2021-05-14T08:34:40-05:00 2020-06-30 990 2019-07-01 560543238 LEXINGTON MEDICAL CENTER LEXI 3367164445 PO BOX 1817 250 HOSPITAL DRIVE LEXINGTON NC 272931817 BRADLEY A CLARK TREASURER 3362485161 2021-04-30 2019 2022-09-23 18:48:47Z WILLIAM B JAMES PO BOX 1817 250 HOSPITAL DRIVE LEXINGTON NC 272931817 125126706 0 X WWW.LEXINGTON.WAKEHEALTH.EDU X 1954 NC TO BE A MEDICAL CENTER OF CHOICE, PROMOTING HEALTH AND SERVING AS A DESTINATION FOR EXCELLENCE IN PATIENT CARE. 20 16 0 39 4664743 0 837151 3069208 118535095 121210980 -26113 275171 345674 571347 119691807 125126706 32500 12287 0 0 48173218 49652600 0 0 0 56067101 64724952 104272819 114389839 15418988 10736867 117467580 126269827 8719873 6785253 108747707 119484574 X LEXINGTON MEDICAL CENTER (AT TIMES ALSO REFERRED TO AS THE "HOSPITAL OR "LMC OR "THE FILING ORGANIZATION") IS PART OF WAKE FOREST BAPTIST HEALTH (AT TIMES ALSO REFERRED TO AS "WFBH"), 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. WFBH'S MISSION IS TO IMPROVE THE HEALTH OF OUR REGION, STATE AND NATION BY: GENERATING AND TRANSLATING KNOWLEDGE TO PREVENT, DIAGNOSE AND TREAT DISEASE; TRAINING LEADERS IN HEALTH CARE AND BIOMEDICAL SCIENCE; AND SERVING AS THE PREMIER HEALTH SYSTEM IN OUR REGION, WITH SPECIFIC CENTERS OF EXCELLENCE RECOGNIZED AS NATIONAL AND INTERNATIONAL CARE DESTINATIONS. 0 0 107017667 12287 116556582 LEXINGTON MEDICAL CENTER OPERATES A 94 ACUTE CARE BED HOSPITAL, 15 PHYSICIAN PRACTICES, AND OTHER RELATED FACILITIES TO EDUCATE, DIAGNOSE, AND PROVIDE CARE AND TREATMENT TO THE RESIDENTS OF DAVIDSON COUNTY, NORTH CAROLINA AND SURROUNDING AREAS. THE ORGANIZATION SERVES AS A SATELLITE PROVIDER OF WAKE FOREST BAPTIST HEALTH SPECIALTY SERVICES INCLUDING DIGESTIVE HEALTH, ENT, HEAD/NECK SURGERY. LEXINGTON MEDICAL CENTER IS ACCREDITED BY THE JOINT COMMISSION AND HAS BEEN COMMITTED TO PROVIDING FOR THE HEALTH CARE NEEDS OF DAVIDSON COUNTY SINCE THE 1920S. DURING FISCAL YEAR 2020, THE HOSPITAL FACILITY HAD 12,148 PATIENT DAYS, INCLUDING 3,584 INPATIENT ADMISSIONS, AND 33,105 EMERGENCY DEPARTMENT VISITS.AS PART OF WAKE FOREST BAPTIST HEALTH, LMC'S VISION IS A PREEMINENT LEARNING HEALTH SYSTEM THAT PROMOTES BETTER HEALTH FOR ALL THROUGH COLLABORATION, EXCELLENCE, AND INNOVATION.THE HOSPITAL'S VALUES ARE AS FOLLOWS:-EXCELLENCE: DEMONSTRATE THE HIGHEST STANDARDS OF PATIENT-CENTERED CARE, EDUCATION, RESEARCH, AND OPERATIONAL EFFECTIVENESS-COMPASSION: RESPONSIVE TO THE PHYSICAL, EMOTIONAL, SPIRITUAL, AND INTELLECTUAL NEEDS OF ALL-SERVICE: CULTIVATE SELFLESS CONTRIBUTION FOR THE GREATER GOOD-INTEGRITY: DEMONSTRATE FAIRNESS, HONESTY, SINCERITY, AND ACCOUNTABILITY-DIVERSITY: HONOR INDIVIDUALITY AND PROTECT THE DIGNITY OF ALL-COLLEGIALITY: FOSTER MUTUAL RESPECT, FACILITATE PROFESSIONAL GROWTH AND MENTORSHIP, AND REWARD TEAMWORK AND COLLABORATION-INNOVATION: PROMOTE CREATIVITY TO ENHANCE DISCOVERY AND THE APPLICATION OF KNOWLEDGE-SAFETY: EMBRACE CULTURE OF RELIABILITY THROUGH BETTER PROCESS DESIGN & ACCOUNTABILITYDURING THE CURRENT FISCAL YEAR, LMC OPENED THE NEW $31.5 MILLION, 26,500 SQUARE FOOT SURGICAL FACILITY EXPANSION INCLUDING FOUR FULLY DIGITAL OPERATING ROOMS THAT CAN ACCOMODATE VARIOUS TYPES OF PROCEDURES AND SPECIALTIES INCLUDING EAR/NOSE/THROAT, GYNECOLOGY, OPHTHALMOLOGY, ORTHOPAEDICS/JOINT REPLACEMENT, UROLOGY, AND GENERAL SURGERY. ADDITIONALLY, A 10-BAY POST-ANESTHESIA CARE UNIT FOR PATIENTS TO RECOVER FROM ANESTHESIA AFTER SURGERY, A UROLOGY PROCEDURE ROOM, A SPACIOUS WAITING AREA FOR FAMILIES AND PRIVATE CONSULTATION ROOMS FOR PHYSICIANS AND FAMILY MEMBERS WILL ENHANCE THE CARE AND CONVENIENCE PROVIDED AT LEXINGTON MEDICAL CENTER.ALSO DURING THE FISCAL YEAR, LMC WAS AWARDED AN 'A' IN THE FALL 2019 LEAPFROG HOSPITAL SAFETY GRADE, A NATIONAL DISTINCTION RECOGNIZING THE HOSPITAL'S ACHIEVEMENTS PROTECTING PATIENTS FROM HARM AND PROVIDING SAFER HEALTH CARE. THE LEAPFROG GROUP IS AN INDEPENDENT NATIONAL WATCHDOG ORGANIZATION DRIVEN BY EMPLOYERS AND OTHER PURCHASERS OF HEALTH CARE COMMITTED TO IMPROVING HEALTH CARE QUALITY AND SAFETY FOR CONSUMERS AND PURCHASERS.DURING THE SECOND HALF OF FY20, WAKE FOREST BAPTIST HEALTH RESPONDED TO THE COVID-19 PANDEMIC. THE HEALTH SYSTEM INSTITUTED VISITOR RESTRICTIONS, DELAYED NON-ESSENTIAL SURGERIES, PROCEDURES AND APPOINTMENTS, AND RAPIDLY EXPANDED OPTIONS FOR PATIENT TELEHEALTH VISITS BY PHONE AND VIDEO. OTHER STEPS RELATED TO COVID-19 INCLUDED OPENING MORE THAN A DOZEN RESPIRATORY SYMPTOM CLINICS AT EXISTING FAMILY MEDICINE, PRIMARY AND URGENT CARE LOCATIONS THROUGHOUT THE HEALTH SYSTEM; ESTABLISHING A COVID-19 RESPONSE FUND TO GALVANIZE COMMUNITY SUPPORT FOR PATIENTS AND HEALTH CARE WORKERS; PARTICIPATING IN A COMMUNITY-WIDE EFFORT TO PRODUCE AND DISTRIBUTE MASKS; AND LEADING A COMMUNITY-BASED RESEARCH STUDY OF THE NOVEL CORONAVIRUS WITH PARTNERS JAVARA INC. AND ORACLE. 107017667 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 45 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 X 20 16 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X ERIN KOEWING 3367164445 MEDICAL CENTER BOULEVARD WINSTONSALEM NC 27157 BRADLEY A CLARK DIRECTOR & TREASURER 2.50 37.50 X X 0 947093 237452 WILLIAM B JAMES DIRECTOR & PRESIDENT 38.00 2.00 X X 0 338777 87531 WADE MORCOM CRNA 40.00 0.00 X 0 246039 47336 ELIZABETH GUNTER-WOODS CRNA CLINICAL INSTRUCTOR 40.00 0.00 X 0 219813 52486 CHRISTOPHER WATTERS CRNA 40.00 0.00 X 0 227985 43340 APRIL CABLE CRNA 40.00 0.00 X 0 218705 39216 SHEILA CRUMB ASST CHIEF CRNA 40.00 0.00 X 0 201877 38178 DANNY SQUIRES FINANCE DIRECTOR 19.00 21.00 X 0 204096 33059 SAMANTHA OGLE DIRECTOR 2.00 0.00 X 0 133433 15237 DENISE SNIDER SECRETARY 38.00 2.00 X 0 66084 11971 JOHN FRANK DIRECTOR 2.00 0.00 X 0 0 0 KAYE LEONARD DIRECTOR & CHAIR 4.00 0.00 X X 0 0 0 THOMPSON MILLER DIRECTOR 2.00 0.00 X 0 0 0 REV DR RAY HOWELL DIRECTOR & VICE CHAIR 4.00 0.00 X X 0 0 0 KEVIN P HIGH MD DIRECTOR 0.30 39.70 X 0 0 0 TEENIE TILLEY DIRECTOR 2.00 2.00 X 0 0 0 GORDON KAMMIRE MD DIRECTOR 2.00 0.00 X 0 0 0 TAMMY ABSHER DIRECTOR 2.00 0.00 X 0 0 0 MICHAEL HOLSHOUSER DIRECTOR 2.00 0.00 X 0 0 0 NINA SMITH DIRECTOR 2.00 0.00 X 0 0 0 ROSE MCDANIEL DIRECTOR 2.00 0.00 X 0 0 0 LEON RIVES DIRECTOR 2.00 2.00 X 0 0 0 DEBBY BROWN DIRECTOR 2.00 0.00 X 0 0 0 DAVID HOLDER MD DIRECTOR 2.00 0.00 X 0 0 0 KATRINA CRAVEN DIRECTOR 2.00 0.00 X 0 0 0 LILLIAN KOONTZ DIRECTOR 2.00 0.00 X 0 0 0 CHUCK MILLER DIRECTOR 2.00 0.00 X 0 0 0 0 2803902 605806 0 0 1 0 SODEXO INC & AFFILIATES PO BOX 536922 ATLANTA GA 303536922 FACILITIES MANAGEMENT SERVICES 687084 HICUITY HEALTH INC 1 CITY PLACE DR SUITE 750 ST LOUIS MO 63141 HEALTH CARE SERVICES 563077 DIVERSIFIED CLINICAL SERVICES INC PO BOX 636981 CINCINNATI OH 45263 HEALTH CARE SERVICES 448293 9W HALO OPCO LP DBA ANGELICA 4 ANSON STREET DURHAM NC 27703 LINEN SERVICES 363023 DAVIDSON SURGICAL ASSOCIATES INC 1219-A LEXINGTON AVENUE THOMASVILLE NC 27360 HEALTH CARE SERVICES 339600 7 644358 2012130 412720 10183 3069208 PATIENT SERVICE REVENUE 621990 120900134 116235391 4664743 DIETARY REVENUE 722210 310846 310846 121210980 2429 2429 561002 0 561002 561002 561002 272742 0 272742 272742 272742 OTHER 621990 10345 10345 10345 125126706 116556582 4664743 836173 12087 12087 200 200 609623 559607 50016 38991338 35792325 3199013 1496959 1374142 122817 6385352 5861471 523881 2169328 1991347 177981 725362 574648 150714 8436 8436 178246 166943 11303 10331257 8697545 1633712 739 585 154 252987 205188 47799 138897 112654 26243 3103727 2517318 586409 51703 41934 9769 8058 6536 1522 5418654 4935884 482770 284273 230563 53710 MEDICAL SUPPLIES 23700295 23700295 BAD DEBTS 16267097 16267097 PROVIDER ASSESSMENT TAX 2697253 2697253 OTHER SUPPLIES 1557968 1263609 294359 114389839 107017667 7372172 0 4886 4885 5897588 35163638 11809269 7955453 1930143 1839778 24743 115123 108895125 62652897 46324868 46242228 419561 419561 51056522 34529161 117467580 126269827 8719873 6534152 0 251101 8719873 6785253 X 108723789 119460656 23918 23918 108747707 119484574 117467580 126269827 10736867 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 8436 8436 0 PART II-B, LINE 1: THE ORGANIZATION IS A MEMBER OF THE AMERICAN HEALTHCARE ASSOCIATION (AHA) AND THE NORTH CAROLINA HEALTHCARE ASSOCIAITON (NCHA). A PORTION OF THE MEMBERSHIP DUES PAID ARE ALLOCATED TO LOBBYING EFFORTS BY THOSE ORGANIZATIONS ON BEHALF OF THEIR MEMBERSHIP BODIES. 1957734 1957734 67508063 35768743 31739320 39176522 26884154 12292368 252806 252806 46242228 OTHER ASSETS 100255 INTERCOMPANY RECEIVABLE 34177805 OPERATING LEASES (LESS ACCUM DEPREC) 251101 34529161 0 OPERATING LEASE PAYABLE 251101 251101 X PART X, LINE 2: THE ORGANIZATION HAS EVALUATED UNCERTAIN TAX POSITIONS FOR ITS FISCAL YEARS ENDED JUNE 30, 2020 AND 2019, INCLUDING A QUANTIFICATION OF TAX RISK IN AREAS SUCH AS UNRELATED BUSINESS TAXABLE INCOME AND THE TAXATION OF ITS JOINT VENTURES. THIS EVALUATION DID NOT HAVE A MATERIAL EFFECT ON THE ORGANIZATION'S FINANCIAL STATEMENTS FOR THE YEARS ENDED JUNE 30, 2020 AND 2019. 1 1 1 X 300.000000000000 1 X 1 1 1 0 1 1 2036129 0 2036129 0.02080 14147843 14645385 0 0.00000 2225677 2131579 94098 0.00100 18409649 16776964 2130227 0.02180 704089 0 704089 0.00720 12087 0 12087 0.00010 716176 716176 0.00730 19125825 16776964 2846403 0.02910 1 3544041 0 43250066 43581310 -331244 X 1 1 1 1 LEXINGTON MEDICAL CENTER 250 HOSPITAL DRIVE LEXINGTON NC 27292 H0027 X X X LEXINGTON MEDICAL CENTER 1 0 0 1 X X X X X X X X X 18 1 1 0 1 X SEE PART V, PAGE 8 X 1 19 1 SEE PART V, PAGE 8 0 1 X 300.000000000000 300.000000000000 X X X X X 1 1 X X X 1 X HTTP://LEXINGTON.WAKEHEALTH.EDU/BILLING/FINANCIAL-ASSISTANCE.HTM X HTTP://LEXINGTON.WAKEHEALTH.EDU/BILLING/FINANCIAL-ASSISTANCE.HTM X HTTP://LEXINGTON.WAKEHEALTH.EDU/BILLING/FINANCIAL-ASSISTANCE.HTM X X X X X X X 1 X 0 X X X X 1 X 0 0 LEXINGTON MEDICAL CENTER PART V, SECTION B, LINE 5: COMMUNITY INPUT WAS OBTAINED THROUGH THE FOLLOWING SOURCES: (1) THE DAVIDSON COUNTY COMMUNITY HEALTH SURVEY COMPLETED IN 2018 BY COUNTY RESIDENTS WHICH SOLICITED CONCERNS REGARDING COMMUNITY HEALTH & SOCIAL ISSUES, UNHEALTHY BEHAVIORS, ACCESS TO MEDICAL CARE, PERSONAL HEALTHY BEHAVIORS AND OVERALL PERSONAL HEALTH, (2) THE DAVIDSON COUNTY HEALTH DEPARTMENT PUBLIC FORUM CONDUCTED IN NOVEMBER 2018 WITH LEXINGTON MEDICAL CENTER, NOVANT HEALTH THOMASVILLE MEDICAL CENTER, AND DAVIDSON COUNTY HEALTH DEPARTMENT, (3) TWO FAITHHEALTH NC (A DEPARTMENT OF WAKE FOREST BAPTIST HEALTH) COMMUNITY ASSET MAPPING WORKSHOPS WHICH SOUGHT OPINIONS OF BOTH HEALTH PROVIDERS (INCLUDING RELIGIOUS & SOCIAL SERVICES) AND HEALTH SEEKERS IN DAVIDSON COUNTY'S MOST VULNERABLE COMMUNITIES, (4) REVIEW OF THE WAKE FOREST BAPTIST HEALTH 3-YEAR STRATEGIC PLAN TO IDENTIFY APPLICABLE COMMUNITY BENEFIT STRATEGIES; AND (5) COMMENTS FROM THE PRIOR COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY.ADDITIONALLY, OTHER SECONDARY DATA SOURCES WERE REVIEWED INCLUDING: WAKE FOREST BAPTIST MEDICAL CENTER COMMUNITY DASHBOARD/HEALTH COMMUNITIES INSTITUTE, COUNTY HEALTH RANKINGS & ROADMAPS, 2017 STATE OF THE COUNTY HEALTH REPORT, DAVIDSON COUNTY HEALTH DEPARTMENT STRATEGIC PLAN FOR 2016-2019, US CENSUS BUREAU 2010 CENSUS, NC CENTER FOR HEALTH STATISTICS, HEALTHY PEOPLE 2020, HEALTHY NORTH CAROLINA 2020, AND CENTERS FOR MEDICARE/MEDICAID-HEALTH OUTCOMES SURVEY. LEXINGTON MEDICAL CENTER PART V, SECTION B, LINE 6A: THE HOSPITAL'S MOST RECENT CHNA WAS CONDUCTED IN COLLABORATION WITH NORTH CAROLINA BAPTIST HOSPITAL AND DAVIE MEDICAL CENTER. BOTH DAVIE MEDICAL CENTER AND NORTH CAROLINA BAPTIST HOSPITAL ARE AFFILIATE HOSPITALS OF WAKE FOREST BAPTIST HEALTH. LEXINGTON MEDICAL CENTER PART V, SECTION B, LINE 7D: N/APART V, SECTION B, LINE 7A:HTTP://LEXINGTON.WAKEHEALTH.EDU/COMMUNITY-HEALTH.HTMPART V, SECTION B, LINE 10A:HTTP://LEXINGTON.WAKEHEALTH.EDU/COMMUNITY-HEALTH.HTM LEXINGTON MEDICAL CENTER PART V, SECTION B, LINE 11: THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") IDENTIFIED THE FOLLOWING SIGNIFICANT HEALTH NEEDS WITHIN THE COMMUNITY: (1) CHRONIC DISEASE MANAGEMENT AND PREVENTION, (2) DRUG MISUSE AND ABUSE PREVENTION AND EDUCATION, (3) ACCESS TO MENTAL HEALTH CARE SERVICES, (4) HEALTH CARE RESOURCES TO ADDRESS THE PREVALENCE OF OBESITY, CANCER, AND HEART DISEASE, AND (5) EDUCATION REGARDING GOOD NUTRITION AND EXERCISE HABITS. LEXINGTON MEDICAL CENTER (LMC) PRIORITIZED THE FOLLOWING FOUR SIGNIFICANT COMMUNITY HEALTH NEEDS FOR ITS CURRENT CHNA AS FOLLOWS: (1) ACCESS TO CARE; (2) CHRONIC DISEASE MANAGEMENT & PREVENTION; (3) BEHAVIORAL HEALTH & SUBSTANCE DEPENDENCY; AND (4) MATERNAL & CHILD HEALTH. LMC PLANS TO PROVIDE COMMUNITY BENEFIT PROGRAMS RESPONSIVE TO THESE HEALTH NEEDS THROUGH ITS APPROVED CHNA IMPLEMENTATION STRATEGY. THE LMC CHNA IMPLEMENTATION STRATEGY OUTLINES THE IMPLEMENTATION OF PROGRAMS AND THE EVALUATION OF IMPACT OF THOSE PROGRAMS ON PRIORITY COMMUNITY HEALTH NEEDS IDENTIFIED FROM THE CHNA. SPECIFICALLY, THE HOSPITAL IS ADDRESSING THE SIGNIFICANT HEALTH NEEDS AS FOLLOWS:1. ACCESS TO CAREBARRIERS SUCH AS LACK OF INDIVIDUAL HEALTH INSURANCE AND HIGH COSTS DECREASE ACCESS TO QUALITY HEALTH CARE AND CAN LEAD TO UNMET HEALTH NEEDS. THE HOSPITAL'S CURRENT STRATEGIES TO ADDRESS THESE NEEDS INCLUDE THE FOLLOWING:--REDUCING TRANSPORTATION BARRIERS FOR INDIVIDUALS IN RURAL AREAS OF THE COMMUNITY THROUGH 1.) COLLABORATION WITH VARIOUS DAVIDSON COUNTY AGENCIES TO DETERMINE RESOURCES AND ASSESSMENT OF TRANSPORTATION ASSISTANCE NEEDS THROUGHOUT THE COUNTY, 2.) ANALYSIS OF THE USE OF PUBLIC TRANSPORTATION SERVICES, THE NECESSITY FOR ONSITE HEALTH CLINICS IN AREAS WITH HIGH NEEDS, AND TRANSPORTATION DEFICIENCIES WITH RESPONSIBLE DAVIDSON COUNTY AGENCIES, AND 3.) EVALUATION OF THE NEED AND FUNDING FOR A MOBILE HEALTH CLINIC TO SERVE DAVIDSON COUNTY'S MOST VULNERABLE COMMUNITIES. --IMPROVING ACCESS TO COMMUNITY-CENTERED SOCIAL AND HEALTH EDUCATION SERVICES AND REGULAR SOURCES OF HEALTH CARE THROUGH 1.) PARTNERING WITH DAVIDSON COUNTY AGENCIES TO PROVIDE HEALTH EDUCATION EVENTS AND SCREENINGS AT VARIOUS LOCATIONS IN THE COUNTY, 2.) CONTINUING TO PROVIDE SUPPORT TO THE DAVIDSON MEDICAL MINISTRIES CLINIC WITH FREE LABORATORY AND IMAGING SERVICES, 3.) WORKING WITH LOCAL FAITH COMMUNITIES TO PROVIDE PROGRAMS AND ENLIST LAY LEADER SUPPORT TO ASSIST PARISHIONERS NEEDING ACCESS, 4.) EXPANDING BESTHEALTH HEALTH EDUCATION PROGRAMMING AT COMMUNITY EVENTS AND VENUES IN DAVIDSON COUNTY, 5.) COLLABORATING WITH DAVIDSON COUNTY STAKEHOLDERS TO DEVELOP A RECOVERY ORIENTED SYSTEM OF CARE IN THE COUNTY, AND 6.) INCREASING PRIMARY CARE AND INTRODUCING CONVENIENCE CARE CLINICS IN HIGH NEED LOCATIONS OF DAVIDSON COUNTY. --IMPROVING ACCESS TO HEALTH INSURANCE BY PARTNERING WITH DAVIDSON COUNTY DEPARTMENT OF SOCIAL SERVICES TO ASSIST WITH ENROLLING COMMUNITY MEMBERS INTO INSURANCE PROGRAMS AND WITH NORTHWEST COMMUNITY CARE NETWORK, (A WAKE FOREST BAPTIST HEALTH AFFILIATE) TO MANAGE THEIR HEALTHCARE.2. CHRONIC DISEASE MANAGEMENT & PREVENTIONLMC RECOGNIZES THE EFFECT OF CONTINUITY OF CARE WITH HEALTH CARE PROVIDERS ON PATIENT BEHAVIORS, DISEASE MANAGEMENT, AND HEALTH STATUS.THE HOSPITAL'S CURRENT STRATEGIES INCLUDE:--IMPROVING THE CAPACITY OF COMMUNITY BASED ORGANIZATIONS AND HEALTH CARE PROVIDERS TO SUPPORT EFFORTS RELATED TO CHRONIC DISEASE PREVENTION AND MANAGEMENT THROUGH 1.) CONTINUING TO SUPPORT FAITHHEALTH NC COMMUNITY HEALTH WORKERS TO ADDRESS CHRONIC DISEASE MANAGEMENT AND COMMUNITY HEALTH PROGRAMMING, 2.) INCREASING COMMUNITY AND HEALTHCARE PROVIDER REFERRAL TO EXISTING WAKE FOREST BAPTIST HEALTH CHRONIC DISEASE MANAGEMENT PROGRAMS, FAMILY MEDICINE AND ADDITIONAL RESOURCES BY CENTRALIZING THE DISSEMINATION OF HEALTH CARE INFORMATION, AND 3.) ASSESSING THE NEED FOR ADDITIONAL MEDICAL SPECIALISTS IN DAVIDSON COUNTY IN THE AREAS OF CANCER, HEART DISEASE AND DIABETES. --PROVIDING EDUCATION AND SUPPORT PROGRAMS TO REDUCE DIABETES PREVALENCE AND WEIGHT MANAGEMENT THROUGH 1.) COLLABORATING WITH THE DAVIDSON COUNTY HEALTH DEPARTMENT TO REFER PRE-DIABETIC AND EARLY ONSET DIABETIC PATIENTS TO AREA DIABETES MANAGEMENT PROGRAMS, 2.) CONTINUING TO PROVIDE BEST HEALTH DIABETES PREVENTION, WEIGHT MANAGEMENT, NUTRITION EDUCATION AND COOKING CLASSES AT CONVENIENT LOCATIONS IN DAVIDSON COUNTY, 3.) PARTICIPATING IN OPPORTUNITIES WITH AREA SCHOOLS TO SCREEN FOR DIABETES AND TO EDUCATE STUDENTS AND FAMILIES ON DIABETES PREVENTION, AND 4.) EVALUATING THE NEED TO EXPAND THE BRENNER FIT PROGRAMMING MODEL IN DAVIDSON COUNTY TO EDUCATE ELEMENTARY AND MIDDLE SCHOOL STUDENTS AND THEIR FAMILIES ON GOOD NUTRITION PRACTICES AND HEALTHY LIFESTYLE OPTIONS. --PROVIDING CANCER EDUCATION AND SUPPORT PROGRAMS THROUGH 1.) EXPANDING EDUCATION PROGRAMMING IN DAVIDSON COUNTY TO INCREASE AWARENESS OF CANCER RISK FACTORS AND BEHAVIORS, 2.) CONTINUING SUPPORT OF DAVIDSON COUNTY HEALTH DEPARTMENT'S MAMMOGRAM SERVICES FOR THE UNINSURED/UNDERINSURED RESIDENTS OF DAVIDSON COUNTY, 3.) CONTINUING SUPPORT OF DAVIDSON MEDICAL MINISTRIES CLINIC WITH MAMMOGRAPHY SERVICES FOR THEIR PATIENTS, 4.) COLLABORATING WITH VARIOUS DAVIDSON COUNTY AGENCIES TO DETERMINE RESOURCES TO SUPPORT CANCER PATIENTS AND THEIR FAMILIES, AND 5.) CONTINING SUPPORT OF THE LMC CAREGIVER ACADEMY PROGRAM WHICH PROVIDES FREE INFORMATION, EDUCATION AND SUPPORT FOR COMMUNITY RESIDENTS IN CAREGIVING ROLES. 3. BEHAVIORAL HEALTH & SUBSTANCE DEPENDENCYLMC IS COMMITTED TO PROVIDING POSITIVE OUTCOMES OF RECOVERY AND MENTAL HEALTH WELLNESS THROUGHOUT THE COMMUNITY IT SERVES. THE HOSPITAL'S CURRENT STRATEGIES INCLUDE:--GROWING AWARENESS OF EXISTING CARENET SERVICES AVAILABLE AT LMC & AT OTHER LOCATIONS IN DAVIDSON COUNTY.--DECREASING THE SUICIDE DEATH RATE THROUGH 1.) BUILDING CAPACITY AMONG LAY PERSONS IN THE COMMUNITY IN THE AREAS OF MENTAL HEALTH FIRST AID, SUICIDE PREVENTION AND SUBSTANCE ABUSE RECOVERY PROGRAMS, AND 2.) PARTNERING WITH LOCAL SCHOOLS TO PROVIDE SUICIDE PREVENTION INFORMATION AND PROGRAMMING.--REDUCING THE NUMBER OF EMERGENCY DEPARTMENT VISITS RELATED TO BEHAVIORAL HEALTH ISSUES THROUGH WORKING WITH MENTAL HEALTH ORGANIZATIONS IN DAVIDSON COUNTY TO IDENTIFY KEY RESOURCES FOR REFERRALS AND PROGRAMMING FOR PATIENTS NEEDING MENTAL HEALTH SERVICES.--PARTNERING WITH THE DCSPAN (DAVIDSON COUNTY STOP PRESCRIPTION ABUSE NOW!) INITIATIVE TO PROVIDE SUBSTANCE USE EDUCATION AT ITS COMMUNITY CONVERSATION AND PUBLIC FORUM EVENTS. --SERVING AS ONE OF DAVIDSON COUNTY'S PERMANENT PRESCRIPTION MEDICATION DISPOSAL LOCATIONS.4. MATERNAL & CHILD HEALTHLMC IS COMMITTED TO PROVIDING INNOVATIVE, FAMILY-CENTERED CARE FOR THE COMMUNITY'S CHILDREN AND WOMEN. THE HOSPITAL'S CURRENT STRATEGIES INCLUDE:--DECREASING TEEN PREGNANCY, REDUCING INFANT MORTALITY, AND INCREASING THE BREAST FEEDING RATES THROUGH 1.) IMPLEMENTING OF PRENATAL AND POSTNATAL EDUCATION PROGRAMS IN DAVIDSON COUNTY FOR AT-RISK MOTHERS, 2.) PARTNERING WITH THE DAVIDSON COUNTY HEALTH DEPARTMENT, LOCAL SCHOOLS AND OTHER COUNTY AGENCIES TO DETERMINE RESOURCES AND PROGRAMS AVAILABLE TO NEW AND EXPECTING MOTHERS AND FAMILIES, 3.) CONTINUING TO PROVIDE BOARD CERTIFIED LACTATION CONSULTANTS TO NEW MOTHERS WITHIN THE WAKE FOREST BAPTIST HEALTH NETWORK, AND 4.) ENCOURAGING MOTHERS AND MOTHERS-TO-BE TO ATTEND WAKE FOREST BAPTIST HEALTH MATERNAL AND CHILD HEALTH PROGRAMS. --INCREASING PHYSICAL WELLNESS AT LOCAL SCHOOLS BY PROVIDING A LICENSED ATHLETIC TRAINER TO LEXINGTON SENIOR HIGH SCHOOL.ALL OF THE AFOREMENTIONED EFFORTS IN COMBINATION WITH THE HOSPITAL'S VALUES OF NONDISCRIMINATION AND COMPASSIONATE CARE ARE DESIGNED TO MEET THE SIGNIFICANT HEALTH NEEDS OF THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. LEXINGTON MEDICAL CENTER PART V, SECTION B, LINE 13H: THE HOSPITAL MAY USE COMMERCIALLY AVAILABLE FINANCIAL PROFILING AND CREDIT SCORING TECHNOLOGIES TO PRESUMPTIVELY SCREEN RESPONSIBLE INDIVIDUALS TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE DISCOUNTS. LEXINGTON MEDICAL CENTER PART V, SECTION B, LINE 16J: IN ADDITION TO THE METHODS PREVIOUSLY DESCRIBED, THE HOSPITAL INFORMS PATIENTS ABOUT ITS FAP DURING INTAKE AND DISCHARGE BY PROVIDING A PLAIN LANGUAGE SUMMARY OF THE FAP. THE HOSPITAL ALSO PLACES A CONSPICUOUS WRITTEN NOTICE OF THE FAP ON ITS PATIENT BILLING STATEMENTS. 15 1 - WFBH CARDIOLOGY - LEXINGTON 14 MEDICAL PARK DR LEXINGTON NC 27292 CARDIOLOGY 2 - WFBH DIGESTIVE SERVICES - LEXINGTON 11 MEDICAL PARK DR LEXINGTON NC 27292 GASTROINTESTINAL HEALTH 3 - WFBH ENTHEAD & NECK SURGERY - LEXINGTON 106 WEST MEDICAL PARK DR LEXINGTON NC 27292 ENT 4 - WFBH FAMILY MEDICINE - LEXINGTON 101 WEST MEDICAL PARK DR LEXINGTON NC 27292 FAMILY PRACTICE 5 - WFBH INTERNAL MEDICINE - LEXINGTON 105 HOSPITAL DRIVE LEXINGTON NC 27292 INTERNAL MEDICINE 6 - WFBH PEDIATRICS - LEXINGTON 13 MEDICAL PARK DR LEXINGTON NC 27292 PEDIATRIC MEDICINE 7 - WFBH WOMEN'S SERVICES - LEXINGTON 7 MEDICAL PARK DR LEXINGTON NC 27292 WOMEN'S HEALTH 8 - WFBH WOUND CARE & HYPERBARIC CENTER - LE 10 MEDICAL PARK DR LEXINGTON NC 27292 WOUND CARE CENTER 9 - WFBH NEUROLOGY - LEXINGTON 10 MEDICAL PARK DR LEXINGTON NC 27292 NEUROLOGY 10 - WFBH HEMATOLOGY & ONCOLOGY - LEXINGTON 107 WEST MEDICAL PARK DR LEXINGTON NC 27292 HEMATOLOGY AND ONCOLOGY 11 - WFBH RADIATION ONCOLOGY - LEXINGTON 107 WEST MEDICAL PARK DR LEXINGTON NC 27292 RADIATION ONCOLOGY 12 - WFBH PAIN CENTER - LEXINGTON 10 MEDICAL PARK DR LEXINGTON NC 27292 PAIN MANAGEMENT 13 - WFBH INFECTIOUS DISEASE - LEXINGTON 10 MEDICAL PARK DR LEXINGTON NC 27292 INFECTIOUS DISEASE 14 - WFBH GYNECOLOGY ONCOLOGY - LEXINGTON 107 WEST MEDICAL PARK DR LEXINGTON NC 27292 GYNECOLOGY ONCOLOGY 15 - WFBH FAMILY MEDICINE - NORTH DAVIDSON 799 HICKORY TREE RD WINSTONSALEM NC 27127 FAMILY PRACTICE PART I, LINE 3C: THE ORGANIZATION UTILIZES COMMERCIALLY AVAILABLE FINANCIAL PROFILING AND CREDIT SCORING TECHNOLOGIES TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE DISCOUNTS UNDER ITS FAP POLICY. ADDITIONAL ELIGIBILITY CRITERIA INCLUDES THE FOLLOWING:-PATIENT MUST BE UNINSURED OR HAVE NO OTHER THIRD PARTY FUNDING SOURCE OR GUARANTOR.-SERVICES FOR WHICH DISCOUNTS APPLY MUST BE EMERGENT AND MEDICALLY NECESSARY CARE.-PATIENT MUST BE A VALID RESIDENT WITHIN A ZIP CODE BOUNDED BY OR INTERSECTING ON OF THE COUNTIES DEFINED AS WAKE FOREST BAPTIST HEALTH'S SERVICE AREA. -PATIENTS MUST ENROLL IN ALL OTHER PRIMARY PAYER PROGRAMS FOR WHICH THE PATIENT IS ELIGIBLE AND MUST ASSIGN BENEFITS TO WAKE FOREST BAPTIST HEALTH 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 SCHEDULE H TO COMPUTE ITS COST TO CHARGE RATIO FOR PURPOSES OF THE 2019 SCHEDULE H.PART I, LINE 7B MEDICAID DIRECT OFF-SETTING REVENUETHE HOSPITAL PARTICIPATES IN A PROVIDER ASSESSMENT PROGRAM ADMINISTERED BY THE NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES. UNDER THE PROGRAM, A FEE IS ASSESSED AGAINST NON-MEDICAID PATIENT SERVICE REVENUE OF PRIVATE HOSPITALS. THE FEDERAL GOVERNMENT MATCHES THE ASSESSMENT AT A RATE OF 2 TO 1 AND THESE AMOUNTS ARE ALLOCATED TO NORTH CAROLINA HOSPITALS QUARTERLY. ADDITIONALLY, THE HOSPITAL PARTICIPATES IN THE NORTH CAROLINA MEDICAID REIMBURSEMENT INITIATIVE (MRI). UNDER THE MRI, THE HOSPITAL RECEIVES ADDITIONAL REIMBURSEMENT BASED ON MEDICAID COST DEFICITS AND TREATMENT OF A DISPROPORTIONATE SHARE OF UNINSURED PATIENTS. PART I, LN 7 COL(F): THE ORGANIZATION'S PATIENT BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENTS WAS $16,267,097 FOR THE FISCAL YEAR ENDED JUNE 30, 2020. THIS AMOUNT IS NOT INCLUDED IN THE CALCULATION OF CHARITY CARE FOR PART I, LINE 7. PART II, COMMUNITY BUILDING ACTIVITIES: LEXINGTON MEDICAL CENTER IS COMMITTED TO IMPROVING THE HEALTH OF THE INDIGENT AND MEDICALLY UNDERSERVED IN DAVIDSON COUNTY. THE HOSPITAL OPERATES AN AGGRESSIVE HEALTH EDUCATION AND WELLNESS PROGRAM FOR THE COMMUNITY AIMED AT CHRONIC DISEASE PREVENTION. FREE HEALTH SCREENINGS FOR THE MEDICALLY UNDERSERVED ARE HELD ALMOST MONTHLY TO ASSIST IN THE EARLY DETECTION AND TREATMENT OF DISEASE. THROUGH ITS DIABETES SELF-MANAGEMENT EDUCATION (DSME) PROGRAM, LEXINGTON MEDICAL CENTER OFFERS INDIVIDUALS STRUGGLING WITH DIABETES A RESOURCE TO BETTER UNDERSTAND AND MANAGE THEIR DISEASE. PART III, LINE 4: THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A DISCRETE FOOTNOTE EXPLAINING BAD DEBT EXPENSE. 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 2019 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, 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 ANY LEVEL OF 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 TWO TO FOUR REGIONAL PRIORITY AREAS TO FOCUS ON FOR FY 2020-2022. THE PROCESS WAS DESIGNED TO RELY ON EXISTING PUBLIC DATA, DIRECTLY ENGAGING COMMUNITY STAKEHOLDERS AND COLLABORATE WITH LOCAL PUBLIC HEALTH, OTHER HEALTH PROVIDERS, AS WELL AS COMMUNITY PARTNERS SUCH AS FAITH NETWORKS RELEVANT TO THE SOCIAL FACTORS UNDERLYING PATTERNS OF ACCESS. THE HOSPITAL'S ASSESSMENT WAS CONDUCTED IN THREE STAGES: (1) DATA REVIEW (PRIMARY AND SECONDARY DATA), (2) SETTING PRIORITIES, AND (3) COMMUNITY ASSET INVENTORY. THE DATA REVIEW AND PRIORITY SETTING PHASE BEGAN WITH THE COMPILATION OF EXISTING HEALTH-RELATED DATA. STAKEHOLDERS REVIEWED MULTIPLE DATA SETS INCLUDING FORSYTH, DAVIDSON, AND DAVIE COUNTY PUBLIC HEALTH NEEDS ASSESSMENTS, NORTH CAROLINA INDICATORS FOR COMMUNITY HEALTH ASSESSMENT, INTERNAL DISEASE REGISTRIES, AND COUNTY HEALTH RANKINGS. ONCE THE COMMUNITY HEALTH NEEDS WERE IDENTIFIED, AN INTERNAL STEERING COMMITTEE AND SENIOR LEADERSHIP REVIEW A SET OF CRITERIA TO DEVELOP THE PRIORITY RANKINGS. THE PRIORITIZATION PROCESS IDENTIFIED THE FOLLOWING FOUR PRIORITY CHALLENGES FOR THE COMMUNITY: (1) ACCESS TO CARE, (2) CHRONIC DISEASE MANAGEMENT & PREVENTION, (3) BEHAVIORAL HEALTH & SUBSTANCE ABUSE, AND (4) MATERNAL & CHILD HEALTH. FAITHHEALTHNC (A DIVISION OF NORTH CAROLINA BAPTIST HOSPITAL) PROVIDED COMMUNITY ENGAGEMENT THROUGH A COMPREHENSIVE ASSET MAPPING STRATEGY BASED ON AN APPROACH FROM SOUTH AFRICA AND REDEFINED IN MEMPHIS, TN DESIGNED TO BUILD COMMUNITY PARTNERSHIPS ON THE ASSETS THAT EXIST, INSTEAD OF JUST NEEDS. THE MAPPING DEVELOPED AN INVENTORY OF EXISTING PROGRAMS AND SERVICES WITHIN THE REGION RELATED TO THE PRIORITY AREAS IDENTIFIED IN THE NEEDS ASSESSMENT. THE INVENTORY INCLUDED THE LOCATION OF THE PROGRAM (HOSPITAL, CLINIC, OR COMMUNITY SERVICE) AS WELL AS THE NATURE OF THE INTANGIBLE FACTORS, ESPECIALLY TRUST, THAT DETERMINE ACCESS AND COLLABORATION AMONG COMMUNITY PARTNERS. THE PURPOSE OF THE INVENTORY WAS TO IDENTIFY GAPS IN SERVICES, OPPORTUNITIES FOR NEW WORK, WHERE AND WITH WHOM THERE IS ALREADY WORK BEING DONE, AND OPPORTUNITIES FOR PARTNERSHIP AND COLLABORATION. FROM THIS THREE STEP PROCESS, THE HOSPITAL DEVELOPED AN IMPLEMENTATION STRATEGY TO IDENTIFY THE MEANS THROUGH WHICH IT PLANS TO ADDRESS NEEDS THAT ARE CONSISTENT WITH THE CHARITABLE MISSION AS PART OF ITS COMMUNITY BENEFIT PROGRAMS FOR FISCAL YEARS 2020-2022. BEYOND THE PROGRAMS THAT WILL BE ADDRESSED IN THE IMPLEMENTATION STRATEGY, THE HOSPITAL WILL CONTINUE TO ADDRESS MANY OF THE PRIORITIES BY PROVIDING CARE TO ALL, REGARDLESS OF THE ABILITY TO PAY. PART VI, LINE 3: THE ORGANIZATION USES A VARIETY OF MEANS TO EDUCATE AND INFORM PATIENTS OF THEIR CHARITY CARE OPTIONS, INCLUDING INFORMATION ON A WEBSITE, PAMPHLETS, CONSPICUOUSLY DISPLAYED SIGNAGE, INFORMATION ON PATIENT BILL STATEMENTS, AND FROM STAFF MEMBERS DURING CONVERSATIONS CONCERNING A PATIENT'S LIABILITY FOR SERVICES. THE HOSPITAL EMPLOYS A PRE-SERVICE FINANCIAL CLEARANCE PROCESS THAT SCREENS PATIENTS PRIOR TO SERVICE DELIVERY FOR EXISTING OR AVAILABLE PAYER SOURCES AS A MEANS OF AVOIDING BAD DEBT AND INAPPROPRIATE BILLING TO PATIENTS WITHOUT THE MEANS TO PAY. IF A PAYER SOURCE IS IDENTIFIED, HOSPITAL STAFF WILL ASSIST THE PATIENT WITH ENROLLMENT. PART VI, LINE 4: LMC'S PRIMARY MARKET AREA IS COMPRISED OF THOSE LIVING WITHIN AN EIGHT MILE RADIUS OF THE HOSPITAL WHICH INCLUDES THE CITY OF LEXINGTON AND ADJACENT AREAS. THE HOSPITAL'S SERVICE AREA OF DAVIDSON COUNTY REFLECTS A POPULATION OF APPROXIMATELY 165,500 AND A MEDIAN HOUSEHOLD INCOME OF $45,806. DAVIDSON COUNTY COVERS APPROXIMATELY 553 SQUARE MILES AND IS MOSTLY RURAL. THE MOST COMMON INDUSTRIES IN DAVIDSON COUNTY ARE MANUFACTURING, HEALTHCARE AND SOCIAL ASSISTANCE, AND RETAIL. LEXINGTON, N.C. IS LOCATED IN THE HEART OF NORTH CAROLINA'S PIEDMONT SECTION, FEATURING A SMALL TOWN ATMOSPHERE YET WITHIN CONVENIENT ACCESS TO METROPOLITAN AREAS INCLUDING WINSTON-SALEM, GREENSBORO, AND CHARLOTTE. LEXINGTON IS HISTORICALLY KNOWN AS A FURNITURE AND TEXTILE CENTER AND ALSO FOR ITS FAMOUS "LEXINGTON STYLE" BARBECUE. IT IS HOME EACH OCTOBER TO ONE OF THE STATE'S LARGEST AND MOST SUCCESSFUL STREET FESTIVALS WITH 200,000 PLUS PEOPLE ATTENDING ITS ANNUAL "BARBECUE FESTIVAL".THE FOLLOWING DEMOGRAPHIC FIGURES REFLECT THE POPULATION FOR DAVIDSON COUNTY: - 51% FEMALE, 49% MALE - BELOW 18 YEARS: 21.9% - AGE 65 AND OLDER: 18.2%THE MOST RECENT CENSUS INDICATED THAT DAVIDSON COUNTY HAS A LARGER PROPORTION OF PERSONS OVER AGE 64 AS COMPARED TO PROPORTIONS OF PERSONS IN THESE AGE GROUPS IN THE STATE OF NORTH CAROLINA.THE COUNTY POPULATION BREAKDOWN BY RACE IS: - WHITE NON-HISPANIC (80.0%) - BLACK (9.8%) - HISPANIC (7.2%) - OTHER ASIAN (1.6%) - AMERICAN INDIAN (0.8%) - OTHER (.6%) PART VI, LINE 5: THE HOSPITAL HAS MAINTAINED A STRONG COMMITMENT TO PROMOTING AND EXPANDING COMMUNITY HEALTH PROGRAMS IN DAVIDSON COUNTY. SUCH PROGRAMS INCLUDE BESTHEALTH COMMUNITY EDUCATION CLASSES, CHRONIC DISEASE SELF-MANAGEMENT PROGRAMS, PUBLIC SCREENINGS, AND OTHER HEALTH EDUCATION EVENTS HELD LOCALLY THROUGHOUT THE YEAR. THE HOSPITAL PROVIDES A CERTIFIED ATHLETIC TRAINER THAT WORKS FULL-TIME IN DAVIDSON COUNTY SCHOOLS. LEXINGTON MEDICAL CENTER ALSO PROVIDES A CAREGIVER ACADEMY PROGRAM, WHICH FEATURES FREE CLASSES TO EDUCATE THE COMMUNITY ON HOW TO PREPARE FOR CAREGIVING AND PROVIDE ASSISTANCE FOR LOVED ONES, INCLUDING FINDING THE RIGHT RESOURCES, BEING YOUR OWN HEALTH CARE ADVOCATE, AND DEALING WITH THE PAPERWORK AND FINANCIAL BURDENS. IN ADDITION TO COMMUNITY PROGRAMS, LEXINGTON MEDICAL CENTER HAS REINVESTED FUNDS IN INITIATIVES TO BETTER SERVE COMMUNITY HEALTH AS FOLLOWS. DURING FISCAL YEAR 2020, THE HOSPITAL BEGAN OFFERING POSITRON EMISSION TOMOGRAPHY - COMPUTED TOMOGRAPHY PET/CT SERVICES WHICH PROVIDES INCREASED CONVENIENCE, ADDED VALUE TO PATIENTS, AND MAY DETECT THE EARLY ONSET OF DISEASE BEFORE OTHER IMAGING TESTS. IN SEPTEMBER 2019, LEXINGTON MEDICAL CENTER OPENED A $31.5 MILLION STATE-OF-THE-ART SURGICAL FACILITY THAT INCLUDES FOUR FULLY-DIGITAL OPERATING ROOMS, A 10-BAY POST-ANESTHESIA CARE UNIT, A UROLOGY PROCEDURE ROOM, A SPACIOUS WAITING AREA FOR FAMILIES WITH PRIVATE CONSULTATION ROOMS FOR PHYSICIANS AND FAMILY MEMBERS. THE NEW EXPANDED SURGICAL FACILITY WILL ALLOW PATIENTS IN DAVIDSON COUNTY AND SURROUNDING AREAS TO CONTINUE TO RECEIVE A FULL RANGE OF CONVENIENT, HIGH-QUALITY AND SPECIALIZED CARE AND TREATMENT CLOSE TO HOME. PART VI, LINE 6: LEXINGTON MEDICAL CENTER OPERATES AS A STAND-ALONE COMMUNITY HOSPITAL AND IS GOVERNED BY AN INDEPENDENT BOARD COMPRISED PRIMARILY OF COMMUNITY RESIDENTS. THE ORGANIZATION'S SOLE MEMBER IS WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER ("WFUBMC"). THE FILING ORGANIZATION, NORTH CAROLINA BAPTIST HOSPITAL, DAVIE MEDICAL CENTER, HIGH POINT MEDICAL CENTER, WILKES REGIONAL MEDICAL CENTER, WAKE FOREST UNIVERSITY HEALTH SCIENCES (WFUHS), AND WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER ARE INTEGRAL PARTS OF WAKE FOREST BAPTIST HEALTH, A PREEMINENT, INTERNATIONALLY RECOGNIZED ACADEMIC MEDICAL CENTER OF THE HIGHEST QUALITY WITH BALANCED EXCELLENCE IN PATIENT CARE, RESEARCH AND EDUCATION. WFUHS OPERATES WAKE FOREST UNIVERSITY'S SCHOOL OF MEDICINE AND WAKE FOREST INNOVATION QUARTER (RESEARCH PARK). WAKE FOREST BAPTIST HEALTH COMPRISES 1,535 ACUTE CARE AND REHABILITATION BEDS AND OFFERS EXPERTISE IN MORE THAN 100 AREAS OF MEDICINE, ENCOMPASSING COMPREHENSIVE PREVENTIVE AND HIGHLY SPECIALIZED CARE FOR ALL AGES, AND HAS BEEN RANKED AS ONE OF "AMERICA'S TOP HOSPITALS" BY U.S. NEWS AND WORLD REPORT SINCE 1993. PART VI, LINE 7, REPORTS FILED WITH STATES NC 0 1 0 0 0 0 0 0 0 BRADLEY A CLARK DIRECTOR & TREASURER 0 675958 0 270235 0 900 0 209458 0 27994 0 1184545 0 0 WILLIAM B JAMES DIRECTOR & PRESIDENT 0 309709 0 0 0 29068 0 66284 0 21247 0 426308 0 24461 WADE MORCOM CRNA 0 245691 0 0 0 348 0 19181 0 28155 0 293375 0 0 ELIZABETH GUNTER-WOODS CRNA CLINICAL INSTRUCTOR 0 219060 0 0 0 753 0 23765 0 28721 0 272299 0 0 CHRISTOPHER WATTERS CRNA 0 227629 0 0 0 356 0 17201 0 26139 0 271325 0 0 APRIL CABLE CRNA 0 218466 0 0 0 239 0 16237 0 22979 0 257921 0 0 SHEILA CRUMB ASST CHIEF CRNA 0 201463 0 0 0 414 0 14918 0 23260 0 240055 0 0 DANNY SQUIRES FINANCE DIRECTOR 0 203322 0 0 0 774 0 14832 0 18227 0 237155 0 0 PART I, LINE 4B CERTAIN DIRECTORS AND/OR OFFICERS PARTICIPATED IN AND/OR RECEIVED PAYMENTS FROM SUPPLEMENTAL NON QUALIFIED RETIREMENT PLANS, ALL OF WHICH WERE PAID BY A RELATED ORGANIZATION, WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER, AS PART OF THE INDIVIDUAL'S COMPENSATION FROM THE RELATED ORGANIZATION. THE DETERMINATION OF THE AMOUNT OF THE NON QUALIFIED RETIREMENT PLANS FOLLOWED THE RELATED ORGANIZATION'S COMPENSATION PROCEDURES AS OUTLINED IN PART VI, SECTION B, LINE 15 OF THE FORM 990. THE FOLLOWING CURRENT AND FORMER OFFICERS RECEIVED SERP PAYMENTS IN THEIR CALENDAR YEAR 2019 COMPENSATION: WILLIAM B. JAMES $24,461 X 1 10183 FMV 0 0 1 0 FORM 990, PART III, LINE 1 LMC'S MISSION IS TO BE A MEDICAL CENTER OF CHOICE, PROMOTING HEALTH AND SERVING AS A DESTINATION FOR EXCELLENCE IN PATIENT CARE. TO MAINTAIN AND OPERATE HOSPITALS, CLINICS, AND OTHER RELATED FACILITIES TO PROVIDE FOR THE CARE AND TREATMENT OF PERSONS SUFFERING FROM ILLNESSES, INJURIES OR DISABILITIES WHICH REQUIRE HOSPITAL CARE, TO SUPPLY EQUIPMENT AND FACILITIES TO AID IN THE TREATMENT AND DIAGNOSIS OF DISEASE, TO CARRY ON EDUCATIONAL ACTIVITIES RELATED TO THE CARE OF THE SICK AND DISABLED AND THE PROMOTION OF HEALTH AND PREVENTIVE MEDICINES, TO AID IN THE INSTRUCTION AND PROMOTION OF RESEARCH AND SCIENTIFIC INVESTIGATION IN ALL BRANCHES OF MEDICINE AND SURGERY AND TO PARTICIPATE IN ANY ACTIVITY DESIGNED AND CARRIED ON TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY. FORM 990, PART IV, LINE 20B THE HOSPITAL HAS ATTACHED A COPY OF ITS CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR ITS FISCAL YEAR ENDED JUNE 30, 2020 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 HIGH POINT REGIONAL HEALTH AND AFFILIATES, LEXINGTON MEDICAL CENTER AND AFFILIATE, NORTH CAROLINA BAPTIST HOSPITAL AND AFFILIATES, WAKE FOREST UNIVERSITY HEALTH SCIENCES AND AFFILIATES, DAVIE MEDICAL CENTER, NORTHWEST COMMUNITY CARE NETWORK, INC., FAITHHEALTH INNOVATIONS, WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER (WFUBMC), WAKE FOREST HEALTH NETWORK, LLC, WILKES REGIONAL MEDICAL CENTER, AND OTHER WFUBMC AFFILIATES. ALL SIGNIFICANT INTERCOMPANY TRANSACTIONS HAVE BEEN ELIMINATED IN CONSOLIDATION. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER (WFUBMC), A NORTH CAROLINA NONPROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER (WFUBMC), THE HOSPITAL'S SOLE MEMBER, HAS THE POWER TO ELECT AND REMOVE DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS OF THE ORGANIZATION'S GOVERNING BODY WHICH REQUIRE APPROVAL BY THE SOLE MEMBER, WFUBMC, INCLUDE AMENDMENTS TO CERTAIN FUNDAMENTAL DOCUMENTS (ARTICLES OF INCORPORATION AND BYLAWS) AND ELECTION AND REMOVAL OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE FILING ORGANIZATION'S BOARD OF DIRECTORS RECEIVES COPIES OF THE FORM 990 WITH SUFFICIENT TIME TO PERMIT REVIEW, COMMENT, AND QUESTIONS PRIOR TO ITS FILING. IF MODIFICATIONS ARE REQUIRED FOLLOWING SUCH REVIEW AND COMMENT, THE REVISED FORM 990 IS REDISTRIBUTED TO ALL DIRECTORS PRIOR TO ITS FILING WITH THE IRS, ALONG WITH A REPORT NOTING THE MODIFICATIONS. FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS (AND AS THEY ARISE), ALL TRUSTEES AND OFFICERS OF THE FILING ORGANIZATION ARE ASKED TO REVIEW THE APPLICABLE CONFLICTS OF INTEREST POLICY AND TO DESCRIBE ANY POTENTIAL CONFLICTS OF INTEREST THEY MAY HAVE. UPON COMPLETION OF THE CONFLICTS OF INTEREST SURVEY, THE LEGAL DEPARTMENT REVIEWS THE COMPLETED QUESTIONNAIRES ON BEHALF OF THE FILING ORGANIZATION. ANY CONFLICTS IDENTIFIED ARE COMMUNICATED TO THE FILING ORGANIZATION'S CHAIRMAN OF THE BOARD AND ARE PRESENTED TO THE MEDICAL CENTER GOVERNANCE AND COMPENSATION COMMITTEE. ALL CONFLICTS OF INTEREST ARE RESOLVED BY MANAGEMENT PLANS DEVELOPED BY THE MEDICAL CENTER GOVERNANCE AND COMPENSATION COMMITTEE AND THE INTERNAL AUDIT AND COMPLIANCE OFFICES. THE MEDICAL CENTER GOVERNANCE AND COMPENSATION COMMITTEE'S CHAIR PRESENTS AN ANNUAL REPORT ON CONFLICTS TO THE FULL BOARD OF THE FILING ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 15 LEXINGTON MEDICAL CENTER IS AN INTEGRAL PART OF WAKE FOREST BAPTIST HEALTH, A PREEMINENT, INTERNATIONALLY RECOGNIZED ACADEMIC MEDICAL CENTER OF THE HIGHEST QUALITY WITH BALANCED EXCELLENCE IN PATIENT CARE, RESEARCH AND EDUCATION. THE FILING ORGANIZATION PAYS NO COMPENSATION TO OFFICERS, DIRECTORS AND KEY EMPLOYEES. ALL COMPENSATION PAID TO OFFICERS, DIRECTORS AND KEY EMPLOYEES WAS PAID BY A RELATED ORGANIZATION, WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER, AN ENTITY WITHIN THE WAKE FOREST BAPTIST HEALTH LEGAL STRUCTURE. COMPENSATION PAID TO THESE INDIVIDUALS ARE REVIEWED AND APPROVED IN ACCORDANCE WITH THE APPLICABLE ORGANIZATION'S COMPENSATION POLICIES AND PROCEDURES WHICH INCLUDE INDEPENDENT COMPENSATION CONSULTANTS, COMPENSATION SURVEYS AND STUDIES TO DETERMINE THE APPROPRIATENESS OF EACH OFFICER'S AND DIRECTOR'S COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE TO THE PUBLIC ON REQUEST AND ARE AVAILABLE ON THE WEBSITE OF THE NORTH CAROLINA SECRETARY OF STATE. THE ORGANIZATION'S BYLAWS ARE NOT PUBLISHED, BUT PROVISIONS FROM THE BYLAWS ARE INCLUDED AS NECESSARY IN THE ORGANIZATION'S POLICIES, AND ARE ATTACHED TO THE FORM 1023 FILED FOR THE ORGANIZATION WITH THE IRS, WHICH IS PUBLICLY AVAILABLE. THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC ON REQUEST. LEXINGTON MEDICAL CENTER FOUNDATION 250 HOSPITAL DRIVE LEXINGTON NC 27292 581876553 SUPPORTING ORGANIZATION NC 501(C)(3) LINE 12A, I LEXINGTON MEDICAL CENTER 1 WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER MEDICAL CENTER BLVD WINSTON SALEM NC 27157 510190238 HEALTHCARE NC 501(C)(3) LINE 12A, I 0 NORTHWEST COMMUNITY CARE NETWORK 2000 W 1ST STREET WINSTON SALEM NC 27104 020774853 HEALTHCARE NC 501(C)(3) LINE 7 WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER 0 FAITHHEALTH INNOVATIONS INC MEDICAL CENTER BLVD WINSTON SALEM NC 27157 237426944 HEALTHCARE NC 501(C)(3) LINE 10 WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER 0 DAVIE MEDICAL CENTER 329 NC HWY 801N BERMUDA RUN NC 27006 562276994 HEALTHCARE NC 501(C)(3) LINE 3 WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER 0 WRMC HOSPITAL OPERATING CORPORATION PO BOX 609 NORTH WILKESBORO NC 28659 830343789 HEALTHCARE NC 501(C)(3) LINE 3 WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER 0 WAKE FOREST EMERGENCY PROVIDERS MEDICAL CENTER BLVD WINSTON SALEM NC 27157 561903275 HEALTHCARE NC 501(C)(3) LINE 3 WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER 0 HIGH POINT REGIONAL HEALTH PO BOX HP-5 HIGH POINT NC 27261 560532309 HEALTHCARE NC 501(C)(3) LINE 3 WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER 0 HIGH POINT REGIONAL HEALTH FOUNDATION 601 N ELM STREET HIGH POINT NC 27261 272854711 SUPPORTING ORGANIZATION NC 501(C)(3) LINE 12A, I HIGH POINT REGIONAL HEALTH 0 MS LAND HOLDING CO LLC 1901 MOONEY STREET WINSTON SALEM NC 27103 824005370 REAL ESTATE NC N/A HIGH POINT SURGERY CENTER LLC 600 N LINDSAY STREET HIGH POINT NC 27262 561867005 HEALTHCARE NC N/A HIGH POINT HEALTH CARE VENTURES INC 601 NORTH ELM STREET HIGH POINT NC 27261 561497164 HEALTHCARE NC N/A C 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 LEXINGTON MEDICAL CENTER FOUNDATION C 644358 COST