2025-11-20T10:17:03-06:00 2024-12-31 560571159 BERNARD ROBINSON & COMPANY LLP 100 E CUMBERLAND STREET DUNN NC 28334 990 2024-01-01 566024172 HEALTHCARE FOUNDATION OF WILSON HEAL 2522812105 PO BOX 3697 WILSON NC 27895 PAULA BENSON EXECUTIVE DIRECTOR 2522812105 2025-11-17 1 0 JOHN M ROBINSON P01281319 9108921021 2025-11-05 2024 2025-03-06 01:10:19Z PAULA BENSON PO BOX 3697 WILSON NC 27895 18835826 0 X WWW.HEALTHCAREFOUNDATIONOFWILSON.ORG X 1964 NC TO SUPPORT THE HEALTHCARE NEEDS OF THE PEOPLE OF WILSON COUNTY AND NEIGHBORING COMMUNITIES. 13 13 5 13 0 0 2058 1500 2228925 3426169 3378008 15408157 0 0 5608991 18835826 5030992 970738 0 0 412660 584328 0 0 0 1140368 932157 6584020 2487223 -975029 16348603 184876571 203675231 2019192 594058 182857379 203081173 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 1668003 970738 3426169 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 HEALTHAND 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. 1668003 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 0 0 1 5 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 1 1 NC X PAULA BENSON 2522812105 PO BOX 3697 WILSON NC 27895 CHRIS HILL PAST CHAIR 1.00 X X 0 0 0 KURT SCHMIDT CHAIR 1.00 X X 0 0 0 ROSARIO OCHOA TREASURER 1.00 X X 0 0 0 TOM HOOPER MD TRUSTEE 1.00 X 0 0 0 BLAKE GODWIN TRUSTEE 1.00 X 0 0 0 KEN JONES TRUSTEE 1.00 X 0 0 0 ARTHUR HANSON TRUSTEE 1.00 X 0 0 0 TERESA ELLEN TRUSTEE 1.00 X 0 0 0 DENISE STINAGLE TRUSTEE 1.00 X 0 0 0 JESS MCKEE TRUSTEE 1.00 X 0 0 0 PAUL PEREZ-NAVARRO TRUSTEE 1.00 X 0 0 0 CHARLOTTE VICK TRUSTEE 1.00 X 0 0 0 DENISE O'HARA RETIRING EXECUTIVE DIRECTOR 40.00 X 123290 0 4963 PAULA BENSON EXECUTIVE DIRECTOR 40.00 X 220735 0 14112 KRYSTAL COX PROGRAMS SPECIALIST 40.00 X 106204 0 4191 450229 0 23266 3 0 1 0 0 1500 1500 PATIENT SERVICE REVENUE 621110 3426169 3426169 3426169 4535002 4535002 10873155 0 10873155 10873155 10873155 18835826 3426169 0 15408157 970738 970738 334734 198786 135948 155623 92418 63205 19579 11627 7952 37005 21976 15029 37387 22203 15184 254809 152885 101924 13385 6692 6693 17036 17036 322191 322191 100959 63536 37423 7241 5069 2172 2395 1241 1154 95586 56787 38799 19379 17363 2016 12969 11672 1297 34020 34020 SUPPLIES 28345 16949 11396 DUES AND SUBSCRIPTIONS 12871 9653 3218 BOARD EXPENSES 5597 5217 380 FURNITURE AND EQUIPMENT 5374 3191 2183 2487223 1668003 819220 0 670281 1916711 261235 268315 14167 22239 115024 62961 59510 52063 158864742 171550218 23216057 28237366 1790579 1628319 184876571 203675231 264210 54739 1483575 375258 271407 164061 2019192 594058 X 182797517 203026580 59862 54593 182857379 203081173 184876571 203675231 X 16348603 2274244 1600947 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 17036 17036 0 PART II-B, LINE 1: NON-DEDUCTIBLE LOBBYING EXPENSE FROM A PASS-THROUGH ENTITY. 12200 1898 10302 102824 61063 41761 52063 INVESTMENTS 171550218 F 171550218 INVESTMENT IN DLP WILSON HOLDING COMPANY, LLC 28237366 F 28237366 DEFERRED COMPENSATION 148261 ENVIRONMENTAL REMEDIATION LIABILITY 15800 164061 X 22359351 2274244 1571472 3845716 18513635 322191 322191 18835826 2135557 0 2135557 322191 29475 351666 2487223 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, 2024. 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 2024 OR 2023 REQUIRING RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: PARTNERSHIP BOOK/TAX DIFFERENCE 1,588,508. LOBBYING EXPENSES FROM K-1 -17,036. PART XII, LINE 4B - OTHER ADJUSTMENTS: PARTNERSHIP BOOK/TAX DIFFERENCE 12,439. LOBBYING EXPENSES FROM K-1 17,036. 1 1 1 X 1 X 1 0 1 1 2318935 2318935 0.08640 3083002 5118862 0 0.00000 5401937 5118862 2318935 0.08640 1160 1160 0.00000 1125 1125 0.00000 2285 2285 0.00000 5404222 5118862 2321220 0.08640 1 5965789 533874 4102716 4955085 -852369 X 1 1 1 1 WILSON MEDICAL CENTER 1705 TARBORO STREET SW WILSON NC 27893 HTTP://WWW.WILSONMEDICAL.COM/ H0210 X X X WILSON MEDICAL CENTER 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X HTTPS://WWW.WILSONMEDICAL.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENT X HTTPS://WWW.WILSONCOUNTYNC.GOV/HOME/SHOWPUBLISHEDDOCUMENT/7017/638084273572 1 22 1 HTTPS://WWW.WILSONMEDICAL.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENT 0 1 X 200.000000000000 300.000000000000 X X X X 1 1 X X X X 1 X HTTP://WWW.WILSONMEDICAL.COM X HTTP://WWW.WILSONMEDICAL.COM X HTTP://WWW.WILSONMEDICAL.COM X X X X X X X 1 X 0 X X X 1 X 0 0 WILSON MEDICAL CENTER 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] WILSON MEDICAL CENTER PART V, SECTION B, LINE 6A: DLP WILSON MEDICAL CENTER WILSON MEDICAL CENTER PART V, SECTION B, LINE 6B: WILSON COUNTY HEALTH DEPARTMENT WILSON MEDICAL CENTER PART V, SECTION B, LINE 11: BEHAVIORAL HEALTHCEO CHRIS MUNTON WAS A LEAD PLAYER IN THE START AND ULTIMATELY ADOPTION OF A NEW CITY ORDINANCE BY THE WILSON CITY COUNCIL THAT WILL MAKE IT MORE DIFFICULT FOR OWNERS OF MULTI-UNIT ASSISTED HOUSING WITH SERVICES (MUAHS) TO OPERATE IN POOR FAITH. AN INFLUX OF BEHAVIORAL HEALTH PATIENTS DURING AN OCTOBER 2023 WEEKEND FORCED THE HOSPITAL TO OPEN UP AN INCIDENT COMMAND CENTER AND BEGIN LOOKING INTO HOW BEHAVIORAL HEALTH PATIENTS ARE TREATED OUTSIDE OF THE FACILITY. MUNTON GAVE A PRESENTATION AT THE JUNE 2024 WILSON CITY COUNCIL MEETING THAT BROUGHT MUAHS INTO A CITY-WIDE DISCUSSION AMONGST AREA PARTNERS.HEALTH EATING/ACTIVE LIVINGWILSON MEDICAL CENTER WAS THE HOST SITE OF THE AMERICAN HEART ASSOCIATION'S 2024 WILSON HEART WALK. WILSON MEDICAL CENTER ALSO SPONSORED SPEIGHT MIDDLE SCHOOL'S CPR KIT VIA THE AMERICAN HEART ASSOCIATION. ALSO IN 2024, WILSON MEDICAL CENTER BECAME THE JERSEY SPONSOR OF THE WILSON YOUTH SOCCER ASSOCIATION.SUBSTANCE MISUSETHE WILSON MEDICAL CENTER COMMUNITY ENGAGEMENT COMMITTEE HAS TAKEN PART IN CONSECUTIVE RC3C 5K EVENTS. THE PROCEEDS FROM THE RACE SUPPORT THE EFFORTS OF A LOCAL SUBSTANCE ABUSE NON-PROFIT ORGANIZATION. ACCESS TO HEALTHCAREWILSON MEDICAL CENTER HELD A PAIR OF MEDICAID EXPANSION EVENTS IN JANUARY 2024, ENSURING THOSE WITHOUT MEDICAL CARE WOULD HAVE A PLACE TO SIGN UP FOR THE NEWLY-ENACTED EXPANSION. WILSON MEDICAL CENTER CONTINUES TO BE A LEADER IN TELE-STROKE SERVICES AND CANCER CARE SERVICES. WILSON MEDICAL CENTER IS ACCREDITED AS A CHEST PAIN CENTER FROM THE AMERICAN COLLEGE OF CARDIOLOGY AS WELL AS ACCREDITED FROM THE COMMISSION ON CANCER. WILSON MEDICAL CENTER PART V, SECTION B, LINE 16J: SPANISH TRANSLATIONS ARE AVAILABLE 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. 12 1 - WILSON REHABILITATION & NURSING CENTER 1705 TARBORO STREET SW WILSON NC 27893 NURSING HOME 2 - WILSON OUTPATIENT IMAGING 1711 MEDICAL PARK DR WILSON NC 27893 CLINIC 3 - WILSON RADIATION ONCOLOGY 1703 MEDICAL PARK DR WILSON NC 27893 CLINIC 4 - WILSON REGIONAL ORTHOPEDICS 1700 TARBORO STREET SUITE 103 WILSON NC 27893 CLINIC 5 - WILSON GASTROENTEROLOGY 1700 TARBORO STREET SUITE 205 WILSON NC 27893 CLINIC 6 - WILSON NEUROLOGY 1700 TARBORO STREET SUITE 102 WILSON NC 27893 CLINIC 7 - WILSON PRIMARY CARE 1700 TARBORO STREET SUITE 200 WILSON NC 27893 CLINIC 8 - WILSON NEW HOPE PRIMARY CARE 2508 WARD BLVD WILSON NC 27893 CLINIC 9 - WILSON FAMILY CARE 1701 TARBORO STREET SUITE 100 WILSON NC 27893 CLINIC 10 - WILSON PULMONOLOGY 2303 WELLINGTON DR SW WILSON NC 27893 CLINIC 11 - WILSON UROLOGY 1700 TARBORO STREET SUITE 204 WILSON NC 27893 CLINIC 12 - BAILEY PRIMARY CARE 6321 DEANS STREET BAILEY NC 27807 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 6A: THE COMMUNITY BENEFIT REPORT IS PREPARED BY WILSON MEDICAL CENTER. PART I, LINE 7 THE ORGANIZATION'S TWENTY PERCENT SHARE OF SUCH ACTIVITY, AS CONDUCTED WITHIN THE LLC FOR FISCAL YEAR 2024, IS REFLECTED ON SCHEDULE H. 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 I, LINE 7E AMOUNTS REPORTED ON SCHEDULE H, PART I, LINE 7E, COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS, INCLUDE THE ORGANIZATION'S SHARE OF ACTIVITY FROM THE HOSPITAL FACILITIY. IN ADDITION TO THESE AMOUNTS, THE ORGANIZATION MADE GRANTS OF $1,655,564 FOR COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS. THESE GRANTS ARE NOT INCLUDED ON LINE 7E NOR IN TOTAL EXPENSES OF THE HOSPITAL FACILITY. PART III, LINE 2: BAD DEBT RESERVES ARE CALCULATED AT THE FIN CLASS LEVEL, WITH SPECIFICITY TO EACH AGING BUCKET AND IP/OP ACCOUNT TYPE. RESERVES ARE BASED ON AR BALANCE (NOT CHARGES). THE HISTORICAL DATA USED TO CALCULATE RESERVE %'S IS AS FOLLOWS:A HINDSIGHT RANGE IS SPECIFIED, E.G. THE 8/31/2023 ATB WITH TRANSACTIONS COMPILED OVER THE NEXT 2 YEARS OF ACTIVITY (THROUGH 8/31/25) TO SEE HOW MUCH OF EACH 8/31/25 ATB ACCOUNT BALANCE WAS SUBSEQUENTLY WRITTEN OFF TO BAD DEBT6 OF THESE RANGES ARE USED IN ANY GIVEN MONTH'S RESERVE CALCULATION, E.G. 3/31/23 - 3/31/25, & 4/30/23 4/30/25, & 5/31/23 5/31/25, ETC. THIS MITIGATES RISK THAT A SINGLE HINDSIGHT RANGE COULD HEAVILY SKEW A SINGLE MONTH'S RESERVE CALCULATION.THE AVERAGE OF THOSE 6 RANGES, AT THE FIN CLASS > AGING BUCKET > IP/OP LEVEL OF GRANULARITY, IS TAKEN TO ARRIVE AT THE FINAL RESERVE % THAT WOULD BE APPLIED TO CURRENT MONTH END A/R BALANCES PART III, LINE 3: ESTIMATED COSTS OF PROVIDING CHARITY CARE (INCLUDED IN BAD DEBT). 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 CHANGE 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 OPERATIONS, 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 STATEMENTS OF OPERATIONS." PART III, LINE 8: COST TO CHARGE RATIO TAKEN FROM THE COST REPORT. SPECIFICALLY FORM S-10 IN THE 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: PHYSICIAN REFERRAL LINE, EDUCATION TALKS, PFAC (PATIENT FAMILY ADVISORY COMMITTEE) MEETS MONTHLY TO DISCUSS EXPERIENCES AND COMMUNITY NEEDS, CONSUMER REQUEST AND INDUSTRY NEEDS. PART VI, LINE 3: 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: WILSON MEDICAL CENTER SERVES OUR PRIMARY MARKET OF WILSON COUNTY AND SERVES ALL PEOPLE. PART VI, LINE 5: WILSON MEDICAL CENTER FREQUENTLY PARTICIPATES IN COMMUNITY HEALTH FAIRS AND SPEAKS TO CIVIC GROUPS, ORGANIZATIONS AND BUSINESSES IN THE COMMUNITY. 1 WILSON COUNTY SENIOR CENTER 1808 S GOLDSBORO STREET WILSON NC 27893 566000351 501(C)(3) 33700 0 GENERAL SUPPORT WILSON YOUTH UNITED INC 910 TARBORO ST W WILSON NC 27893 271604121 501(C)(3) 20930 0 GENERAL SUPPORT WILSON COUNTY INTERFAITH SERVICES INC PO BOX 2164 WILSON NC 27894 561542631 501(C)(3) 41160 0 GENERAL SUPPORT WILSON COUNTY SUBSTANCE ABUSE COALITION PO BOX 8082 WILSON NC 27893 264582699 501(C)(3) 37500 0 GENERAL SUPPORT THE ARC OF WILSON COUNTY PO BOX 3943 WILSON NC 27895 561258325 501(C)(3) 6250 0 GENERAL SUPPORT WILSON COUNTY DEPARTMENT OF SOCIAL SERVICES 100 NE GOLD STREET WILSON NC 27894 566000351 115 49800 0 GENERAL SUPPORT WILSON COUNTY SCHOOLS 117 NE TARBORO STREET WILSON NC 27894 566001134 115 481747 0 GENERAL SUPPORT WILSON COUNTY HEALTH DEPARTMENT 1801 GLENDALE DRIVE WILSON NC 27893 566000351 115 64528 0 GENERAL SUPPORT WILSON FORWARD PO BOX 1764 WILSON NC 278941764 263733546 501(C)(3) 70000 0 GENERAL SUPPORT WILSON COUNTY EMS - COMMUNITY PARAMEDIC PROGRAM 1817 GLENDALE DR SW WILSON NC 27893 566000351 115 38000 0 GENERAL SUPPORT FIRST MISSIONARY BAPTIST CHURCH OF LUZAMA HEALTH AND WELLNESS 6161 LUCAMA ROAD LUCAMA NC 27851 561582273 509(A)(1) 9500 0 GENERAL SUPPORT NC COOPERATIVE EXTENSION - HEALTHY LIVING PROGRAM 1806 SW GOLDSBORO ST WILSON NC 27893 566000351 115 5400 0 GENERAL SUPPORT SAINT JAMES CHRISTIAN CHURCH - HEALTHY BODY MIND COMMUNITY PROJECT 1739 MLK JR PARKWAY WILSON NC 27893 561238067 509(A)(1) 8000 0 GENERAL SUPPORT SEEDS OF HOPE WILSON - GROWING GREEN 906 VIOLA STREET WILSON NC 27893 472242182 501(C)(3) 10000 0 GENERAL SUPPORT WESLEY SHELTER INC 106 VANCE STREET EAST WILSON NC 28560 561383462 501(C)(3) 17885 0 GENERAL SUPPORT WILSON COMMUNITY COLLEGE 902 HERRING AVENUE WILSON NC 27893 566052568 509(A)(1) 32044 0 GENERAL SUPPORT WILSON EDUCATION PARTNERSHIP 113 NASH STREET E SUITE 316 WILSON NC 27893 581762623 501(C)(3) 14000 0 GENERAL SUPPORT WILSON PARKS AND RECREATION 500 SUNSET ROAD WILSON NC 27893 566000240 115 7400 0 GENERAL SUPPORT WILSON PREGNANCY CENTER DBA CHOICES WOMEN'S CENTER 702 BROAD STREET WEST WILSON NC 27893 581650234 501(C)(3) 15000 0 GENERAL SUPPORT 19 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 PAULA BENSON EXECUTIVE DIRECTOR 220735 0 0 0 0 0 8088 0 6024 0 234847 0 0 0 PART I, LINE 4B: PAULA BENSON, 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 COUNCEL 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 2025. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, POLICIES AND FINANCAIL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: PARTNERSHIP BOOK/TAX DIFFERENCE 1,600,947. DLP WILSON HOLDING COMPANY LLC 330 SEVEN SPRINGS WAY BRENTWOOD TN 37027 901034226 PROVIDING HEALTH CARE AND OTHER HEALTH RELATED NC N/A RELATED 3420369 36648112 0 0 0.20000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 PART III, IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS PARTNERSHIP: NAME OF RELATED ORGANIZATION: DLP WILSON HOLDING COMPANY, LLC PRIMARY ACTIVITY: PROVIDING HEALTH CARE AND OTHER HEALTH RELATED SERVICES