WRMC HOSPITAL OPERATING CORPORATION: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- WRMC HOSPITAL OPERATING CORPORATION (EIN 83-0343789)
- Tax period
- 2014-10-01 to 2015-09-30
- Filed
- 2016-07-25
- IRS object ID
- 201612079349300311
- Schema version
- 2014v6.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-07-25T09:28:18-05:00 | ReturnTs |
| Tax Period End | 2015-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 560747981 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 RIDGEFIELD COURT | AddressLine1Txt |
| City | ASHEVILLE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28806 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 830343789 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WRMC HOSPITAL OPERATING CORPORATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WRMC | BusinessNameControlTxt |
| Phone | 3366518100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 609 | AddressLine1Txt |
| City | NORTH WILKESBORO | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28659 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BARRY WALD | PersonNm |
| Person Title | VP OF FINANCE/CFO | PersonTitleTxt |
| Phone | 3366518100 | PhoneNum |
| Signature | 2016-07-22 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMY BIBBY | PreparerPersonNm |
| PTIN | P00445891 | PTIN |
| Phone | 8282542254 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-12-15 16:53:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILKES REGIONAL MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | BARRY WALD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 609 | AddressLine1Txt |
| City | NORTH WILKESBORO | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28659 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $94,393,948 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.WILKESREGIONAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Other Organization Dsc | 1 | OtherOrganizationDsc |
| Formation | 1996 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | OUR MISSION IS TO PROVIDE EFFECTIVE, COMPASSIONATE MEDICAL CARE TO PROMOTE HEALTH LIFESTYLES FOR OUR COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 704 | TotalEmployeeCnt |
| Total Volunteers | 90 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $577,816 | PYContributionsGrantsAmt |
| CY Contributions Grants | $300,973 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $85,239,513 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $93,723,041 | CYProgramServiceRevenueAmt |
| PY Investment Income | $126,359 | PYInvestmentIncomeAmt |
| CY Investment Income | -$122,057 | CYInvestmentIncomeAmt |
| PY Other Revenue | $238,271 | PYOtherRevenueAmt |
| CY Other Revenue | $265,884 | CYOtherRevenueAmt |
| PY Total Revenue | $86,181,959 | PYTotalRevenueAmt |
| CY Total Revenue | $94,167,841 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $34,924,980 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $34,928,921 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $45,148,351 | PYOtherExpensesAmt |
| CY Other Expenses | $48,369,419 | CYOtherExpensesAmt |
| PY Total Expenses | $80,073,331 | PYTotalExpensesAmt |
| CY Total Expenses | $83,298,340 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $6,108,628 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $10,869,501 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $92,946,382 | TotalAssetsBOYAmt |
| Total Assets EOY | $97,511,728 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $36,888,023 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $37,497,472 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $56,058,359 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $60,014,256 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | OUR MISSION IS TO PROMOTE THE HEALTH OF OUR REGION AS AN EXCEPTIONAL COMPASSIONATE PROVIDER OF CARE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $72,409,523 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $93,723,041 | RevenueAmt |
| Desc | WILKES REGIONAL MEDICAL CENTER (WRMC) IS A 130 BED FACILITY SERVING ALLEGHANY, ALEXANDER, ASHE, CALDWELL, IREDELL, SURRY, WATAUGA, AND WILKES COUNTIES. IN FISCAL YEAR 2015 THE HOSPITAL HAD 33,206 EMERGENCY ROOM VISITS AND 20,985 IN-PATIENT DAYS. THE HOSPITAL INCURRED APPROXIMATELY $9.3 MILLION OF CHARITY CARE COSTS IN PROVIDING FREE AND DISCOUNTED CARE TO PATIENTS. THE HOSPITAL ACCEPTS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY.PLEASE SEE SCHEDULE O FOR A CONTINUATION OF THE PROGRAM SERVICE ACCOMPLISHMENTS.WRMC RECEIVED AN "A" RATING FROM THE LEAPFROG GROUP FOR QUALITY AND PATIENT SAFETY, MAKING US THE ONLY HOSPITAL IN THE REGION TO ACHIEVE THE TOP SPOT FIVE CONSECUTIVE TIMES. WILKES REGIONAL CONTINUES TO REACH TOP SCORES IN THE PREVENTION OF PATIENT ACCIDENTS, INJURIES AND INFECTIONS. WRMC WAS SELECTED BY THE JOINT COMMISSION AS A "TOP PERFORMER IN KEY QUALITY MEASURES" IN THE MANAGEMENT OF PNEUMONIA, SURGICAL CARE, VENOUS THROMBOEMBOLISM AND IMMUNIZATION. THIS PLACES WILKES REGIONAL AMONG THE BEST HOSPITALS IN THE NATION IN THE MANAGEMENT OF THESE QUALITY MEASURES.WRMC WAS ONE OF TWO HOSPITALS IN NC TO BE AWARDED THE 2015 WOMEN'S CHOICE AWARD FOR EMERGENCY ROOM CARE. WRMC AND ALBEMARLE HOSPITAL IN ELIZABETH CITY ARE THE ONLY TWO HOSPITALS IN NORTH CAROLINA TO RECEIVE THE EMERGENCY CARE AWARD THIS YEAR. WITH 373 HOSPITALS NATIONWIDE RECOGNIZED FOR EMERGENCY CARE, THE DISTINCTION PLACES WRMC IN THE TOP 10 PERCENT OF THE 3,800 EMERGENCY ROOMS THAT REPORT DATA TO THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS). "HOSPITALS ARE JUDGED ON EIGHT MEASURES THAT RELATE PRIMARILY TO THE TIME EFFECTIVENESS OF THE EMERGENCY DEPARTMENT, INCLUDING TIME FOR DIAGNOSIS, MEDICATION AND ADMISSION TO THE HOSPITAL, WHICH ARE WEIGHED ACCORDING TO THE PRIORITIES OF SURVEYED WOMEN. US NEWS AND WORLD REPORT NAMED WRMC'S SKILLED NURSING FACILITY TO THEIR "2014 AND 2015 BEST NURSING HOME" LIST. REACHING 5 STAR RATINGS ON ALL FOUR METRICS: OVERALL, HEALTH INSPECTIONS, NURSE STAFFING AND QUALITY MEASURES. THERE WAS A 97% PARTICIPATION RATE THIS YEAR FOR THE EMPLOYMENT ENGAGEMENT SURVEY. 561 EMPLOYEES WERE INVITED TO PARTICIPATE AND 542 EMPLOYEES RESPONDED. OUR OVERALL COMMITMENT SCORE WAS 4.36, WHICH GAVE US AN 88TH NATIONAL PERCENTILE RANKING. SHE WENT OVER THE KEY DRIVERS OF ENGAGEMENT, THE HIGHEST PERFORMING ITEMS, THE LOWEST PERFORMING ITEMS, AND THE MOST IMPROVED ITEMS. WRMC ADDED OUTPATIENT PERITONEAL DIALYSIS TO OUR SERVICE LINE STARTING IN 2015. DURING THE MONTH OF MARCH 2015, 40 ACUTE DIALYSIS TREATMENTS WERE COMPLETED, THE HIGHEST VOLUME SEEN TO DATE FOR OUR ACUTE PROGRAM SINCE REINSTITUTING THE PROGRAM 2 YEARS AGO. MANY OF THESE PATIENTS NEEDED SURGERY, AND WERE ABLE TO STAY AT WRMC BECAUSE ACUTE DIALYSIS IS NOW OFFERED. | Desc |
| Total Program Service Expenses | $72,409,523 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (1) | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 138 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 704 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NC | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BARRY WALD | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3366518510 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | POX BOX 609 | AddressLine1Txt |
| City | NORTH WILKESBORO | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28659 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| LEE HERRING | ||||||||
| CHAIRMAN | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ERIC CRAMER | ||||||||
| VICE CHAIRMAN | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JIM SMOAK | ||||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DANE MASTIN | ||||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MARTHA TOWNES | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ARNOLD LAKEY | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ANN ABSHER | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | 1.00 | ||
| VAUGHN HAYES | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DR ASHTON MOLAI | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | 1.00 | ||
| DREW MAYBERRY | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | 1.00 | ||
| LARRY FARTHING | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DR LARRY KILBY | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MELISSA LACKEY | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| OLIVE THOMAS | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | 1.00 | ||
| PAT BUMGARNER | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| J GENE FAILE | ||||||||
| CEO | 60.00 | Yes (X) | $335,921 | $0 | $58,127 | 1.00 | ||
| BARRY WALD | ||||||||
| CFO | 55.00 | Yes (X) | $165,239 | $0 | $31,890 | 1.00 | ||
| SANDY SHEPPARD | ||||||||
| CNO | 55.00 | Yes (X) | $167,652 | $0 | $27,732 | |||
| JASON YOCKEY | ||||||||
| CRNA | 40.00 | $197,060 | $0 | $25,617 | Yes (X) | |||
| MARGARET LINKA | ||||||||
| CRNA | 40.00 | $222,409 | $0 | $11,406 | Yes (X) | |||
| ELLEN HAZEL | ||||||||
| CRNA | 40.00 | $192,196 | $0 | $20,775 | Yes (X) | |||
| JOHN RIEDEL JR | ||||||||
| CRNA | 40.00 | $177,366 | $0 | $25,142 | Yes (X) | |||
| SANDY CASEY | ||||||||
| CRNA | 40.00 | $180,595 | $0 | $25,226 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,638,438 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $225,915 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 15 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MORRISON MANAGEMENT SPECIALIST | |||||
| PO BOX 102289 | ATLANTA | GA | 30368 | CAFETERIA MANAGEMENT | $1,227,976 |
| LOCUMTENENSCOM LLC | |||||
| 2655 NORTHWINDS PARKWAY | ALPHARETTA | GA | 30009 | PROVIDE PHYSICIAN CONTRACT LABOR | $681,381 |
| IT1 SOURCE | |||||
| PO BOX 413006 | SALT LAKE CITY | UT | 841413006 | IT SERVICES | $514,229 |
| MCELWEE FIRM PLLC | |||||
| PO BOX 728 | NORTH WILKESBORO | NC | 28659 | LEGAL SERVICES | $398,269 |
| DIXON HUGHES GOODMAN LLP | |||||
| PO BOX 602828 | CHARLOTTE | NC | 282602828 | ACCOUNTING FIRM | $194,421 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 9 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $300,973 | AllOtherContributionsAmt |
| Total Contributions | $300,973 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 621110 | $92,431,041 | $92,431,041 |
| EHR INCENTIVE PROGRAM REVENUE | 621110 | $1,292,000 | $1,292,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $93,723,041 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $96,893 | TotalRevenueColumnAmt |
| Exclusion | $96,893 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $143,475 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $143,475 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $143,475 | TotalRevenueColumnAmt |
| Exclusion | $143,475 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $7,157 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $226,107 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $7,157 | SecuritiesAmt |
| Other | -$226,107 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$218,950 | TotalRevenueColumnAmt |
| Exclusion | -$218,950 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| MEDICAL SUPPLY AND PHARMACY SALES | 621110 | $40,917 | $40,917 |
| CARE CONNECTION | 621110 | $35,671 | $35,671 |
| MEDICAL RECORD TRANSCRIPTION FEES | 621110 | $22,342 | $22,342 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,479 | TotalRevenueColumnAmt |
| Exclusion | $23,479 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $122,409 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $94,167,841 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $93,723,041 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $143,827 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $808,714 | TotalAmt |
| Management And General | $808,714 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,789,813 | TotalAmt |
| Program Services | $22,078,822 | ProgramServicesAmt |
| Management And General | $4,710,991 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $901,312 | TotalAmt |
| Program Services | $721,050 | ProgramServicesAmt |
| Management And General | $180,262 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,049,609 | TotalAmt |
| Program Services | $3,239,687 | ProgramServicesAmt |
| Management And General | $809,922 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,379,473 | TotalAmt |
| Program Services | $1,903,578 | ProgramServicesAmt |
| Management And General | $475,895 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,343,220 | TotalAmt |
| Management And General | $1,343,220 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $314,993 | TotalAmt |
| Management And General | $314,993 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,161,043 | TotalAmt |
| Program Services | $4,778,652 | ProgramServicesAmt |
| Management And General | $382,391 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $590,588 | TotalAmt |
| Program Services | $590,588 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,583,169 | TotalAmt |
| Program Services | $6,066,535 | ProgramServicesAmt |
| Management And General | $1,516,634 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,187,506 | TotalAmt |
| Program Services | $950,005 | ProgramServicesAmt |
| Management And General | $237,501 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,795,120 | TotalAmt |
| Program Services | $1,795,120 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $541,470 | TotalAmt |
| Program Services | $433,176 | ProgramServicesAmt |
| Management And General | $108,294 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,396,239 | TotalAmt |
| Program Services | $1,396,239 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,419,983 | TotalAmt |
| Program Services | $5,419,983 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $620,271 | TotalAmt |
| Program Services | $620,271 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| BAD DEBT | $10,920,203 | $10,920,203 |
| MEDICAL SUPPLIES | $9,735,808 | $9,735,808 |
| PHARMACY DRUG EXPENSE | $1,759,806 | $1,759,806 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,298,340 | TotalAmt |
| Program Services | $72,409,523 | ProgramServicesAmt |
| Management And General | $10,888,817 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $2 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,582,476 | BOYAmt |
| EOY | $8,019,365 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,425,559 | BOYAmt |
| EOY | $9,658,900 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,169,746 | BOYAmt |
| EOY | $2,304,367 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,712,684 | BOYAmt |
| EOY | $3,253,807 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $102,959,578 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $59,157,157 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,141,011 | BOYAmt |
| EOY | $43,802,421 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,912,790 | BOYAmt |
| EOY | $14,161,757 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,811,394 | BOYAmt |
| EOY | $16,311,109 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,190,722 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,946,382 | BOYAmt |
| EOY | $97,511,728 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,341,188 | BOYAmt |
| EOY | $6,420,824 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,938 | BOYAmt |
| EOY | $515,732 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,041,910 | BOYAmt |
| EOY | $23,248,641 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,492,987 | BOYAmt |
| EOY | $7,312,275 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,888,023 | BOYAmt |
| EOY | $37,497,472 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,058,359 | BOYAmt |
| EOY | $60,014,256 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,058,359 | BOYAmt |
| EOY | $60,014,256 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,946,382 | BOYAmt |
| EOY | $97,511,728 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $10,869,501 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $65,710 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | -$4,640,061 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | -$2,339,253 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $3,408 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $3,408 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE NORTH CAROLINA HOSPITAL ASSOCIATION (NCHA). EACH YEAR, A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS IS ALLOCATED TOWARDS LOBBYING EFFORTS ON BEHALF OF THEIR MEMBERSHIP BODIES. FOR FY 2015, AMOUNTS OF MEMBERSHIP DUES ALLOCATED TO THESE EXPENDITURES WERE APPROXIMATELY $ 2,000 FOR AHA AND $ 1,400 FOR NCHA. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $976,902 | OtherCostOrOtherBasisAmt |
| Book Value | $976,902 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $54,822,707 | OtherCostOrOtherBasisAmt |
| Depreciation | $23,101,551 | DepreciationAmt |
| Book Value | $31,721,156 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,226,410 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,742,126 | DepreciationAmt |
| Book Value | $1,484,284 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $42,850,420 | OtherCostOrOtherBasisAmt |
| Depreciation | $33,313,480 | DepreciationAmt |
| Book Value | $9,536,940 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $83,139 | OtherCostOrOtherBasisAmt |
| Book Value | $83,139 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $43,802,421 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE FROM WPN | Desc |
| Book Value | $16,311,109 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $16,311,109 | TotalBookValueProgramRltdAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| ESTIMATED THIRD PARTY SETTLEMENTS | $4,905,028 |
| NET PENSION OBLIGATION | $2,407,247 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $7,312,275 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $80,974,095 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $65,710 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $65,710 | RevenueNotReportedAmt |
| Revenue Subtotal | $80,908,385 | RevenueSubtotalAmt |
| Other Revenues Not Included | $13,259,456 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $13,259,456 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $94,167,841 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $72,378,137 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $72,378,137 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $10,920,203 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $10,920,203 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $83,298,340 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | WRMC HOSPITAL OPERATING CORPORATION IS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2015. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | EQUITY TRANSFER TO AFFILIATE WILKES PHYSICIAN NETWORK 2,339,253. PROVISION FOR BAD DEBT 10,920,203. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR BAD DEBT 10,920,203. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 125.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,841,988 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,841,988 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06690 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,747,216 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,634,607 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $112,609 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,589,204 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,634,607 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,954,597 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06850 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $150,739 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $82,782 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $67,957 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $150,739 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $82,782 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $67,957 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,739,943 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,717,389 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,022,554 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06940 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,878 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $12,878 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,878 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $12,878 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $10,920,203 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $20,832,342 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $22,750,614 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,918,272 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILKES REGIONAL MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1370 W D STREET | AddressLine1Txt |
| City | NORTH WILKESBORO | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28659 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Emergency Room Other | Yes (X) | EmergencyRoomOtherInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILKES REGIONAL MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 12 | ImplementationStrategyAdptYr |
| Strategy Posted Website | 0 | StrategyPostedWebsiteInd |
| Strategy Attached | Yes (1) | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 125.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTP://WILKESREGIONAL.COM/PATIENTS_VISITORS/FINANCIAL_ASSISTANCE.ASPX | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTP://WILKESREGIONAL.COM/PATIENTS_VISITORS/FINANCIAL_ASSISTANCE.ASPX | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTP://WILKESREGIONAL.COM/PATIENTS_VISITORS/FINANCIAL_ASSISTANCE.ASPX | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| WILKES REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 5: ONE OF THE GOALS OF THE COMMUNITY HEALTH ASSESSMENT (CHA) WAS TO LEARN ABOUT THE HEALTH AND QUALITY OF LIFE IN WILKES COUNTY, WHILE IDENTIFYING THE STRENGTHS AND CHALLENGES IN THE COMMUNITY. AS PART OF THE LARGER CHA PROJECT, A STAKEHOLDER SURVEY WAS DISTRIBUTED. THE PURPOSE OF THE STAKEHOLDER SURVEY WAS TO SOLICIT INPUT ON CRITICAL ISSUES THAT INFLUENCE THE HEALTH OF CITIZENS AND DECISIONS TO BE MADE BY PROVIDERS AND INSTITUTIONS (E.G., WILKES COUNTY HEALTH DEPARTMENT [WCHD], WILKES REGIONAL MEDICAL CENTER [WRMC], COMMUNITY ORGANIZATIONS, PHYSICIANS, ETC.). THE WCHD SOUGHT TO INCLUDE A DIVERSITY OF OPINIONS THAT WERE REPRESENTATIVE OF DECISION MAKERS, HEALTH PROVIDERS, AND SOCIAL AND EDUCATION SERVICES TO CITIZENS OF WILKES COUNTY. A TOTAL OF 33 RESPONSES WERE RECEIVED.ADDITIONALLY, COMMUNITY HEALTH OPINION SURVEYS (CHOS) WERE DISTRIBUTED TO RESIDENTS OF WILKES COUNTY, NC BETWEEN JULY 2012 AND JANUARY 2013. SURVEYS WERE COMPLETED EITHER ONLINE VIA SURVEY MONKEY OR IN PERSON AT VARIOUS COMMUNITY LOCATIONS. A TOTAL OF 938 RESIDENTS COMPLETED THE SURVEY. |
| WILKES REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 11: IMPACT MENTAL HEALTH/SUBSTANCE ABUSE: CONTINUE TO HAVE PARTICIPATION IN THE LOCAL MENTAL HEALTH TASKFORCE AND ANNUALLY CONTINUE TO PROVIDE ADDITIONAL MENTAL HEALTH AND SUBSTANCE ABUSE EDUCATIONAL TRAINING FOR THE ER AND ICU/CCU NURSING STAFF. IMPACT CARDIOVASCULAR DISEASE: CONTINUED COMMUNITY AWARENESS AND EDUCATIONAL CAMPAIGN ON SIGNS AND SYMPTOMS OF HEART DISEASE, STROKE, DIABETES AND HIGH BLOOD PRESSURE. ALSO PROVIDED CAMPAIGN AT 22 HEALTH FAIRS REACHING THE BUSINESS AND INDUSTRY IN WILKES AND ALEXANDER COUNTY. IMPACT CANCER: CONTINUED COMMUNITY AWARENESS AND EDUCATIONAL CAMPAIGN ON OPPORTUNITY FOR PREVENTION AND SIGNS AND SYMPTOMS OF VARIOUS FORMS OF CANCER: BREAST, COLON, LUNG, AND SKIN CANCER. ALSO PROVIDED CAMPAIGN AT 22 HEALTH FAIRS REACHING THE BUSINESS AND INDUSTRY IN WILKES AND ALEXANDER COUNTY. IMPACT COORDINATION OF CARE RESOURCES: HIRED A NURSE TO ASSIST WITH CASE MANAGEMENT OF DISCHARGED PATIENTS TO REDUCE READMISSIONS AND TO WORK WITH THE WFBH FAITH HEALTH INITIATIVE. THE WILKES COUNTY RESOURCES GUIDE WAS UPDATED DURING 2015 AND POSTED ON THE HOSPITAL'S INTRANET FOR EASE OF ACCESS BY EMPLOYEES AND PROVIDERS. IMPACT OBESITY/NUTRITIONAL EDUCATION: THE FOCUS OF THIS INITIATIVE HAS BEEN WITH EMPLOYEES OF WILKES REGIONAL. THE "BIGGEST LOSER" PROGRAM WAS OFFERED AGAIN EVERY THREE MONTHS DURING 2015, WITH STRONG PARTICIPATION AND WEIGHT LOSS RESULTS. A DISCOUNTED PROGRAM AT THE YMCA WAS ESTABLISHED BASED ON LEVEL OF EMPLOYEE PARTICIPATION AT THE LOCAL FAMILY YMCA AND EXPRESS YMCA. |
| WILKES REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 22D: THE HOSPITAL DETERMINES AMOUNTS CHARGED TO FINANCIAL ASSISTANCE ELIGIBLE INDIVIDUALS BASED ON THE FINANCIAL ASSISTANCE POLICY. THE HOSPITAL USES THE AVERAGE OF ALL PRIVATE HEALTH INSURERS AND MEDICARE PAID CLAIMS FOR THE PRIOR 12 MONTHS. PATIENTS ELIGIBLE FOR A SLIDING SCALE DISCOUNT ARE CHARGED AT RATES THAT ARE SIGNIFICANTLY LOWER THAN COMMERCIAL RATES. |
| WILKES REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 23: AN AVERAGE DISCOUNT THAT REFLECTED THE AVERAGE DISCOUNT AFFORDED COMMERCIAL AND MANAGED CARE COVERED PATIENTS. |
| PART V, SECTION B, LINE 7A: | HTTP://WILKESREGIONAL.COM/SERVICES/COMMUNITY_SERVICES/COMMUNITY_HEALTH_NEEDS_ASSESSMENT.ASPX |
| PART V, SECTION B, LINE 16 | FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY |
| WILKES REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 16A WEBSITE: | HTTP://WILKESREGIONAL.COM/PATIENTS_VISITORS/FINANCIAL_ASSISTANCE.ASPX |
| WILKES REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 16B WEBSITE: | HTTP://WILKESREGIONAL.COM/PATIENTS_VISITORS/FINANCIAL_ASSISTANCE.ASPX |
| WILKES REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 16C WEBSITE: | HTTP://WILKESREGIONAL.COM/PATIENTS_VISITORS/FINANCIAL_ASSISTANCE.ASPX |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 5 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| WILKES REGIONAL DIALYSIS CENTER | ||||
| 1917 W PARK DRIVE A | NORTH WILKESBORO | NC | 28659 | DIALYSIS CENTER |
| HOME CARE OF WILKES REGIONAL MEDICAL CEN | ||||
| 1907 WEST PARK DRIVE | NORTH WILKESBORO | NC | 28659 | HOME CARE |
| DIAGNOSTIC CENTER | ||||
| 1900 WEST PARK DRIVE | NORTH WILKESBORO | NC | 28659 | DIAGNOSTIC CENTER |
| REHAB SERVICES | ||||
| 1918 WEST PARK DRIVE | NORTH WILKESBORO | NC | 28659 | REHAB CENTER |
| WOUND HEALING CENTER OF WILKES REGIONAL | ||||
| 1900 WEST PARK DRIVE SUITE C | NORTH WILKESBORO | NC | 28659 | WOUND HEALING CENTER |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | THE ORGANIZATION USED AN INTERNAL COST TO CHARGE RATIO. |
| PART I, LINE 7G: | THE ORGANIZATION PROVIDES CERTAIN SERVICES TO THE COMMUNITY AT A LOSS DUE TO THE COMMUNITY NEED. |
| PART I, LN 7 COL(F): | THE TOTAL EXPENSE ON FORM 990, PART XI, LINE 25 CONTAINS A BAD DEBT EXPENSE OF $10,920,203 THAT HAS BEEN REMOVED FOR PURPOSES OF COMPUTING LINE 7, COLUMN R. |
| PART III, LINE 4: | THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE ON BAD DEBT. THE ORGANIZATION IS NOT INCLUDING ANY AMOUNT OF BAD DEBT AS COMMUNITY BENEFIT IN THIS REPORT. |
| PART III, LINE 8: | WRMC TREATS MEDICARE PATIENTS AT A LOSS AND BELIEVES THIS SHOULD BE INCLUDED IN COMMUNITY BENEFIT. WRMC TREATS ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. WITHOUT THE MEDICARE PROGRAM, A PERCENTAGE OF THE POPULATION RECEIVING MEDICARE WOULD QUALIFY FOR FINANCIAL ASSISTANCE, WHILE OTHERS WOULD FAIL TO PAY AND BE WRITTEN OFF AS BAD DEBT EXPENSE. ALTERNATIVELY, SOME WOULD HAVE COMMERCIAL INSURANCE AND WE WOULD RECEIVE MORE THAN WE DO FROM MEDICARE. BECAUSE OF THESE FACTORS, THE ORGANIZATION TAKES THE POSITION THAT THE ENTIRETY OF THE MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT. THE ORGANIZATION UTILIZES A MEDICARE COST REPORT TO OBTAIN THE ALLOWABLE COSTS OF CARE AND MEDICARE REVENUES. |
| PART III, LINE 9B: | IF PATIENTS MEET THE QUALIFICATIONS IN REGARDS TO OUR FINANCIAL ASSISTANCE POLICY, THEY ARE GIVEN FINANCIAL ASSISTANCE. THE ORGANIZATION USES FINANCIALS COUNSELORS TO DETERMINE THIS ELIGIBILITY. THE HOSPTIAL'S BILLING AND COLLECTIONS POLICY ADDRESSES HOW FINANCIAL ASSISTANCE ELIGIBLE PATIENTS ARE BILLED AND ACTIONS THAT MAY BE TAKEN PURSUANT TO IRC SECTION 501(R). |
| PART VI, LINE 2: | WILKES REGIONAL MEDICAL CENTER WORKS WITH COUNTY HEALTH DEPARTMENTS AND COUNTY GOVERNMENT AS A HEALTH COALITION TO DETERMINE HEALTH CARE NEEDS IN THE COMMUNITY. INPUT IS ALSO SOLICITED FROM SURROUNDING PHYSICIANS REGARDING APPROPRIATE SERVICES FOR THE AREA |
| PART VI, LINE 3: | THE HOSPITAL NOTIFIES PATIENTS WHEN THEY REGISTER THAT WE HAVE A FINANCIAL ASSISTANCE POLICY. THE HOSPITAL USES FINANCIAL COUNSELORS TO ASSIST PATIENTS IN DETERMINING IF THEY QUALIFY FOR CHARITY CARE. THE HOSPITAL ALSO DISCUSSES WITH THE PATIENT THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS, AND ASSISTS THE PATIENT WITH QUALIFICATION FOR SUCH PROGRAMS, WHERE APPLICABLE. LANGUAGE BARRIERS ARE TAKEN INTO ACCOUNT WITH ALL PATIENT COMMUNICATIONS. |
| PART VI, LINE 4: | THE HOSPITAL'S PRIMARY SERVICE AREA IS WILKES COUNTY AND ALSO INCLUDES THE SURROUNDING COUNTIES OF ALLEGHANY, ALEXANDER, ASHE, CALDWELL, IREDELL, SURRY, AND WATAUGA, WITH A TOTAL POPULATION OF APPROXIMATELY 458,000. |
| PART VI, LINE 5: | THE HOSPITAL FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY IN SEVERAL OTHER WAYS. A MAJORITY OF THE HOSPITAL'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES, CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. FURTHERMORE, THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR ALL OF ITS DEPARTMENTS. IF ANY SURPLUS EXISTS AT THE END OF THE FISCAL YEAR, THE HOSPITAL APPLIES SURPLUS FUNDS TO IMPROVEMENTS IN PATIENT CARE AND MEDICAL EDUCATION. THE HOSPITAL HOLDS MULTIPLE HEALTH FAIRS AROUND THE COMMUNITY ON AN ANNUAL BASIS. THE HOSPITAL OPERATES AN EMERGENCY ROOM AVAILABLE TO ALL REGARDLESS OF ABILITY TO PAY. THE HOSPITAL PARTICIPATES IN EDUCATION AND TRAINING OF HEALTHCARE PROFESSIONALS. THE HOSPITAL PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH PROGRAMS. THE HOSPITAL SERVES AS A VEHICLE FOR ATTRACTING AND EFFECTIVELY USING DONATED FUNDS. THE HOSPITAL OFFERS VOLUNTEER OPPORTUNITES TO MEMBERS OF THE COMMUNITY. THE HOSPITAL OPERATES THE CARE CONNECTIONS PHARMACY WHICH PROVIDES FREE AND DISCOUNTED PRESCRIPTION DRUGS TO THOSE UNABLE TO PAY FOR MEDICATIONS. APPROXIMATELY 1000 PRESCRIPTIONS ARE FILLED MONTHLY FOR 258 PLUS PATIENTS. THIS PROGRAM ENABLES PATIENTS TO STAY COMPLIANT WITH THEIR MEDICAL TREATMENT PLAN AND ALSO REDUCE THE OCCURENCE OF READMISSIONS. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | NC |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | Yes (1) | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| J GENE FAILE | ||||||||||||||
| CEO | $238,962 | $0 | $55,394 | $0 | $41,565 | $0 | $32,197 | $0 | $25,930 | $0 | $394,048 | $0 | $12,470 | $0 |
| BARRY WALD | ||||||||||||||
| CFO | $149,357 | $0 | $15,882 | $0 | $0 | $0 | $8,155 | $0 | $23,735 | $0 | $197,129 | $0 | $0 | $0 |
| SANDY SHEPPARD | ||||||||||||||
| CNO | $142,001 | $0 | $23,230 | $0 | $2,421 | $0 | $16,954 | $0 | $10,778 | $0 | $195,384 | $0 | $0 | $0 |
| JASON YOCKEY | ||||||||||||||
| CRNA | $196,760 | $0 | $0 | $0 | $300 | $0 | $4,021 | $0 | $21,596 | $0 | $222,677 | $0 | $0 | $0 |
| MARGARET LINKA | ||||||||||||||
| CRNA | $218,669 | $0 | $0 | $0 | $3,740 | $0 | $3,693 | $0 | $7,713 | $0 | $233,815 | $0 | $0 | $0 |
| ELLEN HAZEL | ||||||||||||||
| CRNA | $190,906 | $0 | $0 | $0 | $1,290 | $0 | $3,807 | $0 | $16,968 | $0 | $212,971 | $0 | $0 | $0 |
| JOHN RIEDEL JR | ||||||||||||||
| CRNA | $177,066 | $0 | $0 | $0 | $300 | $0 | $3,546 | $0 | $21,596 | $0 | $202,508 | $0 | $0 | $0 |
| SANDY CASEY | ||||||||||||||
| CRNA | $180,145 | $0 | $0 | $0 | $450 | $0 | $3,630 | $0 | $21,596 | $0 | $205,821 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 5 | FormAndLineReferenceDesc |
| Explanation | INCENTIVES FOR THE CEO AND CFO ARE BASED ON MEETING THE CRITERIA ON THE KEY PERFORMANCE INDICATOR BALANCED SCORECARD. THE CRITERIA INCLUDE SIX FINANCIAL PERFORMANCE MEASURES, FIVE QUALITY MEASUREMENTS, CERTIFICATIONS, AND SPECIALTY DESIGNATIONS. THE INCENTIVE PAYMENTS ARE CALULATED USING SET FORMULAS WITH A MEASUREABLE THRESHOLD, TARGET AMOUNT, AND MAXIMUM AMOUNT. THE RECIPIENTS OF PAYMENTS UNDER THIS PROGRAM FOR CALENDAR YEAR 2014 ARE LISTED BELOW. J. GENE FAILE, CEO $55,394 SANDY SHEPPARD, CNO 23,230 BARRY WALD, CFO 15,882 | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| REBA GARLOCK | |||
| FAMILY MEMBER OF DIRECTOR | $44,944 | COMPENSATION FOR EMPLOYMENT AS PATIENT ACCESS MANAGER. | 0 |
| (no name) | |||
| 0 | |||
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1 | THE EXECUTIVE COMMITTEE SHALL BE COMPOSED OF THE CHAIRMAN OF THE BOARD (WHO SHALL ALSO SERVE AS CHAIRMAN OF THE COMMITTEE) AND THE VICE CHAIRMEN. THE EXECUTIVE COMMITTEE SHALL MEET AS NECESSARY. A MAJORITY OF THE EXECUTIVE COMMITTEE SHALL CONSTITUTE A QUORUM, AND A MAJORITY OF THE MEMBERS PRESENT SHALL BE REQUIRED TO TAKE ACTION ON ANY MATTER. THE RESPONSIBILITIES OF THE EXECUTIVE COMMITTEE SHALL INCLUDE, BUT NOT BE LIMITED TO: (A) PARTICIPATION IN THE JOINT CONFERENCE COMMITTEE; (B) LONG RANGE PLANNING; (C) ACQUISITIONS; AND (D) BUSINESS DEVELOPMENT; (E) SETTING GOALS FOR AND EVALUATING THE CEO, CFO, AND CNO, AND (F) APPROVAL OF THE COMPENSATION OF THE CEO, CFO, AND CNO. IN THE EVENT IMMEDIATE BOARD ACTION IS REQUIRED TO AVOID SUBSTANTIAL HARM AND A QUORUM OF THE FULL BOARD CANNOT TIMELY BE CONVENED, THE EXECUTIVE COMMITTEE IS AUTHORIZED TO APPROVE EMERGENCY ACTION; PROVIDED, HOWEVER THAT SUCH ACTION SHALL BE REPORTED TO THE FULL BOARD TO SEEK RATIFICATION OF THE ACTION AT A SPECIAL MEETING CALLED FOR THAT PURPOSE. |
| FORM 990, PART VI, SECTION A, LINE 3 | ON FEBRUARY 7, 2007, THE HOSPITAL SYSTEM ENTERED INTO A SERVICES AND AFFILIATION AGREEMENT WITH THE CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY D/B/A CAROLINAS HEALTHCARE SYSTEM (CHS). THE AGREEMENT APPOINTS CAROLINAS HEALTHCARE SYSTEM AS THE MANAGER OF THE HOSPITAL SYSTEM. THE BOARD OF WILKES REGIONAL MEDICAL CENTER (WRMC) CONTINUES TO OVERSEE THE OPERATIONS OF THE HEALTHCARE FACILITY AND RELATED EXEMPT ACTIVITIES. AS PART OF THE AGREEMENT, WRMC GRANTS CHS THE RESPONSIBILITY FOR MANAGEMENT OF THE HEALTH SYSTEM, SUBJECT TO THE GENERAL APPROVAL OF THE BOARD OF DIRECTORS OF WRMC. BOARD APPROVAL IS REQUIRED FOR LARGE CAPITAL EXPENDITURES, SALE OR DISPOSAL OF SYSTEM ASSETS, AND BORROWING IN EXCESS OF IMMATERIAL AMOUNTS. CHS IS REQUIRED TO PROVIDE KEY MANAGEMENT PERSONNEL. WRMC REIMBURSES CHS THE SALARY AND BENEFITS COST OF THESE INDIVIDUALS. DURING 2014, THESE INDIVIDUALS INCLUDED GENE FAILE, CEO; BARRY WALD, CFO; AND SANDY SHEPPARD, CNO. COMPENSATION DETAILS FOR THESE INDIVIDUALS ARE INCLUDED IN PART VII, SECTION A. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND REVIEWED BY MANAGEMENT. BOARD MEMBERS RECEIVED A COPY OF THE RETURN FOR PERSONAL REVIEW PRIOR TO FILING WITH THE IRS. THE ORGANIZATION'S EXECUTIVE COMMITTEE AND FINANCE COMMITTEE REVIEWED AND DISCUSSED THE FORM 990 WITH MANAGEMENT PRIOR TO SUBMISSION WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | WHENEVER A BOARD MEMBER MAKES A DISCLOSURE REGARDING A CONFLICT OF INTEREST, OR INFORMATION CONCERNING A POTENTIAL CONFLICT OF INTEREST COMES TO THE ATTENTION OF THE BOARD, THE BOARD MEMBER INVOLVED MAY BE REQUIRED TO PROVIDE FURTHER INFORMATION AND TO WITHDRAW FROM THE MEETING FOR A DISCUSSION AND RECOMMENDATION OR DECISION REGARDING THE CONFLICT. BOARD MEMBERS, AT LEAST ANNUALLY, SHALL INDICATE IN WRITING THAT THEY ARE FAMILIAR WITH THIS ARTICLE REGARDING CONFLICTS OF INTEREST AND THAT THEY HAVE NOT VIOLATED ANY OF ITS PROVISIONS. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION UTILIZES AN INDEPENDENT THIRD PARTY COMPENSATION CONSULTANT TO PROVIDE COMPENSATION BENCHMARKING DATA FOR NUMEROUS KEY POSITIONS INCLUDING CEO, CFO AND CNO. THE BOARD USES THIS DATA DURING AN ANNUAL REVIEW AND APPROVAL PROCESS. ALSO, THE BOARD OF DIRECTORS PERFORMS AN ANNUAL ANALYSIS OF WAGE INCREASES OFFERED TO OTHER EMPLOYEES. |
| FORM 990, PART VI, SECTION C, LINE 18 | THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | EQUITY TRANSFER TO AFFILIATE WILKES PHYSICIAN NETWORK -2,339,253. |
| PART XII, LINE 2C | THIS PROCESS HAS NOT CHANGED FROM PRIOR YEARS. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILKES PHYSICIAN NETWORK INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1370 WEST D STREET | AddressLine1Txt |
| City | NORTH WILKES | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28659 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | PHYSICIAN PRACTICES | PrimaryActivitiesTxt |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | 3 | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WRMC HOSPITAL OPERATING CORPORATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| WILKES PHYSICIAN NETWORK INC | ||
| P | $2,339,308 | EQUITY TRANSFER |
| WILKES PHYSICIAN NETWORK INC | ||
| D | $16,311,109 | BALANCE OF A/R |
| WILKES PHYSICIAN NETWORK INC | ||
| J | $63,909 | FMV |
Comments