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NORTH CAROLINA BAPTIST HOSPITAL: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
NORTH CAROLINA BAPTIST HOSPITAL (EIN 56-0552787)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-07-14
IRS object ID
202011969349302401
Schema version
2018v3.2
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 ReturnHeader

FieldValueIRS element (for citing)
Return2020-07-14T10:47:49-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN560552787EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NORTH CAROLINA BAPTIST HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNORTBusinessNameControlTxt
Phone3367164445PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1MEDICAL CENTER BLVDAddressLine1Txt
CityWINSTONSALEMCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27157ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBRADLEY A CLARKPersonNm
Person TitleEVP-CFOPersonTitleTxt
Phone3367164445PhoneNum
Signature2020-07-08SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address152.11.92.106IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-07-08IPDt
IP Tm08:53:44IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id92F11F32722E8792293CAF8DF02A44B038BF976AAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-09-23 17:36:50ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJULIE ANN FREISCHLAG MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1MEDICAL CENTER BLVDAddressLine1Txt
CityWINSTONSALEMCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27157ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,935,842,638GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.WAKEHEALTH.EDUWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1923FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionIMPROVING THE HEALTH OF OUR REGION, STATE AND NATIONActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers1807TotalVolunteersCnt
Total Gross UBI$5,535,141TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$3,308,232NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,737,612PYContributionsGrantsAmt
CY Contributions Grants$13,028,114CYContributionsGrantsAmt
PY Program Service Revenue$1,764,285,189PYProgramServiceRevenueAmt
CY Program Service Revenue$1,892,766,431CYProgramServiceRevenueAmt
PY Investment Income$17,004,688PYInvestmentIncomeAmt
CY Investment Income-$7,721,542CYInvestmentIncomeAmt
PY Other Revenue$7,747,473PYOtherRevenueAmt
CY Other Revenue$9,433,076CYOtherRevenueAmt
PY Total Revenue$1,795,774,962PYTotalRevenueAmt
CY Total Revenue$1,907,506,079CYTotalRevenueAmt
PY Grants And Similar Paid$1,660,168PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,780,634CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$704,542,867PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$712,944,778CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,096,470,026PYOtherExpensesAmt
CY Other Expenses$1,235,291,211CYOtherExpensesAmt
PY Total Expenses$1,802,673,061PYTotalExpensesAmt
CY Total Expenses$1,950,016,623CYTotalExpensesAmt
PY Revenues Less Expenses-$6,898,099PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$42,510,544CYRevenuesLessExpensesAmt
Total Assets BOY$1,951,468,151TotalAssetsBOYAmt
Total Assets EOY$2,099,795,220TotalAssetsEOYAmt
Total Liabilities BOY$832,972,853TotalLiabilitiesBOYAmt
Total Liabilities EOY$944,568,446TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,118,495,298NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,155,226,774NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE O FOR CONTINUATIONTHE ORGANIZATION IS PART OF WAKE FOREST BAPTIST HEALTH, A PREEMINENT LEARNING HEALTH SYSTEM AND ACADEMIC MEDICAL CENTER OF THE HIGHEST QUALITY WITH BALANCED EXCELLENCE IN PATIENT CARE, RESEARCH AND EDUCATION THAT PROMOTES BETTER HEALTH FOR ALL THROUGH COLLABORATION, EXCELLENCE AND INNOVATION. OUR MISSION IS TO IMPROVE THE HEALTH OF OUR REGION, STATE AND NATION BY: GENERATING AND TRANSLATING KNOWLEDGE TO PREVENT, DIAGNOSE AND TREAT DISEASE; TRAINING LEADERS IN HEALTH CARE AND BIOMEDICAL SCIENCE; AND SERVING AS THE PREMIER HEALTH SYSTEM IN OUR REGION, WITH SPECIFIC CENTERS OF EXCELLENCE RECOGNIZED AS NATIONAL AND INTERNATIONAL CARE DESTINATIONS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,745,473,034ExpenseAmt
Grant$1,780,634GrantAmt
Revenue$1,892,766,431RevenueAmt
DescSEE SCHEDULE O FOR COMPLETE DESCRIPTIONNORTH CAROLINA BAPTIST HOSPITAL IS AN INTEGRAL PART OF WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER, A PREEMINENT ACADEMIC MEDICAL CENTER AND LEARNING HEALTH SYSTEM THAT PROMOTES BETTER HEALTH FOR ALL THROUGH COLLABORATION, EXCELLENCE AND INNOVATION. THE FOLLOWING PARAGRAPHS ARE PROVIDED TO EXPLAIN THE RELATIONSHIP OF THE FILING ORGANIZATION WITH OTHER ORGANIZATIONS WHICH TOGETHER COMPRISE "WAKE FOREST BAPTIST HEALTH," THE NAME NOT OF ANY ONE CORPORATE ENTITY, BUT USED GENERICALLY TO DESCRIBE A LARGE GROUP OF MOSTLY TAX-EXEMPT 501 (C)(3) ORGANIZATIONS PERFORMING VARIOUS ACADEMIC MEDICAL CENTER ACTIVITIES IN NORTHWEST NORTH CAROLINA, INCLUDING PATIENT CARE, MEDICAL RESEARCH, TECHNOLOGY TRANSFER AND MEDICAL EDUCATION. WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER (WFUBMC) IS A CORPORATION WHOSE TWO EQUAL MEMBERS ARE WAKE FOREST UNIVERSITY AND NORTH CAROLINA BAPTIST HOSPITAL (THEMSELVES NORTH CAROLINA NONPROFIT CORPORATIONS). BECAUSE THE VARIOUS ACTIVITIES DESCRIBED BELOW ARE NOT ALL PERFORMED BY EACH ORGANIZATION, THE NARRATIVE THAT FOLLOWS WILL INCLUDE DESCRIPTIONS OF ACTIVITIES THAT ARE PERFORMED BY THE FILING ORGANIZATION AND BY A RELATED (OR UNRELATED BUT AFFILIATED) ORGANIZATION; THEY ARE AGAIN PROVIDED TO ILLUSTRATE A COMPLETE PICTURE OF THE FILING ORGANIZATION'S ROLE IN THIS INTEGRATED ACADEMIC MEDICAL CENTER'S COMPREHENSIVE ACTIVITIES. WFUBMC IS NORTHWEST NORTH CAROLINA'S SOLE ACADEMIC MEDICAL CENTER, BRINGING TO THE REGION THE RESOURCES OF ONE OF AMERICA'S TOP HOSPITALS AND INNOVATIVE RESEARCH CENTERS AND A PREMIER MEDICAL SCHOOL. WFUBMC OPERATES WAKE FOREST SCHOOL OF MEDICINE, WHICH HAS A FACULTY OF 1,352, INCLUDING PHYSICIANS AND BASIC SCIENTISTS. IT ALSO OPERATES, THROUGH THE UNINCORPORATED OPERATING DIVISION KNOWN AS "WAKE FOREST BAPTIST HEALTH," A MULTI-LOCATION HEALTH SYSTEM. WAKE FOREST BAPTIST HEALTH HAS 1,535 ACUTE CARE AND REHABILITATION BEDS OPERATIVE ACROSS THE SYSTEM, WHICH ENCOMPASSES ITS MAIN CAMPUS (885 BEDS), WAKE FOREST BAPTIST HEALTH LEXINGTON MEDICAL CENTER (94 BEDS), WAKE FOREST BAPTIST HEALTH DAVIE MEDICAL CENTER (50 BEDS), WAKE FOREST BAPTIST HEALTH WILKES MEDICAL CENTER (130 BEDS), ALLEGHANY HEALTH (25 BEDS) AND WAKE FOREST BAPTIST HEALTH HIGH POINT MEDICAL CENTER (351 BEDS), WHICH JOINED THE WAKE FOREST BAPTIST HEALTH SYSTEM IN FISCAL YEAR 2019. OVERALL, WAKE FOREST BAPTIST HEALTH SERVES A 24-COUNTY REGION IN NORTHWESTERN NORTH CAROLINA AND SOUTHWESTERN VIRGINIA AND ALSO DRAWS PATIENTS FROM ACROSS THE NATION FOR SELECT SERVICES.WFUBMC IS THE DRIVING FORCE BEHIND THE ESTABLISHMENT OF WAKE FOREST INNOVATION QUARTER, A GROWING URBAN-BASED DISTRICT FOR RESEARCH, BUSINESS AND EDUCATION IN BIOMEDICAL SCIENCE, INFORMATION TECHNOLOGY, CLINICAL SERVICES AND ADVANCED MATERIALS LOCATED IN DOWNTOWN WINSTON-SALEM. HOME TO MORE THAN 90 COMPANIES, FIVE LEADING ACADEMIC INSTITUTIONS, MORE THAN 3,700 WORKERS AND MORE THAN 1,400 STUDENTS AND 8,000 WORKFORCE TRAINEE PARTICIPANTS, THE INNOVATION QUARTER CURRENTLY COMPRISES MORE THAN 2 MILLION SQUARE FEET OF OFFICE, LABORATORY AND EDUCATIONAL SPACE ON ITS 330 DEVELOPABLE ACRES. HIGH POINT REGIONAL HEALTH OFFICIALLY BECAME PART OF THE WAKE FOREST BAPTIST HEALTH SYSTEM ON SEPT. 1, 2018, CULMINATING AN ACQUISITION AGREEMENT WITH UNC HEALTH CARE, AND WAS RENAMED WAKE FOREST BAPTIST HEALTH HIGH POINT MEDICAL CENTER. WITH MORE THAN 2,600 EMPLOYEES, INCLUDING MORE THAN 130 PHYSICIANS, WAKE FOREST BAPTIST HEALTH HIGH POINT MEDICAL CENTER SERVES MORE THAN 300,000 PATIENTS EACH YEAR, IN 41 LOCATIONS ACROSS THREE COUNTIES.IN MAY 2019, WAKE FOREST BAPTIST HEALTH SIGNED A LETTER OF INTENT WITH ADVENTHEALTH, FORMERLY KNOWN AS PARK RIDGE HEALTH. THE ENTITIES ENTERED INTO EXCLUSIVE DISCUSSIONS TO EXPAND SERVICES AT ADVENTHEALTH HENDERSONVILLE, TO PROVIDE WAKE FOREST BAPTIST PHYSICIANS TO HELP STAFF SPECIFIC SPECIALTY SERVICES AT ADVENTHEALTH HENDERSONVILLE, AND TO OFFER BOTH PATIENTS AND EMPLOYERS ACCESS TO THE CLINICAL, WELLNESS AND ACADEMIC RESOURCES OF WAKE FOREST BAPTIST HEALTH.IN JUNE 2019, WAKE FOREST BAPTIST OPENED A TWO-FLOOR, STATE-OF-THE-ART LABOR AND DELIVERY CENTER AND A LEADING-EDGE NEONATAL INTENSIVE CARE UNIT (NICU) ON ITS WINSTON-SALEM CAMPUS. THE 100,000-SQUARE-FOOT FACILITY, WHICH INCLUDES THE BIRTH CENTER AND THE DALE AND KAREN SISEL NICU, PROVIDES THE FULL RANGE OF DELIVERY OPTIONS FROM ROUTINE, TRADITIONAL BIRTHS AND CERTIFIED NURSE MIDWIFE-ASSISTED BIRTHS WITH HYDROTHERAPY TO CESAREAN AND OTHER COMPLEX BIRTHS. WITH THE OPENING OF THE BIRTH CENTER, WAKE FOREST BAPTIST RESUMED REGULAR LABOR AND DELIVERY SERVICES ON ITS WINSTON-SALEM CAMPUS FOR THE FIRST TIME IN MORE THAN 40 YEARS. THE NEW SISEL NICU FEATURES 51 ALL-PRIVATE ROOMS AND WAS PROVIDED IN PART THROUGH A PHILANTHROPIC FUNDRAISING CAMPAIGN, LED BY A $5 MILLION DONATION FROM LONGTIME WINSTON-SALEM RESIDENT KAREN SISEL.DURING THE FISCAL YEAR, TWO SIGNIFICANT PROJECTS WERE COMPLETED AT WAKE FOREST BAPTIST HEALTH DAVIE MEDICAL CENTER. IN MARCH 2019, DAVIE MEDICAL CENTER OPENED A NEW $13.3 MILLION, 10,000-SQUARE-FOOT SURGICAL WING, WHICH ADDED AN OPERATING ROOM AND A MINOR PROCEDURE ROOM TO GIVE THE HOSPITAL A TOTAL OF THREE OPERATING ROOMS AND THREE MINOR PROCEDURE ROOMS. IN DECEMBER 2018, THE ORTHOPAEDIC PRACTICE WAS EXPANDED WITH A $2.4 MILLION, 6,900-SQUARE-FOOT ADDITION ON THE FOURTH FLOOR OF DAVIE MEDICAL CENTER'S MEDICAL OFFICE BUILDING TO ACCOMMODATE A GROWING JOINT REPLACEMENT PROGRAM AND GENERAL ORTHOPAEDIC SERVICES.IN EARLY 2019, WAKE FOREST BAPTIST MEDICAL CENTER WAS RE-VERIFIED AS A LEVEL I ADULT TRAUMA CENTER - THE HIGHEST LEVEL POSSIBLE BY THE AMERICAN COLLEGE OF SURGEONS.RESEARCH AWARDS RECEIVED BY WAKE FOREST BAPTIST MEDICAL CENTER OR WAKE FOREST SCHOOL OF MEDICINE DURING FISCAL 2019 TOTALED MORE THAN $223.4 MILLION, INCLUDING $172.2 MILLION FROM FEDERAL SOURCES, $15.2 MILLION FROM INDUSTRY SOURCES, $18.7 MILLION FROM STATE SOURCES AND $17.4 MILLION FROM OTHER SOURCES.SIGNIFICANT RESEARCH GRANTS AWARDED TO WAKE FOREST BAPTIST MEDICAL CENTER OR THE WAKE FOREST SCHOOL OF MEDICINE DURING FISCAL 2019 INCLUDED A FIVE-YEAR GRANT WORTH MORE THAN $18 MILLION FROM THE NATIONAL INSTITUTE ON AGING TO STUDY THE CONNECTIONS BETWEEN HEART HEALTH AND BRAIN HEALTH AMONG PARTICIPANTS IN THE MULTI-ETHNIC STUDY OF ATHEROSCLEROSIS (MESA); $8 MILLION AWARDED BY THE AMERICAN ASSOCIATION FOR CANCER RESEARCH TO INCLUDE WAKE FOREST BAPTIST HEALTH AMONG FOUR INSTITUTIONS COLLABORATING AS PART OF A "DREAM TEAM" OF TOP SCIENTISTS FOCUSED ON FINDING THERAPIES FOR T-CELL LYMPHOMA, A RARE CANCER OF THE BLOOD AND IMMUNE SYSTEM; $8 MILLION FROM THE NATIONAL INSTITUTES OF HEALTH (NIH) TO STUDY COGNITIVE DECLINE AND IMPAIRMENT IN OLDER ADULTS WITH TYPE 2 DIABETES WHO ARE OVERWEIGHT OR OBESE; A FIVE-YEAR NIH GRANT FOR $3.9 MILLION TO DETERMINE IF A DEEP BRAIN STIMULATION PROCEDURE USED TO TREAT PARKINSON'S PATIENTS CAN IMPROVE AGE-RELATED COGNITIVE ABILITIES AND COUNTERACT THE EFFECTS OF ALZHEIMER'S AND OTHER TYPES OF DEMENTIA; AND TWO FIVE-YEAR GRANTS, EACH WORTH APPROXIMATELY $1.5 MILLION, FROM THE NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE TO PARTICIPATE IN TWO NATIONWIDE CLINICAL TRIAL NETWORKS, KNOWN AS NEURONEXT AND NIH STROKENET.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Desc1. CLINICAL SERVICES THE CLINICIANS AND RESEARCH SCIENTISTS OF WAKE FOREST BAPTIST HEALTH ARE NATIONALLY RECOGNIZED FOR CLINICAL EXCELLENCE AND INTERNATIONALLY KNOWN FOR PIONEERING RESEARCH AND CLINICAL INNOVATION. ITS CLINICAL ENTERPRISE OFFERS EXPERTISE IN MORE THAN 100 AREAS OF MEDICINE, ENCOMPASSING COMPREHENSIVE PREVENTIVE AND HIGHLY SPECIALIZED CARE FOR ALL AGES. THE MEDICAL CENTER NETWORK INCLUDES THE 167-BED COMPREHENSIVE CANCER CENTER AND THE 144-BED BRENNER CHILDREN'S HOSPITAL, BOTH OF WHICH ARE ON THE MAIN CAMPUS IN WINSTON-SALEM, AS WELL AS COMMUNITY HOSPITALS IN DAVIDSON, DAVIE, GUILFORD AND WILKES COUNTIES. ACROSS ITS SERVICE AREA OF NORTHWEST NORTH CAROLINA AND SOUTHWEST VIRGINIA, WAKE FOREST BAPTIST HEALTH HAS 16 EMERGENCY DEPARTMENTS, INCLUDING 10 THAT ARE STAFFED BUT NOT OWNED BY WAKE FOREST BAPTIST HEALTH; FOUR URGENT CARE CENTERS; 78 PRIMARY CARE CLINICS; 268 SPECIALTY CLINICS; 18 OUTPATIENT DIALYSIS CENTERS AND ONE FREE-STANDING DIALYSIS ACCESS CENTER. THE WAKE FOREST BAPTIST HEALTH SYSTEM EMPLOYS 2,509 PHYSICIANS, 4,778 REGISTERED NURSES, AND 903 RESIDENTS AND FELLOWS. IT HAS A TOTAL STAFF OF 15,097 ON THE MEDICAL CENTER CAMPUS IN WINSTON-SALEM AND 20,038 WITHIN THE WAKE FOREST BAPTIST HEALTH SYSTEM. OVERALL IN FY 2019, WAKE FOREST BAPTIST HEALTH HAD 76,706 INPATIENT ADMISSIONS, 229,954 EMERGENCY DEPARTMENT VISITS AND 2,246,511 CLINIC VISITS (AMBULATORY VISITS AND OUTPATIENT DEPARTMENTS).2. OUTREACHWAKE FOREST BAPTIST HEALTH CONTINUES A BROAD-BASED EFFORT TO REACH UNDERSERVED POPULATIONS ACROSS ITS SERVICE AREA. WAKE FOREST BAPTIST HEALTH'S ANNUAL COMMUNITY BENEFITS REPORT REFLECTS THIS COMMITMENT. IN FISCAL 2019 WAKE FOREST BAPTIST HEALTH SPENT $580.7 MILLION TO SUPPORT THESE AREAS: SUBSIDIZED HEALTH COSTS COMMUNITY HEALTH OUTREACH CHARITY CARE RESEARCH EDUCATION UNREIMBURSED COSTS OF GOVERNMENT PROGRAMSONE ANCHOR OF OUTREACH FOR WAKE FOREST BAPTIST HEALTH IS ITS DOWNTOWN HEALTH PLAZA, A FULL-SERVICE, OUTPATIENT MEDICAL CLINIC THAT SERVES MANY OF FORSYTH COUNTY'S UNINSURED AND UNDERINSURED RESIDENTS WITH A STATE-OF-THE-ART MEDICAL HOME. IN ADDITION TO CLINICAL CARE, THE DOWNTOWN HEALTH PLAZA OFFERS COMMUNITY HEALTH FAIRS, DIABETES EDUCATION AND A CENTERING PREGNANCY PROGRAM THAT IS REDUCING THE INCIDENCE OF LOW BIRTH WEIGHT BABIES. ALTOGETHER, 60,370 PATIENT VISITS WERE RECORDED AT THE DOWNTOWN HEALTH PLAZA IN THE 2019 FISCAL YEAR, AND ANOTHER 11,141 VISITS WERE RECORDED AT WINSTON EAST PEDIATRICS, A NEARBY WAKE FOREST BAPTIST HEALTH CARE FACILITY SERVING THE UNINSURED AND UNDERINSURED.WAKE FOREST BAPTIST HEALTH'S PROGRAMS AND PARTNERSHIPS REFLECT INNOVATIVE EFFORTS TO REACH UNDERSERVED POPULATIONS. THEY INCLUDE:_ REGULAR COMMUNITY-BASED HEALTH CLINICS, INCLUDING: THE WEEKLY DELIVERING EQUAL ACCESS TO CARE (DEAC) CLINIC, WHICH MOVED INTO THE WAKE FOREST SCHOOL OF MEDCINE'S BOWMAN GRAY CENTER FOR MEDICAL EDUCATION IN DOWNTOWN WINSTON-SALEM'S INNOVATION QUARTER IN FALL 2018, THE MONTHLY TRIAD FREE HEALTH CLINIC AT COMMUNITY MOSQUE IN WINSTON-SALEM, THE MONTHLY GRACE CLINIC AT NEW LIGHT MISSIONARY BAPTIST CHURCH IN WINSTON-SALEM AND THE ANNUAL SHARE THE HEALTH FAIR AT THE DOWNTOWN HEALTH PLAZA IN WINSTON-SALEM. THESE CLINICS, SPONSORED BY PRIVATE ORGANIZATIONS AND CHURCHES WITH VOLUNTEER ASSISTANCE FROM WAKE FOREST BAPTIST HEALTH PHYSICIANS, NURSES, MEDICAL STUDENTS AND OTHERS, ATTRACT THOUSANDS OF PEOPLE TO SCREENINGS FOR ACUTE AND CHRONIC CONDITIONS. _ THE SCHOOL OF MEDICINE'S PHYSICIAN ASSISTANT (PA) PROGRAM, WHICH IS INCREASING THE NUMBER OF PAS WORKING IN PRIMARY CARE IN NORTH CAROLINA'S RURAL APPALACHIAN COUNTIES THROUGH ITS SECOND CAMPUS AT APPALACHIAN STATE UNIVERSITY IN BOONE. _ FAITHHEALTHNC, AN INITIATIVE THAT CONNECTS THE CARING STRENGTHS OF CONGREGATIONS, THE CLINICAL EXPERTISE OF PROVIDERS AND A NETWORK OF COMMUNITY RESOURCES TO EASE THOSE ON THE JOURNEY TO HEALTH AND HEALING, STRENGTHENING COMMUNITIES IN THE PROCESS. ONE EXAMPLE OF THIS WORK IS A FAITHHEALTH PROGRAM IN WHICH WORKERS KNOWN AS SUPPORTERS OF HEALTH CONNECT PATIENTS WITH RESOURCES THEY NEED AFTER A HEALTH INCIDENT OR HOSPITALIZATION. THE GOAL IS TO HELP THESE PATIENTS AVOID READMISSION, IN PARTICULAR TO THE EMERGENCY DEPARTMENT. 3. EDUCATIONAL MISSION AND ACCOMPLISHMENTSTHE CONSTITUENT ORGANIZATIONS OF WAKE FOREST BAPTIST HEALTH OPERATE A BROAD RANGE OF EDUCATIONAL PROGRAMS, GRADUATING SKILLED PRACTITIONERS. IT ATTRACTS SOME OF THE WORLD'S MOST COMPETITIVE MEDICAL STUDENTS, RESIDENTS AND FELLOWS, AS WELL AS STUDENTS IN CLINICAL PASTORAL CARE, NURSE ANESTHESIA AND OTHER AREAS.THE WAKE FOREST SCHOOL OF MEDICINE LAUNCHED A NEW POST-MASTER'S DOCTOR OF NURSING PRACTICE (DNP) PROGRAM IN FALL 2018. THE PART-TIME, TWO-YEAR DNP PROGRAM IS FOR REGISTERED NURSES WHO WANT TO BUILD ON THEIR MASTER'S DEGREE AND ADVANCE THEIR LEADERSHIP AND CLINICAL ROLES TO THE HIGHEST LEVEL OF NURSING PRACTICE. U.S. NEWS & WORLD REPORT ISSUED NATIONAL RANKINGS TO THE SCHOOL OF MEDICINE'S PHYSICIAN ASSISTANT (NO. 7) AND NURSE ANESTHESIA (NO. 10) PROGRAMS.IN THE MOST RECENT REPORTING PERIOD, FISCAL YEAR 2018, WAKE FOREST BAPTIST HEALTH INVESTED MORE THAN $82.1 MILLION IN THE EDUCATION OF TOMORROW'S HEALTH CARE AND BIOMEDICAL LEADERS AND $25.9 MILLION IN RESEARCH FUNDING NOT COVERED BY OUTSIDE SOURCES. SUCH INVESTMENTS SUPPORT THE TRAINING OF HUNDREDS OF STUDENTS. IN FISCAL 2019, THOSE INCLUDED 546 MD STUDENTS, 903 PHYSICIAN RESIDENTS AND FELLOWS, 318 GRADUATE STUDENTS, 174 PHYSICIAN ASSISTANTS, 48 NURSE ANESTHESIA STUDENTS, 23 STUDENTS IN THE NEW DOCTOR OF NURSING PRACTICE PROGRAM, 23 PASTORAL CARE CHAPLAIN RESIDENTS AND INTERNS, AND 58 STUDENTS IN THE VIRGINIA TECH WAKE FOREST UNIVERSITY SCHOOL OF BIOMEDICAL ENGINEERING AND SCIENCES. IN ADDITION, THE NORTHWEST AREA HEALTH EDUCATION CENTER, PART OF WAKE FOREST SCHOOL OF MEDICINE, OFFERED MORE THAN 2,800 CONTINUING PROFESSIONAL DEVELOPMENT ACTIVITIES FOR PRACTICING HEALTH CARE PROFESSIONALS THAT DREW 48,000 PARTICIPANTS FROM THROUGHOUT THE REGION.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$1,745,473,034TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related InvstYes (1)ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document553IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JOSEPH DOLANBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3367164445PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1MEDICAL CENTER BLVDAddressLine1Txt
CityWINSTON SALEMCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27157ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JULIE A FREISCHLAG MD
CEO, DEAN15.1024.90Yes (X)Yes (X)$1,742,589$0$353,250
SHEREE B WATSON
CHAIR2.006.00Yes (X)Yes (X)$0$0$0
R MICHAEL WELLS
TRUSTEE2.002.00Yes (X)$0$0$0
GEORGE D RENFRO
TRUSTEE2.004.00Yes (X)$0$0$0
EDWIN L WELCH JR
TRUSTEE2.003.00Yes (X)$0$0$0
STEPHEN L ROBERTSON
TRUSTEE2.006.00Yes (X)$0$0$0
WILLIAM C WARDEN JR
TRUSTEE2.004.00Yes (X)$0$0$0
A LEE HERRING
TRUSTEE2.006.00Yes (X)$0$0$0
ARTHUR A GIBEL
VICE CHAIR2.006.00Yes (X)Yes (X)$0$0$0
BRADLEY A CLARK
EVP, CFO, TREASURER18.1021.90Yes (X)$0$775,777$178,754
TERRY G WILLIAMS
EVP, CH STRATEGY OFFICER20.3019.70Yes (X)$0$748,349$177,574
ROBERT J GFELLER JR
EVP, EXT REL & CH MKTG OFF (TO 12/31/18)20.0020.00Yes (X)$0$661,825$147,557
KEVIN P HIGH MD
PRES, HEALTH SYSTEM25.7014.30Yes (X)$828,234$0$219,300
LILICIA P BAILEY
SVP, CHIEF PEOPLE OFFICER30.809.20Yes (X)$0$627,760$135,492
WILLIAM D SHOWALTER
SVP, CIO28.8011.20Yes (X)$0$557,872$118,125
J MCLAIN WALLACE JR
SVP, GEN COUNSEL & SEC23.9016.10Yes (X)$0$772,967$82,245
KAREN H HUEY
VP FACILITIES19.3020.70Yes (X)$0$411,116$63,534
LISA M MARSHALL
VP, CH PHIL OFF (FROM 6/11/19)5.0035.00Yes (X)$412,166$0$83,268
CATHLEEN WHEATLEY
PRES WFBMC, SVP CH NURSE EXEC,36.203.80$0$553,659$123,922Yes (X)
MICHAEL T WAID
SVP HLTH SYS OPS & INTEG30.509.50$0$575,651$116,124Yes (X)
CONRAD EMMERICH
SVP, CLINICAL & SUPPORT SERVICES31.808.20$0$464,941$109,602Yes (X)
TODD BANKHEAD
SVP, CLINICAL OPERATIONS40.000.00$0$396,879$106,039Yes (X)
CHARLES R VIGNOS
VP MANAGED CARE33.206.80$0$453,832$94,966Yes (X)
ERIC TOMLINSON DSC PHD
FORMER OFFICER (3-2-18)0.000.00$663,211$0$25,376Yes (X)
JOHN D MCCONNELL MD
FORMER OFFICER (4-26-17)0.0040.00$5,552,781$0$44,771Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$9,198,981TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$7,000,628TotReportableCompRltdOrgAmt
Total Other Compensation$2,179,899TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (1)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MEDLINE INDUSTRIES INC
THREE LAKES DRIVENORTHFIELDIL60093MEDICAL PRODUCTS$11,245,656
EPIC SYSTEMS CORPORATION
1979 MILKY WAYVERONAWI53593COMPUTER SOFTWARE$8,789,170
ARAMARK
1101 MARKET STREETPHILADELPHIAPA19107FOOD/FACILITY/UNIFORM SERVICES$8,427,727
AMERICAN RED CROSS
PO BOX 730040DALLASTX75373BLOOD, PLASMA & BLOOD PRODUCTS$8,072,836
BOSTON SCIENTIFIC CORPORATION
300 BOSTON SCIENTIFIC WAYMARLBOROUGHMA01752MEDICAL PRODUCTS$7,778,298
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K375CntrctRcvdGreaterThan100KCnt
Related Organizations$710,236RelatedOrganizationsAmt
Government Grants$2,152,509GovernmentGrantsAmt
All Other Contributions$10,165,369AllOtherContributionsAmt
Noncash Contributions$3,359,824NoncashContributionsAmt
Total Contributions$13,028,114TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE621990$1,871,757,209$1,871,757,209
MEDICAL/LAB SERVICE621500$12,658,815$8,150,615$4,508,200
DIETARY722210$6,464,077$6,284,765$179,312
TUITION611600$1,886,330$1,886,330
FieldValueIRS element (for citing)
Total Program Service Revenue$1,892,766,431TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,340,732TotalRevenueColumnAmt
Unrelated Business Revenue$847,629UnrelatedBusinessRevenueAmt
Exclusion$17,493,103ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$7,942,720RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$2,138,912RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$5,803,808RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,803,808TotalRevenueColumnAmt
Exclusion$5,803,808ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$135,373OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$26,197,647SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$26,197,647SecuritiesAmt
Other$135,373OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$26,062,274TotalRevenueColumnAmt
Exclusion-$26,062,274ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
PARKING FEES900099$3,543,232$3,543,232
GIFT SHOP REVENUE453220$86,036$86,036
FieldValueIRS element (for citing)
Other Revenue Total$3,629,268OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,907,506,079TotalRevenueColumnAmt
Related Or Exempt Func Income$1,888,078,919RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$5,535,141UnrelatedBusinessRevenueAmt
Exclusion$863,905ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,636,746TotalAmt
Program Services$1,636,746ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$143,888TotalAmt
Program Services$143,888ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$20,251,641TotalAmt
Program Services$8,505,689ProgramServicesAmt
Management And General$11,745,952ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$537,222,173TotalAmt
Program Services$432,505,550ProgramServicesAmt
Management And General$104,716,623ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$37,449,532TotalAmt
Program Services$30,149,780ProgramServicesAmt
Management And General$7,299,752ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$76,991,679TotalAmt
Program Services$62,056,006ProgramServicesAmt
Management And General$14,935,673ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$41,029,753TotalAmt
Program Services$33,032,136ProgramServicesAmt
Management And General$7,997,617ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$805,830TotalAmt
Program Services$805,830ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$546,057TotalAmt
Management And General$546,057ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$538,341TotalAmt
Program Services$538,341ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$3,399,224TotalAmt
Program Services$3,399,224ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$289,154,391TotalAmt
Program Services$255,159,149ProgramServicesAmt
Management And General$33,995,242ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$4,453,764TotalAmt
Program Services$3,509,871ProgramServicesAmt
Management And General$943,893ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$41,587,394TotalAmt
Program Services$37,008,527ProgramServicesAmt
Management And General$4,578,867ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$66,343,756TotalAmt
Program Services$54,401,880ProgramServicesAmt
Management And General$11,941,876ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$17,717,160TotalAmt
Program Services$16,831,302ProgramServicesAmt
Management And General$885,858ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,552,685TotalAmt
Program Services$1,045,359ProgramServicesAmt
Management And General$507,326ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,107,785TotalAmt
Program Services$702,163ProgramServicesAmt
Management And General$405,622ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$20,084,635TotalAmt
Program Services$19,757,234ProgramServicesAmt
Management And General$327,401ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$91,924,547TotalAmt
Program Services$91,924,547ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$12,450,932TotalAmt
Program Services$12,326,423ProgramServicesAmt
Management And General$124,509ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$468,885,998$466,323,594$2,562,404
BAD DEBT$168,774,645$168,774,645
PROVIDER ASSESSMENT$44,935,150$44,935,150
INCOME TAXES$1,028,917$0$1,028,917

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,950,016,623TotalAmt
Program Services$1,745,473,034ProgramServicesAmt
Management And General$204,543,589ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$35,990,583BOYAmt
EOY$49,661,835EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$717,634BOYAmt
EOY$1,662,805EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$294,257,046BOYAmt
EOY$349,080,967EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$191,594BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$39,205,388BOYAmt
EOY$40,937,146EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$30,780,515BOYAmt
EOY$42,929,788EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,832,322,815LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,133,261,508LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$639,240,422BOYAmt
EOY$699,061,307EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$680,713,308BOYAmt
EOY$653,015,369EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$75,451,497BOYAmt
EOY$75,472,872EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$154,920,164BOYAmt
EOY$183,403,228EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$4,569,903EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,951,468,151BOYAmt
EOY$2,099,795,220EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$268,834,406BOYAmt
EOY$257,953,612EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$458,462,586BOYAmt
EOY$520,523,877EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$11,749,528BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
EOY$33,749,528EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$93,926,333BOYAmt
EOY$132,341,429EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$832,972,853BOYAmt
EOY$944,568,446EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,108,809,879BOYAmt
EOY$1,135,864,091EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,071,156BOYAmt
EOY$16,793,733EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,614,263BOYAmt
EOY$2,568,950EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,118,495,298BOYAmt
EOY$1,155,226,774EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,951,468,151BOYAmt
EOY$2,099,795,220EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$42,510,544ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$49,694,706NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments$30,562,526PriorPeriodAdjustmentsAmt
Other Changes In Net Assets-$1,015,212OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$339,825DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$198,516OtherActivitiesAmt
Total Lobbying Expenditures$538,341TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationSUPPORT OF GOVT. RELATIONS OFFICE AND PRORATA PORTION OF DUES PAID TO STATE AND LOCAL 501(C)(6) ORGANIZATIONS THAT REPRESENTS LOBBYING ON BEHALF OF ITS MEMBERS. THE MEDICAL CENTER'S OFFICE OF GOVERNMENT RELATIONS WAS ACTIVELY INVOLVED WITH SEVERAL FEDERAL AND STATE ISSUES. THE OFFICE ASSISTED IN DEVELOPING POLITICAL ADVOCACY STRATEGIES REGARDING: SURPRISE BILLING; DRUG PRICING AND PRICE TRANSPARENCY; FUNDING EXTENSIONS FOR THE NATIONAL HEALTH SERVICE CORPS (STUDENT LOANS) AND COMMUNITY HEALTH CENTERS; INCREASED RESIDENCY SLOTS REGARDING OPIOID EPIDEMIC; PREPARATION AND SUBMISSION OF COMMENT LETTER REGARDING DELAYING CHANGES TO PAYMENT FOR EVALUATION AND MANAGEMENT (E&M) CODES UNTIL 2021 AND OTHER DOCUMENT CHANGES; 21ST CENTURY CURES IMPLEMENTATION; PROPOSED 340B PROGRAM CHANGES; PROPOSED CHANGES TO THE USE OF NONHUMAN PRIMATE MODELS IN BIOMEDICAL RESEARCH; FY20 APPROPRIATIONS, INCLUDING LABOR/HEALTH AND HUMAN SERVICES (HHS) BILL INCLUDING FUNDING FOR THE NATIONAL INSTITUTES OF HEALTH (NIH); DISCRETIONARY SPENDING BUDGET CAPS; EXTENSION FOR PCORI (PATIENT CENTERED OUTCOMES RESEARCH INSTITUTE FUND); PANDEMIC AND ALL-HAZARDS PREPAREDNESS AND ADVANCING INNOVATIONS ACT; MEDICAID DSH CUTS AND ADDITIONAL FUNDING FOR GRADUATE MEDICAL EDUCATION SLOTS. AT THE STATE LEVEL, THE MEDICAL CENTER'S OFFICE OF GOVERNMENT RELATIONS DEVELOPED LEGISLATIVE AND IMPLEMENTATION STRATEGY FOR FUNDING OF AN OFFICE OF MEDICAL EXAMINER'S FACILITY AT THE CLARKSON CAMPUS INCLUDING COMPOSITION OF BILL LANGUAGE AND SUMMARY, INTRODUCTION OF BILL AND INCLUSION IN THE FY2019-20 BUDGET OF $15 MILLION. VARIOUS BILLS AND BUDGET LANGUAGE WERE INTRODUCED TO SEVERELY ALTER THE CURRENT CERTIFICATE OF NEED LAW AND CHANGE THE STATE HEALTH PLAN TO A REFERENCE-BASED PRICING BENEFIT DESIGN PLAN. THE MEDICAL CENTER NEGOTIATED FUNDING FOR THE WAKE FOREST INSTITUTE OF REGENERATIVE MEDICINE AND INCREASED ACCESS TO HEALTH INSURANCE COVERAGE (MEDICAID EXPANSION)/WORK REQUIREMENTS/BUDGET NEGOTIATIONS WITH THE GOVERNOR'S OFFICE AND VARIOUS CALLS AND MEETINGS WITH LEGISLATORS.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,685,419BeginningYearBalanceAmt
Contributions$9,933,643ContributionsAmt
Investment Earnings Or Losses$175,740InvestmentEarningsOrLossesAmt
Other Expenditures$432,120OtherExpendituresAmt
End Year Balance$19,362,682EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,347,896BeginningYearBalanceAmt
Contributions$3,538,532ContributionsAmt
Investment Earnings Or Losses$260,041InvestmentEarningsOrLossesAmt
Other Expenditures$461,050OtherExpendituresAmt
End Year Balance$9,685,419EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,675,092BeginningYearBalanceAmt
Contributions$692,865ContributionsAmt
Investment Earnings Or Losses$347,227InvestmentEarningsOrLossesAmt
Other Expenditures$367,288OtherExpendituresAmt
End Year Balance$6,347,896EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,763,723BeginningYearBalanceAmt
Contributions$1,709,682ContributionsAmt
Investment Earnings Or Losses-$60,213InvestmentEarningsOrLossesAmt
Other Expenditures$1,738,100OtherExpendituresAmt
End Year Balance$5,675,092EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,007,181BeginningYearBalanceAmt
Contributions$2,132,638ContributionsAmt
Investment Earnings Or Losses$26,445InvestmentEarningsOrLossesAmt
Other Expenditures$1,402,541OtherExpendituresAmt
End Year Balance$5,763,723EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.13270PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.86730TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$38,775,439OtherCostOrOtherBasisAmt
Book Value$38,775,439BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,013,575,352OtherCostOrOtherBasisAmt
Depreciation$607,046,578DepreciationAmt
Book Value$406,528,774BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,201,485OtherCostOrOtherBasisAmt
Depreciation$1,119,230DepreciationAmt
Book Value$1,082,255BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$658,387,151OtherCostOrOtherBasisAmt
Depreciation$498,756,544DepreciationAmt
Book Value$159,630,607BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$119,383,388OtherCostOrOtherBasisAmt
Depreciation$26,339,156DepreciationAmt
Book Value$93,044,232BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$699,061,307TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescINVESTMENTS IN SUBSIDIARIESDesc
Book Value$183,403,228BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Program Rltd$183,403,228TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
PLI & OTHER LIABILITIES$35,378,291
PENSION LIABILITIES$96,237,173
CAPITAL LEASE$725,965
FieldValueIRS element (for citing)
Total Liability$132,341,429TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE HOSPITAL'S ENDOWMENT FUNDS ARE USED TO PROVIDE SUPPORT FOR EDUCATION, SCHOLARSHIPS, INDIGENT CARE, AND OTHER DEPARTMENTAL FUNDING.
PART X, LINE 2:THE ORGANIZATION HAS EVALUATED UNCERTAIN TAX POSITIONS FOR ITS FISCAL YEARS ENDED JUNE 30, 2019 AND 2018, INCLUDING A QUANTIFICATION OF TAX RISK IN AREAS SUCH AS UNRELATED BUSINESS TAXABLE INCOME AND THE TAXATION OF ITS FOR-PROFIT SUBSIDIARIES. THIS EVALUATION DID NOT HAVE A MATERIAL EFFECT ON THE ORGANIZATION'S FINANCIAL STATEMENTS FOR THE YEARS ENDED JUNE 30, 2019 AND 2018.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionTHE CARIBBEAN - BRITISH VIRGIN ISLANDS & CAYMAN ISLANDSRegionTxt
Offices0OfficesCnt
Employee0EmployeeCnt
Type Of Activities ConductedINVESTMENTSTypeOfActivitiesConductedTxt
Region Total Expenditures$11,042,711RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$11,042,711SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$11,042,711TotalSpentAmt
Transfer To Foreign CorpYes (1)TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (1)PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other300.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$41,421,540TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,904,651DirectOffsettingRevenueAmt
Net Community Benefit Expns$31,516,889NetCommunityBenefitExpnsAmt
Total Expense0.01770TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$285,551,908TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$261,039,071DirectOffsettingRevenueAmt
Net Community Benefit Expns$24,512,837NetCommunityBenefitExpnsAmt
Total Expense0.01380TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$68,899,646TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$49,920,536DirectOffsettingRevenueAmt
Net Community Benefit Expns$18,979,110NetCommunityBenefitExpnsAmt
Total Expense0.01070TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$395,873,094TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$320,864,258DirectOffsettingRevenueAmt
Net Community Benefit Expns$75,008,836NetCommunityBenefitExpnsAmt
Total Expense0.04220TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,025,410TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,025,410NetCommunityBenefitExpnsAmt
Total Expense0.00340TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$102,215,735TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$21,842,177DirectOffsettingRevenueAmt
Net Community Benefit Expns$80,373,558NetCommunityBenefitExpnsAmt
Total Expense0.04510TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,612,850TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,612,850NetCommunityBenefitExpnsAmt
Total Expense0.00370TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Total Expense0.00000TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,548,837TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,548,837NetCommunityBenefitExpnsAmt
Total Expense0.00200TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$118,402,832TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$21,842,177DirectOffsettingRevenueAmt
Net Community Benefit Expns$96,560,655NetCommunityBenefitExpnsAmt
Total Expense0.05420TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$514,275,926TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$342,706,435DirectOffsettingRevenueAmt
Net Community Benefit Expns$171,569,491NetCommunityBenefitExpnsAmt
Total Expense0.09640TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,989,230TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,989,230NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$144,885TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$144,885NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,134,115TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,134,115NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$42,008,553BadDebtExpenseAmt
Reimbursed By Medicare$539,934,816ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$652,379,573CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$112,444,757MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NORTH CAROLINA BAPTIST HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1MEDICAL CENTER BLVDAddressLine1Txt
CityWINSTON SALEMCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27157ZIPCd
FieldValueIRS element (for citing)
State LicenseH0011StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NORTH CAROLINA BAPTIST HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, PAGE 7OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, PAGE 7StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care300.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.WAKEHEALTH.EDU/FINANCIAL-ASSISTANCE.HTMFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.WAKEHEALTH.EDU/FINANCIAL-ASSISTANCE.HTMFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.WAKEHEALTH.EDU/FINANCIAL-ASSISTANCE.HTMFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
NORTH CAROLINA BAPTIST HOSPITALPART V, SECTION B, LINE 5: COMMUNITY INPUT WAS OBTAINED THROUGH THE FOLLOWING SOURCES: (1) FORSYTH COUNTY RESIDENT SURVEYS CONDUCTED BY FORSYTH COUNTY HEALTH DEPARTMENT; (2) EIGHT FAITHHEALTH NC (A DEPARTMENT OF THE HOSPITAL) COMMUNITY ASSET MAPPING WORKSHOPS WHICH SOUGHT OPINIONS OF BOTH HEALTH PROVIDERS AND HEALTH SEEKERS IN FORSYTH COUNTY'S MOST VULNERABLE COMMUNITIES, INCLUDING FOUR WORKSHOPS HELD SPECIFICALLY IN HISPANIC COMMUNITIES; (3) TARGETED FOCUS GROUP MEETINGS CONDUCTED BY FAITHHEALTH NC IN CONJUNCTION WITH NOVANT HEALTH FORSYTH MEDICAL CENTER AT CHURCHES IN HIGH NEED COMMUNITIES; AND (4) COMMENTS FROM PRIOR COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY.ADDITIONALLY, MORE THAN TEN SECONDARY DATA SOURCES WERE REVIEWED, INCLUDING WAKE FOREST BAPTIST MEDICAL CENTER COMMUNITY DASHBOARD/HEALTH COMMUNITIES INSTITUTE, COUNTY HEALTH RANKINGS & ROADMAPS, US CENSUS BUREAU 2010 CENSUS, US CENSUS BUREAU 2017 AMERICAN COMMUNITY SURVEY, NC CENTER FOR HEALTH STATISTICS, CENTERS FOR DISEASE CONTROL - YOUTH BEHAVIOR RISK FACTOR SURVEILLANCE SYSTEM 2017, NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES BEHAVIOR RISK FACTOR SURVEILLANCE SYSTEM (2013-2017), HEALTHY PEOPLE 2020, HEALTHY NC 2020, CENTERS FOR MEDICARE/MEDICAID SERVICES, FORSYTH FUTURES ACCESS TO HEALTH CARE FORSYTH COUNTY REPORT 2014, AND STATUS OF HOMELESSNESS IN FORSYTH COUNTY NOVEMBER 2014.
NORTH CAROLINA BAPTIST HOSPITALPART V, SECTION B, LINE 6A: THE HOSPITAL'S MOST RECENT CHNA WAS CONDUCTED IN COLLABORATION WITH LEXINGTON MEDICAL CENTER AND DAVIE MEDICAL CENTER. BOTH DAVIE MEDICAL CENTER AND LEXINGTON MEDICAL CENTER ARE AFFILIATE HOSPITALS OF WAKE FOREST BAPTIST HEALTH.
NORTH CAROLINA BAPTIST HOSPITALPART V, SECTION B, LINE 7D: N/APART V, SECTION B, LINE 7A:WWW.WAKEHEALTH.EDU/HCI/NEEDS-ASSESSMENT-AND-IMPLEMENTATION-REPORTS.HTMPART V, SECTION B, LINE 10A:WWW.WAKEHEALTH.EDU/HCI/NEEDS-ASSESSMENT-AND-IMPLEMENTATION-REPORTS.HTM
NORTH CAROLINA BAPTIST HOSPITALPART V, SECTION B, LINE 11: THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") IDENTIFIED THE FOLLOWING SIGNIFICANT HEALTH CHALLENGES WITHIN THE COMMUNITY: (1) ACCESS TO HEALTH CARE, (2) CHRONIC DISEASE MANAGEMENT AND PREVENTION, (3) BEHAVIORAL HEALTH AND SUBSTANCE DEPENDENCY, (4) FINANCIAL COST OF HEALTH CARE AND PRESCRIPTION DRUGS, (5) CULTURAL COMPETENCY, (6) HEALTHCARE RESOURCES, AWARENESS, AND EDUCATION, (7) PERCEPTION OF CUSTOMER SERVICE, (8) GOOD NUTRITION, (9) COMFORT NAVIGATING THE HEALTHCARE SYSTEMS, AND (10) LACK OF TIME TO PRIORITIZE HEALTH.NORTH CAROLINA BAPTIST HOSPITAL (NCBH) PRIORITIZED THE FOLLOWING FOUR SIGNIFICANT COMMUNITY HEALTH NEEDS FOR ITS CURRENT CHNA AS FOLLOWS: (1) ACCESS TO CARE; (2) CHRONIC DISEASE MANAGEMENT & PREVENTION; (3) BEHAVIORAL HEALTH AND SUBSTANCE DEPENDENCY; AND (4) MATERNAL AND CHILD HEALTH. NCBH PLANS TO PROVIDE COMMUNITY BENEFIT PROGRAMS RESPONSIVE TO THESE HEALTH NEEDS THROUGH ITS APPROVED CHNA IMPLEMENTATION STRATEGY. THE NCBH CHNA IMPLEMENTATION STRATEGY OUTLINES THE IMPLEMENTATION OF PROGRAMS AND THE EVALUATION OF IMPACT OF THOSE PROGRAMS ON PRIORITY COMMUNITY HEALTH NEEDS IDENTIFIED FROM THE CHNA. SPECIFICALLY, THE HOSPITAL IS ADDRESSING THE SIGNIFICANT HEALTH NEEDS AS FOLLOWS:1. ACCESS TO CAREBARRIERS SUCH AS LACK OF INDIVIDUAL HEALTH INSURANCE AND HIGH COSTS DECREASE ACCESS TO QUALITY HEALTH CARE AND CAN LEAD TO UNMET HEALTH NEEDS. THE HOSPITAL'S CURRENT STRATEGIES TO ADDRESS THESE NEEDS INCLUDE THE FOLLOWING:--ENCOURAGING APPROPRIATE EMERGENCY DEPARTMENT UTILIZATION THROUGH CARE COORDINATION ACROSS THE COMMUNITY, HOSPITAL, AND PRIMARY CARE THROUGH (1) IMPLEMENTATION OF WAKEHEALTH CONNECT, A MANAGED CARE PROGRAM, FOR CHARITY CARE APPROVED PATIENTS IN ORDER TO IMPROVE PATIENTS WITH CHRONIC DISEASE DIAGNOSES AND INCREASED ED VISITS, (2) CONTINUED SUPPORT FOR THE CAREPLUS MULTIDISCIPLINARY PRIMARY CARE COORDINATION MODEL FOR MEDICAID/SELF-PAY/UNINSURED PATIENTS IN THE DOWNTOWN HEALTH PLAZA COMMUNITY, (3) CONTINUED PARTNERSHIP WITH UNITED HEALTH CARE CENTERS TO PROVIDE WEEKLY PREVENTIVE CARE CLINIC AT THE BETHESDA CENTER FOR THE HOMELESS LOCATED IN WINSTON SALEM, (4) CONTINUED SUPPORT FOR HEALTHCARE ACCESS WHICH CONNECTS THE UNINSURED COMMUNITY WITH VOLUNTEER HEALTHCARE PROVIDERS, AND (5) ENGAGING VULNERABLE COMMUNITIES THROUGH FAITHHEALTH SUPPORTERS AND CONNECTORS.--IMPROVING ACCESS TO COMMUNITY CENTERED SOCIAL AND HEALTH EDUCATION SERVICES AND REGULAR SOURCES OF HEALTH CARE THROUGH (1) CONTINUED PARTNERSHIP WITH NOVANT HEALTH TO PROVIDE PREVENTATIVE CARE AT THE HIGHLAND AVENUE PRIMARY CARE CLINIC, A TRADITIONALLY UNDERSERVED AREA OF THE COMMUNITY, (2) DEPLOYMENT OF WFBH'S MOBILE MEDICAL CLINIC TO PROVIDE MEDICAL, NUTRITION, MENTAL HEALTH AND HEALTH EDUCATION TO VULNERABLE POPULATIONS RESIDING IN LOW ACCESS WFBH SERVICE AREAS, (3) ENHANCED SUPPORT OF THE DELIVERING EQUAL ACCESS TO CARE (DEAC) CLINIC, A STUDENT-RUN, FREE MEDICAL CLINIC THAT PROVIDES LONG TERM CONTINUITY OF CARE TO LOCAL UNDERSERVED COMMUNITIES, AND (4) CONTINUED SUPPORT FOR DOWNTOWN HEALTH PLAZA, AN OUTPATIENT CLINIC PROVIDING CHRONIC DISEASE MANAGEMENT, PREVENTATIVE/DIAGNOSTIC SERVICES, COUNSELING, AND HEALTH EDUCATION.--IMPROVING ACCESS TO TRANSPORTATION TO HEALTH CARE SERVICES, THROUGH ALIGNMENT OF COMMUNITY TRANSPORTATION RESOURCES WITH PATIENTS WHEN TRANSPORTATION NEEDS ARE IDENTIFIED DURING APPOINTMENT SCHEDULING. 2. CHRONIC DISEASE MANAGEMENT & PREVENTIONNCBH RECOGNIZES THE EFFECT OF CONTINUITY OF CARE WITH HEALTH CARE PROVIDERS ON PATIENT BEHAVIORS, DISEASE MANAGEMENT, AND HEALTH STATUS. THE HOSPITAL'S CURRENT STRATEGIES INCLUDE:--IMPROVING CAPACITY OF COMMUNITY BASED ORGANIZATIONS AND HEALTH CARE PROVIDERS TO SUPPORT EFFORTS RELATED TO CHRONIC DISEASE PREVENTION AND MANAGEMENT THROUGH (1) CONTINUING TO SUPPORT FAITHHEALTHNC COMMUNITY WORKERS, (2) COLLABORATION WITH NOVANT FORSYTH MEDICAL CENTER COMMUNITY HEALTH AND BENEFIT TEAMS TO IMPROVE HEALTH AND BUILD TRUST FOR COMMUNITIES WITH THE GREATEST CAPACITY TO IMPROVE HEALTH OUTCOMES, AND (3) PROVIDE SUPPORT FOR GOVERNMENTAL PROGRAMS AND LOCAL COMMUNITY EFFORTS TO BUILD CAPACITY OF COMMUNITY-BASED ORGANIZATIONS TO SERVE THE NEEDS OF THE COMMUNITY AND TO ALIGN WITH WFBH'S POPULATION HEALTH STRATEGIES. --PROVIDING EDUCATION AND SUPPORT PROGRAMS TO REDUCE DIABETES PREVALENCE AND IMPROVE WEIGHT MANAGEMENT THROUGH (1) REFERRING PRE-DIABETIC AND EARLY ONSET DIABETIC PATIENTS AT DOWNTOWN HEALTH PLAZA TO DIABETES PROGRAMS OFFERED BY YWCA (GATEWAY TO SUCCESS), EDUCATIONAL PROGRAMS CONDUCTED BY WFBH AND OTHER COMMUNITY ORGANIZATIONS, (2) CONTINUING TO PROVIDE BESTHEALTH DIABETES PREVENTION AND NUTRITION EDUCATION TO THE COMMUNITY BY OFFERING SEMINARS, SCREENINGS & OTHER HEALTH & WELLNESS EVENTS. --PROVIDING EDUCATION AND SUPPORT PROGRAMS TO REDUCE OBESITY PREVALENCE AND IMPROVE OBESITY MANAGEMENT THROUGH CONTINUED SUPPORT OF BRENNER FIT TO INCREASE EDUCATION AND AWARENESS OF HEALTHY LIFESTYLE CHOICES FOR UNINSURED/MEDICAID PATIENTS AND FAMILIES. 3. BEHAVIORAL HEALTH & SUBSTANCE DEPENDENCYNCBH IS COMMITTED TO PROVIDING POSITIVE OUTCOMES OF RECOVERY AND MENTAL HEALTH WELLNESS THROUGHOUT THE COMMUNITY IT SERVES. THE HOSPITAL'S CURRENT STRATEGIES INCLUDE:--CONTINUED EXPANSION OF INTEGRATED CARE MODEL CURRENTLY OPERATING AT DOWNTOWN HEALTH PLAZA AND FAMILY MEDICINE PIEDMONT PLAZA;--CONTINUED SUPPORT OF THE EMPOWERMENT PROJECT, AN OUTREACH PROGRAM FOR HOMELESS ADULTS AND PEOPLE EXPERIENCING MENTAL HEALTH CHALLENGES AND SUBSTANCE USE DISORDERS. --EXTENDED ACCESS TO THE HIGHEST LEVEL OF BEHAVIORAL HEALTH CARE BY PROVING COMMUNITY-BASED SERVICES AND OPPORTUNITIES INCLUDING (1) SUPPORTING THE 'GO' PROGRAM, A GERIATRIC COLLABORATIVE OUTREACH PROGRAM THAT PROVIDES IN-HOME MENTAL HEALTH CARE SERVICES TO SENIORS EXPERIENCING MOBILITY AND TRANSPORTATION CHALLENGES, (2) PARTNERING WITH THE UNITED WAY TO SUPPORT BOWMAN GRAY CHILD GUIDANCE, WHICH PROVIDES MENTAL HEALTH SERVICES TO INDIGENT CHILDREN AND THEIR FAMILIES, (3) OPERATING THE UNIVERSITY MENTAL HEALTH, THE COMMUNITY OUTREACH AND CLINICAL SERVICE ARM OF THE WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE'S DEPARTMENT OF PSYCHIATRY THAT IS FOCUSED ON PROVIDING MENTAL HEALTH SERVICES TO TRANSITIONAL AGED YOUTH (AGES 16-24), AND (4) STAFFING PEER SUPPORT SPECIALISTS IN NCBH'S EMERGENCY DEPARTMENT WHO PROVIDE GUIDANCE AND ASSISTANCE TO PATIENTS EXPERIENCING MENTAL HEALTH CHALLENGES SIMILAR TO THEIR OWN. 4. MATERNAL AND CHILD HEALTHNCBH IS COMMITTED TO PROVIDING INNOVATIVE, FAMILY-CENTERED CARE FOR THE COMMUNITY'S CHILDREN AND WOMEN. FORSYTH COUNTY HAS ONE OF THE HIGHEST INFANT MORTALITY RATES IN NORTH CAROLINA AND A KEY PART OF ADDRESSING THIS COMMUNITY HEALTH NEED IS INCREASING THE AVAILABILITY OF PRE- AND POSTNATAL CARE SERVICES. THE HOSPITAL'S CURRENT STRATEGIES INCLUDE:--DECREASING TEEN PREGNANCY, REDUCING INFANT MORTALITY, INCREASING THE BREAST FEEDING RATES AND INCREASING PHYSICAL WELLNESS IN LOCAL SCHOOLS THROUGH (1) PROVIDING MEDICAL AND RESEARCH LEADERSHIP TO THE SCHOOL HEALTH ALLIANCE FOR FORSYTH COUNTY, A SUPPORTING ORGANIZATION OF WINSTON-SALEM/FORSYTH COUNTY SCHOOLS THAT PROVIDES MEDICAL AND MENTAL HEALTH SERVICES FOR CHILDREN VIA SCHOOL-BASED HEALTH CENTERS, AND (2) STRENGTHENING THE RELATIONSHIP WITH WINSTON-SALEM/FORSYTH COUNTY SCHOOLS VIA THE WSFC SOCIAL WORK DEPARTMENT AND SCHOOL HEALTH ALLIANCE TO BUILD A NETWORK OF SUPPORT AMONG HEALTH CARE PROVIDERS, SCHOOLS AND FAITH COMMUNITIES TO MORE EFFECTIVELY SERVE THE NEEDS OF STUDENTS AND FAMILIES. --INCREASING EDUCATION FOR WOMEN ON THE BENEFITS OF PRE-CONCEPTION HEALTH AND EARLY PRENATAL CARE THROUGH (1) ESTABLISHING THE FAMILY CONNECTS HOME VISITATION PROGRAM (IN COLLABORATION WITH NOVANT HEALTH FORSYTH MEDICAL CENTER), WHICH WILL PROVIDE CLINICAL ASSESSMENTS AND EVALUATION OF SERVICE DELIVERY TO IMPROVE QUALITY OF CARE, (2) OPERATING THE CLINICAL AND EDUCATION SUPPORT SERVICES FOR GYNECOLOGICAL, MATERNITY AND PEDIATRIC HEALTH IN THE COMMUNITY.ALL OF THE AFOREMENTIONED EFFORTS IN COMBINATION WITH THE HOSPITAL'S VALUES OF NONDISCRIMINATION AND COMPASSIONATE CARE ARE DESIGNED TO MEET THE SIGNIFICANT HEALTH NEEDS OF THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT.
NORTH CAROLINA BAPTIST HOSPITALPART V, SECTION B, LINE 13H: THE HOSPITAL MAY USE COMMERCIALLY AVAILABLE FINANCIAL PROFILING AND CREDIT SCORING TECHNOLOGIES TO PRESUMPTIVELY SCREEN RESPONSIBLE INDIVIDUALS TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE DISCOUNTS.
NORTH CAROLINA BAPTIST HOSPITALPART V, SECTION B, LINE 16J: IN ADDITION TO THE METHODS PREVIOUSLY DESCRIBED, NORTH CAROLINA BAPTIST HOSPITAL INFORMS PATIENTS ABOUT ITS FAP DURING INTAKE AND DISCHARGE BY PROVIDING A PLAIN LANGUAGE SUMMARY OF THE FAP. THE HOSPITAL ALSO PLACES A CONSPICUOUS WRITTEN NOTICE OF THE FAP ON ITS PATIENT BILLING STATEMENTS.
FieldValueIRS element (for citing)
Facility37FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (37 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - ALLERGY ASTHMA & IMMUNOLOGY - CLEMMONS
2311 LEWISVILLE-CLEMMONS ROADCLEMMONSNC27012ALLERGY, ASTHMA & IMMUNOLOGY
2 - BREAST CARE SERVICES - CLEMMONS
2341 LEWISVILLE-CLEMMONS ROADCLEMMONSNC27012BREAST CARE SERVICES
3 - BRENNER CHILDREN'S SPECIALTY SERVICES
2311 LEWISVILLE-CLEMMONS ROADCLEMMONSNC27012PEDIATRIC SPECIALTIES
4 - CARDIOLOGY COUNTRY CLUB
4614 COUNTRY CLUB ROADWINSTONSALEMNC271043520CARDIOLOGY
5 - COMPREHENSIVE FETAL CARE CENTER
500 SHEPHERD STREET SUITE 200WINSTONSALEMNC271031633MATERNAL-FETAL MEDICINE
6 - COMPREHENSIVE REHAB - PHYSICAL MED & REH
131 MILLER STREETWINSTONSALEMNC27103PHYSICAL MEDICINE, SPORTS MEDICINE, REHABILITATION
7 - COMPREHENSIVE REHAB - SPECIALTY
131 MILLER STREETWINSTONSALEMNC27103ENDO, ENT, NEUROLOGY, PSYCHOLOGY, SURGERY, RHEUM
8 - DIABETES CENTER ADULT-CNTRY CLB MED PLZA
4610 COUNTRY CLUB ROADWINSTONSALEMNC271043520ADULT DIABETES CENTER
9 - DIABETES CENTER CHLDR-CNTRY CLB MED PLZA
4610 COUNTRY CLUB ROADWINSTONSALEMNC271043520PEDIATRIC DIABETES CENTER
10 - DIALYSIS ACCESS GROUP - MILLER
120 MILLER STREET STE BWINSTONSALEMNC27103DIALYSIS CENTER
11 - DOWNTOWN HEALTH PLAZA
1200 N MARTIN LUTHER KING JR DRIVEWINSTONSALEMNC271013006ADULT MEDICINE
12 - DOWNTOWN HEALTH PLAZA - SPECIALTY
1200 N MARTIN LUTHER KING JR DRIVEWINSTONSALEMNC27101OB/GYN, NEUROLOGY, NEPHROLOGY, DERM, CARDIOLOGY
13 - ENTHEAD & NECK SURGERY - CLEMMONS
2341 LEWISVILLE-CLEMMONS ROADCLEMMONSNC27012ENT/HEAD AND NECK SURGERY
14 - HEMATOLOGY & ONCOLOGY - CLEMMONS
2311 LEWISVILLE-CLEMMONS ROADCLEMMONSNC27012ONCOLOGY
15 - HEMATOLOGY & ONCOLOGY - ELKIN
401 ELDON PARKS DRIVEELKINNC28621HEMATOLOGY AND ONCOLOGY
16 - INTERNAL MEDICINE SPECIALTY CLINICS
500 SHEPHERD STREET SUITE 300WINSTONSALEMNC271031633IM MULTISPECIALTY CLINICS - ADULT & PEDIATRIC
17 - MEDICAL PLAZA COUNTRY CLUB DERMATOLOGY
4618 COUNTRY CLUB ROADWINSTONSALEMNC271043520GENERAL DERMATOLOGY
18 - MEDICAL PLAZA COUNTRY CLUB GENERAL DERMA
4618 COUNTRY CLUB ROADWINSTONSALEMNC271043520DERMATOLOGY & MOHS SURGERY
19 - MT AIRY HEMATOLOGY & ONCOLOGY
450 PRICE STREETMT AIRYNC27030HEMATOLOGY AND ONCOLOGY
20 - NCBH OUTPATIENT ENDOSCOPY CENTER LLC
100 CHARLOIS BLVD SUITE 100WINSTONSALEMNC27103OUTPATIENT ENDOSCOPY
21 - NEUROLOGY - CLEMMONS
2341 LEWISVILLE-CLEMMONS ROADCLEMMONSNC27012NEUROLOGY
22 - OBGYN CLINIC
500 SHEPHERD STREET SUITE 201WINSTONSALEMNC271031633OB/GYN, GYN ONC, UROLOGICAL GYN
23 - OBSTETRICS AND GYNECOLOGY - CLEMMONS
2341 LEWISVILLE-CLEMMONS ROADCLEMMONSNC27012OB/GYN
24 - PAIN CENTER BROOKSTOWN
605 COTTON STREETWINSTONSALEMNC27101PAIN CLINIC AND SERVICES
25 - PEDIATRICS - CLEMMONS
2311 LEWISVILLE-CLEMMONS ROADCLEMMONSNC27012PEDIATRICS
26 - PEDIATRICS - DOWNTOWN HEALTH PLAZA
1200 N MARTIN LUTHER KING JR DRIVEWINSTONSALEMNC27101PEDIATRICS
27 - SLEEP CENTER - CLEMMONS
2341 LEWISVILLE-CLEMMONS ROADCLEMMONSNC27012SLEEP MEDICINE
28 - SLEEP CENTER - SHEPHERD
500 SHEPHERD STREET SUITE 201WINSTONSALEMNC271031633SLEEP MEDICINE
29 - SPINE CENTER - CLEMMONS
2341 LEWISVILLE-CLEMMONS ROADCLEMMONSNC27012SPINE CENTER - CLEMMONS
30 - UNIVERSITY INTERNAL MEDICINE - CLEMMONS
2311 LEWISVILLE-CLEMMONS ROADCLEMMONSNC27012INTERNAL MEDICINE & PRIMARY CARE
31 - UNIVERSITY INTERNAL MEDICINE COUNTRY CLU
4614 COUNTRY CLUB ROADWINSTONSALEMNC271043520INTERNAL MEDICINE
32 - VEIN SERVICES - CLEMMONS
2341 LEWISVILLE-CLEMMONS ROADCLEMMONSNC27012VEIN SERVICES
33 - WAKE FOREST BAPTIST HEALTH FAMILY MEDICI
1920 W FIRST STREETWINSTONSALEMNC271044220FAMILY MEDICINE
34 - WAKE FOREST UNIVERSITY BAPTIST IMAGING
265 EXECUTIVE PARK BLVDWINSTONSALEMNC27103IMAGING CENTER
35 - WINSTON EAST PEDIATRICS OF BAPTIST HOSP
2295 EAST 14TH STREETWINSTONSALEMNC27105PEDIATRICS
36 - CANCER SURVIVORSHIP - CLEMMONS
2341 LEWISVILLE-CLEMMONS ROADCLEMMONSNC27012HEMATOLOGY AND ONCOLOGY
37 - RHEUMATOLOGY - CLEMMONS
2311 LEWISVILLE-CLEMMONS ROADCLEMMONSNC27012RHEUMATOLOGY

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:THE ORGANIZATION UTILIZES COMMERCIALLY AVAILABLE FINANCIAL PROFILING AND CREDIT SCORING TECHNOLOGIES TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE DISCOUNTS UNDER ITS FAP POLICY. ADDITIONAL ELIGIBILITY CRITERIA INCLUDES THE FOLLOWING:-PATIENT MUST BE UNINSURED OR HAVE NO OTHER THIRD PARTY FUNDING SOURCE OR GUARANTOR.-SERVICES FOR WHICH DISCOUNTS APPLY MUST BE EMERGENT AND MEDICALLY NECESSARY CARE.-PATIENT MUST BE A VALID RESIDENT WITHIN A ZIP CODE BOUNDED BY OR INTERSECTING ON OF THE COUNTIES DEFINED AS WAKE FOREST BAPTIST HEALTH'S SERVICE AREA. -PATIENTS MUST ENROLL IN ALL OTHER PRIMARY PAYER PROGRAMS FOR WHICH THE PATIENT IS ELIGIBLE AND MUST ASSIGN BENEFITS TO WAKE FOREST BAPTIST HEALTH EXCEPT IN THE CASE WHERE SUCH POLICY PREMIUM FOR ENROLLMENT WOULD RESULT IN MEDICAL INDIGENCE.
PART I, LINE 7:THE ORGANIZATION USED THE WORKSHEETS PROVIDED IN THE INSTRUCTIONS TO SCHEDULE H TO COMPUTE ITS COST-TO-CHARGE RATIO FOR PURPOSES OF THE 2018 SCHEDULE H.PART I, LINE 7B MEDICAID DIRECT OFF-SETTING REVENUETHE HOSPITAL PARTICIPATES IN A PROVIDER ASSESSMENT PROGRAM ADMINISTERED BY THE NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES. UNDER THE PROGRAM, A FEE IS ASSESSED AGAINST NON-MEDICAID NET PATIENT SERVICE REVENUE OF PRIVATE HOSPITALS. THE FEDERAL GOVERNMENT MATCHES THE ASSESSMENT AT A RATE OF NEARLY 2 TO 1, AND THESE AMOUNTS ARE ALLOCATED TO NORTH CAROLINA HOSPITALS ON A QUARTERLY BASIS. ADDITIONALLY, THE HOSPITAL PARTICIPATES IN THE NORTH CAROLINA MEDICAID REIMBURSEMENT INITIATIVE (MRI). UNDER THE MRI, THE HOSPITAL RECEIVES ADDITIONAL REIMBURSEMENT BASED ON MEDICAID COST DEFICITS AND TREATMENT OF A DISPROPORTIONATE SHARE OF UNINSURED PATIENTS.
PART I, LN 7 COL(F):THE ORGANIZATION'S PATIENT BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENTS WAS $168,774,645 FOR THE FISCAL YEAR ENDED JUNE 30, 2019. THIS AMOUNT IS NOT INCLUDED IN THE CALCULATION OF CHARITY CARE FOR PART I, LINE 7.
PART II, COMMUNITY BUILDING ACTIVITIES:THE HOSPITAL IS COMMITTED TO GIVE BACK AND IS RESPONSIVE TO THE COMMUNITIES IT SERVES THROUGH A NUMBER OF ACTIVITIES, PROGRAMS AND INITIATIVES. THE FOLLOWING ARE SOME OF THESE PROGRAMS.- BE INVOLVED IS AN ONLINE RESOURCE THAT WELCOMES COMMUNITY MEMBERS TO LEARN MORE ABOUT HUNDREDS OF CLINICAL TRIALS AND STUDIES AT WFBH FOR WHICH THEY MAY BE ELIGIBLE. - BESTHEALTH, THE COMMUNITY WELLNESS OUTREACH PROGRAM OF WFBH, OFFERS HEALTH SEMINARS, SCREENINGS, COOKING AND FITNESS CLASSES, ONLINE HEALTH RESOURCES AND A MEMBERSHIP PROGRAM WITH SPECIAL BENEFITS. SEMINARS LED BY EXPERTS FROM WFBH PROVIDE THE LATEST INFORMATION ABOUT A VARIETY OF HEALTH TOPICS IN TALKS HELD AT CONVENIENT LOCATIONS THROUGHOUT THE COMMUNITY. MEMBERSHIP BENEFITS INCLUDE FREE HEALTH SCREENINGS, WELLNESS CHALLENGES, DISCOUNTS AT PARTICIPATING LOCAL MERCHANTS, E-NEWSLETTERS AND PRIORITY NOTIFICATION OF EVENTS AND PROGRAMS. - THE CARE TRANSITIONS PROGRAM PROVIDES SUPPORT TO PATIENTS AND THEIR FAMILIES AFTER DISCHARGE FROM THE MEDICAL CENTER AND HELPS THEM DETERMINE WHAT SERVICES ARE AVAILABLE TO THEM TO ASSIST WITH RECOVERY. VARIOUS OPTIONS ARE OFFERED THROUGH THE PROGRAM: ENHANCED CARE RESOURCE NURSES, ANCHOR, CAREPLUS, ADVANCED PRACTICE PROVIDERS, SKILLED NURSING FACILITY PARTNERS, PALLIATIVE CARE, AND WFBH CARE AT HOME, A JOINT PROGRAM BETWEEN WFBH AND GENTIVA HEALTH SERVICES THAT FOCUSES ON HELPING ADULT PATIENTS OF ALL AGES WITH COMPLEX HEALTH PROBLEMS. - THE CENTER FOR WORKER HEALTH PROVIDES A NEXUS FOR BASIC AND TRANSLATIONAL RESEARCH FOCUSED ON ALL ASPECTS OF THE WORK-HEALTH RELATIONSHIP. IT BRINGS TOGETHER RESEARCHERS, HEALTH CARE PROVIDERS, COMMUNITY MEMBERS AND BUSINESS LEADERS INTERESTED IN PROTECTING AND PROMOTING WORKER HEALTH AND QUALITY OF LIFE, AS WELL AS CREATING WORKPLACE SOLUTIONS THAT ARE BENEFICIAL FOR EMPLOYERS, WORKERS AND THEIR FAMILIES.- THE COMMUNITY PARTNERSHIP FOR COMPASSIONATE CARE IS A REGIONAL COALITION OF THE NORTH CAROLINA PARTNERSHIP FOR COMPASSIONATE CARE. THE PARTNERSHIP IS DESIGNED TO EDUCATE THE COMMUNITY ABOUT THE IMPORTANCE OF HAVING AN ADVANCE CARE PLAN AND TO HELP TO WITH THE PLANNING PROCESS.- THE DEAC CLINIC, A PROGRAM INITIATED AND DEVELOPED ENTIRELY BY WAKE FOREST SCHOOL OF MEDICINE STUDENTS. THE CLINIC USUALLY SERVES MORE THAN 250 PATIENTS PER WEEK AND OPERATES IN THE INNOVATION QUARTER. THIS FREE CLINIC PROVIDES ROUTINE PRIMARY HEALTH CARE TO THE LOCAL UNDERSERVED COMMUNITY, AND SPECIALTY CARE AND TESTING WHEN NEEDED. STUDENTS FROM WAKE FOREST MEDICAL, PHYSICIAN ASSISTANT, GRADUATE AND UNDERGRADUATE PROGRAMS WORK TOGETHER UNDER THE SUPERVISION OF VOLUNTEER LICENSED PHYSICIANS, PHYSICIAN ASSISTANTS AND PHARMACY RESIDENTS. IN 2017, THE DEAC CLINIC BECAME THE FIRST STUDENT-RUN CLINIC IN NORTH CAROLINA TO RECEIVE ACCREDITATION FROM THE NORTH CAROLINA ASSOCIATION OF FREE AND CHARITABLE CLINICS, THE NETWORK OF HEALTH CARE FACILITIES THAT OFFER FREE AND AFFORDABLE HEALTH CARE THROUGHOUT NORTH CAROLINA. - THE DOWNTOWN HEALTH PLAZA (DHP) IS A FULL-SERVICE OUTPATIENT MEDICAL CLINIC SUBSIDIZED BY WFBH THAT SERVES MANY OF FORSYTH COUNTY'S UNINSURED AND UNDERINSURED RESIDENTS IN A STATE-OF-THE-ART FACILITY WITH AN ONSITE PHARMACY. DURING FY19, THERE WERE 60,370 PATIENT VISITS AT THE DOWNTOWN HEALTH PLAZA. ITS SERVICES INCLUDE:- A SATELLITE SITE FOR THE WOMEN, INFANTS AND CHILDREN NUTRITION PROGRAM (WIC).- THE GOLER COMMUNITY GARDEN, A GARDEN WHICH PROVIDES FREE, FRESH VEGETABLES AND HERBS FOR PATIENTS AND THEIR FAMILIES AND A FOOD PANTRY WHERE BAGGED NUTRITIOUS FOODS ARE AVAILABLE.- THE CARE PLUS PROGRAM, WHICH OFFERS HOME VISITS, OUTREACH, AND AND A FOCUS ON THE BOTH SOCIAL DETERMINANTS OF HEALTH AND MENTAL HEALTH. THE GOAL OF THE PROGRAM IS REDUCING READMISSIONS AND EMERGENCY DEPARTMENT VISITS.- GRACE CLINIC IS A FREE HEALTH CLINIC HELD THE THIRD SATURDAY OF EVERY MONTH AT NEW LIGHT MISSIONARY BAPTIST CHURCH IN WINSTON-SALEM. VOLUNTEERS FROM WFBH ARE AMONG THOSE WHO ASSIST WITH HEALTH MANAGEMENT FOR PATIENTS WITH CHRONIC AND ACUTE CONDITIONS SUCH AS HIGH BLOOD PRESSURE, HIGH BLOOD SUGAR AND HIGH CHOLESTEROL. WFBH'S FAITHHEALTH PROGRAM ALSO SUPPORTS THE GRACE FREE CLINIC.- THE SHARE THE HEALTH FAIR IS A FREE, ANNUAL COMMUNITY HEALTH DAY THAT OFFERS SCREENINGS, HEALTH EDUCATION AND PHYSICIAN CONSULTATIONS, AND TYPICALLY REACHES HUNDREDS OF PEOPLE. IT IS OPEN TO ADULTS REGARDLESS OF AGE, INSURANCE COVERAGE, INCOME LEVEL OR IMMIGRATION STATUS. INTERPRETERS ARE AVAILABLE FOR NON-ENGLISH SPEAKERS AND FREE CHILDCARE IS ALSO PROVIDED. THE EVENT IS HOSTED BY STUDENTS FROM WAKE FOREST SCHOOL OF MEDICINE AND SUPPORTED BY NORTHWEST AHEC.- TRANSITIONAL AND SUPPORTIVE CARE IS A FAMILY OF PROGRAMS THAT CREATES A BRIDGE BETWEEN ACUTE CARE SERVICES AND REINTRODUCTION TO THE COMMUNITY. THE PROGRAMS INCLUDED IN TRANSITIONAL AND SUPPORTIVE CARE ARE: AMBULATORY CARE NAVIGATORS, BRIDGING HOME VISITS, ED ENHANCED CARE NURSES, PALLIATIVE/SUPPORTIVE CARE PROVIDERS AND NURSES, READMISSIONS COORDINATOR, SKILLED NURSING FACILITY COLLABORATIVE, SOCIAL WORK, PHARMACISTS AND WAKE FOREST BAPTIST HEALTH CARE AT HOME.- TRIAD FREE HEALTH CLINIC - WFBH PHYSICIANS AND NURSES VOLUNTEER TO SUPPORT THE TRIAD FREE HEALTH CLINIC, HELD TWICE A MONTH TO SERVE THE MEDICAL NEEDS OF THE UNINSURED AND UNDERSERVED MEMBERS OF WINSTON-SALEM AND THE TRIAD REGION. THE CLINIC IS HELD AT THE COMMUNITY MOSQUE, 1419 WAUGHTOWN ST., WINSTON-SALEM. THE TRIAD FREE HEALTH CLINIC OFFERS FREE CARE WITHOUT DISCRIMINATION BASED ON RACE, RELIGION OR GENDER; ITS SERVICES INCLUDE SCREENINGS TO COMBAT CHRONIC DISEASES SUCH AS DIABETES, OBESITY AND CARDIOPULMONARY DISEASE.- DIVERSITY, INCLUSION AND HEALTH EQUITY - WFBH BELIEVES THAT CREATING A DIVERSE, EQUITABLE AND CULTURALLY ATTUNED WORKPLACE IS CRUCIAL TO OUR MISSION TO IMPROVE HEALTH IN THE COMMUNITIES WE SERVE. THE OFFICE OF DIVERSITY AND INCLUSION OVERSEES OUR PRACTICES TO ENSURE DIVERSITY, INCLUSION, EQUITY AND RESPECT FOR EVERY MEMBER OF THE WFBH COMMUNITY. WFBH RECOGNIZES THAT DIVERSITY IS NOT LIMITED TO RACE AND ETHNICITY BUT MUST ALSO TAKE INTO ACCOUNT SOCIOECONOMIC STATUS, SEXUAL ORIENTATION, GENDER IDENTITY AND RELIGIOUS COMMITMENT. IN ORDER TO ELIMINATE THE PERVASIVE HEALTH DISPARITIES THAT EXIST IN OUR REGION AND COUNTRY, WFBH IS DEVOTED TO RECRUITING, RETAINING AND TRAINING A DIVERSE CADRE OF PEOPLE AND ENSURING THAT EDUCATIONAL PROGRAMS ENABLE HEALTH CARE PROFESSIONALS TO PROVIDE CULTURALLY COMPETENT CARE AND ADDRESS HEALTH DISPARITIES. WFBH'S CLINICAL FOCUS ON HEALTH EQUITY WAS RECOGNIZED BY THE U.S. HUMAN RIGHTS CAMPAIGN FOUNDATION, WHICH DESIGNATED THE MEDICAL CENTER A 2017 "LEADER IN LGBTQ HEALTHCARE EQUALITY."- DIVISION OF FAITHHEALTH - THE MISSION OF THE DIVISION OF FAITHHEALTH IS TO BUILD, ALIGN AND ANIMATE RELIGIOUS AND COMMUNITY ASSETS TO IMPROVE ACCESS TO HEALTH CARE AND THE HEALTH OF THE COMMUNITY, BEGINNING WITH THOSE SERVED BY WAKE FOREST BAPTIST MEDICAL CENTER. SUPPORTING PATIENTS SPIRITUALLY AND OFFERING MINISTRIES OF GROWTH, HOPE AND HEALING IS PART OF THE WORK OF WAKE FOREST BAPTIST MEDICAL CENTER, WHICH SINCE ITS EARLIEST DAYS HAS BEEN AN INNOVATOR IN FORGING HEALTH AND SPIRITUAL CONNECTIONS.THE DIVISION'S PROGRAMS INCLUDE: - FAITHHEALTHNC, WHICH HELPS EASE THE JOURNEY TO HEALTH AND HEALING FOR PEOPLE AND THEIR COMMUNITIES THROUGH CARING STRENGTHS OF CONGREGATIONS, THE CLINICAL EXPERTISE OF PROVIDERS AND A NETWORK OF COMMUNITY RESOURCES. - FAITHHEALTH EDUCATION - DESIGNS AND CONDUCTS EDUCATIONAL PROGRAMS FOR INTERNS AND RESIDENTS. - CHAPLAINCY AND CLINICAL MINISTRIES - CHAPLAINS PROVIDE SPIRITUAL MINISTRY AND SUPPORT TO PATIENTS AND FAMILIES. - CARENET - A PARTNER OF FAITHHEALTH THAT PROVIDES FAITH INTEGRATED COUNSELING AND THERAPY - CENTER FOR CONGREGATIONAL HEALTH - PROVIDES MINISTRY AND TRAINING TO FAITH COMMUNITIES, LAY LEADERS AND CLERGY.
PART III, LINE 4:THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A DISCRETE FOOTNOTE EXPLAINING BAD DEBT EXPENSE. BAD DEBT HAS NOT BEEN INCLUDED IN THE COMPUTATION OF COMMUNITY BENEFIT ON PART I, LINE 7. AMOUNTS USED TO COMPUTE CHARITY CARE AND BAD DEBT ON SCHEDULE H USE THE MOST CURRENT DATA AVAILABLE AT THE TIME OF FILING. THE ORGANIZATION USED WORKSHEET 2 OF THE 2018 SCHEDULE H INSTRUCTIONS TO COMPUTE A COST TO CHARGES RATIO USED TO CALCULATE BAD DEBT AT COST.
PART III, LINE 8:THE HOSPITAL USES AN OVERALL COST TO CHARGE RATIO CALCULATION BASED ON AUDITED FINANCIAL STATEMENTS BUT REMOVES COST ASSOCIATED WITH BAD DEBT, GME, COMMUNITY BUILDING, AND CHARITY CARE SO AS NOT TO COUNT THOSE COSTS TWICE.
PART III, LINE 9B:THE HOSPITAL MAKES A REASONABLE EFFORT TO DETERMINE AN INDIVIDUAL'S ELIGIBILITY FOR FINANCIAL ASSISTANCE BEFORE ENGAGING IN ANY COLLECTION ACTIONS. ALL COLLECTION ACTIONS WILL BE SUSPENDED IF THE INDIVIDUAL SUBMITS A COMPLETED FAP APPLICATION DURING THE APPLICATION PERIOD, OR IF THE INDIVIDUAL SUBMITS AN INCOMPLETE APPLICATION DURING THE APPLICATION PERIOD THAT IS SUBSEQUENTLY COMPLETED WITHIN A REASONABLE TIME AFTER THE HOSPITAL REQUESTS FURTHER INFORMATION. IF THE INDIVIDUAL IS DETERMINED NOT TO BE ELIGIBLE FOR A FULL DISCOUNT UNDER THE FAP, ANY COLLECTION ACTIVITIES WILL BE RESUMED AS TO THE OUTSTANDING BALANCE OWED. IF THE INDIVIDUAL IS DETERMINED TO BE ELIGIBLE FOR ASSISTANCE UNDER THE FAP, APPROPRIATE MEASURES ARE TAKEN TO REFUND ANY AMOUNTS OWED TO THE INDIVIDUAL AND REVERSE OR MODIFY COLLECTION ACTIONS CONSISTENT WITH THE NEW BALANCE OWED AFTER APPLYING THE APPLICABLE FAP DISCOUNTS.
PART VI, LINE 2:THE HOSPITAL'S CURRENT NEEDS ASSESSMENT PLAN WAS BASED ON A SET OF BEST PRACTICES FOR COMMUNITY HEALTH ASSESSMENTS WITH THE PURPOSE OF IDENTIFYING TWO TO THREE REGIONAL PRIORITY AREAS TO FOCUS ON FOR FY 2017-2019. THE PROCESS WAS DESIGNED TO RELY ON EXISTING PUBLIC DATA, DIRECTLY ENGAGING COMMUNITY STAKEHOLDERS AND COLLABORATE WITH LOCAL PUBLIC HEALTH, OTHER HEALTH PROVIDERS, AS WELL AS COMMUNITY PARTNERS SUCH AS FAITH NETWORKS RELEVANT TO THE SOCIAL FACTORS UNDERLYING PATTERNS OF ACCESS. THE HOSPITAL'S ASSESSMENT WAS CONDUCTED IN THREE STAGES: (1) DATA REVIEW (PRIMARY AND SECONDARY DATA), (2) SETTING PRIORITIES, AND (3) COMMUNITY ASSET INVENTORY. THE DATA REVIEW AND PRIORITY SETTING PHASE BEGAN WITH THE COMPILATION OF EXISTING HEALTH-RELATED DATA. STAKEHOLDERS REVIEWED MULTIPLE DATA SETS INCLUDING FORSYTH, DAVIDSON, AND DAVIE COUNTY PUBLIC HEALTH NEEDS ASSESSMENTS, NORTH CAROLINA INDICATORS FOR COMMUNITY HEALTH ASSESSMENT, INTERNAL DISEASE REGISTRIES, AND COUNTY HEALTH RANKINGS. AN INTERNAL STEERING COMMITTEE AND SENIOR LEADERSHIP REVIEW A SET OF CRITERIA TO DEVELOP THE PRIORITY RANKINGS. THE PRIORITIZATION PROCESS IDENTIFIED THE FOLLOWING FOUR PRIORITY CHALLENGES FOR THE COMMUNITY: (1) ACCESS TO CARE, (2) CHRONIC DISEASE MANAGEMENT & PREVENTION, (3) BEHAVIORAL HEALTH & SUBSTANCE ABUSE, AND (4) MATERNAL & CHILD HEALTH.FAITHHEALTHNC (A DIVISION OF THE HOSPITAL) PROVIDED COMMUNITY ENGAGEMENT THROUGH A COMPREHENSIVE ASSET MAPPING STRATEGY BASED ON AN APPROACH FROM SOUTH AFRICA AND REDEFINED IN MEMPHIS, TN DESIGNED TO BUILD COMMUNITY PARTNERSHIPS ON THE ASSETS THAT EXIST, INSTEAD OF JUST NEEDS. THE MAPPING DEVELOPED AN INVENTORY OF EXISTING PROGRAMS AND SERVICES WITHIN THE REGION RELATED TO THE PRIORITY AREAS IDENTIFIED IN THE NEEDS ASSESSMENT. THE INVENTORY INCLUDED THE LOCATION OF THE PROGRAM (HOSPITAL, CLINIC, OR COMMUNITY SERVICE) AS WELL AS THE NATURE OF THE INTANGIBLE FACTORS, ESPECIALLY TRUST, THAT DETERMINE ACCESS AND COLLABORATION AMONG COMMUNITY PARTNERS. THE PURPOSE OF THE INVENTORY WAS TO IDENTIFY GAPS IN SERVICES, OPPORTUNITIES FOR NEW WORK, WHERE AND WITH WHOM THERE IS ALREADY WORK BEING DONE, AND OPPORTUNITIES FOR PARTNERSHIP AND COLLABORATION. FROM THE CHNA PROCESS, THE HOSPITAL DEVELOPED AN IMPLEMENTATION STRATEGY TO IDENTIFY THE MEANS THROUGH WHICH IT PLANS TO ADDRESS NEEDS THAT ARE CONSISTENT WITH THE CHARITABLE MISSION AS PART OF ITS COMMUNITY BENEFIT PROGRAMS FOR THE NEXT THREE FISCAL YEARS. BEYOND THE PROGRAMS THAT WILL BE ADDRESSED IN THE IMPLEMENTATION STRATEGY, THE HOSPITAL WILL CONTINUE TO ADDRESS MANY OF THE PRIORITIES BY PROVIDING CARE TO ALL, REGARDLESS OF THE ABILITY TO PAY.
PART VI, LINE 3:THE ORGANIZATION USES A VARIETY OF MEANS TO EDUCATE AND INFORM PATIENTS OF THEIR CHARITY CARE OPTIONS, INCLUDING INFORMATION ON A WEBSITE, PAMPHLETS, CONSPICUOUSLY DISPLAYED SIGNAGE, INFORMATION ON PATIENT BILL STATEMENTS, AND FROM STAFF MEMBERS DURING CONVERSATIONS CONCERNING A PATIENT'S LIABILITY FOR SERVICES. THE HOSPITAL EMPLOYS A PRE-SERVICE FINANCIAL CLEARANCE PROCESS THAT SCREENS PATIENTS PRIOR TO SERVICE DELIVERY FOR EXISTING OR AVAILABLE PAYER SOURCES AS A MEANS OF AVOIDING BAD DEBT AND INAPPROPRIATE BILLING TO PATIENTS WITHOUT THE MEANS TO PAY. IF A PAYER SOURCE IS IDENTIFIED, HOSPITAL STAFF WILL ASSIST THE PATIENT WITH ENROLLMENT.
PART VI, LINE 4:IN FISCAL YEAR 2019, WAKE FOREST BAPTIST HEALTH PROVIDED CARE TO A TWENTY FOUR COUNTY SERVICE AREA IN NORTH CAROLINA. THE PRIMARY AND SECONDARY SERVICE AREA INCLUDE:PRIMARY SERVICE AREA COUNTIES -FORSYTH, DAVIE, DAVIDSON, GUILFORD, STOKES, SURRY, YADKINSECONDARY SERVICE AREA COUNTIES - ROCKINGHAM, RANDOLPH, ROWAN, IREDELL, CATAWBA, ALEXANDER, WILKES, ALLEGHANY, ASHE, WATAUGA, CALDWELL, BURKE, GRAYSON (VA), CARROLL (VA), PATRICK (VA), HENRY (VA), AND PITTSYLVANIA (VA)PERCENT OF UNINSURED INPATIENTS 7.2%PERCENT OF INPATIENTS WHO ARE MEDICAID RECIPIENTS 18.0%THE HOSPITAL IS LOCATED IN CENTRAL FORSYTH COUNTY, WHICH MAKES UP THE SINGLE LARGEST COUNTY IN TOTAL INPATIENT DISCHARGES. ACCORDINGLY, THE HOSPITAL SERVES A WIDE SERVICE AREA; HOWEVER, IT IS RESOURCE PROHIBITIVE TO PARTICIPATE AND FUND HEALTH ASSESSMENTS IN EACH COMMUNITY/COUNTY FROM WHICH ITS PATIENT POPULATION ORIGINATES. THEREFORE, THE PRIMARY COMMUNITY BENEFIT SERVICE AREA (CBSA) IS FORSYTH COUNTY, NORTH CAROLINA.BELOW IS A DEMOGRAPHIC SNAPSHOT OF FORSYTH COUNTY BASED ON THE UNITED STATES CENSUS BUREAU'S 2018 ESTIMATED CENSUS DATA AND COUNTY HEALTH RANKINGS AND ROADMAPS 2018: POPULATION AND GEOGRAPHYTOTAL POPULATION 379,099POPULATION CHANGE SINCE 2010 + 8.1%4TH LARGEST COUNTY IN NORTH CAROLINALAND AREA 408.1 SQUARE MILESPOPULATION DENSITY 859.2 PERSONS PER SQUARE MILE POPULATION BY RACE/ETHNICITYNON-HISPANIC WHITE 57.1%NON-HISPANIC AFRICAN-AMERICAN 25.7%HISPANIC OR LATINO 12.7%ASIAN 2.5%ALL OTHER 2.0% POPULATION BY AGE DISTRIBUTIONUNDER 5 YEARS OLD 5.9%UNDER 18 YEARS OLD 22.9%=/+ 65 YEARS OLD 16.0% POPULATION BY SEXMALE 47.4%FEMALE 52.6% POPULATION BY EDUCATIONAL ATTAINMENT PERCENT OF PERSONS = 25 YEARS OLD WHO HAVE:< HIGH SCHOOL DIPLOMA OR GED 11.2%A HIGH SCHOOL DIPLOMA OR HIGHER 88.8%A BACHELOR'S DEGREE OR HIGHER 33.8%PERSONS IN POVERTY 16.4%UNEMPLOYMENT RATE (2018) 4.3% COUNTY SCHOOLSK-12 ENROLLMENT 55,000GRADUATION RATE 86.5% INCOMEMEDIAN FAMILY HOUSEHOLD (2018) $50,128MEDIAN NON-FAMILY HOUSEHOLD (2018) $29,921
PART VI, LINE 6:WAKE FOREST BAPTIST HEALTH'S MISSION IS TO IMPROVE THE HEALTH OF THE REGION, STATE AND NATION BY:-SERVING AS THE PREMIER HEALTH SYSTEM IN THE REGION, WITH SPECIFIC CENTERS OF EXCELLENCE RECOGNIZED AS NATIONAL AND INTERNATIONAL CARE DESTINATIONS.-GENERATING AND TRANSLATING KNOWLEDGE TO PREVENT, DIAGNOSE AND TREAT DISEASE.-TRAINING TOMORROW'S LEADERS IN HEALTH CARE AND BIOMEDICAL SCIENCE.THE HOSPITAL, WHICH IS THE INPATIENT COMPONENT OF WAKE FOREST BAPTIST HEALTH, OPERATES THE FOLLOWING PROGRAMS CONSTITUTING COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS REPORTED ON PART I,LINE 7E:WINSTON-SALEM/FORSYTH CTY SCHOOLS' ALLIED HEALTH PROGRAM $5,000BRENNER FIT $271,963AMOS COTTAGE $86,437POPULATION HEALTH PHARMACY $250,111COMMUNITY TRAINING (BLS) $982,349RAPID RESPONSE TEAM $1,081,137HOSPICE & PALLIATIVE CARE PROGRAMS $210,926FAMILY RESOURCES $17,428COMMUNITY EMS PREPAREDNESS $54,892PATIENT/FAMILY CENTERED CARE $38,016CLINICAL MINISTRIES $1,436,851PASTORAL & EDUCATIONAL COUNSELING $467,225PHYSICIANS COMMUNITY HEALTH ACCESS $293,014FAITHHEALTH, NC $454,274HEALTH & WELLNESS SERVICES $375,787TOTAL TO PART I, LINE 7E: $6,025,410
PART VI, LINE 7, REPORTS FILED WITH STATESNC

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (41 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtAddress Line2USAddress/AddressLine2Txt
ABC OF NC CHILD DEVELOPMENT
3904 OLD VINEYARD ROADWINSTONSALEMNC27104300111894501(C)(3)$60,000SUPPORTING PROGRAMS FOR DISABLED CHILDREN
ALLIANCE FOR NC NONPROFITS INC
530 N BLOUNT STREETRALEIGHNC27604461358968501(C)(6)$37,500SUPPORTING PROMOTION OF INTERESTS OF NC NONPROFITS TO POLICYMAKERS/PUBLIC
AMERICAN HEART ASSOCIATION
101 CENTREPORT DRIVEGREENSBORONC27409135613797501(C)(3)$90,000SUPPORTING CARDIOVASCULAR RESEARCH AND PROGRAMS
CANCER SERVICES INC
3175 MAPLEWOOD AVEWINSTONSALEMNC27103560656375501(C)(3)$12,500SUPPORTING PROGRAMS TO EDUCATE/ ENHANCE LIFE FOR CANCER PATIENTS
COMMUNITY CARE CENTER FOR FORSYTH CTY
2135 NEW WALKERTOWN RDWINSTONSALEMNC27101581403699501(C)(3)$10,000SUPPORTING PROGRAM TO PROVIDE FREE MEDICAL/DENTAL CARE
CONSCIOUSNESS AND HEALING INITIATIVE
6919 LA JOLLA BLVDLA JOLLACA92037823567961501(C)(3)$25,000SUPPORTING SCIENTIFIC UNDERSTANDING OF CONSCIOUSNESS/HEALING PRACTICES
DAVIDSON COUNTY COMMUNITY COLLEGE FOUNDATION
PO BOX 1287LEXINGTONNC27293237079347501(C)(3)$20,000SUPPORTING ORGANIZATION PROVIDING ASSISTANCE TO STUDENTS OF DCCC
DAVIE COMMUNITY FOUNDATION
PO BOX 546MOCKSVILLENC27028581850531501(C)(3)$20,000SUPPORTING ORGANIZATION TO PROMOTE PHILANTHROPY IN THE COMMUNITY
DAVIE COUNTY ECONOMIC DEVELOPMENT COMMISSION INC
135 SOUTH SALISBURY STMOCKSVILLENC27028561932514501(C)(3)$45,000SUPPORTING HEALTHCARE DEVELOPMENT
DAVIE HIGH ATHLETIC BOOSTERS ASSOCIATION INC
PO BOX 2266ADVANCENC27006200257586501(C)(3)$10,000SUPPORTING PROGRAM AND ACTIVITIES FOR STUDENT ATHLETES
FORSYTH BACKPACK PROGRAM
380-H KNOLLWOOD STREETWINSTONSALEMNC27104461940233501(C)(3)$18,610SUPPORTING PROGRAMS TO SUPPLEMENT NUTRIONAL NEEDS OF LOCAL CHILDREN & YOUNG ADULTS
FORSYTH FUTURES
100 NORTH CHERRY STREET STE 525WINSTONSALEMNC27101561092807501(C)(3)$10,000SUPPORTING COMMUNICATION, EDUCATION AND TRAINING AMOUNG VOLUNTEERS AND LOCAL AGENCIES
GREATER WINSTON SALEM CHAMBER OF COMMERCE
411 WEST 4TH STREET STE 211WINSTONSALEMNC27101560459820501(C)(6)$6,950COMMUNITY SUPPORT
GREENSBORO UNITED SOCCER ASSOCIATION INC
PO BOX 9185GREENSBORONC27429561231905501(C)(3)$10,000SUPPORTING PROGRAM TO PROMOTE SOCCER COMPETITION
HABITAT FOR HUMANITY
339 WITT STWINSTONSALEMNC27103561448955501(C)(3)$32,500COMMUNITY SUPPORT
HISPANIC LEAGUE
251 NORTH SPRUCE STREETWINSTONSALEMNC27101561791215501(C)(3)$6,000SUPPORTING COMMUNITY OUTREACH ACTIVITIES TO IMPROVE THE LIFE OF HISPANIC/LATINO PEOPLE
HOSPICE AND PALLIATIVE CARE CENTER
101 HOSPICE LANEWINSTONSALEMNC27103581343313501(C)(3)$20,000SUPPORTING FACILITIES & PROGRAMS FOR SERIOUSLY ILL PATIENTS
HOSPITAL HOSPITALITY HOUSE OF WINSTON-SALEM DBA SECU FAMILY HOUSE
1970 BALDWIN LNWINSTONSALEMNC27103203604576501(C)(3)$20,000SUPPORTING PROGRAM PROVIDING AFFORDABLE LODGING TO PATIENTS
JDRF PIEDMONT TRIAD CHAPTER
312 N EUGENE STREETGREENSBORONC27401231907729501(C)(3)$30,000SUPPORTING JUVENILE DIABETES RESEARCH
KALEIDEUM (FORMERLY SCIWORKS)
400 HANES MILL ROADWINSTONSALEMNC27105560815746501(C)(3)$10,000EDUCATIONAL AND SCIENTIFIC SUPPORT
LEADERSHIP WINSTON-SALEM
624 W 6TH STREET STE 110WINSTONSALEMNC27101581574887501(C)(3)$11,000SUPPORTING PROGRAM TO TRAIN AND DEVELOP COMMUNITY LEADERS
MAKE-A-WISH FOUNDATION
1131 HARDING PLACECHARLOTTENC28204561492432501(C)(3)$6,000COMMUNITY SUPPORT
MARCH OF DIMES
410 BROOKSTOWN AVEWINSTONSALEMNC27101131846366501(C)(3)$20,000SUPPORTING RESEARCH AND PROGRAMS TO END INFANT MORTALITY AND BIRTH DEFECTS
NATIONAL CYCLING CENTER
505 N LIBERTY STREETWINSTONSALEMNC27101472950622501(C)(3)$37,500SUPPORT OF GEARS & GUITARS PARTNERSHIP
NATIONAL SPORTS MEDIA ASSOCIATION INC
PO BOX 5394WINSTONSALEMNC27113510178824501(C)(3)$24,500SUPPORTING EDUCATIONAL OPPORTUNITIES FOR CAREERS IN SPORTS MEDIA
OLD HICKORY COUNCIL-BOY SCOUTS OF AMERICA
6600 SILAS CREEK PKWYWINSTONSALEMNC27106560529985501(C)(3)$15,000SUPPORTING THE CHARACTER DEVELOPMENT OF YOUNG PEOPLE
PIEDMONT REGIONAL TRAUMA SYSTEMS
MEDICAL CENTER BLVDWINSTONSALEMNC27157562036036501(C)(3)$100,000SUPPORTING INTEGRATED TRAUMA SYSTEM
PIEDMONT TRIAD PARTNERSHIP
416 GALLIMORE DAIRY ROAD SUITE MGREENSBORONC27409561750279501(C)(3)$50,000SUPPORTING ECONOMIC DEVELOPMENT OPPORTUNITIES OF THE PIEDMONT TRIAD REGION
RONALD MCDONALD HOUSE
419 S HAWTHORNE ROADWINSTONSALEMNC27103581454715501(C)(3)$16,000SUPPORTING PROGRAM FOR CHILDREN RECEIVING MEDICAL CARE
MORAVIAN HOME INC (SALEMTOWNE)
1000 SALEMTOWNE DRIVEWINSTONSALEMNC27106560963926501(C)(3)$75,000SUPPORTING ORGANIZATION PROVIDING LONG TERM CARE TO ELDERLY
SENIOR SERVICES INC
2895 SHOREFAIR DRIVEWINSTONSALEMNC271054237561085968501(C)(3)$115,000SUPPORTING PROGRAM PROVIDING SERVICES TO SENIOR ADULTS
THE WOMEN'S FUND OF WINSTON SALEM
860 W FIFTH STREETWINSTONSALEMNC27101566037616501(C)(3)$10,000SUPPORTING & EMPOWERING WOMEN IN THE COMMUNITY
TWIN CITY YOUTH SOCCER ASSOCIATION
2765 US HIGHWAY 158ADVANCENC27006561310435501(C)(3)$100,000COMMUNITY SUPPORT
WINSTON SALEM ALLIANCE
100 NORTH MAIN STE 2550WINSTONSALEMNC27101311726654501(C)(6)$40,000SUPPORTING CREATION OF JOBS AND ECONOMIC VITALITY OF THE COMMUNITY
WINSTON SALEM BUSINESS INC
1080 WEST FOURTH STREETWINSTONSALEMNC27101510436665501(C)(3)$11,000SUPPORTING ECONOMIC GROWTH AND DIVERSIFICATION
WINSTON-SALEM FOUNDATION
751 W FOURTH ST STE 200 WINSTON-SALWINSTONSALEMNC27101566037615501(C)(3)$133,333COMMUNITY SUPPORTM NC 27101
WINSTON-SALEM POLICE FOUNDATION
PO BOX 24011WINSTONSALEMNC27114475289473501(C)(3)$25,000COMMUNITY SUPPORT
YMCA OF HIGH POINT
PO BOX 6258HIGH POINTNC27157560530014501(C)(3)$15,000COMMUNITY SUPPORT
YMCA OF NORTHWEST NORTH CAROLINA
301 N MAIN STREET STE 1900WINSTONSALEMNC27101560530015501(C)(3)$35,500COMMUNITY SUPPORT
FAITHHEALTH INNOVATIONS
MEDICAL CENTER BLVDWINSTONSALEMNC27157237426944501(C)(3)$13,333GENERAL SUPPORT
THE ALS ASSOCIATION NORTH CAROLINA CHAPTER
4 N BLOUNT STREET - STE 200RALEIGHNC27601561609591501(C)(3)$6,000COMMUNITY SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org38Total501c3OrgCnt
Total Other Org3TotalOtherOrgCnt

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

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmt
MEDICAL SCHOLARSHIPS26$53,758$0
RUTH HOLLEMAN SCHOLARSHIPS4$4,248$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE HOSPITAL FOLLOWS THE MEDICAL CENTER'S CORPORATE POLICY USED IN REVIEWING THE ELIGIBILITY AND SELECTION OF GRANTEES RECEIVING CERTAIN EXEMPT PURPOSE FUNDS. THE HOSPITAL MAINTAINS DOCUMENTATION OF THE ELIGIBILITY AND SELECTION CRITERIA AND RECORDS OF THE AMOUNTS DISBURSED.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JULIE A FREISCHLAG MD
CEO, DEAN$1,198,946$0$533,149$0$10,494$0$330,402$0$22,848$0$2,095,839$0$0$0
BRADLEY A CLARK
EVP, CFO, TREASURER$0$591,354$0$183,583$0$840$0$155,477$0$23,277$0$954,531$0$0
TERRY G WILLIAMS
EVP, CH STRATEGY OFFICER$0$559,678$0$182,113$0$6,558$0$153,461$0$24,113$0$925,923$0$0
ROBERT J GFELLER JR
EVP, EXT REL & CH MKTG OFF (TO 12/31$0$495,090$0$163,123$0$3,612$0$129,925$0$17,632$0$809,382$0$0
KEVIN P HIGH MD
PRES, HEALTH SYSTEM$628,644$0$177,478$0$22,112$0$199,887$0$19,413$0$1,047,534$0$0$0
LILICIA P BAILEY
SVP, CHIEF PEOPLE OFFICER$0$477,031$0$126,685$0$24,044$0$123,016$0$12,476$0$763,252$0$0
WILLIAM D SHOWALTER
SVP, CIO$0$434,774$0$115,726$0$7,372$0$101,292$0$16,833$0$675,997$0$0
J MCLAIN WALLACE JR
SVP, GEN COUNSEL & SEC$0$494,762$0$136,968$0$141,237$0$65,532$0$16,713$0$855,212$0$0
KAREN H HUEY
VP FACILITIES$0$309,930$0$68,879$0$32,307$0$40,131$0$23,403$0$474,650$0$0
LISA M MARSHALL
VP, CH PHIL OFF (FROM 6/11/19)$332,583$0$73,112$0$6,471$0$64,711$0$18,557$0$495,434$0$0$0
CATHLEEN WHEATLEY
PRES WFBMC, SVP CH NURSE EXEC,$0$447,879$0$100,236$0$5,544$0$113,338$0$10,584$0$677,581$0$0
MICHAEL T WAID
SVP HLTH SYS OPS & INTEG$0$421,147$0$112,161$0$42,343$0$91,980$0$24,144$0$691,775$0$0
CONRAD EMMERICH
SVP, CLINICAL & SUPPORT SERVICES$0$367,446$0$96,655$0$840$0$88,457$0$21,145$0$574,543$0$0
TODD BANKHEAD
SVP, CLINICAL OPERATIONS$0$347,959$0$35,753$0$13,167$0$89,648$0$16,391$0$502,918$0$0
CHARLES R VIGNOS
VP MANAGED CARE$0$351,724$0$80,132$0$21,976$0$75,364$0$19,602$0$548,798$0$0
ERIC TOMLINSON DSC PHD
FORMER OFFICER (3-2-18)$206,119$0$124,702$0$332,390$0$17,798$0$7,578$0$688,587$0$75,900$0
JOHN D MCCONNELL MD
FORMER OFFICER (4-26-17)$1,038,530$0$0$0$4,514,251$0$23,648$0$21,123$0$5,597,552$0$3,858,352$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3THE GOVERNANCE AND COMPENSATION COMMITTEE OF THE WFUBMC BOARD OF DIRECTORS IS RESPONSIBLE FOR REVIEWING AND APPROVING ALL MEDICAL CENTER OFFICERS' COMPENSATION (INCLUDING THE COMPENSATION OF THE OFFICERS OF NCBH). THE COMMITTEE UTILIZES AN INDEPENDENT, EXTERNAL COMPENSATION CONSULTANT FIRM EXPERIENCED IN HEALTH CARE AND HIGHER EDUCATION COMPENSATION THAT BASES RECOMMENDATIONS ON COMPENSATION SURVEYS AND STUDIES TO DETERMINE THE APPROPRIATENESS OF EACH OFFICER'S COMPENSATION. THESE COMPENSATION CONSULTANTS PRESENT TOTAL COMPENSATION COMPARABILITY DATA FOR THE POSITIONS FOR WHICH COMPENSATION IS BEING DETERMINED. THE DATA IS REVIEWED BY THE GOVERNANCE AND COMPENSATION COMMITTEE OF WFUBMC'S GOVERNING BOARD AT ITS MEETING; NONE OF THE MEMBERS OF THAT COMMITTEE ARE EMPLOYEES OF THE FILING ORGANIZATION. MINUTES OF THE DELIBERATIONS OF THE COMMITTEE ARE CONTEMPORANEOUSLY RECORDED. IN THE EVENT THAT ANY MEMBER OF THE GOVERNANCE AND COMPENSATION COMMITTEE HAS A CONFLICT OF INTEREST, THAT COMMITTEE MEMBER DOES NOT PARTICIPATE IN THE DELIBERATION OR APPROVAL PROCESS, AND THEIR ABSTENTION FROM THE PROCESS IS REFLECTED IN THE MINUTES.
PART I, LINES 4A-BCERTAIN EXECUTIVES PARTICIPATE IN OR RECEIVE SEVERANCE PAYMENTS AND PAYMENTS FROM SUPPLEMENTAL NON QUALIFIED RETIREMENT PLANS. THE DETERMINATION OF THE AMOUNT OF THE NON QUALIFIED RETIREMENT PLANS FOLLOWED THE FILING ORGANIZATION'S COMPENSATION PROCEDURES AS OUTLINED IN PART VI, SECTION B, LINE 15 OF THE FORM 990. THE FOLLOWING CURRENT AND FORMER OFFICERS RECEIVED SEVERANCE AND SERP PAYMENTS IN THEIR CALENDAR YEAR 2018 COMPENSATION: SEVERANCE PAYMENTS: ERIC TOMLINSON, DSC, PHD 220,182 SERP PAYMENTS: JOHN D. MCCONNELL, MD 4,477,272 ERIC TOMLINSON, DSC, PHD 97,550 KAREN H. HUEY 30,676 J. MCLAIN WALLACE, JR. 119,125 MICHAEL T. WAID 21,911 TERRY G. WILLIAMS 4,626
FORM 990, PART VII, LINE 5 - COMPENSATION FROM UNRELATED ORGANIZATIONTHE FOLLOWING CURRENT AND FORMER OFFICERS WERE COMPENSATED BY WAKE FOREST UNIVERSITY HEALTH SCIENCES FOR SERVICES PERFORMED AS AN OFFICER OF THE MEDICAL CENTER AND HOSPITAL. SEE PART VII AND SCHEDULE J, PART II FOR THEIR COMPENSATION. JULIE A. FREISCHLAG, MD JOHN D. MCCONNELL, MD KEVIN P. HIGH, MD ERIC TOMLINSON, DCS, PHD LISA M. MARSHALL

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
NORTH CAROLINA MEDICAL CARE COMMISSION
A52130940265820HD672010-03-01$334,002,408CURRENT REFUNDING000
NORTH CAROLINA MEDICAL CARE COMMISSION
B521309402NONEAVAIL2012-12-31$80,000,000VARIOUS CAPITAL PROJECTS000
NORTH CAROLINA MEDICAL CARE COMMISSION
C52130940265821DMM02012-11-15$122,822,821VARIOUS CAPITAL PROJECTS000
NORTH CAROLINA MEDICAL CARE COMMISSION
D52130940265821DWH02019-03-07$73,819,143VARIOUS CAPITAL PROJECTS000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapital ExpendituresCapitalExpendituresAmtUnspentUnspentAmt
A$81,115,000$334,002,408$3,307,037$330,695,3712010Yes (1)0Yes (1)Yes (1)
B$80,000,000$1,000201400Yes (1)Yes (1)$79,999,000
C$122,822,821$2,485201300Yes (1)Yes (1)$122,820,336
D$73,905,688$630,8142019000Yes (1)$65,447,776$7,827,098

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
B0Yes (1)0000Yes (1)
C0Yes (1)0000Yes (1)
D000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
DEUTSCHE BANK AG
A000Yes (1)0Yes (1)5.0000000000000000Yes (1)
(no name)
B000Yes (1)Yes (1)000Yes (1)
(no name)
C00Yes (1)00000Yes (1)
(no name)
D0Yes (1)00Yes (1)000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, ROW A, COLUMN FPURPOSE OF THE ISSUE WAS TO REFUND ISSUES DATED 10/29/92, 6/27/96 AND 1/29/09.
PART I, ROW D, COLUMN ETHE SERIES 2019 ISSUE WAS ISSUED AS ONE ISSUE FOR FEDERAL TAX PURPOSES IN THE AMOUNT OF $212,563,368. THE AMOUNT OF $73,819,143 IS THE PORTION OF THE ISSUE NORTH CAROLINA BAPTIST HOSPITAL IS RESPONSIBLE FOR. THE OTHER PORTIONS OF THE ISSUE ARE REPORT ON SCHEDULE K OF FORM 990 FOR WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER ($92,690,857) AND WAKE FOREST UNIVERSITY HEALTH SCIENCES ($46,053,368).
PART II, LINE 11, COLUMN AOTHER SPENT PROCEEDS ARE THE CURRENT REFUNDING PROCEEDS OF THE ISSUE
PART II, LINE 3, COLUMN DTHE TOTAL PROCEEDS EXCEED THE ISSUE PRICE BY THE INVESTMENT EARNINGS EARNED AS OF 6/30/2019
PART III, COLUMN AALL ISSUES REFUNDED BY THE 2010 ISSUE ARE EITHER PRIOR TO 12/31/02 OR THROUGH A SERIES OF REFUNDINGS THAT REFUND AN ISSUE PRIOR TO 12/31/02. ACCORDINGLY, THIS ISSUE IS EXEMPT FROM PART III REPORTING.
PART IV, LINE 2C, COLUMN AA REBATE CALCULATION WAS PERFORMED, WITH NO REBATE BEING DUE, ON 6/13/2014.
PART IV, LINE 2C, COLUMN CA REBATE CALCULATION WAS PERFORMED, WITH NO REBATE BEING DUE, ON 12/12/2014.

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$7,515NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution4ContributionCnt
Noncash Contributions Rpt F990$3,352,309NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART IV, LINE 20BTHE HOSPITAL HAS ATTACHED A COPY OF ITS CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR ITS FISCAL YEAR ENDED JUNE 30, 2019 TO THE FORM 990. THE CONSOLIDATED FINANCIAL STATEMENTS HAVE BEEN PREPARED ON THE ACCRUAL BASIS IN CONFORMITY WITH U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) AND INCLUDE THE ASSETS AND OPERATIONS OF NORTH CAROLINA BAPTIST HOSPITAL (NCBH), CARENET, INC., NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION, CLEMMONS MEDICAL PARK, LLC, AND WAKE WELLQ, LLC. ALL SIGNIFICANT INTERCOMPANY TRANSACTIONS HAVE BEEN ELIMINATED IN CONSOLIDATION.
FORM 990, PART VI, SECTION A, LINE 2BRADLEY CLARK AND TERRY WILLIAMS, BOTH OFFICERS OF THE FILING ORGANIZATION, WERE BOARD MEMBERS OF MEDCOST BENEFIT SERVICES.
FORM 990, PART VI, SECTION A, LINE 3EFFECTIVE JULY 1, 2010, THE GOVERNING BOARDS OF FOUR NORTH CAROLINA NONPROFIT CORPORATIONS (WAKE FOREST UNIVERSITY, NORTH CAROLINA BAPTIST HOSPITAL, WAKE FOREST UNIVERSITY HEALTH SCIENCES, AND WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER) ENTERED INTO AN AGREEMENT (THE "MEDICAL CENTER INTEGRATION AGREEMENT OR "MCIA") UNDER WHICH THE OPERATION OF EACH OF NORTH CAROLINA BAPTIST HOSPITAL ("NCBH") AND WAKE FOREST UNIVERSITY HEALTH SCIENCES ("WFUHS") WAS DELEGATED TO WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER ("WFUBMC"). WFUHS IS A WHOLLY-CONTROLLED SUBSIDIARY ENTITY OF WAKE FOREST UNIVERSITY ("WFU"). WFUBMC IS A MEMBERSHIP NONPROFIT CORPORATION WHOSE TWO EQUAL MEMBERS ARE NCBH (WHICH ENTITY IS UNRELATED TO WFUHS AND WFU) AND WFU. THE GOAL IS CONSOLIDATION OF MANAGEMENT AND GOVERNANCE IN WFUBMC OF THE VARIOUS ACADEMIC MEDICAL CENTER OPERATIONS, SUBJECT TO SUBSTANTIAL RESERVED POWERS IN BOTH OF THE CONSTITUENT MEMBERS' BOARDS. THE MCIA WAS AMENDED AND RESTATED ON JULY 1, 2015 AND JULY 1, 2017, AND FURTHER AMENDED ON JUNE 6, 2018.
FORM 990, PART VI, SECTION B, LINE 11BTHE FILING ORGANIZATION'S BOARD OF DIRECTORS RECEIVE A COPY OF THE FORM 990 WITH SUFFICIENT TIME TO PERMIT REVIEW, COMMENT, AND POSE QUESTIONS PRIOR TO ITS FILING. THE AUDIT AND COMPLIANCE COMMITTEE OF THE GOVERNING BOARD OF WFUBMC, COMPRISED OF THE AUDIT AND COMPLIANCE COMMITTEES OF WFUHS AND NCBH, REVIEW IN ADDITIONAL DETAIL THE FILING ORGANIZATION'S FORM 990 WITH THE ORGANIZATION'S CHIEF FINANCIAL OFFICER OR HIS DESIGNEE, WHO ANSWERS QUESTIONS AND ADDRESSES CONCERNS RAISED BY SUCH COMMITTEE MEMBERS OR OTHER FILING ORGANIZATION DIRECTORS. IF MODIFICATIONS ARE REQUIRED FOLLOWING SUCH REVIEW AND COMMENT, THE REVISED FORM 990 IS REDISTRIBUTED TO ALL BOARD MEMBERS PRIOR TO ITS FILING WITH THE IRS, ALONG WITH A REPORT NOTING THE MODIFICATIONS.
FORM 990, PART VI, SECTION B, LINE 12CON AN ANNUAL BASIS (AND AS THEY ARISE), ALL TRUSTEES AND OFFICERS OF THE FILING ORGANIZATION ARE ASKED TO REVIEW THE APPLICABLE CONFLICTS OF INTEREST POLICY AND TO DESCRIBE ANY POTENTIAL CONFLICTS OF INTEREST THEY MAY HAVE. UPON COMPLETION OF THE CONFLICTS OF INTEREST SURVEY, THE LEGAL DEPARTMENT REVIEWS THE COMPLETED QUESTIONNAIRES ON BEHALF OF THE FILING ORGANIZATION. ANY CONFLICTS IDENTIFIED ARE COMMUNICATED TO THE FILING ORGANIZATION'S CHAIRMAN OF THE BOARD AND ARE PRESENTED TO THE MEDICAL CENTER GOVERNANCE AND COMPENSATION COMMITTEE. ALL CONFLICTS OF INTEREST ARE RESOLVED BY MANAGEMENT PLANS DEVELOPED BY THE MEDICAL CENTER GOVERNANCE AND COMPENSATION COMMITTEE AND THE INTERNAL AUDIT AND COMPLIANCE OFFICES. THE MEDICAL CENTER GOVERNANCE AND COMPENSATION COMMITTEE'S CHAIR PRESENTS AN ANNUAL REPORT ON CONFLICTS TO THE FULL BOARD OF THE FILING ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 15THE GOVERNANCE AND COMPENSATION COMMITTEE OF WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER ("WFUBMC") FUNCTIONS AS THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND PURSUANT TO A DELEGATION BY THE FILING ORGANIZATION, REVIEWS AND APPROVES THE APPOINTMENT AND COMPENSATION OF THE SENIOR EXECUTIVES OF THE FILING ORGANIZATION. NO MEMBER OF THE WFUBMC GOVERNANCE AND COMPENSATION COMMITTEE IS AN EMPLOYEE OF THE MEDICAL CENTER. THE GOVERNANCE AND COMPENSATION COMMITTEE RELIES UPON AN EXTERNAL, INDEPENDENT COMPENSATION CONSULTANT EXPERIENCED IN HEALTHCARE TO PROVIDE THE COMMITTEE WITH COMPENSATION COMPARABILITY DATA FOR NEW EXECUTIVE POSITION APPOINTMENTS AND FOR COMPENSATION REVIEWS FOR EXISTING EXECUTIVES. THE CONSULTANT, WHICH IS RETAINED DIRECTLY BY THE GOVERNANCE AND COMPENSATION COMMITTEE, PROVIDES THIRD-PARTY INFORMATION AND EVALUATES THE COMPETITIVENESS AND REASONABLENESS OF EXECUTIVE COMPENSATION AND BENEFITS PROGRAMS IN RELATION TO MARKET PRACTICES FOR SIMILARLY-SITUATED NONPROFIT HEALTHCARE ORGANIZATIONS. THE COMMITTEE MAKES ITS DECISIONS WITH RESPECT TO EXECUTIVE COMPENSATION IN ACCORDANCE WITH THE FILING ORGANIZATION'S POLICIES, IRS REGULATIONS, AND STANDARD CORPORATE GOVERNANCE PRACTICES. SUCH POLICIES INCLUDE ADHERENCE TO: BOARD-ESTABLISHED EXECUTIVE COMPENSATION PHILOSOPHY AND REVIEW PROCESSES; PROCESSES ENSURING GOVERNANCE AND COMPENSATION COMMITTEE MEMBER AND COMPENSATION CONSULTANT INDEPENDENCE; USE OF VALID MARKET COMPARISONS OF DATA FROM PEER ACADEMIC MEDICAL CENTERS OF SIMILAR ORGANIZATIONS OF SIMILAR STRUCTURE, SIZE, AND COMPLEXITY; CAREFUL DOCUMENTATION OF ALL COMPENSATION DECISIONS; AND ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS, PER IRS GUIDELINES. MINUTES OF THE DELIBERATIONS OF THE GOVERNANCE AND COMPENSATION COMMITTEE ARE CONTEMPORANEOUSLY MAINTAINED AND THAT COMPARABILITY DATA IS MAINTAINED IN THE MEDICAL CENTER'S OFFICE OF EXECUTIVE COMPENSATION SERVICES. IN THE EVENT THAT A MEMBER OF THE GOVERNANCE AND COMPENSATION COMMITTEE HAS A CONFLICT OF INTEREST RELATED TO EXECUTIVE APPOINTMENT OR COMPENSATION, THAT MEMBER DOES NOT PARTICIPATE IN THE DELIBERATION OR APPROVAL OF APPOINTMENT OR COMPENSATION AND SUCH ABSTENTION IS NOTED IN THE COMMITTEE'S MEETING MINUTES.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE TO THE PUBLIC ON REQUEST AND ARE AVAILABLE ON THE WEBSITE OF THE NORTH CAROLINA SECRETARY OF STATE. THE ORGANIZATION'S BYLAWS ARE NOT PUBLISHED, BUT PROVISIONS FROM THE BYLAWS ARE INCLUDED AS NECESSARY IN THE ORGANIZATION'S POLICIES, AND ARE ATTACHED TO THE FORM 1023 FILED FOR THE ORGANIZATION WITH THE IRS, WHICH IS PUBLICLY AVAILABLE. THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC.
PART VII, SECTION A, COLUMN B - HOURSARTHUR A. GIBEL FILING ORG 2.0 RELATED ORG 6.0 A. LEE HERRING FILING ORG 2.0 RELATED ORG 6.0 WILLIAM C. WARDEN, JR. FILING ORG 2.0 RELATED ORG 4.0 SHEREE B. WATSON FILING ORG 2.0 RELATED ORG 6.0 STEPHEN L. ROBERTSON FILING ORG 2.0 RELATED ORG 4.0 UNRELATED ORG 2.0 EDWIN L. WELCH, JR. FILING ORG 2.0 RELATED ORG 3.0 GEORGE D. RENFRO FILING ORG 2.0 RELATED ORG 4.0 MICHAEL T. WELLS FILING ORG 2.0 RELATED ORG 2.0 JULIE A. FREISCHLAG, M.D. FILING ORG 15.1 RELATED ORG 5.0 UNRELATED ORG 19.9 J. MCLAIN WALLACE, JR. FILING ORG 23.9 RELATED ORG 8.0 UNRELATED ORG 8.1 KAREN H. HUEY FILING ORG 19.3 RELATED ORG 5.0 UNRELATED ORG 15.7 LISA M. MARSHALL FILING ORG 5.0 RELATED ORG 20.0 UNRELATED ORG 15.0 BRADLEY A. CLARK FILING ORG 18.1 RELATED ORG 8.0 UNRELATED ORG 13.9 TERRY G. WILLIAMS FILING ORG 20.3 RELATED ORG 6.0 UNRELATED ORG 13.7 KEVIN HIGH, M.D. FILING ORG 25.7 RELATED ORG 6.0 UNRELATED ORG 8.3 ROBERT GFELLER FILING ORG 20.0 RELATED ORG 5.0 UNRELATED ORG 15.0 LILICIA P. BAILEY FILING ORG 30.8 RELATED ORG 5.0 UNRELATED ORG 4.2 WILLIAM SHOWALTER FILING ORG 28.8 RELATED ORG 5.0 UNRELATED ORG 6.2 MICHAEL T. WAID FILING ORG 30.5 UNRELATED ORG 9.5 CATHLEEN WHEATLEY FILING ORG 36.2 UNRELATED ORG 3.8 CHARLES R. VIGNOS FILING ORG 33.2 UNRELATED ORG 6.8 CONRAD EMMERICH FILING ORG 31.8 UNRELATED ORG 8.2 TODD BANKHEAD FILING ORG 40.0 UNRELATED ORG 0.0 JOHN D. MCCONNELL, MD RELATED ORG 39.9 UNRELATED ORG 0.1 WAKE FOREST UNIVERSITY HEALTH SCIENCES IS AN ORGANIZATION UNRELATED TO THE FILING ORGANIZATION AND THE INFORMATION CONCERNING HOURS DEVOTED TO IT ARE NOT REQUIRED TO BE REPORTED, BUT ARE INCLUDED BECAUSE OF THE STRUCTURE OF WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER, OF WHICH THE FILING ORGANIZATION AND WAKE FOREST UNIVERSITY HEALTH SCIENCES ARE PRINCIPAL PARTS. THE CORPORATE OFFICERS OF THE MEDICAL CENTER ALSO SERVE AS THE CORPORATE OFFICERS OF NORTH CAROLINA BAPTIST HOSPITAL AND WAKE FOREST UNIVERSITY HEALTH SCIENCES.
FORM 990, PART IX, LINE 11GOTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 52,766,526. MANAGEMENT AND GENERAL EXPENSES 33,995,242. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 86,761,768. MCIA: PROGRAM SERVICE EXPENSES 202,392,623. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 202,392,623.
FORM 990, PART XI, LINE 9:ACTUARY GAINS /(LOSSES) -25,958,072. AFFILIATE GAINS/( LOSSES) 24,942,860.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CLEMMONS MEDICAL PARK LLC
MEDICAL CENTER BLVDWINSTON SALEMNC27157800870210REAL ESTATE HOLDING COMPANYNC$1,211,924$30,562,525NORTH CAROLINA BAPTIST HOSPITAL
WAKE WELLQ LLC
MEDICAL CENTER BLVDWINSTON SALEMNC27157824319168MEDICAL SERVICESNC$116,959$21,708CARENET INC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION
MEDICAL CENTER BLVDWINSTON SALEMNC27157561685120SUPPORTING ORGANIZATIONNC501(C)(3)LINE 12A, INORTH CAROLINA BAPTIST HOSPITALYes (1)
THE REHABILITATION & SKILLED NURSING
MEDICAL CENTER BLVDWINSTON SALEMNC27157561826396HEALTHCARE (INACTIVE)NC501(C)(3)LINE 10NORTH CAROLINA BAPTIST HOSPITAL FOUNDATIONYes (1)
CARENET INC
2000 WEST FIRST STREET SUITE 410WINSTON SALEMNC27104561977341HEALTHCARENC501(C)(3)LINE 12B, IINORTH CAROLINA BAPTIST HOSPITALYes (1)
WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER
MEDICAL CENTER BLVDWINSTON SALEMNC27157510190238HEALTHCARENC501(C)(3)LINE 12A, I0N/A
MEDICAL FND OF WFUHS & NCBH
MEDICAL CENTER BLVDWINSTON SALEMNC27157566036688HEALTHCARENC501(C)(3)LINE 12A, I0N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1CORNERSTONE HEALTH ENABLEMENT STRATEGIC SOLUTIONS LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11701 WESTCHESTER DRIVE STE 850AddressLine1Txt
CityHIGH POINTCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27262ZIPCd
FieldValueIRS element (for citing)
EIN461314057EIN
Primary ActivitiesMGMT & TRANSFORM. SVC. - MEDICAL ORGSPrimaryActivitiesTxt
Legal Domicile StateNCLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NORTH CAROLINA BAPTIST HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeUNRELATEDPredominantIncomeTypeTxt
Share Of Total Income$18,078,404ShareOfTotalIncomeAmt
Share Of EOY Assets$58,372,461ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd
Ownership0.69950OwnershipPct
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (11 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION
A$3,607COST
CARENET INC
C$72,000COST
NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION
Q$1,761,180COST
NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION
S$191,594COST
NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION
C$1,005,000COST
CORNERSTONE HEALTH ENABLEMENT STRATEGIC SOLUTIONS LLC
Q$108,216COST
CARENET INC
Q$389,448COST
DAVIE MEDICAL CENTER
J$5,406,564COST
DAVIE MEDICAL CENTER
Q$35,000,000COST
WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER
Q$5,548,054COST
CLEMMONS MEDICAL PARK LLC
K$995,054FMV