Civic Intelligence

Harnett Health System Inc.

990 • Fiscal year 2016 • EIN 56-0603898

Oct 01, 2015 to Sep 30, 2016 • Filed on Aug 07, 2017

800 Tilghman DriveDunn, NC 28334

(910) 891-1000

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

92nd percentile

1.19x

Higher debt load relative to assets than 92% of similar nonprofits.

2016 filings • NTEE E • $100M-$250M nonprofits • Source year 2016

Liabilities / Revenue

90th percentile

1.20x

Higher debt load relative to revenue than 90% of similar nonprofits.

2016 filings • NTEE E • $100M-$250M nonprofits • Source year 2016

Net Margin

50th percentile

2.1%

Higher net margin than 50% of similar nonprofits.

2016 filings • NTEE E • $100M-$250M nonprofits • Source year 2016

Top Officer Pay

11th percentile

$360,084

Higher top officer pay than 11% of similar nonprofits.

Top officer pay equals 0.4% of source-year revenue.

2016 filings • NTEE E • $100M-$250M nonprofits • Source year 2016

Asset Growth

2nd percentile

-44%

Faster asset growth than 2% of similar nonprofits.

2016 filings • NTEE E • $100M-$250M nonprofits • Annualized from 2015 to 2016

Revenue Growth

68th percentile

9.5%

Faster revenue growth than 68% of similar nonprofits.

2016 filings • NTEE E • $100M-$250M nonprofits • Annualized from 2015 to 2016

Assets

Down

$102,149,103

Down $80,932,321 (-44%) from 2015

Net Assets

Up

-$19,660,322

Up $9,592,878 (+33%) from 2015

Liabilities

Down

$121,809,425

Down $90,525,199 (-43%) from 2015

Revenue

Up

$101,716,504

Up $8,812,649 (+9.5%) from 2015

Expenses

Up

$99,611,004

Up $662,861 (+0.7%) from 2015

Net Income

Up

$2,105,500

Up $8,149,788 (+135%) from 2015

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$300M$200M$100M$0-$100MAssets 2010: $74,520,738Liabilities 2010: $38,049,489Net Assets 2010: $36,471,2492010Assets 2011: $78,257,380Liabilities 2011: $43,408,183Net Assets 2011: $34,849,1972011Assets 2012: $117,102,861Liabilities 2012: $80,769,174Net Assets 2012: $36,333,6872012Assets 2013: $131,241,890Liabilities 2013: $119,262,535Net Assets 2013: $11,979,3552013Assets 2014: $171,245,857Liabilities 2014: $197,022,590Net Assets 2014: -$25,776,7332014Assets 2015: $183,081,424Liabilities 2015: $212,334,624Net Assets 2015: -$29,253,2002015Assets 2016: $102,149,103Liabilities 2016: $121,809,425Net Assets 2016: -$19,660,3222016Assets 2017: $100,556,527Liabilities 2017: $110,896,931Net Assets 2017: -$10,340,4042017Assets 2018: $98,294,839Liabilities 2018: $107,178,328Net Assets 2018: -$8,883,4892018Assets 2019: $95,706,242Liabilities 2019: $103,053,631Net Assets 2019: -$7,347,3892019Assets 2020: $121,887,306Liabilities 2020: $121,760,020Net Assets 2020: $127,2862020Assets 2021: $119,557,525Liabilities 2021: $102,913,871Net Assets 2021: $16,643,6542021Assets 2022: $108,068,047Liabilities 2022: $96,632,375Net Assets 2022: $11,435,6722022Assets 2023: $156,656,749Liabilities 2023: $144,217,188Net Assets 2023: $12,439,5612023Assets 2024: $177,657,151Liabilities 2024: $157,090,959Net Assets 2024: $20,566,1922024

Highlighted filing

2016

Assets$102,149,103
Liabilities$121,809,425
Net Assets-$19,660,322

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$150M$100M$50M$0-$50MExpenses 2010: $91,651,1842010Expenses 2011: $106,055,0732011Expenses 2012: $120,383,5752012Expenses 2013: $109,115,0922013Revenue 2014: $74,653,723Expenses 2014: $109,741,197Net Income 2014: -$35,087,4742014Revenue 2015: $92,903,855Expenses 2015: $98,948,143Net Income 2015: -$6,044,2882015Revenue 2016: $101,716,504Expenses 2016: $99,611,004Net Income 2016: $2,105,5002016Revenue 2017: $106,044,064Expenses 2017: $96,724,147Net Income 2017: $9,319,9172017Revenue 2018: $96,253,229Expenses 2018: $94,796,314Net Income 2018: $1,456,9152018Revenue 2019: $101,444,815Expenses 2019: $100,344,013Net Income 2019: $1,100,8022019Revenue 2020: $105,334,985Expenses 2020: $104,705,102Net Income 2020: $629,8832020Revenue 2021: $137,837,447Expenses 2021: $121,321,079Net Income 2021: $16,516,3682021Revenue 2022: $126,309,865Expenses 2022: $131,517,847Net Income 2022: -$5,207,9822022Revenue 2023: $130,545,965Expenses 2023: $129,542,076Net Income 2023: $1,003,8892023Revenue 2024: $37,806,886Expenses 2024: $34,037,397Net Income 2024: $3,769,4892024

Highlighted filing

2016

Revenue$101,716,504
Expenses$99,611,004
Net Income$2,105,500
Jump To
Filing Snapshot
Filing Period
Oct 1, 2015 to Sep 30, 2016
Signed
Aug 7, 2017
Return Version
2015v3.0
Gross Receipts
$101,716,504
Mission and Program Overview

Mission

Harnett health is dedicated to providing quality and personalized care with respect and compassion and are committed to making a difference throughout our communities with service excellence

Providing medical care for patients of the hospital

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$81,764,378$74,682,462▼ $7,081,916
Accounts Receivable$10,996,264$12,576,883▲ $1,580,619
Investments Other Securities$4,065,353$4,379,741▲ $314,388
Cash and Non-Interest-Bearing Accounts$2,255,949$3,073,991▲ $818,042
Inventories for Sale or Use$2,019,048$1,849,975▼ $169,073
Prepaid Expenses and Deferred Charges$838,549$478,294▼ $360,255
Other Notes and Loans Receivable, Net$3,473$-7,307▼ $10,780
Total Assets$183,081,424$102,149,103▼ $80,932,321
Other Assets Total$81,138,410$5,115,064▼ $76,023,346
Liabilities
Mortgage Notes Payable Secured by Investment Property$71,615,946$69,347,024▼ $2,268,922
Accounts Payable and Accrued Expenses$32,676,412$24,519,337▼ $8,157,075
Tax Exempt Bond Liabilities$20,965,000$20,330,000▼ $635,000
Other Liabilities$86,247,164$7,613,064▼ $78,634,100
Deferred Revenue$830,102--
Total Liabilities$212,334,624$121,809,425▼ $90,525,199
Net Assets / Fund Balance
Temporarily Rstr Net Assets$4,536,589$4,379,741▼ $156,848
Unrestricted Net Assets$-33,789,789$-24,040,063▲ $9,749,726
Total Net Assets Fund Balance$-29,253,200$-19,660,322▲ $9,592,878
Total Liabilities and Net Assets / Fund Balance$183,081,424$102,149,103▼ $80,932,321

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$62,434,585$29,325,042$91,759,627
Equipment$10,892,313$40,821,402$51,713,715
Land$1,189,620-$1,189,620
Other Land Buildings$165,944$492,953$658,897
Other Assets Org$2,910,834--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Michael ZichPhysicianFT$325,133$34,951$360,084
Brad ButlerPhysicianFT$187,713$61,310$249,023
Beverly YearwoodPhysicianFT$204,360$24,162$228,522
Raid Abo-kamilPhysicianFT$198,800$28,642$227,442
Asif ZiaPhysicianFT$190,172$31,544$221,716
Mike JonesVP Central Hospital Support ServicesFT$165,276$24,364$189,640
Sondra DavisVP Hr (former)FT$155,958-$155,958
Vicki AllenCNO/VP (former)FT$141,344-$141,344

Board Members and Trustees

Highest Paid Contractors

ContractorServicesLocationCompensation
Trinity Healthcare StaffingContract LaborPO BOX 531741, Atlanta, GA 30353-1741$988,479
Wyrick Robbins Yates & PontoLegal4101 LAKE BOONE TRAIL SUITE 300, Raleigh, NC 27607$896,106
Kpmg LLPPatient Billing5 CHESTNUT RIDGE ROAD, Montvale, NJ 07645$711,000
Diversified Clinical ServicesWound CarePO BOX 551187, Jacksonville, FL 32255$653,261
Cape Fear ValleyManagement1638 OWEN DRIVE, Fayetteville, NC 28304$350,000
Revenue and Support

Revenue Composition

Contributions and Grants
$83,719
Program Service Revenue
$100,846,771
Investment Income
$33,720
Other Revenue
$752,294
All Other Contributions
$83,719
Change in Net Assets
$2,105,500
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$53,914,616
Other Expenses$45,696,388
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$37,521,384$6,621,421-$44,142,805
Depreciation Depletion$7,649,172--$7,649,172
Other Employee Benefits$5,365,801$946,906-$6,312,707
All Other Expenses$1,851,992$2,442,784-$4,294,776
Interest$4,204,604--$4,204,604
Payroll Taxes$2,458,880$433,920-$2,892,800
Other Expenses$2,591,483--$2,591,483
Occupancy$2,193,179--$2,193,179
Office Expenses$1,642,118--$1,642,118
Fees for Services Management-$1,141,990-$1,141,990
Fees for Services Legal-$842,901-$842,901
Insurance$782,202--$782,202
Current Officers, Directors, Trustees, and Key Employees$481,358$84,946-$566,304
Travel$322,198--$322,198
Fees for Services Other$307,995--$307,995
Fees for Services Accounting-$100,000-$100,000
Advertising$6,841--$6,841
Fees for Services Lobbying-$5,678-$5,678
Total Functional Expenses$86,990,458$12,620,546$0$99,611,004
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Estimated Third Party Settlements$7,197,577
Deferred Inflows of Resources (pension Related)$350,690
Due to Hhs Foundation$64,797
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
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 2

Allison taylor was a director and her sister, heather williams, was on the board.

Form 990, Part VI, Section A, Line 3

On november 3, 2014, harnett health system entered into an agreement with cumberland county hospital system dba cape fear valley health system to provide day-to-day management services, primarily a chief executive officer. The agreement requires the system to reimburse cfvh for the salary and benefits associated with the president position and any other position approved in the contract. In addition, cape fear valley health system receives a management fee.

Form 990, Part VI, Section A, Line 7A

The board of trustees of the organization is comprised of thirteen residents of harnett county, nc and the appointed trustees shall serve a staggered term for 1 to 3 years. Seven trustees of the organization are appointed by the harnett county board of commissioners, and shall, at all times, include at least one resident of each of the five commissioners' districts and two other persons residing in harnett county. The remaining six trustees are appointed by the organization's board of trustees at its annual meeting from nominees that meet residency and age requirements as defined in the organization's bylaws.

Form 990, Part VI, Section B, Line 11

Prior to submission, the 990 will be made available upon request for board members.

Form 990, Part VI, Section B, Line 12C

The conflict of interest policy is reviewed annually by the leadership of the board of trustees (throughout the year if needed) and administered to all voting board members.

Form 990, Part VI, Section B, Line 15

Executive salaries are determined by a market analysis involving comparability data, industry standards, and local economics. The ceo's salary is a condition of the management agreement between the board of directors and wakemed (see the response to line 3 above). The board has indirect approval over the compensation paid to the ceo through this agreement, and has approval over any additional amounts and increases. Wakemed prepares a compensation study for officers and key employees excluding the ceo and makes the recommendations to the ceo of harnett health system. Those recommendations, including any amounts allocated for raises and incentives, are included in the annual budget process which is approved by the finance commitiee of the board.

Form 990, Part VI, Section C, Line 18

Photocopies of recent filings of the form 990 are available upon request at the organization's administrative office. In addition, recent filings of the form 990 are available at www.guidestar.org.

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.

Filing and Contact Details

Filer

Filer Name
Harnett Health System Inc
EIN
56-0603898
Phone
9108911000
Address
800 TILGHMAN DRIVE, DUNN, NC 28334
Doing Business As
Betsy Johnson Regional Hospital

Signing Officer

Name
Kevin Jackson
Title
President/CEO
Phone
9108911000
Signed
2017-08-07
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kevin Jackson
Formed
1937
Legal Domicile
Nc
Voting Board Members
13
Independent Board Members
12
Employees
1,136
Volunteers
54

Preparer

Firm
Cliftonlarsonallen Llp
Address
227 WEST TRADE STREET SUITE 800, CHARLOTTE, NC 28202
Preparer
John Norman
Phone
7049985200
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 2

ADDED PULMONARY REHAB

FORM 990, PART XI, LINE 9:

Forgiveness of debt 7,486,207.

FORM 990, PART XII, LINE 2C:

The organizatoin has not changed its oversight process or selection process during the tax year.

Form 990, Part XI, Lines 15 and 25 - Other Assets and Other Liabilities

For the past few years, the organization has shown an intercompany due to and due from for the two hospital facilties that comprise the organization. The organization believes that, as a result of the inclusion of these intercompany assets/liabilities, the balance sheet for the organization has shown an inflated total for assets and liabilities. Beginning with this tax return, the organization has determined that removing those intercompany entries between the two hospitals would more properly refect the true balance sheet of the organization.

Financial Statement Notes

PART X, LINE 2:

The system is exempt from federal income taxes under section 501(c)(3) of the internal revenue code. Accordingly, the accompanying combined financial statements do not reflect a provision or liability for federal and state income taxes.

Raw XML AppendixShowing 400 of 1,083 raw XML fields

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/Desc0THE HOSPITAL SERVED THE HARNETT COUNTY POPULATION AND REACHED INTO THE COUNTIES OF SAMPSON, JOHNSTON AND CUMBERLAND. THE HOSPITAL SERVED 26,081 INPATIENTS FOR FY16. THE HOSPITAL EXPERIENCED 567 DELIVERIES THE OUTPATIENTS SERVED WERE 62,206 EMERGENCY VISITS, 16,636 PHYSICAL THERAPY-OCCUPATIONAL THERAPY-SPEECH THERAPY VISITS AND ALL OTHER OUTPATIENT VISITS TOTALED 31,753 CARDIACREHAB, TREATED 113 PATIENTS AND SOME OF THE OUTCOMES WERE THE FOLLOWING - FERRANS AND POWERS SURVEY, OVERALL QUALITY OF LIFE IMPROVED 2 POINTS (GOAL IS 2-3 POINT INCREASE)- HEALTH AND FUNCTIONING SUB-SCORE IMPROVED 3 POINTS (GOAL IS 2-3 POINT INCREASE)EDUCATIONAL ASSESSMENT SCORE IMPROVED 2% MEDICATION MANAGEMENT OF HARNETT COUNTY (BETSY JOHNSON REGIONAL HOSPITAL) ENCOUNTERED 15 NEW PATIENTS WITH A TOTAL OF 148 ACTIVE PARTICIPATES IN THE PROGRAM WE RECEIVED 359 MEDICATIONS WITH A TOTAL VALUE OF $403,918. OUTREACH PROGRAMS THE HOSPITAL ARE INVOLVED WITH TEENS AS PARENTS PROGRAM, WHICH COLLABORATES WITH TWO OTHER COUNTY AGENCIES, PROVIDES A HOME VISITATION PROGRAM AND THE CONTINUATION OF EDUCATION CLASSES ON CHILDBIRTH AND PARENTING THE PROGRAM ALSO PROVIDES HARNETT COUNTY TEEN PARENTS WITH OPPORTUNITIES TO DEVELOP SELF-RESPECT, PARENTING, AND DECISION-MAKING SKILLS WHILE CONTINUING THEIR EDUCATION TAP SERVED 24 TEENS THE REPEAT PREGNANCY RATE FOR TAP PARTICIPATES IS 4%, COMPARED TO THE COUNTY RATE OF 23.2% THE TAP PROGRAM PARTICIPANTS RECEIVED 226 HOURS OF GROUP INSTRUCTION INCLUDING THE FOLLOWING TOPICS 18 HOURS ACADEMIC SUPPORT, 117 HOURS OF COLLEGE PREPAREDNESS, 8 HOURS OF INDIVIDUAL COUNSELING AND 14.5 HOURS OF FAMILY COUNSELING, 97.75 HOURS OF LIFE SKILLS TRAINING, 257.5 HOURS OF IN HOME VISITATION. 3. HEALTH HARNETT PROGRAM OR "GO RED" IS A PROGRAM THAT PROMOTES HEALTHY EATING, WHICH LEADS TO A HEALTHY LIFESTYLE HARNETT HEALTH COLLABORATED WITH THE NC COOPERATIVE EXTENSION AND THE HARNETT COUNTY HEALTH DEPARTMENT THERE WERE A TOTAL OF 93 PARTICIPATES IN TWO PRESENTATIONS GIVEN BY THE HARNETT HEALTH CARDIAC REHAB DEPARTMENT AS WELL AS 2 SUPPORTING PHYSICIANS. OFFERED FREE EDUCATIONAL BROCHURES AND INFORMATION AT ALL EVENTS. WE PARTICIPATE IN PROJECT ACCESS OF JOHNSON/HARNETT COUNTY WHICH IS A PHYSICIAN LED VOLUNTEER INITIATIVE THAT GIVES LOWINCOME, UNINSURED COUNTY RESIDENTS ACCESS TO COMPREHENSIVE MEDICAL CARE PHYSICIANS AND COMMUNITY PARTNERS, LIKE HARNETT HEALTH, DONATE MEDICAL SERVICES WITHOUT RECEIVING REIMBURSEMENT OR COMPENSATION THE PROGRAM HAS ASSISTED 90 PATIENTS FOR THE LAST FISCAL YEAR
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IRS990/Form990PartVIISectionAGrp/TitleTxt0CHAIR
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IRS990/Form990PartVIISectionAGrp/TitleTxt6TRUSTEE
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IRS990/Form990PartVIISectionAGrp/TitleTxt9TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt10TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt11TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt12PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt13PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt14CNO
IRS990/Form990PartVIISectionAGrp/TitleTxt15VP CENTRAL HOSPITAL SUPPORT SERVICES
IRS990/Form990PartVIISectionAGrp/TitleTxt16PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt17PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt18PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt19PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt20PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt21CNO/VP (FORMER)
IRS990/Form990PartVIISectionAGrp/TitleTxt22VP HR (FORMER)
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr01937
IRS990/FormerOfcrEmployeesListedInd01
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IRS990/FSAuditedInd01
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IRS990/GamingActivitiesInd00
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IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
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IRS990/GroupReturnForAffiliatesInd00
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Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$178$157$20.6$37.8$34.0$3.77
2023Detailed filing. Detailed filing data is available for this year.$157$144$12.4$131$130$1.00
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$108$96.6$11.4$126$132$5.21
2021Detailed filing. Detailed filing data is available for this year.$120$103$16.6$138$121$16.5
2020Detailed filing. Detailed filing data is available for this year.$122$122$0.13$105$105$0.63
2019Detailed filing. Detailed filing data is available for this year.$95.7$103$7.35$101$100$1.10
2018Detailed filing. Detailed filing data is available for this year.$98.3$107$8.88$96.3$94.8$1.46
2017Detailed filing. Detailed filing data is available for this year.$101$111$10.3$106$96.7$9.32
2016Detailed filing. Detailed filing data is available for this year.$102$122$19.7$102$99.6$2.11
2015Detailed filing. Detailed filing data is available for this year.$183$212$29.3$92.9$98.9$6.04
2014Detailed filing. Detailed filing data is available for this year.$171$197$25.8$74.7$110$35.1
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$131$119$12.0$109
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$117$80.8$36.3$120
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$78.3$43.4$34.8$106
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$74.5$38.0$36.5$91.7
Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2016 filings • 501(c)3 • $100M-$250M nonprofits