WakeMed

What it reported doing in 2024

Heart center wakemed's heart and vascular program is one of the largest and most comprehensive cardiovascular programs in the state of North Carolina. This year, 21,030 cardiovascular procedures were performed including surgery, diagnostic and interventional cardiac catheterizations and electrophysiology studies. Thousands more patients were treated medically as in and outpatients throughout the system. In fiscal year 2025, our cardiac patients included 61.4% who were insured under medicare, 8.0% who were insured under medicaid, and 2.2% who were uninsured (or "self-pay or charity care"). Wakemed health & hospitals has consistently been nationally recognized for excellence in both stroke and heart care. Wakemed raleigh campus and wakemed cary hospital received recognition from the american heart association and the american stroke association through their "get with the guidelines (gwtg)" awards, each earning gold plus achievement awards for both stroke care and for heart failure care. These recognitions signify that wakemed has reached an aggressive goal of treating both stroke and heart failure patients according to the guidelines of care recommended by the american stroke association, american heart association, and american college of cardiology. Both wakemed cary hospital and wakemed raleigh campus received chest pain center accreditation by the society of cardiovascular patient care, and both received the joint commission advanced certification for primary stroke center. In addition, wakemed raleigh campus received a three star rating from the society of thoracic surgeons, is rated a top 50 cardiovascular hospital by ibm watson health, and received the 2021 cigna center of excellence designation for heart surgery & cardiac catheterization and angioplasty. Wakemed is the first us health care system to implement enhanced recovery after cardiac surgery, which cause it to be the first hospital to be named a center of excellence by the eras society. A key support service for our community, wakemed mobile critical care services is a comprehensive medical transport program that improves access to acute care and facilitates transport into, out of, and across the health care system. Wakemed mobile critical care services transports patients throughout the region and state. In fy2025, the team transported 23,103 patients. Wakemed's heart center has made significant strides in programs and services aiming to reduce heart disease and diabetes, improve stroke outcomes and improve patients' understanding of disease management. We know that teaching patients about their risk factors for heart disease and encouraging healthy behaviors through lifestyle changes builds a foundation for a healthier population. Thus, the wakemed heart center provides a comprehensive continuum of care for the cardiac patient from outreach education and prevention to diagnosis, intervention, surgery, cardiac rehabilitation and ongoing disease management for heart failure diabetes. Free education programs are offered regularly for our patients, their family members and the community to complement our comprehensive care services. Because the fastest intervention provides the best outcomes, all of wakemed's emergency departments are certified chest pain centers. Wakemed raleigh campus and cary hospital are designated primary stroke centers. Additionally, wakemed's heart center provides free health screenings throughout the community including cholesterol screenings, blood pressure checks, vascular screenings, and stroke assessments. These screenings are designed to be a secondary prevention activity to detect early onset of disease or illness. Wakemed heart & vascular provides numerous opportunities for heart health education and cpr training in the commuity. One of our key outreach programs is cpr anytime. This program is provided at multiple locations in wake county throughout the year and the cpr anytime kits are provided at no cost to participants. Wakemed do

Financial Efficiency

• Mission deployment rate: 85.8%; rating input score 86
• Program expense ratio: 89.2%; rating input score 89
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
• Pay-setting controls: 5 of 6 controls in place; rating input score 83
  • Compensation committee: Pass
  • Independent consultant: Pass
  • Other Form 990s reviewed: Missing
  • Written employment contract: Pass
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Scored; rating input score 0
• Grant itemization coverage: 100%; rating input score 100; 77th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Yes; rating input score 100

Accountability

• Independent voting board: 71.4%; rating input score 71; 22nd percentile among comparable filings
• Governance controls: 8 of 9 controls in place; rating input score 89
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Fail
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 4.4%; rating input score 54; 54th percentile among comparable filings
• Total-asset coverage ratio: 0.87; rating input score 35; 35th percentile among comparable filings
• Liabilities to assets ratio: 0.52; rating input score 35; 35th percentile among comparable filings
• Officer compensation ratio: 0.8%; rating input score 78; 78th percentile among comparable filings

Growth

• Program expense growth: 8.4% per year; rating input score 100; 66th percentile among comparable filings
• Revenue growth: 7.2% per year; rating input score 100; 62nd percentile among comparable filings
• Asset growth: 3.2% per year; rating input score 100; 21st percentile among comparable filings