DAVIE MEDICAL CENTER: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- DAVIE MEDICAL CENTER (EIN 56-2276994)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-05-11
- IRS object ID
- 201241329349302299
- Schema version
- 2010v3.4
- 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 C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-05-11T13:33:58-05:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 RIDGEFIELD COURT | AddressLine1 |
| City | ASHEVILLE | City |
| State | NC | State |
| ZIP Code | 28806 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 562276994 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVIE COUNTY EMERGENCY HEALTH CORPORATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | DAVI | NameControl |
| Phone | 3367518100 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 223 HOSPITAL STREET | AddressLine1 |
| City | MOCKSVILLE | City |
| State | NC | State |
| ZIP Code | 27028 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DANNY SQUIRES | Name |
| Title | CFO | Title |
| Phone | 3367518100 | Phone |
| Date Signed | 2012-05-08 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | AMY BIBBY | Name |
| Phone | 8282542254 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVIE COUNTY HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DANNY SQUIRES | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 223 HOSPITAL STREET | AddressLine1 |
| City | MOCKSVILLE | City |
| State | NC | State |
| ZIP Code | 27028 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 11391047 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.WAKEHEALTH.EDU/DAVIE-HOSPITAL/ | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2001 | YearFormation |
| State Legal Domicile | NC | StateLegalDomicile |
| Activity Or Mission Description | PROVISION OF PATIENT-CENTERED HEALTHCARE SERVICES TO THE SURROUNDING AREA | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 6 | NbrIndependentVotingMembers |
| Total Nbr Employees | 214 | TotalNbrEmployees |
| Total Nbr Volunteers | 2 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 8655 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 12412 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 10212430 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 11299132 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 3237 | InvestmentIncomePriorYear |
| Investment Income Current Year | 14563 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 49535 | OtherRevenuePriorYear |
| Other Revenue Current Year | 60195 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 10273857 | TotalRevenuePriorYear |
| Total Revenue Current Year | 11386302 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 850 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 4598932 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 4643897 | 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 | 7350845 | OtherExpensePriorYear |
| Other Expenses Current Year | 8140117 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 11949777 | TotalExpensesPriorYear |
| Total Expenses Current Year | 12784864 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1675920 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -1398562 | RevenuesLessExpensesCY |
| Total Assets BOY | 3126737 | TotalAssetsBOY |
| Total Assets EOY | 3240109 | TotalAssetsEOY |
| Total Liabilities BOY | 2275392 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 3367638 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 851345 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -127529 | NetAssetsOrFundBalancesEOY |
| Mission Description | DAVIE COUNTY HOSPITAL PROVIDES PATIENT-CENTERED HEALTH CARE SERVICES FOR THE RESIDENTS AND INDUSTRIES OF THE COUNTY AND SURROUNDING COMMUNITIES. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 11397795 | Expense |
| Grants | 850 | Grants |
| Revenue | 11299132 | Revenue |
| Description | DAVIE COUNTY 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 6,073 OUTPATIENT VISITS AND 9,436 EMERGENCY ROOM VISITS. IN ADDITION, THE HOSPITAL PERFORMED 217 CATARACT SURGERIES, 84 OTHER SURGERIES, AND 40 SLEEP STUDIES. | Description |
| Total Program Service Expense | 11397795 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| 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 | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | 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 | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | 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 | 31 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 214 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| 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 | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 6 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | 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 | 1 | 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 | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NC | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DANNY SQUIRES | NamePerson |
| Telephone Number | 3362384287 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 223 HOSPITAL STREET | AddressLine1 |
| City | MOCKSVILLE | City |
| State | NC | State |
| ZIP Code | 27028 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (19 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| DONNY C LAMBETH | |||||||
| CHAIRMAN | 1.00 | X | X | 0 | 749092 | 408315 | |
| DAN BARRETT | |||||||
| VICE CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 | |
| TERRY BRALLEY | |||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 | |
| STEPHEN ROBERTSON | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| KEN WHITE | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| DR RUSSELL HOWERTON | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| WILLIAM F JUNKER | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| RONALD SMALL | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 552513 | 57788 | ||
| STEVEN C SNELGROVE | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 357177 | 98423 | ||
| BETH DIRKS | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| DOUG NELSON | |||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 | |
| HEATHER L HAYES | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 90812 | 9395 | ||
| RALPH HOLTHOUSER | |||||||
| PRESIDENT EX-OFFICIO | 1.00 | X | X | 0 | 42533 | 984 | |
| LYNN PITMAN | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 171876 | 36569 | ||
| CHARLES TEGELER MD | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| KEVIN WALSH | |||||||
| ADMINISTRATOR | 40.00 | X | 0 | 0 | 0 | ||
| DANNY SQUIRES | |||||||
| CFO | 2.00 | X | 0 | 0 | 0 | ||
| TERRY BOWMAN | |||||||
| CFO | 2.00 | X | 89588 | 0 | 4372 | ||
| SHARON T DOSS | |||||||
| RETIRED ADMINISTRATOR | 40.00 | 101409 | 0 | 0 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 190997 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1964003 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 615846 | TotalOtherCompensation |
| Number Individuals GT100 K | 1 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (4 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| ERX COMPANY | |||||
| 109 LANDOAK LANE | KNOXVILLE | TN | 37922 | PHYSICIAN FEES | 1115975 |
| MEDTRONIC USA | |||||
| PO BOX 409201 | ATLANTA | GA | 30384 | NERVE STIMULATOR SUPPLIER | 680423 |
| ALLIANCE HEALTHCARE SERVICES | |||||
| PO BOX 96485 | CHICAGO | IL | 60693 | CONTRACTED MRI SERVICES | 236398 |
| SIGHTPATH MEDICAL INC | |||||
| 575 W OLD SHAKOPEE ROAD STE 90 | BLOOMINGTON | MN | 55437 | CATARACT SURGERY SUPPLIER | 179023 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 4 | NumberOfContractorsGT100K |
| All Other Contributions | 12412 | AllOtherContributions |
| Total Contributions | 12412 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT SERVICE REVENU | Description |
| Business Code | 621400 | BusinessCode |
| Total Revenue Column | 11299132 | TotalRevenueColumn |
| Related Or Exempt Function Income | 11299132 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 11299132 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 508 | TotalRevenueColumn |
| Exclusion | $508 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 33570 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 33570 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 33570 | TotalRevenueColumn |
| Exclusion | $33,570 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 18800 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 4745 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 14055 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 14055 | TotalRevenueColumn |
| Exclusion | $14,055 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| MEALS | 722210 | 15692 | $15,692 |
| MISCELLANEOUS | 900099 | 6496 | $6,496 |
| MEDICAL RECORD TRANSCR | 900099 | 4437 | $4,437 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 26625 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 11386302 | TotalRevenueColumn |
| Related Or Exempt Function Income | 11299132 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $74,758 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 850 | Total |
| Program Services | 850 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 93960 | Total |
| Management And General | 93960 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3883434 | Total |
| Program Services | 3171087 | ProgramServices |
| Management And General | 712347 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 377639 | Total |
| Program Services | 302111 | ProgramServices |
| Management And General | 75528 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 288864 | Total |
| Program Services | 231092 | ProgramServices |
| Management And General | 57772 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14634 | Total |
| Management And General | 14634 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32182 | Total |
| Management And General | 32182 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2471953 | Total |
| Program Services | 2229476 | ProgramServices |
| Management And General | 242477 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36120 | Total |
| Program Services | 36120 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2227485 | Total |
| Program Services | 2115607 | ProgramServices |
| Management And General | 111878 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 621502 | Total |
| Program Services | 621502 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15946 | Total |
| Program Services | 11740 | ProgramServices |
| Management And General | 4206 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11311 | Total |
| Program Services | 11311 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 217764 | Total |
| Program Services | 217764 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 156791 | Total |
| Program Services | 154089 | ProgramServices |
| Management And General | 2702 | ManagementAndGeneral |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT EXPENSE | 2280915 | 2280915 | |
| MISCELLANEOUS EXPENSE | 53514 | 14131 | 39383 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12784864 | Total |
| Program Services | 11397795 | ProgramServices |
| Management And General | 1387069 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 116683 | BOY |
| EOY | 8960 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1435475 | BOY |
| EOY | 1655160 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 145879 | BOY |
| EOY | 123546 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6135 | BOY |
| EOY | 6269 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 2139757 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1455174 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 873629 | BOY |
| EOY | 684583 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 67848 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 481088 | BOY |
| EOY | 761591 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3126737 | BOY |
| EOY | 3240109 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1783515 | BOY |
| EOY | 2971085 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 289949 | BOY |
| EOY | 196553 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 201928 | BOY |
| EOY | 200000 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2275392 | BOY |
| EOY | 3367638 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 850333 | BOY |
| EOY | -135637 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1012 | BOY |
| EOY | 8108 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 851345 | BOY |
| EOY | -127529 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3126737 | BOY |
| EOY | 3240109 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -1398562 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 419688 | 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 |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
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 | $1,500 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 1500 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF OTHER LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1I: | ReturnReference |
| Explanation | 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 MEMBERSHIP BODIES. FOR THE YEAR, THE PORTION OF MEMBERSHIP DUES ALLOCATED TO LOBBYING WAS APPROXIMATELY $1,500. | Explanation |
Schedule D IRS990ScheduleD
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2139757 | OtherCostOrOtherBasis |
| Depreciation | 1455174 | Depreciation |
| Book Value | 684583 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 684583 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| OTHER RECEIVABLES | 567922 |
| ESTIMATED THIRD PARTY RECEIVABLES | 193669 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 761591 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NOTE DUE TO NC BAPTIST HOSPITAL | Description |
| Amount | $200,000 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 200000 | TotalOfAmounts |
| Total Revenue | 11386302 | TotalRevenue |
| Total Expenses | 12784864 | TotalExpenses |
| Excess Or Deficit For Year | -1398562 | ExcessOrDeficitForYear |
| Donated Services And Facilities | 419688 | DonatedServicesAndFacilities |
| Total Adjustments | 419688 | TotalAdjustments |
| Excess Or Deficit Per FS | -978874 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 11805990 | TotRevenueEtcAuditedFinclStmt |
| Donated Srvc And Use Of Facilities | 419688 | DonatedSrvcAndUseOfFacilities |
| Revenue Not Rptd F990 | 419688 | RevenueNotRptdF990 |
| Revenue Subtotal | 11386302 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 11386302 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 12784864 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 12784864 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 12784864 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X: | ReturnReference |
| Explanation | 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, 2008 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. | 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 |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 190.000000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCare |
| Free Disc Care Medically Indigent | 0 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| 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 | 99205 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 99205 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00940 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1622269 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1559059 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 63210 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00600 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1721474 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1559059 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 162415 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01540 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2774 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2774 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 850 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 850 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3624 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3624 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1725098 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1559059 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 166039 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01580 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $1,334,793 | BadDebtExpenseAmount |
| Amount Attributable To | 989942 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 5359797 | AmountReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 5359797 | 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 | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVIE COUNTY EMERGENCY HEALTH CORP | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 223 HOSPITAL STREET | AddressLine1 |
| City | MOCKSVILLE | City |
| State | NC | State |
| ZIP Code | 27028 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Critical Access Hospital | X | CriticalAccessHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA FOR 2010 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| PART I, LINE 3C: DAVIE COUNTY 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 6A: NORTH CAROLINA BAPTIST HOSPITAL | ||
| 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 $ 2280915. | ||
| 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 2010 SCHEDULE H INSTRUCTIONS TO COMPUTE A COST-TO-CHARGES RATIO USED TO CALCULATE BAD DEBT AT COST. | ||
| PART III, LINE 8: DAVIE COUNTY 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. | ||
| 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 2010 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 COUNTY 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 6: 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 7: THE MEMBER OF THE ORGANIZATION IS NORTH CAROLINA BAPTIST HOSPITAL. | ||
| NC | REPORTS FILED WITH STATES | PART VI, LINE 7 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | 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 (4 entries)
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DONNY C LAMBETH | |||||||||||||
| 0 | 537997 | 0 | 186261 | 0 | 24834 | 0 | 388496 | 0 | 19819 | 0 | 1157407 | 0 | 0 |
| RONALD SMALL | |||||||||||||
| 0 | 224601 | 0 | 88558 | 0 | 239354 | 0 | 47428 | 0 | 10360 | 0 | 610301 | 0 | 0 |
| STEVEN C SNELGROVE | |||||||||||||
| 0 | 249147 | 0 | 69521 | 0 | 38509 | 0 | 83334 | 0 | 15089 | 0 | 455600 | 0 | 0 |
| LYNN PITMAN | |||||||||||||
| 0 | 148845 | 0 | 19516 | 0 | 3515 | 0 | 19058 | 0 | 17511 | 0 | 208445 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 4B | ReturnReference |
| Explanation | THE INDIVIDUALS LISTED BELOW PARTICIPATE IN OR RECEIVE PAYMENTS FROM SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLANS PROVIDED BY A RELATED ORGANIZATION. THE NON-QUALIFIED RETIREMENT PLAN'S STRUCTURE IS DETERMINED BY A MATRIX INCLUDING NATIONAL RANKINGS IN THE EXECUTIVE'S SPECIALTY, PEER COMPARISONS, AND FINANCIAL OPERATING PERFORMANCE. THE DETERMINATION OF THE AMOUNT OF THE NON-QUALIFIED RETIREMENT PLANS FOLLOWED THE RELATED ORGANIZATION'S COMPENSATION PROCEDURES AS OUTLINED IN PART VI, SECTION B, LINE 15 OF ITS FORM 990. - DONNY C. LAMBETH - STEPHEN C. SNELGROVE - RONALD SMALL | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | PAMELA SMALL | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | FAMILY MEMBER OF BOARD MEMBER RONALD SMALL | Relationship |
| Amount Of Transaction | 15749 | AmountOfTransaction |
| Description Of Transaction | COMPENSATION AS EMPLOYEE | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| 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. | |
| DIRECTORS, TRUSTEES, OFFICERS, AND KEY EMPLOYEES ARE SURVEYED ANNUALLY FOR POTENTIAL CONFLICTS OF INTEREST. IN DECEMBER THE POLICY IS DISTRIBUTED TO ALL DIRECTORS, TRUSTEES, OFFICERS, AND KEY EMPLOYEES ALONG WITH A QUESTIONNAIRE. AT THE DECEMBER BOARD MEETING, ALL ARE REQUIRED TO SUBMIT THE COMPLETED QUESTIONNAIRES. | FORM 990, PART VI, SECTION B, LINE 12C | |
| NORTH CAROLINA BAPTIST HOSPITAL, THE ORGANIZATION'S SOLE MEMBER, CONDUCTED SALARY SURVEYS OF OTHER AREA HOSPITALS, AND CONTRACTS WERE REVIEWED BY THE HUMAN RESOURCES DEPARTMENT OF THAT ORGANIZATION. | FORM 990, PART VI, SECTION B, LINE 15 | |
| PHOTOCOPIES OF THE FORM 1023 AND RECENT FILINGS OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. ADDITIONALLY, RECENT FILINGS OF THE FORM 990 CAN BE ACCESSED THROUGH GUIDESTAR.ORG, A NON-PROFIT WEBSITE. | FORM 990, PART VI, SECTION C, LINE 18 | |
| PHOTOCOPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. | FORM 990, PART VI, SECTION C, LINE 19 | |
| AVERAGE HOURS FOR RELATED ORGANIZATIONS: | THE FOLLOWING PERSONS WERE COMPENSATED DIRECTLY BY NORTH CAROLINA BAPTIST HOSPITAL, A RELATED ORGANIZATION, OR WAKE FOREST UNIVERSITY HEALTH SCIENCES, AN UNRELATED ORGANIZATION, FOR SERVICES PERFORMED FOR THE FILING ORGANIZATION. EACH PERSON'S POSITION IN EACH ORGANIZATION, AND THE AVERAGE HOURS PER WEEK THAT THEY DEVOTE TO EACH ENTITY, ARE SHOWN BELOW. - DONNY LAMBETH - CHAIRMAN, FILING ORGANIZATION 1 HOUR PER WEEK SECRETARY, NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION (7/1 - 12/31) 0.1 HOURS PER WEEK TRUSTEE, CARENET 0.1 HOURS PER WEEK PRESIDENT, NCBH 36 HOURS PER WEEK PRESIDENT, WFUBMC COMMUNITY PHYSICIANS 1 HOUR PER WEEK DIRECTOR, DAVIDSON HEALTHCARE, INC. 1 HOUR PER WEEK DIRECTOR, LEXINGTON MEMORIAL HOSPITAL, INC. 1 HOUR PER WEEK DIRECTOR, LEXMEDICAL, INC. 1 HOUR PER WEEK CHAIRMAN, HAWTHORNE INN & CONFERENCE CENTER 0.1 HOURS PER WEEK SECRETARY, THE NURSING CENTER AT OAK SUMMIT (7/1 - 12/31) 0.1 HOURS PER WEEK MEMBER, NORTHWEST COMMUNITY CARE NETWORK, INC. 0.1 HOURS PER WEEK TRUSTEE, SECRETARY, TREASURER, THE MEDICAL FND. OF WFUHS AND NCBH 0.1 HOURS PER WEEK - RUSSELL M. HOWERTON, MD - MEMBER, FILING ORGANIZATION 1 HOUR PER WEEK CMO, WFUBMC 5 HOURS PER WEEK CMO, WFU BAPTIST HEALTH SYSTEM, WFUHS 15 HOURS PER WEEK CMO, WFU BAPTIST HEALTH SYSTEM, NORTH CAROLINA BAPTIST HOSPITAL 20 HOURS PER WEEK - DOUGLAS NELSON - TREASURER, FILING ORGANIZATION 1 HOUR PER WEEK FORMER TREASURER / SECRETARY, WFUBMC 5 HOURS PER WEEK - STEVEN C. SNELGOVE - MEMBER, FILING ORGANIZATION 1 HOUR PER WEEK VP OPERATIONS, FILING ORGANIZATION 39 HOURS PER WEEK TRUSTEE, HAWTHORNE INN & CONFERENCE CENTER 0.1 HOURS PER WEEK - RONALD H. SMALL - MEMBER, FILING ORGANIZATION 1 HOUR PER WEEK VP QUALITY & SERVICES EXCELLENCE, FILING ORGANIZATION 39 HOURS PER WEEK - DANNY SQUIRES - CFO, FILING ORGANIZATION 2 HOURS PER WEEK VP / CFO, DAVIDSON HEALTHCARE, INC. 1 HOUR PER WEEK VP / CFO, LEXINGTON MEMORIAL HOSPITAL, INC. 26 HOURS PER WEEK VP / CFO, LEXINGTON MEMORIAL HOSPITAL FOUNDATION, INC. 2 HOURS PER WEEK VP / CFO, LEXMEDICAL, INC. 7 HOURS PER WEEK VP / CFO, LEXPROPERTIES, INC. 1 HOUR PER WEEK VP / CFO, LEXHEALTH, INC. 1 HOUR PER WEEK - TERRY BOWMAN - CFO, FILING ORGANIZATION 2 HOURS PER WEEK - STEPHEN L. ROBERTSON - MEMBER, FILING ORGANIZATION 1 HOUR PER WEEK TRUSTEE, WFUBMC 2 HOURS PER WEEK TRUSTEE, NCBH 2 HOURS PER WEEK - DAN BARRETT - VICE CHAIR, FILING ORGANIZATION 1 HOUR PER WEEK - TERRY BRALLEY - SECRETARY, FILING ORGANIZATION 1 HOUR PER WEEK - KEN WHITE - MEMBER, FILING ORGANIZATION 1 HOUR PER WEEK - WILLIAM F. JUNKER - MEMBER, FILING ORGANIZATION 1 HOUR PER WEEK - BETH DIRKS - MEMBER, FILING ORGANIZATION 1 HOUR PER WEEK - HEATHER L. HAYES - MEMBER, FILING ORGANIZATION 1 HOUR PER WEEK - RALPH HOLTHOUSER - MEMBER, FILING ORGANIZATION 1 HOUR PER WEEK - LYNN PITMAN - MEMBER, FILING ORGANIZATION 1 HOUR PER WEEK - CHARLES TEGELER, M.D. - MEMBER, FILING ORGANIZATION 1 HOUR PER WEEK - BRUCE BOLLING, M.D. - PRESIDENT/MEDICAL STAFF, FILING ORGANIZATION 1 HOUR PER WEEK - KEVIN WALSH - ADMINISTRATOR, FILING ORGANIZATION 40 HOURS PER WEEK - SHARON T. DOSS - ADMINISTRATOR (RETIRED), FILING ORGANIZATION 40 HOURS PER WEEK | FORM 990, PART VII, LINE 1, COLUMN (B): |
| CHANGES IN NET ASSETS OR FUND BALANCES: | DONATED SERVICES AND USE OF FACILITIES: 419,688. | FORM 990, PART XI, LINE 5: |
| THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. | FORM 990, PART XII, LINE 2C: | |
| DISCLOSURE ON MANAGEMENT ARRANGEMENT: | EFFECTIVE JULY 1, 2010, THE GOVERNING BOARDS OF FOUR NORTH CAROLINA NONPROFIT CORPORATIONS (WAKE FOREST UNIVERSITY, NORTH CAROLINA BAPTIST HOSPITAL, WAKE FOREST UNIVERSITY HEALTH SCIENCES, AND WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER) ENTERED INTO AN AGREEMENT (THE "MEDICAL CENTER INTEGRATION AGREEMENT" OR "MCIA") UNDER WHICH THE POWER TO OPERATE EACH OF NORTH CAROLINA BAPTIST HOSPITAL ("NCBH") AND WAKE FOREST UNIVERSITY HEALTH SCIENCES ("WFUHS"), INCLUDING THEIR RESPECTIVE "SUBSIDIARIES, AFFILIATES, AND JOINT VENTURES", WAS DELEGATED TO WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER ("WFUBMC"). WFUHS IS A WHOLLY-CONTROLLED SUBSIDIARY OF WAKE FOREST UNIVERSITY ("WFU"). WFUBMC IS NOW A MEMBERSHIP NONPROFIT CORPORATION WHOSE TWO EQUAL MEMBERS ARE NCBH (WHICH ENTITY IS UNRELATED TO WFU) AND WFU. THIS CONSOLIDATION OF MANAGEMENT IN WFUBMC OF THE VARIOUS ACADEMIC MEDICAL CENTER OPERATIONS, SUBJECT TO SUBSTANTIAL RESERVED POWERS IN EACH OF THE WFU AND NCBH CONSTITUENT MEMBERS' (OR IN WFUHS') BOARDS, MANDATED CHANGES IN THE GOVERNANCE DOCUMENTS OF EACH ORGANIZATION (WFUHS, NCBH, AND WFU), WHICH CHANGES WERE MADE DURING THE TAX YEAR. THE FILING ORGANIZATION [DAVIE COUNTY EMERGENCY HEALTH CORPORATION] IS A WHOLLY-OWNED SUBSIDIARY OF NCBH. WHILE NO CONFORMING CHANGES TO THE FILING ORGANIZATION'S GOVERNANCE DOCUMENTS WERE MADE DURING THE TAX YEAR, THE FILING ORGANIZATION'S MANAGEMENT HAS BEEN DIRECTLY IMPACTED BY THE MCIA, AS REFLECTED IN THE CHANGES MADE TO THE GOVERNANCE DOCUMENTS OF WFUBMC, WFUHS, AND NCBH. | FORM 990, PART VI, LINE 3: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | 0 | NORTH CAROLINA BAPTIST HOSPITAL | |
| THE REHABILITATION & SKILLED NURSING FACILITY AT OAK SUMMIT | |||||||||||
| MEDICAL CENTER BLVD | WINSTON SALEM | NC | 27157 | 561826396 | HEALTHCARE (INACTIVE) | NC | 501(C)(3) | LINE 9 | 0 | NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION | |
| THE HAWTHORNE INN & CONFERENCE CENTER INC | |||||||||||
| 420 HIGH STREET | WINSTON SALEM | NC | 27101 | 561793617 | LODGING/ CONFERENCE ACCOMMODATION | NC | 501(C)(3) | LINE 11A, I | 0 | NORTH CAROLINA BAPTIST HOSPITAL | |
| CARENET INC | |||||||||||
| 2000 WEST FIRST STREET SUITE 410 | WINSTON SALEM | NC | 27104 | 561977341 | HEALTHCARE | NC | 501(C)(3) | LINE 11B, II | 0 | NORTH CAROLINA BAPTIST HOSPITAL | |
| WAKE FOREST UNIV BAPTIST MEDICAL CNTR COMMUNITY PHYSICIANS | |||||||||||
| 3540 CLEMMONS ROAD | CLEMMONS | NC | 27012 | 561903275 | HEALTHCARE | NC | 501(C)(3) | LINE 3 | 0 | WAKE FOREST UNIVERSITY HEALTH SCIENCES | |
| CENTER FOR CONGREGATIONAL HEALTH INC | |||||||||||
| MEDICAL CENTER BLVD | WINSTON SALEM | NC | 27157 | 237426944 | HEALTHCARE | NC | 501(C)(3) | LINE 9 | 0 | NORTH CAROLINA BAPTIST HOSPITAL | |
| 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 | 1 | LoansOrGuaranteesFromOtherOrg |
| 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 | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART II: | ReturnReference |
| Explanation | THE MEMBERSHIP OF WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER COMMUNITY PHYSICIANS CHANGED OWNERSHIP DURING THE TAX YEAR. THE MEMBER OF THE ORGANIZATION WAS PREVIOUSLY NORTH CAROLINA BAPTIST HOSPITAL, BUT WAS CHANGED TO WAKE FOREST UNIVERSITY HEALTH SCIENCES. | Explanation |