2023-11-14T11:01:41-06:00 2022-12-31 990 2022-01-01 200177581 WAKE FOREST INNOVATION QUARTER CDC WAKE 3367164445 MEDICAL CENTER BOULEVARD WINSTONSALEM NC 27157 TERRY L HALES JR PRESIDENT 3367164445 2023-11-14 TERRY HALES JR 999009999 0 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z TERRY L HALES JR MEDICAL CENTER BOULEVARD WINSTONSALEM NC 27157 75036 0 X WWW.INNOVATIONQUARTER.COM X 2003 NC TO DEVELOP AND IMPROVE A LOW-INCOME COMMUNITY IN DOWNTOWN WINSTON-SALEM, NC AND ENGAGE IN ECONOMIC AND RELATED DEVELOPMENT OF A RESEARCH PARK 5 2 0 5 0 0 0 0 0 0 3 36 0 75000 3 75036 19000 0 0 0 0 0 0 0 0 9352 358 28352 358 -28349 74678 30504519 30504197 487500 412500 30017019 30091697 TO DEVELOP AND IMPROVE A LOW-INCOME COMMUNITY IN DOWNTOWN WINSTON-SALEM, NC, AND ENGAGE IN ECONOMIC AND RELATED DEVELOPMENT OF A RESEARCH PARK. 0 0 358 THE ORGANIZATION IS THE DRIVING FORCE BEHIND THE ESTABLISHMENT OF INNOVATION QUARTER, A GROWING URBAN-BASED DISTRICT FOR RESEARCH, BUSINESS AND EDUCATION IN BIOMEDICAL SCIENCE, INFORMATION TECHNOLOGY, CLINICAL SERVICES AND ADVANCED MATERIALS LOCATED IN DOWNTOWN WINSTON-SALEM. HOME TO MORE THAN 90 COMPANIES, 5 LEADING ACADEMIC INSTITUTIONS, 3,600 WORKERS, AND 1,800 STUDENTS, THE INNOVATION QUARTER CURRENTLY COMPRISES MORE THAN 2 MILLION SQUARE FEET OF OFFICE, LABORATORY AND EDUCATIONAL SPACE ON ITS 200 DEVELOPABLE ACRES. 358 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 5 2 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X ERIN KOEWING 3367164445 MEDICAL CENTER BOULEVARD WINSTONSALEM NC 27157 X ALLEN JOINES DIRECTOR 1.00 0.00 X 0 0 0 C DOUGLAS MAYNARD MD DIRECTOR 1.00 0.00 X 0 0 0 J MCLAIN WALLACE JR DIRECTOR, VP & TREASURER 2.00 38.00 X X 984139 0 159721 SUSAN R WENTE PHD DIRECTOR, CHAIR 1.00 39.00 X X 0 1398169 314071 TERRY L HALES JR DIRECTOR, PRESIDENT 2.00 38.00 X X 0 819018 146647 ANITA M CONRAD ASST SECRETARY 2.00 38.00 X 0 201322 43395 J REID MORGAN SECRETARY 2.00 38.00 X 0 647740 142213 NATHAN O HATCH PHD FORMER OFFICER (6/30/21) 0.00 0.00 X 0 965961 59341 984139 4032210 865388 0 1 1 1 0 36 36 75000 0 75000 75000 75000 75036 0 0 75036 358 358 358 358 0 0 6574 6611 10388 30497945 30487198 30504519 30504197 487500 412500 487500 412500 X 30017019 30091697 30017019 30091697 30504519 30504197 74678 0 X 0 1 X 1 0 X X 1 WFU HEALTH SCIENCES 223849199 2 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 DUE FROM RELATED PARTY 30487198 30487198 X PART X, LINE 2: THE ORGANIZATION HAS EVALUATED UNCERTAIN TAX POSITIONS FOR ITS CALENDAR YEAR ENDED DECEMBER 31, 2022 AND SHORT PERIOD ENDED DECEMBER 31, 2021, INCLUDING A QUANTIFICATION OF TAX RISK IN AREAS SUCH AS UNRELATED BUSINESS TAXABLE INCOME AND THE TAXATION OF ITS JOINT VENTURES. THIS EVALUATION DID NOT HAVE A MATERIAL EFFECT ON THE ORGANIZATION'S FINANCIAL STATEMENTS FOR THE CALENDAR YEAR ENDED DECEMBER 31, 2022 AND SHORT PERIOD ENDED DECEMBER 31, 2021. 0 1 0 0 0 0 0 0 0 SUSAN R WENTE PHD DIRECTOR, CHAIR 0 988512 0 280000 0 129657 0 240250 0 73821 0 1712240 0 0 J MCLAIN WALLACE JR DIRECTOR, VP & TREASURER 590200 0 252513 0 141426 0 144251 0 15470 0 1143860 0 116382 0 NATHAN O HATCH PHD FORMER OFFICER (6/30/21) 0 936358 0 0 0 29603 0 30500 0 28841 0 1025302 0 0 TERRY L HALES JR DIRECTOR, PRESIDENT 0 493678 0 222723 0 102617 0 115923 0 30724 0 965665 0 81185 J REID MORGAN SECRETARY 0 551895 0 75000 0 20845 0 105500 0 36713 0 789953 0 0 ANITA M CONRAD ASST SECRETARY 0 200926 0 0 0 396 0 21108 0 22287 0 244717 0 0 PART I, LINE 4B CERTAIN DIRECTORS AND OFFICERS OF THE FILING ORGANIZATION PARTICIPATED IN AND/OR RECEIVED PAYMENTS FROM A NON-QUALIFIED DEFERRED COMPENSATION PLAN (RESTORATION OR SERP). THE DETERMINATION OF THE PAYMENT AMOUNT FROM THE NON-QUALIFIED DEFERRED COMPENSATION PLANS FOLLOWED THE EMPLOYMENT ORGANIZATION'S COMPENSATION PROCEDURES. THE FOLLOWING DIRECTORS AND OFFICERS RECEIVED PAYMENTS FROM NON-QUALIFIED DEFERRED COMPENSATION PLANS DURING THE CURRENT TAX YEAR: TERRY L. HALES, JR. $81,185 J. MCLAIN WALLACE, JR. $116,382 SUSAN R. WENTE, PHD $225,000 J. REID MORGAN $75,000 FORM 990, PART VII, LINE 5 - COMPENSATION FROM UNRELATED ORGANIZATIONS J. MCLAIN WALLACE, JR. WAS COMPENSATED BY WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER FOR SERVICES RENDERED TO THE ORGANIZATION. SEE PART VII AND SCHEDULE J, PART II FOR HIS COMPENSATION. FORM 990, PART VI, SECTION A, LINE 6 WAKE FOREST UNIVERSITY HEALTH SCIENCES IS THE SOLE MEMBER OF THE FILING ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS OF THE BOARD OF DIRECTORS OF THE ORGANIZATION ARE APPOINTED BY THE GOVERNING BODY OF WAKE FOREST UNIVERSITY HEALTH SCIENCES OR BY A MEMBER OF THE GOVERNING BODY OR BY AN OFFICER OF WAKE FOREST UNIVERSITY HEALTH SCIENCES ACTING IN THEIR OFFICIAL CAPACITY, IN ACCORDANCE WITH PROCEDURES PRESCRIBED BY THE BOARD OF DIRECTORS OF WAKE FOREST UNIVERSITY HEALTH SCIENCES. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS OF THE ORGANIZATION'S GOVERNING BODY WHICH REQUIRE APPROVAL BY THE PARENT ORGANIZATION, WAKE FOREST UNIVERSITY HEALTH SCIENCES, INCLUDE AMENDMENTS TO THE ORGANIZATION'S GOVERNANCE DOCUMENTS (ARTICLES OF INCORPORATION AND BYLAWS), AND THE ELECTION AND REMOVAL OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE FILING ORGANIZATION'S BOARD OF DIRECTORS RECEIVES A COPY OF THE FORM 990 WITH SUFFICIENT TIME TO PERMIT REVIEW, COMMENT, AND QUESTIONS PRIOR TO ITS FILING. IF MODIFICATIONS ARE REQUIRED FOLLOWING SUCH REVIEW AND COMMENT, THE REVISED FORM 990 IS REDISTRIBUTED PRIOR TO ITS FILING WITH THE IRS, ALONG WITH A REPORT NOTING THE MODIFICATIONS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES ITS OFFICERS AND DIRECTORS TO DISCLOSE CONFLICTS OF INTEREST ANNUALLY, AND AS THEY ARISE. ANY ITEMS DISCLOSED ARE REVIEWED AND MANAGED IN ACCORDANCE WITH THE ORGANIZATION'S POLICY ON CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION PAYS NO COMPENSATION TO OFFICERS OR DIRECTORS; AS THE ORGANIZATION HAS NO EMPLOYEES, IT DOES NOT PAY ANY COMPENSATION TO ANY KEY EMPLOYEES. ALL COMPENSATION PAID TO THE FILING ORGANIZATION OFFICERS WAS PAID BY RELATED OR AFFILIATED ORGANIZATIONS AS EMPLOYEES OF SUCH ORGANIZATIONS. CERTAIN OFFICERS AND DIRECTORS OF THE FILING ORGANIZATION ARE EMPLOYED BY RELATED ORGANIZATIONS, WAKE FOREST UNIVERSITY HEALTH SCIENCES (WFUHS) AND WAKE FOREST UNIVERSITY (WFU) AND BY AN UNRELATED BUT AFFILIATED ORGANIZATION, WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER (WFUBMC). THE DETERMINATION OF THE COMPENSATION OF SUCH INDIVIDUALS IS CONDUCTED VIA THE PROCESS UTILIZED BY THE WFUBMC BOARD, AS FOLLOWS: THE DIVERSITY, INCLUSION, & COMPENSATION COMMITTEE (THE "COMMITTEE") OF THE ATRIUM HEALTH, INC. BOARD OF DIRECTORS HAS AUTHORITY AS THE WFUBMC BOARD DELEGATES TO IT, FOR THE REVIEW AND APPROVAL OF SENIOR EXECUTIVE COMPENSATION, INCLUDING SENIOR EXECUTIVE INCENTIVE PLANS. NO MEMBER OF THE COMMITTEE IS AN EMPLOYEE OF WFUBMC OR OF THE FILING ORGANIZATION. THE 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 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 HEALTHCARE ORGANIZATIONS. THE COMMITTEE MAKES ITS DECISIONS WITH RESPECT TO EXECUTIVE COMPENSATION IN ACCORDANCE WITH WFUBMC AND FILING ORGANIZATION POLICIES, IRS REGULATIONS, AND STANDARD CORPORATE GOVERNANCE PRACTICES. SUCH POLICIES INCLUDE ADHERENCE TO EXECUTIVE COMPENSATION PHILOSOPHY AND REVIEW PROCESSES; PROCESSES ENSURING COMMITTEE MEMBER AND COMPENSATION CONSULTANT INDEPENDENCE; USE OF VALID MARKET COMPARISONS OF DATA FROM HEALTHCARE ORGANIZATIONS OF SIMILAR SIZE, STRUCTURE, AND COMPLEXITY AND ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS, PER IRS GUIDELINES. MINUTES OF THE DELIBERATIONS OF THE COMMITTEE ARE MAINTAINED IN THE ATRIUM HEALTH, INC. LEGAL DEPARTMENT. FOUR OF THE FILING ORGANIZATION'S OFFICERS, DIRECTORS OR FORMER OFFICERS ARE COMPENSATED BY A RELATED ORGANIZATION, WAKE FOREST UNIVERSITY ("WFU"), AND THEIR COMPENSATION IS REVIEWED AND APPROVED IN ACCORDANCE WITH WFU'S SIMILAR PROCEDURES. 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 AVAILABLE TO THE PUBLIC ON REQUEST. FORM 990, PART VII, SECTION A, COLUMN(B), AVERAGE HOURS PER WEEK J. REID MORGAN FILING ORG 2.0 RELATED ORG 29.0 UNRELATED ORG 9.0 TERRY L. HALES, JR. FILING ORG 2.0 RELATED ORG 38.0 ANITA M. CONRAD FILING ORG 2.0 RELATED ORG 34.0 UNRELATED ORG 4.0 J. MCLAIN WALLACE, JR. FILING ORG 2.0 RELATED ORG 7.7 UNRELATED ORG 30.3 ALLEN JOINES FILING ORG 1.0 C. DOUGLAS MAYNARD, MD FILING ORG 1.0 SUSAN R. WENTE, PHD FILING ORG 1.0 RELATED ORG 32.5 UNRELATED ORG 6.5 NATHAN O. HATCH, PHD FILING ORG 0 RELATED ORG 0 A MEDICAL CENTER INTEGRATION AGREEMENT ("MCIA") WAS ORIGINALLY ENTERED INTO IN 2010 AMONG FOUR PARTIES: WAKE FOREST UNIVERSITY ("WFU"), WAKE FOREST UNIVERSITY HEALTH SCIENCES ("WFUHS"), WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER ("WFUBMC"), AND NORTH CAROLINA BAPTIST HOSPITAL ("NCBH"). PURSUANT TO THE TERMS OF THE ORIGINAL MCIA, THE OPERATION OF WFUHS AND NCBH, AND ALL OF THE RESPECTIVE SUBSIDIARIES OF EACH, IS DELEGATED TO WFUBMC. ADDITIONALLY, THE CORPORATE OFFICERS OF WFUBMC GENERALLY SERVE AS THE CORPORATE OFFICERS OF WFUHS AND NCBH. THE MCIA WAS REVISED AND RESTATED IN 2020 TO DELEGATE OVERSIGHT AND MANAGEMENT AUTHORITY OVER WFUBMC TO ATRIUM HEALTH, INC. ("AHI"). CERTAIN DIRECTORS AND/OR CORPORATE OFFICERS OF WFUHS, NCBH, & WFUBMC ALSO SERVE AS DIRECTORS OR CORPORATE OFFICERS OF AHI. WFU AND WFUHS ARE ORGANIZATIONS RELATED TO THE FILING ORGANIZATION. NCBH, WFUBMC, AND AHI ARE ORGANIZATIONS UNRELATED TO THE FILING ORGANIZATION. THUS, CERTAIN DIRECTORS AND OFFICERS OF THE FILING ORGANIZATION DEVOTE HOURS TO RELATED ORGANIZATIONS (WFU & WFUHS) AND UNRELATED ORGANIZATIONS (WFUBMC, NCBH, AND AHI) AS SHOWN IN THE BREAKDOWN OF HOURS ABOVE. 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