2023-11-14T11:08:04-06:00 2022-12-31 990 2022-01-01 223849199 WAKE FOREST UNIVERSITY HEALTH SCIENCES WAKE 3367164445 MEDICAL CENTER BOULEVARD WINSTONSALEM NC 27157 STEPHAN LILLIE SVP-CFO 3367164445 2023-11-13 STEPHAN LILLIE XXX-XX-XXXX 0 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z JULIE ANN FREISCHLAG MD MEDICAL CENTER BOULEVARD WINSTONSALEM NC 27157 1317397024 0 X WWW.WAKEHEALTH.EDU X 2001 NC TO IMPROVE HEALTH, ELEVATE HOPE AND ADVANCE HEALING FOR ALL. 14 12 2135 1852 1037974 65016 130329303 277209283 453785871 975868524 44524179 -39361966 1188021 3201711 629827374 1216917552 27295413 64958873 0 0 442455761 930387314 6047 1293298 1853965 163775389 362251030 633532610 1358890515 -3705236 -141972963 4063609787 1941039363 3120675433 1110751546 942934354 830287817 X SEE SCHEDULE O FOR CONTINUATIONWAKE FOREST UNIVERSITY HEALTH SCIENCES (AT TIMES ALSO REFERRED TO AS "WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE", "WFUHS OR "THE FILING ORGANIZATION") IS AN INTEGRAL PART OF ATRIUM HEALTH WAKE FOREST BAPTIST (AT TIMES ALSO REFERRED TO AS "AHWFB"), A PREEMINENT LEARNING HEALTH SYSTEM AND ACADEMIC MEDICAL CENTER OF THE HIGHEST QUALITY WITH BALANCED EXCELLENCE IN PATIENT CARE, RESEARCH AND EDUCATION THAT PROMOTES BETTER HEALTH FOR ALL THROUGH COLLABORATION, EXCELLENCE AND INNOVATION. AHWFB'S MISSION IS TO IMPROVE HEALTH, ELEVATE HOPE AND ADVANCE HEALING - FOR ALL AND ITS VISION IS TO BE THE FIRST AND BEST CHOICE FOR CARE. 0 0 102115844 20883170 763586 MEDICAL RESEARCH, GENERAL/OTHER: RESEARCH COMPRISED OF BASIC SCIENCE CLINICAL RESEARCH AND POPULATION BASED STUDIES AND IS CENTERED ON THE ACQUISITION AND ADVANCEMENT OF SCIENTIFIC KNOWLEDGE AND NEW TECHNOLOGY AND THEIR TRANSFER TO INDUSTRY AND THE PATIENT IN ORDER TO PREVENT AND TREAT DISEASE AND PROMOTE HEALTH (1,114 GRANTS). 857603892 568295 913642629 PATIENT CARE AND MEDICAL EXPENSES IN PROVIDING SERVICES TO APPROXIMATELY 1,461,000 PATIENT ENCOUNTERS DURING THE TAX YEAR. 336909574 43507408 62225895 PROFESSIONAL EDUCATION: INSTRUCTION OF 2,076 MEDICAL, GRADUATE, PHYSICIAN ASSISTANT, CRNA, AND BIOMEDICAL ENGINEERING STUDENTS. SCHOLARSHIPS AND AID PROVIDED TO 1,754 STUDENTS. 1296629310 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 1 0 1 1 0 1 1 0 1 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 1 0 0 2135 1 1 1 0 0 0 0 1 1 0 0 0 0 1 0 X 14 12 1 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 KY MD MA MI NH NY OR SC X ERIN KOEWING 3367162276 MEDICAL CENTER BOULEVARD WINSTON SALEM NC 27157 X JULIE ANN FREISCHLAG MD DIRECTOR, CEO, DEAN 15.70 24.30 X X 5155928 0 668096 SUSAN R WENTE PHD DIRECTOR, PRES WFU 3.00 37.00 X X 0 1398169 314071 A DALE JENKINS CHAIR 2.00 0.00 X X 0 0 0 ADELAIDE A SINK DIRECTOR (TO 6/30/22) 2.00 4.00 X 0 0 0 ANN S HANES DIRECTOR (TO 6/30/22) 2.00 0.00 X 0 0 0 BRENDA CLINE DIRECTOR 2.00 0.00 X 0 0 0 CATHY WALL THOMAS MD DIRECTOR 2.00 3.00 X 0 0 0 DONALD E FLOW VICE CHAIR (TO 6/30/22) 3.00 8.00 X X 0 0 0 DONNA A BOSWELL PHD DIRECTOR (TO 6/30/22) 2.00 9.00 X 0 0 0 ERIC EUBANK DIRECTOR (TO 6/30/22) 2.00 4.00 X 0 0 0 JAMES R HELVEY III DIRECTOR (TO 6/30/22) 2.00 0.00 X 0 0 0 JANICE STORY DIRECTOR (TO 6/30/22) 2.00 3.00 X 0 0 0 JOHN M VANN DIRECTOR 4.00 8.00 X 0 0 0 MATTHEW A KING DIRECTOR 2.00 10.00 X 0 0 0 MATTHEW CRAWFORD DIRECTOR (TO 6/30/22) 2.00 3.00 X 0 0 0 PETE CARLSON DIRECTOR (TO 6/30/22) 2.00 0.00 X 0 0 0 CURTIS C FARMER DIRECTOR (FR 7-1-22) 2.00 0.00 X 0 0 0 MARYBETH TORBET HAYS DIRECTOR (FR 7-1-22) 2.00 0.00 X 0 0 0 JAMES M O'CONNELL DIRECTOR (FR 7-1-22) 2.00 0.00 X 0 0 0 GERALD F ROACH DIRECTOR (FR 7-1-22) 2.00 0.00 X 0 0 0 MIT B SHAH DIRECTOR (FR 7-1-22) 2.00 0.00 X 0 0 0 SHANNAN SPENCE TOWNSEND DIRECTOR (FR 7-1-22) 2.00 0.00 X 0 0 0 ERIC C WISEMAN DIRECTOR (FR 7-1-22) 2.00 0.00 X 0 0 0 TERRY G WILLIAMS EVP, CH STRATEGY OFF (TO 7/31/22) 1.00 39.00 X 1690428 0 289736 KEVIN P HIGH MD PRES, HEALTH SYSTEM 5.80 34.20 X 1579819 0 290900 BRADLEY A CLARK EVP, TREASURER 1.00 39.00 X 1335054 0 135513 TERRY L HALES JR ASST TREASURER 35.20 4.80 X 819018 0 146647 LISA M MARSHALL VP, CH PHIL OFF 10.50 29.50 X 0 606014 101136 STEPHAN L LILLIE SVP, CFO 9.70 30.30 X 0 526927 96105 WILLIAM D SHOWALTER SVP, CH INFO OFF (TO 5/13/22) 5.00 35.00 X 0 520841 29632 ANITA M CONRAD ASST SECRETARY 12.00 28.00 X 0 201322 43395 J REID MORGAN GEN COUNSEL & SEC 8.00 32.00 X 0 647740 142213 L ANDREW KOMAN MD DEPT. CHAIR 38.00 2.00 X 1922726 0 47175 EDWARD H KINCAID MD DEPT. CHAIR 40.00 0.00 X 1614311 0 50130 ANTHONY ATALA MD DEPT. CHAIR 39.50 0.50 X 1374790 0 222841 DAVID ZHAO MD DEPT. CHAIR 38.00 2.00 X 1194415 0 129667 KENNETH LENNON MD CLIN ADJ FACULTY 40.00 0.00 X 0 1214277 49376 KAREN H HUEY FORMER OFF (9-25-21) 0.00 0.00 X 0 277946 4452 NATHAN O HATCH PHD FORMER OFF (6-30-21) 0.00 0.00 X 0 965961 59341 16686489 6359197 2820426 1336 1 1 1 FRANK L BLUM CONSTRUCTION COMPANY PO BOX 4153 WINSTONSALEM NC 27115 CONSTRUCTION CONTRACT SERVICES 13971121 NTHRIVE INC PO BOX 676188 DALLAS TX 75267 CODING, BILLING & COLLECTION SERVICES 12781457 BRASFIELD & GORRIE LP 3021 7TH AVENUE S BIRMINGHAM AL 35233 CONSTRUCTION CONTRACT SERVICES 11004512 HKS INC PO BOX 731121 DALLAS TX 75373 ARCHITECTURAL SERVICES 7490248 CASSIDY TURLEY FIDUCIARY INC 525 VINE STREET 156 WINSTONSALEM NC 27101 REAL ESTATE CONSULTING SERVICES 6018633 155 479873 716888 202672849 73339673 1685280 277209283 PATIENT SERVICE REVENUE 621111 913642629 913642629 TUITION REVENUE 611310 62225895 62225895 975868524 48463766 486296 47977470 1058275 1058275 956769 0 956769 956769 956769 12320005 0 100145737 12320005 -100145737 -87825732 -87825732 0 479873 333735 -333735 -333735 OTHER REVENUE 900099 1315264 763586 551678 PARKING REVENUE 812930 205138 205138 1520402 1216917552 976632110 1037974 -37961815 39283562 39283562 25404625 25404625 270686 270686 27012682 13479328 13506341 27013 736298900 716405449 19646410 247041 56697873 55128325 1512850 56698 55832369 54353683 1422916 55770 54545490 53035527 1455418 54545 5057495 5057495 561719 561719 197705 197705 1293298 1293298 7090473 4781296 2302087 7090 59309797 55307194 3985619 16984 449363 380659 68255 449 12871762 11393649 1465241 12872 4005682 3545695 455982 4005 204573 204573 60452028 53510096 6881480 60452 6691470 5926834 757977 6659 2155529 1908002 245372 2155 7265585 4906644 2358941 34931153 32563508 2367645 4196770 3719036 477734 MEDICAL SUPPLIES 78895314 78895314 BAD DEBT 69097443 69097443 OTHER SUPPLIES 7506371 6644386 854478 7507 INCOME TAXES -291675 -210044 -81631 1602473 1438640 162406 1427 1358890515 1296629310 60407240 1853965 8778364 73622386 84812738 2210517421 125686449 304381 15254169 2610885 4262528 6258171 4259219 987502468 603435003 362990661 384067465 3630000 1180000 1108691731 1056874535 13997460 3298532 1691044 2284834 279295647 250280530 4063609787 1941039363 2645115016 683629194 67723176 65309479 127538990 119381173 44755255 40819969 235542996 201611731 3120675433 1110751546 X 633375796 533257154 309558558 297030663 942934354 830287817 4063609787 1941039363 X -141972963 -69743 29396169 X 0 1 X 1 1 1 X 227062586 253761428 407730955 130329303 277209283 1296093555 227062586 253761428 407730955 130329303 277209283 1296093555 1296093555 35707999 34702463 42460439 24680284 50478810 188029995 236203 95211 65016 396430 445070 261443 231845 274294 205138 1417790 1485937770 3919914261 0.87220 0.87560 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2018 AMOUNT: $ 445,070. 2019 AMOUNT: $ 261,443. 2020 AMOUNT: $ 231,845. 2021 AMOUNT: $ 274,294. 2022 AMOUNT: $ 205,138. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 196259 0 1 1446 197705 0 PART II-B, LINE 1: SUPPORT OF THE MEDICAL CENTER'S OFFICE OF GOVERNMENT RELATIONS, AND PRORATA PORTION OF DUES PAID TO STATE AND LOCAL 501(C)(6) ORGANIZATIONS THAT REPRESENTS LOBBYING ON BEHALF OF ITS MEMBERS. THE ORGANIZATION HAS A GOVERNMENT RELATIONS OFFICE. EMPLOYEES OF THE FILING ORGANIZATION (AND RELATED ORGANIZATION) IN THAT OFFICE WILL SOMETIMES MAKE DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY. THE OFFICE OF GOVERNMENT RELATIONS WAS ACTIVELY INVOLVED WITH SEVERAL FEDERAL AND STATE ISSUES. THE OFFICE ASSISTED IN DEVELOPING POLITICAL ADVOCACY STRATEGIES REGARDING: CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) MEDICAID REGULATIONS, THE PRESIDENTIAL FY23 BUDGET REQUEST FOCUSING ON DRUG PRICING, PROPOSED 340B PROGRAM CHANGES, PROPOSED CHANGES TO THE USE OF NON-HUMAN PRIMATE MODELS IN BIOMEDICAL RESEARCH, FY23 APPROPRIATIONS INCLUDING LABOR/HEALTH AND HUMAN SERVICES (HHS) BILL AND FUNDING FOR THE NATIONAL INSTITUTES OF HEALTH (NIH), AND ADDITIONAL FUNDING FOR GRADUATE MEDICAL EDUCATION RESIDENCY SLOTS. IN ADDITION, THE OFFICE WORKED WITH THE NORTH CAROLINA CONGRESSIONAL DELEGATION ON APPROPRIATIONS RELATED TO THE DEPARTMENT OF DEFENSE THROUGH THE REAUTHORIZATION OF THE NATIONAL DEFENSE AUTHORIZATION ACT (NDAA) AS WELL AS THE DEFENSE SUBCOMMITTEE APPROPRIATIONS BILLS. THE OFFICE ALSO WORKED ON POLICIES RELATED TO TELEMEDICINE AT STATE AND FEDERAL LEVELS. THE OFFICE PARTICIPATED IN NUMEROUS CONFERENCE CALLS, WEB-EX MEETINGS AND ONE-ON-ONE CALLS WITH CONGRESSIONAL MEMBERS AND STAFFERS ON ONGOING COVID-19 MATTERS. AT THE STATE LEVEL, THE OFFICE CONTINUED TO WORK ON MEDICAID EXPANSION AND MEDICAID FINANCING. THE ORGANIZATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA), ASSOCIATION OF AMERICAN MEDICAL COLLEGES (AAMC), AND THE NORTH CAROLINA HEALTHCARE ASSOCIATION (NCHA). A PORTION OF THE MEMBERSHIP DUES PAID ARE ALLOCATED TO LOBBYING EFFORTS BY THOSE ORGANIZATIONS ON BEHALF OF THEIR MEMBERSHIP BODIES. 810953445 12163824 -40772552 32848501 749496216 786210017 5121186 35279561 15657319 810953445 501154228 163605551 147363799 25913561 786210017 506961544 12381262 5123015 23311593 501154228 505143113 4444120 19556385 22182074 506961544 0.65120 0.25230 0.09650 0 1 1 54735921 54735921 523962122 330537279 193424843 31709328 14932594 16776734 304868152 232648885 72219267 72226945 25316245 46910700 384067465 INVEST - ENDOWMENT 788521947 F INVEST - JOINT VENTURES 267876579 F INVEST - ANNUITIES & LIFE INS CONTRACTS 476009 F 1056874535 OTHER INVESTMENTS 10343195 BENEFICIAL INTEREST IN PERPETUAL TRUSTS 25664547 FUNDS HELD UNDER RETIREMENT & BENEFIT PLANS 99235594 OPERATING LEASES (LESS ACCUM DEPREC) 115037194 250280530 PLI RESERVE 45294547 BOND SWAP VALUATION 1180959 OTHER LIABILITIES & DEFERRALS 13901080 ANNUITIES PAYABLE 3755479 RETIREMENT 17926104 OPERATING LEASE PAYABLE 119553562 201611731 X PART V, LINE 4: THE ORGANIZATION'S ENDOWMENT FUNDS ARE USED TO SUPPORT SCHOLARSHIPS, INSTRUCTION, RESEARCH, LIBRARIES, AND OTHER ACADEMIC/OPERATIONAL/GENERAL EXPENDITURES. PART X, LINE 2: THE ORGANIZATION HAS EVALUATED UNCERTAIN TAX POSITIONS FOR ITS CALENDAR YEAR ENDED DECEMBER 31, 2022 AND SHORT PERIOD ENDED DECEMBER 31, 2021, INCLUDING A QUANTIFICATION OF TAX RISK IN AREAS SUCH AS UNRELATED BUSINESS TAXABLE INCOME AND THE TAXATION OF ITS JOINT VENTURES. THIS EVALUATION DID NOT HAVE A MATERIAL EFFECT ON THE ORGANIZATION'S FINANCIAL STATEMENTS FOR THE CALENDAR YEAR ENDED DECEMBER 31, 2022 AND SHORT PERIOD ENDED DECEMBER 31, 2021. 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 1 SCHEDULE E, PART I, LINE 3 SEE PART II THE ORGANIZATION'S NONDISCRIMINATION POLICY IS PUBLISHED ON THE INTERNET AND IN ITS STUDENT HANDBOOK FOR THE SCHOOL OF MEDICINE'S MD PROGRAM, PA STUDIES, CRNA PROGRAM, DOCTOR OF NURSING PRACTICE PROGRAM, AND GRADUATE SCHOOL, IN ADMISSION BROCHURES AND OTHER MEDIA MATERIALS. SEE HTTPS://SCHOOL.WAKEHEALTH.EDU/SEARCH?Q=STUDENT+HANDBOOK; HTTPS://SCHOOL.WAKEHEALTH.EDU/EDUCATION-AND-TRAINING/STUDENT-AFFAIRS/TITLE- IX; AND HTTPS://SCHOOL.WAKEHEALTH.EDU/EDUCATION-AND-TRAINING/STUDENT-AFFAIRS/DIVERS ITY-AND-INCLUSION SCHEDULE E, PART I, LINE 6 THE ORGANIZATION RECEIVES FEDERAL FINANCIAL AID THROUGH THE U.S. DEPARTMENT OF EDUCATION'S FEDERAL DIRECT LOAN PROGRAM. WFUHS DISTRIBUTED THE FEDERAL LOANS TO 862 STUDENTS FOR THE YEAR ENDED DECEMBER 31, 2022. EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 PROGRAM SERVICES SUBCONTRACT FOR RESEARCH 270686 0 0 0 0 0 0 270686 0 270686 EUROPE (INCLUDING ICELAND & GREENLAND) RESEARCH SYSTEMS GENETICS OF ADIPOSITY TRAITS IN OUTBRED RATS 87112 CHECK 0 EUROPE (INCLUDING ICELAND & GREENLAND) STUDY TO UNDERSTAND THE GENETIC ARCHITECTURE OF NAFLD (NON-ALCOHOLIC FATTY LIVER DISEASE) AND LINK THEM TO GENES THAT CAN BE TARGETED FOR THERAPEUTIC INTERVENTION 9504 CHECK 0 EUROPE (INCLUDING ICELAND & GREENLAND) STUDY TO DETERMINE IF NOP RECEPTORS ARE TARGETS FOR NEW MEDICATIONS FOR AUD (ALCOHOL USE DISORDER). 63959 CHECK 0 EUROPE (INCLUDING ICELAND & GREENLAND) RESEARCH EARLY LIFE FACTORS, GENE-ENVIRONMENT INTERACTION AND EOSINOPHILIC ESOPHAGITIS 120293 CHECK 0 0 4 1 0 0 1 0 1 PART III ACCOUNTING METHOD: X X X X X X X 1 GRAHAM PELTON ASSOCIATES INC 39 BEECHWOOD ROAD SUMMIT NJ 07901 CAMPAIGN FEASIBILITY CONSULTING 0 0 212470 -212470 WEALTH QUOTIENT 503 ARVERN COURT ALTAMONTE SPRINGS FL 32701 SOLICITATION CONSULTING 0 0 33000 -33000 ACOUSTIC LP 1125 OAK STREET STE 201 CONWAY AR 72032 CAMPAIGN COMMUNICATIONS CONSULTING 0 0 38572 -38572 DRAKE QUANTOUS LLC DBA ATTICUS TECHNOLOGY 1540 KELLER PARKWAY SUITE 108-466 KELLER TX 76248 SOLICITATION CONSULTING 0 0 1000000 -1000000 BOINGO GRAPHICS 656 MICHAEL WYLIE DR CHARLOTTE NC 28217 CAMPAIGN COMMUNICATIONS CONSULTING 0 0 9256 -9256 1293298 -1293298 AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY DC BCH CHEERS 323984 323984 16064 46668 29380 30656 SUMMERLARK 155889 155889 7358 24930 120147 58531 479873 479873 23422 71598 149527 89187 333734 -333734 1 WAKE FOREST UNIVERSITY 1834 WAKE FOREST RD BOX 7201 WINSTONSALEM NC 27109 560532138 501(C)(3) 2000000 0 ACADEMIC ENRICHMENT FUND LEXINGTON MEDICAL CENTER FOUNDATION INC PO BOX 1817 250 HOSPITAL DRIVE LEXINGTON NC 27293 581876553 501(C)(3) 11213 0 SUPPORTING THE OPERATIONS OF THE FOUNDATION'S MISSION DON'T EVER GIVE UP 14600 WESTON PARKWAY CARY NC 27513 475304184 501(C)(3) 25000 0 CANCER RESEARCH SUPPORT PIEDMONT TRIAD PARTNERSHIP PO BOX 2672 HIGH POINT NC 27261 561750279 501(C)(3) 50000 0 COMMUNITY HEALTH INITIATIVE ALLEGHANY MEMORIAL HOSPITAL FOUNDATION INC 233 DOCTORS STREET SPARTA NC 28675 562012635 501(C)(3) 10050 0 SUPPORTING THE OPERATIONS OF THE FOUNDATION'S MISSION ATRIUM HEALTH FOUNDATION PO BOX 32861 CHARLOTTE NC 282322861 566060481 501(C)(3) 12000 0 SUPPORTING THE OPERATIONS OF THE FOUNDATION'S MISSION HUGH CHATHAM MEMORIAL HOSPITAL INC 180 PARKWOOD DRIVE ELKIN NC 28621 560642846 501(C)(3) 6000 0 SUPPORTING THE HOSPITAL OPERATIONS SENIOR SERVICES INC 2895 SHOREFAIR DRIVE NW WINSTONSALEM NC 27105 561085968 501(C)(3) 121153 0 COMMUNITY HEALTH INITIATIVE WINSTON-SALEM ALLIANCE 100 N MAIN STREET STE 2550 WINSTONSALEM NC 27101 311726654 501(C)(6) 40000 0 COMMUNITY HEALTH INITIATIVE YMCA OF NORTHWEST NORTH CAROLINA 301 N MAIN ST 1900 WINSTON SALEM NC 27101 560530015 501(C)(3) 10158 0 COMMUNITY HEALTH INITIATIVE 9 1 SCHOLARSHIPS AND FELLOWSHIPS 892 25400403 ASSISTANCE TO PATIENTS - FINANCIAL ASSISTANCE 51 4222 PART I, LINE 2: THE ORGANIZATION FOLLOWS THE MEDICAL CENTER'S CORPORATE POLICY IN REVIEWING THE ELIGIBILITY AND SELECTION OF GRANTEES RECEIVING CERTAIN EXEMPT PURPOSE FUNDS. THE ORGANIZATION MAINTAINS DOCUMENTATION OF THE ELIGIBILITY AND SELECTION CRITERIA AND RECORDS OF THE AMOUNTS DISBURSED. SCHEDULE I, PART III, GRANTS & OTHER ASSISTANCE TO DOMESTIC INDIVIDUALS THE ORGANIZATION MONITORS THE ACADEMIC PROGRESS AND OTHER ACHIEVEMENTS OF STUDENTS RECEIVING SCHOLARSHIPS AND FELLOWSHIPS. X X 1 1 0 0 0 0 0 1 0 JULIE ANN FREISCHLAG MD DIRECTOR, CEO, DEAN 2280990 0 2286000 0 588938 0 641866 0 26230 0 5824024 0 513500 0 TERRY G WILLIAMS EVP, CH STRATEGY OFF (TO 7/31/22) 819455 0 833750 0 37223 0 258788 0 30948 0 1980164 0 0 0 L ANDREW KOMAN MD DEPT. CHAIR 981785 0 297920 0 643021 0 21805 0 25370 0 1969901 0 0 0 KEVIN P HIGH MD PRES, HEALTH SYSTEM 969210 0 446637 0 163972 0 260084 0 30816 0 1870719 0 137928 0 SUSAN R WENTE PHD DIRECTOR, PRES WFU 0 988512 0 280000 0 129657 0 240250 0 73821 0 1712240 0 0 EDWARD H KINCAID MD DEPT. CHAIR 1110554 0 479645 0 24112 0 20258 0 29872 0 1664441 0 0 0 ANTHONY ATALA MD DEPT. CHAIR 919826 0 259920 0 195044 0 188361 0 34480 0 1597631 0 170000 0 BRADLEY A CLARK EVP, TREASURER 790574 0 506925 0 37555 0 100623 0 34890 0 1470567 0 34657 0 DAVID ZHAO MD DEPT. CHAIR 786506 0 198611 0 209298 0 107295 0 22372 0 1324082 0 184088 0 KENNETH LENNON MD CLIN ADJ FACULTY 0 1213863 0 0 0 414 0 22340 0 27036 0 1263653 0 0 NATHAN O HATCH PHD FORMER OFF (6-30-21) 0 936358 0 0 0 29603 0 30500 0 28841 0 1025302 0 0 TERRY L HALES JR ASST TREASURER 493678 0 222723 0 102617 0 115923 0 30724 0 965665 0 81185 0 J REID MORGAN GEN COUNSEL & SEC 0 551895 0 75000 0 20845 0 105500 0 36713 0 789953 0 0 LISA M MARSHALL VP, CH PHIL OFF 0 431844 0 137313 0 36857 0 90758 0 10378 0 707150 0 0 STEPHAN L LILLIE SVP, CFO 0 413720 0 112451 0 756 0 85069 0 11036 0 623032 0 0 WILLIAM D SHOWALTER SVP, CH INFO OFF (TO 5/13/22) 0 192487 0 226796 0 101558 0 21047 0 8585 0 550473 0 99249 KAREN H HUEY FORMER OFF (9-25-21) 0 0 0 74196 0 203750 0 4452 0 0 0 282398 0 0 ANITA M CONRAD ASST SECRETARY 0 200926 0 0 0 396 0 21108 0 22287 0 244717 0 0 PART I, LINE 3 AS MOST OF THE OFFICERS AND OTHER SENIOR EXECUTIVES OF THE FILING ORGANIZATION HOLD IDENTICAL OFFICES OR POSITIONS IN RELATED ORGANIZATION WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER ("WFUBMC") AND IN UNRELATED BUT AFFILIATED ORGANIZATIONS NORTH CAROLINA BAPTIST HOSPITAL ("NCBH") AND CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY (CMHA), THE DETERMINATION OF THE COMPENSATION OF SUCH INDIVIDUALS IS CONDUCTED VIA THE PROCESS UTILIZED BY THE WFUBMC BOARD, AS FOLLOWS: THE DIVERSITY, INCLUSION, & COMPENSATION COMMITTEE (THE "COMMITTEE") OF THE ATRIUM HEALTH, INC. BOARD OF DIRECTORS HAS AUTHORITY AS THE WFUBMC BOARD DELEGATES TO IT, FOR THE REVIEW AND APPROVAL OF SENIOR EXECUTIVE COMPENSATION, INCLUDING SENIOR EXECUTIVE INCENTIVE PLANS. NO MEMBER OF THE COMMITTEE IS AN EMPLOYEE OF WFUBMC OR OF THE FILING ORGANIZATION. THE COMMITTEE RELIES UPON AN EXTERNAL, INDEPENDENT COMPENSATION CONSULTANT EXPERIENCED IN HEALTHCARE TO PROVIDE THE COMMITTEE WITH COMPENSATION COMPARABILITY DATA FOR NEW EXECUTIVE POSITION APPOINTMENTS AND FOR COMPENSATION REVIEWS FOR EXISTING EXECUTIVES. THE CONSULTANT, WHICH IS RETAINED DIRECTLY BY THE COMMITTEE, PROVIDES THIRD-PARTY INFORMATION AND EVALUATES THE COMPETITIVENESS AND REASONABLENESS OF EXECUTIVE COMPENSATION AND BENEFITS PROGRAMS IN RELATION TO MARKET PRACTICES FOR SIMILARLY SITUATED HEALTHCARE ORGANIZATIONS. THE COMMITTEE MAKES ITS DECISIONS WITH RESPECT TO EXECUTIVE COMPENSATION IN ACCORDANCE WITH WFUBMC AND FILING ORGANIZATION POLICIES, IRS REGULATIONS, AND STANDARD CORPORATE GOVERNANCE PRACTICES. SUCH POLICIES INCLUDE ADHERENCE TO EXECUTIVE COMPENSATION PHILOSOPHY AND REVIEW PROCESSES; PROCESSES ENSURING COMMITTEE MEMBER AND COMPENSATION CONSULTANT INDEPENDENCE; USE OF VALID MARKET COMPARISONS OF DATA FROM HEALTHCARE ORGANIZATIONS OF SIMILAR SIZE, STRUCTURE, AND COMPLEXITY AND ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS, PER IRS GUIDELINES. MINUTES OF THE DELIBERATIONS OF THE COMMITTEE ARE MAINTAINED IN THE ATRIUM HEALTH, INC. LEGAL DEPARTMENT. FOUR OF THE FILING ORGANIZATION'S OFFICERS OR FORMER OFFICERS ARE COMPENSATED BY RELATED ORGANIZATION WAKE FOREST UNIVERSITY ("WFU"), AND THEIR COMPENSATION IS REVIEWED AND APPROVED IN ACCORDANCE WITH WFU'S SIMILAR PROCEDURES. THIS PROCESS IS ALSO DESCRIBED IN THE NARRATIVE EXPLANATION TO FORM 990, PART VI, SECTION B, LINE 15, FOUND IN SCHEDULE O. PART I, LINES 4A-B CERTAIN DIRECTORS, OFFICERS, AND HIGHLY COMPENSATED EMPLOYEES OF THE FILING ORGANIZATION PARTICIPATED IN AND/OR RECEIVED PAYMENTS FROM A NON-QUALIFIED DEFERRED COMPENSATION PLAN (RESTORATION OR SERP) AND/OR RECEIVED PAYMENTS FOR SEVERANCE. THE DETERMINATION OF THE PAYMENT AMOUNT FROM NON-QUALIFIED DEFERRED COMPENSATION PLANS FOLLOWED THE EMPLOYMENT ORGANIZATION'S COMPENSATION PROCEDURES. THE FOLLOWING DIRECTORS, OFFICERS, AND HIGHLY COMPENSATED EMPLOYEES RECEIVED PAYMENTS FOR SEVERANCE AND/OR PAYMENTS FROM NON-QUALIFIED DEFERRED COMPENSATION PLANS DURING THE CURRENT TAX YEAR: SEVERANCE PAYMENTS: KAREN HUEY $203,750 NON-QUALIFIED DEFERRED COMPENSATION PAYMENTS: ANTHONY ATALA, MD $170,000 BRADLEY A. CLARK $34,775 JULIE FREISCHLAG, MD $513,500 TERRY L. HALES, JR. $81,185 KEVIN HIGH, MD $137,928 WILLIAM SHOWALTER $99,248 DAVID ZHAO, MD $184,088 LISA M. MARSHALL $31,313 ANDREW KOMAN, MD $610,920 SUSAN R. WENTE, PHD $225,000 J. REID MORGAN $75,000 PART I, LINE 7 CERTAIN OFFICERS, KEY EMPLOYEES AND FACULTY MEMBERS HAVE INCENTIVE COMPENSATION COMPONENTS CONTAINED IN THEIR EMPLOYMENT AGREEMENTS. THESE ARE OFTEN GOAL-BASED AND ARE DETERMINED IN THE COURSE OF EVALUATION OF THE INDIVIDUAL'S PERFORMANCE BY HIS/HER DEPARTMENT CHAIR, SUPERVISOR OR THE COMPENSATION COMMITTEE OF THE BOARD, AS APPLICABLE. FORM 990, PART VII, LINE 5 - COMPENSATION FROM UNRELATED ORGANIZATIONS THE FOLLOWING OFFICERS WERE COMPENSATED BY THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY ("CMHA", DOING BUSINESS AS ATRIUM HEALTH), AN AFFILIATED BUT UNRELATED ORGANIZATION, FOR SERVICES RENDERED TO THE ORGANIZATION. SEE PART VII AND SCHEDULE J, PART II FOR THEIR COMPENSATION. BRADLEY A. CLARK TERRY G. WILLIAMS A NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 65821DNF4 2012-11-15 129019661 CURRENT REFUND ISSUE DTD 10/16/2008 0 0 0 B NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 65821DWH0 2019-03-07 45655000 VARIOUS CAPITAL PROJECTS 0 0 0 A 40580000 129019661 568 129019093 2012 1 0 1 1 B 4790000 46053368 398368 45655000 2019 0 1 1 1 B 0 1 1 1 0 0.00200 0.00000 0.00200 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 1 0 0 1 0 0 0 1 A 1 B 1 PART I, ROW B, COLUMN F: THE PURPOSE OF THE ISSUE WAS TO REFUND A 2017 TAXABLE FINANCING WHICH WAS USED TO REFUND THE WFUHS 2012C ISSUE PART I, ROW B, COLUMN E: THE SERIES 2019 ISSUE WAS ISSUED AS ONE ISSUE FOR FEDERAL TAX PURPOSES IN THE AMOUNT OF $212,563,368. THE AMOUNT OF $46,053,368 IS THE PORTION OF THE ISSUE WAKE FOREST UNIVERSITY HEALTH SCIENCES IS RESPONSIBLE FOR. THE OTHER PORTIONS OF THE ISSUE ARE REPORTED ON SCHEDULE K OF FORM 990 FOR NORTH CAROLINA BAPTIST HOSPITAL ($73,819,143) AND WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER ($92,690,857) PART II, LINE 11 COLUMNS A & B: THE OTHER SPENT PROCEEDS LISTED ARE THE REFUNDING PROCEEDS OF THE ISSUE THAT ARE NO LONGER IN ESCROW PART III, COLUMN A: THE SERIES 2012B REFUNDED AN ISSUE DATED 10/16/2008. THE SOLE PURPOSE OF THE 2008 ISSUE WAS THE REFUNDING OF ISSUES DATED PRIOR TO 12/31/2002. ACCORDINGLY, THE ISSUE IS EXEMPT FROM COMPLETING PART III OF SCHEDULE K. X 30 758470 FMV X 1 1654 FMV X 4 162530 FMV X MEDICAL PRACTICE 1 762000 FMV X GIFT CARDS 1 625 FMV 0 0 1 1 PART I, COLUMN (B): THE ORGANIZATION DETERMINES THE NUMBER OF CONTRIBUTIONS BY USING THE TOTAL NUMBER OF NON-CASH ITEMS RECEIVED PER DONOR BY OCCURRENCE. PART I, LINE 32B: THE FILING ORGANIZATION SOMETIMES USES A RELATED ORGANIZATION, WAKE FOREST UNIVERSITY DEVELOPMENT FOUNDATION, TO SELL GIFTS OF DONATED REAL PROPERTY. PART III, LINE 4, PROGRAM SERVICE ACCOMPLISHMENTS WAKE FOREST UNIVERSITY HEALTH SCIENCES ("WFUHS"), THE FILING ORGANIZATION, IS AN INTEGRAL PART OF ATRIUM HEALTH WAKE FOREST BAPTIST ("AHWFB"), A PREEMINENT ACADEMIC HEALTH SYSTEM OF THE HIGHEST QUALITY WITH BALANCED EXCELLENCE IN PATIENT CARE, RESEARCH AND EDUCATION THAT PROMOTES BETTER HEALTH FOR ALL THROUGH COLLABORATION AND INNOVATION. THE FOLLOWING PARAGRAPHS ARE PROVIDED TO EXPLAIN THE RELATIONSHIP OF THE FILING ORGANIZATION WITH OTHER ORGANIZATIONS WHICH TOGETHER COMPRISE "ATRIUM HEALTH WAKE FOREST BAPTIST", THE NAME NOT OF ANY ONE CORPORATE ENTITY, BUT USED GENERICALLY TO DESCRIBE A LARGE GROUP OF MOSTLY 501(C)(3) ORGANIZATIONS PERFORMING VARIOUS ACADEMIC MEDICAL CENTER ACTIVITIES IN NORTHWEST NORTH CAROLINA, INCLUDING PATIENT CARE, MEDICAL RESEARCH, TECHNOLOGY TRANSFER, AND MEDICAL EDUCATION. WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER ("WFUBMC") IS A NORTH CAROLINA NONPROFIT CORPORATION WHOSE THREE MEMBERS ARE WAKE FOREST UNIVERSITY, NORTH CAROLINA BAPTIST HOSPITAL ("NCBH") AND ATRIUM HEALTH INC. (EACH OF WHICH IS A NORTH CAROLINA NONPROFIT CORPORATION EXEMPT FROM TAX UNDER IRC SECTION 501(C)(3)). PURSUANT TO AN AGREEMENT, INITIALLY ENTERED INTO ON JULY 1, 2010, AND SUBSEQUENTLY AMENDED AND RESTATED MULTIPLE TIMES INCLUDING, EFFECTIVE OCTOBER 9, 2020 AND AS AMENDED FEBRUARY 24, 2021 TO ADD ATRIUM HEALTH, INC. AS A PARTY THERETO (INITIALLY KNOWN AS THE "MEDICAL CENTER INTEGRATION AGREEMENT AND NOW AS THE "AMENDED AND RESTATED MEDICAL CENTER INTEGRATION AGREEMENT OR THE "MCIA"), WFUBMC IS THE OVERALL UMBRELLA OPERATING ENTITY OF THE ATRIUM HEALTH SYSTEM'S NORTHWEST NORTH CAROLINA COMPONENT ENTITIES. NCBH AND THE FILING ORGANIZATION (WFUHS) AND THEIR RESPECTIVE SUBSIDIARIES ARE OPERATED, PURSUANT TO DELEGATIONS IN THE MCIA, BY WFUBMC AS "ATRIUM HEALTH WAKE FOREST BAPTIST". THE FILING ORGANIZATION, IN TURN, OPERATES THE WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE. ON OCTOBER 9, 2020, THE CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY ("CMHA"), WAKE FOREST UNIVERSITY, NCBH, WFUBMC AND THE FILING ORGANIZATION FORMED A SINGLE, INTEGRATED HEALTH CARE DELIVERY SYSTEM THROUGH A JOINT OPERATING COMPANY, ATRIUM HEALTH, INC. (A NORTH CAROLINA NONPROFIT CORPORATION PREVIOUSLY ORGANIZED BY CMHA AND WFUBMC). THROUGH THIS HEALTH CARE SYSTEM INTEGRATION AND PURSUANT TO AN AGREEMENT KNOWN AS THE "ENTERPRISE AGREEMENT," ATRIUM HEALTH, INC. MANAGES AND OVERSEES THE BUSINESS, FACILITIES, SERVICES, PERSONNEL, AND ACTIVITIES OF CMHA AND WFUBMC (COLLECTIVELY THE "ENTERPRISE"). THE ENTERPRISE ENCOMPASSES 42 HOSPITALS AND MORE THAN 1,500 CARE LOCATIONS, AND IT SERVES MORE THAN 7 MILLION PEOPLE ACROSS NORTH CAROLINA, SOUTH CAROLINA, GEORGIA AND VIRGINIA. NOTE THAT THE FOLLOWING NARRATIVE INCLUDES IN SOME OF ITS DESCRIPTIONS THE ADDITIONAL OPERATIONS OF THE ENTERPRISE THROUGH DAVIE MEDICAL CENTER (TRADING AS ATRIUM HEALTH WAKE FOREST BAPTIST DAVIE MEDICAL CENTER), HIGH POINT REGIONAL HEALTH (TRADING AS ATRIUM HEALTH WAKE FOREST BAPTIST HIGH POINT MEDICAL CENTER), LEXINGTON MEDICAL CENTER (TRADING AS ATRIUM HEALTH WAKE FOREST BAPTIST LEXINGTON MEDICAL CENTER), WRMC HOSPITAL OPERATING CORPORATION (TRADING AS ATRIUM HEALTH WAKE FOREST BAPTIST WILKES MEDICAL CENTER), AND WAKE FOREST HEALTH NETWORK LLC, THE SOLE MEMBER OF EACH OF WHICH IS WFUBMC, AS WELL AS ORGANIZATIONS RELATED TO (OR UNRELATED BUT AFFILIATED WITH) WFUBMC, IN ORDER TO PROVIDE A MORE COMPLETE PICTURE OF THE FILING ORGANIZATION'S ROLE IN THE INTEGRATED HEALTH SYSTEM'S COMPREHENSIVE ACTIVITIES. ATRIUM HEALTH WAKE FOREST BAPTIST IS NORTHWEST NORTH CAROLINA'S SOLE ACADEMIC LEARNING HEALTH SYSTEM, BRINGING TO THE REGION THE RESOURCES OF ONE OF AMERICA'S TOP HOSPITALS AND INNOVATIVE RESEARCH CENTERS AND A PREMIER MEDICAL SCHOOL. IT OPERATES WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE, WHICH HAS A FACULTY OF 2,376, INCLUDING PHYSICIANS AND BASIC SCIENTISTS WITH FULL OR ADJUNCT APPOINTMENTS. IN ADDITION TO THIS FACULTY, THE WAKE FOREST HEALTH NETWORK HAS MORE THAN 165 CLINICAL PRACTICES THROUGHOUT CENTRAL AND WESTERN NORTH CAROLINA. ATRIUM HEALTH WAKE FOREST BAPTIST HAS 1,551 LICENSED ACUTE CARE AND REHABILITATION BEDS ACROSS THE SYSTEM, WHICH ENCOMPASSES ATRIUM HEALTH WAKE FOREST BAPTIST MEDICAL CENTER ON ITS MAIN WINSTON-SALEM CAMPUS (885 BEDS), ATRIUM HEALTH WAKE FOREST BAPTIST HIGH POINT MEDICAL CENTER (351 BEDS), ATRIUM HEALTH WAKE FOREST BAPTIST LEXINGTON MEDICAL CENTER (94 BEDS), ATRIUM HEALTH WAKE FOREST BAPTIST DAVIE MEDICAL CENTER (50 BEDS), ATRIUM HEALTH WAKE FOREST BAPTIST WILKES MEDICAL CENTER (130 BEDS) AND ALLEGHANY HEALTH (41 BEDS). ATRIUM HEALTH WAKE FOREST BAPTIST ALSO INCLUDES THE COMPREHENSIVE CANCER CENTER, WHICH IS DESIGNATED AS SUCH BY THE NATIONAL CANCER INSTITUTE, AND BRENNER CHILDREN'S HOSPITAL. OVERALL, ATRIUM HEALTH WAKE FOREST BAPTIST SERVES A 24-COUNTY REGION IN NORTHWESTERN NORTH CAROLINA AND SOUTHWESTERN VIRGINIA AND ALSO DRAWS PATIENTS FROM ACROSS THE NATION FOR SELECT SERVICES. ATRIUM HEALTH WAKE FOREST BAPTIST IS THE DRIVING FORCE BEHIND THE ESTABLISHMENT OF INNOVATION QUARTER, A GROWING URBAN-BASED DISTRICT FOR RESEARCH, BUSINESS AND EDUCATION IN BIOMEDICAL SCIENCE, INFORMATION TECHNOLOGY, CLINICAL SERVICES AND ADVANCED MATERIALS. LOCATED IN DOWNTOWN WINSTON-SALEM, IT IS HOME TO MORE THAN 90 COMPANIES, FIVE LEADING ACADEMIC INSTITUTIONS, 3,600 WORKERS AND 1,800 STUDENTS. GROUNDBREAKING RESEARCH AT WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE ALSO INCLUDES WAKE FOREST INNOVATIONS, AN ENTERPRISE FOCUSED ON ADVANCING HEALTH CARE THROUGH NEW MEDICAL TECHNOLOGIES AND BIOMEDICAL DISCOVERY. AFTER SHARING PLANS TO COME TOGETHER IN MAY, ADVOCATE AURORA HEALTH AND ATRIUM HEALTH ANNOUNCED IN DECEMBER THAT THEY HAD FORMALLY COMBINED TO CREATE ADVOCATE HEALTH. IN ADDITION TO DELIVERING THE BEST HEALTH OUTCOMES AND MAKING CARE MORE ACCESSIBLE AND AFFORDABLE, ADVOCATE HEALTH IS COMMITTED TO BRINGING MEDICAL INNOVATIONS TO PATIENTS MORE QUICKLY, ADDRESSING THE ROOT CAUSES OF HEALTH INEQUITIES, ADVANCING POPULATION HEALTH, ENABLING CAREER ADVANCEMENT AND ACHIEVING CARBON NEUTRALITY BY 2030. ADVOCATE HEALTH IS HEADQUARTERED IN CHARLOTTE, WHILE MAINTAINING A STRONG PRESENCE IN THE CHICAGO AND MILWAUKEE AREAS, INCLUDING A PLANNED, NEW, MILWAUKEE-BASED INSTITUTE FOR HEALTH EQUITY. THE ADVOCATE HEALTH CARE, ATRIUM HEALTH AND AURORA HEALTH CARE BRANDS WILL CONTINUE TO BE USED IN THEIR RESPECTIVE LOCAL COMMUNITIES, WITH WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE SERVING AS THE ACADEMIC CORE OF THE COMBINED ENTITY. ADVOCATE HEALTH HAS 150,000 TEAMMATES AND SERVES NEARLY 6 MILLION PATIENTS ANNUALLY AS THE FIFTH-LARGEST NONPROFIT INTEGRATED HEALTH SYSTEM IN THE NATION. WITH REVENUES OF MORE THAN $27 BILLION, THE NEWLY COMBINED ORGANIZATION COMPRISES MORE THAN 1,000 SITES OF CARE AND 67 HOSPITALS WITH MORE THAN 21,000 PHYSICIANS AND NEARLY 42,000 NURSES. THE HEALTH SYSTEM DELIVERS NEARLY $5 BILLION IN ANNUAL COMMUNITY BENEFIT. FORM 990, PART III, LINE 4A CONSTRUCTION BEGAN IN SEPTEMBER ON THE NEW $450 MILLION CARE TOWER ON THE ATRIUM HEALTH WAKE FOREST BAPTIST MEDICAL CENTER CAMPUS. BEFORE CONSTRUCTION BEGAN, CREWS SPENT SIX MONTHS REMOVING A PARKING DECK AND COMPLETING A NEW HELIPAD. THE CARE TOWER WILL INCLUDE AN UPGRADED EMERGENCY DEPARTMENT, STATE-OF-THE-ART OPERATING ROOMS AND ENHANCED ADULT INTENSIVE CARE UNITS. THE PROJECT IS THE FIRST IN A SERIES OF SIGNIFICANT INVESTMENTS IN THE TRIAD REGION FOLLOWING ATRIUM HEALTH WAKE FOREST BAPTIST'S STRATEGIC COMBINATION WITH ATRIUM HEALTH. RESEARCH AWARDS RECEIVED BY WFUHS (PRINCIPALLY AS WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE) DURING 2022 TOTALED JUST OVER $319 MILLION, INCLUDING $203.1 MILLION FROM FEDERAL SOURCES (INCLUDING THE NATIONAL INSTITUTES OF HEALTH AND THE U.S. DEPARTMENT OF DEFENSE), $60.7 MILLION FROM NONPROFIT AND STATE SOURCES, AND $55.2 MILLION FROM INDUSTRY SOURCES. NOTABLE RESEARCH GRANTS ANNOUNCED DURING THE PERIOD INCLUDED A $36 MILLION AWARD FROM THE DEFENSE THREAT REDUCTION AGENCY, PART OF THE DEPARTMENT OF DEFENSE, THAT WILL ENABLE THE WAKE FOREST INSTITUTE FOR REGENERATIVE MEDICINE TO ESTABLISH A RESEARCH AND DEVELOPMENT PROGRAM TO STUDY THE WAYS IN WHICH A VIRUS WILL INVADE AND INFECT HUMANS. THE PROGRAM, WHICH HAS BEEN TERMED PATHOGENESIS AND TOXICITY FORECASTING USING MULTI-ORGANOID SYSTEMS (PATMOS), USES THE INSTITUTE'S BODY-ON-A-CHIP PLATFORM TO INVESTIGATE THE BIOCHEMICAL CHANGES THAT TAKE PLACE IN VIRAL INFECTIONS. AMONG OTHER RESEARCH AWARDS: A FIVE-YEAR GRANT EXPECTED TO TOTAL $30 MILLION FROM THE NATIONAL INSTITUTE OF AGING TO HELP TEST A NOVEL REHABILITATION PROGRAM DESIGNED FOR OLDER PATIENTS HOSPITALIZED FOR ACUTE HEART FAILURE; A FIVE-YEAR, APPROXIMATELY $9 MILLION GRANT FROM THE NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE TO STUDY THE USE OF OXYTOCIN, A NATURALLY OCCURRING HORMONE, AS A TREATMENT FOR PAIN AFTER INJURY; A FIVE-YEAR, $4 MILLION GRANT THROUGH THE NATIONAL INSTITUTES OF HEALTH (NIH) TO FUND THE HELPING END ADDICTION LONG-TERM (HEAL) INITIATIVE, WHICH WILL HELP RESEARCHERS CREATE AN INTEGRATIVE MANAGEMENT OF CHRONIC PAIN AND OUD FOR WHOLE RECOVERY (IMPOWR): COORDINATION CENTER FOR A NETWORK OF CLINICAL RESEARCH CENTERS THAT INCLUDES THE UNIVERSITY OF NEW MEXICO, YALE UNIVERSITY, ALBERT EINSTEIN COLLEGE OF MEDICINE AND THE UNIVERSITY OF PITTSBURGH; A FIVE-YEAR, $3.5 MILLION NIH GRANT THAT WILL SUPPORT THE STUDY OF HOW THE COVID-19 PANDEMIC IMPACTED OPIOID USE DISORDER AND HOW THE COVID-19 RESPONSE AND MITIGATION POLICIES IMPACT HEALTH OUTCOMES, ESPECIALLY IN VULNERABLE POPULATIONS; A FIVE-YEAR, $3.2 MILLION GRANT FROM THE NATIONAL CANCER INSTITUTE TO STUDY WHETHER MIND-BODY PRACTICES, SUCH AS GENTLE YOGA OR SELF-REFLECTION, MAY BENEFIT PATIENTS UNDERGOING SURGERY; A FIVE-YEAR, $3.1 MILLION GRANT FROM THE NATIONAL HEART, LUNG AND BLOOD INSTITUTE THAT WILL ENABLE RESEARCHERS FROM ATRIUM HEALTH WAKE FOREST BAPTIST'S NATIONAL CANCER INSTITUTE-DESIGNATED COMPREHENSIVE CANCER CENTER, VIRGINIA COMMONWEALTH UNIVERSITY MASSEY CANCER CENTER AND DUKE CANCER INSTITUTE TO COLLABORATE IN A FIRST-OF-ITS-KIND PROSPECTIVE STUDY TO LOOK FOR THE EARLIEST SIGNS OF HEART VESSEL DAMAGE IN YOUNG, PRE-MENOPAUSAL BREAST CANCER SURVIVORS; A $2.5 MILLION GRANT FROM THE NATIONAL CANCER INSTITUTE CANCER TO STUDY POTENTIAL TREATMENT OPTIONS FOR APPENDICEAL CANCER; AND A $1.7 MILLION NIH GRANT TO FUND THE LONG-TERM EFFECTIVENESS OF THE ANTI-OBESITY MEDICATION PHENTERMINE (LEAP) TRIAL, A PLACEBO-CONTROLLED, RANDOMIZED CONTROLLED TRIAL THAT WILL ENROLL 1,000 ADULTS AT FIVE SITES ACROSS THE U.S. AND WILL SEEK TO GAIN A BETTER UNDERSTANDING OF THE EFFECTS OF PHENTERMINE NOT ONLY ON WEIGHT, BUT ALSO CHANGES IN BLOOD PRESSURE, HEART RATE, BLOOD SUGAR AND CHOLESTEROL LEVELS. FORM 990, PART III, LINE 4A 1. CLINICAL SERVICES ATRIUM HEALTH WAKE FOREST BAPTIST IS NATIONALLY RECOGNIZED FOR CLINICAL EXCELLENCE AND INTERNATIONALLY KNOWN FOR PIONEERING RESEARCH AND CLINICAL INNOVATION. IT OFFERS EXPERTISE IN MORE THAN 100 AREAS OF MEDICINE, ENCOMPASSING COMPREHENSIVE PREVENTIVE AND HIGHLY SPECIALIZED CARE FOR ALL AGES. ATRIUM HEALTH WAKE FOREST BAPTIST'S NETWORK INCLUDES THE 167-BED COMPREHENSIVE CANCER CENTER AND THE 144-BED BRENNER CHILDREN'S HOSPITAL, BOTH OF WHICH ARE ON THE ATRIUM HEALTH WAKE FOREST BAPTIST MEDICAL CENTER CAMPUS IN WINSTON-SALEM, AS WELL AS COMMUNITY HOSPITALS IN DAVIDSON, DAVIE, GUILFORD, AND WILKES COUNTIES. BRENNER CHILDREN'S HOSPITAL ALSO INCLUDES THE DALE AND KAREN SISEL NEONATAL INTENSIVE CARE UNIT, WITH 51 ALL-PRIVATE ROOMS. ACROSS ITS SERVICE AREA OF NORTHWEST NORTH CAROLINA AND SOUTHWEST VIRGINIA, ATRIUM HEALTH WAKE FOREST BAPTIST HAS SIX EMERGENCY DEPARTMENTS; 11 URGENT CARE LOCATIONS; 367 PHYSICIAN PRACTICES, INCLUDING PRIMARY CARE AND SPECIALTY CLINICS; 28 CANCER CARE LOCATIONS; AND THREE AMBULATORY SURGERY CENTERS. AS OF DECEMBER 31, 2022, ATRIUM HEALTH WAKE FOREST BAPTIST EMPLOYED 25,479 PEOPLE, INCLUDING 1,531 PHYSICIANS, 2,727 ACTIVE MEDICAL STAFF; 3,031 PROVIDERS ALIGNED THROUGH ITS ACCOUNTABLE CARE ORGANIZATION AND CLINICALLY INTEGRATED NETWORK; 1,084 ADVANCED PRACTICE PROVIDERS; AND 4,293 NURSES. FOR THE 2022 CALENDAR YEAR, THE ATRIUM HEALTH WAKE FOREST BAPTIST SYSTEM HAD 74,178 ACUTE CARE BEDDED DISCHARGES; 237,863 EMERGENCY DEPARTMENT VISITS; 2,363,920 PHYSICIAN OFFICE VISITS; 129,683 URGENT CARE VISITS; AND 120,120 VIRTUAL CARE AND E-VISITS. IN FEBRUARY 2022, THE PEDIATRIC HEART PROGRAMS AT ATRIUM HEALTH WAKE FOREST BAPTIST BRENNER CHILDREN'S HOSPITAL AND ATRIUM HEALTH LEVINE CHILDREN'S HOSPITAL COMBINED INTO ONE FULLY COMPREHENSIVE TEAM WITH THE GOAL OF CREATING A BEST-IN-CLASS HEART PROGRAM FOR PATIENTS ACROSS THE CAROLINAS AND BEYOND. ATRIUM HEALTH WAKE FOREST BAPTIST LAUNCHED A NEW VIRTUAL SERVICE IN EARLY 2022 TO BETTER AND MORE QUICKLY MEET THE NEEDS OF PATIENTS HOSPITALIZED AT THE HEALTH SYSTEM'S DAVIE AND WILKES MEDICAL CENTERS. ONCE A PATIENT HAS GIVEN PERMISSION TO A CLINICIAN FOR A VIRTUAL VISIT, A NURSE BRINGS A CART TO THE BEDSIDE COMPLETE WITH A REMOTE CAMERA, MICROPHONE, SPEAKER, AND STETHOSCOPE, ALLOWING A PHYSICIAN WITHIN THE ATRIUM HEALTH WAKE FOREST BAPTIST SYSTEM TO EXAMINE THE PATIENT AND LISTEN TO THEIR LUNG, CHEST AND BOWEL SOUNDS. ATRIUM HEALTH WAKE FOREST BAPTIST'S DAVIE AND LEXINGTON MEDICAL CENTERS EACH RECEIVED TWO NATIONAL HONORS FROM THE LEAPFROG GROUP. DAVIE MEDICAL CENTER WAS ANNOUNCED AS A TOP GENERAL HOSPITAL FOR THE SECOND CONSECUTIVE YEAR AND WAS AWARDED AN A GRADE FOR THE THIRD TIME IN LEAPFROG'S FALL 2022 HOSPITAL SAFETY GRADES. LEXINGTON MEDICAL CENTER WAS ANNOUNCED AS A TOP TEACHING HOSPITAL FOR THE FIRST TIME AND WAS AWARDED AN A GRADE IN LEAPFROG'S FALL 2022 HOSPITAL SAFETY GRADES FOR THE SEVENTH CONSECUTIVE TIME. ATRIUM HEALTH WAKE FOREST BAPTIST WILKES MEDICAL CENTER RECEIVED THE BUILDING COMMISSIONING ASSOCIATION'S NATIONAL COMMISSIONING EXCELLENCE AWARD FOR EXISTING BUILDINGS FOR THE WORK THE MEDICAL CENTER HAS DONE TO INCREASE ENERGY EFFICIENCY AND INDOOR ENVIRONMENTAL QUALITY. DAVIE AND WILKES MEDICAL CENTERS WERE NAMED AS BEST HOSPITALS IN AMERICA BY MONEY, FORMERLY KNOWN AS MONEY MAGAZINE. ATRIUM HEALTH WAKE FOREST BAPTIST MEDICAL CENTER RECEIVED AN EVALUATION OF 95 OUT OF 100 AND THE DESIGNATION OF "LGBTQ+ HEALTHCARE EQUALITY TOP PERFORMER" IN THE HUMAN RIGHTS CAMPAIGN FOUNDATION'S 15TH ANNIVERSARY EDITION OF THE HEALTHCARE EQUALITY INDEX, THE NATION'S FOREMOST BENCHMARKING SURVEY OF HEALTH CARE FACILITIES ON POLICIES AND PRACTICES DEDICATED TO THE EQUITABLE TREATMENT AND INCLUSION OF THEIR LGBTQ+ PATIENTS, VISITORS, AND EMPLOYEES. AMONG CERTIFICATIONS, ATRIUM HEALTH WAKE FOREST BAPTIST'S CHILDREN'S SURGERY PROGRAM WAS RE-VERIFIED IN 2022 AS A LEVEL I CHILDREN'S SURGERY CENTER BY THE AMERICAN COLLEGE OF SURGEONS. THE PROGRAM, INCLUDING LOCATIONS AT BOTH BRENNER CHILDREN'S HOSPITAL AND OUTPATIENT SURGERY CLEMMONS, WAS ONE OF ONLY TWO IN THE STATE TO RECEIVE THIS VERIFICATION. ATRIUM HEALTH WAKE FOREST BAPTIST BECAME THE FIRST HEALTH SYSTEM IN THE COUNTRY TO RECEIVE THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR OSTEOPOROSIS CERTIFICATION. DAVIE MEDICAL CENTER'S CORE LABORATORY RECEIVED ACCREDITATION FROM THE COLLEGE OF AMERICAN PATHOLOGISTS, THE WORLD'S LARGEST ORGANIZATION OF BOARD-CERTIFIED PATHOLOGISTS AND A LEADING PROVIDER OF LABORATORY ACCREDITATION PROGRAMS. ATRIUM HEALTH WAKE FOREST BAPTIST MEDICAL CENTER WAS RECERTIFIED AS A COMPREHENSIVE STROKE CENTER THE HIGHEST DESIGNATION POSSIBLE BY THE JOINT COMMISSION. ATRIUM HEALTH ALSO RECEIVED THE AMERICAN HEART ASSOCIATION'S GET WITH THE GUIDELINES-STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD AT 12 FACILITIES ACROSS NORTH CAROLINA AND GEORGIA, INCLUDING WAKE FOREST BAPTIST MEDICAL CENTER'S COMPREHENSIVE STROKE CENTER IN WINSTON-SALEM. THE DESIGNATION HONORS ATRIUM HEALTH FOR ITS COMMITMENT TO ENSURING STROKE PATIENTS RECEIVE THE MOST APPROPRIATE TREATMENT ACCORDING TO NATIONALLY RECOGNIZED, RESEARCH-BASED GUIDELINES. FORM 990, PART III, LINE 4A 2. OUTREACH ATRIUM HEALTH WAKE FOREST BAPTIST CONTINUES A BROAD-BASED EFFORT TO REACH UNDERSERVED POPULATIONS ACROSS ITS SERVICE AREA. WAKE FOREST BAPTIST MEDICAL CENTER'S ANNUAL COMMUNITY BENEFITS REPORT REFLECTS THIS COMMITMENT. FOR TAX YEAR ENDED DECEMBER 31, 2022, ATRIUM HEALTH WAKE FOREST BAPTIST REPORTED THAT IT PROVIDED COMMUNITY BENEFITS VALUED AT $767.5 MILLION. THOSE BENEFITS SUPPORTED THESE AREAS: - FINANCIAL ASSISTANCE (FKA CHARITY CARE) - COMMUNITY HEALTH IMPROVEMENT AND OUTREACH PROGRAMS - EDUCATION AND TRAINING OF MEDICAL AND HEALTH PROFESSIONS AND CLINICAL RESEARCH - SUBSIDIZED HEALTH SERVICES AT THE DOWNTOWN HEALTH PLAZA, BETHESDA, AND SOUTHSIDE HEALTH CLINICS IN WINSTON-SALEM - UNREIMBURSED COSTS OF GOVERNMENT-FUNDED PROGRAMS, PRIMARILY MEDICARE AND MEDICAID ONE ANCHOR OF OUTREACH FOR THE ATRIUM HEALTH WAKE FOREST BAPTIST MEDICAL CENTER IS ITS DOWNTOWN HEALTH PLAZA, A FULL-SERVICE, OUTPATIENT MEDICAL CLINIC THAT SERVES MANY OF FORSYTH COUNTY'S UNINSURED AND UNDERINSURED RESIDENTS WITH A STATE-OF-THE-ART MEDICAL HOME. IN ADDITION TO CLINICAL CARE, THE DOWNTOWN HEALTH PLAZA OFFERS COMMUNITY HEALTH FAIRS, DIABETES EDUCATION AND A CENTERING PREGNANCY PROGRAM THAT IS REDUCING THE INCIDENCE OF LOW BIRTH-WEIGHT BABIES. DURING THE 2022 CALENDAR YEAR, 54,464 PATIENT VISITS (18,283 WITH DISTINCT MEDICAL RECORD NUMBERS) WERE RECORDED AT THE DOWNTOWN HEALTH PLAZA, AND ANOTHER 9,562 VISITS (3,855 WITH DISTINCT MEDICAL RECORD NUMBERS) WERE RECORDED AT WINSTON EAST PEDIATRICS, A NEARBY ATRIUM HEALTH WAKE FOREST BAPTIST CARE FACILITY SERVING THE UNINSURED AND UNDERINSURED. IN SEPTEMBER 2022, ATRIUM HEALTH WAKE FOREST BAPTIST WAS ANNOUNCED AS THE EXCLUSIVE MEDICAL PARTNER OF THE NEW METROPOLITAN VILLAGE MIXED-USE REDEVELOPMENT EFFORT IN EAST WINSTON-SALEM. ATRIUM HEALTH WAKE FOREST BAPTIST WILL PARTNER WITH COMMUNITY LEADERS AND LIBERTY ATLANTIC DEVELOPMENT PARTNERS TO PROGRAM 8,000 SQUARE FEET OF COMMUNITY WELLNESS SPACE. IN ADDITION TO SPACE FOR HEALTH AND WELLNESS COACHING AND NURSE NAVIGATORS WHO CAN WORK DIRECTLY WITH RESIDENTS ON THEIR GOALS AND NEEDS, THE MAYA ANGELOU CENTER FOR HEALTH EQUITY, WHICH IS PART OF WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE, WILL RELOCATE ITS HEADQUARTERS TO THE SPACE TO ESTABLISH A HEALTH EQUITY CENTER IN THE HEART OF EAST WINSTON-SALEM. METROPOLITAN VILLAGE IS AN "EQUITABLE REDEVELOPMENT" EFFORT ANNOUNCED BY UNITED METROPOLITAN MISSIONARY BAPTIST CHURCH IN MARCH 2022 THAT INCLUDES NUMEROUS INITIATIVES TO HELP IMPROVE THE LIVES OF ITS RESIDENTS. THE $65 MILLION MIXED-USE, MIXED-INCOME EFFORT SITS EAST OF U.S. HIGHWAY 52 ADJACENT TO THE CHURCH AND WILL INCLUDE 324 RESIDENTIAL UNITS. ON-GOING WORK OF ATRIUM HEALTH WAKE FOREST BAPTIST INCLUDES: - REGULAR COMMUNITY-BASED HEALTH CLINICS, INCLUDING THE WEEKLY DELIVERING EQUAL ACCESS TO CARE (DEAC) CLINIC; AND THE ANNUAL SHARE THE HEALTH FAIR AT THE DOWNTOWN HEALTH PLAZA IN WINSTON-SALEM. THESE CLINICS, SPONSORED BY PRIVATE ORGANIZATIONS WITH VOLUNTEER ASSISTANCE FROM ATRIUM HEALTH WAKE FOREST BAPTIST PHYSICIANS, NURSES, MEDICAL STUDENTS AND OTHERS, ATTRACT THOUSANDS OF PEOPLE TO SCREENINGS FOR ACUTE AND CHRONIC CONDITIONS. THE DEAC CLINIC, WHICH IS STUDENT-RUN AND PHYSICIAN-STAFFED, RELOCATED IN FALL 2022 TO ATRIUM HEALTH WAKE FOREST BAPTIST WINSTON EAST PEDIATRICS, LOCATED AT 2295 E. 14TH ST., IN WINSTON-SALEM. THE CLINIC SERVES UNINSURED RESIDENTS OF FORSYTH, DAVIDSON, DAVIE, STOKES, AND YADKIN COUNTIES FOR FREE BY APPOINTMENT ONLY EVERY MONDAY FROM 5:30 TO 9 P.M. AND OFFERS TELEHEALTH APPOINTMENTS ON A LIMITED BASIS. - FAITHHEALTHNC, IS AN INITIATIVE THAT CONNECTS THE CARING STRENGTHS OF CONGREGATIONS, THE CLINICAL EXPERTISE OF PROVIDERS AND A NETWORK OF COMMUNITY RESOURCES TO EASE THOSE ON THE JOURNEY TO HEALTH AND HEALING WHILE STRENGTHENING COMMUNITIES IN THE PROCESS. 3. EDUCATIONAL MISSION AND ACCOMPLISHMENTS THE CONSTITUENT ORGANIZATIONS OF ATRIUM HEALTH WAKE FOREST BAPTIST OPERATE A BROAD RANGE OF EDUCATIONAL PROGRAMS, GRADUATING SKILLED PRACTITIONERS. ATRIUM HEALTH WAKE FOREST BAPTIST AND WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE ATTRACT SOME OF THE WORLD'S MOST COMPETITIVE MEDICAL STUDENTS, RESIDENTS, AND FELLOWS, AS WELL AS STUDENTS IN CLINICAL PASTORAL CARE, NURSE ANESTHESIA AND OTHER AREAS. A PARTNERSHIP BETWEEN DAVIDSON-DAVIE COMMUNITY COLLEGE AND ATRIUM HEALTH WAKE FOREST BAPTIST ANNOUNCED IN AUGUST CREATED THE LARGEST HEALTH CARE APPRENTICESHIP IN NORTH CAROLINA. STUDENTS WILL BE ABLE TO WORK IN A HEALTH CARE PROFESSION WHILE TAKING COURSES RELATED TO THEIR CAREER GOALS. THE PARTNERSHIP INCLUDES MEDICAL ASSISTING, MEDICAL LABORATORY TECHNOLOGY, NURSING, LICENSED PRACTICAL NURSING, PHARMACY TECHNOLOGY, CENTRAL STERILE PROCESSING, SURGICAL TECHNOLOGY, AND NURSE AIDE. THE COLLEGE WILL WORK WITH OTHER HEALTH CARE PARTNERS TO ESTABLISH APPRENTICESHIPS IN HEALTH INFORMATION TECHNOLOGY, EMERGENCY MEDICAL TECHNICIAN AND PARAMEDIC. IN AUGUST 2022, THE SCHOOL OF MEDICINE WELCOMED 145 MD STUDENTS CHOSEN FROM AMONG 11,066 APPLICANTS FOR THE CLASS OF 2026. IN THE MOST RECENT NATIONAL RANKINGS ISSUED BY U.S. NEWS & WORLD REPORT, THE SCHOOL'S PHYSICIAN ASSISTANT PROGRAM REMAINED NO. 7 AND THE NURSE ANESTHESIA PROGRAM REMAINED NO. 10. THE SCHOOL OF MEDICINE WAS AGAIN RECOGNIZED BY U.S. NEWS & WORLD REPORT FOR ITS MEDICAL RESEARCH, RANKING 47TH NATIONALLY, UP FROM 48TH THE PREVIOUS YEAR, IN THE 2023 EDITION OF BEST GRADUATE SCHOOLS. FOR FISCAL YEAR 2022, ATRIUM HEALTH WAKE FOREST BAPTIST PROVIDED $125.3 MILLION IN EDUCATION FUNDING FOR MEDICAL STUDENTS AND OTHER HEALTH CARE PROFESSIONALS AND IN RESEARCH FUNDING NOT COVERED BY OUTSIDE SOURCES. SUCH INVESTMENTS SUPPORT THE TRAINING OF HUNDREDS OF STUDENTS. AS OF DECEMBER 31, 2022, THOSE INCLUDED 573 MD STUDENTS, 750 PHYSICIAN RESIDENTS AND FELLOWS, 397 GRADUATE STUDENTS, 173 PHYSICIAN ASSISTANT STUDENTS, 21 STUDENTS IN THE NURSE ANESTHESIA MASTER'S PROGRAM, 73 STUDENTS PURSUING THE DOCTOR OF NURSING PRACTICE DEGREE (34 IN THE ONLINE PROGRAM AND 39 PURSUING THE DUAL DNP AND NURSE ANESTHESIA DEGREE), AND 21 PASTORAL CARE CHAPLAIN RESIDENTS, FELLOWS, AND INTERNS. IN ADDITION, 152 STUDENTS WERE ENROLLED IN THE VIRGINIA TECH-WAKE FOREST UNIVERSITY SCHOOL OF BIOMEDICAL ENGINEERING AND SCIENCES, WITH 70 OF THOSE ON THE WAKE FOREST CAMPUS. DURING THE 2021-22 ACADEMIC YEAR, THE NORTHWEST AREA HEALTH EDUCATION CENTER, PART OF WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE, OFFERED 2,441 CONTINUING PROFESSIONAL DEVELOPMENT ACTIVITIES FOR PRACTICING HEALTH CARE PROFESSIONALS THAT DREW 42,633 TOTAL PARTICIPANTS FROM THROUGHOUT THE REGION. FORM 990, PART VI, SECTION A, LINE 2 BRADLEY CLARK AND TERRY WILLIAMS, OFFICERS OF THE FILING ORGANIZATION, HAD A BUSINESS RELATIONSHIP DURING THE 2022 TAX YEAR. GERALD F. ROACH AND JOHN M. VANN, DIRECTORS OF THE FILING ORGANIZATION, HAD A BUSINESS RELATIONSHIP FOR PART OF THE 2022 TAX YEAR. FORM 990, PART VI, SECTION A, LINE 3 EFFECTIVE JULY 1, 2010, THE GOVERNING BOARDS OF THE FILING ORGANIZATION ("WFUHS"), WAKE FOREST UNIVERSITY ("THE UNIVERSITY"), NORTH CAROLINA BAPTIST HOSPITAL ("NCBH," AN ENTITY UNRELATED TO THE UNIVERSITY AND WFUHS), AND WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER ("WFUBMC") APPROVED A MEDICAL CENTER INTEGRATION AGREEMENT ("MCIA") WHEREBY AN INTEGRATED ACADEMIC MEDICAL CENTER (COLLECTIVELY, "THE MEDICAL CENTER") WAS CREATED THAT COMBINED CLINICAL CARE, MEDICAL EDUCATION AND RESEARCH ACTIVITIES CONDUCTED BY THOSE PARTIES AND THEIR RESPECTIVE SUBSIDIARY ENTITIES, UNDER THE DELEGATED OPERATIONAL MANAGEMENT AND OVERSIGHT OF WFUBMC (ITSELF A NORTH CAROLINA NONPROFIT CORPORATION WHOSE TWO EQUAL MEMBERS WERE THEN THE UNIVERSITY AND NCBH). EFFECTIVE ON OCTOBER 9, 2020 AND PURSUANT TO A HEALTH SYSTEM INTEGRATION AGREEMENT AMONG THE UNIVERSITY, WFUBMC, WFUHS, NCBH, AND THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY ("CMHA," A NORTH CAROLINA HOSPITAL AUTHORITY THAT OPERATES A MULTI-STATE INTEGRATED HEALTHCARE SYSTEM IN THE SOUTHEASTERN UNITED STATES), THE MEDICAL CENTER AND CMHA BECAME PARTICIPANTS IN A SINGLE, INTEGRATED HEALTHCARE DELIVERY AND ACADEMIC SYSTEM (THE "ENTERPRISE") MANAGED AND OVERSEEN BY ATRIUM HEALTH, INC. ("ATRIUM"), A NEW JOINT OPERATING COMPANY WITHOUT MEMBERS WHOSE 16-PERSON BOARD OF DIRECTORS (THE "ATRIUM BOARD") IS COMPRISED INITIALLY OF 13 CMHA DESIGNEES AND THREE MEDICAL CENTER DESIGNEES; THE MCIA WAS AMENDED TO INCLUDE ATRIUM AS A THIRD MEMBER OF WFUBMC AND TO RECONSTITUTE THE WFUBMC BOARD TO INCLUDE 17 VOTING DIRECTORS OF WHOM THE UNIVERSITY DESIGNATES SIX, NCBH DESIGNATES SIX, ATRIUM DESIGNATES THREE, AND THE WFUBMC BOARD ELECTS TWO; AND THE MEDICAL CENTER (INCLUDING WFUHS AND THE SCHOOL OF MEDICINE) WAS ESTABLISHED AS THE ACADEMIC CORE OF THE ENTERPRISE RESPONSIBLE FOR ITS ACADEMIC AND RESEARCH ACTIVITIES. UNDER THIS ARRANGEMENT, EACH ENTERPRISE PARTICIPANT (AND ITS AFFILIATES) MAINTAINS ITS SEPARATE LEGAL EXISTENCE AND CONTINUES TO OWN ITS ASSETS AND RETAIN ALL POWER, AUTHORITIES, RIGHTS AND REMEDIES NECESSARY OR APPROPRIATE TO ALLOW IT TO COMPLY WITH ITS PRE-EXISTING DEBT INSTRUMENTS. WFUBMC AND CMHA DELEGATED AUTHORITY TO ATRIUM TO MANAGE AND OVERSEE THEIR ACTIVITIES AND OPERATIONS, SUBJECT TO THE AUTHORITY OF THE UNIVERSITY, WFUHS, AND WFUBMC OVER ACADEMIC AND RESEARCH MATTERS, THE EXERCISE OF CERTAIN RESERVED POWERS, AND THE CARRYING OUT OF CERTAIN RESPONSIBILITIES BY THE WFUBMC BOARD AND THE CMHA BOARD OF COMMISSIONERS. THE RESERVED POWERS OF EACH ENTERPRISE PARTICIPANT INCLUDE THE POWER TO APPROVE A CHANGE IN ITS FUNDAMENTAL BUSINESS OR MISSION AND, SUBJECT TO THE ATRIUM BOARD'S APPROVAL, TO DEVELOP ITS STRATEGIC PLANS (WHICH WILL BE GENERALLY CONSISTENT WITH THOSE OF THE ENTIRE ENTERPRISE) AND ITS CAPITAL AND OPERATING BUDGETS. THE SCHOOL OF MEDICINE CONTINUES AS AN ACADEMIC UNIT OWNED AND OPERATED BY THE UNIVERSITY THROUGH WFUHS. THE EXECUTIVE VICE PRESIDENT FOR HEALTH AFFAIRS IS AN OFFICER OF THE UNIVERSITY, AND CONCURRENTLY HOLDS APPOINTMENTS AS THE CHIEF EXECUTIVE OFFICER AND THE CHIEF ACADEMIC OFFICER ("CAO") OF WFUBMC AND THE ENTERPRISE. THE CAO REPORTS EXCLUSIVELY TO THE UNIVERSITY PRESIDENT ON SCHOOL OF MEDICINE-RELATED ACADEMIC MATTERS AND THE PRESIDENT MUST CONSENT TO THE APPOINTMENT OF THE DEAN OF THE SCHOOL OF MEDICINE BY THE CAO. THE UNIVERSITY, GENERALLY THROUGH THE SCHOOL OF MEDICINE, CONTINUES TO BE RESPONSIBLE FOR, AND HAVE THE AUTHORITY REGARDING, ALL ACADEMIC FUNCTIONS OF THE SCHOOL OF MEDICINE. AS SUCH, THE UNIVERSITY CONTINUES TO HOLD AND EXERCISE, AT MINIMUM, THE DEGREE OF ACADEMIC AND ACADEMICALLY-RELATED ADMINISTRATIVE AUTHORITY OVER WFUBMC, THE SCHOOL OF MEDICINE, AND WFUHS THAT THE UNIVERSITY EXERCISED PRIOR TO THE CREATION OF THE ENTERPRISE. IN ADDITION TO FORMING A UNIFIED HEALTH SYSTEM, A SECOND CAMPUS OF THE SCHOOL OF MEDICINE WILL BE ESTABLISHED IN CHARLOTTE, NORTH CAROLINA, WHICH WILL BE AFFILIATED WITH ATRIUM AND IS SCHEDULED TO OPEN TO FIRST-YEAR M.D. STUDENTS IN COMING YEARS. THE ADDITION OF THE SECOND CAMPUS IS EXPECTED TO APPROXIMATELY DOUBLE THE ENROLLMENT OF THE SCHOOL OF MEDICINE. ON MAY 9, 2022, ATRIUM HEALTH, INC. ("ATRIUM"), ADVOCATE AURORA HEALTH, INC. ("AAH") AND ADVOCATE HEALTH, INC. ("ADVOCATE HEALTH") ENTERED INTO A MASTER AGREEMENT (THE "MASTER AGREEMENT") WHICH CONTEMPLATES A TRANSACTION (THE "ADVOCATE HEALTH TRANSACTION") PURSUANT TO WHICH, IN RELEVANT PART, EFFECTIVE AS OF THE CONSUMMATION THEREOF (THE "EFFECTIVE DATE"): - ATRIUM AND AAH WOULD DELEGATE TO ADVOCATE HEALTH, A NEWLY FORMED NONPROFIT CORPORATION OF WHICH THEY ARE THE SOLE MEMBERS, THE POWER AND AUTHORITY (SUBJECT TO CERTAIN RETAINED POWERS) TO MANAGE AND OVERSEE, AS AN INTEGRATED ORGANIZATION, A COMBINED SYSTEM CONSISTING OF THE OPERATIONS OF EACH OF ATRIUM (INCLUDING THE ENTERPRISE CURRENTLY MANAGED AND OVERSEEN BY ATRIUM) AND AAH (THE "ADVOCATE HEALTH SYSTEM"); - ADVOCATE HEALTH'S 20-PERSON BOARD OF DIRECTORS (THE "ADVOCATE HEALTH BOARD") WOULD CONSIST OF 10 AAH DIRECTORS AND 10 ATRIUM DIRECTORS (INCLUDING SEVEN CMHA DESIGNEES AND THREE WFUBMC DESIGNEES); - ATRIUM WOULD RETAIN (AND NOT DELEGATE TO ADVOCATE HEALTH) THE POWERS (AMONG OTHERS) NECESSARY FOR IT TO COMPLY WITH ITS OBLIGATIONS TO WFU, WFUBMC, WFUHS AND THE SCHOOL OF MEDICINE SET FORTH IN THE CURRENT AGREEMENTS AMONG THOSE ENTITIES, ATRIUM AND CMHA (AS AMENDED AS OF THE EFFECTIVE DATE, THE "WAKE AGREEMENTS"); - THE POWER AND AUTHORITY OF ADVOCATE HEALTH OVER AND WITH RESPECT TO WFUBMC, WFUHS AND THE OTHER WFUBMC AFFILIATES (THE "WAKE FOREST BAPTIST ENTITIES") AND WFU FROM AND AFTER THE EFFECTIVE DATE WOULD IN NO EVENT EXCEED THE CONTRACTUAL POWER AND AUTHORITY OF ATRIUM OVER AND WITH RESPECT TO THE WAKE FOREST BAPTIST ENTITIES AND WFU IMMEDIATELY PRIOR TO THE EFFECTIVE DATE; - ADVOCATE HEALTH WOULD (I) HONOR THE CONTRACTUAL RIGHTS AND BENEFITS OF THE WAKE FOREST BAPTIST ENTITIES AND WFU SET FORTH IN THE WAKE AGREEMENTS AND (II) PERFORM, OR CAUSE TO BE PERFORMED, THE CONTRACTUAL OBLIGATIONS OF ATRIUM AND CMHA TO THE WAKE FOREST BAPTIST ENTITIES AND WFU SET FORTH IN THE WAKE AGREEMENTS; AND - ADVOCATE HEALTH WOULD APPROVE ALL ANNUAL CAPITAL AND OPERATING BUDGETS OF AAH AND ATRIUM (INCLUDING THE WFUBMC BUDGETS), SUBJECT TO THE WAKE AGREEMENTS AND IN ACCORDANCE WITH THE SAME BUDGETING PRINCIPLES CURRENTLY APPLICABLE UNDER THE TERMS OF THE ATRIUM TRANSACTION (AS EXPANDED TO APPLY TO THE ADVOCATE HEALTH SYSTEM). FORM 990, PART VI, SECTION A, LINE 6 WAKE FOREST UNIVERSITY IS THE SOLE MEMBER OF THE FILING ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE DIRECTORS OF THE FILING ORGANIZATION ARE ELECTED BY THE BOARD OF TRUSTEES OF ITS SOLE MEMBER, WAKE FOREST UNIVERSITY. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS OF THE FILING ORGANIZATION'S GOVERNING BODY WHICH REQUIRE APPROVAL BY THE ORGANIZATION'S SOLE MEMBER, WAKE FOREST UNIVERSITY, INCLUDE AMENDMENTS TO CERTAIN FUNDAMENTAL DOCUMENTS (ARTICLES OF INCORPORATION AND BYLAWS); ACADEMIC APPOINTMENT OF FACULTY, GRANT OF TENURE AND DISMISSAL; AND DISSOLUTION. THE DISPOSITION OF CERTAIN REAL PROPERTY OF THE FILING ORGANIZATION IS SUBJECT TO THE APPROVAL OF THE CHAIR AND VICE CHAIR OF THE BOARD OF WFUBMC. NOTWITHSTANDING THE FILING ORGANIZATION'S PARTICIPATION IN THE HEALTH SYSTEM INTEGRATION AMONG ITS PARENT ENTITY (WAKE FOREST UNIVERSITY), WFUBMC, NCBH, AND CMHA DESCRIBED IN THE NARRATIVE RESPONSE ON SCHEDULE O TO THE EXPLANATION REGARDING PART VI, SECTION A, LINE 3, WHEREBY THE FILING ORGANIZATION BECAME A PART OF A SINGLE, INTEGRATED HEALTHCARE DELIVERY AND ACADEMIC SYSTEM (THE "ENTERPRISE") MANAGED AND OVERSEEN BY ATRIUM HEALTH, INC., SIGNIFICANT AUTHORITY OVER GOVERNANCE DECISIONS REGARDING THE ACADEMIC OPERATIONS OF THE WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE AND ITS PROGRAMS AND FACULTY WAS RETAINED IN THE FILING ORGANIZATION AND ITS PARENT AS SUMMARIZED IN THAT NARRATIVE RESPONSE. FORM 990, PART VI, SECTION B, LINE 11B THE FILING ORGANIZATION'S BOARD OF DIRECTORS RECEIVES A COPY OF THE FORM 990 WITH SUFFICIENT TIME TO PERMIT REVIEW AND COMMENT PRIOR TO ITS FILING. IF MODIFICATIONS ARE REQUIRED FOLLOWING SUCH REVIEW AND COMMENT, THE REVISED FORM 990 IS REDISTRIBUTED TO ALL BOARD MEMBERS PRIOR TO ITS FILING WITH THE IRS, ALONG WITH A REPORT NOTING THE MODIFICATIONS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES OFFICERS AND KEY EMPLOYEES TO ANNUALLY REVIEW THE CONFLICT OF INTEREST POLICY AND DETERMINE ANY POTENTIAL CONFLICTS OF INTEREST. ANY POTENTIAL CONFLICTS NOTED IN THE QUESTIONNAIRE ARE REVIEWED BY A STANDING COMMITTEE FOR APPROPRIATE RESOLUTION. ALL MEMBERS OF THE BOARD OF DIRECTORS ARE REQUIRED TO DETERMINE AND REPORT ANNUALLY, AND AS THEY ARISE, ANY POTENTIAL CONFLICTS OF INTEREST TO THE SECRETARY OF THE BOARD OF DIRECTORS. THE RESOLUTION OF POTENTIAL AND ACTUAL CONFLICTS IS SUBJECT TO THE APPROVAL OF THE CHAIR OF THE BOARD AND IS REPORTED TO THE CHAIR OF THE AUDIT & COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 AS MOST OF THE OFFICERS AND OTHER SENIOR EXECUTIVES OF THE FILING ORGANIZATION HOLD IDENTICAL OFFICES OR POSITIONS IN RELATED ORGANIZATION WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER ("WFUBMC") AND IN UNRELATED BUT AFFILIATED ORGANIZATIONS NORTH CAROLINA BAPTIST HOSPITAL ("NCBH") AND CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY (CMHA), THE DETERMINATION OF THE COMPENSATION OF SUCH INDIVIDUALS IS CONDUCTED VIA THE PROCESS UTILIZED BY THE WFUBMC BOARD, AS FOLLOWS: THE DIVERSITY, INCLUSION, & COMPENSATION COMMITTEE (THE "COMMITTEE") OF THE ATRIUM HEALTH, INC. BOARD OF DIRECTORS HAS AUTHORITY AS THE WFUBMC BOARD DELEGATES TO IT, FOR THE REVIEW AND APPROVAL OF SENIOR EXECUTIVE COMPENSATION, INCLUDING SENIOR EXECUTIVE INCENTIVE PLANS. NO MEMBER OF THE COMMITTEE IS AN EMPLOYEE OF WFUBMC OR OF THE FILING ORGANIZATION. THE COMMITTEE RELIES UPON AN EXTERNAL, INDEPENDENT COMPENSATION CONSULTANT EXPERIENCED IN HEALTHCARE TO PROVIDE THE COMMITTEE WITH COMPENSATION COMPARABILITY DATA FOR NEW EXECUTIVE POSITION APPOINTMENTS AND FOR COMPENSATION REVIEWS FOR EXISTING EXECUTIVES. THE CONSULTANT, WHICH IS RETAINED DIRECTLY BY THE COMMITTEE, PROVIDES THIRD-PARTY INFORMATION AND EVALUATES THE COMPETITIVENESS AND REASONABLENESS OF EXECUTIVE COMPENSATION AND BENEFITS PROGRAMS IN RELATION TO MARKET PRACTICES FOR SIMILARLY SITUATED HEALTHCARE ORGANIZATIONS. THE COMMITTEE MAKES ITS DECISIONS WITH RESPECT TO EXECUTIVE COMPENSATION IN ACCORDANCE WITH WFUBMC AND FILING ORGANIZATION POLICIES, IRS REGULATIONS, AND STANDARD CORPORATE GOVERNANCE PRACTICES. SUCH POLICIES INCLUDE ADHERENCE TO EXECUTIVE COMPENSATION PHILOSOPHY AND REVIEW PROCESSES; PROCESSES ENSURING COMMITTEE MEMBER AND COMPENSATION CONSULTANT INDEPENDENCE; USE OF VALID MARKET COMPARISONS OF DATA FROM HEALTHCARE ORGANIZATIONS OF SIMILAR SIZE, STRUCTURE, AND COMPLEXITY AND ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS, PER IRS GUIDELINES. MINUTES OF THE DELIBERATIONS OF THE COMMITTEE ARE MAINTAINED IN THE ATRIUM HEALTH, INC. LEGAL DEPARTMENT. FOUR OF THE FILING ORGANIZATION'S OFFICERS OR FORMER OFFICERS ARE COMPENSATED BY RELATED ORGANIZATION WAKE FOREST UNIVERSITY ("WFU"), AND THEIR COMPENSATION IS REVIEWED AND APPROVED IN ACCORDANCE WITH WFU'S SIMILAR PROCEDURES. THIS PROCESS IS ALSO DESCRIBED IN THE NARRATIVE EXPLANATION TO FORM 990, SCHEDULE J, PART I, LINE 3. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE TO THE PUBLIC ON REQUEST AND ARE AVAILABLE ON THE WEBSITE OF THE NORTH CAROLINA SECRETARY OF STATE. THE ORGANIZATION'S BYLAWS ARE NOT PUBLISHED, BUT PROVISIONS FROM THE BYLAWS ARE INCLUDED AS NECESSARY IN THE ORGANIZATION'S POLICIES, AND ARE ATTACHED TO THE FORM 1023 FILED FOR THE ORGANIZATION WITH THE IRS, WHICH IS PUBLICLY AVAILABLE. THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC ON REQUEST. PART VII, SECTION A, COLUMN B - HOURS DONALD E. FLOW FILING ORG 3.0 RELATED ORG 8.0 DONNA A. BOSWELL, PHD FILING ORG 2.0 RELATED ORG 9.0 JAMES R. HELVEY, III FILING ORG 2.0 BRENDA CLINE FILING ORG 2.0 MATTHEW A. KING FILING ORG 2.0 RELATED ORG 10.0 ANN S. HANES FILING ORG 2.0 ADELAIDE A. SINK FILING ORG 2.0 RELATED ORG 4.0 ERIC EUBANK FILING ORG 2.0 RELATED ORG 4.0 JANICE STORY FILING ORG 2.0 RELATED ORG 3.0 MATTHEW CRAWFORD FILING ORG 2.0 RELATED ORG 3.0 A. DALE JENKINS FILING ORG 2.0 CATHY WALL THOMAS, MD FILING ORG 2.0 RELATED ORG 3.0 JOHN M. VANN FILING ORG 4.0 RELATED ORG 8.0 JULIE A. FREISCHLAG, MD FILING ORG 15.7 RELATED ORG 7.6 UNRELATED ORG 16.7 J. REID MORGAN FILING ORG 8.0 RELATED ORG 29.0 UNRELATED ORG 3.0 ANITA M. CONRAD FILING ORG 12.0 RELATED ORG 27.0 UNRELATED ORG 1.0 TERRY L. HALES JR. FILING ORG 35.2 RELATED ORG 4.8 DAVID ZHAO, MD FILING ORG 38.0 RELATED ORG 2.0 TERRY G. WILLIAMS FILING ORG 1.0 RELATED ORG 4.3 UNRELATED ORG 34.7 KEVIN P. HIGH, MD FILING ORG 5.8 RELATED ORG 20.5 UNRELATED ORG 13.7 BRADLEY A. CLARK FILING ORG 1.0 RELATED ORG 4.3 UNRELATED ORG 34.7 WILLIAM D. SHOWALTER FILING ORG 5.0 RELATED ORG 20.0 UNRELATED ORG 15.0 LISA M. MARSHALL FILING ORG 10.5 RELATED ORG 20.0 UNRELATED ORG 9.5 ANTHONY ATALA, MD FILING ORG 39.5 RELATED ORG 0.5 EDWARD KINCAID, MD FILING ORG 40.0 KENNETH LENNON, MD FILING ORG 40.0 PETE CARLSON FILING ORG 2.0 L. ANDREW KOMAN, MD FILING ORG 38.0 UNRELATED ORG 2.0 STEPHAN L. LILLIE FILING ORG 9.7 RELATED ORG 11.0 UNRELATED ORG 19.3 SUSAN R. WENTE, PHD FILING ORG 3.0 RELATED ORG 36.0 UNRELATED ORG 1.0 GERALD F. ROACH FILING ORG 2.0 CURTIS C. FARMER FILING ORG 2.0 MARYBETH TORBET HAYS FILING ORG 2.0 JAMES M. O'CONNELL FILING ORG 2.0 SHANNON SPENCE TOWNSEND FILING ORG 2.0 ERIC C. WISEMAN FILING ORG 2.0 MIT B. SHAH FILING ORG 2.0 A MEDICAL CENTER INTEGRATION AGREEMENT ("MCIA") WAS ORIGINALLY ENTERED INTO IN 2010 AMONG FOUR PARTIES: WAKE FOREST UNIVERSITY ("WFU"), WAKE FOREST UNIVERSITY HEALTH SCIENCES ("WFUHS"), WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER ("WFUBMC"), AND NORTH CAROLINA BAPTIST HOSPITAL ("NCBH"). PURSUANT TO THE TERMS OF THE ORIGINAL MCIA, THE OPERATION OF WFUHS AND NCBH, AND ALL OF THE RESPECTIVE SUBSIDIARIES OF EACH, IS DELEGATED TO WFUBMC. ADDITIONALLY, THE CORPORATE OFFICERS OF WFUBMC GENERALLY SERVE AS THE CORPORATE OFFICERS OF WFUHS AND NCBH. THE MCIA WAS REVISED AND RESTATED IN 2020 TO DELEGATE OVERSIGHT AND MANAGEMENT AUTHORITY OVER WFUBMC TO ATRIUM HEALTH, INC. ("AHI"). CERTAIN DIRECTORS AND/OR CORPORATE OFFICERS OF WFUHS, NCBH, & WFUBMC ALSO SERVE AS DIRECTORS OR CORPORATE OFFICERS OF AHI AND/OR OF WFU. WFU AND WFUBMC ARE ORGANIZATIONS RELATED TO THE FILING ORGANIZATION. NCBH AND AHI ARE ORGANIZATIONS UNRELATED TO THE FILING ORGANIZATION. THUS, CERTAIN DIRECTORS AND OFFICERS OF THE FILING ORGANIZATION DEVOTE HOURS TO RELATED ORGANIZATIONS (WFU AND WFUBMC) AND THEIR SUBSIDIARIES AND/OR TO UNRELATED ORGANIZATIONS (NCBH AND AHI) AND THEIR SUBSIDIARIES AS SHOWN IN THE BREAKDOWN OF HOURS ABOVE. FORM 990, PART XI, LINE 9: EQUITY METHOD AFFILIATES 21,031,528. ACTUARIAL GAIN 5,436,980. PRIOR PERIOD ADJUSTMENT 2,927,661. 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