2017-08-15T10:05:51-04:00 2016-09-30 ERNST & YOUNG US LLP 100 NORTH TRYON STREET SUITE 3800 CHARLOTTE NC 29202 990 2015-10-01 566017737 WakeMed % Rick Carrico CFO WakeMed WAKE 9193500522 3000 NEW BERN AVE RALEIGH NC 276101215 Rick Carrico CFO 9193500522 2017-08-14 true CHRISTOPHER B BOGGS P00032493 7043726300 2015 2021-01-29 14:40:06Z see Schedule O Donald Gintzig 3000 New Bern Avenue Raleigh NC 27610 1411535365 false X WWW.WAKEMED.ORG X 1965 NC WAKEMED IS A MULTI-FACILITY HEALTHCARE SYSTEM PROVIDING STATE OF THE ART HIGH QUALITY CARE. 14 14 9137 1511 7935868 -900209 4801839 4670452 1037538167 1113786538 14642937 6450727 8246695 1749243 1065229638 1126656960 1951501 2105373 0 0 616878025 667452853 0 0 0 479394201 446261012 1098223727 1115819238 -32994089 10837722 1424443922 1416072147 714913794 682525328 709530128 733546819 X The mission of WakeMed is to improve the health and well-being of our community with outstanding and compassionate care to all. false false 269423406 308459006 SURGICAL SERVICES - WakeMed provides surgical services in four locations throughout the county: WakeMed Raleigh Campus, WakeMed Cary Hospital, WakeMed North and Capital City Surgery Center, of which WakeMed is a majority investor. By delivering surgical services to all who seek care regardless of their ability to pay and by having in- and outpatient services in three distinct locations throughout the county, WakeMed has improved access to these needed services. WakeMeds wide range of surgical specialties include bariatric, cardiovascular and thoracic, ENT, head and neck, adult and pediatric gastrointestinal, general, neurosurgery, obstetrics and gynecology, orthopedics, pediatric, urology, and vascular. As Wake Countys only state designated level 1 trauma center, WakeMed provides comprehensive trauma surgery for general, orthopedic, neurosurgery, and vascular trauma patients. Because access to specialty care continues to be a key health concern facing our community, WakeMed has expanded its network of specialists through WakeMed Physician Practices, one of the key groups of physicians who provide subspecialty care to the uninsured and underinsured in our community. Our staff works with the patient to discount their fees based on individual income and need. Many physicians on the medical staff continue this practice of providing quality care to patients regardless of their ability to pay. Last year, our surgical patients included 32.8% who were insured under Medicare, 13.4% who were insured under Medicaid and 5.9% who were uninsured (or "self-pay or charity care"). 134574072 170842899 HEART CENTER - WakeMeds heart and vascular program is one of the largest and most comprehensive cardiovascular programs in the state of North Carolina. Last year, more than 19,000 cardiovascular procedures were performed including surgery, diagnostic and interventional cardiac catheterizations and electrophysiology studies. Thousands more patients were treated medically as in- and outpatients throughout the system. WakeMed Health & Hospitals has consistently been nationally recognized for excellence in both stroke and heart care. WakeMed Raleigh Campus and WakeMed Cary Hospital received recognition from the American Heart Association and the American Stroke Association through their Get With The Guidelines (GWTG) awards, each earning Gold Plus Achievement Awards for both Stroke Care and for Heart Failure care. These recognitions signify that WakeMed has reached an aggressive goal of treating both stroke and heart failure patients according to the guidelines of care recommended by the American Stroke Association, American Heart Association, and American College of Cardiology. Both WakeMed Cary Hospital and WakeMed Raleigh Campus received Chest Pain Center accreditation by the Society of Cardiovascular Patient Care, and both received the Joint Commission Advanced Certification for Primary Stroke Centers, and WakeMed Raleigh Campus received the Silver Level Award as a referring hospital from the American Heart Associations Mission Lifeline. WakeMed Health & Hospitals was also designated a Blue Distinction Center+ for Cardiac Care by BlueCross BlueShield of NC. A key support service for our community, WakeMed Mobile Critical Care Services is a comprehensive medical transport program that improves access to acute care and facilitates transport into, out of and across the health care system. WakeMed Mobile Critical Care Services transports patients throughout the region and state. In 2016 the team transported more than 18,000 patients. WakeMeds Heart Center has made significant strides in programs and services aiming to reduce heart disease and diabetes, improve stroke outcomes and improve patients understanding of disease management. We know that teaching patients about their risk factors for heart disease and encouraging healthy behaviors through lifestyle changes builds a foundation for a healthier population. Thus, the WakeMed Heart Center provides a comprehensive continuum of care for the cardiac patient from outreach education and prevention to diagnosis, intervention, surgery, cardiac rehabilitation and ongoing disease management for heart failure and diabetes. Free education programs are offered regularly for our patients, their family members and the community to complement our comprehensive care services. And because the fastest intervention provides the best outcomes, all of WakeMeds emergency departments are certified chest pain centers and WakeMed Raleigh Campus and Cary Hospital are designated primary stroke centers. Additionally, WakeMeds Heart Center provides free health screenings throughout the community including cholesterol screenings, blood pressure checks, vascular screenings and stroke assessments throughout the community. These screenings are designed to be a secondary prevention activity to detect early onset of disease or illness. WakeMed conducts training for the program CPR Anytime at multiple locations in Wake County, and provides CPR Anytime kits throughout the community at more than a 70 percent discounted cost. Last fiscal year, 40.8% were insured under Medicare, 10.6% were insured under Medicaid, and 10.5% of these patients were uninsured. 125249930 120898181 EMERGENCY - A critical issue facing Wake County residents continues to be access to affordable health care. To address this challenge, WakeMed has strategically placed six full-service, emergency departments in key geographic areas throughout the county in Raleigh, Cary, North Raleigh, Apex, Brier Creek, and Garner. Located in Raleigh, WakeMed also operates the only Childrens Emergency Department in the county. And because physician availability is key to opening up access to care, WakeMeds physician practices, Healthplexes, and outpatient services are conveniently positioned throughout the area. WakeMed is among the top three volume providers of emergency care in North Carolina. WakeMeds Raleigh Campus is also home to Wake Countys only Level I Trauma Center, the highest designation awarded to trauma centers in North Carolina. Our Trauma Service includes a comprehensive research program, injury prevention programs, fellowship trained trauma surgeons on-site 24/7, a multi-disciplinary team of professionals, the clinical support of six adult intensive care units and a pediatric intensive care unit, as well as a comprehensive acute, inpatient and outpatient physical rehabilitation program. WakeMeds Emergency and Trauma Services treat all patients who present seeking medical care, regardless of their ability to pay. In FY 2016, 17.9% of our total emergency patients were insured under Medicare; 28.7% were insured under Medicaid; and 16.6% were uninsured or self-pay/charity care. Over 46% of all patients seen in our EDs are either Medicaid or uninsured, resulting in WakeMed providing care for more than 70% of Wake Countys uninsured and Medicaid patients. All stand-alone locations serve areas which are otherwise underserved by dedicated medical services. 470691187 2105373 515043794 999938595 true true false true false false false false false true true false false true true false false true false false true false false false false false true true true true true true false false false false false false false false false false false false false false true true true true false false true 572 0 true 9137 true true true true CJ false false false false false false false false X 14 14 false false false false false true true true true false false true true true true true true true false true true NC X Rick Carrico CFO WakeMed 9193500522 3000 New Bern Ave Raleigh NC 27610 HENRY DARNELL BOARD MEMBER 4.0 0.0 X 0 0 0 STEPHEN M SMITH BOARD MEMBER 4.0 0.0 X 0 0 0 BRENDA C GIBSON CHAIR BOARD OF DIRECTORS 5.0 0.0 X 0 0 0 JERRY C BERNSTEIN MD SECRETARY - BOARD OF DIRECTORS 4.0 0.0 X 0 0 0 LARRY D BARBOUR Vice Chair Board of Directors 3.0 0.0 X 0 0 0 ROBERT A CERWIN BOARD MEMBER 3.0 0.0 X 0 0 0 A BLANTON GODFREY PHD BOARD MEMBER 3.0 0.0 X 0 0 0 VERN DAVENPORT BOARD MEMBER 3.0 0.0 X 0 0 0 KRISTIN G REPLOGLE BOARD MEMBER 3.0 0.0 X 0 0 0 ROBERT C RICE JR BOARD MEMBER 4.0 0.0 X 0 0 0 WILLY E STEWART BOARD MEMBER 3.0 0.0 X 0 0 0 DAN BLUE III BOARD MEMBER 3.0 0.0 X 0 0 0 DON MUNFORD BOARD MEMBER 4.0 0.0 X 0 0 0 CHRISTINA ALVARADO SHANAHAN BOARD MEMBER 3.0 0.0 X 0 0 0 ROYLYN JOHNSON OFFICER - SECRETARY 50.0 0.0 X 98640 0 13040 DONALD R GINTZIG President & CEO 70.0 0.0 X 950617 0 80899 DENISE WARREN Exec VP & COO (BEGIN 10/19/15) 65.0 0.0 X 154572 0 6334 MICHAEL P BROWNING CFO, EXEC. VP (Until 8/5/16) 65.0 0.0 X 256271 0 12032 JOHN R FINLEY CHIEF COMPLIANCE OFFICER 65.0 0.0 X 171260 0 19876 MICHAEL D DEVAUGHN CFO, EXECUTIVE VP 65.0 0.0 X 472554 0 15870 THOMAS GETTINGER COO, EXEC. VP (UNTIL 12/31/15) 70.0 0.0 X 482050 0 38778 JEANENE R MARTIN SENIOR VP-HUMAN RESOURCES 60.0 0.0 X 301094 0 32077 E DENTON ARLEDGE VP & CIO 50.0 0.0 X 308745 0 35072 THOMAS G CAVENDER VP FACILITIES & CONSTRUCTION 50.0 0.0 X 270206 0 39465 CAROLYN KNAUP SENIOR VP-AMBULATORY SERVICES 62.0 0.0 X 293965 0 37266 BETSY GASKINS-MCCLAINE VP HEART & VASCULAR 65.0 0.0 X 253661 0 18133 CYNTHIA ALNESS-BOILY SENIOR VP-OPERATIONS & CNO 60.0 0.0 X 338205 0 31042 VICKI BLOCK SR VP & ADMINISTRATOR RALEIGH 60.0 0.0 X 298566 0 28265 DUDLEY HARRINGTON VP REVENUE CYCLE 60.0 0.0 X 275276 0 39895 GEORGIA C HARRINGTON VP OPERATIONS 55.0 0.0 X 231276 0 26703 JOHN S PIATKOWSKI SR VP AMBULATORY & PHYSICAN OP 60.0 0.0 X 412882 0 38538 SHERI D DESHAZO SR VP ADMINISTRATION-NORTH 63.0 0.0 X 222568 0 38220 GURVINDER S DEOL PHYSICIAN 65.0 0.0 X 1036905 0 67807 JONATHAN D CHAPPELL PHYSICIAN 60.0 0.0 X 913129 0 57010 OKECHUKWU E NWOKO PHYSICIAN 65.0 0.0 X 1000925 0 47817 TIMOTHY E HARRIS PHYSICIAN 60.0 0.0 X 812750 0 63779 JAMES T O'NEIL JR PHYSICIAN 53.0 0.0 X 818314 0 45141 KATHLEEN K GORMLEY EXEC VP-OP & AMBULATORY 0.0 0.0 X 490004 0 0 DAVID C COULTER SENIOR VP-ADMINISTRATOR CARY 0.0 0.0 X 159818 0 13935 WILLIAM K ATKINSON PHD FORMER CEO 0.0 0.0 X 721020 0 0 11745273 0 846994 6960 true true false Evolent Health 300 N Glebe Rd Ste 500 Arlington VA 22203 Healthcare consult 18094458 Amcol Systems PO Box 21625 Columbia SC 29221 collection service 10092039 Cary Cardiology 300 Keisler Dr Ste 204 Cary NC 27518 CARDIOLOGY SERVICES 8477946 Xtend Healthcare LLC 500 W Main St Ste 14 Hendersonville TN 37075 collection service 4549547 University of NC Hospitals Gen Acctg Ste 2033 211 Friday Cen Chapel Hill NC 27517 Healthcare Services 2965090 92 0 34761 4083801 551890 0 4670452 Patient Services 621500 1080354363 1080354363 0 0 Non-patient Services 621500 6929983 0 6929983 0 Cafeteria 722210 5054658 0 0 5054658 Purch Discnts/Rebates/VHA 900099 3376755 3376755 0 0 Other Operating Revenue 900099 13437697 5465500 1129759 6842438 4633082 4633082 1113786538 9077267 9077267 0 0 528367 112592 415775 0 415775 415775 281946382 192891 284741278 24535 -2794896 168356 -2626540 -2626540 0 0 0 REVENUE FROM JOINT VENTURE 900099 1333468 1457342 -123874 0 1333468 1126656960 1095287042 7935868 18763598 1957405 1957405 147968 147968 0 0 0 0 7944824 6375481 1569343 0 0 0 0 0 540756071 459642660 81113411 0 27851700 23673945 4177755 0 54313159 46166185 8146974 0 36587099 31099034 5488065 0 0 0 0 0 2353794 2212566 141228 0 443676 406185 37491 0 431288 431288 0 0 0 1001598 941502 60096 0 59777071 56190447 3586624 0 4942829 4646259 296570 0 34736366 32652184 2084182 0 15968348 15010247 958101 0 0 0 0 0 20808011 19559530 1248481 0 798571 750657 47914 0 0 0 0 0 1061891 998178 63713 0 14141404 14141404 0 0 0 0 0 0 71150601 71150601 0 0 -2131046 -2003183 -127863 0 Medical Supplies 155235239 155235239 0 0 GAP Assessment 25366654 23844655 1521999 0 Repairs/Maintenance 21829111 17463289 4365822 0 UBI TAXES 10180 0 10180 0 18335426 17244869 1090557 1115819238 999938595 115880643 0 0 54196 56120 467794154 489472711 195092 147828 182674048 169635294 0 0 0 0 7460672 5926487 19488355 19535643 11090921 10539870 1467775201 946903657 550875839 520871544 68611521 83219393 0 0 0 0 547174 367584 115651950 116299673 1424443922 1416072147 138795661 133276929 0 0 787099 398335 433192380 421832721 0 0 0 0 100000000 100000000 0 0 42138654 27017343 714913794 682525328 X 708942590 732884268 252020 325198 335518 337353 709530128 733546819 1424443922 1416072147 X 10837722 14614493 0 0 0 -1435524 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false 0 false 0 false 0 false 0 true 529399 false 0 false 0 529399 false false SCHEDULE C, PART II-B, LINE 1 WAKEMED AND ITS OFFICE OF GOVERNMENT AFFAIRS WORK TO MAINTAIN AND STRENGTHEN EFFECTIVE RELATIONSHIPS WITH LEGISLATORS AND POLICY MAKERS AT THE STATE, LOCAL, AND NATIONAL LEVELS. THE OBJECTIVE IS TO ENSURE THAT WAKEMED'S POINT OF VIEW IS CONSISTENTLY AND CONTINUALLY HEARD SO THAT LEGISLATION, REGULATIONS, AND THE SETTING OF HEALTH POLICY SUPPORT THE ORGANIZATIONS ABILITY TO FULFILL ITS MISSION OF CARE FOR ALL, REGARDLESS OF THE ABILITY TO PAY. In addition, WakeMed paid annual dues to various Hospital Associations. These Hospital Associations conduct lobbying activities on behalf of its members, and as such, a portion of the hospital dues are allocated to lobbying. 335518 3601 1766 337353 332541 4776 1799 335518 329232 5081 1772 332541 324984 6008 1760 329232 327535 5044 6310 1285 324984 1.00000 false false 3889817 3889817 613592001 292715533 320876468 23775571 12446655 11328916 797038654 624210669 172827985 29479158 17530800 11948358 520871544 Restricted Funds 44862962 Designated Funds 37604162 Other Equity Investments 23666637 Prepaid Pension 10165912 116299673 0 Due to third parties 8517138 Accrued Malpractice 16032893 Deferred Landlord incentives 170014 DEFERRED INFLOWS OF RESOURCES 2297298 27017343 Intended use of endowment funds SCHEDULE D, PART V, LINE 4 The Allen Trust endowment funds are used to provide poor and indigent patients with private nursing care. WakeMed defines poor and indigent as those with a financial class of self-pay or Medicaid. A sitter can be either in the hospital or in a home setting. Central America and the Caribbean Investments 60000 Central America and the Caribbean Captive Insurance Insurance premiums/exp 9735026 9795026 9795026 true false true false false false true true X true X 250. false true true true false true true 67708576 67708576 0.06070 198340337 155788191 42552146 0.03810 1573658 1274598 299060 0.00030 267622571 157062789 110559782 0.09910 8252932 250506 8002426 0.00720 11033180 7984909 3048271 0.00270 0 0 665106 665106 0.00060 19951218 8235415 11715803 0.01050 287573789 165298204 122275585 0.10960 151529 151529 0.00010 616290 616290 0.00060 5500 5500 0.00000 2615581 48871 2566710 0.00290 3388900 48871 3340029 0.00360 true 18394840 0 319194231 373657761 -54463530 X true true Captial City Surgery healthcare 0.5 0.1543 2 1 WakeMed Raleigh Campus 3000 New Bern Ave Raleigh NC 27610 WWW.WAKEMED.ORG H0199 X X X X A 2 WAKEMED CARY HOSPITAL 1900 KILDAIRE FARM ROAD Cary NC 27518 WWW.WAKEMED.ORG H0276 X X X A A false false true X X X X X X X X X 16 true true true true X SEE SECTION C X true 16 true SEE SECTION C false true X 250. 300. X X X X X true true X X X X true X SEE SECTION C X SEE SECTION C X SEE SECTION C X X X X X true X false X X X X true X false false ALL ANSWERS PROVIDED IN PART V, SECTION B & C PERTAIN TO FACILITY GROUP A, WHICH INCLUDES WAKEMED RALEIGH CAMPUS AND WAKEMED CARY HOSPITAL AS IDENTIFIED ON SCHEDULE H, PART V, SECTION A, LINES 1-2. SCHEDULE H, PART V, SECTION B, LINE 5 As indicated in the executive summary and chapter 1 of the CHNA report, WakeMed partnered with over 60 agency and community partners in Wake County to conduct the collaborative Community Health Needs Assessment in late 2015 through early 2016. (http://www.wakemed.org/documents/wake-county-community-health-needs-asses sment.pdf) The purpose of the project was to identify health status, concerns and resources in Wake County, report findings, work with community determine priority issues to be addressed and develop a community based action plan to address identified concerns. The study report became available in June 2016 from which WakeMed compiled its implementation plan. A multi-step process was used to assess the community health needs, challenges, and opportunities of Wake County. Multiple sources of publicly-available information along with diverse community input were incorporated in the study to paint a more complete picture of Wake Countys health needs. Primary research data was collected via telephone surveys, internet surveys and focus groups. In addition, community input and prioritization sessions were held. In total more than 1,500 people participated in the process. Each of these processes sought to include a broad cross section of the communities served by WakeMed. SCHEDULE H, PART V, SECTION B, LINES 6A Wake County Human Services, Duke Health Raleigh, Rex Healthcare, Wake Health Services, and WakeMed, in addition to numerous other non-profit organizations. SCHEDULE H, PART V, SECTION B, LINES 6B WAKE HUMAN SERVICES AND TRIANGLE UNITED WAY. SCHEDULE H, PART V, SECTION B, LINE 7A http://www.wakemed.org/DOCUMENTS/WAKE-COUNTY-COMMUNITY-HEALTH-NEEDS-ASSESS MENT.PDF SCHEDULE H, PART V, SECTION B, LINE 10A http://www.wakemed.org/documents/community-health-needs-assessment-impleme ntation-plan.pdf SCHEDULE H, PART V, SECTION B, LINE 11 Our CHNA prioritization process resulted in 21 key areas of focus, some of which apply more to hospitals than others. From the list of 21 identified needs, the following categories were identified as the four priority areas for Wake County that will be addressed over the next three years: - Health Insurance Coverage - Transportation - Access to Health Services - Mental Health & Substance Abuse WakeMeds implementation plan addresses each priority area. (http://www.wakemed.org/documents/community-health-needs-assessment-implem entation-plan.pdf) The implementation plan details the services and programs WakeMed offers or is partnering with other organizations to provide to the community. SCHEDULE H, PART V, SECTION B, LINE 16A http://www.wakemed.org/workfiles/regulatory/charity-care-policy.pdf http//www.wakemed.org/workfiles/regulatory/charity-care-policy-spanish-pdf SCHEDULE H, PART V, SECTION B, LINE 16B http://www.wakemed.org/workfiles/regulatory/financial-assistance-applicati on-English.pdf http://www.wakemed.org/workfiles/regulatory/financial-assistance-applicati on-Spanish.pdf SCHEDULE H, PART V, SECTION B, LINE 16C http://www.wakemed.org/workfiles/regulatory/financial-assistance-policy-su mmary-English.pdf http://www.wakemed.org/workfiles/regulatory/financial-assistance-policy-su mmary-Spanish.pdf Schedule H, Part V, Section B, Line 22b WakeMed used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged to any self-pay or uninsured patient. This is an automatic write off that is provided to these patients. However, WakeMed also has a charity program where these patients (who have already received a 50% adjustment) can receive additional adjustments if they qualify. During the 2015 tax year, these patients were provided a 100% write off and WakeMed held the patient responsible for co-pays directly associated with the treatment received. 14 Wake Specialty Physicians LLC 3024 New Bern Avenue Raleigh NC 27610 Medical Practice WAKEMED NORTH FAM HEALTH & WOMEN'S HOSP 10000 Falls of The Neuse Rd Raleigh NC 27614 WOMEN'S SURGERY, PREGNANCY CHILDBIRTH, OP/AMB SURG CNTR EM DEPT, LAB, RADIOLOGY, THRPY WakeMed Rehab Hospital 3000 New Bern Avenue Raleigh NC 27610 Phys Med & Rehab Hospital Phys, Speech & Occup Therapy Cardiac Rehab, Fitness Center WakeMed Garner Healthplex 400 US 70 EAST Garner NC 27529 Emergency Department Laboratory, Radiology WakeMed Apex Healthplex 120 Healthplex Way Apex NC 27502 Emergency Department Laboratory, Radiology WAKEMED BRIER CREEK HEALTHPLEX 8001 TW Alexander Drive Raleigh NC 27617 Emergency Department Laboratory, Radiology WAKEMED MEDICAL PARK 23 Sunnybrook Road Raleigh NC 27610 Laboratory, Radiology WAKEMED CLAYTON MEDICAL PARK 555 MEDICAL PARK PLACE Clayton NC 27520 Lab, Radiology, Phys, Occup & Speech Therapy WAKEMED HOME HEALTH 2920 HIGHWOODS BLVD SUITE 200 Raleigh NC 27604 Home Health, Home IV Therapy, Phys, Occupp & Speech, PICC Private Duty Nursing WakeMed Alexander YMCA 1603 Hillsborough Street Raleigh NC 27605 Physical Therapy WakeMed Wake Forest Road 3701 Wake Forest Road Raleigh NC 27609 Phys, Occup, Speech, and Pediatric Speech Therapy WakeMed Kraft Family YMCA 8921 HOLLY SPRINGS ROAD Apex NC 27539 Phys & Occup Therapy, Cardiac Rehabilitation, Nutritional Counseling WAKEMED CARY FAMILY 101 YMCA Drive Cary NC 27513 Physical Therapy WakeMed Kerr Family YMCA 2500 Wakefield Pines Drive Raleigh NC 27614 Physical Therapy Line 1: Part I, Line 7a: Charity care is reported as the systems charity care at cost, using a cost to charge ratio calculated as in Worksheet 2. Part I, Line 7b: Medicaid costs are derived from our cost accounting system, which addresses all patient segments. Part I, Line 7c: Costs of other government programs are derived from our cost accounting system, which addresses all patient segments. Part I, Line 7f: Per Medicare Cost Report Part II: WakeMed is actively involved in not only improving the health and well-being of the communities we serve, but is also supportive of community building activities. WakeMed has begun efforts to improve the neighborhood around the hospital and encourage redevelopment and physical improvements. A coalition of local business and community leaders are working to reduce crime, beautify the area, attract retail businesses and restaurants, and foster new medical development around the main hospital campus in downtown Raleigh, which is an economically depressed area. We have also invested in the Wake Technical Community College facility growth which is vital to educating future nurses, radiology techs, emergency response personnel and others. Our workforce development program works with youth, health science students and those in a variety of health professions programs with mentoring, residencies, clinical rotations, and education all with the purpose of preparing for the workforce of tomorrow. We partner with numerous colleges, universities, community colleges and high schools throughout the region and our campus is home to the Wake Early College High School. WakeMed is also home to Wake Area Health Education Center, a program of the University of North Carolina which provides accredited education programs to nurses, allied health professionals and physicians throughout the region. WakeMed also works closely with the investment of cash and expertise for the eight municipalities in our county and the Wake County Economic Development Council to attract new jobs and grow industry and business. A healthy economy ultimately leads to the healthier community. Our community health improvement activities are numerous and include being the lead agency for SAFEKIDS, Energize, Asthma coalition, Community Health project and more. Each is working to support programs and policies that improve public health and access to health care. We are also partnering with county and other officials on initiatives that will improve access to mental health services, a growing crisis in our community. The overall goal is to make our community a healthier place to live and work. Part III, Line 2: The amount reported in Part III; line 2 is the system bad debt at cost. Charity and bad debt accounts are recorded at current account balance levels. The balance may be net of contractual allowances and/or payments received. For example, bad debt or charity resulting from an unpaid patient liability after insurance is recorded at the amount unpaid by the patient. Part III, Line 3: Patients are provided with information about financial assistance at registration, discharge, phone calls, and a plain language summary of financial assistance is sent with every statement. In order to qualify a patient must apply and meet Financial Assistance Policy (FAP) requirements. Part III, Line 4: The text of the footnote to WakeMeds financial statements regarding bad debt expense is as follows: "WakeMed has presented its provision for uncollectible accounts as a direct reduction of patient service revenue. Based on managements interpretation of the requirements of GASB Statement No. 34, governmental health care organizations are required to present uncollectible accounts as a component of net patient service revenue rather than within operating expenses." Part III, Line 8: The Medicare allowable costs were determined from the Medicare Cost Report, as specified in the provider reimbursement manual. WakeMed believes that all of the $54,463,530 Medicare shortfall should be considered as community benefit. The IRS Community Benefit Standard includes the provision of care to the elderly and Medicare patients. Medicare shortfalls must be absorbed by the WakeMed hospitals in order to continue treating the elderly in our community. This year, Medicare accounted for 37.3% of hospital revenues. The hospital provides care regardless of this shortfall and thereby relieves the federal government of the burden of paying the full cost for Medicare beneficiaries. If the WakeMed Medicare shortfall were treated as a community benefit, the percent of total expenses attributable to community benefit would increase from 10.02% to 15.80%. Part III, Line 9b: WakeMed provides many opportunities to educate patients on our financial assistance program prior to discharge and again once the first bill is received. In order to make sure we reach out to our patients, we send at least four statements and also make follow-up calls. Each statement references the financial assistance program and the first statement includes a plain language summary of our financial assistance program. Patients are screened for financial assistance and are given opportunities to apply. If a patient chooses not to apply, or does not qualify, they are given the opportunity for other payment arrangements. At any point, if the patient did not apply and ended up in collections due to non-communication, however, eventually expressed interest in financial assistance, a form is supplied. The patient at that point does have the opportunity to apply and all collections would cease. This is completed at the point in which the application is received, even if not all additional documentation is provided. Line 2: The community needs assessment is a process that helps to identify factors affecting our county, determine resources needed to address these factors, and develop a plan of action to address the needs of the communities we serve. During late 2015 and early 2016, WakeMed Health & Hospitals joined with Duke Raleigh, Rex Healthcare, Advance Health Services, Triangle United Way, Wake County Human Services and others to jointly conduct a Community Health Needs Assessment (CHNA). The assessment was completed in June of 2016. The assessment involved input from hundreds of Wake County Residents and public health leaders through surveys, focus groups, and steering committee members. In addition secondary research was completed to compare information we were receiving with other national studies. It can be found on WakeMed website at the following address: http://www.wakemed.org/documents/wake-county-community-health-needs-assess ment.pdf In addition to this primary data, WakeMeds Corporate Planning department collects and analyzes multiple other sources of secondary data which helps us understand demographic, sociographic and health trends. The staff is also charged with forecasting future needs and planning to meet those needs. This process includes a careful analysis of current system capacities and projects future needed capacity to meet population growth and demographic changes. Through this department a strategic plan is developed and updated annually. Line 3: WakeMed posts the required EMTALA notice at all portals of entry where an Emergency Departments is present. The signage notes that WakeMed participates in the Medicaid program. The WakeMed website provides detailed information regarding Financial Assistance and Charity Care. The Patient Billing and Financial Information policy is included in all inpatients' "My Important Papers" folders and is addressed in the Patient Information Guide available in all inpatient rooms. In addition, the Financial Assistance form is located on the website for any patient to complete and submit. As part of the intake process/registration for all patients, WakeMed provides a copy of the Patient Billing and Financial Information policy, which refers patients to Patient Financial Services if they have concerns regarding their ability to pay the bill. All inpatients and patients scheduled for selected outpatient procedures, and who are designated "uninsured" at the time of admission, are contacted personally by a financial counselor. In addition, any patient, regardless of insurance coverage, may request to see a financial counselor. The financial counselor will assess possible Medicaid eligibility and provide an application/financial statement that is submitted to Patient Financial Services to request assistance with medical expenses. WakeMed also has on-site employees from Wake County Human Services to process Medicaid applications for residents of Wake County. Any patient who is uninsured and may be eligible for Disability is referred to a WakeMed disability specialist who will assist with the application. WakeMed includes information regarding financial assistance in all patient billing statements. Line 4: While WakeMed serves patients from all of North Carolinas 100 counties and beyond, its primary service area can best be described as the counties contiguous to Wake County. The vast majority of patients come from Wake and Johnston counties. Both counties have rapidly growing smaller/suburban communities centered around the capital city of Raleigh. These communities look to Raleigh as their primary source for tertiary level care. The market is demographically diverse and fiercely competitive the only market in the state with three major health systems competing against one another. WakeMed shoulders the vast majority of care for the uninsured and underinsured, often exceeding 80% of the burden. Wake County was founded in 1771 and occupies approximately 860 square miles in the Piedmont region of North Carolina. In 1792, the city of Raleigh was named the capital of North Carolina and it remains the most populous municipality in Wake County. With a population in excess of 998,000 persons, the county is the second most populous county in the state. Wake County is home to 12 municipalities. Wake County has experienced population growth over recent years and that growth is expected to continue. According to data from Claritas, Wake County is projected to grow at a higher annual rate than its peer geographies at 1.9 percent annually from 2010 to 2020 with the addition of over 182,000 people. As shown in the table below, residents of these two counties currently exceed one million in population, and that population has continued to grow even amidst the worst economic recession in many decades. The population is fairly diverse. Race and ethnicity information are also presented in the table. TABLE ONE: PRIMARY SERVICE AREA POPULATION 1 WAKE COUNTY JOHNSTON COUNTY TOTAL 2010 935,530 174,793 1,110,323 2015 1,112,839 204,911 1,317,750 % CHANGE 19.0%(3.5%/ANNUM) 17.2%(3.2%/ANNUM) 18.7%(3.4%/ANNUM) RACE AND ETHNICITY WHITE 72% 78% 73% BLACK 20% 16% 19% ASIAN 3% 0% 3% OTHER/UNKNOWN 5% 6% 5% HISPANIC* 8% 11% 9% *(NOT CONSIDERED A RACE, INCLUDED IN TOTALS ABOVE) Line 5: Since opening in 1961, WakeMed has been an institution with an unwavering commitment to the communities it serves by improving the health of the individuals and families we serve. Today, WakeMed offers a broad range of preventive, primary, acute and tertiary services. As Wake Countys largest private employer and a cornerstone of the community, WakeMed is an asset residents can depend on not only for the highest quality of health care inside the hospital and outpatient facilities, but for community outreach in the form of screenings, classes, seminars, health fairs, preventive programs, support groups and other outreach initiatives. The majority of the programs are free and all are designed to improve health, educate and enlighten by offering access to experts, resources, and health information. In addition, our 1,000+ person medical staff is open and comprised primarily of independent practitioners, although the number of employed physicians is growing and now totals more than 280 physicians. Each year we serve, support and work closely with the community in many ways. We absorb the health care costs of those who come to us unable to pay for their care. We educate and train physicians and caregivers. We develop new services and initiatives to enhance access and meet the needs of the underserved. We partner with a variety of community-based organizations to develop programs that answer a specific community health need. We provide donations to community charities and organizations whose goals support our mission. And, we offer a host of community outreach and education programs targeted to the underserved and at-risk populations for cardiovascular disease, diabetes, stroke and avoidable injuries, among others. Beyond the care currently provided within our facilities, WakeMed continues to develop programs and services in those areas which are underserved and are growing. Access to primary care providers is a critical need. As a result, we continue to expand our network of primary care providers who serve community residents, regardless of their ability to pay. WakeMed helps improve the health of the community by outreach that takes on many forms from the direct provision of care to mentoring at-risk youth. Areas of focus for the system are centered on: - Improved access to care through geographically dispersed outpatient facilities, primary care physicians and emergency departments. We also work closely with the community to improve access and affordability for the underserved populations of the community. This is done in part by collaborating with community partners so that health care gaps are addressed. - Working closely with patients and the community to promote and support the optimal prevention and management of chronic diseases, injuries and illness in our most vulnerable populations children. We also have an increased focus on improving and maintaining cardiovascular health, with an emphasis on addressing heart disease, stroke and diabetes pertinent to building a healthier community. - Development of a comprehensive population health program anchored by an accountable care organization with nearly 200,000 covered lives from partnering with CMS and the major insurers within the market. With a focus on quality and coordination of care, patients are receiving value and improving their health. - Continuing efforts to educate healthcare providers of today and tomorrow recognizing that these efforts will ensure a skilled workforce which ultimately builds a healthier and stronger community. - Providing support and leadership in community building activities that address the root causes of health problems. We also encourage employee, volunteer and physician participation, philanthropic support and volunteerism in the community. Line 6: N/A Line 7: WakeMed publishes a community benefit report each year which highlights the financial impact on the community. It is available in print form as well as on the WakeMed web site. WakeMed also voluntarily files a similar community benefit report with the North Carolina Hospital Association. true American Heart Association 4217 Park Place Ct Glen Allen VA 23060 135613797 501(c)(3) 25000 general support Alliance Medical Ministry 101 Donald Ross Dr Raleigh NC 27610 562168673 501(c)(3) 377125 0 medical care Capital Area Soccer League 5017 Memory Rd Raleigh NC 27609 237441292 501(c)(3) 10000 0 general support Dorothea Dix Park Conservancy PO Box 28575 Raleigh NC 27611 208421281 501(c)(3) 10000 0 general support Interfaith Food Shuttle 1001 Blair Dr Raleigh NC 27620 561753180 501(c)(3) 6109 11808 FMV food general support Kidznotes Inc - Band Together NC 120 Morris St Durham NC 27701 270446845 501(c)(3) 10000 0 general support LinkNica 7028 Rainwater Rd Raleigh NC 27615 810893209 501(c)(3) 10000 0 general support Marbles Kids Museum 201 E Hargett St Raleigh NC 27601 581647538 501(c)(3) 20000 0 general support NC Museum of Art 2110 Blue Ridge Rd Raleigh NC 27607 237071511 501(c)(3) 10000 0 general support NC Symphony 3700 Glenwood Ave Ste 130 Raleigh NC 27612 560556755 501(c)(3) 28605 0 general support Urban Ministries of NC PO Box 26476 Raleigh NC 27611 581422700 501(c)(3) 10000 0 general support Wake Tech College Foundation 9109 Fayetteville Rd Raleigh NC 27603 237017752 501(c)(3) 10000 0 general support WakeMed Foundation 3000 New Bern Ave Raleigh NC 27610 561916549 501(c)(3) 46251 0 medical care YMCA of the Triangle 801 Corporate Dr Raleigh NC 27606 560591307 501(c)(3) 17000 0 general support Wake County Human Services PO Box 46833 Raleigh NC 27620 566000376 GOV'T 396139 0 general support C3 Healthcare 8310 Brandford Way Raleigh NC 27615 464497775 606810 0 medical care Debnam Clinic 1501 Poole Rd Raleigh NC 27610 561977593 216000 0 medical care 14 3 HEART CENTER- RONALD MCDONALD 1825 83780 House Usage PRESCRIPTION DRUGS 5361 64188 RX-INDIGENT PATIENTS Procedures for monitoring the use of Grant Funds Schedule I, Part I, line 2 All Grant/Funding requests must be made in writing, and frequently meetings are held with requesting organizations to ensure the requests are in accordance with our goals and guidelines related to donations and sponsorships. All donations are coordinated through one department and are tracked and logged on a spreadsheet with a quick reference to the reason for the gift. WakeMed also keeps a file on each organization and reason for the gift. In most cases WakeMed tracks how the gift was used, outcomes, and the benefits to the community. In the case of large grants, the organization is also asked for a report of the results and the impact. X false true X X X X X true true false false false false false true false KATHLEEN K GORMLEY EXEC VP-OP & AMBULATORY 0 0 20000 0 470004 0 0 0 0 0 490004 0 0 0 DAVID C COULTER SENIOR VP-ADMINISTRATOR CARY 153391 0 0 0 6427 0 9417 0 4518 0 173753 0 0 0 JEANENE R MARTIN SENIOR VP-HUMAN RESOURCES 284531 0 0 0 16563 0 16510 0 15567 0 333171 0 0 0 E DENTON ARLEDGE VP & CIO 299319 0 0 0 9426 0 16530 0 18542 0 343817 0 0 0 THOMAS G CAVENDER VP FACILITIES & CONSTRUCTION 249921 0 0 0 20285 0 16432 0 23033 0 309671 0 0 0 CAROLYN KNAUP SENIOR VP-AMBULATORY SERVICES 277709 0 0 0 16256 0 16392 0 20874 0 331231 0 0 0 BETSY GASKINS-MCCLAINE VP HEART & VASCULAR 252602 0 0 0 1059 0 15774 0 2359 0 271794 0 0 0 CYNTHIA ALNESS-BOILY SENIOR VP-OPERATIONS & CNO 315586 0 0 0 22619 0 16273 0 14769 0 369247 0 0 0 VICKI BLOCK SR VP & ADMINISTRATOR RALEIGH 282541 0 0 0 16025 0 16021 0 12244 0 326831 0 0 0 DUDLEY HARRINGTON VP REVENUE CYCLE 271867 0 0 0 3409 0 16201 0 23694 0 315171 0 0 0 GEORGIA C HARRINGTON VP OPERATIONS 229525 0 0 1751 0 14466 0 12237 0 257979 0 0 0 GURVINDER S DEOL PHYSICIAN 617263 0 416822 0 2820 0 45735 0 22072 0 1104712 0 0 0 JONATHAN D CHAPPELL PHYSICIAN 576717 0 335798 0 614 0 40387 0 16623 0 970139 0 0 0 DONALD R GINTZIG President & CEO 892968 0 0 0 57649 0 63367 0 17532 0 1031516 0 0 0 OKECHUKWU E NWOKO PHYSICIAN 543709 0 456309 0 907 0 40998 0 6819 0 1048742 0 0 0 TIMOTHY E HARRIS PHYSICIAN 599627 0 210326 0 2797 0 40181 0 23598 0 876529 0 0 0 DENISE WARREN Exec VP & COO (BEGIN 10/19/15) 83819 0 50000 0 20753 0 4660 0 1674 0 160906 0 0 0 MICHAEL P BROWNING CFO, EXEC. VP (Until 8/5/16) 181021 0 75000 0 250 0 7731 0 4301 0 268303 0 0 0 JOHN R FINLEY CHIEF COMPLIANCE OFFICER 119117 0 25000 0 27143 0 9516 0 10360 0 191136 0 0 0 JOHN S PIATKOWSKI SR VP AMBULATORY & PHYSICAN OP 396387 0 0 0 16495 0 15900 0 22638 0 451420 0 0 0 SHERI D DESHAZO SR VP ADMINISTRATION-NORTH 208956 0 0 0 13612 0 14059 0 24161 0 260788 0 0 0 JAMES T O'NEIL JR PHYSICIAN 447995 0 369955 0 364 0 27755 0 17386 0 863455 0 0 0 WILLIAM K ATKINSON PHD FORMER CEO 0 0 0 0 721020 0 0 0 0 0 721020 0 0 0 MICHAEL D DEVAUGHN CFO, EXECUTIVE VP 433766 0 20000 0 18788 0 8982 0 6888 0 488424 0 0 0 THOMAS GETTINGER COO, EXEC. VP (UNTIL 12/31/15) 442806 0 20000 0 19244 0 16433 0 22345 0 520828 0 0 0 SCHEDULE J, PART I, LINE 1A TAX INDEMNIFICATION AND GROSS-UP PAYMENTS ARE PAID TO SOME KEY EMPLOYEES. THEY ARE INCLUDED IN TAXABLE INCOME. SCHEDULE J, PART I, LINE 1B KEY EMPLOYEES BENEFITS REQUIRING GROSS-UP ARE COVERED BY EMPLOYMENT AGREEMENT, AND ADDITIONAL ONES ARE APPROVED BY THE BOARD OF DIRECTORS. SCHEDULE J, PART I, LINE 4A William K. Atkinson, former CEO, severance paid $721,020; date of termination 9/19/2015 Kathleen K. Gormley, former key employee, severance paid $490,004; date of termination 6/4/2014 SCHEDULE J, PART I, LINE 4B WakeMed maintained a 457f plan for certain individuals. Contributions were made to only six of these during the fiscal year. The following individuals participated in WakeMeds 457f plan during the fiscal year ending 9/30/2016: Donald Gintzig $46,710 Gurvider S. Deol $36,334 Jonathan D. Chappell $30,458 Okechukwu E. Nwoko $32,226 Timothy E. Harris $31,243 James T. ONeil $19,803 SCHEDULE J, PART I, LINE 7 WakeMed has incentive based programs that are driven by accomplishing targets associated with quality of care for discharge instructions, patient satisfaction and minimum operating margin. A North Carolina Medical Care Commission 521309402 65821DC58 2009-02-26 75000000 See Part VI false false false B North Carolina Medical Care Commission 521309402 65821DCW9 2009-07-16 81780000 See Part VI false false false C North Carolina Medical Care Commission 521309402 65821DLY5 2012-07-11 315717962 See Part VI false false false A 0 0 75249667 0 0 0 835544 37919 0 74376204 0 0 2010 false false true true B 23310000 0 81780000 0 0 0 817125 41347 0 0 80921528 0 2012 true false true true C 23975000 0 315718073 0 0 172556247 2994195 0 0 0 140167631 0 2012 true true true true A false false true true false 0 false false false true B false false false false 0 false false false true C false true true true false 0 false false false true A false false false true true false 0 false 0 false true B false false false true true false 0 false 0 false true C false true false false false false 0 false 0 false true A true B true C true PURPOSE Schedule K, Part I, A(f) Financing (a) costs of construction, renovating and equipping certain hospital facilities, including WakeMed Cary 2-story vertical expansion, 10-bed Labor and Delivery unit expansion and parking deck, WakeMed Raleigh 4-story patient tower, parking deck for visitors and patients, employee parking deck, portions of Rehabilitation Hospital for inpatient beds, the first floor of the main hospital for a 25-bed observation unit and related, and other equipment; (b) initial costs for credit facility for the bonds; and (c) issuance costs. PURPOSE SCHEDULE K, PART I, B(f) Financing (a) costs of currently refunding all outstanding series 1997 bonds issued April 1, 1997. The series 1997 bonds were issued to refund all of series 1993 and 1988 bonds, which were issued to finance costs of constructing, expanding, renovating, and equipping certain hospital facilities, including construction of WakeMed Cary Hospital, a 2-story addition of the WakeMed main campus, a 45-bed Rehabilitation Hospital and related, and other equipment; and (b) issuance costs. PURPOSE Schedule K, Part I, C(f) The series 2012A bonds were issued to refund all the series 2001 and the 2009A bonds and pay certain expenses incurred in the connection with the issuance and sale of the 2012A bonds. The proceeds of the refunded 2001 bonds and the refunded 2009A bonds were used to finance the costs of various improvements to the corporation's healthcare facilities. The date of issue for the refunded 2011 bonds is 3/15/2001 and date of issue for the refunded 2009A bonds is 2/10/2009. Total proceeds of issue Schedule K, Part II, 3, Columns A, B, & C Total proceeds include investment earnings. Issuance Costs from proceeds Schedule K, Part II, Line 7, Columns A, B, & C The amounts reported on Form 8038 as proceeds used for bond issuance costs were estimates. The amounts reported on Schedule K represent the actual use of proceeds. Schedule K credit enhancement reported was from the initial letter of credit fee paid from bond proceeds. This amount was unknown at the time of the Form 8038 preparation. Capital expenditures from proceeds Schedule K, Part II, Line 10, Column A Bond series 2009B generated $249,667 in interest. Arbitrage rebate Schedule K, Part IV, 2c Arbitrage rebate calculation performed on 2/25/2014 for A; 7/15/2014 for B, next scheduled calculation date for C is 10/1/2017. DBAS FOR WAKEMED FORM 990, HEADER C, DBA 1. Wake Medical Center 2. Western Wake Hospital 3. Northern Wake Hospital 4. Wake Heart Center 5. Western Wake Medical Center 6. Wake Rehabilitation Hospital 7. Wake Area Health Education Center 8. Wake AHEC 9. Eastern Wake Day Hospital and Skilled Nursing Facility 10. WakeMed Home Care 11. WakeMed - New Bern Avenue Campus 12. WakeMed - Western Wake Medical Center 13. WakeMed Rehab 14. WakeMed - Fuquay-Varina 15. WakeMed - Zebulon-Wendell 16. WakeMed Raleigh Campus 17. WakeMed Cary Hospital 18. WakeMed North Healthplex 19. WakeMed Clayton Medical Park 20. WakeMed Cary Outpatient Rehab Center 21. WakeMed Fuquay-Varina Outpatient & Skilled Nursing Facility 22. WakeMed Zebulon/Wendell Outpatient & Skilled Nursing Facility 23. WakeMed Wake Forest Road Outpatient Rehab Center 24. WakeMed Home Health 25. WakeMed Health & Hospitals 26. WakeMed Emergency Services Institute 27. WakeMed Center for Patient Safety 28. WakeMed Apex Healthplex 29. WakeMed Apex Day Surgery Center, LLC 30. WakeMed Professional Staff 31. WakeMed Mobile Critical Care Services 32. WakeMed Center for Innovative Learning 33. WakeMed Brier Creek Healthplex 34. WakeMed Outpatient Pharmacy 35. WakeMed Garner Healthplex 36. WakeMed Zebulon/Wendell Outpatient Rehabilitation 37. WakeMed Children's Hospital 38. WakeMed Children's 39. WakeMed North 40. WakeMed Rehabilitation Hospital 41. WakeMed Brier Creek Medical Park 42. WakeMed Raleigh Medical Park 43. WakeMed OP Rehab - Banks D Kerr Family YMCA Raleigh, NC 44. WakeMed OP Rehab - Cary Family YMCA Cary, NC 45. WakeMed OP Rehab - Kraft Family YMCA Apex, NC 46. WakeMed OP Rehab - Alexander Family YMCA Raleigh, NC 47. WakeMed Physician Practices OTHER REGISTERED DBA'S INCLUDE: 48. Wake Specialty Brier Creek Internal Medicine 49. Wake Specialty ENT - Head & Neck Surgery 50. Wake Specialty Facial Plastics 51. Wake Specialty Gastroenterology & Hepatology 52. Wake Specialty General Surgery 53. Wake Specialty OB/GYN 54. Wake Specialty Physicians ENT - Head & Neck Surgery 55. Wake Specialty Physicians Facial Plastics 56. Wake Specialty Physicians Gastroenterology & Hepatology 57. Wake Specialty Physicians General Surgery 58. Wake Specialty Physicians Internal Medicine Brier Creek 59. Wake Specialty Physicians OB/GYN 60. Wake Specialty Physicians Urology 61. Wake Specialty Physicians Women's Center 62. Wake Specialty Urology 63. Wake Specialty Women's Center 64. Wake Specialty Physicians Maternal Fetal Medicine 65. Wake Specialty Physicians Employee Health 66. Falls Pointe Medical Group 67. Wake Specialty Physicians - City Center Medical Group 68. Wake Specialty Physicians - Carolina Cardiology 69. Wake Specialty Physicians - Concussion Clinic 70. Wake Specialty Physicians - Apex Medical Group 71. Wake Specialty Physicians - Accent Urgent Care 72. Wake Specialty Physicians - Wake Orthopaedics 73. Wake Specialty Physicians - North Wake Internal Medicine 74. Wake Specialty Physicians Pulmonology 75. Wake Specialty Physicians - Knightdale Family Practice 76. Wake Specialty Physicians - Carolina Cardiovascular Surgical Associates 77. Wake Specialty Physicians - Capital Urology 78. Wake Specialty Physicians - Morrisville Primary Care 79. Wake Specialty Physicians - Garner Primary Care 80. Wake Specialty Physicians - Fuquay Varina Primary Care 81. Wake Specialty Physicians - Structural Heart 82. Wake Specialty Physicians - Raleigh Cardiology 83. Wake Specialty Physicians - Raleigh Cardiology Associates 84. Wake Specialty Physicians - Cardiovascular 85. Wake Specialty Physicians - Parkway Primary Care 86. WakeMed Physician Practices Physical Therapy 87. Wake Orthopaedics 88. WakeMed Urgent Care 89. WakeMed Heart and Vascular Physicians OTHER PROGRAM SERVICES FORM 990, PART III, LINE 4D Other program services include hospital in and outpatient ancillary care services in other specialty areas not listed above. MEMBERS, STOCKHOLDERS, OR OTHER PERSONS W/ POWER TO APPOINT GOVERNING BODY FORM 990, PART VI, SECTION A, LINE 7A Eight members of the Board are appointed to the Board of Directors by Wake County. GOVERNANCE DECISIONS RESERVED TO MEMBERS, STOCKHOLDERS, OR PERSONS OTHER THAN THE GOVERNING BODY FORM 990, PART VI, SECTION A, LINE 7B THE WAKE COUNTY BOARD OF COMMISSIONERS HOLDS LIMITED APPROVAL OVER SOME GOVERNING BODY DECISIONS PERTAINING TO ARTICLES V, VI, VII AND IX IN THE ARTICLES OF INCORPORATION. THE TRANSFER AGREEMENT WITH WAKE COUNTY INDICATES APPROVAL/CONSENT FOR TRANSACTIONS PERTAINING TO SUBSTANTIAL DISPOSITION OF ASSETS AND COVENANTS ON LIENS. PROCESS USED BY THE ORGANIZATION TO REVIEW FORM 990 FORM 990, PART VI, SECTION B, LINE 11B THE ENTIRE 990 AND ASSOCIATED SCHEDULES ARE REVIEWED BY THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS TO ACKNOWLEDGE THEY HAVE REVIEWED FORMS AND SCHEDULES AND THEN RECOMMEND APPROVAL TO THE BOARD. A FINAL COPY IS PROVIDED TO THE BOARD BEFORE FILING. MONITORING WRITTEN CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION MONITORS AND ENFORCES THE CONFLICT OF INTEREST POLICY IN VARIOUS WAYS. EACH YEAR, MEMBERS OF THE BOARD, COMMITTEES WITH BOARD DELEGATED POWERS, CEO, CORPORATE STAFF, EXECUTIVE STAFF, DIRECTORS, MANAGERS ARE REQUIRED TO COMPLETE AND SUBMIT A CONFLICT OF INTEREST QUESTIONNAIRE. THOSE INDIVIDUALS ARE REQUIRED TO PROVIDE WRITTEN DOCUMENTATION OF ANY POTENTIAL CONFLICT OF INTEREST, IDENTIFYING MATERIAL FINANCIAL INTEREST/PERSONAL CONFLICTS OF INTEREST. REMEDIAL MEASURES IMPLEMENTED TO ADDRESS CONFLICTS OF INTEREST INCLUDE ABSTENTION FROM VOTING ON CERTAIN ISSUES AS WELL AS RECUSAL FROM THE DECISION MAKING PROCESS AND PARTICIPATION INVOLVING THE IDENTIFIED ISSUE/AREA. THE CODE OF CONDUCT PROVIDES GUIDANCE ON GIFTS AND TRAVEL. GIFTS SHOULD NOT BE ACCEPTED AND PRIOR TO ANY TRAVEL/LODGING PAID FOR BY A THIRD PARTY, WRITTEN APPROVAL MUST BE OBTAINED FROM AN EXECUTIVE VICE PRESIDENT. ALSO, EMPLOYEES WHO OWN OR WORK IN A PRIVATE BUSINESS OUTSIDE OF WAKEMED ARE NOT ALLOWED TO RECRUIT OR PROMOTE THEIR PRODUCTS AND SERVICES DURING WORK HOURS OR THROUGH WAKEMED PRINTED MATERIALS. PROCESS FOR DETERMINING COMPENSATION OF CEO, EXEC. DIR., OR TOP MGMT OFFICIAL FORM 990, PART VI, SECTION B, LINES 15A & 15B Review of compensation is performed by an independent firm. Every three years an executive competitive compensation review is performed. On alternate years, the SVP/HR presents market data comparisons to a Board of Director's committee for review. AVAILABILITY OF FINANCIAL STMT, CONFLICT OF INTEREST, ORGANIZING DOCS FORM 990, PART VI, SECTION C, LINE 19 The 990 is available by request and is published on Guidestar. Financial statements are publically available through the NC Medical Care Commission as it relates to tax exempt debt. The annual audited financial statements and transfer agreement are provided each year to Wake County commissioners and become public information. Articles of Incorporation are available on the NC Secretary of State website. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 9 TRANSFERS BETWEEN AFFILIATES (980,983) TRANSFER OF FIXED ASSETS (208,727) DONATED CAPITAL TO FINANCE PPE 519,271 GIFTS/GRANTS/BEQUESTS/PLEDGES 37,856 FOUNDATION TO WAKEMED (131,574) INTERCO CASH TRANSFERS (671,371) ROUNDING 4 ----------- TOTAL (1,435,528) Wake Specialty Physicians LLC 2009 New Bern Ave Raleigh NC 27610 264169156 med office NC 127318732 37609975 NA CSAMS New Bern Ave LLC 3000 New Bern Ave Raleigh NC 27610 260554927 healthcare NC 0 561850 NA Wake Orthopaedics LLC 3009 New Bern Ave Raleigh NC 27610 043750760 med office NC 0 0 NA Wake Property Services 3000 New Bern Avenue Raleigh NC 27610 561133894 leasing NC 501(c)(3) 11b NA false Wake Faculty Practice Plan 3000 New Bern Avenue Raleigh NC 27610 237169178 medical NC 501(c)(3) 11b NA false The Volunteers at Cary Campus 3000 New Bern Avenue Raleigh NC 27610 561798031 volunteers NC 501(c)(3) 11b NA false WakeMed Foundation 3000 New Bern Avenue Raleigh NC 27610 561916549 support NC 501(c)(3) 7 NA false The Volunteers at Raleigh Campus 3000 New Bern Avenue Raleigh NC 27610 560749114 volunteers NC 501(c)(3) 11b NA false Cap City Surg CNTR 3000 New Bern Ave Raleigh NC 27610 260804803 healthcare NC NA Related 7153615 3999953 false 6920313 false 0.50000 Wake Pet Services 3000 New Bern Ave Raleigh NC 27610 263108205 equipment leasing NC NA Related 181478 59059 false 0 false 0.50000 Dogwood Ins Co (SPC) Ltd WM Seg Port PO Box 493 Century Yard KY1-1106 Grand Cayman CJ KY1-1106 Captive CJ NA C Corp 0 49698863 1.00000 true WakeMed Key Community Care LLC 3000 New Bern Ave Raleigh NC 27610 462853835 ACO NC NA C Corp -3964627 2888238 0.50000 false false true true false false false false false false true true false false false false false true true true Dogwood Ins Co (SPC) LTD Wakemed Seg Port R 9735024 cash Identification of Disregarded Entities Schedule R, Part I, Line 4 Wake Orthopaedics was merged with Wake Specialty Physicians on August 26, 2015.