2022-05-23T17:36:29-05:00 2021-06-30 990 2020-07-01 560543238 LEXINGTON MEDICAL CENTER LEXI 3367164445 PO BOX 1817 250 HOSPITAL DRIVE LEXINGTON NC 272931817 BRADLEY A CLARK TREASURER 3362485161 2022-05-13 BRADLEY CLARK 999009999 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z ATRIUM HEALTH WAKE FOREST BAPTIST LE WILLIAM B JAMES PO BOX 1817 250 HOSPITAL DRIVE LEXINGTON NC 272931817 136105544 0 X WWW.WAKEHEALTH.EDU X 1954 NC TO IMPROVE HEALTH, ELEVATE HOPE, AND ADVANCE HEALING FOR ALL. 20 14 0 21 5695178 0 3069208 486246 121210980 134957291 275171 4384 571347 657342 125126706 136105263 12287 11800 0 0 49652600 50198061 0 0 0 64724952 69190208 114389839 119400069 10736867 16705194 126269827 141880214 6785253 5690446 119484574 136189768 X SEE SCHEDULE O 0 0 112497492 11800 129264576 THE ORGANIZATION OPERATES A 94 ACUTE CARE BED HOSPITAL, 10 PHYSICIAN PRACTICES, AND OTHER RELATED FACILITIES 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 INCLUDING DIGESTIVE HEALTH, ENT, HEAD/NECK SURGERY. 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 FISCAL YEAR 2021, THE HOSPITAL FACILITY HAD 12,964 PATIENT DAYS, INCLUDING 3,436 INPATIENT ADMISSIONS, AND 31,722 EMERGENCY DEPARTMENT VISITS.THE ORGANIZATION PROVIDES NUMEROUS RESOURCES, ACTIVITIES, AND PROGRAMS TO SERVE THE HEALTH NEEDS OF ITS COMMUNITY. THESE PROGRAMS INCLUDE:- BESTHEALTH, THE 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, 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 - THE PROGRAM OFFERS 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. - CORY HOLT FOUNDATION FOOTBALL CLINIC - THE ANNUAL FOOTBALL CAMP IS DESIGNED TO PROVIDE YOUTH A SOLID FOUNDATION OF BASIC FOOTBALL FUNDAMENTALS AND TO BUILD CHARACTER. HOSPITAL EMPLOYEES VOLUNTEER TO ASSIST WITH THE CAMP. - AHWFB-LMC PARTNERED WITH DAVIDSON-DAVIE COMMUNITY COLLEGE TO PROVIDE NURSING APPRENTICESHIPS TO HELP IMPROVE THE NURSING SHORTAGE AFFECTING HEALTH CARE SYSTEMS IN THE REGION. THE NEW PROGRAM IS THE FIRST REGISTERED NURSE APPRENTICESHIP PROGRAM IN NORTH CAROLINA TO BE APPROVED BY THE DEPARTMENT OF LABOR. THE PROGRAM WILL EXPEDITE THE PREVIOUS TIMING OF LPN'S ACHIEVING RN STATUS FROM THREE YEARS TO 24 MONTHS WITHOUT AFFECTING THE QUALITY OF TRAINING. NURSES ARE ABLE TO RECEIVE THEIR TRAINING IN A HOSPITAL/ACUTE CARE SETTING AT TWO AHWFB NETWORK HOSPITALS, INCLUDING AHWFB-LMC.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 FISCAL YEAR, AHWFB-LMC BEGAN OFFERING POSITRON EMISSION TOMOGRAPHY - COMPUTED TOMOGRAPHY (PET/CT) SERVICES. PET MAY DETECT THE EARLY ONSET OF DISEASE BEFORE OTHER IMAGING TESTS. WITH THE ADVANCED TECHNOLOGY OF THE SIEMENS PET/CT SCANNER, PATIENTS AND PROVIDERS CAN EXPECT LOWER RADIATION EXPOSURE, WHILE OBSERVING EVERY ORGAN IN THE FINEST DETAIL, REDUCED SCAN TIMES, INCREASED PATIENT COMFORT, AND EXCEPTIONAL IMAGE QUALITY FOR MORE ADVANCED LESION DETECTION. DURING THE LATTER PORTION OF FY20 AND THROUGHOUT FY21, COVID-19 BECAME A GLOBAL PANDEMIC AND CONTINUED TO AFFECT OUR COMMUNITY. ATRIUM HEALTH WAKE FOREST BAPTIST IMPLEMENTED NUMEROUS MEASURES TO MEET THE HEALTH NEEDS OF THE COMMUNITY IN RESPONSE TO THIS GLOBAL PANDEMIC.- AHWFB PROFESSOR OF INFECTIOUS DISEASES PROVIDED WEEKLY UPDATES TO MEDIA OUTLETS AND TO THOSE IN OUR COMMUNITY AND BEYOND, RAPIDLY BECOMING A TRUSTED AND REASSURING VOICE FOR THE COMMUNITY.- AHWFB CONVERTED MULTIPLE PRIMARY CARE FACILITIES TO TEMPORARY RESPIRATORY SYMPTOM CLINICS.- AHWFB UPDATED VISITOR GUIDELINES AT ALL LOCATIONS TO MINIMIZE COVID-19 EXPOSURE FOR PATIENTS AND HOSPITAL EMPLOYEES.- AHWFB CONDUCTED TESTING TO DETERMINE THE EFFECTIVENESS OF VARIOUS MASK DESIGNS.- TO BETTER FIGHT COVID-19 IN MULTIPLE REGIONS OF THE COUNTRY, AHWFB JOINED WITH BUSINESS PARTNERS TO LEAD A COMMUNITY-BASED RESEARCH STUDY TO COLLECT DAILY INFORMATION ACROSS A LARGE POPULATION OF PARTICIPANTS IN THE MID-ATLANTIC AND THE SOUTHEAST THROUGH A WEB PORTAL THAT ALLOWED RESEARCHERS TO TRACK THE SPREAD OF THE VIRUS.- AHWFB PLAYED A LARGE ROLE IN DISTRIBUTING MASKS TO THE COMMUNITIES IT SERVES; AS WELL AS, PROVIDING VACCINATION DESTINATIONS AND EDUCATION TO EMPLOYEES AND THE BROADER COMMUNITY IN PARTNERSHIP WITH OTHER LOCAL HEALTHCARE PROVIDERS. AHWFB-LMC RECEIVED SEVERAL AWARDS, ACCREDITATIONS, AND ACKNOWLEDGEMENTS DURING THE FISCAL YEAR, AS FOLLOWS:- AN 'A' IN THE SPRING 2021 LEAPFROG HOSPITAL SAFETY GRADE, A NATIONAL DISTINCTION RECOGNIZING THE HOSPITAL'S ACHIEVEMENTS PROTECTING PATIENTS FROM HARM AND PROVIDING SAFER HEALTH CARE. - A 4-STAR RATING BASED ON A 5-STAR SCALE BY THE CENTERS FOR MEDICARE AND MEDICARE SERVICES (CMS). CMS COMPILES THE STAR RATINGS BY ASSESSING HOSPITALS IN FIVE SETS OF QUALITY MEASURES: MORTALITY, SAFETY OF CARE, READMISSIONS, PATIENT EXPERIENCE, AND TIMELINESS AND EFFECTIVENESS OF CARE. HOSPITALS REPORT THEIR OWN DATA AND ARE ELIGIBLE TO RECEIVE A RATING IF THEY REPORT AT LEAST THREE MEASURES IN EACH OF THREE OR MORE MEASURE GROUPS, INCLUDING EITHER MORTALITY OR SAFETY OF CARE.- THE AHWFB WOUND CARE CENTER - LEXINGTON RECEIVED HEALOGICS' "CENTER OF DISTINCTION" AWARD FOR 2020 IN SPRING 2021. THE CENTER ACHIEVED OUTSTANDING CLINICAL OUTCOMES FOR THE ENTIRE 12 CONSECUTIVE MONTHS OF 2020. METRICS FOR THE AWARD INCLUDED A PATIENT SATISFACTION SCORE HIGHER THAN 92 PERCENT, AND A MINIMUM WOUND HEALING RATE OF AT LEAST 92 PERCENT WITHIN 28 MEDIAN DAYS TO HEAL. 112497492 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 30 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 X 20 14 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X ERIN KOEWING 3367164445 MEDICAL CENTER BOULEVARD WINSTONSALEM NC 27157 BRADLEY A CLARK DIRECTOR (TO 12/31/20) & TREASURER 2.50 37.50 X X 0 988625 241804 MICHAEL T WAID DIRECTOR (FROM 1/1/21) 0.80 39.20 X 0 565819 149629 WILLIAM B JAMES DIRECTOR & PRESIDENT 38.00 2.00 X X 0 546801 81758 D BRANDON CHAPMAN MD DIRECTOR (FROM 1/1/21) 2.00 38.00 X 0 492688 49458 JORGE GUTIERREZ MD DIRECTOR (FROM 1/1/21) 2.00 38.00 X 0 451808 42544 KARIN MABE DIRECTOR (FROM 1/1/21) 2.20 37.80 X 0 298293 56240 WADE MORCOM CRNA 40.00 0.00 X 0 238685 45015 CHRISTOPHER WATTERS CRNA 40.00 0.00 X 0 237929 44993 ELIZABETH GUNTER-WOODS CRNA CLINICAL INSTRUCTOR 40.00 0.00 X 0 216318 52625 APRIL CABLE CRNA 40.00 0.00 X 0 219116 39757 PAMELA WOFFORD CRNA CLINICAL INSTRUCTOR 40.00 0.00 X 0 210722 33193 DANNY SQUIRES FINANCE DIRECTOR 19.00 21.00 X 0 203982 33634 MICK FISHER DIRECTOR (FROM 1/1/21) 2.00 38.00 X 0 102737 5463 DENISE HEGE SECRETARY 38.00 2.00 X 0 62548 11880 KEVIN P HIGH MD DIRECTOR (TO 12/31/20) 1.00 39.00 X 0 0 0 DAVID HOLDER MD DIRECTOR (TO 7/31/20) 2.00 38.00 X 0 0 0 DEBBY BROWN DIRECTOR 2.00 0.00 X 0 0 0 GORDON KAMMIRE MD DIRECTOR 2.00 38.00 X 0 0 0 JOHN FRANK DIRECTOR (TO 12/31/20) 2.00 0.00 X 0 0 0 KATRINA CRAVEN DIRECTOR 2.00 0.00 X 0 0 0 KAYE LEONARD DIRECTOR & CHAIR (TO 12/31/20) 4.00 0.00 X X 0 0 0 CHUCK MILLER DIRECTOR 2.00 0.00 X 0 0 0 LILLIAN KOONTZ DIRECTOR 2.00 0.00 X 0 0 0 MICHAEL HOLSHOUSER DIRECTOR & VICE CHAIR (FROM 1/1/21) 2.00 0.00 X 0 0 0 NICOLE PEDERSON SMITH DIRECTOR (FROM 1/1/21) 2.00 0.00 X 0 0 0 NINA SMITH DIRECTOR 2.00 0.00 X 0 0 0 PAULA TURLINGTON DIRECTOR (FROM 1/1/21) 2.00 2.00 X 0 0 0 REV DR RAY HOWELL DIRECTOR & CHAIR (FROM 1/1/21) 4.00 0.00 X X 0 0 0 ROBIN TEAM JR DIRECTOR (FROM 1/1/21) 2.00 0.00 X 0 0 0 ROSALIND BAKER DIRECTOR (FROM 1/1/21) 2.00 0.00 X 0 0 0 ROSE MCDANIEL DIRECTOR 2.00 0.00 X 0 0 0 TAMMY ABSHER DIRECTOR 2.00 0.00 X 0 0 0 TEENIE TILLEY DIRECTOR (TO 12/31/20) 2.00 2.00 X 0 0 0 THOMPSON MILLER DIRECTOR (TO 12/31/20) 2.00 0.00 X 0 0 0 0 4836071 887993 0 0 1 0 JA MITSUI LEASING FFCSI INC 711 WEST KIMBERLY AVE PLACENTIA CA 92870 FINANCIAL SERVICES 813951 ADVANCED ICU CARE INC 1 CITY PLACE DR SUITE 750 ST LOUIS MO 63141 HEALTHCARE SERVICES 668899 SODEXO INC & AFFILIATES 1200 NORTH ELM STREET GREENSBORO NC 27401 FACILITIES MANAGEMENT SERVICES 559706 STERIS INSTRUMENT MANAGEMENT SERVICES 3316 2ND AVE NORTH BIRMINGHAM AL 35222 HEALTHCARE CONSULTING SERVICES 402318 DIVERSIFIED CLINICAL SERVICES INC PO BOX 636981 CINCINNATI OH 45263 HEALTHCARE SERVICES 367644 9 1500 300835 183911 486246 PATIENT SERVICE REVENUE 622110 134694163 128998985 5695178 DIETARY REVENUE 722210 263128 263128 134957291 4665 4665 654879 0 654879 654879 654879 281 -281 -281 -281 OTHER 900099 2463 2463 2463 136105263 129264576 5695178 659263 11000 11000 800 800 720882 360441 360441 38882624 36048557 2834067 1563939 1434923 129016 6776926 6217870 559056 2253690 2088499 165191 656107 510303 145804 8032 8032 150901 102113 48788 9467276 7805827 1661449 2940 2287 653 216814 189092 27722 106160 92586 13574 2910125 2538030 372095 1275 1112 163 8966 8488 478 5817881 5315276 502605 229043 229043 BAD DEBTS 25066538 25066538 MEDICAL SUPPLIES 21023003 21023003 PROVIDER ASSESSMENT TAX 2887940 2887940 OTHER SUPPLIES 637207 555732 81475 119400069 112497492 6902577 0 4885 4885 35163638 32788523 7955453 10478318 1839778 1579201 115123 127386 109381007 68173286 46242228 41207721 419561 419561 34529161 55274619 126269827 141880214 6534152 5445713 9252 251101 235481 6785253 5690446 X 119460656 136163530 23918 26238 119484574 136189768 126269827 141880214 16705194 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 8032 8032 0 PART II-B, LINE 1: 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. 951142 951142 68514655 38665400 29849255 38906706 29365611 9541095 1008504 142275 866229 41207721 OTHER ASSETS 102434 INTERCOMPANY RECEIVABLE 54936704 OPERATING LEASES (LESS ACCUM DEPREC) 235481 55274619 0 OPERATING LEASE PAYABLE 235481 235481 X PART X, LINE 2: THE ORGANIZATION HAS EVALUATED UNCERTAIN TAX POSITIONS FOR ITS FISCAL YEARS ENDED JUNE 30, 2021 AND 2020, 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 YEARS ENDED JUNE 30, 2021 AND 2020. 1 1 1 X 300.000000000000 1 X 1 1 1 0 1 1 2192317 0 2192317 0.02320 14325395 13537012 788383 0.00840 3371157 2796433 574724 0.00610 19888869 16333445 3555424 0.03770 607337 0 607337 0.00640 11000 0 11000 0.00010 618337 618337 0.00650 20507206 16333445 4173761 0.04420 25869 25869 0.00030 25869 25869 0.00030 1 5275332 43795758 40142293 3653465 X 1 1 1 1 ATRIUM HEALTH WAKE FOREST BAPTIST LEXINGTON MEDICAL CENTER 250 HOSPITAL DRIVE LEXINGTON NC 27292 WWW.WAKEHEALTH.EDU H0027 X X X ATRIUM HEALTH WFB LEXINGTON MEDICAL CENT 1 0 0 1 X X X X X X X X X 18 1 1 0 1 X SEE PART V, PAGE 8 X 1 19 1 SEE PART V, PAGE 8 0 1 X 300.000000000000 300.000000000000 X X X X X 1 1 X X X 1 X SEE PART V X SEE PART V X SEE PART V X X X X X X X 1 X 0 X X X X 1 X 0 0 ATRIUM HEALTH WFB LEXINGTON MEDICAL CENTER PART V, SECTION B, LINE 5: COMMUNITY INPUT WAS OBTAINED THROUGH THE FOLLOWING SOURCES: (1) THE DAVIDSON COUNTY COMMUNITY HEALTH SURVEY COMPLETED IN 2018 BY COUNTY RESIDENTS WHICH SOLICITED CONCERNS REGARDING COMMUNITY HEALTH & SOCIAL ISSUES, UNHEALTHY BEHAVIORS, ACCESS TO MEDICAL CARE, PERSONAL HEALTHY BEHAVIORS AND OVERALL PERSONAL HEALTH, (2) THE DAVIDSON COUNTY HEALTH DEPARTMENT PUBLIC FORUM CONDUCTED IN NOVEMBER 2018 WITH ATRIUM HEALTH WAKE FOREST BAPTIST LEXINGTON MEDICAL CENTER, NOVANT HEALTH THOMASVILLE MEDICAL CENTER, AND DAVIDSON COUNTY HEALTH DEPARTMENT, (3) TWO FAITHHEALTH NC (A DEPARTMENT OF ATRIUM HEALTH WAKE FOREST BAPTIST) COMMUNITY ASSET MAPPING WORKSHOPS WHICH SOUGHT OPINIONS OF BOTH HEALTH PROVIDERS (INCLUDING RELIGIOUS & SOCIAL SERVICES) AND HEALTH SEEKERS IN DAVIDSON COUNTY'S MOST VULNERABLE COMMUNITIES, (4) REVIEW OF THE ATRIUM HEALTH WAKE FOREST BAPTIST 3-YEAR STRATEGIC PLAN TO IDENTIFY APPLICABLE COMMUNITY BENEFIT STRATEGIES; AND (5) COMMENTS FROM THE PRIOR COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY.ADDITIONALLY, OTHER SECONDARY DATA SOURCES WERE REVIEWED INCLUDING: ATRIUM HEALTH WAKE FOREST BAPTIST MEDICAL CENTER COMMUNITY DASHBOARD/HEALTH COMMUNITIES INSTITUTE, COUNTY HEALTH RANKINGS & ROADMAPS, 2017 STATE OF THE COUNTY HEALTH REPORT, DAVIDSON COUNTY HEALTH DEPARTMENT STRATEGIC PLAN FOR 2016-2019, US CENSUS BUREAU 2010 CENSUS, NC CENTER FOR HEALTH STATISTICS, HEALTHY PEOPLE 2020, HEALTHY NORTH CAROLINA 2020, AND CENTERS FOR MEDICARE/MEDICAID-HEALTH OUTCOMES SURVEY. ATRIUM HEALTH WFB LEXINGTON MEDICAL CENTER PART V, SECTION B, LINE 6A: THE HOSPITAL'S MOST RECENT CHNA WAS CONDUCTED IN COLLABORATION WITH ATRIUM HEALTH WAKE FOREST BAPTIST MEDICAL CENTER (AKA NORTH CAROLINA BAPTIST HOSPITAL) AND ATRIUM HEALTH WAKE FOREST BAPTIST DAVIE MEDICAL CENTER, BOTH AFFILIATE HOSPITALS OF ATRIUM HEALTH WAKE FOREST BAPTIST. ATRIUM HEALTH WFB LEXINGTON MEDICAL CENTER PART V, SECTION B, LINE 7D: N/APART V, SECTION B, LINE 7A:HTTPS://WWW.WAKEHEALTH.EDU/ABOUT-US/SERVING-OUR-COMMUNITIES/NEEDS-ASSESSMENTS-AND-IMPLEMENTATION-REPORTSPART V, SECTION B, LINE 10A:HTTPS://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 MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") IDENTIFIED THE FOLLOWING SIGNIFICANT HEALTH NEEDS WITHIN THE COMMUNITY: (1) CHRONIC DISEASE MANAGEMENT AND PREVENTION, (2) DRUG MISUSE AND ABUSE PREVENTION AND EDUCATION, (3) ACCESS TO MENTAL HEALTH CARE SERVICES, (4) HEALTH CARE RESOURCES TO ADDRESS THE PREVALENCE OF OBESITY, CANCER, AND HEART DISEASE, AND (5) EDUCATION REGARDING GOOD NUTRITION AND EXERCISE HABITS. AHWFB-LMC PRIORITIZED THE FOLLOWING FOUR SIGNIFICANT COMMUNITY HEALTH NEEDS FOR ITS CURRENT CHNA AS FOLLOWS: (1) ACCESS TO CARE; (2) CHRONIC DISEASE MANAGEMENT & PREVENTION; (3) BEHAVIORAL HEALTH & SUBSTANCE DEPENDENCY; AND (4) MATERNAL & CHILD HEALTH. AHWFB-LMC PLANS TO PROVIDE COMMUNITY BENEFIT PROGRAMS RESPONSIVE TO THESE HEALTH NEEDS THROUGH ITS APPROVED CHNA IMPLEMENTATION STRATEGY. THE AHWFB-LMC CHNA IMPLEMENTATION STRATEGY OUTLINES THE IMPLEMENTATION OF PROGRAMS AND THE EVALUATION OF IMPACT OF THOSE PROGRAMS ON PRIORITY COMMUNITY HEALTH NEEDS IDENTIFIED FROM THE CHNA. SPECIFICALLY, THE HOSPITAL IS ADDRESSING THE SIGNIFICANT HEALTH NEEDS AS FOLLOWS:1. ACCESS TO CAREBARRIERS SUCH AS LACK OF INDIVIDUAL HEALTH INSURANCE AND HIGH COSTS DECREASE ACCESS TO QUALITY HEALTH CARE AND CAN LEAD TO UNMET HEALTH NEEDS. THE HOSPITAL'S CURRENT STRATEGIES TO ADDRESS THESE NEEDS INCLUDE THE FOLLOWING:--REDUCING TRANSPORTATION BARRIERS FOR INDIVIDUALS IN RURAL AREAS OF THE COMMUNITY THROUGH 1.) COLLABORATION WITH VARIOUS DAVIDSON COUNTY AGENCIES TO DETERMINE RESOURCES AND ASSESSMENT OF TRANSPORTATION ASSISTANCE NEEDS THROUGHOUT THE COUNTY, 2.) ANALYSIS OF THE USE OF PUBLIC TRANSPORTATION SERVICES, THE NECESSITY FOR ONSITE HEALTH CLINICS IN AREAS WITH HIGH NEEDS, AND TRANSPORTATION DEFICIENCIES WITH RESPONSIBLE DAVIDSON COUNTY AGENCIES, AND 3.) EVALUATION OF THE NEED AND FUNDING FOR A MOBILE HEALTH CLINIC TO SERVE DAVIDSON COUNTY'S MOST VULNERABLE COMMUNITIES. --IMPROVING ACCESS TO COMMUNITY-CENTERED SOCIAL AND HEALTH EDUCATION SERVICES AND REGULAR SOURCES OF HEALTH CARE THROUGH 1.) PARTNERING WITH DAVIDSON COUNTY AGENCIES TO PROVIDE HEALTH EDUCATION EVENTS AND SCREENINGS AT VARIOUS LOCATIONS IN THE COUNTY, 2.) CONTINUING TO PROVIDE SUPPORT TO THE DAVIDSON MEDICAL MINISTRIES CLINIC WITH FREE LABORATORY AND IMAGING SERVICES, 3.) WORKING WITH LOCAL FAITH COMMUNITIES TO PROVIDE PROGRAMS AND ENLIST LAY LEADER SUPPORT TO ASSIST PARISHIONERS NEEDING ACCESS, 4.) EXPANDING BESTHEALTH HEALTH EDUCATION PROGRAMMING AT COMMUNITY EVENTS AND VENUES IN DAVIDSON COUNTY, 5.) COLLABORATING WITH DAVIDSON COUNTY STAKEHOLDERS TO DEVELOP A RECOVERY ORIENTED SYSTEM OF CARE IN THE COUNTY, AND 6.) INCREASING PRIMARY CARE AND INTRODUCING CONVENIENCE CARE CLINICS IN HIGH NEED LOCATIONS OF DAVIDSON COUNTY. --IMPROVING ACCESS TO HEALTH INSURANCE BY PARTNERING WITH DAVIDSON COUNTY DEPARTMENT OF SOCIAL SERVICES TO ASSIST WITH ENROLLING COMMUNITY MEMBERS INTO INSURANCE PROGRAMS AND WITH NORTHWEST COMMUNITY CARE NETWORK, (AN ATRIUM HEALTH WAKE FOREST BAPTIST AFFILIATE) TO MANAGE THEIR HEALTHCARE.2. CHRONIC DISEASE MANAGEMENT & PREVENTIONAHWFB-LMC RECOGNIZES THE EFFECT OF CONTINUITY OF CARE WITH HEALTH CARE PROVIDERS ON PATIENT BEHAVIORS, DISEASE MANAGEMENT, AND HEALTH STATUS.THE HOSPITAL'S CURRENT STRATEGIES INCLUDE:--IMPROVING THE CAPACITY OF COMMUNITY BASED ORGANIZATIONS AND HEALTH CARE PROVIDERS TO SUPPORT EFFORTS RELATED TO CHRONIC DISEASE PREVENTION AND MANAGEMENT THROUGH 1.) CONTINUING TO SUPPORT FAITHHEALTH NC COMMUNITY HEALTH WORKERS TO ADDRESS CHRONIC DISEASE MANAGEMENT AND COMMUNITY HEALTH PROGRAMMING, 2.) INCREASING COMMUNITY AND HEALTHCARE PROVIDER REFERRAL TO EXISTING ATRIUM HEALTH WAKE FOREST BAPTIST CHRONIC DISEASE MANAGEMENT PROGRAMS, FAMILY MEDICINE AND ADDITIONAL RESOURCES BY CENTRALIZING THE DISSEMINATION OF HEALTH CARE INFORMATION, AND 3.) ASSESSING THE NEED FOR ADDITIONAL MEDICAL SPECIALISTS IN DAVIDSON COUNTY IN THE AREAS OF CANCER, HEART DISEASE AND DIABETES. --PROVIDING EDUCATION AND SUPPORT PROGRAMS TO REDUCE DIABETES PREVALENCE AND WEIGHT MANAGEMENT THROUGH 1.) COLLABORATING WITH THE DAVIDSON COUNTY HEALTH DEPARTMENT TO REFER PRE-DIABETIC AND EARLY ONSET DIABETIC PATIENTS TO AREA DIABETES MANAGEMENT PROGRAMS, 2.) CONTINUING TO PROVIDE BEST HEALTH DIABETES PREVENTION, WEIGHT MANAGEMENT, NUTRITION EDUCATION AND COOKING CLASSES AT CONVENIENT LOCATIONS IN DAVIDSON COUNTY, 3.) PARTICIPATING IN OPPORTUNITIES WITH AREA SCHOOLS TO SCREEN FOR DIABETES AND TO EDUCATE STUDENTS AND FAMILIES ON DIABETES PREVENTION, AND 4.) EVALUATING THE NEED TO EXPAND THE BRENNER FIT PROGRAMMING MODEL IN DAVIDSON COUNTY TO EDUCATE ELEMENTARY AND MIDDLE SCHOOL STUDENTS AND THEIR FAMILIES ON GOOD NUTRITION PRACTICES AND HEALTHY LIFESTYLE OPTIONS. --PROVIDING CANCER EDUCATION AND SUPPORT PROGRAMS THROUGH 1.) EXPANDING EDUCATION PROGRAMMING IN DAVIDSON COUNTY TO INCREASE AWARENESS OF CANCER RISK FACTORS AND BEHAVIORS, 2.) CONTINUING SUPPORT OF DAVIDSON COUNTY HEALTH DEPARTMENT'S MAMMOGRAM SERVICES FOR THE UNINSURED/UNDERINSURED RESIDENTS OF DAVIDSON COUNTY, 3.) CONTINUING SUPPORT OF DAVIDSON MEDICAL MINISTRIES CLINIC WITH MAMMOGRAPHY SERVICES FOR THEIR PATIENTS, 4.) COLLABORATING WITH VARIOUS DAVIDSON COUNTY AGENCIES TO DETERMINE RESOURCES TO SUPPORT CANCER PATIENTS AND THEIR FAMILIES, AND 5.) CONTINING SUPPORT OF THE CAREGIVER ACADEMY PROGRAM WHICH PROVIDES FREE INFORMATION, EDUCATION AND SUPPORT FOR COMMUNITY RESIDENTS IN CAREGIVING ROLES. 3. BEHAVIORAL HEALTH & SUBSTANCE DEPENDENCYAHWFB-LMC IS COMMITTED TO PROVIDING POSITIVE OUTCOMES OF RECOVERY AND MENTAL HEALTH WELLNESS THROUGHOUT THE COMMUNITY IT SERVES. THE HOSPITAL'S CURRENT STRATEGIES INCLUDE:--GROWING AWARENESS OF EXISTING CARENET SERVICES AVAILABLE AT AHWFB-LMC & AT OTHER LOCATIONS IN DAVIDSON COUNTY.--DECREASING THE SUICIDE DEATH RATE THROUGH 1.) BUILDING CAPACITY AMONG LAY PERSONS IN THE COMMUNITY IN THE AREAS OF MENTAL HEALTH FIRST AID, SUICIDE PREVENTION AND SUBSTANCE ABUSE RECOVERY PROGRAMS, AND 2.) PARTNERING WITH LOCAL SCHOOLS TO PROVIDE SUICIDE PREVENTION INFORMATION AND PROGRAMMING.--REDUCING THE NUMBER OF EMERGENCY DEPARTMENT VISITS RELATED TO BEHAVIORAL HEALTH ISSUES THROUGH WORKING WITH MENTAL HEALTH ORGANIZATIONS IN DAVIDSON COUNTY TO IDENTIFY KEY RESOURCES FOR REFERRALS AND PROGRAMMING FOR PATIENTS NEEDING MENTAL HEALTH SERVICES.--PARTNERING WITH THE DCSPAN (DAVIDSON COUNTY STOP PRESCRIPTION ABUSE NOW!) INITIATIVE TO PROVIDE SUBSTANCE USE EDUCATION AT ITS COMMUNITY CONVERSATION AND PUBLIC FORUM EVENTS. --SERVING AS ONE OF DAVIDSON COUNTY'S PERMANENT PRESCRIPTION MEDICATION DISPOSAL LOCATIONS.4. MATERNAL & CHILD HEALTHAHWFB-LMC IS COMMITTED TO PROVIDING INNOVATIVE, FAMILY-CENTERED CARE FOR THE COMMUNITY'S CHILDREN AND WOMEN. THE HOSPITAL'S CURRENT STRATEGIES INCLUDE:--DECREASING TEEN PREGNANCY, REDUCING INFANT MORTALITY, AND INCREASING THE BREAST FEEDING RATES THROUGH 1.) IMPLEMENTING OF PRENATAL AND POSTNATAL EDUCATION PROGRAMS IN DAVIDSON COUNTY FOR AT-RISK MOTHERS, 2.) PARTNERING WITH THE DAVIDSON COUNTY HEALTH DEPARTMENT, LOCAL SCHOOLS AND OTHER COUNTY AGENCIES TO DETERMINE RESOURCES AND PROGRAMS AVAILABLE TO NEW AND EXPECTING MOTHERS AND FAMILIES, 3.) CONTINUING TO PROVIDE BOARD CERTIFIED LACTATION CONSULTANTS TO NEW MOTHERS WITHIN THE ATRIUM HEALTH WAKE FOREST BAPTIST NETWORK, AND 4.) ENCOURAGING MOTHERS AND MOTHERS-TO-BE TO ATTEND ATRIUM HEALTH WAKE FOREST BAPTIST MATERNAL AND CHILD HEALTH PROGRAMS. --INCREASING PHYSICAL WELLNESS AT LOCAL SCHOOLS BY PROVIDING A LICENSED ATHLETIC TRAINER TO LEXINGTON SENIOR HIGH SCHOOL.ALL OF THE AFOREMENTIONED EFFORTS IN COMBINATION WITH THE HOSPITAL'S VALUES OF NONDISCRIMINATION AND COMPASSIONATE CARE ARE DESIGNED TO MEET THE SIGNIFICANT HEALTH NEEDS OF THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. 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. 10 1 - ENTHEAD & NECK SURGERY - LEXINGTON 106 W MEDICAL PARK DR STE C LEXINGTON NC 27292 ENT 2 - SLEEP LAB - LEXINGTON 250 HOSPITAL DRIVE LEXINGTON NC 27292 SLEEP MEDICINE ADULT & PEDIATRIC 3 - OBSTETRICS AND GYNECOLOGY - LEXINGTON 7 MEDICAL PARK DR LEXINGTON NC 27292 OBGYN 4 - WOUND CARE CENTER - LEXINGTON 10 MEDICAL PARK DR LEXINGTON NC 27292 WOUND CARE CENTER 5 - NEUROLOGY - LEXINGTON 10 MEDICAL PARK DR LEXINGTON NC 27292 NEUROLOGY 6 - HEMATOLOGY AND ONCOLOGY - LEXINGTON 107 W MEDICAL PARK DR LEXINGTON NC 27292 HEMATOLOGY AND ONCOLOGY 7 - RADIATION ONCOLOGY - LEXINGTON 107 W MEDICAL PARK DR LEXINGTON NC 27292 RADIATION ONCOLOGY 8 - PAIN MANAGEMENT - LEXINGTON 10 MEDICAL PARK DR LEXINGTON NC 27292 PAIN MANAGEMENT 9 - INFECTIOUS DISEASES - LEXINGTON 10 MEDICAL PARK DR LEXINGTON NC 27292 INFECTIOUS DISEASE 10 - GYNECOLOGY ONCOLOGY - LEXINGTON 107 W MEDICAL PARK DR LEXINGTON NC 27292 GYNECOLOGY ONCOLOGY 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 CARE.-PATIENT MUST BE A VALID RESIDENT WITHIN A ZIP CODE BOUNDED BY OR INTERSECTING ON 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 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 REVENUETHE HOSPITAL PARTICIPATES IN A PROVIDER ASSESSMENT PROGRAM ADMINISTERED BY THE NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES. UNDER THE PROGRAM, A FEE IS ASSESSED AGAINST NON-MEDICAID NET PATIENT SERVICE REVENUE OF PRIVATE HOSPITALS. THE FEDERAL GOVERNMENT MATCHES THEASSESSMENT AT A RATE OF NEARLY 2 TO 1, AND THESE AMOUNTS ARE ALLOCATED TO NORTH CAROLINA HOSPITALS ON A QUARTERLY BASIS. ADDITIONALLY, THE HOSPITAL PARTICIPATES IN THE NORTH CAROLINA MEDICAID REIMBURSEMENT INITIATIVE (MRI). UNDER THE MRI, THE HOSPITAL RECEIVES ADDITIONAL REIMBURSEMENT BASED ON MEDICAID COST DEFICITS AND TREATMENT OF A DISPROPORTIONATE SHARE OFUNINSURED PATIENTS. PART I, LN 7 COL(F): THE ORGANIZATION'S PATIENT BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENTS WAS $25,066,538 FOR THE FISCAL YEAR ENDED JUNE 30, 2021. 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 A NUMBER OF PROGRAMS AND INITIATIVES, INCLUDING THE FOLLOWING:- DIVERSITY, INCLUSION AND HEALTH EQUITY - AHWFB BELIEVES THAT CREATING A DIVERSE, EQUITABLE AND CULTURALLY ATTUNED WORKPLACE IS CRUCIAL TO OUR MISSION TO IMPROVE HEALTH IN THE COMMUNITIES WE SERVE. THE OFFICE OF DIVERSITY AND INCLUSION OVERSEES OUR PRACTICES TO ENSURE DIVERSITY,INCLUSION, EQUITY AND RESPECT FOR EVERY MEMBER OF THE AHWFB COMMUNITY. AHWFB RECOGNIZES THAT DIVERSITY IS NOT LIMITED TO RACE AND ETHNICITY BUT MUST ALSO TAKE INTO ACCOUNT SOCIOECONOMIC STATUS, SEXUAL ORIENTATION, GENDER IDENTITY AND RELIGIOUS COMMITMENT. IN ORDER 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 PEOPLE AND ENSURING THAT EDUCATIONAL PROGRAMS ENABLE HEALTH CARE PROFESSIONALS TO PROVIDE CULTURALLY COMPETENT CARE AND ADDRESS HEALTH DISPARITIES. AHWFB'S CLINICAL FOCUS ON HEALTH EQUITY WAS RECOGNIZED BY THE U.S. HUMAN RIGHTS CAMPAIGN FOUNDATION, WHICH DESIGNATED THE MEDICAL CENTER A 2017 "LEADER IN LGBTQ HEALTHCARE EQUALITY."- DIVISION OF FAITHHEALTH - THE MISSION OF AHWFB'S DIVISION OF FAITHHEALTH IS TO BUILD, ALIGN AND ANIMATE RELIGIOUS AND COMMUNITY ASSETS TO IMPROVE ACCESS TO HEALTH CARE AND THE HEALTH OF THE COMMUNITY, BEGINNING WITH THOSE SERVED BY THE HOSPITAL. SUPPORTING PATIENTS SPIRITUALLY AND OFFERING MINISTRIES OF GROWTH, HOPE AND HEALING IS PART OF THE WORK OF THE MEDICAL CENTER, WHICH SINCE ITS EARLIEST DAYS HAS BEEN AN INNOVATOR IN FORGING HEALTH AND SPIRITUAL CONNECTIONS.ADDITIONALLY, HOSPITAL EMPLOYEES PROVIDE COMMUNITY SUPPORT BY SERVING ON LOCAL BOARDS FOR COMMUNITY BASED ORGANIZATIONS. PART III, LINE 4: BAD DEBT HAS NOT BEEN INCLUDED IN THE COMPUTATION OF COMMUNITY BENEFIT ON PART I, LINE 7. AMOUNTS USED TO COMPUTE CHARITY CARE AND BAD DEBT ON SCHEDULE H USE THE MOST CURRENT DATAAVAILABLE AT THE TIME OF FILING. THE ORGANIZATION USED WORKSHEET 2 OF THE FORM 990, SCHEDULE H INSTRUCTIONS TO COMPUTE A COST TO CHARGES RATIO USED TO CALCULATE BAD DEBT AT COST. 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 PERIODTHAT 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'S CURRENT NEEDS ASSESSMENT PLAN WAS BASED ON A SET OF BEST PRACTICES FOR COMMUNITY HEALTH ASSESSMENTS WITH THE PURPOSE OF IDENTIFYING REGIONAL PRIORITY AREAS TO FOCUS ON FOR FY 2020-2022. THE PROCESS WAS DESIGNED TO RELY ON EXISTING PUBLIC DATA, DIRECTLY ENGAGING COMMUNITY STAKEHOLDERS AND COLLABORATE WITH LOCAL PUBLIC HEALTH, OTHER HEALTH PROVIDERS, AS WELL AS COMMUNITY PARTNERS SUCH AS FAITH NETWORKS RELEVANT TO THE SOCIAL FACTORS UNDERLYING PATTERNS OF ACCESS. THE HOSPITAL'S ASSESSMENT WAS CONDUCTED IN THREE STAGES: (1) DATA REVIEW (PRIMARY AND SECONDARY DATA), (2) SETTING PRIORITIES, AND (3) COMMUNITY ASSET INVENTORY. THE DATA REVIEW AND PRIORITY SETTING PHASE BEGAN WITH THE COMPILATION OF EXISTING HEALTH-RELATED DATA. STAKEHOLDERS REVIEWED MULTIPLE DATA SETS INCLUDING FORSYTH, DAVIDSON, AND DAVIE COUNTY PUBLIC HEALTH NEEDS ASSESSMENTS, NORTH CAROLINA INDICATORS FOR COMMUNITY HEALTH ASSESSMENT, INTERNAL DISEASE REGISTRIES, AND COUNTY HEALTH RANKINGS. AN INTERNAL STEERING COMMITTEE AND SENIOR LEADERSHIP REVIEW A SET OF CRITERIA TO DEVELOP THE PRIORITY RANKINGS. THE PRIORITIZATION PROCESS IDENTIFIED THE FOLLOWING FOUR PRIORITY CHALLENGES FOR THE COMMUNITY: (1) ACCESS TO CARE, (2) CHRONIC DISEASE MANAGEMENT & PREVENTION, (3) BEHAVIORAL HEALTH & SUBSTANCE ABUSE, AND (4) MATERNAL & CHILD HEALTH. FAITHHEALTHNC (A DIVISION OF NORTH CAROLINA BAPTIST HOSPITAL) PROVIDED COMMUNITY ENGAGEMENT THROUGH A COMPREHENSIVE ASSET MAPPING STRATEGY BASED ON AN APPROACH FROM SOUTH AFRICA AND REDEFINED IN MEMPHIS, TN DESIGNED TO BUILD COMMUNITY PARTNERSHIPS ON THE ASSETS THAT EXIST, INSTEAD OF JUST NEEDS. THE MAPPING DEVELOPED AN INVENTORY OF EXISTING PROGRAMS AND SERVICES WITHIN THE REGION RELATED TO THE PRIORITY AREAS IDENTIFIED IN THE NEEDS ASSESSMENT. THE INVENTORY INCLUDED THE LOCATION OF THE PROGRAM (HOSPITAL, CLINIC, OR COMMUNITY SERVICE) AS WELL AS THE NATURE OF THE INTANGIBLE FACTORS, ESPECIALLY TRUST, THAT DETERMINE ACCESS AND COLLABORATION AMONG COMMUNITY PARTNERS. THE PURPOSE OF THE INVENTORY WAS TO IDENTIFY GAPS IN SERVICES, OPPORTUNITIES FOR NEW WORK, WHERE AND WITH WHOM THERE IS ALREADY WORK BEING DONE, AND OPPORTUNITIES FOR PARTNERSHIP AND COLLABORATION. FROM THIS THREE STEP PROCESS, THE HOSPITAL DEVELOPED AN IMPLEMENTATION STRATEGY TO IDENTIFY THE MEANS THROUGH WHICH IT PLANS TO ADDRESS NEEDS THAT ARE CONSISTENT WITH THE CHARITABLE MISSION AS PART OF ITS COMMUNITY BENEFIT PROGRAMS FOR THE NEXT THREE FISCAL YEARS. BEYOND THE PROGRAMS THAT WILL BE ADDRESSED IN THE IMPLEMENTATION STRATEGY, THE HOSPITAL WILL CONTINUE TO ADDRESS MANY OF THE PRIORITIES BY PROVIDING CARE TO ALL, REGARDLESS OF THE ABILITY TO PAY. PART VI, LINE 3: THE ORGANIZATION USES A VARIETY OF MEANS TO EDUCATE AND INFORM PATIENTS OF THEIR CHARITY CARE OPTIONS, INCLUDING INFORMATION ON A WEBSITE, PAMPHLETS, CONSPICUOUSLY DISPLAYED SIGNAGE, INFORMATION ON PATIENT BILL STATEMENTS, AND FROM STAFF MEMBERS DURING CONVERSATIONS CONCERNING A PATIENT'S LIABILITY FOR SERVICES. THE HOSPITAL 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, HOSPITAL STAFF WILL ASSIST THE PATIENT WITH ENROLLMENT. PART VI, LINE 4: AHWFB-LMC'S SERVICE AREA OF DAVIDSON COUNTY REFLECTS A POPULATION OF APPROXIMATELY 165,500 AND A MEDIAN HOUSEHOLD INCOME OF $45,806. DAVIDSON COUNTY COVERS APPROXIMATELY 553 SQUARE MILES AND IS MOSTLY RURAL. THE MOST COMMON INDUSTRIES IN DAVIDSON COUNTY ARE MANUFACTURING, HEALTHCARE AND SOCIAL ASSISTANCE, AND RETAIL. THE FOLLOWING DEMOGRAPHIC FIGURES REFLECT THE POPULATION FOR DAVIDSON COUNTY: - 51% FEMALE, 49% MALE - BELOW 18 YEARS: 21.9% - AGE 65 AND OLDER: 18.2%THE MOST RECENT CENSUS INDICATED THAT DAVIDSON COUNTY HAS A LARGER PROPORTION OF PERSONS OVER AGE 64 AS COMPARED TO PROPORTIONS OF PERSONS IN THESE AGE GROUPS IN THE STATE OF NORTH CAROLINA.THE COUNTY POPULATION BREAKDOWN BY RACE IS: - WHITE NON-HISPANIC (80.0%) - BLACK (9.8%) - HISPANIC (7.2%) - OTHER ASIAN (1.6%) - AMERICAN INDIAN (0.8%) - OTHER (.6%)AHWFB-LMC'S PRIMARY SERVICE AREA IS COMPRISED OF THOSE LIVING WITHIN AN EIGHT MILE RADIUS OF THE HOSPITAL WHICH INCLUDES THE CITY OF LEXINGTON AND ADJACENT AREAS. LEXINGTON, N.C. IS LOCATED IN THE HEART OF NORTH CAROLINA'S PIEDMONT SECTION, FEATURING A SMALL TOWN ATMOSPHERE YET WITHIN CONVENIENT ACCESS TO METROPOLITAN AREAS INCLUDING WINSTON-SALEM, GREENSBORO, AND CHARLOTTE. LEXINGTON IS HISTORICALLY KNOWN AS A FURNITURE AND TEXTILE CENTER AND ALSO FOR ITS FAMOUS "LEXINGTON STYLE" BARBECUE. IT IS HOME TO ONE OF THE STATE'S LARGEST AND MOST SUCCESSFUL STREET FESTIVALS WITH 200,000 PLUS PEOPLE ATTENDING ITS ANNUAL "BARBECUE FESTIVAL" EACH OCTOBER. 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.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 VI, LINE 7, REPORTS FILED WITH STATES NC 1 DAVIDSON MEDICAL MINISTRIES CLINIC INC 420 N SALISBURY STREET LEXINGTON NC 27293 561746266 501(C)(3) 10000 HEALTHCARE ACCESS FOR DAVIDSON COUNTY RESIDENTS 1 0 PART I, LINE 2: 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. 0 1 0 0 0 0 0 0 0 BRADLEY A CLARK DIRECTOR (TO 12/31/20) & TREASURER 0 704049 0 270236 0 14340 0 213399 0 28405 0 1230429 0 13340 MICHAEL T WAID DIRECTOR (FROM 1/1/21) 0 418579 0 56313 0 90927 0 121927 0 27702 0 715448 0 43365 WILLIAM B JAMES DIRECTOR & PRESIDENT 0 293433 0 28445 0 224923 0 58254 0 23504 0 628559 0 218255 D BRANDON CHAPMAN MD DIRECTOR (FROM 1/1/21) 0 458196 0 14812 0 19680 0 21519 0 27939 0 542146 0 0 JORGE GUTIERREZ MD DIRECTOR (FROM 1/1/21) 0 431120 0 0 0 20688 0 21519 0 21025 0 494352 0 0 KARIN MABE DIRECTOR (FROM 1/1/21) 0 279153 0 17624 0 1516 0 46382 0 9858 0 354533 0 0 WADE MORCOM CRNA 0 237501 0 500 0 684 0 18281 0 26734 0 283700 0 0 CHRISTOPHER WATTERS CRNA 0 233052 0 500 0 4377 0 18240 0 26753 0 282922 0 0 ELIZABETH GUNTER-WOODS CRNA CLINICAL INSTRUCTOR 0 215045 0 500 0 773 0 23309 0 29316 0 268943 0 0 APRIL CABLE CRNA 0 218363 0 500 0 253 0 16239 0 23518 0 258873 0 0 PAMELA WOFFORD CRNA CLINICAL INSTRUCTOR 0 199858 0 10500 0 364 0 14283 0 18910 0 243915 0 0 DANNY SQUIRES FINANCE DIRECTOR 0 194877 0 7817 0 1288 0 14804 0 18830 0 237616 0 0 PART I, LINE 4B CERTAIN DIRECTORS AND OFFICERS OF THE FILING ORGANIZATION PARTICIPATED IN AND/OR RECEIVED PAYMENTS FROM SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLANS (SERP) OF THEIR EMPLOYER, WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER, A RELATED ORGANIZATION. THE DETERMINATION OF THE AMOUNT OF THE NON QUALIFIED RETIREMENT PLANS FOLLOWED THE RELATED ORGANIZATION'S COMPENSATION PROCEDURES AS OUTLINED IN PART VI, SECTION B, LINE 15 OF THEIR FORM 990. THE FOLLOWING DIRECTORS AND/OR OFFICERS RECEIVED SERP PAYMENTS IN THEIR CALENDAR YEAR 2020 COMPENSATION: BRADLEY A. CLARK $13,340 WILLIAM B. JAMES $220,083 MICHAEL T. WAID $69,272 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 FISCAL YEAR ENDED JUNE 30, 2021 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 WAKE FOREST BAPTIST CONTROLLED ENTITIES, INCLUDING: -NORTH CAROLINA BAPTIST HOSPITAL AND AFFILIATES, -WAKE FOREST UNIVERSITY HEALTH SCIENCES AND AFFILIATES, AND -WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER AND AFFILIATES (INCLUDING THE FILING ORGANIZATION). ALL SIGNIFICANT INTERCOMPANY TRANSACTIONS HAVE BEEN ELIMINATED IN CONSOLIDATION. FORM 990, PART VI, SECTION A, LINE 2 NICOLE SMITH AND NINA SMITH, BOARD MEMBERS 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 ON AN ANNUAL BASIS (AND AS THEY ARISE), ALL TRUSTEES AND OFFICERS OF THE FILING ORGANIZATION ARE ASKED TO REVIEW THE APPLICABLE CONFLICTS OF INTEREST POLICY AND TO DESCRIBE ANY POTENTIAL CONFLICTS OF INTEREST THEY MAY HAVE. UPON COMPLETION OF THE CONFLICTS OF INTEREST SURVEY, THE LEGAL DEPARTMENT REVIEWS THE COMPLETED QUESTIONNAIRES ON BEHALF OF THE FILING ORGANIZATION. ANY CONFLICTS IDENTIFIED ARE COMMUNICATED TO THE FILING ORGANIZATION'S CHAIRMAN OF THE BOARD AND ARE PRESENTED TO THE MEDICAL CENTER GOVERNANCE AND COMPENSATION COMMITTEE. ALL CONFLICTS OF INTEREST ARE RESOLVED BY MANAGEMENT PLANS DEVELOPED BY THE MEDICAL CENTER GOVERNANCE AND COMPENSATION COMMITTEE AND THE INTERNAL AUDIT AND COMPLIANCE OFFICES. THE MEDICAL CENTER GOVERNANCE AND COMPENSATION COMMITTEE'S CHAIR PRESENTS AN ANNUAL REPORT ON CONFLICTS TO THE FULL BOARD OF THE FILING ORGANIZATION. 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 OR AN UNRELATED ORGANIZATION, WAKE FOREST UNIVERSITY HEALTH SCIENCES, BOTH OF WHICH ENTITIES ARE WITHIN THE ATRIUM HEALTH WAKE FOREST BAPTIST LEGAL STRUCTURE. COMPENSATION PAID TO THESE INDIVIDUALS IS REVIEWED AND APPROVED IN ACCORDANCE WITH THE APPLICABLE ORGANIZATION'S COMPENSATION POLICIES AND PROCEDURES WHICH INCLUDE INDEPENDENT COMPENSATION CONSULTANTS, COMPENSATION SURVEYS AND STUDIES TO DETERMINE THE APPROPRIATENESS OF EACH OFFICER'S AND DIRECTOR'S COMPENSATION. 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. 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