2022-05-23T17:36:29-05:00 2021-06-30 990 2020-07-01 830343789 WRMC HOSPITAL OPERATING CORPORATION WRMC 3367164445 PO BOX 609 NORTH WILKESBORO NC 28659 BRADLEY A CLARK TREASURER 3367164445 2022-05-13 BRADLEY CLARK 999009999 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z ATRIUM HEALTH WAKE FOREST BAPTIST WILKES MEDICAL CENTER CHAD BROWN PO BOX 609 NORTH WILKESBORO NC 28659 97085242 0 X WWW.WAKEHEALTH.EDU X 1 1996 NC TO IMPROVE HEALTH, ELEVATE HOPE, AND ADVANCE HEALING FOR ALL. 9 1 0 39 0 0 11277618 738089 82036253 95692882 475365 425512 353288 215941 94142524 97072424 1180041 1171353 0 0 46725153 48551506 0 0 0 42489875 47592709 90395069 97315568 3747455 -243144 126057137 129640990 72052433 71563988 54004704 58077002 X SEE SCHEDULE O 0 0 90365534 1171353 95692882 THE ORGANIZATION OPERATES A 130 ACUTE CARE BED HOSPITAL PROVIDING MEDICAL, EMERGENCY, AND OUTPATIENT CARE SERVICES TO THE RESIDENTS OF ALLEGHANY, ALEXANDER, ASHE, CALDWELL, IREDELL, SURRY, WATAUGA, AND WILKES COUNTIES. THE ORGANIZATION SERVES AS A SATELLITE PROVIDER OF ATRIUM HEALTH WAKE FOREST BAPTIST SPECIALTY SERVICES AT ITS NORTH WILKESBORO CAMPUS, INCLUDING CARDIOLOGY, IMAGING, ENT, GASTROENTEROLOGY, NEPHROLOGY, NEUROLOGY, OB/GYN, OPHTHALMOLOGY, PATHOLOGY, PEDIATRICS, ORTHOPEDICS, AND UROLOGY. THE ORGANIZATION IS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS AND HAS BEEN COMMITTED TO SERVING THE HEALTHCARE NEEDS OF WILKES COUNTY SINCE 1952.DURING FISCAL YEAR 2021, THE HOSPITAL FACILITY HAD 12,533 PATIENT DAYS, WITH 2,960 INPATIENT ADMISSIONS, AND 26,970 EMERGENCY ROOM VISITS. THE ORGANIZATION PROVIDES NUMEROUS RESOURCES, ACTIVITIES, AND PROGRAMS TO SERVE THE HEALTH NEEDS OF ITS COMMUNITY. THESE PROGRAMS INCLUDE:- BESTHEALTH, THE COMMUNITY WELLNESS OUTREACH PROGRAM OF AHWFB, OFFERS HEALTH SEMINARS, SCREENINGS, COOKING AND FITNESS CLASSES, ONLINE HEALTH RESOURCES AND A MEMBERSHIP PROGRAM WITH SPECIAL BENEFITS. SEMINARS LED BY EXPERTS FROM AHWFB PROVIDE THE LATEST INFORMATION ABOUT A VARIETY OF HEALTH TOPICS IN TALKS HELD AT CONVENIENT LOCATIONS THROUGHOUT THE COMMUNITY. MEMBERSHIP BENEFITS INCLUDE FREE HEALTH SCREENINGS, WELLNESS CHALLENGES, DISCOUNTS TO PARTICIPATING LOCAL MERCHANTS, E-NEWSLETTERS, AND PRIORITY NOTIFICATION OF EVENTS AND PROGRAMS.- FAITHHEALTHNC - AN INITIATIVE THAT CONNECTS THE CARING STRENGTHS OF CONGREGATIONS, THE CLINICAL EXPERTISE OF PROVIDERS, AND A NETWORK OF COMMUNITY RESOURCES TO EASE THOSE ON THE JOURNEY TO HEALTH AND HEALING, STRENGTHENING COMMUNITIES IN THE PROCESS. THERE ARE FOUR FAITHHEALTH CONNECTORS IN WILKES COUNTY THAT SERVE MARGINALIZED POPULATIONS AND GIVE VOICE TO HEALTH DISPARITIES IN THE COMMUNITIES SURROUNDING AHWFB-WMC.- ATHLETIC TRAINERS - CERTIFIED ATHLETIC TRAINERS (ATC), PROVIDED BY AHWFB, WORK FULL-TIME IN THE FOUR PUBLIC HIGH SCHOOLS IN WILKES COUNTY THAT HAVE ATHLETIC PROGRAMS. THE ATCS WORK WITH STUDENT ATHLETES AND THEIR COACHES TO HELP KEEP THE ATHLETES SAFE AND HEALTHY AND TO TREAT AND HELP REHABILITATE SPORTS-RELATED INJURIES. - CARE CONNECTION PHARMACY 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. AHWFB-WMC ALSO SUPPORTS A SYRINGE EXCHANGE PROGRAM (SEP) AT THE PHARMACY. IN ADDITION TO COMMUNITY PROGRAMS, THE HOSPITAL REGULARLY REINVESTS FUNDS IN MEDICAL TECHNOLOGIES AND STATE-OF-THE ART EQUIPMENT TO BETTER MEET THE HEALTH NEEDS OF THE COMMUNITY. HOSPITAL LEADERSHIP WORKS DIRECTLY WITH THE WILKES MEDICAL CENTER FOUNDATION TO IDENTIFY AND VALIDATE GRANT PROPOSALS THAT ADDRESS ITS COMMUNITY HEALTH NEEDS ASSESSMENT. DURING THE FISCAL YEAR, AHWB-WMC BEGAN OFFERING POSITRON EMISSION TOMOGRAPHY - COMPUTED TOMOGRAPHY (PET/CT) SERVICES. PET MAY DETECT THE EARLY ONSET OF DISEASE BEFORE OTHER IMAGING TESTS CAN. WITH THE ADVANCED TECHNOLOGY OF THE SIEMENS PET/CT SCANNER, PATIENTS AND PROVIDERS CAN EXPECT LOWER RADIATION EXPOSURE, WHILE OBSERVING EVERY ORGAN IN THE FINEST DETAIL, REDUCED SCAN TIMES, INCREASED PATIENT COMFORT, AND EXCEPTIONAL IMAGE QUALITY FOR MORE ADVANCED LESION DETECTION.AHWB-WMC OPENED A NEW HEMATOLOGY AND ONCOLOGY CLINIC IN AUGUST 2020 AS PART OF ATRIUM HEALTH WAKE FOREST BAPTIST'S COMPREHENSIVE CANCER CENTER NETWORK - THE ONLY CENTER IN THE REGION DESIGNATED BY THE NATIONAL CENTER INSTITUTE AND ONE OF ONLY 51 IN THE COUNTRY. PATIENTS CAN NOW RECEIVE DIAGNOSIS AND TREATMENT OF CANCER AND BENIGN AND MALIGNANT BLOOD DISORDERS, ON-SITE CHEMOTHERAPY INFUSION, LABORATORY AND PHARMACY SERVICES, PET IMAGING, AND ACCESS TO THE LATEST CANCER TREATMENTS AND CLINICAL TRIALS. THE $6 MILLION, 7,000-SQUARE-FOOT FACILITY INCLUDES A RECEPTION AREA, RENOVATED PHARMACY, NINE EXAM ROOMS AND 12 CHEMOTHERAPY INFUSION BAYS ON THE FIRST FLOOR OF THE HOSPITAL.DURING THE LATTER PORTION OF FY20 AND THROUGHOUT FY21, COVID-19 BECAME A GLOBAL PANDEMIC AND CONTINUED TO AFFECT OUR COMMUNITY. ATRIUM HEALTH WAKE FOREST BAPTIST IMPLEMENTED NUMEROUS MEASURES TO MEET THE HEALTH NEEDS OF THE COMMUNITY IN RESPONSE TO THIS GLOBAL PANDEMIC.- AHWFB PROFESSOR OF INFECTIOUS DISEASES PROVIDED WEEKLY UPDATES TO MEDIA OUTLETS AND TO THOSE IN OUR COMMUNITY AND BEYOND, RAPIDLY BECOMING A TRUSTED AND REASSURING VOICE FOR THE COMMUNITY.- AHWFB CONVERTED MULTIPLE PRIMARY CARE FACILITIES TO TEMPORARY RESPIRATORY SYMPTOM CLINICS.- AHWFB UPDATED VISITOR GUIDELINES AT ALL LOCATIONS TO MINIMIZE COVID-19 EXPOSURE FOR PATIENTS AND HOSPITAL EMPLOYEES.- AHWFB CONDUCTED TESTING TO DETERMINE THE EFFECTIVENESS OF VARIOUS MASK DESIGNS.- TO BETTER FIGHT COVID-19 IN MULTIPLE REGIONS OF THE COUNTRY, AHWFB JOINED WITH BUSINESS PARTNERS TO LEAD A COMMUNITY-BASED RESEARCH STUDY TO COLLECT DAILY INFORMATION ACROSS A LARGE POPULATION OF PARTICIPANTS IN THE MID-ATLANTIC AND THE SOUTHEAST THROUGH A WEB PORTAL THAT ALLOWED RESEARCHERS TO TRACK THE SPREAD OF THE VIRUS.- AHWFB PLAYED A LARGE ROLE IN DISTRIBUTING MASKS TO THE COMMUNITIES IT SERVES; AS WELL AS, PROVIDING VACCINATION DESTINATIONS AND EDUCATION TO EMPLOYEES AND THE BROADER COMMUNITY IN PARTNERSHIP WITH OTHER LOCAL HEALTHCARE PROVIDERS.-IN JUNE 2021, AHWFB-WMC BEGAN ENROLLING PATIENTS IN A PHASE 2 CLINICAL TRIAL DESIGNED TO QUICKLY DETERMINE THE EFFECTIVENESS OF PROMISING DRUGS TO TARGET THE NEGATIVE EFFECTS OF THE COVID-19 VIRUS IN CRITICALLY ILL PATIENTS AND IMPROVE PATIENT OUTCOMES. ALL STUDY VOLUNTEERS RECEIVED MEDICATIONS APPROVED AS STANDARD OF CARE FOR THE VIRUS.AHWFB-WMC RECEIVED AWARDS, ACCREDITATIONS, AND ACKNOWLEDGEMENTS DURING THE FISCAL YEAR AS FOLLOWS:- AN 'A' IN BOTH THE FALL 2020 AND SPRING 2021 LEAPFROG HOSPITAL SAFETY GRADE, A NATIONAL DISTINCTION RECOGNIZING THE HOSPITAL'S ACHIEVEMENTS PROTECTING PATIENTS FROM HARM AND PROVIDING SAFER HEALTH CARE. 90365534 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 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 0 0 0 1 37 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 1 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X ERIN KOEWING 3367164445 MEDICAL CENTER BOULEVARD WINSTONSALEM NC 27157 CATHLEEN WHEATLEY DNP BOARD MEMBER (TO 2/11/21) 0.80 39.20 X 0 1105892 168858 BRADLEY A CLARK BOARD MEMBER, TREASURER 0.80 39.20 X X 0 988625 241804 J MCLAIN WALLACE JR SECRETARY 0.80 39.20 X 0 778123 162079 MICHAEL T WAID CHAIR (FROM 12/4/20) 0.70 39.30 X X 0 565819 149629 PETER M BELFORD MD BOARD MEMBER (FROM 12/4/20) 1.00 39.00 X 0 576872 34076 JON THOMPSON MD BOARD MEMBER 1.00 39.00 X 0 490149 48407 CHAD BROWN BOARD MEMBER, PRESIDENT 20.00 20.00 X X 0 347518 98069 JENA FOLGER BOARD MEMBER 1.00 39.00 X 0 297123 73354 DEBORAH HARDING BOARD MEMBER (FROM 2/11/21) 1.00 39.00 X 0 270576 52132 JASON YOCKEY CHIEF CRNA 40.00 0.00 X 0 219975 39828 JOSHUA TROYER CLINICAL INSTRUCTOR CRNA 40.00 0.00 X 0 203322 37407 JOHN RIEDEL JR CLINICAL INSTRUCTOR CRNA 40.00 0.00 X 0 199482 37900 WILLARD SHEW CLINICAL INSTRUCTOR CRNA 40.00 0.00 X 0 199733 21609 BARRY WALD ASST TREASURER 30.00 10.00 X 0 192904 28930 KRISTIE BROWN BRYAN CLINICAL INSTRUCTOR CRNA 40.00 0.00 X 0 194731 26381 JAMES ATKINS MD BOARD MEMBER (FROM 12/4/20) 1.00 39.00 X 0 133346 12515 LORI MCNEIL ASST SECRETARY 40.00 0.00 X 0 42254 24791 J GENE FAILE FORMER OFF (1/31/19) 0.00 0.00 X 0 28006 0 KEVIN HIGH MD CHAIR (TO 12/4/20) 1.00 39.00 X X 0 0 0 HAYES CALVERT MD BOARD MEMBER 1.00 39.00 X 0 0 0 0 6834450 1257769 0 1 1 0 SODEXO INC AND AFFILIATES 1200 NORTH ELM ST GREENSBORO NC 27401 FACILITIES MANAGEMENT SERVICES 1403560 CHG COMPANIES INC 7259 S BINGHAM JUNCTION BLVD MIDVALE UT 84047 STAFFING/RECRUITING SERVICES 554738 ADVANCED ICU CARE INC 1 CITY PLACE DRIVE SUITE 570 ST LOUIS MO 63141 TELEHEALTH SERVICES 396868 CROSS COUNTRY TRAVCORPS CORPORATION PO BOX D860594 ORLANDO FL 32886 STAFFING SERVICES 266344 AYA HEALTH CARE 5930 CORNERSTONE COURT WEST STE 30 SAN DIEGO CA 92121 HEALTH CARE SERVCES 216793 12 97 591888 146104 738089 PATIENT SERVICE REVENUE 622110 95495539 95495539 DIETARY REVENUE 722210 197343 197343 95692882 247360 247360 215941 0 215941 215941 215941 190970 0 12818 190970 -12818 178152 178152 97072424 95692882 0 641453 1170667 1170667 686 686 651238 325619 325619 37018050 34365617 2652433 1754052 1609353 144699 7020441 6441296 579145 2107725 1953233 154492 388746 302357 86389 1340 1042 298 6816 6816 208866 141337 67529 9217533 7293171 1924362 211783 184704 27079 324568 283068 41500 2046837 1785124 261713 34517 30180 4337 31780 29916 1864 878596 594535 284061 3267797 2985493 282304 348837 348837 BAD DEBT 14463323 14463323 MEDICAL SUPPLIES 13028365 13028365 PROVIDER ASSESSMENT TAX 2255420 2255420 OTHER SUPPLIES 877585 765375 112210 97315568 90365534 6950034 0 8392229 7510533 7890164 10025665 2049893 2415644 1396706 1405213 63086668 13867411 47592898 49219257 15671035 15682155 2504919 2909150 40042575 40042575 516718 430798 126057137 129640990 4345858 4741118 21664147 21502343 46042428 45320527 72052433 71563988 X 54004704 58077002 54004704 58077002 126057137 129640990 X -243144 27244 4288198 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 6816 6816 0 PART II-B, LINE 1: THE ORGANIZATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE NORTH CAROLINA HEALTHCARE ASSOCIATION (NCHA). A PORTION OF THE MEMBERSHIP DUES PAID ARE ALLOCATED TO LOBBYING EFFORTS BY THOSE ORGANIZATIONS ON BEHALF OF THEIR MEMBERSHIP BODIES. 120000 120000 1092383 305725 786658 3004343 1403281 1601062 50016412 12105347 37911065 8853530 53058 8800472 49219257 ESTIMATED THIRD PARTY SETTLEMENTS 4266936 NET PENSION OBLIGATION 1227001 INTERCOMPANY PAYABLE 38690367 INSURANCE & OTHER LT RESERVES 705425 OPERATING LEASE PAYABLE 430798 45320527 X PART X, LINE 2: THE ORGANIZATION HAS EVALUATED UNCERTAIN TAX POSITIONS FOR ITS FISCAL YEARS ENDED JUNE 30, 2021 AND 2020, 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, 2021 AND 2020. 1 1 1 X 300.000000000000 1 X 1 1 1 0 1 1 1332938 1332938 0.01610 11502859 12778126 0 0.00000 2090079 2175587 0 0.00000 14925876 14953713 1332938 0.01610 96258 96258 0.00120 1170667 1170667 0.01410 1266925 1266925 0.01530 16192801 14953713 2599863 0.03140 10565 10565 0.00010 10565 10565 0.00010 1 3198424 30279991 36647683 -6367692 X 1 1 1 1 ATRIUM HEALTH WAKE FOREST BAPTIST WILKES MEDICAL CENTER 1370 W D STREET NORTH WILKESBORO NC 28659 WWW.WAKEHEALTH.EDU H0153 X X X ATRIUM HEALTH WFB WILKES MEDICAL CENTER 1 0 0 1 X X X X X X X X X 18 1 0 1 1 X SEE PART V, PAGE 8 X 1 19 1 SEE PART V, PAGE 8 0 1 X 300.000000000000 300.000000000000 X X X X X 1 1 X X X 1 X SEE PART V X SEE PART V X SEE PART V X X X X X X X 1 X 0 X X X X 1 X 0 0 ATRIUM HEALTH WFB WILKES MEDICAL CENTER PART V, SECTION B, LINE 5: COMMUNITY INPUT WAS OBTAINED THROUGH THE FOLLOWING PRIMARY SOURCES: (1) A STAKEHOLDER SURVEY 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 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 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) A HEALTH SUMMIT HOSTED IN OCTOBER 2018 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 AHWFB-WMC INTERNAL PATIENT STATISTICS. ATRIUM HEALTH WFB 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). ATRIUM HEALTH WFB WILKES MEDICAL CENTER PART V, SECTION B, LINE 7D: N/APART V, SECTION B, LINE 7A:HTTPS://WWW.WAKEHEALTH.EDU/ABOUT-US/SERVING-OUR-COMMUNITIES/NEEDS-ASSESSMENTS-AND-IMPLEMENTATION-REPORTSPART V, SECTION B, LINE 10A:HTTPS://WWW.WAKEHEALTH.EDU/ABOUT-US/SERVING-OUR-COMMUNITIES/NEEDS-ASSESSMENTS-AND-IMPLEMENTATION-REPORTS ATRIUM HEALTH WFB 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, (3) TOBACCO USE, AND (4) MENTAL HEALTH & SUBSTANCE DEPENDENCY. ATRIUM HEALTH WAKE FOREST BAPTIST WILKES MEDICAL CENTER ("AHWFB-WMC") PRIORITIZED THE FOLLOWING FIVE SIGNIFICANT HEALTH NEEDS BASED ON THE 2018 WILKES COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT AND ATRIUM HEALTH WAKE FOREST BAPTIST ("AHWFB") ENTERPRISE PRIORITIES, AS FOLLOWS: (1) ACCESS TO CARE, (2) OBESITY AND CHRONIC DISEASE MANAGEMENT PREVENTION, (3) TOBACCO USE PREVENTION & CESSATION, (4) MENTAL HEALTH & SUBSTANCE DEPENDENCY, (5) MATERNAL & CHILD HEALTH. AHWFB-WMC PLANS TO PROVIDE COMMUNITY BENEFIT PROGRAMS RESPONSIVE TO THOSE HEALTH NEEDS THROUGH ITS APPROVED CHNA IMPLEMENTATION STRATEGY. THE AHWFB-WMC 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, ATRIUM HEALTH WAKE FOREST BAPTIST'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 & PREVENTIONAHWFB-WMC 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 & CESSATIONAHWFB-WMC 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 AHWFB-WMC'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 DEPENDENCYAHWFB-WMC 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 AHWFB-WMC THROUGH 1.) INCORPORATING ADDICTION MEDICINE INTO THE INPATIENT CARE PRACTICE AT AHWFB-WMC, AND 2.) GROWING AWARENESS OF CARENET'S (AN AFFILIATE OF AHWFB) COUNSELING AND SUPPORT SERVICES AVAILABLE AT AHWFB-WMC 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 AHWFB-WMC, AND 3.) PROVIDING PRESCRIPTION MEDICATION DISPOSAL BINS AT AHWFB-WMC. 5. MATERNAL & CHILD HEALTHAHWFB-WMC 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 AHWFB-WMC, 4.) PURSUING SPONSORSHIP OF CHILD CAR SAFETY EVENT, AND 5.) ENCOURAGING MOTHERS AND MOTHERS-TO-BE TO ATTEND AHWFB 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. ATRIUM HEALTH WFB 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. ATRIUM HEALTH WFB WILKES MEDICAL CENTER PART V, SECTION B, LINE 16J: WILKES MEDICAL CENTER:PART V, LINE 16A, FAP WEBSITE: WWW.WAKEHEALTH.EDU/PATIENT-AND-FAMILY-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCEWILKES MEDICAL CENTER:PART V, LINE 16B, FAP APPLICATION WEBSITE: WWW.WAKEHEALTH.EDU/PATIENT-AND-FAMILY-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCEWILKES MEDICAL CENTER:PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: WWW.WAKEHEALTH.EDU/PATIENT-AND-FAMILY-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCEWILKES 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.NTS. 4 1 - CARDIOLOGY - WILKES 1370 WEST D STREET NORTH WILKESBORO NC 28659 CARDIAC REHAB 2 - HEMATOLOGY ONCOLOGY - WILKES 1370 WEST D STREET NORTH WILKESBORO NC 28659 HEMATOLOGY & ONCOLOGY 3 - SLEEP LAB - WILKES 1370 WEST D STREET NORTH WILKESBORO NC 28659 SLEEP MEDICINE 4 - WOUND CARE CENTER - WILKES 1900 WEST PARK DRIVE SUITE C NORTH WILKESBORO NC 28659 WOUND CARE PART I, LINE 3C: THE ORGANIZATION UTILIZES COMMERCIALLY AVAILABLE FINANCIAL PROFILING AND CREDIT SCORING TECHNOLOGIES TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE DISCOUNTS UNDER ITS FAP POLICY. ADDITIONAL ELIGIBILITY CRITERIA INCLUDES THE FOLLOWING:-PATIENT MUST BE UNINSURED OR HAVE NO OTHER THIRD PARTY FUNDING SOURCE OR GUARANTOR.-SERVICES FOR WHICH DISCOUNTS APPLY MUST BE EMERGENT AND MEDICALLY NECESSARY CARE.-PATIENT MUST BE A VALID RESIDENT WITHIN A ZIP CODE BOUNDED BY OR INTERSECTING ON OF THE COUNTIES DEFINED AS ATRIUM HEALTH WAKE FOREST BAPTIST'S SERVICE AREA. -PATIENTS MUST ENROLL IN ALL OTHER PRIMARY PAYER PROGRAMS FOR WHICH THE PATIENT IS ELIGIBLE AND MUST ASSIGN BENEFITS TO ATRIUM HEALTH WAKE FOREST BAPTIST 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 FORM 990, SCHEDULE H TO COMPUTE ITS COST-TO-CHARGE RATIO.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 THEASSESSMENT AT A RATE OF NEARLY 2 TO 1, AND THESE AMOUNTS ARE ALLOCATED TO NORTH CAROLINA HOSPITALS ON A QUARTERLY BASIS. ADDITIONALLY, THE HOSPITAL PARTICIPATES IN THE NORTH CAROLINA MEDICAID REIMBURSEMENT INITIATIVE (MRI). UNDER THE MRI, THE HOSPITAL RECEIVES ADDITIONAL REIMBURSEMENT BASED ON MEDICAID COST DEFICITS AND TREATMENT OF A DISPROPORTIONATE SHARE OFUNINSURED PATIENTS. PART I, LN 7 COL(F): THE ORGANIZATION'S PATIENT BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENTS WAS $14,448,162 FOR THE FISCAL YEAR ENDED JUNE 30, 2021 THIS AMOUNT IS NOT INCLUDED IN THE CALCULATION OF CHARITY CARE FOR PART I, LINE 7. PART II, COMMUNITY BUILDING ACTIVITIES: ATRIUM HEALTH WAKE FOREST BAPTIST ("AHWFB"), OF WHICH THE HOSPITAL IS AN INTEGRAL PART, IS COMMITTED TO COMMUNITY OUTREACH, EDUCATION, AND RESEARCH TO IMPROVE LIVES OF ALL RESIDENTS IN THE COMMUNITIES IT SERVES THROUGH A NUMBER OF PROGRAMS AND INITIATIVES, INCLUDING THE FOLLOWING:- DIVERSITY, INCLUSION AND HEALTH EQUITY - AHWFB BELIEVES THAT CREATING A DIVERSE, EQUITABLE AND CULTURALLY ATTUNED WORKPLACE IS CRUCIAL TO OUR MISSION TO IMPROVE HEALTH IN THE COMMUNITIES WE SERVE. THE OFFICE OF DIVERSITY AND INCLUSION OVERSEES OUR PRACTICES TO ENSURE DIVERSITY,INCLUSION, EQUITY AND RESPECT FOR EVERY MEMBER OF THE AHWFB COMMUNITY. AHWFB RECOGNIZES THAT DIVERSITY IS NOT LIMITED TO RACE AND ETHNICITY BUT MUST ALSO TAKE INTO ACCOUNT SOCIOECONOMIC STATUS, SEXUAL ORIENTATION, GENDER IDENTITY AND RELIGIOUS COMMITMENT. IN ORDER TO ELIMINATE THE PERVASIVE HEALTH DISPARITIES THAT EXIST IN OUR REGION AND COUNTRY, AHWFB IS DEVOTED TO RECRUITING, RETAINING AND TRAINING A DIVERSE CADRE OF PEOPLE AND ENSURING THAT EDUCATIONAL PROGRAMS ENABLE HEALTH CARE PROFESSIONALS TO PROVIDE CULTURALLY COMPETENT CARE AND ADDRESS HEALTH DISPARITIES. AHWFB'S CLINICAL FOCUS ON HEALTH EQUITY WAS RECOGNIZED BY THE U.S. HUMAN RIGHTS CAMPAIGN FOUNDATION, WHICH DESIGNATED THE MEDICAL CENTER A 2017 "LEADER IN LGBTQ HEALTHCARE EQUALITY."- DIVISION OF FAITHHEALTH - THE MISSION OF AHWFB'S DIVISION OF FAITHHEALTH IS TO BUILD, ALIGN AND ANIMATE RELIGIOUS AND COMMUNITY ASSETS TO IMPROVE ACCESS TO HEALTH CARE AND THE HEALTH OF THE COMMUNITY, BEGINNING WITH THOSE SERVED BY THE HOSPITAL. SUPPORTING PATIENTS SPIRITUALLY AND OFFERING MINISTRIES OF GROWTH, HOPE AND HEALING IS PART OF THE WORK OF THE MEDICAL CENTER, WHICH SINCE ITS EARLIEST DAYS HAS BEEN AN INNOVATOR IN FORGING HEALTH AND SPIRITUAL CONNECTIONS. ADDITIONALLY, HOSPITAL EMPLOYEES PROVIDE COMMUNITY SUPPORT BY SERVING ON LOCAL BOARDS FOR COMMUNITY BASED ORGANIZATIONS. PART III, LINE 4: 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 FORM 990, 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, GME, COMMUNITY HEALTH IMPROVEMENT, 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 THEHOSPITAL 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 ASSISTANCE UNDER THE FAP,APPROPRIATE MEASURES ARE TAKEN TO REFUND ANY AMOUNTS OWED TO THE INDIVIDUAL AND REVERSE OR MODIFY COLLECTION ACTIONS CONSISTENT WITH THE NEW BALANCE OWED AFTER APPLYING THE APPLICABLE FAP DISCOUNTS. PART VI, LINE 2: THE HOSPITAL'S CURRENT NEEDS ASSESSMENT PLAN WAS BASED ON A SET OF BEST PRACTICES FOR COMMUNITY HEALTH ASSESSMENTS WITH THE PURPOSE OF IDENTIFYING REGIONAL PRIORITY AREAS TO FOCUS ON FOR FY 2020-2022. THE PROCESS WAS DESIGNED TO RELY ON EXISTING PUBLIC DATA, DIRECTLY ENGAGING COMMUNITY STAKEHOLDERS AND 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. AHWFB-WMC 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 FIVE TOP PRIORITY HEALTH CHALLENGES FOR THE COMMUNITY.FROM THIS COUNTY-WIDE CHNA PROCESS, AND ALIGNING WITH THE ATRIUM HEALTH WAKE FOREST BAPTIST SIGNIFICANT HEALTH PRIORITIES, THE HOSPITAL PRIORITIZED FIVE SIGNIFICANT HEALTH NEEDS AND DEVELOPED AN IMPLEMENTATION STRATEGY TO IDENTIFY THE MEANS THROUGH WHICH IT PLANS TO ADDRESS THOSE 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: ATRIUM HEALTH WAKE FOREST BAPTIST ("AHWFB"), OF WHICH THE HOSPITAL IS AN INTEGRAL PART, IS COMMITTED TO BEING RESPONSIVE TO THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES THROUGH A NUMBER OF PROGRAM ACTIVITIES AND COMMUNITY HEALTH IMPROVEMENT INITIATIVES. AHWFB ADOPTED AND MAINTAINS A FINANCIAL ASSISTANCE POLICY, PROVIDES SUBSIDIZED HEALTH SERVICES TO PATIENTS INNEED, AND ACCEPTS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL OPERATES AN EMERGENCY ROOM THAT IS OPEN 24/7. FUNDS ARE REINVESTED IN HEALTH IMPROVEMENT INITIATIVES TO BETTER SERVE COMMUNITY HEALTH NEEDS, INCLUDING IMPROVEMENT OF FACILITIES AND MEDICAL SERVICES WITH THE LATEST TECHNOLOGICAL ADVANCES, CASH AND IN-KIND DONATIONS TO LOCAL NON-PROFIT COMMUNITY ORGANIZATIONS, AND COMMUNITY BASED HEALTH IMPROVEMENT PROGRAMMING. SUCH PROGRAMMING INCLUDES BEST HEALTH COMMUNITY EDUCATION CLASSES, CHRONIC DISEASE SELF-MANAGEMENT PROGRAMS, PUBLIC SCREENINGS, CAREGIVER ACADEMY, AND OTHER HEALTH EDUCATION EVENTS HELD LOCALLY THROUGHOUT THE YEAR. AHWFB PROVIDES FOUR CERTIFIED ATHLETIC TRAINERS THAT WORK FULL-TIME IN THE WILKES COUNTY PUBLIC HIGH SCHOOLS. PART VI, LINE 6: THE FILING ORGANIZATION IS A MAJOR COMPONENT OF ATRIUM HEALTH WAKE FOREST BAPTIST, A PREEMINENT ACADEMIC HEALTH SYSTEM OF THE HIGHEST QUALITY WITH BALANCED EXCELLENCE IN PATIENT CARE, RESEARCH, AND EDUCATION. TOGETHER WITH AN INTEGRATED GROUP OF 501(C)(3) HOSPITALS, PHYSICIAN NETWORKS, OTHER HEALTHCARE PROVIDERS, AND WAKE FOREST UNIVERSITY HEALTH SCIENCES (WHICH OPERATES WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE), THE ORGANIZATION IS COMMITTED TO PROVIDING SIGNIFICANT BENEFITS TO THE COMMUNITIES IT SERVES ACROSS NORTHWESTERN NORTH CAROLINA. EACH HOSPITAL ORGANIZATION IN THE ATRIUM HEALTH WAKE FOREST BAPTIST SYSTEM REPORTS ITS OWN COMMUNITY BENEFIT ON FORM 990 SCHEDULE H.THE CONSOLIDATED COMMUNITY BENEFIT TOTAL OF THE ACADEMIC HEALTH SYSTEM ISREPORTED ATWWW.WAKEHEALTH.EDU/ABOUT-US/SERVING-OUR-COMMUNITIES/COMMUNITY-BENEFITS.THIS CONSOLIDATED TOTAL IS CALCULATED IN ACCORDANCE WITH REPORTING GUIDELINES ISSUED BY NORTH CAROLINA HOSPITAL ASSOCIATION, WHICH DIFFER FROM FORM 990 SCHEDULE H INSTRUCTIONS. A SIGNIFICANT PORTION OF COMMUNITY BENEFIT ACTIVITIES CONDUCTED BY THE ACADEMIC HEALTH SYSTEM ARE NOT REPORTED ON FORM 990 SCHEDULE H BECAUSE MANY COMMUNITY BENEFIT ACTIVITIES ARE NOT CONDUCTED BY AN ENTITY THAT IS A 501(C)(3) HOSPITAL. PART VI, LINE 7, REPORTS FILED WITH STATES NC 1 WILKES MEDICAL CENTER FOUNDATION 1370 WEST D STREET NORTH WILKESBORO NC 28659 822345613 501(C)(3) 1166667 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 CATHLEEN WHEATLEY DNP BOARD MEMBER (TO 2/11/21) 0 573327 0 65466 0 467099 0 159519 0 9339 0 1274750 0 459891 BRADLEY A CLARK BOARD MEMBER, TREASURER 0 704049 0 270236 0 14340 0 213399 0 28405 0 1230429 0 13340 J MCLAIN WALLACE JR SECRETARY 0 493466 0 165720 0 118937 0 145748 0 16331 0 940202 0 0 MICHAEL T WAID CHAIR (FROM 12/4/20) 0 418579 0 56313 0 90927 0 121927 0 27702 0 715448 0 43365 PETER M BELFORD MD BOARD MEMBER (FROM 12/4/20) 0 576692 0 0 0 180 0 21519 0 12557 0 610948 0 0 JON THOMPSON MD BOARD MEMBER 0 482388 0 7347 0 414 0 21519 0 26888 0 538556 0 0 CHAD BROWN BOARD MEMBER, PRESIDENT 0 281674 0 24508 0 41336 0 66376 0 31693 0 445587 0 28524 JENA FOLGER BOARD MEMBER 0 263981 0 29003 0 4139 0 52095 0 21259 0 370477 0 0 DEBORAH HARDING BOARD MEMBER (FROM 2/11/21) 0 251095 0 18193 0 1288 0 28750 0 23382 0 322708 0 0 JASON YOCKEY CHIEF CRNA 0 219224 0 500 0 251 0 16316 0 23512 0 259803 0 0 JOSHUA TROYER CLINICAL INSTRUCTOR CRNA 0 202679 0 500 0 143 0 14785 0 22622 0 240729 0 0 JOHN RIEDEL JR CLINICAL INSTRUCTOR CRNA 0 198626 0 500 0 356 0 14462 0 23438 0 237382 0 0 WILLARD SHEW CLINICAL INSTRUCTOR CRNA 0 198606 0 500 0 627 0 14017 0 7592 0 221342 0 0 BARRY WALD ASST TREASURER 0 186505 0 6219 0 180 0 13780 0 15150 0 221834 0 0 KRISTIE BROWN BRYAN CLINICAL INSTRUCTOR CRNA 0 184136 0 10500 0 95 0 12775 0 13606 0 221112 0 0 J GENE FAILE FORMER OFF (1/31/19) 0 0 0 0 0 28006 0 0 0 0 0 28006 0 0 PART I, LINES 4A-B CERTAIN DIRECTORS AND OFFICERS OF THE FILING ORGANIZATION PARTICIPATED IN AND/OR RECEIVED PAYMENTS FROM SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLANS (SERP) OF THEIR EMPLOYER, WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER, A 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 THEIR FORM 990. THE FOLLOWING DIRECTORS AND/OR OFFICERS RECEIVED SEVERANCE OR SERP PAYMENTS IN THEIR CALENDAR YEAR 2020 COMPENSATION: SEVERANCE PAYMENTS: J. GENE FAILE $28,006 SERP PAYMENTS: CHAD BROWN $28,524 BRADLEY A. CLARK $13,340 MICHAEL T. WAID $69,272 J. MCLAIN WALLACE, JR. $95,467 CATHLEEN WHEATLEY, DNP $461,059 FORM 990, PART III, LINE 1 WRMC HOSPITAL OPERATING CORPORATION (DBA ATRIUM HEALTH WAKE FOREST BAPTIST WILKES MEDICAL CENTER, AT TIMES ALSO REFERRED TO AS THE "HOSPITAL OR "AHWFB-WMC OR "THE FILING ORGANIZATION") IS AN INTEGRAL PART OF ATRIUM HEALTH WAKE FOREST BAPTIST (AT TIMES ALSO REFERRED TO AS "AHWFB"), A PREEMINENT LEARNING HEALTH SYSTEM AND ACADEMIC MEDICAL CENTER OF THE HIGHEST QUALITY WITH BALANCED EXCELLENCE IN PATIENT CARE, RESEARCH AND EDUCATION THAT PROMOTES BETTER HEALTH FOR ALL THROUGH COLLABORATION, EXCELLENCE, AND INNOVATION. AHWFB'S MISSION IS TO IMPROVE HEALTH, ELEVATE HOPE, AND ADVANCE HEALING FOR ALL. AHWFB'S VISION IS TO BE THE FIRST AND BEST CHOICE FOR CARE. 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, 2021 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 ALL ATRIUM HEALTH WAKE FOREST BAPTIST CONTROLLED ENTITIES, INCLUDING: -NORTH CAROLINA BAPTIST HOSPITAL AND AFFILIATES, -WAKE FOREST UNIVERSITY HEALTH SCIENCES AND AFFILIATES, AND -WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER AND AFFILIATES (INCLUDING THE FILING ORGANIZATION). ALL SIGNIFICANT INTERCOMPANY TRANSACTIONS HAVE BEEN ELIMINATED IN CONSOLIDATION. FORM 990, PART VI, SECTION A, LINE 3 THE FILING ORGANIZATION, UNDER A LONG TERM LEASE BETWEEN THE TOWN OF WILKESBORO AND WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER OF ALL ASSETS AND PROPERTY USED IN OPERATIONS, IS OPERATED AND CONTROLLED BY WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER AS AN AFFILIATE OF ATRIUM HEALTH WAKE FOREST BAPTIST. ALL MEMBERS OF KEY MANAGEMENT ARE 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 (WFUBMC), 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 ORGANIZATION PAYS NO COMPENSATION TO OFFICERS, DIRECTORS AND KEY EMPLOYEES. ALL COMPENSATION PAID TO OFFICERS, DIRECTORS AND KEY EMPLOYEES WAS PAID BY A RELATED ORGANIZATION, WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER OR AN UNRELATED ORGANIZATION, WAKE FOREST UNIVERSITY HEALTH SCIENCES, BOTH OF WHICH ENTITIES ARE WITHIN THE ATRIUM HEALTH WAKE FOREST BAPTIST LEGAL STRUCTURE. COMPENSATION PAID TO THESE INDIVIDUALS IS REVIEWED AND APPROVED IN ACCORDANCE WITH THE APPLICABLE ORGANIZATION'S COMPENSATION POLICIES AND PROCEDURES WHICH INCLUDE INDEPENDENT COMPENSATION CONSULTANTS, COMPENSATION SURVEYS AND STUDIES TO DETERMINE THE APPROPRIATENESS OF EACH OFFICER'S AND DIRECTOR'S COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE TO THE PUBLIC ON REQUEST AND ARE AVAILABLE ON THE WEBSITE OF THE NORTH CAROLINA SECRETARY OF STATE. THE ORGANIZATION'S BYLAWS ARE NOT PUBLISHED, BUT PROVISIONS FROM THE BYLAWS ARE INCLUDED AS NECESSARY IN THE ORGANIZATION'S POLICIES, AND ARE ATTACHED TO THE FORM 1023 FILED FOR THE ORGANIZATION WITH THE IRS, WHICH IS PUBLICLY AVAILABLE. THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC ON REQUEST. FORM 990, PART XI, LINE 9: ACTUARIAL GAIN/LOSS - CHANGE IN PENSION LIABILITY 4,288,198. 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