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WAYNE MEMORIAL HOSPITAL INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
WAYNE MEMORIAL HOSPITAL INC (EIN 56-1484844)
Tax period
2023-07-01 to 2024-06-30
Filed
2025-05-01
IRS object ID
202541219349301769
Schema version
2023v6.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-05-01T11:26:13-05:00ReturnTs
Tax Period End2024-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BDO USABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1421 Fayetteville Street Suite 300AddressLine1Txt
CityRaleighCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27601ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN561484844EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Wayne Memorial Hospital IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% WILLIAM THOMAInCareOfNm
Business Name ControlWAYNBusinessNameControlTxt
Phone9197316142PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 8001AddressLine1Txt
CityGoldsboroCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27533ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWilliam ThomaPersonNm
Person TitleCFOPersonTitleTxt
Phone9197316142PhoneNum
Signature2025-04-30SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSandra L FeinsmithPreparerPersonNm
PTINP01064157PTIN
Phone9192781936PhoneNum
Preparation2025-04-29PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJessie L Tucker III CEOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 8001AddressLine1Txt
CityGoldsboroCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27533ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$382,185,637GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.Wayneunc.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1986FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionPATIENTS FIRST. QUALITY HEALTH CARE. CLOSE TO HOME.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee2135TotalEmployeeCnt
Total Volunteers78TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$345,103,106PYProgramServiceRevenueAmt
CY Program Service Revenue$365,815,556CYProgramServiceRevenueAmt
PY Investment Income$8,181,524PYInvestmentIncomeAmt
CY Investment Income$16,315,312CYInvestmentIncomeAmt
PY Other Revenue$49,129PYOtherRevenueAmt
CY Other Revenue$16,924CYOtherRevenueAmt
PY Total Revenue$353,333,759PYTotalRevenueAmt
CY Total Revenue$382,147,792CYTotalRevenueAmt
PY Grants And Similar Paid$136,891PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$140,541CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$133,083,152PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$144,655,935CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$185,875,104PYOtherExpensesAmt
CY Other Expenses$169,552,851CYOtherExpensesAmt
PY Total Expenses$319,095,147PYTotalExpensesAmt
CY Total Expenses$314,349,327CYTotalExpensesAmt
PY Revenues Less Expenses$34,238,612PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$67,798,465CYRevenuesLessExpensesAmt
Total Assets BOY$456,419,801TotalAssetsBOYAmt
Total Assets EOY$515,197,479TotalAssetsEOYAmt
Total Liabilities BOY$164,119,666TotalLiabilitiesBOYAmt
Total Liabilities EOY$152,568,356TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$292,300,135NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$362,629,123NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionPATIENTS FIRST - AS WE MAKE DECISIONS IN OUR ORGANIZATION, WE MUST ALWAYS ENSURE OUR PATIENTS AND THEIR WELLBEING ARE THE FOREFRONT. QUALITY HEALTH CARE - WHEN WE PROVIDE QUALITY HEALTH CARE, WE ENSURE WE ARE DOING THE RIGHT THING, AT THE RIGHT TIME, IN THE RIGHT WAY, FOR THE RIGHT PERSON - WITH THE BEST POSSIBLE RESULTS. CLOSE TO HOME - OUR PATIENTS NEED NOT TRAVEL FAR FOR EXPERT, HIGH-QUALITY, COMPASSIONATE CARE. WE ARE COMMITTED TO MEETING AND EXCEEDING THE NEEDS OF OUR COMMUNITY, OFFERING THE BEST CARE AVAILABLE RIGHT IN WAYNE COUNTY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$205,458,405ExpenseAmt
Grant$140,541GrantAmt
Revenue$365,832,480RevenueAmt
DescPROVIDING COMPASSIONATE PROGRESSIVE HEALTHCARE INCLUDING INPATIENT, OUTPATIENT, INTENSIVE CARE, AND EMERGENCY CARE. (OUR VISION IS TO BE PREFERRED CHOICE FOR COMPASSIONATE, HIGH QUALITY, PATIENT-CENTERED HEALTH CARE).Desc
Total Program Service Expenses$205,458,405TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstYes (true)ReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document152IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2135EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonWILLIAM THOMAPersonNm
Phone9197316142PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12700 WAYNE MEMORIAL DRAddressLine1Txt
CityGoldsboroCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27533ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
BRIAN FILLIPO
VP MEDICAL AFFAIRS & CMO40.00.0Yes (X)$498,350$0$20,606
WILLIAM THOMA
SR VP FINANCE & CFO40.04.0Yes (X)$375,264$0$38,202
SHANA EDWARDS
CRNA40.00.0$353,662$0$21,013Yes (X)
RICHARD MIDDLETON
CRNA40.00.0$326,287$0$23,701Yes (X)
ROBERT WHITE JR
CRNA40.00.0$319,368$0$30,391Yes (X)
AMY WILLOUGHBY
CRNA40.00.0$317,073$0$11,966Yes (X)
NELSON MATHER
CRNA40.00.0$315,792$0$10,844Yes (X)
HOWARD WHITFIELD
VP CLINICAL OPERATIONS40.00.0Yes (X)$291,271$0$20,530
DOUGLAS HARRISON
VP HUMAN RESOURCES40.00.0Yes (X)$246,234$0$25,917
HEIDI MALEZ
SR VP, PATIENT CARE SERVICES40.00.0Yes (X)$254,906$0$8,153
JESSIE TUCKER
PRESIDENT & CEO40.04.0Yes (X)$0$0$0Yes (X)
T KENDALL GERRARD
BOARD CHAIRMAN1.00.0$0$0$0Yes (X)
HAROLD BRASHEAR
BOARD MEMBER1.00.0$0$0$0Yes (X)
KATE DANIELS
BOARD MEMBER1.00.0$0$0$0Yes (X)
ANTHONY W HAMM DC
BOARD MEMBER1.00.0$0$0$0Yes (X)
FREEMAN HARDISON
BOARD MEMBER1.00.0$0$0$0Yes (X)
SAMER KASBARI MD
BOARD MEMBER1.00.0$0$0$0Yes (X)
DIMITRIOS LINTZERIS DO
BOARD MEMBER1.00.0$0$0$0Yes (X)
JOHNATHAN LOZEVSKI
BOARD MEMBER1.00.0$0$0$0Yes (X)
CHARLES BRANSON VICKORY III
BOARD MEMBER1.00.0$0$0$0Yes (X)
CHRIS WISE
BOARD MEMBER1.00.0$0$0$0Yes (X)
ADRIAN WORRELL
BOARD MEMBER1.00.0$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,298,207TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$211,323TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K232IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
QUALIVIS LLC
5930 CORNERSTONE COURT W300SAN DIEGOCA92121CONTRACT LABOR$13,425,488
DANIS CONSTRUCTION
5511 CAPITAL CENTER DR STE 100RALEIGHNC27606CONSTRUCTION$3,814,543
CROSS COUNTRY LOCUMS
6551 PARK OF COMMERCE BOULEVARDBOCA RATONFL33487CONTRACT LABOR$2,614,025
GOLDSBORO EMERGENCY MEDICAL SPEC
PO DRAWER KGOLDSBORONC27533MEDICAL CONSULTING$2,179,018
HANDCRAFT CLEANERS LAUNDERERS
2810 COFER ROADRICHMONDVA23224LAUNDRY SERVICE$1,174,169
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K25CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT REVENUE621110$350,235,055$350,235,055
OTHER REVENUE621110$15,580,501$15,580,501
FieldValueIRS element (for citing)
Total Program Service Revenue$365,815,556TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,994,568TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$8,994,568ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$7,358,589SecuritiesAmt
Other$0OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$37,845OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$7,358,589SecuritiesAmt
Other-$37,845OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,320,744TotalRevenueColumnAmt
Exclusion$7,320,744ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Business990009BusinessCd
Total Revenue Column$16,924TotalRevenueColumnAmt
Related Or Exempt Func Income$16,924RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$16,924OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$382,147,792TotalRevenueColumnAmt
Related Or Exempt Func Income$365,832,480RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$16,315,312ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$140,541TotalAmt
Program Services$140,541ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,511,713TotalAmt
Program Services$1,732,278ProgramServicesAmt
Management And General$1,779,435ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$106,776,256TotalAmt
Program Services$79,282,369ProgramServicesAmt
Management And General$27,493,887ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$7,432,588TotalAmt
Program Services$7,432,588ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$19,146,928TotalAmt
Program Services$755,175ProgramServicesAmt
Management And General$18,391,753ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,788,450TotalAmt
Program Services$5,721,191ProgramServicesAmt
Management And General$2,067,259ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$349,791TotalAmt
Management And General$349,791ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$375,499TotalAmt
Program Services$25,538ProgramServicesAmt
Management And General$349,961ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$28,521TotalAmt
Program Services$28,521ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$17,340TotalAmt
Program Services$17,340ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$29,590,143TotalAmt
Program Services$11,875,700ProgramServicesAmt
Management And General$17,714,443ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$327,633TotalAmt
Program Services$279ProgramServicesAmt
Management And General$327,354ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,440,212TotalAmt
Program Services$1,032,924ProgramServicesAmt
Management And General$2,407,288ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$18,045,936TotalAmt
Program Services$124,087ProgramServicesAmt
Management And General$17,921,849ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,941,190TotalAmt
Program Services$20,732ProgramServicesAmt
Management And General$3,920,458ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$132,281TotalAmt
Program Services$46,328ProgramServicesAmt
Management And General$85,953ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$14,561TotalAmt
Program Services$12,055ProgramServicesAmt
Management And General$2,506ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,503,202TotalAmt
Program Services$1,186ProgramServicesAmt
Management And General$3,502,016ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$11,928,353TotalAmt
Program Services$7,121,183ProgramServicesAmt
Management And General$4,807,170ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,676,001TotalAmt
Management And General$1,676,001ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT$33,603,194$33,603,194
MEDICAL SUPPLIES$31,815,198$30,777,458$1,037,740
DRUGS$18,856,298$18,824,568$31,730
PURCHASED SERVICES$5,908,383$3,553,567$2,354,816

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$5,999,115TotalAmt
Program Services$3,329,603ProgramServicesAmt
Management And General$2,669,512ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$314,349,327TotalAmt
Program Services$205,458,405ProgramServicesAmt
Management And General$108,890,922ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$11,116,763BOYAmt
EOY$11,427,449EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$24,237,876BOYAmt
EOY$31,964,226EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$7,058,142BOYAmt
EOY$6,947,224EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$5,313,846BOYAmt
EOY$5,674,995EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$339,294,816LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$210,016,033LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$128,213,940BOYAmt
EOY$129,278,783EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$12,001,152BOYAmt
EOY$16,159,404EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$227,991,834BOYAmt
EOY$263,777,419EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$40,486,248BOYAmt
EOY$49,967,979EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$456,419,801BOYAmt
EOY$515,197,479EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$41,208,117BOYAmt
EOY$38,784,810EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$70,223,781BOYAmt
EOY$67,208,102EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$30,945,329BOYAmt
EOY$28,181,227EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$21,742,439BOYAmt
EOY$18,394,217EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$164,119,666BOYAmt
EOY$152,568,356EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$292,300,135BOYAmt
EOY$362,629,123EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$292,300,135BOYAmt
EOY$362,629,123EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$456,419,801BOYAmt
EOY$515,197,479EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$67,798,465ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$8,746,288NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$6,215,765OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$28,521OtherActivitiesAmt
Total Lobbying Expenditures$28,521TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE I:FormAndLineReferenceDesc
ExplanationA PORTION OF THE DUES THE HOSPITAL PAYS TO THE NORTH CAROLINA HOSPITAL ASSOCIATION ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
LandLandGrp

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$96,263,447OtherCostOrOtherBasisAmt
Depreciation$50,932,893DepreciationAmt
Book Value$45,330,554BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$87,673,433OtherCostOrOtherBasisAmt
Depreciation$44,638,032DepreciationAmt
Book Value$43,035,401BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$139,333,161OtherCostOrOtherBasisAmt
Depreciation$107,300,974DepreciationAmt
Book Value$32,032,187BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,024,775OtherCostOrOtherBasisAmt
Depreciation$7,144,134DepreciationAmt
Book Value$8,880,641BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$129,278,783TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescINVESTMENTSDesc
Book Value$263,777,419BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Program Rltd$263,777,419TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
HASP SETTLEMENT$33,019,299
LONG-TERM RECEIVABLE$11,416,927
INVESTMENT IN AFFILIATE$3,227,963
OTHER RECEIVABLE$1,917,913
RIGHT OF USE ASSET$385,877
FieldValueIRS element (for citing)
Total Book Value Other Assets$49,967,979TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
ESTIMATED THIRD PARTY PAYOR SE$7,530,069
OTHER LIABILITIES$5,033,907
MINIMUM PENSION LIABILITY$3,547,824
INTEREST RATE SWAP$1,916,357
OPERATING LEASE OBLIGATIONS$366,060
FieldValueIRS element (for citing)
Total Liability$18,394,217TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE FOLLOWING FOOTNOTE COMES FROM THE CONSOLIDATED FINANCIAL STATEMENTS OF WAYNE HEALTH CORPORATION. THE FOOTNOTE REFERENCES OTHER MEMBERS OF THE AUDIT CONSOLIDATED GROUP THAT ARE NOT PART OF THIS TAX RETURN: WHC, WMH, WHF, WHP, AND THE FOUNDATION ARE NONPROFIT CORPORATIONS AND HAVE BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. WAYNE MRI IS A LIMITED LIABILITY COMPANY WITH THE HOSPITAL AS THE MAJORITY MEMBER (66.7%). THE CORPORATION ADOPTED THE PROVISIONS OF THE INCOME TAX STANDARD THAT CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS. THIS GUIDANCE PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE CORPORATION HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2024.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250.FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CarefalseFPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportfalseAnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,097,360TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,097,360NetCommunityBenefitExpnsAmt
Total Expense0.02530TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$64,032,120TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$53,342,249DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,689,871NetCommunityBenefitExpnsAmt
Total Expense0.03810TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,374,974TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$41,228,613DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$82,504,454TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$94,570,862DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,787,231NetCommunityBenefitExpnsAmt
Total Expense0.06340TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,181,111TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,372,151DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,808,960NetCommunityBenefitExpnsAmt
Total Expense0.00640TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,181,111TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,372,151DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,808,960NetCommunityBenefitExpnsAmt
Total Expense0.00640TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$87,685,565TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$97,943,013DirectOffsettingRevenueAmt
Net Community Benefit Expns$19,596,191NetCommunityBenefitExpnsAmt
Total Expense0.06980TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$26,500TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$26,500NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$127,323TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$127,323NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$153,823TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$153,823NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$33,603,194BadDebtExpenseAmt
Bad Debt Expense Attributable$11,435,583BadDebtExpenseAttributableAmt
Reimbursed By Medicare$111,369,367ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$136,928,141CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$25,558,774MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line11 WAYNE MRI LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesMRIPrimaryActivitiesTxt
Org Profit Or Ownership0.6667OrgProfitOrOwnershipPct
Physicians Profit Or Ownership0.3333PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Wayne Memorial Hospital IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12700 Wayne Memorial DriveAddressLine1Txt
CityGoldsboroCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27533ZIPCd
FieldValueIRS element (for citing)
State LicenseH0257StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Wayne Memorial Hospital IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLSEE PART V, SECTION COtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care0.FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Collection ActivitiesfalseCollectionActivitiesInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5THE THREE YEAR CHANT CYCLE PROCESS (2021) IDENTIFIED THREE PRIORITY ISSUES FOR THE COMMUNITY: ACCESS TO CARE, DIABETES, AND RESPIRATORY DISEASES. OUR ORGANIZATION IS ENGAGED IN INITIATIVES TO ADDRESS FINDINGS FROM THE CHNA AS PART OF OUR MISSION OF PATIENTS FIRST, QUALITY HEALTH CARE, CLOSE TO HOME. THE CHNA WAS CONDUCTED IN CONJUNCTION WITH WAYNE COUNTY DEPARTMENT OF HEALTH, HEALTH ENC AND CONDUENT HEALTHY COMMUNITIES. THE CHNA TEAM CONDUCTED RESEARCH TO INCLUDE OUR COMMUNITY SERVICE AREA DEFINED BY OUR GEOGRAPHICAL BOUNDARY WAYNE COUNTY, NORTH CAROLINA AND SECONDARY DATA WAS COLLECTED AND ANALYZED FROM OTHER VARIOUS STATE AND NATIONAL DATA SOURCES.
SCHEDULE H, PART V, SECTION B, LINE 6BWAYNE UNC HEALTHCARE COLLABORATED WITH WAYNE COUNTY DEPARTMENT OF HEALTH, HEALTH ENC AND CONDUENT HEALTHY COMMUNITIES IN CONDUCTING THE CHNA.
SCHEDULE H, PART V, SECTION B, LINE 11WE BELIEVE HEALTH AND WELLNESS ARE THE FOUNDATION TO LIVING WELL. THE ASSESSMENT IDENTIFIED THREE HEALTH PRIORITIES FOR 2021-2022: 1. ACCESS TO CARE 2. DIABETES 3. RESPIRATORY DISEASES ALL OF THE PROGRAMS DESCRIBED IN THE FOLLOWING IMPLEMENTATION PLAN ARE ALIGNED WITH THE THREE HEALTH PRIORITIES WITH MANY OF THE PROGRAMS ADDRESSING ABOMINATIONS OF THE THREE HEALTH PRIORITIES. WAYNE UNC CONSIDERS THIS IMPLEMENTATION PLAN TO BE A "WORKING PLAN" THAT WILL CONTINUE TO EVOLVE ON AN ONGOING BASIS TO PRIORITIZE APPROACHES. TOGETHER, WITH OUR COMMUNITY PARTNERS, WAYNE UNC LISTENS TO CONCERNS, EXPLORES BARRIERS TO CARE, ANALYZES HEALTHCARE UTILIZATION AND COSTS, IDENTIFIES PARTNER NEEDS AND RESOURCES, PLANS AND REDESIGNS SERVICES, TRACKS OUTCOMES, AND SHARES ACCOUNTABILITY IN ORDER TO DEVELOP EFFECTIVE PROGRAMS TO IMPROVE THE HEALTH OF THE COMMUNITY. THIS IMPLEMENTATION PLAN INCLUDES NEW AND LONG-STANDING PROGRAMS: 1. ACCESS TO CARE AS PART OF WAYNE UNC HEALTHCARE'S COMMITMENT TO HEALTH AND WELLNESS IN THE COMMUNITIES IT SERVES, THE HEALTH SYSTEM IS FOCUSED ON EXPANDING ACCESS TO CARE FOR ALL PATIENTS AND FAMILIES AND DOES SO THROUGH THE FOLLOWING PROGRAMS: WAYNE ACTION TEAMS FOR COMMUNITY HEALTH (WATCH) HEALTHCARE PROGRAM OPERATES ONE MOBILE AND TWO STATIONARY CLINICAL SITES, PROVIDING A FREE MEDICAL HOME TO THE COUNTY'S UNINSURED. SERVICES INCLUDE LABORATORY TESTING AND PROVISION OF MEDICATIONS FOR PATIENTS WITH CHRONIC DISEASES. WITH A FOCUS ON PREVENTION AND HOLISTIC HEALTH, IN 2022, THE PROGRAM SPENT 4,832 HOURS SERVING PATIENTS, ATTAINED 489 NEW PATIENTS AND MADE A TOTAL OF 11,293 PATIENT VISITS. WAYNE UNC HEALTHCARE PARTICIPATES WITH OTHER COMMUNITY ORGANIZATIONS IN THE WAY INITIATIVE FOR SCHOOL BASED HEALTH (WISH), A NONPROFIT THAT PROVIDES COMPREHENSIVE HEALTH SERVICES FOR MIDDLE AND HIGH SCHOOL STUDENTS IN SEVEN SCHOOL BASED HEALTH CENTERS, WITH PARENTAL CONSENT. ALL WISH CENTERS ARE STAFFED BY NURSE PRACTITIONERS, REGISTERED NURSES AND CLERICAL STAFF, WITH A LOCAL PEDIATRICIAN SERVING AS THE WISH MEDICAL DIRECTOR. SERVICES INCLUDE MEDICAL, NUTRITIONAL, BEHAVIORAL, AND PREVENTATIVE CARE. WAYNE UNC HEALTHCARE PARTNERS WITH WAYNE COUNTY PUBLIC SCHOOLS TO PROVIDE SCHOOL HEALTH NURSING SERVICES. ON AVERAGE WAYNE COUNTY HAS ONE SCHOOL NURSE FOR EVERY 1,074 STUDENTS. THE NATIONAL SCHOOL NURSE-TO-STUDENT RECOMMENDED RATIO IS 1 NURSE FOR 750 STUDENTS. CORPORATE HEALTH SERVICES PROGRAM PROVIDES NURSES AT CORPORATE FACILITIES TO EXTEND HEALTH AND WELLNESS SERVICES TO 18,000 LOCAL EMPLOYEES. WAYNE UNC HEALTHCARE CONTINUES ITS EFFORTS IN PHYSICIAN RECRUITMENT TO ENHANCE ACCESS TO CARE IN WAYNE AND SURROUNDING COUNTIES TO MEET THE DEMANDS OF THE GROWING COMMUNITY AND GIVE PATIENTS ACCESS TO SPECIALTIES CLOSE TO HOME. DUE TO THE REGIONAL AND NATIONAL SHORTAGE OF PROVIDERS, WAYNE UNC ALSO OFFERS CLINICAL ROTATIONS FOR MEDICAL RESIDENTS. WAYNE HEALTH CONATION PROVIDES A FREE HOME VISIT PROGRAM DESIGNED TO GIVE HIGH-RISK PATIENTS THE TOOLS THEY NEED TO MANAGE THEIR HEALTH FOLLOWING A HOSPITAL VISIT. WAYNE UNC PARAMEDICS VISIT PATIENTS WEEKLY TO PROVIDE HEALTH ASSESSMENTS AND INFORMATION TO EXTEND THEIR EXISTING CARE PLAN AND CLOSELY CONNECTING THEM TO THEIR PROVIDERS. THIS IS TO HELP AVOID EMERGENCY DEPARTMENT AND INPATIENT ADMISSIONS. WAYNE UNC IS ALSO ADOPTING A NEW WORKFLOW FOR EMERGENCY DEPARTMENT FLOW TO REDUCE ED WAIT TIMES BY IMMEDIATELY COLLECTING VITALS AND DIRECTING PATIENTS TO THE APPROPRIATE LEVEL OF CARE. THIS INITIATIVE IS TO REDUCE THE NUMBER OF PATIENTS LEFT WITHOUT BEING SEEN RATE. GOAL 2: DIABETES HELP PATIENTS UNDERSTAND THE RISK FACTORS ASSOCIATED WITH DIABETES AND LEARN TO MANAGE THEM. WAYNE IS ACTIVELY HOSTING DIABETES-FRIENDLY FOOD DRIVES TO INCREASE THE AVAILABILITY OF FRESH FRUITS AND VEGETABLES WHILE EDUCATING STAFF AND VOLUNTEERS ABOUT THE NEEDS OF CLIENTS WITH DIET-SENSITIVE DISEASES, LIKE DIABETES. WAYNE UNC WILL PROVIDE EDUCATION AND ACCESS FOR UNDERSERVED AND GENERAL COMMUNITY. THE ORGANIZATION SEEKS TO PROVIDE ACCESSIBLE INFORMATION AND DIABETES SUPPORT THROUGHOUT THE COMMUNITY, DELIVERED IN PLAIN LANGUAGE FOR PATIENTS FACING SOCIO-ECONOMIC BARRIERS. BY PARTNERING WITH COMMUNITY-BASED ORGANIZATIONS WE WILL ENSURE PATIENTS HAVE ACCESS TO HEALTHY FOODS, DRINKS AND PLACES TO BE PHYSICALLY ACTIVE SO THEY CAN MAKE HEALTHY CHOICES WHERE THEY LIVE, WORK, WORSHIP AND PLAY. GOAL 3: RESPIRATORY DISEASES WAYNE UNC HEALTH CARE IS COMMITTED TO EDUCATING PATIENTS AND HELPING THEM MANAGE RESPIRATORY DISEASES, WHICH AFFECT A NUMBER OF PEOPLE OF ALL AGES IN THE COMMUNITY. WAYNE PROVIDES EDUCATION FOR CHILDREN, ADOLESCENTS AND ADULTS THOUGH WATCH, WISH, SCHOOL HEALTH PROGRAM AND CORPORATE HEALTH PROGRAMMING. THROUGH WELLNESS PROGRAMS, WAYNE UNC HEALTH CARE WILL OFFER SMOKING AND TOBACCO CESSATION PROGRAMS AND EDUCATION TO ENCOURAGE RESPIRATORY HEALTH AMONG TEAMMATES.
SCHEDULE H, PART V, SECTION B, LINE 16JALL SELF PAY INPATIENTS RECEIVE VISITS FROM FINANCIAL COUNSELORS, AND THE CHARITY POLICY IS REVIEWED AT THAT TIME. SELF PAY OUTPATIENTS ARE SENT LETTERS OFFERING FINANCIAL ASSISTANCE. IF WE CAN IDENTIFY CHARITY STATUS AT TIME OF VISIT (BASED ON PATIENT) NO BILL IS SENT.
SCHEDULE H, PART V, SECTION B, LINE 7AHTTPS://WWW.WAYNEUNC.ORG/APP/FILES/PUBLIC/07F4F487-B3FF-430B-A3B5-07CA80DE 32B0/PDF-WAYNE-TAX%20YEAR%2020212022%20COMMUNITY%20HEALTH%20NEEDS%20ASSESS MENT.PDF
SCHEDULE H, PART V, SECTION B, LINE 7Bhttps://www.wayneunc.org/app/files/public/07f4f487-b3ff-430b-a3b5-07ca80de 32b0/pdf-wayne-Tax%20Year%202021-2022%20Community%20Health%20Needs%20Asses sment.pdf
SCHEDULE H, PART V, SECTION B, LINE 10AHTTPS://WWW.WAYNEUNC.ORG/APP/FILES/PUBLIC/9F3B46F7-9835-4B08-9CBA-0E7CE192 A676/PDF-WAYNETAX-YEAR-2021-2022%20COMMUNITY-BENEFITSIMPLEMENTATION%20PLAN .PDF
SCHEDULE H, PART V, SECTION B, LINE 16A-CHTTPS://WWW.WAYNEUNC.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-SERVICES/FINA NCIAL-ASSISTANCE/
FieldValueIRS element (for citing)
Facility1FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WAYNE MRI LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12700 WAYNE MEMORIAL DRIVEAddressLine1Txt
CityGOLDSBOROCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27533ZIPCd
FieldValueIRS element (for citing)
FacilityMRIFacilityTxt

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3CWAYNE UNC MANAGEMENT USED 250% OF FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR PATIENTS WHO PROVIDE INFORMATION TO US. WE ALSO USE A PROPRIETARY CREDIT SCORING TOOL TO FURTHER DETERMINE ELIGIBILITY AND FOR NON-COMPLIANT PATIENTS. THIS PROPRIETARY TOOL USES ALGORITHMS, CONSUMER DATA, AND OTHER INFORMATION TO ASSIST WITH UNDERSTANDING PATIENT'S ABILITY TO PAY.
SCHEDULE H, PART I, LINE 7AMOUNTS THAT ARE IN PART 1, LINE 7, COLUMN C WERE COMPUTED USING THE COST-TO-CHARGE RATIO WORKSHEET FROM IRS INSTRUCTIONS FOR SCHEDULE H. Schedule H, PART 1, LINE 7, COLUMN F: FOR PURPOSES OF CALCULATING THE COMMUNITY BENEFIT PERCENTAGE IN PART I, COLUMN F, THE ORGANIZATION SUBTRACTED 33,603,194 (WHICH WAS REPORTED ON FORM 990, PART IX, LINE 25) AS BAD DEBT EXPENSE. Schedule H, PART II, COMMUNITY BUILDING ACTIVITIES WORKFORCE DEVELOPMENT: WAYNE UNC HEALTHCARE SUPPORTS THE MISSION OF WAYNE HEALTH PHYSICIANS TO PROVIDE THE COMMUNITY WITH QUALITY HEALTHCARE SERVICES. WAYNE UNC HEALTHCARE PROVIDES WORKFORCE DEVELOPMENT RECRUITMENT INITIATIVES TO BUILD UPON THE RESOURCES OF LOCAL PHYSICIANS TO ENSURE EXCEPTIONAL QUALITY CARE IS OFFERED AT CONVENIENT LOCATIONS THROUGHOUT WAYNE COUNTY AND BEYOND. THIS OFFERS FAMILIES ACCESS TO A DISTINCTIVE GROUP OF CARING PHYSICIANS WITH A WIDE RANGE OF SPECIALTIES. ECONOMIC DEVELOPMENT: WAYNE UNC HEALTHCARE EXTENDS ITS SUPPORT TO THE COMMUNITY BY SUPPORTING AND COLLABORATING WITH KEY ORGANIZATIONS IN THE COMMUNITY. WAYNE UNC HEALTHCARE IS A PROUD SUPPORTER OF THE IMPACT WAYNE CAMPAIGN TO SUPPORT THE EXPANSION OF BUSINESS DEVELOPMENT AND THE RETENTION OF ECONOMIC GROWTH TO SUPPORT THE PROSPERITY OF BUSINESSES AND ALL CITIZENS OF WAYNE COUNTY. THE IMPACT WAYNE CAMPAIGN IS A 5 YEAR PROGRAM INITIATIVE TO ENSURE FUTURE ECONOMIC GROWTH, STRENGTHEN LIVABILITY, AND CREATE A SUSTAINABLE AND BROADLY BENEFICIAL ECONOMY FOR WAYNE COUNTY CITIZENS.
SCHEDULE H, PART III, LINE 2BAD DEBT EXPENSES WAS CALCULATED BY APPLYING THE DECISION SUPPORT DATA DERIVED FROM (HISTORICAL EPIC PATIENT COLLECTIONS) TO MODEL BAD DEBT EXPENSE. THIS INCLUDES MONTHLY MONITORING OF HISTORICAL COLLECTION EXPERIENCES IN REVIEWING CURRENT RECEIVABLES FOR THEIR UNCOLLECTABILITY.
SCHEDULE H, PART III, LINE 4THE HOSPITAL USES HISTORICAL COLLECTION EXPERIENCE AND A REVIEW OF CURRENT RECEIVABLES TO PROVIDE AN ESTIMATE OF THE ALLOWANCE FOR UNCOLLECTABLES AND THE BAD DEBT EXPENSE. ACCOUNTS PAST DUE FOR MORE THAN 90 DAYS ARE INDIVIDUALLY ANALYZED FOR COLLECTABILITY. IF DEEMED UNCOLLECTIBLE, ACCOUNTS ARE REFERRED TO ONE OF TWO OUTSIDE COLLECTION AGENCIES UNLESS THE ACCOUNT IS BEING REVIEWED UNDER THE HOSPITAL'S CHARITY POLICY. THE HOSPITAL PROVIDES SERVICES TO PATIENTS REGARDLESS OF ABILITY TO PAY. AS A RESULT, THE HOSPITAL HAS INCURRED LOSSES FROM BAD DEBT EXPENSE. THESE UNREIMBURSED SERVICES ARE CONSIDERED A COMMUNITY BENEFIT SINCE THE HEALTHCARE NEEDS TO THE COMMUNITY WOULD OTHERWISE BE UNMET. NOTE 2 ON PAGE 16 OF THE AUDITED FINANCIAL STATEMENTS DISCUSSES BAD DEBTS.
SCHEDULE H, PART III, SECTION A, LINE 3THE HOSPITAL APPLIES THE HISTORICAL EPIC PATIENT COLLECTIONS DATA TO MODEL BAD DEBT EXPENSE. UNDER THE FINANCIAL ASSISTANCE POLICY, PERSONS WHO HAVE NO HEALTH INSURANCE COVERAGE, NO COVERAGE FROM ANY OTHER THIRD PARTY, OR WHO OBTAIN SERVICES NOT COVERED BY ANY HEALTH INSURANCE WILL BE ELIGIBLE FOR A 40% DISCOUNT ON CHARGES. THIS DISCOUNT WILL BE GIVEN REGARDLESS OF INCOME OR NORTH CAROLINA RESIDENCY. BASED ON HISTORICAL DATA, A SELF-PAY BAD DEBT RATIO WAS USED TO CALCULATE BAD DEBT EXPENSES FOR PATIENTS FALLING UNDER THE FINANCIAL ASSISTANCE POLICY.
SCHEDULE H, PART III, LINE 8THE HOSPITAL PROVIDES SERVICES TO PATIENTS REGARDLESS OF ABILITY TO PAY. AS A RESULT, THE HOSPITAL HAS INCURRED LOSSES BY SERVING MEDICARE PATIENTS. THE UNREIMBURSED SERVICES THE HOSPITAL PROVIDES TO PATIENTS COVERED BY MEDICARE SHOULD BE CONSIDERED A COMMUNITY BENEFIT SINCE THE HEALTHCARE NEEDS OF THE COMMUNITY WOULD OTHERWISE BE UNMET.
SCHEDULE H, PART III, SECTION B, LINE 8THE COST TO CHARGE RATIO AS CALCULATED BY THE MOST RECENTLY FILED COST REPORT WAS USED TO DETERMINE MEDICARE ALLOWABLE COSTS.
SCHEDULE H, PART III, LINE 9BOUR COLLECTION POLICY INDICATES OUR USE OF A CREDIT SCORING TOOL WHICH ASSISTS OUR COLLECTION STAFF IN THE IDENTIFICATION OF PATIENTS THAT QUALIFY FOR UNCOMPENSATED CARE.
SCHEDULE H, PART VI, LINE 2WAYNE UNC HEALTHCARE ROUTINELY CONDUCTS A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT WITH THE WAYNE COUNTY HEALTH DEPARTMENT AND IN 2021 CONDUCTED A COLLABORATIVE NEEDS ASSESSMENT IN CONJUNCTION WITH HEALTH ENC AND CONDUENT HEALTH COMMUNITIES. THE COLLABORATION IDENTIFIED THE TYPES AND SOURCES OF DATA TO BE COLLECTED, DETERMINED THE METHODS FOR COLLECTING INPUT FROM THE COMMUNITY AND KEY STAKEHOLDERS CONCERNING HEALTH RELATED ISSUES AS WELL AS COMMUNICATING THIS INFORMATION TO THE VARIOUS STAKEHOLDERS IN ORDER TO PRIORITIZE COMMUNITY HEALTH CONCERNS AND SUPPORT OUR MISSION OF PATIENTS FIRST, QUALITY HEALTHCARE, CLOSE TO HOME. FINDINGS IDENTIFIED GOALS THAT WAYNE UNC WOULD LIKE TO ACHIEVE. ACCESS TO CARE, DIABETES, AND RESPIRATORY DISEASES, OCCUPATIONAL AND ENVIRONMENTAL HEALTH, AND SUBSTANCE MISUSE AND CHILD HEALTH. IT IS IMPORTANT THAT WE MAKE ACCESS TO CARE ONE OF OUR MAIN PRIORITIES TO CARE FOR INDIVIDUALS THAT NEED CARE, EDUCATE THEM IN THEIR EVERYDAY LIVES, AND ENCOURAGE THEM WHERE THEY WORK, LIVE, AND PLAY. INFORMATION OF FINDINGS CAN BE FOUND BELOW HTTPS://WWW.WAYNEUNC.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/HEALTH-INITIATIVES /
SCHEDULE H, PART VI, LINE 4WAYNE MEMORIAL HOSPITAL SERVES PRIMARILY WAYNE COUNTY, NORTH CAROLINA, WITH AN ESTIMATED POPULATION OF 116,835 IN 2021, ACCORDING TO THE US CENSUS QUICKFACTS. THE POPULATION IS SLIGHTLY YOUNGER THAN THE AVERAGE IN NORTH CAROLINA, LIKELY DUE TO THE PRESENCE OF SEYMOUR JOHNSON AIR FORCE BASE, WITH ABOUT 6,000 ACTIVE DUTY AND RESERVISTS PLUS THEIR FAMILIES. AVERAGE HOUSEHOLD INCOME IN WAYNE COUNTY IS LOWER AT $49,488, THAN NORTH CAROLINA'S AVERAGE OF $60,516. CHILDREN LIVING IN POVERTY IN WAYNE COUNTY 18.7% COMPARED TO NORTH CAROLINA'S AVERAGE OF 17.9%. WAYNE COUNTY'S POPULATION IS 62.2% WHITE, 32.5% BLACK, AND 12.8% HISPANIC. THE COUNTY IS LARGE, AT 553 SQUARE MILES, AND IT IS THE 4TH LARGEST AGRICULTURAL PRODUCER IN THE STATE. POVERTY IMPACTS ACCESS TO CARE, WITH EMERGENCY DEPARTMENT USE HIGHER IN AREAS WITH HIGHER POVERTY, AND SHORTER LIVES ON AVERAGE.
SCHEDULE H, PART VI, LINE 5WAYNE MEMORIAL HOSPITAL HAS AN OPEN MEDICAL STAFF, WHICH MEANS THAT ANY PHYSICIAN WHO MEETS QUALITY STANDARDS SET BY A COMMITTEE OF THE HOSPITAL (WHICH INCLUDES BOARD MEMBERS) IS WELCOME TO JOIN THE STAFF, IN RETURN FOR CERTAIN RESPONSIBILITIES RELATED TO PROVIDING CARE TO PATIENTS SEEN IN THE EMERGENCY DEPARTMENT WHO NEED INPATIENT CARE. THE BOARD OF DIRECTORS IS COMPRISED OF 12 CITIZENS OF WAYNE COUNTY, INCLUDING THE CEO, WHO ARE CHARGED WITH ENSURING THAT QUALITY, EFFICIENT CARE IS PROVIDED AT THE HOSPITAL, AND FOR ENSURING PLANNING, WITH COMMUNITY PARTNERS, FOR FUTURE HEALTH NEEDS.
SCHEDULE H, PART VI, LINE 6AS THE PROVIDER OF CARE WITHIN THE COMMUNITY WITH THE MOST DIVERSE SOPHISTICATED EQUIPMENT, THE BOARD, MANAGEMENT AND STAFF OF WAYNE MEMORIAL HOSPITAL SETS ITS ROLE AS BOTH COORDINATOR OF CARE FOR THOSE WHO ARE THE SICKEST IN OUR COMMUNITY AS WELL AS PROMOTER OF HEALTH LIVING FOR ALL RESIDENTS, IN COORDINATION WITH OUR PARTNERS IN HEALTH THROUGHOUT WAYNE COUNTY. THE HOSPITAL HAS TWO PRIMARY AFFILIATES THAT ARE INTEGRAL TO COMMUNITY HEALTH. ONE IS WAYNE HEALTH FOUNDATION, DBA ""WATCH"", WHICH HAS OPERATED AS A MOBILE VAN FOR UNINSURED SINCE THE 1990'S, ADDED TWO FIXED CLINICS SINCE 2009, AND WHOSE OTHER PRIMARY FOCUS HAS BEEN ADDRESSING COMMUNITY NEEDS IDENTIFIED IN FREQUENT HEALTH NEEDS ASSESSMENTS SINCE THAT TIME. THE SECOND AFFILIATED CORPORATION, WAYNE HEALTH PHYSICIANS, WAS ORGANIZED IN 2009, TO HELP MEET THE NEEDS FOR PRIMARY AND SPECIALTY PHYSICIAN CARE IN WAYNE COUNTY. THIS WAS IN RESPONSE TO NATIONAL TRENDS THAT SHOWED PHYSICIANS SEEKING EMPLOYMENT IN SYSTEM ENVIRONMENTS TO ALLOW THEM MORE FOCUS TO PATIENT CARE, AND LESS ON THE BUSINESS ASPECTS OF MEDICAL PRACTICES. THIS COMPANY PROVIDES AN AVENUE TO WORK TOWARD LOWER OVERALL HEALTH CARE COSTS THROUGH BETTER COORDINATION OF CARE, WITH THE OBJECTIVE OF PROVIDING SERVICES TO PATIENTS IN THE LOWEST COST SETTING. IN SEPTEMBER 2017, EMPLOYEES OF WAYNE HEALTH PHYSICIANS (WHP), INCLUDING PROVIDERS, WERE TRANSITIONED TO NEW POSITIONS AT UNC HEALTH NETWORK, TO TAKE ADVANTAGE OF ECONOMIES OF SCALE, ENHANCED CLINICAL INFORMATION SYSTEMS (CONNECTING WAYNE COUNTY PATIENTS TO MOST OTHER PROVIDERS IN NC). WAYNE MEMORIAL HOSPITAL FORGAVE THE RECEIVABLE FROM WHP IN FY 2021, AS A REDUCTION OF OTHER NET ASSETS OF $10,944,783. WAYNE MEMORIAL HOSPITAL WILL CONTINUE TO FUND LOSSES ASSOCIATED WITH KEEPING QUALITY MEDICAL PROFESSIONALS IN THE WAYNE COMMUNITY, THROUGH TRANSFER OF FUNDS TO WAYNE HEALTH PHYSICIANS, WHICH WILL MONITOR AND FUND UNCPN'S WAYNE COUNTY PRACTICES.
SCHEDULE H, PART VI, LINE 7LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: NC

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeEDUCATIONAL ASSISTANCEGrantTypeTxt
Recipient67RecipientCnt
Cash Grant$140,541CashGrantAmt
Non Cash AssistanceADTL STUDYNonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationWAYNE MEMORIAL HOSPITAL, INC. MAKES GRANTS TO SUPPORT THE ACTIVITIES OF ITS RELATED ORGANIZATIONS AND TO PROMOTE GOOD COMMUNITY RELATIONS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BRIAN FILLIPO
VP MEDICAL AFFAIRS & CMO$434,000$0$62,081$0$2,269$0$2,800$0$17,806$0$518,956$0$0$0
WILLIAM THOMA
SR VP FINANCE & CFO$319,921$0$47,725$0$7,618$0$2,470$0$35,732$0$413,466$0$0$0
SHANA EDWARDS
CRNA$192,744$0$7,563$0$153,355$0$2,336$0$18,677$0$374,675$0$0$0
RICHARD MIDDLETON
CRNA$273,792$0$7,885$0$44,610$0$2,184$0$21,517$0$349,988$0$0$0
ROBERT WHITE JR
CRNA$192,182$0$7,607$0$119,579$0$2,495$0$27,896$0$349,759$0$0$0
AMY WILLOUGHBY
CRNA$178,056$0$7,575$0$131,442$0$2,704$0$9,262$0$329,039$0$0$0
NELSON MATHER
CRNA$185,807$0$7,609$0$122,376$0$2,875$0$7,969$0$326,636$0$0$0
HOWARD WHITFIELD
VP CLINICAL OPERATIONS$242,554$0$40,116$0$8,601$0$2,040$0$18,490$0$311,801$0$0$0
DOUGLAS HARRISON
VP HUMAN RESOURCES$250,016$0$7,367$0-$11,149$0$96$0$25,821$0$272,151$0$0$0
HEIDI MALEZ
SR VP, PATIENT CARE SERVICES$241,234$0$16,738$0-$3,066$0$0$0$8,153$0$263,059$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1A:LESS THAN $300 PAID ANNUALLY.
SCHEDULE J, PART I, LINE 1B:CERTAIN DUES AND FEES ARE REIMBURSED BY THE ORGANIZATION.
SCHEDULE J, PART I, LINE 4B:WILLIAM THOMA PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN AND RECEIVED $35,483 IN PAYMENTS DURING THE PLAN YEAR. HOWARD WHITFIELD PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN AND RECEIVED $25,415 IN PAYMENTS DURING THE PLAN YEAR. BRIAN FILLIPO PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN AND RECEIVED $45,893 IN PAYMENTS DURING THE PLAN YEAR.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1North Carolina Medical Care CommissionBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN521309402BondIssuerEIN
CUSIPNONEAVAILCUSIPNum
Bond Issued2017-05-25BondIssuedDt
Issue Price$77,245,000IssuePriceAmt
PurposeSURGICAL CENTER/AIR HANDLERPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$9,650,000RetiredAmt
Bond Defeased$32,015,000BondDefeasedAmt
Total Proceeds$77,245,000TotalProceedsAmt
In Reserve Fund$0InReserveFundAmt
Capitalized Interest$0CapitalizedInterestAmt
Refunding Escrow$0RefundingEscrowAmt
Issuance Costs From Proceeds$482,133IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$44,747,867CapitalExpendituresAmt
Other Spent Proceeds$0OtherSpentProceedsAmt
Unspent$0UnspentAmt
Substantial Completion2019SubstantialCompletionYr
Refunding Tax Exempt BondsYes (true)RefundingTaxExemptBondsInd
Refunding Taxable BondsfalseRefundingTaxableBondsInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (true)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsYes (true)EngageBondCounselContractsInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Private Bus Use By Others0.01100PrivateBusUseByOthersPct
Total Private Business Use0.01100TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Remedial Action TakenfalseRemedialActionTakenInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetYes (true)RebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DuefalseNoRebateDueInd
Variable Rate IssueYes (true)VariableRateIssueInd
Hedge Identified In Bks And RecYes (true)HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line1WELLS FARGOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Term Of Hedge15.TermOfHedgePct
Superintegrated HedgefalseSuperintegratedHedgeInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE K, PART I, BOND ISSUES(A) ISSUER NAME: NORTH CAROLINA MEDICAL CARE COMMISSION (F) DESCRIPTION OF PURPOSE: SURGICAL CENTER/AIR HANDLER UNITS/REFUND PRIOR BONDS
SCHEDULE K, PART IV, LINE 2AThe rebate computation is due in June 2027.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3:IN DECEMBER 2015, IN CONJUNCTION WITH THE HOSPITAL'S AFFILIATION WITH UNC HEALTH CARE SYSTEM ("UNCHCS"), THE HOSPITAL ENTERED INTO A 10 YEAR MANAGEMENT AGREEMENT WITH UNCHCS, EFFECTIVE JANUARY 1, 2016. THE CONTRACT GIVES UNCHCS THE RESPONSIBILITY FOR THE DAY-TO DAY OPERATIONS OF THE HOSPITAL. UNDER THIS AGREEMENT, WAYNE UNC ADOPTED UNCHCS POLICIES.
FORM 990, PART VI, SECTION B, LINE 11B:A DRAFT OF FORM 990 IS MADE AVAILABLE TO THE GOVERNING BODY FOR REVIEW BEFORE IT IS FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C:ANNUALLY, ALL BOARD MEMBERS, ALL EXECUTIVES AND ALL DIRECTORS COMPLETE UNC'S CONFLICT OF INTEREST FORM AND ALL ARE REVIEWED BY THE WAYNE UNC'S CORPORATE COMPLIANCE OFFICER, WHO WORKS COLLABORATIVELY WITH THE UNC CORPORATE COMPLIANCE DEPARTMENT, TO ADDRESS ANY ISSUES. BOARD MEMBERS (OR OTHERS) WITH CONFLICTS ARE EXCUSED FROM THE ROOM WHILE STRATEGIES AND DECISIONS ARE BEING DISCUSSED AND ARE EXCLUDED FROM VOTING ON ISSUES WHERE ACTUAL OR PERCEIVED CONFLICTS EXIST.
FORM 990, PART VI, SECTION B, LINE 15A:THE EXECUTIVE COMMITTEE OF THE BOARD REVIEWS (WITH UNCHCS) CEO AND VP COMPENSATION. ALL DIRECTORS AND TEAMMATES SALARIES ARE REVIEWED ANNUALLY FOR MARKET ADJUSTMENTS NEEDED BY AN EXTERNAL CONSULTANT, USING LOCAL AND NATIONAL BENCHMARKS.
FORM 990, PART VI, SECTION C, LINE 19:THESE DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. ADDITIONALLY, THE AUDITED FINANCIAL STATEMENTS ARE AVAILABLE ON WWW.GUIDESTAR.ORG.
FORM 990, PART XI, LINE 9, CHANGES IN NET ASSETS:OTHER CHANGES IN NET ASSETS (15,250,229) CHANGE IN MINIMUM PENSION LIABILITY 6,393,739 DISTRIBUTIONS TO MEMBERS 1,935,455 CHANGE IN VALUE OF INTEREST RATE 705,270 ============= TOTAL (6,215,765)
FORM 990, PART XII, LINE 2C:NO CHANGE FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
WAYNE HEALTH FOUNDATION INC
2700 WAYNE MEMORIAL DRIVEGOLDSBORONC27533581881912HEALTHCARENC501(c)(3)LINE 10WHCfalse
WAYNE HEALTH CORPORATION
2700 WAYNE MEMORIAL DRIVEGOLDSBORONC27533561479733PARENT CORPNC501(c)(3)LINE 12a, INAfalse
WAYNE HEALTH PHYSICIANS
2700 WAYNE MEMORIAL DRIVEGOLDSBORONC27533264291056HEALTHCARENC501(c)(3)LINE 10WHCfalse
WAYNE MEMORIAL HOSPITAL FOUNDATION
2700 WAYNE MEMORIAL DRIVEGOLDSBORONC27533814132398SUPPORTNC501(c)(3)LINE 10WHCfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1WAYNE MRI LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12700 WAYNE MEMORIAL DRIVEAddressLine1Txt
CityGOLDSBOROCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27533ZIPCd
FieldValueIRS element (for citing)
EIN342043934EIN
Primary ActivitiesMRI SERVICESPrimaryActivitiesTxt
Legal Domicile StateNCLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1WAYNE MEMORIALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Share Of Total Income$1,743,839ShareOfTotalIncomeAmt
Share Of EOY Assets$3,652,475ShareOfEOYAssetsAmt
Disproportionate AllocationsfalseDisproportionateAllocationsInd
UBI Code V$0UBICodeVAmt
General Or Managing PartnerYes (true)GeneralOrManagingPartnerInd
Ownership0.66667OwnershipPct
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd