HIGH POINT REGIONAL HEALTH: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- HIGH POINT REGIONAL HEALTH (EIN 56-0532309)
- Tax period
- 2021-07-01 to 2021-12-31
- Filed
- 2022-11-14
- IRS object ID
- 202243189349301809
- Schema version
- 2021v4.2
- 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 | 2022-11-14T07:27:46-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560532309 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HIGH POINT REGIONAL HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HIGH | BusinessNameControlTxt |
| Phone | 3367164445 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX HP-5 | AddressLine1Txt |
| City | HIGH POINT | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27261 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BRADLEY A CLARK | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 3367164445 | PhoneNum |
| Signature | 2022-11-07 | 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 | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | 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 HIGH POINT MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JAMES HOEKSTRA MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX HP-5 | AddressLine1Txt |
| City | HIGH POINT | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27261 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $211,648,387 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.WAKEHEALTH.EDU | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1933 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE HEALTH, ELEVATE HOPE, AND ADVANCE HEALING FOR ALL. | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 213 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $9,893,862 | PYContributionsGrantsAmt |
| CY Contributions Grants | $138,272 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $414,851,567 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $208,942,389 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$605,909 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,275,279 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,686,112 | PYOtherRevenueAmt |
| CY Other Revenue | $1,292,447 | CYOtherRevenueAmt |
| PY Total Revenue | $426,825,632 | PYTotalRevenueAmt |
| CY Total Revenue | $211,648,387 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $390,620 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $136,383 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $146,975,807 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $83,283,274 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $230,928,337 | PYOtherExpensesAmt |
| CY Other Expenses | $120,560,361 | CYOtherExpensesAmt |
| PY Total Expenses | $378,294,764 | PYTotalExpensesAmt |
| CY Total Expenses | $203,980,018 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $48,530,868 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $7,668,369 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $371,973,864 | TotalAssetsBOYAmt |
| Total Assets EOY | $385,737,494 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $55,718,487 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $62,519,501 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $316,255,377 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $323,217,993 | 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 | $189,621,249 | ExpenseAmt |
| Grant | $136,383 | GrantAmt |
| Revenue | $208,942,389 | RevenueAmt |
| Desc | THE ORGANIZATION OPERATES A 351 ACUTE CARE BED HOSPITAL PROVIDING MEDICAL, EMERGENCY, AND OUTPATIENT CARE SERVICES TO THE RESIDENTS OF GUILFORD COUNTY, NORTH CAROLINA AND SURROUNDING AREAS. THE ORGANIZATION SERVES AS A SATELLITE PROVIDER OF ATRIUM HEALTH WAKE FOREST BAPTIST SPECIALTY SERVICES AT ITS HIGH POINT CAMPUS, INCLUDING HEART/VASCULAR HEALTH, GENETIC COUNSELING, WOMEN'S HEALTH, JOINT REPLACEMENT, PULMONARY & CRITICAL CARE, HEMATOLOGY/ONCOLOGY, GYNECOLOGIC ONCOLOGY, RADIATION ONCOLOGY, IMAGING, REHABILIATION, BEHAVIORAL HEALTH, PEDIATRICS, AMONG MANY OTHERS. THE ORGANIZATION IS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS AND HAS BEEN COMMITTED TO SERVING THE HEALTHCARE NEEDS OF GUILFORD COUNTY SINCE 1904. DURING SHORT YEAR 2021, THE HOSPITAL FACILITY HAD APPROXIMATELY 32,500 PATIENT DAYS, WITH 7,000 INPATIENT ADMISSIONS, AND 23,300 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, OFFERING 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 GUILFORD COUNTY THAT SERVE MARGINALIZED POPULATIONS AND GIVE VOICE TO HEALTH DISPARITIES IN THE COMMUNITIES SURROUNDING AHWFB-HPMC.- ATHLETIC TRAINERS - CERTIFIED ATHLETIC TRAINERS ("ATC"), PROVIDED BY AHWFB, WORK FULL-TIME IN THE PUBLIC HIGH SCHOOLS IN GUILFORD COUNTY THAT HAVE ATHLETIC PROGRAMS. THE ATC'S WORK WITH STUDENT ATHLETES AND THEIR COACHES TO HELP KEEP THE ATHLETES SAFE AND HEALTHY AND TO TREAT AND HELP REHABILITATE SPORTS-RELATED INJURIES. - MILLIS HEALTH EDUCATION CENTER, A HEALTH EDUCATION FACILITY SPECIFICALLY DESIGNED TO GIVE CHILDREN A HANDS-ON APPROACH TO HEALTH EDUCATION. THE CENTER IS DEVOTED TO HELPING SCHOOL STUDENTS, CHURCH GROUPS, LOCAL ORGANIZATIONS AND INDIVIDUALS LEARN ABOUT THE HUMAN BODY AND HOW TO KEEP THEMSELVES HEALTHY. PROGRAMS PROVIDED BY THE CENTER'S STAFF COVER TOPICS SUCH AS NUTRITION AND PHYSICAL ACTIVITY, GENERAL HEALTH, PUBERTY, BULLYING PREVENTION, SUBSTANCE USE/ABUSE PREVENTION, AND DENTAL HEALTH ALL IN A HANDS-ON, AGE APPROPRIATE WAY.- HAYWORTH CANCER CENTER, A PART OF ATRIUM HEALTH WAKE FOREST BAPTIST COMPREHENSIVE CARE CENTER, OFFERS RESOURCES DESIGNED TO HELP CANCER SURVIVORS COPE WITH PHYSICAL, EMOTIONAL, SOCIAL, SPIRITUAL, AND FINANCIAL CHALLENGES. A VARIETY OF SUPPORT GROUPS WELCOME CURRENT PATIENTS AND THOSE WHO HAE COMPLETED TREATMENT AND ARE IN RECOVERY. THE HOSPITAL SPONSORS AN ANNUAL CANCER SURVIVORS' DAY CELEBRATION FEATURING EDUCATIONAL OFFERINGS AND PRESENTATIONS BY CANCER SURVIVORS EACH SUMMER. THE CENTER OFFERS A VARIETY OF ONCOLOGY FITNESS AND WELLNESS PROGRAMS TO PROVIDE TOOLS FOR CANCER PATIENTS TO NAVIGATE THEIR JOURNEY. CANCERFITT, A 12-WEEK SUPERVISE PROGRAM, PROVIDES GROUP EXERCISE OPPORTUNITIES DESIGNED SPECIFICALLY FOR CANCER PATIENTS AND PROVIDES OPPORTUNITY FOR REGULAR PHYSICAL ACTIVITY FOR A PRODUCTIVE HEALTHY SURVIVORSHIP. WOMEN'S WELLNESS SESSIONS, OPEN TO ANY CANCER PATIENT OR SURVIVOR, OFFERS COOKING AND EXERCISE DEMONSTRATIONS ALONG WITH FITNESS AND NUTRITION EDUCATION. THE AFTER BREAST CANCER EXERCISE/EDUCATION CLASS TEACHES BREAST CANCER SURVIVORS HOW TO DECREASE RISK OF INFECTION, LYMPHEDEMA, POOR POSTURE, TIGHT SCARS, AND POOR SHOULDER FUNCTION. IN ADDITIONAL TO THESE WELLNESS CLASSES, THE THOMAS RESOURCE CENTER OFFERS PATIENTS AND FAMILIES THE LATEST CANCER EDUCATION RESOURCES TO HELP THEM BETTER UNDERSTAND THEIR TREATMENT AND OPTIONS. HAYWORTH CANCER CENTER ALSO OFFERS A REGULAR KNITTING GROUP AS A MEANS OF HEALING FOR ANYONE TOUCHED BY CANCER, INCLUDING ACTIVE PATIENTS, FAMILY MEMBERS, VOLUNTEERS, AND SURVIVORS. - ESTHER R. CULP WOMEN'S CENTER, A HEALTHCARE & EDUCATION RESOURCE CENTER FOR WOMEN OF ALL AGES, OFFERING REGULAR EXPECTANT PARENTING CLASSES AND EXPECTANT PARENT AND FAMILY TOURS. ADDITIONALLY, MOMMY AND ME CLASSES ARE PRESENTED BY NURSES, LACTATION CONSULTANTS, AND GUEST SPEAKERS. THESE CLASSES ARE OFFERED FREE OF CHARGE FOR MOMS AND THEIR BABIES 0-8 MONTHS OLD. HOPE-FILLED HEARTS, FACILITATED BY A LICENSED PROFESSIONAL COUNSELOR, IS A MONTHLY SUPPORT GROUP THAT AIMS TO OFFER HOPE AND SUPPORT TO WOMEN WHO ARE HAVING DIFFICULTY WITH ADJUSTMENTS RELATED TO PREGNANCY AND THE POSTPARTUM PERIOD.- DIRECT ASSISTANCE IS PROVIDED TO PATIENTS PRESENTING HEALTH CHALLENGES THAT ARE PARTIALLY ALLEVIATED WITH FINANCIAL ASSISTANCE AND/OR REHABILTATION SERVICES TO PROMOTE TOTAL HEALTH AND WELLNESS FOR COMMUNITY MEMBERS. ONCOLOGY TRANSPORTATION SERVICES PROVIDES TRANSPORTATION TO AND FROM TREATMENT FOR PEOPLE WHO HAVE CANCER BUT DO NOT HAVE A MEANS OF TRANSPORTATION TO/FROM APPOINTMENTS. THE LOVELINE PATIENT SUPPORT PROGRAM PROVIDES FINANCIAL ASSISTANCE TO CANCER PATIENTS MEETING SHORT-TERM CRITICAL NEEDS (INCLUDING MEDICATION, MEDICAL SUPPLIES, HOUSING, NUTRITION, AND MORE) THAT ARE NOT COVERED BY OTHER RESOURCES. THE PINK RIBBON PROGRAM PROVIDES GIFT BAGS OF MEDICAL SUPPLIES AND CARE PRODUCTS TO BREAST CANCER PATIENTS.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. AHWB-HPMC IS THE FIRST GENERAL AND BARIATRIC SURGERY EPICENTER FOR DA VINCI ROBOTIC SURGERY IN NORTH CAROLINA. THIS TECHNOLOGY HAS BEEN IN USE AT THE HOSPITAL SINCE 2006, BUT HAS BEEN UPGRADED TO XI ROBOTIC PLATFORM SYSTEMS, THE NEWEST ROBOTIC SYSTEM AVAILABLE. AS AN EPICENTER, THE HOSPITAL SERVES AS A HOST FOR VISITING SURGEONS WHO ARE INTERESTED IN PERFORMING ROBOTIC SURGERIES AT THEIR OWN HOSPITALS, PROVIDING TRAINER AND MENTOR CAPABILITIES AS AN EXCEPTIONAL PERFORMANCE PROVIDER.COVID-19 RESPONSE: DURING THE LATTER PORTION OF FY20 AND THROUGHOUT 2021, COVID-19 BECAME A GLOBAL PANDEMIC AND CONTINUED TO AFFECT OUR COMMUNITY. AHWFB IMPLEMENTED NUMEROUS MEASURES TO HELP MEET THE HEALTH NEEDS OF THE COMMUNITY IN RESPONSE TO THIS GLOBAL PANDEMIC. DURING THE SHORT PERIOD ENDED DECEMBER 31, 2021, AHWFB CONTINUED TO SUPPORT THE COMMUNITY IN THE FOLLOWING WAYS:- 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 UPDATED VISITOR GUIDELINES AT ALL LOCATIONS TO FOR PATIENTS AND HOSPITAL EMPLOYEES IN RESPONSE TO CHANGING COVID-19 VARIANT LANDSCAPE.- AHWFB TOOK COVID-19 VACCINATION EFFORTS TO NEW HEIGHTS WITH DRONE DELIVERIES THE FIRST COVID-19 VACCINE DRONE DELIVERY PROGRAM IN THE COUNTRY. THIS NEW INITIATIVE, OPERATED BY UPS, EXPANDED THE EXISTING DRONE PROGRAM THAT WAS LAUNCHED IN JULY 2020.- AHWFB USED ITS MOBILE HEALTH CLINIC TO PROVIDE CONVENIENT COVID-19 VACCINATIONS TO OLDER ADULTS WITH BARRIERS OF ACCESS TO CARE.- AHWFB BRENNER CHILDREN'S BEGAN ADMINISTERING THE PFIZER COVID-19 VACCINE TO CHILDREN AGES 5 TO 11 IN NOVEMBER. BRENNER CHILDREN'S BEGAN HOLDING COVID-19 VACCINATION EVENTS TO CHILDREN AGES 12 TO 15 EARLIER IN THE YEAR.AHWFB-HPMC RECEIVED AWARDS, ACCREDITATIONS, AND ACKNOWLEDGEMENTS DURING 2021, AS FOLLOWS:- PRIMARY PCI ACCREDITATION FROM THE AMERICAN COLLEGE OF CARDIOLOGY (ACC) FOR DEMONSTRATED EXPERTISE AND COMMITMENT TO TREATING PATIENTS WITH CHEST PAIN BASED ON RIGOROUS ONSITE EVALUATION OF STAFF'S ABILITY TO EVALUATE, DIAGNOSE, AND TREAT PATIENTS WHO MAY BE EXPERIENCING A HEART ATTACK.-NAMED TO NEWSWEEK'S 2021 LIST OF AMERICA'S BEST PHYSICAL REHABILITATION CENTERS FOR PROVIDING HIGH-QUALITY REHABILITATION. | Desc |
| Total Program Service Expenses | $189,621,249 | 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 | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | 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 | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 69 | 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 | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | 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 | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| 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 (29 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Key EmployeeKeyEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| BRADLEY A CLARK | |||||||||
| TREASURER | 0.50 | 39.50 | Yes (X) | $973,825 | $808,843 | $104,554 | |||
| JAMES HOEKSTRA MD | |||||||||
| DIRECTOR, PRESIDENT | 38.00 | 2.00 | Yes (X) | $1,008,813 | $0 | $175,197 | Yes (X) | ||
| J MCLAIN WALLACE JR | |||||||||
| SECRETARY | 2.60 | 37.40 | Yes (X) | $0 | $954,719 | $175,785 | |||
| MICHAEL T WAID | |||||||||
| DIRECTOR | 0.70 | 39.30 | $0 | $777,766 | $150,089 | Yes (X) | |||
| STEVEN ROHRBECK MD | |||||||||
| DIRECTOR | 2.00 | 38.00 | $0 | $651,445 | $39,296 | Yes (X) | |||
| VIJAYA GANDLA MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $0 | $617,878 | $48,212 | Yes (X) | |||
| LAWRENCE WILLIAMS MD | |||||||||
| CMO | 40.00 | 0.00 | $0 | $476,386 | $42,410 | Yes (X) | |||
| DEBORAH HARDING DNP | |||||||||
| DIRECTOR | 2.00 | 38.00 | $0 | $407,365 | $103,290 | Yes (X) | |||
| PATRICIA TRIPLETT MD | |||||||||
| DIRECTOR | 2.00 | 38.00 | $0 | $373,121 | $45,229 | Yes (X) | |||
| ROBERT POTH MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $0 | $333,250 | $44,586 | Yes (X) | |||
| KEVIN SMITH | |||||||||
| VP, COO HPRMC | 40.00 | 0.00 | $0 | $317,666 | $48,643 | Yes (X) | |||
| PANKAJ KUMAR MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $0 | $324,027 | $39,472 | Yes (X) | |||
| CURTIS WHIDDON MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $0 | $238,188 | $40,988 | Yes (X) | |||
| DANNY SQUIRES | |||||||||
| FINANCE DIRECTOR | 19.00 | 21.00 | $0 | $228,447 | $34,066 | Yes (X) | |||
| KEVIN HIGH MD | |||||||||
| DIRECTOR | 1.00 | 39.00 | $0 | $0 | $0 | Yes (X) | |||
| DON WEBB | |||||||||
| CHAIR | 3.00 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| ROYSTER TUCKER III | |||||||||
| VICE CHAIR | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| REVEREND FRANK THOMAS | |||||||||
| DIRECTOR | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| MATTHEW EDWARDS MD | |||||||||
| DIRECTOR | 2.00 | 38.00 | $0 | $0 | $0 | Yes (X) | |||
| LEAH PRICE | |||||||||
| DIRECTOR (TO 12/31/21) | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| KEVIN SPEIGHT MD | |||||||||
| DIRECTOR | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| KEN SMITH | |||||||||
| DIRECTOR | 2.00 | 3.00 | $0 | $0 | $0 | Yes (X) | |||
| JERRY CAMP | |||||||||
| DIRECTOR | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| JEFF HORNEY | |||||||||
| DIRECTOR (TO 12/31/21) | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| GLEN SPIVAK | |||||||||
| DIRECTOR (TO 9/30/21) | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| DAVID FISHER MD | |||||||||
| DIRECTOR | 2.00 | 38.00 | $0 | $0 | $0 | Yes (X) | |||
| DAVID CONGDON | |||||||||
| DIRECTOR (TO 12/31/21) | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| BRADEN COVINGTON | |||||||||
| DIRECTOR | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| BRACK BRIGMAN | |||||||||
| DIRECTOR | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,982,638 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $6,509,101 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,091,817 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (1) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CROSS COUNTRY STAFFING | |||||
| PO BOX 404674 | ATLANTA | GA | 30384 | STAFFING SERVICES | $4,113,860 |
| ARAMARK SERVICES INC | |||||
| 11800 STATESVILLE ROAD | HUNTERSVILLE | NC | 28078 | FOOD SERVICES, FACILITIES, UNIFORMS | $2,206,628 |
| LANDMARK BUILDERS OF THE TRIAD INC | |||||
| 3520 TRIAD COURT | WINSTONSALEM | NC | 27107 | CONSTRUCTION SERVICES | $1,921,988 |
| CAROLINA ANESTHESIOLOGY PA | |||||
| PO BOX 2324 | HIGH POINT | NC | 27261 | HEALTHCARE SERVICES | $1,906,620 |
| AMN HEALTHCARE ALLIED INC | |||||
| 2735 COLLECTION CENTER DR | CHICAGO | IL | 60693 | CONTRACT LABOR | $1,735,665 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 27 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $11,846 | RelatedOrganizationsAmt |
| Government Grants | $126,426 | GovernmentGrantsAmt |
| Total Contributions | $138,272 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 622110 | $208,643,857 | $208,643,857 |
| DIETARY REVENUE | 722513 | $298,532 | $298,532 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $208,942,389 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $849,357 | TotalRevenueColumnAmt |
| Exclusion | $849,357 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,211,850 | 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 | $1,211,850 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,211,850 | TotalRevenueColumnAmt |
| Exclusion | $1,211,850 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $425,922 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $425,922 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $425,922 | TotalRevenueColumnAmt |
| Exclusion | $425,922 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $80,597 | TotalRevenueColumnAmt |
| Exclusion | $80,597 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $80,597 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $211,648,387 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $208,942,389 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,567,726 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $102,252 | TotalAmt |
| Program Services | $102,252 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,131 | TotalAmt |
| Program Services | $34,131 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,152,466 | TotalAmt |
| Program Services | $576,233 | ProgramServicesAmt |
| Management And General | $576,233 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,224,100 | TotalAmt |
| Program Services | $60,345,143 | ProgramServicesAmt |
| Management And General | $6,878,957 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,026,447 | TotalAmt |
| Program Services | $2,716,754 | ProgramServicesAmt |
| Management And General | $309,693 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,246,269 | TotalAmt |
| Program Services | $7,402,553 | ProgramServicesAmt |
| Management And General | $843,716 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,633,992 | TotalAmt |
| Program Services | $3,262,130 | ProgramServicesAmt |
| Management And General | $371,862 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,144 | TotalAmt |
| Program Services | $10,144 | ProgramServicesAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $143,786 | TotalAmt |
| Program Services | $96,570 | ProgramServicesAmt |
| Management And General | $47,216 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,711,023 | TotalAmt |
| Program Services | $25,602,341 | ProgramServicesAmt |
| Management And General | $3,108,682 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $526,066 | TotalAmt |
| Program Services | $442,704 | ProgramServicesAmt |
| Management And General | $83,362 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $171,112 | TotalAmt |
| Program Services | $143,998 | ProgramServicesAmt |
| Management And General | $27,114 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,521,768 | TotalAmt |
| Program Services | $7,171,396 | ProgramServicesAmt |
| Management And General | $1,350,372 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,895 | TotalAmt |
| Program Services | $19,267 | ProgramServicesAmt |
| Management And General | $3,628 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $926 | TotalAmt |
| Program Services | $780 | ProgramServicesAmt |
| Management And General | $146 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,205 | TotalAmt |
| Program Services | $6,182 | ProgramServicesAmt |
| Management And General | $3,023 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,730,683 | TotalAmt |
| Program Services | $6,275,260 | ProgramServicesAmt |
| Management And General | $455,423 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $504,402 | TotalAmt |
| Program Services | $424,474 | ProgramServicesAmt |
| Management And General | $79,928 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $41,866,281 | $41,866,281 | |
| BAD DEBT | $29,407,676 | $29,407,676 | |
| PROVIDER ASSESSMENT | $2,549,739 | $2,549,739 | |
| OTHER SUPPLIES | $1,384,655 | $1,165,241 | $219,414 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $203,980,018 | TotalAmt |
| Program Services | $189,621,249 | ProgramServicesAmt |
| Management And General | $14,358,769 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,751,205 | BOYAmt |
| EOY | $46,509,159 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $125,737,559 | BOYAmt |
| EOY | $42,723,782 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,500 | BOYAmt |
| EOY | $10,000 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,325,850 | BOYAmt |
| EOY | $6,768,118 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,013,376 | BOYAmt |
| EOY | $406,352 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $216,595,417 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $39,738,934 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $177,920,546 | BOYAmt |
| EOY | $176,856,483 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,195,036 | BOYAmt |
| EOY | $14,342,748 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,001 | BOYAmt |
| EOY | $100,001 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $628,355 | BOYAmt |
| EOY | $9,138,265 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,284,436 | BOYAmt |
| EOY | $88,882,586 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $371,973,864 | BOYAmt |
| EOY | $385,737,494 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,693,457 | BOYAmt |
| EOY | $29,445,237 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,225,060 | BOYAmt |
| EOY | $21,517,021 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $383,213 | BOYAmt |
| EOY | $347,017 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,416,757 | BOYAmt |
| EOY | $11,210,226 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,718,487 | BOYAmt |
| EOY | $62,519,501 | 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 | $313,123,079 | BOYAmt |
| EOY | $320,124,654 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,132,298 | BOYAmt |
| EOY | $3,093,339 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $316,255,377 | BOYAmt |
| EOY | $323,217,993 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $371,973,864 | BOYAmt |
| EOY | $385,737,494 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $7,668,369 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$340,723 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$365,030 | 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 | $10,144 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $10,144 | 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
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $15,353,177 | BeginningYearBalanceAmt |
| Contributions | $83,855 | ContributionsAmt |
| End Year Balance | $15,437,032 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $15,036,110 | BeginningYearBalanceAmt |
| Contributions | $317,067 | ContributionsAmt |
| End Year Balance | $15,353,177 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $15,028,361 | BeginningYearBalanceAmt |
| Contributions | $7,749 | ContributionsAmt |
| End Year Balance | $15,036,110 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $15,015,406 | BeginningYearBalanceAmt |
| Contributions | $12,955 | ContributionsAmt |
| End Year Balance | $15,028,361 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $14,994,445 | BeginningYearBalanceAmt |
| Contributions | $20,961 | ContributionsAmt |
| End Year Balance | $15,015,406 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.93370 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.06630 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,980,000 | OtherCostOrOtherBasisAmt |
| Book Value | $13,980,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $142,024,385 | OtherCostOrOtherBasisAmt |
| Depreciation | $19,546,754 | DepreciationAmt |
| Book Value | $122,477,631 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,046,014 | OtherCostOrOtherBasisAmt |
| Depreciation | $296,727 | DepreciationAmt |
| Book Value | $749,287 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $40,263,616 | OtherCostOrOtherBasisAmt |
| Depreciation | $19,895,453 | DepreciationAmt |
| Book Value | $20,368,163 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $19,281,402 | OtherCostOrOtherBasisAmt |
| Book Value | $19,281,402 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $176,856,483 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER LONG TERM ASSETS | $220,000 |
| OPERATING LEASES (LESS ACCUM DEPREC) | $7,961,823 |
| INTERCOMPANY RECEIVABLE | $80,700,763 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $88,882,586 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| OTHER RESERVES | $2,130,654 |
| OPERATING LEASE LIABILITY | $9,079,572 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $11,210,226 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE HOSPITAL'S ENDOWMENT FUNDS ARE USED TO PROVIDE SUPPORT FOR EDUCATION, SCHOLARSHIPS, INDIGENT CARE, AND OTHER DEPARTMENTAL FUNDING. |
| PART X, LINE 2: | THE ORGANIZATION HAS EVALUATED UNCERTAIN TAX POSITIONS FOR ITS SHORT PERIOD ENDED DECEMBER 31, 2021 AND ITS FISCAL YEAR ENDED JUNE 30, 2021, INCLUDING A QUANTIFICATION OF TAX RISK IN AREAS SUCH AS UNRELATED BUSINESS TAXABLE INCOME AND THE TAXATION OF ITS FOR-PROFIT SUBSIDIARIES. THIS EVALUATION DID NOT HAVE A MATERIAL EFFECT ON THE ORGANIZATION'S FINANCIAL STATEMENTS FOR THE SHORT PERIOD ENDED DECEMBER 31, 2021 AND ITS FISCAL YEAR ENDED JUNE 30, 2021. |
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 | $2,018,784 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,018,784 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01160 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $21,001,321 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,672,814 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,328,507 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02480 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,880,224 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,446,050 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,434,174 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01390 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $28,900,329 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,118,864 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,781,465 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05030 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $253,258 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $253,258 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,954 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,954 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $102,252 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $102,252 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $362,464 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $362,464 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00210 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $29,262,793 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,118,864 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,143,929 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05240 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $429 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $429 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $429 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $429 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $6,607,074 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $58,124,730 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $85,229,592 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$27,104,862 | 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 |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 HIGH POINT SURGERY CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | AMBULATORY SURGERY | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.90000 | OrgProfitOrOwnershipPct |
| Ofcr Etc Profit Or Ownership | 0.00000 | OfcrEtcProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.10000 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 HIGH POINT MEDICAL CENTER | 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 | 27262 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.WAKEHEALTH.EDU | WebsiteAddressTxt |
| State License | H0052 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | DISPROPORTIONATE SHARE HOSPITAL | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ATRIUM HEALTH WFB HIGH POINT MEDICAL CEN | 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 | Yes (1) | 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 (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ATRIUM HEALTH WFB HIGH POINT MEDICAL CENTER | PART V, SECTION B, LINE 5: ASSESSING COMMUNITY HEALTH NEEDS INVOLVED COLLECTION AND ASSESSMENT OF A WIDE RANGE OF DATA ON MEASURES OF HEALTH AND HEALTH-RELATED FACTORS. PRIMARY DATA WAS COLLECTED THROUGH A SERIES OF ONLINE KEY INFORMANT SURVEYS AND WORKSHOPS ATTENDED BY PERSONS KNOWN AS SUBJECT MATTER EXPERTS OR OTHERWISE KNOWLEDGEABLE REGARDING THE FOCUS AREAS. THE SURVEY INCLUDED QUESTIONS ABOUT KEY CHALLENGES TO MAKING IMPROVEMENTS IN THE PRIORITY FOCUS AREAS, AS WELL AS DISPARITIES AND POPULATION SUBGROUPS IMPACTED, GAPS AND NEEDS IN EXISTING SERVICES AND PROGRAMS, EXISTING PROGRAMS AND POLICIES THAT ARE PERCEIVED TO BE EFFECTIVE AND IDEAS FOR NEEDED PROGRAMS AND POLICIES. AT A SERIES OF HALF-DAY WORKSHOPS, PARTICIPANTS ENGAGED IN FACILITATED DISCUSSION TO CONSIDER BOTH QUANTITATIVE DATA AND DATA FROM THE KEY INFORMANT SURVEYS TO IDENTIFY KEY ISSUES AND RECOMMENDATIONS FOR IMPROVEMENTS.ADDITIONALLY, SECONDARY DATA SOURCES WERE REVIEWED, INCLUDING COUNTY HEALTH DATA BOOK PUBLISHED BY THE NORTH CAROLINA STATE CENTER FOR HEALTH STATISTICS AND AMERICAN COMMUNITY SURVEY ADMINISTERED BY THE US BUREAU OF THE CENSUS. |
| ATRIUM HEALTH WFB HIGH POINT MEDICAL CENTER | PART V, SECTION B, LINE 6A: THE HOSPITAL'S MOST RECENT CHNA WAS CONDUCTED IN COLLABORATION WITH CONE HOSPITAL. |
| ATRIUM HEALTH WFB HIGH POINT MEDICAL CENTER | PART V, SECTION B, LINE 6B: THE HOSPITAL'S MOST RECENT CHNA WAS CONDUCTED IN COLLABORATION WITH THE FOLLOWING OTHER COMMUNITY ORGANIZATIONS:- GUILFORD COUNTY DHHS, PUBLIC HEALTH DIVISION- ALCOHOL & DRUG SERVICES OF GUILFORD, INC.- FELLOWSHIP HALL- GUILFORD COMMUNITY CARE NETWORK- UNIVERSITY OF NORTH CAROLINA AT GREENSBORO DEPT OF PUBLIC HEALTH & DEPT OF NUTRITION- UNITED WAY OF GREATER HIGH POINT- UNITED WAY OF GREATER GREENSBORO |
| ATRIUM HEALTH WFB HIGH POINT MEDICAL CENTER | PART V, SECTION B, LINE 7D: N/APART V, SECTION B, LINE 7A:WWW.WAKEHEALTH.EDU/ABOUT-US/SERVING-OUR-COMMUNITIES/NEEDS-ASSESSMENTS-AND-IMPLEMENTATION-REPORTSPART V, SECTION B, LINE 10A:WWW.WAKEHEALTH.EDU/ABOUT-US/SERVING-OUR-COMMUNITIES/NEEDS-ASSESSMENTS-AND-IMPLEMENTATION-REPORTS |
| ATRIUM HEALTH WFB HIGH POINT MEDICAL CENTER | PART V, SECTION B, LINE 11: THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") IDENTIFIED THE FOLLOWING SIGNIFICANT HEALTH CHALLENGES WITHIN THE COMMUNITY: (1) CLINICAL CARE & HEALTH INSURANCE, (2) CHRONIC & COMMUNICABLE DISEASES, (3) BEHAVIORAL HEALTH, (4) MATERNAL & CHILD HEALTH, (5) UNINTENTIONAL INJURY, (6) VIOLENT CRIME & INTENTIONAL INJURY, (7) SOCIAL DETERMINANTS OF HEALTH, (8) HEALTHY EATING & ACTIVE LIVING, (9) MORTALITY & MORBIDITY, (10) ORAL HEALTH, (11) TEEN PREGNANCY, AND (12) AIR QUALITY.ATRIUM HEALTH WAKE FOREST BAPTIST HIGH POINT MEDICAL CENTER ("AHWFB-HPMC") PRIORITIZED THE FOLLOWING FOUR SIGNIFICANT COMMUNITY HEALTH NEEDS FOR ITS CURRENT CHNA AS FOLLOWS: (1) HEALTHY EATING & ACTIVE LIVING; (2) SOCIAL DETERMINANTS OF HEALTH, (3) BEHAVIORAL HEALTH; AND (4) MATERNAL & CHILD HEALTH. AHWFB-HPMC PROVIDES COMMUNITY BENEFIT PROGRAMS RESPONSIVE TO THESE HEALTH NEEDS THROUGH ITS APPROVED CHNA IMPLEMENTATION STRATEGY. THE AHWFB-HPMC 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. HEALTHY EATING & ACTIVE LIVING-AHWFB-HPMC SCREENS PATIENTS FOR FOOD SECURITY UPON ADMISSION UTILIZING A SCREENING TOOL BUILT INTO THE ELECTRONIC MEDICAL RECORD, FOCUSING SPECIFICALLY ON PATIENTS LIVING IN VULNERABLE COMMUNITIES. -AHWFB-HPMC COLLABORATES WITH INTERNAL RESOURCES INCLUDING CLINICAL NUTRITION, SOCIAL WORK, AND FAITHHEALTH TO PROVIDE RESOURCES TO PATIENTS INCLUDING INFORMATION ABOUT COMMUNITY RESOURCES AND NUTRITION EDUCATION.-AHWFB-HPMC COLLABORATES WITH VARIOUS AGENCIES TO DETERMINE ADDITIONAL RESOURCES AND TO ASSESS NEEDS THROUGHOUT GREATER HIGH POINT.2. SOCIAL DETERMINANTS OF HEALTH-AHWFB-HPMC CONNECTS WITH COMMUNITY RESOURCES INCLUDING THE UNITED WAY JOBS PROGRAM TO FOSTER EDUCATION AND CONNECT APPLICANTS WITH JOB OPPORTUNITIES.-AHWFB-HPMC PARTICIPATES IN THE GUILFORD APPRENTICE PROGRAM (GAP) IN CONNECTION WITH GUILFORD TECHNICAL COMMUNITY COLLEGE TO PROVIDE STUDENTS WITH A PATH TO OBTAIN HIGHER EDUCATION.-AHWFB-HPMC UTILIZES FAITHHEALTH, A DIVISION OF ATRIUM HEALTH WAKE FOREST BAPTIST, TO EDUCATE THE COMMUNITY ON THE SERVICES THEY PROVIDE, FOCUSING ON VULNERABLE ZIP CODES, WITH THE GOAL OF INCREASING THE UTILIZATION OF THE FAITHHEALTH PROGRAM IN THE COMMUNITY. FAITHHEALTH ALSO CONNECTS HEART FAILURE PATIENTS AT HIGH RISK FOR READMISSION TO PROVIDED NEEDED RESOURCES.3. BEHAVIORAL HEALTH-AHWFB-HPMC COLLABORATES WITH COMMUNITY PARTNERS TO PROVIDE LOCAL RESOURCES TO SUPPORT BEHAVIORAL HEALTH NEEDS OF THE COMMUNITY, INCLUDING A WEEKLY SUPPORT PROGRAM PROVIDED BY RHA BEHAVIORAL HEALTH FOR ADMITTED PATIENTS.-AHWFB-HPMC COLLABORATES WITH RHA BEHAVIORAL HEALTH TO CONNECT PATIENTS WITH A PEER SUPPORT PROGRAM TO IMPROVE OUTCOMES ONCE A PATIENT IS DISCHARGED, INCLUDING TRANSPORTATION ASSISTANCE TO APPOINTMENTS/MEETINGS TO SUPPORT EFFICIENT DISCHARGE PLANNING AND PREVENT READMISSION.-AHWFB-HPMC WILL CONTINUE TO SUPPORT RHA BEHAVIORAL HEALTH IN THEIR PLANS TO OPEN A SUBSTANCE ABUSE INTENSIVE OUTPATIENT TREATMENT CENTER IN HIGH POINT.4. MATERNAL & CHILD HEALTH-AHWFB-HPMC IS EXPLORING COLLABORATION WITH FOUNDATION FOR A HEALTHY HIGH POINT AND THE JUST TEEN'S PROGRAM BY IDENTIFYING A CLINIC PARTNER TO CONNECT TEENS WITH HEALTH EDUCATION.-AHWFB-HPMC PROVIDES MOMMY & ME AND PRENATAL CLASSES ON-SITE, AND PROVIDES INFORMATION ABOUT THESE PROGRAMS THROUGHOUT ITS PHYSICIAN OFFICES.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 HIGH POINT 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 HIGH POINT MEDICAL CENTER | PART V, SECTION B, LINE 16J: ATRIUM HEALTH WAKE FOREST BAPTIST HIGH POINT MEDICAL CENTERPART V, LINE 16A, FAP WEBSITE: WWW.WAKEHEALTH.EDU/PATIENT-AND-FAMILY-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCEATRIUM HEALTH WAKE FOREST BAPTIST HIGH POINT MEDICAL CENTERPART V, LINE 16B, FAP APPLICATION WEBSITE: WWW.WAKEHEALTH.EDU/PATIENT-AND-FAMILY-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCEATRIUM HEALTH WAKE FOREST BAPTIST HIGH POINT MEDICAL CENTERPART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: WWW.WAKEHEALTH.EDU/PATIENT-AND-FAMILY-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCEATRIUM HEALTH WAKE FOREST BAPTIST HIGH POINT MEDICAL CENTERPART V, SECTION B, LINE 16J: IN ADDITION TO THE METHODS PREVIOUSLY DESCRIBED, THE HOSPITAL INFORMS PATIENTS ABOUT ITS FAP DURING INTAKE AND DISCHARGE BY PROVIDING A PLAIN LANGUAGE SUMMARY OF THE FAP. THE HOSPITAL ALSO PLACES A CONSPICUOUS WRITTEN NOTICE OF THE FAP ON ITS PATIENT BILLING STATEMENTS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 7 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - BREAST CARE SERVICES - HIGH POINT | ||||
| 601 N ELM STREET | HIGH POINT | NC | 27262 | BREAST CARE |
| 2 - GENETIC COUNSELING - HIGH POINT | ||||
| 601 N ELM STREET | HIGH POINT | NC | 27262 | GENETIC COUNSELING |
| 3 - GYNECOLOGIC ONCOLOGY - HIGH POINT | ||||
| 601 N ELM STREET | HIGH POINT | NC | 27262 | GYNECOLOGIC ONCOLOGY |
| 4 - HEMATOLOGY AND ONCOLOGY - HIGH POINT | ||||
| 601 N ELM STREET | HIGH POINT | NC | 27262 | HEMATOLOGY/ONCOLOGY |
| 5 - RADIATION ONCOLOGY - HIGH POINT | ||||
| 601 N ELM STREET | HIGH POINT | NC | 27262 | RADIATION ONCOLOGY |
| 6 - PULMONARY & CRITICAL CARE - HIGH POINT | ||||
| 601 N ELM STREET | HIGH POINT | NC | 27262 | CRITICAL CARE |
| 7 - WOUND CARE CENTER - HIGH POINT | ||||
| 601 N ELM STREET | HIGH POINT | NC | 27262 | WOUND CARE |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | THE ORGANIZATION UTILIZES COMMERCIALLY AVAILABLE FINANCIAL PROFILING AND CREDIT SCORING TECHNOLOGIES TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE DISCOUNTS UNDER ITS FAP POLICY. ADDITIONAL ELIGIBILITY CRITERIA INCLUDES THE FOLLOWING:-PATIENT MUST BE UNINSURED OR HAVE NO OTHER THIRD PARTY FUNDING SOURCE OR GUARANTOR.-SERVICES FOR WHICH DISCOUNTS APPLY MUST BE EMERGENT AND MEDICALLY NECESSARY CARE.-PATIENT MUST BE A VALID RESIDENT WITHIN A ZIP CODE BOUNDED BY OR INTERSECTING ONE OF THE COUNTIES DEFINED AS THE ATRIUM HEALTH WAKE FOREST BAPTIST 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 REVENUEIN ADDITION TO FEE FOR SERVICE REVENUE, THE HOSPITAL RECEIVES ENHANCED CLAIMS PAYMENTS FUNDED BY A PROVIDER ASSESSMENT ADMINISTERED BY THE NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES. UNDER THE PROGRAM, A TAX IS ASSESSED AGAINST TOTAL HOSPITAL EXPENSES AND THE FEDERAL GOVERNMENT MATCHES THE ASSESSMENT AT A RATE OF NEARLY 2 TO 1. THE PROCEEDS ARE THEN USED TO FUND ENHANCED FEE FOR SERVICES RATES ALONG WITH A DISPROPORTIONATE SHARE PAYMENT BACK TO HOSPITALS. |
| PART I, LN 7 COL(F): | THE ORGANIZATION'S PATIENT BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENTS WAS $29,407,655 FOR THE SHORT YEAR ENDED DECEMBER 31, 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 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) A DEEP DIVE APPROACH INTO AREAS OF CONCERN. 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) HEALTHY EATING & ACTIVE LIVING, (2) SOCIAL DETERMINANTS OF HEALTH, (3) BEHAVIORAL HEALTH, AND (4) MATERNAL & CHILD HEALTH.FROM THE CHNA 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: | ATRIUM HEALTH WAKE FOREST BAPTIST HIGH POINT MEDICAL CENTER ("AHWFB-HPMC"), LOCATED IN SOUTHERN GUILFORD COUNTY, PROVIDES CARE TO A FOUR COUNTY SERVICE AREA IN NORTH CAROLINA. AHWFB-HPMC HAS A PRIMARY SERVICE AREA COMPRISED OF THE GEOGRAPHIC AREA THAT INCLUDES HIGH POINT, ARCHDALE, TRINITY, THOMASVILLE AND JAMESTOWN, NORTH CAROLINA. THE SECONDARY SERVICE AREA INCLUDES COLFAX, DENTON, SOUTHWESTERN GREENSBORO, KERNERSVILLE, LEXINGTON, ASHEBORO, RANDLEMAN, SOPHIA AND SOUTHEASTERN WINSTON-SALEM, NORTH CAROLINA. THE HOSPITAL SERVES A WIDE SERVICE AREA; HOWEVER, IT IS RESOURCE PROHIBITIVE TO PARTICIPATE AND FUND HEALTH ASSESSMENTS IN EACH COMMUNITY/COUNTY FROM WHICH ITS PATIENT POPULATION ORIGINATES. THEREFORE, THE PRIMARY COMMUNITY BENEFIT SERVICE AREA (CBSA) IS GUILFORD COUNTY, NORTH CAROLINA.BELOW IS A DEMOGRAPHIC SNAPSHOT OF GUILFORD COUNTY BASED ON THE UNITED STATES CENSUS BUREAU'S 2018 ESTIMATED CENSUS DATA AND COUNTY HEALTH RANKINGS AND ROADMAPS 2018: POPULATION AND GEOGRAPHYTOTAL POPULATION: 533,670POPULATION CHANGE SINCE 2010 +9.3%5TH LARGEST COUNTY IN NORTH CAROLINALAND AREA: 645.70 SQUARE MILESPOPULATION DENSITY: 826.5 PERSONS PER SQUARE MILE POPULATION BY RACE/ETHNICITYNON-HISPANIC WHITE 49.8%NON-HISPANIC AFRICAN-AMERICAN 35.1%HISPANIC OR LATINO 8.2%ASIAN 5.4%ALL OTHER 1.5% POPULATION BY AGE DISTRIBUTIONUNDER 5 YEARS OLD 5.9%UNDER 18 YEARS OLD 22.3%>= 65 YEARS OLD 15.2% POPULATION BY SEXMALE 47.3%FEMALE 52.7% POPULATION BY EDUCATIONAL ATTAINMENT PERCENT OF PERSONS = 25 YEARS OLD WHO HAVE:< HIGH SCHOOL DIPLOMA OR GED 10.9%A HIGH SCHOOL DIPLOMA OR HIGHER 89.1%A BACHELOR'S DEGREE OR HIGHER 35.3%PERSONS IN POVERTY 15.4%UNEMPLOYMENT RATE (2018) 4.5% COUNTY SCHOOLSK-12 ENROLLMENT APPROXIMATELY 72,000GRADUATION RATE 89.1% INCOMEMEDIAN FAMILY HOUSEHOLD (2018) $51,072MEDIAN NON-FAMILY HOUSEHOLD (2018) $29,708 |
| 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, AND ITS GOVERNING BOARD IS PREDOMINANTLY COMPRISED OF LEADERS WITHIN THE GUILFORD COUNTY COMMUNITY. FUNDS ARE REINVESTED IN HEALTH IMPROVEMENT INITIATIVES TO BETTER SERVE COMMUNITY HEALTH NEEDS, INCLUDING IMPROVEMENT OF FACILITIESAND 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, MILLIS EDUCATION CENTER, HAYWORTH CANCER CENTER AND FOOD PANTY, LOVELINE, MATERNAL EDUCATION PROGRAMS AND SUPPORT GROUPS, PUBLIC SCREENINGS, AND OTHER HEALTH EDUCATION EVENTS HELD LOCALLY THROUGHOUT THE YEAR. AHWFB ALSO PROVIDES CERTIFIED ATHLETIC TRAINERS THAT WORK FULL-TIME IN GUILFORD COUNTY SCHOOLS. |
| 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 IS REPORTED 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 ACTIVITIESARE 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 | THE COMMUNITY CLINIC OF HIGH POINT INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 5607 | AddressLine1Txt |
| City | HIGH POINT | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27262 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 561795022 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $100,000 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Purpose Of Grant | SUPPORT FOR HEALTHCARE OF INDIGENT POPULATION | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|
| HEARTSTRIDES | 10 | $4,050 | |||
| DIRECT PATIENT ASSISTANCE (HOUSING, UTILITIES, FOOD, DRUGS, MEDICAL SUPPLIES) | 354 | $19,649 | |||
| DIRECT PATIENT ASSISTANCE (TRANSPORTATION, PATIENT REHAB) | 669 | $10,432 | FMV | TRANSPORTATION & SKILLED NURSING FOR INDIGENT PATIENTS |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL FOLLOWS THE MEDICAL CENTER'S CORPORATE POLICY USED IN REVIEWING THE ELIGIBILITY AND SELECTION OF GRANTEES RECEIVING CERTAIN EXEMPT PURPOSE FUNDS. THE HOSPITAL MAINTAINS DOCUMENTATION OF THE ELIGIBILITY AND SELECTION CRITERIA AND RECORDS OF THE AMOUNTS DISBURSED. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BRADLEY A CLARK | ||||||||||||||
| TREASURER | $701,213 | $0 | $270,235 | $135,118 | $2,377 | $673,725 | $68,820 | $5,405 | $30,329 | $0 | $1,072,974 | $814,248 | $0 | $673,725 |
| JAMES HOEKSTRA MD | ||||||||||||||
| DIRECTOR, PRESIDENT | $586,623 | $0 | $272,250 | $0 | $149,940 | $0 | $152,476 | $0 | $22,721 | $0 | $1,184,010 | $0 | $124,500 | $0 |
| J MCLAIN WALLACE JR | ||||||||||||||
| SECRETARY | $0 | $560,212 | $0 | $248,580 | $0 | $145,927 | $0 | $159,474 | $0 | $16,311 | $0 | $1,130,504 | $0 | $43,371 |
| MICHAEL T WAID | ||||||||||||||
| DIRECTOR | $0 | $447,959 | $0 | $209,340 | $0 | $120,467 | $0 | $122,170 | $0 | $27,919 | $0 | $927,855 | $0 | $75,105 |
| STEVEN ROHRBECK MD | ||||||||||||||
| DIRECTOR | $0 | $602,015 | $0 | $28,742 | $0 | $20,688 | $0 | $21,720 | $0 | $17,576 | $0 | $690,741 | $0 | $0 |
| VIJAYA GANDLA MD | ||||||||||||||
| PHYSICIAN | $0 | $597,964 | $0 | $0 | $0 | $19,914 | $0 | $21,716 | $0 | $26,496 | $0 | $666,090 | $0 | $0 |
| LAWRENCE WILLIAMS MD | ||||||||||||||
| CMO | $0 | $431,786 | $0 | $18,623 | $0 | $25,977 | $0 | $21,071 | $0 | $21,339 | $0 | $518,796 | $0 | $0 |
| DEBORAH HARDING DNP | ||||||||||||||
| DIRECTOR | $0 | $353,644 | $0 | $27,297 | $0 | $26,424 | $0 | $78,962 | $0 | $24,328 | $0 | $510,655 | $0 | $0 |
| PATRICIA TRIPLETT MD | ||||||||||||||
| DIRECTOR | $0 | $337,245 | $0 | $22,400 | $0 | $13,476 | $0 | $21,365 | $0 | $23,864 | $0 | $418,350 | $0 | $0 |
| ROBERT POTH MD | ||||||||||||||
| PHYSICIAN | $0 | $313,336 | $0 | $0 | $0 | $19,914 | $0 | $21,148 | $0 | $23,438 | $0 | $377,836 | $0 | $0 |
| KEVIN SMITH | ||||||||||||||
| VP, COO HPRMC | $0 | $289,365 | $0 | $27,987 | $0 | $314 | $0 | $20,696 | $0 | $27,947 | $0 | $366,309 | $0 | $0 |
| PANKAJ KUMAR MD | ||||||||||||||
| PHYSICIAN | $0 | $309,445 | $0 | $5,118 | $0 | $9,464 | $0 | $21,480 | $0 | $17,992 | $0 | $363,499 | $0 | $0 |
| CURTIS WHIDDON MD | ||||||||||||||
| PHYSICIAN | $0 | $236,000 | $0 | $1,000 | $0 | $1,188 | $0 | $17,250 | $0 | $23,738 | $0 | $279,176 | $0 | $0 |
| DANNY SQUIRES | ||||||||||||||
| FINANCE DIRECTOR | $0 | $212,995 | $0 | $10,664 | $0 | $4,788 | $0 | $14,984 | $0 | $19,082 | $0 | $262,513 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4B | CERTAIN EXECUTIVES 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, OR WAKE FOREST UNIVERSITY HEALTH SCIENCES, AN UNRELATED ORGANIZATION. THE DETERMINATION OF THE AMOUNT OF THE NON QUALIFIED RETIREMENT PLANS FOLLOWED THE EMPLOYERS' APPLICABLE COMPENSATION PROCEDURES AS OUTLINED IN PART VI, SECTION B, LINE 15 OF THEIR FORMS 990. THE FOLLOWING DIRECTORS AND/OR OFFICERS RECEIVED SERP PAYMENTS IN THEIR CALENDAR YEAR 2021 COMPENSATION: BRADLEY A. CLARK $673,725 KEVIN HIGH, MD $161,346 J. MCLAIN WALLACE, JR. $113,465 MICHAEL WAID $84,039 JAMES HOEKSTRA, MD $124,500 |
| FORM 990, PART VII, LINE 5 - COMPENSATION FROM UNRELATED ORGANIZATION | THE FOLLOWING DIRECTOR/OFFICER WAS COMPENSATED BY WAKE FOREST UNIVERSITY HEALTH SCIENCES, AN UNRELATED ORGANIZATION, FOR SERVICES RENDERED AS AN OFFICER OF THE FILING ORGANIZATION. SEE PART VII AND SCHEDULE J, PART II FOR HIS COMPENSATION. JAMES HOEKSTRA, MD THE FOLLOWING OFFICER WAS PARTIALLY COMPENSATED BY CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY ("CMHA" DBA ATRIUM HEALTH), AN UNRELATED ORGANIZATION, FOR SERVICES RENDERED AS AN OFFICER OF THE FILING ORGANIZATION. SEE PART VII AND SCHEDULE J, PART II FOR HIS COMPENSATION. BRADLEY A. CLARK |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, LINE 1 | HIGH POINT REGIONAL HEALTH (DBA ATRIUM HEALTH WAKE FOREST BAPTIST HIGH POINT MEDICAL CENTER, AT TIMES ALSO REFERRED TO AS THE "HOSPITAL OR "AHWFB-HPMC OR "THE FILING ORGANIZATION") IS AN INTEGRAL PART OF ATRIUM HEALTH WAKE FOREST BAPTIST (AT TIMES ALSO REFERRED TO AS "AHWFB"), A PREEMINENT LEARNING HEALTH SYSTEM AND ACADEMIC MEDICAL CENTER OF THE HIGHEST QUALITY WITH BALANCED EXCELLENCE IN PATIENT CARE, RESEARCH AND EDUCATION THAT PROMOTES BETTER HEALTH FOR ALL THROUGH COLLABORATION, EXCELLENCE AND INNOVATION. AHWFB'S MISSION IS TO IMPROVE HEALTH, ELEVATE HOPE AND ADVANCE HEALING FOR ALL. AHWFB'S VISION IS TO BE THE FIRST AND BEST CHOICE FOR CARE. |
| FORM 990, PART IV, LINE 20B | THE HOSPITAL HAS ATTACHED A COPY OF ITS CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR ITS CALENDAR YEAR ENDED DECEMBER 31, 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, INC. CONTROLLED ENTITIES, AND ATRIUM HEALTH WAKE FOREST BAPTIST ENTITIES (UNDER COMMON MANAGEMENT), INCLUDING: -WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER AND AFFILIATES (INCLUDING THE FILING ORGANIZATION), -NORTH CAROLINA BAPTIST HOSPITAL AND AFFILIATES, -WAKE FOREST UNIVERSITY HEALTH SCIENCES AND AFFILIATES, -CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY (DBA ATRIUM HEALTH CHARLOTTE) AND AFFILIATES, -FLOYD HEALTHCARE MANAGEMENT, INC. (DBA ATRIUM HEALTH FLOYD) AND AFFILIATES, AND -NAVICENT HEALTH INC. (DBA ATRIUM HEALTH NAVICENT) AND AFFILIATES. ALL SIGNIFICANT INTERCOMPANY TRANSACTIONS HAVE BEEN ELIMINATED IN CONSOLIDATION. |
| FORM 990, PART VI, SECTION A, LINE 4 | THE FILING ORGANIZATION'S BYLAWS WERE AMENDED EFFECTIVE JULY 1, 2021 TO CHANGE THE FILING ORGANIZATION'S FISCAL YEAR FROM ONE ENDING JUNE 30 TO ONE ENDING DECEMBER 31. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF THE ORGANIZATION IS WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER, A NORTH CAROLINA NONPROFIT CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | AS PROVIDED IN THE ORGANIZATION'S BYLAWS, THE SOLE MEMBER OF THE ORGANIZATION SHALL HAVE THE RIGHT AT ALL TIMES, WITH RESPECT TO THE ORGANIZATION AND ITS AFFILIATE, TO NOMINATE, APPOINT, AND REMOVE INDIVIDUAL MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS, AS WELL AS CORPORATE OFFICERS. |
| FORM 990, PART VI, SECTION A, LINE 7B | AS PROVIDED IN THE ORGANIZATION'S BYLAWS, THE SOLE MEMBER OF THE ORGANIZATION SHALL HAVE THE RIGHT AT ALL TIMES, WITH RESPECT TO THE ORGANIZATION, TO APPROVE OF THE SALE, LEASE, OR TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE ORGANIZATION, TO APPROVE ANY AMENDMENTS TO THE ORGANIZATION'S 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 RECEIVE 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 ON AN ANNUAL BASIS (OR AS THEY ARISE). 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, OR KEY EMPLOYEES. ALL COMPENSATION PAID TO OFFICERS, DIRECTORS, AND KEY EMPLOYEES WAS PAID BY A RELATED ORGANIZATION, WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER ("WFUBMC"), OR UNRELATED ORGANIZATIONS WAKE FOREST UNIVERSITY HEALTH SCIENCES ("WFUHS") OR CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY ("CMHA", DBA ATRIUM HEALTH). THE SENIOR EXECUTIVE COMPENSATION COMMITTEE OF THE WFUBMC BOARD IS RESPONSIBLE FOR REVIEWING AND APPROVING CERTAIN OFFICERS' COMPENSATION. THE COMMITTEE UTILIZES INDEPENDENT COMPENSATION CONSULTANTS, SURVEYS, AND STUDIES TO DETERMINE THE APPROPRIATENESS OF EACH SUCH OFFICER'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 IX, LINE 11G | OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 25,602,341. MANAGEMENT AND GENERAL EXPENSES 3,108,682. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,711,023. |
| FORM 990, PART XI, LINE 9: | AFFILIATE GAINS/( LOSSES) -365,030. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| PREMIER SURGERY CENTER LLC | |||||||||
| 4515 PREMIER DRIVE STE 102 | HIGH POINT | NC | 27265 | 463321793 | HEALTHCARE | NC | $2,466,930 | $2,071,817 | HIGH POINT REGIONAL HEALTH |
| PREMIER IMAGING LLC | |||||||||
| 4515 PREMIER DRIVE STE 101 | HIGH POINT | NC | 27265 | 611614223 | HEALTHCARE | NC | $1,681,532 | $541,056 | HIGH POINT REGIONAL HEALTH |
| HIGH POINT PHYSICAL THERAPY LLC | |||||||||
| 1030 MALL LOOP ROAD | HIGH POINT | NC | 27265 | 811732827 | HEALTHCARE | NC | $157,126 | $137,270 | HIGH POINT REGIONAL HEALTH |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| HIGH POINT REGIONAL HEALTH FOUNDATION INC | ||||||||||
| 601 N ELM STREET | HIGH POINT | NC | 27261 | 272854711 | SUPPORTING ORGANIZATION | NC | 501(C)(3) | LINE 12A, I | HIGH POINT REGIONAL HEALTH | Yes (1) |
| LEXINGTON MEDICAL CENTER FOUNDATION | ||||||||||
| 250 HOSPITAL DRIVE | LEXINGTON | NC | 27292 | 581876553 | SUPPORTING ORGANIZATION | NC | 501(C)(3) | LINE 12A, I | LEXINGTON MEDICAL CENTER | 0 |
| LEXINGTON MEDICAL CENTER | ||||||||||
| 250 HOSPITAL DRIVE | LEXINGTON | NC | 27292 | 560543238 | HEALTHCARE | NC | 501(C)(3) | LINE 3 | WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER | 0 |
| WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER | ||||||||||
| MEDICAL CENTER BOULEVARD | WINSTONSALEM | NC | 27157 | 510190238 | HEALTHCARE | NC | 501(C)(3) | LINE 12A, I | 0 | |
| NORTHWEST COMMUNITY CARE NETWORK | ||||||||||
| 2000 WEST 1ST STREET | WINSTONSALEM | NC | 27104 | 020774853 | HEALTHCARE | NC | 501(C)(3) | LINE 7 | WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER | 0 |
| FAITHHEALTH INNOVATIONS INC | ||||||||||
| MEDICAL CENTER BOULEVARD | WINSTONSALEM | NC | 27157 | 237426944 | HEALTHCARE | NC | 501(C)(3) | LINE 10 | WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER | 0 |
| DAVIE MEDICAL CENTER | ||||||||||
| 329 NC HWY 801N | BERMUDA RUN | NC | 27006 | 562276994 | HEALTHCARE | NC | 501(C)(3) | LINE 3 | WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER | 0 |
| WRMC HOSPITAL OPERATING CORPORATION | ||||||||||
| PO BOX 609 | NORTH WILKESBORO | NC | 28659 | 830343789 | HEALTHCARE | NC | 501(C)(3) | LINE 3 | WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER | 0 |
| WILKES REGIONAL MEDICAL CENTER FOUNDATION | ||||||||||
| 1370 WEST D STREET | NORTH WILKESBORO | NC | 28659 | 822345613 | SUPPORTING ORGANIZATION | NC | 501(C)(3) | LINE 12A, I | WRMC HOSPITAL OPERATING CORPORATION | 0 |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HIGH POINT SURGERY CENTER LLC | ||||||||||||||
| 600 NORTH LINDSAY STREET | HIGH POINT | NC | 27260 | 561867005 | HEALTHCARE | NC | HIGH POINT REGIONAL HEALTH | RELATED | $198,815 | $5,201,654 | 0 | Yes (1) | 0.90000 | |
| MS LAND HOLDINGS LLC | ||||||||||||||
| 1901 MOONEY STREET | WINSTONSALEM | NC | 27103 | 824005370 | REAL ESTATE | NC | 0 | 0 | N/A | |||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HIGH POINT HEALTHCARE VENTURES INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 N ELM ST PO BOX HP-5 | AddressLine1Txt |
| City | HIGH POINT | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27261 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 561343468 | EIN |
| Primary Activities | REAL ESTATE | PrimaryActivitiesTxt |
| Legal Domicile State | NC | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HIGH POINT REGIONAL HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Share Of Total Income | $105,548 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $17,513,307 | ShareOfEOYAssetsAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (1) | 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 | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| HIGH POINT SURGERY CENTER LLC | ||
| J | $64,598 | FMV |
| HIGH POINT REGIONAL HEALTH FOUNDATION | ||
| P | $489,488 | COST |