2021-05-14T08:34:40-05:00 2020-06-30 990 2019-07-01 560552787 NORTH CAROLINA BAPTIST HOSPITAL NORT 3367164445 MEDICAL CENTER BLVD WINSTONSALEM NC 27157 BRADLEY A CLARK EVP-CFO 3367164445 2021-05-04 2019 2022-09-23 18:48:47Z JULIE ANN FREISCHLAG MD MEDICAL CENTER BLVD WINSTONSALEM NC 27157 2033603565 0 X WWW.WAKEHEALTH.EDU X 1923 NC IMPROVING THE HEALTH OF OUR REGION, STATE AND NATION 6 6 0 1354 5931189 3570015 13028114 81210940 1892766431 1920366567 -7721542 24566655 9433076 5985496 1907506079 2032129658 1780634 4374093 0 0 712944778 738996573 0 0 0 1235291211 1287940673 1950016623 2031311339 -42510544 818319 2099795220 2292609329 944568446 1130425478 1155226774 1162183851 X SEE SCHEDULE O FOR CONTINUATIONNORTH CAROLINA BAPTIST HOSPITAL (AT TIMES ALSO REFERRED TO AS THE "HOSPITAL OR "NCBH OR "THE FILING ORGANIZATION") IS PART OF WAKE FOREST BAPTIST HEALTH (AT TIMES ALSO REFERRED TO AS "WFBH"), 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. WFBH'S MISSION IS TO IMPROVE THE HEALTH OF OUR REGION, STATE AND NATION BY: GENERATING AND TRANSLATING KNOWLEDGE TO PREVENT, DIAGNOSE AND TREAT DISEASE; TRAINING LEADERS IN HEALTH CARE AND BIOMEDICAL SCIENCE; AND SERVING AS THE PREMIER HEALTH SYSTEM IN OUR REGION, WITH SPECIFIC CENTERS OF EXCELLENCE RECOGNIZED AS NATIONAL AND INTERNATIONAL CARE DESTINATIONS. 0 0 1858811753 4374093 1916189425 SEE SCHEDULE O FOR COMPLETE DESCRIPTION 1858811753 1 1 0 1 0 0 0 0 0 1 1 0 1 0 1 1 0 1 0 0 1 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 1 574 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 X 6 6 1 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X ERIN KOEWING 3367164445 MEDICAL CENTER BLVD WINSTON SALEM NC 27157 X JULIE A FREISCHLAG MD CEO, DEAN 15.60 24.40 X 2060166 0 450111 KEVIN P HIGH MD PRES, HEALTH SYSTEM 28.50 11.50 X 1070557 0 258296 BRADLEY A CLARK EVP, CFO, TREASURER 13.00 27.00 X 0 947093 237452 TERRY G WILLIAMS EVP, CH STRATEGY OFFICER 20.80 19.20 X 0 888524 179836 J MCLAIN WALLACE JR SVP, GEN COUNSEL & SEC 12.80 27.20 X 0 787541 162746 CATHLEEN WHEATLEY DNP PRES WFBMC, SVP CH NURSE EXEC, 38.40 1.60 X 0 761846 167063 ROBERT J GFELLER JR FORMER OFFICER (12-31-18) 0.00 0.00 X 0 903026 1845 LILICIA P BAILEY SVP, CHIEF PEOPLE OFFICER 34.60 5.40 X 0 651264 136122 VIJAYA GANDLA MD PHYSICIAN 0.00 40.00 X 0 726320 47041 MICHAEL T WAID SVP HLTH SYS OPS & INTEG 35.50 4.50 X 0 626394 141844 JOHN D MCCONNELL MD FORMER OFFICER (4-26-17) 0.00 40.00 X 720128 0 43339 WILLIAM D SHOWALTER SVP, CIO 23.00 17.00 X 0 615134 135862 TODD BANKHEAD SVP, CLINICAL OPERATIONS 39.50 0.50 X 0 566612 120858 CONRAD EMMERICH SVP, CLINICAL & SUPPORT SERVICES 31.80 8.20 X 0 551087 118383 LISA M MARSHALL VP, CH PHIL OFF 5.00 35.00 X 377566 0 105179 ERIC TOMLINSON DSC PHD FORMER OFFICER (3-2-18) 0.00 0.00 X 439108 0 2522 KAREN H HUEY VP FACILITIES 30.90 9.10 X 0 355168 84653 A LEE HERRING CHAIRMAN 2.00 6.00 X X 0 0 0 ARTHUR A GIBEL VICE CHAIR 2.00 6.00 X X 0 0 0 EDWIN L WELCH JR TRUSTEE 2.00 7.00 X 0 0 0 GEORGE D RENFRO TRUSTEE 2.00 4.00 X 0 0 0 SHEREE B WATSON TRUSTEE 2.00 6.00 X 0 0 0 WILLIAM C WARDEN JR TRUSTEE 2.00 15.00 X 0 0 0 4667525 8380009 2393152 0 1 1 1 METRO AVIATION INC 1214 HAWN AVENUE SHREVEPORT LA 71107 AVIATION SERVICES 7615786 ARAMARK HEALTHCARE TECHNOLOGIES LLC 1822 COUNTRY CLUB DRIVE CHERRY HILL NJ 08003 FACILITY SERVICES 6036382 EPIC SYSTEMS CORPORATION 1979 MILKY WAY VERONA WI 53593 IT CONSULTING 5656844 TRIMEDX INC 5451 LAKEVIEW PKWY SOUTH DRIVE INDIANAPOLIS IN 46268 CLINICAL ENGINEERING SERVICES 5292332 9W HALO OPCO LP DBA ANGELICA 4 ANSON STREET DURHAM NC 27703 LINEN SERVICES 4882651 124 723544 77919589 2567807 10466 81210940 PATIENT SERVICE REVENUE 621990 1900158507 1900158507 MEDICAL/LAB SERVICE 621500 12498061 8441237 4056824 DIETARY 722210 5872730 5752412 120318 TUITION 611600 1837269 1837269 1920366567 14668162 1754047 12914115 4236020 1473907 2762113 2762113 2762113 9860946 37547 0 0 9860946 37547 9898493 9898493 PARKING FEES 900099 3183890 3183890 GIFT SHOP REVENUE 453220 39493 39493 3223383 2032129658 1916189425 5931189 28798104 X 1085063 1085063 3289030 3289030 21101628 8862684 12238944 570694274 470247477 100446797 29870725 26286238 3584487 74086034 61046295 13039739 43243912 35632635 7611277 4128658 4128658 545862 545862 709537 709537 2734393 2734393 307011595 296307405 10704190 6186206 4825240 1360966 6853380 6000330 853050 74801069 61336876 13464193 56359749 53541762 2817987 938601 652590 286011 1020305 641107 379198 15249328 12980655 2268673 94235272 94235272 7885686 7806829 78857 MEDICAL SUPPLIES 500967550 500967550 BAD DEBT 152835960 152835960 INCOME TAXES 792162 0 792162 PROVIDER ASSESSMENT 43423174 43423174 11262186 9234993 2027193 2031311339 1858811753 172499586 0 49661835 246988965 1662805 2238095 349080967 280189403 40937146 46484825 42929788 40910171 1873197291 1223464107 699061307 649733184 653015369 692134119 75472872 76048822 183403228 214544902 4569903 43336843 2099795220 2292609329 257953612 377629509 520523877 503681187 33749528 52189427 132341429 196925355 944568446 1130425478 X 1135864091 1153485891 19362683 8697960 1155226774 1162183851 2099795220 2292609329 X 818319 6997542 -858784 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 443964 0 1 265573 709537 0 PART II-B, LINE 1: 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 GOVERNMENT RELATIONS OFFICE WAS ACTIVELY INVOLVED WITH SEVERAL FEDERAL AND STATE ISSUES DURING THE YEAR, INCLUDING COVID-19 RELIEF BILLS, ENDOWMENT TAX, UNRELATED BUSINESS INCOME, AND OTHER PROVISIONS IN THE TAX CUTS AND JOBS ACT. THE OFFICE ASSISTED IN DEVELOPING POLITICAL ADVOCACY STRATEGIES REGARDING CENTER FOR MEDICARE AND MEDICAID (CMS) PROPOSED MEDICAID FISCAL ACCOUNTABILITY REGULATION (MFAR); CMS PROPOSED/FINAL RULE ON HOSPITAL PRICING TRANSPARENCY; PRESIDENT TRUMP'S FY21 BUDGET REQUEST INCLUDING MEDICARE AND MEDICAID REDUCTIONS, INCLUDING CUTS TO THE MEDICAID DISPROPORTIONATE SHARE PROGRAM; SURPRISE BILLING; DRUG PRICING; PROPOSED 340B PROGRAM CHANGES; PROPOSED CHANGES TO THE USE OF NON-HUMAN PRIMATE MODELS IN BIOMEDICAL RESEARCH; FY21 APPROPRIATIONS, INCLUDING LABOR/HEALTH AND HUMAN SERVICES (HHS) BILL, FUNDING FOR THE NATIONAL INSTITUTES OF HEALTH (NIH), AND ADDITIONAL FUNDING FOR GRADUATE MEDICAL EDUCATION RESIDENCY SLOTS. THE OFFICE ALSO WORKED ON VARIOUS APPROPRIATIONS BILLS RELATED TO RESEARCH, THE PRIMARY FOCUS ON RESEARCH FUNDING FOR THE WAKE FOREST INSTITUTE FOR REGENERATIVE MEDICINE. THE GOVERNMENT RELATIONS OFFICE PARTICIPATED IN NUMEROUS CONFERENCE CALLS, WEB-EX MEETINGS AND ONE-ON-ONE CALLS WITH CONGRESSIONAL MEMBERS AND STAFFERS AT THE FEDERAL AND STATE LEVEL TO FACILITATE FUNDING FOR THE CHALLENGES FACED DUE TO THE COVID-19 PANDEMIC IN HIGHER EDUCATION, RESULTING IN FOUR COVID-19 PANDEMIC RELIEF BILLS. THE FOUR COVID-19 PANDEMIC RELIEF BILLS PROVIDED FUNDING FOR MEDICAL SUPPLIES, VACCINE DEVELOPMENT, DIAGNOSTIC TESTING, AND MORE. THE RELIEF BILLS ALSO WAIVED MEDICARE RESTRICTIONS AND REQUIREMENTS FOR TELEHEALTH, INCREASED FEDERAL FMAP FUNDING BY 6.2%, AND PROVIDED $150B TO HOSPITALS FOR THE PROVIDER RELIEF FUND, AND OTHER EXPENSE PROVISIONS. AT THE STATE LEVEL, THE OFFICE CONTINUED TO WORK ON VARIOUS BILLS AND BUDGET LANGUAGE, WHICH WERE INTRODUCED TO SEVERELY ALTER THE CURRENT CERTIFICATE OF NEED LAW AND CHANGE THE STATE HEALTH PLAN TO A REFERENCE-BASED PRICING BENEFIT DESIGN PLAN. GOVERNOR ROY COOPER VETOED THE FY19-20 BUDGET WHICH CONTAINED $15 MILLION FOR FUNDING OF AN AUTOPSY FACILITY AT OUR INSTITUTION. IN MAY 2020, GOVERNOR ROY COOPER SIGNED HB 1034 WHICH APPROPRIATED $1.6B FROM THE FEDERAL GOVERNMENT TO COMBAT THE COVID-19 PANDEMIC. OUR OFFICE LOBBIED THE GENERAL ASSEMBLY AND RECEIVED A $3M GRANT FROM THE TEACHING HOSPITALS RELIEF FUND TO OFFSET EXPENSES INCURRED FOR PROVIDING CARE DURING THE PANDEMIC. THE MEDICAL CENTER ALSO RECEIVED A $20M GRANT TO PROVIDE POLICY MAKERS WITH REAL-TIME COVID-19 SURVEILLANCE, PREVALENCE, HOSPITALIZATION AND FACILITY DATA. 19362682 2938020 64252 13666994 8697960 9685419 9933643 175740 432120 19362682 6347896 3538532 260041 461050 9685419 5675092 692865 347227 367288 6347896 5763723 1709682 -60213 1738100 5675092 0.30240 0.69760 0 0 38775439 38775439 1070920098 646960763 423959335 2201485 1280407 921078 685658955 546269765 139389190 75641314 28953172 46688142 649733184 INVESTMENTS IN SUBSIDIARIES 214544902 C 214544902 0 PLI & OTHER LIABILITIES 26719357 PENSION LIABILITIES 128842641 OPERATING LEASE PAYABLE 41363357 196925355 X 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 FISCAL YEARS ENDED JUNE 30, 2020 AND 2019, INCLUDING A QUANTIFICATION OF TAX RISK IN AREAS SUCH AS UNRELATED BUSINESS TAXABLE INCOME AND THE TAXATION OF ITS FOR-PROFIT SUBSIDIARIES. THIS EVALUATION DID NOT HAVE A MATERIAL EFFECT ON THE ORGANIZATION'S FINANCIAL STATEMENTS FOR THE YEARS ENDED JUNE 30, 2020 AND 2019. THE CARIBBEAN - BRITISH VIRGIN ISLANDS & CAYMAN ISLANDS 0 0 INVESTMENTS 19458187 0 0 0 0 0 0 19458187 0 19458187 1 0 1 1 0 0 PART III ACCOUNTING METHOD: 1 1 1 X 300.000000000000 1 X 1 1 1 0 1 1 29739861 10433279 19306582 0.01030 287461017 286148750 1312267 0.00070 72988742 62380311 10608431 0.00560 390189620 358962340 31227280 0.01660 19526001 11966860 7559141 0.00400 103419719 21452553 81967166 0.04360 10605485 1419147 9186338 0.00490 3315229 0 3315229 0.00180 136866434 34838560 102027874 0.05430 527056054 393800900 133255154 0.07090 2004969 2004969 0.00110 145472 145472 0.00010 2150441 2150441 0.00120 1 38062398 0 532367657 660209693 -127842036 X 1 1 1 1 NORTH CAROLINA BAPTIST HOSPITAL MEDICAL CENTER BLVD WINSTON SALEM NC 27157 H0011 X X X X NORTH CAROLINA BAPTIST HOSPITAL 1 0 0 1 X X X X X X X X 18 1 1 0 1 X SEE PART V, PAGE 7 X 1 19 1 SEE PART V, PAGE 7 0 1 X 300.000000000000 300.000000000000 X X X X X 1 1 X X X 1 X WWW.WAKEHEALTH.EDU/FINANCIAL-ASSISTANCE.HTM X WWW.WAKEHEALTH.EDU/FINANCIAL-ASSISTANCE.HTM X WWW.WAKEHEALTH.EDU/FINANCIAL-ASSISTANCE.HTM X X X X X X X 1 X 0 X X X X 1 X 0 0 NORTH CAROLINA BAPTIST HOSPITAL PART V, SECTION B, LINE 5: COMMUNITY INPUT WAS OBTAINED THROUGH THE FOLLOWING 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 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. NORTH CAROLINA BAPTIST HOSPITAL PART V, SECTION B, LINE 6A: THE HOSPITAL'S MOST RECENT CHNA WAS CONDUCTED IN COLLABORATION WITH LEXINGTON MEDICAL CENTER AND DAVIE MEDICAL CENTER. BOTH DAVIE MEDICAL CENTER AND LEXINGTON MEDICAL CENTER ARE AFFILIATE HOSPITALS OF WAKE FOREST BAPTIST HEALTH. NORTH CAROLINA BAPTIST HOSPITAL PART V, SECTION B, LINE 7D: N/APART V, SECTION B, LINE 7A:WWW.WAKEHEALTH.EDU/HCI/NEEDS-ASSESSMENT-AND-IMPLEMENTATION-REPORTS.HTMPART V, SECTION B, LINE 10A:WWW.WAKEHEALTH.EDU/HCI/NEEDS-ASSESSMENT-AND-IMPLEMENTATION-REPORTS.HTM NORTH CAROLINA BAPTIST HOSPITAL 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 PLANS TO PROVIDE 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, A TRADITIONALLY UNDERSERVED AREA OF THE COMMUNITY, (2) DEPLOYMENT OF WFBH'S MOBILE MEDICAL CLINIC TO PROVIDE MEDICAL, NUTRITION, MENTAL HEALTH AND HEALTH EDUCATION TO VULNERABLE POPULATIONS RESIDING IN LOW ACCESS WFBH 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 WFBH'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 WFBH 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. NORTH CAROLINA BAPTIST HOSPITAL 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. NORTH CAROLINA BAPTIST HOSPITAL PART V, SECTION B, LINE 16J: IN ADDITION TO THE METHODS PREVIOUSLY DESCRIBED, NORTH CAROLINA BAPTIST 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. 34 1 - ALLERGY ASTHMA & IMMUNOLOGY - CLEMMONS 2311 LEWISVILLE-CLEMMONS ROAD CLEMMONS NC 27012 ALLERGY, ASTHMA & IMMUNOLOGY 2 - BREAST CARE SERVICES - CLEMMONS 2341 LEWISVILLE-CLEMMONS ROAD CLEMMONS NC 27012 BREAST CARE SERVICES 3 - BRENNER CHILDREN'S SPECIALTY SERVICES 2311 LEWISVILLE-CLEMMONS ROAD CLEMMONS NC 27012 PEDIATRIC SPECIALTIES 4 - CARDIOLOGY COUNTRY CLUB 4610 COUNTRY CLUB ROAD WINSTONSALEM NC 271043520 CARDIOLOGY 5 - COMPREHENSIVE FETAL CARE CENTER 500 SHEPHERD STREET SUITE 200 WINSTONSALEM NC 271031633 MATERNAL-FETAL MEDICINE 6 - COMPREHENSIVE REHAB - PHYSICAL MED & REH 131 MILLER STREET WINSTONSALEM NC 27103 PHYSICAL MEDICINE, SPORTS MEDICINE, REHABILITATION 7 - COMPREHENSIVE REHAB - SPECIALTY 131 MILLER STREET WINSTONSALEM NC 27103 ENDO, ENT, NEUROLOGY, PSYCHOLOGY, SURGERY, RHEUM 8 - DIABETES CENTER ADULT-CNTRY CLB MED PLZA 4610 COUNTRY CLUB ROAD WINSTONSALEM NC 271043520 ADULT DIABETES CENTER 9 - DIABETES CENTER CHLDR-CNTRY CLB MED PLZA 4610 COUNTRY CLUB ROAD WINSTONSALEM NC 271043520 PEDIATRIC DIABETES CENTER 10 - DIALYSIS ACCESS GROUP - MILLER 120 MILLER STREET STE B WINSTONSALEM NC 27103 DIALYSIS CENTER 11 - DOWNTOWN HEALTH PLAZA 1200 N MARTIN LUTHER KING JR DRIVE WINSTONSALEM NC 271013006 ADULT MEDICINE 12 - DOWNTOWN HEALTH PLAZA - SPECIALTY 1200 N MARTIN LUTHER KING JR DRIVE WINSTONSALEM NC 27101 OB/GYN, NEUROLOGY, NEPHROLOGY, DERM, CARDIOLOGY 13 - ENTHEAD & NECK SURGERY - CLEMMONS 2341 LEWISVILLE-CLEMMONS ROAD CLEMMONS NC 27012 ENT/HEAD AND NECK SURGERY 14 - HEMATOLOGY & ONCOLOGY - CLEMMONS 2311 LEWISVILLE-CLEMMONS ROAD CLEMMONS NC 27012 ONCOLOGY 15 - HEMATOLOGY & ONCOLOGY - ELKIN 401 ELDON PARKS DRIVE ELKIN NC 28621 HEMATOLOGY AND ONCOLOGY 16 - INTERNAL MEDICINE SPECIALTY CLINICS 500 SHEPHERD STREET SUITE 300 WINSTONSALEM NC 271031633 IM MULTISPECIALTY CLINICS - ADULT & PEDIATRIC 17 - MEDICAL PLAZA COUNTRY CLUB DERMATOLOGY 4618 COUNTRY CLUB ROAD WINSTONSALEM NC 271043520 GENERAL DERMATOLOGY 18 - MEDICAL PLAZA COUNTRY CLUB GENERAL DERMA 4618 COUNTRY CLUB ROAD WINSTONSALEM NC 271043520 DERMATOLOGY & MOHS SURGERY 19 - MT AIRY HEMATOLOGY & ONCOLOGY 450 PRICE STREET MT AIRY NC 27030 HEMATOLOGY AND ONCOLOGY 20 - NCBH OUTPATIENT ENDOSCOPY CENTER LLC 100 CHARLOIS BLVD SUITE 100 WINSTONSALEM NC 27103 OUTPATIENT ENDOSCOPY 21 - NEUROLOGY - CLEMMONS 2341 LEWISVILLE-CLEMMONS ROAD CLEMMONS NC 27012 NEUROLOGY 22 - OBSTETRICS & GYNECOLOGY - SHEPHERD 500 SHEPHERD STREET SUITE 201 WINSTONSALEM NC 271031633 OB/GYN, GYN ONC, UROLOGICAL GYN 23 - OBSTETRICS AND GYNECOLOGY - CLEMMONS 2341 LEWISVILLE-CLEMMONS ROAD CLEMMONS NC 27012 OB/GYN 24 - PAIN CENTER BROOKSTOWN 605 COTTON STREET WINSTONSALEM NC 27101 PAIN CLINIC AND SERVICES 25 - PEDIATRICS - CLEMMONS 2311 LEWISVILLE-CLEMMONS ROAD CLEMMONS NC 27012 PEDIATRICS 26 - PEDIATRICS - DOWNTOWN HEALTH PLAZA 1200 N MARTIN LUTHER KING JR DRIVE WINSTONSALEM NC 27101 PEDIATRICS 27 - SLEEP CENTER - CLEMMONS 2341 LEWISVILLE-CLEMMONS ROAD CLEMMONS NC 27012 SLEEP MEDICINE 28 - SLEEP CENTER - SHEPHERD 500 SHEPHERD STREET SUITE 201 WINSTONSALEM NC 271031633 SLEEP MEDICINE 29 - SPINE CENTER - CLEMMONS 2341 LEWISVILLE-CLEMMONS ROAD CLEMMONS NC 27012 SPINE CENTER - CLEMMONS 30 - VEIN SERVICES - CLEMMONS 2341 LEWISVILLE-CLEMMONS ROAD CLEMMONS NC 27012 VEIN SERVICES 31 - WAKE FOREST BAPTIST HEALTH FAMILY MEDICI 1920 W FIRST STREET WINSTONSALEM NC 271044220 FAMILY MEDICINE 32 - WAKE FOREST UNIVERSITY BAPTIST IMAGING 265 EXECUTIVE PARK BLVD WINSTONSALEM NC 27103 IMAGING CENTER 33 - WINSTON EAST PEDIATRICS OF BAPTIST HOSP 2295 EAST 14TH STREET WINSTONSALEM NC 27105 PEDIATRICS 34 - RHEUMATOLOGY - CLEMMONS 2311 LEWISVILLE-CLEMMONS ROAD CLEMMONS NC 27012 RHEUMATOLOGY 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 WAKE FOREST BAPTIST HEALTH'S SERVICE AREA. -PATIENTS MUST ENROLL IN ALL OTHER PRIMARY PAYER PROGRAMS FOR WHICH THE PATIENT IS ELIGIBLE AND MUST ASSIGN BENEFITS TO WAKE FOREST BAPTIST HEALTH 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 SCHEDULE H TO COMPUTE ITS COST-TO-CHARGE RATIO FOR PURPOSES OF THE 2019 SCHEDULE H.PART I, LINE 7B MEDICAID DIRECT OFF-SETTING REVENUETHE HOSPITAL PARTICIPATES IN A PROVIDER ASSESSMENT PROGRAM ADMINISTERED BY THE NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES. UNDER THE PROGRAM, A FEE IS ASSESSED AGAINST NON-MEDICAID NET PATIENT SERVICE REVENUE OF PRIVATE HOSPITALS. THE FEDERAL GOVERNMENT MATCHES THE ASSESSMENT AT A RATE OF NEARLY 2 TO 1, AND THESE AMOUNTS ARE ALLOCATED TO NORTH CAROLINA HOSPITALS ON A QUARTERLY BASIS. ADDITIONALLY, THE HOSPITAL PARTICIPATES IN THE NORTH CAROLINA MEDICAID REIMBURSEMENT INITIATIVE (MRI). UNDER THE MRI, THE HOSPITAL RECEIVES ADDITIONAL REIMBURSEMENT BASED ON MEDICAID COST DEFICITS AND TREATMENT OF A DISPROPORTIONATE SHARE OF UNINSURED PATIENTS. PART I, LN 7 COL(F): THE ORGANIZATION'S PATIENT BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENTS WAS $152,835,960 FOR THE FISCAL YEAR ENDED JUNE 30, 2020. THIS AMOUNT IS NOT INCLUDED IN THE CALCULATION OF CHARITY CARE FOR PART I, LINE 7. PART II, COMMUNITY BUILDING ACTIVITIES: THE HOSPITAL IS COMMITTED TO GIVE BACK AND IS RESPONSIVE TO THE COMMUNITIES IT SERVES THROUGH A NUMBER OF ACTIVITIES, PROGRAMS AND INITIATIVES. THE FOLLOWING ARE SOME OF THESE PROGRAMS.- BE INVOLVED IS AN ONLINE RESOURCE THAT WELCOMES COMMUNITY MEMBERS TO LEARN MORE ABOUT HUNDREDS OF CLINICAL TRIALS AND STUDIES AT WFBH FOR WHICH THEY MAY BE ELIGIBLE. - BESTHEALTH, THE COMMUNITY WELLNESS OUTREACH PROGRAM OF WFBH, OFFERS HEALTH SEMINARS, SCREENINGS, COOKING AND FITNESS CLASSES, ONLINE HEALTH RESOURCES AND A MEMBERSHIP PROGRAM WITH SPECIAL BENEFITS. SEMINARS LED BY EXPERTS FROM WFBH 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 CARE TRANSITIONS PROGRAM PROVIDES SUPPORT TO PATIENTS AND THEIR FAMILIES AFTER DISCHARGE FROM THE MEDICAL CENTER AND HELPS THEM DETERMINE WHAT SERVICES ARE AVAILABLE TO THEM TO ASSIST WITH RECOVERY. VARIOUS OPTIONS ARE OFFERED THROUGH THE PROGRAM: ENHANCED CARE RESOURCE NURSES, ANCHOR, CAREPLUS, ADVANCED PRACTICE PROVIDERS, SKILLED NURSING FACILITY PARTNERS, PALLIATIVE CARE, AND WFBH CARE AT HOME, A JOINT PROGRAM BETWEEN WFBH AND GENTIVA HEALTH SERVICES THAT FOCUSES ON HELPING ADULT PATIENTS OF ALL AGES WITH COMPLEX HEALTH PROBLEMS. - 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 COMMUNITY PARTNERSHIP FOR COMPASSIONATE CARE IS A REGIONAL COALITION OF THE NORTH CAROLINA PARTNERSHIP FOR COMPASSIONATE CARE. THE PARTNERSHIP IS DESIGNED TO EDUCATE THE COMMUNITY ABOUT THE IMPORTANCE OF HAVING AN ADVANCE CARE PLAN AND TO HELP TO WITH THE PLANNING PROCESS.- THE DEAC CLINIC, A PROGRAM INITIATED AND DEVELOPED ENTIRELY BY WAKE FOREST SCHOOL OF MEDICINE STUDENTS. THE CLINIC USUALLY SERVES MORE THAN 250 PATIENTS PER WEEK AND OPERATES IN THE INNOVATION QUARTER. 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. IN 2017, THE DEAC CLINIC BECAME THE FIRST STUDENT-RUN CLINIC IN NORTH CAROLINA TO RECEIVE ACCREDITATION FROM THE NORTH CAROLINA ASSOCIATION OF FREE AND CHARITABLE CLINICS, THE NETWORK OF HEALTH CARE FACILITIES THAT OFFER FREE AND AFFORDABLE HEALTH CARE THROUGHOUT NORTH CAROLINA. - THE DOWNTOWN HEALTH PLAZA (DHP) IS A FULL-SERVICE OUTPATIENT MEDICAL CLINIC SUBSIDIZED BY WFBH THAT SERVES MANY OF FORSYTH COUNTY'S UNINSURED AND UNDERINSURED RESIDENTS IN A STATE-OF-THE-ART FACILITY WITH AN ONSITE PHARMACY. DURING FY20, THERE WERE 55,925 PATIENT VISITS AT THE DOWNTOWN HEALTH PLAZA. ITS SERVICES INCLUDE:- A SATELLITE SITE FOR THE WOMEN, INFANTS AND CHILDREN NUTRITION PROGRAM (WIC).- THE GOLER COMMUNITY GARDEN, A GARDEN WHICH PROVIDES FREE, FRESH VEGETABLES AND HERBS FOR PATIENTS AND THEIR FAMILIES AND A FOOD PANTRY WHERE BAGGED NUTRITIOUS FOODS ARE AVAILABLE.- THE CARE PLUS PROGRAM, WHICH OFFERS HOME VISITS, OUTREACH, AND AND A FOCUS ON THE BOTH SOCIAL DETERMINANTS OF HEALTH AND MENTAL HEALTH. THE GOAL OF THE PROGRAM IS REDUCING READMISSIONS AND EMERGENCY DEPARTMENT VISITS.- GRACE CLINIC IS A FREE HEALTH CLINIC HELD THE THIRD SATURDAY OF EVERY MONTH AT NEW LIGHT MISSIONARY BAPTIST CHURCH IN WINSTON-SALEM. VOLUNTEERS FROM WFBH ARE AMONG THOSE WHO ASSIST WITH HEALTH MANAGEMENT FOR PATIENTS WITH CHRONIC AND ACUTE CONDITIONS SUCH AS HIGH BLOOD PRESSURE, HIGH BLOOD SUGAR AND HIGH CHOLESTEROL. WFBH'S FAITHHEALTH PROGRAM ALSO SUPPORTS THE GRACE FREE CLINIC.- 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.- TRANSITIONAL AND SUPPORTIVE CARE IS A FAMILY OF PROGRAMS THAT CREATES A BRIDGE BETWEEN ACUTE CARE SERVICES AND REINTRODUCTION TO THE COMMUNITY. THE PROGRAMS INCLUDED IN TRANSITIONAL AND SUPPORTIVE CARE ARE: AMBULATORY CARE NAVIGATORS, BRIDGING HOME VISITS, ED ENHANCED CARE NURSES, PALLIATIVE/SUPPORTIVE CARE PROVIDERS AND NURSES, READMISSIONS COORDINATOR, SKILLED NURSING FACILITY COLLABORATIVE, SOCIAL WORK, PHARMACISTS AND WAKE FOREST BAPTIST HEALTH CARE AT HOME.- TRIAD FREE HEALTH CLINIC - WFBH PHYSICIANS AND NURSES VOLUNTEER TO SUPPORT THE TRIAD FREE HEALTH CLINIC, HELD TWICE A MONTH TO SERVE THE MEDICAL NEEDS OF THE UNINSURED AND UNDERSERVED MEMBERS OF WINSTON-SALEM AND THE TRIAD REGION. THE CLINIC IS HELD AT THE COMMUNITY MOSQUE, 1419 WAUGHTOWN ST., WINSTON-SALEM. THE TRIAD FREE HEALTH CLINIC OFFERS FREE CARE WITHOUT DISCRIMINATION BASED ON RACE, RELIGION OR GENDER; ITS SERVICES INCLUDE SCREENINGS TO COMBAT CHRONIC DISEASES SUCH AS DIABETES, OBESITY AND CARDIOPULMONARY DISEASE.- DIVERSITY, INCLUSION AND HEALTH EQUITY - WFBH 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 WFBH COMMUNITY. WFBH 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, WFBH 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. WFBH'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 THE 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 WAKE FOREST BAPTIST MEDICAL CENTER. SUPPORTING PATIENTS SPIRITUALLY AND OFFERING MINISTRIES OF GROWTH, HOPE AND HEALING IS PART OF THE WORK OF WAKE FOREST BAPTIST MEDICAL CENTER, WHICH SINCE ITS EARLIEST DAYS HAS BEEN AN INNOVATOR IN FORGING HEALTH AND SPIRITUAL CONNECTIONS.THE DIVISION'S PROGRAMS 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 - CHAPLAINS PROVIDE SPIRITUAL MINISTRY AND SUPPORT TO PATIENTS AND FAMILIES. - CARENET - A PARTNER OF FAITHHEALTH THAT PROVIDES FAITH INTEGRATED COUNSELING AND THERAPY - CENTER FOR CONGREGATIONAL HEALTH - PROVIDES MINISTRY AND TRAINING TO FAITH COMMUNITIES, LAY LEADERS AND CLERGY. PART III, LINE 4: THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A DISCRETE FOOTNOTE EXPLAINING BAD DEBT EXPENSE. BAD DEBT HAS NOT BEEN INCLUDED IN THE COMPUTATION OF COMMUNITY BENEFIT ON PART I, LINE 7. AMOUNTS USED TO COMPUTE CHARITY CARE AND BAD DEBT ON SCHEDULE H USE THE MOST CURRENT DATA AVAILABLE AT THE TIME OF FILING. THE ORGANIZATION USED WORKSHEET 2 OF THE 2019 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 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 TWO TO THREE REGIONAL PRIORITY AREAS TO FOCUS ON FOR FY 2017-2019. THE PROCESS WAS DESIGNED TO RELY ON EXISTING PUBLIC DATA, DIRECTLY ENGAGING COMMUNITY STAKEHOLDERS AND COLLABORATE WITH LOCAL PUBLIC HEALTH, OTHER HEALTH PROVIDERS, AS WELL AS COMMUNITY PARTNERS SUCH AS FAITH NETWORKS RELEVANT TO THE SOCIAL FACTORS UNDERLYING PATTERNS OF ACCESS. THE HOSPITAL'S ASSESSMENT WAS CONDUCTED IN THREE STAGES: (1) DATA REVIEW (PRIMARY AND SECONDARY DATA), (2) SETTING PRIORITIES, AND (3) COMMUNITY ASSET INVENTORY. THE DATA REVIEW AND PRIORITY SETTING PHASE BEGAN WITH THE COMPILATION OF EXISTING HEALTH-RELATED DATA. STAKEHOLDERS REVIEWED MULTIPLE DATA SETS INCLUDING FORSYTH, DAVIDSON, AND DAVIE COUNTY PUBLIC HEALTH NEEDS ASSESSMENTS, NORTH CAROLINA INDICATORS FOR COMMUNITY HEALTH ASSESSMENT, INTERNAL DISEASE REGISTRIES, AND COUNTY HEALTH RANKINGS. AN INTERNAL STEERING COMMITTEE AND SENIOR LEADERSHIP REVIEW A SET OF CRITERIA TO DEVELOP THE PRIORITY RANKINGS. THE PRIORITIZATION PROCESS IDENTIFIED THE FOLLOWING 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: IN FISCAL YEAR 2020, WAKE FOREST BAPTIST HEALTH 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, YADKINSECONDARY 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 GEOGRAPHYTOTAL POPULATION 379,099POPULATION CHANGE SINCE 2010 + 8.1%4TH LARGEST COUNTY IN NORTH CAROLINALAND AREA 408.1 SQUARE MILESPOPULATION DENSITY 859.2 PERSONS PER SQUARE MILE POPULATION BY RACE/ETHNICITYNON-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 DISTRIBUTIONUNDER 5 YEARS OLD 5.9%UNDER 18 YEARS OLD 22.9%=/+ 65 YEARS OLD 16.0% POPULATION BY SEXMALE 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%PERSONS IN POVERTY 16.4%UNEMPLOYMENT RATE (2018) 4.3% COUNTY SCHOOLSK-12 ENROLLMENT 55,000GRADUATION RATE 86.5% INCOMEMEDIAN FAMILY HOUSEHOLD (2018) $50,128MEDIAN NON-FAMILY HOUSEHOLD (2018) $29,921 PART VI, LINE 6: WAKE FOREST BAPTIST HEALTH'S MISSION IS TO IMPROVE THE HEALTH OF THE REGION, STATE AND NATION BY:-SERVING AS THE PREMIER HEALTH SYSTEM IN THE REGION, WITH SPECIFIC CENTERS OF EXCELLENCE RECOGNIZED AS NATIONAL AND INTERNATIONAL CARE DESTINATIONS.-GENERATING AND TRANSLATING KNOWLEDGE TO PREVENT, DIAGNOSE AND TREAT DISEASE.-TRAINING TOMORROW'S LEADERS IN HEALTH CARE AND BIOMEDICAL SCIENCE.THE HOSPITAL, WHICH IS THE INPATIENT COMPONENT OF WAKE FOREST BAPTIST MEDICAL CENTER, OPERATES THE FOLLOWING PROGRAMS CONSTITUTING COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS REPORTED ON PART I,LINE 7E:WINSTON-SALEM/FORSYTH CTY SCHOOLS' ALLIED HEALTH PROGRAM $5,000BRENNER FIT $198,510AMOS COTTAGE $115,624POPULATION HEALTH PHARMACY $584,043COMMUNITY TRAINING (BLS) $657,321RAPID RESPONSE TEAM $951,731HOSPICE & PALLIATIVE CARE PROGRAMS $281,184FAMILY RESOURCES $19,006PATIENT/FAMILY CENTERED CARE $24,624CLINICAL MINISTRIES $1,504,184PASTORAL & EDUCATIONAL COUNSELING $464,988PHYSICIANS COMMUNITY HEALTH ACCESS $478,228FAITHHEALTH, NC $397,606HEALTH & WELLNESS SERVICES $319,416COVID-19 RELATED COSTS $13,108,952DIRECT ASSISTANCE TO INDIVIDUALS $415,584TOTAL TO PART I, LINE 7E: $19,526,001 PART VI, LINE 7, REPORTS FILED WITH STATES NC 1 ABC OF NC CHILD DEVELOPMENT 3904 OLD VINEYARD ROAD WINSTONSALEM NC 27104 300111894 501(C)(3) 60000 SUPPORTING PROGRAMS FOR DISABLED CHILDREN AMERICAN HEART ASSOCIATION 101 CENTREPORT DRIVE GREENSBORO NC 27409 135613797 501(C)(3) 50000 SUPPORTING CARDIOVASCULAR RESEARCH AND PROGRAMS CANCER SERVICES INC 3175 MAPLEWOOD AVE WINSTONSALEM NC 27103 560656375 501(C)(3) 12500 SUPPORTING PROGRAMS TO EDUCATE/ ENHANCE LIFE FOR CANCER PATIENTS DAVIDSON COUNTY COMMUNITY COLLEGE FOUNDATION PO BOX 1287 LEXINGTON NC 27293 237079347 501(C)(3) 20000 SUPPORTING ORGANIZATION PROVIDING ASSISTANCE TO STUDENTS OF DCCC DAVIE COMMUNITY FOUNDATION PO BOX 546 MOCKSVILLE NC 27028 581850531 501(C)(3) 20000 SUPPORTING ORGANIZATION TO PROMOTE PHILANTHROPY IN THE COMMUNITY FORSYTH BACKPACK PROGRAM 380-H KNOLLWOOD STREET WINSTONSALEM NC 27104 461940233 501(C)(3) 21824 SUPPORTING PROGRAMS TO SUPPLEMENT NUTRIONAL NEEDS OF LOCAL CHILDREN & YOUNG ADULTS HOSPICE AND PALLIATIVE CARE CENTER 101 HOSPICE LANE WINSTONSALEM NC 27103 581343313 501(C)(3) 10000 SUPPORTING FACILITIES & PROGRAMS FOR SERIOUSLY ILL PATIENTS HOSPITAL HOSPITALITY HOUSE OF WINSTON-SALEM DBA SECU FAMILY HOUSE 1970 BALDWIN LN WINSTONSALEM NC 27103 203604576 501(C)(3) 20000 SUPPORTING PROGRAM PROVIDING AFFORDABLE LODGING TO PATIENTS JDRF PIEDMONT TRIAD CHAPTER 312 N EUGENE STREET GREENSBORO NC 27401 231907729 501(C)(3) 20000 SUPPORTING JUVENILE DIABETES RESEARCH KALEIDEUM (FORMERLY SCIWORKS) 400 HANES MILL ROAD WINSTONSALEM NC 27105 560815746 501(C)(3) 14400 EDUCATIONAL AND SCIENTIFIC SUPPORT LEADERSHIP WINSTON-SALEM 624 W 6TH STREET STE 110 WINSTONSALEM NC 27101 581574887 501(C)(3) 11000 SUPPORTING PROGRAM TO TRAIN AND DEVELOP COMMUNITY LEADERS MAKE-A-WISH FOUNDATION 1131 HARDING PLACE CHARLOTTE NC 28204 561492432 501(C)(3) 6000 COMMUNITY SUPPORT MARCH OF DIMES 410 BROOKSTOWN AVE WINSTONSALEM NC 27101 131846366 501(C)(3) 10000 SUPPORTING RESEARCH AND PROGRAMS TO END INFANT MORTALITY AND BIRTH DEFECTS OLD HICKORY COUNCIL-BOY SCOUTS OF AMERICA 6600 SILAS CREEK PKWY WINSTONSALEM NC 27106 560529985 501(C)(3) 12500 SUPPORTING THE CHARACTER DEVELOPMENT OF YOUNG PEOPLE PIEDMONT REGIONAL TRAUMA SYSTEMS MEDICAL CENTER BLVD WINSTONSALEM NC 27157 562036036 501(C)(3) 100000 SUPPORTING INTEGRATED TRAUMA SYSTEM RONALD MCDONALD HOUSE 419 S HAWTHORNE ROAD WINSTONSALEM NC 27103 581454715 501(C)(3) 12500 SUPPORTING PROGRAM FOR CHILDREN RECEIVING MEDICAL CARE SENIOR SERVICES INC 2895 SHOREFAIR DRIVE WINSTONSALEM NC 271054237 561085968 501(C)(3) 110000 SUPPORTING PROGRAM PROVIDING SERVICES TO SENIOR ADULTS WINSTON SALEM ALLIANCE 100 NORTH MAIN STE 2550 WINSTONSALEM NC 27101 311726654 501(C)(6) 40000 SUPPORTING CREATION OF JOBS AND ECONOMIC VITALITY OF THE COMMUNITY WINSTON-SALEM FOUNDATION 751 W FOURTH ST STE 200 WINSTON-SAL M NC 27101 WINSTONSALEM NC 27101 566037615 501(C)(3) 144333 COMMUNITY SUPPORT YMCA OF HIGH POINT PO BOX 6258 HIGH POINT NC 27157 560530014 501(C)(3) 15000 COMMUNITY SUPPORT YMCA OF NORTHWEST NORTH CAROLINA 301 N MAIN STREET STE 1900 WINSTONSALEM NC 27101 560530015 501(C)(3) 30000 COMMUNITY SUPPORT CROSBY SCHOLARS COMMUNITY PARTNERSHIP 2701 UNIVERSITY PARKWAY WINSTONSALEM NC 27105 311523230 501(C)(3) 10000 COMMUNITY SUPPORT LOVE OUT LOUD PO BOX 20912 WINSTONSALEM NC 27120 474085418 501(C)(3) 15500 COMMUNITY SUPPORT SHEPHERD'S CENTER OF GREATER WINSTON-SALEM INC 1700 EBERT STREET WINSTONSALEM NC 27103 561646960 501(C)(3) 8000 COMMUNITY SUPPORT THE ARTS COUNCIL INC 251 NORTH SPRUCE ST WINSTONSALEM NC 27101 560526856 501(C)(3) 13477 COMMUNITY FUND FOR THE ARTS THE POWER OF PLAY CHARTIABLE FUND PO BOX 38934 GREENSBORO NC 27438 262472708 501(C)(3) 10600 SUPPORT FOR ALL-INCLUSIVE PLAYGROUND WAKE FOREST UNIVERSITY 1834 WAKE FOREST RD BOX 7201 WINSTONSALEM NC 27109 560532138 501(C)(3) 10000 SUMMER IMMERSION PROGRAM WILKES COMMUNITY COLLEGE FOUNDATION INC DRAWER 120 COLLEGIATE DRIVE WILKESBORO NC 28697 237338790 501(C)(3) 21125 GENERAL SUPPORT WINSTON STARTS 500 W 5TH STREET NO 400 WINSTONSALEM NC 27101 821573081 501(C)(3) 10000 COMMUNITY SUPPORT WINSTON-SALEM STATE UNIVERSITY FOUNDATION INC CAMPUS BOX 19537 WINSTONSALEM NC 27110 560989620 501(C)(3) 20000 COMMUNITY SUPPORT YMCA OF CATAWBA VALLEY INC 701 1ST ST NW HICKORY NC 28601 560928743 501(C)(3) 15000 COMMUNITY SUPPORT YWCA OF WINSTON-SALEM AND FORSYTH COUNTY 318 INDERA MILLS COURT WINSTONSALEM NC 27101 560564345 501(C)(3) 30000 COMMUNITY SUPPORT CARENET INC 2000 W FIRST STREET STE 410 WINSTONSALEM NC 27104 561977341 501(C)(3) 38000 COMMUNITY SUPPORT FAITHHEALTH INNOVATIONS MEDICAL CENTER BLVD WINSTONSALEM NC 27157 237426944 501(C)(3) 29314 COMMUNITY SUPPORT 33 1 MEDICAL SCHOLARSHIPS 37 92519 0 RUTH HOLLEMAN SCHOLARSHIPS 4 4313 0 PATIENT ASSISTANCE 39 214572 PATIENT TRANSPORTATION 423 162973 FMV TRANSPORTATION FOR PATIENTS MEDICAL SUPPLIES FOR INDIGENT PATIENTS 110 30409 FMV MEDICAL SUPPLIES FOR INDIGENT PATIENTS CAR SEATS 16 7630 FMV CAR SEATS FOR PATIENTS EMPLOYEE EMERGENCY FUND 658 588511 PATIENT REHABILITATION 259 2114035 MEDICAL STUDENT ASSISTANCE 30 74068 PART I, LINE 2: THE HOSPITAL FOLLOWS THE MEDICAL CENTER'S CORPORATE POLICY USED IN REVIEWING THE ELIGIBILITY AND SELECTION OF GRANTEES RECEIVING CERTAIN EXEMPT PURPOSE FUNDS. THE HOSPITAL MAINTAINS DOCUMENTATION OF THE ELIGIBILITY AND SELECTION CRITERIA AND RECORDS OF THE AMOUNTS DISBURSED. X X X X X X 1 1 0 0 0 0 0 0 0 JULIE A FREISCHLAG MD CEO, DEAN 1378992 0 663750 0 17424 0 422591 0 27520 0 2510277 0 0 0 KEVIN P HIGH MD PRES, HEALTH SYSTEM 755682 0 292005 0 22870 0 237226 0 21070 0 1328853 0 0 0 BRADLEY A CLARK EVP, CFO, TREASURER 0 675958 0 270235 0 900 0 209458 0 27994 0 1184545 0 0 TERRY G WILLIAMS EVP, CH STRATEGY OFFICER 0 561272 0 199500 0 127752 0 153254 0 26582 0 1068360 0 125682 J MCLAIN WALLACE JR SVP, GEN COUNSEL & SEC 0 511009 0 165720 0 110812 0 147473 0 15273 0 950287 0 87942 CATHLEEN WHEATLEY DNP PRES WFBMC, SVP CH NURSE EXEC, 0 560837 0 180000 0 21009 0 158473 0 8590 0 928909 0 15531 ROBERT J GFELLER JR FORMER OFFICER (12-31-18) 0 6878 0 0 0 896148 0 435 0 1410 0 904871 0 395434 LILICIA P BAILEY SVP, CHIEF PEOPLE OFFICER 0 476324 0 150000 0 24940 0 123900 0 12222 0 787386 0 0 VIJAYA GANDLA MD PHYSICIAN 0 695800 0 11250 0 19270 0 21213 0 25828 0 773361 0 0 MICHAEL T WAID SVP HLTH SYS OPS & INTEG 0 424472 0 136590 0 65332 0 114488 0 27356 0 768238 0 44262 JOHN D MCCONNELL MD FORMER OFFICER (4-26-17) 656678 0 13462 0 49988 0 21213 0 22126 0 763467 0 0 0 WILLIAM D SHOWALTER SVP, CIO 0 461402 0 147930 0 5802 0 117012 0 18850 0 750996 0 0 TODD BANKHEAD SVP, CLINICAL OPERATIONS 0 432542 0 132000 0 2070 0 99926 0 20932 0 687470 0 0 CONRAD EMMERICH SVP, CLINICAL & SUPPORT SERVICES 0 399391 0 127500 0 24196 0 102122 0 16261 0 669470 0 23296 LISA M MARSHALL VP, CH PHIL OFF 371901 0 0 0 5665 0 90527 0 14652 0 482745 0 0 0 ERIC TOMLINSON DSC PHD FORMER OFFICER (3-2-18) 0 0 0 0 439108 0 0 0 2522 0 441630 0 0 0 KAREN H HUEY VP FACILITIES 0 314378 0 0 0 40790 0 68038 0 16615 0 439821 0 39021 PART I, LINE 3 THE GOVERNANCE AND COMPENSATION COMMITTEE OF THE WFUBMC BOARD OF DIRECTORS IS RESPONSIBLE FOR REVIEWING AND APPROVING ALL MEDICAL CENTER OFFICERS' COMPENSATION (INCLUDING THE COMPENSATION OF THE OFFICERS OF NCBH). THE COMMITTEE UTILIZES AN INDEPENDENT, EXTERNAL COMPENSATION CONSULTANT FIRM EXPERIENCED IN HEALTH CARE AND HIGHER EDUCATION COMPENSATION THAT BASES RECOMMENDATIONS ON COMPENSATION SURVEYS AND STUDIES TO DETERMINE THE APPROPRIATENESS OF EACH OFFICER'S COMPENSATION. THESE COMPENSATION CONSULTANTS PRESENT TOTAL COMPENSATION COMPARABILITY DATA FOR THE POSITIONS FOR WHICH COMPENSATION IS BEING DETERMINED. THE DATA IS REVIEWED BY THE GOVERNANCE AND COMPENSATION COMMITTEE OF WFUBMC'S GOVERNING BOARD AT ITS MEETING; NONE OF THE MEMBERS OF THAT COMMITTEE ARE EMPLOYEES OF THE FILING ORGANIZATION. MINUTES OF THE DELIBERATIONS OF THE COMMITTEE ARE CONTEMPORANEOUSLY RECORDED. IN THE EVENT THAT ANY MEMBER OF THE GOVERNANCE AND COMPENSATION COMMITTEE HAS A CONFLICT OF INTEREST, THAT COMMITTEE MEMBER DOES NOT PARTICIPATE IN THE DELIBERATION OR APPROVAL PROCESS, AND THEIR ABSTENTION FROM THE PROCESS IS REFLECTED IN THE MINUTES. PART I, LINES 4A-B CERTAIN EXECUTIVES PARTICIPATE IN OR RECEIVE SEVERANCE PAYMENTS AND PAYMENTS FROM SUPPLEMENTAL NON QUALIFIED RETIREMENT PLANS. 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 AND FORMER OFFICERS RECEIVED SEVERANCE AND SERP PAYMENTS IN THEIR CALENDAR YEAR 2019 COMPENSATION: SEVERANCE PAYMENTS: ROBERT J. GFELLER, JR 500,001 ERIC TOMLINSON, DSC, PHD 439,108 SERP PAYMENTS: CONRAD EMMERICH 23,296 ROBERT J. GFELLER, JR. 396,147 KAREN H. HUEY 39,021 J. MCLAIN WALLACE, JR. 87,942 MICHAEL T. WAID 44,262 TERRY G. WILLIAMS 125,682 CATHLEEN WHEATLEY, DNP 15,531 FORM 990, PART VII, LINE 5 - COMPENSATION FROM UNRELATED ORGANIZATION 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 ERIC TOMLINSON, DCS, PHD LISA M. MARSHALL A NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 NONEAVAIL 2012-12-31 80000000 VARIOUS CAPITAL PROJECTS 0 0 0 B NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 65821DMM0 2012-11-15 122822821 VARIOUS CAPITAL PROJECTS 0 0 0 C NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 65821DWH0 2019-03-07 73819143 VARIOUS CAPITAL PROJECTS 0 0 0 D PUBLIC FINANCE AUTHORITY 273866124 74442PPM1 2020-05-14 230450000 CURRENT REFUNDING 0 0 0 A 80000000 1000 79999000 2014 0 0 1 1 B 122822821 2485 122820336 2013 0 0 1 1 C 73989751 630814 73358937 2019 0 0 1 1 D 230450000 230450000 2020 1 0 1 1 A 0 1 0 0 0 0 1 B 0 1 0 0 0 0 1 C 0 0 0 0 0 0 1 A 0 0 0 1 1 0 0 0 1 B 0 0 1 0 0 0 0 0 1 C 0 1 0 0 1 0 0 0 1 D 0 1 0 0 1 0 0 0 1 A 1 B 1 C 1 D 1 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. X 6196 FMV X 3 3620 FMV X MEDICAL EQUIPMENT 1 650 FMV 0 0 1 0 PART III, LINE 4, PROGRAM SERVICE ACCOMPLISHMENTS NORTH CAROLINA BAPTIST HOSPITAL IS AN INTEGRAL PART OF WAKE FOREST BAPTIST HEALTH, 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 "WAKE FOREST BAPTIST HEALTH," THE NAME NOT OF ANY ONE CORPORATE ENTITY, BUT USED GENERICALLY TO DESCRIBE A LARGE GROUP OF MOSTLY TAX-EXEMPT 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 CORPORATION WHOSE TWO EQUAL MEMBERS ARE WAKE FOREST UNIVERSITY AND NORTH CAROLINA BAPTIST HOSPITAL (THEMSELVES NORTH CAROLINA NONPROFIT CORPORATIONS). WFUBMC IS THE OVERALL UMBRELLA OPERATING ENTITY AND AS SUCH OPERATES NCBH AND WAKE FOREST UNIVERSITY HEALTH SCIENCES (WHICH IN TURN OPERATES THE WAKE FOREST SCHOOL OF MEDICINE AND IS ALSO REFERRED TO AS "WFUHS") - WHICH ARE THE TWO PRINCIPAL OPERATING COMPONENTS OF WAKE FOREST BAPTIST HEALTH. BECAUSE THE VARIOUS ACTIVITIES DESCRIBED BELOW ARE NOT ALL PERFORMED BY EACH OF THESE ORGANIZATIONS, THE NARRATIVE THAT FOLLOWS WILL INCLUDE DESCRIPTIONS OF ACTIVITIES THAT ARE PERFORMED BY THE FILING ORGANIZATION AND BY A RELATED (OR UNRELATED BUT AFFILIATED) ORGANIZATION; THEY ARE AGAIN PROVIDED TO ILLUSTRATE A COMPLETE PICTURE OF THE FILING ORGANIZATION'S ROLE IN THIS INTEGRATED ACADEMIC MEDICAL CENTER'S COMPREHENSIVE ACTIVITIES. WFBH 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. WFBH OPERATES WAKE FOREST SCHOOL OF MEDICINE, WHICH HAS A FACULTY OF 1,356, INCLUDING PHYSICIANS AND BASIC SCIENTISTS. THE HEALTH SYSTEM HAS 1,535 ACUTE CARE AND REHABILITATION BEDS OPERATIVE ACROSS THE SYSTEM, WHICH ENCOMPASSES ITS MAIN CAMPUS (885 BEDS - AND AT TIMES IS REFERRED TO AS THE "MEDICAL CENTER"), WAKE FOREST BAPTIST HEALTH HIGH POINT MEDICAL CENTER (351 BEDS), WAKE FOREST BAPTIST HEALTH LEXINGTON MEDICAL CENTER (94 BEDS), WAKE FOREST BAPTIST HEALTH DAVIE MEDICAL CENTER (50 BEDS), WAKE FOREST BAPTIST HEALTH WILKES MEDICAL CENTER (130 BEDS) AND ALLEGHANY HEALTH (25 BEDS). OVERALL, WAKE FOREST BAPTIST HEALTH SERVES A 24-COUNTY REGION IN NORTHWESTERN NORTH CAROLINA AND SOUTHWESTERN VIRGINIA AND ALSO DRAWS PATIENTS FROM ACROSS THE NATION FOR SELECT SERVICES. WFBH IS THE DRIVING FORCE BEHIND THE ESTABLISHMENT OF WAKE FOREST 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. HOME TO MORE THAN 90 COMPANIES, FIVE LEADING ACADEMIC INSTITUTIONS, MORE THAN 3,700 WORKERS AND MORE THAN 1,400 STUDENTS AND 8,000 WORKFORCE TRAINEE PARTICIPANTS, THE INNOVATION QUARTER CURRENTLY COMPRISES MORE THAN 2 MILLION SQUARE FEET OF OFFICE, LABORATORY AND EDUCATIONAL SPACE ON ITS MORE THAN 200 DEVELOPABLE ACRES. RESEARCH AWARDS RECEIVED BY WFUHS/WAKE FOREST SCHOOL OF MEDICINE DURING FISCAL 2020 TOTALED MORE THAN $274.8 MILLION, INCLUDING $223 MILLION FROM FEDERAL SOURCES (INCLUDING THE NATIONAL INSTITUTES OF HEALTH AND THE U.S. DEPARTMENT OF DEFENSE), $14 MILLION FROM INDUSTRY SOURCES AND $37.8 MILLION FROM STATE SOURCES. SIGNIFICANT RESEARCH GRANTS DURING THE PERIOD INCLUDED FUNDING FROM THE NATIONAL INSTITUTE ON AGING THAT IS EXPECTED TO TOTAL $90 MILLION OVER SEVEN YEARS FOR A MAJOR STUDY BY THE WAKE FOREST SCHOOL OF MEDICINE AND DUKE UNIVERSITY TO EXAMINE THE OVERALL BENEFITS AND RISKS OF CHOLESTEROL-LOWERING DRUGS KNOWN AS STATINS IN ADULTS AGE 75 OR OLDER WITHOUT CARDIOVASCULAR DISEASE; A SIX-YEAR, $25 MILLION AWARD FROM THE NATIONAL CANCER INSTITUTE'S COMMUNITY ONCOLOGY RESEARCH PROGRAM TO CONTINUE INNOVATIVE CANCER CARE RESEARCH AND BUILD ON WORK THAT BEGAN THROUGH AN $18 MILLION GRANT RECEIVED BY WFUHS IN 2014; A FIVE-YEAR, $25.4 MILLION GRANT AS THE SECOND PART OF A CLINICAL AND TRANSLATIONAL SCIENCE AWARD FROM THE NATIONAL INSTITUTES OF HEALTH TO CONTINUE EFFORTS TO QUICKLY TRANSLATE RESEARCH INTO BETTER CLINICAL CARE; AND A FIVE-YEAR, $24 MILLION PROGRAM OF FUNDING FROM THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES FOR THE WAKE FOREST INSTITUTE FOR REGENERATIVE MEDICINE (A DIVISION OF WFUHS) TO SUPPORT ITS LUNG-ON-A-CHIP TECHNOLOGY AS A MODEL TO DEVELOP CHEMICAL INJURY TREATMENTS. ADDITIONAL NOTABLE FUNDING AWARDS INCLUDED A $6 MILLION AWARD FROM THE NATIONAL CANCER INSTITUTE TO TEST THE EFFECTIVENESS OF A WEB-BASED PAIN MANAGEMENT PROGRAM; A $5.7 MILLION DIABETES RESEARCH CENTER GRANT FROM THE NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES TO THE SCHOOL OF MEDICINE, IN PARTNERSHIP WITH THE UNIVERSITY OF NORTH CAROLINA, DUKE UNIVERSITY AND N.C. A&T STATE UNIVERSITY TO ADVANCE DIABETES RESEARCH BY ENCOURAGING COLLABORATION AMONG INVESTIGATORS FROM RELEVANT DISCIPLINES; A FIVE-YEAR GRANT WORTH APPROXIMATELY $2.97 MILLION FROM THE NATIONAL INSTITUTE OF NURSING RESEARCH TO STUDY THE REASONS FOR ATTRITION IN PEDIATRIC WEIGHT-MANAGEMENT PROGRAMS AND DEVELOP BETTER WAYS TO PREDICT AND REDUCE DROPOUT RATES; A FIVE-YEAR GRANT WORTH APPROXIMATELY $2.53 MILLION FROM THE NATIONAL INSTITUTE ON AGING TO EVALUATE WHETHER A NOVEL BRAIN-IMAGING TECHNIQUE CAN IDENTIFY ALZHEIMER'S DISEASE IN ITS EARLY STAGES; AND A $1.6 MILLION GRANT FROM THE NATIONAL CANCER INSTITUTE TO ALLOW TESTING OF MPATH-CRC, AN IPAD APP THAT ALLOWS PATIENTS TO ORDER A COLON CANCER SCREENING TEST WHILE WAITING AT THE DOCTOR'S OFFICE BEFORE A ROUTINE PRIMARY CARE VISIT. DURING THE SECOND HALF OF FY20, WAKE FOREST BAPTIST HEALTH RESPONDED TO THE COVID-19 PANDEMIC. THE HEALTH SYSTEM INSTITUTED VISITOR RESTRICTIONS, DELAYED NON-ESSENTIAL SURGERIES, PROCEDURES AND APPOINTMENTS, AND RAPIDLY EXPANDED OPTIONS FOR PATIENT TELEHEALTH VISITS BY PHONE AND VIDEO. OTHER STEPS RELATED TO COVID-19 INCLUDED OPENING MORE THAN A DOZEN RESPIRATORY SYMPTOM CLINICS AT EXISTING FAMILY MEDICINE, PRIMARY AND URGENT CARE LOCATIONS THROUGHOUT THE HEALTH SYSTEM; ESTABLISHING A COVID-19 RESPONSE FUND TO GALVANIZE COMMUNITY SUPPORT FOR PATIENTS AND HEALTH CARE WORKERS; PARTICIPATING IN A MASK THE CITY INITIATIVE, A COMMUNITY-WIDE EFFORT TO PRODUCE AND DISTRIBUTE MASKS TO EVERYONE IN WINSTON-SALEM; AND LEADING A COMMUNITY-BASED RESEARCH STUDY OF THE NOVEL CORONAVIRUS WITH PARTNERS JAVARA INC. AND ORACLE. 1. CLINICAL SERVICES WAKE FOREST BAPTIST HEALTH 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. WFBH'S NETWORK INCLUDES THE 167-BED COMPREHENSIVE CANCER CENTER AND THE 144-BED BRENNER CHILDREN'S HOSPITAL, BOTH OF WHICH ARE ON THE MAIN CAMPUS IN WINSTON-SALEM, AS WELL AS COMMUNITY HOSPITALS IN DAVIDSON, DAVIE, GUILFORD AND WILKES COUNTIES. BRENNER CHILDREN'S ALSO INCLUDES THE DALE AND KAREN SISEL NEONATAL INTENSIVE CARE UNIT, WHICH OPENED IN JUNE 2019 WITH 51 ALL-PRIVATE ROOMS. ACROSS ITS SERVICE AREA OF NORTHWEST NORTH CAROLINA AND SOUTHWEST VIRGINIA, WAKE FOREST BAPTIST HEALTH STAFFS 16 EMERGENCY DEPARTMENTS, SIX OF WHICH (NORTH CAROLINA BAPTIST HOSPITAL ADULT, NORTH CAROLINA BAPTIST HOSPITAL PEDIATRIC, LEXINGTON MEDICAL CENTER, WILKES MEDICAL CENTER, DAVIE MEDICAL CENTER AND HIGH POINT MEDICAL CENTER) ARE OWNED BY WAKE FOREST BAPTIST HEALTH, AND THE OTHER 10 OF WHICH ARE WITHIN OTHER HEALTH SYSTEMS; SIX URGENT CARE CENTERS; 76 PRIMARY CARE CLINICS; 269 SPECIALTY CLINICS; AND 18 OUTPATIENT DIALYSIS CENTERS AND ONE FREE-STANDING DIALYSIS ACCESS CENTER. WAKE FOREST BAPTIST HEALTH EMPLOYS 2,755 PHYSICIANS, 4,892 REGISTERED NURSES, AND 918 RESIDENTS AND FELLOWS. IT HAS A TOTAL STAFF OF 17,070 ON THE MEDICAL CENTER CAMPUS IN WINSTON-SALEM AND 20,993 WITHIN THE WAKE FOREST BAPTIST HEALTH SYSTEM. OVERALL IN FISCAL 2020, WAKE FOREST BAPTIST HEALTH HAD 79,368 INPATIENT ADMISSIONS AND OBSERVATION PATIENTS, 218,453 EMERGENCY DEPARTMENT VISITS AND 2,182,647 CLINIC VISITS (AMBULATORY VISITS AND OUTPATIENT DEPARTMENTS). PART III, LINE 4, PROGRAM SERVICE ACCOMPLISHMENTS IN SEPTEMBER 2019, LEXINGTON MEDICAL CENTER OPENED AN EXPANDED, 26,500-SQUARE-FOOT SURGICAL FACILITY. THE $31.5 MILLION STATE-OF-THE-ART FACILITY INCLUDES FOUR FULLY-DIGITAL OPERATING ROOMS TO ACCOMMODATE VARIOUS PROCEDURES AND SPECIALTIES, INCLUDING EAR, NOSE AND THROAT; GYNECOLOGY; OPHTHALMOLOGY; ORTHOPAEDICS AND JOINT REPLACEMENTS; UROLOGY; AND GENERAL SURGERY. IT ALSO INCLUDES A 10-BAY POST-ANESTHESIA CARE UNIT FOR PATIENTS TO RECOVER FROM ANESTHESIA AFTER SURGERY, A UROLOGY PROCEDURE ROOM, A SPACIOUS WAITING AREA FOR FAMILIES AND PRIVATE CONSULTATION ROOMS FOR PHYSICIANS AND FAMILY MEMBERS. IN JANUARY 2020, BRENNER CHILDREN'S HOSPITAL AGAIN RECEIVED VERIFICATION AS A LEVEL I PEDIATRIC TRAUMA CENTER THE HIGHEST LEVEL POSSIBLE BY THE AMERICAN COLLEGE OF SURGEONS, MAINTAINING A VERIFICATION IT HAS HELD SINCE 2011 WHEN BRENNER BECAME THE FIRST LEVEL I PEDIATRIC TRAUMA CENTER IN THE STATE. NEW CLINICS THAT OPENED INCLUDED THE AREA'S FIRST CANCER SURVIVORSHIP CLINIC AT THE COMPREHENSIVE CANCER CENTER, A HIGH-RISK BREAST CANCER CLINIC AT HIGH POINT MEDICAL CENTER'S HAYWORTH CANCER CENTER AND A MOBILE HEALTH CLINIC TO BRING HEALTH CARE DIRECTLY TO UNDERSERVED NEIGHBORHOODS AND SCHOOLS IN FORSYTH COUNTY, IN PARTNERSHIP WITH THE SCHOOL HEALTH ALLIANCE OF FORSYTH COUNTY. 2. OUTREACH WAKE FOREST BAPTIST HEALTH CONTINUES A BROAD-BASED EFFORT TO REACH UNDERSERVED POPULATIONS ACROSS ITS SERVICE AREA. THE MEDICAL CENTER'S ANNUAL COMMUNITY BENEFITS REPORT REFLECTS THIS COMMITMENT. IN FISCAL 2020, THE MEDICAL CENTER PROVIDED $596 MILLION TO SUPPORT THESE AREAS: - CHARITY CARE - COMMUNITY HEALTH OUTREACH - EDUCATION AND RESEARCH - SUBSIDIZED HEALTH COSTS - UNREIMBURSED COSTS OF GOVERNMENT PROGRAMS ONE ANCHOR OF OUTREACH FOR THE 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. ALTOGETHER, 55,925 PATIENT VISITS WERE RECORDED AT THE DOWNTOWN HEALTH PLAZA IN FISCAL 2020, AND ANOTHER 9,647 VISITS WERE RECORDED AT WINSTON EAST PEDIATRICS, A NEARBY WAKE FOREST BAPTIST HEALTH CARE FACILITY SERVING THE UNINSURED AND UNDERINSURED. WAKE FOREST BAPTIST HEALTH'S PROGRAMS AND PARTNERSHIPS REFLECT INNOVATIVE EFFORTS 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; THE MONTHLY GRACE CLINIC AT NEW LIGHT MISSIONARY BAPTIST CHURCH IN WINSTON-SALEM; AND THE ANNUAL SHARE THE HEALTH FAIR AT THE DOWNTOWN HEALTH PLAZA IN WINSTON-SALEM. THESE CLINICS, SPONSORED BY PRIVATE ORGANIZATIONS AND CHURCHES WITH VOLUNTEER ASSISTANCE FROM WAKE FOREST BAPTIST PHYSICIANS, NURSES, MEDICAL STUDENTS AND OTHERS, ATTRACT THOUSANDS OF PEOPLE TO SCREENINGS FOR ACUTE AND CHRONIC CONDITIONS. - WAKE FOREST SCHOOL OF MEDICINE'S PHYSICIAN ASSISTANT (PA) PROGRAM, INCREASING THE NUMBER OF PAS WORKING IN PRIMARY CARE IN NORTH CAROLINA'S RURAL APPALACHIAN COUNTIES THROUGH ITS SECOND CAMPUS AT APPALACHIAN STATE UNIVERSITY IN BOONE. - 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. ONE EXAMPLE OF THIS WORK IS A FAITHHEALTH PROGRAM IN WHICH WORKERS KNOWN AS SUPPORTERS OF HEALTH CONNECT PATIENTS WITH RESOURCES THEY NEED AFTER A HEALTH INCIDENT OR HOSPITALIZATION. THE GOAL IS TO HELP THESE PATIENTS AVOID READMISSION, IN PARTICULAR TO THE EMERGENCY DEPARTMENT. 3. EDUCATIONAL MISSION AND ACCOMPLISHMENTS THE CONSTITUENT ORGANIZATIONS OF WAKE FOREST BAPTIST HEALTH OPERATE A BROAD RANGE OF EDUCATIONAL PROGRAMS, GRADUATING SKILLED PRACTITIONERS. WFBH ATTRACTS 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 AUGUST 2019, WAKE FOREST SCHOOL OF MEDICINE WELCOMED THE LARGEST CLASS OF MD STUDENTS IN ITS HISTORY. IT INCLUDED 145 MD STUDENTS, WITH 74 WOMEN AND 71 MEN CHOSEN FROM 10,703 APPLICANTS. WAKE FOREST UNIVERSITY AND PEARSON ONLINE LEARNING SERVICES LAUNCHED TWO NEW MASTER'S GRADUATE DEGREE PROGRAMS, HEALTHCARE LEADERSHIP AND CLINICAL RESEARCH MANAGEMENT, TO BE OFFERED THROUGH THE SCHOOL OF MEDICINE. THE PROGRAMS FOCUS ON LEADERSHIP SKILLS THAT WILL ALLOW GRADUATES TO BE TRANSFORMATIONAL LEADERS FOR THE FUTURE OF HEALTH CARE AND CLINICAL RESEARCH. IN NATIONAL RANKINGS ISSUED BY U.S. NEWS & WORLD REPORT, WAKE FOREST SCHOOL OF MEDICINE'S PHYSICIAN ASSISTANT PROGRAM, WHICH CELEBRATED ITS 50TH ANNIVERSARY IN 2019, REMAINED NO. 7 AND THE NURSE ANESTHESIA PROGRAM REMAINED NO. 10. IN THE MOST RECENT REPORTING PERIOD, FISCAL 2019, WAKE FOREST BAPTIST HEALTH INVESTED $112.1 MILLION IN EDUCATION FOR TOMORROW'S HEALTH CARE AND BIOMEDICAL LEADERS AND IN RESEARCH FUNDING NOT COVERED BY OUTSIDE SOURCES. SUCH INVESTMENTS SUPPORT THE TRAINING OF HUNDREDS OF STUDENTS. IN FISCAL 2020, THOSE INCLUDED 580 MD STUDENTS, 918 PHYSICIAN RESIDENTS AND FELLOWS, 342 GRADUATE STUDENTS, 175 PHYSICIAN ASSISTANTS, 47 NURSE ANESTHESIA STUDENTS, 21 DOCTOR OF NURSING PRACTICE STUDENTS, 22 PASTORAL CARE CHAPLAIN RESIDENTS AND INTERNS, AND 58 STUDENTS IN THE VIRGINIA TECH WAKE FOREST UNIVERSITY SCHOOL OF BIOMEDICAL ENGINEERING AND SCIENCES. IN ADDITION, THE NORTHWEST AREA HEALTH EDUCATION CENTER, PART OF WAKE FOREST SCHOOL OF MEDICINE, OFFERED MORE THAN 2,100 CONTINUING PROFESSIONAL DEVELOPMENT ACTIVITIES FOR PRACTICING HEALTH CARE PROFESSIONALS THAT DREW 41,092 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 FISCAL YEAR ENDED JUNE 30, 2020 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 NORTH CAROLINA BAPTIST HOSPITAL (NCBH), CARENET, INC., NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION, CLEMMONS MEDICAL PARK, LLC, AND WAKE WELLQ, LLC. 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, WERE BOARD MEMBERS OF MEDCOST BENEFIT SERVICES. FORM 990, PART VI, SECTION A, LINE 3 EFFECTIVE JULY 1, 2010, THE GOVERNING BOARDS OF FOUR NORTH CAROLINA NONPROFIT CORPORATIONS (WAKE FOREST UNIVERSITY, NORTH CAROLINA BAPTIST HOSPITAL, WAKE FOREST UNIVERSITY HEALTH SCIENCES, AND WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER) ENTERED INTO AN AGREEMENT (THE "MEDICAL CENTER INTEGRATION AGREEMENT OR "MCIA") UNDER WHICH THE OPERATION OF EACH OF NORTH CAROLINA BAPTIST HOSPITAL ("NCBH") AND WAKE FOREST UNIVERSITY HEALTH SCIENCES ("WFUHS") WAS DELEGATED TO WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER ("WFUBMC"). WFUHS IS A WHOLLY-CONTROLLED SUBSIDIARY ENTITY OF WAKE FOREST UNIVERSITY ("WFU"). WFUBMC IS A MEMBERSHIP NONPROFIT CORPORATION WHOSE TWO EQUAL MEMBERS ARE NCBH (WHICH ENTITY IS UNRELATED TO WFUHS AND WFU) AND WFU. THE GOAL IS CONSOLIDATION OF MANAGEMENT AND GOVERNANCE IN WFUBMC OF THE VARIOUS ACADEMIC MEDICAL CENTER OPERATIONS, SUBJECT TO SUBSTANTIAL MEMBER RESERVED POWERS. THE MCIA WAS AMENDED AND RESTATED ON JULY 1, 2015, JULY 1, 2017, JUNE 6, 2018, AND FEBRUARY 1, 2019. FORM 990, PART VI, SECTION B, LINE 11B THE FILING ORGANIZATION'S BOARD OF TRUSTEES RECEIVE A COPY OF THE FORM 990 WITH SUFFICIENT TIME TO PERMIT REVIEW, COMMENT, AND POSE QUESTIONS PRIOR TO ITS FILING. THE AUDIT AND COMPLIANCE COMMITTEE OF THE GOVERNING BOARD OF WFUBMC, COMPRISED OF THE AUDIT AND COMPLIANCE COMMITTEES OF WFUHS AND NCBH, REVIEW IN ADDITIONAL DETAIL THE FILING ORGANIZATION'S FORM 990 WITH THE ORGANIZATION'S CHIEF FINANCIAL OFFICER OR HIS DESIGNEE, WHO ANSWERS QUESTIONS AND ADDRESSES CONCERNS RAISED BY SUCH COMMITTEE MEMBERS OR OTHER FILING ORGANIZATION DIRECTORS. IF MODIFICATIONS ARE REQUIRED FOLLOWING SUCH REVIEW AND COMMENT, THE REVISED FORM 990 IS REDISTRIBUTED TO ALL BOARD MEMBERS PRIOR TO ITS FILING WITH THE IRS, ALONG WITH A REPORT NOTING THE MODIFICATIONS. FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS (AND AS THEY ARISE), ALL TRUSTEES AND OFFICERS OF THE FILING ORGANIZATION ARE ASKED TO REVIEW THE APPLICABLE CONFLICTS OF INTEREST POLICY AND TO DESCRIBE ANY POTENTIAL CONFLICTS OF INTEREST THEY MAY HAVE. UPON COMPLETION OF THE CONFLICTS OF INTEREST SURVEY, THE LEGAL DEPARTMENT REVIEWS THE COMPLETED QUESTIONNAIRES ON BEHALF OF THE FILING ORGANIZATION. ANY CONFLICTS IDENTIFIED ARE COMMUNICATED TO THE FILING ORGANIZATION'S CHAIRMAN OF THE BOARD AND ARE PRESENTED TO THE MEDICAL CENTER GOVERNANCE AND COMPENSATION COMMITTEE. ALL CONFLICTS OF INTEREST ARE RESOLVED BY MANAGEMENT PLANS DEVELOPED BY THE MEDICAL CENTER GOVERNANCE AND COMPENSATION COMMITTEE AND THE INTERNAL AUDIT AND COMPLIANCE OFFICES. THE MEDICAL CENTER GOVERNANCE AND COMPENSATION COMMITTEE'S CHAIR PRESENTS AN ANNUAL REPORT ON CONFLICTS TO THE FULL BOARD OF THE FILING ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 15 THE GOVERNANCE AND COMPENSATION COMMITTEE OF WFUBMC FUNCTIONS AS THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES AND PURSUANT TO A DELEGATION BY THE FILING ORGANIZATION, REVIEWS AND APPROVES THE APPOINTMENT AND COMPENSATION OF THE SENIOR EXECUTIVES OF THE FILING ORGANIZATION. NO MEMBER OF THE WFUBMC GOVERNANCE AND COMPENSATION COMMITTEE IS AN EMPLOYEE OF WFUBMC. THE GOVERNANCE AND COMPENSATION COMMITTEE RELIES UPON AN EXTERNAL, INDEPENDENT COMPENSATION CONSULTANT EXPERIENCED IN HEALTHCARE TO PROVIDE THE COMMITTEE WITH COMPENSATION COMPARABILITY DATA FOR NEW EXECUTIVE POSITION APPOINTMENTS AND FOR COMPENSATION REVIEWS FOR EXISTING EXECUTIVES. THE CONSULTANT, WHICH IS RETAINED DIRECTLY BY THE GOVERNANCE AND COMPENSATION COMMITTEE, PROVIDES THIRD-PARTY INFORMATION AND EVALUATES THE COMPETITIVENESS AND REASONABLENESS OF EXECUTIVE COMPENSATION AND BENEFITS PROGRAMS IN RELATION TO MARKET PRACTICES FOR SIMILARLY-SITUATED NONPROFIT HEALTHCARE ORGANIZATIONS. THE COMMITTEE MAKES ITS DECISIONS WITH RESPECT TO EXECUTIVE COMPENSATION IN ACCORDANCE WITH THE FILING ORGANIZATION'S POLICIES, IRS REGULATIONS, AND STANDARD CORPORATE GOVERNANCE PRACTICES. SUCH POLICIES INCLUDE ADHERENCE TO: BOARD-ESTABLISHED EXECUTIVE COMPENSATION PHILOSOPHY AND REVIEW PROCESSES; PROCESSES ENSURING GOVERNANCE AND COMPENSATION COMMITTEE MEMBER AND COMPENSATION CONSULTANT INDEPENDENCE; USE OF VALID MARKET COMPARISONS OF DATA FROM PEER ACADEMIC MEDICAL CENTERS OF SIMILAR 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 GOVERNANCE AND COMPENSATION COMMITTEE ARE CONTEMPORANEOUSLY MAINTAINED AND THAT COMPARABILITY DATA IS MAINTAINED IN THE MEDICAL CENTER'S OFFICE OF EXECUTIVE COMPENSATION SERVICES. IN THE EVENT THAT A MEMBER OF THE GOVERNANCE AND COMPENSATION COMMITTEE HAS A CONFLICT OF INTEREST RELATED TO EXECUTIVE APPOINTMENT OR COMPENSATION, THAT MEMBER DOES NOT PARTICIPATE IN THE DELIBERATION OR APPROVAL OF APPOINTMENT OR COMPENSATION AND SUCH ABSTENTION IS NOTED IN THE COMMITTEE'S MEETING MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE TO THE PUBLIC ON REQUEST AND ARE AVAILABLE ON THE WEBSITE OF THE NORTH CAROLINA SECRETARY OF STATE. THE ORGANIZATION'S BYLAWS ARE NOT PUBLISHED, BUT PROVISIONS FROM THE BYLAWS ARE INCLUDED AS NECESSARY IN THE ORGANIZATION'S POLICIES, AND ARE ATTACHED TO THE FORM 1023 FILED FOR THE ORGANIZATION WITH THE IRS, WHICH IS PUBLICLY AVAILABLE. THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE 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 15.0 SHEREE B. WATSON FILING ORG 2.0 RELATED ORG 6.0 EDWIN L. WELCH, JR. FILING ORG 2.0 RELATED ORG 7.0 GEORGE D. RENFRO FILING ORG 2.0 RELATED ORG 4.0 JULIE A. FREISCHLAG, M.D. FILING ORG 15.6 RELATED ORG 5.0 UNRELATED ORG 19.4 J. MCLAIN WALLACE, JR. FILING ORG 12.8 RELATED ORG 8.0 UNRELATED ORG 19.2 KAREN H. HUEY FILING ORG 30.9 RELATED ORG 5.0 UNRELATED ORG 4.1 LISA M. MARSHALL FILING ORG 5.0 RELATED ORG 20.0 UNRELATED ORG 15.0 BRADLEY A. CLARK FILING ORG 13.0 RELATED ORG 8.0 UNRELATED ORG 19.0 TERRY G. WILLIAMS FILING ORG 20.8 RELATED ORG 6.0 UNRELATED ORG 13.2 KEVIN HIGH, M.D. FILING ORG 28.5 RELATED ORG 6.0 UNRELATED ORG 5.5 LILICIA P. BAILEY FILING ORG 34.6 RELATED ORG 5.0 UNRELATED ORG 0.4 WILLIAM SHOWALTER FILING ORG 23.0 RELATED ORG 5.0 UNRELATED ORG 12.0 MICHAEL T. WAID FILING ORG 35.5 UNRELATED ORG 4.5 CATHLEEN WHEATLEY FILING ORG 38.4 UNRELATED ORG 1.6 VIJAYA GANDLA, MD UNRELATED ORG 40.0 CONRAD EMMERICH FILING ORG 31.8 UNRELATED ORG 8.2 TODD BANKHEAD FILING ORG 39.5 UNRELATED ORG 0.5 JOHN D. MCCONNELL, MD RELATED ORG 40.0 WAKE FOREST UNIVERSITY HEALTH SCIENCES IS AN ORGANIZATION UNRELATED TO THE FILING ORGANIZATION AND THE INFORMATION CONCERNING HOURS DEVOTED TO IT ARE NOT REQUIRED TO BE REPORTED, BUT THOSE HOURS ARE INCLUDED BECAUSE OF THE STRUCTURE OF WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER, OF WHICH THE FILING ORGANIZATION AND WAKE FOREST UNIVERSITY HEALTH SCIENCES ARE PRINCIPAL PARTS. THE CORPORATE OFFICERS OF THE MEDICAL CENTER ALSO SERVE AS THE CORPORATE OFFICERS OF NORTH CAROLINA BAPTIST HOSPITAL AND WAKE FOREST UNIVERSITY HEALTH SCIENCES. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 64,888,195. MANAGEMENT AND GENERAL EXPENSES 10,704,190. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 75,592,385. MCIA: PROGRAM SERVICE EXPENSES 231,419,210. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 231,419,210. FORM 990, PART XI, LINE 9: ACTUARY GAINS /(LOSSES) -32,885,974. AFFILIATE GAINS/( LOSSES) 32,027,190. CLEMMONS MEDICAL PARK LLC MEDICAL CENTER BLVD WINSTON SALEM NC 27157 800870210 REAL ESTATE HOLDING COMPANY NC 827212 30562526 NORTH CAROLINA BAPTIST HOSPITAL WAKE WELLQ LLC MEDICAL CENTER BLVD WINSTON SALEM NC 27157 824319168 HEALTHCARE NC 116305 14138 CARENET INC NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION MEDICAL CENTER BLVD WINSTON SALEM NC 27157 561685120 SUPPORTING ORGANIZATION NC 501(C)(3) LINE 12A, I NORTH CAROLINA BAPTIST HOSPITAL 1 THE REHABILITATION & SKILLED NURSING MEDICAL CENTER BLVD WINSTON SALEM NC 27157 561826396 HEALTHCARE (INACTIVE) NC 501(C)(3) LINE 10 NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION 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 1 WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER MEDICAL CENTER BLVD WINSTON SALEM NC 27157 510190238 HEALTHCARE NC 501(C)(3) LINE 12A, I N/A 0 MEDICAL FND OF WFUHS & NCBH MEDICAL CENTER BLVD WINSTON SALEM NC 27157 566036688 SUPPORTING ORGANIZATION NC 501(C)(3) LINE 12A, I N/A 0 CORNERSTONE HEALTH ENABLEMENT STRATEGIC SOLUTIONS LLC 1701 WESTCHESTER DRIVE STE 850 HIGH POINT NC 27262 461314057 MGMT & TRANSFORM. SVC. - MEDICAL ORGS NC NORTH CAROLINA BAPTIST HOSPITAL UNRELATED 0 0 0 1 1 0 0 0 0 0 0 1 1 0 1 1 1 1 1 0 1 CARENET INC B 38000 COST NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION Q 966446 COST NORTH CAROLINA BAPTIST HOSPITAL FOUNDATION C 645236 COST CARENET INC Q 312983 COST CLEMMONS MEDICAL PARK LLC K 933649 FMV