2018-05-14T09:18:41-05:00 2017-06-30 135565207 KPMG LLP 300 North Greene Street Greensboro NC 27401 990 2016-07-01 223849199 Wake Forest University Health Sciences WAKE 3367164445 Medical Center Blvd WinstonSalem NC 27157 Bradley A Clark EVP-CFO 3367164445 2018-05-14 0 P00008888 3362753394 2016 2022-09-23 18:48:47Z Julie Ann Freischlag MD Medical Center Blvd WinstonSalem NC 27157 1004933837 0 X wakehealth.edu X 2001 NC Improving the health of our region, state, and nation. 20 18 2302 1953 1772660 1372925 196637105 209062530 668535305 745525369 412017 40734082 4920584 9444000 870505011 1004765981 49418362 50397249 0 0 597624802 669118283 10865 97745 3714502 238408361 254936043 885462390 974549320 -14957379 30216661 1299473046 1331187161 815555596 806620376 483917450 524566785 X The organization is part of Wake Forest Baptist Medical Center, a preeminent, internationally recognized academic medical center of the highest quality with balanced excellence in patient care, research and education. Our mission is to improve the health of our region, state and nation by: generating and translating knowledge to prevent, diagnose and treat disease; training leaders in health care and biomedical science; and serving as the premier health system in our region, with specific centers of excellence recognized as national and international care destinations. 0 0 191638486 33343091 0 Medical Research, General/Other: Research comprised of basic science clinical research and population based studies and is centered on the acquisition and advancement of scientific knowledge and new technology and their transfer to industry and the patient in order to prevent and treat disease and promote health (1,878 Grants). 636232225 785317 703849284 Patient Care and medical expenses in providing services to 1,004,692 patient encounters. 110918343 16268841 46262683 Professional Education: Instruction of more than 1,600 Medical, Graduate, and Physician Assistant students. Scholarships and aid provided to 1,083 students. Wake Forest University Health Sciences is an integral part of Wake Forest Baptist Medical Center, a preeminent, internationally recognized academic medical center of the highest quality with balanced excellence in patient care, research and education. The following paragraphs are provided to explain the relationship of the filing organization with other organizations which together comprise "Wake Forest Baptist Medical Center," 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. Because these activities are not all performed by each organization, the narrative that follows will include descriptions of activities that are performed by the filing organization and by a related (or unrelated but affiliated) organization; they are again provided to illustrate a complete picture of the filing organization's role in this integrated academic medical center's comprehensive activities. Wake Forest Baptist Medical Center 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. Wake Forest University Baptist Medical Center (WFUBMC) is a corporation whose two equal members are Wake Forest University and North Carolina Baptist Hospital. The Medical Center operates Wake Forest University School of Medicine, which has a faculty of 1,247, including physicians and basic scientists. The medical center has 1,029 acute care and rehabilitation beds operative across the system, which encompasses its main campus (885 beds), Wake Forest Baptist Health Lexington Medical Center (94 beds) and Wake Forest Baptist Health Davie Medical Center (50 beds). The medical center opened a $47 million, 50-bed inpatient facility at Davie Medical Center in the spring of 2017. Overall, Wake Forest Baptist Medical Center serves a 24-county region in northwestern North Carolina and southwestern Virginia and draws patients from across the nation for select services.The medical center is the driving force behind the establishment of Wake Forest Innovation Quarter, a growing urban-based district for research, business and education in biomedical science, information technology, clinical services and advanced materials in downtown Winston-Salem. Home to more than 152 companies, four leading institutions, more than 3,600 workers, 1,522 students and 8,000 workforce trainee participants, the Innovation Quarter currently comprises 1.9 million square feet of office, laboratory and educational space on its 200+ developable acres. In July 2016, Wake Forest University School of Medicine students began their medical careers in the Bowman Gray Center for Medical Education in the Innovation Quarter. The $60 million building was designed with the next generation of physician-leaders in mind. It includes the latest technologies and simulation labs that allow students to prepare for real-life experiences. The opening of the Bowman Gray Center coincided with the adoption of a new medical school curriculum that is one of the most advanced in the country.In November 2016, Wake Forest Baptist Medical Center was awarded a five-year, $8.7 million grant from the National Institutes of Health for the establishment of a new center for research into Alzheimer's disease. The Alzheimer's Disease Core Center at Wake Forest Baptist is among 31 NIH-funded Alzheimer's research centers in the country and the only one in North Carolina. The center will provide training in translational research to new investigators and develop educational programs about Alzheimer's and dementia for health care professionals, patients and family members, and the community at large. The center already is offering groundbreaking clinical trials, including studies that examine how exercise, diet and new drugs may affect the development or progress of Alzheimer's and dementia.1. CLINICAL SERVICES Wake Forest Baptist Medical Center is nationally recognized for clinical excellence and internationally known for pioneering research and clinical innovation. Its clinical enterprise, Wake Forest Baptist Health, offers expertise in more than 100 areas of medicine, encompassing comprehensive preventive and highly specialized care for all ages. The medical center 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 neighboring Davidson and Davie counties. Across its service area of northwest North Carolina and southwest Virginia, Wake Forest Baptist has 3 emergency departments, 3 urgent care centers, 72 primary care clinics, 265 specialty clinics, 18 out-patient dialysis centers, 1 free-standing dialysis access-center, and freestanding imaging and endoscopy centers. The medical center employs 1,865 physicians, 3,184 registered nurses, and 716 residents and fellows. It has a total staff of 16,157. Overall in FY 2017, Wake Forest Baptist had 55,568 inpatient admissions, 158,344 Emergency Department visits and 1,868,802 outpatient encounters (ambulatory visits and outpatient departments).2. OUTREACHWake Forest Baptist Medical Center 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 2017, the Medical Center spent $374 million to support these areas: Subsidized health costs Community health outreach Charity care Research EducationOne 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, 64,768 patient visits were recorded at the Downtown Health Plaza in the 2017 fiscal year, and another 13,348 visits were recorded at Winston East Pediatrics, a nearby Wake Forest Baptist care facility serving the uninsured and underinsured.The Medical Center's programs and partnerships reflect innovative efforts to reach underserved populations. They include:-- Regular community-based health clinics, including: the weekly Delivering Equal Access to Care (DEAC) Clinic at the Community Care Center in Winston-Salem, 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 Wake Forest Baptist physicians, nurses, medical students and others, attract thousands of people to screenings for acute and chronic conditions. -- The School of Medicine's Physician Assistant (PA) program, which is increasing the number of PA's working in primary care in North Carolina's rural Appalachian counties through its second campus at Appalachian State University in Boone. -- 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. One example of this work is a FaithHealth program in which workers known as Supporters of Health connect patients with resources they need after a health incident or hospitalization. The goal is to help these patients avoid readmission, in particular to the emergency department. 3. EDUCATIONAL MISSION AND ACCOMPLISHMENTS The constituent organizations of Wake Forest Baptist Medical Center operate a broad range of educational programs, graduating skilled practitioners. It 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 the most recent reporting period, Wake Forest Baptist invested more than $107.3 million in the education of tomorrow's health care and biomedical leaders and in research funding not covered by outside sources. That investment supported training of 491 medical students, 716 physician residents and fellows, 267 graduate students and 175 physician assistants. In addition, the Northwest Area Health Education Center, part of Wake Forest University School of Medicine, offered 1,935 continuing medical education activities that drew 35,019 participants from throughout the region. 938789054 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 1 0 1 1 0 1 1 0 1 1 0 0 1 1 1 1 0 0 0 0 0 0 1 0 0 0 1 1 0 0 1 1 1 1 0 0 1 971 0 1 2302 1 1 1 0 0 0 0 1 1 0 0 0 0 X 20 18 1 1 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 NC X Joseph Dolan 3367164445 Medical Center Blvd Winston Salem NC 27157 X Donald E Flow Chair of Board 4.00 9.00 X 0 0 0 Donna A Boswell PhD Director 2.00 19.00 X 0 0 0 James R Helvey III Director 2.00 10.60 X 0 0 0 James J Marino Director 2.00 8.00 X 0 0 0 James T Williams Jr Director 2.00 1.00 X 0 0 0 Gerald F Roach Director 2.00 6.00 X 0 0 0 Bobby R Burchfield Director 2.00 6.00 X 0 0 0 Kathleen B French MD Director 2.00 3.00 X 0 0 0 Matthew A King Director 2.00 6.00 X 0 0 0 Nathan O Hatch PhD Director & President of WF 3.00 37.00 X X 0 1023612 662475 John D McConnell MD Director & CEO [to 4-26-17] 8.80 31.20 X X 2031055 0 266426 Ann S Hanes Director 2.00 0.00 X 0 0 0 Andrew J Schindler Vice Chairman 3.00 8.60 X 0 0 0 David W Dupree Director 2.00 7.00 X 0 0 0 John M Vann Director 2.00 3.00 X 0 0 0 Graham F Bennett Director 2.00 0.00 X 0 0 0 J Andrews Hancock III Director 2.00 0.00 X 0 0 0 Brenda K Cline Director 2.00 0.00 X 0 0 0 Julie Ann Freischlag MD Director & CEO [eff 4-27-17] 16.00 24.00 X X 0 0 0 H Lawrence Culp Jr Director 2.00 3.60 X 0 0 0 Cathy Wall Thomas MD Director 2.00 4.00 X 0 0 0 Edward Abraham MD Dean, WFU School of Medicine 29.90 10.10 X 934669 0 179169 J Reid Morgan Secretary & General Counse 8.00 32.00 X 0 560584 142553 Anita M conrad Assistant Secretary 12.00 28.00 X 0 176800 36047 Terry L Hales Jr Assistant Treasurer 14.60 25.40 X 470129 0 119381 Norman D Potter Jr VP, Cf Philanthropy Ofr [to 2-28-17] 15.00 25.00 X 426485 0 101230 Karen H Huey VP Facilities 11.00 29.00 X 0 369171 88059 Eric Tomlinson DSC PHD Cf Innov Ofr & Pres WFIQ 5.00 35.00 X 799427 0 111994 Terry G Williams EVP, Cf Strategy Ofr 1.30 38.70 X 0 725787 170369 Chad A Eckes EVP, CFO, Asst Treas [to 6-11-17] 5.00 35.00 X 0 984048 231334 Kevin P High MD EVP HS Affairs 0.10 39.90 X 817847 0 186831 Deette M Emon VP, Cf Information Ofr 5.00 35.00 X 0 515506 108015 Steven Bloom VP Cf Human Rsrc Ofr [to 9-11-16] 15.00 25.00 X 0 0 0 Robert Gfeller Jr EVP Ext Relations, Cf Mktg Ofr 5.00 35.00 X 0 582269 144136 Bradley A Clark Treasurer 6.70 33.30 X 0 355369 77288 Lilicia Bailey VP Cf Human Rsrc Ofr [eff 9-12-16] 2.40 37.60 X 0 169508 24137 Neal Kon MD Department Chair 40.00 0.00 X 1132890 0 41517 Anthony Atala MD Department Chair 40.00 0.00 X 823074 0 376947 Edward Kincaid MD Associate Professor 40.00 0.00 X 1023750 0 45323 John Li MD Associate Professor 40.00 0.00 X 990988 0 45719 Charles Branch Jr MD Department Chair 40.00 0.00 X 997127 0 41883 Russell M Howerton MD Former Officer 14.70 25.30 X 698389 0 177305 Lisa M Wyatt Former Officer 0.00 0.00 X 104500 0 122 Cheryl E H Locke Former Officer 2.40 37.60 X 0 535148 101973 Joanne C Ruhland Former Officer 15.00 25.00 X 0 320824 85064 K Barbara Carbone MD Former Officer 0.00 0.00 X 395567 0 122 11645897 6318626 3565419 1126 1 1 0 MedData Inc 6880 W Snowville Road Brecksville OH 44141 Coding & Billing Srvs. 4466896 Cassidy Turley Fiduciary Inc 550 S Tryon Street Charlotte NC 28202 Real Estate Consult. 4059346 Anthelio Healthcare Solutions Inc 5400 LBJ Freeway Ste 200 Dallas TX 75240 Coding & Billing Srvs. 2979025 University of Pittsburgh PO Box 371220 Pittsburgh PA 152517220 Research 2725892 Navigant Consulting Inc 30 S Wacker Drive Chicago IL 60606 Revenue Cycle Consult. 2615152 298 493463 167473515 41095552 5089059 209062530 Medical Services 621110 699262686 699001940 260746 Tuition and Fees 611710 46262683 46262683 745525369 9498863 1343404 8155459 2675210 2675210 1606860 0 1606860 1606860 1606860 30721120 514099 0 0 30721120 514099 31235219 31235219 173169 493463 167856 5313 5313 Admin & Other 611710 5015854 4847344 168510 Parking 621990 140763 140763 5156617 1004765981 750111967 1772660 43818824 34128409 34128409 16268840 16268840 18307681 18023912 192231 91538 506497936 498647218 5318228 2532490 29358216 28903164 308261 146791 89993261 88598366 944929 449966 24961189 24574291 262092 124806 133136 133136 5911884 2409093 3502791 380189 29106 351083 282856 282856 97745 97745 1745870 1648974 89389 7507 71492417 59712422 11779995 1678576 1585416 85942 7218 22522716 19089512 3433204 2588705 2445032 132542 11131 1159519 1159519 42699084 40329285 2186193 183606 9243077 8730086 473246 39745 4942361 4668060 253049 21252 9298698 8595716 702982 31729856 29708664 2021192 164353 155231 8415 707 Medical Supplies 26925481 26925481 0 0 Bad Debt 22037265 22037265 0 974549320 938789054 32045764 3714502 -2 26698299 12761220 43420896 37721600 129300371 178177822 715994 618969 67323 284290 524388 13057474 769015452 432627016 299240614 336388436 109991958 30707773 518571905 541615132 48843728 49258643 2000000 2000000 120097570 128595804 1299473046 1331187161 419864607 393344404 86968712 80399221 167191769 160478557 25164839 63318003 116365669 109080191 815555596 806620376 X 260701213 295512809 60725039 60784582 162491198 168269394 483917450 524566785 1299473046 1331187161 X 30216661 6447678 3984996 X 0 1 X 1 1 1 X 211724409 201910285 218972568 196172105 209062530 1037841897 211724409 201910285 218972568 196172105 209062530 1037841897 1037841897 30704407 243341362 13628024 11743578 12437529 311854900 21923 93165 710378 790182 1772660 3388308 707302 780020 328662 220917 140763 2177664 1355262769 2774344519 0.76580 0.77090 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 282856 0 0 282856 0 Part II-B, Line 1: The Office of Government Relations was actively involved with several federal and state issues. The office assisted in developing political advocacy strategies regarding legislation addressing the opioid and heroin epidemic; federal student aid; emergency preparedness requirements; veterans reform legislation; passage and implementation of the 21st Century Cures Act; hospital star ratings, 340B drug pricing program proposed rules; Department of Labor Overtime Rule delay; immigration executive orders; various ACA repeal and replace bills; Medicaid reform (1115 waiver) and proposed Medicaid restructuring (per capita payments); changes to the provisions of the Medicare Access and CHIP Reauthorization Act (MACRA); Childress Institute for Pediatric Trauma Congressional Briefing before House Energy and Commerce Committee; tax reform including Historic Preservation Tax Credit for Wake Forest Innovation Quarter; bills to increase physician residency slots by 15,000 over five years at teaching hospitals; FY 2018 Inpatient Prospective Payment System (IPPS) Rule; Staff worked on the FY2018 Budget; and the CY 2018 Medicare Physician Fee Schedule and other changes to Medicare Part B reimbursement. Staff also worked on many of the FY 2018 appropriations bills and proposed legislation and regulations that were introduced, including the Department of Health and Human Services regarding the National Institutes of Health (NIH) budget and the proposed cuts to the Facilities and Administrative (F&A) expenses, and Veterans Affairs (VA) Research and Medical Care funding to ease access for veterans seeking health care from non-VA providers; and the Child Health Insurance Program (CHIP) reauthorization bill. At the state level, efforts were concentrated on restoration of $30 million Medicaid Graduate Medical Education (GME) funding and the repeal of the requirement to submit a state plan amendment to eliminate Medicaid GME funding to the Center for Medicare and Medicaid Services (CMS); language to permit a physician UPL extension payment; changes to the state Health Information Exchange (HIE) program; insurance coverage for oral chemotherapy; special provisions language in FY 17-18 budget for the Office of the Medical Examiner; funding for the Wake Forest Armed Forces Institute for Regenerative Medicine (AFIRM); repeal of the certificate of need law; defeat of proposed legislation to allow optometrists surgical privileges and protection of the $45 million hospital sales tax refund cap. 454890306 18965580 31457259 19726639 485586506 454412242 21183187 -1149360 19555763 454890306 434292937 31275281 7099062 18255038 454412242 401275256 10671481 36510163 14163963 434292937 384485637 6615075 27297037 17122493 401275256 0.59480 0.30180 0.10340 0 1 1 76572191 76572191 432497208 265898339 166598869 26345682 9778907 16566775 214819922 153016743 61803179 18780449 3933027 14847422 336388436 Endowment Investments 536707737 F Inv in Partnerships 1172743 F Investment in Annuities & Life Ins Contracts 3734652 F 541615132 Other Investments 8393319 Investment in Subs 53746303 Beneficial Interest in Perpetual Trusts 17984855 Funds Held under retirement & benefit plans 48471327 128595804 Intercompany Payable 7747286 PLI Reserve 46931670 Bond Swap Valuation 4383317 Other Liabilities & Deferrals 10770662 Annuities Payable 3610518 Retirement 35636738 109080191 X Part V, Line 4: The organization's endowment funds are to support scholarships, instruction, research, libraries, academic support, operational and other general support. Part X, Line 2: The organization HAS evaluated uncertain tax positions FOR ITS FISCAL YEARS ENDED JUNE 30, 2017 AND 2016, 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, 2017 and 2016. 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 1 Schedule E, Part I, Line 3 See Part II WFUHS' nondiscrimination policy is published on the internet in its student handbook for the school of medicine's MD program, PA studies, CRNA program, Doctor of Nursing program, and graduate school, in admission brochures and other media materials. www.wakehealth.edu/uploadedfiles/User_Content/SchoolOfMedicine/ MD_Program/Student_Services/Documents/WFSM_Student_Handbook.pdf Schedule E, Part I, Line 6 WFUHS receives federal financial aid through the U.S. Department of Education's Federal Direct Loan Program. WFUHS distributed the federal loans to 566 students in fiscal year 2017. Europe (Including Iceland & Greenland) - Albania, Andorra, Austria, Belgium 0 0 Program Services Subcontract for Research Grants 238511 East Asia & the Pacific 0 1 Program Services Independent Contractor for Consulting Services - Using models to measure educ 1000 0 1 0 0 0 1 239511 0 239511 Europe (Including Iceland & Greenland) - Albania, Andorra, Austria, Belgium sub-contractor: Development of resorbable Calcium phosphate cement 82096 check Europe (Including Iceland & Greenland) - Albania, Andorra, Austria, Belgium tobacco research & smoking cessation 125449 check Europe (Including Iceland & Greenland) - Albania, Andorra, Austria, Belgium Search for Diabetes in Youth Cohort Study 29830 check 3 1 0 0 0 0 1 X X X X X X X 1 Wealth Engine 4330 East West Highway Ste 950 Bethesda MD 20814 donor information 0 0 30110 -30110 William Porter 1915 Falmouth Drive Greensboro NC 27410 Philanthropic Consulting 0 0 34000 -34000 64110 -64110 AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY DC Winterlark 410218 342266 67952 49959 83743 20506 BCH Radiothon 150305 151197 -892 1884 2 106109 106109 6044 5720 666632 493463 173169 56003 83743 28110 167856 5313 Schedule G, Part I, Line 2b, Column (v) Pursuant to the Medical Center Integration Agreement, management of Wake Forest University Health Sciences and North Carolina Baptist Hospital was delegated to Wake Forest University Baptist Medical Center. While the professional fundraising payments are made by Wake Forest University Health Sciences, the professional fundraising contracts are between Wake Forest University Baptist Medical Center and the professional fundraiser. 1 ABC of NC Child Development 3904 Old Vineyard Road WinstonSalem NC 27104 300111894 501(c)(3) 10000 Supporting programs for disabled children ALS Association NC Chapter 4 N Blount Street Raleigh NC 27601 561609591 501(c)(3) 7500 Supporting programs to treat and cure ALS through global research and nation American Heart Association 101 Centreport Drive Greensboro NC 27409 135613797 501(c)(3) 32500 Supporting cardiovascular research and programs Cancer Services Inc 3175 Maplewood Ave WinstonSalem NC 27103 560656375 501(c)(3) 10000 Supporting programs to educate/ enhance life for cancer patients Catawba Medical Foundation 810 Fairgrove Church Rd Hickory NC 28601 581680281 501(c)(3) 33439 supporting catawba county medical center facilities Community Care Center for Forsyth Cty 2135 New Walkertown Rd WinstonSalem NC 27101 581403699 501(c)(3) 10000 Supporting program to provide free medical/dental care Davie County Economic Development 135 South Salisbury St Mocksville NC 27028 561932514 501(c)(3) 45000 Supporting Healthcare Development Health Foundation Inc 230 jefferson st North Wilkesboro NC 28659 561745194 501(c)(3) 10000 Supporting health in our community March of Dimes 410 Brookstown Ave WinstonSalem NC 27101 131846366 501(c)(3) 10000 Supporting research and programs to end infant mortality and birth defects National Academy of Sciences 500 Fifth St NW Keck 1057 Office of Contracts Grants Washington DC 20001 530196932 501(c)(3) 50000 Supporting programs for recognition and promotion of outstanding science USA Cycling Inc DBA Winston-Salem Cycling 210 USA Cycling Point Ste 100 Colorado Springs CO 80919 Colorado Springs CO 80919 841284437 501(c)(3) 100000 Supporting local administration of community cycling event NC Triad Komen Affiliate of Susan G Komen Fnd 1106 Burke Street WinstonSalem NC 27101 752891104 501(c)(3) 25000 Supporting breast cancer research NC Business Leaders for Education 100 SAS Campus Dr Bldg T Cary NC 27513 462988453 501(c)(3) 25000 Community Support NC Stroke Association 2000 W First St 5th Fl 504 WinstonSalem NC 27104 562088041 501(c)(3) 6000 Supporting program to reduce the incidence and impact of stroke Ronald McDonald House 419 S Hawthorne Road WinstonSalem NC 27103 581454715 501(c)(3) 16000 Supporting program for children receiving medical care SciWorks 400 Hanes Mill Road WinstonSalem NC 27105 560815746 501(c)(3) 10000 Educational and Scientific Support Hospital Hospitality House of Winston-Salem dba SECU Family House 1970 Baldwin Ln WinstonSalem NC 27103 203604576 501(c)(3) 10000 supporting program providing affordable lodging to patients Senior Services Inc 2895 Shorefair Drive winstonSalem NC 271054237 561085968 501(c)(3) 50000 Supporting program providing services to senior adults The Women's Fund of Winston Salem 860 W Fifth Street WinstonSalem NC 27101 566037616 501(c)(3) 10000 Supporting & Empowering women in the community University Of North Carolina at Greensboro 1400 Spring Garden St Greensboro NC 27402 566001468 501(c)(3) 7500 Supporting school of nursing program Winston-Salem Business inc 1080 W Fourth Street WinstonSalem NC 27101 510436665 501(c)(3) 22000 Community Support Winston-Salem Foundation 751 W Fourth St Ste 200 Winston-Sal m NC 27101 WinstonSalem NC 27101 566037615 501(c)(3) 134333 Community Support Winston-Salem Police Foundation PO Box 24011 WinstonSalem NC 27114 475289473 501(c)(3) 25000 Community Support WINSTON-SALEM SYMPHONY ASSOCIATION 201 N Broad Street Ste 200 WinstonSalem NC 27101 560692826 501(c)(3) 40000 Community Support Piedmont Triad Partnership PO Box 2672 High Point NC 27261 561750279 501(c)(3) 50000 Supporting economic growth & development in the Triad 25 0 Scholarships and fellowships 1083 16268840 Part I, Line 2: WFUHS follows the medical center's corporate policy used in reviewing the eligibility and selection of grantees receiving certain exempt purpose funds. WFUHS maintains documentation of the eligibility and selection criteria and records of the amounts disbursed. Schedule I, Part III, Grants & Other Assistance to Domestic Individuals The organization monitors the academic progress and other achievements of students receiving scholarships and fellowships. X X X X X X 1 1 0 0 0 0 0 1 0 Nathan O Hatch PhD Director & President of WF 0 862932 0 90000 0 70680 0 598507 0 63968 0 1686087 0 0 John D McConnell MD Director & CEO [to 4-26-17] 1026651 0 434548 0 569856 0 247313 0 19113 0 2297481 0 0 0 Edward Abraham MD Dean, WFU School of Medicine 581304 0 205821 0 147544 0 161945 0 17224 0 1113838 0 124000 0 J Reid Morgan Secretary & General Counse 0 459486 0 40000 0 61098 0 64000 0 78553 0 703137 0 0 Anita M conrad Assistant Secretary 0 171502 0 5000 0 298 0 17896 0 18151 0 212847 0 0 Terry L Hales Jr Assistant Treasurer 367182 0 101696 0 1251 0 96836 0 22545 0 589510 0 0 0 Norman D Potter Jr VP, Cf Philanthropy Ofr [to 2-28-17] 313307 0 94021 0 19157 0 78567 0 22663 0 527715 0 0 0 Karen H Huey VP Facilities 0 287382 0 80814 0 975 0 67859 0 20200 0 457230 0 0 Eric Tomlinson DSC PHD Cf Innov Ofr & Pres WFIQ 404785 0 130952 0 263690 0 99845 0 12149 0 911421 0 235022 0 Terry G Williams EVP, Cf Strategy Ofr 0 530336 0 194191 0 1260 0 147243 0 23126 0 896156 0 0 Chad A Eckes EVP, CFO, Asst Treas [to 6-11-17] 0 698706 0 284502 0 840 0 209328 0 22006 0 1215382 0 0 Kevin P High MD EVP HS Affairs 585172 0 211063 0 21612 0 165135 0 21696 0 1004678 0 0 0 Deette M Emon VP, Cf Information Ofr 0 401349 0 113392 0 765 0 98679 0 9336 0 623521 0 0 Robert Gfeller Jr EVP Ext Relations, Cf Mktg Ofr 0 458293 0 120364 0 3612 0 123294 0 20842 0 726405 0 0 Bradley A Clark Treasurer 0 272946 0 81871 0 552 0 58504 0 18784 0 432657 0 0 Lilicia Bailey VP Cf Human Rsrc Ofr [eff 9-12-16] 0 138204 0 0 0 31304 0 18520 0 5617 0 193645 0 0 Neal Kon MD Department Chair 916197 0 188723 0 27970 0 22771 0 18746 0 1174407 0 0 0 Anthony Atala MD Department Chair 622929 0 178533 0 21612 0 354147 0 22800 0 1200021 0 0 0 Edward Kincaid MD Associate Professor 817017 0 188319 0 18414 0 22945 0 22378 0 1069073 0 0 0 John Li MD Associate Professor 548993 0 423581 0 18414 0 22945 0 22774 0 1036707 0 0 0 Charles Branch Jr MD Department Chair 766240 0 225343 0 5544 0 22945 0 18938 0 1039010 0 0 0 Russell M Howerton MD Former Officer 520490 0 156287 0 21612 0 154739 0 22566 0 875694 0 0 0 Lisa M Wyatt Former Officer 0 0 0 0 104500 0 0 0 122 0 104622 0 0 0 Cheryl E H Locke Former Officer 0 354716 0 96131 0 84301 0 84065 0 17908 0 637121 0 61120 Joanne C Ruhland Former Officer 0 266981 0 0 0 53843 0 67295 0 17769 0 405888 0 31600 K Barbara Carbone MD Former Officer 0 0 0 0 395567 0 0 0 122 0 395689 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 based 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 PARTICIPATE IN OR RECEIVE SEVERANCE PAYMENTS AND PAYMENTS FROM SUPPLEMENTAL NON QUALIFIED RETIREMENT PLANS. 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 AND FORMER DIRECTORS, OFFICERS AND 5 HIGHEST COMPENSATED EMPLOYEES RECEIVED SEVERANCE AND SERP PAYMENTS IN THEIR CALENDAR YEAR 2016 COMPENSATION: SEVERANCE SERP EDWARD ABRAHAM, MD 124,000 K. BARBARA CARBONE, MD 395,567 JOHN D. MCCONNELL, MD 546,312 ERIC TOMLINSON, DSC, PHD 235,022 CHERYL LOCKE 61,120 JOANNE RUHLAND 31,600 LISA WYATT 104,500 THE COMPENSATION OF DR. NATHAN O. HATCH INCLUDES A DEFERRED BENEFIT OF $300,000. Part I, Line 7 Certain Officers, Key employees and Faculty members have incentive compensation components contained in their employment agreements. 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 North Carolina Medical Care Commission 521309402 65821DNX5 2012-11-15 59045000 Refund Issue Dated 10/16/2008 0 0 0 B North Carolina Medical Care Commission 521309402 65821dnf4 2012-11-15 129019661 Refund Issue Dated 10/16/2008 0 0 0 A 8690000 59045000 16063 59028937 1 0 1 1 B 14190000 129019661 568 129019093 1 0 1 1 A 0 1 0 0 1 0 0 1 B 0 1 0 0 0 0 0 1 A 1 B 1 Part II, Line 11 Columns A & B Other spent proceeds listed are the current refunding proceeds of the issue(s). Part III, Columns A & B Both issues refunded the issue dated 10/16/2008, which sole purpose was the refunding of issues dated prior to 12/31/2002. Accordingly, each issue is exempt from completing Part III of the Form. 10130 Merit Based Scholarships X 15 12600 fair market value X 36341 fair market value X 67691 fair market value X 1 700 fair market value X 70 4138926 fair market value X 3 819679 Fair Market Value X 8 6043 Fair Market Value X 19 3969 Fair Market Value X Gift Cards 13 3110 fair market value 3 0 1 1 Part I, Column (b): The organization determines the number of contributions by using the total number of non-cash items received per donor per occurrence. Part I, Line 32b: The filing organization sometimes uses a related organization, Wake Forest University Development Foundation, to sell gifts of donated real property. Form 990, Part VI, Section A, line 2 Chad Eckes and Terry Williams, both officers of the filing organization, were board members of MedCost Benefit Services. Form 990, Part VI, Section A, line 3 Effective July 1, 2010, the governing boards of four North Carolina nonprofit corporations (Wake Forest University, North Carolina Baptist Hospital, Wake Forest University Health Sciences, and Wake Forest University Baptist Medical Center) entered into an agreement (the "Medical Center Integration Agreement or "MCIA") under which the operation of each of North Carolina Baptist Hospital ("NCBH") and Wake Forest University Health Sciences ("WFUHS") was delegated to Wake Forest University Baptist Medical Center ("WFUBMC"). WFUHS is a wholly-controlled subsidiary entity of Wake Forest University ("WFU"). WFUBMC is a membership nonprofit corporation whose two equal members are NCBH (which entity is unrelated to WFUHS and WFU) and WFU. The goal is consolidation of management in WFUBMC of the various academic medical center operations, subject to substantial reserved powers in each of the constituent members' (or in WFUHS') boards. The MCIA was amended and restated on July 1, 2015. During calendar year 2016, Wake Forest University Health Sciences paid $193,076.56 to Foundation Work, Inc. for services provided by Steven C. Bloom as Wake Forest Baptist Medical Center's interim chief human resources officer and as vice president and chief human resources officer for the period May 2016 to August 2016. Form 990, Part VI, Section A, line 4 Effective October 28, 2016 the bylaws of the filing organization were amended to state that the conveyance or encumbrance of real estate will be made in accordance with the Medical Center Board Signature Authority Policy as approved by the filing organization's Board. Form 990, Part VI, Section A, line 6 Wake Forest University is the sole member of the filing organization. Form 990, Part VI, Section A, line 7a The Directors of the filing organization are elected by the Board of Trustees of its sole member, Wake Forest University. Form 990, Part VI, Section A, line 7b Decisions of the filing organization's governing body which require approval by the organization's sole member, Wake Forest University, include amendments to certain fundamental documents (Articles of Incorporation and Bylaws); academic appointment of faculty, grant of tenure and dismissal; and dissolution. The disposition of certain real property of the filing organization is subject to the approval of the chair and vice chair of the board of WFUBMC. 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, COMMENT, AND QUESTIONS PRIOR TO ITS FILING. THE AUDIT AND COMPLIANCE COMMITTEE OF THE GOVERNING BOARD OF the filing organization REVIEWs IN ADDITIONAL DETAIL THE FILING ORGANIZATION'S FORM 990 WITH THE ORGANIZATION'S CHIEF FINANCIAL OFFICER AND/OR HIS DESIGNEE, WHO ANSWER QUESTIONS AND ADDRESS CONCERNS RAISED BY SUCH COMMITTEE MEMBERS OR BY OTHER FILING ORGANIZATION DIRECTORS. IF MODIFICATIONS ARE REQUIRED FOLLOWING SUCH REVIEW AND COMMENT, THE REVISED FORM 990 IS REDISTRIBUTED TO ALL DIRECTORS 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 officers 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 and is reported to the Chair of the Audit & Compliance Committee of the Board of Directors. Form 990, Part VI, Section B, line 15 The Governance and Compensation Committee of Wake Forest University Baptist Medical Center ("WFUBMC") Functions AS THE COMPENSATION COMMITTEE OF That organization's BOARD OF DIRECTORS AND PURSUANT TO A DELEGATION BY the filing organization, Reviewed AND Approved 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 MEDICAL CENTER or of the filing organization. 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 and for most of the filing organization's officers. 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 ORGANIZATIONAL 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. (note that three of the filing organization's officers are compensated by a related organization (Wake Forest University) of the filing organization, and their compensation is reviewed and approved in accordance with the organization's similar procedures.) 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 not available to the public. PART VII, SECTION A, COLUMN B - Hours DONALD E FLOW FILING ORG 4.0 RELATED ORG 9.0 DONNA A BOSWELL PHD FILING ORG 2.0 RELATED ORG 19.0 JAMES R HELVEY III FILING ORG 2.0 RELATED ORG 10.6 JAMES J MARINO FILING ORG 2.0 RELATED ORG 8.0 JAMES T WILLIAMS, JR. FILING ORG 2.0 RELATED ORG 1.0 GERALD F. ROACH FILING ORG 2.0 RELATED ORG 6.0 BOBBY R. BURCHFIELD FILING ORG 2.0 RELATED ORG 6.0 KATHLEEN B. FRENCH, MD FILING ORG 2.0 RELATED ORG 3.0 MATTHEW A. KING FILING ORG 2.0 RELATED ORG 6.0 NATHAN O HATCH PHD FILING ORG 3.0 RELATED ORG 37.0 JOHN D MCCONNELL MD FILING ORG 8.8 RELATED ORG 9.9 UNRELATED ORG 21.3 ANN S. HANES FILING ORG 2.0 BRENDA K. CLINE FILING ORG 2.0 ANDREW J SCHINDLER FILING ORG 3.0 RELATED ORG 8.6 DAVID W. DUPREE FILING ORG 2.0 RELATED ORG 7.0 LAWRENCE CULP FILING ORG 2.0 RELATED ORG 3.6 CATHY WALL THOMAS, MD FILING ORG 2.0 RELATED ORG 4.0 JOHN M. VANN FILING ORG 2.0 RELATED ORG 3.0 GRAHAM F. BENNETT FILING ORG 2.0 J. ANDREWS HANCOCK FILING ORG 2.0 EDWARD ABRAHAM MD FILING ORG 29.9 RELATED ORG 5.1 UNRELATED ORG 5.0 J. REID MORGAN FILING ORG 8.0 RELATED ORG 32.0 ANITA M. CONRAD FILING ORG 12.0 RELATED ORG 28.0 TERRY L. HALES JR. FILING ORG 14.6 RELATED ORG 9.2 UNRELATED ORG 16.2 JULIE A. FRIESCHLAG, M.D. FILING ORG 16.0 RELATED ORG 7.5 UNRELATED ORG 16.5 NORMAN D. POTTER, JR. FILING ORG 15.0 RELATED ORG 5.0 UNRELATED ORG 20.0 KAREN H. HUEY FILING ORG 11.0 RELATED ORG 5.0 UNRELATED ORG 24.0 ERIC TOMLINSON DSC, PHD FILING ORG 5.0 RELATED ORG 29.8 UNRELATED ORG 5.2 TERRY G. WILLIAMS FILING ORG 1.3 RELATED ORG 8.0 UNRELATED ORG 30.7 CHAD A. ECKES FILING ORG 5.0 RELATED ORG 5.5 UNRELATED ORG 29.5 KEVIN P. HIGH, MD FILING ORG 0.1 RELATED ORG 10.5 UNRELATED ORG 29.4 DEETTE M. EMON FILING ORG 5.0 RELATED ORG 5.0 UNRELATED ORG 30.0 STEVEN BLOOM FILING ORG 15.0 RELATED ORG 5.0 UNRELATED ORG 20.0 ROBERT GFELLER FILING ORG 5.0 RELATED ORG 15.0 UNRELATED ORG 20.0 BRADLEY A. CLARK FILING ORG 6.7 RELATED ORG 7.6 UNRELATED ORG 25.7 NEAL KON MD FILING ORG 40.0 ANTHONY ATALA, MD FILING ORG 40.0 EDWARD KINCAID MD FILING ORG 40.0 JOHN LI, MD FILING ORG 40.0 CHARLES BRANCH JR MD FILING ORG 40.0 RUSSELL M. HOWERTON MD FILING ORG 14.7 UNRELATED ORG 25.3 JOANNE C. RUHLAND FILING ORG 15.0 RELATED ORG 5.0 UNRELATED ORG 20.0 CHERYL E. H. LOCKE FILING ORG 2.4 RELATED ORG 5.0 UNRELATED ORG 32.6 LILICIA BAILEY FILING ORG 2.4 RELATED ORG 5.0 UNRELATED ORG 32.6 NORTH CAROLINA BAPTIST HOSPITAL IS AN UNRELATED ORGANIZATION TO THE FILING ORGANIZATION AND THE INFORMATION CONCERNING HOURS DEVOTED TO IT ARE NOT REQUIRED TO BE REPORTED, BUT ARE INCLUDED BECAUSE OF THE STRUCTURE OF WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER, OF WHICH THE FILING ORGANIZATION AND NORTH CAROLINA BAPTIST HOSPITAL ARE PRINCIPAL PARTS. IN GENERAL, THE CORPORATE OFFICERS OF THE MEDICAL CENTER ALSO SERVE AS THE CORPORATE OFFICERS OF NORTH CAROLINA BAPTIST HOSPITAL AND WAKE FOREST UNIVERSITY HEALTH SCIENCES. Form 990, Part XI, line 9: Equity method affiliates -44,771. Actuarial Gain 4,029,767. BRF-A1a LLC Medical Center Blvd Winston Salem NC 27157 203073357 Real estate holding company NC 513674 2837317 Wake Forest Univ Health Sciences WFIQ Holdings LLC Medical Center Blvd Winston Salem NC 27157 050549344 Real estate holding company NC -645536 46435053 Wake Forest Univ Health Sciences Seed Stage Associates LLC 200 East First St Suite 101 Winston Salem NC 27101 651198831 Technology transfer & licensing of intellectual property NC -200 0 Wake Forest Univ Health Sciences BRF Deck 1 LLC Medical Center Blvd Winston Salem NC 27157 861123819 Real estate holding company NC -7103 532941 Wake Forest Univ Health Sciences BRF-A1 LLC Medical Center Blvd Winston Salem NC 27157 861123822 Real estate holding company NC -12575 943157 Wake Forest Univ Health Sciences WFIQ Holdings II LLC Medical Center Blvd Winston Salem NC 27157 271917927 Real estate holding company NC -51903 842245 Wake Forest Univ Health Sciences WFIQ Holdings III LLC Medical Center Blvd Winston Salem NC 27157 271918085 Real estate holding company NC 94924 4969205 Wake Forest Univ Health Sciences Park IMP 1 LLC Medical Center Blvd Winston Salem NC 27157 272070963 Real estate holding company NC 0 0 Wake Forest Univ Health Sciences Wake Forest University Health Sciences Group Return Medical Center Blvd Winston Salem NC 27157 900222618 Provide dialysis treatments to patients NC 501(c)(3) Line 12a, I Wake Forest Univ Health Sciences 1 WFUBMC Community Physicians (CP) Medical Center Blvd Winston Salem NC 27157 561903275 Healthcare NC 501(c)(3) Line 3 Wake Forest Univ Health Sciences 1 Wake Forest Innovation Quarter Management Co Medical Center Blvd Winston Salem NC 27157 061818498 Research Park Development NC 501(c)(3) Line 12a, I Wake Forest Univ Health Sciences 1 Wake Forest Innovation Quarter Development Co Medical Center Blvd Winston Salem NC 27157 562094067 Research Park Development NC 501(c)(6) Wake Forest Univ Health Sciences 1 Wake Forest University Foundation PO Box 7201 Winston Salem NC 27109 562038193 Real estate holding and management NC 501(c)(3) Line 12a, I Wake Forest University 0 Wake Forest Innovation Quarter CDC Medical Center Blvd Winston Salem NC 27157 200177581 Research Park Development NC 501(c)(3) Line 12a, I Wake Forest Univ Health Sciences 1 Wake Forest University PO Box 7201 Winston Salem NC 27109 560532138 University NC 501(c)(3) Line 2 N/A 0 Wake Forest University Development Foundation PO Box 7201 Winston Salem NC 27109 562038194 Management/Sale of charitable real property gifts NC 501(c)(3) Line 12a, I Wake Forest University 0 Wake Forest University Baptist Medical Center Medical Center Blvd Winston Salem NC 27157 510190238 Facilitate the carrying out of the functions and purposes of WFUHS & NCBH NC 501(c)(3) Line 12a, I N/A 0 Medical Fnd of WFUHS & NCBH medical Center Blvd winston Salem NC 27157 566036688 supporting organization NC 501(c)(3) Line 12a, I N/A 0 Reynolda House Inc POBox 7287 Winston Salem NC 27109 560810676 Museum of American Art NC 501(c)(3) Line 7 Wake Forest University 0 Childress Institute for Pediatric Trauma 575 N Patterson Street Winston Salem NC 27101 463674691 Healthcare Research NC 501(c)(3) Line 7 Wake Forest Univ Health Sciences 1 RegenMed Development organization medical Center Blvd Winston Salem NC 27157 202710571 Accelerate development of regenerative medicine therapy NC 501(c)(3) Line 7 Wake Forest Univ Health Sciences 1 Verger Fund II LLC PO Box 7354 Winston Salem NC 27109 352514227 Investment NC Wake Forest University Health Sciences excluded 20486386 395126366 0 1522950 0 0.83700 Verger Capital Fund LLC PO Box 7354 Winston Salem NC 27109 464027021 Investment NC N/A Verger Capital Management LLC PO Box 7354 Winston Salem NC 27109 464037343 Investment NC N/A Wake Forest Technology Development Program LP 2520 Meridian Parkway Durham NC 27713 475437596 Investment NC Wake Forest University Health Sciences excluded -1367 109748 0 0 0.99000 Wake Forest Ambulatory Vtr LLC Medical Center Blvd Winston Salem NC 27157 820777206 Healthcare NC Wake Forest University Health Sciences Excluded 0 0 0.80000 Charitable Remainder Trusts Medical Center Blvd Winston Salem NC 27157 Investment NC Wake Forest University Health Sciences T 216846 0.67330 0 North District Owners Association Medical Center Blvd Winston Salem NC 27157 471128865 Property owners Association NC N/A C 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 1 1 1 WFUBMC Community Physicians M 31516749 cost Wake Forest University Health Sciences Group Return N 2591981 FMV Wake Forest University Health Sciences Group Return P 20339 Cost Wake Forest University Health Sciences Group Return Q 630562 cost Wake Forest University Health Sciences Group Return S 16500000 FMV Childress Institute for Pediatric Trauma P 409020 Cost Childress Institute for Pediatric Trauma Q 35828 Cost Regenmed Development Organization P 218525 Cost