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NORTH CAROLINA BAPTIST HOSPITAL: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
NORTH CAROLINA BAPTIST HOSPITAL (EIN 56-0552787)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-12
IRS object ID
201101329349301745
Schema version
2009v1.7
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-05-12T10:38:03-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DIXON HUGHES GOODMAN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1500 Ridgefield CourtAddressLine1
CityAshevilleCity
StateNCState
ZIP Code28806ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN560552787EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NORTH CAROLINA BAPTIST HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNORTNameControl
Phone3367164445Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameDONNY C LAMBETHName
TitlePRESIDENTTitle
Phone3367164445Phone
Date Signed2011-05-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAmy BibbyName
Phone8282542254Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDONNY C LAMBETHNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1MEDICAL CENTER BLVDAddressLine1
CityWINSTON SALEMCity
StateNCState
ZIP Code27157ZIPCode
FieldValueIRS element (for citing)
Gross Receipts994267922GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.WFUBMC.EDUWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1923YearFormation
State Legal DomicileNCStateLegalDomicile
Activity Or Mission DescriptionIMPROVING THE HEALTH OF OUR REGION, STATE, AND NATIONActivityOrMissionDescription
Nbr Voting Members Governing Body25NbrVotingMembersGoverningBody
Nbr Independent Voting Members23NbrIndependentVotingMembers
Total Nbr Employees8803TotalNbrEmployees
Total Nbr Volunteers1615TotalNbrVolunteers
Total Gross UBI3878312TotalGrossUBI
Net Unrelated Business Txbl Income1642271NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2771523ContributionsGrantsPriorYear
Contributions Grants Current Year1313535ContributionsGrantsCurrentYear
Program Service Revenue Prior Year923230986ProgramServiceRevenuePriorYear
Program Service Revenue CY939125091ProgramServiceRevenueCY
Investment Income Prior Year-42193215InvestmentIncomePriorYear
Investment Income Current Year23721260InvestmentIncomeCurrentYear
Other Revenue Prior Year3462211OtherRevenuePriorYear
Other Revenue Current Year3514793OtherRevenueCurrentYear
Total Revenue Prior Year887271505TotalRevenuePriorYear
Total Revenue Current Year967674679TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year113433GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY157954GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year447683864SalariesEtcPriorYear
Salaries Etc Current Year448104945SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year309253TotalFundrsngExpCurrentYear
Other Expense Prior Year469539276OtherExpensePriorYear
Other Expenses Current Year463568592OtherExpensesCurrentYear
Total Expenses Prior Year917336573TotalExpensesPriorYear
Total Expenses Current Year911831491TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-30065068RevenuesLessExpensesPriorYear
Revenues Less Expenses CY55843188RevenuesLessExpensesCY
Total Assets BOY1296161529TotalAssetsBOY
Total Assets EOY1373130564TotalAssetsEOY
Total Liabilities BOY587608407TotalLiabilitiesBOY
Total Liabilities EOY611594543TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY708553122NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY761536021NetAssetsOrFundBalancesEOY
Mission DescriptionWAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER'S MISSION IS TO IMPROVE THE HEALTH OF OUR REGION, STATE AND NATION BY: - GENERATING AND TRANSLATING KNOWLEDGE TO PREVENT, DIAGNOSE AND TREAT DISEASE; - TRAINING LEADERS IN HEALTH CARE AND BIOMEDICAL SCIENCE; - SERVING AS THE PREMIER HEALTH SYSTEM IN OUR REGION, WITH SPECIFIC CENTERS OF EXCELLENCE RECOGNIZED AS NATIONAL AND INTERNATIONAL CARE DESTINATIONS.IN 1975, WAKE FOREST BAPTIST MEDICAL CENTER, A NORTH CAROLINA NONPROFIT CORPORATION, WAS ESTABLISHED FOR THE PURPOSE OF COORDINATING THE ACTIVITIES OF NORTH CAROLINA BAPTIST HOSPITAL AND WAKE FOREST UNIVERSITY HEALTH SCIENCES THROUGH THE FORMULATION OF JOINT GENERAL POLICIES, FUNDRAISING ACTIVITIES, STRATEGIC PLANNING, PROGRAM DEVELOPMENT, MARKETING AND COMMUNITY COMMUNICATIONS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense807173808Expense
Grants157954Grants
Revenue933348820Revenue
DescriptionSEE SCHEDULE O FOR COMPLETE DESCRIPTIONDescription
Total Program Service Expense807173808TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096164NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees8803NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members25NbrVotingGoverningBodyMembers
Number Independent Voting Members23NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs1ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledNCStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DOUG LISCHKE CONTROLLERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3367164445TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (59 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
WILLIAM C WARDEN JR
CHAIRMAN1.00XX000
ARTHUR A GIBEL
VICE CHAIRMAN1.00XX000
JOSEPH R OVERBY JR MD
TRUSTEE1.00X000
STEPHEN L ROBERTSON
TRUSTEE1.00X000
STANLEY R AESCHLEMAN
TRUSTEE1.00X000
A WILLIAM BLACKSTOCK JR MD
TRUSTEE1.00X000
KATY M BOLES
TRUSTEE1.00X000
JERRY N BROOKS
TRUSTEE1.00X000
DALE M BROWN
TRUSTEE1.00X000
REGINALD D CARTER
TRUSTEE1.00X000
ROGER L COTHRAN
TRUSTEE1.00X000
WILLIAM N HARTSELL
TRUSTEE1.00X000
KATHYRN H HAMRICK
TRUSTEE1.00X000
WILLIAM J IRELAND JR MD
TRUSTEE1.00X000
RON D KESSINGER
TRUSTEE1.00X000
KENNETH W LEWIS
TRUSTEE1.00X000
STEPHEN R LITTLE
TRUSTEE1.00X000
PEDRO L MARTINEZ
TRUSTEE1.00X000
GERALD H QUINN
TRUSTEE1.00X000
GEORGE E STUBBINS SR
TRUSTEE1.00X000
SHEREE B WATSON
TRUSTEE1.00X000
R MICHAEL WELLS
TRUSTEE1.00X000
LARRY C CRAWFORD
TRUSTEE1.00X000
LINWOOD L DAVIS
TRUSTEE1.00X000
BRENDA B DIGGS
TRUSTEE1.00X000
ERNEST L EVANS
TRUSTEE1.00X000
H VARNELL MOORE
TRUSTEE1.00X000
JOHN D MCCONNELL MD
TRUSTEE / CEO WFUBMC40.00X12136160468064
RAY N HOWELL III
trUSTEE1.00X000
JOHN D KIMBERLY
TRUSTEE1.00X000
EDWIN L WELCH JR
TRUSTEE1.00X000
DONNY C LAMBETH
PRESIDENT40.00X6914970158024
G DOUGLAS ATKINSON
VP BUSINESS DEVELOPMENT40.00X286289039491
KAREN H HUEY
VP FACILITY PLANNING & CONSTRUCTION40.00X199775028477
A PATRICIA JOHNSON
VP OPERATIONS/ CNO40.00X408149054140
RONALD H SMALL
VP QUALITY & SERVICE EXCELLENCE40.00X3010920114808
STEVEN C SNELGROVE
VP OPERATIONS40.00X304368042665
KAREN Q TURNER
VP SURGICAL SERVICES40.00X6836903299
J MCLAIN WALLACE JR
VP GENERAL COUNSEL / SECRETARY40.00X260936025328
ROBERT S PARKER SR
VP SPECIAL OPS. & COMMUNITY40.00X251289039837
SHARON ENGEBRETSON
INTERIM VP PASTORAL CARE40.00X133413024172
MAUREEN E SINTICH
VP OPERATIONS / CNO40.00X232599029410
H GREGORY BRAY
ASST. TREASURER/ASST. SECRETARY40.00X184694022767
JOANNE C RUHLAND
VP GOVERNMENT RELATIONS40.00X201106029574
NORMAN D POTTER JR
VP DEVELOPMENT & ALUMNI AFFAIRS40.00X233924037850
MICHAEL L FREEMAN
VP STRATEGIC PLANNING40.00X202855031958
CHERYL EH LOCKE
VP HUMAN RESOURCES40.00X528894039780
EDWARD G CHADWICK
EXEC VP FINANCE / CFO40.00690281044001X
VANCE MCVAY JR
CRNA40.00204121026535X
ERIC STIEFEL
CRNA40.00208564019610X
BETTY PETREE
CRNA40.00275548020767X
MICHAEL REIKER
CRNA40.00217404019303X
LINDA TRIMBLE
CRNA40.00201019032248X
LEN B PRESLAR JR
FORMER PRESIDENT40.00420679014572X
GERALD T FINLEY
FORMER VP OPERATIONS/ CNO40.00187119038505X
KERRY A GARRIGAN
FORMER VP HUMAN RESOURCES40.002419800X
PAUL M LORUSSO
FORMER VP INFORMATION SERVICES40.00241894010007X
GINA B RAMSEY
VP FIN.SVCS./CFO/TREASUR/ASST. SEC.40.00218902024624X
WILLIAM G YATES
FORMER VP PASTORAL CARE40.00140560023521X
FieldValueIRS element (for citing)
Total Reportable Comp From Org8708956TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation1463337TotalOtherCompensation
Number Individuals GT100 K317NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources1CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
WAKE FOREST UNIVERSITY HEALTH SCIENCES
MEDICAL CENTER BLVDWINSTON SALEMNC27157PHYSICIAN/OTHER PROFESSIONAL SERVICES64601752
FORSYTH COUNTY
FINANCE DEPARTMENTWINSTON SALEMNC27101PARAMEDIC SERVICES941449
INGRAM & ASSOCIATES
PO BOX 290303NASHVILLETN37229COLLECTION SERVICES793074
KCI USA
TREATMENT SYSTEMS INCRALEIGHNC27617PHYSICIAN/OTHER PROFESSIONAL SERVICES677604
MEDICAL VOICE TECHNOLOGY SERVICES
PO BOX 265EAST BENDNC27018TECHNOLOGY SERVICES618519
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Related Organizations41445RelatedOrganizations
All Other Contributions1272090AllOtherContributions
Noncash Contributions30034NoncashContributions
Total Contributions1313535TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICE REVENU6214009230752209215141981561022
COST RECOV. & OTHER90009983904368119962270474
DIETARY72232056196855619685
MEDICAL/LAB SERVICE62150020397502039750
FieldValueIRS element (for citing)
Total Program Service Revenue939125091TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column27617145TotalRevenueColumn
Exclusion$27,617,145ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real417491Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real109063Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real308428Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column308428TotalRevenueColumn
Exclusion$308,428ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other22588295Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other26484180Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-3895885Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-3895885TotalRevenueColumn
Related Or Exempt Function Income-3895885RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
GIFT SHOP REVENUE4532201294014$1,294,014
PARKING FEES9000991204536$1,204,536
TUITION900099158566$158,566

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column549249TotalRevenueColumn
Unrelated Business Revenue7066UnrelatedBusinessRevenue
Exclusion$542,183ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue3206365TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column967674679TotalRevenueColumn
Related Or Exempt Function Income931357960RelatedOrExemptFunctionIncome
Unrelated Business Revenue3878312UnrelatedBusinessRevenue
Exclusion$31,124,872ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total47275Total
Program Services47275ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total110679Total
Program Services110679ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total7191533Total
Program Services993578ProgramServices
Management And General5888702ManagementAndGeneral
Fundraising309253Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total358467990Total
Program Services316541730ProgramServices
Management And General41926260ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total16695171Total
Program Services12521378ProgramServices
Management And General4173793ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total39845823Total
Program Services29884367ProgramServices
Management And General9961456ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total25904428Total
Program Services19428321ProgramServices
Management And General6476107ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1629841Total
Program Services82387ProgramServices
Management And General1547454ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total68682691Total
Program Services56067867ProgramServices
Management And General12614824ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total3852593Total
Program Services2078555ProgramServices
Management And General1774038ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total263885779Total
Program Services251041149ProgramServices
Management And General12844630ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total9287867Total
Program Services5104420ProgramServices
Management And General4183447ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total219553Total
Program Services133551ProgramServices
Management And General86002ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total461403Total
Program Services283221ProgramServices
Management And General178182ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total10757160Total
Program Services10757160ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total61713459Total
Program Services61351237ProgramServices
Management And General362222ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total7008598Total
Program Services5298945ProgramServices
Management And General1709653ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT EXPENSE3427088934270889
RECRUITMENT/RELOCATION16776091105121572488
MISCELLANEOUS EXPENSE1211507197849172

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total911831491Total
Program Services807173808ProgramServices
Management And General104348430ManagementAndGeneral
Fundraising309253Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY40884345BOY
EOY27825998EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY49335952BOY
EOY58135794EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY144343377BOY
EOY165093603EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY3157093BOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY10383218BOY
EOY11714276EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY111157BOY
EOY1309605EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1181807851LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec756416318LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY424954332BOY
EOY425391533EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY518124349BOY
EOY613361983EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY96479843BOY
EOY61847344EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY8387863BOY
EOY8450428EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1296161529BOY
EOY1373130564EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY100533357BOY
EOY121810500EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY330700000BOY
EOY333993335EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY156375050BOY
EOY155790708EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY587608407BOY
EOY611594543EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY703115677BOY
EOY756152864EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2274927BOY
EOY2146704EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3162518BOY
EOY3236453EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY708553122BOY
EOY761536021EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1296161529BOY
EOY1373130564EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members1MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$193,277DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB193277TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1i:Identifier
Return ReferenceExplanation of Other Lobbying Activities:ReturnReference
ExplanationGovernment 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

FieldValueIRS element (for citing)
Beginning Of Year Balance3788351BeginningOfYearBalance
Contributions68200Contributions
Investment Earnings Or Losses78265InvestmentEarningsOrLosses
Other Expenditures16625OtherExpenditures
End Of Year Balance3918191EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance4470108BeginningOfYearBalance
Contributions117064Contributions
Investment Earnings Or Losses-780842InvestmentEarningsOrLosses
Other Expenditures17979OtherExpenditures
End Of Year Balance3788351EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.03000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.76000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.21000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs1EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis9241574OtherCostOrOtherBasis
Book Value9241574BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis609952295OtherCostOrOtherBasis
Depreciation343857513Depreciation
Book Value266094782BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis7442141OtherCostOrOtherBasis
Depreciation5458593Depreciation
Book Value1983548BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis510245574OtherCostOrOtherBasis
Depreciation407100212Depreciation
Book Value103145362BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis44926267OtherCostOrOtherBasis
Book Value44926267BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings425391533TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
DescriptionINVESTMENTS IN SUBSIDIARIESDescription
Book Value61847344BookValue
Method Of ValuationCMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Program Related61847344TotalOfBookValueProgramRelated

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
UNAMORTIZED BOND ISSUANCE COSTS3257070
OTHER ASSETS5193358
FieldValueIRS element (for citing)
Total Book Value Other Assets8450428TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
OTHER LIABILITIES$45,366,645
PENSION LIABILITY$103,558,505
DEFERRED COMPENSATION$1,475,331
OTHER LONG-TERM LIABILITIES$5,390,227
FieldValueIRS element (for citing)
Total Of Amounts155790708TotalOfAmounts
Total Revenue967674679TotalRevenue
Total Expenses911831491TotalExpenses
Excess Or Deficit For Year55843188ExcessOrDeficitForYear
Net Unrealized GL On Investments42996940NetUnrealizedGLOnInvestments
Donated Services And Facilities13566DonatedServicesAndFacilities
Other-$45,870,795OtherAmount
Total Adjustments-2860289TotalAdjustments
Excess Or Deficit Per FS52982899ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt964869438TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments42996940NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities13566DonatedSrvcAndUseOfFacilities
Other Revenues-45815747OtherRevenues
Revenue Not Rptd F990-2805241RevenueNotRptdF990
Revenue Subtotal967674679RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990967674679TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt911831491TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal911831491ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990911831491TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part V, Line 4:Description of Intended Use of Endowment Funds:THE HOSPITAL'S ENDOWMENT FUNDS ARE USED TO PROVIDE SUPPORT FOR EDUCATION, SCHOLARSHIPS, INDIGENT CARE, AND SUPPORT AS DESIGNATED BY THE INDIVIDUAL DONORS.
Part XI, Line 8 - Other Adjustments:NET CHANGE IN RESTRICTED ASSETS: -54925. LOSS FROM AFFILIATES: -1837922. TRANSFERS TO AFFILIATES: -2682367. CHANGE IN PENSION LIABILITY: -13980400. AMORTIZATION OF CASH FLOW INTEREST RATE SWAP: 9950525. NET LOSS FROM DISCONTINUED OPERATIONS: -28172577. LOSS ON DEBT REFUNDING: -2755730. CHANGE IN VALUE OF INTEREST RATE SWAP: -6337903. OTHER ADJUSTMENTS: 504.
Part XII, Line 2d - Other Adjustments:LOSS FROM AFFILIATES: -1837922. TRANSFERS TO AFFILIATES: -2682367. CHANGE IN PENSION LIABILITY: -13980400. AMORTIZATION OF CASH FLOW INTEREST RATE SWAP: 9950525. NET LOSS FROM DISCONTINUED OPERATIONS: -28172577. LOSS ON DEBT REFUNDING: -2755730. CHANGE IN VALUE OF INTEREST RATE SWAP: -6337903. OTHER ADJUSTMENT: 627.
PART XI, LINE 8: CONSISTS OF AMOUNTS RELATED TO LOSS ON DEBT REFINANCING, CHANGE IN VALUE OF INTEREST RATE SWAP, EQUITY METHOD AFFILIATES, DISCONTINUED OPERATIONS, CHANGE IN PENSION LIABILITY, AMORTIZATION OF INEFFECTIVE INTEREST RATE SWAP, TRANSFERS, TEMPORARY AND PERMANENTLY RESTRICTED NET ASSET CHANGES, ADJUSTMENT DUE TO CHANGE IN PENSION MEASUREMENT DATE, AND LAND AND EQUIPMENT DONATIONS NOT RECOGNIZED AS REVENUE ON THE FORM 990.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage201.000000000000DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense40070889TotalCommunityBenefitExpense
Direct Offsetting Revenue5128780DirectOffsettingRevenue
Net Community Benefit Expense34942109NetCommunityBenefitExpense
Percent Of Total Expense0.03980PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense161792153TotalCommunityBenefitExpense
Direct Offsetting Revenue162131520DirectOffsettingRevenue
Net Community Benefit Expense-339367NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense18996528TotalCommunityBenefitExpense
Direct Offsetting Revenue14668824DirectOffsettingRevenue
Net Community Benefit Expense4327704NetCommunityBenefitExpense
Percent Of Total Expense0.00490PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense220859570TotalCommunityBenefitExpense
Direct Offsetting Revenue181929124DirectOffsettingRevenue
Net Community Benefit Expense38930446NetCommunityBenefitExpense
Percent Of Total Expense0.04470PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense3732779TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense3732779NetCommunityBenefitExpense
Percent Of Total Expense0.00430PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense61315763TotalCommunityBenefitExpense
Direct Offsetting Revenue19433343DirectOffsettingRevenue
Net Community Benefit Expense41882420NetCommunityBenefitExpense
Percent Of Total Expense0.04770PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense4455652TotalCommunityBenefitExpense
Net Community Benefit Expense4455652NetCommunityBenefitExpense
Percent Of Total Expense0.00510PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense1434972TotalCommunityBenefitExpense
Net Community Benefit Expense1434972NetCommunityBenefitExpense
Percent Of Total Expense0.00160PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense622727TotalCommunityBenefitExpense
Net Community Benefit Expense622727NetCommunityBenefitExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense71561893TotalCommunityBenefitExpense
Direct Offsetting Revenue19433343DirectOffsettingRevenue
Net Community Benefit Expense52128550NetCommunityBenefitExpense
Percent Of Total Expense0.05940PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense292421463TotalCommunityBenefitExpense
Direct Offsetting Revenue201362467DirectOffsettingRevenue
Net Community Benefit Expense91058996NetCommunityBenefitExpense
Percent Of Total Expense0.10410PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense95742TotalCommunityBuildingExpense
Net Community Building Expense95742NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense122572TotalCommunityBuildingExpense
Net Community Building Expense122572NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Total Community Building Expense0TotalCommunityBuildingExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense133697TotalCommunityBuildingExpense
Net Community Building Expense133697NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense0TotalCommunityBuildingExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense473321TotalCommunityBuildingExpense
Net Community Building Expense473321NetCommunityBuildingExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense601419TotalCommunityBuildingExpense
Net Community Building Expense601419NetCommunityBuildingExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Total Community Building Expense0TotalCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense1426751TotalCommunityBuildingExpense
Net Community Building Expense1426751NetCommunityBuildingExpense
Percent Of Total Expense0.00160PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$13,654,776BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare295909823AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare312981689CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-17071866MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV (2 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalTeaching HospitalTeachingHospitalEr24 HoursEr24HoursOtherOther
NORTH CAROLINA BAPTIST HOSPITAL
MEDICAL CENTER BLVDWINSTON SALEMNC27157XXXX
NORTH CAROLINA BAPTIST HOSPITAL AMBULANC
MEDICAL CENTER BLVDWINSTON SALEMNC27157AMBULANCE SERVICES

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Income Based CriteriaPart 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.IncomeBasedCriteria
Costing Method UsedPart 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 2009 SCHEDULE H.CostingMethodUsed
Percent Of Total Expense ExplnPart I, Line 7f: THE ORGANIZATION'S BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENTS WAS $34,270,889 FOR THE FISCAL YEAR. THIS AMOUNT HAS BEEN REMOVED FROM THE CALCULATION OF CHARITY CARE FOR PART I, LINE 7.PercentOfTotalExpenseExpln
Bad Debt FootnotePart 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 TIME OF FILING.BadDebtFootnote
Shortfall As Community BenefitPart III, Line 8: FOR THE FISCAL YEAR, THE PORTION OF PAYORS FOR WHICH MEDICARE WAS THE PRIMARY SOURCE OF PAYMENT WAS 32.6%. OF THAT PORTION OF PATIENTS, 30.2% WERE FOUND TO HAVE ALSO QUALIFIED FOR MEDICAID AS A SECONDARY INSURANCE; THEREFORE BASED ON THIS RATIO, APPROXIMATELY 30%, OR $5.1 MILLION OF THE MEDICARE SHORTFALL MAY BE CONSIDERED A COMMUNITY BENEFIT.ShortfallAsCommunityBenefit
Debt Collection PolicyPart III, Line 9b: PATIENT FINANCIAL RESOURCE SERVICES WORKS WITH THE PATIENT FOR ANY PATIENT LIABILITY. OUR MAIN FOCUS IS PRIOR TO SERVICES AND/OR DISCHARGE; HOWEVER, WE DO WORK WITH PATIENTS AFTER SERVICES HAVE BEEN RECEIVED AND BILLED. PATIENT FINANCIAL RESOURCES SERVICES IS REALLY TWO AREAS IN ONE--THE RESOURCE RECOVERY SPECIALIST/RRS (FORMERLY FINANCIAL COUNSELING) AND THE MEDICAID ELIGIBILITY TEAM/MPS. THESE TWO AREAS WORK TOGETHER TO FIND A RESOLUTION TO PATIENT LIABILITY, SELF PAY OR INSURED. THE RRS WORKS TO NOTIFY THE PATIENT OF ANY PATIENT LIABILITY AND ASK FOR PAYMENT FOR THAT LIABILITY. IF THE PATIENT INDICATES THAT HE NEEDS ASSISTANCE, THEN THE RRS WILL COMPLETE A FINANCIAL STATEMENT ON THE PATIENT. WHILE TAKING THAT FINANCIAL STATEMENT THE RRS IS LOOKING FOR INFORMATION THAT COULD QUALIFY THE PATIENT FOR MEDICAID OR FOR OTHER AGENCY PROGRAMS THAT ARE AVAILABLE TO THE MEDICAL CENTER. WHEN THAT INFORMATION IS IDENTIFIED THE RRS WILL LET THE PATIENT KNOW THAT A REFERRAL WILL BE MADE FOR MEDICAID OR OTHER ASSISTANCE AND A MPS WILL BE IN TOUCH WITH HIM. THE RRS ALSO EXPLAINS TO THE PATIENT OR FAMILY THAT CHARITY CARE IS A LAST RESORT AND THEY MUST COOPERATE WITH ANY OTHER ASSISTANCE PROGRAMS THAT WE HAVE IDENTIFIED AND BE FOUND INELIGIBLE BEFORE CHARITY CARE WILL BE APPROVED/APPLIED. IT IS ALSO COMMUNICATED WITH THE PATIENT OR FAMILY IF ANY SUPPORTING DOCUMENTATION IS NEEDED FOR ANY ASSISTANCE, WHETHER THAT BE CHARITY, MEDICAID, OR OTHER PROGRAMS.DebtCollectionPolicy
Needs AssessmentPart VI, Line 2: DATA IS COLLECTED THROUGH PRIMARY AND SECONDARY COLLECTION PROCESSES. POPULATION, PREGNANCY, BIRTH AND MORTALITY, AND MORBIDITY DATA IS REVIEWED TO ASSESS THE POPULATION'S HEALTH. PRIMARY DATA COLLECTION INCLUDES DOOR-TO-DOOR INTERVIEWS WITH HIGH RISK COMMUNITIES, FOCUS GROUPS, AND A COMMUNITY HEALTH OPINION SURVEY THAT IS CONDUCTED THROUGH THE SCHOOL SYSTEM. SECONDARY DATA IS COLLECTED THROUGH DATA FROM THE NC DEPARTMENT OF HEALTH AND HUMAN SERVICES, VITAL STATISTICS, AND SURVEILLANCE REPORTS. OTHER COMMUNITY REPORTS SUCH AS THE UNITED WAY ANNUAL REPORT AND US CENSUS BUREAU COMMUNITY PROFILES ARE REVIEWED AS WELL. WFUBMC ALSO REGULARLY PULLS MARKET DATA TO IDENTIFY WHAT HEALTH SERVICES ARE BEING USED BY THE PUBLIC AND TO GAUGE THE AVAILABILITY OF THOSE SERVICES WITHIN THE COMMUNITIES THEY LIVE. THE PURPOSE OF DATA COLLECTION IS TO IDENTIFY FACTORS THAT AFFECT THE HEALTH OF FORSYTH COUNTY'S POPULATION AND DETERMINE THE AVAILABILITY OF RESOURCES WITHIN THE COMMUNITY TO ADEQUATELY ADDRESS THESE FACTORS. WFUBMC PARTICIPATES IN A COLLABORATIVE PROCESS WITH OTHER COMMUNITY LEADERS, PUBLIC HEALTH AGENCIES, HOSPITALS, AND PRIVATE PRACTITIONERS TO ANSWER THE KEY QUESTIONS OF (1) WHAT HEALTH CONCERNS OR NEEDS DOES THE COMMUNITY HAVE, AND (2) WHAT RESOURCES ARE AVAILABLE AND WHAT DO WE NEED IN THE COMMUNITY TO ADDRESS THESE CONCERNS. WORKGROUPS WHICH INCLUDE MEMBERS FROM WFUBMC, ALONG WITH A STATISTICIAN FROM THE PUBLIC HEALTH DEPARTMENT MEET TO DISCUSS THE PRIMARY AND SECONDARY DATA COLLECTED TO SYNTHESIZE TRENDS AND RANK PRIORITIZE THE TOP NEEDS SUCH AS "REDUCING INFANT MORTALITY" AND "REDUCING THE INCIDENCE OF COLON CANCER." RATES ARE MEASURED AGAINST PEER COUNTY AND STATE RANKINGS. STRATEGIES ARE RECOMMENDED AND VOTED UPON BY THE COMMUNITY ASSESSMENT TASK FORCE, WHICH INCLUDES COMMUNITY LEADERS, PUBLIC HEALTH AGENCIES, HOSPITALS, PRIVATE PRACTITIONERS, AND OTHER NON-PROFIT AGENCIES. THE LAST ASSESSMENT WAS IN 2009 AND THE LATEST ASSESSMENT OF COMMUNITY NEEDS WAS INITIATED IN OCTOBER 2010. WORK IS PLANNED TO BE COMPLETED BY SEPTEMBER 2011. WFUBMC HAS SEVERAL REPRESENTATIVES ON THE TASK FORCE MANAGED BY THE FORSYTH COUNTY HEALTH DEPARTMENT AND SEVERAL EMPLOYEES PARTICIPATE DIRECTLY IN DATA WORK GROUPS AND ARE PART OF REVIEWING THE EXISTING AND COLLECTING NEW COMMUNITY SPECIFIC DATA. WFUBMC EMPLOYEES ARE ALSO ON VARIOUS COMMUNITY HEALTH BOARDS WORKING TO ADDRESS SPECIFIC COMMUNITY HEALTH NEEDS SUCH AS THE INFANT MORTALITY REDUCTION BOARD, FORSYTH FUTURES, AND UNITED WAY, ALL OF WHICH ADDRESS DIFFERENT HEALTH DISPARITIES IN FORSYTH COUNTY.NeedsAssessment
Patient Education AssistancePart VI, Line 3: THE ORGANIZATION USES A VARIETY OF MEANS TO EDUCATE AND INFORM PATIENTS OF THEIR CHARITY CARE OPTIONS, INCLUDING INFORMATION ON A WEBSITE, BILLING PAMPHLETS AVAILABLE IN CLINICAL OFFICES AND THE BUSINESS OFFICE, SIGNS IN CHECK-IN AREAS, INFORMATION ON PATIENT BILL STATEMENTS, AND FROM STAFF MEMBERS DURING CONVERSATIONS CONCERNING A PATIENT'S LIABILITY FOR SERVICES.IF A PATIENT QUALIFIES FOR 100% CHARITY CARE PRIOR TO THE ACCOUNT BEING BILLED TO THE PATIENT, THE ACCOUNT IS CODED AND THE ADJUSTMENT IS TAKEN THE TIME THE BALANCE DROPS TO THE PATIENT AND WOULD NOT PROCEED THROUGH ANY FURTHER STATEMENTS OR COLLECTION PROCESS. IF THE PATIENT QUALIFIES FOR PARTIAL CHARITY, THE ADJUSTMENT IS TAKEN AND THE REMAINING BALANCE IS BILLED TO THE PATIENT AND WOULD FOLLOW THE NORMAL COLLECTION PRACTICES AND POSSIBLE BAD DEBT PLACEMENT. IF THE PATIENT QUALIFIES FOR 100% CHARITY AFTER BEING BILLED, THE ACCOUNT IS CODED AND THE ADJUSTMENT IS TAKEN AT THAT TIME AND WOULD NO LONGER RECEIVE ANY STATEMENTS OR COLLECTION ACTIVITY. IF THE PATIENT QUALIFIES FOR PARTIAL CHARITY, THE ACCOUNT IS ADJUSTED ACCORDINGLY AND HE WOULD STILL BE RESPONSIBLE FOR THE REMAINING BALANCE AND CONTINUE TO RECEIVE STATEMENTS OR COLLECTION CALLS AND BE SUBJECT FOR BAD DEBT PLACEMENT.PatientEducationAssistance
Community InformationPart VI, Line 4: NORTH CAROLINA BAPTIST HOSPITAL IS PART OF WAKE FOREST UNIVERSITY MEDICAL CENTER AND IS NORTH CAROLINA'S SOLE ACADEMIC MEDICAL CENTER SERVING A 26-COUNTY REGION IN NORTHWESTERN NORTH CAROLINA AND SOUTHWESTERN VIRGINIA. NORTH CAROLINA BAPTIST HOSPITAL IS ONE OF TWO MEDICAL CENTERS OPERATING WITHIN FORSYTH COUNTY. THE POPULATION OF OUR PRIMARY SERVICE AREA IS 2,491,984 ACCORDING TO THOMPSON-REUTERS HEALTHCARE MARKET PLANNER. 10.8% OF THE POPULATION IS AT OR BELOW THE POVERTY LINE. 78.8% OF THE POPULATION IS WHITE, 17.8% IS BLACK, AND 3.4% IS MADE UP OF OTHER RACES. THE UNEMPLOYMENT LEVEL AS OF SEPTEMBER 2010 WAS 9.9%. THE MEDIAN INCOME IS $40,632. THE GROWTH RATE OF THE COMMUNITY IS 1%.CommunityInformation
Community Building ActivitiesPart VI, Line 5: 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 LEADERSHIP WINSTON-SALEM PROGRAM. WE FURTHER HELP OUR COMMUNITY BY SUPPORTING OUR LOCAL GOODWILL ENDEAVORS.CommunityBuildingActivities
Other InformationPart VI, Line 6: NORTH CAROLINA BAPTIST HOSPITAL'S MISSION IS TO IMPROVE THE HEALTH OF OUR REGION, STATE AND NATION BY:1) GENERATING AND TRANSLATING KNOWLEDGE TO PREVENT, DIAGNOSE AND TREAT DISEASE.2) TRAINING LEADERS IN HEALTH CARE AND BIOMEDICAL SCIENCE.3) SERVING AS THE PREMIER HEALTH SYSTEM IN OUR REGION, WITH SPECIFIC CENTERS OF EXCELLENCE RECOGNIZED AS NATIONAL AND INTERNATIONAL CARE DESTINATIONS.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 $ 5,000PHYSICIAN RECRUITMENT FEES 1,500,000COMMUNITY HEALTH/HEALTHCARE ACCESS 15,655CHURCH COMMUNITY RELATIONS 357,785COMMUNITY HEALTH SALARIES 633,900PHYSICIANS COMMUNITY HEALTH ACCESS 201,331CARENET/PASTORAL COUNSELING 251,733ACCELLERATED BSN PROGRAM 696,816COUNTY RENT ON CLEVELAND DENTAL 70,559TOTAL TO PART I, LINE 7E: 3,732,779OtherInformation
Affiliated Health Care SystemPart VI, Line 7: NORTH CAROLINA BAPTIST HOSPITAL IS PART OF WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER, WHICH IS NORTHWESTERN NORTH CAROLINA'S SOLE ACADEMIC MEDICAL CENTER, BRINGING TO THE REGION THE RESOURCES OF ONE OF AMERICA'S TOP 50 RANKED HOSPITALS AND A PREMIER MEDICAL SCHOOL. WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER IS A CORPORATION ONE-HALF CONTROLLED BY WAKE FOREST UNIVERSITY AND ONE-HALF CONTROLLED BY NORTH CAROLINA BAPTIST HOSPITAL. THE MEDICAL CENTER OPERATES A HOSPITAL SYSTEM WITH 1,004 LICENSED ACUTE CARE AND REHABILITATION BEDS ACROSS THE SYSTEM, WHICH ENCOMPASSES NORTH CAROLINA BAPTIST HOSPITAL (885 BEDS), BRENNER CHILDREN'S HOSPITAL (160 BEDS, INCLUDED IN NCBH TOTAL); LEXINGTON MEMORIAL HOSPITAL (94 BEDS, AND ITS RELATED PHYSICIAN PRACTICE OF 32 LEXMED DOCTORS); AND DAVIE COUNTY HOSPITAL (25 BEDS). WAKE FOREST BAPTIST SERVES A PRIMARY 24-COUNTY REGION IN NORTHWESTERN NORTH CAROLINA AND SOUTHWESTERN VIRGINIA AND DRAWS PATIENTS FROM ACROSS THE STATE AND NATION FOR SELECT SERVICES.AffiliatedHealthCareSystem
Reports Filed With StatesNCReportsFiledWithStates

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
CRISIS CONTROL MINISTRY INC
200 E TENTH STREETWINSTON SALEMNC27101237348168501(C)(3)35000ANNUAL SUPPORT DONATION
CDC FOUNDATION
55 PARK PLACE NE SUITE 400ATLANTAGA30303582106707501(C)(3)5000SPONSORSHIP CONTRIBUTION
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (4 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrant
WHITEHEAD NURSING SCHOLARSHIP4039500
WHITEHEAD MEDICAL TECH SCHOLARSHIP413000
WHITEHEAD NURSE ANESTHESIA725000
WL CARTER SCHOLARSHIP1833179

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule 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 STARING THE USE OF THE FUNDSAND 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

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Club Dues Or FeesXClubDuesOrFees
Personal ServicesXPersonalServices
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (27 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JOHN D MCCONNELL MD
83128802666670115661044158902647501681680000
DONNY C LAMBETH
60449507003001697201364590215650849521000
G DOUGLAS ATKINSON
002072702655620287280107630325780000
KAREN H HUEY
175202021096034770120330164440228252000
A PATRICIA JOHNSON
005200003561490416680124720462289000
RONALD H SMALL
2714240240630560501006900141180415900000
STEVEN C SNELGROVE
2562080278460203140238130188520347033000
J MCLAIN WALLACE JR
22839702421408325091750161530286264000
ROBERT S PARKER SR
223318021956060150280950117420291126000
SHARON ENGEBRETSON
8577305677041963014880092920157585000
MAUREEN E SINTICH
206801018864069340162910131190262009000
H GREGORY BRAY
1710660948104147080840146830207461000
JOANNE C RUHLAND
15733204300007740106960188780230680000
NORMAN D POTTER JR
183764047900022600119170259330271774000
MICHAEL L FREEMAN
17858102386004140120920198660234813000
CHERYL EH LOCKE
33630907070001218850150520247280568674000
EDWARD G CHADWICK
29421803500000460630164760275250734282000
VANCE MCVAY JR
20412100000131870133480230656000
ERIC STIEFEL
2085640000064820131280228174000
BETTY PETREE
2755480000011959088080296315000
MICHAEL REIKER
2112760006128049440143590236707000
LINDA TRIMBLE
20101900000218670103810233267000
LEN B PRESLAR JR
0000420679000145720435251000
GERALD T FINLEY
16446602011702536029014094910225624000
PAUL M LORUSSO
0000241894000100070251901000
GINA B RAMSEY
182964031093048450133790112450243526000
WILLIAM G YATES
78633015968045959016781067400164081000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 1aCERTAIN EXECUTIVES WITHIN NCBH 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. IN ADDITION, IF APPROVED BY A SUPERIOR AND RELATED DIRECTLY TO THE CONDUCT OF NCBH BUSINESS, CERTAIN EXECUTIVES UTILIZED SPOUSAL TRAVEL.
Part I, Line 4aSEVERANCE PAYMENTS: THE FOLLOWING FORMER EMPLOYEES RECEIVED COMPENSATION FROM A SEVERANCE PACKAGE IN 2009. PLEASE SEE PART II, COLUMN C FOR DETAILS: LEN B. PRESLAR PATRICIA A. JOHNSON GEORGE D. ATKINSON PAUL LORUSSO DURING THE TAX PERIOD, THE FILING ORGANIZATION AND ITS AFFILIATE, WAKE FOREST UNIVERSITY HEALTH SCIENCES ("WFUHS") WERE OPERATING UNDER AN AGREEMENT THAT PROVIDED FOR A SINGLE EXECUTIVE GROUP TO PROVIDE FOR THE MANAGEMENT OF BOTH THE FILING ORGANIZATION AND WFUHS, WHICH ENTITIES TOGETHER HAVE COMBINED OPERATING REVENUES FOR THE TAX PERIOD OF $1.814 BILLION. THESE INDIVIDUALS WERE SOUGHT AND HIRED AFTER NATIONAL SEARCHES IN A HIGHLY COMPETITIVE ENVIRONMENT, AND THE MEDICAL CENTER SOUGHT ONLY INDIVIDUALS AT THE HIGHEST LEVELS OF ABILITY, GIVEN THEIR TASK OF INITIATING THE NEW MANAGEMENT STRUCTURE DESIGNED TO OPTIMIZE THE EFFECTIVENESS OF BOTH ORGANIZATIONS IN THEIR TAX-EXEMPT MISSIONS. TWO EXECUTIVES (JOHN D. MCCONNELL, M.D., MEDICAL CENTER CEO; AND EDWARD G. CHADWICK, MEDICAL CENTER CFO), RECEIVED ONE-TIME RECRUITMENT BONUSES THAT INCLUDED RELOCATION INCENTIVES. ADDITIONALLY, DR. MCCONNELL RECEIVED A DEFERRED COMPENSATION ARRANGEMENT THAT REPLACED SIMILAR NON-VESTED BENEFITS FORFEITED FROM HIS PREVIOUS EMPLOYER. THE BONUSES WERE PAID BY ITS AFFILIATE, WFUHS, AND THE DETERMINATION OF THE AMOUNT OF THE BONUSES FOLLOWED THE FILING ORGANIZATION'S COMPENSATION PROCEDURES AS OUTLINED IN PART VI, SECTION B, LINE 15 OF THE FORM 990. THE COMPENSATION FOR EXECUTIVES JOHN D. MCCONNELL, M.D., MEDICAL CENTER CEO, AND EDWARD G. CHADWICK, MEDICAL CENTER CFO, IS PAID TO THEM BY AN AFFILIATE ORGANIZATION, WFUHS, BUT 50% OF THAT COMPENSATION IS REIMBURSED BY THE FILING ORGANIZATION.
Part IIICOMPENSATION BY UNRELATED ORGANIZATIONS: THE FOLLOWING INDIVIDUALS WERE COMPENSATED BY WFUHS, AN AFFILIATE, FOR SERVICES PERFORMED FOR NORTH CAROLINA BAPTIST HOSPITAL. JOHN D. MCCONNELL NORMAN D. POTTER, JR. EDWARD G. CHADWICK JOANNE C. RUHLAND MICHAEL L. FREEMAN CHERYL E.H. LOCKE PART I, LINE 3: THE NCBH COMPENSATION COMMITTEE OF THE 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 COMPENSATION IS BEING DETERMINED. THE DATA IS REVIEWED BY THE COMPENSATION COMMITTEE OF THE ORGANIZATION'S GOVERNING BOARD AT ITS MEETING; NONE OF THE MEMBER OF THAT COMMITTEE ARE EMPLOYEES OF THE ORGANIZATION. MINUTES OF THE DELIBERATIONS OF THE COMMITTEE ARE CONTEMPORANEOUSLY RECORDED. IN THE EVENT THAT ANY MEMBER OF THE COMPENSATION 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. THE COMPENSATION COMMITTEE'S RECOMMENDATIONS ON COMPENSATION ARE MADE TO THE FULL GOVERNING BOARD (OR ITS EXECUTIVE COMMITTEE, WHEN NECESSARY) AT ITS MEETING, WHERE FURTHER DISCUSSION AND THE FINAL APPROVAL TAKES PLACE. MINUTES OF THE FINAL APPROVAL ACTIONS ARE ALSO CONTEMPORANEOUSLY RECORDED.Supplemental Information

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1NORTH CAROLINA MEDICAL CARE COMMISSIONBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN521309402IssuerEIN
CUSIP Number65820HD67CUSIPNumber
Date Issued2010-03-01DateIssued
Issue Price334002408IssuePrice
Description Of PurposeCURRENT REFUNDINGDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds334002408TotalProceeds
Amount Unspent34000AmountUnspent
Issuance Costs From Proceeds3307037IssuanceCostsFromProceeds
Year Of Subst Completion2010YearOfSubstCompletion
Current Refunding1CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds1HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line1LOOP FINANCIALBusinessNameLine1
Business Name Line2PRODUCTS I LLCBusinessNameLine2
FieldValueIRS element (for citing)
Term Of Hedge5.000000000000TermOfHedge
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate1ExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (7 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
ANN FLYNN
FAMILY MEMBER OF DOUGLAS ATKINSON, OFFICER37404COMPENSATION AS EMPLOYEE OF HOSPITAL0
DAVID BRANN
FAMILY MEMBER OF DONNY LAMBETH, OFFICER70158COMPENSATION AS EMPLOYEE OF HOSPITAL0
THOMAS P JOHNSON
FAMILY MEMBER OF A. PATRICIA JOHNSON, OFFICER11779COMPENSATION AS EMPLOYEE OF HOSPITAL0
SCOTT JOHNSON
FAMILY MEMBER OF A. PATRICIA JOHNSON, OFFICER21372COMPENSATION AS EMPLOYEE OF HOSPITAL0
JUDY SLOCUM
FAMILY MEMBER OF MAUREEN SINTICH, OFFICER45004COMPENSATION AS EMPLOYEE OF HOSPITAL0
ROBIN LEWIS
FAMILY MEMBER OF KENNETH LEWIS, BOARD MEMBER63833COMPENSATION AS EMPLOYEE OF HOSPITAL0
MEDCOST LLC
OFFICERS OF ORGANIZATION SERVE AS OFFICERS OF MEDCOST, LLC2733991FEES PAID BY NCBH FOR VARIOUS INVESTMENT AND PENSION PLAN ADMINISTRATION0

Schedule M IRS990ScheduleM

Books And Publications BooksAndPublications

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F9901921NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F99019983NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionEQUIPMENTDescription
Number Of Contributions5NumberOfContributions
Noncash Contribs Rptd F9908130NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section A, line 2Edward G. Chadwick, H. Gregory Bray, and Steven C. Snelgrove have a business relationship through their board/leadership position in MedCost, LLC, and unrelated organization.
Form 990, Part VI, Section A, line 4AMENDMENTS TO THE FILING ORGANIZATION'S BYLAWS WERE ADOPTED BY THE FILING ORGANIZATION, AND APPROVED (AS REQUIRED IN THE BYLAWS) BY THE BOARD OF THE FILING ORGANIZATION'S PARENT, WAKE FOREST UNIVERSITY ("WFU"), ON JULY 16, 2009. THE AMENDED BYLAWS CONFORM THE FILING ORGANIZATION'S BYLAWS TO THE PROVISIONS OF THE FUNCTIONAL INTEGRATION AGREEMENT (THE "FIA") ENTERED INTO AMONG THE FILING ORGANIZATION, ITS AFFILIATED HOSPITAL, NORTH CAROLINA BAPTIST HOSPITAL ("NCBH"), AND ITS (AND WFU'S) RELATED, SUPPORTING ORGANIZATION, WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER ("WFUBMC"). THE AMENDMENTS RELATE TO: 1) THE WFUBMC CEO'S EX OFFICIO MEMBERSHIP ON THE FILING ORGANIZATION'S BOARD; 2) THE APPOINTMENT, REPORTING, AND REMOVAL OF THE FILING ORGANIZATION'S PRESIDENT; AND 3) THE LIMITATION REGARDING FURTHER AMENDMENT OF THESE PROVISIONS WITHOUT THE WRITTEN CONSENT OF THE OTHER PARTIES TO THE FIA.
Form 990, Part VI, Section B, line 11WFUBMC Financial Services will distribute to the Corporation's Board of Trustees copies of the Form 990 prior to their scheduled meeting. The Board has asked the Audit and Compliance committees of WFUHS and NCBH to review the detail of the Form 990 with the Corporation's Chief Financial Officer or a delegate from Financial Services. Members of the Corporation's management team will answer questions and address any concerns the Committee Members or other Trustees raise. The minutes of the joint Audit and Compliance Committee Meeting will note that the Committee Members and other Trustees and Directors have reviewed and discussed the Form 990 with the Corporation's management. If modifications are required, Financial Services will redistribute the revised Form 990 to all Trustees and Directors, along with a report noting the modifications.
Form 990, Part VI, Section B, line 12cON AN ANNUAL BASIS, ALL TRUSTEES, OFFICERS, AND OTHER EMPLOYEES THAT HAVE SIGNIFICANT INFLUENCE OVER THE OPERATIONS OF THE ORGANIZATION ARE ASKED TO COMPLETE A QUESTIONNAIRE NOTING THE FOLLOWING: - ACKNOWLEDGEMENT OF RECEIPT OF THE CONFLICT OF INTEREST POLICY - ACKNOWLEDGEMENT THAT THEY HAVE READ AND UNDERSTAND THE POLICY - ACKNOWLEDGEMENT THAT THEY AGREE TO COMPLY WITH THE POLICY - DESCRIPTION OF ANY POTENTIAL CONFLICTS OF INTEREST THEY MAY HAVE GIVEN THEIR ROLE WITHIN THE ORGANIZATION. UPON COMPLETION OF THE CONFLICT OF INTEREST SURVEY, FINANCIAL SERVICES & COMPLIANCE AND LEGAL OFFICES REVIEW THE COMPLETED QUESTIONNAIRES. ANY SIGNIFICANT CONFLICTS IDENTIFIED ARE COMMUNICATED TO THE ORGANIZATION'S PRESIDENT AND PRESENTED TO THE ORGANIZATION'S BOARD AUDIT & COMPLIANCE COMMITTEE. THE AUDIT & COMPLIANCE COMMITTEE CHAIRMAN THEN PRESENTS THE ANNUAL REPORT TO THE FULL BOARD. ANY MATERIAL CONFLICTS OF INTEREST ARE MONITORED AT A BOARD AND ORGANIZATIONAL LEVEL BY THE AUDIT & COMPLIANCE COMMITTEE AND THE INTERNAL AUDIT & COMPLIANCE OFFICE AND CONFLICTED INDIVIDUALS ARE ASKED TO CONDUCT BUSINESS, AS IT RELATES TO THE IDENTIFIED CONFLICT, IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY. OPPORTUNITIES EXIST FOR TRUSTEES, OFFICERS AND OTHER EMPLOYEES THAT HAVE SIGNIFICANT INFLUENCE OVER OPERATIONS OF THE ORGANIZATION TO REPORT CONFLICTS TO THE INTERNAL AUDIT & COMPLIANCE OFFICE SHOULD A CONFLICT OF INTEREST ARISE BETWEEN ANNUAL QUESTIONNAIRES.
Form 990, Part VI, Section B, line 15IT IS THE POLICY OF NORTH CAROLINA BAPTIST HOSPITAL (NCBH) TO ESTABLISH EXECUTIVE COMPENSATION AT A LEVEL APPROPRIATE TO ATTRACT AND RETAIN EXECUTIVE LEVEL PERSONNEL IN A MANNER THAT COMPLIES WITH INTERNAL REVENUE SERVICES' GUIDELINES FOR APPROVAL OF EXECUTIVE MANAGEMENT COMPENSATION, INCORPORATING PRACTICES CURRENTLY IN PLACE FROM THE COMPENSATION COMMITTEE RESPONSIBILITIES, EXECUTIVE COMPENSATION PHILOSOPHY AND THE MANAGEMENT INCENTIVE COMPENSATION PLAN. THE FOLLOWING POSITIONS AND CLASSES OF POSITIONS WILL BE COVERED UNDER THIS POLICY ("COVERED INDIVIDUALS") - PRESIDENT - VICE PRESIDENTS: INCLUDING CHIEF OPERATING OFFICER, CHIEF FINANCIAL OFFICER AND CHIEF NURSING OFFICER - OTHER EMPLOYEES THAT MEET THE IRS'S DEFINITION OF A "KEY EMPLOYEE" THE REVIEW AND APPROVAL OF COMPENSATION OF ANY COVERED INDIVIDUAL WILL BE PERFORMED BY THE COMPENSATION COMMITTEE OF NCBH'S BOARD OF TRUSTEES, VIA DELEGATED AUTHORITY OF THE BOARD OF TRUSTEES AS FOLLOWS: COMMITTEE PURPOSES THE PRIMARY PURPOSE OF THE COMPENSATION COMMITTEE IS TO OVERSEE THE HOSPITAL'S EXECUTIVE COMPENSATION PROGRAM TO INSURE THAT IT IS ADMINISTERED IN A MANNER WHICH IS CONSISTENT WITH THE COMPENSATION PHILOSOPHY ADOPTED BY THE BOARD OF TRUSTEES. SPECIFIC RESPONSIBILITIES OF COMMITTEE THE COMPENSATION COMMITTEE SHALL PROVIDE SYSTEMATIC REVIEW AND EVALUATION OF THE PRESIDENT'S PERFORMANCE AND SHALL OVERSEE THE HOSPITAL'S EXECUTIVE COMPENSATION PROGRAM TO INSURE THAT IT IS ADMINISTERED IN A MANNER THAT IS CONSISTENT WITH ANY POLICIES AND PLANS ADOPTED BY THE BOARD OF TRUSTEES AND IN COMPLIANCE WITH ANY APPLICABLE LEGAL REQUIREMENTS. THE COMPENSATION COMMITTEE SHALL INITIATE AND REVIEW THE HOSPITAL'S EXECUTIVE SUCCESSION PLANNING POLICIES AND PROCEDURES. THE MEMBERS OF THE COMPENSATION COMMITTEE SHALL BE THE CHAIRMAN OF THE CORPORATION, WHO SHALL BE THE CHAIRMAN OF THE COMPENSATION COMMITTEE, THE VICE CHAIRMAN OF THE CORPORATION, THE CHAIRMAN OF THE FINANCE COMMITTEE, AND THE CHAIRMAN OF THE GOVERNANCE AND NOMINATING COMMITTEE AND ANY OTHER TRUSTEES DEEMED NECESSARY TO SERVE THE COMMITTEE PURPOSE AND ELECTED BY THE BOARD OF TRUSTEES.
Form 990, Part VI, Section C, line 18PHOTOCOPIES 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 19PHOTOCOPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE.
SCHEDULE K, PART II, LINE 5: UNDERWRITER'S DISCOUNT: $ 2,574,830 OTHER ISSUANCE COSTS: 732,207 TOTAL LINE 5: $ 3,307,037
FORM 990, PART III, LINE 4A:OVERVIEW: WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER IS NORTHWEST NORTH CAROLINA'S SOLE ACADEMIC MEDICAL CENTER, BRINGING TO THE REGION THE RESOURCES OF ONE OF AMERICA'S TOP 50 RANKED HOSPITALS AND A PREMIER MEDICAL SCHOOL. WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER IS A CORPORATION ONE-HALF CONTROLLED BY WAKE FOREST UNIVERSITY AND ONE-HALF CONTROLLED BY NORTH CAROLINA BAPTIST HOSPITAL. THE MEDICAL CENTER OPERATES THE WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE, WAKE FOREST UNIVERSITY HEALTH SCIENCES (INCLUDING ITS FACULTY PHYSICIAN PRACTICE OF MORE THAN 600 DOCTORS); A HOSPITAL SYSTEM WITH 1,004 LICENSED ACUTE CARE AND REHABILITATION BEDS ACROSS THE SYSTEM, WHICH ENCOMPASSES NORTH CAROLINA BAPTIST HOSPITAL (885 BEDS), BRENNER CHILDREN'S HOSPITAL (160 BEDS, INCLUDED IN NCBH TOTAL); LEXINGTON MEMORIAL HOSPITAL (94 BEDS, AND ITS RELATED PHYSICIAN PRACTICE OF 32 LEXMED DOCTORS); AND DAVIE COUNTY HOSPITAL (25 BEDS). WAKE FOREST BAPTIST SERVES A PRIMARY 26-COUNTY REGION IN NORTHWESTERN NORTH CAROLINA AND SOUTHWESTERN VIRGINIA AND DRAWS PATIENTS FROM ACROSS THE STATE AND NATION FOR SELECT SERVICES. CLINICAL SERVICES ACHIEVEMENTS AND STRENGTHS WAKE FOREST BAPTIST IS NATIONALLY RECOGNIZED FOR CLINICAL EXCELLENCE AND INTERNATIONALLY KNOWN FOR PIONEERING RESEARCH AND CLINICAL INNOVATION. IT HAS BEEN RANKED AS ONE OF "AMERICA'S BEST HOSPITALS" BY U.S. NEWS & WORLD REPORT SINCE 1993, HOLDS THE GOLD SEAL OF APPROVAL FROM THE JOINT COMMISSION, THE NATION'S ESTEEMED STANDARDS-SETTING AND ACCREDITING BODY FOR HEALTH CARE QUALITY, AND IS RANKED 27TH IN THE NATION BY AMERICA'S TOP DOCTORS FOR THE NUMBER OF ITS PHYSICIANS WHO ARE CONSIDERED BEST BY THEIR PEERS. THE "BEST DOCTORS IN AMERICA" 2011-2012 LISTING INCLUDES 293 WAKE FOREST BAPTIST PHYSICIANS, AN INCREASE OF 37 PERCENT OVER THE PREVIOUS YEAR; 92 PERCENT OF THE DOCTORS LISTED FOR FORSYTH COUNTY ARE WAKE FOREST DOCTORS. THE MEDICAL CENTER WAS FIRST IN THE CAROLINAS TO EARN MAGNET DESIGNATION FOR NURSING EXCELLENCE FROM THE AMERICAN NURSES CREDENTIALING CENTER, A DISTINCTION HELD SINCE 1999. IT ALSO HOLDS THE DISTINCTION OF BEING THE MOST PREFERRED HOSPITAL OF AREA RESIDENTS ACCORDING TO INDEPENDENT RESEARCH FROM THE NATIONAL RESEARCH CORPORATION. WAKE FOREST BAPTIST OFFERS EXPERTISE IN MORE THAN 100 AREAS OF MEDICINE, ENCOMPASSING COMPREHENSIVE PREVENTIVE AND HIGHLY SPECIALIZED CARE FOR ALL AGES. IT INCLUDES 21 SUBSIDIARY OR AFFILIATE HOSPITALS, AND OPERATES MORE THAN 120 OUTREACH ACTIVITIES, INCLUDING SATELLITE SPECIALTY CLINICS ACROSS NORTHWEST NORTH CAROLINA THAT EXTEND THE BENEFIT OF WAKE FOREST BAPTIST SUBSPECIALTY EXPERTISE THROUGHOUT THE REGION. AS PART OF A BUSY TERTIARY CARE CENTER, N.C. BAPTIST HOSPITAL RECORDED 34,854 INPATIENT ADMISSIONS IN FY 2010, AND A TOTAL OF 818,089 OUTPATIENT ENCOUNTERS (ED, DOWNTOWN HEALTH PLAZA, DAY HOSPITAL, AMBULATORY VISITS). TOTAL PATIENT ENCOUNTERS NUMBERED 852,943. IN ADDITION TO ITS CLINICAL LEADERSHIP, WAKE FOREST BAPTIST IS A MAJOR RESEARCH CENTER WITH MORE THAN 2,500 RESEARCH STUDIES UNDER WAY. IN THE ARENA OF CANCER RESEARCH ALONE, THERE ARE MORE THAN 475 STUDIES BEING CONDUCTED. THE MEDICAL CENTER OPERATES A TRANSLATIONAL SCIENCE INSTITUTE COMMITTED TO MULTI-DISCIPLINARY RESEARCH THAT WILL SPEED FINDINGS FROM THE LABORATORY TO THE BEDSIDE TO BENEFIT PATIENTS. ONE OF THE MEDICAL CENTER'S MOST INNOVATIVE AND GROWING PROGRAMS IS THE WAKE FOREST INSTITUTE FOR REGENERATIVE MEDICINE, WHERE SCIENTISTS ARE ACTIVELY ADVANCING KNOWLEDGE ABOUT BUILDING ORGANS AND VESSELS FROM PATIENTS' OWN TISSUE -- ADVANCING THE HORIZONS OF MEDICAL POSSIBILITY.STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION
MEDICAL CENTER BLVDWINSTON SALEMNC27157561685120SUPPORTING ORGANIZATIONNC501(c)(3)Line 11a, I
STOKES-REYNOLDS MEMORIAL HOSPITAL
HWY 8 89 NORTHDANBURYNC27016561793620HEALTHCARENC501(c)(3)Line 3
THE REHABILITATION & SKILLED NURSING FACILITY AT OAK SUMMIT
MEDICAL CENTER BLVDWINSTON SALEMNC27157561826396HEALTHCARENC501(c)(3)Line 9NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION
DAVIE COUNTY EMERGENCY HEALTH CORP
223 HOSPITAL STREETMOCKSVILLENC27028562276994HEALTHCARENC501(c)(3)Line 3
BAPTIST HOSPITAL RX
MEDICAL CENTER BLVDWINSTON SALEMNC27157542136894HEALTHCARENC501(c)(3)Line 9
THE HAWTHORNE INN & CONFERENCE CENTER INC
420 HIGH STREETWINSTON SALEMNC27101561793617LODGING/ CONFERENCE ACCOMMODATIONNC501(c)(3)Line 11a, I
CARENET INC
2000 WEST FIRST STREET SUITE 410WINSTON SALEMNC27104561977341HEALTHCARENC501(c)(3)Line 11b, II
WAKE FOREST UNIV BAPTIST MEDICAL CNTR COMMUNITY PHYSICIANS
3540 CLEMMONS ROADCLEMMONSNC27012231903275HEALTHCARENC501(c)(3)Line 3
CENTER FOR CONGREGATIONAL HEALTH INC
MEDICAL CENTER BLVDWINSTON SALEMNC27157237426944HEALTHCARENC501(c)(3)Line 9
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (23 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION
A228649
STOKES REYNOLDS MEMORIAL HOSPITAL
A14610
WFUBMC COMMUNITY PHYSICIANS
A107939
STOKES REYNOLDS MEMORIAL HOSPITAL
B29186185
NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION
C15000
WFUBMC COMMUNITY PHYSICIANS
C13480
THE HAWTHORNE INN & CONFERENCE CENTER INC
J227760
DAVIE COUNTY EMERGENCY HEALTH CORP
O4153
THE HAWTHORNE INN & CONFERENCE CENTER INC
O52397
CARENET INC
P1983173
DAVIE COUNTY EMERGENCY HEALTH CORP
P423478
NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION
P503055
STOKES REYNOLDS MEMORIAL HOSPITAL
P1817426
THE HAWTHORNE INN & CONFERENCE CENTER INC
P428972
CENTER FOR CONGREGATIONAL HEALTH INC
P203040
WFUBMC COMMUNITY PHYSICIANS
P1414768
WFUBMC COMMUNITY PHYSICIANS
P52131
STOKES REYNOLDS MEMORIAL HOSPITAL
Q11896
WFUBMC COMMUNITY PHYSICIANS
Q2695847
WFUBMC COMMUNITY PHYSICIANS
Q22571
STOKES REYNOLDS MEMORIAL HOSPITAL
R53259
THE HAWTHORNE INN & CONFERENCE CENTER INC
R508735
WFUBMC COMMUNITY PHYSICIANS
R80074