Novant Health Inc in Winston Salem, North Carolina (NC)

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Novant Health Inc
Employer Identification Number (EIN)561376950
Name of OrganizationNovant Health Inc
In Care of NameScott Whitaker Acct Payables
Address2085 Frontis Plaza Blvd, Winston Salem, NC 27103-5614
SubsectionCharitable Organization
Ruling Date08/1984
DeductibilityContributions are deductible
FoundationOrganizations operated solely for the benefit of and in conjunction with organizations described in 10 through 16 above
OrganizationCorporation
Exempt Organization StatusUnconditional Exemption
Tax Period12/2013
Assets$50,000,000 to greater
Income$50,000,000 to greater
Filing Requirement990 (all other) or 990EZ return
Asset Amount$3,023,715,011
Amount of Income$1,335,756,582
Form 990 Revenue Amount$657,615,908
National Taxonomy of Exempt Entities (NTEE)Health - General and Rehabilitative: Community Health Systems


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Amount of income in 2013: $1,335,756,582
This organization: 

 $1,335,756,582
Other organizations performing similar types of work: 

 $6,791,313

Assets in 2013: $3,023,715,011
Novant Health Inc: 

 $3,023,715,011
Other organizations performing similar types of work: 

 $5,000,000

Expenses in 2013: $627,685,714
This organization: 

 $627,685,714
Other organizations performing similar types of work: 

 $5,603,496

Income to expenses ratio in 2013: 2.1
Novant Health Inc: 

 2.1
Other organizations performing similar types of work: 

 1.1

Expenses allocated to program services in 2007: 75.9%
Novant Health Inc: 

 75.9%
Other organizations performing similar types of work: 

 86.4%

Number of employees in 2013: 4,300
Novant Health Inc: 

 4,300
Other organizations performing similar types of work: 

 83

Employees paid over $100,000 in 2013: 13.1%
This organization: 

 13.1%
Other organizations performing similar types of work: 

 0.0%

Grants share in income in 2013: 0.4%
Novant Health Inc: 

 0.4%
Other organizations performing similar types of work: 

 0.5%

Financial snapshot ($)

Revenue for 2013

Assets at the end of 2013

Functional expenses for 2013

Checklist
20122013
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)?YesYes
Is the organization required to complete Schedule B, Schedule of Contributors?YesYes
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office?NoNo
Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year?YesYes
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19?NoNo
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts?NoNo
Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures?NoNo
Did the organization maintain collections of works of art, historical treasures, or other similar assets?NoNo
Did the organization report an amount for escrow or custodial account liability; serve as a custodian or provide credit counseling, debt management, credit repair, or debt negotiation services?NoNo
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments?NoNo
Did the organization report an amount for land, buildings, and equipment?YesYes
Did the organization report an amount for investments-other securities that is 5% or more of its total assets?YesYes
Did the organization report an amount for investments-program related that is 5% or more of its total assets?NoNo
Did the organization report an amount for other assets that is 5% or more of its total assets?NoNo
Did the organization report an amount for other liabilities?YesYes
Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)?YesYes
Did the organization obtain separate, independent audited financial statements for the tax year?NoNo
Was the organization included in consolidated, independent audited financial statements for the tax year?YesYes
Is the organization a school described in section 170(b)(1)(A)(ii)?NoNo
Did the organization maintain an office, employees, or agents outside of the United States?YesYes
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more?YesYes
Did the organization report more than $5,000 of grants or other assistance to or for any foreign organization?NoNo
Did the organization report more than $5,000 of aggregate grants or other assistance to or for foreign individuals?NoNo
Did the organization report a total of more than $15,000 of expenses for professional fundraising services?NoNo
Did the organization report more than $15,000 total of fundraising event gross income and contributions?NoNo
Did the organization report more than $15,000 of gross income from gaming activities?NoNo
Did the organization operate one or more hospital facilities?YesYes
Did the organization attach a copy of its audited financial statements?YesYes
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government?YesYes
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals?NoNo
Did the organization answer 'Yes' about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees?YesYes
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002?YesYes
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?NoNo
Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds?NoNo
Did the organization act as an 'on behalf of' issuer for bonds outstanding at any time during the year?NoNo
Did the organization engage in an excess benefit transaction with a disqualified person during the year?NoNo
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ?NoNo
Did the organization report any amount for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons?NoNo
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons?NoNo
Was the organization a party to a business transaction with one of the following parties
A current or former officer, director, trustee, or key employee?NoNo
A family member of a current or former officer, director, trustee, or key employee?YesYes
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner?YesYes
Did the organization receive more than $25,000 in non-cash contributions?NoNo
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions?NoNo
Did the organization liquidate, terminate, or dissolve and cease operations?NoNo
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets?NoNo
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3?YesYes
Was the organization related to any tax-exempt or taxable entity?YesYes
Did the organization have a controlled entity within the meaning of section 512(b)(13)?YesYes
Did the organization make any transfers to an exempt non-charitable related organization?NoNo
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes?NoNo
Statements Regarding Other IRS Filings and Tax Compliance
201120122013
The number reported in Box 3 of Form 10962,7492,585
The number of Forms W-2G00
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners?YesYes
The number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return3,7674,300
Did the organization file all required federal employment tax returns?YesYes
Did the organization have unrelated business gross income of $1,000 or more during the year?YesYesYes
Has it filed a Form 990-T for this year?YesYes
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?YesYes
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?NoNo
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?NoNo
Did the organization file Form 8886-T?NoNo
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?NoNo
Did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?NoNo
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?NoNo
Did the organization notify the donor of the value of the goods or services provided?NoNo
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?NoNo
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?NoNo
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?NoNo
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?NoNo
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?NoNo
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?NoNo
Did the sponsoring organization make any taxable distributions under section 4966?NoNo
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?NoNo
Initiation fees and capital contributions$0$0$0
Gross receipts for public use of club facilities $0$0$0
Gross income from members or shareholders$0$0$0
Gross income from other sources$0$0$0
Is the organization filing Form 990 in lieu of Form 1041?NoNo
The amount of tax-exempt interest received or accrued during the year$0$0
Is the organization licensed to issue qualified health plans in more than one state?NoNo
The amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans$0$0
The amount of reserves on hand$0$0
Did the organization receive any payments for indoor tanning services during the tax year?NoNo
Has it filed a Form 720 to report these payments?NoNo
Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
20122013
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
Total reportable compensation from the organization$31,716,101$45,679,023
Total reportable compensation from related organizations$2,317,760$734,198
Total estimated amount of other compensation from the organization and related organizations$7,031,146$3,225,281
Total number of individuals who received more than $100,000 of reportable compensation from the organization326370
Total number of independent contractors who received more than $100,000 of compensation from the organization178195
Statement of Revenue
201120122013
Total revenue$523,275,461$574,502,470$657,615,908
Contributions, Gifts, Grants and Other Similar Amounts$738$2,136,851$2,691,566
Program Service Revenue$477,050,513$511,256,300$568,318,572
Office Administrative Services$292,330,184$341,477,800
General Medical and Surgical Hospitals $203,328,039$209,850,041
Lessors of Nonresidential Buildings (except Miniwarehouses) $15,598,077$16,990,731
All other program service revenue$0$0
Other Revenue
Investment income (including dividends, interest, and other similar amounts)$30,857,537$38,918,239$39,164,827
Income from investment of tax-exempt bond proceeds$9,559$105,348$74,433
Royalties$0$0$0
Net rental income$2,619,082$1,717,864$5,079,852
Gross rents (Real / Personal)$2,619,082 / $0$1,717,864 / $0$5,079,852 / $0
Less: rental expenses (Real / Personal)$0 / $0$0 / $0$0 / $0
Rental income or (loss) (Real / Personal)$2,619,082 / $0$1,717,864 / $0$5,079,852 / $0
Net gain/loss from sales of assets other than inventory$-5,523,024$3,417,330$23,056,161
Gross amount from sales of assets other than inventory (Securities / Other)$683,183,891 / $9,471,784$544,366,462 / $329,465$686,321,231 / $14,814,293
Less: cost or other basis and sales expenses (Securities / Other)$694,529,592 / $3,649,107$540,809,316 / $469,281$664,782,058 / $13,297,305
Gain or (loss) (Securities / Other)$-11,345,701 / $5,822,677$3,557,146 / $-139,816$21,539,173 / $1,516,988
Net income/loss from fundraising events$0$7,819$9,247
Gross income from fundraising events$0$7,819$9,247
Less: direct expenses$0$0$0
Net income/loss from gaming activities$0$0$0
Net income/loss from sales of inventory$0$3,743$19,571
Gross sales of inventory, less returns and allowances$0$69,978$80,882
Less: cost of goods sold$0$66,235$61,311
Miscellaneous Revenue$18,261,056$16,938,976$19,201,679
Office Administrative Services$14,213,674$16,464,347
Offices of Physicians (except Mental Health Specialists) $2,725,302$2,737,332
All other revenue$0$0
Statement of Functional Expenses
201120122013
Total functional expenses$553,584,768$579,022,876$627,685,714
Grants and other assistance to domestic organizations and domestic governments$1,593,365$461,158
Grants and other assistance to domestic individuals$0$4,500
Grants and other assistance to foreign organizations, foreign governments, and foreign individuals$0$0
Benefits paid to or for members$0$0
Compensation of current officers, directors, trustees, and key employees$28,973,946$22,514,362$44,645,422
Compensation not included above, to disqualified persons$1,642,252$1,519,264
Other salaries and wages$168,497,657$198,457,616$188,540,373
Pension plan accruals and contributions$12,536,931$21,206,303
Other employee benefits$21,267,363$21,909,558
Payroll taxes$13,303,787$14,259,943$16,358,947
Fees for services (non-employees)
Management$0$2,069,378
Legal$3,898,036$937,591
Accounting$1,451,653$1,425,000
Lobbying$201,620$331,044
Professional fundraising services$0$0$0
Investment management fees$2,899,468$3,868,373
Other$57,103,361$63,117,775
Advertising and promotion$3,889,404$16,099,335
Office expenses$10,304,746$11,108,517
Information technology$18,188,560$19,802,431
Royalties$0$0
Occupancy$40,419,807$39,043,322
Travel$4,615,078$4,169,331
Payments of travel or entertainment expenses for any federal, state, or local public officials$0$0
Conferences, conventions, and meetings$0$0
Interest$28,264,456$25,927,328
Payments to affiliates$0$0
Depreciation, depletion, and amortization$51,297,583$58,480,314
Insurance$1,613,584$1,679,426
Other expenses$1,638,297$-745,850
Other expenses$37,871,064$38,514,945
Other expenses$10,985,230$11,788,370
Other expenses$8,942,680$8,269,663
Other expenses$23,166,417$27,153,896
Balance Sheet
201120122013
Total assets$2,138,191,052$2,400,489,338$3,023,715,011
Cash - non-interest-bearing$125,274,266$139,487,243
Savings and temporary cash investments$363,931,003$314,538,532
Pledges and grants receivable, net$0$0
Accounts receivable, net$58,162,040$50,136,237
Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees$0$0
Loans and other receivables from other disqualified persons, persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations$0$0
Notes and loans receivable, net$2,287,309$137,986,303
Inventories for sale or use$14,809,503$16,139,581
Prepaid expenses and deferred charges$25,181,717$29,646,624
Land, buildings, and equipment: cost or other basis$657,564,480$715,810,262
Investments - publicly traded securities$802,077,895$1,173,997,011
Investments - other securities$285,332,202$372,197,770
Investments - program-related$39,477,159$43,612,982
Intangible assets$26,391,764$30,162,466
Other assets$0$0
Total liabilities$2,025,461,569$2,221,419,237$2,629,977,052
Accounts payable and accrued expenses$482,108,428$384,026,716
Grants payable$0$0
Deferred revenue$0$0
Tax-exempt bond liabilities$965,223,128$915,852,711$1,480,993,959
Escrow or custodial account liability$0$0
Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified persons$0$0
Secured mortgages and notes payable to unrelated third parties$538,915,932$547,884,351$443,043,151
Unsecured notes and loans payable to unrelated third parties$0$0$0
Other liabilities (including federal income tax, payables to related third parties, and other liabilities)$275,573,747$321,913,226
Total net assets or fund balances$112,729,483$179,070,101$393,737,959
Unrestricted net assets$179,070,101$393,737,959
Temporarily restricted net assets$0$0
Permanently restricted net assets$0$0
Capital stock or trust principal, or current funds$0$0
Paid-in or capital surplus, or land, building, or equipment fund$0$0
Retained earnings, endowment, accumulated income, or other funds$0$0$0
Reason for Public Charity Status (for 2013)
The organization is not a private foundation because it is:An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2)
Number of organizations supported11
Sum of amounts of support$344,873,355
Revenue, Expenses, and Changes in Net Assets or Fund Balances
20002001200220032004200520062007
Total revenue$119,794,373$185,112,157$235,779,421$230,109,784$234,303,599$277,145,541$411,287,483$427,567,180
Contributions, gifts, grants, and similar amounts received$0$0$0$125,000$130,425$148,585$84,552$8,875
Contributions to donor advised funds$0$0
Direct public support$0$0$0$0$0$0$33,963$0
Indirect public support$0$0$0$125,000$130,425$67,925$0$8,875
Government contributions (grants)$0$0$0$0$0$80,660$50,589$0
Program service revenue including government fees and contracts$100,270,706$104,181,977$205,222,901$209,995,599$206,901,918$226,890,946$279,212,581$323,980,871
Membership dues and assessments$0$0$0$0$0$0$0$0
Interest on savings and temporary cash investments$418,789$215,300$459,288$334,342$494,221$558,722$571,367$1,488,503
Dividends and interest from securities$8,902,495$15,377,505$22,417,259$19,266,786$16,596,571$27,364,809$39,286,095$56,669,806
Net rental income or (loss)$782,862$624,732$696,168$802,266$729,165$696,432$625,917$1,234,270
Gross rents$1,910,925$1,674,139$1,322,600$1,221,408$1,148,280$1,109,886$1,069,223$1,684,114
Less: rental expenses$1,128,063$1,049,407$626,432$419,142$419,115$413,454$443,306$449,844
Other investment income$0$0$2,168,975$2,537,602$0$0$0$0
Gain or (loss) from sales of assets other than inventory$6,589,356$59,169,072$2,579,150$-5,701,594$6,433,759$17,760,243$85,650,445$34,982,969
Gross amount from sales of assets other than inventory$213,836,537$553,453,903$548,567,431$679,544,818$353,098,471$436,573,425$761,652,448$418,006,179
Less: cost or other basis and sales expenses$207,247,181$494,284,831$545,988,281$685,246,412$346,664,712$418,813,182$676,002,003$383,023,210
Net income or (loss) from special events and activities$0$0$0$0$0$0$0$0
Gross revenue$0$0$0$0$0$0$0$0
Less: direct expenses other than fundraising expenses$0$0$0$0$0$0$0$0
Gross profit or (loss) from sales of inventory$0$0$0$0$0$0$0$0
Gross sales of inventory, less returns and allowances$0$0$0$0$0$0$0$0
Less: cost of goods sold$0$0$0$0$0$0$0$0
Other revenue$2,830,165$5,543,571$2,235,680$2,749,783$3,017,540$3,725,804$5,856,526$9,201,886
Total expenses$188,155,786$214,552,838$209,566,298$222,687,040$218,090,054$238,908,327$301,054,121$365,498,182
Program services$179,834,686$181,634,831$182,266,993$196,933,518$173,449,709$188,504,407$238,375,484$277,276,898
Management and general$7,846,716$31,327,464$27,299,305$25,753,522$44,640,345$50,403,920$62,678,637$88,221,284
Fundraising$0$0$0$0$0$0$0$0
Payments to affiliates$474,384$1,590,543$0$0$0$0$0$0
Net assets or fund balances at end of year$275,801,195$223,480,463$195,045,743$238,880,517$300,325,061$293,829,452$389,142,071$720,991,887
Excess or (deficit) for the year$-68,361,413$-29,440,681$26,213,123$7,422,744$16,213,545$38,237,214$110,233,362$62,068,998
Net assets or fund balances at beginning of year$344,971,096$275,801,195$223,480,463$195,045,743$238,880,517$300,325,061$293,829,452$389,142,071
Other changes in net assets or fund balances$-808,488$-22,880,051$-54,647,843$36,412,030$45,230,999$-44,732,823$-14,920,743$269,780,818
Statement of Functional Expenses (for 2007)
TotalProgram servicesManagement and generalFundraising
Total functional expenses$365,498,182$277,276,898$88,221,284$0
Grants paid from donor advised funds$0
Other grants and allocations$189,483
Specific assistance to individuals$0
Benefits paid to or for members$0
Compensation of current officers, directors, key employees, etc.$11,313,447$0$11,313,447$0
Compensation of former officers, directors, key employees, etc.$0$0$0$0
Compensation and other distributions, not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)$0$0$0$0
Salaries and wages of employees not included above$114,827,804$89,898,688$24,929,116$0
Pension plan contributions not included above$9,855,974$7,716,242$2,139,732$0
Employee benefits not included above$12,997,635$10,175,846$2,821,789$0
Payroll taxes$8,337,606$6,527,512$1,810,094$0
Professional fundraising fees$0$0$0$0
Accounting fees$540,841$0$540,841$0
Legal fees$3,066,986$2,401,143$665,843$0
Supplies$38,145,484$29,864,099$8,281,385$0
Telephone$3,892,182$3,047,189$844,993$0
Postage and shipping$570,475$446,625$123,850$0
Occupancy$20,559,207$16,095,803$4,463,404$0
Equipment rental and maintenance$17,131,781$13,412,471$3,719,310$0
Printing and publications$2,124,025$1,662,899$461,126$0
Travel$927,220$725,921$201,299$0
Conferences, conventions, and meetings$1,595,798$1,249,350$346,448$0
Interest$10,429,318$8,165,113$2,264,205$0
Depreciation, depletion, etc.$56,393,899$44,150,784$12,243,115$0
Other expenses not covered above$52,599,017$41,547,730$11,051,287$0
Balance Sheets
20002001200220032004200520062007
Total assets$890,870,186$1,223,377,274$1,203,063,665$1,365,295,484$1,464,563,259$1,532,763,191$1,960,671,371$2,424,725,218
Cash - non-interest-bearing$0$0$0$0$43,204,380$8,388,804$3,543,169$167,746,776
Savings and temporary cash investments$4,442,636$98,454,726$45,166,098$202,504,806$146,787,848$210,370,265$408,144,139$238,884,838
Accounts receivable less allowance for doubtful accounts$26,207,249$20,530,187$22,229,399$21,733,132$24,719,980$26,252,144$41,140,585$44,961,272
Pledges receivable less allowance for doubtful accounts$0$0$0$0$0$0$0$0
Grants receivable$0$353,490$0$0$0$0$0$0
Receivables from current and former officers, directors, trustees, and key employees$0$0$0$0$0$0$58,357$28,506
Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)$0$0
Other notes and loans receivable less allowance for doubtful accounts$725,140$105,927,954$101,563,914$94,331$2,382,289$5,128,952$8,920,577$9,542,654
Inventories for sale or use$1,552,030$1,619,300$1,704,152$1,767,888$2,034,110$5,706,791$6,944,778$7,314,921
Prepaid expenses and deferred charges$2,004,960$5,624,005$4,118,445$7,108,535$9,070,507$12,300,666$10,423,088$12,842,421
Investments - publicly-traded securities$0$0
Investments - other securities$182,181,813$341,935,212$411,167,705$453,682,827$584,836,031$592,171,125$670,679,867$760,265,182
Investments - land, buildings, and equipment less accumulated depreciation$0$0$0$0$0$0$0$0
Investments - other$104,475,476$69,969,198$58,264,070$96,056,897$158,198,668$136,744,586$224,911,537$209,085,960
Land, buildings, and equipment less accumulated depreciation$451,932,726$455,860,077$472,498,363$502,435,543$462,445,795$506,363,922$552,580,968$582,500,520
Other assets, including program-related investments$117,348,156$123,103,125$86,351,519$79,911,525$30,883,651$29,335,936$33,324,306$391,552,168
Total liabilities$615,068,991$999,896,811$1,008,017,922$1,126,414,967$1,164,238,198$1,238,933,739$1,571,529,300$1,703,733,331
Accounts payable and accrued expenses$69,548,641$95,617,672$122,847,091$111,772,768$158,281,806$176,368,856$121,214,207$135,422,744
Grants payable$0$0$0$0$0$0$0$0
Deferred revenue$0$0$0$0$0$0$30,128,739$30,652,469
Loans from officers, directors, trustees, and key employees$0$0$0$0$0$0$0$0
Tax-exempt bond liabilities$413,029,185$399,689,866$476,839,639$519,987,523$639,700,309$623,784,392$868,142,159$850,756,318
Mortgages and other notes payable$44,090,789$97,786,051$22,696,932$32,919,518$23,044,457$44,535,775$50,967,301$17,424,106
Other liabilities$88,400,376$406,803,222$385,634,260$461,735,158$343,211,626$394,244,716$501,076,894$669,477,694
Total liabilities and net assets/fund balances$890,870,186$1,223,377,274$1,203,063,665$1,365,295,484$1,464,563,259$1,532,763,191$1,960,671,371$2,424,725,218
Total net assets or fund balances$275,801,195$223,480,463$195,045,743$238,880,517$300,325,061$293,829,452$389,142,071$720,991,887
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
20002001200220032004200520062007
Total revenue$119,794,372$185,112,157$235,779,421$230,109,784$234,303,599$277,145,541$411,287,483$427,567,180
Total revenue, gains, and other support per audited financial statements$119,759,061$168,934,817$84,390,929$132,417,900$147,448,170$135,523,429$219,290,760$252,012,189
Other expenses$-808,488$-12,200,285$-21,099,832$41,631,219$29,589,289$-2,013,308$27,375,983$4,473,902
Net unrealized gains on investments$-808,488$-13,844,959$-22,619,236$39,997,291$29,199,429$-2,533,824$0$0
Donated services and use of facilities$0$0$0$0$0$0$0$0
Recoveries of prior year grants$0$0$0$0$0$0$0$0
Other$0$1,644,674$1,519,404$1,633,928$389,860$520,516$27,375,983$4,473,902
Other revenue$-773,177$3,977,055$130,288,660$139,323,103$116,444,718$139,608,804$219,372,706$180,028,893
Investment expenses$0$0$0$0$0$0$0$0
Other$-773,177$3,977,055$130,288,660$139,323,103$116,444,718$139,608,804$219,372,706$180,028,893
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
20002001200220032004200520062007
Total expenses$188,155,786$214,552,838$209,566,298$222,687,040$218,090,054$238,908,327$301,054,121$365,498,182
Total expenses and losses per audited financial statements$188,948,963$211,609,471$80,232,800$84,112,329$102,074,879$106,866,984$122,702,903$186,311,482
Other revenue$793,177$1,033,687$975,577$721,484$-116,015,175$-132,038,141$-178,351,218$660,439
Donated services and use of facilities$0$0$0$0$0$0$0$0
Prior year adjustments$0$0$0$0$0$0$0$0
Losses$0$0$0$0$0$0$0$0
Other$793,177$1,033,687$975,577$721,484$-116,015,175$-132,038,141$-178,351,218$660,439
Other expenses$0$3,977,054$130,309,075$139,296,195$0$3,202$0$179,847,139
Investment expenses$0$0$0$0$0$0$0$0
Other$0$3,977,054$130,309,075$139,296,195$0$3,202$0$179,847,139
Current Officers, Directors, Trustees, and Key Employees
Average hours per week devoted to positionCompensationContributions to employee benefit plans & deferred compensation plansExpense account and other allowances
60$363,213$67,722$13,083
60$136,648$68,285$12,822
60$426,862$98,997$12,887
60$273,433$64,187$12,822
60$273,825$50,455$12,822
60$474,211$106,215$822
60$395,125$64,926$12,463
60$272,455$48,536$548
60$102,933$32,311$0
60$318,112$65,712$12,822
60$395,364$69,970$14,548
60$753,829$90,285$12,834
60$361,915$80,083$13,542
60$575,716$79,552$13,542
60$296,708$59,104$12,822
60$3,682,428$303,882$12,822
60$570,415$106,010$12,822
Total number of officers, directors, and trustees permitted to vote on organization business at board meetings25
Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, related to each other through family or business relationships?Yes
Do any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, receive compensation from any other organizations, whether tax exempt or taxable, that are related to the organization?Yes
Does the organization have a written conflict of interest policy?Yes
Other Information
Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return, and has it filed a tax return on Form 990-T for this year?Yes
Was there a liquidation, dissolution, termination, or substantial contraction during the year?No
Is the organization related (other than by association with a statewide or nationwide organization) through common membership, governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization?Yes
Direct and indirect political expenditures$0
Did the organization file Form 1120-POL for this year?No
Were substantially all dues nondeductible by members?
Did the organization make only in-house lobbying expenditures of $2,000 or less?
Dues, assessments, and similar amounts from members$0
Section 162(e) lobbying and political expenditures$0
Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices$0
Taxable amount of lobbying and political expenditures$0
Does the organization elect to pay the section 6033(e) tax on the amount above?
If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount above to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year?
Initiation fees and capital contributions$0
Gross receipts for public use of club facilities$0
At any time during the year, did the organization, directly or indirectly, own a controlled entity within the meaning of section 512(b)(13)?Yes
Amount of tax imposed on the organization during the year under: section 4911$0
Amount of tax imposed on the organization during the year under: section 4912$0
Amount of tax imposed on the organization during the year under: section 4955$0
Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior year?No
Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958$0
Amount of tax above, reimbursed by the organization$0
At any time during the tax year, was the organization a party to a prohibited tax shelter transaction?No
Did the organization acquire a direct or indirect interest in any applicable insurance contract?No
Did the supporting organization, or a fund maintained by a sponsoring organization, have excess business holdings at any time during the year?No
Number of employees employed in the pay period that includes March 12, 20062,017
Analysis of Income-Producing Activities (for 2007)
Unrelated business incomeExcluded by section 512, 513, or 514Related or exempt function income
Business codeAmountExclusion codeAmount
Total$812,060$93,409,968$333,336,277
Program service revenue
Program service revenue 1000000$000$0$170,552,007
Program service revenue 2000000$000$0$140,314,899
Program service revenue 3000000$000$0$9,011,013
Program service revenue 4000000$000$0$4,102,952
Program service revenue 5000000$000$0$0
Medicare/Medicaid payments000000$000$0$0
Fees and contracts from government agencies000000$000$0$0
Membership dues and assessments000000$000$0$0
Interest on savings and temporary cash investmentsPassive income activities with controlled organizations$965,580Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)$522,923$0
Dividends and interest from securities000000$0Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)$56,669,806$0
Net rental income or (loss) from real estate
debt-financed property000000$000$0$0
not debt-financed property000000$0Real property rental income that does not depend on the income or profits derived by the person leasing the property and is excluded by section 512(b)(3)$1,234,270$0
Net rental income or (loss) from personal property000000$000$0$0
Other investment income000000$000$0$0
Gain or (loss) from sales of assets other than inventory000000$0Gain (or loss, to the extent allowed) from the sale of investments and other non-inventory property and from certain property acquired from financial institutions that are in conservatorship or receivership (sections 512(b)(5) and 512(b)(16)(A))$34,982,969$0
Net income or (loss) from special events000000$000$0$0
Gross profit or (loss) from sales of inventory000000$000$0$0
Other revenueOther information services$-153,52000$0$9,355,406
Information Regarding Taxable Subsidiaries and Disregarded Entities (for 2007)
EIN of corporation, partnership, or disregarded entityPercentage of ownership interestTotal incomeEnd-of-year assets
562090263100%$88,978,420$76,255,651
56226410951%$711,643$31,321,225
204278130100%$42,233,023$27,366,005
561342654100%$12,202,386$17,952,184
Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees (for 2007)
CompensationContributions to employee benefit plans & deferred compensationExpense account and other allowances
$285,296$68,003$0
$247,675$75,938$548
$247,200$65,046$451
$252,814$54,361$685
$253,256$42,830$423
Total number of other employees paid over $50,000849
Statements About Activities (for 2007)
Expenses paid or incurred in connection with the lobbying activities$25,921
Did the organization receive or hold an easement for conservation purposes, including easements to preserve open space, the environment, historic land areas or historic structures?No
Did the organization provide credit counseling, debt management, credit repair, or debt negotiation services?No
Did the organization maintain any donor advised funds?No
Did the organization make any taxable distributions under section 4966?No
Did the organization make a distribution to a donor, donor advisor, or related person?No
The total number of donor advised funds owned at the end of the tax year$0
The aggregate value of assets held in all donor advised funds owned at the end of the tax year$0
The total number of separate funds or accounts owned at the end of the tax year (excluding donor advised funds included above) where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts$0
The aggregate value of assets held in all funds or accounts included above at the end of the tax year$0
Reason for Non-Private Foundation Status
The organization is not a private foundation because it isNot controlled by disqualified persons/supports non private foundation
Type of supporting organizationType III
Information about the supported organizations
Employer identification number (EIN)Name of organizationType of organizationIs the supported organization listed in the supporting organization's governing documents?Amount of support
560554230Presbyterian HospitalYes$22,584,610
560636250Community General Health Partners IncYes$0
560928089Forsyth Memorial Hospital Inc, Forsyth Medical CenterYes$21,466,607
561340424Medical Park Hospital IncYes$16,160,203
561376368Presbyterian Medical Care CorpYes$17,900,552
581728803Novant Medical Group IncYes$0
561373175Foundation Health Systems Corp, Hawthorne Surgical CenterYes$2,876,053
581466368Carolina Medicorp Enterprises IncYes$11,606,037
Total$92,594,062
Support Schedule
19992000200120022003200420052006
Total$0$0$0$0$0$0$0$0
Gifts, grants, and contributions received$0$0$0$0$0$0$0$0
Membership fees received$0$0$0$0$0$0$0$0
Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities in any activity that is related to the organization's charitable, etc., purpose$0$0$0$0$0$0$0$0
Gross income from interest, dividends, amounts received from payments on securities loans (section 512(a)(5)), rents, royalties, and unrelated business taxable income (less section 511 taxes) from businesses acquired by the organization after June 30, 1975$0$0$0$0$0$0$0$0
Net income from unrelated business activities not included above$0$0$0$0$0$0$0$0
Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf$0$0$0$0$0$0$0$0
The value of services or facilities furnished to the organization by a governmental unit without charge. Do not include the value of services or facilities generally furnished to the public without charge$0$0$0$0$0$0$0$0
Other income$0$0$0$0$0$0$0$0
Lobbying Expenditures by Electing Public Charities (for 2007)
Total exempt purpose expenditures$0
Total lobbying expenditures$0
Total lobbying expenditures to influence public opinion (grassroots lobbying)$0
Total lobbying expenditures to influence a legislative body (direct lobbying)$0
Other exempt purpose expenditures$0
Lobbying nontaxable amount$0
Grassroots nontaxable amount$0
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IdNameAddressStateEstablishedTotal Income
1Wakemed, Parent-Wakemed3000 New Bern Avenue, Raleigh, NC 27610-1231NC2010-10$1,460,662,374
2Novant Health Inc2085 Frontis Plaza Blvd, Winston Salem, NC 27103-5614NC1984-08$1,335,756,582
3Cumberland County Hospital System Inc, Cape Fear Valley Medical Center1638 Owen Dr, Fayetteville, NC 28304-3424NC1969-02$1,046,532,901
4Southeastern Regional Medical CenterPO BOX 1408, Lumberton, NC 28359-1408NC2011-02$270,838,640
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7Wakemed, Group Return3000 New Bern Avenue, Raleigh, NC 27610-1231NC1967-02$97,399,371
8Moses Cone Affiliated Physicians Inc1200 N Elm St, Greensboro, NC 27401-1004NC2010-02$42,957,526
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12Alleghany Health Services233 Doctors Street, Sparta, NC 28675NC2005-09$0
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17Nash County Medical Development Authority2460 Curtis Ellis Dr, Rocky Mount, NC 27804-2237NC2014-10$0
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Number of organizations performing similar types of work
Alabama6
Arkansas5
Arizona2
California34
Colorado11
Connecticut6
District of Columbia3
Delaware2
Florida20
Georgia23
Hawaii9
Iowa2
Idaho5
Illinois23
Indiana10
Kansas8
Kentucky8
Louisiana5
Massachusetts67
Maryland7
Maine6
Michigan36
Minnesota39
Missouri15
Mississippi4
Montana3
North Carolina27
North Dakota14
Nebraska4
New Hampshire3
New Jersey33
New Mexico3
Nevada2
New York45
Ohio26
Oklahoma7
Oregon6
Pennsylvania46
Rhode Island5
South Carolina2
South Dakota10
Tennessee7
Texas62
Utah3
Virginia29
Vermont2
Washington8
Wisconsin25
West Virginia8
Wyoming1
International1
Total738

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