Liabilities / Assets
Score unavailable
Liabilities-to-assets requires both liabilities and assets on the latest valid filing.
Dialysis Access Group of Wake Forest
EIN 20-4241942 • 501(c)3 • Winstonsalem, NC
Profile
Provides vascular access maintenance procedures to dialysis patients and supports the teaching and research missions of wake forest university health sciences and north carolina baptist hospital.
Siviq Scores
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
No value available
Liabilities / Revenue
61st percentile
Tied with the lowest-debt nonprofits in its peer group.
Net Margin
36th percentile
Higher net margin than 36% of similar nonprofits.
Top Officer Pay
100th percentile
Higher top officer pay than 100% of similar nonprofits.
Top officer pay equals 618.1% of source-year revenue.
Asset Growth
9th percentile
Faster asset growth than 9% of similar nonprofits.
Revenue Growth
9th percentile
Faster revenue growth than 9% of similar nonprofits.
Balance Sheet
Assets
Down$0
Down $504,588 (-100%) from 2015
Liabilities
Down$0
Down $106,495 (-100%) from 2015
Net Assets
Down$0
Down $398,093 (-100%) from 2015
Revenue
Down$369,546
Down $1,216,154 (-77%) from 2015
Expenses
Down$389,353
Down $1,050,905 (-73%) from 2015
Net Income
Down-$19,807
Down $165,249 (-114%) from 2015
Trend Graphs
Filings
Most recent year
2016 • Form 990Detailed filing. Detailed filing data is available for this year.
- Assets
- $0
- Liabilities
- $0
- Net assets
- $0
- Revenue
- $369,546
- Expenses
- $389,353
- Net income
- -$19,807
Latest Filing Detail
Jump To
Filing Snapshot
- Filing Period
- Jul 1, 2015 to Jun 30, 2016
- Signed
- May 5, 2017
- Return Version
- 2015v3.0
- Gross Receipts
- $369,546
Mission and Program Overview
Mission
Provides vascular access maintenance procedures to dialysis patients and supports the teaching and research missions of wake forest university health sciences and north carolina baptist hospital.
Balance Sheet Detail
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Cash and Non-Interest-Bearing Accounts | $253,181 | $0 | ▼ $253,181 |
| Accounts Receivable | $207,439 | $0 | ▼ $207,439 |
| Inventories for Sale or Use | $43,968 | $0 | ▼ $43,968 |
| Savings and Temporary Cash Investments | - | $0 | - |
| Other Notes and Loans Receivable, Net | - | $0 | - |
| Pledges and Grants Receivable | - | $0 | - |
| Receivable From Disqualified Prsn | - | $0 | - |
| Receivables From Officers Etc | - | $0 | - |
| Investments Other Securities | - | $0 | - |
| Investments Program Related | - | $0 | - |
| Investments in Publicly Traded Securities | - | $0 | - |
| Land, Buildings, and Equipment, Net | - | $0 | - |
| Intangible Assets | - | $0 | - |
| Prepaid Expenses and Deferred Charges | - | $0 | - |
| Total Assets | $504,588 | $0 | ▼ $504,588 |
| Other Assets Total | - | $0 | - |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $106,495 | - | - |
| Total Liabilities | $106,495 | $0 | ▼ $106,495 |
| Net Assets / Fund Balance | |||
| Unrestricted Net Assets | $398,093 | $0 | ▼ $398,093 |
| Total Net Assets Fund Balance | $398,093 | $0 | ▼ $398,093 |
| Total Liabilities and Net Assets / Fund Balance | $504,588 | $0 | ▼ $504,588 |
Compensation and Service Providers
Employees
| Name | Title | Other | Total |
|---|---|---|---|
| William B Applegate Md | President | $2,284,045 | $2,284,045 |
| John D Mcconnell Md | Asst Treasurer | $584,324 | $584,324 |
| - | Former Officer | $274,739 | $274,739 |
Board Members and Trustees
| Name | Title |
|---|---|
| John D Mcconnell Md | President |
| Terry L Hales Jr | Asst Treasurer |
| William B Applegate Md | Former Officer |
| Terry L Hales Jr | Manager |
Revenue and Support
Revenue Composition
- Contributions and Grants
- $0
- Program Service Revenue
- $369,546
- Investment Income
- $0
- Other Revenue
- $0
- Change in Net Assets
- $-19,807
Expenses and Functional Allocation
Major Expense Lines
| Line Item | Amount |
|---|---|
| Other Expenses | $389,353 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Salaries, Compensation, and Employee Benefits | $0 |
| Total Fundraising Expense | $0 |
Functional Expense Allocation
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Fees for Services Other | $224,740 | - | - | $224,740 |
| Other Expenses | $114,670 | - | - | $114,670 |
| Fees for Services Management | - | $30,000 | - | $30,000 |
| Occupancy | $6,598 | - | - | $6,598 |
| Information Technology | $3,529 | - | - | $3,529 |
| Office Expenses | $2,342 | $781 | - | $3,123 |
| Conferences and Meetings | $2,861 | - | - | $2,861 |
| Insurance | $2,032 | - | - | $2,032 |
| Travel | $1,050 | - | - | $1,050 |
| Fees for Services Accounting | - | $750 | - | $750 |
| Total Functional Expenses | $357,822 | $31,531 | $0 | $389,353 |
Fundraising, Events, and Gaming
- Fundraising activities
- No
- Gaming activities
- No
- Professional fundraiser used
- No
Fundraising and Gaming Totals
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
Political and Lobbying Activity
- Political campaign activity
- No
- Lobbying activity
- No
- Subject to proxy tax
- No
Insider Transactions and Loans
Loans and Receivables
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Receivables from Disqualified Persons | - | $0 | - |
| Receivables from Officers, Directors, Trustees, and Key Employees | - | $0 | - |
Governance and Compliance
Governance Checklist
- Compiled or reviewed by an accountant
- No
- Annual disclosure for covered persons
- Yes
- Audit committee
- Yes
- Backup withholding compliance
- Yes
- Business relationship with family members
- No
- Business relationship with organization members
- No
- Material changes to governing documents
- Yes
- Compensation from other sources disclosed
- No
- CEO compensation reviewed
- No
- Other officer compensation reviewed
- No
- Conflict-of-interest policy
- Yes
- Audited financial statements prepared
- Yes
- Key decisions subject to board approval
- Yes
- Management duties delegated
- No
Governance Explanations
Form 990, Part VI, Section A, Line 4
“Articles of dissolution of the filing organization effective june 30, 2016 were filed with the north carolina secretary of state on june 27, 2016.”
Form 990, Part VI, Section A, Line 6
“The filing organization has two members, wake forest university health sciences and north carolina baptist hospital, who each hold a 50% interest in the filing organization.”
Form 990, Part VI, Section A, Line 7A
“The filing organization is managed by a single manager, wake forest university health sciences, which has authority to appoint officers of the organization, including an "operations manager." wake forest university health sciences is a related organization of the filing organization. Additional members of the filing organization may be admitted provided they meet certain qualitifations (such as 501(c)(3) status) and make the requisite capital contribution for membership.”
Form 990, Part VI, Section A, Line 7B
“Major decisions require the approval of the filing organization's two members, wake forest university health sciences & north carolina baptist hospital (including amendment of the filing organization's operating agreement, changes to the entity type through which the filing organization conducts its business, and admission of new members).”
Form 990, Part VI, Section B, Line 11
“The filing organization distributes a draft copy of the form 990 to the officers of the filing organization (who are officers of the two members), with sufficient time to permit review, comment, and questions prior to its filing. If modifications are required following such review and comment, the revised form 990 is redistributed prior to its filing with the irs, along with a summary of the modifications.”
Form 990, Part VI, Section B, Line 12C
“The filing organization requires its officers and members to review the conflict of interest policy and disclose any potential conflicts of interests annually and as they arise. Any items disclosed are reviewed and managed in accordance with the filing organization's policy on conflicts of interest.”
Form 990, Part VI, Section B, Line 15
“The filing organization pays no compensation to officers, the manager or members; as the filing organization has no employees, it does not pay any compensation to any key employee. All compensation paid to officers and former officers was paid by related organizations. Compensation paid to these individuals is reviewed and approved in accordance with the related organization's compensation policies and procedures which include independent compensation consultants, compensation surveys and studies to determine the appropriateness of each officer's compensation.”
Form 990, Part VI, Section C, Line 19
“The filing organization's articles of organization are available to the public on request and are available on the website of the north carolina secretary of state. The filing organization's operating agreement is not published, but provisions from the operating agreement are included as necessary in the organization's policies, and are attached to the form 1023 filed for the organization with the irs, which is publicly available. The conflict of interest policy and financial statements are not available to the public.”
Part VII, Section A, Column B, Hours
“Terry l hales jr filing org 2.0 related org 19.0 unrelated org 19.0 john d mcconnell md filing org .5 related org 19.2 unrelated org 20.3 william b applegate md filing org 0.0 related org 40.0 while north carolina baptist hospital is a 50% member of the filing organization, along with the other 50% member and sole manager, wake forest university health sciences, such hospital is an unrelated organization to the filing organization. Pursuant to the terms of the "medical center integration agreement" (an agreement entered into in 2010 among four parties: wake forest university, wake forest university health sciences - both related organizations of the filing organization - wake forest university baptist medical center (a related organization of both wake forest university and wake forest university health sciences) and north carolina baptist hospital, under which agreement the operation of wfuhs and ncbh, and all of the respective subsidiaries of each, was delegated to wfubmc), the corporate officers of wfubmc generally serve also as the corporate officers of wfuhs and ncbh. Thus, certain officers of the filing organization also devote hours to the related organizations, as well as to the unrelated organization (ncbh), as shown in the breakdown of hours above.”
Filing and Contact Details
Filer
- Filer Name
- Dialysis Access Group of Wake Forest
- EIN
- 20-4241942
- Phone
- 3367164445
- Address
- MEDICAL CENTER BLVD, WINSTONSALEM, NC 27157
Signing Officer
- Name
- Terry L Hales Jr
- Title
- Assistant Treasurer
- Phone
- 3367164445
- Signed
- 2017-05-05
Organization Details
- Principal Officer
- John D Mcconnell Md
- Formed
- 2006
- Legal Domicile
- Nc
- Voting Board Members
- 1
- Independent Board Members
- 0
- Employees
- 0
- Volunteers
- 0
Supplemental Narrative
Additional Explanations
Form 990, Part III, Line 3
“The organization operated through october 12, 2015. Thereafter, the entity's operations were undertaken by north carolina baptist hospital, a related non-profit hospital. Articles of dissolution were filed, effective june 30, 2016, with the north carolina department of secretary of state. See schedule n for additional information.”
Form 990, Part IX, Line 11G
“Contract services: program service expenses 224,740. Management and general expenses 0. Fundraising expenses 0. Total expenses 224,740.”
FORM 990, PART XI, LINE 9:
“Distribution to wfuhs & ncbh -378,286.”
Financial Statement Notes
PART X, LINE 2:
“The organization recognizes the effect of income tax positions only when it is more likely than not that the position will be sustained. The organization is required to evaluate uncertain tax positions. This evaluation includes a quantification of tax risk in areas such as unrelated business taxable income and the taxation of for-profit subsidiaries, if applicable. This evaluation did not have a material effect on the organization's statement of operations for the years ended june 30, 2015 and 2016.”
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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
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| IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | -19807 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 1 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 0 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 0 |
| IRS990/ReportOtherAssetsInd | 0 | 0 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 0 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
| IRS990/RevenueAmt | 0 | 369546 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 0 |
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| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 9 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt | 0 | 9 |
| IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/CurrentTaxYearAmt | 0 | 369546 |
| IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/CurrentTaxYearMinus1YearAmt | 0 | 1585700 |
| IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/CurrentTaxYearMinus2YearsAmt | 0 | 1673046 |
| IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/CurrentTaxYearMinus3YearsAmt | 0 | 1456790 |
| IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/CurrentTaxYearMinus4YearsAmt | 0 | 1820995 |
| IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/TotalAmt | 0 | 6906077 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt | 0 | 9 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt | 0 | 9 |
| IRS990ScheduleA/InvestmentIncomeCYPct | 0 | 0.00000 |
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| IRS990ScheduleA/PublicSupportPY509Pct | 0 | 1.00000 |
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| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt | 0 | 1585700 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 1673046 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 1456790 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 1820995 |
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| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt | 0 | 1585700 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt | 0 | 1673046 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt | 0 | 1456790 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt | 0 | 1821004 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt | 0 | 6906086 |
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| IRS990ScheduleD/FootnoteTextInd | 0 | X |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 0 | THE ORGANIZATION RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED. THE ORGANIZATION IS REQUIRED TO EVALUATE UNCERTAIN TAX POSITIONS. THIS EVALUATION INCLUDES A QUANTIFICATION OF TAX RISK IN AREAS SUCH AS UNRELATED BUSINESS TAXABLE INCOME AND THE TAXATION OF FOR-PROFIT SUBSIDIARIES, IF APPLICABLE. THIS EVALUATION DID NOT HAVE A MATERIAL EFFECT ON THE ORGANIZATION'S STATEMENT OF OPERATIONS FOR THE YEARS ENDED JUNE 30, 2015 AND 2016. |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | PART X, LINE 2: |
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| IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd | 0 | 0 |
| IRS990ScheduleJ/EquityBasedCompArrngmInd | 0 | 0 |
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| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt | 0 | 116222 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt | 1 | 458633 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt | 2 | 12206 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt | 0 | 364384 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt | 1 | 1003000 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt | 2 | 210004 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt | 0 | 79354 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt | 1 | 232214 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt | 2 | 11572 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt | 0 | 23117 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt | 1 | 20342 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt | 2 | 20671 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt | 0 | 1247 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt | 1 | 569856 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt | 2 | 20286 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 0 | TERRY L HALES JR |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 1 | JOHN D MCCONNELL MD |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 2 | WILLIAM B APPLEGATE MD |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 0 | ASST TREASURER |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 1 | PRESIDENT |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 2 | FORMER OFFICER |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt | 0 | 584324 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt | 1 | 2284045 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt | 2 | 274739 |
| IRS990ScheduleJ/SeverancePaymentInd | 0 | 0 |
| IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt | 0 | CERTAIN OFFICERS OF THE FILING ORGANIZATION DURING THE TAX PERIOD PARTICIPATED IN AND/OR RECEIVED PAYMENTS FROM SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLANS (ALL OF WHICH COMPENSATION WAS PAID BY A RELATED ORGANIZATION, WAKE FOREST UNIVERSITY HEALTH SCIENCES, AS PART OF SUCH EXECUTIVES' COMPENSATION FROM THE RELATED ORGANIZATION). THE DETERMINATION OF THE AMOUNT OF THE NON-QUALIFIED RETIREMENT PLAN PAYMENTS FOLLOWS SUCH RELATED ORGANIZATION'S COMPENSATION PROCEDURES AS OUTLINED IN PART VI, SECTION B, LINE 15 OF THE FORM 990 OF SUCH RELATED ORGANIZATION. THE FOLLOWING INDIVIDUAL RECEIVED SERP PAYMENTS FROM A RELATED ORGANIZATION (WAKE FOREST UNIVERSITY HEALTH SCIENCES) IN HIS 2015 COMPENSATION: JOHN D. MCCONNELL, M.D. $546,312. |
| IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | PART I, LINE 4B |
| IRS990ScheduleJ/SupplementalNonqualRtrPlanInd | 0 | 1 |
| IRS990ScheduleN/AssetsDistributedInd | 0 | 1 |
| IRS990ScheduleN/AttorneyGeneralNotifiedInd | 0 | 1 |
| IRS990ScheduleN/BondsOutstandingInd | 0 | 0 |
| IRS990ScheduleN/DirectorOfSuccessorInd | 0 | 1 |
| IRS990ScheduleN/EmployeeOfSuccessorInd | 0 | 1 |
| IRS990ScheduleN/LiabilitiesPaidInd | 0 | 1 |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc | 0 | CASH |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc | 1 | CASH |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/BusinessName/BusinessNameLine1Txt | 0 | WAKE FOREST UNIVERSITY HEALTH SCIENCES |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/BusinessName/BusinessNameLine1Txt | 1 | NORTH CAROLINA BAPTIST HOSPITAL |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt | 0 | 2016-06-30 |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt | 1 | 2016-06-30 |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN | 0 | 223849199 |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN | 1 | 560552787 |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt | 0 | 189143 |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt | 1 | 189143 |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt | 0 | 501(C)(3) |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt | 1 | 501(C)(3) |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt | 0 | MEDICAL CENTER BLVD |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt | 1 | MEDICAL CENTER BLVD |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm | 0 | WINSTON SALEM |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm | 1 | WINSTON SALEM |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd | 0 | NC |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd | 1 | NC |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd | 0 | 27157 |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd | 1 | 27157 |
| IRS990ScheduleN/OwnerOfSuccessorInd | 0 | 0 |
| IRS990ScheduleN/ReceiveCompensationInd | 0 | 0 |
| IRS990ScheduleN/RequiredToNotifyAGInd | 0 | 1 |
| IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt | 0 | PERSON(S) INVOLVED: JOHN D. MCCONNELL,M.D., TERRY L. HALES, JR. |
| IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt | 1 | EXPLANATION OF INVOLVEMENT: DR. MCCONNELL IS THE CHIEF EXECUTIVE OFFICER OF NORTH CAROLINA BAPTIST HOSPITAL AND WAKE FOREST UNIVERSITY HEALTH SCIENCES, THE TWO MEMBERS OF THE FILING ORGANIZATION AND THE (EQUAL) TRANSFEREES OF THE NET ASSETS OF THE FILING ORGANIZATION UPON ITS DISSOLUTION. TERRY HALES, WHO WAS AN OFFICER OF THE FILING ORGANIZATION, IS AN OFFICER AND EMPLOYEE OF WAKE FOREST UNIVERSITY HEALTH SCIENCES. BOTH DR. MCCONNELL AND TERRY HALES RECEIVE COMPENSATION IN THEIR ROLES AS SUCH OFFICERS AND EMPLOYEES, FROM WAKE FOREST UNIVERSITY HEALTH SCIENCES. |
| IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | PART I, LINE 2E: |
| IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | PART I, LINE 2E: |
| IRS990/ScheduleORequiredInd | 0 | 1 |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | THE ORGANIZATION OPERATED THROUGH OCTOBER 12, 2015. THEREAFTER, THE ENTITY'S OPERATIONS WERE UNDERTAKEN BY NORTH CAROLINA BAPTIST HOSPITAL, A RELATED NON-PROFIT HOSPITAL. ARTICLES OF DISSOLUTION WERE FILED, EFFECTIVE JUNE 30, 2016, WITH THE NORTH CAROLINA DEPARTMENT OF SECRETARY OF STATE. SEE SCHEDULE N FOR ADDITIONAL INFORMATION. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | ARTICLES OF DISSOLUTION OF THE FILING ORGANIZATION EFFECTIVE JUNE 30, 2016 WERE FILED WITH THE NORTH CAROLINA SECRETARY OF STATE ON JUNE 27, 2016. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | THE FILING ORGANIZATION HAS TWO MEMBERS, WAKE FOREST UNIVERSITY HEALTH SCIENCES AND NORTH CAROLINA BAPTIST HOSPITAL, WHO EACH HOLD A 50% INTEREST IN THE FILING ORGANIZATION. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 3 | THE FILING ORGANIZATION IS MANAGED BY A SINGLE MANAGER, WAKE FOREST UNIVERSITY HEALTH SCIENCES, WHICH HAS AUTHORITY TO APPOINT OFFICERS OF THE ORGANIZATION, INCLUDING AN "OPERATIONS MANAGER." WAKE FOREST UNIVERSITY HEALTH SCIENCES IS A RELATED ORGANIZATION OF THE FILING ORGANIZATION. ADDITIONAL MEMBERS OF THE FILING ORGANIZATION MAY BE ADMITTED PROVIDED THEY MEET CERTAIN QUALITIFATIONS (SUCH AS 501(C)(3) STATUS) AND MAKE THE REQUISITE CAPITAL CONTRIBUTION FOR MEMBERSHIP. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 4 | MAJOR DECISIONS REQUIRE THE APPROVAL OF THE FILING ORGANIZATION'S TWO MEMBERS, WAKE FOREST UNIVERSITY HEALTH SCIENCES & NORTH CAROLINA BAPTIST HOSPITAL (INCLUDING AMENDMENT OF THE FILING ORGANIZATION'S OPERATING AGREEMENT, CHANGES TO THE ENTITY TYPE THROUGH WHICH THE FILING ORGANIZATION CONDUCTS ITS BUSINESS, AND ADMISSION OF NEW MEMBERS). |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 5 | THE FILING ORGANIZATION DISTRIBUTES A DRAFT COPY OF THE FORM 990 TO THE OFFICERS OF THE FILING ORGANIZATION (WHO ARE OFFICERS OF THE TWO MEMBERS), WITH SUFFICIENT TIME TO PERMIT REVIEW, COMMENT, AND QUESTIONS PRIOR TO ITS FILING. IF MODIFICATIONS ARE REQUIRED FOLLOWING SUCH REVIEW AND COMMENT, THE REVISED FORM 990 IS REDISTRIBUTED PRIOR TO ITS FILING WITH THE IRS, ALONG WITH A SUMMARY OF THE MODIFICATIONS. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 6 | THE FILING ORGANIZATION REQUIRES ITS OFFICERS AND MEMBERS TO REVIEW THE CONFLICT OF INTEREST POLICY AND DISCLOSE ANY POTENTIAL CONFLICTS OF INTERESTS ANNUALLY AND AS THEY ARISE. ANY ITEMS DISCLOSED ARE REVIEWED AND MANAGED IN ACCORDANCE WITH THE FILING ORGANIZATION'S POLICY ON CONFLICTS OF INTEREST. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 7 | THE FILING ORGANIZATION PAYS NO COMPENSATION TO OFFICERS, THE MANAGER OR MEMBERS; AS THE FILING ORGANIZATION HAS NO EMPLOYEES, IT DOES NOT PAY ANY COMPENSATION TO ANY KEY EMPLOYEE. ALL COMPENSATION PAID TO OFFICERS AND FORMER OFFICERS WAS PAID BY RELATED ORGANIZATIONS. COMPENSATION PAID TO THESE INDIVIDUALS IS REVIEWED AND APPROVED IN ACCORDANCE WITH THE RELATED ORGANIZATION'S COMPENSATION POLICIES AND PROCEDURES WHICH INCLUDE INDEPENDENT COMPENSATION CONSULTANTS, COMPENSATION SURVEYS AND STUDIES TO DETERMINE THE APPROPRIATENESS OF EACH OFFICER'S COMPENSATION. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 8 | THE FILING ORGANIZATION'S ARTICLES OF ORGANIZATION ARE AVAILABLE TO THE PUBLIC ON REQUEST AND ARE AVAILABLE ON THE WEBSITE OF THE NORTH CAROLINA SECRETARY OF STATE. THE FILING ORGANIZATION'S OPERATING AGREEMENT IS NOT PUBLISHED, BUT PROVISIONS FROM THE OPERATING AGREEMENT ARE INCLUDED AS NECESSARY IN THE ORGANIZATION'S POLICIES, AND ARE ATTACHED TO THE FORM 1023 FILED FOR THE ORGANIZATION WITH THE IRS, WHICH IS PUBLICLY AVAILABLE. THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 9 | TERRY L HALES JR FILING ORG 2.0 RELATED ORG 19.0 UNRELATED ORG 19.0 JOHN D MCCONNELL MD FILING ORG .5 RELATED ORG 19.2 UNRELATED ORG 20.3 WILLIAM B APPLEGATE MD FILING ORG 0.0 RELATED ORG 40.0 WHILE NORTH CAROLINA BAPTIST HOSPITAL IS A 50% MEMBER OF THE FILING ORGANIZATION, ALONG WITH THE OTHER 50% MEMBER AND SOLE MANAGER, WAKE FOREST UNIVERSITY HEALTH SCIENCES, SUCH HOSPITAL IS AN UNRELATED ORGANIZATION TO THE FILING ORGANIZATION. PURSUANT TO THE TERMS OF THE "MEDICAL CENTER INTEGRATION AGREEMENT" (AN AGREEMENT ENTERED INTO IN 2010 AMONG FOUR PARTIES: WAKE FOREST UNIVERSITY, WAKE FOREST UNIVERSITY HEALTH SCIENCES - BOTH RELATED ORGANIZATIONS OF THE FILING ORGANIZATION - WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER (A RELATED ORGANIZATION OF BOTH WAKE FOREST UNIVERSITY AND WAKE FOREST UNIVERSITY HEALTH SCIENCES) AND NORTH CAROLINA BAPTIST HOSPITAL, UNDER WHICH AGREEMENT THE OPERATION OF WFUHS AND NCBH, AND ALL OF THE RESPECTIVE SUBSIDIARIES OF EACH, WAS DELEGATED TO WFUBMC), THE CORPORATE OFFICERS OF WFUBMC GENERALLY SERVE ALSO AS THE CORPORATE OFFICERS OF WFUHS AND NCBH. THUS, CERTAIN OFFICERS OF THE FILING ORGANIZATION ALSO DEVOTE HOURS TO THE RELATED ORGANIZATIONS, AS WELL AS TO THE UNRELATED ORGANIZATION (NCBH), AS SHOWN IN THE BREAKDOWN OF HOURS ABOVE. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 10 | CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 224,740. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 224,740. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 11 | DISTRIBUTION TO WFUHS & NCBH -378,286. |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | FORM 990, PART III, LINE 3 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | FORM 990, PART VI, SECTION A, LINE 4 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | FORM 990, PART VI, SECTION A, LINE 6 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 3 | FORM 990, PART VI, SECTION A, LINE 7A |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 4 | FORM 990, PART VI, SECTION A, LINE 7B |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 5 | FORM 990, PART VI, SECTION B, LINE 11 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 6 | FORM 990, PART VI, SECTION B, LINE 12C |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 7 | FORM 990, PART VI, SECTION B, LINE 15 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 8 | FORM 990, PART VI, SECTION C, LINE 19 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 9 | PART VII, SECTION A, COLUMN B, HOURS |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 10 | FORM 990, PART IX, LINE 11G |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 11 | FORM 990, PART XI, LINE 9: |
| IRS990ScheduleR/AssetExchangeInd | 0 | 0 |
| IRS990ScheduleR/AssetPurchaseFromOtherOrgInd | 0 | 0 |
| IRS990ScheduleR/AssetSaleToOtherOrgInd | 0 | 0 |
| IRS990ScheduleR/DivRelatedOrganizationInd | 0 | 0 |
| IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd | 0 | 0 |
| IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd | 0 | 0 |
| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd | 0 | 0 |
| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingNACd | 0 | N/A |
| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN | 0 | 471128865 |
| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt | 0 | C |
| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileStateCd | 0 | NC |
| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt | 0 | PROPERTY OWNERS ASSOCIATION |
| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt | 0 | NORTH DISTRICT OWNERS ASSOCIATION |
| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/AddressLine1Txt | 0 | MEDICAL CENTER BLVD |
| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/CityNm | 0 | WINSTON SALEM |
| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/StateAbbreviationCd | 0 | NC |
| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/ZIPCd | 0 | 27157 |
| IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/DirectControllingNACd | 0 | N/A |
| IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/DirectControllingNACd | 1 | N/A |
| IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/EIN | 0 | 352514227 |
| IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/EIN | 1 | 475437596 |
| IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/LegalDomicileStateCd | 0 | NC |
| IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/LegalDomicileStateCd | 1 | NC |
| IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/PrimaryActivitiesTxt | 0 | INVESTMENT |
| IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/RelatedOrganizationName/BusinessNameLine1Txt | 0 | VERGER FUND II LLC |
| IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/RelatedOrganizationName/BusinessNameLine1Txt | 1 | WAKE FOREST TECHNOLOGY DEVELOPMENT PROGRAM LP |
| IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/USAddress/AddressLine1Txt | 0 | PO BOX 7201 |
| IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/USAddress/AddressLine1Txt | 1 | 2520 MERIDIAN PKWY |
| IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/USAddress/CityNm | 0 | WINSTON SALEM |
| IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/USAddress/CityNm | 1 | DURHAM |
| IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/USAddress/StateAbbreviationCd | 0 | NC |
| IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/USAddress/StateAbbreviationCd | 1 | NC |
| IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/USAddress/ZIPCd | 0 | 27109 |
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