2018-08-15T08:29:49-05:00 2017-09-30 ERNST & YOUNG US LLP 100 NORTH TRYON STREET SUITE 3800 CHARLOTTE NC 29202 990 2016-10-01 566017737 WAKEMED % RICHARD F CARRICO CFO WAKEM WAKE 9193500522 3000 NEW BERN AVE RALEIGH NC 276101215 RICHARD F CARRICO CFO 9193500522 2018-08-10 true CHRISTOPHER B BOGGS P00032493 7043726300 2016 2022-09-23 18:48:47Z See Schedule O Donald Gintzig 3000 New Bern Avenue Raleigh NC 27610 1531564665 false X WWW.WAKEMED.ORG X 1965 NC The mission of WakeMed is to improve the health and well-being of our community with outstanding and compassionate care to all. 14 14 9165 1544 8811829 -2233728 4670452 4576752 1113786538 1231241669 6450727 9429305 1749243 -1576924 1126656960 1243670802 2105373 2207049 0 0 667452853 706540835 0 0 0 446261012 484303264 1115819238 1193051148 10837722 50619654 1416072147 1470677957 682525328 755793187 733546819 714884770 X The mission of WakeMed is to improve the health and well-being of our community with outstanding and compassionate care to all. false false 249959648 271405085 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"). 149710278 199057232 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. 120069309 119377748 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. 547359721 2207049 639071755 1067098956 true true false true false false false false false true true false false true true false false true false false true false false false false false true true true true true true false false false false false false false false false false false false false false true true true true false false true 602 0 true 9165 true true true true CJ false false false false false false false false X 14 14 false false false false false true true true true false false true true true true true true true false true true NC X RICHARD F CARRICO CFO WAKEM 9193500522 3000 New Bern Avenue Raleigh NC 276101215 HENRY DARNELL BOARD MEMBER 3.0 0.0 X 0 0 0 STEPHEN M SMITH VICE CHAIR BOARD OF DIRECTORS 3.0 0.0 X 0 0 0 BRENDA C GIBSON CHAIR - BOARD OF DIRECTORS 4.0 0.0 X 0 0 0 JERRY C BERNSTEIN MD SECRETARY - BOARD OF DIRECTORS 3.0 0.0 X 0 0 0 ROBERT A CERWIN BOARD MEMBER 3.0 0.0 X 0 0 0 A BLANTON GODFREY PHD BOARD MEMBER 3.0 0.0 X 0 0 0 VERN DAVENPORT BOARD MEMBER 2.0 0.0 X 0 0 0 ROBERT C RICE JR BOARD MEMBER 3.0 0.0 X 0 0 0 WILLY E STEWART BOARD MEMBER 3.0 0.0 X 0 0 0 DAN BLUE III BOARD MEMBER 2.0 0.0 X 0 0 0 CHRISTINA ALVARADO SHANAHAN BOARD MEMBER 3.0 0.0 X 0 0 0 James Anthony Penry BOARD MEMBER 1.0 0.0 X 0 0 0 R Donovan Munford BOARD MEMBER 3.0 0.0 X 0 0 0 Sonia Barnes BOARD MEMBER 1.0 0.0 X 0 0 0 LARRY D BARBOUR VC BOD (UNTIL 5-25-17) 2.0 0.0 X 0 0 0 KRISTIN G REPLOGLE BOARD MEMBER (UNTIL 1-1-17) 2.0 0.0 X 0 0 0 DONALD R GINTZIG President & CEO 70.0 0.0 X 1290872 0 38045 DENISE WARREN Exec VP & COO 65.0 0.0 X 583077 0 32646 JOHN R FINLEY CHIEF COMPLIANCE OFFICER 65.0 0.0 X 254474 0 42670 RIck Carrico CFO (BEGIN 4-26-17) 60.0 0.0 X 0 0 0 Stephanie Sessoms Interim CFO (Until 4-26-17) 60.0 0.0 X 195897 0 27042 ROYLYN JOHNSON OFFICER - SECRETARY 50.0 0.0 X 97738 0 13584 JEANENE R MARTIN SENIOR VP-HUMAN RESOURCES 60.0 0.0 X 322426 0 33163 E DENTON ARLEDGE VP & CIO (until 8-18-17) 50.0 0.0 X 346339 0 36253 THOMAS G CAVENDER VP FACILITIES & CONSTRUCTION 50.0 0.0 X 290452 0 41513 CAROLYN KNAUP SENIOR VP-AMBULATORY SERVICES 62.0 0.0 X 310764 0 39290 BETSY GASKINS-MCCLAINE VP HEART & VASCULAR 65.0 0.0 X 271095 0 23638 CYNTHIA ALNESS-BOILY SENIOR VP-OPERATIONS & CNO 60.0 0.0 X 342252 0 35765 DUDLEY HARRINGTON VP REVENUE CYCLE 60.0 0.0 X 279568 0 37595 GEORGIA C HARRINGTON VP OPERATIONS 55.0 0.0 X 245166 0 27886 JOHN S PIATKOWSKI SR VP AMBULATORY & PHYSICAN OP 60.0 0.0 X 421775 0 40672 Charles Harr Chief Medical Officer, Raleigh 60.0 0.0 X 448123 0 30845 Christine Craig VP, Governmental Affairs 55.0 0.0 X 196793 0 24612 J West Paul SVP & Ch Quality/Med Staff Ofc 60.0 0.0 X 394529 0 39134 Rebecca Andrews SVP & ADMIN. (Begin 5-28-17) 55.0 0.0 X 291394 0 26517 Seth Brody Chief Medical Officer, Raleigh 60.0 0.0 X 442828 0 15900 Susan James VP & Chief Legal Officer 55.0 0.0 X 282596 0 39115 Thomas Gough SVP - Administrator Cary 60.0 0.0 X 294031 0 37313 SHERI D DESHAZO SR VP ADMINISTRATION-NORTH 63.0 0.0 X 234488 0 36595 Debra Laughery VP - Public Relations 60.0 0.0 X 253167 0 14186 GURVINDER S DEOL PHYSICIAN 65.0 0.0 X 1349513 0 30870 JONATHAN D CHAPPELL PHYSICIAN 60.0 0.0 X 966870 0 31299 TIMOTHY E HARRIS PHYSICIAN 60.0 0.0 X 933183 0 33682 Bryon Boulton Physician 60.0 0.0 X 1052840 0 23535 Conor Regan Physician 60.0 0.0 X 983335 0 23456 Michael DeVaughn former CFO 0.0 0.0 X 687123 0 6809 THOMAS GETTINGER Former COO, EXEC. VP 0.0 0.0 X 340654 0 1043 Michael Browning former CFO 0.0 0.0 X 382451 0 28125 VICKI BLOCK Former SR VP & ADMIN. RALEIGH 0.0 0.0 X 330239 0 19936 15116052 0 932734 771 true true false University of NC Hospitals 211 Friday Center Drive Chapel Hill NC 27517 Health Care System 3718905 Amcol Systems PO Box 21625 Columbia SC 29221 Collection Services 2983556 Fresenius Medical Care 16343 Collections Center Drive Chicago IL 60693 Diagnostic Testing 2259589 Quality Textile Services 313 S Rogers Lane Raleigh NC 27610 Laundry Services 1937643 Laboratory Corporation of America PO Box 12140 Burlington NC 27216 Diagnostic Testing 2182874 70 0 24742 3974727 577283 0 4576752 Patient Services 621511 1187333629 1187333629 0 0 Non-Patient Services 621500 7612465 0 7612465 0 Cafeteria 722210 5228416 0 0 5228416 Purch Discnts/Rebates/VHA 900099 3316244 3316244 0 0 Other Operating Revenue 900099 23164562 13063538 1199364 8901660 4586353 4586353 1231241669 10025557 10025557 0 0 873198 120273 752925 0 752925 752925 285330928 1846410 287313436 460154 -1982508 1386256 -596252 -596252 0 0 0 0 0 0 0 0 0 LOSS FROM JOINT VENTURES 900099 -2329849 -2329849 0 0 -2329849 1243670802 1205969915 8811829 24312306 2080870 2080870 126179 126179 0 0 0 0 7932430 6345944 1586486 0 0 0 0 0 581044183 493887556 87156627 0 27549569 23417134 4132435 0 52246522 44409544 7836978 0 37768131 32102911 5665220 0 0 0 0 0 1635537 1537405 98132 0 403400 369313 34087 0 453891 426658 27233 0 0 0 0 0 0 0 67961183 63883512 4077671 0 5043464 4740856 302608 0 38038387 35756084 2282303 0 18276459 17179871 1096588 0 0 0 0 0 21020247 19759032 1261215 0 893170 839580 53590 0 0 0 1069045 1004902 64143 0 14956048 14956048 0 0 0 0 0 0 69782341 69782341 0 0 3063329 2879529 183800 0 REPAIRS AND MAINTENANCE 23529773 18823818 4705955 MINOR EQUIPMENT 4270163 4013953 256210 MEDICAL SUPPLIES 160313325 160313325 GAP ASSESSMENT 31921686 30006385 1915301 21671816 18456206 3215610 1193051148 1067098956 125952192 0 0 56120 56898 489472711 540650124 147828 219507 169635294 156410612 0 0 0 0 5926487 1881875 19535643 19416868 10539870 10907317 1515978125 1004393404 520871544 511584721 83219393 98701773 0 0 0 0 367584 265290 116299673 130582972 1416072147 1470677957 133276929 159909506 0 0 398335 309201 421832721 409952370 0 0 0 0 100000000 157000000 0 0 27017343 28622110 682525328 755793187 X 732884268 714183517 325198 364804 337353 336449 733546819 714884770 1416072147 1470677957 X 50619654 14001358 0 0 0 -83283061 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false 0 false 0 false 0 false 0 true 554946 false 0 false 0 554946 false false SCHEDULE C, PART II-B, LINE 1 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. 337353 3448 4352 336449 335518 3601 1766 337353 332541 4776 1799 335518 329232 5081 1772 332541 324984 6008 1760 329232 1.00000 false false 3877147 3877147 620135654 312542707 307592947 28513405 15177584 13335821 826472559 659329940 167142619 36979360 17343173 19636187 511584721 Restricted Funds 50469183 Designated Funds 35652878 Other Equity Investments 32292685 Prepaid Pension 12168226 130582972 0 TOTAL DUE TO THIRD-PARTY PAYOR 10115237 ACCRUED CLAIMS PAYABLE 14542608 PENSION-DEFERRED INFLOW 3256940 DEFERRED LANDLORD INCENTIVES 346556 OTHER DEFERRED INFLOWS OF RESOURCES 360769 28622110 Intended use of endowment funds 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. Central America and the Caribbean CAPTIVE INSURANCE Insurance Premiums/Exp 6908001 6908001 6908001 true false true false false false true true X true X 250. true X true true true false true true 84305685 84305685 0.07070 211162609 199471030 11691579 0.00980 1857556 1702516 155040 0.00010 297325850 201173546 96152304 0.08060 8074415 250000 7824415 0.00660 11273560 9627173 1646387 0.00140 905724 905724 0.00080 20253699 9877173 10376526 0.00880 317579549 211050719 106528830 0.08940 120551 120551 0.00010 641465 47405 594060 0.00050 3356215 0 3356215 0.00280 4118231 47405 4070826 0.00340 true 21851947 0 348592955 409477737 -60884782 X true true Capital City Surgery Surgery 0.51 0.1543 2 1 WakeMed Raleigh Campus 3000 New Bern Avenue Raleigh NC 27610 WWW.WAKEMED.ORG H0199 X X X X A 2 WakeMed Cary Hospital 1900 Kildaire Farm Road Cary NC 27518 WWW.WAKEMED.ORG H0276 X X X A A false false true X X X X X X X X X 16 true true true true X SEE SECTION C X true 16 true SEE SECTION C false true X 250. 300. X X X X X true true X X X X true X SEE SECTION C X SEE SECTION C X SEE SECTION C X X X X X X true X false X X X X true X false false 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. 14 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 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. true Alliance Medical Ministry 101 Donald Ross Drive Raleigh NC 27610 562168673 501(C)(3) 384400 Medical Care C3HealthcareRx 8310 Bendford Way Raleigh NC 27615 464497775 335817 Medical Care Capital Care Collaborative 2500 Blue Ridge Road Raleigh NC 27607 561150521 501(C)(6) 250000 Medical Care Debnam Clinic 1501 Poole Road Raleigh NC 27610 561977593 216000 Medical Care Inter-Faith Food Shuttle 1001 Blair Drive STE 120 Raleigh NC 27603 561753180 501(c)(3) 17898 FMV FOOD DONATION General Support Interact 191 High House Road Cary NC 27511 271771636 501(C)(3) 30000 General Support LinkNica 7028 Rainwater Road Raleigh NC 27615 810893209 501(C)(3) 10000 General Support Marbles Kids Museum 201 East Hargett Street Raleigh NC 27601 561647538 501(C)(3) 20000 General Support March of Dimes 1275 Mamaroneck Ave White Plains NY 10605 131846366 501(C)(3) 7000 General Support NC Museum of Art Foundation 4630 Mail Svc Ctr Raleigh NC 276994630 237071511 501(C)(3) 9860 General Support NC Physicians Health Program 220 Horizon Drive 201 Raleigh NC 27615 561846599 501(c)(3) 15000 General Support NC Symphony Inc 3700 Glenwood AvE STE 13 Raleigh NC 27612 560556755 501(c)(3) 16236 General Support Raleigh School of Nurse Anesthesia 3900 Barrett Drive Raleigh NC 27609 561684241 501(c)(3) 47405 General Support Urban Ministries of Wake County 1390 Capital Boulevard Raleigh NC 27603 581422700 501(C)(3) 10000 General Support Wake County Human Services PO Box 46833 Raleigh NC 27620 566000376 470324 General Support Wake Education Partnership 706 Hillsborough St STE A Raleigh NC 27603 581518182 501(c)(3) 5750 General Support Wake Tech College Foundation 9101 Fayetteville Road Raleigh NC 27603 237017752 501(C)(3) 100000 General Support WakeMed Foundation 3000 New Bern Avenue Raleigh NC 27610 561916549 501(c)(3) 11250 GENERAL SUPPORT YMCA of the Triangle Area 801 Corporate CTR Dr 200 Raleigh NC 27607 560591307 501(C)(3) 37000 General Support American Heart Association 7272 Greeneville Avenue Dallas TX 75231 135613797 501(c)(3) 24924 General Support 17 3 Heart Center - Ronald McDonald 1433 86293 COST Ron. Mc. House Usage Prescription Drugs 5628 39886 Cost Rx-Indigent Patients Procedures for Monitoring the Use of Grant Funds 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. X false true X X X X X true true false false false false false true false JEANENE R MARTIN SENIOR VP-HUMAN RESOURCES 290568 0 0 0 31858 0 16251 0 16912 0 355589 0 0 0 E DENTON ARLEDGE VP & CIO (until 8-18-17) 305575 0 0 40764 0 15988 0 20265 0 382592 0 0 0 THOMAS G CAVENDER VP FACILITIES & CONSTRUCTION 253957 0 0 0 36495 0 16209 0 25304 0 331965 0 0 0 CAROLYN KNAUP SENIOR VP-AMBULATORY SERVICES 283143 0 0 0 27621 0 16198 0 23092 0 350054 0 0 0 BETSY GASKINS-MCCLAINE VP HEART & VASCULAR 257752 0 0 0 13343 0 15884 0 7754 0 294733 0 0 0 CYNTHIA ALNESS-BOILY SENIOR VP-OPERATIONS & CNO 318481 0 0 0 23771 0 16269 0 19496 0 378017 0 0 0 VICKI BLOCK Former SR VP & ADMIN. RALEIGH 243310 0 2737 0 84192 0 14165 0 5771 0 350175 0 0 0 DUDLEY HARRINGTON VP REVENUE CYCLE 276394 0 48 0 3126 0 16072 0 21523 0 317163 0 0 0 GEORGIA C HARRINGTON VP OPERATIONS 232779 0 0 0 12387 0 14522 0 13364 0 273052 0 0 0 GURVINDER S DEOL PHYSICIAN 775877 0 502078 0 71558 0 9576 0 21294 0 1380383 0 0 0 JONATHAN D CHAPPELL PHYSICIAN 714999 0 213493 0 38378 0 9395 0 21904 0 998169 0 0 0 DONALD R GINTZIG President & CEO 908373 0 323489 0 59010 0 16891 0 21154 0 1328917 0 0 0 TIMOTHY E HARRIS PHYSICIAN 633618 0 296694 0 2871 0 7950 0 25732 0 966865 0 0 0 DENISE WARREN Exec VP & COO 549769 0 5099 0 28209 0 11219 0 21427 0 615723 0 0 0 JOHN R FINLEY CHIEF COMPLIANCE OFFICER 239595 0 4972 0 9907 0 15671 0 26999 0 297144 0 0 0 JOHN S PIATKOWSKI SR VP AMBULATORY & PHYSICAN OP 403693 0 0 0 18082 0 15900 0 24772 0 462447 0 0 0 Charles Harr Chief Medical Officer, Raleigh 399489 0 15338 0 33296 0 15900 0 14945 0 478968 0 0 0 Christine Craig VP, Governmental Affairs 180265 0 0 0 16528 0 11755 0 12857 0 221405 0 0 0 J West Paul SVP & Ch Quality/Med Staff Ofc 374502 0 0 0 20027 0 15900 0 23234 0 433663 0 0 0 Rebecca Andrews SVP & ADMIN. (Begin 5-28-17) 260593 0 188 0 30613 0 15900 0 10617 0 317911 0 0 0 Seth Brody Chief Medical Officer, Raleigh 376510 0 65431 0 887 0 15900 0 0 0 458728 0 0 0 Stephanie Sessoms Interim CFO (Until 4-26-17) 180096 0 0 0 15801 0 10130 0 16912 0 222939 0 0 0 Susan James VP & Chief Legal Officer 280119 0 678 0 1799 0 15900 0 23215 0 321711 0 0 0 Thomas Gough SVP - Administrator Cary 261693 0 5091 0 27247 0 15900 0 21413 0 331344 0 0 0 Bryon Boulton Physician 672745 0 379362 0 733 0 8394 0 15141 0 1076375 0 0 0 Conor Regan Physician 494438 0 488449 0 448 0 8261 0 15195 0 1006791 0 0 0 Michael DeVaughn former CFO 251342 0 0 0 435781 0 6809 0 0 0 693932 0 0 0 THOMAS GETTINGER Former COO, EXEC. VP 144806 0 0 0 195848 0 1043 0 0 0 341697 0 0 0 Michael Browning former CFO 382451 0 0 0 0 0 28125 0 0 0 410576 0 0 0 SHERI D DESHAZO SR VP ADMINISTRATION-NORTH 234488 0 0 0 0 0 36595 0 0 0 271083 0 0 0 Debra Laughery VP - Public Relations 253167 0 0 0 0 0 14186 0 0 0 267353 0 0 0 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. A North Carolina Medical Care Commission 521309402 65821DCS8 2009-02-26 75000000 See Part VI false false false B North Carolina Medical Care Commission 521309402 65821DLY5 2012-07-11 315717962 See Part VI false false false C North Carolina Medical Care Commission 521309402 65821DCW9 2009-07-16 81780000 See Part VI false false false A 0 0 75249667 0 0 0 835544 37919 0 74376204 0 0 2010 false false true true B 30545000 0 315719982 0 0 172556427 2994195 0 0 0 140169360 0 2012 true true true true C 27825000 0 81780000 0 0 0 817125 41347 0 0 80921528 0 2012 true false true true A false false true true false 0.00000 0.00000 0.00000 false false false true B false true true true false 0 false false false true C false false false false 0 false false false true A false false false true true false 0 false 0 false true B false false false true false false 0 false 0 false true C false false false true true false 0 false 0 false true A true B true C true 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. 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) Wake Specialty Physicians LLC 2009 New Bern Avenue Raleigh NC 27610 264169156 Medical Offic NC 130247079 60446654 NA CSAMS New Bern Avenue LLC 3000 New Bern Avenue Raleigh NC 27610 260554927 Healthcare NC 0 453666 NA Wake Orthopaedics LLC 3009 New Bern Avenue Raleigh NC 27610 043750760 Medical Offic NC 0 0 NA 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 CAP CITY SURG CNTR 3000 New Bern Avenue Raleigh NC 27610 260804803 Healthcare NC NA Related 7742310 3362625 false 0 false 0.51000 Holly Springs SUrgical Ventures LLC 9131 Anson Way Suite 304 Raleigh NC 27615 473753856 Healthcare NC NA Related 0 1775684 false 0 false 0.73913 Wake Pet Services 3000 New Bern Avenue Raleigh NC 27610 263108205 Equipment Leasing NC NA Related 181689 59018 false true 0.50000 WakeMed Key Community Care LLC 3000 New Bern Avenue LLC Raleigh NC 27610 462853835 NC NA C Corp -626531 5384672 0.50000 true Rockroom Insurance Company (SPC) LTD 62 Forum Lane 3 Floor PO Box 30600 Cayman CJ JY1-1203 Captive Insurance NC na C Corp 9140090 50615049 1.00000 true false true true false false false false false false true true false false false false false true true false Rockroom Insurance Company (SPC) Ltd b 7108000 Cash WakeMed Foundation c 1296586 cash WakeMed property services r 81970389 cash WakeMed property services j 738455 cash WakeMed property services k 12184534 cash WakeMed property services q 529305 cash