2022-05-23T17:36:29-05:00 2021-06-30 990 2020-07-01 510190238 WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER WAKE 3367164445 MEDICAL CENTER BOULEVARD WINSTONSALEM NC 27157 STEPHAN LILLIE SVP & CFO 3367164445 2022-05-13 STEPHAN LILLIE 999009999 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z JULIE A FREISCHLAG MD MEDICAL CENTER BOULEVARD WINSTONSALEM NC 27157 207399481 0 X WWW.WAKEHEALTH.EDU X 1975 NC TO IMPROVE HEALTH, ELEVATE HOPE, AND ADVANCE HEALING FOR ALL 17 16 21594 781 -7319 0 4835501 70460000 127626392 134503076 3446489 1009324 -319529 -14151 135588853 205958249 1530351 0 0 0 92333920 93656524 0 0 0 58588583 57369173 152452854 151025697 -16864001 54932552 318317044 446443070 484733426 673117051 -166416382 -226673981 X SEE SCHEDULE OWAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER (AT TIMES ALSO REFERRED TO AS THE "MEDICAL CENTER OR "WFUBMC OR "THE FILING ORGANIZATION") IS AN INTEGRAL PART OF ATRIUM HEALTH WAKE FOREST BAPTIST (AT TIMES ALSO REFERRED TO AS "AHWFB"), A PREEMINENT LEARNING HEALTH SYSTEM AND ACADEMIC MEDICAL CENTER OF THE HIGHEST QUALITY WITH BALANCED EXCELLENCE IN PATIENT CARE, RESEARCH AND EDUCATION THAT PROMOTES BETTER HEALTH FOR ALL THROUGH COLLABORATION, EXCELLENCE AND INNOVATION. AHWFB'S MISSION IS TO IMPROVE HEALTH, ELEVATE HOPE AND ADVANCE HEALING - FOR ALL AND ITS VISION IS TO BE THE FIRST AND BEST CHOICE FOR CARE. 0 0 7732557 0 0 SEE SCHEDULE O 121638181 0 124022866 SEE SCHEDULE O 10184241 0 10480210 SEE SCHEDULE O 139554979 1 1 0 0 0 0 0 0 0 0 1 0 1 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 0 0 21594 1 1 1 0 0 0 0 1 1 0 0 0 0 1 0 X 17 16 1 1 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X ERIN KOEWING 3367164445 MEDICAL CENTER BLVD WINSTONSALEM NC 27157 NATHAN O HATCH PHD DIRECTOR(EX-OFF) (TO 6/30/21) 5.80 34.20 X 0 1524226 201227 A LEE HERRING DIRECTOR 4.00 4.00 X 0 0 0 ADELAIDE A SINK DIRECTOR 4.00 2.00 X 0 0 0 ARTHUR A GIBEL DIRECTOR 4.00 4.00 X 0 0 0 CATHERINE D DEANGELIS MD DIRECTOR (TO 12/31/20) 4.00 0.00 X 0 0 0 DONALD E FLOW VICE CHAIR 4.00 7.00 X X 0 0 0 DONNA A BOSWELL PHD DIRECTOR 4.00 7.00 X 0 0 0 EDWARD E CORNWELL III MD DIRECTOR (TO 12/31/20) 4.00 0.00 X 0 0 0 EDWIN L WELCH JR DIRECTOR (TO 12/31/20) 4.00 5.00 X 0 0 0 GEORGE D RENFRO DIRECTOR 4.00 4.00 X 0 0 0 MATTHEW A KING DIRECTOR (FROM 7/1/20) 4.00 8.00 X 0 0 0 JOHN M VANN DIRECTOR 4.00 8.00 X 0 0 0 SHEREE B WATSON DIRECTOR 4.00 4.00 X 0 0 0 WILLIAM C WARDEN JR CHAIR 15.00 5.00 X X 0 0 0 FELICIA ALLEN DIRECTOR (FROM 1/1/21) 4.00 0.00 X 0 0 0 WENDY R HITCHCOCK DIRECTOR (FROM 1/1/21) 4.00 0.00 X 0 0 0 STEPHEN L ROBERTSON DIRECTOR (FROM 1/1/21) 4.00 6.00 X 0 0 0 RICHARD L SHACKELFORD DIRECTOR (FROM 1/1/21) 4.00 0.00 X 0 0 0 PATRICIA L TURNER MD DIRECTOR (FROM 1/1/21) 4.00 0.00 X 0 0 0 RICHARD STICK WILLIAMS DIRECTOR (FROM 1/1/21) 4.00 0.00 X 0 0 0 JULIE A FREISCHLAG MD DIRECTOR(EX-OFF), CEO, DEAN 5.00 35.00 X 0 3070031 440136 KEVIN P HIGH MD PRES, HEALTH SYSTEM 20.00 20.00 X 0 1158409 259311 BRADLEY A CLARK EVP, CFO, TREASURER 5.00 35.00 X 988625 0 241804 TERRY G WILLIAMS EVP, CH STRATEGY OFF 5.00 35.00 X 882481 0 175138 J MCLAIN WALLACE JR SVP, GEN COUNSEL & SEC 5.00 35.00 X 778123 0 162079 LILICIA BAILEY SVP, CF PPL OFF (TO 9-25-20) 5.00 35.00 X 805400 0 84986 J REID MORGAN ASST SECRETARY 6.00 34.00 X 0 659852 140201 WILLIAM D SHOWALTER SVP, CH INFO OFF 20.00 20.00 X 524218 0 141755 LISA M MARSHALL VP, CH PHIL OFF 20.00 20.00 X 0 439196 108023 KAREN H HUEY VP, FACILITIES 5.00 35.00 X 371392 0 82754 CATHLEEN WHEATLEY DNP PRES WFBMC, SVP CH NURS OF 0.00 40.00 X 1105892 0 168858 RAMI BADREDDINE MD PHYSICIAN 40.00 0.00 X 745607 0 45047 MICHAEL T WAID SVP, HLTH SYS OPS 5.00 35.00 X 565819 0 149629 CONRAD S EMMERICH VP, BUSINESS SVC 20.00 20.00 X 549374 0 132685 TRI LE MD SVP, CLIN OPS & PT FIN SVC 40.00 0.00 X 560820 0 47414 JOHN H MCCONNELL MD FORMER OFF (4-26-17) 40.00 0.00 X 0 489759 43549 ROBERT GFELLER FORMER OFF (12-31-18) 0.00 0.00 X 239797 0 122 8117548 7341473 2624718 1322 1 1 0 CORNERSTONE HEALTH ENABLEMENT STRATEGIC 1701 WESTCHESTER DR STE 850 HIGH POINT NC 27262 HEALTHCARE SERVICES 2535155 TRIAGELOGIC LLC PO BOX 79426 BALTIMORE MD 21279 HEALTHCARE SERVICES 232579 THE BUDD GROUP 195 BUDD BLVD WINSTONSALEM NC 27114 FACILITY MAINTENANCE SERVICES 197346 SHARON R HUGHES 6142 JACKSON CREEK RD DENTON NC 27239 HEALTHCARE SERVICES 161210 4 70000000 460000 70460000 PATIENT SERVICE REVENUE 621111 134357500 134345901 11599 RESEARCH REVENUE 541715 145576 145576 134503076 1124462 -18918 1143380 810090 482788 1318579 0 -508489 482788 -25701 -25701 111110 4028 -111110 -4028 -115138 -115138 1541 7515 -5974 -5974 OTHER 900099 17524 17524 17524 205958249 134491477 -7319 1014091 812238 406119 406119 73510116 70884787 2625329 3604081 3306766 297315 11833982 10857749 976233 3896107 3610529 285578 2326237 1809288 516949 750221 750221 414110 322084 92026 4523363 4246233 277130 4679 3639 1040 925250 806945 118305 173580 151386 22194 21514465 18763577 2750888 48511 43736 4775 132647 129669 2978 8588221 5811544 2776677 747741 683144 64597 1824614 1591315 233299 MEDICAL SUPPLIES 11101720 11101720 BAD DEBT 4142982 4142982 OTHER SUPPLIES 150832 131546 19286 151025697 139554979 11470718 0 40842966 39194113 12122364 2076011 1022349 70438709 17485262 21559395 1522049 2087473 52199520 18990055 34920030 33209465 182997992 147333910 35353020 15952372 15952372 47115742 43574520 318317044 446443070 160766138 368962997 241508148 264341189 5870250 4923356 76588890 34889509 484733426 673117051 X -167438738 -297112696 1022356 70438715 -166416382 -226673981 318317044 446443070 X 54932552 -3364 -115186787 X 0 1 X 1 0 X X 3 WAKE FOREST UNIV HEALTH SCIENCES 223849199 2 1 0 0 NORTH CAROLINA BAPTIST HOSPITAL 560552787 3 1 0 0 WAKE FOREST UNIVERSITY 560532138 2 1 0 0 3 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 9612339 9612339 32957292 12812686 20144606 2260216 2026430 233786 5235559 3834115 1401444 2134114 316824 1817290 33209465 INVESTMENTS IN SUBSIDIARIES 35353020 C 35353020 INTERCOMPANY RECEIVABLE 4331 OPERATING LEASES (LESS ACCUM DEPREC) 43570189 43574520 OPERATING LEASE PAYABLE 32845816 INTERCOMPANY PAYABLE 2043693 34889509 X PART X, LINE 2: THE ORGANIZATION HAS EVALUATED UNCERTAIN TAX POSITIONS FOR ITS FISCAL YEARS ENDED JUNE 30, 2021 AND 2020, INCLUDING A QUANTIFICATION OF TAX RISK IN AREAS SUCH AS UNRELATED BUSINESS TAXABLE INCOME AND THE TAXATION OF ITS JOINT VENTURES. THIS EVALUATION DID NOT HAVE A MATERIAL EFFECT ON THE ORGANIZATION'S FINANCIAL STATEMENTS FOR THE YEARS ENDED JUNE 30, 2021 AND 2020. X X X X X X 1 1 0 0 0 0 0 1 0 JULIE A FREISCHLAG MD DIRECTOR(EX-OFF), CEO, DEAN 0 1456803 0 663750 0 949478 0 412187 0 27949 0 3510167 0 905232 NATHAN O HATCH PHD DIRECTOR(EX-OFF) (TO 6/30/21) 0 870516 0 300000 0 353710 0 144881 0 56346 0 1725453 0 272769 KEVIN P HIGH MD PRES, HEALTH SYSTEM 0 747328 0 292006 0 119075 0 238046 0 21265 0 1417720 0 95467 CATHLEEN WHEATLEY DNP PRES WFBMC, SVP CH NURS OF 573327 0 65466 0 467099 0 159519 0 9339 0 1274750 0 459891 0 BRADLEY A CLARK EVP, CFO, TREASURER 704049 0 270236 0 14340 0 213399 0 28405 0 1230429 0 13340 0 TERRY G WILLIAMS EVP, CH STRATEGY OFF 556354 0 199500 0 126627 0 150778 0 24360 0 1057619 0 119832 0 J MCLAIN WALLACE JR SVP, GEN COUNSEL & SEC 493466 0 165720 0 118937 0 145748 0 16331 0 940202 0 0 0 LILICIA BAILEY SVP, CF PPL OFF (TO 9-25-20) 319135 0 150000 0 336265 0 68019 0 16967 0 890386 0 314043 0 J REID MORGAN ASST SECRETARY 0 489082 0 150000 0 20770 0 104450 0 35751 0 800053 0 0 RAMI BADREDDINE MD PHYSICIAN 712237 0 13690 0 19680 0 21519 0 23528 0 790654 0 0 0 MICHAEL T WAID SVP, HLTH SYS OPS 418579 0 56313 0 90927 0 121927 0 27702 0 715448 0 43365 0 CONRAD S EMMERICH VP, BUSINESS SVC 450213 0 46452 0 52709 0 116256 0 16429 0 682059 0 51809 0 WILLIAM D SHOWALTER SVP, CH INFO OFF 459702 0 58496 0 6020 0 122519 0 19236 0 665973 0 0 0 TRI LE MD SVP, CLIN OPS & PT FIN SVC 547691 0 12859 0 270 0 21278 0 26136 0 608234 0 0 0 LISA M MARSHALL VP, CH PHIL OFF 0 393189 0 41553 0 4454 0 94844 0 13179 0 547219 0 0 JOHN H MCCONNELL MD FORMER OFF (4-26-17) 0 444351 0 0 0 45408 0 21519 0 22030 0 533308 0 0 KAREN H HUEY VP, FACILITIES 299071 0 30607 0 41714 0 66710 0 16044 0 454146 0 0 0 ROBERT GFELLER FORMER OFF (12-31-18) 0 0 0 0 239797 0 0 0 122 0 239919 0 0 0 PART I, LINE 3 THE GOVERNANCE AND COMPENSATION COMMITTEE OF THE WFUBMC BOARD OF DIRECTORS IS RESPONSIBLE FOR REVIEWING AND APPROVING ALL MEDICAL CENTER OFFICERS' COMPENSATION (INCLUDING THE COMPENSATION OF MOST OF THE OFFICERS OF THE FILING ORGANIZATION). THE COMMITTEE UTILIZES AN INDEPENDENT, EXTERNAL COMPENSATION CONSULTANT FIRM EXPERIENCED IN HEALTH CARE AND HIGHER EDUCATION COMPENSATION THAT BASES RECOMMENDATIONS ON COMPENSATION SURVEYS AND STUDIES TO DETERMINE THE APPROPRIATENESS OF EACH OFFICER'S COMPENSATION. THESE COMPENSATION CONSULTANTS PRESENT TOTAL COMPENSATION COMPARABILITY DATA FOR THE POSITIONS FOR WHICH COMPENSATION IS BEING DETERMINED. THE DATA IS REVIEWED BY THE GOVERNANCE AND COMPENSATION COMMITTEE OF WFUBMC'S GOVERNING BOARD AT ITS MEETING; NONE OF THE MEMBERS OF THAT COMMITTEE ARE EMPLOYEES OF THE FILING ORGANIZATION. MINUTES OF THE DELIBERATIONS OF THE COMMITTEE ARE CONTEMPORANEOUSLY RECORDED. IN THE EVENT THAT ANY MEMBER OF THE GOVERNANCE AND COMPENSATION COMMITTEE HAS A CONFLICT OF INTEREST, THAT COMMITTEE MEMBER DOES NOT PARTICIPATE IN THE DELIBERATION OR APPROVAL PROCESS, AND THEIR ABSTENTION FROM THE PROCESS IS REFLECTED IN THE MINUTES. PART I, LINES 4A-B CERTAIN EXECUTIVES PARTICIPATED IN AND/OR RECEIVED PAYMENTS FROM A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLANS (SERP) AND/OR RECEIVED SEVERANCE PAYMENTS. THE DETERMINATION OF THE AMOUNT OF THE NON QUALIFIED RETIREMENT PLANS FOLLOWED THE FILING ORGANIZATION'S COMPENSATION PROCEDURES AS OUTLINED IN PART VI, SECTION B, LINE 15 OF THE FORM 990. THE FOLLOWING CURRENT OR FORMER DIRECTORS, OFFICERS, AND HIGHLY COMPENSATED EMPLOYEES RECEIVED SEVERANCE AND SERP PAYMENTS IN THEIR CALENDAR YEAR 2020 COMPENSATION: SEVERANCE PAYMENTS: ROBERT GFELLER $239,797 SERP PAYMENTS: LILICIA BAILEY $317,482 BRADLEY A. CLARK $13,340 CONRAD EMMERICH $51,809 JULIE A. FREISCHLAG, MD $915,849 KEVIN HIGH, MD $95,467 KAREN HUEY $39,933 MICHAEL T. WAID $69,272 J. MCLAIN WALLACE, JR. $95,467 CATHLEEN WHEATLEY, DNP $461,059 TERRY G. WILLIAMS $124,457 THE COMPENSATION OF DR. NATHAN O. HATCH, PRESIDENT OF WAKE FOREST UNIVERSITY AND AN EX-OFFICIO DIRECTOR OF THE FILING ORGANIZATION, INCLUDES A PAYOUT OF $272,769 WHICH IS INCLUDED IN HIS 2020 FORM W-2 AND IN COLUMN BIII. THIS AMOUNT IS SHOWN IN SCHEDULE J, PART II, COLUMN F AND HAS BEEN PREVIOUSLY REPORTED ON A PRIOR YEAR FORM 990. DR. HATCH PARTICIPATES IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN (SERP). SCHEDULE J, PART II, COLUMN C INCLUDES THE ACTUARIAL VALUE INCREASE OF $144,881. DR. HATCH'S COMPENSATION IS PAID BY WAKE FOREST UNIVERSITY, A RELATED ORGANIZATION. PART I, LINE 7 CERTAIN OFFICERS, KEY EMPLOYEES AND FACULTY MEMBERS HAVE INCENTIVE COMPENSATION COMPONENTS CONTAINED IN THEIR EMPLOYMENT AGREEMENTS, AND THROUGH MEDICAL CENTER OR APPLICABLE RELATED ORGANIZATIONS' POLICIES. THESE ARE OFTEN GOAL-BASED AND ARE DETERMINED IN THE COURSE OF EVALUATION OF THE INDIVIDUAL'S PERFORMANCE BY HIS/HER DEPARTMENT CHAIR, SUPERVISOR OR THE COMPENSATION COMMITTEE OF THE BOARD, AS APPLICABLE. A NC MEDICAL CARE COMMISSION 521309402 65821DWH0 2019-03-07 92690857 VARIOUS CAPITAL PROJECTS 0 0 0 A 92834033 879186 91954847 2019 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 1 0 0 0 1 A 1 PART I, ROW A, COLUMN E THE SERIES 2019 ISSUE WAS ISSUED AS ONE ISSUE FOR FEDERAL TAX PURPOSES IN THE AMOUNT OF $212,563,386. THE AMOUNT OF $92,690,857 IS THE PORTION OF THE ISSUE WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER IS RESPONSIBLE FOR. THE OTHER PORTIONS OF THE ISSUE ARE REPORTED ON SCHEDULE K OF FORM 990 FOR NORTH CAROLINA BAPTIST HOSPITAL ($73,819,143) AND WAKE FOREST UNIVERSITY HEALTH SCIENCES ($46,053,368). PART I, ROW A, COLUMN F THE PURPOSE OF THE ISSUE WAS TO FINANCE VARIOUS CAPITAL PROJECTS. PART II, ROW 3, COLUMN A THE TOTAL PROCEEDS FOR THE ISSUE EXCEED THE ISSUE PRICE BY THE INVESTMENT EARNINGS EARNED AS OF 6/30/2020. JAMES W MORGAN SEE PART V 45808 COMPENSATION 0 PART IV, (B) DESCRIPTION OF RELATIONSHIP JAMES W. MORGAN: FAMILY MEMBER OF THE FILING ORGANIZATION'S OFFICER, J. REID MORGAN, WAS PAID WAGES FOR HIS EMPLOYMENT WITH THE FILING ORGANIZATION. PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER ("WFUBMC"), IS AN INTEGRAL PART OF ATRIUM HEALTH WAKE FOREST BAPTIST ("AHWFB"), A PREEMINENT ACADEMIC HEALTH SYSTEM OF THE HIGHEST QUALITY WITH BALANCED EXCELLENCE IN PATIENT CARE, RESEARCH, AND EDUCATION THAT PROMOTES BETTER HEALTH FOR ALL THROUGH COLLABORATION AND INNOVATION. THE FOLLOWING PARAGRAPHS ARE PROVIDED TO EXPLAIN THE RELATIONSHIP OF THE FILING ORGANIZATION WITH OTHER ORGANIZATIONS WHICH TOGETHER COMPRISE "ATRIUM HEALTH WAKE FOREST BAPTIST," THE NAME NOT OF ANY ONE CORPORATE ENTITY, BUT USED GENERICALLY TO DESCRIBE A LARGE GROUP OF MOSTLY TAX-EXEMPT 501(C)(3) ORGANIZATIONS PERFORMING VARIOUS ACADEMIC MEDICAL CENTER ACTIVITIES IN NORTHWEST NORTH CAROLINA, INCLUDING PATIENT CARE, MEDICAL RESEARCH, TECHNOLOGY TRANSFER, AND MEDICAL EDUCATION. WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER ("WFUBMC") IS A NORTH CAROLINA NONPROFIT CORPORATION WHOSE THREE MEMBERS ARE WAKE FOREST UNIVERSITY, NORTH CAROLINA BAPTIST HOSPITAL, AND ATRIUM HEALTH, INC. (EACH OF WHICH ARE NORTH CAROLINA NONPROFIT CORPORATIONS EXEMPT FROM TAX UNDER IRC SECTION 501(C)(3)). PURSUANT TO AN AGREEMENT, INITIALLY ENTERED INTO ON JULY 1, 2010 AND SUBSEQUENTLY AMENDED AND RESTATED MULTIPLE TIMES INCLUDING, EFFECTIVE OCTOBER 9, 2020, TO ADD ATRIUM HEALTH, INC. AS A PARTY THERETO (INITIALLY KNOWN AS THE "MEDICAL CENTER INTEGRATION AGREEMENT AND NOW AS THE "AMENDED AND RESTATED MEDICAL CENTER INTEGRATION AGREEMENT OR THE "MCIA"), WFUBMC IS THE OVERALL UMBRELLA OPERATING ENTITY OF THE ATRIUM HEALTH SYSTEM'S NORTHWEST NORTH CAROLINA COMPONENT ENTITIES. NORTH CAROLINA BAPTIST HOSPITAL ("NCBH") AND WAKE FOREST UNIVERSITY HEALTH SCIENCES ("WFUHS") AND THEIR RESPECTIVE SUBSIDIARIES ARE OPERATED, PURSUANT TO DELEGATIONS IN THE MCIA, BY WFUBMC AS "ATRIUM HEALTH WAKE FOREST BAPTIST." WFUHS, IN TURN, OPERATES THE WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE. NOTE THAT THE FOLLOWING NARRATIVE INCLUDES IN SOME OF ITS DESCRIPTIONS THE ADDITIONAL OPERATIONS OF THE FILING ORGANIZATION THROUGH DAVIE MEDICAL CENTER (TRADING AS ATRIUM HEALTH WAKE FOREST BAPTIST DAVIE MEDICAL CENTER), HIGH POINT REGIONAL HEALTH (TRADING AS ATRIUM HEALTH WAKE FOREST BAPTIST HIGH POINT MEDICAL CENTER), LEXINGTON MEDICAL CENTER (TRADING AS ATRIUM HEALTH WAKE FOREST BAPTIST LEXINGTON MEDICAL CENTER), WRMC HOSPITAL OPERATING CORPORATION (TRADING AS ATRIUM HEALTH WAKE FOREST BAPTIST WILKES MEDICAL CENTER), AND WAKE FOREST HEALTH NETWORK, LLC, THE SOLE MEMBER OF EACH OF WHICH IS WFUBMC, AS WELL AS ORGANIZATIONS RELATED (OR UNRELATED BUT AFFILIATED) TO WFUBMC, IN ORDER TO PROVIDE A MORE COMPLETE PICTURE OF THE FILING ORGANIZATION'S ROLE IN THE INTEGRATED HEALTH SYSTEM'S COMPREHENSIVE ACTIVITIES. ATRIUM HEALTH WAKE FOREST BAPTIST IS NORTHWEST NORTH CAROLINA'S SOLE ACADEMIC MEDICAL CENTER, BRINGING TO THE REGION THE RESOURCES OF ONE OF AMERICA'S TOP HOSPITALS AND INNOVATIVE RESEARCH CENTERS AND A PREMIER MEDICAL SCHOOL. IT OPERATES THE WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE, WHICH HAS A FACULTY OF 1,382, INCLUDING PHYSICIANS AND BASIC SCIENTISTS. THE HEALTH SYSTEM HAS 1,535 ACUTE CARE AND REHABILITATION BEDS OPERATIVE ACROSS THE SYSTEM, WHICH ENCOMPASSES ITS MAIN WINSTON-SALEM CAMPUS (885 BEDS), ATRIUM HEALTH WAKE FOREST BAPTIST HIGH POINT MEDICAL CENTER (351 BEDS), ATRIUM HEALTH WAKE FOREST BAPTIST LEXINGTON MEDICAL CENTER (94 BEDS), ATRIUM HEALTH WAKE FOREST BAPTIST DAVIE MEDICAL CENTER (50 BEDS), ATRIUM HEALTH WAKE FOREST BAPTIST WILKES MEDICAL CENTER (130 BEDS), AND ALLEGHANY HEALTH (25 BEDS). IN ADDITION TO THE FACULTY, THE "WAKE FOREST HEALTH NETWORK" IS COMPRISED OF 407 CLINICAL HEALTHCARE PROVIDERS IN 108 CLINICAL LOCATIONS THROUGHOUT NORTHWEST NORTH CAROLINA. ATRIUM HEALTH WAKE FOREST BAPTIST ALSO INCLUDES THE COMPREHENSIVE CANCER CENTER, WHICH IS DESIGNATED AS SUCH BY THE NATIONAL CANCER INSTITUTE, AND BRENNER CHILDREN'S HOSPITAL. OVERALL, ATRIUM HEALTH WAKE FOREST BAPTIST SERVES A 24-COUNTY REGION IN NORTHWESTERN NORTH CAROLINA AND SOUTHWESTERN VIRGINIA AND ALSO DRAWS PATIENTS FROM ACROSS THE NATION FOR SELECT SERVICES. ATRIUM HEALTH WAKE FOREST BAPTIST IS THE DRIVING FORCE BEHIND THE ESTABLISHMENT OF INNOVATION QUARTER, A GROWING URBAN-BASED DISTRICT FOR RESEARCH, BUSINESS AND EDUCATION IN BIOMEDICAL SCIENCE, INFORMATION TECHNOLOGY, CLINICAL SERVICES AND ADVANCED MATERIALS. LOCATED IN DOWNTOWN WINSTON-SALEM, IT IS HOME TO MORE THAN 90 COMPANIES, FIVE LEADING ACADEMIC INSTITUTIONS, 3,600 WORKERS AND 1,800 STUDENTS. THE INNOVATION QUARTER CURRENTLY COMPRISES OVER 2 MILLION SQUARE FEET OF OFFICE, LABORATORY AND EDUCATIONAL SPACE ON ITS MORE THAN 200 ACRES. ON OCTOBER 9, 2020, THE CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY ("CMHA"), WAKE FOREST UNIVERSITY, NCBH, WFUHS, AND THE FILING ORGANIZATION FORMED A SINGLE, INTEGRATED HEALTHCARE DELIVERY SYSTEM THROUGH A JOINT OPERATING COMPANY, ATRIUM HEALTH, INC. (A NORTH CAROLINA NONPROFIT CORPORATION PREVIOUSLY ORGANIZED BY CMHA AND WFUBMC). THROUGH THIS HEALTHCARE SYSTEM INTEGRATION AND PURSUANT TO AN AGREEMENT KNOWN AS THE "ENTERPRISE AGREEMENT," ATRIUM HEALTH, INC. MANAGES AND OVERSEES THE BUSINESS, FACILITIES, SERVICES, PERSONNEL AND ACTIVITIES OF CMHA AND WFUBMC (COLLECTIVELY THE "ENTERPRISE"). THE ENTERPRISE ENCOMPASSES 42 HOSPITALS AND MORE THAN 1,500 CARE LOCATIONS, AND IT SERVES MORE THAN 7 MILLION PEOPLE ACROSS NORTH CAROLINA, SOUTH CAROLINA, GEORGIA AND VIRGINIA. AS PART OF THE INTEGRATION, ATRIUM HEALTH ANNOUNCED $3.4 BILLION IN PLANNED INVESTMENTS FOR ATRIUM HEALTH WAKE FOREST BAPTIST AND THE COMMUNITIES IT SERVES OVER A 10-YEAR PERIOD. THOSE INVESTMENTS INCLUDE CONSTRUCTION OF A NEW CARE TOWER WITH AN UPGRADED EMERGENCY DEPARTMENT, AND ENHANCED OPERATING ROOMS AND INTENSIVE CARE UNITS ON THE MAIN CAMPUS IN WINSTON-SALEM AND A NEW EYE INSTITUTE, PLANNED FOR INNOVATION QUARTER IN DOWNTOWN WINSTON-SALEM. CONSTRUCTION ON THE ESTIMATED $450 MILLION CARE TOWER BEGAN IN APRIL 2021. A NEW CHILDREN'S OUTPATIENT CENTER, REPRESENTING AT LEAST A $30 MILLION INVESTMENT IN THE TRIAD AREA OF NORTH CAROLINA (GREENSBORO, WINSTON-SALEM, AND HIGH POINT), WILL ALSO BE CONSTRUCTED. THE CENTER WILL BE THE ONLY OUTPATIENT CENTER OF ITS KIND IN THE REGION DEDICATED TO CHILDREN, WITH 45,000 TO 50,000 SQUARE FEET OF SPACE AND PEDIATRIC PROVIDERS AND SERVICES DIRECTLY CONNECTED TO RESOURCES AT ATRIUM HEALTH WAKE FOREST BAPTIST'S BRENNER CHILDREN'S HOSPITAL. IN MARCH 2021, PLANS WERE ANNOUNCED FOR A SECOND CAMPUS OF THE WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE TO BE ESTABLISHED IN CHARLOTTE, BRINGING NORTH CAROLINA'S LARGEST CITY ACCESS TO A FOUR-YEAR MEDICAL SCHOOL. CONSTRUCTION OF THE CAMPUS IN CHARLOTTE WILL BEGIN IN 2022, AND THE FIRST COHORT OF FIRST-YEAR MEDICAL STUDENTS IN CHARLOTTE IS PLANNED TO START CLASSES IN 2024. RESEARCH AWARDS RECEIVED BY WFUHS (PRINCIPALLY AS THE WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE) DURING FISCAL YEAR 2021 TOTALED APPROXIMATELY $224.4 MILLION, INCLUDING $193.8 MILLION FROM FEDERAL SOURCES (INCLUDING THE NATIONAL INSTITUTES OF HEALTH AND THE U.S. DEPARTMENT OF DEFENSE), $28.9 MILLION FROM NONPROFIT AND STATE SOURCES, AND $1.7 MILLION FROM INDUSTRY SOURCES. NOTABLE RESEARCH GRANTS DURING THE PERIOD INCLUDED A $2.9 MILLION, FOUR-YEAR GRANT FROM THE NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES - TO SUPPORT USE OF A PRE-CLINICAL MODEL TO DEVELOP A SAFE AND EFFECTIVE FLU VACCINE FOR INFANTS LESS THAN 6 MONTHS OLD; A $2.5 MILLION GRANT FROM THE NATIONAL CANCER INSTITUTE TO SUPPORT RESEARCH, PARTICULARLY INVOLVING AGGRESSIVE ABDOMINAL CANCERS - AT THE WAKE FOREST ORGANOID RESEARCH CENTER, A JOINT EFFORT BETWEEN THE COMPREHENSIVE CANCER CENTER AND THE WAKE FOREST INSTITUTE FOR REGENERATIVE MEDICINE - TO TAILOR PERSONALIZED THERAPY FOR PATIENTS; AND A $1.2 MILLION GRANT FROM THE U.S. HEALTH RESOURCES AND SERVICES ADMINISTRATION TO HELP IMPROVE RURAL CARDIOVASCULAR CARE IN WILKES COUNTY BY EXPANDING TELEHEALTH SERVICES THAT CONNECT THE HEALTH SYSTEM'S EMERGENCY CARE AND CARDIOVASCULAR EXPERTS VIRTUALLY AND IN REAL-TIME WITH STAFF AT WILKES EMS, WILKES COUNTY HEALTH DEPARTMENT'S PUBLIC HEALTH COMMUNITY CLINIC AND ATRIUM HEALTH WAKE FOREST BAPTIST WILKES MEDICAL CENTER'S EMERGENCY DEPARTMENT. FORM 990, PART III, LINE 4A ATRIUM HEALTH WAKE FOREST BAPTIST ALSO ANNOUNCED KEY RESEARCH PARTNERSHIPS DURING THE FISCAL YEAR: - IN JULY 2020, ATRIUM HEALTH WAKE FOREST BAPTIST WAS NAMED LEAD INVESTIGATIVE INSTITUTION OF A NATIONWIDE COVID-19 STUDY THROUGH A $54 MILLION, TWO-YEAR CONTRACT BETWEEN VYSNOVA PARTNERS INC. AND THE U.S. CENTERS FOR DISEASE CONTROL AND PREVENTION. ATRIUM HEALTH WAKE FOREST BAPTIST IS THE LEAD INVESTIGATIVE INSTITUTION RESPONSIBLE FOR SCIENTIFIC OVERSIGHT WITH THE PROSPECTIVE STUDY, WHICH SEEKS TO ADDRESS KEY EPIDEMIOLOGICAL AND CLINICAL QUESTIONS ABOUT THE DISEASE BY UNDERTAKING A MULTISITE STUDY OF COVID-19 IN PATIENTS AND HEALTH CARE WORKERS AT PARTICIPATING HEALTH SYSTEMS IN THE SOUTHEASTERN AND MID-ATLANTIC U.S. - IN MAY 2021, RENALYTIX AI PLC, ATRIUM HEALTH, INC. AND WAKE FOREST UNIVERSITY HEALTH SCIENCES ENTERED INTO A PROJECT TO IMPLEMENT AN ADVANCED CLINICAL CARE MODEL DESIGNED TO IMPROVE KIDNEY HEALTH AND REDUCE KIDNEY DISEASE PROGRESSION AND KIDNEY FAILURE IN HIGH-RISK POPULATIONS. AS COVID-19 VACCINES WERE BEING DEVELOPED, ATRIUM HEALTH WAKE FOREST BAPTIST CONTRIBUTED RESEARCH EXPERTISE. IN AUGUST 2020, WAKE FOREST UNIVERSITY HEALTH SCIENCES BEGAN RECRUITING HEALTHY ADULTS FOR A PHASE 3 CLINICAL STUDY SPONSORED BY MODERNA TO EVALUATE THE SAFETY AND EFFECTIVENESS OF MRNA-1273, KNOWN AS THE MODERNA VACCINE. IN SEPTEMBER 2020, ATRIUM HEALTH WAKE FOREST BAPTIST BECAME THE FIRST HEALTH SYSTEM IN THE COUNTRY TO ENROLL PATIENTS IN A PHASE 2 CLINICAL TRIAL DESIGNED TO QUICKLY DETERMINE WHETHER DRUGS ALREADY APPROVED FOR OTHER USES CAN BE REPURPOSED TO EFFECTIVELY TREAT COVID-19 IN CRITICALLY ILL PATIENTS, KNOWN AS THE INVESTIGATION OF SERIAL STUDIES TO PREDICT YOUR COVID THERAPEUTIC RESPONSE WITH BIOMARKER INTEGRATION AND ADAPTIVE LEARNING (I-SPY COVID TRIAL). THE STUDY WAS A COLLABORATION AMONG PHARMACEUTICAL INDUSTRY MEMBERS OF THE RECENTLY FORMED COVID RESEARCH AND DEVELOPMENT ALLIANCE AND OTHERS; THE QUANTUM LEAP HEALTHCARE COLLABORATIVE, A PARTNERSHIP OF MEDICAL RESEARCHERS AND INVESTORS; AND THE U.S. FOOD AND DRUG ADMINISTRATION. IN RESPONDING TO THE COMMUNITY'S NEEDS DURING THE COVID-19 PANDEMIC, ATRIUM HEALTH WAKE FOREST BAPTIST COLLABORATED WITH REGIONAL HEALTH SYSTEMS CONE HEALTH AND NOVANT HEALTH. THE COLLABORATION INCLUDED HOLDING WEEKLY PLANNING CALLS WITH PHYSICIAN LEADERS, EMERGENCY MANAGEMENT TEAMS AND NURSING LEADERS, AND LAUNCHING A JOINT MEDIA CAMPAIGN TO SLOW THE ESCALATING NUMBERS OF COVID-19 INFECTIONS. TO SUPPORT VACCINATION EFFORTS DURING THE WINTER AND SPRING OF 2020-21, ATRIUM HEALTH WAKE FOREST BAPTIST WORKED WITH THE FORSYTH COUNTY DEPARTMENT OF PUBLIC HEALTH AND NOVANT HEALTH TO PROVIDE MASS COVID-19 VACCINATION EVENTS IN FORSYTH COUNTY. ADDITIONALLY, TARGETED VACCINATION EFFORTS WERE OFFERED BY ATRIUM HEALTH WAKE FOREST BAPTIST FOR SCHOOL EMPLOYEES, CHILD CARE PROVIDERS, HEALTH CARE WORKERS, AND SENIORS OVER THE AGE OF 65 WHO WERE HOMEBOUND OR WHO RECEIVED TREATMENT AT THE HEALTH SYSTEM'S OUTPATIENT DIALYSIS CLINICS IN WINSTON-SALEM AND SURROUNDING COUNTIES. AS PART OF AN OVERALL EFFORT BY THE ATRIUM HEALTH ENTERPRISE, ATRIUM HEALTH WAKE FOREST BAPTIST PARTNERED WITH THE URBAN LEAGUE OF CENTRAL CAROLINAS AND THE WINSTON-SALEM URBAN LEAGUE TO CO-HOST VACCINATION EVENTS IN CHARLOTTE AND WINSTON-SALEM TO REACH THOSE ELIGIBLE PERSONS WHO MAY EXPERIENCE BARRIERS TO RECEIVING THE COVID-19 VACCINE, INCLUDING THOSE FROM BLACK, AFRICAN AMERICAN, HISPANIC AND LATINX COMMUNITIES. FOR THE THIRD YEAR IN A ROW, ATRIUM HEALTH WAKE FOREST BAPTIST RECEIVED HIGH HONORS FROM THE NATIONAL HUMAN RIGHTS CAMPAIGN, IN RECOGNITION OF EFFORTS MADE BY THE INSTITUTION AND ITS WORKERS TO ENSURE ALL LGBTQ PATIENTS AND THEIR FAMILIES RECEIVE INCLUSIVE CARE. ATRIUM HEALTH WAKE FOREST BAPTIST WAS AMONG 193 HOSPITALS DESIGNATED AS TOP PERFORMERS IN THE HUMAN RIGHTS CAMPAIGN'S HEALTHCARE EQUALITY INDEX FOR 2020. 1. CLINICAL SERVICES ATRIUM HEALTH WAKE FOREST BAPTIST IS NATIONALLY RECOGNIZED FOR CLINICAL EXCELLENCE AND INTERNATIONALLY KNOWN FOR PIONEERING RESEARCH AND CLINICAL INNOVATION. IT OFFERS EXPERTISE IN MORE THAN 100 AREAS OF MEDICINE, ENCOMPASSING COMPREHENSIVE PREVENTIVE AND HIGHLY SPECIALIZED CARE FOR ALL AGES. ATRIUM HEALTH WAKE FOREST BAPTIST'S NETWORK INCLUDES THE 167-BED COMPREHENSIVE CANCER CENTER AND THE 144-BED BRENNER CHILDREN'S HOSPITAL, BOTH OF WHICH ARE ON THE MAIN CAMPUS IN WINSTON-SALEM, AS WELL AS COMMUNITY HOSPITALS IN DAVIDSON, DAVIE, GUILFORD AND WILKES COUNTIES. BRENNER CHILDREN'S HOSPITAL ALSO INCLUDES THE DALE AND KAREN SISEL NEONATAL INTENSIVE CARE UNIT, WITH 51 ALL-PRIVATE ROOMS. ACROSS ITS SERVICE AREA OF NORTHWEST NORTH CAROLINA AND SOUTHWEST VIRGINIA, ATRIUM HEALTH WAKE FOREST BAPTIST STAFFS 16 EMERGENCY DEPARTMENTS, SIX OF WHICH (NORTH CAROLINA BAPTIST HOSPITAL ADULT, NORTH CAROLINA BAPTIST HOSPITAL PEDIATRIC, AND THE ATRIUM HEALTH WAKE FOREST BAPTIST LEXINGTON , WILKES , DAVIE AND HIGH POINT MEDICAL CENTERS) ARE OWNED BY ATRIUM HEALTH WAKE FOREST BAPTIST, AND THE OTHER 10 OF WHICH ARE WITHIN OTHER HEALTH SYSTEMS; SIX URGENT CARE CENTERS, WITH TWO ADDITIONAL CONVENIENCE CARE LOCATIONS, TWO ORTHOPAEDIC URGENT CARE LOCATIONS AND THE HAYWORTH CANCER CENTER URGENT CARE IN HIGH POINT; 76 PRIMARY CARE AND 279 SPECIALTY CLINICS; AND 18 OUTPATIENT DIALYSIS CENTERS AND ONE FREE-STANDING DIALYSIS ACCESS CENTER. ATRIUM HEALTH WAKE FOREST BAPTIST EMPLOYS 2,625 PHYSICIANS, 4,626 REGISTERED NURSES, AND 765 RESIDENTS AND FELLOWS. IT HAS A TOTAL STAFF OF 11,265 ON THE MAIN CAMPUS IN WINSTON-SALEM AND 21,016 WITHIN THE ATRIUM HEALTH WAKE FOREST BAPTIST SYSTEM. OVERALL IN FISCAL YEAR 2021, THE ATRIUM HEALTH WAKE FOREST BAPTIST SYSTEM HAD 78,013 INPATIENT ADMISSIONS AND OBSERVATION PATIENTS, 208,252 EMERGENCY DEPARTMENT VISITS AND 2,369,882 CLINIC VISITS (AMBULATORY VISITS AND OUTPATIENT DEPARTMENTS). NEW CLINICAL INITIATIVES INCLUDED THE COMPREHENSIVE CANCER CENTER OFFERING CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL THERAPY, A PERSONALIZED IMMUNOTHERAPY USED TO TREAT ADVANCED LYMPHOMAS; THE OPENING OF A HEMATOLOGY AND ONCOLOGY CLINIC AT ATRIUM HEALTH WAKE FOREST BAPTIST WILKES MEDICAL CENTER; THE HOSPITALIST AT HOME PROGRAM, THE FIRST OF ITS KIND IN THE PIEDMONT TRIAD REGION, THAT USES TELEHEALTH TECHNOLOGY AND IN-HOME VISITS BY ATRIUM HEALTH WAKE FOREST BAPTIST PARAMEDICS TO HELP MORE PATIENTS, WITH AND WITHOUT COVID-19, RECEIVE CARE SAFELY AT HOME, REDUCING THE LENGTH OF TIME THEY SPEND IN THE HOSPITAL; AND A NEW PERFORMING ARTS MEDICINE CLINIC, THE FIRST OF ITS KIND IN THE REGION AND ONE OF A FEW IN THE NATION, TO MEET THE CARE NEEDS OF DANCERS, MUSICIANS, VOCALISTS AND ARTISTS. ATRIUM HEALTH WAKE FOREST BAPTIST ALSO EXPANDED OPTIONS TO INCLUDE VIRTUAL, AROUND-THE-CLOCK CARE FOR UNEXPECTED, NON-LIFE-THREATENING INJURIES AND ILLNESSES, SEVEN DAYS A WEEK, FOR ADULTS AND CHILDREN OF ALL AGES, ACCESSED WITHIN THE MYWAKEHEALTH APP OR BY CALLING 844-WF-TELED (844-938-3533). IN JULY 2020, ATRIUM HEALTH WAKE FOREST BAPTIST AND ITS HEALTHTECH BUSINESS ENTERPRISE OPERATED THROUGH THE INNOVATION QUARTER, IQ HEALTHTECH LABS, LAUNCHED A DRONE DELIVERY SERVICE OPERATED BY UPS AND ITS SUBSIDIARY, UPS FLIGHT FORWARD (USPFF), AT THE MAIN CAMPUS IN WINSTON-SALEM. THE COLLABORATION PROVIDES A RAPID DELIVERY OPTION FOR TIME- AND TEMPERATURE-SENSITIVE MEDICAL SUPPLIES AS WELL AS PERSONAL PROTECTIVE EQUIPMENT TO HELP KEEP ATRIUM HEALTH WAKE FOREST BAPTIST'S HEALTH CARE PROVIDERS SAFE AND IMPROVE PATIENT OUTCOMES. THE ADVANCEMENT MARKED THE U.S. DRONE DELIVERY INDUSTRY'S FIRST HUB-AND-SPOKE OPERATING MODEL, WHICH LAUNCHES DRONES FROM ONE CENTRAL LOCATION TO MULTIPLE LOCATIONS. DURING THE FISCAL YEAR, THE AMERICAN COLLEGE OF SURGEONS VERIFIED BRENNER CHILDREN'S HOSPITAL AS A LEVEL I CHILDREN'S SURGERY CENTER AND RENEWED ITS VERIFICATION AS A LEVEL I PEDIATRIC TRAUMA CENTER, WHICH BRENNER CHILDREN'S HOSPITAL HAS HELD SINCE 2011 WHEN IT BECAME THE FIRST LEVEL I PEDIATRIC TRAUMA CENTER IN THE STATE. FORM 990, PART III, LINE 4A NOTABLE CLINICAL MILESTONES INCLUDED THE 50TH ANNIVERSARY OF THE ABDOMINAL ORGAN TRANSPLANT PROGRAM, WHICH PERFORMED 262 KIDNEY AND PANCREAS TRANSPLANTS DURING THE 2020 CALENDAR YEAR, THE HIGHEST TOTAL IN ITS HISTORY; AND THE 35TH ANNIVERSARY OF THE AIRCARE AIR AMBULANCE PROGRAM. IN OCTOBER 2020, ATRIUM HEALTH WAKE FOREST BAPTIST'S TELESTROKE NETWORK SURPASSED 10,000 PATIENTS SERVED SINCE ITS FOUNDING IN 2009. 2. OUTREACH ATRIUM HEALTH WAKE FOREST BAPTIST CONTINUES A BROAD-BASED EFFORT TO REACH UNDERSERVED POPULATIONS ACROSS ITS SERVICE AREA. THE MEDICAL CENTER'S ANNUAL COMMUNITY BENEFITS REPORT REFLECTS THIS COMMITMENT. IN FISCAL YEAR 2021, ATRIUM HEALTH WAKE FOREST BAPTIST PROVIDED $611.2 MILLION TO SUPPORT THESE AREAS: - CHARITY CARE - COMMUNITY HEALTH OUTREACH - COMMUNITY BUILDING - EDUCATION AND RESEARCH - SUBSIDIZED HEALTH COSTS - UNREIMBURSED COSTS OF GOVERNMENT PROGRAMS ONE ANCHOR OF OUTREACH FOR THE MEDICAL CENTER IS ITS DOWNTOWN HEALTH PLAZA, A FULL-SERVICE, OUTPATIENT MEDICAL CLINIC THAT SERVES MANY OF FORSYTH COUNTY'S UNINSURED AND UNDERINSURED RESIDENTS WITH A STATE-OF-THE-ART MEDICAL HOME. IN ADDITION TO CLINICAL CARE, THE DOWNTOWN HEALTH PLAZA OFFERS COMMUNITY HEALTH FAIRS, DIABETES EDUCATION AND A CENTERING PREGNANCY PROGRAM THAT IS REDUCING THE INCIDENCE OF LOW BIRTH-WEIGHT BABIES. ALTOGETHER, 56,968 PATIENT VISITS WERE RECORDED AT THE DOWNTOWN HEALTH PLAZA IN FISCAL YEAR 2021, AND ANOTHER 8,681 VISITS WERE RECORDED AT WINSTON EAST PEDIATRICS, A NEARBY ATRIUM HEALTH WAKE FOREST BAPTIST CARE FACILITY SERVING THE UNINSURED AND UNDERINSURED. ATRIUM HEALTH WAKE FOREST BAPTIST'S PROGRAMS AND PARTNERSHIPS REFLECT INNOVATIVE EFFORTS, ADAPTED TO ACCOMMODATE SAFE CARE DURING THE COVID-19 PANDEMIC, TO REACH UNDERSERVED POPULATIONS. THEY INCLUDE: - REGULAR COMMUNITY-BASED HEALTH CLINICS, INCLUDING: THE WEEKLY DELIVERING EQUAL ACCESS TO CARE (DEAC) CLINIC; THE MONTHLY TRIAD FREE HEALTH CLINIC AT COMMUNITY MOSQUE IN WINSTON-SALEM; THE MONTHLY GRACE CLINIC AT NEW LIGHT MISSIONARY BAPTIST CHURCH IN WINSTON-SALEM; AND THE ANNUAL SHARE THE HEALTH FAIR AT THE DOWNTOWN HEALTH PLAZA IN WINSTON-SALEM. THESE CLINICS, SPONSORED BY PRIVATE ORGANIZATIONS AND CHURCHES WITH VOLUNTEER ASSISTANCE FROM ATRIUM HEALTH WAKE FOREST BAPTIST PHYSICIANS, NURSES, MEDICAL STUDENTS AND OTHERS, ATTRACT THOUSANDS OF PEOPLE TO SCREENINGS FOR ACUTE AND CHRONIC CONDITIONS. THE DEAC CLINIC, WHICH IS STUDENT-RUN AND PHYSICIAN-STAFFED, REOPENED AT A NEW LOCATION AT HIGHLAND AVENUE PRIMARY CARE CLINIC IN WINSTON-SALEM. IT SERVES UNINSURED RESIDENTS OF FORSYTH, DAVIDSON, DAVIE, STOKES AND YADKIN COUNTIES FOR FREE BY APPOINTMENT ONLY EVERY MONDAY FROM 5:30 TO 9 P.M. - FAITHHEALTHNC, AN INITIATIVE THAT CONNECTS THE CARING STRENGTHS OF CONGREGATIONS, THE CLINICAL EXPERTISE OF PROVIDERS AND A NETWORK OF COMMUNITY RESOURCES TO EASE THOSE ON THE JOURNEY TO HEALTH AND HEALING, STRENGTHENING COMMUNITIES IN THE PROCESS. 3. EDUCATIONAL MISSION AND ACCOMPLISHMENTS THE CONSTITUENT ORGANIZATIONS OF ATRIUM HEALTH WAKE FOREST BAPTIST OPERATE A BROAD RANGE OF EDUCATIONAL PROGRAMS, GRADUATING SKILLED PRACTITIONERS. ATRIUM HEALTH WAKE FOREST BAPTIST ATTRACTS SOME OF THE WORLD'S MOST COMPETITIVE MEDICAL STUDENTS, RESIDENTS AND FELLOWS, AS WELL AS STUDENTS IN CLINICAL PASTORAL CARE, NURSE ANESTHESIA AND OTHER AREAS. IN AUGUST 2020, WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE WELCOMED ONE OF ITS LARGEST CLASSES OF MD STUDENTS IN ITS HISTORY. IT INCLUDED 145 MD STUDENTS, WITH 79 MEN AND 66 WOMEN CHOSEN FROM 9,248 APPLICANTS. IN NATIONAL RANKINGS ISSUED BY U.S. NEWS & WORLD REPORT, WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE'S PHYSICIAN ASSISTANT PROGRAM REMAINED NO. 7 AND THE NURSE ANESTHESIA PROGRAM REMAINED NO. 10. NEW ACADEMIC INITIATIVES INCLUDED ESTABLISHING A DEPARTMENT OF ACADEMIC NURSING TO INCLUDE NURSE ANESTHESIA AND THE NEW DOCTOR OF NURSING PRACTICE PROGRAM; AND PARTNERING WITH DAVIDSON-DAVIE COMMUNITY COLLEGE TO ADDRESS THE REGION'S NURSING SHORTAGE BY LAUNCHING THE STATE'S FIRST REGISTERED NURSE APPRENTICESHIP PROGRAM TO BE APPROVED BY THE N.C. DEPARTMENT OF LABOR, WITH THE FIRST GROUP OF APPRENTICE NURSING STUDENTS SPLITTING TIME BETWEEN THE ATRIUM HEALTH WAKE FOREST BAPTIST DAVIE AND LEXINGTON MEDICAL CENTERS. FOR FISCAL YEAR 2020 (THE MOST RECENT DATA AVAILABLE), ATRIUM HEALTH WAKE FOREST BAPTIST INVESTED $119.7 MILLION IN EDUCATION FOR TOMORROW'S HEALTH CARE AND BIOMEDICAL LEADERS AND IN RESEARCH FUNDING NOT COVERED BY OUTSIDE SOURCES. SUCH INVESTMENTS SUPPORT THE TRAINING OF HUNDREDS OF STUDENTS. IN FISCAL YEAR 2021, THOSE INCLUDED 573 MD STUDENTS, 765 PHYSICIAN RESIDENTS AND FELLOWS, 372 GRADUATE STUDENTS, 174 PHYSICIAN ASSISTANT STUDENTS, 47 NURSE ANESTHESIA STUDENTS, 17 DOCTOR OF NURSING PRACTICE STUDENTS AND 20 PASTORAL CARE CHAPLAIN RESIDENTS, FELLOWS AND INTERNS. IN ADDITION, 106 STUDENTS WERE ENROLLED IN THE VIRGINIA TECH-WAKE FOREST UNIVERSITY SCHOOL OF BIOMEDICAL ENGINEERING AND SCIENCES, WITH 59 OF THOSE ON THE WAKE FOREST CAMPUS. THE NORTHWEST AREA HEALTH EDUCATION CENTER, PART OF THE WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE, OFFERED MORE THAN 2,400 CONTINUING PROFESSIONAL DEVELOPMENT ACTIVITIES FOR PRACTICING HEALTH CARE PROFESSIONALS THAT DREW 42,299 PARTICIPANTS FROM THROUGHOUT THE REGION. PART III, LINE 4B, PROGRAM SERVICE ACCOMPLISHMENTS WAKE FOREST HEALTH NETWORK, LLC ("WFHN") IS A MULTI-DISCIPLINARY MEDICAL PRACTICE WITH MORE THAN 80 LOCATIONS IN COMMUNITIES THROUGHOUT CENTRAL NORTH CAROLINA. WFHN PROVIDED MEDICAL OUTPATIENT CARE SERVICES INCLUDING PRIMARY CARE, PEDIATRICS, WOMEN'S HEALTH, SPORTS MEDICINE, HEART HEALTH, CANCER CARE, AND NEUROLOGY. DURING FISCAL YEAR 2021, THE ORGANIZATION HAD 1,004,459 PATIENT VISITS. WFHN HAS TRANSITIONED FROM THE TRADITIONAL "FEE-FOR-SERVICE" MODEL TO A PATIENT-CENTERED MEDICAL HOME SYSTEM PROVIDING EXPANDED ACCESS, INCREASED COORDINATION OF CARE, ENHANCED PATIENT EDUCATION FOR PREVENTION AND TREATMENT OF CHRONIC DISEASE, AND SOPHISTICATED TECHNOLOGICAL SUPPORT. WFHN PARTICIPATES IN THE MEDICARE SHARED SAVINGS PROGRAM ACCOUNTABLE CARE ORGANIZATIONS ("ACO") SPONSORED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES ("CMS"). THROUGH THE SHARED SAVINGS PROGRAM, WFHN WORKS WITH CMS TO PROVIDE MEDICARE FEE-FOR-SERVICE BENEFICIARIES WITH HIGH QUALITY SERVICE AND CARE, WHILE REDUCING THE GROWTH IN MEDICARE EXPENDITURES THROUGH ENHANCED CARE COORDINATION. PART III, LINE 4C, PROGRAM SERVICE ACCOMPLISHMENTS WAKE AIR CARE, LLC (DBA "AIRCARE") IS PART OF AN EMS NETWORK SERVING PATIENTS IN NORTH CAROLINA, VIRGINIA, WEST VIRGINIA, TENNESSEE AND SOUTH CAROLINA. DURING FISCAL YEAR 2021, AIRCARE CONTINUED PROVIDING MEDICAL SERVICES UTILIZING AIR AND MOBILE AMBULANCES STATIONED IN STRATEGIC LOCATIONS TO PROVIDE FAST, SAFE TRANSPORTATION FOR CRITICALLY ILL AND INJURED PATIENTS. AIRCARE TREATS ADULTS AND PEDIATRIC PATIENTS WITH A VARIETY OF CONDITIONS, INCLUDING TRAUMA, CARDIAC, STROKE AND BURNS. AIRCARE RESPONDS TO CALLS FROM FIRST RESPONDERS AND HOSPITALS 24 HOURS A DAY, AND 7 DAYS A WEEK AND TREATS PATIENTS AT THE SCENE. THE CREW IS CERTIFIED IN SEVERAL AREAS OF EMERGENCY CARE AND HAVE UNDERGONE EXTENSIVE TRAINING IN ADVANCED AIRWAY MANAGEMENT, TRANSPORT PHYSIOLOGY, BURN AND TRAUMA CARE, PEDIATRICS, AND CARDIOLOGY. THE AIRCRAFT ARE EQUIPPED WITH SOPHISTICATED LIFE SUPPORT AND PATIENT CARE EQUIPMENT. FORM 990, PART VI, SECTION A, LINE 2 THE FILING ORGANIZATION'S OFFICERS, BRADLEY A. CLARK AND TERRY G. WILLIAMS, HAD A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 3 EFFECTIVE JULY 1, 2010, THE GOVERNING BOARDS OF THE FILING ORGANIZATION ("WFUBMC"), WAKE FOREST UNIVERSITY ("WFU"), WAKE FOREST UNIVERSITY HEALTH SCIENCES ("WFUHS", A WHOLLY OWNED SUBSIDIARY OF WFU), AND NORTH CAROLINA BAPTIST HOSPITAL ("NCBH," AN ENTITY UNRELATED TO WFU AND WFUHS) APPROVED A MEDICAL CENTER INTEGRATION AGREEMENT ("MCIA") WHEREBY AN INTEGRATED ACADEMIC MEDICAL CENTER (COLLECTIVELY, "THE MEDICAL CENTER") WAS CREATED THAT COMBINED CLINICAL CARE, MEDICAL EDUCATION AND RESEARCH ACTIVITIES CONDUCTED BY THOSE PARTIES AND THEIR RESPECTIVE SUBSIDIARY ENTITIES, UNDER THE DELEGATED OPERATIONAL MANAGEMENT AND OVERSIGHT OF THE FILING ORGANIZATION, ITSELF A NORTH CAROLINA NONPROFIT CORPORATION WHOSE TWO EQUAL MEMBERS WERE THEN WFU AND NCBH. EFFECTIVE ON OCTOBER 9, 2020 AND PURSUANT TO A HEALTH SYSTEM INTEGRATION AGREEMENT AMONG WFUBMC, WFU, WFUHS, NCBH, AND THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY ("CMHA," A NORTH CAROLINA HOSPITAL AUTHORITY THAT OPERATES A MULTI-STATE INTEGRATED HEALTHCARE SYSTEM IN THE SOUTHEASTERN UNITED STATES), THE MEDICAL CENTER AND CMHA BECAME PARTICIPANTS IN A SINGLE, INTEGRATED HEALTHCARE DELIVERY AND ACADEMIC SYSTEM (THE "ENTERPRISE") MANAGED AND OVERSEEN BY ATRIUM HEALTH, INC. ("ATRIUM"), A NEW JOINT OPERATING COMPANY WITHOUT MEMBERS WHOSE 16-PERSON BOARD OF DIRECTORS (THE "ATRIUM BOARD") IS COMPRISED INITIALLY OF 13 CMHA DESIGNEES AND THREE MEDICAL CENTER DESIGNEES; THE MCIA WAS AMENDED TO INCLUDE ATRIUM AS A THIRD MEMBER OF WFUBMC AND TO RECONSTITUTE THE WFUBMC BOARD TO INCLUDE 17 VOTING DIRECTORS OF WHOM WFU DESIGNATES SIX, NCBH DESIGNATES SIX, ATRIUM DESIGNATES THREE, AND THE WFUBMC BOARD ELECTS TWO; AND THE MEDICAL CENTER (INCLUDING WFUHS AND THE SCHOOL OF MEDICINE) WAS ESTABLISHED AS THE ACADEMIC CORE OF THE ENTERPRISE RESPONSIBLE FOR ITS ACADEMIC AND RESEARCH ACTIVITIES. UNDER THIS ARRANGEMENT, EACH ENTERPRISE PARTICIPANT (AND ITS AFFILIATES) MAINTAINS ITS SEPARATE LEGAL EXISTENCE AND CONTINUES TO OWN ITS ASSETS AND RETAIN ALL POWER, AUTHORITIES, RIGHTS AND REMEDIES NECESSARY OR APPROPRIATE TO ALLOW IT TO COMPLY WITH ITS PRE-EXISTING DEBT INSTRUMENTS. WFUBMC AND CMHA DELEGATED AUTHORITY TO ATRIUM TO MANAGE AND OVERSEE THEIR ACTIVITIES AND OPERATIONS, SUBJECT TO THE AUTHORITY OF WFU, WFUHS, AND WFUBMC OVER ACADEMIC AND RESEARCH MATTERS, THE EXERCISE OF CERTAIN RESERVED POWERS, AND THE CARRYING OUT OF CERTAIN RESPONSIBILITIES BY THE WFUBMC BOARD AND THE CMHA BOARD OF COMMISSIONERS. THE RESERVED POWERS OF EACH ENTERPRISE PARTICIPANT INCLUDE THE POWER TO APPROVE A CHANGE IN ITS FUNDAMENTAL BUSINESS OR MISSION AND, SUBJECT TO THE ATRIUM BOARD'S APPROVAL, TO DEVELOP ITS STRATEGIC PLANS (WHICH WILL BE GENERALLY CONSISTENT WITH THOSE OF THE ENTIRE ENTERPRISE) AND ITS CAPITAL AND OPERATING BUDGETS. FORM 990, PART VI, SECTION A, LINE 4 EFFECTIVE ON OCTOBER 9, 2020 AND PURSUANT TO A HEALTH SYSTEM INTEGRATION TRANSACTION AMONG WAKE FOREST UNIVERSITY, THE FILING ORGANIZATION, WAKE FOREST UNIVERSITY HEALTH SCIENCES, NORTH CAROLINA BAPTIST HOSPITAL, AND THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY ("CMHA," A NORTH CAROLINA HOSPITAL AUTHORITY THAT OPERATES A MULTI-STATE INTEGRATED HEALTHCARE SYSTEM IN THE SOUTHEASTERN UNITED STATES), THE FILING ORGANIZATION AND CMHA BECAME PARTICIPANTS IN A SINGLE, INTEGRATED HEALTHCARE DELIVERY AND ACADEMIC SYSTEM (THE "ENTERPRISE") MANAGED AND OVERSEEN BY ATRIUM HEALTH, INC. ("ATRIUM"), A NEW JOINT OPERATING COMPANY WITHOUT MEMBERS WHOSE 16-PERSON BOARD OF DIRECTORS (THE "ATRIUM BOARD") IS COMPRISED INITIALLY OF 13 CMHA DESIGNEES AND THREE DESIGNEES DESIGNATED BY THE FILING ORGANIZATION. IN CONNECTION WITH THIS TRANSACTION, SEVERAL SIGNIFICANT CHANGES WERE MADE TO THE FILING ORGANIZATION'S GOVERNING DOCUMENTS. RESTATED ARTICLES OF INCORPORATION OF THE FILING ORGANIZATION WERE ADOPTED AND FILED WITH THE NORTH CAROLINA SECRETARY OF STATE EFFECTIVE OCTOBER 9, 2020. SIGNIFICANT CHANGES REFLECTED IN THE MODIFIED ARTICLES ARE: THE PURPOSES OF THE FILING ORGANIZATION ("TO OPERATE EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL, LITERARY, RELIGIOUS AND SCIENTIFIC PURPOSES... AND FURTHER TO OPERATE AND CARRY OUT THE FUNCTIONS AND PURPOSES OF WAKE FOREST UNIVERSITY HEALTH SCIENCES AND ANY OTHER ACTIVITIES OF WAKE FOREST UNIVERSITY RELATED TO MEDICAL EDUCATION AND RESEARCH, AND OF NORTH CAROLINA BAPTIST HOSPITAL") WERE EXPANDED TO INCLUDE, IN ADDITION TO THE FOREGOING SUPPORTED ORGANIZATIONS, THE FUNCTIONS AND PURPOSES OF ATRIUM HEALTH, INC, ANOTHER ORGANIZATION EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; ATRIUM HEALTH, INC, WAS ADDED AS A THIRD MEMBER OF THE FILING ORGANIZATION (JOINING NORTH CAROLINA BAPTIST HOSPITAL AND WAKE FOREST UNIVERSITY); AND THE APPROVAL OF THE GOVERNING BOARD OF ATRIUM HEALTH, INC. WAS ADDED AS A REQUIREMENT (IN ADDITION TO THE APPROVALS OF THE GOVERNING BOARDS OF NORTH CAROLINA BAPTIST HOSPITAL, WAKE FOREST UNIVERSITY, AND WAKE FOREST UNIVERSITY HEALTH SCIENCES) FOR THE AMENDMENT OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE FILING ORGANIZATION. AMENDED AND RESTATED BYLAWS OF THE FILING ORGANIZATION WERE ALSO APPROVED EFFECTIVE OCTOBER 9, 2020 TO INCORPORATE THE PROVISIONS REFLECTED IN THE DOCUMENTS COMPRISING THE AFOREMENTIONED HEALTH SYSTEM INTEGRATION TRANSACTION. THE FOLLOWING ARE THE SIGNIFICANT CHANGES REFLECTED IN THE MODIFIED BYLAWS: REFINEMENT OF THE STATED PURPOSES OF THE FILING ORGANIZATION, TO INCLUDE ITS AND ITS SUPPORTED ORGANIZATIONS' ROLES WITHIN A LARGER, UNIFIED, INTEGRATED HEALTHCARE DELIVERY AND ACADEMIC SYSTEM WITH ANCILLARY ACTIVITIES (THE "ENTERPRISE") MANAGED AND OVERSEEN BY ATRIUM HEALTH, INC. IN ACCORDANCE WITH SPECIFIED AGREEMENTS EXECUTED BY THE SEVERAL PARTIES TO THE TRANSACTION (WITH THE FILING ORGANIZATION CONTINUING TO MANAGE AND OPERATE NORTH CAROLINA BAPTIST HOSPITAL AND WAKE FOREST UNIVERSITY HEALTH SCIENCES AND THEIR RESPECTIVE SUBSIDIARIES AND AFFILIATES AND IN ADDITION, ACTING AS THE ACADEMIC CORE OF THE ENTERPRISE); THE ADDITION OF ATRIUM HEALTH, INC. AS A THIRD MEMBER (IN ADDITION TO NORTH CAROLINA BAPTIST HOSPITAL AND WAKE FOREST UNIVERSITY) OF THE FILING ORGANIZATION; CHANGES TO THE MANNER, NUMBER, AND THE SPECIFICS REGARDING THE DESIGNATIONS AND THE REMOVAL OF THE FILING ORGANIZATION'S DIRECTORS BY THE ORGANIZATION'S MEMBERS; REFERENCE TO THE RESERVED POWERS RETAINED BY THE FILING ORGANIZATION'S THREE MEMBERS AND SET OUT IN THE SEVERAL TRANSACTION DOCUMENTS; MODIFICATION OF THE PROCESSES FOR APPOINTMENT OF THE FILING ORGANIZATION'S CEO AND CHIEF ACADEMIC OFFICER; MODIFICATION OF THE PROCESSES FOR DESIGNATION OF BOARD OFFICERS, THE COMPOSITION OF BOARD COMMITTEES, AND THE NOMINATION OF COMMITTEE CHAIRS AND VICE CHAIRS; AND THE ADDITION OF A STATEMENT REFLECTING THE FILING ORGANIZATION'S RIGHT TO DESIGNATE AT LEAST THREE MEMBERS (INCLUDING AMONG THEM THE PRESIDENT OF WAKE FOREST UNIVERSITY) OF THE ATRIUM HEALTH, INC. BOARD. FORM 990, PART VI, SECTION A, LINE 6 PURSUANT TO THE ORGANIZATION'S AMENDED AND RESTATED ARTICLES OF INCORPORTION AND BYLAWS AND EFFECTIVE OCTOBER 9, 2020, THE ORGANIZATION'S THREE MEMBERS ARE ATRIUM HEALTH, INC., NORTH CAROLINA BAPTIST HOSPITAL, AND WAKE FOREST UNIVERSITY. FORM 990, PART VI, SECTION A, LINE 7A PURSUANT TO THE ORGANIZATION'S AMENDED AND RESTATED BYLAWS EFFECTIVE OCTOBER 9, 2020, THE FILING ORGANIZATION ELECTS 2 INDEPENDENT VOTING MEMBERS OF THE BOARD. MEMBERS OF THE FILING ORGANIZATION ELECT THE REMAINING 15 VOTING MEMBERS OF THE BOARD AS FOLLOWS: NORTH CAROLINA BAPTIST HOSPITAL ELECTS 6 VOTING MEMBERS, WAKE FOREST UNIVERSITY ELECTS 6 VOTING MEMBERS, AND ATRIUM HEALTH, INC. ELECTS 3 VOTING MEMBERS. SEE EXPLANATION FOR PART VI, SECTION A, LINE 3 ON SCHEDULE O. FORM 990, PART VI, SECTION A, LINE 7B THE AMENDMENT OF THE ORGANIZATION'S ARTICLES OF INCORPORATION AND BYLAWS MUST BE APPROVED BY THE MEMBERS. ADDITIONAL RESERVED POWERS ARE DESCRIBED IN THE EXPLANATION FOR PART VI, SECTION A, LINE 3 ON SCHEDULE O. FORM 990, PART VI, SECTION B, LINE 11B THE FILING ORGANIZATION'S BOARD OF DIRECTORS RECEIVES A COPY OF THE FORM 990 WITH SUFFICIENT TIME TO PERMIT REVIEW AND COMMENT PRIOR TO ITS FILING. IF MODIFICATIONS ARE REQUIRED FOLLOWING SUCH REVIEW AND COMMENT, THE REVISED FORM 990 IS REDISTRIBUTED TO ALL BOARD MEMBERS PRIOR TO ITS FILING WITH THE IRS, ALONG WITH A REPORT NOTING THE MODIFICATIONS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES ITS OFFICERS, DIRECTORS AND KEY EMPLOYEES TO ANNUALLY REVIEW THE CONFLICT OF INTEREST POLICY AND DETERMINE ANY POTENTIAL CONFLICTS OF INTEREST. ANY POTENTIAL CONFLICTS NOTED IN THE QUESTIONNAIRE ARE REVIEWED BY A STANDING COMMITTEE FOR APPROPRIATE RESOLUTION. ALL MEMBERS OF THE BOARD OF DIRECTORS ARE REQUIRED TO DETERMINE AND REPORT ANNUALLY, AND AS THEY ARISE, ANY POTENTIAL CONFLICTS OF INTEREST TO THE SECRETARY OF THE BOARD OF DIRECTORS. THE RESOLUTION OF POTENTIAL AND ACTUAL CONFLICTS IS SUBJECT TO THE APPROVAL OF THE CHAIR OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 THE GOVERNANCE AND COMPENSATION COMMITTEE OF THE FILING ORGANIZATION FUNCTIONS AS THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS, AND REVIEWS AND APPROVES THE APPOINTMENT AND COMPENSATION OF THE SENIOR EXECUTIVES OF THE FILING ORGANIZATION. NO MEMBER OF THE WFUBMC GOVERNANCE AND COMPENSATION COMMITTEE IS AN EMPLOYEE OF THE WFUBMC. THE GOVERNANCE AND COMPENSATION COMMITTEE RELIES UPON AN EXTERNAL, INDEPENDENT COMPENSATION CONSULTANT EXPERIENCED IN HEALTHCARE TO PROVIDE THE COMMITTEE WITH COMPENSATION COMPARABILITY DATA FOR NEW EXECUTIVE POSITION APPOINTMENTS AND FOR COMPENSATION REVIEWS FOR EXISTING EXECUTIVES. THE CONSULTANT, WHICH IS RETAINED DIRECTLY BY THE GOVERNANCE AND COMPENSATION COMMITTEE, PROVIDES THIRD-PARTY INFORMATION AND EVALUATES THE COMPETITIVENESS AND REASONABLENESS OF EXECUTIVE COMPENSATION AND BENEFITS PROGRAMS IN RELATION TO MARKET PRACTICES FOR SIMILARLY-SITUATED NONPROFIT HEALTHCARE ORGANIZATIONS. THE COMMITTEE MAKES ITS DECISIONS WITH RESPECT TO EXECUTIVE COMPENSATION IN ACCORDANCE WITH THE FILING ORGANIZATION'S POLICIES, IRS REGULATIONS, AND STANDARD CORPORATE GOVERNANCE PRACTICES. SUCH POLICIES INCLUDE ADHERENCE TO: BOARD-ESTABLISHED EXECUTIVE COMPENSATION PHILOSOPHY AND REVIEW PROCESSES; PROCESSES ENSURING GOVERNANCE AND COMPENSATION COMMITTEE MEMBER AND COMPENSATION CONSULTANT INDEPENDENCE; USE OF VALID MARKET COMPARISONS OF DATA FROM PEER ACADEMIC MEDICAL CENTERS OF SIMILAR ORGANIZATIONS OF SIMILAR STRUCTURE, SIZE, AND COMPLEXITY; CAREFUL DOCUMENTATION OF ALL COMPENSATION DECISIONS; AND ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS, PER IRS GUIDELINES. MINUTES OF THE DELIBERATIONS OF THE GOVERNANCE AND COMPENSATION COMMITTEE ARE CONTEMPORANEOUSLY MAINTAINED AND THAT COMPARABILITY DATA IS MAINTAINED IN THE MEDICAL CENTER'S OFFICE OF EXECUTIVE COMPENSATION SERVICES. IN THE EVENT THAT A MEMBER OF THE GOVERNANCE AND COMPENSATION COMMITTEE HAS A CONFLICT OF INTEREST RELATED TO EXECUTIVE APPOINTMENT OR COMPENSATION, THAT MEMBER DOES NOT PARTICIPATE IN THE DELIBERATION OR APPROVAL OF APPOINTMENT OR COMPENSATION AND SUCH ABSTENTION IS NOTED IN THE COMMITTEE'S MEETING MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE TO THE PUBLIC ON REQUEST AND ARE AVAILABLE ON THE WEBSITE OF THE NORTH CAROLINA SECRETARY OF STATE. THE ORGANIZATION'S BYLAWS ARE NOT PUBLISHED, BUT PROVISIONS FROM THE BYLAWS 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 AVAILABLE TO THE PUBLIC ON REQUEST. FORM 990, PART XI, LINE 9: EQUITY METHOD - AFFILIATES -115,186,787. 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