WAKEMED: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: WAKEMED (EIN 56-6017737)
Tax period: 2013-10-01 to 2014-09-30
Filed: 2015-08-13
IRS object ID: 201522259349301502
Schema version: 2013v4.0
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-08-13T09:09:46-05:00	ReturnTs
Tax Period End	2014-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	55 IVAN ALLEN JR BLVD SUITE 1000	AddressLine1
City	ATLANTA	City
State	GA	State
ZIP Code	30308	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	566017737	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WakeMed	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of	% MICHAEL DEVAUGHN CFO	InCareOfNm
Business Name Control	WAKE	BusinessNameControlTxt
Phone	9193500522	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3000 NEW BERN AVE	AddressLine1
Address Line2	Suite	AddressLine2
City	RALEIGH	City
State	NC	State
ZIP Code	276101215	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Michael DeVaughn	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2015-07-21	SignatureDt

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	WILLIAM RIKER	PreparerPersonNm
PTIN	P01226021	PTIN

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	see Schedule O	BusinessNameLine1

Field	Value	IRS element (for citing)
Principal Officer	Donald Gintzig	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3000 New Bern Avenue	AddressLine1
City	Raleigh	City
State	NC	State
ZIP Code	27610	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$1,269,443,098	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.WAKEMED.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1965	FormationYr
Legal Domicile State	NC	LegalDomicileStateCd
Activity Or Mission	WAKEMED IS A MULTI-FACILITY HEALTHCARE SYSTEM PROVIDING STATE OF THE ART HIGH QUALITY CARE.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	9477	TotalEmployeeCnt
Total Volunteers	1383	TotalVolunteersCnt
Total Gross UBI	$5,021,399	TotalGrossUBIAmt
PY Contributions Grants	$5,172,355	PYContributionsGrantsAmt
CY Contributions Grants	$4,731,146	CYContributionsGrantsAmt
PY Program Service Revenue	$967,167,959	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,004,043,448	CYProgramServiceRevenueAmt
PY Investment Income	$14,853,866	PYInvestmentIncomeAmt
CY Investment Income	$8,320,038	CYInvestmentIncomeAmt
PY Other Revenue	$5,954,432	PYOtherRevenueAmt
CY Other Revenue	$7,290,054	CYOtherRevenueAmt
PY Total Revenue	$993,148,612	PYTotalRevenueAmt
CY Total Revenue	$1,024,384,686	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,657,008	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,898,108	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$583,908,859	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$579,567,162	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$448,755,303	PYOtherExpensesAmt
CY Other Expenses	$452,702,426	CYOtherExpensesAmt
PY Total Expenses	$1,034,321,170	PYTotalExpensesAmt
CY Total Expenses	$1,034,167,696	CYTotalExpensesAmt
PY Revenues Less Expenses	-$41,172,558	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$9,783,010	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,401,033,136	TotalAssetsBOYAmt
Total Assets EOY	$1,423,447,229	TotalAssetsEOYAmt
Total Liabilities BOY	$636,733,084	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$632,851,201	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$764,300,052	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$790,596,028	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WAKEMED PROVIDES OUTSTANDING AND COMPASSIONATE CARE TO ALL WHO SEEK OUR SERVICES. WAKEMED IS COMMITTED TO THE HEALTH AND WELLNESS OF THE COMMUNITIES IT SERVES BY PROVIDING PREVENTIVE, DIAGNOSTIC, IN/OUTPATIENT, REHABILITATIVE CARE TO ALL REGARDLESS OF THE ABILITY TO PAY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$221,575,447	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$226,436,965	RevenueAmt
Desc	SURGICAL SERVICES - WAKEMED PROVIDES SURGICAL SERVICES IN FOUR LOCATIONS THROUGHOUT THE COUNTY: WAKEMED RALEIGH CAMPUS, WAKEMED CARY HOSPITAL, WAKEMED NORTH HEALTHPLEX 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 FACULTY PHYSICIANS, 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 35.7% WHO WERE INSURED UNDER MEDICARE, 13.8% WHO WERE INSURED UNDER MEDICAID AND 6.9% WHO WERE UNINSURED (OR "SELF-PAY OR CHARITY CARE").	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$178,820,034	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$198,988,290	RevenueAmt
Desc	HEART CENTER - WAKEMED'S HEART AND VASCULAR PROGRAM IS THE LARGEST AND ONE OF THE MOST RECOGNIZED 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 OF THE AMERICAN COLLEGE OF CARDIOLOGY'S NATIONAL CARDIOVASCULAR DATA REGISTRY FOR OUR CARDIOVASCULAR SERVICES. ONLY 32 OF 126 NORTH CAROLINA'S 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 DESIGNATED 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, 58.6% OF HEALTH CENTER PATIENTS WERE INSURED UNDER MEDICARE, 6.8% WERE INSURED UNDER MEDICAID, AND 6.0% OF THESE PATIENTS WERE UNINSURED.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$104,788,418	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$138,299,395	RevenueAmt
Desc	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 SEEKING MEDICAL CARE, REGARDLESS OF THEIR ABILITY TO PAY. IN FY 2014, 19.3% OF OUR EMERGENCY PATIENTS WERE INSURED UNDER MEDICARE; 21.3% WERE INSURED UNDER MEDICAID; AND 20.5% WERE UNINSURED OR SELF-PAY/CHARITY CARE. OVER 41.8% OF ALL PATIENTS SEEN IN OUR EDS ARE EITHER MEDICAID OR UNINSURED RESULTING IN WAKEMED PROVIDING CARE FOR MORE THAN 80 PERCENT OF THE COUNTY'S UNINSURED AND MEDICAID PATIENTS. ALL OF THE STAND-ALONE LOCATIONS SERVE AREAS WHICH ARE OTHERWISE UNDERSERVED BY DEDICATED MEDICAL SERVICES.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$424,365,878	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$1,898,108	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$446,850,551	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$929,549,777	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	584	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	9477	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NC	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	MICHAEL DEVAUGHN CFO	PersonNm
Phone	9193500522	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3000 New Bern Avenue	AddressLine1
City	Raleigh	City
State	NC	State
ZIP Code	27610	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
LESLIE MERRITT JR
BOARD MEMBER	6.0	0.0	Yes (X)	$0	$0	$0
DON MUNFORD
BOARD MEMBER	5.0	0.0	Yes (X)	$0	$0	$0
CHRISTINA ALVARADO SHANAHAN
BOARD MEMBER	6.0	0.0	Yes (X)	$0	$0	$0
HENRY DARNELL
BOARD MEMBER	4.0	0.0	Yes (X)	$0	$0	$0
STEPHEN M SMITH
BOARD MEMBER	4.0	0.0	Yes (X)	$0	$0	$0
WILLIAM H MCBRIDE
CHAIR - BOARD OF DIRECTORS	8.0	0.0	Yes (X)	$0	$0	$0
BRENDA C GIBSON
VICE-CHAIR BOARD OF DIRECTORS	7.0	0.0	Yes (X)	$0	$0	$0
JERRY C BERNSTEIN MD
SECRETARY - BOARD OF DIRECTORS	7.0	0.0	Yes (X)	$0	$0	$0
RICHARD F BAKER
BOARD MEMBER	10.0	0.0	Yes (X)	$0	$0	$0
LARRY D BARBOUR
BOARD MEMBER	7.0	0.0	Yes (X)	$0	$0	$0
ROBERT A CERWIN
BOARD MEMBER	5.0	0.0	Yes (X)	$0	$0	$0
A BLANTON GODFREY PHD
BOARD MEMBER	6.0	0.0	Yes (X)	$0	$0	$0
DAN HUGHES
BOARD MEMBER	7.0	0.0	Yes (X)	$0	$0	$0
WILLIAM R MCNEAL
BOARD MEMBER	6.0	0.0	Yes (X)	$0	$0	$0
WILLIAM K ATKINSON PHD
CEO (UNTIL 10/1/2013)	70.0	0.0		$1,454,198	$0	$34,730	Yes (X)
MICHAEL D DEVAUGHN
CFO, EXECUTIVE VP	65.0	0.0		$470,801	$0	$17,585	Yes (X)
THOMAS GETTINGER
COO, EXECUTIVE VP	70.0	0.0		$480,246	$0	$39,222	Yes (X)
ROYLYN JOHNSON
OFFICER - SECRETARY	50.0	0.0		$102,470	$0	$16,414	Yes (X)
DONALD R GINTZIG
Pres. & CEO (START 10/25/2013)	60.0	0.0		$132,342	$0	$9,786	Yes (X)
KATHLEEN K GORMLEY
EXECUTIVE VP-OPER & AMBULATORY	65.0	0.0		$497,240	$0	$29,723		Yes (X)
DAVID C COULTER
SENIOR VP-ADMINISTRATOR CARY	57.0	0.0		$382,663	$0	$35,227		Yes (X)
JEANENE R MARTIN
SENIOR VP-HUMAN RESOURCES	65.0	0.0		$291,063	$0	$31,410		Yes (X)
E DENTON ARLEDGE
VP & CIO	60.0	0.0		$294,476	$0	$40,068		Yes (X)
THOMAS G CAVENDER
VP FACILITIES & CONTRUCTION	50.0	0.0		$264,383	$0	$39,344		Yes (X)
CAROLYN KNAUP
SENIOR VP-AMBULATORY SERVICES	63.0	0.0		$271,854	$0	$38,148		Yes (X)
BETSY GASKINS-MCCLAINE
VP HEART & VASCULAR	70.0	0.0		$243,282	$0	$31,218		Yes (X)
CYNTHIA ALNESS-BOILY
SENIOR VP-OPERATIONS & CNO	60.0	0.0		$327,765	$0	$35,684		Yes (X)
VICKI BLOCK
SR VP & ADMINISTRATOR RALEIGH	60.0	0.0		$289,930	$0	$30,577		Yes (X)
DUDLEY HARRINGTON
VP REVENUE CYCLE	65.0	0.0		$275,687	$0	$41,080		Yes (X)
GEORGIA C HARRINGTON
VP OPERATIONS	48.0	0.0		$210,718	$0	$25,872		Yes (X)
GURVINDER S DEOL
PHYSICIAN	65.0	0.0		$944,295	$0	$32,301			Yes (X)
JONATHAN D CHAPPELL
PHYSICIAN	65.0	0.0		$796,851	$0	$23,667			Yes (X)
MARK L WOOD
PHYSICIAN	65.0	0.0		$674,980	$0	$30,507			Yes (X)
OKECHUKWU E NWOKO
PHYSICIAN	65.0	0.0		$795,131	$0	$16,069			Yes (X)
MARC T SILVER
PHYSICIAN	65.0	0.0		$688,919	$0	$33,268			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$9,889,294	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$631,900	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	623	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
Evolent Health
800 N Glebe Rd Ste 500	Arlington	VA	22203	Healthcare Consult	$11,149,175
University of NC Hospitals
211 Friday Ctr Dr Gen Accntng Ste	Chapel Hill	NC	27517	Healthcare Services	$5,091,347
BBH Design
8208 Brownleigh Dr Ste 200	Raleigh	NC	27617	Design Services	$3,644,440
Nepolitano Co
90 West Wieuca Rd Ste 103	Atlanta	GA	30342	Advertising Services	$3,279,281
Smith Moore Leatherwood LLP
300 N Greene St 1400	Greensboro	NC	27401	Legal Services	$2,788,666

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	62	CntrctRcvdGreaterThan100KCnt
Fundraising	$0	FundraisingAmt
Related Organizations	$0	RelatedOrganizationsAmt
Government Grants	$4,262,955	GovernmentGrantsAmt
All Other Contributions	$468,191	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$4,731,146	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Patient Services	621500	$966,893,808	$966,893,808	$0	$0
Non-Patient Services	621500	$3,820,140	$0	$3,820,140	$0
Cafeteria	722210	$4,281,826	$0	$0	$4,281,826
PURCH DISCOUNTS/REBATE/VHA	900099	$3,017,429	$3,017,429
OTHER OPERATING REVENUE	900099	$14,568,237	$7,798,112	$1,201,259	$5,568,866

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,462,008	TotalRevenueColumnAmt
Related Or Exempt Func Income	$11,462,008	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,004,043,448	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,981,475	TotalRevenueColumnAmt
Exclusion	$9,981,475	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$828,575	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$70,274	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$758,301	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$758,301	TotalRevenueColumnAmt
Exclusion	$758,301	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$242,846,243	SecuritiesAmt
Other	$480,458	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$244,357,817	SecuritiesAmt
Other	$630,321	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$1,511,574	SecuritiesAmt
Other	-$149,863	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,661,437	TotalRevenueColumnAmt
Exclusion	-$1,661,437	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	Rev from Joint Venture	Desc
Business	900099	BusinessCd
Total Revenue Column	$6,531,753	TotalRevenueColumnAmt
Related Or Exempt Func Income	$6,531,753	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$6,531,753	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,024,384,686	TotalRevenueColumnAmt
Related Or Exempt Func Income	$995,703,110	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$5,021,399	UnrelatedBusinessRevenueAmt
Exclusion	$18,929,031	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,799,614	TotalAmt
Program Services	$1,799,614	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$98,494	TotalAmt
Program Services	$98,494	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$7,161,655	TotalAmt
Program Services	$5,729,324	ProgramServicesAmt
Management And General	$1,432,331	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$467,318,853	TotalAmt
Program Services	$397,221,025	ProgramServicesAmt
Management And General	$70,097,828	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$23,675,710	TotalAmt
Program Services	$20,124,354	ProgramServicesAmt
Management And General	$3,551,356	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$47,909,798	TotalAmt
Program Services	$40,723,328	ProgramServicesAmt
Management And General	$7,186,470	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$33,501,146	TotalAmt
Program Services	$28,475,974	ProgramServicesAmt
Management And General	$5,025,172	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$17,588	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$17,588	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,427,303	TotalAmt
Program Services	$1,341,665	ProgramServicesAmt
Management And General	$85,638	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$240,098	TotalAmt
Program Services	$219,810	ProgramServicesAmt
Management And General	$20,288	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$518,680	TotalAmt
Program Services	$487,559	ProgramServicesAmt
Management And General	$31,121	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$976,312	TotalAmt
Program Services	$917,733	ProgramServicesAmt
Management And General	$58,579	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$79,152,008	TotalAmt
Program Services	$74,402,888	ProgramServicesAmt
Management And General	$4,749,120	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$5,002,058	TotalAmt
Program Services	$4,701,935	ProgramServicesAmt
Management And General	$300,123	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$35,361,294	TotalAmt
Program Services	$33,239,616	ProgramServicesAmt
Management And General	$2,121,678	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$20,096,864	TotalAmt
Program Services	$18,891,052	ProgramServicesAmt
Management And General	$1,205,812	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$23,286,024	TotalAmt
Program Services	$21,888,863	ProgramServicesAmt
Management And General	$1,397,161	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$847,022	TotalAmt
Program Services	$796,201	ProgramServicesAmt
Management And General	$50,821	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,273,246	TotalAmt
Program Services	$1,196,851	ProgramServicesAmt
Management And General	$76,395	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$11,490,465	TotalAmt
Program Services	$11,490,465	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$66,411,964	TotalAmt
Program Services	$66,411,964	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$6,127,020	TotalAmt
Program Services	$5,759,399	ProgramServicesAmt
Management And General	$367,621	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$135,602,703	$135,602,703	$0	$0
GAP ASSESSMENT	$24,448,411	$22,981,506	$1,466,905	$0
REPAIRS/MAINTENANCE	$21,075,067	$16,860,054	$4,215,013
MINOR EQUIPMENT	$2,781,057	$2,614,194	$166,863	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$16,567,242	TotalAmt
Program Services	$15,573,206	ProgramServicesAmt
Management And General	$994,036	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,034,167,696	TotalAmt
Program Services	$929,549,777	ProgramServicesAmt
Management And General	$104,617,919	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$49,291	BOYAmt
EOY	$59,580	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$499,444,897	BOYAmt
EOY	$442,952,517	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$208,443	BOYAmt
EOY	$64,410	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$186,847,670	BOYAmt
EOY	$220,110,341	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$10,328,141	BOYAmt
EOY	$8,946,756	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$19,389,002	BOYAmt
EOY	$21,286,609	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$10,112,358	BOYAmt
EOY	$11,079,654	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,415,795,952	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$834,214,171	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$542,307,444	BOYAmt
EOY	$581,581,781	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$45,872,778	BOYAmt
EOY	$49,784,743	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,416,406	BOYAmt
EOY	$942,955	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$85,056,706	BOYAmt
EOY	$86,637,883	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,401,033,136	BOYAmt
EOY	$1,423,447,229	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$137,093,507	BOYAmt
EOY	$142,508,328	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$685,078	BOYAmt
EOY	$960,613	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$454,853,773	BOYAmt
EOY	$444,153,422	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$44,100,726	BOYAmt
EOY	$45,228,838	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$636,733,084	BOYAmt
EOY	$632,851,201	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$763,772,449	BOYAmt
EOY	$790,034,915	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$198,371	BOYAmt
EOY	$228,572	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$329,232	BOYAmt
EOY	$332,541	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$764,300,052	BOYAmt
EOY	$790,596,028	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,401,033,136	BOYAmt
EOY	$1,423,447,229	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$9,783,010	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$8,073,971	NetUnrlzdGainsLossesInvstAmt
Investment Expense	$976,312	InvestmentExpenseAmt
Other Changes In Net Assets	$27,028,703	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Media Advertisements	$0	MediaAdvertisementsAmt
Mailings Members	false	MailingsMembersInd
Mailings Members	$0	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Publications Or Broadcast	$0	PublicationsOrBroadcastAmt
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Grants Other Organizations	$0	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$518,680	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Rallies Demonstrations	$0	RalliesDemonstrationsAmt
Other Activities	false	OtherActivitiesInd
Other Activities	$0	OtherActivitiesAmt
Total Lobbying Expenditures	$518,680	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$322,669	BeginningYearBalanceAmt
Investment Earnings Or Losses	$5,980	InvestmentEarningsOrLossesAmt
Administrative Expenses	$1,114	AdministrativeExpensesAmt
End Year Balance	$327,535	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$316,547	BeginningYearBalanceAmt
Investment Earnings Or Losses	$7,328	InvestmentEarningsOrLossesAmt
Administrative Expenses	$1,206	AdministrativeExpensesAmt
End Year Balance	$322,669	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$3,889,817	OtherCostOrOtherBasisAmt
Book Value	$3,889,817	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$596,505,179	OtherCostOrOtherBasisAmt
Depreciation	$251,680,046	DepreciationAmt
Book Value	$344,825,133	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$22,397,363	OtherCostOrOtherBasisAmt
Depreciation	$8,891,367	DepreciationAmt
Book Value	$13,505,996	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$698,668,591	OtherCostOrOtherBasisAmt
Depreciation	$557,509,992	DepreciationAmt
Book Value	$141,158,599	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$94,335,002	OtherCostOrOtherBasisAmt
Depreciation	$16,132,766	DepreciationAmt
Book Value	$78,202,236	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$581,581,781	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
Restricted Funds	$39,655,174
Designated Funds	$34,918,531
Other Equity Funds	$10,996,282
Prepaid Pension	$1,067,896

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$86,637,883	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
Due to 3rd Parties	$22,771,148
Accrued Malpractice	$21,480,435
Miscellaneous Leases - LT	$364,149
Capital Leases	$346,370
Deferred Landlord Incentive	$159,292
Salaries & Wages Payable	$102,990
Miscellaneous Liabilities	$4,454

Field	Value	IRS element (for citing)
Total Liability	$45,228,838	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	INTENDED USE OF ENDOWMENT FUNDS	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt	Specific Services ProvidedSpecificServicesProvidedTxt
Central America and the Caribbean	Investments	$60,000
Central America and the Caribbean	CAPTIVE INSURANCE	$11,602,926	Insurance Premiums/Exp

Field	Value	IRS element (for citing)
Subtotal Spent	$11,662,926	SubtotalSpentAmt
Total Spent	$11,662,926	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250.	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$79,724,737	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$79,724,737	NetCommunityBenefitExpnsAmt
Total Expense	0.07710	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$149,152,623	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$123,136,912	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,015,711	NetCommunityBenefitExpnsAmt
Total Expense	0.02520	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,447,686	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,241,616	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$206,070	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$230,325,046	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$124,378,528	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$105,946,518	NetCommunityBenefitExpnsAmt
Total Expense	0.10250	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,862,954	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$324,481	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,538,473	NetCommunityBenefitExpnsAmt
Total Expense	0.00540	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,274,156	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,211,260	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,062,896	NetCommunityBenefitExpnsAmt
Total Expense	0.00200	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$582,722	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$582,722	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,719,832	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,535,741	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,184,091	NetCommunityBenefitExpnsAmt
Total Expense	0.00800	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$247,044,878	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$132,914,269	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$114,130,609	NetCommunityBenefitExpnsAmt
Total Expense	0.11050	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$147,236	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$147,236	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$546,414	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$546,414	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,506	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,506	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,292,997	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$52,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,240,997	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,002,153	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$52,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,950,153	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$15,979,330	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$213,659,797	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$226,240,890	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$12,581,093	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	CAP CITY SURGERY CTR	BusinessNameLine1

Field	Value	IRS element (for citing)
Primary Activities	HEALTHCARE	PrimaryActivitiesTxt
Org Profit Or Ownership	0.50000	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.00000	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.17070	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
WakeMed Raleigh Campus
1	3000 New Bern Ave	Raleigh	NC	27610	WWW.WAKEMED.ORG	H0199	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
WAKEMED CARY HOSPITAL
2	1900 KILDAIRE FARM ROAD	CARY	NC	27518	WWW.WAKEMED.ORG	H0276	Yes (X)	Yes (X)		Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	A	BusinessNameLine1

Field	Value	IRS element (for citing)
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Include Operational Plan	Yes (X)	IncludeOperationalPlanInd
Adopt Budget	Yes (X)	AdoptBudgetInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
All Needs Addressed	Yes (true)	AllNeedsAddressedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (true)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	250.	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (true)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	250.	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (true)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Medical Indigency	Yes (X)	MedicalIndigencyInd
Insurance Status	Yes (X)	InsuranceStatusInd
Uninsured Discount	Yes (X)	UninsuredDiscountInd
Medicaid Medicare	Yes (X)	MedicaidMedicareInd
State Regulation	Yes (X)	StateRegulationInd
Residency	Yes (X)	ResidencyInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
Posted On Website	Yes (X)	PostedOnWebsiteInd
Attached To Invoice	Yes (X)	AttachedToInvoiceInd
Posted In Emergency Room	Yes (X)	PostedInEmergencyRoomInd
Posted In Admission Office	Yes (X)	PostedInAdmissionOfficeInd
Provided On Admission	Yes (X)	ProvidedOnAdmissionInd
Available On Request	Yes (X)	AvailableOnRequestInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Average Negotiated Rates	Yes (X)	AverageNegotiatedRatesInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp

Field	Value	IRS element (for citing)
Form And Line Reference	All answers provided in Part V, Section B & C pertain to Facility Group A	FormAndLineReferenceDesc
Explanation	which includes WakeMed Raleigh Campus and WakeMed Cary Hospital as identified on Schedule H, Part V, Section A, Lines 1-2. Part V, Section B, Line 3: 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 the community to determine priority issues to be addressed and develop a community based action plan to address identified concerns. 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 prioritized the areas of focus for the next three years. Each of these processes sought to include a broad cross section of the communites served by WakeMed. Part V, Section B, Line 4: Wake Human Services, Duke Health Raleigh, Rex Healthcare, United Way, Wake Health Services, WakeMed Part V, Section B, Line 5a: http://www.wakemed.org/videos/About%20Us/2013%20Wake%20CHNA%20Full%20Repor t%20FINAL.pdf Part V, Section B, Line 11: We do not provide discounted care in regards to charity. Our charity write-offs are 100% of charges. Part V, Line 20d: 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 a co-pay directly associated with the treatment they received.	ExplanationTxt

Field	Value	IRS element (for citing)
Facility	19	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (19 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt
Wake Specialty Physicians LLC
3024 New Bern Avenue	Raleigh	NC	27610	Medical Practice
WAKEMED NORTH HEALTHPLEX
10000 Falls of The Neuse Rd	Raleigh	NC	27614	OP/Ambulatory Surgery Center Emergency Dept, Lab, Radiology Phys, Occup and Speech Therapy
Wake Faculty Physicians LLC
3024 New Bern Avenue	Raleigh	NC	27610	Medical Practice
WakeMed Rehab Hospital
3000 New Bern Avenue	Raleigh	NC	27610	Phys Med & Rehab Hospital Phys, Speech & Occup Therapy Cardiac Rehab, Fitness Center
WakeMed Garner Healthplex
400 US 70 EAST	Garner	NC	27529	Emergency Department Laboratory, Radiology
WakeMed Apex Healthplex
120 Healthplex Way	Apex	NC	27502	Emergency Department Laboratory, Radiology
WAKEMED BRIER CREEK HEALTHPLEX
8001 TW Alexander Drive	Raleigh	NC	27617	Emergency Department Laboratory, Radiology
Wake Orthopedics LLC
3009 New Bern Avenue	Raleigh	NC	27610	Medical Practice
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 OP Rehab Center
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 ZEBULON OP & SKILLED NURS FAC
535 W Gannon Avenue	Zebulon	NC	27597	Skilled Nursing Fac, Phys, Occ & Speech Therapy, Radiology, Laboratory
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
WakeMed Fuquay-Varina Outpatient
400 Ransom Street	FuquayVarina	NC	27526	Skilled Nursing Fac, Phys, Occup, and Speech Therapy
PARTNERS IN PRACTICE LLC
3000 New Bern Avenue	Raleigh	NC	27610	Medical Practice

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Line 1:	FormAndLineReferenceDesc
Explanation	Line 1: 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, Advocates for Health in Action, 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. 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 $12,581,093 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 40% 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 11.06% to 12.21%. 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. It 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 c	ExplanationTxt

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (15 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
American Heart Association
4217 Park Place Ct	Glen Allen	VA	23060	135613797	501(c)(3)	$15,000	$0	general support
Wake County Medical Society
220 Horizon Dr Ste 201	Raleigh	NC	27615	562205175	501(c)(3)	$12,500	$0	medical care
Cary Visual Art
PO Box 4322	Cary	NC	27519	562023686	501(c)(3)	$9,432	$0	general support
Interfaith Food Shuttle
1001 Blair Drive	Raleigh	NC	27620	561753180	501(c)(3)	$5,000	$11,489	general support	FMV	Food
Interact
1012 Oberlin Rd Ste 100	Raleigh	NC	27605	581320613	501(c)(3)	$103,500	$0	general support
Marbles Kids Museum
201 E Hargett Street	Raleigh	NC	27601	581647538	501(c)(3)	$20,000	$0	general support
NC Physicians Health Program
220 Horizon Drive	Raleigh	NC	27615	561846599	501(c)(3)	$13,200	$0	general support
NC Museum of Art
2110 Blue Ridge Road	Raleigh	NC	27607	237071511	501(c)(3)	$10,000	$0	general support
Wake Early College
2901 Holston Lane	Raleigh	NC	27610		GOV'T	$5,470	$0	general support
Wake Tech College Foundation
9101 Fayetteville Road	Raleigh	NC	27603	237017752	501(c)(3)	$100,000	$0	general support
YMCA of the Triangle - AHA
801 Corporate Drive	Raleigh	NC	27606	560591307	501(c)(3)	$15,000	$0	general support
Wake Co Human Services
PO Box 46833	Raleigh	NC	27620	566000376	GOV'T	$482,290	$0	general support
Alliance Medical Ministry
101 Donald Ross Drive	Raleigh	NC	27610	562168673	501(c)(3)	$374,625	$0	medical care
Paired Health
8310 Bandford Way	Raleigh	NC	27615	464497775		$331,893		Medical Care
Debnam Clinic
1501 Poole Road	Raleigh	NC	27610	561977593		$180,000		Medical Care

Field	Value	IRS element (for citing)
Total501c3 Org	13	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	Prescription Drugs	GrantTypeTxt
Recipient	6273	RecipientCnt
Non Cash Assistance	$98,494	NonCashAssistanceAmt
Valuation Method Used	FMV	ValuationMethodUsedDesc
Non Cash Assistance	RX-INDIGENT PATIENTS	NonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS	FormAndLineReferenceDesc
Explanation	SCHEDULE I, PART I, LINE 2 ALL GRANT/FUNDING REQUESTS MUST BE MADE IN WRITING, AND FREQUENTLY MEETINGS ARE HELD WITH REQUESTING ORGANIZATIONS TO ENSURE THE REQUESTS ARE IN ACCORDANCE WITH OUR GOALS AND GUIDELINES RELATED TO DONATIONS AND SPONSORSHIPS. ALL DONATIONS ARE COORDINATED THROUGH ONE DEPARTMENT AND ARE TRACKED AND LOGGED ON A SPREADSHEET WITH A QUICK REFERENCE TO THE REASON FOR THE GIFT. WAKEMED ALSO KEEPS A FILE ON EACH ORGANIZATION AND ALL ASSOCIATED PAPERWORK. IN MOST CASES, WAKEMED ALSO TRACKS HOW THE GIFT IS 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

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	false	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
WILLIAM K ATKINSON PHD
CEO (UNTIL 10/1/2013)	$770,010	$0	$240,783	$0	$443,405	$0	$15,863	$0	$18,867	$0	$1,488,928	$0	$336,566	$0
MICHAEL D DEVAUGHN
CFO, EXECUTIVE VP	$431,308	$0	$20,000	$0	$19,493	$0	$8,058	$0	$9,527	$0	$488,386	$0	$0	$0
THOMAS GETTINGER
COO, EXECUTIVE VP	$442,545	$0	$20,000	$0	$17,701	$0	$15,709	$0	$23,513	$0	$519,468	$0	$0	$0
KATHLEEN K GORMLEY
EXECUTIVE VP-OPER & AMBULATORY	$458,595	$0	$20,000	$0	$18,645	$0	$15,734	$0	$13,989	$0	$526,963	$0	$0	$0
DAVID C COULTER
SENIOR VP-ADMINISTRATOR CARY	$364,752	$0	$0	$0	$17,911	$0	$19,998	$0	$15,229	$0	$417,890	$0	$0	$0
JEANENE R MARTIN
SENIOR VP-HUMAN RESOURCES	$274,813	$0	$0	$0	$16,250	$0	$15,539	$0	$15,871	$0	$322,473	$0	$0	$0
E DENTON ARLEDGE
VP & CIO	$288,609	$0	$0	$0	$5,867	$0	$15,535	$0	$24,533	$0	$334,544	$0	$0	$0
THOMAS G CAVENDER
VP FACILITIES & CONTRUCTION	$246,169	$0	$0	$0	$18,214	$0	$15,512	$0	$23,832	$0	$303,727	$0	$0	$0
CAROLYN KNAUP
SENIOR VP-AMBULATORY SERVICES	$256,103	$0	$0	$0	$15,751	$0	$15,507	$0	$22,641	$0	$310,002	$0	$0	$0
BETSY GASKINS-MCCLAINE
VP HEART & VASCULAR	$242,272	$0	$0	$0	$1,010	$0	$15,128	$0	$16,090	$0	$274,500	$0	$0	$0
CYNTHIA ALNESS-BOILY
SENIOR VP-OPERATIONS & CNO	$306,787	$0	$0	$0	$20,978	$0	$15,586	$0	$20,098	$0	$363,449	$0	$0	$0
VICKI BLOCK
SR VP & ADMINISTRATOR RALEIGH	$273,938	$0	$0	$0	$15,992	$0	$15,533	$0	$15,044	$0	$320,507	$0	$0	$0
DUDLEY HARRINGTON
VP REVENUE CYCLE	$272,330	$0	$0	$0	$3,357	$0	$15,531	$0	$25,549	$0	$316,767	$0	$0	$0
GEORGIA C HARRINGTON
VP OPERATIONS	$209,956	$0	$0	$0	$762	$0	$13,027	$0	$12,845	$0	$236,590	$0	$0	$0
GURVINDER S DEOL
PHYSICIAN	$559,372	$0	$382,250	$0	$2,673	$0	$8,312	$0	$23,989	$0	$976,596	$0	$0	$0
JONATHAN D CHAPPELL
PHYSICIAN	$553,217	$0	$243,030	$0	$604	$0	$8,184	$0	$15,483	$0	$820,518	$0	$0	$0
MARK L WOOD
PHYSICIAN	$593,485	$0	$79,694	$0	$1,801	$0	$8,139	$0	$22,368	$0	$705,487	$0	$0	$0
OKECHUKWU E NWOKO
PHYSICIAN	$231,902	$0	$562,780	$0	$449	$0	$7,880	$0	$8,189	$0	$811,200	$0	$0	$0
MARC T SILVER
PHYSICIAN	$382,290	$0	$306,018	$0	$611	$0	$8,128	$0	$25,140	$0	$722,187	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 an employment agreement, and additional ones are approved by the Board of Directors.
SCHEDULE J, PART I, LINE 4A	Severence paid to William K. Atkinson, former CEO, $336,801.
SCHEDULE J, PART I, LINE 4B	WAKEMED MAINTAINED A 457F PLAN FOR CERTAIN INDIVIDUALS, HOWEVER NO 457F CONTRIBUTION WAS MADE DURING THE FISCAL YEAR ENDING 9/30/2014. THE FOLLOWING INDIVIDUALS PARTICIPATED IN WAKEMED'S 457F PLAN DURING THE FISCAL YEAR ENDING 9/30/2014: WILLIAM K. ATKINSON $0; MICHAEL D. DEVAUGHN $0; THOMAS GETTINGER $0; ROYLYN JOHNSON $0; DONALD R. GINTZIG $0; KATHLEEN K. GORMLEY $0; DAVID C. COULTER $0; JEANENE R. MARTIN $0; E. DENTON ARLEDGE $0; THOMAS G. CAVENDER $0; CAROLYN KNAUP $0; BETSY GASKINS-MCCLAINE $0; CYNTHIA ALNESS-BOILY $0; VICKI BLOCK $0; DUDLEY HARRINGTON $0; GEORGIA C. HARRINGTON $0; GURVINDER S. DEOL $0; JONATHAN D. CHAPPELL $0; MARK L. WOOD $0; OKECHUKWU E. NWOKO $0; MARC T. SILVER $0.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
North Carolina Medical Care Commission
A	521309402	65821DCS8	2009-02-26	$75,000,000	See Part VI	false	false	false
North Carolina Medical Care Commission
B	521309402	65821DCW9	2009-07-16	$81,780,000	See Part VI	false	false	false
North Carolina Medical Care Commission
C	521309402	65821DLY5	2012-07-11	$315,717,962	See Part VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$0	$0	$75,249,667	$0	$0	$0	$835,544	$37,919	$0	$74,376,204	$0	$0	2010	false	false	Yes (true)	Yes (true)
B	$14,965,000	$0	$81,780,000	$0	$0	$0	$817,125	$41,347	$0	$0	$80,921,528	$0	2012	Yes (true)	false	Yes (true)	Yes (true)
C	$11,590,000	$0	$315,718,038	$0	$0	$172,556,427	$2,994,195	$0	$0	$0	$140,167,509	$0	2012	Yes (true)	Yes (true)	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	false	false	false	false	Yes (true)
B	false	false	false		false	false	false	false	Yes (true)
C	false	Yes (true)	Yes (true)	Yes (true)	false	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	false	false	Yes (true)	Yes (true)	false	false	0	false	Yes (true)
0
B	false	false	false	Yes (true)	Yes (true)	false	false	0	false	Yes (true)
0
C	false	Yes (true)	false	false	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 2001 bonds is 3/15/2001 and date of issue for the refunded 2009A bonds is 2/10/2009.
Total proceeds of issue	Schedule K, Part II, 3, Columns A, B, & C Total proceeds include investment earnings.
Issuance Costs from proceeds	Schedule K, Part II, Line 7, Columns A, B, & C The amounts reported on Form 8038 as proceeds used for bond issuance costs were estimates. The amounts reported on Schedule K represent the actual use of proceeds. Schedule K credit enhancement reported was from the initial letter of credit fee paid from bond proceeds. This amount was unknown at the time of the Form 8038 preparation.
Capital expenditures from proceeds	Schedule K, Part II, Line 10, Column A Bond series 2009B generated $249,667 in interest.
Arbitrage rebate	Schedule K, Part IV, 2c Arbitrage rebate calculation performed on 2/25/2014 for A; 7/15/2014 for B, next scheduled calculation date for C is 10/1/2017.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
DBA'S 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 39 WakeMed Brier Creek Medical Park 40 WakeMed Raleigh Medical Park 41 WakeMed OP Rehab - Banks D Kerr Family YMCA Raleigh, NC 42 WakeMed OP Rehab - Cary Family YMCA Cary, NC 43 WakeMed OP Rehab - Kraft Family YMCA Apex, NC 44 WakeMed OP Rehab - Alexander Family YMCA Raleigh, NC 45 Wake Specialty Brier Creek Internal Medicine 46 Wake Specialty ENT - Head & Neck Surgery 47 Wake Specialty Facial Plastics 48 Wake Specialty Gastroenterology & Hepatology 49 Wake Specialty General Surgery 50 Wake Specialty OB/GYN 51 Wake Specialty Physicians ENT - Head & Neck Surgery 52 Wake Specialty Physicians Facial Plastics 53 Wake Specialty Physicians Gastroenterology & Hepatology 54 Wake Specialty Physicians General Surgery 55 Wake Specialty Physicians Internal Medicine Brier Creek 56 Wake Specialty Physicians OB/GYN 57 Wake Specialty Physicians Urology 58 Wake Specialty Physicians Women's Center 59 Wake Specialty Urology 60 Wake Specialty Women's Center 61 Wake Specialty Physicians Maternal Fetal Medicine 62 Wake Specialty Physicians Employee Health 63 Falls Pointe Medical Group 64 Wake Specialty Physicians - City Center Medical Group 65 Wake Specialty Physicians - Carolina Cardiology 66 Wake Specialty Physicians - Concussion Clinic 67 Wake Specialty Physicians - Apex Medical Group 68 Wake Specialty Physicians - Holly Springs Medical Group 69 Wake Specialty Physicians - Accent Urgent Care 70 Wake Specialty Physicians - Wake Orthopaedics 71 Wake Specialty Physicians - North Wake Internal Medicine 72 Wake Specialty Physicians Pulmonology 73 Wake Specialty Physicians - Knightdale Family Practice 74 Wake Specialty Physicians - Carolina Cardiovascular Surgical Associates 75 Wake Specialty Physicians - Cary Cardiology 76 Wake Specialty Physicians - Capital Urology 77 Wake Specialty Physicians - Harnett Surgical Associates 78 Wake Specialty Physicians - Morrisville Primary Care 79 Wake Specialty Physicians - Garner Primary Care 80 Wake Specialty Physicians - Fuquay Varina Primary Care 81 Wake Specialty Physicians - Wellness Family Practice 82 Wake Specialty Physicians - Structural Heart 83 Wake Specialty Physicians - Raleigh Cardiology 84 Wake Specialty Physicians - Raleigh Cardiology Associates 85 Wake Specialty Physicians - Cardiovascular 86 Wake Specialty Physicians - Parkway Primary Care
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 AND 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 THAT IS 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 DIRECTOR'S COMMITTEE FOR REVIEW.
AVAILABILITY OF FINANCIAL STMTS, 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 CAPITAL ASSET RENOVATIONS TO THE NEONATAL ICU, THE EXPANSION OF THE NORTH HEALTHPLEX, CENTRAL PLANT IMPROVEMENTS, AND THE PURCHASE AND IMPLEMENTATION OF EPIC SYSTEMS. - $27,028,703.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1
WAKE ORTHOPAEDICS LLC
3009 New Bern Ave	Raleigh	NC	27610	043750760	MED. OFFICE	NC	$10,240,350	$0	na
Cardiac Innovations LLC
3000 New Bern Ave	Raleigh	NC	27610	260554927	EQUIP LEASING	NC	$6,424	$87,929	na
Wake Specialty Physicians LLC
2009 New Bern Ave	Raleigh	NC	27610	264169156	MED. OFFICE	NC	$69,953,999	$14,543,054	na
CSAMS New Bern Ave LLC
3000 New Bern Ave	Raleigh	NC	27610		Healthcare	NC	$0	$778,218	na
PARTNERS IN PRACTICE LLC
3000 NEW BERN AVE	RALEIGH	NC	27610	271164650	MED. OFFICE	NC			NA

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd
WakeMed Property Services
3000 New Bern Ave	Raleigh	NC	27610	561133894	Leasing	NC	501(c)(3)	11b	na	false
WakeMed Faculty Practice Plan
3000 New Bern Ave	Raleigh	NC	27610	237169178	Medical	NC	501(c)(3)	11b	na	false
The Volunteers at Cary Campus
3000 NEW BERN AVE	Raleigh	NC	27610	561798031	Volunteers	NC	501(c)(3)	11b	na	false
The Volunteers at Raleigh Campus
3000 New Bern Ave	Raleigh	NC	27610	560749114	Volunteers	NC	501(c)(3)	11b	na	false
WakeMed Foundation
3000 New Bern Ave	Raleigh	NC	27610	561916549	Support	NC	501(c)(3)	7	na	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode
CAPITAL SURGERY CTR
260804803	Healthcare	NC	na	Related	$5,875,291	$4,692,776	false	$0	false	0.50000
WakePet Services
263108205	Equipment leasing	NC	na	Related	$196,963	$58,982	false	$0	false	0.50000
BabyCompany WakeMed
472167148	Healthcare	NY	NA	NONE	$0	$0	false	$0	false	0.50000	1345 Ave of the Americas23rd Fl	New York	NY	10105

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1ForeignAddress/AddressLine1	CityForeignAddress/City	CountryForeignAddress/Country	Postal CodeForeignAddress/PostalCode	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Legal Domicile StateLegalDomicileStateCd
Dogwood Insurance Company (SPC) LTD
PO Box 493 Century Yard	Grand Cayman	CJ	KY1-1106	Captive	CJ	na	$0	$41,923,021	1.00000	false
WakeMed Key Community Care LLC
				ACO		na	$0	$299,139	1.00000	false	3000 New Bern Avenue	Raleigh	NC	27610	462853835	NC

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART I, LINE 5	FormAndLineReferenceDesc
Explanation	Partners in Practice, LLC was dissolved June 10, 2014.	ExplanationTxt