WAKEMED: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: WAKEMED (EIN 56-6017737)
Tax period: 2024-10-01 to 2025-09-30
Filed: 2026-08-17
IRS object ID: 202642299349302219
Schema version: 2024v5.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-08-17T12:11:41+00:00	ReturnTs
Tax Period End	2025-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1020 SPRING STREET NW	AddressLine1Txt
City	ATLANTA	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	30309	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	566017737	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WAKEMED	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	WAKE	BusinessNameControlTxt
Phone	9193500522	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3000 NEW BERN AVE	AddressLine1Txt
City	RALEIGH	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	276101215	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	STEPHANIE T SESSOMS	PersonNm
Person Title	EXECUTIVE VICE PRESIDENT, CFO	PersonTitleTxt
Phone	9193500522	PhoneNum
Signature	2026-08-17	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	AERRIAL M ORR	PreparerPersonNm
PTIN	P01598400	PTIN
Phone	4048748300	PhoneNum
Preparation	2026-08-17	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	SEE SCHEDULE O	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DONALD GINTZIG	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3000 NEW BERN AVE	AddressLine1Txt
City	RALEIGH	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	276101215	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$2,885,637,652	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.WAKEMED.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1965	FormationYr
Legal Domicile State	NC	LegalDomicileStateCd
Activity Or Mission	THE MISSION OF WAKEMED IS TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY WITH OUTSTANDING AND COMPASSIONATE CARE TO ALL.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	14802	TotalEmployeeCnt
Total Volunteers	1335	TotalVolunteersCnt
Total Gross UBI	$11,227,204	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$4,849,160	PYContributionsGrantsAmt
CY Contributions Grants	$8,206,238	CYContributionsGrantsAmt
PY Program Service Revenue	$2,268,304,727	PYProgramServiceRevenueAmt
CY Program Service Revenue	$2,556,093,924	CYProgramServiceRevenueAmt
PY Investment Income	$23,071,238	PYInvestmentIncomeAmt
CY Investment Income	$33,727,561	CYInvestmentIncomeAmt
PY Other Revenue	$2,134,877	PYOtherRevenueAmt
CY Other Revenue	$1,014,355	CYOtherRevenueAmt
PY Total Revenue	$2,298,360,002	PYTotalRevenueAmt
CY Total Revenue	$2,599,042,078	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,249,457	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,446,070	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$1,257,451,327	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$1,384,023,708	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,027,076,443	PYOtherExpensesAmt
CY Other Expenses	$1,098,180,968	CYOtherExpensesAmt
PY Total Expenses	$2,286,777,227	PYTotalExpensesAmt
CY Total Expenses	$2,484,650,746	CYTotalExpensesAmt
PY Revenues Less Expenses	$11,582,775	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$114,391,332	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,971,085,645	TotalAssetsBOYAmt
Total Assets EOY	$2,162,209,554	TotalAssetsEOYAmt
Total Liabilities BOY	$1,085,230,262	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,116,815,419	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$885,855,383	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,045,394,135	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE MISSION OF WAKEMED IS TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY WITH OUTSTANDING AND COMPASSIONATE CARE TO ALL.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$677,013,734	ExpenseAmt
Revenue	$702,272,261	RevenueAmt
Desc	SURGICAL SERVICES WAKEMED PROVIDES SURGICAL SERVICES IN FIVE LOCATIONS THROUGHOUT THE COUNTY: WAKEMED RALEIGH CAMPUS, WAKEMED CARY HOSPITAL, WAKEMED NORTH, HOLLY SPRINGS SURGICAL VENTURES AND CAPITAL CITY SURGERY CENTER OF WHICH WAKEMED IS A MAJORITY INVESTOR. BY DELIVERING SURGICAL SERVICES TO ALL WHO SEEK CARE REGARDLESS OF THEIR ABILITY TO PAY AND BY HAVING INPATIENT SERVICES IN THREE DISTINCT LOCATIONS THROUGHOUT THE COUNTY, WAKEMED HAS IMPROVED ACCESS TO THESE NEEDED SERVICES. WAKEMED'S WIDE RANGE OF SURGICAL SPECIALTIES INCLUDE BARIATRIC, CARDIOVASCULAR AND THORACIC, ENT, HEAD AND NECK, ADULT AND PEDIATRIC GASTROINTESTINAL, GENERAL, NEUROSURGERY, OBSTETRICS AND GYNECOLOGY, ORTHOPEDICS, PEDIATRIC, UROLOGY, AND VASCULAR. AS WAKE COUNTY'S ONLY STATE DESIGNATED LEVEL 1 TRAUMA CENTER, WAKEMED PROVIDES COMPREHENSIVE TRAUMA SURGERY FOR GENERAL, ORTHOPEDIC, NEUROSURGERY, AND VASCULAR TRAUMA PATIENTS. BECAUSE ACCESS TO SPECIALTY CARE CONTINUES TO BE A KEY HEALTH CONCERN FACING OUR COMMUNITY, WAKEMED HAS EXPANDED ITS NETWORK OF SPECIALISTS THROUGH WAKEMED PHYSICIANS WHO PROVIDE SUBSPECIALTY CARE TO THE UNINSURED AND UNDERINSURED IN OUR COMMUNITY. OUR STAFF WORKS WITH THE PATIENT TO DISCOUNT THEIR FEES BASED ON INDIVIDUAL INCOME AND NEED. MANY PHYSICIANS ON THE MEDICAL STAFF CONTINUE THIS PRACTICE OF PROVIDING QUALITY CARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. IN FISCAL YEAR 2025, OUR SURGICAL PATIENTS INCLUDED 31.4% WHO WERE INSURED UNDER MEDICARE, 14.6% WHO WERE INSURED UNDER MEDICAID, AND 3.3% WHO WERE UNINSURED (OR "SELF-PAY OR CHARITY CARE").	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$308,581,425	ExpenseAmt
Revenue	$293,178,601	RevenueAmt
Desc	HEART CENTER WAKEMED'S HEART AND VASCULAR PROGRAM IS ONE OF THE LARGEST AND MOST COMPREHENSIVE CARDIOVASCULAR PROGRAMS IN THE STATE OF NORTH CAROLINA. THIS YEAR, 21,030 CARDIOVASCULAR PROCEDURES WERE PERFORMED INCLUDING SURGERY, DIAGNOSTIC AND INTERVENTIONAL CARDIAC CATHETERIZATIONS AND ELECTROPHYSIOLOGY STUDIES. THOUSANDS MORE PATIENTS WERE TREATED MEDICALLY AS IN AND OUTPATIENTS THROUGHOUT THE SYSTEM. IN FISCAL YEAR 2025, OUR CARDIAC PATIENTS INCLUDED 61.4% WHO WERE INSURED UNDER MEDICARE, 8.0% WHO WERE INSURED UNDER MEDICAID, AND 2.2% WHO WERE UNINSURED (OR "SELF-PAY OR CHARITY CARE"). WAKEMED HEALTH & HOSPITALS HAS CONSISTENTLY BEEN NATIONALLY RECOGNIZED FOR EXCELLENCE IN BOTH STROKE AND HEART CARE. WAKEMED RALEIGH CAMPUS AND WAKEMED CARY HOSPITAL RECEIVED RECOGNITION FROM THE AMERICAN HEART ASSOCIATION AND THE AMERICAN STROKE ASSOCIATION THROUGH THEIR "GET WITH THE GUIDELINES (GWTG)" AWARDS, EACH EARNING GOLD PLUS ACHIEVEMENT AWARDS FOR BOTH STROKE CARE AND FOR HEART FAILURE CARE. THESE RECOGNITIONS SIGNIFY THAT WAKEMED HAS REACHED AN AGGRESSIVE GOAL OF TREATING BOTH STROKE AND HEART FAILURE PATIENTS ACCORDING TO THE GUIDELINES OF CARE RECOMMENDED BY THE AMERICAN STROKE ASSOCIATION, AMERICAN HEART ASSOCIATION, AND AMERICAN COLLEGE OF CARDIOLOGY. BOTH WAKEMED CARY HOSPITAL AND WAKEMED RALEIGH CAMPUS RECEIVED CHEST PAIN CENTER ACCREDITATION BY THE SOCIETY OF CARDIOVASCULAR PATIENT CARE, AND BOTH RECEIVED THE JOINT COMMISSION ADVANCED CERTIFICATION FOR PRIMARY STROKE CENTER. IN ADDITION, WAKEMED RALEIGH CAMPUS RECEIVED A THREE STAR RATING FROM THE SOCIETY OF THORACIC SURGEONS, IS RATED A TOP 50 CARDIOVASCULAR HOSPITAL BY IBM WATSON HEALTH, AND RECEIVED THE 2021 CIGNA CENTER OF EXCELLENCE DESIGNATION FOR HEART SURGERY & CARDIAC CATHETERIZATION AND ANGIOPLASTY. WAKEMED IS THE FIRST US HEALTH CARE SYSTEM TO IMPLEMENT ENHANCED RECOVERY AFTER CARDIAC SURGERY, WHICH CAUSE IT TO BE THE FIRST HOSPITAL TO BE NAMED A CENTER OF EXCELLENCE BY THE ERAS SOCIETY. A KEY SUPPORT SERVICE FOR OUR COMMUNITY, WAKEMED MOBILE CRITICAL CARE SERVICES IS A COMPREHENSIVE MEDICAL TRANSPORT PROGRAM THAT IMPROVES ACCESS TO ACUTE CARE AND FACILITATES TRANSPORT INTO, OUT OF, AND ACROSS THE HEALTH CARE SYSTEM. WAKEMED MOBILE CRITICAL CARE SERVICES TRANSPORTS PATIENTS THROUGHOUT THE REGION AND STATE. IN FY2025, THE TEAM TRANSPORTED 23,103 PATIENTS. WAKEMED'S HEART CENTER HAS MADE SIGNIFICANT STRIDES IN PROGRAMS AND SERVICES AIMING TO REDUCE HEART DISEASE AND DIABETES, IMPROVE STROKE OUTCOMES AND IMPROVE PATIENTS' UNDERSTANDING OF DISEASE MANAGEMENT. WE KNOW THAT TEACHING PATIENTS ABOUT THEIR RISK FACTORS FOR HEART DISEASE AND ENCOURAGING HEALTHY BEHAVIORS THROUGH LIFESTYLE CHANGES BUILDS A FOUNDATION FOR A HEALTHIER POPULATION. THUS, THE WAKEMED HEART CENTER PROVIDES A COMPREHENSIVE CONTINUUM OF CARE FOR THE CARDIAC PATIENT FROM OUTREACH EDUCATION AND PREVENTION TO DIAGNOSIS, INTERVENTION, SURGERY, CARDIAC REHABILITATION AND ONGOING DISEASE MANAGEMENT FOR HEART FAILURE DIABETES. FREE EDUCATION PROGRAMS ARE OFFERED REGULARLY FOR OUR PATIENTS, THEIR FAMILY MEMBERS AND THE COMMUNITY TO COMPLEMENT OUR COMPREHENSIVE CARE SERVICES. BECAUSE THE FASTEST INTERVENTION PROVIDES THE BEST OUTCOMES, ALL OF WAKEMED'S EMERGENCY DEPARTMENTS ARE CERTIFIED CHEST PAIN CENTERS. WAKEMED RALEIGH CAMPUS AND CARY HOSPITAL ARE DESIGNATED PRIMARY STROKE CENTERS. ADDITIONALLY, WAKEMED'S HEART CENTER PROVIDES FREE HEALTH SCREENINGS THROUGHOUT THE COMMUNITY INCLUDING CHOLESTEROL SCREENINGS, BLOOD PRESSURE CHECKS, VASCULAR SCREENINGS, AND STROKE ASSESSMENTS. THESE SCREENINGS ARE DESIGNED TO BE A SECONDARY PREVENTION ACTIVITY TO DETECT EARLY ONSET OF DISEASE OR ILLNESS. WAKEMED HEART & VASCULAR PROVIDES NUMEROUS OPPORTUNITIES FOR HEART HEALTH EDUCATION AND CPR TRAINING IN THE COMMUITY. ONE OF OUR KEY OUTREACH PROGRAMS IS CPR ANYTIME. THIS PROGRAM IS PROVIDED AT MULTIPLE LOCATIONS IN WAKE COUNTY THROUGHOUT THE YEAR AND THE CPR ANYTIME KITS ARE PROVIDED AT NO COST TO PARTICIPANTS. WAKEMED DOES MAKE THE OPPORTUNITY FOR DONATIONS AVAILABLE TO HELP UNDERWRITE SOME OF THE COST AND ALLOW THE PROGRAM TO CONTINUE TO GROW. DONATIONS COVER LESS THAN 5% OF THE OVERALL COST.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$179,342,450	ExpenseAmt
Revenue	$350,387,693	RevenueAmt
Desc	EMERGENCY SERVICES A CRITICAL ISSUE FACING WAKE COUNTY RESIDENTS CONTINUES TO BE ACCESS TO AFFORDABLE HEALTH CARE. TO ADDRESS THIS CHALLENGE, WAKEMED HAS STRATEGICALLY PLACED SIX FULL-SERVICE, EMERGENCY DEPARTMENTS IN KEY GEOGRAPHIC AREAS THROUGHOUT THE COUNTY IN RALEIGH, CARY, NORTH RALEIGH, APEX, BRIER CREEK, AND GARNER. LOCATED IN RALEIGH, WAKEMED ALSO OPERATES THE ONLY CHILDREN'S EMERGENCY DEPARTMENT IN THE COUNTY. BECAUSE PHYSICIAN AVAILABILITY IS KEY TO OPENING ACCESS TO CARE, WAKEMED'S PHYSICIAN PRACTICES, HEALTHPLEXES, AND OUTPATIENT SERVICES ARE CONVENIENTLY POSITIONED THROUGH THE AREA. WAKEMED IS AMONG THE TOP THREE VOLUME PROVIDERS OF EMERGENCY CARE IN NORTH CAROLINA. WAKEMED'S RALEIGH CAMPUS IS ALSO HOME TO WAKE COUNTY'S ONLY LEVEL 1 TRAUMA CENTER, THE HIGHEST DESIGNATION AWARDED TO TRAUMA CENTERS IN NORTH CAROLINA. WAKEMED CARY HOSPITAL EMERGENCY DEPARTMENT IS A LEVEL III TRAUMA CENTER. OUR TRAUMA SERVICES INCLUDE A COMPREHENSIVE RESEARCH PROGRAM, INJURY PREVENTION PROGRAMS, FELLOWSHIP TRAINED TRAUMA SURGEONS ON-SITE 24/7, A MULTI-DISCIPLINARY TEAM OF PROFESSIONALS, THE CLINICAL SUPPORT OF SIX ADULT INTENSIVE CARE UNITS AND A PEDIATRIC INTENSIVE CARE UNIT, AS WELL AS A COMPREHENSIVE ACUTE, INPATIENT AND OUTPATIENT PHYSICAL REHABILITATION PROGRAM. WAKEMED'S EMERGENCY AND TRAUMA SERVICES TREAT ALL PATIENTS WHO PRESENT SEEKING MEDICAL CARE, REGARDLESS OF THEIR ABILITY TO PAY. IN FY 25, 16.3% OF OUR TOTAL EMERGENCY PATIENTS WERE INSURED UNDER MEDICARE; 31.7% WERE INSURED UNDER MEDICAID; AND 10.6% WERE UNINSURED SELF-PAY/CHARITY CARE. OVER 40% OF ALL PATIENTS SEEN IN OUR EMERGENCY DEPARTMENTS ARE EITHER MEDICAID OR UNINSURED PATIENT, RESULTING IN WAKEMED PROVIDING CARE OF AN ESTIMATED 71.1% OF WAKE COUNTY'S UNINSURED AND MEDICAID PATIENTS. ALL STAND-ALONE LOCATIONS SERVE AREAS WHICH ARE OTHERWISE UNDERSERVED.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$1,050,768,482	ExpenseAmt
Grant	$2,446,070	GrantAmt
Revenue	$1,210,037,532	RevenueAmt
Desc	OTHER PROGRAM SERVICES INCLUDE HOSPITAL IN AND OUTPATIENT ANCILLARY CARE SERVICES IN OTHER SPECIALTY AREAS NOT LISTED ABOVE.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$1,050,768,482	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$2,446,070	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$1,210,037,532	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$2,215,706,091	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	480	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	14802	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Policies Reference Chapters	false	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NC	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	STEPHANIE T SESSOMS EXECUTIVE VICE PRESIDENT CFO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9193500522	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3000 NEW BERN AVENUE	AddressLine1Txt
City	RALEIGH	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27610	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (46 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CHRISTINA ALVARADO SHANAHAN
BOARD MEMBER	1.8	1.8	Yes (X)	$0	$0	$0
DAN BLUE III
BOARD MEMBER	2.1	2.1	Yes (X)	$0	$0	$0
FRED ANDERSON
BOARD MEMBER	1.4	1.4	Yes (X)	$0	$0	$0
J BLOUNT WILLIAMS
BOARD MEMBER	1.6	1.6	Yes (X)	$0	$0	$0
JAMES ANTHONY PENRY
BOARD MEMBER	1.4	1.4	Yes (X)	$0	$0	$0
KEEMIA SHAW
BOARD MEMBER	1.2	1.2	Yes (X)	$0	$0	$0
LAURA K HELTON MD
BOARD MEMBER	1.8	1.8	Yes (X)	$0	$0	$0
MARGARET BRATTON
BOARD MEMBER, VICE CHAIR	1.8	1.8	Yes (X)	$0	$0	$0
MARY NASH RUSHER
BOARD MEMBER, SECRETARY	2.1	2.1	Yes (X)	$0	$0	$0
MICHAEL PAINTER
BOARD MEMBER	1.8	1.8	Yes (X)	$0	$0	$0
PETER M SCOTT III
BOARD MEMBER	1.8	1.8	Yes (X)	$0	$0	$0
ROBERT C RICE JR
BOARD MEMBER (UNTIL 5/25/2025)	2.1	2.1	Yes (X)	$0	$0	$0
SATISH GARIMELLA
BOARD MEMBER	1.6	1.6	Yes (X)	$0	$0	$0
SONIA BARNES
BOARD MEMBER	2.1	2.1	Yes (X)	$0	$0	$0
THAD L MCDONALD MD
BOARD MEMBER, CHAIR	3.2	3.2	Yes (X)	$0	$0	$0
DAVID NUSSMAN
VP, COMPLIANCE & PRIVACY OFFICER INTERIM	55.0	0		$158,767	$0	$42,247	Yes (X)
DIONNE WHITAKER
OFFICER-SECRETARY	50.0	0		$89,612	$0	$8,027	Yes (X)
DONALD GINTZIG
PRESIDENT & CEO	80.0	0		$2,193,903	$0	$24,609	Yes (X)
STEPHANIE SESSOMS
EVP & CHIEF FINANCIAL OFFICER	65.0	0		$423,968	$0	$43,644	Yes (X)
THOMAS GOUGH
EVP & CHIEF OPERATING OFFICER	70.0	0		$682,875	$0	$21,132	Yes (X)
BRIAN LYNDE
VP, CHIEF LEGAL OFFICER	55.0	0		$364,063	$0	$38,531		Yes (X)
CAROLYN KNAUP
SVP, STRATEGIC VENTURES & AMBULATORY OPERATIONS	55.0	0		$416,796	$0	$45,592		Yes (X)
CHARLES HARR MD
CHIEF MEDICAL OFFICER, RALEIGH	50.0	0		$469,703	$0	$24,310		Yes (X)
CHRISTINE CRAIG
VP, GOVERNMENTAL AFFAIRS	60.0	0		$323,433	$0	$53,241		Yes (X)
CYNTHIA ALNESS-BOILY
SVP, OPERATIONS & CNO	50.0	0		$444,877	$0	$45,559		Yes (X)
DEBRA LAUGHERY
VP, MARKETING & COMMUNICATIONS	60.0	0		$364,093	$0	$35,331		Yes (X)
DOUG TROCINSKI MD
CHIEF MEDICAL OFFICER, CARY ADMINISTRATION	60.0	0		$315,580	$0	$10,687		Yes (X)
GAYLA HARVEY
VP, PAYOR STRATEGY & MANAGED CARE CONTRACTING	48.0	0		$329,968	$0	$31,930		Yes (X)
JERONICA GOODWIN
SVP, HUMAN RESOURCES & CHIEF PEOPLE OFFICER	65.0	0		$381,699	$0	$31,637		Yes (X)
JOHN PERRY MD
VP, MEDICAL INFORMATION	60.0	0		$402,488	$0	$56,041		Yes (X)
KAREN BASH MD
CHIEF MEDICAL OFFICER, NORTH	55.0	0		$390,579	$0	$33,482		Yes (X)
KAREN CHILTON MD
SVP & CHIEF QUALITY OFFICER	50.0	0.0		$424,297	$0	$20,700		Yes (X)
MICAH KREMPASKY MD
CHIEF MEDICAL OFFICER, MENTAL HEALTH & WELL-BEING	60.0	0		$364,177	$0	$52,670		Yes (X)
PETER MARKS
VP & CHIEF INFORMATION OFFICER	55.0	0		$436,680	$0	$21,536		Yes (X)
REBECCA ANDREWS
SVP & ADMINISTRATOR RALEIGH	70.0	0		$527,134	$0	$34,899		Yes (X)
RICK SHRUM
VP & CHIEF STRATEGY OFFICER	65.0	0		$397,363	$0	$48,435		Yes (X)
SETH BRODY MD
EVP, CHIEF PHYSICIAN EXECUTIVE	60.0	0		$682,594	$0	$20,700		Yes (X)
THOMAS CAVENDER
VP, FACILITIES & CONSTRUCTION	60.0	0		$368,040	$0	$32,091		Yes (X)
THOMAS HUGHES
SVP & ADMINISTRATOR CARY	57.0	0		$340,324	$0	$25,640		Yes (X)
VALERIE BARLOW
SVP & ADMINISTRATOR NORTH	60.0	0		$366,514	$0	$53,746		Yes (X)
ASHISH PATEL MD
PHYSICIAN	60.0	0		$1,631,093	$0	$55,720			Yes (X)
BRYON BOULTON MD
PHYSICIAN	62.0	0		$1,473,309	$0	$52,991			Yes (X)
JUDSON WILLIAMS MD
PHYSICIAN	82.0	0		$1,362,737	$0	$52,991			Yes (X)
KEVIN MANOCHA MD
PHYSICIAN	60.0	0		$1,324,127	$0	$25,781			Yes (X)
TIMOTHY HARRIS MD
PHYSICIAN	64.0	0		$1,291,557	$0	$52,878			Yes (X)
ROYLYN JOHNSON
FORMER SECRETARY (UNTIL 2/07/2023)		0		$128,548	$0	$8,611				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$18,870,898	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,105,389	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	3051	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
MORRISON HEALTHCARE
PO BOX 102289	ATLANTA	GA	303682289	FOOD & NUTRITION SERVICES	$18,259,942
EAST CAROLINA ANESTHESIA ASSOCIATES PLLC
2430 EMERALD PLACE	GREENVILLE	NC	27834	ANESTHESIA SERVICES	$6,687,977
UNC SCHOOL OF MEDICINE
145 MEDICAL CENTER	CHAPEL HILL	NC	275999515	RESIDENT FEES	$4,425,729	DR STE 400 CB 9515
FRESENIUS MEDICAL CARE - BMA WAKE - GREATER WAKE AREA ACUTES
16343 COLLECTION CENTER DRIVE	CHICAGO	IL	60693	HEMODIALYSIS TREATMENTS	$3,681,416
LABORATORY CORPORATION OF AMERICA
PO BOX 12140	BURLINGTON	NC	272162140	DIAGNOSTIC TESTING SERVICES	$3,570,880

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	131	CntrctRcvdGreaterThan100KCnt
Related Organizations	$253,122	RelatedOrganizationsAmt
Government Grants	$7,300,114	GovernmentGrantsAmt
All Other Contributions	$653,002	AllOtherContributionsAmt
Total Contributions	$8,206,238	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PATIENT SERVICES	622110	$2,422,214,923	$2,422,214,923
NON-PATIENT SERVICES	621500	$9,175,792		$9,175,792
CAFETERIA	722210	$7,819,623			$7,819,623
PURCH DISCNTS/REBATES/VHA	900099	$7,263,922	$7,263,922
OTHER OPERATING REVENUE	900099	$97,941,415		$1,622,828	$96,318,587

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,678,249	TotalRevenueColumnAmt
Related Or Exempt Func Income	$10,975,520	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$702,729	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$2,556,093,924	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$19,156,100	TotalRevenueColumnAmt
Unrelated Business Revenue	-$274,145	UnrelatedBusinessRevenueAmt
Exclusion	$19,430,245	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,383,782	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$151,590	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,232,192	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,232,192	TotalRevenueColumnAmt
Exclusion	$1,232,192	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$294,311,182	SecuritiesAmt
Other	$6,704,263	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$286,143,307	SecuritiesAmt
Other	$300,677	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$8,167,875	SecuritiesAmt
Other	$6,403,586	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,571,461	TotalRevenueColumnAmt
Exclusion	$14,571,461	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	GAIN FROM JOINT VENTURES	Desc
Business	900099	BusinessCd
Total Revenue Column	-$217,837	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$217,837	RelatedOrExemptFuncIncomeAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	-$217,837	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,599,042,078	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,440,236,528	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$11,227,204	UnrelatedBusinessRevenueAmt
Exclusion	$139,372,108	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$2,302,157	TotalAmt
Program Services	$2,302,157	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$143,913	TotalAmt
Program Services	$143,913	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$12,663,244	TotalAmt
Program Services	$10,130,595	ProgramServicesAmt
Management And General	$2,532,649	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$1,139,361,761	TotalAmt
Program Services	$968,457,497	ProgramServicesAmt
Management And General	$170,904,264	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$48,133,795	TotalAmt
Program Services	$40,913,726	ProgramServicesAmt
Management And General	$7,220,069	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$108,259,180	TotalAmt
Program Services	$92,020,303	ProgramServicesAmt
Management And General	$16,238,877	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$75,605,728	TotalAmt
Program Services	$64,264,869	ProgramServicesAmt
Management And General	$11,340,859	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,902,139	TotalAmt
Program Services	$1,788,011	ProgramServicesAmt
Management And General	$114,128	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$647,949	TotalAmt
Program Services	$609,072	ProgramServicesAmt
Management And General	$38,877	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$461,074	TotalAmt
Program Services	$433,410	ProgramServicesAmt
Management And General	$27,664	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$400,830	TotalAmt
Program Services	$376,780	ProgramServicesAmt
Management And General	$24,050	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$152,910,452	TotalAmt
Program Services	$143,735,825	ProgramServicesAmt
Management And General	$9,174,627	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$6,832,686	TotalAmt
Program Services	$6,422,725	ProgramServicesAmt
Management And General	$409,961	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$64,323,756	TotalAmt
Program Services	$60,464,331	ProgramServicesAmt
Management And General	$3,859,425	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$17,385,760	TotalAmt
Program Services	$16,342,614	ProgramServicesAmt
Management And General	$1,043,146	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$69,268,139	TotalAmt
Program Services	$65,112,051	ProgramServicesAmt
Management And General	$4,156,088	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,393,440	TotalAmt
Program Services	$1,309,834	ProgramServicesAmt
Management And General	$83,606	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,334,816	TotalAmt
Program Services	$1,254,727	ProgramServicesAmt
Management And General	$80,089	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$24,518,527	TotalAmt
Program Services	$24,518,527	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$61,667,261	TotalAmt
Program Services	$61,667,261	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$10,775,890	TotalAmt
Program Services	$10,129,337	ProgramServicesAmt
Management And General	$646,553	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$416,603,054	$391,606,871	$24,996,183
MEDICAID ASSESSMENTS	$155,141,673	$145,833,173	$9,308,500
REPAIRS & MAINTENANCE	$45,362,811	$42,641,042	$2,721,769
MINOR EQUIPMENT	$11,932,408	$11,216,464	$715,944

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$55,318,303	TotalAmt
Program Services	$52,010,976	ProgramServicesAmt
Management And General	$3,307,327	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,484,650,746	TotalAmt
Program Services	$2,215,706,091	ProgramServicesAmt
Management And General	$268,944,655	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$57,185	BOYAmt
EOY	$57,675	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$585,376,695	BOYAmt
EOY	$747,864,220	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$80,633	BOYAmt
EOY	$49,677	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$463,244,482	BOYAmt
EOY	$461,725,545	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$300,998	BOYAmt
EOY	$2,300,998	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$33,697,670	BOYAmt
EOY	$35,411,688	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$17,586,650	BOYAmt
EOY	$16,733,588	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,998,211,725	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,426,418,736	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$584,359,096	BOYAmt
EOY	$571,792,989	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$163,934,478	BOYAmt
EOY	$193,023,193	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$821,049	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$122,447,758	BOYAmt
EOY	$132,428,932	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,971,085,645	BOYAmt
EOY	$2,162,209,554	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$323,701,576	BOYAmt
EOY	$362,281,928	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$555,474	BOYAmt
EOY	$3,601,133	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$677,154,166	BOYAmt
EOY	$676,697,599	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$83,819,046	BOYAmt
EOY	$74,234,759	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,085,230,262	BOYAmt
EOY	$1,116,815,419	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$885,515,894	BOYAmt
EOY	$1,045,042,725	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$339,489	BOYAmt
EOY	$351,410	EOYAmt

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

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

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

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

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$885,855,383	BOYAmt
EOY	$1,045,394,135	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,971,085,645	BOYAmt
EOY	$2,162,209,554	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$114,391,332	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$57,064,354	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$11,916,934	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

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

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

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

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

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

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$0	SubstantialContributorsTotAmt
Public Support Total170	$0	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

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

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Total	$0	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$0	TotalSupportAmt
Gross Receipts Rltd Activities	$0	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0	PublicSupportCY170Pct
Public Support PY170	0.0	PublicSupportPY170Pct

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

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

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

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

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

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

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

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

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

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

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$0	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

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

Post1975 UBTI Post1975UBTIGrp

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

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

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

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0	PublicSupportCY509Pct
Public Support PY509	0.0	PublicSupportPY509Pct
Investment Income CY	0	InvestmentIncomeCYPct
Investment Income PY	0	InvestmentIncomePYPct
Private Foundation509	Yes (X)	PrivateFoundation509Ind

Distributable Amount DistributableAmountGrp

Field	Value	IRS element (for citing)
CY Adj Net Income Distributable	$0	CYAdjNetIncomeDistributableAmt
CY Pct85 Adjusted Net Income	$0	CYPct85AdjustedNetIncomeAmt
CY Total Min Ast Distributable	$0	CYTotalMinAstDistributableAmt
CY Greater Adjusted Minimum	$0	CYGreaterAdjustedMinimumAmt
CY Income Tax Imposed PY	$0	CYIncomeTaxImposedPYAmt
CY Distributable As Adjusted	$0	CYDistributableAsAdjustedAmt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$649,411	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$649,411	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	WAKEMED AND ITS OFFICE OF GOVERNMENT AFFAIRS WORK TO MAINTAIN AND STRENGTHEN EFFECTIVE RELATIONSHIPS WITH LEGISLATORS AND POLICY MAKERS AT THE STATE, LOCAL, AND NATIONAL LEVELS. THE OBJECTIVE IS TO ENSURE THAT WAKEMED'S POINT OF VIEW IS CONSISTENTLY AND CONTINUALLY HEARD SO THAT LEGISLATION, REGULATIONS, AND THE SETTING OF HEALTH POLICY SUPPORT THE ORGANIZATION'S ABILITY TO FULFILL ITS MISSION OF CARE FOR ALL, REGARDLESS OF THE ABILITY TO PAY. IN ADDITION, WAKEMED PAID ANNUAL DUES TO VARIOUS HOSPITAL ASSOCIATIONS. THESE HOSPITAL ASSOCIATIONS CONDUCT LOBBYING ACTIVITIES ON BEHALF OF ITS MEMBERS, AND AS SUCH, A PORTION OF THE HOSPITAL DUES ARE ALLOCATED TO LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$339,489	BeginningYearBalanceAmt
Investment Earnings Or Losses	$11,934	InvestmentEarningsOrLossesAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$13	AdministrativeExpensesAmt
End Year Balance	$351,410	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$330,648	BeginningYearBalanceAmt
Investment Earnings Or Losses	$10,379	InvestmentEarningsOrLossesAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$1,538	AdministrativeExpensesAmt
End Year Balance	$339,489	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$332,661	BeginningYearBalanceAmt
Investment Earnings Or Losses	$2,999	InvestmentEarningsOrLossesAmt
Administrative Expenses	$5,012	AdministrativeExpensesAmt
End Year Balance	$330,648	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$336,018	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,785	InvestmentEarningsOrLossesAmt
Administrative Expenses	$5,142	AdministrativeExpensesAmt
End Year Balance	$332,661	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$336,090	BeginningYearBalanceAmt
Investment Earnings Or Losses	$5,193	InvestmentEarningsOrLossesAmt
Administrative Expenses	$5,265	AdministrativeExpensesAmt
End Year Balance	$336,018	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.0	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,864,369	OtherCostOrOtherBasisAmt
Book Value	$3,864,369	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$791,675,376	OtherCostOrOtherBasisAmt
Depreciation	$477,008,854	DepreciationAmt
Book Value	$314,666,522	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$82,123,493	OtherCostOrOtherBasisAmt
Depreciation	$48,728,701	DepreciationAmt
Book Value	$33,394,792	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$985,557,548	OtherCostOrOtherBasisAmt
Depreciation	$813,004,646	DepreciationAmt
Book Value	$172,552,902	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$134,990,939	OtherCostOrOtherBasisAmt
Depreciation	$87,676,535	DepreciationAmt
Book Value	$47,314,404	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$571,792,989	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
OTHER EQUITY INVESTMENTS	$48,594,409
RESTRICTED FUNDS	$33,649,223
DESIGNATED FUNDS	$24,807,300
PREPAID PENSION	$22,007,336
NOTES RECEIVABLE - OTHER	$3,370,664
INTANGIBLE ASSETS

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$132,428,932	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (13 entries)

DescDesc	AmtAmt
FEDERAL INCOME TAXES
ACCRUED CLAIMS PAYABLE	$20,991,011
ST SUBSCRIPTION LIABILITY, INCL INTEREST	$16,142,438
FV INT RATE SWAP-DEFERRED	$14,167,304
CAPITALIZED LT LEASES	$11,089,531
PENSION DEFERRED INFLOW	$6,973,382
DEFERRED REFUND GAIN 2012A	$6,500,049
DUKE ENDOWMENT - BRIDGE TO HEALTH	$600,000
OTHER DEFERRED INFLOWS OF RESOURCES	$314,906
BCBS AHEC TALENT PIPELINE MANAGEMENT	$83,309
N3CN COLLABORATIVE CARE CAPACITY	$55,571
DEFERRED LANDLORD INCENTIVES & RENT	-$8,470
TOTAL DUE TO THIRD-PARTY PAYOR	-$2,674,272

Field	Value	IRS element (for citing)
Total Liability	$74,234,759	TotalLiabilityAmt
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$0	RevenueSubtotalAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$0	TotalRevenuePerForm990Amt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$0	ExpensesSubtotalAmt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$0	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D, PART V, LINE 4	FormAndLineReferenceDesc
Explanation	THE ALLEN TRUST ENDOWMENT FUNDS ARE USED TO PROVIDE POOR AND INDIGENT PATIENTS WITH NEEDED PRIVATE NURSING CARE. WAKEMED DEFINES 'POOR AND INDIGENT' AS THOSE WITH A FINANCIAL CLASS OF SELF-PAY OR MEDICAID. THE SITTER PROVIDING PRIVATE NURSING CARE MAY BE EITHER IN THE HOSPITAL OR IN A HOME SETTING.	ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICA AND THE CARIBBEAN	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	INVESTMENTS	TypeOfActivitiesConductedTxt
Specific Services Provided	INSURANCE PREMIUMS/EXPENSE	SpecificServicesProvidedTxt
Region Total Expenditures	$8,590,966	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$8,590,966	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$8,590,966	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE F, PART I, LINE 3 METHOD USED TO ACCOUNT FOR EXPENDITURES ON ORG'S FINANCIAL STATEMENTS	CENTRAL AMERICA AND THE CARIBBEAN-ACCRUAL
SCHEDULE F, PART V

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

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

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$101,753,098	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$101,753,098	NetCommunityBenefitExpnsAmt
Total Expense	0.04095	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$248,011,803	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$397,761,633	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,015	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,069	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$349,766,916	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$397,764,702	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$101,753,098	NetCommunityBenefitExpnsAmt
Total Expense	0.04095	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,603,356	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$250,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,353,356	NetCommunityBenefitExpnsAmt
Total Expense	0.00457	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,718,014	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,868,580	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,849,434	NetCommunityBenefitExpnsAmt
Total Expense	0.00396	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,733,225	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,733,225	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$33,054,595	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,118,580	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,936,015	NetCommunityBenefitExpnsAmt
Total Expense	0.00923	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$382,821,511	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$407,883,282	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$124,689,113	NetCommunityBenefitExpnsAmt
Total Expense	0.05018	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$116,880	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$116,880	NetCommunityBenefitExpnsAmt
Total Expense	0.00005	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$658,182	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$658,182	NetCommunityBenefitExpnsAmt
Total Expense	0.00026	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,817,966	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,817,966	NetCommunityBenefitExpnsAmt
Total Expense	0.00194	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$5,593,028	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,593,028	NetCommunityBenefitExpnsAmt
Total Expense	0.00225	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$25,663,120	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$588,678,139	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$830,736,816	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$242,058,677	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	CAPITAL CITY SURGERY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	SURGERY	PrimaryActivitiesTxt
Org Profit Or Ownership	0.51	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.4796	PhysiciansProfitOrOwnershipPct

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

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
WAKEMED RALEIGH CAMPUS
1	3000 NEW BERN AVENUE	RALEIGH	NC	27610	WWW.WAKEMED.ORG	H0199	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
WAKEMED CARY HOSPITAL
2	1900 KILDARE FARM ROAD	CARY	NC	27518	WWW.WAKEMED.ORG	H0276	Yes (X)	Yes (X)		Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	2	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	24	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://WWW.WAKEMED.ORG/ABOUT-US/COMMUNITY-BENEFIT	OwnWebsiteURLTxt
Other Website URL	SEE PART V, LINE 7D	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	25	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.wakemed.org/about-us/community-benefit	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.0	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, LINE 16J	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, LINE 16J	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, LINE 16J	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 3E	THE SIGNIFICANT HEALTH NEEDS OF WAKE COUNTY WERE IDENTIFIED IN THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE ASSESSMENT WAS LED BY LIVE WELL WAKE AND THE CHNA STEERING COMMITTEE, WHICH INCLUDED COMMUNITY MEMBERS AND LEADERS FROM LOCAL GOVERNMENT, BUSINESSES, AND NONPROFIT ORGANIZATIONS. LIVE WELL WAKE COLLABORATED WITH EIGHT OTHER ORGANIZATIONS, INCLUDING WAKEMED AND THE AREA'S TWO OTHER HEALTH SYSTEMS, WAKE COUNTY, NEIGHBORHEALTH, ADVANCE COMMUNITY HEALTH, RIGHTCARE, DELTA DENTAL, AND THE POE CENTER FOR HEALTH EDUCATION. THE CHNA PROCESS INVOLVED GATHERING COMMUNITY HEALTH DATA FROM BOTH PRIMARY AND SECONDARY SOURCES. PRIMARY DATA WERE COLLECTED DIRECTLY FROM THE COMMUNITY THROUGH METHODS SUCH AS THE COMMUNITY HEALTH OPINION SURVEY (CHOS), COMMUNITY CONVERSATIONS, AND THE PRIORITIZATION SURVEY. SECONDARY DATA CAME FROM EXISTING SOURCES THAT WERE NOT SPECIFICALLY COLLECTED FOR THE CHNA, INCLUDING GOVERNMENT AGENCIES, LARGE ORGANIZATIONS, AND ACADEMIC RESEARCH CENTERS. EXAMPLES INCLUDE THE U.S. CENSUS BUREAU AND THE STATE CENTER FOR HEALTH STATISTICS. BY INTEGRATING BOTH PRIMARY AND SECONDARY DATA, THIS CHNA OFFERS A COMPREHENSIVE VIEW OF THE COMMUNITY'S HEALTH STATUS, NEEDS, AND PRIORITIES. DATA FROM BOTH PRIMARY AND SECONDARY SOURCES WERE ANALYZED FOR THIS ASSESSMENT AND ORGANIZED INTO EIGHT DATA CATEGORIES: ACCESS TO CARE; COMMUNITY COHESION; DISEASE, ILLNESS, AND INJURY; ECONOMIC OPPORTUNITY; EDUCATION; HOUSING, NEIGHBORHOOD, AND PHYSICAL ENVIRONMENT; MENTAL HEALTH AND SUBSTANCE USE; AND REPRODUCTIVE AND CHILD HEALTH. THIS CHNA PROCESS USED THE COUNTY HEALTH RANKINGS MODEL, WHICH IS BASED ON A POPULATION HEALTH FRAMEWORK, AS A FOUNDATION FOR BRAINSTORMING AND ORGANIZING DATA. THE PRIORITIZATION PROCESS TOOK PLACE IN PERSON WITH THE STEERING COMMITTEE AND LIVE WELL WAKE ACTION COMMITTEE MEMBERS ON WEDNESDAY, MARCH 12TH AT WAKEMED. THE PRIORITIZATION PROCESS THEN USED THREE METHODS: COMMUNITY-WIDE PRIORITIZATION VOTING, A STEERING COMMITTEE DISCUSSION, AND A STEERING COMMITTEE ONLINE VOTING ACTIVITY USING SUPERSURVEY. ACROSS ALL PRIORITIZATION PROCESSES, AFFORDABLE HOUSING AND HOMELESSNESS, ACCESS TO HEALTHCARE, AND MENTAL HEALTH WERE RANKED AS THE TOP THREE PRIORITIES. THESE ARE CONSISTENT WITH THE THREE PRIORITIES SELECTED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. AFFORDABLE HOUSING AND HOMELESSNESS REMAIN A PRIORITY IN 2025. THE AVAILABILITY OF HIGH-QUALITY, AFFORDABLE HOUSING CAN DRASTICALLY IMPROVE HEALTH OUTCOMES, QUALITY OF LIFE, AND FINANCIAL WELL-BEING. HOWEVER, CHOS DATA SHOWED THAT OVER HALF OF RESPONDENTS BELIEVED WAKE COUNTY WAS DOING POORLY IN ADDRESSING HOUSING AND HOMELESSNESS, AND MOST RESPONDENTS DID NOT FEEL THEY COULD FIND AFFORDABLE HOUSING IN THEIR COMMUNITY. THE MEDIAN HOUSING VALUE FOR WAKE COUNTY IN 2022 WAS HIGHER THAN THAT OF MECKLENBURG COUNTY AND NORTH CAROLINA OVERALL. OVER THE LAST THREE YEARS, THE PERCENTAGE OF OWNERS AND RENTERS PAYING 35% OR MORE OF HOUSEHOLD INCOME TOWARD MONTHLY HOUSING COSTS HAS INCREASED. COMMUNITY CONVERSATIONS PARTICIPANTS ECHOED THESE FINDINGS, NOTING THAT HOUSING COSTS ARE INCREASING WHILE WAGES HAVE REMAINED STAGNANT. ACCESS TO HEALTHCARE ALSO REMAINS A PRIORITY IN 2025. ACCESS TO HEALTHCARE INCLUDES ALL ASPECTS THAT MIGHT INFLUENCE WHETHER SOMEONE IS ABLE TO SEEK QUALITY AND TIMELY HEALTHCARE IN THEIR COMMUNITY, INCLUDING AFFORDABILITY, INSURANCE COVERAGE, SPECIALTY SERVICES, ELDER CARE, AND PROVIDER CAPACITY. ALTHOUGH OVER HALF OF SURVEY RESPONDENTS AGREED THAT WAKE COUNTY WAS DOING WELL OR EXCELLENTLY IN ADDRESSING THIS PRIORITY AREA, THE STEERING COMMITTEE AND DATA INDICATE THAT SIGNIFICANT WORK REMAINS. IN TERMS OF PROVIDER AVAILABILITY, WAKE COUNTY HAD FEWER LICENSED MENTAL HEALTH FACILITIES AND ADDICTION AND SUBSTANCE USE PROVIDERS COMPARED TO MECKLENBURG COUNTY IN 2024, INDICATING POTENTIAL GAPS IN ACCESS TO SPECIALTY CARE. LIKE AFFORDABLE HOUSING AND HOMELESSNESS AND ACCESS TO HEALTHCARE, MENTAL HEALTH IS ONCE AGAIN A PRIORITY FOR WAKE COUNTY. MENTAL HEALTH IS A CRITICAL COMPONENT OF PROTECTING AND PROMOTING OVERALL HEALTH, AS PRIORITIZING MENTAL HEALTH HELPS PEOPLE COPE WITH STRESS, ENJOY A HIGHER QUALITY OF LIFE, AND MAINTAIN PRODUCTIVITY. THERE ARE SIGNIFICANT BARRIERS TO ACCESSING MENTAL HEALTH SUPPORT, INCLUDING COST, STIGMA, AND A LACK OF DIVERSE PROVIDERS. ONE-FIFTH OF CHOS RESPONDENTS REPORTED BARRIERS TO ACCESSING MENTAL HEALTHCARE, WITH LOWER-INCOME AND MINORITY RESPONDENTS MORE LIKELY TO REPORT SUCH BARRIERS. COMMUNITY CONVERSATIONS PARTICIPANTS FURTHER DESCRIBED BARRIERS, INCLUDING A LACK OF OR INEXPERIENCED STAFF, OUTDATED RESOURCE LISTS, SHORT-TERM CRISIS SERVICES THAT DO NOT ADDRESS CHRONIC MENTAL HEALTH ISSUES, AND HIGH OUT-OF-POCKET COSTS FOR THERAPY, ALL OF WHICH PREVENT WAKE COUNTY RESIDENTS FROM ACCESSING COMPREHENSIVE MENTAL HEALTHCARE.
SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY A, 1	FACILITY A, 1 - THE FOLLOWING RESPONSES APPLY TO ALL FACILITIES WITHIN THE GROUP, UNLESS OTHERWISE NOTED.. THE CHNA TEAM WORKED FROM MAY 2024 TO APRIL 2025 TO PLAN, GATHER, AND ANALYZE DATA; SET PRIORITIES; AND COMPLETE THIS REPORT. THE CHNA PROCESS FOLLOWED A 12-PHASE APPROACH RECOMMENDED BY THE NORTH CAROLINA DIVISION OF PUBLIC HEALTH AND WAS GUIDED BY THE COUNTY HEALTH RANKINGS MODEL (FIGURE 7). THIS MODEL HIGHLIGHTS HOW POLICIES AND PROGRAMS INFLUENCE VARIOUS HEALTH FACTORS THAT LEAD TO OVERALL HEALTH OUTCOMES. THE PROCESS INCLUDED REVIEWING EXISTING DATA FROM NATIONAL AND STATE SOURCES AND COLLECTING PRIMARY DATA THROUGH THE COMMUNITY HEALTH OPINION SURVEY (CHOS) AND COMMUNITY CONVERSATIONS. THE COMMUNITY HEALTH ASSESSMENT TEAM MADE A CONCERTED EFFORT TO ENGAGE SAFETY-NET HEALTHCARE PROVIDERS AND OTHER ORGANIZATIONS THAT SERVE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. PARTNERING WITH THESE LOCAL ORGANIZATIONS ALLOWED THE TEAM TO CONDUCT FOCUS GROUPS SPECIFICALLY TARGETING RESIDENTS OF SOUTHEAST RALEIGH, EASTERN WAKE COUNTY, INDIVIDUALS EXPERIENCING MENTAL HEALTH AND SUBSTANCE USE CHALLENGES, OLDER ADULTS, THE LATINX COMMUNITY, INDIVIDUALS EXPERIENCING HOMELESSNESS, AND TRANSIT RIDERS TO MORE FULLY REPRESENT THE NEEDS OF UNDERSERVED POPULATIONS. THE PRIORITIZATION PROCESS, WHICH CONCLUDED THE DATA COLLECTION PERIOD, PROVIDED THE ENTIRE WAKE COUNTY COMMUNITY WITH THE OPPORTUNITY TO IDENTIFY THE ISSUES THAT WOULD BE THE FOCUS OF CHNA ACTION PLANS FOR THE UPCOMING THREE YEARS. WAKEMED MANAGEMENT BELIEVES THAT THE CHNA ADEQUATELY INCORPORATES INPUT FROM MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. SEE PART V, SECTION B, LINE 6B NARRATIVE FOR LIST OF ORGANIZATIONS PROVIDING INPUT.
SCHEDULE H, PART V, SECTION B, LINE 6A FACILITY A, 1	FACILITY A, 1 - THE FOLLOWING RESPONSES APPLY TO ALL FACILITIES WITHIN THE GROUP, UNLESS OTHERWISE NOTED.. THE HOSPITAL FACILITIES PARTICIPATING IN THE CHNA WERE WAKEMED, UNC HEALTH AND DUKE HEALTH.
SCHEDULE H, PART V, SECTION B, LINE 6B FACILITY A, 1	FACILITY A, 1 - THE FOLLOWING RESPONSES APPLY TO ALL FACILITIES WITHIN THE GROUP, UNLESS OTHERWISE NOTED.. OTHER PARTICIPATING FACILITIES INCLUDED THE LEAD AGENCIES OF WAKE COUNTY, NEIGHBORHEALTH, ADVANCE COMMUNITY HEALTH, RIGHTCARE, DELTA DENTAL, AND THE POE CENTER FOR HEALTH EDUCATION. OTHER PARTICIPANTS ON THE STEERING COMMITTEE INCLUDED: * ABBY CARTER EMANUELSON, LLC * ADVANCE COMMUNITY HEALTH * ALLIANCE HEALTH * ALLIANCE MEDICAL MINISTRY * AMERICAN HEART ASSOCIATION * BEREAN COMMUNITY CENTER * CARE4CAROLINA * CARY CHAMBER OF COMMERCE * CENTER FOR VOLUNTEER CAREGIVING * CITY OF RALEIGH * DELTA DENTAL OF NORTH CAROLINA * DORCAS MINISTRIES * DUKE CANCER INSTITUTE * DUKE HEALTH * DUKE RALEIGH HOSPITAL * EL CENTRO HISPANO * GREATER RALEIGH CHAMBER OF COMMERCE * HEALING TRANSITIONS * INTERACT OF WAKE COUNTY * JEWISH FEDERATION OF GREATER RALEIGH * MEDIA INTEGRATIONS * MEXICAN CONSULATE OF RALEIGH * NAMI NC * NC CAMPO * NEIGHBORHEALTH CENTER * NURTURE MENTAL HEALTH * OAK CITY CARES * OASIS HEALTH AND WELLNESS INTERNATIONAL * PASSAGE HOME * PEOPLE'S RECOVERY INITIATIVE FOR SOLUTIONS AND MORE (PRISM) * POE CENTER FOR HEALTH EDUCATION * RALEIGH ALUMNAE CHAPTER: DELTA SIGMA THETA SORORITY * RIGHTCARE * SIEMENS * STATE OF NORTH CAROLINA * THE JOEL FUND * TOWN OF APEX * TOWN OF CARY * TOWN OF KNIGHTDALE * TOWN OF MORRISVILLE * TOWN OF ROLESVILLE * TOWN OF WAKE FOREST * TOWN OF WENDELL * TOWN OF ZEBULON * UCA WAVES * UNC HEALTH * URBAN MINISTRIES OF WAKE COUNTY * VETERANS BRIDGE HOME * WAKE COUNTY PUBLIC SCHOOL SYSTEM * WAKEMED * WAKE COUNTY ECONOMIC DEVELOPMENT * WAKE COUNTY GOVERNMENT * WAKE FOREST BUSINESS AND INDUSTRY PARTNERSHIPS (COMMUNICATIONS) * WAKE SMART START * WAKE SMILES * WELLCARE OF NORTH CAROLINA * WESTERN WAKE CRISIS MINISTRY * ZEBULON CHAMBER OF COMMERCE
SCHEDULE H, PART V, SECTION B, LINE 7 FACILITY A, 1	FACILITY A, 1 - THE FOLLOWING RESPONSES APPLY TO ALL FACILITIES WITHIN THE GROUP, UNLESS OTHERWISE NOTED.. AN EXECUTIVE SUMMARY AND THE FULL REPORT CAN BE FOUND AT: HTTPS://WWW.WAKE.GOV/DEPARTMENTS-GOVERNMENT/HEALTH-HUMAN-SERVICES/COMMUNITY-RESOURCES/POPULATION-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY A, 1	FACILITY A, 1 - THE FOLLOWING RESPONSES APPLY TO ALL FACILITIES WITHIN THE GROUP, UNLESS OTHERWISE NOTED.. ACROSS ALL PRIORITIZATION PROCESSES, AFFORDABLE HOUSING AND HOMELESSNESS, ACCESS TO HEALTHCARE, AND MENTAL HEALTH WERE RANKED AS THE TOP THREE PRIORITIES. THESE PRIORITIES WILL GUIDE THE DEVELOPMENT OF ACTION PLANS AND STRATEGIES. THE FINAL STEP IN THE CHNA PROCESS IS THE DEVELOPMENT OF COMMUNITY HEALTH IMPROVEMENT STRATEGIES AND ACTION PLANS. THIS PROCESS WILL BEGIN IN THE SUMMER OF 2025 AND CONTINUE THROUGH THE SPRING OF 2026. REPRESENTATIVES OF THE LIVE WELL WAKE COLLABORATIVE WILL INVITE COMMUNITY MEMBERS AND ORGANIZATIONS TO PARTICIPATE IN ACTION-PLANNING MEETINGS TO DISCUSS STRATEGIES FOR ADDRESSING THE THREE SELECTED PRIORITIES. ONCE COMMUNITY PARTNERS ARE ESTABLISHED, THEY WILL WORK WITH LIVE WELL WAKE TO IMPLEMENT QUANTIFIABLE STRATEGIES THAT ALLOW PROGRESS TO BE MEASURED. WAKEMED WILL IMPLEMENT QUANTIFIABLE STRATEGIES THAT ALLOW PROGRESS TO BE MEASURED. THE COMMUNITY HEALTH IMPROVEMENT PROCESS IS MOST SUCCESSFUL WHEN COMMUNITY REPRESENTATIVES COLLABORATE TO DEVELOP CROSS-SECTOR STRATEGIES WITH BROAD STAKEHOLDER BUY-IN. THIS WORK HAS BEEN DONE IN COLLABORATION WITH PRIORITY WORKING GROUPS FOR MENTAL HEALTH, AFFORDABLE HOUSING AND HOMELESSNESS AND ACCESS TO HEALTHCARE. EACH GROUP CONTRIBUTED TO THE COUNTY'S COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) DRAFTING STRATEGIES AND MEASURABLE GOALS BASED ON THE RESULTS BASED ACCOUNTABILITY MODEL (RBA). WORKGROUPS, INCLUDING LEADERS FROM WAKEMED ARE NOW WORKING TO ASSIST THE COUNTY IN IMPLEMENTING THE WORKGROUP PLANS OUTLINED IN THE CHIP. THE CHIP IS AVAILABLE ONLINE AT LIVE WELL WAKE. OTHER NEEDS IDENTIFIED BUT NOT SELECTED FOR IMPLEMENTATION INCLUDED ISSUES OF EDUCATION, ACCESS TO HEALTHY FOOD, EMPLOYMENT, TRANSPORTATION, COMMUNITY SAFETY, YOUTH SUPPORT, AGING SERVICES, SUBSTANCE ABUSE, DISCRIMINATION, CHRONIC DISEASE, DISABILITY, AND SOCIAL ISOLATION. THE STEERING COMMITTEE HELD A PRIORITIZATION MEETING WHERE SURVEY AND ASSESSMENT FINDINGS WERE REVIEWED AND DISCUSSED. THE RESULTS OF THAT MEETING YIELDED THE TOP NEEDS THAT WERE CONSIDERED THE THREE KEY ISSUES WHICH WOULD BE IMPLEMENTED.
SCHEDULE H, PART V, SECTION B, LINE 16 FACILITY A, 1	FACILITY A, 1 - THE FOLLOWING RESPONSES APPLY TO ALL FACILITIES WITHIN THE GROUP, UNLESS OTHERWISE NOTED.. SCHEDULE H, PART V, SECTION B, LINE 16A - FAP AVAILABLE WEBSITE: HTTPS://WWW.WAKEMED.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE SCHEDULE H, PART V, SECTION B, LINE 16B - FAP APPLICATION FORM WEBSITE: HTTPS://WWW.WAKEMED.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE SCHEDULE H, PART V, SECTION B, LINE 16C - PLAIN LANGUAGE FAP SUMMARY WEBSITE: HTTPS://WWW.WAKEMED.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE
SCHEDULE H, PART V, SECTION B, LINE 20 FACILITY A, 1	FACILITY A, 1 - THE FOLLOWING RESPONSES APPLY TO ALL FACILITIES WITHIN THE GROUP, UNLESS OTHERWISE NOTED.. WAKEMED ALSO NOTIFIED PATIENTS AT ADMISSION AND DISCHARGE OF SERVICES ABOUT THE FINANCIAL ASSISTANCE POLICY AND PROVIDED DOCUMENTATION AS NEEDED/REQUESTED.

Field	Value	IRS element (for citing)
Facility	14	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (15 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
WAKEMED MENTAL HEALTH & WELL-BEING HOSPITAL - WAKEBROOK
111 SUNNYBROOK ROAD	RALEIGH	NC	27610	INPATIENT BEHAVIORAL HEALTH
WAKEMED NORTH HOSPITAL
10000 FALLS OF THE NEUSE ROAD	RALEIGH	NC	27614	SURGERY, PREGNANCY, CHILDBIRTH, EMERG. DEPT., RADIOLOGY, LABORATORY, OP/AMB SURG CENTER
WAKEMED SPECIALISTS GROUP LLC
3000 NEW BERN AVENUE	RALEIGH	NC	27610	MEDICAL PRACTICES
WAKEMED GARNER HEALTHPLEX
400 US 70 EAST	GARNER	NC	27502	EMERG. DEPT., LABORATORY, RADIOLOGY, AND MEDICAL PRACTICES
WAKEMED BRIER CREEK HEALTHPLEX
8001 TW ALEXANDER DRIVE	RALEIGH	NC	27617	EMERG. DEPT., LABORATORY, RADIOLOGY, AND MEDICAL PRACTICES
WAKEMED APEX HEALTHPLEX
120 HEALTHPLEX WAY	APEX	NC	27502	EMERG. DEPT., LABORATORY, RADIOLOGY, AND MEDICAL PRACTICES
WAKEMED RALEIGH MEDICAL PARK
23 SUNNYBROOK ROAD	RALEIGH	NC	27610	LABORATORY, RADIOLOGY, REHAB THERAPY, ONCOLOGY, AND MEDICAL PRACTICES
WAKEMED REHAB HOSPITAL
3000 NEW BERN AVENUE	RALEIGH	NC	27610	PHYS MED/REHAB HOSP., PHYS SPEECH/OCC THERAPY
MEDICAL PARK OF CARY
210 ASHVILLE AVENUE	CARY	NC	27518	RADIOLOGY, PHARMACY, LABORATORY, WOUND CARE, AND MEDICAL PRACTICES
WAKE SPECIALTY PHYSICIANS LLC
3000 NEW BERN AVENUE	RALEIGH	NC	27610	MEDICAL PRACTICES
WAKEMED HOME HEALTH
3128 SMOKETREE COURT	RALEIGH	NC	27604	HOME HEALTH, HOME IV THERAPY PRIVATE DUTY NURSING
HEALTHPARK AT KILDAIRE
110 KILDAIRE PARK DRIVE	CARY	NC	27518	REHAB THERAPY, SLEEP LAB, AND MEDICAL PRACTICES
WAKEMED 10880 DURANT ROAD
10880 DURANT ROAD SUITE 302	RALEIGH	NC	27614	REHAB THERAPY AND MEDICAL PRACTICES
WAKEMED CLAYTON MEDICAL PARK
104 MEDSPRING DRIVE SUITE 200	CLAYTON	NC	27520	REHAB THERAPY
WENDELL HEALTHPLEX
2021 WENDELL VALLEY BLVD	WENDELL	NC	27591	EMERG. DEPT., LABORATORY, AND RADIOLOGY

Supplemental Information Detail SupplementalInformationDetail (23 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3B	CRITERIA FOR DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE IS AVAILABLE FOR THOSE AT THE 300% OF THE FPG. FURTHER, ALL PATIENTS WITHOUT INSURANCE QUALIFY FOR AN AUTOMATIC 62% DISCOUNT WITHOUT CONSIDERATION OF FPG.
SCHEDULE H, PART III, LINE 8 MEDICARE COSTING METHODOLOGY	THE MEDICARE ALLOWABLE COSTS WERE DETERMINED FROM THE MEDICARE COST REPORT, AS SPECIFIED IN THE PROVIDER REIMBURSEMENT MANUAL.
SCHEDULE H, PART I, LINE 7A	CHARITY CARE IS REPORTED AS THE SYSTEM'S CHARITY CARE AT COST USING A COST TO CHARGE RATIO CALCULATED AS IN WORKSHEET 2.
SCHEDULE H, PART I, LINE 7F	PER MEDICARE COST REPORT.
SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES	WAKEMED IS ACTIVELY INVOLVED IN NOT ONLY IMPROVING THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE AND IS ALSO SUPPORTIVE OF COMMUNITY BUILDING ACTIVITIES. WAKEMED HAS BEGUN EFFORTS TO IMPROVE THE NEIGHBORHOOD AROUND THE HOSPITAL AND ENCOURAGE REDEVELOPMENT AND PHYSICAL IMPROVEMENTS. A COALITION OF LOCAL BUSINESS AND COMMUNITY LEADERS ARE WORKING TO REDUCE CRIME, BEAUTIFY THE AREA, ATTRACT RETAIL BUSINESSES AND RESTAURANTS, AND FOSTER NEW MEDICAL DEVELOPMENT AROUND THE MAIN HOSPITAL CAMPUS IN DOWNTOWN RALEIGH, WHICH IS AN ECONOMICALLY DEPRESSED AREA. WE HAVE ALSO INVESTED IN THE WAKE TECHNICAL COMMUNITY COLLEGE FACILITY GROWTH WHICH IS VITAL TO EDUCATING FUTURE NURSES, RADIOLOGY TECHS, EMERGENCY RESPONSE PERSONNEL AND OTHERS. OUR WORKFORCE DEVELOPMENT PROGRAM WORKS WITH YOUTH, HEALTH SCIENCE STUDENTS AND THOSE IN A VARIETY OF HEALTH PROFESSIONS PROGRAMS WITH MENTORING, RESIDENCIES, CLINICAL ROTATIONS, AND EDUCATION ALL WITH THE PURPOSE OF PREPARING FOR THE WORKFORCE OF TOMORROW. WE PARTNER WITH NUMEROUS COLLEGES, UNIVERSITIES, COMMUNITY COLLEGES, AND HIGH SCHOOLS THROUGHOUT THE REGION AND OUR CAMPUS IS HOME TO THE WAKE EARLY COLLEGE HIGH SCHOOL. WAKEMED IS ALSO HOME TO THE WAKE AREA HEALTH EDUCATION CENTER, A PROGRAM OF THE UNIVERSITY OF NORTH CAROLINA WHICH PROVIDES ACCREDITED EDUCATION PROGRAMS TO NURSES, ALLIED HEALTH PROFESSIONALS AND PHYSICIANS THROUGHOUT THE REGION. WAKEMED ALSO WORKS CLOSELY WITH THE INVESTMENT OF CASH AND EXPERTISE FOR THE EIGHT MUNICIPALITIES IN OUR COUNTY AND THE WAKE COUNTY ECONOMIC DEVELOPMENT COUNCIL TO ATTRACT NEW JOBS AND GROW INDUSTRY AND BUSINESS, WHICH ALSO HELPS TO ATTRACT NEW TALENT TO THE AREA FOR GROWING BUSINESSES WITH A FOCUS ON INCLUSION. A HEALTHY ECONOMY ULTIMATELY LEADS TO THE HEALTHIER COMMUNITY. OUR COMMUNITY HEALTH IMPROVEMENT ACTIVITIES ARE NUMEROUS AND INCLUDE BEING THE LEAD AGENCY FOR SAFEKIDS, ENERGIZE, ASTHMA COALITION, COMMUNITY HEALTH PROJECT, AND MORE. EACH IS WORKING TO SUPPORT PROGRAMS AND POLICIES THAT IMPROVE PUBLIC HEALTH AND ACCESS TO HEALTH CARE. WE ARE ALSO PARTNERING WITH COUNTY AND OTHER OFFICIALS, AS WELL AS OTHER COMMUNITY-BASED ORGANIZATIONS, ON INITIATIVES THAT WILL IMPROVE ACCESS TO MENTAL HEALTH SERVICES, A GROWING CRISIS IN OUR COMMUNITY. THE OVERALL GOAL IS TO MAKE OUR COMMUNITY A HEALTHIER PLACE TO LIVE AND WORK.
SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM	N/A
SCHEDULE H, PART I, LINE 7B	MEDICAID COSTS ARE DERIVED FROM OUR COST ACCOUNTING SYSTEM, WHICH ADDRESSES ALL PATIENT SEGMENTS. IN FY2023, THE STATE INITIATED THE HEALTHCARE ACCESS AND STABILIZATION PROGRAM (HASP) WHICH PROVIDES ADDITIONAL FEDERAL MATCHING FUNDS TO IMPROVE ACCESS TO CARE FOR MEDICAID PATIENTS. THIS PROGRAM RESULTED IN INCREMENTAL NET BENEFIT FOR THE SYSTEM COMPLETELY OFFSETTING THE COST OF PROVIDING SERVICES TO MEDICAID PATIENTS.
SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT	WAKEMED PUBLISHES COMMUNITY BENEFIT DATA EACH YEAR ON ITS WEBSITE AND COMPLETES A FULL REPORT EVERY THREE YEARS HIGHLIGHTING THE FINANCIAL IMPACT ON THE COMMUNITY AS WELL AS KEY EFFORTS TO ADDRESS THE PRIORITIES IDENTIFIED IN THE CHNA CORRESPONDING WITH THE TIME FRAME. IT IS AVAILABLE IN PRINT FORM AS ELL AS ON THE WAKEMED WEBSITE. WAKEMED ALSO VOLUNTARILY FILES A SIMILAR COMMUNITY BENEFIT REPORT WITH THE NORTH CAROLINA HOSPITAL ASSOCIATION.
SCHEDULE H, PART I, LINE 3C	PATIENTS ARE PROVIDED WITH INFORMATION ABOUT FINANCIAL ASSISTANCE AT REGISTRATION, DISCHARGE, PHONE CALLS (BEFORE AND AFTER SERVICES), ON THE WEBSITE, IN MYCHART. IN ADDITION, A PLAIN LANGUAGE SUMMARY OF FINANCIAL ASSISTANCE IS SENT WITH EVERY STATEMENT. IN ORDER TO QUALIFY FOR FINANCIAL ASSISTANCE, A PATIENT MUST APPLY AND MEET FINANCIAL ASSISTANCE POLICY (FAP) REQUIREMENTS. WAKEMED ALSO HAS A PRESUMPTIVE CHARITY PROGRAM THAT AUTOMATICALLY RUNS ON HOSPITAL ACCOUNTS FOR PATIENTS WHO ARE LISTED AS UNINSURED.
SCHEDULE H, PART I, LINE 7C	COSTS OF OTHER GOVERNMENT PROGRAMS ARE DERIVED FROM OUR COST ACCOUNTING SYSTEM, WHICH ADDRESSES ALL PATIENT SEGMENTS. THE OFFSETTING REVENUE IS ALL RECEIPTS ON PATIENT ACCOUNTS RELATED TO OTHER GOVERNMENT PROGRAMS.
SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE - METHODOLOGY USED TO ESTIMATE AMOUNT	THE AMOUNT REPORTED IN PART III, LINE 2 IS THE SYSTEM BAD DEBT AT COST. CHARITY AND BAD DEBT ACCOUNTS ARE RECORDED AT CURRENT ACCOUNT BALANCE LEVELS. THE BALANCE MAY BE NET OF CONTRACTUAL ALLOWANCES AND/OR PAYMENTS RECEIVED. FOR EXAMPLE, BAD DEBT OR CHARITY RESULTING FROM AN UNPAID PATIENT LIABILITY AFTER INSURANCE IS RECORDED AT THE AMOUNT UNPAID BY THE PATIENT.
SCHEDULE H, PART III, LINE 3 BAD DEBT EXPENSE METHODOLOGY	PATIENTS ARE PROVIDED WITH INFORMATION ABOUT FINANCIAL ASSISTANCE AT REGISTRATION, DISCHARGE, PHONE CALLS, ON THE WEBSITE, AND A PLAIN LANGUAGE SUMMARY OF FINANCIAL ASSISTANCE IS SENT WITH EVERY STATEMENT. IN ORDER TO QUALIFY A PATIENT MUST APPLY AND MEET FINANCIAL ASSISTANCE POLICY (FAP) REQUIREMENTS.
SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTE	THE TEXT OF THE FOOTNOTE TO WAKEMED'S FINANCIAL STATEMENTS REGARDING BAD DEBT EXPENSE IS AS FOLLOWS: "WAKEMED HAS PRESENTED ITS PROVISION FOR UNCOLLECTIBLE ACCOUNTS AS A DIRECT REDUCTION OF PATIENT SERVICE REVENUE. BASED ON MANAGEMENT'S INTERPRETATION OF THE REQUIREMENTS OF GASB STATEMENT NO. 34, GOVERNMENTAL HEALTH CARE ORGANIZATIONS ARE REQUIRED TO PRESENT UNCOLLECTIBLE ACCOUNTS AS A COMPONENT OF NET PATIENT SERVICE REVENUE RATHER THAN WITHIN OPERATING EXPENSES."
SCHEDULE H, PART III, LINE 8 COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTS	TREATMENT OF MEDICARE SHORTFALL AS COMMUNITY REPORTS WAKEMED BELIEVES THAT ALL OF THE $242M MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE WAKEMED HOSPITALS IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. THIS YEAR, MEDICARE ACCOUNTED FOR 39.83% OF HOSPITAL REVENUE. THE HOSPITAL PROVIDES CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVES THE FEDERAL GOVERNMENT.
SCHEDULE H, PART III, LINE 9B COLLECTION PRACTICES FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE	APPLICATION OF COLLECTION PRACTICES TO THOSE QUALIFYING FOR FINANCIAL ASSISTANCE: WAKEMED PROVIDES MANY OPPORTUNITIES TO EDUCATE PATIENTS ON OUR FINANCIAL ASSISTANCE PROGRAM PRIOR TO DISCHARGE AND AGAIN WHEN THE FIRST BILL IS RECEIVED. IN ORDER TO MAKE SURE WE REACH OUT TO OUR PATIENTS, WE SEND AT LEAST FOUR STATEMENTS AND ALSO MAKE FOLLOW-UP CALLS. EACH STATEMENT REFERENCES THE FINANCIAL ASSISTANCE PROGRAM AND INCLUDES A PLAIN LANGUAGE SUMMARY OF OUR FINANCIAL ASSISTANCE PROGRAM. PATIENTS ARE SCREENED FOR FINANCIAL ASSISTANCE AND ARE GIVEN OPPORTUNITIES TO APPLY. IF A PATIENT CHOOSES NOT TO APPLY, OR DOES NOT QUALIFY, THEY ARE GIVEN THE OPPORTUNITY FOR OTHER PAYMENT ARRANGEMENTS. IF THE PATIENT DID NOT APPLY FOR FINANCIAL ASSISTANCE AND ENDS UP IN COLLECTIONS, AN APPLICATION FOR FINANCIAL ASSISTANCE IS PROVIDED. PRIOR TO SENDING TO COLLECTIONS, ALL PATIENT ACCOUNTS ARE ROUTED THRU A PRESUMPTIVE CHARITY PROCESS WHERE THEY ARE AUTOMATICALLY SCREENED FOR ASSISTANCE. THE PATIENT AT THAT POINT HAS THE OPPORTUNITY TO APPLY; ALL COLLECTION EFFORTS CEASE ONCE THE APPLICATION IS RECEIVED, EVEN IF THE APPLICATION IS MISSING DOCUMENTATION.
SCHEDULE H, PART V, SECTION B, LINE 16A FAP WEBSITE	A - WAKEMED CARY HOSPITAL: LINE 16A URL: SEE PART V, LINE 16J;
SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE	A - WAKEMED CARY HOSPITAL: LINE 16B URL: SEE PART V, LINE 16J;
SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE	A - WAKEMED CARY HOSPITAL: LINE 16C URL: SEE PART V, LINE 16J;
SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT	NEEDS ASSESSMENT THE COMMUNITY NEEDS ASSESSMENT IS A PROCESS THAT HELPS TO IDENTIFY FACTORS AFFECTING OUR COUNTY, DETERMINE RESOURCES NEEDED TO ADDRESS THESE FACTORS, AND DEVELOP A PLAN OF ACTION TO ADDRESS THE NEEDS OF THE COMMUNITY WE SERVE. THE ASSESSMENT WAS LED BY LIVE WELL WAKE IN COLLABORATION WITH NINE ORGANIZATIONS INCLUDING THE AREA'S OTHER HEALTH SYSTEMS (UNC REX, DUKE HEALTH RALEIGH HOSPITAL) AS WELL AS OTHER COMMUNITY-BASED ORGANIZATIONS. THE PROCESS BEGAN IN 2022 AND THE FINAL REPORT WAS PUBLISHED IN 2025. THE CHNA CAN BE FOUND ON THE WAKEMED WEBSITE: HTTPS://WWW.WAKEMED.ORG/ABOUT-US/COMMUNITY-BENEFIT IN ADDITION TO THIS PRIMARY DATA COLLECTED THROUGH THE CHNA PROCESS, WAKEMED''S CORPORATE PLANNING DEPARTMENT COLLECTS AND ANALYZES MULTIPLE OTHER SOURCES OF SECONDARY DATA WHICH HELPS US UNDERSTAND DEMOGRAPHIC, SOCIOGRAPHIC, AND HEALTH TRENDS. WITH THE GOAL OF ENHANCING ACCESS, THE STAFF IS ALSO CHARGED WITH FORECASTING FUTURE NEEDS AND PLANNING TO MEET THOSE NEEDS. THIS PROCESS INCLUDES A CAREFUL ANALYSIS OF CURRENT SYSTEM CAPACITIES AND PROJECTS FUTURE NEEDED CAPACITY TO MEET POPULATION GROWTH AND DEMOGRAPHIC CHANGES. IN 2017, THE WAKE COUNTY BOARD OF COMMISSIONERS APPOINTED A POPULATION HEALTH TASK FORCE. THE TASK FORCE CONSIDERED A WEALTH OF DATA, RESEARCH, COMMUNITY FEEDBACK, AND NATIONAL BEST PRACTICES. AS A CONCEPT OF HEALTH, "POPULATION HEALTH" IS DEFINED AS 'THE HEALTH OUTCOMES OF A GROUP OF INDIVIDUALS, INCLUDING THE DISTRIBUTION OF SUCH OUTCOMES WITHIN THE GROUP.' IT IS AN APPROACH THAT CONSIDERS BOTH HEALTH OUTCOMES AND THE DETERMINANTS OF THOSE OUTCOMES. OUR GOAL IS TO EMPLOY A BROAD DEFINITION OF "HEALTH" WHICH IS A STATE OF COMPLETE PHYSICAL, MENTAL, AND SOCIAL WELL-BEING NOT MERELY THE ABSENCE OF DISEASE OR INFIRMITY. STUDIES SHOW THAT ONLY 20 PERCENT OF HEALTH OUTCOMES ARE ACHIEVED THROUGH THE PROVISION OF MEDICAL CARE - THE REST IS A COMBINATION OF A PERSON'S GENETICS, HEALTHY BEHAVIORS, SOCIAL AND ECONOMIC FACTORS, AND THE PHYSICAL ENVIRONMENT. THIS BROAD DEFINITION OF "HEALTH" CANNOT BE ACHIEVED SOLELY BY THE PROVISION OF AFFORDABLE, ACCESSIBLE, AND QUALITY HEALTHCARE. IT CAN ONLY BE ACHIEVED BY ALIGNING MEDICAL CARE WITH "SOCIAL DETERMINATIONS OF HEALTH" TO MAKE PREVENTION AND WELLNESS ACTIVITIES THE EASY CHOICE AND IMPROVE HEALTH THROUGHOUT ALL STAGES OF LIFE. UNDERSTANDING THAT HEALTH IS IMPACTED BY MORE THAN MEDICAL CARE - INCLUDING SUCH THINGS AS ACCESS TO FOOD, HOUSING, EMPLOYMENT, EDUCATION, SOCIAL SUPPORT, AND A CLEAN ENVIRONMENT - LIVE WELL WAKE STRIVES TO MAKE WAKE COUNTY A HEALTHIER PLACE TO LIVE FOR EVERYONE. LIVE WELL WAKE HAS EMERGED FROM THE WORK OF TWO PRE-EXISTING EFFORTS. THE WAKE COUNTY POPULATION HEALTH TASK FORCE, INITIATED BY THE BOARD OF COMMISSIONERS IN 2018, IDENTIFIED THE NEED FOR A STRUCTURED APPROACH TO CONVENING PARTNERS IN ORDER TO REALIZE THE TASK FORCE'S RECOMMENDATIONS. THIS STRUCTURE ALSO ENSURES ALIGNMENT WITH THE ONGOING COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, WHICH IDENTIFIES THE HEALTH AND RESOURCE NEEDS OF WAKE COUNTY. THROUGH BRINGING TOGETHER STAKEHOLDERS IN THE BROADER COMMUNITY, GOVERNMENT, HEALTHCARE, AND BUSINESS, LIVE WELL WAKE AIMS TO ADDRESS WAKE COUNTY'S BIGGEST CHALLENGES AS OUTLINED BY THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. WORKING GROUPS HAVE BEEN FORMED TO ADDRESS THOSE SEVEN THREE AREAS AND, USING A RESULTS-BASED ACCOUNTABILITY FRAMEWORK, WILL AIM TO ACCELERATE PROGRESS TOWARDS MAKING THE LIVES OF ALL PEOPLE IN WAKE COUNTY BETTER. SEVERAL WAKEMED STAFF MEMBERS PARTICIPATED IN THE WORKING GROUPS SPECIFIC TO EACH HEALTH PRIORITY. MUCH PROGRESS WAS MADE IN "ACCESS TO CARE" WORK GROUP. A NEW COMMUNITY HEALTH WORKER CONSORTIUM WAS ESTABLISHED TO CONVENE LOCAL CHW'S TO PROVIDE TRAINING/CAPACITY BUILDING AROUND CONSOLIDATED REFERRAL SPACE TO LOCAL CHW'S. THE CONSORTIUM HAS HOSTED SEVERAL WELL ATTENDED SESSIONS.
SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	PATIENTS ARE PROVIDED WITH INFORMATION ABOUT FINANCIAL ASSISTANCE AT REGISTRATION, DISCHARGE, PHONE CALLS (BEFORE AND AFTER SERVICES), ON THE WEBSITE, IN MYCHART, AND A PLAIN LANGUAGE SUMMARY OF FINANCIAL ASSISTANCE IS SENT WITH EVERY STATEMENT. IN ORDER TO QUALIFY, A PATIENT MUST APPLY AND MEET THE FIINANCIAL POLICY (FAP) REQUIREMENTS. WAKEMED ALSO HAS A PERSUMPTIVE CHARITY PROGRAM THAT AUTOMATICALLY RUNS ON HOSPITAL ACCOUNTS FOR PATIENTS WHO ARE LISTED AS UNINSURED.
SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION	WHILE WAKEMED SERVES PATIENTS FROM ALL OF NORTH CAROLINA'S 100 COUNTIES AND BEYOND, ITS PRIMARY SERVICE AREA CAN BEST BE DESCRIBED AS THE COUNTIES CONTIGUOUS TO WAKE COUNTY. THE VAST MAJORITY OF PATIENTS COME FROM WAKE AND JOHNSTON COUNTIES. BOTH COUNTIES HAVE RAPIDLY GROWING SMALLER/SUBURBAN COMMUNITIES CENTERED AROUND THE CAPITAL CITY OF RALEIGH. THESE COMMUNITIES LOOK TO RALEIGH AS THEIR PRIMARY SOURCE FOR TERTIARY LEVEL CARE. THE MARKET IS DEMOGRAPHICALLY DIVERSE AND FIERCELY COMPETITIVE WITH THREE MAJOR HEALTH SYSTEMS COMPETING AGAINST ONE ANOTHER. WAKEMED SHOULDERS APPROXIMATELY 70% OF WAKE COUNTY'S UNINSURED AND UNDERINSURED. WAKE COUNTY WAS FOUNDED IN 1771 AND OCCUPIES APPROXIMATELY 860 SQUARE MILES IN THE PIEDMONT REGION OF NORTH CAROLINA. IN 1792, THE CITY OF RALEIGH WAS NAMED THE CAPITAL OF NORTH CAROLINA AND IT REMAINS THE MOST POPULOUS MUNICIPALITY IN WAKE COUNTY. WAKE COUNTY IS HOME TO 12 MUNICIPALITIES. WITH A POPULATION IN EXCESS OF 1,100,000 RESIDENTS, WAKE COUNTY IS THE MOST POPULOUS COUNTY IN THE STATE. WAKE COUNTY HAS EXPERIENCED SIGNIFICANT POPULATION GROWTH OVER RECENT YEARS; THIS GROWTH IS EXPECTED TO CONTINUE ACCORDING TO DATA FROM THE N.C. OFFICE OF STATE BUDGET AND MANAGEMENT, WAKE COUNTY IS PROJECTED TO GROW AT A HIGHER ANNUAL RATE THAN ITS PEER GEOGRAPHIES AT 1.75 PERCENT ANNUALLY FROM 2020 TO 2025, WITH THE ADDITION OF OVER 103,000 PEOPLE. JOHNSON COUNTY IS LOCATED SOUTH OF WAKE AND IS TRANSORMING FROM A RURAL TO SUBURBAN COUNTY. JOHNSON COUNTY IS CURRENTLY THE FASTEST-GROWING COUNTY IN NORTH CAROLINA, WITH A POPULATION PROJECTED TO INCREASE BY OVER 17 PERCENT FORM 2020-2025. AS SHOWN IN THE TABLE BELOW, THE TOTAL POPULATION RESIDENTS OF THESE TWO COUNTIES CURRENTLY EXCEED 1.3 MILLION, AND THAT POPULATION IS PROJECTED TO CONTINUE TO GROW RAPIDLY. THE POPULATION IS FAIRLY DIVERSE. RACE AND ETHNICITY INFORMATION ARE ALSO PRESENTED IN THE TABLE. WAKE COUNTY JOHNSTON COUNTY TOTAL 2020 1,134,824 217,723 1,352,547 2025 1,237,890 256,452 1,494,342 %CHANGE 9.1% (1.75%/ANNUM) 17.8% (3.33%/ANNUM) 10.5% (2.01%/ANNUM) RACE AND ETHNICITY 2025 WHITE 66% 76% 68% BLACK 18% 17% 18% ASIAN 11% 1% 9% OTHER/UNKNOWN 5% 4% 4% HISPANIC* 13% 21% 14% *(NOT CONSIDERED A RACE, INCLUDED IN TOTALS ABOVE)
SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH	SINCE OPENING IN 1961, WAKEMED HAS BEEN AN INSTITUTION WITH AN UNWAVERING COMMITMENT TO THE COMMUNITIES IT SERVES BY IMPROVING THE HEALTH OF THE INDIVIDUALS AND FAMILIES WE SERVE. TODAY, WAKEMED OFFERS A BROAD RANGE OF PREVENTIVE, PRIMARY, ACUTE, AND TERTIARY SERVICES. AS WAKE COUNTY'S LARGEST PRIVATE EMPLOYER AND A CORNERSTONE OF THE COMMUNITY, WAKEMED IS AN ASSET RESIDENTS CAN DEPEND ON NOT ONLY FOR THE HIGHEST QUALITY OF HEALTH CARE INSIDE THE HOSPITAL AND OUTPATIENT FACILITIES, BUT FOR COMMUNITY OUTREACH IN THE FORM OF SCREENINGS, CLASSES, SEMINARS, HEALTH FAIRS, PREVENTIVE PROGRAMS, SUPPORT GROUPS, AND OTHER OUTREACH INITIATIVES. WITH THE EXPANSION OF OUR 37 FOOT HEALTH LIVES HERE MOBILE OUTREACH TRUCKTRUCK, WE HAVE BEEN ABLE TO PROVIDE ACCESS TO VARIOUS SERVICES FOR MANY HIGH RISK TARGET GROUPS IN THE COUNTY. THE MAJORITY OF THE PROGRAMS ARE FREE AND ALL ARE DESIGNED TO IMPROVE HEALTH, EDUCATE, AND ENLIGHTEN BY OFFERING ACCESS TO HEALTH SCREENING, VACCINES, EXPERTS, RESOURCES, AND HEALTH INFORMATION. IN ADDITION, OUR 2000+ PERSON MEDICAL STAFF IS OPEN AND COMPRISED PRIMARILY OF INDEPENDENT PRACTITIONERS, ALTHOUGH THE NUMBER OF EMPLOYED PHYSICIANS IS GROWING AND NOW TOTALS MORE THAN 450 1000 PHYSICIANS AND ADVANCED PRACTICE PROVIDERS. EACH YEAR WE SERVE, SUPPORT, AND WORK CLOSELY WITH THE COMMUNITY IN MANY WAYS. WE ABSORB THE HEALTH CARE COSTS OF THOSE WHO COME TO US UNABLE TO PAY FOR THEIR CARE. WE EDUCATE AND TRAIN PHYSICIANS AND CAREGIVERS. WE DEVELOP NEW SERVICES AND INITIATIVES TO ENHANCE ACCESS AND MEET THE NEEDS OF THE UNDERSERVED. WE PARTNER WITH A VARIETY OF COMMUNITY-BASED ORGANIZATIONS TO DEVELOP PROGRAMS THAT ADDRESSANSWER A SPECIFIC COMMUNITY HEALTH NEED. WE PROVIDE DONATIONS TO COMMUNITY CHARITIES AND501C3 ORGANIZATIONS WHOSE GOALS SUPPORT OUR MISSION. AND WE OFFER A HOST OF COMMUNITY OUTREACH AND EDUCATION PROGRAMS TARGETED TO THE UNDERSERVED AND AT-RISK POPULATIONS FOR CARDIOVASCULAR DISEASE, DIABETES, STROKE, AND AVOIDABLE INJURIES, AMONG OTHERS. THESE EFFORTS ARE CONSOLIDATED IN A COMMUNITY BENEFIT REPORT AVAILABLE ON OUR WEBSITE: HTTPS://WWW.WAKEMED.ORG/ABOUT-US/COMMUNITY-BENEFIT BEYOND THE CARE CURRENTLY PROVIDED WITHIN OUR FACILITIES, WAKEMED CONTINUES TO DEVELOP PROGRAMS AND SERVICES IN THOSE AREAS WHICH ARE UNDERSERVED AND ARE GROWING. ACCESS TO PRIMARY CARE PROVIDERS IS A CRITICAL NEED. AS A RESULT, WE CONTINUE TO EXPAND OUR NETWORK OF PRIMARY CARE PROVIDERS WHO SERVE COMMUNITY RESIDENTS, REGARDLESS OF THEIR ABILITY TO PAY. WAKEMED HELPS IMPROVE THE HEALTH OF THE COMMUNITY BY OUTREACH THAT TAKES ON MANY FORMS FROM THE DIRECT PROVISION OF CARE TO MENTORING AT-RISK YOUTH. AREAS OF FOCUS FOR THE SYSTEM ARE CENTERED ON: -IMPROVED ACCESS TO CARE THROUGH GEOGRAPHICALLY DISPERSED OUTPATIENT FACILITIES, PRIMARY CARE PHYSICIANS, EMERGENCY DEPARTMENTS, AND NOW VIRTUAL CARE OPTIONS. WE ALSO WORK CLOSELY WITH THE COMMUNITY TO IMPROVE ACCESS AND AFFORDABILITY FOR THE UNDERSERVED POPULATIONS OF THE COMMUNITY. THIS IS DONE IN PART BY COLLABORATING WITH COMMUNITY PARTNERS SO THAT HEALTH CARE GAPS ARE ADDRESSED. -WORKING CLOSELY WITH PATIENTS AND THE COMMUNITY TO PROMOTE AND SUPPORT THE OPTIMAL PREVENTION AND MANAGEMENT OF CHRONIC DISEASES, INJURIES AND ILLNESS IN OUR MOST VULNERABLE POPULATIONS, ESPECIALLY CHILDREN. WE ALSO HAVE AN INCREASED FOCUS ON IMPROVING AND MAINTAINING CARDIOVASCULAR HEALTH, WITH AN EMPHASIS ON ADDRESSING HEART DISEASE, STROKE, AND DIABETES PERTINENT TO BUILDING A HEALTHIER COMMUNITY. -DEVELOPMENT OF A COMPREHENSIVE POPULATION HEALTH PROGRAM ANCHORED BY ANTWO ACCOUNTABLE CARE ORGANIZATION WITH OVER 200,000 COVERED LIVES FROM PARTNERING WITH CMS AND THE MAJOR INSURERS WITHIN THE MARKET. WITH A FOCUS ON QUALITY AND COORDINATION OF CARE, PATIENTS ARE RECEIVING VALUE AND IMPROVING THEIR HEALTH. -DEVELOPMENT OF A COMMUNITY HEALTH POPULATION PROGRAM THAT WORKS WITH OUR MOST VULNERABLE POPULATIONS TO ADDRESS BOTH THEIR HEALTH AND SOCIAL NEEDS SUCH AS A MEDICAL HOME, MEDICATION, HOUSING, ACCESS TO FOOD, TRANSPORTATION TO MEDICAL APPOINTMENTS AND MORE. IT IS MADE POSSIBLE BY GRANTS AND PARTNERING WITH OTHER COMMUNITY BASED ORGANIZATIONS. -CONTINUING EFFORTS TO EDUCATE HEALTHCARE PROVIDERS OF TODAY AND TOMORROW RECOGNIZING THAT THESE EFFORTS WILL ENSURE A SKILLED WORKFORCE WHICH ULTIMATELY BUILDS A HEATHIER AND STRONGER COMMUNITY. -PROVIDING SUPPORT AND LEADERSHIP IN COMMUNITY BUILDING ACTIVITIES THAT ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS. WE ALSO ENCOURAGE EMPLOYEE, VOLUNTEER AND PHYSICIAN PARTICIPATION, PHILANTHROPIC SUPPORT, AND VOLUNTEERISM IN THE COMMUNITY.
SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT	NC

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (25 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
HEALING TRANSITIONS INTL INC
1251 GOODE STREET	RALEIGH	NC	27603	562135246	501(C)(3)	$125,000	GENERAL SUPPORT
MARBLES KIDS MUSEUM
201 EAST HARGETT STREET	RALEIGH	NC	27601	581647538	501(C)(3)	$75,000	GENERAL SUPPORT
INTERACT
1012 OBERLIN ROAD	RALEIGH	NC	27605	581320613	501(C)(3)	$55,000	GENERAL SUPPORT
NC FOR MILITARY EMPLOYMENT DBA NC4ME
1911 GUM BRANCH RD	JACKSONVILLE	NC	28540	464703891	501(C)(3)	$50,000	GENERAL SUPPORT
NC SYMPHONY
3700 GLENWOOD AVE	RALEIGH	NC	27612	560556755	501(C)(3)	$48,000	GENERAL SUPPORT	130
CAPITAL AREA SOCCER LEAGUE
3150 SPRING FOREST ROAD	RALEIGH	NC	27616	237441292	501(C)(3)	$28,250	GENERAL SUPPORT
WAKEMED FOUNDATION
3000 NEW BERN AVE	RALEIGH	NC	27601	561916549	501(C)(3)	$22,750	GENERAL SUPPORT
AMERICAN HEART ASSOCIATION INC
PO BOX 5027	BOONE	IA	50950	135613797	501(C)(3)	$15,000	GENERAL SUPPORT
NC HEALTH PROFESSIONALS PROGRAM
220 HORIZON DRIVE	RALEIGH	NC	27615	561846599	501(C)(3)	$15,000	GENERAL SUPPORT
NCIAP PEOPLE'S MEDICAL CARE
1011 W WILLIAM ST	APEX	NC	27502	274744637	501(C)(3)	$13,000	GENERAL SUPPORT	SUITE 103
INTER-FAITH FOOD SHUTTLE
1001 BLAIR DRIVE	RALEIGH	NC	27603	561753180	501(C)(3)	$10,000	GENERAL SUPPORT	SUITE 120
NORTH CAROLINA CHAMBER FDN
701 CORPORATE CTR DR	RALEIGH	NC	27620	561918853	501(C)(3)	$10,000	GENERAL SUPPORT	STE 275
ALLIANCE MEDICAL MINISTRY
101	RALEIGH	NC	27610	562168673	501(C)(3)	$9,730	MEDICAL CARE	DONALD ROSS DRIVE
LUNG CANCER INITIATIVE OF NC
5171 GLENWOOD AVE	RALEIGH	NC	27612	262300885	501(C)(3)	$7,500	GENERAL SUPPORT	SUITE 401
TOWN OF CARY
2727 LOUIS STEPHENS DRIVE	CARY	NC	27519	566001196	GOVERNMENTAL	$7,500	GENERAL SUPPORT
GIRL SCOUTS
6901 PINECREST ROAD	RALEIGH	NC	27613	560791500	501(C)(3)	$6,667	GENERAL SUPPORT
CARY DOWNTOWN FARMERS MARKET
PO BOX 4621	CARY	NC	27519	464703664	501(C)(3)	$6,500	GENERAL SUPPORT	3000 NEW BERN AVENUE
CRABTREE ROTARY FOUNDATION
PO BOX 30481	RALEIGH	NC	27622	260230014	501(C)(3)	$5,980	GENERAL SUPPORT	3000 NEW BERN AVENUE
RONALD MCDONALD HOUSE
506 ALEXANDER AVE	DURHAM	NC	27705	561220376	501(C)(3)	$5,500	GENERAL SUPPORT	3000 NEW BERN AVENUE
NORTH CAROLINA HEALTHCARE FDN
5440 WADE PARK BLVD	RALEIGH	NC	560773039	560773039	501(C)(3)	$5,150	GENERAL SUPPORT	SUITE 410
ALLIANCE MEDICAL MINISTRY
101 DONALD ROSS DRIVE	RALEIGH	NC	27610	562168673	501(C)(3)	$404,693	MEDICAL CARE	3000 NEW BERN AVENUE
DEBNAM CLINIC
1501 POOLE ROAD	RALEIGH	NC	27610	561977593	FOR PROFIT	$131,520	MEDICAL CARE
WAKE COUNTY HUMAN SERVICES
PO BOX 46833	RALEIGH	NC	27620	566000376	GOVERNMENTAL	$883,417	GENERAL SUPPORT
URBAN MINISTRIES OF WAKE COUNTY
1390 CAPITAL BLVD	RALEIGH	NC	27603	581422700	501(C)(3)	$11,000	GENERAL SUPPORT	3000 NEW BERN AVENUE
WAKE COUNTY MEDICAL SOCIETY RIGHT CARE
2500 BLUE RIDGE ROAD	RALEIGH	NC	27607	561150521	501(C)(6)	$350,000	MEDICAL CARE

Field	Value	IRS element (for citing)
Total501c3 Org	23	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
LODGING	78	$115,639	FMV	1,442 NGT STAYS AT HEART CTR INN
PRESCRIPTION DRUGS DONATIONS	4520	$28,274	FMV	PRESCRIPTION DRUGS

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (30 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ROYLYN JOHNSON
FORMER SECRETARY (UNTIL 2/07/2023)	$124,836	$0	$2,000	$0	$1,712	$0	$7,752	$0	$859	$0	$137,159	$0	$0	$0
DONALD GINTZIG
PRESIDENT & CEO	$1,386,023	$0	$735,700	$0	$72,180	$0	$20,700	$0	$3,909	$0	$2,218,512	$0	$0	$0
THOMAS GOUGH
EVP & CHIEF OPERATING OFFICER	$659,477	$0	$2,000	$0	$21,398	$0	$20,700	$0	$432	$0	$704,007	$0	$0	$0
DAVID NUSSMAN
VP, COMPLIANCE & PRIVACY OFFICER INTERIM	$156,643	$0	$2,000	$0	$124	$0	$10,069	$0	$32,178	$0	$201,014	$0	$0	$0
STEPHANIE SESSOMS
EVP & CHIEF FINANCIAL OFFICER	$419,010	$0	$2,000	$0	$2,958	$0	$18,959	$0	$24,685	$0	$467,612	$0	$0	$0
CYNTHIA ALNESS-BOILY
SVP, OPERATIONS & CNO	$420,564	$0	$2,000	$0	$22,313	$0	$17,617	$0	$27,942	$0	$490,436	$0	$0	$0
REBECCA ANDREWS
SVP & ADMINISTRATOR RALEIGH	$501,669	$0	$2,000	$0	$23,465	$0	$20,700	$0	$14,199	$0	$562,033	$0	$0	$0
VALERIE BARLOW
SVP & ADMINISTRATOR NORTH	$363,621	$0	$2,000	$0	$893	$0	$20,700	$0	$33,046	$0	$420,260	$0	$0	$0
KAREN BASH MD
CHIEF MEDICAL OFFICER, NORTH	$384,560	$0	$1,000	$0	$5,019	$0	$20,700	$0	$12,782	$0	$424,061	$0	$0	$0
SETH BRODY MD
EVP, CHIEF PHYSICIAN EXECUTIVE	$677,387	$0	$2,000	$0	$3,207	$0	$20,700	$0	$0	$0	$703,294	$0	$0	$0
THOMAS CAVENDER
VP, FACILITIES & CONSTRUCTION	$344,883	$0	$2,000	$0	$21,157	$0	$20,700	$0	$11,391	$0	$400,131	$0	$0	$0
KAREN CHILTON MD
SVP & CHIEF QUALITY OFFICER	$421,646	$0	$2,000	$0	$651	$0	$20,700	$0	$0	$0	$444,997	$0	$0	$0
CHRISTINE CRAIG
VP, GOVERNMENTAL AFFAIRS	$304,310	$0	$2,000	$0	$17,123	$0	$18,910	$0	$34,331	$0	$376,674	$0	$0	$0
JERONICA GOODWIN
SVP, HUMAN RESOURCES & CHIEF PEOPLE OFFICER	$379,109	$0	$2,000	$0	$590	$0	$20,246	$0	$11,391	$0	$413,336	$0	$0	$0
CHARLES HARR MD
CHIEF MEDICAL OFFICER, RALEIGH	$462,440	$0	$1,000	$0	$6,263	$0	$20,700	$0	$3,610	$0	$494,013	$0	$0	$0
GAYLA HARVEY
VP, PAYOR STRATEGY & MANAGED CARE CONTRACTING	$325,767	$0	$2,000	$0	$2,201	$0	$19,939	$0	$11,991	$0	$361,898	$0	$0	$0
THOMAS HUGHES
SVP & ADMINISTRATOR CARY	$336,823	$0	$2,000	$0	$1,501	$0	$20,625	$0	$5,015	$0	$365,964	$0	$0	$0
CAROLYN KNAUP
SVP, STRATEGIC VENTURES & AMBULATORY OPERATIONS	$395,406	$0	$2,000	$0	$19,390	$0	$20,700	$0	$24,892	$0	$462,388	$0	$0	$0
MICAH KREMPASKY MD
CHIEF MEDICAL OFFICER, MENTAL HEALTH & WELL-BEING	$347,630	$0	$16,004	$0	$543	$0	$20,700	$0	$31,970	$0	$416,847	$0	$0	$0
DEBRA LAUGHERY
VP, MARKETING & COMMUNICATIONS	$341,047	$0	$2,000	$0	$21,046	$0	$20,519	$0	$14,812	$0	$399,424	$0	$0	$0
BRIAN LYNDE
VP, CHIEF LEGAL OFFICER	$341,347	$0	$2,000	$0	$20,716	$0	$18,064	$0	$20,467	$0	$402,594	$0	$0	$0
PETER MARKS
VP & CHIEF INFORMATION OFFICER	$416,145	$0	$2,000	$0	$18,535	$0	$19,571	$0	$1,965	$0	$458,216	$0	$0	$0
JOHN PERRY MD
VP, MEDICAL INFORMATION	$397,641	$0	$2,000	$0	$2,847	$0	$20,700	$0	$35,341	$0	$458,529	$0	$0	$0
RICK SHRUM
VP & CHIEF STRATEGY OFFICER	$392,583	$0	$2,000	$0	$2,780	$0	$20,700	$0	$27,735	$0	$445,798	$0	$0	$0
DOUG TROCINSKI MD
CHIEF MEDICAL OFFICER, CARY ADMINISTRATION	$313,213	$0	$1,000	$0	$1,367	$0	$9,496	$0	$1,191	$0	$326,267	$0	$0	$0
BRYON BOULTON MD
PHYSICIAN	$1,140,071	$0	$331,528	$0	$1,710	$0	$20,700	$0	$32,291	$0	$1,526,300	$0	$0	$0
TIMOTHY HARRIS MD
PHYSICIAN	$828,442	$0	$459,152	$0	$3,963	$0	$20,700	$0	$32,178	$0	$1,344,435	$0	$0	$0
KEVIN MANOCHA MD
PHYSICIAN	$448,253	$0	$875,461	$0	$413	$0	$11,340	$0	$14,441	$0	$1,349,908	$0	$0	$0
ASHISH PATEL MD
PHYSICIAN	$806,502	$0	$822,517	$0	$2,074	$0	$20,700	$0	$35,020	$0	$1,686,813	$0	$0	$0
JUDSON WILLIAMS MD
PHYSICIAN	$1,018,803	$0	$342,836	$0	$1,098	$0	$20,700	$0	$32,291	$0	$1,415,728	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1A TAX INDEMNIFICATION AND GROSS-UP PAYMENTS	TAX INDEMNIFICATION AND GROSS-UP PAYMENTS ARE PAID TO SOME KEY EMPLOYEES. THEY ARE INCLUDED IN TAXABLE INCOME.
SCHEDULE J, PART I, LINE 1B WRITTEN POLICY REGARDING PAYMENT OR REIMBURSEMENT OF EXPENSES	TAX GROSS-UPS FOR KEY EMPLOYEES ARE COVERED BY THE EMPLOYEE AGREEMENT OR ARE APPROVED BY THE BOARD OF DIRECTORS.
SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS	WAKEMED HAS INCENTIVE-BASED PROGRAMS THAT ARE DRIVEN BY ACCOMPLISHING TARGETS ASSOCIATED WITH QUALITY OF CARE FOR DISCHARGE INSTRUCTIONS, PATIENT SATISFACTION, AND MINIMUM OPERATING BENEFITS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	PUBLIC FINANCE AUTHORITY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	273866124	BondIssuerEIN
CUSIP	74442CBZ6	CUSIPNum
Bond Issued	2019-04-10	BondIssuedDt
Issue Price	$380,794,512	IssuePriceAmt
Purpose	SEE PART VI	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$0	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$380,794,512	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$2,909,859	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$80,000,000	CapitalExpendituresAmt
Other Spent Proceeds	$297,884,653	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	2022	SubstantialCompletionYr
Refunding Tax Exempt Bonds	Yes (true)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	Yes (true)	RefundingTaxableBondsInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (true)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (true)	EngageBondCounselContractsInd
Any Research Agreements	false	AnyResearchAgreementsInd
Engage Bond Counsel Research	false	EngageBondCounselResearchInd
Private Bus Use By Others	0.0	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.0	PrivateBusConcerningUBIPct
Total Private Business Use	0.0	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropPct
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	false	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	Yes (true)	NoRebateDueInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd
Term Of Hedge	0	TermOfHedgePct
Superintegrated Hedge	false	SuperintegratedHedgeInd
Hedge Terminated	false	HedgeTerminatedInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd
Term Of GIC	0	TermOfGICPct
Regulatory Safe Harbor Stsfd	false	RegulatorySafeHarborStsfdInd
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K, PART I PART I, A(F)	EFFECTIVE APRIL 1, 2019, WAKEMED, THROUGH THE PUBLIC FINANCE AUTHORITY (THE 'AUTHORITY"), ISSUED $207.7M OF HOSPITAL REVENUE BONDS, SERIES 2019A ('SERIES 2019A BONDS"), $79.0M OF HOSPITAL REVENUE BONDS, SERIES 2019B ("SERIES 2019B BONDS"), AND $79.0M OF HOSPITAL REVENUE BONDS, SERIES 2019C ("SERIES 2019C BONDS"). A PORTION OF THE SERIES 2019A BONDS PROCEEDS WERE USED TO REFUND THE OUTSTANDING SERIES 2009B AND 2009C BONDS AS WELL AS PARTIALLY REFUND THE OUTSTANDING SERIES 2012A BONDS. THE REMAINING PROCEEDS OF THE SERIES 2019A BONDS WILL BE USED TO PAY FOR THE EXPANSION OF WAKEMED CARY HOSPITAL AND FUND CAPITAL IMPROVEMENTS AND EQUIPMENT PURCHASES AT WAKEMED'S VARIOUS HOSPITALS. THE PROCEEDS OF THE SERIES 2019B AND 2019C BONDS WERE USED TO REFINANCE TWO OUTSTANDING TAXABLE TERM LOANS. THE LOANS WERE TO FINANCE COSTS ASSOCIATED WITH NORTH HOSPITAL AND INFORMATION TECHNOLOGY IMPLEMENTATION PROJECTS. THEY WERE ALSO USED TO PURCHASE TWO PREVIOUSLY LEASED BUILDINGS, RALEIGH MEDICAL PARK AND BRIER CREEK HEALTHPLEX.
SCHEDULE K, PART I PART I, A(E): PRICE VARIANCE	$13,925,283 ISSUE PRICE VARIANCE IS PREMIUM PAID AT 2019A ISSUANCE.
SCHEDULE K, PART II, LINE 3 SCHEDULE K, PART II, 3, COLUMNS A	TOTAL PROCEEDS INCLUDE INVESTMENT EARNINGS.
SCHEDULE K, PART IV, LINE 2C COLUMN A	ISSUER NAME: PUBLIC FINANCE AUTHORITY THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON 06/10/2024

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
LAURA KALORIN HELTON MD
FAMILY MEMBER	$697,310	FAMILY MEMBER IS AN EMPLOYED PHYSICIAN	false
LAURA KALORIN HELTON MD
FAMILY MEMBER	$45,027	FAMILY MEMBER IS AN EMPLOYED PHYSICIAN	false
J BLOUNT WILLIAMS
OWNER OF BUSINESS	$314,375	THE BUSINESS SELLS FURNITURE TO THE ORGANIZATION	false
J BLOUNT WILLIAMS
FAMILY MEMBER	$1,362,737	SON JUDSON WILLIAMS IS A PHYSICIAN AND ONE OF THE TOP 5 HIGHLY COMPENSATED EMPLOYEES	false
MARY NASH RUSHER
FAMILY MEMBER	$393,458	FAMILY MEMBER IS AN EMPLOYED PHYSICIAN	false
SONIA BARNES
CONSULTANT	$30,000	BUSINESS HAS A SERVICE CONTRACT WITH THE ORGANIZATION	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
BOX C: ALSO DOING BUSINESS AS	1. WAKEMED HEALTH & HOSPITALS 2. DAILY DOSE CAFE 3. WAKE AHEC 4. WAKE AREA HEALTH EDUCATION CENTER 5. WAKE MEDICAL CENTER 6. WAKEMED APEX HEALTHPLEX 7. WAKEMED BRIER CREEK HEALTHPLEX 8. WAKEMED CANCER CARE - HEMATOLOGY & MEDICAL ONCOLOGY 9. WAKEMED CANCER CARE - WAVERLY HEMATOLOGY & MEDICAL ONCOLOGY 10. WAKEMED CARDIAC REHAB - CARY 11. WAKEMED CARDIAC REHAB - RALEIGH CAMPUS 12. WAKEMED CARY HOSPITAL 13. WAKEMED CARY HOSPITAL OUTPATIENT REHAB - CARY 14. WAKEMED CARY HOSPITAL SLEEP CENTER 15. WAKEMED CARY OUTPATIENT REHAB CENTER 16. WAKEMED CENTER FOR INNOVATIVE LEARNING 17. WAKEMED CHILDREN'S 18. WAKEMED CHILDREN'S HOSPITAL 19. WAKEMED CLAYTON MEDICAL PARK 20. WAKEMED DIAGNOSTIC CENTER 21. WAKEMED EMERGENCY SERVICES INSTITUTE 22. WAKEMED EMPLOYEE PHARMACY 23. WAKEMED FUQUAY VARINA MEDICAL PARK 24. WAKEMED GARNER HEALTHPLEX 25. WAKEMED HEART CENTER 26. WAKEMED HOME CARE 27. WAKEMED HOME HEALTH 28. WAKEMED LAB 29. WAKEMED MEDICAL SIMULATION CENTER 30. WAKEMED MENTAL HEALTH & WELL-BEING HOSPITAL - WAKEBROOK 31. WAKEMED MOBILE CRITICAL CARE SERVICES 32. WAKEMED MORRISVILLE MEDICAL PARK 33. WAKEMED NEW BERN AVENUE CAMPUS 34. WAKEMED NORTH 35. WAKEMED NORTH HOSPITAL 36. WAKEMED OUTPATIENT NEURO REHABILITATION - CARY 37. WAKEMED OUTPATIENT REHAB - CLAYTON 38. WAKEMED OUTPATIENT REHAB - DURANT ROAD 39. WAKEMED OUTPATIENT REHAB - RALEIGH CAMPUS 40. WAKEMED OUTPATIENT SPECIALTY REHAB - CARY HOSPITAL 41. WAKEMED PATHOLOGY LABORATORY 42. WAKEMED PROFESSIONAL STAFF 43. WAKEMED RALEIGH CAMPUS 44. WAKEMED RALEIGH MEDICAL PARK 45. WAKEMED REHAB 46. WAKEMED REHABILITATION HOSPITAL 47. WAKEMED WAKE FOREST MEDICAL PARK 48. WAKEMED WAKE FOREST ROAD OUTPATIENT REHAB CENTER 49. WAKEMED WENDELL HEALTHPLEX 50. WAKEMED WESTERN WAKE MEDICAL CENTER 51. WESTERN WAKE MEDICAL CENTER 52. WAKEMED PHYSICIAN PRACTICES 53. WAKEMED HEART & VASCULAR- ADVANCED HEART FAILURE 54. WAKE ORTHOPEDICS 55. WAKEMED BARIATRIC SURGERY & MEDICAL WEIGHT LOSS 56. WAKEMED CENTER FOR COMMUNITY HEALTH 57. WAKEMED CHILDREN'S - PEDIATRIC BEHAVORIAL HEALTH 58. WAKEMED CHILDREN'S - PEDIATRIC CARDIOLOGY 59. WAKEMED CHILDREN'S - PEDIATRIC ENDOCRINOLOGY 60. WAKEMED CHILDREN'S - PEDIATRIC GASTROENTEROLOGY 61. WAKEMED CHILDREN'S - PEDIATRIC INTENSIVIST 62. WAKEMED CHILDREN'S - PEDIATRIC MINOR PROCEDURES 63. WAKEMED CHILDREN'S - PEDIATRIC PULMONOLOGY & SLEEP MEDICINE 64. WAKEMED CHILDREN'S - PEDIATRIC SURGERY 65. WAKEMED CHILDREN'S - PEDIATRIC UROLOGY 66. WAKEMED CHILDREN'S - PEDIATRIC WEIGHT MANAGEMENT 67. WAKEMED CHILDREN'S - SPECIAL INFANT CARE 68. WAKEMED CORPORATE HEALTH SERVICES 69. WAKEMED CRITICAL CARE MEDICINE 70. WAKEMED ENT-HEAD & NECK SURGERY 71. WAKEMED GASTROENTEROLOGY 72. WAKEMED GENERAL SURGERY 73. WAKEMED HEART & VASCULAR 74. WAKEMED HEART & VASCULAR - ADVANCED HEART FAILURE 75. WAKEMED HEART & VASCULAR - CARDIOLOGY 76. WAKEMED HEART & VASCULAR - CARDIOVASCULAR & THORACIC SURGERY 77. WAKEMED HEART & VASCULAR - CARY CARDIOLOGY 78. WAKEMED HEART & VASCULAR - COMPLEX ARRHYTHMIA 79. WAKEMED HEART & VASCULAR - STRUCTURAL HEART 80. WAKEMED HEART & VASCULAR - VASCULAR SURGERY 81. WAKEMED HEART & VASCULAR PHYSICIANS 82. WAKEMED HOSPITALIST 83. WAKEMED IMAGING 84. WAKEMED INFECTIOUS DISEASES 85. WAKEMED MATERNAL FETAL MEDICINE 86. WAKEMED MOBILE WELLNESS 87. WAKEMED NEONATOLOGY 88. WAKEMED OBSTETRICS & GYNECOLOGY 89. WAKEMED OUTPATIENT BEHAVIORAL HEALTH 90. WAKEMED PHYSICAL THERAPY 91. WAKEMED PLASTIC & RECONSTRUCTIVE SURGERY 92. WAKEMED PSYCHIATRY - HOSPITAL BASED 93. WAKEMED PULMONOLOGY 94. WAKEMED PULMONOLOGY & SLEEP MEDICINE 95. WAKEMED RHEUMATOLOGY 96. WAKEMED TOBACCO CESSATION - SPECIALTY 97. WAKEMED TRANSITIONAL HEALTH 98. WAKEMED URGENT CARE 99. WAKEMED UROGYNECOLOGY 100. WAKEMED UROLOGY 101. WAKEMED VASCULAR SURGERY 102. WAKEMED WAKE ORTHOPAEDICS 103. WAKEMED WESTERN WAKE SURGICAL 104. WAKEMED WOUND CARE CENTER 105. WAKEMED PRIMARY CARE - APEX 106. WAKEMED PRIMARY CARE - BRIER CREEK 107. WAKEMED PRIMARY CARE - CAMERON VILLAGE 108. WAKEMED PRIMARY CARE - DOWNTOWN RALEIGH 109. WAKEMED PRIMARY CARE - EMPLOYEE HEALTH 110. WAKEMED PRIMARY CARE - FORESTVILLE CROSSING 111. WAKEMED PRIMARY CARE - FUQUAY VARINA 112. WAKEMED PRIMARY CARE - GARNER 113. WAKEMED PRIMARY CARE - HOLLY SPRINGS 114. WAKEMED CHILDREN'S PEDIATRIC PRIMARY CARE - CLAYTON 115. WAKEMED CHILDREN'S PEDIATRIC PRIMARY CARE - KILDAIRE 116. WAKEMED CHILDREN'S PEDIATRIC PRIMARY CARE - RALEIGH 117. WAKEMED CHILDREN'S PEDIATRICS 118. WAKEMED MYCARE 365 PRIMARY & URGENT CARE - BRIGHTLEAF 119. WAKEMED MYCARE 365 PRIMARY & URGENT CARE - HOPE VALLEY 120. WAKEMED MYCARE 365 PRIMARY & URGENT CARE - LOWES GROVE 121. WAKEMED MYCARE 365 PRIMARY & URGENT CARE - MARKET AT RIVERWOOD 122. WAKEMED MYCARE 365 PRIMARY & URGENT CARE - SPRING FOREST 123. WAKEMED MYCARE 365 PRIMARY & URGENT CARE - TEN TEN 124. WAKEMED MYCARE 365 PRIMARY & URGENT CARE - UNIVERSITY PLACE 125. WAKEMED MYCARE 365 PRIMARY & URGENT CARE - CLAYTON 126. WAKEMED MYCARE 365 PRIMARY & URGENT CARE - FAYETTEVILLE ROAD 127. WAKEMED MYCARE 365 PRIMARY & URGENT CARE - GARNER 128. WAKEMED MYCARE 365 PRIMARY & URGENT CARE - GLENWOOD 129. WAKEMED MYCARE 365 PRIMARY & URGENT CARE - WAKE FOREST 130. WAKEMED MYCARE 365 PRIMARY & URGENT CARE - WEST CARY 131. WAKEMED MYCARE 365 PRIMARY & URGENT CARE - ZEBULON 132. WAKEMED PRIMARY CARE - KILDAIRE 133. WAKEMED PRIMARY CARE - KILDAIRE FARM ROAD 134. WAKEMED PRIMARY CARE - KNIGHTDALE 135. WAKEMED PRIMARY CARE - MORRISVLLE MEDICAL PARK 136. WAKEMED PRIMARY CARE - NORTH RALEIGH 137. WAKEMED PRIMARY CARE - OBERLIN 138. WAKEMED PRIMARY CARE - RALEIGH 139. WAKEMED PRIMARY CARE - WAKE FOREST MEDICAL PARK 140. WAKEMED PRIMARY CARE - WEST CARY 141. WAKEMED COMMUNITY TOBACCO CESSATION
FORM 990, PART III, LINE 4D DESCRIPTION OF OTHER PROGRAM SERVICES	(EXPENSES $ 1,050,768,482 INCLUDING GRANTS OF $ 2,446,070)(REVENUE $ 1,210,037,532) OTHER PROGRAM SERVICES INCLUDE HOSPITAL IN AND OUTPATIENT ANCILLARY CARE SERVICES IN OTHER SPECIALTY AREAS NOT LISTED ABOVE.
FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY	EIGHT MEMBERS OF THE BOARD ARE APPOINTED TO THE BOARD OF DIRECTORS BY WAKE COUNTY.
FORM 990, PART VI, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS	THE WAKE COUNTY BOARD OF COMMISSIONERS HOLDS LIMITED APPROVAL OVER SOME GOVERNING BODY DECISIONS PERTAINING TO ARTICLES V, VI, VII, AND IX IN THE ARTICLES OF INCORPORATION. THE TRANSFER AGREEMENT WITH WAKE COUNTY INDICATES APPROVAL/CONSENT FOR TRANSACTIONS PERTAINING TO SUBSTANTIAL DISPOSITION OF ASSETS AND COVENANTS ON LIENS.
FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY	THE ENTIRE 990 AND ASSOCIATED SCHEDULES ARE REVIEWED BY THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS WHO ACKNOWLEDGE THEY HAVE REVIEWED FORMS AND SCHEDULES AND THEN RECOMMEND APPROVAL TO THE BOARD. A FINAL COPY IS PROVIDED TO THE BOARD BEFORE FILING.
FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY	THE ORGANIZATION MONITORS AND ENFORCES THE CONFLICT OF INTEREST POLICY IN VARIOUS WAYS. EACH YEAR, MEMBERS OF THE BOARD, COMMITTEES WITH BOARD DELEGATE POWERS, CEO, CORPORATE STAFF, EXECUTIVE STAFF, DIRECTORS, AND MANAGERS ARE REQUIRED TO COMPLETE AND SUBMIT A CONFLICT OF INTEREST QUESTIONNAIRE. THOSE INDIVIDUALS ARE REQUIRED TO PROVIDE WRITTEN DOCUMENTATION OF ANY POTENTIAL CONFLICT OF INTEREST, IDENTIFYING MATERIAL FINANCIAL INTEREST/PERSONAL CONFLICTS OF INTEREST. REMEDIAL MEASURES IMPLEMENTED TO ADDRESS CONFLICTS OF INTEREST INCLUDE ABSTENTION FROM VOTING ON CERTAIN ISSUES AS WELL AS RECUSAL FROM THE DECISION MAKING PROCESS AND PARTICIPATION INVOLVING THE IDENTIFIED ISSUE/AREA. THE CODE OF CONDUCT PROVIDES GUIDANCE ON GIFTS AND TRAVEL. GIFTS SHOULD NOT BE ACCEPTED AND PRIOR TO ANY TRAVEL/LODGING PAID FOR BY A THIRD PARTY, WRITTEN APPROVAL MUST BE OBTAINED FROM AN EXECUTIVE VICE PRESIDENT. ALSO, EMPLOYEES WHO OWN OR WORK IN A PRIVATE BUSINESS OUTSIDE OF WAKEMED ARE NOT ALLOWED TO RECRUIT OR PROMOTE THEIR PRODUCTS AND SERVICES DURING WORK HOURS OR THROUGH WAKEMED PRINTED MATERIALS.
FORM 990, PART VI, LINE 15A PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL	REVIEW OF COMPENSATION IS PERFORMED BY AN INDEPENDENT FIRM. CEO COMPENSATION IS REVIEWED WITH AN OUTSIDE FIRM EVERY YEAR. EVERY THREE YEARS AN EXECUTIVE COMPETITIVE COMPENSATION REVIEW IS PERFORMED. ON ALTERNATE YEARS, THE SVP/HR PRESENTS MARKET DATA COMPARISONS TO A BOARD OF DIRECTOR'S COMMITTEE FOR REVIEW.
FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC	THE 990 IS AVAILABLE BY REQUEST AND IS PUBLISHED ON GUIDESTAR. FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE THROUGH THE NC MEDICAL CARE COMMISSION AS IT RELATES TO TAX EXEMPT DEBT. THE ANNUAL AUDITED FINANCIAL STATEMENTS AND TRANSFER AGREEMENT ARE PROVIDED EACH YEAR TO WAKE COUNTY COMMISSIONERS AND BECOME PUBLIC INFORMATION. ARTICLES OF INCORPORATION ARE AVAILABLE ON THE NC SECRETARY OF STATE WEBSITE.
FORM 990, PART VIII, LINE 2F OTHER PROGRAM SERVICE REVENUE	MGMT SRVCS - TOTAL REVENUE: 702729, RELATED OR EXEMPT FUNCTION REVENUE: , UNRELATED BUSINESS REVENUE: 702729, REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ; SOURTHERN ALLIANCE - TOTAL REVENUE: 702729, RELATED OR EXEMPT FUNCTION REVENUE: 702729, UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ; CORP / COMM SVCS - TOTAL REVENUE: 1028183, RELATED OR EXEMPT FUNCTION REVENUE: 1028183, UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ; EDUCATIONAL FEES - TOTAL REVENUE: 628437, RELATED OR EXEMPT FUNCTION REVENUE: 628437, UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ; GUEST ROOM - TOTAL REVENUE: 357131, RELATED OR EXEMPT FUNCTION REVENUE: 357131, UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ; LIBRARY - TOTAL REVENUE: 4670, RELATED OR EXEMPT FUNCTION REVENUE: 4670, UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ; MEDICAL RECORDS - TOTAL REVENUE: 109901, RELATED OR EXEMPT FUNCTION REVENUE: 109901, UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ; PHYS CARE & MGMT SVCS - TOTAL REVENUE: 3997908, RELATED OR EXEMPT FUNCTION REVENUE: 3997908, UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ; STAFF DUES - TOTAL REVENUE: 142542, RELATED OR EXEMPT FUNCTION REVENUE: 142542, UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ; ED TELEPHONE TRIAGE - TOTAL REVENUE: 141988, RELATED OR EXEMPT FUNCTION REVENUE: 141988, UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ; KIDWKS / CHAPLN TUITION - TOTAL REVENUE: 132012, RELATED OR EXEMPT FUNCTION REVENUE: 132012, UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ; VENDING - TOTAL REVENUE: 226564, RELATED OR EXEMPT FUNCTION REVENUE: 226564, UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ; OTHER NONOP REVENUE - TOTAL REVENUE: 3503455, RELATED OR EXEMPT FUNCTION REVENUE: 3503455, UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ;
FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES	CHANGE IN FUND BALANCE - -5214835; UNRESTRICTED TO RESTRICTED - 535438; CAPITAL CONTRIBUTIONS - 268948; ALLEN CHARITABLE TRUST - 11921; TRANSFERS BETWEEN AFFILIATES - -7388894; NON-CAP CONTRIBUTIONS - -129512; TOTAL - -11916934;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (15 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
WAKE SPECIALTY PHYSICIANS LLC
3000 NEW BERN AVENUE	RALEIGH	NC	27610	264169156	MEDICAL OFFICE	NC	$70,906,890	$50,925,041	NA
CSAMS NEW BERN AVENUE LLC
3000 NEW BERN AVENUE	RALEIGH	NC	27610	260554927	HEALTHCARE	NC	$0	$0	NA
WAKEMED SPECIALISTS GROUP LLC
3000 NEW BERN AVENUE	RALEIGH	NC	27610	834333066	MEDICAL OFFICE	NC	$24,476,441	$53,214,469	NA
NETWORK FOR ADVANCING BEHAVIORAL HEALTH
3000 NEW BERN AVENUE	RALEIGH	NC	27610	850731932	HEALTHCARE	NC	$0	$0	NA
CONNECTED COMMUNITY
3000 NEW BERN AVENUE	RALEIGH	NC	27610		HEALTHCARE	NC	$0	$0	NA
WAKEMED INNOVATIONS LLC
3000 NEW BERN AVENUE	RALEIGH	NC	27610	850754377	HEALTHCARE	NC	$0	$0	NA
WAKEMED SURGERY CENTER - CARY LLC
3000 NEW BERN AVENUE	RALEIGH	NC	27610	874584595	HEALTHCARE	NC	$2,945,854	$6,881,748	NA
WAKEMED SURGERY CENTER - NORTH RALEIGH LLC
3000 NEW BERN AVENUE	RALEIGH	NC	27610	921525905	HEALTHCARE	NC	$695,688	$10,564,697	NA
WAKEMED TRAVEL STAFFING LLC
3000 NEW BERN AVENUE	RALEIGH	NC	27610	880859089	HEALTHCARE	NC	$0	-$4,642	NA
WAKEMED ANCILLARY SERVICES LLC
3000 NEW BERN AVENUE	RALEIGH	NC	27610	861889661	HEALTHCARE	NC	$0	$0	NA
WAKEMED AUXILIARY SERVICES LLC
3000 NEW BERN AVENUE	RALEIGH	NC	27610		SHARED SERVICES	NC	$0	$0	NA
WAKEMED OP LLC
3000 NEW BERN AVENUE	RALEIGH	NC	27610	921332941	HEALTHCARE	NC	$86,679,852	$22,066,762	NA
WSG INVESTMENT ENTITY - CARY LLC
3000 NEW BERN AVENUE	RALEIGH	NC	27610		HEALTHCARE	NC	$0	$0	NA
WAKEMED SURGICAL VENTURES
3000 NEW BERN AVENUE	RALEIGH	NC	27610	862939200	HEALTHCARE	NC	$0	$0	NA
WAKEMED BEHAVIORAL HEALTH SERVICES LLC
3000 NEW BERN AVENUE	RALEIGH	NC	27610	883629745	HEALTHCARE	NC	$0	$0	NA

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
WAKE PROPERTY SERVICES
3000 NEW BERN AVENUE	RALEIGH	NC	27610	561133894	LEASING	NC	501(C)(3)	TYPE II	NA	false
WAKE FACULTY PRACTICE PLAN
3000 NEW BERN AVENUE	RALEIGH	NC	27610	237169178	MEDICAL	NC	501(C)(3)	TYPE II	NA	false
THE VOLUNTEERS AT CARY CAMPUS
3000 NEW BERN AVENUE	RALEIGH	NC	27610	561798031	VOLUNTEERS	NC	501(C)(3)	TYPE II	NA	false
WAKEMED FOUNDATION
3000 NEW BERN AVENUE	RALEIGH	NC	27610	561916549	SUPPORT	NC	501(C)(3)	7	NA	false
THE VOLUNTEERS AT RALEIGH CAMPUS
3000 NEW BERN AVENUE	RALEIGH	NC	27610	560749114	VOLUNTEERS	NC	501(C)(3)	TYPE II	NA	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
CAPITAL CITY SURG CNTR
3000 NEW BERN AVE	RALEIGH	NC	27610	260804803	HEALTHCARE	NC	NA	RELATED	false	false	0.51
HOLLY SPRINGS SURGICAL VENTURE LLC
9131 ANSON WAY 304	RALEIGH	NC	27615	473753856	HEALTHCARE	NC	NA	RELATED	false	false	0.67
PEDIATRIC MSO LLC
3000 NEW BERN AVE	RALEIGH	NC	27610	831266724	HEALTHCARE	NC	NA	RELATED	false	false	0.51
WAKE PET SERVICES LLC
3000 NEW BERN AVE	RALEIGH	NC	27610	263108205	HEALTHCARE	NC	NA	RELATED	false	false	0.515
WAKEMED CHILDREN'S PM PEDIATRICS URGENT CARE LLC
3000 NEW BERN AVE	RALEIGH	NC	27610	831612410	HEALTHCARE	NC	NA	RELATED	false	false	0.51
WAKEMED INNOVATIONS VENTURE FUND LLC
3000 NEW BERN AVE	RALEIGH	NC	27610	853301986	HEALTHCARE	NC	NA	RELATED	false	false	0.98

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1ForeignAddress/AddressLine1Txt	Address Line2ForeignAddress/AddressLine2Txt	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Legal Domicile StateLegalDomicileStateCd
ROCKROOM INSURANCE COMPANY (SPC) LTD
62 FORUM LANE 3 FLOOR	PO BOX 30600	CJ	JY11203	566017737	CAPTIVE INSURANCE	CJ	NA	C CORPORATION	1	Yes (true)
QUALITY TEXTILE SERVICES
				561943802	TEXTILE SERVICES		NA	C CORPORATION	0.5	false	313 SOUTH ROGERS LANE	RALEIGH	NC	27610	NC
WAKEMED KEY COMMUNITY CARE LLC
				462853835	HEALTHCARE		NA	C CORPORATION	0.5	false	3000 NEW BERN AVE	RALEIGH	NC	27610	NC

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

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
WAKMED PROPERTY SERVICES
J	$1,163,591	FMV
WAKEMED PROPERTY SERVICES
K	$11,094,591	FMV
WAKEMED PROPERTY SERVICES
S	$11,747,969	FMV
WAKEMED FOUNDATION
C	$5,093,377	FMV
ROCKROOM INSURANCE COMPANY (SPC) LTD
B	$8,590,966	FMV
QUALITY TEXTILE SERVICES
L	$4,260,106	FMV
WAKEMED FOUNDATION
C	$253,122	FMV
WAKEMED PROPERTY SERVICES
R	$50,342,382	FMV