2014-05-14T07:36:58-05:00 2013-06-30 135565207 KPMG LLP 300 NORTH GREENE STREET GREENSBORO NC 27401 990 2012-07-01 223849199 WAKE FOREST UNIVERSITY HEALTH SCIENCES WAKE 3367164445 MEDICAL CENTER BLVD WINSTONSALEM NC 27157 JOHN D MCCONNELL MD 3367164445 2014-05-09 0 P00008888 3362753394 2012 2015-11-30 17:44:51Z JOHN D MCCONNELL MD MEDICAL CENTER BLVD WINSTONSALEM NC 27157 703867888 0 X WAKEHEALTH.EDU X 2001 NC IMPROVING THE HEALTH OF OUR REGION, STATE, AND NATION. 18 12 5816 1000 21923 17653 239650189 211724409 454332618 451897357 21657820 30457052 1986442 9260494 717627069 703339312 48148900 51568879 0 0 485174103 487306778 1036541 996349 3991776 171664046 195751580 706023590 735623586 11603479 -32284274 1084249448 1044242886 562643761 538820342 521605687 505422544 X THE ORGANIZATION IS PART OF WAKE FOREST BAPTIST MEDICAL CENTER, A PREEMINENT, INTERNATIONALLY RECOGNIZED ACADEMIC MEDICAL CENTER OF THE HIGHEST QUALITY WITH BALANCED EXCELLENCE IN PATIENT CARE, RESEARCH AND EDUCATION. OUR MISSION IS TO IMPROVE THE HEALTH OF OUR REGION, STATE AND NATION BY: GENERATING AND TRANSLATING KNOWLEDGE TO PREVENT, DIAGNOSE AND TREAT DISEASE; TRAINING LEADERS IN HEALTH CARE AND BIOMEDICAL SCIENCE; AND SERVING AS THE PREMIER HEALTH SYSTEM IN OUR REGION, WITH SPECIFIC CENTERS OF EXCELLENCE RECOGNIZED AS NATIONAL AND INTERNATIONAL CARE DESTINATIONS. 0 0 183495797 36366074 MEDICAL RESEARCH, GENERAL/OTHER: RESEARCH COMPRISED OF BASIC SCIENCE CLINICAL RESEARCH AND POPULATION BASED STUDIES AND IS CENTERED ON THE ACQUISITION AND ADVANCEMENT OF SCIENTIFIC KNOWLEDGE AND NEW TECHNOLOGY AND THEIR TRANSFER TO INDUSTRY AND THE PATIENT IN ORDER TO PREVENT AND TREAT DISEASE AND PROMOTE HEALTH (1902 GRANTS). 415570385 133244 421435916 PATIENT CARE AND MEDICAL EXPENSES IN PROVIDING SERVICES TO 768,476 PATIENT ENCOUNTERS. 88623469 15069561 34660013 PROFESSIONAL EDUCATION: INSTRUCTION OF APPROX. 1,600 MEDICAL, GRADUATE, AND PHYSICIAN ASSISTANT STUDENTS. SCHOLARSHIPS AND AID PROVIDED TO 760 STUDENTS. WAKE FOREST UNIVERSITY HEALTH SCIENCES IS AN INTEGRAL PART OF WAKE FOREST BAPTIST MEDICAL CENTER, A PREEMINENT, INTERNATIONALLY RECOGNIZED ACADEMIC MEDICAL CENTER OF THE HIGHEST QUALITY WITH BALANCED EXCELLENCE IN PATIENT CARE, RESEARCH AND EDUCATION. THE FOLLOWING PARAGRAPHS ARE PROVIDED TO EXPLAIN THE RELATIONSHIP OF THE FILING ORGANIZATION WITH OTHER ORGANIZATIONS WHICH TOGETHER COMPRISE "WAKE FOREST BAPTIST MEDICAL CENTER", THE NAME, NOT OF ANY ONE CORPORATE ENTITY, BUT THAT IS USED GENERICALLY TO DESCRIBE A LARGE GROUP OF MOSTLY TAX-EXEMPT 501 (C)(3) ORGANIZATIONS PERFORMING VARIOUS ACADEMIC MEDICAL CENTER ACTIVITIES IN NORTHWEST NORTH CAROLINA, INCLUDING PATIENT CARE (THE "CLINICAL ENTERPRISE"), MEDICAL RESEARCH AND TECHNOLOGY TRANSFER (THE "INNOVATION ENTERPRISE") AND MEDICAL EDUCATION (THE "ACADEMIC ENTERPRISE"). BECAUSE THESE ACTIVITIES ARE NOT ALL PERFORMED BY EACH ORGANIZATION, THE NARRATIVE THAT FOLLOWS WILL INCLUDE DESCRIPTIONS OF ACTIVITIES THAT ARE NOT PERFORMED BY THE FILING ORGANIZATION BUT BY A RELATED (OR UNRELATED BUT AFFILIATED) ORGANIZATION; THEY ARE AGAIN PROVIDED TO ILLUSTRATE A COMPLETE PICTURE OF THE FILING ORGANIZATION'S ROLE IN THIS INTEGRATED ACADEMIC MEDICAL CENTER'S COMPREHENSIVE ACTIVITIES. WAKE FOREST BAPTIST MEDICAL CENTER IS NORTHWEST NORTH CAROLINA'S SOLE ACADEMIC MEDICAL CENTER, BRINGING TO THE REGION THE RESOURCES OF ONE OF AMERICA'S TOP HOSPITALS AND INNOVATIVE RESEARCH CENTERS AND A PREMIER MEDICAL SCHOOL. WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER IS A CORPORATION WHOSE MEMBERS ARE WAKE FOREST UNIVERSITY AND NORTH CAROLINA BAPTIST HOSPITAL. WAKE FOREST BAPTIST MEDICAL CENTER OPERATES WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE AND HAS A FACULTY OF 1,165, INCLUDING PHYSICIANS AND BASIC SCIENTISTS. THE MEDICAL CENTER HAS 1,004 ACUTE CARE AND REHABILITATION BEDS OPERATIVE ACROSS THE SYSTEM, WHICH ENCOMPASSES ITS MAIN CAMPUS (885 BEDS), BRENNER CHILDREN'S HOSPITAL (160 BEDS, INCLUDED IN MAIN CAMPUS TOTAL); WAKE FOREST BAPTIST HEALTH-LEXINGTON MEDICAL CENTER (94 BEDS); AND WAKE FOREST BAPTIST HEALTH-DAVIE MEDICAL CENTER (25 BEDS). THE MEDICAL CENTER PRIMARILY SERVES A 24-COUNTY REGION IN NORTHWESTERN NORTH CAROLINA AND SOUTHWESTERN VIRGINIA, BUT DRAWS PATIENTS FROM ACROSS THE STATE AND NATION FOR SELECT SERVICES.WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE IS THE DRIVING FORCE BEHIND THE ESTABLISHMENT OF WAKE FOREST INNOVATION QUARTER, A FAST-GROWING HUB FOR BIOMEDICAL AND MATERIAL SCIENCES AND INFORMATION TECHNOLOGY IN DOWNTOWN WINSTON-SALEM. IN 2014, THE INNOVATION QUARTER WILL WELCOME INMAR, AN INFORMATION SERVICES COMPANY THAT WILL HAVE 900 EMPLOYEES AT ITS NEW HOME IN A RENOVATED FORMER R.J. REYNOLDS TOBACCO CO. BUILDING. IT WILL BE IN ONE OF TWO NEW BUILDINGS TO BE OPENED IN THE INNOVATION QUARTER; THE SECOND BUILDING WILL BE HOME BOTH TO WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE'S DIVISION OF PUBLIC HEALTH SCIENCES, ITS PHYSICIAN ASSISTANT PROGRAM AND TO A NEW CENTER FOR EMERGING TECHNOLOGIES THAT WILL BE OPENED BY FORSYTH TECHNICAL COMMUNITY COLLEGE. THE BUSINESS, ACADEMIC AND RESEARCH CORE AT THE INNOVATION QUARTER COMBINES WITH OTHER OFFERINGS SUCH AS A NEARBY PARK (OFFERING OUTDOOR YOGA, A FILM SERIES AND MORE) AND A BRANCH OF THE YMCA TO MAKE IT A DIVERSE AREA OF REVITALIZED GROWTH IN WINSTON-SALEM.1. CLINICAL SERVICES WAKE FOREST BAPTIST MEDICAL CENTER IS NATIONALLY RECOGNIZED FOR CLINICAL EXCELLENCE AND INTERNATIONALLY KNOWN FOR PIONEERING RESEARCH AND CLINICAL INNOVATION. IT OFFERS EXPERTISE IN MORE THAN 100 AREAS OF MEDICINE, ENCOMPASSING COMPREHENSIVE PREVENTIVE AND HIGHLY SPECIALIZED CARE FOR ALL AGES. WAKE FOREST BAPTIST MEDICAL CENTER INCLUDES 42 SUBSIDIARIES, JOINT VENTURES AND AFFILIATE HOSPITALS, AND OPERATES APPROXIMATELY 80 OUTREACH ACTIVITIES, INCLUDING SATELLITE SPECIALTY CLINICS, ACROSS NORTHWEST NORTH CAROLINA.IN THE PAST FISCAL YEAR, WAKE FOREST BAPTIST MEDICAL CENTER COMPLETED A $125 MILLION EXPANSION OF ITS COMPREHENSIVE CANCER CENTER, WHICH CONSOLIDATED INPATIENT AND OUTPATIENT SERVICES INTO A SINGLE LOCATION. THE NEW CENTER OFFERS 530,600 SQUARE FEET OF SPACE TO PATIENTS, MAKING IT THE LARGEST INTEGRATED CANCER CENTER IN NORTH CAROLINA. ALSO IN 2013, WAKE FOREST BAPTIST MEDICAL CENTER OPENED A NEW STATE-OF-THE-ART CLINICAL CAMPUS, DAVIE MEDICAL CENTER-BERMUDA RUN, WHICH INCLUDES A 24/7/365 EMERGENCY DEPARTMENT, AND A NEW WEIGHT MANAGEMENT CENTER AT ITS MEDICAL PLAZA-COUNTRY CLUB SITE THAT COMBINES MEDICAL AND SURGICAL WEIGHT LOSS PROGRAMS IN ONE LOCATION. OVERALL IN FY 2013, WAKE FOREST BAPTIST HAD 38,696 INPATIENT ADMISSIONS AND 1,051,359 OUTPATIENT ENCOUNTERS (EMERGENCY DEPARTMENT, DOWNTOWN HEALTH PLAZA, DAY HOSPITAL, AMBULATORY VISITS). THE TOTAL PATIENT ENCOUNTERS NUMBERED 1,090,055.2. OUTREACHTHE DOWNTOWN HEALTH PLAZA IS A FULL-SERVICE, OUTPATIENT MEDICAL CLINIC THAT SERVES MANY OF FORSYTH COUNTY'S UNINSURED AND UNDERINSURED RESIDENTS WITH A STATE-OF-THE-ART MEDICAL HOME. EXPERTS FROM 12 WAKE FOREST BAPTIST MEDICAL CENTER DEPARTMENTS PROVIDE COORDINATED CARE THAT INCLUDES ADULT MEDICINE, PEDIATRICS, OBSTETRICS AND GYNECOLOGY, AS WELL AS AN ONSITE PHARMACY, LABORATORY AND RADIOLOGY SERVICES (INCLUDING MAMMOGRAPHY). THE DOWNTOWN HEALTH PLAZA PLAYS A SIGNIFICANT ROLE IN COMMUNITY HEALTH, PROVIDING COMMUNITY HEALTH FAIRS, DIABETES EDUCATION AND A COMMUNITY PREGNANCY PROGRAM THAT IS REDUCING THE INCIDENCE OF LOW BIRTH WEIGHT BABIES. A TOTAL OF 65,541 PATIENT VISITS WERE RECORDED AT THE PLAZA BETWEEN JULY 2012 AND JUNE 2013. COSTS ARE SUBSIDIZED BY WAKE FOREST BAPTIST MEDICAL CENTER. WAKE FOREST BAPTIST MEDICAL CENTER ALSO OPERATES NUMEROUS INNOVATIVE COMMUNITY OUTREACH PROGRAMS, INCLUDING:- BEST HEALTH, WHICH OFFERS HEALTH SEMINARS LED BY WAKE FOREST BAPTIST HEALTH EXPERTS, HEALTH SCREENINGS, COOKING AND FITNESS CLASSES, AND ONLINE HEALTH RESOURCES.- FAITHHEALTHNC, AN INITIATIVE THAT CONNECTS THE CARING STRENGTHS OF CONGREGATIONS, THE CLINICAL EXPERTISE OF PROVIDERS AND A NETWORK OF COMMUNITY RESOURCES TO EASE THOSE ON THE JOURNEY TO HEALTH AND HEALING, STRENGTHENING COMMUNITIES IN THE PROCESS.- BE INVOLVED, AN ONLINE RESOURCE THAT ALLOWS THE PUBLIC ACCESS TO INFORMATION ABOUT HUNDREDS OF CLINICAL STUDIES. THE SITE ALLOWS PEOPLE TO REGISTER TO BE NOTIFIED WHEN STUDIES BEGIN THAT COULD MATCH CONDITIONS THEY FACE.3. EDUCATIONAL MISSION AND ACCOMPLISHMENTS THE CONSTITUENT ORGANIZATIONS OF WAKE FOREST BAPTIST MEDICAL CENTER OPERATE A BROAD RANGE OF EDUCATIONAL PROGRAMS, GRADUATING SKILLED PRACTITIONERS. IT ATTRACTS SOME OF THE WORLD'S MOST COMPETITIVE MEDICAL STUDENTS, RESIDENTS AND FELLOWS, AS WELL AS STUDENTS IN CLINICAL PASTORAL CARE, NURSE ANESTHESIA AND OTHER AREAS. IN THE PAST YEAR, WAKE FOREST BAPTIST INVESTED MORE THAN $56 MILLION IN THE EDUCATION OF TOMORROW'S HEALTH CARE AND BIOMEDICAL LEADERS. THAT INVESTMENT SUPPORTED THE TRAINING OF 469 MEDICAL STUDENTS, 683 PHYSICIAN RESIDENTS AND FELLOWS, 308 GRADUATE STUDENTS AND 124 PHYSICIAN ASSISTANTS. ALSO LAST YEAR, THE NORTHWEST AREA HEALTH EDUCATION CENTER, PART OF WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE, PROVIDED 1,910 CONTINUING MEDICAL EDUCATION ACTIVITIES FOR 33,518 PARTICIPANTS THROUGHOUT THE REGION. 687689651 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 1 0 1 1 0 1 1 0 1 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 0 0 1 942 0 1 5816 1 1 1 0 0 0 0 1 1 0 0 0 0 X 18 12 1 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 NC X DOUGLAS E LISCHKE CONTROLLER 3367164445 MEDICAL CENTER BLVD WINSTON SALEM NC 27157 X DONALD E FLOW 3.00 24.00 X 0 0 0 DONNA A BOSWELL PHD 4.00 12.20 X 0 0 0 JAMES R HELVEY III 4.00 X 0 0 0 ANDREW J SCHINDLER 2.00 4.00 X 0 0 0 JAMES J MARINO 2.00 3.00 X 0 0 0 JAMES T WILLIAMS JR 3.00 8.00 X 0 0 0 GERALD F ROACH 2.00 4.00 X 0 0 0 GRAHAM F BENNETT 2.00 4.00 X 0 0 0 BRENDA K CLINE 2.00 X 0 0 0 GRAHAM W DENTON JR 2.00 6.00 X 0 0 0 MITESH B SHAH 2.00 5.20 X 0 0 0 ROBERT E GREENE 2.00 4.50 X 0 0 0 J ANDREWS HANCOCK III 2.00 X 0 0 0 RICHARD A BRENNER 2.00 X 0 0 0 STEPHEN T WILLIAMS 2.00 X 0 0 0 JAMES W JOHNSTON 2.00 X 0 0 0 MATTHEW A KING 2.00 3.50 X 0 0 0 NATHAN O HATCH PHD 3.00 37.00 X X 0 948602 332623 JOHN D MCCONNELL MD 9.00 31.00 X X 1370748 0 690944 EDWARD ABRAHAM MD 30.00 10.00 X 669778 0 181890 J REID MORGAN 8.00 32.00 X 0 477612 120218 ANITA M CONRAD 10.00 30.00 X 0 156235 29981 EDWARD G CHADWICK 3.20 36.80 X 709971 0 246494 TERRY L HALES JR 13.50 26.50 X 457618 0 105211 THOMAS E SIBERT MD 4.40 35.60 X 885483 0 141102 RUSSELL M HOWERTON MD 18.00 22.00 X 602178 0 155013 LISA M WYATT 15.10 24.90 X 386954 0 75110 CHERYL E H LOCKE 15.00 25.00 X 439652 0 97854 SHEILA M SANDERS 9.00 31.00 X 478904 0 104120 NORMAN D POTTER JR 15.00 25.00 X 348231 0 83878 KAREN H HUEY 4.60 35.40 X 363748 0 71481 JOANNE C RUHLAND 15.00 25.00 X 255643 0 71023 NEAL KON MD 40.00 X 1039338 0 42310 ROSS UNGERLEIDER MD 40.00 X 1061785 0 181537 EDWARD KINCAID MD 40.00 X 886438 0 42182 MALCOLM MARKS MD 40.00 X 804006 0 45533 CHARLES BRANCH JR MD 40.00 X 916784 0 38593 WILLIAM B APPLEGATE MD 40.00 X 853907 0 38889 DOUGLAS L EDGETON 40.00 X 606902 0 19712 RAYMOND C ROY MD 40.00 X 260720 0 40652 13398788 1582449 2956350 1120 1 1 1 FRANK L BLUM CONSTRUCTION CO 830 EAST 25TH STREET WINSTON SALEM NC 27105 CONSTRUCTION 6519469 SUMMIT HEALTHCARE GROUP 4622 COUNTRY CLUB RD WINSTON SALEM NC 27104 PROFESSIONAL SERVICES 3772662 HURON CONSULTING SERVICES LLC 550 WEST VAN BUREN ST CHICAGO IL 60607 CONSULTING 3702390 DANN DORFMAN HERRELL & SKILLMAN 1601 MARKET-FRANKFORD LINE PHILADELPHIA PA 19103 LEGAL SERVICES 2780313 THE BUDD GROUP 218 INDUSTRIAL AVE GREENSBORO NC 27406 ENVIRONMENTAL SERVICES 2395405 82 370911 177732915 33620583 1194690 211724409 MEDICAL SERVICES 621110 417237344 417237344 TUITION AND FEES 611710 34660013 34660013 451897357 25843134 25843134 2537968 2537968 2323305 0 2323305 2323305 2323305 4613918 0 4613918 4613918 4613918 707302 370911 528576 178726 178726 ADMIN & OTHER 611710 2680493 2658570 21923 PARKING 621990 1540002 1540002 4220495 703339312 456095929 21923 35497051 36499318 36499318 15069561 15069561 19412907 19112006 203836 97065 391100739 385038677 4106558 1955504 5303998 5152110 104889 46999 61934910 59067323 2328753 538834 9554224 9111863 359239 83122 916611 916611 6543406 6543406 869802 869802 261746 261746 996349 996349 36582832 32748299 3804415 30118 1052822 937163 109107 6552 5458541 4858885 565687 33969 2530876 2252843 262283 15750 1317515 1317515 32055656 11799687 20198269 57700 8224022 7320560 852283 51179 3992847 3554207 413792 24848 6898476 6376951 521525 28237621 26438885 1798736 8644333 7694705 895841 53787 BAD DEBT 27323066 27323066 MEDICAL SUPPLIES 24837670 24837670 UBIT 3738 3738 735623586 687689651 43942159 3991776 95632119 38955524 37127600 44955070 83942113 48003700 4073474 3245574 285178 216559 680861 263973 645137154 339784652 315395899 305352502 20859713 21060792 433871702 449463698 41452547 38256283 2486720 2486720 48441522 91982491 1084249448 1044242886 111969366 108359915 35085 35085 87566231 84208907 89110000 187608698 141250139 21737995 132712940 136869742 562643761 538820342 X 340760531 313000038 48712629 51738091 132132527 140684415 521605687 505422544 1084249448 1044242886 X -32284274 12797560 3303571 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 261746 0 0 261746 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: GOVERNMENT RELATIONS THE OFFICE OF GOVERNMENT RELATIONS WAS ACTIVELY INVOLVED WITH SEVERAL FEDERAL AND STATE ISSUES. THE OFFICE ASSISTED IN DEVELOPING POLITICAL ADVOCACY STRATEGIES REGARDING CHANGES TO THE 340B DRUG DISCOUNT PROGRAM; REALIGNMENT OF MEANINGFUL USE STAGE 2 REQUIREMENTS TO ENSURE A SAFE, ORDERLY TRANSITION; AND GUIDANCE REGARDING SEQUESTRATION FOR MEDICARE AND THE NIH. STAFF WORKED ON THE FY2014 BUDGET AND THE 2014 MEDICARE PHYSICIAN FEE SCHEDULE. THEY ALSO WORKED ON THE MEDICARE PHYSICIAN PAYMENTS INCLUDING ADJUSTMENTS AND POSSIBLE REPEAL OF THE SUSTAINABLE GROWTH RATE (SGR). STAFF ALSO WORKED ON MANY OF THE FY 2014 APPROPRIATIONS BILLS AND PROPOSED LEGISLATION AND REGULATIONS THAT WERE INTRODUCED, INCLUDING DEPARTMENT OF DEFENSE; DEPARTMENT OF HEALTH AND HUMAN SERVICES; AND VETERANS AFFAIRS (VA) RESEARCH AND MEDICAL CARE FUNDING; THE "TRAINING TOMORROW'S DOCTORS TODAY ACT" (HR 1201), THE "RESIDENT PHYSICIAN SHORTAGE REDUCTION ACT OF 2013" (S577), AND THE "MEDICARE AUDIT IMPROVEMENT ACT" (HR 1250, S 1-12). THE OFFICE ASSISTED WITH THE FOLLOWING: (1) IRS PROPERTY-TAX EXEMPTIONS FOR NONPROFITS GUIDELINES AND COMMUNITY BENEFITS ANALYSIS; (2) NIH APPROPRIATIONS AND FUNDING FOR HEALTH PROFESSIONS; AND (3) DELAY OF THE COMPLIANCE DATE FOR ICD-10-CM AND ICD-10-PCS MEDICAL DATA CODE SETS. AT THE STATE LEVEL, EFFORTS WERE CONCENTRATED ON FUNDING FOR THE WAKE FOREST INSTITUTE FOR REGENERATIVE MEDICINE; THE FEDERALLY RUN INSURANCE EXCHANGE AND MEDICAID EXPANSION UNDER THE AFFORDABLE CARE ACT; THE FY 2014-15 MEDICAID BUDGET; AND LEGISLATION REGARDING CERTIFICATE-OF-NEED LAWS, MENTAL HEALTH ISSUES, TRANSPARENCY AND REFORMING THE TAX CODE INCLUDING SALES TAX REFUND PROTECTION PROVISIONS. 384485637 6615075 27297037 17122493 401275256 392450494 7419543 2120543 17504943 384485637 355828276 6176824 49922940 19477546 392450494 331914802 5930071 33747985 15764582 355828276 431674776 6480757 -82590445 23650286 331914802 0.59900 0.28760 0.11340 0 1 1 91305486 91305486 364794784 213827185 150967599 175696266 125957467 49738799 13340618 13340618 305352502 WFU POOL INVESTMENTS 448871318 F INV IN PARTNERSHIPS 592380 F 449463698 BOND ISSUANCE COSTS 1397294 INVESTMENT IN ANNUITIES & LIFE INSURANCE 3212639 INVESTMENT IN SUBS 37843334 BENEFICIAL INTEREST IN PERPETUAL TRUSTS 20032739 FUNDS HELD UNDER RETIREMENT & BENEFIT PLANS 26060039 POST RETIREMENT INVESTMENT 3436446 91982491 INTERCOMPANY PAYABLE 37525456 PLI RESERVE 10729847 INSURANCE RECOVERY 7534311 BOND SWAP VALUATION 4552301 OTHER LIABILITIES & DEFERRALS 66855392 ANNUITIES PAYABLE 3898035 AGENCY FUNDS 5774400 136869742 X DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE ORGANIZATION'S ENDOWMENT FUNDS ARE TO SUPPORT SCHOLARSHIPS, INSTRUCTION, RESEARCH, LIBRARIES, ACADEMIC SUPPORT, OPERATIONAL AND OTHER GENERAL SUPPORT. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE ORGANIZATION HAS EVALUATED UNCERTAIN TAX POSITIONS FOR ITS FISCAL YEARS ENDED JUNE 30, 2013 AND 2012, INCLUDING A QUANTIFICATION OF TAX RISK IN AREAS SUCH AS UNRELATED BUSINESS TAXABLE INCOME AND THE TAXATION OF ITS JOINT VENTURES. THIS EVALUATION DID NOT HAVE A MATERIAL EFFECT ON THE ORGANIZATION'S FINANCIAL STATEMENTS FOR THE YEARS ENDED JUNE 30, 2013 AND 2012. 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 1 EXPLANATION OF NONDISCRIMINATORY POLICY PUBLICATION SCHEDULE E, PART I, LINE 3 WFUHS PUBLISHES ITS NONDISCRIMINATION POLICY ON THE WAKEHEALTH.EDU WEBSITE, IN ADMISSION BROCHURES, AND OTHER MEDIA MATERIALS. EXPLANATION OF GOVERNMENT FINANCIAL ASSISTANCE SCHEDULE E, PART I, LINE 6 WFUHS RECEIVES FEDERAL FINANCIAL AID THROUGH THE U.S. DEPARTMENT OF EDUCATION'S FEDERAL DIRECT LOAN PROGRAM. WFUHS DISTRIBUTED THE FEDERAL LOANS TO APPROXIMATELY 514 STUDENTS IN FISCAL YEAR 2013. EAST ASIA AND THE PACIFIC 0 1 PROGRAM SERVICES SUBCONTRACT FOR RESEARCH GRANTS 11035 EUROPE (INCLUDING ICELAND & GREENLAND) - 0 2 PROGRAM SERVICES SUBCONTRACT FOR RESEARCH GRANTS 34432 NORTH AMERICA - CANADA AND MEXICO, BUT 0 1 PROGRAM SERVICES SUBCONTRACT FOR RESEARCH GRANTS 7552 SOUTH ASIA 0 1 PROGRAM SERVICES SUBCONTRACT FOR RESEARCH GRANTS 4809 0 5 0 0 0 5 57828 0 57828 EAST ASIA AND THE PACIFIC - SUBCONTRACT FOR RESEARCH GRANT FOR FULL BODY MODELS 11035 CHECK NORTH AMERICA - CANADA AND MEXICO, BUT SUBCONTRACT FOR RESEARCH GRANT - FREQUENT HEMODIALYSIS NETWORK 7552 CHECK EUROPE (INCLUDING ICELAND & GREENLAND) - SUBCONTRACT FOR RESEARCH GRANT - SNP'S ASSOCIATE WITH AGRESSIVE PROSTATE CANCER IN A GENOME WIDE ASSOCIATION STUDY 31110 CHECK 3 0 0 0 0 0 0 0 X X X X X X X 1 HARRIS CONNECT CROSSWAYS BLVD CHESAPEAKE VA 23320 SEE ATTACHED 0 558965 878599 -319634 WILDELWRA SUMMER ST HOLLISTEN MA 01746 SEE ATTACHED 0 7208 8250 -1042 TRANSFORMATIONAL DEV VAN BUREN OXFORD MA 38655 SEE ATTACHED 0 0 90000 -90000 GG&A MICHIGAN AVE CHICAGO IL 60611 SEE ATTACHED 0 0 19500 -19500 566173 996349 -430176 AK AL AR AZ CA CT DE FL GA HI IA ID IL IN KS KY LA MD ME MI MN MO MS MT NC NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY WINTERLARK 445451 89650 355801 77237 1100 89268 FEST OF TREES 172141 32076 140065 10730 92339 5 460621 249185 211436 18497 239405 1078213 370911 707302 106464 1100 421012 528576 178726 EXPLANATION OF FUNDRAISING PAYMENTS SCHEDULE G, PART I, LINE 2B, COLUMN (V) PURSUANT TO THE MEDICAL CENTER INTEGRATION AGREEMENT, MANAGEMENT OF WAKE FOREST UNIVERSITY HEALTH SCIENCES AND NORTH CAROLINA BAPTIST HOSPITAL WAS DELEGATED TO WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER. WHILE THE PROFESSIONAL FUNDRAISING PAYMENTS ARE MADE BY WAKE FOREST UNIVERSITY HEALTH SCIENCES, THE PROFESSIONAL FUNDRAISING CONTRACTS ARE BETWEEN WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER AND THE PROFESSIONAL FUNDRAISER. HARRIS CONNECT PROVIDES FUNDRAISING CONSULTATION, DONOR ACQUISITION AND RENEWAL SOLICITATION, PROGRAM EVALUATION, PLEDGE REMINDERS, DATA RESEARCH, DATA STORAGE, SURVEY QUESTIONNAIRES, E-MAIL STEWARDSHIP, ONLINE EVENT REGISTRATION AND PCI COMPLIANCE. TRANSFORMATIONAL DEVELOPMENT COUNSEL PROVIDES STRATEGIC CONSULTATION FOR PLANNING AND LAUNCHING A CAPITAL CAMPAIGN. WILDE ASSISTS WITH DONOR LISTS, DIRECT MAIL CAMPAIGNS AND RESULTS ASSESSMENT. GG&A PROVIDES ASSISTANCE WITH THE DONOR DATA BASE. 1 ALBERT SCHWEITZER FELLOWSHIP 330 BROOKLINE AVE BOSTON MA 02215 131982786 501(C)(3) 40000 SUPPORT HEALTHCARE INITIATIVES AND FELLOWSHIPS ARTS FOR LIFE PO BOX 5132 WINSTONSALEM NC 27113 562250962 501(C)(3) 18000 SUPPORT CULTURAL OPPORTUNITIES IN THE COMMUNITY DOWNTOWN WINSTON SALEM PARTNERSHIP 305 W 4TH STREET WINSTONSALEM NC 27101 561849234 501(C)(6) 10000 SUPPORT REGIONAL ECONOMIC DEVELOPMENT FORSYTH FUTURES 601 N CHERRY STREET WINSTONSALEM NC 27101 561092807 501(C)(3) 50000 COMMUNITY SUPPORT FESTIVAL STAGE OF WINSTON SALEM PO BOX 20152 WINSTONSALEM NC 27120 272827423 501(C)(3) 15000 SUPPORT CULTURAL OPPORTUNITIES IN THE COMMUNITY HABITAT FOR HUMANITY 339 WITT STREET WINSTONSALEM NC 27103 561448955 501(C)(3) 32500 COMMUNITY SUPPORT HEALTH FOUNDATION 231 JEFFERSON STREET N WILKESBORO NC 28659 561745194 501(C)(3) 10000 SUPPORT HEALTHCARE INITIATIVES LEADERSHIP WINSTON SALEM 501 N CLEVELAND AVENUE WINSTONSALEM NC 27101 581574887 501(C)(3) 6000 COMMUNITY SUPPORT MARSHALL B BASS CHILDREN'S FUND 1324 ASHLEY SQUARE WINSTONSALEM NC 27114 311680470 501(C)(3) 15000 SUPPORT PEDIATRIC HEALTHCARE PROGRAMS PIEDMONT TRIAD PARTNERSHIP 416 GALLIMORE DAIRY RD SUITE M GREENSBORO NC 27409 561750279 501(C)(3) 67500 SUPPORT REGIONAL ECONOMIC DEVELOPMENT SCIWORKS 400 HANES MILL ROAD WINSTONSALEM NC 27105 560815746 501(C)(3) 10000 EDUCATIONAL AND SCIENTIFIC SUPPORT UNITED WAY OF FORSYTH COUNTY 301 N MAIN STREET WINSTONSALEM NC 27101 237357234 501(C)(3) 45000 COMMUNITY SUPPORT WINSTON-SALEM URBAN LEAGUE 201 WEST FIFTH STREET WINSTONSALEM NC 27101 560532301 501(C)(3) 20000 COMMUNITY SUPPORT WINSTON-SALEM SYMPHONY 201 NORTH BROAD STREET WINSTONSALEM NC 27101 560692826 501(C)(3) 40000 SUPPORT CULTURAL AND EDUCATIONAL PROGRAMS IN THE COMMUNITY HOSPICE AND PALLIATIVE CARE CENTER 101 HOSPICE LANE WINSTONSALEM NC 27103 581343313 501(C)(3) 55000 COMMUNITY SUPPORT 14 1 SCHOLARSHIPS AND FELLOWSHIPS 760 15069561 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: WFUHS FOLLOWS THE MEDICAL CENTER'S CORPORATE POLICY USED IN REVIEWING THE ELIGIBILITY AND SELECTION OF GRANTEES RECEIVING CERTAIN EXEMPT PURPOSE FUNDS. WFUHS MAINTAINS DOCUMENTATION OF THE ELIGIBILITY AND SELECTION CRITERIA AND RECORDS OF THE AMOUNTS DISBURSED. PART III SCHOLARSHIPS AND FELLOWSHIPS WAKE FOREST UNIVERSITY HEALTH SCIENCES MONITORS THE ACADEMIC PROGRESS AND OTHER ACHIEVEMENTS OF STUDENTS. X X X 1 1 X X X X X X 1 1 0 0 0 0 0 1 0 NATHAN O HATCH PHD 0 759068 0 75000 0 114534 0 275721 0 56902 0 1281225 0 0 JOHN D MCCONNELL MD 998061 0 334267 0 38420 0 670368 0 20576 0 2061692 0 0 0 EDWARD ABRAHAM MD 478061 0 136885 0 54832 0 158364 0 23526 0 851668 0 0 0 J REID MORGAN 0 414012 0 50000 0 13600 0 25000 0 95218 0 597830 0 0 ANITA M CONRAD 0 153097 0 3000 0 138 0 15875 0 14106 0 186216 0 0 EDWARD G CHADWICK 533120 0 152385 0 24466 0 225493 0 21001 0 956465 0 0 0 TERRY L HALES JR 366359 0 82919 0 8340 0 84618 0 20593 0 562829 0 0 0 THOMAS E SIBERT MD 690081 0 164710 0 30692 0 119996 0 21106 0 1026585 0 0 0 RUSSELL M HOWERTON MD 479102 0 102464 0 20612 0 126197 0 28816 0 757191 0 0 0 LISA M WYATT 292924 0 70218 0 23812 0 67097 0 8013 0 462064 0 0 0 CHERYL E H LOCKE 358614 0 75494 0 5544 0 80419 0 17435 0 537506 0 0 0 SHEILA M SANDERS 365614 0 79700 0 33590 0 85397 0 18723 0 583024 0 0 0 NORMAN D POTTER JR 279198 0 61828 0 7205 0 62297 0 21581 0 432109 0 0 0 KAREN H HUEY 248083 0 55426 0 60239 0 49655 0 21826 0 435229 0 30346 0 JOANNE C RUHLAND 234968 0 0 0 20675 0 53297 0 17726 0 326666 0 0 0 NEAL KON MD 203044 0 813750 0 22544 0 21697 0 20613 0 1081648 0 0 0 ROSS UNGERLEIDER MD 756097 0 287500 0 18188 0 153890 0 27647 0 1243322 0 0 0 EDWARD KINCAID MD 128344 0 740824 0 17270 0 21697 0 20485 0 928620 0 0 0 MALCOLM MARKS MD 216821 0 581641 0 5544 0 21697 0 23836 0 849539 0 0 0 CHARLES BRANCH JR MD 218761 0 694411 0 3612 0 16697 0 21896 0 955377 0 0 0 WILLIAM B APPLEGATE MD 548678 0 285943 0 19286 0 21697 0 17192 0 892796 0 0 0 DOUGLAS L EDGETON 78648 0 91875 0 436379 0 5927 0 13785 0 626614 0 0 0 RAYMOND C ROY MD 177168 0 81266 0 2286 0 21697 0 18955 0 301372 0 0 0 PART I, LINE 1A CERTAIN OFFICERS RECEIVE, AS PART OF THEIR APPROVED COMPENSATION PACKAGE, TAX INDEMNIFICATION AND GROSS-UP PAYMENTS, RELOCATION ASSISTANCE INCLUDING A HOUSING ALLOWANCE AND HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES. BELOW IS A SUMMARY OF THE BENEFITS INCLUDED IN THE OFFICERS' COMPENSATION FOR THE FISCAL YEAR ENDED JUNE 30, 2013: - TAX INDEMNIFICATION AND GROSS UP PAYMENTS - $1,486 FOR ONE FORMER OFFICER; - RELOCATION ASSISTANCE, INCLUDING A HOUSING ALLOWANCE - $79,601 FOR FOUR OFFICERS; AND - DUES OR INITIATION FEES - $285 FOR ONE OFFICER PART I, LINE 3 THE EXECUTIVE COMMITTEE OF THE WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER ("WFUBMC") BOARD OF DIRECTORS IS RESPONSIBLE FOR REVIEWING AND APPROVING ALL MEDICAL CENTER OFFICERS' COMPENSATION. THE COMMITTEE UTILIZED AN INDEPENDENT, EXTERNAL COMPENSATION CONSULTANT FIRM EXPERIENCED IN HEALTH CARE AND HIGHER EDUCATION COMPENSATION THAT BASED RECOMMENDATIONS ON COMPENSATION SURVEYS AND STUDIES TO DETERMINE THE APPROPRIATENESS OF EACH OFFICER'S COMPENSATION. THESE COMPENSATION CONSULTANTS PRESENT TOTAL COMPENSATION COMPARABILITY DATA FOR THE POSITIONS FOR WHICH COMPENSATION IS BEING DETERMINED. THE DATA IS REVIEWED BY THE EXECUTIVE COMMITTEE OF WFUBMC'S GOVERNING BOARD AT ITS MEETING; NONE OF THE MEMBERS OF THAT COMMITTEE ARE EMPLOYEES OF THE FILING ORGANIZATION. MINUTES OF THE DELIBERATIONS OF THE COMMITTEE ARE CONTEMPORANEOUSLY RECORDED. IN THE EVENT THAT ANY MEMBER OF THE EXECUTIVE COMMITTEE HAS A CONFLICT OF INTEREST, THAT COMMITTEE MEMBER DOES NOT PARTICIPATE IN THE DELIBERATION OR APPROVAL PROCESS, AND THEIR ABSTENTION FROM THE PROCESS IS REFLECTED IN THE MINUTES. PART I, LINES 4A-B CERTAIN EXECUTIVES PARTICIPATE IN OR RECEIVE SEVERANCE PAYMENTS AND PAYMENTS FROM SUPPLEMENTAL NON QUALIFIED RETIREMENT PLANS. THE DETERMINATION OF THE AMOUNT OF THE NON QUALIFIED RETIREMENT PLANS FOLLOWED THE FILING ORGANIZATION'S COMPENSATION PROCEDURES AS OUTLINED IN PART VI, SECTION B, LINE 15 OF THE FORM 990. THE FOLLOWING OFFICER AND FORMER OFFICER RECEIVED SEVERANCE AND SERP PAYMENTS IN 2012: SEVERANCE SERP DOUGLAS L EDGETON 423,536 KAREN H HUEY 58,468 PART I, LINE 7 OFFICERS, KEY EMPLOYEES AND FACULTY MEMBERS HAVE INCENTIVE COMPENSATION COMPONENTS CONTAINED IN THEIR EMPLOYMENT AGREEMENTS. THESE ARE OFTEN GOAL-BASED AND ARE DETERMINED IN THE COURSE OF EVALUATION OF THE INDIVIDUAL'S PERFORMANCE BY HIS/HER DEPARTMENT CHAIR, SUPERVISOR OR THE COMPENSATION COMMITTEE OF THE BOARD, AS APPLICABLE. OTHER NON-FIXED PAYMENTS MAY INCLUDE SUMS FOR RELOCATION AND/OR TEMPORARY HOUSING THAT ARE TYPICALLY INCLUDED AS A PROVISION IN THE EMPLOYMENT AGREEMENT. ALL SUCH PAYMENTS ARE REFLECTED ON THE INDIVIDUAL'S W-2. SUPPLEMENTAL INFORMATION PART III SCHEDULE J, PART III ON JULY 1,2010, THE FILING ORGANIZATION ("WFUHS"), NORTH CAROLINA BAPTIST HOSPITAL ("NCBH"),WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER ("WFUBMC") AND WAKE FOREST UNIVERSITY ("WFU") APPROVED A MEDICAL CENTER INTEGRATION AGREEMENT THAT ALLOWS FOR THE LEVERAGING OF COMBINED RESOURCES TO FULFILL A SINGLE MISSION OF IMPROVING HEALTH, OPTIMIZING PERFORMANCE WHILE BALANCING PATIENT CARE, EDUCATION AND RESEARCH. WFUHS, NCBH AND WFUBMC AND ITS SUBSIDIARIES HAVE COMBINED OPERATING REVENUES OF APPROXIMATELY $1.9 BILLION FOR THE FISCAL YEAR ENDED JUNE 30, 2013. IN GENERAL, EXECUTIVES PERFORMING KEY MANAGEMENT FUNCTIONS WERE SOUGHT AND HIRED AFTER NATIONAL SEARCHES IN A HIGHLY COMPETITIVE ENVIRONMENT, AND ONLY INDIVIDUALS AT THE HIGHEST LEVELS OF ABILITY WERE SOUGHT, GIVEN THE TASK OF INITIATING AND IMPLEMENTING THIS MANAGEMENT STRUCTURE DESIGNED TO OPTIMIZE THE EFFECTIVENESS OF THE INTEGRATED ACADEMIC MEDICAL CENTER AND ITS TAX-EXEMPT MISSION. CERTAIN EXECUTIVES THAT HOLD THE IDENTICAL OFFICES/TITLES IN WFUHS, NCBH AND WFUBMC ORGANIZATION ARE ELIGIBLE TO RECEIVE INCENTIVE COMPENSATION AT THE END OF EACH FISCAL YEAR. THE INCENTIVE STRUCTURE IS BASED UPON GOALS ESTABLISHED BY THE EXECUTIVE COMMITTEE OF THE WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER'S BOARD AT THE BEGINNING OF THE YEAR, INCLUDING MEASURES OF CLINICAL QUALITY, PATIENT SATISFACTION, AND FINANCIAL OPERATING PERFORMANCE. THE DETERMINATION OF THE AMOUNT OF INCENTIVE COMPENSATION IS SUBJECT TO THE FILING ORGANIZATION'S COMPENSATION PROCEDURES AS OUTLINED IN PART VI, SECTION B, LINE 15 OF THE 990. SUPPLEMENTAL INFORMATION PART III FORM 990, PART VII, LINE 5 KAREN H HUEY WAS COMPENSATED BY NORTH CAROLINA BAPTIST HOSPITAL, AN UNRELATED ORGANIZATION, FOR SERVICES PERFORMED FOR WFUHS AND OTHER ENTITIES WITHIN THE MEDICAL CENTER. A NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 65821DNX5 2012-11-15 59045000 REFUND ISSUE DATED 10/16/2008 0 0 0 B NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 65821DNF4 2012-11-15 129019661 REFUND ISSUE DATED 10/16/2008 0 0 0 A 59045000 16063 58028937 1 0 1 1 B 129019661 568 129019093 1 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 1 0 0 1 0 0 1 B 0 1 0 0 0 0 0 1 A 1 B 1 PART II, COLUMNS A&B, LINE 11 OTHER SPENT PROCEEDS THE OTHER SPENT PROCEEDS LISTED ARE THE CURRENT REFUNDING PROCEEDS OF THE ISSUE(S). PART III, COLUMNS A&B PRIVATE USE THE ISSUE REFUNDED BY THE 2012 B&C ISSUE, THROUGH A SERIES OF REFUNDING, REFUNDS ISSUES DATED PRIOR TO 12/31/2002. ACCORDINGLY, BOTH ISSUES ARE EXEMPT FROM PART III, PRIVATE USE, REPORTING, HOWEVER, DUE TO SOFTWARE LIMITATIONS, PART III HAS BEEN COMPLETED FOR BOTH ISSUES. BRANCH BANKING AND TRUST COMPANY ORG DIRECTOR, ROBERT E. GREENE IS AN OFFICER OF INTERESTED PERSON. 596082 TOTAL PAID BY ORGANIZATION TO INTERESTED PERSON FOR LOAN INTEREST AND FEES. 0 MEDCOST LLC ORG. OFFICER, EDWARD CHADWICK, IS A BOARD MEMBER OF INTERESTED PERSON. 2500066 TOTAL PAID BY ORGANIZATION TO INTERESTED PERSON FOR ADMINISTRATION OF HEALTH AND DENTAL CLAIMS. 0 FRANK L BLUM CONSTRUCTION COMPANY ORG DIRECTOR, J. ANDREWS HANCOCK IS AN OFFICER & >35% OWNER OF INT. PERSON. 4927717 TOTAL PAID BY ORGANIZATION TO INTERESTED PERSON FOR GENERAL CONTRACTOR CONSTRUCTION SERVICES PERFORMED. 0 MEDICAL REIMBURSEMENTS OF AMERICA INC ORG. DIRECTOR, MATTHEW KING IS A DIRECTOR OF INTERESTED PERSON. 3616042 TOTAL PAID BY ORGANIZATION TO INTERESTED PERSON FOR CLAIMS MANAGEMENT SERVICES PERFORMED. 0 STEPHEN CARNILLA ORG. OFFICER, SHEILA SANDERS IS A FAMILY MEMBER OF THE INTERESTED PERSON. 17889 TOTAL COMPENSATION PAID TO INTERESTED PERSON AS A TEMPORARY EMPLOYEE OF THE FILING ORGANIZATION. 0 BRANCH BANKING AND TRUST COMPANY ORG. DIRECTOR, STEPHEN T. WILLIAMS IS A DIRECTOR OF INTERESTED PERSON 596082 TOTAL PAID BY ORGANIZATION TO INTERESTED PERSON FOR LOAN INTEREST AND FEES 0 X 28 15945 FAIR MARKET VALUE X 8557 FAIR MARKET VALUE X 122005 FAIR MARKET VALUE X 3 34000 FAIR MARKET VALUE X 56 1002559 FAIR MARKET VALUE X 38 5204 FAIR MARKET VALUE X GIFT CARDS 34 6420 FAIR MARKET VALUE 1 0 1 0 METHOD FOR DETERMINING NUMBER OF CONTRIBUTIONS: PART I, COLUMN (B): THE ORGANIZATION DETERMINES THE NUMBER OF CONTRIBUTIONS BY USING THE TOTAL NUMBER OF NON-CASH ITEMS RECEIVED PER DONOR PER OCCURANCE. FORM 990, PART VI, SECTION A, LINE 2 STEPHEN T. WILLIAMS IS A DIRECTOR OF BRANCH BANK & TRUST AND ROBERT E. GREENE IS AN OFFICER OF BRANCH BANK & TRUST. FORM 990, PART VI, SECTION A, LINE 3 EFFECTIVE JULY 1, 2010, THE GOVERNING BOARDS OF FOUR NORTH CAROLINA NONPROFIT CORPORATIONS (WAKE FOREST UNIVERSITY, NORTH CAROLINA BAPTIST HOSPITAL, WAKE FOREST UNIVERSITY HEALTH SCIENCES, AND WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER) ENTERED INTO AN AGREEMENT (THE "MEDICAL CENTER INTEGRATION AGREEMENT" OR "MCIA") UNDER WHICH THE OPERATION OF EACH OF NORTH CAROLINA BAPTIST HOSPITAL ("NCBH") AND WAKE FOREST UNIVERSITY HEALTH SCIENCES ("WFUHS") WAS DELEGATED TO WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER ("WFUBMC"). WFUHS IS A WHOLLY-CONTROLLED SUBSIDIARY ENTITY OF WAKE FOREST UNIVERSITY ("WFU"). WFUBMC IS A MEMBERSHIP NONPROFIT CORPORATION WHOSE TWO EQUAL MEMBERS ARE NCBH (WHICH ENTITY IS UNRELATED TO WFUHS AND WFU) AND WFU. THE GOAL IS CONSOLIDATION OF MANAGEMENT IN WFUBMC OF THE VARIOUS ACADEMIC MEDICAL CENTER OPERATIONS, SUBJECT TO SUBSTANTIAL RESERVED POWERS IN EACH OF THE CONSTITUENT MEMBERS' (OR IN WFUHS') BOARDS. FORM 990, PART VI, SECTION A, LINE 6 WAKE FOREST UNIVERSITY IS THE SOLE MEMBER OF WAKE FOREST UNIVERSITY HEALTH SCIENCES. FORM 990, PART VI, SECTION A, LINE 7A THE DIRECTORS OF WAKE FOREST UNIVERSITY HEALTH SCIENCES ARE ELECTED BY THE BOARD OF TRUSTEES OF ITS SOLE MEMBER, WAKE FOREST UNIVERSITY. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS OF THE ORGANIZATION'S GOVERNING BODY WHICH REQUIRE APPROVAL BY THE ORGANIZATION'S SOLE MEMBER, WAKE FOREST UNIVERSITY, INCLUDE AMENDMENTS TO CERTAIN FUNDAMENTAL DOCUMENTS (ARTICLES OF INCORPORATION AND BYLAWS); THE CONVEYANCE OR ENCUMBRANCE OF THE ORGANIZATION'S REAL ESTATE; ACADEMIC APPOINTMENT OF FACULTY, GRANT OF TENURE AND DISMISSAL; AND DISSOLUTION. FORM 990, PART VI, SECTION B, LINE 11 THE FILING ORGANIZATION'S BOARD OF DIRECTORS RECEIVE A COPY OF THE FORM 990 WITH SUFFICIENT TIME TO PERMIT REVIEW, COMMENT, AND QUESTIONS PRIOR TO ITS FILING. THE AUDIT AND COMPLIANCE COMMITTEE OF THE GOVERNING BOARD OF THE FILING ORGANIZATION REVIEWS IN ADDITIONAL DETAIL THE FILING ORGANIZATION'S FORM 990 WITH THE ORGANIZATION'S CHIEF FINANCIAL OFFICER AND/OR HIS DESIGNEE, WHO ANSWER QUESTIONS AND ADDRESS CONCERNS RAISED BY SUCH COMMITTEE MEMBERS OR BY OTHER FILING ORGANIZATION DIRECTORS. IF MODIFICATIONS ARE REQUIRED FOLLOWING SUCH REVIEW AND COMMENT, THE REVISED FORM 990 IS REDISTRIBUTED TO ALL DIRECTORS PRIOR TO ITS FILING WITH THE IRS, ALONG WITH A REPORT NOTING THE MODIFICATIONS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES OFFICERS AND KEY EMPLOYEES TO ANNUALLY REVIEW THE CONFLICT OF INTEREST POLICY AND DETERMINE ANY POTENTIAL CONFLICTS OF INTEREST. ANY POTENTIAL CONFLICTS NOTED IN THE QUESTIONNAIRE ARE REVIEWED BY A STANDING COMMITTEE FOR APPROPRIATE RESOLUTION. ALL MEMBERS OF THE BOARD OF DIRECTORS ARE REQUIRED TO DETERMINE AND REPORT ANNUALLY, AND AS THEY ARISE, ANY POTENTIAL CONFLICTS OF INTEREST TO THE SECRETARY OF THE BOARD OF DIRECTORS. THE RESOLUTION OF POTENTIAL AND ACTUAL CONFLICTS IS SUBJECT TO THE APPROVAL OF THE CHAIR OF THE BOARD AND IS REPORTED TO THE CHAIR OF THE AUDIT & COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER ("WFUBMC")BOARD OF DIRECTORS FUNCTIONS AS THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND PURSUANT TO A DELEGATION BY THE FILING ORGANIZATION, REVIEWS AND APPROVES THE APPOINTMENT AND COMPENSATION OF THE SENIOR EXECUTIVES OF THE FILING ORGANIZATION. NO MEMBER OF THE WFUBMC EXECUTIVE COMMITTEE IS AN EMPLOYEE OF THE MEDICAL CENTER. THE EXECUTIVE COMMITTEE RELIES UPON AN EXTERNAL, INDEPENDENT COMPENSATION CONSULTANT EXPERIENCED IN HEALTHCARE TO PROVIDE THE COMMITTEE WITH COMPENSATION COMPARABILITY DATA FOR NEW EXECUTIVE POSITION APPOINTMENTS AND FOR COMPENSATION REVIEWS FOR EXISTING EXECUTIVES. THE CONSULTANT, WHICH IS RETAINED DIRECTLY BY THE EXECUTIVE COMMITTEE, PROVIDES THIRD-PARTY INFORMATION AND EVALUATES THE COMPETITIVENESS AND REASONABLENESS OF EXECUTIVE COMPENSATION AND BENEFITS PROGRAMS IN RELATION TO MARKET PRACTICES FOR SIMILARLY-SITUATED NONPROFIT HEALTHCARE ORGANIZATIONS. THE COMMITTEE MAKES ITS DECISIONS WITH RESPECT TO EXECUTIVE COMPENSATION IN ACCORDANCE WITH THE FILING ORGANIZATION'S POLICIES, IRS REGULATIONS, AND STANDARD CORPORATE GOVERNANCE PRACTICES. SUCH POLICIES INCLUDE ADHERENCE TO: BOARD-ESTABLISHED EXECUTIVE COMPENSATION PHILOSOPHY AND REVIEW PROCESSES; PROCESSES ENSURING EXECUTIVE COMMITTEE MEMBER AND COMPENSATION CONSULTANT INDEPENDENCE; USE OF VALID MARKET COMPARISONS OF DATA FROM PEER ACADEMIC MEDICAL CENTERS OF SIMILAR ORGANIZATIONAL STRUCTURE, SIZE, AND COMPLEXITY; CAREFUL DOCUMENTATION OF ALL COMPENSATION DECISIONS; AND ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS, PER IRS GUIDELINES. MINUTES OF THE DELIBERATIONS OF THE EXECUTIVE COMMITTEE ARE CONTEMPORANEOUSLY MAINTAINED AND THAT COMPARABILITY DATA IS MAINTAINED IN THE MEDICAL CENTER'S OFFICE OF EXECUTIVE COMPENSATION SERVICES. IN THE EVENT THAT A MEMBER OF THE EXECUTIVE COMMITTEE HAS A CONFLICT OF INTEREST RELATED TO EXECUTIVE APPOINTMENT OR COMPENSATION, THAT MEMBER DOES NOT PARTICIPATE IN THE DELIBERATION OR APPROVAL OF APPOINTMENT OR COMPENSATION AND SUCH ABSTENTION IS NOTED IN THE COMMITTEE'S MEETING MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE TO THE PUBLIC ON REQUEST AND ARE AVAILABLE ON THE WEBSITE OF THE NORTH CAROLINA SECRETARY OF STATE. THE ORGANIZATION'S BYLAWS ARE NOT PUBLISHED, BUT PROVISIONS FROM THE BYLAWS ARE INCLUDED AS NECESSARY IN THE ORGANIZATION'S POLICIES, AND ARE ATTACHED TO THE FORM 1023 FILED FOR THE ORGANIZATION WITH THE IRS, WHICH IS PUBLICLY AVAILABLE. THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC. PART VII, SECTION A, COLUMN B, RELATED HOURS DONALD E FLOW FILING ORG 3.0 RELATED ORG 24.0 DONNA A BOSWELL PHD FILING ORG 4.0 RELATED ORG 12.2 GRAHAM F. BENNETT FILING ORG 2.0 RELATED ORG 4.0 ANDREW J SCHINDLER FILING ORG 2.0 RELATED ORG 4.0 JAMES J MARINO FILING ORG 2.0 RELATED ORG 3.0 JAMES T WILLIAMS, JR FILING ORG 3.0 RELATED ORG 8.0 GERALD F. ROACH FILING ORG 2.0 RELATED ORG 4.0 MITESH B. SHAH FILING ORG 2.0 RELATED ORG 5.2 ROBERT E GREENE FILING ORG 2.0 RELATED ORG 4.5 MATTHEW A. KING FILING ORG 2.0 RELATED ORG 3.5 GRAHAM DENTON, JR. FILING ORG 2.0 RELATED ORG 6.0 NATHAN O HATCH PHD FILING ORG 3.0 RELATED ORG 37.0 JOHN D MCCONNELL MD FILING ORG 9.0 RELATED ORG 10.4 UNRELATED ORG 20.6 WILLIAM B APPLEGATE MD FILING ORG 40.0 EDWARD ABRAHAM MD FILING ORG 30.0 RELATED ORG 5.0 UNRELATED ORG 5.0 DOUGLAS L EDGETON FILING ORG 40.0 J REID MORGAN FILING ORG 8.0 RELATED ORG 32.0 ANITA M CONRAD FILING ORG 10.0 RELATED ORG 30.0 EDWARD G CHADWICK FILING ORG 3.2 RELATED ORG 5.0 UNRELATED ORG 31.8 TERRY L HALES JR FILING ORG 13.5 RELATED ORG 13.4 UNRELATED ORG 13.1 THOMAS E SIBERT MD FILING ORG 4.4 RELATED ORG 5.0 UNRELATED ORG 30.6 RUSSELL M HOWERTON MD FILING ORG 18.0 UNRELATED ORG 22.0 LISA M WYATT FILING ORG 15.1 RELATED ORG 5.0 UNRELATED ORG 19.9 CHERYL E. H. LOCKE FILING ORG 15.0 RELATED ORG 5.0 UNRELATED ORG 20.0 SHEILA M SANDERS FILING ORG 9.0 RELATED ORG 5.0 UNRELATED ORG 26.0 NORMAN D POTTER, JR FILING ORG 15.0 RELATED ORG 5.0 UNRELATED ORG 20.0 KAREN H HUEY FILING ORG 4.6 RELATED ORG 5.0 UNRELATED ORG 30.4 JOANNE C RUHLAND FILING ORG 15.0 UNRELATED ORG 25.0 NORTH CAROLINA BAPTIST HOSPITAL IS AN UNRELATED ORGANIZATION TO THE FILING ORGANIZATION AND THE INFORMATION CONCERNING HOURS DEVOTED TO IT ARE NOT REQUIRED TO BE REPORTED, BUT ARE INCLUDED BECAUSE OF THE STRUCTURE OF WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER, OF WHICH THE FILING ORGANIZATION AND NORTH CAROLINA BAPTIST HOSPITAL ARE PRINCIPAL PARTS. THE CORPORATE OFFICERS OF THE MEDICAL CENTER ALSO SERVE AS THE CORPORATE OFFICERS OF NORTH CAROLINA BAPTIST HOSPITAL AND WAKE FOREST UNIVERSITY HEALTH SCIENCES. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: EQUITY METHOD AFFILIATES 3,303,571. 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