WAKEMED: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: WAKEMED (EIN 56-6017737)
Tax period: 2020-10-01 to 2021-09-30
Filed: 2022-08-15
IRS object ID: 202202279349304330
Schema version: 2020v4.1
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 M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-08-15T15:48:51-05:00	ReturnTs
Tax Period End	2021-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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	55 IVAN ALLEN JR BLVD STE 1000	AddressLine1Txt
City	ATLANTA	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	30308	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-10-01	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)
In Care Of	% RICHARD F CARRICO CFO WAKEM	InCareOfNm
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	RICHARD F CARRICO	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	9193500522	PhoneNum
Signature	2022-08-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	RICHARD F	PersonFirstNm
Person Last	CARRICO	PersonLastNm

Field	Value	IRS element (for citing)
SSN	XXX-XX-XXXX	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	AERRIAL M ORR	PreparerPersonNm
PTIN	P01598400	PTIN
Phone	4048174598	PhoneNum
Preparation	2022-08-15	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	See Schedule O	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	DONALD GINTZIG	PrincipalOfficerNm

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

Field	Value	IRS element (for citing)
Gross Receipts	$1,717,646,660	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 OUSTANDING AND COMPASSIONATE CARE TO ALL.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	11611	TotalEmployeeCnt
Total Volunteers	945	TotalVolunteersCnt
Total Gross UBI	$15,390,004	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$30,688,852	PYContributionsGrantsAmt
CY Contributions Grants	$19,627,718	CYContributionsGrantsAmt
PY Program Service Revenue	$1,443,232,721	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,687,143,974	CYProgramServiceRevenueAmt
PY Investment Income	$22,575,622	PYInvestmentIncomeAmt
CY Investment Income	$11,252,165	CYInvestmentIncomeAmt
PY Other Revenue	$5,225,045	PYOtherRevenueAmt
CY Other Revenue	-$484,142	CYOtherRevenueAmt
PY Total Revenue	$1,501,722,240	PYTotalRevenueAmt
CY Total Revenue	$1,717,539,715	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,267,511	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,621,599	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$844,365,237	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$947,309,036	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$612,175,218	PYOtherExpensesAmt
CY Other Expenses	$724,088,325	CYOtherExpensesAmt
PY Total Expenses	$1,458,807,966	PYTotalExpensesAmt
CY Total Expenses	$1,673,018,960	CYTotalExpensesAmt
PY Revenues Less Expenses	$42,914,274	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$44,520,755	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,843,918,342	TotalAssetsBOYAmt
Total Assets EOY	$1,954,958,944	TotalAssetsEOYAmt
Total Liabilities BOY	$980,834,098	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$979,021,065	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$863,084,244	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$975,937,879	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 UNDERSTANDING AND COMPASSIONATE CARE TO ALL.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$354,488,877	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$435,927,140	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 2021, OUR SURGICAL PATIENTS INCLUDED 32% WHO WERE INSURED UNDER MEDICARE, 12.6% WHO WERE INSURED UNDER MEDICAID, AND 4.9% WHO WERE UNINSURED (OR "SELF-PAY OR CHARITY CARE").	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$195,119,150	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$228,301,756	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 2021, 15% OF OUR TOTAL EMERGENCY PATIENTS WERE INSURED UNDER MEDICARE; 28.5% WERE INSURED UNDER MEDICAID; AND 15.4% WERE UNINSURED SELF-PAY/CHARITY CARE. OVER 44% OF ALL PATIENTS SEEN IN OUR EMERGENCY DEPARTMENTS ARE EITHER MEDICAID OR UNINSURED PATIENT, RESULTING IN WAKEMED PROVIDING CARE OF AN ESTIMATED 70% OF WAKE COUNTY'S UNINSURED AND MEDICAID PATIENTS. ALL STAND-ALONE LOCATIONS SERVE AREAS WHICH ARE OTHERWISE UNDERSERVED.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$162,186,852	ExpenseAmt
Revenue	$226,130,349	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, 20,355 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 2021, OUR CARDIAC PATIENTS INCLUDED 38.1% WHO WERE INSURED UNDER MEDICARE, 11.4% WHO WERE INSURED UNDER MEDICAID, AND 10.4% 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 2021, THE TEAM TRANSPORTED 20,709 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

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$792,247,509	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$1,621,599	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$795,180,124	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$1,504,042,388	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	false	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	false	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	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	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
IRP Document	520	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	11611	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	14	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
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

Field	Value	IRS element (for citing)
Person	RICHARD F CARRICO CFO WAKEM	PersonNm
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	276101215	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (48 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Key EmployeeKeyEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Donald Gintzig
President & CEO	80.0	0.0	Yes (X)	$1,714,605	$0	$40,926
Bryon Boulton
Physician	61.0	0.0		$1,290,958	$0	$31,751	Yes (X)
Gurvinder S Deol
Physician	65.0	0.0		$1,194,430	$0	$37,091	Yes (X)
Judson Williams
Physician	60.0	0.0		$1,181,894	$0	$39,048	Yes (X)
Marc Silver
Physician	55.0	0.0		$1,019,033	$0	$39,772	Yes (X)
Jonathan Chappell
Physician	60.0	0.0		$1,020,631	$0	$32,711	Yes (X)
Denise Warren until 1220
EVP & Chief Operating Officer	65.0	0.0	Yes (X)	$699,604	$0	$37,072
Christopher DeRienzo
SVP & Sys CMO as of 12/19	60.0	0.0		$686,164	$0	$39,998		Yes (X)
Rick Carrico
EVP & Chief Financial Officer	70.0	0.0	Yes (X)	$622,462	$0	$45,641
Rebecca Andrews
SVP & Administrator Raleigh	70.0	0.0		$472,133	$0	$32,499		Yes (X)
Thomas Gough as of 121
EVP & Chief Operating Officer	60.0	0.0	Yes (X)	$468,490	$0	$19,238
Seth Brody
SVP, Physician Services	60.0	0.0		$453,399	$0	$17,100		Yes (X)
Charles Harr
Chief Medical Officer, Raleigh	60.0	0.0		$439,692	$0	$19,600		Yes (X)
Susan James
VP & Chief Legal Officer	65.0	0.0		$412,640	$0	$42,498		Yes (X)
Cynthia Alness-Boily
SVP - Operations & CNO	75.0	0.0		$413,046	$0	$38,371		Yes (X)
JEANENE MARTIN UNTIL 920
SVP - HUMAN RESOURCES	55.0	0.0		$400,010	$0	$37,382			Yes (X)
Peter Marks
VP & Chief Information Officer	60.0	0.0		$397,093	$0	$21,590		Yes (X)
Carolyn Knaup
SVP - Ambulatory Services	75.0	0.0		$368,619	$0	$39,183		Yes (X)
John Perry
VP, Medical Information	55.0	0.0		$361,590	$0	$43,001		Yes (X)
Rick Shrum
VP & Chief Strategy Officer	55.0	0.0		$349,023	$0	$49,080		Yes (X)
Karen Bash
CMO, North Hospital	60.0	0.0		$364,574	$0	$32,740		Yes (X)
Theodore Lotchin
VP - CHIEF COMPL. & PRIVACY	60.0	0.0	Yes (X)	$331,694	$0	$40,718
Thomas Cavender
VP, Facilities & Construction	50.0	0.0		$335,347	$0	$29,574		Yes (X)
Valerie Barlow
VP, Clinical & Support SVCS	55.0	0.0		$315,828	$0	$43,077		Yes (X)
Christine Craig
VP, Governmental Affairs	55.0	0.0		$292,379	$0	$34,522		Yes (X)
Debra Laughery
VP, Marketing & Communications	65.0	0.0		$300,741	$0	$17,707		Yes (X)
Stephanie Sessoms
VP, Finance	65.0	0.0		$272,917	$0	$31,447		Yes (X)
Shondra Brink
VP, Wake Physician Practices	60.0	0.0		$272,071	$0	$26,644		Yes (X)
Sheldrick Streete until 221
VP, Nursing - Raleigh	55.0	0.0		$249,470	$0	$38,835		Yes (X)
BETSY GASKINS-MCCLAINE
VP, Heart & Vascular	65.0	0.0		$230,758	$0	$23,808			Yes (X)
Thomas C Hughes
VP Operations, Community Hosp.	60.0	0.0		$198,673	$0	$13,638		Yes (X)
Douglas Trocinski start 220
CMO, Cary Hosptial	60.0	0.0		$178,743	$0	$6,149		Yes (X)
Sheri Deshazo until 819
SVP & Administrator - North	0.0	0.0		$169,624	$0	$0			Yes (X)
Roylyn Johnson
Officer - Secretary	50.0	0.0	Yes (X)	$121,578	$0	$17,047
Larry Barbour
BOARD MEMBER	2.5	0.0		$0	$0	$0				Yes (X)
Sonia Barnes
BOARD MEMBER	2.0	0.0		$0	$0	$0				Yes (X)
Dan Blue III
BOARD MEMBER	2.0	0.0		$0	$0	$0				Yes (X)
Margaret Bratton
BOARD MEMBER (as of 10/20)	2.25	0.0		$0	$0	$0				Yes (X)
Henry L Darnell
BOARD MEMBER	2.5	0.0		$0	$0	$0				Yes (X)
Vern Davenport
BOARD MEMBER	1.75	0.0		$0	$0	$0				Yes (X)
A Blanton Godfrey PhD
BOARD MEMBER	2.5	0.0		$0	$0	$0				Yes (X)
Thad L McDonald MD
BOARD MEMBER	2.75	0.0		$0	$0	$0				Yes (X)
James Anthony Penry
BOARD MEMBER	2.0	0.0		$0	$0	$0				Yes (X)
Robert C Rice Jr
SECRETARY, BOARD MEMBER	2.5	0.0		$0	$0	$0				Yes (X)
Mary Nash Rusher
BOARD MEMBER	2.0	0.0		$0	$0	$0				Yes (X)
Christina Alvarado Shanahan
VICE CHAIR, BOARD OF DIRECTORS	2.0	0.0		$0	$0	$0				Yes (X)
Willy E Stewart
CHAIR, BOARD OF DIRECTORS	3.5	0.0		$0	$0	$0				Yes (X)
Blount Williams
BOARD MEMBER	2.25	0.0		$0	$0	$0				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$15,605,338	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$884,183	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1538	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
Morrison Healthcare
PO Box 102289	ATLANTA	GA	303682289	Nutrition Services	$20,476,980
LABORATORY CORPORATION OF AMERICA
PO BOX 12140	BURLINGTON	NC	27216	DIAGNOSTIC TESTING	$4,462,088
University of NC Hospitals
General Accounting STE 2033	CHAPEL HILL	NC	27517	Health Care System	$3,218,583
Receivable Solutions Inc
PO Box 21808	RALEIGH	NC	27620	Collection Services	$2,440,178
Fresenius Medical Care
1 6343 Collection Center Drive	CHICAGO	IL	60693	Hemodialysis Treatm	$2,215,709

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	104	CntrctRcvdGreaterThan100KCnt
Related Organizations	$238,182	RelatedOrganizationsAmt
Government Grants	$17,809,582	GovernmentGrantsAmt
All Other Contributions	$1,579,954	AllOtherContributionsAmt
Noncash Contributions	$54,292	NoncashContributionsAmt
Total Contributions	$19,627,718	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PATIENT SERVICES	621511	$1,602,406,459	$1,602,406,459
NON-PATIENT SERVICES	621500	$13,814,655		$13,814,655
CAFETERIA	722210	$5,103,756			$5,103,756
PURCH DISCNTS/REBATES/VHA	900099	$3,089,138	$3,089,138
OTHER OPERATING REVENUE	900099	$56,779,830	$26,843,196	$825,303	$29,111,331

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,950,136	TotalRevenueColumnAmt
Related Or Exempt Func Income	$5,200,090	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$750,046	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,687,143,974	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,501,654	TotalRevenueColumnAmt
Exclusion	$11,501,654	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,227,408	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$106,945	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,120,463	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,120,463	TotalRevenueColumnAmt
Exclusion	$1,120,463	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$240,378	SecuritiesAmt
Other	-$489,867	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$240,378	SecuritiesAmt
Other	-$489,867	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$249,489	TotalRevenueColumnAmt
Exclusion	-$249,489	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	LOSS FROM JOINT VENTURES	Desc
Business	900099	BusinessCd
Total Revenue Column	-$1,604,605	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$1,604,605	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	-$1,604,605	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,717,539,715	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,635,934,278	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$15,390,004	UnrelatedBusinessRevenueAmt
Exclusion	$46,587,715	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,621,599	TotalAmt
Program Services	$1,621,599	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$13,142,082	TotalAmt
Program Services	$10,513,666	ProgramServicesAmt
Management And General	$2,628,416	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$773,885,215	TotalAmt
Program Services	$657,802,433	ProgramServicesAmt
Management And General	$116,082,782	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$33,010,595	TotalAmt
Program Services	$28,059,006	ProgramServicesAmt
Management And General	$4,951,589	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$76,566,903	TotalAmt
Program Services	$65,081,868	ProgramServicesAmt
Management And General	$11,485,035	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$50,704,241	TotalAmt
Program Services	$43,098,605	ProgramServicesAmt
Management And General	$7,605,636	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,166,676	TotalAmt
Program Services	$1,096,675	ProgramServicesAmt
Management And General	$70,001	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$352,038	TotalAmt
Program Services	$322,291	ProgramServicesAmt
Management And General	$29,747	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$448,656	TotalAmt
Program Services	$421,737	ProgramServicesAmt
Management And General	$26,919	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,271,222	TotalAmt
Program Services	$1,194,949	ProgramServicesAmt
Management And General	$76,273	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$136,335,253	TotalAmt
Program Services	$128,155,138	ProgramServicesAmt
Management And General	$8,180,115	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$6,421,783	TotalAmt
Program Services	$6,036,476	ProgramServicesAmt
Management And General	$385,307	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$49,780,495	TotalAmt
Program Services	$46,793,665	ProgramServicesAmt
Management And General	$2,986,830	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$23,069,851	TotalAmt
Program Services	$21,685,660	ProgramServicesAmt
Management And General	$1,384,191	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$32,654,852	TotalAmt
Program Services	$30,695,561	ProgramServicesAmt
Management And General	$1,959,291	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$857,058	TotalAmt
Program Services	$805,635	ProgramServicesAmt
Management And General	$51,423	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$983,794	TotalAmt
Program Services	$924,766	ProgramServicesAmt
Management And General	$59,028	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$18,060,873	TotalAmt
Program Services	$18,060,873	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$77,315,630	TotalAmt
Program Services	$77,315,630	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,907,204	TotalAmt
Program Services	$3,672,772	ProgramServicesAmt
Management And General	$234,432	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$267,573,984	$267,573,984	$0	$0
REPAIRS AND MAINTENANCE	$32,468,532	$25,974,826	$6,493,706	$0
GAP ASSESSMENT	$29,055,172	$27,311,862	$1,743,310	$0
MINOR EQUIPMENT	$10,704,465	$10,062,197	$642,268	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$31,660,787	TotalAmt
Program Services	$29,760,514	ProgramServicesAmt
Management And General	$1,900,273	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,673,018,960	TotalAmt
Program Services	$1,504,042,388	ProgramServicesAmt
Management And General	$168,976,572	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$56,830	BOYAmt
EOY	$59,078	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$716,883,964	BOYAmt
EOY	$687,149,556	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$167,998	BOYAmt
EOY	$117,480	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$172,921,082	BOYAmt
EOY	$196,079,635	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	$178,215	BOYAmt
EOY	$294,507	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$29,633,817	BOYAmt
EOY	$30,607,951	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$20,778,908	BOYAmt
EOY	$21,638,883	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,814,617,364	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,259,804,279	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$541,582,315	BOYAmt
EOY	$554,813,085	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$194,295,919	BOYAmt
EOY	$290,268,334	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$234,715	BOYAmt
EOY	$108,960	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$167,184,579	BOYAmt
EOY	$173,821,475	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,843,918,342	BOYAmt
EOY	$1,954,958,944	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$196,292,933	BOYAmt
EOY	$245,221,275	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	$13,872,572	BOYAmt
EOY	$71,281	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$616,169,497	BOYAmt
EOY	$607,049,985	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	$154,499,096	BOYAmt
EOY	$126,678,524	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$980,834,098	BOYAmt
EOY	$979,021,065	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	$862,044,600	BOYAmt
EOY	$974,756,858	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,039,644	BOYAmt
EOY	$1,181,021	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$863,084,244	BOYAmt
EOY	$975,937,879	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,843,918,342	BOYAmt
EOY	$1,954,958,944	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$44,520,755	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$82,296,394	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$13,963,514	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
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

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)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
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	$598,412	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$598,412	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1	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

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$335,322	BeginningYearBalanceAmt
Investment Earnings Or Losses	$6,049	InvestmentEarningsOrLossesAmt
Administrative Expenses	$5,281	AdministrativeExpensesAmt
End Year Balance	$336,090	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$335,506	BeginningYearBalanceAmt
Investment Earnings Or Losses	$5,026	InvestmentEarningsOrLossesAmt
Administrative Expenses	$5,210	AdministrativeExpensesAmt
End Year Balance	$335,322	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$336,449	BeginningYearBalanceAmt
Investment Earnings Or Losses	$4,238	InvestmentEarningsOrLossesAmt
Administrative Expenses	$5,181	AdministrativeExpensesAmt
End Year Balance	$335,506	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$337,353	BeginningYearBalanceAmt
Investment Earnings Or Losses	$3,448	InvestmentEarningsOrLossesAmt
Administrative Expenses	$4,352	AdministrativeExpensesAmt
End Year Balance	$336,449	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
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	$710,629,356	OtherCostOrOtherBasisAmt
Depreciation	$398,642,726	DepreciationAmt
Book Value	$311,986,630	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$56,850,207	OtherCostOrOtherBasisAmt
Depreciation	$30,340,305	DepreciationAmt
Book Value	$26,509,902	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$990,455,905	OtherCostOrOtherBasisAmt
Depreciation	$810,519,595	DepreciationAmt
Book Value	$179,936,310	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$52,817,527	OtherCostOrOtherBasisAmt
Depreciation	$20,301,653	DepreciationAmt
Book Value	$32,515,874	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$554,813,085	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
RESTRICTED FUNDS	$46,182,983
DESIGNATED FUNDS	$38,587,535
OTHER EQUITY INVESTMENTS	$45,091,868
PREPAID PENSION	$26,738,082
FV INT RATE SWAP	$17,221,007

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$173,821,475	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDesc	AmtAmt
ACCELERATED PMT LIAB	$64,287,490
ACCRUED CLAIMS PAYABLE	$19,154,176
DEFERRED SOCIAL SECURITY	$13,521,920
INTEREST RATE SWAP	$17,221,007
TOTAL DUE TO THIRD-PARTY PAYOR	-$639,337
OTHER DEFERRED INFLOWS OF RESOURCES	$1,001,945
PENSION-DEFERRED INFLOW	$11,243,294
DEFERRED LANDLORD INCENTIVES & RENT	$838,528
CAP LEASES LONG TERM	$49,501

Field	Value	IRS element (for citing)
Total Liability	$126,678,524	TotalLiabilityAmt

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/EXP	SpecificServicesProvidedTxt
Region Total Expenditures	$6,644,652	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$6,644,652	SubtotalSpentAmt
Total Spent	$6,644,652	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

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	$103,336,382	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$103,336,382	NetCommunityBenefitExpnsAmt
Total Expense	0.06180	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$190,788,070	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$184,852,938	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,935,132	NetCommunityBenefitExpnsAmt
Total Expense	0.00350	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,079,582	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,079,582	DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$296,204,034	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$186,932,520	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$109,271,514	NetCommunityBenefitExpnsAmt
Total Expense	0.06530	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,513,090	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$250,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,263,090	NetCommunityBenefitExpnsAmt
Total Expense	0.00310	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,701,878	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,578,054	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,123,824	NetCommunityBenefitExpnsAmt
Total Expense	0.00490	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$859,935	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$859,935	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,074,903	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,828,054	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,246,849	NetCommunityBenefitExpnsAmt
Total Expense	0.00850	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$314,278,937	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$190,760,574	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$123,518,363	NetCommunityBenefitExpnsAmt
Total Expense	0.07380	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$112,523	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$72,420	NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$233,782	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$233,782	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,129,118	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$40,103	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,129,118	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,475,423	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$40,103	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,435,320	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$22,232,490	BadDebtExpenseAmt
Reimbursed By Medicare	$462,209,433	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$577,672,527	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$115,463,094	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
Physicians Profit Or Ownership	0.2224	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	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	Teaching HospitalTeachingHospitalInd
WAKEMED CARY HOSPITAL
1	1900 KILDARE FARM ROAD	CARY	NC	27518	WWW.WAKEMED.ORG	H0276	Yes (X)	Yes (X)	Yes (X)	A
WakeMed Raleigh Campus
2	3000 New Bern Avenue	RALEIGH	NC	27610	WWW.WAKEMED.ORG	H0199	Yes (X)	Yes (X)	Yes (X)	A	Yes (X)

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)
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	19	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	SEE SECTION C	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	SEE SECTION C	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE SECTION C	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.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.	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 SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SECTION C	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
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 (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FACILITY GROUP A	ALL ANSWERS PROVIDED IN PART V, SECTION B & C PERTAIN TO FACILITY GROUP A, WHICH INCLUDES WAKEMED RALEIGH CAMPUS AND WAKEMED CARY HOSPITAL AS IDENTIFIED ON SCHEDULE H, PART V, SECTION A, LINES 1-2. Schedule H, Part V, Section B, Line 3e THE SIGNIFICANT HEALTH NEEDS OF WAKE COUNTY WERE IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH WAS CONDUCTED IN COLLABORATION WITH THE AREA'S OTHER HEALTH SYSTEMS, WAKE COUNTY HUMAN SERVICES, AND OTHER COMMUNITY AGENCIES. A ROBUST PROCESS USING COLLECTED DATA AND SIGNIFICANT COMMUNITY INPUT WAS USED TO IDENTIFY AND PRIORITIZE THE COMMUNITY'S HEALTH NEEDS. A PRIORITIZATION MATRIX WEIGHTED SCORES TO IDENTIFY AND NARROW PRIORITIES THAT WOULD BE INCLUDED IN THE FINAL CHNA REPORT AND LATER INCORPORATED IN IMPLEMENTATION PLANS. SCORES WERE GIVEN BASED ON ANALYSIS OF COLLECTED PRIMARY AND SECONDARY DATA, FOCUS GROUP FINDINGS, TELEPHONE SURVEY RESULTS, ONLINE SURVEY RESULTS, AND STEERING COMMITTEE PRIORITIZATION RESULTS. THE FIVE PRIORITY AREAS IDENTIFIED USING THE MATRIX SCORES ARE: 1. TRANSPORTATION OPTIONS & TRANSIT 2. EMPLOYMENT 3. ACCESS TO CARE 4. MENTAL HEALTH AND SUBSTANCE USE DISORDERS 5. HOUSING & HOMELESSNESS WHILE TRANSPORTATION MAY NOT SEEM RELATED TO HEALTH NEEDS, MANY ASPECTS OF DAILY LIFE REQUIRE USE OF TRANSPORTATION, INCLUDING EMPLOYMENT, EDUCATION, ACCESS TO NUTRITIONAL FOODS, AND ACCESS TO HEALTHCARE SERVICES, ALL OF THESE FACTOR INTO ONE'S OVERALL HEALTH. FURTHER, TRANSPORTATION ALSO IMPACTS PHYSICAL ACTIVITY. THE TRANSPORTATION INFRASTRUCTURES IN WAKE COUNTY HAVE STRUGGLED TO KEEP UP WITH THE POPULATION GROWTH EXPERIENCED WITHIN THE COUNTY OVER RECENT YEARS. WAKEMED SUPPORTS PATIENTS AND THEIR NEED FOR RELIABLE TRANSPORTATION IN ORDER TO ACCESS HIGH-QUALITY HEALTH SERVICES AND/OR TO MAINTAIN COMPLIANCE WITH THEIR PLAN OF CARE. IN ADDITION, WAKEMED SUPPORTS ENHANCED TRANSPORTATION AND TRANSIT OPTIONS FOR OUR PATIENTS, VISITORS, AND EMPLOYEES. AS AN ACTIVE MEMBER IN A REGIONAL TRANSPORTATION ADVOCACY ORGANIZATION, WAKEMED LENDS OUR HEALTHCARE KNOWLEDGE AND EXPERTISE IN TRANSPORTATION DISCUSSIONS THROUGHOUT THE COMMUNITY. WE CONTINUE TO EXPLORE INNOVATIVE OPTIONS TO ENHANCE/IMPROVE TRANSPORTATION AND TRANSIT OPTIONS FOR OUR PATIENTS AND THE COMMUNITY AT LARGE. THE EMPLOYMENT PRIORITY INCLUDES INFORMATION RELATED TO HOW MANY PEOPLE HAVE JOBS, WHAT TYPES OF JOBS THEY HAVE, AND WHETHER PEOPLE FEEL THEY CAN GET A GOOD JOB IN WAKE COUNTY. CONTINUED IMPROVEMENTS RELATED TO EMPLOYMENT CAN POSITIVELY IMPACT THE RESIDENTS OF WAKE COUNTY NOT ONLY WITHIN SOCIOECONOMIC AND FINANCIAL REALMS, BUT ALSO THE HEALTH OF THE COMMUNITY. AS ONE OF THE LARGEST PRIVATE EMPLOYERS IN WAKE COUNTY, WAKEMED EMPLOYS MORE THAN 10,000 PROFESSIONALS IN HEALTH CAREERS AND SUPPORT SERVICES FIELDS SUCH AS IT, HOSPITALITY, ENVIRONMENTAL SERVICES, ENGINEERING, FINANCE, RISK MANAGEMENT, AND PASTORAL CARE. ONE OF WAKEMED'S STRATEGIC PLAN GOALS IS TO MAINTAIN AN EXTRAORDINARY TEAM - WHICH ALLOWS US TO PROVIDE ACCESS TO A VARIETY OF CAREERS, CAREER ADVANCEMENT OPPORTUNITIES, AND A GOOD LIVING WAGE RIGHT HERE IN WAKE COUNTY. WE ARE COMMITTED TO TRAINING OUR OWN EMPLOYEES, PROVIDING OPPORTUNITIES FOR CONTINUED GROWTH, EDUCATION, AND ADVANCEMENT. WE'RE ALSO FOCUSED ON DEVELOPING THE HEALTHCARE WORKFORCE OF THE FUTURE, EQUIPPING STUDENTS WITH THE SKILLS AND KNOWLEDGE TO SECURE EMPLOYMENT RIGHT HERE IN WAKE COUNTY. THE ABILITY TO ACCESS HEALTH SERVICES IS A CRITICAL PUBLIC HEALTH ISSUE, AS PRIMARY AND PREVENTATIVE SERVICES CAN HELP TO PREVENT OR MANAGE CHRONIC ILLNESSES THUS IMPROVING THE HEALTH OF THE COMMUNITY. A LACK OF FACILITIES AND SPECIALISTS IN LOCAL COMMUNITIES ACROSS THE COUNTY WERE NOTED AS BEING BARRIERS TO ACCESSING CARE AS WAS THE NEED FOR MORE SLIDING SCALE PROVIDERS. THE TRADITIONAL HOURS OFFERED BY MANY HEALTHCARE PROVIDERS ALSO CREATE A BARRIER TO ACCESSING CARE FOR MANY INDIVIDUALS AND FAMILIES WHO ARE FORCED TO MISS AN ENTIRE OR PARTIAL DAY OF WORK IN ORDER TO GO TO THE DOCTOR. ENSURING ALL MEMBERS OF OUR GROWING COMMUNITY HAVE ACCESS TO THE HEALTHCARE SERVICES THEY NEED IS CRITICAL TO MAINTAINING THE HEALTH OF WAKE COUNTY. AS SUCH, WAKEMED IS FOCUSED ON IMPROVING ACCESS TO CARE THROUGH CONTINUED GROWTH AND EXPANSION, AS WELL AS DEVELOPMENT OF INNOVATIVE MODELS OF CARE DELIVERY. WAKE COUNTY HAS EXPERIENCED AN INCREASE IN THE PREVALENCE AND SEVERITY OF MENTAL HEALTH AND SUBSTANCE ABUSE PROBLEMS OVER RECENT YEARS. AT THE SAME TIME, THE AVAILABILITY OF RESOURCES AND ACCESS TO SERVICES FOR PEOPLE SUFFERING WITH THESE PROBLEMS HAS DECLINED. MENTAL HEALTH/SUBSTANCE USE DISORDERS WAS AN IDENTIFIED PRIORITY IN THE 2013, 2016, AND 2019 WAKE COUNTY CHNAS. THE MENTAL HEALTH AND SUBSTANCE USE DISORDERS PRIORITY INCLUDES MENTAL HEALTH DISEASE (LIKE DEPRESSION, ALZHEIMER'S, AND SCHIZOPHRENIA), POOR MENTAL HEALTH DAYS, AND HURTING ONESELF, AS WELL AS ALCOHOL, OPIOID, AND ILLEGAL DRUG USE, AND DATA RELATED TO OVERDOSES. MENTAL HEALTH WAS IDENTIFIED THROUGH THE PRIORITIZATION MATRIX AS THE FOURTH TOP SCORING PRIORITY NEED FOR WAKE COUNTY WITH A SCORE OF 2.37. SUBSTANCE USE DISORDERS WAS IDENTIFIED THROUGH THE PRIORITIZATION MATRIX AS THE SIXTH TOP SCORING PRIORITY NEED. IN PARTICULAR, SUBSTANCE USE DISORDERS WAS FOUND TO BE A TOP SCORING NEED AREA AMONG A FEW OF THE SERVICE ZONES. MENTAL HEALTH AND SUBSTANCE ABUSE WERE IDENTIFIED AS PRIORITY AREAS IN SEVEN OF THE EIGHT SERVICE ZONES AND WAKE COUNTY OVERALL. LIKE MOST HEALTH SYSTEMS ACROSS THE COUNTRY, WAKEMED HAS SEEN A STEADY INCREASE IN THE DEMAND FOR BEHAVIORAL HEALTH SERVICES. AS SUCH, WE HAVE CONTINUED TO INVEST SIGNIFICANT TIME, ENERGY, AND RESOURCES TO INCREASE THE CAPACITY AND BREADTH OF SERVICES NEEDED TO SUPPORT PATIENTS SUFFERING FROM BEHAVIORAL HEALTH CONDITIONS. MANY OF THESE STRATEGIES RELY ON THE STRONG PARTNERSHIPS WE'VE BUILT WITH COMMUNITY-BASED ORGANIZATIONS AND OUR PEER HEALTHCARE ORGANIZATIONS THROUGHOUT WAKE COUNTY. HOUSING AND HOMELESSNESS ARE ALSO SOCIAL DETERMINANTS OF HEALTH THAT ROSE TO THE TOP OF THE WAKE COUNTY PRIORITIZATION MATRIX TO BECOME A PRIORITY AREA FOR THE COUNTY TO FOCUS ON OVER THE COMING YEARS. THIS FOCUS AREA WAS IDENTIFIED THROUGH THE PRIORITIZATION MATRIX AS THE FIFTH TOP SCORING PRIORITY NEED FOR WAKE COUNTY. IN ADDITION, VARIATION BY SERVICE ZONE WAS APPARENT, RELATED TO THIS FOCUS AREA. THE PRIORITIZATION MATRIX RELIED ON BOTH EXISTING AND NEW DATA TO IDENTIFY AREAS OF NEED WITHIN WAKE COUNTY. THE HOUSING AND HOMELESSNESS PRIORITY CONTAINS INFORMATION RELATED TO THE COST OF HOUSING, HOUSING CHOICES, AND NUMBER OF PERSONS EXPERIENCING HOMELESSNESS. WAKEMED IS ACTIVELY ENGAGED IN SUPPORTING OUR COMMUNITY'S HOMELESS POPULATION. FOCUSING ON SOCIAL DETERMINANTS OF HEALTH, WE CONTINUE TO EXPLORE INNOVATIVE WAYS TO IMPROVE ACCESS TO CARE FOR PATIENTS IN WAKE COUNTY WHO ARE DEALING WITH HOUSING INSECURITY.
SCHEDULE H, PART V, SECTION B, LINE 5	THE FOLLOWING RESPONSES APPLY TO ALL FACILITIES WITHIN THE GROUP, UNLESS OTHERWISE NOTED. TO ENSURE WE RECEIVE INPUT REPRESENTING BROAD INTEREST OF THE COMMUNITY, WAKEMED PARTNERED WITH OVER 100 AGENCIES AND COMMUNITY PARTNERS INCLUDING WAKE COUNTY PUBLIC HEALTH DEPARTMENT TO CONDUCT THE COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT. ADDITIONALLY, WAKE COUNTY HUMAN SERVICES HAS DIVIDED THE ENTIRE COUNTY INTO "SERVICE ZONES". USING THESE SERVICE ZONES, WAKEMED, AND THE CHNA REPORT, WAS ASSURED TO INCORPORATE THE BROADEST INTERESTS OF THE COMMUNITY. AS OUTLINED THROUGHOUT THE 2019 REPORT, A SIGNIFICANT AMOUNT OF DATA AND INFORMATION HAS BEEN REVIEWED AND INCORPORATED IN THIS PROCESS, AND THE PLANNING PARTNERS HAVE BEEN CAREFUL TO ENSURE THAT A VARIETY OF SOURCES WERE LEVERAGED TO DEVELOP A TRULY COMPREHENSIVE REPORT. TO PAINT A MORE COMPLETE PICTURE OF WAKE COUNTY'S HEALTH NEEDS, THE 2019 CHNA PROCESS USED ASSESSMENT METHODS INCLUDING BOTH PUBLICLY AVAILABLE, EXISTING STATISTICAL DATA AS WELL AS NEW DATA THAT WERE COLLECTED DIRECTLY FROM THE COMMUNITY. NEW RESEARCH DATA WAS COLLECTED VIA TELEPHONE SURVEYS, INTERNET SURVEYS, AND FOCUS GROUPS. IN ADDITION, COMMUNITY INPUT AND PRIORITIZATION SESSIONS WERE HELD. IN TOTAL MORE THAN 5,900 PEOPLE PARTICIPATED IN THE PROCESS. TIME PERIOD FOR INPUT: THE COLLECTION PERIOD BEGAN IN MAY 2018 DATA WAS GATHERED THROUGH OCTOBER 2018. DESCRIPTION OF MEDICALLY UNDERSERVED, LOW-INCOME OR MINORITY POPULATIONS THAT PROVIDED INPUT: MEDICALLY UNDERSERVED INCLUDE THOSE WITHOUT MEDICAL INSURANCE OR ACCESS TO MEDICAL CARE. DATA SUCH AS RATES OF FREE AND REDUCED LUNCH, FOOD INSECURITY, HOMELESSNESS, POVERTY RATES / MEDIAN INCOME DESCRIBED LOW-INCOME RESIDENTS IN THE COUNTY. RACIAL AND ETHNIC MINORITY POPULATIONS, THE HOMELESS POPULATION, LIMITED ENGLISH-SPEAKING HOUSEHOLDS, AND SPANISH-SPEAKING RESIDENTS DESCRIBE THE MINORITY POPULATIONS FROM WHOM DATA WAS GATHERED. INPUT BY MEDICALLY UNDERSERVED, LOW-INCOME OR MINORITY POPULATIONS: THE 2019 CHNA REPORT PROVIDES A SIGNIFICANT AMOUNT OF PRIMARY AND SECONDARY DATA SPECIFIC TO THE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS IN WAKE COUNTY. GATHERING SECONDARY DATA WAS EASILY ACCOMPLISHED BY ACCESSING EXISTING SOURCES. IN ADDITION, INPUT FROM NUMEROUS COMMUNITY ORGANIZATIONS WITH KNOWLEDGE OF THE ISSUES THAT NEED TO BE ADDRESSED WITHIN WAKE COUNTY WAS GATHERED THROUGHOUT THE ENTIRE PROCESS. HOWEVER, IT WAS RECOGNIZED THERE ARE LIMITATIONS TO GATHERING PRIMARY DATA IN THE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, SUCH AS ZIP CODE/CENSUS TRACT ISSUES, LEGAL AND PRACTICAL ISSUES GATHERING DATA FOR CHILDREN, AND THE POTENTIAL TO INCORPORATE "STALE" DATA, THE 2019 CHAT INVESTED A SIGNIFICANT AMOUNT OF TIME AND ENERGY TO TAILOR OUTREACH ACTIVITIES TO REACH THESE POPULATIONS TO GATHER DATA FOR THE FINAL REPORT. THE COMMUNITY HEALTH ASSESSMENT TEAM (CHAT) MADE A CONCERTED EFFORT TO ENGAGE THE FAITH BASED COMMUNITY, SAFETY NET HEALTHCARE PROVIDERS, AND OTHER PROVIDERS OF SERVICES FOR THE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. PARTNERING WITH THESE LOCAL ORGANIZATIONS WITH ACCESS TO THESE POPULATIONS, ALLOWED US TO CONDUCT FOCUS GROUPS SPECIFICALLY TARGETING SPANISH SPEAKING INDIVIDUALS, INDIVIDUALS EXPERIENCING HOMELESSNESS, AND YOUTH TO MORE FULLY REPRESENT THE NEEDS OF THE UNDERSERVED POPULATION. THE 2019 CHNA IS THE FIRST WAKE COUNTY CHNA THAT SPECIFICALLY TARGETED YOUTH PARTICIPANTS THROUGH FOCUS GROUP PARTICIPATION. THE CHAT COORDINATED THESE FOCUS GROUPS WITH PROVIDERS LIKE ADVANCE COMMUNITY HEALTH, A FEDERALLY-QUALIFIED HEALTH CENTER (FQHC), WHICH SERVES A SIGNIFICANT PORTION OF MEDICALLY UNDERSERVED AND LOW-INCOME RESIDENTS IN WAKE COUNTY. OTHER SAFETY NET HEALTHCARE ORGANIZATIONS PROVIDING CARE TO UNINSURED AND UNDERINSURED SUCH AS WAKE COUNTY MEDICAL SOCIETY COMMUNITY HEALTH FOUNDATION, URBAN MINISTRIES OF WAKE COUNTY, ALLIANCE MEDICAL MINISTRIES, AND TRIANGLE FAMILY SERVICES ACTIVELY ENGAGED IN THE ENTIRE PROCESS. OTHER METHODS USED TO GATHER PRIMARY AND SECONDARY DATA IN THESE POPULATIONS AND THE ENTIRE COUNTY INCLUDED A TELEPHONE SURVEY (WHICH WAS STATISTICALLY VALID AND REPRESENTATIVE OF THE COUNTY AS A WHOLE), A WEB-BASED SURVEY (AVAILABLE IN ENGLISH AND SPANISH), AND GEOGRAPHICALLY BASED FOCUS GROUPS. LASTLY, THE PRIORITIZATION PROCESS, WHICH CONCLUDED THE DATA COLLECTION PERIOD, PROVIDED THE ENTIRE COMMUNITY OF WAKE COUNTY WITH THE OPPORTUNITY TO DECIDE WHICH ISSUES SHOULD BE THE FOCUS OF CHNA ACTION PLANS FOR THE NEXT THREE YEARS. WAKEMED MANAGEMENT BELIEVES THAT THE 2019 CHNA ADEQUATELY INCORPORATES INPUT FROM THE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS.
SCHEDULE H, PART V, SECTION B, LINE 6A	THE FOLLOWING RESPONSES APPLY TO ALL FACILITIES WITHIN THE GROUP, UNLESS OTHERWISE NOTED. WAKE COUNTY HUMAN SERVICES, DUKE RALEIGH HOSPITAL, UNC REX, ADVANCE COMMUNITY HEALTH, YOUTH THRIVE, TRIANGLE UNITED WAY, ALLIANCE HEALTH, WAKE COUNTY MEDICAL SOCIETY COMMUNITY HEALTH FOUNDATION, AND WAKEMED IN ADDITION TO NUMEROUS OTHER NON-PROFIT ORGANIZATIONS.
SCHEDULE H, PART V, SECTION B, LINE 6B	IN ADDITION TO THE THREE LOCAL HEALTHCARE SYSTEMS, AND WAKE COUNTY PUBLIC HEALTH, OTHER FUNDING PARTNERS (CASH OR IN-KIND) PART OF THE COMMUNITY HEALTH ASSESSMENT TEAM (CHAT) PARTICIPATED IN AND PROVIDED STRATEGIC INPUT AND GUIDANCE DURING THE ENTIRE PROCESS IN 2019. ORGANIZATIONS SUCH AS YOUTH THRIVE, UNITED WAY OF THE GREATER TRIANGLE, THE WAKE COUNTY MEDICAL SOCIETY COMMUNITY HEALTH FOUNDATION AND ALLIANCE HEALTH, THE MANAGED CARE ENTITY PROVIDING MENTAL HEALTH/SUBSTANCE USE AND IDD SERVICES TO INDIVIDUALS IN WAKE COUNTY INSURED BY THE STATE'S MEDICAID PROGRAM.
SCHEDULE H, PART V, SECTION B, LINE 7A	https://www.wakemed.org/assets/documents/community/2019-wake-county-chna-r eport-final.pdf SCHEDULE H, PART V, SECTION B, LINE 7B https://www.wakegov.com/departments-government/human-services/data-and-rep orts/community-health-needs-assessment
SCHEDULE H, PART V, SECTION B, LINE 10A	https://www.wakemed.org/assets/documents/community/2019-chna-initiatives.p df
SCHEDULE H, PART V, SECTION B, LINE 11	OUR CHNA PRIORITIZATION PROCESS RESULTED IN 5 PRIORITY AREAS FOR WAKE COUNTY THAT WILL BE ADDRESSED OVER THE NEXT THREE YEARS: -TRANSPORTATION & TRANSIT OPTIONS; -ACCESS TO HEALTH SERVICES; -MENTAL HEALTH AND SUBSTANCE ABUSE; -EMPLOYMENT; AND -HOUSING & HOMELESSNESS IN THIS CHNA CYCLE, WAKEMED LEADERS CREATED A MORE ROBUST, MEASURABLE IMPLEMENTATION PLAN TO GUIDE OUR ACTIONS IN THESE 5 AREAS, BUT ALSO TO MORE CLOSELY MEASURE OUR EFFORTS TO IMPROVE IN THESE FIVE AREAS. THE WAKEMED'S IMPLEMENTATION PLAN DETAILS ALL OF OUR EFFORTS AND MEASURES OF SUCCESS. (HTTP://WWW.WAKEMED.ORG/DOCUMENTS/COMMUNITY/2019-CHNA-PLAN.PDF)
SCHEDULE H, PART V, SECTION B, LINE 16A	https://www.wakemed.org/assets/documents/billing/financial-assistance-engl ish.pdf https://www.wakemed.org/assets/documents/billing/financial-assistance-span ish.pdf
SCHEDULE H, PART V, SECTION B, LINE 16B	https://www.wakemed.org/assets/documents/billing/financial-assistance-inst ructions-application.pdf https://www.wakemed.org/assets/documents/billing/financial-assistance-appl ication-instructions-spanish.pdf
SCHEDULE H, PART V, SECTION B, LINE 16C	https://www.wakemed.org/assets/documents/regulatory/financial-assistance-p olicy-summary-english.pdf https://www.wakemed.org/assets/documents/regulatory/financial-assistance-p olicy-summary-spanish.pdf
SCHEDULE H, PART V, SECTION B, LINE 20E	WAKEMED ALSO NOTIFIED PATIENTS AT ADMISSION AND DISCHARGE OF SERVICES ABOUT THE FINANCIAL ASSISTANCE POLICY AND PROVIDED DOCUMENTATION AS REQUESTED.

Field	Value	IRS element (for citing)
Facility	11	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
WAKEMED SPECIALISTS GROUP LLC
3000 NEW BERN AVENUE	RALEIGH	NC	27610	MEDICAL PRACTICE
WAKEMED NORTH
10000 FALLS OF THE NEUSE ROAD	RALEIGH	NC	27614	SURG., PREGNANCY, CHILDBIRTH OP/AMB SURG. CENTER
WAKEMED REHAB HOSPITAL
3000 NEW BERN AVENUE	RALEIGH	NC	27610	PHYS MED/REHAB HOSP., PHYS SPEECH/OCC THERAPY
WAKE SPECIALTY PHYSICIANS LLC
3000 NEW BERN AVENUE	RALEIGH	NC	27610	MEDICAL PRACTICES
WAKEMED GARNER HEALTHPLEX
400 US 70 EAST	GARNER	NC	27502	EMERG. DEPT., LABORATORY, RADIOLOGY
WAKEMED APEX HEALTHPLEX
120 HEALTHPLEX WAY	APEX	NC	27502	EMERG. DEPT., LABORATORY, RADIOLOGY
WAKEMED BRIER CREEK HEALTHPLEX
8001 TW ALEXANDER DRIVE	RALEIGH	NC	27617	EMERG. DEPT., LABORATORY, RADIOLOGY
WAKEMED HOME HEALTH
2920 HIGHWOODS BOULEVARD SUITE 200	RALEIGH	NC	27604	HOME HEALTH, HOME IV THERAPY PRIVATE DUTY NURSING
WAKEMED MEDICAL PARK
23 SUNNYBROOK ROAD	RALEIGH	NC	27610	LABORATORY, RADIOLOGY
WAKEMED CLAYTON MEDICAL PARK
555 MEDICAL PARK	CLAYTON	NC	27520	REHAB THERAPY
WAKEMED WAKE FOREST ROAD
3701 WAKE FOREST ROAD	RALEIGH	NC	27609	PHYS, OCCUP, SPEECH/PEDS SPEECH THERAPY

Supplemental Information Detail SupplementalInformationDetail (18 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 I, LINE 7	2021 COVID COMMUNITY EFFORTS WAKEMED CONTINUED TO SERVE PATIENTS IMPACTED BY COVID-19. IN LATE 2020, WAKEMED BECAME ONE OF THE FIRST SITES IN THE STATE TO BEGIN OFFERING MONOCLONAL ANTIBODY (MAB) INFUSIONS FOR PATIENTS WITH COVID-19 TO PREVENT DISEASE PROGRESSION AND REDUCE HOSPITALIZATIONS. IN FY 2021, WAKEMED ADMINISTERED OVER 3,000 MAB INFUSIONS. LATE SEPTEMBER, WAKEMED BEGAN EXPANDING ACCESS TO THIS TREATMENT AS PART OF THE NATIONAL CRUSH COVID INITIATIVE, IN CONJUNCTION WITH THE NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES (NCDHHS), THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) AND KPMG. THE MAB CLINICS WERE LOCATED AT WAKEMED FACILITIES ACROSS WAKE COUNTY, INCLUDING THE NORTH HOSPITAL PHYSICIANS OFFICE PAVILION, CARY HOSPITAL, RALEIGH CAMPUS AND GARNER HEALTHPLEX. Protection & Education WakeMed, Wake County, the City of Raleigh and additional community partners leveraged existing community events such as testing and food distribution sites and relationships with community organizations, business and churches to provide more than 200,000 mask kits (a kit includes 3 masks, hand sanitizer, and bilingual education about protecting yourself during the pandemic) to date. What began as an effort for 27610 grew to encompass residents of 27601 and 27603. Low and No-Cost Virtual Care During the early months of the pandemic, WakeMed developed virtual pathways to provide primary and urgent care. WakeMed made free virtual visits with WakeMed Primary Care providers available to homeless shelters in addition to low-cost urgent care visits for several months. Community Vaccine Efforts When the state made vaccine available to residents age 75+, WakeMed quickly developed drive-through and strike-team clinic models to reach the underserved in this age group. Strike teams, most notably the Sister Circle, made up of African-American and Latinx physicians, worked with churches and community centers to reach people where they live, work and worship. WakeMed was the first organization to develop a successful drive-through clinic model. Volunteers for all of these events worked weekdays and weekends without a break for months to vaccinate some of the hardest-to-reach people in our community. WakeMed's Health Lives Here mobile community health unit and the WakeMed Corporate & Community Health team joined county and state efforts to vaccinate people at area events. And, WakeMed Pharmacy Services stocked community health practices that serve the underserved with 45,000 doses of vaccine and supplies to administer it. Total Impact By May 18, 2021, WakeMed provided 158,777 doses of Moderna, Pfizer-BioNTech and Janssen COVID-19 vaccine. - 83,545 - WakeMed Vaccine Clinic - 8,803 - WakeMed Primary Care patients - 21,429 - Drive-through clinics and various community events - 45,000 - WakeMed provided to community health care providers serving the underserved
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 7B MEDICAID COSTS ARE DERIVED FROM OUR COST ACCOUNTING SYSTEM, WHICH ADDRESSES ALL PATIENT SEGMENTS.
SCHEDULE H, PART I, LINE 7C	COSTS OF OTHER GOVERNMENT PROGRAMS ARE DERIVED FROM OUR COST ACCOUNTING SYSTEM, WHICH ADDRESSES ALL PATIENT SEGMENTS.
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, BUT 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 III, LINE 2	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	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	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 8A	TREATMENT OF MEDICARE SHORTFALL AS COMMUNITY BENEFIT WAKEMED BELIEVES THAT ALL OF THE $115,463,094 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 37.88% OF HOSPITAL REVENUE. THE HOSPITAL PROVIDES CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVES THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. IF THE WAKEMED MEDICARE WERE TREATED AS COMMUNITY BENEFIT, THE PERCENT OF TOTAL EXPENSES ATTRIBUTABLE TO COMMUNITY BENEFIT WOULD INCREASE FROM 7.38% TO 14.29%.
SCHEDULE H, PART III, LINE 8B	MEDICARE COSTING METHODOLOGY THE MEDICARE ALLOWABLE COSTS WERE DETERMINED FROM THE MEDICARE COST REPORT, AS SPECIFIED IN THE PROVIDER REIMBURSEMENT MANUAL.
SCHEDULE H, PART III, LINE 9B	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 VI, LINE 2	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. DURING LATE 2018 AND EARLY 2019, WAKEMED HEALTH & HOSPITALS JOINED WITH DUKE HEALTH RALEIGH, UNC REX HEALTHCARE, ADVANCE COMMUNITY, TRIANGLE UNITED WAY, WAKE COUNTY HUMAN SERVICES, YOUTH THRIVE, AND OTHERS TO JOINTLY CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE ASSESSMENT WAS COMPLETED IN JUNE OF 2019. THE ASSESSMENT INVOLVED INPUT FROM HUNDREDS OF WAKE COUNTY RESIDENTS AND PUBLIC HEALTH LEADERS THROUGH SURVEYS, FOCUS GROUPS, AND STEERING COMMITTEE MEMBERS. IN ADDITION, SECONDARY RESEARCH WAS COMPLETED TO COMPARE INFORMATION WE RECEIVED FROM OTHER NATIONAL STUDIES. THE CHNA CAN BE FOUND ON THE WAKEMED WEBSITE: HTTP://WWW.WAKEMED.ORG/DOCUMENTS/COMMUNITY/2019-WAKE-COUNTY-CHNA-REPORT-FI NAL.PDF IN ADDITION TO THIS PRIMARY DATA, 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 AREAS AND, USING A RESULTS-BASED ACCOUNTABILITY FRAMEWORK, WILL AIM TO ACCELERATE PROGRESS TOWARDS MAKING THE LIVES OF ALL PEOPLE IN WAKE COUNTY BETTER.
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, AND A PLAIN LANGUAGE SUMMARY OF FINANCIAL ASSISTANCE IS SENT WITH EVERY STATEMENT. THIS INFORMATION IS ALSO AVAILABLE ON THE WEBSITE. IN ORDER TO QUALIFY, A PATIENT MUST APPLY AND MEET THE FAP REQUIREMENTS. WAKEMED POSTS THE REQUIRED EMTALA NOTICE AT ALL PORTALS OF ENTRY WHERE AN EMERGENCY DEPARTMENT IS PRESENT. THE SIGNAGE NOTES THAT WAKEMED PARTICIPATES IN THE MEDICARE PROGRAM. THE WAKEMED WEBSITE PROVIDES DETAILED INFORMATION REGARDING FINANCIAL ASSISTANCE AND CHARITY CARE. THE PATIENT BILLING AND FINANCIAL INFORMATION POLICY IS INCLUDED IN ALL INPATIENTS' "MY IMPORTANT PAPERS" FOLDER AND IS ADDRESSED IN THE PATIENT INFORMATION GUIDE AVAILABLE IN ALL INPATIENT ROOMS. IN ADDITION, THE FINANCIAL ASSISTANCE FORM IS LOCATED ON THE WEBSITE FOR ANY PATIENT TO COMPLETE AND SUBMIT. AS PART OF THE INTAKE PROCESS/REGISTRATION FOR ALL PATIENTS, WAKEMED PROVIDES A COPY OF THE PATIENT BILLING AND FINANCIAL INFORMATION POLICY, WHICH REFERS PATIENTS TO PATIENT FINANCIAL SERVICES IF THEY HAVE CONCERNS REGARDING THEIR ABILITY TO PAY THE BILL. ALL INPATIENTS AND PATIENTS SCHEDULED FOR OUTPATIENT PROCEDURES, AND WHO ARE DESIGNATED "UNINSURED" AT THE TIME OF ADMISSION, ARE CONTACTED PERSONALLY BY A FINANCIAL COUNSELOR. IN ADDITION, ANY PATIENT, REGARDLESS OF INSURANCE COVERAGE, MAY REQUEST TO SEE A FINANCIAL COUNSELOR. THE FINANCIAL COUNSELOR WILL ASSESS POSSIBLE MEDICAID ELIGIBILITY AND PROVIDE AN APPLICATION/FINANCIAL STATEMENT THAT IS SUBMITTED TO PATIENT FINANCIAL SERVICES TO REQUEST ASSISTANCE WITH MEDICAL EXPENSES. WAKEMED ALSO HAS ON-SITE EMPLOYEES FROM WAKE COUNTY HUMAN SERVICES TO PROCESS MEDICAID APPLICATIONS FOR RESIDENTS OF WAKE COUNTY. ANY PATIENT WHO IS UNISURED AND MAY BE ELIGIBLE FOR DISABILITY IS REFERRED TO A WAKEMED DISABILITY SPECIALIST WHO ASSISTS WITH THE APPLICATION. WAKEMED INCLUDES INFORMATION REGARDING FINANCIAL ASSISTANCE TO ALL PATIENT BILLING STATEMENTS.
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 THE VAST MAJORITY OF CARE FOR THE UNINSURED AND UNDERINSURED, OFTEN EXCEEDING 80% OF THE BURDEN IN WAKE COUNTY. 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. WITH A POPULATION IN EXCESS OF 1,000,000 PERSONS, THE COUNTY IS THE SECOND MOST POPULOUS COUNTY IN THE STATE. WAKE COUNTY IS HOME TO 12 MUNICIPALITIES. WAKE COUNTY HAS EXPERIENCED 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 1.8 PERCENT ANNUALLY FROM 2015 TO 2025, WITH THE ADDITION OF OVER 193,000 PEOPLE. AS SHOWN IN THE TABLE BELOW, RESIDENTS OF THESE TWO COUNTIES CURRENTLY EXCEED ONE MILLION IN POPULATION, AND THAT POPULATION HAS CONTINUED TO GROW EVEN AMIDST THE WORST ECONOMIC RECESSION IN MANY DECADES. THE POPULATION IS FAIRLY DIVERSE. RACE AND ETHNICITY INFORMATION ARE ALSO PRESENTED IN THE TABLE. WAKE COUNTY JOHNSTON COUNTY TOTAL 2015 1,005,995 183,584 1,189,579 2020 1,102,782 211,626 1,314,408 % CHANGE 9.6% (1.9%/ANNUM) 15.3% (2.9%/ANNUM) 10.5% (2.0%/ANNUM) RACE AND ETHNICITY 2020 WHITE 66% 80% 69% BLACK 23% 16% 21% ASIAN 7% 1% 6% OTHER/UNKNOWN 4% 3% 4% HISPANIC* 12% 16% 12% *(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 MOBILE TRUCK, 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 EXPERTS, RESOURCES, AND HEALTH INFORMATION. IN ADDITION, OUR 1,200+ PERSON MEDICAL STAFF IS OPEN AND COMPRISED PRIMARILY OF INDEPENDENT PRACTITIONERS, ALTHOUGH THE NUMBER OF EMPLOYED PHYSICIANS IS GROWING AND NOW TOTALS MORE THAN 380 PHYSICIANS. 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 ANSWER A SPECIFIC COMMUNITY HEALTH NEED. WE PROVIDE DONATIONS TO COMMUNITY CHARITIES AND 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/ASSETS/DOCUMENTS/COMMUNITY/COMM-BENEFIT-REPORT-202 0.PDF 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 AN 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, 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 6	AFFILIATED HEALTH CARE SYSTEM N/A
SCHEDULE H, PART VI, LINE 7	STATE FILING OF COMMUNITY BENEFIT REPORT WAKEMED PUBLISHES A COMMUNITY BENEFIT REPORT EACH YEAR WHICH HIGHLIGHTS THE FINANCIAL IMPACT ON THE COMMUNITY. IT IS AVAILABLE IN PRINT FORM AS WELL AS ON THE WAKEMED WEBSITE. WAKEMED ALSO VOLUNTARILY FILES A SIMILAR COMMUNITY BENEFIT REPORT WITH THE NORTH CAROLINA HOSPITAL ASSOCIATION.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (14 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Wake County Human Services
PO Box 46833	Raleigh	NC	27620	566000376	GOVT	$723,048	General Support
Alliance Medical Ministry
101 Donald Ross Drive	Raleigh	NC	27610	562168673	501(c)3	$400,000	Medical Care
Debnam Clinic
1501 Poole Road	Raleigh	NC	27610	561977593	For-Profit	$216,000	Medical Care
WakeMed Foundation
3000 New Bern Avenue	Raleigh	NC	27610	561916549	501(c)3	$95,751	General Support
Capital Area Soccer League
5017 Memory Rd	Raleigh	NC	27609	237441292	501(c)3	$65,000	General Support
Interact
191 High House Road	Cary	NC	27511	271771636	501(c)3	$30,000	General Support
Triangle Sports Commission
205 Keybridge Dr	Morrisville	NC	27560	300151626	501(c)3	$25,000	General Support
North Carolina Symphony
3700 Glenwood Ave	Raleigh	NC	27612	560556755	501(c)3	$15,000	General Support
LinkNica
7028 Rainwater Rd	Raleigh	NC	27615	810893209	501(c)3	$10,000	General Support
Inter-Faith Food Shuttle
1001 Blair Drive	Raleigh	NC	27603	561753180	501(c)3	$10,000	General Support
NCIAP People's Medical Care
5720 Creedmoor Rd	Raleigh	NC	27612	274744637	501(c)3	$10,000	General Support
NC Spinal Cord Injury Association
7980 Chapel Hill Rd	Cary	NC	27513	510491208	501(c)3	$7,500
March of Dimes
1550 Crystal Dr	Arlington	VA	22202	131846366	501(c)3	$7,500	General Support
Urban Ministries of Wake County
1390 Capital Boulevard	Raleigh	NC	27603	581422700	501(c)3	$6,800	General Support

Field	Value	IRS element (for citing)
Total501c3 Org	13	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS	FormAndLineReferenceDesc
Explanation	SCHEDULE I, PART I, LINE 2 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	Yes (true)	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 (33 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
Donald Gintzig
President & CEO	$1,167,657	$0	$485,872	$0	$61,076	$0	$17,100	$0	$23,826	$0	$1,755,531	$0	$0	$0
Bryon Boulton
Physician	$953,529	$0	$326,519	$0	$10,910	$0	$8,550	$0	$23,201	$0	$1,322,709	$0	$0	$0
Gurvinder S Deol
Physician	$810,569	$0	$358,017	$0	$25,844	$0	$8,550	$0	$28,541	$0	$1,231,521	$0	$0	$0
Judson Williams
Physician	$735,559	$0	$428,990	$0	$17,345	$0	$8,550	$0	$30,498	$0	$1,220,942	$0	$0	$0
Marc Silver
Physician	$576,140	$0	$404,166	$0	$38,727	$0	$8,550	$0	$31,222	$0	$1,058,805	$0	$0	$0
Jonathan Chappell
Physician	$613,094	$0	$397,075	$0	$10,462	$0	$8,550	$0	$24,161	$0	$1,053,342	$0	$0	$0
Denise Warren until 1220
EVP & Chief Operating Officer	$667,820	$0	$13,185	$0	$18,599	$0	$11,171	$0	$25,901	$0	$736,676	$0	$0	$0
Christopher DeRienzo
SVP & Sys CMO as of 12/19	$563,512	$0	$8,673	$0	$113,979	$0	$17,100	$0	$22,898	$0	$726,162	$0	$0	$0
Rick Carrico
EVP & Chief Financial Officer	$582,985	$0	$11,574	$0	$27,903	$0	$17,100	$0	$28,541	$0	$668,103	$0	$0	$0
Rebecca Andrews
SVP & Administrator Raleigh	$437,153	$0	$8,378	$0	$26,602	$0	$17,100	$0	$15,399	$0	$504,632	$0	$0	$0
Thomas Gough as of 121
EVP & Chief Operating Officer	$442,730	$0	$8,368	$0	$17,392	$0	$17,100	$0	$2,138	$0	$487,728	$0	$0	$0
Seth Brody
SVP, Physician Services	$430,963	$0	$21,398	$0	$1,038	$0	$17,100	$0	$0	$0	$470,499	$0	$0	$0
Charles Harr
Chief Medical Officer, Raleigh	$428,645	$0	$8,081	$0	$2,966	$0	$17,100	$0	$2,500	$0	$459,292	$0	$0	$0
Susan James
VP & Chief Legal Officer	$403,610	$0	$8,031	$0	$999	$0	$17,100	$0	$25,398	$0	$455,138	$0	$0	$0
Cynthia Alness-Boily
SVP - Operations & CNO	$379,199	$0	$7,423	$0	$26,424	$0	$17,100	$0	$21,271	$0	$451,417	$0	$0	$0
Peter Marks
VP & Chief Information Officer	$370,810	$0	$7,164	$0	$19,119	$0	$17,100	$0	$4,490	$0	$418,683	$0	$0	$0
Carolyn Knaup
SVP - Ambulatory Services	$344,473	$0	$6,902	$0	$17,244	$0	$17,100	$0	$22,083	$0	$407,802	$0	$0	$0
John Perry
VP, Medical Information	$352,659	$0	$6,937	$0	$1,994	$0	$17,100	$0	$25,901	$0	$404,591	$0	$0	$0
Rick Shrum
VP & Chief Strategy Officer	$336,976	$0	$6,893	$0	$5,154	$0	$17,100	$0	$31,980	$0	$398,103	$0	$0	$0
Karen Bash
CMO, North Hospital	$341,483	$0	$3,284	$0	$19,807	$0	$17,100	$0	$15,640	$0	$397,314	$0	$0	$0
Theodore Lotchin
VP - CHIEF COMPL. & PRIVACY	$323,522	$0	$6,465	$0	$1,707	$0	$17,100	$0	$23,618	$0	$372,412	$0	$0	$0
Thomas Cavender
VP, Facilities & Construction	$304,646	$0	$5,922	$0	$24,779	$0	$17,100	$0	$12,474	$0	$364,921	$0	$0	$0
Valerie Barlow
VP, Clinical & Support SVCS	$308,137	$0	$6,097	$0	$1,594	$0	$17,100	$0	$25,977	$0	$358,905	$0	$0
Christine Craig
VP, Governmental Affairs	$271,210	$0	$5,400	$0	$15,769	$0	$17,044	$0	$17,478	$0	$326,901	$0	$0	$0
Debra Laughery
VP, Marketing & Communications	$276,022	$0	$5,373	$0	$19,346	$0	$17,002	$0	$705	$0	$318,448	$0	$0	$0
Stephanie Sessoms
VP, Finance	$266,591	$0	$5,186	$0	$1,140	$0	$13,865	$0	$17,582	$0	$304,364	$0	$0	$0
Shondra Brink
VP, Wake Physician Practices	$263,160	$0	$5,090	$0	$3,821	$0	$15,855	$0	$10,789	$0	$298,715	$0	$0	$0
Sheldrick Streete until 221
VP, Nursing - Raleigh	$244,042	$0	$4,867	$0	$561	$0	$13,134	$0	$25,701	$0	$288,305	$0	$0	$0
BETSY GASKINS-MCCLAINE
VP, Heart & Vascular	$219,788	$0	$4,261	$0	$6,709	$0	$13,802	$0	$10,006	$0	$254,566	$0	$0	$0
Thomas C Hughes
VP Operations, Community Hosp.	$195,799	$0	$2,475	$0	$399	$0	$11,636	$0	$2,002	$0	$212,311	$0	$0	$0
Sheri Deshazo until 819
SVP & Administrator - North	$0	$0	$0	$0	$169,624	$0	$0	$0	$0	$0	$169,624	$0	$0	$0
JEANENE MARTIN UNTIL 920
SVP - HUMAN RESOURCES	$374,625	$0	$7,430	$0	$17,955	$0	$17,100	$0	$20,282	$0	$437,392	$0	$0	$0
Douglas Trocinski start 220
CMO, Cary Hosptial	$170,974	$0	$2,312	$0	$5,457	$0	$5,323	$0	$826	$0	$184,892	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1A	TAX INDEMNIFICATION AND GROSS-UP PAYMENTS ARE PAID TO SOME KEY EMPLOYEES. THEY ARE INCLUDED IN TAXABLE INCOME.
SCHEDULE J, PART I, LINE 1B	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 4A	SEVERANCE PAYMENTS SHERI DESHAZO RECEIVED $169,624 IN SEVERANCE PAYMENTS.
SCHEDULE J, PART I, LINE 7	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 (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
NORTH CAROLINA MEDICAL CARE COMMISSION
A	521309402	65821DLY5	2012-07-11	$315,731,042	SEE PART VI	false	false	false
PUBLIC FINANCE AUTHORITY
B	273866124	74442CBZ6	2019-04-10	$380,793,281	SEE PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$80,050,000	$0	$315,731,042	$0	$0	$0	$2,994,195	$0	$0	$0	$312,736,847	$0	2012	Yes (true)	Yes (true)	Yes (true)	Yes (true)
B	$0	$0	$380,793,281	$0	$0	$157,000,000	$2,897,263	$0	$0	$0	$210,925,339	$9,970,679		false	false	false	false

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	false	0	false	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	false	0	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	false	false	Yes (true)	false	false	false	0	false	Yes (true)
0
B	false	Yes (true)	false	false	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K, PART I, A(F)	THE SERIES 2012A BONDS WERE ISSUED TO REFUND ALL THE SERIES 2001 AND THE 2009A BONDS AND PAY CERTAIN EXPENSES INCURRED IN THE CONNECTION WITH THE ISSUANCE AND SALE OF THE 2012A BONDS. THE PROCEEDS OF THE REFUNDED 2001 BONDS AND THE REFUNDED 2009A BONDS WERE USED TO FINANCE THE COSTS OF VARIOUS IMPROVEMENTS TO THE CORPORATION'S HEALTHCARE FACILITIES.
SCHEDULE K, PART I, B(F)	EFFECTIVE APRIL 1, 2019, WAKEMED, THROUGH THE PUBLIC FINANCE AUTHORITY (THE 'AUTHORITY"), ISSUED $207,650 OF HOSPITAL REVENUE BONDS, SERIES 2019A ('SERIES 2019A BONDS"), $79,045 OF HOSPITAL REVENUE BONDS, SERIES 2019B ("SERIES 2019B BONDS"), AND $79,045 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, B(E)	PRICE VARIANCE $13,925,283 ISSUE PRICE VARIANCE IS PREMIUM PAID AT 2019A ISSUANCE. SCHEDULE K, PART II, 3, COLUMNS A & B TOTAL PROCEEDS OF ISSUE TOTAL PROCEEDS INCLUDE INVESTMENT EARNINGS.
SCHEDULE K, PART II, LINE 3, COLUMN B	PROCEEDS THE AMOUNTS REPORTED ON FORM 8038 AS PROCEEDS USED FOR BOND ISSUANCE COSTS WERE ESTIMATES. THE AMOUNTS REPORTED ON SCHEDULE K REPRESENT THE ACTUAL USE OF PROCEEDS. SCHEDULE K, PART IV, 2C ARBITRAGE REBATE ARBITRAGE REBATE CALCULATION PERFORMED ON 7/11/2017 FOR A.

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp
Clothing And Household Goods		ClothingAndHouseholdGoodsGrp
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp
Securities Publicly Traded		SecuritiesPubliclyTradedGrp
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	256618	ContributionCnt
Noncash Contributions Rpt F990	$54,292	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, COLUMN (B)	FormAndLineReferenceDesc
Explanation	THE AMOUNT IN COLUMN (B) REPRESENTS THE NUMBER OF items contributed.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, BOX C	ALSO DOING BUSINESS AS: 1. WAKEMED HEALTH & HOSPITALS 2. WAKEMED RALEIGH CAMPUS 3. WAKEMED CARY HOSPITAL 4. WAKEMED APEX HEALTHPLEX 5. WAKEMED NEW BERN AVENUE CAMPUS 6. WAKEMED - REHAB 7. WAKE MEDICAL CENTER 8. WESTERN WAKE HOSPITAL 9. WAKE HEART CENTER 10. WESTERN WAKE MEDICAL CENTER 11. WAKE REHABILITATION HOSPITAL 12. WAKE AREA HEALTH EDUCATION CENTER 13. WAKE AHEC 14. WAKEMED HOME CARE 15. WAKEMED - WESTERN WAKE MEDICAL CENTER 16. WAKEMED NORTH HOSPITAL 17. WAKEMED CLAYTON MEDICAL PARK 18. WAKEMED CARY OUTPATIENT REHAB CENTER 19. WAKEMED WAKE FOREST ROAD OUTPATIENT REHAB CENTER 20. WAKEMED HOME HEALTH 21. WAKEMED EMERGENCY SERVICES INSTITUTE 22. WAKEMED MOBILE CRITICAL CARE SERVICES 23. WAKEMED BRIER CREEK HEALTHPLEX 24. WAKEMED OUTPATIENT PHARMACY 25. WAKEMED GARNER HEALTHPLEX 26. WAKEMED CHILDREN'S HOSPITAL 27. WAKEMED PROFESSIONAL STAFF 28. WAKEMED CHILDREN'S 29. WAKEMED CENTER FOR PATIENT SAFETY 30. WAKEMED CENTER FOR INNOVATIVE LEARNING 31. WAKEMED REHABILITATION HOSPITAL 32. WAKEMED PRIMARY CARE-KNIGHTDALE 33. WAKEMED PRIMARY CARE-NORTH RALEIGH 34. WAKEMED PRIMARY CARE-WAKE FOREST 35. WAKEMED PRIMARY CARE-WEST CARY PARK 36. WAKEMED PRIMARY CARE-FUQUAY VARINA 37. WAKEMED PRIMARY CARE-GARNER 38. WAKEMED PRIMARY CARE-HOLLY SPRINGS 39. WAKEMED PRIMARY CARE-KILDAIRE FARM ROAD 40. WAKEMED CHILDREN'S-PEDIATRICS 41. WAKEMED PRIMARY CARE-APEX 42. WAKEMED PHYSICIAN PRACTICES 43. WAKEMED PRIMARY CARE-BRIER CREEK 44. WAKEMED PRIMARY CARE-CAMERON VILLAGE 45. WAKEMED PRIMARY CARE-CARY PARKWAY 46. WAKEMED PRIMARY CARE-DOWNTOWN RALEIGH 47. WAKEMED PRIMARY CARE-EMPLOYEE HEALTH 48. WAKEMED PRIMARY CARE-FORESTVILLE CROSSING 49. WAKEMED PEDIATRICS-CLAYTON 50. WAKEMED URGENT CARE 51. TRIANGLE SINUS CENTER 52. WAKEMED UROLOGY 53. WAKEMED BARIATRICS SURGERY & MEDICAL WEIGHT LOSS 54. WAKEMED WAKE ORTHOPAEDICS 55. WAKEMED CHILDREN'S-PEDIATRIC MINOR PROCEDURES 56. WAKEMED CHILDREN'S-PEDIATRIC PULMONOLOGY 57. WAKEMED CHILDREN'S-PEDIATRIC SURGERY 58. WAKEMED CHILDREN'S-PEDIATRIC WEIGHT MANAGEMENT 59. WAKEMED CHILDREN'S-PEDIATRIC BEHAVIORAL HEALTH 60. WAKEMED CHILDREN'S-PEDIATRIC CARDIOLOGY 61. WAKEMED CHILDREN'S-PEDIATRIC ENDOCRINOLOGY 62. WAKEMED CHILDREN'S-GASTROENTEROLOGY 63. WAKEMED CHILDREN'S-PEDIATRIC INTENSIVIST 64. WAKEMED CHILDREN'S-SPECIAL INFANT CARE 65. WAKEMED CORPORATE HEALTH SERVICES 66. WAKEMED CRITICAL CARE MEDICINE 67. WAKEMED DENTAL SERVICE 68. WAKEMED ENT-HEAD & NECK SURGERY 69. WAKEMED GASTROENTEROLOGY 70. WAKEMED GENERAL SURGERY 71. WAKEMED HEART & VASCULAR-ADVANCED HEART FAILURE 72. WAKEMED HEART & VASCULAR-CARDIOLOGY 73. WAKEMED HEART & VASCULAR-CARDIOVASCULAR & THORACIC SURGERY 74. WAKEMED VASCULAR SURGERY 75. WAKEMED HEART & VASCULAR-COMPLEX ARRHYTHMIA 76. WAKEMED HEART & VASCULAR-STRUCTURAL HEART 77. WAKEMED HOSPITALIST 78. WAKEMED HOSPITALIST-GROUP HOME 79. WAKEMED MATERNAL FETAL MEDICINE 80. WAKEMED MOBILE WELLNESS 81. WAKEMED NEONATOLOGY 82. WAKEMED OBSTETRICS & GYNECOLOGY 83. WAKEMED PEDIATRIC HOSPITAL MEDICINE-SANFORD 84. WAKEMED PHYSICAL THERAPY 85. WAKEMED PSYCHIATRY-HOSPITAL BASED 86. WAKEMED PULMONOLOGY-HOSPITAL BASED 87. WAKEMED PULMONOLOGY 88. WAKEMED TRANSITIONAL HEALTH 89. WAKEMED RHEUMATOLOGY 90. WAKEMED UROGYNECOLOGY
FORM 990, PART III, LINE 4D	OTHER PROGRAM SERVICES 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, STOCKHOLDERS, OR OTHER PERSONS WITH POWER TO ELECT OR APPOINT MEMBERS EIGHT MEMBERS OF THE BOARD ARE APPOINTED TO THE BOARD OF DIRECTORS BY WAKE COUNTY.
FORM 990, PART VI, LINE 7B	DECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS THE WAKE COUNTY BOARD OF COMISSIONERS 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	PROCESS USED TO REVIEW THE FORM 990 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	MONITORING AND ENFORCEMENT OF COMPLIANCE WITH 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 & 15B	PROCESS FOR DETERMINING COMPENSATION OF CEO, EXEC. DIR., OR TOP MGMT OFFICAL 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	PROCESS FOR MAKING 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 1E INCLUDED IN THIS LINE IS THE PANDEMIC RELIEF REVENUE FOR FY2021. THE TOTAL AMOUNT RECEIVED AND REPORTED FOR THE FISCAL YEAR IS $14,237,202.
FORM 990, PART XI, LINE 9	OTHER CHANGES IN NET ASSETS TRANSFERS BETWEEN AFFILIATES (1,158,407) Transfer of Fixed Assets 11,632,672 Donated Capital to Finance PPE 940,680 Gifts/Grants/Bequests/Pledges 402,608 Foundation to WakeMed 1,483,354 Interco Cash Transfers (29,570,223) PET 2,305,802 ----------------- TOTAL (13,963,514)

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (10 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 OFFIC	NC	$35,844,265	-$160,096,083	NA
CSAMS NEW BERN AVENUE LLC
3000 NEW BERN AVENUE	RALEIGH	NC	27610	260554927	HEALTHCARE	NC	$0	$20,931	NA
WAKEMED SPECIALISTS GROUP LLC
3000 NEW BERN AVENUE	RALEIGH	NC	27610	834333066	MEDICAL OFFIC	NC	$175,839,445	$44,797,306	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	$0	$0	NA
WAKEMED SURGERY CENTER - NORTH RALEIGH
3000 NEW BERN AVENUE	RALEIGH	NC	27610		HEALTHCARE	NC	$0	$0	NA
WakeMed Travel Staffing LLC
3000 NEW BERN AVENUE	RALEIGH	NC	27610	880859089	HEALTHCARE	NC	$0	$0	NA
WakeMed Ancillary Services LLC
3000 NEW BERN AVENUE	RALEIGH	NC	27610	861889661	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)	12B	NA	false
WAKE FACULTY PRACTICE PLAN
3000 NEW BERN AVENUE	RALEIGH	NC	27610	237169178	MEDICAL	NC	501(c)(3)	12b	NA	false
THE VOLUNTEERS AT CARY CAMPUS
3000 NEW BERN AVENUE	RALEIGH	NC	27610	561798031	VOLUNTEERS	NC	501(c)(3)	12b	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)	12b	NA	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	Direct Controlling NADirectControllingNACd
CAP CITY SURG CNTR
3000 NEW BERN AVE	RALEIGH	NC	27610	260804803	HEALTHCARE	NC	NA	RELATED	$5,474,371	$3,119,709	false	$0	false	0.51000
HOLLY SPRINGS SURGICAL VENTURE
9131 ANSON WAY 304	RALEIGH	NC	27540	473753856	HEALTHCARE	NC	NA	RELATED	$126,045	$831,150	false	$0	false	0.60000
WAKEMED SURGICAL VENTURES LLC
3000 NEW BERN AVE	RALEIGH	NC	27610	862939200	HEALTHCARE	NC	NA	RELATED	$0	$0	false	$0	false	0.95000
PEDIATRIC MSO LLC
3000 NEW BERN AVE	RALEIGH	NC	27610	831266724	HEALTHCARE	NC	NA	RELATED	-$566,137	$1,964,684	false	$0	false	0.51000
WAKE PET SERVICES
3000 NEW BERN AVENUE	RALEIGH	NC	27610	263108205	HEALTHCARE	NC	NA	RELATED	-$31,010	$2,896,450	false	$0	false	0.51000
WAKEMED CHILDREN'S PM PEDIATRICS
3000 NEW BERN AVE	RALEIGH	NC	27610	831612410	HEALTHCARE	NC		RELATED	$323,355	$80,636	false	$0	false	0.51000	N/A
WAKEMED INNOVATIONS VENTURE FUND LLC
3000 NEW BERN AVE	RALEIGH	NC	27610	853301986	HEALTHCARE	NC		RELATED	-$52,778	$366,652	false	$0	false	0.98000	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	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	CAYMAN	CJ	JY1-1203	566017737	CAPTIVE INSUR	CJ	NA	C Corp	$10,473,054	$37,336,187	1.00000	Yes (true)
QUALITY TEXTILE SERVICES
				561943802	TEXTILE SERVICES		NA	C CORP	-$154,306	$3,708,662	0.50000	false	313 SOUTH ROGERS LANE	RALEIGH	NC	27610	NC
WakeMed Key Community Care LLC
				462853835	HEALTHCARE		NA	C Corp	$16,628,856	$323,556	0.50000	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	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
WAKEMED PROPERTY SERVICES
K	$22,822,873	CASH-FMV
WAKEMED PROPERTY SERVICES
J	$1,084,887	CASH-FMV
WAKEMED PROPERTY SERVICES
Q	$751,733	CASH-FMV
WakeMed Foundation
C	$3,355,756	CASH-FMV
Rockroom Insurance Company (SPC) LTD
B	$6,644,652	Cash-FMV
Quality Textile Services
L	$2,851,395	Cash-FMV
Quality Textile Services
M	$500,000	Cash-FMV
WakeMed Foundation
c	$238,182	Cash-FMV