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NORTH CAROLINA BAPTIST HOSPITAL: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
NORTH CAROLINA BAPTIST HOSPITAL (EIN 56-0552787)
Tax period
2017-07-01 to 2018-06-30
Filed
2019-05-14
IRS object ID
201911349349304921
Schema version
2017v2.3
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)
Return2019-05-14T12:14:36-05:00ReturnTs
Tax Period End2018-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2017-07-01TaxPeriodBeginDt

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
Signature2019-05-14SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address152.11.164.57IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-05-14IPDt
IP Tm11:58:56IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device IdC519E53D4DD429C18E6E355385A0C45AA59A2EAEAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

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$1,798,573,416GrossReceiptsAmt
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 Volunteers2050TotalVolunteersCnt
Total Gross UBI$7,243,407TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$4,225,972NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,544,874PYContributionsGrantsAmt
CY Contributions Grants$6,737,612CYContributionsGrantsAmt
PY Program Service Revenue$1,714,387,607PYProgramServiceRevenueAmt
CY Program Service Revenue$1,764,285,189CYProgramServiceRevenueAmt
PY Investment Income$13,548,008PYInvestmentIncomeAmt
CY Investment Income$17,004,688CYInvestmentIncomeAmt
PY Other Revenue$6,025,132PYOtherRevenueAmt
CY Other Revenue$7,747,473CYOtherRevenueAmt
PY Total Revenue$1,737,505,621PYTotalRevenueAmt
CY Total Revenue$1,795,774,962CYTotalRevenueAmt
PY Grants And Similar Paid$1,234,809PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,660,168CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$609,286,376PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$704,542,867CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,071,651,556PYOtherExpensesAmt
CY Other Expenses$1,096,470,026CYOtherExpensesAmt
PY Total Expenses$1,682,172,741PYTotalExpensesAmt
CY Total Expenses$1,802,673,061CYTotalExpensesAmt
PY Revenues Less Expenses$55,332,880PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$6,898,099CYRevenuesLessExpensesAmt
Total Assets BOY$1,934,393,445TotalAssetsBOYAmt
Total Assets EOY$1,951,468,151TotalAssetsEOYAmt
Total Liabilities BOY$875,307,080TotalLiabilitiesBOYAmt
Total Liabilities EOY$832,972,853TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,059,086,365NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,118,495,298NetAssetsOrFundBalancesEOYAmt
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 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$1,609,298,706ExpenseAmt
Grant$1,660,168GrantAmt
Revenue$1,764,285,189RevenueAmt
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 1,344, 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 176 COMPANIES, FIVE LEADING 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 MORE THAN 200 DEVELOPABLE ACRES. WFUBMC AND WRMC HOSPITAL OPERATING CORPORATION (DBA WAKE FOREST BAPTIST HEALTH WILKES REGIONAL MEDICAL CENTER) BEGAN ITS INITIAL 30-YEAR LEASE OF WILKES REGIONAL MEDICAL CENTER ON JULY 1, 2017, AFTER OFFICIALLY COMPLETING AN AGREEMENT WITH THE TOWN OF NORTH WILKESBORO, NORTH CAROLINA. UNDER THE TERMS OF THE INITIAL 30-YEAR LEASE AGREEMENT, WAKE FOREST BAPTIST HEALTH WILL INVEST $238 MILLION IN SUPPORT OF WILKES REGIONAL MEDICAL CENTER, THE TOWN OF NORTH WILKESBORO, THE WILKES COMMUNITY AND PATIENTS SERVED IN THE REGION.WFUBMC AND UNC HEALTH CARE, THE FORMER PARENT ORGANIZATION OF HIGH POINT REGIONAL HEALTH, SIGNED A LETTER OF INTENT IN OCTOBER 2017 THAT WOULD ALLOW WFUBMC TO ACQUIRE AND INTEGRATE HIGH POINT REGIONAL AND ITS AFFILIATES INTO THE WAKE FOREST BAPTIST HEALTH SYSTEM DURING THE FIRST QUARTER OF FISCAL YEAR 2019.IN FEBRUARY 2018, WFUBMC PARTNERED WITH HUGH CHATHAM MEMORIAL HOSPITAL TO OWN AND OPERATE ALLEGHANY HEALTH IN SPARTA, N.C. IT ALSO ENTERED INTO A PARTNERSHIP WITH ALLEGACY FEDERAL CREDIT UNION TO ESTABLISH WELLQ, A MEMBERSHIP-BASED SERVICE, LOCATED IN INNOVATION QUARTER IN DOWNTOWN WINSTON-SALEM, DESIGNED TO IMPROVE BOTH THE PHYSICAL AND FINANCIAL WELL-BEING OF ITS MEMBERS.IN JUNE 2018, WAKE FOREST BAPTIST HEALTH LEXINGTON MEDICAL CENTER BROKE GROUND ON A NEW 26,500-SQUARE-FOOT, $31.5 MILLION SURGICAL FACILITY. THIS FACILITY INCLUDES FOUR OPERATING ROOMS, A 10-BAY POST-ANESTHESIA CARE UNIT, UROLOGY PROCEDURE ROOM, WAITING AREA AND CONSULTATION ROOMS. THE FOUR EXISTING OPERATING ROOMS WILL BE CONVERTED TO PROCEDURE ROOMS.SIGNIFICANT GRANTS AWARDED TO WAKE FOREST UNIVERSITY HEALTH SCIENCES DURING FISCAL YEAR 2018 INCLUDED A FIVE-YEAR, $9.2 MILLION GRANT FROM THE NATIONAL CANCER INSTITUTE FOR ITS SCIENTISTS TO CONTINUE THEIR WORK TO DEVELOP NEW TREATMENTS FOR GLIOBLASTOMA, AN AGGRESSIVE BRAIN CANCER; A GRANT FROM THE NATIONAL INSTITUTES OF HEALTH (NIH) WORTH AN ESTIMATED $8 MILLION OVER FIVE YEARS TO ESTABLISH A NEW CENTER FOR RESEARCH INTO ALCOHOL ADDICTION; AND TWO FIVE-YEAR GRANTS FROM THE NIH WORTH MORE THAN $5 MILLION COMBINED TO PROSPECTIVELY STUDY THE EFFECTS OF A GENETIC VARIATION IN ORGAN DONORS THAT APPEARS TO CONTRIBUTE TO SURVIVAL OF KIDNEYS AFTER TRANSPLANTATION.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 AND WILKES COUNTIES. ACROSS ITS SERVICE AREA OF NORTHWEST NORTH CAROLINA AND SOUTHWEST VIRGINIA, WAKE FOREST BAPTIST HEALTH HAS 6 EMERGENCY DEPARTMENTS; THREE URGENT CARE CENTERS; 83 PRIMARY CARE CLINICS; 274 SPECIALTY CLINICS; 18 OUTPATIENT DIALYSIS CENTERS AND ONE FREE-STANDING DIALYSIS ACCESS CENTER; AND ONE FREESTANDING IMAGING AND ENDOSCOPY CENTER. THE WAKE FOREST BAPTIST HEALTH SYSTEM EMPLOYS MORE THAN 2,000 PHYSICIANS, 4,249 REGISTERED NURSES, AND 732 RESIDENTS AND FELLOWS. IT HAS A TOTAL STAFF OF 14,430 ON THE MEDICAL CENTER CAMPUS IN WINSTON-SALEM AND 19,220 WITHIN THE WAKE FOREST BAPTIST HEALTH SYSTEM. OVERALL IN FY 2018, WAKE FOREST BAPTIST HEALTH HAD 60,023 INPATIENT ADMISSIONS, 187,510 EMERGENCY DEPARTMENT VISITS AND 1,984,198 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 2018, WAKE FOREST BAPTIST HEALTH SPENT $450.6 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, 60,877 PATIENT VISITS WERE RECORDED AT THE DOWNTOWN HEALTH PLAZA IN THE 2018 FISCAL YEAR, AND ANOTHER 10,697 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 AT THE COMMUNITY CARE CENTER IN WINSTON-SALEM, 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 ACCOMPLISHMENTS THE CONSTITUENT ORGANIZATIONS OF WAKE FOREST BAPTIST HEALTH OPERATE A BROAD RANGE OF EDUCATIONAL PROGRAMS THAT TEACH AND GRADUATE SKILLED HEALTH 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. IN THE MOST RECENT REPORTING PERIOD, FISCAL 2017, WAKE FOREST BAPTIST HEALTH INVESTED MORE THAN $109 MILLION IN THE EDUCATION OF TOMORROW'S HEALTH CARE AND BIOMEDICAL LEADERS AND IN RESEARCH FUNDING NOT COVERED BY OUTSIDE SOURCES. SUCH INVESTMENTS SUPPORT THE TRAINING OF HUNDREDS OF STUDENTS. IN FISCAL 2018, THOSE INCLUDED 510 MD STUDENTS, 732 PHYSICIAN RESIDENTS AND FELLOWS, 319 GRADUATE STUDENTS, 173 PHYSICIAN ASSISTANTS, 48 NURSE ANESTHESIA STUDENTS, 22 PASTORAL CARE CHAPLAIN RESIDENTS AND INTERNS, AND 63 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 2,460 CONTINUING PROFESSIONAL DEVELOPMENT ACTIVITIES FOR PRACTICING HEALTH CARE PROFESSIONALS THAT DREW 42,076 PARTICIPANTS FROM THROUGHOUT THE REGION.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$1,609,298,706TotalProgramServiceExpensesAmt
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 Document380IRPDocumentCnt
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
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 (31 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
ARTHUR A GIBEL
VICE CHAIRMAN2.006.00Yes (X)Yes (X)$0$0$0
A LEE HERRING
TRUSTEE2.006.00Yes (X)$0$0$0
WILLIAM C WARDEN JR
TRUSTEE2.004.00Yes (X)$0$0$0
SHEREE B WATSON
CHAIRMAN2.006.00Yes (X)Yes (X)$0$0$0
STEPHEN L ROBERTSON
TRUSTEE2.006.00Yes (X)$0$0$0
EDWIN L WELCH JR
TRUSTEE2.002.00Yes (X)$0$0$0
GEORGE D RENFRO
TRUSTEE2.006.00Yes (X)$0$0$0
R MICHAEL WELLS
TRUSTEE2.002.00Yes (X)$0$0$0
JULIE A FREISCHLAG MD
CEO, DEAN16.2023.80Yes (X)Yes (X)$992,415$0$208,694
J MCLAIN WALLACE JR
SVP, GEN COUNSEL & SEC29.7010.30Yes (X)$0$689,120$71,877
KAREN H HUEY
VP FACILITIES21.5018.50Yes (X)$0$398,461$59,685
ERIC TOMLINSON
CHIEF INNOV OFF (TO 3-1-18)5.2034.80Yes (X)$694,716$0$35,598
BRADLEY A CLARK
EVP, CFO, TREASURER19.3020.70Yes (X)$0$483,113$170,979
TERRY G WILLIAMS
EVP CH STRATEGY OFFICER26.7013.30Yes (X)$0$739,261$176,980
KEVIN P HIGH MD
PRESIDENT, HEALTH SYSTEM23.7016.30Yes (X)$752,824$0$169,813
DEETTE M EMON
VP & CIO (TO 7/31/17)22.5017.50Yes (X)$0$356,983$28,522
ROBERT GFELLER
EVP, EXT REL & CH MKTG OFF20.0020.00Yes (X)$0$654,099$148,104
LILICIA BAILEY
SVP, CHIEF PEOPLE OFFICER32.607.40Yes (X)$0$601,203$131,832
WILLIAM D SHOWALTER
SVP, CIO (FROM 8/15/17)30.0010.00Yes (X)$0$214,093$28,128
MICHAEL T WAID
SVP HLTH SYS OPS & INTEG33.706.30$0$517,582$130,154Yes (X)
CATHLEEN WHEATLEY
CHIEF NURSE EXEC, VP CLINI38.601.40$0$529,421$120,155Yes (X)
CHARLES R VIGNOS
VP MANAGED CARE37.802.20$0$489,686$111,119Yes (X)
ERWIN STAINBACK
VP, CLINICAL OPERATIONS40.000.00$0$470,915$21,977Yes (X)
DENISE CHAMBERLAIN
AVP, ASST CFO40.000.00$0$494,591$28,133Yes (X)
JOANNE C RUHLAND
FORMER OFFICER25.0015.00$0$372,403$42,972Yes (X)
NORMAN D POTTER JR
FORMER OFFICER (2/28/17)0.000.00$530,131$0$9,972Yes (X)
CHERYL EH LOCKE
FORMER OFFICER0.000.00$0$485,469$30,450Yes (X)
RUSSELL M HOWERTON MD
FORMER OFFICER20.7019.30$809,126$0$54,231Yes (X)
JOHN D MCCONNELL MD
FORMER OFFICER (4/26/17)0.0040.00$1,860,397$0$289,177Yes (X)
EDWARD ABRAHAM MD
FORMER OFFICER (6/30/17)0.000.00$650,802$0$30,994Yes (X)
CHAD A ECKES
FORMER OFFICER (6/11/17)0.000.00$0$987,032$33,896Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,290,411TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$8,483,432TotReportableCompRltdOrgAmt
Total Other Compensation$2,133,442TotalOtherCompensationAmt
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
MEDTRONIC USA INC
710 MEDTRONIC PARKWAYMINNEAPOLISMN55432MEDICAL PRODUCTS$17,929,553
MEDLINE INDUSTRIES INC
THREE LAKES DRIVENORTHFIELDIL60093MEDICAL PRODUCTS$10,970,027
STRYKER CORPORATION
2825 AIRVIEW BLVDPORTAGEMI49002MEDICAL TECHNOLOGY$8,029,937
ARAMARK
1101 MARKET STREETPHILADELPHIAPA19107FOOD/FACILITY/UNIFORM SERVICES$7,929,175
BOSTON SCIENTIFIC CORPORATION
300 BOSTON SCIENTIFIC WAYMARLBOROUGHMA01752MEDICAL PRODUCTS$7,761,805
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K295CntrctRcvdGreaterThan100KCnt
Related Organizations$3,132,675RelatedOrganizationsAmt
Government Grants$1,650,062GovernmentGrantsAmt
All Other Contributions$1,954,875AllOtherContributionsAmt
Noncash Contributions$22,097NoncashContributionsAmt
Total Contributions$6,737,612TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE621990$1,749,023,854$1,749,023,854
MEDICAL/LAB SERVICE621500$7,418,714$3,062,250$4,356,464
DIETARY722210$6,138,637$5,892,949$245,688
TUITION611600$1,703,984$1,703,984
FieldValueIRS element (for citing)
Total Program Service Revenue$1,764,285,189TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,678,786TotalRevenueColumnAmt
Unrelated Business Revenue$2,641,255UnrelatedBusinessRevenueAmt
Exclusion$15,037,531ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$6,258,092RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$2,124,356RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$4,133,736RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,133,736TotalRevenueColumnAmt
Exclusion$4,133,736ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$192,746SecuritiesAmt
Other$481,352OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$192,746SecuritiesAmt
Other-$481,352OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$674,098TotalRevenueColumnAmt
Exclusion-$674,098ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
PARKING FEES900099$3,554,300$3,554,300
GIFT SHOP REVENUE453220$59,437$59,437
FieldValueIRS element (for citing)
Other Revenue Total$3,613,737OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,795,774,962TotalRevenueColumnAmt
Related Or Exempt Func Income$1,759,683,037RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$7,243,407UnrelatedBusinessRevenueAmt
Exclusion$22,110,906ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,637,768TotalAmt
Program Services$1,637,768ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$22,400TotalAmt
Program Services$22,400ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$19,598,989TotalAmt
Program Services$8,249,006ProgramServicesAmt
Management And General$11,349,983ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$533,800,541TotalAmt
Program Services$449,032,958ProgramServicesAmt
Management And General$84,767,583ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$32,092,573TotalAmt
Program Services$26,518,553ProgramServicesAmt
Management And General$5,574,020ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$79,767,849TotalAmt
Program Services$65,913,317ProgramServicesAmt
Management And General$13,854,532ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$39,282,915TotalAmt
Program Services$32,460,036ProgramServicesAmt
Management And General$6,822,879ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$4,150,253TotalAmt
Program Services$1,739,050ProgramServicesAmt
Management And General$2,411,203ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$504,845TotalAmt
Management And General$504,845ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$564,230TotalAmt
Program Services$564,230ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$3,469,766TotalAmt
Program Services$3,469,766ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$279,356,072TotalAmt
Program Services$245,405,464ProgramServicesAmt
Management And General$33,950,608ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$4,882,549TotalAmt
Program Services$1,810,015ProgramServicesAmt
Management And General$3,072,534ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$49,601,395TotalAmt
Program Services$31,815,778ProgramServicesAmt
Management And General$17,785,617ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$53,196,858TotalAmt
Program Services$43,621,424ProgramServicesAmt
Management And General$9,575,434ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$16,866,327TotalAmt
Program Services$16,023,011ProgramServicesAmt
Management And General$843,316ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,384,831TotalAmt
Program Services$772,589ProgramServicesAmt
Management And General$612,242ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,607,615TotalAmt
Program Services$993,182ProgramServicesAmt
Management And General$614,433ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$18,440,998TotalAmt
Program Services$18,174,362ProgramServicesAmt
Management And General$266,636ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$83,965,781TotalAmt
Program Services$83,965,781ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,231,864TotalAmt
Program Services$5,179,545ProgramServicesAmt
Management And General$52,319ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$369,673,525$369,673,063$462
BAD DEBT$156,577,093$156,577,093$0
PROVIDER ASSESSMENT$45,680,315$45,680,315$0
INCOME TAXES$1,315,709$0$1,315,709

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,802,673,061TotalAmt
Program Services$1,609,298,706ProgramServicesAmt
Management And General$193,374,355ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$107,549,664BOYAmt
EOY$35,990,583EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$717,634EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$258,930,978BOYAmt
EOY$294,257,046EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$20,600,547BOYAmt
EOY$191,594EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$35,477,898BOYAmt
EOY$39,205,388EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$15,462,829BOYAmt
EOY$30,780,515EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,684,397,969LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,045,157,547LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$646,151,593BOYAmt
EOY$639,240,422EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$634,322,349BOYAmt
EOY$680,713,308EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$108,363,714BOYAmt
EOY$75,451,497EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$99,707,452BOYAmt
EOY$154,920,164EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$7,826,421BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,934,393,445BOYAmt
EOY$1,951,468,151EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$268,727,950BOYAmt
EOY$268,834,406EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$469,287,569BOYAmt
EOY$458,462,586EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$125,542,033BOYAmt
EOY$93,926,333EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$875,307,080BOYAmt
EOY$832,972,853EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,052,738,469BOYAmt
EOY$1,108,809,879EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,786,499BOYAmt
EOY$7,071,156EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,561,397BOYAmt
EOY$2,614,263EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,059,086,365BOYAmt
EOY$1,118,495,298EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,934,393,445BOYAmt
EOY$1,951,468,151EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$6,898,099ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$380,271NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$66,687,303OtherChangesInNetAssetsAmt
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

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$369,411DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$194,819OtherActivitiesAmt
Total Lobbying Expenditures$564,230TotalLobbyingExpendituresAmt
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 THE EVALUATION OF THE 340B PROGRAM AND SUBMITTED A COMMENT LETTER TO THE CENTER FOR MEDICARE AND MEDICAID SERVICES (CMS) REGARDING REDUCTIONS TO MEDICARE PART B 340B PAYMENTS; MEDICAID REFORM (BLOCK GRANTS) AND OTHER PROVISIONS IN THE GRAHAM CASSIDY--AFFORDABLE CARE ACT (ACA) REPEAL AND REPLACE BILL; AND VARIOUS PIECES OF LEGISLATION RELATED TO: INSURANCE MARKET STABILIZATION; RE-EVALUATION OF THE MEDICARE HOSPITAL STAR RATINGS PROGRAM; 21ST CENTURY CURES IMPLEMENTATION ISSUES; CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP) REAUTHORIZATION AND FUNDING; DELAY OF THE ACA MEDICAID DISPROPORTIONATE SHARE PAYMENT REDUCTIONS; HIGHER EDUCATION ACT REAUTHORIZATION AND FINANCIAL AID SIMPLIFICATION AS IT RELATES TO MEDICAL STUDENTS; BIODEFENSE AND PREPAREDNESS REAUTHORIZATION ACT; ENDOWMENT TAX, UBIT AND OTHER PROVISIONS IN THE TAX CUTS AND JOBS ACT; MEDICARE EXTENDERS; NIH FUNDING AND OPIOID EPIDEMIC FUNDING IN THE OMNIBUS SPENDING BILL; FUNDING FOR NEW GRADUATE MEDICAL EDUCATION RESIDENCY SLOTS TO COMBAT THE OPIOID AND SUBSTANCE ABUSE EPIDEMIC; CHANGES TO THE PROVISIONS OF THE MEDICARE ACCESS AND CHIP REAUTHORIZATION ACT (MACRA); TESTIMONY BEFORE THE US SENATE ARMED SERVICES COMMITTEE REGARDING HEAD TRAUMA AND CONCUSSION STUDIES AND HOW THESE FINDINGS COULD ASSIST VETERANS WITH POST-TRAUMATIC STRESS DISORDERS; BILLS TO INCREASE PHYSICIAN RESIDENCY SLOTS BY 15,000 AT TEACHING HOSPITALS OVER THE NEXT FIVE YEARS, AND THE FY2019 INPATIENT PROSPECTIVE PAYMENT SYSTEM (IPPS) RULE. STAFF WORKED ON THE FY2019 BUDGET; AND THE CY2019 MEDICARE PHYSICIAN FEE SCHEDULE AND OTHER CHANGES TO MEDICARE PART B REIMBURSEMENT POLICIES AND ON MANY OF THE FY2019 APPROPRIATIONS BILLS AND PROPOSED LEGISLATION AND REGULATIONS THAT WERE INTRODUCED, INCLUDING THOSE PROPOSED BY THE DEPARTMENT OF HEALTH AND HUMAN SERVICES REGARDING THE NATIONAL INSTITUTES OF HEALTH (NIH) BUDGET, AND VETERANS AFFAIRS (VA) RESEARCH AND MEDICAL CARE FUNDING TO EASE ACCESS FOR VETERANS SEEKING HEALTH CARE FROM NON-VA PROVIDERS. AT THE STATE LEVEL, EFFORTS WERE RELATED TO FUNDING FOR THE WAKE FOREST ARMED FORCES INSTITUTE FOR REGENERATIVE MEDICINE (AFIRM); STOPPING LEGISLATION TO REPEAL THE CERTIFICATE OF NEED LAW; RESTRUCTURING OF NC MEDICAID GRADUATE MEDICAL EDUCATION FUNDING ALLOCATION AS IT RELATES TO RURAL AREAS; OFFICE OF MEDICAL EXAMINER FACILITY FUNDING; AND AMENDMENTS TO THE NC MEDICAID 1115 WAIVER BY NC DEPARTMENT OF HEALTH AND HUMAN SERVICES AND ITS IMPACT TO MEDICAID REFORM RESTRUCTURING IMPLEMENTATION.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,768,404BeginningYearBalanceAmt
Contributions$1,443,959ContributionsAmt
Investment Earnings Or Losses$389,849InvestmentEarningsOrLossesAmt
Other Expenditures$1,595,031OtherExpendituresAmt
End Year Balance$5,007,181EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.26990PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.73010TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$34,842,477OtherCostOrOtherBasisAmt
Book Value$34,842,477BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$947,843,716OtherCostOrOtherBasisAmt
Depreciation$570,686,617DepreciationAmt
Book Value$377,157,099BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,201,485OtherCostOrOtherBasisAmt
Depreciation$938,218DepreciationAmt
Book Value$1,263,267BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$613,178,891OtherCostOrOtherBasisAmt
Depreciation$449,931,560DepreciationAmt
Book Value$163,247,331BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$86,331,400OtherCostOrOtherBasisAmt
Depreciation$23,601,152DepreciationAmt
Book Value$62,730,248BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$639,240,422TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescINVESTMENTS IN SUBSIDIARIESDesc
Book Value$154,920,164BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Program Rltd$154,920,164TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
PLI & OTHER LIABILITIES$26,416,703
PENSION LIABILITIES$64,471,780
CAPITAL LEASE$3,037,850
FieldValueIRS element (for citing)
Total Liability$93,926,333TotalLiabilityAmt
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, 2018 AND 2017, 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, 2018 AND 2017.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS,RegionTxt
Offices0OfficesCnt
Employee0EmployeeCnt
Type Of Activities ConductedINVESTMENTSTypeOfActivitiesConductedTxt
Region Total Expenditures$28,349,725RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$28,349,725SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$28,349,725TotalSpentAmt
Transfer To Foreign CorpYes (1)TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
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
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
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$41,989,246TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,681,642DirectOffsettingRevenueAmt
Net Community Benefit Expns$32,307,604NetCommunityBenefitExpnsAmt
Total Expense0.01960TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$274,459,990TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$249,638,164DirectOffsettingRevenueAmt
Net Community Benefit Expns$24,821,826NetCommunityBenefitExpnsAmt
Total Expense0.01510TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$58,412,869TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$45,847,429DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,565,440NetCommunityBenefitExpnsAmt
Total Expense0.00760TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$374,862,105TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$305,167,235DirectOffsettingRevenueAmt
Net Community Benefit Expns$69,694,870NetCommunityBenefitExpnsAmt
Total Expense0.04230TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,160,770TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,160,770NetCommunityBenefitExpnsAmt
Total Expense0.00310TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$103,261,677TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,028,618DirectOffsettingRevenueAmt
Net Community Benefit Expns$81,233,059NetCommunityBenefitExpnsAmt
Total Expense0.04930TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,694,997TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,694,997NetCommunityBenefitExpnsAmt
Total Expense0.00410TotalExpensePct

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$2,386,675TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,386,675NetCommunityBenefitExpnsAmt
Total Expense0.00140TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$117,504,119TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,028,618DirectOffsettingRevenueAmt
Net Community Benefit Expns$95,475,501NetCommunityBenefitExpnsAmt
Total Expense0.05790TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$492,366,224TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$327,195,853DirectOffsettingRevenueAmt
Net Community Benefit Expns$165,170,371NetCommunityBenefitExpnsAmt
Total Expense0.10020TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$920,221TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$920,221NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$146,833TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$146,833NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,067,054TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,067,054NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$38,914,895BadDebtExpenseAmt
Reimbursed By Medicare$498,514,986ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$590,889,765CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$92,374,779MedicareSurplusOrShortfallAmt

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 Conducted15CHNAConductedYr
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 Adpt16ImplementationStrategyAdptYr
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 Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
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; AND (3) 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, COUNTY HEALTH RANKINGS & ROADMAPS, 2014 STATE OF THE COUNTY HEALTH, US CENSUS BUREAU, NC CENTER FOR HEALTH STATISTICS, CENTERS FOR DISEASE CONTROL, BEHAVIOR RISK FACTOR SURVEILLANCE SYSTEM, HEALTHY PEOPLE 2020, HEALTHY NC 2020, CENTERS FOR MEDICARE/MEDICAID SERVICES, FORSYTH FUTURES ACCESS TO HEALTH CARE FORSYTH COUNTY REPORT 2014, FORSYTH COUNTY'S COMMUNITY FOOD SYSTEM 2013, AND STATUS OF HOMELESSNESS IN FORSYTH COUNTY 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 MEDICAL CENTER.
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 NEEDS WITHIN THE COMMUNITY: (1) ACCESS TO HEALTH CARE, (2) CHRONIC DISEASE MANAGEMENT AND INFORMATION, (3) BEHAVIORAL AND MENTAL DISTRESS, (4) FINANCIAL COST OF HEALTH CARE AND PRESCRIPTION DRUGS, (5) RACISM, (6) HEALTHCARE RESOURCES AND EDUCATION, (7) LACK OF INSURANCE AND UNDOCUMENTED PATIENTS, AND (8) COMPASSIONATE CARE.NORTH CAROLINA BAPTIST HOSPITAL (NCBH) PRIORITIZED THE FOLLOWING THREE SIGNIFICANT COMMUNITY HEALTH NEEDS FOR ITS CURRENT CHNA AS FOLLOWS: (1) ACCESS TO CARE; (2) CHRONIC DISEASE MANAGEMENT; AND (3) BEHAVIORAL/MENTAL HEALTH DISTRESS. 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 INCLUDE:--ENCOURAGING APPROPRIATE EMERGENCY DEPARTMENT UTILIZATION THROUGH CARE COORDINATION ACROSS THE COMMUNITY, HOSPITAL, AND PRIMARY CARE THROUGH 1.) EXPLORATION OF PROGRAMS TO COORDINATE CARE FOR THE CHARITY CARE POPULATION, ADDRESSING NON-EMERGENT CARE USE AND SEEKING FUNDING TO SUPPORT RECOMMENDED INTERVENTION, AND 2.) CONTINUATION OF SUPPORT FOR THE CAREPLUS CARE COORDINATION MODEL FOR MEDICAID/SELF-PAY/UNINSURED PATIENTS IN THE DOWNTOWN HEALTH PLAZA COMMUNITY.--IMPROVING ACCESS TO COMMUNITY CENTERED SOCIAL AND HEALTH EDUCATION SERVICES AND REGULAR SOURCES OF HEALTH CARE THROUGH 1.) CONTINUED NEGOTIATIONS WITH NOVANT HEALTH TO CREATE A PRIMARY CARE CLINIC IN EAST WINSTON FOR THE SELF-PAY/UNINSURED/MEDICAID POPULATION; 2.) CONTINUED EXPLORATION OF MOBILE MEDICAL CLINIC IN LOW ACCESS WFBH SERVICE AREAS; 3.) DEVELOPMENT OF PILOT PROGRAM FOR CHARITY CARE PATIENTS WITH CHRONIC CONDITIONS FOR CARE MANAGEMENT SERVICES THROUGH LINKAGE WITH PRIMARY CARE; AND 4.) CONTINUED COMMUNITY ENGAGEMENT SUPPORT THROUGH 5 SUPPORTERS OF HEALTH, 311 CONGREGATION PARTNERS, 25 CONNECTORS ACROSS THE SERVICE AREA, AND 7 FAITHHEALTHNC FELLOWS.--IMPROVING ACCESS TO HEALTH INSURANCE THROUGH PARTNERSHIP WITH HEALTHCARE ACCESS LEADERS TO ASSIST IN ENROLLING COMMUNITY MEMBERS IN AVAILABLE HEALTH INSURANCE PLANS--IMPROVING ACCESS TO TRANSPORTATION TO HEALTH CARE SERVICES, THROUGH 1.) RAISING AWARENESS OF EXISTING TRANSPORTATION SERVICES FOR MEDICAID PATIENTS AMONG PROVIDERS AND THE COMMUNITY, AND 2.) EXPLORING FREE TRANSPORTATION INITIATIVES THROUGH UBERCENTRAL OR OTHER SIMILAR MODEL2. CHRONIC DISEASE MANAGEMENTNCBH 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.) INCREASING COMMUNITY AND HEALTHCARE PROVIDER ACCESS TO EXISTING CHRONIC DISEASE MANAGEMENT RESOURCES BY CENTRALIZING AND DISTRIBUTING INFORMATION, AND 3.) EXPANDING CHRONIC DISEASE SELF-MANAGEMENT PROGRAMS OFFERED BY NCBH THROUGH EMMI SOFTWARE.--PROVIDING EDUCATION AND SUPPORT PROGRAMS TO REDUCE DIABETES PREVALENCE AND IMPROVE DIABETES MANAGEMENT THROUGH 1.) REFERRING DIABETIC PATIENTS AT DOWNTOWN HEALTH PLAZA TO DIABETES PROGRAMS OFFERED BY NCBH AND OTHER COMMUNITY ORGANIZATIONS, 2.) CONTINUING TO PROVIDE DIABETIC EDUCATION AT DOWNTOWN HEALTH PLAZA AND THE ENDOCRINE CLINIC, 3.) CONTINUING TO PROVIDE BESTHEALTH DIABETES PREVENTION AND NUTRITION EDUCATION TO THE COMMUNITY, AND 4.) EXPLORING PARTNERSHIP WITH UNITED WAY TO FOCUS DIABETES PREVENTION AND MANAGEMENT PROGRAMS IN IDENTIFIED, HIGH NEED NEIGHBORHOODS.--PROVIDING EDUCATION AND SUPPORT PROGRAMS TO REDUCE OBESITY PREVALENCE AND IMPROVE OBESITY MANAGEMENT THROUGH 1.) CONTINUING TO SUPPORT BRENNER FIT TO INCREASE EDUCATION AND AWARENESS HEALTHY LIFESTYLE CHOICES FOR UNINSURED/MEDICAID PATIENTS AND FAMILIES, 2.) PROMOTING HEALTHY EATING AND WEIGHT MANAGEMENT THROUGH EMPLOYEE WELLNESS PROGRAMS, AND 3.) PROVIDING MORE AWARENESS TO HOSPITAL PATIENTS AND EMPLOYEES REGARDING OPPORTUNITY FOR WEIGHT MANAGEMENT PROGRAMS.3. BEHAVIORAL/MENTAL HEALTH DISTRESSNCBH RECOGNIZES THE OVERLAP OF MENTAL, MEDICAL AND SOCIAL DISPARITIES AND THE IMPORTANT ROLE OF BEHAVIORAL HEALTH IN TREATING THE WHOLE PERSON. THE HOSPITAL'S CURRENT STRATEGIES INCLUDE:--CONTINUING EXPANSION OF INTEGRATED CARE MODEL CURRENTLY OPERATING AT DOWNTOWN HEALTH PLAZA AND FAMILY MEDICINE PIEDMONT PLAZA;--INCREASING THE CURRENT 30+ STAFF AT THE HOSPITAL WHO WORK IN AREAS DEFINED AS INTEGRATED BEHAVIORAL HEALTH;--BUILDING CAPACITY AMONG LAY PERSONS IN THE COMMUNITY IN THE AREAS OF MENTAL HEALTH FIRST AID, COMMUNITY RESILIENCE MODEL AND SUICIDE PREVENTION PROGRAMS;--CONTINUING WORK WITH VULNERABLE POPULATIONS AND FRAGILE HOMELESS PERSONS;--DEVELOPING A PLAN TO CREATE MORE INTEGRATED BEHAVIORAL HEALTH GRADUATE MEDICAL EDUCATION OFFERINGS FOR MEDICAL STUDENTS, RESIDENTS, FACULTY AND STAFF.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)
Facility39FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (39 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
2 - ALLERGY ASTHMA & IMMUNOLOGY - CLEMMONS
2311 LEWISVILLE-CLEMMONS ROADCLEMMONSNC27012ALLERGY, ASTHMA & IMMUNOLOGY
3 - BREAST CARE SERVICES - CLEMMONS
2341 LEWISVILLE-CLEMMONS ROADCLEMMONSNC27012BREAST CARE SERVICES
4 - BRENNER CHILDREN'S SPECIALTY SERVICES
2311 LEWISVILLE-CLEMMONS ROADCLEMMONSNC27012PEDIATRIC SPECIALTIES
5 - CARDIOLOGY COUNTRY CLUB
4614 COUNTRY CLUB ROADWINSTONSALEMNC271043520CARDIOLOGY
6 - COMPREHENSIVE FETAL CARE CENTER
500 SHEPHERD STREET SUITE 200WINSTONSALEMNC271031633MATERNAL-FETAL MEDICINE
7 - COMPREHENSIVE REHAB - PHYSICAL MED & REH
131 MILLER STREETWINSTONSALEMNC27103PHYSICAL MEDICINE, SPORTS MEDICINE, REHABILITATION
8 - COMPREHENSIVE REHAB - SPECIALTY
131 MILLER STREETWINSTONSALEMNC27103ENDO, ENT, NEUROLOGY, PSYCHOLOGY, SURGERY, RHEUM
9 - DIABETES CENTER ADULT-CNTRY CLB MED PLZA
4610 COUNTRY CLUB ROADWINSTONSALEMNC271043520ADULT DIABETES CENTER
10 - DIABETES CENTER CHLDR-CNTRY CLB MED PLZA
4610 COUNTRY CLUB ROADWINSTONSALEMNC271043520PEDIATRIC DIABETES CENTER
11 - DIALYSIS ACCESS GROUP - MILLER
120 MILLER STREET STE BWINSTONSALEMNC27103DIALYSIS CENTER
12 - DOWNTOWN HEALTH PLAZA
1200 N MARTIN LUTHER KING JR DRIVEWINSTONSALEMNC271013006ADULT MEDICINE
13 - DOWNTOWN HEALTH PLAZA - SPECIALTY
1200 N MARTIN LUTHER KING JR DRIVEWINSTONSALEMNC27101OB/GYN, NEUROLOGY, NEPHROLOGY, DERM, CARDIOLOGY
14 - ENTHEAD & NECK SURGERY - CLEMMONS
2341 LEWISVILLE-CLEMMONS ROADCLEMMONSNC27012ENT/HEAD AND NECK SURGERY
15 - HEMATOLOGY & ONCOLOGY - CLEMMONS
2311 LEWISVILLE-CLEMMONS ROADCLEMMONSNC27012ONCOLOGY
16 - HEMATOLOGY & ONCOLOGY - ELKIN
401 ELDON PARKS DRIVEELKINNC28621HEMATOLOGY AND ONCOLOGY
17 - HEMATOLOGY & ONCOLOGY - PREMIER DR
4515 PREMIER DIVEHIGH POINTNC27265HEMATOLOGY AND ONCOLOGY
18 - INTERNAL MEDICINE SPECIALTY CLINICS
500 SHEPHERD STREET SUITE 300WINSTONSALEMNC271031633IM MULTISPECIALTY CLINICS
19 - MEDICAL PLAZA COUNTRY CLUB DERMATOLOGY
4618 COUNTRY CLUB ROADWINSTONSALEMNC271043520GENERAL DERMATOLOGY
20 - MEDICAL PLAZA COUNTRY CLUB GENERAL DERMA
4618 COUNTRY CLUB ROADWINSTONSALEMNC271043520DERMATOLOGY & MOHS SURGERY
21 - MT AIRY HEMATOLOGY & ONCOLOGY
450 PRICE STREETMT AIRYNC27030HEMATOLOGY AND ONCOLOGY
22 - NCBH OUTPATIENT ENDOSCOPY CENTER LLC
100 CHARLOIS BLVD SUITE 100WINSTONSALEMNC27103OUTPATIENT ENDOSCOPY
23 - NEONATOLOGY
500 SHEPHERD STREET SUITE 201WINSTONSALEMNC271031633NEONATOLOGY
24 - NEUROLOGY - CLEMMONS
2341 LEWISVILLE-CLEMMONS ROADCLEMMONSNC27012NEUROLOGY
25 - OBGYN CLINIC
500 SHEPHERD STREET SUITE 201WINSTONSALEMNC271031633OB/GYN, GYN ONC, UROLOGICAL GYN
26 - OBSTETRICS AND GYNECOLOGY - CLEMMONS
2341 LEWISVILLE-CLEMMONS ROADCLEMMONSNC27012OB/GYN
27 - PAIN CENTER BROOKSTOWN
605 COTTON STREETWINSTONSALEMNC27101PAIN CLINIC AND SERVICES
28 - PEDIATRICS - CLEMMONS
2311 LEWISVILLE-CLEMMONS ROADCLEMMONSNC27012PEDIATRICS
29 - PEDIATRICS - DOWNTOWN HEALTH PLAZA
1200 N MARTIN LUTHER KING JR DRIVEWINSTONSALEMNC27101PEDIATRICS
30 - SLEEP CENTER - CLEMMONS
2341 LEWISVILLE-CLEMMONS ROADCLEMMONSNC27012SLEEP MEDICINE
31 - SLEEP CENTER - SHEPHERD
500 SHEPHERD STREET SUITE 201WINSTONSALEMNC271031633SLEEP MEDICINE
32 - SPINE CENTER - CLEMMONS
2341 LEWISVILLE-CLEMMONS ROADCLEMMONSNC27012SPINE CENTER - CLEMMONS
33 - UNIVERSITY INTERNAL MEDICINE - CLEMMONS
2311 LEWISVILLE-CLEMMONS ROADCLEMMONSNC27012INTERNAL MEDICINE & PRIMARY CARE
34 - UNIVERSITY INTERNAL MEDICINE COUNTRY CLU
4614 COUNTRY CLUB ROADWINSTONSALEMNC271043520INTERNAL MEDICINE
35 - VEIN SERVICES - CLEMMONS
2341 LEWISVILLE-CLEMMONS ROADCLEMMONSNC27012VEIN SERVICES
36 - WAKE FOREST BAPTIST HEALTH FAMILY MEDICI
1920 W FIRST STREETWINSTONSALEMNC271044220FAMILY MEDICINE
37 - WAKE FOREST UNIVERSITY BAPTIST IMAGING
265 EXECUTIVE PARK BLVDWINSTONSALEMNC27103IMAGING CENTER
38 - WINSTON EAST PEDIATRICS OF BAPTIST HOSP
2295 EAST 14TH STREETWINSTONSALEMNC27105PEDIATRICS
39 - CANCER SURVIVORSHIP - CLEMMONS
2341 LEWISVILLE-CLEMMONS ROADCLEMMONSNC27012HEMATOLOGY AND ONCOLOGY
40 - HEALOGICS WOUND CARE - WEST PARK
1900 WEST PARK DRIVE STE CNORTH WILKESBORONC28659WOUND CARE

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:THE ORGANIZATION ALSO EVALUATES CERTAIN CREDIT FILE DATA ELEMENTS TO IDENTIFY POTENTIAL SOURCES OF INCOME TO MORE ACCURATELY INFORM CHARITY CARE ELIGIBILITY ASSESSMENTS. PATIENTS WITH ESTIMATED HOUSEHOLD INCOME BELOW 300% OF FPG, WHO ARE IDENTIFIED AS HAVING COMMERCIAL CREDIT ACCOUNTS THAT ARE BEING SERVICED IN A MANNER THAT SUGGESTS ADDITIONAL SOURCES OF INCOME, ARE NOT AUTOMATICALLY GRANTED PRESUMPTIVE CHARITY CARE.
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 2017 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 $156,577,093 FOR THE FISCAL YEAR ENDED JUNE 30, 2018. 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 WAKE FOREST BAPTIST FOR WHICH THEY MAY BE ELIGIBLE. - BESTHEALTH, THE COMMUNITY WELLNESS OUTREACH PROGRAM OF WAKE FOREST BAPTIST HEALTH, OFFERS HEALTH SEMINARS, SCREENINGS, COOKING AND FITNESS CLASSES, ONLINE HEALTH RESOURCES AND A MEMBERSHIP PROGRAM WITH SPECIAL BENEFITS. SEMINARS LED BY EXPERTS FROM WAKE FOREST BAPTIST 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. SEVEN OPTIONS ARE OFFERED THROUGH THE PROGRAM: ENHANCED CARE RESOURCE NURSES, ANCHOR, CAREPLUS, ADVANCED PRACTICE PROVIDERS, SKILLED NURSING FACILITY PARTNERS, PALLIATIVE CARE, AND WAKE FOREST BAPTIST HEALTH CARE AT HOME, A JOINT PROGRAM BETWEEN WAKE FOREST BAPTIST 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. 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. RECENTLY, STUDENTS HAVE BEEN AWARDED GRANTS FOR VARIOUS HEALTH IMPROVEMENT INITIATIVES IMPLEMENTED AT DEAC, RANGING FROM NUTRITION TO SMOKING CESSATION.- THE DOWNTOWN HEALTH PLAZA (DHP) IS A FULL-SERVICE OUTPATIENT MEDICAL CLINIC SUBSIDIZED BY THE MEDICAL CENTER THAT SERVES MANY OF FORSYTH COUNTY'S UNINSURED AND UNDERINSURED RESIDENTS IN A STATE-OF-THE-ART FACILITY WITH AN ONSITE PHARMACY. DURING FY17, THERE WERE 64,768 PATIENT VISITS AT THE DOWNTOWN HEALTH PLAZA. ITS SERVICES INCLUDE:- COLLABORATION WITH THE NORTHWEST COMMUNITY CARE NETWORK (NCCN), WHICH HAS CASE MANAGERS ON-SITE IN PEDIATRICS AND INTERNAL MEDICINE.- A SATELLITE SITE FOR THE WOMEN, INFANTS AND CHILDREN NUTRITION PROGRAM (WIC).- A BEHAVIORAL HEALTH INTEGRATION PROJECT THAT SUPPORTS FOUR HEALTH CLINICIANS WHO PROVIDE BEHAVIORAL HEALTH CARE IN COLLABORATION WITH THE PATIENTS' MEDICAL PROVIDERS.- A HOME PATIENT NAVIGATOR WHO VISITS PATIENTS AFTER THEY ARE DISCHARGED FROM THE HOSPITAL TO ASSURE THAT MEDICATIONS ARE FILLED, REFERRALS ARE PREPARED AND MORE.- A COMMUNITY GARDEN THAT PROVIDES FREE, FRESH VEGETABLES AND HERBS FOR PATIENTS AND THEIR FAMILIES AND A FOOD PANTRY WHERE BAGGED NUTRITIOUS FOODS ARE AVAILABLE.- LEGAL AID OF NORTHWEST NC, WHICH PROVIDES ASSISTANCE WITH LEGAL ISSUES.- CENTERINGPREGNANCY, A PROGRAM TO REDUCE INCIDENCE OF LOW-BIRTH-WEIGHT BABIES.- CARENET COUNSELING, WHICH HELPS FAMILIES ADDRESS BEHAVIORAL CONCERNS.- IMPRINTSCARES, A PROGRAM THAT HELPS PARENTS ADDRESS DEVELOPMENTAL DELAYS IN YOUNG CHILDREN.- A HIGH-RISK OBSTETRICS CLINIC.- REACH OUT AND READ, WHICH PROVIDES FREE BOOKS TO YOUNG PATIENTS.- THE CARE PLUS PROGRAM, WHICH OFFERS HOME VISITS AND INTENSIVE PATIENT CONTACT AIMED AT 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 WAKE FOREST BAPTIST 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. WAKE FOREST BAPTIST'S FAITHHEALTH PROGRAM ALSO SUPPORTS THE GRACE FREE CLINIC.- THE SHARE THE HEALTH FAIR IS A FREE, ANNUAL COMMUNITY HEATH 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. 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 - WAKE FOREST BAPTIST HEALTH 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 - WAKE FOREST BAPTIST 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 WAKE FOREST BAPTIST COMMUNITY. WAKE FOREST BAPTIST 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, THE MEDICAL CENTER 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. WAKE FOREST BAPTIST'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 2017 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 ANY LEVEL OF 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 THREE PRIORITY CHALLENGES FOR THE COMMUNITY: (1) ACCESS/LACK OF MEDICAL SERVICES/SCREENINGS, (2) CHRONIC DISEASE - CANCER, DIABETES, OBESITY, AND (3) BEHAVIORAL/MENTAL HEALTH DISTRESS.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 THIS THREE STEP 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 2018, THE MEDICAL CENTER PROVIDED CARE TO A NINETEEN 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, BURKEPERCENT OF UNINSURED INPATIENTS 6.8%PERCENT OF INPATIENTS WHO ARE MEDICAID RECIPIENTS 19.2%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 2015 ESTIMATED CENSUS DATA: POPULATION AND GEOGRAPHYTOTAL POPULATION 369,000POPULATION CHANGE SINCE 2010 + 5.2%LAND AREA 408.1 SQUARE MILESPOPULATION DENSITY 904.19 PERSONS PER SQUARE MILE POPULATION BY RACE/ETHNICITYWHITE 57.4%BLACK/AFRICAN-AMERICAN 27.2%HISPANIC 12.7%ASIAN 2.4%AMERICAN INDIAN/ALASKAN NATIVE 0.8%NATIVE HAWAIIAN/PACIFIC ISLANDER 0.1%MULTIRACIAL 2.2% POPULATION BY AGE DISTRIBUTIONUNDER 5 YEARS OLD 6.3%UNDER 18 YEARS OLD 23.6%=/+ 65 YEARS OLD 14.7%MEDIAN AGE 37.5 YEARS POPULATION BY SEXMALE 47.5%FEMALE 52.5% POPULATION BY EDUCATIONAL ATTAINMENT PERCENT OF PERSONS = 25 YEARS OLD WHO HAVE:< HIGH SCHOOL DIPLOMA OR GED 13.2%A HIGH SCHOOL DIPLOMA OR GED 54.7%A BACHELOR'S DEGREE OR HIGHER 32.1%PERSONS IN POVERTY 19.7%UNEMPLOYMENT RATE 5.8% COUNTY SCHOOLSK-12 ENROLLMENT 54,000GRADUATION RATE 85.4% INCOMEMEDIAN FAMILY HOUSEHOLD (2014) $46,003MEDIAN NON-FAMILY HOUSEHOLD (2014) $26,670
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 $212,009AMOS COTTAGE $65,935POPULATION HEALTH PHARMACY $904,287COMMUNITY TRAINING (BLS) $706,423RAPID RESPONSE TEAM $827,122NCBH HOSPICE SERVICES $107PALLIATIVE CARE PROGRAMS $165,874FAMILY RESOURCES $15,845COMMUNITY EMS PREPAREDNESS $117,677PATIENT/FAMILY CENTERED CARE $17,528CLINICAL MINISTRIES $662,651PASTORAL & EDUCATIONAL COUNSELING $354,201PHYSICIANS COMMUNITY HEALTH ACCESS $191,751FAITHHEALTH, NC $559,283HEALTH & WELLNESS SERVICES $355,077TOTAL TO PART I, LINE 7E: $5,160,770
PART VI, LINE 7, REPORTS FILED WITH STATESNC

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (38 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)$20,000SUPPORTING PROMOTION OF INTERESTS OF NC NONPROFITS TO POLICYMAKERS AND THE PUBLIC
ALS ASSOCIATION NC CHAPTER
4 N BLOUNT STREETRALEIGHNC27601561609591501(C)(3)$6,000SUPPORTING PROGRAMS TO TREAT AND CURE ALS THROUGH GLOBAL RESEARCH AND NATION
AMERICAN HEART ASSOCIATION
101 CENTREPORT DRIVEGREENSBORONC27409135613797501(C)(3)$72,500SUPPORTING CARDIOVASCULAR RESEARCH AND PROGRAMS
ARTS COUNCIL WINSTON SALEM FORSYTH CTY
206 N SPRUCE STREETWINSTONSALEMNC27101560526856501(C)(3)$30,000SUPPORTING CULTURAL PROGRAMS IN THE COMMUNITY
CANCER SERVICES INC
3175 MAPLEWOOD AVEWINSTONSALEMNC27103560656375501(C)(3)$12,500SUPPORTING PROGRAMS TO EDUCATE/ ENHANCE LIFE FOR CANCER PATIENTS
CARENET
MEDICAL CENTER BLVDWINSTONSALEMNC27157561977341501(C)(3)$107,500HEALTHCARE COUNSELOR RESIDENCY SUPPORT
COMMUNITY CARE CENTER FOR FORSYTH CTY
2135 NEW WALKERTOWN RDWINSTONSALEMNC27101581403699501(C)(3)$10,000SUPPORTING PROGRAM TO PROVIDE FREE MEDICAL/DENTAL CARE
DAVIDSON COUNTY COMMUNITY COLLEGE FOUNDATION
PO BOX 1287LEXINGTONNC27293237079347501(C)(3)$20,000SUPPORTING ORGANIZATION PROVIDING ASSISTANCE TO STUDENTS OF DCCC
DAVIDSON COUNTY GOVERNMENT
913 GREENSBORO STREETLEXINGTONNC27292566000294GOVT$8,000COMMUNITY SUPPORT
DAVIE COMMUNITY FOUNDATION
PO BOX 546MOCKSVILLENC27028581850531501(C)(3)$20,000SUPPORTING ORGANIZATION TO PROMOTE PHILANTHROPY IN THE COMMUNITY
DAVIE COUNTY ECONOMIC DEVELOPMENT
135 SOUTH SALISBURY STMOCKSVILLENC27028561932514501(C)(3)$45,000SUPPORTING HEALTHCARE DEVELOPMENT
EL BUEN PASTOR LATINO COMMUNITY SERVICES
4637 TIM ROADWINSTONSALEMNC27106203751959501(C)(3)$8,500SUPPORTING PROGRAM TO EQUIP LATINO FAMILIES TO FULFILL EDUCATION AND ECONOMI
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
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)$15,000SUPPORTING PROGRAM PROVIDING AFFORDABLE LODGING TO PATIENTS
JDRF PIEDMONT TRIAD CHAPTER
312 N EUGENE STREETGREENSBORONC27401231907729501(C)(3)$25,000SUPPORTING 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)$10,000SUPPORTING PROGRAM TO TRAIN AND DEVELOP COMMUNITY LEADERS
MARCH OF DIMES
410 BROOKSTOWN AVEWINSTONSALEMNC27101131846366501(C)(3)$32,500SUPPORTING RESEARCH AND PROGRAMS TO END INFANT MORTALITY AND BIRTH DEFECTS
NATIONAL MULTIPLE SCLEROSIS SOCIETY
733 THIRD AVENUE 3RD FLNEW YORKNY10017135661935501(C)(3)$12,000SUPPORTING RESEARCH AND PROGRAMS TO END MULTIPLE SCLEROSIS
NC TRIAD KOMEN AFFILIATE OF SUSAN G KOMEN FND
1106 BURKE STREETWINSTONSALEMNC27101752891104501(C)(3)$25,000SUPPORTING BREAST CANCER RESEARCH
OLD SALEM MUSEUMS & GARDEN
600 MAIN STWINSTONSALEMNC27101560587289501(C)(3)$95,000COMMUNITY SUPPORT
PIEDMONT REGIONAL TRAUMA SYSTEMS
MEDICAL CENTER BLVDWINSTONSALEMNC27157562036036501(C)(3)$75,000SUPPORTING INTEGRATED TRAUMA SYSTEM
PRIDE WINSTON-SALEM
PO BOX 20732WINSTONSALEMNC27120462693107501(C)(3)$10,000SUPPORTING PROGRAM TO PROMOTE DIVERSITY IN THE COMMUNITY
RONALD MCDONALD HOUSE
419 S HAWTHORNE ROADWINSTONSALEMNC27103581454715501(C)(3)$23,500SUPPORTING PROGRAM FOR CHILDREN RECEIVING MEDICAL CARE
MORAVIAN HOME INC (SALEMTOWNE)
1000 SALEMTOWNE DRIVEWINSTONSALEMNC27106560963926501(C)(3)$100,000SUPPORTING ORGANIZATION PROVIDING LONG TERM CARE TO ELDERLY
SENIOR SERVICES INC
2895 SHOREFAIR DRIVEWINSTONSALEMNC271054237561085968501(C)(3)$125,000SUPPORTING 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
UNITED WAY OF FORSYTH COUNTY
301 N MAIN STREETWINSTONSALEMNC27101237357234501(C)(3)$163,000COMMUNITY SUPPORT
USA CYCLING INC DBA WINSTON-SALEM CYCLING
210 USA CYCLING POINT STE 100COLORADO SPRINGSCO80919841284437501(C)(3)$37,500SUPPORTING LOCAL ADMINISTRATION OF COMMUNITY CYCLING EVENTCOLORADO SPRINGS CO 80919
WILKES COMMUNITY COLLEGE FOUNDATION INC
PO BOX 120WILKESBORONC28697237338790501(C)(3)$21,000SUPPORTING ORGANIZATION PROVIDING ASSISTANCE TO STUDENTS OF WCC
WINSTON SALEM STATE UNIVERSITY
601 S MARTIN LUTHER KING JR DRWINSTONSALEMNC27110566001466GOVT$20,000SPONSORSHIP - COMMUNITY SUPPORT
WINSTON-SALEM FOUNDATION
751 W FOURTH ST STE 200 WINSTON-SALWINSTONSALEMNC27101566037615501(C)(3)$134,334COMMUNITY SUPPORTM NC 27101
WINSTON-SALEM POLICE FOUNDATION
PO BOX 24011WINSTONSALEMNC27114475289473501(C)(3)$25,000COMMUNITY SUPPORT
YMCA OF NORTHWEST NORTH CAROLINA
301 N MAIN STREET STE 1900WINSTONSALEMNC27101560530015501(C)(3)$7,500COMMUNITY SUPPORT
WINSTON-SALEM SYMPHONY ASSOCIATION
201 N BROAD STREET STE 200WINSTONSALEMNC27101560692826501(C)(3)$40,000COMMUNITY SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org37Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

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

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
MEDICAL SCHOLARSHIPS17$17,400
RUTH HOLLEMAN SCHOLARSHIPS5$5,000

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 (23 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$796,930$0$190,000$0$5,485$0$190,699$0$17,995$0$1,201,109$0$0$0
J MCLAIN WALLACE JR
SVP, GEN COUNSEL & SEC$0$483,693$0$102,659$0$102,768$0$55,373$0$16,504$0$760,997$0$0
KAREN H HUEY
VP FACILITIES$0$302,734$0$61,394$0$34,333$0$37,535$0$22,150$0$458,146$0$0
ERIC TOMLINSON
CHIEF INNOV OFF (TO 3-1-18)$412,764$0$174,074$0$107,878$0$23,184$0$12,414$0$730,314$0$1,000$0
BRADLEY A CLARK
EVP, CFO, TREASURER$0$406,688$0$75,755$0$670$0$150,891$0$20,088$0$654,092$0$0
TERRY G WILLIAMS
EVP CH STRATEGY OFFICER$0$553,516$0$183,813$0$1,932$0$152,708$0$24,272$0$916,241$0$0
KEVIN P HIGH MD
PRESIDENT, HEALTH SYSTEM$586,688$0$144,524$0$21,612$0$151,285$0$18,528$0$922,637$0$0$0
DEETTE M EMON
VP & CIO (TO 7/31/17)$0$246,718$0$109,138$0$1,127$0$22,742$0$5,780$0$385,505$0$0
ROBERT GFELLER
EVP, EXT REL & CH MKTG OFF$0$490,702$0$159,785$0$3,612$0$125,896$0$22,208$0$802,203$0$0
LILICIA BAILEY
SVP, CHIEF PEOPLE OFFICER$0$458,872$0$98,701$0$43,630$0$119,740$0$12,092$0$733,035$0$0
WILLIAM D SHOWALTER
SVP, CIO (FROM 8/15/17)$0$167,233$0$19,880$0$26,980$0$20,900$0$7,228$0$242,221$0$0
MICHAEL T WAID
SVP HLTH SYS OPS & INTEG$0$398,018$0$95,637$0$23,927$0$107,262$0$22,892$0$647,736$0$0
CATHLEEN WHEATLEY
CHIEF NURSE EXEC, VP CLINI$0$435,264$0$90,545$0$3,612$0$110,003$0$10,152$0$649,576$0$0
CHARLES R VIGNOS
VP MANAGED CARE$0$367,336$0$100,832$0$21,518$0$92,429$0$18,690$0$600,805$0$0
ERWIN STAINBACK
VP, CLINICAL OPERATIONS$0$180,618$0$66,896$0$223,401$0$11,184$0$10,793$0$492,892$0$0
DENISE CHAMBERLAIN
AVP, ASST CFO$0$206,887$0$84,743$0$202,961$0$22,184$0$5,949$0$522,724$0$0
JOANNE C RUHLAND
FORMER OFFICER$0$300,690$0$0$0$71,713$0$24,284$0$18,688$0$415,375$0$0
NORMAN D POTTER JR
FORMER OFFICER (2/28/17)$52,236$0$56,356$0$421,539$0$3,967$0$6,005$0$540,103$0$225,858$0
CHERYL EH LOCKE
FORMER OFFICER$0$178,559$0$80,567$0$226,343$0$21,588$0$8,862$0$515,919$0$61,120
RUSSELL M HOWERTON MD
FORMER OFFICER$537,214$0$126,166$0$145,746$0$30,869$0$23,362$0$863,357$0$0$0
JOHN D MCCONNELL MD
FORMER OFFICER (4/26/17)$1,026,360$0$267,085$0$566,952$0$269,643$0$19,534$0$2,149,574$0$0$0
EDWARD ABRAHAM MD
FORMER OFFICER (6/30/17)$309,744$0$187,724$0$153,334$0$23,184$0$7,810$0$681,796$0$139,000$0
CHAD A ECKES
FORMER OFFICER (6/11/17)$0$346,612$0$0$0$640,420$0$22,984$0$10,912$0$1,020,928$0$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 2017 COMPENSATION: SEVERANCE PAYMENTS: BARBARA CARBONE 76,667 DENISE CHAMBERLAIN 110,000 CHAD ECKES 640,000 CHERYL LOCKE 150,000 NORMAN POTTER 184,000 SERP PAYMENTS: JOHN D. MCCONNELL, MD 546,312 ERIC TOMLINSON 76,900 JOANNE RUHLAND 44,500 CHERYL LOCKE 61,120 EDWARD ABRAHAM, MD 139,000 DENISE CHAMBERLAIN 77,740 RUSSELL HOWERTON 122,202 KAREN HUEY 32,743 NORMAN POTTER 232,579 J. MCLAIN WALLACE 81,156 MICHAEL WAID 3,995
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, NORMAN D. POTTER, JR., EDWARD ABRAHAM, MD, ERIC TOMLINSON, DCS, PHD, RUSSELL M. HOWERTON, MD

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapital ExpendituresCapitalExpendituresAmt
A$70,400,000$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

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 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)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 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)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

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

Supplemental Information Detail SupplementalInformationDetail (5 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 II, LINE 11, COLUMN AOTHER SPENT PROCEEDS ARE THE CURRENT REFUNDING PROCEEDS OF THE ISSUE.
PART III, COLUMN A,ALL 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$9,353NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution2ContributionCnt
Noncash Contributions Rpt F990$12,744NoncashContributionsRptF990Amt
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, 2018 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., THE HAWTHORNE INN AND CONFERENCE CENTER, 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 2.0 GEORGE D RENFRO FILING ORG 2.0 RELATED ORG 6.0 MICHAEL T WELLS FILING ORG 2.0 RELATED ORG 2.0 JOHN D MCCONNELL, MD RELATED ORG 39.9 UNRELATED ORG 0.1 JULIE A. FRIESCHLAG, M.D. FILING ORG 16.2 RELATED ORG 5.0 UNRELATED ORG 18.8 J MCLAIN WALLACE, JR FILING ORG 29.7 RELATED ORG 8.7 UNRELATED ORG 1.6 KAREN H HUEY FILING ORG 21.5 RELATED ORG 5.7 UNRELATED ORG 12.9 ERIC TOMLINSON FILING ORG 5.2 RELATED ORG 5.0 UNRELATED ORG 29.8 BRADLEY A. CLARK FILING ORG 19.3 RELATED ORG 8.7 UNRELATED ORG 12.1 TERRY G. WILLIAMS FILING ORG 26.7 RELATED ORG 6.0 UNRELATED ORG 7.4 KEVIN HIGH, M.D. FILING ORG 23.7 RELATED ORG 6.0 UNRELATED ORG 10.3 DEETTE M. EMON FILING ORG 22.5 RELATED ORG 5.0 UNRELATED ORG 12.5 ROBERT GFELLER FILING ORG 20.0 RELATED ORG 5.0 UNRELATED ORG 15.0 WILLIAM SHOWALTER FILING ORG 30.0 RELATED ORG 5.0 UNRELATED ORG 5.0 LILICIA BAILEY FILING ORG 32.6 RELATED ORG 5.0 UNRELATED ORG 2.4 RUSSELL HOWERTON FILING ORG 20.7 UNRELATED ORG 19.3 JOANNE RUHLAND FILING ORG 25.0 UNRELATED ORG 15.0 CATHLEEN WHEATLEY FILING ORG 38.6 UNRELATED ORG 1.4 MICHAEL T. WAID FILING ORG 33.7 UNRELATED ORG 6.3 CHARLES R. VIGNOS FILING ORG 37.8 UNRELATED ORG 2.2 WAKE FOREST UNIVERSITY HEALTH SCIENCES IS AN UNRELATED ORGANIZATION 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 68,229,484. MANAGEMENT AND GENERAL EXPENSES 33,950,608. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 102,180,092. MCIA: PROGRAM SERVICE EXPENSES 177,175,980. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 177,175,980.
FORM 990, PART XI, LINE 9:ACTUARY GAIN 9,493,458. AFFILIATE LOSSES 57,193,845.

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$1,208,229$30,562,527NORTH CAROLINA BAPTIST HOSPITAL
WAKE WELLQ LLC
MEDICAL CENTER BLVDWINSTON SALEMNC27157824319168MEDICAL SERVICESNC$2,600$0CARENET INC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 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)
THE HAWTHORNE INN & CONFERENCE CENTER INC
420 HIGH STREETWINSTON SALEMNC27101561793617LODGING/CONFERENCE ACCOMODATIONNC501(C)(3)LINE 12A, INORTH CAROLINA BAPTIST HOSPITALYes (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$1,075,652ShareOfTotalIncomeAmt
Share Of EOY Assets$19,371,372ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd
Ownership0.72880OwnershipPct
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 Org0RentalOfFacilitiesToOthOrgInd
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 (13 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION
A$32,292COST
THE HAWTHORNE INN & CONFERENCE CENTER INC
K$37,980COST
THE HAWTHORNE INN & CONFERENCE CENTER INC
P$71,690FMV
THE HAWTHORNE INN & CONFERENCE CENTER INC
S$4,400,000FMV
CARENET INC
Q$194,154FMV
NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION
Q$2,069,754FMV
NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION
S$436,191COST
NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION
C$850,000COST
WAKE WELLQ LLC
Q$12,226COST
CLEMMONS MEDICAL PARK LLC
K$1,063,242COST
CORNERSTONE HEALTH ENABLEMENT STRATEGIC SOLUTIONS LLC
Q$382,682COST
CARENET INC
P$212,738COST
CARENET INC
B$107,500COST