WAKEMED: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
WAKEMED (EIN 56-6017737)
Tax period
2014-10-01 to 2015-09-30
Filed
2016-08-12
IRS object ID
201622259349303792
Schema version
2014v6.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-08-12T15:35:17-05:00ReturnTs
Tax Period End2015-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1100 NORTH TRYON STREET SUITE 3800AddressLine1Txt
CityCHARLOTTECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28202ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN566017737EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WakeMedBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% Mike Browning CFO WakeMedInCareOfNm
Business Name ControlWAKEBusinessNameControlTxt
Phone9193500522PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13000 NEW BERN AVEAddressLine1Txt
CityRALEIGHCityNm
State AbbreviationNCStateAbbreviationCd
ZIP276101215ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMike BrowningPersonNm
Person TitleCFOPersonTitleTxt
Signature2016-07-29SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonChristopher BoggsPreparerPersonNm
PTINP00032493PTIN
Phone7043726300PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-09-27 15:27:22ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1see Schedule OBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerDonald GintzigPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13000 New Bern AvenueAddressLine1Txt
CityRaleighCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27610ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,375,460,460GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.WAKEMED.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1965FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionWAKEMED IS A MULTI-FACILITY HEALTHCARE SYSTEM PROVIDING STATE OF THE ART HIGH QUALITY CARE.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee10267TotalEmployeeCnt
Total Volunteers1410TotalVolunteersCnt
Total Gross UBI$5,211,568TotalGrossUBIAmt
PY Contributions Grants$4,731,146PYContributionsGrantsAmt
CY Contributions Grants$4,801,839CYContributionsGrantsAmt
PY Program Service Revenue$1,004,043,448PYProgramServiceRevenueAmt
CY Program Service Revenue$1,037,538,168CYProgramServiceRevenueAmt
PY Investment Income$8,320,038PYInvestmentIncomeAmt
CY Investment Income$14,642,937CYInvestmentIncomeAmt
PY Other Revenue$7,290,054PYOtherRevenueAmt
CY Other Revenue$8,246,694CYOtherRevenueAmt
PY Total Revenue$1,024,384,686PYTotalRevenueAmt
CY Total Revenue$1,065,229,638CYTotalRevenueAmt
PY Grants And Similar Paid$1,898,108PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,951,501CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$579,567,162PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$616,878,025CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$452,702,426PYOtherExpensesAmt
CY Other Expenses$479,394,201CYOtherExpensesAmt
PY Total Expenses$1,034,167,696PYTotalExpensesAmt
CY Total Expenses$1,098,223,727CYTotalExpensesAmt
PY Revenues Less Expenses-$9,783,010PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$32,994,089CYRevenuesLessExpensesAmt
Total Assets BOY$1,423,447,229TotalAssetsBOYAmt
Total Assets EOY$1,424,443,922TotalAssetsEOYAmt
Total Liabilities BOY$632,851,201TotalLiabilitiesBOYAmt
Total Liabilities EOY$714,913,794TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$790,596,028NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$709,530,128NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionThe mission of WakeMed is to improve the health and well-being of our community with outstanding and compassionate care to all.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$230,006,692ExpenseAmt
Revenue$236,735,710RevenueAmt
DescSurgical 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. WakeMed's 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 County's only state designated level 1 trauma, WakeMed provides comprehensive trauma surgery for general, orthopedic, neurosurgery, and vascular trauma patients. Because access to specialty care continues to be a key health concerns 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 36.3% who were insured under Medicare, 12.5% who were insured under Medicaid and 5.9% who were uninsured (or "self-pay or charity care").Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$163,807,699ExpenseAmt
Revenue$167,214,719RevenueAmt
DescHeart Center - WakeMed's heart and vascular program is one of the largest and most comprehensive cardiovascular programs in the state of North Carolina. Last year, more than 17,000 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, and in 2014, we again received several honors. WakeMed Raleigh Campus and WakeMed Cary Hospital both again earned the Platinum Performance Achievement Award from the ACTION Registry - GWTG of the American College of Cardiology's National Cardiovascular Data Registry for our cardiovascular services. Only 32 hospitals throughout North Carolina's 126 hospitals earned this distinction this past year. Additionally, both hospitals 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 accreditation by the Society of Cardiovascular Patient Care, and both received the Joint Commission Advanced Certification for Primary Stroke Centers, and WakeMed Cary Hospital received the Silver Level Award as a referring hospital from the American Heart Association's Mission Lifeline. WakeMed Health & Hospitals was recognized in U.S. News & World Report as High Performing hospitals in cardiology and heart surgery in their 2014 Best Hospitals Issue. WakeMed Health & Hospitals was also designation a Blue Distinction Center+ for Cardiac Care by BlueCross BlueShield of NC. And finally in 2014, WakeMed Health & Hospitals was one of 35 hospitals in the nation selected to participate in the American College of Cardiology's Patient Navigator Program. A key support service for our community, WakeMed Mobile Critical Care Services provides comprehensive patient transports by ground and air ambulance helping patients who need immediate intervention or acute care services. Serving the region and all of North Carolina, ground mobile is the busiest inter-facility ground transport service in the state. In 2014, ground mobile transported over 18,000 critically ill patients and air mobile completed 529 flights. Heart disease - with 933 deaths - remains the second leading cause of death in Wake County, and the county's 2013 Community Health Needs Assessment identified management of chronic diseases related to cardiovascular problems of paramount importance to Wake County residents' overall health. WakeMed's 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 on-going 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 WakeMed's emergency departments are certified chest pain centers and WakeMed Raleigh Campus and Cary Hospital are designated primary stroke centers. Additionally, WakeMed's Heart Center provides free health screenings throughout the year 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, 58.5% were insured under Medicare, 7.0% were insured under Medicaid, and 5.4% of these patients were uninsured. uninsured. were insured under Medicaid, and 5.4% of these patients were uninsured. uninsured.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$129,078,955ExpenseAmt
Revenue$153,116,752RevenueAmt
DescEmergency - 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, stand-alone 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 Children's Emergency Department in the county. And because physician availability is key to opening up access to care, WakeMed's 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. WakeMed's Raleigh Campus is also home to Wake County's 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. WakeMed's Emergency and Trauma Services treat all patients who present seeking medical care, regardless of their ability to pay. In FY 2015, 12.9% of our total emergency patients were insured under Medicare; 26.9% were insured under Medicaid; and 19.2% 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 County's uninsured and Medicaid patients. All stand-alone locations serve areas which are otherwise underserved by dedicated medical services.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$463,773,019TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$1,951,501TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$488,088,777TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$986,666,365TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document548IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee10267EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountYes (true)ForeignFinancialAccountInd
Foreign CountryCJForeignCountryCd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldNCStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMike Browning CFO WakeMedPersonNm
Phone9193500522PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13000 New Bern AvenueAddressLine1Txt
CityRaleighCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27610ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
HENRY DARNELL
BOARD MEMBER6.00.0Yes (X)$0$0$0
STEPHEN M SMITH
BOARD MEMBER7.00.0Yes (X)$0$0$0
BRENDA C GIBSON
CHAIR BOARD OF DIRECTORS13.00.0Yes (X)$0$0$0
JERRY C BERNSTEIN MD
SECRETARY - BOARD OF DIRECTORS7.00.0Yes (X)$0$0$0
LARRY D BARBOUR
Vice Chair Board of Directors6.00.0Yes (X)$0$0$0
ROBERT A CERWIN
BOARD MEMBER6.00.0Yes (X)$0$0$0
A BLANTON GODFREY PHD
BOARD MEMBER7.00.0Yes (X)$0$0$0
VERN DAVENPORT
BOARD MEMBER (beg 5/2015)4.00.0Yes (X)$0$0$0
KRISTIN G REPLOGLE
BOARD MEMBER (beg 6/2015)3.00.0Yes (X)$0$0$0
ROBERT C RICE JR
BOARD MEMBER (beg 5/2015)4.00.0Yes (X)$0$0$0
WILLY E STEWART
BOARD MEMBER (beg 7/2015)4.00.0Yes (X)$0$0$0
DAN BLUE III
BOARD MEMBER (beg 10/2015)6.00.0Yes (X)$0$0$0
DON MUNFORD
BOARD MEMBER8.00.0Yes (X)$0$0$0
CHRISTINA ALVARADO SHANAHAN
BOARD MEMBER7.00.0Yes (X)$0$0$0
LESLIE MERRITT JR
BOARD MEMBER6.00.0Yes (X)$0$0$0
WILLIAM H MCBRIDE
CHAIR - BOARD OF DIRECTORS8.00.0Yes (X)$0$0$0
WILLIAM R MCNEAL
BOARD MEMBER6.00.0Yes (X)$0$0$0
MICHAEL D DEVAUGHN
CFO, EXECUTIVE VP65.00.0$470,701$0$17,037Yes (X)
THOMAS GETTINGER
COO, EXECUTIVE VP70.00.0$482,221$0$40,036Yes (X)
ROYLYN JOHNSON
OFFICER - SECRETARY55.00.0$94,873$0$15,309Yes (X)
DONALD R GINTZIG
President & CEO70.00.0$1,168,314$0$83,095Yes (X)
DAVID C COULTER
SENIOR VP-ADMINISTRATOR CARY57.00.0$383,686$0$32,348Yes (X)
JEANENE R MARTIN
SENIOR VP-HUMAN RESOURCES65.00.0$291,369$0$23,812Yes (X)
E DENTON ARLEDGE
VP & CIO60.00.0$296,666$0$37,704Yes (X)
THOMAS G CAVENDER
VP FACILITIES & CONSTRUCTION50.00.0$264,865$0$39,815Yes (X)
CAROLYN KNAUP
SENIOR VP-AMBULATORY SERVICES58.00.0$287,885$0$38,266Yes (X)
BETSY GASKINS-MCCLAINE
VP HEART & VASCULAR65.00.0$243,851$0$31,148Yes (X)
CYNTHIA ALNESS-BOILY
SENIOR VP-OPERATIONS & CNO60.00.0$329,049$0$36,025Yes (X)
VICKI BLOCK
SR VP & ADMINISTRATOR RALEIGH60.00.0$289,815$0$31,261Yes (X)
DUDLEY HARRINGTON
VP REVENUE CYCLE60.00.0$275,866$0$40,893Yes (X)
GEORGIA C HARRINGTON
VP OPERATIONS55.00.0$210,893$0$25,863Yes (X)
GURVINDER S DEOL
PHYSICIAN65.00.0$901,341$0$69,530Yes (X)
JONATHAN D CHAPPELL
PHYSICIAN65.00.0$752,479$0$60,337Yes (X)
MARK L WOOD
PHYSICIAN65.00.0$731,895$0$63,329Yes (X)
OKECHUKWU E NWOKO
PHYSICIAN65.00.0$803,605$0$48,348Yes (X)
TIMOTHY E HARRIS
PHYSICIAN60.00.0$771,638$0$68,145Yes (X)
WILLIAM K ATKINSON PHD
FORMER CEO0.00.0$937,325$0$0Yes (X)
KATHLEEN K GORMLEY
EXEC VP-OP & AMBULATORY0.00.0$585,381$0$23,116Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$10,573,718TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$825,417TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K659IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Evolent Health Inc
800 N Glebe Rd Ste 500ArlingtonVA22203Healthcare Consult$20,333,377
Cary Cardiology PA
300 Keisler Dr Ste 204CaryNC27518Professional Svcs$9,926,148
Integrated Medical Systems Internat
PO Box 2725ColumbusGA31902Surg Med Device Mgmt$3,378,263
University of NC Hospitals
General Accounting Ste 2033 211 FChapel HillNC27517Healthcare Services$3,165,150
Napolitano Company
90 West Wieuca Rd Ste 103AtlantaGA30342Advertising Agency$3,070,942
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K88CntrctRcvdGreaterThan100KCnt
Fundraising$0FundraisingAmt
Related Organizations$11,683RelatedOrganizationsAmt
Government Grants$4,150,818GovernmentGrantsAmt
All Other Contributions$639,338AllOtherContributionsAmt
Noncash Contributions$0NoncashContributionsAmt
Total Contributions$4,801,839TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Patient Services621500$1,003,412,213$1,003,412,213$0$0
Non-Patient Services621500$4,127,489$0$4,127,489$0
Cafeteria722210$4,740,888$0$0$4,740,888
Purch Dscnts/Rebate/VHA900099$3,069,865$3,069,865$0$0
Other Operating Revenue900099$9,336,037$1,738,881$1,084,079$6,513,077

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,851,676TotalRevenueColumnAmt
Related Or Exempt Func Income$12,851,676RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,037,538,168TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,532,998TotalRevenueColumnAmt
Exclusion$8,532,998ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$711,613RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$82,709RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$628,904RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$628,904TotalRevenueColumnAmt
Exclusion$628,904ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$314,153,383SecuritiesAmt
Other$2,104,669OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$309,329,012SecuritiesAmt
Other$819,101OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$4,824,371SecuritiesAmt
Other$1,285,568OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,109,939TotalRevenueColumnAmt
Exclusion$6,109,939ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescREV FROM JOINT VENTUREDesc
Total Revenue Column$7,617,790TotalRevenueColumnAmt
Related Or Exempt Func Income$7,617,790RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$7,617,790OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,065,229,638TotalRevenueColumnAmt
Related Or Exempt Func Income$1,028,690,425RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$5,211,568UnrelatedBusinessRevenueAmt
Exclusion$26,525,806ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,817,311TotalAmt
Program Services$1,817,311ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$134,190TotalAmt
Program Services$134,190ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$6,552,389TotalAmt
Program Services$5,241,911ProgramServicesAmt
Management And General$1,310,478ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$499,167,753TotalAmt
Program Services$424,292,590ProgramServicesAmt
Management And General$74,875,163ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$25,689,567TotalAmt
Program Services$21,836,132ProgramServicesAmt
Management And General$3,853,435ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$50,660,747TotalAmt
Program Services$43,061,635ProgramServicesAmt
Management And General$7,599,112ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$34,807,569TotalAmt
Program Services$29,586,434ProgramServicesAmt
Management And General$5,221,135ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,123,237TotalAmt
Program Services$1,995,843ProgramServicesAmt
Management And General$127,394ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$293,394TotalAmt
Program Services$268,602ProgramServicesAmt
Management And General$24,792ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$406,143TotalAmt
Program Services$393,496ProgramServicesAmt
Management And General$12,647ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$856,180TotalAmt
Program Services$804,809ProgramServicesAmt
Management And General$51,371ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$97,144,920TotalAmt
Program Services$91,316,225ProgramServicesAmt
Management And General$5,828,695ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$5,425,444TotalAmt
Program Services$5,099,917ProgramServicesAmt
Management And General$325,527ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$35,101,043TotalAmt
Program Services$32,994,980ProgramServicesAmt
Management And General$2,106,063ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$19,532,749TotalAmt
Program Services$18,360,784ProgramServicesAmt
Management And General$1,171,965ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$21,642,905TotalAmt
Program Services$20,344,331ProgramServicesAmt
Management And General$1,298,574ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$762,858TotalAmt
Program Services$717,087ProgramServicesAmt
Management And General$45,771ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$860,455TotalAmt
Program Services$808,828ProgramServicesAmt
Management And General$51,627ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$10,715,230TotalAmt
Program Services$10,715,230ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$70,768,588TotalAmt
Program Services$70,768,588ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,107,930TotalAmt
Program Services$4,801,454ProgramServicesAmt
Management And General$306,476ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Medical Supplies$139,719,706$139,719,706$0$0
GAP Assessment$29,966,133$28,168,165$1,797,968$0
Repairs/Maintenance$22,936,656$18,349,325$4,587,331$0
UBI TAXES$2,291$2,291$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$16,028,339TotalAmt
Program Services$15,068,792ProgramServicesAmt
Management And General$959,547ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,098,223,727TotalAmt
Program Services$986,666,365ProgramServicesAmt
Management And General$111,557,362ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Joint Costs TotalJointCostsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$59,580BOYAmt
EOY$54,196EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$442,952,517BOYAmt
EOY$467,794,154EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$64,410BOYAmt
EOY$195,092EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$220,110,341BOYAmt
EOY$182,674,048EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$8,946,756BOYAmt
EOY$7,460,672EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$21,286,609BOYAmt
EOY$19,488,355EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$11,079,654BOYAmt
EOY$11,090,921EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,438,779,235LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$887,903,396LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$581,581,781BOYAmt
EOY$550,875,839EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$49,784,743BOYAmt
EOY$68,611,521EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$942,955BOYAmt
EOY$547,174EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$86,637,883BOYAmt
EOY$115,651,950EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,423,447,229BOYAmt
EOY$1,424,443,922EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$142,508,328BOYAmt
EOY$138,795,661EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$960,613BOYAmt
EOY$787,099EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$444,153,422BOYAmt
EOY$433,192,380EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$100,000,000EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$45,228,838BOYAmt
EOY$42,138,654EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$632,851,201BOYAmt
EOY$714,913,794EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$790,034,915BOYAmt
EOY$708,942,590EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$228,572BOYAmt
EOY$252,020EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$332,541BOYAmt
EOY$335,518EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$790,596,028BOYAmt
EOY$709,530,128EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,423,447,229BOYAmt
EOY$1,424,443,922EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$32,994,089ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$7,481,092NetUnrlzdGainsLossesInvstAmt
Investment Expense$856,180InvestmentExpenseAmt
Other Changes In Net Assets-$41,446,899OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementYes (true)PaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Media Advertisements$0MediaAdvertisementsAmt
Mailings MembersfalseMailingsMembersInd
Mailings Members$0MailingsMembersAmt
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Publications Or Broadcast$0PublicationsOrBroadcastAmt
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Grants Other Organizations$0GrantsOtherOrganizationsAmt
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$536,382DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Rallies Demonstrations$0RalliesDemonstrationsAmt
Other ActivitiesfalseOtherActivitiesInd
Other Activities$0OtherActivitiesAmt
Total Lobbying Expenditures$536,382TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1FormAndLineReferenceDesc
ExplanationWakeMed 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 organization's ability to fulfill its mission of care for all, regardless of the ability to pay.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$332,541BeginningYearBalanceAmt
Investment Earnings Or Losses$4,776InvestmentEarningsOrLossesAmt
Administrative Expenses$1,799AdministrativeExpensesAmt
End Year Balance$335,518EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$329,232BeginningYearBalanceAmt
Investment Earnings Or Losses$5,081InvestmentEarningsOrLossesAmt
Administrative Expenses$1,772AdministrativeExpensesAmt
End Year Balance$332,541EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$324,984BeginningYearBalanceAmt
Investment Earnings Or Losses$6,008InvestmentEarningsOrLossesAmt
Administrative Expenses$1,760AdministrativeExpensesAmt
End Year Balance$329,232EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$327,535BeginningYearBalanceAmt
Investment Earnings Or Losses$5,044InvestmentEarningsOrLossesAmt
Other Expenditures$6,310OtherExpendituresAmt
Administrative Expenses$1,285AdministrativeExpensesAmt
End Year Balance$324,984EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$322,669BeginningYearBalanceAmt
Investment Earnings Or Losses$5,980InvestmentEarningsOrLossesAmt
Administrative Expenses$1,114AdministrativeExpensesAmt
End Year Balance$327,535EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,889,817OtherCostOrOtherBasisAmt
Book Value$3,889,817BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$602,857,868OtherCostOrOtherBasisAmt
Depreciation$271,694,674DepreciationAmt
Book Value$331,163,194BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$22,107,214OtherCostOrOtherBasisAmt
Depreciation$10,569,136DepreciationAmt
Book Value$11,538,078BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$777,791,368OtherCostOrOtherBasisAmt
Depreciation$588,833,032DepreciationAmt
Book Value$188,958,336BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$32,132,968OtherCostOrOtherBasisAmt
Depreciation$16,806,554DepreciationAmt
Book Value$15,326,414BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$550,875,839TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
Restricted Funds$51,907,014
Designated Funds$39,956,006
Other Equity Investments$15,083,477
Prepaid Pension$8,705,453
FieldValueIRS element (for citing)
Total Book Value Other Assets$115,651,950TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
Due to 3rd Parties$19,081,159
Accrued Malpractice$22,549,812
Capital Leases$364,152
Deferred Landlord Incentive$143,531
FieldValueIRS element (for citing)
Total Liability$42,138,654TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceIntended use of endowment fundsFormAndLineReferenceDesc
ExplanationSchedule 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 care setting.ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxtType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmtSpecific Services ProvidedSpecificServicesProvidedTxt
Central America and the CaribbeanInvestments$60,000
Central America and the CaribbeanCAPTIVE INSURANCE$11,303,148INSURANCE PREMIUMS/EXP
FieldValueIRS element (for citing)
Subtotal Spent$11,363,148SubtotalSpentAmt
Total Spent$11,363,148TotalSpentAmt
Transfer To Foreign CorpYes (true)TransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipYes (true)ForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250.FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CarefalseFPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportfalseAnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$77,651,547TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$77,651,547NetCommunityBenefitExpnsAmt
Total Expense0.07070TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$157,897,757TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$128,506,405DirectOffsettingRevenueAmt
Net Community Benefit Expns$29,391,352NetCommunityBenefitExpnsAmt
Total Expense0.02680TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,090,897TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$835,186DirectOffsettingRevenueAmt
Net Community Benefit Expns$255,711NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$236,640,201TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$129,341,591DirectOffsettingRevenueAmt
Net Community Benefit Expns$107,298,610NetCommunityBenefitExpnsAmt
Total Expense0.09770TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,408,002TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$380,869DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,027,133NetCommunityBenefitExpnsAmt
Total Expense0.00550TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,378,287TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,080,717DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,297,570NetCommunityBenefitExpnsAmt
Total Expense0.00300TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$751,502TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$751,502NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$18,537,791TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,461,586DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,076,205NetCommunityBenefitExpnsAmt
Total Expense0.00920TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$255,177,992TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$137,803,177DirectOffsettingRevenueAmt
Net Community Benefit Expns$117,374,815NetCommunityBenefitExpnsAmt
Total Expense0.10690TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$184,772TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$184,772NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$717,448TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$717,448NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,504TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,504NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,172,950TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$48,871DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,124,079NetCommunityBenefitExpnsAmt
Total Expense0.00200TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,078,674TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$48,871DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,029,803NetCommunityBenefitExpnsAmt
Total Expense0.00290TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$17,606,877BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$292,488,077ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$378,318,624CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$85,830,547MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line1Capital City SurgeryBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesHealthcarePrimaryActivitiesTxt
Org Profit Or Ownership0.50000OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership0.00000OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership0.17090PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndTeaching HospitalTeachingHospitalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCd
WakeMed Raleigh Campus
13000 New Bern AvenueRaleighNC27610WWW.WAKEMED.ORGH0199Yes (X)Yes (X)Yes (X)Yes (X)A
WakeMed Cary Hospital
21900 Kildaire Farm RoadCaryNC27518WWW.WAKEMED.ORGH0276Yes (X)Yes (X)Yes (X)A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ABusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt13ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE SECTION CStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care250.FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Average Negotiated RatesYes (X)AverageNegotiatedRatesInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 5As 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 between January and June of 2013. 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 2016 study is being conducted late 2015 and early 2016, with a report available June 2016. In addition to the involvement of the 60 organizations represented in the CHNA planning and implementation, an additional 452 community members were engaged in the process. The Community Health Opinion Survey was completed by 281 individuals via door to door survey collection in 40 census blocks within each of the eight Wake County Health Service Zones; 76 people participated in focus groups and an additional 95 attended community forums. Nine focus groups were held with seniors, youth, homeless, Hispanic/Latinos, Service Providers in Wake County, as well as persons living with mental health or substance abuse, and developmental disabilities, those living with chronic health conditions, and those living with physical disabilities. Five community forums were held throughout Wake County where residents were invited to hear the main findings of the assessment and were asked to help prioritize the areas of focus for the next three years. Each of these processes sought to include a broad cross section of the communities served by WakeMed.
Schedule H, Part V, Section B, Lines 6aDuke Health Raleigh, Rex Healthcare, Wake Health Services and WakeMed. Schedule H, Part V, Section B, Lines 6b Wake Human Services and United Way.
Schedule H, Part V, Section B, Line 7ahttp://www.wakemed.org/videos/About%20Us/2013%20Wake%20CHNA%20Full%20Repor t%20FINAL.pdf Schedule H, Part V, Section B, Line 10A http://www.wakemed.org/videos/information/CommunityHealthNeedsAssessmentIm plementationPlan_10%2018%2013.pdf
Schedule H, Part V, Section B, Line 11Our CHNA prioritization process resulted in nine significant areas of focus, some of which apply more to hospitals than others. Although activities of the two facilities are helping to address all of the categories, sometimes the effect is indirect. The nine focus areas in the order that they have been prioritized are as follows: 1. Poverty and Unemployment - level 3 priority 2. Health Care Access and Utilization - level 1 priority 3. Mental Health and Substance Abuse - level 2 priority 4. Nutrition, Physical Activity and Obesity Prevention - level 1 priority 5. Education and Lifelong Learning - level 1 & 2 priorities 6. Population growth - level 3 priority 7. Disability and care-giving - level 3 priority 8. Risky youth behavior - level 2 priority 9. Housing and homelessness - level 3 priority Those issues identified as level 3 falls outside of WakeMed's ability to change. We can and continue to work collaboratively with other organizations and community leaders to help identify and implement solutions for each of these areas of focus. WakeMed's implementation plan addresses each priority area. For each priority area and for some subcategories, tiered categories designate the relationship between the priority and WakeMed's mission. Given that WakeMed's assessment was conducted by a broad spectrum of public health organizations in the community, some of the priority areas are beyond the scope of WakeMed's mission. The tiers are as follows and help define the level of resources WakeMed can commit: Level One: WakeMed is uniquely qualified to provide needed services - aligns with WakeMed's core strengths. Level Two: Issues where it makes sense to partner/collaborate with other community organizations. These issues are important to WakeMed's mission, but beyond its scope-of-control. Level Three: Issues identified that are out of WakeMed's area of expertise and beyond its scope-of-control.
Schedule H, Part V, Section B, Line 13We do not provide discounted care in regards to charity. Our charity write-offs are 100% of charges. Schedule H, Part V, Section B, Line 16A & 16C http://www.wakemed.org/body.cfm?id=930 Schedule H, Part V, Section B, Line 16B http://www.wakemed.org/body.cfm?id=933
Schedule H, Part V, Line 22bWakeMed used the average of its three lowest negotiated commercial insurance rates when we calculate 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 Financial Assistance Program where these patients (who have already received 50% discount) can receive additional adjustments, if they qualify. During the 2014 tax year, we provided these patients a 100% write off and held the patient responsible for co-pay directly associated with the treatment they received.
FieldValueIRS element (for citing)
Facility14FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Wake Specialty Physicians LLC
3024 New Bern AvenueRaleighNC27610Medical Practice
WakeMed North Family Health & Wmn's Hosp
10000 Falls of The Neuse RdRaleighNC27614Women's Surgery, Pregnancy Childbirth, OP/Amb Surg Cntr Em Dept, Lab, Radiology, Thrpy
WakeMed Rehab Hospital
3000 New Bern AvenueRaleighNC27610Phys Medicine & Rehab Hospital Phys, Occup and Speech Therapy Cardiac Rehab, Fitness Center
WakeMed Garner Healthplex
400 US 70 EASTGarnerNC27529Emergency Department Laboratory, Radiology
WakeMed Apex Healthplex
120 Healthplex WayApexNC27502Emergency Department Laboratory, Radiology
WAKEMED BRIER CREEK HEALTHPLEX
8001 TW Alexander DriveRaleighNC27617Emergency Department Laboratory, Radiology
WAKEMED MEDICAL PARK
23 Sunnybrook RoadRaleighNC27610Laboratory, Radiology
WAKEMED CLAYTON MEDICAL PARK
555 MEDICAL PARK PLACEClaytonNC27520Lab, Radiology, Phys, Occup & Speech Therapy
WAKEMED HOME HEALTH
2920 HIGHWOODS BLVD SUITE 200RaleighNC27604Home Health, Home IV Therapy, Phys, Occupp & Speech, PICC Private Duty Nursing
WakeMed Alexander YMCA
1603 Hillsborough StreetRaleighNC27605Physical Therapy
WakeMed Wake Forest Road
3701 Wake Forest RoadRaleighNC27609Phys, Occup, Speech, and Pediatric Speech Therapy
WakeMed Kraft Family YMCA
8921 HOLLY SPRINGS ROADApexNC27539Phys & Occup Therapy, Cardiac Rehabilitation, Nutritional Counseling
WakeMed Cary Family YMCA
101 YMCA DriveCaryNC27513Physical Therapy
WakeMed Kerr Family YMCA
2500 Wakefield Pines DriveRaleighNC27614Physical Therapy

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Line 1:Part I, Line 6: A Community Benefit Report was not prepared during the current year, but was done in the prior year. Part I, Line 7a: Charity care is reported as the system's 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, 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, Action for Children, Capital Care Collaborative 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: In order to receive financial assistance under the organization's financial assistance policy (FAP), a patient must complete a charity application. If a patient completes an application that meets other FAP requirements, the assistance is written off as charity expense, not bad debt expense. Therefore, there is no bad debt expense attributable to patients eligible under the organization's FAP. Part III, Line 4: The text of the footnote to WakeMed's 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 in accordance with the AICPA Audit Guide for Health Care Organizations. Based on the most recent update of the Audit Guide's 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 $85,830,547 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 39% 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 10.69% to 18.50%. 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 multiple statements. Each statement references the 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 the first half of 2013, WakeMed Health & Hospitals joined with Duke Raleigh, Rex Healthcare, Wake Health Services, Triangle United Way, and Wake County Human Services to jointly conduct a Community Health Needs Assessment (CHNA). The assessment was completed in June of 2013. A follow up will be available in June 2016. The assessment involved input from hundreds of Wake County Residents and public health leaders through surveys, focus groups, and steering committee members. It can be found on our website at http://www.wakemed.org/videos/About Us/2013 Wake CHNA Full Report FINAL.pdf. UNC Gillings School of Global Public Health conducted the CHNA. They have a long track record of assessing community health for public health departments, hospitals, and Federally Qualified Health Clinics (FQHC). In addition to this primary data, WakeMed's 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 Carolina's 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 the charity care in the market, often exceeding 80% of the burden. 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 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 County's 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.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
American Heart Association
PO Box 4002906DesMoinesIA503402906135613797501(c)(3)$25,000General Support
Girl Scouts NC Coastal Pines
6901 Pinecrest RdRaleighNC27613560791500501(c)(3)$10,000General Support
Interact
1012 Oberlin RdRaleighNC27605581320613501(c)(3)$30,000General Support
Interfaith Food Shuttle
1001 Blair DrRaleighNC27620561753180501(c)(3)$4,603General Support$10,986FMVFood
Marbles Kids Museum
201 E Hargett StRaleighNC27601581647538501(c)(3)$20,000general support
New Bern Avenue Corridor Alliance
119 E Hargett St Ste 300RaleighNC27601463827784501(c)(3)$25,000general support
Wake Tech College Foundation
9101 Fayetteville RdRaleighNC27603237017752501(c)(3)$100,000general support
YMCA of the Triangle - AHA
801 Corporate DrRaleighNC27606560591307501(c)(3)$15,000general support
Alliance Medical Ministry
101 Donald Ross DrRaleighNC27610562168673501(c)(3)$389,625Medical Care
Wake County Human Services
PO Box 46833RaleighNC27620566000376Gov't$352,843General Support
Paired Health
8310 Brandford WayRaleighNC27615464497775$500,045Medical Care
Debnam Clinic
1501 Poole RdRaleighNC27610561977593$216,000Medical Care
FieldValueIRS element (for citing)
Total501c3 Org9Total501c3OrgCnt
Total Other Org3TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypePrescription DrugsGrantTypeTxt
Recipient5323RecipientCnt
Non Cash Assistance$134,190NonCashAssistanceAmt
Non Cash AssistanceRx-indigent patientsNonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceProcedures for Monitoring the use of Grant FundsFormAndLineReferenceDesc
ExplanationSch 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 the 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 also tracks how the gift was used, outcomes, and benefits to the community. In the case of large grants, the organization is also asked for a report of the results and the impact.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssfalseWrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
WILLIAM K ATKINSON PHD
FORMER CEO$0$0$0$0$937,325$0$0$0$0$0$937,325$0$0$0
MICHAEL D DEVAUGHN
CFO, EXECUTIVE VP$433,238$0$20,000$0$17,463$0$8,845$0$8,192$0$487,738$0$0$0
THOMAS GETTINGER
COO, EXECUTIVE VP$443,037$0$20,000$0$19,184$0$16,738$0$23,298$0$522,257$0$0$0
KATHLEEN K GORMLEY
EXEC VP-OP & AMBULATORY$243,706$0$0$0$341,675$0$15,600$0$7,516$0$608,497$0$0$0
DAVID C COULTER
SENIOR VP-ADMINISTRATOR CARY$364,725$0$0$0$18,961$0$17,450$0$14,898$0$416,034$0$0$0
JEANENE R MARTIN
SENIOR VP-HUMAN RESOURCES$275,360$0$0$0$16,009$0$16,218$0$7,594$0$315,181$0$0$0
E DENTON ARLEDGE
VP & CIO$290,711$0$0$0$5,955$0$16,683$0$21,021$0$334,370$0$0$0
THOMAS G CAVENDER
VP FACILITIES & CONSTRUCTION$245,709$0$0$0$19,156$0$16,138$0$23,677$0$304,680$0$0$0
CAROLYN KNAUP
SENIOR VP-AMBULATORY SERVICES$271,887$0$0$0$15,998$0$16,098$0$22,168$0$326,151$0$0$0
BETSY GASKINS-MCCLAINE
VP HEART & VASCULAR$242,332$0$0$0$1,519$0$15,464$0$15,684$0$274,999$0$0$0
CYNTHIA ALNESS-BOILY
SENIOR VP-OPERATIONS & CNO$306,594$0$0$0$22,455$0$15,977$0$20,048$0$365,074$0$0$0
VICKI BLOCK
SR VP & ADMINISTRATOR RALEIGH$273,812$0$0$0$16,003$0$16,048$0$15,213$0$321,076$0$0$0
DUDLEY HARRINGTON
VP REVENUE CYCLE$272,457$0$0$0$3,409$0$15,905$0$24,988$0$316,759$0$0$0
GEORGIA C HARRINGTON
VP OPERATIONS$210,208$0$0$0$685$0$13,313$0$12,550$0$236,756$0$0$0
GURVINDER S DEOL
PHYSICIAN$590,160$0$308,341$0$2,840$0$48,505$0$21,025$0$970,871$0$0$0
JONATHAN D CHAPPELL
PHYSICIAN$490,526$0$261,467$0$486$0$39,761$0$20,576$0$812,816$0$0$0
MARK L WOOD
PHYSICIAN$584,242$0$144,973$0$2,680$0$40,860$0$22,469$0$795,224$0$0$0
DONALD R GINTZIG
President & CEO$918,595$0$193,627$0$56,092$0$62,310$0$20,785$0$1,251,409$0$0$0
OKECHUKWU E NWOKO
PHYSICIAN$237,490$0$565,651$0$464$0$40,329$0$8,019$0$851,953$0$0$0
TIMOTHY E HARRIS
PHYSICIAN$588,965$0$179,756$0$2,917$0$43,253$0$24,892$0$839,783$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1ATax indemnification and gross-up payments are paid to some key employees. They are included in taxable income.
Schedule J, Part I, Line 1BKey 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 4AWilliam K. Atkinson received $937,325 in severance payments. Kathleen K. Gormley received $245,164 in severance payments.
Schedule J, Part I, Line 4BWakeMed maintained a 457F Plan for certain individuals. Contributions for the fiscal year ending 9/30/2015 were: Donald Gintzig $46,710; Gurvinder S. Deol $36,334; Okechukwu E. Nwoko $32,226; Timothy E. Harris $31,243; Jonathan D. Chappell $30,458; and Mark L. Wood $29,620. The following individuals participated in WakeMed's 457F plan during the fiscal year ending 9/30/2015, but did not receive contributions: Thomas Gettinger $0; Michael D. DeVaughn $0; Kathleen Gormley $0; David C. Coulter $0; Cynthia Alness-Boily $0; E. Denton Arledge $0; Jeanene R. Martin $0; Carolyn Knaup $0; Vicki Block $0; Dudley Harrington $0; Thomas G. Cavender $0; Betsy Gaskins-McClaine $0; and Georgia C. Harrington $0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
North Carolina Medical Care Commission
A52130940265821DCS82009-02-26$75,000,000See Part VIfalsefalsefalse
North Carolina Medical Care Commission
B52130940265821DCW92009-07-16$81,780,000See Part VIfalsefalsefalse
North Carolina Medical Care Commission
C52130940265821DLY52012-07-11$315,717,962See Part VIfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$0$0$75,249,667$0$0$0$835,544$37,919$0$74,376,204$0$02010falsefalseYes (true)Yes (true)
B$19,060,000$0$81,780,000$0$0$0$817,125$41,347$0$0$80,921,528$02012Yes (true)falseYes (true)Yes (true)
C$17,680,000$0$315,718,058$0$0$172,556,247$2,994,195$0$0$0$140,164,616$02012Yes (true)Yes (true)Yes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalsefalseYes (true)Yes (true)false0.000000.000000.00000falsefalsefalseYes (true)
Bfalsefalsefalsefalse0.000000.000000.00000falsefalsefalseYes (true)
CfalseYes (true)Yes (true)Yes (true)false0.000000.000000.00000falsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalsefalsefalseYes (true)Yes (true)falsefalse0falseYes (true)
0
BfalsefalsefalseYes (true)Yes (true)falsefalse0falseYes (true)
0
CfalseYes (true)falsefalsefalsefalsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PURPOSESchedule 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.
PURPOSESCHEDULE 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.
PURPOSESchedule 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 issueSchedule K, Part II, 3, Columns A, B, & C Total proceeds include investment earnings.
Issuance Costs from proceedsSchedule 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 proceedsSchedule K, Part II, Line 10, Column A Bond series 2009B generated $249,667 in interest.
Arbitrage rebateSchedule K, Part IV, 2c Arbitrage rebate calculation performed on 2/25/2014 for A; 7/15/2015 for B, next scheduled calculation date for C is 10/1/2017.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
DBAs for WakeMedForm 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 Brier Creek Medical Park 41. WakeMed Raleigh Medical Park 42. WakeMed OP Rehab - Banks D Kerr Family YMCA Raleigh, NC 43. WakeMed OP Rehab - Cary Family YMCA Cary, NC 44. WakeMed OP Rehab - Kraft Family YMCA Apex, NC 45. WakeMed OP Rehab - Alexander Family YMCA Raleigh, NC 46. WakeMed Physician Practices Other registered DBA's include: 47. Wake Specialty Brier Creek Internal Medicine 48. Wake Specialty ENT - Head & Neck Surgery 49. Wake Specialty Facial Plastics 50. Wake Specialty Gastroenterology & Hepatology 51. Wake Specialty General Surgery 52. Wake Specialty OB/GYN 53. Wake Specialty Physicians ENT - Head & Neck Surgery 54. Wake Specialty Physicians Facial Plastics 55. Wake Specialty Physicians Gastroenterology & Hepatology 56. Wake Specialty Physicians General Surgery 57. Wake Specialty Physicians Internal Medicine Brier Creek 58. Wake Specialty Physicians OB/GYN 59. Wake Specialty Physicians Urology 60. Wake Specialty Physicians Women's Center 61. Wake Specialty Urology 62. Wake Specialty Women's Center 63. Wake Specialty Physicians Maternal Fetal Medicine 64. Wake Specialty Physicians Employee Health 65. Falls Pointe Medical Group 66. Wake Specialty Physicians - City Center Medical Group 67. Wake Specialty Physicians - Carolina Cardiology 68. Wake Specialty Physicians - Concussion Clinic 69. Wake Specialty Physicians - Apex Medical Group 70. Wake Specialty Physicians - Holly Springs 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 - Cary Cardiology 78. Wake Specialty Physicians - Capital Urology 79. Wake Specialty Physicians - Harnett Surgical Associates 80. Wake Specialty Physicians - Morrisville Primary Care 81. Wake Specialty Physicians - Garner Primary Care 82. Wake Specialty Physicians - Fuquay Varina Primary Care 83. Wake Specialty Physicians - Wellness Family Practice 84. Wake Specialty Physicians - Structural Heart 85. Wake Specialty Physicians - Raleigh Cardiology 86. Wake Specialty Physicians - Raleigh Cardiology Associates 87. Wake Specialty Physicians - Cardiovascular 88. Wake Specialty Physicians - Parkway Primary Care 89. WakeMed Physician Practices Physical Therapy 90. Wake Orthopaedics 91. WakeMed Urgent Care 92. 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 BodyForm 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 Otherthan 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 990Form 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 PolicyForm 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 MgmtOfficial Form 990, Part VI, Section B, Lines 15A & 15B Review of compensation is performed by an independent firm. Every three years they perform an executive competitive compensation review. On alternate years, the SVP/HR presents market data comparisons to a Board of Directors Committee for review.
Availability of Financial Stmt, Conflict of Interest, Organizing DocsForm 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 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 NC Secretary of State website.
Other Changes in Net AssetsFORM 990, PART XI, LINE 9 CHANGES IN NET ASSETS DURING THE YEAR INCLUDED NET DECREASE OF $30.1M IN LAND, BUILDINGS, AND EQUIPMENT AS WELL AS INCREASE OF $82M IN TOTAL LIABILITIES. - ($41,446,899).

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Cardiac Innovations LLC (end 9115)
3000 New Bern AveRaleighNC27610260554927Equip LeasingNC$0$0NA
Wake Specialty Physicians LLC
2009 New Bern AvenueRaleighNC27610264169156Med. OfficeNC$120,568,690$2,456,814NA
CSAMS New Bern Ave LLC
3000 New Bern AveRaleighNC27610healthcareNC$0$670,034NA
Wake Orthopaedics LLC
3009 New Bern AveRaleighNC27610043750760Med. OfficeNC$0$0NA

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Wake Property Services
3000 New Bern AvenueRaleighNC27610561133894leasingNC501(c)(3)11bNAfalse
Wake Faculty Practice Plan
3000 New Bern AvenueRaleighNC27610237169178medicalNC501(c)(3)11bNAfalse
The Volunteers at Cary Campus
3000 New Bern AvenueRaleighNC27610561798031volunteersNC501(c)(3)11bNAfalse
WakeMed Foundation
3000 New Bern AvenueRaleighNC27610561916549supportNC501(c)(3)7NAfalse
The Volunteers at Raleigh Campus
3000 NEW BERN AVERaleighNC27610560749114VolunteersNC501(C)(3)11BNAfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndUBI Code VUBICodeVAmtGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
Capital City Surgery Center
3000 New Bern AveRaleighNC27610260804803healthcareNCNARelated$5,875,291$4,692,776false$0false0.50000
Wake Pet Services
3000 New Bern AveRaleighNC27610263108205equipment leasingNCNARelated$196,963$58,982false$0false0.50000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINLegal Domicile StateLegalDomicileStateCd
Dogwood Insurance Company (SPC) Ltd
PO Box 493 Century YardGrand CaymanCJKY1-1106CaptiveCJNAC Corp$0$51,274,3681.00000Yes (true)
WakeMed Key Community Care LLC
ACONAC Corp$388,653$925,1320.50000false3000 New Bern AveRaleighNC27610462853835NC
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule R, Part I, Line 1Cardiac Innovations was dissolved September 1, 2015.
Schedule R, Part I, Line 4Wake Orthopedics was merged with Wake SPecialty Physicians August 26, 2015.

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