WRMC HOSPITAL OPERATING CORPORATION: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: WRMC HOSPITAL OPERATING CORPORATION (EIN 83-0343789)
Tax period: 2020-07-01 to 2021-06-30
Filed: 2022-05-23
IRS object ID: 202221439349301082
Schema version: 2020v4.2
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	2022-05-23T17:36:29-05:00	ReturnTs
Tax Period End	2021-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	830343789	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WRMC HOSPITAL OPERATING CORPORATION	BusinessNameLine1Txt

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 609	AddressLine1Txt
City	NORTH WILKESBORO	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28659	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	BRADLEY A CLARK	PersonNm
Person Title	TREASURER	PersonTitleTxt
Phone	3367164445	PhoneNum
Signature	2022-05-13	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)
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	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

Field	Value	IRS element (for citing)
Principal Officer	CHAD BROWN	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 609	AddressLine1Txt
City	NORTH WILKESBORO	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28659	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$97,085,242	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.WAKEHEALTH.EDU	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Other Organization Dsc	1	OtherOrganizationDsc
Formation	1996	FormationYr
Legal Domicile State	NC	LegalDomicileStateCd
Activity Or Mission	TO IMPROVE HEALTH, ELEVATE HOPE, AND ADVANCE HEALING FOR ALL.	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	1	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	39	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$11,277,618	PYContributionsGrantsAmt
CY Contributions Grants	$738,089	CYContributionsGrantsAmt
PY Program Service Revenue	$82,036,253	PYProgramServiceRevenueAmt
CY Program Service Revenue	$95,692,882	CYProgramServiceRevenueAmt
PY Investment Income	$475,365	PYInvestmentIncomeAmt
CY Investment Income	$425,512	CYInvestmentIncomeAmt
PY Other Revenue	$353,288	PYOtherRevenueAmt
CY Other Revenue	$215,941	CYOtherRevenueAmt
PY Total Revenue	$94,142,524	PYTotalRevenueAmt
CY Total Revenue	$97,072,424	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,180,041	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,171,353	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$46,725,153	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$48,551,506	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$42,489,875	PYOtherExpensesAmt
CY Other Expenses	$47,592,709	CYOtherExpensesAmt
PY Total Expenses	$90,395,069	PYTotalExpensesAmt
CY Total Expenses	$97,315,568	CYTotalExpensesAmt
PY Revenues Less Expenses	$3,747,455	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$243,144	CYRevenuesLessExpensesAmt
Total Assets BOY	$126,057,137	TotalAssetsBOYAmt
Total Assets EOY	$129,640,990	TotalAssetsEOYAmt
Total Liabilities BOY	$72,052,433	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$71,563,988	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$54,004,704	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$58,077,002	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	$90,365,534	ExpenseAmt
Grant	$1,171,353	GrantAmt
Revenue	$95,692,882	RevenueAmt
Desc	THE ORGANIZATION OPERATES A 130 ACUTE CARE BED HOSPITAL PROVIDING MEDICAL, EMERGENCY, AND OUTPATIENT CARE SERVICES TO THE RESIDENTS OF ALLEGHANY, ALEXANDER, ASHE, CALDWELL, IREDELL, SURRY, WATAUGA, AND WILKES COUNTIES. THE ORGANIZATION SERVES AS A SATELLITE PROVIDER OF ATRIUM HEALTH WAKE FOREST BAPTIST SPECIALTY SERVICES AT ITS NORTH WILKESBORO CAMPUS, INCLUDING CARDIOLOGY, IMAGING, ENT, GASTROENTEROLOGY, NEPHROLOGY, NEUROLOGY, OB/GYN, OPHTHALMOLOGY, PATHOLOGY, PEDIATRICS, ORTHOPEDICS, AND UROLOGY. THE ORGANIZATION IS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS AND HAS BEEN COMMITTED TO SERVING THE HEALTHCARE NEEDS OF WILKES COUNTY SINCE 1952.DURING FISCAL YEAR 2021, THE HOSPITAL FACILITY HAD 12,533 PATIENT DAYS, WITH 2,960 INPATIENT ADMISSIONS, AND 26,970 EMERGENCY ROOM 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 FOUR FAITHHEALTH CONNECTORS IN WILKES COUNTY THAT SERVE MARGINALIZED POPULATIONS AND GIVE VOICE TO HEALTH DISPARITIES IN THE COMMUNITIES SURROUNDING AHWFB-WMC.- ATHLETIC TRAINERS - CERTIFIED ATHLETIC TRAINERS (ATC), PROVIDED BY AHWFB, WORK FULL-TIME IN THE FOUR PUBLIC HIGH SCHOOLS IN WILKES COUNTY THAT HAVE ATHLETIC PROGRAMS. THE ATCS WORK WITH STUDENT ATHLETES AND THEIR COACHES TO HELP KEEP THE ATHLETES SAFE AND HEALTHY AND TO TREAT AND HELP REHABILITATE SPORTS-RELATED INJURIES. - CARE CONNECTION PHARMACY PROVIDES FREE AND DISCOUNTED DRUGS TO THOSE UNABLE TO PAY FOR MEDICATIONS. IN RECENT YEARS, GRANT FUNDING RECEIVED FROM THE NC HEALTH AND WELLNESS TRUST FUND COMMISSION HAS BEEN USED TO UPGRADE THE TECHNOLOGY AND FUNDING OF THE PHARMACY. FOR EACH DOLLAR INVESTED IN THE PROGRAM, AN ESTIMATED $9 RETAIL VALUE OF PRESCRIPTION DRUGS HAVE BEEN ACQUIRED FOR QUALIFYING CITIZENS OF WILKES COUNTY. THIS PROGRAM ENABLES PATIENTS TO STAY COMPLIANT WITH THEIR MEDICAL TREATMENT PLAN AND ALSO REDUCE THE OCCURRENCE OF READMISSION. AHWFB-WMC ALSO SUPPORTS A SYRINGE EXCHANGE PROGRAM (SEP) AT THE PHARMACY. 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. HOSPITAL LEADERSHIP WORKS DIRECTLY WITH THE WILKES MEDICAL CENTER FOUNDATION TO IDENTIFY AND VALIDATE GRANT PROPOSALS THAT ADDRESS ITS COMMUNITY HEALTH NEEDS ASSESSMENT. DURING THE FISCAL YEAR, AHWB-WMC BEGAN OFFERING POSITRON EMISSION TOMOGRAPHY - COMPUTED TOMOGRAPHY (PET/CT) SERVICES. PET MAY DETECT THE EARLY ONSET OF DISEASE BEFORE OTHER IMAGING TESTS CAN. 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.AHWB-WMC OPENED A NEW HEMATOLOGY AND ONCOLOGY CLINIC IN AUGUST 2020 AS PART OF ATRIUM HEALTH WAKE FOREST BAPTIST'S COMPREHENSIVE CANCER CENTER NETWORK - THE ONLY CENTER IN THE REGION DESIGNATED BY THE NATIONAL CENTER INSTITUTE AND ONE OF ONLY 51 IN THE COUNTRY. PATIENTS CAN NOW RECEIVE DIAGNOSIS AND TREATMENT OF CANCER AND BENIGN AND MALIGNANT BLOOD DISORDERS, ON-SITE CHEMOTHERAPY INFUSION, LABORATORY AND PHARMACY SERVICES, PET IMAGING, AND ACCESS TO THE LATEST CANCER TREATMENTS AND CLINICAL TRIALS. THE $6 MILLION, 7,000-SQUARE-FOOT FACILITY INCLUDES A RECEPTION AREA, RENOVATED PHARMACY, NINE EXAM ROOMS AND 12 CHEMOTHERAPY INFUSION BAYS ON THE FIRST FLOOR OF THE HOSPITAL.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.-IN JUNE 2021, AHWFB-WMC BEGAN ENROLLING PATIENTS IN A PHASE 2 CLINICAL TRIAL DESIGNED TO QUICKLY DETERMINE THE EFFECTIVENESS OF PROMISING DRUGS TO TARGET THE NEGATIVE EFFECTS OF THE COVID-19 VIRUS IN CRITICALLY ILL PATIENTS AND IMPROVE PATIENT OUTCOMES. ALL STUDY VOLUNTEERS RECEIVED MEDICATIONS APPROVED AS STANDARD OF CARE FOR THE VIRUS.AHWFB-WMC RECEIVED AWARDS, ACCREDITATIONS, AND ACKNOWLEDGEMENTS DURING THE FISCAL YEAR AS FOLLOWS:- AN 'A' IN BOTH THE FALL 2020 AND SPRING 2021 LEAPFROG HOSPITAL SAFETY GRADE, A NATIONAL DISTINCTION RECOGNIZING THE HOSPITAL'S ACHIEVEMENTS PROTECTING PATIENTS FROM HARM AND PROVIDING SAFER HEALTH CARE.	Desc
Total Program Service Expenses	$90,365,534	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	0	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	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	37	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
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	9	GoverningBodyVotingMembersCnt
Independent Voting Member	1	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	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	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	ERIN KOEWING	PersonNm
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 (20 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	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CATHLEEN WHEATLEY DNP
BOARD MEMBER (TO 2/11/21)	0.80	39.20	Yes (X)	$0	$1,105,892	$168,858
BRADLEY A CLARK
BOARD MEMBER, TREASURER	0.80	39.20	Yes (X)	$0	$988,625	$241,804	Yes (X)
J MCLAIN WALLACE JR
SECRETARY	0.80	39.20		$0	$778,123	$162,079	Yes (X)
MICHAEL T WAID
CHAIR (FROM 12/4/20)	0.70	39.30	Yes (X)	$0	$565,819	$149,629	Yes (X)
PETER M BELFORD MD
BOARD MEMBER (FROM 12/4/20)	1.00	39.00	Yes (X)	$0	$576,872	$34,076
JON THOMPSON MD
BOARD MEMBER	1.00	39.00	Yes (X)	$0	$490,149	$48,407
CHAD BROWN
BOARD MEMBER, PRESIDENT	20.00	20.00	Yes (X)	$0	$347,518	$98,069	Yes (X)
JENA FOLGER
BOARD MEMBER	1.00	39.00	Yes (X)	$0	$297,123	$73,354
DEBORAH HARDING
BOARD MEMBER (FROM 2/11/21)	1.00	39.00	Yes (X)	$0	$270,576	$52,132
JASON YOCKEY
CHIEF CRNA	40.00	0.00		$0	$219,975	$39,828		Yes (X)
JOSHUA TROYER
CLINICAL INSTRUCTOR CRNA	40.00	0.00		$0	$203,322	$37,407		Yes (X)
JOHN RIEDEL JR
CLINICAL INSTRUCTOR CRNA	40.00	0.00		$0	$199,482	$37,900		Yes (X)
WILLARD SHEW
CLINICAL INSTRUCTOR CRNA	40.00	0.00		$0	$199,733	$21,609		Yes (X)
BARRY WALD
ASST TREASURER	30.00	10.00		$0	$192,904	$28,930	Yes (X)
KRISTIE BROWN BRYAN
CLINICAL INSTRUCTOR CRNA	40.00	0.00		$0	$194,731	$26,381		Yes (X)
JAMES ATKINS MD
BOARD MEMBER (FROM 12/4/20)	1.00	39.00	Yes (X)	$0	$133,346	$12,515
LORI MCNEIL
ASST SECRETARY	40.00	0.00		$0	$42,254	$24,791	Yes (X)
J GENE FAILE
FORMER OFF (1/31/19)	0.00	0.00		$0	$28,006	$0			Yes (X)
KEVIN HIGH MD
CHAIR (TO 12/4/20)	1.00	39.00	Yes (X)	$0	$0	$0	Yes (X)
HAYES CALVERT MD
BOARD MEMBER	1.00	39.00	Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$6,834,450	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,257,769	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
SODEXO INC AND AFFILIATES
1200 NORTH ELM ST	GREENSBORO	NC	27401	FACILITIES MANAGEMENT SERVICES	$1,403,560
CHG COMPANIES INC
7259 S BINGHAM JUNCTION BLVD	MIDVALE	UT	84047	STAFFING/RECRUITING SERVICES	$554,738
ADVANCED ICU CARE INC
1 CITY PLACE DRIVE SUITE 570	ST LOUIS	MO	63141	TELEHEALTH SERVICES	$396,868
CROSS COUNTRY TRAVCORPS CORPORATION
PO BOX D860594	ORLANDO	FL	32886	STAFFING SERVICES	$266,344
AYA HEALTH CARE
5930 CORNERSTONE COURT WEST STE 30	SAN DIEGO	CA	92121	HEALTH CARE SERVCES	$216,793

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	12	CntrctRcvdGreaterThan100KCnt
Related Organizations	$97	RelatedOrganizationsAmt
Government Grants	$591,888	GovernmentGrantsAmt
All Other Contributions	$146,104	AllOtherContributionsAmt
Total Contributions	$738,089	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE	622110	$95,495,539	$95,495,539
DIETARY REVENUE	722210	$197,343	$197,343

Field	Value	IRS element (for citing)
Total Program Service Revenue	$95,692,882	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$247,360	TotalRevenueColumnAmt
Exclusion	$247,360	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$215,941	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	$215,941	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$215,941	TotalRevenueColumnAmt
Exclusion	$215,941	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$190,970	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$12,818	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$190,970	SecuritiesAmt
Other	-$12,818	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$178,152	TotalRevenueColumnAmt
Exclusion	$178,152	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$97,072,424	TotalRevenueColumnAmt
Related Or Exempt Func Income	$95,692,882	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$641,453	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,170,667	TotalAmt
Program Services	$1,170,667	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$686	TotalAmt
Program Services	$686	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$651,238	TotalAmt
Program Services	$325,619	ProgramServicesAmt
Management And General	$325,619	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$37,018,050	TotalAmt
Program Services	$34,365,617	ProgramServicesAmt
Management And General	$2,652,433	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,754,052	TotalAmt
Program Services	$1,609,353	ProgramServicesAmt
Management And General	$144,699	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$7,020,441	TotalAmt
Program Services	$6,441,296	ProgramServicesAmt
Management And General	$579,145	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,107,725	TotalAmt
Program Services	$1,953,233	ProgramServicesAmt
Management And General	$154,492	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$388,746	TotalAmt
Program Services	$302,357	ProgramServicesAmt
Management And General	$86,389	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,340	TotalAmt
Program Services	$1,042	ProgramServicesAmt
Management And General	$298	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$6,816	TotalAmt
Program Services	$6,816	ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$208,866	TotalAmt
Program Services	$141,337	ProgramServicesAmt
Management And General	$67,529	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$9,217,533	TotalAmt
Program Services	$7,293,171	ProgramServicesAmt
Management And General	$1,924,362	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$211,783	TotalAmt
Program Services	$184,704	ProgramServicesAmt
Management And General	$27,079	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$324,568	TotalAmt
Program Services	$283,068	ProgramServicesAmt
Management And General	$41,500	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,046,837	TotalAmt
Program Services	$1,785,124	ProgramServicesAmt
Management And General	$261,713	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$34,517	TotalAmt
Program Services	$30,180	ProgramServicesAmt
Management And General	$4,337	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$31,780	TotalAmt
Program Services	$29,916	ProgramServicesAmt
Management And General	$1,864	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$878,596	TotalAmt
Program Services	$594,535	ProgramServicesAmt
Management And General	$284,061	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$3,267,797	TotalAmt
Program Services	$2,985,493	ProgramServicesAmt
Management And General	$282,304	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$348,837	TotalAmt
Program Services	$348,837	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
BAD DEBT	$14,463,323	$14,463,323
MEDICAL SUPPLIES	$13,028,365	$13,028,365
PROVIDER ASSESSMENT TAX	$2,255,420	$2,255,420
OTHER SUPPLIES	$877,585	$765,375	$112,210

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$97,315,568	TotalAmt
Program Services	$90,365,534	ProgramServicesAmt
Management And General	$6,950,034	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$8,392,229	BOYAmt
EOY	$7,510,533	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$7,890,164	BOYAmt
EOY	$10,025,665	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,049,893	BOYAmt
EOY	$2,415,644	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,396,706	BOYAmt
EOY	$1,405,213	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$63,086,668	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$13,867,411	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$47,592,898	BOYAmt
EOY	$49,219,257	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$15,671,035	BOYAmt
EOY	$15,682,155	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$2,504,919	BOYAmt
EOY	$2,909,150	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$40,042,575	BOYAmt
EOY	$40,042,575	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$516,718	BOYAmt
EOY	$430,798	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$126,057,137	BOYAmt
EOY	$129,640,990	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$4,345,858	BOYAmt
EOY	$4,741,118	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$21,664,147	BOYAmt
EOY	$21,502,343	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$46,042,428	BOYAmt
EOY	$45,320,527	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$72,052,433	BOYAmt
EOY	$71,563,988	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	$54,004,704	BOYAmt
EOY	$58,077,002	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$54,004,704	BOYAmt
EOY	$58,077,002	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$126,057,137	BOYAmt
EOY	$129,640,990	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$243,144	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$27,244	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$4,288,198	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	$6,816	OtherActivitiesAmt
Total Lobbying Expenditures	$6,816	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	$120,000	OtherCostOrOtherBasisAmt
Book Value	$120,000	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,092,383	OtherCostOrOtherBasisAmt
Depreciation	$305,725	DepreciationAmt
Book Value	$786,658	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,004,343	OtherCostOrOtherBasisAmt
Depreciation	$1,403,281	DepreciationAmt
Book Value	$1,601,062	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$50,016,412	OtherCostOrOtherBasisAmt
Depreciation	$12,105,347	DepreciationAmt
Book Value	$37,911,065	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,853,530	OtherCostOrOtherBasisAmt
Depreciation	$53,058	DepreciationAmt
Book Value	$8,800,472	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$49,219,257	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
ESTIMATED THIRD PARTY SETTLEMENTS	$4,266,936
NET PENSION OBLIGATION	$1,227,001
INTERCOMPANY PAYABLE	$38,690,367
INSURANCE & OTHER LT RESERVES	$705,425
OPERATING LEASE PAYABLE	$430,798

Field	Value	IRS element (for citing)
Total Liability	$45,320,527	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 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.	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	$1,332,938	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,332,938	NetCommunityBenefitExpnsAmt
Total Expense	0.01610	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,502,859	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,778,126	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	$2,090,079	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,175,587	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,925,876	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,953,713	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,332,938	NetCommunityBenefitExpnsAmt
Total Expense	0.01610	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$96,258	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$96,258	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,170,667	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,170,667	NetCommunityBenefitExpnsAmt
Total Expense	0.01410	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,266,925	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,266,925	NetCommunityBenefitExpnsAmt
Total Expense	0.01530	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,192,801	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,953,713	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,599,863	NetCommunityBenefitExpnsAmt
Total Expense	0.03140	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,565	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,565	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,565	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,565	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$3,198,424	BadDebtExpenseAmt
Reimbursed By Medicare	$30,279,991	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$36,647,683	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$6,367,692	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 WILKES MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1370 W D STREET	AddressLine1Txt
City	NORTH WILKESBORO	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28659	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.WAKEHEALTH.EDU	WebsiteAddressTxt
State License	H0153	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 WILKES MEDICAL CENTER	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	18	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	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	19	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 (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ATRIUM HEALTH WFB WILKES MEDICAL CENTER	PART V, SECTION B, LINE 5: COMMUNITY INPUT WAS OBTAINED THROUGH THE FOLLOWING PRIMARY SOURCES: (1) A STAKEHOLDER SURVEY DEVELOPED TO SOLICIT INPUT ON CRITICAL ISSUES THAT INFLUENCE THE HEALTH OF CITIZENS AND DECISIONS TO BE MADE BY PROVIDERS AND INSTITUTIONS. THE SURVEY SOUGHT TO INCLUDE A DIVERSITY OF OPINIONS THAT WERE REPRESENTATIVE OF DECISION MAKERS, HEALTH PROVIDERS, AND SOCIAL AND EDUCATION SERVICES TO CITIZENS OF WILKES COUNTY. A TOTAL OF 56 RESPONSES WERE RECEIVED; (2) COMMUNITY HEALTH SURVEYS DISTRIBUTED ONLINE & IN PERSON AT VARIOUS COMMUNITY LOCATIONS TO RESIDENTS OF WILKES COUNTY, NC DURING 2018. SURVEYS COLLECTED INFORMATION RELATED TO DEMOGRAPHICS, PERSONAL HEALTH BEHAVIORS & CONCERNS, AS WELL AS RESIDENT'S PERCEPTIONS OF COMMUNITY HEALTH ISSUES AFFECTING QUALITY OF LIFE. A TOTAL OF 548 RESIDENTS COMPLETED THE SURVEY; (3) COMMUNITY STAKEHOLDER SURVEYS DISTRIBUTED TO VARIOUS HEALTH AND HUMAN SERVICE AGENCIES AND ORGANIZATIONS WITHIN WILKES COUNTY. THESE SURVEYS EXAMINED THE SERVICES PROVIDED BY THE FILING ORGANIZATION, THE POPULATION MOST LIKELY TO UTILIZE THE SERVICES, THE BARRIERS FACED BY RESIDENTS TO OBTAIN SUCH SERVICES, AS WELL AS ADDITIONAL UNMET COMMUNITY HEALTH SERVICE NEEDS. A TOTAL OF 34 PARTICIPANT SURVEY RESULTS WERE ANALYZED; (4) A HEALTH SUMMIT HOSTED IN OCTOBER 2018 WITH 92 STAKEHOLDERS AND COMMUNITY MEMBERS IN ATTENDANCE. PRESENTATIONS WERE MADE REGARDING THE RESULTS COLLECTED FROM SURVEYS AND SECONDARY DATA SOURCES. UPON CONCLUSION OF THE PRESENTATIONS & DISCUSSION, PARTICIPANTS VOTED ON THE HEALTH ISSUES THAT NEED TO BE ADDRESSED BY THE CHNA DURING THE NEXT THREE YEAR PERIOD. ADDITIONALLY, MORE THAN TWENTY SECONDARY DATA SOURCES WERE REVIEWED, INCLUDING: US CENSUS BUREAU, NC OFFICE OF STATE BUDGET AND MANAGEMENT, NC DEPARTMENT OF COMMERCE, NC DIVISION OF MEDICAL ASSISTANCE, NC STATE CENTER FOR HEALTH STATISTICS, NCDPH EPIDEMIOLOGY SECTION, NC DIVISION OF MENTAL HEALTH, DEVELOPMENTAL DISABILITIES AND SUBSTANCE ABUSE SERVICES, NATIONAL CENTER FOR HEALTH STATISTICS AND HEALTHY NORTH CAROLINA 2020. LOCAL HEALTH DATA SOURCES ALSO INCLUDED INFORMATION FROM THE WILKES COUNTY HEALTH DEPARTMENT AND AHWFB-WMC INTERNAL PATIENT STATISTICS.
ATRIUM HEALTH WFB WILKES MEDICAL CENTER	PART V, SECTION B, LINE 6B: DEVELOPMENT OF THE CHNA WAS A COLLABORATIVE EFFORT AMONG LOCAL HEALTH & HUMAN SERVICE INSTITUTIONS, INCLUDING THE FILING ORGANIZATION, THE WILKES COUNTY HEALTH DEPARTMENT (WCHD), AND THE HEALTH FOUNDATION (WILKES COUNTY'S COMMUNITY HEALTH COALITION).
ATRIUM HEALTH WFB WILKES 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 WILKES 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) ACCESS TO CARE, (2) OBESITY AND CHRONIC DISEASE, (3) TOBACCO USE, AND (4) MENTAL HEALTH & SUBSTANCE DEPENDENCY. ATRIUM HEALTH WAKE FOREST BAPTIST WILKES MEDICAL CENTER ("AHWFB-WMC") PRIORITIZED THE FOLLOWING FIVE SIGNIFICANT HEALTH NEEDS BASED ON THE 2018 WILKES COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT AND ATRIUM HEALTH WAKE FOREST BAPTIST ("AHWFB") ENTERPRISE PRIORITIES, AS FOLLOWS: (1) ACCESS TO CARE, (2) OBESITY AND CHRONIC DISEASE MANAGEMENT PREVENTION, (3) TOBACCO USE PREVENTION & CESSATION, (4) MENTAL HEALTH & SUBSTANCE DEPENDENCY, (5) MATERNAL & CHILD HEALTH. AHWFB-WMC PLANS TO PROVIDE COMMUNITY BENEFIT PROGRAMS RESPONSIVE TO THOSE HEALTH NEEDS THROUGH ITS APPROVED CHNA IMPLEMENTATION STRATEGY. THE AHWFB-WMC 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:--INCREASING ACCESS TO CANCER CARE THROUGH 1.) COLLABORATION WITH THE OFFICE FOR RURAL CANCER CARE/OFFICE OF CANCER HEALTH EQUITY TO IMPROVE OUTREACH AND REFERRAL OPPORTUNITIES, AND 2.) ALIGNMENT WITH NORTH CAROLINA BAPTIST HOSPITALS HEMATOLOGY/ONCOLOGY DEPARTMENT'S STRATEGIC PLAN TO PROVIDE HEALTH CARE SERVICES FOR CANCER PATIENTS. --INCREASING THE COMMUNITY'S ACCESS TO PRIMARY CARE PROVIDERS THROUGH 1.) EXTENDING HOURS OF OPERATION OF URGENT CARE CLINICS WITHIN WILKES COUNTY, AND 2.) PARTNERING WITH THE LOCAL BUSINESS COMMUNITY TO PROVIDE WELLNESS PROGRAMMING AND EDUCATION FOR THEIR EMPLOYEES VIA BEST HEALTH FOR BUSINESS, ATRIUM HEALTH WAKE FOREST BAPTIST'S COMPREHENSIVE DIRECT-TO-EMPLOYER HEALTH, WELLNESS AND OCCUPATIONAL MEDICINE SERVICES.--IMPROVING ACCESS TO COMMUNITY-CENTERED SOCIAL AND HEALTH EDUCATION SERVICES AND REGULAR SOURCES OF HEALTH CARE THROUGH 1.) PARTNERING WITH THE HEALTH FOUNDATION AND THE WILKES COUNTY HEALTH DEPARTMENT TO PROVIDE HEALTH EDUCATION EVENTS AND SCREENINGS AT VARIOUS LOCATIONS IN THE COUNTY, AND 2.) ADDRESSING FIREARM EDUCATION AND SAFETY PRACTICES IN CONJUNCTION WITH LOCAL HEALTH SCREENINGS AND COMMUNITY EVENTS.2. OBESITY & CHRONIC DISEASE MANAGEMENT & PREVENTIONAHWFB-WMC 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:--PROVIDING WEIGHT MANAGEMENT EDUCATION AND SUPPORT PROGRAMS THROUGH 1.) PARTNERING WITH BRENNER FIT AND THE WILKES COUNTY HEALTH DEPARTMENT TO PROVIDE NUTRITION EDUCATIONAL PROGRAMS IN LOCAL MIDDLE SCHOOLS, AND 2.) COLLABORATING WITH WILKES COUNTY'S SCHOOLS HEALTH ADVISORY COUNCIL TO PROVIDE INFORMATION RELATED TO HEALTH EDUCATION PROGRAMS.--IMPROVING THE CAPACITY OF COMMUNITY-BASED ORGANIZATIONS AND HEALTH CARE PROVIDERS TO SUPPORT EFFORTS RELATED TO CHRONIC DISEASE PREVENTION AND MANAGEMENT THROUGH 1.) ENGAGING FAITHHEALTH NC (A DIVISION OF NORTH CAROLINA BAPTIST HOSPITAL) COMMUNITY HEALTH WORKERS TO ADDRESS CHRONIC DISEASE MANAGEMENT AND COMMUNITY HEALTH PROGRAMMING, AND 2.) PROVIDING STROKE AND HEART HEALTH INFORMATION AND OUTREACH AT COMMUNITY EVENTS.3. TOBACCO USE PREVENTION & CESSATIONAHWFB-WMC IS FOCUSED ON DECREASING ADMISSIONS AND READMISSIONS RELATED TO TOBACCO USE BY ADDRESSING THE UNDERLYING CAUSE OF COPD AND PROVIDING SERVICES AND PROGRAMS TO INCREASE WELLNESS FOR COPD/PULMONARY PATIENTS. THE HOSPITAL'S CURRENT STRATEGIES INCLUDE: --IMPROVING COPD & CARDIAC CARE ACCESS VIA AHWFB-WMC'S CARDIAC/PULMONARY REHABILITATION PROGRAM--DECREASING SMOKING RATES THROUGH 1.) PARTNERING WITH LOCAL ORGANIZATIONS TO PROVIDE SMOKING CESSATION EDUCATION, INFORMATION AND REFERRALS, 2.) OFFERING 6-WEEK SMOKING CESSATION CLASSES THAT INCLUDE NICOTINE REPLACEMENT THERAPY, 3.) SPONSORSHIP OF LOCAL HEALTH FAIRS AND EVENTS TO PROVIDE EDUCATION AND RESOURCES RELATED TO SMOKING CESSATION. 4. MENTAL HEALTH & SUBSTANCE DEPENDENCYAHWFB-WMC IS COMMITTED TO PROVIDING POSITIVE OUTCOMES OF RECOVERY AND MENTAL HEALTH WELLNESS THROUGHOUT THE COMMUNITY IT SERVES. THE HOSPITAL'S CURRENT STRATEGIES INCLUDE:--INTEGRATING BEHAVIORAL HEALTH WITH MEDICAL SERVICES PROVIDED AT AHWFB-WMC THROUGH 1.) INCORPORATING ADDICTION MEDICINE INTO THE INPATIENT CARE PRACTICE AT AHWFB-WMC, AND 2.) GROWING AWARENESS OF CARENET'S (AN AFFILIATE OF AHWFB) COUNSELING AND SUPPORT SERVICES AVAILABLE AT AHWFB-WMC BY PROMOTION AMONG COMMUNITY-BASED ORGANIZATIONS AND AT COMMUNITY EVENTS. --PARTNERING WITH PROJECT LAZARUS TO DEVELOP A CERTIFIED PEER SUPPORT SPECIALIST NETWORK TO PROVIDE AID TO WILKES COUNTY RESIDENTS. PEER SUPPORT SPECIALISTS ARE PERSONS LIVING IN RECOVERY WITH MENTAL ILLNESS AND /OR SUBSTANCE USE DISORDERS WHO PROVIDE GUIDANCE AND ASSISTANCE TO PATIENTS EXPERIENCING SIMILAR MENTAL HEALTH CHALLENGES. --ENGAGING WITH THE HEALTH FOUNDATION AND THE WILKES COUNTY HEALTH DEPARTMENT TO FURTHER EFFORTS TO ADDRESS SUBSTANCE DEPENDENCY THROUGH 1.) PARTICIPATING IN COMMUNITY OPIOID PREVENTION EXCHANGE EFFORTS TO ADDRESS OPIOID ABUSE THROUGH HARM REDUCTION, STIGMA REDUCTION AND ACCESS TO SERVICES, 2.) EXPANDING THE SYRINGE EXCHANGE PROGRAM AT CARE CONNECTIONS PHARMACY, THE ONSITE PHARMACY AT AHWFB-WMC, AND 3.) PROVIDING PRESCRIPTION MEDICATION DISPOSAL BINS AT AHWFB-WMC. 5. MATERNAL & CHILD HEALTHAHWFB-WMC 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.) PARTNERING WITH THE WILKES COUNTY HEALTH DEPARTMENT TO PROVIDE EDUCATION PROGRAMS AND INITIATIVES TO REDUCE SMOKING RATES AMONG PREGNANT WOMEN, 2.) INVESTIGATING GRANT FUNDING TO PROVIDE INFANT CAR SEATS TO FAMILIES IN NEED, 3.) INCREASING THE NUMBER OF NURSE LACTATION SPECIALISTS EMPLOYED BY AHWFB-WMC, 4.) PURSUING SPONSORSHIP OF CHILD CAR SAFETY EVENT, AND 5.) ENCOURAGING MOTHERS AND MOTHERS-TO-BE TO ATTEND AHWFB SPONSORED FREE MATERNAL AND CHILD HEALTH PROGRAMS.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 WILKES 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 WILKES MEDICAL CENTER	PART V, SECTION B, LINE 16J: WILKES MEDICAL CENTER:PART V, LINE 16A, FAP WEBSITE: WWW.WAKEHEALTH.EDU/PATIENT-AND-FAMILY-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCEWILKES MEDICAL CENTER:PART V, LINE 16B, FAP APPLICATION WEBSITE: WWW.WAKEHEALTH.EDU/PATIENT-AND-FAMILY-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCEWILKES MEDICAL CENTER:PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: WWW.WAKEHEALTH.EDU/PATIENT-AND-FAMILY-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCEWILKES 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.NTS.

Field	Value	IRS element (for citing)
Facility	4	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - CARDIOLOGY - WILKES
1370 WEST D STREET	NORTH WILKESBORO	NC	28659	CARDIAC REHAB
2 - HEMATOLOGY ONCOLOGY - WILKES
1370 WEST D STREET	NORTH WILKESBORO	NC	28659	HEMATOLOGY & ONCOLOGY
3 - SLEEP LAB - WILKES
1370 WEST D STREET	NORTH WILKESBORO	NC	28659	SLEEP MEDICINE
4 - WOUND CARE CENTER - WILKES
1900 WEST PARK DRIVE SUITE C	NORTH WILKESBORO	NC	28659	WOUND CARE

Supplemental Information Detail SupplementalInformationDetail (13 entries)

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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 $14,448,162 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 DATA AVAILABLE 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 PERIOD THAT IS SUBSEQUENTLY COMPLETED WITHIN A REASONABLE TIME AFTER THEHOSPITAL 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 COLLABORATION 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 FIVE PHASES: (1) A SECONDARY DATA RESEARCH PHASE, (2) A PRIMARY DATA RESEARCH PHASE, (3) A DATA SYNTHESIS AND ANALYSIS PHASE, (4) A PERIOD OF DATA REPORTING AND DISCUSSION AMONG PROJECT PARTNERS AND THE PUBLIC, AND (5) A DECISION MAKING PHASE AMONG PARTNERS TO DETERMINE COMMUNITY HEALTH PRIORITIES. THE DATA REVIEW AND PRIORITY SETTING PHASE BEGAN WITH THE COMPILATION OF EXISTING HEALTH-RELATED DATA. STAKEHOLDERS REVIEWED MULTIPLE DATA SETS INCLUDING NORTH CAROLINA INDICATORS FOR COMMUNITY HEALTH ASSESSMENT, INTERNAL DISEASE REGISTRIES, AND COUNTY HEALTH RANKINGS. AHWFB-WMC PARTNERED WITH WILKES COUNTY HEALTH DEPARTMENT, HEALTH FOUNDATION, INC., PUBLIC HEALTH CONSULTANTS AND LOCAL STAKEHOLDERS AS A HEALTH COALITION TO DETERMINE HEALTH CARE NEEDS IN THE COMMUNITY. ONCE THE COMMUNITY HEALTH NEEDS WERE IDENTIFIED, A CHNA ADVISORY TEAM ADOPTED A CONDENSED VERSION OF THE "HANLON METHOD", AS REFERENCED IN THE COMMUNITY HEALTH ASSESSMENT GUIDE BOOK, TO CREATE A PRIORITIZATION BALLOT FOR THE CHNA PRIORITIZATION MEETING. THE ADVISORY TEAM HOSTED THIS MEETING WITH 92 STAKEHOLDERS AND COMMUNITY MEMBERS PRESENT. THE PRIORITIZATION PROCESS IDENTIFIED FIVE TOP PRIORITY HEALTH CHALLENGES FOR THE COMMUNITY.FROM THIS COUNTY-WIDE CHNA PROCESS, AND ALIGNING WITH THE ATRIUM HEALTH WAKE FOREST BAPTIST SIGNIFICANT HEALTH PRIORITIES, THE HOSPITAL PRIORITIZED FIVE SIGNIFICANT HEALTH NEEDS AND DEVELOPED AN IMPLEMENTATION STRATEGY TO IDENTIFY THE MEANS THROUGH WHICH IT PLANS TO ADDRESS THOSE NEEDS THAT ARE CONSISTENT WITH THE CHARITABLE MISSION AS PART OF ITS COMMUNITY BENEFIT PROGRAMS FOR FISCAL YEARS 2020-2022. 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:	THE HOSPITAL'S PRIMARY SERVICE AREA IS WILKES COUNTY AND ALSO INCLUDES THE SURROUNDING COUNTIES OF ALLEGHANY, ALEXANDER, ASHE, CALDWELL, IREDELL, SURRY, AND WATAUGA.WILKES COUNTY IS LOCATED ON THE EASTERN SLOPE OF THE BLUE RIDGE MOUNTAINS, A PART OF THE APPALACHIAN MOUNTAIN CHAIN IN THE PIEDMONT AND MOUNTAIN REGIONS OF NORTH CAROLINA. THE COUNTY COVERS 757 SQUARE MILES WITH A POPULATION OF APPROXIMATELY 69,000. THE NEAREST METROPOLITAN AREAS IS WINSTON-SALEM, LOCATED 40 MILES TO THE EAST. THERE ARE TWENTY ONE TOWNSHIPS IN WILKES COUNTY. REDDIES RIVER AND WILKESBORO ARE THE LARGEST TOWNSHIPS WITH 11,075 AND 10,542 RESIDENTS RESPECTIVELY. A COMPARISON OF WILKES COUNTY AND NORTH CAROLINA REVEALS MEDIAN HOUSEHOLD INCOME AND MEDIAN HOUSE VALUE ARE BELOW STATE AVERAGES. THE MEDIAN HOUSEHOLD INCOME FOR WILKES COUNTY RESIDENTS IS APPROXIMATELY $34,846, WHICH IS WELL BELOW THE STATE AVERAGE OF $48,256. THE WILKES COUNTY UNEMPLOYMENT RATE AS REPORTED IN JUNE 2017 WAS 4.3%, WHICH IS SLIGHTLY LOWER THAN THE STATE RATE OF 4.6%.THE FOLLOWING DEMOGRAPHIC FIGURES REFLECT THE POPULATION FOR WILKES COUNTY: - 51% FEMALE, 49% MALE - BELOW 20 YEARS: 23.3% - AGE 65 AND OLDER: 19.8%THE POPULATION OF WILKES COUNTY IS LESS DIVERSE THAN THE POPULATION OF NORTH CAROLINA AS A WHOLE. THE COUNTY POPULATION BREAKDOWN BY RACE BASED ON 2016 US CENSUS BUREAU ESTIMATES IS: - WHITE NON-HISPANIC (91.2%) - BLACK (4.3%) - HISPANIC (5.9%) - OTHER ASIAN (0.6%) - AMERICAN INDIAN (0.2%) - TWO OR MORE (1.5%)THE RATE OF POPULATION GROWTH IN WILKES COUNTY HAS BEEN SLOWLY INCREASING EVERY DECADE SINCE 1980, AND THIS PATTERNS IS PROJECTED TO CONTINUE THROUGH AT LEAST 2037. WILKES COUNTY RATE OF GROWTH IS LOWER THAN THE RATE FOR THE STATE AS A WHOLE.
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 INNEED, AND ACCEPTS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL OPERATES AN EMERGENCY ROOM THAT IS OPEN 24/7. 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, PUBLIC SCREENINGS, CAREGIVER ACADEMY, AND OTHER HEALTH EDUCATION EVENTS HELD LOCALLY THROUGHOUT THE YEAR. AHWFB PROVIDES FOUR CERTIFIED ATHLETIC TRAINERS THAT WORK FULL-TIME IN THE WILKES COUNTY PUBLIC HIGH SCHOOLS.
PART VI, LINE 6:	THE FILING ORGANIZATION IS A MAJOR COMPONENT 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

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	WILKES MEDICAL CENTER FOUNDATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1370 WEST D STREET	AddressLine1Txt
City	NORTH WILKESBORO	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28659	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	822345613	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$1,166,667	CashGrantAmt
Purpose Of Grant	COMMUNITY SUPPORT	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	Yes (1)	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 (16 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
CATHLEEN WHEATLEY DNP
BOARD MEMBER (TO 2/11/21)	$0	$573,327	$0	$65,466	$0	$467,099	$0	$159,519	$0	$9,339	$0	$1,274,750	$0	$459,891
BRADLEY A CLARK
BOARD MEMBER, TREASURER	$0	$704,049	$0	$270,236	$0	$14,340	$0	$213,399	$0	$28,405	$0	$1,230,429	$0	$13,340
J MCLAIN WALLACE JR
SECRETARY	$0	$493,466	$0	$165,720	$0	$118,937	$0	$145,748	$0	$16,331	$0	$940,202	$0	$0
MICHAEL T WAID
CHAIR (FROM 12/4/20)	$0	$418,579	$0	$56,313	$0	$90,927	$0	$121,927	$0	$27,702	$0	$715,448	$0	$43,365
PETER M BELFORD MD
BOARD MEMBER (FROM 12/4/20)	$0	$576,692	$0	$0	$0	$180	$0	$21,519	$0	$12,557	$0	$610,948	$0	$0
JON THOMPSON MD
BOARD MEMBER	$0	$482,388	$0	$7,347	$0	$414	$0	$21,519	$0	$26,888	$0	$538,556	$0	$0
CHAD BROWN
BOARD MEMBER, PRESIDENT	$0	$281,674	$0	$24,508	$0	$41,336	$0	$66,376	$0	$31,693	$0	$445,587	$0	$28,524
JENA FOLGER
BOARD MEMBER	$0	$263,981	$0	$29,003	$0	$4,139	$0	$52,095	$0	$21,259	$0	$370,477	$0	$0
DEBORAH HARDING
BOARD MEMBER (FROM 2/11/21)	$0	$251,095	$0	$18,193	$0	$1,288	$0	$28,750	$0	$23,382	$0	$322,708	$0	$0
JASON YOCKEY
CHIEF CRNA	$0	$219,224	$0	$500	$0	$251	$0	$16,316	$0	$23,512	$0	$259,803	$0	$0
JOSHUA TROYER
CLINICAL INSTRUCTOR CRNA	$0	$202,679	$0	$500	$0	$143	$0	$14,785	$0	$22,622	$0	$240,729	$0	$0
JOHN RIEDEL JR
CLINICAL INSTRUCTOR CRNA	$0	$198,626	$0	$500	$0	$356	$0	$14,462	$0	$23,438	$0	$237,382	$0	$0
WILLARD SHEW
CLINICAL INSTRUCTOR CRNA	$0	$198,606	$0	$500	$0	$627	$0	$14,017	$0	$7,592	$0	$221,342	$0	$0
BARRY WALD
ASST TREASURER	$0	$186,505	$0	$6,219	$0	$180	$0	$13,780	$0	$15,150	$0	$221,834	$0	$0
KRISTIE BROWN BRYAN
CLINICAL INSTRUCTOR CRNA	$0	$184,136	$0	$10,500	$0	$95	$0	$12,775	$0	$13,606	$0	$221,112	$0	$0
J GENE FAILE
FORMER OFF (1/31/19)	$0	$0	$0	$0	$0	$28,006	$0	$0	$0	$0	$0	$28,006	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINES 4A-B	FormAndLineReferenceDesc
Explanation	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 SEVERANCE OR SERP PAYMENTS IN THEIR CALENDAR YEAR 2020 COMPENSATION: SEVERANCE PAYMENTS: J. GENE FAILE $28,006 SERP PAYMENTS: CHAD BROWN $28,524 BRADLEY A. CLARK $13,340 MICHAEL T. WAID $69,272 J. MCLAIN WALLACE, JR. $95,467 CATHLEEN WHEATLEY, DNP $461,059	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 1	WRMC HOSPITAL OPERATING CORPORATION (DBA ATRIUM HEALTH WAKE FOREST BAPTIST WILKES MEDICAL CENTER, AT TIMES ALSO REFERRED TO AS THE "HOSPITAL OR "AHWFB-WMC 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 3	THE FILING ORGANIZATION, UNDER A LONG TERM LEASE BETWEEN THE TOWN OF WILKESBORO AND WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER OF ALL ASSETS AND PROPERTY USED IN OPERATIONS, IS OPERATED AND CONTROLLED BY WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER AS AN AFFILIATE OF ATRIUM HEALTH WAKE FOREST BAPTIST. ALL MEMBERS OF KEY MANAGEMENT ARE EMPLOYEES OF WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER.
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	THE SOLE MEMBER OF THE ORGANIZATION SHALL HAVE THE RIGHT AT ALL TIMES, WITH RESPECT TO THE ORGANIZATION, TO ELECT AND REMOVE THE TRUSTEES, AS PROVIDED IN THE ORGANIZATION'S BYLAWS.
FORM 990, PART VI, SECTION A, LINE 7B	THE SOLE MEMBER OF THE ORGANIZATION SHALL HAVE THE RIGHT AT ALL TIMES, WITH RESPECT TO THE ORGANIZATION, TO APPROVE THE SALE, LEASE, OR TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE ORGANIZATION, TO APPROVE ANY AMENDMENTS TO THE ORGANIZATIONS ARTICLES OR BYLAWS, AND TO APPROVE THE MISSION, VISION, AND VALUE STATEMENTS OF THE ORGANIZATION. THE SOLE MEMBER MAY ACT WITHOUT A MEETING.
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.
FORM 990, PART XI, LINE 9:	ACTUARIAL GAIN/LOSS - CHANGE IN PENSION LIABILITY 4,288,198.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER
MEDICAL CENTER BLVD	WINSTON SALEM	NC	27157	510190238	HEALTHCARE	NC	501(C)(3)	LINE 12A, I	0
LEXINGTON MEDICAL CENTER
250 HOSPITAL DRIVE	LEXINGTON	NC	27292	560543238	HEALTHCARE	NC	501(C)(3)	LINE 3	0	WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER
LEXINGTON MEDICAL CENTER FOUNDATION
250 HOSPITAL DRIVE	LEXINGTON	NC	27292	581876553	SUPPORTING ORGANIZATION	NC	501(C)(3)	LINE 12A, I	0	LEXINGTON MEDICAL CENTER
NORTHWEST COMMUNITY CARE NETWORK
2000 WEST FIRST STREET	WINSTON SALEM	NC	27104	020774853	HEALTHCARE	NC	501(C)(3)	LINE 7	0	WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER
FAITHHEALTH INNOVATIONS INC
MEDICAL CENTER BLVD	WINSTON SALEM	NC	27157	237426944	HEALTHCARE	NC	501(C)(3)	LINE 10	0	WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER
DAVIE MEDICAL CENTER
329 NC HWY 801N	BERMUDA RUN	NC	27006	562276994	HEALTHCARE	NC	501(C)(3)	LINE 3	0	WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER
HIGH POINT REGIONAL HEALTH
PO BOX HP-5	HIGH POINT	NC	27261	560532309	HEALTHCARE	NC	501(C)(3)	LINE 3	0	WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER
HIGH POINT REGIONAL HEALTH FOUNDATION
601 N ELM STREET	HIGH POINT	NC	27261	272854711	SUPPORTING ORGANIZATION	NC	501(C)(3)	LINE 12A, I	0	HIGH POINT REGIONAL HEALTH

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 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	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	HEALTHCARE	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	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	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	0	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	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd