HEALTHCARE FOUNDATION OF WILSON: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- HEALTHCARE FOUNDATION OF WILSON (EIN 56-6024172)
- Tax period
- 2013-10-01 to 2014-09-30
- Filed
- 2015-11-06
- IRS object ID
- 201503109349301705
- Schema version
- 2013v4.0
- 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 C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule N
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-11-06T13:29:34-06:00 | ReturnTs |
| Tax Period End | 2014-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 420714325 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCGLADREY LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 NORTH 3RD STREET FIFTH FLOOR | AddressLine1 |
| City | WILMINGTON | City |
| State | NC | State |
| ZIP Code | 28401 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 566024172 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILSON MEDICAL CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WILS | BusinessNameControlTxt |
| Phone | 2522812105 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 3697 | AddressLine1 |
| City | WILSON | City |
| State | NC | State |
| ZIP Code | 27895 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DENISE O'HARA | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 2522812105 | PhoneNum |
| Signature | 2015-11-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOHN STANLEY | PreparerPersonNm |
| PTIN | P00881003 | PTIN |
| Phone | 9107629671 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Amended Return | Yes (X) | AmendedReturnInd |
| Principal Officer | DENISE O'HARA | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 3697 | AddressLine1 |
| City | WILSON | City |
| State | NC | State |
| ZIP Code | 27895 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $195,374,977 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HEALTHCAREFOUNDATIONOFWILSON.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1964 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | TO DELIVER QUALITY HEALTH CARE FOR THE PEOPLE OF WILSON COUNTY AND NEIGHBORING COMMUNITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 1374 | TotalEmployeeCnt |
| Total Volunteers | 158 | TotalVolunteersCnt |
| Total Gross UBI | $49,175 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$1,401 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $98,115 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $162,304,285 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $65,585,788 | CYProgramServiceRevenueAmt |
| PY Investment Income | $7,923,289 | PYInvestmentIncomeAmt |
| CY Investment Income | $8,415,062 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $1,442,608 | CYOtherRevenueAmt |
| PY Total Revenue | $170,325,689 | PYTotalRevenueAmt |
| CY Total Revenue | $75,443,458 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $7,959 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $30,600 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $67,497,921 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $48,986,211 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $96,881,748 | PYOtherExpensesAmt |
| CY Other Expenses | $64,933,451 | CYOtherExpensesAmt |
| PY Total Expenses | $164,387,628 | PYTotalExpensesAmt |
| CY Total Expenses | $113,950,262 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,938,061 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$38,506,804 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $229,516,205 | TotalAssetsBOYAmt |
| Total Assets EOY | $148,214,014 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $57,048,457 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $8,228,863 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $172,467,748 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $139,985,151 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | WILSON MEDICAL CENTER, INC. DELIVERS QUALITY HEALTH CARE FOR THE PEOPLE OF WILSON COUNTY AND NEIGHBORING COMMUNITIES. IN KEEPING WITH OUR COMMITMENT TO SERVE ALL PEOPLE OF OUR COMMUNITY, WE RECOGNIZE THAT NOT ALL INDIVIDUALS CAN PURCHASE ESSENTIAL MEDICAL SERVICES. THEREFORE, FREE AND/OR SUBSIDIZED CARE, CARE PROVIDED TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST, HEALTH PROGRAMS AND ACTIVITIES ARE CONSIDERED WHERE THE NEED AND/OR INDIVIDUAL'S INABILITY TO PAY COEXISTS. SUCH ACTIVITIES AVAILABLE TO THE COMMUNITY INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, SPECIAL PROGRAMS FOR UNDERSERVED AUDIENCES AND A BROAD RANGE OF SUPPORT THROUGH MANY MORE COMMUNITY SERVICE EVENTS AND ACTIVITIES. | MissionDesc |
| Significant New Program Srvc | Yes (1) | SignificantNewProgramSrvcInd |
| Significant Change | Yes (1) | SignificantChangeInd |
| Expense | $104,196,982 | ExpenseAmt |
| Revenue | $65,549,179 | RevenueAmt |
| Desc | WILSON MEDICAL CENTER, INC. SERVED 2,855 INPATIENTS AND RECEIVED MORE THAN 33,587 VISITS FOR HEALTHCARE SERVICES PROVIDED ON AN OUTPATIENT BASIS AND 19,134 VISITS FOR EMERGENCY SERVICES. REIMBURSEMENT FROM GOVERNMENT SOURCES FOR MEDICARE AND MEDICAID PATIENTS WAS $1.7 MILLION LESS THAN THE COST OF PROVIDING THOSE SERVICES. THE COST OF SERVICES DEEMED CHARITY CARE (FOR THOSE UNABLE TO PAY) WAS $1.7 MILLION AND BAD DEBTS (FOR THOSE UNWILLING TO PAY) WAS $6.6 MILLION. COMMUNITY BENEFIT/HEALTH PROGRAMS COST THE HOSPITAL $3.6 MILLION. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,065,724 | ExpenseAmt |
| Grant | $30,600 | GrantAmt |
| Desc | TO SUPPORT PROGRAMS THAT FOSTER THE DELIVERY, QUALITY, OR AFFORDABILITY OF HEALTH CARE OR HEALTH CARE-RELATED SERVICES AND TO SUPPORT ANY ACTIVITY DESIGNED AND CARRIED ON TO SERVE THE GENERAL HEALTH AND WELL-BEING OF THE COMMUNITY. TO AID IN THE INSTRUCTION AND PROMOTION OF RESEARCH AND SCIENTIFIC INVESTIGATION IN ALL BRANCHES OF MEDICINE AND SURGERY AND THE GENERAL HEALTH AND WELL-BEING OF THE COMMUNITY. TO SUPPORT ANY EDUCATIONAL ACTIVITIES RELATED TO THE CARE OF THE SICK AND DISABLED, THE PROMOTION OF HEALTH AND PREVENTATIVE MEDICINE, AND THE GENERAL HEALTH AND WELL-BEING OF THE COMMUNITY. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $105,262,706 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | 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 | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (1) | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | 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 | Yes (1) | 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 | 0 | 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 | Yes (1) | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 168 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1374 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| 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 | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | 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 | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | NC | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTHCARE FOUNDATION OF WILSON | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2522812105 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 3697 | AddressLine1 |
| City | WILSON | City |
| State | NC | State |
| ZIP Code | 27895 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|
| CARLETHA WARD | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CARROLL COLEMAN | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| FRANK BATTEN DVM | ||||||||
| CHAIRMAN | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| GEORGE ISAACS MD | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| HUITTT MATTOX MD | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JEROME VICK | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JERRY WOODARD MD | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN ANTHONY | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN TILTON | ||||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JONATHON DEWALD MD | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| KEITH LERRO MD | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| LEESA LAWRENCE MD | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| PAGE THOMAS SMITH | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| REV WILLIAM M PRESNELL | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SHERYLETTA LACEWELL | ||||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| THOMAS LUCAS | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| TOMMY SHINGLETON III | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| VANCE FORBES | ||||||||
| VICE CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CATHERINE RHYNE | ||||||||
| VP CLINICAL SERVICE | 40.00 | $171,992 | $0 | $22,300 | Yes (X) | |||
| DENISE O'HARA | ||||||||
| VP HUMAN RESOURCES | 40.00 | $200,326 | $0 | $29,557 | Yes (X) | |||
| LYNN LAMBERT | ||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | $228,647 | $0 | $30,430 | Yes (X) | |||
| MELINDA K LAIRD | ||||||||
| PAST VP OF CLINICAL SERVICE | 40.00 | $173,630 | $0 | $5,414 | Yes (X) | |||
| RICHARD HUDSON | ||||||||
| PRESIDENT | 40.00 | $410,477 | $0 | $30,115 | Yes (X) | |||
| RICK GUARINO MD | ||||||||
| VP MEDICAL AFFAIRS | 40.00 | $292,467 | $0 | $28,433 | Yes (X) | |||
| BENJAMIN M THOMAS | ||||||||
| NEUROLOGIST | 40.00 | $309,789 | $0 | $18,230 | Yes (X) | |||
| FERNANDO X CASTRO | ||||||||
| PHYSICIAN | 40.00 | $194,362 | $0 | $21,874 | Yes (X) | |||
| KENNETH LEE JOHNSON | ||||||||
| OTOLARYNGOLOGIST | 40.00 | $349,193 | $0 | $23,561 | Yes (X) | |||
| LOUIS V ANTIGNANO | ||||||||
| GASTROENTEROLOGIST | 40.00 | $443,931 | $0 | $12,845 | Yes (X) | |||
| NADINE SKINNER | ||||||||
| PHYSICIAN | 40.00 | $167,846 | $0 | $12,066 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,942,660 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $234,825 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 33 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CC STAFFING INC | |||||
| PO BOX 404674 | ATLANTA | GA | 30384 | CONTRACT STAFFING | $3,489,610 |
| VIDANT HEALTH | |||||
| 600 MEDICAL DRIVE | GREENVILLE | NC | 27834 | HOSPITALIST | $2,689,476 |
| AMERICAN RED CROSS - WILSON CHAPTER | |||||
| PO BOX 905890 | CHARLOTTE | NC | 28290 | BLOOD PRODUCT PROCESSING | $1,418,434 |
| AMERICAN ANESTHESIOLOGY OF NC | |||||
| 3100 SPRING FOREST ROAD - SUITE 130 | RALEIGH | NC | 27616 | ANESTHESIA PROVIDER | $1,275,610 |
| MEDICAL SOLUTIONS INC | |||||
| 9101 WESTERN AVE SUITE 101 | OMAHA | NE | 68114 | CONTRACT STAFFING | $800,846 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 31 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT REVENUE | 621110 | $64,323,788 | $64,323,788 | |
| FOOD & NUTRITION | 621110 | $483,907 | $483,907 | |
| PARTNERSHIP INCOME RELATED TO PRO | 621110 | $112,065 | $112,065 | |
| OUTSIDE LAB & RADIOLOGY | 621500 | $53,245 | $53,245 | |
| PARTNERSHIP LOSS | 541900 | -$4,070 | -$4,070 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $616,853 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $616,853 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $65,585,788 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,510,824 | TotalRevenueColumnAmt |
| Exclusion | $2,510,824 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $63,269,082 | SecuritiesAmt |
| Other | $62,566,675 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $57,377,410 | SecuritiesAmt |
| Other | $62,554,109 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,891,672 | SecuritiesAmt |
| Other | $12,566 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,904,238 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,566 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $5,891,672 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| GAIN ON OPS. OF DISCONTINUED | 621110 | $1,284,406 | $1,284,406 |
| WORKERS COMP | 621110 | $113,636 | $113,636 |
| OTHER REVENUE | 621110 | $44,566 | $44,566 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,442,608 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $75,443,458 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $65,549,179 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $49,175 | UnrelatedBusinessRevenueAmt |
| Exclusion | $9,845,104 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,600 | TotalAmt |
| Program Services | $30,600 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,192,869 | TotalAmt |
| Program Services | $435,738 | ProgramServicesAmt |
| Management And General | $757,131 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,572,179 | TotalAmt |
| Program Services | $21,223,404 | ProgramServicesAmt |
| Management And General | $1,348,775 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,828,896 | TotalAmt |
| Program Services | $20,524,535 | ProgramServicesAmt |
| Management And General | $1,304,361 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,892,086 | TotalAmt |
| Program Services | $1,779,027 | ProgramServicesAmt |
| Management And General | $113,059 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,500,181 | TotalAmt |
| Program Services | $1,410,539 | ProgramServicesAmt |
| Management And General | $89,642 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,970 | TotalAmt |
| Management And General | $73,970 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $686,097 | TotalAmt |
| Management And General | $686,097 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,185,296 | TotalAmt |
| Program Services | $2,064,545 | ProgramServicesAmt |
| Management And General | $1,120,751 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $144,901 | TotalAmt |
| Management And General | $144,901 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $441,658 | TotalAmt |
| Program Services | $307,611 | ProgramServicesAmt |
| Management And General | $134,047 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $355,015 | TotalAmt |
| Program Services | $66,692 | ProgramServicesAmt |
| Management And General | $288,323 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,117,423 | TotalAmt |
| Program Services | $1,050,653 | ProgramServicesAmt |
| Management And General | $66,770 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,867 | TotalAmt |
| Program Services | $38,579 | ProgramServicesAmt |
| Management And General | $3,288 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,327 | TotalAmt |
| Program Services | $42,361 | ProgramServicesAmt |
| Management And General | $1,966 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $708,000 | TotalAmt |
| Management And General | $708,000 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,000 | TotalAmt |
| Program Services | $54,000 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,825,000 | TotalAmt |
| Program Services | $3,825,000 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,452,134 | TotalAmt |
| Management And General | $1,452,134 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| LOSS ON SALE OF DISCONT | $18,178,414 | $18,178,414 |
| BAD DEBT EXPENSE | $16,069,402 | $16,069,402 |
| MEDICAL SUPPLIES | $8,149,421 | $8,149,421 |
| LOSS ON BOND DEFEASANCE | $4,520,077 | $4,520,077 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,886,449 | TotalAmt |
| Program Services | $5,492,108 | ProgramServicesAmt |
| Management And General | $394,341 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $113,950,262 | TotalAmt |
| Program Services | $105,262,706 | ProgramServicesAmt |
| Management And General | $8,687,556 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,262,830 | BOYAmt |
| EOY | $6,545,400 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,598 | BOYAmt |
| EOY | $11,751,223 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,152,520 | BOYAmt |
| EOY | $1,063,261 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,722,378 | BOYAmt |
| EOY | $4,958,049 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,830,714 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,521,308 | BOYAmt |
| EOY | $83,952 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $34,446 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $26,845 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,843,545 | BOYAmt |
| EOY | $7,601 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $108,141,459 | BOYAmt |
| EOY | $108,318,292 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $264,282 | BOYAmt |
| EOY | $14,907,003 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,770,571 | BOYAmt |
| EOY | $579,233 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $229,516,205 | BOYAmt |
| EOY | $148,214,014 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,493,104 | BOYAmt |
| EOY | $6,913,797 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,796,796 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,758,557 | BOYAmt |
| EOY | $1,315,066 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,048,457 | BOYAmt |
| EOY | $8,228,863 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $172,467,748 | BOYAmt |
| EOY | $139,985,151 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $172,467,748 | BOYAmt |
| EOY | $139,985,151 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $229,516,205 | BOYAmt |
| EOY | $148,214,014 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$38,506,804 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,139,232 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | $211 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $4,884,764 | 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 |
Form990 Schedule A Part IV Form990ScheduleAPartIVGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE A, PART 1, LINE 3 | FormAndLineReferenceDesc |
| Explanation | EFFECTIVE MARCH 1, 2014, WILSON MEDICAL CENTER, INC. AND WILMED GENERATIONS, INC. ENTERED INTO AN AGREEMENT WITH DLP HEALTHCARE, LLC TO FORM A JOINT VENTURE, DLP WILSON HOLDING COMPANY, LLC, THAT WOULD OPERATE THE HOSPITAL AND NURSING HOME PREVIOUSLY OWNED AND OPERATED BY WILSON MEDICAL CENTER, INC. AND WILMED GENERATIONS, INC. WILSON MEDICAL CENTER, INC. CEASED DIRECTLY PROVIDING HEALTH CARE SERVICES AFTER FEBRUARY 28, 2014, AND IS PROVIDING MEDICAL SERVICES INDIRECTLY THROUGH THE JOINT VENTURE. EFFECTIVE OCTOBER 1, 2014, WILSON MEDICAL CENTER, INC. CHANGED ITS NAME TO HEALTHCARE FOUNDATION OF WILSON (THE "FOUNDATION"). THE GOVERNING DOCUMENTS OF THE JOINT VENTURE REQUIRE THAT THE JOINT VENTURE OPERATE THE HOSPITAL IN A MANNER AS TO SATISFY THE CHARITABLE PURPOSES GENERALLY REQUIRED OF HOSPITALS RECOGNIZED AS EXEMPT UNDER SECTION 501(C)(3) OF THE CODE, INCLUDING THAT THE HOSPITAL ACCEPT MEDICARE AND MEDICAID PATIENTS, MAINTAIN AN EMERGENCY DEPARTMENT THAT ACCEPTS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY, ADOPT THE CHARITY CARE POLICIES UTILIZED BY WILSON MEDICAL CENTER, INC. PRIOR TO THE TRANSFER OF THE HOSPITAL TO THE JOINT VENTURE, AND COMPLY WITH THE REQUIREMENTS OF SECTION 501(R) OF THE CODE REGARDING CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES AND THE CONDUCTING OF COMMUNITY HEALTH NEEDS ASSESSMENTS. THE GOVERNING DOCUMENTS OF THE JOINT VENTURE INCLUDE PROVISIONS WHICH PROVIDE THE FOUNDATION, THROUGH ITS REPRESENTATIVES ON THE GOVERNING BODY OF THE JOINT VENTURE, WITH THE POWER TO ENFORCE COMPLIANCE WITH THESE CHARITABLE HOSPITAL REQUIREMENTS. WILSON MEDICAL CENTER, INC. WAS ALSO A "PUBLIC HOSPITAL" PURSUANT TO CHAPTER 131E, ARTICLE 2, OF THE NORTH CAROLINA GENERAL STATUTES (THE "PUBLIC HOSPITAL STATUTES"). THE PUBLIC HOSPITAL STATUTES AT THE TIME OF THE CREATION OF THE JOINT VENTURE REQUIRED THAT ANY TRANSFER OF A PUBLIC HOSPITAL FACILITY MUST BE MADE TO A CORPORATION, AND THE PUBLIC HOSPITAL STATUTES DID NOT PERMIT THE TRANSFER OF A PUBLIC HOSPITAL FACILITY TO A LIMITED LIABILITY COMPANY. WITH THE CREATION OF THIS JOINT VENTURE IN MIND, THE NORTH CAROLINA GENERAL ASSEMBLY PASSED A TECHNICAL CORRECTIONS STATUTE WHICH ENABLED THE TRANSFER OF A PUBLIC HOSPITAL FACILITY TO BE MADE TO A LIMITED LIABILITY COMPANY AS WELL AS TO A CORPORATION. THE EFFECTIVE DATE OF THE NORTH CAROLINA GENERAL ASSEMBLY'S CHANGE TO THE PUBLIC HOSPITAL STATUTE WAS OCTOBER 1, 2014, WHICH WAS AFTER THE CREATION OF THE JOINT VENTURE. IN ORDER TO COMPLY WITH THE REQUIREMENTS OF THE PUBLIC HOSPITAL STATUTE AT THAT TIME, THE HOSPITAL FACILITY WAS TRANSFERRED TO DLP WILSON MEDICAL CENTER, INC., WHICH WAS WHOLLY OWNED BY THE JOINT VENTURE, WITH THE INTENTION THAT DLP WILSON MEDICAL CENTER, INC., WOULD BE CONVERTED TO A LIMITED LIABILITY COMPANY AFTER THE ENACTMENT OF THE NORTH CAROLINA GENERAL ASSEMBLY'S TECHNICAL CORRECTION TO THE NORTH CAROLINA PUBLIC HOSPITAL STATUTES, AND THE CONVERSION WAS COMPLETED EFFECTIVE ON DECEMBER 31, 2014. AFTER THE CONVERSION OF DLP WILSON MEDICAL CENTER, INC., TO A LIMITED LIABILITY COMPANY, IT WAS TREATED AS A DISREGARDED ENTITY FOR FEDERAL TAX PURPOSES, AND THE JOINT VENTURE IS TREATED AS OPERATING THE HOSPITAL DIRECTLY. THE NORTH CAROLINA PUBLIC HOSPITAL STATUTES ALSO REQUIRE THAT THE JOINT VENTURE, AS THE TRANSFEREE OF THE PUBLIC HOSPITAL FACILITY, CONTINUE TO PROVIDE THE SAME HOSPITAL SERVICES, INDIGENT CARE, FINANCIAL ASSISTANCE POLICIES, AND MEDICARE AND MEDICAID SERVICES AS WERE PROVIDED BY WILSON MEDICAL CENTER, INC. PRIOR TO THE TRANSFER, AND THE JOINT VENTURE IS REQUIRED TO PROVIDE AN ANNUAL REPORT THAT SHOWS COMPLIANCE WITH THIS REQUIREMENT. FAILURE TO COMPLY WITH THIS REQUIREMENT WILL CAUSE THE HOSPITAL FACILITY TO REVERT TO WILSON COUNTY. | ExplanationTxt |
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 | $17,079 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $17,079 | 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 | NORTH CAROLINA HOSPITAL ASSOCIATION MEMBERSHIP DUES (LOBBYING 27.14% X $35,000 = $9,499) AMERICAN HOSPITAL ASSOCIATION MEMBERSHIP DUES (LOBBYING 23.65% X $32,051 = $7,580) | ExplanationTxt |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $34,446 | OtherCostOrOtherBasisAmt |
| Depreciation | $26,845 | DepreciationAmt |
| Book Value | $7,601 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $7,601 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INVESTMENTS | Desc |
| Book Value | $108,318,292 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $108,318,292 | TotalBookValueSecuritiesAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INVESTMENT IN DLP WILSON HOLDING COMPANY, LLC | Desc |
| Book Value | $14,907,003 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $14,907,003 | TotalBookValueProgramRltdAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED UNEMPLOYMENT COMP | $171,792 |
| ACCRUED PAYROLL | $24,076 |
| INSURANCE LIABILITIES | $816,988 |
| DEFERRED COMPENSATION | $302,210 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,315,066 | TotalLiabilityAmt |
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 |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| 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 | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,737,466 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,737,466 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01780 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,248,274 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,248,274 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04340 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,639,546 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $18,639,546 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.19040 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,625,286 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $24,625,286 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.25160 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,056,891 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,056,891 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03120 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $476,665 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $476,665 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00490 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $54,349 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $54,349 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,587,905 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,587,905 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03670 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $28,213,191 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $28,213,191 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.28830 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,636 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $13,636 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,636 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $13,636 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $16,069,402 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $6,618,664 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $19,992,478 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $20,679,083 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$686,605 | 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 | WILSON MEDICAL CENTER INC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 3697 | AddressLine1 |
| City | WILSON | City |
| State | NC | State |
| ZIP Code | 27895 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILSON MEDICAL CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| 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 | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.HEALTHCAREFOUNDATIONOFWILSON.ORG | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | HTTP://WWW.WILSON-CO.COM/85/HEALTH-DEPARTMENT | OtherWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | Yes (1) | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Attached To Invoice | Yes (X) | AttachedToInvoiceInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| 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 |
| Medicare Rates | Yes (X) | MedicareRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| WILSON MEDICAL CENTER, INC. | PART V, SECTION B, LINE 3: WILSON MEDICAL CENTER WAS A PART OF COMMUNITY-BASED ASSESSMENT CONDUCTED BY THE WILSON COUNTY COMMUNITY HEALTH ASSESSMENT TEAM. THE HEALTH ASSESSMENT NEEDS OF THE COMMUNITY WERE DETERMINED BY THE WILSON COUNTY COMMUNITY. IN 2013, 1,000 WILSON COUNTY HEALTH ASSESSMENT SURVEYS WERE DISTRIBUTED THROUGHOUT THE COUNTY. FIVE HUNDRED AND THIRTEEN (513) RESIDENTS COMPLETED AND RETURNED THE SURVEY. THE DATA WAS COMPILED AND FORMAL PRESENTATIONS WERE MADE TO THE WILSON COUNTY BOARD OF HEALTH AND WILSON MEDICAL CENTER HOSPITAL BOARD OF DIRECTORS. EACH TEAM MEMBER WAS PROVIDED WITH THE OPPORTUNITY TO VOTE ON THE TOP THREE (3) CONCERNS OF THE COMMUNITY OUT OF THE TOP TEN (10) CONCERNS. THE SURVEY WAS ANALYZED BY SURVEY MONKEY. THE WILSON COUNTY BOARD OF HEALTH INCLUDED DR. WILLIAM BOLES, III, DDS, DR. ERNESTINE FITCH, MD, DR. MARIE GLENNON, DVM, MICHAEL LAMONDS, GEORGE LEACH, THOMAS LUCAS, DR. JESSICA MCKEE, DR. RUSSELL STONE, OD, RON SUTTON, AND SAMUEL TERUEL-VELEZ. THE WILSON COUNTY BOARD OF DIRECTORS INCLUDED JIM PRIDGEN, PAGE THOMAS SMITH, CARLETHA WARD, CARROLL COLEMAN, WILLIAM BYNUM, IV, MD, JONATHON DEWALD, MD, SHERYLETTA LACEWELL, LEESA LAWRENCE, MD, THOMAS LUCAS, REV. WILLIAM PRESNELL, TOMMY SHINGLETON, JOHN TILTON, AND DAVID WEST. |
| WILSON MEDICAL CENTER, INC. | PART V, SECTION B, LINE 5D: A COPY OF THE CHNA IS AVAIABLE ON THE PUBLIC HEALTH DEPARTMENT'S WEBSITE AT HTTP://PUBLICHEALTH.NC.GOV/LHD/CHA/DOCS/CHAREPORTS/2011/2011-WILSONCHA.PDF. THE CHNA WAS ALSO REPORTED IN THE LOCAL NEWSPAPER AND IN THE LOCAL LIBRARIES WITHIN WILSON COUNTY, NC. |
| WILSON MEDICAL CENTER, INC. | PART V, SECTION B, LINE 7: WILSON MEDICAL CENTER REVIEWED THE HEALTHCARE NEEDS AND THREE PRIORITY AREAS WERE IDENTIFIED. THEY ARE 1) ACCESS TO CARE, 2) OBESITY, AND 3) SUBSTANCE ABUSE. ACTION PLANS ARE IN PLACE TO ADDRESS THESE NEEDS. OTHER BEHAVIORAL, AT-RISK BEHAVIOR IDENTIFIED IN THE CHNA, SUCH AS GANG VIOLENCE HAS BEEN ADDRESSED BY LAW ENFORCEMENT, AS THEY ARE EQUIPPED AND TRAINED TO DEAL WITH THIS ISSUE. THE ORGANIZATION WILL PROVIDE SUPPORT TO THE LAW ENFORCEMENT DEPARTMENTS AS NEEDED. |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | ELIGIBILITY IS GENERALLY DETERMINED BY MEASURING THE GROSS FAMILY INCOME AGAINST THE FEDERAL POVERTY INCOME GUIDELINES. IN ADDITION, OTHER RELEVENT NON-INCOME RESOURCES, INCLUDING BUT NOT LIMITED TO REAL ESTATE, SAVINGS, LIFE INSURANCE, MOTOR VEHICLES, ETC., WILL BE CONSIDERED IN REACHING A DETERMINATION OF ELIGIBILITY. ELIGIBILITY GUIDELINES WILL ALSO TAKE INTO CONSIDERATION CATASTROPHIC EVENTS FOR PATIENTS WHOSE INCOME FALLS OUTSIDE THE GUIDELINES. PATIENTS WHOSE GROSS INCOME IS LESS THAN THREE TIMES THE FEDERAL POVERTY INCOME GUIDELINES MAY BE ELIGIBLE FOR REDUCED MONTHLY PAYMENTS OR UNCOMPENSATED SERVICES IN PART OR IN FULL. |
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 16,069,402. |
| PART I, LINE 6A: | NORTH CAROLINA HOSPITAL ASSOCIATION. SEE WWW.NCHA.ORG. |
| FORM 990, SCHEDULE H | EFFECTIVE MARCH 1, 2014, WILSON MEDICAL CENTER, INC. AND WILMED GENERATIONS, INC. ENTERED INTO AN AGREEMENT WITH DLP HEALTHCARE, LLC TO FORM A JOINT VENTURE, DLP WILSON HOLDING COMPANY, LLC, THAT WOULD OPERATE THE HOSPITAL AND NURSING HOME PREVIOUSLY OWNED AND OPERATED BY WILSON MEDICAL CENTER, INC. AND WILMED GENERATIONS, INC. WILSON MEDICAL CENTER, INC. CEASED DIRECTLY PROVIDING HEALTH CARE SERVICES AFTER FEBRUARY 28, 2014, AND IS PROVIDING MEDICAL SERVICES INDIRECTLY THROUGH THE JOINT VENTURE. EFFECTIVE OCTOBER 1, 2014, WILSON MEDICAL CENTER, INC. CHANGED ITS NAME TO HEALTHCARE FOUNDATION OF WILSON (THE "FOUNDATION"). THE GOVERNING DOCUMENTS OF THE JOINT VENTURE REQUIRE THAT THE JOINT VENTURE OPERATE THE HOSPITAL IN A MANNER AS TO SATISFY THE CHARITABLE PURPOSES GENERALLY REQUIRED OF HOSPITALS RECOGNIZED AS EXEMPT UNDER SECTION 501(C)(3) OF THE CODE, INCLUDING THAT THE HOSPITAL ACCEPT MEDICARE AND MEDICAID PATIENTS, MAINTAIN AN EMERGENCY DEPARTMENT THAT ACCEPTS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY, ADOPT THE CHARITY CARE POLICIES UTILIZED BY WILSON MEDICAL CENTER, INC. PRIOR TO THE TRANSFER OF THE HOSPITAL TO THE JOINT VENTURE, AND COMPLY WITH THE REQUIREMENTS OF SECTION 501(R) OF THE CODE REGARDING CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES AND THE CONDUCTING OF COMMUNITY HEALTH NEEDS ASSESSMENTS. THE GOVERNING DOCUMENTS OF THE JOINT VENTURE INCLUDE PROVISIONS WHICH PROVIDE THE FOUNDATION, THROUGH ITS REPRESENTATIVES ON THE GOVERNING BODY OF THE JOINT VENTURE, WITH THE POWER TO ENFORCE COMPLIANCE WITH THESE CHARITABLE HOSPITAL REQUIREMENTS. WILSON MEDICAL CENTER, INC. WAS ALSO A "PUBLIC HOSPITAL" PURSUANT TO CHAPTER 131E, ARTICLE 2, OF THE NORTH CAROLINA GENERAL STATUTES (THE "PUBLIC HOSPITAL STATUTES"). THE PUBLIC HOSPITAL STATUTES AT THE TIME OF THE CREATION OF THE JOINT VENTURE REQUIRED THAT ANY TRANSFER OF A PUBLIC HOSPITAL FACILITY MUST BE MADE TO A CORPORATION, AND THE PUBLIC HOSPITAL STATUTES DID NOT PERMIT THE TRANSFER OF A PUBLIC HOSPITAL FACILITY TO A LIMITED LIABILITY COMPANY. WITH THE CREATION OF THIS JOINT VENTURE IN MIND, THE NORTH CAROLINA GENERAL ASSEMBLY PASSED A TECHNICAL CORRECTIONS STATUTE WHICH ENABLED THE TRANSFER OF A PUBLIC HOSPITAL FACILITY TO BE MADE TO A LIMITED LIABILITY COMPANY AS WELL AS TO A CORPORATION. THE EFFECTIVE DATE OF THE NORTH CAROLINA GENERAL ASSEMBLY'S CHANGE TO THE PUBLIC HOSPITAL STATUTE WAS OCTOBER 1, 2014, WHICH WAS AFTER THE CREATION OF THE JOINT VENTURE. IN ORDER TO COMPLY WITH THE REQUIREMENTS OF THE PUBLIC HOSPITAL STATUTE AT THAT TIME, THE HOSPITAL FACILITY WAS TRANSFERRED TO DLP WILSON MEDICAL CENTER, INC., WHICH WAS WHOLLY OWNED BY THE JOINT VENTURE, WITH THE INTENTION THAT DLP WILSON MEDICAL CENTER, INC., WOULD BE CONVERTED TO A LIMITED LIABILITY COMPANY AFTER THE ENACTMENT OF THE NORTH CAROLINA GENERAL ASSEMBLY'S TECHNICAL CORRECTION TO THE NORTH CAROLINA PUBLIC HOSPITAL STATUTES, AND THE CONVERSION WAS COMPLETED EFFECTIVE ON DECEMBER 31, 2014. AFTER THE CONVERSION OF DLP WILSON MEDICAL CENTER, INC., TO A LIMITED LIABILITY COMPANY, IT WAS TREATED AS A DISREGARDED ENTITY FOR FEDERAL TAX PURPOSES, AND THE JOINT VENTURE IS TREATED AS OPERATING THE HOSPITAL DIRECTLY. THE NORTH CAROLINA PUBLIC HOSPITAL STATUTES ALSO REQUIRE THAT THE JOINT VENTURE, AS THE TRANSFEREE OF THE PUBLIC HOSPITAL FACILITY, CONTINUE TO PROVIDE THE SAME HOSPITAL SERVICES, INDIGENT CARE, FINANCIAL ASSISTANCE POLICIES, AND MEDICARE AND MEDICAID SERVICES AS WERE PROVIDED BY WILSON MEDICAL CENTER, INC. PRIOR TO THE TRANSFER, AND THE JOINT VENTURE IS REQUIRED TO PROVIDE AN ANNUAL REPORT THAT SHOWS COMPLIANCE WITH THIS REQUIREMENT. FAILURE TO COMPLY WITH THIS REQUIREMENT WILL CAUSE THE HOSPITAL FACILITY TO REVERT TO WILSON COUNTY. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | THE "WILSON CHAMBER OF COMMERCE" PROGRAM PROVIDES FOR THE DEVELOPMENT AND GROWTH OF THE CITY OF WILSON, NORTH CAROLINA. |
| PART III, LINE 4: | THE WILSON MEDICAL CENTER, INC. PROVIDES SERVICES TO THE RESIDENTS OF WILSON AND SURROUNDING COUNTIES WITHOUT COLLATERAL. AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS PROVIDED IN AN AMOUNT EQUAL TO THE ESTIMATED LOSSES TO BE INCURRED IN COLLECTION OF THE RECEIVABLES. |
| PART III, LINE 8: | COSTS ARE DETERMINED USING THE STEP-DOWN METHODOLOGY FROM THE MEDICARE COST REPORT. |
| PART III, LINE 9B: | PATIENTS IDENTIFIED AS QUALIFYING FOR CHARITY CARE HAVE THEIR ACCOUNTS ADJUSTED OFF AS CHARITY CARE AND ARE NOT SUBJECTED TO COLLECTION EFFORTS. |
| PART VI, LINE 3: | STAFF WORKS DIRECTLY WITH PATIENTS TO PROVIDE AWARENESS OF EXISTING ASSISTANCE AND IN APPLYING FOR ANY APPLICABLE PROGRAMS. |
| PART VI, LINE 4: | BASED ON THE 2013 CENSUS ESTIMATES FOR WILSON COUNTY THERE ARE 81,667 PEOPLE; 31,932 HOUSEHOLDS; AND 21,292 FAMILIES. THE POPULATION DENSITY WAS 220.6 PEOPLE PER SQUARE MILE. THERE WERE 35,514 HOUSING UNITS. THE RACIAL MAKEUP OF THE COUNTY WAS WHITE ALONE (NOT HISPANIC/LATINO), 48.8%; BLACK OR AFRICAN AMERICAN, 39.6%; NATIVE AMERICAN, .5%; ASIAN, 1%; PACIFIC ISLANDER, .1%; HISPANIC OR LATINO, 10%. PEOPLE OF TWO OR MORE RACES ACCOUNTED FOR 1.4%. OF THE 31,932 HOUSEHOLDS, 28.2% FAMILIES WITH CHILDREN OF THEIR OWN WERE UNDER 18 YEARS OLD. 45% OF THEM WERE MARRIED COUPLES LIVING TOGETHER. 16.4% HAD A FEMALE HEAD OF HOUSEHOLD WITH NO HUSBAND PRESENT. 33.3% WERE NON FAMILIES. 11.1% OF THE HOUSEHOLDS WERE MADE UP OF SOMEONE LIVING ALONE WHO IS 65 YEARS OLD AND OLDER. THE AVERAGE HOUSEHOLD SIZE WAS 2.48. THE AVERAGE FAMILY SIZE WAS 3.05. THE 81,667 PEOPLE WERE BROKEN DOWN IN THESE AGE GROUPS: 19,429 WERE UNDER THE AGE OF 18, 7,425 ARE AGED 18 TO 24 YEARS OLD, 19,416 ARE AGED 25 TO 44 YEARS OLD, 22,342 WERE AGED 45 TO 64 YEARS OLD, 13,055 WERE 65 YEARS OLD AND OLDER, AND 1,627 ARE PEOPLE AGED 85 YEARS OLD AND OLDER. THE MEDIAN AGE IS 39.8. OF THE 81,667 PEOPLE, 38,881 WERE MALE AND 42,786 WERE FEMALE. OF THE 62,238 PEOPLE AGED 18 AND OLDER, 28,913 WERE MALE AND 33,325 WERE FEMALE. THE MEDIAN INCOME FOR A HOUSEHOLD IN THE COUNTY WAS $38,398. THE MEDIAN INCOME FOR FAMILY WAS $47,647. MALES HAD A MEDIAN INCOME OF $38,297 VERSUS $30,861 FOR FEMALES. THE PER CAPITA INCOME FOR THE COUNTY WAS $20,671. 17% OF THE FAMILIES IN THE COUNTY LIVE BELOW THE POVERTY LINE. 22.8% OF THE POPULATION LIVES BELOW THE POVERTY LINE. 19.1% OF THOSE OVER THE AGE OF 18 LIVE BELOW THE POVERTY LINE. 12.6% OF THOSE AGED 65 AND OLDER LIVE BELOW THE POVERTY LINE. |
| PART VI, LINE 5: | WILSON MEDICAL CENTER, INC. HAS AN OPEN MEDICAL STAFF. THE BOARD OF DIRECTORS IS COMPRISED OF INDIVIDUALS THAT ARE ACTIVE IN OTHER ORGANIZATIONS IN THE COMMUNITY. SURPLUS FUNDS ARE RE-INVESTED IN THE FACILITY AND EQUIPMENT THAT PROVIDE HEALTHCARE SERVICES. |
| PART VI, LINE 6: | N/A |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILSON COUNTY HEALTH DEPARTMENT | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1801 GLENDALE DRIVE | AddressLine1 |
| City | WILSON | City |
| State | NC | State |
| ZIP Code | 27893 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 566000351 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $30,600 | CashGrantAmt |
| Purpose Of Grant | BREAST AND CERVICAL CANCER CONTROL PROGRAM | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | WILSON MEDICAL CENTER, INC. MAKES GRANTS TO OTHER 501(C)(3) ORGANIZATIONS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| 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 | 0 | 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 (11 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CATHERINE RHYNE | ||||||||||||||
| VP CLINICAL SERVICE | $171,992 | $0 | $0 | $0 | $0 | $0 | $22,300 | $0 | $0 | $0 | $194,292 | $0 | $0 | $0 |
| DENISE O'HARA | ||||||||||||||
| VP HUMAN RESOURCES | $200,326 | $0 | $0 | $0 | $0 | $0 | $23,000 | $0 | $6,557 | $0 | $229,883 | $0 | $0 | $0 |
| LYNN LAMBERT | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $228,647 | $0 | $0 | $0 | $0 | $0 | $22,300 | $0 | $8,130 | $0 | $259,077 | $0 | $0 | $0 |
| MELINDA K LAIRD | ||||||||||||||
| PAST VP OF CLINICAL SERVICE | $173,630 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $5,414 | $0 | $179,044 | $0 | $0 | $0 |
| RICHARD HUDSON | ||||||||||||||
| PRESIDENT | $410,477 | $0 | $0 | $0 | $0 | $0 | $23,000 | $0 | $7,115 | $0 | $440,592 | $0 | $0 | $0 |
| RICK GUARINO MD | ||||||||||||||
| VP MEDICAL AFFAIRS | $292,467 | $0 | $0 | $0 | $0 | $0 | $23,000 | $0 | $5,433 | $0 | $320,900 | $0 | $0 | $0 |
| BENJAMIN M THOMAS | ||||||||||||||
| NEUROLOGIST | $309,789 | $0 | $0 | $0 | $0 | $0 | $10,100 | $0 | $8,130 | $0 | $328,019 | $0 | $0 | $0 |
| FERNANDO X CASTRO | ||||||||||||||
| PHYSICIAN | $194,362 | $0 | $0 | $0 | $0 | $0 | $8,752 | $0 | $13,122 | $0 | $216,236 | $0 | $0 | $0 |
| KENNETH LEE JOHNSON | ||||||||||||||
| OTOLARYNGOLOGIST | $349,193 | $0 | $0 | $0 | $0 | $0 | $17,500 | $0 | $6,061 | $0 | $372,754 | $0 | $0 | $0 |
| LOUIS V ANTIGNANO | ||||||||||||||
| GASTROENTEROLOGIST | $443,931 | $0 | $0 | $0 | $0 | $0 | $5,100 | $0 | $7,745 | $0 | $456,776 | $0 | $0 | $0 |
| NADINE SKINNER | ||||||||||||||
| PHYSICIAN | $167,846 | $0 | $0 | $0 | $0 | $0 | $3,467 | $0 | $8,599 | $0 | $179,912 | $0 | $0 | $0 |
Schedule N IRS990ScheduleN
Disposition Of Assets Detail DispositionOfAssetsDetail (6 entries)
| Assets Distri Or Expnss PaidAssetsDistriOrExpnssPaidDesc | DistributionDistributionDt | Fair Market Value Of AssetFairMarketValueOfAssetAmt | Method Of FMV DeterminationMethodOfFMVDeterminationTxt | EINEIN | Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | IRC SectionIRCSectionTxt |
|---|---|---|---|---|---|---|---|---|---|
| DLP WILSON HOLDING COMPANY LLC | |||||||||
| CASH | 2014-03-01 | $6,213 | ACTUAL COST | 901034226 | 330 SEVEN SPRINGS WAY | BRENTWOOD | TN | 37027 | LIMITED LIABILITY COMPANY |
| DLP WILSON HOLDING COMPANY LLC | |||||||||
| PATIENT ACCOUNT RECEIVABLES | 2014-03-01 | $26,383,709 | NET OF ALLOWANCE | 901034226 | 330 SEVEN SPRINGS WAY | BRENTWOOD | TN | 37027 | LIMITED LIABILITY COMPANY |
| DLP WILSON HOLDING COMPANY LLC | |||||||||
| INVENTORIES | 2014-03-01 | $3,945,620 | ACTUAL COST | 901034226 | 330 SEVEN SPRINGS WAY | BRENTWOOD | TN | 37027 | LIMITED LIABILITY COMPANY |
| DLP WILSON HOLDING COMPANY LLC | |||||||||
| NON-PATIENT RECEIVABLES | 2014-03-01 | $604,917 | NET OF ALLOWANCE | 901034226 | 330 SEVEN SPRINGS WAY | BRENTWOOD | TN | 37027 | LIMITED LIABILITY COMPANY |
| DLP WILSON HOLDING COMPANY LLC | |||||||||
| PREPAID EXPENSES | 2014-03-01 | $1,614,686 | ACTUAL COST | 901034226 | 330 SEVEN SPRINGS WAY | BRENTWOOD | TN | 37027 | LIMITED LIABILITY COMPANY |
| DLP WILSON HOLDING COMPANY LLC | |||||||||
| PLANT, PROPERTY, & EQUIPMENT | 2014-03-01 | $62,466,683 | NET BOOK VALUE | 901034226 | 330 SEVEN SPRINGS WAY | BRENTWOOD | TN | 37027 | LIMITED LIABILITY COMPANY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor2 | Yes (1) | DirectorOfSuccessor2Ind |
| Employee Of Successor2 | 0 | EmployeeOfSuccessor2Ind |
| Owner Of Successor2 | 0 | OwnerOfSuccessor2Ind |
| Receive Compensation2 | 0 | ReceiveCompensation2Ind |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART II, LINE 2E: | PERSON(S) INVOLVED: FRANK BATTEN, LEESA LAWRENCE, THOMAS LUCAS, JIM PRIDGEN, AND DAVID WEST. |
| PART II, LINE 2E: | EXPLANATION OF INVOLVEMENT: THE FIVE PEOPLE LISTED ABOVE BECAME MEMBERS OF THE BOARD OF GOVERNORS FOR THE TRANSFEREE ORGANIZATION, DLP WILSON HOLDING COMPANY, LLC. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| AMENDED FORM 990 | THE WILSON MEDICAL CENTER, INC. IS AMENDING THE 2013 FORM 990 FOR THE FOLLOWING MATTERS. THE FIRST CHANGE IS TO REPORT THE CHNA INFORMATION ON SCHEDULE H, PART V, LINES 1 THRU 8C THAT WAS PREVIOUSLY NOT REPORTED ON THE ORIGINAL 2013 FORM 990. WILSON MEDICAL CENTER DID PARTICIPATE IN A COMMUNITY HEALTH NEEDS ASSESSMENT. THE ANSWER TO SCHEDULE H, PART V, LINE 17 WAS ALSO CHANGED FROM "YES" TO "NO" AFTER REEVALUATING THE QUESTION. THE THIRD CHANGE IS TO ELABORATE ON THE EXPLANATION PROVIDED ON FORM 990, PART III, LINE 3; SCHEDULE A, PART IV; AND SCHEDULE H, PART VI. THE FOURTH CHANGE IS TO REPORT ON SCHEDULE R, PART III WILSON MEDICAL CENTER'S RELATIONSHIP WITH DLP WILSON HOLDING COMPANY, LLC. THIS WAS NOT REPORTED PREVIOUSLY AS WILSON MEDICAL CENTER OWNS 20% AND IS NOT A MANAGING MEMEBER. HOWEVER, WILSON MEDICAL CENTER HAS CONTRACTUAL CONTROL OVER THE LLC. WILSON MEDICAL CENTER ALSO ADDED DLP WILSON MEDICAL CENTER, INC AND DLP WILMED NURSING CARE & REHABILITATION CENTER, INC. TO SCHEDULE R, PART IV AS DLP WILSON HOLDING COMPANY, LLC OWNS 100% OF BOTH CORPORATIONS. THE LAST CHANGE IS THE ORGANIZATION'S WEBSITE ADDRESS. SINCE FILING THE ORIGINAL 2013 FORM 990, THE ORGANIZATION'S WEBSITE ADDRESS HAS CHANGED AND IS UPDATED ON FORM 990, PAGE 1, LINE J. |
| FORM 990, PART III, LINE 2 | TO SUPPORT PROGRAMS THAT FOSTER THE DELIVERY, QUALITY, OR AFFORDABILITY OF HEALTH CARE OR HEALTH CARE-RELATED SERVICES AND TO SUPPORT ANY ACTIVITY DESIGNED AND CARRIED ON TO SERVE THE GENERAL HEALTH AND WELL-BEING OF THE COMMUNITY. TO AID IN THE INSTRUCTION AND PROMOTION OF RESEARCH AND SCIENTIFIC INVESTIGATION IN ALL BRANCHES OF MEDICINE AND SURGERY AND THE GENERAL HEALTH AND WELL-BEING OF THE COMMUNITY. TO SUPPORT ANY EDUCATIONAL ACTIVITIES RELATED TO THE CARE OF THE SICK AND DISABLED, THE PROMOTION OF HEALTH AND PREVENTATIVE MEDICINE, AND THE GENERAL HEALTH AND WELL-BEING OF THE COMMUNITY. |
| FORM 990, PART III, LINE 3 | EFFECTIVE MARCH 1, 2014, WILSON MEDICAL CENTER, INC. AND WILMED GENERATIONS, INC. ENTERED INTO AN AGREEMENT WITH DLP HEALTHCARE, LLC TO FORM A JOINT VENTURE, DLP WILSON HOLDING COMPANY, LLC, THAT WOULD OPERATE THE HOSPITAL AND NURSING HOME PREVIOUSLY OWNED AND OPERATED BY WILSON MEDICAL CENTER, INC. AND WILMED GENERATIONS, INC. WILSON MEDICAL CENTER, INC. CEASED DIRECTLY PROVIDING HEALTH CARE SERVICES AFTER FEBRUARY 28, 2014, AND IS PROVIDING MEDICAL SERVICES INDIRECTLY THROUGH THE JOINT VENTURE. EFFECTIVE OCTOBER 1, 2014, WILSON MEDICAL CENTER, INC. CHANGED ITS NAME TO HEALTHCARE FOUNDATION OF WILSON (THE "FOUNDATION"). THE GOVERNING DOCUMENTS OF THE JOINT VENTURE REQUIRE THAT THE JOINT VENTURE OPERATE THE HOSPITAL IN A MANNER AS TO SATISFY THE CHARITABLE PURPOSES GENERALLY REQUIRED OF HOSPITALS RECOGNIZED AS EXEMPT UNDER SECTION 501(C)(3) OF THE CODE, INCLUDING THAT THE HOSPITAL ACCEPT MEDICARE AND MEDICAID PATIENTS, MAINTAIN AN EMERGENCY DEPARTMENT THAT ACCEPTS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY, ADOPT THE CHARITY CARE POLICIES UTILIZED BY WILSON MEDICAL CENTER, INC. PRIOR TO THE TRANSFER OF THE HOSPITAL TO THE JOINT VENTURE, AND COMPLY WITH THE REQUIREMENTS OF SECTION 501(R) OF THE CODE REGARDING CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES AND THE CONDUCTING OF COMMUNITY HEALTH NEEDS ASSESSMENTS. THE GOVERNING DOCUMENTS OF THE JOINT VENTURE INCLUDE PROVISIONS WHICH PROVIDE THE FOUNDATION, THROUGH ITS REPRESENTATIVES ON THE GOVERNING BODY OF THE JOINT VENTURE, WITH THE POWER TO ENFORCE COMPLIANCE WITH THESE CHARITABLE HOSPITAL REQUIREMENTS. WILSON MEDICAL CENTER, INC. WAS ALSO A "PUBLIC HOSPITAL" PURSUANT TO CHAPTER 131E, ARTICLE 2, OF THE NORTH CAROLINA GENERAL STATUTES (THE "PUBLIC HOSPITAL STATUTES"). THE PUBLIC HOSPITAL STATUTES AT THE TIME OF THE CREATION OF THE JOINT VENTURE REQUIRED THAT ANY TRANSFER OF A PUBLIC HOSPITAL FACILITY MUST BE MADE TO A CORPORATION, AND THE PUBLIC HOSPITAL STATUTES DID NOT PERMIT THE TRANSFER OF A PUBLIC HOSPITAL FACILITY TO A LIMITED LIABILITY COMPANY. WITH THE CREATION OF THIS JOINT VENTURE IN MIND, THE NORTH CAROLINA GENERAL ASSEMBLY PASSED A TECHNICAL CORRECTIONS STATUTE WHICH ENABLED THE TRANSFER OF A PUBLIC HOSPITAL FACILITY TO BE MADE TO A LIMITED LIABILITY COMPANY AS WELL AS TO A CORPORATION. THE EFFECTIVE DATE OF THE NORTH CAROLINA GENERAL ASSEMBLY'S CHANGE TO THE PUBLIC HOSPITAL STATUTE WAS OCTOBER 1, 2014, WHICH WAS AFTER THE CREATION OF THE JOINT VENTURE. IN ORDER TO COMPLY WITH THE REQUIREMENTS OF THE PUBLIC HOSPITAL STATUTE AT THAT TIME, THE HOSPITAL FACILITY WAS TRANSFERRED TO DLP WILSON MEDICAL CENTER, INC., WHICH WAS WHOLLY OWNED BY THE JOINT VENTURE, WITH THE INTENTION THAT DLP WILSON MEDICAL CENTER, INC., WOULD BE CONVERTED TO A LIMITED LIABILITY COMPANY AFTER THE ENACTMENT OF THE NORTH CAROLINA GENERAL ASSEMBLY'S TECHNICAL CORRECTION TO THE NORTH CAROLINA PUBLIC HOSPITAL STATUTES, AND THE CONVERSION WAS COMPLETED EFFECTIVE ON DECEMBER 31, 2014. AFTER THE CONVERSION OF DLP WILSON MEDICAL CENTER, INC., TO A LIMITED LIABILITY COMPANY, IT WAS TREATED AS A DISREGARDED ENTITY FOR FEDERAL TAX PURPOSES, AND THE JOINT VENTURE IS TREATED AS OPERATING THE HOSPITAL DIRECTLY. THE NORTH CAROLINA PUBLIC HOSPITAL STATUTES ALSO REQUIRE THAT THE JOINT VENTURE, AS THE TRANSFEREE OF THE PUBLIC HOSPITAL FACILITY, CONTINUE TO PROVIDE THE SAME HOSPITAL SERVICES, INDIGENT CARE, FINANCIAL ASSISTANCE POLICIES, AND MEDICARE AND MEDICAID SERVICES AS WERE PROVIDED BY WILSON MEDICAL CENTER, INC. PRIOR TO THE TRANSFER, AND THE JOINT VENTURE IS REQUIRED TO PROVIDE AN ANNUAL REPORT THAT SHOWS COMPLIANCE WITH THIS REQUIREMENT. FAILURE TO COMPLY WITH THIS REQUIREMENT WILL CAUSE THE HOSPITAL FACILITY TO REVERT TO WILSON COUNTY. |
| FORM 990, PART VI, SECTION B, LINE 11 | A DRAFT OF FORM 990 IS PROVIDED TO THE EXECUTIVE DIRECTOR AND ACCOUNTANT WHO REVIEW THE DRAFT PRIOR TO FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | ONCE A YEAR, EACH PERSON IS REQUIRED TO REVIEW AND SIGN THE CONFLICT OF INTEREST POLICY. THIS IS ONE OF THE ANNUAL MODULES THAT MUST BE COMPLETED EACH YEAR. IT ENSURES THAT EMPLOYEES ARE FAMILIAR WITH THE POLICY. IF THERE IS A CONFLICT OF INTEREST, THE EXECUTIVE TEAM IS NOTIFIED AND A DISCUSSION SHOULD OCCUR AT THAT TIME TO DETERMINE THE EXTENT, WHETHER POTENTIAL OR ACTUAL. BOARD MEMBERS WITH CONFLICTS ARE RECUSED FROM VOTING. |
| FORM 990, PART VI, SECTION B, LINE 15 | AT LEAST EVERY TWO YEARS, AN INDEPENDENT FIRM IS UTILIZED TO DETERMINE THE APPROPRIATE COMPENSATION FOR THE EXECUTIVE TEAM. THE BOARD DETERMINED A STRATEGY AND GUIDELINES AS TO WHAT PERCENTILE AT WHICH THEY WOULD PLACE SALARIES FOR THE EXCUTIVE TEAM. UPON RECEIPT OF THE INDEPENDENT DATA, THE HR COMMITTEE OF THE BOARD REVIEWS THE DATA AND DETERMINES IF ANY ADJUSTMENTS SHOULD BE MADE. THIS PROCESS LAST TOOK PLACE DURING 2012. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | TRANSFER OF ASSETS/LIABILITIES FROM WILMED HEALTHCARE FOUNDATION 1,984,180. TRANSFER OF EQUITY FROM WILMED GENERATIONS, INC. 2,900,584. |
| PART XII, LINE 2C | THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
| FORM 990 | WILSON MEDICAL CENTER, INC. CHANGED ITS NAME TO THE HEALTHCARE FOUNDATION OF WILSON ON OCTOBER 1, 2014. THE NAME CHANGE WAS FILED WITH THE NC DEPARTMENT OF THE SECRETARY OF STATE AND ACCEPTED. THEREFORE, WILSON MEDICAL CENTER, INC. IS NOW DOING BUSINESS AS HEALTHCARE FOUNDATION OF WILSON. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| WILMED GENERATIONS INC | ||||||||||
| PO BOX 3697 | WILSON | NC | 27895 | 561572076 | LONG-TERM NURSING CARE | NC | 501(C)(3) | LINE 11A, I | N/A | 0 |
| WILMED HEALTHCARE FOUNDATION INC | ||||||||||
| PO BOX 3697 | WILSON | NC | 27895 | 561572064 | SUPPORT ACTIVITIES | NC | 501(C)(3) | LINE 11B, II | N/A | 0 |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DLP WILSON HOLDING COMPANY LLC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 330 SEVEN SPRINGS WAY | AddressLine1 |
| City | BRENTWOOD | City |
| State | TN | State |
| ZIP Code | 37027 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 901034226 | EIN |
| Primary Activities | PROVIDING HEALTH CARE AND OTHER HEALTH RELATED SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
| Ownership | 0.20000 | OwnershipPct |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DLP WILSON MEDICAL CENTER INC | ||||||||||||
| 330 SEVEN SPRINGS WAY | BRENTWOOD | TN | 37027 | 464317222 | PROVIDE HEATLH CARE AND OTHER HEALTH SERVICES | NC | DLP WILSON HOLDING COMPANY LLC | C | $14,731,416 | $9,236,651 | 0.20000 | 0 |
| DLP WILMED NURSING CARE & REHABILITATION CENTER INC | ||||||||||||
| 330 SEVEN SPRINGS WAY | BRENTWOOD | TN | 37027 | 352491141 | PROVIDE NURSING CARE AND REHABILITATION SERVICES | NC | DLP WILSON HOLDING COMPANY LLC | C | $778,724 | $677,571 | 0.20000 | 0 |
| 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 | 0 | 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 | Yes (1) | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | 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 | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| WILMED HEALTHCARE FOUNDATION | ||
| O | $53,949 | WAGES & BENEFITS PAID |
| WILMED HEALTHCARE FOUNDATION | ||
| Q | $40,000 | CASH REIMBURSEMENTS |
| WILMED HEALTHCARE FOUNDATION | ||
| S | $1,984,180 | EQUITY - ACTUAL COST |
| WILMED GENERATIONS INC | ||
| S | $199,634 | CASH & RECEIVABLES |
| WILMED GENERATIONS INC | ||
| I | $37,322 | CASH FOR EXPENSES |
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