WRMC HOSPITAL OPERATING CORPORATION: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: WRMC HOSPITAL OPERATING CORPORATION (EIN 83-0343789)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-07-14
IRS object ID: 202021969349302237
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 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	830343789	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	BRADLEY A CLARK	PersonNm
Person Title	TREASURER	PersonTitleTxt
Phone	3367164445	PhoneNum
Signature	2020-07-08	SignatureDt

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	09:01:33	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	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$79,846,969	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.WILKESREGIONAL.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Other Organization Dsc	1	OtherOrganizationDsc
Formation	1996	FormationYr
Legal Domicile State	NC	LegalDomicileStateCd
Activity Or Mission	OUR MISSION IS TO PROVIDE EFFECTIVE, COMPASSIONATE MEDICAL CARE TO PROMOTE HEALTHY LIFESTYLES FOR OUR COMMUNITY.	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	2	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	81	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$215,558	PYContributionsGrantsAmt
CY Contributions Grants	$128,423	CYContributionsGrantsAmt
PY Program Service Revenue	$70,536,920	PYProgramServiceRevenueAmt
CY Program Service Revenue	$78,868,059	CYProgramServiceRevenueAmt
PY Investment Income	$301,738	PYInvestmentIncomeAmt
CY Investment Income	$309,327	CYInvestmentIncomeAmt
PY Other Revenue	$431,287	PYOtherRevenueAmt
CY Other Revenue	$541,160	CYOtherRevenueAmt
PY Total Revenue	$71,485,503	PYTotalRevenueAmt
CY Total Revenue	$79,846,969	CYTotalRevenueAmt
PY Grants And Similar Paid	$5,021,468	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$577,764	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$41,233,211	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$42,895,348	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$35,761,784	PYOtherExpensesAmt
CY Other Expenses	$40,578,283	CYOtherExpensesAmt
PY Total Expenses	$82,016,463	PYTotalExpensesAmt
CY Total Expenses	$84,051,395	CYTotalExpensesAmt
PY Revenues Less Expenses	-$10,530,960	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$4,204,426	CYRevenuesLessExpensesAmt
Total Assets BOY	$118,480,208	TotalAssetsBOYAmt
Total Assets EOY	$124,862,287	TotalAssetsEOYAmt
Total Liabilities BOY	$59,364,323	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$72,858,426	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$59,115,885	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$52,003,861	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WRMC HOSPITAL OPERATING CORPORATION (DBA WILKES 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	$74,814,346	ExpenseAmt
Grant	$577,764	GrantAmt
Revenue	$79,089,881	RevenueAmt
Desc	WILKES MEDICAL CENTER ("WRMC") IS A 130 BED FACILITY PROVIDING MEDICAL, EMERGENCY, AND OUTPATIENT CARE SERVICES TO THE RESIDENTS OF ALLEGHANY, ALEXANDER, ASHE, CALDWELL, IREDELL, SURRY, WATAUGA, AND WILKES COUNTIES. WRMC PROVIDES CLINICAL SERVICES AT ITS NORTH WILKESBORO CAMPUS THAT INCLUDE THE FOLLOWING SPECIALTIES: CARDIOLOGY, IMAGING, ENT, GASTROENTEROLOGY, NEPHROLOGY, NEUROLOGY, OB/GYN, OPHTHALMOLOGY, PATHOLOGY, PEDIATRICS, ORTHOPEDICS, AND UROLOGY.PLEASE SEE SCHEDULE O FOR A CONTINUATION OF PROGRAM SERVICE ACCOMPLISHMENTS.IN FISCAL YEAR 2019, THE HOSPITAL FACILITY HAD 11,910 PATIENT DAYS, WITH 3,203 INPATIENT ADMISSIONS, AND 30,883 EMERGENCY ROOM VISITS. AS PART OF WAKE FOREST BAPTIST HEALTH, WRMC'S VISION IS A PREEMINENT LEARNING 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, AND-SAFETY: EMBRACE CULTURE OF RELIABILITY THROUGH BETTER PROCESS DESIGN & ACCOUNTABILITY.WRMC IS FULLY 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 FY19, WRMC OPENED ITS STATE-OF-THE ART CARDIAC AND PULMONARY REHABILITATION UNIT. THIS FACILITY PROVIDES EQUIPMENT AND RESOURCES SPECIALLY DESIGNED TO AID THOSE RECOVERING FROM HEART ATTACKS AND SURGERY AS WELL AS THOSE WHO HAVE BEEN DIAGNOSED WITH PULMONARY OR HEART DISEASE.	Desc
Total Program Service Expenses	$74,814,346	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	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	55	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	2	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	JOSEPH DOLAN	PersonNm
Phone	3367164445	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	MEDICAL CENTER BOULEVARD	AddressLine1Txt
City	WINSTONSALEM	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27157	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
KEVIN HIGH MD
CHAIR	1.00	39.00	Yes (X)	Yes (X)	$0	$0	$0
J GENE FAILE
BOARD MEMBER, CEO (THRU 1/31/19)	39.00	1.00	Yes (X)	Yes (X)	$0	$392,070	$85,600
CATHLEEN WHEATLEY
BOARD MEMBER	0.80	39.20	Yes (X)		$0	$553,659	$123,922
JAMES HOEKSTRA MD
BOARD MEMBER	1.00	39.00	Yes (X)		$0	$0	$0
JENA FOLGER
BOARD MEMBER	1.00	39.00	Yes (X)		$0	$308,401	$60,812
JON THOMPSON MD
BOARD MEMBER	1.00	39.00	Yes (X)		$0	$558,524	$38,489
HAYES CALVERT MD
BOARD MEMBER	1.00	39.00	Yes (X)		$0	$356,054	$35,685
BRADLEY A CLARK
BOARD MEMBER, TREASURER	0.30	39.70	Yes (X)	Yes (X)	$0	$775,777	$178,754
MICHAEL T WAID
BOARD MEMBER	1.00	39.00	Yes (X)		$0	$575,651	$116,124
CHAD BROWN
BOARD MEMBER, PRESIDENT (FROM 2/1/19)	1.00	39.00	Yes (X)	Yes (X)	$0	$309,042	$73,682
BARRY WALD
ASST TREASURER	39.00	1.00		Yes (X)	$0	$208,755	$31,929
J MCLAIN WALLACE JR
SECRETARY	0.30	39.70		Yes (X)	$0	$772,967	$82,245
LORI MCNEIL
ASST SECRETARY	40.00			Yes (X)	$0	$42,504	$19,803
JASON YOCKEY
CRNA	40.00				$0	$198,307	$35,854	Yes (X)
SUSAN TAYLOR BACHMEIER
CHIEF NURSING OFFICER	40.00				$0	$182,589	$23,028	Yes (X)
SANDY CASEY
CRNA	40.00				$0	$180,419	$38,956	Yes (X)
JOHN RIEDEL JR
CRNA	40.00				$0	$180,110	$36,076	Yes (X)
HEATHER D GOODWYN
CRNA	40.00				$0	$180,010	$27,888	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,774,839	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,008,847	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
CHG COMPANIES INC
7259 S BINGHAM JUNCTION BLVD	MIDVALE	UT	84047	STAFFING/RECRUITING SERVICES	$2,058,906
SODEXO INC AND AFFILIATES
PO BOX 536922	ATLANTA	GA	303536922	CONTRACT SERVICES	$1,515,519
MEDLINE INDUSTRIES INC
1 MEDLINE PLACE	MUNDELEIN	IL	60060	MEDICAL DEVICES	$845,156
SYNTHES
5972 COLLECTIONS CENTER DRIVE	CHICAGO	IL	60693	MEDICAL DEVICES	$420,868
DIVERSIFIED CLINICAL SERVICES INC
PO BOX 636981	CINCINNATI	OH	452636981	MEDICAL SUPPLIES	$328,222

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	27	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$128,423	AllOtherContributionsAmt
Total Contributions	$128,423	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	PATIENT SERVICE REVENUE	Desc
Business	621110	BusinessCd
Total Revenue Column	$78,868,059	TotalRevenueColumnAmt
Related Or Exempt Func Income	$78,868,059	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$78,868,059	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$291,409	TotalRevenueColumnAmt
Exclusion	$291,409	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$299,859	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	$299,859	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$299,859	TotalRevenueColumnAmt
Exclusion	$299,859	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$17,418	SecuritiesAmt
Other	$500	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

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

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$17,418	SecuritiesAmt
Other	$500	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$17,918	TotalRevenueColumnAmt
Exclusion	$17,918	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
DIETARY	621990	$221,822	$221,822
MEDICAL RECORDS, SUPPLIES, PHARMA	621110	$19,479		$19,479

Field	Value	IRS element (for citing)
Other Revenue Total	$241,301	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$79,846,969	TotalRevenueColumnAmt
Related Or Exempt Func Income	$79,089,881	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$628,665	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$577,764	TotalAmt
Program Services	$577,764	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$689,232	TotalAmt
Program Services	$571,505	ProgramServicesAmt
Management And General	$117,727	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$34,620,209	TotalAmt
Program Services	$28,706,772	ProgramServicesAmt
Management And General	$5,913,437	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$779,695	TotalAmt
Program Services	$584,771	ProgramServicesAmt
Management And General	$194,924	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,719,551	TotalAmt
Program Services	$3,539,663	ProgramServicesAmt
Management And General	$1,179,888	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,086,661	TotalAmt
Program Services	$1,564,996	ProgramServicesAmt
Management And General	$521,665	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$184,113	TotalAmt
Program Services	$184,113	ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$27,940	TotalAmt
Program Services	$9,367	ProgramServicesAmt
Management And General	$18,573	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$10,026	TotalAmt
Program Services	$10,026	ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$190,940	TotalAmt
Program Services	$143,205	ProgramServicesAmt
Management And General	$47,735	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$10,983,800	TotalAmt
Program Services	$10,490,851	ProgramServicesAmt
Management And General	$492,949	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$246,996	TotalAmt
Program Services	$213,178	ProgramServicesAmt
Management And General	$33,818	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$198,607	TotalAmt
Program Services	$158,886	ProgramServicesAmt
Management And General	$39,721	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,532,182	TotalAmt
Program Services	$2,027,832	ProgramServicesAmt
Management And General	$504,350	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$113,998	TotalAmt
Program Services	$78,810	ProgramServicesAmt
Management And General	$35,188	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$42,724	TotalAmt
Program Services	$38,549	ProgramServicesAmt
Management And General	$4,175	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$888,624	TotalAmt
Program Services	$888,624	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$3,525,758	TotalAmt
Program Services	$3,525,758	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$395,541	TotalAmt
Program Services	$395,541	ProgramServicesAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & OTHE	$10,373,575	$10,240,676	$132,899
BAD DEBT	$8,605,220	$8,605,220
PROVIDER ASSESSMENT TAX	$2,258,239	$2,258,239

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$84,051,395	TotalAmt
Program Services	$74,814,346	ProgramServicesAmt
Management And General	$9,237,049	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$4,863,905	BOYAmt
EOY	$10,711,161	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$8,507,920	BOYAmt
EOY	$8,211,078	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,416,081	BOYAmt
EOY	$2,403,996	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$490,619	BOYAmt
EOY	$1,388,288	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$51,749,700	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$7,263,672	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$45,032,598	BOYAmt
EOY	$44,486,028	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$14,545,073	BOYAmt
EOY	$15,069,840	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$2,581,436	BOYAmt
EOY	$2,549,320	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$40,042,576	BOYAmt
EOY	$40,042,576	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$118,480,208	BOYAmt
EOY	$124,862,287	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$31,722,560	BOYAmt
EOY	$5,113,041	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$21,911,417	BOYAmt
EOY	$21,800,041	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$5,730,346	BOYAmt
EOY	$45,945,344	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$59,364,323	BOYAmt
EOY	$72,858,426	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$59,115,885	BOYAmt
EOY	$52,003,861	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$59,115,885	BOYAmt
EOY	$52,003,861	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$118,480,208	BOYAmt
EOY	$124,862,287	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$4,204,426	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$226,485	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$3,134,083	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	$10,026	OtherActivitiesAmt
Total Lobbying Expenditures	$10,026	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 ASSOCIATION (NCHA). A PORTION OF THE MEMBERSHIP DUES PAID ARE ALLOCATED TO LOBBYING EFFORTS BY THOSE ORGANIZATIONS ON BEHALF OF THEIR MEMBERSHIP BODIES.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$120,000	OtherCostOrOtherBasisAmt
Book Value	$120,000	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$885,102	OtherCostOrOtherBasisAmt
Depreciation	$96,612	DepreciationAmt
Book Value	$788,490	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,002,193	OtherCostOrOtherBasisAmt
Depreciation	$676,167	DepreciationAmt
Book Value	$2,326,026	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,821,017	OtherCostOrOtherBasisAmt
Depreciation	$3,653,090	DepreciationAmt
Book Value	$5,167,927	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$38,921,388	OtherCostOrOtherBasisAmt
Depreciation	$2,837,803	DepreciationAmt
Book Value	$36,083,585	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$44,486,028	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
ESTIMATED THIRD PARTY SETTLEMENTS	$730,896
NET PENSION OBLIGATION	$4,076,872
DUE TO AFFILIATES	$41,014,786
RESERVES	$122,790

Field	Value	IRS element (for citing)
Total Liability	$45,945,344	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION HAS EVALUATED UNCERTAIN TAX POSITIONS FOR ITS FISCAL YEARS ENDED JUNE 30, 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	$1,997,800	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,997,800	NetCommunityBenefitExpnsAmt
Total Expense	0.02660	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,273,145	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,511,936	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,761,209	NetCommunityBenefitExpnsAmt
Total Expense	0.03680	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$854,742	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$575,056	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$279,686	NetCommunityBenefitExpnsAmt
Total Expense	0.00370	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,125,687	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,086,992	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,038,695	NetCommunityBenefitExpnsAmt
Total Expense	0.06710	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$195,342	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$195,342	NetCommunityBenefitExpnsAmt
Total Expense	0.00260	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$584,049	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$584,049	NetCommunityBenefitExpnsAmt
Total Expense	0.00780	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$779,391	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$779,391	NetCommunityBenefitExpnsAmt
Total Expense	0.01040	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,905,078	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,086,992	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,818,086	NetCommunityBenefitExpnsAmt
Total Expense	0.07750	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$2,160,710	BadDebtExpenseAmt
Reimbursed By Medicare	$25,536,162	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$35,886,136	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$10,349,974	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	WILKES MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

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

Field	Value	IRS element (for citing)
Website Address	WILKESREGIONAL.COM	WebsiteAddressTxt
State License	H0153	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, PAGE 8	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	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	HTTPS://WWW.WAKEHEALTH.EDU/PATIENT-AND-FAMILY-RESOURCES/BILLING-AND-INSURAN	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.WAKEHEALTH.EDU/PATIENT-AND-FAMILY-RESOURCES/BILLING-AND-INSURAN	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.WAKEHEALTH.EDU/PATIENT-AND-FAMILY-RESOURCES/BILLING-AND-INSURAN	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
WILKES MEDICAL CENTER	PART V, SECTION B, LINE 5: COMMUNITY INPUT WAS OBTAINED THROUGH THE FOLLOWING PRIMARY SOURCES: (1) A STAKEHOLDER SURVEY WAS DEVELOPED TO SOLICIT INPUT ON CRITICAL ISSUES THAT INFLUENCE THE HEALTH OF CITIZENS AND DECISIONS TO BE MADE BY PROVIDERS AND INSTITUTIONS. THE SURVEY SOUGHT TO INCLUDE A DIVERSITY OF OPINIONS THAT WERE REPRESENTATIVE OF DECISION MAKERS, HEALTH PROVIDERS, AND SOCIAL AND EDUCATION SERVICES TO CITIZENS OF WILKES COUNTY. A TOTAL OF 56 RESPONSES WERE RECEIVED.(2) COMMUNITY HEALTH SURVEYS WERE DISTRIBUTED ONLINE & IN PERSON AT VARIOUS COMMUNITY LOCATIONS TO RESIDENTS OF WILKES COUNTY, NC DURING 2018. SURVEYS COLLECTED INFORMATION RELATED TO DEMOGRAPHICS, PERSONAL HEALTH BEHAVIORS & CONCERNS, AS WELL AS RESIDENT'S PERCEPTIONS OF COMMUNITY HEALTH ISSUES AFFECTING QUALITY OF LIFE. A TOTAL OF 548 RESIDENTS COMPLETED THE SURVEY.(3) COMMUNITY STAKEHOLDER SURVEYS WERE DISTRIBUTED TO VARIOUS HEALTH AND HUMAN SERVICE AGENCIES AND ORGANIZATIONS WITHIN WILKES COUNTY. THESE SURVEYS EXAMINED THE SERVICES PROVIDED BY THE FILING ORGANIZATION, THE POPULATION MOST LIKELY TO UTILIZE THE SERVICES, THE BARRIERS FACED BY RESIDENTS TO OBTAIN SUCH SERVICES, AS WELL AS ADDITIONAL UNMET COMMUNITY HEALTH SERVICE NEEDS. A TOTAL OF 34 PARTICIPANT SURVEY RESULTS WERE ANALYZED. (4) ON OCTOBER 30, 2018, A HEALTH SUMMIT WAS HOSTED WITH 92 STAKEHOLDERS AND COMMUNITY MEMBERS IN ATTENDANCE. PRESENTATIONS WERE MADE REGARDING THE RESULTS COLLECTED FROM SURVEYS AND SECONDARY DATA SOURCES. UPON CONCLUSION OF THE PRESENTATIONS & DISCUSSION, PARTICIPANTS VOTED ON THE HEALTH ISSUES THAT NEED TO BE ADDRESSED BY THE CHNA DURING THE NEXT THREE YEAR PERIOD. ADDITIONALLY, MORE THAN TWENTY SECONDARY DATA SOURCES WERE REVIEWED, INCLUDING: US CENSUS BUREAU, NC OFFICE OF STATE BUDGET AND MANAGEMENT, NC DEPARTMENT OF COMMERCE, NC DIVISION OF MEDICAL ASSISTANCE, NC STATE CENTER FOR HEALTH STATISTICS, NCDPH EPIDEMIOLOGY SECTION, NC DIVISION OF MENTAL HEALTH, DEVELOPMENTAL DISABILITIES AND SUBSTANCE ABUSE SERVICES, NATIONAL CENTER FOR HEALTH STATISTICS AND HEALTHY NORTH CAROLINA 2020. LOCAL HEALTH DATA SOURCES ALSO INCLUDED INFORMATION FROM THE WILKES COUNTY HEALTH DEPARTMENT AND WILKES MEDICAL CENTER.
WILKES MEDICAL CENTER	PART V, SECTION B, LINE 6B: DEVELOPMENT OF THE CHNA WAS A COLLABORATIVE EFFORT AMONG LOCAL HEALTH & HUMAN SERVICE INSTITUTIONS, INCLUDING THE FILING ORGANIZATION, THE WILKES COUNTY HEALTH DEPARTMENT (WCHD), AND THE HEALTH FOUNDATION (WILKES COUNTY'S COMMUNITY HEALTH COALITION).
WILKES MEDICAL CENTER	PART V, SECTION B, LINE 7D: N/APART V, SECTION B, LINE 7A:HTTP://WILKESREGIONAL.COM/SERVICES/COMMUNITY_SERVICES/COMMUNITY_HEALTH_NEEDS_ASSESSMENT.ASPXPART V, SECTION B, LINE 10A:HTTP://WILKESREGIONAL.COM/SERVICES/COMMUNITY_SERVICES/COMMUNITY_HEALTH_NEEDS_ASSESSMENT.ASPX
WILKES MEDICAL CENTER	PART V, SECTION B, LINE 11: THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") IDENTIFIED THE FOLLOWING SIGNIFICANT HEALTH NEEDS WITHIN THE COMMUNITY: (1) ACCESS TO CARE, (2) OBESITY AND CHRONIC DISEASE MANAGEMENT & PREVENTION, (3) TOBACCO USE PREVENTION & CESSATION, (4) MENTAL HEALTH & SUBSTANCE DEPENDENCY, AND (5) MATERNAL & CHILD HEALTH. THE WRMC CHNA IMPLEMENTATION STRATEGY OUTLINES THE IMPLEMENTATION OF PROGRAMS AND THE EVALUATION OF IMPACT OF THOSE PROGRAMS ON PRIORITY COMMUNITY HEALTH NEEDS IDENTIFIED FROM THE CHNA. SPECIFICALLY, THE HOSPITAL IS ADDRESSING THE SIGNIFICANT HEALTH NEEDS AS FOLLOWS:1. ACCESS TO CAREBARRIERS SUCH AS LACK OF INDIVIDUAL HEALTH INSURANCE AND HIGH COSTS DECREASE ACCESS TO QUALITY HEALTH CARE AND CAN LEAD TO UNMET HEALTH NEEDS. THE HOSPITAL'S CURRENT STRATEGIES TO ADDRESS THESE NEEDS INCLUDE THE FOLLOWING:--INCREASING ACCESS TO CANCER CARE THROUGH 1.) COLLABORATION WITH THE OFFICE FOR RURAL CANCER CARE/OFFICE OF CANCER HEALTH EQUITY TO IMPROVE OUTREACH AND REFERRAL OPPORTUNITIES, AND 2.) ALIGNMENT WITH NORTH CAROLINA BAPTIST HOSPITALS HEMATOLOGY/ONCOLOGY DEPARTMENT'S STRATEGIC PLAN TO PROVIDE HEALTH CARE SERVICES FOR CANCER PATIENTS. --INCREASING THE COMMUNITY'S ACCESS TO PRIMARY CARE PROVIDERS THROUGH 1.) EXTENDING HOURS OF OPERATION OF URGENT CARE CLINICS WITHIN WILKES COUNTY, AND 2.) PARTNERING WITH THE LOCAL BUSINESS COMMUNITY TO PROVIDE WELLNESS PROGRAMMING AND EDUCATION FOR THEIR EMPLOYEES VIA BEST HEALTH FOR BUSINESS, WAKE FOREST BAPTIST HEALTH'S COMPREHENSIVE DIRECT-TO-EMPLOYER HEALTH, WELLNESS AND OCCUPATIONAL MEDICINE SERVICES.--IMPROVING ACCESS TO COMMUNITY-CENTERED SOCIAL AND HEALTH EDUCATION SERVICES AND REGULAR SOURCES OF HEALTH CARE THROUGH 1.) PARTNERING WITH THE HEALTH FOUNDATION AND THE WILKES COUNTY HEALTH DEPARTMENT TO PROVIDE HEALTH EDUCATION EVENTS AND SCREENINGS AT VARIOUS LOCATIONS IN THE COUNTY, AND 2.) ADDRESSING FIREARM EDUCATION AND SAFETY PRACTICES IN CONJUNCTION WITH LOCAL HEALTH SCREENINGS AND COMMUNITY EVENTS.2. OBESITY & CHRONIC DISEASE MANAGEMENT & PREVENTIONWRMC RECOGNIZES THE EFFECT OF CONTINUITY OF CARE WITH HEALTH CARE PROVIDERS ON PATIENT BEHAVIORS, DISEASE MANAGEMENT, AND HEALTH STATUS. THE HOSPITAL'S CURRENT STRATEGIES INCLUDE:--PROVIDING WEIGHT MANAGEMENT EDUCATION AND SUPPORT PROGRAMS THROUGH 1.) PARTNERING WITH BRENNER FIT AND THE WILKES COUNTY HEALTH DEPARTMENT TO PROVIDE NUTRITION EDUCATIONAL PROGRAMS IN LOCAL MIDDLE SCHOOLS, AND 2.) COLLABORATING WITH WILKES COUNTY'S SCHOOLS HEALTH ADVISORY COUNCIL TO PROVIDE INFORMATION RELATED TO HEALTH EDUCATION PROGRAMS.--IMPROVING THE CAPACITY OF COMMUNITY-BASED ORGANIZATIONS AND HEALTH CARE PROVIDERS TO SUPPORT EFFORTS RELATED TO CHRONIC DISEASE PREVENTION AND MANAGEMENT THROUGH 1.) ENGAGING FAITHHEALTH NC (A DIVISION OF NORTH CAROLINA BAPTIST HOSPITAL) COMMUNITY HEALTH WORKERS TO ADDRESS CHRONIC DISEASE MANAGEMENT AND COMMUNITY HEALTH PROGRAMMING, AND 2.) PROVIDING STROKE AND HEART HEALTH INFORMATION AND OUTREACH AT COMMUNITY EVENTS.3. TOBACCO USE PREVENTION & CESSATIONWRMC IS FOCUSED ON DECREASING ADMISSIONS AND READMISSIONS RELATED TO TOBACCO USE BY ADDRESSING THE UNDERLYING CAUSE OF COPD AND PROVIDING SERVICES AND PROGRAMS TO INCREASE WELLNESS FOR COPD/PULMONARY PATIENTS. THE HOSPITAL'S CURRENT STRATEGIES INCLUDE: --IMPROVING COPD & CARDIAC CARE ACCESS VIA WRMC'S CARDIAC/PULMONARY REHABILITATION PROGRAM--DECREASING SMOKING RATES THROUGH 1.) PARTNERING WITH LOCAL ORGANIZATIONS TO PROVIDE SMOKING CESSATION EDUCATION, INFORMATION AND REFERRALS, 2.) OFFERING 6-WEEK SMOKING CESSATION CLASSES THAT INCLUDE NICOTINE REPLACEMENT THERAPY, 3.) SPONSORSHIP OF LOCAL HEALTH FAIRS AND EVENTS TO PROVIDE EDUCATION AND RESOURCES RELATED TO SMOKING CESSATION. 4. MENTAL HEALTH & SUBSTANCE DEPENDENCYWRMC IS COMMITTED TO PROVIDING POSITIVE OUTCOMES OF RECOVERY AND MENTAL HEALTH WELLNESS THROUGHOUT THE COMMUNITY IT SERVES. THE HOSPITAL'S CURRENT STRATEGIES INCLUDE:--INTEGRATING BEHAVIORAL HEALTH WITH MEDICAL SERVICES PROVIDED AT WRMC THROUGH 1.) INCORPORATING ADDICTION MEDICINE INTO THE INPATIENT CARE PRACTICE AT WRMC, AND 2.) GROWING AWARENESS OF CARENET'S (AN AFFILIATE OF WAKE FOREST BAPTIST HEALTH) COUNSELING AND SUPPORT SERVICES AVAILABLE AT WRMC BY PROMOTION AMONG COMMUNITY-BASED ORGANIZATIONS AND AT COMMUNITY EVENTS. --PARTNERING WITH PROJECT LAZARUS TO DEVELOP A CERTIFIED PEER SUPPORT SPECIALIST NETWORK TO PROVIDE AID TO WILKES COUNTY RESIDENTS. PEER SUPPORT SPECIALISTS ARE PERSONS LIVING IN RECOVERY WITH MENTAL ILLNESS AND /OR SUBSTANCE USE DISORDERS WHO PROVIDE GUIDANCE AND ASSISTANCE TO PATIENTS EXPERIENCING SIMILAR MENTAL HEALTH CHALLENGES. --ENGAGING WITH THE HEALTH FOUNDATION AND THE WILKES COUNTY HEALTH DEPARTMENT TO FURTHER EFFORTS TO ADDRESS SUBSTANCE DEPENDENCY THROUGH 1.) PARTICIPATING IN COMMUNITY OPIOID PREVENTION EXCHANGE EFFORTS TO ADDRESS OPIOID ABUSE THROUGH HARM REDUCTION, STIGMA REDUCTION AND ACCESS TO SERVICES, 2.) EXPANDING THE SYRINGE EXCHANGE PROGRAM AT CARE CONNECTIONS PHARMACY, THE ONSITE PHARMACY AT WRMC, AND 3.) PROVIDING PRESCRIPTION MEDICATION DISPOSAL BINS AT WRMC. 5. MATERNAL & CHILD HEALTHWMRC IS COMMITTED TO PROVIDING INNOVATIVE, FAMILY-CENTERED CARE FOR THE COMMUNITY'S CHILDREN AND WOMEN. THE HOSPITAL'S CURRENT STRATEGIES INCLUDE:--DECREASING TEEN PREGNANCY, REDUCING INFANT MORTALITY, AND INCREASING THE BREAST FEEDING RATES THROUGH 1.) PARTNERING WITH THE WILKES COUNTY HEALTH DEPARTMENT TO PROVIDE EDUCATION PROGRAMS AND INITIATIVES TO REDUCE SMOKING RATES AMONG PREGNANT WOMEN, 2.) INVESTIGATING GRANT FUNDING TO PROVIDE INFANT CAR SEATS TO FAMILIES IN NEED, 3.) INCREASING THE NUMBER OF NURSE LACTATION SPECIALISTS EMPLOYED BY WRMC, 4.) PURSUING SPONSORSHIP OF CHILD CAR SAFETY EVENT, AND 5.) ENCOURAGING MOTHERS AND MOTHERS-TO-BE TO ATTEND WAKE FOREST BAPTIST HEALTH SPONSORED FREE MATERNAL AND CHILD HEALTH PROGRAMS.ALL OF THE AFOREMENTIONED EFFORTS IN COMBINATION WITH THE HOSPITAL'S VALUES OF NONDISCRIMINATION AND COMPASSIONATE CARE ARE DESIGNED TO MEET THE SIGNIFICANT HEALTH NEEDS OF THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT.
WILKES MEDICAL CENTER	PART V, SECTION B, LINE 13H: THE HOSPITAL MAY USE COMMERCIALLY AVAILABLE FINANCIAL PROFILING AND CREDIT SCORING TECHNOLOGIES TO PRESUMPTIVELY SCREEN RESPONSIBLE INDIVIDUALS TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE DISCOUNTS.
WILKES MEDICAL CENTER	PART V, SECTION B, LINE 16J: IN ADDITION TO THE METHODS PREVIOUSLY DESCRIBED, WILKES 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.

Field	Value	IRS element (for citing)
Facility	3	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - DIAGNOSTIC IMAGING CENTER
1900 WEST PARK DRIVE	NORTH WILKESBORO	NC	28659	DIAGNOSTIC IMAGING CENTER
2 - REHAB SERVICES
1918 WEST PARK DRIVE	NORTH WILKESBORO	NC	28659	REHAB CENTER
3 - WOUND HEALING CENTER
1900 WEST PARK DRIVE SUITE C	NORTH WILKESBORO	NC	28659	WOUND HEALING CENTER

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 $8,605,220 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:	WILKES MEDICAL CENTER IS COMMITTED TO IMPROVING THE HEALTH OF THE INDIGENT AND MEDICALLY UNDERSERVED IN WILKES COUNTY AND SURROUNDING AREAS. ON JULY 1, 2017, THE TOWN OF NORTH WILKESBORO ENTERED A LONG-TERM LEASE OF THE FILING ORGANIZATION WITH WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER, ENSURING PATIENTS INCREASED ACCESS TO THE EXPERTISE OF AN ACADEMIC MEDICAL CENTER, INCLUDING PHYSICIANS WHO ARE AMONG THE TOP LEADERS IN THEIR FIELD AND THE LATEST IN PATIENT CARE AND RESEARCH. WRMC REPRESENTATIVES ARE INVOLVED IN THE COMMUNITY THROUGH INITIATIVES SUCH AS THE WILKES HEALTH ACTION TEAM (WHAT), WHICH IS A COLLABORATION OF COMMUNITY LEADERS AND STAKEHOLDERS FOCUSING ON COLLECTIVE IMPACT. WMC IS ALSO REPRESENTED IN A CORE TEAM WORKING WITH THE DUKE ENDOWMENT ON A GRANT FOR "HEALTHY PEOPLE, HEALTHY CAROLINAS"(HPHC). THE MEDICAL CENTER HOSTS FREE CLASSES AND COOKING DEMONSTRATIONS THROUGH ITS BESTHEALTH PROGRAM. WILKES MEDICAL CENTER PARTNERS WITH OTHER AGENCIES THROUGHOUT THE COMMUNITY TO CONTINUE TO IMPROVE HEALTH. AGENCIES INCLUDE WILKES PUBLIC DENTAL CLINIC, WILKES HEALTH CENTER (FQHC), AND THE WILKES YMCA.
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 THREE 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 COLLABORATION WITH LOCAL PUBLIC HEALTH, OTHER HEALTH PROVIDERS, AS WELL AS COMMUNITY PARTNERS SUCH AS FAITH NETWORKS RELEVANT TO THE SOCIAL FACTORS UNDERLYING PATTERNS OF ACCESS. THE HOSPITAL'S ASSESSMENT WAS CONDUCTED IN FIVE PHASES: (1) A SECONDARY DATA RESEARCH PHASE, (2) A PRIMARY DATA RESEARCH PHASE, (3) A DATA SYNTHESIS AND ANALYSIS PHASE, (4) A PERIOD OF DATA REPORTING AND DISCUSSION AMONG PROJECT PARTNERS AND THE PUBLIC, AND (5) A DECISION MAKING PHASE AMONG PARTNERS TO DETERMINE COMMUNITY HEALTH PRIORITIES. THE DATA REVIEW AND PRIORITY SETTING PHASE BEGAN WITH THE COMPILATION OF EXISTING HEALTH-RELATED DATA. STAKEHOLDERS REVIEWED MULTIPLE DATA SETS INCLUDING NORTH CAROLINA INDICATORS FOR COMMUNITY HEALTH ASSESSMENT, INTERNAL DISEASE REGISTRIES, AND COUNTY HEALTH RANKINGS. WRMC PARTNERED WITH WILKES COUNTY HEALTH DEPARTMENT, HEALTH FOUNDATION, INC., PUBLIC HEALTH CONSULTANTS AND LOCAL STAKEHOLDERS AS A HEALTH COALITION TO DETERMINE HEALTH CARE NEEDS IN THE COMMUNITY. ONCE THE COMMUNITY HEALTH NEEDS WERE IDENTIFIED, A CHNA ADVISORY TEAM ADOPTED A CONDENSED VERSION OF THE "HANLON METHOD", AS REFERENCED IN THE COMMUNITY HEALTH ASSESSMENT GUIDE BOOK, TO CREATE A PRIORITIZATION BALLOT FOR THE CHNA PRIORITIZATION MEETING. THE ADVISORY TEAM HOSTED THIS MEETING WITH 92 STAKEHOLDERS AND COMMUNITY MEMBERS PRESENT. THE PRIORITIZATION PROCESS IDENTIFIED FOUR TOP PRIORITY CHALLENGES FOR THE COMMUNITY.FROM THIS 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:	THE HOSPITAL'S PRIMARY SERVICE AREA IS WILKES COUNTY AND ALSO INCLUDES THE SURROUNDING COUNTIES OF ALLEGHANY, ALEXANDER, ASHE, CALDWELL, IREDELL, SURRY, AND WATAUGA.WILKES COUNTY IS LOCATED ON THE EASTERN SLOPE OF THE BLUE RIDGE MOUNTAINS, A PART OF THE APPALACHIAN MOUNTAIN CHAIN IN THE PIEDMONT AND MOUNTAIN REGIONS OF NORTH CAROLINA. THE COUNTY COVERS 757 SQUARE MILES WITH A POPULATION OF APPROXIMATELY 69,000. THE NEAREST METROPOLITAN AREAS IS WINSTON-SALEM, LOCATED 40 MILES TO THE EAST. THERE ARE TWENTY ONE TOWNSHIPS IN WILKES COUNTY. REDDIES RIVER AND WILKESBORO ARE THE LARGEST TOWNSHIPS WITH 11,075 AND 10,542 RESIDENTS RESPECTIVELY. A COMPARISON OF WILKES COUNTY AND NORTH CAROLINA REVEALS MEDIAN HOUSEHOLD INCOME AND MEDIAN HOUSE VALUE ARE BELOW STATE AVERAGES. THE MEDIAN HOUSEHOLD INCOME FOR WILKES COUNTY RESIDENTS IS APPROXIMATELY $34,846, WHICH IS WELL BELOW THE STATE AVERAGE OF $48,256. THE WILKES COUNTY UNEMPLOYMENT RATE AS REPORTED IN JUNE 2017 WAS 4.3%, WHICH IS SLIGHTLY LOWER THAN THE STATE RATE OF 4.6%.THE FOLLOWING DEMOGRAPHIC FIGURES REFLECT THE POPULATION FOR WILKES COUNTY: - 51% FEMALE, 49% MALE - BELOW 20 YEARS: 23.3% - AGE 65 AND OLDER: 19.8%THE POPULATION OF WILKES COUNTY IS LESS DIVERSE THAN THE POPULATION OF NORTH CAROLINA AS A WHOLE. THE COUNTY POPULATION BREAKDOWN BY RACE BASED ON 2016 US CENSUS BUREAU ESTIMATES IS: - WHITE NON-HISPANIC (91.2%) - BLACK (4.3%) - HISPANIC (5.9%) - OTHER ASIAN (0.6%) - AMERICAN INDIAN (0.2%) - TWO OR MORE (1.5%) THE RATE OF POPULATION GROWTH IN WILKES COUNTY HAS BEEN SLOWLY INCREASING EVERY DECADE SINCE 1980, AND THIS PATTERNS IS PROJECTED TO CONTINUE THROUGH AT LEAST 2037. WILKES COUNTY RATE OF GROWTH IS LOWER THAN THE RATE FOR THE STATE AS A WHOLE.
PART VI, LINE 5:	THE HOSPITAL HAS MAINTAINED A STRONG COMMITMENT TO PROMOTING AND EXPANDING COMMUNITY HEALTH PROGRAMS IN WILKES COUNTY. SUCH PROGRAMS INCLUDE BESTHEALTH EDUCATION CLASSES, BESTHEALTH COMMUNITY COOKING CLASSES, AND OTHER HEALTH EDUCATION EVENTS HELD LOCALLY THROUGHOUT THE YEAR. WILKES MEDICAL CENTER PROVIDES ATHLETIC TRAINERS THAT WORK FULL-TIME IN EACH OF THE FOUR WILKES COUNTY HIGH SCHOOLS. WILKES MEDICAL CENTER ALSO OPERATES THE CARE CONNECTION PHARMACY, WHICH PROVIDES FREE AND DISCOUNTED DRUGS TO THOSE UNABLE TO PAY FOR MEDICATIONS. IN RECENT YEARS, GRANT FUNDING RECEIVED FROM THE NC HEALTH AND WELLNESS TRUST FUND COMMISSION HAS BEEN USED TO UPGRADE THE TECHNOLOGY AND FUNDING OF THE PHARMACY. FOR EACH DOLLAR INVESTED IN THE PROGRAM, AN ESTIMATED $9 RETAIL VALUE OF PRESCRIPTION DRUGS HAVE BEEN ACQUIRED FOR QUALIFYING CITIZENS OF WILKES COUNTY. THIS PROGRAM ENABLES PATIENTS TO STAY COMPLIANT WITH THEIR MEDICAL TREATMENT PLAN AND ALSO REDUCE THE OCCURRENCE OF READMISSION. IN ADDITION TO COMMUNITY PROGRAMS, THE HOSPITAL HAS REINVESTED FUNDS IN MEDICAL TECHNOLOGIES AND STATE-OF-THE ART EQUIPMENT TO BETTER MEET THE HEALTH NEEDS OF THE COMMUNITY. DURING FY2019, ACCESS TO 3-D MAMMOGRAPHY IMAGING TECHNOLOGY WAS PURCHASED BY THE HOSPITAL WHICH IS A SIGNIFICANT IMPROVEMENT OVER EXISTING TECHNOLOGY AND WILL ALLOW FOR MORE ACCURATE DETECTION OF EARLY BREAST CANCER. ALSO, DURING FY2019, WILKES MEDICAL CENTER BEGAN PROVIDING AROUND-THE-CLOCK CRITICAL MONITORING OF ICU PATIENTS BY BOARD-CERTIFIED INTENSIVIST PHYSICIANS AND DOCTORS SPECIALLY TRAINED IN CRITICAL CARE VIA TELE-ICU SERVICES. THIS ADDITIONAL LAYER OF MONITORING COMPLIMENTS THE CRITICAL CARE ALREADY BEING DELIVERED AT WRMC.
PART VI, LINE 6:	WILKES MEDICAL CENTER 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, HIGH POINT REGIONAL HEALTH, LEXINGTON MEDICAL CENTER, DAVIE 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	WRMC FOUNDATION	BusinessNameLine1Txt

US Address USAddress

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

Field	Value	IRS element (for citing)
Recipient EIN	822345613	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$565,814	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 (15 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
J GENE FAILE
BOARD MEMBER, CEO (THRU 1/31/19)	$0	$317,588	$0	$73,294	$0	$1,188	$0	$66,901	$0	$18,699	$0	$477,670	$0	$0
CATHLEEN WHEATLEY
BOARD MEMBER	$0	$447,879	$0	$100,236	$0	$5,544	$0	$113,338	$0	$10,584	$0	$677,581	$0	$0
JENA FOLGER
BOARD MEMBER	$0	$255,683	$0	$48,416	$0	$4,302	$0	$49,517	$0	$11,295	$0	$369,213	$0	$0
JON THOMPSON MD
BOARD MEMBER	$0	$558,226	$0	$0	$0	$298	$0	$18,148	$0	$20,341	$0	$597,013	$0	$0
HAYES CALVERT MD
BOARD MEMBER	$0	$255,039	$0	$82,410	$0	$18,605	$0	$23,648	$0	$12,037	$0	$391,739	$0	$0
BRADLEY A CLARK
BOARD MEMBER, TREASURER	$0	$591,354	$0	$183,583	$0	$840	$0	$155,477	$0	$23,277	$0	$954,531	$0	$0
MICHAEL T WAID
BOARD MEMBER	$0	$421,147	$0	$112,161	$0	$42,343	$0	$91,980	$0	$24,144	$0	$691,775	$0	$0
CHAD BROWN
BOARD MEMBER, PRESIDENT (FROM 2/1/19	$0	$251,330	$0	$55,964	$0	$1,748	$0	$53,000	$0	$20,682	$0	$382,724	$0	$0
BARRY WALD
ASST TREASURER	$0	$185,273	$0	$23,333	$0	$149	$0	$17,356	$0	$14,573	$0	$240,684	$0	$0
J MCLAIN WALLACE JR
SECRETARY	$0	$494,762	$0	$136,968	$0	$141,237	$0	$65,532	$0	$16,713	$0	$855,212	$0	$0
JASON YOCKEY
CRNA	$0	$198,069	$0	$0	$0	$238	$0	$16,668	$0	$19,186	$0	$234,161	$0	$0
SUSAN TAYLOR BACHMEIER
CHIEF NURSING OFFICER	$0	$170,067	$0	$12,183	$0	$339	$0	$14,406	$0	$8,622	$0	$205,617	$0	$0
SANDY CASEY
CRNA	$0	$180,107	$0	$0	$0	$312	$0	$15,241	$0	$23,715	$0	$219,375	$0	$0
JOHN RIEDEL JR
CRNA	$0	$179,907	$0	$0	$0	$203	$0	$14,961	$0	$21,115	$0	$216,186	$0	$0
HEATHER D GOODWYN
CRNA	$0	$179,902	$0	$0	$0	$108	$0	$14,128	$0	$13,760	$0	$207,898	$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. THE FOLLOWING CURRENT DIRECTORS AND OFFICERS RECEIVED SERP PAYMENTS IN THEIR CALENDAR YEAR 2018 COMPENSATION: J. MCLAIN WALLACE, JR. $119,125 MICHAEL T. WAID $21,911	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 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 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 MEDICAL CENTER, HIGH POINT REIONAL HEALTH AND AFFILIATES, AND OTHER WFUBMC AFFILIATES. ALL SIGNIFICANT INTERCOMPANY TRANSACTIONS HAVE BEEN ELIMINATED IN CONSOLIDATION.
FORM 990, PART VI, SECTION A, LINE 3	ON JULY 1, 2017, THE TOWN OF NORTH WILKESBORO ENTERED INTO A LONG-TERM LEASE AGREEMENT WITH WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER, D/B/A WAKE FOREST BAPTIST HEALTH ("WFBH") AND THE FILING ORGANIZATION. THE AGREEMENT INITIATED A LONG-TERM LEASE OF ALL OF THE ASSETS AND PROPERTY USED IN THE OPERATION OF THE FILING ORGANIZATION. THE AGREEMENT ALSO INITIATED A REORGANIZATION OF FILING ORGANIZATION SUCH THAT WFUBMC BECAME THE SOLE MEMBER OF WRMC, AND WRMC BECAME A CONTROLLED AFFILIATE OF WFBH. AT THE INITIATION OF THE LEASE AGREEMENT BETWEEN TOWN OF NORTH WILKESBORO, THE FILING ORGANIZATION, AND WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER KEY MANAGEMENT BECAME EMPLOYEES OF WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER.
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE MEMBER OF THE ORGANIZATION IS WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER, A NORTH CAROLINA NONPROFIT CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7A	THE SOLE MEMBER OF THE ORGANIZATION SHALL HAVE THE RIGHT AT ALL TIMES, WITH RESPECT TO THE ORGANIZATION, TO ELECT AND REMOVE THE TRUSTEES, AS PROVIDED IN THE ORGANIZATION'S BYLAWS.
FORM 990, PART VI, SECTION A, LINE 7B	THE SOLE MEMBER OF THE ORGANIZATION SHALL HAVE THE RIGHT AT ALL TIMES, WITH RESPECT TO THE ORGANIZATION, TO APPROVE THE SALE, LEASE, OR TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE ORGANIZATION, TO APPROVE ANY AMENDMENTS TO THE ORGANIZATIONS ARTICLES OR BYLAWS, AND TO APPROVE THE MISSION, VISION, AND VALUE STATEMENTS OF THE ORGANIZATION. THE SOLE MEMBER MAY ACT WITHOUT A MEETING.
FORM 990, PART VI, SECTION B, LINE 11B	THE FILING ORGANIZATION'S BOARD OF DIRECTORS RECEIVES COPIES OF THE FORM 990 WITH SUFFICIENT TIME TO PERMIT REVIEW, COMMENT, AND QUESTIONS PRIOR TO ITS FILING. IF MODIFICATIONS ARE REQUIRED FOLLOWING SUCH REVIEW AND COMMENT, THE REVISED FORM 990 IS REDISTRIBUTED TO ALL DIRECTORS PRIOR TO ITS FILING WITH THE IRS, ALONG WITH A REPORT NOTING THE MODIFICATIONS.
FORM 990, PART VI, SECTION B, LINE 12C	ON AN ANNUAL BASIS (AND AS THEY ARISE), ALL TRUSTEES AND OFFICERS OF THE FILING ORGANIZATION ARE ASKED TO REVIEW THE APPLICABLE CONFLICTS OF INTEREST POLICY AND TO DESCRIBE ANY POTENTIAL CONFLICTS OF INTEREST THEY MAY HAVE. UPON COMPLETION OF THE CONFLICTS OF INTEREST SURVEY, THE LEGAL DEPARTMENT REVIEWS THE COMPLETED QUESTIONNAIRES ON BEHALF OF THE FILING ORGANIZATION. ANY CONFLICTS IDENTIFIED ARE COMMUNICATED TO THE FILING ORGANIZATION'S CHAIRMAN OF THE BOARD AND ARE PRESENTED TO THE MEDICAL CENTER GOVERNANCE AND COMPENSATION COMMITTEE. ALL CONFLICTS OF INTEREST ARE RESOLVED BY MANAGEMENT PLANS DEVELOPED BY THE MEDICAL CENTER GOVERNANCE AND COMPENSATION COMMITTEE AND THE INTERNAL AUDIT AND COMPLIANCE OFFICES. THE MEDICAL CENTER GOVERNANCE AND COMPENSATION COMMITTEE'S CHAIR PRESENTS AN ANNUAL REPORT ON CONFLICTS TO THE FULL BOARD OF THE FILING ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 15	THE GOVERNANCE AND COMPENSATION COMMITTEE OF WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER ("WFUBMC") FUNCTIONS AS THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND PURSUANT TO A DELEGATION BY THE FILING ORGANIZATION, REVIEWS AND APPROVES THE APPOINTMENT AND COMPENSATION OF THE SENIOR EXECUTIVE(S) OF THE FILING ORGANIZATION. NO MEMBER OF THE WFUBMC GOVERNANCE AND COMPENSATION COMMITTEE IS AN EMPLOYEE OF THE MEDICAL CENTER. THE GOVERNANCE AND COMPENSATION COMMITTEE RELIES UPON AN EXTERNAL, INDEPENDENT COMPENSATION CONSULTANT EXPERIENCED IN HEALTHCARE TO PROVIDE THE COMMITTEE WITH COMPENSATION COMPARABILITY DATA FOR NEW EXECUTIVE POSITION APPOINTMENTS AND FOR COMPENSATION REVIEWS FOR EXISTING EXECUTIVES. THE CONSULTANT, WHICH IS RETAINED DIRECTLY BY THE GOVERNANCE AND COMPENSATION COMMITTEE, PROVIDES THIRD-PARTY INFORMATION AND EVALUATES THE COMPETITIVENESS AND REASONABLENESS OF EXECUTIVE COMPENSATION AND BENEFITS PROGRAMS IN RELATION TO MARKET PRACTICES FOR SIMILARLY-SITUATED NONPROFIT HEALTHCARE ORGANIZATIONS. THE COMMITTEE MAKES ITS DECISIONS WITH RESPECT TO EXECUTIVE COMPENSATION IN ACCORDANCE WITH THE FILING ORGANIZATION'S POLICIES, IRS REGULATIONS, AND STANDARD CORPORATE GOVERNANCE PRACTICES. SUCH POLICIES INCLUDE ADHERENCE TO: BOARD-ESTABLISHED EXECUTIVE COMPENSATION PHILOSOPHY AND REVIEW PROCESSES; PROCESSES ENSURING GOVERNANCE AND COMPENSATION COMMITTEE MEMBER AND COMPENSATION CONSULTANT INDEPENDENCE; USE OF VALID MARKET COMPARISONS OF DATA FROM PEER ACADEMIC MEDICAL CENTERS OF SIMILAR ORGANIZATIONAL STRUCTURE, SIZE, AND COMPLEXITY; CAREFUL DOCUMENTATION OF ALL COMPENSATION DECISIONS; AND ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS, PER IRS GUIDELINES. MINUTES OF THE DELIBERATIONS OF THE GOVERNANCE AND COMPENSATION COMMITTEE ARE CONTEMPORANEOUSLY MAINTAINED AND THAT COMPARABILITY DATA IS MAINTAINED IN THE MEDICAL CENTER'S OFFICE OF EXECUTIVE COMPENSATION SERVICES. IN THE EVENT THAT A MEMBER OF THE GOVERNANCE AND COMPENSATION COMMITTEE HAS A CONFLICT OF INTEREST RELATED TO EXECUTIVE APPOINTMENT OR COMPENSATION, THAT MEMBER DOES NOT PARTICIPATE IN THE DELIBERATION OR APPROVAL OF APPOINTMENT OR COMPENSATION AND SUCH ABSTENTION IS NOTED IN THE COMMITTEE'S MEETING MINUTES.
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 PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 10,490,851. MANAGEMENT AND GENERAL EXPENSES 492,949. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,983,800.
FORM 990, PART XI, LINE 9:	ACTUARIAL GAIN/LOSS - CHANGE IN PENSION LIABILITY -3,134,083.

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	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER
MEDICAL CENTER BLVD	WINSTON SALEM	NC	27157	510190238	HEALTHCARE	NC	501(C)(3)	LINE 12A, I	0
LEXINGTON MEDICAL CENTER
250 HOSPITAL DRIVE	LEXINGTON	NC	27292	560543238	HEALTHCARE	NC	501(C)(3)	LINE 3	0	WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER
LEXINGTON MEDICAL CENTER FOUNDATION
250 HOSPITAL DRIVE	LEXINGTON	NC	27292	581876553	FUNDRAISING	NC	501(C)(3)	LINE 3	0	LEXINGTON MEDICAL CENTER
NORTHWEST COMMUNITY CARE NETWORK
2000 WEST FIRST STREET	WINSTON SALEM	NC	27104	020774853	HEALTHCARE	NC	501(C)(3)	LINE 7	0	WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER
FAITHHEALTH INNOVATIONS INC
MEDICAL CENTER BLVD	WINSTON SALEM	NC	27157	237426944	HEALTHCARE	NC	501(C)(3)	LINE 10	0	WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER
WAKE FOREST EMERGENCY PROVIDERS
MEDICAL CENTER BLVD	WINSTON SALEM	NC	27157	561903275	HEALTHCARE	NC	501(C)(3)	LINE 3	0	WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER
DAVIE MEDICAL CENTER
329 NC HWY 801N	BERMUDA RUN	NC	27006	562276994	HEALTHCARE	NC	501(C)(3)	LINE 3	0	WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER
HIGH POINT REGIONAL HEALTH
PO BOX HP-5	HIGH POINT	NC	27261	560532309	HEALTHCARE	NC	501(C)(3)	LINE 3	0	WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER
HIGH POINT REGIONAL HEALTH FOUNDATION
601 N ELM STREET	HIGH POINT	NC	27261	272854711	FUNDRAISING	NC	501(C)(3)	LINE 12A, I	0	HIGH POINT REGIONAL HEALTH

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd
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	HEALTHCARE	PrimaryActivitiesTxt
Legal Domicile State	NC	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Entity Type	C	EntityTypeTxt
Controlled Organization	0	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd