LEXINGTON MEDICAL CENTER: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: LEXINGTON MEDICAL CENTER (EIN 56-0543238)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-07-14
IRS object ID: 202011969349302386
Schema version: 2018v3.2
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 M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-07-14T10:47:49-05:00	ReturnTs
Tax Period End	2019-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	560543238	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LEXINGTON MEDICAL CENTER	BusinessNameLine1Txt

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1817 250 HOSPITAL DRIVE	AddressLine1Txt
City	LEXINGTON	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	272931817	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	BRADLEY A CLARK	PersonNm
Person Title	TREASURER	PersonTitleTxt
Phone	3362485161	PhoneNum
Signature	2020-07-08	SignatureDt

Field	Value	IRS element (for citing)
Preparer Person		PreparerPersonGrp

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	152.11.92.106	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-07-08	IPDt
IP Tm	08:30:58	IPTm
IP Timezone	ED	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	92F11F32722E8792293CAF8DF02A44B038BF976A	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-09-23 17:36:50Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	WILLIAM B JAMES	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1817 250 HOSPITAL DRIVE	AddressLine1Txt
City	LEXINGTON	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	272931817	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$119,722,546	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.LEXINGTON.WAKEHEALTH.EDU	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1954	FormationYr
Legal Domicile State	NC	LegalDomicileStateCd
Activity Or Mission	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.	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	57	TotalVolunteersCnt
Total Gross UBI	$3,426,227	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$379,539	PYContributionsGrantsAmt
CY Contributions Grants	$837,151	CYContributionsGrantsAmt
PY Program Service Revenue	$111,814,979	PYProgramServiceRevenueAmt
CY Program Service Revenue	$118,535,095	CYProgramServiceRevenueAmt
PY Investment Income	-$8,420	PYInvestmentIncomeAmt
CY Investment Income	-$26,113	CYInvestmentIncomeAmt
PY Other Revenue	$313,023	PYOtherRevenueAmt
CY Other Revenue	$345,674	CYOtherRevenueAmt
PY Total Revenue	$112,499,121	PYTotalRevenueAmt
CY Total Revenue	$119,691,807	CYTotalRevenueAmt
PY Grants And Similar Paid	$21,750	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$32,500	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$46,350,317	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$48,173,218	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$53,994,260	PYOtherExpensesAmt
CY Other Expenses	$56,067,101	CYOtherExpensesAmt
PY Total Expenses	$100,366,327	PYTotalExpensesAmt
CY Total Expenses	$104,272,819	CYTotalExpensesAmt
PY Revenues Less Expenses	$12,132,794	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$15,418,988	CYRevenuesLessExpensesAmt
Total Assets BOY	$101,225,676	TotalAssetsBOYAmt
Total Assets EOY	$117,467,580	TotalAssetsEOYAmt
Total Liabilities BOY	$7,896,957	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$8,719,873	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$93,328,719	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$108,747,707	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	LEXINGTON MEDICAL CENTER IS PART OF WAKE FOREST BAPTIST HEALTH, A PREEMINENT LEARNING HEALTH SYSTEM THAT PROMOTES BETTER HEALTH FOR ALL THROUGH COLLABORATION, EXCELLENCE AND INNOVATION. OUR 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.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$91,346,752	ExpenseAmt
Grant	$32,500	GrantAmt
Revenue	$115,441,542	RevenueAmt
Desc	LEXINGTON MEDICAL CENTER OPERATES A HOSPITAL, CLINICS AND OTHER RELATED FACILITIES TO EDUCATE, DIAGNOSE AND PROVIDE CARE AND TREATMENT TO THE RESIDENTS OF DAVIDSON COUNTY, NORTH CAROLINA AND SURROUNDING AREAS. LEXINGTON MEDICAL CENTER IS A 94 ACUTE CARE BED HOSPITAL AND SERVES AS A SATELLITE PROVIDER OF WAKE FOREST BAPTIST HEALTH SPECIALTY SERVICES INCLUDING DIGESTIVE HEALTH, ENT HEAD AND NECK SURGERY, AMONG OTHERS. 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. IN ADDITION, THE MEDICAL CENTER OPERATES 15 PHYSICIAN PRACTICES. DURING FISCAL YEAR 2019, THE HOSPITAL FACILITY HAD 12,087 PATIENT DAYS, INCLUDING 3,637 INPATIENT ADMISSIONS, AND 37,362 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 & ACCOUNTABILITY	Desc
Total Program Service Expenses	$91,346,752	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
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
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	0	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	42	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
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	17	GoverningBodyVotingMembersCnt
Independent Voting Member	15	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JOSEPH DOLAN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
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	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
JOHN FRANK
DIRECTOR & VICE CHAIR (TO 12/31/18)	4.00	Yes (X)	Yes (X)	$0	$0	$0
GORDON KAMMIRE MD
DIRECTOR	2.00	Yes (X)		$0	$0	$0
KAYE LEONARD
DIRECTOR & CHAIR (FROM 1/1/19)	4.00	Yes (X)	Yes (X)	$0	$0	$0
TAMMY ABSHER
DIRECTOR (FROM 1/1/19)	2.00	Yes (X)		$0	$0	$0
MICHAEL HOLSHOUSER
DIRECTOR (FROM 1/1/19)	2.00	Yes (X)		$0	$0	$0
SAMANTHA OGLE
DIRECTOR (FROM 1/1/19)	2.00	Yes (X)		$0	$0	$0
JAMES HOEKSTRA MD
DIRECTOR (TO 8/31/18)	2.00	Yes (X)		$0	$0	$0
NINA SMITH
DIRECTOR (FROM 1/1/19)	2.00	Yes (X)		$0	$0	$0
THOMPSON MILLER
DIRECTOR & CHAIR (TO 12/31/18)	4.00	Yes (X)	Yes (X)	$0	$0	$0
KEVIN P HIGH MD
DIRECTOR	0.30	Yes (X)		$0	$0	$0	5.30
ROSE MCDANIEL
DIRECTOR	2.00	Yes (X)		$0	$0	$0
LEON RIVES
DIRECTOR (FROM 1/1/19)	2.00	Yes (X)		$0	$0	$0
REV DR RAY HOWELL
DIRECTOR & VICE CHAIR (FROM 1/1/19)	4.00	Yes (X)	Yes (X)	$0	$0	$0
DEBBY BROWN
DIRECTOR	2.00	Yes (X)		$0	$0	$0
DAVID HOLDER MD
DIRECTOR	2.00	Yes (X)		$0	$0	$0
KATRINA CRAVEN
DIRECTOR	2.00	Yes (X)		$0	$0	$0
SARA DELAPP
DIRECTOR (TO 12/31/18)	2.00	Yes (X)		$0	$0	$0	2.00
LILLIAN KOONTZ
DIRECTOR	2.00	Yes (X)		$0	$0	$0
CHUCK MILLER
DIRECTOR	2.00	Yes (X)		$0	$0	$0
BRADLEY A CLARK
DIRECTOR & TREASURER	0.30	Yes (X)	Yes (X)	$0	$775,777	$178,754	39.70
WILLIAM B JAMES
DIRECTOR & PRESIDENT	38.00	Yes (X)	Yes (X)	$0	$383,088	$89,463	2.00
KAREN CRAVER
DIRECTOR (TO 12/31/18)	2.00	Yes (X)		$0	$110,239	$13,949	38.00
DENISE SNIDER
SECRETARY	40.00		Yes (X)	$0	$66,556	$13,580	0.00
DANNY SQUIRES
FINANCE DIRECTOR	20.00			$0	$181,531	$31,546	20.00	Yes (X)
APRIL CABLE
CRNA	40.00			$0	$208,133	$37,686	0.00		Yes (X)
CHRISTOPHER WATTERS
CRNA	40.00			$0	$215,385	$42,356	0.00		Yes (X)
WADE MORCOM
CRNA	40.00			$0	$255,505	$43,647	0.00		Yes (X)
ELIZABETH GUNTER-WOODS
CRNA CLINICAL INSTRUCTOR	40.00			$0	$221,181	$49,100	0.00		Yes (X)
SHEILA CRUMB
ASST CHIEF CRNA	40.00			$0	$202,016	$38,417	0.00		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,619,411	TotReportableCompRltdOrgAmt
Total Other Compensation	$538,498	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	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
AMN HEALTHCARE INC
1411 PLAZA WEST DR	WINSTON SALEM	NC	27103	HEALTHCARE STAFFING	$1,058,318
DEPUY JOINT RECONSTRUCTION
5972 COLLECTIONS CENTER DRIVE	CHICAGO	IL	60693	MEDICAL SUPPLIES	$758,556
HOWMEDICA OSTEONICS CORP
325 CORPORATE DR	MAHWAH	NJ	07430	MEDICAL DEVICES	$752,256
MEDLINE INDUSTRIES INC
1 MEDLINE PLACE	MUNDELEIN	IL	60060	MEDICAL DEVICES	$698,484
SODEXO INC & AFFILIATES
PO BOX 536922	ATLANTA	GA	303536922	CONTRACT SERVICES	$639,631

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	25	CntrctRcvdGreaterThan100KCnt
Related Organizations	$139,526	RelatedOrganizationsAmt
All Other Contributions	$697,625	AllOtherContributionsAmt
Noncash Contributions	$135,819	NoncashContributionsAmt
Total Contributions	$837,151	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT SERVICE REVENUE	Desc
Business	621990	BusinessCd
Total Revenue Column	$118,535,095	TotalRevenueColumnAmt
Related Or Exempt Func Income	$115,108,868	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,426,227	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$118,535,095	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,626	TotalRevenueColumnAmt
Exclusion	$4,626	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$13,000	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	$13,000	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,000	TotalRevenueColumnAmt
Exclusion	$13,000	ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$30,739	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$30,739	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$30,739	TotalRevenueColumnAmt
Exclusion	-$30,739	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
DIETARY	621990	$325,241	$325,241
OTHER	621990	$7,433	$7,433

Field	Value	IRS element (for citing)
Other Revenue Total	$332,674	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$119,691,807	TotalRevenueColumnAmt
Related Or Exempt Func Income	$115,441,542	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,426,227	UnrelatedBusinessRevenueAmt
Exclusion	-$13,113	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$32,500	TotalAmt
Program Services	$32,500	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$578,415	TotalAmt
Program Services	$358,617	ProgramServicesAmt
Management And General	$219,798	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$37,783,084	TotalAmt
Program Services	$28,436,534	ProgramServicesAmt
Management And General	$9,346,550	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,647,348	TotalAmt
Program Services	$1,235,511	ProgramServicesAmt
Management And General	$411,837	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$5,978,659	TotalAmt
Program Services	$4,437,090	ProgramServicesAmt
Management And General	$1,541,569	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,185,712	TotalAmt
Program Services	$1,639,284	ProgramServicesAmt
Management And General	$546,428	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$691,213	TotalAmt
Program Services	$613,779	ProgramServicesAmt
Management And General	$77,434	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$10,838	TotalAmt
Program Services	$10,838	ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$159,615	TotalAmt
Program Services	$103,750	ProgramServicesAmt
Management And General	$55,865	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$9,705,447	TotalAmt
Program Services	$9,673,494	ProgramServicesAmt
Management And General	$31,953	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$489,105	TotalAmt
Program Services	$420,647	ProgramServicesAmt
Management And General	$68,458	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$367,818	TotalAmt
Program Services	$239,082	ProgramServicesAmt
Management And General	$128,736	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,568,993	TotalAmt
Program Services	$2,328,095	ProgramServicesAmt
Management And General	$240,898	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$72,879	TotalAmt
Program Services	$60,839	ProgramServicesAmt
Management And General	$12,040	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$11,987	TotalAmt
Program Services	$8,012	ProgramServicesAmt
Management And General	$3,975	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$4,034,881	TotalAmt
Program Services	$4,034,881	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$245,581	TotalAmt
Program Services	$152,260	ProgramServicesAmt
Management And General	$93,321	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL & OTHER SUPPLIE	$21,768,333	$21,621,128	$147,205
BAD DEBTS	$13,196,330	$13,196,330
PROVIDER ASSESSMENT TAX	$2,744,081	$2,744,081

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$104,272,819	TotalAmt
Program Services	$91,346,752	ProgramServicesAmt
Management And General	$12,926,067	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$20,004,884	BOYAmt
EOY	$4,886	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$32,192,286	BOYAmt
EOY	$5,897,588	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$10,630,179	BOYAmt
EOY	$11,809,269	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,928,327	BOYAmt
EOY	$1,930,143	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$60,508	BOYAmt
EOY	$24,743	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$103,929,885	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$57,605,017	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$21,946,121	BOYAmt
EOY	$46,324,868	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$419,561	BOYAmt
EOY	$419,561	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$14,043,810	BOYAmt
EOY	$51,056,522	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$101,225,676	BOYAmt
EOY	$117,467,580	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$7,896,957	BOYAmt
EOY	$8,719,873	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$7,896,957	BOYAmt
EOY	$8,719,873	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$93,304,801	BOYAmt
EOY	$108,723,789	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$23,918	BOYAmt
EOY	$23,918	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$93,328,719	BOYAmt
EOY	$108,747,707	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$101,225,676	BOYAmt
EOY	$117,467,580	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$15,418,988	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	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	$10,838	OtherActivitiesAmt
Total Lobbying Expenditures	$10,838	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 HOSPITAL ASSOCIAITON (NCHA). A PORTION OF THE MEMBERSHIP DUES PAID ARE ALLOCATED TO LOBBYING EFFORTS BY THOSE ORGANIZATIONS ON BEHALF OF THEIR MEMBERSHIP BODIES.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,957,734	OtherCostOrOtherBasisAmt
Book Value	$1,957,734	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$42,356,015	OtherCostOrOtherBasisAmt
Depreciation	$33,232,746	DepreciationAmt
Book Value	$9,123,269	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$33,064,695	OtherCostOrOtherBasisAmt
Depreciation	$24,372,271	DepreciationAmt
Book Value	$8,692,424	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$26,551,441	OtherCostOrOtherBasisAmt
Book Value	$26,551,441	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$46,324,868	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
OTHER ASSETS	$98,076
INTERCOMPANY RECEIVABLE	$50,958,446

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$51,056,522	TotalBookValueOtherAssetsAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION HAS EVALUATED UNCERTAIN TAX POSITIONS FOR ITS FISCAL YEARS ENDED JUNE 30, 2018 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, 2018 AND 2019.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,055,053	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,055,053	NetCommunityBenefitExpnsAmt
Total Expense	0.03350	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,212,733	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,865,410	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,226,784	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,993,988	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$232,796	NetCommunityBenefitExpnsAmt
Total Expense	0.00260	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,494,570	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,859,398	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,287,849	NetCommunityBenefitExpnsAmt
Total Expense	0.03610	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$106,629	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$106,629	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$747,659	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$747,659	NetCommunityBenefitExpnsAmt
Total Expense	0.00820	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$854,288	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$854,288	NetCommunityBenefitExpnsAmt
Total Expense	0.00940	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,348,858	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,859,398	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,142,137	NetCommunityBenefitExpnsAmt
Total Expense	0.04550	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$2,835,656	BadDebtExpenseAmt
Reimbursed By Medicare	$39,830,283	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$40,281,512	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$451,229	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LEXINGTON MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	250 HOSPITAL DRIVE	AddressLine1Txt
City	LEXINGTON	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27292	ZIPCd

Field	Value	IRS element (for citing)
State License	H0027	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	LEXINGTON MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	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	18	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	HTTP://LEXINGTON.WAKEHEALTH.EDU/BILLING/FINANCIAL-ASSISTANCE.HTM	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTP://LEXINGTON.WAKEHEALTH.EDU/BILLING/FINANCIAL-ASSISTANCE.HTM	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTP://LEXINGTON.WAKEHEALTH.EDU/BILLING/FINANCIAL-ASSISTANCE.HTM	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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.

Field	Value	IRS element (for citing)
Facility	15	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (15 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
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

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 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 2018 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 $13,196,330 FOR THE FISCAL YEAR ENDED JUNE 30, 2019. THIS AMOUNT IS NOT INCLUDED IN THE CALCULATION OF CHARITY CARE FOR PART I, LINE 7.
PART II, COMMUNITY BUILDING ACTIVITIES:	WAKE FOREST BAPTIST HEALTH LEXINGTON MEDICAL CENTER IS COMMITTED TO IMPROVING THE HEALTH OF THE INDIGENT AND MEDICALLY UNDERSERVED IN DAVIDSON COUNTY. THE HOSPITAL PARTNERS WITH DAVIDSON MEDICAL MINISTRIES (A FREE CLINIC FOR THE INDIGENT) AND THE DAVIDSON COUNTY HEALTH DEPARTMENT TO ADDRESS THE GROWING HEALTH NEEDS OF THE UNINSURED AND THE UNDERINSURED. THE HOSPITAL PROVIDES ALL DIAGNOSTIC TESTING AT NO COST FOR DAVIDSON MEDICAL MINISTRIES' CLIENTS AND CONDUCTS VARIOUS HEALTH SCREENINGS AT NO COST FOR THE CLINIC. 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. DURING 2018, THE NORTH CAROLINA BREASTFEEDING COALITION(NCBC) AWARDED LEXINGTON MEDICAL CENTER WITH THE GOLDEN BOW AWARD IN RECOGNITION OF OUTSTANDING EFFORTS TO SUPPORT BREASTFEEDING. LEXINGTON MEDICAL CENTER ALSO PARTICIPATED IN CAMP MED, A HANDS ON SUMMER LEARNING PROGRAM FOR HIGH SCHOOL STUDENTS INTERESTED IN HEALTH CAREERS.
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 2018 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. IN FEBRUARY 2019, LEXINGTON MEDICAL CENTER LAUNCHED ITS 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. IN JUNE 2018, LEXINGTON MEDICAL CENTER BROKE GROUND ON A NEW 26,500 SQUARE FOOT, STATE OF THE ART SURGICAL FACILITY THAT WILL INCLUDE FOUR FULLY DIGITAL OPERATING ROOMS THAT CAN ACCOMMODATE VARIOUS TYPES OF PROCEDURES AND SPECIALTIES. CONSTRUCTION OF THE $31.5 MILLION SURGICAL CENTER CONTINUED DURING 2019 AND EVENTUAL COMPLETION OF THE PROJECT WILL MARK LMC'S COMMITMENT TO THE FUTURE HEALTH CARE OF THE COMMUNITY. ADDITIONALLY IN FISCAL YEAR 2019, LEXINGTON MEDICAL CENTER BECAME THE FIRST HOSPITAL IN DAVIDSON COUNTY TO PROVIDE AROUND-THE-CLOCK CRITICAL MONITORING OF ICU PATIENTS BY BOARD-CERTIFIED INTENSIVIST PHYSICIANS AND DOCTORS SPECIALLY TRAINED IN CRITICAL CARE VIA TELE-ICU SERVICES. TELEPSYCHIATRY AND TELENEUROLOGY SERVICES ARE ALSO CURRENTLY BEING OFFERED BY THE HOSPITAL AND UTILIZE VIDEO AND COMPUTER CONNECTIONS TO ALLOW SPECIALISTS IN OTHER WAKE FOREST BAPTIST HEALTH LOCATIONS TO ASSESS PATIENTS TO DETERMINE THE MOST APPROPRIATE CARE.
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 REGIONAL HEALTH, WILKES REGIONAL MEDICAL CENTER, WAKE FOREST UNIVERSITY HEALTH SCIENCES, 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 THE UNIVERSITY'S SCHOOL OF MEDICINE AND WAKE FOREST INNOVATION QUARTER (RESEARCH PARK). THE MEDICAL CENTER 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. WAKE FOREST BAPTIST MEDICAL CENTER 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

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	DAVIDSON MEDICAL MINISTRIES CLINIC INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 584	AddressLine1Txt
City	LEXINGTON	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27293	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	561746266	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$10,000	CashGrantAmt
Purpose Of Grant	COMMUNITY SUPPORT	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THE HOSPITAL FOLLOWS THE MEDICAL CENTER'S CORPORATE POLICY USED IN REVIEWING THE ELIGIBILITY AND SELECTION OF GRANTEES RECEIVING CERTAIN EXEMPT PURPOSE FUNDS. THE HOSPITAL MAINTAINS DOCUMENTATION OF THE ELIGIBILITY AND SELECTION CRITERIA AND RECORDS OF THE AMOUNTS DISBURSED.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	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 (8 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
DIRECTOR & TREASURER	$0	$591,354	$0	$183,583	$0	$840	$0	$155,477	$0	$23,277	$0	$954,531	$0	$0
WILLIAM B JAMES
DIRECTOR & PRESIDENT	$0	$307,542	$0	$70,952	$0	$4,594	$0	$69,064	$0	$20,399	$0	$472,551	$0	$0
DANNY SQUIRES
FINANCE DIRECTOR	$0	$172,962	$0	$7,907	$0	$662	$0	$14,888	$0	$16,658	$0	$213,077	$0	$0
APRIL CABLE
CRNA	$0	$207,901	$0	$0	$0	$232	$0	$17,473	$0	$20,213	$0	$245,819	$0	$0
CHRISTOPHER WATTERS
CRNA	$0	$215,040	$0	$0	$0	$345	$0	$18,584	$0	$23,772	$0	$257,741	$0	$0
WADE MORCOM
CRNA	$0	$255,165	$0	$0	$0	$340	$0	$22,486	$0	$21,161	$0	$299,152	$0	$0
ELIZABETH GUNTER-WOODS
CRNA CLINICAL INSTRUCTOR	$0	$220,443	$0	$0	$0	$738	$0	$26,143	$0	$22,957	$0	$270,281	$0	$0
SHEILA CRUMB
ASST CHIEF CRNA	$0	$201,605	$0	$0	$0	$411	$0	$17,131	$0	$21,286	$0	$240,433	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 4B	FormAndLineReferenceDesc
Explanation	CERTAIN OFFICERS OF THE FILING ORGANIZATION PARTICIPATED IN SUPPLEMENTAL NON QUALIFIED RETIREMENT PLANS (SERP), 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.	ExplanationTxt

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	4	ContributionCnt
Noncash Contributions Rpt F990	$135,819	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 (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.

Schedule R IRS990ScheduleR

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	Direct Controlling NADirectControllingNACd
LEXINGTON MEDICAL CENTER FOUNDATION
250 HOSPITAL DRIVE	LEXINGTON	NC	27292	581876553	FUNDRAISING	NC	501(C)(3)	LINE 12A, I	LEXINGTON MEDICAL CENTER	Yes (1)
WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER
MEDICAL CENTER BLVD	WINSTON SALEM	NC	27157	510190238	HEALTHCARE	NC	501(C)(3)	LINE 12A, I		0	N/A
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

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd
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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	HIGH POINT HEALTH CARE VENTURES INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	601 NORTH ELM STREET	AddressLine1Txt
City	HIGH POINT	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27261	ZIPCd

Field	Value	IRS element (for citing)
EIN	561497164	EIN
Primary Activities	MEDICAL SERVICES	PrimaryActivitiesTxt
Legal Domicile State	NC	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Entity Type	C	EntityTypeTxt
Controlled Organization	0	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	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	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	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	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	LEXINGTON MEDICAL CENTER FOUNDATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	C	TransactionTypeTxt
Involved	$139,526	InvolvedAmt
Method Of Amount Determination	COST	MethodOfAmountDeterminationTxt