NORTH CAROLINA BAPTIST HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: NORTH CAROLINA BAPTIST HOSPITAL (EIN 56-0552787)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-05-13
IRS object ID: 201341339349304189
Schema version: 2011v1.5
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 L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-13T17:21:32-05:00	Timestamp
Tax Period End Date	2012-06-30	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2011-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	560552787	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	NORTH CAROLINA BAPTIST HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	NORT	NameControl
Phone	3367164445	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	MEDICAL CENTER BLVD	AddressLine1
City	WINSTONSALEM	City
State	NC	State
ZIP Code	27157	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JOHN D MCCONNELL MD	Name
Title	CEO	Title
Phone	3367164445	Phone
Date Signed	2013-05-13	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	JOHN D MCCONNELL MD	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	MEDICAL CENTER BLVD	AddressLine1
City	WINSTONSALEM	City
State	NC	State
ZIP Code	27157	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	1272787906	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.WAKEHEALTH.EDU	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1923	YearFormation
State Legal Domicile	NC	StateLegalDomicile
Activity Or Mission Description	IMPROVING THE HEALTH OF OUR REGION, STATE AND NATION	ActivityOrMissionDescription
Nbr Voting Members Governing Body	18	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	18	NbrIndependentVotingMembers
Total Nbr Employees	9649	TotalNbrEmployees
Total Nbr Volunteers	1200	TotalNbrVolunteers
Total Gross UBI	2627299	TotalGrossUBI
Net Unrelated Business Txbl Income	1893532	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	3309877	ContributionsGrantsPriorYear
Contributions Grants Current Year	3031792	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	1042076215	ProgramServiceRevenuePriorYear
Program Service Revenue CY	1186396254	ProgramServiceRevenueCY
Investment Income Prior Year	29680394	InvestmentIncomePriorYear
Investment Income Current Year	77580140	InvestmentIncomeCurrentYear
Other Revenue Prior Year	3619545	OtherRevenuePriorYear
Other Revenue Current Year	3718388	OtherRevenueCurrentYear
Total Revenue Prior Year	1078686031	TotalRevenuePriorYear
Total Revenue Current Year	1270726574	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	568909	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	591467	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	489928433	SalariesEtcPriorYear
Salaries Etc Current Year	539950281	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	531040686	OtherExpensePriorYear
Other Expenses Current Year	629349396	OtherExpensesCurrentYear
Total Expenses Prior Year	1021538028	TotalExpensesPriorYear
Total Expenses Current Year	1169891144	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	57148003	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	100835430	RevenuesLessExpensesCY
Total Assets BOY	1461474196	TotalAssetsBOY
Total Assets EOY	1619889593	TotalAssetsEOY
Total Liabilities BOY	499788836	TotalLiabilitiesBOY
Total Liabilities EOY	671420988	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	961685360	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	948468605	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	SEE SCHEDULE O FOR CONTINUATIONTHE ORGANIZATION IS 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. OUR MISSION IS TO IMPROVE THE HEALTH OF OUR REGION, STATE AND NATION BY: GENERATING AND TRANSLATING KNOWLEDGE TO PREVENT, DIAGNOSE AND TREAT DISEASE; TRAINING LEADERS IN HEALTH CARE AND BIOMEDICAL SCIENCE; AND SERVING AS THE PREMIER HEALTH SYSTEM IN OUR REGION, WITH SPECIFIC CENTERS OF EXCELLENCE RECOGNIZED AS NATIONAL AND INTERNATIONAL CARE DESTINATIONS.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	1058075631	Expense
Grants	591467	Grants
Revenue	1184437136	Revenue
Description	SEE SCHEDULE O FOR COMPLETE DESCRIPTIONTHE 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. 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 AND HAS A FACULTY PHYSICIAN PRACTICE OF ABOUT NEARLY 900 DOCTORS. THE MEDICAL CENTER HAS 1,004 ACUTE CARE AND REHABILITATION BEDS OPERATIVE ACROSS THE SYSTEM, WHICH ENCOMPASSES ITS MAIN CAMPUS (885 BEDS), BRENNER CHILDREN'S HOSPITAL (160 BEDS, INCLUDED IN MAIN CAMPUS TOTAL); WAKE FOREST BAPTIST HEALTH LEXINGTON MEDICAL CENTER (94 BEDS); AND WAKE FOREST BAPTIST HEALTH DAVIE HOSPITAL (25 BEDS). THE MEDICAL CENTER PRIMARILY SERVES A 24-COUNTY REGION IN NORTHWESTERN NORTH CAROLINA AND SOUTHWESTERN VIRGINIA, BUT DRAWS PATIENTS FROM ACROSS THE STATE AND NATION FOR SELECT SERVICES.WAKE FOREST SCHOOL OF MEDICINE IS THE DRIVING FORCE BEHIND THE ESTABLISHMENT AND GROWTH OF PIEDMONT TRIAD RESEARCH PARK, A 200-ACRE, MIXED-USE BIOTECHNOLOGY PARK IN DOWNTOWN WINSTON-SALEM. BIOTECH PLACE, THE SIXTH BUILDING IN THE PARK, OPENED IN FEBRUARY 2012. THE $100 MILLION BIOTECH PLACE IS A 242,000-SQUARE-FOOT, STATE-OF-THE-ART MULTIPURPOSE BIOTECHNOLOGY RESEARCH AND INNOVATION CENTER. IT NOW HOUSES SEVERAL WAKE FOREST SCHOOL OF MEDICINE DEPARTMENTS AND PRIVATE BUSINESSES IN THE BIOTECH FIELD. IN ADDITION TO DRIVING INNOVATION IN BIOTECHNOLOGY, PTRP IS HOME OF THE WORLD-RENOWNED WAKE FOREST INSTITUTE FOR REGENERATIVE MEDICINE. THE RESEARCH PARK ALSO IS A GOOD EXAMPLE OF PRIVATE-CIVIC PARTNERSHIP AS IT DRIVES NEW DEVELOPMENT IN THE EASTERN PORTION OF DOWNTOWN WINSTON-SALEM.1. CLINICAL SERVICES WAKE FOREST BAPTIST MEDICAL CENTER IS NATIONALLY RECOGNIZED FOR CLINICAL EXCELLENCE AND INTERNATIONALLY KNOWN FOR PIONEERING RESEARCH AND CLINICAL INNOVATION. IT OFFERS EXPERTISE IN MORE THAN 100 AREAS OF MEDICINE, ENCOMPASSING COMPREHENSIVE PREVENTIVE AND HIGHLY SPECIALIZED CARE FOR ALL AGES. THE MEDICAL CENTER INCLUDES 19 SUBSIDIARY OR AFFILIATE HOSPITALS, AND OPERATES MORE THAN 80 OUTREACH ACTIVITIES, INCLUDING SATELLITE SPECIALTY CLINICS, ACROSS NORTHWEST NORTH CAROLINA.IN THE PAST FISCAL YEAR, WAKE FOREST BAPTIST OPENED TWO STATE-OF-THE-ART CLINICAL SITES, MEDICAL PLAZA AT COUNTRY CLUB AND MEDICAL PLAZA AT CLEMMONS. THE COUNTRY CLUB LOCATION BECAME HOME TO A WAKE FOREST BAPTIST AFFILIATE OF THE JOSLIN DIABETES CENTER, AN INTERNATIONAL LEADER IN DIABETES RESEARCH, CARE AND EDUCATION THAT HAS BEEN PART OF HARVARD MEDICAL SCHOOL SINCE ITS FOUNDING IN 1898. THE JOSLIN PRACTICE MODEL OFFERS THE FULL RANGE OF DIABETES SERVICES IN A SINGLE LOCATION WITH CONVENIENT SCHEDULING AND EASY ACCESS TO RELATED MEDICAL SERVICES. MEDICAL PLAZA AT COUNTRY CLUB ALSO INCLUDES SPECIALTY SERVICES IN DERMATOLOGY, CARDIOLOGY AND WEIGHT MANAGEMENT, AMONG OTHERS. MEDICAL PLAZA AT CLEMMONS OFFERS URGENT CARE, A WOMEN'S CENTER, PEDIATRICS AND NUMEROUS OTHER SPECIALTY SERVICES. OVERALL IN FY 2012, WAKE FOREST BAPTIST HAD 38,601 INPATIENT ADMISSIONS AND 1,034,842 OUTPATIENT ENCOUNTERS (EMERGENCY DEPARTMENT, DOWNTOWN HEALTH PLAZA, DAY HOSPITAL, AMBULATORY VISITS). THE TOTAL PATIENT ENCOUNTERS NUMBERED 1,073,443.2. OUTREACHTHE DOWNTOWN HEALTH PLAZA IS 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. EXPERTS FROM 12 WAKE FOREST BAPTIST MEDICAL CENTER DEPARTMENTS PROVIDE COORDINATED CARE THAT INCLUDES ADULT MEDICINE, PEDIATRICS, OBSTETRICS AND GYNECOLOGY, AS WELL AS ONSITE PHARMACY, LABORATORY AND RADIOLOGY SERVICES (INCLUDING MAMMOGRAPHY). THE DOWNTOWN HEALTH PLAZA PLAYS A SIGNIFICANT ROLE IN COMMUNITY HEALTH, PROVIDING COMMUNITY HEALTH FAIRS, DIABETES EDUCATION AND A CENTERING PREGNANCY PROGRAM THAT IS REDUCING THE INCIDENCE OF LOW BIRTHWEIGHT BABIES. MORE THAN 68,073 PATIENT VISITS WERE RECORDED AT THE PLAZA BETWEEN JULY 2011 AND JUNE 2012. COSTS ARE SUBSIDIZED BY THE MEDICAL CENTER. THE MEDICAL CENTER ALSO OPERATES NUMEROUS INNOVATIVE COMMUNITY OUTREACH PROGRAMS, MOST NOTABLY, BESTHEALTH, WHICH OFFERS HEALTH SEMINARS LED BY WAKE FOREST BAPTIST HEALTH EXPERTS, HEALTH SCREENINGS, COOKING AND FITNESS CLASSES, AND ONLINE HEALTH RESOURCES. FREE MEMBERSHIP IS OFFERED TO JOIN BESTHEALTH, AND MEMBERS RECEIVE ADDITIONAL BENEFITS SUCH AS MEMBERS-ONLY EVENTS AND SCREENINGS, DISCOUNTS AT LOCAL BUSINESSES AND HEALTH RISK APPRAISALS.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. WAKE FOREST BAPTIST IN THE PAST YEAR INVESTED MORE THAN $57 MILLION IN THE EDUCATION OF TOMORROW'S HEALTH CARE AND BIOMEDICAL LEADERS. THAT INVESTMENT LAST YEAR SUPPORTED THE TRAINING OF 486 MEDICAL STUDENTS, 665 PHYSICIAN RESIDENTS AND FELLOWS, 322 GRADUATE STUDENTS AND 127 PHYSICIAN ASSISTANTS. THE NORTHWEST AREA HEALTH EDUCATION CENTER, PART OF WAKE FOREST SCHOOL OF MEDICINE, DURING THE SAME YEAR PROVIDED 2,110 CONTINUING MEDICAL EDUCATION ACTIVITIES FOR 40,674 PARTICIPANTS THROUGHOUT THE REGION.	Description
Total Program Service Expense	1058075631	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	522	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	9649	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	18	NbrVotingGoverningBodyMembers
Number Independent Voting Members	18	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	1	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	NC	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Field	Value	IRS element (for citing)
Telephone Number	3367164445	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	MEDICAL CENTER BLVD	AddressLine1
City	WINSTON SALEM	City
State	NC	State
ZIP Code	27157	ZIPCode

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

Form990 Part VII Section A Form990PartVIISectionA (50 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
ROGER L COTHRAN
TRUSTEE	4.00	X	0	0	0
ARTHUR A GIBEL
CHAIRMAN	6.00	X	0	0	0	X
KATHRYN H HAMRICK
TRUSTEE	4.00	X	0	0	0
WILLIAM N HARTSELL
TRUSTEE	4.00	X	0	0	0
STEPHEN R LITTLE
TRUSTEE	4.00	X	0	0	0
GEORGE E STUBBINS SR
TRUSTEE	4.00	X	0	0	0
STANLEY R AESCHLEMAN PH D
TRUSTEE	4.00	X	0	0	0
A WILLIAM BLACKSTOCK JR MD
TRUSTEE	4.00	X	0	0	0
KENNETH W LEWIS
TRUSTEE	4.00	X	0	0	0
WILLIAM C WARDEN JR
TRUSTEE	4.00	X	0	0	0
SHEREE B WATSON
TRUSTEE	4.00	X	0	0	0
KATY M BOLES
TRUSTEE	4.00	X	0	0	0
RAY N HOWELL III D MIN
TRUSTEE	4.00	X	0	0	0
JOHN D KIMBERLY
TRUSTEE	4.00	X	0	0	0
STEPHEN L ROBERTSON
TRUSTEE	4.00	X	0	0	0
EDWIN L WELCH JR
TRUSTEE	4.00	X	0	0	0
R MICHAEL WELLS
TRUSTEE	4.00	X	0	0	0
LINWOOD L DAVIS
TRUSTEE	4.00	X	0	0	0
BRENDA B DIGGS
TRUSTEE	4.00	X	0	0	0
ERNEST L EVANS
TRUSTEE	4.00	X	0	0	0
RON KESSINGER
VICE - CHAIRMAN	6.00	X	0	0	0	X
JOHN D MCCONNELL MD
TRUSTEE & CEO	20.30	X	1406491	0	638363	X
LOUIS B BALDWIN JR
TRUSTEE	4.00	X	0	0	0
GEORGE D RENFRO
TRUSTEE	4.00	X	0	0	0
H GREG BRAY
ASST. TREASURER/ASST. SECR	30.00		233573	0	44420	X
J MCLAIN WALLACE JR
VP GENERAL COUNSEL/SECR	35.00		397129	0	94398	X
KAREN H HUEY
VP FACILITIES	24.00		269934	0	72133	X
MAUREEN E SINTICH
VP OPERATIONS / CNO	33.00		401366	0	88127	X
DONNY C LAMBETH
PRESIDENT	10.00		2328700	0	143909	X
JOANNE C RUHLAND
VP GOVERNMENT AFFAIRS	20.00		218060	0	33991	X
NORMAN D POTTER JR
VP DEVELOPMENT & ALUMNI AF	20.00		297291	0	45278	X
CHERYL EH LOCKE
VP CHIEF HUMAN RESOURCES	26.00		549595	0	34974	X
EDWARD G CHADWICK
EXECUTIVE VP CFO/TREASURER	23.00		741340	0	238080	X
THOMAS E SIBERT MD
PRESIDENT/COO - HEALTH SYS	20.00		897345	0	238466	X
RUSSELL M HOWERTON MD
CHIEF MEDICAL OFFICER	20.00		614047	0	42978	X
DOUGLAS L EDGETON
EXECUTIVE VP & MED CTR ADM	1.00		671069	0	39660	X
LISA M WYATT
VP CHIEF COMM & MARKETING	18.00		394305	0	30732	X
SHEILA M SANDERS
VP CHIEF INFORMATION OFFIC	26.00		425038	0	39505	X
EDWARD ABRAHAM MD
DEAN, SCHOOL OF MEDICINE	5.00		670675	0	88901	X
KAREN Q TURNER
VP SURGICAL SERVICES	40.00		298285	0	60707		X
BETTY PETREE
DIRECTOR NURSE ANESTHESIA	40.00		269215	0	58294			X
MICHAEL RIEKER
DIRECTOR OF NURSE ANESTHES	40.00		248491	0	36892			X
VANCE MCVAY JR
CLINICAL INSTRUCTOR CRNA	40.00		216271	0	40243			X
ERIC STIEFEL
CLINICAL INSTRUCTOR CRNA	40.00		207270	0	41188			X
CHARLES WARE
ASSOCIATE VP INFRASTRUCTUR	40.00		218194	0	95127			X
STEVE C SNELGROVE
FORMER OFFICER	30.00		329647	0	115765				X
RONALD H SMALL
FORMER OFFICER	40.00		333441	0	16199				X
ROBERT S PARKER SR
FORMER OFFICER	40.00		255953	0	7674				X
SHARON ENGEBRETSON
FORMER OFFICER	36.00		164613	0	59657				X
GINA B RAMSEY
FORMER OFFICER	0.00		121928	0	0				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	13179266	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	2445661	TotalOtherCompensation
Number Individuals GT100 K	389	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	1	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
ARAMARK
2300 WARRENVILLE ROAD	DOWNER GROVE	IL	60515	MANAGEMENT SERVICES	3194424
QUEST DIAGNOSTICS
NICHOLS INST DEPT 0065	LOS ANGELES	CA	90084	LAB	2356864
GE HEALTHCARE IITS USA CORP
PO BOX 277475	ATLANTA	GA	90084	MAINTENANCE CONTRACTS	2192932
ORACLE AMERICA INC
500 ORACLE PKWY	REDWOOD SHORES	CA	94065	TECHNOLOGY	1645619
CROSS COUNTRY TRAVCORPS
6551 PARK OF COMMERCE BLVD	BOCA RATON	FL	33487	TRAVEL NURSING	1536009

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	76	NumberOfContractorsGT100K
All Other Contributions	3031792	AllOtherContributions
Noncash Contributions	45666	NoncashContributions
Total Contributions	3031792	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICE REVENU	621400	1167544127	1167544127
COST RECOV. & OTHER	900099	10625068	8339261	2285807
DIETARY	722320	5018142	5016781	1361
MEDICAL/LAB SERVICE	621500	3208917	2868786	340131

Field	Value	IRS element (for citing)
Total Program Service Revenue	1186396254	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	12304631	TotalRevenueColumn
Exclusion	$12,304,631	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	534416	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	183978	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	350438	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	350438	TotalRevenueColumn
Exclusion	$350,438	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	66053018	Securities
Other	1099845	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	0	Securities
Other	1877354	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	66053018	Securities
Other	-777509	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	65275509	TotalRevenueColumn
Exclusion	$65,275,509	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PARKING FEES	900099	1384988	$1,384,988
GIFT SHOP REVENUE	453220	1314781	$1,314,781
TUITION	900099	222325		222325

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	445856	TotalRevenueColumn
Related Or Exempt Function Income	445856	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	3367950	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1270726574	TotalRevenueColumn
Related Or Exempt Function Income	1184437136	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	2627299	UnrelatedBusinessRevenue
Exclusion	$80,630,347	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	466469	Total
Program Services	466469	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	124998	Total
Program Services	124998	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	12403054	Total
Management And General	12403054	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	428613154	Total
Program Services	386188812	ProgramServices
Management And General	42424342	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	11781178	Total
Program Services	8835883	ProgramServices
Management And General	2945295	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	56593279	Total
Program Services	49558734	ProgramServices
Management And General	7034545	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	30559616	Total
Program Services	22919712	ProgramServices
Management And General	7639904	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	273201	Total
Program Services	10875	ProgramServices
Management And General	262326	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	1475864	Total
Program Services	1106898	ProgramServices
Management And General	368966	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	163162045	Total
Program Services	143910854	ProgramServices
Management And General	19251191	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	3662594	Total
Program Services	1912758	ProgramServices
Management And General	1749836	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	3511431	Total
Program Services	2360260	ProgramServices
Management And General	1151171	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	40695540	Total
Program Services	34737874	ProgramServices
Management And General	5957666	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	13506155	Total
Program Services	7508287	ProgramServices
Management And General	5997868	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	295955	Total
Program Services	193910	ProgramServices
Management And General	102045	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	1055957	Total
Program Services	610142	ProgramServices
Management And General	445815	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	11193718	Total
Program Services	11193718	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	60328350	Total
Program Services	59725066	ProgramServices
Management And General	603284	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	9069830	Total
Program Services	6815734	ProgramServices
Management And General	2254096	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	285056680	285056680
PROVIDER ASSESSMENT	34162866	34162866
INCOME TAXES	959845		959845
OTHER	939365	675101	264264

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1169891144	Total
Program Services	1058075631	ProgramServices
Management And General	111815513	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	18078385	BOY
EOY	25325467	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	73571292	BOY
EOY	38604347	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	200506544	BOY
EOY	303304584	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	13859819	BOY
EOY	17078515	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	5260718	BOY
EOY	7131300	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1320403035	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	766982736	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	468404124	BOY
EOY	553420299	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	607124980	BOY
EOY	608352455	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	57732699	BOY
EOY	41336484	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	16935635	BOY
EOY	25336142	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1461474196	BOY
EOY	1619889593	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	112118064	BOY
EOY	159427458	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	326149760	BOY
EOY	317847467	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
EOY	96476032	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	61521256	BOY
EOY	97670031	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	499788836	BOY
EOY	671420988	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	954381677	BOY
EOY	940380300	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3916110	BOY
EOY	4535459	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3387818	BOY
EOY	3552846	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	961685360	BOY
EOY	948468605	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1461474196	BOY
EOY	1619889593	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	100835430	ReconcilationRevenueExpenses
Reconcilation Other Changes	-114052185	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	1	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	1	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$479,982	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$46,365	OtherActivitiesAmount
Total Lobbying Expenditures IIB	526347	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1:	ReturnReference
Explanation	GOVERNMENT RELATIONS THE OFFICE OF GOVERNMENT RELATIONS WAS ACTIVELY INVOLVED WITH SEVERAL FEDERAL AND STATE ISSUES. THE OFFICE ASSISTED IN DEVELOPING POLITICAL ADVOCACY STRATEGIES INCLUDING THE REVIEW OF THE JUNE, 2012 U.S. SUPREME COURT RULING REGARDING THE INDIVIDUAL MANDATE AND REVISIONS TO THE MEDICAID EXPANSION PROVISIONS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (P.L. 111-148) (A/K/A THE HEALTH CARE REFORM BILL), AND IMPLEMENTATION OF THE PROVISIONS REGARDING THE COMMUNITY HEALTH NEEDS ASSESSMENT, VALUE BASED PURCHASING, ESSENTIAL HEALTH BENEFITS FOR STATE HEALTH EXCHANGES, RESIDENCY SLOT REALLOCATION, HOSPITAL READMISSIONS, HOSPITAL ACQUIRED INFECTIONS AND THE MEDICAL DEVICE TAX. STAFF WORKED ON THE VARIOUS DEBT CEILING AND DEFICIT REDUCTION LEGISLATION, INCLUDING THE BUDGET CONTROL ACT OF 2011, AND THE JOINT SELECT COMMITTEE ON DEFICIT REDUCTION (A/K/A THE SUPER COMMITTEE). THEY ALSO WORKED ON THE FY2013 BUDGET; THE CENTER FOR MEDICARE AND MEDICAID SERVICE'S PROPOSED RULE REGARDING THE ELECTRONIC HEALTH RECORD INCENTIVE PROGRAM PHASE 2 AND MEANINGFUL USE AND SUBMITTED A COMMENT LETTER REGARDING ITS PROVISIONS; THE FY 2013 MEDICARE INPATIENT PROSPECTIVE PAYMENT SYSTEM (PPS) PROPOSED RULE; AND VARIOUS PIECES OF LEGISLATION INCLUDING THE FOOD AND DRUG SAFETY AND INNOVATION ACT OF 2012 RELATING TO THE DRUG SHORTAGE CRISIS; TAX REFORM REGARDING INVESTMENT TAX CREDITS AND MEDICARE PHYSICIAN PAYMENTS (SGR ADJUSTMENTS). STAFF ALSO WORKED ON MANY OF THE FY 2013 APPROPRIATIONS BILLS AND PROPOSED LEGISLATION AND REGULATIONS THAT WERE INTRODUCED, INCLUDING DEPARTMENT OF DEFENSE; DEPARTMENT OF HEALTH AND HUMAN SERVICES; AND VETERANS AFFAIRS (VA) RESEARCH AND MEDICAL CARE FUNDING. THE OFFICE ASSISTED WITH THE FOLLOWING: (1) FAA REAUTHORIZATION BILL AMENDMENTS FOR AIR AMBULANCES; (2) IRS PROPERTY-TAX EXEMPTIONS FOR NONPROFITS GUIDELINES AND COMMUNITY BENEFITS ANALYSIS; (3) CHARITABLE DONATIONS; (4) NIH APPROPRIATIONS AND FUNDING FOR HEALTH PROFESSIONS AND AHEC (5) CHANGES PROPOSED BY HHS REGARDING CONFLICT OF INTEREST RULES; DELAY OF THE COMPLIANCE DATE FOR ICD-10-CM AND ICD-10-PCS MEDICAL DATA CODE SETS; 340(B) PROGRAM EXPANSION AND (6) PATENTS AND INTELLECTUAL PROPERTY ISSUES. AT THE STATE LEVEL, EFFORTS WERE CONCENTRATED WITH THE FY 2012-3 MEDICAID BUDGET, THE MEDICAID REIMBURSEMENT INITIATIVE AND UPPER PAYMENT LIMIT PROVISIONS; ON LEGISLATION REGARDING CERTIFICATE-OF-NEED LAWS, BUSINESS INCENTIVE TAX LAWS, INCLUDING THE MILL TAX CREDIT FOR THE PIEDMONT TRIAD RESEARCH PARK; MENTAL HEALTH ISSUE AND STATUTORY FLEXIBILITY FOR STATE LICENSURE INSPECTIONS OF HOSPITALS.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	7303928	BeginningOfYearBalance
Contributions	1221778	Contributions
Investment Earnings Or Losses	-65209	InvestmentEarningsOrLosses
Grants Or Scholarships	124978	GrantsOrScholarships
Other Expenditures	709300	OtherExpenditures
Administrative Expenses	-462086	AdministrativeExpenses
End Of Year Balance	8088305	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	5383158	BeginningOfYearBalance
Contributions	841681	Contributions
Investment Earnings Or Losses	576477	InvestmentEarningsOrLosses
Grants Or Scholarships	113868	GrantsOrScholarships
Other Expenditures	738112	OtherExpenditures
Administrative Expenses	-1354592	AdministrativeExpenses
End Of Year Balance	7303928	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	5437445	BeginningOfYearBalance
Contributions	446548	Contributions
Investment Earnings Or Losses	259105	InvestmentEarningsOrLosses
Grants Or Scholarships	110679	GrantsOrScholarships
Other Expenditures	649261	OtherExpenditures
End Of Year Balance	5383158	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	4470108	BeginningOfYearBalance
Contributions	117064	Contributions
Investment Earnings Or Losses	-780842	InvestmentEarningsOrLosses
Other Expenditures	17979	OtherExpenditures
Administrative Expenses	-1649094	AdministrativeExpenses
End Of Year Balance	5437445	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	0.43930	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.56070	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	11661377	OtherCostOrOtherBasis
Book Value	11661377	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	665411236	OtherCostOrOtherBasis
Depreciation	389202208	Depreciation
Book Value	276209028	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	7554181	OtherCostOrOtherBasis
Depreciation	5896502	Depreciation
Book Value	1657679	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	475239965	OtherCostOrOtherBasis
Depreciation	371884026	Depreciation
Book Value	103355939	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	160536276	OtherCostOrOtherBasis
Book Value	160536276	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	553420299	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
OTHER LIABILITIES	$48,230,119
PENSION LIABILITIES	$46,889,549
DEFERRED COMPENSATION	$315,710
OTHER LONG-TERM LIABILITIES	$2,234,653

Field	Value	IRS element (for citing)
Total Of Amounts	97670031	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	PART V, LINE 4:	THE HOSPITAL'S ENDOWMENT FUNDS ARE USED TO PROVIDE SUPPORT FOR EDUCATION, SCHOLARSHIPS, INDIGENT CARE, AND OTHER DEPARTMENTAL FUNDING.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X:	THE ORGANIZATION WAS REQUIRED TO EVALUATE UNCERTAIN TAX POSITIONS. THIS EVALUATION INCLUDES A QUANTIFICATION OF TAX RISK IN AREAS SUCH AS UNRELATED BUSINESS TAXABLE INCOME AND THE TAXATION OF FOR-PROFIT SUBSIDIARIES. THIS EVALUATION DID NOT HAVE A MATERIAL EFFECT ON THE ORGANIZATION'S STATEMENT OF OPERATIONS FOR THE YEARS ENDED JUNE 30, 2012 AND 2011.

Schedule F IRS990ScheduleF

Field	Value	IRS element (for citing)
Subtotal Number Of Offices	0	SubtotalNumberOfOffices
Subtotal Number Of Employees	0	SubtotalNumberOfEmployees
Cont Number Of Offices	0	ContNumberOfOffices
Cont Number Of Employees	0	ContNumberOfEmployees
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	0	TotalNumberOfEmployees
Subtotal Amount Spent	0	SubtotalAmountSpent
Cont Amount Spent	0	ContAmountSpent
Total Amount Spent	0	TotalAmountSpent
Transfer To Foreign Corp	1	TransferToForeignCorp
Interest In Foreign Trust	0	InterestInForeignTrust
Own Foreign Corp	0	OwnForeignCorp
Passive Foreign Invest Co	0	PassiveForeignInvestCo
Foreign Partnership	0	ForeignPartnership
Boycott Countries	0	BoycottCountries

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	61086625	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6152576	DirectOffsettingRevenue
Net Community Benefit Expense	54934049	NetCommunityBenefitExpense
Percent Of Total Expense	0.04700	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	214694033	TotalCommunityBenefitExpense
Direct Offsetting Revenue	231369983	DirectOffsettingRevenue
Net Community Benefit Expense	-16675950	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	20157196	TotalCommunityBenefitExpense
Direct Offsetting Revenue	16939585	DirectOffsettingRevenue
Net Community Benefit Expense	3217611	NetCommunityBenefitExpense
Percent Of Total Expense	0.00280	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	295937854	TotalCommunityBenefitExpense
Direct Offsetting Revenue	254462144	DirectOffsettingRevenue
Net Community Benefit Expense	41475710	NetCommunityBenefitExpense
Percent Of Total Expense	0.04980	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1986297	TotalCommunityBenefitExpense
Net Community Benefit Expense	1986297	NetCommunityBenefitExpense
Percent Of Total Expense	0.00170	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	73712960	TotalCommunityBenefitExpense
Direct Offsetting Revenue	21779779	DirectOffsettingRevenue
Net Community Benefit Expense	51933181	NetCommunityBenefitExpense
Percent Of Total Expense	0.04440	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5875989	TotalCommunityBenefitExpense
Net Community Benefit Expense	5875989	NetCommunityBenefitExpense
Percent Of Total Expense	0.00500	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	20859421	TotalCommunityBenefitExpense
Net Community Benefit Expense	20859421	NetCommunityBenefitExpense
Percent Of Total Expense	0.01780	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	645976	TotalCommunityBenefitExpense
Net Community Benefit Expense	645976	NetCommunityBenefitExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	103080643	TotalCommunityBenefitExpense
Direct Offsetting Revenue	21779779	DirectOffsettingRevenue
Net Community Benefit Expense	81300864	NetCommunityBenefitExpense
Percent Of Total Expense	0.06950	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	399018497	TotalCommunityBenefitExpense
Direct Offsetting Revenue	276241923	DirectOffsettingRevenue
Net Community Benefit Expense	122776574	NetCommunityBenefitExpense
Percent Of Total Expense	0.11930	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	64900	TotalCommunityBuildingExpense
Net Community Building Expense	64900	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	82742	TotalCommunityBuildingExpense
Net Community Building Expense	82742	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	213444	TotalCommunityBuildingExpense
Net Community Building Expense	213444	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	232455	TotalCommunityBuildingExpense
Net Community Building Expense	232455	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	593541	TotalCommunityBuildingExpense
Net Community Building Expense	593541	NetCommunityBuildingExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$14,467,243	BadDebtExpenseAmount
Amount Reimbursed By Medicare	371791808	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	411293211	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-39501403	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	NORTH CAROLINA BAPTIST HOSPITAL	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	MEDICAL CENTER BLVD	AddressLine1
City	WINSTON SALEM	City
State	NC	State
ZIP Code	27157	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	NORTH CAROLINA BAPTIST HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	200.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	400.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
Other Factors	X	OtherFactors
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Average Negotiated Rates	X	AverageNegotiatedRates
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	24	NumberOfOtherFacilities

Other Facilities OtherFacilities (24 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType	Address Line2Address/AddressLine2
STRATFORD EXECUTIVE PARK ABDOMINAL ORGAN
140 CHARLOIS BOULEVARD	WINSTONSALEM	NC	271031522	ABDOMINAL ORGAN TRANSPLANT PROGRAM
DOWNTOWN HEALTH PLAZA
1200 N MARTIN LUTHER KING JR DRIVE	WINSTONSALEM	NC	271013006	FAMILY MEDICINE
WAKE FOREST UNIVERSITY BAPTIST IMAGING
265 EXECUTIVE PARK BLVD	WINSTONSALEM	NC	27103	IMAGING CENTER
WINSTON EAST PEDIATRICS
2295 EAST 14TH STREET	WINSTONSALEM	NC	271056804	PEDIATRICS
STRATFORD EXECUTIVE PARK INTERNAL MEDICI
500 SHEPHARD STREET SUITE 300	WINSTONSALEM	NC	271031633	IM MULTISPECIALTY CLINICS
CANCER CENTER OF DAVIDSON COUNTY LLC
107 WEST MEDICAL PARK DRIVE SUITES	LEXINGTON	NC	27292	CANCER CENTER	101
MEDICAL PLAZA COUNTRY CLUB DERMATOLOGIC
4618 COUNTRY CLUB ROAD	WINSTONSALEM	NC	271043520	GENERAL DERMATOLOGY
MEDICAL PLAZA COUNTRY CLUB GENERAL DERMA
4618 COUNTRY CLUB ROAD	WINSTONSALEM	NC	271043520	DERMATOLOGIC SURGERY
STRATFORD EXECUTIVE PARK OBGYN
500 SHEPHARD STREET SUITE 201	WINSTONSALEM	NC	271031633	OB/GYN
WAKE FOREST BAPTIST HEALTH FAMILY MEDICI
1920 W FIRST STREET	WINSTONSALEM	NC	271044220	FAMILY MEDICINE
STRATFORD EXECUTIVE PARK MATERNAL-FETAL
500 SHEPHARD STREET SUITE 200	WINSTONSALEM	NC	271031633	MATERNAL-FETAL MEDICINE
WAKE FOREST BAPTIST HEART CENTER
755 HIGHLAND OAKS SUITE 204	WINSTONSALEM	NC	271037106	CARDIOLOGY
NCBH OUTPATIENT ENDOSCOPY CENTER LLC
100 CHARLOIS BLVD SUITE 100	WINSTONSALEM	NC	27103	OUTPATIENT ENDOSCOPY
MEDICAL PLAZA COUNTRY CLUB - JOSLIN ADUL
4610 COUNTRY CLUB ROAD	WINSTONSALEM	NC	271043520	ADULT DIABETES CENTER
MEDICAL PLAZA COUNTRY CLUB - JOSLIN PEDI
4610 COUNTRY CLUB ROAD	WINSTONSALEM	NC	271043520	PEDIATRIC DIABETES CENTER
MEDICAL PLAZA COUNTRY CLUB - UNIVERSITY
4614 COUNTRY CLUB ROAD	WINSTONSALEM	NC	271043520	INTERNAL MEDICINE
MEDICAL PLAZA COUNTRY CLUB - CARDIOLOGY
4614 COUNTRY CLUB ROAD	WINSTONSALEM	NC	271043520	CARDIOLOGY
MEDICAL PLAZA COUNTRY CLUB - WEIGHT MANA
4614 COUNTRY CLUB ROAD	WINSTONSALEM	NC	271043520	WEIGHT MANAGEMENT
MEDICAL PLAZA CLEMMONS - BLDG 2311 GENER
2311 LEWISVILLE-CLEMMONS ROAD	CLEMMONS	NC	27012	PEDIATRICS
MEDICAL PLAZA CLEMMONS - BLDG 2311 SPECI
2311 LEWISVILLE-CLEMMONS ROAD	CLEMMONS	NC	27012	PEDIATRIC SPECIALTIES
MEDICAL PLAZA CLEMMONS - BLDG 2311 IMPR
2311 LEWISVILLE-CLEMMONS ROAD	CLEMMONS	NC	27012	INTERNAL MEDICINE & PRIMARY CARE
MEDICAL PLAZA CLEMMONS - BLDG 2311 ALLER
2311 LEWISVILLE-CLEMMONS ROAD	CLEMMONS	NC	27012	ALLERGY, ASTHMA & IMMUNOLOGY
MEDICAL PLAZA CLEMMONS - BLDG 2311 HEMO
2311 LEWISVILLE-CLEMMONS ROAD	CLEMMONS	NC	27012	ONCOLOGY
COMP REHAB
131 MILLER STREET	WINSTONSALEM	NC	27103	REHABILITATION

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
PART I, LINE 3C: THE ORGANIZATION USES A SLIDING SCALE OF THE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR DISCOUNTED CARE BETWEEN 201% AND 300%, THE DISCOUNT IS 75%. BETWEEN 301% AND 400%, THE DISCOUNT IS 60%, AT 200% OR BELOW, THE INDIVIDUAL IS ELIGIBLE FOR FREE 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 2011 SCHEDULE HPART 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 REVENUES OF PRIVATE HOSPITALS. THE FEDERAL GOVERNMENT MATCHES THE ASSESSMENT ON A 2 TO 1 BASIS AND THESE AMOUNTS ARE ALLOCATED TO NORTH CAROLINA HOSPITALS ON A QUARTERLY BASIS. AS THIS IS A NEW PROGRAM, THE NET PROVIDER ASSESSMENT REVENUES RECORDED AS A DIRECT REVENUE OFFSET INCLUDE PAYMENTS FOR 6 MONTHS OF FISCAL YEAR 2011 AND 12 MONTHS OF FISCAL YEAR 2012.
PART I, L7 COL(F): THE ORGANIZATION'S PATIENT BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENTS WAS $39,732,160 FOR THE FISCAL YEAR ENDED JUNE 30, 2012. THIS AMOUNT HAS BEEN REMOVED FROM THE CALCULATION OF CHARITY CARE FOR PART I, LINE 7.
PART II: 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) DECREASING THE INCIDENCE OF DIABETES, 3) DECREASING THE PERCENTAGE OF ADULTS REPORTING GOOD, VERY GOOD OR EXCELLENT HEALTH, 4) INCREASING THE PERCENTAGE OF HIGH SCHOOL STUDENTS WHO ARE NEITHER OVERWEIGHT OR OBESE, 5) INCREASING THE PERCENTAGE OF ADULTS WHO REPORT THAT THEY CONSUME FRUITS AND VEGETABLES FIVE OR MORE TIMES PER DAY, 6) INCREASING THE PERCENTAGE OF ADULTS GETTING THE RECOMMENDED AMOUNT OF PHYSICAL ACTIVITY, AND 7) DECREASING 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. DOWNTOWN HEALTH PLAZA SERVES APPROXIMATELY 70,000 PATIENTS VISITS PER YEAR INCLUDING 32,000 ADULTS, 29% OF WHICH ARE SELF-PAY; 20,000 ARE OB/GYN PATIENT, 51% ARE SELF-PAY; AND 18,000 PEDIATRIC PATIENTS, 3% 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 PROVIDE 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 WITH 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 IS ALSO COORDINATING 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. THE HOSPITAL ALSO PROVIDES A NUMBER OF PUBLIC EDUCATIONAL PROGRAMS THROUGH BEST HEALTH. BEST HEALTH IS THE COMMUNITY WELLNESS OUTREACH PROGRAM OF WAKE FOREST BAPTIST HEALTH AND IN FY 2012 IT PROVIDED 18 SUPPORT GROUP SESSIONS PRIMARILY FOR STOKE AND OBESITY PATIENTS, 28 NUTRITION/HEALTHY COOKING CLASSES, 32 EXERCISE CLASSES FOR HEART/VASCULAR PATIENTS, AND 16 HEART HEALTH SCREENING IN THE COMMUNITY. 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. OVER THE PAST FIVE YEARS, BRENNER FIT HAS ACCOMPLISHED THE FOLLOWING:- PROVIDED TREATMENT FOR MORE THAN 500 CHILDREN THROUGH THE BRENNER FIT CLINIC, MANY OF WHICH ARE UNINSURED/UNDERINSURED, REPRESENTING APPROXIMATELY 2000 DIFFERENT FAMILY MEMBERS FROM OUR COMMUNITY; - GIVE OVER 150 COMMUNITY PRESENTATIONS, REACHING AN ESTIMATED AUDIENCE OF 25,000; - PUBLISHED 30 JOURNAL ARTICLES, RESEARCH PAPERS, BOOK CHAPTERS, AND HAS BEEN REPRESENTED IN MULTIPLE ON-LINE MEDICAL RESOURCES;- PRESENTED OVER 60 TIMES TO ACADEMIC OR CLINICAL AUDIENCES;- FEATURED OVER 80 TIMES IN REGIONAL AND NATIONAL MEDIA;- TRAINED 15 STUDENTS, FELLOWS, AND INTERNS, IN ADDITION TO DEVELOPING A MEDICAL STUDENT WORKSHOP;AND-DEVELOPED 22 NEW PROGRAMS FOCUSED ON CHILDHOOD OBESITY PREVENTION AND TREATMENT.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 AND HEART AND STROKE PREVENTION CLASSES AT COUNTY GOVERNMENT WORKSITES. FINALLY, 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 INCLUDES ANNUAL SKIN CANCER SCREENINGS , NUTRITION CLASSES, COORDINATION WITH THE BE HEALTHY COALITION TO ENCOURAGE PHYSICAL ACTIVITY AMONG ALL FORSYTH COUNTY RESIDENTS THROUGH TWO MONTH PROGRAM WITH STEP UP FORSYTH, A FREE COMMUNITY WIDE PROGRAM COLLABORATING WITH THE YMCA, A 6 WEEK CHRONIC DISEASE MANAGEMENT WORKSHOP , FREE YOGA FOR BREAST CANCER PATIENTS AND SURVIVORS, AS WELL AS SEVERAL FEE LUNCH AND LEARN WORKSHOPS ON CANCER ON AWARENESS AND PREVENTION.
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. THE ORGANIZATION HAS A THOROUGH PROCESS OF EVALUATING BAD DEBT ACCOUNTS AS INFORMATION BECOMES AVAILABLE AND RECLASSIFIES BAD DEBT ACCOUNTS AS CHARITY CARE AS PROVIDED BY THE CHARITY CARE POLICY. AMOUNTS USED TO COMPUTE CHARITY CARE AND BAD DEBT ON SCHEDULE H USE THE MOST CURRENT DATA AVAILABLE AT THE TIME OF FILING. THE ORGANIZTION USED WORKSHEET 2 OF THE 2011 SCHEDULE H INSTRUCTIONS TO COMPUTE A COST TO CHARGES RATIO USED TO CALCULATE BAD DEBT AT COST.
PART III, LINE 8: FOR THE FISCAL YEAR, THE PORTION OF PAYORS FOR WHICHMEDICARE WAS THE PRIMARY SOURCE OF PAYMENT WAS 29.5%. OF THAT PORTION OFPATIENTS, 27.3% WERE FOUND TO HAVE ALSO QUALIFIED FOR MEDICAID AS ASECONDARY INSURANCE; THEREFORE BASED ON THIS RATIO, APPROXIMATELY 27%, OR$10.7 MILLION, OF THE MEDICARE SHORTFALL MAY BE CONSIDERED A COMMUNITYBENEFIT. 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: PATIENT FINANCIAL RESOURCES SERVICES WORKS WITH THE PATIENT FOR ANY PATIENT LIABILITY. OUR MAIN FOCUS IS PRIOR TO SERVICESAND/OR DISCHARGE; HOWEVER, WE DO WORK WITH PATIENTS AFTER SERVICES HAVEBEEN RECEIVED AND BILLED. PATIENT FINANCIAL RESOURCES SERVICES IS REALLYTWO AREAS IN ONE--THE RESOURCE RECOVERY SPECIALIST/RRS (FORMERLY FINANCIALCOUNSELING) AND THE MEDICAID ELIGIBILITY TEAM/MPS. THESE TWO AREAS WORKTOGETHER TO FIND A RESOLUTION TO PATIENT LIABILITY, SELF PAY OR INSURED.THE RRS WORKS TO NOTIFY THE PATIENT OF ANY PATIENT LIABILITY AND ASK FORPAYMENT FOR THAT LIABILITY. IF THE PATIENT INDICATES THAT HE/SHE NEEDSASSISTANCE, THEN THE RRS WILL COMPLETE A FINANCIAL STATEMENT ON THEPATIENT. WHILE TAKING THAT FINANCIAL STATEMENT THE RRS IS LOOKING FORINFORMATION THAT COULD QUALIFY THE PATIENT FOR MEDICAID OR FOR OTHERAGENCY PROGRAMS THAT ARE AVAILABLE TO THE MEDICAL CENTER. WHEN THATINFORMATION IS IDENTIFIED THE RRS WILL LET THE PATIENT KNOW THAT AREFERRAL WILL BE MADE FOR MEDICAID OR OTHER ASSISTANCE AND A MPS WILL BEIN TOUCH WITH HIM/HER. THE RRS ALSO EXPLAINS TO THE PATIENT OR FAMILY THATCHARITY CARE IS A LAST RESORT AND THEY MUST COOPERATE WITH ANY OTHERASSISTANCE PROGRAMS THAT WE HAVE IDENTIFIED AND BE FOUND INELIGIBLE BEFORECHARITY CARE WILL BE APPROVED/APPLIED. IT IS ALSO COMMUNICATED WITH THEPATIENT OR FAMILY IS INFORMED IF ANY SUPPORTING DOCUMENTATION IS NEEDED FOR ANY ASSISTANCE, WHETHER THAT BE CHARITY, MEDICAID, OR OTHER PROGRAMS.
PART V, SECTION B, LINE 9: THE HOSPITAL USES THE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR FREE CARE. INDIVIDUALS AT OR BELOW 200% OF THE FEDERAL PROVERTY GUIDELINES ARE ELIGIBLE FOR FREE CARE.	NORTH CAROLINA BAPTIST HOSPITAL
PART V, SECTION B, LINE 10: THE ORGANIZATION USES A SLIDING SCALE OF THE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR DISCOUNTED CARE. INDIVIDUALS BETWEEN 201% AND 300% OF THE FEDERAL POVERTY GUIDELINES ARE GRANTED A 75% DISCOUNT AND INDIVIDUALS BETWEEN 301% AND 400% OF THE FEDERAL PROVERTY GUIDELINES ARE GRANTED A 60% DISCOUNT.	NORTH CAROLINA BAPTIST HOSPITAL
PART V, SECTION B, LINE 11H: RESIDENT OF THE MEDICAL CENTER'S 19 COUNTY SERVICE AREA.	NORTH CAROLINA BAPTIST HOSPITAL
PART VI, LINE 2: TO COMPLETE A COMPREHENSIVE ASSESSMENT OF THE NEEDS OF THE COMMUNITY, AN INTERNAL COMMUNITY HEALTH TEAM RELIES ON THE ASSOCIATION FOR COMMUNITY HEALTH IMPROVEMENT'S (ACHI) 6-STEP COMMUNITY HEALTH ASSESSMENT PROCESS ALONG WITH PARTICIPATION IN THE NORTH CAROLINA DIVISION OF PUBLIC HEALTH ASSESSMENT PROCESS AS ORGANIZING METHODOLOGIES. A COMMUNITY WIDE TEAM COMPRISED OF THE FORSYTH COUNTY HEALTH DEPARTMENT, WFBMC, FORSYTH MEDICAL CENTER AND VARIOUS COMMUNITY GROUPS INCLUDING THE UNITED WAY, THE YMCA, YWCA AND THE COUNTY GOVERNMENT AMONG MANY OTHERS HAS CONVENED TO CONDUCT A COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EVERY THREE YEARS WITH INPUT FROM KEY COMMUNITY LEADERS, THE ACADEMIC COMMUNITY, THE SCHOOL DISTRICT, AND THE PUBLIC AMONG OTHERS. FOUNDED ON THE PRINCIPLES OF COLLABORATION, COMMUNITY MOBILIZATION, AND EMPOWERMENT, THE COMMUNITY HEALTH ASSESSMENT PROCESS IS USED TO IDENTIFY PRIORITY HEALTH ISSUES AND TO PLAN INTERVENTIONS TO BUILD HEALTHIER COMMUNITIES WITH THE ULTIMATE GOAL OF MAKING NORTH CAROLINA AND FORSYTH COUNTY ONE OF THE HEALTHIEST STATES IN THE NATION. TO ENSURE A COMPLETE ASSESSMENT, THE HOSPITAL'S INTERNAL TEAM HAS ADOPTED THE ACHI PROCESS TO ENSURE BOTH PUBLIC HEALTH AND THE NEWLY REQUIRED COMMUNITY HEALTH NEEDS ASSESSMENT REQUIREMENTS INCLUDED IN THE AFFORDABLE HEALTHCARE ACT WOULD BE MET. THE ASSESSMENT PROCESS CONSISTS OF COLLECTING PRIMARY AND SECONDARY DATA FOR EACH OF THE FOLLOWING COMPONENTS: A) COMMUNITY PERSPECTIVE B) HEALTH EXPERTS C) COMMUNITY LEADERS D) SOCIAL DETERMINANTS OF HEALTH (SDOH) E) HEALTH STATISTICS/INDICATORS F) WFBMC DATA-ED AND INPATIENT CHRONIC DISEASE DATA
PART VI, LINE 3: THE ORGANIZATION USES A VARIETY OF MEANS TO EDUCATEAND INFORM PATIENTS OF THEIR CHARITY CARE OPTIONS, INCLUDING INFORMATIONON A WEBSITE, BILLING PAMPHLETS AVAILABLE IN CLINICAL OFFICES AND THEBUSINESS OFFICE, SIGNS IN CHECK-IN AREAS, INFORMATION ON PATIENT BILLSTATEMENTS, AND FROM STAFF MEMBERS DURING CONVERSATIONS CONCERNING APATIENT'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 ASSIST THE PATIENT WITH ENROLLMENT.
PART VI, LINE 4: IN FISCAL YEAR 2012, THE MEDICAL CENTER PROVIDED CARE TO A NINETEEN COUNTY SERVICE AREA WHICH COMPRISES 85% OF TOTAL INPATIENT DISCHARGES FOR NORTH CAROLINA. THE PRIMARY AND SECONDARY SERVICE AREA INCLUDE:PRIMARY SERVICE AREA COUNTIES - FORSYTH, DAVIE, DAVIDSON, STOKES, SURRY, YADKINSECONDARY SERVICE AREA COUNTIES - ROCKINGHAM, GUILFORD, RANDOLPH, ROWAN, IREDELL, CATAWBA, ALEXANDER, WILKES, ALLEGHANY, ASHE, WATAUGA, CALDWELL, BURKE PERCENT OF UNINSURED INPATIENTS 7.5%PERCENT OF INPATIENTS WHO ARE MEDICAID RECIPIENTS 19.9%THE HOSPITAL IS LOCATED IN CENTRAL FORSYTH COUNTY, WHICH COMPRISES THE SINGLE LARGEST COUNTY IN TOTAL INPATIENT DISCHARGES, ACCOUNTING FOR 13,192 OR 40% OF ALL DISCHARGES IN FY 12. IT IS IMPORTANT TO NOTE THAT NO OTHER COUNTY IN THE SERVICE AREA OR STATE REFLECTS MORE THAN 10% IN INPATIENT VOLUME. ACCORDINGLY, THE HOSPITAL SERVES A WIDE SERVICE AREA, HOWEVER, IT IS RESOURCE PROHIBITIVE TO PARTICIPATE AND FUND HEALTH ASSESSMENTS IN EACH COMMUNITY/COUNTY THAT ITS PATIENT POPULATION ORIGINATES FROM. THEREFORE, THE PRIMARY COMMUNITY BENEFIT SERVICE AREA (CBSA)IS FORSYTH COUNTY, NORTH CAROLINA. BELOW IS A DEMOGRAPHIC SNAPSHOT OF FORSYTH COUNTY BASED ON 2010 CENSUS DATA: POPULATION AND GEOGRAPHY TOTAL POPULATION 350,670POPULATION CHANGE SINCE 2000 + 12.7%LAND AREA 408.1 SQUARE MILESPOPULATION DENSITY 859.5 PERSONS PER SQUARE MILE POPULATION BY RACE/ETHNICITYWHITE 58.7%BLACK/AFRICAN-AMERICAN 25.5%HISPANIC 11.9%ASIAN 1.8%AMERICAN INDIAN/ 0.3%ALASKA NATIVE NATIVE HAWAIIAN/ 0.04%PACIFIC ISLANDERMULTIRACIAL 1.5%OTHER 0.2% POPULATION BY AGE DISTRIBUTIONUNDER 5 YEARS OLD 6.8%UNDER 18 YEARS OLD 24.4%= 65 YEARS OLD 13.0%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 13.8%A HIGH SCHOOL DIPLOMA OR GED 28.2%A BACHELOR'S DEGREE 20.7%GRADUATE DEGREE 10.0%PERCENTAGE OF FAMILIES LIVING BELOW POVERTY LEVELALL FAMILIES 11.0%FAMILIES WITH A HOUSEHOLDER WHO IS:WHITE 4.6%BLACK/AFRICAN AMERICAN 21.6%HISPANIC 31.4%ASIAN 6.6%AMERICAN INDIAN/ 17.2%OTHER RACE 34.7 PERCENTAGE OF POPULATION LIVING BELOW POVERTY LEVELCHILDREN (0-17YR OLD) 22.8%ADULTS (18-64YR OLD) 12.9%SENIORS (= 65YR OLD) 7.1% COUNTY SCHOOLSK-12 ENROLLMENT 53,627GRADUATION RATE 72.7% UNEMPLOYMENT UNEMPLOYMENT RATE 9.9%LOST JOBS & LAYOFFS 1,900 INCOMEMEDIAN FAMILY HOUSEHOLD $55,075MEDIAN NON-FAMILY HOUSEHOLD $28,023
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 OPERATES THE FOLLOWING PROGRAMS CONSTITUTING COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS REPORTED ON PART I,LINE 7E:WS/FC SCHOOLS ALLIED HEALTH PROGRAM $5,166 COMMUNITY HEALTH/HEALTHCARE ACCESS 11,500 CHURCH COMMUNITY RELATIONS 340,529COMMUNITY HEALTH SALARIES 580,024PHYSICIANS COMMUNITY HEALTH ACCESS 245,584CARENET/PASTORAL COUNSELING 163,894ACCELERATED BSN PROGRAM 531,735COUNTY RENT ON CLEVELAND DENTAL 107,865TOTAL TO PART I, LINE 7E: 1,986,297
NC	REPORTS FILED WITH STATES	PART VI, LINE 7

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (15 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
ABC OF NC CHILD DEVELOPMENT CENTER
3904 OLD VINEYARD ROAD	WINSTON SALEM	NC	27104	300111894	501(C)3	10000	COMMUNITY SUPPORT
AMERICAN HEART ASSOCIATION
101 CENTREPORT DRIVE STE 130	GREENSBORO	NC	27409	135613797	501(C)3	45000	COMMUNITY SUPPORT
BOY SCOUTS OF AMERICA - OLD HICKORY COUNCIL
6600 SILAS CREEK PARKWAY	WINSTON SALEM	NC	27106	560529985	501(C)3	10000	COMMUNITY SUPPORT
FORSYTH TECHNICAL COMMUNITY COLLEGE
2100 SILAS CREEK PARKWAY	WINSTON SALEM	NC	27103	560792614	501(C)3	99292	GREENE HALL EXPANSION
JDRF PIEDMONT TRIAD CHAPTER
312 N EUGENE STREET SUITE D	GREENSBORO	NC	27401	231907729	501(C)3	30000	COMMUNITY SUPPORT
MAKE A WISH FOUNDATION
212 S TRYON ST SUITE 1080	CHARLOTTE	NC	28281	860481941	501(C)3	6000	COMMUNITY SUPPORT
MARCH OF DIMES
410 BROOKSTOWN AVENUE	WINSTON SALEM	NC	27101	131846366	501(C)3	10000	COMMUNITY SUPPORT
NC TRIAD AFFILIATE - SUSAN G KOMEN FOR THE CURE
1106 BURKE STREET	WINSTON SALEM	NC	27101	751835298	501(C)3	25000	COMMUNITY SUPPORT
RONALD MCDONALD HOUSE
419 S HAWTHORNE ROAD	WINSTON SALEM	NC	27103	581454715	501(C)3	12500	COMMUNITY SUPPORT
SCIWORKS
400 W HANES MILL ROAD	WINSTON SALEM	NC	27105	560815746	501(C)3	10000	COMMUNITY SUPPORT
SENIOR SERVICES
2895 SHOREFIELD DRIVE	WINSTON SALEM	NC	27105	561085968	501(C)3	30000	COMMUNITY SUPPORT
THE WOMEN'S FUND OF WINSTON SALEM
860 W FIFTH STREET	WINSTON SALEM	NC	27101	566037615	501(C)3	10000	COMMUNITY SUPPORT
UNITED WAY OF FORSYTH COUNTY
301 NORTH MAIN STREET SUITE 1700	WINSTON SALEM	NC	27101	237357234	501(C)3	11849	COMMUNITY SUPPORT
WS FORSYTH COUNTY SCHOOLS
PO BOX 2513	WINSTON SALEM	NC	27102	560795164	GOV'T ENTITY	10000	COMMUNITY SUPPORT
YMCA
301 N MAIN STREET	WINSTON SALEM	NC	27101	560530015	501(C)3	7500	COMMUNITY SUPPORT

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	15	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (4 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant
WHITEHEAD NURSING	146	47522
WHITEHEAD MED TECH	3	13000
WHITEHEAD NURSE ANESTHESIA	8	25000
WL CARTER SCHOLARSHIP	17	39476

Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	PART I, LINE 2:	SCHEDULE I, PART I, LINE 2: 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.
SCHEDULE I, PART III	GRANTS AND OTHER ASSISTANCE TO INDIVIDUALS IN THE UNITED STATES	THE HOSPITAL FOLLOWS THE MEDICAL CENTER'S POLICY USED IN REVIEWING THE ELIGIBILITY AND SELECTION OF GRANTEES RECEIVING CERTAIN EXEMPT PURPOSE FUNDS. THE HOSPITAL MONITORS THE ACADEMIC PROGRESS AND OTHER ACHIEVEMENTS OF STUDENTS RECEIVING SCHOLARSHIP/FELLOWSHIP FUNDS TO ENSURE THAT ADEQUATE PROCESS IS MAINTAINED BY THE STUDENT. LETTIE PATE WHITEHEAD SCHOLARSHIPS THE LETTIE PATE WHITEHEAD FOUNDATION PROVIDES SCHOLARSHIPS TO TAX-EXEMPT, NON-PROFIT HOSPITALS OR INSTITUTIONS FOR THE CARE OF INDIGENT CHRISTIAN WOMEN IN SPECIFIED STATES INCLUDING NORTH CAROLINA. THE FINANCIAL NEED IS ESTABLISHED BY THE COLLEGES THAT THE STUDENTS ATTEND. NAMES OF STUDENTS ARE PROVIDED TO OUR STAFF DEVELOPMENT DEPARTMENT. THE WHITEHEAD FUNDS ARE REVIEWED AND ADMINISTERED BY A FUND CUSTODIAN. W.L. CARTER SCHOLARSHIP SCHOLARSHIP RECIPIENTS/EMPLOYEES MUST BE ACCEPTED INTO AN APPROVED NURSING PROGRAM AND BE RECOMMENDED BY HIS/HER MANAGER WITH SATISFACTORY PERFORMANCE EVALUATION AND ATTENDANCE. IN EXCHANGE FOR THE SCHOLARSHIP, THE EMPLOYEE AGREES TO MAKE ADEQUATE ACADEMIC PROGRESS TO COMPLETE HIS/HER DEGREE.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Housing Allowance Or Residence	X	HousingAllowanceOrResidence
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (27 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JOHN D MCCONNELL MD
983777	0	384203	0	38511	0	619002	0	19361	0	2044854	0	0	0
H GREG BRAY
203513	0	24045	0	6015	0	27684	0	16736	0	277993	0	0	0
J MCLAIN WALLACE JR
298581	0	79784	0	18764	0	50729	0	43669	0	491527	0	0	0
KAREN H HUEY
219062	0	46557	0	4315	0	55150	0	16983	0	342067	0	0	0
MAUREEN E SINTICH
299332	0	77535	0	24499	0	52111	0	36016	0	489493	0	5334	0
DONNY C LAMBETH
495595	0	181988	0	1651117	0	128399	0	15510	0	2472609	0	349414	0
JOANNE C RUHLAND
199124	0	0	0	18936	0	16008	0	17983	0	252051	0	0	0
NORMAN D POTTER JR
232664	0	58825	0	5802	0	23670	0	21608	0	342569	0	0	0
CHERYL EH LOCKE
353441	0	97552	0	98602	0	18602	0	16372	0	584569	0	0	0
EDWARD G CHADWICK
527216	0	189929	0	24195	0	216774	0	21306	0	979420	0	0	0
THOMAS E SIBERT MD
631297	0	234540	0	31508	0	216925	0	21541	0	1135811	0	0	0
RUSSELL M HOWERTON MD
295714	0	300786	0	17547	0	19588	0	23390	0	657025	0	0	0
DOUGLAS L EDGETON
490485	0	162367	0	18217	0	18602	0	21058	0	710729	0	0	0
LISA M WYATT
282972	0	83494	0	27839	0	21549	0	9183	0	425037	0	0	0
SHEILA M SANDERS
333961	0	89145	0	1932	0	20247	0	19258	0	464543	0	0	0
EDWARD ABRAHAM MD
199490	0	375000	0	96185	0	81000	0	7901	0	759576	0	0	0
KAREN Q TURNER
230949	0	59365	0	7971	0	44793	0	15914	0	358992	0	0	0
BETTY PETREE
221427	0	30692	0	17096	0	51119	0	7175	0	327509	0	0	0
MICHAEL RIEKER
214156	0	28298	0	6037	0	14717	0	22175	0	285383	0	0	0
VANCE MCVAY JR
215950	0	0	0	321	0	22607	0	17636	0	256514	0	0	0
ERIC STIEFEL
207062	0	0	0	208	0	23290	0	17898	0	248458	0	0	0
CHARLES WARE
189593	0	21760	0	6841	0	82519	0	12608	0	313321	0	0	0
STEVE C SNELGROVE
251155	0	61652	0	16840	0	81277	0	34488	0	445412	0	0	0
RONALD H SMALL
147324	0	60658	0	125459	0	9427	0	6772	0	349640	0	0	0
ROBERT S PARKER SR
10840	0	21677	0	223436	0	198	0	7476	0	263627	0	15763	0
SHARON ENGEBRETSON
96570	0	27192	0	40851	0	49859	0	9798	0	224270	0	0	0
GINA B RAMSEY
0	0	0	0	121928	0	0	0	0	0	121928	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
PART I, LINE 1A	CERTAIN EXECUTIVES RECEIVE, AS PART OF THEIR APPROVED COMPENSATION PACKAGE,TAX INDEMNIFICATION AND GROSS-UP PAYMENTS, RELOCATION ASSISTANCE INCLUDING A HOUSING ALLOWANCE, AND HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES.
PART I, LINE 3	THE EXECUTIVE COMMITTEE OF THE WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER ("WFUBMC") BOARD OF DIRECTORS IS RESPONSIBLE FOR REVIEWING AND APPROVING ALL MEDICAL CENTER OFFICERS' COMPENSATION. THE COMMITTEE UTILIZED 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 EXECUTIVE 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 EXECUTIVE 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	NAME SEVERANCE NON-QUAL RETIRE RONALD H SMALL 93,096 17,822 MAUREEN E SINTICH 8,787 ROBERT S PARKER, SR. 198,462 21,449 DONNY C LAMBETH 1,623,420 GINA B RAMSEY 121,928
PART III	SCHEDULE J, PART III LAST YEAR, WAKE FOREST UNIVERSITY HEALTH SCIENCES (WFUHS), NORTH CAROLINA BAPTIST HOSPITAL (NCBH), WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER (WFUBMC) AND WAKE FOREST UNIVERSITY (WFU)) APPROVED A MEDICAL CENTER INTEGRATION AGREEMENT THAT ALLOWS FOR THE LEVERAGING OF COMBINED RESOURCES TO FULFIL A SINGLE MISSION OF IMPROVING HEALTH, OPTIMIZING PERFORMANCE WHILE BALANCING PATIENT CARE, EDUCATION AND RESEARCH. NCBH, WFUBMC, WFUHS AND ITS SUBSIDIARIES HAVE COMBINED OPERATING REVENUES OF APPROXIMATELY $2 BILLION FOR THE FISCAL YEAR ENDED JUNE 30, 2012. IN GENERAL, EXECUTIVES PERFORMING KEY MANAGEMENT FUNCTIONS WERE SOUGHT AND HIRED AFTER NATIONAL SEARCHES IN A HIGHLY COMPETITIVE ENVIRONMENT, AND ONLY INDIVIDUALS AT THE HIGHEST LEVELS OF ABILITY WERE SOUGHT, GIVEN THE TASK OF INITIATING AND IMPLEMENTING THE NEW MANAGEMENT STRUCTURE DESIGNED TO OPTIMIZE THE EFFECTIVENESS OF THE MEDICAL CENTER AND ITS TAX-EXEMPT MISSION. CERTAIN EXECUTIVES HOLD THE IDENTICAL OFFICES/TITLES IN WFUHS, NCBH AND WFUBMC ARE ELIGIBLE TO RECEIVE INCENTIVE COMPENSATION AT THE END OF EACH FISCAL YEAR. THE INCENTIVE STRUCTURE IS BASED UPON GOALS ESTABLISHED BY THE EXECUTIVE COMMITTEE OF THE FILING ORGANIZATION'S BOARD AT THE BEGINNING OF THE YEAR, INCLUDING MEASURES OF CLINICAL QUALITY, PATIENT SATISFACTION, AND FINANCIAL OPERATING PERFORMANCE. THE DETERMINATION OF THE AMOUNT OF INCENTIVE COMPENSATION IS SUBJECT TO THE FILING ORGANIZATION'S COMPENSATION PROCEDURES AS OUTLINED IN PART VI, SECTION B, LINE 15 OF THE 990. SCHEDULE J. PART I, LINE 4 - CERTAIN EXECUTIVES PARTICIPATE IN OR RECEIVE SEVERANCE PAYMENTS AND/OR PAYMENTS FROM SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLANS. THE DETERMINATION OF THE AMOUNT OF THE SEVERANCE AND/OR NON-QUALIFIED RETIREMENT PLAN PAYMENTS FOLLOW THE FILING ORGANIZATION'S COMPENSATION PROCEDURES AS OUTLINED ABOVE AND IN PART VI, SECTION B, LINE 15 OF THE FORM 990. FORM 990, PART VII, LINE 5 - COMPENSATION FROM UNRELATED ORGANIZATION THE FOLLOWING INDIVIDUALS 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 JOANNE C RUHLAND NORMAN D POTTER, JR. CHERYL E.H. LOCKE EDWARD G CHADWICK THOMAS E SIBERT, MD RUSSELL M HOWERTON, MD DOUGLAS L EDGETON LISA M WYATT SHEILA M SANDERS EDWARD ABRAHAM, MD	SUPPLEMENTAL INFORMATION

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	NORTH CAROLINA MEDICAL CARE COMMISSION	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	521309402	IssuerEIN
CUSIP Number	65820HD67	CUSIPNumber
Date Issued	2010-03-01	DateIssued
Issue Price	334002408	IssuePrice
Description Of Purpose	CURRENT REFUNDING	DescriptionOfPurpose
Defeased	0	Defeased
On Behalf Of Issuer	0	OnBehalfOfIssuer
Pool Financing	0	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Amount Retired	16154941	AmountRetired
Total Proceeds	334002408	TotalProceeds
Issuance Costs From Proceeds	3307037	IssuanceCostsFromProceeds
Other Spent Proceeds	330695370	OtherSpentProceeds
Year Of Subst Completion	2010	YearOfSubstCompletion
Current Refunding	1	CurrentRefunding
Advance Refunding	0	AdvanceRefunding
Final Allocation Made	1	FinalAllocationMade
Adequate Books And Recds Maintaind	1	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	0	OwningBondFinancedProperty
Any Lease Arrangements	0	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	0	MngmentCntrctBondFinancdPrprty
Any Research Agreements	0	AnyResearchAgreements
Post Issuance Compliance Procdrs	1	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	0	Form8038TFiled
Variable Rate Issue	0	VariableRateIssue
Hedge Identified In Books And Recds	1	HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

Field	Value	IRS element (for citing)
Business Name Line1	DEUTSCHE BANK AG	BusinessNameLine1

Field	Value	IRS element (for citing)
Term Of Hedge	5.000000000000	TermOfHedge
Superintegrated Hedge	0	SuperintegratedHedge
Hedge Terminated	0	HedgeTerminated
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGIC
Gross Proceeds Invested	0	GrossProceedsInvested
Exception To Rebate	1	ExceptionToRebate

Field	Value	IRS element (for citing)
Fed Tax Requirements Compliance	X	FedTaxRequirementsCompliance

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
DAVID E BRANN
FAMILY MEMBER OF DONNY LAMBETH	96443	COMPENSATION	0
JUDY M SLOCUM
FAMILY MEMBER OF MAUREEN SINTICH	52583	COMPENSATION	0
MEDCOST
BOARD MEMBER EDWARD CHADWICK	3275698	THIRD PARTY ADMINISTRATOR	0

Schedule M IRS990ScheduleM

Books And Publications BooksAndPublications

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Noncash Contribs Rptd F990	4003	NoncashContribsRptdF990
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Description	OTHER EQUIP	Description
Number Of Contributions	4	NumberOfContributions
Noncash Contribs Rptd F990	41663	NoncashContribsRptdF990
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Number Of8283 Received	0	NumberOf8283Received
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	1	ReviewProcessUnusualNCGifts
Third Parties Used	0	ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

Field	Value	IRS element (for citing)
Identifier	METHOD FOR DETERMINING NUMBER OF CONTRIBUTORS:	Identifier
Return Reference	PART I, COLUMN (B):	ReturnReference
Explanation	NUMBER OF CONTRIBUTORS WAS USED IN PART I, COLUMN (B).	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2	EDWARD G. CHADWICK, H. GREGORY BRAY, AND STEVEN C. SNELGROVE HAVE A BUSINESS RELATIONSHIP THROUGH THEIR BOARD/LEADERSHIP POSITION IN MEDCOST, LLC, AN UNRELATED ORGANIZATION.
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 NOW A MEMBERSHIP NONPROFIT CORPORATION WHOSE TWO EQUAL MEMBERS ARE NCBH AND WFU. THIS 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 WFUHS') BOARDS, MANDATED CHANGES IN THE GOVERNANCE DOCUMENTS OF EACH ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11	THE FILING ORGANIZATION'S BOARD OF DIRECTORS RECEIVES COPIES OF THE FORM 990 WITH SUFFICIENT TIME TO PERMIT REVIEW, COMMENT, AND QUESTIONS PRIOR TO ITS FILING. THE AUDIT AND COMPLIANCE COMMITTEES OF THE GOVERNING BOARDS 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 DIRECTORS 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 DIRECTORS 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 APPLICABLE INTERNAL AUDIT AND COMPLIANCE OFFICES REVIEW THE COMPLETED QUESTIONNAIRES ON BEHALF OF THE FILING ORGANIZATION. ANY CONFLICTS IDENTIFIED ARE COMMUNICATED TO THE FILING ORGANIZATION'S CEO AND ARE PRESENTED TO THE APPLICABLE AUDIT AND COMPLIANCE COMMITTEES (ANY POTENTIAL CONFLICT REPORTED BY THE CEO IS COMMUNICATED TO THE FILING ORGANIZATION'S BOARD CHAIR). ALL CONFLICTS OF INTEREST ARE RESOLVED BY MANAGEMENT PLANS DEVELOPED BY SUCH BOARDS' AUDIT AND COMPLIANCE COMMITTEES AND THE APPLICABLE INTERNAL AUDIT AND COMPLIANCE OFFICES. THE AUDIT AND COMPLIANCE COMMITTEES' CHAIRS PRESENT AN ANNUAL REPORT ON CONFLICTS TO THE FULL BOARDS OF THE APPLICABLE ORGANIZATIONS.
FORM 990, PART VI, SECTION B, LINE 15	THE FILING ORGANIZATION'S EXECUTIVE COMMITTEE OF ITS BOARD OF DIRECTORS FUNCTIONS AS THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND PURSUANT TO A DELEGATION BY SUCH OTHER ENTITIES, REVIEWS AND APPROVES THE APPOINTMENT AND COMPENSATION OF THE SENIOR EXECUTIVES OF WFUHS, WFUBMC, AND THE FILING ORGANIZATION. THE EXECUTIVE 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 EXECUTIVE 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 (AND WFUHS AND NCBH) POLICIES, IRS REGULATIONS, AND STANDARD CORPORATE GOVERNANCE PRACTICES. SUCH POLICIES INCLUDE ADHERENCE TO: BOARD-ESTABLISHED EXECUTIVE COMPENSATION PHILOSOPHY AND REVIEW PROCESSES; PROCESSES ENSURING EXECUTIVE 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 EXECUTIVE 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 EXECUTIVE 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 - AVERAGE HOURS FOR RELATED ORGANIZATIONS ARTHUR A GIBEL FILING ORG 6 RELATED ORG 2 KATHRYN H HAMRICK FILING ORG 4 RELATED ORG 2 ERNEST L EVANS FILING ORG 4 RELATED ORG 2 R MICHAEL WELLS FILING ORG 4 RELATED ORG 2 A WILLIAM BLACKSTOCK, JR. MD FILING ORG 4 RELATED ORG 2 KENNETH W LEWIS FILING ORG 4 RELATED ORG 2 WILLIAM C WARDEN, JR. FILING ORG 4 RELATED ORG 6 SHEREE B WATSON FILING ORG 4 RELATED ORG 2 KATY M BOLES FILING ORG 4 RELATED ORG 2 RAY N HOWELL, III D. MIN FILING ORG 4 RELATED ORG 2 RON KESSINGER FILING ORG 6 RELATED ORG 2 STEPHEN L ROBERTSON FILING ORG 4 RELATED ORG 2 EDWIN L WELCH, JR. FILING ORG 4 RELATED ORG 2 H GREG BRAY FILING ORG 30 RELATED ORG 10 J MCLAIN WALLACE, JR FILING ORG 35 RELATED ORG 5 KAREN H HUEY FILING ORG 24 RELATED ORG 5 UNRELATED ORG 11 STEVE C SNELGROVE FILING ORG 30 RELATED ORG 10 MAUREEN E SINTICH FILING ORG 33 RELATED ORG 7 DONNY C LAMBETH FILING ORG 10 RELATED ORG 30 SHARON ENGEBRETSON FILING ORG 36 RELATED ORG 4 JOANNE C RUHLAND FILING ORG 20 RELATED ORG 5 UNRELATED ORG 15 NORMAN D POTTER, JR. FILING ORG 20 RELATED ORG 5 UNRELATED ORG 15 CHERYL E.H. LOCKE FILING ORG 26 RELATED ORG 5 UNRELATED ORG 9 EDWARD G CHADWICK FILING ORG 23 RELATED ORG 7 UNRELATED ORG 10 THOMAS E SIBERT, MD FILING ORG 20 RELATED ORG 11 UNRELATED ORG 9 RUSSELL M HOWERTON, MD FILING ORG 20 RELATED ORG 5 UNRELATED ORG 15 DOUGLAS L EDGETON FILING ORG 1.0 UNRELATED ORG 39.0 LISA M WYATT FILING ORG 18 RELATED ORG 5 UNRELATED ORG 17 SHEILA M SANDERS FILING ORG 26 RELATED ORG 5 UNRELATED ORG 9 JOHN D MCCONNELL, MD FILING ORG 20.3 RELATED ORG 10.7 UNRELATED ORG 9 EDWARD ABRAHAM, MD FILING ORG 5 UNRELATED ORG 35 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 XI, LINE 5:	NET UNREALIZED LOSSES ON INVESTMENTS: -77,306,216. CHANGE IN PENSION LIABILITY -39,886,400. CHANGE IN VALUE OF INTEREST RATE SWAP 54,648. AFFILIATE EARNINGS & TRANSFERS 3,085,783. TOTAL TO FORM 990, PART XI, LINE 5: -114,052,185.	CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg	Direct Controlling Entity NADirectControllingEntityNA
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	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	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	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	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
CENTER FOR CONGREGATIONAL HEALTH INC
MEDICAL CENTER BLVD	WINSTON SALEM	NC	27157	237426944	HEALTHCARE	NC	501(C)(3)	LINE 9	NORTH CAROLINA BAPTIST HOSPITAL	1
DAVIE COUNTY EMERGENCY HEALTH CORPORATION
223 HOSPITAL STREET	MOCKSVILLE	NC	27028	562276994	HEALTHCARE	NC	501(C)(3)	LINE 3	NORTH CAROLINA BAPTIST HOSPITAL	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

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	1	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (10 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION
A	189966	COST
THE HAWTHORNE INN & CONFERENCE CENTER INC
J	227760	COST
THE HAWTHORNE INN & CONFERENCE CENTER INC
O	43271	COST
CARENET INC
P	2690773	ACCRUED EXPENSE
CENTER FOR CONGREGATIONAL HEALTH INC
P	174633	ACCRUED EXPENSE
DAVIE COUNTY EMERGENCY HEALTH CORP
P	986224	ACCRUED EXPENSE
NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION
P	354472	ACCRUED EXPENSE
THE HAWTHORNE INN & CONFERENCE CENTER INC
R	500000	COST
DAVIE COUNTY EMERGENCY HEALTH CORP
K	62512	COST
NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION
R	468483	COST