2025-11-17T05:43:49-06:00 2024-12-31 990 2024-01-01 561903275 WAKE FOREST EMERGENCY PROVIDERS WAKE 3367164445 MEDICAL CENTER BOULEVARD WINSTONSALEM NC 27157 BRADLEY A CLARK TREASURER 3367164445 2025-11-12 0 2024 2025-03-06 01:10:19Z CHADWICK MILLER MD MEDICAL CENTER BOULEVARD WINSTONSALEM NC 27157 118762167 0 X WWW.WAKEHEALTH.EDU X 1994 NC PROMOTION OF HEALTH FOR ALL RESIDENTS OF THE COMMUNITIES OF NORTH CAROLINA 5 4 643 5 0 0 0 0 90530146 118762167 0 0 0 0 90530146 118762167 7813 52449 0 0 86269504 112885394 0 0 0 3452486 7545345 89729803 120483188 800343 -1721021 25495120 28642630 26696282 31564813 -1201162 -2922183 X THE FILING ORGANIZATION IS DEDICATED TO PROVIDING EMERGENCY HEALTH CARE TO THE COMMUNITY. THE ORGANIZATION'S PRIMARY PURPOSE IS THE PROMOTION OF HEALTH FOR ALL RESIDENTS OF THE COMMUNITIES SERVED. 0 0 118584700 52449 118762167 SEE SCHEDULE O 118584700 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 643 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 4 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X ATRIUM HEALTH WAKE FOREST BAPTIST 3367164445 MEDICAL CENTER BOULEVARD WINSTON SALEM NC 27157 X CHADWICK MILLER MD CHAIR & PRESIDENT 12.00 28.00 X X 0 820222 65456 PIERCE HIBMA MD DIRECTOR 40.00 0.00 X 653824 0 56017 STEPHAN L LILLIE DIRECTOR & TREASURER 1.00 39.00 X X 0 0 0 MICHAEL T WAID DIRECTOR 1.00 39.00 X 0 0 0 J MCLAIN WALLACE JR DIRECTOR & SECRETARY 1.00 39.00 X X 0 0 0 KEVIN STEINL PHYSICIAN 40.00 0.00 X 0 671397 60128 JOSHUA ZAVITZ PHYSICIAN 40.00 0.00 X 0 613938 58429 ANKIT NANAVATI PHYSICIAN 40.00 0.00 X 576715 0 51646 ROBERT KINNER PHYSICIAN 40.00 0.00 X 567186 0 59471 ROSS KUHNER PHYSICIAN 40.00 0.00 X 530602 0 60513 2328327 2105557 411660 414 0 1 0 ZOTEC PARTNERS LLC PO BOX 2288 INDIANAPOLIS IN 462062288 REVENUE CYCLE MANAGEMENT SERVICES 2568781 1 PATIENT SERVICE REVENUE 621990 118762167 118762167 118762167 118762167 118762167 0 0 52449 52449 94749646 93206850 1542796 6102918 6001901 101017 5935313 5837069 98244 6097517 5996589 100928 5906624 5906624 7664 6417 1247 210275 191537 18738 72290 65848 6442 2459 2240 219 231803 211147 20656 215482 207607 7875 825325 825325 MEDICAL SUPPLIES 69756 69756 OTHER SUPPLIES 3667 3341 326 120483188 118584700 1898488 0 6346342 7861704 19148778 20780926 25495120 28642630 25962868 30817860 271888 271888 461526 475065 26696282 31564813 X -1201162 -2922183 -1201162 -2922183 25495120 28642630 -1721021 0 X 0 1 X 1 0 X 0 0 HEALTH INSURANCE RESERVES 475065 475065 X PART X, LINE 2: THE ORGANIZATION HAS EVALUATED UNCERTAIN TAX POSITIONS FOR ITS CALENDAR YEARS ENDED DECEMBER 31, 2024 AND 2023, 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 CALENDAR YEARS ENDED DECEMBER 31, 2024 AND 2023. 1 CABARRUS HEALTHCARE FOUNDATION 920 CHURCH STREET NORTH CONCORD NC 28025 582055709 501(C)(3) 33200 0 PROGRAM SUPPORT CATAWBA MEDICAL FOUNDATION INC 810 FAIRGROVE CHURCH ROAD SE HICKORY NC 28602 581680281 501(C)(3) 12813 0 PROVIDE SUPPORT FOR CATAWBA VALLEY MEDICAL CENTER 2 0 PART I, LINE 2: THE FILING ORGANIZATION FOLLOWS THE CORPORATE POLICY USED BY WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER (TO WHICH ENTITY THE OPERATION OF THE SUBSIDIARIES OF WAKE FOREST UNIVERSITY HEALTH SCIENCES (WFUHS) (INCLUDING THE FILING ORGANIZATION) AND NORTH CAROLINA BAPTIST HOSPITAL (NCBH) HAS BEEN DELEGATED) IN REVIEWING ELIGIBILITY AND SELECTION OF GRANTEES RECEIVING CERTAIN EXEMPT PURPOSE FUNDS. THE ORGANIZATION MAINTAINS DOCUMENTATION OF THE ELIGIBILITY AND SELECTION CRITERIA AND RECORDS OF AMOUNTS DISBURSED. 0 0 0 0 0 0 0 0 0 CHADWICK MILLER MD CHAIR & PRESIDENT 0 708510 0 110079 0 1633 0 25009 0 40447 0 885678 0 0 KEVIN STEINL PHYSICIAN 0 647321 0 0 0 24076 0 25992 0 34136 0 731525 0 0 PIERCE HIBMA MD DIRECTOR 653361 0 0 0 463 0 25992 0 30025 0 709841 0 0 0 JOSHUA ZAVITZ PHYSICIAN 0 591734 0 0 0 22204 0 25607 0 32822 0 672367 0 0 ANKIT NANAVATI PHYSICIAN 552100 0 700 0 23915 0 25814 0 25832 0 628361 0 0 0 ROBERT KINNER PHYSICIAN 547490 0 350 0 19346 0 25556 0 33915 0 626657 0 0 0 ROSS KUHNER PHYSICIAN 524228 0 0 0 6374 0 25819 0 34694 0 591115 0 0 0 PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS THE FILING ORGANIZATION IS DEDICATED TO PROVIDING EMERGENCY HEALTH CARE TO THE COMMUNITY. THE ORGANIZATION'S PRIMARY PURPOSE IS THE PROMOTION OF HEALTH FOR ALL RESIDENTS OF THE COMMUNITIES SERVED. THE ORGANIZATION PROVIDES COMPREHENSIVE, COMPASSIONATE, APPROPRIATE, AND RATIONAL MEDICAL CARE TO PATIENTS IN HOSPITAL EMERGENCY ROOMS. THE ORGANIZATION'S PHYSICIANS PARTICIPATE IN BOTH MEDICAID AND MEDICARE PROGRAMS AT ALL OF ITS EMERGENCY DEPARTMENT SITES ON A NON-DISCRIMINATORY BASIS. THE ORGANIZATION FOLLOWS A FINANCIAL ASSISTANCE POLICY, WHICH USES A COMPARISON OF HOUSEHOLD INCOME TO FEDERAL POVERTY GUIDELINES, AMONG OTHER CRITERIA, TO DETERMINE ELIGIBILITY FOR FREE AND DISCOUNTED CARE FOR ITS PATIENTS. FOR THE CALENDAR YEAR ENDED DECEMBER 31, 2024, WAKE FOREST EMERGENCY PROVIDERS RECORDED 717,310 EMERGENCY DEPARTMENT VISITS. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE FILING ORGANIZATION IS WAKE FOREST UNIVERSITY HEALTH SCIENCES. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS IS ELECTED BY THE SOLE MEMBER. THE MEMBER MAY BY RESOLUTION FIX THE NUMBER OF DIRECTORS TO BE ELECTED, BUT IN THE ABSENCE OF SUCH A RESOLUTION, THE NUMBER OF DIRECTORS ELECTED BY THE MEMBER SHALL CONSTITUTE THE NUMBER OF DIRECTORS OF THE CORPORATION UNTIL THE NEXT ANNUAL MEETING, UNLESS THE NUMBER IS CHANGED BY ACTION OF THE MEMBER. DIRECTORS MAY BE REMOVED FROM OFFICE AT ANY TIME WITH OR WITHOUT CAUSE BY THE MEMBER. 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 FILING ORGANIZATION REQUIRES ITS OFFICERS, DIRECTORS AND ANY KEY EMPLOYEES TO REVIEW THE CONFLICT OF INTEREST POLICY AND DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST ANNUALLY AND AS THEY ARISE. ANY ITEMS DISCLOSED ARE REVIEWED AND MANAGED IN ACCORDANCE WITH THE FILING ORGANIZATION'S POLICY ON CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE FILING ORGANIZATION PAYS NO COMPENSATION TO DIRECTORS FOR THEIR EFFORT DEVOTED TO THE ORGANIZATION. CERTAIN OFFICERS AND DIRECTORS ARE EMPLOYED BY RELATED ORGANIZATION, WAKE FOREST UNIVERSITY HEALTH SCIENCES (WFUHS). THE DETERMINATION OF THE COMPENSATION OF SUCH INDIVIDUALS IS CONDUCTED VIA THE PROCESS UTILIZED BY THE WFUBMC BOARD, AS FOLLOWS: THE ADVOCATE HEALTH COMPENSATION AND BENEFITS COMMITTEE ("THE COMMITTEE") OF THE ADVOCATE HEALTH, INC. BOARD OF DIRECTORS ("THE BOARD") HAS AUTHORITY AS THE WFUBMC BOARD DELEGATES TO IT, FOR THE REVIEW AND APPROVAL OF EXECUTIVE COMPENSATION. NO MEMBER OF THE COMMITTEE IS AN EMPLOYEE OF WFUBMC OR THE FILING ORGANIZATION. THE COMMITTEE RELIES UPON AN EXTERNAL, INDEPENDENT COMPENSATION CONSULTANT RETAINED DIRECTLY BY THE COMMITTEE TO PROVIDE THIRD-PARTY COMPENSATION COMPARABILITY DATA FOR EVALUATING THE COMPETITIVENESS AND REASONABLENESS OF EXECUTIVE COMPENSATION AND BENEFITS PROGRAMS RELATIVE TO MARKET PRACTICES FOR SIMILARLY SITUATED HEALTHCARE ORGANIZATIONS. IN EVALUATING COMPENSATION, THE COMMITTEE FOLLOWS CORPORATE GOVERNANCE BEST PRACTICE SUCH AS ADHERENCE TO THE COMPANY'S EXECUTIVE COMPENSATION PHILOSOPHY AND REVIEW PROCESSES; PROCESSES TO ENSURE COMMITTEE MEMBER AND COMPENSATION CONSULTANT INDEPENDENCE; DATA FROM HEALTHCARE ORGANIZATIONS OF COMPARABLE 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 ADVOCATE HEALTH, INC. LEGAL DEPARTMENT. 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 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. WFUHS IS AN ORGANIZATION 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 A RELATED ORGANIZATION (WFUHS) AND/OR TO UNRELATED ORGANIZATIONS (WFUBMC, NCBH, AND AHI). WAKE FOREST UNIVERSITY PO BOX 7201 WINSTON SALEM NC 27109 560532138 EDUCATION NC 501(C)(3) LINE 2 N/A 0 WAKE FOREST UNIVERSITY HEALTH SCIENCES MEDICAL CENTER BOULEVARD WINSTON SALEM NC 27157 223849199 HEALTHCARE, EDUCATION, & RESEARCH NC 501(C)(3) LINE 2 WAKE FOREST UNIVERSITY 0 WAKE FOREST INNOVATION QUARTER CDC MEDICAL CENTER BOULEVARD WINSTON SALEM NC 27157 200177581 RESEARCH PARK DEVELOPMENT NC 501(C)(3) LINE 12A, I WAKE FOREST UNIVERSITY HEALTH SCIENCES 0 INNOVATION QUARTER MEDICAL CENTER BOULEVARD WINSTON SALEM NC 27157 061818498 RESEARCH PARK DEVELOPMENT NC 501(C)(3) LINE 12A, I WAKE FOREST UNIVERSITY HEALTH SCIENCES 0 WAKE FOREST INNOVATION QUARTER DEV CO MEDICAL CENTER BOULEVARD WINSTON SALEM NC 27157 562094067 RESEARCH PARK DEVELOPMENT NC 501(C)(6) WAKE FOREST UNIVERSITY HEALTH SCIENCES 0 WAKE FOREST UNIVERSITY HEALTH SCIENCES GROUP RETURN MEDICAL CENTER BOULEVARD WINSTON SALEM NC 27157 900222618 HEALTHCARE NC 501(C)(3) LINE 12A, I WAKE FOREST UNIVERSITY HEALTH SCIENCES 0 CHILDRESS INSTITUTE FOR PEDIATRIC TRAUMA MEDICAL CENTER BOULEVARD WINSTON SALEM NC 27157 463674691 HEALTHCARE RESEARCH NC 501(C)(3) LINE 7 WAKE FOREST UNIVERSITY HEALTH SCIENCES 0 REGENMED DEVELOPMENT ORGANIZATION MEDICAL CENTER BOULEVARD WINSTON SALEM NC 27157 202710571 HEALTHCARE RESEARCH NC 501(C)(3) LINE 7 WAKE FOREST UNIVERSITY HEALTH SCIENCES 0 VERGER FUND II LLC 751 W FOURTH STREET STE 410 WINSTON SALEM NC 27101 352514227 INVESTMENT NC N/A 0 0 WAKE FOREST TECHNOLOGY DEVELOPMENT PROGRAM LP 2520 MERIDIAN PARKWAY DURHAM NC 27713 475437596 INVESTMENT NC N/A 0 0 WAKE FOREST AMBULATORY VENTURES LLC (TO 83124) MEDICAL CENTER BOULEVARD WINSTON SALEM NC 27157 820777206 HEALTHCARE NC N/A 0 0 NORTH DISTRICT OWNERS ASSOCIATION MEDICAL CENTER BLVD WINSTON SALEM NC 27157 471128865 PROPERTY OWNERS ASSOCIATION NC N/A C 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0