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Community Benefit

WakeMed's value to the community is significant and is measured in numerous ways - by the amount of charity care provided; the unreimbursed costs incurred to care for Medicare and Medicaid patients; and the value of our outreach activities, volunteer services, and program support.  Reporting these efforts and quantifying their impact is critically important.

Today, more than ever before, we are being called upon by many to be more accountable and transparent about what we are doing for our community.  We are pleased to report it publicly so that we clearly demonstrate how WakeMed, as a not-for-profit organization, is fulfilling its mission of community service and meeting its charitable tax-exempt purpose.

Provisions in the Affordable Care Act (ACA) require charitable hospitals like WakeMed Health & Hospitals to conduct a community health needs assessment every three years, and adopt implementation strategies to meet the health needs identified through the assessment.

WakeMed partnered with Wake County Human Services, Wake Health Services, the Triangle United Way, Rex Healthcare and Duke Raleigh Hospital to conduct a Community Health Needs Assessment which was completed in June 2013. WakeMed subsequently prepared a written Implementation Plan which was adopted by the WakeMed Board of Directors in November 2013.  Both documents can be accessed by the links below:

Community Benefit Value

Direct Community Benefit:  FY 2013

Unreimbursed Cost of treating Charity Care patients $ 80,695,392
Unreimbursed costs of treating Medicare patients $ 88,511,476
Unreimbursed costs of treating Medicaid patients*
$ 25,649,621
 Other Government Program Losses $ 506,465
Health Professions Education $ 31,808,699
Community Education, Health Improvement, Outreach and Contributions $ 6,497,378
TOTAL DIRECT COMMUNITY BENEFIT $ 233,669,031
Direct Community Benefit:  FY 2012

Unreimbursed Cost of treating Charity Care patients $ 77,143,223
Unreimbursed costs of treating Medicare patients $ 67,278,413
Unreimbursed costs of treating Medicaid patients*
$ 6,691,534
 Other Government Program Losses $ 439,822
Health Professions Education $ 32,376,508
Community Education, Health Improvement, Outreach and Contributions $ 5,867,008
TOTAL DIRECT COMMUNITY BENEFIT $ 189,796,508
*Note Medicaid losses are significantly lower than previous years due to receipt of funds from the North Carolina Medicaid Provider Assessment fund.
Direct Community Benefit:  FY 2011

Cost of treating Charity Care patients $ 72,796,049
Unreimbursed costs of treating Medicare patients $ 64,629,478
Unreimbursed costs of treating Medicaid patients $ 47,272,072
Health Professions Education $ 18,629,829
Community Education, Health Improvement, Outreach and Contributions $ 4,666,534
TOTAL DIRECT COMMUNITY BENEFIT $ 207,993,962

WakeMed categorizes charity care as care given to patients who have no third party coverage of any kind and are at poverty levels which prohibit them from paying for their care.  Unreimbursed cost of treating Medicare and Medicaid patients is the difference between government reimbursement and the hospital's actual cost to provide that care.  Bad debt is primarily comprised of the charges for care for those patients who have some type of third party coverage but are unable to pay their co-pays and deductibles.

(Guidelines developed by the VHA and the Catholic Health Association, as well as the North Carolina Hospital Association are used in the calculation and data collection for this report.)

Previous community benefit reports:

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