Municipal Secondary Market Disclosure Information Cover Sheet

Transcription

1 Municipal Secondary Market Disclosure Information Cover Sheet This cover sheet should be sent with all submissions made to the Municipal Securities Rulemaking Board, Nationally Recognized Municipal Securities Information Repositories, and any applicable State Information Depository, whether the filing is voluntary or made pursuant to Securities and Exchange Commission rule 15c2-12 or any analogous state statute. See for list of current NRMSIRs and SIDs IF THIS FILING RELATES TO A SINGLE BOND ISSUE: Provide name of bond issue exactly as it appears on the cover of the Official Statement (please include name of state where issuer is located): ISSUES ON THE ATTACHED SCHEDULE Provide nine-digit CUSIP* numbers if available, to which the information relates: (SEE ATTACHED) IF THIS FILING RELATES TO ALL SECURITIES ISSUED BY THE ISSUER OR ALL SECURITIES OF A SPECIFIC CREDIT OR ISSUED UNDER A SINGLE INDENTURE: Issuer s Name (please include name of state where Issuer is located): Other Obligated Person s Name (if any): (Exactly as it appears on the Official Statement Cover) Provide six-digit CUSIP* number(s), if available, of Issuer: *(Contact CUSIP s Municipal Disclosure Assistance Line at for assistance with obtaining the proper CUSIP numbers.) TYPE OF FILING: Electronic (number of pages attached) X Paper (number of pages attached) 5 If information is also available on the Internet, give URL:

2 WHAT TYPE OF INFORMATION ARE YOU PROVIDING? (Check all that apply) A. Annual Financial Information and Operating Data pursuant to Rule 15c2-12 (Financial information and operating data should not be filed with the MSRB.) Fiscal Period Covered: B. Audited Financial Statements or CAFR pursuant to Rule 15c2-12 Fiscal Period Covered: C. Notice of a Material Event pursuant to Rule 15c2-12 (Check as appropriate) 1. Principal and interest payment delinquencies 6. Adverse tax opinions or events affecting the taxexempt status of the security 2. Non-payment related defaults 7. Modifications to the rights of security holders 3. Unscheduled draws on debt service reserves reflecting financial difficulties 8. Bond calls 4. Unscheduled draws on credit enhancements reflecting 9. Defeasances financial difficulties 10. Release, substitution, or sale of property securing 5. Substitution of credit or liquidity providers, or their repayment of the securities failure to perform 11. Rating changes D. Notice of Failure to Provide Annual Financial Information as Required E. X Other Secondary Market Information (Specify): Leadership Change (Voluntary Disclosure) I hereby represent that I am authorized by the issuer or obligor or its agent to distribute this information publicly: Issuer Contact: Name Bradley Clark Title Associate Vice President, Treasury & Capital Employer Wake Forest Baptist Medical Center Address Medical Center Boulevard City Winston-Salem State NC Zip Code Telephone (336) Fax Address bclark@wakehealth.edu Issuer Web Site Address WakeHealth.edu Dissemination Agent Contact, if any: Name Employer Address City State Zip Code Telephone Fax Address Relationship to Issuer Obligor Contact, if any: Name Employer Address City State Zip Code Telephone Fax Address Obligor Web site Address Investor Relations Contact, if any: Title Title Name Telephone Title Address

3 VOLUNTARY DISCLOSURE NOTICE* LEADERSHIP CHANGE OF WAKE FOREST BAPTIST MEDICAL CENTER March 30, 2015 Please see the attached Press Release for leadership change details. Voluntary notice is being provided of this event as related to the following bonds: CUSIP 65820HC HD HC HE HC HC HD HE HD HD HD HD HE HE HE HE HD67 Hospital Revenue Refunding Bonds (North Carolina Baptist Hospital) Series 2010 CUSIP 65821DMM DMN8 Health Care Facilities Revenue Bonds (Wake Forest Baptist Obligated Group) Series 2012A [Continued on following page] CUSIPs provided herein are for the convenience of bondholders. Wake Forest Baptist Medical Center is not responsible for the accuracy or completeness of such CUSIP numbers. * This Voluntary Disclosure Notice is provided for informational purposes only. Wake Forest Baptist Medical Center has not undertaken, and does not undertake, to provide updates of this report in the future.

4 CUSIP 65821DMR DMS DMT DMU DMV DMW DMX DMY DMZ DNA DNB DNC DND DNE DNF4 Health Care Facilities Revenue Refunding Bonds (Wake Forest Baptist Obligated Group) Series 2012B CUSIP 65821DNX5 Health Care Facilities Revenue Refunding Bonds (Wake Forest Baptist Obligated Group) Series 2012C CUSIPs provided herein are for the convenience of bondholders. Wake Forest Baptist Medical Center is not responsible for the accuracy or completeness of such CUSIP numbers.

5 Wake Forest Baptist Announces Executive Promotions and Transitions WINSTON-SALEM, N.C. March 30, 2015 Wake Forest Baptist Medical Center today announced three executive promotions and two departures, effective April 1, Clinical. Karen Bobbi Carbone, M.D., M.B.A., is stepping down as president and chief operating officer of Wake Forest Baptist Health to pursue other opportunities. During her tenure, the clinical health system has made significant advances including improved access to clinics, throughput within the hospitals and reductions in length of stay. These practices have strengthened the health system s financial position and will continue in the future. Carbone also implemented an advanced service-line architecture, in tight collaboration with our planning/finance groups and physician leadership, that will serve the organization well in the health care reform environment. The Medical Center appreciates her service and contributions. Going forward, the Medical Center does not plan to have a president or chief operating officer title for the clinical health system. Kevin High, M.D., M.S., professor and chair of internal medicine, will take on these responsibilities and has been named executive vice president of health system affairs, Wake Forest Baptist Health, effective April 1, High joined the Medical Center faculty in 1993 and has earned national recognition in the field of infectious diseases in older adults and in integrating geriatrics and gerontology into the specialties of internal medicine. Since being named chair last May, he helped design the clinical enterprise governance structure and has advanced system-wide safety and quality initiatives. Finance. Two top executives, promoted from within the organization, will now lead the Medical Center s finance and information technology (IT) divisions, effective April 1, Mike Rutherford, M.B.A, chief financial officer (CFO), will step down as planned, in April. He agreed to lead the finance department on an interim basis for one year in March 2014 when he retired from The Ohio State University, Wexner Medical Center. The Medical Center greatly appreciates his service.

6 Under Rutherford s guidance, Wake Forest Baptist made rapid improvement in revenue cycle and positive changes to its financial systems. His important leadership leaves the Medical Center in a strengthened position as it transitions to a new executive. Following a national search, Wake Forest Baptist has named Chad Eckes, M.B.A., as its new executive vice president and CFO. Eckes, currently the Medical Center s vice president and chief information officer (CIO), will work closely with Rutherford over the next several months to ensure a seamless transition. In his new position, Eckes will direct all financial functions at the Medical Center, develop and implement long- and short-term financial strategies and oversee integration and consolidation of systems to optimize financial functions across the organization. He will also oversee Wake Forest Baptist s IT division. Eckes background is well suited to the world of large clinical data for population health with tightly integrated financial data that will increasingly drive success for the future. His broad portfolio includes years of working in finance, revenue cycle, claims, growth, talent, customer experience and strategy management domains. Eckes joined Wake Forest Baptist in March In the past year, he has been closely involved in the variety of changes being made in process and systems supporting the revenue cycle. He previously served as chief strategy officer for Cancer Treatment Centers of America and as controller at Sentry Insurance, a property and casualty insurance company. Information Services. Deette Dee Emon, M.S., B.S.N., chief clinical information officer at Wake Forest Baptist, will replace Eckes as the Medical Center s vice president and chief information officer (CIO), reporting to the CFO. In this new role, Emon will be responsible for the division s strategic development and management, technology systems and processes as they apply to support of the Medical Center. Emon joined the Medical Center last spring. Prior to joining Wake Forest Baptist, Emon s experience focused on operational initiatives in growth, quality, service and cost management at Tenet Healthcare. She was an examiner on the team that assesses hospitals being considered for the esteemed Malcolm Baldrige National Quality Award and also served as corporate chief nurse executive and quality officer at Cancer Treatment Centers of America. Media contacts: Paula Faria, pfaria@wakehealth.edu, ; Mac Ingraham, mingraha@wakehealth.edu, ; or the main office at Wake Forest Baptist Medical Center ( is a nationally recognized academic medical center in Winston- Salem, N.C., with an integrated enterprise including educational and research facilities, hospitals, clinics, diagnostic centers and other primary and specialty care facilities serving 24 counties in northwest North Carolina and southwest Virginia. Its divisions are Wake Forest Baptist Health, a regional clinical system with close to 175 locations, 900 physicians and 1,000 acute care beds; Wake Forest School of Medicine, an established leader in medical education and research; and Wake Forest

7 Innovations, which promotes the commercialization of research discoveries and operates Wake Forest Innovation Quarter, an urban research and business park specializing in biotechnology, materials science and information technology. Wake Forest Baptist clinical, research and educational programs are annually ranked among the best in the country by U.S. News & World Report.