2021-05-14T08:34:40-05:00 2020-06-30 990 2019-07-01 560532309 HIGH POINT REGIONAL HEALTH HIGH 3368786000 PO BOX HP-5 HIGH POINT NC 27261 BRADLEY A CLARK TREASURER 3368786000 2021-04-30 2019 2022-09-23 18:48:47Z JAMES HOEKSTRA MD PO BOX HP-5 HIGH POINT NC 27261 393197793 0 X WWW.WAKEHEALTH.EDU/LOCATIONS/HOSPITALS/HIGH-POINT X 1933 NC IMPROVING THE HEALTH OF OUR REGION, STATE AND NATION 23 16 0 524 0 0 2726902 8140315 369836005 380606242 6062140 474372 4162830 3904842 382787877 393125771 123130 274232 0 0 145839865 145390761 0 0 0 217422260 220749641 363385255 366414634 19402622 26711137 269105408 335177553 28929857 67991547 240175551 267186006 X HIGH POINT REGIONAL HEALTH (DBA HIGH POINT MEDICAL CENTER, AT TIMES ALSO REFERRED TO AS THE "HOSPITAL OR "HPMC 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 345292510 274232 380606242 HIGH POINT MEDICAL CENTER ("HPMC") IS 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 WAKE FOREST BAPTIST HEALTH 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. HIGH POINT MEDICAL CENTER ("HPMC") IS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS. THE SEAL OF ACCREDITATION IS ACCEPTED NATIONWIDE AS THE HIGHEST STANDARDS OF MEDICAL CARE IN PERSONNEL, EQUIPMENT, AND ORGANIZATION.DURING FISCAL YEAR 2020, THE HOSPITAL FACILITY HAD 64,081 PATIENT DAYS, WITH 14,799 INPATIENT ADMISSIONS, AND 49,819 EMERGENCY ROOM VISITS.AS PART OF WAKE FOREST BAPTIST HEALTH, HPMC'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:-COMPASSION: RESPONSIVE TO THE PHYSICAL, EMOTIONAL, SPIRITUAL, AND INTELLECTUAL NEEDS OF ALL;-SERVICE: CULTIVATE SELFLESS CONTRIBUTION FOR THE GREATER GOOD;-EXCELLENCE: DEMONSTRATE THE HIGHEST STANDARDS OF PATIENT-CENTERED CARE, EDUCATION, RESEARCH, AND OPERATIONAL EFFECTIVENESS; -INTEGRITY: DEMONSTRATE FAIRNESS, HONESTY, SINCERITY, AND ACCOUNTABILITY;-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; AND-DIVERSITY: HONOR INDIVIDUALITY AND PROTECT THE DIGNITY OF ALL.-SAFETY: EMBRACE CULTURE OF RELIABILITY THROUGH BETTER PROCESS DESIGN & ACCOUNTABILITY.DURING THE CURRENT FISCAL YEAR, HPMC RECEIVED THE MISSION: LIFELINE GOLD PLUS RECEIVING QUALITY ACHIEVEMENT AWARD AND THE MISSION: LIFELINE NSTEMI GOLD ACHIEVEMENT AWARD FOR IMPLEMENTING SPECIFIC QUALITY IMPROVEMENT MEASURES OUTLINED BY THE AMERICAN HEART ASSOCIATION FOR THE TREATMENT OF PATIENTS WHO SUFFER SEVERE HEART ATTACKS. HPMC EARNED THE AWARDS BY MEETING SPECIFIC CRITERIA AND STANDARDS OF PERFORMANCE FOR QUICK AND APPROPRIATE TREATMENT THROUGH EMERGENCY PROCEDURES TO RE-ESTABLISH BLOOD FLOW TO BLOCKED ARTERIES IN HEART ATTACK PATIENTS COMING INTO THE HOSPITAL DIRECTLY OR BY TRANSFER FROM ANOTHER FACILITY. ADDITIONALLY DURING THE FISCAL YEAR, HPMC WAS RECOGNIZED AS ONE OF THE TOP COMMUNITY CARDIOVASCULAR HOSPITALS IN THE IBM WATSON HEALTH 50 TOP CARDIOVASCULAR HOSPITALS ANNUAL STUDY. THE STUDY IDENTIFIES THE TOP U.S. ACADEMIC AND COMMUNITY HOSPITALS FOR INPATIENT CARDIOVASCULAR SERVICES BASED ON A BALANCED NATIONAL SCORECARD OF HOSPITAL PERFORMANCE METRICS. TOP PERFORMING HOSPITALS DEMONSTRATED BETTER CLINICAL CARE AND WERE MORE EFFICIENT THAN THEIR PEERS AT DELIVERING THIS CARE.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. 345292510 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 116 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 23 16 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X ERIN KOEWING 3367164445 MEDICAL CENTER BOULEVARD WINSTONSALEM NC 27157 KENNETH LENNON MD CLIN. ADJ. FACULTY 40.00 0.00 X 0 1316558 43118 BRADLEY A CLARK TREASURER 2.60 37.40 X 0 947093 237452 JAMES HOEKSTRA MD DIRECTOR/PRESIDENT 40.00 0.00 X X 816557 0 182815 J MCLAIN WALLACE JR SECRETARY 2.60 37.40 X 0 787541 162746 CATHLEEN WHEATLEY DIRECTOR 0.70 39.30 X 0 761846 167063 JERROD JOSEPH FELDER MD CLIN. ADJ. FACULTY 40.00 0.00 X 0 866213 49987 JENYUNG A CHIU MD PHYSICIAN 40.00 0.00 X 0 791220 46391 MICHAEL LUCAS MD CLIN. ADJ. FACULTY 40.00 0.00 X 0 737562 44391 MICHAEL T WAID DIRECTOR 1.10 38.90 X 0 626394 141844 NIKHIL TEPPARA MD PHYSICIAN 40.00 0.00 X 0 724206 41291 STEVEN ROHRBECK MD DIRECTOR (EFF 7/1/19) 2.00 38.00 X 0 666447 38247 PATRICIA TRIPLETT MD DIRECTOR 2.00 38.00 X 0 498742 46484 LAWRENCE WILLIAMS CMO 40.00 0.00 X 0 449440 46548 DANNY SQUIRES FINANCE DIRECTOR 19.00 21.00 X 0 204096 33059 DON WEBB CHAIRMAN 3.00 2.00 X X 0 0 0 ROYSTER TUCKER III VICE CHAIRMAN 3.00 0.00 X X 0 0 0 BRACK BRIGMAN DIRECTOR 2.00 0.00 X 0 0 0 JERRY CAMP DIRECTOR 2.00 0.00 X 0 0 0 DAVID CONGDON DIRECTOR 2.00 0.00 X 0 0 0 BRADEN COVINGTON DIRECTOR 2.00 0.00 X 0 0 0 KEVIN HIGH MD DIRECTOR 0.50 39.50 X 0 0 0 DARRELL FRYE DIRECTOR 2.00 2.00 X 0 0 0 AB HENLEY DIRECTOR (TO 7/31/19) 2.00 0.00 X 0 0 0 JEFF HORNEY DIRECTOR 2.00 0.00 X 0 0 0 ANTHONY LINDSEY MD DIRECTOR 2.00 0.00 X 0 0 0 KEN MCALLISTER DIRECTOR (TO 7/31/19) 2.00 0.00 X 0 0 0 GLEN SPIVAK DIRECTOR 2.00 0.00 X 0 0 0 LINDA SEKHON DHSC DIRECTOR 2.00 0.00 X 0 0 0 KEN SMITH DIRECTOR 2.00 3.00 X 0 0 0 KEVIN SPEIGHT MD DIRECTOR 2.00 38.00 X 0 0 0 REVEREND FRANK THOMAS DIRECTOR 2.00 0.00 X 0 0 0 LEAH PRICE DIRECTOR (EFF 7/1/19) 2.00 0.00 X 0 0 0 MATTHEW EDWARDS MD DIRECTOR 2.00 38.00 X 0 0 0 DAVID FISHER MD DIRECTOR 2.00 38.00 X 0 0 0 816557 9377358 1281436 0 0 1 1 CAROLINA ANESTHESIOLOGY PA 401 FERNDALE BLVD HIGH POINT NC 27262 HEALTHCARE SERVICES 4169600 ARAMARK CTS 2400 MARKET STREET PHILADELPHIA PA 19103 FOOD SERVICES, FACILITIES, UNIFORMS 4033611 AMN HEALTHCARE INC 2735 COLLECTION CTR DRIVE CHICAGO IL 60693 CONTRACT LABOR 2488289 CROSS COUNTRY TRAVCORPS CORPORATION PO BOX 404674 ATLANTA GA 30384 CONTRACT LABOR 1680135 SIEMENS MEDICAL SOLUTIONS USA INC 40 LIBERTY BOULEVARD MALVERN PA 19355 MAINTENANCE/REPAIR SERVICES 1352719 125 2101740 6034105 4470 8140315 PATIENT SERVICE REVENUE 621990 379856385 379856385 DIETARY REVENUE 722513 715694 715694 TUITION REVENUE 611600 34163 34163 380606242 522667 522667 3608003 0 3608003 3608003 3608003 23727 72022 0 -72022 23727 -48295 -48295 ADMIN & OTHER 561000 296839 296839 296839 393125771 380606242 0 4379214 X 132601 132601 141631 141631 2544973 1326117 1218856 113430464 104124153 9306311 5110053 4690803 419250 16915698 15416027 1499671 7389573 6783301 606272 538215 538215 14753 14753 19768 19768 265520 201476 64044 38870738 35487990 3382748 2991 2245 746 485649 459207 26442 401628 223608 178020 17104064 13872471 3231593 77649 67584 10065 143800 123174 20626 25036 20306 4730 11765284 10717068 1048216 351568 351568 MEDICAL SUPPLIES 76191056 76191056 BAD DEBT 66467028 66467028 PROVIDER ASSESSMENT 6371005 6371005 OTHER SUPPLIES 1663889 1549355 114534 -10000 -10000 366414634 345292510 21122124 0 27290599 68446557 46817944 62739445 152737 32500 6488185 6138819 808236 1208326 194510135 20687684 176569441 173822451 9672502 10468883 100001 100001 985763 959065 220000 11261506 269105408 335177553 21402294 21647966 519297 452952 7008266 45890629 28929857 67991547 X 235570667 261713568 4604884 5472438 240175551 267186006 269105408 335177553 X 26711137 346362 -47044 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 19768 19768 0 PART II-B, LINE 1: THE ORGANIZATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE NORTH CAROLINA HEALTHCARE ASSOCIATION (NCHA). A PORTION OF THE MEMBERSHIP DUES PAID ARE ALLOCATED TO LOBBYING EFFORTS BY THOSE ORGANIZATIONS ON BEHALF OF THEIR MEMBERSHIP BODIES. 15028361 7749 15036110 15015406 12955 15028361 14994445 20961 15015406 14987330 7115 14994445 14927143 60187 14987330 1.00000 0 1 1 13980000 13980000 135152402 9307345 125845057 1742973 297309 1445664 38245746 11027882 27217864 5389014 55148 5333866 173822451 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 31808734 OTHER LIABILITIES 2530519 OPERATING LEASE LIABILITY 11551376 45890629 X 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 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 FOR-PROFIT SUBSIDIARIES. 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 5077714 0 5077714 0.01690 37760203 32980498 4779705 0.01590 8657790 6702054 1955736 0.00650 51495707 39682552 11813155 0.03930 267327 0 267327 0.00090 50649 0 50649 0.00020 135401 0 135401 0.00050 453377 453377 0.00160 51949084 39682552 12266532 0.04090 1 14538015 126310562 144500153 -18189591 X 1 1 1 HIGH POINT SURGERY CENTER AMBULATORY SURGERY 0.90000 0.00000 0.10000 1 1 HIGH POINT REGIONAL HEALTH 601 NORTH ELM STREET HIGH POINT NC 27262 X X X DISPROPORTIONATE SHARE HOSPITAL HIGH POINT REGIONAL HEALTH 1 0 0 1 X X X X X X X X X 18 1 1 1 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 WWW.WAKEHEALTH.EDU/PATIENT-AND-FAMILY-RESOURCES/BILLING-AND-INSURANCE/FINAN X WWW.WAKEHEALTH.EDU/PATIENT-AND-FAMILY-RESOURCES/BILLING-AND-INSURANCE/FINAN X WWW.WAKEHEALTH.EDU/PATIENT-AND-FAMILY-RESOURCES/BILLING-AND-INSURANCE/FINAN X X X X X X X 1 X 0 X X X X 1 X 0 0 HIGH POINT REGIONAL HEALTH 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. HIGH POINT REGIONAL HEALTH PART V, SECTION B, LINE 6A: THE HOSPITAL'S MOST RECENT CHNA WAS CONDUCTED IN COLLABORATION WITH CONE HOSPITAL. HIGH POINT REGIONAL HEALTH 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 HIGH POINT REGIONAL HEALTH 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 HIGH POINT REGIONAL HEALTH 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.HIGH POINT MEDICAL CENTER ("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. HPMC PLANS TO PROVIDE COMMUNITY BENEFIT PROGRAMS RESPONSIVE TO THESE HEALTH NEEDS THROUGH ITS APPROVED CHNA IMPLEMENTATION STRATEGY. THE 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-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. -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.-HPMC COLLABORATES WITH VARIOUS AGENCIES TO DETERMINE ADDITIONAL RESOURCES AND TO ASSESS NEEDS THROUGHOUT GREATER HIGH POINT.2. SOCIAL DETERMINANTS OF HEALTH-HPMC CONNECTS WITH COMMUNITY RESOURCES INCLUDING THE UNITED WAY JOBS PROGRAM TO FOSTER EDUCATION AND CONNECT APPLICANTS WITH JOB OPPORTUNITIES.-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.-HPMC UTILIZES FAITHHEALTH, A DIVISION OF WAKE FOREST BAPTIST HEALTH, 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-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.-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.-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-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.-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. HIGH POINT REGIONAL HEALTH 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. HIGH POINT REGIONAL HEALTH PART V, SECTION B, LINE 16J: IN ADDITION TO THE METHODS PREVIOUSLY DESCRIBED, HIGH POINT MEDICAL CENTER 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. 7 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 - HPMC 601 N ELM STREET HIGH POINT NC 27262 WOUND CARE 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 NET PATIENT SERVICE REVENUE OF PRIVATE HOSPITALS. THE FEDERAL GOVERNMENT MATCHES THE ASSESSMENT AT A RATE OF NEARLY 2 TO 1, AND THESE AMOUNTS ARE ALLOCATED TO NORTH CAROLINA HOSPITALS ON A QUARTERLY BASIS. ADDITIONALLY, THE HOSPITAL PARTICIPATES IN THE NORTH CAROLINA MEDICAID REIMBURSEMENT INITIATIVE (MRI). UNDER THE MRI, THE HOSPITAL RECEIVES ADDITIONAL REIMBURSEMENT BASED ON MEDICAID COST DEFICITS AND TREATMENT OF A DISPROPORTIONATE SHARE OF UNINSURED PATIENTS. PART I, LN 7 COL(F): THE ORGANIZATION'S PATIENT BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENTS WAS $66,022,432 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: HIGH POINT MEDICAL CENTER ("HPMC") HAS MAINTAINED A STRONG COMMITMENT OT PROMOTING AND EXPANDING COMMUNITY HEALTH PROGRAMS IN GUILFORD COUNTY AND SURROUNDING AREAS. THE HOSPITAL PROMOTES THE HEALTH OF THE COMMUNITY IT SERVES BY SPONSORING A WIDE ARRAY OF FREE HEALTH EDUCATION OPPORTUNITIES FOR COMMUNITY MEMBERS AND BY SUPPORTING ORGANIZATIONS THAT PROVIDE SERVICES INVOLVED WITH ECONOMIC DEVELOPMENT AND COMMUNITY SUPPORT. HPMC OPERATES MILLIS HEALTH EDUCATION CENTER, WHICH IS A HEALTH EDUCATION FACILITY SPECIFICALLY DESIGNED TO GIVE CHILDREN A HANDS-ON APPROACH TO HEALTH EDUCATION. MILLIS 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 MILLIS 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.HPMC OPERATES HAYWORTH CANCER CENTER, WHICH PROVIDES RESOURCES TO IDENTIFY SUPPORT GROUPS FOR VARIOUS PHYSICAL HEALTH CONDITIONS SUCH AS ALZHEIMER'S, ALS, CANCER, DIABETES, EPILEPSY, HEART/STROKE, MOVEMENT DISORDERS, PARKINSON'S, PSORIASIS, PULMONARY HYPERTENSION, BARIATRICS, OSTOMY, AND TRAUMA, AS WELL AS MENTAL HEALTH SUPPORT FOR GRIEF AND CAREGIVING. CANCERFITT AT HPMC HAYWORTH CANCER CENTER IS A 12-WEEK SUPERVISED GROUP EXERCISE PROGRAM DESIGNED SPECIFICALLY FOR CANCER PATIENTS, PROVIDING PROGRESSIVE CARDIOVASCULAR, STRENGTH AND FLEXIBILITY EXERCISES AND OPPORTUNITIES FOR GUIDED RELAXATION TECHNIQUES. PARTICIPANTS IN THIS PROGRAM HAVE FULL ACCESS TO THE FITNESS CENTER AT HPMC DURING OPERATING HOURS. ADDITIONALLY, WOMEN'S WELLNESS SESSIONS ARE HELD MONTHLY AND AVAILABLE FOR ANY WOMAN DIAGNOSED WITH CANCER. PATIENTS DIAGNOSED WITH BREAST CANCER (AND THEIR FAMILY MEMBERS) CAN UTILIZE AN AFTER BREAST CANCER EXERCISE/EDUCATION CLASS TAUGHT BY A PHYSICAL THERAPIST. 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. EACH SUMMER, HAYWORTH CANCER CENTER SPONSORS A CANCER SURVIVOR'S DAY CELEBRATION FEATURING EDUCATIONAL OFFERINGS AND PRESENTATIONS BY INSPIRATIONAL CANCER SURVIVORS.HPMC OPERATES THE ESTHER R. CULP WOMEN'S CENTER, WHICH OFFERS REGULAR EXPECTANT PARENTING CLASSES, AS WELL AS EXPECTANT PARENT AND FAMILY TOURS. ADDITIONALLY, MOMMY AND ME CLASSES, OFFERED FREE OF CHARGE FOR MOMS AND THEIR BABIES 0-8 MONTHS OLD, ARE PRESENTED BY NURSES, LACTATION CONSULTANTS, AND GUEST SPEAKERS. 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.ADDITIONALLY, THE HOSPITAL PROVIDES DIRECT ASSISTANCE 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. HPMC, AS AN AFFILIATE OF WAKE FOREST BAPTIST HEALTH ("WFBH"), OFFERS VARIOUS MEDICAL CENTER WIDE PROGRAMS LOCALLY IN GUILFORD COUNTY AND SURROUNDING AREAS, INCLUDING BESTHEALTH EDUCATION CLASSES, COMMUNITY COOKING CLASSES, AND OTHER HEALTH EDUCATION EVENTS LOCALLY THROUGHOUT THE YEAR. ADDITIONALLY, WFBH PROVIDES ATHLETIC TRAINERS THAT WORK FULL-TIME IN GUILFORD COUNTY SCHOOLS. 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 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: HIGH POINT MEDICAL CENTER ("HPMC"), LOCATED IN SOUTHERN GUILFORD COUNTY, PROVIDES CARE TO A FOUR COUNTY SERVICE AREA IN NORTH CAROLINA. 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: A MAJORITY OF THE HOSPITAL'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE PRIMARY SERVICE AREA, AND WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS OR BUSINESS ASSOCIATES OF SUCH PERSONS. 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. PART VI, LINE 6: HIGH POINT MEDICAL CENTER ("HPMC") OPERATES AS A STAND-ALONE COMMUNITY HOSPITAL. THE ORGANIZATION'S SOLE MEMBER IS WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER ("WFUBMC").THE FILING ORGANIZATION, NORTH CAROLINA BAPTIST HOSPITAL, WILKES MEDICAL CENTER, LEXINGTON MEDICAL CENTER, DAVIE 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, 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 1 BUSINESS HIGH POINT INC (DBA HIGH POINT CHAMBER OF COMMERCE) PO BOX 5025 HIGH POINT NC 27262 560473292 501(C)(6) 20500 COMMUNITY SUPPORT THE COMMUNITY CLINIC OF HIGH POINT INC PO BOX 5607 HIGH POINT NC 27262 561795022 501(C)(3) 75901 SUPPORT FOR HEALTHCARE OF INDIGENT POPULATION HIGH POINT CONVENTION & VISITORS BUREAU PO BOX 2273 HIGH POINT NC 27261 561923880 501(C)(6) 10000 COMMUNITY SUPPORT 1 2 HEARTSTRIDES 26 39266 DIRECT PATIENT ASSISTANCE (LOVELINE) 4868 102365 PART I, LINE 2: THE HOSPITAL FOLLOWS THE MEDICAL CENTER'S CORPORATE POLICY USED IN REVIEWING THE ELIGIBILITY AND SELECTION OF GRANTEES RECEIVING CERTAIN EXEMPT PURPOSE FUNDS. THE HOSPITAL MAINTAINS DOCUMENTATION OF THE ELIGIBILITY AND SELECTION CRITERIA AND RECORDS OF THE AMOUNTS DISBURSED. 0 1 0 0 0 0 0 0 0 KENNETH LENNON MD CLIN. ADJ. FACULTY 0 1266995 0 49149 0 414 0 21213 0 21905 0 1359676 0 0 BRADLEY A CLARK TREASURER 0 675958 0 270235 0 900 0 209458 0 27994 0 1184545 0 0 JAMES HOEKSTRA MD DIRECTOR/PRESIDENT 579832 0 181500 0 55225 0 160545 0 22270 0 999372 0 30285 0 J MCLAIN WALLACE JR SECRETARY 0 511009 0 165720 0 110812 0 147473 0 15273 0 950287 0 87942 CATHLEEN WHEATLEY DIRECTOR 0 560837 0 180000 0 21009 0 158473 0 8590 0 928909 0 15531 JERROD JOSEPH FELDER MD CLIN. ADJ. FACULTY 0 808746 0 38305 0 19162 0 21213 0 28774 0 916200 0 0 JENYUNG A CHIU MD PHYSICIAN 0 643475 0 144846 0 2899 0 21213 0 25178 0 837611 0 0 MICHAEL LUCAS MD CLIN. ADJ. FACULTY 0 679843 0 38305 0 19414 0 21213 0 23178 0 781953 0 0 MICHAEL T WAID DIRECTOR 0 424472 0 136590 0 65332 0 114488 0 27356 0 768238 0 44262 NIKHIL TEPPARA MD PHYSICIAN 0 721244 0 0 0 2962 0 15613 0 25678 0 765497 0 0 STEVEN ROHRBECK MD DIRECTOR (EFF 7/1/19) 0 604341 0 39439 0 22667 0 21213 0 17034 0 704694 0 0 PATRICIA TRIPLETT MD DIRECTOR 0 495025 0 0 0 3717 0 20126 0 26358 0 545226 0 0 LAWRENCE WILLIAMS CMO 0 429252 0 0 0 20188 0 21213 0 25335 0 495988 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 EXECUTIVES PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN (SERP) AND/OR RECEIVED PAYMENTS FROM THEIR SERP. THE DETERMINATION OF THE AMOUNT OF THE NON QUALIFIED RETIREMENT PLANS FOLLOWED THE RELATED ORGANIZATIONS' COMPENSATION PROCEDURES AS OUTLINED IN PART VI, SECTION B, LINE 15 OF THEIR FORMS 990. THE FOLLOWING CURRENT OR FORMER DIRECTORS AND OFFICERS RECEIVED SERP PAYMENTS IN THEIR CALENDAR YEAR 2019 COMPENSATION: J. MCLAIN WALLACE, JR. $87,942 MICHAEL WAID $44,262 CATHLEEN WHEATLEY, DNP $15,531 JAMES HOEKSTRA, MD $30,285 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 HOSPITAL. SEE PART VII AND SCHEDULE J, PART II FOR HIS COMPENSATION. JAMES HOEKSTRA, MD 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, 2019 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, 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 HIGH POINT 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 IS 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 IS REVIEWED AND APPROVED IN ACCORDANCE WITH THE APPLICABLE ORGANIZATION'S COMPENSATION POLICIES AND PROCEDURES WHICH INCLUDE INDEPENDENT COMPENSATION CONSULTANTS, COMPENSATION SURVEYS AND STUDIES TO DETERMINE THE APPROPRIATENESS OF EACH OFFICER'S AND DIRECTOR'S COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE TO THE PUBLIC ON REQUEST AND ARE AVAILABLE ON THE WEBSITE OF THE NORTH CAROLINA SECRETARY OF STATE. THE ORGANIZATION'S BYLAWS ARE NOT PUBLISHED, BUT PROVISIONS FROM THE BYLAWS ARE INCLUDED AS NECESSARY IN THE ORGANIZATION'S POLICIES, AND ARE ATTACHED TO THE FORM 1023 FILED FOR THE ORGANIZATION WITH THE IRS, WHICH IS PUBLICLY AVAILABLE. THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC ON REQUEST. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 35,487,990. MANAGEMENT AND GENERAL EXPENSES 3,382,748. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 38,870,738. FORM 990, PART XI, LINE 9: AFFILIATE GAINS/( LOSSES) -47,044. 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