4A (Expenses $ 15021599 including grants of $ 14485572) (Revenue $ -2747282)
THE FOUNDATION SERVES AS A HEALTH LEGACY CHARITABLE FOUNDATION TO SUPPORT THE HEALTHCARE NEEDS OF ITS COMMUNITY AND MAINTAINS ASSETS ASSOCIATED WITH THE WILSON MEDICAL CENTER, INC. FACILITY. THE FOUNDATION PROVIDES GRANT-MAKING WITH THE OBJECTIVE OF IMPROVING HEALTH AND WELLNESS WITH THE FOLLOWING FOUR FOCUS AREAS:- ADOLESCENT PREGNANCY- ALCOHOL & SUBSTANCE ABUSE- OBESITY- SEXUALLY TRANSMITTED DISEASE PREVENTIONADDITIONALLY, AS DESCRIBED IN DETAIL IN SCHEDULE A, PART VI, THE FOUNDATION RETAINS AN OWNERSHIP INTEREST AND EFFECTIVE CONTROL OF DLP WILSON HOLDING COMPANY, LLC, WHICH OPERATES THE HOSPITAL AND NURSING HOME PREVIOUSLY OWNED AND OPERATED BY THE FOUNDATION. THROUGH ITS OWNERSHIP OF DLP WILSON HOLDING COMPANY, LLC, THE FOUNDATION CONTINUES TO SUPPORT PROGRAMS THAT FOSTER THE DELIVERY, QUALITY, OR AFFORDABILITY OF HEALTHCARE OR HEALTHCARE-RELATED SERVICES AND TO SUPPORT ANY ACTIVITY DESIGNED AND CARRIED ON TO SERVE THE GENERAL HEALTH AND WELL-BEING OF THE COMMUNITY; TO AID IN THE INSTRUCTION AND PROMOTION OF RESEARCH AND SCIENTIFIC INVESTIGATION IN ALL BRANCHES OF MEDICINE AND SURGERY; AND TO SUPPORT ANY EDUCATIONAL ACTIVITIES RELATED TO THE CARE OF THE SICK AND DISABLED, THE PROMOTION OF HEALTH AND PREVENTATIVE MEDICINE, AND THE GENERAL HEALTH AND WELL-BEING OF THE COMMUNITY.

DLP WILSON MEDICAL CENTER, INC.
"PART V, SECTION B, LINE 5: HEALTHCARE FOUNDATION OF WILSON WAS PART OF A COMMUNITY BASED HEALTH NEEDS ASSESSMENT CONDUCTED COLLABORATIVELY BY HEALTHCARE FOUNDATION OF WILSON, THE WILSON COUNTY HEALTH DEPARTMENT AND DLP WILSON MEDICAL CENTER. IN ADDITION, HEALTH CARE LEADERS ACROSS EASTERN NORTH CAROLINA (ENC) PARTNERED TO STANDARDIZE THE CHNA PROCESS FOR HEALTHCARE FOUNDATIONS, HEALTH DEPARTMENTS AND HOSPITALS IN THE REGION. THIS ENC COLLABORATIVE ALSO INCLUDED HEALTH ENC, CONDUENT HEALTH COMMUNITIES INSITUTE (HCI), AND THE DUKE ENDOWMENT. WE ARE HOPEFUL THIS ENC COLLABORATIVE WILL CREATE OPPORTUNITIES FOR NEW AND BETTER WAYS TO COLLABORATE AND PARTNER WITH ONE ANOTHER. THE HEALTH ASSESSMENT NEEDS OF THE COMMUNITY WERE DETERMINED BY THE WILSON COUNTY COMMUNITY. IN 2019, HEALTH ASSESSMENT SURVEYS WERE DISTRIBUTED THROUGHOUT THE COUNTY IN ENGLISH AND SPANISH VERSIONS. IN ADDITION, THE SURVEY WAS ALSO OFFERED ONLINE AT THE WEBSITE OF THE THREE FACILITIES COLLABORATING ALONG WITH OTHER BUSINESSES. PAPER SURVEYS WERE ALSO COLLECTED AT SEVERAL SITES THROUGHOUT THE COMMUNITY INCLUDING THE HEALTH DEPARTMENT AND DEPARTMENT OF SOCIAL SERVICES. THREE (3) FOCUS GROUP DISCUSSIONS AND A COMMUNITY HEALTH SUMMIT WERE ALSO HELD TO OBTAIN COMMUNITY INPUT.OVER 600 WILSON COUNTY RESIDENTS CONTRIBUTED THEIR INPUT ON THE COMMUNITY'S HEALTH AND HEALTH RELATED NEEDS, BARRIERS, AND OPPORTUNITIES, WITH SPECIAL FOCUS ON THE NEEDS OF VULNERABLE AND UNDERSERVED POPULATIONS.SECONDARY DATA USED FOR THIS ASSESSMENT WERE COLLECTED AND ANALYZED FROM CONDUENT HCI'S COMMUNITY INDICATOR DATABASE. THE DATABASE, MAINTAINED BY RESEARCHERS AND ANALYSTS AT CONDUENT HCI, INCLUDES OVER 100 COMMUNITY INDICATORS FROM VARIOUS STATE AND NATIONAL DATA SOURCES SUCH AS THE NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES, THE CENTERS FOR DISEASE CONTROL AND PREVENTION, AND THE AMERICAN COMMUNITY SURVEY. OTHER CONSIDERATIONS IN WEIGHING RELATIVE AREAS OF NEED INCLUDED COMPARISONS TO NORTH CAROLINA STATE VALUES, COMPARISONS TO NATIONAL VALUES, TRENDS OVER TIME, HEALTHY PEOPLE 2020 TARGETS AND HEALTHY NORTH CAROLINA 2020 TARGETS.BASED ON THE PRIMARY AND SECONDARY DATA, THE COMMUNITY HEALTH SUMMIT PROVIDED AN OPPORTUNITY FOR EACH COMMUNITY MEMBER PRESENT TO RANK THE TOP THREE CONCERNS OF THE COMMUNITY. THIS DATA WAS COMPILED TO DETERMINE THE HEALTH PRIORITIES FOR THE COUNTY. THE TOP THREE IDENTIFIED HEALTH PRIORITY AREAS ARE:- OBESITY- FITNESS/NUTRITION- MENTAL HEALTH - INCLUDING ALCOHOL AND SUBSTANCE MISUSETHE FOLLOWING INDIVIDUALS SERVED AS MEMBERS OF THE HEALTHCARE FOUNDATION OF WILSON BOARD OF DIRECTORS DURING 2019:- CHRIS HILL, CHAIR- VANCE FORBES- SHERYLETTA LACEWELL, SECRETARY- JOHN ANTHONY, TREASURER- PAULA BENSON- KRYSTAL COX- ARTHUR ""SKIP"" HANSON, MD- GEORGE ISAACS, MD- KEN JONES- ROSARIO OCHOA- JESSICA MCKEE, MD- PAULA MICHALAK- KURT SCHMIDT- JEROME VICK- JERRY WOODARD, MDIMPLEMENTATION PLANS WERE DEVELOPED BY EACH COLLABORATING ORGANIZATION. THE HEALTHCARE FOUNDATION OF WILSON BOARD OF DIRECTORS APPROVED THIS ASSESSMENT AND THE IMPLEMENTATION PLAN ON JANUARY 23, 2019. THE WILSON COUNTY HEALTH DEPARTMENT BOARD OF HEALTH APPROVED THIS ASSESSMENT AND THE IMPLEMENTATION PLAN ON MARCH 26, 2019. THE WILSON MEDICAL CENTER BOARD OF TRUSTEES APPROVED THIS ASSESSMENT AND THE IMPLEMENTATION PLAN ON MARCH 25, 2019.HEALTHCARE FOUNDATION OF WILSON'S IMPLEMENTATION STRATEGY, WHICH WAS UPDATED IN 2019 AFTER THE COMPLETION OF THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDES INITIATIVES IN EACH OF THE TOP THREE SIGNIFICANT HEALTH NEEDS IDENTIFIED. THE INITIAVES INCLUDE, BUT ARE NOT LIMITED TO:OBESITY:- HEALTHCARE FOUNDATION OF WILSON HAS APPROVED A STRATEGIC GRANT INITIATIVE - FUNDING AN AFTER-SCHOOL PROGRAM FOR MIDDLE SCHOOL STUDENTS, WHICH WILL PROVIDE OPPORTUNITIES TO ADDRESS OBESITY, FITNESS & NUTRITION, ALCOHOL AND SUBSTANCE ABUSE AND ADOLESCENT PREGNANCY FOR ALL MIDDLE SCHOOL STUDENTS IN THE COMMUNITY.- HEALTHCARE FOUNDATION OF WILSON WILL FUND GRANTS WITHIN THE COMMUNITY TO ADDRESS OBESITY TARGETS, SPECIFICALLY WITH THE WILSON COUNTY SCHOOLS, WILSON COUNTY DEPARTMENT OF SOCIAL SERVICES, AND NON-PROFITS IN THE COMMUNITY.- WILSON MEDICAL CENTER WILL CONTINUE ITS WORK WITH THE WILSON COUNTY SCHOOLS TO ADDRESS OBESITY EDUCATION. THE WILSON COUNTY HEALTH DEPARTMENT WILL PARTNER WITH THE DEPARTMENT OF SOCIAL SERVICES TO CONTINUE IMPLEMENTATON OF THE COUNTY WIDE EVIDENCED BASED EAT SMART MOVE MORE INITIATIVE WITH AN EMPHASIS ON PHYSICAL ACTIVITY AND NUTRITION. THE WILSON COUNTY HEALTH DEPARTMENT WILL CONTINUE TO OFFER THE EVIDENCE BASED DIABETES PREVENTION PROGRAM. THE HEALTH DEPARTMENT WILL OFFER CLASSES WITH A SPECIFIC FOCUS ON THE MINORITY POPULATION AND WILL ALSO WORK IN PARTNERHSIP WITH THE LOCAL YMCA TO OFFER THE PROGRAM TO THE COMMUNITY.FITNESS AND NUTRITION:- HEALTHCARE FOUNDATION OF WILSON HAS APPROVED A STRATEGIC GRANT INITIATIVE - FUNDING AN AFTER-SCHOOL PROGAM FOR MIDDLE SCHOOL STUDENTS, WHICH WILL PROVIDE OPPORTUNITIES TO ADDRESS OBESITY, FITNESS & NUTRITION, ALCOHOL AND SUBSTANCE ABUSE AND ADOLESCENT PREGNANCY FOR ALL MIDDLE SCHOOL STUDENTS IN THE COMMUNITY.- HEALTHCARE FOUNDATION OF WILSON WILL FUND GRANTS WITHIN THE COMMUNITY TO PROVIDE SUPPORT FOR NUTRITIONAL EDUCATION AND HEALTHY COOKING. AT THE CURRENT TIME FIVE GRANTS ARE BEING REVIEWED WHICH WILL IMPLEMENT OUTCOMES ASSOCIATED WITH POSITIVE IMPACTS FOR FITNESS AND NUTRITION IN THE WILSON COMUNITY.- WILSON MEDICAL CENTER WILL CONTINUE TO SPONSOR AND FACILITATE VARIOUS EVENTS WITHIN THE AREA TO EDUCATE AND PROMOTE HEALTY LIVING. THESE EVENTS INCLUDE, BUT ARE NOT LIMITED TO, HEALTH FAIRS, SUPPORT GROUPS, WELLNESS SCREENINGS, EXERCISE PROGRAMS AND LUNCH N' LEARNS.MENTAL HEALTH, INCLUDING ALCOHOL AND SUBSTANCE ABUSE:- HEALTHCARE FOUNDATION OF WILSON HAS APPROVED A STRATEGIC GRANT INITIATIVE - FUNDING AN AFTER-SCHOOL PROGRAM FOR MIDDLE SCHOOL STUDENTS, WHICH WILL PROVIDE OPPORTUNITIES TO ADDRESS OBESITY, FITNESS & NURTRITION, ALCOHOL AND SUBSTANCE ABUSE AND ADOLESCENT PREGNANCY FOR ALL MIDDLE SCHOOL STUDENTS IN THE COMMUNITY.- HEALTHCARE FOUNDATION OF WILSON WILL PROVIDE FUNDING THROUGH ONE OF THE FUNDRAISING GROUPS TO ADDRESS MENTAL HEALTH NEEDS, PARTICULARLY FOR WOMEN AND CHILDREN AT ONE OF THE LOCAL 501(C)(3) ORGANIZATIONS. ADDITIONAL SUBSTANCE ABUSE GRANTS IDENTIFIED WILL BE REVIEWED AND ASSESSED FOR FUNDING. - WILSON MEDICAL CENTER WILL CONTINUE TO PROVIDE EMERGENCY SERVICES TO PATIENTS THAT PRESENT TO THE EMERGENCY DEPARTMENT WITH EMERGENT MEDICAL CONDITIONS THAT HAVE RESULTED FROM SUBSTANCE ABUSE.- WILSON MEDICAL CENTER WILL OFFER COMPREHENSIVE HOSPITAL BASED BEHAVIORAL HEALTH SERVICES FOR VOLUNTARILY AND INVOLUNTARILY COMMITTED PATIENTS.- WILSON MEDICAL CENTER WILL FOCUS ON INTEGRATION WITH COMMUNITY RESOURCES TO ENSURE A CARE CONTINUUM IS AVAILABLE FOR PATIENTS WITH BEHAVIORAL HEALTH DIAGNOSES.- WILSON MEDICAL CENTER WILL ACTIVELY RECRUIT PSYCHIATRISTS TO STAFF AN INPATIENT PSYCHIATRIC UNIT; HEALTHCARE FOUNDATION OF WILSON HAS HELPED TO FUND THE PHASE 1 RENOVATION OF THE HOSPITAL WHICH INCLUDED AN INPATIENT PSYCHIATRIC UNIT THAT WILL INCLUDE GERIATRIC AND ADULT SERVICES TO HELP ADDRESS THIS NEED.- THE WILSON COUNTY HEALTH DEPARTMENT WILL CONTINUE TO OFFER A SYRINGE EXCHANGE PROGRAM IN PARTNERSHIP WITH THE HEALTHCARE FOUNDATION OF WILSON, OIC, INC., THE CITY OF WILSON POLICE DEPARTMENT, THE WILSON COUNTY SHERIFF'S DEPARTMENT, AND THE WILSON COUNTY SUBSTANCE ABUSE PREVENTION COALITION.- THE WILSON COUNTY HEALTH DEPARTMENT WILL OFFER TOBACCO CESSATION CLASSES.- THE WILSON COUNTY HEALTH DEPARTMENT WILL HIRE A LCSW TO PROVIDE COUNSELING SERVICES TO PATIENTS WHO ARE SUFFERING FROM SUBSTANCE MISUSE DISORDER WHO ARE POST DETOXIFICATION OR REHABILITATION.[CONTINUED AT THE END OF PART V, SECTION C]"

DLP WILSON MEDICAL CENTER, INC.
PART V, SECTION B, LINE 6A: DLP WILSON MEDICAL CENTER

DLP WILSON MEDICAL CENTER, INC.
PART V, SECTION B, LINE 6B: WILSON COUNTY HEALTH DEPARTMENT

DLP WILSON MEDICAL CENTER, INC.
PART V, SECTION B, LINE 7D: THE CHNA IS ALSO AVAILABLE ON THE DLP WILSON MEDICAL CENTER WEBSITE ATHTTPS://WWW.WILSONMEDICAL.COM/CONTENT/UPLOADS/WILSON%20MEDICAL/FILES/2019%20WILSON_COUNTY%20CHNA%20REPORT-FINAL%202.PDF

DLP WILSON MEDICAL CENTER, INC.
PART V, SECTION B, LINE 11: WILSON MEDICAL CENTER REVIEWED THE HEALTHCARE NEEDS AND THREE PRIORITY AREAS WERE IDENTIFIED. THEY ARE 1) OBESITY, 2) FITNESS/NUTRITION, AND 3) MENTAL HEALTH - INCLUDING ALCOHOL AND SUBSTANCE MISUSE. ACTION PLANS ARE IN PLACE TO ADDRESS THESE NEEDS AS DESCRIBED IN THE NARRATIVE FOR LINE 5 ABOVE.WILSON MEDICAL CENTER HAS A PHYSICIAN REFERRAL LINE, COORDINATES EDUCATIONAL TALKS FOR THE COMMUNITY, WORKS WITH EMS ON STROKE EDUCATION, PARTICIPATES IN WILSON COUNTY SCHOOL EVENTS AND HEALTH FAIRS PROMOTING VARIOUS HEALTH TOPICS, INCLUDING OBESITY AND FITNESS/NUTRITION. WILSON MEDICAL CENTER CONTINUES TO CARE FOR THOSE PATIENTS WITH MENTAL HEALTH DIAGNOSES, AND IS WORKING ON ADDITIONAL RECRUITMENT OF PSYCHIATRIC PROVIDERS FOR INPATIENT AND OUTPATIENT SERVICES. IN ADDITION TO THE MENTAL HEALTH SERVICES OFFERED AT WILSON MEDICAL CENTER, COMMUNITY ORGANIZATIONS, SUCH AS THE WILSON CRISIS CENTER, ARE UTILIZED FREQUENTLY TO ASSIST WITH PATIENTS WITH THESE DIAGNOSES.

PART V, SECTION B, LINE 5 CONTINUED:
ADDITIONAL NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT WHICH WERE ADDRESSED IN THE IMPLEMENTATION PLAN FOR HEALTHCARE FOUNDATION OF WILSON INCLUDES ACCESS TO HEALTHCARE. TO ADDRESS THIS NEED:- HEALTHCARE FOUNDATION OF WILSON WILL CONTINUE GRANTS TO THE WILSON COUNTY HEALTH DEPARTMENT AND CAROLINA FAMILY HEALTH CENTERS (A FQHC) TO SUBSIDIZE MAMMOGRAMS AND SURGICAL CONSULTATIONS TO WOMEN WHO DO NOT HAVE HEALTH INSURANCE COVERAGE.- HEALTHCARE FOUNDATION OF WILSON WILL FUND A GRANT TO THE WILSON COUNTY HEALTH DEPARTMENT, WILSON COUNTY SCHOOLS, AND WILSON COUNTY DEPARTMENT OF SOCIAL SERVICES TO SUPPORT A SCHOOL HEALTH CLINIC IN THE LARGEST MIDDLE SCHOOL IN THE COUNTY AND AN ADDITIONAL SCHOOL CLINIC WHICH WILL SUPPORT BEDDINGFIELD AND THE WILSON ACADEMY OF APPLIED TECHNOLOGY HIGH SCHOOLS LOCATED IN WILSON COUNTY.- FLU VACCINATIONS WILL BE PROVIDED TO THE UNINSURED BY WILSON COUNTY HEALTH DEPARTMENT, FUNDED BY HEALTHCARE FOUNDATION OF WILSON.- WILSON MEDICAL CENTER WILL ASSIST PATIENTS AND THEIR FAMILIES WITH THE MEDICAID ELIGIBILITY PROCESS TO ACHIEVE ADDITIONAL COVERAGE FOR FAMILIES.- WILSON MEDICAL CENTER WILL CONTINUE TO RECRUIT PROVIDERS WITH A FOCUS ON PRIMARY CARE, GASTROENTEROLOGY, PULMONOLOGY, UROLOGY AND ORTHOPEDICS.- WILSON MEDICAL CENTER WILL REMAIN FOCUSED ON DUKE CONNECTED CARE DEVELOPMENT AND INTEGRATION OF EMPLOYED AND NON-EMPLOYED PHYSICIANS.- DUKE UNIVERSITY HEALTH SYSTEM AND WILSON MEDICAL CENTER WILL CONTINUE TO COLLABORATE AROUND TELE-STROKE SERVICES AND CANCER CARE SERVICES. THESE COLLABORATIONS ENSURE PATIENTS ARE ABLE TO RECEIVE THE HIGHEST QUALITY AND SAFEST CARE WITHOUT HAVING TO LEAVE THEIR COMMUNITY.- WILSON MEDICAL CENTER WILL CONTINUE TO DEVELOP AND GROW THEIR TRANSITIONAL CARE PROGRAM. THIS PROGRAM ENSURES UNDERINSURED AND UNINSURED PATIENTS HAVE ACCESS TO APPROPRIATE HEALTHCARE RESOURCES AFTER THEY ARE DISCHARGED FROM THE HOSPITAL TO HOME.- THE WILSON COUNTY HEALTH DEPARTMENT WILL CONTINUE TO PROVIDE PRIMARY CARE ON A SLIDING FEE SCALE FOR ADULTS AND CHILDREN.

PART I, LINE 3C:
ELIGIBILITY IS GENERALLY DETERMINED BY MEASURING THE GROSS FAMILY INCOME AGAINST THE FEDERAL POVERTY INCOME GUIDELINES. IN ADDITION, OTHER RELEVANT NON-INCOME RESOURCES, INCLUDING BUT NOT LIMITED TO REAL ESTATE, SAVINGS, LIFE INSURANCE, MOTOR VEHICLES, ETC., WILL BE CONSIDERED IN REACHING A DETERMINATION OF ELIGIBILITY. ELIGIBILITY GUIDELINES WILL ALSO TAKE INTO CONSIDERATION CATASTROPHIC EVENTS FOR PATIENTS WHOSE INCOME FALLS OUTSIDE THE GUIDELINES. PATIENTS WHOSE GROSS INCOME IS LESS THAN THREE TIMES THE FEDERAL POVERTY INCOME GUIDELINES MAY BE ELIGIBLE FOR REDUCED MONTHLY PAYMENTS OR UNCOMPENSATED SERVICES IN PART OR IN FULL.

PART I, LINE 7:
THE ORGANIZATION'S TWENTY PERCENT SHARE OF SUCH ACTIVITY, AS CONDUCTED WITHIN THE LLC FOR FISCAL YEAR 2021, IS REFLECTED ON SCHEDULE H.

FORM 990, SCHEDULE H
"EFFECTIVE MARCH 1, 2014, WILSON MEDICAL CENTER, INC. AND WILMED GENERATIONS, INC. ENTERED INTO AN AGREEMENT WITH DLP HEALTHCARE, LLC TO FORM A JOINT VENTURE, DLP WILSON HOLDING COMPANY, LLC, THAT WOULD OPERATE THE HOSPITAL AND NURSING HOME PREVIOUSLY OWNED AND OPERATED BY WILSON MEDICAL CENTER, INC. AND WILMED GENERATIONS, INC. WILSON MEDICAL CENTER, INC. THEREFORE CEASED DIRECTLY PROVIDING HEALTH CARE SERVICES ON FEBRUARY 28, 2014 AND IS PROVIDING MEDICAL SERVICES INDIRECTLY THROUGH THE JOINT VENTURE. EFFECTIVE OCTOBER 1, 2014, WILSON MEDICAL CENTER, INC. CHANGED ITS NAME TO HEALTHCARE FOUNDATION OF WILSON (THE ""FOUNDATION""). THE GOVERNING DOCUMENTS OF THE JOINT VENTURE REQUIRE THAT THE JOINT VENTURE OPERATE THE HOSPITAL IN A MANNER AS TO SATISFY THE CHARITABLE PURPOSES GENERALLY REQUIRED OF HOSPITALS RECOGNIZED AS EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, INCLUDING THAT THE HOSPITAL ACCEPT MEDICARE AND MEDICAID PATIENTS, MAINTAIN AN EMERGENCY DEPARTMENT THAT ACCEPTS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY, ADOPT THE CHARITY CARE POLICIES UTILIZED BY WILSON MEDICAL CENTER, INC. PRIOR TO THE TRANSFER OF THE HOSPITAL TO THE JOINT VENTURE, AND COMPLY WITH THE REQUIREMENTS OF SECTION 501(R) OF THE CODE REGARDING CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES AND THE CONDUCTING OF COMMUNITY HEALTH NEEDS ASSESSMENTS. THE GOVERNING DOCUMENTS OF THE JOINT VENTURE INCLUDE PROVISIONS WHICH PROVIDE THE FOUNDATION, THROUGH ITS REPRESENTATIVES ON THE GOVERNING BODY OF THE JOINT VENTURE, WITH THE POWER TO ENFORCE COMPLIANCE WITH THESE CHARITABLE HOSPITAL REQUIREMENTS. WILSON MEDICAL CENTER, INC. WAS ALSO A ""PUBLIC HOSPITAL"" PURSUANT TO CHAPTER 131E, ARTICLE 2, OF THE NORTH CAROLINA GENERAL STATUTES (THE ""PUBLIC HOSPITAL STATUTES""). THE PUBLIC HOSPITAL STATUTES AT THE TIME OF CREATION OF THE JOINT VENTURE REQUIRED THAT ANY TRANSFER OF A PUBLIC HOSPITAL FACILITY MUST BE MADE TO A CORPORATION, AND THE PUBLIC HOSPITAL STATUTES DID NOT PERMIT THE TRANSFER OF A PUBLIC HOSPITAL FACILITY TO A LIMITED LIABILITY COMPANY. WITH THE CREATION OF THIS JOINT VENTURE IN MIND, THE NORTH CAROLINA GENERAL ASSEMBLY PASSED A TECHNICAL CORRECTION STATUTE WHICH ENABLED THE TRANSFER OF A PUBLIC HOSPITAL FACILITY TO BE MADE TO A LIMITED LIABILITY COMPANY, AS WELL AS TO A CORPORATION. THE EFFECTIVE DATE OF THE NORTH CAROLINA GENERAL ASSEMBLY'S CHANGE TO THE PUBLIC HOSPITAL STATUTE WAS OCTOBER 1, 2014, WHICH WAS AFTER THE CREATION OF THE JOINT VENTURE. IN ORDER TO COMPLY WITH THE REQUIREMENTS OF THE PUBLIC HOSPITAL STATUTE AT THAT TIME, THE HOSPITAL FACILITY WAS TRANSFERRED TO DLP WILSON MEDICAL CENTER, INC., WHICH WAS WHOLLY OWNED BY THE JOINT VENTURE, WITH THE INTENTION THAT DLP WILSON MEDICAL CENTER, INC. WOULD BE CONVERTED TO A LIMITED LIABILITY COMPANY AFTER THE ENACTMENT OF THE NORTH CAROLINA GENERAL ASSEMBLY'S TECHNICAL CORRECTION TO THE NORTH CAROLINA PUBLIC HOSPITAL STATUTES, AND THE CONVERSION WAS COMPLETED EFFECTIVE ON DECEMBER 31, 2014. AFTER THE CONVERSION OF THE DLP WILSON MEDICAL CENTER, INC., TO A LIMITED LIABILITY COMPANY, IT WAS TREATED AS A DISREGARDED ENTITY FOR FEDERAL TAX PURPOSES, AND THE JOINT VENTURE IS TREATED AS OPERATING THE HOSPITAL DIRECTLY. THE NORTH CAROLINA PUBLIC HOSPITAL STATUTES ALSO REQUIRE THAT THE JOINT VENTURE, AS THE TRANSFEREE OF THE PUBLIC HOSPITAL FACILITY, CONTINUE TO PROVIDE THE SAME HOSPITAL SERVICES, INDIGENT CARE, FINANCIAL ASSISTANCE POLICIES, AND MEDICARE AND MEDICAID SERVICES AS WERE PROVIDED BY WILSON MEDICAL CENTER, INC. PRIOR TO THE TRANSFER, AND THE JOINT VENTURE IS REQUIRED TO PROVIDE AN ANNUAL REPORT THAT SHOWS COMPLIANCE WITH THIS REQUIREMENT. FAILURE TO COMPLY WITH THIS REQUIREMENT WILL CAUSE THE HOSPITAL FACILITY TO REVERT TO WILSON COUNTY.THE INFORMATION REPORTED ON SCHEDULE H REPRESENTS FINANCIAL DATA AS PROVIDED BY THE JOINT VENTURE HOSPITAL AND NON-HOSPITAL FACILITIES. PERCENTAGES OF COMMUNITY BENEFIT REPRESENT COMMUNITY BENEFIT (AT COST) AS A PERCENTAGE OF TOTAL JOINT VENTURE EXPENSES, INCLUDING DLP WILSON MEDICAL CENTER, LLC, DLP WILMED NURSING CARE AND REHABILITATION CENTER, LLC AND DLP WILSON PHYSICIAN PRACTICES, LLC."

PART III, LINE 2:
BAD DEBT CALCULATED USING A HISTORICAL COLLECTION ANALYSIS TO DETERMINE PERCENTAGE COLLECTED TO CHARGED. PERCENTAGE IS THEN USED TO RESERVE BAD DEBT MONTHLY.

PART III, LINE 3:
THE AMOUNT ATTRIBUTABLE TO CHARITY CARE IS $6,057,685.

PART III, LINE 4:
"THE FOLLOWING TEXT IS FROM THE FOOTNOTES OF THE DLP WILSON HOLDING COMPANY, LLC, AUDITED FINANCIAL STATEMENTS:""SUBSEQUENT ADJUSTMENTS THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGES IN THE PATIENT'S OR THE PAYER'S ABILITY TO PAY ARE RECOGNIZED AS BAD DEBT EXPENSE. WITH THE ADOPTION OF ASC 606, BAD DEBT EXPENSE IS INCLUDED UNDER THE CAPTION ""OTHER OPERATING EXPENSES"" IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF INCOME, INSTEAD OF SEPARATELY AS A DEDUCTION TO REVENUES. BAD DEBT EXPENSE WAS NOT MATERIAL FOR THE COMPANY DURING ANY OF THE PERIODS PRESENTED IN THE ACCOMPANYING CONSOLIDATED STATEMENT OF INCOME."""

PART III, LINE 8:
COSTS ARE DETERMINED USING THE STEP-DOWN METHODOLOGY FROM THE MEDICARE COST REPORT.

PART III, LINE 9B:
PATIENTS IDENTIFIED AS QUALIFYING FOR CHARITY CARE HAVE THEIR ACCOUNTS ADJUSTED AND ARE NOT SUBJECTED TO COLLECTION EFFORTS.

PART VI, LINE 2:
THE HEALTHCARE FOUNDATION OF WILSON ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITY THROUGH PARTICIPATION IN COMMUNITY EVENTS & HEALTH FAIRS, SUPPORT GROUPS, PATIENT ADMISSIONS, MAINTAINING AN EMERGENCY DEPARTMENT, PHYSICIAN REFERRAL LINE CALLERS, AND RESPONDING TO MEDIA.

PART VI, LINE 3:
THE 501(R) PLAIN LANGUAGE SUMMARY IS DISPLAYED AT EVERY REGISTRATION DESK AND A COPY IS PROVIDED TO EVERY PATIENT.WILSON MEDICAL CENTER HAS INFORMATION POSTED IN ALL PATIENT ACCESS POINTS, AS WELL AS VERBAGE ON PATIENT STATEMENTS AND ON THE HOSPITAL WEBSITE TO INFORM AND EDUCATE PATIENTS AND PERSONS ABOUT THEIR ELIGIBILITY. WILSON MEDICAL CENTER HAS FINANCIAL COUNSELORS IN-HOUSE WHO ALSO INFORM AND EDUCATE PATIENTS REGARDING THEIR ELIGIBILITY. THIS INFORMATION IS ALSO PROVIDED TO THE WILSON COUNTY HEALTH DEPARTMENT.

PART VI, LINE 5:
DLP WILSON MEDICAL CENTER, INC. HAS AN OPEN MEDICAL STAFF. THE BOARD OF TRUSTEES IS COMPRISED OF INDIVIDUALS THAT ARE ACTIVE IN OTHER ORGANIZATIONS IN THE COMMUNITY. SURPLUS FUNDS ARE REINVESTED IN THE FACILITY AND EQUIPMENT THAT PROVIDE HEALTHCARE SERVICES. HEALTHCARE FOUNDATION OF WILSON'S (HFW) BOARD OF DIRECTORS IS ALSO COMPRISED OF INDIVIDUALS ACTIVE IN OTHER ORGANIZATIONS IN THE COMMUNITY. IN ADDITION, HFW, IN COLLABORATION WITH THE LOCAL HEALTH DEPARTMENT, PROVIDES FREE FLU VACCINATIONS TO INDIVIDUALS IN THE COMMUNITY WHO DO NOT HAVE HEALTH INSURANCE COVERAGE. VACCINATIONS ARE PROVIDED FREE OF CHARGE, THEREBY REINVESTING IN HEALTHCARE SERVICES TO PROMOTE THE HEALTH OF THE COMMUNITY.

PART VI, LINE 4:
BASED ON THE 2016 CENSUS ESTIMATES FOR WILSON COUNTY THERE ARE 81,661 PEOPLE. THE RACIAL MAKEUP OF THE COUNTY WAS WHITE (NOT HISPANIC/LATINO), 56.0%; BLACK OR AFRICAN AMERICAN, 40.6%; NATIVE AMERICAN, 0.6%; ASIAN, 1.1%; HISPANIC OR LATINO, 10.0%. PEOPLE OF TWO OR MORE RACES ACCOUNTED FOR 1.5%. FOR THIS REASON, THE PERCENTAGES ARE GREATER THAN 100% WHEN TOTALED.THE 81,661 PEOPLE WERE BROKEN DOWN IN THESE AGE GROUPS: 32.0% WERE UNDER THE AGE OF 24, 11.8% ARE AGED 25 TO 34, 11.6% ARE AGED 35 TO 44 YEARS OLD, 13.4% WERE AGED 45 TO 54 YEARS OLD, 13.9% WERE 55 TO 64 YEARS OLD , AND 17.3% ARE PEOPLE AGED 65 YEARS OLD AND OLDER. THE MEDIAN AGE IS 38.2 FOR MALES AND 42.2 FOR FEMALES.THE MEDIAN INCOME FOR A HOUSEHOLD IN THE COUNTY WAS $40,260 AND 86.4% OF THE POPULATION HAS SOME TYPE OF HEALTH INSURANCE COVERAGE. THE RATE OF POVERTY WAS 22.5%.

PART VI, LINE 6:
N/A