2019-05-14T12:14:36-05:00 2018-06-30 990 2017-07-01 560543238 LEXINGTON MEDICAL CENTER LEXI 3367164445 PO BOX 1817 250 HOSPITAL DRIVE LEXINGTON NC 272931817 BRADLEY A CLARK TREASURER 3362485161 2019-05-14 152.11.164.57 2019-05-14 11:56:58 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 C519E53D4DD429C18E6E355385A0C45AA59A2EAE 2017 2019-02-21 02:37:17Z WILLIAM B JAMES PO BOX 1817 250 HOSPITAL DRIVE LEXINGTON NC 272931817 112507587 0 X WWW.LEXINGTON.WAKEHEALTH.EDU X 1954 NC TO BE A MEDICAL CENTER OF CHOICE, PROMOTING HEALTH AND SERVING AS A DESTINATION FOR EXCELLENCE IN PATIENT CARE. 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. 18 15 0 35 3356858 -263661 64388 379539 107344845 111814979 -18314 -8420 280742 313023 107671661 112499121 20800 21750 0 0 42220961 46350317 0 0 0 52224060 53994260 94465821 100366327 13205840 12132794 94968175 101225676 13772250 7896957 81195925 93328719 X 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. 0 0 85600047 21750 108771144 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 2018, THE HOSPITAL FACILITY HAD 9,890 PATIENT DAYS, INCLUDING 3,043 INPATIENT ADMISSIONS, AND 37,096 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 85600047 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 32 0 1 0 1 1 0 0 0 0 0 0 0 0 0 X 18 15 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X JOSEPH DOLAN 3367164445 MEDICAL CENTER BOULEVARD WINSTONSALEM NC 27157 JOHN FRANK DIRECTOR & VICE CHAIR 4.00 X X 0 0 0 GORDON KAMMIRE MD DIRECTOR 2.00 X 0 0 0 KAYE LEONARD DIRECTOR 2.00 X 0 0 0 ROBERT CRAVEN DIRECTOR (THRU 12/31/17) 2.00 X 0 0 0 KAREN CRAVER DIRECTOR 2.00 38.00 X 0 105847 19134 TERRA GREENE DIRECTOR 2.00 X 0 0 0 JAMES HOEKSTRA MD DIRECTOR 2.00 X 0 0 0 LARRY POTTS DIRECTOR (THRU 12/31/17) 2.00 X 0 0 0 THOMPSON MILLER DIRECTOR & CHAIR 4.00 X X 0 0 0 KEVIN P HIGH MD DIRECTOR 0.50 6.30 X 0 0 0 ROSE MCDANIEL DIRECTOR 2.00 X 0 0 0 MEREDITH ANDREWS DIRECTOR (THRU 12/31/17) 2.00 2.00 X 0 0 0 REV DR RAY HOWELL DIRECTOR 2.00 X 0 0 0 DEBBY BROWN DIRECTOR (FROM 1/1/18) 2.00 X 0 0 0 DAVID HOLDER MD DIRECTOR 2.00 X 0 0 0 KATRINA CRAVEN DIRECTOR (FROM 1/1/18) 2.00 X 0 0 0 SARA DELAPP DIRECTOR (FROM 1/1/18) 2.00 2.00 X 0 0 0 LILLIAN KOONTZ DIRECTOR (FROM 1/1/18) 2.00 X 0 0 0 CHUCK MILLER DIRECTOR (FROM 1/1/18) 2.00 X 0 0 0 BRADLEY A CLARK DIRECTOR & TREASURER 2.00 38.00 X X 0 483113 170979 WILLIAM B JAMES DIRECTOR & PRESIDENT 38.00 2.00 X X 0 384006 89598 DENISE SNIDER SECRETARY 40.00 X 0 73105 12846 DANNY SQUIRES KEY EMPLOYEE 25.00 15.00 X 0 163031 28621 APRIL CABLE CRNA 40.00 X 0 207128 35722 CHRISTOPHER WATTERS CRNA 40.00 X 0 224976 41629 WADE MORCOM CRNA 40.00 X 0 258215 42457 ELIZABETH GUNTER-WOODS CRNA CLINICAL INSTRUCTOR 40.00 X 0 222811 43597 SHEILA CRUMB ASST CHIEF CRNA 40.00 X 0 198010 36560 CHAD A ECKES FORMER OFFICER (AS OF 6/11/17) 0.00 0.00 X 0 987032 33896 0 3307274 555039 0 1 1 0 STRYKER ORTHOPEDICS 2825 AIRVIEW BOULEVARD KALAMAZOO MI 49002 MEDICAL SUPPLIES 1122916 BOSTON SCIENTIFIC CORPORATION 300 BOSTON SCIENTIFIC WAY MARLBOUROUGH MA 01752 MEDICAL DEVICES 875689 SODEXO INC & AFFILIATES PO BOX 536922 ATLANTA GA 303536922 CONTRACT SERVICES 655711 MEDLINE INDUSTRIES INC 1 MEDLINE PLACE MUNDELEIN IL 60060 MEDICAL DEVICES 633041 AMN HEALTHCARE INC 1411 PLAZA WEST DR WINSTON SALEM NC 27103 HEALTHCARE STAFFING 514250 30 303792 75747 379539 NET PATIENT SERVICE REVENUE 621990 111814979 108458121 3356858 111814979 46 46 8466 -8466 -8466 -8466 DIETARY 621990 302023 302023 OTHER 621990 11000 11000 313023 112499121 108771144 3356858 -8420 21750 21750 556396 344966 211430 37743596 27401321 10342275 1699270 1235100 464170 4266561 3101114 1165447 2084494 1515097 569397 729633 647895 81738 8682 8682 102152 66399 35753 7437309 7414059 23250 3113 3113 3499516 2282288 1217228 338488 220017 118471 3053446 2780930 272516 82395 65092 17303 7794 790 7004 3761872 3761872 632364 392066 240298 MEDICAL SUPPLIES 20417388 20417388 0 BAD DEBTS 11315215 11315215 0 PROVIDER ASSESSMENT TAX 2604893 2604893 0 100366327 85600047 14766280 0 5390 20004884 27545643 32192286 10899692 10630179 1362920 1928327 348230 60508 79154719 57208598 21058989 21946121 419561 419561 33327750 14043810 94968175 101225676 6671839 7896957 7100411 0 13772250 7896957 X 81172007 93304801 23918 23918 81195925 93328719 94968175 101225676 12132794 0 X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 8682 8682 0 PART II-B, LINE 1: 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. 1994016 1994016 42191818 32458872 9732946 32415127 24749726 7665401 2553758 2553758 21946121 OTHER ASSETS 95898 INTERCOMPANY RECEIVABLE 13947912 14043810 X PART X, LINE 2: THE ORGANIZATION HAS EVALUATED UNCERTAIN TAX POSITIONS FOR ITS FISCAL YEARS ENDED JUNE 30, 2017 AND 2018, 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, 2017 AND 2018. 1 1 1 X 1 X 1 1 0 1 1 4981533 4981533 0.05570 13975393 13794049 181344 0.00200 1932876 1526422 406454 0.00450 20889802 15320471 5569331 0.06220 405320 0 405320 0.00450 376469 0 376469 0.00420 781789 781789 0.00870 21671591 15320471 6351120 0.07090 1 2480393 37491010 40536417 -3045407 X 1 1 1 1 LEXINGTON MEDICAL CENTER 250 HOSPITAL DRIVE LEXINGTON NC 27292 H0027 X X X LEXINGTON MEDICAL CENTER 1 0 0 1 X X X X X X X X X 15 1 1 0 1 X SEE PART V, PAGE 7 X 1 16 1 SEE PART V, PAGE 7 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X HTTP://LEXINGTON.WAKEHEALTH.EDU/BILLING/FINANCIAL-ASSISTANCE.HTM X HTTP://LEXINGTON.WAKEHEALTH.EDU/BILLING/FINANCIAL-ASSISTANCE.HTM X HTTP://LEXINGTON.WAKEHEALTH.EDU/BILLING/FINANCIAL-ASSISTANCE.HTM X X X X X X X 1 X 0 X X X X 1 X 0 0 LEXINGTON MEDICAL CENTER PART V, SECTION B, LINE 5: COMMUNITY INPUT WAS OBTAINED THROUGH THE FOLLOWING SOURCES: (1) DAVIDSON COUNTY COMMUNITY HEALTH SURVEY CONDUCTED IN SUMMER 2015 VIA SURVEYMONKEY; (2) TWO FAITHHEALTH NC (A DEPARTMENT OF WAKE FOREST BAPTIST MEDICAL CENTER) COMMUNITY ASSET MAPPING WORKSHOPS WHICH SOUGHT OPINIONS OF BOTH HEALTH PROVIDERS AND HEALTH SEEKERS IN DAVIDSON COUNTY'S MOST VULNERABLE COMMUNITIES; AND (3) COMMENTS FROM PRIOR COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY.ADDITIONALLY, MORE THAN FIFTEEN SECONDARY DATA SOURCES WERE REVIEWED, INCLUDING THE US CENSUS BUREAU, LINC (LOG INTO NORTH CAROLINA), NC OFFICE OF STATE BUDGET, NC DEPT OF COMMERCE, NC EMPLOYMENT SECURITY COMMISSION, NC DIVISION OF AGING, NC DEPT PUBLIC INSTRUCTION, NC DEPT JUSTICE, NC DEPT JUVENILE JUSTICE, NC DEPT ADMINISTRATION, NC DIVISION MEDICAL ASSISTANCE, NC DIVISION CHILD DEVELOPMENT, NC DIVISION HEALTH SERVICES REGULATION, CECIL G. SHIPS CENTER FOR HEALTH SERVICES RESEARCH, ANNIE E. CASEY FOUNDATION KIDS COUNT DATA CENTER, AND DAVIDSON CO DEPT OF SOCIAL SERVICES. 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 IDENTIFIED THE FOLLOWING SIGNIFICANT HEALTH NEEDS WITHIN THE COMMUNITY: (1) ACCESS TO HEALTH CARE, (2) CHRONIC DISEASE MANAGEMENT AND INFORMATION, (3) BEHAVIORAL AND MENTAL DISTRESS, (4) FINANCIAL COST OF HEALTH CARE AND PRESCRIPTION DRUGS, (5) RACISM, (6) HEALTHCARE RESOURCES AND EDUCATION, (7) LACK OF INSURANCE AND UNDOCUMENTED PATIENTS, AND (8) COMPASSIONATE CARE.LEXINGTON MEDICAL CENTER (LMC) PRIORITIZED THE FOLLOWING THREE SIGNIFICANT COMMUNITY HEALTH NEEDS FOR ITS CURRENT CHNA AS FOLLOWS: (1) ACCESS TO CARE; (2) CHRONIC DISEASE MANAGEMENT; AND (3) BEHAVIORAL/MENTAL HEALTH DISTRESS. 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 TRANSPORTATION AND ACCESS TO COMMUNITY CENTERED SOCIAL AND HEALTH EDUCATION SERVICES CAN LEAD TO UNMET HEALTH NEEDS. THE HOSPITAL'S CURRENT STRATEGIES INCLUDE:--REDUCING TRANSPORTATION BARRIERS FOR INDIVIDUALS IN RURAL AREAS OF THE COMMUNITY THROUGH 1.) ASSESSING NEED FOR TRANSPORTATION ASSISTANCE THROUGH VARIOUS COMMUNITY AGENCIES TO DETERMINE HOW TO EASE ACCESS THROUGH PUBLIC TRANSPORTATION OR ONSITE CLINICS IN HIGH NEED AREAS, AND 2.) WORKING WITH LOCAL AGENCIES TO DETERMINE RESOURCES AVAILABLE TO BRING CARE TO AREAS IMPACTED BY TRANSPORTATION ISSUES OR PROVIDE TRANSPORTATION TO HEALTH CARE RESOURCES FOR THOSE IN NEED.--IMPROVING ACCESS TO COMMUNITY CENTERED SOCIAL AND HEALTH EDUCATION SERVICES AND REGULAR SOURCES OF HEALTH CARE THROUGH 1.) PROVIDING HEALTH EDUCATION EVENTS AND SCREENINGS AT VARIOUS LOCATIONS IN DAVIDSON COUNTY, 2.) CONTINUING TO HOLD AND WIDELY PROMOTE ANNUAL LEXINGTON MEDICAL CENTER COMMUNITY HEALTH DAY, FEATURING FREE SCREENINGS AND MEDICAL CENTER RESOURCES TO EDUCATE AND INFORM THE COMMUNITY ON A WIDE ARRAY OF HEALTH TOPICS, 3.) WORKING WITH LOCAL CHURCHES TO PROVIDE PROGRAMS AND ENLIST LAY LEADER SUPPORT TO ASSIST PARISHIONERS NEEDING ACCESS, 4.) EXPANDING BESTHEALTH PROGRAMMING AT COMMUNITY EVENTS/VENUES IN DAVIDSON COUNTY, AND 5.) CONTINUING TO PARTICIPATE IN DAVIDSON COUNTY SCHOOLS ANNUAL FLU VACCINE PROGRAM.2. CHRONIC DISEASE MANAGEMENTLMC 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, AND 2.) INCREASING COMMUNITY AND HEALTHCARE PROVIDER ACCESS TO EXISTING CHRONIC DISEASE MANAGEMENT RESOURCES BY CENTRALIZING AND DISTRIBUTING INFORMATION.--PROVIDING EDUCATION AND SUPPORT PROGRAMS TO REDUCE DIABETIC PREVALENCE AND IMPROVING DIABETES MANAGEMENT THROUGH 1.) WORKING WITH DAVIDSON COUNTY HEALTH DEPARTMENT TO IMPROVE ACCESS TO AREA DIABETES MANAGEMENT PROGRAMS FOR PRE-DIABETIC AND EARLY ONSET DIABETIC PATIENTS, 2.) CONTINUING TO PROVIDE BESTHEALTH DIABETES PREVENTION AND NUTRITION EDUCATION/COOKING CLASSES AT CONVENIENT LOCATIONS IN DAVIDSON COUNTY, 3.) EXPLORING PARTNERSHIP WITH DAVIDSON COUNTY AGENCIES TO FOCUS DIABETES PREVENTION AND MANAGEMENT PROGRAMS IN IDENTIFIED HIGH NEED NEIGHBORHOODS, AND 4.) PARTICIPATING IN OPPORTUNITIES WITH AREA SCHOOLS TO SCREEN FOR DIABETES AND/OR EDUCATE STUDENTS AND PARENTS ON DIABETES PREVENTION.--PROVIDING EDUCATION AND SUPPORT PROGRAMS TO REDUCE OBESITY PREVALENCE AND IMPROVE OBESITY MANAGEMENT THROUGH 1.) EXPANDING PROGRAMMING IN DAVIDSON COUNTY TO INCREASE EDUCATION AND AWARENESS OF NUTRITION AND HEALTHY LIFESTYLE CHOICES FOR UNINSURED AND MEDICAID PATIENTS, 2.) PROMOTING HEALTHY DIET AND WEIGHT MANAGEMENT THROUGH EMPLOYEE WELLNESS PROGRAMS, 3.) CONTINUING TO SUPPORT COMMUNITY WEIGHT MANAGEMENT EDUCATION THROUGH BESTHEALTH, 4.) INCREASING AWARENESS AMONG EXISTING PATIENTS AND EMPLOYEES OF WEIGHT MANAGEMENT PROGRAMS, 5.) EDUCATING ELEMENTARY AND MIDDLE SCHOOL STUDENTS/PARENTS ON GOOD NUTRITION AND HEALTHY EATING OPTIONS THROUGH IN-SCHOOL PROGRAMS, AND 6.) EDUCATING ADULTS THROUGH COMMUNITY RESOURCES AND EMPLOYER PARTNERS ON HEALTHY EATING HABITS AND MEAL OPTIONS.3. BEHAVIORAL/MENTAL HEALTH DISTRESSLMC RECOGNIZES THE OVERLAP OF MENTAL, MEDICAL AND SOCIAL DISPARITIES AND THE IMPORTANT ROLE OF BEHAVIORAL HEALTH IN TREATING THE WHOLE PERSON. THE HOSPITAL'S CURRENT STRATEGIES INCLUDE:--GROWING AWARENESS OF CARENET SERVICES AVAILABLE AT LMC WITH EXPOSURE OF CARENET AMONG COMMUNITY BASED ORGANIZATIONS AND COMMUNITY EVENTS;--WORKING WITH MENTAL HEALTH RESOURCES IN DAVIDSON COUNTY TO IDENTIFY KEY RESOURCES FOR ACCESS AND PROGRAMMING OF PATIENTS NEEDING MENTAL HEALTH SERVICES;--INCREASING THE CURRENT 30+ STAFF AT THE MEDICAL CENTER WHO WORK IN AREAS DEFINED AS INTEGRATED BEHAVIORAL HEALTH;--BUILDING CAPACITY AMONG LAY PERSONS IN THE COMMUNITY IN THE AREAS OF MENTAL HEALTH FIRST AID, COMMUNITY RESILIENCE MODEL AND SUICIDE PREVENTION PROGRAMS;--DEVELOPING A PLAN TO CREATE MORE INTEGRATED BEHAVIORAL HEALTH GRADUATE MEDICAL EDUCATION OFFERINGS FOR MEDICAL STUDENTS, RESIDENTS, FACULTY AND STAFF THAT SEE PATIENTS ACROSS THE MEDICAL CENTER NETWORK.ALL OF THE AFOREMENTIONED EFFORTS IN COMBINATION WITH THE HOSPITAL'S VALUES OF NONDISCRIMINATION AND COMPASSIONATE CARE ARE DESIGNED TO MEET THE SIGNIFICANT HEALTH NEEDS OF THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. LEXINGTON MEDICAL CENTER PART V, SECTION B, LINE 13H: THE HOSPITAL MAY USE COMMERCIALLY AVAILABLE FINANCIAL PROFILING AND CREDIT SCORING TECHNOLOGIES TO PRESUMPTIVELY SCREEN RESPONSIBLE INDIVIDUALS TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE DISCOUNTS. LEXINGTON MEDICAL CENTER PART V, SECTION B, LINE 16J: IN ADDITION TO THE METHODS PREVIOUSLY DESCRIBED, THE HOSPITAL INFORMS PATIENTS ABOUT ITS FAP DURING INTAKE AND DISCHARGE BY PROVIDING A PLAIN LANGUAGE SUMMARY OF THE FAP. THE HOSPITAL ALSO PLACES A CONSPICUOUS WRITTEN NOTICE OF THE FAP ON ITS PATIENT BILLING STATEMENTS. 15 1 - WFBH CARDIOLOGY - LEXINGTON 14 MEDICAL PARK DR LEXINGTON NC 27292 CARDIOLOGY 2 - WFBH DIGESTIVE SERVICES - LEXINGTON 11 MEDICAL PARK DR LEXINGTON NC 27292 GASTROINTESTINAL HEALTH 3 - WFBH ENTHEAD & NECK SURGERY - LEXINGTON 106 WEST MEDICAL PARK DR LEXINGTON NC 27292 ENT 4 - WFBH FAMILY MEDICINE - LEXINGTON 101 WEST MEDICAL PARK DR LEXINGTON NC 27292 FAMILY PRACTICE 5 - WFBH INTERNAL MEDICINE - LEXINGTON 105 HOSPITAL DRIVE LEXINGTON NC 27292 INTERNAL MEDICINE 6 - WFBH PEDIATRICS - LEXINGTON 13 MEDICAL PARK DR LEXINGTON NC 27292 PEDIATRIC MEDICINE 7 - WFBH WOMEN'S SERVICES - LEXINGTON 7 MEDICAL PARK DR LEXINGTON NC 27292 WOMEN'S HEALTH 8 - WFBH WOUND CARE & HYPERBARIC CENTER - LE 10 MEDICAL PARK DR LEXINGTON NC 27292 WOUND CARE CENTER 9 - WFBH NEUROLOGY - LEXINGTON 10 MEDICAL PARK DR LEXINGTON NC 27292 NEUROLOGY 10 - WFBH HEMATOLOGY & ONCOLOGY - LEXINGTON 107 WEST MEDICAL PARK DR LEXINGTON NC 27292 HEMATOLOGY AND ONCOLOGY 11 - WFBH RADIATION ONCOLOGY - LEXINGTON 107 WEST MEDICAL PARK DR LEXINGTON NC 27292 RADIATION ONCOLOGY 12 - WFBH PAIN CENTER - LEXINGTON 10 MEDICAL PARK DR LEXINGTON NC 27292 PAIN MANAGEMENT 13 - WFBH INFECTIOUS DISEASE - LEXINGTON 10 MEDICAL PARK DR LEXINGTON NC 27292 INFECTIOUS DISEASE 14 - WFBH GYNECOLOGY ONCOLOGY - LEXINGTON 107 WEST MEDICAL PARK DR LEXINGTON NC 27292 GYNECOLOGY ONCOLOGY 15 - WFBH FAMILY MEDICINE - NORTH DAVIDSON 799 HICKORY TREE RD WINSTONSALEM NC 27127 FAMILY PRACTICE PART I, LINE 3C: THE ORGANIZATION ALSO EVALUATES CERTAIN CREDIT FILE DATA ELEMENTS TO IDENTIFY POTENTIAL SOURCES OF INCOME TO MORE ACCURATELY INFORM CHARITY CARE ELIGIBILITY ASSESSMENTS. PATIENTS WITH ESTIMATED HOUSEHOLD INCOME BELOW 200% OF FPG, WHO ARE IDENTIFIED AS HAVING COMMERCIAL CREDIT ACCOUNTS THAT ARE BEING SERVICED IN A MANNER THAT SUGGESTS ADDITIONAL SOURCES OF INCOME, ARE NOT AUTOMATICALLY GRANTED PRESUMPTIVE CHARITY CARE. 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 2017 SCHEDULE H.PART I, LINE 7B MEDICAID DIRECT OFF-SETTING REVENUETHE HOSPITAL PARTICIPATES IN A PROVIDER ASSESSMENT PROGRAM ADMINISTERED BY THE NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES. UNDER THE PROGRAM, A FEE IS ASSESSED AGAINST NON-MEDICAID NET PATIENT SERVICE REVENUE OF PRIVATE HOSPITALS. THE FEDERAL GOVERNMENT MATCHES THE ASSESSMENT AT A RATE OF 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 $11,315,215 FOR THE FISCAL YEAR ENDED JUNE 30, 2018. THIS AMOUNT IS NOT INCLUDED IN THE CALCULATION OF CHARITY CARE FOR PART I, LINE 7. PART II, COMMUNITY BUILDING ACTIVITIES: LEXINGTON MEDICAL CENTER IS COMMITTED TO IMPROVING THE HEALTH OF THE INDIGENT AND MEDICALLY UNDERSERVED IN DAVIDSON COUNTY. IT 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 MEDICAL MINISTRIES CLIENTS AND CONDUCTS VARIOUS HEALTH SCREENINGS AT NO COST FOR THE CLINIC. THE HOSPITAL HAS LAUNCHED 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. IN ADDITION, LEXINGTON MEDICAL CENTER PROVIDES A FREE CHILDHOOD OBESITY PROGRAM FOR DISADVANTAGED YOUTHS, PLUS ONSITE HEALTH EDUCATION PROGRAMS IN AREA SCHOOLS. 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. ALSO, LEXINGTON MEDICAL CENTER NOW OFFERS SPECIALIZED BONE HEALTH AND FRACTURE PREVENTION CARE THROUGH ITS FRACTURE LIAISON PROGRAM, DESIGNED TO HELP PATIENTS WHO HAVE HAD A RECENT FRACTURE TO REDUCE THE RISK OF ADDITIONAL BREAKS AND IMPROVE BONE QUALITY. ADDITIONALLY, THE NORTH CAROLINA BREASTFEEDING COALITION (NCBC) RECENTLY AWARDED LEXINGTON MEDICAL CENTER 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 2017 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 THREE REGIONAL PRIORITY AREAS TO FOCUS ON FOR FY 2017-2019. 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. AN INTERNAL STEERING COMMITTEE AND SENIOR LEADERSHIP REVIEW A SET OF CRITERIA TO DEVELOP THE PRIORITY RANKINGS. THE PRIORITIZATION PROCESS IDENTIFIED THE FOLLOWING THREE PRIORITY CHALLENGES FOR THE COMMUNITY: (1) ACCESS/LACK OF MEDICAL SERVICES/SCREENINGS, (2) CHRONIC DISEASE - CANCER, DIABETES, OBESITY, AND (3) BEHAVIORAL/MENTAL HEALTH DISTRESS.FAITHHEALTHNC (A DIVISION OF THE MEDICAL CENTER) 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 2017-2019. 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 165,000 AND THE MEDIAN HOUSEHOLD INCOME FOR THIS AREA IS $45,802.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: 22.2% - AGE 65 AND OLDER: 17.9%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%)THE MAJORITY OF THE WORKFORCE WORKS IN AREAS OF MANUFACTURING, HEALTHCARE, AND RETAIL. THE DAVIDSON COUNTY UNEMPLOYMENT RATE FOR 2017 WAS 4.3%. 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. DURING THE CURRENT FISCAL YEAR, THE HOSPITAL HIRED AND BEGAN PROVIDING A CERTIFIED ATHLETIC TRAINER THAT WORKS FULL-TIME IN DAVIDSON COUNTY SCHOOLS. IN ADDITION TO COMMUNITY PROGRAMS, LEXINGTON MEDICAL CENTER HAS REINVESTED FUNDS IN INITIATIVES TO BETTER SERVE COMMUNITY HEALTH AS FOLLOWS. THE HOSPITAL RECENTLY COMPLETED A $1 MILLION DOLLAR RENOVATION OF THE CANCER CENTER TO MAKE THE BUILDING MORE EASILY ACCESSIBLE TO PATIENTS. 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 ACCOMODATE VARIOUS TYPES OF PROCEDURES AND SPECIALTIES. IN MAY 2018, LEXINGTON MEDICAL CENTER'S OUTPATIENT IMAGING CENTER EXPANDED ACCESS TO 3-D MAMMOGRAPHY BY RECENTLY PURCHASING A NEW GE PRISTINA MAMMOGRAPHY MACHINE, WHICH REVEALS GREATER DETAIL AND MAY HELP DETECT CANCER SOONER. BRENNER'S CHILDREN'S HOSPITAL, A DIVISION OF WAKE FOREST BAPTIST HEALTH, HAS RECENTLY EXPANDED ITS SERVICES AT LEXINGTON MEDICAL CENTER THROUGH A NEW PEDIATRIC HOSPITALIST PROGRAM, PROVIDING DEDICATED, FULL TIME PATIENT CARE AT THE HOSPITAL. ADDITIONALLY, CARENET, AN AFFILIATE OF WAKE FOREST BAPTIST HEALTH, HAS ADDED A NEW PROGRAM LINKING A BEHAVIORAL HEALTH COUNSELOR WITH THE BRENNER'S CHILDREN'S HOSPITAL TEAM AT LEXINGTON MEDICAL CENTER. 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, 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 1,004 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 1 FAMILY SERVICES OF DAVIDSON COUNTY INC PO BOX 607 LEXINGTON NC 27292 581591597 501(C)(3) 5500 COMMUNITY SUPPORT 1 0 PART I, LINE 2: THE HOSPITAL FOLLOWS THE MEDICAL CENTER'S CORPORATE POLICY USED IN REVIEWING THE ELIGIBILITY AND SELECTION OF GRANTEES RECEIVING CERTAIN EXEMPT PURPOSE FUNDS. THE HOSPITAL MAINTAINS DOCUMENTATION OF THE ELIGIBILITY AND SELECTION CRITERIA AND RECORDS OF THE AMOUNTS DISBURSED. 1 1 0 0 0 0 0 0 0 BRADLEY A CLARK DIRECTOR & TREASURER 0 406688 0 75755 0 670 0 150891 0 20088 0 654092 0 0 WILLIAM B JAMES DIRECTOR & PRESIDENT 0 306228 0 74785 0 2993 0 67548 0 22050 0 473604 0 0 DANNY SQUIRES KEY EMPLOYEE 0 162418 0 0 0 613 0 13032 0 15589 0 191652 0 0 APRIL CABLE CRNA 0 206978 0 0 0 150 0 17188 0 18534 0 242850 0 0 CHRISTOPHER WATTERS CRNA 0 224640 0 0 0 336 0 19296 0 22333 0 266605 0 0 WADE MORCOM CRNA 0 257882 0 0 0 333 0 22731 0 19726 0 300672 0 0 ELIZABETH GUNTER-WOODS CRNA CLINICAL INSTRUCTOR 0 222088 0 0 0 723 0 26030 0 17567 0 266408 0 0 SHEILA CRUMB ASST CHIEF CRNA 0 197610 0 0 0 400 0 16703 0 19857 0 234570 0 0 CHAD A ECKES FORMER OFFICER (AS OF 6/11/17) 0 346612 0 0 0 640420 0 22984 0 10912 0 1020928 0 0 PART I, LINES 4A-B CERTAIN OFFICERS OF THE FILING ORGANIZATION RECEIVED SEVERANCE PAYMENTS AND 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 FORMER OFFICER RECEIVED SEVERANCE PAYMENTS IN HIS CALENDAR YEAR 2017 COMPENSATION: CHAD ECKES $640,000 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, 2018 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), CORNERSTONE HEALTH CARE, LLC, WILKES REGIONAL MEDICAL CENTER & AFFILIATE, 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 CORPORATION IS WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER (WFUBMC). 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 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 NOT AVAILABLE TO THE PUBLIC. LEXINGTON MEDICAL CENTER FOUNDATION 250 HOSPITAL DRIVE LEXINGTON NC 27292 581876553 FUNDRAISING NC 501(C)(3) LINE 12A, I LEXINGTON MEDICAL CENTER 1 WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER MEDICAL CENTER BLVD WINSTON SALEM NC 27157 510190238 HEALTHCARE NC 501(C)(3) LINE 12A, I N/A 0 NORTHWEST COMMUNITY CARE NETWORK 2000 W 1ST STREET WINSTON SALEM NC 27104 020774853 HEALTHCARE NC 501(C)(3) LINE 7 WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER 0 FAITHHEALTH INNOVATIONS INC MEDICAL CENTER BLVD WINSTON SALEM NC 27157 237426944 HEALTHCARE NC 501(C)(3) LINE 10 WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER 0 DAVIE MEDICAL CENTER 329 NC HWY 801N BERMUDA RUN NC 27006 562276994 HEALTHCARE NC 501(C)(3) LINE 3 WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER 0 WRMC HOSPITAL OPERATING CORPORATION PO BOX 609 NORTH WILKESBORO NC 28659 830343789 HEALTHCARE NC 501(C)(3) LINE 3 WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER 0 WILKES PHYSICIAN NETWORK INC PO BOX 609 NORTH WILKESBORO NC 28659 262971169 HEALTHCARE NC 501(C)(3) LINE 3 WRMC HOSPITAL OPERATING CORPORATION 0 WAKE FOREST EMERGENCY PROVIDERS (FKA WFUBMC CMNTY PHYS) MEDICAL CENTER BLVD WINSTON SALEM NC 27157 561903275 HEALTHCARE NC 501(C)(3) LINE 3 WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER 0 MS LAND HOLDING CO LLC 1901 MOONEY STREET WINSTON SALEM NC 27103 824005370 REAL ESTATE NC N/A N/A 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 LEXINGTON MEDICAL CENTER FOUNDATION C 303792 COST