LEXINGTON MEDICAL CENTER: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
LEXINGTON MEDICAL CENTER (EIN 56-0543238)
Tax period
2021-07-01 to 2021-12-31
Filed
2022-11-14
IRS object ID
202213189349301811
Schema version
2021v4.2
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 ReturnHeader

FieldValueIRS element (for citing)
Return2022-11-14T07:27:47-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN560543238EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LEXINGTON MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLEXIBusinessNameControlTxt
Phone3367164445PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1817 250 HOSPITAL DRIVEAddressLine1Txt
CityLEXINGTONCityNm
State AbbreviationNCStateAbbreviationCd
ZIP272931817ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBRADLEY A CLARKPersonNm
Person TitleTREASURERPersonTitleTxt
Phone3362485161PhoneNum
Signature2022-11-07SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstBRADLEYPersonFirstNm
Person LastCLARKPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
Preparer PersonPreparerPersonGrp

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1ATRIUM HEALTH WAKE FOREST BAPTIST LEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerWILLIAM B JAMESPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1817 250 HOSPITAL DRIVEAddressLine1Txt
CityLEXINGTONCityNm
State AbbreviationNCStateAbbreviationCd
ZIP272931817ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$69,430,267GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.WAKEHEALTH.EDUWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1954FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionTO IMPROVE HEALTH, ELEVATE HOPE, AND ADVANCE HEALING FOR ALL.ActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers23TotalVolunteersCnt
Total Gross UBI$1,389,872TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$486,246PYContributionsGrantsAmt
CY Contributions Grants$330,889CYContributionsGrantsAmt
PY Program Service Revenue$134,957,291PYProgramServiceRevenueAmt
CY Program Service Revenue$68,767,995CYProgramServiceRevenueAmt
PY Investment Income$4,384PYInvestmentIncomeAmt
CY Investment Income$739CYInvestmentIncomeAmt
PY Other Revenue$657,342PYOtherRevenueAmt
CY Other Revenue$330,644CYOtherRevenueAmt
PY Total Revenue$136,105,263PYTotalRevenueAmt
CY Total Revenue$69,430,267CYTotalRevenueAmt
PY Grants And Similar Paid$11,800PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$96,411CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$50,198,061PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$26,724,176CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$69,190,208PYOtherExpensesAmt
CY Other Expenses$33,530,179CYOtherExpensesAmt
PY Total Expenses$119,400,069PYTotalExpensesAmt
CY Total Expenses$60,350,766CYTotalExpensesAmt
PY Revenues Less Expenses$16,705,194PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$9,079,501CYRevenuesLessExpensesAmt
Total Assets BOY$141,880,214TotalAssetsBOYAmt
Total Assets EOY$152,444,674TotalAssetsEOYAmt
Total Liabilities BOY$5,690,446TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,938,237TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$136,189,768NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$145,506,437NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$56,032,283ExpenseAmt
Grant$96,411GrantAmt
Revenue$67,378,123RevenueAmt
DescTHE ORGANIZATION OPERATES A 94 ACUTE CARE BED HOSPITAL, 7 PHYSICIAN PRACTICES, AND OTHER RELATED FACILITIES TO EDUCATE, DIAGNOSE, AND PROVIDE CARE AND TREATMENT TO THE RESIDENTS OF DAVIDSON COUNTY, NORTH CAROLINA AND SURROUNDING AREAS. THE ORGANIZATION SERVES AS A SATELLITE PROVIDER OF ATRIUM HEALTH WAKE FOREST BAPTIST SPECIALTY SERVICES INCLUDING DIGESTIVE HEALTH, ENT, HEAD/NECK SURGERY. THE ORGANIZATION IS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS AND HAS BEEN COMMITTED TO SERVING THE HEALTHCARE NEEDS OF DAVIDSON COUNTY SINCE THE 1920S. DURING SHORT YEAR 2021, THE HOSPITAL FACILITY HAD APPROXIMATELY 6,800 PATIENT DAYS, INCLUDING APPROXIMATELY 1,700 INPATIENT ADMISSIONS, AND APPROXIMATELY 17,000 EMERGENCY DEPARTMENT VISITS.THE ORGANIZATION PROVIDES NUMEROUS RESOURCES, ACTIVITIES, AND PROGRAMS TO SERVE THE HEALTH NEEDS OF ITS COMMUNITY. THESE PROGRAMS INCLUDE:- BESTHEALTH - A 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 FAITHHEALTH CONNECTORS IN DAVIDSON COUNTY THAT SERVE MARGINALIZED POPULATIONS AND GIVE VOICE TO HEALTH DISPARITIES IN THE COMMUNITIES SURROUNDING AHWFB-LMC. - CHRONIC DISEASE SELF-MANAGEMENT PROGRAMS - ONE OF THE SELF-MANAGEMENT PROGRAMS IS THE DIABETES EDUCATION PROGRAM THAT HELPS PEOPLE WITH DIABETES UNDERSTAND AND MANAGE THE DISEASE. CLASSES ARE TAUGHT BY A REGISTERED DIETITIAN AND A REGISTERED NURSE WHO HELP INDIVIDUALS SET GOALS FOR MANAGING THE DISEASE AND MAINTAINING HEALTH AND WELL-BEING. THIS PROGRAM IS RECOGNIZED BY THE AMERICAN DIABETES ASSOCIATION. - TELESTROKE NETWORK & STROKE AWARENESS SEMINARS - THE TELESTROKE NETWORK PROVIDES ACCESS TO STROKE CARE FOR PATIENTS IN SMALLER COMMUNITIES, SUCH AS AHWFB-LMC. EMERGENCY ROOM PHYSICIANS AT THE HOSPITAL AND THEIR STROKE PATIENTS RECEIVE ON-DEMAND CONSULTATIONS WITH AN AHWFB STROKE NEUROLOGIST BY USING A SPECIAL MOBILE ROBOT UNIT, EQUIPPED WITH VIDEO CONFERENCING. THE STROKE EXPERT CAN EVALUATE THE PRESENCE OR SEVERITY OF A STROKE AND ASSIST IN DETERMINING THE BEST TREATMENT PLAN. AHWFB INCREASED STROKE AWARENESS IN THE HOSPITALS' LOCAL COMMUNITIES BY PROVIDING STROKE EDUCATION THROUGH THE ROBOT TO HIGH SCHOOL STUDENTS, OLDER ADULTS, AND INTERNATIONAL STUDENTS. AHWFB ALSO PROVIDES AN ADVANCED STROKE LIFE SUPPORT COURSE AND CERTIFICATION TO EMERGENCY DEPARTMENT STAFF AND LOCAL EMS AGENCIES. - CAREGIVER ACADEMY - A PROGRAM OFFERING FREE CLASSES TO EDUCATE THE COMMUNITY ON HOW TO PREPARE FOR CAREGIVING AND PROVIDE ASSISTANCE FOR LOVED ONES, INCLUDING FINDING THE RIGHT RESOURCES, BEING YOUR OWN HEALTH CARE ADVOCATE, AND DEALING WITH THE PAPERWORK AND FINANCIAL BURDENS.- ATHLETIC TRAINERS - A CERTIFIED ATHLETIC TRAINER (ATC), PROVIDED BY AHWFB, WORKS FULL-TIME IN LEXINGTON SENIOR HIGH SCHOOL. THE ATC WORKS WITH STUDENT ATHLETES AND THEIR COACHES TO HELP KEEP THE ATHLETES SAFE AND HEALTHY AND TO TREAT AND HELP REHABILITATE SPORTS-RELATED INJURIES. DURING THE COVID-19 PANDEMIC, THE ATC COLLABORATED WITH SCHOOL ADMINISTRATORS AND STAFF TO DESIGN AND IMPLEMENT DAILY SCREENING PROCESSES AND SOCIAL DISTANCING MEASURES THROUGHOUT THE SCHOOL. - CORY HOLT FOUNDATION FOOTBALL CLINIC - THE ANNUAL FOOTBALL CAMP IS DESIGNED TO PROVIDE YOUTH A SOLID FOUNDATION OF BASIC FOOTBALL FUNDAMENTALS AND TO BUILD CHARACTER. HOSPITAL EMPLOYEES VOLUNTEER TO ASSIST WITH THE CAMP. (TEMPORARILY SUSPENDED FOR COVID19)- NURSING APPRENTICESHIPS - A PARTNERSHIP WITH DAVIDSON-DAVIE COMMUNITY COLLEGE TO HELP IMPROVE THE NURSING SHORTAGE AFFECTING HEALTH CARE SYSTEMS IN THE REGION. THIS PROGRAM IS THE FIRST REGISTERED NURSE APPRENTICESHIP PROGRAM IN NORTH CAROLINA TO BE APPROVED BY THE DEPARTMENT OF LABOR, AND EXPEDITES THE PREVIOUS TIMING OF LPN'S ACHIEVING RN STATUS FROM THREE YEARS TO 24 MONTHS, WITHOUT AFFECTING THE QUALITY OF TRAINING. STUDENTS ARE ABLE TO RECEIVE THEIR TRAINING IN A HOSPITAL/ACUTE CARE SETTING AT TWO AHWFB NETWORK HOSPITALS, INCLUDING AHWFB-LMC.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. DURING THE SHORT YEAR, AHWFB-LMC ACQUIRED A DA VINCI XI SURGICAL SYSTEM, ALLOWING THE HOSPITAL TO OFFER MINIMALLY-INVASIVE SURGERY COMBINING THE LATEST ASSISTED SURGICAL TECHNOLOGIES WHICH ALLOWS FOR EASIER ACCESS TO TARGETED AREAS. ADVANTAGES OF MINIMALLY INVASIVE SURGERY INCLUDE LESS BLOOD LOSS, PAIN, AND SCARING, FASTER RECOVERY AND LESS TIME IN THE HOSPITAL.COVID-19 RESPONSE: DURING THE LATTER PORTION OF FY20 AND THROUGHOUT 2021, COVID-19 BECAME A GLOBAL PANDEMIC AND CONTINUED TO AFFECT OUR COMMUNITY. AHWFB IMPLEMENTED NUMEROUS MEASURES TO HELP MEET THE HEALTH NEEDS OF THE COMMUNITY IN RESPONSE TO THIS GLOBAL PANDEMIC. DURING THE SHORT PERIOD ENDED DECEMBER 31, 2021, AHWFB CONTINUED TO SUPPORT THE COMMUNITY IN THE FOLLOWING WAYS:- 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 UPDATED VISITOR GUIDELINES AT ALL LOCATIONS TO FOR PATIENTS AND HOSPITAL EMPLOYEES IN RESPONSE TO CHANGING COVID-19 VARIANT LANDSCAPE.- AHWFB TOOK COVID-19 VACCINATION EFFORTS TO NEW HEIGHTS WITH DRONE DELIVERIES THE FIRST COVID-19 VACCINE DRONE DELIVERY PROGRAM IN THE COUNTRY. THIS NEW INITIATIVE, OPERATED BY UPS, EXPANDED THE EXISTING DRONE PROGRAM THAT WAS LAUNCHED IN JULY 2020.- AHWFB USED ITS MOBILE HEALTH CLINIC TO PROVIDE CONVENIENT COVID-19 VACCINATIONS TO OLDER ADULTS WITH BARRIERS OF ACCESS TO CARE.- AHWFB BRENNER CHILDREN'S BEGAN ADMINISTERING THE PFIZER COVID-19 VACCINE TO CHILDREN AGES 5 TO 11 IN NOVEMBER. BRENNER CHILDREN'S BEGAN HOLDING COVID-19 VACCINATION EVENTS TO CHILDREN AGES 12 TO 15 EARLIER IN THE YEAR.AHWFB-LMC RECEIVED SEVERAL AWARDS, ACCREDITATIONS, AND ACKNOWLEDGEMENTS DURING THE SHORT YEAR, AS FOLLOWS:- AN 'A' IN THE FALL 2021 LEAPFROG HOSPITAL SAFETY GRADE, A NATIONAL DISTINCTION RECOGNIZING THE HOSPITAL'S ACHIEVEMENTS PROTECTING PATIENTS FROM HARM AND PROVIDING SAFER HEALTH CARE. - A 4-STAR RATING BASED ON A 5-STAR SCALE BY THE CENTERS FOR MEDICARE AND MEDICARE SERVICES (CMS). CMS COMPILES THE STAR RATINGS BY ASSESSING HOSPITALS IN FIVE SETS OF QUALITY MEASURES: MORTALITY, SAFETY OF CARE, READMISSIONS, PATIENT EXPERIENCE, AND TIMELINESS AND EFFECTIVENESS OF CARE. HOSPITALS REPORT THEIR OWN DATA AND ARE ELIGIBLE TO RECEIVE A RATING IF THEY REPORT AT LEAST THREE MEASURES IN EACH OF THREE OR MORE MEASURE GROUPS, INCLUDING EITHER MORTALITY OR SAFETY OF CARE.Desc
Total Program Service Expenses$56,032,283TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document22IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members19GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ERIN KOEWINGBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3367164445PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1MEDICAL CENTER BOULEVARDAddressLine1Txt
CityWINSTONSALEMCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27157ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
MICHAEL T WAID
DIRECTOR0.8039.20Yes (X)$0$777,766$150,089
D BRANDON CHAPMAN MD
DIRECTOR2.0038.00Yes (X)$0$625,864$48,349
MICK FISHER
DIRECTOR2.0038.00Yes (X)$0$546,093$35,499
JORGE GUTIERREZ MD
DIRECTOR (TO 9/30/21)2.0038.00Yes (X)$0$0$0
KARIN MABE
DIRECTOR2.2037.80Yes (X)$0$414,862$66,520
WILLIAM B JAMES
DIRECTOR & PRESIDENT38.002.00Yes (X)$0$394,174$82,863Yes (X)
DEBBY BROWN
DIRECTOR2.000.00Yes (X)$0$0$0
GORDON KAMMIRE MD
DIRECTOR2.0038.00Yes (X)$0$0$0
KATRINA CRAVEN
DIRECTOR (TO 12/31/21)2.000.00Yes (X)$0$0$0
CHUCK MILLER
DIRECTOR2.000.00Yes (X)$0$0$0
LILLIAN KOONTZ
DIRECTOR2.000.00Yes (X)$0$0$0
MICHAEL HOLSHOUSER
VICE CHAIR2.000.00Yes (X)$0$0$0Yes (X)
NICOLE PEDERSON SMITH
DIRECTOR2.0038.00Yes (X)$0$52,234$17,391
NINA SMITH
DIRECTOR2.000.00Yes (X)$0$0$0
PAULA TURLINGTON
DIRECTOR (TO 12/31/21)2.002.00Yes (X)$0$0$0
REV DR RAY HOWELL
CHAIR4.000.00Yes (X)$0$0$0Yes (X)
ROBIN TEAM JR
DIRECTOR2.000.00Yes (X)$0$0$0
ROSALIND BAKER
DIRECTOR2.000.00Yes (X)$0$0$0
ROSE MCDANIEL
DIRECTOR (TO 12/31/21)2.000.00Yes (X)$0$0$0
TAMMY ABSHER
DIRECTOR2.000.00Yes (X)$0$0$0
BRADLEY A CLARK
TREASURER0.5039.50$973,825$808,843$104,554Yes (X)
DENISE HEGE
SECRETARY38.002.00$0$67,330$12,214Yes (X)
DANNY SQUIRES
FINANCE DIRECTOR19.0021.00$0$228,447$34,066Yes (X)
CLYDE BRISTOW
CNO40.000.00$0$189,408$29,721Yes (X)
SARA SHIELDS
PHARMACY PROGRAM DIRECTOR40.000.00$0$148,179$17,647Yes (X)
MARSHALL FLEMING
DOSIMETRIST40.000.00$0$133,689$24,083Yes (X)
CHINELLE MOBLEY
STAFF NURSE40.000.00$0$129,467$25,411Yes (X)
ELIZABETH REID
NURSING EDUCATION COORDINATOR40.000.00$0$122,452$24,234Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$973,825TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,638,808TotReportableCompRltdOrgAmt
Total Other Compensation$672,641TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (1)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
AMN HEALTHCARE ALLIED INC
2735 COLLECTION CENTER DRCHICAGOIL60693CONTRACT LABOR$274,437
HICUITY HEALTH INC
PO BOX 671773DALLASTX75267CONTRACT LABOR$256,603
SODEXO MAGIC LLC
PO BOX 360170PITTSBURGHPA15251FACILITIES MANAGEMENT SERVICES$179,688
FRANK L BLUM CONSTRUCTION COMPANY
PO BOX 4153WINSTONSALEMNC27115CONSTRUCTION SERVICES$169,825
TRIMEDX HOLDINGS LLC
PO BOX 636129CINCINNATIOH45263CLINICAL ENGINEERING SERVICES$151,144
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K8CntrctRcvdGreaterThan100KCnt
Related Organizations$31,041RelatedOrganizationsAmt
Government Grants$239,090GovernmentGrantsAmt
All Other Contributions$60,758AllOtherContributionsAmt
Total Contributions$330,889TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE622110$68,631,136$67,241,264$1,389,872
DIETARY REVENUE722513$136,859$136,859
FieldValueIRS element (for citing)
Total Program Service Revenue$68,767,995TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$739TotalRevenueColumnAmt
Exclusion$739ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$330,644RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$330,644RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$330,644TotalRevenueColumnAmt
Exclusion$330,644ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$69,430,267TotalRevenueColumnAmt
Related Or Exempt Func Income$67,378,123RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,389,872UnrelatedBusinessRevenueAmt
Exclusion$331,383ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$94,911TotalAmt
Program Services$94,911ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$1,500TotalAmt
Program Services$1,500ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$397,076TotalAmt
Program Services$198,538ProgramServicesAmt
Management And General$198,538ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$21,316,942TotalAmt
Program Services$19,037,842ProgramServicesAmt
Management And General$2,279,100ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,049,639TotalAmt
Program Services$931,053ProgramServicesAmt
Management And General$118,586ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,695,823TotalAmt
Program Services$2,391,255ProgramServicesAmt
Management And General$304,568ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,264,696TotalAmt
Program Services$1,129,089ProgramServicesAmt
Management And General$135,607ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$3,626TotalAmt
Program Services$3,626ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$108,775TotalAmt
Program Services$73,055ProgramServicesAmt
Management And General$35,720ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$5,129,947TotalAmt
Program Services$4,412,930ProgramServicesAmt
Management And General$717,017ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$765TotalAmt
Program Services$618ProgramServicesAmt
Management And General$147ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$160,878TotalAmt
Program Services$135,385ProgramServicesAmt
Management And General$25,493ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$9,944TotalAmt
Program Services$8,368ProgramServicesAmt
Management And General$1,576ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,935,878TotalAmt
Program Services$1,629,116ProgramServicesAmt
Management And General$306,762ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$5,495TotalAmt
Program Services$4,644ProgramServicesAmt
Management And General$851ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$16,635TotalAmt
Program Services$14,148ProgramServicesAmt
Management And General$2,487ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$696TotalAmt
Program Services$467ProgramServicesAmt
Management And General$229ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,626,164TotalAmt
Program Services$2,448,468ProgramServicesAmt
Management And General$177,696ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$115,146TotalAmt
Program Services$115,146ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBTS$12,502,530$12,502,530
MEDICAL SUPPLIES$9,913,715$9,913,715
PROVIDER ASSESSMENT TAX$910,966$910,966
OTHER SUPPLIES$89,019$74,913$14,106

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$60,350,766TotalAmt
Program Services$56,032,283ProgramServicesAmt
Management And General$4,318,483ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,885BOYAmt
EOY$8,308EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$32,788,523BOYAmt
EOY$20,952,035EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$10,478,318BOYAmt
EOY$11,220,301EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,579,201BOYAmt
EOY$1,376,837EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$127,386BOYAmt
EOY$426,702EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$111,084,062LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$70,834,375LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$41,207,721BOYAmt
EOY$40,249,687EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$419,561BOYAmt
EOY$419,561EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$55,274,619BOYAmt
EOY$77,791,243EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$141,880,214BOYAmt
EOY$152,444,674EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,445,713BOYAmt
EOY$5,411,170EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$9,252BOYAmt
EOY$463,318EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$235,481BOYAmt
EOY$1,063,749EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,690,446BOYAmt
EOY$6,938,237EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$136,163,530BOYAmt
EOY$145,478,121EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$26,238BOYAmt
EOY$28,316EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$136,189,768BOYAmt
EOY$145,506,437EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$141,880,214BOYAmt
EOY$152,444,674EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$9,079,501ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$237,168OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$3,626OtherActivitiesAmt
Total Lobbying Expenditures$3,626TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE 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.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$951,142OtherCostOrOtherBasisAmt
Book Value$951,142BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$68,514,655OtherCostOrOtherBasisAmt
Depreciation$40,004,468DepreciationAmt
Book Value$28,510,187BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$39,066,615OtherCostOrOtherBasisAmt
Depreciation$30,755,390DepreciationAmt
Book Value$8,311,225BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,551,650OtherCostOrOtherBasisAmt
Depreciation$74,517DepreciationAmt
Book Value$2,477,133BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$40,249,687TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
OTHER ASSETS$104,490
INTERCOMPANY RECEIVABLE$77,483,652
OPERATING LEASES (LESS ACCUM DEPREC)$203,101
FieldValueIRS element (for citing)
Total Book Value Other Assets$77,791,243TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
OPERATING LEASE PAYABLE$167,323
OTHER RESERVES$896,426
FieldValueIRS element (for citing)
Total Liability$1,063,749TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION HAS EVALUATED UNCERTAIN TAX POSITIONS FOR ITS SHORT PERIOD ENDED DECEMBER 31, 2021 AND FISCAL YEAR ENDED JUNE 30, 2021, 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 SHORT PERIOD ENDED DECEMBER 31, 2021 AND FISCAL YEAR ENDED JUNE 30, 2021.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other300.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$546,420TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$546,420NetCommunityBenefitExpnsAmt
Total Expense0.01140TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,507,716TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,050,887DirectOffsettingRevenueAmt
Net Community Benefit Expns$456,829NetCommunityBenefitExpnsAmt
Total Expense0.00950TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,943,979TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,753,219DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,998,115TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,804,106DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,003,249NetCommunityBenefitExpnsAmt
Total Expense0.02090TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$118,789TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$118,789NetCommunityBenefitExpnsAmt
Total Expense0.00250TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,250TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,250NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$121,039TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$121,039NetCommunityBenefitExpnsAmt
Total Expense0.00250TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,119,154TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,804,106DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,124,288NetCommunityBenefitExpnsAmt
Total Expense0.02340TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,934TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$12,934NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,934TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$12,934NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$2,619,188BadDebtExpenseAmt
Reimbursed By Medicare$22,243,496ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$20,920,130CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$1,323,366MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ATRIUM HEALTH WAKE FOREST BAPTIST LEXINGTON MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1250 HOSPITAL DRIVEAddressLine1Txt
CityLEXINGTONCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27292ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.WAKEHEALTH.EDUWebsiteAddressTxt
State LicenseH0027StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ATRIUM HEALTH WFB LEXINGTON MEDICAL CENTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, PAGE 8OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, PAGE 8StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care300.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART VFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART VFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART VFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ATRIUM HEALTH WFB LEXINGTON MEDICAL CENTERPART V, SECTION B, LINE 5: COMMUNITY INPUT WAS OBTAINED THROUGH THE FOLLOWING SOURCES: (1) THE DAVIDSON COUNTY COMMUNITY HEALTH SURVEY COMPLETED IN 2018 BY COUNTY RESIDENTS WHICH SOLICITED CONCERNS REGARDING COMMUNITY HEALTH & SOCIAL ISSUES, UNHEALTHY BEHAVIORS, ACCESS TO MEDICAL CARE, PERSONAL HEALTHY BEHAVIORS AND OVERALL PERSONAL HEALTH, (2) THE DAVIDSON COUNTY HEALTH DEPARTMENT PUBLIC FORUM CONDUCTED IN NOVEMBER 2018 WITH ATRIUM HEALTH WAKE FOREST BAPTIST LEXINGTON MEDICAL CENTER, NOVANT HEALTH THOMASVILLE MEDICAL CENTER, AND DAVIDSON COUNTY HEALTH DEPARTMENT, (3) TWO FAITHHEALTH NC (A DEPARTMENT OF ATRIUM HEALTH WAKE FOREST BAPTIST) COMMUNITY ASSET MAPPING WORKSHOPS WHICH SOUGHT OPINIONS OF BOTH HEALTH PROVIDERS (INCLUDING RELIGIOUS & SOCIAL SERVICES) AND HEALTH SEEKERS IN DAVIDSON COUNTY'S MOST VULNERABLE COMMUNITIES, (4) REVIEW OF THE ATRIUM HEALTH WAKE FOREST BAPTIST 3-YEAR STRATEGIC PLAN TO IDENTIFY APPLICABLE COMMUNITY BENEFIT STRATEGIES; AND (5) COMMENTS FROM THE PRIOR COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY.ADDITIONALLY, OTHER SECONDARY DATA SOURCES WERE REVIEWED INCLUDING: ATRIUM HEALTH WAKE FOREST BAPTIST MEDICAL CENTER COMMUNITY DASHBOARD/HEALTH COMMUNITIES INSTITUTE, COUNTY HEALTH RANKINGS & ROADMAPS, 2017 STATE OF THE COUNTY HEALTH REPORT, DAVIDSON COUNTY HEALTH DEPARTMENT STRATEGIC PLAN FOR 2016-2019, US CENSUS BUREAU 2010 CENSUS, NC CENTER FOR HEALTH STATISTICS, HEALTHY PEOPLE 2020, HEALTHY NORTH CAROLINA 2020, AND CENTERS FOR MEDICARE/MEDICAID-HEALTH OUTCOMES SURVEY.
ATRIUM HEALTH WFB LEXINGTON MEDICAL CENTERPART V, SECTION B, LINE 6A: THE HOSPITAL'S MOST RECENT CHNA WAS CONDUCTED IN COLLABORATION WITH ATRIUM HEALTH WAKE FOREST BAPTIST MEDICAL CENTER (AKA NORTH CAROLINA BAPTIST HOSPITAL) AND ATRIUM HEALTH WAKE FOREST BAPTIST DAVIE MEDICAL CENTER, BOTH AFFILIATE HOSPITALS OF ATRIUM HEALTH WAKE FOREST BAPTIST.
ATRIUM HEALTH WFB LEXINGTON MEDICAL CENTERPART V, SECTION B, LINE 7D: N/APART V, SECTION B, LINE 7A:WWW.WAKEHEALTH.EDU/ABOUT-US/SERVING-OUR-COMMUNITIES/NEEDS-ASSESSMENTS-AND-IMPLEMENTATION-REPORTSPART V, SECTION B, LINE 10A:WWW.WAKEHEALTH.EDU/ABOUT-US/SERVING-OUR-COMMUNITIES/NEEDS-ASSESSMENTS-AND-IMPLEMENTATION-REPORTS
ATRIUM HEALTH WFB LEXINGTON MEDICAL CENTERPART V, SECTION B, LINE 11: THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") IDENTIFIED THE FOLLOWING SIGNIFICANT HEALTH NEEDS WITHIN THE COMMUNITY: (1) CHRONIC DISEASE MANAGEMENT AND PREVENTION, (2) DRUG MISUSE AND ABUSE PREVENTION AND EDUCATION, (3) ACCESS TO MENTAL HEALTH CARE SERVICES, (4) HEALTH CARE RESOURCES TO ADDRESS THE PREVALENCE OF OBESITY, CANCER, AND HEART DISEASE, AND (5) EDUCATION REGARDING GOOD NUTRITION AND EXERCISE HABITS. AHWFB-LMC PRIORITIZED THE FOLLOWING FOUR SIGNIFICANT COMMUNITY HEALTH NEEDS FOR ITS CURRENT CHNA AS FOLLOWS: (1) ACCESS TO CARE; (2) CHRONIC DISEASE MANAGEMENT & PREVENTION; (3) BEHAVIORAL HEALTH & SUBSTANCE DEPENDENCY; AND (4) MATERNAL & CHILD HEALTH. AHWFB-LMC PLANS TO PROVIDE COMMUNITY BENEFIT PROGRAMS RESPONSIVE TO THESE HEALTH NEEDS THROUGH ITS APPROVED CHNA IMPLEMENTATION STRATEGY. THE AHWFB-LMC CHNA IMPLEMENTATION STRATEGY OUTLINES THE IMPLEMENTATION OF PROGRAMS AND THE EVALUATION OF IMPACT OF THOSE PROGRAMS ON PRIORITY COMMUNITY HEALTH NEEDS IDENTIFIED FROM THE CHNA. SPECIFICALLY, THE HOSPITAL IS ADDRESSING THE SIGNIFICANT HEALTH NEEDS AS FOLLOWS:1. ACCESS TO CAREBARRIERS SUCH AS LACK OF INDIVIDUAL HEALTH INSURANCE AND HIGH COSTS DECREASE ACCESS TO QUALITY HEALTH CARE AND CAN LEAD TO UNMET HEALTH NEEDS. THE HOSPITAL'S CURRENT STRATEGIES TO ADDRESS THESE NEEDS INCLUDE THE FOLLOWING:--REDUCING TRANSPORTATION BARRIERS FOR INDIVIDUALS IN RURAL AREAS OF THE COMMUNITY THROUGH 1.) COLLABORATION WITH VARIOUS DAVIDSON COUNTY AGENCIES TO DETERMINE RESOURCES AND ASSESSMENT OF TRANSPORTATION ASSISTANCE NEEDS THROUGHOUT THE COUNTY, 2.) ANALYSIS OF THE USE OF PUBLIC TRANSPORTATION SERVICES, THE NECESSITY FOR ONSITE HEALTH CLINICS IN AREAS WITH HIGH NEEDS, AND TRANSPORTATION DEFICIENCIES WITH RESPONSIBLE DAVIDSON COUNTY AGENCIES, AND 3.) EVALUATION OF THE NEED AND FUNDING FOR A MOBILE HEALTH CLINIC TO SERVE DAVIDSON COUNTY'S MOST VULNERABLE COMMUNITIES. --IMPROVING ACCESS TO COMMUNITY-CENTERED SOCIAL AND HEALTH EDUCATION SERVICES AND REGULAR SOURCES OF HEALTH CARE THROUGH 1.) PARTNERING WITH DAVIDSON COUNTY AGENCIES TO PROVIDE HEALTH EDUCATION EVENTS AND SCREENINGS AT VARIOUS LOCATIONS IN THE COUNTY, 2.) CONTINUING TO PROVIDE SUPPORT TO THE DAVIDSON MEDICAL MINISTRIES CLINIC WITH FREE LABORATORY AND IMAGING SERVICES, 3.) WORKING WITH LOCAL FAITH COMMUNITIES TO PROVIDE PROGRAMS AND ENLIST LAY LEADER SUPPORT TO ASSIST PARISHIONERS NEEDING ACCESS, 4.) EXPANDING BESTHEALTH HEALTH EDUCATION PROGRAMMING AT COMMUNITY EVENTS AND VENUES IN DAVIDSON COUNTY, 5.) COLLABORATING WITH DAVIDSON COUNTY STAKEHOLDERS TO DEVELOP A RECOVERY ORIENTED SYSTEM OF CARE IN THE COUNTY, AND 6.) INCREASING PRIMARY CARE AND INTRODUCING CONVENIENCE CARE CLINICS IN HIGH NEED LOCATIONS OF DAVIDSON COUNTY. --IMPROVING ACCESS TO HEALTH INSURANCE BY PARTNERING WITH DAVIDSON COUNTY DEPARTMENT OF SOCIAL SERVICES TO ASSIST WITH ENROLLING COMMUNITY MEMBERS INTO INSURANCE PROGRAMS AND WITH NORTHWEST COMMUNITY CARE NETWORK, (AN ATRIUM HEALTH WAKE FOREST BAPTIST AFFILIATE) TO MANAGE THEIR HEALTHCARE.2. CHRONIC DISEASE MANAGEMENT & PREVENTIONAHWFB-LMC RECOGNIZES THE EFFECT OF CONTINUITY OF CARE WITH HEALTH CARE PROVIDERS ON PATIENT BEHAVIORS, DISEASE MANAGEMENT, AND HEALTH STATUS.THE HOSPITAL'S CURRENT STRATEGIES INCLUDE:--IMPROVING THE CAPACITY OF COMMUNITY BASED ORGANIZATIONS AND HEALTH CARE PROVIDERS TO SUPPORT EFFORTS RELATED TO CHRONIC DISEASE PREVENTION AND MANAGEMENT THROUGH 1.) CONTINUING TO SUPPORT FAITHHEALTH NC COMMUNITY HEALTH WORKERS TO ADDRESS CHRONIC DISEASE MANAGEMENT AND COMMUNITY HEALTH PROGRAMMING, 2.) INCREASING COMMUNITY AND HEALTHCARE PROVIDER REFERRAL TO EXISTING ATRIUM HEALTH WAKE FOREST BAPTIST CHRONIC DISEASE MANAGEMENT PROGRAMS, FAMILY MEDICINE AND ADDITIONAL RESOURCES BY CENTRALIZING THE DISSEMINATION OF HEALTH CARE INFORMATION, AND 3.) ASSESSING THE NEED FOR ADDITIONAL MEDICAL SPECIALISTS IN DAVIDSON COUNTY IN THE AREAS OF CANCER, HEART DISEASE AND DIABETES. --PROVIDING EDUCATION AND SUPPORT PROGRAMS TO REDUCE DIABETES PREVALENCE AND WEIGHT MANAGEMENT THROUGH 1.) COLLABORATING WITH THE DAVIDSON COUNTY HEALTH DEPARTMENT TO REFER PRE-DIABETIC AND EARLY ONSET DIABETIC PATIENTS TO AREA DIABETES MANAGEMENT PROGRAMS, 2.) CONTINUING TO PROVIDE BEST HEALTH DIABETES PREVENTION, WEIGHT MANAGEMENT, NUTRITION EDUCATION AND COOKING CLASSES AT CONVENIENT LOCATIONS IN DAVIDSON COUNTY, 3.) PARTICIPATING IN OPPORTUNITIES WITH AREA SCHOOLS TO SCREEN FOR DIABETES AND TO EDUCATE STUDENTS AND FAMILIES ON DIABETES PREVENTION, AND 4.) EVALUATING THE NEED TO EXPAND THE BRENNER FIT PROGRAMMING MODEL IN DAVIDSON COUNTY TO EDUCATE ELEMENTARY AND MIDDLE SCHOOL STUDENTS AND THEIR FAMILIES ON GOOD NUTRITION PRACTICES AND HEALTHY LIFESTYLE OPTIONS. --PROVIDING CANCER EDUCATION AND SUPPORT PROGRAMS THROUGH 1.) EXPANDING EDUCATION PROGRAMMING IN DAVIDSON COUNTY TO INCREASE AWARENESS OF CANCER RISK FACTORS AND BEHAVIORS, 2.) CONTINUING SUPPORT OF DAVIDSON COUNTY HEALTH DEPARTMENT'S MAMMOGRAM SERVICES FOR THE UNINSURED/UNDERINSURED RESIDENTS OF DAVIDSON COUNTY, 3.) CONTINUING SUPPORT OF DAVIDSON MEDICAL MINISTRIES CLINIC WITH MAMMOGRAPHY SERVICES FOR THEIR PATIENTS, 4.) COLLABORATING WITH VARIOUS DAVIDSON COUNTY AGENCIES TO DETERMINE RESOURCES TO SUPPORT CANCER PATIENTS AND THEIR FAMILIES, AND 5.) CONTINING SUPPORT OF THE CAREGIVER ACADEMY PROGRAM WHICH PROVIDES FREE INFORMATION, EDUCATION AND SUPPORT FOR COMMUNITY RESIDENTS IN CAREGIVING ROLES. 3. BEHAVIORAL HEALTH & SUBSTANCE DEPENDENCYAHWFB-LMC IS COMMITTED TO PROVIDING POSITIVE OUTCOMES OF RECOVERY AND MENTAL HEALTH WELLNESS THROUGHOUT THE COMMUNITY IT SERVES. THE HOSPITAL'S CURRENT STRATEGIES INCLUDE:--GROWING AWARENESS OF EXISTING CARENET SERVICES AVAILABLE AT AHWFB-LMC & AT OTHER LOCATIONS IN DAVIDSON COUNTY.--DECREASING THE SUICIDE DEATH RATE THROUGH 1.) BUILDING CAPACITY AMONG LAY PERSONS IN THE COMMUNITY IN THE AREAS OF MENTAL HEALTH FIRST AID, SUICIDE PREVENTION AND SUBSTANCE ABUSE RECOVERY PROGRAMS, AND 2.) PARTNERING WITH LOCAL SCHOOLS TO PROVIDE SUICIDE PREVENTION INFORMATION AND PROGRAMMING.--REDUCING THE NUMBER OF EMERGENCY DEPARTMENT VISITS RELATED TO BEHAVIORAL HEALTH ISSUES THROUGH WORKING WITH MENTAL HEALTH ORGANIZATIONS IN DAVIDSON COUNTY TO IDENTIFY KEY RESOURCES FOR REFERRALS AND PROGRAMMING FOR PATIENTS NEEDING MENTAL HEALTH SERVICES.--PARTNERING WITH THE DCSPAN (DAVIDSON COUNTY STOP PRESCRIPTION ABUSE NOW!) INITIATIVE TO PROVIDE SUBSTANCE USE EDUCATION AT ITS COMMUNITY CONVERSATION AND PUBLIC FORUM EVENTS. --SERVING AS ONE OF DAVIDSON COUNTY'S PERMANENT PRESCRIPTION MEDICATION DISPOSAL LOCATIONS.4. MATERNAL & CHILD HEALTHAHWFB-LMC IS COMMITTED TO PROVIDING INNOVATIVE, FAMILY-CENTERED CARE FOR THE COMMUNITY'S CHILDREN AND WOMEN. THE HOSPITAL'S CURRENT STRATEGIES INCLUDE:--DECREASING TEEN PREGNANCY, REDUCING INFANT MORTALITY, AND INCREASING THE BREAST FEEDING RATES THROUGH 1.) IMPLEMENTING OF PRENATAL AND POSTNATAL EDUCATION PROGRAMS IN DAVIDSON COUNTY FOR AT-RISK MOTHERS, 2.) PARTNERING WITH THE DAVIDSON COUNTY HEALTH DEPARTMENT, LOCAL SCHOOLS AND OTHER COUNTY AGENCIES TO DETERMINE RESOURCES AND PROGRAMS AVAILABLE TO NEW AND EXPECTING MOTHERS AND FAMILIES, 3.) CONTINUING TO PROVIDE BOARD CERTIFIED LACTATION CONSULTANTS TO NEW MOTHERS WITHIN THE ATRIUM HEALTH WAKE FOREST BAPTIST NETWORK, AND 4.) ENCOURAGING MOTHERS AND MOTHERS-TO-BE TO ATTEND ATRIUM HEALTH WAKE FOREST BAPTIST MATERNAL AND CHILD HEALTH PROGRAMS. --INCREASING PHYSICAL WELLNESS AT LOCAL SCHOOLS BY PROVIDING A LICENSED ATHLETIC TRAINER TO LEXINGTON SENIOR HIGH SCHOOL.ALL OF THE AFOREMENTIONED EFFORTS IN COMBINATION WITH THE HOSPITAL'S VALUES OF NONDISCRIMINATION AND COMPASSIONATE CARE ARE DESIGNED TO MEET THE SIGNIFICANT HEALTH NEEDS OF THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT.
ATRIUM HEALTH WFB LEXINGTON MEDICAL CENTERPART 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 LEXINGTON MEDICAL CENTERPART V, SECTION B, LINE 16J: LEXINGTON MEDICAL CENTERPART V, LINE 16A, FAP WEBSITE: WWW.WAKEHEALTH.EDU/PATIENT-AND-FAMILY-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCELEXINGTON MEDICAL CENTERPART V, LINE 16B, FAP APPLICATION WEBSITE: WWW.WAKEHEALTH.EDU/PATIENT-AND-FAMILY-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCELEXINGTON MEDICAL CENTERPART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: WWW.WAKEHEALTH.EDU/PATIENT-AND-FAMILY-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCELEXINGTON 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.
FieldValueIRS element (for citing)
Facility7FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - ENTHEAD & NECK SURGERY - LEXINGTON
106 W MEDICAL PARK DR STE CLEXINGTONNC27292ENT
3 - OBSTETRICS AND GYNECOLOGY - LEXINGTON
7 MEDICAL PARK DRLEXINGTONNC27292OBGYN
4 - WOUND CARE CENTER - LEXINGTON
10 MEDICAL PARK DRLEXINGTONNC27292WOUND CARE CENTER
5 - NEUROLOGY - LEXINGTON
10 MEDICAL PARK DRLEXINGTONNC27292NEUROLOGY
7 - RADIATION ONCOLOGY - LEXINGTON
107 W MEDICAL PARK DRLEXINGTONNC27292RADIATION ONCOLOGY
8 - PAIN MANAGEMENT - LEXINGTON
10 MEDICAL PARK DRLEXINGTONNC27292PAIN MANAGEMENT
9 - INFECTIOUS DISEASES - LEXINGTON
10 MEDICAL PARK DRLEXINGTONNC27292INFECTIOUS DISEASE

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 REVENUEIN ADDITION TO FEE FOR SERVICE REVENUE, THE HOSPITAL RECEIVES ENHANCED CLAIMS PAYMENTS FUNDED BY A PROVIDER ASSESSMENT ADMINISTERED BY THE NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES. UNDER THE PROGRAM, A TAX IS ASSESSED AGAINST TOTAL HOSPITAL EXPENSES AND THE FEDERAL GOVERNMENT MATCHES THE ASSESSMENT AT A RATE OF NEARLY 2 TO 1. THE PROCEEDS ARE THEN USED TO FUND ENHANCED FEE FOR SERVICES RATES ALONG WITH A DISPROPORTIONATE SHARE PAYMENT BACK TO HOSPITALS.
PART I, LN 7 COL(F):THE ORGANIZATION'S PATIENT BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENTS WAS $12,502,530 FOR THE SHORT YEAR ENDED DECEMBER 31, 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 CHARGE 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 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 ASSISTANCE UNDER THE FAP, APPROPRIATE MEASURES ARE TAKEN TO REFUND ANY AMOUNTS OWED TO THE INDIVIDUAL AND REVERSE OR MODIFY COLLECTION ACTIONS CONSISTENT WITH THE NEW BALANCE OWED AFTER APPLYING THE APPLICABLE FAP DISCOUNTS.
PART VI, LINE 2:THE HOSPITAL'S CURRENT NEEDS ASSESSMENT PLAN WAS BASED ON A SET OF BEST PRACTICES FOR COMMUNITY HEALTH ASSESSMENTS WITH THE PURPOSE OF IDENTIFYING REGIONAL PRIORITY AREAS TO FOCUS ON FOR FY 2020-2022. THE PROCESS WAS DESIGNED TO RELY ON EXISTING PUBLIC DATA, DIRECTLY ENGAGING COMMUNITY STAKEHOLDERS AND COLLABORATE WITH LOCAL PUBLIC HEALTH, OTHER HEALTH PROVIDERS, AS WELL AS COMMUNITY PARTNERS SUCH AS FAITH NETWORKS RELEVANT TO THE SOCIAL FACTORS UNDERLYING PATTERNS OF ACCESS. THE HOSPITAL'S ASSESSMENT WAS CONDUCTED IN THREE STAGES: (1) DATA REVIEW (PRIMARY AND SECONDARY DATA), (2) SETTING PRIORITIES, AND (3) 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 FOUR PRIORITY CHALLENGES FOR THE COMMUNITY: (1) ACCESS TO CARE, (2) CHRONIC DISEASE MANAGEMENT & PREVENTION, (3) BEHAVIORAL HEALTH & SUBSTANCE ABUSE, AND (4) MATERNAL & CHILD HEALTH. FAITHHEALTHNC (A DIVISION OF NORTH CAROLINA BAPTIST HOSPITAL) PROVIDED COMMUNITY ENGAGEMENT THROUGH A COMPREHENSIVE ASSET MAPPING STRATEGY BASED ON AN APPROACH FROM SOUTH AFRICA AND REDEFINED IN MEMPHIS, TN DESIGNED TO BUILD COMMUNITY PARTNERSHIPS ON THE ASSETS THAT EXIST, INSTEAD OF JUST NEEDS. THE MAPPING DEVELOPED AN INVENTORY OF EXISTING PROGRAMS AND SERVICES WITHIN THE REGION RELATED TO THE PRIORITY AREAS IDENTIFIED IN THE NEEDS ASSESSMENT. THE INVENTORY INCLUDED THE LOCATION OF THE PROGRAM (HOSPITAL, CLINIC, OR COMMUNITY SERVICE) AS WELL AS THE NATURE OF THE INTANGIBLE FACTORS, ESPECIALLY TRUST, THAT DETERMINE ACCESS AND COLLABORATION AMONG COMMUNITY PARTNERS. THE PURPOSE OF THE INVENTORY WAS TO IDENTIFY GAPS IN SERVICES, OPPORTUNITIES FOR NEW WORK, WHERE AND WITH WHOM THERE IS ALREADY WORK BEING DONE, AND OPPORTUNITIES FOR PARTNERSHIP AND COLLABORATION. FROM THE CHNA PROCESS, THE HOSPITAL DEVELOPED AN IMPLEMENTATION STRATEGY TO IDENTIFY THE MEANS THROUGH WHICH IT PLANS TO ADDRESS NEEDS THAT ARE CONSISTENT WITH THE CHARITABLE MISSION AS PART OF ITS COMMUNITY BENEFIT PROGRAMS FOR THE NEXT THREE FISCAL YEARS. BEYOND THE PROGRAMS THAT WILL BE ADDRESSED IN THE IMPLEMENTATION STRATEGY, THE HOSPITAL WILL CONTINUE TO ADDRESS MANY OF THE PRIORITIES BY PROVIDING CARE TO ALL, REGARDLESS OF THE ABILITY TO PAY.
PART VI, LINE 3:THE ORGANIZATION USES A VARIETY OF MEANS TO EDUCATE AND INFORM PATIENTS OF THEIR CHARITY CARE OPTIONS, INCLUDING INFORMATION ON A WEBSITE, PAMPHLETS, CONSPICUOUSLY DISPLAYED SIGNAGE, INFORMATION ON PATIENT BILL STATEMENTS, AND FROM STAFF MEMBERS DURING CONVERSATIONS CONCERNING A PATIENT'S LIABILITY FOR SERVICES. THE HOSPITAL EMPLOYS A PRE-SERVICE FINANCIAL CLEARANCE PROCESS THAT SCREENS PATIENTS PRIOR TO SERVICE DELIVERY FOR EXISTING OR AVAILABLE PAYER SOURCES AS A MEANS OF AVOIDING BAD DEBT AND INAPPROPRIATE BILLING TO PATIENTS WITHOUT THE MEANS TO PAY. IF A PAYER SOURCE IS IDENTIFIED, HOSPITAL STAFF WILL ASSIST THE PATIENT WITH ENROLLMENT.
PART VI, LINE 4:AHWFB-LMC'S SERVICE AREA OF DAVIDSON COUNTY REFLECTS A POPULATION OF APPROXIMATELY 165,500 AND A MEDIAN HOUSEHOLD INCOME OF $45,806. DAVIDSON COUNTY COVERS APPROXIMATELY 553 SQUARE MILES AND IS MOSTLY RURAL. THE MOST COMMON INDUSTRIES IN DAVIDSON COUNTY ARE MANUFACTURING, HEALTHCARE AND SOCIAL ASSISTANCE, AND RETAIL. THE FOLLOWING DEMOGRAPHIC FIGURES REFLECT THE POPULATION FOR DAVIDSON COUNTY: - 51% FEMALE, 49% MALE - BELOW 18 YEARS: 21.9% - AGE 65 AND OLDER: 18.2%THE MOST RECENT CENSUS INDICATED THAT DAVIDSON COUNTY HAS A LARGER PROPORTION OF PERSONS OVER AGE 64 AS COMPARED TO PROPORTIONS OF PERSONS IN THESE AGE GROUPS IN THE STATE OF NORTH CAROLINA.THE COUNTY POPULATION BREAKDOWN BY RACE IS: - WHITE NON-HISPANIC (80.0%) - BLACK (9.8%) - HISPANIC (7.2%) - OTHER ASIAN (1.6%) - AMERICAN INDIAN (0.8%) - OTHER (0.6%)AHWFB-LMC'S PRIMARY SERVICE AREA IS COMPRISED OF THOSE LIVING WITHIN AN EIGHT MILE RADIUS OF THE HOSPITAL WHICH INCLUDES THE CITY OF LEXINGTON AND ADJACENT AREAS. 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 TO ONE OF THE STATE'S LARGEST AND MOST SUCCESSFUL STREET FESTIVALS WITH 200,000 PLUS PEOPLE ATTENDING ITS ANNUAL "BARBECUE FESTIVAL" EACH OCTOBER.
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 IN NEED, AND ACCEPTS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL OPERATES AN EMERGENCY ROOM THAT IS OPEN 24/7, AND ITS GOVERNING BOARD IS PREDOMINANTLY COMPRISED OF LEADERS WITHIN THE DAVIDSON COUNTY COMMUNITY. 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, STROKE AWARENESS SEMINARS, PUBLIC SCREENINGS, CAREGIVER ACADEMY, AND OTHER HEALTH EDUCATION EVENTS HELD LOCALLY THROUGHOUT THE YEAR. AHWFB PROVIDES A CERTIFIED ATHLETIC TRAINER THAT WORKS FULL-TIME IN DAVIDSON COUNTY SCHOOLS. HOSPITAL EMPLOYEES ALSO ASSIST WITH THE CORY HOLT FOUNDATION FOOTBALL CLINIC TO PROMOTE SPORTS SAFETY.
PART VI, LINE 6:THE FILING ORGANIZATION IS A NETWORK HOSPITAL 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 STATESNC

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1LEXINGTON MEDICAL CENTER FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1250 HOSPITAL DRIVEAddressLine1Txt
CityLEXINGTONCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27293ZIPCd
FieldValueIRS element (for citing)
Recipient EIN581876553RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$92,661CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantTO SUPPORT SPORTSMEN'S SATURDAY EVENTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE 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

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BRADLEY A CLARK
TREASURER$701,213$0$270,235$135,118$2,377$673,725$68,820$5,405$30,329$0$1,072,974$814,248$0$673,725
MICHAEL T WAID
DIRECTOR$0$447,959$0$209,340$0$120,467$0$122,170$0$27,919$0$927,855$0$75,105
D BRANDON CHAPMAN MD
DIRECTOR$0$567,630$0$22,059$0$36,175$0$21,614$0$26,735$0$674,213$0$0
MICK FISHER
DIRECTOR$0$503,849$0$6,516$0$35,728$0$21,816$0$13,683$0$581,592$0$0
KARIN MABE
DIRECTOR$0$293,766$0$112,500$0$8,596$0$56,556$0$9,964$0$481,382$0$0
WILLIAM B JAMES
DIRECTOR & PRESIDENT$0$297,719$0$39,375$0$57,080$0$59,184$0$23,679$0$477,037$0$37,500
DANNY SQUIRES
FINANCE DIRECTOR$0$212,995$0$10,664$0$4,788$0$14,984$0$19,082$0$262,513$0$0
CLYDE BRISTOW
CNO$0$179,912$0$8,865$0$631$0$12,760$0$16,961$0$219,129$0$0
SARA SHIELDS
PHARMACY PROGRAM DIRECTOR$0$147,060$0$1,000$0$119$0$9,073$0$8,574$0$165,826$0$0
MARSHALL FLEMING
DOSIMETRIST$0$131,998$0$1,000$0$691$0$9,566$0$14,517$0$157,772$0$0
CHINELLE MOBLEY
STAFF NURSE$0$123,416$0$6,000$0$51$0$7,137$0$18,274$0$154,878$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4BCERTAIN DIRECTORS AND OFFICERS OF THE FILING ORGANIZATION PARTICIPATED IN AND/OR RECEIVED PAYMENTS FROM SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLANS (SERP) OF THEIR EMPLOYER. 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 SERP PAYMENTS IN THEIR CALENDAR YEAR 2021 COMPENSATION FROM WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER, A RELATED ORGANIZATION: BRADLEY A. CLARK $673,725 WILLIAM B. JAMES $37,500 MICHAEL T. WAID $84,039
FORM 990, PART VII, LINE 5 - COMPENSATION FROM UNRELATED ORGANIZATIONBRADLEY A. CLARK, TREASURER, WAS COMPENSATED BY CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY ("CMHA", DOING BUSINESS AS ATRIUM HEALTH), AN AFFILIATED BUT UNRELATED ORGANIZATION, FOR SERVICES RENDERED TO THE ORGANIZATION. SEE PART VII AND SCHEDULE J FOR HIS COMPENSATION.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, DOING BUSINESS AS:ATRIUM HEALTH WAKE FOREST BAPTIST LEXINGTON MEDICAL CENTER
FORM 990, PART III, LINE 1LEXINGTON MEDICAL CENTER (DBA ATRIUM HEALTH WAKE FOREST BAPTIST LEXINGTON MEDICAL CENTER, AT TIMES ALSO REFERRED TO AS THE "HOSPITAL OR "AHWFB-LMC 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 20BTHE HOSPITAL HAS ATTACHED A COPY OF ITS CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR ITS CALENDAR YEAR ENDED DECEMBER 31, 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, INC. CONTROLLED ENTITIES, AND ATRIUM HEALTH WAKE FOREST BAPTIST ENTITIES (UNDER COMMON MANAGEMENT), INCLUDING: -WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER AND AFFILIATES (INCLUDING THE FILING ORGANIZATION), -NORTH CAROLINA BAPTIST HOSPITAL AND AFFILIATES, -WAKE FOREST UNIVERSITY HEALTH SCIENCES AND AFFILIATES, -CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY (DBA ATRIUM HEALTH CHARLOTTE) AND AFFILIATES, -FLOYD HEALTHCARE MANAGEMENT, INC. (DBA ATRIUM HEALTH FLOYD) AND AFFILIATES, AND -NAVICENT HEALTH INC. (DBA ATRIUM HEALTH NAVICENT) AND AFFILIATES. ALL SIGNIFICANT INTERCOMPANY TRANSACTIONS HAVE BEEN ELIMINATED IN CONSOLIDATION.
FORM 990, PART VI, SECTION A, LINE 2NICOLE SMITH AND NINA SMITH, DIRECTORS OF THE FILING ORGANIZATION, HAVE A FAMILY RELATIONSHIP. PAULA TURLINGTON AND MICHAEL HOLHOUSER, DIRECTORS OF THE FILING ORGANIZATION, HAVE A FAMILY RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 4THE FILING ORGANIZATION'S BYLAWS WERE AMENDED EFFECTIVE JULY 1, 2021 TO CHANGE THE FILING ORGANIZATION'S FISCAL YEAR FROM ONE ENDING JUNE 30 TO ONE ENDING DECEMBER 31.
FORM 990, PART VI, SECTION A, LINE 6THE 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 7AWAKE 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 7BDECISIONS 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 11BTHE 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 12CON AN ANNUAL BASIS (AND AS THEY ARISE), ALL DIRECTORS 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 15THE 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 ("WFUBMC"), OR UNRELATED ORGANIZATIONS WAKE FOREST UNIVERSITY HEALTH SCIENCES ("WFUHS") OR CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY ("CMHA", DBA ATRIUM HEALTH). THE SENIOR EXECUTIVE COMPENSATION COMMITTEE OF THE WFUBMC BOARD IS RESPONSIBLE FOR REVIEWING AND APPROVING CERTAIN OFFICERS' COMPENSATION. THE COMMITTEE UTILIZES INDEPENDENT COMPENSATION CONSULTANTS, SURVEYS, AND STUDIES TO DETERMINE THE APPROPRIATENESS OF EACH SUCH OFFICER'S COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19THE 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:TRANSFER TO LEXINGTON MEDICAL CENTER FOUNDATION NET ASSETS 237,168.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
LEXINGTON MEDICAL CENTER FOUNDATION
250 HOSPITAL DRIVELEXINGTONNC27292581876553SUPPORTING ORGANIZATIONNC501(C)(3)LINE 12A, ILEXINGTON MEDICAL CENTERYes (1)
WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER
MEDICAL CENTER BOULEVARDWINSTON SALEMNC27157510190238HEALTHCARENC501(C)(3)LINE 12A, I0
NORTHWEST COMMUNITY CARE NETWORK
2000 W 1ST STREETWINSTON SALEMNC27104020774853HEALTHCARENC501(C)(3)LINE 7WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER0
FAITHHEALTH INNOVATIONS INC
MEDICAL CENTER BOULEVARDWINSTON SALEMNC27157237426944HEALTHCARENC501(C)(3)LINE 10WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER0
DAVIE MEDICAL CENTER
329 NC HWY 801NBERMUDA RUNNC27006562276994HEALTHCARENC501(C)(3)LINE 3WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER0
WRMC HOSPITAL OPERATING CORPORATION
PO BOX 609NORTH WILKESBORONC28659830343789HEALTHCARENC501(C)(3)LINE 3WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER0
HIGH POINT REGIONAL HEALTH
PO BOX HP-5HIGH POINTNC27261560532309HEALTHCARENC501(C)(3)LINE 3WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER0
HIGH POINT REGIONAL HEALTH FOUNDATION
601 N ELM STREETHIGH POINTNC27261272854711SUPPORTING ORGANIZATIONNC501(C)(3)LINE 12A, IHIGH POINT REGIONAL HEALTH0
WILKES MEDICAL CENTER FOUNDATION
1370 WEST D STREETNORTH WILKESBORONC28659822345613SUPPORTING ORGANIZATIONNC501(C)(3)LINE 12A, IWRMC HOSPITAL OPERATING CORPORATION0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
MS LAND HOLDING CO LLC
1901 MOONEY STREETWINSTON SALEMNC27103824005370REAL ESTATENCN/A00
HIGH POINT SURGERY CENTER LLC
600 N LINDSAY STREETHIGH POINTNC27262561867005HEALTHCARENCN/A0Yes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1HIGH POINT HEALTH CARE VENTURES INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1601 NORTH ELM STREETAddressLine1Txt
CityHIGH POINTCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27261ZIPCd
FieldValueIRS element (for citing)
EIN561497164EIN
Primary ActivitiesREAL ESTATEPrimaryActivitiesTxt
Legal Domicile StateNCLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
LEXINGTON MEDICAL CENTER FOUNDATION
B$92,661COST
LEXINGTON MEDICAL CENTER FOUNDATION
Q$148,600COST
LEXINGTON MEDICAL CENTER FOUNDATION
R$481,880COST

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.