LEXINGTON MEDICAL CENTER: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: LEXINGTON MEDICAL CENTER (EIN 56-0543238)
Tax period: 2022-01-01 to 2022-12-31
Filed: 2023-11-14
IRS object ID: 202323189349305347
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-11-14T11:01:40-06:00	ReturnTs
Tax Period End	2022-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	560543238	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LEXINGTON MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	LEXI	BusinessNameControlTxt
Phone	3367164445	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1817 250 HOSPITAL DRIVE	AddressLine1Txt
City	LEXINGTON	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	272931817	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	BRADLEY A CLARK	PersonNm
Person Title	TREASURER	PersonTitleTxt
Phone	3362485161	PhoneNum
Signature	2023-11-14	SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	BRADLEY	PersonFirstNm
Person Last	CLARK	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd
Preparer Person		PreparerPersonGrp

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	ATRIUM HEALTH WAKE FOREST BAPTIST LE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	WILLIAM B JAMES	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1817 250 HOSPITAL DRIVE	AddressLine1Txt
City	LEXINGTON	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	272931817	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$141,675,403	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.WAKEHEALTH.EDU	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1954	FormationYr
Legal Domicile State	NC	LegalDomicileStateCd
Activity Or Mission	TO IMPROVE HEALTH, ELEVATE HOPE, AND ADVANCE HEALING FOR ALL.	ActivityOrMissionDesc
Voting Members Governing Body	19	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	23	TotalVolunteersCnt
Total Gross UBI	$23,898	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$330,889	PYContributionsGrantsAmt
CY Contributions Grants	$423,824	CYContributionsGrantsAmt
PY Program Service Revenue	$68,767,995	PYProgramServiceRevenueAmt
CY Program Service Revenue	$140,587,779	CYProgramServiceRevenueAmt
PY Investment Income	$739	PYInvestmentIncomeAmt
CY Investment Income	$13	CYInvestmentIncomeAmt
PY Other Revenue	$330,644	PYOtherRevenueAmt
CY Other Revenue	$663,787	CYOtherRevenueAmt
PY Total Revenue	$69,430,267	PYTotalRevenueAmt
CY Total Revenue	$141,675,403	CYTotalRevenueAmt
PY Grants And Similar Paid	$96,411	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$25,768	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$26,724,176	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$53,507,304	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$33,530,179	PYOtherExpensesAmt
CY Other Expenses	$74,337,196	CYOtherExpensesAmt
PY Total Expenses	$60,350,766	PYTotalExpensesAmt
CY Total Expenses	$127,870,268	CYTotalExpensesAmt
PY Revenues Less Expenses	$9,079,501	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$13,805,135	CYRevenuesLessExpensesAmt
Total Assets BOY	$152,444,674	TotalAssetsBOYAmt
Total Assets EOY	$165,612,388	TotalAssetsEOYAmt
Total Liabilities BOY	$6,938,237	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$6,300,816	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$145,506,437	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$159,311,572	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$119,155,117	ExpenseAmt
Grant	$25,768	GrantAmt
Revenue	$140,587,779	RevenueAmt
Desc	THE ORGANIZATION OPERATES A 94 ACUTE CARE BED HOSPITAL WITH SPECIALTY SERVICES THAT INCLUDE ORTHOPAEDIC SURGERY, GENERAL SURGERY, ENT/HEAD AND NECK SURGERY AND CANCER CARE. LEXINGTON MEDICAL CENTER'S OUTPATIENT EXPERTISE INCLUDES DIGESTIVE HEALTH SERVICES, A STATE-OF-THE-ART REHABILITATION DEPARTMENT, A DIAGNOSTIC IMAGING CENTER AND WOUND CARE CENTER. IT'S COMMITMENT IS TO EDUCATE, DIAGNOSE, AND PROVIDE CARE AND TREATMENT TO THE RESIDENTS OF DAVIDSON COUNTY, NORTH CAROLINA AND SURROUNDING AREAS. THE ORGANIZATION SERVES AS A SATELLITE PROVIDER OF ATRIUM HEALTH WAKE FOREST BAPTIST SPECIALTY SERVICES. THE ORGANIZATION IS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS AND HAS BEEN COMMITTED TO SERVING THE HEALTHCARE NEEDS OF DAVIDSON COUNTY SINCE THE 1920S. DURING CALENDAR YEAR 2022, THE HOSPITAL FACILITY HAD APPROXIMATELY 14,700 PATIENT DAYS, INCLUDING APPROXIMATELY 3,330 INPATIENT ADMISSIONS, AND APPROXIMATELY 35,200 EMERGENCY DEPARTMENT VISITS.THE ORGANIZATION PROVIDES NUMEROUS RESOURCES, ACTIVITIES, AND PROGRAMS TO SERVE THE HEALTH NEEDS OF ITS COMMUNITY. THESE PROGRAMS INCLUDE:- BESTHEALTH - A COMMUNITY WELLNESS OUTREACH PROGRAM OF AHWFB OFFERS HEALTH SEMINARS, SCREENINGS, COOKING AND FITNESS CLASSES, ONLINE HEALTH RESOURCES AND A MEMBERSHIP PROGRAM WITH SPECIAL BENEFITS. SEMINARS LED BY EXPERTS FROM AHWFB PROVIDE THE LATEST INFORMATION ABOUT A VARIETY OF HEALTH TOPICS IN TALKS HELD AT CONVENIENT LOCATIONS THROUGHOUT THE COMMUNITY. MEMBERSHIP BENEFITS INCLUDE FREE HEALTH SCREENINGS, WELLNESS CHALLENGES, DISCOUNTS TO PARTICIPATING LOCAL MERCHANTS, E-NEWSLETTERS, AND PRIORITY NOTIFICATION OF EVENTS AND PROGRAMS.- FAITHHEALTHNC - AN INITIATIVE THAT CONNECTS THE CARING STRENGTHS OF CONGREGATIONS, THE CLINICAL EXPERTISE OF PROVIDERS, AND A NETWORK OF COMMUNITY RESOURCES TO EASE THOSE ON THE JOURNEY TO HEALTH AND HEALING WHILE STRENGTHENING COMMUNITIES IN THE PROCESS. THERE ARE FAITHHEALTH CONNECTORS IN DAVIDSON COUNTY THAT SERVE MARGINALIZED POPULATIONS AND GIVE VOICE TO HEALTH DISPARITIES IN THE COMMUNITIES SURROUNDING AHWFB-LMC. - CHRONIC DISEASE SELF-MANAGEMENT PROGRAMS - ONE OF THE SELF-MANAGEMENT PROGRAMS IS THE DIABETES EDUCATION PROGRAM THAT HELPS PEOPLE WITH DIABETES UNDERSTAND AND MANAGE THE DISEASE. CLASSES ARE TAUGHT BY A REGISTERED DIETITIAN AND A REGISTERED NURSE WHO HELP INDIVIDUALS SET GOALS FOR MANAGING THE DISEASE AND MAINTAINING HEALTH AND WELL-BEING. THIS PROGRAM IS RECOGNIZED BY THE AMERICAN DIABETES ASSOCIATION. - TELESTROKE NETWORK & STROKE AWARENESS SEMINARS - THE TELESTROKE NETWORK PROVIDES ACCESS TO STROKE CARE FOR PATIENTS IN SMALLER COMMUNITIES, SUCH AS AHWFB-LMC. EMERGENCY ROOM PHYSICIANS AT THE HOSPITAL AND THEIR STROKE PATIENTS RECEIVE ON-DEMAND CONSULTATIONS WITH AN AHWFB STROKE NEUROLOGIST BY USING A SPECIAL MOBILE ROBOT UNIT, EQUIPPED WITH VIDEO CONFERENCING. THE STROKE EXPERT CAN EVALUATE THE PRESENCE OR SEVERITY OF A STROKE AND ASSIST IN DETERMINING THE BEST TREATMENT PLAN. AHWFB INCREASED STROKE AWARENESS IN THE HOSPITALS' LOCAL COMMUNITIES BY PROVIDING STROKE EDUCATION THROUGH THE ROBOT TO HIGH SCHOOL STUDENTS, OLDER ADULTS, AND INTERNATIONAL STUDENTS. AHWFB ALSO PROVIDES AN ADVANCED STROKE LIFE SUPPORT COURSE AND CERTIFICATION TO EMERGENCY DEPARTMENT STAFF AND LOCAL EMS AGENCIES. - CAREGIVER ACADEMY - A PROGRAM OFFERING FREE CLASSES TO EDUCATE THE COMMUNITY ON HOW TO PREPARE FOR CAREGIVING AND PROVIDE ASSISTANCE FOR LOVED ONES, INCLUDING FINDING THE RIGHT RESOURCES, BEING YOUR OWN HEALTH CARE ADVOCATE, AND DEALING WITH THE PAPERWORK AND FINANCIAL BURDENS.- ATHLETIC TRAINERS - A CERTIFIED ATHLETIC TRAINER (ATC), PROVIDED BY AHWFB, WORKS FULL-TIME IN LEXINGTON SENIOR HIGH SCHOOL. THE ATC WORKS WITH STUDENT ATHLETES AND THEIR COACHES TO HELP KEEP THE ATHLETES SAFE AND HEALTHY AND TO TREAT AND HELP REHABILITATE SPORTS-RELATED INJURIES. DURING THE COVID-19 PANDEMIC, THE ATC COLLABORATED WITH SCHOOL ADMINISTRATORS AND STAFF TO DESIGN AND IMPLEMENT DAILY SCREENING PROCESSES AND SOCIAL DISTANCING MEASURES THROUGHOUT THE SCHOOL. - HEALTHCARE APPRENTICESHIPS - IN 2022, ATWFB ENTERED INTO A NEW PARTNERSHIP WITH DAVIDSON-DAVIE COMMUNITY COLLEGE TO CREATE THE LARGEST HEALTHCARE APPRENTICESHIP PROGRAM IN NORTH CAROLINA. STUDENTS WILL BE ABLE TO WORK IN A HEALTHCARE PROFESSION WHILE TAKING COURSES RELATED TO THEIR CAREER GOALS. COURSES ARE AVAILABLE FOR THE FOLLOWING HEALTHCARE PROFESSIONS: MEDICAL ASSISTING, MEDICAL LABORATORY TECHNOLOGY, NURSING, LICENSED PRACTICAL NURSING, PHARMACY TECHNOLOGY, CENTRAL STERILE PROCESSING, SURGICAL TECHNOLOGY, AND NURSE AIDE. THIS PARTNERSHIP BUILDS OFF THE SUCCESS OF THE 2021 COLLABORATION BETWEEN DAVIDSON-DAVIE AND WAKE FOREST BAPTIST TO LAUNCH THE STATE'S FIRST REGISTERED NURSE APPRENTICESHIP PROGRAM. THIS NEW COLLABORATION EXPANDS APPRENTICESHIP OPPORTUNITIES TO OTHER CRITICAL HEALTHCARE FIELDS. THIS UNIQUE PARTNERSHIP NOT ONLY OFFERS STRUCTURE THAT SUPPORTS AND GROWS THE PIPELINE OF HEALTH CARE LEARNERS BUT AFFORDS THE UNIQUE OPPORTUNITY TO ENGAGE IN NEW THOUGHTS REGARDING MODELS OF CARE DESIGN AND LEVERAGE THE ACADEMIC LEARNING HEALTHCARE SYSTEM.IN ADDITION TO COMMUNITY PROGRAMS, THE HOSPITAL REGULARLY REINVESTS FUNDS IN MEDICAL TECHNOLOGIES AND STATE-OF-THE ART EQUIPMENT TO BETTER MEET THE HEALTH NEEDS OF THE COMMUNITY. DURING THE SHORT YEAR, AHWFB-LMC ACQUIRED A DA VINCI XI SURGICAL SYSTEM, ALLOWING THE HOSPITAL TO OFFER MINIMALLY-INVASIVE SURGERY COMBINING THE LATEST ASSISTED SURGICAL TECHNOLOGIES WHICH ALLOWS FOR EASIER ACCESS TO TARGETED AREAS. ADVANTAGES OF MINIMALLY INVASIVE SURGERY INCLUDE LESS BLOOD LOSS, PAIN, AND SCARING, FASTER RECOVERY AND LESS TIME IN THE HOSPITAL.ATRIUM HEALTH WAKE FOREST BAPTIST HAS LAUNCHED A NEW VIRTUAL SERVICE TO BETTER AND MORE QUICKLY MEET THE NEEDS OF PATIENTS HOSPITALIZED AT THE HEALTH SYSTEM'S HOSPITALS IN NORTH WILKESBORO AND LEXINGTON. MORE THAN 100 NON-ACUTE PATIENTS HAVE BEEN SEEN THROUGH THE VIRTUAL HOSPITAL PROGRAM THAT BEGAN DEC. 24, 2021, AT WAKE FOREST BAPTIST WILKES MEDICAL CENTER AND IN EARLY JANUARY 2022 AT WAKE FOREST BAPTIST LEXINGTON MEDICAL CENTER.ATRIUM HEALTH WAKE FOREST BAPTIST LEXINGTON MEDICAL CENTER RECEIVED TWO NATIONAL HONORS IN 2022. LEXINGTON MEDICAL CENTER WAS ANNOUNCED AS A TOP TEACHING HOSPITAL, AND IN NOVEMBER, WAS AWARDED AN A GRADE IN LEAPFROG'S FALL 2022 HOSPITAL SAFETY GRADES. LEXINGTON MEDICAL CENTER IS ONE OF 58 HOSPITALS ACROSS THE COUNTRY TO RECEIVE THE TOP TEACHING HOSPITAL AWARD. TO QUALIFY FOR THE TOP HOSPITALS DISTINCTION, HOSPITALS MUST RANK TOP AMONG PEERS ON THE LEAPFROG HOSPITAL SURVEY WHICH ASSESSES HOSPITAL PERFORMANCE ON THE HIGHEST STANDARDS FOR QUALITY AND PATIENT SAFETY AND MUST ACHIEVE TOP PERFORMANCE IN ITS CATEGORY.	Desc
Total Program Service Expenses	$119,155,117	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	19	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ERIN KOEWING	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3367164445	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	MEDICAL CENTER BOULEVARD	AddressLine1Txt
City	WINSTONSALEM	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27157	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
MICHAEL T WAID
DIRECTOR	0.80	39.20	Yes (X)	$0	$806,565	$142,283
D BRANDON CHAPMAN MD
DIRECTOR	2.00	38.00	Yes (X)	$0	$583,181	$52,405
MICK FISHER
DIRECTOR	2.00	38.00	Yes (X)	$0	$889,085	$81,765
KARIN MABE
DIRECTOR	2.20	37.80	Yes (X)	$0	$417,321	$66,508
WILLIAM B JAMES
DIRECTOR & PRESIDENT	38.00	2.00	Yes (X)	$0	$471,530	$90,111	Yes (X)
DEBBY BROWN
DIRECTOR	2.00	0.00	Yes (X)	$0	$0	$0
GORDON KAMMIRE MD
DIRECTOR	2.00	38.00	Yes (X)	$0	$0	$0
CHUCK MILLER
DIRECTOR	2.00	0.00	Yes (X)	$0	$0	$0
LILLIAN KOONTZ
DIRECTOR	2.00	0.00	Yes (X)	$0	$0	$0
MICHAEL HOLSHOUSER
VICE CHAIR	2.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
NICOLE PEDERSON SMITH
DIRECTOR	2.00	38.00	Yes (X)	$0	$73,063	$26,244
NINA SMITH
DIRECTOR	2.00	0.00	Yes (X)	$0	$0	$0
REV DR RAY HOWELL
CHAIR	4.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
ROBIN TEAM JR
DIRECTOR	2.00	0.00	Yes (X)	$0	$0	$0
ROSALIND BAKER
DIRECTOR	2.00	0.00	Yes (X)	$0	$0	$0
TAMMY ABSHER
DIRECTOR	2.00	0.00	Yes (X)	$0	$0	$0
ROBERT EVANS MD
DIRECTOR (FR 1/1/22)	2.00	0.00	Yes (X)	$0	$0	$0
HOLLY MYERS
DIRECTOR (FR 1/1/22)	2.00	0.00	Yes (X)	$0	$0	$0
LARRY LINK
DIRECTOR (TO 12/31/22)	2.00	0.00	Yes (X)	$0	$0	$0
BRADLEY A CLARK
TREASURER	0.50	39.50		$1,335,054	$0	$135,513	Yes (X)
DENISE HEGE
SECRETARY	38.00	2.00		$0	$72,222	$12,519	Yes (X)
DANNY SQUIRES
FINANCE DIRECTOR	19.00	21.00		$0	$257,565	$38,748		Yes (X)
SARA SHIELDS
PHARM PGRM DIR	40.00	0.00		$0	$170,813	$18,968			Yes (X)
ELIZABETH REID
NURSING ED COORD	40.00	0.00		$0	$149,636	$30,722			Yes (X)
CYNTHIA HAYES
NURSING ED COORD	40.00	0.00		$0	$149,561	$25,481			Yes (X)
ALANNA BARBEE
STAFF NURSE II	40.00	0.00		$0	$151,468	$320			Yes (X)
AMANDA TURNER
STAFF NURSE II	40.00	0.00		$0	$148,332	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,335,054	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,340,342	TotReportableCompRltdOrgAmt
Total Other Compensation	$721,587	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	Yes (1)	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
AYA HEALTHCARE INC
DEPT 3519 P O BOX 123519	DALLAS	TX	75312	HEALTHCARE SERVICES	$6,906,223
CROSS COUNTRY STAFFING
P O BOX 404674	ATLANTA	GA	30384	STAFFING SERVICES	$2,022,433
SODEXO MAGIC LLC
PO BOX 360170	PITTSBURGH	PA	15251	FACILITIES MANAGEMENT SERVICES	$738,491
AMN HEALTHCARE ALLIED INC
2735 COLLECTION CENTER DR	CHICAGO	IL	60693	CONTRACT LABOR	$631,204
DAVIDSON SURGICAL ASSOCIATES INC
1219-A LEXINGTON AVENUE	THOMASVILLE	NC	27360	HEALTHCARE SERVICES	$367,200

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	13	CntrctRcvdGreaterThan100KCnt
Related Organizations	$12,229	RelatedOrganizationsAmt
Government Grants	$292,674	GovernmentGrantsAmt
All Other Contributions	$118,921	AllOtherContributionsAmt
Total Contributions	$423,824	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	622110	$140,262,063	$140,238,165	$23,898
DIETARY REVENUE	722513	$325,716	$325,716

Field	Value	IRS element (for citing)
Total Program Service Revenue	$140,587,779	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13	TotalRevenueColumnAmt
Exclusion	$13	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$663,787	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$663,787	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$663,787	TotalRevenueColumnAmt
Exclusion	$663,787	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$141,675,403	TotalRevenueColumnAmt
Related Or Exempt Func Income	$140,563,881	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$23,898	UnrelatedBusinessRevenueAmt
Exclusion	$663,800	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$24,250	TotalAmt
Program Services	$24,250	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$1,518	TotalAmt
Program Services	$1,518	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$735,052	TotalAmt
Program Services	$367,526	ProgramServicesAmt
Management And General	$367,526	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$42,544,697	TotalAmt
Program Services	$38,465,582	ProgramServicesAmt
Management And General	$4,079,115	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,619,383	TotalAmt
Program Services	$1,463,561	ProgramServicesAmt
Management And General	$155,822	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$5,994,681	TotalAmt
Program Services	$5,417,855	ProgramServicesAmt
Management And General	$576,826	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,613,491	TotalAmt
Program Services	$2,362,013	ProgramServicesAmt
Management And General	$251,478	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$3,050	TotalAmt
Program Services	$2,060	ProgramServicesAmt
Management And General	$990	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$64	TotalAmt
Program Services	$43	ProgramServicesAmt
Management And General	$21	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$9,370	TotalAmt
Program Services	$9,370	ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$124,483	TotalAmt
Program Services	$84,067	ProgramServicesAmt
Management And General	$40,416	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$16,021,860	TotalAmt
Program Services	$13,785,760	ProgramServicesAmt
Management And General	$2,236,100	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$7,125	TotalAmt
Program Services	$4,812	ProgramServicesAmt
Management And General	$2,313	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$526,766	TotalAmt
Program Services	$466,798	ProgramServicesAmt
Management And General	$59,968	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$23,395	TotalAmt
Program Services	$20,732	ProgramServicesAmt
Management And General	$2,663	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,787,062	TotalAmt
Program Services	$4,242,133	ProgramServicesAmt
Management And General	$544,929	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$21,368	TotalAmt
Program Services	$18,936	ProgramServicesAmt
Management And General	$2,432	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$11,638	TotalAmt
Program Services	$10,385	ProgramServicesAmt
Management And General	$1,253	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,359	TotalAmt
Program Services	$918	ProgramServicesAmt
Management And General	$441	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$5,420,692	TotalAmt
Program Services	$5,053,276	ProgramServicesAmt
Management And General	$367,416	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$228,009	TotalAmt
Program Services	$228,009	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
BAD DEBTS	$24,167,042	$24,167,042
MEDICAL SUPPLIES	$19,646,030	$19,646,030
PROVIDER ASSESSMENT TAX	$3,114,380	$3,114,380
OTHER SUPPLIES	$223,503	$198,061	$25,442

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$127,870,268	TotalAmt
Program Services	$119,155,117	ProgramServicesAmt
Management And General	$8,715,151	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$8,308	BOYAmt
EOY	$1,632,385	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$20,952,035	BOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$11,220,301	BOYAmt
EOY	$15,794,997	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,376,837	BOYAmt
EOY	$1,502,215	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$426,702	BOYAmt
EOY	$384,057	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$111,754,652	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$76,218,212	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$40,249,687	BOYAmt
EOY	$35,536,440	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$419,561	BOYAmt
EOY	$419,561	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$77,791,243	BOYAmt
EOY	$110,342,733	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$152,444,674	BOYAmt
EOY	$165,612,388	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$5,411,170	BOYAmt
EOY	$4,817,434	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$463,318	BOYAmt
EOY	$146,455	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,063,749	BOYAmt
EOY	$1,336,927	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$6,938,237	BOYAmt
EOY	$6,300,816	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$145,478,121	BOYAmt
EOY	$159,276,528	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$28,316	BOYAmt
EOY	$35,044	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$145,506,437	BOYAmt
EOY	$159,311,572	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$152,444,674	BOYAmt
EOY	$165,612,388	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$13,805,135	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$9,370	OtherActivitiesAmt
Total Lobbying Expenditures	$9,370	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE NORTH CAROLINA HEALTHCARE ASSOCIATION (NCHA). A PORTION OF THE MEMBERSHIP DUES PAID ARE ALLOCATED TO LOBBYING EFFORTS BY THOSE ORGANIZATIONS ON BEHALF OF THEIR MEMBERSHIP BODIES.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$951,142	OtherCostOrOtherBasisAmt
Book Value	$951,142	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$68,713,824	OtherCostOrOtherBasisAmt
Depreciation	$41,786,519	DepreciationAmt
Book Value	$26,927,305	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$40,543,837	OtherCostOrOtherBasisAmt
Depreciation	$34,341,237	DepreciationAmt
Book Value	$6,202,600	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,545,849	OtherCostOrOtherBasisAmt
Depreciation	$90,456	DepreciationAmt
Book Value	$1,455,393	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$35,536,440	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
OTHER ASSETS	$113,229
INTERCOMPANY RECEIVABLE	$110,104,493
OPERATING LEASES (LESS ACCUM DEPREC)	$125,011

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$110,342,733	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
OPERATING LEASE PAYABLE	$37,951
OTHER RESERVES	$1,298,976

Field	Value	IRS element (for citing)
Total Liability	$1,336,927	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION HAS EVALUATED UNCERTAIN TAX POSITIONS FOR ITS CALENDAR YEAR ENDED DECEMBER 31, 2022 AND SHORT PERIOD ENDED DECEMBER 31, 2021, INCLUDING A QUANTIFICATION OF TAX RISK IN AREAS SUCH AS UNRELATED BUSINESS TAXABLE INCOME AND THE TAXATION OF ITS JOINT VENTURES. THIS EVALUATION DID NOT HAVE A MATERIAL EFFECT ON THE ORGANIZATION'S FINANCIAL STATEMENTS FOR THE CALENDAR YEAR ENDED DECEMBER 31, 2022 AND SHORT PERIOD ENDED DECEMBER 31, 2021.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,168,148	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,168,148	NetCommunityBenefitExpnsAmt
Total Expense	0.00910	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,852,154	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,072,809	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,724,719	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,622,365	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$102,354	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,745,021	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,695,174	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,270,502	NetCommunityBenefitExpnsAmt
Total Expense	0.00990	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,784	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,784	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$23,500	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$28,284	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$28,284	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,773,305	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,695,174	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,298,786	NetCommunityBenefitExpnsAmt
Total Expense	0.01010	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,375	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$9,375	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,375	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$9,375	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$5,058,677	BadDebtExpenseAmt
Reimbursed By Medicare	$46,924,979	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$48,728,979	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$1,804,000	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ATRIUM HEALTH WAKE FOREST BAPTIST LEXINGTON MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	250 HOSPITAL DRIVE	AddressLine1Txt
City	LEXINGTON	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27292	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.WAKEHEALTH.EDU	WebsiteAddressTxt
State License	H0027	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ATRIUM HEALTH WFB LEXINGTON MEDICAL CENT	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, PAGE 8	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, PAGE 8	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ATRIUM HEALTH WFB LEXINGTON MEDICAL CENTER	PART V, SECTION B, LINE 5: DURING THE CONDUCTION OF ITS MOST RECENT CHNA, THE HOSPITAL FACILITY SOUGHT COMMUNITY INPUT THROUGH THE FOLLOWING PRIMARY SOURCES: -A JOINT COMMUNITY HEALTH SURVEY CONDUCTED BY THE HOSPITAL FACILITY, DAVIDSON COUNTY HEALTH DEPARTMENT, AND NOVANT HEALTH THOMASVILLE MEDICAL CENTER.-INTERVIEWS WITH COMMUNITY LEADERS WHO REPRESENT AND SERVE THE INTERESTS OF UNDERSERVED POPULATIONS. -COMMENTS FROM PRIOR COMMUNITY HEALTH NEED ASSESSMENTS AND IMPLEMENTATION STRATEGIESADDITIONALLY, THE HOSPITAL FACILITY USED SECONDARY DATA SOURCES INCLUDING, BUT NOT LIMITED TO: -ATRIUM HEALTH WAKE FOREST BAPTIST MEDICAL CENTER COMMUNITY DASHBOARD/HEALTH COMMUNITIES INSTITUTE-COUNTY HEALTH RANKINGS & ROADMAPS-STATE OF THE COUNTY HEALTH REPORT-US CENSUS BUREAU 2020 CENSUS-NC CENTER FOR HEALTH STATISTICS-HEALTHY PEOPLE NORTH CAROLINA 2030-CENTERS FOR MEDICARE/MEDICAID - HEALTH OUTCOMES SURVEY-DATA AND STATISTICS FROM LOCAL HEALTH DEPARTMENTS AND COMMUNITY INITIATIVES
ATRIUM HEALTH WFB LEXINGTON MEDICAL CENTER	PART V, SECTION B, LINE 7D: PART V, SECTION B, LINE 7A:WWW.WAKEHEALTH.EDU/ABOUT-US/SERVING-OUR-COMMUNITIES/NEEDS-ASSESSMENTS-AND-IMPLEMENTATION-REPORTSPART V, SECTION B, LINE 10A:WWW.WAKEHEALTH.EDU/ABOUT-US/SERVING-OUR-COMMUNITIES/NEEDS-ASSESSMENTS-AND-IMPLEMENTATION-REPORTS
ATRIUM HEALTH WFB LEXINGTON MEDICAL CENTER	PART V, SECTION B, LINE 11: THE HOSPITAL FACILITY'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") IDENTIFIED NUMEROUS COMMUNITY HEALTH NEEDS AND CONCERNS. EACH IDENTIFIED HEALTH NEED WAS REVIEWED AND ASSIGNED A VALUE WITH THE GREATEST WEIGHT PLACED UPON HEALTH DISPARITIES ASSOCIATED WITH THE NEED, THE BURDEN OF THE HEALTH NEED, THE FEASIBILITY OF INTERVENTIONS, AND THE IMPORTANCE THE COMMUNITY PLACES ON ADDRESSING THE HEALTH NEED. THE FOLLOWING HEALTH NEEDS WERE PRIORITIZED BY THE HOSPITAL FACILITY IN ITS MOST RECENT CHNA: 1) ACCESS TO CARE WITH A FOCUS ON SPECIAL POPULATIONS WHO EXPERIENCE MENTAL HEALTH CHALLENGES AND SUBSTANCE USE DISORDERS2) SOCIAL IMPACT AND INJUSTICE WITH A FOCUS ON ADDRESSING HOMELESSNESS AND INFLUENCING THE ROOT CAUSE OF HEALTH ISSUES CAUSED BY POWER IMBALANCES IN POLITICAL, ECONOMIC, HEALTH, AND EDUCATIONAL SYSTEMS THAT RESULT IN HEALTH INEQUALITIES.3) CHRONIC AND EMERGING DISEASES WITH A FOCUS ON SUPPORTING INITIATIVES FOR EARLY DETECTION AND ONGOING TREATMENT OF CHRONIC ILLNESS, OBESITY, AND NEW DISEASES SUCH AS COVID-19. A CONCENTRATED FOCUS WILL BE PLACED ON REDUCING THE PREVALENCE OF CHRONIC DISEASE RISK FACTORS INCLUDING HIGH BLOOD PRESSURE AND HIGH CHOLESTEROL. THE HOSPITAL FACILITY IMPLEMENTATION STRATEGY OUTLINES THE PROGRAMS AND RESOURCES THE HOSPITAL FACILITY WILL USE TO ADDRESS THE ABOVE MENTIONED PRIORITIZED HEALTH NEEDS. THE IMPLEMENTATION STRATEGY ALSO INCLUDES AN EVALUATION OF IMPACT OF THOSE PROGRAMS ON PRIORITIZED COMMUNITY HEALTH NEEDS IDENTIFIED FROM THE CHNA. ALL EFFORTS IN COMBINATION WITH THE HOSPITAL'S VALUE OF NONDISCRIMINATION AND COMPASSIONATE CARE ARE DESIGNED TO MEET THE SIGNIFICANT HEALTH NEEDS OF THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. THE HOSPITAL FACILITY ACKNOWLEDGES THE IMPORTANCE OF ALL COMMUNITY HEALTH NEEDS THAT WERE IDENTIFIED IN THE CHNA; HOWEVER, THE HOSPITAL FACILITY'S RESOURCES AND ASSETS WERE BEST ALIGNED TO FOCUS ON THE PRIORITIZED NEEDS MENTIONED ABOVE. THE CHNA PROVIDES A COMPREHENSIVE LIST OF AVAILABLE RESOURCES IN THE COMMUNITY FOR THOSE NEEDS THAT WERE NOT PRIORITIZED BY THE HOSPITAL FACILITY. ALTHOUGH NOT PRIORITIZED, THE HOSPITAL FACILITY WILL CONTINUE TO PARTNER WITH COMMUNITY AND NON-PROFIT ORGANIZATIONS TO HELP ADDRESS THESE NEEDS.
ATRIUM HEALTH WFB LEXINGTON MEDICAL CENTER	PART V, SECTION B, LINE 13H: THE HOSPITAL MAY USE COMMERCIALLY AVAILABLE FINANCIAL PROFILING AND CREDIT SCORING TECHNOLOGIES TO PRESUMPTIVELY SCREEN RESPONSIBLE INDIVIDUALS TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE DISCOUNTS.
ATRIUM HEALTH WFB LEXINGTON MEDICAL CENTER	PART V, SECTION B, LINE 16J: LEXINGTON MEDICAL CENTERPART V, LINE 16A, FAP WEBSITE: WWW.WAKEHEALTH.EDU/PATIENT-AND-FAMILY-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCELEXINGTON MEDICAL CENTERPART V, LINE 16B, FAP APPLICATION WEBSITE: WWW.WAKEHEALTH.EDU/PATIENT-AND-FAMILY-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCELEXINGTON MEDICAL CENTERPART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: WWW.WAKEHEALTH.EDU/PATIENT-AND-FAMILY-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCELEXINGTON MEDICAL CENTER:PART V, SECTION B, LINE 16J: IN ADDITION TO THE METHODS PREVIOUSLY DESCRIBED, THE HOSPITAL INFORMS PATIENTS ABOUT ITS FAP DURING INTAKE AND DISCHARGE BY PROVIDING A PLAIN LANGUAGE SUMMARY OF THE FAP. THE HOSPITAL ALSO PLACES A CONSPICUOUS WRITTEN NOTICE OF THE FAP ON ITS PATIENT BILLING STATEMENTS.

Field	Value	IRS element (for citing)
Facility	8	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - ENTHEAD & NECK SURGERY - LEXINGTON
106 W MEDICAL PARK DR STE C	LEXINGTON	NC	27292	SPECIALTY CARE CLINIC
2 - OBSTETRICS AND GYNECOLOGY - LEXINGTON
7 MEDICAL PARK DR	LEXINGTON	NC	27292	SPECIALTY CARE CLINIC
3 - WOUND CARE CENTER - LEXINGTON
10 MEDICAL PARK DR	LEXINGTON	NC	27292	SPECIALTY CARE CLINIC
4 - NEUROLOGY - LEXINGTON
10 MEDICAL PARK DR	LEXINGTON	NC	27292	SPECIALTY CARE CLINIC
5 - RADIATION ONCOLOGY - LEXINGTON
107 W MEDICAL PARK DR	LEXINGTON	NC	27292	SPECIALTY CARE CLINIC
6 - PAIN MANAGEMENT - LEXINGTON
10 MEDICAL PARK DR	LEXINGTON	NC	27292	SPECIALTY CARE CLINIC
7 - INFECTIOUS DISEASES - LEXINGTON
10 MEDICAL PARK DR	LEXINGTON	NC	27292	SPECIALTY CARE CLINIC
8 - HEMATOLOGY AND ONCOLOGY - LEXINGTON
107 W MEDICAL PARK DR	LEXINGTON	NC	27292	SPECIALTY CARE CLINIC

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	THE ORGANIZATION UTILIZES COMMERCIALLY AVAILABLE FINANCIAL PROFILING AND CREDIT SCORING TECHNOLOGIES TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE DISCOUNTS UNDER ITS FAP POLICY. ADDITIONAL ELIGIBILITY CRITERIA INCLUDES THE FOLLOWING: -PATIENT MUST BE UNINSURED OR HAVE NO OTHER THIRD PARTY FUNDING SOURCE OR GUARANTOR-SERVICES FOR WHICH DISCOUNTS APPLY MUST BE EMERGENT AND MEDICALLY NECESSARY-PATIENT MUST BE A VALID RESIDENT WITHIN A ZIP CODE BOUNDED BY OR INTERSECTING ONE OF THE COUNTIES DEFINED AS ATRIUM HEALTH WAKE FOREST BAPTIST'S SERVICE AREA-PATIENTS MUST ENROLL IN ALL OTHER PRIMARY PAYER PROGRAMS FOR WHICH THE PATIENT IS ELIGIBLE AND MUST ASSIGN BENEFITS TO ATRIUM HEALTH WAKE FOREST BAPTIST EXCEPT IN THE CASE WHERE SUCH POLICY PREMIUM FOR ENROLLMENT WOULD RESULT IN MEDICAL INDIGENCE.
PART I, LINE 6A:	THE CONSOLIDATED COMMUNITY BENEFIT TOTAL OF THE ACADEMIC HEALTH SYSTEM ISREPORTED ATWWW.WAKEHEALTH.EDU/ABOUT-US/SERVING-OUR-COMMUNITIES/COMMUNITY-BENEFITS.THIS CONSOLIDATED TOTAL IS CALCULATED IN ACCORDANCE WITH REPORTING GUIDELINES ISSUED BY NORTH CAROLINA HOSPITAL ASSOCIATION, WHICH DIFFER FROM FORM 990 SCHEDULE H INSTRUCTIONS. A SIGNIFICANT PORTION OF COMMUNITY BENEFIT ACTIVITIES CONDUCTED BY THE ACADEMIC HEALTH SYSTEM ARE NOT REPORTED ON FORM 990 SCHEDULE H BECAUSE MANY COMMUNITY BENEFIT ACTIVITIES ARE NOT CONDUCTED BY AN ENTITY THAT IS A 501(C)(3) HOSPITAL.
PART I, LINE 7:	THE ORGANIZATION USED THE WORKSHEETS PROVIDED IN THE INSTRUCTIONS TO FORM 990, SCHEDULE H TO COMPUTE ITS COST-TO-CHARGE RATIO.PART I, LINE 7B MEDICAID DIRECT OFF-SETTING REVENUEIN ADDITION TO FEE FOR SERVICE REVENUE, THE HOSPITAL RECEIVES ENHANCED CLAIMS PAYMENTS FUNDED BY A PROVIDER ASSESSMENT ADMINISTERED BY THE NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES. UNDER THE PROGRAM, A TAX IS ASSESSED AGAINST TOTAL HOSPITAL EXPENSES AND THE FEDERAL GOVERNMENT MATCHES THE ASSESSMENT AT A RATE OF NEARLY 2 TO 1. THE PROCEEDS ARE THEN USED TO FUND ENHANCED FEE FOR SERVICES RATES ALONG WITH A DISPROPORTIONATE SHARE PAYMENT BACK TO HOSPITALS.
PART I, LN 7 COL(F):	THE ORGANIZATION'S PATIENT BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENTS WAS $24,167,042 FOR THE YEAR ENDED DECEMBER 31, 2022. THIS AMOUNT IS NOT INCLUDED IN THE CALCULATION OF CHARITY CARE FOR PART I, LINE 7.
PART II, COMMUNITY BUILDING ACTIVITIES:	ATRIUM HEALTH WAKE FOREST BAPTIST ("AHWFB"), OF WHICH THE HOSPITAL IS AN INTEGRAL PART, IS COMMITTED TO COMMUNITY OUTREACH, EDUCATION, AND RESEARCH TO IMPROVE LIVES OF ALL RESIDENTS IN THE COMMUNITIES IT SERVES THROUGH SEVERAL PROGRAMS AND INITIATIVES THAT PROMOTE DIVERSITY, EQUITY, AND INCLUSION (DEI) . AHWFB BELIEVES THAT CREATING A DIVERSE, EQUITABLE, INCLUSIVE, AND CULTURALLY ATTUNED WORKPLACE IS CRUCIAL TO OUR MISSION TO IMPROVE HEALTH IN THE COMMUNITIES WE SERVE. THE OFFICE OF DEI OVERSEES OUR DEI AGENDA AIMED AT CREATING LASTING IMPACT AND ACHIEVING TRANSFORMATIVE EQUITY IN HEALTHCARE, LEADERSHIP, WORKFORCE, LEARNERS, AND COMMUNITY. AHWFB RECOGNIZES THAT DIVERSITY IS NOT LIMITED TO RACE AND ETHNICITY BUT MUST ALSO CONSIDER SOCIOECONOMIC STATUS, SEXUAL ORIENTATION, GENDER IDENTITY, ABILITIES, AND RELIGIOUS COMMITMENT. TO ELIMINATE THE PERVASIVE HEALTH DISPARITIES THAT EXIST IN OUR REGION AND COUNTRY, AHWFB IS DEVOTED TO RECRUITING, RETAINING, AND TRAINING A DIVERSE CADRE OF TEAMMATES AND ENSURING THAT EDUCATIONAL PROGRAMS ADDRESS HEALTH DISPARITIES WHILE ENABLING HEALTH CARE PROFESSIONALS TO PROVIDE CULTURALLY COMPETENT CARE. AHWFB'S CLINICAL FOCUS ON HEALTH EQUITY WAS RECOGNIZED BY THE U.S. HUMAN RIGHTS CAMPAIGN FOUNDATION, WHICH DESIGNATED THE MEDICAL CENTER A 2022 "TOP PERFORMER IN LGBTQ HEALTHCARE EQUALITY."THE ORGANIZATION PROVIDES RESOURCES AND FINANCIAL SUPPORT TO OTHER LOCAL ORGANIZATIONS WHOSE MISSIONS ARE TO IMPROVE PUBLIC HEALTH BY ADDRESSING THE ROOT CAUSES OF HEALTH ISSUES BY FOCUSING ON THE SOCIAL DETERMINANTS OF HEALTH SUCH AS POVERTY, LACK OF EDUCATION, RACISM, AND OTHER SOCIAL DISPARITIES. ADDITIONALLY, HOSPITAL EMPLOYEES PROVIDE COMMUNITY SUPPORT BY SERVING ON LOCAL BOARDS FOR COMMUNITY BASED ORGANIZATIONS OR PARTICIPATING IN COMMUNITY COALITIONS OR TASKFORCES.
PART III, LINE 2:	THE ORGANIZATION USED WORKSHEET 2 OF THE FORM 990, SCHEDULE H INSTRUCTIONS TO COMPUTE A COST TO CHARGE RATIO, WHICH IS USED TO CALCULATE BAD DEBT AT COST. BAD DEBT HAS NOT BEEN INCLUDED IN THE COMPUTATION OF COMMUNITY BENEFIT ON PART I, LINE 7.
PART III, LINE 4:	FOOTNOTE 2.J (PATIENT SERVICE REVENUE) ON PAGE 32 OF THE AUDITED FINANCIAL STATEMENTS DESCRIBES THE TREATMENT OF BAD DEBT.
PART III, LINE 8:	THE HOSPITAL USES AN OVERALL COST TO CHARGE RATIO CALCULATION BASED ON AUDITED FINANCIAL STATEMENTS BUT REMOVES COST ASSOCIATED WITH BAD DEBT, GME, COMMUNITY HEALTH IMPROVEMENT, COMMUNITY BUILDING, AND CHARITY CARE SO AS NOT TO COUNT THOSE COSTS TWICE.
PART III, LINE 9B:	THE HOSPITAL MAKES A REASONABLE EFFORT TO DETERMINE AN INDIVIDUAL'S ELIGIBILITY FOR FINANCIAL ASSISTANCE BEFORE ENGAGING IN ANY COLLECTION ACTIONS.ALL COLLECTION ACTIONS WILL BE SUSPENDED IF THE INDIVIDUAL SUBMITS A COMPLETED FAP APPLICATION DURING THE APPLICATION PERIOD, OR IF THE INDIVIDUAL SUBMITS AN INCOMPLETE APPLICATION DURING THE APPLICATION PERIOD THAT IS SUBSEQUENTLY COMPLETED WITHIN A REASONABLE TIME AFTER THE HOSPITAL REQUESTS FURTHER INFORMATION. IF THE INDIVIDUAL IS DETERMINED NOT TO BE ELIGIBLE FOR A FULL DISCOUNT UNDER THE FAP, ANY COLLECTION ACTIVITIES WILL BE RESUMED AS TO THE OUTSTANDING BALANCE OWED. IF THE INDIVIDUAL IS DETERMINED TO BE ELIGIBLE FOR ASSISTANCE UNDER THE FAP, APPROPRIATE MEASURES ARE TAKEN TO REFUND ANY AMOUNTS OWED TO THE INDIVIDUAL AND REVERSE OR MODIFY COLLECTION ACTIONS CONSISTENT WITH THE NEW BALANCE OWED AFTER APPLYING THE APPLICABLE FAP DISCOUNTS.
PART VI, LINE 2:	THE HOSPITAL FACILITY'S MOST RECENT CHNA WAS BASED ON A SET OF BEST PRACTICES FOR COMMUNITY HEALTH ASSESSMENTS WITH THE PURPOSE OF IDENTIFYING REGIONAL PRIORITY AREAS TO FOCUS ON FOR CY2022 TO CY2024. THE PROCESS WAS DESIGNED TO RELY ON EXISTING PUBLIC DATA, DIRECTLY ENGAGING COMMUNITY STAKEHOLDERS, AND COLLABORATE WITH LOCAL PUBLIC HEALTH, OTHER HEALTH CARE PROVIDERS; AS WELL AS, COMMUNITY PARTNERS SUCH AS FAITH NETWORKS RELEVANT TO THE SOCIAL FACTORS UNDERLYING PATTERNS OF ACCESS. THE ASSESSMENT WAS CONDUCTED IN THREE STAGES: 1) DATA REVIEW OF PRIMARY AND SECONDARY SOURCES, 2) SETTING PRIORITIES, AND 3) COMMUNITY ASSET INVENTORY. THE DATA REVIEW AND PRIORITY SETTING PHASES BEGAN WITH THE COMPILATION OF EXISTING HEALTH-RELATED DATA. STAKEHOLDERS REVIEWED MULTIPLE DATA SETS INCLUDING LOCAL PUBLIC HEALTH NEEDS ASSESSMENTS, NORTH CAROLINA INDICATORS FOR COMMUNITY HEALTH ASSESSMENT, INTERNAL DISEASE REGISTRIES, COUNTY HEALTH RANKINGS, AND OTHERS. COMMUNITY FEEDBACK IN THE FORM OF RESIDENT SURVEYS AND INTERVIEWS WITH COMMUNITY LEADERS THAT REPRESENT THE UNDERSERVED AND VULNERABLE POPULATIONS WERE ALSO CONSIDERED. ONCE COMMUNITY HEALTH NEEDS WERE IDENTIFIED, AN INTERNAL STEERING COMMITTEE AND SENIOR LEADERSHIP REVIEWED A SET OF CRITERIA TO DEVELOP THE PRIORITY RANKINGS. EACH IDENTIFIED HEALTH NEED WAS REVIEWED AND ASSIGNED A VALUE WITH THE GREATEST WEIGHT PLACED UPON HEALTH DISPARITIES ASSOCIATED WITH THE NEED, THE BURDEN OF THE HEALTH NEED, THE FEASIBILITY OF INTERVENTIONS, AND THE IMPORTANCE THE COMMUNITY PLACES ON ADDRESSING THE HEALTH NEED. FINALLY, THE HOSPITAL FACILITY DEVELOPED AN IMPLEMENTATION STRATEGY TO IDENTIFY THE MEANS THROUGH WHICH IT PLANS TO ADDRESS THOSE PRIORITIZED NEEDS THAT ARE CONSISTENT WITH THE CHARITABLE MISSION AS PART OF ITS COMMUNITY BENEFIT PROGRAMS FOR THE NEXT THREE CALENDAR YEARS. BEYOND PROGRAMS ADDRESSED IN THE IMPLEMENTATION STRATEGY, THE HOSPITAL FACILITY WILL CONTINUE TO ADDRESS MANY OF THE PRIORITIES BY PROVIDING CARE TO ALL, REGARDLESS OF ABILITY TO PAY.
PART VI, LINE 3:	THE ORGANIZATION USES A VARIETY OF MEANS TO EDUCATE AND INFORM PATIENTS OF THEIR FINANCIAL ASSISTANCE OPTIONS. INFORMATION REGARDING FINANCIAL ASSISTANCE CAN BE FOUND ON THE HOSPITAL FACILITY'S WEBSITE, IN PAMPHLETS, CONSPICUOUSLY DISPLAYED SIGNAGE, PATIENT BILL STATEMENTS, AND FROM TEAMMATES DURING CONVERSATIONS CONCERNING A PATIENT'S LIABILITY FOR SERVICES. THE HOSPITAL FACILITY EMPLOYS A PRE-SERVICE FINANCIAL CLEARANCE PROCESS THAT SCREENS PATIENTS PRIOR TO SERVICE DELIVERY FOR EXISTING OR AVAILABLE PAYER SOURCES AS A MEANS OF AVOIDING BAD DEBT AND INAPPROPRIATE BILLING TO PATIENTS WITHOUT THE MEANS TO PAY. IF A PAYER SOURCE IS IDENTIFIED, TEAMMATES WILL ASSIST THE PATIENT WITH ENROLLMENT.
PART VI, LINE 4:	THE ORGANIZATION (DBA ATRIUM HEALTH WAKE FOREST BAPTIST LEXINGTON MEDICAL CENTER) IS LOCATED IN LEXINGTON, NORTH CAROLINA. THE PRIMARY COMMUNITY BENEFIT SERVICE AREA ("CBSA") IS DAVIDSON COUNTY, NORTH CAROLINA. DAVIDSON COUNTY IS LOCATED IN THE PIEDMONT TRIAD REGION AND COVERS 553 SQUARE MILES WITH A POPULATION OF APPROXIMATELY 168,930. MOSTLY RURAL, THE COUNTY IS CHARACTERIZED BY GENTLE, ROLLING TERRAIN BROKEN BY HILLS AND STREAMS. THE COUNTY INCLUDES THE CITIES OF LEXINGTON AND THOMASVILLE. NEIGHBORING COUNTIES INCLUDE DAVIE, FORSYTH, GUILFORD, MONTGOMERY, RANDOLPH, AND ROWAN. LEXINGTON IS HISTORICALLY KNOWN AS A FURNITURE AND TEXTILE CENTER AND ALSO FAMOUS FOR ITS FAMOUS "LEXINGTON STYLE" BARBECUE. OTHER COMMON INDUSTRIES IN THE COUNTY INCLUDE MANUFACTURING, HEALTHCARE, SOCIAL ASSISTANCE, AND RETAIL. BELOW IS A DEMOGRAPHIC SNAPSHOT OF THE POPULATION FOR DAVIDSON COUNTY: POPULATION BY RACE/ETHNICITY-NON-HISPANIC WHITE: 79.4%-NON-HISPANIC AFRICAN-AMERICAN: 10.1%-HISPANIC OR LATINO: 7.4%-ASIAN: 1.6%-ALL OTHER: 1.5%POPULATION BY AGE DISTRIBUTION -BELOW 18 YEARS: 27.2%-AGE 65 AND OLDER: 18.5%POPULATION BY SEX-MALE 48.9%-FEMALE 51.1%INCOME--MEDIAN FAMILY HOUSEHOLD: $49,546--PERSONS IN POVERTY: 15.2%UNINSURED POPULATION UNDER AGE 65: 14.6%
PART VI, LINE 5:	ATRIUM HEALTH WAKE FOREST BAPTIST ("AHWFB"), OF WHICH THE HOSPITAL IS AN INTEGRAL PART, IS COMMITTED TO BEING RESPONSIVE TO THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES THROUGH A NUMBER OF PROGRAM ACTIVITIES AND COMMUNITY HEALTH IMPROVEMENT INITIATIVES. AHWFB ADOPTED AND MAINTAINS A FINANCIAL ASSISTANCE POLICY, PROVIDES SUBSIDIZED HEALTH SERVICES TO PATIENTS IN NEED, AND ACCEPTS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL OPERATES AN EMERGENCY ROOM THAT IS OPEN 24/7, AND ITS GOVERNING BOARD IS PREDOMINANTLY COMPRISED OF LEADERS WITHIN THE DAVIDSON COUNTY COMMUNITY. FUNDS ARE REINVESTED IN HEALTH IMPROVEMENT INITIATIVES TO BETTER SERVE COMMUNITY HEALTH NEEDS, INCLUDING IMPROVEMENT OF FACILITIES AND MEDICAL SERVICES WITH THE LATEST TECHNOLOGICAL ADVANCES, CASH AND IN-KIND DONATIONS TO LOCAL NON-PROFIT COMMUNITY ORGANIZATIONS, AND COMMUNITY BASED HEALTH IMPROVEMENT PROGRAMMING. SUCH PROGRAMMING INCLUDES BEST HEALTH COMMUNITY EDUCATION CLASSES, CHRONIC DISEASE SELF-MANAGEMENT PROGRAMS, STROKE AWARENESS SEMINARS, PUBLIC SCREENINGS, CAREGIVER ACADEMY, AND OTHER HEALTH EDUCATION EVENTS HELD LOCALLY THROUGHOUT THE YEAR. AHWFB PROVIDES A CERTIFIED ATHLETIC TRAINER THAT WORKS FULL-TIME IN DAVIDSON COUNTY SCHOOLS. HOSPITAL EMPLOYEES ALSO ASSIST WITH THE CORY HOLT FOUNDATION FOOTBALL CLINIC TO PROMOTE SPORTS SAFETY.
PART VI, LINE 6:	THE FILING ORGANIZATION IS A NETWORK HOSPITAL OF ATRIUM HEALTH WAKE FOREST BAPTIST, A PREEMINENT ACADEMIC HEALTH SYSTEM OF THE HIGHEST QUALITY WITH BALANCED EXCELLENCE IN PATIENT CARE, RESEARCH, AND EDUCATION. TOGETHER WITH AN INTEGRATED GROUP OF 501(C)(3) HOSPITALS, PHYSICIAN NETWORKS, OTHER HEALTHCARE PROVIDERS, AND WAKE FOREST UNIVERSITY HEALTH SCIENCES (WHICH OPERATES WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE), THE ORGANIZATION IS COMMITTED TO PROVIDING SIGNIFICANT BENEFITS TO THE COMMUNITIES IT SERVES ACROSS NORTHWESTERN NORTH CAROLINA. EACH HOSPITAL ORGANIZATION IN THE ATRIUM HEALTH WAKE FOREST BAPTIST SYSTEM REPORTS ITS OWN COMMUNITY BENEFIT ON FORM 990 SCHEDULE H.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DAVIDSON COMMUNITY COLLEGE FOUNDATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	P O BOX 1287	AddressLine1Txt
City	LEXINGTON	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27293	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	237079347	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$20,000	CashGrantAmt
Non Cash Assistance	$0	NonCashAssistanceAmt
Purpose Of Grant	HEALTH SCIENCES CENTER PLEDGE	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THE HOSPITAL FOLLOWS THE MEDICAL CENTER'S CORPORATE POLICY USED IN REVIEWING THE ELIGIBILITY AND SELECTION OF GRANTEES RECEIVING CERTAIN EXEMPT PURPOSE FUNDS. THE HOSPITAL MAINTAINS DOCUMENTATION OF THE ELIGIBILITY AND SELECTION CRITERIA AND RECORDS OF THE AMOUNTS DISBURSED.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BRADLEY A CLARK
TREASURER	$790,574	$0	$506,925	$0	$37,555	$0	$100,623	$0	$34,890	$0	$1,470,567	$0	$34,657	$0
MICK FISHER
DIRECTOR	$0	$528,917	$0	$314,509	$0	$45,659	$0	$65,609	$0	$16,156	$0	$970,850	$0	$19,548
MICHAEL T WAID
DIRECTOR	$0	$474,436	$0	$214,939	$0	$117,190	$0	$111,317	$0	$30,966	$0	$948,848	$0	$93,078
D BRANDON CHAPMAN MD
DIRECTOR	$0	$555,848	$0	$7,653	$0	$19,680	$0	$23,017	$0	$29,388	$0	$635,586	$0	$0
WILLIAM B JAMES
DIRECTOR & PRESIDENT	$0	$317,610	$0	$108,841	$0	$45,079	$0	$59,774	$0	$30,337	$0	$561,641	$0	$40,279
KARIN MABE
DIRECTOR	$0	$309,678	$0	$106,059	$0	$1,584	$0	$55,640	$0	$10,868	$0	$483,829	$0	$0
DANNY SQUIRES
FINANCE DIRECTOR	$0	$221,339	$0	$33,121	$0	$3,105	$0	$18,129	$0	$20,619	$0	$296,313	$0	$0
SARA SHIELDS
PHARM PGRM DIR	$0	$168,174	$0	$2,500	$0	$139	$0	$10,918	$0	$8,050	$0	$189,781	$0	$0
ELIZABETH REID
NURSING ED COORD	$0	$136,220	$0	$4,000	$0	$9,416	$0	$9,369	$0	$21,353	$0	$180,358	$0	$0
CYNTHIA HAYES
NURSING ED COORD	$0	$134,259	$0	$4,000	$0	$11,302	$0	$9,404	$0	$16,077	$0	$175,042	$0	$0
ALANNA BARBEE
STAFF NURSE II	$0	$147,443	$0	$4,000	$0	$25	$0	$0	$0	$320	$0	$151,788	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 4B

CERTAIN DIRECTORS AND OFFICERS OF THE FILING ORGANIZATION PARTICIPATED IN AND/OR RECEIVED PAYMENTS FROM A NON-QUALIFIED DEFERRED COMPENSATION PLAN (RESTORATION OR SERP). THE DETERMINATION OF THE PAYMENT AMOUNT FROM THE NON-QUALIFIED DEFERRED COMPENSATION PLANS FOLLOWED THE EMPLOYMENT ORGANIZATION'S COMPENSATION PROCEDURES. THE FOLLOWING DIRECTORS AND OFFICERS RECEIVED PAYMENTS FROM NON-QUALIFIED DEFERRED COMPENSATION PLANS DURING THE CURRENT TAX YEAR: BRADLEY A. CLARK $34,775 WILLIAM B. JAMES $40,280 MICHAEL T. WAID $93,078 A. MICK FISHER $19,615

FORM 990, PART VII, LINE 5 - COMPENSATION FROM UNRELATED ORGANIZATION

BRADLEY A. CLARK WAS COMPENSATED BY THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY ("CMHA", DOING BUSINESS AS ATRIUM HEALTH), AN AFFILIATED BUT UNRELATED ORGANIZATION, FOR SERVICES RENDERED TO THE ORGANIZATION. SEE PART VII AND SCHEDULE J FOR HIS COMPENSATION.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, DOING BUSINESS AS:	ATRIUM HEALTH WAKE FOREST BAPTIST LEXINGTON MEDICAL CENTER
FORM 990, PART III, LINE 1	LEXINGTON MEDICAL CENTER (DBA ATRIUM HEALTH WAKE FOREST BAPTIST LEXINGTON MEDICAL CENTER, AT TIMES ALSO REFERRED TO AS THE "HOSPITAL OR "AHWFB-LMC OR "THE FILING ORGANIZATION") IS AN INTEGRAL PART OF ATRIUM HEALTH WAKE FOREST BAPTIST (AT TIMES ALSO REFERRED TO AS "AHWFB"), A PREEMINENT LEARNING HEALTH SYSTEM AND ACADEMIC MEDICAL CENTER OF THE HIGHEST QUALITY WITH BALANCED EXCELLENCE IN PATIENT CARE, RESEARCH AND EDUCATION THAT PROMOTES BETTER HEALTH FOR ALL THROUGH COLLABORATION, EXCELLENCE AND INNOVATION. AHWFB'S MISSION IS TO IMPROVE HEALTH, ELEVATE HOPE, AND ADVANCE HEALING FOR ALL. AHWFB'S VISION IS TO BE THE FIRST AND BEST CHOICE FOR CARE.
FORM 990, PART IV, LINE 20B	THE HOSPITAL HAS ATTACHED A COPY OF ITS CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR ITS CALENDAR YEAR ENDED DECEMBER 31, 2022 TO THE FORM 990. THE CONSOLIDATED FINANCIAL STATEMENTS HAVE BEEN PREPARED ON THE ACCRUAL BASIS IN CONFORMITY WITH U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) AND INCLUDE THE ASSETS AND OPERATIONS OF ALL ATRIUM HEALTH, INC. CONTROLLED ENTITIES, AND ATRIUM HEALTH WAKE FOREST BAPTIST ENTITIES (UNDER COMMON MANAGEMENT), INCLUDING: -WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER AND AFFILIATES (INCLUDING THE FILING ORGANIZATION), -NORTH CAROLINA BAPTIST HOSPITAL AND AFFILIATES, -WAKE FOREST UNIVERSITY HEALTH SCIENCES AND AFFILIATES, -CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY (DBA ATRIUM HEALTH CHARLOTTE) AND AFFILIATES, -FLOYD HEALTHCARE MANAGEMENT, INC. (DBA ATRIUM HEALTH FLOYD) AND AFFILIATES, AND -NAVICENT HEALTH INC. (DBA ATRIUM HEALTH NAVICENT) AND AFFILIATES. ALL SIGNIFICANT INTERCOMPANY TRANSACTIONS HAVE BEEN ELIMINATED IN CONSOLIDATION.
FORM 990, PART VI, SECTION A, LINE 2	NICOLE SMITH AND NINA SMITH, DIRECTORS OF THE FILING ORGANIZATION, HAVE A FAMILY RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE MEMBER OF THE ORGANIZATION IS WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER (WFUBMC), A NORTH CAROLINA NONPROFIT CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7A	WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER (WFUBMC), THE HOSPITAL'S SOLE MEMBER, HAS THE POWER TO ELECT AND REMOVE DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	DECISIONS OF THE ORGANIZATION'S GOVERNING BODY WHICH REQUIRE APPROVAL BY THE SOLE MEMBER, WFUBMC, INCLUDE AMENDMENTS TO CERTAIN FUNDAMENTAL DOCUMENTS (ARTICLES OF INCORPORATION AND BYLAWS) AND ELECTION AND REMOVAL OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11B	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. 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 ITS OFFICERS, DIRECTORS 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.
FORM 990, PART VI, SECTION B, LINE 15	THE ORGANIZATION PAYS NO COMPENSATION TO OFFICERS, DIRECTORS, AND KEY EMPLOYEES. ALL COMPENSATION PAID TO OFFICERS, DIRECTORS, AND KEY EMPLOYEES WAS PAID BY A RELATED ORGANIZATION, WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER ("WFUBMC"), OR AN UNRELATED ORGANIZATION, CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY ("CMHA", DBA ATRIUM HEALTH) AND THE DETERMINATION OF THE COMPENSATION OF SUCH INDIVIDUALS IS CONDUCTED VIA THE PROCESS UTILIZED BY THE WFUBMC BOARD, AS FOLLOWS: THE DIVERSITY, INCLUSION, & COMPENSATION COMMITTEE (THE "COMMITTEE") OF THE ATRIUM HEALTH, INC. BOARD OF DIRECTORS HAS AUTHORITY AS THE WFUBMC BOARD DELEGATES TO IT, FOR THE REVIEW AND APPROVAL OF SENIOR EXECUTIVE COMPENSATION, INCLUDING SENIOR EXECUTIVE INCENTIVE PLANS. NO MEMBER OF THE COMMITTEE IS AN EMPLOYEE OF WFUBMC OR OF THE FILING ORGANIZATION. THE 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 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 HEALTHCARE ORGANIZATIONS. THE COMMITTEE MAKES ITS DECISIONS WITH RESPECT TO EXECUTIVE COMPENSATION IN ACCORDANCE WITH WFUBMC AND FILING ORGANIZATION POLICIES, IRS REGULATIONS, AND STANDARD CORPORATE GOVERNANCE PRACTICES. SUCH POLICIES INCLUDE ADHERENCE TO EXECUTIVE COMPENSATION PHILOSOPHY AND REVIEW PROCESSES; PROCESSES ENSURING COMMITTEE MEMBER AND COMPENSATION CONSULTANT INDEPENDENCE; USE OF VALID MARKET COMPARISONS OF DATA FROM HEALTHCARE ORGANIZATIONS OF SIMILAR SIZE, STRUCTURE, AND COMPLEXITY AND ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS, PER IRS GUIDELINES. MINUTES OF THE DELIBERATIONS OF THE COMMITTEE ARE MAINTAINED IN THE ATRIUM HEALTH, INC. LEGAL DEPARTMENT.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE TO THE PUBLIC ON REQUEST AND ARE AVAILABLE ON THE WEBSITE OF THE NORTH CAROLINA SECRETARY OF STATE. THE ORGANIZATION'S BYLAWS ARE NOT PUBLISHED, BUT PROVISIONS FROM THE BYLAWS ARE INCLUDED AS NECESSARY IN THE ORGANIZATION'S POLICIES, AND ARE ATTACHED TO THE FORM 1023 FILED FOR THE ORGANIZATION WITH THE IRS, WHICH IS PUBLICLY AVAILABLE. THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC ON REQUEST.
FORM 990, PART IX, LINE 11G	PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 13,785,760. MANAGEMENT AND GENERAL EXPENSES 2,236,100. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,021,860.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
LEXINGTON MEDICAL CENTER FOUNDATION
250 HOSPITAL DRIVE	LEXINGTON	NC	27292	581876553	SUPPORTING ORGANIZATION	NC	501(C)(3)	LINE 12A, I	LEXINGTON MEDICAL CENTER	Yes (1)
WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER
MEDICAL CENTER BOULEVARD	WINSTON SALEM	NC	27157	510190238	HEALTHCARE	NC	501(C)(3)	LINE 12A, I		0
NORTHWEST COMMUNITY CARE NETWORK
2000 W 1ST STREET	WINSTON SALEM	NC	27104	020774853	HEALTHCARE	NC	501(C)(3)	LINE 7	WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER	0
FAITHHEALTH INNOVATIONS INC
MEDICAL CENTER BOULEVARD	WINSTON SALEM	NC	27157	237426944	HEALTHCARE	NC	501(C)(3)	LINE 10	WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER	0
DAVIE MEDICAL CENTER
329 NC HWY 801N	BERMUDA RUN	NC	27006	562276994	HEALTHCARE	NC	501(C)(3)	LINE 3	WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER	0
WRMC HOSPITAL OPERATING CORPORATION
PO BOX 609	NORTH WILKESBORO	NC	28659	830343789	HEALTHCARE	NC	501(C)(3)	LINE 3	WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER	0
HIGH POINT REGIONAL HEALTH
PO BOX HP-5	HIGH POINT	NC	27261	560532309	HEALTHCARE	NC	501(C)(3)	LINE 3	WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER	0
HIGH POINT REGIONAL HEALTH FOUNDATION
601 N ELM STREET	HIGH POINT	NC	27261	272854711	SUPPORTING ORGANIZATION	NC	501(C)(3)	LINE 12A, I	HIGH POINT REGIONAL HEALTH	0
WILKES MEDICAL CENTER FOUNDATION
1370 WEST D STREET	NORTH WILKESBORO	NC	28659	822345613	SUPPORTING ORGANIZATION	NC	501(C)(3)	LINE 12A, I	WRMC HOSPITAL OPERATING CORPORATION	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
MS LAND HOLDING CO LLC
1901 MOONEY STREET	WINSTON SALEM	NC	27103	824005370	REAL ESTATE	NC	N/A	0	0
HIGH POINT SURGERY CENTER LLC
600 N LINDSAY STREET	HIGH POINT	NC	27262	561867005	HEALTHCARE	NC	N/A	0	Yes (1)
HHI-WS LLC
1201 EDWARDS MILL RD ST 300	RALEIGH	NC	27607	874035164	INVESTMENT	NC	N/A	0	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	HIGH POINT HEALTH CARE VENTURES INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	601 NORTH ELM STREET	AddressLine1Txt
City	HIGH POINT	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27261	ZIPCd

Field	Value	IRS element (for citing)
EIN	561497164	EIN
Primary Activities	REAL ESTATE	PrimaryActivitiesTxt
Legal Domicile State	NC	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Entity Type	C	EntityTypeTxt
Controlled Organization	0	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	LEXINGTON MEDICAL CENTER FOUNDATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	Q	TransactionTypeTxt
Involved	$140,270	InvolvedAmt
Method Of Amount Determination	COST	MethodOfAmountDeterminationTxt