2023-11-10T10:49:38-06:00 2022-12-31 621517792 PYA P C 2220 SUTHERLAND AVE KNOXVILLE TN 37919 990 2022-01-01 566024172 HEALTHCARE FOUNDATION OF WILSON HEAL 2522812105 PO BOX 3697 WILSON NC 27895 DENISE O'HARA EXECUTIVE DIRECTOR 2522812105 2023-11-10 1 DENISE OHARA 999009999 0 DEBORAH O ERNSBERGER P00364912 8656730844 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z DENISE O'HARA PO BOX 3697 WILSON NC 27895 3957650 0 X WWW.HEALTHCAREFOUNDATIONOFWILSON.ORG X 1964 NC TO SUPPORT THE HEALTHCARE NEEDS OF THE PEOPLE OF WILSON COUNTY AND NEIGHBORING COMMUNITIES. 15 15 2 11 0 0 3100 2307 -2747282 -1157219 13217973 5112562 0 0 10473791 3957650 14485572 11310403 0 0 387336 352809 0 0 0 379491 516268 15252399 12179480 -4778608 -8221830 207911505 169139042 2924525 1273129 204986980 167865913 X HEALTHCARE FOUNDATION OF WILSON (THE FOUNDATION) INVESTS IN COLLABORATIVE EFFORTS THAT IMPACT AND MEASURABLY IMPROVE THE HEALTH AND WELL-BEING OF WILSON COUNTY RESIDENTS. 0 0 11939867 11310403 -1157219 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. 11939867 1 0 0 1 0 0 0 0 0 0 1 1 1 0 1 1 1 0 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 10 0 1 2 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 1 1 NC X DENISE O'HARA 2522812105 PO BOX 3697 WILSON NC 27895 DENISE O'HARA EXECUTIVE DIRECTOR 40.00 X 199958 0 20434 CHRIS HILL CHAIR 1.00 X 0 0 0 VANCE FORBES PAST CHAIR 1.00 X 0 0 0 JOHN ANTHONY VICE CHAIR 1.00 X 0 0 0 PAULA BENSON TREASURER 1.00 X 0 0 0 KEN JONES SECRETARY 1.00 X 0 0 0 KRYSTAL COX TRUSTEE 1.00 X 0 0 0 ARTHUR 'SKIP' HANSON MD TRUSTEE 1.00 X 0 0 0 JESSICA MCKEE MD TRUSTEE 1.00 X 0 0 0 SHARON MELVIN TRUSTEE 1.00 X 0 0 0 PAULA MICHALAK TRUSTEE 1.00 X 0 0 0 ROSARIO OCHOA TRUSTEE 1.00 X 0 0 0 PAUL PEREZ-NAVARRO MD TRUSTEE 1.00 X 0 0 0 KURT SCHMIDT TRUSTEE 1.00 X 0 0 0 JEROME VICK TRUSTEE 1.00 X 0 0 0 JERRY WOODARD MD TRUSTEE 1.00 X 0 0 0 199958 0 20434 1 0 1 0 0 2307 2307 PATIENT SERVICE REVENUE 621110 -370045 -370045 DISCONTINUED OPERATIONS 621110 -787174 -787174 -1157219 5112562 5112562 3957650 -1157219 0 5112562 11310403 11310403 199958 153588 46370 103872 79784 24088 11897 9138 2759 16452 12637 3815 20630 15846 4784 107034 63031 44003 65955 38840 27115 47508 27977 19531 47124 27751 19373 6774 5150 1624 54600 45909 8691 100 76 24 4165 4043 122 25343 25343 DUES & MEMBERSHIPS 74055 56298 17757 FURNITURE AND EQUIPMENT 62353 47893 14460 SUPPLIES 18235 13863 4372 BOARD EXPENSES 3022 2297 725 12179480 11939867 239613 0 926615 808449 295592 283816 13054 8604 102292 39277 1758 63015 185002611 144972724 21489025 21194089 182850 1808345 207911505 169139042 358048 204508 1929823 175189 636654 893432 2924525 1273129 X 204913521 167797875 73459 68038 204986980 167865913 207911505 169139042 X -8221830 -28979043 79806 X 0 1 X 1 0 X PART 1, LINE 3 THE HEALTHCARE FOUNDATION OF WILSON AND WILMED GENERATIONS, INC. ENTERED INTO AN AGREEMENT WITH DLP HEALTHCARE, LLC, IN 2014 TO FORM A JOINT VENTURE, DLP WILSON HOLDING COMPANY, LLC, THAT WOULD OPERATE THE HOSPITAL AND NURSING HOME PREVIOUSLY OWNED AND OPERATED BY THE FOUNDATION AND WILMED GENERATIONS, INC. THE FOUNDATION THEREFORE CEASED DIRECTLY PROVIDING HEALTH CARE SERVICES AND PROVIDES MEDICAL SERVICES INDIRECTLY THROUGH THE JOINT VENTURE. 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 THE FOLLOWING: - 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 THE FOUNDATION PRIOR TO THE TRANSFER OF THE HOSPITAL TO THE JOINT VENTURE, AND - COMPLY WITH THE REQUIREMENTS OF SECTION 501(R) OF THE INTERNAL REVENUE 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. THE FOUNDATION WAS ALSO A "PUBLIC HOSPITAL" PURSUANT TO CHAPTER 131E, ARTICLE 2, OF THE NORTH CAROLINA GENERAL STATUTES (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 THE 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 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. 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 HOSPITAL STATUTES ALSO REQUIRE THAT THE JOINT VENTURE, AS THE TRANSFEREE OF THE PUBLIC HOSPITAL FACILITY, CONTINUES TO PROVIDE THE SAME HOSPITAL SERVICES, INDIGENT CARE, FINANCIAL ASSISTANCE POLICIES, AND MEDICARE AND MEDICAID SERVICES AS WERE PROVIDED BY THE FOUNDATION 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. 0 0 0 0 0 0 0 0 1 3041 3041 0 PART II-B, LINE 1: NON-DEDUCTIBLE LOBBYING EXPENSE FROM A PASS-THROUGH ENTITY 102292 39277 63015 63015 INVESTMENTS 144972724 F 144972724 INVESTMENT IN DLP WILSON HOLDING COMPANY, LLC 21194089 F 21194089 DEFERRED COMPENSATION 198864 ENVIRONMENTAL REMEDIATION LIABILITY 694568 893432 X -24951295 -28979043 70098 -28908945 3957650 0 3957650 12169772 0 12169772 9708 9708 12179480 PART X, LINE 2: THE FOUNDATION IS A NONPROFIT ORGANIZATION EXEMPT FROM INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3).THE FOUNDATION DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF DECEMBER 31, 2022. IT IS THE FOUNDATION'S POLICY TO EVALUATE ALL TAX POSITIONS TO IDENTIFY ANY THAT MAY BE CONSIDERED UNCERTAIN. NO MATERIAL UNCERTAIN TAX POSITIONS WERE IDENTIFIED FOR 2022 OR 2021 THAT WOULD REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: PARTNERSHIP BOOK-TAX DIFFERENCE 70,098. PART XII, LINE 4B - OTHER ADJUSTMENTS: PARTNERSHIP BOOK-TAX DIFFERENCE 9,708. 1 1 1 X 1 X 1 1 1 0 0 796399 796399 0.02810 1737809 327958 1409851 0.04980 2534208 327958 2206250 0.07790 11313484 11313484 0.39940 9571 9571 0.00030 11323055 11323055 0.39970 13857263 327958 13529305 0.47760 1 27864083 5510373 26752654 26066022 686632 X 1 1 1 1 DLP WILSON MEDICAL CENTER INC 1705 TARBORO STREET SW WILSON NC 27893 H0210 X X X DLP WILSON MEDICAL CENTER INC 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X HTTPS://HEALTHCAREFOUNDATIONOFWILSON.ORG X SEE PART V SECTION C FOR LINE 7D X X 1 22 1 HTTPS://WWW.WILSONMEDICAL.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENT 0 1 X 200.000000000000 300.000000000000 X X X X X 1 1 X X X X 1 X WWW.WILSONMEDICAL.COM/PATIENTS-AND-VISITORS/PATIENT-FINANCIAL-INFORMATION X WWW.WILSONMEDICAL.COM/PATIENTS-AND-VISITORS/PATIENT-FINANCIAL-INFORMATION X WWW.WILSONMEDICAL.COM/PATIENTS-AND-VISITORS/PATIENT-FINANCIAL-INFORMATION X X X X X X 1 X 0 X X X 1 X 0 0 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.THE HEALTH ASSESSMENT NEEDS OF THE COMMUNITY WERE DETERMINED BY THE WILSON COUNTY COMMUNITY. IN 2022, 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 950 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 BY STRATASAN COMMUNITY INDICATOR DATABASE. THE DATABASE, MAINTAINED BY RESEARCHERS AND ANALYSTS AT STRATASAN INCLUDES 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 2030 TARGETS AND HEALTHY NORTH CAROLINA 2030 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 FOUR IDENTIFIED HEALTH PRIORITY AREAS ARE:- MENTAL / BEHAVIORAL HEALTH- HEALTHY EATING/ACTIVE LIVING- SUSBTANCE MISUSE- ACCESS TO HEALTHCARE OR INSURANCETHE FOLLOWING INDIVIDUALS SERVED AS MEMBERS OF THE HEALTHCARE FOUNDATION OF WILSON BOARD OF DIRECTORS DURING 2022:- CHRIS HILL, CHAIR- VANCE FORBES- JOHN ANTHONY, VICE CHAIR- PAULA BENSON, TREASURER- KEN JONES, SECRETARY- KRYSTAL COX- ARTHUR "SKIP" HANSON, MD- JESSICA MCKEE, MD- SHARON MELVIN- PAULA MICHALAK- ROSARIO OCHOA- PAUL PEREZ-NAVARRO, MD- 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 DECEMBER 7, 2022. THE WILSON COUNTY HEALTH DEPARTMENT BOARD OF HEALTH APPROVED THIS ASSESSMENT AND THE IMPLEMENTATION PLAN ON DECEMBER 13, 2022. THE WILSON MEDICAL CENTER BOARD OF TRUSTEES APPROVED THIS ASSESSMENT AND THE IMPLEMENTATION PLAN ON DECEMBER 19, 2022.HEALTHCARE FOUNDATION OF WILSON'S IMPLEMENTATION STRATEGY, WHICH WAS UPDATED IN 2022 AFTER THE COMPLETION OF THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCLUDES INITIATIVES IN EACH OF THE TOP FOUR SIGNIFICANT HEALTH NEEDS IDENTIFIED. THE INITIATIVES INCLUDE, BUT ARE NOT LIMITED TO:1. MENTAL/BEHAVIORAL HEALTHTHE COLLABORATION PARTNERS PLAN TO MEET THE MENTAL/BEHAVIOR HEALTH NEEDS BY:- 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 MENTAL/BEHAVIORAL HEALTH, SPECIFICALLY WITH THE WILSON COUNTY SCHOOLS, WILSON COUNTY DEPARTMENT OF SOCIAL SERVICES, AND NON-PROFITS IN THE COMMUNITY.- HEALTHCARE FOUNDATION OF WILSON WILL FUND GRANTS TO THE WILSON COUNTY HEALTH DEPARTMENT, WILSON COUNTY SCHOOLS AND WILSON COUNTY DEPARTMENT OF SOCIAL SERVICES TO SUPPORT SCHOOL HEALTH CLINICS IN THE LARGEST MIDDLE SCHOOL IN THE COUNTY, AND ADDITIONAL SCHOOL CLINICS WHICH WILL SUPPORT ALL THREE HIGH SCHOOLS, BEDDINGFIELD, HUNT HIGH SCHOOL AND FIKE HIGH SCHOOL.- HEALTHCARE FOUNDATION OF WILSON HAS FUNDED A GRANT TO THE LOCAL POLICE DEPARTMENT FOR A MENTORSHIP PROGRAM TO INTERACT AND TEACH YOUTH ABOUT HEALTHY LIFESTYLE CHOICES AND AVOIDING DRUGS, ALCOHOL AND VAPING. YOUTH MEET BIWEEKLY WITH POLICE DEPARTMENT STAFF AND VOLUNTEERS.- 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 501C (3) ORGANIZATIONS. WILSON MEDICAL CENTER WILL CONTINUE TO OFFER COMPREHENSIVE HOSPITAL BASED BEHAVIORAL HEALTH SERVICES FOR VOLUNTARY AND INVOLUNTARY 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.2. HEALTHY EATING / ACTIVE LIVINGTHE COLLABORATION PARTNERS PLAN TO MEET THE HEALTHY EATING/ACTIVE LIVING NEEDS BY:- 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 PROVIDE SUPPORT FOR NUTRITIONAL EDUCATION AND HEALTHY COOKING.- HEALTHCARE FOUNDATION OF WILSON WILL FUND GRANTS TO THE WILSON COUNTY HEALTH DEPARTMENT, WILSON COUNTY SCHOOLS AND WILSON COUNTY DEPARTMENT OF SOCIAL SERVICES TO SUPPORT SCHOOL HEALTH CLINICS IN THE LARGEST MIDDLE SCHOOL IN THE COUNTY, AND ADDITIONAL SCHOOL CLINICS WHICH WILL SUPPORT ALL THREE HIGH SCHOOLS, BEDDINGFIELD, HUNT HIGH SCHOOL AND FIKE HIGH SCHOOL.- HEALTHCARE FOUNDATION OF WILSON WILL CONTINUE TO FUND DEPARTMENT OF SOCIAL SERVICES EAT SMART MOVE MORE WHICH IS A STATEWIDE MOVEMENT TO PROMOTE OPPORTUNITIES FOR HEALTHY EATING AND PHYSICAL ACTIVITY WHEREVER PEOPLE LIVE, LEARN, EARN, PLAY AND PRAY.- HEALTHCARE FOUNDATION OF WILSON WILL FUND A GRANT TO A LOCAL 501C FOR THE PROGRAM GO PLAY WHICH IS TO MOVE KIDS FROM UNHEALTHY HOURS OF SCREEN TIME TO HEALTHY HOURS OF OUTDOOR TIME.- HEALTHCARE FOUNDATION OF WILSON HAS FUNDED A GRANT TO PROVIDE A MIRACLE FIELD WHICH WILL CREATE RECREATIONAL OPPORTUNITIES FOR CITIZENS WITH MENTAL AND PHYSICAL DISABILITIES. ANOTHER GRANT WILL PROVIDE A WEEKLY EXERCISE PROGRAM FOR INTELLECTUALLY DISABLED CHILDREN AND ADULTS.- HEALTHCARE FOUNDATION OF WILSON HAS FUNDED A GRANT TO A LOCAL SPORTS PROGRAM TO ENCOURAGE CHILDREN TO BECOME ACTIVE AND THEREBY IMPROVE CARDIORESPIRATORY FITNESS, CONTROL WEIGHT AND REDUCE SYMPTOMS OF ANXIETY AND DEPRESSION.- HEALTHCARE FOUNDATION OF WILSON FUNDED A GRANT TO THE LOCAL POLICE DEPARTMENT FOR A MENTORSHIP PROGRAM TO INTERACT AND TEACH YOUTH ABOUT HEALTHY LIFESTYLE CHOICES AND EXPERIENCES AND AVOIDING DRUGS, ALCOHOL AND VAPING. YOUTH MEET BIWEEKLY WITH POLICE DEPARTMENT STAFF AND VOLUNTEERS.- HEALTHCARE FOUNDATION OF WILSON HAS FUNDED A GRANT TO A LOCAL FOOD PANTRY TO PURCHASE FRESH PRODUCE AND HEALTHY SHELF-STABLE FOOD SO ALL PANTRY CLIENTS WILL HAVE ACCESS TO HEALTHY FOODS.- WILSON MEDICAL CENTER WILL CONTINUE TO SPONSOR AND FACILITATE VARIOUS EVENTS WITHIN THE AREA TO EDUCATE AND PROMOTE HEALTHY LIVING. THESE EVENTS INCLUDE, BUT ARE NOT LIMITED TO, HEALTH FAIRS, SUPPORT GROUPS, WELLNESS SCREENINGS, EXERCISE PROGRAMS AND LUNCH N' LEARNS.- THE GROWING TREE OF WILSON MEDICAL CENTER WILL CONTINUE TO SERVE AS A SHAPE NC SITE IN WILSON COUNTY. SHAPE NC HELPS CHILD CARE CENTERS DEVELOP ENVIRONMENTS AND PRACTICES THAT ENCOURAGE AND PROMOTE HEALTHY LIFESTYLES FOR CHILDREN FROM BIRTH TO FIVE YEARS OF AGE.3. SUBSTANCE MISUSETHE COLLABORATION PARTNERS PLAN TO MEET THE SUBSTANCE MISUSE NEEDS BY:- 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 TO THE WILSON COUNTY HEALTH DEPARTMENT, WILSON COUNTY SCHOOLS AND WILSON COUNTY DEPARTMENT OF SOCIAL SERVICES TO SUPPORT SCHOOL HEALTH CLINICS IN THE LARGEST MIDDLE SCHOOL IN THE COUNTY, AND ADDITIONAL SCHOOL CLINICS WHICH WILL ALL THREE HIGH SCHOOLS, BEDDINGFIELD, HUNT HIGH SCHOOL AND FIKE HIGH SCHOOL.[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/COMMUNITY-HEALTH-NEEDS-ASSESSMENT DLP WILSON MEDICAL CENTER, INC. PART V, SECTION B, LINE 11: WILSON MEDICAL CENTER REVIEWED THE HEALTHCARE NEEDS AND FOUR PRIORITY AREAS WERE IDENTIFIED AS (1) MENTAL/BEHAVIORAL HEALTH (2) HEALTHY EATING/ACTIVE LIVING (3) SUSBTANCE MISUSE, AND (4) ACCESS TO HEALTHCARE OR INSURANCEACTION 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: - HEALTHCARE FOUNDATION OF WILSON WILL PROVIDE GRANT FUNDING TO FUND HOPE ALLIANCE TO REDUCE BARRIERS TO DETOX AND TREATMENT BY PROVIDING ASSISTANCE WITH TRANSPORTATION AND TREATMENT COSTS FOR ITS CLIENTS. 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 MISUSE.- WILSON MEDICAL CENTER WILL CONTINUE TO SPONSOR PROFESSIONAL EDUCATION OPPORTUNITIES IN ADDICTION MEDICINE FOR OUR PROVIDERS.- 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 PREVENTION COALITION.- THE WILSON COUNTY HEALTH DEPARTMENT WILL OFFER TOBACCO CESSATION CLASSES.- THE WILSON COUNTY HEALTH DEPARTMENT WILL HIRE AN LCSW TO PROVIDE COUNSELING SERVICES TO PATIENTS WHO ARE SUFFERING FROM SUBSTANCE MISUSE DISORDER WHO ARE POST DETOX OR REHAB.4. ACCESS TO HEALTHCARE OR INSURANCETHE COLLABORATION PARTNERS PLAN TO MEET THE ACCESS TO HEALTHCARE OR INSURANCE NEEDS BY:- HEALTHCARE FOUNDATION OF WILSON WILL FUND GRANTS TO THE WILSON COUNTY HEALTH DEPARTMENT, WILSON COUNTY SCHOOLS AND WILSON COUNTY DEPARTMENT OF SOCIAL SERVICES TO SUPPORT SCHOOL HEALTH CLINICS IN THE LARGEST MIDDLE SCHOOL IN THE COUNTY, AND ADDITIONAL SCHOOL CLINICS WHICH WILL SUPPORT ALL THREE HIGH SCHOOLS, BEDDINGFIELD, HUNT HIGH SCHOOL AND FIKE HIGH SCHOOL.- FLU VACCINATIONS WILL BE PROVIDED TO UNINSURED INDIVIDUALS 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. 14 1 - WILSON OUTPATIENT IMAGING 1701 MEDICAL PARK DR WILSON NC 27893 CLINIC 2 - WILSON REGIONAL ORTHOPEDICS 1700 TARBORO STREET SUITE 103 WILSON NC 27893 CLINIC 3 - WILSON WOUND HEALING CENTER 1701 MEDICAL PARK DR WILSON NC 27893 CLINIC 4 - WILSON RADIATION ONCOLOGY 1703 MEDICAL PARK DR WILSON NC 27893 CLINIC 5 - WILSON NEW HOPE PRIMARY CARE 2508 WARD BLVD WILSON NC 27893 CLINIC 6 - WILSON UROLOGY 2509 WOOTEN BLVD SW WILSON NC 27893 CLINIC 7 - WILSON NEUROLOGY 1700 TARBORO STREET SUITE 102 WILSON NC 27893 CLINIC 8 - WILSON PRIMARY CARE 1700 TARBORO STREET SUITE 200 WILSON NC 27893 CLINIC 9 - WILSON GASTROENTEROLOGY 1700 TARBORO STREET SUITE 205 WILSON NC 27893 CLINIC 10 - WILSON PULMONOLOGY 1700 TARBORO STREET SUITE 202 WILSON NC 27893 CLINIC 11 - WILSON FAMILY CARE 1701 TARBORO STREET SUITE 100 WILSON NC 27893 CLINIC 12 - BAILEY PRIMARY CARE 6321 DEANS DTREET BAILEY NC 27807 CLINIC 13 - WILSON REHABILITATION & NURSING CENTER 1705 TARBORO STREET SW WILSON NC 27893 NURSING HOME 14 - STANTONSBURG 312 S MAIN STREET STANTONSBURY NC 27883 CLINIC 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 2022, 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 $5,510,373. 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 4: BASED ON THE 2020 CENSUS ESTIMATES FOR WILSON COUNTY THERE ARE 78,449 PEOPLE. THE RACIAL MAKEUP OF THE COUNTY WAS WHITE (NOT HISPANIC/LATINO), 55.3%; BLACK OR AFRICAN AMERICAN, 40.4%; NATIVE AMERICAN, 0.08%; ASIAN, 1.3%; NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER, 0.02%; HISPANIC OR LATINO, 11.9%. PEOPLE OF TWO OR MORE RACES ACCOUNTED FOR 2.1%. FOR THIS REASON, THE PERCENTAGES ARE GREATER THAN 100% WHEN TOTALED.THE 78,449 PEOPLE WERE BROKEN DOWN IN THESE AGE GROUPS: 22.7% WERE UNDER THE AGE OF 18, 25.0% WERE AGED 19 TO 64, AND 52.3% WERE PEOPLE AGED 65 YEARS OLD AND OLDER. THE MEDIAN AGE IS 40.5.THE MEDIAN INCOME FOR A HOUSEHOLD IN THE COUNTY WAS $44,594. THE RATE OF POVERTY WAS 22.5%. 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 6: N/A 1 WILSON COUNTY SCHOOLS 116 NE TARBORO STREET WILSON NC 27894 115 182500 0 GENERAL SUPPORT LOVE A SEA TURTLE 105 BISHOP DRIVE WINTERVILLE NC 28590 810983311 501(C)(3) 24000 0 GENERAL SUPPORT WILSON YOUTH UNITED INC 910 TARBORO ST W WILSON NC 27893 271604121 501(C)(3) 68500 0 GENERAL SUPPORT WILSON COUNTY DEPARTMENT OF SOCIAL SERVICES 100 GOLD STREET WILSON NC 27894 115 69486 0 GENERAL SUPPORT WILSON COUNTY HEALTH DEPARTMENT 1801 GLENDALE DRIVE WILSON NC 27893 566000351 115 357175 0 GENERAL SUPPORT WILSON COUNTY SUBSTANCE PREVENTION COALITION PO BOX 8082 WILSON NC 27893 264582699 501(C)(3) 37500 0 GENERAL SUPPORT WILSON PARKS & RECREATION 500 SUNSET ROAD WILSON NC 27893 115 8000 0 GENERAL SUPPORT THE ARC OF WILSON COUNTY PO BOX 3943 WILSON NC 27895 561258325 501(C)(3) 10000 0 GENERAL SUPPORT WILSON COUNTY INTERFAITH SERVICES INC PO BOX 2164 WILSON NC 27894 561542631 501(C)(3) 12000 0 GENERAL SUPPORT WILSON POLICE DEPARTMENT POLICE ATHLETICS ACTIVITIES LEAGUE INC PO BOX 10 WILSON NC 27894 475368071 501(C)(3) 25000 0 GENERAL SUPPORT PEACE CHURCH 2838 TILGHMAN ROAD WILSON NC 27896 501(C)(3) 20000 0 GENERAL SUPPORT 11 PART I, LINE 2: THE ORGANIZATION PROVIDES FUNDS IN SUPPORT OF ITS MISSION OF PROVIDING QUALITY HEALTH CARE WITHIN ITS COMMUNITY. THE EXECUTIVE DIRECTOR OVERSEES EXPENDITURES OF ALL FUNDS, AND REPORTS ARE PRESENTED AT BOARD MEETINGS. X X X 0 1 0 0 0 0 0 0 0 DENISE O'HARA EXECUTIVE DIRECTOR 199458 0 500 0 0 0 7998 0 12436 0 220392 0 0 0 PART I, LINE 4B DENISE O'HARA, EXECUTIVE DIRECTOR, PARTICIPATES IN A 457(B) PLAN. THE EMPLOYER CONTRIBUTIONS ARE REPORTED IN PART II, COLUMN (C). FORM 990, PART VI, SECTION B, LINE 11B A DRAFT OF FORM 990 IS PROVIDED TO THE EXECUTIVE DIRECTOR AND LEGAL COUNSEL WHO REVIEW THE DRAFT PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ONCE A YEAR, EACH PERSON IS REQUIRED TO REVIEW AND SIGN THE CONFLICT OF INTEREST POLICY. IF THERE IS A CONFLICT OF INTEREST, THE EXECUTIVE DIRECTOR IS NOTIFIED AND A DISCUSSION SHOULD OCCUR AT THAT TIME TO DETERMINE THE EXTENT, WHETHER POTENTIAL OR ACTUAL. BOARD MEMBERS WITH CONFLICTS ARE RECUSED FROM VOTING. FORM 990, PART VI, SECTION B, LINE 15 AT LEAST EVERY TWO YEARS, AN INDEPENDENT SURVEY IS UTILIZED TO DETERMINE THE APPROPRIATE COMPENSATION FOR THE EXECUTIVE DIRECTOR. THE BOARD DETERMINES A STRATEGY AND GUIDELINES AS TO WHAT PERCENTILE AT WHICH THEY WOULD PLACE SALARY FOR THE EXECUTIVE DIRECTOR. UPON RECEIPT OF THE INDEPENDENT DATA, THE HUMAN RESOURCES COMMITTEE OF THE BOARD REVIEWS THE DATA AND DETERMINES IF ANY ADJUSTMENTS SHOULD BE MADE. EXECUTIVE DIRECTOR SALARY DATA IS REVIEWED ANNUALLY WITH THE MOST RECENT OCCURRING IN JANUARY 2023. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: PARTNERSHIP BOOK-TAX DIFFERENCE 79,806. DLP WILSON HOLDING COMPANY LLC 330 SEVEN SPRINGS WAY BRENTWOOD TN 37027 901034226 PROVIDING HEALTH CARE AND OTHER HEALTH RELATED SERVICES NC N/A RELATED -365034 31034327 0 0 0.20000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1