WAKEMED: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: WAKEMED (EIN 56-6017737)
Tax period: 2016-10-01 to 2017-09-30
Filed: 2018-08-15
IRS object ID: 201822279349301152
Schema version: 2016v3.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-08-15T08:29:49-05:00	ReturnTs
Tax Period End	2017-09-30	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	2016-10-01	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	2018-08-10	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

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

Field	Value	IRS element (for citing)
Principal Officer	Donald Gintzig	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3000 New Bern Avenue	AddressLine1Txt
City	Raleigh	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27610	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,531,564,665	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 outstanding and compassionate care to all.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	9165	TotalEmployeeCnt
Total Volunteers	1544	TotalVolunteersCnt
Total Gross UBI	$8,811,829	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$2,233,728	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$4,670,452	PYContributionsGrantsAmt
CY Contributions Grants	$4,576,752	CYContributionsGrantsAmt
PY Program Service Revenue	$1,113,786,538	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,231,241,669	CYProgramServiceRevenueAmt
PY Investment Income	$6,450,727	PYInvestmentIncomeAmt
CY Investment Income	$9,429,305	CYInvestmentIncomeAmt
PY Other Revenue	$1,749,243	PYOtherRevenueAmt
CY Other Revenue	-$1,576,924	CYOtherRevenueAmt
PY Total Revenue	$1,126,656,960	PYTotalRevenueAmt
CY Total Revenue	$1,243,670,802	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,105,373	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,207,049	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$667,452,853	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$706,540,835	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$446,261,012	PYOtherExpensesAmt
CY Other Expenses	$484,303,264	CYOtherExpensesAmt
PY Total Expenses	$1,115,819,238	PYTotalExpensesAmt
CY Total Expenses	$1,193,051,148	CYTotalExpensesAmt
PY Revenues Less Expenses	$10,837,722	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$50,619,654	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,416,072,147	TotalAssetsBOYAmt
Total Assets EOY	$1,470,677,957	TotalAssetsEOYAmt
Total Liabilities BOY	$682,525,328	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$755,793,187	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$733,546,819	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$714,884,770	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 outstanding and compassionate care to all.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$249,959,648	ExpenseAmt
Revenue	$271,405,085	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 and outpatient services in three distinct locations throughout the county, WakeMed has improved access to these needed services. WakeMed's wide range of surgical specialties include bariatric, cardiovascular and thoracic, ENT, head and neck, adult and pediatric gastrointestinal, general, neurosurgery, obstetrics and gynecology, orthopedics, pediatric, urology, and vascular. As Wake County's only state designated Level 1 Trauma Center, WakeMed provides comprehensive trauma surgery for general, orthopedic, neurosurgery, and vascular trauma patients. Because access to specialty care continues to be a key health concern facing our community, WakeMed has expanded its network of specialists through WakeMed Physicians who provide subspecialty care to the uninsured and underinsured in our community. Our staff works with the patient to discount their fees based on individual income and need. Many physicians on the medical staff continue this practice of providing quality care to patients regardless of their ability to pay. Last year, our surgical patients included 32.2% who were insured under Medicare, 13.5% who were insured under Medicaid and 7.4% who were uninsured (or "self-pay or charity care").	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$149,710,278	ExpenseAmt
Revenue	$199,057,232	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 children's emergency department in the county. Because physician availability is key to opening up access to care, WakeMed's physician practices, healthplexes, and outpatient services are conveniently positioned through the area. WakeMed is among the top three volume providers of emergency care in North Carolina. WakeMed's Raleigh campus is also home to Wake County's only Level 1 Trauma Center, the highest designation awarded to trauma centers in North Carolina. 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. WakeMed's emergency and trauma services treat all patients who present seeking medical care, regardless of their ability to pay. In FY 2017, 18.5% of our total emergency patients were insured under medicare; 27.6% were insured under Medicaid; and 17.0% were uninsured self-pay/charity care. Over 45% of all patients seen in our Emergency Departments are either medicaid or uninsured patient, resulting in WakeMed providing care of an estimated 70% of Wake County's uninsured and medicaid patients. All stand-alone locations serve areas which are otherwise underserved by dedicated medical services.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$120,069,309	ExpenseAmt
Revenue	$119,377,748	RevenueAmt
Desc	Heart Center - WakeMed's heart and vascular program is one of the largest and most comprehensive cardiovascular programs in the state of North Carolina. Last year, 16,292 cardiovascular procedures were performed including surgery, diagnostic and interventional cardiac catheterizations and electrophysiology studies. Thousands more patients were treated medically as in- and outpatients throughout the system. 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 Association's 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 2017, the team transported 18,423 patients. WakeMed's heart center has made significant strides in programs and services aiming to reduce heart disease and diabetes, improve stroke outcomes and improve patients' understanding of disease management. We know that teaching patients about their risk factors for heart disease and encouraging healthy behaviors through lifestyle changes builds a foundation for a healthier population. Thus, the WakeMed Heart Center provides a comprehensive continuum of care for the cardiac patient from outreach education and prevention to diagnosis, intervention, surgery, cardiac rehabilitation and ongoing disease management for heart failure and diabetes. Free education programs are offered regularly for our patients, their family members and the community to complement our comprehensive care services. Because the fastest intervention provides the best outcomes, all of WakeMed's emergency departments are certified chest pain centers. WakeMed Raleigh campus and Cary Hospital are designated primary stroke centers. Additionally, WakeMed's heart center provides free health screenings throughout the community including cholesterol screenings, blood pressure checks, vascular screenings and stroke assessments. These screenings are designed to be a secondary prevention activity to detect early onset of disease or illness. WakeMed conducts training for the program CPR Anytime at multiple locations in Wake County and provides CPR Anytime kits throughout the community at more than a 70% discounted cost. Last fiscal year, 41.9% of cardiac patients were insured under Medicare, 10.5% were insured under Medicaid, and 10.6% of these patients were uninsured.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$547,359,721	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$2,207,049	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$639,071,755	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$1,067,098,956	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	602	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	9165	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 (49 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
VICE CHAIR BOARD OF DIRECTORS	3.0	0.0	Yes (X)	$0	$0	$0
BRENDA C GIBSON
CHAIR - BOARD OF DIRECTORS	4.0	0.0	Yes (X)	$0	$0	$0
JERRY C BERNSTEIN MD
SECRETARY - BOARD OF DIRECTORS	3.0	0.0	Yes (X)	$0	$0	$0
ROBERT A CERWIN
BOARD MEMBER	3.0	0.0	Yes (X)	$0	$0	$0
A BLANTON GODFREY PHD
BOARD MEMBER	3.0	0.0	Yes (X)	$0	$0	$0
VERN DAVENPORT
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
ROBERT C RICE JR
BOARD MEMBER	3.0	0.0	Yes (X)	$0	$0	$0
WILLY E STEWART
BOARD MEMBER	3.0	0.0	Yes (X)	$0	$0	$0
DAN BLUE III
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
CHRISTINA ALVARADO SHANAHAN
BOARD MEMBER	3.0	0.0	Yes (X)	$0	$0	$0
James Anthony Penry
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
R Donovan Munford
BOARD MEMBER	3.0	0.0	Yes (X)	$0	$0	$0
Sonia Barnes
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
LARRY D BARBOUR
VC BOD (UNTIL 5-25-17)	2.0	0.0	Yes (X)	$0	$0	$0
KRISTIN G REPLOGLE
BOARD MEMBER (UNTIL 1-1-17)	2.0	0.0	Yes (X)	$0	$0	$0
DONALD R GINTZIG
President & CEO	70.0	0.0		$1,290,872	$0	$38,045	Yes (X)
DENISE WARREN
Exec VP & COO	65.0	0.0		$583,077	$0	$32,646	Yes (X)
JOHN R FINLEY
CHIEF COMPLIANCE OFFICER	65.0	0.0		$254,474	$0	$42,670	Yes (X)
RIck Carrico
CFO (BEGIN 4-26-17)	60.0	0.0		$0	$0	$0	Yes (X)
Stephanie Sessoms
Interim CFO (Until 4-26-17)	60.0	0.0		$195,897	$0	$27,042	Yes (X)
ROYLYN JOHNSON
OFFICER - SECRETARY	50.0	0.0		$97,738	$0	$13,584	Yes (X)
JEANENE R MARTIN
SENIOR VP-HUMAN RESOURCES	60.0	0.0		$322,426	$0	$33,163		Yes (X)
E DENTON ARLEDGE
VP & CIO (until 8-18-17)	50.0	0.0		$346,339	$0	$36,253		Yes (X)
THOMAS G CAVENDER
VP FACILITIES & CONSTRUCTION	50.0	0.0		$290,452	$0	$41,513		Yes (X)
CAROLYN KNAUP
SENIOR VP-AMBULATORY SERVICES	62.0	0.0		$310,764	$0	$39,290		Yes (X)
BETSY GASKINS-MCCLAINE
VP HEART & VASCULAR	65.0	0.0		$271,095	$0	$23,638		Yes (X)
CYNTHIA ALNESS-BOILY
SENIOR VP-OPERATIONS & CNO	60.0	0.0		$342,252	$0	$35,765		Yes (X)
DUDLEY HARRINGTON
VP REVENUE CYCLE	60.0	0.0		$279,568	$0	$37,595		Yes (X)
GEORGIA C HARRINGTON
VP OPERATIONS	55.0	0.0		$245,166	$0	$27,886		Yes (X)
JOHN S PIATKOWSKI
SR VP AMBULATORY & PHYSICAN OP	60.0	0.0		$421,775	$0	$40,672		Yes (X)
Charles Harr
Chief Medical Officer, Raleigh	60.0	0.0		$448,123	$0	$30,845		Yes (X)
Christine Craig
VP, Governmental Affairs	55.0	0.0		$196,793	$0	$24,612		Yes (X)
J West Paul
SVP & Ch Quality/Med Staff Ofc	60.0	0.0		$394,529	$0	$39,134		Yes (X)
Rebecca Andrews
SVP & ADMIN. (Begin 5-28-17)	55.0	0.0		$291,394	$0	$26,517		Yes (X)
Seth Brody
Chief Medical Officer, Raleigh	60.0	0.0		$442,828	$0	$15,900		Yes (X)
Susan James
VP & Chief Legal Officer	55.0	0.0		$282,596	$0	$39,115		Yes (X)
Thomas Gough
SVP - Administrator Cary	60.0	0.0		$294,031	$0	$37,313		Yes (X)
SHERI D DESHAZO
SR VP ADMINISTRATION-NORTH	63.0	0.0		$234,488	$0	$36,595		Yes (X)
Debra Laughery
VP - Public Relations	60.0	0.0		$253,167	$0	$14,186		Yes (X)
GURVINDER S DEOL
PHYSICIAN	65.0	0.0		$1,349,513	$0	$30,870			Yes (X)
JONATHAN D CHAPPELL
PHYSICIAN	60.0	0.0		$966,870	$0	$31,299			Yes (X)
TIMOTHY E HARRIS
PHYSICIAN	60.0	0.0		$933,183	$0	$33,682			Yes (X)
Bryon Boulton
Physician	60.0	0.0		$1,052,840	$0	$23,535			Yes (X)
Conor Regan
Physician	60.0	0.0		$983,335	$0	$23,456			Yes (X)
Michael DeVaughn
former CFO	0.0	0.0		$687,123	$0	$6,809				Yes (X)
THOMAS GETTINGER
Former COO, EXEC. VP	0.0	0.0		$340,654	$0	$1,043				Yes (X)
Michael Browning
former CFO	0.0	0.0		$382,451	$0	$28,125				Yes (X)
VICKI BLOCK
Former SR VP & ADMIN. RALEIGH	0.0	0.0		$330,239	$0	$19,936				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$15,116,052	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$932,734	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	771	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	Chapel Hill	NC	27517	Health Care System	$3,718,905
Amcol Systems
PO Box 21625	Columbia	SC	29221	Collection Services	$2,983,556
Fresenius Medical Care
16343 Collections Center Drive	Chicago	IL	60693	Diagnostic Testing	$2,259,589
Quality Textile Services
313 S Rogers Lane	Raleigh	NC	27610	Laundry Services	$1,937,643
Laboratory Corporation of America
PO Box 12140	Burlington	NC	27216	Diagnostic Testing	$2,182,874

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	70	CntrctRcvdGreaterThan100KCnt
Fundraising	$0	FundraisingAmt
Related Organizations	$24,742	RelatedOrganizationsAmt
Government Grants	$3,974,727	GovernmentGrantsAmt
All Other Contributions	$577,283	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$4,576,752	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Patient Services	621511	$1,187,333,629	$1,187,333,629	$0	$0
Non-Patient Services	621500	$7,612,465	$0	$7,612,465	$0
Cafeteria	722210	$5,228,416	$0	$0	$5,228,416
Purch Discnts/Rebates/VHA	900099	$3,316,244	$3,316,244	$0	$0
Other Operating Revenue	900099	$23,164,562	$13,063,538	$1,199,364	$8,901,660

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,586,353	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,586,353	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,231,241,669	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,025,557	TotalRevenueColumnAmt
Exclusion	$10,025,557	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	$873,198	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$120,273	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$752,925	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$752,925	TotalRevenueColumnAmt
Exclusion	$752,925	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$285,330,928	SecuritiesAmt
Other	$1,846,410	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$287,313,436	SecuritiesAmt
Other	$460,154	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$1,982,508	SecuritiesAmt
Other	$1,386,256	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$596,252	TotalRevenueColumnAmt
Exclusion	-$596,252	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	-$2,329,849	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$2,329,849	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	-$2,329,849	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,243,670,802	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,205,969,915	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$8,811,829	UnrelatedBusinessRevenueAmt
Exclusion	$24,312,306	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$2,080,870	TotalAmt
Program Services	$2,080,870	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$126,179	TotalAmt
Program Services	$126,179	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	$7,932,430	TotalAmt
Program Services	$6,345,944	ProgramServicesAmt
Management And General	$1,586,486	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	$581,044,183	TotalAmt
Program Services	$493,887,556	ProgramServicesAmt
Management And General	$87,156,627	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$27,549,569	TotalAmt
Program Services	$23,417,134	ProgramServicesAmt
Management And General	$4,132,435	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$52,246,522	TotalAmt
Program Services	$44,409,544	ProgramServicesAmt
Management And General	$7,836,978	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$37,768,131	TotalAmt
Program Services	$32,102,911	ProgramServicesAmt
Management And General	$5,665,220	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	$1,635,537	TotalAmt
Program Services	$1,537,405	ProgramServicesAmt
Management And General	$98,132	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$403,400	TotalAmt
Program Services	$369,313	ProgramServicesAmt
Management And General	$34,087	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$453,891	TotalAmt
Program Services	$426,658	ProgramServicesAmt
Management And General	$27,233	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	$67,961,183	TotalAmt
Program Services	$63,883,512	ProgramServicesAmt
Management And General	$4,077,671	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$5,043,464	TotalAmt
Program Services	$4,740,856	ProgramServicesAmt
Management And General	$302,608	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$38,038,387	TotalAmt
Program Services	$35,756,084	ProgramServicesAmt
Management And General	$2,282,303	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$18,276,459	TotalAmt
Program Services	$17,179,871	ProgramServicesAmt
Management And General	$1,096,588	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	$21,020,247	TotalAmt
Program Services	$19,759,032	ProgramServicesAmt
Management And General	$1,261,215	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$893,170	TotalAmt
Program Services	$839,580	ProgramServicesAmt
Management And General	$53,590	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,069,045	TotalAmt
Program Services	$1,004,902	ProgramServicesAmt
Management And General	$64,143	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$14,956,048	TotalAmt
Program Services	$14,956,048	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	$69,782,341	TotalAmt
Program Services	$69,782,341	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,063,329	TotalAmt
Program Services	$2,879,529	ProgramServicesAmt
Management And General	$183,800	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
REPAIRS AND MAINTENANCE	$23,529,773	$18,823,818	$4,705,955
MINOR EQUIPMENT	$4,270,163	$4,013,953	$256,210
MEDICAL SUPPLIES	$160,313,325	$160,313,325
GAP ASSESSMENT	$31,921,686	$30,006,385	$1,915,301

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$21,671,816	TotalAmt
Program Services	$18,456,206	ProgramServicesAmt
Management And General	$3,215,610	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,193,051,148	TotalAmt
Program Services	$1,067,098,956	ProgramServicesAmt
Management And General	$125,952,192	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

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

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$56,120	BOYAmt
EOY	$56,898	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$489,472,711	BOYAmt
EOY	$540,650,124	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$147,828	BOYAmt
EOY	$219,507	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$169,635,294	BOYAmt
EOY	$156,410,612	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	$5,926,487	BOYAmt
EOY	$1,881,875	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$19,535,643	BOYAmt
EOY	$19,416,868	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$10,539,870	BOYAmt
EOY	$10,907,317	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,515,978,125	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,004,393,404	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$520,871,544	BOYAmt
EOY	$511,584,721	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$83,219,393	BOYAmt
EOY	$98,701,773	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	$367,584	BOYAmt
EOY	$265,290	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$116,299,673	BOYAmt
EOY	$130,582,972	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,416,072,147	BOYAmt
EOY	$1,470,677,957	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$133,276,929	BOYAmt
EOY	$159,909,506	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	$398,335	BOYAmt
EOY	$309,201	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$421,832,721	BOYAmt
EOY	$409,952,370	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	$100,000,000	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	$27,017,343	BOYAmt
EOY	$28,622,110	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$682,525,328	BOYAmt
EOY	$755,793,187	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$732,884,268	BOYAmt
EOY	$714,183,517	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$325,198	BOYAmt
EOY	$364,804	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$337,353	BOYAmt
EOY	$336,449	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$733,546,819	BOYAmt
EOY	$714,884,770	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,416,072,147	BOYAmt
EOY	$1,470,677,957	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$50,619,654	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$14,001,358	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$83,283,061	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
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	$554,946	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Rallies Demonstrations	$0	RalliesDemonstrationsAmt
Other Activities	false	OtherActivitiesInd
Other Activities	$0	OtherActivitiesAmt
Total Lobbying Expenditures	$554,946	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	$337,353	BeginningYearBalanceAmt
Investment Earnings Or Losses	$3,448	InvestmentEarningsOrLossesAmt
Administrative Expenses	$4,352	AdministrativeExpensesAmt
End Year Balance	$336,449	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$324,984	BeginningYearBalanceAmt
Investment Earnings Or Losses	$6,008	InvestmentEarningsOrLossesAmt
Administrative Expenses	$1,760	AdministrativeExpensesAmt
End Year Balance	$329,232	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,877,147	OtherCostOrOtherBasisAmt
Book Value	$3,877,147	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$620,135,654	OtherCostOrOtherBasisAmt
Depreciation	$312,542,707	DepreciationAmt
Book Value	$307,592,947	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$28,513,405	OtherCostOrOtherBasisAmt
Depreciation	$15,177,584	DepreciationAmt
Book Value	$13,335,821	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$826,472,559	OtherCostOrOtherBasisAmt
Depreciation	$659,329,940	DepreciationAmt
Book Value	$167,142,619	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$36,979,360	OtherCostOrOtherBasisAmt
Depreciation	$17,343,173	DepreciationAmt
Book Value	$19,636,187	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$511,584,721	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
Restricted Funds	$50,469,183
Designated Funds	$35,652,878
Other Equity Investments	$32,292,685
Prepaid Pension	$12,168,226

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$130,582,972	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
TOTAL DUE TO THIRD-PARTY PAYOR	$10,115,237
ACCRUED CLAIMS PAYABLE	$14,542,608
PENSION-DEFERRED INFLOW	$3,256,940
DEFERRED LANDLORD INCENTIVES	$346,556
OTHER DEFERRED INFLOWS OF RESOURCES	$360,769

Field	Value	IRS element (for citing)
Total Liability	$28,622,110	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
Type Of Activities Conducted	CAPTIVE INSURANCE	TypeOfActivitiesConductedTxt
Specific Services Provided	Insurance Premiums/Exp	SpecificServicesProvidedTxt
Region Total Expenditures	$6,908,001	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Spent	$6,908,001	SubtotalSpentAmt
Total Spent	$6,908,001	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	$84,305,685	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$84,305,685	NetCommunityBenefitExpnsAmt
Total Expense	0.07070	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$211,162,609	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$199,471,030	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,691,579	NetCommunityBenefitExpnsAmt
Total Expense	0.00980	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,857,556	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,702,516	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$155,040	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$297,325,850	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$201,173,546	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$96,152,304	NetCommunityBenefitExpnsAmt
Total Expense	0.08060	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,074,415	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$250,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,824,415	NetCommunityBenefitExpnsAmt
Total Expense	0.00660	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,273,560	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,627,173	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,646,387	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$905,724	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$905,724	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,253,699	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,877,173	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,376,526	NetCommunityBenefitExpnsAmt
Total Expense	0.00880	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$317,579,549	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$211,050,719	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$106,528,830	NetCommunityBenefitExpnsAmt
Total Expense	0.08940	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$120,551	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$120,551	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$641,465	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$47,405	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$594,060	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,356,215	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,356,215	NetCommunityBenefitExpnsAmt
Total Expense	0.00280	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,118,231	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$47,405	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,070,826	NetCommunityBenefitExpnsAmt
Total Expense	0.00340	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$21,851,947	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$348,592,955	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$409,477,737	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$60,884,782	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	Capital City Surgery	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	Surgery	PrimaryActivitiesTxt
Org Profit Or Ownership	0.51	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.1543	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	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
WakeMed Raleigh Campus
1	3000 New Bern Avenue	Raleigh	NC	27610	WWW.WAKEMED.ORG	H0199	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
WakeMed Cary Hospital
2	1900 Kildaire Farm Road	Cary	NC	27518	WWW.WAKEMED.ORG	H0276	Yes (X)	Yes (X)		Yes (X)	A

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
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
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FACILITY GROUP A	ALL ANSWERS PROVIDED IN PART V, SECTION B & C PERTAIN TO FACILITY GROUP A, WHICH INCLUDES WAKEMED RALEIGH CAMPUS AND WAKEMED CARY HOSPITAL AS IDENTIFIED ON SCHEDULE H, PART V, SECTION A, LINES 1-2.
SCHEDULE H, PART V, SECTION B, LINE 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. (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 County's health needs. Primary research data was collected via telephone surveys, internet surveys and focus groups. In addition, community input and prioritization sessions were held. In total more than 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 describe 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 included 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. Recognizing that partnering with local organizations who 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 entirety of the 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, LINES 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, LINES 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 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.
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	14	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (14 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 Fam Health & Women's Hosp
10000 Falls of the Neuse Road	Raleigh	NC	27614	WOMEN'S SURGERY, PREGNANCY CHILDBIRTH, OP/AMB SURG CNTR EM DEPT, LAB, RADIOLOGY, THRPY
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	EMERGENCY DEPARTMENT LABORATORY, RADIOLOGY
WakeMed Apex Healthplex
120 Healthplex Way	Apex	NC	27502	EMERGENCY DEPARTMENT LABORATORY, RADIOLOGY
WakeMed Brier Creek Healthplex
8001 TW Alexander Drive	Raleigh	NC	27617	EMERGENCY DEPARTMENT 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, PHYS, OCCUPP & SPEECH, PICC PRIVATE DUTY NURSING
WakeMed Alexander YMCA
1603 Hillsborough Street	Raleigh	NC	27605	Physical Therapy
WakeMed Wake Forest Road
3701 Wake Forest Road	Raleigh	NC	27609	PHYS, OCCUP, SPEECH, AND PEDIATRIC SPEECH THERAPY
WakeMed Kraft Family YMCA
8921 Holly Springs Road	Apex	NC	27539	Phys & Occup Therapy, Card ac Rehab, Nutritional C
WakeMed Cary Family YMCA
101 YMCA Drive	Cary	NC	27513	Phys & Occup Therapy REHABILITATION, NUTRITIONAL COUNSELING
WakeMed Kerr Family YMCA
2500 Wakefield Pines Drive	Raleigh	NC	27614	Physical 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 the 300% of the FPG. Further, All patients without insurance qualify for an automatic 50% discount without consideration of FPG. Schedule H, Part I, Line 7a Charity care is reported as the systems charity care at cost, using a cost to charge ratio calculated as in Worksheet 2. Schedule H, Part I, Line 7b Medicaid costs are derived from our cost accounting system, which addresses all patient segments. Schedule H, Part I, Line 7c Costs of other government programs are derived from our cost accounting system, which addresses all patient segments. Schedule H, Part I, Line 7f Per Medicare Cost Report Schedule H, Part II 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, 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 WakeMeds 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 managements 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 Treatment of Medicare Shortfall as Community Benefit WakeMed believes that all of the $60,884,782 Medicare shortfall should be considered as 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 38.0% 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 a community benefit, the percent of total expenses attributable to community benefit would increase from 8.94% to 14.43%. Medicare Costing Methodology The Medicare allowable costs were determined from the Medicare Cost Report, as specified in the provider reimbursement manual. Schedule H, Part III, Line 9b Application of Collection Practices to those Qualifying for Financial Assistance WakeMed provides many opportunities to educate patients on our financial assistance program prior to discharge and again when the first bill is received. In order to make sure we reach out to our patients, we send at least four statements and also make follow-up calls. Each statement references the financial assistance program and includes a plain language summary of our financial assistance program. Patients are screened for financial assistance and are given opportunities to apply. If a patient chooses not to apply, or does not qualify, they are given the opportunity for other payment arrangements. If the patient did not apply for financial assistance and ends up in collections, an application for financial assistance is provided. 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 communities 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-Health-Needs-Assess ment.pdf. In addition to this primary data, WakeMed's corporate planning department collects and analyzes multiple other sources of secondary data which helps us understand demographic, sociographic and health trends. 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. Through this department, a strategic plan is developed and updated annually.
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. 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 Medicaid 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 selected 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 Carolina's 100 counties and beyond, its primary service area can best be described as the counties contiguous to Wake County. The vast majority of patients come from Wake and Johnston Counties. Both counties have rapidly growing smaller/suburban communities centered around the capital city of Raleigh. THese communities look to Raleigh as their primary source for tertiary level care. THe market is demographically diverse and fiercely competitive with three major health systems competing against one another. WakeMed shoulders the vast majority of care for the uninsured and underinsured, often exceeding 80% of the burden. 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 County's largest private employer and a cornerstone of the community, WakeMed is an asset residents can depend on not only for the highest quality of health care inside the hospital and outpatient facilities, but for community outreach in the form of screenings, classes, seminars, health fairs, preventive programs, support groups and other outreach initiatives. 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 1,000+ person medical staff is open and comprised primarily of independent practitioners, although the number of employed physicians is growing and now totals more than 280 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 providers is a critical need. As a result, we continue to expand our network of primary care providers who serve community residents, regardless of their ability to pay. WakeMed helps improve the health of the community by outreach that takes on many forms from the direct provision of care to mentoring at-risk youth. Areas of focus for the system are centered on: --improved access to care through geographically dispersed outpatient facilities, primary care physicians and emergency departments. 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. --continuing efforts to educate healthcare providers of today and tomorrow recognizing that these efforts will ensure a skilled workforce which ultimately builds a healthier 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 (20 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)	$384,400	Medical Care
C3HealthcareRx
8310 Bendford Way	Raleigh	NC	27615	464497775		$335,817	Medical Care
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
Inter-Faith Food Shuttle
1001 Blair Drive STE 120	Raleigh	NC	27603	561753180	501(c)(3)		General Support	$17,898	FMV	FOOD DONATION
Interact
191 High House Road	Cary	NC	27511	271771636	501(C)(3)	$30,000	General Support
LinkNica
7028 Rainwater Road	Raleigh	NC	27615	810893209	501(C)(3)	$10,000	General Support
Marbles Kids Museum
201 East Hargett Street	Raleigh	NC	27601	561647538	501(C)(3)	$20,000	General Support
March of Dimes
1275 Mamaroneck Ave	White Plains	NY	10605	131846366	501(C)(3)	$7,000	General Support
NC Museum of Art Foundation
4630 Mail Svc Ctr	Raleigh	NC	276994630	237071511	501(C)(3)	$9,860	General Support
NC Physicians Health Program
220 Horizon Drive 201	Raleigh	NC	27615	561846599	501(c)(3)	$15,000	General Support
NC Symphony Inc
3700 Glenwood AvE STE 13	Raleigh	NC	27612	560556755	501(c)(3)	$16,236	General Support
Raleigh School of Nurse Anesthesia
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		$470,324	General Support
Wake Education Partnership
706 Hillsborough St STE A	Raleigh	NC	27603	581518182	501(c)(3)	$5,750	General Support
Wake Tech College Foundation
9101 Fayetteville Road	Raleigh	NC	27603	237017752	501(C)(3)	$100,000	General Support
WakeMed Foundation
3000 New Bern Avenue	Raleigh	NC	27610	561916549	501(c)(3)	$11,250	GENERAL SUPPORT
YMCA of the Triangle Area
801 Corporate CTR Dr 200	Raleigh	NC	27607	560591307	501(C)(3)	$37,000	General Support
American Heart Association
7272 Greeneville Avenue	Dallas	TX	75231	135613797	501(c)(3)	$24,924	General Support

Field	Value	IRS element (for citing)
Total501c3 Org	17	Total501c3OrgCnt
Total Other Org	3	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	1433	$86,293	COST	Ron. Mc. House Usage
Prescription Drugs	5628	$39,886	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, 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 (31 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
JEANENE R MARTIN
SENIOR VP-HUMAN RESOURCES	$290,568	$0	$0	$0	$31,858	$0	$16,251	$0	$16,912	$0	$355,589	$0	$0	$0
E DENTON ARLEDGE
VP & CIO (until 8-18-17)	$305,575	$0		$0	$40,764	$0	$15,988	$0	$20,265	$0	$382,592	$0	$0	$0
THOMAS G CAVENDER
VP FACILITIES & CONSTRUCTION	$253,957	$0	$0	$0	$36,495	$0	$16,209	$0	$25,304	$0	$331,965	$0	$0	$0
CAROLYN KNAUP
SENIOR VP-AMBULATORY SERVICES	$283,143	$0	$0	$0	$27,621	$0	$16,198	$0	$23,092	$0	$350,054	$0	$0	$0
BETSY GASKINS-MCCLAINE
VP HEART & VASCULAR	$257,752	$0	$0	$0	$13,343	$0	$15,884	$0	$7,754	$0	$294,733	$0	$0	$0
CYNTHIA ALNESS-BOILY
SENIOR VP-OPERATIONS & CNO	$318,481	$0	$0	$0	$23,771	$0	$16,269	$0	$19,496	$0	$378,017	$0	$0	$0
VICKI BLOCK
Former SR VP & ADMIN. RALEIGH	$243,310	$0	$2,737	$0	$84,192	$0	$14,165	$0	$5,771	$0	$350,175	$0	$0	$0
DUDLEY HARRINGTON
VP REVENUE CYCLE	$276,394	$0	$48	$0	$3,126	$0	$16,072	$0	$21,523	$0	$317,163	$0	$0	$0
GEORGIA C HARRINGTON
VP OPERATIONS	$232,779	$0	$0	$0	$12,387	$0	$14,522	$0	$13,364	$0	$273,052	$0	$0	$0
GURVINDER S DEOL
PHYSICIAN	$775,877	$0	$502,078	$0	$71,558	$0	$9,576	$0	$21,294	$0	$1,380,383	$0	$0	$0
JONATHAN D CHAPPELL
PHYSICIAN	$714,999	$0	$213,493	$0	$38,378	$0	$9,395	$0	$21,904	$0	$998,169	$0	$0	$0
DONALD R GINTZIG
President & CEO	$908,373	$0	$323,489	$0	$59,010	$0	$16,891	$0	$21,154	$0	$1,328,917	$0	$0	$0
TIMOTHY E HARRIS
PHYSICIAN	$633,618	$0	$296,694	$0	$2,871	$0	$7,950	$0	$25,732	$0	$966,865	$0	$0	$0
DENISE WARREN
Exec VP & COO	$549,769	$0	$5,099	$0	$28,209	$0	$11,219	$0	$21,427	$0	$615,723	$0	$0	$0
JOHN R FINLEY
CHIEF COMPLIANCE OFFICER	$239,595	$0	$4,972	$0	$9,907	$0	$15,671	$0	$26,999	$0	$297,144	$0	$0	$0
JOHN S PIATKOWSKI
SR VP AMBULATORY & PHYSICAN OP	$403,693	$0	$0	$0	$18,082	$0	$15,900	$0	$24,772	$0	$462,447	$0	$0	$0
Charles Harr
Chief Medical Officer, Raleigh	$399,489	$0	$15,338	$0	$33,296	$0	$15,900	$0	$14,945	$0	$478,968	$0	$0	$0
Christine Craig
VP, Governmental Affairs	$180,265	$0	$0	$0	$16,528	$0	$11,755	$0	$12,857	$0	$221,405	$0	$0	$0
J West Paul
SVP & Ch Quality/Med Staff Ofc	$374,502	$0	$0	$0	$20,027	$0	$15,900	$0	$23,234	$0	$433,663	$0	$0	$0
Rebecca Andrews
SVP & ADMIN. (Begin 5-28-17)	$260,593	$0	$188	$0	$30,613	$0	$15,900	$0	$10,617	$0	$317,911	$0	$0	$0
Seth Brody
Chief Medical Officer, Raleigh	$376,510	$0	$65,431	$0	$887	$0	$15,900	$0	$0	$0	$458,728	$0	$0	$0
Stephanie Sessoms
Interim CFO (Until 4-26-17)	$180,096	$0	$0	$0	$15,801	$0	$10,130	$0	$16,912	$0	$222,939	$0	$0	$0
Susan James
VP & Chief Legal Officer	$280,119	$0	$678	$0	$1,799	$0	$15,900	$0	$23,215	$0	$321,711	$0	$0	$0
Thomas Gough
SVP - Administrator Cary	$261,693	$0	$5,091	$0	$27,247	$0	$15,900	$0	$21,413	$0	$331,344	$0	$0	$0
Bryon Boulton
Physician	$672,745	$0	$379,362	$0	$733	$0	$8,394	$0	$15,141	$0	$1,076,375	$0	$0	$0
Conor Regan
Physician	$494,438	$0	$488,449	$0	$448	$0	$8,261	$0	$15,195	$0	$1,006,791	$0	$0	$0
Michael DeVaughn
former CFO	$251,342	$0	$0	$0	$435,781	$0	$6,809	$0	$0	$0	$693,932	$0	$0	$0
THOMAS GETTINGER
Former COO, EXEC. VP	$144,806	$0	$0	$0	$195,848	$0	$1,043	$0	$0	$0	$341,697	$0	$0	$0
Michael Browning
former CFO	$382,451	$0	$0	$0	$0	$0	$28,125	$0	$0	$0	$410,576	$0	$0	$0
SHERI D DESHAZO
SR VP ADMINISTRATION-NORTH	$234,488	$0	$0	$0	$0	$0	$36,595	$0	$0	$0	$271,083	$0	$0	$0
Debra Laughery
VP - Public Relations	$253,167	$0	$0	$0	$0	$0	$14,186	$0	$0	$0	$267,353	$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	VICKI BLOCK RECEIVED $57,584 IN SEVERANCE PAYMENTS. MICHAEL D. DEVAUGHN RECEIVED $435,781 IN SEVERANCE PAYMENTS. THOMAS GETTINGER RECEIVED $195,848 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 listed individuals received vested pay-outs during the Calendar Year 2016. Rebecca Andrews $10,101 D. Evin Arledge $30,154 Vicki Block $14,575 Thomas Cavender $12,173 Georgia Harrington $9,553 Carolyn Knaup $10,582 Jeanene Martin $14,213 Betsy McClaine $11,261
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	65821DCS8	2009-02-26	$75,000,000	See Part VI	false	false	false
North Carolina Medical Care Commission
B	521309402	65821DLY5	2012-07-11	$315,717,962	See Part VI	false	false	false
North Carolina Medical Care Commission
C	521309402	65821DCW9	2009-07-16	$81,780,000	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	$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)
B	$30,545,000	$0	$315,719,982	$0	$0	$172,556,427	$2,994,195	$0	$0	$0	$140,169,360	$0	2012	Yes (true)	Yes (true)	Yes (true)	Yes (true)
C	$27,825,000	$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)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	false	0.00000	0.00000	0.00000	false	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	false	0			false	false	false	Yes (true)
C	false	false	false		false	0			false	false	false	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)	false	false	false	0	false	Yes (true)
0
C	false	false	false	Yes (true)	Yes (true)	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 (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PURPOSE	Schedule K, Part I, A(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.
PURPOSE	Schedule K, Part I, B(f) The series 2012A bonds were issued to refund all the series 2001 and the 2009A bonds and pay certain expenses incurred in the connection with the issuance and sale of the 2012A bonds. The proceeds of the refunded 2001 bonds and the refunded 2009A bonds were used to finance the costs of various improvements to the corporation's healthcare facilities.
PURPOSE	SCHEDULE K, PART I, C(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.
Total proceeds of issue	Schedule K, Part II, 3, Columns A & B 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 Arbitrage rebate calculation performed on 2/25/2014 for A; 7/15/2014 for B, and on 7/11/2017 for C.

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 - Zebulon-Wendell 16 WakeMed Raleigh Campus 17 WakeMed Cary Hospital 18 WakeMed North Healthplex 19 WakeMed Clayton Medical Park 20 WakeMed Cary Outpatient Rehab Center 21 WakeMed Fuquay-Varina Outpatient & Skilled Nursing Facility 22 WakeMed Zebulon/Wendell Outpatient & Skilled Nursing Facility 23 WakeMed Wake Forest Road Outpatient Rehab Center 24 WakeMed Home Health 25 WakeMed Health & Hospitals 26 WakeMed Emergency Services Institute 27 WakeMed Center for Patient Safety 28 WakeMed Apex Healthplex 29 WakeMed Apex Day Surgery Center, LLC 30 WakeMed Professional Staff 31 WakeMed Mobile Critical Care Services 32 WakeMed Center for Innovative Learning 33 WakeMed Brier Creek Healthplex 34 WakeMed Outpatient Pharmacy 35 WakeMed Garner Healthplex 36 WakeMed Zebulon/Wendell Outpatient Rehabilitation 37 WakeMed Children's Hospital 38 WakeMed Children's 39 WakeMed North 40 WakeMed Rehabilitation Hospital 41 WakeMed Raleigh Medical Park 42 WakeMed Employee Pharmacy 43 WakeMed OP Rehab - Banks D Kerr Family YMCA Raleigh, NC 44 WakeMed OP Rehab - Cary Family YMCA Cary, NC 45 WakeMed OP Rehab - Kraft Family YMCA Apex, NC 46 WakeMed OP Rehab - Alexander Family YMCA Raleigh, NC 47 WakeMed Physician Practices OTHER REGISTERED DBA'S FOR WAKEMED PHYSICIAN PRACTICES INCLUDE: 48 Wake Specialty Brier Creek Internal Medicine 49 Wake Specialty ENT - Head & Neck Surgery 50 Wake Specialty Facial Plastics 51 Wake Specialty Gastroenterology & Hepatology 52 Wake Specialty General Surgery 53 Wake Specialty OB/GYN 54 Wake Specialty Physicians ENT - Head & Neck Surgery 55 Wake Specialty Physicians Facial Plastics 56 Wake Specialty Physicians Gastroenterology & Hepatology 57 Wake Specialty Physicians General Surgery 58 Wake Specialty Physicians Internal Medicine Brier Creek 59 Wake Specialty Physicians OB/GYN 60 Wake Specialty Physicians Urology 61 Wake Specialty Physicians Women's Center 62 Wake Specialty Urology 63 Wake Specialty Women's Center 64 Wake Specialty Physicians Maternal Fetal Medicine 65 Wake Specialty Physicians Employee Health 66 Falls Pointe Medical Group 67 Wake Specialty Physicians - City Center Medical Group 68 Wake Specialty Physicians - Carolina Cardiology 69 Wake Specialty Physicians - Concussion Clinic 70 Wake Specialty Physicians - Apex Medical Group 71 Wake Specialty Physicians - Holly Springs Medical Group 72 Wake Specialty Physicians - Accent Urgent Care 73 Wake Specialty Physicians - Wake Orthopaedics 74 Wake Specialty Physicians - North Wake Internal Medicine 75 Wake Specialty Physicians Pulmonology 76 Wake Specialty Physicians - Knightdale Family Practice 77 Wake Specialty Physicians - Carolina Cardiovascular Surgical Associates 78 Wake Specialty Physicians - Cary Cardiology 79 Wake Specialty Physicians - Capital Urology 80 Wake Specialty Physicians - Harnett Surgical Associates 81 Wake Specialty Physicians - Morrisville Primary Care 82 Wake Specialty Physicians - Garner Primary Care 83 Wake Specialty Physicians - Fuquay Varina Primary Care 84 Wake Specialty Physicians - Wellness Family Practice 85 Wake Specialty Physicians - Structural Heart 86 Wake Specialty Physicians - Raleigh Cardiology 87 Wake Specialty Physicians - Raleigh Cardiology Associates 88 Wake Specialty Physicians - Cardiovascular 89 Wake Specialty Physicians - Parkway Primary Care 90 WakeMed Physician Practices Physical Therapy 91 Wake Orthopaedics 92 WakeMed Urgent Care 93 WakeMed Heart and Vascular Physicians Part III In support of the mission to improve the health and well-being of our community, WakeMed and Duke Health signed agreements to establish innovative collaborations in the critically important areas of heart care and oncology/cancer services. The primary goal of the collaboration is to meet the growing and future community health needs for comprehensive, high-quality, value-based heart services and cancer care networks that are easily accessible across all of 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.
FORM 990, PART VI, SECTION A, LINE 7A	MEMBERS, STOCKHOLDERS, OR OTHER PERSONS W/ POWER TO APPOINT GOVERNING BODY EIGHT MEMBERS OF THE BOARD ARE APPOINTED TO THE BOARD OF DIRECTORS BY WAKE COUNTY. FORM 990, PART VI, SECTION A, LINE 7B GOVERNANCE DECISIONS RESERVED TO MEMBERS, STOCKHOLDERS, OR PERSONS OTHER THAN THE GOVERNING BODY 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.
FORM 990, PART VI, SECTION B, LINE 11B	PROCESS USED BY THE ORGANIZATION TO REVIEW FORM 990 THE ENTIRE 990 AND ASSOCIATED SCHEDULES ARE REVIEWED BY THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS TO ACKNOWLEDGE THEY HAVE REVIEWED FORMS AND SCHEDULES AND THEN RECOMMEND APPROVAL TO THE BOARD. A FINAL COPY IS PROVIDED TO THE BOARD BEFORE FILING.
FORM 990, PART VI, SECTION B, LINE 12C	MONITORING WRITTEN CONFLICT OF INTEREST POLICY THE ORGANIZATION MONITORS AND ENFORCES THE CONFLICT OF INTEREST POLICY IN VARIOUS WAYS. EACH YEAR, MEMBERS OF THE BOARD, COMMITTEES WITH BOARD DELEGATED POWERS, CEO, CORPORATE STAFF, EXECUTIVE STAFF, DIRECTORS, AND MANAGERS ARE REQUIRED TO COMPLETE AND SUBMIT A CONFLICT OF INTEREST QUESTIONNAIRE. THOSE INDIVIDUALS ARE REQUIRED TO PROVIDE WRITTEN DOCUMENTATION OF ANY POTENTIAL CONFLICT OF INTEREST, IDENTIFYING MATERIAL FINANCIAL INTEREST/PERSONAL CONFLICTS OF INTEREST. REMEDIAL MEASURES IMPLEMENTED TO ADDRESS CONFLICTS OF INTEREST INCLUDE ABSTENTION FROM VOTING ON CERTAIN ISSUES AS WELL AS RECUSAL FROM THE DECISION MAKING PROCESS AND PARTICIPATION INVOLVING THE IDENTIFIED ISSUE/AREA. THE CODE OF CONDUCT PROVIDES GUIDANCE ON GIFTS AND TRAVEL. GIFTS SHOULD NOT BE ACCEPTED AND PRIOR TO ANY TRAVEL/LODGING PAID FOR BY A THIRD PARTY, WRITTEN APPROVAL MUST BE OBTAINED FROM AN EXECUTIVE VICE PRESIDENT. ALSO, EMPLOYEES WHO OWN OR WORK IN A PRIVATE BUSINESS OUTSIDE OF WAKEMED ARE NOT ALLOWED TO RECRUIT OR PROMOTE THEIR PRODUCTS AND SERVICES DURING WORK HOURS OR THROUGH WAKEMED PRINTED MATERIALS.
FORM 990, PART VI, SECTION B, LINES 15A & 15B	PROCESS FOR DETERMINING COMPENSATION OF CEO, EXEC. DIR., OR TOP MGMT OFFICIAL 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.
FORM 990, PART VI, SECTION C, LINE 19	AVAILABILITY OF FINANCIAL STMT, CONFLICT OF INTEREST, ORGANIZING DOCS THE 990 IS AVAILABLE BY REQUEST AND IS PUBLISHED ON GUIDESTAR. FINANCIAL STATEMENTS ARE PUBLICALLY 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 (1,423,971) TRANSFER OF FIXED ASSETS (82,380,256) DONATED CAPITAL TO FINANCE PPE 138,364 GIFTS/GRANTS/BEQUESTS/PLEDGES 29,148 FOUNDATION TO WAKEMED 546,390 INTERCO CASH TRANSFERS (192,738) ROUNDING 2 ----------- TOTAL (83,283,061)

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	$130,247,079	$60,446,654	NA
CSAMS New Bern Avenue LLC
3000 New Bern Avenue	Raleigh	NC	27610	260554927	Healthcare	NC	$0	$453,666	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 Avenue	Raleigh	NC	27610	260804803	Healthcare	NC	NA	Related	$7,742,310	$3,362,625	false	$0	false	0.51000
Holly Springs SUrgical Ventures LLC
9131 Anson Way Suite 304	Raleigh	NC	27615	473753856	Healthcare	NC	NA	Related	$0	$1,775,684	false	$0	false	0.73913
Wake Pet Services
3000 New Bern Avenue	Raleigh	NC	27610	263108205	Equipment Leasing	NC	NA	Related	$181,689	$59,018	false		Yes (true)	0.50000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 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 LLC	Raleigh	NC	27610	462853835	NC	NA	C Corp	-$626,531	$5,384,672	0.50000	Yes (true)
Rockroom Insurance Company (SPC) LTD
					NC	na	C Corp	$9,140,090	$50,615,049	1.00000	Yes (true)	62 Forum Lane 3 Floor PO Box 30600	Cayman	CJ	JY1-1203	Captive Insurance

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	false	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 (6 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Rockroom Insurance Company (SPC) Ltd
b	$7,108,000	Cash
WakeMed Foundation
c	$1,296,586	cash
WakeMed property services
r	$81,970,389	cash
WakeMed property services
j	$738,455	cash
WakeMed property services
k	$12,184,534	cash
WakeMed property services
q	$529,305	cash