2023-11-14T11:01:40-06:00 2022-12-31 990 2022-01-01 237426944 FAITHHEALTHINNOVATIONS INC FAIT 3367164445 MEDICAL CENTER BOULEVARD WINSTON SALEM NC 27157 BRADLEY A CLARK TREASURER 3367164445 2023-11-14 BRADLEY CLARK 999009999 0 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z DR BRIAN DAVIS MEDICAL CENTER BOULEVARD WINSTON SALEM NC 27157 412175 0 X HTTPS://HEALTHYCHURCH.ORG X 1992 NC OPENING DOORS TO HOPE AND WHOLENESS WITH FAITH COMMUNITIES, LAY LEADERS AND CLERGY. 1 0 0 0 0 0 121882 188613 58509 221459 7065 2103 0 0 187456 412175 13565 71299 0 0 0 0 0 0 0 71413 181906 84978 253205 102478 158970 419032 567246 0 14744 419032 552502 OPENING DOORS TO HOPE AND WHOLENESS WITH FAITH COMMUNITIES, LAY LEADERS AND CLERGY THROUGH COACHING, CONSULTING, INTERIM MINISTRY, LEADERSHIP DEVELOPMENT, SPIRITUAL FORMATION AND EMOTIONAL INTELLIGENCE TRAINING. 0 0 250249 71299 221459 THE ORGANIZATION PROVIDES TECHNICAL, ACADEMIC, AND RESEARCH ASSISTANCE TO THE FAITHHEALTH DIVISION OF ATRIUM HEALTH WAKE FOREST BAPTIST AS PART OF THE MISSION TO IMPROVE ACCESS TO HEALTH SERVICES AND INDIVIDUALS' HEALTH STATUS THROUGH BUILDING AND ALIGNING COMMUNITY HEALTH ASSETS BEGINNING IN THE COMMUNTIES LIKELY TO BE SERVED BY THE MEDICAL CENTER. THE ORGANIZATION ALSO CONTINUES TO PROVIDE EDUCATIONAL, CONSULTING AND SUPPORT SERVICES TO CONGREGATIONS, DENOMINATIONS AND THEIR LEADERS. DURING THE FISCAL PERIOD ENDED DECEMBER 31, 2022, THE ORGANIZATION PROVIDED A MONTHLY AVERAGE OF NEARLY 100 CONSULTATION HOURS TO CONGREGATIONS, MINISTERS AND CHURCH-CENTERED AGENCIES. 250249 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 1 0 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 0 X ERIN KOEWING 3367164445 MEDICAL CENTER BLVD WINSTON SALEM NC 27157 DR GARY GUNDERSON DIRECTOR, PRESIDENT 5.00 35.00 X X 365120 0 80406 BRADLEY A CLARK TREASURER 0.10 39.90 X 1335054 0 135513 J MCLAIN WALLACE JR SECRETARY 1.00 39.00 X 0 984139 159721 1700174 984139 375640 0 0 1 1 0 119500 69113 188613 COACHING/CONSULTING 611430 221459 221459 221459 2103 2103 412175 221459 0 2103 X 71299 71299 141425 141425 14507 14507 6794 6021 773 19180 16997 2183 253205 250249 2956 0 230620 254883 54768 202146 31513 31513 0 0 133644 110217 419032 567246 14744 0 14744 X 419032 552502 419032 552502 419032 567246 158970 -25500 0 X 0 1 X 1 0 X 127698 111705 89764 121882 188613 639662 186610 108952 154977 58509 221459 730507 314308 220657 244741 180391 410072 1370169 0 0 0 1370169 13136 7208 23635 7065 2103 53147 13136 7208 23635 7065 2103 53147 327444 227865 268376 187456 412175 1423316 0.96270 0.95740 0.03730 0.04260 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 31513 31513 0 0 X PART X, LINE 2: THE ORGANIZATION HAS EVALUATED UNCERTAIN TAX POSITIONS FOR ITS CALENDAR YEAR ENDED DECEMBER 31, 2022 AND SHORT PERIOD ENDED DECEMBER 31, 2021, INCLUDING A QUANTIFICATION OF TAX RISK IN AREAS SUCH AS UNRELATED BUSINESS TAXABLE INCOME AND THE TAXATION OF ITS JOINT VENTURES. THIS EVALUATION DID NOT HAVE A MATERIAL EFFECT ON THE ORGANIZATION'S FINANCIAL STATEMENTS FOR THE CALENDAR YEAR ENDED DECEMBER 31, 2022 AND SHORT PERIOD ENDED DECEMBER 31, 2021. 1 DIRECT PATIENT ASSISTANCE - TRANSPORTATION 384 54329 DIRECT PATIENT ASSISTANCE - FOOD, PRESCRIPTION DRUGS, UTILITIES, HOUSING, FUNERAL EXPENSES 54 16970 PART I, LINE 2: THE FILING ORGANIZATION FOLLOWS THE CORPORATE POLICY USED BY WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER (TO WHICH ENTITY THE OPERATION OF THE FILING ORGANIZATION HAS BEEN DELEGATED) IN REVIEWING ELIGIBILITY AND SELECTION OF GRANTEES RECEIVING CERTAIN EXEMPT PURPOSE FUNDS. THE ORGANIZATION MAINTAINS DOCUMENTATION OF THE ELIGIBILITY AND SELECTION CRITERIA AND RECORDS OF AMOUNTS DISBURSED. 0 1 0 0 0 0 0 0 0 BRADLEY A CLARK TREASURER 790574 0 506925 0 37555 0 100623 0 34890 0 1470567 0 34657 0 J MCLAIN WALLACE JR SECRETARY 0 590200 0 252513 0 141426 0 144251 0 15470 0 1143860 0 116382 DR GARY GUNDERSON DIRECTOR, PRESIDENT 251178 0 80807 0 33135 0 48607 0 31799 0 445526 0 26000 0 PART I, LINE 4B CERTAIN DIRECTORS AND OFFICERS OF THE FILING ORGANIZATION PARTICIPATED IN AND/OR RECEIVED PAYMENTS FROM A NON-QUALIFIED DEFERRED COMPENSATION PLAN (RESTORATION OR SERP). THE DETERMINATION OF THE PAYMENT AMOUNT FROM THE NON-QUALIFIED DEFERRED COMPENSATION PLANS FOLLOWED THE EMPLOYMENT ORGANIZATION'S COMPENSATION PROCEDURES. THE FOLLOWING DIRECTORS AND OFFICERS RECEIVED PAYMENTS FROM NON-QUALIFIED DEFERRED COMPENSATION PLANS DURING THE CURRENT TAX YEAR: BRADLEY A. CLARK $34,775 J. MCLAIN WALLACE, JR. $116,382 DR. GARY GUNDERSON $26,000 FORM 990, PART VII, LINE 5 - COMPENSATION FROM UNRELATED ORGANIZATION DR. GARY GUNDERSON WAS COMPENSATED BY WAKE FOREST UNIVERSITY HEALTH SCIENCES, AN AFFILIATED BUT UNRELATED ORGANIZATION, FOR SERVICES RENDERED TO THE ORGANIZATION. SEE PART VII AND SCHEDULE J FOR HIS COMPENSATION. BRADLEY A. CLARK WAS COMPENSATED BY THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY ("CMHA", DOING BUSINESS AS ATRIUM HEALTH), AN AFFILIATED BUT UNRELATED ORGANIZATION, FOR SERVICES RENDERED TO THE ORGANIZATION. SEE PART VII AND SCHEDULE J FOR HIS COMPENSATION. 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 BOARD OF DIRECTORS SHALL BE ELECTED BY THE SOLE MEMBER, WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER, PURSUANT TO THE AMENDED AND RESTATED BYLAWS. FORM 990, PART VI, SECTION A, LINE 7B IN ADDITION TO THE SOLE MEMBER ELECTING THE DIRECTORS, ANY ACTION WHICH THE SOLE MEMBER (WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER, A TAX-EXEMPT IRC SECTION 501(C)(3) ORGANIZATION) MAY TAKE WITH REGARD TO THE CORPORATION MAY BE TAKEN WITHOUT A MEETING IF A CONSENT IN WRITING, SETTING FORTH THE ACTION SO TAKEN, IS SIGNED BY THE SOLE MEMBER OR CEO OF THE SOLE MEMBER. FINALLY, ANY AMENDMENT OR REPEAL OF THE BYLAWS MUST BE APPROVED BY THE SOLE MEMBER PRIOR TO OR CONTEMPORANEOUSLY WITH THE ADOPTION BY AFFIRMATIVE VOTE OF A MAJORITY OF THE ENTIRE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES OF THE GOVERNING BODY, PURSUANT TO THE AMENDED AND RESTATED BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S BOARD OF DIRECTORS RECEIVES A COPY OF THE FORM 990 WITH SUFFICIENT TIME TO PERMIT REVIEW, COMMENT AND QUESTIONS PRIOR TO ITS FILING. THE ORGANIZATION REVIEWS ALL COMMENTS AND ANSWERS ALL QUESTIONS AND CONCERNS RAISED TO ENSURE THAT ALL FORM 990 INFORMATION IS PROPERLY REPORTED AND DISCLOSED. IF MODIFICATIONS ARE REQUIRED FOLLOWING SUCH REVIEW, THE REVISED FORM 990 IS REDISTRIBUTED PRIOR TO ITS FILING WITH THE IRS, ALONG WITH A SUMMARY OF THE MODIFICATIONS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES OFFICERS, DIRECTORS AND KEY EMPLOYEES TO ANNUALLY REVIEW THE CONFLICT OF INTEREST POLICY AND DETERMINE ANY POTENTIAL CONFLICTS OF INTEREST. ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO DETERMINE AND REPORT POTENTIAL CONFLICTS ANNUALLY, AND AS THEY ARISE. ANY ITEMS DISCLOSED ARE REVIEWED AND MANAGED IN ACCORDANCE WITH THE ORGANIZATION'S POLICY ON CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE FILING ORGANIZATION DOES NOT PAY COMPENSATION TO DIRECTORS AND OFFICERS FOR THEIR EFFORT DEVOTED TO THE ORGANIZATION. CERTAIN OFFICERS AND DIRECTORS ARE EMPLOYED BY A RELATED ORGANIZATION, WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER AND BY UNRELATED BUT AFFILIATED ORGANIZATIONS, CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY (CMHA) AND WAKE FOREST UNIVERSITY HEALTH SCIENCES, (WFUHS) AND THE DETERMINATION OF THE COMPENSATION OF SUCH INDIVIDUALS IS CONDUCTED VIA THE PROCESS UTILIZED BY THE WFUBMC BOARD, AS FOLLOWS: THE DIVERSITY, INCLUSION, & COMPENSATION COMMITTEE (THE "COMMITTEE") OF THE ATRIUM HEALTH, INC. BOARD OF DIRECTORS HAS AUTHORITY AS THE WFUBMC BOARD DELEGATES TO IT, FOR THE REVIEW AND APPROVAL OF SENIOR EXECUTIVE COMPENSATION, INCLUDING SENIOR EXECUTIVE INCENTIVE PLANS. NO MEMBER OF THE COMMITTEE IS AN EMPLOYEE OF WFUBMC OR OF THE FILING ORGANIZATION. THE COMMITTEE RELIES UPON AN EXTERNAL, INDEPENDENT COMPENSATION CONSULTANT EXPERIENCED IN HEALTHCARE TO PROVIDE THE COMMITTEE WITH COMPENSATION COMPARABILITY DATA FOR NEW EXECUTIVE POSITION APPOINTMENTS AND FOR COMPENSATION REVIEWS FOR EXISTING EXECUTIVES. THE CONSULTANT, WHICH IS RETAINED DIRECTLY BY THE COMMITTEE, PROVIDES THIRD-PARTY INFORMATION AND EVALUATES THE COMPETITIVENESS AND REASONABLENESS OF EXECUTIVE COMPENSATION AND BENEFITS PROGRAMS IN RELATION TO MARKET PRACTICES FOR SIMILARLY SITUATED HEALTHCARE ORGANIZATIONS. THE COMMITTEE MAKES ITS DECISIONS WITH RESPECT TO EXECUTIVE COMPENSATION IN ACCORDANCE WITH WFUBMC AND FILING ORGANIZATION POLICIES, IRS REGULATIONS, AND STANDARD CORPORATE GOVERNANCE PRACTICES. SUCH POLICIES INCLUDE ADHERENCE TO EXECUTIVE COMPENSATION PHILOSOPHY AND REVIEW PROCESSES; PROCESSES ENSURING COMMITTEE MEMBER AND COMPENSATION CONSULTANT INDEPENDENCE; USE OF VALID MARKET COMPARISONS OF DATA FROM HEALTHCARE ORGANIZATIONS OF SIMILAR SIZE, STRUCTURE, AND COMPLEXITY AND ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS, PER IRS GUIDELINES. MINUTES OF THE DELIBERATIONS OF THE COMMITTEE ARE MAINTAINED IN THE ATRIUM HEALTH, INC. LEGAL DEPARTMENT. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE TO THE PUBLIC ON REQUEST AND ARE AVAILABLE ON THE WEBSITE OF THE NORTH CAROLINA SECRETARY OF STATE. THE ORGANIZATION'S BYLAWS ARE NOT PUBLISHED, BUT PROVISIONS FROM THE BYLAWS ARE INCLUDED AS NECESSARY IN THE ORGANIZATION'S POLICIES, AND ARE ATTACHED TO THE FORM 1023 FILED FOR THE ORGANIZATION WITH THE IRS, WHICH IS PUBLICLY AVAILABLE. THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC ON REQUEST. FORM 990, PART IX, LINE 11G CONSULTANTS & COACHES: PROGRAM SERVICE EXPENSES 141,425. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 141,425. WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER MEDICAL CENTER BLVD WINSTON SALEM NC 27157 510190238 HEALTHCARE NC 501(C)(3) LINE 12A, I 0 LEXINGTON MEDICAL CENTER 250 HOSPITAL DRIVE LEXINGTON NC 27293 560543238 HEALTHCARE NC 501(C)(3) LINE 3 WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER 0 LEXINGTON MEDICAL CENTER FOUNDATION 250 HOSPITAL DRIVE LEXINGTON NC 27293 581876553 SUPPORTING ORGANIZATION NC 501(C)(3) LINE 12A, I LEXINGTON MEDICAL CENTER 0 NORTHWEST COMMUNITY CARE NETWORK 2000 WEST FIRST ST STE 605 WINSTON SALEM NC 27104 020774853 HEALTHCARE NC 501(C)(3) LINE 7 WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER 0 DAVIE MEDICAL CENTER 329 NC HWY 801N BERMUDA RUN NC 27006 562276994 HEALTHCARE NC 501(C)(3) LINE 3 WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER 0 WRMC HOSPITAL OPERATING CORPORATION PO BOX 609 NORTH WILKESBORO NC 28659 830343789 HEALTHCARE NC 501(C)(3) LINE 3 WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER 0 HIGH POINT REGIONAL HEALTH PO BOX HP-5 HIGH POINT NC 27261 560532309 HEALTHCARE NC 501(C)(3) LINE 3 WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER 0 HIGH POINT REGIONAL HEALTH FOUNDATION 601 N ELM STREET HIGH POINT NC 27261 272854711 SUPPORTING ORGANIZATION NC 501(C)(3) LINE 12A, I HIGH POINT REGIONAL HEALTH 0 WILKES MEDICAL CENTER FOUNDATION 1370 WEST D STREET NORTH WILKESBORO NC 28659 822345613 SUPPORTING ORGANIZATION NC 501(C)(3) LINE 12A, I WRMC HOSPITAL OPERATING CORPORATION 0 MS LAND HOLDING CO LLC 1901 MOONEY STREET WINSTONSALEM NC 27103 824005370 REAL ESTATE NC N/A 0 0 HIGH POINT SURGERY CENTER LLC 600 N LINDSAY STREET HIGH POINT NC 27262 561867005 HEALTHCARE NC N/A 0 0 HHI-WS LLC 1201 EDWARDS MILL RD SUITE 300 RALEIGH NC 27607 871035164 INVESTMENT NC N/A 0 0 HIGH POINT HEALTH CARE VENTURES INC 601 NORTH ELM STREET HIGH POINT NC 27261 561497164 REAL ESTATE NC N/A C 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0