2011-05-12T10:52:48-07:00 2010-06-30 990 2009-07-01 510190238 WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER WAKE 3367164445 Medical Center Blvd Winston Salem NC 27157 Douglas Nelson 3367164445 2011-05-12 2009 2016-02-24 21:20:13Z John D McConnell MD Medical Center Blvd Winston Salem NC 27157 205380 0 X wfubmc.edu X 1975 NC Wake Forest University Baptist Medical Center (WFUBMC) was established exclusively as a supporting organization for the benefit of Wake Forest University Health Sciences (WFUHS) and North Carolina Baptist Hospital (NCBH). WFUBMC coordinates and supports the fund-raising, planning, budgeting activities of supported organizations. In addition to coordinating major construction projects and leasing related activities for jointly owned properties, WFUBMC acts as the paying agent for contractor payments and functions as a real estate manager coordinating the collection of rental income, payment of rental expenses and distribution of rental income for the supported organizations. As a result, WFUBMC does not record the associated revenue or expenses or have title to the respective assets. 12 11 0 0 0 0 749782 10000 0 195380 -578474 0 171308 205380 0 0 0 0 0 186298 25582 186298 25582 -14990 179798 1843407 2018545 14355 2018545 1829052 0 Wake Forest University Baptist Medical Center (WFUBMC) was established exclusively as a supporting organization for the benefit of Wake Forest University Health Sciences (WFUHS) and North Carolina Baptist Hospital (NCBH). WFUBMC coordinates and supports the fund-raising, planning, budgeting activities of supported organizations. In addition to coordinating major construction projects and leasing related activities for jointly owned properties, WFUBMC acts as the paying agent for contractor payments and functions as a real estate manager coordinating the collection of rental income, payment of rental expenses and distribution of rental income for the supported organizations. As a result, WFUBMC does not record the associated revenue or expenses or have title to the respective assets. 0 0 25582 0 205380 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. 0 0 0 25582 1 1 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 12 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NC X Doug Lischke 3367164445 Medical Center Blvd Winston Salem NC 27157 X Roger Cothran 1 X 0 0 0 Ernest L Evans 1 X 0 0 0 Arthur A Gibel 1 X 0 0 0 Joesph R Overby Jr MD 1 X 0 0 0 Stephen L Robertson 1 X 0 0 0 William C Warden Jr 1 X X 0 0 0 Graham W Denton Jr 1 X X 0 0 0 Donald E Flow 1 X 0 0 0 Murray C Greason Jr 1 X 0 0 0 Robert E Greene 1 X 0 0 0 Nathan O Hatch PhD 1 X 0 0 0 Donna A Boswell 1 X 0 0 0 Allison Brashear MD 1 X 0 0 0 Neal D Kon MD 1 X 0 0 0 Frank M Torti MD 1 X 0 0 0 John D McConnell MD 1 X 0 1213616 468064 J McLain Wallace Jr 1 X 0 260936 25328 Edward G Chadwick 1 X 0 690281 44001 J Reid Morgan 1 X 0 293567 48746 Thomas E Sibert MD 1 X 0 929044 45144 Douglas Nelson 40 X 0 154954 27697 0 3542398 658980 0 1 1 0 Frank Blum Construction PO Box 4153 Winston Salem NC 27115 Construction 6112416 Carolina Business Interiors 4020 Yancy Road Charlotte NC 28217 Construction 706128 HKS Inc PO Box 731121 Dallas TX 75373 Architect 2744801 Bovis Lend Lease PO Box 32755 Charlotte NC 28232 Construction 1887246 David Roberts & Assoc PA 500 East Morehead Suite 212 Charlotte NC 28203 Architect 601033 0 0 0 0 0 10000 0 10000 0 195380 195380 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 205380 195380 0 0 Miscellaneous 25582 25582 0 0 25582 25582 0 0 280237 133681 1527266 1773315 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35904 111549 1843407 2018545 14355 9695 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2008850 14355 2018545 X 1223166 0 505886 0 100000 0 1829052 0 1843407 2018545 X 0 1 1 X 0 X X X 0 0 0 Wake Forest University Health Sciences 223849199 2 - School 1 1 1 0 North Carolina Baptist Hospital 560552787 3 - Hospital 1 1 1 0 Wake Forest University 560532138 2 - School 1 1 1 0 3 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 505886 5000 36622 0 4980 0 542528 667600 5000 -161714 0 5000 0 505886 0.36 0.54 0.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 F 0 F 0 Other Investments & Assets 74100 Insurance Policies 36856 Sales tax receivable 593 111549 0 Beneficial interest held on the behalf of Others 2008850 2008850 205380 25582 179798 0 0 0 -2008850 0 -2008850 -1829052 202118 0 0 0 0 0 202118 0 3262 3262 205380 25582 0 0 0 0 0 25582 0 0 0 25582 SchD_P05_S00_L04 Schedule D, Part V, Line 4 The fund was established with WFUBMC to be used for the most appropriate and beneficial needs in the healthcare field. SchD_P10_S00_L00 Schedule D, Part X Wake Forest University Baptist Medical Center (WFUBMC) is the coordinator for fundraising and all gifts are ultimately distributed to North Carolina Baptist Hospital and Wake Forest University Health Sciences; therefore, all gifts are recorded by WFUBMC as a liability. SchD_P12_S00_L04b Schedule D, Part XII, Line 4b Net investment income on temporarily-restricted net assets. X X X X X 0 0 0 0 0 0 0 0 0 John D McConnell MD 0 831288 0 266667 0 115661 0 441589 0 26475 0 1681680 0 0 J McLain Wallace Jr 0 228397 0 24214 0 8325 0 9175 0 16153 0 286264 0 0 Edward G Chadwick 0 294218 0 350000 0 46063 0 16476 0 27525 0 734282 0 0 J Reid Morgan 0 281576 0 0 0 11991 0 24500 0 24246 0 342313 0 0 Douglas Nelson 0 139037 0 15625 0 292 0 10480 0 17217 0 182651 0 0 Thomas E Sibert MD 0 266654 0 550000 0 112390 0 16483 0 28661 0 974188 0 0 Nathan O Hatch PhD 0 524277 0 34065 0 36160 0 209917 0 61338 0 865757 0 0 SchJ_P01_S00_L00 Schedule J, Part I During the tax period, the filing organization and its affiliates, North Carolina Baptist Hospital ("NCBH") and Wake Forest University Health Sciences ("WFUHS") were operating under an agreement that provided for a single executive group to provide for the management of both the filing organization and WFUHS, which entities together have combined operating revenues for the tax period of $1,814 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; Thomas E. Sibert, M.D., and Edward G. Chadwick, medical center CFO), 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 its affiliate, WFUHS, 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. The compensation for executives John D. McConnell, M.D., medical center CEO, Thomas E. Sibert, M.D., and Edward G. Chadwick, medical center CFO, is paid to them by a related organization, WFUHS, but 50% of that compensation is reimbursed by North Carolina Baptist Hospital. SchJ_P01_S00_L03 Schedule J, Part I, Line 3 See Schedule O information for Form 990, Part VI, Section B, Line 15 relating to the Process for Determining Compensation of the organization's CEO/Executive Director. SchJ_P02_S00_L00 Schedule J, Part II The following individuals were compensated by Wake Forest University Health Sciences, a related organization, for services performed for WFUBMC, WFUHS, and NCBH: John D. McConnell, M.D., Thomas E. Sibert, M.D., Edward G. Chadwick, and Douglas Nelson. The following individual was compensated by North Carolina Baptist Hospital, a related organization, for services performed for WFUBMC and NCBH: J. McLain Wallace, Jr. The following individuals were compensated by Wake Forest University, a related organization, for services performed for WFUBMC, WFUHS, and WFU: Nathan O. Hatch, Ph.D. and J. Reid Morgan. F990_P06_S0B_L11 Form 990, Part VI, Section B, Line 11 WFUBMC Financial Services will distribute to the Corporation's Board of Trustees copies of the Form 990 prior to their scheduled meeting. The Board has asked the Audit and Compliance committees of WFUHS and NCBH to review the detail of the Form 990 with the Corporation's Chief Financial Officer or a delegate from Financial Services. Members of the Corporation's management team will answer questions and address any concerns the Committee Members or other Trustees raise. The minutes of the joint Audit and Compliance Committee Meeting will note that the Committee Members and other Trustees and Directors have reviewed and discussed the Form 990 with the Corporation's management. If modifications are required, Financial Services will redistribute the revised Form 990 to all Trustees and Directors, along with a report noting the modifications. F990_P06_S0B_L12c Form 990, Part VI, Section B, Line 12c On an annual basis, all Trustees and Officers that have significant influence over the operations of the organization are asked to complete a questionnaire noting the following: acknowledge receipt of the Conflict of Interest Policy, acknowledge that they have read and understand the policy, acknowledge that they agree to comply with the policy, and describe any potential Conflicts of Interest they may have given their role within the organization. Upon completion of the Conflict of Interest survey, the Internal Audit and Compliance Offices reviews the completed questionnaires. Any significant conflicts identified are communicated to the organization's President and presented to the organization's Board Audit and Compliance Committees. The Audit and Compliance Committee Chairs then presents the Annual Report to the full Boards. Any material Conflicts of Interest are monitored by the Boards and organizational level by the Audit and Compliance Committees and the Internal Audit and Compliance offices, and conflicted individuals are asked to conduct business, as it relates to the identified conflict, in accordance with the Conflict of Interest Policy. Opportunities exist for Trustees, Directors, and Officers that have significant influence over operations of the organization to report conflicts to the Internal Audit and Compliance Offices should a Conflict of Interest arise between annual questionnaires. F990_P06_S0B_L15 Form 990, Part VI, Section B, Line 15 It is the policy of WFUBMC to establish Executive Compensation at a level appropriate to attract and retain Executive level personnel in a manner that complies with IRS Guidelines for approval of Executive Management compensation, incorporating practices currently in place from the Compensation Committees responsibilities, Executive compensation philosophy, and the Management Incentive Compensation Plan. The review and approval of compensation will be performed by the Compensation Committees of WFUHS's Board of Directors and NCBH's Board of Trustees, via delegated authority of the Board of Directors and Trustees as follows: the primary purpose of the Compensation Committees is to oversee the Executive Compensation Program to insure that it is administered in a manner which is consistent with the compensation philosophy adopted by the Board of Directors and Trustees. The Compensation Committees shall provide systematic review and evaluation of the CEO's performance and shall oversee the Executive Compensation Program to insure it is administered in a manner that is consistent with any policies and plans adopted by the Board of Directors and Trustees and in compliance with any applicable legal requirements. The Compensation Committees shall initiate and review the Executive Succession Planning Policies and Procedures. The members of the Compensation Committees shall be the Chairs of the Corporations, who shall be the Chairs of the Compensation Committees, the Vice Chairs of the Corporations, the Chairs of the Finance Committees, and the Chairs of the Governance and Nominating Committees and any other Directors and/or Trustees deemed necessary to serve the Committee purpose and elected by the Board of Directors and Trustees. F990_P06_S0C_L19 Form 990, Part VI, Section C, Line 19 Photocopies of the organization's governing documents, Conflict of Interest Policy, and financial statements are available upon request at the organization's Administrative Office. F990_P10_S00_L25 Form 990, Part X, Line 25 Wake Forest University Baptist Medical Center (WFUBMC) is the coordinator for fundraising and all gifts are ultimately distributed to North Carolina Baptist Hospital and Wake Forest University Health Sciences; therefore, all gifts are recorded by WFUBMC as a liability. North Carolina Baptist Hospital Medical Center Blvd Winston Salem NC 27157 560552787 Healthcare NC 501(c)(3) Line 3 N/A Wake Forest University Health Sciences Medical Center Blvd Winston Salem NC 27157 223849199 Healthcare Education and Research NC 501(c)(3) Line 2 N/A Wake Forest University PO Box 7201 Winston Salem NC 27109 560532138 University NC 501(c)(3) Line 2 N/A 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0