2016-08-12T15:35:17-05:00 2015-09-30 ERNST & YOUNG US LLP 100 NORTH TRYON STREET SUITE 3800 CHARLOTTE NC 28202 990 2014-10-01 566017737 WakeMed % Mike Browning CFO WakeMed WAKE 9193500522 3000 NEW BERN AVE RALEIGH NC 276101215 Mike Browning CFO 2016-07-29 Christopher Boggs P00032493 7043726300 2014 2016-09-27 15:27:22Z see Schedule O Donald Gintzig 3000 New Bern Avenue Raleigh NC 27610 1375460460 false X WWW.WAKEMED.ORG X 1965 NC WAKEMED IS A MULTI-FACILITY HEALTHCARE SYSTEM PROVIDING STATE OF THE ART HIGH QUALITY CARE. 14 14 10267 1410 5211568 4731146 4801839 1004043448 1037538168 8320038 14642937 7290054 8246694 1024384686 1065229638 1898108 1951501 0 0 579567162 616878025 0 0 0 452702426 479394201 1034167696 1098223727 -9783010 -32994089 1423447229 1424443922 632851201 714913794 790596028 709530128 X The mission of WakeMed is to improve the health and well-being of our community with outstanding and compassionate care to all. false false 230006692 236735710 Surgical Services - WakeMed provides surgical services in four locations throughout the county: WakeMed Raleigh Campus, WakeMed Cary Hospital, WakeMed North and Capital City Surgery Center, of which WakeMed is a majority investor. By delivering surgical services to all who seek care regardless of their ability to pay and by having in- and outpatient services in three distinct locations throughout the county, WakeMed has improved access to these needed services. 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"). 163807699 167214719 Heart 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. 129078955 153116752 Emergency - A critical issue facing Wake County residents continues to be access to affordable health care. To address this challenge, WakeMed has strategically placed six full service, 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. 463773019 1951501 488088777 986666365 true true false true false false false false false true true false false true true false false true false false true false false false false false true true true true true true false false false false false false false false false false false false false false true true true true false false true 548 0 true 10267 true true true true CJ false false false false false false false false X 14 14 false false false false false true true true true false false true true true true true true true false true true NC X Mike Browning CFO WakeMed 9193500522 3000 New Bern Avenue Raleigh NC 27610 HENRY DARNELL BOARD MEMBER 6.0 0.0 X 0 0 0 STEPHEN M SMITH BOARD MEMBER 7.0 0.0 X 0 0 0 BRENDA C GIBSON CHAIR BOARD OF DIRECTORS 13.0 0.0 X 0 0 0 JERRY C BERNSTEIN MD SECRETARY - BOARD OF DIRECTORS 7.0 0.0 X 0 0 0 LARRY D BARBOUR Vice Chair Board of Directors 6.0 0.0 X 0 0 0 ROBERT A CERWIN BOARD MEMBER 6.0 0.0 X 0 0 0 A BLANTON GODFREY PHD BOARD MEMBER 7.0 0.0 X 0 0 0 VERN DAVENPORT BOARD MEMBER (beg 5/2015) 4.0 0.0 X 0 0 0 KRISTIN G REPLOGLE BOARD MEMBER (beg 6/2015) 3.0 0.0 X 0 0 0 ROBERT C RICE JR BOARD MEMBER (beg 5/2015) 4.0 0.0 X 0 0 0 WILLY E STEWART BOARD MEMBER (beg 7/2015) 4.0 0.0 X 0 0 0 DAN BLUE III BOARD MEMBER (beg 10/2015) 6.0 0.0 X 0 0 0 DON MUNFORD BOARD MEMBER 8.0 0.0 X 0 0 0 CHRISTINA ALVARADO SHANAHAN BOARD MEMBER 7.0 0.0 X 0 0 0 LESLIE MERRITT JR BOARD MEMBER 6.0 0.0 X 0 0 0 WILLIAM H MCBRIDE CHAIR - BOARD OF DIRECTORS 8.0 0.0 X 0 0 0 WILLIAM R MCNEAL BOARD MEMBER 6.0 0.0 X 0 0 0 MICHAEL D DEVAUGHN CFO, EXECUTIVE VP 65.0 0.0 X 470701 0 17037 THOMAS GETTINGER COO, EXECUTIVE VP 70.0 0.0 X 482221 0 40036 ROYLYN JOHNSON OFFICER - SECRETARY 55.0 0.0 X 94873 0 15309 DONALD R GINTZIG President & CEO 70.0 0.0 X 1168314 0 83095 DAVID C COULTER SENIOR VP-ADMINISTRATOR CARY 57.0 0.0 X 383686 0 32348 JEANENE R MARTIN SENIOR VP-HUMAN RESOURCES 65.0 0.0 X 291369 0 23812 E DENTON ARLEDGE VP & CIO 60.0 0.0 X 296666 0 37704 THOMAS G CAVENDER VP FACILITIES & CONSTRUCTION 50.0 0.0 X 264865 0 39815 CAROLYN KNAUP SENIOR VP-AMBULATORY SERVICES 58.0 0.0 X 287885 0 38266 BETSY GASKINS-MCCLAINE VP HEART & VASCULAR 65.0 0.0 X 243851 0 31148 CYNTHIA ALNESS-BOILY SENIOR VP-OPERATIONS & CNO 60.0 0.0 X 329049 0 36025 VICKI BLOCK SR VP & ADMINISTRATOR RALEIGH 60.0 0.0 X 289815 0 31261 DUDLEY HARRINGTON VP REVENUE CYCLE 60.0 0.0 X 275866 0 40893 GEORGIA C HARRINGTON VP OPERATIONS 55.0 0.0 X 210893 0 25863 GURVINDER S DEOL PHYSICIAN 65.0 0.0 X 901341 0 69530 JONATHAN D CHAPPELL PHYSICIAN 65.0 0.0 X 752479 0 60337 MARK L WOOD PHYSICIAN 65.0 0.0 X 731895 0 63329 OKECHUKWU E NWOKO PHYSICIAN 65.0 0.0 X 803605 0 48348 TIMOTHY E HARRIS PHYSICIAN 60.0 0.0 X 771638 0 68145 WILLIAM K ATKINSON PHD FORMER CEO 0.0 0.0 X 937325 0 0 KATHLEEN K GORMLEY EXEC VP-OP & AMBULATORY 0.0 0.0 X 585381 0 23116 10573718 0 825417 659 true true false Evolent Health Inc 800 N Glebe Rd Ste 500 Arlington VA 22203 Healthcare Consult 20333377 Cary Cardiology PA 300 Keisler Dr Ste 204 Cary NC 27518 Professional Svcs 9926148 Integrated Medical Systems Internat PO Box 2725 Columbus GA 31902 Surg Med Device Mgmt 3378263 University of NC Hospitals General Accounting Ste 2033 211 F Chapel Hill NC 27517 Healthcare Services 3165150 Napolitano Company 90 West Wieuca Rd Ste 103 Atlanta GA 30342 Advertising Agency 3070942 88 0 11683 4150818 639338 0 4801839 Patient Services 621500 1003412213 1003412213 0 0 Non-Patient Services 621500 4127489 0 4127489 0 Cafeteria 722210 4740888 0 0 4740888 Purch Dscnts/Rebate/VHA 900099 3069865 3069865 0 0 Other Operating Revenue 900099 9336037 1738881 1084079 6513077 12851676 12851676 1037538168 8532998 8532998 0 0 711613 82709 628904 0 628904 628904 314153383 2104669 309329012 819101 4824371 1285568 6109939 6109939 0 0 0 REV FROM JOINT VENTURE 7617790 7617790 0 0 7617790 1065229638 1028690425 5211568 26525806 1817311 1817311 134190 134190 0 0 0 0 6552389 5241911 1310478 0 0 0 0 0 499167753 424292590 74875163 0 25689567 21836132 3853435 0 50660747 43061635 7599112 0 34807569 29586434 5221135 0 0 0 0 0 2123237 1995843 127394 0 293394 268602 24792 0 406143 393496 12647 0 0 0 856180 804809 51371 0 97144920 91316225 5828695 5425444 5099917 325527 0 35101043 32994980 2106063 0 19532749 18360784 1171965 0 0 0 0 0 21642905 20344331 1298574 0 762858 717087 45771 0 0 0 0 0 860455 808828 51627 0 10715230 10715230 0 0 0 0 0 0 70768588 70768588 0 0 5107930 4801454 306476 0 Medical Supplies 139719706 139719706 0 0 GAP Assessment 29966133 28168165 1797968 0 Repairs/Maintenance 22936656 18349325 4587331 0 UBI TAXES 2291 2291 0 16028339 15068792 959547 1098223727 986666365 111557362 0 0 59580 54196 442952517 467794154 64410 195092 220110341 182674048 0 0 0 0 8946756 7460672 21286609 19488355 11079654 11090921 1438779235 887903396 581581781 550875839 49784743 68611521 0 0 0 0 942955 547174 86637883 115651950 1423447229 1424443922 142508328 138795661 0 0 960613 787099 444153422 433192380 0 0 0 0 0 100000000 0 0 45228838 42138654 632851201 714913794 X 790034915 708942590 228572 252020 332541 335518 790596028 709530128 1423447229 1424443922 X -32994089 -7481092 856180 -41446899 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false 0 false 0 false 0 false 0 true 536382 false 0 false 0 536382 false false SCHEDULE C, PART II-B, LINE 1 WakeMed and its office of government affairs work to maintain and strengthen effective relationships with legislators and policy makers at the State, Local, and National levels. The objective is to ensure that WakeMed's point of view is consistently and continually heard so that legislation, regulations, and the setting of health policy support the organization's ability to fulfill its mission of care for all, regardless of the ability to pay. 332541 4776 1799 335518 329232 5081 1772 332541 324984 6008 1760 329232 327535 5044 6310 1285 324984 322669 5980 1114 327535 1.00000 false false 3889817 3889817 602857868 271694674 331163194 22107214 10569136 11538078 777791368 588833032 188958336 32132968 16806554 15326414 550875839 Restricted Funds 51907014 Designated Funds 39956006 Other Equity Investments 15083477 Prepaid Pension 8705453 115651950 0 Due to 3rd Parties 19081159 Accrued Malpractice 22549812 Capital Leases 364152 Deferred Landlord Incentive 143531 42138654 Intended use of endowment funds Schedule D, Part V, Line 4 The Allen Trust Endowment funds are used to provide poor and indigent patients with private nursing care. WakeMed defines poor and indigent as those with a financial class of self-pay or Medicaid. A sitter can be either in the hospital or in a home care setting. Central America and the Caribbean Investments 60000 Central America and the Caribbean CAPTIVE INSURANCE INSURANCE PREMIUMS/EXP 11303148 11363148 11363148 true false true false false false true true X true X 250. false true true true false false 77651547 77651547 0.07070 157897757 128506405 29391352 0.02680 1090897 835186 255711 0.00020 236640201 129341591 107298610 0.09770 6408002 380869 6027133 0.00550 11378287 8080717 3297570 0.00300 751502 751502 0.00070 18537791 8461586 10076205 0.00920 255177992 137803177 117374815 0.10690 184772 184772 0.00020 717448 717448 0.00070 3504 0 3504 0.00000 2172950 48871 2124079 0.00200 3078674 48871 3029803 0.00290 true 17606877 0 292488077 378318624 -85830547 X true true Capital City Surgery Healthcare 0.50000 0.00000 0.17090 2 1 WakeMed Raleigh Campus 3000 New Bern Avenue Raleigh NC 27610 WWW.WAKEMED.ORG H0199 X X X X A 2 WakeMed Cary Hospital 1900 Kildaire Farm Road Cary NC 27518 WWW.WAKEMED.ORG H0276 X X X A A false false true X X X X X X X X 13 true true true true X SEE SECTION C X true 13 true SEE SECTION C false false true X 250. 250. X X X X X true true X X X X true X SEE SECTION C X SEE SECTION C X SEE SECTION C X X X X X true X false X X X X true X false false All answers provided in Part V, Section B & C pertain to facility group A, which includes WakeMed Raleigh Campus and WakeMed Cary Hospital as identified on Schedule H, Part V, Section A, Lines 1-2. Schedule H, Part V, Section B, Line 5 As indicated in the executive summary and chapter 1 of the CHNA report, WakeMed partnered with over 60 agency and community partners in Wake County to conduct the collaborative Community Health Needs Assessment 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 6a Duke 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 7a http://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 11 Our 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 13 We 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 22b WakeMed 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. 14 Wake Specialty Physicians LLC 3024 New Bern Avenue Raleigh NC 27610 Medical Practice WakeMed North Family Health & Wmn's Hosp 10000 Falls of The Neuse Rd Raleigh NC 27614 Women's Surgery, Pregnancy Childbirth, OP/Amb Surg Cntr Em Dept, Lab, Radiology, Thrpy WakeMed Rehab Hospital 3000 New Bern Avenue Raleigh NC 27610 Phys Medicine & Rehab Hospital Phys, Occup and Speech Therapy Cardiac Rehab, Fitness Center WakeMed Garner Healthplex 400 US 70 EAST Garner NC 27529 Emergency Department Laboratory, Radiology WakeMed Apex Healthplex 120 Healthplex Way Apex NC 27502 Emergency Department Laboratory, Radiology WAKEMED BRIER CREEK HEALTHPLEX 8001 TW Alexander Drive Raleigh NC 27617 Emergency Department Laboratory, Radiology WAKEMED MEDICAL PARK 23 Sunnybrook Road Raleigh NC 27610 Laboratory, Radiology WAKEMED CLAYTON MEDICAL PARK 555 MEDICAL PARK PLACE Clayton NC 27520 Lab, Radiology, Phys, Occup & Speech Therapy WAKEMED HOME HEALTH 2920 HIGHWOODS BLVD SUITE 200 Raleigh NC 27604 Home Health, Home IV Therapy, Phys, Occupp & Speech, PICC Private Duty Nursing WakeMed Alexander YMCA 1603 Hillsborough Street Raleigh NC 27605 Physical Therapy WakeMed Wake Forest Road 3701 Wake Forest Road Raleigh NC 27609 Phys, Occup, Speech, and Pediatric Speech Therapy WakeMed Kraft Family YMCA 8921 HOLLY SPRINGS ROAD Apex NC 27539 Phys & Occup Therapy, Cardiac Rehabilitation, Nutritional Counseling WakeMed Cary Family YMCA 101 YMCA Drive Cary NC 27513 Physical Therapy WakeMed Kerr Family YMCA 2500 Wakefield Pines Drive Raleigh NC 27614 Physical Therapy Line 1: Part I, Line 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. true American Heart Association PO Box 4002906 DesMoines IA 503402906 135613797 501(c)(3) 25000 General Support Girl Scouts NC Coastal Pines 6901 Pinecrest Rd Raleigh NC 27613 560791500 501(c)(3) 10000 General Support Interact 1012 Oberlin Rd Raleigh NC 27605 581320613 501(c)(3) 30000 General Support Interfaith Food Shuttle 1001 Blair Dr Raleigh NC 27620 561753180 501(c)(3) 4603 10986 FMV Food General Support Marbles Kids Museum 201 E Hargett St Raleigh NC 27601 581647538 501(c)(3) 20000 general support New Bern Avenue Corridor Alliance 119 E Hargett St Ste 300 Raleigh NC 27601 463827784 501(c)(3) 25000 general support Wake Tech College Foundation 9101 Fayetteville Rd Raleigh NC 27603 237017752 501(c)(3) 100000 general support YMCA of the Triangle - AHA 801 Corporate Dr Raleigh NC 27606 560591307 501(c)(3) 15000 general support Alliance Medical Ministry 101 Donald Ross Dr Raleigh NC 27610 562168673 501(c)(3) 389625 Medical Care Wake County Human Services PO Box 46833 Raleigh NC 27620 566000376 Gov't 352843 General Support Paired Health 8310 Brandford Way Raleigh NC 27615 464497775 500045 Medical Care Debnam Clinic 1501 Poole Rd Raleigh NC 27610 561977593 216000 Medical Care 9 3 Prescription Drugs 5323 134190 Rx-indigent patients Procedures for Monitoring the use of Grant Funds Sch 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. X false true X X X X X true true false false false false false false false WILLIAM K ATKINSON PHD FORMER CEO 0 0 0 0 937325 0 0 0 0 0 937325 0 0 0 MICHAEL D DEVAUGHN CFO, EXECUTIVE VP 433238 0 20000 0 17463 0 8845 0 8192 0 487738 0 0 0 THOMAS GETTINGER COO, EXECUTIVE VP 443037 0 20000 0 19184 0 16738 0 23298 0 522257 0 0 0 KATHLEEN K GORMLEY EXEC VP-OP & AMBULATORY 243706 0 0 0 341675 0 15600 0 7516 0 608497 0 0 0 DAVID C COULTER SENIOR VP-ADMINISTRATOR CARY 364725 0 0 0 18961 0 17450 0 14898 0 416034 0 0 0 JEANENE R MARTIN SENIOR VP-HUMAN RESOURCES 275360 0 0 0 16009 0 16218 0 7594 0 315181 0 0 0 E DENTON ARLEDGE VP & CIO 290711 0 0 0 5955 0 16683 0 21021 0 334370 0 0 0 THOMAS G CAVENDER VP FACILITIES & CONSTRUCTION 245709 0 0 0 19156 0 16138 0 23677 0 304680 0 0 0 CAROLYN KNAUP SENIOR VP-AMBULATORY SERVICES 271887 0 0 0 15998 0 16098 0 22168 0 326151 0 0 0 BETSY GASKINS-MCCLAINE VP HEART & VASCULAR 242332 0 0 0 1519 0 15464 0 15684 0 274999 0 0 0 CYNTHIA ALNESS-BOILY SENIOR VP-OPERATIONS & CNO 306594 0 0 0 22455 0 15977 0 20048 0 365074 0 0 0 VICKI BLOCK SR VP & ADMINISTRATOR RALEIGH 273812 0 0 0 16003 0 16048 0 15213 0 321076 0 0 0 DUDLEY HARRINGTON VP REVENUE CYCLE 272457 0 0 0 3409 0 15905 0 24988 0 316759 0 0 0 GEORGIA C HARRINGTON VP OPERATIONS 210208 0 0 0 685 0 13313 0 12550 0 236756 0 0 0 GURVINDER S DEOL PHYSICIAN 590160 0 308341 0 2840 0 48505 0 21025 0 970871 0 0 0 JONATHAN D CHAPPELL PHYSICIAN 490526 0 261467 0 486 0 39761 0 20576 0 812816 0 0 0 MARK L WOOD PHYSICIAN 584242 0 144973 0 2680 0 40860 0 22469 0 795224 0 0 0 DONALD R GINTZIG President & CEO 918595 0 193627 0 56092 0 62310 0 20785 0 1251409 0 0 0 OKECHUKWU E NWOKO PHYSICIAN 237490 0 565651 0 464 0 40329 0 8019 0 851953 0 0 0 TIMOTHY E HARRIS PHYSICIAN 588965 0 179756 0 2917 0 43253 0 24892 0 839783 0 0 0 Schedule J, Part I, Line 1A Tax indemnification and gross-up payments are paid to some key employees. They are included in taxable income. Schedule J, Part I, Line 1B Key employees benefits requiring gross-up are covered by employment agreement, and additional ones are approved by the Board of Directors. Schedule J, Part I, Line 4A William K. Atkinson received $937,325 in severance payments. Kathleen K. Gormley received $245,164 in severance payments. Schedule J, Part I, Line 4B WakeMed 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 A North Carolina Medical Care Commission 521309402 65821DCS8 2009-02-26 75000000 See Part VI false false false B North Carolina Medical Care Commission 521309402 65821DCW9 2009-07-16 81780000 See Part VI false false false C North Carolina Medical Care Commission 521309402 65821DLY5 2012-07-11 315717962 See Part VI false false false A 0 0 75249667 0 0 0 835544 37919 0 74376204 0 0 2010 false false true true B 19060000 0 81780000 0 0 0 817125 41347 0 0 80921528 0 2012 true false true true C 17680000 0 315718058 0 0 172556247 2994195 0 0 0 140164616 0 2012 true true true true A false false true true false 0.00000 0.00000 0.00000 false false false true B false false false false 0.00000 0.00000 0.00000 false false false true C false true true true false 0.00000 0.00000 0.00000 false false false true A false false false true true false 0 false 0 false true B false false false true true false 0 false 0 false true C false true false false false false 0 false 0 false true A true B true C true PURPOSE Schedule K, Part I, A(f) Financing (a) costs of construction, renovating and equipping certain hospital facilities, including WakeMed Cary 2-story vertical expansion, 10-bed Labor and Delivery unit expansion and parking deck, WakeMed Raleigh 4-story patient tower, parking deck for visitors and patients, employee parking deck, portions of Rehabilitation Hospital for inpatient beds, the first floor of the main hospital for a 25-bed observation unit and related, and other equipment; (b) initial costs for credit facility for the bonds; and (c) issuance costs. PURPOSE SCHEDULE K, PART I, B(f) Financing (a) costs of currently refunding all outstanding series 1997 bonds issued April 1, 1997. The series 1997 bonds were issued to refund all of series 1993 and 1988 bonds, which were issued to finance costs of constructing, expanding, renovating, and equipping certain hospital facilities, including construction of WakeMed Cary Hospital, a 2-story addition of the WakeMed main campus, a 45-bed Rehabilitation Hospital and related, and other equipment; and (b) issuance costs. PURPOSE Schedule K, Part I, C(f) The series 2012A bonds were issued to refund all the series 2001 and the 2009A bonds and pay certain expenses incurred in the connection with the issuance and sale of the 2012A bonds. The proceeds of the refunded 2001 bonds and the refunded 2009A bonds were used to finance the costs of various improvements to the corporation's healthcare facilities. The date of issue for the refunded 2011 bonds is 3/15/2001 and date of issue for the refunded 2009A bonds is 2/10/2009. Total proceeds of issue Schedule K, Part II, 3, Columns A, B, & C Total proceeds include investment earnings. Issuance Costs from proceeds Schedule K, Part II, Line 7, Columns A, B, & C The amounts reported on Form 8038 as proceeds used for bond issuance costs were estimates. The amounts reported on Schedule K represent the actual use of proceeds. Schedule K credit enhancement reported was from the initial letter of credit fee paid from bond proceeds. This amount was unknown at the time of the Form 8038 preparation. Capital expenditures from proceeds Schedule K, Part II, Line 10, Column A Bond series 2009B generated $249,667 in interest. Arbitrage rebate Schedule K, Part IV, 2c Arbitrage rebate calculation performed on 2/25/2014 for A; 7/15/2015 for B, next scheduled calculation date for C is 10/1/2017. DBAs for WakeMed Form 990, Header C, DBA 1. Wake Medical Center 2. Western Wake Hospital 3. Northern Wake Hospital 4. Wake Heart Center 5. Western Wake Medical Center 6. Wake Rehabilitation Hospital 7. Wake Area Health Education Center 8. Wake AHEC 9. Eastern Wake Day Hospital and Skilled Nursing Facility 10. WakeMed Home Care 11. WakeMed - New Bern Avenue Campus 12. WakeMed - Western Wake Medical Center 13. WakeMed - Rehab 14. WakeMed - Fuquay-Varina 15. WakeMed - Zebulon-Wendell 16. WakeMed Raleigh Campus 17. WakeMed Cary Hospital 18. WakeMed North Healthplex 19. WakeMed Clayton Medical Park 20. WakeMed Cary Outpatient Rehab Center 21. WakeMed Fuquay-Varina Outpatient & Skilled Nursing Facility 22. WakeMed Zebulon/Wendell Outpatient & Skilled Nursing Facility 23. WakeMed Wake Forest Road Outpatient Rehab Center 24. WakeMed Home Health 25. WakeMed Health & Hospitals 26. WakeMed Emergency Services Institute 27. WakeMed Center for Patient Safety 28. WakeMed Apex Healthplex 29. WakeMed Apex Day Surgery Center, LLC 30. WakeMed Professional Staff 31. WakeMed Mobile Critical Care Services 32. WakeMed Center for Innovative Learning 33. WakeMed Brier Creek Healthplex 34. WakeMed Outpatient Pharmacy 35. WakeMed Garner Healthplex 36. WakeMed Zebulon/Wendell Outpatient Rehabilitation 37. WakeMed Children's Hospital 38. WakeMed Children's 39. WakeMed North 40. WakeMed 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 Body Form 990, Part VI, Section A, Line 7A Eight members of the Board are appointed to the Board of Directors by Wake County. Governance Decisions Reserved to Members, Stockholders, or Persons Other than the Governing Body Form 990, Part VI, Section A, Line 7b The Wake County Board of Commissioners holds limited approval over some governing body decisions pertaining to Articles V, VI, VII and IX in the Articles of Incorporation. The Transfer Agreement with Wake County indicates approval/consent for transactions pertaining to substantial disposition of assets and covenants on liens. Process Used by the Organization to Review Form 990 Form 990, Part VI, Section B, Line 11b The entire 990 and associated schedules are reviewed by the Finance Committee of the Board of Directors to acknowledge they have reviewed forms and schedules and then recommend approval to the Board. A final copy is provided to the Board before filing. Monitoring Written Conflict of Interest Policy Form 990, Part VI, Section B, Line 12C The organization monitors and enforces the conflict of interest policy in various ways. Each year, members of the Board, Committees with board delegated powers, CEO, Corporate Staff, Executive Staff, Directors, Managers are required to complete and submit a conflict of interest questionnaire. Those individuals are required to provide written documentation of any potential conflict of interest, identifying material financial interest/personal conflicts of interest. Remedial measures implemented to address conflicts of interest include abstention from voting on certain issues as well as recusal from the decision making process and participation involving the identified issue/area. The code of conduct provides guidance on gifts and travel. Gifts should not be accepted and prior to any travel/lodging paid for by a third party, written approval must be obtained from an executive vice president. Also, employees who own or work in a private business outside of WakeMed are not allowed to recruit or promote their products and services during work hours or through WakeMed printed materials. Process for Determining Compensation of CEO, Exec. Dir., or Top Mgmt Official Form 990, Part VI, Section B, Lines 15A & 15B Review of compensation is performed by an independent firm. Every three years 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 Docs Form 990, Part VI, Section C, Line 19 The 990 is available by request and is published on Guidestar. Financial statements are publically available through the 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 Assets FORM 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). Cardiac Innovations LLC (end 9115) 3000 New Bern Ave Raleigh NC 27610 260554927 Equip Leasing NC 0 0 NA Wake Specialty Physicians LLC 2009 New Bern Avenue Raleigh NC 27610 264169156 Med. Office NC 120568690 2456814 NA CSAMS New Bern Ave LLC 3000 New Bern Ave Raleigh NC 27610 healthcare NC 0 670034 NA Wake Orthopaedics LLC 3009 New Bern Ave Raleigh NC 27610 043750760 Med. Office NC 0 0 NA Wake Property Services 3000 New Bern Avenue Raleigh NC 27610 561133894 leasing NC 501(c)(3) 11b NA false Wake Faculty Practice Plan 3000 New Bern Avenue Raleigh NC 27610 237169178 medical NC 501(c)(3) 11b NA false The Volunteers at Cary Campus 3000 New Bern Avenue Raleigh NC 27610 561798031 volunteers NC 501(c)(3) 11b NA false WakeMed Foundation 3000 New Bern Avenue Raleigh NC 27610 561916549 support NC 501(c)(3) 7 NA false The Volunteers at Raleigh Campus 3000 NEW BERN AVE Raleigh NC 27610 560749114 Volunteers NC 501(C)(3) 11B NA false Capital City Surgery Center 3000 New Bern Ave Raleigh NC 27610 260804803 healthcare NC NA Related 5875291 4692776 false 0 false 0.50000 Wake Pet Services 3000 New Bern Ave Raleigh NC 27610 263108205 equipment leasing NC NA Related 196963 58982 false 0 false 0.50000 Dogwood Insurance Company (SPC) Ltd PO Box 493 Century Yard Grand Cayman CJ KY1-1106 Captive CJ NA C Corp 0 51274368 1.00000 true WakeMed Key Community Care LLC 3000 New Bern Ave Raleigh NC 27610 462853835 ACO NC NA C Corp 388653 925132 0.50000 false false false false false false false false false false true true false false false false false true true true Schedule R, Part I, Line 1 Cardiac Innovations was dissolved September 1, 2015. Schedule R, Part I, Line 4 Wake Orthopedics was merged with Wake SPecialty Physicians August 26, 2015.