HIGH POINT REGIONAL HEALTH: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- HIGH POINT REGIONAL HEALTH (EIN 56-0532309)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-08-13
- IRS object ID
- 201222269349302512
- Schema version
- 2010v3.4
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-13T15:59:48-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
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 | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560532309 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HIGH POINT REGIONAL HEALTH SYSTEM | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HIGH | NameControl |
| Phone | 3368786000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX HP-5 | AddressLine1 |
| City | HIGH POINT | City |
| State | NC | State |
| ZIP Code | 27261 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KIMBERLY S CREWS | Name |
| Title | CFO | Title |
| Phone | 3368786000 | Phone |
| Date Signed | 2012-08-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | AMY BIBBY | Name |
| Phone | 8282542254 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | KIMBERLY S CREWS | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX HP-5 | AddressLine1 |
| City | HIGH POINT | City |
| State | NC | State |
| ZIP Code | 27261 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 286402395 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.HIGHPOINTREGIONAL.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1933 | YearFormation |
| State Legal Domicile | NC | StateLegalDomicile |
| Activity Or Mission Description | OPERATION OF HOSPITAL AND HEALTH CARE FACILITIES IN HIGH POINT, NC | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 19 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 15 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2571 | TotalNbrEmployees |
| Total Nbr Volunteers | 419 | TotalNbrVolunteers |
| Total Gross UBI | 464996 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 180460 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1490103 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1745590 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 276802447 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 272066954 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 5464357 | InvestmentIncomePriorYear |
| Investment Income Current Year | 7319737 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2504611 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2970611 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 286261518 | TotalRevenuePriorYear |
| Total Revenue Current Year | 284102892 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 276967 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1605062 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 118482774 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 113669069 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 447647 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 161821415 | OtherExpensePriorYear |
| Other Expenses Current Year | 161698049 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 280581156 | TotalExpensesPriorYear |
| Total Expenses Current Year | 276972180 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 5680362 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 7130712 | RevenuesLessExpensesCY |
| Total Assets BOY | 341432654 | TotalAssetsBOY |
| Total Assets EOY | 293131896 | TotalAssetsEOY |
| Total Liabilities BOY | 114838404 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 113335392 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 226594250 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 179796504 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | OUR MISSION: TO PROVIDE EXCEPTIONAL HEALTH SERVICES TO THE PEOPLE OF OUR REGION. OUR VISION: TO BE THE BEST HEALTHCARE ORGANIZATION IN EVERYTHING WE DO - THE BEST PLACE TO RECEIVE CARE, THE BEST PLACE TO WORK, AND THE BEST PLACE TO PRACTICE MEDICINE. OUR VALUES: TEAMWORK, COMPASSION, AND INTEGRITY. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 232549340 | Expense |
| Grants | 1605062 | Grants |
| Revenue | 271874954 | Revenue |
| Description | THE SYSTEM PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE SYSTEM DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE.THE SYSTEM MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY. ESTIMATED COST OF THE CHARGES IDENTIFIED AS CHARITY CARE WAS $8,554,300 FOR THE YEAR ENDED SEPTEMBER 30, 2011.IN PROVIDING CHARITY CARE TO PATIENTS, THE HOSPITAL INCURRED NON-REIMBURSED COSTS RELATED TO TREATING MEDICARE AND MEDICAID PATIENTS AND PATIENTS FROM OTHER GOVERNMENT NON-NEGOTIATED PLANS. THE AMOUNT OF NON-REIMBURSED COSTS ASSOCIATED WITH TREATING MEDICARE AND MEDICAID PATIENTS, AND PATIENTS WITH OTHER GOVERNMENT NON-NEGOTIATED PLANS FOR THE YEAR WAS $10,669,778, $6,377,905, AND $269,994 RESPECTIVELY. (SEE SCHEDULE H FOR DETAILS.) THE ESTIMATED COST OF RECORDED BAD DEBT EXPENSE IS $13,091,953 FOR THE YEAR.IN MEETING ITS OBJECTIVE OF PROVIDING QUALITY HEALTH CARE TO THE COMMUNITY, THE HOSPITAL PROVIDED MEDICAL SERVICE FOR AND DISCHARGED 17,216 PATIENTS DURING THE YEAR. TOTAL DAYS OF CARE WERE 75,144 AND THE AVERAGE DAILY CENSUS WAS 206 PATIENTS. THE EMERGENCY DEPARTMENT REGISTERED 63,081 VISITS.THE HOSPITAL ALSO PROVIDED SEVERAL SUBSIDIZED SERVICES TO THE COMMUNITY. THERE ARE SEVERAL GREAT REASONS TO BE PROUD OF HIGH POINT REGIONAL, SUCH AS, - THE CHARLES E. AND PAULINE LEWIS HAYWORTH CANCER CENTER IS RATED AS THE TOP COMMUNITY COMPREHENSIVE CANCER CENTER IN THE TRIAD BY THE US NEWS & WORLD REPORT. - THE WOMEN'S IMAGING CENTER WAS THE FIRST COMPLETELY FULL-FIELD DIGITAL MAMMOGRAPHY FACILITY IN HIGH POINT TO OFFER BOTH DIAGNOSTIC AND SCREENING MAMMOGRAPHY SERVICES. THIS ADVANCED EQUIPMENT WAS FULLY FUNDED BY COMMUNITY DONORS THROUGH PROCEEDS FROM THE HEALTH SYSTEM'S ENDOWMENT FUNDS. - WE HAVE DA VINCI SI SURGICAL SYSTEM, ENHANCED HIGH-DEFINITION 3D VISION THAT OFFERS OUR SURGEONS SUPERIOR CLINICAL CAPABILITY, INCREASED DEXTERITY FAR GREATER THAN THE HUMAN HAND, INTUITIVE MOTION TECHNOLOGY AND INTUITIVE INSTRUMENT CONTROL DURING MINIMALLY INVASIVE SURGERY FOR UROLOGY AND GYNECOLOGY. SINCE THE PROGRAM BEGAN IN 2005, WE HAVE PERFORMED OVER 700 PROCEDURES. - WE ARE THE ONLY HOSPITAL IN THE TRIAD TO OFFER 24 HOUR CONTINUOUS ELECTRONIC MONITORING OF CRITICALLY ILL PATIENTS. - THE SOCIETY OF CHEST PAIN CENTERS ACCREDITS HIGH POINT REGIONAL AS AN OFFICIAL CHEST PAIN CENTER FOR MEETING AND EXCEEDING QUALITY-OF-CARE MEASURES IN ACUTE CARDIAC MEDICINE. - OUR STROKE CENTER WAS RE-CERTIFIED AS A PRIMARY STROKE CENTER BY THE JOINT COMMISSION. - WE HAVE RECEIVED RENEWAL OF LEVEL III TRAUMA DESIGNATION FOR THE EMERGENCY DEPARTMENT. OUR EMERGENCY DEPARTMENT HAS A CAREFULLY COORDINATED PROCESS, CENTERED AROUND THE AMERICAN COLLEGE OF SURGEONS TRAUMA PROTOCOL, FOR RECEIVING, TREATING, AND REFERRING CRITICALLY INJURED TRAUMA PATIENTS WHO NEED STABILIZATION OR RESUSCITATION. - WE HAVE RECEIVED MAGNET DESIGNATION FOR THE THIRD TIME. - WE ARE THE ONLY HOSPITAL IN THE TRIAD TO OFFER 24 HOUR CONTINUOUS ELECTRONIC MONITORING OF CRITICALLY ILL PATIENTS. - WE ARE THE SECOND LARGEST EMPLOYER OF HIGH PONT, NC, WITH OVER 2,500 TALENTED AND DEDICATED INDIVIDUALS WHO PROVIDE COMPASSIONATE CARE TO MORE THAN 130,000 PEOPLE EVERY YEAR. | Description |
| Total Program Service Expense | 232549340 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | 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 | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 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 | 396 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 2571 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 19 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 15 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | 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 | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | NC | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KIMBERLY CREWS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3368786143 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 N ELM STREET | AddressLine1 |
| City | HIGH POINT | City |
| State | NC | State |
| ZIP Code | 27261 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (34 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| DONALD W CAMERON EDD | ||||||||
| CHAIRMAN | 2.00 | X | X | 0 | 0 | 0 | ||
| OWEN BERTSCHI | ||||||||
| VICE CHAIR | 2.00 | X | X | 0 | 0 | 0 | ||
| BARRY CHEEK MD | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| GEORGE CLOPTON | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| LOUISE FOSTER | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| RON L JONES | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| JAMES KEEVER | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| REID MARSH | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| CHARLES MYERS | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| NED COVINGTON | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| KEN SMITH | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| LINDA TAYLOR MD | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| VIRGIL V WILLARD MD | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 159926 | 0 | |||
| HARRY R CULP DDS | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| TOM DAYVAULT | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| ELLIOT F WILLIAMS MD | ||||||||
| CHIEF OF MEDICAL STAFF | 2.00 | X | 25000 | 0 | 0 | |||
| MICHAEL J LUCAS MD | ||||||||
| CHIEF-ELECT OF MEDICAL STA | 2.00 | X | 15000 | 0 | 0 | |||
| STEPHEN A MILLS MD | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| CHARLES CAIN | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| JEFFREY S MILLER | ||||||||
| PRESIDENT / CEO | 40.00 | X | 521053 | 0 | 312342 | |||
| KIMBERLY S CREWS | ||||||||
| CFO / TREASURER | 40.00 | X | 224800 | 0 | 41016 | |||
| MARTHA D BARHAM | ||||||||
| COO | 40.00 | X | 268344 | 0 | 48141 | |||
| LINDA C RONEY | ||||||||
| ASST TREASURER/VICE PRES | 40.00 | X | 223236 | 0 | 55582 | |||
| DARRELL R DEATON | ||||||||
| VICE PRESIDENT | 40.00 | X | 175744 | 0 | 35849 | |||
| TAMMI E ERVING-MENGEL MD | ||||||||
| ASST SECRETARY/VICE PRES | 40.00 | X | 202114 | 0 | 27232 | |||
| GREG TAYLOR MD | ||||||||
| SECRETARY/VICE PRES | 40.00 | X | 342090 | 0 | 96160 | |||
| KATHERINE R BURNS | ||||||||
| VICE PRESIDENT | 40.00 | 177497 | 0 | 11053 | X | |||
| DENISE M POTTER | ||||||||
| VICE PRESIDENT | 40.00 | 191929 | 0 | 28235 | X | |||
| ANN L JOHNSTON | ||||||||
| VICE PRESIDENT | 40.00 | 31443 | 0 | 121 | X | |||
| BRIAN A FARAH | ||||||||
| PHYSICIAN | 36.00 | 418382 | 0 | 22334 | X | |||
| ZARINA W CHOW | ||||||||
| PHARMACIST | 40.00 | 142293 | 0 | 15928 | X | |||
| MELANIE J MARTIN | ||||||||
| PHYSICIAN | 40.00 | 143348 | 0 | 9479 | X | |||
| EDWARD W LOVE | ||||||||
| PHYSICIAN | 40.00 | 243770 | 0 | 14602 | X | |||
| ALFRED D BELEN | ||||||||
| PHYSICIAN | 40.00 | 232091 | 0 | 11895 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3546691 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 159926 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 729848 | TotalOtherCompensation |
| Number Individuals GT100 K | 55 | 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 |
|---|---|---|---|---|---|
| SPECTRUM LABORATORY | |||||
| 4380 FEDERAL DRIVE SUITE 100 | GREENSBORO | NC | 27410 | LABORATORY | 4685904 |
| CORNERSTONE HEALTHCARE | |||||
| 1701 WESTCHESTER DRIVE | HIGH POINT | NC | 27262 | PHYSICIAN SERVICES | 2648247 |
| ARAMARK HEALTHCARE FOOD SERVICES | |||||
| 25271 NETWORK PLACE | CHICAGO | IL | 60673 | FOOD SERVICE MGMT | 1938916 |
| COGENT HEALTHCARE OF NC | |||||
| PO BOX 645037 | CINCINATTI | OH | 45264 | HOSPITALIST | 1551552 |
| LOCKTON COMPANIES | |||||
| 5901-C PEACHTREE DUNWOODY RD STE 3 | ATLANTA | GA | 30328 | INSURANCE | 1351055 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 63 | NumberOfContractorsGT100K |
| Fundraising Events | 7475 | FundraisingEvents |
| Related Organizations | 1125577 | RelatedOrganizations |
| Government Grants | 34702 | GovernmentGrants |
| All Other Contributions | 577836 | AllOtherContributions |
| Total Contributions | 1745590 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PATIENT SERVICES | 621400 | 269343333 | 269343333 | |
| OTHER AFFILIATE REV | 900099 | 890875 | 890875 | |
| HP SURGERY CENTER | 621400 | 660046 | 660046 | |
| REFERENCE LAB | 621500 | 558300 | 366300 | 192000 |
| FITNESS CENTER | 713940 | 532879 | 532879 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 81521 | TotalRevenueColumn |
| Related Or Exempt Function Income | 81521 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 272066954 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7624050 | TotalRevenueColumn |
| Exclusion | $7,624,050 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 2534808 | Real |
| Personal | 446034 | Personal |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1824520 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 710288 | Real |
| Personal | 446034 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1156322 | TotalRevenueColumn |
| Unrelated Business Revenue | 272996 | UnrelatedBusinessRevenue |
| Exclusion | $883,326 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 304313 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -304313 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -304313 | TotalRevenueColumn |
| Exclusion | -$304,313 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 333919 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 7475 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 170670 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 163249 | TotalRevenueColumn |
| Exclusion | $163,249 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| CAFETERIA/VENDING | 722210 | 829033 | $829,033 |
| MISCELLANEOUS REVENUE | 900099 | 822007 | $822,007 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1651040 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 284102892 | TotalRevenueColumn |
| Related Or Exempt Function Income | 271874954 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 464996 | UnrelatedBusinessRevenue |
| Exclusion | $10,017,352 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1413148 | Total |
| Program Services | 1413148 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 191914 | Total |
| Program Services | 191914 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3178635 | Total |
| Program Services | 40000 | ProgramServices |
| Management And General | 2922469 | ManagementAndGeneral |
| Fundraising | 216166 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 94286 | Total |
| Management And General | 94286 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 88934592 | Total |
| Program Services | 72137047 | ProgramServices |
| Management And General | 16759354 | ManagementAndGeneral |
| Fundraising | 38191 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5302762 | Total |
| Program Services | 4150330 | ProgramServices |
| Management And General | 1137798 | ManagementAndGeneral |
| Fundraising | 14634 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9651418 | Total |
| Program Services | 7553907 | ProgramServices |
| Management And General | 2070876 | ManagementAndGeneral |
| Fundraising | 26635 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6507376 | Total |
| Program Services | 5158181 | ProgramServices |
| Management And General | 1330446 | ManagementAndGeneral |
| Fundraising | 18749 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 384127 | Total |
| Management And General | 384127 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51536 | Total |
| Management And General | 51536 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26612217 | Total |
| Program Services | 20428714 | ProgramServices |
| Management And General | 6170588 | ManagementAndGeneral |
| Fundraising | 12915 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2013019 | Total |
| Program Services | 15649 | ProgramServices |
| Management And General | 1975987 | ManagementAndGeneral |
| Fundraising | 21383 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 64265538 | Total |
| Program Services | 54517562 | ProgramServices |
| Management And General | 9737209 | ManagementAndGeneral |
| Fundraising | 10767 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13874 | Total |
| Program Services | 13148 | ProgramServices |
| Management And General | 726 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3703596 | Total |
| Program Services | 3703596 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 264197 | Total |
| Program Services | 119698 | ProgramServices |
| Management And General | 138038 | ManagementAndGeneral |
| Fundraising | 6461 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2923928 | Total |
| Program Services | 2923928 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18805494 | Total |
| Program Services | 18805494 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1682510 | Total |
| Program Services | 1546590 | ProgramServices |
| Management And General | 135920 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| BAD DEBT EXPENSE | 39317380 | 39317380 | ||
| MISCELLANEOUS EXPENSES | 1166344 | 513054 | 571544 | 81746 |
| RECRUITMENT | 494289 | 494289 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 276972180 | Total |
| Program Services | 232549340 | ProgramServices |
| Management And General | 43975193 | ManagementAndGeneral |
| Fundraising | 447647 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 303705 | BOY |
| EOY | 271669 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4260956 | BOY |
| EOY | 4333206 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4244649 | BOY |
| EOY | 1353827 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33147925 | BOY |
| EOY | 38126112 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3494578 | BOY |
| EOY | 3296499 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6204377 | BOY |
| EOY | 4707365 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 356104603 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 213158173 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 147271313 | BOY |
| EOY | 142946430 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 127545345 | BOY |
| EOY | 85255402 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6842333 | BOY |
| EOY | 2019212 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 309309 | BOY |
| EOY | 3151843 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7808164 | BOY |
| EOY | 7670331 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 341432654 | BOY |
| EOY | 293131896 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34112083 | BOY |
| EOY | 39887132 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 50770094 | BOY |
| EOY | 47745327 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6560171 | BOY |
| EOY | 4390103 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15000000 | BOY |
| EOY | 12835108 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8396056 | BOY |
| EOY | 8477722 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 114838404 | BOY |
| EOY | 113335392 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 206141042 | BOY |
| EOY | 176283719 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6542645 | BOY |
| EOY | 3512785 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13910563 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 226594250 | BOY |
| EOY | 179796504 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 341432654 | BOY |
| EOY | 293131896 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 7130712 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -53928458 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 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) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $12,280 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 12280 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF OTHER LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1I: | ReturnReference |
| Explanation | THE HOSPITAL IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE NORTH CAROLINA HOSPITAL ASSOCIATION (NCHA). THESE ORGANIZATIONS ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBERSHIP BODIES, AND A PORTION OF MEMBERSHIP DUES PAID TO THESE ORGANIZATIONS IS ATTRIBUTABLE TO LOBBYING EXPENDITURES. FOR THE TAX YEAR 2011, THE AMOUNT OF DUES ATTRIBUTABLE TO LOBBYING WAS APPROXIMATELY $12,280 BASED ON ALL AVAILABLE INFORMATION FROM THOSE ORGANIZATIONS. THE HOSPITAL ALSO MAKES OCCASIONAL CONTRIBUTIONS TO THE NORTH CAROLINA CHAMBER OF COMMERCE AND THE HIGH POINT CHAMBER OF COMMERCE. THE CONTRIBUTIONS ARE NOT SPECIFICALLY FOR LOBBYING EXPENDITURES, BUT SOME PORTION OF THOSE ORGANIZATIONS' ACTIVITIES COULD BE CONSIDERED LOBBYING. THE PORTION OF THOSE CONTRIBUTIONS ALLOCATED AS LOBBYING, IF ANY, IS UNKNOWN. PLEASE SEE SCHEDULE I FOR DETAILS ON CONTRIBUTIONS TO THOSE ORGANIZATIONS. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 13910563 | BeginningOfYearBalance |
| Other Expenditures | 13910563 | OtherExpenditures |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 13673783 | BeginningOfYearBalance |
| Contributions | 236780 | Contributions |
| End Of Year Balance | 13910563 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 13403545 | BeginningOfYearBalance |
| Contributions | 270238 | Contributions |
| End Of Year Balance | 13673783 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.00000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.00000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 1 | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | 1 | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 13009705 | OtherCostOrOtherBasis |
| Book Value | 13009705 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 156490737 | OtherCostOrOtherBasis |
| Depreciation | 77888504 | Depreciation |
| Book Value | 78602233 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7124273 | OtherCostOrOtherBasis |
| Depreciation | 5449640 | Depreciation |
| Book Value | 1674633 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 175476726 | OtherCostOrOtherBasis |
| Depreciation | 129820029 | Depreciation |
| Book Value | 45656697 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4003162 | OtherCostOrOtherBasis |
| Book Value | 4003162 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 142946430 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| RETIREMENT & DEATH BENEFITS PAYABLE | $3,656,150 |
| ESTIMATED THIRD-PARTY SETTLEMENTS | $4,821,572 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 8477722 | TotalOfAmounts |
| Total Revenue | 284102892 | TotalRevenue |
| Total Expenses | 276972180 | TotalExpenses |
| Excess Or Deficit For Year | 7130712 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -5364245 | NetUnrealizedGLOnInvestments |
| Other | -$48,564,213 | OtherAmount |
| Total Adjustments | -53928458 | TotalAdjustments |
| Excess Or Deficit Per FS | -46797746 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 229872878 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -5364245 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 534773 | DonatedSrvcAndUseOfFacilities |
| Other Revenues | 170670 | OtherRevenues |
| Revenue Not Rptd F990 | -4658802 | RevenueNotRptdF990 |
| Revenue Subtotal | 234531680 | RevenueSubtotal |
| Other Revenues Not Included | 49571212 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 49571212 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 284102892 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 276670624 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 534773 | DonatedServicesUseOfFacilities |
| Other Expenses Included | 170670 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 705443 | ExpensesNotRptdF990 |
| Expenses Subtotal | 275965181 | ExpensesSubtotal |
| Other Expenses Not Included | 1006999 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 1006999 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 276972180 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | THE HEALTH SYSTEM'S ENDOWMENT CONSISTS OF A FUND ESTABLISHED FOR A VARIETY OF HEALTHCARE PROGRAMS AS DEEMED NECESSARY BY THE BOARD OF TRUSTEES. THE ENDOWMENT INCLUDES DONOR-RESTRICTED ENDOWMENT FUNDS AND AS REQUIRED BY GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OR ABSENCE OF DONOR-IMPOSED RESTRICTIONS. THE HEALTH SYSTEM HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS SUPPORTED BY ITS ENDOWMENT WHILE SEEKING TO MAINTAIN THE PURCHASING POWER OF THE ENDOWMENT ASSETS. ENDOWMENT ASSETS INCLUDE THOSE ASSETS OF DONOR-RESTRICTED FUNDS THAT THE ORGANIZATION MUST HOLD IN PERPETUITY. UNDER THIS POLICY, AS APPROVED BY THE BOARD OF TRUSTEES, THE ENDOWMENT ASSETS ARE INVESTED IN A MANNER THAT IS INTENDED TO PRODUCE RESULTS THAT EXCEED THE PRICE AND YIELD RESULTS OF THE S&P 500 INDEX WHILE ASSUMING A MODERATE LEVEL OF INVESTMENT RISK. IN THE TAX YEAR 2010, THE ORGANIZATION TRANSFERRED THE ENDOWMENT TO THE NEWLY-CREATED HIGH POINT REGIONAL HEALTH SYSTEM FOUNDATION. FUTURE ACTIVITY OF THE ENDOWMENT IS TRACKED WITHIN THAT ORGANIZATION, AND AMOUNTS RELEASED FROM RESTRICTION ARE TRANSFERRED TO THE FILING ORGANIZATION AS CONTRIBUTIONS FROM THE FOUNDATION. SEE FORM 990, PART VIII, LINE 1. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | THE HEALTH SYSTEM IS EXEMPT FROM FEDERAL INCOME TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND FROM STATE INCOME TAXES UNDER SIMILAR PROVISIONS OF NORTH CAROLINA TAX LAWS. HOWEVER, INCOME FROM CERTAIN ACTIVITIES NOT DIRECTLY RELATED TO THE HEALTH SYSTEM'S TAX-EXEMPT PURPOSE IS SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. THE HEALTH SYSTEM HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2011. FISCAL YEARS ENDING ON OR AFTER SEPTEMBER 30, 2008 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | TRANSFER OF EQUITY TO AFFILIATE -15,030,980. TRANSFER OF ENDOWMENT TO HIGH POINT REG. HEALTH SYSTEM FOUNDATION -33,533,233. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | DIRECT FUNDRAISING EXPENSES 170,670. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | EXPENSES NET W/ REVENUES ON FINANCIAL STATEMENTS 1,006,999. TRANSFER OF EQUITY TO AFFILIATE 15,030,980. TRANSFER OF ENDOWMENT TO HIGH POINT REG. HEALTH SYSTEM FOUNDATION 33,533,233. | |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | DIRECT FUNDRAISING EXPENSES 170,670. | |
| PART XIII, LINE 4B - OTHER ADJUSTMENTS: | EXPENSES NET W/ REVENUES ON FINANCIAL STATEMENTS 1,006,999. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | LOVELINE TREE LIGHTING | NameOfEvent1 |
| Gross Receipts Event1 | 65226 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 65226 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 349 | OtherDirectExpensesEvent1 |
| Name Of Event2 | SUN AND STARS | NameOfEvent2 |
| Gross Receipts Event2 | 189975 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 7475 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 182500 | GrossRevenueEvent2 |
| Rent Facility Costs Event2 | 3049 | RentFacilityCostsEvent2 |
| Food And Beverage Event2 | 40049 | FoodAndBeverageEvent2 |
| Entertainment Event2 | 30600 | EntertainmentEvent2 |
| Other Direct Expenses Event2 | 73698 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 2 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 86193 | GrossReceiptsOtherEvents |
| Gross Revenue Other Events | 86193 | GrossRevenueOtherEvents |
| Non Cash Prizes Other Events | 2500 | NonCashPrizesOtherEvents |
| Other Direct Expenses Other Events | 20425 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 341394 | GrossReceiptsTotal |
| Charitable Contributions Total | 7475 | CharitableContributionsTotal |
| Gross Revenue Total Events | 333919 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 2500 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 3049 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 40049 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 30600 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 94472 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 170670 | DirectExpenseSummaryEvents |
| Net Income Summary | 163249 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8554300 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 8554300 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03600 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6377905 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 6377905 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02680 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 269994 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 269994 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 15202199 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 15202199 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06390 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 831873 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3320 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 828553 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00350 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 502112 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 502112 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00210 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 189094 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 23756 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 165338 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 301902 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8275 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 293627 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00120 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1824981 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 35351 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1789630 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00750 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 17027180 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 35351 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 16991829 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07140 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 42808 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 42808 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 43869 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 43869 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 86677 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 86677 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $13,091,953 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 103706963 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 114376741 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -10669778 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 HIGH POINT SURGERY CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | AMBULATORY SURGERY | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.50000 | OrganizationProfitOrOwnership |
| Physicans Profit Or Ownership | 0.50000 | PhysicansProfitOrOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | HIGH POINT REGIONAL HEALTH SYSTEM | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 NORTH ELM STREET | AddressLine1 |
| City | HIGH POINT | City |
| State | NC | State |
| ZIP Code | 27262 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
| Other | DISPROPORTIONATE SHARE HOSPITAL | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA IN 2010 PER IRS ANNOUNCEMENT 2011-37 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 9 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (9 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| REGIONAL PSYCHIATRIC ASSOC | ||||
| 320 BOULEVARD ST | HIGH POINT | NC | 27262 | BEHAVIORAL HEALTH |
| HIGH POINT WEST | ||||
| 1720 WESTCHESTER DR | HIGH POINT | NC | 27262 | PHYSICAL THERAPHY |
| CAROLINA CARDIOLOGY CORNERSTONE | ||||
| 306 WESTWOOD AVE | HIGH POINT | NC | 27262 | HEART CENTER |
| EMERYWOOD HEMATOLOGYONCOLOGY | ||||
| 302 WESTWOOD AVE | HIGH POINT | NC | 27262 | CANCER/RADIATION |
| THOMASVILLE MEDICAL OFFICE BUILDING | ||||
| 711 NATIONAL HWY | THOMASVILLE | NC | 27360 | REHABILITATION |
| DIABETES CENTER | ||||
| 319 WESTWOOD AVE | HIGH POINT | NC | 27262 | DIABETES TREATMENT |
| REGIONAL REHAB & PAIN | ||||
| 300 GATEWOOD AVE | HIGH POINT | NC | 27262 | REHABILITATION |
| REHAB AT YMCA | ||||
| 900 BONNER DR | JAMESTOWN | NC | 27282 | REHABILITATION |
| PHYSICIANS OFFICES | ||||
| 222 W RAY ST | HIGH POINT | NC | 27262 | PATHOLOGY |
Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| PART I, LINE 7: THE ORGANIZATION HAS USED THE ANDI (ADVOCACY NEEDS DATA INITIATIVE) METHODOLOGY, WHICH USES A FACILITY-WIDE RATIO OF COST TO CHARGES AS DESCRIBED IN THE 2010 NORTH CAROLINA HOSPITAL ASSOCIATION COMMUNITY BENEFIT GUIDELINES TO DETERMINE FINANCIAL ASSISTANCE, UNREIMBURSED MEDICAID, AND OTHER AMOUNTS ON PART I, LINE 7 AT COST. | ||
| PART I, L7 COL(F): TOTAL EXPENSES REPORTED ON FORM 990, PART XI, LINE 25 INCLUDES A BAD DEBT EXPENSE OF $39,317,380 WHICH HAS BEEN REMOVED FOR PURPOSES OF CALCULATING COMMUNITY BENEFIT PERCENTAGE ON LINE 7, COLUMN (F). | ||
| PART II: HIGH POINT REGIONAL PROMOTED THE HEALTH OF THE COMMUNITY IT SERVES BY SUPPLYING MEETING SPACE FOR NON-PROFIT ORGANIZATIONS SUCH AS LEADERSHIP HIGH POINT. HIGH POINT REGIONAL GENEROUSLY SPONSORED AN ARRAY OF COMMUNITY GROUPS INCLUDING HIGH POINT CHAMBER OF COMMERCE, ARCHDALE-TRINITY CHAMBER OF COMMERCE, KERNERSVILLE CHAMBER OF COMMERCE, AND THOMASVILLE CHAMBER OF COMMERCE.IN ADDITION, HIGH POINT REGIONAL PROMOTED THE HEALTH OF THE COMMUNITY IT SERVES BY SUPPLYING MEETING SPACE FOR NON-PROFIT ORGANIZATIONS SUCH AS BRAIN INJURY ALLIANCE, RELAY FOR LIFE, AND ALCOHOLICS ANONYMOUS. HIGH POINT REGIONAL PROMOTED THE CHILD SAFETY SEAT PROGRAM BECAUSE CURRENTLY FOUR OUT OF FIVE CAR SEATS IN THE U.S. ARE USED INCORRECTLY, SO THE TRAINING AND EDUCATION IS CRUCIAL. HIGH POINT REGIONAL GENEROUSLY SPONSORED AN ARRAY OF COMMUNITY GROUPS INCLUDING SPECIAL OLYMPICS AND OPEN DOOR MINISTRIES. | ||
| PART III, LINE 4: THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE ON BAD DEBT.THE COST OF BAD DEBT IS CALCULATED USING THE ANDI (ADVOCACY NEEDS DATA INITIATIVE) METHODOLOGY, WHICH USES A FACILITY-WIDE RATIO OF COST TO CHARGES AS DESCRIBED IN THE 2010 NORTH CAROLINA HOSPITAL ASSOCIATION COMMUNITY BENEFIT GUIDELINES.THERE IS NO REASONABLE METHOD AVAILABLE TO ESTIMATE THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY. IN FUTURE YEARS, THE ORGANIZATION WILL MAKE EFFORTS TO GATHER INFORMATION THAT MAY LEAD TO AN ESTIMATE. | ||
| PART III, LINE 8: MEDICARE ALLOWABLE COSTS OF CARE IS CALCULATED USING THE ANDI (ADVOCACY NEEDS DATA INITIATIVE) METHODOLOGY, WHICH USES A FACILITY-WIDE RATIO OF COST TO CHARGES AS DESCRIBED IN THE 2010 NORTH CAROLINA HOSPITAL ASSOCIATION COMMUNITY BENEFIT GUIDELINES.THE ENTIRE MEDICARE SHORTFALL AMOUNT SHOULD BE TREATED AS A COMMUNITY BENEFIT. MEDICARE RATES AND NUMBERS OF MEDICARE PATIENTS ARE NOT NEGOTIATED. AS REIMBURSEMENT RATES DECLINE RELATIVE TO COSTS OF CARE, HIGH POINT REGIONAL CONTINUES TO SERVE THE MEDICARE POPULATION. IN FY 2011, MEDICARE ACCOUNTED FOR APPROXIMATELY HALF OF HIGH POINT REGIONAL'S BUSINESS BASED ON GROSS CHARGES. WITHOUT THIS SERVICE, THESE PATIENTS WOULD BECOME AN OBLIGATION TO THE GOVERNMENT. ANY UNREIMBURSED COST OF THIS CARE ARE A COMMUNITY BENEFIT PROVIDED BY THE HOSPITAL TO THE COMMUNITY AND GOVERNMENT. | ||
| PART III, LINE 9B: HIGH POINT REGIONAL HEALTH SYSTEM HAS A ROBUST FINANCIAL ASSISTANCE UNIT CONSISTING OF SIX FINANCIAL COUNSELORS, TWO SOCIAL WORKERS, AN OFFICE SPECIALIST, AND A DEPARTMENT COORDINATOR. A DAILY REPORT IS GENERATED INDENTIFYING ALL PATIENTS REGISTERED AS "SELF PAY". USING THIS REPORT, THE FINANCIAL COUNSELORS SCHEDULE MEETINGS WITH PATIENTS FACE-TO-FACE FOR FINANCIAL EVALUATIONS. PATIENTS CAN BE SCREENED FOR MEDICAID ELIGIBILITY, HPRHS'S CHARITY CARE PROGRAM AND/OR OTHER FINANCIAL ASSISTANCE OPPORTUNITIES. WHEN FACE-TO-FACE EVALUATIONS ARE NOT POSSIBLE, FINANCIAL COUNSELORS REACH OUT TO PATIENTS VERBALLY VIA TELEPHONE CALLS AND WRITTEN CORRESPONDENCE.FINANCIAL COUNSELORS ALSO PROVIDE PATIENTS WITH INFORMATION ON FINANCING MEDICAL BILLS THROUGH FIRSTPOINT COLLECTION RESOURCES (FORMERLY MOSAIC FINANCE SOLUTIONS OR HEALTH FINANCE). PATIENTS CAN THEN PAY THEIR ACCOUNT WITH MONTHLY INSTALLMENTS WHICH IS 2.5% OF THEIR HIGHEST ACCOUNT BALANCE, WITH A MINIMUM OF $25. PATIENTS ARE ALLOWED TO PAY OVER A PERIOD OF 56 MONTHS AND FIRSTPOINT CHARGES A FINANCE CHARGE WHICH IS EQUAL TO AN ANNUAL RATE OF 4%. CREDIT REPORTS ARE USED TO ASSIST IN THE QUALIFICATION PROCESS. HPRHS ALSO OFFERS A PROMPT PAY DISCOUNT IN THE AMOUNT OF 40% OF CHARGES TO UNINSURED PATIENTS. IN ORDER TO QUALIFY, A PATIENT MUST PAY THE BILL IN FULL WITHIN 30 DAYS FROM THE DATE OF THE FIRST STATEMENT. THIS 40% DISCOUNT IS NOT AVAILABLE TO THE PATIENTS WHO ELECT TO PAY THEIR BILL OVERTIME THROUGH FIRSTPOINT PAYMENT PLANS.HIGH POINT REGIONAL USES A THIRD-PARTY VENDOR, PARAGON, TO COLLECT ALL PATIENT PAYMENTS BEGINNING TEN DAYS AFTER THE PATIENT'S SERVICE DATE. IF THE PATIENT HAS NOT PAID WITHIN 120 DAYS, THE BALANCE IS TRANSFERRED TO BAD DEBT AND THE ACCOUNT IS TRANSFERRED TO FIRSTPOINT FOR DEBT COLLECTION.PAYMENTS CAN BE MADE BY CASH, CHECK, MASTERCARD, VISA, OR AMERICAN EXPRESS. | ||
| PART VI, LINE 2: AS A PART OF THE YEARLY STRATEGIC PLANNING PROCESS, DEMOGRAPHIC TRENDS AND PROJECTIONS, INCLUDING POPULATION GROWTH, AGE DISTRIBUTION AND HOUSEHOLD INCOME BY ZIP CODE IN PRIMARY AND SECONDARY SERVICE AREAS, ARE USED TO IDENTIFY FUTURE SERVICE NEEDS. THIS DATA IS COLLECTED BY THE HPRHS DEPARTMENTS OF PLANNING AND BUSINESS INTELLIGENCE. DATA SOURCES INCLUDE CLARITAS, NC DIVISION OF AGING AND ADULT SERVICES, STATEHEALTHFACTS.ORG, THE HIGH POINT ECONOMIC DEVELOPMENT CORPORATION, AND OTHERS. A LIAISON FROM THE PLANNING DEPARTMENT ALSO WORKS WITH THE LOCAL UNITED WAY AGENCY, PROVIDING OUR HEALTH SYSTEM WITH A METHOD TO SHARE THE DATA GATHERED THROUGH THEIR ANNUAL COMMUNITY NEEDS ASSESSMENT. ADDITIONALLY, THERE IS EVALUATION OF SERVICE GROWTH OPPORTUNITIES DEFINED IN THE NORTH CAROLINA STATE MEDICAL FACILITIES PLAN. DATA IS ALSO COLLECTED AND TRENDED THROUGH VOICE-OF-THE-CUSTOMER METHODS INCLUDING PATIENT COMMENTS ON HPRHS SATISFACTION SURVEYS AND THROUGH OUR SERVICE RECOVERY PROCESS. THIS DATA INFORMS THE HEALTH SYSTEM'S STRATEGIC DECISIONS REGARDING NEW OR IMPROVED HEALTH CARE ACCESS POINTS, PROGRAMS, COLLABORATIVE EFFORTS, AND TECHNOLOGY NEEDED TO SERVE CHANGING POPULATION DEMOGRAPHICS. | ||
| PART VI, LINE 3: DURING THE PATIENT REGISTRATION PROCESS FOR SCHEDULED PROCEDURES, IF A PATIENT DECLINES ALL PAYMENT OPTIONS AND EXPRESSES CONCERN ABOUT THEIR ABILITY TO PAY FOR THE SERVICES RENDERED, THE REGISTRAR OFFERS TWO OPTIONS--THE PATIENT CAN BE SCREENED FOR MEDICAID ELIGIBILITY OR BE SCREENED FOR HIGH POINT REGIONAL HEALTH SYSTEM'S CHARITY CARE PROGRAM WITH HELP FROM TRAINED FINANCIAL COUNSELORS IN THE HOSPITAL'S FINANCIAL ASSISTANCE UNIT. COUNSELORS DIRECT PATIENTS TO AS MANY PROGRAMS FOR FINANCIAL ASSISTANCE AS POSSIBLE, INCLUDING SOCIAL SECURITY DISABILITY, MEDICAID, CRIME VICTIMS, SANE FOR RAPE VICTIMS, PURCHASE OF MEDICAL CARE PROGRAM FOR CANCER, AND ANY OTHER STATE, LOCAL OR FEDERAL PROGRAM OFFERED TO ASSIST PEOPLE WITH THEIR MEDICAL BILLS OR ACCESS TO CONTINUED CARE. FOR PATIENTS WITH UNSCHEDULED CARE THAT IS EMERGENCY OR URGENT, THIS PROCESS IS COMPLETED EITHER DURING THE PATIENT'S STAY OR AT DISCHARGE. THIS INFORMATION IS AVAILABLE IN A PACKET IN BOTH ENGLISH AND SPANISH VERSIONS. ADDITIONALLY, HPRHS PROVIDES AN OVERALL SUMMARY OF OUR CHARITY POLICY AND HOW TO APPLY ON THE HPRHS WEBSITE AT HTTP://WWW.HIGHPOINTREGIONAL.COM/PATIENTSANDVISITORS/PAYMENT/PAY.ASP. THE HPRHS PATIENT CARE STAFF IS ALSO TRAINED TO RECOGNIZE FINANCIAL NEED IN PATIENTS AND REFER THEM FOR ASSISTANCE. PATIENTS WHO HAVE FURTHER QUESTIONS REGARDING THEIR HOSPITAL BILL CAN CALL AN AUTOMATED BILLING SYSTEM 24 HOURS A DAY, 7 DAYS A WEEK TO OBTAIN BALANCE INFORMATION OR REQUEST A COPY OF AN ITEMIZED BILL. CUSTOMER SERVICE REPRESENTATIVES ARE ALSO ON DUTY MONDAY - FRIDAY, 8 A.M. TO 5 P.M. TO ANSWER ACCOUNT QUESTIONS. | ||
| PART VI, LINE 4: HIGH POINT REGIONAL HEALTH SYSTEM (HPRHS) HAS A PRIMARY SERVICE AREA COMPRISED OF THE GEOGRAPHIC AREA THAT INCLUDES HIGH POINT, ARCHDALE, TRINITY, THOMASVILLE, AND JAMESTOWN, NORTH CAROLINA. THIS INCLUDES ZIP CODES 27260-27262, 27264, 27265, 27282, 27263, 27360-27361, AND 27370. HPRHS OPERATES WITH A 61.2% SHARE OF THE PRIMARY SERVICE AREA MARKET THAT ENCOMPASSES A TOTAL POPULATION OF 197,600, WITH AN AVERAGE HOUSEHOLD INCOME OF $57,066, BUT WITH 27.1% OF ALL HOUSEHOLDS HAVING AN AVERAGE INCOME EQUAL TO OR LESS THAN $25,000. THE SECONDARY SERVICE AREA FOR HPRHS INCLUDES COLFAX, DENTON, SOUTHWESTERN GREENSBORO, KERNERSVILLE, LEXINGTON, ASHEBORO, RANDLEMAN, AND SOPHIA, NORTH CAROLINA. THIS INCLUDES ZIP CODES 27235, 27239, 27407, 27284-27285, 27292-27295, 27203-27205, 27317, 27350, AND 27107. THE TOTAL POPULATION OF THIS AREA IS 320,796, WITH AN AVERAGE INCOME OF $53,830, OF WHICH 26.5% OF THESE HOUSEHOLDS HAVE AN AVERAGE ANNUAL INCOME AT OR LESS THAN $25,000. HPRHS OPERATES WITH A 9.0% SHARE OF THE SECONDARY MARKET AREA. HPRHS' COMBINED PRIMARY AND SECONDARY SERVICE AREAS SERVE AN ESTIMATED DEPENDENT POPULATION OF 129,304 OR 24.9% OF THE COMBINED PRIMARY AND SECONDARY SERVICE AREAS TOTAL POPULATION OF 518,396. HPRHS' COMBINED SERVICE AREA POPULATION HAS AN AVERAGE INCOME OF $55,065, OF WHICH 26.7% OF ALL HOUSEHOLDS HAVE AN ANNUAL INCOME EQUAL TO OR LESS THAN $25,000. THE RACE/ETHNICITY MIX FOR THE AREA IS APPROXIMATELY: 68.94% WHITE NON-HISPANIC, 16.8% BLACK NON-HISPANIC, 9.9% HISPANIC, AND 4.5% OTHER. BASED ON JANUARY 2011 DATA, THE UNEMPLOYMENT RATE FOR GUILFORD COUNTY, WHICH INCLUDES THE LARGEST PERCENTAGE OF HPRHS'S COMBINED SERVICE AREA POPULATION, WAS 10.3% WITH HIGHER UNEMPLOYMENT RATES NOTED IN SEVERAL METROPOLITAN AREAS INCLUDING GREENSBORO-HIGH POINT AT 10.9%, UP FROM DECEMBER'S REPORT OF 10.2%. HIGH POINT REGIONAL HEALTH SYSTEM'S SELF-DEFINED SERVICE AREA DOES NOT ENCOMPASS A MEDICALLY UNDERSERVED AREA. HPRHS SHARES PARTS OF ITS SERVICES AREA WITH SEVEN OTHER HOSPITAL SYSTEMS INCLUDING : MOSES H. CONE HEALTH SYSTEM, WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER, FORSYTH MEDICAL CENTER, THOMASVILLE MEDICAL CENTER, RANDOLPH HOSPITAL, LEXINGTON MEMORIAL HOSPITAL, AND KERNERSVILLE MEDICAL CENTER. | ||
| PART VI, LINE 6: A MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS OR BUSINESS ASSOCIATES OF SUCH PERSONS. HIGH POINT REGIONAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PROFESSIONALLY COMPETENT PHYSICIANS WHO MEET ETHICAL STANDARDS. THIS HOLDS TRUE THROUGHOUT ALL HOSPITAL AREAS AND DEPARTMENTS. HIGH POINT REGIONAL UTILIZES SURPLUS FUNDS TO IMPROVE THE QUALITY OF PATIENT CARE AND TO UPDATE OUR FACILITIES. DURING FY 2011, SURPLUS FUNDS IN THE AMOUNT OF $1.7 MILLION HAS BEEN USED TO SUPPORT MASSIVE RENOVATIONS ON THE FOURTH FLOOR OF OUR HOSPITAL. ANOTHER $3.2 MILLION HAS BEEN USED TO REPLACE THE AIR HANDLING UNIT. MAJOR AND MINOR EQUIPMENT, INCLUDING ITEMS SUCH AS AN ULTRASOUND UNIT AND HEART/LUNG BYPASS MACHINES, WERE PURCHASED IN THE AMOUNT OF $1.1 MILLION. APPROXIMATELY $5.5 MILLION WAS SPENT IN FY 2011 FOR I.T. EQUIPMENT AND ITEMS RELATED TO THE CONSTRUCTION OF A NEW DATA CENTER. THESE DATA SYSTEM UPDATES WILL IMPROVE PATIENT CARE BY REDUCING ERRORS AND INCREASING EFFICIENCY. A CERTIFICATE OF NEED TO RENOVATE WOMEN'S SERVICES ON THE 5TH FLOOR HAS BEEN FILED, AND CONDITIONAL APPROVAL WAS RECEIVED. THE RENOVATION WILL INCLUDE REDUCING THE 6-BED PODS TO 4-BED PODS AND CREATING AN ENVIRONMENT THAT WILL ENHANCE THE BIRTH EXPERIENCE FOR THE PARENTS. A CERTIFICATE OF NEED TO RENOVATE THE EMERGENCY DEPARTMENT HAS BEEN RECEIVED. THIS RENOVATION WILL PROVIDE A SAFE ENVIRONMENT FOR PATIENTS WITH PSYCHIATRIC DISEASE AND PROMOTE BETTER PATIENT FLOW. THIS RENOVATION WILL ALSO INCREASE THE NUMBER OF BEDS TO TREAT PATIENTS. PLANS ARE IN DEVELOPMENT FOR AN EXPANSION OF THE MAIN HOSPITAL. THE FOCUS OF THE EXPANSION WILL BE TO CREATE A STATE-OF-THE-ART SURGICAL SUITE COMPLETE WITH A CARDIOVASCULAR HYBRID OPERATING ROOM, EXPAND AND CONSOLIDATE THE CARDIAC CATH, ELECTROPHYSIOLOGY, AND CARDIOLOGY SERVICES. IN CONJUNCTION WITH THE BUILDING EXPANSION, THERE WILL BE A MAJOR FACILITIES INFRASTRUCTURE UPGRADE THAT WILL BE NECESSARY FOR FUTURE HEATING, COOLING, AND ELECTRICAL REQUIREMENTS OF THE FACILITY. | ||
| PART VI, LINE 7: THE ORGANIZATION IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. | ||
| NC | REPORTS FILED WITH STATES | PART VI, LINE 7 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Amount Of Non Cash AssistanceAmountOfNonCashAssistance | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|---|---|---|
| TRIAD ADULT & PEDIATRIC MEDICINE | ||||||||||
| 1046 E WENDOVER AVE | GREENSBORO | NC | 27405 | 561991438 | 501(C)(3) | 850000 | 76740 | COST | CLINIC PHARMACY INVENTORY & TELEFILL SYSTEM | SUPPORT FOR HEALTH CARE OF INDIGENT POPULATION |
| THE COMMUNITY CLINIC OF HIGH POINT INC | ||||||||||
| PO BOX 5607 | HIGH POINT | NC | 27262 | 561795022 | 501(C)(3) | 56250 | 388158 | COST | DIAGNOSTIC TESTS, PHYSICAL THERAPY, LAB SERVICES AND FACILITY USE. | SUPPORT FOR HEALTH CARE OF INDIGENT POPULATION |
| HIGH POINT CHAMBER OF COMMERCE | ||||||||||
| 1634 NORTH MAIN STREET | HIGH POINT | NC | 27262 | 560473292 | 501(C)(6) | 42000 | SPONSORSHIP & DUES | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 1 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII (6 entries)
| Type Of GrantTypeOfGrant | Number Of RecipientsNumberOfRecipients | Amount Of Cash GrantAmountOfCashGrant | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance | Amount Of Non Cash AssistanceAmountOfNonCashAssistance | Method Of ValuationMethodOfValuation |
|---|---|---|---|---|---|
| HEART STRIDES CARDIAC & PULMONARY REHAB SCHOLARSHIPS | 97 | 65050 | SCHOLARSHIPS FOR HEART AND LUNG PATIENTS TO PARTICIPATE IN CARDIAC & PULMONARY REHAB | ||
| PROJECT C.A.R.E. - CRISIS ASSISTANCE FOR EMPLOYEES | 1 | 2262 | CRISIS ASSISTANCE FOR EMPLOYEES | ||
| CANCER FITT/YOGA PROGRAM SCHOLARSHIPS | 9 | 1910 | SCHOLARSHIPS FOR CANCER PATIENTS TO PARTICIPATE IN THE PROGRAM, ALSO FOR SPECIALISTS' FEES | ||
| MAMMOGRAM ASISSTANCE PROGRAM | 44 | MAMMOGRAMS PROVIDED FOR INDIGENT PATIENTS | 16409 | COST OF SERVICE | |
| LOVELINE CANCER SUPPORT | 255 | 87306 | FINANCIAL SUPPORT FOR CANCER CENTER PATIENTS | ||
| BEHAVIORAL HEALTH/PATIENT PRESCRIPTION ASSITANCE FOR INDIGENT PATIENTS | 103 | 18977 | DONATION TO SUPPORT PRESCRIPTIONS AT DISCHARGE |
Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | PART I, LINE 2: | SCHEDULE I, PART I, LINE 2: HIGH POINT REGIONAL HEALTH SYSTEM ADMINISTERS CONTRIBUTED DOLLARS EXACTLY AS THE DONORS DIRECT WHEN GIFTS ARE MADE. EACH FUND FOR GRANTMAKING HAS A POLICY THAT DETAILS THE SPECIFIC USES FOR THE FUNDS. A VICE PRESIDENT OF THE ORGANIZATION IS ASSIGNED OVERSIGHT OF THE FUND ALONG WITH THE COMMITTEE FOR THE FUND. IN ORDER TO RECEIVE ASSISTANCE, GRANTEES AND AID RECIPIENTS MUST DEMONSTRATE FINANCIAL NEED IN THE APPLICATION PROCESS. THIS IS ACCOMPLISHED BY HAVING A HOSPITAL FINANCIAL COUNSELOR CONDUCT A CONSULTATION WITH THE APPLICANT. ONCE AN APPLICANT IS DETERMINED TO BE ELLIGIBLE, A MEMBER OF THE COMMITTEE MAY AUTHORIZE EXPENDITURES FOR APPROVAL WITHIN THE POLICY CRITERIA. DISBURSEMENT FORMS MUST BE SIGNED BY THE VICE PRESIDENT CHARGED WITH OVERSIGHT, BEFORE THEY ARE SUBMITTED TO THE FINANCE COMMITTEE FOR PROCESSING. COMPLETE RECORDS OF EXPENDITURES ARE KEPT IN A CENTRAL LOCATION, THE DSCED OFFICE. WHEN APPROVAL FOR ASSISTANCE IS GIVEN, THE DSCED OFFICE MUST BE IMMEDIATLEY PROVIDED WITH THE FOLLOWING INFORMATION: THE NAME OF THE PATIENT, THE NATURE OF THE EXPENDITURE, THE EXACT AMOUNT, THE VENDOR'S NAME, AND DETAILS ON HOW THE EXPENSE IS TO BE PAID. MAXIMUM AMOUNTS FOR ASSISTANCE GRANTED TO EACH PER PERSON ARE STRICLTY MONITORED. |
| OTHER INFORMATION: | PART IV: | PART III THE BOARD OF DIRECTORS DIRECTS THE USE OF ENDOWMENT FUNDS TO THE ORGANIZATION. CEO JEFF MILLER SIGNS THE INVOICES FOR PAYMENT. ONCE APPROVED, THE ORGANIZATION SEND THE FUNDS TO THE GRANTEE ORGANIZATION. COMPLETE RECORDS OF ALL ENDOWMENT FUNDS RECEIVED FOR GRANTMAKING ARE KEPT BY HIGH POINT REGIONAL FOUNDATION. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| 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 | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| VIRGIL V WILLARD MD | |||||||||||||
| 0 | 159926 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 159926 | 0 | 0 |
| JEFFREY S MILLER | |||||||||||||
| 469164 | 0 | 0 | 0 | 51889 | 0 | 268323 | 0 | 44019 | 0 | 833395 | 0 | 0 | 0 |
| KIMBERLY S CREWS | |||||||||||||
| 182223 | 0 | 0 | 0 | 42577 | 0 | 23969 | 0 | 17047 | 0 | 265816 | 0 | 0 | 0 |
| MARTHA D BARHAM | |||||||||||||
| 215791 | 0 | 0 | 0 | 52553 | 0 | 41472 | 0 | 6669 | 0 | 316485 | 0 | 0 | 0 |
| LINDA C RONEY | |||||||||||||
| 175707 | 0 | 0 | 0 | 47529 | 0 | 37295 | 0 | 18287 | 0 | 278818 | 0 | 0 | 0 |
| DARRELL R DEATON | |||||||||||||
| 154309 | 0 | 0 | 0 | 21435 | 0 | 21058 | 0 | 14791 | 0 | 211593 | 0 | 0 | 0 |
| TAMMI E ERVING-MENGEL MD | |||||||||||||
| 154087 | 0 | 0 | 0 | 48027 | 0 | 17259 | 0 | 9973 | 0 | 229346 | 0 | 0 | 0 |
| GREG TAYLOR MD | |||||||||||||
| 301010 | 0 | 0 | 0 | 41080 | 0 | 72079 | 0 | 24081 | 0 | 438250 | 0 | 0 | 0 |
| KATHERINE R BURNS | |||||||||||||
| 166708 | 0 | 0 | 0 | 10789 | 0 | 2699 | 0 | 8354 | 0 | 188550 | 0 | 0 | 0 |
| DENISE M POTTER | |||||||||||||
| 168201 | 0 | 0 | 0 | 23728 | 0 | 8802 | 0 | 19433 | 0 | 220164 | 0 | 0 | 0 |
| BRIAN A FARAH | |||||||||||||
| 203801 | 0 | 195208 | 0 | 19373 | 0 | 14700 | 0 | 7634 | 0 | 440716 | 0 | 0 | 0 |
| ZARINA W CHOW | |||||||||||||
| 115324 | 0 | 0 | 0 | 26969 | 0 | 12793 | 0 | 3135 | 0 | 158221 | 0 | 0 | 0 |
| MELANIE J MARTIN | |||||||||||||
| 126418 | 0 | 0 | 0 | 16930 | 0 | 5343 | 0 | 4136 | 0 | 152827 | 0 | 0 | 0 |
| EDWARD W LOVE | |||||||||||||
| 174917 | 0 | 68295 | 0 | 558 | 0 | 3607 | 0 | 10995 | 0 | 258372 | 0 | 0 | 0 |
| ALFRED D BELEN | |||||||||||||
| 172452 | 0 | 56704 | 0 | 2935 | 0 | 4231 | 0 | 7664 | 0 | 243986 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 4B | ReturnReference |
| Explanation | THE SYSTEM HAS ESTABLISHED A 457(F) SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. IN GENERAL, THE ORGANIZATION CONTRIBUTES AMOUNTS TO THE PLAN IN AMOUNTS EQUAL TO AN EMPLOYEE'S APPLICABLE PERCENTAGE MULTIPLIED BY HIS COMPENSATION FOR A PLAN YEAR, LESS ANY AMOUNTS CONTRIBUTED TO THE HOSPITAL'S 457(B) EXECUTIVE SAVINGS PLAN. VESTING IN THE PLAN OCCURS UPON A PARTICIPANT REACHING HIS ESTABLISHED PAYMENT DATE OR HIS INVOLUNTARY TERMINATION OF CONTINUOUS SERVICE, PURSUANT TO PLAN STIPULATIONS. FOR THE YEAR ENDED 9/30/11, THE FOLLOWING INDIVIDUALS ACCRUED THE FOLLOWING AMOUNTS TO THIS PLAN: JEFFREY MILLER $ 247,498 MARTHA BARHAM 20,647 KIMBERLY CREWS 5,078 GREGORY TAYLOR 57,379 TAMMI ERVING-MENGEL 376 DARRELL DEATON 5,220 LINDA RONEY 16,470 DENISE POTTER 3,604 THESE AMOUNTS ARE REPRESENTED ON SCHEDULE J, PART II, COLUMN (C). | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTH CAROLINA MEDICAL CARE COMMISSION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 521309402 | IssuerEIN |
| CUSIP Number | NONEAVAIL | CUSIPNumber |
| Date Issued | 2009-11-04 | DateIssued |
| Issue Price | 9540000 | IssuePrice |
| Description Of Purpose | CURRENT REFUNDING | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amount Retired | 3915000 | AmountRetired |
| Total Proceeds | 9540000 | TotalProceeds |
| Issuance Costs From Proceeds | 190294 | IssuanceCostsFromProceeds |
| Other Spent Proceeds | 9349706 | OtherSpentProceeds |
| Year Of Subst Completion | 2007 | YearOfSubstCompletion |
| Current Refunding | 1 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 0 | Form8038TFiled |
| Variable Rate Issue | 1 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Exception To Rebate | 1 | ExceptionToRebate |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| TRACY WAGNER | |||
| FAMILY MEMBER OF OFFICER MARTHA BARHAM | 94286 | COMPENSATION AS DIRECTOR OF FINANCE OF A RELATED ORGANIZATION | 0 |
| CORNERSTONE HEALTHCARE | |||
| BOARD MEMBER MICHAEL LUCAS IS PART OWNER & TRUSTEE OF CORNERSTONE HEALTH | 220818 | THE ORGANIZATION RECEIVES PERSONAL PROPERTY RENTAL PAYMENTS FROM THE INTERESTED PERSON FOR THE USE OF A MOBILE MRI MACHINE. | 0 |
| CORNERSTONE HEALTHCARE | |||
| BOARD MEMBER MICHAEL LUCAS IS PART OWNER & TRUSTEE OF CORNERSTONE HEALTH | 2648247 | THE ORGANIZATION CONTRACTS WITH CORNERSTONE HEALTHCARE FOR THE PROVISIONS OF PROFESSIONAL PHYSICIAN SERVICES. | 0 |
| CAROLINA ANESTHESIOLOGY | |||
| BOARD MEMBER ELLIOTT WILLIAMS IS A PART OWNER OF CAROLINA ANESTHESIOLOGY | 1320689 | COMPENSATION FOR MEDICAL SERVICES PROVIDED | 0 |
| REGIONAL EMERGENCY PHYSICIANS | |||
| BOARD MEMBER LINDA TAYLOR IS A PART OWNER OF REGIONAL EMERGENCY PHYSICIANS | 776189 | COMPENSATION FOR MEDICAL SERVICES PROVIDED | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 1 | THE ORGANIZATION MAINTAINS AN EXECUTIVE COMMITTEE CONSISTING OF THE CHAIRMAN, VICE CHAIRMAN, FORMER CHAIRMAN AND AT LEAST 4 OTHER MEMBERS OF THE BOARD OF DIRECTORS, ONE OF WHOM MUST BE THE CORPORATE PRESIDENT. ALL COMMITTEE MEMBERS EXCEPT THE CORPORATE PRESIDENT HAVE VOTING RIGHTS. THE EXECUTIVE COMMITTEE IS CHARGED WITH GENERAL MANAGEMENT OF THE HEALTH SYSTEM, CARE FOR THE REAL ESTATE AND OTHER PROPERTY OF THE CORPORATION, SUPERVISION OF CONSTRUCTION AND ALTERATIONS, MAKING RULES FOR GOVERNING THE HEALTH SYSTEM AND FOR THE ADMISSION AND DISCHARGE OF PATIENTS AND EMPLOYEES, REGULATION OF CHARGES TO PATIENTS AND EXPENSES OF THE HEALTH SYSTEM, AND IS ACCOUNTABLE TO THE BOARD OF DIRECTORS AT ALL TIMES. | |
| FORM 990, PART VI, SECTION A, LINE 2 | BOARD MEMBERS CHARLES MYERS AND NED COVINGTON HAVE A BUSINESS RELATIONSHIP. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. UPON COMPLETION, MANAGEMENT MADE A DETAILED REVIEW OF THE DRAFT FORM 990. FOLLOWING MANAGEMENT'S REVIEW, THE RETURN WAS PROVIDED TO ALL VOTING MEMBERS OF THE BOARD OF TRUSTEES PRIOR TO A SCHEDULED MEETING AND WAS DISCUSSED AT THE MEETING, ALLOWING TIME FOR QUESTIONS AND COMMENTS. FOLLOWING THE BOARD REVIEW, THE RETURN WAS FILED WITH THE IRS. | |
| HIGH POINT REGIONAL HEALTH SYSTEM REQUIRES BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. THE SYSTEM HAS ADMINISTRATIVE STAFF MONITOR AND TRACK THAT ALL FORMS ARE COMPLETE. IF ANY ISSUES ARE RAISED ON THOSE DISCLOSURES, THE APPROPRIATE INDIVIDUALS ARE NOTIFIED OF THE SITUATION AND APPROPRIATE MEASURES ARE TAKEN AT THE BOARD'S DISCRETION. | FORM 990, PART VI, SECTION B, LINE 12C | |
| THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES SETS COMPENSATION FOR THE CEO AND APPROVES COMPENSATION FOR VICE PRESIDENTS. AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTING FIRM, THE HAY GROUP, EVALUATES THESE POSITIONS AND PROVIDES COMPARISONS AGAINST A NATIONAL DATABASE. COMPENSATION IS SET AGAINST THE 50TH PERCENTILE OF THE MARKET. | FORM 990, PART VI, SECTION B, LINE 15 | |
| PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG. | FORM 990, PART VI, SECTION C, LINE 18 | |
| PHOTOCOPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. | FORM 990, PART VI, SECTION C, LINE 19 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED LOSSES ON INVESTMENTS: -5,364,245. TRANSFER OF EQUITY TO AFFILIATE -15,030,980. TRANSFER OF ENDOWMENT TO HIGH POINT REG. HEALTH SYSTEM FOUNDATION -33,533,233. TOTAL TO FORM 990, PART XI, LINE 5: -53,928,458. | FORM 990, PART XI, LINE 5: |
| THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. | FORM 990, PART XII, LINE 2C: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| HIGH POINT REGIONAL HEALTH SERVICES INC | ||||||||||
| 601 N ELM STPO BOX HP-5 | HIGH POINT | NC | 27261 | 561497163 | HEALTHCARE | NC | 501(C)(3) | LINE 11A, I | HIGH POINT REGIONAL HEALTH SYSTEM | 1 |
| HIGH POINT REGIONAL HEALTH SYSTEM FOUNDATION INC | ||||||||||
| 601 N ELM STPO BOX HP-5 | HIGH POINT | NC | 27261 | 272854711 | SUPPORT/FUNDRAISING | NC | 501(C)(3) | LINE 11A, I | HIGH POINT REGIONAL HEALTH SYSTEM | 1 |
Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HIGH POINT SURGERY CENTER | |||||||||||||
| 600 NORTH LINDSAY STREET | HIGH POINT | NC | 27260 | 561867005 | HEALTHCARE | NC | N/A | RELATED | 731930 | 3186253 | 0 | 1 | 0.50000 |
| REGIONAL WELLNESS LLC SPORTSCENTER | |||||||||||||
| 861 OLD WINSTON ROAD | KERNERSVILLE | NC | 27284 | 204475769 | FITNESS CENTERS | NC | N/A | ||||||
| PREMIER IMAGING LLC | |||||||||||||
| 4515 PREMIER DR SUITE 101 | HIGH POINT | NC | 27265 | 611614223 | HEALTHCARE | NC | N/A | ||||||
| PREMIER MEDICAL PROPERTIES LLC | |||||||||||||
| 1701 WESTCHESTER DR SUITE 850 | HIGH POINT | NC | 27262 | 208245501 | REAL PROPERTY HOLDING | NC | N/A | ||||||
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Percentage OwnershipPercentageOwnership | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|
| HIGH POINT HEALTHCARE VENTURES INC | ||||||||||
| 601 N ELM STPO BOX HP-5 | HIGH POINT | NC | 27261 | 561343468 | HOLDING COMPANY | NC | N/A | C | 1.00000 | |
| PRACTICE DIRECTIONS | ||||||||||
| 601 N ELM STPO BOX HP-5 | HIGH POINT | NC | 27261 | 561892728 | DORMANT | NC | C | 1.00000 | HIGH POINT HEALTHCARE VENTURES INC | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 1 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | 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 (13 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| HIGH POINT REGIONAL HEALTH SERVICES INC | ||
| B | 13093516 | CASH |
| HIGH POINT REGIONAL HEALTH SERVICES INC | ||
| F | 769351 | CASH |
| HIGH POINT REGIONAL HEALTH SERVICES INC | ||
| I | 1286086 | CASH |
| HIGH POINT REGIONAL HEALTH SERVICES INC | ||
| Q | 68922 | CASH |
| HIGH POINT REGIONAL HEALTH SERVICES INC | ||
| M | 511924 | CASH |
| HIGH POINT REGIONAL HEALTH SERVICES INC | ||
| N | 227329 | CASH |
| HIGH POINT REGIONAL HEALTH SERVICES INC | ||
| O | 2292196 | CASH |
| HIGH POINT REGIONAL HEALTH SERVICES INC | ||
| P | 850071 | CASH |
| HIGH POINT REGIONAL HEALTH FOUNDATION | ||
| C | 1125577 | CASH |
| HIGH POINT REGIONAL HEALTH FOUNDATION | ||
| K | 407349 | INTERCOMPANY |
| HIGH POINT REGIONAL HEALTH FOUNDATION | ||
| Q | 33533233 | FMV OF INVESTMENTS |
| HIGH POINT HEALTHCARE VENTURES INC | ||
| I | 192000 | CASH |
| HIGH POINT SURGERY CENTER | ||
| R | 610000 | CASH |
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