DAVIE MEDICAL CENTER: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- DAVIE MEDICAL CENTER (EIN 56-2276994)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-12
- IRS object ID
- 201141329349300604
- Schema version
- 2009v1.7
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-12T10:54:46-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | 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 | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 562276994 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVIE COUNTY EMERGENCY HEALTH CORPORATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | DAVI | NameControl |
| Phone | 3367518100 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 223 HOSPITAL STREET | AddressLine1 |
| City | MOCKSVILLE | City |
| State | NC | State |
| ZIP Code | 27028 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DANNY SQUIRES | Name |
| Title | CFO | Title |
| Phone | 3367518100 | Phone |
| Date Signed | 2011-05-06 | 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 | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVIE COUNTY HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DANNY SQUIRES | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 223 HOSPITAL STREET | AddressLine1 |
| City | MOCKSVILLE | City |
| State | NC | State |
| ZIP Code | 27028 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 10273857 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.DAVIEHOSPITAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2001 | YearFormation |
| State Legal Domicile | NC | StateLegalDomicile |
| Activity Or Mission Description | PROVISION OF PATIENT-CENTERED HEALTHCARE SERVICES TO THE SURROUNDING AREA | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 6 | NbrIndependentVotingMembers |
| Total Nbr Employees | 213 | TotalNbrEmployees |
| Total Nbr Volunteers | 2 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 18384 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 8655 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 10946034 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 10212430 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 4320 | InvestmentIncomePriorYear |
| Investment Income Current Year | 3237 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 32091 | OtherRevenuePriorYear |
| Other Revenue Current Year | 49535 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 11000829 | TotalRevenuePriorYear |
| Total Revenue Current Year | 10273857 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 5047562 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 4598932 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 7738211 | OtherExpensePriorYear |
| Other Expenses Current Year | 7350845 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 12785773 | TotalExpensesPriorYear |
| Total Expenses Current Year | 11949777 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1784944 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -1675920 | RevenuesLessExpensesCY |
| Total Assets BOY | 4426763 | TotalAssetsBOY |
| Total Assets EOY | 3126737 | TotalAssetsEOY |
| Total Liabilities BOY | 1899498 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 2275392 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 2527265 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 851345 | NetAssetsOrFundBalancesEOY |
| Mission Description | DAVIE COUNTY HOSPITAL PROVIDES PATIENT-CENTERED HEALTH CARE SERVICES FOR THE RESIDENTS AND INDUSTRIES OF THE COUNTY AND SURROUNDING COMMUNITIES. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 10944013 | Expense |
| Revenue | 10212430 | Revenue |
| Description | PROVIDED MEDICAL, EMERGENCY, AND OUTPATIENT CARE SERVICES TO THE RESIDENTS OF DAVIE COUNTY, NORTH CAROLINA, AND THE SURROUNDING AREAS. DURING THE FISCAL YEAR, THE HOSPITAL HAD 7,133 OUTPATIENT VISITS AND 9,295 EMERGENCY ROOM VISITS. IN ADDITION, THE HOSPITAL PERFORMED 205 CATARACT SURGERIES, 67 OTHER SURGERIES, AND 71 SLEEP STUDIES. | Description |
| Total Program Service Expense | 10944013 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 1 | 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 |
| 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 | 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 | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 45 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 213 | 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 |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 6 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DANNY SQUIRES | NamePerson |
| Telephone Number | 3362384287 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 223 HOSPITAL STREET | AddressLine1 |
| City | MOCKSVILLE | City |
| State | NC | State |
| ZIP Code | 27028 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (16 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| DONNY C LAMBETH | ||||||
| CHAIRMAN | 1.00 | X | X | 0 | 691497 | 158024 |
| DAN BARRETT | ||||||
| VICE CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 |
| TERRY BRALLEY | ||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 |
| STEPHEN ROBERTSON | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| KEN WHITE | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| DR RUSSELL HOWERTON | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| WILLIAM F JUNKER | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| RONALD SMALL | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 301092 | 114808 | |
| STEVEN C SNELGROVE | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 304368 | 42665 | |
| BETH DIRKS | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| H GREGORY BRAY | ||||||
| TREASURER | 1.00 | X | X | 0 | 184694 | 22767 |
| HEATHER L HAYES | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 70173 | 7818 | |
| RALPH HOLTHOUSER | ||||||
| PRESIDENT EX-OFFICIO | 1.00 | X | X | 0 | 87539 | 561 |
| MARK R KELLER MD | ||||||
| PRES. OF MEDICAL STAFF | 1.00 | X | 0 | 0 | 0 | |
| LYNNE DOSS | ||||||
| ADMINISTRATOR | 40.00 | X | 99836 | 0 | 4781 | |
| TERRY BOWMAN | ||||||
| CFO | 40.00 | X | 91475 | 0 | 4770 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 191311 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1639363 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 356194 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (4 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| ERX COMPANY | |||||
| 109 LANDOAK LANE | KNOXVILLE | TN | 37922 | PHYSICIAN FEES | 1242782 |
| MEDTRONIC USA | |||||
| PO BOX 409201 | ATLANTA | GA | 30384 | NERVE STIMULATOR SUPPLIER | 218574 |
| SIGHTPATH MEDICAL INC | |||||
| 575 W OLD SHAKOPEE ROAD STE 90 | BLOOMINGTON | MN | 55437 | CATARACT SURGERY SUPPLIER | 139157 |
| BRANDON REHABILITATION | |||||
| 135 MEDICAL DRIVE STE 101 | ADVANCE | NC | 27006 | PHYSICAL THERAPIST | 115150 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 4 | NumberOfContractorsGT100K |
| Government Grants | 8655 | GovernmentGrants |
| Total Contributions | 8655 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT SERVICE REVENU | Description |
| Business Code | 621400 | BusinessCode |
| Total Revenue Column | 10212430 | TotalRevenueColumn |
| Related Or Exempt Function Income | 10212430 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 10212430 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3237 | TotalRevenueColumn |
| Exclusion | $3,237 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 22029 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 22029 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 22029 | TotalRevenueColumn |
| Exclusion | $22,029 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| NON-PATIENT MEALS | 722210 | 17029 | $17,029 |
| medical record transcr | 900099 | 5135 | $5,135 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5342 | TotalRevenueColumn |
| Exclusion | $5,342 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 27506 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 10273857 | TotalRevenueColumn |
| Related Or Exempt Function Income | 10212430 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $52,772 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 191311 | Total |
| Management And General | 191311 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3669561 | Total |
| Program Services | 3221215 | ProgramServices |
| Management And General | 448346 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 448837 | Total |
| Program Services | 448837 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 289223 | Total |
| Program Services | 289223 | ProgramServices |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 187 | Total |
| Management And General | 187 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27500 | Total |
| Management And General | 27500 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2236602 | Total |
| Program Services | 2044788 | ProgramServices |
| Management And General | 191814 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26744 | Total |
| Program Services | 26744 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1432441 | Total |
| Program Services | 1337647 | ProgramServices |
| Management And General | 94794 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 937583 | Total |
| Program Services | 937583 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14604 | Total |
| Program Services | 12029 | ProgramServices |
| Management And General | 2575 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17163 | Total |
| Program Services | 17163 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 305167 | Total |
| Program Services | 305167 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 106242 | Total |
| Program Services | 97290 | ProgramServices |
| Management And General | 8952 | ManagementAndGeneral |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT EXPENSE | 2190789 | 2190789 | |
| MISCELLANEOUS EXPENSE | 55823 | 15538 | 40285 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11949777 | Total |
| Program Services | 10944013 | ProgramServices |
| Management And General | 1005764 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 85293 | BOY |
| EOY | 116683 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 738800 | BOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1814673 | BOY |
| EOY | 1435475 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 160868 | BOY |
| EOY | 145879 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 47313 | BOY |
| EOY | 6135 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 2206859 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1333230 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1164331 | BOY |
| EOY | 873629 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 57134 | BOY |
| EOY | 67848 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 358351 | BOY |
| EOY | 481088 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4426763 | BOY |
| EOY | 3126737 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1289811 | BOY |
| EOY | 1783515 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 393935 | BOY |
| EOY | 289949 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 215752 | BOY |
| EOY | 201928 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1899498 | BOY |
| EOY | 2275392 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1787453 | BOY |
| EOY | 850333 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 739812 | BOY |
| EOY | 1012 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2527265 | BOY |
| EOY | 851345 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4426763 | BOY |
| EOY | 3126737 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
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 | $1,458 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 1458 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part II-B, Line 1i: | Identifier |
| Return Reference | Explanation of Other Lobbying Activities: | ReturnReference |
| Explanation | THE ORGANIZATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE NORTH CAROLINA HOSPITAL ASSOCIATION (NCHA). A PORTION OF THE MEMBERSHIP DUES PAID ARE ALLOCATED TO LOBBYING EFFORTS BY THOSE ORGANIZATIONS ON BEHALF OF THEIR MEMBERSHIP BODIES. FOR THE YEAR, THE PORTION OF MEMBERSHIP DUES ALLOCATED TO LOBBYING WAS 23.76% or $1,458 . | Explanation |
Schedule D IRS990ScheduleD
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2206859 | OtherCostOrOtherBasis |
| Depreciation | 1333230 | Depreciation |
| Book Value | 873629 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 873629 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| OTHER RECEIVABLES | 384391 |
| estimated third party receivables | 96697 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 481088 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS | $1,928 |
| NOTE DUE TO NC BAPTIST HOSPITAL | $200,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 201928 | TotalOfAmounts |
| Total Revenue | 10273857 | TotalRevenue |
| Total Expenses | 11949777 | TotalExpenses |
| Excess Or Deficit For Year | -1675920 | ExcessOrDeficitForYear |
| Total Adjustments | 0 | TotalAdjustments |
| Excess Or Deficit Per FS | -1675920 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 10273857 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 10273857 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 10273857 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 11949777 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 11949777 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 11949777 | TotalExpensesPerForm990 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Tailored To Ind Hospitals | X | PolicyTailoredToIndHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 190.000000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCare |
| 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 | 137961 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 137961 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01410 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2248780 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1610454 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 638326 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06540 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2386741 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1610454 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 776287 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07950 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2386741 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1610454 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 776287 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07950 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $2,190,787 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 2773772 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 2110232 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 663540 | 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 |
Form990 Schedule H Part V Form990ScheduleHPartV
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVIE COUNTY EMERGENCY HEALTH CORP | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1209 / 223 HOSPITAL STREET | AddressLine1 |
| City | MOCKSVILLE | City |
| State | NC | State |
| ZIP Code | 27028 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Critical Access Hospital | X | CriticalAccessHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Annual Community Benefit Expln | Part I, Line 6a: NORTH CAROLINA BAPTIST HOSPITAL | AnnualCommunityBenefitExpln |
| Bad Debt Footnote | Part III, Line 4: There is not a footnote in the financial statements which describes bad debt expense. Accounts are written off to bad debt after 4 statements have been sent and two collection letters. The account is not written off before 120 days after the insurance pays. Also if there is payment with in the last 60 days the account is not written off to bad debt. | BadDebtFootnote |
| Shortfall As Community Benefit | Part III, Line 8: Davie County Hospital is a Critial Access hospital and is reimbursed 100 to 101% of costs. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | Part III, Line 9b: Each patient is sent four statements for collection, one every 28 days. After the four statements are sent, two "collection" letters are sent. If there is no response, the account is sent to a collection agency. The hospital does not place garnishments, liens, or personal attachments on patients. A 10% discount is offered to private pay patients who pay their bill in full within 30 days. Private pay patients are offered a charity care application and told about payment plans at registration. The charity care application is available online and offered to private pay patients at registration. Personal face to face meetings are available Monday through Friday 8 am to 5 pm. Payment plans are offered to all patients when initial phone contact is made. Phone calls are made after three statements have been sent out. | DebtCollectionPolicy |
| Needs Assessment | Part VI, Line 2: Representatives from the organization attend health fairs and senior health fairs around the county. No community needs assessment has been done as of the end of the 2009 tax year. However, one will be conducted in the near future so as to be in compliance with the law. | NeedsAssessment |
| Patient Education Assistance | Part VI, Line 3: Information about the charity care program is available on the website and is disclosed at the patient registration stage. Registration and Business Office staff are trained to educate patients on assistance policies. Copies of the application are widely available, through the internet, registration desk, and business office desk. Business Office staff will direct patients to social services if they qualify for assistance. | PatientEducationAssistance |
| Community Information | Part VI, Line 4: Davie County Hospital is a critical access hospital serving Davie County and the surrounding areas. The Hospital is the only hospital located in the county. The population of Davie County is approximately 42,000 according to the US Census Bureau. 10.8% of the population is at or below the poverty line. 91% of the population is white, 7% is black, and 2 % is made up of other races. The unemployment level in June 2010 was 10.3%. The median income is $52,408. The growth rate of the community is 2%. | CommunityInformation |
| Other Information | Part VI, Line 6: The hospital attends health fairs in the community and performs cholestrol checks at the senior center health fair. | OtherInformation |
| Affiliated Health Care System | Part VI, Line 7: 100% owned subsidiary of North Carolina Baptist Hospital. | AffiliatedHealthCareSystem |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| 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 | 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 (4 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DONNY C LAMBETH | |||||||||||||
| 0 | 604495 | 0 | 70030 | 0 | 16972 | 0 | 136459 | 0 | 21565 | 0 | 849521 | 0 | 0 |
| RONALD SMALL | |||||||||||||
| 0 | 271424 | 0 | 24063 | 0 | 5605 | 0 | 100690 | 0 | 14118 | 0 | 415900 | 0 | 0 |
| STEVEN C SNELGROVE | |||||||||||||
| 0 | 256208 | 0 | 27846 | 0 | 20314 | 0 | 23813 | 0 | 18852 | 0 | 347033 | 0 | 0 |
| H GREGORY BRAY | |||||||||||||
| 0 | 171066 | 0 | 9481 | 0 | 4147 | 0 | 8084 | 0 | 14683 | 0 | 207461 | 0 | 0 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | PAMELA SMALL | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | FAMILY MEMBER OF BOARD MEMBER RONALD SMALL | Relationship |
| Amount Of Transaction | 13855 | AmountOfTransaction |
| Description Of Transaction | COMPENSATION AS EMPLOYEE | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990, Part VI, Section A, line 6 | THE SOLE MEMBER OF THE ORGANIZATION IS NORTH CAROLINA BAPTIST HOSPITAL, A NORTH CAROLINA NONPROFIT CORPORATION. |
| Form 990, Part VI, Section A, line 7a | THE SOLE MEMBER OF THE ORGANIZATION SHALL HAVE THE RIGHT AT ALL TIMES, WITH RESPECT TO THE ORGANIZATION, TO ELECT AND REMOVE THE TRUSTEES, AS PROVIDED IN THE ORGANIZATION'S BYLAWS. |
| Form 990, Part VI, Section A, line 7b | THE SOLE MEMBER OF THE ORGANIZATION SHALL HAVE THE RIGHT AT ALL TIMES, WITH RESPECT TO THE ORGANIZATION, TO APPROVE OF THE SALE, LEASE, OR TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE ORGANIZATION, AS PROVIDED IN THE ORGANIZATION'S BYLAWS. THE SOLE MEMBER MAY ACT WITHOUT A MEETING. |
| Form 990, Part VI, Section B, line 11 | The return was prepared by an independent accountant with assistance and oversight by management. THE FORM 990 WAS REVIEWED AT THE QUARTERLY FINANCE MEETING WITH THE BOARD PRIOR TO FILING THE FORM WITH THE IRS. A MEMBER OF THE ORGANIZATION'S TAX PREPARER'S FIRM WAS PRESENT TO EXPLAIN THE FORM AND ANSWER QUESTIONS. |
| Form 990, Part VI, Section B, line 12c | DIRECTORS, TRUSTEES, OFFICERS, AND KEY EMPLOYEES ARE SURVEYED ANNUALLY FOR POTENTIAL CONFLICTS OF INTEREST. IN DECEMBER THE POLICY IS DISTRIBUTED TO ALL DIRECTORS, TRUSTEES, OFFICERS, AND KEY EMPLOYEES ALONG WITH A QUESTIONNAIRE. AT THE DECEMBER BOARD MEETING, ALL ARE REQUIRED TO SUBMIT THE COMPLETED QUESTIONNAIRES. |
| Form 990, Part VI, Section B, line 15 | NORTH CAROLINA BAPTIST HOSPITAL, THE ORGANIZATION'S SOLE MEMBER, CONDUCTED SALARY SURVEYS OF OTHER AREA HOSPITALS, AND CONTRACTS WERE REVIEWED BY THE HUMAN RESOURCES DEPARTMENT OF THAT ORGANIZATION. |
| Form 990, Part VI, Section C, line 18 | PHOTOCOPIES OF THE FORM 1023 AND RECENT FILINGS OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. |
| Form 990, Part VI, Section C, line 19 | PHOTOCOPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (9 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|
| NORTH CAROLINA BAPTIST HOSPITAL | ||||||||||
| MEDICAL CENTER BLVD | WINSTON SALEM | NC | 27157 | 560552787 | HEALTHCARE | NC | 501(c)(3) | Line 3 | N/A | |
| NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION | ||||||||||
| MEDICAL CENTER BLVD | WINSTON SALEM | NC | 27157 | 561685120 | SUPPORTING ORGANIZATION | NC | 501(c)(3) | Line 11a, I | N/A | |
| THE REHABILITATION & SKILLED NURSING FACILITY AT OAK SUMMIT | ||||||||||
| MEDICAL CENTER BLVD | WINSTON SALEM | NC | 27157 | 561826396 | HEALTHCARE (INACTIVE) | NC | 501(c)(3) | Line 9 | NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION | |
| BAPTIST HOSPITAL RX | ||||||||||
| MEDICAL CENTER BLVD | WINSTON SALEM | NC | 27157 | 542136894 | HEALTHCARE (INACTIVE) | NC | 501(c)(3) | Line 9 | N/A | |
| THE HAWTHORNE INN & CONFERENCE CENTER INC | ||||||||||
| 420 HIGH STREET | WINSTON SALEM | NC | 27101 | 561793617 | LODGING/ CONFERENCE ACCOMMODATION | NC | 501(c)(3) | Line 11a, I | N/A | |
| CARENET INC | ||||||||||
| 2000 WEST FIRST STREET SUITE 410 | WINSTON SALEM | NC | 27104 | 561977341 | HEALTHCARE | NC | 501(c)(3) | Line 11a, I | N/A | |
| WAKE FOREST UNIV BAPTIST MEDICAL CNTR COMMUNITY PHYSICIANS | ||||||||||
| 3540 CLEMMONS ROAD | CLEMMONS | NC | 27012 | 561903275 | HEALTHCARE | NC | 501(c)(3) | Line 3 | N/A | |
| CENTER FOR CONGREGATIONAL HEALTH INC | ||||||||||
| MEDICAL CENTER BLVD | WINSTON SALEM | NC | 27157 | 237426944 | HEALTHCARE | NC | 501(c)(3) | Line 9 | N/A | |
| STOKES-REYNOLDS MEMORIAL HOSPITAL | ||||||||||
| HWY 8 89 NORTH | DANBURY | NC | 28016 | 561793620 | HEALTHCARE | NC | 501(c)(3) | Line 3 | N/A | |
| 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 | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 1 | 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 | 0 | 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 | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
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