WRMC HOSPITAL OPERATING CORPORATION: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- WRMC HOSPITAL OPERATING CORPORATION (EIN 83-0343789)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-08-08
- IRS object ID
- 201442209349300704
- Schema version
- 2012v2.1
- 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 O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-08-08T08:47:07-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560747981 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 RIDGEFIELD COURT | AddressLine1 |
| City | ASHEVILLE | City |
| State | NC | State |
| ZIP Code | 28806 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 830343789 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WRMC HOSPITAL OPERATING CORPORATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | WRMC | NameControl |
| Phone | 3366518100 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1370 WEST D STREET | AddressLine1 |
| City | NORTH WILKESBORO | City |
| State | NC | State |
| ZIP Code | 28659 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BARRY WALD | Name |
| Title | VP OF FINANCE/CFO | Title |
| Phone | 3366518100 | Phone |
| Date Signed | 2014-08-08 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | AMY BIBBY | Name |
| PTIN | P00445891 | PTIN |
| Phone | 8282542254 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILKES REGIONAL MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | BARRY WALD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1370 WEST D STREET | AddressLine1 |
| City | NORTH WILKESBORO | City |
| State | NC | State |
| ZIP Code | 28659 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 87560320 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.WILKESREGIONAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Type Of Org Other Description | 1 | TypeOfOrgOtherDescription |
| Year Formation | 1996 | YearFormation |
| State Legal Domicile | NC | StateLegalDomicile |
| Activity Or Mission Description | OUR MISSION IS TO PROVIDE EFFECTIVE, COMPASSIONATE MEDICAL CARE TO PROMOTE HEALTH LIFESTYLES FOR OUR COMMUNITY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 850 | TotalNbrEmployees |
| Total Nbr Volunteers | 129 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 660372 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 380262 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 84855203 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 86760811 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 226393 | InvestmentIncomePriorYear |
| Investment Income Current Year | 146155 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 720273 | OtherRevenuePriorYear |
| Other Revenue Current Year | 272000 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 86462241 | TotalRevenuePriorYear |
| Total Revenue Current Year | 87559228 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 37758442 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 36657875 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 45235477 | OtherExpensePriorYear |
| Other Expenses Current Year | 45949485 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 82993919 | TotalExpensesPriorYear |
| Total Expenses Current Year | 82607360 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 3468322 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 4951868 | RevenuesLessExpensesCY |
| Total Assets BOY | 81873947 | TotalAssetsBOY |
| Total Assets EOY | 90277311 | TotalAssetsEOY |
| Total Liabilities BOY | 34141033 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 38724494 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 47732914 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 51552817 | NetAssetsOrFundBalancesEOY |
| Mission Description | OUR MISSION IS TO PROVIDE EFFECTIVE, COMPASSIONATE MEDICAL CARE TO PROMOTE HEALTHY LIFESTYLES FOR OUR COMMUNITY. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 71702621 | Expense |
| Revenue | 86761989 | Revenue |
| Description | WILKES REGIONAL MEDICAL CENTER IS A 130 BED FACILITY SERVING ALLEGHANY, ALEXANDER, ASHE, CALDWELL, IREDELL, SURRY, WATAUGA, AND WILKES COUNTIES. IN FISCAL YEAR 2013 THE HOSPITAL HAD 33,201 EMERGENCY ROOM VISITS AND 15,637 IN-PATIENT DAYS. THE HOSPITAL INCURRED APPROXIMATELY $8 MILLION OF CHARITY CARE COSTS IN PROVIDING FREE AND DISCOUNTED CARE TO PATIENTS. THE HOSPITAL ACCEPTS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. | Description |
| Total Program Service Expense | 71702621 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 1 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 77 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 850 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NC | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BARRY WALD | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3366518100 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1370 WEST D STREET | AddressLine1 |
| City | NORTH WILKESBORO | City |
| State | NC | State |
| ZIP Code | 28659 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (23 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Average Hours Per Week RelatedAverageHoursPerWeekRelated | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| CW BARKER | ||||||||
| CHAIRMAN | 1.00 | X | 0 | 0 | 0 | |||
| LEE HERRING | ||||||||
| VICE CHAIRMAN | 1.00 | X | 0 | 0 | 0 | |||
| JEAN GRAF | ||||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | |||
| JIM FAW | ||||||||
| TREASURER | 1.00 | X | 0 | 0 | 0 | |||
| PAT BUMGARNER | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| DR GORDON BURNS | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| DANE MASTIN | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| LARRY FARTHING | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| ERIC CRAMER | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| LARRY KILBY | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| MELISSA LACKEY | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| ARNOLD LAKEY | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| DR ASHTON MOLAI | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | 1.00 | ||
| BILL WARDEN | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | 1.00 | ||
| DR BENION HORTON | ||||||||
| DIRECTOR THROUGH MAY 2013 | 1.00 | X | 0 | 0 | 0 | |||
| J GENE FAILE | ||||||||
| PRESIDENT/CEO | 60.00 | 305798 | 0 | 48347 | 1.00 | X | ||
| MARLIN MARKHAM | ||||||||
| VP OF FINANCE/CFO THROUGH MARCH '13 | 55.00 | 174054 | 0 | 30038 | 1.00 | X | ||
| BARRY WALD | ||||||||
| VP OF FINANCE/CFO AS OF APRIL '13 | 55.00 | 0 | 0 | 0 | 1.00 | X | ||
| JASON YOCKEY | ||||||||
| CRNA | 40.00 | 190980 | 0 | 36501 | X | |||
| MARGARET LINKA | ||||||||
| CRNA | 40.00 | 191637 | 0 | 11941 | X | |||
| MARY LEWIS | ||||||||
| CRNA | 40.00 | 186671 | 0 | 15608 | X | |||
| KEVIN HANSEN | ||||||||
| CRNA | 40.00 | 184853 | 0 | 26423 | X | |||
| ELLEN HAZEL | ||||||||
| CRNA | 40.00 | 174824 | 0 | 21700 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1408817 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 190558 | TotalOtherCompensation |
| Number Individuals GT100 K | 15 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| MORRISON MANAGEMENT SPECIALIST | |||||
| PO BOX 102289 | ATLANTA | GA | 30368 | CAFETERIA MANAGEMENT | 806887 |
| THERASTAT DATA CORP | |||||
| PO BOX 890562 | CHARLOTTE | NC | 28289 | PHYSICAL THERAPY STAFFING SERVICES | 386673 |
| CLARK PATTERSON LEE DESIGN | |||||
| 301 EAST NINTH STREET | CHARLOTTE | NC | 28202 | ARCHITECTURAL SERVICES | 320705 |
| MCELWEE FIRM PLLC | |||||
| PO BOX 728 | NORTH WILKESBORO | NC | 28659 | LEGAL SERVICES | 265575 |
| RN NETWORK | |||||
| PO BOX 974088 | DALLAS | TX | 75397 | NURSING SERVICES | 251602 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 10 | NumberOfContractorsGT100K |
| Federated Campaigns | 19110 | FederatedCampaigns |
| Government Grants | 20000 | GovernmentGrants |
| All Other Contributions | 341152 | AllOtherContributions |
| Total Contributions | 380262 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 621110 | 84800307 | 84800307 |
| EHR INCENTIVE PROGRAM REVENUE | 621110 | 1960504 | 1960504 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 86760811 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 136530 | TotalRevenueColumn |
| Exclusion | $136,530 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 136730 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 136730 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 136730 | TotalRevenueColumn |
| Exclusion | $136,730 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 10717 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1092 | Securities |
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -1092 | Securities |
| Other | 10717 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 9625 | TotalRevenueColumn |
| Exclusion | $9,625 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| CARE CONNECTION | 621110 | 61507 | $61,507 |
| MEDICAL SUPPLY AND PHARMACY SALES | 621110 | 46937 | $46,937 |
| MEDICAL RECORD TRANSCRIPTION FEES | 621110 | 25648 | $25,648 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1178 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1178 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 135270 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 87559228 | TotalRevenueColumn |
| Related Or Exempt Function Income | 86761989 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $416,977 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 598120 | Total |
| Management And General | 598120 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27923875 | Total |
| Program Services | 22339100 | ProgramServices |
| Management And General | 5584775 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1641534 | Total |
| Program Services | 1313227 | ProgramServices |
| Management And General | 328307 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4023059 | Total |
| Program Services | 3218447 | ProgramServices |
| Management And General | 804612 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2471287 | Total |
| Program Services | 1977030 | ProgramServices |
| Management And General | 494257 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 527860 | Total |
| Management And General | 527860 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 265575 | Total |
| Management And General | 265575 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 98669 | Total |
| Management And General | 98669 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5423112 | Total |
| Program Services | 4873807 | ProgramServices |
| Management And General | 549305 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 698217 | Total |
| Program Services | 698217 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6694300 | Total |
| Program Services | 5355440 | ProgramServices |
| Management And General | 1338860 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 960198 | Total |
| Program Services | 768158 | ProgramServices |
| Management And General | 192040 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1913142 | Total |
| Program Services | 1913142 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 611796 | Total |
| Program Services | 489437 | ProgramServices |
| Management And General | 122359 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 981388 | Total |
| Program Services | 981388 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5413405 | Total |
| Program Services | 5413405 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 695465 | Total |
| Program Services | 695465 | ProgramServices |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| BAD DEBT | 11727838 | 11727838 |
| MEDICAL SUPPLIES | 9938520 | 9938520 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 82607360 | Total |
| Program Services | 71702621 | ProgramServices |
| Management And General | 10904739 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2271536 | BOY |
| EOY | 2260872 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10802419 | BOY |
| EOY | 12361332 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1756119 | BOY |
| EOY | 1907173 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1400548 | BOY |
| EOY | 1557160 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 112319535 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 63216155 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 49367764 | BOY |
| EOY | 49103380 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8965983 | BOY |
| EOY | 12265065 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7309578 | BOY |
| EOY | 9958807 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 863522 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 81873947 | BOY |
| EOY | 90277311 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7187955 | BOY |
| EOY | 8041480 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 16000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23224127 | BOY |
| EOY | 25992486 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3728951 | BOY |
| EOY | 4674528 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34141033 | BOY |
| EOY | 38724494 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 47732914 | BOY |
| EOY | 51552817 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 47732914 | BOY |
| EOY | 51552817 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 81873947 | BOY |
| EOY | 90277311 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 4951868 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | -115568 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -1016397 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Activities | 1 | OtherActivities |
| Other Activities | $3,528 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 3528 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| 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 2013, AMOUNTS OF MEMBERSHIP DUES ALLOCATED TO THESE EXPENDITURES WERE APPROXIMATELY $ 2,300 FOR AHA AND $ 1,200 FOR NCHA. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 880218 | OtherCostOrOtherBasis |
| Book Value | 880218 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 53555268 | OtherCostOrOtherBasis |
| Depreciation | 20689088 | Depreciation |
| Book Value | 32866180 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4224299 | OtherCostOrOtherBasis |
| Depreciation | 2564276 | Depreciation |
| Book Value | 1660023 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 53658541 | OtherCostOrOtherBasis |
| Depreciation | 39962791 | Depreciation |
| Book Value | 13695750 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1209 | OtherCostOrOtherBasis |
| Book Value | 1209 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 49103380 | TotalOfBookValueLandBuildings |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE FROM WPN | Description |
| Book Value | 9958807 | BookValue |
| Method Of Valuation | C | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Program Related | 9958807 | TotalOfBookValueProgramRelated |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | ESTIMATED THIRD PARTY SETTLEMENTS | Description |
| Amount | $4,674,528 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 4674528 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X, LINE 2: | ReturnReference |
| Explanation | 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, 2013. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3137487 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3137487 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04430 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10908365 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7916642 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2991723 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04220 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14045852 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7916642 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6129210 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08650 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 29663 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 29663 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 88072 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 88072 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00120 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 32163 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 32163 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 149898 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 149898 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00210 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14195750 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7916642 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6279108 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08860 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $11,727,838 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 35054430 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 40480977 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -5426547 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILKES REGIONAL MEDICAL CENTER | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1370 W D STREET | AddressLine1 |
| City | NORTH WILKESBORO | City |
| State | NC | State |
| ZIP Code | 28659 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
| Er Other | X | ErOther |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILKES REGIONAL MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 0 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Participate Community Plan | X | ParticipateCommunityPlan |
| Include Operational Plans | X | IncludeOperationalPlans |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | 1 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 150.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 200.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 4 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (4 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| 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 |
Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| 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, L7 COL(F): THE TOTAL EXPENSE ON FORM 990, PART XI, LINE 25 CONTAINS A BAD DEBT EXPENSE OF 12,446,956 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: THE MEDICARE SHORTFALL IN ITS ENTIRETY SHOULD BE CONSIDERED A COMMUNITY BENEFIT. THE MEDICARE PROGRAM WAS INTITIALLY ESTABLISHED IN A MANNER TO REIMBURSE EACH FACILITY ITS COST OF RENDERING CARE TO MEDICARE RECIPIENTS. HOWEVER, MEDICARE REIMBURSEMENT DOES NOT COVER THE COST OF PROVIDING CARE. | ||
| PART III, LINE 9B: IF PATIENTS MEET THE QUALIFICATIONS IN REGARDS TO OUR CHARITY CARE POLICY, THEY ARE GIVEN CHARITY CARE. THE ORGANIZATION USES FINANCIALS COUNSELORS TO DETERMINE THIS ELIGIBILITY. | ||
| PART V, SECTION B, LINE 3: 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 20D: THE HOSPITAL DETERMINES AMOUNTS CHARGED TO FINANCIAL ASSISTANCE ELIGIBLE INDIVIDUALS BASED ON THE FINANCIAL ASSISTANCE POLICY. 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 21: AN AVERAGE DISCOUNT THAT REFLECTED THE AVERAGE DISCOUNT AFFORDED COMMERCIAL AND MANAGED CARE COVERED PATIENTS. | WILKES REGIONAL MEDICAL CENTER | |
| 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 CHARITY CARE 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. | ||
| NC | REPORTS FILED WITH STATES | PART VI, LINE 7 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 1 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| J GENE FAILE | ||||||||||||||
| PRESIDENT/CEO | 221598 | 0 | 57808 | 0 | 26392 | 0 | 26039 | 0 | 22308 | 0 | 354145 | 0 | 0 | 0 |
| MARLIN MARKHAM | ||||||||||||||
| VP OF FINANCE/CFO THROUGH MARCH '13 | 153158 | 0 | 17033 | 0 | 3863 | 0 | 15048 | 0 | 14990 | 0 | 204092 | 0 | 0 | 0 |
| JASON YOCKEY | ||||||||||||||
| CRNA | 189980 | 0 | 1000 | 0 | 0 | 0 | 13707 | 0 | 22794 | 0 | 227481 | 0 | 0 | 0 |
| MARGARET LINKA | ||||||||||||||
| CRNA | 191637 | 0 | 0 | 0 | 0 | 0 | 3800 | 0 | 8141 | 0 | 203578 | 0 | 0 | 0 |
| MARY LEWIS | ||||||||||||||
| CRNA | 186671 | 0 | 0 | 0 | 0 | 0 | 7467 | 0 | 8141 | 0 | 202279 | 0 | 0 | 0 |
| KEVIN HANSEN | ||||||||||||||
| CRNA | 184853 | 0 | 0 | 0 | 0 | 0 | 3629 | 0 | 22794 | 0 | 211276 | 0 | 0 | 0 |
| ELLEN HAZEL | ||||||||||||||
| CRNA | 174824 | 0 | 0 | 0 | 0 | 0 | 3790 | 0 | 17910 | 0 | 196524 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 5 | ReturnReference |
| 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 2012 ARE LISTED BELOW. J. GENE FAILE, CEO $57,808 MARLIN MARKHAM, CFO 17,033 | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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. | |
| 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 -1,016,397. | CHANGES IN NET ASSETS OR FUND BALANCES: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILKES PHYSICIAN NETWORK INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1370 WEST D STREET | AddressLine1 |
| City | NORTH WILKES | City |
| State | NC | State |
| ZIP Code | 28659 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | PHYSICIAN PRACTICES | PrimaryActivities |
| Legal Domicile State | NC | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | 3 | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WRMC HOSPITAL OPERATING CORPORATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Org | 1 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| WILKES PHYSICIAN NETWORK INC | ||
| D | 9958807 | BALANCE OF A/R |
| WILKES PHYSICIAN NETWORK INC | ||
| R | 1016427 | EQUITY TRANSFER |
Comments