WAKEMED: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: WAKEMED (EIN 56-6017737)
Tax period: 2017-10-01 to 2018-09-30
Filed: 2019-08-07
IRS object ID: 201942199349300644
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-08-07T12:05:23-05:00	ReturnTs
Tax Period End	2018-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	100 NORTH TRYON STREET SUITE 3800	AddressLine1Txt
City	CHARLOTTE	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	29202	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	566017737	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
In Care Of	% RICHARD F CARRICO CFO WAKEM	InCareOfNm
Business Name Control	WAKE	BusinessNameControlTxt
Phone	9193500522	PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	RICHARD F CARRICO	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	9193500522	PhoneNum
Signature	2019-08-07	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	CHRISTOPHER B BOGGS	PreparerPersonNm
PTIN	P00032493	PTIN
Phone	7043726300	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	164.57.159.254	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	58145420192195000002	FederalOriginalSubmissionId
Federal Original Submission Id	2019-08-07	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	BEE816BADD25910960E744A98AF4267C63CAEDF6	AtSubmissionCreationDeviceId
At Submission Filing Device Id	9D5EEB42429821CBACA628CB88EB15E2B93F9A36	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$1,702,907,803	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.WAKEMED.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1965	FormationYr
Legal Domicile State	NC	LegalDomicileStateCd
Activity Or Mission	THE MISSION OF WAKEMED IS TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY WITH OUSTANDING AND COMPASSIONATE CARE TO ALL.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	10580	TotalEmployeeCnt
Total Volunteers	2021	TotalVolunteersCnt
Total Gross UBI	$9,698,130	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$806,870	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$4,576,752	PYContributionsGrantsAmt
CY Contributions Grants	$5,294,202	CYContributionsGrantsAmt
PY Program Service Revenue	$1,231,241,669	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,290,894,742	CYProgramServiceRevenueAmt
PY Investment Income	$9,429,305	PYInvestmentIncomeAmt
CY Investment Income	$10,719,313	CYInvestmentIncomeAmt
PY Other Revenue	-$1,576,924	PYOtherRevenueAmt
CY Other Revenue	-$2,874,782	CYOtherRevenueAmt
PY Total Revenue	$1,243,670,802	PYTotalRevenueAmt
CY Total Revenue	$1,304,033,475	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,207,049	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,120,826	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$706,540,835	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$760,513,477	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$484,303,264	PYOtherExpensesAmt
CY Other Expenses	$505,807,395	CYOtherExpensesAmt
PY Total Expenses	$1,193,051,148	PYTotalExpensesAmt
CY Total Expenses	$1,268,441,698	CYTotalExpensesAmt
PY Revenues Less Expenses	$50,619,654	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$35,591,777	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,470,677,957	TotalAssetsBOYAmt
Total Assets EOY	$1,508,036,898	TotalAssetsEOYAmt
Total Liabilities BOY	$755,793,187	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$745,412,788	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$714,884,770	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$762,624,110	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE MISSION OF WAKEMED IS TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY WITH UNDERSTANDING AND COMPASSIONATE CARE TO ALL.	MissionDesc
Significant New Program Srvc	Yes (true)	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$287,061,714	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$344,329,046	RevenueAmt
Desc	SURGICAL SERVICES WAKEMED PROVIDES SURGICAL SERVICES IN FOUR LOCATIONS THROUGHOUT THE COUNTY: WAKEMED RALEIGH CAMPUS, WAKEMED CARY HOSPITAL, WAKEMED NORTH, AND CAPITAL CITY SURGERY, OF WHICH WAKEMED IS A MAJORITY INVESTOR. BY DELIVERING SURGICAL SERVICES TO ALL WHO SEEK CARE REGARDLESS OF THEIR ABILITY TO PAY AND BY HAVING INPATIENT SERVICES IN THREE DISTINCT LOCATIONS THROUGHOUT THE COUNTY, WAKEMED HAS IMPROVED ACCESS TO THESE NEEDED SERVICES. WAKEMEDS WIDE RANGE OF SURGICAL SPECIALTIES INCLUDE BARIATRIC, CARDIOVASCULAR AND THORACIC, ENT, HEAD AND NECK, ADULT AND PEDIATRIC GASTROINTESTINAL, GENERAL, NEUROSURGERY, OBSTETRICS AND GYNECOLOGY, ORTHOPEDICS, PEDIATRIC, UROLOGY, AND VASCULAR. AS WAKE COUNTYS ONLY STATE DESIGNATED LEVEL 1 TRAUMA CENTER, WAKEMED PROVIDES COMPREHENSIVE TRAUMA SURGERY FOR GENERAL, ORTHOPEDIC, NEUROSURGERY, AND VASCULAR TRAUMA PATIENTS. BECAUSE ACCESS TO SPECIALTY CARE CONTINUES TO BE A KEY HEALTH CONCERN FACING OUR COMMUNITY, WAKEMED HAS EXPANDED ITS NETWORK OF SPECIALISTS THROUGH WAKEMED PHYSICIANS WHO PROVIDE SUBSPECIALTY CARE TO THE UNINSURED AND UNDERINSURED IN OUR COMMUNITY. OUR STAFF WORKS WITH THE PATIENT TO DISCOUNT THEIR FEES BASED ON INDIVIDUAL INCOME AND NEED. MANY PHYSICIANS ON THE MEDICAL STAFF CONTINUE THIS PRACTICE OF PROVIDING QUALITY CARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. IN FISCAL YEAR 2018, OUR SURGICAL PATIENTS INCLUDED 32.7% WHO WERE INSURED UNDER MEDICARE, 14.7% WHO WERE INSURED UNDER MEDICAID, AND 5.4% WHO WERE UNINSURED (OR "SELF-PAY OR CHARITY CARE").	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$141,237,335	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$192,425,740	RevenueAmt
Desc	EMERGENCY A CRITICAL ISSUE FACING WAKE COUNTY RESIDENTS CONTINUES TO BE ACCESS TO AFFORDABLE HEALTH CARE. TO ADDRESS THIS CHALLENGE, WAKEMED HAS STRATEGICALLY PLACED SIX FULL-SERVICE, EMERGENCY DEPARTMENTS IN KEY GEOGRAPHIC AREAS THROUGHOUT THE COUNTY IN RALEIGH, CARY, NORTH RALEIGH, APEX, BRIER CREEK, AND GARNER. LOCATED IN RALEIGH, WAKEMED ALSO OPERATES THE ONLY CHILDRENS EMERGENCY DEPARTMENT IN THE COUNTY. BECAUSE PHYSICIAN AVAILABILITY IS KEY TO OPENING ACCESS TO CARE, WAKEMEDS PHYSICIAN PRACTICES, HEALTHPLEXES, AND OUTPATIENT SERVICES ARE CONVENIENTLY POSITIONED THROUGH THE AREA. WAKEMED IS AMONG THE TOP THREE VOLUME PROVIDERS OF EMERGENCY CARE IN NORTH CAROLINA. WAKEMEDS RALEIGH CAMPUS IS ALSO HOME TO WAKE COUNTYS ONLY LEVEL 1 TRAUMA CENTER, THE HIGHEST DESIGNATION AWARDED TO TRAUMA CENTERS IN NORTH CAROLINA. OUR TRAUMA SERVICE INCLUDES A COMPREHENSIVE RESEARCH PROGRAM, INJURY PREVENTION PROGRAMS, FELLOWSHIP TRAINED TRAUMA SURGEONS ON-SITE 24/7, A MULTI-DISCIPLINARY TEAM OF PROFESSIONALS, THE CLINICAL SUPPORT OF SIX ADULT INTENSIVE CARE UNITS AND A PEDIATRIC INTENSIVE CARE UNIT, AS WELL AS A COMPREHENSIVE ACUTE, INPATIENT AND OUTPATIENT PHYSICAL REHABILITATION PROGRAM. WAKEMEDS EMERGENCY AND TRAUMA SERVICES TREAT ALL PATIENTS WHO PRESENT SEEKING MEDICAL CARE, REGARDLESS OF THEIR ABILITY TO PAY. IN FY 2018, 18.8% OF OUR TOTAL EMERGENCY PATIENTS WERE INSURED UNDER MEDICARE; 27.2% WERE INSURED UNDER MEDICAID; AND 17.4% WERE UNINSURED SELF-PAY/CHARITY CARE. OVER 47% OF ALL PATIENTS SEEN IN OUR EMERGENCY DEPARTMENTS ARE EITHER MEDICAID OR UNINSURED PATIENT, RESULTING IN WAKEMED PROVIDING CARE TO AN ESTIMATED 69% OF WAKE COUNTYS UNINSURED AND MEDICAID PATIENTS. ALL STAND-ALONE LOCATIONS SERVE AREAS WHICH ARE OTHERWISE UNDERSERVED BY DEDICATED MEDICAL SERVICES.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$127,853,647	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$137,360,246	RevenueAmt
Desc	HEART CENTER WAKEMEDS HEART AND VASCULAR PROGRAM IS ONE OF THE LARGEST AND MOST COMPREHENSIVE CARDIOVASCULAR PROGRAMS IN THE STATE OF NORTH CAROLINA. LAST YEAR, 17,281 CARDIOVASCULAR PROCEDURES WERE PERFORMED INCLUDING SURGERY, DIAGNOSTIC AND INTERVENTIONAL CARDIAC CATHETERIZATIONS AND ELECTROPHSIOLOGY STUDIES. THOUSANDS MORE PATIENTS WERE TREATED MEDICALLY AS IN- AND OUTPATIENT THROUGHOUT THE SYSTEM. WAKEMED HEALTH & HOSPITALS HAS CONSISTENTLY BEEN NATIONALLY RECOGNIZED FOR EXCELLENCE IN BOTH STROKE AND HEART CARE. WAKEMED RALEIGH CAMPUS AND WAKEMED CARY HOSPITAL RECEIVED RECOGNITION FROM THE AMERICAN HEART ASSOCIATION AND THE AMERICAN STROKE ASSOCIATION THROUGH THEIR GET WITH THE GUIDELINES (GWTG) AWARDS, EACH EARNING GOLD PLUS ACHIEVEMENT AWARDS FOR BOTH STROKE CARE AND FOR HEART FAILURE CARE. THESE RECOGNITIONS SIGNIFY THAT WAKEMED HAS REACHED AN AGGRESSIVE GOAL OF TREATING BOTH STROKE AND HEART FAILURE PATIENTS ACCORDING TO THE GUIDELINES OF CARE RECOMMENDED BY THE AMERICAN STROKE ASSOCIATION, AMERICAN HEART ASSOCIATION, AND AMERICAN COLLEGE OF CARDIOLOGY. BOTH WAKEMED CARY HOSPITAL AND WAKEMED RALEIGH CAMPUS RECEIVED CHEST PAIN CENTER ACCREDITATION BY THE SOCIETY OF CARDIOVASCULAR PATIENT CARE, AND BOTH RECEIVED THE JOINT COMMISSION ADVANCED CERTIFICATION FOR PRIMARY STROKE CENTER. IN ADDITION, WAKEMED RALEIGH CAMPUS RECEIVED THE SILVER LEVEL AWARD AS A REFERRING HOSPITAL FROM THE AMERICAN HEART ASSOCIATIONS MISSION LIFELINE. WAKEMED HEALTH & HOSPITALS WAS ALSO DESIGNATED A BLUE DISTINCTION CENTER FOR CARDIAC CARE BY BLUECROSS BLUESHIELD OF NC. A KEY SUPPORT SERVICE FOR OUR COMMUNITY, WAKEMED MOBILE CRITICAL CARE SERVICES IS A COMPREHENSIVE MEDICAL TRANSPORT PROGRAM THAT IMPROVES ACCESS TO ACUTE CARE AND FACILITATES TRANSPORT INTO, OUT OF, AND ACROSS THE HEALTH CARE SYSTEM. WAKEMED MOBILE CRITICAL CARE SERVICES TRANSPORTS PATIENTS THROUGHOUT THE REGION AND STATE. IN 2018, THE TEAM TRANSPORTED 18,514 PATIENTS. WAKEMEDS HEART CENTER HAS MADE SIGNIFICANT STRIDES IN PROGRAMS AND SERVICES AIMING TO REDUCE HEART DISEASE AND DIABETES, IMPROVE STROKE OUTCOMES AND IMPROVE PATIENTS UNDERSTANDING OF DISEASE MANAGEMENT. WE KNOW THAT TEACHING PATIENTS ABOUT THEIR RISK FACTORS FOR HEART DISEASE AND ENCOURAGING HEALTHY BEHAVIORS THROUGH LIFESTYLE CHANGES BUILDS A FOUNDATION FOR A HEALTHIER POPULATION. THUS, THE WAKEMED HEART CENTER PROVIDES A COMPREHENSIVE CONTINUUM OF CARE FOR THE CARDIAC PATIENT FROM OUTREACH EDUCATION AND PREVENTION TO DIAGNOSIS, INTERVENTION, SURGERY, CARDIAC REHABILITATION AND OUTGOING DISEASE MANAGEMENT FOR HEART FAILURE DIABETES. FREE EDUCATION PROGRAMS ARE OFFERED REGULARLY FOR OUR PATIENTS, THEIR FAMILY MEMBERS AND THE COMMUNITY TO COMPLEMENT OUR COMPREHENSIVE CARE SERVICES. BECAUSE THE FASTEST INTERVENTION PROVIDES THE BEST INCOMES, ALL OF WAKEMEDS EMERGENCY DEPARTMENTS ARE CERTIFIED CHEST PAIN CENTERS. WAKEMED RALEIGH CAMPUS AND CARY HOSPITAL ARE DESIGNATED PRIMARY STROKE CENTERS. ADDITIONALLY, WAKEMEDS HEART CENTER PROVIDES FREE HEALTH SCREENINGS THROUGHOUT THE COMMUNITY INCLUDING CHOLESTEROL SCREENINGS, BLOOD PRESSURE CHECKS, VASCULAR SCREENINGS, AND STROKE ASSESSMENTS. THESE SCREENINGS ARE DESIGNED TO BE A SECONDARY PREVENTION ACTIVITY TO DETECT EARLY ONSET OF DISEASE OR ILLNESS. WAKEMED HEART & VASCULAR PROVIDES NUMEROUS OPPORTUNITIES FOR HEART HEALTH EDUCATION AND CPR TRAINING IN THE COMMUNITY. ONE OF OUR KEY OUTREACH PROGRAMS IS CPR ANYTIME. THIS PROGRAM IS PROVIDED AT MULTIPLE LOCATIONS IN WAKE COUNTY THROUGHOUT THE YEAR AND THE CPR ANYTIME KITS ARE PROVIDED AT NO COST TO PARTICIPANTS. WAKEMED DOES MAKE THE OPPORTUNITY FOR DONATIONS AVAILABLE TO HELP UNDERWRITE SOME OF THE COST AND ALLOW THE PROGRAM TO CONTINUE TO GROW. DONATIONS COVER LESS THAN 10% OF THE OVERALL COST.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$579,485,973	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$2,120,826	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$613,175,302	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$1,135,638,669	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	609	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	10580	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NC	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	RICHARD F CARRICO CFO WAKEM	PersonNm
Phone	9193500522	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (50 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
HENRY DARNELL
BOARD MEMBER	3.0	0.0	Yes (X)	$0	$0	$0
STEPHEN M SMITH
BOARD MEMBER	3.0	0.0	Yes (X)	$0	$0	$0
BRENDA C GIBSON
CHAIR - BOARD OF DIRECTORS	6.25	0.0	Yes (X)	$0	$0	$0
JERRY C BERNSTEIN MD
BOARD MEMBER	3.0	0.0	Yes (X)	$0	$0	$0
ROBERT A CERWIN
BOARD MEMBER	2.75	0.0	Yes (X)	$0	$0	$0
A BLANTON GODFREY PHD
BOARD MEMBER	2.75	0.0	Yes (X)	$0	$0	$0
VERN DAVENPORT
BOARD MEMBER	2.75	0.0	Yes (X)	$0	$0	$0
ROBERT C RICE JR
BOARD MEMBER	3.25	0.0	Yes (X)	$0	$0	$0
WILLY E STEWART
SECRETARY, BOARD OF DIRECTORS	2.75	0.0	Yes (X)	$0	$0	$0
DAN BLUE III
BOARD MEMBER	2.75	0.0	Yes (X)	$0	$0	$0
CHRISTINA ALVARADO SHANAHAN
VICE CHAIR, BOARD OF DIRECTORS	2.5	0.0	Yes (X)	$0	$0	$0
James Anthony Penry
BOARD MEMBER	2.75	0.0	Yes (X)	$0	$0	$0
R Donovan Munford
BOARD MEMBER	1.75	0.0	Yes (X)	$0	$0	$0
Sonia Barnes
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
DONALD R GINTZIG
President & CEO	75.0	0.0		$1,509,505	$0	$41,299	Yes (X)
DENISE WARREN
Exec VP & COO	65.0	0.0		$777,166	$0	$35,354	Yes (X)
Rick Carrico
CFO	60.0	0.0		$384,033	$0	$31,624	Yes (X)
ROYLYN JOHNSON
OFFICER - SECRETARY	50.0	0.0		$108,334	$0	$15,368	Yes (X)
THEODORE LOTCHIN
VP - CHIEF COMPL. & PRIVACy	60.0	0.0		$61,796	$0	$4,712	Yes (X)
CAROLYN KNAUP
SENIOR VP-AMBULATORY SERVICES	62.0	0.0		$371,369	$0	$37,587		Yes (X)
CYNTHIA ALNESS-BOILY
SENIOR VP-OPERATIONS & CNO	60.0	0.0		$451,985	$0	$33,879		Yes (X)
GEORGIA C HARRINGTON
VP-OPS (END 4/6/18)	55.0	0.0		$317,168	$0	$31,332		Yes (X)
Charles Harr
Chief Medical Officer, Raleigh	60.0	0.0		$527,170	$0	$18,700		Yes (X)
Christine Craig
VP, Governmental Affairs	55.0	0.0		$268,110	$0	$31,789		Yes (X)
J West Paul
SVP & Ch Quality/Med Staff Ofc	60.0	0.0		$507,418	$0	$42,410		Yes (X)
Rebecca Andrews
SVP & ADMIN RALEIGH	63.0	0.0		$477,588	$0	$27,857		Yes (X)
Seth Brody
Chief Medical Officer, Cary	60.0	0.0		$471,716	$0	$17,200		Yes (X)
Stephanie Sessoms
VP FINANCE	60.0	0.0		$358,333	$0	$37,924		Yes (X)
Susan James
VP & Chief Legal Officer	55.0	0.0		$374,255	$0	$39,830		Yes (X)
Thomas Gough
SVP - Administrator Cary	60.0	0.0		$393,045	$0	$39,603		Yes (X)
SHERI D DESHAZO
SR VP ADMINISTRATION-NORTH	65.0	0.0		$286,419	$0	$40,438		Yes (X)
Debra Laughery
VP - Public Relations	60.0	0.0		$308,471	$0	$16,300		Yes (X)
MATTHEW NATHAN BEG 9262016
SENIOR VP - PHYSICIAN SERVICES	65.0	0.0		$533,752	$0	$20,039		Yes (X)
KAREN BASH
CMO, NORTH HOSPITAL	60.0	0.0		$411,572	$0	$32,028		Yes (X)
RICK SHRUM beg 1117
VP & CHIEF STRATEGY OFFICER	60.0	0.0		$354,099	$0	$42,857		Yes (X)
JOHN PERRY
VP MEDICAL EDUCATION	60.0	0.0		$339,795	$0	$40,603		Yes (X)
CHANTAL HOWARD
VP NURSING, RALEIGH	60.0	0.0		$222,754	$0	$23,737		Yes (X)
PETER MARKS
VP & CIO (beg 6/26/17)	60.0	0.0		$172,517	$0	$9,711		Yes (X)
JEANENE R MARTIN
SENIOR VP-HUMAN RESOURCES	60.0	0.0		$420,007	$0	$35,477		Yes (X)
THOMAS G CAVENDER
VP FACILITIES & CONSTRUCTION	50.0	0.0		$359,580	$0	$21,126		Yes (X)
GURVINDER S DEOL
PHYSICIAN	65.0	0.0		$1,336,445	$0	$36,015			Yes (X)
JONATHAN D CHAPPELL
PHYSICIAN	60.0	0.0		$1,031,691	$0	$33,333			Yes (X)
Bryon Boulton
Physician	61.0	0.0		$1,248,510	$0	$30,351			Yes (X)
Conor Regan
Physician	60.0	0.0		$953,012	$0	$24,742			Yes (X)
OKECHUKWU NWOKO
PHYSICIAN	60.0	0.0		$952,458	$0	$17,871			Yes (X)
JOHN R FINLEY END 81817
CHIEF COMPLIANCE OFFICER	0.0	0.0		$186,588	$0	$0				Yes (X)
BETSY GASKINS-MCCLAINE
VP HEART & VASCULAR	65.0	0.0		$322,791	$0	$25,015				Yes (X)
VICKI BLOCK
Former SR VP & ADMIN. RALEIGH	0.0	0.0		$190,384	$0	$0				Yes (X)
JOHN S PIATKOWSKIEND 1216
FORMER SR VP AMB & PHYS OP	0.0	0.0		$463,407	$0	$850				Yes (X)
E DENTON ARLEDGE
FORMER VP & CIO (end 8/18/17)	0.0	0.0		$359,510	$0	$23,828				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$17,812,753	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$960,789	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	950	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
UNIVERSITY OF NC HOSPITALS
211 FRIDAY CENTER DRIVE SUITE 2033	CHAPEL HILL	NC	27517	HEALTH CARE SYSTEM	$4,104,724
AMCOL SYSTEMS
PO BOX 21625	COLUMBIA	SC	29221	COLLECTION SERVICES	$3,052,349
LABORATORY CORPORATION OF AMERICA
PO BOX 12140	BURLINGTON	NC	27216	DIAGNOSTIC TESTING	$2,796,388
NAVIGANT CONSULTING INC
4511 PAYSPHERE CIRCLE	CHICAGO	IL	60674	CONSULTING SERVICES	$2,012,952
WAKE MEDICAL LABORATORY CONSULTANTS
PO BOX 14004	RALEIGH	NC	27620	PATHOLOGY SERVICES	$1,897,087

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	93	CntrctRcvdGreaterThan100KCnt
Fundraising	$0	FundraisingAmt
Related Organizations	$0	RelatedOrganizationsAmt
Government Grants	$4,704,737	GovernmentGrantsAmt
All Other Contributions	$589,465	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$5,294,202	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PATIENT SERVICES	621511	$1,240,299,447	$1,240,299,447	$0	$0
NON-PATIENT SERVICES	621500	$8,395,650	$0	$8,395,650	$0
CAFETERIA	722210	$5,269,207	$0	$0	$5,269,207
PURCH DISCNTS/REBATES/VHA	900099	$4,601,640	$4,601,640	$0	$0
OTHER OPERATING REVENUE	900099	$28,468,287	$17,190,755	$1,302,480	$9,975,052

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,860,511	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,860,511	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,290,894,742	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,640,071	TotalRevenueColumnAmt
Exclusion	$11,640,071	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$853,333	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$123,707	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$729,626	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$729,626	TotalRevenueColumnAmt
Exclusion	$729,626	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$396,207,101	SecuritiesAmt
Other	$1,622,762	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$398,101,698	SecuritiesAmt
Other	$648,923	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$1,894,597	SecuritiesAmt
Other	$973,839	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$920,758	TotalRevenueColumnAmt
Exclusion	-$920,758	ExclusionAmt

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

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

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

Net Income From Gaming NetIncomeFromGamingGrp

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

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	LOSS FROM JOINT VENTURES	Desc
Business	900099	BusinessCd
Total Revenue Column	-$3,604,408	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$3,604,408	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	-$3,604,408	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,304,033,475	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,262,347,945	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$9,698,130	UnrelatedBusinessRevenueAmt
Exclusion	$26,693,198	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,887,255	TotalAmt
Program Services	$1,887,255	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$233,571	TotalAmt
Program Services	$233,571	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$11,252,614	TotalAmt
Program Services	$9,002,091	ProgramServicesAmt
Management And General	$2,250,523	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$623,381,262	TotalAmt
Program Services	$529,874,073	ProgramServicesAmt
Management And General	$93,507,189	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$29,958,578	TotalAmt
Program Services	$25,464,791	ProgramServicesAmt
Management And General	$4,493,787	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$55,649,436	TotalAmt
Program Services	$47,302,021	ProgramServicesAmt
Management And General	$8,347,415	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$40,271,587	TotalAmt
Program Services	$34,230,849	ProgramServicesAmt
Management And General	$6,040,738	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$681,216	TotalAmt
Program Services	$640,343	ProgramServicesAmt
Management And General	$40,873	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$337,584	TotalAmt
Program Services	$309,058	ProgramServicesAmt
Management And General	$28,526	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$406,383	TotalAmt
Program Services	$382,000	ProgramServicesAmt
Management And General	$24,383	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$71,143,668	TotalAmt
Program Services	$66,875,048	ProgramServicesAmt
Management And General	$4,268,620	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$5,694,895	TotalAmt
Program Services	$5,353,201	ProgramServicesAmt
Management And General	$341,694	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$41,152,579	TotalAmt
Program Services	$38,683,424	ProgramServicesAmt
Management And General	$2,469,155	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$19,160,147	TotalAmt
Program Services	$18,010,538	ProgramServicesAmt
Management And General	$1,149,609	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$24,643,304	TotalAmt
Program Services	$23,164,706	ProgramServicesAmt
Management And General	$1,478,598	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,221,066	TotalAmt
Program Services	$1,147,802	ProgramServicesAmt
Management And General	$73,264	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,088,231	TotalAmt
Program Services	$1,022,937	ProgramServicesAmt
Management And General	$65,294	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$16,803,625	TotalAmt
Program Services	$16,803,625	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$70,168,694	TotalAmt
Program Services	$70,168,694	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,342,687	TotalAmt
Program Services	$5,022,126	ProgramServicesAmt
Management And General	$320,561	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$174,737,061	$174,737,061	$0	$0
GAP ASSESSMENT	$27,635,667	$25,977,527	$1,658,140	$0
REPAIRS AND MAINTENANCE	$25,065,893	$20,052,714	$5,013,179	$0
MINOR EQUIPMENT	$3,953,240	$3,716,046	$237,194	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$16,571,455	TotalAmt
Program Services	$15,577,168	ProgramServicesAmt
Management And General	$994,287	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,268,441,698	TotalAmt
Program Services	$1,135,638,669	ProgramServicesAmt
Management And General	$132,803,029	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$56,898	BOYAmt
EOY	$53,965	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$540,650,124	BOYAmt
EOY	$549,422,956	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$219,507	BOYAmt
EOY	$228,162	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$156,410,612	BOYAmt
EOY	$148,500,485	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,881,875	BOYAmt
EOY	$1,836,063	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$19,416,868	BOYAmt
EOY	$20,962,630	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$10,907,317	BOYAmt
EOY	$11,609,110	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,566,415,172	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,062,357,992	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$511,584,721	BOYAmt
EOY	$504,057,180	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$98,701,773	BOYAmt
EOY	$156,200,777	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$265,290	BOYAmt
EOY	$566,301	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$130,582,972	BOYAmt
EOY	$114,599,269	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,470,677,957	BOYAmt
EOY	$1,508,036,898	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$159,909,506	BOYAmt
EOY	$163,132,447	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$309,201	BOYAmt
EOY	$619,450	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$409,952,370	BOYAmt
EOY	$397,702,019	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$157,000,000	BOYAmt
EOY	$157,000,000	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$28,622,110	BOYAmt
EOY	$26,958,872	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$755,793,187	BOYAmt
EOY	$745,412,788	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$714,183,517	BOYAmt
EOY	$761,814,832	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$364,804	BOYAmt
EOY	$473,772	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$336,449	BOYAmt
EOY	$335,506	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$714,884,770	BOYAmt
EOY	$762,624,110	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,470,677,957	BOYAmt
EOY	$1,508,036,898	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$35,591,777	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$15,438,420	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$3,290,857	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Media Advertisements	$0	MediaAdvertisementsAmt
Mailings Members	false	MailingsMembersInd
Mailings Members	$0	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Publications Or Broadcast	$0	PublicationsOrBroadcastAmt
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Grants Other Organizations	$0	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$544,585	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Rallies Demonstrations	$0	RalliesDemonstrationsAmt
Other Activities	false	OtherActivitiesInd
Other Activities	$0	OtherActivitiesAmt
Total Lobbying Expenditures	$544,585	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

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

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$335,518	BeginningYearBalanceAmt
Investment Earnings Or Losses	$3,601	InvestmentEarningsOrLossesAmt
Administrative Expenses	$1,766	AdministrativeExpensesAmt
End Year Balance	$337,353	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$332,541	BeginningYearBalanceAmt
Investment Earnings Or Losses	$4,776	InvestmentEarningsOrLossesAmt
Administrative Expenses	$1,799	AdministrativeExpensesAmt
End Year Balance	$335,518	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$329,232	BeginningYearBalanceAmt
Investment Earnings Or Losses	$5,081	InvestmentEarningsOrLossesAmt
Administrative Expenses	$1,772	AdministrativeExpensesAmt
End Year Balance	$332,541	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$628,355,087	OtherCostOrOtherBasisAmt
Depreciation	$332,033,824	DepreciationAmt
Book Value	$296,321,263	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$31,046,486	OtherCostOrOtherBasisAmt
Depreciation	$18,334,749	DepreciationAmt
Book Value	$12,711,737	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$864,823,906	OtherCostOrOtherBasisAmt
Depreciation	$693,912,817	DepreciationAmt
Book Value	$170,911,089	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$38,325,324	OtherCostOrOtherBasisAmt
Depreciation	$18,076,602	DepreciationAmt
Book Value	$20,248,722	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$504,057,180	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
RESTRICTED FUNDS	$37,507,730
DESIGNATED FUNDS	$31,379,926
OTHER EQUITY INVESTMENTS	$31,845,909
PREPAID PENSION	$13,865,704

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$114,599,269	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
TOTAL DUE TO THIRD PARTY PAYOR	$6,873,719
ACCRUED CLAIMS PAYABLE	$14,740,205
PENSION - DEFERRED INFLOW	$2,469,741
DEFERRED LANDLORD INCENTIVES & DEFERRED RENT	$343,824
OTHER DEFERRED INFLOWS OF RESOURCES	$2,531,383

Field	Value	IRS element (for citing)
Total Liability	$26,958,872	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Specific Services Provided	INSURANCE PREMIUMS/EXP	SpecificServicesProvidedTxt
Region Total Expenditures	$6,483,665	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$6,483,665	SubtotalSpentAmt
Total Spent	$6,483,665	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

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

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$89,399,139	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$89,399,139	NetCommunityBenefitExpnsAmt
Total Expense	0.07050	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$207,935,067	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$180,589,599	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$27,345,468	NetCommunityBenefitExpnsAmt
Total Expense	0.02160	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,491,502	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,427,254	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$64,248	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$298,825,708	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$182,016,853	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$116,808,855	NetCommunityBenefitExpnsAmt
Total Expense	0.09220	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,764,335	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$250,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,514,335	NetCommunityBenefitExpnsAmt
Total Expense	0.00360	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,120,532	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,392,538	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,727,994	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,152,297	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,152,297	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,037,164	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,642,538	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,394,626	NetCommunityBenefitExpnsAmt
Total Expense	0.00590	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$316,862,872	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$192,659,391	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$124,203,481	NetCommunityBenefitExpnsAmt
Total Expense	0.09810	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$125,142	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$125,142	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$678,378	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$678,378	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,700,997	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$47,405	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,653,592	NetCommunityBenefitExpnsAmt
Total Expense	0.00370	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,504,517	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$47,405	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,457,112	NetCommunityBenefitExpnsAmt
Total Expense	0.00430	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$23,184,589	BadDebtExpenseAmt
Reimbursed By Medicare	$361,534,764	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$457,054,495	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$95,519,731	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

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

Field	Value	IRS element (for citing)
Primary Activities	SURGERY	PrimaryActivitiesTxt
Org Profit Or Ownership	0.51	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.0	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.2219	PhysiciansProfitOrOwnershipPct

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

Hospital Facilities HospitalFacilitiesGrp (2 entries)

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE SECTION C	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	SEE SECTION C	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FACILITY GROUP A	ALL ANSWERS PROVIDED IN PART V, SECTION B & C PERTAIN TO FACILITY GROUP A, WHICH INCLUDES WAKEMED RALEIGH CAMPUS AND WAKEMED CARY HOSPITAL AS IDENTIFIED ON SCHEDULE H, PART V, SECTION A, LINES 1-2. Schedule H, Part V, Sec B. Line 3e The significant health needs of Wake County were identified in the 2016 Community Health Needs Assessment, which was conducted in collaboration with the areas other health systems, Wake County Human Services and other community agencies. While there was not a focus on specific health conditions, the perceived needs were prioritized based on the research data. The four priority areas for Wake County are: health insurance coverage, transportation, access to health services and mental health and substance abuse. Those without health insurance are less likely to receive medical care, are more likely to have poor health status and are more likely to die early. Although the Affordable Care Act did result in an increase in the availability of insurance to more residents, the lack of Medicaid expansion in North Carolina has left many low-income residents without insurance. The level and type of insurance held by individuals can significantly impact their ability to obtain healthcare services, and more specifically to obtain services in the most appropriate healthcare setting. While transportation may not seem related to health needs, many aspects of daily life require use of transportation, including employment, education, access to nutritional foods, and access to healthcare services, and all of these factor into ones overall health. Further, transportation also impacts physical activity. The transportation infrastructures in Wake County have struggled to keep up with the population growth experienced within the county over recent years. The ability to access health services is a critical public health issue, as primary and preventative services can help to prevent or manage chronic illnesses thus improving the health of the community. A lack of facilities and specialists in local communities across the county were noted as being barriers to accessing care as were the need for more sliding scale providers. The traditional hours offered by many healthcare providers also create a barrier to accessing care for many individuals and families who are forced to miss an entire or partial day of work in order to go to the doctor. Wake County has experienced an increase in the prevalence and severity of mental health and substance abuse problems over recent years. At the same time, the availability of resources and access to services for people suffering with these problems has declined. Mental health and substance abuse were identified as priority areas in seven of the eight service zones and Wake County overall. Reasons that mental health and substance use were identified include high: suicide rates, smoking, number of people reporting poor mental health days, rate of mental health emergency department, alcohol-impaired driving deaths, percentage of people exposed to secondhand smoke, persons served in NC State Alcohol and Drug Treatment Centers.
SCHEDULE H, PART V, SECTION B, LINE 5	THE FOLLOWING RESPONSES APPLY TO ALL FACILITIES WITHIN THE GROUP, UNLESS OTHERWISE NOTED. AS INDICATED IN THE EXECUTIVE SUMMARY AND CHAPTER 1 OF THE CHNA REPORT, WAKEMED PARTNERED WITH OVER 60 AGENCY AND COMMUNITY PARTNERS IN WAKE COUNTY TO CONDUCT THE COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT IN LATE 2015 THROUGH EARLY 2016. THE CHNA IS BEING UPDATED IN 2019 AND WILL BE AVAILABLE IN LATE JUNE. (HTTP://WWW.WAKEMED.ORG/DOCUMENTS/WAKE-COUNTY-COMMUNITY-HEALTH-NEEDS-ASSES SMENT.PDF) THE PURPOSE OF THE PROJECT WAS TO IDENTIFY HEALTH STATUS CONCERNS AND RESOURCES IN WAKE COUNTY, REPORT FINDINGS, WORK WITH COMMUNITY, DETERMINE PRIORITY ISSUES TO BE ADDRESSED AND DEVELOP A COMMUNITY-BASED ACTION PLAN TO ADDRESS IDENTIFIED CONCERNS. THE STUDY REPORT, WHICH BECAME AVAILABLE IN JUNE 2016, WAS THE BASIS OF THE IMPLEMENTATION PLAN. A MULTI-STEP PROCESS WAS USED TO ASSESS THE COMMUNITY HEALTH NEEDS, CHALLENGES, AND OPPORTUNITIES OF WAKE COUNTY. MULTIPLE SOURCES OF PUBLICLY AVAILABLE INFORMATION, ALONG WITH DIVERSE COMMUNITY INPUT, WERE INCORPORATED IN THE STUDY IN ORDER TO PAINT A MORE COMPLETE PICTURE OF WAKE COUNTYS HEALTH NEEDS. PRIMARY RESEARCH DATA WAS COLLECTED VIA TELEPHONE SURVEYS, INTERNET SURVEYS, AND FOCUS GROUPS. IN ADDITION, COMMUNITY INPUT AND PRIORTIZATION SESSIONS WERE HELD. IN TOTAL MORE THAN 1,500 PEOPLE PARTICIPATED IN THE PROCESS. TIME PERIOD FOR INPUT: THE COLLECTION PERIOD BEGAN IN SEPTEMBER 2015; DATA WAS GATHERED THROUGH MARCH 2016. DESCRIPTION OF MEDICALLY UNDERSERVED, LOW-INCOME OR MINORITY POPULATIONS THAT PROVIDED INPUT: MEDICALLY UNDERSERVED INCLUDE THOSE WITHOUT MEDICAL INSURANCE OR ACCESS TO MEDICAL CARE. DATA SUCH AS RATES OF FREE AND REDUCED LUNCH, FOOD INSECURITY, HOMELESSNESS, POVERTY RATES / MEDIAN INCOME DESCRIBED LOW-INCOME RESIDENTS IN THE COUNTY. RACIAL AND ETHNIC MINORITY POPULATIONS, THE HOMELESS POPULATION, LIMITED ENGLISH-SPEAKING HOUSEHOLDS, AND SPANISH-SPEAKING RESIDENTS DESCRIBE THE MINORITY POPULATIONS FROM WHOM DATA WAS GATHERED. INPUT BY MEDICALLY UNDERSERVED, LOW-INCOME OR MINORITY POPULATIONS: SIGNIFICANT EFFORT WAS PUT INTO UNDERSTANDING THE EXISTING RACIAL/ETHNIC, UNDERSERVED, MEDIAN INCOME/POVERTY LEVEL MAKE-UP OF THE COUNTY. LIMITATIONS ON THE GATHERING OF DATA FOR THE MEDICALLY UNDERSERVED, LOW-INCOME OR MINORITY POPULATIONS WERE RECOGNIZED. SUCH LIMITATIONS INCLUDE ZIP CODE / CENSUS TRACT ISSUES AND LEGAL AND PRACTICAL ISSUES GATHERING DATA FOR CHILDREN, 'STALE' DATA, AND ACCESS TO THESE POPULATIONS. UNDERSTANDING THE LIMITATIONS AND TACKLING THE CHALLENGES POSED BY THESE LIMITATIONS WERE KEY IN GATHERING THE NECESSARY INPUT FROM THESE POPULATIONS. IT WAS RECOGNIZED THAT PARTNERING WITH LOCAL ORGANIZATIONS THAT HAVE ACCESS TO THESE POPULATIONS LED TO NUMEROUS PARTNERSHIPS IN THE PROCESS. THE METHODOLOGY WAS DEVELOPED WITH SPECIAL ATTENTION GIVEN TO THE GATHERING OF DATA FROM THESE SUB-POPULATIONS SINCE IT WAS DETERMINED THAT THE 2013 CHNA DATA-GATHERING FELL SHORT IN THIS AREA. BOTH PRIMARY AND SECONDARY DATA WAS GATHERED. PRIMARY DATA COLLECTED INCLUDED DATA GATHERED THROUGH A TELEPHONE SURVEY (WHICH WAS STATISTICALLY REPRESENTATIVE OF THE COUNTY AS A WHOLE) AS WELL AS A WEB-BASED SURVEY WHICH ALLOWED FOR ADDITIONAL COMMUNITY INPUT. FOCUS GROUPS WERE ALSO CONDUCTED AT NUMEROUS LOCATIONS THROUGHOUT THE COUNTY TO ENSURE GEOGRAPHIC REPRESENTATION OF THE ENTIRE COUNTY. SPECIAL FOCUS GROUPS DEDICATED TO OBTAINING INPUT FROM THE SPANISH-SPEAKING AND HOMELESS POPULATIONS WERE ALSO HELD. A SPECIFIC EXAMPLE OF PRIMARY DATA GATHERED FOR LOW-INCOME RESIDENTS WAS A FOCUS GROUP MADE UP OF HOMELESS INDIVIDUALS COORDINATED THROUGH LOVE WINS MINISTRY. LASTLY, THE PRIORITIZATION PROCESS WHICH CONCLUDED THE DATA COLLECTION PERIOD PROVIDED THE ENTIRE COMMUNITY OF WAKE COUNTY WITH THE OPPORTUNITY TO DECIDE WHICH ISSUES SHOULD BE THE FOCUS OF CHNA ACTION PLANS FOR THE NEXT THREE YEARS. SECONDARY DATA RELATED TO THE MEDICALLY UNSERVED, LOW-INCOME, AND MINORITY POPULATIONS WERE ALSO GATHERED THROUGHOUT THE PROCESS FROM EXISTING SOURCES. IN ADDITION, INPUT FROM NUMEROUS COMMUNITY ORGANIZATIONS WITH KNOWLEDGE OF THE ISSUES THAT NEED TO BE ADDRESSED WITHIN WAKE COUNTY WAS GATHERED THROUGHOUT THE ENTIRE PROCESS. FOR EXAMPLE, ADVANCE COMMUNITY HEALTH, A FEDERALLY-QUALIFIED HEALTH CENTER (FQHC), WHICH SERVES A SIGNIFICANT PORTION OF MEDICALLY UNDERSERVED AND LOW-INCOME RESIDENTS WITHIN WAKE COUNTY, WAS A PARTICIPATING ORGANIZATION THROUGHOUT THE PROCESS. WAKEMED MANAGEMENT BELIEVES THAT THE 2016 CHNA ADEQUATELY INCORPORATES INPUT FROM THE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS.
SCHEDULE H, PART V, SECTION B, LINE 6A	The following responses apply to all facilities within the group, unless otherwise noted. Wake County Human Services, Duke Health Raleigh, Rex Healthcare, Wake Health Services, and WakeMed in addition to numerous other non-profit organizations.
SCHEDULE H, PART V, SECTION B, LINE 6B	Wake County Human Services and Triangle United Way.
SCHEDULE H, PART V, SECTION B, LINE 7A	HTTP://WWW.WAKEMED.ORG/DOCUMENTS/WAKE-COUNTY-COMMUNITY-HEALTH-NEEDS-ASSESS MENT.PDF SCHEDULE H, PART V, SECTION B, LINE 7B http://www.wakegov.com/humanservices/data/Documents/2016%20Wake%20County%2 0CHNA%20Full%20Document%20Final.pdf
SCHEDULE H, PART V, SECTION B, LINE 10A	http://www.wakemed.org/documents/community-health-needs-assessment-impleme ntation-plan.pdf
SCHEDULE H, PART V, SECTION B, LINE 11	Our CHNA prioritization process resulted in 21 key areas of focus, some of which apply more to hospitals than others. From the list of 21 identified needs, the following categories were identified as the four priority areas for Wake County that will be addressed over the next three years: --health insurance coverage; --transportation; --access to health services; and --mental health and substance abuse. WakeMed's implementation plan addresses each priority area. (http://www.wakemed.org/documents/community-health-needs-assessment-implem entation-plan.pdf) The implementation plan details the services and programs WakeMed offers or is partnering with other organizations to provide to the other community. THIS WORK CONTINUED IN 2018 BASED ON THE 2016 IMPLEMENTATION PLAN.
SCHEDULE H, PART V, SECTION B, LINE 16A	HTTP://WWW.WAKEMED.ORG/WORKFILES/REGULATORY/CHARITY-CARE-POLICY.PDF https://www.wakemed.org/workfiles/Regulatory/Charity-Care-Policy-SPANISH.p df
SCHEDULE H, PART V, SECTION B, LINE 16B	HTTP://WWW.WAKEMED.ORG/WORKFILES/REGULATORY/FINANCIAL-ASSISTANCE-APPLICATI ON-ENGLISH.PDF HTTP://WWW.WAKEMED.ORG/WORKFILES/REGULATORY/FINANCIAL-ASSISTANCE-APPLICATI ON-SPANISH.PDF
SCHEDULE H, PART V, SECTION B, LINE 16C	HTTP://WWW.WAKEMED.ORG/WORKFILES/REGULATORY/FINANCIAL-ASSISTANCE-POLICY-SU MMARY-ENGLISH.PDF HTTP://WWW.WAKEMED.ORG/WORKFILES/REGULATORY/FINANCIAL-ASSISTANCE-POLICY-SU MMARY-SPANISH.PDF
SCHEDULE H, PART V, SECTION B, LINE 20E	WakeMed also notified patients at admission and discharge of services about the financial assistance policy and provided documentation as requested.

Field	Value	IRS element (for citing)
Facility	10	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
WAKE SPECIALTY PHYSICIANS LLC
3024 NEW BERN AVENUE	RALEIGH	NC	27610	MEDICAL PRACTICE
WAKEMED NORTH
10000 FALLS OF THE NEUSE ROAD	RALEIGH	NC	27614	SURGERY, PREGNANCY, CHILDBIRTH, OP/AMB SURGERY CENTER
WAKEMED REHAB HOSPITAL
3000 NEW BERN AVENUE	RALEIGH	NC	27610	PHYS MED & REHAB HOSPITAL, PHYS, SPEECH & OCCUP THERAPY CARDIAC REHAB, FITNESS CENTER
WAKEMED GARNER HEALTHPLEX
400 US 70 EAST	GARNER	NC	27529	EMERG. DEPT., LABORATORY, RADIOLOGY
WAKEMED APEX HEALTHPLEX
120 HEALTHPLEX WAY	APEX	NC	27502	EMERG. DEPT., LABORATORY, RADIOLOGY
WAKEMED BRIER CREEK HEALTHPLEX
8001 TW ALEXANDER DRIVE	RALEIGH	NC	27617	EMERG. DEPT., LABORATORY, RADIOLOGY
WAKEMED MEDICAL PARK
23 SUNNYBROOK ROAD	RALEIGH	NC	27610	LABORATORY, RADIOLOGY
WAKEMED CLAYTON MEDICAL PARK
555 MEDICAL PARK	CLAYTON	NC	27520	REHAB THERAPY
WAKEMED HOME HEALTH
2920 HIGHWOODS BOULEVARD SUITE 200	RALEIGH	NC	27604	HOME HEALTH, HOME IV THERAPY, PRIVATE DUTY NURSING
WAKEMED WAKE FOREST ROAD
3701 WAKE FOREST ROAD	RALEIGH	NC	27609	PHYS, OCCUP, SPEECH & PEDIATRIC SPEECH THERAPY

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3B	DISCOUNTED CARE IS AVAILABLE FOR THOSE AT 300% OF THE FPG. FURTHER, ALL PATIENTS WITHOUT INSURANCE QUALIFY FOR AN AUTOMATIC 50% DISCOUNT WITHOUT CONSIDERATION OF THE FPG. SCHEDULE H, PART I, LINE 7A CHARITY CARE IS REPORTED AS THE SYSTEM'S CHARITY CARE AT COST, USING A COST TO CHARGE RATION CALCULATED AS IN WORKSHEET 2. SCHEDULE H, PART I, LINE 7B MEDICAID COSTS ARE DERIVED FROM OUR COST ACCOUNTING SYSTEM, WHICH ADDRESSES ALL PATIENT SEGMENTS. SCHEDULE H, PART I, LINE 7C COSTS OF OTHER GOVERNMENT PROGRAMS ARE DERIVED FROM OUR COST ACCOUNTING SYSTEM, WHICH ADDRESSES ALL PATIENT SEGMENTS. SCHEDULE H, PART I, LINE 7F PER MEDICARE COST REPORT SCHEDULE H, PART II WAKEMED IS ACTIVELY INVOLVED IN NOT ONLY IMPROVING THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE, BUT IS ALSO SUPPORTIVE OF COMMUNITY BUILDING ACTIVITIES. WAKEMED HAS BEGUN EFFORTS TO IMPROVE THE NEIGHBORHOOD AROUND THE HOSPITAL AND ENCOURAGE REDEVELOPMENT AND PHYSICAL IMPROVEMENTS. A COALITION OF LOCAL BUSINESS AND COMMUNITY LEADERS ARE WORKING TO REDUCE CRIME, BEAUTIFY THE AREA, ATTRACT RETAIL BUSINESSES AND RESTAURANTS, AND FOSTER NEW MEDICAL DEVELOPMENT AROUND THE MAIN HOSPITAL CAMPUS IN DOWNTOWN RALEIGH, WHICH IS AN ECONOMICALLY DEPRESSED AREA. WE HAVE ALSO INVESTED IN THE WAKE TECHNICAL COMMUNITY COLLEGE FACILITY GROWTH WHICH IS VITAL TO EDUCATING FUTURE NURSES, RADIOLOGY TECHS, EMERGENCY RESPONSE PERSONNEL AND OTHERS. OUR WORKFORCE DEVELOPMENT PROGRAM WORKS WITH YOUTH, HEALTH SCIENCE STUDENTS AND THOSE IN A VARIETY OF HEALTH PROFESSIONS PROGRAMS WITH MENTORING, RESIDENCIES, CLINICAL ROTATIONS, AND EDUCATION ALL WITH THE PURPOSE OF PREPARING FOR THE WORKFORCE OF TOMORROW. WE PARTNER WITH NUMEROUS COLLEGES, UNIVERSITIES, COMMUNITY COLLEGES AND HIGH SCHOOLS THROUGHOUT THE REGION AND OUR CAMPUS IS HOME TO THE WAKE EARLY COLLEGE HIGH SCHOOL. WAKEMED IS ALSO HOME TO WAKE AREA HEALTH EDUCATION CENTER, A PROGRAM OF THE UNIVERSITY OF NORTH CAROLINA WHICH PROVIDES ACCREDITED EDUCATION PROGRAMS TO NURSES, ALLIED HEALTH PROFESSIONALS AND PHYSICIANS THROUGHOUT THE REGION. WAKEMED ALSO WORKS CLOSELY WITH THE INVESTMENT OF CASH AND EXPERTISE FOR THE EIGHT MUNICIPALITIES IN OUR COUNTY AND THE WAKE COUNTY ECONOMIC DEVELOPMENT COUNCIL TO ATTRACT NEW JOBS AND GROW INDUSTRY AND BUSINESS. A HEALTHY ECONOMY ULTIMATELY LEADS TO THE HEALTHIER COMMUNITY. OUR COMMUNITY HEALTH IMPROVEMENT ACTIVITIES ARE NUMEROUS AND INCLUDE BEING THE LEAD AGENCY FOR SAFEKIDS, ENERGIZE, ASTHMA COALITION, COMMUNITY HEALTH PROJECT AND MORE. EACH IS WORKING TO SUPPORT PROGRAMS AND POLICIES THAT IMPROVE PUBLIC HEALTH AND ACCESS TO HEALTH CARE. WE ARE ALSO PARTNERING WITH COUNTY AND OTHER OFFICIALS ON INITIATIVES THAT WILL IMPROVE ACCESS TO MENTAL HEALTH SERVICES, A GROWING CRISIS IN OUR COMMUNITY. THE OVERALL GOAL IS TO MAKE OUR COMMUNITY A HEALTHIER PLACE TO LIVE AND WORK. SCHEDULE H, PART III, LINE 2 THE AMOUNT REPORTED IN PART III, LINE 2 IS THE SYSTEM BAD DEBT AT COST. CHARITY AND BAD DEBT ACCOUNTS ARE RECORDED AT CURRENT ACCOUNT BALANCE LEVELS. THE BALANCE MAY BE NET OF CONTRACTUAL ALLOWANCES AND/OR PAYMENTS RECEIVED. FOR EXAMPLE, BAD DEBT OR CHARITY RESULTING FROM AN UNPAID PATIENT LIABILITY AFTER INSURANCE IS RECORDED AT THE AMOUNT UNPAID BY THE PATIENT. SCHEDULE H, PART III, LINE 3 PATIENTS ARE PROVIDED WITH INFORMATION ABOUT FINANCIAL ASSISTANCE AT REGISTRATION, DISCHARGE, PHONE CALLS, ON THE WEBSITE, AND A PLAIN LANGUAGE SUMMARY OF FINANCIAL ASSISTANCE IS SENT WITH EVERY STATEMENT. IN ORDER TO QUALIFY, A PATIENT MUST APPLY AND MEET FINANCIAL ASSISTANCE POLICY (FAP) REQUIREMENTS. SCHEDULE H, PART III, LINE 4 THE TEXT OF THE FOOTNOTE TO WAKEMED'S FINANCIAL STATEMENTS REGARDING BAD DEBT EXPENSE IS AS FOLLOWS: "WAKEMED HAS PRESENTED ITS PROVISION FOR UNCOLLECTIBLE ACCOUNTS AS A DIRECT REDUCTION OF PATIENT SERVICE REVENUE. BASED ON MANAGEMENT'S INTERPRETATION OF THE REQUIREMENTS OF GASB STATEMENT NO. 34, GOVERNMENTAL HEALTH CARE ORGANIZATIONS ARE REQUIRED TO PRESENT UNCOLLECTIBLE ACCOUNTS AS A COMPONENT OF NET PATIENT SERVICE REVENUE RATHER THAN WITHIN OPERATING EXPENSES. SCHEDULE H, PART III, LINE 8 WAKEMED BELIEVES THAT ALL OF THE $95,519,731 MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE WAKEMED HOSPITALS IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. THIS YEAR, MEDICARE ACCOUNTED FOR 28.0% OF HOSPITAL REVENUE. THE HOSPITAL PROVIDES CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVES THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. IF THE WAKEMED MEDICARE SHORTFALL WERE TREATED AS COMMUNITY BENEFIT, THE PERCENT OF TOTAL EXPENSES ATTRIBUTABLE TO COMMUNITY BENEFIT WOULD INCREASE FROM 9.81% TO 17.32%. MEDICARE COSTING METHODOLOGY THE MEDICARE ALLOWABLE COSTS WERE DETERMINED FROM THE MEDICARE COST REPORT, AS SPECIFIED IN THE PROVIDER REIMBURSEMENT MANUAL. APPLICATION OF COLLECTION PRACTICES TO THOSE QUALIFYING FOR FINANCIAL ASSISTANCE SCHEDULE H, PART III, LINE 9B WAKEMED PROVIDES MANY OPPORTUNITIES TO EDUCATE PATIENTS ON OUR FINANCIAL ASSISTANCE PROGRAM PRIOR TO DISCHARGE AND AGAIN WHEN THE FIRST BILL IS RECEIVED. IN ORDER TO MAKE SURE WE REACH OUT TO OUR PATIENTS, WE SEND AT LEAST FOUR STATEMENTS AND ALSO MAKE FOLLOW-UP CALLS. EACH STATEMENT REFERENCES THE FINANCIAL ASSISTANCE PROGRAM AND INCLUDES A PLAIN LANGUAGE SUMMARY OF OUR FINANCIAL ASSISTANCE PROGRAM. PATIENTS ARE SCREENED FOR FINANCIAL ASSISTANCE AND ARE GIVEN OPPORTUNITIES TO APPLY. IF A PATIENT CHOOSES NOT TO APPLY, OR DOES NOT QUALIFY, THEY ARE GIVEN THE OPPORTUNITY FOR OTHER PAYMENT ARRANGEMENTS. IF THE PATIENT DID NOT APPLY FOR FINANCIAL ASSISTANCE AND ENDS UP IN COLLECTIONS, AN APPLICATION FOR FINANCIAL ASSISTANCE IS PROVIDED. THE PATIENT AT THAT POINT HAS THE OPPORTUNITY TO APPLY; ALL COLLECTION EFFORTS CEASE ONCE THE APPLICATION IS RECEIVED, EVEN IF THE APPLICATION IS MISSING DOCUMENTATION.
NEEDS ASSESSMENT	SCHEDULE H, PART VI, LINE 2 THE COMMUNITY NEEDS ASSESSMENT IS A PROCESS THAT HELPS TO IDENTIFY FACTORS AFFECTING OUR COUNTY, DETERMINE RESOURCES NEEDED TO ADDRESS THESE FACTORS, AND DEVELOP A PLAN OF ACTION TO ADDRESS THE NEEDS OF THE COMMUNITY WE SERVE. DURING LATE 2015 AND EARLY 2016, WAKEMED HEALTH & HOSPITALS JOINED WITH DUKE RALEIGH, REX HEALTHCARE, ADVANCE HEALTH SERVICES, TRIANGLE UNITED WAY, WAKE COUNTY HUMAN SERVICES, AND OTHERS TO JOINTLY CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE ASSESSMENT WAS COMPLETED IN JUNE OF 2016. THE ASSESSMENT INVOLVED INPUT FROM HUNDREDS OF WAKE COUNTY RESIDENTS AND PUBLIC HEALTH LEADERS THROUGH SURVEYS, FOCUS GROUPS, AND STEERING COMMITTEE MEMBERS. IN ADDITION, SECONDARY RESEARCH WAS COMPLETED TO COMPARE INFORMATION WE RECEIVED FROM OTHER NATIONAL STUDIES. THE CHNA CAN BE FOUND ON THE WAKEMED WEBSITE: HTTP://WWW.WAKEMED.ORG/DOCUMENTS/WAKE-COUNTY-COMMUNITY-HEALH-NEEDS-ASSESSM ENT.PDF IN ADDITION TO THIS PRIMARY DATA, WAKEMEDS CORPORATE PLANNING DEPARTMENT COLLECTS AND ANALYZES MULTIPLE OTHER SOURCES OF SECONDARY DATA WHICH HELPS US UNDERSTAND DEMOGRAPHIC, SOCIOGRAPHIC, AND HEALTH TRENDS. WITH THE GOAL OF ENHANCING ACCESS, THE STAFF IS ALSO CHARGED WITH FORECASTING FUTURE NEEDS AND PLANNING TO MEET THOSE NEEDS. THIS PROCESS INCLUDES A CAREFUL ANALYSIS OF CURRENT SYSTEM CAPACITIES AND PROJECTS FUTURE NEEDED CAPACITY TO MEET POPULATION GROWTH AND DEMOGRAPHIC CHANGES.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	SCHEDULE H, PART VI, LINE 3 PATIENTS ARE PROVIDED WITH INFORMATION ABOUT FINANCIAL ASSISTANCE AT REGISTRATION, DISCHARGE, PHONE CALLS, AND A PLAN LANGUAGE SUMMARY OF FINANCIAL ASSISTANCE IS SENT WITH EVERY STATEMENT. THIS INFORMATION IS ALSO AVAILABLE ON THE WEBSITE. IN ORDER TO QUALIFY, A PATIENT MUST APPLY AND MEET THE FAP REQUIREMENTS. WAKEMED POSTS THE REQUIRED EMTALA NOTICE AT ALL PORTALS OF ENTRY WHERE AN EMERGENCY DEPARTMENT IS PRESENT. THE SIGNAGE NOTES THAT WAKEMED PARTICIPATES IN THE MEDICARE PROGRAM. THE WAKEMED WEBSITE PROVIDES DETAILED INFORMATION REGARDING FINANCIAL ASSISTANCE AND CHARITY CARE. THE PATIENT BILLING AND FINANCIAL INFORMATION POLICY IS INCLUDED IN ALL INPATIENTS "MY IMPORTANT PAPERS" FOLDER AND IS ADDRESSED IN THE PATIENT INFORMATION GUIDE AVAILABLE IN ALL INPATIENT ROOMS. IN ADDITION, THE FINANCIAL ASSISTANCE FORM IS LOCATED ON THE WEBSITE FOR ANY PATIENT TO COMPLETE AND SUBMIT. AS PART OF THE INTAKE PROCESS/REGISTRATION FOR ALL PATIENTS, WAKEMED PROVIDES A COPY OF THE PATIENT BILLING AND FINANCIAL INFORMATION POLICY, WHICH REFERS PATIENTS TO PATIENT FINANCIAL SERVICES IF THEY HAVE CONCERNS REGARDING THEIR ABILITY TO PAY THE BILL. ALL INPATIENTS AND PATIENTS SCHEDULED FOR OUTPATIENT PROCEDURES, AND WHO ARE DESIGNATED "UNINSURED" AT THE TIME OF ADMISSION, ARE CONTACTED PERSONALLY BY A FINANCIAL COUNSELOR. IN ADDITION, ANY PATIENT, REGARDLESS OF INSURANCE COVERAGE, MAY REQUEST TO SEE A FINANCIAL COUNSELOR. THE FINANCIAL COUNSELOR WILL ASSESS POSSIBLE MEDICAID ELIGIBILITY AND PROVIDE AN APPLICATION/FINANCIAL STATEMENT THAT IS SUBMITTED TO PATIENT FINANCIAL SERVICES TO REQUEST ASSISTANCE WITH MEDICAL EXPENSES. WAKEMED ALSO HAS ON-SITE EMPLOYEES FROM WAKE COUNTY HUMAN SERVICES TO PROCESS MEDICAID APPLICATIONS FOR RESIDENTS OF WAKE COUNTY. ANY PATIENT WHO IS UNINSURED AND MAY BE ELIGIBLE FOR DISABILITY IS REFERRED TO A WAKEMED DISABILITY SPECIALIST WHO ASSISTS WITH THE APPLICATION. WAKEMED INCLUDES INFORMATION REGARDING FINANCIAL ASSISTANCE TO ALL PATIENT BILLING STATEMENTS.
COMMUNITY INFORMATION	SCHEDULE H, PART VI, LINE 4 WHILE WAKEMED SERVES PATIENTS FROM ALL OF NORTH CAROLINAS 100 COUNTIES AND BEYOND, ITS PRIMARY SERVICE AREA CAN BEST BE DESCRIBED AS THE COUNTIES CONTIGUOUS TO WAKE COUNTY. THE VAST MAJORITY OF PATIENTS COME FROM WAKE AND JOHNSTON COUNTIES. BOTH COUNTIES HAVE RAPIDLY GROWING SMALLER/SUBURBAN COMMUNITIES CENTERED AROUND THE CAPITAL CITY OF RALEIGH. THESE COMMUNITIES LOOK TO RALEIGH AS THEIR PRIMARY SOURCE FOR TERTIARY LEVEL CARE. THE MARKET IS DEMOGRAPHICALLY DIVERSE AND FIERCELY COMPETITIVE WITH THREE MAJOR HEALTH SYSTEMS COMPETING AGAINST ONE ANOTHER. WAKEMED SHOULDERS THE VAST MAJORITY OF CARE FOR THE UNINSURED AND UNDERINSURED, OFTEN EXCEEDING 80% OF THE BURDEN. WAKE COUNTY WAS FOUNDED IN 1771 AND OCCUPIES APPROXIMATELY 860 SQUARE MILES IN THE PIEDMONT REGION OF NORTH CAROLINA. IN 1792, THE CITY OF RALEIGH WAS NAMED THE CAPITAL OF NORTH CAROLINA AND IT REMAINS THE MOST POPULOUS MUNICIPALITY IN WAKE COUNTY. WITH A POPULATION IN EXCESS OF 1,000,000 PERSONS, THE COUNTY IS THE SECOND MOST POPULOUS COUNTY IN THE STATE. WAKE COUNTY IS HOME TO 12 MUNICIPALITIES. WAKE COUNTY HAS EXPERIENCED POPULATION GROWTH OVER RECENT YEARS; THIS GROWTH IS EXPECTED TO CONTINUE ACCORDING TO DATA FROM THE N.C. OFFICE OF STATE BUDGET AND MANAGEMENT, WAKE COUNTY IS PROJECTED TO GROW AT A HIGHER ANNUAL RATE THAN ITS PEER GEOGRAPHIES AT 2.1 PERCENT ANNUALLY FROM 2015 TO 2025 WITH THE ADDITION OF OVER 226,000 PEOPLE. AS SHOWN IN THE TABLE BELOW, RESIDENTS OF THESE TWO COUNTIES CURRENTLY EXCEED ONE MILLION IN POPULATION, AND THAT POPULATION HAS CONTINUED TO GROW EVEN AMIDST THE WORST ECONOMIC RECESSION IN MANY DECADES. THE POPULATION IS FAIRLY DIVERSE. RACE AND ETHNICITY INFORMATION ARE ALSO PRESENTED IN THE TABLE. WAKE COUNTY JOHNSTON COUNTY TOTAL 2015 1,006,053 184,322 1,190,375 2020 1,116,912 210,948 1,327,860 % CHANGE 11.0% (2.1%/ANNUM) 14.4% (2.7%/ANNUM) 11.5%(2.2%/ANNUM) RACE AND ETHNICITY 2015 WHITE 68% 81% 70% BLACK 22% 15% 21% ASIAN 6% 1% 6% OTHER/UNKNOWN 4% 3% 3% HISPANIC* 11% 15% 12% *(NOT CONSIDERED A RACE, INCLUDED IN TOTALS ABOVE)
PROMOTION OF COMMUNITY HEALTH	SCHEDULE H, PART VI, LINE 5 SINCE OPENING IN 1961, WAKEMED HAS BEEN AN INSTITUTION WITH AN UNWAVERING COMMITMENT TO THE COMMUNITIES IT SERVES BY IMPROVING THE HEALTH OF THE INDIVIDUALS AND FAMILIES WE SERVE. TODAY, WAKEMED OFFERS A BROAD RANGE OF PREVENTIVE, PRIMARY, ACUTE, AND TERTIARY SERVICES. AS WAKE COUNTYS LARGEST PRIVATE EMPLOYER AND A CORNERSTONE OF THE COMMUNITY, WAKEMED IS AN ASSET RESIDENTS CAN DEPEND ON NOT ONLY FOR THE HIGHEST QUALITY OF HEALTH CARE INSIDE THE HOSPITAL AND OUTPATIENT FACILITIES, BUT FOR COMMUNITY OUTREACH IN THE FORM OF SCREENINGS, CLASSES, SEMINARS, HEALTH FAIRS, PREVENTIVE PROGRAMS, SUPPORT GROUPS, AND OTHER OUTREACH INITIATIVES. THE MAJORITY OF THE PROGRAMS ARE FREE AND ALL ARE DESIGNED TO IMPROVE HEALTH, EDUCATE, AND ENLIGHTEN BY OFFERING ACCESS TO EXPERTS, RESOURCES, AND HEALTH INFORMATION. IN ADDITION, OUR 1,200+ PERSON MEDICAL STAFF IS OPEN AND COMPRISED PRIMARILY OF INDEPENDENT PRACTITIONERS, ALTHOUGH THE NUMBER OF EMPLOYED PHYSICIANS IS GROWING AND NOW TOTALS MORE THAN 340 PHYSICIANS. EACH YEAR WE SERVE, SUPPORT AND WORK CLOSELY WITH THE COMMUNITY IN MANY WAYS. WE ABSORB THE HEALTH CARE COSTS OF THOSE WHO COME TO US UNABLE TO PAY FOR THEIR CARE. WE EDUCATE AND TRAIN PHYSICIANS AND CAREGIVERS. WE DEVELOP NEW SERVICES AND INITIATIVES TO ENHANCE ACCESS AND MEET THE NEEDS OF THE UNDERSERVED. WE PARTNER WITH A VARIETY OF COMMUNITY-BASED ORGANIZATIONS TO DEVELOP PROGRAMS THAT ANSWER A SPECIFIC COMMUNITY HEALTH NEED. WE PROVIDE DONATIONS TO COMMUNITY CHARITIES AND ORGANIZATIONS WHOSE GOALS SUPPORT OUR MISSION. AND WE OFFER A HOST OF COMMUNITY OUTREACH AND EDUCATION PROGRAMS TARGETED TO THE UNDERSERVED AND AT-RISK POPULATIONS FOR CARDIOVASCULAR DISEASE, DIABETES, STROKE, AND AVOIDABLE INJURIES, AMONG OTHERS. BEYOND THE CARE CURRENTLY PROVIDED WITHIN OUR FACILITIES, WAKEMED CONTINUES TO DEVELOP PROGRAMS AND SERVICES IN THOSE AREAS WHICH ARE UNDERSERVED AND ARE GROWING. ACCESS TO PRIMARY CARE PROVIDES IS A CRITICAL NEED. AS A RESULT, WE CONTINUE TO EXPAND OUR NETWORK OF PRIMARY CARE PROVIDERS WHO SERVE COMMUNITY RESIDENTS, REGARDLESS OF THEIR ABILITY TO PAY. WAKEMED HELPS IMPROVE THE HEALTH OF THE COMMUNITY BY OUTREACH THAT TAKES ON MANY FORMS FROM THE DIRECT PROVISION OF CARE TO MENTORING AT-RISK YOUTH. AREAS OF FOCUS FOR THE SYSTEM ARE CENTERED ON: --IMPROVED ACCESS TO CARE THROUGH GEOGRAPHICALLY DISPERSED OUTPATIENT FACILITIES, PRIMARY CARE PHYSICIANS, EMERGENCY DEPARTMENTS, AND NOW VIRTUAL CARE OPTIONS. WE ALSO WORK CLOSELY WITH THE COMMUNITY TO IMPROVE ACCESS AND AFFORDABILITY FOR THE UNDERSERVED POPULATIONS OF THE COMMUNITY. THIS IS DONE IN PART BY COLLABORATING WITH COMMUNITY PARTNERS SO THAT HEALTH CARE GAPS ARE ADDRESSED. --WORKING CLOSELY WITH PATIENTS AND THE COMMUNITY TO PROMOTE AND SUPPORT THE OPTIMAL PREVENTION AND MANAGEMENT OF CHRONIC DISEASES, INJURIES AND ILLNESS IN OUR MOST VULNERABLE POPULATIONS, ESPECIALLY CHILDREN. WE ALSO HAVE AN INCREASED FOCUS ON IMPROVING AND MAINTAINING CARDIOVASCULAR HEALTH, WITH AN EMPHASIS ON ADDRESSING HEART DISEASE, STROKE, AND DIABETES PERTINENT TO BUILDING A HEALTHIER COMMUNITY. --DEVELOPMENT OF A COMPREHENSIVE POPULATION HEALTH PROGRAM ANCHORED BY AN ACCOUNTABLE CARE ORGANIZATION WITH OVER 200,000 COVERED LIVES FROM PARTNERING WITH CMS AND THE MAJOR INSURERS WITHIN THE MARKET. WITH A FOCUS ON QUALITY AND COORDINATION OF CARE, PATIENTS ARE RECEIVING VALUE AND IMPROVING THEIR HEALTH. --DEVELOPMENT OF A COMMUNITY HEALTH POPULATION PROGRAM THAT WORKS WITH OUR MOST VULNERABLE POPULATIONS TO ADDRESS BOTH THEIR HEALTH AND SOCIAL NEEDS SUCH AS A MEDICAL HOME, MEDICATION, HOUSING, AND MORE. IT IS MADE POSSIBLE BY GRANTS AND PARTNERING WITH OTHER COMMUNITY-BASED ORGANIZATIONS. --CONTINUING EFFORTS TO EDUCATE HEALTHCARE PROVIDERS OF TODAY AND TOMORROW RECOGNIZING THAT THESE EFFORTS WILL ENSURE A SKILLED WORKFORCE WHICH ULTIMATELY BUILDS A HEATHIER AND STRONGER COMMUNITY. --PROVIDING SUPPORT AND LEADERSHIP IN COMMUNITY BUILDING ACTIVITIES THAT ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS. WE ALSO ENCOURAGE EMPLOYEE, VOLUNTEER AND PHYSICIAN PARTICIPATION, PHILANTHROPIC SUPPORT, AND VOLUNTEERISM IN THE COMMUNITY.
AFFILIATED HEALTH CARE SYSTEM	SCHEDULE H, PART VI, LINE 6 N/A
STATE FILING OF COMMUNITY BENEFIT REPORT	SCHEDULE H, PART VI, LINE 7 WAKEMED PUBLISHES A COMMUNITY BENEFIT REPORT EACH YEAR WHICH HIGHLIGHTS THE FINANCIAL IMPACT ON THE COMMUNITY. IT IS AVAILABLE IN PRINT FORM AS WELL AS ON THE WAKEMED WEBSITE. WAKEMED ALSO VOLUNTARILY FILES A SIMILAR COMMUNITY BENEFIT REPORT WITH THE NORTH CAROLINA HOSPITAL ASSOCIATION.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (19 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
ALLIANCE MEDICAL MINISTRY
101 DONALD ROSS DRIVE	RALEIGH	NC	27610	562168673	501(c)(3)	$384,804	MEDICAL CARE
AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVENUE	DALLAS	TX	75231	135613797	501(C)(3)	$25,000	GENERAL SUPPORT
CAPITAL CARE COLLABORATIVE
2500 BLUE RIDGE ROAD	RALEIGH	NC	27607	561150521	501(C)(6)	$250,000	MEDICAL CARE
DEBNAM CLINIC
1501 POOLE ROAD	RALEIGH	NC	27610	561977593		$216,000	MEDICAL CARE
FOOD BANK OF CENTRAL & EASTERN NC
1924 CAPITAL BOULEVARD	RALEIGH	NC	27604	561283426	501(C)(3)	$7,500	HURRICANE FLORENCE RELIEF EFFORT
GIRL SCOUTS OF NC COASTAL PINES
6901 PINECREST ROAD	RALEIGH	NC	27613	561791500	501(C)(3)	$7,500	General SupporT
INTERACT
191 HIGH HOUSE ROAD	CARY	NC	27511	271771636	501(C)(3)	$30,000	General Support
INTERFAITH FOOD SHUTTLE
201 EAST HARGETT STREET	RALEIGH	NC	27601	561647538	501(C)(3)	$5,500	GENERAL SUPPORT	$14,739	FMV	FOOD DONATIONS
LINKNICA
7028 RAINWATER ROAD	RALEIGH	NC	27615	810893209	501(C)(3)	$10,000	General Support
MARCH OF DIMES
1275 MAMARONECK AVENUE	WHITEPLAINS	NY	10605	131846366	501(C)(3)	$10,000	General Support
NC MUSEUM OF ART FOUNDATION
4630 MAIL SERVICE CENTER	RALEIGH	NC	276994630	237071511	501(C)(3)	$10,000	General Support
NC PHYSICIANS HEALTH PROGRAM
220 HORIZON DRIVE NO 201	RALEIGH	NC	27615	561846599	501(C)(3)	$10,000	General Support
NC SYMPHONY INC
3700 GLENWOOD AVE SUITE 13	RALEIGH	NC	27612	560556755	501(C)(3)	$15,000	GENERAL SUPPORT
RALEIGH SCHOOL OF NURSE ANETHESIA
3900 BARRETT DRIVE	RALEIGH	NC	27609	561684241	501(C)(3)	$47,405	GENERAL SUPPORT
URBAN MINISTRIES OF WAKE COUNTY
1390 CAPITAL BOULEVARD	RALEIGH	NC	27603	581422700	501(C)(3)	$10,000	GENERAL SUPPORT
WAKE COUNTY HUMAN SERVICES
PO BOX 46833	RALEIGH	NC	27620	566000376		$575,558	GENERAL SUPPORT
WAKE TECH COLLEGE FOUNDATION
9101 FAYETTEVILLE ROAD	RALEIGH	NC	27603	237017752	501(C)(3)	$61,500	GENERAL SUPPORT
WAKEMED FOUNDATION
3000 NEW BERN AVENUE	RALEIGH	NC	27610	561916549	501(C)(3)	$49,564	GENERAL SUPPORT
YMCA OF THE TRIANGLE AREA
801 CORPORATE CENTER DRIVE 200	RALEIGH	NC	27607	560591307	501(C)(3)	$10,000	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	17	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

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

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
HEART CENTER - RONALD MCDONALD	1334	$83,780	COST	RON. MC. HOUSE USAGE
PRESCRIPTION DRUGS	5934	$149,791	COST	RX-INDIGENT PATIENTS

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (34 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CAROLYN KNAUP
SENIOR VP-AMBULATORY SERVICES	$293,567	$0	$41,109	$0	$36,693	$0	$16,237	$0	$21,350	$0	$408,956	$0	$0	$0
BETSY GASKINS-MCCLAINE
VP HEART & VASCULAR	$245,738	$0	$45,865	$0	$31,188	$0	$15,581	$0	$9,434	$0	$347,806	$0	$0	$0
CYNTHIA ALNESS-BOILY
SENIOR VP-OPERATIONS & CNO	$331,740	$0	$74,086	$0	$46,159	$0	$16,251	$0	$17,628	$0	$485,864	$0	$0	$0
VICKI BLOCK
Former SR VP & ADMIN. RALEIGH	$0	$0	$7,381	$0	$183,003	$0	$0	$0	$0	$0	$190,384	$0	$0	$0
GEORGIA C HARRINGTON
VP-OPS (END 4/6/18)	$254,898	$0	$44,768	$0	$17,502	$0	$15,942	$0	$15,390	$0	$348,500	$0	$0	$0
GURVINDER S DEOL
PHYSICIAN	$943,732	$0	$347,364	$0	$45,349	$0	$8,972	$0	$27,043	$0	$1,372,460	$0	$0	$0
JONATHAN D CHAPPELL
PHYSICIAN	$719,064	$0	$278,006	$0	$34,621	$0	$8,827	$0	$24,506	$0	$1,065,024	$0	$0	$0
DONALD R GINTZIG
President & CEO	$989,586	$0	$461,898	$0	$58,021	$0	$17,169	$0	$24,130	$0	$1,550,804	$0	$0	$0
DENISE WARREN
Exec VP & COO	$571,355	$0	$177,702	$0	$28,109	$0	$11,451	$0	$23,903	$0	$812,520	$0	$0	$0
JOHN S PIATKOWSKIEND 1216
FORMER SR VP AMB & PHYS OP	$24,230	$0	$0	$0	$439,177	$0	$850	$0	$0	$0	$464,257	$0	$0	$0
Charles Harr
Chief Medical Officer, Raleigh	$427,055	$0	$97,097	$0	$3,018	$0	$16,200	$0	$2,500	$0	$545,870	$0	$0	$0
Christine Craig
VP, Governmental Affairs	$202,872	$0	$35,761	$0	$29,477	$0	$14,239	$0	$17,550	$0	$299,899	$0	$0	$0
J West Paul
SVP & Ch Quality/Med Staff Ofc	$389,712	$0	$87,996	$0	$29,710	$0	$16,200	$0	$26,210	$0	$549,828	$0	$0	$0
Rebecca Andrews
SVP & ADMIN RALEIGH	$319,611	$0	$119,719	$0	$38,258	$0	$16,200	$0	$11,657	$0	$505,445	$0	$0	$0
Rick Carrico
CFO	$311,362	$0	$16,070	$0	$56,601	$0	$13,128	$0	$18,496	$0	$415,657	$0	$0	$0
Seth Brody
Chief Medical Officer, Cary	$369,939	$0	$100,911	$0	$866	$0	$16,200	$0	$1,000	$0	$488,916	$0	$0	$0
Stephanie Sessoms
VP FINANCE	$188,273	$0	$118,845	$0	$51,215	$0	$14,788	$0	$23,136	$0	$396,257	$0	$0	$0
Susan James
VP & Chief Legal Officer	$313,271	$0	$55,239	$0	$5,745	$0	$16,200	$0	$23,630	$0	$414,085	$0	$0	$0
Thomas Gough
SVP - Administrator Cary	$296,808	$0	$72,663	$0	$23,574	$0	$16,200	$0	$23,403	$0	$432,648	$0	$0	$0
Bryon Boulton
Physician	$850,015	$0	$397,580	$0	$915	$0	$8,535	$0	$21,816	$0	$1,278,861	$0	$0	$0
Conor Regan
Physician	$722,107	$0	$230,175	$0	$730	$0	$8,404	$0	$16,338	$0	$977,754	$0	$0	$0
SHERI D DESHAZO
SR VP ADMINISTRATION-NORTH	$222,618	$0	$37,827	$0	$25,974	$0	$13,551	$0	$26,887	$0	$326,857	$0	$0	$0
Debra Laughery
VP - Public Relations	$235,711	$0	$41,359	$0	$31,401	$0	$15,676	$0	$624	$0	$324,771	$0	$0	$0
MATTHEW NATHAN BEG 9262016
SENIOR VP - PHYSICIAN SERVICES	$395,266	$0	$72,035	$0	$66,451	$0	$16,170	$0	$3,869	$0	$553,791	$0	$0	$0
KAREN BASH
CMO, NORTH HOSPITAL	$346,463	$0	$63,712	$0	$1,397	$0	$16,200	$0	$15,828	$0	$443,600	$0	$0	$0
RICK SHRUM beg 1117
VP & CHIEF STRATEGY OFFICER	$277,044	$0	$39,525	$0	$37,530	$0	$15,433	$0	$27,424	$0	$396,956	$0	$0	$0
JOHN PERRY
VP MEDICAL EDUCATION	$299,978	$0	$33,499	$0	$6,318	$0	$16,200	$0	$24,403	$0	$380,398	$0	$0	$0
CHANTAL HOWARD
VP NURSING, RALEIGH	$170,838	$0	$30,039	$0	$21,877	$0	$12,198	$0	$11,539	$0	$246,491	$0	$0	$0
PETER MARKS
VP & CIO (beg 6/26/17)	$118,025	$0	$8,714	$0	$45,778	$0	$8,313	$0	$1,398	$0	$182,228	$0	$0	$0
OKECHUKWU NWOKO
PHYSICIAN	$632,880	$0	$303,894	$0	$15,684	$0	$8,810	$0	$9,061	$0	$970,329	$0	$0	$0
JEANENE R MARTIN
SENIOR VP-HUMAN RESOURCES	$311,493	$0	$69,087	$0	$39,427	$0	$16,243	$0	$19,234	$0	$455,484	$0	$0	$0
E DENTON ARLEDGE
FORMER VP & CIO (end 8/18/17)	$215,815	$0	$9,212	$0	$134,483	$0	$10,986	$0	$12,842	$0	$383,338	$0	$0	$0
THOMAS G CAVENDER
VP FACILITIES & CONSTRUCTION	$269,370	$0	$48,103	$0	$42,107	$0	$16,238	$0	$4,888	$0	$380,706	$0	$0	$0
JOHN R FINLEY END 81817
CHIEF COMPLIANCE OFFICER	$186,588	$0	$0	$0	$0	$0	$0	$0	$0	$0	$186,588	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1A	TAX INDEMNIFICATION AND GROSS-UP PAYMENTS ARE PAID TO SOME KEY EMPLOYEES. THEY ARE INCLUDED IN TAXABLE INCOME.
SCHEDULE J, PART I, LINE 1B	TAX GROSS-UPS FOR KEY EMPLOYEES ARE COVERED BY THE EMPLOYEE AGREEMENT OR ARE APPROVED BY THE BOARD OF DIRECTORS.
SCHEDULE J, PART I, LINE 4A	EVIN DENTON ARLEDGE RECEIVED $98,2201 IN SEVERANCE PAYMENTS. VICKI BLOCK RECEIVED $183,003 IN SEVERANCE PAYMENTS. JOHN PIATKOWSKI RECEIVED $395,763 IN SEVERANCE PAYMENTS.
SCHEDULE J, PART I, LINE 4B	WAKEMED MAINTAINED A 457F PLAN FOR CERTAIN INDIVIDUALS. THERE WERE NO CONTRIBUTIONS MADE DURING THE YEAR. THE FOLLOWING INDIVIDUALS RECEIVED VESTED PAY-OUTS DURING THE CALENDAR YEAR 2017. CYNTHIA ALNESS-BOILY $18,122 REBECCA ANDREWS $13,268 THOMAS CAVENDER $13,444 JONATHAN CHAPPELL $33,824 CHRISTINE CRAIG $ 8,918 GURVINDER DEOL $41,935 GEORGIA HARINGTON $10,483 CAROLYN KNAUP $13,125 DEBRA LAUGHERY $ 8,856 JEANENE MARTIN $15,171 BETSY MCCLAINE $12,200 OKECHUKWUE NWOKO $14,562
SCHEDULE J, PART I, LINE 7	WAKEMED HAS INCENTIVE-BASED PROGRAMS THAT ARE DRIVEN BY ACCOMPLISHING TARGETS ASSOCIATED WITH QUALITY OF CARE FOR DISCHARGE INSTRUCTIONS, PATIENT SATISFACTION, AND MINIMUM OPERATING BENEFITS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
NORTH CAROLINA MEDICAL CARE COMMISSION
A	521309402	65821DCW9	2009-07-16	$81,780,000	SEE PART VI	false	false	false
NORTH CAROLINA MEDICAL CARE COMMISSION
B	521309402	65821DCS8	2009-02-26	$75,000,000	SEE PART VI	false	false	false
NORTH CAROLINA MEDICAL CARE COMMISSION
C	521309402	65821DLY5	2012-07-11	$315,717,962	SEE PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$32,390,000	$0	$81,780,000	$0	$0	$0	$817,125	$41,347	$0	$0	$80,921,528	$0	2012	Yes (true)	false	Yes (true)	Yes (true)
B	$0	$0	$75,249,667	$0	$0	$0	$835,544	$37,919	$0	$74,376,204	$0	$0	2010	false	false	Yes (true)	Yes (true)
C	$37,435,000	$0	$315,725,134	$0	$0	$172,556,427	$2,994,195	$0	$0	$0	$140,174,512	$0	2012	Yes (true)	Yes (true)	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

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

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PURPOSE	SCHEDULE K, PART I, A(F) FINANCING (A) COSTS OF CURRENTLY REFUNDING ALL OUTSTANDING SERIES 1997 BONDS ISSUED APRIL 1, 1997. THE SERIES 1997 BONDS WERE ISSUED TO REFUND ALL OF SERIES 1993 AND 1988 BONDS, WHICH WERE ISSUED TO FINANCE COSTS OF CONSTRUCTING, EXPANDING, RENOVATING, AND EQUIPPING CERTAIN HOSPITAL FACILITIES, INCLUDING CONSTRUCTION OF WAKEMED CARY HOSPITAL, A 2-STORY ADDITION OF THE WAKEMED MAIN CAMPUS, A 45-BED REHABILITATION HOSPITAL AND RELATED, AND OTHER EQUIPMENT; AND (B) ISSUANCE COSTS. SCHEDULE K, PART I, B(F) FINANCING (A) COSTS OF CONSTRUCTION, RENOVATING AND EQUIPPING CERTAIN HOSPITAL FACILITIES, INCLUDING WAKEMED CARY 2-STORY VERTICAL EXPANSION, 10-BED LABOR AND DELIVERY UNIT EXPANSION AND PARKING DECK, WAKEMED RALEIGH 4-STORY PATIENT TOWER, PARKING DECK FOR VISITORS AND PATIENTS, EMPLOYEE PARKING DECK, PORTIONS OF REHABILITATION HOSPITAL FOR INPATIENT BEDS, THE FIRST FLOOR OF THE MAIN HOSPITAL FOR A 25-BED OBSERVATION UNIT AND RELATED, AND OTHER EQUIPMENT; (B) INITIAL COSTS FOR CREDIT FACILITY FOR THE BONDS; AND (C) ISSUANCE COSTS. SCHEDULE K, PART I, C(F) THE SERIES 2012A BONDS WERE ISSUED TO REFUND ALL THE SERIES 2001 AND THE 2009A BONDS AND PAY CERTAIN EXPENSES INCURRED IN THE CONNECTION WITH THE ISSUANCE AND SALE OF THE 2012A BONDS. THE PROCEEDS OF THE REFUNDED 2001 BONDS AND THE REFUNDED 2009A BONDS WERE USED TO FINANCE THE COSTS OF VARIOUS IMPROVEMENTS TO THE CORPORATIONS HEALTHCARE FACILITIES.
TOTAL PROCEEDS OF ISSUE	SCHEDULE K, PART II, 3, COLUMNS B & C TOTAL PROCEEDS INCLUDE INVESTMENT EARNINGS.
ISSUANCE COSTS FROM PROCEEDS	SCHEDULE K, PART II, LINE 7, COLUMNS A, B, & C THE AMOUNTS REPORTED ON FORM 8038 AS PROCEEDS USED FOR BOND ISSUANCE COSTS WERE ESTIMATES. THE AMOUNTS REPORTED ON SCHEDULE K REPRESENT THE ACTUAL USE OF PROCEEDS. SCHEDULE K CREDIT ENHANCEMENT REPORTED WAS FROM THE INITIAL LETTER OF CREDIT FEE PAID FROM BOND PROCEEDS. THIS AMOUNT WAS UNKNOWN AT THE TIME OF THE FORM 8038 PREPARATION.
ARBITRAGE REBATE	SCHEDULE K, PART IV, 2C

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
DBAS FOR WAKEMED	FORM 990, HEADER C, DBA 1 Wake Medical Center 2 Western Wake Hospital 3 Northern Wake Hospital 4 Wake Heart Center 5 Western Wake Medical Center 6 Wake Rehabilitation Hospital 7 Wake Area Health Education Center 8 Wake AHEC 9 Eastern Wake Day Hospital and Skilled Nursing Facility 10 WakeMed Home Care 11 WakeMed - New Bern Avenue Campus 12 WakeMed - Western Wake Medical Center 13 WakeMed - Rehab 14 WakeMed - Fuquay-Varina 15 WakeMed Raleigh Campus 16 WakeMed Cary Hospital 17 WakeMed North Healthplex 18 WakeMed Clayton Medical Park 19 WakeMed Cary Outpatient Rehab Center 20 WakeMed Fuquay-Varina Outpatient & Skilled Nursing Facility 21 WakeMed Zebulon/Wendell Outpatient & Skilled Nursing Facility 22 WakeMed Wake Forest Road Outpatient Rehab Center 23 WakeMed Home Health 24 WakeMed Health & Hospitals 25 WakeMed Emergency Services Institute 26 WakeMed Center for Patient Safety 27 WakeMed Apex Healthplex 28 WakeMed Apex Day Surgery Center, LLC 29 WakeMed Professional Staff 30 WakeMed Mobile Critical Care Services 31 WakeMed Center for Innovative Learning 32 WakeMed Brier Creek Healthplex 33 WakeMed Outpatient Pharmacy 34 WakeMed Garner Healthplex 35 WakeMed Children's Hospital 36 WakeMed Children's 37 WakeMed North 38 WakeMed Rehabilitation Hospital 39 WakeMed Raleigh Medical Park 40 WakeMed Employee Pharmacy 41 WakeMed OP Rehab - 300 Ashville Avenue, Suite 220 Cary, NC 42 WakeMed Cary Hospital Sleep Center - MacGregor Pines Drive 43 Wake Specialty Brier Creek Internal Medicine 44 Wake Specialty ENT - Head & Neck Surgery 45 Wake Specialty Facial Plastics 46 Wake Specialty Gastroenterology & Hepatology 47 Wake Specialty General Surgery 48 Wake Specialty OB/GYN 49 Wake Specialty Physicians ENT - Head & Neck Surgery 50 Wake Specialty Physicians Facial Plastics 51 Wake Specialty Physicians Gastroenterology & Hepatology 52 Wake Specialty Physicians General Surgery 53 Wake Specialty Physicians Internal Medicine Brier Creek 54 Wake Specialty Physicians OB/GYN 55 Wake Specialty Physicians Urology 56 Wake Specialty Physicians Women's Center 57 Wake Specialty Urology 58 Wake Specialty Women's Center 59 Wake Specialty Physicians Maternal Fetal Medicine 60 Wake Specialty Physicians Employee Health 61 Falls Pointe Medical Group 62 Wake Specialty Physicians - City Center Medical Group 63 Wake Specialty Physicians - Carolina Cardiology 64 Wake Specialty Physicians - Concussion Clinic 65 Wake Specialty Physicians - Apex Medical Group 66 Wake Specialty Physicians - Accent Urgent Care 67 Wake Specialty Physicians - Wake Orthopaedics 68 Wake Specialty Physicians - North Wake Internal Medicine 69 Wake Specialty Physicians Pulmonology 70 Wake Specialty Physicians - Knightdale Family Practice 71 Wake Specialty Physicians - Carolina Cardiovascular Surgical Associates 72 Wake Specialty Physicians - Capital Urology 73 Wake Specialty Physicians - Morrisville Primary Care 74 Wake Specialty Physicians - Garner Primary Care 75 Wake Specialty Physicians Fuquay-Varina Primary Care 76 Wake Specialty Physicians - Structural Heart 77 Wake Specialty Physicians - Raleigh Cardiology 78 Wake Specialty Physicians - Raleigh Cardiology Associates 79 Wake Specialty Physicians - Cardiovascular 80 Wake Specialty Physicians - Parkway Primary Care 81 WakeMed Physician Practices Physical Therapy 82 Wake Orthopaedics 83 WakeMed Urgent Care 84 WakeMed Heart and Vascular Physicians DESCRIPTION OF NEW SERVICES FORM 990, PART III, LINE 2 IN FEBRUARY 2017, WAKEMED ENTERED INTO AN AGREEMENT WITH DUKE HEALTH TO ESTABLISH HEART CARE PLUS+, AN INNOVATIVE COLLABORATION IN THE AREA OF CARDIOVASCULAR DISEASE. IN APRIL 2017, WAKEMED ENTERED INTO AN AGREEMENT WITH DUKE HEALTH TO ESTABLISH CANCER CARE PLUS+, AN INNOVATIVE COLLABORATION IN THE AREA OF ONCOLOGY/CANCER SERVICES. THE PRIMARY GOAL OF THE COLLABORATIVES IS TO DELIVER HIGHLY COORDINATED CARE, A BROADER SCOPE OF SERVICES, AND GREATER VALUE AND AFFORDABILITY TO CITIZENS OF WAKE COUNTY. BOTH ORGANIZATIONS REMAIN INDEPENDENT BUT ARE FOCUSED ON WORKING TOGETHER TO IMPROVE THESE HEALTHCARE SERVICES IN WAKE COUNTY. OTHER PROGRAM SERVICES FORM 990, PART III, LINE 4D OTHER PROGRAM SERVICES INCLUDE HOSPITAL IN AND OUTPATIENT ANCILLARY CARE SERVICES IN OTHER SPECIALTY AREAS NOT LISTED ABOVE.
MEMBERS, STOCKHOLDERS, OR OTHER PERSONS W/ POWER TO APPOINT	GOVERNING BODY FORM 990, PART VI, SECTION A, LINE 7A EIGHT MEMBERS OF THE BOARD ARE APPOINTED TO THE BOARD OF DIRECTORS BY WAKE COUNTY.
GOVERNANCE DECISIONS RESERVED TO MEMBERS, STOCKHOLDERS, OR	PERSONS OTHER THAN THE GOVERNING BODY FORM 990, PART VI, SECTION A, LINE 7B THE WAKE COUNTY BOARD OF COMMISSIONERS HOLDS LIMITED APPROVAL OVER SOME GOVERNING BODY DECISIONS PERTAINING TO ARTICLES V, VI,VII, AND IX IN THE ARTICLES OF INCORPORATION. THE TRANSFER AGREEMENT WITH WAKE COUNTY INDICATES APPROVAL/CONSENT FOR TRANSACTIONS PERTAINING TO SUBSTANTIAL DISPOSITION OF ASSETS AND COVENANTS ON LIENS.
PROCESS USED BY THE ORGANIZATION TO REVIEW FORM 990	FORM 990, PART VI, SECTION B, LINE 11B THE ENTIRE 990 AND ASSOCIATED SCHEDULES ARE REVIEWED BY THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS WHO ACKNOWLEDGE THEY HAVE REVIEWED FORMS AND SCHEDULES AND THEN RECOMMEND APPROVAL TO THE BOARD. A FINAL COPY IS PROVIDED TO THE BOARD BEFORE FILING.
MONITORING WRITTEN CONFLICT OF INTEREST POLICY	FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION MONITORS AND ENFORCES THE CONFLICT OF INTEREST POLICY IN VARIOUS WAYS. EACH YEAR, MEMBERS OF THE BOARD, COMMITTEES WITH BOARD DELEGATE POWERS, CEO, CORPORATE STAFF, EXECUTIVE STAFF, DIRECTORS, AND MANAGERS ARE REQUIRED TO COMPLETE AND SUBMIT A CONFLICT OF INTEREST QUESTIONNAIRE. THOSE INDIVIDUALS ARE REQUIRED TO PROVIDE WRITTEN DOCUMENTATION OF ANY POTENTIAL CONFLICT OF INTEREST, IDENTIFYING MATERIAL FINANCIAL INTEREST/PERSONAL CONFLICTS OF INTEREST. REMEDIAL MEASURES IMPLEMENTED TO ADDRESS CONFLICTS OF INTEREST INCLUDE ABSTENTION FROM VOTING ON CERTAIN ISSUES AS WELL AS RECUSAL FROM THE DECISION MAKING PROCESS AND PARTICIPATION INVOLVING THE IDENTIFIED ISSUE/AREA. THE CODE OF CONDUCT PROVIDES GUIDANCE ON GIFTS AND TRAVEL. GIFTS SHOULD NOT BE ACCEPTED AND PRIOR TO ANY TRAVEL/LODGING PAID FOR BY A THIRD PARTY, WRITTEN APPROVAL MUST BE OBTAINED FROM AN EXECUTIVE VICE PRESIDENT. ALSO, EMPLOYEES WHO OWN OR WORK IN A PRIVATE BUSINESS OUTSIDE OF WAKEMED ARE NOT ALLOWED TO RECRUIT OR PROMOTE THEIR PRODUCTS AND SERVICES DURING WORK HOURS OR THROUGH WAKEMED PRINTED HOURS OR THROUGH WAKEMED PRINTED MATERIALS.
PROCESS FOR DETERMINING COMPENSATION OF CEO, EXEC. DIR., OR TOP	MGT OFFICIAL FORM 990, PART VI, SECTION B, LINES 15A & 15B REVIEW OF COMPENSATION IS PERFORMED BY AN INDEPENDENT FIRM. EVERY THREE YEARS AN EXECUTIVE COMPETITIVE COMPENSATION REVIEW IS PERFORMED. ON ALTERNATE YEARS, THE SVP/HR PRESENTS MARKET DATA COMPARISONS TO A BOARD OF DIRECTOR'S COMMITTEE FOR REVIEW.
AVAILABILITY OF FINANCIAL STMT, CONFLICT OF INTEREST, ORGANIZING	DOCS FORM 990, PART VI, SECTION C, LINE 19 THE 990 IS AVAILABLE BY REQUEST AND IS PUBLISHED ON GUIDESTAR. FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE THROUGH THE NC MEDICAL CARE COMMISSION AS IT RELATES TO TAX EXEMPT DEBT. THE ANNUAL AUDITED FINANCIAL STATEMENTS AND TRANSFER AGREEMENT ARE PROVIDED EACH YEAR TO WAKE COUNTY COMMISSIONERS AND BECOME PUBLIC INFORMATION. ARTICLES OF INCORPORATION ARE AVAILABLE ON THE NC SECRETARY OF STATE WEBSITE.
OTHER CHANGES IN NET ASSETS	FORM 990, PART XI, LINE 9 TRANSFERS BETWEEN AFFILIATES (1,264,482) TRANSFER OF FIXED ASSETS (569,907) DONATED CAPITAL TO FINANCE PPE 565,613 GIFTS/GRANTS/BEQUESTS/PLEDGES 183,788 FOUNDATION TO WAKEMED 471,940 INTERCO CASH TRANSFERS (2,677,808) ROUNDING (1) -------------- TOTAL (3,290,857)

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
WAKE SPECIALTY PHYSICIANS LLC
2009 NEW BERN AVENUE	RALEIGH	NC	27610	264169156	MEDICAL OFFIC	NC	$146,465,175	$74,059,528	NA
CSAMS NEW BERN AVENUE LLC
3000 NEW BERN AVENUE	RALEIGH	NC	27610	260554927	HEALTHCARE	NC	$0	$345,482	NA
WAKE ORTHOPAEDICS LLC
3009 NEW BERN AVENUE	RALEIGH	NC	27610	043750760	MEDICAL OFFIC	NC	$0	$0	NA

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
WAKE PROPERTY SERVICES
3000 NEW BERN AVENUE	RALEIGH	NC	27610	561133894	LEASING	NC	501(c)(3)	12B	NA	false
WAKE FACULTY PRACTICE PLAN
3000 NEW BERN AVENUE	RALEIGH	NC	27610	237169178	MEDICAL	NC	501(c)(3)	12b	NA	false
THE VOLUNTEERS AT CARY CAMPUS
3000 NEW BERN AVENUE	RALEIGH	NC	27610	561798031	VOLUNTEERS	NC	501(c)(3)	12b	NA	false
WAKEMED FOUNDATION
3000 NEW BERN AVENUE	RALEIGH	NC	27610	561916549	SUPPORT	NC	501(c)(3)	7	NA	false
THE VOLUNTEERS AT RALEIGH CAMPUS
3000 NEW BERN AVENUE	RALEIGH	NC	27610	560749114	VOLUNTEERS	NC	501(c)(3)	12b	NA	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
CAP CITY SURG CNTR
3000 NEW BERN AVE	RALEIGH	NC	27610	260804803	HEALTHCARE	NC	NA	Related	$7,497,581	$7,235,983	false	$0	false	0.51000
HOLLY SPRINGS SURGICAL VENTURE
9131 ANSON WAY 304	RALEIGH	NC	27540	473753856	HEALTHCARE	NC	NA	Related	-$594,438	$1,120,561	false	$0	false	0.42500
WAKE PET SERVICES
3000 NEW BERN AVE	RALEIGH	NC	27610	263108205	EQUIPMENT LEASING	NC	NA	Related	$181,642	$59,160	false	$0	Yes (true)	0.50000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Primary ActivitiesPrimaryActivitiesTxt
WAKEMED KEY COMMUNITY CARE LLC
3000 NEW BERN AVENUE	RALEIGH	NC	27610	462853835	NC	NA	C Corp	-$1,481,326	$5,555,718	0.50000	Yes (true)
ROCKROOM INSURANCE COMPANY (SPC) LTD
				566017737	NC	NA	C Corp	$8,197,851	$33,122,286	1.00000	Yes (true)	62 FORUM LANE 3 FLOOR PO BOX 30600	CAYMAN	CJ	JY1-1203	CAPTIVE INSURANCE
QUALITY TEXTILE SERVICES
313 SOUTH ROGERS LANE	RALEIGH	NC	27610	561943802	NC	NA	C CORP	$0	$0	0.00000	false					TEXTILE SERVICES

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

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ROCKROOM INSURANCE COMPANY (SPC) LTD
b	$6,483,668	CASH-FMV
WAKEMED FOUNDATION
c	$1,667,154	CASH-FMV
WAKEMED PROPERTY SERVICES
j	$716,166	CASH-FMV
WAKEMED PROPERTY SERVICES
k	$14,817,771	CASH-FMV
WAKEMED PROPERTY SERVICES
q	$598,263	CASH-FMV
WAKEMED PROPERTY SERVICES
r	$4,470,025	CASH-FMV
QUALITY TEXTILE SERVICES
L	$2,247,072	CASH-FMV