NORTH CAROLINA BAPTIST HOSPITAL: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: NORTH CAROLINA BAPTIST HOSPITAL (EIN 56-0552787)
Tax period: 2015-07-01 to 2016-06-30
Filed: 2017-05-12
IRS object ID: 201711329349301061
Schema version: 2015v3.0
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 M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-05-12T07:46:10-05:00	ReturnTs
Tax Period End	2016-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	135565207	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	300 NORTH GREENE STREET	AddressLine1Txt
City	GREENSBORO	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27401	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	560552787	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	NORTH CAROLINA BAPTIST HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	NORT	BusinessNameControlTxt
Phone	3367164445	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	MEDICAL CENTER BLVD	AddressLine1Txt
City	WINSTONSALEM	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27157	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	CHAD A ECKES	PersonNm
Person Title	EVP/CFO	PersonTitleTxt
Phone	3367164445	PhoneNum
Signature	2017-05-08	SignatureDt
Discuss With Paid Preparer	0	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
PTIN	P00008888	PTIN
Phone	3362753394	PhoneNum

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JOHN D MCCONNELL MD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	MEDICAL CENTER BLVD	AddressLine1Txt
City	WINSTONSALEM	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27157	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,489,277,455	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.WAKEHEALTH.EDU	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1923	FormationYr
Legal Domicile State	NC	LegalDomicileStateCd
Activity Or Mission	IMPROVING THE HEALTH OF OUR REGION, STATE AND NATION	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	1830	TotalVolunteersCnt
Total Gross UBI	$3,715,153	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,820,011	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$4,581,491	PYContributionsGrantsAmt
CY Contributions Grants	$3,550,774	CYContributionsGrantsAmt
PY Program Service Revenue	$1,378,021,295	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,464,555,266	CYProgramServiceRevenueAmt
PY Investment Income	$42,522,391	PYInvestmentIncomeAmt
CY Investment Income	$12,968,573	CYInvestmentIncomeAmt
PY Other Revenue	$6,234,990	PYOtherRevenueAmt
CY Other Revenue	$6,608,827	CYOtherRevenueAmt
PY Total Revenue	$1,431,360,167	PYTotalRevenueAmt
CY Total Revenue	$1,487,683,440	CYTotalRevenueAmt
PY Grants And Similar Paid	$890,705	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,969,391	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$586,192,713	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$591,105,105	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$805,883,772	PYOtherExpensesAmt
CY Other Expenses	$863,383,655	CYOtherExpensesAmt
PY Total Expenses	$1,392,967,190	PYTotalExpensesAmt
CY Total Expenses	$1,456,458,151	CYTotalExpensesAmt
PY Revenues Less Expenses	$38,392,977	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$31,225,289	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,805,945,830	TotalAssetsBOYAmt
Total Assets EOY	$1,847,321,313	TotalAssetsEOYAmt
Total Liabilities BOY	$851,291,673	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$909,679,590	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$954,654,157	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$937,641,723	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O FOR CONTINUATIONWAKE FOREST BAPTIST MEDICAL CENTER'S MISSION IS TO IMPROVE THE HEALTH OF THE REGION, STATE AND NATION BY:- SERVING AS THE PREMIER HEALTH SYSTEM IN THE REGION, WITH SPECIFIC CENTERS OF EXCELLENCE RECOGNIZED AS NATIONAL AND INTERNATIONAL CARE DESTINATIONS.- GENERATING AND TRANSLATING KNOWLEDGE TO PREVENT, DIAGNOSE AND TREAT DISEASE.- TRAINING TOMORROW'S LEADERS IN HEALTH CARE AND BIOMEDICAL SCIENCE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$1,291,382,630	ExpenseAmt
Grant	$1,969,391	GrantAmt
Revenue	$1,462,353,210	RevenueAmt
Desc	SEE SCHEDULE O FOR COMPLETE DESCRIPTIONNORTH CAROLINA BAPTIST HOSPITAL IS AN INTEGRAL PART OF WAKE FOREST BAPTIST MEDICAL CENTER, A PREEMINENT, INTERNATIONALLY RECOGNIZED ACADEMIC MEDICAL CENTER OF THE HIGHEST QUALITY WITH BALANCED EXCELLENCE IN PATIENT CARE, RESEARCH AND EDUCATION. THE FOLLOWING PARAGRAPHS ARE PROVIDED TO EXPLAIN THE RELATIONSHIP OF THE FILING ORGANIZATION WITH OTHER ORGANIZATIONS WHICH TOGETHER COMPRISE "WAKE FOREST BAPTIST MEDICAL CENTER", THE NAME, NOT OF ANY ONE CORPORATE ENTITY, BUT THAT IS USED GENERICALLY TO DESCRIBE A LARGE GROUP OF MOSTLY TAX-EXEMPT 501 (C)(3) ORGANIZATIONS PERFORMING VARIOUS ACADEMIC MEDICAL CENTER ACTIVITIES IN NORTHWEST NORTH CAROLINA, INCLUDING PATIENT CARE, MEDICAL RESEARCH AND TECHNOLOGY TRANSFER AND MEDICAL EDUCATION. BECAUSE THESE ACTIVITIES ARE NOT ALL PERFORMED BY EACH ORGANIZATION, THE NARRATIVE THAT FOLLOWS WILL INCLUDE DESCRIPTIONS OF ACTIVITIES THAT ARE PERFORMED BY THE FILING ORGANIZATION AND BY A RELATED (OR UNRELATED BUT AFFILIATED) ORGANIZATION; THEY ARE AGAIN PROVIDED TO ILLUSTRATE A COMPLETE PICTURE OF THE FILING ORGANIZATION'S ROLE IN THIS INTEGRATED ACADEMIC MEDICAL CENTER'S COMPREHENSIVE ACTIVITIES.WAKE FOREST BAPTIST MEDICAL CENTER IS NORTHWEST NORTH CAROLINA'S SOLE ACADEMIC MEDICAL CENTER, BRINGING TO THE REGION THE RESOURCES OF ONE OF AMERICA'S TOP HOSPITALS AND INNOVATIVE RESEARCH CENTERS AND A PREMIER MEDICAL SCHOOL. WAKE FOREST BAPTIST MEDICAL CENTER IS A CORPORATION WHOSE MEMBERS ARE WAKE FOREST UNIVERSITY AND NORTH CAROLINA BAPTIST HOSPITAL. THE MEDICAL CENTER OPERATES WAKE FOREST SCHOOL OF MEDICINE, WHICH HAS A FACULTY OF 1,215, INCLUDING PHYSICIANS AND BASIC SCIENTISTS. THE MEDICAL CENTER HAS 1,060 ACUTE CARE AND REHABILITATION BEDS OPERATIVE ACROSS THE SYSTEM, WHICH ENCOMPASSES ITS MAIN CAMPUS (885 BEDS), WAKE FOREST BAPTIST HEALTH-LEXINGTON MEDICAL CENTER (94 BEDS) AND WAKE FOREST BAPTIST HEALTH-DAVIE MEDICAL CENTER (81 BEDS). THE MEDICAL CENTER WILL OPEN A $47 MILLION, 50-BED INPATIENT FACILITY AT DAVIE MEDICAL CENTER IN THE SPRING OF 2017. OVERALL, WAKE FOREST BAPTIST MEDICAL CENTER SERVES A 24-COUNTY REGION IN NORTHWESTERN NORTH CAROLINA AND SOUTHWESTERN VIRGINIA. IT ALSO DRAWS PATIENTS FROM ACROSS THE NATION FOR SELECT SERVICES.THE MEDICAL CENTER IS THE DRIVING FORCE BEHIND THE ESTABLISHMENT OF WAKE FOREST INNOVATION QUARTER, A GROWING URBAN-BASED DISTRICT FOR RESEARCH, BUSINESS AND EDUCATION IN BIOMEDICAL SCIENCE, INFORMATION TECHNOLOGY, CLINICAL SERVICES AND ADVANCED MATERIALS LOCATED IN DOWNTOWN WINSTON-SALEM. HOME TO MORE THAN 70 COMPANIES, FOUR LEADING INSTITUTIONS, MORE THAN 3,200 WORKERS AND 7,500 STUDENTS, THE INNOVATION QUARTER CURRENTLY COMPRISES 1.8 MILLION SQUARE FEET OF INSPIRATIONAL OFFICE, LABORATORY AND EDUCATIONAL SPACE ON ITS 145 DEVELOPABLE ACRES. IN JULY 2016, WAKE FOREST UNIVERSITY HEALTH SCIENCES STUDENTS BEGAN THEIR MEDICAL CAREERS IN THE BOWMAN GRAY CENTER FOR MEDICAL EDUCATION IN THE INNOVATION QUARTER. THE $60 MILLION BUILDING WAS DESIGNED WITH THE NEXT GENERATION OF PHYSICIAN-LEADERS IN MIND. IT INCLUDES THE LATEST TECHNOLOGIES AND SIMULATION LABS THAT ALLOW STUDENTS TO PREPARE FOR REAL-LIFE EXPERIENCES. THE OPENING OF THE BOWMAN GRAY CENTER COINCIDED WITH THE ADOPTION OF A NEW MEDICAL SCHOOL CURRICULA THAT IS ONE OF THE MOST ADVANCED IN THE COUNTRY.IN NOVEMBER 2016, WAKE FOREST BAPTIST MEDICAL CENTER WAS AWARDED A FIVE-YEAR, $8.7 MILLION GRANT FROM THE NATIONAL INSTITUTES OF HEALTH FOR THE ESTABLISHMENT OF A NEW CENTER FOR RESEARCH INTO ALZHEIMER'S DISEASE. THE ALZHEIMER'S DISEASE CORE CENTER AT WAKE FOREST BAPTIST IS AMONG 31 NIH-FUNDED ALZHEIMER'S RESEARCH CENTERS IN THE COUNTRY AND THE ONLY ONE IN NORTH CAROLINA. THE CENTER WILL PROVIDE TRAINING IN TRANSLATIONAL RESEARCH TO NEW INVESTIGATORS AND DEVELOP EDUCATIONAL PROGRAMS ABOUT ALZHEIMER'S AND DEMENTIA FOR HEALTH CARE PROFESSIONALS, PATIENTS AND FAMILY MEMBERS, AND THE COMMUNITY AT LARGE. THE CENTER ALREADY IS OFFERING GROUNDBREAKING CLINICAL TRIALS, INCLUDING STUDIES THAT EXAMINE HOW EXERCISE, DIET AND NEW DRUGS MAY AFFECT THE DEVELOPMENT OR PROGRESS OF ALZHEIMER'S AND DEMENTIA.1. CLINICAL SERVICES WAKE FOREST BAPTIST MEDICAL CENTER IS NATIONALLY RECOGNIZED FOR CLINICAL EXCELLENCE AND INTERNATIONALLY KNOWN FOR PIONEERING RESEARCH AND CLINICAL INNOVATION. ITS CLINICAL ENTERPRISE, WAKE FOREST BAPTIST HEALTH, OFFERS EXPERTISE IN MORE THAN 100 AREAS OF MEDICINE, ENCOMPASSING COMPREHENSIVE PREVENTIVE AND HIGHLY SPECIALIZED CARE FOR ALL AGES. THE MEDICAL CENTER NETWORK INCLUDES THE 167-BED COMPREHENSIVE CANCER CENTER AND THE 144-BED BRENNER CHILDREN'S HOSPITAL, BOTH OF WHICH ARE ON THE MAIN CAMPUS IN WINSTON-SALEM, AS WELL AS COMMUNITY HOSPITALS IN NEIGHBORING DAVIDSON AND DAVIE COUNTIES. ACROSS ITS SERVICE AREA OF NORTHWEST NORTH CAROLINA AND SOUTHWEST VIRGINIA, WAKE FOREST BAPTIST HAS 3 EMERGENCY DEPARTMENTS, 3 URGENT CARE CENTERS, 28 PRIMARY CARE CLINICS, 114 SPECIALTY CLINICS, 16 DIALYSIS CENTERS, AND FREESTANDING IMAGING AND ENDOSCOPY CENTERS. THE MEDICAL CENTER EMPLOYS 1,215 PHYSICIANS, 3,075 REGISTERED NURSES, AND 692 RESIDENTS AND FELLOWS. IT HAS A TOTAL STAFF OF 14,271.OVERALL IN FY 2016, WAKE FOREST BAPTIST HAD 40,810 INPATIENT ADMISSIONS, 110,602 EMERGENCY DEPARTMENT VISITS AND 1,171,619 OUTPATIENT ENCOUNTERS (AMBULATORY VISITS AND OUTPATIENT DEPARTMENTS).IN DECEMBER 2016, WAKE FOREST BAPTIST REACHED AN AGREEMENT WITH THE WINSTON-SALEM/FORSYTH COUNTY BOARD OF EDUCATION TO PROVIDE CERTIFIED ATHLETIC TRAINERS AT 12 LOCAL PUBLIC HIGH SCHOOLS. AS PART OF THE AGREEMENT, WAKE FOREST BAPTIST WILL DEVELOP A CONCUSSION PROGRAM TAILORED TO MEET THE NEEDS OF THE HIGH SCHOOLS.2. OUTREACHWAKE FOREST BAPTIST MEDICAL CENTER CONTINUES A BROAD-BASED EFFORT TO REACH UNDERSERVED POPULATIONS ACROSS ITS SERVICE AREA. THE MEDICAL CENTER'S ANNUAL COMMUNITY BENEFITS REPORT REFLECTS THIS COMMITMENT. IN FISCAL 2016, THE MEDICAL CENTER SPENT $378 MILLION TO SUPPORT THESE AREAS: - SUBSIDIZED HEALTH COSTS- COMMUNITY HEALTH OUTREACH- CHARITY CARE- RESEARCH- EDUCATIONONE ANCHOR OF OUTREACH FOR THE MEDICAL CENTER IS ITS DOWNTOWN HEALTH PLAZA, A FULL-SERVICE, OUTPATIENT MEDICAL CLINIC THAT SERVES MANY OF FORSYTH COUNTY'S UNINSURED AND UNDERINSURED RESIDENTS WITH A STATE-OF-THE-ART MEDICAL HOME. IN ADDITION TO CLINICAL CARE, THE DOWNTOWN HEALTH PLAZA OFFERS COMMUNITY HEALTH FAIRS, DIABETES EDUCATION AND A CENTERING PREGNANCY PROGRAM THAT IS REDUCING THE INCIDENCE OF LOW BIRTH WEIGHT BABIES. ALTOGETHER, 67,533 PATIENT VISITS WERE RECORDED AT THE DOWNTOWN HEALTH PLAZA IN THE 2016 FISCAL YEAR, AND ANOTHER 13,691 VISITS WERE RECORDED AT WINSTON EAST PEDIATRICS, A NEARBY WAKE FOREST BAPTIST CARE FACILITY SERVING THE UNINSURED AND UNDERINSURED.THE MEDICAL CENTER'S PROGRAMS AND PARTNERSHIPS REFLECT INNOVATIVE EFFORTS TO REACH UNDERSERVED POPULATIONS. THEY INCLUDE:-REGULAR COMMUNITY-BASED HEALTH CLINICS, INCLUDING: THE WEEKLY DELIVERING EQUAL ACCESS TO CARE (DEAC) CLINIC AT THE COMMUNITY CARE CENTER IN WINSTON-SALEM, THE MONTHLY TRIAD FREE HEALTH CLINIC AT COMMUNITY MOSQUE IN WINSTON-SALEM, THE MONTHLY GRACE CLINIC AT NEW LIGHT MISSIONARY BAPTIST CHURCH IN WINSTON-SALEM AND THE ANNUAL SHARE THE HEALTH FAIR AT THE DOWNTOWN HEALTH PLAZA IN WINSTON-SALEM. THESE CLINICS, SPONSORED BY PRIVATE ORGANIZATIONS AND CHURCHES WITH VOLUNTEER ASSISTANCE FROM WAKE FOREST BAPTIST PHYSICIANS, NURSES, MEDICAL STUDENTS AND OTHERS, ATTRACT THOUSANDS OF PEOPLE TO SCREENINGS FOR ACUTE AND CHRONIC CONDITIONS. -THE SCHOOL OF MEDICINE'S PHYSICIAN ASSISTANT (PA) PROGRAM, WHICH IS INCREASING THE NUMBER OF PAS WORKING IN PRIMARY CARE IN NORTH CAROLINA'S RURAL APPALACHIAN COUNTIES THROUGH ITS SECOND CAMPUS AT APPALACHIAN STATE UNIVERSITY IN BOONE. -FAITHHEALTHNC, AN INITIATIVE THAT CONNECTS THE CARING STRENGTHS OF CONGREGATIONS, THE CLINICAL EXPERTISE OF PROVIDERS AND A NETWORK OF COMMUNITY RESOURCES TO EASE THOSE ON THE JOURNEY TO HEALTH AND HEALING, STRENGTHENING COMMUNITIES IN THE PROCESS. ONE EXAMPLE OF THIS WORK IS A FAITHHEALTH PROGRAM IN WHICH WORKERS KNOWN AS SUPPORTERS OF HEALTH CONNECT PATIENTS WITH RESOURCES THEY NEED AFTER A HEALTH INCIDENT OR HOSPITALIZATION. THE GOAL IS TO HELP THESE PATIENTS AVOID READMISSION, IN PARTICULAR TO THE EMERGENCY DEPARTMENT. 3. EDUCATIONAL MISSION AND ACCOMPLISHMENTS THE CONSTITUENT ORGANIZATIONS OF WAKE FOREST BAPTIST MEDICAL CENTER OPERATE A BROAD RANGE OF EDUCATIONAL PROGRAMS, GRADUATING SKILLED PRACTITIONERS. IT ATTRACTS SOME OF THE WORLD'S MOST COMPETITIVE MEDICAL STUDENTS, RESIDENTS AND FELLOWS, AS WELL AS STUDENTS IN CLINICAL PASTORAL CARE, NURSE ANESTHESIA AND OTHER AREAS.IN THE MOST RECENT REPORTING PERIOD, WAKE FOREST BAPTIST INVESTED MORE THAN $80.1 MILLION IN THE EDUCATION OF TOMORROW'S HEALTH CARE AND BIOMEDICAL LEADERS. THAT INVESTMENT SUPPORTED THE TRAINING OF 467 MEDICAL STUDENTS, 692 PHYSICIAN RESIDENTS AND FELLOWS, 292 GRADUATE STUDENTS AND 176 PHYSICIAN ASSISTANTS. IN ADDITION, THE NORTHWEST AREA HEALTH EDUCATION CENTER, PART OF WAKE FOREST SCHOOL OF MEDICINE, OFFERED	Desc
Total Program Service Expenses	$1,291,382,630	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	239	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NC	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	3367164445	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	MEDICAL CENTER BLVD	AddressLine1Txt
City	WINSTON SALEM	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27157	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (39 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	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ARTHUR A GIBEL
TRUSTEE	2.00	4.00	Yes (X)	$0	$0	$0
KATHRYN H HAMRICK
TRUSTEE	2.00	2.00	Yes (X)	$0	$0	$0
A LEE HERRING
TRUSTEE	2.00	4.00	Yes (X)	$0	$0	$0
J WAYNE MEREDITH MD
TRUSTEE	2.00	2.00	Yes (X)	$0	$0	$0
CAROL F POLK
TRUSTEE	2.00	2.00	Yes (X)	$0	$0	$0
WILLIAM C WARDEN JR
CHAIRMAN	2.00	4.00	Yes (X)	$0	$0	$0	Yes (X)
SHEREE B WATSON
VICE CHAIRMAN	2.00	2.00	Yes (X)	$0	$0	$0	Yes (X)
RAY N HOWELL III D MIN
TRUSTEE	2.00	2.00	Yes (X)	$0	$0	$0
STEPHEN L ROBERTSON
TRUSTEE	2.00	6.00	Yes (X)	$0	$0	$0
EDWIN L WELCH JR
TRUSTEE	2.00	4.00	Yes (X)	$0	$0	$0
LOUIS B BALDWIN JR
TRUSTEE	2.00	2.00	Yes (X)	$0	$0	$0
GEORGE D RENFRO
TRUSTEE	2.00	4.00	Yes (X)	$0	$0	$0
R MICHAEL WELLS
TRUSTEE	2.00	0.00	Yes (X)	$0	$0	$0
JOHN D MCCONNELL MD
TRUSTEE & CEO	16.90	23.10	Yes (X)	$2,031,489	$0	$252,556	Yes (X)
H GREG BRAY
ASST. SECRETARY & TREASURER	30.00	10.00		$0	$242,602	$32,194	Yes (X)
J MCLAIN WALLACE JR
VP GENRL CNSL/SECRETARY	28.60	11.40		$0	$555,975	$121,202	Yes (X)
KAREN H HUEY
VP FACILITIES	23.00	17.00		$0	$363,528	$68,596	Yes (X)
ERIC TOMLINSON
CHIEF INNOVATION OFFICER	5.00	35.00		$549,802	$0	$103,489	Yes (X)
NORMAN D POTTER JR
VP DEVELOPMENT & ALUMNI AF	20.00	20.00		$407,114	$0	$87,054	Yes (X)
CHERYL EH LOCKE
VP CHIEF HUMAN RESOURCES	30.00	10.00		$657,146	$0	$91,928	Yes (X)
LISA M WYATT
VP CHIEF COMM & MARKETING	20.00	20.00		$581,243	$0	$20,855	Yes (X)
EDWARD ABRAHAM MD
DEAN, SCHOOL OF MEDICINE	5.00	35.00		$1,144,312	$0	$154,233	Yes (X)
BRADLEY A CLARK
ASST. TREASURER	18.90	21.10		$280,618	$0	$47,476	Yes (X)
TERRY G WILLIAMS
EVP STRAT & NETWRK DVLPMNT	30.70	9.30		$710,936	$0	$147,833	Yes (X)
CHAD A ECKES
CFO & TREASURER	21.90	18.10		$678,676	$0	$166,330	Yes (X)
KEVIN P HIGH MD
EVP, HS AFFAIRS	26.60	13.40		$683,568	$0	$115,815	Yes (X)
DEETTE M EMON
VP CIO	20.30	19.70		$0	$453,671	$57,136	Yes (X)
ROBERT GFELLER
VP CHIEF COMM & MARKETING	20.00	20.00		$376,519	$0	$105,574	Yes (X)
STEVEN BLOOM
VP, CHIEF HUMAN RESOURCES OFFICER	20.00	20.00		$0	$0	$0	Yes (X)
MICHAEL T WAID
SR VP HLTH SYS OPS & INTEG	37.20	2.80		$0	$416,276	$97,063		Yes (X)
CATHLEEN WHEATLEY
CHIEF NURSE EXEC, VP CLINICAL OPS	39.10	0.90		$0	$484,694	$96,053		Yes (X)
CHARLES R VIGNOS
VP MANAGED CARE	36.30	3.70		$0	$362,537	$75,386		Yes (X)
EDWIN R STAINBACK
VP CLINICAL OPERATIONS	40.00	0.00		$0	$359,237	$93,903		Yes (X)
YATES LACKEY
VP, CHIEF AUDIT & COMPLIANCE OFFICER	20.30	19.70		$0	$295,294	$66,270		Yes (X)
JOANNE C RUHLAND
FORMER OFFICER	25.00	15.00		$361,544	$0	$63,824			Yes (X)
EDWARD G CHADWICK
FORMER OFFICER	0.00	0.00		$143,065	$0	$2,522			Yes (X)
RUSSELL M HOWERTON MD
FORMER OFFICER	22.90	17.10		$678,567	$0	$157,634			Yes (X)
SHARON ENGEBRETSON
FORMER OFFICER	35.00	5.00		$0	$104,005	$5,023			Yes (X)
K BARBARA CARBONE MD
FORMER OFFICER	0.00	0.00		$1,421,509	$0	$16,139			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$10,706,108	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,637,819	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,246,088	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	Yes (1)	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
EPIC SYSTEMS CORPORATION
1979 MILKY WAY	VERONA	WI	53593	TECHNOLOGY	$6,060,529
ARAMARK
2300 WARRENVILLE ROAD	DOWNER GROVE	IL	60515	MANAGEMENT SERVICES	$5,040,571
NEW RESOURCES CONSULTING LLC
722 N LIBERTY STREET	WINSTONSALEM	NC	27101	MANAGEMENT & TECHNOLOGY	$4,983,086
ANGELICA TEXTILE SERVICES INC
4 ANSON ST	DURHAM	NC	27703	LINENS & TEXTILE SRV	$4,322,631
KAILO LLC
301 N MAIN STREET	WINSTONSALEM	NC	27101	TECHNOLOGY	$3,585,638

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	129	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,000,000	RelatedOrganizationsAmt
Government Grants	$1,170,753	GovernmentGrantsAmt
All Other Contributions	$1,380,021	AllOtherContributionsAmt
Noncash Contributions	$70,574	NoncashContributionsAmt
Total Contributions	$3,550,774	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	621990	$1,446,926,674	$1,446,926,674
COST RECOVERY & OTHER	621990	$6,585,704	$5,172,072	$1,413,632
MEDICAL/LAB SERVICE	621500	$5,793,952	$3,806,153	$1,987,799
DIETARY	722210	$5,248,936	$4,935,214	$313,722

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,464,555,266	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,207,174	TotalRevenueColumnAmt
Exclusion	$14,207,174	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$443,029	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$443,029	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$443,029	TotalRevenueColumnAmt
Exclusion	$443,029	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$355,414	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$1,594,015	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$1,238,601	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,238,601	TotalRevenueColumnAmt
Exclusion	-$1,238,601	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PARKING FEES	900099	$3,347,313	$3,347,313
TUITION	900099	$1,513,097		$1,513,097
GIFT SHOP REVENUE	453220	$1,305,388	$1,305,388

Field	Value	IRS element (for citing)
Other Revenue Total	$6,165,798	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,487,683,440	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,462,353,210	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,715,153	UnrelatedBusinessRevenueAmt
Exclusion	$18,064,303	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,903,381	TotalAmt
Program Services	$1,903,381	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$66,010	TotalAmt
Program Services	$66,010	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$8,603,408	TotalAmt
Management And General	$8,603,408	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$104,005	TotalAmt
Management And General	$104,005	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$466,337,380	TotalAmt
Program Services	$379,261,723	ProgramServicesAmt
Management And General	$87,075,657	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$23,397,088	TotalAmt
Program Services	$17,547,816	ProgramServicesAmt
Management And General	$5,849,272	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$56,220,404	TotalAmt
Program Services	$45,700,403	ProgramServicesAmt
Management And General	$10,520,001	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$36,442,820	TotalAmt
Program Services	$27,332,115	ProgramServicesAmt
Management And General	$9,110,705	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$13,842	TotalAmt
Program Services	$11,194	ProgramServicesAmt
Management And General	$2,648	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$310,596	TotalAmt
Management And General	$310,596	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$561,351	TotalAmt
Program Services	$561,351	ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$9,023,267	TotalAmt
Program Services	$9,023,267	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$258,276,964	TotalAmt
Program Services	$241,828,809	ProgramServicesAmt
Management And General	$16,448,155	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$3,347,681	TotalAmt
Program Services	$1,673,984	ProgramServicesAmt
Management And General	$1,673,697	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$54,736,809	TotalAmt
Program Services	$43,994,063	ProgramServicesAmt
Management And General	$10,742,746	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$23,626,160	TotalAmt
Program Services	$17,719,620	ProgramServicesAmt
Management And General	$5,906,540	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$19,357,393	TotalAmt
Program Services	$14,092,916	ProgramServicesAmt
Management And General	$5,264,477	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$919,948	TotalAmt
Program Services	$538,090	ProgramServicesAmt
Management And General	$381,858	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,448,883	TotalAmt
Program Services	$937,641	ProgramServicesAmt
Management And General	$511,242	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$18,908,967	TotalAmt
Program Services	$18,585,035	ProgramServicesAmt
Management And General	$323,932	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$78,717,365	TotalAmt
Program Services	$78,717,365	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,976,603	TotalAmt
Program Services	$3,561,940	ProgramServicesAmt
Management And General	$1,414,663	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$309,431,141	$309,431,141	$0
PROVIDER ASSESSMENT	$40,283,365	$40,283,365	$0
BAD DEBT	$38,611,401	$38,611,401	$0
INCOME TAXES	$831,919	$0	$831,919

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,456,458,151	TotalAmt
Program Services	$1,291,382,630	ProgramServicesAmt
Management And General	$165,075,521	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$125,810,492	BOYAmt
EOY	$95,198,908	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$232,727,473	BOYAmt
EOY	$292,318,616	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$25,630,737	BOYAmt
EOY	$21,871,266	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$35,527,359	BOYAmt
EOY	$33,539,256	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$12,568,734	BOYAmt
EOY	$14,044,565	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,537,907,093	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$901,246,060	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$630,030,878	BOYAmt
EOY	$636,661,033	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$534,318,259	BOYAmt
EOY	$545,390,837	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$130,137,782	BOYAmt
EOY	$99,540,231	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$78,478,785	BOYAmt
EOY	$108,192,419	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$715,331	BOYAmt
EOY	$564,182	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,805,945,830	BOYAmt
EOY	$1,847,321,313	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$236,381,542	BOYAmt
EOY	$256,834,225	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$489,181,693	BOYAmt
EOY	$479,434,631	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$125,728,438	BOYAmt
EOY	$173,410,734	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$851,291,673	BOYAmt
EOY	$909,679,590	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$948,890,434	BOYAmt
EOY	$931,966,631	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,408,625	BOYAmt
EOY	$3,187,872	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,355,098	BOYAmt
EOY	$2,487,220	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$954,654,157	BOYAmt
EOY	$937,641,723	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,805,945,830	BOYAmt
EOY	$1,847,321,313	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$31,225,289	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$30,126,856	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$18,110,867	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	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 (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	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)
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$376,688	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$184,663	OtherActivitiesAmt
Total Lobbying Expenditures	$561,351	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	SUPPORT OF GOVT. RELATIONS OFFICE AND PRORATA PORTION OF DUES PAID TO STATE AND LOCAL 501(C)(6) ORGANIZATIONS THAT REPRESENTS LOBBYING ON BEHALF OF ITS MEMBERS. GOVERNMENT RELATIONS THE OFFICE OF GOVERNMENT RELATIONS WAS ACTIVELY INVOLVED WITH SEVERAL FEDERAL AND STATE ISSUES. THE OFFICE ASSISTED IN DEVELOPING LEGISLATIVE ADVOCACY STRATEGIES REGARDING IMPLEMENTATION OF THE PROVISIONS OF THE MEDICARE ACCESS AND CHIP REAUTHORIZATION ACT (MACRA); CALLING FOR A DELAY AND MODIFICATIONS TO THE PLANNED RELEASE OF THE CENTER FOR MEDICARE AND MEDICAID'S (CMS) HOSPITAL COMPARE STAR RATINGS; MEDICAID REFORM PROPOSALS AND INFORMATION REGARDING THE 1115 WAIVER FOR NORTH CAROLINA'S STATE MEDICAID HEALTH PLAN; REVISION OF SECTION 603 OF THE BIPARTISAN ACT OF 2015 REGARDING SITE-NEUTRAL PAYMENTS FOR HOSPITAL OUTPATIENT DEPARTMENTS; LEGISLATION REGARDING THE NEED TO APPROPRIATELY ADJUST OUTCOME MEASURES FOR SOCIOECONOMIC FACTORS; SUPPLEMENTAL FUNDING TO RESPOND TO THE ZIKA VIRUS; CANCER CENTER MOONSHOT FUNDING; CHILDRESS INSTITUTE FOR PEDIATRIC TRAUMA ROUNDTABLE DISCUSSION BEFORE HOUSE ENERGY AND COMMERCE COMMITTEE; 21ST CENTURY CURES ACT; FUNDING FOR PRECISION MEDICINE FOR THE WAKE FOREST COMPREHENSIVE CANCER CENTER; REVISIONS TO SUNSHINE ACT LEGISLATION; TAX REFORM INCLUDING HISTORIC TAX PRESERVATION TAX CREDIT FOR WAKE FOREST INNOVATION QUARTER; BILLS TO INCREASE PHYSICIAN RESIDENCY SLOTS BY 15,000 OVER FIVE YEARS AT TEACHING HOSPITALS; HEALTH RESOURCES AND SERVICES' (HRSA) PROPOSED 340(B) DRUG PRICING PROGRAM MEGA GUIDANCE AND COMMENT LETTER; FY 2017 INPATIENT PROSPECTIVE PAYMENT SYSTEM (IPPS) RULE; TWO-MIDNIGHT/PATIENT STATUS RULE; STAFF WORKED ON THE FY2017 BUDGET; AND THE CY 2017 MEDICARE PHYSICIAN FEE SCHEDULE AND OTHER CHANGES TO MEDICARE PART B. STAFF ALSO WORKED ON MANY OF THE FY 2017 APPROPRIATIONS BILLS AND PROPOSED LEGISLATION AND REGULATIONS THAT WERE INTRODUCED, INCLUDING THE DEPARTMENT OF HEALTH AND HUMAN SERVICES REGARDING THE NATIONAL INSTITUTES OF HEALTH (NIH) BUDGET, AND VETERANS AFFAIRS (VA) RESEARCH AND MEDICAL CARE FUNDING TO EASE ACCESS FOR VETERANS SEEKING HEALTH CARE FROM NON-VA PROVIDERS; AND LEGISLATION REGARDING PATENT TROLLING AND INTELLECTUAL PROPERTY ISSUES. AT THE STATE LEVEL, EFFORTS WERE CONCENTRATED ON RESTORATION OF MEDICAID GRADUATE MEDICAL EDUCATION FUNDING; CHANGES TO THE STATE HEALTH INFORMATION EXCHANGE (HIE) PROGRAM; INSURANCE COVERAGE FOR ORAL CHEMOTHERAPY; FUNDING FOR THE WAKE FOREST ARMED FORCES INSTITUTE FOR REGENERATIVE MEDICINE (AFIRM); REPEAL OF THE CERTIFICATE OF NEED LAW; FUNDING FOR ADDITIONAL INPATIENT PSYCHIATRIC BEDS; AND PROTECTION OF THE $45 MILLION HOSPITAL SALES TAX REFUND CAP.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,007,181	BeginningYearBalanceAmt
Contributions	$2,132,638	ContributionsAmt
Investment Earnings Or Losses	$26,445	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,402,541	OtherExpendituresAmt
End Year Balance	$5,763,723	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,768,404	BeginningYearBalanceAmt
Contributions	$1,443,959	ContributionsAmt
Investment Earnings Or Losses	$389,849	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,595,031	OtherExpendituresAmt
End Year Balance	$5,007,181	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,088,305	BeginningYearBalanceAmt
Contributions	$616,961	ContributionsAmt
Investment Earnings Or Losses	$185,112	InvestmentEarningsOrLossesAmt
Other Expenditures	$4,121,974	OtherExpendituresAmt
End Year Balance	$4,768,404	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,303,928	BeginningYearBalanceAmt
Contributions	$1,221,778	ContributionsAmt
Investment Earnings Or Losses	-$65,209	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$124,978	GrantsOrScholarshipsAmt
Other Expenditures	$709,300	OtherExpendituresAmt
Administrative Expenses	-$462,086	AdministrativeExpensesAmt
End Year Balance	$8,088,305	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.43830	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.56170	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$29,717,141	OtherCostOrOtherBasisAmt
Book Value	$29,717,141	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$860,612,327	OtherCostOrOtherBasisAmt
Depreciation	$492,819,309	DepreciationAmt
Book Value	$367,793,018	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,181,509	OtherCostOrOtherBasisAmt
Depreciation	$535,748	DepreciationAmt
Book Value	$1,645,761	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$566,345,224	OtherCostOrOtherBasisAmt
Depreciation	$386,431,853	DepreciationAmt
Book Value	$179,913,371	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$79,050,892	OtherCostOrOtherBasisAmt
Depreciation	$21,459,150	DepreciationAmt
Book Value	$57,591,742	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$636,661,033	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	PUBLICLY TRADED S&P INDEX FUND	Desc
Book Value	$99,540,231	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$99,540,231	TotalBookValueSecuritiesAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

Field	Value	IRS element (for citing)
Desc	INVESTMENTS IN SUBSIDIARIES	Desc
Book Value	$108,192,419	BookValueAmt
Method Valuation	C	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$108,192,419	TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
PLI & OTHER LIABILITIES	$71,111,779
PENSION LIABILITIES	$94,847,065
CAPITAL LEASE	$7,451,890

Field	Value	IRS element (for citing)
Total Liability	$173,410,734	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	THE HOSPITAL'S ENDOWMENT FUNDS ARE USED TO PROVIDE SUPPORT FOR EDUCATION, SCHOLARSHIPS, INDIGENT CARE, AND OTHER DEPARTMENTAL FUNDING.
PART X, LINE 2:	THE ORGANIZATION HAS EVALUATED UNCERTAIN TAX POSITIONS FOR ITS FISCAL YEARS ENDED JUNE 30, 2016 AND 2015, INCLUDING A QUANTIFICATION OF TAX RISK IN AREAS SUCH AS UNRELATED BUSINESS TAXABLE INCOME AND THE TAXATION OF ITS FOR-PROFIT SUBSIDIARIES. THIS EVALUATION DID NOT HAVE A MATERIAL EFFECT ON THE ORGANIZATION'S FINANCIAL STATEMENTS FOR THE YEARS ENDED JUNE 30, 2016 AND 2015.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS,	0	0	INVESTMENTS	$149,762,651
EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM	0	0	FOREIGN INVESTMENTS	$12,544,974

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continutation Total Office	0	ContinutationTotalOfficeCnt
Continutation Total Employee	0	ContinutationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$162,307,625	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$162,307,625	TotalSpentAmt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$48,787,061	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,905,086	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$37,881,975	NetCommunityBenefitExpnsAmt
Total Expense	0.02670	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$245,817,085	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$225,761,132	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,055,953	NetCommunityBenefitExpnsAmt
Total Expense	0.01410	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$38,121,438	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31,961,818	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,159,620	NetCommunityBenefitExpnsAmt
Total Expense	0.00430	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$332,725,584	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$268,628,036	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$64,097,548	NetCommunityBenefitExpnsAmt
Total Expense	0.04510	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,906,415	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,906,415	NetCommunityBenefitExpnsAmt
Total Expense	0.00200	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$99,139,877	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,165,002	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$77,974,875	NetCommunityBenefitExpnsAmt
Total Expense	0.05500	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,444,645	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,444,645	NetCommunityBenefitExpnsAmt
Total Expense	0.00170	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,624,966	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,624,966	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$106,115,903	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,165,002	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$84,950,901	NetCommunityBenefitExpnsAmt
Total Expense	0.05980	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$438,841,487	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$289,793,038	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$149,048,449	NetCommunityBenefitExpnsAmt
Total Expense	0.10490	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$219,386	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$219,386	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$224,379	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$224,379	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$443,765	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$443,765	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$11,403,923	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$435,495,347	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$512,684,554	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$77,189,207	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	NORTH CAROLINA BAPTIST HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	MEDICAL CENTER BLVD	AddressLine1Txt
City	WINSTON SALEM	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27157	ZIPCd

Field	Value	IRS element (for citing)
State License	H0011	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	NORTH CAROLINA BAPTIST HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	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
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, PAGE 7	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, PAGE 7	StrategyWebsiteURLTxt
Strategy Attached	0	StrategyAttachedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	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
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.WAKEHEALTH.EDU/FINANCIAL-ASSISTANCE.HTM	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.WAKEHEALTH.EDU/FINANCIAL-ASSISTANCE.HTM	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.WAKEHEALTH.EDU/FINANCIAL-ASSISTANCE.HTM	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
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
NORTH CAROLINA BAPTIST HOSPITAL	PART V, SECTION B, LINE 5: COMMUNITY INPUT WAS OBTAINED THROUGH THE FOLLOWING SOURCES: (1) FORSYTH COUNTY RESIDENT SURVEYS CONDUCTED BY FORSYTH COUNTY HEALTH DEPARTMENT; (2) EIGHT FAITHHEALTH NC (A DEPARTMENT OF THE HOSPITAL) COMMUNITY ASSET MAPPING WORKSHOPS WHICH SOUGHT OPINIONS OF BOTH HEALTH PROVIDERS AND HEALTH SEEKERS IN FORSYTH COUNTY'S MOST VULNERABLE COMMUNITIES, INCLUDING FOUR WORKSHOPS HELD SPECIFICALLY IN HISPANIC COMMUNITIES; AND (3) COMMENTS FROM PRIOR COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY.ADDITIONALLY, MORE THAN TEN SECONDARY DATA SOURCES WERE REVIEWED, INCLUDING WAKE FOREST BAPTIST MEDICAL CENTER COMMUNITY DASHBOARD/HEALTH COMMUNITIES, COUNTY HEALTH RANKINGS & ROADMAPS, 2014 STATE OF THE COUNTY HEALTH, US CENSUS BUREAU, NC CENTER FOR HEALTH STATISTICS, CENTERS FOR DISEASE CONTROL, BEHAVIOR RISK FACTOR SURVEILLANCE SYSTEM, HEALTHY PEOPLE 2020, HEALTHY NC 2020, CENTER FOR MEDICARE/MEDICAID SERVICES, FORSYTH FUTURES ACCESS TO HEALTH CARE FORSYTH COUNTY REPORT 2014, FORSYTH COUNTY'S COMMUNITY FOOD SYSTEM 2013, AND STATUS OF HOMELESSNESS IN FORSYTH COUNTY 2014.
NORTH CAROLINA BAPTIST HOSPITAL	PART V, SECTION B, LINE 6A: THE HOSPITAL'S MOST RECENT CHNA WAS CONDUCTED IN COLLABORATION WITH LEXINGTON MEDICAL CENTER AND DAVIE COUNTY EMERGENCY HEALTH CORPORATION (DBA DAVIE MEDICAL CENTER). BOTH DAVIE MEDICAL CENTER AND LEXINGTON MEDICAL CENTER ARE AFFILIATE HOSPITALS OF WAKE FOREST BAPTIST MEDICAL CENTER.
NORTH CAROLINA BAPTIST HOSPITAL	PART V, SECTION B, LINE 7D: N/APART V, SECTION B, LINE 7A:WWW.WAKEHEALTH.EDU/HCI/NEEDS-ASSESSMENT-AND-IMPLEMENTATION-REPORTS.HTMPART V, SECTION B, LINE 10A:WWW.WAKEHEALTH.EDU/HCI/NEEDS-ASSESSMENT-AND-IMPLEMENTATION-REPORTS.HTM
NORTH CAROLINA BAPTIST HOSPITAL	PART V, SECTION B, LINE 11: THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") IDENTIFIED THE FOLLOWING SIGNIFICANT HEALTH NEEDS WITHIN THE COMMUNITY: (1) ACCESS TO HEALTH CARE, (2) CHRONIC DISEASE MANAGEMENT AND INFORMATION, (3) BEHAVIORAL AND MENTAL DISTRESS, (4) FINANCIAL COST OF HEALTH CARE AND PRESCRIPTION DRUGS, (5) RACISM, (6) HEALTHCARE RESOURCES AND EDUCATION, (7) LACK OF INSURANCE AND UNDOCUMENTED PATIENTS, AND (8) COMPASSIONATE CARE.NORTH CAROLINA BAPTIST HOSPITAL (NCBH) PRIORITIZED THE FOLLOWING THREE SIGNIFICANT COMMUNITY HEALTH NEEDS FOR ITS CURRENT CHNA AS FOLLOWS: (1) ACCESS TO CARE; (2) CHRONIC DISEASE MANAGEMENT; AND (3) BEHAVIORAL/MENTAL HEALTH DISTRESS. NCBH PLANS TO PROVIDE COMMUNITY BENEFIT PROGRAMS RESPONSIVE TO THESE HEALTH NEEDS THROUGH ITS APPROVED CHNA IMPLEMENTATION STRATEGY. THE NCBH CHNA IMPLEMENTATION STRATEGY OUTLINES THE IMPLEMENTATION OF PROGRAMS AND THE EVALUATION OF IMPACT OF THOSE PROGRAMS ON PRIORITY COMMUNITY HEALTH NEEDS IDENTIFIED FROM THE CHNA. SPECIFICALLY, THE HOSPITAL IS ADDRESSING THE SIGNIFICANT HEALTH NEEDS AS FOLLOWS:1. ACCESS TO CAREBARRIERS SUCH AS LACK OF INDIVIDUAL HEALTH INSURANCE AND HIGH COSTS DECREASE ACCESS TO QUALITY HEALTH CARE AND CAN LEAD TO UNMET HEALTH NEEDS. THE HOSPITAL'S CURRENT STRATEGIES INCLUDE:--ENCOURAGING APPROPRIATE EMERGENCY DEPARTMENT UTILIZATION THROUGH CARE COORDINATION ACROSS THE COMMUNITY, HOSPITAL, AND PRIMARY CARE THROUGH 1.) EXPLORATION OF PROGRAMS TO COORDINATE CARE FOR THE CHARITY CARE POPULATION, ADDRESSING NON-EMERGENT CARE USE AND SEEKING FUNDING TO SUPPORT RECOMMENDED INTERVENTION, AND 2.) CONTINUATION OF SUPPORT FOR THE CAREPLUS CARE COORDINATION MODEL FOR MEDICAID/SELF-PAY/UNINSURED PATIENTS IN THE DOWNTOWN HEALTH PLAZA COMMUNITY.--IMPROVING ACCESS TO COMMUNITY CENTERED SOCIAL AND HEALTH EDUCATION SERVICES AND REGULAR SOURCES OF HEALTH CARE THROUGH 1.) CONTINUED NEGOTIATIONS WITH NOVANT HEALTH TO CREATE A PRIMARY CARE CLINIC IN EAST WINSTON FOR THE SELF-PAY/UNINSURED/MEDICAID POPULATION; 2.) CONTINUED EXPLORATION OF MOBILE MEDICAL CLINIC IN LOW ACCESS WFBH SERVICE AREAS; 3.) DEVELOPMENT OF PILOT PROGRAM FOR CHARITY CARE PATIENTS WITH CHRONIC CONDITIONS FOR CARE MANAGEMENT SERVICES THROUGH LINKAGE WITH PRIMARY CARE; AND 4.) CONTINUED COMMUNITY ENGAGEMENT SUPPORT THROUGH 5 SUPPORTERS OF HEALTH, 311 CONGREGATION PARTNERS, 25 CONNECTORS ACROSS THE SERVICE AREA, AND 7 FAITHHEALTHNC FELLOWS.--IMPROVING ACCESS TO HEALTH INSURANCE THROUGH PARTNERSHIP WITH HEALTHCARE ACCESS LEADERS TO ASSIST IN ENROLLING COMMUNITY MEMBERS IN AVAILABLE HEALTH INSURANCE PLANS--IMPROVING ACCESS TO TRANSPORTATION TO HEALTH CARE SERVICES, THROUGH 1.) RAISING AWARENESS OF EXISTING TRANSPORTATION SERVICES FOR MEDICAID PATIENTS AMONG PROVIDERS AND THE COMMUNITY, AND 2.) EXPLORING FREE TRANSPORTATION INITIATIVES THROUGH UBERCENTRAL OR OTHER SIMILAR MODEL2. CHRONIC DISEASE MANAGEMENTNCBH RECOGNIZES THE EFFECT OF CONTINUITY OF CARE WITH HEALTH CARE PROVIDERS ON PATIENT BEHAVIORS, DISEASE MANAGEMENT, AND HEALTH STATUS. THE HOSPITAL'S CURRENT STRATEGIES INCLUDE:--IMPROVING CAPACITY OF COMMUNITY BASED ORGANIZATIONS AND HEALTH CARE PROVIDERS TO SUPPORT EFFORTS RELATED TO CHRONIC DISEASE PREVENTION AND MANAGEMENT THROUGH 1.) CONTINUING TO SUPPORT FAITHHEALTHNC COMMUNITY WORKERS, 2.) INCREASING COMMUNITY AND HEALTHCARE PROVIDER ACCESS TO EXISTING CHRONIC DISEASE MANAGEMENT RESOURCES BY CENTRALIZING AND DISTRIBUTING INFORMATION, AND 3.) EXPANDING CHRONIC DISEASE SELF-MANAGEMENT PROGRAMS OFFERED BY NCBH THROUGH EMMI SOFTWARE.--PROVIDING EDUCATION AND SUPPORT PROGRAMS TO REDUCE DIABETES PREVALENCE AND IMPROVE DIABETES MANAGEMENT THROUGH 1.) REFERRING DIABETIC PATIENTS AT DOWNTOWN HEALTH PLAZA TO DIABETES PROGRAMS OFFERED BY NCBH AND OTHER COMMUNITY ORGANIZATIONS, 2.) CONTINUING TO PROVIDE DIABETIC EDUCATION AT DOWNTOWN HEALTH PLAZA AND THE ENDOCRINE CLINIC, 3.) CONTINUING TO PROVIDE BESTHEALTH DIABETES PREVENTION AND NUTRITION EDUCATION TO THE COMMUNITY, AND 4.) EXPLORING PARTNERSHIP WITH UNITED WAY TO FOCUS DIABETES PREVENTION AND MANAGEMENT PROGRAMS IN IDENTIFIED, HIGH NEED NEIGHBORHOODS.--PROVIDING EDUCATION AND SUPPORT PROGRAMS TO REDUCE OBESITY PREVALENCE AND IMPROVE OBESITY MANAGEMENT THROUGH 1.) CONTINUING TO SUPPORT BRENNER FIT TO INCREASE EDUCATION AND AWARENESS HEALTHY LIFESTYLE CHOICES FOR UNINSURED/MEDICAID PATIENTS AND FAMILIES, 2.) PROMOTING HEALTHY EATING AND WEIGHT MANAGEMENT THROUGH EMPLOYEE WELLNESS PROGRAMS, AND 3.) PROVIDING MORE AWARENESS TO HOSPITAL PATIENTS AND EMPLOYEES REGARDING OPPORTUNITY FOR WEIGHT MANAGEMENT PROGRAMS.3. BEHAVIORAL/MENTAL HEALTH DISTRESSNCBH RECOGNIZES THE OVERLAP OF MENTAL, MEDICAL AND SOCIAL DISPARITIES AND THE IMPORTANT ROLE OF BEHAVIORAL HEALTH IN TREATING THE WHOLE PERSON. THE HOSPITAL'S CURRENT STRATEGIES INCLUDE:--CONTINUING EXPANSION OF INTEGRATED CARE MODEL CURRENTLY OPERATING AT DOWNTOWN HEALTH PLAZA AND FAMILY MEDICINE PIEDMONT PLAZA;--INCREASING THE CURRENT 30+ STAFF AT THE HOSPITAL WHO WORK IN AREAS DEFINED AS INTEGRATED BEHAVIORAL HEALTH;--BUILDING CAPACITY AMONG LAY PERSONS IN THE COMMUNITY IN THE AREAS OF MENTAL HEALTH FIRST AID, COMMUNITY RESILIENCE MODEL AND SUICIDE PREVENTION PROGRAMS;--CONTINUING WORK WITH DR. LIZ ARNOLD WITH FRAGILE HOMELESS PERSONS;--DEVELOPING A PLAN TO CREATE MORE INTEGRATED BEHAVIORAL HEALTH GRADUATE MEDICAL EDUCATION OFFERINGS FOR MEDICAL STUDENTS, RESIDENTS, FACULTY AND STAFF.ALL OF THE AFOREMENTIONED EFFORTS IN COMBINATION WITH THE HOSPITAL'S VALUES OF NONDISCRIMINATION AND COMPASSIONATE CARE ARE DESIGNED TO MEET THE SIGNIFICANT HEALTH NEEDS OF THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT.
NORTH CAROLINA BAPTIST HOSPITAL	PART V, SECTION B, LINE 13H: THE HOSPITAL MAY USE COMMERCIALLY AVAILABLE FINANCIAL PROFILING AND CREDIT SCORING TECHNOLOGIES TO PRESUMPTIVELY SCREEN RESPONSIBLE INDIVIDUALS TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE DISCOUNTS.
NORTH CAROLINA BAPTIST HOSPITAL	PART V, SECTION B, LINE 16I: IN ADDITION TO THE METHODS PREVIOUSLY DESCRIBED, NORTH CAROLINA BAPTIST HOSPITAL INFORMS PATIENTS ABOUT ITS FAP DURING INTAKE AND DISCHARGE BY PROVIDING A PLAIN LANGUAGE SUMMARY OF THE FAP. THE HOSPITAL ALSO PLACES A CONSPICUOUS WRITTEN NOTICE OF THE FAP ON ITS PATIENT BILLING STATEMENTS.
NORTH CAROLINA BAPTIST HOSPITAL	PART V, SECTION B, LINE 22D: THE HOSPITAL CHARGES FAP ELIGIBLE INDIVIDUALS AN AMOUNT NOT TO EXCEED AMOUNTS GENERALLY BILLED ("AGB") FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE. THE HOSPITAL CALCULATES AGB UNDER THE LOOKBACK METHOD USING CLAIMS ALLOWED BY PRIVATE INSURERS AND MEDICARE FEE FOR SERVICE OVER THE IMMEDIATELY PRECEDING YEAR.

Field	Value	IRS element (for citing)
Facility	37	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (37 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - STRATFORD EXECUTIVE PARK ABDOMINAL ORGAN
140 CHARLOIS BOULEVARD	WINSTONSALEM	NC	271031522	ABDOMINAL ORGAN TRANSPLANT PROGRAM
2 - DOWNTOWN HEALTH PLAZA
1200 N MARTIN LUTHER KING JR DRIVE	WINSTONSALEM	NC	271013006	ADULT MEDICINE
3 - WAKE FOREST UNIVERSITY BAPTIST IMAGING
265 EXECUTIVE PARK BLVD	WINSTONSALEM	NC	27103	IMAGING CENTER
4 - WINSTON EAST PEDIATRICS OF BAPTIST HOSP
2295 EAST 14TH STREET	WINSTONSALEM	NC	27105	PEDIATRICS
5 - NCBH INTERNAL MEDICINE
500 SHEPHERD STREET SUITE 300	WINSTONSALEM	NC	271031633	IM MULTISPECIALTY CLINICS
6 - MEDICAL PLAZA COUNTRY CLUB DERMATOLOGY
4618 COUNTRY CLUB ROAD	WINSTONSALEM	NC	271043520	GENERAL DERMATOLOGY
7 - MEDICAL PLAZA COUNTRY CLUB GENERAL DERMA
4618 COUNTRY CLUB ROAD	WINSTONSALEM	NC	271043520	DERMATOLOGY & MOHS SURGERY
8 - NCBH OBGYN CLINIC
500 SHEPHERD STREET SUITE 201	WINSTONSALEM	NC	271031633	OB/GYN
9 - WAKE FOREST BAPTIST HEALTH FAMILY MEDICI
1920 W FIRST STREET	WINSTONSALEM	NC	271044220	FAMILY MEDICINE
10 - COMPREHENSIVE FETAL CARE CENTER
500 SHEPHERD STREET SUITE 200	WINSTONSALEM	NC	271031633	MATERNAL-FETAL MEDICINE
11 - NCBH OUTPATIENT ENDOSCOPY CENTER LLC
100 CHARLOIS BLVD SUITE 100	WINSTONSALEM	NC	27103	OUTPATIENT ENDOSCOPY
12 - DIABETES CENTER ADULT-CNTRY CLB MED PLZA
4610 COUNTRY CLUB ROAD	WINSTONSALEM	NC	271043520	ADULT DIABETES CENTER
13 - DIABETES CENTER CHLDR-CNTRY CLB MED PLZA
4610 COUNTRY CLUB ROAD	WINSTONSALEM	NC	271043520	PEDIATRIC DIABETES CENTER
14 - UNIVERSITY INTERNAL MEDICINE COUNTRY CLU
4614 COUNTRY CLUB ROAD	WINSTONSALEM	NC	271043520	INTERNAL MEDICINE
15 - CARDIOLOGY COUNTRY CLUB NCBH CLINIC
4614 COUNTRY CLUB ROAD	WINSTONSALEM	NC	271043520	CARDIOLOGY
16 - WEIGHT MGMT CTR - COUNTRY CLUB
4614 COUNTRY CLUB ROAD	WINSTONSALEM	NC	271043520	WEIGHT MANAGEMENT
17 - PEDIATRICS - CLEMMONS NCBH CLINICS
2311 LEWISVILLE-CLEMMONS ROAD	CLEMMONS	NC	27012	PEDIATRICS
18 - BRENNER CHILDREN'S SPECIALTY SERVICES
2311 LEWISVILLE-CLEMMONS ROAD	CLEMMONS	NC	27012	PEDIATRIC SPECIALTIES
19 - UNIVERSITY INTERNAL MEDICINE - CLEMMONS
2311 LEWISVILLE-CLEMMONS ROAD	CLEMMONS	NC	27012	INTERNAL MEDICINE & PRIMARY CARE
20 - ALLERGY ASTHMA & IMMUNOLOGY - CLEMMONS
2311 LEWISVILLE-CLEMMONS ROAD	CLEMMONS	NC	27012	ALLERGY, ASTHMA & IMMUNOLOGY
21 - HEMATOLOGY & ONCOLOGY - CLEMMONS
2311 LEWISVILLE-CLEMMONS ROAD	CLEMMONS	NC	27012	ONCOLOGY
22 - COMPREHENSIVE REHAB
131 MILLER STREET	WINSTONSALEM	NC	27103	REHABILITATION
23 - BREAST CARE SERVICES - CLEMMONS
2341 LEWISVILLE-CLEMMONS ROAD	CLEMMONS	NC	27012	BREAST CARE SERVICES
24 - ENTHEAD & NECK SURGERY - CLEMMONS
2341 LEWISVILLE-CLEMMONS ROAD	CLEMMONS	NC	27012	ENT/HEAD AND NECK SURGERY
25 - MT AIRY HEMATOLOGY & ONCOLOGY
450 PRICE STREET	MT AIRY	NC	27030	HEMATOLOGY AND ONCOLOGY
26 - NEUROLOGY - CLEMMONS
2341 LEWISVILLE-CLEMMONS ROAD	CLEMMONS	NC	27012	NEUROLOGY
27 - OBSTETRICS AND GYNECOLOGY - CLEMMONS
2341 LEWISVILLE-CLEMMONS ROAD	CLEMMONS	NC	27012	OB/GYN
28 - PAIN CENTER BROOKSTOWN
605 COTTON STREET	WINSTONSALEM	NC	27101	PAIN CLINIC AND SERVICES
29 - SPINE CENTER - CLEMMONS
2341 LEWISVILLE-CLEMMONS ROAD	CLEMMONS	NC	27012	SPINE CENTER - CLEMMONS
30 - VEIN SERVICES - CLEMMONS
2341 LEWISVILLE-CLEMMONS ROAD	CLEMMONS	NC	27012	VEIN SERVICES
31 - PEDIATRICS - DOWNTOWN HEALTH PLAZA
1200 N MARTIN LUTHER KING JR DRIVE	WINSTONSALEM	NC	27101	PEDIATRICS
32 - OBSTETRICS AND GYNECOLOGY - DOWNTOWN HP
1200 N MARTIN LUTHER KING JR DRIVE	WINSTONSALEM	NC	27101	OB/GYN
33 - HEMATOLOGY & ONCOLOGY - ELKIN
401 ELDON PARKS DRIVE	ELKIN	NC	28621	HEMATOLOGY AND ONCOLOGY
34 - DIALYSIS ACCESS GROUP - MILLER
120 MILLER STREET STE B	WINSTONSALEM	NC	27103	DIALYSIS CENTER
35 - IMAGING SERVICES - CLEMMONS
140 CHARLOIS BOULEVARD	WINSTONSALEM	NC	27103	IMAGING CENTER
36 - SPINE IMAGING - CLEMMONS
2341 LEWISVILLE-CLEMMONS ROAD	CLEMMONS	NC	27012	IMAGING CENTER
37 - WOMEN'S CENTER IMAGING - CLEMMONS
2341 LEWISVILLE-CLEMMONS ROAD	CLEMMONS	NC	27012	IMAGING CENTER

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	THE ORGANIZATION ALSO EVALUATES CERTAIN CREDIT FILE DATA ELEMENTS TO IDENTIFY POTENTIAL SOURCES OF INCOME TO MORE ACCURATELY INFORM CHARITY CARE ELIGIBILITY ASSESSMENTS. PATIENTS WITH ESTIMATED HOUSEHOLD INCOME BELOW 200% OF FPG, WHO ARE IDENTIFIED AS HAVING COMMERCIAL CREDIT ACCOUNTS THAT ARE BEING SERVICED IN A MANNER THAT SUGGESTS ADDITIONAL SOURCES OF INCOME, ARE NOT AUTOMATICALLY GRANTED PRESUMPTIVE CHARITY CARE.
PART I, LINE 7:	THE ORGANIZATION USED THE WORKSHEETS PROVIDED IN THE INSTRUCTIONS TO SCHEDULE H TO COMPUTE ITS COST-TO-CHARGE RATIO FOR PURPOSES OF THE 2015 SCHEDULE H.PART I, LINE 7B MEDICAID DIRECT OFF-SETTING REVENUETHE HOSPITAL PARTICIPATES IN A PROVIDER ASSESSMENT PROGRAM ADMINISTERED BY THE NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES. UNDER THE PROGRAM, A FEE IS ASSESSED AGAINST NON-MEDICAID NET PATIENT SERVICE REVENUE OF PRIVATE HOSPITALS. THE FEDERAL GOVERNMENT MATCHES THE ASSESSMENT AT A RATE OF NEARLY 2 TO 1, AND THESE AMOUNTS ARE ALLOCATED TO NORTH CAROLINA HOSPITALS ON A QUARTERLY BASIS. ADDITIONALLY, THE HOSPITAL PARTICIPATES IN THE NORTH CAROLINA MEDICAID REIMBURSEMENT INITIATIVE (MRI). UNDER THE MRI, THE HOSPITAL RECEIVES ADDITIONAL REIMBURSEMENT BASED ON MEDICAID COST DEFICITS AND TREATMENT OF A DISPROPORTIONATE SHARE OF UNINSURED PATIENTS.
PART I, LN 7 COL(F):	THE ORGANIZATION'S PATIENT BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENTS WAS $38,611,401 FOR THE FISCAL YEAR ENDED JUNE 30, 2016. THIS AMOUNT IS NOT INCLUDED IN THE CALCULATION OF CHARITY CARE FOR PART I, LINE 7.
PART II, COMMUNITY BUILDING ACTIVITIES:	THE HOSPITAL IS RESPONSIVE TO THE COMMUNITIES IT SERVES THROUGH A NUMBER OF ACTIVITIES, PROGRAMS AND INITIATIVES. THE HOSPITAL IS CURRENTLY ALIGNED WITH THE FORSYTH COUNTY HEALTH DEPARTMENT AND LEADS AND/OR PARTICIPATES IN A WIDE VARIETY OF PARTNERSHIPS AND LOCAL COALITIONS. THESE INCLUDE THE BE HEALTH- OBESITY COALITION, HEAT- HEALTH DISPARITIES AND THE CHRONIC DISEASE COALITION. COLLECTIVELY THESE COALITIONS ARE TASKED WITH IMPROVING THE HEALTH STATUS OF THE COMMUNITIES THEY SERVE WITH A SPECIFIC FOCUS ON CHRONIC DISEASE, PHYSICAL ACTIVITY/ NUTRITION AND TOBACCO USE. SPECIFICALLY, THE COALITIONS ARE WORKING COLLABORATIVELY TO 1) REDUCE THE CARDIOVASCULAR DISEASE MORTALITY RATE, 2) DECREASE THE INCIDENCE OF DIABETES, 3) INCREASE THE PERCENTAGE OF ADULTS REPORTING GOOD, VERY GOOD OR EXCELLENT HEALTH, 4) INCREASE THE PERCENTAGE OF HIGH SCHOOL STUDENTS WHO ARE NEITHER OVERWEIGHT NOR OBESE, 5) INCREASE THE PERCENTAGE OF ADULTS WHO REPORT THAT THEY CONSUME FRUITS AND VEGETABLES FIVE OR MORE TIMES PER DAY, 6) INCREASE THE PERCENTAGE OF ADULTS GETTING THE RECOMMENDED AMOUNT OF PHYSICAL ACTIVITY, AND 7) DECREASE THE PERCENTAGE OF HIGH SCHOOL STUDENTS REPORTING CURRENT USE OF ANY TOBACCO PRODUCT. THE HOSPITAL IS SPECIFICALLY RESPONSIVE TO THE CHRONIC HEALTH NEEDS OF THE COMMUNITY BY PROVIDING FREE CARE TO ITS RESIDENTS AND PROVIDES $4 MILLION IN SUBSIDY FUNDING FOR THE DOWNTOWN HEALTH PLAZA, A LEVEL 3 NCQA SITE AND NATIONAL HEALTH SERVICE CORP SITE. DURING FY15, DOWNTOWN HEALTH PLAZA HAD OVER 67,000 PATIENT VISITS, INCLUDING 28,800 ADULTS, 27% OF WHICH ARE SELF-PAY; 19,400 OB/GYN PATIENTS, 41% ARE SELF-PAY; AND 18,900 PEDIATRIC PATIENTS, 8% OF WHICH ARE SELF-PAY. MANY OF THE SELF-PAY PATIENTS ARE MANAGING CHRONIC DISEASES SUCH AS DIABETES, KIDNEY FAILURE AND HEART FAILURE, AND DHP PROVIDES CARE AND COUNSELING AT NO COST FOR THESE CONDITIONS. SPECIFICALLY DHP PROVIDES SIGNIFICANT BENEFIT TO THE COMMUNITY THROUGH THE FOLLOWING INITIATIVES: COLLABORATION WITH NORTHWEST COMMUNITY CARE NETWORK THROUGH ONSITE PEDIATRIC AND INTERNAL MEDICINE CASE MANAGERS; AS A PARTICIPATING WIC SITE; PROVIDES A COMMUNITY GARDEN PROVIDING FRESH VEGETABLES AND HERBS TO PATIENTS; PROVIDES A FREE FOOD PANTRY TO PATIENTS; OFFERS A CO-LOCATED MENTAL HEALTH COUNSELOR FOR CHILDREN IN PARTNERSHIP WITH THE CHILDREN'S HOME; AND A CO-LOCATED PARENT EDUCATOR PROGRAM IN PARTNERSHIP WITH IMPRINTS TO HELP FAMILIES ADDRESS DEVELOPMENTAL DELAYS. DHP ALSO COORDINATES WITH NORTHWEST COMMUNITY CARE NETWORK AND CENTERPOINT TO PROVIDE AN INNOVATIVE COMPREHENSIVE CARE MANAGEMENT FOR A HIGH RISK POPULATION (INCLUSIVE OF THE UNINSURED) THROUGH AN INTENSIVE CARE COORDINATION PROGRAM (HIGHER RISK FOR READMISSIONS AND ED VISITS). DHP ALSO PROVIDES AN ANNUAL SHARE THE HEALTH FREE HEALTH FAIR, PROVIDING FREE HEALTH SCREENINGS AND OTHER HEALTH-RELATED SERVICES AVAILABLE TO EVERYONE (ADULTS AND CHILDREN) REGARDLESS OF AGE, INSURANCE COVERAGE, AND INCOME LEVEL OR IMMIGRATION STATUS. THE HEALTH FAIR SERVES APPROXIMATELY 650 CHILDREN AND ADULTS ON AN ANNUAL BASIS. BRENNER FIT (FAMILIES IN TRAINING) HAS THE LONGEST TRACK RECORD AND THE MOST EXPERIENCE IN PROVIDING PREVENTION AND TREATMENT PROGRAMS FOR OVERWEIGHT AND OBESE POPULATIONS IN THE HOSPITAL'S SERVICE AREA. IN FY 2016, BRENNER FIT PROVIDED THE FOLLOWING:* RECEIVED 490 REFERRALS; BEGAN TREATMENT OF 94 NEW PATIENTS; COMPLETED 1,297 FAMILY CLINIC VISITS* IMPLEMENTED REDESIGN OF BRENNER FIT'S CLINICAL TREATMENT, DEVELOPING ADDITIONAL EXPERIENTIAL EDUCATION COMPONENTS AND INCREASING CLINIC VOLUME * GAVE 17 ACADEMIC PRESENTATIONS WITH OVER 530 PROFESSIONALS IN ATTENDANCE * REACHED OVER 2,751 INDIVIDUALS THROUGH COMMUNITY EDUCATION IN OVER 200 CLASSES, A 44% INCREASE IN PARTICIPANTS OVER PRIOR FISCAL YEAR* FEATURED 13 TIMES IN BOTH REGIONAL AND NATIONAL MEDIA TOTALING OVER $2,113,100 IN VALUE FOR THE MEDICAL CENTER AND REACHING NEARLY 21.1 MILLION INDIVIDUALS * TAUGHT NEARLY 1,541 PEOPLE BRENNER FIT'S MESSAGE THROUGH 90 SCHOOL AND YOUTH PRESENTATIONS* PARTICIPATED IN 16 COMMUNITY EVENTS AND HEALTH FAIRS REACHING AN ESTIMATED 101,232 INDIVIDUALS * OFFERED 149 COOKING CLASSES, TEACHING 1,997 COMMUNITY MEMBERS ABOUT HEALTHY EATING * OFFERED 48 CLASSES FOCUSED ON PHYSICAL ACTIVITY REACHING 420 COMMUNITY MEMBERS * CONTRIBUTED TO ACADEMIC AND MEDICAL LITERATURE THROUGH 11 JOURNAL PUBLICATIONS, 2 INVITED BOOK REVIEWS AND BOOK CHAPTERS, AND 4 RESEARCH PRESENTATIONS * UTILIZED OVER 1,326 HOURS OF VOLUNTEER ASSISTANCE* COMPLETED APPROXIMATELY 2,135 HOURS OF INTERNSHIP EDUCATION AND SUPPORT* OPENED A BRENNER FIT ACADEMY IN WILKES COUNTY THAT SERVED 18 FAMILIES IN THE FIRST SERIES OF PREVENTION CLASSESTHE HOSPITAL ALSO PROVIDES A NUMBER OF PUBLIC EDUCATIONAL PROGRAMS THROUGH BEST HEALTH. BESTHEALTH , THE COMMUNITY WELLNESS OUTREACH PROGRAM OF WAKE FOREST BAPTIST HEALTH, OFFERED 167 CLASSES AND SCREENINGS IN FY 2016. MORE THAN HALF OF THESE EVENTS FOCUSED ON NUTRITION, HEART DISEASE, OBESITY AND EXERCISE. BESTHEALTH PROVIDED 17 COOKING CLASSES, 54 EXERCISE CLASSES, 15 SCREENINGS AND 81 SEMINARS FREE TO THE PUBLIC. IN ADDITION, BESTHEALTH COMMUNICATES MONTHLY TO THE COMMUNITY ABOUT ACCESS TO THE MANY SUPPORT GROUPS AND CLINICAL TRIALS AVAILABLE AT WAKE FOREST BAPTIST HEALTH. AS A HEART AND VASCULAR CENTER OF EXCELLENCE, THE HOSPITAL ALSO SPONSORS SEVERAL HEART RELATED SCREENINGS EACH YEAR INCLUDING FREE EKG SCREENINGS, HEART HEALTH TALKS, FREE COMMUNITY CPR CLASSES, COORDINATION WITH THE BE HEALTHY COALITION TO ENCOURAGE PHYSICAL ACTIVITY AMONG ALL FORSYTH COUNTY RESIDENTS THROUGH A TWO-MONTH PROGRAM WITH STEP UP FORSYTH, A FREE COMMUNITY WIDE PROGRAM COLLABORATION WITH THE YMCA, A SIX WEEK CHRONIC DISEASE MANAGEMENT WORKSHOP AND HEART AND STROKE PREVENTION CLASSES AT COUNTY GOVERNMENT WORKSITES. AS A CANCER CENTER OF EXCELLENCE AND AN NCI DESIGNATED CANCER CENTER, OUTREACH TO THE COMMUNITY IS A VITAL COMPONENT TO SERVING PATIENTS AND FAMILIES. OUTREACH AND COLLABORATIONS INCLUDE ANNUAL SKIN CANCER SCREENINGS, NUTRITION CLASSES, FREE YOGA FOR BREAST CANCER PATIENTS AND SURVIVORS, AS WELL AS SEVERAL FREE LUNCH AND LEARN WORKSHOPS ON CANCER AWARENESS AND PREVENTION.THE HOSPITAL'S DIVISION OF FAITH AND HEALTH MINISTRIES HAS A NEW INITIATIVE, FAITHHEALTHNC. FAITHHEALTHNC IS A DYNAMIC PARTNERSHIP BETWEEN FAITH COMMUNITIES, HEALTH SYSTEMS AND HEALTHCARE PROVIDERS FOCUSED ON IMPROVING HEALTH IN THE COMMUNITY. SINCE ITS IMPLEMENTATION, 346 NORTH CAROLINA CONGREGATIONS ACROSS 18 COUNTIES HAVE PARTNERED WITH FAITHHEALTH NC TO SHARE IN THE MISSION OF HEALING. FAITHHEALTHNC PROVIDES HEALTH CARE LIAISONS WHO ASSIST THE COMMUNITY'S CLERGY AND FAITH VOLUNTEERS TO ENSURE THAT THEIR MEMBERS' HEALTHCARE NEEDS ARE MET DURING TIMES OF ILLNESS.THE HOSPITAL IS AN ACTIVE PARTICIPANT IN THE FORSYTH BEHAVIORAL HEALTH COALITION WHICH INCLUDES REPRESENTATIVES FROM WAKE FOREST BAPTIST MEDICAL CENTER, FORSYTH MEDICAL CENTER, CENTERPOINT AND NORTHWEST COMMUNITY CARE NETWORK (NCCN). DURING THE FISCAL YEAR, THE COALITION WORKED WITH THE NORTH CAROLINA HOSPITAL ASSOCIATION ON A COMPREHENSIVE PLAN TO TAKE TO THE NORTH CAROLINA STATE LEGISLATURE WITH THE FOLLOWING PRIORITIES:- DEVELOPMENT AND OBTAIN FUNDING FOR A COUNTY ED CRISIS INTERVENTION PROGRAM, AS THERE IS NO CURRENT CRISIS INTERVENTION SUPPORT IN FORSYTH OR SURROUNDING COUNTIES; AND- OBTAIN LEGISLATIVE SUPPORT FOR A WET SHELTER PROGRAM.THE COALITION IS ALSO WORKING TO ENSURE THAT WE HAVE STRUCTURES AND PROCESSES IN PLACE TO IMPROVE THE PATIENT FLOW AND TO ELIMINATE DUPLICATION OF SERVICES. LASTLY, NCCN IS WORKING WITH CENTERPOINT TO ENSURE THE BIDIRECTIONAL FLOW OF ELECTRONIC INFORMATION.
PART III, LINE 4:	THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A DISCRETE FOOTNOTE EXPLAINING BAD DEBT EXPENSE. BAD DEBT HAS NOT BEEN INCLUDED IN THE COMPUTATION OF COMMUNITY BENEFIT ON PART I, LINE 7. AMOUNTS USED TO COMPUTE CHARITY CARE AND BAD DEBT ON SCHEDULE H USE THE MOST CURRENT DATA AVAILABLE AT THE TIME OF FILING. THE ORGANIZATION USED WORKSHEET 2 OF THE 2015 SCHEDULE H INSTRUCTIONS TO COMPUTE A COST TO CHARGES RATIO USED TO CALCULATE BAD DEBT AT COST.
PART III, LINE 8:	THE HOSPITAL USES AN OVERALL COST TO CHARGE RATIO CALCULATION BASED ON AUDITED FINANCIAL STATEMENTS BUT REMOVES COST ASSOCIATED WITH BAD DEBT, GME, COMMUNITY BUILDING, AND CHARITY CARE SO AS NOT TO COUNT THOSE COSTS TWICE.
PART III, LINE 9B:	THE HOSPITAL MAKES A REASONABLE EFFORT TO DETERMINE AN INDIVIDUAL'S ELIGIBILITY FOR FINANCIAL ASSISTANCE BEFORE ENGAGING IN ANY COLLECTION ACTIONS. ALL COLLECTION ACTIONS WILL BE SUSPENDED IF THE INDIVIDUAL SUBMITS A COMPLETED FAP APPLICATION DURING THE APPLICATION PERIOD, OR IF THE INDIVIDUAL SUBMITS AN INCOMPLETE APPLICATION DURING THE APPLICATION PERIOD THAT IS SUBSEQUENTLY COMPLETED WITHIN A REASONABLE TIME AFTER THE HOSPITAL REQUESTS FURTHER INFORMATION. IF THE INDIVIDUAL IS DETERMINED NOT TO BE ELIGIBLE FOR A FULL DISCOUNT UNDER THE FAP, ANY COLLECTION ACTIVITIES WILL BE RESUMED AS TO THE OUTSTANDING BALANCE OWED. IF THE INDIVIDUAL IS DETERMINED TO BE ELIGIBLE FOR ANY LEVEL OF ASSISTANCE UNDER THE FAP, APPROPRIATE MEASURES ARE TAKEN TO REFUND ANY AMOUNTS OWED TO THE INDIVIDUAL AND REVERSE OR MODIFY COLLECTION ACTIONS CONSISTENT WITH THE NEW BALANCE OWED AFTER APPLYING THE APPLICABLE FAP DISCOUNTS.
PART VI, LINE 2:	THE HOSPITAL'S CURRENT NEEDS ASSESSMENT PLAN WAS BASED ON A SET OF BEST PRACTICES FOR COMMUNITY HEALTH ASSESSMENTS WITH THE PURPOSE OF IDENTIFYING TWO TO THREE REGIONAL PRIORITY AREAS TO FOCUS ON FOR FY 2017-2018. THE PROCESS WAS DESIGNED TO RELY ON EXISTING PUBLIC DATA, DIRECTLY ENGAGE COMMUNITY STAKEHOLDERS AND COLLABORATE WITH LOCAL PUBLIC HEALTH, OTHER HEALTH PROVIDERS, AS WELL AS COMMUNITY PARTNERS SUCH AS FAITH NETWORKS RELEVANT TO THE SOCIAL FACTORS UNDERLYING PATTERNS OF ACCESS. THE HOSPITAL'S ASSESSMENT WAS CONDUCTED IN THREE STAGES: (1) DATA REVIEW (PRIMARY AND SECONDARY DATA), (2) SETTING PRIORITIES, AND (3) COMMUNITY ASSET INVENTORY. THE DATA REVIEW AND PRIORITY SETTING PHASE BEGAN WITH THE COMPILATION OF EXISTING HEALTH-RELATED DATA. STAKEHOLDERS REVIEWED MULTIPLE DATA SETS INCLUDING FORSYTH, DAVIDSON, AND DAVIE COUNTY PUBLIC HEALTH NEEDS ASSESSMENTS, NORTH CAROLINA INDICATORS FOR COMMUNITY HEALTH ASSESSMENT, INTERNAL DISEASE REGISTRIES, AND COUNTY HEALTH RANKINGS. AN INTERNAL STEERING COMMITTEE AND SENIOR LEADERSHIP REVIEW A SET OF CRITERIA TO DEVELOP THE PRIORITY RANKINGS. THE PRIORITIZATION PROCESS IDENTIFIED THE FOLLOWING THREE PRIORITY CHALLENGES FOR THE COMMUNITY: (1) ACCESS/LACK OF MEDICAL SERVICES/SCREENINGS, (2) CHRONIC DISEASE - CANCER, DIABETES, OBESITY, AND (3) BEHAVIORAL/MENTAL HEALTH DISTRESS.FAITHHEALTHNC (A DIVISION OF THE HOSPITAL) PROVIDED COMMUNITY ENGAGEMENT THROUGH A COMPREHENSIVE ASSET MAPPING STRATEGY BASED ON AN APPROACH FROM SOUTH AFRICA AND REDEFINED IN MEMPHIS, TN DESIGNED TO BUILD COMMUNITY PARTNERSHIPS ON THE ASSETS THAT EXIST, INSTEAD OF JUST NEEDS. THE MAPPING DEVELOPED AN INVENTORY OF EXISTING PROGRAMS AND SERVICES WITHIN THE REGION RELATED TO THE PRIORITY AREAS IDENTIFIED IN THE NEEDS ASSESSMENT. THE INVENTORY INCLUDED THE LOCATION OF THE PROGRAM (HOSPITAL, CLINIC, OR COMMUNITY SERVICE) AS WELL AS THE NATURE OF THE INTANGIBLE FACTORS, ESPECIALLY TRUST, THAT DETERMINE ACCESS AND COLLABORATION AMONG COMMUNITY PARTNERS. THE PURPOSE OF THE INVENTORY WAS TO IDENTIFY GAPS IN SERVICES, OPPORTUNITIES FOR NEW WORK, WHERE AND WITH WHOM THERE IS ALREADY WORK BEING DONE, AND OPPORTUNITIES FOR PARTNERSHIP AND COLLABORATION. FROM THIS THREE STEP PROCESS, THE HOSPITAL DEVELOPED AN IMPLEMENTATION STRATEGY TO IDENTIFY THE MEANS THROUGH WHICH IT PLANS TO ADDRESS NEEDS THAT ARE CONSISTENT WITH THE CHARITABLE MISSION AS PART OF ITS COMMUNITY BENEFIT PROGRAMS FOR THE NEXT THREE FISCAL YEARS. BEYOND THE PROGRAMS THAT WILL BE ADDRESSED IN THE IMPLEMENTATION STRATEGY, THE HOSPITAL WILL CONTINUE TO ADDRESS MANY OF THE PRIORITIES BY PROVIDING CARE TO ALL, REGARDLESS OF THE ABILITY TO PAY.
PART VI, LINE 3:	THE ORGANIZATION USES A VARIETY OF MEANS TO EDUCATE AND INFORM PATIENTS OF THEIR CHARITY CARE OPTIONS, INCLUDING INFORMATION ON A WEBSITE, PAMPHLETS, CONSPICUOUSLY DISPLAYED SIGNAGE, INFORMATION ON PATIENT BILL STATEMENTS, AND FROM STAFF MEMBERS DURING CONVERSATIONS CONCERNING A PATIENT'S LIABILITY FOR SERVICES. THE HOSPITAL EMPLOYS A ROBUST PRE-SERVICE FINANCIAL CLEARANCE PROCESS THAT SCREENS PATIENTS PRIOR TO SERVICE DELIVERY FOR EXISTING OR AVAILABLE PAYER SOURCES AS A MEANS OF AVOIDING BAD DEBT AND INAPPROPRIATE BILLING TO PATIENTS WITHOUT THE MEANS TO PAY. IF A PAYER SOURCE IS IDENTIFIED, HOSPITAL STAFF WILL ASSIST THE PATIENT WITH ENROLLMENT.
PART VI, LINE 4:	IN FISCAL YEAR 2016, THE MEDICAL CENTER PROVIDED CARE TO A NINETEEN COUNTY SERVICE AREA IN NORTH CAROLINA. THE MEDICAL CENTER WAS RESPONSIBLE FOR 3.7% OF TOTAL INPATIENT DISCHARGES FOR THE STATE OF NORTH CAROLINA DURING ITS YEAR ENDED JUNE 30, 2016. THE PRIMARY AND SECONDARY SERVICE AREA INCLUDE:PRIMARY SERVICE AREA COUNTIES - FORSYTH, DAVIE, DAVIDSON, GUILFORD, STOKES, SURRY, YADKINSECONDARY SERVICE AREA COUNTIES - ROCKINGHAM, RANDOLPH, ROWAN, IREDELL, CATAWBA, ALEXANDER, WILKES, ALLEGHANY, ASHE, WATAUGA, CALDWELL, BURKE PERCENT OF UNINSURED INPATIENTS 6.8%PERCENT OF INPATIENTS WHO ARE MEDICAID RECIPIENTS 19.2%THE HOSPITAL IS LOCATED IN CENTRAL FORSYTH COUNTY, WHICH MAKES UP THE SINGLE LARGEST COUNTY IN TOTAL INPATIENT DISCHARGES. IN FISCAL YEAR 2016, FORSYTH COUNTY ACCOUNTED FOR 13,320 OR 32.6% OF ALL DISCHARGES FROM THE MEDICAL CENTER. ACCORDINGLY, THE HOSPITAL SERVES A WIDE SERVICE AREA; HOWEVER, IT IS RESOURCE PROHIBITIVE TO PARTICIPATE AND FUND HEALTH ASSESSMENTS IN EACH COMMUNITY/COUNTY FROM WHICH ITS PATIENT POPULATION ORIGINATES. THEREFORE, THE PRIMARY COMMUNITY BENEFIT SERVICE AREA (CBSA)IS FORSYTH COUNTY, NORTH CAROLINA.BELOW IS A DEMOGRAPHIC SNAPSHOT OF FORSYTH COUNTY BASED ON 2015 ESTIMATED CENSUS DATA: POPULATION AND GEOGRAPHY TOTAL POPULATION 369,000POPULATION CHANGE SINCE 2010 + 5.2%LAND AREA 408.1 SQUARE MILESPOPULATION DENSITY 904.19 PERSONS PER SQUARE MILE POPULATION BY RACE/ETHNICITYWHITE 57.4%BLACK/AFRICAN-AMERICAN 27.2%HISPANIC 12.7%ASIAN 2.4%AMERICAN INDIAN/ALASKAN NATIVE 0.8%NATIVE HAWAIIAN/PACIFIC ISLANDER 0.1%MULTIRACIAL 2.2% POPULATION BY AGE DISTRIBUTIONUNDER 5 YEARS OLD 6.3%UNDER 18 YEARS OLD 23.6%=/+ 65 YEARS OLD 14.7%MEDIAN AGE 37.5 YEARS POPULATION BY SEXMALE 47.5%FEMALE 52.5% POPULATION BY EDUCATIONAL ATTAINMENT PERCENT OF PERSONS = 25 YEARS OLD WHO HAVE:< HIGH SCHOOL DIPLOMA OR GED 13.2%A HIGH SCHOOL DIPLOMA OR GED 54.7%A BACHELOR'S DEGREE OR HIGHER 32.1%PERSONS IN POVERTY 19.7%UNEMPLOYMENT RATE 5.8% COUNTY SCHOOLSK-12 ENROLLMENT 54,000GRADUATION RATE 85.4% INCOMEMEDIAN FAMILY HOUSEHOLD (2014) $46,003MEDIAN NON-FAMILY HOUSEHOLD (2014) $26,670
PART VI, LINE 6:	WAKE FOREST BAPTIST MEDICAL CENTER'S MISSION IS TOIMPROVE THE HEALTH OF OUR REGION, STATE AND NATION BY:1) GENERATING AND TRANSLATING KNOWLEDGE TO PREVENT, DIAGNOSE AND TREATDISEASE.2) TRAINING LEADERS IN HEALTH CARE AND BIOMEDICAL SCIENCE.3) SERVING AS THE PREMIER HEALTH SYSTEM IN OUR REGION, WITH SPECIFICCENTERS OF EXCELLENCE RECOGNIZED AS NATIONAL AND INTERNATIONAL CAREDESTINATIONS. THE HOSPITAL, WHICH IS THE INPATIENT COMPONENT OF WAKE FOREST BAPTIST MEDICAL CENTER, OPERATES THE FOLLOWING PROGRAMS CONSTITUTING COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS REPORTED ON PART I,LINE 7E:WINSTON-SALEM/FORSYTH CTY SCHOOLS'ALLIED HEALTH PROGRAM $5,000COMMUNITY HEALTHCARE ACCESS $16,521COMMUNITY EMS PREPAREDNESS $96,729PALLIATIVE CARE PROGRAMS $627,000CLINICAL MINISTRIES $916,747PHYSICIANS COMMUNITY HEALTH ACCESS $470,336PASTORAL & EDUCATIONAL COUNSELING $718,631BRENNER FIT $36,388FAMILY RESOURCES $19,063TOTAL TO PART I, LINE 7E: $2,906,415
PART VI, LINE 7, REPORTS FILED WITH STATES	NC

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (39 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
ABC OF NC CHILD DEVELOPMENT
3904 OLD VINEYARD ROAD	WINSTONSALEM	NC	27104	300111894	501(C)(3)	$10,000	SUPPORTING PROGRAMS FOR DISABLED CHILDREN
ALLIANCE FOR NC NONPROFITS INC
530 N BLOUNT STREET	RALEIGH	NC	27604	461358968	501(C)(6)	$25,000	SUPPORTING PROGRAMS TO PROMOTE INTERESTS OF NC NONPROFITS TO POLICYMAKERS AND THE PUBLIC
ALS ASSOCIATION NC CHAPTER
4 N BLOUNT STREET	RALEIGH	NC	27601	561609591	501(C)(3)	$7,500	SUPPORTING PROGRAMS TO TREAT AND CURE ALS THROUGH GLOBAL RESEARCH AND NATIONWIDE ADVOCACY
AMERICAN HEART ASSOCIATION
101 CENTREPORT DRIVE	GREENSBORO	NC	27409	135613797	501(C)(3)	$15,000	SUPPORTING CARDIOVASCULAR RESEARCH AND PROGRAMS
ARTS COUNCIL WINSTON SALEM FORSYTH CTY
206 N SPRUCE STREET	WINSTONSALEM	NC	27101	560526856	501(C)(3)	$40,000	SUPPORTING CULTURAL PROGRAMS IN THE COMMUNITY
CANCER SERVICES INC
3175 MAPLEWOOD AVE	WINSTONSALEM	NC	27103	560656375	501(C)(3)	$12,750	SUPPORTING PROGRAMS TO EDUCATE AND ENHANCE QUALITY OF LIFE FOR CANCER PATIENTS
COMMUNITY CARE CENTER FOR FORSYTH CTY
2135 NEW WALKERTOWN RD	WINSTONSALEM	NC	27101	581403699	501(C)(3)	$30,891	SUPPORTING PROGRAM TO PROVIDE FREE ON-SITE MEDICAL & DENTAL CARE TO LOW-INCOME FAMILIES
CRISIS CONTROL MINISTRY
200 E TENTH STREET	WINSTONSALEM	NC	27101	237348168	501(C)(3)	$5,000	SUPPORTING MINISTRY TO ASSIST COMMUNITY RESIDENTS IN CRISIS TO MEET ESSENTIAL LIFE NEEDS
CROSBY SCHOLARS COMMUNITY PARTNERSHIP
2701 UNIVERSITY PARKWAY	WINSTONSALEM	NC	27105	311523230	501(C)(3)	$5,000	SUPPORTING PROGRAM TO PREPARE COMMUNITY STUDENTS FOR COLLEGE ENROLLMENT
DAVIE COUNTY ECONOMIC DEVELOPMENT
135 SOUTH SALISBURY ST	MOCKSVILLE	NC	27028	561932514	501(C)(3)	$45,000	SUPPORTING HEALTHCARE DEVELOPMENT
EL BUEN PASTOR LATINO COMMUNITY SERVICES
4637 TIM ROAD	WINSTONSALEM	NC	27106	203751959	501(C)(3)	$8,500	SUPPORTING PROGRAM TO EQUIP LATINO FAMILIES TO FULFILL EDUCATION AND ECONOMIC FUTURES
FORSYTH FUTURES
100 N CHERRY STREET	WINSTONSALEM	NC	27101	561092807	501(C)(3)	$50,000	COMMUNITY SUPPORT
HOSPICE AND PALLIATIVE CARE CENTER
101 HOSPICE LANE	WINSTONSALEM	NC	27103	581343313	501(C)(3)	$21,500	SUPPORTING FACILITIES & PROGRAMS FOR SERIOUSLY ILL PATIENTS
HOSPITAL HOSPITALITY HOUSE OF WINSTON-SALEM
1970 BALDWIN LN	WINSTONSALEM	NC	27103	203604576	501(C)(3)	$10,000	SUPPORTING PROGRAM TO PROVIDE AFFORDABLE LODGING & SUPPORT FOR OUT OF TOWN ADULT PATIENTS AND CAREGIVERS TRAVELING TO OUR COMMUNITY FOR TREATMENT
INSTITUTE FOR PEDIATRIC INNOVATION
10 POST OFFICE SQ	BOSTON	MA	02109	223932931	501(C)(3)	$10,000	SUPPORTING PROGRAM TO ADDRESS GAP IN AVAILABLE PRODUCTS FOR OPTIMAL PEDIATRIC CARE
JDRF PIEDMONT TRIAD CHAPTER
312 N EUGENE STREET	GREENSBORO	NC	27401	231907729	501(C)(3)	$30,000	SUPPORTING JUVENILE DIABETES RESEARCH
LEADERSHIP WINSTON SALEM
501 N CLEVELAND AVENUE	WINSTONSALEM	NC	27101	581574887	501(C)(3)	$11,000	COMMUNITY SUPPORT
LEWISVILLE-CLEMMONS CHAMBER OF COMMERCE
3540 CLEMMONS RD STE 112	CLEMMONS	NC	27012	743215354	501(C)(6)	$5,000	COMMUNITY SUPPORT
MARCH OF DIMES
410 BROOKSTOWN AVE	WINSTONSALEM	NC	27101	131846366	501(C)(3)	$15,000	SUPPORTING RESEARCH AND PROGRAMS TO END INFANT MORTALITY AND BIRTH DEFECTS
NC TRIAD KOMEN AFFILIATE OF SUSAN G KOMEN FND
1106 BURKE STREET	WINSTONSALEM	NC	27101	752891104	501(C)(3)	$30,912	SUPPORTING BREAST CANCER RESEARCH
OLD HICKORY BOY SCOUTS
6600 SILAS CREEK PARKWAY	WINSTONSALEM	NC	27106	560529985	501(C)(3)	$22,500	SUPPORTING VALUE BASED PROGRAMS FOR THE COMMUNITY'S YOUTH
OLD SALEM MUSEUMS & GARDEN
600 MAIN ST	WINSTONSALEM	NC	27101	560587289	501(C)(3)	$75,000	COMMUNITY SUPPORT
PIEDMONT REGIONAL TRAUMA SYSTEMS
MEDICAL CENTER BLVD	WINSTONSALEM	NC	27157	562036036	501(C)(3)	$100,000	SUPPORTING INTEGRATED TRAUMA SYSTEM
RONALD MCDONALD HOUSE
419 S HAWTHORNE ROAD	WINSTONSALEM	NC	27103	581454715	501(C)(3)	$10,000	SUPPORTING PROGRAM PROVIDING SUPPORT FOR FAMILIES WITH CHILDREN RECEIVING MEDICAL CARE IN OUR COMMUNITY
SCIWORKS
400 HANES MILL ROAD	WINSTONSALEM	NC	27105	560815746	501(C)(3)	$10,000	EDUCATIONAL AND SCIENTIFIC SUPPORT
SENIOR SERVICES INC
2895 SHOREFAIR DRIVE	WINSTONSALEM	NC	271054237	561085968	501(C)(3)	$55,000	SUPPORTING PROGRAM TO PROVIDE SERVICES TO SENIOR ADULTS TO LIVE INDEPENDENTLY AND WITH DIGNITY
THE WOMEN'S FUND OF WINSTON SALEM
860 W FIFTH STREET	WINSTONSALEM	NC	27101	566037616	501(C)(3)	$10,000	SUPPORTING & EMPOWERING WOMEN IN THE COMMUNITY
THE GREAT 100 INC
PO BOX 4875	GREENSBORO	NC	274044875	561705456	501(C)(3)	$5,000	SUPPORTING PROGRAM THAT RECOGNIZES OUTSTANDING MEMBERS OF NURSING PROFESSION AND RAISE FUNDS FOR NURSING SCHOLARSHIPS
SHEPHERD'S CENTER OF GREATER WINSTON-SALEM
1700 EBERT STREET	WINSTONSALEM	NC	27103	561646960	501(C)(3)	$25,000	SUPPORTING MINISTRY THAT SUPPORTS AND PROMOTES SUCCESSFUL AGING AND PROGRAMS FOR OLDER ADULTS
UNITED WAY OF FORSYTH COUNTY
301 N MAIN STREET	WINSTONSALEM	NC	27101	237357234	501(C)(3)	$199,000	COMMUNITY SUPPORT
WAKE FOREST UNIVERSITY
PO BOX 7201	WINSTONSALEM	NC	27109	560532138	501(C)(3)	$30,000	SUPPORTING HEALTHCARE PROGRAMS
WINSTON-SALEM BUSINESS INC
1080 W FOURTH STREET	WINSTONSALEM	NC	27101	510436665	501(C)(3)	$42,000	COMMUNITY SUPPORT
WINSTON-SALEM CHAMBER OF COMMERCE
411 WEST 4TH STREET	WINSTONSALEM	NC	27101	560459820	501(C)(6)	$10,400	COMMUNITY SUPPORT
USA CYCLING INC DBA WINSTON SALEM CYCLING
210 USA CYCLING POINT STE 100	COLORADO SPRINGS	CO	80919	841284437	501(C)(3)	$100,000	SUPPORTING LOCAL ADMINISTRATION OF COMMUNITY CYCLING EVENT TO PROMOTE CYCLING AS BEING GOOD FOR HEALTH OF COMMUNITY
WINSTON-SALEM SYMPHONY ASSOCIATION
201 N BROAD STREET STE 200	WINSTONSALEM	NC	27101	560692826	501(C)(3)	$40,000	COMMUNITY SUPPORT
YMCA OF NORTHWEST NC
301 N MAIN STREET 1900	WINSTONSALEM	NC	271013890	560530015	501(C)(3)	$15,000	COMMUNITY SUPPORT
YWCA OF WINSTON-SALEM & FORSYTH CO
313 INDERA MILLS CT	WINSTONSALEM	NC	27101	560564345	501(C)(3)	$5,000	COMMUNITY SUPPORT
CARENET
MEDICAL CENTER BLVD	WINSTONSALEM	NC	27157	561977341	501(C)(3)	$320,000	HEALTHCARE COUNSELOR RESIDENCY SUPPORT
FAITHHEALTH INNOVATIONS INC
MEDICAL CENTER BLVD	WINSTONSALEM	NC	27157	237426944	501(C)(3)	$401,988	LEADING CAUSE OF LIFE INITIATIVE, STAKEHOLDER HEALTH

Field	Value	IRS element (for citing)
Total501c3 Org	36	Total501c3OrgCnt
Total Other Org	3	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
LETTIE PATE WHITEHEAD SCHOLARS	50	$50,000
MEDICAL SCHOLARSHIPS	9	$12,010
RUTH HOLLEMAN SCHOLARSHIPS	4	$4,000

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (25 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
JOHN D MCCONNELL MD
TRUSTEE & CEO	$1,003,000	$0	$458,633	$0	$569,856	$0	$232,214	$0	$20,342	$0	$2,284,045	$0	$0	$0
H GREG BRAY
ASST. SECRETARY & TREASURER	$0	$216,169	$0	$25,906	$0	$527	$0	$11,755	$0	$20,439	$0	$274,796	$0	$0
J MCLAIN WALLACE JR
VP GENRL CNSL/SECRETARY	$0	$401,272	$0	$127,415	$0	$27,288	$0	$102,804	$0	$18,398	$0	$677,177	$0	$0
KAREN H HUEY
VP FACILITIES	$0	$281,856	$0	$80,731	$0	$941	$0	$50,391	$0	$18,205	$0	$432,124	$0	$0
ERIC TOMLINSON
CHIEF INNOVATION OFFICER	$398,801	$0	$122,333	$0	$28,668	$0	$91,321	$0	$12,168	$0	$653,291	$0	$0	$0
NORMAN D POTTER JR
VP DEVELOPMENT & ALUMNI AF	$306,946	$0	$94,405	$0	$5,763	$0	$63,179	$0	$23,875	$0	$494,168	$0	$0	$0
CHERYL EH LOCKE
VP CHIEF HUMAN RESOURCES	$347,411	$0	$114,459	$0	$195,276	$0	$73,145	$0	$18,783	$0	$749,074	$0	$171,821	$0
LISA M WYATT
VP CHIEF COMM & MARKETING	$207,909	$0	$97,478	$0	$275,856	$0	$12,190	$0	$8,665	$0	$602,098	$0	$131,031	$0
EDWARD ABRAHAM MD
DEAN, SCHOOL OF MEDICINE	$537,297	$0	$218,350	$0	$388,665	$0	$135,417	$0	$18,816	$0	$1,298,545	$0	$365,121	$0
BRADLEY A CLARK
ASST. TREASURER	$240,955	$0	$39,178	$0	$485	$0	$23,939	$0	$23,537	$0	$328,094	$0	$0	$0
TERRY G WILLIAMS
EVP STRAT & NETWRK DVLPMNT	$524,352	$0	$185,324	$0	$1,260	$0	$123,033	$0	$24,800	$0	$858,769	$0	$0	$0
CHAD A ECKES
CFO & TREASURER	$535,569	$0	$142,351	$0	$756	$0	$140,589	$0	$25,741	$0	$845,006	$0	$0	$0
KEVIN P HIGH MD
EVP, HS AFFAIRS	$530,747	$0	$132,889	$0	$19,932	$0	$93,700	$0	$22,115	$0	$799,383	$0	$0	$0
DEETTE M EMON
VP CIO	$0	$368,762	$0	$84,639	$0	$270	$0	$48,221	$0	$8,915	$0	$510,807	$0	$0
ROBERT GFELLER
VP CHIEF COMM & MARKETING	$298,551	$0	$76,450	$0	$1,518	$0	$85,096	$0	$20,478	$0	$482,093	$0	$0	$0
MICHAEL T WAID
SR VP HLTH SYS OPS & INTEG	$0	$303,846	$0	$93,740	$0	$18,690	$0	$74,297	$0	$22,766	$0	$513,339	$0	$0
CATHLEEN WHEATLEY
CHIEF NURSE EXEC, VP CLINICAL OPS	$0	$400,382	$0	$80,700	$0	$3,612	$0	$82,472	$0	$13,581	$0	$580,747	$0	$0
CHARLES R VIGNOS
VP MANAGED CARE	$0	$282,519	$0	$50,747	$0	$29,271	$0	$50,730	$0	$24,656	$0	$437,923	$0	$0
EDWIN R STAINBACK
VP CLINICAL OPERATIONS	$0	$265,050	$0	$73,447	$0	$20,740	$0	$46,987	$0	$46,916	$0	$453,140	$0	$0
YATES LACKEY
VP, CHIEF AUDIT & COMPLIANCE OFFICER	$0	$276,706	$0	$0	$0	$18,588	$0	$57,946	$0	$8,324	$0	$361,564	$0	$0
JOANNE C RUHLAND
FORMER OFFICER	$249,256	$0	$0	$0	$112,288	$0	$43,943	$0	$19,881	$0	$425,368	$0	$90,330	$0
EDWARD G CHADWICK
FORMER OFFICER	$0	$0	$0	$0	$143,065	$0	$0	$0	$2,522	$0	$145,587	$0	$0	$0
RUSSELL M HOWERTON MD
FORMER OFFICER	$506,778	$0	$150,177	$0	$21,612	$0	$133,371	$0	$24,263	$0	$836,201	$0	$0	$0
SHARON ENGEBRETSON
FORMER OFFICER	$0	$29,346	$0	$0	$0	$74,659	$0	$544	$0	$4,479	$0	$109,028	$0	$0
K BARBARA CARBONE MD
FORMER OFFICER	$248,796	$0	$132,381	$0	$1,040,332	$0	$8,380	$0	$7,759	$0	$1,437,648	$0	$157,500	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3	THE GOVERNANCE AND COMPENSATION COMMITTEE OF THE WFUBMC BOARD OF DIRECTORS IS RESPONSIBLE FOR REVIEWING AND APPROVING ALL MEDICAL CENTER OFFICERS' COMPENSATION (INCLUDING THE COMPENSATION OF THE OFFICERS OF NCBH). THE COMMITTEE UTILIZES AN INDEPENDENT, EXTERNAL COMPENSATION CONSULTANT FIRM EXPERIENCED IN HEALTH CARE AND HIGHER EDUCATION COMPENSATION THAT BASED RECOMMENDATIONS ON COMPENSATION SURVEYS AND STUDIES TO DETERMINE THE APPROPRIATENESS OF EACH OFFICER'S COMPENSATION. THESE COMPENSATION CONSULTANTS PRESENT TOTAL COMPENSATION COMPARABILITY DATA FOR THE POSITIONS FOR WHICH COMPENSATION IS BEING DETERMINED. THE DATA IS REVIEWED BY THE GOVERNANCE AND COMPENSATION COMMITTEE OF WFUBMC'S GOVERNING BOARD AT ITS MEETING; NONE OF THE MEMBERS OF THAT COMMITTEE ARE EMPLOYEES OF THE FILING ORGANIZATION. MINUTES OF THE DELIBERATIONS OF THE COMMITTEE ARE CONTEMPORANEOUSLY RECORDED. IN THE EVENT THAT ANY MEMBER OF THE GOVERNANCE AND COMPENSATION COMMITTEE HAS A CONFLICT OF INTEREST, THAT COMMITTEE MEMBER DOES NOT PARTICIPATE IN THE DELIBERATION OR APPROVAL PROCESS, AND THEIR ABSTENTION FROM THE PROCESS IS REFLECTED IN THE MINUTES.
PART I, LINES 4A-B	CERTAIN EXECUTIVES PARTICIPATE IN OR RECEIVE SEVERANCE PAYMENTS AND PAYMENTS FROM SUPPLEMENTAL NON QUALIFIED RETIREMENT PLANS. THE DETERMINATION OF THE AMOUNT OF THE NON QUALIFIED RETIREMENT PLANS FOLLOWED THE FILING ORGANIZATION'S COMPENSATION PROCEDURES AS OUTLINED IN PART VI, SECTION B, LINE 15 OF THE FORM 990. THE FOLLOWING CURRENT AND FORMER OFFICERS RECEIVED SEVERANCE AND SERP PAYMENTS IN THEIR CALENDAR YEAR 2015 COMPENSATION: NAME SEVERANCE SERP JOHN D. MCCONNELL, MD -0- 546,312 EDWARD CHADWICK 143,065 -0- BARBARA CARBONE 859,065 180,063 SHARON ENGEBRETSON 74,659 -0- JOANNE RUHLAND -0- 90,330 LISA WYATT 106,000 155,840 CHERYL LOCKE -0- 171,821 EDWARD ABRAHAM -0- 365,121
FORM 990, PART VII, LINE 5 - COMPENSATION FROM UNRELATED ORGANIZATION	THE FOLLOWING CURRENT AND FORMER OFFICERS WERE COMPENSATED BY WAKE FOREST UNIVERSITY HEALTH SCIENCES FOR SERVICES PERFORMED FOR THE HOSPITAL. SEE PART VII AND SCHEDULE J, PART II FOR THEIR COMPENSATION: JOHN D. MCCONNELL, MD CHAD ECKES KEVIN P. HIGH, MD LISA W WYATT CHERYL E.H. LOCKE NORMAN D POTTER, JR EDWARD ABRAHAM ERIC TOMLINSON, DCS, PHD TERRY WILLIAMS BRADLEY A. CLARK K. BARBARA CARBONE, MD RUSSELL M HOWERTON, MD JOANNE C RUHLAND EDWARD CHADWICK ROBERT GFELLER

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	65820HD67	2010-03-01	$334,002,408	CURRENT REFUNDING	0	0	0
NORTH CAROLINA MEDICAL CARE COMMISSION
B	521309402	NONEAVAIL	2012-12-31	$80,000,000	VARIOUS CAPITAL PROJECTS	0	0	0
NORTH CAROLINA MEDICAL CARE COMMISSION
C	521309402	65821DMM0	2012-11-15	$122,822,821	VARIOUS CAPITAL PROJECTS	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capital ExpendituresCapitalExpendituresAmt
A	$50,475,000	$334,002,408	$3,307,037	$330,695,371	2010	Yes (1)	Yes (1)	Yes (1)
B		$80,000,000	$1,000		2014	0	Yes (1)	Yes (1)	$79,999,000
C		$122,822,821	$2,485		2013	0	Yes (1)	Yes (1)	$122,820,336

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
B	0	Yes (1)	0	0	0	0	Yes (1)
C	0	Yes (1)	0	0	0	0	Yes (1)

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	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
DEUTSCHE BANK AG
A	0	0	0	Yes (1)	0	Yes (1)	5.000000000000	0	0	0	0	Yes (1)
(no name)
B	0	Yes (1)	0	0	Yes (1)	0				0	0	Yes (1)
(no name)
C	0	Yes (1)	0	0	0	0				0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE A, COLUMN F:	PURPOSE OF THE ISSUE WAS TO REFUND ISSUES DATED 10/29/1992, 06/27/1996, 06/15/2000 AND 01/29/2009
PART II, LINE 11, COLUMN A:	OTHER SPENT PROCEEDS ARE THE CURRENT REFUNDING PROCEEDS OF THE ISSUE.
PART III, COLUMN A:	ALL ISSUES REFUNDED BY THE 2010 ISSUE ARE EITHER PRIOR TO 12/31/2002 OR THROUGH A SERIES OF REFUNDINGS THAT REFUND AN ISSUE PRIOR TO 12/31/2002. ACCORDINGLY, THIS ISSUE IS EXEMPT FROM SECTION III REPORTING
PART IV, LINE 2C, COLUMN A:	A REBATE CALCULATION WAS PERFORMED, WITH NO REBATE LIABILITY BEING DUE, ON 6/13/2014.

Schedule M IRS990ScheduleM

Books And Publications BooksAndPublicationsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$305	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$17,580	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	2	ContributionCnt
Noncash Contributions Rpt F990	$51,055	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Collectibles CollectiblesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$1,034	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	EQUIPMENT	1	$500	FMV
Yes (X)	GIFT CARD	1	$100	FMV

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, COLUMN (B):	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION DETERMINES THE NUMBER OF CONTRIBUTIONS BY USING THE TOTAL NUMBER OF NON-CASH ITEMS RECEIVED PER DONOR PER OCCURANCE.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART IV, LINE 20B	THE HOSPITAL HAS ATTACHED A COPY OF ITS CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR ITS FISCAL YEAR ENDED JUNE 30, 2016 TO THE FORM 990. THE CONSOLIDATED FINANCIAL STATEMENTS HAVE BEEN PREPARED ON THE ACCRUAL BASIS IN CONFORMITY WITH U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) AND INCLUDE THE ASSETS AND OPERATIONS OF NORTH CAROLINA BAPTIST HOSPITAL (NCBH), DAVIE COUNTY EMERGENCY HEALTH CORPORATION, CARENET, INC., THE HAWTHORNE INN AND CONFERENCE CENTER, NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION AND CLEMMONS MEDICAL PARK, LLC. ALL SIGNIFICANT INTERCOMPANY TRANSACTIONS HAVE BEEN ELIMINATED IN CONSOLIDATION.
FORM 990, PART VI, SECTION A, LINE 2	CHAD ECKES AND TERRY WILLIAMS, BOTH OFFICERS OF THE ORGANIZATION, WERE BOARD MEMBERS OF MEDCOST BENEFIT SERVICES.
FORM 990, PART VI, SECTION A, LINE 3	EFFECTIVE JULY 1, 2010, THE GOVERNING BOARDS OF FOUR NORTH CAROLINA NONPROFIT CORPORATIONS (WAKE FOREST UNIVERSITY, NORTH CAROLINA BAPTIST HOSPITAL, WAKE FOREST UNIVERSITY HEALTH SCIENCES, AND WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER) ENTERED INTO AN AGREEMENT (THE "MEDICAL CENTER INTEGRATION AGREEMENT OR "MCIA") UNDER WHICH THE OPERATION OF EACH OF NORTH CAROLINA BAPTIST HOSPITAL ("NCBH") AND WAKE FOREST UNIVERSITY HEALTH SCIENCES ("WFUHS") WAS DELEGATED TO WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER ("WFUBMC"). WFUHS IS A WHOLLY-CONTROLLED SUBSIDIARY ENTITY OF WAKE FOREST UNIVERSITY ("WFU"). WFUBMC IS A MEMBERSHIP NONPROFIT CORPORATION WHOSE TWO EQUAL MEMBERS ARE NCBH (WHICH ENTITY IS UNRELATED TO WFUHS AND WFU) AND WFU. THE GOAL IS CONSOLIDATION OF MANAGEMENT IN WFUBMC OF THE VARIOUS ACADEMIC MEDICAL CENTER OPERATIONS, SUBJECT TO SUBSTANTIAL RESERVED POWERS IN EACH OF THE CONSTITUENT MEMBERS' (OR IN NCBH'S) BOARDS. THE MCIA WAS AMENDED AND RESTATED ON JULY 1, 2015. IN JUNE 2016, THE MEDICAL CENTER BOARD APPOINTED STEVEN C. BLOOM AS VICE PRESIDENT - CHIEF HUMAN RESOURCE OFFICER. MR. BLOOM RECEIVED NO 2015 CALENDAR YEAR COMPENSATION FROM NORTH CAROLINA BAPTIST HOSPITAL OR RELATED ENTITIES FOR HIS SERVICES AS THE CHIEF HUMAN RESOURCES OFFICER.
FORM 990, PART VI, SECTION A, LINE 4	ON JUNE 7, 2016, PER RESOLUTION OF THE BOARD OF TRUSTEES UPON RECOMMENDATION BY THE GOVERNANCE AND NOMINATING COMMITTEE, THE BYLAWS OF THE FILING ORGANIZATION WERE AMENDED TO REFLECT SIGNIFICANT CHANGES AS FOLLOWS: - ALLOW A MINIMUM OF TEN AND MAXIMUM OF TWENTY-FIVE TRUSTEES OF THE CORPORATION. - CHANGE OFFICER ELECTION AND TERM BYLAW PROCEDURES SUCH THAT ONLY THE CHAIR AND VICE CHAIR OF THE CORPORATION ARE ELECTED ANNUALLY BY THE BOARD OF TRUSTEES AT THE ANNUAL MEETING FOR A ONE YEAR TERM UNTIL SUCCESSORS ARE ELECTED AND QUALIFIED. - CHANGE OFFICER ELECTION AND TERM BYLAW PROCEDURES SUCH THAT THE SECRETARY, TREASURER, CHIEF EXECUTIVE OFFICER, AND ALL OTHER OFFICERS OF THE CORPORATION (EXCEPT THE CHAIR AND VICE CHAIR) ARE ELECTED BY THE BOARD TO SERVE UNTIL RESIGNATION OR REMOVAL OCCURS WITHOUT ANNUAL RE-ELECTION BY THE BOARD.
FORM 990, PART VI, SECTION B, LINE 11	THE FILING ORGANIZATION'S BOARD OF DIRECTORS RECEIVE A COPY OF THE FORM 990 WITH SUFFICIENT TIME TO PERMIT REVIEW, COMMENT, AND QUESTIONS PRIOR TO ITS FILING. THE AUDIT AND COMPLIANCE COMMITTEE OF THE GOVERNING BOARD OF WFUBMC, COMPRISED OF THE AUDIT AND COMPLIANCE COMMITTEES OF WFUHS AND NCBH, REVIEW IN ADDITIONAL DETAIL THE FILING ORGANIZATION'S FORM 990 WITH THE ORGANIZATION'S CHIEF FINANCIAL OFFICER OR HIS DESIGNEE, WHO ANSWERS QUESTIONS AND ADDRESSES CONCERNS RAISED BY SUCH COMMITTEE MEMBERS OR OTHER FILING ORGANIZATION DIRECTORS. IF MODIFICATIONS ARE REQUIRED FOLLOWING SUCH REVIEW AND COMMENT, THE REVISED FORM 990 IS REDISTRIBUTED TO ALL BOARD MEMBERS PRIOR TO ITS FILING WITH THE IRS, ALONG WITH A REPORT NOTING THE MODIFICATIONS.
FORM 990, PART VI, SECTION B, LINE 12C	ON AN ANNUAL BASIS (AND AS THEY ARISE), ALL TRUSTEES AND OFFICERS OF THE FILING ORGANIZATION ARE ASKED TO REVIEW THE APPLICABLE CONFLICTS OF INTEREST POLICY AND TO DESCRIBE ANY POTENTIAL CONFLICTS OF INTEREST THEY MAY HAVE. UPON COMPLETION OF THE CONFLICTS OF INTEREST SURVEY, THE LEGAL DEPARTMENT REVIEWS THE COMPLETED QUESTIONNAIRES ON BEHALF OF THE FILING ORGANIZATION. ANY CONFLICTS IDENTIFIED ARE COMMUNICATED TO THE FILING ORGANIZATION'S CHAIRMAN OF THE BOARD AND ARE PRESENTED TO THE MEDICAL CENTER GOVERNANCE AND COMPENSATION COMMITTEE. ALL CONFLICTS OF INTEREST ARE RESOLVED BY MANAGEMENT PLANS DEVELOPED BY THE MEDICAL CENTER GOVERNANCE AND COMPENSATION COMMITTEE AND THE INTERNAL AUDIT AND COMPLIANCE OFFICES. THE MEDICAL CENTER GOVERNANCE AND COMPENSATION COMMITTEE'S CHAIR PRESENTS AN ANNUAL REPORT ON CONFLICTS TO THE FULL BOARD OF THE FILING ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 15	THE GOVERNANCE AND COMPENSATION COMMITTEE OF WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER ("WFUBMC") FUNCTIONS AS THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND PURSUANT TO A DELEGATION BY THE FILING ORGANIZATION, REVIEWS AND APPROVES THE APPOINTMENT AND COMPENSATION OF THE SENIOR EXECUTIVES OF THE FILING ORGANIZATION. NO MEMBER OF THE WFUBMC GOVERNANCE AND COMPENSATION COMMITTEE IS AN EMPLOYEE OF THE MEDICAL CENTER. THE GOVERNANCE AND COMPENSATION COMMITTEE RELIES UPON AN EXTERNAL, INDEPENDENT COMPENSATION CONSULTANT EXPERIENCED IN HEALTHCARE TO PROVIDE THE COMMITTEE WITH COMPENSATION COMPARABILITY DATA FOR NEW EXECUTIVE POSITION APPOINTMENTS AND FOR COMPENSATION REVIEWS FOR EXISTING EXECUTIVES. THE CONSULTANT, WHICH IS RETAINED DIRECTLY BY THE GOVERNANCE AND COMPENSATION COMMITTEE, PROVIDES THIRD-PARTY INFORMATION AND EVALUATES THE COMPETITIVENESS AND REASONABLENESS OF EXECUTIVE COMPENSATION AND BENEFITS PROGRAMS IN RELATION TO MARKET PRACTICES FOR SIMILARLY-SITUATED NONPROFIT HEALTHCARE ORGANIZATIONS. THE COMMITTEE MAKES ITS DECISIONS WITH RESPECT TO EXECUTIVE COMPENSATION IN ACCORDANCE WITH THE FILING ORGANIZATION'S POLICIES, IRS REGULATIONS, AND STANDARD CORPORATE GOVERNANCE PRACTICES. SUCH POLICIES INCLUDE ADHERENCE TO: BOARD-ESTABLISHED EXECUTIVE COMPENSATION PHILOSOPHY AND REVIEW PROCESSES; PROCESSES ENSURING GOVERNANCE AND COMPENSATION COMMITTEE MEMBER AND COMPENSATION CONSULTANT INDEPENDENCE; USE OF VALID MARKET COMPARISONS OF DATA FROM PEER ACADEMIC MEDICAL CENTERS OF SIMILAR ORGANIZATIONAL STRUCTURE, SIZE, AND COMPLEXITY; CAREFUL DOCUMENTATION OF ALL COMPENSATION DECISIONS; AND ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS, PER IRS GUIDELINES. MINUTES OF THE DELIBERATIONS OF THE GOVERNANCE AND COMPENSATION COMMITTEE ARE CONTEMPORANEOUSLY MAINTAINED AND THAT COMPARABILITY DATA IS MAINTAINED IN THE MEDICAL CENTER'S OFFICE OF EXECUTIVE COMPENSATION SERVICES. IN THE EVENT THAT A MEMBER OF THE GOVERNANCE AND COMPENSATION COMMITTEE HAS A CONFLICT OF INTEREST RELATED TO EXECUTIVE APPOINTMENT OR COMPENSATION, THAT MEMBER DOES NOT PARTICIPATE IN THE DELIBERATION OR APPROVAL OF APPOINTMENT OR COMPENSATION AND SUCH ABSTENTION IS NOTED IN THE COMMITTEE'S MEETING MINUTES.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE TO THE PUBLIC ON REQUEST AND ARE AVAILABLE ON THE WEBSITE OF THE NORTH CAROLINA SECRETARY OF STATE. THE ORGANIZATION'S BYLAWS ARE NOT PUBLISHED, BUT PROVISIONS FROM THE BYLAWS ARE INCLUDED AS NECESSARY IN THE ORGANIZATION'S POLICIES, AND ARE ATTACHED TO THE FORM 1023 FILED FOR THE ORGANIZATION WITH THE IRS, WHICH IS PUBLICLY AVAILABLE. THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC.
PART VII, SECTION A, COLUMN B - HOURS	ARTHUR A GIBEL FILING ORG 2.0 RELATED ORG 4.0 KATHRYN H HAMRICK FILING ORG 2.0 RELATED ORG 2.0 A. LEE HERRING FILING ORG 2.0 RELATED ORG 4.0 J. WAYNE MEREDITH, MD FILING ORG 2.0 RELATED ORG 2.0 CAROL F. POLK FILING ORG 2.0 RELATED ORG 2.0 WILLIAM C. WARDEN, JR. FILING ORG 2.0 RELATED ORG 4.0 SHEREE B WATSON FILING ORG 2.0 RELATED ORG 2.0 RAY N HOWELL, III D. MIN FILING ORG 2.0 RELATED ORG 2.0 STEPHEN L ROBERTSON FILING ORG 2.0 RELATED ORG 6.0 EDWIN L WELCH, JR. FILING ORG 2.0 RELATED ORG 4.0 LOUIS B BALDWIN, JR. FILING ORG 2.0 RELATED ORG 2.0 GEORGE D RENFRO FILING ORG 2.0 RELATED ORG 4.0 MICHAEL T WELLS FILING ORG 2.0 JOHN D MCCONNELL, MD FILING ORG 16.9 RELATED ORG 7.2 UNRELATED ORG 15.9 H. GREG BRAY FILING ORG 30.0 RELATED ORG 7.0 UNRELATED ORG 3.0 J MCLAIN WALLACE, JR FILING ORG 28.6 RELATED ORG 10.3 UNRELATED ORG 1.1 KAREN H HUEY FILING ORG 23.0 RELATED ORG 6.0 UNRELATED ORG 11.0 ERIC TOMLINSON FILING ORG 5.0 RELATED ORG 5.0 UNRELATED ORG 30.0 NORMAN D POTTER, JR. FILING ORG 20.0 RELATED ORG 5.0 UNRELATED ORG 15.0 CHERYL E.H. LOCKE FILING ORG 30.0 RELATED ORG 6.3 UNRELATED ORG 3.7 LISA M WYATT FILING ORG 20.0 RELATED ORG 5.0 UNRELATED ORG 15.0 EDWARD ABRAHAM, MD FILING ORG 5.0 RELATED ORG 5.0 UNRELATED ORG 30.0 BRADLEY A. CLARK FILING ORG 18.9 RELATED ORG 11.3 UNRELATED ORG 9.8 TERRY G. WILLIAMS FILING ORG 30.7 RELATED ORG 6.0 UNRELATED ORG 2.3 CHAD A. ECKES FILING ORG 21.9 RELATED ORG 10.0 UNRELATED ORG 8.1 KEVIN HIGH, M.D. FILING ORG 26.6 RELATED ORG 6.2 UNRELATED ORG 7.2 DEETTE M. EMON FILING ORG 20.3 RELATED ORG 9.8 UNRELATED ORG 9.9 ROBERT GFELLER FILING ORG 20.0 RELATED ORG 5.0 UNRELATED ORG 15.0 SHARON ENGEBRETSON FILING ORG 35.0 RELATED ORG 5.0 RUSSELL HOWERTON FILING ORG 22.9 RELATED ORG 1.2 UNRELATED ORG 15.9 STEVE BLOOM FILING ORG 20.0 UNRELATED ORG 20.0 JOANNE RUHLAND FILING ORG 25.0 UNRELATED ORG 15.0 CATHLEEN WHEATLEY FILING ORG 39.1 RELATED ORG 0.6 UNRELATED ORG 0.3 MICHAEL T. WAID FILING ORG 37.2 RELATED ORG 0.7 UNRELATED ORG 2.1 CHARLES R. VIGNOS FILING ORG 36.3 RELATED ORG 0.7 UNRELATED ORG 3.0 EDWIN R. STAINBACK FILING ORG 40.0 YATES LACKEY FILING ORG 20.3 RELATED ORG 0.6 UNRELATED ORG 19.1 WAKE FOREST UNIVERSITY HEALTH SCIENCES IS AN UNRELATED ORGANIZATION TO THE FILING ORGANIZATION AND THE INFORMATION CONCERNING HOURS DEVOTED TO IT ARE NOT REQUIRED TO BE REPORTED, BUT ARE INCLUDED BECAUSE OF THE STRUCTURE OF WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER, OF WHICH THE FILING ORGANIZATION AND WAKE FOREST UNIVERSITY HEALTH SCIENCES ARE PRINCIPAL PARTS. THE CORPORATE OFFICERS OF THE MEDICAL CENTER ALSO SERVE AS THE CORPORATE OFFICERS OF NORTH CAROLINA BAPTIST HOSPITAL AND WAKE FOREST UNIVERSITY HEALTH SCIENCES.
FORM 990, PART IX, LINE 11G	OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 43,594,819. MANAGEMENT AND GENERAL EXPENSES 16,448,155. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 60,042,974. MCIA: PROGRAM SERVICE EXPENSES 198,233,990. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 198,233,990.
FORM 990, PART XI, LINE 9:	ACTUARY LOSS -34,881,505. AFFILIATE EARNINGS 16,770,638.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	CLEMMONS MEDICAL PARK LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	MEDICAL CENTER BLVD	AddressLine1Txt
City	WINSTON SALEM	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27157	ZIPCd

Field	Value	IRS element (for citing)
EIN	800870210	EIN
Primary Activities	REAL ESTATE HOLDING COMPANY	PrimaryActivitiesTxt
Legal Domicile State	NC	LegalDomicileStateCd
Total Income	$1,208,229	TotalIncomeAmt
End Of Year Assets	$30,562,527	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NORTH CAROLINA BAPTIST HOSPITAL	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 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	Direct Controlling NADirectControllingNACd
NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION
MEDICAL CENTER BLVD	WINSTON SALEM	NC	27157	561685120	SUPPORTING ORGANIZATION	NC	501(C)(3)	LINE 11A, I	NORTH CAROLINA BAPTIST HOSPITAL	Yes (1)
THE REHABILITATION & SKILLED NURSING
MEDICAL CENTER BLVD	WINSTON SALEM	NC	27157	561826396	HEALTHCARE (INACTIVE)	NC	501(C)(3)	LINE 9	NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION	Yes (1)
THE HAWTHORNE INN & CONFERENCE CENTER INC
420 HIGH STREET	WINSTON SALEM	NC	27101	561793617	LODGING/CONFERENCE ACCOMODATION	NC	501(C)(3)	LINE 11A, I	NORTH CAROLINA BAPTIST HOSPITAL	Yes (1)
CARENET INC
2000 WEST FIRST STREET SUITE 410	WINSTON SALEM	NC	27104	561977341	HEALTHCARE	NC	501(C)(3)	LINE 11B, II	NORTH CAROLINA BAPTIST HOSPITAL	Yes (1)
WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER
MEDICAL CENTER BLVD	WINSTON SALEM	NC	27157	510190238	HEALTHCARE	NC	501(C)(3)	LINE 11A, I		0	N/A
DAVIE COUNTY EMERGENCY HEALTH CORPORATION
223 HOSPITAL STREET	MOCKSVILLE	NC	27028	562276994	HEALTHCARE	NC	501(C)(3)	LINE 3	NORTH CAROLINA BAPTIST HOSPITAL	Yes (1)
MEDICAL FND OF WFUHS & NCBH
MEDICAL CENTER BLVD	WINSTON SALEM	NC	27157	566036688	HEALTHCARE	NC	501(C)(3)	LINE 11A, I		0	N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	CORNERSTONE HEALTH ENABLEMENT STRATEGIC SOLUTIONS LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1701 WESTCHESTER DRIVE STE 850	AddressLine1Txt
City	HIGH POINT	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27262	ZIPCd

Field	Value	IRS element (for citing)
EIN	461314057	EIN
Primary Activities	MGMT & TRANSFORM. SVC. - MEDICAL ORGS	PrimaryActivitiesTxt
Legal Domicile State	NC	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NORTH CAROLINA BAPTIST HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	UNRELATED	PredominantIncomeTypeTxt
Share Of Total Income	-$3,222,093	ShareOfTotalIncomeAmt
Share Of EOY Assets	$5,131,011	ShareOfEOYAssetsAmt
Disproportionate Allocations	Yes (1)	DisproportionateAllocationsInd
UBI Code V	-$883,216	UBICodeVAmt
General Or Managing Partner	0	GeneralOrManagingPartnerInd
Ownership	0.72880	OwnershipPct

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (11 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION
A	$92,875	COST
THE HAWTHORNE INN & CONFERENCE CENTER INC
K	$227,760	COST
THE HAWTHORNE INN & CONFERENCE CENTER INC
P	$1,938	FMV
THE HAWTHORNE INN & CONFERENCE CENTER INC
Q	$143,258	FMV
CARENET INC
Q	$3,984,164	FMV
DAVIE COUNTY EMERGENCY HEALTH CORP
Q	$7,531,266	FMV
NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION
Q	$1,498,353	FMV
NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION
S	$375,608	COST
NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION
C	$1,000,000	COST
DAVIE COUNTY EMERGENCY HEALTH CORP
J	$2,857,603	COST
CARENET INC
B	$320,000	COST