NORTH CAROLINA BAPTIST HOSPITAL: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- NORTH CAROLINA BAPTIST HOSPITAL (EIN 56-0552787)
- Tax period
- 2021-07-01 to 2021-12-31
- Filed
- 2022-11-14
- IRS object ID
- 202233189349300448
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-14T07:27:47-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 135565207 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 W 5TH ST SUITE 800 | AddressLine1Txt |
| City | WINSTONSALEM | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560552787 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTH CAROLINA BAPTIST HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NORT | BusinessNameControlTxt |
| Phone | 3367164445 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | MEDICAL CENTER BOULEVARD | AddressLine1Txt |
| City | WINSTONSALEM | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27157 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STEPHAN LILLIE | PersonNm |
| Person Title | SVP-CFO | PersonTitleTxt |
| Phone | 3367164445 | PhoneNum |
| Signature | 2022-11-14 | SignatureDt |
| Discuss With Paid Preparer | 0 | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | STEPHAN | PersonFirstNm |
| Person Last | LILLIE | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SHAWN HUTCHINSON | PreparerPersonNm |
| PTIN | P01048557 | PTIN |
| Phone | 3362753394 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ATRIUM HEALTH WAKE FOREST BAPTIST ME | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JULIE ANN FREISCHLAG MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | MEDICAL CENTER BOULEVARD | AddressLine1Txt |
| City | WINSTONSALEM | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27157 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,208,544,840 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.WAKEHEALTH.EDU | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1923 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE HEALTH, ELEVATE HOPE AND ADVANCE HEALING FOR ALL. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 570 | TotalVolunteersCnt |
| Total Gross UBI | $2,864,589 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $2,142,349 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $8,597,848 | PYContributionsGrantsAmt |
| CY Contributions Grants | $19,368,804 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,230,691,229 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,167,712,939 | CYProgramServiceRevenueAmt |
| PY Investment Income | $70,818,646 | PYInvestmentIncomeAmt |
| CY Investment Income | $18,353,330 | CYInvestmentIncomeAmt |
| PY Other Revenue | $5,602,342 | PYOtherRevenueAmt |
| CY Other Revenue | $2,559,830 | CYOtherRevenueAmt |
| PY Total Revenue | $2,315,710,065 | PYTotalRevenueAmt |
| CY Total Revenue | $1,207,994,903 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $4,147,220 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,348,153 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $811,155,612 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $469,826,214 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,428,224,605 | PYOtherExpensesAmt |
| CY Other Expenses | $747,407,388 | CYOtherExpensesAmt |
| PY Total Expenses | $2,243,527,437 | PYTotalExpensesAmt |
| CY Total Expenses | $1,219,581,755 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $72,182,628 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$11,586,852 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,518,157,866 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,504,263,399 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,045,129,647 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,019,670,501 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,473,028,219 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,484,592,898 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O FOR CONTINUATIONNORTH CAROLINA BAPTIST HOSPITAL (AT TIMES ALSO REFERRED TO AS THE "HOSPITAL OR "NCBH 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,123,993,690 | ExpenseAmt |
| Grant | $2,348,153 | GrantAmt |
| Revenue | $1,167,712,939 | RevenueAmt |
| Desc | SEE SCHEDULE O FOR COMPLETE DESCRIPTION | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | SEE SCHEDULE O | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | SEE SCHEDULE O | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $1,123,993,690 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (1) | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | Yes (1) | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 395 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERIN KOEWING | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3367164445 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | MEDICAL CENTER BLVD | AddressLine1Txt |
| City | WINSTON SALEM | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27157 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| A LEE HERRING | |||||||||
| CHAIR | 2.00 | 6.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ARTHUR A GIBEL | |||||||||
| VICE CHAIR | 2.00 | 6.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| GEORGE D RENFRO | |||||||||
| TRUSTEE (TO 12-31-21) | 2.00 | 6.00 | Yes (X) | $0 | $0 | $0 | |||
| SHEREE B WATSON | |||||||||
| TRUSTEE | 2.00 | 6.00 | Yes (X) | $0 | $0 | $0 | |||
| STEPHEN L ROBERTSON | |||||||||
| TRUSTEE | 2.00 | 8.00 | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM C WARDEN JR | |||||||||
| TRUSTEE | 2.00 | 18.00 | Yes (X) | $0 | $0 | $0 | |||
| BRADLEY A CLARK | |||||||||
| EVP, TREASURER | 2.20 | 37.80 | Yes (X) | $973,825 | $808,843 | $104,554 | |||
| J MCLAIN WALLACE JR | |||||||||
| SVP, GEN COUNSEL & SEC | 12.80 | 27.20 | Yes (X) | $0 | $954,719 | $175,785 | |||
| JULIE A FREISCHLAG MD | |||||||||
| CEO, DEAN | 15.70 | 24.30 | Yes (X) | $3,375,350 | $0 | $555,809 | |||
| KAREN H HUEY | |||||||||
| VP, FACILITIES (TO 9-30-21) | 31.10 | 8.90 | Yes (X) | $0 | $603,513 | $54,997 | |||
| KEVIN P HIGH MD | |||||||||
| PRES, HEALTH SYSTEM | 8.80 | 31.20 | Yes (X) | $1,442,392 | $0 | $263,970 | |||
| LISA M MARSHALL | |||||||||
| VP, CH PHIL OFF | 5.00 | 35.00 | Yes (X) | $0 | $476,033 | $108,223 | |||
| STEPHAN LILLIE | |||||||||
| SVP, CFO (FR 8-25-21) | 13.00 | 27.00 | Yes (X) | $0 | $355,058 | $43,019 | |||
| TERRY G WILLIAMS | |||||||||
| EVP, CH STRAT OFF | 2.50 | 37.50 | Yes (X) | $862,336 | $723,232 | $129,736 | |||
| WILLIAM D SHOWALTER | |||||||||
| SVP, CIO | 7.90 | 32.10 | Yes (X) | $0 | $1,025,216 | $139,112 | |||
| ALISA STARBUCK DNP | |||||||||
| PRES, BRENNER CH | 40.00 | 0.00 | $0 | $504,954 | $105,017 | Yes (X) | |||
| CAROL GEER MD | |||||||||
| PHYSICIAN, DIR RESIDENCY PGRM | 40.00 | 0.00 | $477,324 | $0 | $50,326 | Yes (X) | |||
| CATHLEEN WHEATLEY DNP | |||||||||
| PRES WFBMC, SVP CH NURS OF | 38.40 | 1.60 | $0 | $1,076,415 | $175,743 | Yes (X) | |||
| MICHAEL T WAID | |||||||||
| SVP HLTH SYS OPS & INTEG | 26.50 | 13.50 | $0 | $777,766 | $150,089 | Yes (X) | |||
| TODD BANKHEAD | |||||||||
| SVP, CLIN OPS | 40.00 | 0.00 | $0 | $725,828 | $141,073 | Yes (X) | |||
| JOHN D MCCONNELL MD | |||||||||
| FORMER OFF (4-26-17) | 0.00 | 40.00 | $456,795 | $0 | $45,242 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,588,022 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $8,031,577 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,242,695 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (1) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| AYA HEALTH CARE | |||||
| 5930 CORNERSTONE COURT WEST STE 30 | SAN DIEGO | CA | 92121 | HEATHCARE STAFFING SERVICES | $16,800,709 |
| FRANK L BLUM CONSTRUCTION COMPANY | |||||
| PO BOX 4153 | WINSTONSALEM | NC | 27115 | CONSTRUCTION CONTRACTING SERVICES | $9,471,959 |
| AON RISK SERVICES SOUTH INC | |||||
| PO BOX 402232 | ATLANTA | GA | 30384 | CONSULTING SERVICES | $4,384,329 |
| TRIMEDX HOLDINGS LLC | |||||
| PO BOX 636129 | CINCINNATI | OH | 45263 | CLINICAL ENGINEERING SERVICES | $4,045,095 |
| CROSS COUNTRY STAFFING | |||||
| PO BOX 404674 | ATLANTA | GA | 30384 | HEATHCARE STAFFING SERVICES | $3,218,590 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 105 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $272,618 | RelatedOrganizationsAmt |
| Government Grants | $17,414,949 | GovernmentGrantsAmt |
| All Other Contributions | $1,681,237 | AllOtherContributionsAmt |
| Noncash Contributions | $7,196 | NoncashContributionsAmt |
| Total Contributions | $19,368,804 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT SERVICE REVENUE | 622110 | $1,159,041,177 | $1,158,861,651 | $179,526 |
| LABRATORY SERVICE REVENUE | 621511 | $4,637,810 | $3,794,808 | $843,002 |
| DIETARY REVENUE | 722513 | $2,947,595 | $2,947,595 | |
| TUITION REVENUE | 611430 | $1,086,357 | $1,086,357 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,167,712,939 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,109,785 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $1,842,061 | UnrelatedBusinessRevenueAmt |
| Exclusion | $9,267,724 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,674,335 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $428,244 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,246,091 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,246,091 | TotalRevenueColumnAmt |
| Exclusion | $1,246,091 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $7,365,238 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $121,693 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $7,365,238 | SecuritiesAmt |
| Other | -$121,693 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,243,545 | TotalRevenueColumnAmt |
| Exclusion | $7,243,545 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| PARKING REVENUE | 812930 | $1,254,869 | $1,254,869 |
| OTHER REVENUE | 999999 | $33,856 | $33,856 |
| GIFT SHOP REVENUE | 453220 | $25,014 | $25,014 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,313,739 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,207,994,903 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,166,690,411 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,864,589 | UnrelatedBusinessRevenueAmt |
| Exclusion | $19,071,099 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $592,792 | TotalAmt |
| Program Services | $592,792 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,755,361 | TotalAmt |
| Program Services | $1,755,361 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,978,070 | TotalAmt |
| Program Services | $5,989,035 | ProgramServicesAmt |
| Management And General | $5,989,035 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $372,153,442 | TotalAmt |
| Program Services | $336,936,470 | ProgramServicesAmt |
| Management And General | $35,216,972 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,384,834 | TotalAmt |
| Program Services | $15,739,703 | ProgramServicesAmt |
| Management And General | $1,645,131 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,983,650 | TotalAmt |
| Program Services | $40,726,836 | ProgramServicesAmt |
| Management And General | $4,256,814 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,326,218 | TotalAmt |
| Program Services | $21,118,852 | ProgramServicesAmt |
| Management And General | $2,207,366 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $222,154 | TotalAmt |
| Program Services | $222,154 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $130,079 | TotalAmt |
| Management And General | $130,079 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $226,535 | TotalAmt |
| Program Services | $226,535 | ProgramServicesAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,178,554 | TotalAmt |
| Program Services | $791,539 | ProgramServicesAmt |
| Management And General | $387,015 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $174,205,810 | TotalAmt |
| Program Services | $148,729,320 | ProgramServicesAmt |
| Management And General | $25,476,490 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,464,816 | TotalAmt |
| Program Services | $2,797,314 | ProgramServicesAmt |
| Management And General | $667,502 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,517,551 | TotalAmt |
| Program Services | $5,484,770 | ProgramServicesAmt |
| Management And General | $1,032,781 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,927,854 | TotalAmt |
| Program Services | $29,393,134 | ProgramServicesAmt |
| Management And General | $5,534,720 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,050,035 | TotalAmt |
| Program Services | $26,129,800 | ProgramServicesAmt |
| Management And General | $4,920,235 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $305,201 | TotalAmt |
| Program Services | $257,246 | ProgramServicesAmt |
| Management And General | $47,955 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,528 | TotalAmt |
| Program Services | $50,937 | ProgramServicesAmt |
| Management And General | $9,591 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,441,754 | TotalAmt |
| Program Services | $4,326,401 | ProgramServicesAmt |
| Management And General | $2,115,353 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,563,801 | TotalAmt |
| Program Services | $36,886,770 | ProgramServicesAmt |
| Management And General | $2,677,031 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,952,539 | TotalAmt |
| Program Services | $7,533,906 | ProgramServicesAmt |
| Management And General | $1,418,633 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $319,090,560 | $319,090,560 | |
| INCOME TAXES | $437,652 | -$72,021 | $509,673 |
| BAD DEBT | $94,787,696 | $94,787,696 | |
| PROVIDER ASSESSMENT | $17,360,507 | $17,360,507 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,483,762 | TotalAmt |
| Program Services | $7,138,073 | ProgramServicesAmt |
| Management And General | $1,345,689 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,219,581,755 | TotalAmt |
| Program Services | $1,123,993,690 | ProgramServicesAmt |
| Management And General | $95,588,065 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,169,473 | BOYAmt |
| EOY | $2,339,706 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,460,677 | BOYAmt |
| EOY | $2,479,564 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $448,372,076 | BOYAmt |
| EOY | $450,216,667 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,944,803 | BOYAmt |
| EOY | $46,104,932 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,482,927 | BOYAmt |
| EOY | $44,991,855 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,934,375,216 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,351,259,940 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $597,660,903 | BOYAmt |
| EOY | $583,115,276 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $934,446,332 | BOYAmt |
| EOY | $934,234,102 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,329,918 | BOYAmt |
| EOY | $84,833,834 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $305,385,843 | BOYAmt |
| EOY | $320,524,624 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,904,914 | BOYAmt |
| EOY | $35,422,839 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,518,157,866 | BOYAmt |
| EOY | $2,504,263,399 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $368,029,447 | BOYAmt |
| EOY | $360,201,203 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $488,066,343 | BOYAmt |
| EOY | $488,058,920 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,962,864 | BOYAmt |
| EOY | $20,199,699 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $167,070,993 | BOYAmt |
| EOY | $151,210,679 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,045,129,647 | BOYAmt |
| EOY | $1,019,670,501 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,462,159,856 | BOYAmt |
| EOY | $1,473,951,375 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,868,363 | BOYAmt |
| EOY | $10,641,523 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,473,028,219 | BOYAmt |
| EOY | $1,484,592,898 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,518,157,866 | BOYAmt |
| EOY | $2,504,263,399 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$11,586,852 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $5,812,327 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $17,339,204 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | Yes (1) | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $164,320 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $62,215 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $226,535 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | SUPPORT OF THE MEDICAL CENTER'S OFFICE OF GOVERNMENT RELATIONS, AND PRORATA PORTION OF DUES PAID TO STATE AND LOCAL 501(C)(6) ORGANIZATIONS THAT REPRESENTS LOBBYING ON BEHALF OF ITS MEMBERS. THE ORGANIZATION HAS A GOVERNMENT RELATIONS OFFICE. EMPLOYEES OF THE FILING ORGANIZATION (AND RELATED ORGANIZATION) IN THAT OFFICE WILL SOMETIMES MAKE DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY. THE OFFICE OF GOVERNMENT RELATIONS WAS ACTIVELY INVOLVED WITH SEVERAL FEDERAL AND STATE ISSUES. THE OFFICE ASSISTED IN DEVELOPING POLITICAL ADVOCACY STRATEGIES REGARDING: CENTER FOR MEDICARE AND MEDICAID (CMS) MEDICAID REGULATIONS, THE PRESIDENT'S FY23 BUDGET REQUEST FOCUSING ON DRUG PRICING, PROPOSED 340B PROGRAM CHANGES, PROPOSED CHANGES TO THE USE OF NONHUMAN PRIMATE MODELS IN BIOMEDICAL RESEARCH, FY23 APPROPRIATIONS INCLUDING LABOR/HEALTH AND HUMAN SERVICES (HHS) BILL AND FUNDING FOR THE NATIONAL INSTITUTES OF HEALTH (NIH), AND ADDITIONAL FUNDING FOR GRADUATE MEDICAL EDUCATION RESIDENCY SLOTS. IN ADDITION, THE OFFICE WORKED WITH THE NORTH CAROLINA CONGRESSIONAL DELEGATION ON APPROPRIATIONS RELATED TO THE DEPARTMENT OF DEFENSE THROUGH THE REAUTHORIZATION OF THE NATIONAL DEFENSE AUTHORIZATION ACT (NDAA) AS WELL AS THE DEFENSE SUBCOMMITTEE APPROPRIATIONS BILLS. THE OFFICE ALSO WORKED ON POLICIES RELATED TO TELEMEDICINE AT STATE AND FEDERAL LEVELS. THE OFFICE PARTICIPATED IN NUMEROUS CONFERENCE CALLS, WEB-EX MEETINGS AND ONE-ON-ONE CALLS WITH CONGRESSIONAL MEMBERS AND STAFFERS ON ONGOING COVID-19 MATTERS. AT THE STATE LEVEL, THE OFFICE CONTINUED TO WORK ON MEDICAID EXPANSION AND MEDICAID FINANCING. 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. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,868,363 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $74,257 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $301,097 | OtherExpendituresAmt |
| End Year Balance | $10,641,523 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,697,960 | BeginningYearBalanceAmt |
| Contributions | $1,632,009 | ContributionsAmt |
| Investment Earnings Or Losses | $848,144 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $309,750 | OtherExpendituresAmt |
| End Year Balance | $10,868,363 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $19,362,682 | BeginningYearBalanceAmt |
| Contributions | $2,938,020 | ContributionsAmt |
| Investment Earnings Or Losses | $64,252 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $13,666,994 | OtherExpendituresAmt |
| End Year Balance | $8,697,960 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $9,685,419 | BeginningYearBalanceAmt |
| Contributions | $9,933,643 | ContributionsAmt |
| Investment Earnings Or Losses | $175,740 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $432,120 | OtherExpendituresAmt |
| End Year Balance | $19,362,682 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,347,896 | BeginningYearBalanceAmt |
| Contributions | $3,538,532 | ContributionsAmt |
| Investment Earnings Or Losses | $260,041 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $461,050 | OtherExpendituresAmt |
| End Year Balance | $9,685,419 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.24220 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.75780 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $38,775,439 | OtherCostOrOtherBasisAmt |
| Book Value | $38,775,439 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,081,371,727 | OtherCostOrOtherBasisAmt |
| Depreciation | $724,502,829 | DepreciationAmt |
| Book Value | $356,868,898 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,201,485 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,518,767 | DepreciationAmt |
| Book Value | $682,718 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $715,473,941 | OtherCostOrOtherBasisAmt |
| Depreciation | $625,238,344 | DepreciationAmt |
| Book Value | $90,235,597 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $96,552,624 | OtherCostOrOtherBasisAmt |
| Book Value | $96,552,624 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $583,115,276 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INVESTMENTS IN SUBSIDIARIES | Desc |
| Book Value | $320,524,624 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $320,524,624 | TotalBookValueProgramRltdAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| PLI & OTHER LIABILITIES | $46,916,325 |
| PENSION LIABILITIES | $72,294,287 |
| OPERATING LEASE PAYABLE | $32,000,067 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $151,210,679 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE HOSPITAL'S ENDOWMENT FUNDS ARE USED TO PROVIDE SUPPORT FOR EDUCATION, SCHOLARSHIPS, INDIGENT CARE, AND OTHER DEPARTMENTAL FUNDING. |
| PART X, LINE 2: | THE 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. |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | THE CARIBBEAN - BRITISH VIRGIN ISLANDS & CAYMAN ISLANDS | RegionTxt |
| Offices | 0 | OfficesCnt |
| Employee | 0 | EmployeeCnt |
| Type Of Activities Conducted | INVESTMENTS | TypeOfActivitiesConductedTxt |
| Region Total Expenditures | $18,500,000 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continuation Total Office | 0 | ContinuationTotalOfficeCnt |
| Continuation Total Employee | 0 | ContinuationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $18,500,000 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $18,500,000 | TotalSpentAmt |
| Transfer To Foreign Corp | 0 | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (1) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | Yes (1) | PassiveForeignInvestmestCoInd |
| Foreign Partnership | 0 | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART III ACCOUNTING METHOD: | FormAndLineReferenceDesc |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,595,232 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $15,595,232 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01380 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $183,379,644 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $172,728,110 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,651,534 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00950 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $53,676,621 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $44,149,231 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,527,390 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00850 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $252,651,497 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $216,877,341 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $35,774,156 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03180 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,226,919 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,226,919 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00380 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $58,282,611 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,262,280 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $47,020,331 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04170 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,355,451 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,355,451 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00480 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $587,325 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $587,325 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $68,452,306 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,262,280 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $57,190,026 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05080 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $321,103,803 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $228,139,621 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $92,964,182 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08260 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $660,450 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $660,450 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $78,857 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $78,857 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $739,307 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $739,307 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $25,740,641 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $286,225,330 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $404,994,292 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$118,768,962 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ATRIUM HEALTH WAKE FOREST BAPTIST MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | MEDICAL CENTER BOULEVARD | AddressLine1Txt |
| City | WINSTON SALEM | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27157 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.WAKEHEALTH.EDU | WebsiteAddressTxt |
| State License | H0011 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ATRIUM HEALTH WAKE FOREST BAPTIST MEDICA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, PAGE 7 | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, PAGE 7 | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 300.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ATRIUM HEALTH WAKE FOREST BAPTIST MEDICAL CENTER | PART V, SECTION B, LINE 5: COMMUNITY INPUT WAS OBTAINED THROUGH THE FOLLOWING PRIMARY SOURCES: (1) FORSYTH COUNTY RESIDENT SURVEYS CONDUCTED BY FORSYTH COUNTY HEALTH DEPARTMENT; (2) EIGHT FAITHHEALTH NC (A DEPARTMENT OF THE HOSPITAL) COMMUNITY ASSET MAPPING WORKSHOPS WHICH SOUGHT OPINIONS OF BOTH HEALTH PROVIDERS AND HEALTH SEEKERS IN FORSYTH COUNTY'S MOST VULNERABLE COMMUNITIES, INCLUDING FOUR WORKSHOPS HELD SPECIFICALLY IN HISPANIC COMMUNITIES; (3) TARGETED FOCUS GROUP MEETINGS CONDUCTED BY FAITHHEALTH NC IN CONJUNCTION WITH NOVANT HEALTH FORSYTH MEDICAL CENTER AT CHURCHES IN HIGH NEED COMMUNITIES; AND (4) COMMENTS FROM PRIOR COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY.ADDITIONALLY, MORE THAN TEN SECONDARY DATA SOURCES WERE REVIEWED, INCLUDING ATRIUM HEALTH WAKE FOREST BAPTIST MEDICAL CENTER COMMUNITY DASHBOARD/HEALTH COMMUNITIES INSTITUTE, COUNTY HEALTH RANKINGS & ROADMAPS, US CENSUS BUREAU 2010 CENSUS, US CENSUS BUREAU 2017 AMERICAN COMMUNITY SURVEY, NC CENTER FOR HEALTH STATISTICS, CENTERS FOR DISEASE CONTROL - YOUTH BEHAVIOR RISK FACTOR SURVEILLANCE SYSTEM 2017, NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES BEHAVIOR RISK FACTOR SURVEILLANCE SYSTEM (2013-2017), HEALTHY PEOPLE 2020, HEALTHY NC 2020, CENTERS FOR MEDICARE/MEDICAID SERVICES, FORSYTH FUTURES ACCESS TO HEALTH CARE FORSYTH COUNTY REPORT 2014, AND STATUS OF HOMELESSNESS IN FORSYTH COUNTY NOVEMBER 2014. |
| ATRIUM HEALTH WAKE FOREST BAPTIST MEDICAL CENTER | PART V, SECTION B, LINE 6A: THE HOSPITAL'S MOST RECENT CHNA WAS CONDUCTED IN COLLABORATION WITH ATRIUM HEALTH WAKE FOREST BAPTIST LEXINGTON MEDICAL CENTER AND ATRIUM HEALTH WAKE FOREST BAPTIST DAVIE MEDICAL CENTER. BOTH ORGANIZATIONS ARE NETWORK HOSPITALS OF ATRIUM HEALTH WAKE FOREST BAPTIST. |
| ATRIUM HEALTH WAKE FOREST BAPTIST MEDICAL CENTER | PART 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 WAKE FOREST BAPTIST MEDICAL CENTER | PART V, SECTION B, LINE 11: THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") IDENTIFIED THE FOLLOWING SIGNIFICANT HEALTH CHALLENGES WITHIN THE COMMUNITY: (1) ACCESS TO HEALTH CARE, (2) CHRONIC DISEASE MANAGEMENT AND PREVENTION, (3) BEHAVIORAL HEALTH AND SUBSTANCE DEPENDENCY, (4) FINANCIAL COST OF HEALTH CARE AND PRESCRIPTION DRUGS, (5) CULTURAL COMPETENCY, (6) HEALTHCARE RESOURCES, AWARENESS, AND EDUCATION, (7) PERCEPTION OF CUSTOMER SERVICE, (8) GOOD NUTRITION, (9) COMFORT NAVIGATING THE HEALTHCARE SYSTEMS, AND (10) LACK OF TIME TO PRIORITIZE HEALTH.NORTH CAROLINA BAPTIST HOSPITAL (NCBH) 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 AND SUBSTANCE DEPENDENCY; AND (4) MATERNAL AND CHILD HEALTH. NCBH PROVIDES COMMUNITY BENEFIT PROGRAMS RESPONSIVE TO THESE HEALTH NEEDS THROUGH ITS APPROVED CHNA IMPLEMENTATION STRATEGY. THE NCBH 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:--ENCOURAGING APPROPRIATE EMERGENCY DEPARTMENT UTILIZATION THROUGH CARE COORDINATION ACROSS THE COMMUNITY, HOSPITAL, AND PRIMARY CARE THROUGH (1) IMPLEMENTATION OF WAKEHEALTH CONNECT, A MANAGED CARE PROGRAM, FOR CHARITY CARE APPROVED PATIENTS IN ORDER TO IMPROVE PATIENTS WITH CHRONIC DISEASE DIAGNOSES AND INCREASED ED VISITS, (2) CONTINUED SUPPORT FOR THE CAREPLUS MULTIDISCIPLINARY PRIMARY CARE COORDINATION MODEL FOR MEDICAID/SELF-PAY/UNINSURED PATIENTS IN THE DOWNTOWN HEALTH PLAZA COMMUNITY, (3) CONTINUED PARTNERSHIP WITH UNITED HEALTH CARE CENTERS TO PROVIDE WEEKLY PREVENTIVE CARE CLINIC AT THE BETHESDA CENTER FOR THE HOMELESS LOCATED IN WINSTON SALEM, (4) CONTINUED SUPPORT FOR HEALTHCARE ACCESS WHICH CONNECTS THE UNINSURED COMMUNITY WITH VOLUNTEER HEALTHCARE PROVIDERS, AND (5) ENGAGING VULNERABLE COMMUNITIES THROUGH FAITHHEALTH SUPPORTERS AND CONNECTORS.--IMPROVING ACCESS TO COMMUNITY CENTERED SOCIAL AND HEALTH EDUCATION SERVICES AND REGULAR SOURCES OF HEALTH CARE THROUGH (1) CONTINUED PARTNERSHIP WITH NOVANT HEALTH TO PROVIDE PREVENTATIVE CARE AT THE HIGHLAND AVENUE PRIMARY CARE CLINIC IN A TRADITIONALLY UNDERSERVED AREA OF THE COMMUNITY, (2) DEPLOYMENT OF AHWFB'S MOBILE MEDICAL CLINIC TO PROVIDE MEDICAL, NUTRITION, MENTAL HEALTH AND HEALTH EDUCATION TO VULNERABLE POPULATIONS RESIDING IN LOW ACCESS AHWFB SERVICE AREAS, (3) ENHANCED SUPPORT OF THE DELIVERING EQUAL ACCESS TO CARE (DEAC) CLINIC, A STUDENT-RUN, FREE MEDICAL CLINIC THAT PROVIDES LONG TERM CONTINUITY OF CARE TO LOCAL UNDERSERVED COMMUNITIES, AND (4) CONTINUED SUPPORT FOR DOWNTOWN HEALTH PLAZA, AN OUTPATIENT CLINIC PROVIDING CHRONIC DISEASE MANAGEMENT, PREVENTATIVE/DIAGNOSTIC SERVICES, COUNSELING, AND HEALTH EDUCATION.--IMPROVING ACCESS TO TRANSPORTATION TO HEALTH CARE SERVICES, THROUGH ALIGNMENT OF COMMUNITY TRANSPORTATION RESOURCES WITH PATIENTS WHEN TRANSPORTATION NEEDS ARE IDENTIFIED DURING APPOINTMENT SCHEDULING. 2. CHRONIC DISEASE MANAGEMENT & PREVENTIONNCBH 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 CAPACITY OF COMMUNITY BASED ORGANIZATIONS AND HEALTH CARE PROVIDERS TO SUPPORT EFFORTS RELATED TO CHRONIC DISEASE PREVENTION AND MANAGEMENT THROUGH (1) CONTINUING TO SUPPORT FAITHHEALTHNC COMMUNITY WORKERS, (2) COLLABORATION WITH NOVANT FORSYTH MEDICAL CENTER COMMUNITY HEALTH AND BENEFIT TEAMS TO IMPROVE HEALTH AND BUILD TRUST FOR COMMUNITIES WITH THE GREATEST CAPACITY TO IMPROVE HEALTH OUTCOMES, AND (3) PROVIDE SUPPORT FOR GOVERNMENTAL PROGRAMS AND LOCAL COMMUNITY EFFORTS TO BUILD CAPACITY OF COMMUNITY-BASED ORGANIZATIONS TO SERVE THE NEEDS OF THE COMMUNITY AND TO ALIGN WITH AHWFB'S POPULATION HEALTH STRATEGIES. --PROVIDING EDUCATION AND SUPPORT PROGRAMS TO REDUCE DIABETES PREVALENCE AND IMPROVE WEIGHT MANAGEMENT THROUGH (1) REFERRING PRE-DIABETIC AND EARLY ONSET DIABETIC PATIENTS AT DOWNTOWN HEALTH PLAZA TO DIABETES PROGRAMS OFFERED BY YWCA (GATEWAY TO SUCCESS), EDUCATIONAL PROGRAMS CONDUCTED BY AHWFB AND OTHER COMMUNITY ORGANIZATIONS, (2) CONTINUING TO PROVIDE BESTHEALTH DIABETES PREVENTION AND NUTRITION EDUCATION TO THE COMMUNITY BY OFFERING SEMINARS, SCREENINGS & OTHER HEALTH & WELLNESS EVENTS. --PROVIDING EDUCATION AND SUPPORT PROGRAMS TO REDUCE OBESITY PREVALENCE AND IMPROVE OBESITY MANAGEMENT THROUGH CONTINUED SUPPORT OF BRENNER FIT TO INCREASE EDUCATION AND AWARENESS OF HEALTHY LIFESTYLE CHOICES FOR UNINSURED/MEDICAID PATIENTS AND FAMILIES. 3. BEHAVIORAL HEALTH & SUBSTANCE DEPENDENCYNCBH IS COMMITTED TO PROVIDING POSITIVE OUTCOMES OF RECOVERY AND MENTAL HEALTH WELLNESS THROUGHOUT THE COMMUNITY IT SERVES. THE HOSPITAL'S CURRENT STRATEGIES INCLUDE:--CONTINUED EXPANSION OF INTEGRATED CARE MODEL CURRENTLY OPERATING AT DOWNTOWN HEALTH PLAZA AND FAMILY MEDICINE PIEDMONT PLAZA;--CONTINUED SUPPORT OF THE EMPOWERMENT PROJECT, AN OUTREACH PROGRAM FOR HOMELESS ADULTS AND PEOPLE EXPERIENCING MENTAL HEALTH CHALLENGES AND SUBSTANCE USE DISORDERS. --EXTENDED ACCESS TO THE HIGHEST LEVEL OF BEHAVIORAL HEALTH CARE BY PROVING COMMUNITY-BASED SERVICES AND OPPORTUNITIES INCLUDING (1) SUPPORTING THE 'GO' PROGRAM, A GERIATRIC COLLABORATIVE OUTREACH PROGRAM THAT PROVIDES IN-HOME MENTAL HEALTH CARE SERVICES TO SENIORS EXPERIENCING MOBILITY AND TRANSPORTATION CHALLENGES, (2) PARTNERING WITH THE UNITED WAY TO SUPPORT BOWMAN GRAY CHILD GUIDANCE, WHICH PROVIDES MENTAL HEALTH SERVICES TO INDIGENT CHILDREN AND THEIR FAMILIES, (3) OPERATING THE UNIVERSITY MENTAL HEALTH, THE COMMUNITY OUTREACH AND CLINICAL SERVICE ARM OF THE WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE'S DEPARTMENT OF PSYCHIATRY THAT IS FOCUSED ON PROVIDING MENTAL HEALTH SERVICES TO TRANSITIONAL AGED YOUTH (AGES 16-24), AND (4) STAFFING PEER SUPPORT SPECIALISTS IN NCBH'S EMERGENCY DEPARTMENT WHO PROVIDE GUIDANCE AND ASSISTANCE TO PATIENTS EXPERIENCING MENTAL HEALTH CHALLENGES SIMILAR TO THEIR OWN. 4. MATERNAL AND CHILD HEALTHNCBH IS COMMITTED TO PROVIDING INNOVATIVE, FAMILY-CENTERED CARE FOR THE COMMUNITY'S CHILDREN AND WOMEN. FORSYTH COUNTY HAS ONE OF THE HIGHEST INFANT MORTALITY RATES IN NORTH CAROLINA AND A KEY PART OF ADDRESSING THIS COMMUNITY HEALTH NEED IS INCREASING THE AVAILABILITY OF PRE- AND POSTNATAL CARE SERVICES. THE HOSPITAL'S CURRENT STRATEGIES INCLUDE:--DECREASING TEEN PREGNANCY, REDUCING INFANT MORTALITY, INCREASING THE BREAST FEEDING RATES AND INCREASING PHYSICAL WELLNESS IN LOCAL SCHOOLS THROUGH (1) PROVIDING MEDICAL AND RESEARCH LEADERSHIP TO THE SCHOOL HEALTH ALLIANCE FOR FORSYTH COUNTY, A SUPPORTING ORGANIZATION OF WINSTON-SALEM/FORSYTH COUNTY SCHOOLS THAT PROVIDES MEDICAL AND MENTAL HEALTH SERVICES FOR CHILDREN VIA SCHOOL-BASED HEALTH CENTERS, AND (2) STRENGTHENING THE RELATIONSHIP WITH WINSTON-SALEM/FORSYTH COUNTY SCHOOLS VIA THE WSFC SOCIAL WORK DEPARTMENT AND SCHOOL HEALTH ALLIANCE TO BUILD A NETWORK OF SUPPORT AMONG HEALTH CARE PROVIDERS, SCHOOLS AND FAITH COMMUNITIES TO MORE EFFECTIVELY SERVE THE NEEDS OF STUDENTS AND FAMILIES. --INCREASING EDUCATION FOR WOMEN ON THE BENEFITS OF PRE-CONCEPTION HEALTH AND EARLY PRENATAL CARE THROUGH (1) ESTABLISHING THE FAMILY CONNECTS HOME VISITATION PROGRAM (IN COLLABORATION WITH NOVANT HEALTH FORSYTH MEDICAL CENTER), WHICH WILL PROVIDE CLINICAL ASSESSMENTS AND EVALUATION OF SERVICE DELIVERY TO IMPROVE QUALITY OF CARE, (2) OPERATING THE CLINICAL AND EDUCATION SUPPORT SERVICES FOR GYNECOLOGICAL, MATERNITY AND PEDIATRIC HEALTH IN THE COMMUNITY.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 WAKE FOREST BAPTIST 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 WAKE FOREST BAPTIST MEDICAL CENTER | PART V, SECTION B, LINE 16J: NORTH CAROLINA BAPTIST HOSPITALPART V, LINE 16A, FAP WEBSITE: WWW.WAKEHEALTH.EDU/PATIENT-AND-FAMILY-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCENORTH CAROLINA BAPTIST HOSPITALPART V, LINE 16B, FAP APPLICATION WEBSITE: WWW.WAKEHEALTH.EDU/PATIENT-AND-FAMILY-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCENORTH CAROLINA BAPTIST HOSPITALPART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: WWW.WAKEHEALTH.EDU/PATIENT-AND-FAMILY-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCENORTH CAROLINA BAPTIST HOSPITALPART V, SECTION B, LINE 16J: IN ADDITION TO THE METHODS PREVIOUSLY DESCRIBED, THE HOSPITAL INFORMS PATIENTS ABOUT ITS FAP DURING INTAKE AND DISCHARGE BY PROVIDING A PLAIN LANGUAGE SUMMARY OF THE FAP. THE HOSPITAL ALSO PLACES A CONSPICUOUS WRITTEN NOTICE OF THE FAP ON ITS PATIENT BILLING STATEMENTS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 28 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (28 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - DIALYSIS ACCESS GROUP | ||||
| 120 MILLER STREET STE B | WINSTONSALEM | NC | 27103 | DIALYSIS CENTER |
| 2 - DOWNTOWN HEALTH PLAZA - ADULT MEDICINE | ||||
| 1200 N MARTIN LUTHER KING JR DRIVE | WINSTONSALEM | NC | 271013006 | ADULT MEDICINE |
| 3 - DOWNTOWN HEALTH PLAZA - SPECIALTY | ||||
| 1200 N MARTIN LUTHER KING JR DRIVE | WINSTONSALEM | NC | 27101 | OB/GYN, NEUROLOGY, DERMATOLOGY, KIDNEY, CARE PLUS |
| 4 - DOWNTOWN HEALTH PLAZA - PEDIATRICS | ||||
| 1200 N MARTIN LUTHER KING JR DRIVE | WINSTONSALEM | NC | 27101 | PEDIATRICS |
| 5 - ORTHOPAEDICS - MEDICAL PLAZA MILLER | ||||
| 131 MILLER STREET | WINSTONSALEM | NC | 27103 | PHYSICAL MEDICINE, SPORTS MEDICINE, REHABILITATION |
| 6 - SPECIALTY - MEDICAL PLAZA MILLER | ||||
| 131 MILLER STREET | WINSTONSALEM | NC | 27103 | ENT, NEUROLOGY, PSYCHOLOGY, RECONST SURGERY, RHEUM |
| 7 - PEDIATRICS - WINSTON EAST | ||||
| 2295 EAST 14TH STREET | WINSTONSALEM | NC | 27105 | PEDIATRICS |
| 8 - ALLERGY ASTHMA & IMMUNOLOGY SVC - CLEMMON | ||||
| 2311 LEWISVILLE-CLEMMONS ROAD | CLEMMONS | NC | 27012 | ALLERGY, ASTHMA & IMMUNOLOGY |
| 9 - HEMATOLOGY & ONCOLOGY - CLEMMONS | ||||
| 2311 LEWISVILLE-CLEMMONS ROAD | CLEMMONS | NC | 27012 | HEMATOLOGY & ONCOLOGY, CANCER SURVIVORSHIP |
| 10 - BRENNER CHILDREN'S SPECIALTY SERVICES | ||||
| 2311 LEWISVILLE-CLEMMONS ROAD | CLEMMONS | NC | 27012 | PEDIATRIC ENDO, GASTRO, PULM, PSYCH |
| 11 - RHEUMATOLOGY - CLEMMONS | ||||
| 2311 LEWISVILLE-CLEMMONS ROAD | CLEMMONS | NC | 27012 | RHEUMATOLOGY |
| 12 - BREAST CARE SERVICES - CLEMMONS | ||||
| 2341 LEWISVILLE-CLEMMONS ROAD | CLEMMONS | NC | 27012 | BREAST CARE SERVICES |
| 13 - ENTHEAD & NECK SURGERY - CLEMMONS | ||||
| 2341 LEWISVILLE-CLEMMONS ROAD | CLEMMONS | NC | 27012 | ADULT & PEDIATRIC ENT/HEAD AND NECK SURGERY |
| 14 - OBSTETRICS & GYNECOLOGY - CLEMMONS | ||||
| 2341 LEWISVILLE-CLEMMONS ROAD | CLEMMONS | NC | 27012 | OB/GYN |
| 15 - SPINE CENTER - CLEMMONS | ||||
| 2341 LEWISVILLE-CLEMMONS ROAD | CLEMMONS | NC | 27012 | SPINE CENTER - CLEMMONS |
| 16 - VEIN SERVICES - CLEMMONS | ||||
| 2341 LEWISVILLE-CLEMMONS ROAD | CLEMMONS | NC | 27012 | VEIN SERVICES |
| 17 - HEMATOLOGY & ONCOLOGY - ELKIN | ||||
| 401 ELDON PARKS DRIVE | ELKIN | NC | 28621 | HEMATOLOGY AND ONCOLOGY |
| 18 - HEMATOLOGY & ONCOLOGY - MT AIRY | ||||
| 450 PRICE STREET | MT AIRY | NC | 27030 | HEMATOLOGY AND ONCOLOGY |
| 19 - CARDIOLOGY - COUNTRY CLUB | ||||
| 4610 COUNTRY CLUB ROAD | WINSTONSALEM | NC | 271043520 | CARDIOLOGY |
| 20 - DIABETES & ENDOCRINOLOGY CENTER - COUNTRY | ||||
| 4610 COUNTRY CLUB ROAD | WINSTONSALEM | NC | 271043520 | ADULT & PEDIATRIC DIABETES CENTER |
| 21 - DERMATOLOGY - COUNTRY CLUB | ||||
| 4618 COUNTRY CLUB ROAD | WINSTONSALEM | NC | 271043520 | GENERAL DERMATOLOGY & DERMATOLOGIC SURGERY |
| 22 - COMPREHENSIVE FETAL CARE CENTER | ||||
| 500 SHEPHERD STREET SUITE 200 | WINSTONSALEM | NC | 271031633 | MATERNAL-FETAL MEDICINE |
| 23 - OBSTETRICS & GYNECOLOGY - SHEPHERD | ||||
| 500 SHEPHERD STREET SUITE 201 | WINSTONSALEM | NC | 271031633 | OB/GYN, GYN ONCOLOGY, UROLOGICAL GYN |
| 24 - SLEEP CENTER - SHEPHERD | ||||
| 500 SHEPHERD STREET SUITE 201 | WINSTONSALEM | NC | 271031633 | SLEEP MEDICINE |
| 25 - MULTI-SPECIALTY CLINIC - SHEPHERD | ||||
| 500 SHEPHERD STREET SUITE 300 | WINSTONSALEM | NC | 271031633 | DIGESTIVE, GYN ONC, NEURO, RHUM, PED GASTRO, URO GYN |
| 26 - PAIN CENTER BROOKSTOWN | ||||
| 605 COTTON STREET | WINSTONSALEM | NC | 27101 | PAIN CLINIC |
| 27 - GYNECOLOGY ONCOLOGY - LEXINGTON | ||||
| 107 W MEDICAL PARK | LEXINGTON | NC | 27292 | OB/GYN, GYN ONCOLOGY |
| 28 - HEMATOLOGY & ONCOLOGY - LEXINGTON | ||||
| 107 W MEDICAL PARK | LEXINGTON | NC | 272926852 | HEMATOLOGY AND ONCOLOGY |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | THE ORGANIZATION UTILIZES COMMERCIALLY AVAILABLE FINANCIAL PROFILING AND CREDIT SCORING TECHNOLOGIES TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE DISCOUNTS UNDER ITS FAP POLICY. ADDITIONAL ELIGIBILITY CRITERIA INCLUDES THE FOLLOWING:-PATIENT MUST BE UNINSURED OR HAVE NO OTHER THIRD PARTY FUNDING SOURCE OR GUARANTOR.-SERVICES FOR WHICH DISCOUNTS APPLY MUST BE EMERGENT AND MEDICALLY NECESSARY CARE.-PATIENT MUST BE A VALID RESIDENT WITHIN A ZIP CODE BOUNDED BY OR INTERSECTING ON OF THE COUNTIES DEFINED AS THE ATRIUM HEALTH WAKE FOREST BAPTIST 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 $94,218,814 FOR THE SHORT TAX 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 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 PREDOMINATELY COMPRISED OF LEADERS WITHIN THE COMMUNITY IT SERVES. 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:- 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. THE DIVISION'S DEPARTMENTS INCLUDE:- FAITHHEALTHNC, WHICH HELPS EASE THE JOURNEY TO HEALTH AND HEALING FOR PEOPLE AND THEIR COMMUNITIES THROUGH CARING STRENGTHS OF CONGREGATIONS, THE CLINICAL EXPERTISE OF PROVIDERS AND A NETWORK OF COMMUNITY RESOURCES.- FAITHHEALTH EDUCATION - DESIGNS AND CONDUCTS EDUCATIONAL PROGRAMS FOR INTERNS AND RESIDENTS.- CHAPLAINCY AND CLINICAL MINISTRIES - PROVIDES SPIRITUAL MINISTRY AND SUPPORT TO PATIENTS AND THEIR FAMILIES WITH A STAFF OF CHAPLAINS.- CARENET - A PARTNER OF FAITHHEALTH THAT PROVIDES FAITH INTEGRATED COUNSELING AND THERAPY- FAITHHEALTH INNOVATIONS (FKA CENTER FOR CONGREGATIONAL HEALTH) - PROVIDES MINISTRY AND TRAINING TO FAITH COMMUNITIES, LAY LEADERS AND CLERGY.THE ORGANIZATION PARTNERS WITH LOVE OUT LOUD TO SUPPORT A FELLOWSHIP POSITION DEDICATED TO MAPPING AND CONNECTING AHWFB WITH THE LANDSCAPE OF PEOPLE AND ORGANIZATIONS SERVING YOUNG CHILDREN IN THE WINSTON-SALEM COMMUNITY.THE ORGANIZATION PARTNERS WITH REACH OUT AND READ, A NATIONAL NETWORK OF CLINICIANS DELIVERING VITAL INFORMATION ABOUT THE IMPORTANCE OF READING AT ROUTINE PEDIATRIC CHECKUPS. DURING WELL VISITS, OUR PEDIATRIC CLINICIANS AT DOWNTOWN HEALTH PLAZA AND WINSTON EAST EDUCATE PARENTS ABOUT THE BENEFITS OF READING ALOUD TO YOUNG CHILDREN BEGINNING AT BIRTH, SHARE ADVICE FOR ENGAGING CHILDREN IN BOOK READING, AND GIVE EACH CHILD A NEW, DEVELOPMENTALLY APPROPRIATE BOOK TO TAKE HOME WITH THEM. AHWFB IS THE FIRST HEALTH PROVIDER IN THE NATION TO PILOT THIS PROGRAM TO INFANTS 0-5 MONTH OF LIFE. |
| 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 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 - FY 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 THE 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: | DURING THE SHORT PERIOD ENDED DECEMBER 31, 2021, ATRIUM HEALTH WAKE FOREST BAPTIST PROVIDED CARE TO A TWENTY FOUR COUNTY SERVICE AREA IN NORTH CAROLINA. THE PRIMARY AND SECONDARY SERVICE AREA INCLUDE:--PRIMARY SERVICE AREA COUNTIES - FORSYTH, DAVIE, DAVIDSON, GUILFORD, STOKES, SURRY, YADKIN--SECONDARY SERVICE AREA COUNTIES - ROCKINGHAM, RANDOLPH, ROWAN, IREDELL, CATAWBA, ALEXANDER, WILKES, ALLEGHANY, ASHE, WATAUGA, CALDWELL, BURKE, GRAYSON (VA), CARROLL (VA), PATRICK (VA), HENRY (VA), AND PITTSYLVANIA (VA)PERCENT OF UNINSURED INPATIENTS 7.2%PERCENT OF INPATIENTS WHO ARE MEDICAID RECIPIENTS 18.0%THE HOSPITAL IS LOCATED IN CENTRAL FORSYTH COUNTY, WHICH MAKES UP THE SINGLE LARGEST COUNTY IN TOTAL INPATIENT DISCHARGES. ACCORDINGLY, THE HOSPITAL SERVES A WIDE SERVICE AREA; HOWEVER, IT IS RESOURCE PROHIBITIVE TO PARTICIPATE AND FUND HEALTH ASSESSMENTS IN EACH COMMUNITY/COUNTY FROM WHICH ITS PATIENT POPULATION ORIGINATES. THEREFORE, THE PRIMARY COMMUNITY BENEFIT SERVICE AREA (CBSA) IS FORSYTH COUNTY, NORTH CAROLINA.BELOW IS A DEMOGRAPHIC SNAPSHOT OF FORSYTH COUNTY BASED ON THE UNITED STATES CENSUS BUREAU'S 2018 ESTIMATED CENSUS DATA AND COUNTY HEALTH RANKINGS AND ROADMAPS 2018: POPULATION AND GEOGRAPHY--TOTAL POPULATION: 379,099--POPULATION CHANGE SINCE 2010: +8.1%--4TH LARGEST COUNTY IN NORTH CAROLINA--LAND AREA: 408.1 SQUARE MILES--POPULATION DENSITY: 859.2 PERSONS PER SQUARE MILE POPULATION BY RACE/ETHNICITY--NON-HISPANIC WHITE: 57.1%--NON-HISPANIC AFRICAN-AMERICAN: 25.7%--HISPANIC OR LATINO: 12.7%--ASIAN: 2.5%--ALL OTHER: 2.0% POPULATION BY AGE DISTRIBUTION--UNDER 5 YEARS OLD: 5.9%--UNDER 18 YEARS OLD: 22.9%--65 YEARS OLD & OVER: 16.0% POPULATION BY SEX--MALE: 47.4%--FEMALE: 52.6% POPULATION BY EDUCATIONAL ATTAINMENT (PERCENT OF PERSONS = 25 YEARS OLD WHO HAVE):--< HIGH SCHOOL DIPLOMA OR GED: 11.2%--A HIGH SCHOOL DIPLOMA OR HIGHER: 88.8%--A BACHELOR'S DEGREE OR HIGHER: 33.8%COUNTY SCHOOLS--K-12 ENROLLMENT: 55,000--GRADUATION RATE: 86.5% INCOME--MEDIAN FAMILY HOUSEHOLD (2018): $50,128--MEDIAN NON-FAMILY HOUSEHOLD (2018): $29,921--PERSONS IN POVERTY: 16.4%--UNEMPLOYMENT RATE (2018): 4.3% |
| 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 ACTIVITIES, PROGRAMS AND INITIATIVES. SOME OF THESE PROGRAMS INCLUDE: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.BE INVOLVED IS AN ONLINE RESOURCE THAT WELCOMES COMMUNITY MEMBERS TO LEARN MORE ABOUT HUNDREDS OF CLINICAL TRIALS AND STUDIES AT AHWFB FOR WHICH THEY MAY BE ELIGIBLE. 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 AT PARTICIPATING LOCAL MERCHANTS, E-NEWSLETTERS AND PRIORITY NOTIFICATION OF EVENTS AND PROGRAMS. THE CENTER FOR WORKER HEALTH PROVIDES A NEXUS FOR BASIC AND TRANSLATIONAL RESEARCH FOCUSED ON ALL ASPECTS OF THE WORK-HEALTH RELATIONSHIP. IT BRINGS TOGETHER RESEARCHERS, HEALTH CARE PROVIDERS, COMMUNITY MEMBERS AND BUSINESS LEADERS INTERESTED IN PROTECTING AND PROMOTING WORKER HEALTH AND QUALITY OF LIFE, AS WELL AS CREATING WORKPLACE SOLUTIONS THAT ARE BENEFICIAL FOR EMPLOYERS, WORKERS AND THEIR FAMILIES.THE DOWNTOWN HEALTH PLAZA (DHP) IS A FULL-SERVICE OUTPATIENT MEDICAL CLINIC SUBSIDIZED BY AHWFB THAT SERVES MANY OF FORSYTH COUNTY'S UNINSURED AND UNDERINSURED RESIDENTS IN A STATE-OF-THE-ART FACILITY WITH AN ONSITE PHARMACY. DURING SHORT TAX YEAR ENDED DECEMBER 31, 2021, THERE WERE 29,488 PATIENT VISITS AT THE DOWNTOWN HEALTH PLAZA. ITS SERVICES INCLUDE A SATELLITE SITE FOR THE WOMEN, INFANTS AND CHILDREN (WIC) NUTRITION PROGRAM.THE GOLER COMMUNITY GARDEN, A GARDEN OF FRESH VEGETABLES AND HERBS AT DOWNTOWN HEALTH PLAZA, AND FOOD PANTRIES AT DOWNTOWN HEALTH PLAZA AND BRENNER CHILDREN'S HOSPITAL PROVIDE BAGGED NUTRITIOUS FOODS FOR PATIENTS AND THEIR FAMILIES.THE DEAC CLINIC, A PROGRAM INITIATED AND DEVELOPED ENTIRELY BY WAKE FOREST SCHOOL OF MEDICINE STUDENTS, SERVES APPROXIMATELY 10 PATIENTS PER WEEK IN ITS HIGHLAND AVENUE LOCATION. THIS FREE CLINIC PROVIDES ROUTINE PRIMARY HEALTH CARE TO THE LOCAL UNDERSERVED COMMUNITY, AND SPECIALTY CARE AND TESTING WHEN NEEDED. STUDENTS FROM WAKE FOREST MEDICAL, PHYSICIAN ASSISTANT, GRADUATE AND UNDERGRADUATE PROGRAMS WORK TOGETHER UNDER THE SUPERVISION OF VOLUNTEER LICENSED PHYSICIANS, PHYSICIAN ASSISTANTS AND PHARMACY RESIDENTS. MOBILE HEALTH CLINIC, IN COLLABORATION WITH SEVERAL COMMUNITY PARTNERS, STRIVES TO HELP MEET THE MEDICAL NEEDS OF THE COMMUNITY THROUGH IMPROVED ACCESS TO CARE AND COORDINATION OF CARE FOR UNDERSERVED POPULATIONS. UNINSURED ADULTS AND CHILDREN CAN RECEIVE A WIDE RANGE OF SERVICES, INCLUDING PREVENTATIVE CARE, CARE FOR MINOR ILLNESSES, BEHAVIORAL HEALTH, AND MANAGEMENT OF CHRONIC HEALTH CONDITIONS SUCH AS HYPERTENSION, DIABETES AND ASTHMA. COVID-19 TESTING FOR UNINSURED PEOPLE WHO HAVE SYMPTOMS OF COVID-19 IS ALSO PROVIDED AT NO COST. HEALTH EDUCATION, NUTRITION COACHING, NO-COST LAB SERVICES, AND REFERRALS TO SPECIALISTS WILL BE PROVIDED, IF NEEDED.SCHOOL HEALTH ALLIANCE FOR FORSYTH COUNTY IS A PROGRAM PROVIDING MEDICAL SERVICES TO STUDENTS, REGARDLESS OF THEIR ABILITY TO PAY, TO KEEP YOUTH IN FORSYTH COUNTY HEALTHY, IN SCHOOL, AND READY TO LEARN. WITH CLINICAL LOCATIONS IN FORSYTH COUNTY SCHOOLS AND PROVIDED BY ATRIUM HEALTH WAKE FOREST BAPTIST'S MOBILE HEALTH CLINIC, SERVICES OFFERED TO STUDENTS INCLUDE COMPREHENSIVE WELL-CHILD AND ADOLESCENT EXAMS, IMMUNIZATIONS, DIAGNOSIS AND TREATMENT OF ILLNESS OR INJURY, MANAGEMENT OF CHRONIC DISEASES SUCH AS ASTHMA AND DIABETES, MENTAL HEALTH ASSESSMENT AND TREATMENT, HEALTH EDUCATION, NUTRITION EDUCATION, AND HEALTH PROMOTION/DISEASE PREVENTION PROGRAMS.THE SHARE THE HEALTH FAIR IS A FREE, ANNUAL COMMUNITY HEALTH DAY THAT OFFERS SCREENINGS, HEALTH EDUCATION AND PHYSICIAN CONSULTATIONS, AND TYPICALLY REACHES HUNDREDS OF PEOPLE. IT IS OPEN TO ADULTS REGARDLESS OF AGE, INSURANCE COVERAGE, INCOME LEVEL OR IMMIGRATION STATUS. INTERPRETERS ARE AVAILABLE FOR NON-ENGLISH SPEAKERS AND FREE CHILDCARE IS ALSO PROVIDED. THE EVENT IS HOSTED BY STUDENTS FROM WAKE FOREST SCHOOL OF MEDICINE AND SUPPORTED BY NORTHWEST AHEC. SHARE THE HEALTH FAIR WAS POSTPONED DUE TO THE COVID-19 PANDEMIC, BUT IS SET TO RESUME IN NOVEMBER 2022.STOP THE BLEED TRAINING IS A PROGRAM TO PROVIDE TRAINING TO WINSTON-SALEM/FORSYTH COUNTY SCHOOLS EDUCATORS, COACHES, AND ADMINISTRATORS. NURSING STAFF AND CERTIFIED ATHLETIC TRAINERS FROM WAKE FOREST BAPTIST DEMONSTRATED WAYS TO PROVIDE IMMEDIATE BLEEDING CONTROL TO VICTIMS OF A TRAUMATIC EVENT BEFORE PROFESSIONAL HELP ARRIVES. THE SCHOOL SYSTEM RECEIVED MORE THAN 200 BLEEDING CONTROL KITS FOR ELEMENTARY, MIDDLE AND HIGH SCHOOLS. THE KITS ARE SIMILAR TO THE TRAUMA KITS THAT WAKE FOREST BAPTIST HAS DONATED TO STATE AND LOCAL LAW ENFORCEMENT AGENCIES AND OTHER AREA SCHOOL SYSTEMS.TRANSITIONAL AND SUPPORTIVE CARE, A PROGRAM OF POPULATION HEALTH, CREATES A BRIDGE BETWEEN ACUTE CARE SERVICES AND REINTRODUCTION TO THE COMMUNITY. THE PROGRAMMING INCLUDES AMBULATORY RN CARE MANAGERS, SOCIAL WORKERS, COMMUNITY HEALTH WORKERS, PHARMACISTS, AND ED ENHANCED CARE NURSES THAT SUPPORT COMPLEX CARE PATIENTS (INCLUDING UNINSURED PATIENTS) IN OUR WAKECARE CONNECT TO ENSURE PATIENTS ARE TRANSITIONED AND CONNECTED TO A PRIMARY CARE MEDICAL HOME TO MEASURING THE IMPACT OF ED AND IP UTILIZATION REDUCTION. SUPPORT, COUNSELING AND CONTINUING CARE PROGRAMS ENABLE THE ORGANIZATION TO CARE FOR PATIENTS AND THEIR FAMILIES LONG AFTER DISCHARGE TO HELP THEM DETERMINE WHAT SERVICES ARE AVAILABLE TO THEM TO ASSIST WITH RECOVERY. VARIOUS OPTIONS ARE OFFERED THROUGH THE PROGRAM: SUPPORT GROUPS, ENHANCED CARE RESOURCE NURSES, ADVANCED PRACTICE PROVIDERS, SKILLED NURSING FACILITY PARTNERS, PALLIATIVE CARE, AND AHWFB CARE AT HOME, A JOINT PROGRAM BETWEEN AHWFB AND HUMANA THAT FOCUSES ON HELPING ADULT PATIENTS OF ALL AGES WITH COMPLEX HEALTH PROBLEMS.THE NORTH CAROLINA SERIOUS ILLNESS COALITION (NCSIC) IS A STATEWIDE PARTNERSHIP TO ENGAGE A BROAD RANGE OF STAKEHOLDERS AND THEIR PERSPECTIVES, INCLUDING PROVIDERS, CONSUMERS, POLICY ADVOCATES, INDUSTRIES, AND OTHERS, TO ACCELERATE THE SOLUTIONS NEEDED TO ACHIEVE THE DESIRED VISION FOR SERIOUS ILLNESS CARE. |
| 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 IS REPORTED AT WWW.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.THE FILING ORGANIZATION CONDUCTED THE FOLLOWING PROGRAMS CONSTITUTING COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS REPORTED ON PART I, LINE 7E:HOSPICE & PALLATIVE CARE $179,568POPULATION HEALTH PHARMACY $459,012PHYSICIANS COMMUNITY HEALTH ACCESS $343,308EMERGENCY MGMT COVID-19 COSTS ($51,347)FAMILY RESOURCE CENTER $12,098PATIENT/FAMILY CENTERED CARE $23,471RAPID RESPONSE TEAM $769,910CHAPLAINCY & CLINICAL MINISTRIES $832,930PASTORAL & EDUCATIONAL COUNSELING $302,848FAITHHEALTH NC $295,880NETWORK HOSPITAL PROGRAM SUPPORT $2,979COVID-19 MEDIA UPDATES $7,437STOP THE BLEED PROGRAM $10,636DIRECT ASSISTANCE TO INDIVIDUALS $1,031,200COMMUNITY BENEFIT OPERATIONS $6,989TOTAL COMMUNITY HEALTH IMPROVEMENT & COMMUNITY BENEFIT OPERATIONS: $4,226,919 |
| PART VI, LINE 7, REPORTS FILED WITH STATES | NC |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (13 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| HOSPICE AND PALLIATIVE CARE CENTER | ||||||||
| 101 HOSPICE LANE | WINSTONSALEM | NC | 27103 | 581343313 | 501(C)(3) | $7,500 | $0 | SUPPORTING FACILITIES & PROGRAMS FOR SERIOUSLY ILL PATIENTS |
| KALEIDEUM | ||||||||
| 400 W HANES MILL ROAD | WINSTONSALEM | NC | 27105 | 560815746 | 501(C)(3) | $200,000 | $0 | SUPPORTING CHILDREN'S MUSEUM AND SCIENCE CENTER |
| LEADERSHIP WINSTON-SALEM | ||||||||
| 624 W 6TH STREET STE 110 | WINSTONSALEM | NC | 27101 | 581574887 | 501(C)(3) | $11,000 | $0 | SUPPORTING PROGRAM TO TRAIN AND DEVELOP COMMUNITY LEADERS |
| LOVE OUT LOUD | ||||||||
| PO BOX 20912 | WINSTONSALEM | NC | 27120 | 474085418 | 501(C)(3) | $15,999 | $0 | SUPPORTING PROGRAM FOR EARLY CHILDHOOD EDUCATION AND HEALTH |
| THE MICHAEL PHELPS FOUNDATION | ||||||||
| 7 OCEAN STREET 2ND FL | SOUTH PORTLAND | ME | 04106 | 611571538 | 501(C)(3) | $7,500 | $0 | SUPPORTING PROGRAM PROMOTING HEALTHY & ACTIVE LIFESTYLES |
| PIEDMONT REGIONAL TRAUMA SYSTEMS | ||||||||
| MEDICAL CENTER BLVD | WINSTONSALEM | NC | 27157 | 562036036 | 501(C)(3) | $50,000 | $0 | SUPPORTING INTEGRATED TRAUMA SYSTEM |
| SECOND HARVEST FOOD BANK OF NORTHWEST NORTH CAROLINA INC | ||||||||
| 3655 REED STREET | WINSTONSALEM | NC | 27107 | 581457912 | 501(C)(3) | $20,000 | $0 | SUPPORTING PROGRAM TO ALLEVIATE HUNGER & ADDRESS ROOT CAUSE |
| SENIOR SERVICES INC | ||||||||
| 2895 SHOREFAIR DRIVE | WINSTONSALEM | NC | 271054237 | 561085968 | 501(C)(3) | $12,500 | $0 | SUPPORTING PROGRAM PROVIDING SERVICES TO SENIOR ADULTS |
| SOUTHERN ORTHOPAEDIC ASSOCIATION | ||||||||
| 110 WEST ROAD NO 227 | TOWSON | MD | 21204 | 630876120 | 501(C)(3) | $37,500 | $0 | SUPPORTING L. ANDREW KOMAN DISTINGUISHED SOUTHERN ORTHO AWARD |
| WAKE FOREST UNIVERSITY | ||||||||
| 1834 WAKE FOREST RD BOX 7201 | WINSTONSALEM | NC | 27109 | 560532138 | 501(C)(3) | $35,760 | $0 | SUPPORTING FACE TO FACE SPEAKER FORUM |
| WINSTON-SALEM FOUNDATION | ||||||||
| 751 W FOURTH ST STE 200 | WINSTONSALEM | NC | 27101 | 566037615 | 501(C)(3) | $83,333 | $0 | SUPPORTING THE PROJECT IMPACT FUND |
| WINSTON STARTS | ||||||||
| 500 W FIFTH STREET NO 400 | WINSTONSALEM | NC | 27101 | 821573081 | 501(C)(3) | $10,000 | $0 | SUPPORTING PROGRAM TO HELP ENTREPRENEURIAL COMMUNITY IN WINSTON-SALEM |
| YWCA OF WINSTON-SALEM AND FORSYTH COUNTY | ||||||||
| 1300 S MAIN STREET | WINSTONSALEM | NC | 27127 | 560564345 | 501(C)(3) | $30,000 | $0 | SUPPORTING GTS PROGRAM |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 13 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (7 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|
| MEDICAL SCHOLARSHIPS | 9 | $31,953 | |||
| PATIENT ASSISTANCE | 33 | $8,906 | |||
| PATIENT REHABILITATION | 365 | $1,569,893 | |||
| MEDICAL STUDENT ASSISTANCE | 19 | $41,939 | |||
| PATIENT TRANSPORTATION | 1607 | $97,647 | FMV | TRANSPORTATION FOR INDIGENT PATIENTS | |
| MEDICAL SUPPLIES | 8 | $1,215 | FMV | MEDICAL SUPPLIES FOR INDIGENT PATIENTS | |
| CAR SEATS | 20 | $3,808 | FMV | CAR SEATS FOR INDIGENT PATIENTS |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL FOLLOWS THE MEDICAL CENTER'S CORPORATE POLICY USED IN REVIEWING THE ELIGIBILITY AND SELECTION OF GRANTEES RECEIVING CERTAIN EXEMPT PURPOSE FUNDS. THE HOSPITAL MAINTAINS DOCUMENTATION OF THE ELIGIBILITY AND SELECTION CRITERIA AND RECORDS OF THE AMOUNTS DISBURSED. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JULIE A FREISCHLAG MD | ||||||||||||||
| CEO, DEAN | $1,899,767 | $0 | $1,003,777 | $0 | $471,806 | $0 | $529,516 | $0 | $26,293 | $0 | $3,931,159 | $0 | $396,368 | $0 |
| BRADLEY A CLARK | ||||||||||||||
| EVP, 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 |
| TERRY G WILLIAMS | ||||||||||||||
| EVP, CH STRAT OFF | $628,663 | $0 | $199,500 | $99,750 | $34,173 | $623,482 | $100,050 | $3,990 | $25,696 | $0 | $988,082 | $727,222 | $0 | $623,482 |
| KEVIN P HIGH MD | ||||||||||||||
| PRES, HEALTH SYSTEM | $817,598 | $0 | $438,008 | $0 | $186,786 | $0 | $242,047 | $0 | $21,923 | $0 | $1,706,362 | $0 | $143,317 | $0 |
| CATHLEEN WHEATLEY DNP | ||||||||||||||
| PRES WFBMC, SVP CH NURS OF | $0 | $619,975 | $0 | $277,500 | $0 | $178,940 | $0 | $166,516 | $0 | $9,227 | $0 | $1,252,158 | $0 | $138,000 |
| WILLIAM D SHOWALTER | ||||||||||||||
| SVP, CIO | $0 | $503,450 | $0 | $223,530 | $0 | $298,236 | $0 | $119,544 | $0 | $19,568 | $0 | $1,164,328 | $0 | $290,943 |
| J MCLAIN WALLACE JR | ||||||||||||||
| SVP, GEN COUNSEL & SEC | $0 | $560,212 | $0 | $248,580 | $0 | $145,927 | $0 | $159,474 | $0 | $16,311 | $0 | $1,130,504 | $0 | $43,371 |
| MICHAEL T WAID | ||||||||||||||
| SVP HLTH SYS OPS & INTEG | $0 | $447,959 | $0 | $209,340 | $0 | $120,467 | $0 | $122,170 | $0 | $27,919 | $0 | $927,855 | $0 | $75,105 |
| TODD BANKHEAD | ||||||||||||||
| SVP, CLIN OPS | $0 | $481,758 | $0 | $242,000 | $0 | $2,070 | $0 | $119,339 | $0 | $21,734 | $0 | $866,901 | $0 | $0 |
| KAREN H HUEY | ||||||||||||||
| VP, FACILITIES (TO 9-30-21) | $0 | $209,676 | $0 | $40,000 | $0 | $353,837 | $0 | $43,316 | $0 | $11,681 | $0 | $658,510 | $0 | $218,648 |
| ALISA STARBUCK DNP | ||||||||||||||
| PRES, BRENNER CH | $0 | $349,540 | $0 | $122,500 | $0 | $32,914 | $0 | $84,242 | $0 | $20,775 | $0 | $609,971 | $0 | $25,435 |
| LISA M MARSHALL | ||||||||||||||
| VP, CH PHIL OFF | $0 | $413,502 | $0 | $52,125 | $0 | $10,406 | $0 | $97,448 | $0 | $10,775 | $0 | $584,256 | $0 | $0 |
| CAROL GEER MD | ||||||||||||||
| PHYSICIAN, DIR RESIDENCY PGRM | $411,238 | $0 | $65,312 | $0 | $774 | $0 | $21,172 | $0 | $29,154 | $0 | $527,650 | $0 | $0 | $0 |
| JOHN D MCCONNELL MD | ||||||||||||||
| FORMER OFF (4-26-17) | $418,681 | $0 | $0 | $0 | $38,114 | $0 | $21,816 | $0 | $23,426 | $0 | $502,037 | $0 | $0 | $0 |
| STEPHAN LILLIE | ||||||||||||||
| SVP, CFO (FR 8-25-21) | $0 | $253,492 | $0 | $75,000 | $0 | $26,566 | $0 | $36,906 | $0 | $6,113 | $0 | $398,077 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | AS MOST OF THE OFFICERS AND OTHER SENIOR EXECUTIVES OF THE FILING ORGANIZATION HOLD IDENTICAL OFFICES OR POSITIONS IN RELATED ORGANIZATION WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER ("WFUBMC") [AND IN UNRELATED BUT AFFILIATED ORGANIZATION WAKE FOREST UNIVERSITY HEALTH SCIENCES ("WFUHS")], THE DETERMINATION OF THE COMPENSATION OF SUCH INDIVIDUALS IS CONDUCTED VIA THE PROCESS UTILIZED BY THE WFUBMC BOARD, AS FOLLOWS: THE WFUBMC SENIOR EXECUTIVE COMPENSATION COMMITTEE (THE "COMMITTEE"), COMPRISED OF THE MEMBERS OF THE ATRIUM HEALTH INC. DIVERSITY, INCLUSION AND COMPENSATION COMMITTEE, IS RESPONSIBLE FOR REVIEWING AND APPROVING THE COMPENSATION OF THE SENIOR EXECUTIVES OF THE FILING ORGANIZATION. THE COMMITTEE REVIEWS AND APPROVES SENIOR EXECUTIVE COMPENSATION, INCLUDING SENIOR EXECUTIVE INCENTIVE PLANS AND ANY DEVIATIONS THEREFROM. IN CARRYING OUT ITS DUTIES AND RESPONSIBILITIES, THE COMMITTEE APPROPRIATELY CONSIDERS PROPOSED COMPENSATION ARRANGEMENTS OF THE FILING ORGANIZATION'S SENIOR EXECUTIVES, APPROPRIATE DATA AS TO COMPARABILITY OF SUCH COMPENSATION ARRANGEMENTS, AND DOCUMENTS THE BASES OF THE COMMITTEE'S DETERMINATIONS IN ACCORDANCE WITH SECTION 4958 OF THE INTERNAL REVENUE CODE AND/OR THE INCOME TAX TREASURY REGULATIONS ISSUED THEREUNDER (OR SUCH SUCCESSOR PROVISIONS). THE PROCESS IS DESCRIBED FURTHER IN THE NARRATIVE EXPLANATION TO FORM 990, PART VI, SECTION B, LINE 15, FOUND IN SCHEDULE O. |
| PART I, LINES 4A-B | CERTAIN EXECUTIVES PARTICIPATED IN AND/OR RECEIVED PAYMENTS FROM SUPPLEMENTAL NON QUALIFIED RETIREMENT PLANS, OR RECEIVED SEVERANCE PAYMENTS. THE DETERMINATION OF THE AMOUNT OF THE NON QUALIFIED RETIREMENT PLANS FOLLOWED THE FILING ORGANIZATION'S COMPENSATION PROCEDURES AS OUTLINED IN PART VI, SECTION B, LINE 15 OF THE FORM 990. THE FOLLOWING CURRENT/FORMER OFFICERS & HIGHLY COMPENSATED EMPLOYEES RECEIVED SEVERANCE AND SERP PAYMENTS IN THEIR CALENDAR YEAR 2021 COMPENSATION: SEVERANCE PAYMENTS: KAREN HUEY $80,000 SERP PAYMENTS: BRADLEY A. CLARK $673,725 JULIE A. FREISCHLAG, MD $396,368 KEVIN P. HIGH, MD $161,346 KAREN H. HUEY $245,399 J. MCLAIN WALLACE, JR. $113,465 WILLIAM SHOWALTER $292,296 MICHAEL T. WAID $84,039 TERRY G. WILLIAMS $623,482 CATHLEEN WHEATLEY, DNP $138,000 ALISA STARBUCK, DNP $29,261 |
| FORM 990, PART VII, LINE 5 - COMPENSATION FROM UNRELATED ORGANIZATIONS | THE FOLLOWING CURRENT AND FORMER OFFICERS WERE COMPENSATED BY WAKE FOREST UNIVERSITY HEALTH SCIENCES FOR SERVICES PERFORMED AS AN OFFICER OF THE MEDICAL CENTER AND HOSPITAL. SEE PART VII AND SCHEDULE J, PART II FOR THEIR COMPENSATION. JULIE A. FREISCHLAG, MD JOHN D. MCCONNELL, MD KEVIN P. HIGH, MD CAROL GEER, MD THE FOLLOWING CURRENT OFFICERS WERE PARTIALLY COMPENSATED BY THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY ("CMHA", DBA ATRIUM HEALTH) FOR SERVICES PERFORMED AS AN OFFICER OF THE MEDICAL CENTER AND HOSPITAL. SEE PART VII AND SCHEDULE J, PART II FOR THEIR COMPENSATION. BRADLEY A. CLARK TERRY G. WILLIAMS |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| NORTH CAROLINA MEDICAL CARE COMMISSION | ||||||||
| A | 521309402 | NONEAVAIL | 2012-12-31 | $80,000,000 | VARIOUS CAPITAL PROJECTS | 0 | 0 | 0 |
| NORTH CAROLINA MEDICAL CARE COMMISSION | ||||||||
| B | 521309402 | 65821DMM0 | 2012-11-15 | $122,822,821 | VARIOUS CAPITAL PROJECTS | 0 | 0 | 0 |
| NORTH CAROLINA MEDICAL CARE COMMISSION | ||||||||
| C | 521309402 | 65821DWH0 | 2019-03-07 | $73,819,143 | VARIOUS CAPITAL PROJECTS | 0 | 0 | 0 |
| PUBLIC FINANCE AUTHORITY | ||||||||
| D | 273866124 | 74442PPM1 | 2020-05-14 | $230,450,000 | CURRENT REFUNDING | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | RetiredRetiredAmt | Other Spent ProceedsOtherSpentProceedsAmt |
|---|---|---|---|---|---|---|---|---|---|---|
| A | $80,000,000 | $1,000 | $79,999,000 | 2014 | 0 | 0 | Yes (1) | Yes (1) | ||
| B | $122,822,821 | $2,485 | $122,820,336 | 2013 | 0 | 0 | Yes (1) | Yes (1) | ||
| C | $73,989,751 | $630,814 | $73,358,937 | 2019 | 0 | 0 | Yes (1) | Yes (1) | ||
| D | $230,450,000 | 2020 | Yes (1) | 0 | Yes (1) | Yes (1) | $15,600,000 | $230,450,000 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| B | 0 | Yes (1) | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | Yes (1) | 0 | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
| D | 0 | Yes (1) | 0 | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
| D | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, ROW C, COLUMN E: | THE SERIES 2019 ISSUE WAS ISSUED AS ONE ISSUE FOR FEDERAL TAX PURPOSES IN THE AMOUNT OF $212,563,368. THE AMOUNT OF $73,819,143 IS THE PORTION OF THE ISSUE NORTH CAROLINA BAPTIST HOSPITAL IS RESPONSIBLE FOR. THE OTHER PORTIONS OF THE ISSUE ARE REPORTED ON SCHEDULE K OF FORM 990 FOR WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER ($92,690,857) AND WAKE FOREST UNIVERSITY HEALTH SCIENCES ($46,053,368). |
| PART I, ROW D, COLUMN F: | PURPOSE OF THE ISSUE WAS TO REFUND THE 2010 ISSUE DATED: 3/1/2020. |
| PART II, LINE 11, COLUMN D: | THE OTHER SPENT PROCEEDS ARE THE CURRENT REFUNDING PROCEEDS OF THE ISSUE. |
| PART II, LINE 3, COLUMN C: | THE TOTAL PROCEEDS EXCEED THE ISSUE PRICE BY THE INVESTMENT EARNINGS EARNED AS OF 6/30/2020. |
| PART III, COLUMN D: | ALL ISSUES REFUNDED BY THE 2020 ISSUE ARE EITHER PRIOR TO 12/31/2002 OR THROUGH A SERIES OF REFUNDINGS THAT REFUND AN ISSUE PRIOR TO 12/31/2002. ACCORDINGLY, THIS ISSUE IS EXEMPT FROM PART III REPORTING. |
| PART IV, LINE 2C, COLUMN A: | A REBATE CALCULATION WAS PERFORMED, WITH NO REBATE BEING DUE, ON 12/12/2014. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART III, LINE 4, PROGRAM SERVICE ACCOMPLISHMENTS | NORTH CAROLINA BAPTIST HOSPITAL ("NCBH"), THE FILING ORGANIZATION, IS AN INTEGRAL PART OF ATRIUM HEALTH WAKE FOREST BAPTIST ("AHWFB"), A PREEMINENT ACADEMIC HEALTH SYSTEM OF THE HIGHEST QUALITY WITH BALANCED EXCELLENCE IN PATIENT CARE, RESEARCH AND EDUCATION THAT PROMOTES BETTER HEALTH FOR ALL THROUGH COLLABORATION AND INNOVATION. THE FOLLOWING PARAGRAPHS ARE PROVIDED TO EXPLAIN THE RELATIONSHIP OF THE FILING ORGANIZATION WITH OTHER ORGANIZATIONS WHICH TOGETHER COMPRISE "ATRIUM HEALTH WAKE FOREST BAPTIST", THE NAME NOT OF ANY ONE CORPORATE ENTITY, BUT USED GENERICALLY TO DESCRIBE A LARGE GROUP OF MOSTLY 501(C)(3) ORGANIZATIONS PERFORMING VARIOUS ACADEMIC MEDICAL CENTER ACTIVITIES IN NORTHWEST NORTH CAROLINA, INCLUDING PATIENT CARE, MEDICAL RESEARCH, TECHNOLOGY TRANSFER AND MEDICAL EDUCATION. WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER ("WFUBMC") IS A NORTH CAROLINA NONPROFIT CORPORATION WHOSE THREE MEMBERS ARE WAKE FOREST UNIVERSITY, NCBH, AND ATRIUM HEALTH INC. ("AHI") (EACH OF WHICH IS A NORTH CAROLINA NONPROFIT CORPORATION EXEMPT FROM TAX UNDER IRC SECTION 501(C)(3)). PURSUANT TO AN AGREEMENT, INITIALLY ENTERED INTO ON JULY 1, 2010, AND SUBSEQUENTLY AMENDED AND RESTATED MULTIPLE TIMES INCLUDING, EFFECTIVE OCTOBER 9, 2020 AND AS AMENDED FEBRUARY 24, 2021 TO ADD AHI AS A PARTY THERETO (INITIALLY KNOWN AS THE MEDICAL CENTER INTEGRATION AGREEMENT AND NOW AS THE AMENDED AND RESTATED MEDICAL CENTER INTEGRATION AGREEMENT, OR THE "MCIA"), WFUBMC IS THE OVERALL UMBRELLA OPERATING ENTITY OF THE ATRIUM HEALTH SYSTEM'S NORTHWEST NORTH CAROLINA COMPONENT ENTITIES. NORTH CAROLINA BAPTIST HOSPITAL ("NCBH") AND WAKE FOREST UNIVERSITY HEALTH SCIENCES ("WFUHS") AND THEIR RESPECTIVE SUBSIDIARIES ARE OPERATED, PURSUANT TO DELEGATIONS IN THE MCIA, BY WFUBMC AS "ATRIUM HEALTH WAKE FOREST BAPTIST". WFUHS, IN TURN, OPERATES THE WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE. ON OCTOBER 9, 2020, THE CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY ("CMHA"), WAKE FOREST UNIVERSITY, WFUBMC, WFUHS AND THE FILING ORGANIZATION FORMED A SINGLE, INTEGRATED HEALTH CARE DELIVERY SYSTEM THROUGH A JOINT OPERATING COMPANY, ATRIUM HEALTH INC. (A NORTH CAROLINA NONPROFIT CORPORATION PREVIOUSLY ORGANIZED BY CMHA AND WFUBMC). THROUGH THIS HEALTH CARE SYSTEM INTEGRATION AND PURSUANT TO AN AGREEMENT KNOWN AS THE "ENTERPRISE AGREEMENT," ATRIUM HEALTH INC. MANAGES AND OVERSEES THE BUSINESS, FACILITIES, SERVICES, PERSONNEL AND ACTIVITIES OF CMHA AND WFUBMC (COLLECTIVELY THE "ENTERPRISE"). THE ENTERPRISE ENCOMPASSES 42 HOSPITALS AND MORE THAN 1,500 CARE LOCATIONS, AND IT SERVES MORE THAN 7 MILLION PEOPLE ACROSS NORTH CAROLINA, SOUTH CAROLINA, GEORGIA AND VIRGINIA. NOTE THAT THE FOLLOWING NARRATIVE INCLUDES IN SOME OF ITS DESCRIPTIONS THE ADDITIONAL OPERATIONS OF THE ENTERPRISE THROUGH DAVIE MEDICAL CENTER (TRADING AS ATRIUM HEALTH WAKE FOREST BAPTIST DAVIE MEDICAL CENTER), HIGH POINT REGIONAL HEALTH (TRADING AS ATRIUM HEALTH WAKE FOREST BAPTIST HIGH POINT MEDICAL CENTER), LEXINGTON MEDICAL CENTER (TRADING AS ATRIUM HEALTH WAKE FOREST BAPTIST LEXINGTON MEDICAL CENTER), WRMC HOSPITAL OPERATING CORPORATION (TRADING AS ATRIUM HEALTH WAKE FOREST BAPTIST WILKES MEDICAL CENTER) AND WAKE FOREST HEALTH NETWORK LLC, THE SOLE MEMBER OF EACH OF WHICH IS WFUBMC, AS WELL AS ORGANIZATIONS RELATED (OR UNRELATED BUT AFFILIATED) TO WFUBMC, IN ORDER TO PROVIDE A MORE COMPLETE PICTURE OF THE FILING ORGANIZATION'S ROLE IN THE INTEGRATED HEALTH SYSTEM'S COMPREHENSIVE ACTIVITIES. ATRIUM HEALTH WAKE FOREST BAPTIST IS NORTHWEST NORTH CAROLINA'S SOLE ACADEMIC MEDICAL CENTER, BRINGING TO THE REGION THE RESOURCES OF ONE OF AMERICA'S TOP HOSPITALS AND INNOVATIVE RESEARCH CENTERS AND A PREMIER MEDICAL SCHOOL. IT OPERATES THE WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE, WHICH HAS A FACULTY OF 1,406, INCLUDING PHYSICIANS AND BASIC SCIENTISTS. IN ADDITION TO THIS FACULTY, THE "WAKE FOREST HEALTH NETWORK" COMPRISED OF 407 CLINICAL HEALTHCARE PROVIDERS SERVES PATIENTS IN 108 CLINICAL LOCATIONS THROUGHOUT NORTHWEST NORTH CAROLINA. THE HEALTH SYSTEM HAS 1,551 ACUTE CARE AND REHABILITATION BEDS OPERATIVE ACROSS THE SYSTEM, WHICH ENCOMPASSES ITS MAIN WINSTON-SALEM CAMPUS (885 BEDS), ATRIUM HEALTH WAKE FOREST BAPTIST HIGH POINT MEDICAL CENTER (351 BEDS), ATRIUM HEALTH WAKE FOREST BAPTIST LEXINGTON MEDICAL CENTER (94 BEDS), ATRIUM HEALTH WAKE FOREST BAPTIST DAVIE MEDICAL CENTER (50 BEDS), ATRIUM HEALTH WAKE FOREST BAPTIST WILKES MEDICAL CENTER (130 BEDS) AND ALLEGHANY HEALTH (41 BEDS). ATRIUM HEALTH WAKE FOREST BAPTIST ALSO INCLUDES THE COMPREHENSIVE CANCER CENTER, WHICH IS DESIGNATED AS SUCH BY THE NATIONAL CANCER INSTITUTE, AND BRENNER CHILDREN'S HOSPITAL. OVERALL, ATRIUM HEALTH WAKE FOREST BAPTIST SERVES A 24-COUNTY REGION IN NORTHWESTERN NORTH CAROLINA AND SOUTHWESTERN VIRGINIA AND ALSO DRAWS PATIENTS FROM ACROSS THE NATION FOR SELECT SERVICES. ATRIUM HEALTH WAKE FOREST BAPTIST IS THE DRIVING FORCE BEHIND THE ESTABLISHMENT OF INNOVATION QUARTER, A GROWING URBAN-BASED DISTRICT FOR RESEARCH, BUSINESS AND EDUCATION IN BIOMEDICAL SCIENCE, INFORMATION TECHNOLOGY, CLINICAL SERVICES AND ADVANCED MATERIALS. LOCATED IN DOWNTOWN WINSTON-SALEM, IT IS HOME TO MORE THAN 90 COMPANIES, FIVE LEADING ACADEMIC INSTITUTIONS, 3,600 WORKERS AND 1,800 STUDENTS. THE INNOVATION QUARTER CURRENTLY COMPRISES OVER 2 MILLION SQUARE FEET OF OFFICE, LABORATORY AND EDUCATIONAL SPACE ON ITS APPROXIMATELY 200 ACRES. IN AUGUST 2021, A NEW BRAND WAS INTRODUCED IN CONNECTION WITH THE HEALTH SYSTEM INTEGRATION, WITH "ATRIUM HEALTH WAKE FOREST BAPTIST" REPLACING "WAKE FOREST BAPTIST HEALTH" IN COMMUNICATIONS. THE NEW BRAND WILL BE REFLECTED IN ADVERTISING AND MARKETING MATERIALS AND NEW SIGNAGE PUT INTO PLACE THROUGHOUT 2022 ACROSS THE ATRIUM HEALTH WAKE FOREST BAPTIST REGION. CONSTRUCTION ON A PREVIOUSLY ANNOUNCED $450 MILLION PROJECT TO BUILD A NEW CARE TOWER ON THE ATRIUM HEALTH WAKE FOREST BAPTIST MEDICAL CENTER CAMPUS BEGAN IN OCTOBER 2021 WITH WORK ON A NEW HELIPAD. THE WORK WILL INCLUDE THE CLOSING AND EVENTUAL DEMOLITION OF PARKING DECK B, WHERE THE NEW CARE TOWER IS SLATED TO BE BUILT BY 2026, BRINGING AN UPGRADED EMERGENCY DEPARTMENT, STATE-OF-THE-ART OPERATING ROOMS AND ENHANCED ADULT INTENSIVE CARE UNITS. RESEARCH AWARDS RECEIVED BY WFUHS (PRINCIPALLY AS THE WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE) FOR THE LAST SIX MONTHS OF 2021 TOTALED APPROXIMATELY $145 MILLION, INCLUDING $101.6 MILLION FROM FEDERAL SOURCES (INCLUDING THE NATIONAL INSTITUTES OF HEALTH AND THE U.S. DEPARTMENT OF DEFENSE), $29.3 MILLION FROM NONPROFIT AND STATE SOURCES, AND $14.1 MILLION FROM INDUSTRY SOURCES. NOTABLE RESEARCH GRANTS ANNOUNCED DURING THE PERIOD INCLUDED A $29.9 MILLION, SIX-AND-A-HALF-YEAR AWARD FROM THE PATIENT-CENTERED OUTCOMES RESEARCH INSTITUTE TO FUND THE FIRST STUDY OF ITS KIND TO TEST TWO INTERVENTIONS TO LOWER BLOOD PRESSURE IN THE FIRST SIX MONTHS FOLLOWING A STROKE; A $15.2 MILLION AWARD OVER FIVE YEARS FROM THE NATIONAL INSTITUTE ON AGING TO SUPPORT THE ALZHEIMER'S DISEASE RESEARCH CENTER AT WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE; A $10 MILLION GRANT FROM THE NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE TO THE FOUR CORNERS YOUTH CONSORTIUM, A GROUP OF ACADEMIC MEDICAL CENTERS, INCLUDING WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE, TO STUDY CONCUSSIONS IN SCHOOL-AGED CHILDREN; A FOUR-YEAR GRANT OF APPROXIMATELY $4 MILLION FROM THE NATIONAL INSTITUTES OF HEALTH TO SUPPORT A CLINICAL TRIAL THAT COMBINES AN ANTIDEPRESSANT DRUG APPROVED BY THE FOOD AND DRUG ADMINISTRATION WITH A WEB-BASED PAIN-MANAGEMENT PROGRAM TO DETERMINE IF PAIN RELIEF CAN BE ENHANCED TO IMPROVE CHRONIC MUSCULOSKELETAL PAIN; AND $2.8 MILLION FROM THE DUKE ENDOWMENT TO SUPPORT FIVE PROJECTS THAT WILL EXAMINE THE ROLE SOCIAL DETERMINANTS PLAY IN ACCESS TO HEALTH CARE FOR PEOPLE IN NORTH CAROLINA. |
| FORM 990, PART III, LINE 4B | 1. CLINICAL SERVICES ATRIUM HEALTH WAKE FOREST BAPTIST IS NATIONALLY RECOGNIZED FOR CLINICAL EXCELLENCE AND INTERNATIONALLY KNOWN FOR PIONEERING RESEARCH AND CLINICAL INNOVATION. IT OFFERS EXPERTISE IN MORE THAN 100 AREAS OF MEDICINE, ENCOMPASSING COMPREHENSIVE PREVENTIVE AND HIGHLY SPECIALIZED CARE FOR ALL AGES. ATRIUM HEALTH WAKE FOREST BAPTIST'S NETWORK INCLUDES THE 167-BED COMPREHENSIVE CANCER CENTER AND THE 144-BED BRENNER CHILDREN'S HOSPITAL, BOTH OF WHICH ARE ON THE ATRIUM HEALTH WAKE FOREST BAPTIST MEDICAL CENTER CAMPUS IN WINSTON-SALEM, AS WELL AS COMMUNITY HOSPITALS IN DAVIDSON, DAVIE, GUILFORD AND WILKES COUNTIES. BRENNER CHILDREN'S HOSPITAL ALSO INCLUDES THE DALE AND KAREN SISEL NEONATAL INTENSIVE CARE UNIT, WITH 51 ALL-PRIVATE ROOMS. ACROSS ITS SERVICE AREA OF NORTHWEST NORTH CAROLINA AND SOUTHWEST VIRGINIA, ATRIUM HEALTH WAKE FOREST BAPTIST HAS FIVE EMERGENCY DEPARTMENTS; NINE URGENT CARE LOCATIONS; 361 PHYSICIAN PRACTICES, INCLUDING PRIMARY CARE AND SPECIALTY CLINICS; 28 CANCER CARE LOCATIONS; AND THREE AMBULATORY SURGERY CENTERS. AS OF DECEMBER 31, 2021, ATRIUM HEALTH WAKE FOREST BAPTIST EMPLOYED 20,503 PEOPLE, INCLUDING 1,875 PHYSICIANS, 2,971 ACTIVE MEDICAL STAFF; 3,002 PROVIDERS ALIGNED THROUGH ITS ACCOUNTABLE CARE ORGANIZATION AND CLINICALLY INTEGRATED NETWORK; 1,029 ADVANCED PRACTICE PROVIDERS; AND 4,176 NURSES. FOR THE 2021 CALENDAR YEAR, THE ATRIUM HEALTH WAKE FOREST BAPTIST SYSTEM HAD 74,456 ACUTE CARE BEDDED DISCHARGES; 224,926 EMERGENCY DEPARTMENT VISITS; 2,301,640 PHYSICIAN OFFICE VISITS; 139,673 URGENT CARE VISITS; AND 152,111 VIRTUAL CARE AND EVISITS. NEW CLINICAL INITIATIVES INCLUDED THE ADDITION OF CONTRAST-ENHANCED MAMMOGRAPHY AT THE COMPREHENSIVE CANCER CENTER AT ATRIUM HEALTH WAKE FOREST BAPTIST MEDICAL CENTER, MAKING IT THE FIRST IN THE REGION TO OFFER THE IMAGING TECHNIQUE TO HELP BETTER DETECT BREAST CANCER; THE ADDITION OF A DA VINCI XI ROBOTIC SURGERY SYSTEM FOR MINIMALLY INVASIVE SURGERIES AT ATRIUM HEALTH WAKE FOREST BAPTIST LEXINGTON MEDICAL CENTER; AND A NEW GAMMA CAMERA AT ATRIUM HEALTH WAKE FOREST BAPTIST WILKES MEDICAL CENTER THAT USES SINGLE-PHOTON EMISSION COMPUTERIZED TOMOGRAPHY (SPECT) TO CAPTURE 3-D IMAGES TO HELP ANALYZE FUNCTION OF INTERNAL ORGANS. ATRIUM HEALTH WAKE FOREST BAPTIST AND ITS HEALTHTECH BUSINESS ENTERPRISE OPERATED THROUGH THE INNOVATION QUARTER, IQ HEALTHTECH LABS, ANNOUNCED THE FIRST COVID-19 VACCINE DRONE DELIVERY PROGRAM IN THE COUNTRY, EXPANDING AN EXISTING DRONE PROGRAM OPERATED WITH UNITED PARCEL SERVICE AND ITS SUBSIDIARY, UPS FLIGHT FORWARD. AMONG NOTABLE AWARDS AND ACCREDITATIONS ANNOUNCED DURING THE SIX-MONTH PERIOD, ATRIUM HEALTH WAKE FOREST BAPTIST'S INPATIENT REHABILITATION PROGRAM AT ATRIUM HEALTH WAKE FOREST BAPTIST MEDICAL CENTER WAS REACCREDITED FOR A PERIOD OF THREE YEARS FROM CARF INTERNATIONAL (PREVIOUSLY KNOWN AS THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES). THE LEAPFROG GROUP, AN INDEPENDENT, NATIONAL HEALTH CARE SAFETY AND QUALITY WATCHDOG ORGANIZATION, AWARDED ATRIUM HEALTH WAKE FOREST BAPTIST'S DAVIE, LEXINGTON AND WILKES MEDICAL CENTERS A GRADES IN ITS FALL 2021 HOSPITAL SAFETY GRADES. LEAPFROG ALSO RECOGNIZED DAVIE MEDICAL CENTER AS A TOP GENERAL HOSPITAL NATIONALLY AND WILKES MEDICAL CENTER AS A TOP RURAL HOSPITAL NATIONALLY. ATRIUM HEALTH WAKE FOREST BAPTIST DAVIE MEDICAL CENTER AGAIN WAS NAMED ONE OF AMERICA'S 100 BEST HOSPITALS FOR JOINT REPLACEMENT IN 2022 BY HEALTHGRADES, A RESOURCE THAT CONNECTS CONSUMERS, PHYSICIANS AND HEALTH SYSTEMS. DAVIE MEDICAL CENTER ALSO RECEIVED THE 2022 JOINT REPLACEMENT EXCELLENCE AWARD AND WAS A FIVE-STAR RECIPIENT IN TOTAL KNEE REPLACEMENT AND TOTAL HIP REPLACEMENT. IN OCTOBER, THE AMERICAN MEDICAL ASSOCIATION ANNOUNCED ATRIUM HEALTH AS ONE OF 44 HEALTH SYSTEMS NAMED TO THE 2021 JOY IN MEDICINE RECOGNITION PROGRAM. THIS DISTINCTION RECOGNIZES THE ATRIUM HEALTH ENTERPRISE INCLUDING THE GREATER CHARLOTTE REGION, ATRIUM HEALTH WAKE FOREST BAPTIST, ATRIUM HEALTH NAVICENT AND ATRIUM HEALTH FLOYD FOR ITS DEMONSTRATED COMMITMENT TO PRESERVING THE WELL-BEING OF HEALTH CARE TEAM MEMBERS BY ENGAGING IN PROVEN EFFORTS TO COMBAT WORK-RELATED STRESS AND BURNOUT. 2. OUTREACH ATRIUM HEALTH WAKE FOREST BAPTIST CONTINUES A BROAD-BASED EFFORT TO REACH UNDERSERVED POPULATIONS ACROSS ITS SERVICE AREA. THE MEDICAL CENTER'S ANNUAL COMMUNITY BENEFITS REPORT REFLECTS THIS COMMITMENT. FOR THE SHORT TAX YEAR THAT ENDED DECEMBER 31, 2021, ATRIUM HEALTH WAKE FOREST BAPTIST REPORTED THAT IT PROVIDED COMMUNITY BENEFITS VALUED AT $370.6 MILLION. THOSE BENEFITS SUPPORTED THESE AREAS: - CHARITY CARE - COMMUNITY HEALTH IMPROVEMENT AND OUTREACH PROGRAMS - EDUCATION AND TRAINING OF MEDICAL AND HEALTH PROFESSIONS AND CLINICAL RESEARCH - SUBSIDIZED HEALTH SERVICES AT THE DOWNTOWN HEALTH PLAZA, BETHESDA AND SOUTHSIDE HEALTH CLINICS IN WINSTON-SALEM - UNREIMBURSED COSTS OF GOVERNMENT-FUNDED PROGRAMS, PRIMARILY MEDICARE AND MEDICAID ONE ANCHOR OF OUTREACH FOR THE ATRIUM HEALTH WAKE FOREST BAPTIST MEDICAL CENTER IS ITS DOWNTOWN HEALTH PLAZA, A FULL-SERVICE, OUTPATIENT MEDICAL CLINIC THAT SERVES MANY OF FORSYTH COUNTY'S UNINSURED AND UNDERINSURED RESIDENTS WITH A STATE-OF-THE-ART MEDICAL HOME. IN ADDITION TO CLINICAL CARE, THE DOWNTOWN HEALTH PLAZA OFFERS COMMUNITY HEALTH FAIRS, DIABETES EDUCATION AND A CENTERING PREGNANCY PROGRAM THAT IS REDUCING THE INCIDENCE OF LOW BIRTH-WEIGHT BABIES. FROM JULY 1 THROUGH DECEMBER 31, 2021, 29,488 PATIENT VISITS WERE RECORDED AT THE DOWNTOWN HEALTH PLAZA, AND ANOTHER 5,938 VISITS WERE RECORDED AT WINSTON EAST PEDIATRICS, A NEARBY ATRIUM HEALTH WAKE FOREST BAPTIST CARE FACILITY SERVING THE UNINSURED AND UNDERINSURED. ATRIUM HEALTH WAKE FOREST BAPTIST'S PROGRAMS AND PARTNERSHIPS REFLECT INNOVATIVE EFFORTS, ADAPTED TO ACCOMMODATE SAFE CARE DURING THE COVID-19 PANDEMIC, TO REACH UNDERSERVED POPULATIONS. THEY INCLUDE: - REGULAR COMMUNITY-BASED HEALTH CLINICS, INCLUDING THE WEEKLY DELIVERING EQUAL ACCESS TO CARE (DEAC) CLINIC; THE MONTHLY TRIAD FREE HEALTH CLINIC AT COMMUNITY MOSQUE IN WINSTON-SALEM; AND THE ANNUAL SHARE THE HEALTH FAIR AT THE DOWNTOWN HEALTH PLAZA IN WINSTON-SALEM (TEMPORARILY SUSPENDED FOR COVID-19 PANDEMIC BUT SET TO RESUME NOVEMBER 2022). THESE CLINICS, SPONSORED BY PRIVATE ORGANIZATIONS AND CHURCHES WITH VOLUNTEER ASSISTANCE FROM ATRIUM HEALTH WAKE FOREST BAPTIST PHYSICIANS, NURSES, MEDICAL STUDENTS AND OTHERS, ATTRACT THOUSANDS OF PEOPLE TO SCREENINGS FOR ACUTE AND CHRONIC CONDITIONS. THE DEAC CLINIC, WHICH IS STUDENT-RUN AND PHYSICIAN-STAFFED, IS BASED AT THE HIGHLAND AVENUE PRIMARY CARE CLINIC IN WINSTON-SALEM. IT SERVES UNINSURED RESIDENTS OF FORSYTH, DAVIDSON, DAVIE, STOKES AND YADKIN COUNTIES FOR FREE BY APPOINTMENT ONLY EVERY MONDAY FROM 5:30 TO 9 P.M. AND OFFERS TELEHEALTH APPOINTMENTS ON A LIMITED BASIS. - 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. |
| FORM 990, PART III, LINE 4C | 3. EDUCATIONAL MISSION AND ACCOMPLISHMENTS THE CONSTITUENT ORGANIZATIONS OF ATRIUM HEALTH WAKE FOREST BAPTIST OPERATE A BROAD RANGE OF EDUCATIONAL PROGRAMS, GRADUATING SKILLED PRACTITIONERS. ATRIUM HEALTH WAKE FOREST BAPTIST AND WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE ATTRACT SOME OF THE WORLD'S MOST COMPETITIVE MEDICAL STUDENTS, RESIDENTS AND FELLOWS, AS WELL AS STUDENTS IN CLINICAL PASTORAL CARE, NURSE ANESTHESIA AND OTHER AREAS. IN JULY 2021, THE SCHOOL OF MEDICINE AND ATRIUM HEALTH ANNOUNCED THAT THEY HAD RECEIVED THE NEEDED ACCREDITATION APPROVAL FROM THE LIAISON COMMITTEE ON MEDICAL EDUCATION OF THE SOUTHERN ASSOCIATION OF COLLEGES AND SCHOOLS COMMISSION ON COLLEGES TO PROCEED WITH PHASED PLANS TO OPEN IN 2022 AN INSTRUCTIONAL SITE IN CHARLOTTE, NORTH CAROLINA, FOR YEARS THREE AND FOUR OF THE MEDICAL SCHOOL'S CURRICULUM. THE APPROVAL MARKED A MILESTONE IN THE PROCESS TOWARD THE ESTABLISHMENT OF A NEW, SECOND CAMPUS OF THE WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE IN CHARLOTTE, PLANNED FOR 2024. IN AUGUST 2021, THE SCHOOL OF MEDICINE WELCOMED 145 MD STUDENTS CHOSEN FROM AMONG 10,868 APPLICANTS FOR THE CLASS OF 2025. IN THE MOST RECENT NATIONAL RANKINGS ISSUED BY U.S. NEWS & WORLD REPORT, THE SCHOOL'S PHYSICIAN ASSISTANT PROGRAM REMAINED NO. 7 AND THE NURSE ANESTHESIA PROGRAM REMAINED NO. 10. FOR FISCAL YEAR 2021, ATRIUM HEALTH WAKE FOREST BAPTIST PROVIDED $125.3 MILLION IN EDUCATION FUNDING FOR MEDICAL STUDENTS AND OTHER HEALTH CARE PROFESSIONALS AND IN RESEARCH FUNDING NOT COVERED BY OUTSIDE SOURCES. SUCH INVESTMENTS SUPPORT THE TRAINING OF HUNDREDS OF STUDENTS. AS OF DECEMBER 31, 2021, THOSE INCLUDED 570 MD STUDENTS, 753 PHYSICIAN RESIDENTS AND FELLOWS, 422 GRADUATE STUDENTS, 174 PHYSICIAN ASSISTANT STUDENTS, 45 STUDENTS IN THE NURSE ANESTHESIA MASTER'S PROGRAM, 41 STUDENTS PURSUING THE DOCTOR OF NURSING PRACTICE DEGREE (26 IN THE ONLINE PROGRAM AND 15 PURSUING THE DUAL DNP AND NURSE ANESTHESIA DEGREE), AND 21 PASTORAL CARE CHAPLAIN RESIDENTS, FELLOWS AND INTERNS. IN ADDITION, 124 STUDENTS WERE ENROLLED IN THE VIRGINIA TECH-WAKE FOREST UNIVERSITY SCHOOL OF BIOMEDICAL ENGINEERING AND SCIENCES, WITH 67 OF THOSE ON THE WAKE FOREST CAMPUS. DURING THE FINAL SIX MONTHS OF 2021, THE NORTHWEST AREA HEALTH EDUCATION CENTER, PART OF WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE, OFFERED 1,219 CONTINUING PROFESSIONAL DEVELOPMENT ACTIVITIES FOR PRACTICING HEALTH CARE PROFESSIONALS THAT DREW 22,962 PARTICIPANTS FROM THROUGHOUT THE REGION. |
| FORM 990, PART IV, LINE 20B | THE 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: -NORTH CAROLINA BAPTIST HOSPITAL (THE FILING ORGANIZATION) AND AFFILIATES, -WAKE FOREST UNIVERSITY HEALTH SCIENCES AND AFFILIATES, -WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER 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 2 | BRADLEY CLARK AND TERRY WILLIAMS, BOTH OFFICERS OF THE FILING ORGANIZATION, HAD A BUSINESS RELATIONSHIP. |
| FORM 990, PART VI, SECTION A, LINE 3 | EFFECTIVE JULY 1, 2010, THE GOVERNING BOARDS OF THE FILING ORGANIZATION ("NCBH"), WAKE FOREST UNIVERSITY ("THE UNIVERSITY", UNRELATED TO NCBH), WAKE FOREST UNIVERSITY HEALTH SCIENCES ("WFUHS", UNRELATED TO NCBH), AND WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER ("WFUBMC") APPROVED A MEDICAL CENTER INTEGRATION AGREEMENT ("MCIA") WHEREBY AN INTEGRATED ACADEMIC MEDICAL CENTER (COLLECTIVELY, "THE MEDICAL CENTER") WAS CREATED THAT COMBINED CLINICAL CARE, MEDICAL EDUCATION AND RESEARCH ACTIVITIES CONDUCTED BY THOSE PARTIES AND THEIR RESPECTIVE SUBSIDIARY ENTITIES, UNDER THE DELEGATED OPERATIONAL MANAGEMENT AND OVERSIGHT OF WFUBMC (ITSELF A NORTH CAROLINA NONPROFIT CORPORATION WHOSE TWO EQUAL MEMBERS WERE THEN THE UNIVERSITY AND NCBH). EFFECTIVE ON OCTOBER 9, 2020 AND PURSUANT TO A HEALTH SYSTEM INTEGRATION AGREEMENT AMONG NCBH, THE UNIVERSITY, WFUHS, WFUBMC, AND THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY ("CMHA," A NORTH CAROLINA HOSPITAL AUTHORITY THAT OPERATES A MULTI-STATE INTEGRATED HEALTHCARE SYSTEM IN THE SOUTHEASTERN UNITED STATES), THE MEDICAL CENTER AND CMHA BECAME PARTICIPANTS IN A SINGLE, INTEGRATED HEALTHCARE DELIVERY AND ACADEMIC SYSTEM (THE "ENTERPRISE") MANAGED AND OVERSEEN BY ATRIUM HEALTH, INC. ("ATRIUM"), A NEW JOINT OPERATING COMPANY WITHOUT MEMBERS WHOSE 16-PERSON BOARD OF DIRECTORS (THE "ATRIUM BOARD") IS COMPRISED INITIALLY OF 13 CMHA DESIGNEES AND THREE MEDICAL CENTER DESIGNEES; THE MCIA WAS AMENDED TO INCLUDE ATRIUM AS A THIRD MEMBER OF WFUBMC AND TO RECONSTITUTE THE WFUBMC BOARD TO INCLUDE 17 VOTING DIRECTORS OF WHOM THE UNIVERSITY DESIGNATES SIX, NCBH DESIGNATES SIX, ATRIUM DESIGNATES THREE, AND THE WFUBMC BOARD ELECTS TWO; AND THE MEDICAL CENTER (INCLUDING WFUHS AND THE SCHOOL OF MEDICINE) WAS ESTABLISHED AS THE ACADEMIC CORE OF THE ENTERPRISE RESPONSIBLE FOR ITS ACADEMIC AND RESEARCH ACTIVITIES. UNDER THIS ARRANGEMENT, EACH ENTERPRISE PARTICIPANT (AND ITS AFFILIATES) MAINTAINS ITS SEPARATE LEGAL EXISTENCE AND CONTINUES TO OWN ITS ASSETS AND RETAIN ALL POWER, AUTHORITIES, RIGHTS AND REMEDIES NECESSARY OR APPROPRIATE TO ALLOW IT TO COMPLY WITH ITS PRE-EXISTING DEBT INSTRUMENTS. WFUBMC AND CMHA DELEGATED AUTHORITY TO ATRIUM TO MANAGE AND OVERSEE THEIR ACTIVITIES AND OPERATIONS, SUBJECT TO THE AUTHORITY OF THE UNIVERSITY, WFUHS, AND WFUBMC OVER ACADEMIC AND RESEARCH MATTERS, THE EXERCISE OF CERTAIN RESERVED POWERS, AND THE CARRYING OUT OF CERTAIN RESPONSIBILITIES BY THE WFUBMC BOARD AND THE CMHA BOARD OF COMMISSIONERS. THE RESERVED POWERS OF EACH ENTERPRISE PARTICIPANT INCLUDE THE POWER TO APPROVE A CHANGE IN ITS FUNDAMENTAL BUSINESS OR MISSION AND, SUBJECT TO THE ATRIUM BOARD'S APPROVAL, TO DEVELOP ITS STRATEGIC PLANS (WHICH WILL BE GENERALLY CONSISTENT WITH THOSE OF THE ENTIRE ENTERPRISE) AND ITS CAPITAL AND OPERATING BUDGETS. |
| FORM 990, PART VI, SECTION A, LINE 4 | THE 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 B, LINE 11B | THE FILING ORGANIZATION'S BOARD OF TRUSTEES RECEIVES A COPY OF THE FORM 990 WITH SUFFICIENT TIME TO PERMIT REVIEW AND COMMENT PRIOR TO ITS FILING. IF MODIFICATIONS ARE REQUIRED FOLLOWING SUCH REVIEW AND COMMENT, THE REVISED FORM 990 IS REDISTRIBUTED TO ALL BOARD TRUSTEES 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 | AS MOST OF THE OFFICERS AND OTHER SENIOR EXECUTIVES OF THE FILING ORGANIZATION HOLD IDENTICAL OFFICES OR POSITIONS IN WFUBMC (AND IN WFUHS), THE DETERMINATION OF THE COMPENSATION OF SUCH INDIVIDUALS IS CONDUCTED VIA THE PROCESS UTILIZED BY THE WFUBMC BOARD, AS FOLLOWS: THROUGH AN AMENDMENT OF THE WFUBMC BYLAWS, A SENIOR EXECUTIVE COMPENSATION COMMITTEE (THE "COMMITTEE") OF THE WFUBMC BOARD WAS CREATED; IT IS COMPRISED OF THE MEMBERS OF THE ATRIUM HEALTH INC. DIVERSITY, INCLUSION AND COMPENSATION COMMITTEE. THE COMMITTEE HAS AND EXERCISES SUCH AUTHORITY AS THE [WFUBMC] BOARD DELEGATES TO IT, INCLUDING THE REVIEW AND APPROVAL OF SENIOR EXECUTIVE COMPENSATION, INCLUDING SENIOR EXECUTIVE INCENTIVE PLANS AND ANY DEVIATIONS THEREFROM; AND THE REVIEW OF, AND ADVICE TO THE CEO REGARDING, THE RECRUITMENT OF THE FILING ORGANIZATION'S SENIOR EXECUTIVES. NO MEMBER OF THE COMMITTEE IS AN EMPLOYEE OF WFUBMC OR OF THE FILING ORGANIZATION. THE COMMITTEE RELIES UPON AN EXTERNAL, INDEPENDENT COMPENSATION CONSULTANT EXPERIENCED IN HEALTHCARE TO PROVIDE THE COMMITTEE WITH COMPENSATION COMPARABILITY DATA FOR NEW EXECUTIVE POSITION APPOINTMENTS AND FOR COMPENSATION REVIEWS FOR EXISTING EXECUTIVES. THE CONSULTANT, WHICH IS RETAINED DIRECTLY BY THE COMMITTEE, PROVIDES THIRD-PARTY INFORMATION AND EVALUATES THE COMPETITIVENESS AND REASONABLENESS OF EXECUTIVE COMPENSATION AND BENEFITS PROGRAMS IN RELATION TO MARKET PRACTICES FOR SIMILARLY-SITUATED NONPROFIT HEALTHCARE ORGANIZATIONS. THE COMMITTEE MAKES ITS DECISIONS WITH RESPECT TO EXECUTIVE COMPENSATION IN ACCORDANCE WITH WFUBMC AND FILING ORGANIZATION POLICIES, IRS REGULATIONS, AND STANDARD CORPORATE GOVERNANCE PRACTICES. SUCH POLICIES INCLUDE ADHERENCE TO: BOARD-ESTABLISHED EXECUTIVE COMPENSATION PHILOSOPHY AND REVIEW PROCESSES; PROCESSES ENSURING COMMITTEE MEMBER AND COMPENSATION CONSULTANT INDEPENDENCE; USE OF VALID MARKET COMPARISONS OF DATA FROM PEER ACADEMIC MEDICAL CENTERS OF SIMILAR ORGANIZATIONS OF SIMILAR STRUCTURE, SIZE, AND COMPLEXITY; CAREFUL DOCUMENTATION OF ALL COMPENSATION DECISIONS; AND ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS, PER IRS GUIDELINES. MINUTES OF THE DELIBERATIONS OF THE COMMITTEE ARE CONTEMPORANEOUSLY MAINTAINED AND THAT COMPARABILITY DATA IS MAINTAINED IN THE WFUBMC AND FILING ORGANIZATION'S OFFICE OF EXECUTIVE COMPENSATION SERVICES. IN THE EVENT THAT A MEMBER OF THE COMMITTEE HAS A CONFLICT OF INTEREST RELATED TO EXECUTIVE APPOINTMENT OR COMPENSATION, THAT MEMBER DOES NOT PARTICIPATE IN THE DELIBERATION OR APPROVAL OF APPOINTMENT OR COMPENSATION AND SUCH ABSTENTION IS NOTED IN THE COMMITTEE'S MEETING MINUTES. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE TO THE PUBLIC ON REQUEST AND ARE AVAILABLE ON THE WEBSITE OF THE NORTH CAROLINA SECRETARY OF STATE. THE ORGANIZATION'S BYLAWS ARE NOT PUBLISHED, BUT PROVISIONS FROM THE BYLAWS ARE INCLUDED AS NECESSARY IN THE ORGANIZATION'S POLICIES, AND ARE ATTACHED TO THE FORM 1023 FILED FOR THE ORGANIZATION WITH THE IRS, WHICH IS PUBLICLY AVAILABLE. THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC ON REQUEST. |
| PART VII, SECTION A, COLUMN B - HOURS | ARTHUR A. GIBEL FILING ORG 2.0 RELATED ORG 6.0 A. LEE HERRING FILING ORG 2.0 RELATED ORG 6.0 WILLIAM C. WARDEN, JR. FILING ORG 2.0 RELATED ORG 18.0 SHEREE B. WATSON FILING ORG 2.0 RELATED ORG 6.0 GEORGE D. RENFRO FILING ORG 2.0 RELATED ORG 6.0 STEPHEN L. ROBERTSON FILING ORG 2.0 RELATED ORG 6.0 UNRELATED ORG 2.0 JULIE A. FREISCHLAG, M.D. FILING ORG 15.7 RELATED ORG 5.1 UNRELATED ORG 19.2 J. MCLAIN WALLACE, JR. FILING ORG 12.8 RELATED ORG 8.1 UNRELATED ORG 19.1 KAREN H. HUEY FILING ORG 31.1 RELATED ORG 5.0 UNRELATED ORG 3.9 LISA M. MARSHALL FILING ORG 5.0 RELATED ORG 20.0 UNRELATED ORG 15.0 BRADLEY A. CLARK FILING ORG 2.2 RELATED ORG 4.3 UNRELATED ORG 33.5 TERRY G. WILLIAMS FILING ORG 2.5 RELATED ORG 4.2 UNRELATED ORG 33.3 KEVIN P. HIGH, M.D. FILING ORG 8.8 RELATED ORG 21.0 UNRELATED ORG 10.2 WILLIAM D. SHOWALTER FILING ORG 7.9 RELATED ORG 20.0 UNRELATED ORG 12.1 STEPHAN P. LILLIE FILING ORG 13.0 RELATED ORG 10.0 UNRELATED ORG 17.0 MICHAEL T. WAID FILING ORG 26.5 RELATED ORG 5.0 UNRELATED ORG 8.5 CATHLEEN A. WHEATLEY, DNP FILING ORG 38.4 UNRELATED ORG 1.6 ALISA L. STARBUCK, DNP FILING ORG 40.0 CAROL GEER, MD FILING ORG 40.0 TODD BANKHEAD FILING ORG 40.0 JOHN D. MCCONNELL, MD FILING ORG 0.0 RELATED ORG 40.0 A MEDICAL CENTER INTEGRATION AGREEMENT ("MCIA") WAS ORIGINALLY ENTERED INTO IN 2010 AMONG FOUR PARTIES: WAKE FOREST UNIVERSITY ("WFU"), WAKE FOREST UNIVERSITY HEALTH SCIENCES ("WFUHS"), WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER ("WFUBMC"), AND NORTH CAROLINA BAPTIST HOSPITAL ("NCBH"). PURSUANT TO THE TERMS OF THE ORIGINAL MCIA, THE OPERATION OF WFUHS AND NCBH, AND ALL OF THE RESPECTIVE SUBSIDIARIES OF EACH, IS DELEGATED TO WFUBMC. ADDITIONALLY, THE CORPORATE OFFICERS OF WFUBMC GENERALLY SERVE AS THE CORPORATE OFFICERS OF WFUHS AND NCBH. THE MCIA WAS REVISED AND RESTATED IN 2020 TO DELEGATE OVERSIGHT AND MANAGEMENT AUTHORITY OVER WFUBMC TO ATRIUM HEALTH, INC. ("AHI"). CERTAIN DIRECTORS AND/OR CORPORATE OFFICERS OF WFUHS, NCBH, & WFUBMC ALSO SERVE AS DIRECTORS OR CORPORATE OFFICERS OF AHI AND/OR OF WFU. WFUBMC IS RELATED TO THE FILING ORGANIZATION. WFU, WFUHS, AND AHI ARE UNRELATED TO THE FILING ORGANIZATION. THUS, CERTAIN DIRECTORS AND OFFICERS OF THE FILING ORGANIZATION DEVOTE HOURS TO RELATED ORGANIZATIONS (WFUBMC) AND/OR TO UNRELATED ORGANIZATIONS (WFU, WFUHS, AND AHI) AS SHOWN IN THE BREAKDOWN OF HOURS ABOVE. |
| FORM 990, PART IX, LINE 11G | OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 148,729,320. MANAGEMENT AND GENERAL EXPENSES 25,476,490. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 174,205,810. |
| FORM 990, PART XI, LINE 9: | ACTUARY GAINS /(LOSSES) 2,098,518. AFFILIATE GAINS/( LOSSES) 15,453,394. FUTURE PERIOD ADJUSTMENT -212,708. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| CLEMMONS MEDICAL PARK LLC | |||||||||
| MEDICAL CENTER BOULEVARD | WINSTON SALEM | NC | 27157 | 800870210 | REAL ESTATE HOLDING COMPANY | NC | $413,606 | $30,764,812 | NORTH CAROLINA BAPTIST HOSPITAL |
| WAKE WELLQ LLC | |||||||||
| MEDICAL CENTER BOULEVARD | WINSTON SALEM | NC | 27157 | 824319168 | HEALTHCARE | NC | $0 | $0 | CARENET INC |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION | |||||||||||
| MEDICAL CENTER BOULEVARD | WINSTON SALEM | NC | 27157 | 561685120 | SUPPORTING ORGANIZATION | NC | 501(C)(3) | LINE 12A, I | NORTH CAROLINA BAPTIST HOSPITAL | Yes (1) | |
| CARENET INC | |||||||||||
| 2000 WEST FIRST STREET SUITE 410 | WINSTON SALEM | NC | 27104 | 561977341 | HEALTHCARE | NC | 501(C)(3) | LINE 12B, II | NORTH CAROLINA BAPTIST HOSPITAL | Yes (1) | |
| WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER | |||||||||||
| MEDICAL CENTER BOULEVARD | WINSTON SALEM | NC | 27157 | 510190238 | HEALTHCARE | NC | 501(C)(3) | LINE 12A, I | 0 | N/A | |
| MEDICAL FOUNDATION OF WFUHS & NCBH | |||||||||||
| MEDICAL CENTER BOULEVARD | WINSTON SALEM | NC | 27157 | 566036688 | SUPPORTING ORGANIZATION | NC | 501(C)(3) | LINE 12A, I | 0 | N/A | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CORNERSTONE HEALTH ENABLEMENT STRATEGIC SOLUTIONS LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 165 KIMEL PARK DRIVE STE B | AddressLine1Txt |
| City | WINSTONSALEM | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27103 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 461314057 | EIN |
| Primary Activities | MGMT & TRANSFORM. SVC. - MEDICAL ORGS | PrimaryActivitiesTxt |
| Legal Domicile State | NC | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTH CAROLINA BAPTIST HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | $9,738,273 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $37,889,993 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| UBI Code V | $179,526 | UBICodeVAmt |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
| Ownership | 0.71760 | OwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| CARENET INC | ||
| Q | $166,295 | COST |
| CARENET INC | ||
| S | $239,316 | COST |
| NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION | ||
| C | $272,618 | COST |
| NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION | ||
| S | $563,918 | COST |
Comments