4A (Expenses $ 1123993690 including grants of $ 2348153) (Revenue $ 1167712939)
SEE SCHEDULE O FOR COMPLETE DESCRIPTION

4B (Expenses $ 0 including grants of $ 0) (Revenue $ 0)
SEE SCHEDULE O

4C (Expenses $ 0 including grants of $ 0) (Revenue $ 0)
SEE SCHEDULE O

ATRIUM HEALTH WAKE FOREST BAPTIST MEDICAL CENTER
PART V, SECTION B, LINE 5: COMMUNITY INPUT WAS OBTAINED THROUGH THE FOLLOWING PRIMARY SOURCES: (1) FORSYTH COUNTY RESIDENT SURVEYS CONDUCTED BY FORSYTH COUNTY HEALTH DEPARTMENT; (2) EIGHT FAITHHEALTH NC (A DEPARTMENT OF THE HOSPITAL) COMMUNITY ASSET MAPPING WORKSHOPS WHICH SOUGHT OPINIONS OF BOTH HEALTH PROVIDERS AND HEALTH SEEKERS IN FORSYTH COUNTY'S MOST VULNERABLE COMMUNITIES, INCLUDING FOUR WORKSHOPS HELD SPECIFICALLY IN HISPANIC COMMUNITIES; (3) TARGETED FOCUS GROUP MEETINGS CONDUCTED BY FAITHHEALTH NC IN CONJUNCTION WITH NOVANT HEALTH FORSYTH MEDICAL CENTER AT CHURCHES IN HIGH NEED COMMUNITIES; AND (4) COMMENTS FROM PRIOR COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY.ADDITIONALLY, MORE THAN TEN SECONDARY DATA SOURCES WERE REVIEWED, INCLUDING ATRIUM HEALTH WAKE FOREST BAPTIST MEDICAL CENTER COMMUNITY DASHBOARD/HEALTH COMMUNITIES INSTITUTE, COUNTY HEALTH RANKINGS & ROADMAPS, US CENSUS BUREAU 2010 CENSUS, US CENSUS BUREAU 2017 AMERICAN COMMUNITY SURVEY, NC CENTER FOR HEALTH STATISTICS, CENTERS FOR DISEASE CONTROL - YOUTH BEHAVIOR RISK FACTOR SURVEILLANCE SYSTEM 2017, NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES BEHAVIOR RISK FACTOR SURVEILLANCE SYSTEM (2013-2017), HEALTHY PEOPLE 2020, HEALTHY NC 2020, CENTERS FOR MEDICARE/MEDICAID SERVICES, FORSYTH FUTURES ACCESS TO HEALTH CARE FORSYTH COUNTY REPORT 2014, AND STATUS OF HOMELESSNESS IN FORSYTH COUNTY NOVEMBER 2014.

ATRIUM HEALTH WAKE FOREST BAPTIST MEDICAL CENTER
PART V, SECTION B, LINE 6A: THE HOSPITAL'S MOST RECENT CHNA WAS CONDUCTED IN COLLABORATION WITH ATRIUM HEALTH WAKE FOREST BAPTIST LEXINGTON MEDICAL CENTER AND ATRIUM HEALTH WAKE FOREST BAPTIST DAVIE MEDICAL CENTER. BOTH ORGANIZATIONS ARE NETWORK HOSPITALS OF ATRIUM HEALTH WAKE FOREST BAPTIST.

ATRIUM HEALTH WAKE FOREST BAPTIST MEDICAL CENTER
PART V, SECTION B, LINE 7D: N/APART V, SECTION B, LINE 7A:WWW.WAKEHEALTH.EDU/ABOUT-US/SERVING-OUR-COMMUNITIES/NEEDS-ASSESSMENTS-AND-IMPLEMENTATION-REPORTSPART V, SECTION B, LINE 10A:WWW.WAKEHEALTH.EDU/ABOUT-US/SERVING-OUR-COMMUNITIES/NEEDS-ASSESSMENTS-AND-IMPLEMENTATION-REPORTS

ATRIUM HEALTH WAKE FOREST BAPTIST MEDICAL CENTER
"PART V, SECTION B, LINE 11: THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (""CHNA"") IDENTIFIED THE FOLLOWING SIGNIFICANT HEALTH CHALLENGES WITHIN THE COMMUNITY: (1) ACCESS TO HEALTH CARE, (2) CHRONIC DISEASE MANAGEMENT AND PREVENTION, (3) BEHAVIORAL HEALTH AND SUBSTANCE DEPENDENCY, (4) FINANCIAL COST OF HEALTH CARE AND PRESCRIPTION DRUGS, (5) CULTURAL COMPETENCY, (6) HEALTHCARE RESOURCES, AWARENESS, AND EDUCATION, (7) PERCEPTION OF CUSTOMER SERVICE, (8) GOOD NUTRITION, (9) COMFORT NAVIGATING THE HEALTHCARE SYSTEMS, AND (10) LACK OF TIME TO PRIORITIZE HEALTH.NORTH CAROLINA BAPTIST HOSPITAL (NCBH) PRIORITIZED THE FOLLOWING FOUR SIGNIFICANT COMMUNITY HEALTH NEEDS FOR ITS CURRENT CHNA AS FOLLOWS: (1) ACCESS TO CARE; (2) CHRONIC DISEASE MANAGEMENT & PREVENTION; (3) BEHAVIORAL HEALTH AND SUBSTANCE DEPENDENCY; AND (4) MATERNAL AND CHILD HEALTH. NCBH PROVIDES COMMUNITY BENEFIT PROGRAMS RESPONSIVE TO THESE HEALTH NEEDS THROUGH ITS APPROVED CHNA IMPLEMENTATION STRATEGY. THE NCBH CHNA IMPLEMENTATION STRATEGY OUTLINES THE IMPLEMENTATION OF PROGRAMS AND THE EVALUATION OF IMPACT OF THOSE PROGRAMS ON PRIORITY COMMUNITY HEALTH NEEDS IDENTIFIED FROM THE CHNA. SPECIFICALLY, THE HOSPITAL IS ADDRESSING THE SIGNIFICANT HEALTH NEEDS AS FOLLOWS:1. ACCESS TO CAREBARRIERS SUCH AS LACK OF INDIVIDUAL HEALTH INSURANCE AND HIGH COSTS DECREASE ACCESS TO QUALITY HEALTH CARE AND CAN LEAD TO UNMET HEALTH NEEDS. THE HOSPITAL'S CURRENT STRATEGIES TO ADDRESS THESE NEEDS INCLUDE THE FOLLOWING:--ENCOURAGING APPROPRIATE EMERGENCY DEPARTMENT UTILIZATION THROUGH CARE COORDINATION ACROSS THE COMMUNITY, HOSPITAL, AND PRIMARY CARE THROUGH (1) IMPLEMENTATION OF WAKEHEALTH CONNECT, A MANAGED CARE PROGRAM, FOR CHARITY CARE APPROVED PATIENTS IN ORDER TO IMPROVE PATIENTS WITH CHRONIC DISEASE DIAGNOSES AND INCREASED ED VISITS, (2) CONTINUED SUPPORT FOR THE CAREPLUS MULTIDISCIPLINARY PRIMARY CARE COORDINATION MODEL FOR MEDICAID/SELF-PAY/UNINSURED PATIENTS IN THE DOWNTOWN HEALTH PLAZA COMMUNITY, (3) CONTINUED PARTNERSHIP WITH UNITED HEALTH CARE CENTERS TO PROVIDE WEEKLY PREVENTIVE CARE CLINIC AT THE BETHESDA CENTER FOR THE HOMELESS LOCATED IN WINSTON SALEM, (4) CONTINUED SUPPORT FOR HEALTHCARE ACCESS WHICH CONNECTS THE UNINSURED COMMUNITY WITH VOLUNTEER HEALTHCARE PROVIDERS, AND (5) ENGAGING VULNERABLE COMMUNITIES THROUGH FAITHHEALTH SUPPORTERS AND CONNECTORS.--IMPROVING ACCESS TO COMMUNITY CENTERED SOCIAL AND HEALTH EDUCATION SERVICES AND REGULAR SOURCES OF HEALTH CARE THROUGH (1) CONTINUED PARTNERSHIP WITH NOVANT HEALTH TO PROVIDE PREVENTATIVE CARE AT THE HIGHLAND AVENUE PRIMARY CARE CLINIC IN A TRADITIONALLY UNDERSERVED AREA OF THE COMMUNITY, (2) DEPLOYMENT OF AHWFB'S MOBILE MEDICAL CLINIC TO PROVIDE MEDICAL, NUTRITION, MENTAL HEALTH AND HEALTH EDUCATION TO VULNERABLE POPULATIONS RESIDING IN LOW ACCESS AHWFB SERVICE AREAS, (3) ENHANCED SUPPORT OF THE DELIVERING EQUAL ACCESS TO CARE (DEAC) CLINIC, A STUDENT-RUN, FREE MEDICAL CLINIC THAT PROVIDES LONG TERM CONTINUITY OF CARE TO LOCAL UNDERSERVED COMMUNITIES, AND (4) CONTINUED SUPPORT FOR DOWNTOWN HEALTH PLAZA, AN OUTPATIENT CLINIC PROVIDING CHRONIC DISEASE MANAGEMENT, PREVENTATIVE/DIAGNOSTIC SERVICES, COUNSELING, AND HEALTH EDUCATION.--IMPROVING ACCESS TO TRANSPORTATION TO HEALTH CARE SERVICES, THROUGH ALIGNMENT OF COMMUNITY TRANSPORTATION RESOURCES WITH PATIENTS WHEN TRANSPORTATION NEEDS ARE IDENTIFIED DURING APPOINTMENT SCHEDULING. 2. CHRONIC DISEASE MANAGEMENT & PREVENTIONNCBH RECOGNIZES THE EFFECT OF CONTINUITY OF CARE WITH HEALTH CARE PROVIDERS ON PATIENT BEHAVIORS, DISEASE MANAGEMENT, AND HEALTH STATUS. THE HOSPITAL'S CURRENT STRATEGIES INCLUDE:--IMPROVING CAPACITY OF COMMUNITY BASED ORGANIZATIONS AND HEALTH CARE PROVIDERS TO SUPPORT EFFORTS RELATED TO CHRONIC DISEASE PREVENTION AND MANAGEMENT THROUGH (1) CONTINUING TO SUPPORT FAITHHEALTHNC COMMUNITY WORKERS, (2) COLLABORATION WITH NOVANT FORSYTH MEDICAL CENTER COMMUNITY HEALTH AND BENEFIT TEAMS TO IMPROVE HEALTH AND BUILD TRUST FOR COMMUNITIES WITH THE GREATEST CAPACITY TO IMPROVE HEALTH OUTCOMES, AND (3) PROVIDE SUPPORT FOR GOVERNMENTAL PROGRAMS AND LOCAL COMMUNITY EFFORTS TO BUILD CAPACITY OF COMMUNITY-BASED ORGANIZATIONS TO SERVE THE NEEDS OF THE COMMUNITY AND TO ALIGN WITH AHWFB'S POPULATION HEALTH STRATEGIES. --PROVIDING EDUCATION AND SUPPORT PROGRAMS TO REDUCE DIABETES PREVALENCE AND IMPROVE WEIGHT MANAGEMENT THROUGH (1) REFERRING PRE-DIABETIC AND EARLY ONSET DIABETIC PATIENTS AT DOWNTOWN HEALTH PLAZA TO DIABETES PROGRAMS OFFERED BY YWCA (GATEWAY TO SUCCESS), EDUCATIONAL PROGRAMS CONDUCTED BY AHWFB AND OTHER COMMUNITY ORGANIZATIONS, (2) CONTINUING TO PROVIDE BESTHEALTH DIABETES PREVENTION AND NUTRITION EDUCATION TO THE COMMUNITY BY OFFERING SEMINARS, SCREENINGS & OTHER HEALTH & WELLNESS EVENTS. --PROVIDING EDUCATION AND SUPPORT PROGRAMS TO REDUCE OBESITY PREVALENCE AND IMPROVE OBESITY MANAGEMENT THROUGH CONTINUED SUPPORT OF BRENNER FIT TO INCREASE EDUCATION AND AWARENESS OF HEALTHY LIFESTYLE CHOICES FOR UNINSURED/MEDICAID PATIENTS AND FAMILIES. 3. BEHAVIORAL HEALTH & SUBSTANCE DEPENDENCYNCBH IS COMMITTED TO PROVIDING POSITIVE OUTCOMES OF RECOVERY AND MENTAL HEALTH WELLNESS THROUGHOUT THE COMMUNITY IT SERVES. THE HOSPITAL'S CURRENT STRATEGIES INCLUDE:--CONTINUED EXPANSION OF INTEGRATED CARE MODEL CURRENTLY OPERATING AT DOWNTOWN HEALTH PLAZA AND FAMILY MEDICINE PIEDMONT PLAZA;--CONTINUED SUPPORT OF THE EMPOWERMENT PROJECT, AN OUTREACH PROGRAM FOR HOMELESS ADULTS AND PEOPLE EXPERIENCING MENTAL HEALTH CHALLENGES AND SUBSTANCE USE DISORDERS. --EXTENDED ACCESS TO THE HIGHEST LEVEL OF BEHAVIORAL HEALTH CARE BY PROVING COMMUNITY-BASED SERVICES AND OPPORTUNITIES INCLUDING (1) SUPPORTING THE 'GO' PROGRAM, A GERIATRIC COLLABORATIVE OUTREACH PROGRAM THAT PROVIDES IN-HOME MENTAL HEALTH CARE SERVICES TO SENIORS EXPERIENCING MOBILITY AND TRANSPORTATION CHALLENGES, (2) PARTNERING WITH THE UNITED WAY TO SUPPORT BOWMAN GRAY CHILD GUIDANCE, WHICH PROVIDES MENTAL HEALTH SERVICES TO INDIGENT CHILDREN AND THEIR FAMILIES, (3) OPERATING THE UNIVERSITY MENTAL HEALTH, THE COMMUNITY OUTREACH AND CLINICAL SERVICE ARM OF THE WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE'S DEPARTMENT OF PSYCHIATRY THAT IS FOCUSED ON PROVIDING MENTAL HEALTH SERVICES TO TRANSITIONAL AGED YOUTH (AGES 16-24), AND (4) STAFFING PEER SUPPORT SPECIALISTS IN NCBH'S EMERGENCY DEPARTMENT WHO PROVIDE GUIDANCE AND ASSISTANCE TO PATIENTS EXPERIENCING MENTAL HEALTH CHALLENGES SIMILAR TO THEIR OWN. 4. MATERNAL AND CHILD HEALTHNCBH IS COMMITTED TO PROVIDING INNOVATIVE, FAMILY-CENTERED CARE FOR THE COMMUNITY'S CHILDREN AND WOMEN. FORSYTH COUNTY HAS ONE OF THE HIGHEST INFANT MORTALITY RATES IN NORTH CAROLINA AND A KEY PART OF ADDRESSING THIS COMMUNITY HEALTH NEED IS INCREASING THE AVAILABILITY OF PRE- AND POSTNATAL CARE SERVICES. THE HOSPITAL'S CURRENT STRATEGIES INCLUDE:--DECREASING TEEN PREGNANCY, REDUCING INFANT MORTALITY, INCREASING THE BREAST FEEDING RATES AND INCREASING PHYSICAL WELLNESS IN LOCAL SCHOOLS THROUGH (1) PROVIDING MEDICAL AND RESEARCH LEADERSHIP TO THE SCHOOL HEALTH ALLIANCE FOR FORSYTH COUNTY, A SUPPORTING ORGANIZATION OF WINSTON-SALEM/FORSYTH COUNTY SCHOOLS THAT PROVIDES MEDICAL AND MENTAL HEALTH SERVICES FOR CHILDREN VIA SCHOOL-BASED HEALTH CENTERS, AND (2) STRENGTHENING THE RELATIONSHIP WITH WINSTON-SALEM/FORSYTH COUNTY SCHOOLS VIA THE WSFC SOCIAL WORK DEPARTMENT AND SCHOOL HEALTH ALLIANCE TO BUILD A NETWORK OF SUPPORT AMONG HEALTH CARE PROVIDERS, SCHOOLS AND FAITH COMMUNITIES TO MORE EFFECTIVELY SERVE THE NEEDS OF STUDENTS AND FAMILIES. --INCREASING EDUCATION FOR WOMEN ON THE BENEFITS OF PRE-CONCEPTION HEALTH AND EARLY PRENATAL CARE THROUGH (1) ESTABLISHING THE FAMILY CONNECTS HOME VISITATION PROGRAM (IN COLLABORATION WITH NOVANT HEALTH FORSYTH MEDICAL CENTER), WHICH WILL PROVIDE CLINICAL ASSESSMENTS AND EVALUATION OF SERVICE DELIVERY TO IMPROVE QUALITY OF CARE, (2) OPERATING THE CLINICAL AND EDUCATION SUPPORT SERVICES FOR GYNECOLOGICAL, MATERNITY AND PEDIATRIC HEALTH IN THE COMMUNITY.ALL OF THE AFOREMENTIONED EFFORTS IN COMBINATION WITH THE HOSPITAL'S VALUES OF NONDISCRIMINATION AND COMPASSIONATE CARE ARE DESIGNED TO MEET THE SIGNIFICANT HEALTH NEEDS OF THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT."

ATRIUM HEALTH WAKE FOREST BAPTIST MEDICAL CENTER
PART V, SECTION B, LINE 13H: THE HOSPITAL MAY USE COMMERCIALLY AVAILABLE FINANCIAL PROFILING AND CREDIT SCORING TECHNOLOGIES TO PRESUMPTIVELY SCREEN RESPONSIBLE INDIVIDUALS TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE DISCOUNTS.

ATRIUM HEALTH WAKE FOREST BAPTIST MEDICAL CENTER
PART V, SECTION B, LINE 16J: NORTH CAROLINA BAPTIST HOSPITALPART V, LINE 16A, FAP WEBSITE: WWW.WAKEHEALTH.EDU/PATIENT-AND-FAMILY-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCENORTH CAROLINA BAPTIST HOSPITALPART V, LINE 16B, FAP APPLICATION WEBSITE: WWW.WAKEHEALTH.EDU/PATIENT-AND-FAMILY-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCENORTH CAROLINA BAPTIST HOSPITALPART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: WWW.WAKEHEALTH.EDU/PATIENT-AND-FAMILY-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCENORTH CAROLINA BAPTIST HOSPITALPART V, SECTION B, LINE 16J: IN ADDITION TO THE METHODS PREVIOUSLY DESCRIBED, THE HOSPITAL INFORMS PATIENTS ABOUT ITS FAP DURING INTAKE AND DISCHARGE BY PROVIDING A PLAIN LANGUAGE SUMMARY OF THE FAP. THE HOSPITAL ALSO PLACES A CONSPICUOUS WRITTEN NOTICE OF THE FAP ON ITS PATIENT BILLING STATEMENTS.

PART I, LINE 3C:
THE ORGANIZATION UTILIZES COMMERCIALLY AVAILABLE FINANCIAL PROFILING AND CREDIT SCORING TECHNOLOGIES TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE DISCOUNTS UNDER ITS FAP POLICY. ADDITIONAL ELIGIBILITY CRITERIA INCLUDES THE FOLLOWING:-PATIENT MUST BE UNINSURED OR HAVE NO OTHER THIRD PARTY FUNDING SOURCE OR GUARANTOR.-SERVICES FOR WHICH DISCOUNTS APPLY MUST BE EMERGENT AND MEDICALLY NECESSARY CARE.-PATIENT MUST BE A VALID RESIDENT WITHIN A ZIP CODE BOUNDED BY OR INTERSECTING ON OF THE COUNTIES DEFINED AS THE ATRIUM HEALTH WAKE FOREST BAPTIST SERVICE AREA. -PATIENTS MUST ENROLL IN ALL OTHER PRIMARY PAYER PROGRAMS FOR WHICH THE PATIENT IS ELIGIBLE AND MUST ASSIGN BENEFITS TO ATRIUM HEALTH WAKE FOREST BAPTIST EXCEPT IN THE CASE WHERE SUCH POLICY PREMIUM FOR ENROLLMENT WOULD RESULT IN MEDICAL INDIGENCE.

PART I, LINE 7:
THE ORGANIZATION USED THE WORKSHEETS PROVIDED IN THE INSTRUCTIONS TO FORM 990, SCHEDULE H TO COMPUTE ITS COST-TO-CHARGE RATIO.PART I, LINE 7B MEDICAID DIRECT OFF-SETTING REVENUEIN ADDITION TO FEE FOR SERVICE REVENUE, THE HOSPITAL RECEIVES ENHANCED CLAIMS PAYMENTS FUNDED BY A PROVIDER ASSESSMENT ADMINISTERED BY THE NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES. UNDER THE PROGRAM, A TAX IS ASSESSED AGAINST TOTAL HOSPITAL EXPENSES AND THE FEDERAL GOVERNMENT MATCHES THE ASSESSMENT AT A RATE OF NEARLY 2 TO 1. THE PROCEEDS ARE THEN USED TO FUND ENHANCED FEE FOR SERVICES RATES ALONG WITH A DISPROPORTIONATE SHARE PAYMENT BACK TO HOSPITALS.

PART I, LN 7 COL(F):
THE ORGANIZATION'S PATIENT BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENTS WAS $94,218,814 FOR THE SHORT TAX YEAR ENDED DECEMBER 31, 2021. THIS AMOUNT IS NOT INCLUDED IN THE CALCULATION OF CHARITY CARE FOR PART I, LINE 7.

PART II, COMMUNITY BUILDING ACTIVITIES:
"ATRIUM HEALTH WAKE FOREST BAPTIST (""AHWFB""), OF WHICH THE HOSPITAL IS AN INTEGRAL PART, IS COMMITTED TO COMMUNITY OUTREACH, EDUCATION, AND RESEARCH TO IMPROVE LIVES OF ALL RESIDENTS IN THE COMMUNITIES IT SERVES THROUGH A NUMBER OF PROGRAMS AND COMMUNITY HEALTH IMPROVEMENT INITIATIVES. AHWFB ADOPTED AND MAINTAINS A FINANCIAL ASSISTANCE POLICY, PROVIDES SUBSIDIZED HEALTH SERVICES TO PATIENTS IN NEED, AND ACCEPTS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL OPERATES AN EMERGENCY ROOM THAT IS OPEN 24/7, AND ITS GOVERNING BOARD IS PREDOMINATELY COMPRISED OF LEADERS WITHIN THE COMMUNITY IT SERVES. FUNDS ARE REINVESTED IN HEALTH IMPROVEMENT INITIATIVES TO BETTER SERVE COMMUNITY HEALTH NEEDS, INCLUDING IMPROVEMENT OF FACILITIES AND MEDICAL SERVICES WITH THE LATEST TECHNOLOGICAL ADVANCES, CASH AND IN-KIND DONATIONS TO LOCAL NON-PROFIT COMMUNITY ORGANIZATIONS, AND COMMUNITY BASED HEALTH IMPROVEMENT PROGRAMMING. SUCH PROGRAMMING INCLUDES:- DIVERSITY, INCLUSION AND HEALTH EQUITY - AHWFB BELIEVES THAT CREATING A DIVERSE, EQUITABLE AND CULTURALLY ATTUNED WORKPLACE IS CRUCIAL TO OUR MISSION TO IMPROVE HEALTH IN THE COMMUNITIES WE SERVE. THE OFFICE OF DIVERSITY AND INCLUSION OVERSEES OUR PRACTICES TO ENSURE DIVERSITY, INCLUSION, EQUITY AND RESPECT FOR EVERY MEMBER OF THE AHWFB COMMUNITY. AHWFB RECOGNIZES THAT DIVERSITY IS NOT LIMITED TO RACE AND ETHNICITY BUT MUST ALSO TAKE INTO ACCOUNT SOCIOECONOMIC STATUS, SEXUAL ORIENTATION, GENDER IDENTITY AND RELIGIOUS COMMITMENT. IN ORDER TO ELIMINATE THE PERVASIVE HEALTH DISPARITIES THAT EXIST IN OUR REGION AND COUNTRY, AHWFB IS DEVOTED TO RECRUITING, RETAINING AND TRAINING A DIVERSE CADRE OF PEOPLE AND ENSURING THAT EDUCATIONAL PROGRAMS ENABLE HEALTH CARE PROFESSIONALS TO PROVIDE CULTURALLY COMPETENT CARE AND ADDRESS HEALTH DISPARITIES. AHWFB'S CLINICAL FOCUS ON HEALTH EQUITY WAS RECOGNIZED BY THE U.S. HUMAN RIGHTS CAMPAIGN FOUNDATION, WHICH DESIGNATED THE MEDICAL CENTER A 2017 ""LEADER IN LGBTQ HEALTHCARE EQUALITY.""- DIVISION OF FAITHHEALTH - THE MISSION OF AHWFB'S DIVISION OF FAITHHEALTH IS TO BUILD, ALIGN AND ANIMATE RELIGIOUS AND COMMUNITY ASSETS TO IMPROVE ACCESS TO HEALTH CARE AND THE HEALTH OF THE COMMUNITY, BEGINNING WITH THOSE SERVED BY THE HOSPITAL. SUPPORTING PATIENTS SPIRITUALLY AND OFFERING MINISTRIES OF GROWTH, HOPE AND HEALING IS PART OF THE WORK OF THE MEDICAL CENTER, WHICH SINCE ITS EARLIEST DAYS HAS BEEN AN INNOVATOR IN FORGING HEALTH AND SPIRITUAL CONNECTIONS. THE DIVISION'S DEPARTMENTS INCLUDE:- FAITHHEALTHNC, WHICH HELPS EASE THE JOURNEY TO HEALTH AND HEALING FOR PEOPLE AND THEIR COMMUNITIES THROUGH CARING STRENGTHS OF CONGREGATIONS, THE CLINICAL EXPERTISE OF PROVIDERS AND A NETWORK OF COMMUNITY RESOURCES.- FAITHHEALTH EDUCATION - DESIGNS AND CONDUCTS EDUCATIONAL PROGRAMS FOR INTERNS AND RESIDENTS.- CHAPLAINCY AND CLINICAL MINISTRIES - PROVIDES SPIRITUAL MINISTRY AND SUPPORT TO PATIENTS AND THEIR FAMILIES WITH A STAFF OF CHAPLAINS.- CARENET - A PARTNER OF FAITHHEALTH THAT PROVIDES FAITH INTEGRATED COUNSELING AND THERAPY- FAITHHEALTH INNOVATIONS (FKA CENTER FOR CONGREGATIONAL HEALTH) - PROVIDES MINISTRY AND TRAINING TO FAITH COMMUNITIES, LAY LEADERS AND CLERGY.THE ORGANIZATION PARTNERS WITH LOVE OUT LOUD TO SUPPORT A FELLOWSHIP POSITION DEDICATED TO MAPPING AND CONNECTING AHWFB WITH THE LANDSCAPE OF PEOPLE AND ORGANIZATIONS SERVING YOUNG CHILDREN IN THE WINSTON-SALEM COMMUNITY.THE ORGANIZATION PARTNERS WITH REACH OUT AND READ, A NATIONAL NETWORK OF CLINICIANS DELIVERING VITAL INFORMATION ABOUT THE IMPORTANCE OF READING AT ROUTINE PEDIATRIC CHECKUPS. DURING WELL VISITS, OUR PEDIATRIC CLINICIANS AT DOWNTOWN HEALTH PLAZA AND WINSTON EAST EDUCATE PARENTS ABOUT THE BENEFITS OF READING ALOUD TO YOUNG CHILDREN BEGINNING AT BIRTH, SHARE ADVICE FOR ENGAGING CHILDREN IN BOOK READING, AND GIVE EACH CHILD A NEW, DEVELOPMENTALLY APPROPRIATE BOOK TO TAKE HOME WITH THEM. AHWFB IS THE FIRST HEALTH PROVIDER IN THE NATION TO PILOT THIS PROGRAM TO INFANTS 0-5 MONTH OF LIFE."

PART III, LINE 4:
BAD DEBT HAS NOT BEEN INCLUDED IN THE COMPUTATION OF COMMUNITY BENEFIT ON PART I, LINE 7. AMOUNTS USED TO COMPUTE CHARITY CARE AND BAD DEBT ON SCHEDULE H USE THE MOST CURRENT DATA AVAILABLE AT THE TIME OF FILING. THE ORGANIZATION USED WORKSHEET 2 OF THE FORM 990, SCHEDULE H INSTRUCTIONS TO COMPUTE A COST TO CHARGES RATIO USED TO CALCULATE BAD DEBT AT COST.

PART III, LINE 8:
THE HOSPITAL USES AN OVERALL COST TO CHARGE RATIO CALCULATION BASED ON AUDITED FINANCIAL STATEMENTS BUT REMOVES COST ASSOCIATED WITH BAD DEBT, GME, COMMUNITY HEALTH IMPROVEMENT, COMMUNITY BUILDING, AND CHARITY CARE SO AS NOT TO COUNT THOSE COSTS TWICE.

PART 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 7, REPORTS FILED WITH STATES
NC

PART III, LINE 9B:
THE HOSPITAL MAKES A REASONABLE EFFORT TO DETERMINE AN INDIVIDUAL'S ELIGIBILITY FOR FINANCIAL ASSISTANCE BEFORE ENGAGING IN ANY COLLECTION ACTIONS. ALL COLLECTION ACTIONS WILL BE SUSPENDED IF THE INDIVIDUAL SUBMITS A COMPLETED FAP APPLICATION DURING THE APPLICATION PERIOD, OR IF THE INDIVIDUAL SUBMITS AN INCOMPLETE APPLICATION DURING THE APPLICATION PERIOD THAT IS SUBSEQUENTLY COMPLETED WITHIN A REASONABLE TIME AFTER THE HOSPITAL REQUESTS FURTHER INFORMATION. IF THE INDIVIDUAL IS DETERMINED NOT TO BE ELIGIBLE FOR A FULL DISCOUNT UNDER THE FAP, ANY COLLECTION ACTIVITIES WILL BE RESUMED AS TO THE OUTSTANDING BALANCE OWED. IF THE INDIVIDUAL IS DETERMINED TO BE ELIGIBLE FOR ASSISTANCE UNDER THE FAP, APPROPRIATE MEASURES ARE TAKEN TO REFUND ANY AMOUNTS OWED TO THE INDIVIDUAL AND REVERSE OR MODIFY COLLECTION ACTIONS CONSISTENT WITH THE NEW BALANCE OWED AFTER APPLYING THE APPLICABLE FAP DISCOUNTS.

PART VI, LINE 2:
THE HOSPITAL'S CURRENT NEEDS ASSESSMENT PLAN WAS BASED ON A SET OF BEST PRACTICES FOR COMMUNITY HEALTH ASSESSMENTS WITH THE PURPOSE OF IDENTIFYING REGIONAL PRIORITY AREAS TO FOCUS ON FOR FY 2020 - FY 2022. THE PROCESS WAS DESIGNED TO RELY ON EXISTING PUBLIC DATA, DIRECTLY ENGAGING COMMUNITY STAKEHOLDERS AND COLLABORATE WITH LOCAL PUBLIC HEALTH, OTHER HEALTH PROVIDERS, AS WELL AS COMMUNITY PARTNERS SUCH AS FAITH NETWORKS RELEVANT TO THE SOCIAL FACTORS UNDERLYING PATTERNS OF ACCESS. THE HOSPITAL'S ASSESSMENT WAS CONDUCTED IN THREE STAGES: (1) DATA REVIEW (PRIMARY AND SECONDARY DATA), (2) SETTING PRIORITIES, AND (3) COMMUNITY ASSET INVENTORY. THE DATA REVIEW AND PRIORITY SETTING PHASE BEGAN WITH THE COMPILATION OF EXISTING HEALTH-RELATED DATA. STAKEHOLDERS REVIEWED MULTIPLE DATA SETS INCLUDING FORSYTH, DAVIDSON, AND DAVIE COUNTY PUBLIC HEALTH NEEDS ASSESSMENTS, NORTH CAROLINA INDICATORS FOR COMMUNITY HEALTH ASSESSMENT, INTERNAL DISEASE REGISTRIES, AND COUNTY HEALTH RANKINGS. AN INTERNAL STEERING COMMITTEE AND SENIOR LEADERSHIP REVIEW A SET OF CRITERIA TO DEVELOP THE PRIORITY RANKINGS. THE PRIORITIZATION PROCESS IDENTIFIED THE FOLLOWING FOUR PRIORITY CHALLENGES FOR THE COMMUNITY: (1) ACCESS TO CARE, (2) CHRONIC DISEASE MANAGEMENT & PREVENTION, (3) BEHAVIORAL HEALTH & SUBSTANCE ABUSE, AND (4) MATERNAL & CHILD HEALTH.FAITHHEALTHNC (A DIVISION OF THE HOSPITAL) PROVIDED COMMUNITY ENGAGEMENT THROUGH A COMPREHENSIVE ASSET MAPPING STRATEGY BASED ON AN APPROACH FROM SOUTH AFRICA AND REDEFINED IN MEMPHIS, TN DESIGNED TO BUILD COMMUNITY PARTNERSHIPS ON THE ASSETS THAT EXIST, INSTEAD OF JUST NEEDS. THE MAPPING DEVELOPED AN INVENTORY OF EXISTING PROGRAMS AND SERVICES WITHIN THE REGION RELATED TO THE PRIORITY AREAS IDENTIFIED IN THE NEEDS ASSESSMENT. THE INVENTORY INCLUDED THE LOCATION OF THE PROGRAM (HOSPITAL, CLINIC, OR COMMUNITY SERVICE) AS WELL AS THE NATURE OF THE INTANGIBLE FACTORS, ESPECIALLY TRUST, THAT DETERMINE ACCESS AND COLLABORATION AMONG COMMUNITY PARTNERS. THE PURPOSE OF THE INVENTORY WAS TO IDENTIFY GAPS IN SERVICES, OPPORTUNITIES FOR NEW WORK, WHERE AND WITH WHOM THERE IS ALREADY WORK BEING DONE, AND OPPORTUNITIES FOR PARTNERSHIP AND COLLABORATION. FROM THE CHNA PROCESS, THE HOSPITAL DEVELOPED AN IMPLEMENTATION STRATEGY TO IDENTIFY THE MEANS THROUGH WHICH IT PLANS TO ADDRESS NEEDS THAT ARE CONSISTENT WITH THE CHARITABLE MISSION AS PART OF ITS COMMUNITY BENEFIT PROGRAMS FOR THE NEXT THREE FISCAL YEARS. BEYOND THE PROGRAMS THAT WILL BE ADDRESSED IN THE IMPLEMENTATION STRATEGY, THE HOSPITAL WILL CONTINUE TO ADDRESS MANY OF THE PRIORITIES BY PROVIDING CARE TO ALL, REGARDLESS OF THE ABILITY TO PAY.

PART VI, LINE 4:
DURING THE SHORT PERIOD ENDED DECEMBER 31, 2021, ATRIUM HEALTH WAKE FOREST BAPTIST PROVIDED CARE TO A TWENTY FOUR COUNTY SERVICE AREA IN NORTH CAROLINA. THE PRIMARY AND SECONDARY SERVICE AREA INCLUDE:--PRIMARY SERVICE AREA COUNTIES - FORSYTH, DAVIE, DAVIDSON, GUILFORD, STOKES, SURRY, YADKIN--SECONDARY SERVICE AREA COUNTIES - ROCKINGHAM, RANDOLPH, ROWAN, IREDELL, CATAWBA, ALEXANDER, WILKES, ALLEGHANY, ASHE, WATAUGA, CALDWELL, BURKE, GRAYSON (VA), CARROLL (VA), PATRICK (VA), HENRY (VA), AND PITTSYLVANIA (VA)PERCENT OF UNINSURED INPATIENTS 7.2%PERCENT OF INPATIENTS WHO ARE MEDICAID RECIPIENTS 18.0%THE HOSPITAL IS LOCATED IN CENTRAL FORSYTH COUNTY, WHICH MAKES UP THE SINGLE LARGEST COUNTY IN TOTAL INPATIENT DISCHARGES. ACCORDINGLY, THE HOSPITAL SERVES A WIDE SERVICE AREA; HOWEVER, IT IS RESOURCE PROHIBITIVE TO PARTICIPATE AND FUND HEALTH ASSESSMENTS IN EACH COMMUNITY/COUNTY FROM WHICH ITS PATIENT POPULATION ORIGINATES. THEREFORE, THE PRIMARY COMMUNITY BENEFIT SERVICE AREA (CBSA) IS FORSYTH COUNTY, NORTH CAROLINA.BELOW IS A DEMOGRAPHIC SNAPSHOT OF FORSYTH COUNTY BASED ON THE UNITED STATES CENSUS BUREAU'S 2018 ESTIMATED CENSUS DATA AND COUNTY HEALTH RANKINGS AND ROADMAPS 2018: POPULATION AND GEOGRAPHY--TOTAL POPULATION: 379,099--POPULATION CHANGE SINCE 2010: +8.1%--4TH LARGEST COUNTY IN NORTH CAROLINA--LAND AREA: 408.1 SQUARE MILES--POPULATION DENSITY: 859.2 PERSONS PER SQUARE MILE POPULATION BY RACE/ETHNICITY--NON-HISPANIC WHITE: 57.1%--NON-HISPANIC AFRICAN-AMERICAN: 25.7%--HISPANIC OR LATINO: 12.7%--ASIAN: 2.5%--ALL OTHER: 2.0% POPULATION BY AGE DISTRIBUTION--UNDER 5 YEARS OLD: 5.9%--UNDER 18 YEARS OLD: 22.9%--65 YEARS OLD & OVER: 16.0% POPULATION BY SEX--MALE: 47.4%--FEMALE: 52.6% POPULATION BY EDUCATIONAL ATTAINMENT (PERCENT OF PERSONS = 25 YEARS OLD WHO HAVE):--< HIGH SCHOOL DIPLOMA OR GED: 11.2%--A HIGH SCHOOL DIPLOMA OR HIGHER: 88.8%--A BACHELOR'S DEGREE OR HIGHER: 33.8%COUNTY SCHOOLS--K-12 ENROLLMENT: 55,000--GRADUATION RATE: 86.5% INCOME--MEDIAN FAMILY HOUSEHOLD (2018): $50,128--MEDIAN NON-FAMILY HOUSEHOLD (2018): $29,921--PERSONS IN POVERTY: 16.4%--UNEMPLOYMENT RATE (2018): 4.3%

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"ATRIUM HEALTH WAKE FOREST BAPTIST (""AHWFB""), OF WHICH THE HOSPITAL IS AN INTEGRAL PART, IS COMMITTED TO BEING RESPONSIVE TO THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES THROUGH A NUMBER OF ACTIVITIES, PROGRAMS AND INITIATIVES. SOME OF THESE PROGRAMS INCLUDE:COVID-19 RESPONSE: DURING THE LATTER PORTION OF FY20 AND THROUGHOUT 2021, COVID-19 BECAME A GLOBAL PANDEMIC AND CONTINUED TO AFFECT OUR COMMUNITY. AHWFB IMPLEMENTED NUMEROUS MEASURES TO HELP MEET THE HEALTH NEEDS OF THE COMMUNITY IN RESPONSE TO THIS GLOBAL PANDEMIC. DURING THE SHORT PERIOD ENDED DECEMBER 31, 2021, AHWFB CONTINUED TO SUPPORT THE COMMUNITY IN THE FOLLOWING WAYS:- AHWFB PROFESSOR OF INFECTIOUS DISEASES PROVIDED WEEKLY UPDATES TO MEDIA OUTLETS AND TO THOSE IN OUR COMMUNITY AND BEYOND, RAPIDLY BECOMING A TRUSTED AND REASSURING VOICE FOR THE COMMUNITY. - AHWFB UPDATED VISITOR GUIDELINES AT ALL LOCATIONS TO FOR PATIENTS AND HOSPITAL EMPLOYEES IN RESPONSE TO CHANGING COVID-19 VARIANT LANDSCAPE.- AHWFB TOOK COVID-19 VACCINATION EFFORTS TO NEW HEIGHTS WITH DRONE DELIVERIES THE FIRST COVID-19 VACCINE DRONE DELIVERY PROGRAM IN THE COUNTRY. THIS NEW INITIATIVE, OPERATED BY UPS, EXPANDED THE EXISTING DRONE PROGRAM THAT WAS LAUNCHED IN JULY 2020.- AHWFB USED ITS MOBILE HEALTH CLINIC TO PROVIDE CONVENIENT COVID-19 VACCINATIONS TO OLDER ADULTS WITH BARRIERS OF ACCESS TO CARE.- AHWFB BRENNER CHILDREN'S BEGAN ADMINISTERING THE PFIZER COVID-19 VACCINE TO CHILDREN AGES 5 TO 11 IN NOVEMBER. BRENNER CHILDREN'S BEGAN HOLDING COVID-19 VACCINATION EVENTS TO CHILDREN AGES 12 TO 15 EARLIER IN THE YEAR.BE INVOLVED IS AN ONLINE RESOURCE THAT WELCOMES COMMUNITY MEMBERS TO LEARN MORE ABOUT HUNDREDS OF CLINICAL TRIALS AND STUDIES AT AHWFB FOR WHICH THEY MAY BE ELIGIBLE. BESTHEALTH, THE COMMUNITY WELLNESS OUTREACH PROGRAM OF AHWFB, OFFERS HEALTH SEMINARS, SCREENINGS, COOKING AND FITNESS CLASSES, ONLINE HEALTH RESOURCES AND A MEMBERSHIP PROGRAM WITH SPECIAL BENEFITS. SEMINARS LED BY EXPERTS FROM AHWFB PROVIDE THE LATEST INFORMATION ABOUT A VARIETY OF HEALTH TOPICS IN TALKS HELD AT CONVENIENT LOCATIONS THROUGHOUT THE COMMUNITY. MEMBERSHIP BENEFITS INCLUDE FREE HEALTH SCREENINGS, WELLNESS CHALLENGES, DISCOUNTS AT PARTICIPATING LOCAL MERCHANTS, E-NEWSLETTERS AND PRIORITY NOTIFICATION OF EVENTS AND PROGRAMS. THE CENTER FOR WORKER HEALTH PROVIDES A NEXUS FOR BASIC AND TRANSLATIONAL RESEARCH FOCUSED ON ALL ASPECTS OF THE WORK-HEALTH RELATIONSHIP. IT BRINGS TOGETHER RESEARCHERS, HEALTH CARE PROVIDERS, COMMUNITY MEMBERS AND BUSINESS LEADERS INTERESTED IN PROTECTING AND PROMOTING WORKER HEALTH AND QUALITY OF LIFE, AS WELL AS CREATING WORKPLACE SOLUTIONS THAT ARE BENEFICIAL FOR EMPLOYERS, WORKERS AND THEIR FAMILIES.THE DOWNTOWN HEALTH PLAZA (DHP) IS A FULL-SERVICE OUTPATIENT MEDICAL CLINIC SUBSIDIZED BY AHWFB THAT SERVES MANY OF FORSYTH COUNTY'S UNINSURED AND UNDERINSURED RESIDENTS IN A STATE-OF-THE-ART FACILITY WITH AN ONSITE PHARMACY. DURING SHORT TAX YEAR ENDED DECEMBER 31, 2021, THERE WERE 29,488 PATIENT VISITS AT THE DOWNTOWN HEALTH PLAZA. ITS SERVICES INCLUDE A SATELLITE SITE FOR THE WOMEN, INFANTS AND CHILDREN (WIC) NUTRITION PROGRAM.THE GOLER COMMUNITY GARDEN, A GARDEN OF FRESH VEGETABLES AND HERBS AT DOWNTOWN HEALTH PLAZA, AND FOOD PANTRIES AT DOWNTOWN HEALTH PLAZA AND BRENNER CHILDREN'S HOSPITAL PROVIDE BAGGED NUTRITIOUS FOODS FOR PATIENTS AND THEIR FAMILIES.THE DEAC CLINIC, A PROGRAM INITIATED AND DEVELOPED ENTIRELY BY WAKE FOREST SCHOOL OF MEDICINE STUDENTS, SERVES APPROXIMATELY 10 PATIENTS PER WEEK IN ITS HIGHLAND AVENUE LOCATION. THIS FREE CLINIC PROVIDES ROUTINE PRIMARY HEALTH CARE TO THE LOCAL UNDERSERVED COMMUNITY, AND SPECIALTY CARE AND TESTING WHEN NEEDED. STUDENTS FROM WAKE FOREST MEDICAL, PHYSICIAN ASSISTANT, GRADUATE AND UNDERGRADUATE PROGRAMS WORK TOGETHER UNDER THE SUPERVISION OF VOLUNTEER LICENSED PHYSICIANS, PHYSICIAN ASSISTANTS AND PHARMACY RESIDENTS. MOBILE HEALTH CLINIC, IN COLLABORATION WITH SEVERAL COMMUNITY PARTNERS, STRIVES TO HELP MEET THE MEDICAL NEEDS OF THE COMMUNITY THROUGH IMPROVED ACCESS TO CARE AND COORDINATION OF CARE FOR UNDERSERVED POPULATIONS. UNINSURED ADULTS AND CHILDREN CAN RECEIVE A WIDE RANGE OF SERVICES, INCLUDING PREVENTATIVE CARE, CARE FOR MINOR ILLNESSES, BEHAVIORAL HEALTH, AND MANAGEMENT OF CHRONIC HEALTH CONDITIONS SUCH AS HYPERTENSION, DIABETES AND ASTHMA. COVID-19 TESTING FOR UNINSURED PEOPLE WHO HAVE SYMPTOMS OF COVID-19 IS ALSO PROVIDED AT NO COST. HEALTH EDUCATION, NUTRITION COACHING, NO-COST LAB SERVICES, AND REFERRALS TO SPECIALISTS WILL BE PROVIDED, IF NEEDED.SCHOOL HEALTH ALLIANCE FOR FORSYTH COUNTY IS A PROGRAM PROVIDING MEDICAL SERVICES TO STUDENTS, REGARDLESS OF THEIR ABILITY TO PAY, TO KEEP YOUTH IN FORSYTH COUNTY HEALTHY, IN SCHOOL, AND READY TO LEARN. WITH CLINICAL LOCATIONS IN FORSYTH COUNTY SCHOOLS AND PROVIDED BY ATRIUM HEALTH WAKE FOREST BAPTIST'S MOBILE HEALTH CLINIC, SERVICES OFFERED TO STUDENTS INCLUDE COMPREHENSIVE WELL-CHILD AND ADOLESCENT EXAMS, IMMUNIZATIONS, DIAGNOSIS AND TREATMENT OF ILLNESS OR INJURY, MANAGEMENT OF CHRONIC DISEASES SUCH AS ASTHMA AND DIABETES, MENTAL HEALTH ASSESSMENT AND TREATMENT, HEALTH EDUCATION, NUTRITION EDUCATION, AND HEALTH PROMOTION/DISEASE PREVENTION PROGRAMS.THE SHARE THE HEALTH FAIR IS A FREE, ANNUAL COMMUNITY HEALTH DAY THAT OFFERS SCREENINGS, HEALTH EDUCATION AND PHYSICIAN CONSULTATIONS, AND TYPICALLY REACHES HUNDREDS OF PEOPLE. IT IS OPEN TO ADULTS REGARDLESS OF AGE, INSURANCE COVERAGE, INCOME LEVEL OR IMMIGRATION STATUS. INTERPRETERS ARE AVAILABLE FOR NON-ENGLISH SPEAKERS AND FREE CHILDCARE IS ALSO PROVIDED. THE EVENT IS HOSTED BY STUDENTS FROM WAKE FOREST SCHOOL OF MEDICINE AND SUPPORTED BY NORTHWEST AHEC. SHARE THE HEALTH FAIR WAS POSTPONED DUE TO THE COVID-19 PANDEMIC, BUT IS SET TO RESUME IN NOVEMBER 2022.STOP THE BLEED TRAINING IS A PROGRAM TO PROVIDE TRAINING TO WINSTON-SALEM/FORSYTH COUNTY SCHOOLS EDUCATORS, COACHES, AND ADMINISTRATORS. NURSING STAFF AND CERTIFIED ATHLETIC TRAINERS FROM WAKE FOREST BAPTIST DEMONSTRATED WAYS TO PROVIDE IMMEDIATE BLEEDING CONTROL TO VICTIMS OF A TRAUMATIC EVENT BEFORE PROFESSIONAL HELP ARRIVES. THE SCHOOL SYSTEM RECEIVED MORE THAN 200 BLEEDING CONTROL KITS FOR ELEMENTARY, MIDDLE AND HIGH SCHOOLS. THE KITS ARE SIMILAR TO THE TRAUMA KITS THAT WAKE FOREST BAPTIST HAS DONATED TO STATE AND LOCAL LAW ENFORCEMENT AGENCIES AND OTHER AREA SCHOOL SYSTEMS.TRANSITIONAL AND SUPPORTIVE CARE, A PROGRAM OF POPULATION HEALTH, CREATES A BRIDGE BETWEEN ACUTE CARE SERVICES AND REINTRODUCTION TO THE COMMUNITY. THE PROGRAMMING INCLUDES AMBULATORY RN CARE MANAGERS, SOCIAL WORKERS, COMMUNITY HEALTH WORKERS, PHARMACISTS, AND ED ENHANCED CARE NURSES THAT SUPPORT COMPLEX CARE PATIENTS (INCLUDING UNINSURED PATIENTS) IN OUR WAKECARE CONNECT TO ENSURE PATIENTS ARE TRANSITIONED AND CONNECTED TO A PRIMARY CARE MEDICAL HOME TO MEASURING THE IMPACT OF ED AND IP UTILIZATION REDUCTION. SUPPORT, COUNSELING AND CONTINUING CARE PROGRAMS ENABLE THE ORGANIZATION TO CARE FOR PATIENTS AND THEIR FAMILIES LONG AFTER DISCHARGE TO HELP THEM DETERMINE WHAT SERVICES ARE AVAILABLE TO THEM TO ASSIST WITH RECOVERY. VARIOUS OPTIONS ARE OFFERED THROUGH THE PROGRAM: SUPPORT GROUPS, ENHANCED CARE RESOURCE NURSES, ADVANCED PRACTICE PROVIDERS, SKILLED NURSING FACILITY PARTNERS, PALLIATIVE CARE, AND AHWFB CARE AT HOME, A JOINT PROGRAM BETWEEN AHWFB AND HUMANA THAT FOCUSES ON HELPING ADULT PATIENTS OF ALL AGES WITH COMPLEX HEALTH PROBLEMS.THE NORTH CAROLINA SERIOUS ILLNESS COALITION (NCSIC) IS A STATEWIDE PARTNERSHIP TO ENGAGE A BROAD RANGE OF STAKEHOLDERS AND THEIR PERSPECTIVES, INCLUDING PROVIDERS, CONSUMERS, POLICY ADVOCATES, INDUSTRIES, AND OTHERS, TO ACCELERATE THE SOLUTIONS NEEDED TO ACHIEVE THE DESIRED VISION FOR SERIOUS ILLNESS CARE."

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THE FILING ORGANIZATION IS A MAJOR COMPONENT OF ATRIUM HEALTH WAKE FOREST BAPTIST, A PREEMINENT ACADEMIC HEALTH SYSTEM OF THE HIGHEST QUALITY WITH BALANCED EXCELLENCE IN PATIENT CARE, RESEARCH, AND EDUCATION. TOGETHER WITH AN INTEGRATED GROUP OF 501(C)(3) HOSPITALS, PHYSICIAN NETWORKS, OTHER HEALTHCARE PROVIDERS, AND WAKE FOREST UNIVERSITY HEALTH SCIENCES (WHICH OPERATES WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE), THE ORGANIZATION IS COMMITTED TO PROVIDING SIGNIFICANT BENEFITS TO THE COMMUNITIES IT SERVES ACROSS NORTHWESTERN NORTH CAROLINA. EACH HOSPITAL ORGANIZATION IN THE ATRIUM HEALTH WAKE FOREST BAPTIST SYSTEM REPORTS ITS OWN COMMUNITY BENEFIT ON FORM 990 SCHEDULE H. THE CONSOLIDATED COMMUNITY BENEFIT TOTAL OF THE ACADEMIC HEALTH SYSTEM IS REPORTED AT WWW.WAKEHEALTH.EDU/ABOUT-US/SERVING-OUR-COMMUNITIES/COMMUNITY-BENEFITS. THIS CONSOLIDATED TOTAL IS CALCULATED IN ACCORDANCE WITH REPORTING GUIDELINES ISSUED BY NORTH CAROLINA HOSPITAL ASSOCIATION, WHICH DIFFER FROM FORM 990 SCHEDULE H INSTRUCTIONS. A SIGNIFICANT PORTION OF COMMUNITY BENEFIT ACTIVITIES CONDUCTED BY THE ACADEMIC HEALTH SYSTEM ARE NOT REPORTED ON FORM 990 SCHEDULE H BECAUSE MANY COMMUNITY BENEFIT ACTIVITIES ARE NOT CONDUCTED BY AN ENTITY THAT IS A 501(C)(3) HOSPITAL.THE FILING ORGANIZATION CONDUCTED THE FOLLOWING PROGRAMS CONSTITUTING COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS REPORTED ON PART I, LINE 7E:HOSPICE & PALLATIVE CARE $179,568POPULATION HEALTH PHARMACY $459,012PHYSICIANS COMMUNITY HEALTH ACCESS $343,308EMERGENCY MGMT COVID-19 COSTS ($51,347)FAMILY RESOURCE CENTER $12,098PATIENT/FAMILY CENTERED CARE $23,471RAPID RESPONSE TEAM $769,910CHAPLAINCY & CLINICAL MINISTRIES $832,930PASTORAL & EDUCATIONAL COUNSELING $302,848FAITHHEALTH NC $295,880NETWORK HOSPITAL PROGRAM SUPPORT $2,979COVID-19 MEDIA UPDATES $7,437STOP THE BLEED PROGRAM $10,636DIRECT ASSISTANCE TO INDIVIDUALS $1,031,200COMMUNITY BENEFIT OPERATIONS $6,989TOTAL COMMUNITY HEALTH IMPROVEMENT & COMMUNITY BENEFIT OPERATIONS: $4,226,919