WRMC HOSPITAL OPERATING CORPORATION: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- WRMC HOSPITAL OPERATING CORPORATION (EIN 83-0343789)
- Tax period
- 2021-07-01 to 2021-12-31
- Filed
- 2022-11-14
- IRS object ID
- 202233189349301853
- 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 H
- Schedule I
- Schedule J
- 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 |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 830343789 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WRMC HOSPITAL OPERATING CORPORATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WRMC | BusinessNameControlTxt |
| Phone | 3367164445 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 609 | AddressLine1Txt |
| City | NORTH WILKESBORO | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28659 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BRADLEY A CLARK | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 3367164445 | PhoneNum |
| Signature | 2022-11-07 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | BRADLEY | PersonFirstNm |
| Person Last | CLARK | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | PreparerPersonGrp |
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 WILKES MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CHAD BROWN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 609 | AddressLine1Txt |
| City | NORTH WILKESBORO | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28659 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $60,798,642 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.WAKEHEALTH.EDU | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Other Organization Dsc | 1 | OtherOrganizationDsc |
| Formation | 1996 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE HEALTH, ELEVATE HOPE, AND ADVANCE HEALING FOR ALL. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 3 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 36 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $738,089 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,411,472 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $95,692,882 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $55,045,492 | CYProgramServiceRevenueAmt |
| PY Investment Income | $425,512 | PYInvestmentIncomeAmt |
| CY Investment Income | $252,096 | CYInvestmentIncomeAmt |
| PY Other Revenue | $215,941 | PYOtherRevenueAmt |
| CY Other Revenue | $89,582 | CYOtherRevenueAmt |
| PY Total Revenue | $97,072,424 | PYTotalRevenueAmt |
| CY Total Revenue | $60,798,642 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,171,353 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $583,882 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $48,551,506 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $27,119,589 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $47,592,709 | PYOtherExpensesAmt |
| CY Other Expenses | $27,654,426 | CYOtherExpensesAmt |
| PY Total Expenses | $97,315,568 | PYTotalExpensesAmt |
| CY Total Expenses | $55,357,897 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$243,144 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $5,440,745 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $129,640,990 | TotalAssetsBOYAmt |
| Total Assets EOY | $135,989,352 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $71,563,988 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $72,310,345 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $58,077,002 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $63,679,007 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $51,164,588 | ExpenseAmt |
| Grant | $583,882 | GrantAmt |
| Revenue | $55,045,492 | RevenueAmt |
| Desc | THE ORGANIZATION OPERATES A 130 ACUTE CARE BED HOSPITAL PROVIDING MEDICAL, EMERGENCY, AND OUTPATIENT CARE SERVICES TO THE RESIDENTS OF ALLEGHANY, ALEXANDER, ASHE, CALDWELL, IREDELL, SURRY, WATAUGA, AND WILKES COUNTIES. THE ORGANIZATION SERVES AS A SATELLITE PROVIDER OF ATRIUM HEALTH WAKE FOREST BAPTIST SPECIALTY SERVICES AT ITS NORTH WILKESBORO CAMPUS, INCLUDING CARDIOLOGY, IMAGING, ENT, GASTROENTEROLOGY, NEPHROLOGY, NEUROLOGY, OB/GYN, OPHTHALMOLOGY, PATHOLOGY, PEDIATRICS, ORTHOPEDICS, AND UROLOGY. THE ORGANIZATION IS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS AND HAS BEEN COMMITTED TO SERVING THE HEALTHCARE NEEDS OF WILKES COUNTY SINCE 1952.DURING SHORT YEAR 2021, THE HOSPITAL FACILITY HAD APPROXIMATELY 6,500 PATIENT DAYS, WITH 1,400 INPATIENT ADMISSIONS, AND 13,900 EMERGENCY ROOM VISITS. THE ORGANIZATION PROVIDES NUMEROUS RESOURCES, ACTIVITIES, AND PROGRAMS TO SERVE THE HEALTH NEEDS OF ITS COMMUNITY. THESE PROGRAMS INCLUDE:- BESTHEALTH - A COMMUNITY WELLNESS OUTREACH PROGRAM OF AHWFB OFFERING HEALTH SEMINARS, SCREENINGS, COOKING AND FITNESS CLASSES, ONLINE HEALTH RESOURCES AND A MEMBERSHIP PROGRAM WITH SPECIAL BENEFITS. SEMINARS LED BY EXPERTS FROM AHWFB PROVIDE THE LATEST INFORMATION ABOUT A VARIETY OF HEALTH TOPICS IN TALKS HELD AT CONVENIENT LOCATIONS THROUGHOUT THE COMMUNITY. MEMBERSHIP BENEFITS INCLUDE FREE HEALTH SCREENINGS, WELLNESS CHALLENGES, DISCOUNTS TO PARTICIPATING LOCAL MERCHANTS, E-NEWSLETTERS, AND PRIORITY NOTIFICATION OF EVENTS AND PROGRAMS.- FAITHHEALTHNC - AN INITIATIVE THAT CONNECTS THE CARING STRENGTHS OF CONGREGATIONS, THE CLINICAL EXPERTISE OF PROVIDERS, AND A NETWORK OF COMMUNITY RESOURCES TO EASE THOSE ON THE JOURNEY TO HEALTH AND HEALING, STRENGTHENING COMMUNITIES IN THE PROCESS. THERE ARE FOUR FAITHHEALTH CONNECTORS IN WILKES COUNTY THAT SERVE MARGINALIZED POPULATIONS AND GIVE VOICE TO HEALTH DISPARITIES IN THE COMMUNITIES SURROUNDING AHWFB-WMC.- ATHLETIC TRAINERS - CERTIFIED ATHLETIC TRAINERS ("ATC"), PROVIDED BY AHWFB, WORK FULL-TIME IN THE PUBLIC HIGH SCHOOLS IN WILKES COUNTY THAT HAVE ATHLETIC PROGRAMS. THE ATC'S WORK WITH STUDENT ATHLETES AND THEIR COACHES TO HELP KEEP THE ATHLETES SAFE AND HEALTHY AND TO TREAT AND HELP REHABILITATE SPORTS-RELATED INJURIES. - CARE CONNECTION PHARMACY - PROGRAM THAT PROVIDES FREE AND DISCOUNTED DRUGS TO THOSE UNABLE TO PAY FOR MEDICATIONS. IN RECENT YEARS, GRANT FUNDING RECEIVED FROM THE NC HEALTH AND WELLNESS TRUST FUND COMMISSION HAS BEEN USED TO UPGRADE THE TECHNOLOGY AND FUNDING OF THE PHARMACY. FOR EACH DOLLAR INVESTED IN THE PROGRAM, AN ESTIMATED $9 RETAIL VALUE OF PRESCRIPTION DRUGS HAVE BEEN ACQUIRED FOR QUALIFYING CITIZENS OF WILKES COUNTY. THIS PROGRAM ENABLES PATIENTS TO STAY COMPLIANT WITH THEIR MEDICAL TREATMENT PLAN AND ALSO REDUCE THE OCCURRENCE OF READMISSION. AHWFB-WMC ALSO SUPPORTS A SYRINGE EXCHANGE PROGRAM (SEP) AT THE PHARMACY. IN ADDITION TO COMMUNITY PROGRAMS, THE HOSPITAL REGULARLY REINVESTS FUNDS IN MEDICAL TECHNOLOGIES AND STATE-OF-THE ART EQUIPMENT TO BETTER MEET THE HEALTH NEEDS OF THE COMMUNITY. HOSPITAL LEADERSHIP WORKS DIRECTLY WITH THE WILKES MEDICAL CENTER FOUNDATION TO IDENTIFY AND VALIDATE GRANT PROPOSALS THAT ADDRESS ITS COMMUNITY HEALTH NEEDS ASSESSMENT. DURING THE SHORT YEAR, AHWB-WMC ADDED A NEW GAMMA CAMERA TO BETTER SERVICE THE IMAGING NEEDS OF LOCAL PATIENTS. THE NEW CAMERA UTILIZES SPECT (SINGLE-PHOTON EMISSION COMPUTERIZED TOMOGRAPHY), A TYPE OF NUCLEAR IMAGING TEST THAT USES A RADIOACTIVE SUBSTANCE AND A SPECIAL CAMERA TO CREATE 3-D PICTURES AND ALLOWS PHYSICIANS TO ANALYZE THE FUNCTION OF INTERNAL ORGANS. BENEFITS INCLUDE IMPROVED ACCURACY IN DIAGNOSING DISEASE AND/OR TREATMENT, CLEARER IMAGES, IMPROVED SPEED AND PATIENT COMFORT, OPPORTUNITY FOR DECREASED PATIENT DOSAGE (LESS RADIOACTIVITY), AND INCREASED TABLE LIMIT (UP TO 450 TO 500 POUNDS WITH LIMIT ON GIRTH). COVID-19 RESPONSE: DURING THE LATTER PORTION OF FY20 AND THROUGHOUT 2021, COVID-19 BECAME A GLOBAL PANDEMIC AND CONTINUED TO AFFECT OUR COMMUNITY. AHWFB IMPLEMENTED NUMEROUS MEASURES TO HELP MEET THE HEALTH NEEDS OF THE COMMUNITY IN RESPONSE TO THIS GLOBAL PANDEMIC. DURING THE SHORT PERIOD ENDED DECEMBER 31, 2021, AHWFB CONTINUED TO SUPPORT THE COMMUNITY IN THE FOLLOWING WAYS:- AHWFB PROFESSOR OF INFECTIOUS DISEASES PROVIDED WEEKLY UPDATES TO MEDIA OUTLETS AND TO THOSE IN OUR COMMUNITY AND BEYOND, RAPIDLY BECOMING A TRUSTED AND REASSURING VOICE FOR THE COMMUNITY.- AHWFB UPDATED VISITOR GUIDELINES AT ALL LOCATIONS TO FOR PATIENTS AND HOSPITAL EMPLOYEES IN RESPONSE TO CHANGING COVID-19 VARIANT LANDSCAPE.- AHWFB TOOK COVID-19 VACCINATION EFFORTS TO NEW HEIGHTS WITH DRONE DELIVERIES THE FIRST COVID-19 VACCINE DRONE DELIVERY PROGRAM IN THE COUNTRY. THIS NEW INITIATIVE, OPERATED BY UPS, EXPANDED THE EXISTING DRONE PROGRAM THAT WAS LAUNCHED IN JULY 2020.- AHWFB USED ITS MOBILE HEALTH CLINIC TO PROVIDE CONVENIENT COVID-19 VACCINATIONS TO OLDER ADULTS WITH BARRIERS OF ACCESS TO CARE.- AHWFB BRENNER CHILDREN'S BEGAN ADMINISTERING THE PFIZER COVID-19 VACCINE TO CHILDREN AGES 5 TO 11 IN NOVEMBER. BRENNER CHILDREN'S BEGAN HOLDING COVID-19 VACCINATION EVENTS TO CHILDREN AGES 12 TO 15 EARLIER IN THE YEAR.AHWFB-WMC RECEIVED AN 'A' IN THE FALL 2021 LEAPFROG HOSPITAL SAFETY GRADE, A NATIONAL DISTINCTION RECOGNIZING THE HOSPITAL'S ACHIEVEMENTS PROTECTING PATIENTS FROM HARM AND PROVIDING SAFER HEALTH CARE. | Desc |
| Total Program Service Expenses | $51,164,588 | 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 | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln 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 | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 31 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 3 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ERIN KOEWING | PersonNm |
| Phone | 3367164445 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | MEDICAL CENTER BOULEVARD | AddressLine1Txt |
| City | WINSTONSALEM | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27157 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| BRADLEY A CLARK | ||||||||
| BOARD MEMBER (TO 7/1/21),TREASURER | 0.50 | 39.50 | Yes (X) | Yes (X) | $973,825 | $808,843 | $104,554 | |
| MICHAEL T WAID | ||||||||
| CHAIR | 0.70 | 39.30 | Yes (X) | Yes (X) | $0 | $777,766 | $150,089 | |
| PETER M BELFORD MD | ||||||||
| BOARD MEMBER | 1.00 | 39.00 | Yes (X) | $0 | $0 | $0 | ||
| DEBORAH HARDING DNP | ||||||||
| BOARD MEMBER | 1.00 | 39.00 | Yes (X) | $0 | $407,365 | $103,290 | ||
| JENA FOLGER | ||||||||
| BOARD MEMBER | 1.00 | 39.00 | Yes (X) | $0 | $404,489 | $86,325 | ||
| CHAD BROWN | ||||||||
| BOARD MEMBER, PRESIDENT | 20.00 | 20.00 | Yes (X) | Yes (X) | $0 | $390,887 | $94,789 | |
| JAMES ATKINS MD | ||||||||
| BOARD MEMBER | 1.00 | 39.00 | Yes (X) | $0 | $0 | $0 | ||
| STEPHAN L LILLIE | ||||||||
| BOARD MEMBER (FROM 7/1/21) | 0.80 | 39.20 | Yes (X) | $0 | $355,058 | $43,019 | ||
| JON THOMPSON MD | ||||||||
| BOARD MEMBER (TO 7/1/21) | 1.00 | 39.00 | Yes (X) | $0 | $278,819 | $32,821 | ||
| HAYES CALVERT MD | ||||||||
| BOARD MEMBER | 1.00 | 39.00 | Yes (X) | $0 | $0 | $0 | ||
| J MCLAIN WALLACE JR | ||||||||
| SECRETARY | 0.80 | 39.20 | Yes (X) | $0 | $954,719 | $175,785 | ||
| BARRY WALD | ||||||||
| ASST TREASURER | 30.00 | 10.00 | Yes (X) | $0 | $215,822 | $30,437 | ||
| LORI MCNEIL | ||||||||
| ASST SECRETARY | 40.00 | 0.00 | Yes (X) | $0 | $47,969 | $25,265 | ||
| MARION REYNOLDS MD | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $0 | $352,824 | $24,041 | Yes (X) | ||
| JASON YOCKEY | ||||||||
| CHIEF CRNA | 40.00 | 0.00 | $0 | $244,314 | $44,449 | Yes (X) | ||
| JOSHUA TROYER | ||||||||
| CLINICAL INSTRUCTOR CRNA | 40.00 | 0.00 | $0 | $229,795 | $39,193 | Yes (X) | ||
| AARON ELLIOTT | ||||||||
| CLINICAL INSTRUCTOR CRNA | 40.00 | 0.00 | $0 | $228,760 | $14,923 | Yes (X) | ||
| SUSAN BACHMEIER | ||||||||
| CHIEF NURSING OFFICER | 40.00 | 0.00 | $0 | $194,502 | $21,466 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $973,825 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $5,891,932 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $990,446 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 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 | |||||
| PO BOX 123519 DEPT 3519 | DALLAS | TX | 75312 | HEALTH CARE SERVICES | $1,034,664 |
| OTIS ELEVATOR COMPANY | |||||
| PO BOX 730400 | DALLAS | TX | 75373 | MAINTENANCE SERVICES | $569,463 |
| CARL ROSE & SONS INC | |||||
| PO BOX 786 | ELKIN | NC | 28621 | CONSTRUCTION SERVICES | $532,983 |
| COMPHEALTH INC | |||||
| PO BOX 972651 | DALLAS | TX | 75397 | STAFFING SERVICES | $525,456 |
| SODEXO MAGIC LLC | |||||
| PO BOX 360170 | PITTSBURGH | PA | 15251 | FACILITIES MANAGEMENT SERVICES | $379,405 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 13 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $43,122 | RelatedOrganizationsAmt |
| Government Grants | $5,245,375 | GovernmentGrantsAmt |
| All Other Contributions | $122,975 | AllOtherContributionsAmt |
| Total Contributions | $5,411,472 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 622110 | $54,926,067 | $54,926,067 |
| DIETARY REVENUE | 722513 | $119,425 | $119,425 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $55,045,492 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $87,580 | TotalRevenueColumnAmt |
| Exclusion | $87,580 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $89,582 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $89,582 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $89,582 | TotalRevenueColumnAmt |
| Exclusion | $89,582 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $164,516 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $164,516 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $164,516 | TotalRevenueColumnAmt |
| Exclusion | $164,516 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $60,798,642 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $55,045,492 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $341,678 | 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 | $583,334 | TotalAmt |
| Program Services | $583,334 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $548 | TotalAmt |
| Program Services | $548 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $362,594 | TotalAmt |
| Program Services | $181,297 | ProgramServicesAmt |
| Management And General | $181,297 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,284,995 | TotalAmt |
| Program Services | $19,092,968 | ProgramServicesAmt |
| Management And General | $2,192,027 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,405,770 | TotalAmt |
| Program Services | $1,260,997 | ProgramServicesAmt |
| Management And General | $144,773 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,843,219 | TotalAmt |
| Program Services | $2,550,503 | ProgramServicesAmt |
| Management And General | $292,716 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,223,011 | TotalAmt |
| Program Services | $1,097,060 | ProgramServicesAmt |
| Management And General | $125,951 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,500 | TotalAmt |
| Management And General | $10,500 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,934 | TotalAmt |
| Program Services | $2,934 | ProgramServicesAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $146,866 | TotalAmt |
| Program Services | $98,638 | ProgramServicesAmt |
| Management And General | $48,228 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,973,280 | TotalAmt |
| Program Services | $5,287,851 | ProgramServicesAmt |
| Management And General | $685,429 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $369 | TotalAmt |
| Program Services | $298 | ProgramServicesAmt |
| Management And General | $71 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $168,286 | TotalAmt |
| Program Services | $141,619 | ProgramServicesAmt |
| Management And General | $26,667 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,332 | TotalAmt |
| Program Services | $50,772 | ProgramServicesAmt |
| Management And General | $9,560 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,326,701 | TotalAmt |
| Program Services | $1,116,470 | ProgramServicesAmt |
| Management And General | $210,231 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,534 | TotalAmt |
| Program Services | $18,963 | ProgramServicesAmt |
| Management And General | $3,571 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,748 | TotalAmt |
| Program Services | $10,728 | ProgramServicesAmt |
| Management And General | $2,020 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $436,017 | TotalAmt |
| Program Services | $292,837 | ProgramServicesAmt |
| Management And General | $143,180 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,641,633 | TotalAmt |
| Program Services | $1,530,554 | ProgramServicesAmt |
| Management And General | $111,079 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $164,954 | TotalAmt |
| Program Services | $164,954 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $8,540,123 | $8,540,123 | |
| BAD DEBT | $8,262,928 | $8,262,928 | |
| PROVIDER ASSESSMENT TAX | $800,800 | $800,800 | |
| OTHER SUPPLIES | $83,421 | $77,412 | $6,009 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,357,897 | TotalAmt |
| Program Services | $51,164,588 | ProgramServicesAmt |
| Management And General | $4,193,309 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,510,533 | BOYAmt |
| EOY | $10,861,257 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,025,665 | BOYAmt |
| EOY | $11,968,464 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,415,644 | BOYAmt |
| EOY | $2,600,654 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,405,213 | BOYAmt |
| EOY | $1,412,491 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $65,757,762 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $15,509,044 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,219,257 | BOYAmt |
| EOY | $50,248,718 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,682,155 | BOYAmt |
| EOY | $15,626,997 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,909,150 | BOYAmt |
| EOY | $2,838,476 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,042,575 | BOYAmt |
| EOY | $40,042,575 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $430,798 | BOYAmt |
| EOY | $389,720 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $129,640,990 | BOYAmt |
| EOY | $135,989,352 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,741,118 | BOYAmt |
| EOY | $4,609,235 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $2,592,617 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,502,343 | BOYAmt |
| EOY | $21,407,756 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,320,527 | BOYAmt |
| EOY | $43,700,737 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,563,988 | BOYAmt |
| EOY | $72,310,345 | 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 | $58,077,002 | BOYAmt |
| EOY | $63,679,007 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,077,002 | BOYAmt |
| EOY | $63,679,007 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $129,640,990 | BOYAmt |
| EOY | $135,989,352 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $5,440,745 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$352,403 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $513,663 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $2,934 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $2,934 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE NORTH CAROLINA HEALTHCARE ASSOCIATION (NCHA). A PORTION OF THE MEMBERSHIP DUES PAID ARE ALLOCATED TO LOBBYING EFFORTS BY THOSE ORGANIZATIONS ON BEHALF OF THEIR MEMBERSHIP BODIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $120,000 | OtherCostOrOtherBasisAmt |
| Book Value | $120,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,113,863 | OtherCostOrOtherBasisAmt |
| Depreciation | $361,749 | DepreciationAmt |
| Book Value | $752,114 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,004,343 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,584,865 | DepreciationAmt |
| Book Value | $1,419,478 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $50,124,726 | OtherCostOrOtherBasisAmt |
| Depreciation | $13,562,430 | DepreciationAmt |
| Book Value | $36,562,296 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,394,830 | OtherCostOrOtherBasisAmt |
| Book Value | $11,394,830 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $50,248,718 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| PENSION LIABILITIES | $713,338 |
| INTERCOMPANY PAYABLE | $41,728,874 |
| OTHER RESERVES | $868,805 |
| OPERATING LEASE PAYABLE | $389,720 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $43,700,737 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION HAS EVALUATED UNCERTAIN TAX POSITIONS FOR ITS SHORT PERIOD ENDED DECEMBER 31, 2021 AND FISCAL YEAR ENDED JUNE 30, 2021, INCLUDING A QUANTIFICATION OF TAX RISK IN AREAS SUCH AS UNRELATED BUSINESS TAXABLE INCOME AND THE TAXATION OF ITS JOINT VENTURES. THIS EVALUATION DID NOT HAVE A MATERIAL EFFECT ON THE ORGANIZATION'S FINANCIAL STATEMENTS FOR THE SHORT PERIOD ENDED DECEMBER 31, 2021 AND FISCAL YEAR ENDED JUNE 30, 2021. | ExplanationTxt |
Schedule H IRS990ScheduleH
| 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 | $589,316 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $589,316 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01250 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,405,039 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,267,867 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,516,966 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,571,193 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,511,321 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,839,060 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $589,316 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01250 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,346 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $25,346 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,346 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $25,346 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,536,667 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,839,060 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $614,662 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01300 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,606 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,606 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,606 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,606 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,876,351 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $16,289,929 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $20,172,429 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,882,500 | 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 WILKES MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1370 W D STREET | AddressLine1Txt |
| City | NORTH WILKESBORO | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28659 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.WAKEHEALTH.EDU | WebsiteAddressTxt |
| State License | H0153 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ATRIUM HEALTH WFB WILKES MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, PAGE 8 | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, PAGE 8 | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 300.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | 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 WFB WILKES MEDICAL CENTER | PART V, SECTION B, LINE 5: COMMUNITY INPUT WAS OBTAINED THROUGH THE FOLLOWING PRIMARY SOURCES: (1) A STAKEHOLDER SURVEY DEVELOPED TO SOLICIT INPUT ON CRITICAL ISSUES THAT INFLUENCE THE HEALTH OF CITIZENS AND DECISIONS TO BE MADE BY PROVIDERS AND INSTITUTIONS. THE SURVEY SOUGHT TO INCLUDE A DIVERSITY OF OPINIONS THAT WERE REPRESENTATIVE OF DECISION MAKERS, HEALTH PROVIDERS, AND SOCIAL AND EDUCATION SERVICES TO CITIZENS OF WILKES COUNTY. A TOTAL OF 56 RESPONSES WERE RECEIVED; (2) COMMUNITY HEALTH SURVEYS DISTRIBUTED ONLINE & IN PERSON AT VARIOUS COMMUNITY LOCATIONS TO RESIDENTS OF WILKES COUNTY, NC DURING 2018. SURVEYS COLLECTED INFORMATION RELATED TO DEMOGRAPHICS, PERSONAL HEALTH BEHAVIORS & CONCERNS, AS WELL AS RESIDENT'S PERCEPTIONS OF COMMUNITY HEALTH ISSUES AFFECTING QUALITY OF LIFE. A TOTAL OF 548 RESIDENTS COMPLETED THE SURVEY; (3) COMMUNITY STAKEHOLDER SURVEYS DISTRIBUTED TO VARIOUS HEALTH AND HUMAN SERVICE AGENCIES AND ORGANIZATIONS WITHIN WILKES COUNTY. THESE SURVEYS EXAMINED THE SERVICES PROVIDED BY THE FILING ORGANIZATION, THE POPULATION MOST LIKELY TO UTILIZE THE SERVICES, THE BARRIERS FACED BY RESIDENTS TO OBTAIN SUCH SERVICES, AS WELL AS ADDITIONAL UNMET COMMUNITY HEALTH SERVICE NEEDS. A TOTAL OF 34 PARTICIPANT SURVEY RESULTS WERE ANALYZED; (4) A HEALTH SUMMIT HOSTED IN OCTOBER 2018 WITH 92 STAKEHOLDERS AND COMMUNITY MEMBERS IN ATTENDANCE. PRESENTATIONS WERE MADE REGARDING THE RESULTS COLLECTED FROM SURVEYS AND SECONDARY DATA SOURCES. UPON CONCLUSION OF THE PRESENTATIONS & DISCUSSION, PARTICIPANTS VOTED ON THE HEALTH ISSUES THAT NEED TO BE ADDRESSED BY THE CHNA DURING THE NEXT THREE YEAR PERIOD. ADDITIONALLY, MORE THAN TWENTY SECONDARY DATA SOURCES WERE REVIEWED, INCLUDING: US CENSUS BUREAU, NC OFFICE OF STATE BUDGET AND MANAGEMENT, NC DEPARTMENT OF COMMERCE, NC DIVISION OF MEDICAL ASSISTANCE, NC STATE CENTER FOR HEALTH STATISTICS, NCDPH EPIDEMIOLOGY SECTION, NC DIVISION OF MENTAL HEALTH, DEVELOPMENTAL DISABILITIES AND SUBSTANCE ABUSE SERVICES, NATIONAL CENTER FOR HEALTH STATISTICS AND HEALTHY NORTH CAROLINA 2020. LOCAL HEALTH DATA SOURCES ALSO INCLUDED INFORMATION FROM THE WILKES COUNTY HEALTH DEPARTMENT AND AHWFB-WMC INTERNAL PATIENT STATISTICS. |
| ATRIUM HEALTH WFB WILKES MEDICAL CENTER | PART V, SECTION B, LINE 6B: DEVELOPMENT OF THE CHNA WAS A COLLABORATIVE EFFORT AMONG LOCAL HEALTH & HUMAN SERVICE INSTITUTIONS, INCLUDING THE FILING ORGANIZATION, THE WILKES COUNTY HEALTH DEPARTMENT (WCHD), AND THE HEALTH FOUNDATION (WILKES COUNTY'S COMMUNITY HEALTH COALITION). |
| ATRIUM HEALTH WFB WILKES MEDICAL CENTER | PART V, SECTION B, LINE 7D: N/APART V, SECTION B, LINE 7A:WWW.WAKEHEALTH.EDU/ABOUT-US/SERVING-OUR-COMMUNITIES/NEEDS-ASSESSMENTS-AND-IMPLEMENTATION-REPORTSPART V, SECTION B, LINE 10A:WWW.WAKEHEALTH.EDU/ABOUT-US/SERVING-OUR-COMMUNITIES/NEEDS-ASSESSMENTS-AND-IMPLEMENTATION-REPORTS |
| ATRIUM HEALTH WFB WILKES MEDICAL CENTER | PART V, SECTION B, LINE 11: THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") IDENTIFIED THE FOLLOWING SIGNIFICANT HEALTH NEEDS WITHIN THE COMMUNITY: (1) ACCESS TO CARE, (2) OBESITY AND CHRONIC DISEASE, (3) TOBACCO USE, AND (4) MENTAL HEALTH & SUBSTANCE DEPENDENCY. ATRIUM HEALTH WAKE FOREST BAPTIST WILKES MEDICAL CENTER ("AHWFB-WMC") PRIORITIZED THE FOLLOWING FIVE SIGNIFICANT HEALTH NEEDS BASED ON THE 2018 WILKES COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT AND ATRIUM HEALTH WAKE FOREST BAPTIST ("AHWFB") ENTERPRISE PRIORITIES, AS FOLLOWS: (1) ACCESS TO CARE, (2) OBESITY AND CHRONIC DISEASE MANAGEMENT PREVENTION, (3) TOBACCO USE PREVENTION & CESSATION, (4) MENTAL HEALTH & SUBSTANCE DEPENDENCY, (5) MATERNAL & CHILD HEALTH. AHWFB-WMC PLANS TO PROVIDE COMMUNITY BENEFIT PROGRAMS RESPONSIVE TO THOSE HEALTH NEEDS THROUGH ITS APPROVED CHNA IMPLEMENTATION STRATEGY. THE AHWFB-WMC CHNA IMPLEMENTATION STRATEGY OUTLINES THE IMPLEMENTATION OF PROGRAMS AND THE EVALUATION OF IMPACT OF THOSE PROGRAMS ON PRIORITY COMMUNITY HEALTH NEEDS IDENTIFIED FROM THE CHNA. SPECIFICALLY, THE HOSPITAL IS ADDRESSING THE SIGNIFICANT HEALTH NEEDS AS FOLLOWS:1. ACCESS TO CAREBARRIERS SUCH AS LACK OF INDIVIDUAL HEALTH INSURANCE AND HIGH COSTS DECREASE ACCESS TO QUALITY HEALTH CARE AND CAN LEAD TO UNMET HEALTH NEEDS. THE HOSPITAL'S CURRENT STRATEGIES TO ADDRESS THESE NEEDS INCLUDE THE FOLLOWING:--INCREASING ACCESS TO CANCER CARE THROUGH 1.) COLLABORATION WITH THE OFFICE FOR RURAL CANCER CARE/OFFICE OF CANCER HEALTH EQUITY TO IMPROVE OUTREACH AND REFERRAL OPPORTUNITIES, AND 2.) ALIGNMENT WITH NORTH CAROLINA BAPTIST HOSPITALS HEMATOLOGY/ONCOLOGY DEPARTMENT'S STRATEGIC PLAN TO PROVIDE HEALTH CARE SERVICES FOR CANCER PATIENTS. --INCREASING THE COMMUNITY'S ACCESS TO PRIMARY CARE PROVIDERS THROUGH 1.) EXTENDING HOURS OF OPERATION OF URGENT CARE CLINICS WITHIN WILKES COUNTY, AND 2.) PARTNERING WITH THE LOCAL BUSINESS COMMUNITY TO PROVIDE WELLNESS PROGRAMMING AND EDUCATION FOR THEIR EMPLOYEES VIA BEST HEALTH FOR BUSINESS, ATRIUM HEALTH WAKE FOREST BAPTIST'S COMPREHENSIVE DIRECT-TO-EMPLOYER HEALTH, WELLNESS AND OCCUPATIONAL MEDICINE SERVICES.--IMPROVING ACCESS TO COMMUNITY-CENTERED SOCIAL AND HEALTH EDUCATION SERVICES AND REGULAR SOURCES OF HEALTH CARE THROUGH 1.) PARTNERING WITH THE HEALTH FOUNDATION AND THE WILKES COUNTY HEALTH DEPARTMENT TO PROVIDE HEALTH EDUCATION EVENTS AND SCREENINGS AT VARIOUS LOCATIONS IN THE COUNTY, AND 2.) ADDRESSING FIREARM EDUCATION AND SAFETY PRACTICES IN CONJUNCTION WITH LOCAL HEALTH SCREENINGS AND COMMUNITY EVENTS.2. OBESITY & CHRONIC DISEASE MANAGEMENT & PREVENTIONAHWFB-WMC RECOGNIZES THE EFFECT OF CONTINUITY OF CARE WITH HEALTH CARE PROVIDERS ON PATIENT BEHAVIORS, DISEASE MANAGEMENT, AND HEALTH STATUS. THE HOSPITAL'S CURRENT STRATEGIES INCLUDE:--PROVIDING WEIGHT MANAGEMENT EDUCATION AND SUPPORT PROGRAMS THROUGH 1.) PARTNERING WITH BRENNER FIT AND THE WILKES COUNTY HEALTH DEPARTMENT TO PROVIDE NUTRITION EDUCATIONAL PROGRAMS IN LOCAL MIDDLE SCHOOLS, AND 2.) COLLABORATING WITH WILKES COUNTY'S SCHOOLS HEALTH ADVISORY COUNCIL TO PROVIDE INFORMATION RELATED TO HEALTH EDUCATION PROGRAMS.--IMPROVING THE CAPACITY OF COMMUNITY-BASED ORGANIZATIONS AND HEALTH CARE PROVIDERS TO SUPPORT EFFORTS RELATED TO CHRONIC DISEASE PREVENTION AND MANAGEMENT THROUGH 1.) ENGAGING FAITHHEALTH NC (A DIVISION OF NORTH CAROLINA BAPTIST HOSPITAL) COMMUNITY HEALTH WORKERS TO ADDRESS CHRONIC DISEASE MANAGEMENT AND COMMUNITY HEALTH PROGRAMMING, AND 2.) PROVIDING STROKE AND HEART HEALTH INFORMATION AND OUTREACH AT COMMUNITY EVENTS.3. TOBACCO USE PREVENTION & CESSATIONAHWFB-WMC IS FOCUSED ON DECREASING ADMISSIONS AND READMISSIONS RELATED TO TOBACCO USE BY ADDRESSING THE UNDERLYING CAUSE OF COPD AND PROVIDING SERVICES AND PROGRAMS TO INCREASE WELLNESS FOR COPD/PULMONARY PATIENTS. THE HOSPITAL'S CURRENT STRATEGIES INCLUDE: --IMPROVING COPD & CARDIAC CARE ACCESS VIA AHWFB-WMC'S CARDIAC/PULMONARY REHABILITATION PROGRAM--DECREASING SMOKING RATES THROUGH 1.) PARTNERING WITH LOCAL ORGANIZATIONS TO PROVIDE SMOKING CESSATION EDUCATION, INFORMATION AND REFERRALS, 2.) OFFERING 6-WEEK SMOKING CESSATION CLASSES THAT INCLUDE NICOTINE REPLACEMENT THERAPY, 3.) SPONSORSHIP OF LOCAL HEALTH FAIRS AND EVENTS TO PROVIDE EDUCATION AND RESOURCES RELATED TO SMOKING CESSATION. 4. MENTAL HEALTH & SUBSTANCE DEPENDENCYAHWFB-WMC IS COMMITTED TO PROVIDING POSITIVE OUTCOMES OF RECOVERY AND MENTAL HEALTH WELLNESS THROUGHOUT THE COMMUNITY IT SERVES. THE HOSPITAL'S CURRENT STRATEGIES INCLUDE:--INTEGRATING BEHAVIORAL HEALTH WITH MEDICAL SERVICES PROVIDED AT AHWFB-WMC THROUGH 1.) INCORPORATING ADDICTION MEDICINE INTO THE INPATIENT CARE PRACTICE AT AHWFB-WMC, AND 2.) GROWING AWARENESS OF CARENET'S (AN AFFILIATE OF AHWFB) COUNSELING AND SUPPORT SERVICES AVAILABLE AT AHWFB-WMC BY PROMOTION AMONG COMMUNITY-BASED ORGANIZATIONS AND AT COMMUNITY EVENTS. --PARTNERING WITH PROJECT LAZARUS TO DEVELOP A CERTIFIED PEER SUPPORT SPECIALIST NETWORK TO PROVIDE AID TO WILKES COUNTY RESIDENTS. PEER SUPPORT SPECIALISTS ARE PERSONS LIVING IN RECOVERY WITH MENTAL ILLNESS AND /OR SUBSTANCE USE DISORDERS WHO PROVIDE GUIDANCE AND ASSISTANCE TO PATIENTS EXPERIENCING SIMILAR MENTAL HEALTH CHALLENGES. --ENGAGING WITH THE HEALTH FOUNDATION AND THE WILKES COUNTY HEALTH DEPARTMENT TO FURTHER EFFORTS TO ADDRESS SUBSTANCE DEPENDENCY THROUGH 1.) PARTICIPATING IN COMMUNITY OPIOID PREVENTION EXCHANGE EFFORTS TO ADDRESS OPIOID ABUSE THROUGH HARM REDUCTION, STIGMA REDUCTION AND ACCESS TO SERVICES, 2.) EXPANDING THE SYRINGE EXCHANGE PROGRAM AT CARE CONNECTIONS PHARMACY, THE ONSITE PHARMACY AT AHWFB-WMC, AND 3.) PROVIDING PRESCRIPTION MEDICATION DISPOSAL BINS AT AHWFB-WMC. 5. MATERNAL & CHILD HEALTHAHWFB-WMC IS COMMITTED TO PROVIDING INNOVATIVE, FAMILY-CENTERED CARE FOR THE COMMUNITY'S CHILDREN AND WOMEN. THE HOSPITAL'S CURRENT STRATEGIES INCLUDE:--DECREASING TEEN PREGNANCY, REDUCING INFANT MORTALITY, AND INCREASING THE BREAST FEEDING RATES THROUGH 1.) PARTNERING WITH THE WILKES COUNTY HEALTH DEPARTMENT TO PROVIDE EDUCATION PROGRAMS AND INITIATIVES TO REDUCE SMOKING RATES AMONG PREGNANT WOMEN, 2.) INVESTIGATING GRANT FUNDING TO PROVIDE INFANT CAR SEATS TO FAMILIES IN NEED, 3.) INCREASING THE NUMBER OF NURSE LACTATION SPECIALISTS EMPLOYED BY AHWFB-WMC, 4.) PURSUING SPONSORSHIP OF CHILD CAR SAFETY EVENT, AND 5.) ENCOURAGING MOTHERS AND MOTHERS-TO-BE TO ATTEND AHWFB SPONSORED FREE MATERNAL AND CHILD HEALTH PROGRAMS.ALL OF THE AFOREMENTIONED EFFORTS IN COMBINATION WITH THE HOSPITAL'S VALUES OF NONDISCRIMINATION AND COMPASSIONATE CARE ARE DESIGNED TO MEET THE SIGNIFICANT HEALTH NEEDS OF THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. |
| ATRIUM HEALTH WFB WILKES MEDICAL CENTER | PART V, SECTION B, LINE 13H: THE HOSPITAL MAY USE COMMERCIALLY AVAILABLE FINANCIAL PROFILING AND CREDIT SCORING TECHNOLOGIES TO PRESUMPTIVELY SCREEN RESPONSIBLE INDIVIDUALS TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE DISCOUNTS. |
| ATRIUM HEALTH WFB WILKES MEDICAL CENTER | PART V, SECTION B, LINE 16J: WILKES MEDICAL CENTER:PART V, LINE 16A, FAP WEBSITE: WWW.WAKEHEALTH.EDU/PATIENT-AND-FAMILY-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCEWILKES MEDICAL CENTER:PART V, LINE 16B, FAP APPLICATION WEBSITE: WWW.WAKEHEALTH.EDU/PATIENT-AND-FAMILY-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCEWILKES MEDICAL CENTER:PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: WWW.WAKEHEALTH.EDU/PATIENT-AND-FAMILY-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCEWILKES MEDICAL CENTER:PART V, SECTION B, LINE 16J: IN ADDITION TO THE METHODS PREVIOUSLY DESCRIBED, THE HOSPITAL INFORMS PATIENTS ABOUT ITS FAP DURING INTAKE AND DISCHARGE BY PROVIDING A PLAIN LANGUAGE SUMMARY OF THE FAP. THE HOSPITAL ALSO PLACES A CONSPICUOUS WRITTEN NOTICE OF THE FAP ON ITS PATIENT BILLING STATEMENTS.NTS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 4 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - CARDIOLOGY - WILKES | ||||
| 1370 WEST D STREET | NORTH WILKESBORO | NC | 28659 | CARDIAC REHAB |
| 2 - HEMATOLOGY ONCOLOGY - NORTH WILKESBORO | ||||
| 1370 WEST D STREET | NORTH WILKESBORO | NC | 28659 | HEMATOLOGY & ONCOLOGY |
| 3 - SLEEP LAB - WILKES | ||||
| 1370 WEST D STREET | NORTH WILKESBORO | NC | 28659 | SLEEP MEDICINE |
| 4 - WOUND HEALING CENTER - WILKES | ||||
| 1900 WEST PARK DRIVE SUITE C | NORTH WILKESBORO | NC | 28659 | WOUND CARE |
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 ATRIUM HEALTH WAKE FOREST BAPTIST'S SERVICE AREA. -PATIENTS MUST ENROLL IN ALL OTHER PRIMARY PAYER PROGRAMS FOR WHICH THE PATIENT IS ELIGIBLE AND MUST ASSIGN BENEFITS TO ATRIUM HEALTH WAKE FOREST BAPTIST EXCEPT IN THE CASE WHERE SUCH POLICY PREMIUM FOR ENROLLMENT WOULD RESULT IN MEDICAL INDIGENCE. |
| PART I, LINE 7: | THE ORGANIZATION USED THE WORKSHEETS PROVIDED IN THE INSTRUCTIONS TO FORM 990, SCHEDULE H TO COMPUTE ITS COST-TO-CHARGE RATIO.PART I, LINE 7B MEDICAID DIRECT OFF-SETTING REVENUEIN ADDITION TO FEE FOR SERVICE REVENUE, THE HOSPITAL RECEIVES ENHANCED CLAIMS PAYMENTS FUNDED BY A PROVIDER ASSESSMENT ADMINISTERED BY THE NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES. UNDER THE PROGRAM, A TAX IS ASSESSED AGAINST TOTAL HOSPITAL EXPENSES AND THE FEDERAL GOVERNMENT MATCHES THE ASSESSMENT AT A RATE OF NEARLY 2 TO 1. THE PROCEEDS ARE THEN USED TO FUND ENHANCED FEE FOR SERVICES RATES ALONG WITH A DISPROPORTIONATE SHARE PAYMENT BACK TO HOSPITALS. |
| PART I, LN 7 COL(F): | THE ORGANIZATION'S PATIENT BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENTS WAS $8,262,928 FOR THE SHORT YEAR ENDED DECEMBER 31, 2021 THIS AMOUNT IS NOT INCLUDED IN THE CALCULATION OF CHARITY CARE FOR PART I, LINE 7. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | ATRIUM HEALTH WAKE FOREST BAPTIST ("AHWFB"), OF WHICH THE HOSPITAL IS AN INTEGRAL PART, IS COMMITTED TO COMMUNITY OUTREACH, EDUCATION, AND RESEARCH TO IMPROVE LIVES OF ALL RESIDENTS IN THE COMMUNITIES IT SERVES THROUGH A NUMBER OF PROGRAMS AND INITIATIVES, INCLUDING THE FOLLOWING:- DIVERSITY, INCLUSION AND HEALTH EQUITY - AHWFB BELIEVES THAT CREATING A DIVERSE, EQUITABLE AND CULTURALLY ATTUNED WORKPLACE IS CRUCIAL TO OUR MISSION TO IMPROVE HEALTH IN THE COMMUNITIES WE SERVE. THE OFFICE OF DIVERSITY AND INCLUSION OVERSEES OUR PRACTICES TO ENSURE DIVERSITY,INCLUSION, EQUITY AND RESPECT FOR EVERY MEMBER OF THE AHWFB COMMUNITY. AHWFB RECOGNIZES THAT DIVERSITY IS NOT LIMITED TO RACE AND ETHNICITY BUT MUST ALSO TAKE INTO ACCOUNT SOCIOECONOMIC STATUS, SEXUAL ORIENTATION, GENDER IDENTITY AND RELIGIOUS COMMITMENT. IN ORDER TO ELIMINATE THE PERVASIVE HEALTH DISPARITIES THAT EXIST IN OUR REGION AND COUNTRY, AHWFB IS DEVOTED TO RECRUITING, RETAINING AND TRAINING A DIVERSE CADRE OF PEOPLE AND ENSURING THAT EDUCATIONAL PROGRAMS ENABLE HEALTH CARE PROFESSIONALS TO PROVIDE CULTURALLY COMPETENT CARE AND ADDRESS HEALTH DISPARITIES. AHWFB'S CLINICAL FOCUS ON HEALTH EQUITY WAS RECOGNIZED BY THE U.S. HUMAN RIGHTS CAMPAIGN FOUNDATION, WHICH DESIGNATED THE MEDICAL CENTER A 2017 "LEADER IN LGBTQ HEALTHCARE EQUALITY."- DIVISION OF FAITHHEALTH - THE MISSION OF AHWFB'S DIVISION OF FAITHHEALTH IS TO BUILD, ALIGN AND ANIMATE RELIGIOUS AND COMMUNITY ASSETS TO IMPROVE ACCESS TO HEALTH CARE AND THE HEALTH OF THE COMMUNITY, BEGINNING WITH THOSE SERVED BY THE HOSPITAL. SUPPORTING PATIENTS SPIRITUALLY AND OFFERING MINISTRIES OF GROWTH, HOPE AND HEALING IS PART OF THE WORK OF THE MEDICAL CENTER, WHICH SINCE ITS EARLIEST DAYS HAS BEEN AN INNOVATOR IN FORGING HEALTH AND SPIRITUAL CONNECTIONS. ADDITIONALLY, HOSPITAL EMPLOYEES PROVIDE COMMUNITY SUPPORT BY SERVING ON LOCAL BOARDS FOR COMMUNITY BASED ORGANIZATIONS. |
| PART III, LINE 4: | BAD DEBT HAS NOT BEEN INCLUDED IN THE COMPUTATION OF COMMUNITY BENEFIT ON PART I, LINE 7. AMOUNTS USED TO COMPUTE CHARITY CARE AND BAD DEBT ON SCHEDULE H USE THE MOST CURRENT DATA AVAILABLE AT THE TIME OF FILING. THE ORGANIZATION USED WORKSHEET 2 OF THE FORM 990, SCHEDULE H INSTRUCTIONS TO COMPUTE A COST TO CHARGE RATIO USED TO CALCULATE BAD DEBT AT COST. |
| PART III, LINE 8: | THE HOSPITAL USES AN OVERALL COST TO CHARGE RATIO CALCULATION BASED ON AUDITED FINANCIAL STATEMENTS BUT REMOVES COST ASSOCIATED WITH BAD DEBT, GME, COMMUNITY HEALTH IMPROVEMENT, COMMUNITY BUILDING, AND CHARITY CARE SO AS NOT TO COUNT THOSE COSTS TWICE. |
| PART III, LINE 9B: | THE HOSPITAL MAKES A REASONABLE EFFORT TO DETERMINE AN INDIVIDUAL'S ELIGIBILITY FOR FINANCIAL ASSISTANCE BEFORE ENGAGING IN ANY COLLECTION ACTIONS.ALL COLLECTION ACTIONS WILL BE SUSPENDED IF THE INDIVIDUAL SUBMITS A COMPLETED FAP APPLICATION DURING THE APPLICATION PERIOD, OR IF THE INDIVIDUAL SUBMITS AN INCOMPLETE APPLICATION DURING THE APPLICATION PERIOD THAT IS SUBSEQUENTLY COMPLETED WITHIN A REASONABLE TIME AFTER THEHOSPITAL REQUESTS FURTHER INFORMATION. IF THE INDIVIDUAL IS DETERMINED NOT TO BE ELIGIBLE FOR A FULL DISCOUNT UNDER THE FAP, ANY COLLECTION ACTIVITIES WILL BE RESUMED AS TO THE OUTSTANDING BALANCE OWED. IF THE INDIVIDUAL IS DETERMINED TO BE ELIGIBLE FOR ASSISTANCE UNDER THE FAP,APPROPRIATE MEASURES ARE TAKEN TO REFUND ANY AMOUNTS OWED TO THE INDIVIDUAL AND REVERSE OR MODIFY COLLECTION ACTIONS CONSISTENT WITH THE NEW BALANCE OWED AFTER APPLYING THE APPLICABLE FAP DISCOUNTS. |
| PART VI, LINE 2: | THE HOSPITAL'S CURRENT NEEDS ASSESSMENT PLAN WAS BASED ON A SET OF BEST PRACTICES FOR COMMUNITY HEALTH ASSESSMENTS WITH THE PURPOSE OF IDENTIFYING REGIONAL PRIORITY AREAS TO FOCUS ON FOR FY 2020-2022. THE PROCESS WAS DESIGNED TO RELY ON EXISTING PUBLIC DATA, DIRECTLY ENGAGING COMMUNITY STAKEHOLDERS AND COLLABORATION WITH LOCAL PUBLIC HEALTH, OTHER HEALTH PROVIDERS, AS WELL AS COMMUNITY PARTNERS SUCH AS FAITH NETWORKS RELEVANT TO THE SOCIAL FACTORS UNDERLYING PATTERNS OF ACCESS. THE HOSPITAL'S ASSESSMENT WAS CONDUCTED IN FIVE PHASES: (1) A SECONDARY DATA RESEARCH PHASE, (2) A PRIMARY DATA RESEARCH PHASE, (3) A DATA SYNTHESIS AND ANALYSIS PHASE, (4) A PERIOD OF DATA REPORTING AND DISCUSSION AMONG PROJECT PARTNERS AND THE PUBLIC, AND (5) A DECISION MAKING PHASE AMONG PARTNERS TO DETERMINE COMMUNITY HEALTH PRIORITIES. THE DATA REVIEW AND PRIORITY SETTING PHASE BEGAN WITH THE COMPILATION OF EXISTING HEALTH-RELATED DATA. STAKEHOLDERS REVIEWED MULTIPLE DATA SETS INCLUDING NORTH CAROLINA INDICATORS FOR COMMUNITY HEALTH ASSESSMENT, INTERNAL DISEASE REGISTRIES, AND COUNTY HEALTH RANKINGS. AHWFB-WMC PARTNERED WITH WILKES COUNTY HEALTH DEPARTMENT, HEALTH FOUNDATION, INC., PUBLIC HEALTH CONSULTANTS AND LOCAL STAKEHOLDERS AS A HEALTH COALITION TO DETERMINE HEALTH CARE NEEDS IN THE COMMUNITY. ONCE THE COMMUNITY HEALTH NEEDS WERE IDENTIFIED, A CHNA ADVISORY TEAM ADOPTED A CONDENSED VERSION OF THE "HANLON METHOD", AS REFERENCED IN THE COMMUNITY HEALTH ASSESSMENT GUIDE BOOK, TO CREATE A PRIORITIZATION BALLOT FOR THE CHNA PRIORITIZATION MEETING. THE ADVISORY TEAM HOSTED THIS MEETING WITH 92 STAKEHOLDERS AND COMMUNITY MEMBERS PRESENT. THE PRIORITIZATION PROCESS IDENTIFIED FIVE TOP PRIORITY HEALTH CHALLENGES FOR THE COMMUNITY.FROM THE CHNA PROCESS, AND ALIGNING WITH THE ATRIUM HEALTH WAKE FOREST BAPTIST SIGNIFICANT HEALTH PRIORITIES, THE HOSPITAL PRIORITIZED FIVE SIGNIFICANT HEALTH NEEDS AND DEVELOPED AN IMPLEMENTATION STRATEGY TO IDENTIFY THE MEANS THROUGH WHICH IT PLANS TO ADDRESS THOSE NEEDS THAT ARE CONSISTENT WITH THE CHARITABLE MISSION AS PART OF ITS COMMUNITY BENEFIT PROGRAMS FOR 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: | THE HOSPITAL'S PRIMARY SERVICE AREA IS WILKES COUNTY AND ALSO INCLUDES THE SURROUNDING COUNTIES OF ALLEGHANY, ALEXANDER, ASHE, CALDWELL, IREDELL, SURRY, AND WATAUGA.WILKES COUNTY IS LOCATED ON THE EASTERN SLOPE OF THE BLUE RIDGE MOUNTAINS, A PART OF THE APPALACHIAN MOUNTAIN CHAIN IN THE PIEDMONT AND MOUNTAIN REGIONS OF NORTH CAROLINA. THE COUNTY COVERS 757 SQUARE MILES WITH A POPULATION OF APPROXIMATELY 69,000. THE NEAREST METROPOLITAN AREAS IS WINSTON-SALEM, LOCATED 40 MILES TO THE EAST. THERE ARE TWENTY ONE TOWNSHIPS IN WILKES COUNTY. REDDIES RIVER AND WILKESBORO ARE THE LARGEST TOWNSHIPS WITH 11,075 AND 10,542 RESIDENTS RESPECTIVELY. A COMPARISON OF WILKES COUNTY AND NORTH CAROLINA REVEALS MEDIAN HOUSEHOLD INCOME AND MEDIAN HOUSE VALUE ARE BELOW STATE AVERAGES. THE MEDIAN HOUSEHOLD INCOME FOR WILKES COUNTY RESIDENTS IS APPROXIMATELY $34,846, WHICH IS WELL BELOW THE STATE AVERAGE OF $48,256. THE WILKES COUNTY UNEMPLOYMENT RATE AS REPORTED IN JUNE 2017 WAS 4.3%, WHICH IS SLIGHTLY LOWER THAN THE STATE RATE OF 4.6%.THE FOLLOWING DEMOGRAPHIC FIGURES REFLECT THE POPULATION FOR WILKES COUNTY: - 51% FEMALE, 49% MALE - BELOW 20 YEARS: 23.3% - AGE 65 AND OLDER: 19.8%THE POPULATION OF WILKES COUNTY IS LESS DIVERSE THAN THE POPULATION OF NORTH CAROLINA AS A WHOLE. THE COUNTY POPULATION BREAKDOWN BY RACE BASED ON 2016 US CENSUS BUREAU ESTIMATES IS: - WHITE NON-HISPANIC (91.2%) - BLACK (4.3%) - HISPANIC (5.9%) - OTHER ASIAN (0.6%) - AMERICAN INDIAN (0.2%) - TWO OR MORE (1.5%)THE RATE OF POPULATION GROWTH IN WILKES COUNTY HAS BEEN SLOWLY INCREASING EVERY DECADE SINCE 1980, AND THIS PATTERNS IS PROJECTED TO CONTINUE THROUGH AT LEAST 2037. WILKES COUNTY RATE OF GROWTH IS LOWER THAN THE RATE FOR THE STATE AS A WHOLE. |
| PART VI, LINE 5: | ATRIUM HEALTH WAKE FOREST BAPTIST ("AHWFB"), OF WHICH THE HOSPITAL IS AN INTEGRAL PART, IS COMMITTED TO BEING RESPONSIVE TO THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES THROUGH A NUMBER OF PROGRAM ACTIVITIES AND COMMUNITY HEALTH IMPROVEMENT INITIATIVES. AHWFB ADOPTED AND MAINTAINS A FINANCIAL ASSISTANCE POLICY, PROVIDES SUBSIDIZED HEALTH SERVICES TO PATIENTS INNEED, AND ACCEPTS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL OPERATES AN EMERGENCY ROOM THAT IS OPEN 24/7. FUNDS ARE REINVESTED IN HEALTH IMPROVEMENT INITIATIVES TO BETTER SERVE COMMUNITY HEALTH NEEDS, INCLUDING IMPROVEMENT OF FACILITIES AND MEDICAL SERVICES WITH THE LATEST TECHNOLOGICAL ADVANCES, CASH AND IN-KIND DONATIONS TO LOCAL NON-PROFIT COMMUNITY ORGANIZATIONS, AND COMMUNITY BASED HEALTH IMPROVEMENT PROGRAMMING. SUCH PROGRAMMING INCLUDES BEST HEALTH COMMUNITY EDUCATION CLASSES, CHRONIC DISEASE SELF-MANAGEMENT PROGRAMS, PUBLIC SCREENINGS, CAREGIVER ACADEMY, AND OTHER HEALTH EDUCATION EVENTS HELD LOCALLY THROUGHOUT THE YEAR. AHWFB ALSO PROVIDES CERTIFIED ATHLETIC TRAINERS THAT WORK FULL-TIME IN THE WILKES COUNTY PUBLIC HIGH SCHOOLS. |
| PART VI, LINE 6: | THE FILING ORGANIZATION IS A NETWORK HOSPITAL OF ATRIUM HEALTH WAKE FOREST BAPTIST, A PREEMINENT ACADEMIC HEALTH SYSTEM OF THE HIGHEST QUALITY WITH BALANCED EXCELLENCE IN PATIENT CARE, RESEARCH, AND EDUCATION. TOGETHER WITH AN INTEGRATED GROUP OF 501(C)(3) HOSPITALS, PHYSICIAN NETWORKS, OTHER HEALTHCARE PROVIDERS, AND WAKE FOREST UNIVERSITY HEALTH SCIENCES (WHICH OPERATES WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE), THE ORGANIZATION IS COMMITTED TO PROVIDING SIGNIFICANT BENEFITS TO THE COMMUNITIES IT SERVES ACROSS NORTHWESTERN NORTH CAROLINA. EACH HOSPITAL ORGANIZATION IN THE ATRIUM HEALTH WAKE FOREST BAPTIST SYSTEM REPORTS ITS OWN COMMUNITY BENEFIT ON FORM 990 SCHEDULE H.THE CONSOLIDATED COMMUNITY BENEFIT TOTAL OF THE ACADEMIC HEALTH SYSTEM ISREPORTED ATWWW.WAKEHEALTH.EDU/ABOUT-US/SERVING-OUR-COMMUNITIES/COMMUNITY-BENEFITS.THIS CONSOLIDATED TOTAL IS CALCULATED IN ACCORDANCE WITH REPORTING GUIDELINES ISSUED BY NORTH CAROLINA HOSPITAL ASSOCIATION, WHICH DIFFER FROM FORM 990 SCHEDULE H INSTRUCTIONS. A SIGNIFICANT PORTION OF COMMUNITY BENEFIT ACTIVITIES CONDUCTED BY THE ACADEMIC HEALTH SYSTEM ARE NOT REPORTED ON FORM 990 SCHEDULE H BECAUSE MANY COMMUNITY BENEFIT ACTIVITIES ARE NOT CONDUCTED BY AN ENTITY THAT IS A 501(C)(3) HOSPITAL. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | NC |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILKES MEDICAL CENTER FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1370 WEST D STREET | AddressLine1Txt |
| City | NORTH WILKESBORO | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28659 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 822345613 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $583,334 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Purpose Of Grant | COMMUNITY SUPPORT | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL FOLLOWS THE MEDICAL CENTER'S CORPORATE POLICY USED IN REVIEWING THE ELIGIBILITY AND SELECTION OF GRANTEES RECEIVING CERTAIN EXEMPT PURPOSE FUNDS. THE HOSPITAL MAINTAINS DOCUMENTATION OF THE ELIGIBILITY AND SELECTION CRITERIA AND RECORDS OF THE AMOUNTS DISBURSED. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BRADLEY A CLARK | ||||||||||||||
| BOARD MEMBER (TO 7/1/21),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 |
| J MCLAIN WALLACE JR | ||||||||||||||
| SECRETARY | $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 | ||||||||||||||
| CHAIR | $0 | $447,959 | $0 | $209,340 | $0 | $120,467 | $0 | $122,170 | $0 | $27,919 | $0 | $927,855 | $0 | $75,105 |
| DEBORAH HARDING DNP | ||||||||||||||
| BOARD MEMBER | $0 | $353,644 | $0 | $27,297 | $0 | $26,424 | $0 | $78,962 | $0 | $24,328 | $0 | $510,655 | $0 | $0 |
| JENA FOLGER | ||||||||||||||
| BOARD MEMBER | $0 | $286,937 | $0 | $107,363 | $0 | $10,189 | $0 | $64,599 | $0 | $21,726 | $0 | $490,814 | $0 | $0 |
| CHAD BROWN | ||||||||||||||
| BOARD MEMBER, PRESIDENT | $0 | $299,309 | $0 | $40,625 | $0 | $50,953 | $0 | $67,112 | $0 | $27,677 | $0 | $485,676 | $0 | $25,498 |
| STEPHAN L LILLIE | ||||||||||||||
| BOARD MEMBER (FROM 7/1/21) | $0 | $253,492 | $0 | $75,000 | $0 | $26,566 | $0 | $36,906 | $0 | $6,113 | $0 | $398,077 | $0 | $0 |
| MARION REYNOLDS MD | ||||||||||||||
| PHYSICIAN | $0 | $352,824 | $0 | $0 | $0 | $0 | $0 | $17,056 | $0 | $6,985 | $0 | $376,865 | $0 | $0 |
| JON THOMPSON MD | ||||||||||||||
| BOARD MEMBER (TO 7/1/21) | $0 | $245,969 | $0 | $0 | $0 | $32,850 | $0 | $19,604 | $0 | $13,217 | $0 | $311,640 | $0 | $0 |
| JASON YOCKEY | ||||||||||||||
| CHIEF CRNA | $0 | $243,025 | $0 | $1,000 | $0 | $289 | $0 | $17,678 | $0 | $26,771 | $0 | $288,763 | $0 | $0 |
| JOSHUA TROYER | ||||||||||||||
| CLINICAL INSTRUCTOR CRNA | $0 | $228,620 | $0 | $1,000 | $0 | $175 | $0 | $16,614 | $0 | $22,579 | $0 | $268,988 | $0 | $0 |
| BARRY WALD | ||||||||||||||
| ASST TREASURER | $0 | $197,363 | $0 | $10,145 | $0 | $8,314 | $0 | $15,128 | $0 | $15,309 | $0 | $246,259 | $0 | $0 |
| AARON ELLIOTT | ||||||||||||||
| CLINICAL INSTRUCTOR CRNA | $0 | $201,932 | $0 | $13,000 | $0 | $13,828 | $0 | $12,195 | $0 | $2,728 | $0 | $243,683 | $0 | $0 |
| SUSAN BACHMEIER | ||||||||||||||
| CHIEF NURSING OFFICER | $0 | $181,526 | $0 | $8,957 | $0 | $4,019 | $0 | $12,937 | $0 | $8,529 | $0 | $215,968 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4B | FormAndLineReferenceDesc |
| Explanation | CERTAIN DIRECTORS AND OFFICERS OF THE FILING ORGANIZATION PARTICIPATED IN AND/OR RECEIVED PAYMENTS FROM SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLANS (SERP) OF THEIR EMPLOYER. THE DETERMINATION OF THE AMOUNT OF THE NON QUALIFIED RETIREMENT PLANS FOLLOWED THE RELATED ORGANIZATION'S COMPENSATION PROCEDURES AS OUTLINED IN PART VI, SECTION B, LINE 15 OF THEIR FORM 990. THE FOLLOWING DIRECTORS AND/OR OFFICERS RECEIVED SERP PAYMENTS IN THEIR CALENDAR YEAR 2021 COMPENSATION FROM WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER, A RELATED ORGANIZATION: SERP PAYMENTS: CHAD BROWN $29,019 BRADLEY A. CLARK $673,725 MICHAEL T. WAID $84,039 J. MCLAIN WALLACE, JR. $113,465 FORM 990, PART VII, LINE 5 - COMPENSATION FROM UNRELATED ORGANIZATION BRADLEY A. CLARK, TREASURER, WAS COMPENSATED BY CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY ("CMHA", DOING BUSINESS AS ATRIUM HEALTH), AN AFFILIATED BUT UNRELATED ORGANIZATION, FOR SERVICES RENDERED TO THE HOSPITAL. SEE PART VII AND SCHEDULE J FOR HIS COMPENSATION. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 1 | WRMC HOSPITAL OPERATING CORPORATION (DBA ATRIUM HEALTH WAKE FOREST BAPTIST WILKES MEDICAL CENTER, AT TIMES ALSO REFERRED TO AS THE "HOSPITAL OR "AHWFB-WMC OR "THE FILING ORGANIZATION") IS AN INTEGRAL PART OF ATRIUM HEALTH WAKE FOREST BAPTIST (AT TIMES ALSO REFERRED TO AS "AHWFB"), A PREEMINENT LEARNING HEALTH SYSTEM AND ACADEMIC MEDICAL CENTER OF THE HIGHEST QUALITY WITH BALANCED EXCELLENCE IN PATIENT CARE, RESEARCH AND EDUCATION THAT PROMOTES BETTER HEALTH FOR ALL THROUGH COLLABORATION, EXCELLENCE, AND INNOVATION. AHWFB'S MISSION IS TO IMPROVE HEALTH, ELEVATE HOPE, AND ADVANCE HEALING FOR ALL. AHWFB'S VISION IS TO BE THE FIRST AND BEST CHOICE FOR CARE. |
| FORM 990, PART IV, LINE 20B | THE HOSPITAL HAS ATTACHED A COPY OF ITS CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR ITS CALENDAR YEAR ENDED DECEMBER 31, 2021 TO THE FORM 990. THE CONSOLIDATED FINANCIAL STATEMENTS HAVE BEEN PREPARED ON THE ACCRUAL BASIS IN CONFORMITY WITH U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) AND INCLUDE THE ASSETS AND OPERATIONS OF ALL ATRIUM HEALTH, INC. CONTROLLED ENTITIES, AND ATRIUM HEALTH WAKE FOREST BAPTIST ENTITIES (UNDER COMMON MANAGEMENT), INCLUDING: -WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER AND AFFILIATES (INCLUDING THE FILING ORGANIZATION), -NORTH CAROLINA BAPTIST HOSPITAL AND AFFILIATES, -WAKE FOREST UNIVERSITY HEALTH SCIENCES AND AFFILIATES, -CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY (DBA ATRIUM HEALTH CHARLOTTE) AND AFFILIATES, -FLOYD HEALTHCARE MANAGEMENT, INC. (DBA ATRIUM HEALTH FLOYD) AND AFFILIATES, AND -NAVICENT HEALTH INC. (DBA ATRIUM HEALTH NAVICENT) AND AFFILIATES. ALL SIGNIFICANT INTERCOMPANY TRANSACTIONS HAVE BEEN ELIMINATED IN CONSOLIDATION. |
| FORM 990, PART VI, SECTION A, LINE 3 | THE FILING ORGANIZATION, UNDER A LONG TERM LEASE BETWEEN THE TOWN OF WILKESBORO AND WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER OF ALL ASSETS AND PROPERTY USED IN OPERATIONS, IS OPERATED AND CONTROLLED BY WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER AS AN AFFILIATE OF ATRIUM HEALTH WAKE FOREST BAPTIST. ALL MEMBERS OF KEY MANAGEMENT ARE EMPLOYEES OF WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER. |
| FORM 990, PART VI, SECTION A, LINE 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 A, LINE 6 | THE SOLE MEMBER OF THE ORGANIZATION IS WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER (WFUBMC), A NORTH CAROLINA NONPROFIT CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE SOLE MEMBER OF THE ORGANIZATION SHALL HAVE THE RIGHT AT ALL TIMES, WITH RESPECT TO THE ORGANIZATION, TO ELECT AND REMOVE THE TRUSTEES, AS PROVIDED IN THE ORGANIZATION'S BYLAWS. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE SOLE MEMBER OF THE ORGANIZATION SHALL HAVE THE RIGHT AT ALL TIMES, WITH RESPECT TO THE ORGANIZATION, TO APPROVE THE SALE, LEASE, OR TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE ORGANIZATION, TO APPROVE ANY AMENDMENTS TO THE ORGANIZATIONS ARTICLES OR BYLAWS, AND TO APPROVE THE MISSION, VISION, AND VALUE STATEMENTS OF THE ORGANIZATION. THE SOLE MEMBER MAY ACT WITHOUT A MEETING. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FILING ORGANIZATION'S BOARD OF DIRECTORS RECEIVES COPIES OF THE FORM 990 WITH SUFFICIENT TIME TO PERMIT REVIEW, COMMENT, AND QUESTIONS PRIOR TO ITS FILING. IF MODIFICATIONS ARE REQUIRED FOLLOWING SUCH REVIEW AND COMMENT, THE REVISED FORM 990 IS REDISTRIBUTED TO ALL DIRECTORS PRIOR TO ITS FILING WITH THE IRS, ALONG WITH A REPORT NOTING THE MODIFICATIONS. |
| FORM 990, PART VI, SECTION B, LINE 12C | ON AN ANNUAL BASIS (AND AS THEY ARISE), ALL TRUSTEES AND OFFICERS OF THE FILING ORGANIZATION ARE ASKED TO REVIEW THE APPLICABLE CONFLICTS OF INTEREST POLICY AND TO DESCRIBE ANY POTENTIAL CONFLICTS OF INTEREST THEY MAY HAVE. UPON COMPLETION OF THE CONFLICTS OF INTEREST SURVEY, THE LEGAL DEPARTMENT REVIEWS THE COMPLETED QUESTIONNAIRES ON BEHALF OF THE FILING ORGANIZATION. ANY CONFLICTS IDENTIFIED ARE COMMUNICATED TO THE FILING ORGANIZATION'S CHAIRMAN OF THE BOARD AND ARE PRESENTED TO THE MEDICAL CENTER GOVERNANCE AND COMPENSATION COMMITTEE. ALL CONFLICTS OF INTEREST ARE RESOLVED BY MANAGEMENT PLANS DEVELOPED BY THE MEDICAL CENTER GOVERNANCE AND COMPENSATION COMMITTEE AND THE INTERNAL AUDIT AND COMPLIANCE OFFICES. THE MEDICAL CENTER GOVERNANCE AND COMPENSATION COMMITTEE'S CHAIR PRESENTS AN ANNUAL REPORT ON CONFLICTS TO THE FULL BOARD OF THE FILING ORGANIZATION. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION PAYS NO COMPENSATION TO OFFICERS, DIRECTORS, AND KEY EMPLOYEES. ALL COMPENSATION PAID TO OFFICERS, DIRECTORS, AND KEY EMPLOYEES WAS PAID BY A RELATED ORGANIZATION, WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER ("WFUBMC"), OR UNRELATED ORGANIZATIONS WAKE FOREST UNIVERSITY HEALTH SCIENCES ("WFUHS") OR CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY ("CMHA", DBA ATRIUM HEALTH). THE SENIOR EXECUTIVE COMPENSATION COMMITTEE OF THE WFUBMC BOARD IS RESPONSIBLE FOR REVIEWING AND APPROVING CERTAIN OFFICERS' COMPENSATION. THE COMMITTEE UTILIZES INDEPENDENT COMPENSATION CONSULTANTS, SURVEYS, AND STUDIES TO DETERMINE THE APPROPRIATENESS OF EACH SUCH OFFICER'S COMPENSATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE TO THE PUBLIC ON REQUEST AND ARE AVAILABLE ON THE WEBSITE OF THE NORTH CAROLINA SECRETARY OF STATE. THE ORGANIZATION'S BYLAWS ARE NOT PUBLISHED, BUT PROVISIONS FROM THE BYLAWS ARE INCLUDED AS NECESSARY IN THE ORGANIZATION'S POLICIES, AND ARE ATTACHED TO THE FORM 1023 FILED FOR THE ORGANIZATION WITH THE IRS, WHICH IS PUBLICLY AVAILABLE. THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC ON REQUEST. |
| FORM 990, PART IX, LINE 11G | OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 5,287,851. MANAGEMENT AND GENERAL EXPENSES 685,429. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,973,280. |
| FORM 990, PART XI, LINE 9: | ACTUARIAL GAIN/LOSS - CHANGE IN PENSION LIABILITY 513,663. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|
| WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER | ||||||||||
| MEDICAL CENTER BOULEVARD | WINSTON SALEM | NC | 27157 | 510190238 | HEALTHCARE | NC | 501(C)(3) | LINE 12A, I | 0 | |
| LEXINGTON MEDICAL CENTER | ||||||||||
| 250 HOSPITAL DRIVE | LEXINGTON | NC | 27292 | 560543238 | HEALTHCARE | NC | 501(C)(3) | LINE 3 | 0 | WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER |
| LEXINGTON MEDICAL CENTER FOUNDATION | ||||||||||
| 250 HOSPITAL DRIVE | LEXINGTON | NC | 27292 | 581876553 | SUPPORTING ORGANIZATION | NC | 501(C)(3) | LINE 12A, I | 0 | LEXINGTON MEDICAL CENTER |
| NORTHWEST COMMUNITY CARE NETWORK | ||||||||||
| 2000 WEST FIRST STREET | WINSTON SALEM | NC | 27104 | 020774853 | HEALTHCARE | NC | 501(C)(3) | LINE 7 | 0 | WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER |
| FAITHHEALTH INNOVATIONS INC | ||||||||||
| MEDICAL CENTER BOULEVARD | WINSTON SALEM | NC | 27157 | 237426944 | HEALTHCARE | NC | 501(C)(3) | LINE 10 | 0 | WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER |
| DAVIE MEDICAL CENTER | ||||||||||
| 329 NC HWY 801N | BERMUDA RUN | NC | 27006 | 562276994 | HEALTHCARE | NC | 501(C)(3) | LINE 3 | 0 | WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER |
| HIGH POINT REGIONAL HEALTH | ||||||||||
| PO BOX HP-5 | HIGH POINT | NC | 27261 | 560532309 | HEALTHCARE | NC | 501(C)(3) | LINE 3 | 0 | WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER |
| HIGH POINT REGIONAL HEALTH FOUNDATION | ||||||||||
| 601 N ELM STREET | HIGH POINT | NC | 27261 | 272854711 | SUPPORTING ORGANIZATION | NC | 501(C)(3) | LINE 12A, I | 0 | HIGH POINT REGIONAL HEALTH |
| WILKES MEDICAL CENTER FOUNDATION | ||||||||||
| 1370 WEST D STREET | NORTH WILKESBORO | NC | 28659 | 822345613 | SUPPORTING ORGANIZATION | NC | 501(C)(3) | LINE 12A, I | 0 | WRMC HOSPITAL OPERATING CORPORATION |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| MS LAND HOLDING CO LLC | |||||||||
| 1901 MOONEY STREET | WINSTON SALEM | NC | 27103 | 824005370 | REAL ESTATE | NC | N/A | 0 | 0 |
| HIGH POINT SURGERY CENTER LLC | |||||||||
| 600 N LINDSAY STREET | HIGH POINT | NC | 27262 | 561867005 | HEALTHCARE | NC | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HIGH POINT HEALTH CARE VENTURES INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 NORTH ELM STREET | AddressLine1Txt |
| City | HIGH POINT | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27261 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 561497164 | EIN |
| Primary Activities | REAL ESTATE | PrimaryActivitiesTxt |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | 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 | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Comments