALSH 40.00 X 0 124467 24229 DANNY SQUIRES 40.00 X 37500 0 0 JOHNNY VEAL 40.00 X 0 208131 5161 37500 3602609 358373 0 0 1 1 THE ERX COMPANY 9724 KINGSTON PIKE STE 406 KNOXVILLE TN 37922 PHYSICIAN FEES 1155170 MEDTRONIC USA PO BOX 409201 ATLANTA GA 30384 NERVE STIMULATOR SUPPLIER 670040 SIGHTPATH MEDICAL INC 575 W OLD SHAKOPEE ROAD STE 90 BLOOMINGTON MN 55437 CATARACT SURGERY SUPPLIER 202252 ALLIANCE HEALTHCARE SERVICES PO BOX 96485 CHICAGO IL 60693 CONTRACTED MRI SERVICES 180061 WAR EAGLE REHABILITATIVE SERVICES PO BOX 2091 ADVANCE NC 27006 CONTRACT PHYSICAL THERAPY 132228 5 24466 3699 28165 PATIENT SERVICE REVENU 621400 12065324 12065324 12065324 1414 1414 36225 0 36225 36225 36225 72859 3799 0 0 72859 3799 76658 76658 11356 24466 18374 -7018 -7018 MEDICAL RECORD TRANSCR 900099 1288 1288 MEALS 722210 326 326 1614 12202382 12065324 0 108893 500 500 75000 75000 17230 17230 4124922 3550600 574322 446716 377934 68782 300932 254597 46335 257 257 14450 14450 2513443 2301186 212257 45783 45783 468282 381757 86525 104800 20560 84240 696332 696332 22898 17266 5632 8095 8095 208008 208008 61137 58845 2292 BAD DEBT EXPENSE 3510474 3510474 MEDICAL SUPPLIES 1290637 1290637 MISCELLANEOUS EXPENSE 43519 11332 32187 13953415 12751136 1202279 0 8960 432798 1655160 1458704 123546 132035 6269 6476 2179941 1663183 684583 516758 761591 187002 3240109 2733773 2971085 1238973 196553 99940 200000 2809594 3367638 4148507 X -135637 -1415746 8108 1012 -127529 -1414734 3240109 2733773 X -1751033 463828 X 0 1 1 X 0 X 0 0 0 0 0 0 0 0 1 1460 1460 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: THE ORGANIZATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE NORTH CAROLINA HOSPITAL ASSOCIATION (NCHA). A PORTION OF THE MEMBERSHIP DUES PAID ARE ALLOCATED TO LOBBYING EFFORTS BY THOSE ORGANIZATIONS ON BEHALF OF THEIR MEMBERSHIPS. THE CURRENT PORTION OF MEMBERSHIP DUES ALLOCATED TO LOBBYING IS APPROXIMATELY $1,460. 2179941 1663183 516758 516758 OTHER RECEIVABLES 159778 ESTIMATED THIRD PARTY RECEIVABLES 27224 187002 DUE TO NC BAPTIST HOSPITAL 2418734 ESTIMATED COST REPORT LIABILITY 390860 2809594 12202382 13953415 -1751033 463828 463828 -1287205 9155736 463828 -3510474 -3046646 12202382 0 12202382 10442941 0 10442941 3510474 3510474 13953415 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE HOSPITAL IS A TAX-EXEMPT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND IS GENERALLY EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS MADE IN THE FINANCIAL STATEMENTS. THE HOSPITAL RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. FISCAL YEARS ENDING ON OR AFTER JUNE 30, 2009 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. PART XII, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE -3,510,474. PART XIII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 3,510,474. ANNUAL GOLF EVENT 35822 24466 11356 1221 4760 3723 8670 35822 24466 11356 1221 4760 3723 8670 18374 -7018 1 1 X 1 X 190.000000000000 0 1 1 0 1 1 81315 81315 0.00780 1723813 1436715 287098 0.02750 1805128 1436715 368413 0.03530 4458 4458 0.00040 552 552 0.00010 5010 5010 0.00050 1810138 1436715 373423 0.03580 1 1677493 1258120 3168515 2927909 240606 X 1 1 1 1 WAKE FOREST BAPTIST HEALTH-DAVIE HOSPITA

223 HOSPITAL STREET MOCKSVILLE NC 27028

X X X X WAKE FOREST BAPTIST HEALTH-DAVIE HOSPITA 1 1 1 190.000000000000 0 1 X X 1 1 X X X X 1 X 0 1 X 0 0 PART I, LINE 3C: DAVIE HOSPITAL USES 190% OF THE FPG TO DETERMINE ELIGIBILITY FOR FREE CARE. IF INCOME FALLS BELOW 190%, THE PATIENT'S BALANCE IS WRITTEN OFF TO CHARITY CARE. THERE ARE NO SLIDING SCALES TO DETERMINE ELIGIBLITY. DAVIE HOSPITAL OFFERS A 10% DISCOUNT TO PRIVATE PAY ACCOUNTS PAID WITH IN 30 DAYS OF DISCHARGE. PART I, LINE 7: THE ORGANIZATION USED A METHODOLOGY FROM THE NORTH CAROLINA HOSPITAL ASSOCIATION COMMUNITY BENEFITS GUIDELINE TO COMPUTE A COST-TO-CHARGES RATIO USED TO CALCULATE FINANCIAL ASSISTANCE BENEFITS AND UNREIMBURSED MEDICAID AT COST. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 3510474. PART III, LINE 4: PATIENT ACCOUNTS RECEIVABLE - PATIENT ACCOUNTS RECEIVABLE REPRESENT THE ESTIMATED NET REALIZABLE AMOUNT FROM PATIENTS, THIRD-PARTY PAYORS AND OTHERS FOR SERVICES RENDERED. A SUBSTANTIAL PORTION OF THE PATIENTS SEEN BY THE HOSPITAL ARE COVERED BY MEDICARE/MEDICAID OR COMMERCIAL INSURANCE, AND THE HOSPITAL'S RECEIVABLES ARE ESTIMATED TO BE PAID BY THESE THIRD-PARTY PAYORS. ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS ARE COMPUTED BASED ON HISTORICAL COLLECTION EXPERIENCE AND A REVIEW OF THE CURRENT STATUS OF EXISTING RECEIVABLES. THE HOSPITAL GRANTS CREDIT TO PATIENTS WITHOUT COLLATERAL OR OTHER PROOF OF ABILITY TO PAY, SUBSTANTIALLY ALL OF WHOM ARE FROM DAVIE AND SURROUNDING COUNTIES.THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE ON BAD DEBTS. ACCOUNTS ARE WRITTEN OFF TO BAD DEBT AFTER FOUR STATEMENTS AND TWO COLLECTION LETTERS HAVE BEEN SENT. THE ACCOUNT IS NOT WRITTEN OFF BEFORE 120 DAYS AFTER THE INSURANCE PAYS. IF PAYMENT IS MADE WITHIN THE LAST 60 DAYS THE ACCOUNT IS NOT WRITTEN OFF TO BAD DEBT.THE ORGANIZATION USED WORKSHEET 2 OF THE 2011 SCHEDULE H INSTRUCTIONS TO COMPUTE A COST-TO-CHARGES RATIO USED TO CALCULATE BAD DEBT AT COST. PART III, LINE 8: DAVIE HOSPITAL IS A CRITIAL ACCESS HOSPITAL AND IS REIMBURSED 100 TO 101% OF COSTS. PART III, LINE 9B: EACH PATIENT IS SENT FOUR STATEMENTS FOR COLLECTION-- ONE EVERY 28 DAYS. PHONE CALLS ARE MADE AFTER THREE STATEMENTS HAVE BEEN SENT OUT. AFTER THE FOURTH STATEMENT, TWO "COLLECTION" LETTERS ARE SENT. IF THERE IS NO RESPONSE, THE ACCOUNT IS SENT TO AN OUTSIDE COLLECTION AGENCY. THE HOSPITAL DOES NOT PLACE GARNISHMENTS, LIENS, OR PERSONAL ATTACHMENTS ON PATIENTS. A 10% DISCOUNT IS OFFERED TO PRIVATE PAY PATIENTS WHO PAY THEIR BILL IN FULL WITHIN 30 DAYS. PRIVATE PAY PATIENTS ARE OFFERED A CHARITY CARE APPLICATION AND TOLD ABOUT PAYMENT PLANS AT REGISTRATION. THE CHARITY CARE APPLICATION IS AVAILABLE ONLINE AND OFFERED TO PRIVATE PAY PATIENTS AT REGISTRATION. PERSONAL FACE TO FACE MEETINGS ARE AVAILABLE MONDAY THROUGH FRIDAY 8 AM TO 5 PM. PAYMENT PLANS ARE OFFERED TO ALL PATIENTS WHEN INITIAL PHONE CONTACT IS MADE. WAKE FOREST BAPTIST HEALTH-DAVIE HOSPITA PART V, SECTION B, LINE 11H: DAVIE HOSPITAL USES 190% OF THE FPG TO DETERMINE ELIGIBILITY FOR FREE CARE. IF INCOME FALLS BELOW 190%, THE PATIENT'S BALANCE IS WRITTEN OFF TO CHARITY CARE. THERE ARE NO SLIDING SCALES TO DETERMINE ELIGIBLITY. DAVIE HOSPITAL OFFERS A 10% DISCOUNT TO PRIVATE PAY ACCOUNTS PAID WITH IN 30 DAYS OF DISCHARGE. WAKE FOREST BAPTIST HEALTH-DAVIE HOSPITA PART V, SECTION B, LINE 13G: IF PATIENTS WERE IDENTIFIED AS A "STOREHOUSE FOR JESUS" PATIENT, THE FINANCE DEPARTMENT WOULD MAIL AN APPLICATION TO THE PATIENT IF THERE WAS NO APPLICATION ON FILE. PART VI, LINE 2: REPRESENTATIVES FROM THE ORGANIZATION ATTEND HEALTH FAIRS AND SENIOR HEALTH FAIRS AROUND THE COUNTY. NO COMMUNITY NEEDS ASSESSMENT HAS BEEN DONE AS OF THE END OF THE 2011 TAX YEAR; HOWEVER, AN ASSESSMENT WILL BE CONDUCTED IN THE NEAR FUTURE SO AS TO BE IN COMPLIANCE WITH THE FEDERAL REQUIREMENTS. PART VI, LINE 3: INFORMATION ABOUT THE FINANCIAL ASSISTANCE APPLICATION PROCESS IS AVAILABLE ON THE HOSPITAL'S WEBSITE AND IS MENTIONED AT THE PATIENT REGISTRATION STAGE. REGISTRATION AND BUSINESS OFFICE STAFF ARE TRAINED TO EDUCATE PATIENTS ON ASSISTANCE POLICIES. COPIES OF THE APPLICATION ARE WIDELY AVAILABLE THROUGH THE INTERNET, REGISTRATION DESK, AND BUSINESS OFFICE DESK. BUSINESS OFFICE STAFF WILL DIRECT PATIENTS TO SOCIAL SERVICES IF THEY QUALIFY FOR ASSITANCE. PART VI, LINE 4: DAVIE HOSPITAL IS A CRITICAL ACCESS HOSPITAL SERVING DAVIE COUNTY, NORTH CAROLINA AND THE SURROUNDING AREAS. THE HOSPITAL IS THE ONLY ONE LOCATED IN THE COUNTY. THE POPULATION OF DAVIE COUNTY IS APPROXIMATELY 42,000 ACCORDING TO THE U.S. CENSUS BUREAU. 11.7 % OF THE POPULATION IS AT OR BELOW THE POVERTY LEVEL. 87.5% OF THE POPULATION IS WHITE, 6.3% IS AFRICAN AMERICAN, AND 6.2% IS OTHER DEMOGRAPHICS. THE UNEMPLOYMENT RATE IN MARCH 2011 WAS 9.7%. THE MEDIAN INCOME IS $59,503. THE GROWTH RATE OF THE COMMUNITY IS 1.9%. PART VI, LINE 5: HOSPITAL REPRESENTATIVES ATTEND NUMEROUS HEALTH FAIRS AND PERFORMS CHOLESTROL SCREENING CHECKS. THE HOSPITAL ALSO INVITES THE COMNUNITY TO ATTEND ITS LADIES' NIGHT OUT EVENT TO PROMOTE BREAST HEALTH AND BREAST CANCER AWARENESS. THE HOSPITAL IS INVOLVED WITH THE LOCAL SENIOR CENTER AND PROVIDES HEALTH EDUCATION ON VARIOUS TOPICS THROUGH OUT THE YEAR. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEDGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY TO ALL OF ITS DEPARTMENTS. PART VI, LINE 6: THE MEMBER OF THE ORGANIZATION IS NORTH CAROLINA BAPTIST HOSPITAL. REPORTS FILED WITH STATES PART VI, LINE 7 NC 1 1 0 0 0 0 0 0 0 DONNY C LAMBETH 0 495595 0 181988 0 1651117 0 128399 0 15510 0 2472609 0 349414 RONALD SMALL 0 147324 0 60658 0 125459 0 9427 0 6772 0 349640 0 0 STEVEN C SNELGROVE 0 251155 0 61652 0 16840 0 81277 0 34488 0 445412 0 0 LYNN PITMAN 0 177840 0 20808 0 4150 0 25589 0 14554 0 242941 0 0 JOHNNY VEAL 0 179881 0 22830 0 5420 0 4317 0 844 0 213292 0 0 PART I, LINES 4A-B CERTAIN EXECUTIVES PARTICIPATE IN OR RECEIVE PAYMENTS FROM SEVERANCE AND SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLANS PROVIDED BY A RELATED ORGANIZATION. THE DETERMINATION OF THE AMOUNT OF THE SEVERANCE AND/OR NON-QUALIFIED RETIREMENT PLAN PAYMENTS FOLLOW THE RELATED ORGANIZATION'S COMPENSATION PROCEDURES AS OUTLINED IN PART VI, SECTION B, LINE 15 OF THEIR FORM 990. NON-QUALIFIED SEVERANCE - DONNY C. LAMBETH $ 1,623,420 -0- - RONALD SMALL 17,822 93,096 SUPPLEMENTAL INFORMATION PART III COMPENSATION FROM UNRELATED ORGANIZATIONS: COMPENSATION FOR DANNY SQUIRES WAS PROVIDED BY LEXINGTON MEDICAL CENTER, AN UNRELATED TAX-EXEMPT ORGANIZATION. PAMELA SMALL FAMILY MEMBER OF BOARD MEMBER RONALD SMALL 17230 COMPENSATION AS EMPLOYEE 0 FORM 990, PART VI, SECTION A, LINE 3 EXECUTIVE COMMITTEE: AS ESTABLISHED IN THE ORGANIZATIONS BYLAWS, THE BOARD OF TRUSTEES MAY ESTABLISH AN EXECUTIVE COMMITTEE CONSISTING OF THREE OR MORE TRUSTEES, THE MAJORITY OF WHOM SHALL BE NORTH CAROLINA BAPTIST HOSPITAL (NCBH) TRUSTEES AND THE REMAINDER SHALL BE DAVIE HOSPITAL TRUSTEES. DURING THE INTERVALS BETWEEN MEETINGS OF THE BOARD OF TRUSTEES, THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE THE POWERS OF THE BOARD OF TRUSTEES IN THE MANAGEMENT OF THE BUSINESS AND AFFAIRS OF THE CORPORATION; PROVIDED THAT THE EXECUTIVE COMMITTEE MAY NOT TAKE ANY ACTION THAT WOULD REQUIRE A SUPERMAJORITY VOTE OF THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS NORTH CAROLINA BAPTIST HOSPITAL, A NORTH CAROLINA NONPROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER OF THE ORGANIZATION SHALL HAVE THE RIGHT AT ALL TIMES, WITH RESPECT TO THE ORGANIZATION, TO ELECT AND REMOVE THE TRUSTEES, AS PROVIDED IN THE ORGANIZATION'S BYLAWS. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER OF THE ORGANIZATION SHALL HAVE THE RIGHT AT ALL TIMES, WITH RESPECT TO THE ORGANIZATION, TO APPROVE OF THE SALE, LEASE, OR TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE ORGANIZATION, AS PROVIDED IN THE ORGANIZATION'S BYLAWS. THE SOLE MEMBER MAY ACT WITHOUT A MEETING. FORM 990, PART VI, SECTION B, LINE 11 THE FILING ORGANIZATION'S BOARD OF DIRECTORS RECEIVES COPIES OF THE FORM 990 WITH SUFFICIENT TIME TO PERMIT REVIEW, COMMENT, AND QUESTIONS PRIOR TO ITS FILING. THE AUDIT AND COMPLIANCE COMMITTEES OF THE GOVERNING BOARDS OF WFUHS AND NCBH REVIEW IN ADDITIONAL DETAIL THE FILING ORGANIZATION'S FORM 990 WITH THE ORGANIZATION'S CHIEF FINANCIAL OFFICER OR HIS DESIGNEE, WHO ANSWERS QUESTIONS AND ADDRESSES CONCERNS RAISED BY SUCH COMMITTEE MEMBERS OR OTHER FILING ORGANIZATION DIRECTORS. IF MODIFICATIONS ARE REQUIRED FOLLOWING SUCH REVIEW AND COMMENT, THE REVISED FORM 990 IS REDISTRIBUTED TO ALL DIRECTORS PRIOR TO ITS FILING WITH THE IRS, ALONG WITH A REPORT NOTING THE MODIFICATIONS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES ITS OFFICERS, DIRECTORS AND ANY KEY EMPLOYEES TO REVIEW THE CONFLICT OF INTEREST POLICY AND DISCLOSE ANY POTENTIAL CONFLICTS OF INTERESTS ANNUALLY AND AS THEY ARISE. ANY ITEMS DISCLOSED ARE REVIEWED AND MANAGED IN ACCORDANCE WITH THE ORGANIZATION'S POLICY ON CONFLICTS OF INTEREST. THE ORGANIZATION PAYS NO COMPENSATION TO OFFICERS, DIRECTORS OR KEY EMPLOYEES. ALL COMPENSATION PAID TO OFFICERS AND DIRECTORS AND FORMER OFFICERS AND DIRECTORS WAS PAID BY RELATED ORGANIZATIONS. COMPENSATION PAID TO THESE INDIVIDUALS ARE REVIEWED AND APPROVED IN ACCORDANCE WITH THE RELATED ORGANIZATION'S COMPENSATION POLICIES AND PROCEDURES WHICH INCLUDE INDEPENDENT COMPENSATION CONSULTANTS, COMPENSATION SURVEYS AND STUDIES TO DETERMINE THE APPROPRIATENESS OF EACH OFFICERS' AND DIRECTORS' COMPENSATION. 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. AVERAGE HOURS FOR RELATED ORGANIZATIONS: FORM 990, PART VII, LINE 1, COLUMN (B): THE ORGANIZATION HAS CERTAIN EXECUTIVES THAT PROVIDE SERVICES TO NOT ONLY THE ORGANIZATION, BUT ALSO TO SOME OR ALL OF THE OTHER TAX-EXEMPT ORGANIZATIONS WITHIN THE WAKE FOREST BAPTIST MEDICAL CENTER. FOR EXAMPLE, MANY OF THESE EXECUTIVES' ROLES FOCUS ON PARTICULAR SERVICE LINES WHICH CROSS THE VARIOUS MARKETS OUR ORGANIZATIONS SERVE, THUS THE SERVICES PROVIDED BY THESE EXECUTIVES MAY BENEFIT AND BE RECEIVED BY MULTIPLE ORGANIZATIONS WITHIN THE MEDICAL CENTER. THE EXECUTIVES DO NOT ALLOCATE THEIR HOURS BETWEEN THE VARIOUS ORGANIZATIONS, BUT RATHER THEIR TIME SPENT ON SERVICES TO THE ORGANIZATION IS INCLUSIVE OF SERVICES TO ALL OF THE ORGANIZATIONS THEY SERVE WITHIN THE MEDICAL CENTER. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: DONATED SERVICES AND USE OF FACILITIES: 463,828. NORTH CAROLINA BAPTIST HOSPITAL MEDICAL CENTER BLVD WINSTON SALEM NC 27157 560552787 HEALTHCARE NC 501(C)(3) LINE 3 N/A 0 NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION MEDICAL CENTER BLVD WINSTON SALEM NC 27157 561685120 SUPPORTING ORGANIZATION NC 501(C)(3) LINE 11A, I NORTH CAROLINA BAPTIST HOSPITAL 0 THE REHABILITATION & SKILLED NURSING FACILITY AT OAK SUMMIT MEDICAL CENTER BLVD WINSTON SALEM NC 27157 561826396 HEALTHCARE (INACTIVE) NC 501(C)(3) LINE 9 NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION 0 THE HAWTHORNE INN & CONFERENCE CENTER INC 420 HIGH STREET WINSTON SALEM NC 27101 561793617 LODGING/ CONFERENCE ACCOMMODATION NC 501(C)(3) LINE 11A, I NORTH CAROLINA BAPTIST HOSPITAL 0 CARENET INC 2000 WEST FIRST STREET SUITE 410 WINSTON SALEM NC 27104 561977341 HEALTHCARE NC 501(C)(3) LINE 11B, II NORTH CAROLINA BAPTIST HOSPITAL 0 CENTER FOR CONGREGATIONAL HEALTH INC MEDICAL CENTER BLVD WINSTON SALEM NC 27157 237426944 HEALTHCARE NC 501(C)(3) LINE 9 NORTH CAROLINA BAPTIST HOSPITAL 0 DAVIE COUNTY HOSPITAL FOUNDATION 156 ROLAND RD MOCKSVILLE NC 27028 581477280 SUPPORTING ORGANIZATION NC 501(C)(3) LINE 11C, III-FI N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1