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← NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION

Form 990 for tax year 2022

Filed by NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION.

Totals

Total revenue
$1,445,824
Total expenses
$1,080,830
Contributions and grants received
$1,293
Grants paid
$1,040,000
Program service revenue
$0
Investment income
$1,414,170
Other revenue
$30,361
Total assets, end of year
$53,724,183
Total liabilities, end of year
$10,548
Net assets or fund balances, end of year
$53,713,635
Program services expenses (Part IX)
$1,068,362
Management and general expenses
$12,468
Fundraising expenses
$0
Program service expenses (Part III)
$1,068,362

Program services were 98.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • A LEE HERRING

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2 + 2 related
  • ARTHUR A GIBEL

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2 + 2 related
  • SHEREE B WATSON

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2 + 2 related
  • STEPHEN L ROBERTSON

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2 + 2 related
  • WILLIAM C WARDEN JR

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2 + 2 related
  • EDWIN L WELCH JR

    CHAIR (FR 1/1/22)

    Total calculated
    $0
    Hours/week
    3 + 2 related
  • BRADLEY A CLARK

    TREASURER

    Total calculated
    $1,470,567
    From this org
    $1,335,054
    From related orgs
    $0
    Other
    $135,513
    Hours/week
    0.5 + 39.5 related

    Schedule J breakdown matched by us

    Base
    $790,574
    Bonus
    $506,925
    Other
    $37,555
    Deferred
    $100,623
    Nontaxable benefits
    $34,890
    Filer's total
    $1,470,567
  • J MCLAIN WALLACE JR

    SECRETARY

    Total calculated
    $1,143,860
    From this org
    $984,139
    From related orgs
    $0
    Other
    $159,721
    Hours/week
    2 + 38 related

    Schedule J breakdown matched by us

    Base
    $590,200
    Bonus
    $252,513
    Other
    $141,426
    Deferred
    $144,251
    Nontaxable benefits
    $15,470
    Filer's total
    $1,143,860

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 4B
CERTAIN OFFICERS OF THE FILING ORGANIZATION PARTICIPATED IN AND/OR RECEIVED PAYMENTS FROM A NON-QUALIFIED DEFERRED COMPENSATION PLAN (RESTORATION OR SERP). THE DETERMINATION OF THE PAYMENT AMOUNT FROM THE NON-QUALIFIED DEFERRED COMPENSATION PLANS FOLLOWED THE EMPLOYMENT ORGANIZATION'S COMPENSATION PROCEDURES. THE FOLLOWING OFFICERS RECEIVED PAYMENTS FROM NON-QUALIFIED DEFERRED COMPENSATION PLANS DURING THE CURRENT TAX YEAR: BRADLEY A. CLARK $34,775 J. MCLAIN WALLACE, JR. $116,382
FORM 990, PART VII, LINE 5 - COMPENSATION FROM UNRELATED ORGANIZATION
BRADLEY A. CLARK WAS COMPENSATED BY THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY ("CMHA", DOING BUSINESS AS ATRIUM HEALTH), AN AFFILIATED BUT UNRELATED ORGANIZATION, FOR SERVICES RENDERED TO THE ORGANIZATION. SEE PART VII AND SCHEDULE J FOR HIS COMPENSATION. J. MCLAIN WALLACE, JR. WAS COMPENSATED BY WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER ("WFUBMC"), AN AFFILIATED BUT UNRELATED ORGANIZATION, FOR SERVICES RENDERED TO THE ORGANIZATION. SEE PART VII AND SCHEDULE J FOR HIS COMPENSATION.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Provenance

Return type
form_990
Tax year
2022
Filed
14 November 2023
IRS schema version
2022v5.0
Source object
202313189349305346

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