NORTH CAROLINA BAPTIST HOSPITAL: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- NORTH CAROLINA BAPTIST HOSPITAL (EIN 56-0552787)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-05-14
- IRS object ID
- 201241359349301164
- 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 B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-05-14T08:54:34-05:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560552787 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTH CAROLINA BAPTIST HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | NORT | NameControl |
| Phone | 3367164445 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | MEDICAL CENTER BLVD | AddressLine1 |
| City | WINSTONSALEM | City |
| State | NC | State |
| ZIP Code | 27157 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOHN D MCCONNELL MD | Name |
| Title | CEO | Title |
| Phone | 3367164445 | Phone |
| Date Signed | 2012-05-14 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JOHN D MCCONNELL MD | NameOfPrincipalOfficerPerson |
| Gross Receipts | 9401531259 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.WAKEHEALTH.EDU | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1923 | YearFormation |
| State Legal Domicile | NC | StateLegalDomicile |
| Activity Or Mission Description | IMPROVING THE HEALTH OF OUR REGION, STATE AND NATION BY:SERVING AS THE PREMIER HEALTH SYSTEM IN OUR REGION, WITH SPECIFIC CENTERS OF EXCELLENCE RECOGNIZED AS NATIONAL AND INTERNATIONAL CARE DESTINATIONS.GENERATING AND TRANSLATING KNOWLEDGE TO PREVENT, DIAGNOSE AND TREAT DISEASE.TRAINING TOMORROW'S LEADERS IN HEALTH CARE AND BIOMEDICAL SCIENCE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 25 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 22 | NbrIndependentVotingMembers |
| Total Nbr Employees | 8968 | TotalNbrEmployees |
| Total Nbr Volunteers | 1487 | TotalNbrVolunteers |
| Total Gross UBI | 2231838 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 1626588 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1313535 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 3309877 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 939125091 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 1042076215 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 23721260 | InvestmentIncomePriorYear |
| Investment Income Current Year | 29680394 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 3514793 | OtherRevenuePriorYear |
| Other Revenue Current Year | 3619545 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 967674679 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1078686031 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 157954 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 568909 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 448104945 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 489928433 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 308821 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 463568592 | OtherExpensePriorYear |
| Other Expenses Current Year | 531040686 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 911831491 | TotalExpensesPriorYear |
| Total Expenses Current Year | 1021538028 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 55843188 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 57148003 | RevenuesLessExpensesCY |
| Total Assets BOY | 1373130565 | TotalAssetsBOY |
| Total Assets EOY | 1461474196 | TotalAssetsEOY |
| Total Liabilities BOY | 611594543 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 499788836 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 761536022 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 961685360 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | SEE SCHEDULE O FOR CONTINUATIONWAKE FOREST BAPTIST MEDICAL CENTER'S MISSION IS TO IMPROVE THE HEALTH OF OUR REGION, STATE AND NATION BY:SERVING AS THE PREMIER HEALTH SYSTEM IN OUR REGION, WITH SPECIFIC CENTERS OF EXCELLENCE RECOGNIZED AS NATIONAL AND INTERNATIONAL CARE DESTINATIONS.GENERATING AND TRANSLATING KNOWLEDGE TO PREVENT, DIAGNOSE AND TREAT DISEASE.TRAINING TOMORROW'S LEADERS IN HEALTH CARE AND BIOMEDICAL SCIENCE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 899811575 | Expense |
| Grants | 568909 | Grants |
| Revenue | 1037822092 | Revenue |
| Description | SEE SCHEDULE O FOR COMPLETE DESCRIPTIONOVERVIEW: WAKE FOREST BAPTIST MEDICAL CENTER IS NORTHWEST NORTH CAROLINA'S SOLE ACADEMIC MEDICAL CENTER, BRINGING TO THE REGION THE RESOURCES OF ONE OF AMERICA'S TOP HOSPITALS AND INNOVATIVE RESEARCH CENTERS AND A PREMIER MEDICAL SCHOOL. WAKE FOREST BAPTIST MEDICAL CENTER IS A CORPORATION WHOSE MEMBERS ARE WAKE FOREST UNIVERSITY AND NORTH CAROLINA BAPTIST HOSPITAL "NCBH". THE MEDICAL CENTER OPERATES WAKE FOREST SCHOOL OF MEDICINE AND HAS A FACULTY PHYSICIAN PRACTICE OF ABOUT 860 DOCTORS. THE MEDICAL CENTER HAS 1,004 ACUTE CARE AND REHABILITATION BEDS OPERATIVE ACROSS THE SYSTEM, WHICH ENCOMPASSES ITS MAIN CAMPUS (885 BEDS), BRENNER CHILDREN'S HOSPITAL (160 BEDS, INCLUDED IN MAIN CAMPUS TOTAL); WAKE FOREST BAPTIST HEALTH-LEXINGTON MEDICAL CENTER (94 BEDS); AND DAVIE COUNTY HOSPITAL (25 BEDS). THE MEDICAL CENTER PRIMARILY SERVES A 24-COUNTY REGION IN NORTHWESTERN NORTH CAROLINA AND SOUTHWESTERN VIRGINIA, BUT DRAWS PATIENTS FROM ACROSS THE STATE AND NATION FOR SELECT SERVICES.WAKE FOREST SCHOOL OF MEDICINE IS THE DRIVING FORCE BEHIND THE ESTABLISHMENT AND GROWTH OF PIEDMONT TRIAD RESEARCH PARK, A MORE THAN 200-ACRE, MIXED-USE BIOTECHNOLOGY PARK IN DOWNTOWN WINSTON-SALEM. THE PARK IS HOME TO MANY OF THE MEDICAL CENTER'S ACADEMIC AND RESEARCH PROGRAMS, INCLUDING THE WORLD-RENOWNED WAKE FOREST INSTITUTE FOR REGENERATIVE MEDICINE. 1. CLINICAL SERVICES WAKE FOREST BAPTIST MEDICAL CENTER IS NATIONALLY RECOGNIZED FOR CLINICAL EXCELLENCE AND INTERNATIONALLY KNOWN FOR PIONEERING RESEARCH AND CLINICAL INNOVATION. IT OFFERS EXPERTISE IN MORE THAN 100 AREAS OF MEDICINE, ENCOMPASSING COMPREHENSIVE PREVENTIVE AND HIGHLY SPECIALIZED CARE FOR ALL AGES, AND OPERATES BRENNER CHILDREN'S HOSPITAL, A 160-BED HOSPITAL WITHIN A HOSPITAL ON THE MAIN CAMPUS. THE MEDICAL CENTER INCLUDES 21 SUBSIDIARY OR AFFILIATE HOSPITALS, AND OPERATES MORE THAN 150 OUTREACH ACTIVITIES, INCLUDING SATELLITE SPECIALTY CLINICS, ACROSS NORTHWEST NORTH CAROLINA.THERE WERE 38,511 INPATIENT ADMISSIONS IN FY 2011, AND 913,474 OUTPATIENT ENCOUNTERS (EMERGENCY DEPARTMENT, DOWNTOWN HEALTH PLAZA, DAY HOSPITAL, AMBULATORY VISITS). THE TOTAL PATIENT ENCOUNTERS NUMBERED 951,985.2. OUTREACHTHE DOWNTOWN HEALTH PLAZA IS A FULL-SERVICE, OUTPATIENT MEDICAL CLINIC THAT SERVES MANY OF FORSYTH COUNTY'S UNINSURED AND UNDERINSURED RESIDENTS WITH A STATE-OF-THE-ART MEDICAL HOME. EXPERTS FROM 12 WAKE FOREST BAPTIST MEDICAL CENTER DEPARTMENTS PROVIDE COORDINATED CARE THAT INCLUDES ADULT MEDICINE, PEDIATRICS, OBSTETRICS AND GYNECOLOGY, AS WELL AS ONSITE PHARMACY, LABORATORY AND RADIOLOGY SERVICES (INCLUDING MAMMOGRAPHY). THE DOWNTOWN HEALTH PLAZA PLAYS A SIGNIFICANT ROLE IN COMMUNITY HEALTH, PROVIDING COMMUNITY HEALTH FAIRS, DIABETES EDUCATION AND ANNUAL, FREE PROSTATE SCREENING. NEARLY 64,000 PATIENT VISITS WERE RECORDED AT THE PLAZA BETWEEN JULY 2010 AND JUNE 2011. COSTS ARE SUBSIDIZED BY THE MEDICAL CENTER. THE MEDICAL CENTER ALSO OPERATES NUMEROUS INNOVATIVE COMMUNITY OUTREACH PROGRAMS, MOST NOTABLY ITS BESTHEALTH CENTER AT THE REGION'S LARGEST SHOPPING MALL IN WINSTON-SALEM. BESTHEALTH REACHED MORE THAN 40,000 PEOPLE LAST YEAR THROUGH 439 HEALTH SCREENINGS AND EDUCATIONAL PROGRAMS.3. EDUCATIONAL MISSION AND ACCOMPLISHMENTS THE CONSTITUENT ORGANIZATIONS OF WAKE FOREST BAPTIST MEDICAL CENTER OPERATE A BROAD RANGE OF EDUCATIONAL PROGRAMS, GRADUATING SKILLED PRACTITIONERS. IT ATTRACTS SOME OF THE WORLD'S MOST COMPETITIVE MEDICAL STUDENTS, RESIDENTS AND FELLOWS, AS WELL AS STUDENTS IN CLINICAL PASTORAL CARE, NURSE ANESTHESIA AND OTHER AREAS. THE MEDICAL CENTER IN THE PAST YEAR INVESTED MORE THAN $50 MILLION IN THE EDUCATION OF TOMORROW'S HEALTH CARE AND BIOMEDICAL LEADERS. THAT INVESTMENT LAST YEAR SUPPORTED THE TRAINING OF 482 MEDICAL STUDENTS, 664 PHYSICIAN RESIDENTS AND FELLOWS, 323 GRADUATE STUDENTS AND 117 PHYSICIAN ASSISTANTS. THE NORTHWEST AREA HEALTH EDUCATION CENTER, PART OF WAKE FOREST SCHOOL OF MEDICINE, DURING THE SAME YEAR PROVIDED 2,102 CONTINUING MEDICAL EDUCATION ACTIVITIES FOR 37,876 PARTICIPANTS THROUGHOUT THE REGION. | Description |
| Total Program Service Expense | 899811575 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | 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 | 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 | 1 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| 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 | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | 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 | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 221 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 8968 | 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 | 25 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 22 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 1 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | 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 | 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 | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | NC | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DOUG LISCHKE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3367164445 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | MEDICAL CENTER BLVD | AddressLine1 |
| City | WINSTON SALEM | City |
| State | NC | State |
| ZIP Code | 27157 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (55 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| ROGER L COTHRAN | ||||||||
| TRUSTEE | 6.00 | X | 0 | 0 | 0 | |||
| ARTHUR A GIBEL | ||||||||
| CHAIRMAN | 13.00 | X | 0 | 0 | 0 | X | ||
| KATHRYN H HAMRICK | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| WILLIAM N HARTSELL | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| STEPHEN R LITTLE | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| GEORGE E STUBBINS SR | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| STANLEY R AESCHLEMAN PH D | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| A WILLIAM BLACKSTOCK JR MD | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| WILLIAM J IRELAND JR M DIV PH D | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| KENNETH W LEWIS | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| WILLIAM C WARDEN JR | ||||||||
| CHAIRMAN | 2.00 | X | 0 | 0 | 0 | |||
| SHEREE B WATSON | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| KATY M BOLES | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| RAY N HOWELL III D MIN | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| JOHN D KIMBERLY | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| STEPHEN L ROBERTSON | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| EDWIN L WELCH JR | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| R MICHAEL WELLS | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| LINWOOD L DAVIS | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| BRENDA B DIGGS | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| ERNEST L EVANS | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| RON KESSINGER | ||||||||
| VICE - CHAIRMAN | 8.00 | X | 0 | 0 | 0 | X | ||
| PEDRO MARTINEZ | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| JERRY N BROOKS | ||||||||
| TRUSTEE | 2.00 | X | 496703 | 0 | 0 | |||
| DALE M BROWN | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| JOSEPH R OVERBY JR MD | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| JOHN D MCCONNELL MD | ||||||||
| TRUSTEE & CEO | 20.60 | X | 1875612 | 0 | 624197 | X | ||
| H GREG BRAY | ||||||||
| ASST. TREASURER/ASST. SECRETARY | 38.70 | 234799 | 0 | 40520 | X | |||
| J MCLAIN WALLACE JR | ||||||||
| VP GENERAL COUNSEL/SECRETARY | 35.00 | 378244 | 0 | 40349 | X | |||
| KAREN H HUEY | ||||||||
| VP FACILITY PLANNING & CONSTRUCTION | 26.00 | 229431 | 0 | 59613 | X | |||
| KAREN Q TURNER | ||||||||
| VP SURGICAL SERVICES | 40.00 | 276515 | 0 | 51767 | X | |||
| STEVE C SNELGROVE | ||||||||
| VP OPERATIONS | 39.00 | 357177 | 0 | 98423 | X | |||
| RONALD H SMALL | ||||||||
| VP QUALITY & SERVICE EXCELLENCE | 39.00 | 552513 | 0 | 57788 | X | |||
| MAUREEN E SINTICH | ||||||||
| VP OPERATIONS / CNO | 34.80 | 339629 | 0 | 55686 | X | |||
| ROBERT S PARKER SR | ||||||||
| VP SPECIAL OPS & COMMUNITY | 38.00 | 353055 | 0 | 103645 | X | |||
| DONNY C LAMBETH | ||||||||
| PRESIDENT | 36.00 | 749092 | 0 | 408315 | X | |||
| SHARON ENGEBRETSON | ||||||||
| INTERIM VP PASTORAL CARE | 36.00 | 139116 | 0 | 78306 | X | |||
| JOANNE C RUHLAND | ||||||||
| VP GOVERNMENT AFFAIRS | 26.00 | 210942 | 0 | 35556 | X | |||
| NORMAN D POTTER JR | ||||||||
| VP DEVELOPMENT & ALUMNI AFFAIRS | 26.00 | 222258 | 0 | 37771 | X | |||
| CHERYL EH LOCKE | ||||||||
| VP CHIEF HUMAN RESOURCES OFFICER | 26.00 | 710536 | 0 | 34116 | X | |||
| EDWARD G CHADWICK | ||||||||
| EXECUTIVE VP CFO & TREASURER | 21.00 | 730805 | 0 | 243782 | X | |||
| THOMAS E SIBERT MD | ||||||||
| PRESIDENT & COO OF HEALTH SYSTEM | 26.00 | 740478 | 0 | 254655 | X | |||
| RUSSELL M HOWERTON MD | ||||||||
| CHIEF MEDICAL OFFICER | 20.00 | 580706 | 0 | 51108 | X | |||
| DOUGLAS L EDGETON | ||||||||
| EXECUTIVE VP & MED CTR ADMINISTRATOR | 1.00 | 613769 | 0 | 41279 | X | |||
| LISA M WYATT | ||||||||
| VP CHIEF COMMUNICATIONS AND MARKETING | 26.00 | 334084 | 0 | 30629 | X | |||
| SHEILA M SANDERS | ||||||||
| VP CHIEF INFORMATION OFFICER | 26.00 | 381555 | 0 | 45230 | X | |||
| BETTY PETREE | ||||||||
| DIRECTOR NURSE ANESTHESIA | 40.00 | 269091 | 0 | 55527 | X | |||
| MICHAEL RIKER | ||||||||
| DIRECTOR OF NURSE ANESTHESIA PROGRAM | 40.00 | 214113 | 0 | 38286 | X | |||
| VANCE MCVAY JR | ||||||||
| CLINICAL INSTRUCTOR CRNA | 40.00 | 211792 | 0 | 36260 | X | |||
| ERIC STIEFEL | ||||||||
| CLINICAL INSTRUCTOR CRNA | 40.00 | 196578 | 0 | 25372 | X | |||
| CHARLES WARE | ||||||||
| ASSOCIATE VP INFRASTRUCTURE | 40.00 | 202543 | 0 | 78470 | X | |||
| WILLIAM YATES | ||||||||
| VP FAITH AND MINISTRIES | 40.00 | 14392 | 0 | -646 | X | |||
| PAUL LARUSSO | ||||||||
| VP & CHIEF INFORMATION OFFICER | 40.00 | 13838 | 0 | 1221 | X | |||
| A PATRICIA JOHNSON | ||||||||
| FORMER VP OPERATIONS / CNO | 40.00 | 258798 | 0 | 3695 | X | |||
| G DOUGLAS ATKINSON | ||||||||
| FORMER VP BUSINESS DEVELOPMENT | 40.00 | 226026 | 0 | 10725 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 12085960 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 2641070 | TotalOtherCompensation |
| Number Individuals GT100 K | 283 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 1 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| WAKE FOREST UNIVERSITY HEALTH SCIENCES | |||||
| MEDICAL CENTER BLVD | WINSTON SALEM | NC | 27157 | PHYSICIAN/OTHER PROFESSIONAL SERVICES | 64434204 |
| ARAMARK | |||||
| 2300 WARRENVILLE ROAD | DOWNER GROVE | IL | 60515 | MANAGEMENT SERVICES | 3628454 |
| MEDCOST LLC | |||||
| 3000 KIMEL PARK DRIVE | WINSTON SALEM | NC | 27103 | HEALTH INSURANCE ADMINISTRATOR | 2557080 |
| QUEST DIAGNOSTICS INC | |||||
| NICHOLS INSTITUTE DEPT 0065 | LOS ANGELES | CA | 90084 | LAB SERVICES | 2341871 |
| GE HEALTHCARE IITS USA CORP | |||||
| PO BOX 277475 | ATLANTA | GA | 30384 | MAINTENANCE CONTRACTS | 1927187 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 84 | NumberOfContractorsGT100K |
| All Other Contributions | 3309877 | AllOtherContributions |
| Noncash Contributions | 81574 | NoncashContributions |
| Total Contributions | 3309877 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PATIENT SERVICE REVENU | 621400 | 1029326624 | 1029249756 | 76868 |
| DIETARY | 722320 | 5185457 | 5175314 | 10143 |
| MEDICAL/LAB SERVICE | 621500 | 4254123 | 4026953 | 227170 |
| COST RECOV. & OTHER | 900099 | 3310011 | 1392354 | 1917657 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 1042076215 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 28191474 | TotalRevenueColumn |
| Exclusion | $28,191,474 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 490294 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 202935 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 287359 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 287359 | TotalRevenueColumn |
| Exclusion | $287,359 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 8312156108 | Securities |
| Other | 11975105 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 8311163788 | Securities |
| Other | 11478505 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 992320 | Securities |
| Other | 496600 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1488920 | TotalRevenueColumn |
| Exclusion | $1,488,920 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| GIFT SHOP REVENUE | 453220 | 1384775 | $1,384,775 |
| PARKING FEES | 900099 | 1203949 | $1,203,949 |
| TUITION | 900099 | 203023 | $203,023 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 540439 | TotalRevenueColumn |
| Exclusion | $540,439 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 3332186 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1078686031 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1039844377 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 2231838 | UnrelatedBusinessRevenue |
| Exclusion | $33,299,939 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 455041 | Total |
| Program Services | 455041 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 113868 | Total |
| Program Services | 113868 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12403054 | Total |
| Program Services | 982012 | ProgramServices |
| Management And General | 11112221 | ManagementAndGeneral |
| Fundraising | 308821 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 137689 | Total |
| Management And General | 137689 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 380837917 | Total |
| Program Services | 341405417 | ProgramServices |
| Management And General | 39432500 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19923156 | Total |
| Program Services | 14942367 | ProgramServices |
| Management And General | 4980789 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49491294 | Total |
| Program Services | 42607426 | ProgramServices |
| Management And General | 6883868 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27135323 | Total |
| Program Services | 20351492 | ProgramServices |
| Management And General | 6783831 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1560160 | Total |
| Program Services | 14837 | ProgramServices |
| Management And General | 1545323 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 315249 | Total |
| Management And General | 315249 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1807027 | Total |
| Program Services | 1356101 | ProgramServices |
| Management And General | 450926 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 95552556 | Total |
| Program Services | 70161086 | ProgramServices |
| Management And General | 25391470 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3311559 | Total |
| Program Services | 1663448 | ProgramServices |
| Management And General | 1648111 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 293680331 | Total |
| Program Services | 278148047 | ProgramServices |
| Management And General | 15532284 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9292707 | Total |
| Program Services | 4972810 | ProgramServices |
| Management And General | 4319897 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 349885 | Total |
| Program Services | 217499 | ProgramServices |
| Management And General | 132386 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1145633 | Total |
| Program Services | 648397 | ProgramServices |
| Management And General | 497236 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10933753 | Total |
| Program Services | 10933753 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 60904211 | Total |
| Program Services | 60295169 | ProgramServices |
| Management And General | 609042 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6646651 | Total |
| Program Services | 5001841 | ProgramServices |
| Management And General | 1644810 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| BAD DEBT EXPENSE | 45037022 | 45037022 |
| CONTRIBUTION EXPENSE | 270000 | 270000 |
| RECRUITMENT/RELOCATION | 233942 | 233942 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1021538028 | Total |
| Program Services | 899811575 | ProgramServices |
| Management And General | 121417632 | ManagementAndGeneral |
| Fundraising | 308821 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27825998 | BOY |
| EOY | 18078386 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 58135794 | BOY |
| EOY | 73571292 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 165093603 | BOY |
| EOY | 200506544 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11714276 | BOY |
| EOY | 13859819 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1309605 | BOY |
| EOY | 5260718 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 1273730287 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 805326163 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 425391533 | BOY |
| EOY | 468404124 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 613361983 | BOY |
| EOY | 607124980 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 61847344 | BOY |
| EOY | 57732699 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8450428 | BOY |
| EOY | 16935635 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1373130565 | BOY |
| EOY | 1461474196 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 121810500 | BOY |
| EOY | 112118064 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 333993335 | BOY |
| EOY | 326149760 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 155790708 | BOY |
| EOY | 61521256 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 611594543 | BOY |
| EOY | 499788836 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 756152864 | BOY |
| EOY | 954381677 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2146704 | BOY |
| EOY | 3916110 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3236453 | BOY |
| EOY | 3387818 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 761536022 | BOY |
| EOY | 961685360 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1373130565 | BOY |
| EOY | 1461474196 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 57148003 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 143001335 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| 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 | 1 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 1 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Direct Contact Legislators | $658,007 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 658007 | 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 | GOVERNMENT RELATIONS THE OFFICE OF GOVERNMENT RELATIONS WAS ACTIVELY INVOLVED WITH SEVERAL FEDERAL AND STATE ISSUES. THE OFFICE ASSISTED IN DEVELOPING POLITICAL ADVOCACY STRATEGIES REGARDING THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (P.L. 111-148) (A/K/A THE HEALTH CARE REFORM BILL), WHICH INCLUDED EXPANSION OF INSURANCE COVERAGE; MEDICARE AND MEDICAID PAYMENT CHANGES; PROVISIONS RELATED TO WORKFORCE SUPPLY AND GRADUATE MEDICAL EDUCATION TRAINING; FUNDING FOR COMPARATIVE EFFECTIVENESS RESEARCH, WELLNESS AND PREVENTION; KEY DELIVERY SYSTEM REFORMS INCLUDING ACCOUNTABLE CARE ORGANIZATIONS, VALUE BASED PURCHASING AND INCENTIVES TO IMPROVE CARE COORDINATION AND QUALITY; AND LANGUAGE DESIGNED TO REDUCE WASTE, FRAUD AND ABUSE IN THE MEDICARE AND MEDICAID PROGRAMS. STAFF WORKED ON THE FY2011 BUDGET; THE CENTER FOR MEDICARE AND MEDICAID SERVICE'S PROPOSED RULE REGARDING THE ELECTRONIC HEALTH RECORD INCENTIVE PROGRAM AND SUBMITTED A COMMENT LETTER REGARDING ITS PROVISIONS; THE FY 2011 MEDICARE INPATIENT PROSPECTIVE PAYMENT SYSTEM (PPS) PROPOSED RULE; LEGISLATION REGARDING THE CREATION OF HEALTHCARE INNOVATION ZONES; MEDICARE PAYMENT ADVISORY COMMISSION'S DGME AND IME RECOMMENDATIONS; CHANGES TO THE MEDICARE POLICY KNOWN AS THE 72 HOUR RULE; LEGISLATION TO INCREASE RESIDENCY SLOTS; AND MEDICARE PHYSICIAN PAYMENTS (SGR ADJUSTMENTS). STAFF ALSO WORKED ON MANY OF THE FY 2011 APPROPRIATIONS BILLS AND PROPOSED LEGISLATION AND REGULATIONS THAT WERE INTRODUCED, INCLUDING REQUESTS IN THE DEPARTMENT OF TRANSPORTATION; DEPARTMENT OF HOMELAND SECURITY; DEPARTMENT OF COMMERCE; STATE; JUSTICE; DEPARTMENT OF DEFENSE; DEPARTMENT OF HEALTH AND HUMAN SERVICES; AND VETERANS AFFAIRS (VA) RESEARCH AND MEDICAL CARE FUNDING. THE OFFICE ASSISTED WITH THE FOLLOWING: (1) END STAGE RENAL DISEASE PAYMENT SYSTEM PROPOSED RULE; (2) FAA REAUTHORIZATION BILL AMENDMENTS FOR AIR AMBULANCES; (3) EMPLOYEE FREE CHOICE BILL REGARDING UNIONIZATION; (4) IRS PROPERTY-TAX EXEMPTIONS FOR NONPROFITS GUIDELINES AND COMMUNITY BENEFITS ANALYSIS; (5) TAX BILL FOR EMPLOYEE PENSIONS, CHARITABLE DONATIONS; (6) NIH APPROPRIATIONS AND FUNDING FOR HEALTH PROFESSIONS AND AHEC AND THE REAUTHORIZATION OF THE NATIONAL SCIENCE FOUNDATION; (7) CHANGES PROPOSED BY HHS REGARDING CONFLICT OF INTEREST RULES; (8) THE IMPLEMENTATION OF THE TRUTH IN LENDING ACT REGARDING STUDENT LOANS; (9) FALSE CLAIMS ACT AMENDMENTS; AND (10) PATENTS AND INTELLECTUAL PROPERTY ISSUES. AT THE STATE LEVEL, EFFORTS WERE CONCENTRATED WITH THE FY 2010-11 MEDICAID BUDGET INCLUDING THE SIX MONTH EXPANSION OF FMAP FUNDING CONTAINED IN THE FEDERAL STIMULUS PACKAGE, THE MEDICAID REIMBURSEMENT INITIATIVE AND UPPER PAYMENT LIMIT PROVISIONS; ON LEGISLATION REGARDING CERTIFICATE-OF-NEED LAWS, BUSINESS INCENTIVE TAX LAWS, INCLUDING THE MILL TAX CREDIT FOR THE PIEDMONT TRIAD RESEARCH PARK; AND FUNDING FOR ALLIED HEALTH PROFESSIONAL TRAINING AT THE COMMUNITY COLLEGES, INCLUDING FORSYTH TECHNICAL COMMUNITY COLLEGE. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3918191 | BeginningOfYearBalance |
| Contributions | 141511 | Contributions |
| Investment Earnings Or Losses | 396088 | InvestmentEarningsOrLosses |
| Other Expenditures | 16623 | OtherExpenditures |
| End Of Year Balance | 4439167 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3788351 | BeginningOfYearBalance |
| Contributions | 68200 | Contributions |
| Investment Earnings Or Losses | 78265 | InvestmentEarningsOrLosses |
| Other Expenditures | 16625 | OtherExpenditures |
| End Of Year Balance | 3918191 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 4470108 | BeginningOfYearBalance |
| Contributions | 117064 | Contributions |
| Investment Earnings Or Losses | -780842 | InvestmentEarningsOrLosses |
| Other Expenditures | 17979 | OtherExpenditures |
| End Of Year Balance | 3788351 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.03000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.76000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.21000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 1 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 11535276 | OtherCostOrOtherBasis |
| Book Value | 11535276 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 650858378 | OtherCostOrOtherBasis |
| Depreciation | 369135178 | Depreciation |
| Book Value | 281723200 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7615567 | OtherCostOrOtherBasis |
| Depreciation | 5737023 | Depreciation |
| Book Value | 1878544 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 537178371 | OtherCostOrOtherBasis |
| Depreciation | 430453962 | Depreciation |
| Book Value | 106724409 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 66542695 | OtherCostOrOtherBasis |
| Book Value | 66542695 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 468404124 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| OTHER LIABILITIES | $45,705,970 |
| PENSION LIABILITIES | $11,507,142 |
| DEFERRED COMPENSATION | $309,148 |
| OTHER LONG-TERM LIABILITIES | $3,998,996 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 61521256 | TotalOfAmounts |
| Total Revenue | 1078686031 | TotalRevenue |
| Total Expenses | 1021538028 | TotalExpenses |
| Excess Or Deficit For Year | 57148003 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 72309986 | NetUnrealizedGLOnInvestments |
| Donated Services And Facilities | 38943 | DonatedServicesAndFacilities |
| Other | $70,652,406 | OtherAmount |
| Total Adjustments | 143001335 | TotalAdjustments |
| Excess Or Deficit Per FS | 200149338 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 1217689568 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 72309986 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 38943 | DonatedSrvcAndUseOfFacilities |
| Other Revenues | 68731634 | OtherRevenues |
| Revenue Not Rptd F990 | 141080563 | RevenueNotRptdF990 |
| Revenue Subtotal | 1076609005 | RevenueSubtotal |
| Other Revenues Not Included | 2077026 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 2077026 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 1078686031 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 1019461001 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 1019461001 | ExpensesSubtotal |
| Other Expenses Not Included | 2077026 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 2077026 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 1021538027 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | THE HOSPITAL'S ENDOWMENT FUNDS ARE USED TO PROVIDE SUPPORT FOR EDUCATION, SCHOLARSHIPS, INDIGENT CARE, AND SUPPORT AS DESIGNATED BY THE INDIVIDUAL DONORS. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | NCBH AND ITS SUBSIDIARIES ARE TAX-EXEMPT ORGANIZATIONS AS DESCRIBED IN SECTION 501(C)3 OF THE INTERNAL REVENUE CODE (THE "CODE"), AND ARE 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 CONSOLIDATED FINANCIAL STATEMENTS. UNRELATED BUSINESS INCOME OF NCBH IS REPORTED ON FORM 990-T. THE SYSTEM 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. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN PENSION LIABILITY: 77,335,733 NET GAIN FROM DISCOUNTINUED OPERATIONS: 1,064,813 CHANGE IN VALUE OF INTEREST RATE SWAP: 226,522 LOSS FROM AFFILIATES: -1,629,817 TRANSFER FROM AFFILIATES: -1,896,299 NET CHANGE IN RESTRICTED ASSETS: 1,920,769 CAPITAL CONTRIBUTION: 996,344 TRANSFER OF AFFILIATE TO INTEGRATED GROUP: -3,458,460 OTHER ADJUSTMENTS: -2,911,099 PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS FROM AFFILIATES: -1,629,817 TRANSFERS FROM AFFILIATES: -1,896,299 CHANGE IN PENSION LIABILITY: 77,335,733 CAPITAL CONTRIBUTION: 996,344 NET GAIN FROM DISCONTINUED OPERATIONS: 1,064,813 CHANGE IN VALUE OF INTEREST RATE SWAP: 226,522 TRANSFER OF AFFILIATE TO INTEGRATED GROUP: -3,458,460 OTHER: -2,910,858 PART XII, LINE 4B - OTHER ADJUSTMENTS: CONTRIBUTION REVENUE: 270,000 PART XIII, LINE 2D - OTHER ADJUSTMENTS CONTRIBUTION REVENUE: 270,000 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| 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 | 53167036 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5357227 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 47809809 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04900 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 157225696 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 143400711 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 13824985 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01420 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 16551045 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15675743 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 875302 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00090 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 226943777 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 164433681 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 62510096 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06410 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3580158 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3580158 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00370 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 66003137 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 21832021 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 44171116 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04520 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4512644 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4512644 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00460 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1645178 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1645178 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00170 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1481303 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1481303 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00150 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 77222420 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 21832021 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 55390399 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05670 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 304166197 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 186265702 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 117900495 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.12080 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 104821 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 104821 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 127505 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 127505 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 146558 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 146558 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 46201 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 46201 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 639184 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 639184 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1064269 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1064269 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $16,978,571 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 340177974 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 371950001 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -31772027 | 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 | Teaching HospitalTeachingHospital | Er24 HoursEr24Hours | OtherOther |
|---|---|---|---|---|---|---|---|---|---|
| NORTH CAROLINA BAPTIST HOSPITAL | |||||||||
| 1 | MEDICAL CENTER BLVD | WINSTON SALEM | NC | 27157 | X | X | X | X | |
| NORTH CAROLINA BAPTIST HOSPITAL AMBULANC | |||||||||
| 2 | MEDICAL CENTER BLVD | WINSTON SALEM | NC | 27157 | AMBULANCE SERVICES | ||||
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA PER IRS ANNOUNCEMENT 2011-37 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 13 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (13 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType | Address Line2Address/AddressLine2 |
|---|---|---|---|---|---|
| STRATFORD EXECUTIVE PARK ABDOMINAL ORGAN | |||||
| 140 CHARLOIS BOULEVARD | WINSTONSALEM | NC | 271031522 | ABDOMINAL ORGAN TRANSPLANT PROGRAM | |
| DOWNTOWN HEALTH PLAZA | |||||
| 1200 N MARTIN LUTHER KING JR DRIVE | WINSTONSALEM | NC | 271013006 | FAMILY MEDICINE | |
| WAKE FOREST UNIVERSITY BAPTIST IMAGING | |||||
| 265 EXECUTIVE PARK BLVD | WINSTONSALEM | NC | 27103 | IMAGING CENTER | |
| WINSTON EAST PEDIATRICS | |||||
| 2295 EAST 14TH STREET | WINSTONSALEM | NC | 271056804 | PEDIATRICS | |
| STRATFORD EXECUTIVE PARK INTERNAL MEDICI | |||||
| 500 SHEPHARD STREET SUITE 300 | WINSTONSALEM | NC | 271031633 | IM MULTISPECIALTY CLINICS | |
| CANCER CENTER OF DAVIDSON COUNTY LLC | |||||
| 107 WEST MEDICAL PARK DRIVE SUITES | LEXINGTON | NC | 27292 | CANCER CENTER | 101 |
| COUNTRY CLUB DERMATOLOGIC SURGERY | |||||
| 4618 COUNTRY CLUB ROAD | WINSTONSALEM | NC | 271043520 | GENERAL DERMATOLOGY | |
| COUNTRY CLUB GENERAL DERMATOLOGY | |||||
| 4618 COUNTRY CLUB ROAD | WINSTONSALEM | NC | 271043520 | DERMATOLOGIC SURGERY | |
| STRATFORD EXECUTIVE PARK OBGYN | |||||
| 500 SHEPHARD STREET SUITE 201 | WINSTONSALEM | NC | 271031633 | OB/GYN | |
| WAKE FOREST BAPTIST HEALTH FAMILY MEDICI | |||||
| 1920 W FIRST STREET | WINSTONSALEM | NC | 271044220 | FAMILY MEDICINE | |
| STRATFORD EXECUTIVE PARK MATERNAL-FETAL | |||||
| 500 SHEPHARD STREET SUITE 200 | WINSTONSALEM | NC | 271031633 | MATERNAL-FETAL MEDICINE | |
| WAKE FOREST BAPTIST HEART CENTER | |||||
| 755 HIGHLAND OAKS SUITE 204 | WINSTONSALEM | NC | 271037106 | CARDIOLOGY | |
| NCBH OUTPATIENT ENDOSCOPY CENTER LLC | |||||
| 100 CHARLOIS BLVD SUITE 100 | WINSTONSALEM | NC | 27103 | OUTPATIENT ENDOSCOPY | |
Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| PART I, LINE 3C: THE ORGANIZATION USES A SLIDING SCALE OF THE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR DISCOUNTED CARE BETWEEN 201% AND 300%, THE DISCOUNT IS 75%. BETWEEN 301% AND 400%, THE DISCOUNT IS 50%, AT 200% OR BELOW, THE INDIVIDUAL IS ELIGIBLE FOR FREE CARE | ||
| PART I, LINE 7: THE ORGANIZATION USED THE WORKSHEETS PROVIDED IN THE INSTRUCTIONS TO SCHEDULE H TO COMPUTE ITS COST-TO-CHARGE RATIO FOR PURPOSES OF THE 2010 SCHEDULE H | ||
| PART I, L7 COL(F): THE ORGANIZATION'S BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENTS WAS $45,037,022 FOR THE FISCAL YEAR. THIS AMOUNT HAS BEEN REMOVED FROM THE CALCULATION OF CHARITY CARE FOR PART I, LINE 7. | ||
| PART II: THROUGH COMMUNITY BUILDING NORTH CAROLINA BAPTIST HELPS THE COMMUNITY BY OPERATING "BEST HEALTH" WHICH IS A RESOURCE CENTER LOCATED AT A LOCAL SHOPPING MALL. THERE, THE PUBLIC CAN RESEARCH A WIDE VARIETY OF HEALTH AND WELLNESS TOPICS. OUR COMMUNITY ALSO BENEFITS FROM OUR PHYSICIAN RECRUITMENT PROGRAM, COMMUNITY TRAINING AND NETWORKS AS WELL AS OUR PARTICIPATION IN THE LEADERSHIP WINSTON-SALEM PROGRAM. WE FURTHER HELP OUR COMMUNITY BYSUPPORTING OUR LOCAL GOODWILL ENDEAVORS | ||
| PART III, LINE 4: THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A DISCRETE FOOTNOTE EXPLAINING BAD DEBT EXPENSE. BAD DEBT HAS NOT BEEN INCLUDED IN THE COMPUTATION OF COMMUNITY BENEFIT ON PART I, LINE 7. THE ORGANIZATION HAS A THOROUGH PROCESS OF EVALUATING BAD DEBT ACCOUNTS AS INFORMATION BECOMES AVAILABLE AND RECLASSIFIES BAD DEBT ACCOUNTS AS CHARITY CARE AS PROVIDED BY THE CHARITY CARE POLICY. AMOUNTS USED TO COMPUTE CHARITY CARE AND BAD DEBT ON SCHEDULE H USE THE MOST CURRENT DATA AVAILABLE AT THE TIME OF FILING.THE ORGANIZTION 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: FOR THE FISCAL YEAR, THE PORTION OF PAYORS FOR WHICHMEDICARE WAS THE PRIMARY SOURCE OF PAYMENT WAS 29.5%. OF THAT PORTION OFPATIENTS, 27.3% WERE FOUND TO HAVE ALSO QUALIFIED FOR MEDICAID AS ASECONDARY INSURANCE; THEREFORE BASED ON THIS RATIO, APPROXIMATELY 27%, OR$8.6 MILLION, OF THE MEDICARE SHORTFALL MAY BE CONSIDERED A COMMUNITYBENEFIT. THE HOSPITAL USES AN OVERALL COST TO CHARGE RATIO CALCULATION BASED ON AUDITED FINANCIAL STATEMENTS BUT REMOVES COST ASSOCIATED WITH BAD DEBT, GME, COMMUNITY BUILDING, AND CHARITY CARE SO AS NOT TO COUNT THOSE COSTS TWICE. | ||
| PART III, LINE 9B: PATIENT FINANCIAL RESOURCES SERVICES WORKS WITH THE PATIENT FOR ANY PATIENT LIABILITY. OUR MAIN FOCUS IS PRIOR TO SERVICESAND/OR DISCHARGE; HOWEVER, WE DO WORK WITH PATIENTS AFTER SERVICES HAVEBEEN RECEIVED AND BILLED. PATIENT FINANCIAL RESOURCES SERVICES IS REALLYTWO AREAS IN ONE--THE RESOURCE RECOVERY SPECIALIST/RRS (FORMERLY FINANCIALCOUNSELING) AND THE MEDICAID ELIGIBILITY TEAM/MPS. THESE TWO AREAS WORKTOGETHER TO FIND A RESOLUTION TO PATIENT LIABILITY, SELF PAY OR INSURED.THE RRS WORKS TO NOTIFY THE PATIENT OF ANY PATIENT LIABILITY AND ASK FORPAYMENT FOR THAT LIABILITY. IF THE PATIENT INDICATES THAT HE/SHE NEEDSASSISTANCE, THEN THE RRS WILL COMPLETE A FINANCIAL STATEMENT ON THEPATIENT. WHILE TAKING THAT FINANCIAL STATEMENT THE RRS IS LOOKING FORINFORMATION THAT COULD QUALIFY THE PATIENT FOR MEDICAID OR FOR OTHERAGENCY PROGRAMS THAT ARE AVAILABLE TO THE MEDICAL CENTER. WHEN THATINFORMATION IS IDENTIFIED THE RRS WILL LET THE PATIENT KNOW THAT AREFERRAL WILL BE MADE FOR MEDICAID OR OTHER ASSISTANCE AND A MPS WILL BEIN TOUCH WITH HIM/HER. THE RRS ALSO EXPLAINS TO THE PATIENT OR FAMILY THATCHARITY CARE IS A LAST RESORT AND THEY MUST COOPERATE WITH ANY OTHERASSISTANCE PROGRAMS THAT WE HAVE IDENTIFIED AND BE FOUND INELIGIBLE BEFORECHARITY CARE WILL BE APPROVED/APPLIED. IT IS ALSO COMMUNICATED WITH THEPATIENT OR FAMILY IS INFORMED IF ANY SUPPORTING DOCUMENTATION IS NEEDED FOR ANYASSISTANCE, WHETHER THAT BE CHARITY, MEDICAID, OR OTHER PROGRAMS. | ||
| PART VI, LINE 2: DATA IS COLLECTED THROUGH PRIMARY AND SECONDARY COLLECTION PROCESSES. POPULATION, PREGNANCY, BIRTH, MORTALITY, ANDMORBIDITY DATA IS REVIEWED TO ASSESS THE POPULATION'S HEALTH. PRIMARYDATA COLLECTION INCLUDES DOOR-TO-DOOR INTERVIEWS IN HIGH RISKCOMMUNITIES; FOCUS GROUPS; AND A COMMUNITY HEALTH OPINION SURVEY THAT ISCONDUCTED THROUGH THE SCHOOL SYSTEM. SECONDARY DATA IS COLLECTED THROUGHDATA FROM THE NC DEPARTMENT OF HEALTH AND HUMAN SERVICES, VITALSTATISTICS, AND SURVEILLANCE REPORTS. OTHER COMMUNITY REPORTS SUCH AS THEUNITED WAY ANNUAL REPORT AND US CENSUS BUREAU COMMUNITY PROFILES AREREVIEWED AS WELL. WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER ("WFUBMC" - SEE SCHEDULE O, PAGE 66) ALSO REGULARLY PULLS MARKET DATA TO IDENTIFYWHAT HEALTH SERVICES ARE BEING USED BY THE PUBLIC AND TO GAUGE THEAVAILABILITY OF THOSE SERVICES WITHIN THE COMMUNITIES THEY LIVE.THE PURPOSE OF DATA COLLECTION IS TO IDENTIFY FACTORS THAT AFFECT THEHEALTH OF FORSYTH COUNTY'S POPULATION AND DETERMINE THE AVAILABILITY OFRESOURCES WITHIN THE COMMUNITY TO ADEQUATELY ADDRESS THESE FACTORS.WFUBMC PARTICIPATES IN A COLLABORATIVE PROCESS WITH OTHER COMMUNITYLEADERS, PUBLIC HEALTH AGENCIES, HOSPITALS, AND PRIVATE PRACTITIONERS TOANSWER THE KEY QUESTIONS OF (1) WHAT HEALTH CONCERNS OR NEEDS DOES THECOMMUNITY HAVE, AND (2) WHAT RESOURCES ARE AVAILABLE AND WHAT DO WE NEEDIN THE COMMUNITY TO ADDRESS THESE CONCERNS. WORKGROUPS WHICH INCLUDEMEMBERS FROM WFUBMC, ALONG WITH A STATISTICIAN FROM THE PUBLIC HEALTHDEPARTMENT, MEET TO DISCUSS THE PRIMARY AND SECONDARY DATA COLLECTED TOSYNTHESIZE TRENDS AND PRIORITIZE THE TOP NEEDS, SUCH AS "REDUCINGINFANT MORTALITY" AND "REDUCING THE INCIDENCE OF COLON CANCER." RATES AREMEASURED AGAINST PEER COUNTY AND STATE RANKINGS. STRATEGIES ARERECOMMENDED AND VOTED UPON BY THE COMMUNITY ASSESSMENT TASK FORCE, WHICHINCLUDES COMMUNITY LEADERS, PUBLIC HEALTH AGENCIES, HOSPITALS, PRIVATEPRACTITIONERS, AND OTHER NON-PROFIT AGENCIES. THE LAST ASSESSMENT WAS IN2009 AND THE LATEST ASSESSMENT OF COMMUNITY NEEDS WAS INITIATED IN OCTOBER2010. WORK IS PLANNED TO BE COMPLETED BY THE SUMMER OF 2012. WFUBMC HASSEVERAL REPRESENTATIVES ON THE TASK FORCE MANAGED BY THE FORSYTH COUNTYHEALTH DEPARTMENT AND SEVERAL EMPLOYEES PARTICIPATE DIRECTLY IN DATA WORKGROUPS AND ARE PART OF REVIEWING THE EXISTING AND COLLECTING NEW COMMUNITYSPECIFIC DATA. WFUBMC EMPLOYEES ARE ALSO ON VARIOUS COMMUNITY HEALTHBOARDS WORKING TO ADDRESS SPECIFIC COMMUNITY HEALTH NEEDS SUCH AS THEINFANT MORTALITY REDUCTION BOARD, FORSYTH FUTURES, AND UNITED WAY; ALL OFWHICH ADDRESS DIFFERENT HEALTH DISPARITIES IN FORSYTH COUNTY | ||
| PART VI, LINE 3: THE ORGANIZATION USES A VARIETY OF MEANS TO EDUCATEAND INFORM PATIENTS OF THEIR CHARITY CARE OPTIONS, INCLUDING INFORMATIONON A WEBSITE, BILLING PAMPHLETS AVAILABLE IN CLINICAL OFFICES AND THEBUSINESS OFFICE, SIGNS IN CHECK-IN AREAS, INFORMATION ON PATIENT BILLSTATEMENTS, AND FROM STAFF MEMBERS DURING CONVERSATIONS CONCERNING APATIENT'S LIABILITY FOR SERVICES.IF A PATIENT QUALIFIES FOR 100% CHARITY CARE PRIOR TO THE ACCOUNT BEINGBILLED TO THE PATIENT, THE ACCOUNT IS CODED AND THE ADJUSTMENT IS TAKENTHE TIME THE BALANCE DROPS TO THE PATIENT AND WOULD NOT PROCEED THROUGHANY FURTHER STATEMENTS OR COLLECTION PROCESS. IF THE PATIENT QUALIFIESFOR PARTIAL CHARITY, THE ADJUSTMENT IS TAKEN AND THE REMAINING BALANCE ISBILLED TO THE PATIENT AND WOULD FOLLOW THE NORMAL COLLECTION PRACTICES ANDPOSSIBLE BAD DEBT PLACEMENT. IF THE PATIENT QUALIFIES FOR 100% CHARITYAFTER BEING BILLED, THE ACCOUNT IS CODED AND THE ADJUSTMENT IS TAKEN ATTHAT TIME AND THE PATIENT WOULD NO LONGER RECEIVE ANY STATEMENTS OR COLLECTIONACTIVITY. IF THE PATIENT QUALIFIES FOR PARTIAL CHARITY, THE ACCOUNT ISADJUSTED ACCORDINGLY AND HE/SHE WOULD STILL BE RESPONSIBLE TO THE REMAININGBALANCE AND CONTINUE TO RECEIVE STATEMENTS OR COLLECTION CALLS AND BESUBJECT FOR BAD DEBT PLACEMENT. | ||
| PART VI, LINE 4: WAKE FOREST BAPTIST MEDICAL CENTER IS THE ONLY ACADEMIC MEDICAL CENTER SERVING A 24-COUNTY REGION IN NORTHWEST NORTH CAROLINA AND SOUTHWEST VIRGINIA. IT IS ONE OF TWO MAJOR MEDICAL CENTERS OPERATING IN FORSYTH COUNTY. THE POPULATION OF OUR 24-COUNTY REGION FOR 2011 WAS 2,522,841. ACCORDING TO STATISTICS FROM THE NORTH CAROLINA DEPARTMENT OF COMMERCE, IN OUR NARROWER, NINE-COUNTY PRIMARY SERVICE AREA, 15.5 PERCENT OF THE POPULATION IS AT OR BELOW THE POVERTY LINE. IN ADDITION, 69.9 PERCENT OF THE PRIMARY SERVICE AREA POPULATION IS WHITE, 20.8 PERCENT IS BLACK AND 9.3 PERCENT IS MADE UP OF OTHER RACES. THE UNEMPLOYMENT LEVEL IN THE PRIMARY SERVICE AREA AS OF THE THIRD QUARTER OF 2011 WAS 10.2 PERCENT. THE MEDIAN HOUSEHOLD INCOME WAS $43,645. THE 2010-11 GROWTH RATE OF THE PRIMARY SERVICE AREA WAS 0.8 PERCENT. | ||
| PART VI, LINE 7: WAKE FOREST BAPTIST MEDICAL CENTER'S MISSION IS TOIMPROVE THE HEALTH OF OUR REGION, STATE AND NATION BY:1) GENERATING AND TRANSLATING KNOWLEDGE TO PREVENT, DIAGNOSE AND TREATDISEASE.2) TRAINING LEADERS IN HEALTH CARE AND BIOMEDICAL SCIENCE.3) SERVING AS THE PREMIER HEALTH SYSTEM IN OUR REGION, WITH SPECIFICCENTERS OF EXCELLENCE RECOGNIZED AS NATIONAL AND INTERNATIONAL CAREDESTINATIONS. THE HOSPITAL OPERATES THE FOLLOWING PROGRAMS CONSTITUTING COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS REPORTED ON PART I,LINE 7E:WS/FC SCHOOLS ALLIED HEALTH PROGRAM $4,911 PHYSICIAN RECRUITMENT FEES 1,500,000COMMUNITY HEALTH/HEALTHCARE ACCESS 11,987 CHURCH COMMUNITY RELATIONS 341,551COMMUNITY HEALTH SALARIES 485,000PHYSICIANS COMMUNITY HEALTH ACCESS 213,773CARENET/PASTORAL COUNSELING 327,495ACCELERATED BSN PROGRAM 639,184COUNTY RENT ON CLEVELAND DENTAL 56,257TOTAL TO PART I, LINE 7E: 3,580,158 | ||
| NC | REPORTS FILED WITH STATES | PART VI, LINE 7 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (11 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| AMERICAN HEART ASSOCIATION | |||||||
| 101 CENTREPORT DRIVE STE 130 | GREENSBORO | NC | 27409 | 135613797 | 501(C)3 | 35000 | SPONSOR HEART AND STROKE BALL |
| ARTS COUNCIL | |||||||
| 305 W FOURTH STREET SUITE 1C | WINSTON SALEM | NC | 27101 | 560526856 | 501(C)3 | 100000 | TO HELP PROVIDE CULTURAL OPPORTUNITIES IN THE COMMUNITY |
| CARINGBRIDGE | |||||||
| 1715 YANKEE DOODLE ROAD SUITE 301 | EAGAN | MN | 55121 | 421529394 | 6000 | SUPPORT FOR PROGRAM DEVELOPMENT | |
| CHILDREN'S MUSEUM OF WINSTON SALEM | |||||||
| 300 SOUTH LIBERTY STREET | WINSTON SALEM | NC | 27101 | 562193634 | 25500 | TO HELP PROVIDE CULTRUAL OPPORTUNITIES IN THE COMMUNITY | |
| CITY OF WINSTON SALEM | |||||||
| GOV'T ENTITY | 120000 | TO SUPPORT FOR NEW FACILITIES NEED IN THE COMMUNITY | |||||
| FOUNDATION FOR NURSING EXCELLENCE | |||||||
| PO BOX 2129 | RALEIGH | NC | 27602 | 300105241 | 15000 | SUPPORT FOR PROGRAM DEVELOPMENT | |
| HOSPICE & PALLIATIVE CARECENTER | |||||||
| 101 HOSPICE LANE | WINSTON SALEM | NC | 27103 | 581343313 | 501(C)3 | 14525 | SUPPORT NEW FACILITY NEEDED IN COMMUNITY |
| KOMEN NC TRIAD | |||||||
| 1106 BURKE STREET | WINSTON SALEM | NC | 27101 | 501(C)3 | 25000 | FUNDRAISING EVENT SPONSORSHIP FOR CANCER RESEARCH | |
| MARCH OF DIMES | |||||||
| 410 BROOKSTOWN AVENUE | WINSTON SALEM | NC | 27101 | 501(C)3 | 6000 | FUNDRAISING EVENT SPONSORSHIP FOR CANCER RESEARCH | |
| RONALD MCDONALD HOUSE | |||||||
| 419 S HAWTHORNE ROAD | WINSTON SALEM | NC | 27103 | 581454715 | 501(C)3 | 45500 | FUNDRAISING EVENT SPONSORSHIP FOR CANCER RESEARCH |
| UNITED WAY OF FORSYTH COUNTY | |||||||
| 301 NORTH MAIN STREET SUITE 1700 | WINSTON SALEM | NC | 27101 | 237357234 | 501(C)3 | 62516 | PROGRAM SUPPORT FOR LOCAL PROGRAMS NEEDED IN THE COMMUNITY |
Form990 Schedule I Part III Form990ScheduleIPartIII (4 entries)
| Type Of GrantTypeOfGrant | Number Of RecipientsNumberOfRecipients | Amount Of Cash GrantAmountOfCashGrant |
|---|---|---|
| WHITEHEAD NURSING | 42 | 38775 |
| WHITEHEAD MED TECH | 4 | 13000 |
| WHITEHEAD NURSE ANESTHESIA | 12 | 25000 |
| WL CARTER SCHOLARSHIP | 20 | 37093 |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | OTHER INFORMATION: | Identifier |
| Return Reference | PART IV: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: SCHOLARSHIPS ARE MONITORED TO ASSURE THE TERMS OF THE PROGRAM ARE MET. AN ANNUAL REPORT IS SENT TO THE ORGANIZATION STARTING THE USE OF THE FUNDS AND THE IDENTIFICATION OF BENEFICIARIES TO ASSURE COMPLIANCE WITH SCHOLARSHIP PROVISIONS. LETITE PATE WHITEHEAD DETAILS THE LETTIE PATE WHITEHEAD FOUNDATION PROVIDES SCHOLARSHIPS TO TAX-EXEMPT, NON-PROFIT HOSPITALS OR INSTITUTIONS FOR THE CARE OF INDIGENT CHRISTIAN WOMEN IN SPECIFIED STATES INCLUDING NORTH CAROLINA. THE FINANCIAL NEED IS ESTABLISHED BY THE COLLEGES THAT THE STUDENTS ATTEND. NAMES OF STUDENTS ARE PROVIDED TO OUR STAFF DEVELOPMENT DEPARTMENT. THE WHITEHEAD FUNDS ARE REVIEWED AND ADMINISTERED BY A FUND CUSTODIAN. W.L. CARTER REQUIREMENTS TO RECEIVE THIS SCHOLARSHIP, AN EMPLOYEE MUST BE ACCEPTED INTO AN APPROVED NURSING PROGRAM AND RECOMMENDED BY HIS/HER MANAGER WITH SATISFACTORY PERFORMANCE EVALUATION AND ATTENDANCE. IN EXCHANGE FOR THE SCHOLARSHIP, THE EMPLOYEE AGREES TO MAKE ADEQUATE ACADEMIC PROGRESS TO COMPLETE HIS/HER DEGREE. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Housing Allowance Or Residence | X | HousingAllowanceOrResidence |
| Club Dues Or Fees | X | ClubDuesOrFees |
| Personal Services | X | PersonalServices |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | 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 (28 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JERRY N BROOKS | |||||||||||||
| 0 | 0 | 0 | 0 | 496703 | 0 | 0 | 0 | 0 | 0 | 496703 | 0 | 0 | 0 |
| JOHN D MCCONNELL MD | |||||||||||||
| 878909 | 0 | 500000 | 0 | 496703 | 0 | 606145 | 0 | 18052 | 0 | 2499809 | 0 | 0 | 0 |
| H GREG BRAY | |||||||||||||
| 196539 | 0 | 33532 | 0 | 4728 | 0 | 24430 | 0 | 16090 | 0 | 275319 | 0 | 0 | 0 |
| J MCLAIN WALLACE JR | |||||||||||||
| 252151 | 0 | 107878 | 0 | 18215 | 0 | 24458 | 0 | 15891 | 0 | 418593 | 0 | 0 | 0 |
| KAREN H HUEY | |||||||||||||
| 185780 | 0 | 40206 | 0 | 3445 | 0 | 43498 | 0 | 16115 | 0 | 289044 | 0 | 0 | 0 |
| KAREN Q TURNER | |||||||||||||
| 225760 | 0 | 41272 | 0 | 9483 | 0 | 36231 | 0 | 15536 | 0 | 328282 | 0 | 0 | 0 |
| STEVE C SNELGROVE | |||||||||||||
| 249147 | 0 | 69521 | 0 | 38509 | 0 | 83334 | 0 | 15089 | 0 | 455600 | 0 | 0 | 0 |
| RONALD H SMALL | |||||||||||||
| 224601 | 0 | 88558 | 0 | 239354 | 0 | 47428 | 0 | 10360 | 0 | 610301 | 0 | 0 | 0 |
| MAUREEN E SINTICH | |||||||||||||
| 262421 | 0 | 60142 | 0 | 17066 | 0 | 40203 | 0 | 15483 | 0 | 395315 | 0 | 0 | 0 |
| ROBERT S PARKER SR | |||||||||||||
| 202020 | 0 | 53529 | 0 | 97506 | 0 | 93471 | 0 | 10174 | 0 | 456700 | 0 | 0 | 0 |
| DONNY C LAMBETH | |||||||||||||
| 537997 | 0 | 186261 | 0 | 24834 | 0 | 388496 | 0 | 19819 | 0 | 1157407 | 0 | 0 | 0 |
| SHARON ENGEBRETSON | |||||||||||||
| 105226 | 0 | 30656 | 0 | 3234 | 0 | 44302 | 0 | 34004 | 0 | 217422 | 0 | 0 | 0 |
| JOANNE C RUHLAND | |||||||||||||
| 152682 | 0 | 40500 | 0 | 17760 | 0 | 17507 | 0 | 18049 | 0 | 246498 | 0 | 0 | 0 |
| NORMAN D POTTER JR | |||||||||||||
| 192124 | 0 | 27500 | 0 | 2634 | 0 | 16752 | 0 | 21019 | 0 | 260029 | 0 | 0 | 0 |
| CHERYL EH LOCKE | |||||||||||||
| 340146 | 0 | 83700 | 0 | 286690 | 0 | 18848 | 0 | 15268 | 0 | 744652 | 0 | 0 | 0 |
| EDWARD G CHADWICK | |||||||||||||
| 503663 | 0 | 200000 | 0 | 27142 | 0 | 219578 | 0 | 24204 | 0 | 974587 | 0 | 0 | 0 |
| THOMAS E SIBERT MD | |||||||||||||
| 545517 | 0 | 166027 | 0 | 28934 | 0 | 231282 | 0 | 23373 | 0 | 995133 | 0 | 0 | 0 |
| RUSSELL M HOWERTON MD | |||||||||||||
| 136091 | 0 | 427701 | 0 | 16914 | 0 | 26009 | 0 | 25099 | 0 | 631814 | 0 | 0 | 0 |
| DOUGLAS L EDGETON | |||||||||||||
| 484360 | 0 | 111700 | 0 | 17709 | 0 | 18602 | 0 | 22677 | 0 | 655048 | 0 | 0 | 0 |
| LISA M WYATT | |||||||||||||
| 265711 | 0 | 38300 | 0 | 30073 | 0 | 21246 | 0 | 9383 | 0 | 364713 | 0 | 0 | 0 |
| SHEILA M SANDERS | |||||||||||||
| 313768 | 0 | 55100 | 0 | 12687 | 0 | 27014 | 0 | 18216 | 0 | 426785 | 0 | 0 | 0 |
| BETTY PETREE | |||||||||||||
| 209780 | 0 | 37569 | 0 | 21742 | 0 | 47897 | 0 | 7630 | 0 | 324618 | 0 | 0 | 0 |
| MICHAEL RIKER | |||||||||||||
| 208219 | 0 | 0 | 0 | 5894 | 0 | 16319 | 0 | 21967 | 0 | 252399 | 0 | 0 | 0 |
| VANCE MCVAY JR | |||||||||||||
| 211592 | 0 | 0 | 0 | 200 | 0 | 19522 | 0 | 16738 | 0 | 248052 | 0 | 0 | 0 |
| ERIC STIEFEL | |||||||||||||
| 196380 | 0 | 0 | 0 | 198 | 0 | 8706 | 0 | 16666 | 0 | 221950 | 0 | 0 | 0 |
| CHARLES WARE | |||||||||||||
| 170426 | 0 | 27290 | 0 | 4827 | 0 | 66150 | 0 | 12320 | 0 | 281013 | 0 | 0 | 0 |
| A PATRICIA JOHNSON | |||||||||||||
| 0 | 0 | 0 | 0 | 258798 | 0 | 0 | 0 | 3695 | 0 | 262493 | 0 | 0 | 0 |
| G DOUGLAS ATKINSON | |||||||||||||
| 0 | 0 | 0 | 0 | 226026 | 0 | 0 | 0 | 10725 | 0 | 236751 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART I, LINE 1A | PART I, LINE 1A: CERTAIN EXECUTIVES RECEIVE, AS PART OF THEIR APPROVED COMPENSATION PACKAGE,TAX INDEMNIFICATION AND GROSS-UP PAYMENTS, RELOCATION ASSISTANCE INCLUDING A HOUSING ALLOWANCE, AND HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES. | |
| PART III | PART I, LINE 4A: SEVERANCE PAYMENTS: THE FOLLOWING FORMER EMPLOYEES RECEIVED COMPENSATION FROM A SEVERANCE PACKAGE IN 2010. PLEASE SEE PART II, COLUMN C FOR DETAILS: PATRICIA A. JOHNSON G. DOUGLAS ATKINSON SCHEDULE J, PART III DURING THE TAX PERIOD, THE FILING ORGANIZATION, WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER ("WFUBMC") AND WAKE FOREST UNIVERSITY HEALTH SCIENCES ("WFUHS") (AND WAKE FOREST UNIVERSITY ("WFU")) WERE OPERATING UNDER AN AGREEMENT THAT PROVIDED FOR THE OPERATION OF WFUHS AND NCBH BY WFUBMC. WFUBMC, WFUHS, AND THE FILING ORGANIZATION ARE ENTITIES WHICH TOGETHER HAVE COMBINED OPERATING REVENUES FOR THE TAX PERIOD OF $1.9 BILLION. IN GENERAL, EXECUTIVES PERFORMING KEY MANAGEMENT FUNCTIONS WERE SOUGHT AND HIRED AFTER NATIONAL SEARCHES IN A HIGHLY COMPETITIVE ENVIRONMENT, AND ONLY INDIVIDUALS AT THE HIGHEST LEVELS OF ABILITY WERE SOUGHT, GIVEN THE TASK OF INITIATING AND IMPLEMENTING THE NEW MANAGEMENT STRUCTURE DESIGNED TO OPTIMIZE THE EFFECTIVENESS OF BOTH ORGANIZATIONS (NCBH AND WFUHS) IN THEIR TAX-EXEMPT MISSIONS, AS PARTICIPANTS IN A FULLY-INTEGRATED ACADEMIC MEDICAL CENTER. CERTAIN EXECUTIVES OF THE FILING ORGANIZATION (WHO EACH HOLD THE IDENTICAL OFFICES/TITLES IN WFUHS, WFUBMC, AND THE FILING ORGANIZATION) ARE ELIGIBLE TO RECEIVE INCENTIVE COMPENSATION AT THE END OF EACH FISCAL YEAR. THE INCENTIVE STRUCTURE IS BASED UPON GOALS ESTABLISHED BY THE EXECUTIVE COMMITTEE OF THE FILING ORGANIZATION'S BOARD AT THE BEGINNING OF THE YEAR, INCLUDING MEASURES OF CLINICAL QUALITY, PATIENT SATISFACTION, AND FINANCIAL OPERATING PERFORMANCE. THE DETERMINATION OF THE AMOUNT OF INCENTIVE COMPENSATION IS SUBJECT TO THE FILING ORGANIZATION'S COMPENSATION PROCEDURES AS OUTLINED IN PART VI, SECTION B, LINE 15 OF THE 990. SCHEDULE J. PART I. LINE 1A - COMPENSATION BY UNRELATED ORGANIZATIONS: THE FOLLOWING INDIVIDUALS WERE COMPENSATED BY WFUHS FOR SERVICES PERFORMED JOHN D. MCCONNELL NORMAN D. POTTER, JR. EDWARD G. CHADWICK JOANNE C. RUHLAND CHERYL E.H. LOCKE THOMAS E. SIBERT RUSSELL M. HOWERTON DOUGLAS L. EDGETON LISA M. WYATT SHEILA M. SANDERS SCHEDULE J. PART I, LINE 3 - THE EXECUTIVE COMMITTEE OF THE WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER BOARD OF DIRECTORS IS RESPONSIBLE FOR REVIEWING AND APPROVING ALL OFFICER COMPENSATION. THE COMMITTEE UTILIZED INDEPENDENT COMPENSATION CONSULTANTS, COMPENSATION SURVEYS, AND STUDIES TO DETERMINE THE APPROPRIATENESS OF EACH OFFICER'S COMPENSATION. AN EXTERNAL COMPENSATION CONSULTANT EXPERIENCED IN HEALTH CARE AND HIGHER EDUCATION COMPENSATION PRESENTS TOTAL COMPENSATION COMPARABILITY DATA FOR THE POSITIONS FOR WHICH CONPENSATION IS BEING DETERMINED. THE DATA IS REVIEWED BY THE EXECUTIVE COMMITTEE OF WFUBMC'S GOVERNING BOARD AT ITS MEETING; NONE OF THE MEMBERS OF THAT COMMITTEE ARE EMPLOYEES OF THE FILING ORGANIZATION. MINUTES OF THE DELIBERATIONS OF THE COMMITTEE ARE CONTEMPORANEOUSLY RECORDED. IN THE EVENT THAT ANY MEMBER OF THE EXECUTIVE COMMITTEE HAS A CONFLICT OF INTEREST, THAT COMMITTEE MEMBER DOES NOT PARTICIPATE IN THE DELIBERATION OR APPROVAL PROCESS, AND THEIR ABSTENTION FROM THE PROCESS IS REFLECTED IN THE MINUTES. SCHEDULE J. PART I, LINE 4 - CERTAIN EXECUTIVES PARTICIPATE IN OR RECEIVE PAYMENTS FROM SUPPLEMENTAL NON QUALIFIED RETIREMENT PLANS. THE DETERMINATION OF THE AMOUNT OF THE NON QUALIFIED RETIREMENT PLANS FOLLOWED THE FILING ORGANIZATION'S COMPENSATION PROCEDURES AS OUTLINED IN PART VI, SECTION B, LINE 15 OF THE 990. | SUPPLEMENTAL INFORMATION |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTH CAROLINA MEDICAL CARE COMMISSION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 521309402 | IssuerEIN |
| CUSIP Number | 65820HD67 | CUSIPNumber |
| Date Issued | 2010-03-01 | DateIssued |
| Issue Price | 334002408 | IssuePrice |
| Description Of Purpose | CURRENT REFUNDING | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amount Retired | 7705000 | AmountRetired |
| Total Proceeds | 334002408 | TotalProceeds |
| Issuance Costs From Proceeds | 3307037 | IssuanceCostsFromProceeds |
| Other Spent Proceeds | 330695370 | OtherSpentProceeds |
| Year Of Subst Completion | 2010 | YearOfSubstCompletion |
| Current Refunding | 1 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 0 | Form8038TFiled |
| Variable Rate Issue | 0 | VariableRateIssue |
| Hedge Identified In Books And Recds | 1 | HedgeIdentifiedInBooksAndRecds |
Name Of Hedge Provider NameOfHedgeProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DEUTSCHE BANK AG | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of Hedge | 5.000000000000 | TermOfHedge |
| Superintegrated Hedge | 0 | SuperintegratedHedge |
| Hedge Terminated | 0 | HedgeTerminated |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Exception To Rebate | 1 | ExceptionToRebate |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| DAVID E BRANN | |||
| FAMILY MEMBER OF DONNY LAMBETH | 67063 | COMPENSATION | 0 |
| SCOTT O JOHNSON | |||
| FAMILY MEMBER OF A. PATRICIA JOHNSON | 13383 | COMPENSATION | 0 |
| THOMAS P JOHNSON | |||
| FAMILY MEMBER OF A. PATRICIA JOHNSON | 11846 | COMPENSATION | 0 |
| JUDY M SLOCUM | |||
| FAMILY MEMBER OF MAUREEN SINTICH | 45397 | COMPENSATION | 0 |
| HINSON & HALE MEDICAL TECHNOLOGY | |||
| BOARD MEMBER WILLIAM WARDEN SERVED AS A DIRECTOR | 157581 | PURCHASE OF SUPPLIES | 0 |
Schedule M IRS990ScheduleM
Clothing And Household Goods ClothingAndHouseholdGoods
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Noncash Contribs Rptd F990 | 24081 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
Food Inventory FoodInventory
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 600 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
Other Non Cash Contributions Table OtherNonCashContributionsTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Description | OTHER EQUIPMENT | Description |
| Number Of Contributions | 9 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 56893 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 1 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | EDWARD G. CHADWICK, H. GREGORY BRAY, AND STEVEN C. SNELGROVE HAVE A BUSINESS RELATIONSHIP THROUGH THEIR BOARD/LEADERSHIP POSITION IN MEDCOST, LLC, AN UNRELATED ORGANIZATION. | |
| FORM 990, PART VI, SECTION A, LINE 3 | EFFECTIVE JULY 1, 2010, THE GOVERNING BOARDS OF FOUR NORTH CAROLINA NONPROFIT CORPORATIONS (WAKE FOREST UNIVERSITY, NORTH CAROLINA BAPTIST HOSPITAL, WAKE FOREST UNIVERSITY HEALTH SCIENCES, AND WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER) ENTERED INTO AN AGREEMENT (THE MEDICAL CENTER INTEGRATION AGREEMENT OR MCIA) UNDER WHICH THE OPERATION OF EACH OF NORTH CAROLINA BAPTIST HOSPITAL (NCBH) AND WAKE FOREST UNIVERSITY HEALTH SCIENCES (WFUHS) WAS DELEGATED TO WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER (WFUBMC). WFUHS IS A WHOLLY-CONTROLLED SUBSIDIARY ENTITY 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 CONSTITUENT MEMBERS' (OR IN WFUHS') BOARDS, MANDATED CHANGES IN THE GOVERNANCE DOCUMENTS OF EACH ORGANIZATION. | |
| FORM 990, PART VI, SECTION A, LINE 4 | ARTICLES OF INCORPORATION ADDS AS A PURPOSE THAT NCBH WILL CONDUCT ITS OPERATIONS AS A PART OF THE INTEGRATED HEALTH SYSTEM OF WFUBMC. AS REQUIRED BY THE STATE NONPROFIT CORPORATION ACT, INCLUDES PROVISION ON THE DELEGATION TO WFUBMC OF CERTAIN POWERS TO OPERATE NCBH; IT IS ALSO NOTED THAT POWERS NOT SO DELEGATED ARE RETAINED BY THE NCBH BOARD. BYLAWS ARTICLE V, WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER: STATES THAT WFU AND NCBH ARE THE TWO MEMBERS, EQUAL IN ALL RESPECTS, OF WFUBMC, AND EACH ELECT ONE-HALF OF ITS VOTING BOARD MEMBERS. REFERENCES AND CHARACTERIZES THE MCIA, AND STATES THAT ALL OPERATIONS OF NCBH AND OF WFUHS (INCLUDING ALL SUBSIDIARIES OF BOTH) ARE UNDER THE AUTHORITY OF WFUBMC. WFUBMC IS DELEGATED CERTAIN POWERS TO OPERATE NCBH, AND ALL CORPORATE POWERS NOT SO DELEGATED ARE RETAINED BY THE NCBH BOARD. ARTICLE VI OFFICERS: THE CEO REPLACES THE PRESIDENT AS THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION. AS PROVIDED IN THE MCIA, THE CORPORATE OFFICERS OF WFUBMC SERVE AS THE CORPORATE OFFICERS OF NCBH IN ADDITION TO THE CEO, THE PRESIDENT AND THE VICE PRESIDENTS. ARTICLE VII COMMITTEES: THE STANDING COMMITTEES OF THE NCBH BOARD ARE AN EXECUTIVE COMMITTEE (WHOSE MEMBERS ARE THE NCBH BOARD MEMBERS ELECTED TO THE WFUBMC BOARD), AN ARTICLES OF INCORPORATION AND BYLAWS COMMITTEE, AN AUDIT AND COMPLIANCE COMMITTEE, A GOVERNANCE AND NOMINATING COMMITTEE, AN INVESTMENT COMMITTEE AND A FAITH AND HEALTH MINISTRIES COMMITTEE. THE FINANCE AND BUSINESS AFFAIRS COMMITTEE, HEALTH SYSTEM OPERATIONS AND QUALITY COMMITTEE, FACILITIES COMMITTEE, RESEARCH PARK COMMITTEE AND ACADEMIC AFFAIRS COMMITTEE OF THE WFUBMC BOARD ARE ADDITIONAL STANDING COMMITTEES OF THE NCBH BOARD. THE NCBH BOARD HAS THE AUTHORITY TO APPOINT FROM AMONG ITS MEMBERSHIP NON-WFUBMC BOARD MEMBERS TO THE WFUBMC BOARD COMMITTEES. ARTICLE VIII MEDICAL STAFF: THE NCBH BOARD DELEGATES TO THE WFUBMC BOARD THE APPOINTMENTS AND REAPPOINTMENTS TO THE MEDICAL STAFF, ASSIGNMENT OF MEDICAL STAFF PRIVILEGES AND THE RIGHT OF APPROVAL OF THE MEDICAL STAFF BYLAWS, RULES AND REGULATIONS. | |
| 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. | |
| ON AN ANNUAL BASIS (AND AS THEY ARISE), ALL DIRECTORS AND OFFICERS OF THE FILING ORGANIZATION ARE ASKED TO REVIEW THE APPLICABLE CONFLICTS OF INTEREST POLICY AND TO DESCRIBE ANY POTENTIAL CONFLICTS OF INTEREST THEY MAY HAVE. UPON COMPLETION OF THE CONFLICTS OF INTEREST SURVEY, THE APPLICABLE INTERNAL AUDIT AND COMPLIANCE OFFICES REVIEW THE COMPLETED QUESTIONNAIRES ON BEHALF OF THE FILING ORGANIZATION. ANY CONFLICTS IDENTIFIED ARE COMMUNICATED TO THE FILING ORGANIZATION'S CEO AND ARE PRESENTED TO THE APPLICABLE AUDIT AND COMPLIANCE COMMITTEES (ANY POTENTIAL CONFLICT REPORTED BY THE CEO IS COMMUNICATED TO THE FILING ORGANIZATION'S BOARD CHAIR). ALL CONFLICTS OF INTEREST ARE RESOLVED BY MANAGEMENT PLANS DEVELOPED BY SUCH BOARDS' AUDIT AND COMPLIANCE COMMITTEES AND THE APPLICABLE INTERNAL AUDIT AND COMPLIANCE OFFICES. THE AUDIT AND COMPLIANCE COMMITTEES' CHAIRS PRESENT AN ANNUAL REPORT ON CONFLICTS TO THE FULL BOARDS OF THE APPLICABLE ORGANIZATIONS | FORM 990, PART VI, SECTION B, LINE 12C | |
| THE FILING ORGANIZATION'S EXECUTIVE COMMITTEE OF ITS BOARD OF DIRECTORS FUNCTIONS AS THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND PURSUANT TO A DELEGATION BY SUCH OTHER ENTITIES, REVIEWS AND APPROVES THE APPOINTMENT AND COMPENSATION OF THE SENIOR EXECUTIVES OF WFUHS, WFUBMC, AND THE FILING ORGANIZATION. THE EXECUTIVE COMMITTEE RELIES UPON AN EXTERNAL, INDEPENDENT COMPENSATION CONSULTANT EXPERIENCED IN HEALTHCARE TO PROVIDE THE COMMITTEE WITH COMPENSATION COMPARABILITY DATA FOR NEW EXECUTIVE POSITION APPOINTMENTS AND FOR COMPENSATION REVIEWS FOR EXISTING EXECUTIVES. THE CONSULTANT, WHICH IS RETAINED DIRECTLY BY THE EXECUTIVE COMMITTEE, PROVIDES THIRD-PARTY INFORMATION AND EVALUATES THE COMPETITIVENESS AND REASONABLENESS OF EXECUTIVE COMPENSATION AND BENEFITS PROGRAMS IN RELATION TO MARKET PRACTICES FOR SIMILARLY-SITUATED NONPROFIT HEALTHCARE ORGANIZATIONS. THE COMMITTEE MAKES ITS DECISIONS WITH RESPECT TO EXECUTIVE COMPENSATION IN ACCORDANCE WITH THE FILING ORGANIZATION'S (AND WFUHS AND NCBH) POLICIES, IRS REGULATIONS, AND STANDARD CORPORATE GOVERNANCE PRACTICES. SUCH POLICIES INCLUDE ADHERENCE TO: BOARD-ESTABLISHED EXECUTIVE COMPENSATION PHILOSOPHY AND REVIEW PROCESSES; PROCESSES ENSURING EXECUTIVE COMMITTEE MEMBER AND COMPENSATION CONSULTANT INDEPENDENCE; USE OF VALID MARKET COMPARISONS OF DATA FROM PEER ACADEMIC MEDICAL CENTERS OF SIMILAR ORGANIZATIONAL STRUCTURE, SIZE, AND COMPLEXITY; CAREFUL DOCUMENTATION OF ALL COMPENSATION DECISIONS; AND ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS, PER IRS GUIDELINES. MINUTES OF THE DELIBERATIONS OF THE EXECUTIVE COMMITTEE ARE CONTEMPORANEOUSLY MAINTAINED AND THAT COMPARABILITY DATA IS MAINTAINED IN THE MEDICAL CENTER'S OFFICE OF EXECUTIVE COMPENSATION SERVICES. IN THE EVENT THAT A MEMBER OF THE EXECUTIVE COMMITTEE HAS A CONFLICT OF INTEREST RELATED TO EXECUTIVE APPOINTMENT OR COMPENSATION, THAT MEMBER DOES NOT PARTICIPATE IN THE DELIBERATION OR APPROVAL OF APPOINTMENT OR COMPENSATION AND SUCH ABSTENTION IS NOTED IN THE COMMITTEE'S MEETING MINUTES. | FORM 990, PART VI, SECTION 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. | 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 | |
| THE FOLLOWING PERSONS WERE COMPENSATED DIRECTLY BY NORTH CAROLINA BAPTIST HOSPITAL, FILING ORGANIZATION, OR WAKE FOREST UNIVERSITY HEALTH SCIENCES, AS 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. | FORM 990, PART VII, SECTION A | |
| JOHN D. MCCONNELL, M.D. DIRECTOR/CEO, NC BAPTIST HOSPITAL _20.6 HOURS PER WEEK CEO, WFUBMC _5__ HOURS PER WEEK DIRECTOR, CEO, WFUHS __11_ HOURS PER WEEK DIRECTOR, PIEDMONT TRIAD RESEARCH PARK __1__ HOUR PER WEEK DIRECTOR, PTRP DEVELOPMENT CORPORATION __1__ HOUR PER WEEK DIRECTOR, IDEALLIANCE __.2 _ HOURS PER WEEK DIRECTOR, IDEALLIANCE FOUNDATION __.2_ HOURS PER WEEK DIRECTOR/CHAIR, PRESIDENT, DIALYSIS CENTERS (GROUP RETURN) __.5_ HOURS PER WEEK PRESIDENT, DIALYSIS ACCESS GROUP OF WAKE FOREST UNIVERSITY, LLC __.5 _ HOURS PER WEEK H. GREG BRAY ASSISTANT TREASURER/ASSISTANT SECRETARY, FILING ORGANIZATION _38.7 HOURS PER WEEK TRUSTEE, CARENET, INC. __.1 _ HOURS PER WEEK SECRETARY, THE NURSING CENTER AT OAK SUMMIT (1/1 - 6/30) __.1 HOURS PER WEEK SECRETARY, NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION (1/1 - 6/30) _.1 _HOURS PER WEEK TREASURER, HAWTHORNE INN & CONFERENCE CENTER __ 1 _ HOURS PER WEEK SHARON ENGEBRETSON INTERIM VP PASTORAL CARE, FILING ORGANIZATION __36_ HOURS PER WEEK TRUSTEE, CENTER FOR CONGREGATIONAL HEALTH __ 4 _ HOURS PER WEEK DOUGLAS L. EDGETON EXECUTIVE VICE PRESIDENT, FILING ORGANIZATION __1_ HOUR PER WEEK EXECUTIVE VICE PRESIDENT, WFUBMC __5__ HOURS PER WEEK EXECUTIVE VICE PRESIDENT, WFUHS __15_ HOURS PER WEEK DIRECTOR, PRESIDENT, PIEDMONT TRIAD RESEARCH PARK __10_ HOURS PER WEEK DIRECTOR, PRESIDENT, PTRP DEVELOPMENT CORPORATION ___5_ HOURS PER WEEK DIRECTOR, PRESIDENT, IDEALLIANCE __.2 _ HOURS PER WEEK DIRECTOR, PRESIDENT, IDEALLIANCE FOUNDATION __.2_ HOURS PER WEEK TRUSTEE, SECRETARY, TREASURER, THE MEDICAL FOUNDATION OF WFUHS AND NCBH __.1_ HOURS PER WEEK VICE PRESIDENT/TREASURER, DIALYSIS ACCESS GROUP OF WAKE FOREST UNIVERSITY, LLC __1__ HOUR PER WEEK DIRECTOR, VP/TREASURER, DIALYSIS CENTERS (GROUP RETURN) __3.5 HOURS PER WEEK EDWARD G. CHADWICK TREASURER, FILING ORGANIZATION _21 _ HOURS PER WEEK TREASURER, WFUBMC _ 5__ HOURS PER WEEK TREASURER, CFO, WFUHS _14__ HOURS PER WEEK J. MCLAIN WALLACE VP GENERAL COUNSEL/SECRETARY, FILING ORGANIZATION _ 35_ HOURS PER WEEK VP GENERAL COUNSEL/SECRETARY, WFUBMC _ 5__ HOURS PER WEEK RUSSELL M. HOWERTON, M.D. CHIEF MEDICAL OFFICER, WFU BAPTIST HEALTH SYSTEM, FILING ORGANIZATION __20_ HOURS PER WEEK CHIEF MEDICAL OFFICER, WFU BAPTIST HEALTH SYSTEM, WFUBMC __5_ HOURS PER WEEK CHIEF MEDICAL OFFICER, WFU BAPTIST HEALTH SYSTEM, WFUHS __15_ HOURS PER WEEK MEMBER, DAVIE COUNTY EMERGENCY HEALTH CORPORATION __ 1_ HOUR PER WEEK KAREN H. HUEY VP, FACILITIES, FILING ORGANIZATION __26 HOURS PER WEEK VP, FACILITIES, WFUBMC _ 5__ HOURS PER WEEK VP, FACILITIES, WFUHS _9 HOURS PER WEEK DONNY LAMBETH PRESIDENT, FILING ORGANIZATION __36_ HOUR PER WEEK PRESIDENT, WFUBMC COMMUNITY PHYSICIANS __ 1_ HOURS 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 __.1 _ HOURS PER WEEK SECRETARY, THE NURSING CENTER AT OAK SUMMIT (7/1 - 12/31) __.1 HOURS PER WEEK SECRETARY, NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION (7/1 - 12/31)__.1 _HOURS PER WEEK MEMBER, NORTHWEST COMMUNITY CARE NETWORK, INC. __.1 _ HOURS PER WEEK TRUSTEE, CARENET, INC. __.1 _ HOURS PER WEEK CHAIR, DAVIE COUNTY EMERGENCY HEALTH CORPORATION __ 1_ HOUR PER WEEK TRUSTEE, SECRETARY, TREASURER, THE MEDICAL FOUNDATION OF WFUHS AND NCBH __.1_ HOURS PER WEEK CHERYL E. H. LOCKE VP, CHIEF HUMAN RESOURCES OFFICER, FILING ORGANIZATION __26 HOURS PER WEEK VP, CHIEF HUMAN RESOURCES OFFICER, WFUBMC _ 5_ HOURS PER WEEK VP CHIEF HUMAN RESOURCES OFFICER, WFUHS _9 HOURS PER WEEK TRUSTEE, HAWTHORNE INN & CONFERENCE CENTER __.1 _ HOURS PER WEEK NORMAN B. POTTER, JR. VP, DEVELOPMENT AND ALUMNI AFFAIRS, FILING ORGANIZATION __26 HOURS PER WEEK VP, DEVELOPMENT AND ALUMNI AFFAIRS, WFUBMC _5_ HOURS PER WEEK VP, DEVELOPMENT AND ALUMNI AFFAIRS, WFUHS _ 9 HOURS PER WEEK ROBERT S. PARKER, SR. VP SPECIAL OPERATIONS/COMMUNITY, FILING ORGANIZATION _38 HOURS PER WEEK CHAIR, NORTHWEST COMMUNITY CARE NETWORK, INC. __2 _ HOURS PER WEEK JOANNE C. RUHLAND VP, GOVERNMENT AFFAIRS, FILING ORGANIZATION __26 HOURS PER WEEK VP, GOVERNMENT AFFAIRS, WFUBMC _ 5_ HOURS PER WEEK VP, GOVERNMENT AFFAIRS, WFUHS _ 9 HOURS PER WEEK SHEILA M. SANDERS VP, CHIEF INFORMATION OFFICER, FILING ORGANIZATION _26 HOURS PER WEEK VP, CHIEF INFORMATION OFFICER, WFUBMC _5_ HOURS PER WEEK VP, CHIEF INFORMATION OFFICER, WFUHS _9 HOURS PER WEEK THOMAS E. SIBERT, M.D. PRESIDENT AND COO, WFU BAPTIST HEALTH SYSTEM, FILING ORGANIZATION _26 HOURS PER WEEK PRESIDENT AND COO, WFU BAPTIST HEALTH SYSTEM, WFUBMC _5__ HOURS PER WEEK PRESIDENT AND COO, WFU BAPTIST HEALTH SYSTEM, WFUHS _8 HOURS PER WEEK TRUSTEE, WFUBMC COMMUNITY PHYSICIANS _ 1 HOUR PER WEEK MAUREEN E. SINTICH VP OPERATIONS/CNO, FILING ORGANIZATION _34.8 HOURS PER WEEK CHIEF NURSING OFFICER, WFUBMC __5 _ HOURS PER WEEK TRUSTEE, CARENET, INC. __.1 _ HOURS PER WEEK TRUSTEE, HAWTHORNE INN & CONFERENCE CENTER __.1 _ HOURS PER WEEK STEVEN C. SNELGOVE VP OPERATIONS, FILING ORGANIZATION _39 HOURS PER WEEK TRUSTEE, HAWTHORNE INN & CONFERENCE CENTER __.1 _ HOURS PER WEEK MEMBER, DAVIE COUNTY EMERGENCY HEALTH CORPORATION __ 1_ HOUR PER WEEK RONALD H. SMALL VP QUALITY & SERVICES EXCELLENCE, FILING ORGANIZATION _39 HOURS PER WEEK MEMBER, DAVIE COUNTY EMERGENCY HEALTH CORPORATION __ 1_ HOUR PER WEEK KAREN Q. TURNER VP SURGICAL SERVICES _40 HOURS PER WEEK LISA M. WYATT VP, FACILITIES, FILING ORGANIZATION _26 HOURS PER WEEK VP, FACILITIES, WFUBMC _5__ HOURS PER WEEK VP, CHIEF COMMUNICATIONS AND MARKETING OFFICER, WFUHS _9 HOURS PER WEEK ROGER COTHRAN TRUSTEE, FILING ORGANIZATION __6__ HOURS PER WEEK TRUSTEE, WFUBMC __2__ HOURS PER WEEK ERNEST L. EVANS TRUSTEE, FILING ORGANIZATION __2__ HOURS PER WEEK TRUSTEE, WFUBMC __2__ HOURS PER WEEK ARTHUR A. GIBEL TRUSTEE, FILING ORGANIZATION _13__ HOURS PER WEEK TRUSTEE, WFUBMC __2_ HOURS PER WEEK RON D. KESSINGER TRUSTEE, FILING ORGANIZATION __8__ HOURS PER WEEK TRUSTEE, WFUBMC __2__ HOURS PER WEEK STEPHEN L. ROBERTSON TRUSTEE, FILING ORGANIZATION __2__ HOURS PER WEEK TRUSTEE, WFUBMC __2__ HOURS PER WEEK MEMBER, DAVIE COUNTY EMERGENCY HEALTH CORPORATION __ 1_ HOUR PER WEEK WILLIAM C. WARDEN, JR. TRUSTEE, FILING ORGANIZATION __2__ HOURS PER WEEK TRUSTEE, WFUBMC __6__ HOURS PER WEEK SHEREE B. WATSON TRUSTEE, FILING ORGANIZATION __2__ HOURS PER WEEK TRUSTEE, WFUBMC __2__ HOURS PER WEEK MEMBER, THE NURSING CENTER AT OAK SUMMIT __.1 HOURS PER WEEK MEMBER, NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION _.1 _HOURS PER WEEK KATHRYN H. HAMRICK TRUSTEE, FILING ORGANIZATION __2__ HOURS PER WEEK MEMBER, THE NURSING CENTER AT OAK SUMMIT __.1 HOURS PER WEEK MEMBER, NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION _.1 _HOURS PER WEEK WILLIAM N. HARTSELL TRUSTEE, FILING ORGANIZATION __2__ HOURS PER WEEK STEPHEN R. LITTLE TRUSTEE, FILING ORGANIZATION __2__ HOURS PER WEEK GEORGE E. STUBBINS, SR. TRUSTEE, FILING ORGANIZATION __2__ HOURS PER WEEK STANLEY R. AESCHLEMAN, PHD TRUSTEE, FILING ORGANIZATION __2__ HOURS PER WEEK A. WILLIAM BLACKSTOCK, JR., M.D. TRUSTEE, FILING ORGANIZATION __2__ HOURS PER WEEK MEMBER, THE NURSING CENTER AT OAK SUMMIT __.1 HOURS PER WEEK MEMBER, NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION _.1 _HOURS PER WEEK WILLIAM J. IRELAND, JR. M. DIV PHD TRUSTEE, FILING ORGANIZATION __2__ HOURS PER WEEK KENNETH W. LEWIS TRUSTEE, FILING ORGANIZATION __2__ HOURS PER WEEK MEMBER, THE NURSING CENTER AT OAK SUMMIT __.1 HOURS PER WEEK MEMBER, NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION _.1 _HOURS PER WEEK KATY M. BOLES TRUSTEE, FILING ORGANIZATION __2__ HOURS PER WEEK MEMBER, THE NURSING CENTER AT OAK SUMMIT __.1 HOURS PER WEEK MEMBER, NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION _.1 | ||
| RAY N HOWELL, III D. MIN. TRUSTEE, FILING ORGANIZATION __2__ HOURS PER WEEK MEMBER, THE NURSING CENTER AT OAK SUMMIT __.1 HOURS PER WEEK MEMBER, NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION _.1 _HOURS PER WEEK JOHN D. KIMBERLY TRUSTEE, FILING ORGANIZATION __2__ HOURS PER WEEK EDWIN L. WELCH, JR. TRUSTEE, FILING ORGANIZATION __2__ HOURS PER WEEK R. MICHAEL WELLS TRUSTEE, FILING ORGANIZATION __2__ HOURS PER WEEK CHAIR, THE NURSING CENTER AT OAK SUMMIT (1/1 - 6/30) _1 HOUR PER WEEK MEMBER, NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION _.1 _HOURS PER WEEK LINWOOD L. DAVIS TRUSTEE, FILING ORGANIZATION __2__ HOURS PER WEEK BRENDA B. DIGGS TRUSTEE, FILING ORGANIZATION __2__ HOURS PER WEEK PEDRO MARTINEZ TRUSTEE, FILING ORGANIZATION __2__ HOURS PER WEEK MEMBER, THE NURSING CENTER AT OAK SUMMIT __.1 HOURS PER WEEK MEMBER, NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION _.1 _HOURS PER WEEK JERRY N. BROOKS (7/1/ - 12/31) TRUSTEE, FILING ORGANIZATION __2__ HOURS PER WEEK DALE M. BROWN (7/1/ - 12/31) TRUSTEE, FILING ORGANIZATION __2__ HOURS PER WEEK JOSEPH R. OVERBY, JR., MD (7/1/ - 12/31) TRUSTEE, FILING ORGANIZATION __2__ HOURS PER WEEK | ||
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED GAINS ON INVESTMENTS: 72,309,986. DONATED SERVICES AND USE OF FACILITIES: 38,943. CHANGE IN PENSION LIABILITY 77,335,733. NET GAIN FROM DISCONTINUED OPERATIONS 1,064,813. CHANGE IN VALUE OF INTEREST RATE SWAP 226,522. LOSS FROM AFFILIATES -1,629,817. TRANSFERS TO AFFILIATES -1,896,299. NET CHANGE IN RESTRICTED ASSETS 1,920,769. TRANSFER OF AFFILIATE TO INTEGRATED GROUP -3,458,460. OTHER ADJUSTMENTS -2,910,855. TOTAL TO FORM 990, PART XI, LINE 5: 143,001,335. | FORM 990, PART XI, LINE 5: |
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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 | 1 |
| THE REHABILITATION & SKILLED NURSING | ||||||||||
| MEDICAL CENTER BLVD | WINSTON SALEM | NC | 27157 | 561826396 | HEALTHCARE (INACTIVE) | NC | 501(C)(3) | LINE 9 | NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION | 1 |
| THE HAWTHORNE INN & CONFERENCE CENTER INC | ||||||||||
| 420 HIGH STREET | WINSTON SALEM | NC | 27101 | 561793617 | LODGING/CONFERENCE ACCOMODATION | NC | 501(C)(3) | LINE 11A, I | NORTH CAROLINA BAPTIST HOSPITAL | 1 |
| CARENET INC | ||||||||||
| 2000 WEST FIRST STREET SUITE 410 | WINSTON SALEM | NC | 27104 | 561977341 | HEALTHCARE | NC | 501(C)(3) | LINE 11B, II | NORTH CAROLINA BAPTIST HOSPITAL | 1 |
| WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER | ||||||||||
| 3540 CLEMMONS ROAD | CLEMMONS | NC | 27012 | 561903275 | HEALTHCARE | NC | 501(C)(3) | LINE 3 | WAKE FOREST UNIVERSITY HEALTH SCIENCES | 1 |
| CENTER FOR CONGREGATIONAL HEALTH INC | ||||||||||
| MEDICAL CENTER BLVD | WINSTON SALEM | NC | 27157 | 237426944 | HEALTHCARE | NC | 501(C)(3) | LINE 9 | NORTH CAROLINA BAPTIST HOSPITAL | 1 |
| DAVIE COUNTY EMERGENCY HEALTH CORPORATION | ||||||||||
| 223 HOSPITAL STREET | MOCKSVILLE | NC | 27028 | 562276994 | HEALTHCARE | NC | 501(C)(3) | LINE 3 | NORTH CAROLINA BAPTIST HOSPITAL | 1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | 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 | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | 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 | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (16 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION | ||
| A | 210030 | RECEIPT OF INTEREST |
| WFUBMC COMMUNITY PHYSICIANS | ||
| A | 101293 | RECEIPT OF INTEREST |
| NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION | ||
| C | 15000 | GRANT FUNDING |
| WFUBMC COMMUNITY PHYSICIANS | ||
| I | 75610 | RECEIPT OF PAYMENT |
| THE HAWTHORNE INN & CONFERENCE CENTER INC | ||
| J | 227760 | CHECK PAYMENT |
| THE HAWTHORNE INN & CONFERENCE CENTER INC | ||
| O | 30925 | CHECK PAYMENT |
| CARENET INC | ||
| P | 2513900 | ACCRUED EXPENSE |
| CENTER FOR CONGREGATIONAL HEALTH INC | ||
| P | 11706 | ACCRUED EXPENSE |
| DAVIE COUNTY EMERGENCY HEALTH CORP | ||
| P | 666792 | ACCRUED EXPENSE |
| NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION | ||
| P | 477172 | ACCRUED EXPENSE |
| THE HAWTHORNE INN & CONFERENCE CENTER INC | ||
| P | 444076 | ACCRUED EXPENSE |
| WFUBMC COMMUNITY PHYSICIANS | ||
| P | 1613631 | ACCRUED EXPENSE |
| WFUBMC COMMUNITY PHYSICIANS | ||
| Q | 1218304 | WIRE TRANSFER |
| THE HAWTHORNE INN & CONFERENCE CENTER INC | ||
| R | 0 | CASH |
| NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION | ||
| R | 258453 | NOTE PAYMENT |
| WFUBMC COMMUNITY PHYSICIANS | ||
| R | 86720 | NOTE PAYMENT |