Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 07-01-2010 and ending 06-30-2011
BCheck if applicable:
CName of organization
WAKE FOREST UNIVERSITY HEALTH SCIENCES
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
MEDICAL CENTER BLVD
 
Room/suite
City or town, state or country, and ZIP + 4
WINSTONSALEM, NC27157
D Employer identification number

22-3849199
E Telephone number

G Gross receipts $ 790,822,539
F Name and address of principal officer:
JOHN D MCCONNELL MD
MEDICAL CENTER BLVD
WINSTON SALEM,NC27157
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WAKEHEALTH.EDU
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 2001
M State of legal domicile: NC
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: IMPROVING THE HEALTH OF OUR REGION, STATE, AND NATION.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 18
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 10
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 5,411
6 Total number of volunteers (estimate if necessary) .... 6 0
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 4,282
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b 2,954
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 212,511,688 237,283,114
9 Program service revenue (Part VIII, line 2g) ......... 425,536,731 426,496,897
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 30,640,683 55,417,506
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 89,696,869 69,275,712
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 758,385,971 788,473,229
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 32,722,499 35,900,212
14 Benefits paid to or for members (Part IX, column (A), line 4) .... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 445,260,062 444,943,001
16a Professional fundraising fees (Part IX, column (A), line 11e).... 455,156 370,978
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet5,137,532    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 267,584,991 258,160,099
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 746,022,708 739,374,290
19 Revenue less expenses. Subtract line 18 from line 12...... 12,363,263 49,098,939
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 982,135,270 1,084,323,226
21 Total liabilities (Part X, line 26)............ 534,554,145 545,355,496
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 447,581,125 538,967,730
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signatureBig Right Arrow 		Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4Big Right Arrow




 		EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER'S 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; SERVING AS THE PREMIER HEALTH SYSTEM IN OUR REGION, WITH SPECIFIC CENTERS OF EXCELLENCE RECOGNIZED AS NATIONAL AND INTERNATIONAL CARE DESTINATIONS.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 188,731,882 including grants of $   ) (Revenue $ 193,891,249 )
MEDICAL RESEARCH, GENERAL/OTHER: RESEARCH COMPRISED OF BASIC SCIENCE CLINICAL RESEARCH AND POPULATION BASED STUDIES AND IS CENTERED ON THE ACQUISITION AND ADVANCEMENT OF SCIENTIFIC KNOWLEDGE AND NEW TECHNOLOGY AND THEIR TRANSFER TO INDUSTRY AND THE PATIENT IN ORDER TO PREVENT AND TREAT DISEASE AND PROMOTE HEALTH (2001 GRANTS).
4b (Code:   ) (Expenses $ 394,638,677 including grants of $   ) (Revenue $ 395,679,723 )
PATIENT CARE, GENERAL/OTHER:MEDICAL EXPENSES IN PROVIDING SERVICES TO 721,397 PATIENT ENCOUNTERS.
4c (Code:   ) (Expenses $ 97,483,732 including grants of $   ) (Revenue $ 19,038,469 )
PROFESSIONAL EDUCATION: INSTRUCTION OF APPROX. 972 MEDICAL, GRADUATE, AND PHYSICIAN ASSISTANT STUDENTS. SCHOLARSHIPS PROVIDED TO 599 STUDENTS.
(Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
PROFESSIONAL EDUCATION: INSTRUCTION OF APPROX. 912 MEDICAL, GRADUATE, AND PHYSICIAN ASSISTANT STUDENTS. SCHOLARSHIPS PROVIDED TO 599 STUDENTS.
4d Other program services. (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet$ 680,854,291
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part IIClick to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part IClick to see attachment.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
Yes
 
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
Yes
 
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule EClick to see attachment
13
Yes
 
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I......... Click to see attachment
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II.. Click to see attachment
15
Yes
 
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III.. Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part IClick to see attachment
17
Yes
 
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II.......... Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III................... Click to see attachment
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H.....
20a
 
No
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. .....
20b
 
 
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment
22
Yes
 
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................ Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I...... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................ Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II........................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III............... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV................... Click to see attachment
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV.. Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule MClick to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............ Click to see attachment
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I........................... Click to see attachment
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
Yes
 
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
952
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
5,411
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
Yes
 
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
Yes
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
Yes
 
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
18
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
10
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
Yes
 
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
Yes
 
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
Yes
 
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
Yes
 
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
NC
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
DOUGLAS E LISCHKE CONTROLLER
MEDICAL CENTER BLVD
WINSTON SALEM,NC27157
(336) 716-4445
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) DONALD E FLOW
CHAIR OF BOARD
 6.00 X           0 0 0
(2) DONNA A BOSWELL PHD
VICE CHAIR OF BOARD
 4.00 X           0 0 0
(3) JAMES R HELVEY III
DIRECTOR
 4.00 X           0 0 0
(4) ANDREW J SCHINDLER
DIRECTOR
 4.00 X           0 0 0
(5) MITESH BHARAT SHAH
DIRECTOR
 4.00 X           0 0 0
(6) JAMES T WILLIAMS JR
DIRECTOR
 4.00 X           0 0 0
(7) KYLE A YOUNG MD
DIRECTOR
 4.00 X           0 0 0
(8) GRAHAM F BENNETT
DIRECTOR
 4.00 X           0 0 0
(9) RICHARD A BRENNER
DIRECTOR
 4.00 X           0 0 0
(10) GRAHAM W DENTON JR
DIRECTOR
 4.00 X           0 0 0
(11) DENISE JAMES GATLING
DIRECTOR
 4.00 X           0 0 0
(12) ROBERT E GREENE
DIRECTOR
 4.00 X           0 0 0
(13) J ANDREWS HANCOCK III
DIRECTOR
 4.00 X           0 0 0
(14) ANN S HANES
DIRECTOR
 4.00 X           0 0 0
(15) JAMES DENMAN SHELTON
DIRECTOR
 4.00 X           0 0 0
(16) STEPHEN T WILLIAMS
DIRECTOR
 4.00 X           0 0 0
(17) NATHAN O HATCH PHD
DIRECTOR & PRESIDENT OF WFU
 3.00 X   X       0 1,342,373 116,126
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) JOHN D MCCONNELL MD
DIRECTOR & CEO
 11.00 X   X       1,875,612 0 624,197
(19) WILLIAM B APPLEGATE MD
PRESIDENT & DEAN
 30.00     X       643,438 0 100,103
(20) DOUGLAS L EDGETON
EXECUTIVE VP MED CTR ADMINISTRATION
 15.00     X       613,769 0 41,279
(21) J REID MORGAN
SECRETARY & GENERAL COUNSEL
 5.00     X       0 365,229 49,026
(22) ANITA M CONRAD
ASSISTANT SECRETARY
 8.00     X       0 147,521 29,206
(23) EDWARD G CHADWICK
EXECUTIVE VP CFO & TREASURER
 14.00     X       730,805 0 243,782
(24) TERRY L HALES JR
ASSISTANT TREASURER
 24.60     X       441,097 0 59,536
(25) THOMAS E SIBERT MD
PRESIDENT & COO OF HEALTH SYSTEM
 8.00     X       740,478 0 254,655
(26) RUSSELL M HOWERTON MD
CHIEF MEDICAL OFFICER
 15.00     X       580,706 0 51,108
(27) LISA M WYATT
VP CH COMMUNICATIONS/MARKETING OFFICER
 9.00     X       334,084 0 30,629
(28) CHERYL E H LOCKE
VP CHIEF HUMAN RESOURCES OFFICER
 9.00     X       710,536 0 34,116
(29) SHEILA M SANDERS
VP CHIEF INFORMATION OFFICER
 9.00     X       381,555 0 45,230
(30) NORMAN D POTTER JR
VP DEVELOPMENT & ALUMNI AFFAIRS
 9.00     X       222,258 0 37,771
(31) KAREN H HUEY
VP FACILITIES
 9.00     X       229,431 0 59,613
(32) JOANNE C RUHLAND
VP GOVERNMENT AFFAIRS
 9.00     X       210,942 0 35,556
(33) NEAL KON MD
DEPARTMENT CHAIR
 40.00         X   1,047,191 0 41,940
(34) ROSS UNGERLEIDER MD
CHIEF, PEDIATRIC HEART PROGRAM
 40.00         X   1,006,974 0 162,958
(35) EDWARD KINCAID MD
ASSOCIATE PROFESSOR
 40.00         X   790,382 0 45,651
(36) MALCOLM MARKS MD
DEPARTMENT CHAIR
 40.00         X   735,850 0 41,942
(37) CHARLES BRANCH JR MD
DEPARTMENT CHAIR
 40.00         X   710,740 0 41,804
(38) LAWRENCE D HOPKINS MD
FORMER DIRECTOR
 40.00           X 163,860 0 34,661
(39) RAYMOND C ROY MD
FORMER KEY EMPLOYEE
 40.00           X 265,137 0 38,562
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 12,434,845 1,855,123 2,219,451
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet978
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
Yes
 
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
NORTH CAROLINA BAPTIST HOSPITAL
MEDICAL CENTER BLVD
WINSTON SALEM,NC27157 		PURCHASED SERVICES 9,954,487
SHELCO INCORPORATED
PO BOX 25747
WINSTON SALEM,NC271145745 		PURCHASED SERVICES 7,014,060
DANN DORFMAN HERRELL & SKILLMAN
1601 MARKET ST SUITE 2400
PHILADELPHIA,PA191032307 		PURCHASED SERVICES 2,607,738
THE BUDD GROUP
1000 AMBLE DRIVE
CHARLOTTE,NC28206 		PURCHASED SERVICES 2,524,343
MEDCOST BENEFIT SERVICES
165 KIMEL PARK DRIVE
WINSTON SALEM,NC27103 		PURCHASED SERVICES 2,221,320
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet63
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a 6,266,434
b Membership dues....1b  
c Fundraising events....1c 298,628
d Related organizations...1d  
e Government grants (contributions)1e 193,981,249
f All other contributions, gifts, grants, and
similar amounts not included above1f 		36,736,803
g Noncash contributions included in lines 1a-1f:$ 1,072,549
h Total. Add lines 1a-1f.......MediumBullet 237,283,114
Program Service Revenue Business Code
2a PAYMENTS FOR MEDICAL S 621,110 407,458,428 407,454,146 4,282  
b TUITION AND FEES 611,710 19,038,469 19,038,469    
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 426,496,897
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 10,640,906 10,640,906    
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties............MediumBullet 67,401,957 67,401,957    
(i) Real (ii) Personal
6a Gross Rents 3,842,933  
b Less: rental expenses 1,670,318  
c Rental income or (loss) 2,172,615  
d Net rental income or (loss).......MediumBullet 2,172,615     2,172,615
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 44,776,600  
b Less: cost or other basis and sales expenses    
c Gain or (loss) 44,776,600  
d Net gain or (loss)..........MediumBullet 44,776,600     44,776,600
8a Gross income from fundraising events (not including
$ 298,628
of contributions reported on line 1c). See Part IV, line 18 ...
a 75,252
b Less: direct expenses ...b 370,978
c Net income or (loss) from fundraising events..MediumBullet -295,726   -295,726
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a 304,880
b Less: cost of goods sold ..b 308,014
c Net income or (loss) from sales of inventory..MediumBullet -3,134 -3,134    
Miscellaneous Revenue Business Code
11a            
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ......MediumBullet  
12 Total revenue. See Instructions....MediumBullet 788,473,229 504,532,344 4,282 46,653,489
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21 35,900,212 35,900,212
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 9,469,735 2,998,939 5,930,634 540,162
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 364,976,043 359,346,585 3,829,071 1,800,387
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 13,198,734 12,572,097 543,217 83,420
9 Other employee benefits ....... 37,398,319 35,796,086 1,350,490 251,743
10 Payroll taxes ........... 19,900,170 19,040,471 725,793 133,906
11 Fees for services (non-employees):        
a Management ...... 1,932,510 1,776,873 155,637  
b Legal ......... 5,180,907 2,428,142 2,729,945 22,820
c Accounting ........... 282,989 63,046 219,943  
d Lobbying ........... 770,103 770,103    
e Professional fundraising. See Part IV, line 17.. 370,978 370,978
f Investment management fees ......        
g Other .......... 53,176,323 45,059,672 7,047,108 1,069,543
12 Advertising and promotion .... 1,623,123 839,239 782,354 1,530
13 Office expenses ....... 93,609,845 89,699,608 3,335,332 574,905
14 Information technology ...... 6,055,082 5,598,769 453,629 2,684
15 Royalties ..        
16 Occupancy ........... 35,144,227 12,936,811 22,144,636 62,780
17 Travel ............ 8,555,122 7,910,063 474,840 170,219
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 5,089,467 4,720,043 327,124 42,300
20 Interest ........... 8,402,282 7,767,282 635,000  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 26,331,852 24,655,365 1,676,487  
23 Insurance .............. 11,979,058 10,947,676 1,021,227 10,155
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a MISCELLANEOUS 27,209 27,209    
b
c
d
e
f All other expenses        
25 Total functional expenses. Add lines 1 through 24f 739,374,290 680,854,291 53,382,467 5,137,532
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation 		       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 0 1  
2 Savings and temporary cash investments ....... 51,950,303 2 71,287,537
3 Pledges and grants receivable, net ......... 26,381,778 3 26,437,171
4 Accounts receivable, net ......... 68,478,608 4 65,536,248
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L .......... 0 5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L .......... 0 6  
7 Notes and loans receivable, net ............. 5,029,686 7 4,688,255
8 Inventories for sale or use .............. 260,104 8 262,233
9 Prepaid expenses and deferred charges ............ 801,876 9 445,490
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 594,678,266
b Less: accumulated depreciation. ..... 10b 306,251,291 267,662,349 10c 288,426,975
11 Investments—publicly traded securities .......... 81,134,617 11 54,478,882
12 Investments—other securities. See Part IV, line 11 ...... 378,819,377 12 450,236,482
13 Investments—program-related. See Part IV, line 11 .. 40,200,462 13 64,434,466
14 Intangible assets .........   14 2,000,000
15 Other assets. See Part IV, line 11 ........... 61,416,110 15 56,089,487
16 Total assets. Add lines 1 through 15 (must equal line 34)... 982,135,270 16 1,084,323,226
Liabilities 17 Accounts payable and accrued expenses . 71,163,990 17 108,200,989
18 Grants payable .......... 119,720 18 47,049
19 Deferred revenue .......... 45,385,290 19 79,566,579
20 Tax-exempt bond liabilities .......... 186,195,000 20 182,305,000
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties .. 53,310,113 23 54,502,248
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 178,380,032 25 120,733,631
26 Total liabilities. Add lines 17 through 25..... 534,554,145 26 545,355,496
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 279,875,658 27 355,951,437
28 Temporarily restricted net assets ..... 46,119,973 28 54,300,221
29 Permanently restricted net assets ..... 121,585,494 29 128,716,072
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 447,581,125 33 538,967,730
34 Total liabilities and net assets/fund balances ..... 982,135,270 34 1,084,323,226
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
788,473,229
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
739,374,290
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
49,098,939
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
447,581,125
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
42,287,666
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
538,967,730
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O............................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
Yes
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
WAKE FOREST UNIVERSITY HEALTH SCIENCES
 
Employer identification number

22-3849199
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(iv)
Is the organization in col. (i) listed in your governing document? 		(v)
Did you notify the organization in col. (i) of your support? 		(vi)
Is the organization in col. (i) organized in the U.S.? 		(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
WAKE FOREST UNIVERSITY HEALTH SCIENCES
 
Employer identification number

22-3849199
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
WAKE FOREST UNIVERSITY HEALTH SCIENCES
  		Employer identification number

22-3849199
Part I
Contributors (see Instructions)
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
WAKE FOREST UNIVERSITY HEALTH SCIENCES
  		Employer identification number

22-3849199
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
WAKE FOREST UNIVERSITY HEALTH SCIENCES
  		Employer identification number

22-3849199
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
WAKE FOREST UNIVERSITY HEALTH SCIENCES
 
Employer identification number

22-3849199
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
Organization's
Totals 		(b) Affiliated Group
Totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) Total
             
2a Lobbying non-taxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		         
             
c Total lobbying expenditures          
             
d Grassroots non-taxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		          
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2010


Schedule C (Form 990 or 990-EZ) 2010
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
Yes
 
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
Yes
 
664,465
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? If "Yes," describe in Part IV ..........................
 
No
 
j
Total. lines 1c through 1i ...................................
664,465
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
PART IV, SUPPLEMENTAL INFORMATION:   THE ORGANIZATION'S OFFICE OF GOVERNMENT RELATIONS WAS ACTIVELY INVOLVED WITH SEVERAL FEDERAL AND STATE ISSUES. THE OFFICE ASSISTED IN DEVELOPING POLITICAL ADVOCACY STRATEGIES REGARDING IMPLEMENTATION OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (P.L. 111-148) WHICH INCLUDED REVIEWS OF THE DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) GUIDANCE ON ESSENTIAL HEALTH BENEFITS; NOTICE OF PROPOSED RULEMAKING (NPR) ON ACCOUNTABLE CARE ORGANIZATIONS (ACO'S); NPR ON VALUE-BASED PURCHASING; MEDICARE AND MEDICAID DISPROPORTIONATE SHARE HOSPITAL (DSH) PAYMENT CHANGES; PENALTIES FOR HOSPITAL ACQUIRED CONDITIONS AND READMISSION PENALTIES; FUNDING FOR THE INDEPENDENT PAYMENT ADVISORY BOARD (IPAB) AND GEOGRAPHIC VARIATION IN MEDICARE SPENDING AND ACCURACY OF MEDICARE'S GEOGRAPHIC ADJUSTMENTS; ESTABLISHMENT OF THE CENTER FOR MEDICARE AND MEDICAID INNOVATION (CMMI); HEALTH CARE INNOVATION CHALLENGE GRANTS; INDEPENDENCE AT HOME DEMONSTRATION GRANTS; AND BUNDLED PAYMENT MODELS. STAFF WORKED ON THE FY2012 BUDGET; THE FY 2012 MEDICARE INPATIENT PROSPECTIVE PAYMENT SYSTEM NPR; LEGISLATION TO HELP REDUCE AND PREVENT DRUG SHORTAGES; MEDICARE PAYMENT ADVISORY COMMISSION'S DGME AND IME RECOMMENDATIONS; LEGISLATION TO INCREASE RESIDENCY SLOTS; AND MEDICARE PHYSICIAN PAYMENTS (SGR ADJUSTMENTS). STAFF ALSO WORKED ON MANY OF THE FY 2012 APPROPRIATIONS BILLS AND PROPOSED LEGISLATION AND REGULATIONS THAT WERE INTRODUCED, INCLUDING THE DEPARTMENT OF TRANSPORTATION; DEPARTMENT OF COMMERCE; STATE; JUSTICE; 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) TAX BILL FOR EMPLOYEE PENSIONS, CHARITABLE DONATIONS; (4) NIH APPROPRIATIONS AND FUNDING FOR HEALTH PROFESSIONS AND AHEC (5) CHANGES PROPOSED BY HHS REGARDING CONFLICT OF INTEREST RULES; (6) FALSE CLAIMS ACT AMENDMENTS; AND (7) PATENTS AND INTELLECTUAL PROPERTY ISSUES. AT THE STATE LEVEL, EFFORTS WERE CONCENTRATED ON: THE FY 2011-12 MEDICAID BUDGET INCLUDING MODIFYING FMAP REDUCTIONS; HOSPITAL MEDICAID ASSESSMENT/PAYMENT PROGRAM; MEDICAID PROVIDER REQUIREMENTS REGARDING FRAUD AND ABUSE; TORT REFORM FOR CITIZENS AND BUSINESSES; WORKERS COMPENSATION REFORM; MEDICAL MALPRACTICE; LEGISLATION TO PREVENT THE REPEAL OF AC3 EXEMPTIONS TO THE CERTIFICATE-OF-NEED LAWS, ESTABLISHMENT OF A NC HEALTH CARE EXCHANGE; BUSINESS INCENTIVE TAX LAWS, INCLUDING THE MILL TAX CREDIT FOR THE PIEDMONT TRIAD RESEARCH PARK (PTRP); AND APPROPRIATIONS FOR THE WAKE FOREST INSTITUTE FOR REGENERATIVE MEDICINE (WFIRM).
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
WAKE FOREST UNIVERSITY HEALTH SCIENCES
 
Employer identification number

22-3849199
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance .... 355,828,276 331,914,802 431,674,776
b Contributions ........ 6,176,824 5,930,071 6,480,757
c Investment earnings or losses ... 49,922,940 33,747,985 -82,590,445
d Grants or scholarships ..... 19,477,546 15,764,582 23,650,286
e Other expenditures for facilities
and programs ........ 		0 0 0
f Administrative expenses .... 0 0 0
g End of year balance ...... 392,450,494 355,828,276 331,914,802
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet62.370 %
b
Permanent endowment: SchDMd Bullet37.630 %
c
Term endowment: SchDMd Bullet0 %
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
Yes
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
Yes
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   56,928,422 56,928,422
b Buildings ................   393,795,304 206,368,343 187,426,961
c Leasehold improvements ............        
d Equipment ................   141,713,928 97,865,719 43,848,209
e Other .................   2,240,612 2,017,229 223,383
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 288,426,975
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
(3)Other
(A) WFU POOL INVESTMENTS 		449,589,059 F

(B) INV IN PARTNERSHIPS 		647,423 F







Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet 450,236,482
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) MEDICAL CENTER PLI 64,434,466 F








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet 64,434,466
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) BOND ISSUANCE COSTS 2,154,154
(2) INVESTMENT IN ANNUITIES & LIFE INSURANCE 3,302,999
(3) INVESTMENT IN SUBS 11,311,152
(4) BENEFICIAL INTEREST IN PERPETUAL TRUSTS 21,485,034
(5) 475B INVESTMENTS 17,836,148




Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 56,089,487
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes  
POST RETIREMENT BENEFITS 20,553,791
EMPLOYEE RETIREMENT PLAN 17,837,172
BOND SWAP VALUATION 23,444,462
OTHER LIABILITIES & DEFERRALS 48,008,381
ANNUITIES PAYABLE 4,547,288
AGENCY FUNDS 6,342,537



Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 120,733,631
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1 788,473,229
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2 739,374,290
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3 49,098,939
4 Net unrealized gains (losses) on investments .......................... 4 42,287,666
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8  
9 Total adjustments (net). Add lines 4 - 8 ............................. 9 42,287,666
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10 91,386,605
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1 911,386,844
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a 42,287,666
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d 76,460,819
e Add lines 2a through 2d ..................... 2e 118,748,485
3 Subtract line 2e from line 1..................... 3 792,638,359
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b -4,165,130
c Add lines 4a and 4b....................... 4c -4,165,130
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5 788,473,229
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1 799,992,393
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d 54,213,337
e Add lines 2a through 2d...................... 2e 54,213,337
3 Subtract line 2e from line 1..................... 3 745,779,056
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b -6,404,766
c Add lines 4a and 4b....................... 4c -6,404,766
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5 739,374,290
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE ORGANIZATION'S ENDOWMENT FUNDS ARE TO SUPPORT SCHOLARSHIPS, INSTRUCTION, RESEARCH, LIBRARIES, ACADEMIC SUPPORT, OPERATIONAL AND OTHER GENERAL SUPPORT.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: WAKE FOREST UNIVERSITY HEALTH SCIENCES IS A TAX EXEMPT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE ("THE CODE") AND IS GENERALLY EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS MADE IN THE CONSOLIDATED FINANCIAL STATEMENTS. UNRELATED BUSINESS INCOME OF WAKE FOREST UNIVERSITY HEALTH SCIENCES IS REPORTED ON FORM 990-T. WAKE FOREST UNIVERSITY HEALTH SCIENCES RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED.
    SCHEDULE D, PART XI, LINE 8 - SUBSIDIARIES FILING SEPARATE 990'S.
    SCHEDULE D, PART XII, LINE 2D - SUBSIDIARIES FILING SEPARATE 990'S
    SCHEDULE D, PART XII, LINE 4B - RECLASS OF BOOKSTORE, PROPERTY, AND FUNDRAISING EXPENSES
    SCHEDULE D, PART XIII, LINE 2D - SUBSIDIARIES FILING SEPARATE 990'S
    SCHEDULE D, PART XIII, LINE 4B - RECLASS OF BOOKSTORE, PROPERTY AND FUNDRAISING EXPENSES
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE E(Form 990 or 990-EZ)
Department of the TreasuryInternal Revenue Service
Schools
Right pointing arrow large imageComplete if the organization answered "Yes" to Form 990, Part IV, line 13,
or Form 990-EZ, Part VI, line 48.
Right pointing arrow large image Attach to Form 990 or Form 990-EZ.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
WAKE FOREST UNIVERSITY HEALTH SCIENCES
 
Employer identification number

22-3849199
Part I
YES
NO
1
Does the organization have a racially nondiscriminatory policy toward students by statement in its charter, bylaws,
other governing instrument, or in a resolution of its governing body? ......................
1
Yes
 
2
Does the organization include a statement of its racially nondiscriminatory policy toward students in all its
brochures, catalogues, and other written communications with the public dealing with student admissions,
programs, and scholarships? ......................................
2
Yes
 
3
Has the organization publicized its racially nondiscriminatory policy through newspaper or broadcast media during
the period of solicitation for students, or during the registration period if it has no solicitation program, in a way
that makes the policy known to all parts of the general community it serves? If "Yes," please describe. If "No,"
please explain. If you need more space use Part II. .............................
3
Yes
 
 
4
Does the organization maintain the following?
a
Records indicating the racial composition of the student body, faculty, and administrative staff? ..........
4a
Yes
 
b
Records documenting that scholarships and other financial assistance are awarded on a racially nondiscriminatory
basis? ...............................................
4b
Yes
 
c
Copies of all catalogues, brochures, announcements, and other written communications to the public dealing
with student admissions, programs, and scholarships? ...........................
4c
Yes
 
d
Copies of all material used by the organization or on its behalf to solicit contributions? ..............
4d
Yes
 
If you answered "No" to any of the above, please explain. If you need more space, use Part II.
 
5
Does the organization discriminate by race in any way with respect to:
a
Students' rights or privileges? .....................................
5a
 
No
b
Admissions policies? .........................................
5b
 
No
c
Employment of faculty or administrative staff? ..............................
5c
 
No
d
Scholarships or other financial assistance? ................................
5d
 
No
e
Educational policies? .........................................
5e
 
No
f
Use of facilities? ...........................................
5f
 
No
g
Athletic programs? ..........................................
5g
 
No
h
Other extracurricular activities? .....................................
5h
 
No
If you answered "Yes" to any of the above, please explain. If you need more space, use Part II.
 
6a
Does the organization receive any financial aid or assistance from a governmental agency? ............
6a
Yes
 
b
Has the organization's right to such aid ever been revoked or suspended? ...................
6b
 
No
If you answered "Yes" to either line 6a or line 6b, explain on Part II.
7
Does the organization certify that it has complied with the applicable requirements of sections 4.01 through 4.05
of Rev. Proc. 75-50, 1975-2 C.B. 587, covering racial nondiscrimination? If "No," explain on Part II.
7
Yes
 
Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50085D
Schedule E (Form 990 or 990-EZ) 2010
Schedule E (Form 990 or 990EZ) 2010
Page 2
Part II
Supplemental Information
Complete this part to provide the explanations required by Part I, lines 3, 4d, 5h, 6b, and 7, as applicable. Also complete this part to provide any other additional information (see instructions).
Identifier Return Reference Explanation
EXPLANATION OF NONDISCRIMINATORY POLICY PUBLICATION SCHEDULE E, PART I, LINE 3 WFUHS PUBLISHES ITS NONDISCRIMINATION POLICY ON THE WAKEHEALTH.EDU WEBSITE, IN ADMISSION BROCHURES, AND OTHER MEDIA MATERIALS.
EXPLANATION OF GOVERNMENT FINANCIAL ASSISTANCE SCHEDULE E, PART I, LINE 6 WFUHS RECEIVES FEDERAL FINANCIAL AID THROUGH THE U.S. DEPARTMENT OF EDUCATION'S FEDERAL FAMILY EDUCATION LOAN PROGRAM. WFUHS DISTRIBUTED THE FEDERAL LOANS TO APPROXIMATELY 599 STUDENTS IN FISCAL YEAR 2011.
Schedule E (Form 990 or 990-EZ) 2010
Additional Data


Software ID:  
Software Version:  
SCHEDULE F
(Form 990)

Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,
Part IV, line 14b, 15, or 16.
Right pointing arrow large image Attach to Form 990. Right pointing arrow large image See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
WAKE FOREST UNIVERSITY HEALTH SCIENCES
 
Employer identification number

22-3849199
Part I
General Information on Activities Outside the United States. Complete if the organization answered
“Yes” to Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of the grants or
assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award
the grants or assistance? ...................................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of grant funds outside the
United States.
3
Activites per Region. (Use Part V if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees or agents in region or independent contractors (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region		 (f) Total
expenditures for region/investments
in region
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total ..... 0 0 0
b Total from continuation sheets to Part I ... 0 0 0
c Totals (add lines 3a and 3b) 0 0 0
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990,
Part IV, line 15, for any recipient who received more than $5,000. Check this box if no one recipient received more than $5,000 ........ MediumBullet
Use Part V if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount of
of non-cash
assistance 		(h) Description
of non-cash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2
Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .....MediumBullet
 
3
Enter total number of other organizations or entities ........................MediumBullet
 
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Use Part V if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
non-cash
assistance 		(g) Description
of non-cash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926 (see instructions for Form 926).................
2 Did the organization have an interest in a foreign trust during the tax year? If " Yes," the organization may be required to file Form 3520 and/or Form 3520-A. (see instructions for Forms 3520 and 3520-A)..........
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with respect to Certain Foreign Corporations. (see instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see instructions for Form 8621)
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with respect to Certain Foreign Partnerships. (see instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see instructions for Form 5713)................................................
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 5
Part V
Supplemental Information
Complete this part to provide the information (see instructions) required in Part I, line 2, and any additional information.
Identifier ReturnReference Explanation
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Schedule F (Form 990) 2010
Additional Data


Software ID:  
Software Version:  



SCHEDULE G
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19,
or if the organization entered more than $15,000 on Form 990-EZ, line 6a.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
WAKE FOREST UNIVERSITY HEALTH SCIENCES
 
Employer identification number

22-3849199
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization. Form 990-EZ filers are not required to complete this table.
(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
 
HARRIS COMMUNICATIONS GROUP HOLDINGS
1511 RT 22 SUITE C25
 
BREWSTER, NY10509 		PHONE/MAIL SOLICITATION   No 333,800 912,093 333,800
 
GRIZZARD COMMUNICATIONS GROUP INC
229 PEACHTREE ST
 
ATLANTA, GA30303 		DONOR ACQUISITION   No 14,119 23,466 14,119
 
WILDELW ROBBINS
201 SUMMER ST
 
HOLLISTEN, MA01746 		DONOR ACQUISITION   No 6,541 51,672 6,541
Total .................right arrow 354,460 987,231 354,460
3
List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.
AK, AL, AR, AZ, CA, CT, DC, DE, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, WI, WV, WY
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 on Form 990-EZ, line 6a. List events with gross receipts greater than $5,000.
(a) Event #1

WINTERLARK
(event type) 		(b) Event #2

BCH CHEERS
(event type) 		(c) Other Events

3
(total number) 		(d) Total Events
(Add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 214,350 57,880 101,650 373,880
2 Less: Charitable
contributions . . . 		172,680 45,520 80,428 298,628
3 Gross income (line 1
minus line 2) . . . 		41,670 12,360 21,222 75,252
VerticalDirectExpenses 4 Cash prizes . . . 0 0 0  
5 Non-cash prizes . . 0 0 0  
6 Rent/facility costs . . 72,014 2,500 24,103 98,617
7 Food and beverages . . 35,255 1,798 3,958 41,011
8 Entertainment . . . 1,100 0   1,100
9 Other direct expenses . 42,229 58,476 129,545 230,250
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 370,978
11 Net income summary. Combine lines 3 and 10 in column (d)............ right arrow -295,726
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (Add col. (a) through col. (c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
 
 
 
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow  
9
Enter the state(s) in which the organization operates gaming activities:
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," Explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," Explain:
 
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ...........................
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 3
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
 
b
An outside facility ........................
13b
 
14
Provide the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Complete this part to provide additional information for responses to quuestion on Schedule G (see instructions.)
Identifier ReturnReference Explanation
Schedule G (Form 990 or 990-EZ) 2010
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
WAKE FOREST UNIVERSITY HEALTH SCIENCES
 
Employer identification number
22-3849199
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) ARTS COUNCIL WINSTON SALEM FORSYTH COUNTY305 W FOURTH ST SUITE 1C
WINSTONSALEM,NC27101 		56-0526856 501(C)(3) 50,000       TO HELP PROVIDE CULTURAL OPPORTUNITIES IN THE COMMUNITY
(2) ARTS FOR LIFEPO BOX 5132
WINSTONSALEM,NC27113 		56-2250962 501(C)(3) 36,000       TO HELP PROVIDE CULTURAL OPPORTUNITIES IN THE COMMUNITY
(3) FORSYTH TECHNICAL COMMUNITY COLLEGE2100 SILAS CREEK PARKWAY
WINSTONSALEM,NC27103 		56-1070364 GOV'T ENTITY 10,000       TO SPONSOR LOCAL COMMUNITY COLLEGE FOUNDATION & FOUNDATION FUNDRAISING EVENT; COLLEGE TRAINS STUDENTS IN BIOTECH FIELDS.
(4) HOSPICE & PALLIATIVE CARE CENTER101 HOSPICE LANE
WINSTONSALEM,NC27103 		58-1343313 501(C)(3) 50,000       SUPPORT NEW FACILITY NEEDED IN COMMUNITY
(5) JUVENILE DIABETES RESEARCH FOUNDATION INTERNATIONAL312 N EUGENE ST STE D
GREENSBORO,NC27401 		23-1907729 501(C)(3) 50,000       SPONSOR FUNDRAISING EVENT FOR DIABETES RESEARCH & PREVENTION
(6) PIEDMONT TRIAD PARTNERSHIP416 GALLIMORE DAIRY RD SUITE M
GREENSBORO,NC27409 		56-1750279 501(C)(3) 67,500       SUPPORT FOR REGIONAL ECONOMIC DEVELOPMENT GROUP
(7) SCIWORKS400 WEST HANES MILL RD
WINSTONSALEM,NC27105 		56-0815746 501(C)(3) 15,000       TO HELP PROVIDE CULTURAL OPPORTUNITIE IN THE COMMUNITY
(8) THE ALBERT SCHWEITZER FELLOWSHIP330 BROOKLINE AVE
BOSTON,MA02215 		13-1982786 501(C)(3) 40,000       PROGRAM SUPPORT FOR MEDICAL RESEARCHERS
(9) WINSTON-SALEM ALLIANCE100 NORTH MAIN ST
WINSTONSALEM,NC27101 		31-1726654 501(C)(6) 25,000       SUPPORT FOR LOCAL ECONOMIC DEVELOPMENT






2
Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image
8
3
Enter total number of other organizations ................................ . Bullet Image
1
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2010

Schedule I (Form 990) 2010
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance
(1) SCHOLARSHIPS AND FELLOWSHIPS 599 12,470,101 0    













Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
Identifier Return Reference Explanation
SCHEDULE I, PART 1, LINE 2   WFUHS MONITORS THE ACADEMIC PROGRESS AND OTHER ACHIEVEMENTS OF STUDENTS RECEIVING SCHOLARSHIPS/FELLOWSHIPS FUNDS TO ENSURE THAT ADEQUATE PROGRESS IS MAINTAINED BY THE STUDENT.
Schedule I (Form 990) 2010


Additional Data


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Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
WAKE FOREST UNIVERSITY HEALTH SCIENCES
 
Employer identification number

22-3849199
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
Yes
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) NATHAN O HATCH PHD (i)
(ii)		 0
624,297 		0
50,000 		0
668,076 		0
55,078 		0
61,048 		0
1,458,499 		0
0
(2) JOHN D MCCONNELL MD (i)
(ii)		 878,909
0 		500,000
0 		496,703
0 		606,145
0 		18,052
0 		2,499,809
0 		0
0
(3) WILLIAM B APPLEGATE MD (i)
(ii)		 518,231
0 		99,900
0 		25,307
0 		76,394
0 		23,709
0 		743,541
0 		0
0
(4) DOUGLAS L EDGETON (i)
(ii)		 484,360
0 		111,700
0 		17,709
0 		18,602
0 		22,677
0 		655,048
0 		0
0
(5) J REID MORGAN (i)
(ii)		 0
303,894 		0
50,000 		0
11,335 		0
24,500 		0
24,526 		0
414,255 		0
0
(6) ANITA M CONRAD (i)
(ii)		 0
144,833 		0
2,500 		0
188 		0
15,074 		0
14,132 		0
176,727 		0
0
(7) EDWARD G CHADWICK (i)
(ii)		 503,663
0 		200,000
0 		27,142
0 		219,578
0 		24,204
0 		974,587
0 		0
0
(8) TERRY L HALES JR (i)
(ii)		 347,002
0 		83,000
0 		11,095
0 		38,602
0 		20,934
0 		500,633
0 		0
0
(9) THOMAS E SIBERT MD (i)
(ii)		 545,517
0 		166,027
0 		28,934
0 		231,282
0 		23,373
0 		995,133
0 		0
0
(10) RUSSELL M HOWERTON MD (i)
(ii)		 136,091
0 		427,701
0 		16,914
0 		26,009
0 		25,099
0 		631,814
0 		0
0
(11) LISA M WYATT (i)
(ii)		 265,711
0 		38,300
0 		30,073
0 		21,246
0 		9,383
0 		364,713
0 		0
0
(12) CHERYL E H LOCKE (i)
(ii)		 340,146
0 		83,700
0 		286,690
0 		18,848
0 		15,268
0 		744,652
0 		0
0
(13) SHEILA M SANDERS (i)
(ii)		 313,768
0 		55,100
0 		12,687
0 		27,014
0 		18,216
0 		426,785
0 		0
0
(14) NORMAN D POTTER JR (i)
(ii)		 192,124
0 		27,500
0 		2,634
0 		16,752
0 		21,019
0 		260,029
0 		0
0
(15) KAREN H HUEY (i)
(ii)		 185,780
0 		40,206
0 		3,445
0 		43,498
0 		16,115
0 		289,044
0 		0
0
(16) JOANNE C RUHLAND (i)
(ii)		 152,682
0 		40,500
0 		17,760
0 		17,507
0 		18,049
0 		246,498
0 		0
0
(17) NEAL KON MD (i)
(ii)		 200,657
0 		828,314
0 		18,220
0 		18,786
0 		23,154
0 		1,089,131
0 		0
0
(18) ROSS UNGERLEIDER MD (i)
(ii)		 398,426
0 		596,635
0 		11,913
0 		151,312
0 		11,646
0 		1,169,932
0 		0
0
(19) EDWARD KINCAID MD (i)
(ii)		 128,162
0 		645,540
0 		16,680
0 		25,122
0 		20,529
0 		836,033
0 		0
0
(20) MALCOLM MARKS MD (i)
(ii)		 216,971
0 		516,239
0 		2,640
0 		18,602
0 		23,340
0 		777,792
0 		0
0
(21) CHARLES BRANCH JR MD (i)
(ii)		 217,109
0 		491,911
0 		1,720
0 		18,602
0 		23,202
0 		752,544
0 		0
0
(22) LAWRENCE D HOPKINS MD (i)
(ii)		 163,860
0 		0
0 		0
0 		34,661
0 		0
0 		198,521
0 		0
0
(23) RAYMOND C ROY MD (i)
(ii)		 178,102
0 		84,749
0 		2,286
0 		19,765
0 		18,797
0 		303,699
0 		0
0
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
SUPPLEMENTAL INFORMATION PART III SCHEDULE J, PART III DURING THE TAX PERIOD, THE FILING ORGANIZATION, NORTH CAROLINA BAPTIST HOSPITAL ("NCBH") (AND WAKE FOREST UNIVERSITY ("WFU")) WERE OPERATING UNDER AN AGREEMENT THAT PROVIDED FOR THE OPERATION OF THE FILING ORGANIZATION AND WFUBMC. NCBH, WFUBMC, AND THE FILING ORGANIZATION ARE ENTITIES WHICH TOGETHER HAVE COMBINED OPERATING REVENUES FOR THE TAX PERIOD OF $1.9 BILLION. 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 BOTH ORGANIZATIONS (NCBH AND WFUHS) IN THEIR TAX-EXEMPT MISSIONS, AS PARTICIPANTS IN A FULLY-INTEGRATED ACADEMIC MEDICAL CENTER. CERTAIN EXECUTIVES OF THE FILING ORGANIZATION (WHO EACH HOLD THE IDENTICAL OFFICES/TITLES IN NCBH, WFUBMC AND THE FILING ORGANIZATION) 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.
SUPPLEMENTAL INFORMATION PART III SCHEDULE J. 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.
SUPPLEMENTAL INFORMATION PART III SCHEDULE J. 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 OFFICER COMPENSATION. THE COMMITTEE UTILIZED INDEPENDENT COMPENSATION CONSULTANTS, COMPENSATION SURVEYS, AND STUDIES TO DETERMINE THE APPROPRIATENESS OF EACH OFFICER'S COMPENSATION. AN EXTERNAL COMPENSATION CONSULTANT EXPERIENCED IN HEALTH CARE AND HIGHER EDUCATION COMPENSATION PRESENTS TOTAL COMPENSATION COMPARABILITY DATA FOR THE POSITIONS FOR WHICH CONPENSATION 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.
SUPPLEMENTAL INFORMATION PART III SCHEDULE J. PART I, LINE 4 - CERTAIN EXECUTIVES PARTICIPATE IN OR RECEIVE PAYMENTS FROM SUPPLEMENTAL NON QUALIFIED RETIREMENT PLANS. THE DETERMINATION OF THE AMOUNT OF THE NON QUALIFIED RETIREMENT PLANS FOLLOWED THE FILING ORGANIZATION'S COMPENSATION PROCEDURES AS OUTLINED IN PART VI, SECTION B, LINE 15 OF THE 990.
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
WAKE FOREST UNIVERSITY HEALTH SCIENCES
 
Employer identification number
22-3849199
Part I
Bond Issues
(a) Issuer Name (b) Issuer EIN (c) CUSIP # (d) Date Issued (e) Issue Price (f) Description of Purpose (g) Defeased (h) On
Behalf of
Issuer 		(i) Pool
financing
Yes No Yes No Yes No
A NORTH CAROLINA MEDICAL CARE COMMISSION
  		52-1309402 65821DB00 10-16-2008 188,640,000 REFINANCING OF 2002 SERIES BOND ISSUE   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired. . . . .        
2 Amount of bonds defeased . . . .        
3 Total proceeds of issue . . . . 188,640,000      
4 Gross proceeds in reserve funds . .        
5 Capitalized interest from proceeds.        
6 Proceeds in refunding escrow. . . . .        
7 Issuance costs from proceeds . . . 1,738,793      
8 Credit enhancement from proceeds. 668,624      
9 Working capital expenditures from proceeds . .        
10 Capital expenditures from proceeds . .        
11 Other spent proceeds . .        
12 Other unspent proceeds. . .        
13 Year of substantial completion . . . 2008
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? X              
15 Were the bonds issued as part of an advance refunding issue?   X            
16 Has the final allocation of proceeds been made? . . X              
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . X              
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .                
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . .                
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2010
Schedule K (Form 990) 2010
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use?                
b Are there any research agreements that may result in private business use of bond-financed property? . .                
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? .                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . . SchKMediumBullet        
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . SchKMediumBullet        
6 Total of lines 4 and 5 . . .. . . . . .        
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities?                
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .   X            
2 Is the bond issue a variable rate issue? X              
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue? X              
b Name of provider . BANK OF AMERICA NA
  		 
  		 
  		 
 
c Term of hedge . . 27.300000000000      
d Was the hedge superintegrated? .   X            
e Was a hedge terminated? .   X            
4a Were gross proceeds invested in a GIC? .   X            
b Name of provider .  
  		 
  		 
  		 
 
c Term of GIC . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .                
5 Were any gross proceeds invested beyond an available temporary period? .   X            
6 Did the bond issue qualify for an exception to rebate? . . . X              
Schedule K (Form 990) 2010

Schedule K (Form 990) 2010
Page 3
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
Schedule K (Form 990) 2010

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBulletSee separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
WAKE FOREST UNIVERSITY HEALTH SCIENCES
 
Employer identification number

22-3849199
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Description of transaction (c) Corrected?
Yes No





2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.
(a) Name of interested person and purpose (b) Loan to or from the organization? (c)Original principal amount (d)Balance due (e) In default? (f) Approved by board or committee? (g)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b)Relationship between interested person and the organization (c)Amount of grant or type of assistance
For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2010
Schedule L (Form 990 or 990-EZ) 2010
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) BRANCH BANKING AND TRUST COMPANY
  		DIRECTOR OF ORG, ROBERT E. GREENE, IS AN OFFICER OF INTERESTED PERSON 1,300,566 TOTAL PAID BY ORGANIZATION TO INTERESTED PERSON FOR LOAN INTEREST   No
(2) BLUE CROSS AND BLUE SHIELD OF NC
  		DIRECTOR OF THE ORG, JAMES T. WILLIAMS, JR., IS ALSO A DIR OF INT PERS 65,497,908 TOTAL PAID BY INTERESTED PERSON TO ORGANIZATION FOR MEDICAL CLAIMS FOR SERVICES RENDERED TO PATIENTS OF ORGANIZATION HAVING BENEFITS UNDER PLANS OFFERED BY INTERESTED PERSON   No
(3) BRANCH BANKING AND TRUST COMPANY
  		DIRECTOR OF ORG, STEPHEN T. WILLIAMS, IS ALSO A DIR OF INTERESTED PERSON 1,300,566 TOTAL PAID BY ORGANIZATION TO INTERESTED PERSON FOR LOAN INTEREST   No
(4) MEDCOST LLC
  		OFFICER OF ORG, EDWARD CHADWICK, IS ALSO BOARD MEMBER OF INTERESTED PERSON 2,247,029 TOTAL PAID BY ORGANIZATION TO INTERESTED PERSON FOR ADMINISTRATION OF HEALTH AND DENTAL CLAIMS   No
(5) FRANK L BLUM CONSTRUCTION COMPANY
  		DIRECTOR OF ORG, J. ANDREWS HANCOCK, III, IS AN OFFICER OF INTERESTED PERSO 9,548,091 TOTAL PAID BY ORGANIZATION TO INTERESTED PERSON FOR SERVICES PERFORMED.   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
NonCash Contributions
Right pointing arrow large imageComplete if the organization answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
WAKE FOREST UNIVERSITY HEALTH SCIENCES
 
Employer identification number

22-3849199
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of Contributions or items contributed 		(c)
Contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods ....... 		     
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded . X 50 3,891,690 AVG PRICE DATE OF GIFT
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests .... 		       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures ..... 		       
14 Qualified conservation
contribution—Other ... 		       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( MEDICAL EQUIPMENT ) X 8 763,648 VALUED AT COST
26 Other Right pointing arrow large image( )
27 Other Right pointing arrow large image( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...
29
0
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1-28 that it
must hold for at least three years from the date of the initial contribution, and which is not required to be used
for exempt purposes for the entire holding period? ..................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell non-cash
contributions? ............................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization did not report revenues in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) 2010
Schedule M (Form 990) 2010
Page 2
Part II
Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,
32b, and 33. Also complete this part for any additional information.
Identifier Return Reference Explanation
METHOD FOR DETERMINING NUMBER OF CONTRIBUTORS: PART I, COLUMN (B): WFUHS DETERMINES THE NUMBER OF CONTRIBUTIONS BY USING THE TOTAL NUMBER OF NON-CASH ITEMS RECEIVED PER DONOR PER OCCURANCE. SCHEDULE M, PART I, LINES 25-28 - WFUHS DETERMINES THE VALUE OF DONATED NON-CASH ITEMS BY THE SELLING PRICE, COST VALUE OR OPINIONS OF EXPERTS FOR ITEMS UNDER $5,000 AND APPRAISAL FOR THE ITEMS OVER $5,000
Schedule M (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
WAKE FOREST UNIVERSITY HEALTH SCIENCES
 
Employer identification number

22-3849199
Identifier Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 2   MR. ROBERT E. GREENE, A DIRECTOR OF THE ORGANIZATION, SERVES AS AN OFFICER OF BB&T CORPORATION. MR. STEPHEN T. WILLIAMS, A DIRECTOR OF THE ORGANIZATION, SERVES AS A DIRECTOR OF BB&T CORPORATION. BB&T CORPORATION HAD A TRANSACTION WITH THE FILING ORGANIZATION AS REPORTED ON SCHEDULE L.
FORM 990, PART VI, SECTION A, LINE 3   HIGHLIGHTS OF REVISED GOVERNANCE DOCUMENTS OF WAKE FOREST UNIVERSITY HEALTH SCIENCES 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 (WHICH ENTITY IS UNRELATED TO WFU) 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. BELOW IS A SUMMARY OF THE SIGNIFICANT CHANGES TO THE GOVERNANCE DOCUMENTS OF WAKE FOREST UNIVERSITY HEALTH SCIENCES ADOPTED SINCE THE FILING OF THE PRIOR YEAR'S FORM 990: ARTICLES OF INCORPORATION ADDS AS A PURPOSE THAT WFUHS WILL CONDUCT ITS OPERATIONS AS A PART OF THE INTEGRATED HEALTH SYSTEM OF WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER. AS REQUIRED BY THE STATE NONPROFIT CORPORATION ACT, INCLUDES PROVISION ON THE DELEGATION TO WFUBMC OF CERTAIN POWERS TO OPERATE WFUHS; IT IS ALSO NOTED THAT POWERS NOT SO DELEGATED ARE RETAINED BY THE WFUHS BOARD OR BY WFU. SPECIFIES THAT DIRECTORS ARE ELECTED BY WFU OR SERVE EX OFFICIO - THE LATTER BEING A REFERENCE TO TWO OF THE "HS DIRECTORS" (THE WFU PRESIDENT AND THE MEDICAL CENTER CEO) WHO HOLD THEIR SEATS ON THE WFUHS BOARD BY VIRTUE OF THOSE POSITIONS. BYLAWS NEW SECTION 4, "RELATIONSHIP WITH WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER": STATES THAT WFU AND NCBH ARE THE TWO MEMBERS, EQUAL IN ALL RESPECTS, OF THE MEDICAL CENTER CORPORATION, AND EACH ELECT ONE-HALF OF ITS VOTING BOARD MEMBERS. REFERENCES AND CHARACTERIZES THE MCIA, AND STATES THAT ALL OPERATIONS OF WFUHS AND OF NCBH (INCLUDING ALL SUBSIDIARIES OF BOTH) ARE UNDER THE AUTHORITY OF THE MEDICAL CENTER. THE BYLAWS COMMITTEES RECOMMENDED THE INSERTION HERE OF THE LAST STATEMENT (IN SECTION 4.2) INDICATING THAT, WHILE THE INTENT THAT THE WFUHS BYLAWS BE IN NO WAY INCONSISTENT WITH THE MCIA IS EXPRESSED, IT ALSO DOES NOT IMPLY ANY RESTRICTION OR LIMITATION OF AUTHORITY OR POWER HELD BY EITHER WFU OR WFUHS UNDER THE MCIA. THE DELEGATION TO THE MEDICAL CENTER OF CERTAIN POWERS TO OPERATE WFUHS IS STATED, AND THAT ALL CORPORATE POWERS NOT SO DELEGATED ARE RETAINED BY THE WFUHS BOARD OR BY WFU. THE ELECTION OF DIRECTORS SECTION (5.2) CLARIFIES THAT TWO DIRECTORS ARE SELECTED NOT BY THE WFU BOARD BUT EX OFFICIO - THE WFU PRESIDENT AND THE MEDICAL CENTER CEO. THAT THOSE TWO PERSONS ARE NOT SUBJECT TO REMOVAL BY WFU WITH OR WITHOUT CAUSE AT ANY TIME IS ALSO NOTED (SECTION 5.4). SECTION 6.1 "OFFICERS" ALSO HAS SUBSTANTIAL REVISION. THE ROLE OF "THE PRESIDENT OF WAKE FOREST UNIVERSITY" IN WFUHS, AS ALTERED BY THE MCIA, IS IN 6.1.1. THE MCIA'S PROVISIONS ON MEDICAL CENTER LEADERSHIP NOW CONTROL, AND SO THE PRIOR LANGUAGE REGARDING THE WFU PRESIDENT'S RIGHT TO APPOINT THE WFUHS CHIEF EXECUTIVE HAS BEEN DELETED, BUT THE RESPONSIBILITY OF THE WFU PRESIDENT TO ENSURE THAT WFUHS "CONTINUES TO BE AN INTEGRAL PART OF THE WAKE FOREST UNIVERSITY SYSTEM", REMAINS. THE FORMER SECTION REGARDING THE WFUHS PRESIDENT IS REPLACED WITH A NEW SECTION (6.1.2) ON THE WFUHS CEO. THE MEDICAL CENTER CEO HOLDS THIS OFFICE IN WFUHS (AND IN NCBH) AS WELL, BUT ALSO SERVES AS CHIEF ACADEMIC OFFICER OF THE MEDICAL CENTER AND IN THAT ROLE, WITH THE WFU PRESIDENT'S CONCURRENCE, APPOINTS THE DEAN OF THE MEDICAL SCHOOL. THE CEO'S REPORTING RELATIONSHIP TO THE WFU PRESIDENT WITH RESPECT TO THE ACADEMIC MISSION, AS EXECUTIVE VP FOR HEALTH AFFAIRS, A WFU CORPORATE OFFICE, IS ALSO NOTED (IN ADDITION TO THE MEDICAL CENTER CEO'S REPORTING RELATIONSHIP TO THE WFUBMC BOARD). (6.1.2.1) A NEW SECTION 6.1.2.2 IS ADDED GRANTING THE CEO AUTHORITY TO ACT FOR WFUHS AND ITS BOARD ON MATTERS RELATING TO WFUHS SUBSIDIARY CORPORATIONS, IN ACCORDANCE WITH BUDGETARY AUTHORITY AND UNLESS OTHERWISE LIMITED BY THE BOARD. THIS IS TO ENABLE OPERATIONAL EFFICIENCY WITH ROUTINE SUBSIDIARY MATTERS. A PROVISION NOTING THAT THE MEDICAL CENTER CEO'S TERMINATION WILL RESULT IN HIS OR HER AUTOMATIC CONCURRENT TERMINATION FROM ALL OFFICES AND POSITIONS IN ALL WFUHS-CONTROLLED AFFILIATES, IS ADDED AT SECTION 6.1.2.3. THE SECTION ON OTHER CORPORATE OFFICERS (6.1.6) ADOPTS THE MCIA'S LANGUAGE THAT IN GENERAL, THE CORPORATE OFFICERS OF WFUBMC WILL SERVE AS THE CORPORATE OFFICERS OF WFUHS. A SEPARATE SECTION ON THE WFUHS PRESIDENT WAS NOT RETAINED, AS THAT OFFICE DID NOT CONTINUE AFTER JUNE 30, 2011, AND AS THE WFUHS CHIEF EXECUTIVE DUTIES HAVE BEEN ASSUMED BY THE CEO. SECTION 7 OF THE BYLAWS, "BUSINESS OF THE CORPORATION", AGAIN IMPORTS HEAVILY THE LANGUAGE OF THE MCIA CONCERNING VARIOUS OPERATIONS. UNDER "EMPLOYEES" (7.1), IT IS CLARIFIED THAT NON-FACULTY EMPLOYEES MAY BE EMPLOYED BY THE MEDICAL CENTER ENTITY (WFUHS OR NCBH) THAT THE MEDICAL CENTER DEEMS MOST APPROPRIATE, WHILE FOR FACULTY EMPLOYEES, WFU RETAINS AUTHORITY OVER ANY MEDICAL CENTER DECISION TO CHANGE THE LOCUS OF A FACULTY MEMBER'S EMPLOYMENT. SECTION 7.2 ON FINANCE INCLUDES IN ITS PROVISIONS NEW LANGUAGE ON FUNDS, BUDGETS, DEBT, FINANCIAL REPORTING, AND PROPERTY INCORPORATING MANY SPECIFIC PROVISIONS AND RESERVED POWERS FROM THE MCIA, ALL OF WHICH EMPHASIZE THE MCIA'S FOCUS ON A "SINGLE BOTTOM LINE" FOR THE MEDICAL CENTER, WHILE RECOGNIZING THE SEPARATE ASSETS OF THE NCBH AND WFUHS SEPARATE CORPORATE ENTITIES, AND WFU'S CONTINUING INTEREST IN CONSOLIDATION OF ITS FINANCIAL STATEMENTS WITH THOSE OF WFUHS. FURTHER RESERVED POWERS (RESERVED TO THE WFUHS PARENT, WFU) APPLICABLE TO ACADEMIC AND ADMISSION POLICIES; ACADEMIC STANDARDS AND CURRICULUM; AFFILIATIONS; AND FACULTY APPOINTMENT, PROMOTION, AND TENURE, ARE INCLUDED IN SECTION 8 OF THE BYLAWS. THE WFU BOARD'S REVIEW OF THE OPERATIONS OF WFUHS IS, IN SECTION 9, EXPANDED TO INCLUDE REVIEW OF THE OPERATIONS OF THE MEDICAL CENTER. SECTION 10, "LIMITATIONS", INCLUDES RESERVED POWERS AS TO ANY PROPOSED CHANGE TO THE WFUBMC NAME, THE PUBLIC USE OF THE NAME, OR TO THE NAMES OF WFU, WFU SCHOOL OF MEDICINE, OR WFUHS. (10.1)
FORM 990, PART VI, SECTION A, LINE 4   SEE PART VI, SECTION A, LINE 3
FORM 990, PART VI, SECTION A, LINE 6   WAKE FOREST UNIVERSITY IS THE SOLE MEMBER OF WAKE FOREST UNIVERSITY HEALTH SCIENCES.
FORM 990, PART VI, SECTION A, LINE 7A   THE DIRECTORS OF WAKE FOREST UNIVERSITY HEALTH SCIENCES ARE ELECTED BY THE BOARD OF TRUSTEES OF ITS SOLE MEMBER, WAKE FOREST UNIVERSITY.
FORM 990, PART VI, SECTION A, LINE 7B   DECISIONS OF THE ORGANIZATION'S GOVERNING BODY WHICH REQUIRE APPROVAL BY THE ORGANIZATION'S SOLE MEMBER, WAKE FOREST UNIVERSITY, INCLUDE AMENDMENTS TO CERTAIN FUNDAMENTAL DOCUMENTS (ARTICLES OF INCORPORATION AND BYLAWS); THE CONVEYANCE OR ENCUMBRANCE OF THE ORGANIZATION'S REAL ESTATE; ACADEMIC APPOINTMENT OF FACULTY, GRANT OF TENURE AND DISMISSAL; AND DISSOLUTION.
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 BOARD OF THE FILING ORGANIZATION REVIEWS 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 THE ORGANIZATION REQUIRES OFFICERS AND KEY EMPLOYEES TO ANNUALLY REVIEW THE CONFLICT OF INTEREST POLICY AND DETERMINE ANY POTENTIAL CONFLICTS OF INTEREST. ANY POTENTIAL CONFLICTS NOTED IN THE QUESTIONNAIRE ARE REVIEWED BY A STANDING COMMITTEE FOR APPROPRIATE RESOLUTION. ALL MEMBERS OF THE BOARD OF DIRECTORS ARE REQUIRED TO DETERMINE AND REPORT ANNUALLY, AND AS THEY ARISE, ANY POTENTIAL CONFLICTS OF INTEREST TO THE SECRETARY OF THE BOARD OF DIRECTORS. THE RESOLUTION OF POTENTIAL AND ACTUAL CONFLICTS IS SUBJECT TO THE APPROVAL OF THE CHAIR OF THE BOARD AND IS REPORTED TO THE CHAIR OF THE AUDIT & COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS.
  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 THE FILING ORGANIZATION. NO MEMBER OF THE FILING ORGANIZATION'S EXECUTIVE COMMITTEE IS AN EMPLOYEE OF THE MEDICAL CENTER. 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 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.
  FORM 990, PART VII, SECTION A: THE FOLLOWING PERSONS WERE COMPENSATED DIRECTLY BY WAKE FOREST UNIVERSITY HEALTH SCIENCES, THE FILING ORGANIZATION, WAKE FOREST UNIVERSITY, A RELATED (SUPPORTED) ORGANIZATION OF THE FILING ORGANIZATION, OTHER ORGANIZATIONS RELATED TO WAKE FOREST UNIVERSITY, OR NORTH CAROLINA BAPTIST HOSPITAL, AN UNRELATED ORGANIZATION, FOR SERVICES PERFORMED FOR THE FILING ORGANIZATION. EACH PERSON'S POSITION IN EACH ORGANIZATION, AND THE AVERAGE HOURS PER WEEK THAT THEY DEVOTE TO EACH ENTITY, ARE SHOWN BELOW.
    NATHAN O. HATCH, PH.D. OFFICER, DIRECTOR, FILING ORGANIZATION _3_ HOURS PER WEEK PRESIDENT, WAKE FOREST UNIVERSITY _25_ HOURS PER WEEK PRESIDENT, WFU FOUNDATION _.2 _ HOURS PER WEEK PRESIDENT, WFU DEVELOPMENT FOUNDATION _.3 _ HOURS PER WEEK OFFICER, REYNOLDA HOUSE, INC. _.5 _ HOURS PER WEEK DIRECTOR, WAKE FOREST UNIV BAPTIST MEDICAL CENTER _8_ HOURS PER WEEK DIRECTOR/BOARD CHAIR, PIEDMONT TRIAD RESEARCH PARK _2_ HOURS PER WEEK DIRECTOR, PTRP DEVELOPMENT CORPORATION _1_ HOUR PER WEEK J. REID MORGAN SECR AND GENERAL COUNSEL, FILING ORGANIZATION _5_ HOURS PER WEEK SECR AND GENERAL COUNSEL, WAKE FOREST UNIVERSITY _20_ HOURS PER WEEK SECRETARY, WFU FOUNDATION _.2 _ HOURS PER WEEK SECRETARY, WFU DEVELOPMENT FOUNDATION _.3 _ HOURS PER WEEK ASSISTANT SECRETARY, WFU BAPTIST MEDICAL CENTER _6_ HOURS PER WEEK DIRECTOR, SECRETARY, PIEDMONT TRIAD RESEARCH PARK _7_ HOURS PER WEEK DIRECTOR, SECRETARY, PTRP DEVELOPMENT CORPORATION _.6 _ HOURS PER WEEK SECRETARY, IDEALLIANCE _.2_ HOURS PER WEEK SECRETARY, IDEALLIANCE FOUNDATION _.2 _ HOURS PER WEEK SECRETARY, DIALYSIS CENTERS (GROUP RETURN) _.5_ HOURS PER WEEK ANITA M. CONRAD ASSISTANT SECRETARY, FILING ORGANIZATION _8_ HOURS PER WEEK ASSISTANT SECRETARY, WAKE FOREST UNIVERSITY _20_ HOURS PER WEEK ASSISTANT SECRETARY, WFU FOUNDATION _1_ HOUR PER WEEK ASSISTANT SECRETARY, WFU DEVELOPMENT FOUNDATION _1_ HOUR PER WEEK ASSISTANT SECRETARY, PIEDMONT TRIAD RESEARCH PARK _8_ HOURS PER WEEK ASSISTANT SECRETARY, PTRP DEVELOPMENT CORPORATION _2_ HOURS PER WEEK WILLIAM B. APPLEGATE, M.D. PRESIDENT, FILING ORGANIZATION _30_ HOURS PER WEEK OFFICER, PIEDMONT TRIAD RESEARCH PARK _3_ HOURS PER WEEK DIRECTOR AND OFFICER, PTRP DEVELOPMENT CORPORATION _1_ HOUR PER WEEK OFFICER, IDEALLIANCE _.2_ HOURS PER WEEK OFFICER, IDEALLIANCE FOUNDATION _.2 _ HOURS PER WEEK TRUSTEE, THE MEDICAL FOUNDATION _.1 _ HOURS PER WEEK PRES, DIALYSIS ACCESS GP OF WAKE FOREST UNIV, LLC _1_ HOURS PER WEEK DIRECTOR/CHAIR, PRES, DIALYSIS CTRS (GP RETURN) _4.5_ HOURS PER WEEK DOUGLAS L. EDGETON EXECUTIVE VICE PRESIDENT, FILING ORGANIZATION _15_ HOURS PER WEEK DIRECTOR, PRESIDENT, PTRP _10_ HOURS PER WEEK DIRECTOR, PRESIDENT, PTRP DEVELOPMENT CORPORATION _5_ HOURS PER WEEK DIRECTOR, PRESIDENT, IDEALLIANCE _.2 _ HOURS PER WEEK DIRECTOR, PRESIDENT, IDEALLIANCE FOUNDATION _.2_ HOURS PER WEEK TRUSTEE, SECRETARY, TREASURER, THE MEDICAL FDTN _.1_ HOURS PER WEEK VICE PRESIDENT/TREASURER, DIALYSIS ACCESS GP OF WAKE FOREST UNIV, LLC _1_ HOUR PER WEEK DIRECTOR, VP/TREASURER, DIALYSIS CTRS (GP RET) _3.5_ HOURS PER WEEK EXECUTIVE VICE PRESIDENT, WFU BAPTIST MEDICAL CTR _5_ HOURS PER WEEK EXECUTIVE VICE PRESIDENT, NCBH _1_ HOUR PER WEEK TERRY L. HALES, JR. ASSISTANT TREASURER, FILING ORGANIZATION _24.6_ HOURS PER WEEK VICE PRESIDENT, TREAS, PIEDMONT TRIAD RESEARCH PK _4__ HOURS PER WEEK TREASURER, PTRP DEVELOPMENT CORPORATION _2 _ HOURS PER WEEK DIRECTOR, TREASURER, IDEALLIANCE _.2_ HOURS PER WEEK DIRECTOR, TREASURER, IDEALLIANCE FOUNDATION _.2_ HOURS PER WEEK ASSIST TREASURER, DIALYSIS ACCESS GP OF WAKE FOREST UNIV, LLC _1_ HOUR PER WEEK DIRECTOR/ASSIST TREAS, DIALYSIS CTRS (GROUP RETURN) _2_ HOURS PER WEEK DIRECTOR, DAVIDSON HEALTHCARE INC. _3_ HOURS PER WEEK DIRECTOR, LEXINGTON MEMORIAL HOSPITAL _3_ HOURS PER WEEK JOHN D. MCCONNELL, M.D. DIRECTOR, CEO, FILING ORGANIZATION _11_ HOURS PER WEEK CEO, WFU BAPTIST MEDICAL CENTER _5_ HOURS PER WEEK DIRECTOR/CEO, NC BAPTIST HOSPITAL _16 _ HOURS PER WEEK DIRECTOR, PIEDMONT TRIAD RESEARCH PARK _1_ HOUR PER WEEK DIRECTOR, PTRP DEVELOPMENT CORPORATION _1_ HOUR PER WEEK DIRECTOR, IDEALLIANCE _.2 _ HOURS PER WEEK DIRECTOR, IDEALLIANCE FOUNDATION _.2_ HOURS PER WEEK DIRECTOR/CHAIR, PRES, DIALYSIS CTRS (GP RETURN) _.5_ HOURS PER WEEK PRESIDENT, DIALYSIS ACCESS GP OF WAKE FOREST UNIV, LLC _.5 _ HOURS PER WEEK EDWARD G. CHADWICK TREASURER, CFO, FILING ORGANIZATION _14_ HOURS PER WEEK TREASURER, WFU BAPTIST MEDICAL CENTER _5_ HOURS PER WEEK TREASURER, NC BAPTIST HOSPITAL _21_ HOURS PER WEEK RUSSELL M. HOWERTON, M.D. CHIEF MEDICAL OFFICER, WFU BAPTIST HEALTH SYSTEM, FILING ORGANIZATION _15_ HOURS PER WEEK CHIEF MEDICAL OFFICER, WFU BAPTIST HEALTH SYSTEM, NORTH CAROLINA BAPTIST HOSPITAL _20_ HOURS PER WEEK CHIEF MEDICAL OFFICER, WFU BAPTIST HEALTH SYSTEM, BAPTIST MEDICAL CENTER _5_ HOURS PER WEEK MEMBER, DAVIE COUNTY EMERGENCY HEALTH CORPORATION _1_ HOUR PER WEEK KAREN H. HUEY VP, FACILITIES, FILING ORGANIZATION _9_ HOURS PER WEEK VP, FACILITIES, WFU BAPTIST MEDICAL CENTER _ 5_ HOURS PER WEEK VP, FACILITIES, NC BAPTIST HOSPITAL __26_ HOURS PER WEEK CHERYL E. H. LOCKE VP CHIEF HUMAN RESOURCES OFFICER, FILING ORGANIZATION _9_ HOURS PER WEEK VP, CHIEF HUMAN RESOURCES OFFICER, WFU BAPTIST MEDICAL CTR _ 5_ HOURS PER WEEK VP, CHIEF HUMAN RESOURCES OFFICER, NC BAPTIST HOSP _26_ HOURS PER WEEK NORMAN B. POTTER, JR. VP, DEVELOPMENT AND ALUMNI AFFAIRS, FILING ORGANIZATION _ 9_ HOURS PER WEEK VP, DEVELOPMENT AND ALUMNI AFFAIRS, WFU BAPTIST MED CTR _5_ HOURS PER WEEK VP, DEVELOPMENT AND ALUMNI AFFAIRS, NC BAPTIST HOSP _26_ HOURS PER WEEK JOANNE C. RUHLAND VP, GOVERNMENT AFFAIRS, FILING ORGANIZATION _ 9_ HOURS PER WEEK VP, GOVERNMENT AFFAIRS, WFU BAPTIST MEDICAL CENTER _ 5_ HOURS PER WEEK VP, GOVERNMENT AFFAIRS, NC BAPTIST HOSPITAL _26_ HOURS PER WEEK SHEILA M. SANDERS VP, CHIEF INFORMATION OFFICER, FILING ORGANIZATION _9_ HOURS PER WEEK VP, CHIEF INFORMATION OFFICER, WFU BAPTIST MED CTR _5_ HOURS PER WEEK VP, CHIEF INFORMATION OFFICER, NC BAPTIST HOSPITAL _26_ HOURS PER WEEK THOMAS E. SIBERT, M.D. PRESIDENT AND COO, WFU BAPTIST HEALTH SYSTEM, FILING ORGANIZATION _8_ HOURS PER WEEK PRESIDENT AND COO, WFU BAPTIST HEALTH SYSTEM, WFU BAPTIST MEDICAL CENTER _5_ HOURS PER WEEK PRESIDENT AND COO, WFU BAPTIST HEALTH SYSTEM, NC BAPTIST HOSPITAL _26_ HOURS PER WEEK TRUSTEE, WFUBMC COMMUNITY PHYSICIANS _1_ HOUR PER WEEK LISA M. WYATT VP, CHIEF COMMUNICATIONS/MARKETING OFFICER, FILING ORGANIZATION _9_ HOURS PER WEEK VP, CHIEF COMMUNICATIONS/MARKETING OFFICER, WFU BAPTIST MEDICAL CENTER _5_ HOURS PER WEEK VP, CHIEF COMMUNICATIONS/MARKETING OFFICER, NC BAPTIST HOSPITAL _26_ HOURS PER WEEK GRAHAM F. BENNETT DIRECTOR, FILING ORGANIZATION _4_ HOURS PER WEEK DIRECTOR, WAKE FOREST UNIVERSITY BAPTIST MED CTR _2_ HOURS PER WEEK DONNA A. BOSWELL DIRECTOR, FILING ORGANIZATION _4_ HOURS PER WEEK TRUSTEE, WAKE FOREST UNIVERSITY _3_ HOURS PER WEEK DIRECTOR, WFU BAPTIST MEDICAL CENTER _2_ HOURS PER WEEK RICHARD A. BRENNER DIRECTOR, FILING ORGANIZATION _4_ HOURS PER WEEK GRAHAM W. DENTON, JR. DIRECTOR, FILING ORGANIZATION _4_ HOURS PER WEEK DIRECTOR, WFU BAPTIST MEDICAL CENTER _6_ HOURS PER WEEK DONALD E. FLOW DIRECTOR/BOARD CHAIR, FILING ORGANIZATION _6_ HOURS PER WEEK TRUSTEE, WAKE FOREST UNIVERSITY _3_ HOURS PER WEEK DIRECTOR, WFU BAPTIST MEDICAL CENTER _2_ HOURS PER WEEK DENISE JAMES GATLING DIRECTOR, FILING ORGANIZATION _4_ HOURS PER WEEK ROBERT E. GREENE DIRECTOR, FILING ORGANIZATION _4_ HOURS PER WEEK DIRECTOR, PIEDMONT TRIAD RESEARCH PARK _1_ HOUR PER WEEK TRUSTEE, WFU BAPTIST MEDICAL CENTER _2_ HOURS PER WEEK J. ANDREWS HANCOCK, III DIRECTOR, FILING ORGANIZATION _4_ HOURS PER WEEK ANN S. HANES DIRECTOR, FILING ORGANIZATION _4_ HOURS PER WEEK JAMES R. HELVEY, III DIRECTOR, FILING ORGANIZATION _4_ HOURS PER WEEK TRUSTEE, WAKE FOREST UNIVERSITY _5_ HOURS PER WEEK TRUSTEE, WFU DEVELOPMENT FDTN (UNTIL 7-16-10) _.1 _ HOURS PER WEEK ANDREW J. SCHINDLER DIRECTOR, FILING ORGANIZATION _4_ HOURS PER WEEK TRUSTEE, WAKE FOREST UNIVERSITY _3_ HOURS PER WEEK DIRECTOR, WFU BAPTIST MEDICAL CENTER _2_ HOURS PER WEEK MITESH B. SHAH DIRECTOR, FILING ORGANIZATION _4_ HOURS PER WEEK TRUSTEE, WAKE FOREST UNIVERSITY _3_ HOURS PER WEEK TRUSTEE, WFU DEVELOPMENT FOUNDATION _.5 _ HOURS PER WEEK JAMES DENMAN SHELTON DIRECTOR, FILING ORGANIZATION _4_ HOURS PER WEEK JAMES T. WILLIAMS, JR. DIRECTOR, FILING ORGANIZATION _4_ HOURS PER WEEK TRUSTEE, WAKE FOREST UNIVERSITY _20_ HOURS PER WEEK STEPHEN T. WILLIAMS DIRECTOR, FILING ORGANIZATION _4_ HOURS PER WEEK KYLE A. YOUNG, M.D. DIRECTOR, FILING ORGANIZATION _4_ HOURS PER WEEK TRUSTEE, WAKE FOREST UNIVERSITY _4_ HOURS PER WEEK RAYMOND ROY, M.D. FORMER, FILING ORGANIZATION _40_ HOURS PER WEEK
CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 42,287,666.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
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SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
WAKE FOREST UNIVERSITY HEALTH SCIENCES
 
Employer identification number

22-3849199
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income
(e)
End-of-year assets


 		(f)
Direct controlling
entity







(1) BRF-A1A LLC
MEDICAL CENTER BLVD
WINSTON SALEM,NC27157
20-3073357 		REAL ESTATE HOLDING COMPANY NC -200 343,343 WAKE FOREST UNIV HEALTH SCIENCES
 
(2) PTRP HOLDINGS LLC
MEDICAL CENTER BLVD
WINSTON SALEM,NC27157
05-0549344 		REAL ESTATE HOLDING COMPANY NC 169,414 35,119,726 WAKE FOREST UNIV HEALTH SCIENCES
 
(3) SEED STAGE ASSOCIATES LLC
200 EAST FIRST ST SUITE 101
WINSTON SALEM,NC27101
65-1198831 		CONSULT & ADVISE ON TECHNOLOGY TRANSFER & LICENSING OF INTELLECTUAL PROPERTY NC -14,889 18,646 WAKE FOREST UNIV HEALTH SCIENCES
 
(4) BRF DECK 1 LLC
MEDICAL CENTER BLVD
WINSTON SALEM,NC27157
86-1123819 		REAL ESTATE HOLDING COMPANY NC -200 543,025 WAKE FOREST UNIV HEALTH SCIENCES
 
(5) BRF-A1 LLC
MEDICAL CENTER BLVD
WINSTON SALEM,NC27157
86-1123822 		REAL ESTATE HOLDING COMPANY NC -200 973,138 WAKE FOREST UNIV HEALTH SCIENCES
 
(6) PTRP HOLDINGS II LLC
MEDICAL CENTER BLVD
WINSTON SALEM,NC27157
27-1917927 		REAL ESTATE HOLDING COMPANY NC 175,036 1,236,876 WAKE FOREST UNIV HEALTH SCIENCES
 
(7) PTRP HOLDINGS III LLC
MEDICAL CENTER BLVD
WINSTON SALEM,NC27157
27-1918085 		REAL ESTATE HOLDING COMPANY NC -6,731 313,719 WAKE FOREST UNIV HEALTH SCIENCES
 
(8) PARK IMP 1 LLC
MEDICAL CENTER BLVD
WINSTON SALEM,NC27157
27-2070963 		REAL ESTATE HOLDING COMPANY NC 0 0 WAKE FOREST UNIV HEALTH SCIENCES
 
(9) WAKE FOREST AMBULATORY VENTURES LLC
MEDICAL CENTER BLVD
WINSTON SALEM,NC27157
 OUTPATIENT SURGERY SERVICES NC 0 0 WAKE FOREST UNIV HEALTH SCIENCES
 
(10) WFUBMCCP PRIMARY CARE LLC
MEDICAL CENTER BLVD
WINSTON SALEM,NC27157
26-2072165 		HEALTHCARE NC 202,785 3,093,330 WAKE FOREST UNIV HEALTH SCIENCES
 
Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled organization
Yes No
(1) WAKE FOREST UNIVERSITY HEALTH SCIENCES GROUP RETURN

MEDICAL CENTER BLVD

WINSTON SALEM,NC27157
90-0222618 		PROVIDE DIALYSIS TREATMENTS TO ESRD PATIENTS NC 501(C) 11A, TYPE I WAKE FOREST UNIV HEALTH SCIENCES
 
 
No
(2) WFUBMC COMMUNITY PHYSICIANS (CP)

MEDICAL CENTER BLVD

WINSTON SALEM,NC27157
56-1903275 		HEALTHCARE NC 501(C) 170(B)(1)(A)(III) WAKE FOREST UNIV HEALTH SCIENCES
 
 
No
(3) PTRP DEVELOPMENT CORPORATION

MEDICAL CENTER BLVD

WINSTON SALEM,NC27157
06-1818498 		RESEARCH PARK DEVELOPMENT NC 501(C) 11A, TYPE I WAKE FOREST UNIV HEALTH SCIENCES
 
 
No
(4) IDEALLIANCE

MEDICAL CENTER BLVD

WINSTON SALEM,NC27157
56-2094067 		RESEARCH PARK DEVELOPMENT NC 501(C)   WAKE FOREST UNIV HEALTH SCIENCES
 
 
No
(5) WAKE FOREST UNIVERSITY FOUNDATION

PO BOX 7201

WINSTON SALEM,NC27109
56-2038193 		REAL ESTATE HOLDING AND MANAGEMENT NC 501(C) 11A, TYPE I WAKE FOREST UNIV HEALTH SCIENCES
 
 
No
(6) DIALYSIS ACCESS GROUP OF WAKE FOREST UNIVERSITY LLC

MEDICAL CENTER BLVD

WINSTON SALEM,NC27157
20-4241942 		PROVIDING VASCULAR TREATMENT TO ESRD PATIENTS NC 501(C) 11A, TYPE I WAKE FOREST UNIV HEALTH SCIENCES
 
 
No
(7) IDEALLIANCE FOUNDATION

MEDICAL CENTER BLVD

WINSTON SALEM,NC27157
56-2094060 		RESEARCH PARK DEVELOPMENT NC 501(C) 11A, TYPE I WAKE FOREST UNIV HEALTH SCIENCES
 
 
No
(8) PIEDMONT TRIAD RESEARCH PARK

MEDICAL CENTER BLVD

WINSTON SALEM,NC27157
20-0177581 		RESEARCH PARK DEVELOPMENT NC 501(C) 11A, TYPE I WAKE FOREST UNIV HEALTH SCIENCES
 
 
No
(9) WAKE FOREST UNIVERSITY

PO BOX 7201

WINSTON SALEM,NC27109
56-0532138 		UNIVERSITY NC 501(C) 2 WAKE FOREST UNIV HEALTH SCIENCES
 
 
No
(10) WAKE FOREST UNIVERSITY DEVELOPMENT FOUNDATION

PO BOX 7201

WINSTON SALEM,NC27109
56-2038194 		MANAGEMENT/SALE OF CHARITABLE REAL PROPERTY GIFTS NC 501(C) 11A, TYPE I WAKE FOREST UNIV HEALTH SCIENCES
 
 
No
(11) WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER

MEDICAL CENTER BLVD

WINSTON SALEM,NC27157
51-0190238 		FACILITATE THE CARRYING OUT OF THE FUNCTIONS AND PURPOSES OF WFUHS & NCBH NC 501(C) 11A, TYPE I WAKE FOREST UNIV HEALTH SCIENCES
 
 
No
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



 		(b)
Primary activity



 		(c)
Legal domicile
(state or
foreign
country)
 		(d)
Direct controlling
entity


 		(e)
Type of entity
(C corp, S corp,
or trust)

 		(f)
Share of total income



 		(g)
Share of
end-of-year
assets

 		(h)
Percentage
ownership
(1) CHARITABLE REMAINDER TRUST
 
 
INVESTMENT NC  
T   206,661 64.000 %












Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
Yes
 
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type(a-r) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) IDEALLIANCE

 D 17,012 FAIR MARKET VALUE
(2) PIEDMONT TRIAD RESEARCH PARK

 D 788,511 FAIR MARKET VALUE
(3) PTRP DEVELOPMENT CORP

 D 2,471,922 FAIR MARKET VALUE
(4) WAKE FOREST UNIVERSITY HEALTH SCIENCES GROUP RETURN

 D -300,000 FAIR MARKET VALUE
(5) IDEALLIANCE

 K 1 FAIR MARKET VALUE
(6) PIEDMONT TRIAD RESEARCH PARK

 R 4,557,567 FAIR MARKET VALUE
(7) PTRP DEVELOPMENT CORP

 R 2,001,798 FAIR MARKET VALUE
(8) WAKE FOREST UNIVERSITY HEALTH SCIENCES GROUP RETURN

 R 11,970,646 FAIR MARKET VALUE
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Are all
partners
section
501(c)(3)
organizations? 		(e)
Share of
end-of-year
assets 		(f)
Disproprtionate allocations? 		(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065) 		(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


Software ID:  
Software Version: