2011-05-12T10:39:45-07:00 2010-06-30 990 2009-07-01 223849199 WAKE FOREST UNIVERSITY HEALTH SCIENCES WAKE 3367164445 Medical Center Blvd Winston Salem NC 27157 William B Applegate MD 3367164445 2011-05-12 2009 2016-02-24 21:20:13Z William B Applegate MD Medical Center Blvd Winston Salem NC 27157 788404943 0 X www.wakehealth.edu X 2001 NC Improving the health of our region, state, and nation. 19 13 5109 0 17508 14757 200375175 212511688 353377268 425536731 -38429860 30640683 93661891 89696869 608984474 758385971 30892334 32722499 0 0 411836981 445260062 0 455156 5055528 250298439 267584991 693027754 746022708 -84043280 12363263 903612851 982135270 489236449 534554145 414376402 447581125 Wake Forest University Baptist Medical Center's 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; Serving as the premier health system in our region, with specific centers of excellence recognized as national and international care destinations. 0 0 209216272 25836373 175293132 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 (2226 Grants). 390279152 0 407460474 Patient Care, General/Other: Medical expenses in providing services to 748,777 patient encounters 98957865 6886125 18076257 Professional Education: Instruction of approx. 888 Medical, Graduate, and Physician Assistant students. Scholarships provided to 607 students 0 0 0 698453289 1 1 0 1 0 0 0 0 1 1 1 1 1 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 1 1919 0 1 5109 1 1 1 0 0 0 1 1 1 1 0 0 0 19 13 1 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X Douglas E Lischke Controller 3367164445 Medical Center Blvd WinstonSalem NC 27157 Graham W Denton Jr 15 X 0 0 0 Donna A Boswell PhD 10 X 0 0 0 James R Helvey III 2 X 0 0 0 Andrew J Schindler 2 X 0 0 0 K Wayne Smith PhD 2 X 0 0 0 James T Williams Jr 2 X 0 0 0 Kyle A Young MD 2 X 0 0 0 Richard A Brenner 2 X 0 0 0 Brenda K Cline 3 X 0 0 0 Donald E Flow 2 X 0 0 0 Murray C Greason Jr 2 X 0 0 0 Robert E Greene 3 X 0 0 0 Ann S Hanes 2 X 0 0 0 Nathan O Hatch PhD 10 X X 0 594502 271255 J Walter McDowell III 2 X 0 0 0 Elizabeth L Quick 5 X 0 0 0 James Denman Shelton 2 X 0 0 0 Stephen T Williams 2 X 0 0 0 John D McConnell MD 40 X 1213616 0 468064 William B Applegate MD 40 X 920078 0 76628 Douglas L Edgeton 40 X 862670 0 43532 J Reid Morgan 8 X 0 293567 48746 Anita M Conrad 8 X 0 143377 26384 Edward G Chadwick 40 X 690281 0 44001 Terry L Hales Jr 40 X 444561 0 35561 Thomas E Sibert MD 40 X 929044 0 45144 Raymond C Roy MD 40 X 293626 0 28363 John A Wilson MD 40 X 664164 0 37016 Neal D Kon MD 40 X 708420 0 37655 Malcolm Marks MD 40 X 717459 0 37587 Phillip M Williford MD 40 X 690634 0 36212 Charles Branch Jr MD 40 X 682969 0 37217 Richard H Dean MD 0 X 670228 0 8456 Lawrence D Hopkins MD 40 X 209520 0 30821 9697270 1031446 1312642 826 1 1 0 North Carolina Baptist Hospital Medical Center Blvd Winston Salem NC 27157 Clinician & Other Professional Services 5324191 The Budd Group P O Box Charlotte NC 282890856 Security & Custodial 2492273 Dann Dorfman Herrell Skillman 1601 Market Street Suite 2400 Philadelphia PA 191032307 Legal Services 2042206 Shelco Incorporated P O Box 25747 Winston Salem NC 271145745 Construction 1931656 Forsyth Medical Center 3333 Silas Creek Parkway Winston Salem NC 27103 Clinician Services 1814454 56 6029963 0 360982 0 175293132 30827611 2587916 212511688 Tuition and Fees 611710 18076257 18076257 0 0 Payments for Medical Service 621110 407460474 407460474 0 0 0 0 0 0 425536731 7846936 7846936 0 0 0 0 0 0 88212647 88212647 0 0 3523771 0 1697420 0 1826351 0 1826351 0 0 1826351 50297783 0 27504036 0 22793747 0 22793747 0 0 22793747 90623 360982 438283 -347660 -347660 0 0 360178 379233 -19055 -19055 0 0 24586 7078 17508 0 24586 758385971 521236677 17508 24620098 0 32722499 32722499 0 0 0 0 5127244 2196004 2881579 49661 358280524 342379393 13470610 2430521 22879395 21820079 860265 199051 39283483 37464658 1477059 341766 19689416 18777796 740322 171298 0 0 0 0 4384960 0 4384960 0 468930 0 468930 0 623167 623167 0 0 455156 455156 0 0 0 0 61718396 53786485 7298380 633531 1290970 1125331 152409 13230 106405459 104376037 1867330 162092 5490748 4786252 648227 56269 0 0 0 0 32098583 27980141 3789497 328945 7651734 6669970 903349 78415 0 0 0 0 4556621 3971979 537946 46696 7985857 7517052 468805 0 0 0 0 0 26234829 24694728 1540101 0 8674737 7561718 1024122 88897 0 0 0 0 746022708 698453289 42513891 5055528 0 0 47312615 51950303 22571187 26381778 44933499 68478608 0 0 0 0 5333816 5029686 364517 260104 934472 801876 577682730 310020381 271372810 267662349 72887720 81134617 352083753 378819377 85818462 101616572 903612851 982135270 64905709 71163990 307792 119720 39857182 45385290 188640000 186195000 35900035 53310113 159625731 178380032 489236449 534554145 X 253621150 279875658 43359819 46119973 117395433 121585494 414376402 447581125 903612851 982135270 X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 876935 0 0 876935 0 SchC_P2B_S00_L01 Schedule C, Part II-B, Line 1 The organization's Office of Government Relations was actively involved with several federal and state issues. The office assisted in developing political advocacy strategies regarding The Patient Protection and Affordable Care Act (P.L. 111-148) (a/k/a "the health care reform bill"), which included expansion of insurance coverage; Medicare and Medicaid payment changes; provisions related to workforce supply and graduate medical education training; funding for comparative effectiveness research, wellness and prevention; key delivery system reforms including accountable care organizations, value based purchasing and incentives to improve care coordination and quality; and language designed to reduce waste, fraud and abuse in the Medicare and Medicaid programs. Staff worked on the FY2011 Budget; the Center for Medicare and Medicaid Service's proposed rule regarding the Electronic Health Record Incentive Program and submitted a comment letter regarding its provisions; the FY 2011 Medicare Inpatient Prospective Payment System (PPS) Proposed Rule; legislation regarding the creation of healthcare innovation zones; Medicare Payment Advisory Commission's DGME and IME recommendations; changes to the Medicare policy known as the "72 Hour Rule"; legislation to increase residency slots; and Medicare physician payments (SGR adjustments). Staff also worked on many of the FY 2011 appropriations bills and proposed legislation and regulations that were introduced, including requests in the Department of Transportation; Department of Homeland Security; Department of Commerce; State; Justice; Department of Defense; Department of Health and Human Services; and Veterans Affairs (VA) Research and Medical Care funding. The office assisted with the following: (1) End stage renal disease payment system proposed rule; (2) FAA reauthorization bill amendments for air ambulances; (3) Employee free choice bill regarding unionization; (4) IRS property-tax exemptions for nonprofits guidelines and community benefits analysis; (5) tax bill for employee pensions, charitable donations; (6) NIH appropriations and funding for health professions and AHEC and the reauthorization of the National Science Foundation; (7) changes proposed by HHS regarding conflict of interest rules; (8) the implementation of the Truth in Lending Act regarding student loans; (9) False Claims Act amendments; and (10) patents and intellectual property issues. At the state level, efforts were concentrated with the FY 2010-11 Medicaid budget including the six month expansion of FMAP funding contained in the federal stimulus package, the Medicaid Reimbursement Initiative and Upper Payment Limit provisions; on legislation regarding certificate-of-need laws, business incentive tax laws, including the mill tax credit for the Piedmont Triad Research Park; and funding for allied health professional training at the community colleges, including Forsyth Technical Community College. 331914802 5930071 33747985 15764582 0 0 355828276 431674776 6480757 -82590445 23650286 0 0 331914802 0.6275 0.3725 0 0 1 1 48219055 0 48219055 391022791 0 211979143 179043648 0 0 0 0 136200272 0 96062014 40138258 2240612 0 1979224 261388 267662349 WFU Pool Investments 378819377 F 378819377 Bond Issue Costs 2247812 Invest in Annuities & Life Ins Contracts 2946293 Investment in Subsidiaries 12932634 Beneficial interest in perpetual trusts 18350109 Employment Retirement Plans 12980030 Other Investments 52159694 101616572 0 Post Retirement Benefits 29643248 Employment retirement plans 12980030 Deferred Gain 32803926 Bond Swap Valuation 27541676 Other Liabilities & Deferrals 64519910 Annuities Payable 5274085 Agency Funds 5617157 178380032 758385971 746022708 12363263 20841460 0 0 0 15827842 36669302 49032565 864429747 20841460 0 0 70910682 91752142 772677605 0 -14291634 -14291634 758385971 815397182 0 0 0 55082840 55082840 760314342 0 -14291634 -14291634 746022708 SchD_P05_S00_L04 Schedule D, Part V, Line 4 The organization's endowment funds are to support scholarships, instruction, research, libraries, academic support, operational and other general support. SchD_P10_S00_L00 Schedule D, Part X Wake Forest University Health Sciences is a tax exempt organization as described in Section 501(c)(3) of the Internal Revenue Code ("the Code") and is generally exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Accordingly, no provision for income taxes is made in the consolidated financial statements. Unrelated business income of Wake Forest University Health Sciences is reported on Form 990-T. Wake Forest University Health Sciences recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. SchD_P11_S00_L08 Schedule D, Part XI, Line 8 Subsidiaries filing separate 990's SchD_P12_S00_L02d Schedule D, Part XII, Line 2d Subsidiaries filing separate 990's SchD_P12_S00_L04b Schedule D, Part XII, Line 4b Reclass of bookstore, property, and fundraising expenses SchD_P13_S00_L02d Schedule D, Part XIII, Line 2d Subsidiaries filing separate 990's SchD_P13_S00_L04b Schedule D, Part XIII, Line 4b Reclass of bookstore, property and fundraising expenses 1 1 1 WFUHS publishes its nondiscriminatory policy on the wfubmc.edu website, in admission brochures, and other media materials. 1 1 1 1 0 0 0 0 0 0 0 0 1 0 WFUHS receives federal financial aid through the U.S. Department of Education's Federal Family Education Loan Program. WFUHS distributed the federal loans to approximately 607 students in fiscal year 2010. 1 X X 1 Grizzard Communications Group Inc Donor Acquisition 0 36915 64135 -27220 Harris Connect Group Holdings LLC Phone/Mail Solicitations 0 97759 391021 -293262 134674 455156 -320482 AK AL AR AZ CA CO CT DC DE GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OR PA RI SC SD TN TX UT VA VT WA WI WV WY Winterlark 216371 178467 37904 0 0 74005 31478 0 42907 BCH Cheers 57689 45599 12090 0 0 2500 1952 0 57795 5 177545 136916 40629 0 0 30177 21960 33724 141786 451605 360982 90623 0 0 106682 55390 33724 242488 438284 -347661 1 Scholarships and fellowships 607 11716648 0 SchI_P01_S00_L02 Schedule I, Part I, Line 2 WFUHS monitors the academic progress and other achievements of students receiving scholarships/fellowships funds to ensure that adquate progress is maintained by the student X X X X X 1 1 X X X X X X 1 1 0 0 0 0 0 0 0 John D McConnell MD 831288 0 266667 0 115661 0 441589 0 26475 0 1681680 0 0 0 William B Applegate MD 534843 0 378900 0 6335 0 39757 0 36871 0 996706 0 0 0 Douglas L Edgeton 491391 0 361600 0 9679 0 14706 0 28826 0 906202 0 0 0 Nathan O Hatch PhD 0 524277 0 34065 0 36160 0 209917 0 61338 0 865757 0 0 J Reid Morgan 0 281576 0 0 0 11991 0 24500 0 24246 0 342313 0 0 Anita M Conrad 0 143239 0 0 0 138 0 11816 0 14568 0 169761 0 0 Edward G Chadwick 294218 0 350000 0 46063 0 16476 0 27525 0 734282 0 0 0 Terry L Hales Jr 344348 0 89300 0 10913 0 13071 0 22490 0 480122 0 0 0 Thomas E Sibert MD 266654 0 550000 0 112390 0 16483 0 28661 0 974188 0 0 0 Raymond C Roy MD 200262 0 91078 0 2286 0 10732 0 17631 0 321989 0 0 0 Neal D Kon MD 216786 0 490860 0 774 0 14248 0 23407 0 746075 0 0 0 Malcolm Marks MD 217248 0 499437 0 774 0 14222 0 23365 0 755046 0 0 0 Charles Branch Jr MD 217109 0 465086 0 774 0 14082 0 23135 0 720186 0 0 0 Phillip M Williford MD 165369 0 524851 0 414 0 14222 0 21990 0 726846 0 0 0 John A Wilson MD 143664 0 520086 0 414 0 14006 0 23010 0 701180 0 0 0 Richard H Dean MD 0 0 0 0 670228 0 0 0 8456 0 678684 0 0 0 Lawrence D Hopkins MD 130109 0 78279 0 1132 0 11662 0 19159 0 240341 0 0 0 SchJ_P01_S00_L00 Schedule J, Part I During the tax period, the filing organization and its affiliate, North Carolina Baptist Hospital ("NCBH") were operating under an agreement that provided for a single executive group to provide for the management of both the filing organization and NCBH, which entities together have combined operating revenues for the tax period of $1.813 billion. These individuals were sought and hired after national searches in a highly competitive environment, and the medical center sought only individuals at the highest levels of ability, given their task of initiating the new management structure designed to optimize the effectiveness of both organizations in their tax-exempt missions. Three executives (John D. McConnell, M.D., medical center CEO; Edward G. Chadwick, medical center CFO; and Thomas E. Sibert, M.D., President of Wake Forest University Physicians (the unincorporated faculty practice group) and medical center Chief Medical Officer), received one-time recruitment bonuses that included relocation incentives. Additionally, Dr. McConnell received a deferred compensation arrangement that replaced similar non-vested benefits forfeited from his previous employer. The bonuses were paid by the filing organization and the determination of the amount of the bonuses followed its compensation procedures as outlined in Part VI, Section B, line 15 of the Form 990. The compensation for executives John D. McConnell, M.D., medical center CEO, and Edward G. Chadwick, medical center CFO, is paid to them by the filing organization, but 50% of that compensation is reimbursed to the filing organization by NCBH.==================================================================== As a retention strategy of the filing organization, two executives (William B. Applegate, M.D., President of the filing organization, and Douglas L. Edgeton, Executive Vice President and COO of the filing organization), received one-time bonuses for their key roles in fostering a successful integration of the filing organization with certain affiliated organizations of the filing organization. The bonuses were paid by the filing organization and the determination of the amount of the bonuses followed the filing organization's compensation procedures as outlined in Part VI, Section B, line 15 of the Form 990. ======================= Certain executives of WFUHS are eligible to receive a bonus at the end of each fiscal year. The bonus structure is determined by a matrix including national rankings in the executive's specialty, peer comparisons and financial operating performance. The determination of the amount of the bonuses followed the filing organization's compensation procedures as outlined in Part VI, Section B, Line 15 of the 990. SchJ_P01_S00_L01a Schedule J, Part I, Line 1a Certain executives within WFUHS 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. In addition, if approved by a superior and related directly to the conduct of WFUHS business, certain executives utilized first-class, spousal or chartered travel. SchJ_P01_S00_L03 Schedule J, Part I, Line 3 The WFUHS Compensation Committee of the Board of Directors is responsible for reviewing and approving all officer compensation. The Committee utilized independent compensation consultants, compensation surveys, and studies to determine the appropriateness of each officer's compensation. An external compensation consultant experienced in health care and higher education compensation presents total compensation comparability data for the positions for which compensation is being determined. The data is reviewed by the Compensation Committee of the organization's governing board at its meeting; none of the member of that committee are employees of the organization. Minutes of the deliberations of the committee are contemporaneously recorded. In the event that any member of the Compensation 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. The Compensation Committee's recommendations on compensation are made to the full governing Board (or its Executive Committee, when necessary) at its meeting, where further discussion and the final approval takes place. Minutes of the final approval actions are also contemporaneously recorded. SchJ_P01_S00_L04 Schedule J, Part I, Line 4 Richard H. Dean, M.D.'s compensation was largely a retirement benefit based on more than 21 years of service as former President of WFUHS, former President of all WFUHS subsidiary organizations, and as former Chair of the Department of Surgery.================================================ William B. Applegate, M.D., President of the filing organization during the tax period, participates in a supplemental nonqualified retirement plan (all of which is paid by Wake Forest University Health Sciences as part of his compensation as President). Amount contributed to the plan totaled $25,000 for the year ended December 31, 2009, and this amount is included in Schedule J, Part II, Column C. Nathan O Hatch, a director and officer of the filing organization during the tax period, participates in a supplemental nonqualified retirement plan (all of which is paid by a related organization, Wake Forest University, as part of his compensation as President of that related organization). The estimated actuarial value increase in the plan totaled $185,417 for the year ended December 31, 2009, and this amount is included in Schedule J, Part II, Column C. North Carolina Medical Care Commission 521309402 65821DB00 2008-10-16 188640000 Refinancing of 2002 Series bond issue 0 0 188640000 2407417 2008 1 0 1 1 0 1 1 Bank of America NA 27.3 0 0 1 Branch Banking and Trust Company Director of organization, Robert E. Greene, is an officer of interested person 3113890 Total paid by organization to interested person for loan interest 0 Blue Cross and Blue Shield of NC Director of the organization, James T. Williams, Jr., is also a director of interested party 74048204 Total paid by interested person to organization for medical claims for services rendered to patients of organization having benefits under plans offered by interested person 0 Branch Banking and Trust Company Director of organization, Stephen T. Williams, is also a director of interested person 3113890 Total paid by organization to interested person for loan interest 0 MedCost LLC Officer of organization, Edward G Chadwick, is also a board member of interested party 2093813 Total paid by organization to interested person for administration of health and dental claims 0 X 55 1199247 Avg Price on Date of Gift X 3 2561890 Appraised Value X Medical Equipment 5 25676 Valued at cost 0 0 1 0 SchM_P01_S00_L09 Schedule M, Part I, Line 9 WFUHS determines the number of contributions by using the total number of non-cash items received per donor per occurance. SchM_P01_S00_L25 Schedule M, Part I, Lines 25-28 WFUHS determines the value of donated non-cash items by the selling price, cost value or opinions of experts for items under $5,000 and appraisal for the items over $5,000. F990_P03_S00_L00 Form 990, Part III Wake Forest University Baptist Medical Center is northwest North Carolina's sole academic medical center, bringing to the region the resources of one of America's top 50 ranked hospitals and a premier medical school. Wake Forest University Baptist Medical Center is a corporation one-half controlled by Wake Forest University and one-half controlled by North Carolina Baptist Hospital. The Medical Center operates the Wake Forest University School of Medicine, Wake Forest University Health Sciences (including its faculty physician practice of more than 600 doctors); a hospital system with 1,004 licensed acute care and rehabilitation beds across the system, which encompasses North Carolina Baptist Hospital (885 beds), Brenner Children's Hospital (160 beds, included in NCBH total); Lexington Memorial Hospital (94 beds, and its related physician practice of 32 LexMed doctors); and Davie County Hospital (25 beds). Wake Forest Baptist serves a primary 26-county region in northwestern North Carolina and southwestern Virginia and draws patients from across the state and nation for select services. Wake Forest Baptist is nationally recognized for clinical excellence and internationally known for pioneering research and clinical innovation. It has been ranked as one of "America's Best Hospitals" by U.S. News & World Report since 1993, holds the Gold Seal of Approval from the Joint Commission, the nation's esteemed standards-setting and accrediting body for health care quality, and is ranked 27th in the nation by America's Top Doctors for the number of its physicians who are considered best by their peers. The Best Doctors in America 2011-2012 listing includes 293 Wake Forest Baptist physicians, an increase of 37 percent over the previous year; 92 percent of the doctors listed for Forsyth County are Wake Forest doctors. The Medical Center was first in the Carolinas to earn Magnet Designation for Nursing Excellence from the American Nurses Credentialing Center, a distinction held since 1999. It also holds the distinction of being the most preferred hospital of area residents according to independent research from the National Research Corporation. Wake Forest Baptist offers expertise in more than 100 areas of medicine, encompassing comprehensive preventive and highly specialized care for all ages. It includes 21 subsidiary or affiliate hospitals, and operates more than 120 outreach activities, including satellite specialty clinics across northwest North Carolina that extend the benefit of Wake Forest Baptist subspecialty expertise throughout the region. As part of a busy tertiary care center, N.C. Baptist Hospital recorded 34,854 inpatient admissions in FY 2010, and a total of 818,089 outpatient encounters (ED, Downtown Health Plaza, Day Hospital, ambulatory visits). Total patient encounters numbered 852,943. In addition to its clinical leadership, Wake Forest Baptist is a major research center with more than 2,500 research studies under way. In the arena of cancer research alone, there are more than 475 studies being conducted. The Medical Center operates a Translational Science Institute committed to multi-disciplinary research that will speed findings from the laboratory to the bedside to benefit patients. One of the Medical Center's most innovative and growing programs is the Wake Forest Institute for Regenerative Medicine, where scientists are actively advancing knowledge about building organs and vessels from patients' own tissue -- advancing the horizons of medical possibility. F990_P06_S0A_L02 Form 990, Part VI, Section A, Line 2 Mr. Robert E. Greene, a director of the organization, serves as an officer of BB&T Corporation. Mr. Stephen T. Williams, a director of the organization, serves as a director of BB&T Corporation. F990_P06_S0A_L04 Form 990, Part VI, Section A, Line 4 Amendments to the filing organization's bylaws were adopted by the filing organization, and approved (as required in the bylaws) by the board of the filing organization's parent, Wake Forest University ("WFU"), on July 16, 2009. The amended bylaws conform the filing organization's bylaws to the provisions of the Functional Integration Agreement (the "FIA") entered into among the filing organization, its affiliated hospital, North Carolina Baptist Hospital ("NCBH"), and its related, supporting organization, Wake Forest University Baptist Medical Center ("WFUBMC"). The amendments relate to: 1) the WFUBMC CEO's ex officio membership on the filing organization's board; 2) the appointment, reporting, and removal of the filing organization's President; and 3) the limitation regarding further amendment of these provisions without the written consent of the other parties to the FIA. F990_P06_S0A_L06 Form 990, Part VI, Section A, Line 6 Wake Forest University is the sole member of Wake Forest University Health Sciences. F990_P06_S0A_L07a 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. F990_P06_S0A_L07b 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 annual approval of the organization's budget. F990_P06_S0B_L11 Form 990, Part VI, Section B, Line 11 The organization formally presents the IRS form 990 to all members of the Audit & Compliance Committe of its Board of Directors allowing adequate time for follow-up questions and comments. In addition, the organization provides a copy of the IRS form 990 as finalized to all members of the Board of Directors prior to filing Form 990 with the IRS. F990_P06_S0B_L12c 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. F990_P06_S0B_L15 Form 990, Part VI, Section B, Line 15 An external compensation consultant experienced in health care and higher education compensation presents total compensation comparability data for the positions for which compensation is being determined. The data is reviewed by the Compensation Committee of the organization's governing board at its meeting; none of the members of that committee are employees of the organization. Minutes of the deliberations of the committee are contemporaneously recorded. In the event that any member of the Compensation 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. The Compensation Committee's recommendations on compensation are made to the full governing Board (or its Executive Committee when necessary) at its meeting, where further discussion, review of the compensation comparability information, and the final approval takes place. Again, members of the full board having conflicts of interest abstain from deliberations and approval. Minutes of the final approval action are also contemporaneously recorded. F990_P06_S0C_L19 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. BRF-A1a LLC Medical Center Blvd Winston Salem NC 27157 203073357 Real estate holding company NC 0 305375 N/A PTRP Holdings LLC Medical Center Blvd Winston Salem NC 27157 050549344 Real estate holding company NC 73748 25039261 N/A Seed Stage Associates LLC 200 East First Street Suite 101 Winston Salem NC 27101 651198831 Consult & advise on technology transfer & license on intellectual property NC 9785 16647 N/A BRF Deck 1 LLC Medical Center Blvd Winston Salem NC 27157 861123819 Real estate holding company NC 0 354925 N/A BRF-A1 LLC Medical Center Blvd Winston Salem NC 27157 861123822 Real estate holding company NC 0 635758 N/A PTRP Holdings II LLC Medical Center Blvd Winston Salem NC 27157 271917927 Real estate holding company NC 363500 474392 N/A PTRP Holdings III LLC Medical Center Blvd Winston Salem NC 27157 271918085 Real estate holding company NC 275820 281591 N/A Park IMP 1 LLC Medical Center Blvd Winston Salem NC 27157 272070963 Real estate holding company NC 0 0 N/A Wake Forest Ambulatory Ventures LLC Medical Center Blvd Winston Salem NC 27157 Outpatient surgery services NC 0 0 N/A Wake Forest University Health Sciences Group Return Medical Center Blvd Winston Salem NC 27157 900222618 Provide dialysis trts. to ESRD patients NC 501(c)(3) 11a, Type I N/A PTRP Development Corporation Medical Center Blvd Winston Salem NC 27157 061818498 Research Park Development NC 501(c)(3) 11a, Type I N/A Idealliance Medical Center Blvd Winston Salem NC 27157 562094067 Research Park Development NC 501(c)(6) N/A Wake Forest University Foundation P O Box 7201 Winston Salem NC 27109 562038193 Real estate holding and management NC 501(c)(3) 11a, Type I N/A Dialysis Access Group of Wake Forest University LLC Medical Center Blvd Winston Salem NC 27157 204241942 Providing vascular trt. to ESRD patients NC 501(c)(3) 11a, Type I N/A Idealliance Foundation Medical Center Blvd Winston Salem NC 27157 562094060 Research Park Development NC 501(c)(3) 11a, Type I N/A Piedmont Triad Research Park Medical Center Blvd Winston Salem NC 27157 200177581 Research Park Development NC 501(c)(3) 11a, Type I N/A Wake Forest University P O Box 7201 Winston Salem NC 27109 560532138 University NC 501(c)(3) 2 N/A Wake Forest University Development Foundation P O Box 7201 Winston Salem NC 27109 562038194 Management/Sale of charitable real property gifts NC 501(c)(3) 11a, Type I N/A Wake Forest University Baptist Medical Center Medical Center Blvd Winston Salem NC 27157 510190238 Facilitate the carrying out of the functions and purposes of WFUHS & NCBH NC 501(c)(3) 11a, Type I N/A 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 1 Idealliance d 26436 Piedmont Triad Research Park d 3339823 PTRP Development Corporation d 539167 Wake Forest University Health Sciences Group Return d 947584 Idealliance k 1 Piedmont Triad Research Park r 2699379 Wake Forest University Health Sciences Group Return r 10325000