2012-08-14T15:30:03-05:00 2011-09-30 CLIFTONLARSONALLEN LLP 101 N TRYON STREET SUITE 1000 CHARLOTTE NC 28246 990 2010-10-01 566017737 WAKEMED WAKE 9193500522 3000 NEW BERN AVENUE RALEIGH NC 276101215 MICHAEL DEVAUGHN 9193500522 2012-08-14 1 GREGORY W JOHNS 7049985200 2010 2016-02-24 21:20:13Z X SEE SCHEDULE O WILLIAM K ATKINSON PHD 3000 NEW BERN AVENUE RALEIGH NC 276101215 54112021 1 1 5881 X WWW.WAKEMED.ORG X TO PROVIDE OUTSTANDING AND COMPASSIONATE CARE TO THE COMMUNITIES WE SERVE. 44 44 0 230 0 0 7011194 3304915 35823019 47701572 370180 330672 -4708 49656 43199685 51386815 0 0 449727 461381 0 15493 20364786 10132242 20814513 10593623 22385172 40793192 89033604 93749367 711285 452367 88322319 93297000 X TO MAINTAIN AND OPERATE PROPERTIES, AID AND PROMOTE THE IMPROVEMENT AND DEVELOPMENT OF WAKEMED'S EDUCATIONAL AND SCIENTIFIC PROGRAMS AND TO TRANSFORM HEALTH CARE THROUGH PHILANTHROPY BY RAISING FRIENDS, FUNDS, AND FUTURE LEADERS FOR WAKEMED. 0 0 10208881 8914709 PROPERTY MANAGEMENT - PURCHASES, LEASES, AND MAINTAINS PROPERTIES IN WAKE AND JOHNSTON COUNTY FOR THE PURPOSE OF LEASING OR SUBLEASING SPACE TO WAKEMED AND OTHER MEDICAL PROVIDERS TO EXPAND THE AVAILABILITY OF MEDICAL SERVICES IN THE VICINITY. CURRENTLY OWNS AND MAINTAINS FOURTEEN PROPERTIES (INCLUDING LAND FOR FUTURE DEVELOPMENT), THIRTEEN LEASED PROPERTIES AND MANAGES TWO PROPERTIES OWNED BY WAKEMED. MULTIPLE WAKEMED DEPARTMENTS AND PHYSICIAN PRACTICES OCCUPY THE OWNED AND LEASED SPACE INCLUDING; TWO FREE STANDING EMERGENCY DEPARTMENTS IN PREVIOUSLY UNDER SERVED AREAS, THREE MOBILE CRITICAL CARE AMBULANCE DEPARTMENTS, FOUR OUTPATIENT IMAGING DEPARTMENTS AND OUTPATIENT REHABILITATION DEPARTMENTS THROUGHOUT WAKE AND SURROUNDING COUNTIES. THERE ARE CURRENTLY THIRTY-THREE NON WAKEMED AFFILIATED PHYSICIAN PRACTICES LOCATED IN THESE BUILDINGS. A WIDE VARIETY OF CARE OPTIONS ARE OFFERED AT EACH OF THESE FACILITIES AND ARE DESIGNED BY LOCATION AND SERVICE TO ENHANCE ACCESS TO CARE FOR ALL RESIDENTS OF THE COMMUNITY SERVED. IN MOST INSTANCES, THE LOCATIONS LEASED OR MAINTAINED ARE IN THOSE AREAS OF THE MARKET EXPERIENCING RAPID GROWTH BUT WITH LIMITED OPTIONS FOR MEDICAL CARE. 280436 3304915 FUND-RAISING - A CHARITABLE RESOURCE FOR WAKEMED, SUPPORTING THE HEALTH SYSTEM IN ITS COMMITMENT TO PROVIDING QUALITY HEALTH CARE TO ALL CITIZENS OF THE COMMUNITY. WAKEMED IS MORE THAN FACILITIES, MORE THAN TECHNOLOGY AND EXPERTISE; IT IS A HAVEN, WHOSE DOORS ARE OPEN TO EVERYONE IN NEED. WE DEVELOP AND SUPPORT WAKEMED THROUGH FRIEND RAISING - FUND RAISING AND EDUCATIONAL AWARENESS OF QUALITY HEALTH CARE PROGRAMS AND SERVICES FOR CITIZENS OF THE COMMUNITY. WITH THE PURPOSE OF PROVIDING PHILANTHROPIC SUPPORT FOR NUMEROUS WAKEMED PROGRAMS AND SERVICES, WE HAVE HELPED FURTHER WAKEMED'S MISSION IN THE COMMUNITY. IN 2010 WE COMMITTED $8.5 MILLION TO THE NEW WAKEMED CHILDREN'S HOSPITAL. 38786863 PATIENT CARE - A MULTI-SPECIALTY PHYSICIAN PRACTICE WITH OFFICES AT SEVERAL LOCATIONS. THE PHYSICIANS AND OTHER PROVIDERS IN THOSE PRACTICES ARE DEDICATED TO PROVIDING STATE-OF-THE-ART TECHNOLOGY AND CARE TO PATIENTS IN WAKE COUNTY AND SURROUNDING REGIONS. WE ENCOMPASS EIGHTEEN SPECIALTY AREAS OF CARE AND SERVE OVER 200,000 OUTPATIENTS PER YEAR. IN ADDITION, HOSPITALISTS, INTENSIVISTS PROVIDE INPATIENT BASED SERVICES TO THOUSANDS OF PATIENTS ANNUALLY, MANY OF WHICH DO NOT HAVE A PHYSICIAN HOME. OTHER SPECIALISTS SUPPORT THE SIGNATURE PROGRAMS OF THE HEALTH SYSTEM SUCH AS HEART AND VASCULAR SERVICES, TRAUMA, NEONATAL INTENSIVE CARE AND CHILDREN'S SERVICES. OUR PHYSICIANS PROVIDE TRAINING FOR RESIDENTS AND MEDICAL STUDENTS FROM UNC-CHAPEL HILL SCHOOL OF MEDICINE AND ALSO ASSIST THE NC AREA EDUCATION CENTERS (AHEC) IN THEIR STATEWIDE MISSION OF EDUCATION AND RESEARCH. WE PROVIDE OPPORTUNITIES TO 500 RESIDENTS A YEAR AS PART OF THE ORGANIZATION'S MISSION TO IMPROVE DISTRIBUTION AND RETENTION OF PHYSICIANS IN NORTH CAROLINA. PHYSICIANS PARTICIPATE IN RESEARCH ACTIVITIES TO HELP PROMOTE THE ENHANCEMENT OF THE QUALITY OF CARE AND ADDRESS THE HEALTH CARE NEED OF THE UNDER SERVED COMMUNITIES AND POPULATIONS. THE PHYSICIANS EITHER HOLD A TEACHING POSITION OR TENURE TRACK FACULTY AT UNC-CHAPEL HILL SCHOOL OF MEDICINE. 380328 380328 10489317 1 1 0 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 44 44 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 0 1 1 X MICHAEL DEVAUGHN 9193500522 3000 NEW BERN AVENUE RALEIGH NC 276101215 THOMAS B OXHOLM 10.00 X 0 0 0 WILLIAM H MCBRIDE 7.30 X 0 0 0 JERRY BERNSTEIN MD 6.30 X 0 0 0 RICHARD F BAKER 7.80 X 0 0 0 LARRY D BARBOUR 7.00 X 0 0 0 ROBERT A CERWIN MD 4.00 X 0 0 0 DANA D COPELAND MD 5.00 X 0 0 0 BRENDA C GIBSON 8.00 X 0 0 0 M JACKSON NICHOLS 5.00 X 0 0 0 WILLIAM R MCNEIL 4.00 X 0 0 0 LESLIE MERRITT 4.30 X 0 0 0 CHRISTINA ALVARADO SHANAHAN 5.50 X 0 0 0 LORRAINE M WRIGHT PHD 8.30 X 0 0 0 LLOYD M YATES 5.00 X 0 0 0 R GORDON GRUBB 8.00 X 0 0 0 SHELDON M FOX 8.00 X 0 0 0 J BLOUNT WILLIAMS 8.00 X 0 0 0 VIRGINIA ANTHONY 8.00 X 0 0 0 RICHARD F BAKER 1.00 X 0 0 0 AUDIE P BAREFOOT JR 1.00 X 0 0 0 JULIAN D BOBBITT JR 1.00 X 0 0 0 PAUL L BRUNSWICK 1.00 X 0 0 0 HOLLY J BURGE MD 1.00 X 0 0 0 GREG CARR 1.00 X 0 0 0 TIMOTHY E CARROLL 1.00 X 0 0 0 R MICHAEL CONDREY 1.00 X 0 0 0 WILLIAM L DAWKINS 1.00 X 0 0 0 SHARON M FOSTER MD 1.00 X 0 0 0 R MICHAEL GRAY 1.00 X 0 0 0 RICK B GUIRLINGER 1.00 X 0 0 0 ROBERT HATLEY 1.00 X 0 0 0 W CHARLES HELTON MD 1.00 X 0 0 0 JAMES L HOLMES JR 1.00 X 0 0 0 GARY K JOYNER 1.00 X 0 0 0 HOWIE J JUNG 1.00 X 0 0 0 JOHN P MCCONNELL 1.00 X 0 0 0 SHRIN RAJAGOPALAN MD 1.00 X 0 0 0 KRISTEN G REPLOGLE 1.00 X 0 0 0 JOHN L RIGSBEE 1.00 X 0 0 0 PETER M SCOTT III 1.00 X 0 0 0 MELBA T SPARROW 1.00 X 0 0 0 F JEFFERSON STOCKS 1.00 X 0 0 0 KARL STOLTZ 1.00 X 0 0 0 WILLIAM K ATKINSON PHD 80.00 X 0 1606030 27336 MICHAEL DEVAUGHN 60.00 X 0 475057 20031 THOMAS GETTINGER 60.00 X 0 396574 8358 ROYLYN JOHNSON 40.00 X 0 85686 8901 KATHLEEN K GORMLEY 55.00 X 0 559449 25168 DAVID C COULTER 55.00 X 0 428128 25556 MARY A WILCOX 50.00 X 0 311222 25662 JEANENE R MARTIN 65.00 X 0 302055 28375 EVIN D ARLEDGE 55.00 X 0 286413 27240 THOMAS G CAVENDER 60.00 X 0 262653 22855 CAROLYN KNAUP 60.00 X 0 217791 27309 BETSY GASKINS-MCCLAINE 60.00 X 0 243295 26436 GEORGIA SUMIEL 48.00 X 0 206445 18925 JACK RADFORD 40.00 X 0 195237 14984 MARK L WOOD MD 40.00 X 0 737264 30933 JONATHAN D CHAPPELL MD 40.00 X 0 712705 23198 GURVINDER S DEOL MD 40.00 X 0 799175 29683 ROBERT G HOWARD JR MD 40.00 X 0 572034 25429 TIMOTHY E HARRIS MD 40.00 X 0 818692 25058 0 9215905 441437 359 0 1 0 PROGRESS ENERGY PO BOX 2041 RALEIGH NC 27602 ELECTRICITY 1098042 HIGHWOODS REALTY PO BOX 409412 ATLANTA GA 30384 PROPERTY RENTAL 659296 JANI-KING 801 JONES FRANKLIN ROAD RALEIGH NC 27606 JANITORIAL SERVICES 657510 LAUTH MGT SERVICES PO BOX 6189 HICKVILLE NY 11802 PROPERTY RENTAL 541797 AMD NORTH MOB LP 1511 SUNDAY DRIVE 200 RALEIGH NC 27607 PROPERTY RENTAL 477351 114 657547 1870664 776704 4437 3304915 PATIENT SERVICES 621500 38786863 38786863 RENTAL INCOME 531120 8914709 8914709 47701572 339771 339771 174939 69387 105552 105552 105552 2384590 2390559 3130 -5969 -3130 -9099 -9099 131288 657547 262130 -130842 -130842 CHARITABLE REMAINDER T 523000 33583 33583 INVESTMENT IN SUBSIDIA 900003 18726 18726 CSV LIFE INSURANCE 524298 18723 18723 3914 3914 74946 51386815 47724212 0 357688 461381 461381 8990 7239 1751 19279 19279 178944 178944 2542 2542 56433 50875 5558 4420 3985 435 5853715 5853715 2920 2920 6759 9 6750 272451 272451 1644912 1644912 211113 190267 20846 REPAIRS & MAINTENANCE 1797453 1797453 PLEDGE DISCOUNTS 40935 40935 MINOR EQUIPMENT 12064 12064 FUND-RAISING EXPENSE 6201 6201 13111 13111 10593623 10489317 88813 15493 21240 1367492 7425932 9223498 5187740 4329447 1136682 3694080 1164056 1097905 416918 566947 78632540 15383124 64050878 63249416 7149262 7727438 2261091 2279817 219805 213327 89033604 93749367 658194 384718 31676 29088 21415 38561 711285 452367 X 68472904 70284523 19785303 22130515 64112 881962 88322319 93297000 89033604 93749367 X 40793192 -35818511 X X 0 1 1 X 0 X X X 0 0 0 WAKEMED 566017737 3 1 1 1 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 58979 757594 66290 901 881962 55615 3406 42 58979 64113 -8451 47 55615 0.07000 0.93000 0 0 20498292 20498292 55813158 14009382 41803776 670976 372718 298258 1298849 761958 536891 351265 239066 112199 63249416 CHARITABLE GIFT ANNUITY 17734 DEFERRED RENT 20827 38561 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE FIRST FUND IS INTENDED TO BENEFIT THE PEDIATRICIANS AND CHILDREN OF THE TRIANGLE COMMUNITY AND THE REGION SERVED BY WAKEMED. THE ENDOWMENT ENCOURAGES AND FOSTERS DIALOGUE BETWEEN PHYSICIANS AND EXPERTS IN THE FIELD OF INFECTIOUS DISEASES OF CHILDREN. THE ENDOWMENT WILL SUPPORT EDUCATIONAL SEMINARS WITH NATIONALLY RECOGNIZED SPEAKERS DISCUSSING CURRENT ISSUES OF CLINICAL IMPORTANCE TO THE PRACTITIONER. THE SECOND FUND'S EARNINGS WILL BE USED TO SUPPORT THE ADVANCEMENT OF KNOWLEDGE AND CLINICAL SKILLS BY NURSES AND OTHER CERTIFIED HEALTH CARE WORKERS AT WAKEMED THROUGH ENROLLMENT IN UNDERGRADUATE DEGREE PROGRAMS OR QUALIFIED CEU SEMINARS AND TRAINING EVENTS. GALA 2011 649355 610355 39000 66066 2941 33786 64096 GALA 2010 43655 4055 39600 550 60000 5 95825 43137 52688 5234 19321 4290 5846 788835 657547 131288 5234 85937 7231 93786 69942 262130 -130842 0 0 0 0 0 0 0 1 0 WILLIAM K ATKINSON PHD 0 763873 0 833501 0 8656 0 9800 0 17536 0 1633366 0 549080 MICHAEL DEVAUGHN 0 345255 0 114003 0 15799 0 12250 0 7781 0 495088 0 0 THOMAS GETTINGER 0 201469 0 145203 0 49902 0 0 0 8358 0 404932 0 0 KATHLEEN K GORMLEY 0 410257 0 133265 0 15927 0 8575 0 16593 0 584617 0 0 DAVID C COULTER 0 342549 0 60623 0 24956 0 8575 0 16981 0 453684 0 0 MARY A WILCOX 0 251582 0 44369 0 15271 0 8575 0 17087 0 336884 0 0 JEANENE R MARTIN 0 244569 0 43200 0 14286 0 11025 0 17350 0 330430 0 0 EVIN D ARLEDGE 0 263316 0 19158 0 3939 0 8575 0 18665 0 313653 0 0 THOMAS G CAVENDER 0 229072 0 16895 0 16686 0 9800 0 13055 0 285508 0 0 CAROLYN KNAUP 0 189542 0 14095 0 14154 0 10064 0 17245 0 245100 0 0 BETSY GASKINS-MCCLAINE 0 224640 0 16332 0 2323 0 12250 0 14186 0 269731 0 0 GEORGIA SUMIEL 0 192010 0 13820 0 615 0 6296 0 12629 0 225370 0 0 JACK RADFORD 0 187489 0 4039 0 3709 0 6787 0 8197 0 210221 0 0 MARK L WOOD MD 0 331038 0 405248 0 978 0 8575 0 22358 0 768197 0 0 JONATHAN D CHAPPELL MD 0 245034 0 467457 0 214 0 7350 0 15848 0 735903 0 0 GURVINDER S DEOL MD 0 288798 0 509366 0 1011 0 7350 0 22333 0 828858 0 0 ROBERT G HOWARD JR MD 0 293052 0 278386 0 596 0 7350 0 18079 0 597463 0 0 TIMOTHY E HARRIS MD 0 394352 0 423928 0 412 0 8575 0 16483 0 843750 0 0 PART I, LINE 7 THE ORGANIZATION HAS INCENTIVE BASED PROGRAMS THAT ARE DRIVEN BY ACCOMPLISHING TARGETS ASSOCIATED WITH QUALITY OF CARE, HAND HYGIENE, WORKFORCE EXCELLENCE, PATIENT SATISFACTION AND A MINIMUM OPERATING MARGIN. FORM 990, PART VI, SECTION A, LINE 7A EIGHT MEMBERS OF THE BOARD ARE APPOINTED TO THE BOARD OF DIRECTORS BY WAKE COUNTY. 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 OF INCORPORATION. THE TRANSFER AGREEMENT WITH WAKE COUNTY INDICATES APPROVAL/CONSENT FOR TRANSACTIONS PERTAINING TO SUBSTANTIAL DISPOSITION OF ASSETS AND COVENANTS ON LIENS. FORM 990, PART VI, SECTION B, LINE 11 THE 990 AND SCHEDULES ARE REVIEWED BY THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS AND THEN THEY RECOMMEND APPROVAL TO THE BOARD. A FINAL COPY IS PROVIDED TO THE BOARD OF DIRECTORS BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION ENFORCES THE CONFLICT OF INTEREST POLICY IN VARIOUS WAYS. EACH YEAR, MEMBERS OF THE BOARD, COMMITTEES WITH BOARD DELEGATED POWER, CEO, CORPORATE STAFF, EXECUTIVE STAFF, DIRECTORS AND MANGERS 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 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 AND LODGING PAID 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. FORM 990, PART VI, SECTION B, LINE 15A REVIEW OF THE COMPENSATION FOR THE CEO, OFFICERS AND KEY EMPLOYEES IS DONE REGULARLY BY THE HUMAN RESOURCE DEPARTMENT. THE FACILITY REGULARLY USES AN INDEPENDENT CONSULTING FIRM AS A SOURCE OF COMPENSATION INFORMATION, BENCHMARKING AND REVIEW TO ENSURE CONSISTENT AND FAIR COMPENSATION PRACTICES. THE CEO'S COMPENSATION IS APPROVED BY THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 THE 990 IS AVAILABLE BY REQUEST AND IS PUBLISHED ON GUIDESTAR. FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE THROUGH THE MEDICAL CARE COMMISSIONERS 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: INTERCOMPANY CASH TRANSFERS -35,818,511. TOTAL TO FORM 990, PART XI, LINE 5: -35,818,511. FORM 990, PART XII, LINE 2C: THIS PROCESS HAS NOT CHANGED FROM PRIOR YEAR. FORM 990, PART XII, LINE 2D: THIS GROUP 990 IS INCLUDED IN THE COMBINED AUDITED FINANCIAL STATEMENTS OF WAKEMED. FORM 990, PAGE 1, BOX C: DOING BUSINESS AS: CARELINA MEDICAL ASSOCIATES MOSELEY MEDICAL GROUP WAKE COUNTY HOSPITAL SYSTEM MEDICAL EDUCATION FOUNDATION WAKEMED FACULTY PHYSICIANS WAKEMED FACULTY PHYSICIANS - RALEIGH CARDIOLOGY WAKEMED FACULTY PHYSICIANS - CAROLINA CARDIOLOGY WAKEMED FACULTY PHYSICIANS - HOSPITALISTS - CARY WAKEMED FACULTY PHYSICIANS - HOSPITALISTS - RALEIGH WAKEMED FACULTY PHYSICIANS - INTENSIVISTS - RALEIGH WAKEMED FACULTY PHYSICIANS - PEDIATRIC HOSPITALISTS/INTENSIVISTS WAKEMED FACULTY PHYSICIANS - INTENSIVISTS - CARY WAKE PROFESSIONAL ASSOCIATES EAST SQUARE MEDICAL PLAZA WAKE MEDICAL CENTER FOUNDATION WAKEMED 3000 NEW BERN AVE RALEIGH NC 27610 566017737 HOSPITAL NC 501(C)(3) LINE 3 N/A 0 QUALITY TEXTILE SERVICES 313 SOUTH ROGERS LANE RALEIGH NC 27610 561943802 TEXTILES NC N/A C 19334 3068801 0.50000 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 1 WAKEMED Q 1076862 CASH WAKEMED R 31858448 CASH WAKEMED I 710987 CASH WAKEMED J 7648118 CASH