Endowment / Foundation

Updated:

High Point Medical Center

High Point Medical Center traces its roots to 1904, beginning as a small community hospital before evolving into the 351-bed tertiary care hub it is today.

High Point Medical Center logo

High Point Medical Center

High Point Medical Center traces its roots to 1904, beginning as a small community hospital before evolving into the 351-bed tertiary care hub it is today. Its modern structure took shape through a series of mergers: it joined the UNC Health Care network in 2013, was sold to Wake Forest Baptist Health in 2018, and ultimately folded into the mammoth Advocate Health system when Atrium Health and Advocate Aurora Health combined. These successive affiliations transformed the hospital's balance sheet, but the High Point Regional Health Foundation and the Foundation for a Healthy High Point retained independent investment authority over dedicated philanthropic and community endowments. The hospital's investment posture operates on two distinct tracks. The High Point Regional Health Foundation maintains its own dedicated investment portfolio, sourced from community donations and allocated to support clinical programs, capital campaigns, and facility upgrades. In parallel, the Foundation for a Healthy High Point manages a separate endowment, directed toward broader population health initiatives across the region. Recent grantmaking includes the $10 million lead commitment from the Earl & Kathryn Congdon Family Foundation to underwrite a major Heart Center expansion. The hospital campus also holds non-traditional assets like the Arts for Health Gallery Collection and a downtown Health Care Workers Tribute Mural, reflecting a place-based, reputation-sensitive investment mentality uncommon among asset owners its size. Beyond the main campus on North Elm Street, the center is expanding its physical footprint with a project site on Horse Pen Creek Road in Greensboro. The hospital operates through partnerships with local institutions like Business High Point - Chamber of Commerce and the String & Splinter Club, where board-level relationships intersect with the region's business elite. September 2023: The High Point Regional Health Foundation publicly acknowledged the $10 million Congdon lead gift for the Heart Center campaign, the single largest named philanthropic commitment in the hospital's recent history. What sets the asset owner apart structurally is its dual-foundation endowment model. Most community hospitals fold philanthropy directly into system-level treasury functions. High Point Medical Center instead maintains two separate foundations — one for clinical support, one for population health — each with independent investment oversight. This architecture preserves donor intent while insulating the endowments from the operational pressures and capital demands of its parent, Advocate Health. For a hospital that has cycled through three different parent systems in the past decade, the foundation structure acts as a governance lockbox, ensuring that High Point-specific capital stays deployed for High Point-specific health outcomes.

General information

Firm type

Endowment / Foundation

Year founded

1904

Location

Region

North America

Country

United States

City

High Point

Corporate office

High Point, NC, United States

Additional offices

Greensboro, NC, United States

Principals

Jim Hoekstra

President

Sector focus

Healthcare Services

Frequently asked questions

How is High Point Medical Center structured as an asset owner?

The hospital does not invest as a consolidated entity. Two independent charitable foundations — the High Point Regional Health Foundation and the Foundation for a Healthy High Point — each maintain separate investment portfolios and endowments. The Regional Health Foundation directs its capital toward clinical programs and facility projects, while the Foundation for a Healthy High Point focuses on broader community health grants.

What is the relationship between the Earl & Kathryn Congdon Family Foundation and High Point Medical Center?

The Congdon foundation — connected to the family behind Old Dominion Freight Line — made a $10 million lead gift in 2023 to fund the hospital's new Heart Center. It is the single largest named philanthropic commitment in the hospital's recent history and marks a co-investor relationship between the family office's philanthropic arm and the hospital's Regional Health Foundation.

How does Advocate Health's ownership affect the foundations' investment decisions?

The two foundations predate the 2021 merger that created Advocate Health and retain independent boards and investment authority. Their capital is legally restricted for High Point-specific use, meaning assets are not pooled into the $27 billion parent system's treasury or investment program. This separation acts as a structural firewall against re-allocation to other Advocate entities.

Does High Point Medical Center invest in alternative assets?

The composition of the foundations' portfolios is not publicly disclosed. However, as endowed charitable entities with long-duration liabilities and capital campaigns that span years, their asset allocations likely span traditional and alternative investments common to foundations in their size cohort, though specific exposures are unknown.

Who runs investment decisions for the two foundations?

Leadership names at the investment committee or board level are not publicly disclosed. President Jim Hoekstra leads the hospital's operational and strategic direction, but the foundations maintain separate governance structures and investment oversight — a distinction central to their status as independent asset owners rather than a pooled system treasury function.

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