2021-05-14T08:34:40-05:00 2020-06-30 990 2019-07-01 830343789 WRMC HOSPITAL OPERATING CORPORATION WRMC 3367164445 PO BOX 609 NORTH WILKESBORO NC 28659 BRADLEY A CLARK TREASURER 3367164445 2021-04-30 2019 2022-09-23 18:48:47Z WILKES MEDICAL CENTER CHAD BROWN PO BOX 609 NORTH WILKESBORO NC 28659 94145986 0 X WWW.WAKEHEALTH.EDU/LOCATIONS/HOSPITALS/WILKES-MED X 1 1996 NC TO PROVIDE EFFECTIVE, COMPASSIONATE MEDICAL CARE TO PROMOTE HEALTHY LIFESTYLES FOR OUR COMMUNITY. 8 2 0 56 0 0 128423 11277618 78868059 82036253 309327 475365 541160 353288 79846969 94142524 577764 1180041 0 0 42895348 46725153 0 0 0 40578283 42489875 84051395 90395069 -4204426 3747455 124862287 126057137 72858426 72052433 52003861 54004704 X WRMC HOSPITAL OPERATING CORPORATION (DBA WILKES MEDICAL CENTER, AT TIMES ALSO REFERRED TO AS THE "HOSPITAL OR "WRMC 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 83824074 1180041 82036253 WILKES MEDICAL CENTER 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 WAKE FOREST BAPTIST HEALTH SPECIALTY SERVICES AT ITS NORTH WILKESBORO CAMPUS, INCLUDING CARDIOLOGY, IMAGING, ENT, GASTROENTEROLOGY, NEPHROLOGY, NEUROLOGY, OB/GYN, OPHTHALMOLOGY, PATHOLOGY, PEDIATRICS, ORTHOPEDICS, AND UROLOGY. WILKES MEDICAL CENTER (WRMC) IS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS. THE SEAL OF ACCREDITATION IS ACCEPTED NATIONWIDE AS THE HIGHEST STANDARDS OF MEDICAL CARE IN PERSONNEL, EQUIPMENT AND ORGANIZATION. DURING FISCAL YEAR 2020, THE HOSPITAL FACILITY HAD 11,245 PATIENT DAYS, WITH 2,876 INPATIENT ADMISSIONS, AND 27,937 EMERGENCY ROOM VISITS. AS PART OF WAKE FOREST BAPTIST HEALTH, WRMC'S VISION IS A PREEMINENT LEARNING SYSTEM THAT PROMOTES BETTER HEALTH FOR ALL THROUGH COLLABORATION, EXCELLENCE, AND INNOVATION.THE HOSPITAL'S VALUES ARE AS FOLLOWS:-EXCELLENCE: DEMONSTRATE THE HIGHEST STANDARDS OF PATIENT-CENTERED CARE, EDUCATION, RESEARCH AND OPERATIONAL EFFECTIVENESS-COMPASSION: RESPONSIVE TO THE PHYSICAL, EMOTIONAL, SPIRITUAL AND INTELLECTUAL NEEDS OF ALL-SERVICE: CULTIVATE SELFLESS CONTRIBUTION FOR THE GREATER GOOD-INTEGRITY: DEMONSTRATE FAIRNESS, HONESTY, SINCERITY AND ACCOUNTABILITY-DIVERSITY: HONOR INDIVIDUALITY AND PROTECT THE DIGNITY OF ALL-COLLEGIALITY: FOSTER MUTUAL RESPECT, FACILITATE PROFESSIONAL GROWTH AND MENTORSHIP, AND REWARD TEAMWORK AND COLLABORATION-INNOVATION: PROMOTE CREATIVITY TO ENHANCE DISCOVERY AND THE APPLICATION OF KNOWLEDGE, AND-SAFETY: EMBRACE CULTURE OF RELIABILITY THROUGH BETTER PROCESS DESIGN & ACCOUNTABILITY.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 COMMUNITY-WIDE EFFORT TO PRODUCE AND DISTRIBUTE MASKS; AND LEADING A COMMUNITY-BASED RESEARCH STUDY OF THE NOVEL CORONAVIRUS WITH PARTNERS JAVARA INC. AND ORACLE. 83824074 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 39 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 8 2 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X ERIN KOEWING 3367164445 MEDICAL CENTER BOULEVARD WINSTONSALEM NC 27157 BRADLEY A CLARK BOARD MEMBER, TREASURER 0.80 39.20 X X 0 947093 237452 J MCLAIN WALLACE JR SECRETARY 0.80 39.20 X 0 787541 162746 CATHLEEN WHEATLEY BOARD MEMBER 0.80 39.20 X 0 761846 167063 MICHAEL T WAID BOARD MEMBER 1.10 38.90 X 0 626394 141844 JON THOMPSON MD BOARD MEMBER 1.00 39.00 X 0 569209 50221 J GENE FAILE FORMER BOARD & OFF (1/31/19) 0.00 0.00 X 0 409203 3581 JENA FOLGER BOARD MEMBER 1.00 39.00 X 0 345217 62908 CHAD BROWN BOARD MEMBER, PRESIDENT 20.00 20.00 X X 0 320958 78060 JASON YOCKEY CRNA 40.00 0.00 X 0 201277 37357 BARRY WALD ASST TREASURER 20.00 20.00 X 0 191975 31233 JOHN RIEDEL JR CRNA 40.00 0.00 X 0 182690 35599 KEVIN HANSEN CRNA 40.00 0.00 X 0 181424 36849 HEATHER D GOODWYN CRNA 40.00 0.00 X 0 182544 31595 WILLIAM SHEW CRNA 40.00 0.00 X 0 183686 19941 LORI MCNEIL ASST SECRETARY 40.00 0.00 X 0 41942 24285 HAYES CALVERT MD BOARD MEMBER 1.00 39.00 X 0 0 0 JAMES HOEKSTRA MD BOARD MEMBER (TO 8/27/19) 1.00 39.00 X 0 0 0 KEVIN HIGH MD CHAIR 1.00 39.00 X X 0 0 0 0 5932999 1120734 0 1 1 0 SODEXO INC AND AFFILIATES PO BOX 536922 ATLANTA GA 303536922 CONTRACT SERVICES 1566064 CHG COMPANIES INC 7259 S BINGHAM JUNCTION BLVD MIDVALE UT 84047 STAFFING/RECRUITING SERVICES 769915 ADVANCED ICU CARE INC 1 CITY PLACE DRIVE SUITE 570 ST LOUIS MO 63141 TELEHEALTH SERVICES 427775 AUREUS 13609 CALIFORNIA ST OMAHA NE 68154 STAFFING/RECRUITING SERVICES 369434 DIVERSIFIED CLINICAL SERVICES INC PO BOX 636981 CINCINNATI OH 452636981 HEALTH CARE SERVCES 319948 11 11133037 144581 11277618 PATIENT SERVICE REVENUE 621990 81826034 81826034 DIETARY 722210 210219 210219 82036253 331761 331761 337475 0 337475 337475 337475 147066 0 3462 147066 -3462 143604 143604 OTHER 621110 15813 15813 15813 94142524 82036253 0 828653 1179292 1179292 749 749 690256 633625 56631 36446392 33514606 2931786 1129656 1029506 100150 6363497 5799337 564160 2095352 1909587 185765 396474 314095 82379 14301 11330 2971 7506 7506 179441 142157 37284 8821318 7348148 1473170 231516 187774 43742 241925 196216 45709 2541207 2061079 480128 74800 60944 13856 72376 59927 12449 884107 828043 56064 3479358 3169368 309990 299919 299919 BAD DEBT 11541956 11541956 MEDICAL SUPPLIES 10711791 10711791 PROVIDER ASSESSMENT TAX 2066910 2066910 OTHER SUPPLIES 924970 750209 174761 90395069 83824074 6570995 0 10711161 8392229 8211078 7890164 2403996 2049893 1388288 1396706 58224857 10631959 44486028 47592898 15069840 15671035 2549320 2504919 40042576 40042575 0 516718 124862287 126057137 5113041 4345858 21800041 21664147 45945344 46042428 72858426 72052433 X 52003861 54004704 52003861 54004704 124862287 126057137 X 3747455 118815 -1865427 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 0 PART II-B, LINE 1: THE ORGANIZATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE NORTH CAROLINA HEALTHCARE ASSOCIATION (NCHA). A PORTION OF THE MEMBERSHIP DUES PAID ARE ALLOCATED TO LOBBYING EFFORTS BY THOSE ORGANIZATIONS ON BEHALF OF THEIR MEMBERSHIP BODIES. 120000 120000 951352 191340 760012 3004343 1039789 1964554 11431481 5267460 6164021 42717681 4133370 38584311 47592898 ESTIMATED THIRD PARTY SETTLEMENTS 956302 NET PENSION OBLIGATION 5515199 INTERCOMPANY PAYABLE 38908682 RESERVES 145527 OPERATING LEASE PAYABLE 516718 46042428 X 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 JOINT VENTURES. THIS EVALUATION DID NOT HAVE A MATERIAL EFFECT ON THE ORGANIZATION'S FINANCIAL STATEMENTS FOR THE YEARS ENDED JUNE 30, 2020 AND 2019. 1 1 1 X 300.000000000000 1 X 1 1 1 0 1 1 1628172 0 1628172 0.02060 12582615 11466373 1116242 0.01420 1410599 1195637 214962 0.00270 15621386 12662010 2959376 0.03750 105448 0 105448 0.00130 1179292 0 1179292 0.01500 1284740 1284740 0.01630 16906126 12662010 4244116 0.05380 1 2990154 25351218 34762571 -9411353 X 1 1 1 1 WILKES MEDICAL CENTER 1370 W D STREET NORTH WILKESBORO NC 28659 WILKESREGIONAL.COM H0153 X X X WILKES MEDICAL CENTER 1 0 0 1 X X X X X X X X X 18 1 0 1 1 X SEE PART V, PAGE 8 X 1 19 1 SEE PART V, PAGE 8 0 1 X 300.000000000000 300.000000000000 X X X X X 1 1 X X X 1 X HTTPS://WWW.WAKEHEALTH.EDU/PATIENT-AND-FAMILY-RESOURCES/BILLING-AND-INSURAN X HTTPS://WWW.WAKEHEALTH.EDU/PATIENT-AND-FAMILY-RESOURCES/BILLING-AND-INSURAN X HTTPS://WWW.WAKEHEALTH.EDU/PATIENT-AND-FAMILY-RESOURCES/BILLING-AND-INSURAN X X X X X X X 1 X 0 X X X X 1 X 0 0 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 WILKES MEDICAL CENTER. 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). WILKES MEDICAL CENTER PART V, SECTION B, LINE 7D: N/APART V, SECTION B, LINE 7A:HTTPS://WWW.WAKEHEALTH.EDU/ABOUT-US/SERVING-OUR-COMMUNITIES/NEEDS-ASSESSMENTS-AND-IMPLEMENTATION-REPORTSPART V, SECTION B, LINE 10A:HTTPS://WWW.WAKEHEALTH.EDU/ABOUT-US/SERVING-OUR-COMMUNITIES/NEEDS-ASSESSMENTS-AND-IMPLEMENTATION-REPORTS 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. WILKES MEDICAL CENTER (WRMC) PRIORITIZED THE FOLLOWING FIVE SIGNIFICANT HEALTH NEEDS BASED ON THE 2018 WILKES COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT AND WAKE FOREST BAPTIST HEALTH 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. WRMC PLANS TO PROVIDE COMMUNITY BENEFIT PROGRAMS RESPONSIVE TO THOSE HEALTH NEEDS THROUGH ITS APPROVED CHNA IMPLEMENTATION STRATEGY. THE WRMC 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, WAKE FOREST BAPTIST HEALTH'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 & PREVENTIONWRMC 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 & CESSATIONWRMC 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 WRMC'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 DEPENDENCYWRMC 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 WRMC THROUGH 1.) INCORPORATING ADDICTION MEDICINE INTO THE INPATIENT CARE PRACTICE AT WRMC, AND 2.) GROWING AWARENESS OF CARENET'S (AN AFFILIATE OF WAKE FOREST BAPTIST HEALTH) COUNSELING AND SUPPORT SERVICES AVAILABLE AT WRMC 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 WRMC, AND 3.) PROVIDING PRESCRIPTION MEDICATION DISPOSAL BINS AT WRMC. 5. MATERNAL & CHILD HEALTHWMRC 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 WRMC, 4.) PURSUING SPONSORSHIP OF CHILD CAR SAFETY EVENT, AND 5.) ENCOURAGING MOTHERS AND MOTHERS-TO-BE TO ATTEND WAKE FOREST BAPTIST HEALTH 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. 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. WILKES MEDICAL CENTER PART V, SECTION B, LINE 16J: IN ADDITION TO THE METHODS PREVIOUSLY DESCRIBED, WILKES MEDICAL CENTER 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. 4 1 - DIAGNOSTIC IMAGING - WILKES 1900 WEST PARK DRIVE NORTH WILKESBORO NC 28659 DIAGNOSTIC IMAGING CENTER 2 - CARDIAC PULMONARY REHAB - WILKES 1370 WEST D STREET NORTH WILKESBORO NC 28659 CARDIAC REHAB 3 - WOUND CARE CENTER - WILKES 1900 WEST PARK DRIVE SUITE C NORTH WILKESBORO NC 28659 WOUND CARE 4 - HEMATOLOGY & ONCOLOGY - WILKES 1370 WEST D STREET NORTH WILKESBORO NC 28659 HEMATOLOGY & ONCOLOGY 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 PATIENT SERVICE REVENUE OF PRIVATE HOSPITALS. THE FEDERAL GOVERNMENT MATCHES THE ASSESSMENT AT A RATE OF 2 TO 1 AND THESE AMOUNTS ARE ALLOCATED TO NORTH CAROLINA HOSPITALS QUARTERLY. 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 $11,534,064 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: WILKES MEDICAL CENTER IS COMMITTED TO IMPROVING THE HEALTH OF THE INDIGENT AND MEDICALLY UNDERSERVED IN WILKES COUNTY AND SURROUNDING AREAS. SINCE FY2018, THE FILING ORGANIZATION HAS BEEN A SUBSIDIARY ORGANIZATION OF WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER AND AN AFFILIATE OF WAKE FOREST BAPTIST HEALTH, ENSURING PATIENTS INCREASED ACCESS TO THE EXPERTISE OF AN ACADEMIC MEDICAL CENTER, INCLUDING PHYSICIANS WHO ARE AMONG THE TOP LEADERS IN THEIR FIELD AND THE LATEST IN PATIENT CARE AND RESEARCH. THE ORGANIZATION IS INVOLVED IN THE COMMUNITY THROUGH INITIATIVES SUCH AS THE WILKES HEALTH ACTION TEAM (WHAT), WHICH IS A COLLABORATION OF COMMUNITY LEADERS AND STAKEHOLDERS FOCUSING ON COLLECTIVE IMPACT. WMC IS ALSO REPRESENTED IN A CORE TEAM WORKING WITH THE DUKE ENDOWMENT ON A GRANT FOR "HEALTHY PEOPLE, HEALTHY CAROLINAS"(HPHC). THE MEDICAL CENTER HOSTS FREE CLASSES AND COOKING DEMONSTRATIONS THROUGH ITS BESTHEALTH PROGRAM. WILKES MEDICAL CENTER PARTNERS WITH OTHER AGENCIES THROUGHOUT THE COMMUNITY TO CONTINUE TO IMPROVE HEALTH. AGENCIES INCLUDE WILKES COUNTY BOARD OF HEALTH, WILKES HEALTH CENTER (FQHC), WILKES MEDICAL CENTER FOUNDATION, AND THE WILKES YMCA. 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, 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 ANY LEVEL OF 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 THREE TO FOUR 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. WRMC PARTNERED WITH WILKES COUNTY HEALTH DEPARTMENT, HEALTH FOUNDATION, INC., PUBLIC HEALTH CONSULTANTS AND LOCAL STAKEHOLDERS AS A HEALTH COALITION TO DETERMINE HEALTH CARE NEEDS IN THE COMMUNITY. ONCE THE COMMUNITY HEALTH NEEDS WERE IDENTIFIED, A CHNA ADVISORY TEAM ADOPTED A CONDENSED VERSION OF THE "HANLON METHOD", AS REFERENCED IN THE COMMUNITY HEALTH ASSESSMENT GUIDE BOOK, TO CREATE A PRIORITIZATION BALLOT FOR THE CHNA PRIORITIZATION MEETING. THE ADVISORY TEAM HOSTED THIS MEETING WITH 92 STAKEHOLDERS AND COMMUNITY MEMBERS PRESENT. THE PRIORITIZATION PROCESS IDENTIFIED FIVE TOP PRIORITY HEALTH CHALLENGES FOR THE COMMUNITY.FROM THIS COUNTY-WIDE CHNA PROCESS, AND ALIGNING WITH THE WAKE FOREST BAPTIST HEALTH SIGNIFICANT HEALTH PRIORITIES, THE HOSPITAL PRIORITIZED FIVE SIGNIFICANT HEALTH NEEDS AND DEVELOPED AN IMPLEMENTATION STRATEGY TO IDENTIFY THE MEANS THROUGH WHICH IT PLANS TO ADDRESS THOSE NEEDS THAT ARE CONSISTENT WITH THE CHARITABLE MISSION AS PART OF ITS COMMUNITY BENEFIT PROGRAMS FOR FISCAL YEARS 2020-2022. BEYOND THE PROGRAMS THAT WILL BE ADDRESSED IN THE IMPLEMENTATION STRATEGY, THE HOSPITAL WILL CONTINUE TO ADDRESS MANY OF THE PRIORITIES BY PROVIDING CARE TO ALL, REGARDLESS OF THE ABILITY TO PAY. PART VI, LINE 3: THE ORGANIZATION USES A VARIETY OF MEANS TO EDUCATE AND INFORM PATIENTS OF THEIR CHARITY CARE OPTIONS, INCLUDING INFORMATION ON A WEBSITE, PAMPHLETS, CONSPICUOUSLY DISPLAYED SIGNAGE, INFORMATION ON PATIENT BILL STATEMENTS, AND FROM STAFF MEMBERS DURING CONVERSATIONS CONCERNING A PATIENT'S LIABILITY FOR SERVICES. THE HOSPITAL EMPLOYS A PRE-SERVICE FINANCIAL CLEARANCE PROCESS THAT SCREENS PATIENTS PRIOR TO SERVICE DELIVERY FOR EXISTING OR AVAILABLE PAYER SOURCES AS A MEANS OF AVOIDING BAD DEBT AND INAPPROPRIATE BILLING TO PATIENTS WITHOUT THE MEANS TO PAY. IF A PAYER SOURCE IS IDENTIFIED, HOSPITAL STAFF WILL ASSIST THE PATIENT WITH ENROLLMENT. PART VI, LINE 4: THE HOSPITAL'S PRIMARY SERVICE AREA IS WILKES COUNTY AND ALSO INCLUDES THE SURROUNDING COUNTIES OF ALLEGHANY, ALEXANDER, ASHE, CALDWELL, IREDELL, SURRY, AND WATAUGA.WILKES COUNTY IS LOCATED ON THE EASTERN SLOPE OF THE BLUE RIDGE MOUNTAINS, A PART OF THE APPALACHIAN MOUNTAIN CHAIN IN THE PIEDMONT AND MOUNTAIN REGIONS OF NORTH CAROLINA. THE COUNTY COVERS 757 SQUARE MILES WITH A POPULATION OF APPROXIMATELY 69,000. THE NEAREST METROPOLITAN AREAS IS WINSTON-SALEM, LOCATED 40 MILES TO THE EAST. THERE ARE TWENTY ONE TOWNSHIPS IN WILKES COUNTY. REDDIES RIVER AND WILKESBORO ARE THE LARGEST TOWNSHIPS WITH 11,075 AND 10,542 RESIDENTS RESPECTIVELY. A COMPARISON OF WILKES COUNTY AND NORTH CAROLINA REVEALS MEDIAN HOUSEHOLD INCOME AND MEDIAN HOUSE VALUE ARE BELOW STATE AVERAGES. THE MEDIAN HOUSEHOLD INCOME FOR WILKES COUNTY RESIDENTS IS APPROXIMATELY $34,846, WHICH IS WELL BELOW THE STATE AVERAGE OF $48,256. THE WILKES COUNTY UNEMPLOYMENT RATE AS REPORTED IN JUNE 2017 WAS 4.3%, WHICH IS SLIGHTLY LOWER THAN THE STATE RATE OF 4.6%.THE FOLLOWING DEMOGRAPHIC FIGURES REFLECT THE POPULATION FOR WILKES COUNTY: - 51% FEMALE, 49% MALE - BELOW 20 YEARS: 23.3% - AGE 65 AND OLDER: 19.8%THE POPULATION OF WILKES COUNTY IS LESS DIVERSE THAN THE POPULATION OF NORTH CAROLINA AS A WHOLE. THE COUNTY POPULATION BREAKDOWN BY RACE BASED ON 2016 US CENSUS BUREAU ESTIMATES IS: - WHITE NON-HISPANIC (91.2%) - BLACK (4.3%) - HISPANIC (5.9%) - OTHER ASIAN (0.6%) - AMERICAN INDIAN (0.2%) - TWO OR MORE (1.5%)THE RATE OF POPULATION GROWTH IN WILKES COUNTY HAS BEEN SLOWLY INCREASING EVERY DECADE SINCE 1980, AND THIS PATTERNS IS PROJECTED TO CONTINUE THROUGH AT LEAST 2037. WILKES COUNTY RATE OF GROWTH IS LOWER THAN THE RATE FOR THE STATE AS A WHOLE. PART VI, LINE 5: THE HOSPITAL HAS MAINTAINED A STRONG COMMITMENT TO PROMOTING AND EXPANDING COMMUNITY HEALTH PROGRAMS IN WILKES COUNTY. SUCH PROGRAMS INCLUDE BESTHEALTH EDUCATION CLASSES, BESTHEALTH COMMUNITY COOKING CLASSES, AND OTHER HEALTH EDUCATION EVENTS HELD LOCALLY THROUGHOUT THE YEAR. WILKES MEDICAL CENTER PROVIDES ATHLETIC TRAINERS THAT WORK FULL-TIME IN EACH OF THE FOUR WILKES COUNTY HIGH SCHOOLS. WILKES MEDICAL CENTER ALSO OPERATES THE CARE CONNECTION PHARMACY, WHICH 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. DURING THE PAST YEAR, WILKES MEDICAL CENTER BEGAN SUPPORTING A SYRINGE EXCHANGE PROGRAM (SEP) AT CARE CONNECTION PHARMACY. IN ADDITION, HOSPITAL LEADERSHIP WORKS DIRECTLY WITH THE WILKES MEDICAL CENTER FOUNDATION TO IDENTIFY AND VALIDATE GRANT PROPOSALS THAT ADDRESS OUR COMMUNITY HEALTH NEEDS ASSESSMENT.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. PART VI, LINE 6: WILKES MEDICAL CENTER OPERATES AS A STAND-ALONE COMMUNITY HOSPITAL. THE ORGANIZATION'S SOLE MEMBER IS WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER ("WFUBMC").THE FILING ORGANIZATION, NORTH CAROLINA BAPTIST HOSPITAL, HIGH POINT MEDICAL CENTER, LEXINGTON MEDICAL CENTER, DAVIE MEDICAL CENTER, WAKE FOREST UNIVERSITY HEALTH SCIENCES (WFUHS), AND WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER ARE INTEGRAL PARTS OF WAKE FOREST BAPTIST HEALTH, A PREEMINENT, INTERNATIONALLY RECOGNIZED ACADEMIC MEDICAL CENTER OF THE HIGHEST QUALITY WITH BALANCED EXCELLENCE IN PATIENT CARE, RESEARCH AND EDUCATION. WFUHS OPERATES WAKE FOREST UNIVERSITY'S SCHOOL OF MEDICINE AND WAKE FOREST INNOVATION QUARTER (RESEARCH PARK). WAKE FOREST BAPTIST HEALTH COMPRISES 1,535 ACUTE CARE AND REHABILITATION BEDS, OFFERS EXPERTISE IN MORE THAN 100 AREAS OF MEDICINE ENCOMPASSING COMPREHENSIVE PREVENTIVE AND HIGHLY SPECIALIZED CARE FOR ALL AGES, AND HAS BEEN RANKED AS ONE OF "AMERICA'S TOP HOSPITALS" BY U.S. NEWS AND WORLD REPORT SINCE 1993. PART VI, LINE 7, REPORTS FILED WITH STATES NC 1 WRMC FOUNDATION 1370 WEST D STREET NORTH WILKESBORO NC 28659 822345613 501(C)(3) 1166667 COMMUNITY SUPPORT 1 0 PART I, LINE 2: THE HOSPITAL FOLLOWS THE MEDICAL CENTER'S CORPORATE POLICY USED IN REVIEWING THE ELIGIBILITY AND SELECTION OF GRANTEES RECEIVING CERTAIN EXEMPT PURPOSE FUNDS. THE HOSPITAL MAINTAINS DOCUMENTATION OF THE ELIGIBILITY AND SELECTION CRITERIA AND RECORDS OF THE AMOUNTS DISBURSED. 1 1 0 0 0 0 0 0 0 BRADLEY A CLARK BOARD MEMBER, TREASURER 0 675958 0 270235 0 900 0 209458 0 27994 0 1184545 0 0 J MCLAIN WALLACE JR SECRETARY 0 511009 0 165720 0 110812 0 147473 0 15273 0 950287 0 87942 CATHLEEN WHEATLEY BOARD MEMBER 0 560837 0 180000 0 21009 0 158473 0 8590 0 928909 0 15531 MICHAEL T WAID BOARD MEMBER 0 424472 0 136590 0 65332 0 114488 0 27356 0 768238 0 44262 JON THOMPSON MD BOARD MEMBER 0 568795 0 0 0 414 0 21213 0 29008 0 619430 0 0 J GENE FAILE FORMER BOARD & OFF (1/31/19) 0 27678 0 0 0 381525 0 1627 0 1954 0 412784 0 59523 JENA FOLGER BOARD MEMBER 0 268824 0 71575 0 4818 0 51740 0 11168 0 408125 0 0 CHAD BROWN BOARD MEMBER, PRESIDENT 0 301273 0 0 0 19685 0 64124 0 13936 0 399018 0 15967 JASON YOCKEY CRNA 0 201037 0 0 0 240 0 14661 0 22696 0 238634 0 0 BARRY WALD ASST TREASURER 0 191814 0 0 0 161 0 13914 0 17319 0 223208 0 0 JOHN RIEDEL JR CRNA 0 182484 0 0 0 206 0 12991 0 22608 0 218289 0 0 KEVIN HANSEN CRNA 0 181300 0 0 0 124 0 13023 0 23826 0 218273 0 0 HEATHER D GOODWYN CRNA 0 182434 0 0 0 110 0 12994 0 18601 0 214139 0 0 WILLIAM SHEW CRNA 0 183115 0 0 0 571 0 12619 0 7322 0 203627 0 0 PART I, LINES 4A-B PART I, LINE 4A & 4B: CERTAIN EXECUTIVES RECEIVED SEVERANCE PAYMENTS OR PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN (SERP) AND/OR RECEIVED PAYMENTS FROM THEIR SERP. THE DETERMINATION OF THE AMOUNT OF THE NON QUALIFIED RETIREMENT PLANS FOLLOWED THE RELATED ORGANIZATIONS' COMPENSATION PROCEDURES AS OUTLINED IN PART VI, SECTION B, LINE 15 OF THEIR FORMS 990. THE FOLLOWING CURRENT DIRECTORS AND OFFICERS RECEIVED SEVERANCE AND SERP PAYMENTS IN THEIR CALENDAR YEAR 2019 COMPENSATION: SEVERANCE PAYMENTS: J. GENE FAILE $318,327 SERP PAYMENTS: CHAD BROWN $15,967 J. GENE FAILE $62,435 J. MCLAIN WALLACE, JR. $87,942 MICHAEL T. WAID $44,262 CATHLEEN WHEATLEY $15,531 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 LEXINGTON MEDICAL CENTER AND AFFILIATE, NORTH CAROLINA BAPTIST HOSPITAL AND AFFILIATES, WAKE FOREST UNIVERSITY HEALTH SCIENCES AND AFFILIATES, DAVIE MEDICAL CENTER, NORTHWEST COMMUNITY CARE NETWORK, INC., FAITHHEALTH INNOVATIONS, WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER (WFUBMC), WAKE FOREST HEALTH NETWORK, LLC, WILKES MEDICAL CENTER, HIGH POINT REIONAL HEALTH AND AFFILIATES, AND OTHER WFUBMC 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 WAKE FOREST BAPTIST HEALTH. ALL MEMBERS OF KEY MANAGEMENT ARE EMPLOYEES OF WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER, 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 WILKES MEDICAL CENTER IS AN INTEGRAL PART OF WAKE FOREST BAPTIST HEALTH, A PREEMINENT, INTERNATIONALLY RECOGNIZED ACADEMIC MEDICAL CENTER OF THE HIGHEST QUALITY WITH BALANCED EXCELLENCE IN PATIENT CARE, RESEARCH AND EDUCATION. THE FILING 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, AN ENTITY WITHIN THE WAKE FOREST BAPTIST HEALTH LEGAL STRUCTURE. COMPENSATION PAID TO THESE INDIVIDUALS ARE REVIEWED AND APPROVED IN ACCORDANCE WITH THE APPLICABLE ORGANIZATION'S COMPENSATION POLICIES AND PROCEDURES WHICH INCLUDE INDEPENDENT COMPENSATION CONSULTANTS, COMPENSATION SURVEYS AND STUDIES TO DETERMINE THE APPROPRIATENESS OF EACH OFFICER'S AND DIRECTOR'S COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE TO THE PUBLIC ON REQUEST AND ARE AVAILABLE ON THE WEBSITE OF THE NORTH CAROLINA SECRETARY OF STATE. THE ORGANIZATION'S BYLAWS ARE NOT PUBLISHED, BUT PROVISIONS FROM THE BYLAWS ARE INCLUDED AS NECESSARY IN THE ORGANIZATION'S POLICIES, AND ARE ATTACHED TO THE FORM 1023 FILED FOR THE ORGANIZATION WITH THE IRS, WHICH IS PUBLICLY AVAILABLE. THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC ON REQUEST. FORM 990, PART XI, LINE 9: ACTUARIAL GAIN/LOSS - CHANGE IN PENSION LIABILITY -1,865,427. 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