2025-05-01T11:26:13-05:00 2024-06-30 BDO USA 421 Fayetteville Street Suite 300 Raleigh NC 27601 990 2023-07-01 561484844 Wayne Memorial Hospital Inc % WILLIAM THOMA WAYN 9197316142 PO Box 8001 Goldsboro NC 27533 William Thoma CFO 9197316142 2025-04-30 true true Sandra L Feinsmith P01064157 9192781936 2025-04-29 2023 2025-03-06 01:10:19Z Jessie L Tucker III CEO PO Box 8001 Goldsboro NC 27533 382185637 false X www.Wayneunc.org X 1986 NC PATIENTS FIRST. QUALITY HEALTH CARE. CLOSE TO HOME. 12 11 2135 78 0 0 0 0 345103106 365815556 8181524 16315312 49129 16924 353333759 382147792 136891 140541 0 0 133083152 144655935 0 0 0 185875104 169552851 319095147 314349327 34238612 67798465 456419801 515197479 164119666 152568356 292300135 362629123 X PATIENTS 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. false false 205458405 140541 365832480 PROVIDING 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). 205458405 true false false true false false false false false false true false true true true true false true false false false false false false false false true true false true true true false false false false false false false false false false false false false false false true true false false false true 152 0 true 2135 true false false false false false false false false false false false false X 12 11 false true false false false false false true true false false true true true true true true true true true true X X WILLIAM THOMA 9197316142 2700 WAYNE MEMORIAL DR Goldsboro NC 27533 X BRIAN FILLIPO VP MEDICAL AFFAIRS & CMO 40.0 0.0 X 498350 0 20606 WILLIAM THOMA SR VP FINANCE & CFO 40.0 4.0 X 375264 0 38202 SHANA EDWARDS CRNA 40.0 0.0 X 353662 0 21013 RICHARD MIDDLETON CRNA 40.0 0.0 X 326287 0 23701 ROBERT WHITE JR CRNA 40.0 0.0 X 319368 0 30391 AMY WILLOUGHBY CRNA 40.0 0.0 X 317073 0 11966 NELSON MATHER CRNA 40.0 0.0 X 315792 0 10844 HOWARD WHITFIELD VP CLINICAL OPERATIONS 40.0 0.0 X 291271 0 20530 DOUGLAS HARRISON VP HUMAN RESOURCES 40.0 0.0 X 246234 0 25917 HEIDI MALEZ SR VP, PATIENT CARE SERVICES 40.0 0.0 X 254906 0 8153 JESSIE TUCKER PRESIDENT & CEO 40.0 4.0 X X 0 0 0 T KENDALL GERRARD BOARD CHAIRMAN 1.0 0.0 X 0 0 0 HAROLD BRASHEAR BOARD MEMBER 1.0 0.0 X 0 0 0 KATE DANIELS BOARD MEMBER 1.0 0.0 X 0 0 0 ANTHONY W HAMM DC BOARD MEMBER 1.0 0.0 X 0 0 0 FREEMAN HARDISON BOARD MEMBER 1.0 0.0 X 0 0 0 SAMER KASBARI MD BOARD MEMBER 1.0 0.0 X 0 0 0 DIMITRIOS LINTZERIS DO BOARD MEMBER 1.0 0.0 X 0 0 0 JOHNATHAN LOZEVSKI BOARD MEMBER 1.0 0.0 X 0 0 0 CHARLES BRANSON VICKORY III BOARD MEMBER 1.0 0.0 X 0 0 0 CHRIS WISE BOARD MEMBER 1.0 0.0 X 0 0 0 ADRIAN WORRELL BOARD MEMBER 1.0 0.0 X 0 0 0 3298207 0 211323 232 false true false QUALIVIS LLC 5930 CORNERSTONE COURT W300 SAN DIEGO CA 92121 CONTRACT LABOR 13425488 DANIS CONSTRUCTION 5511 CAPITAL CENTER DR STE 100 RALEIGH NC 27606 CONSTRUCTION 3814543 CROSS COUNTRY LOCUMS 6551 PARK OF COMMERCE BOULEVARD BOCA RATON FL 33487 CONTRACT LABOR 2614025 GOLDSBORO EMERGENCY MEDICAL SPEC PO DRAWER K GOLDSBORO NC 27533 MEDICAL CONSULTING 2179018 HANDCRAFT CLEANERS LAUNDERERS 2810 COFER ROAD RICHMOND VA 23224 LAUNDRY SERVICE 1174169 25 0 PATIENT REVENUE 621110 350235055 350235055 OTHER REVENUE 621110 15580501 15580501 365815556 8994568 0 8994568 0 0 0 0 0 7358589 0 0 37845 7358589 -37845 7320744 7320744 0 0 0 0 0 0 0 0 0 OTHER INCOME 990009 16924 16924 16924 382147792 365832480 0 16315312 0 140541 140541 0 0 3511713 1732278 1779435 106776256 79282369 27493887 0 7432588 7432588 19146928 755175 18391753 7788450 5721191 2067259 0 349791 349791 375499 25538 349961 28521 28521 0 17340 17340 29590143 11875700 17714443 327633 279 327354 3440212 1032924 2407288 18045936 124087 17921849 0 3941190 20732 3920458 132281 46328 85953 0 14561 12055 2506 3503202 1186 3502016 0 11928353 7121183 4807170 1676001 1676001 BAD DEBT 33603194 33603194 MEDICAL SUPPLIES 31815198 30777458 1037740 DRUGS 18856298 18824568 31730 PURCHASED SERVICES 5908383 3553567 2354816 5999115 3329603 2669512 314349327 205458405 108890922 0 X 11116763 11427449 0 0 0 0 24237876 31964226 0 0 0 0 0 0 7058142 6947224 5313846 5674995 339294816 210016033 128213940 129278783 12001152 16159404 0 0 227991834 263777419 0 0 40486248 49967979 456419801 515197479 41208117 38784810 0 0 0 0 70223781 67208102 0 0 0 0 0 0 30945329 28181227 21742439 18394217 164119666 152568356 X 292300135 362629123 0 0 292300135 362629123 456419801 515197479 X 67798465 8746288 -6215765 X false true X true false X false false false false false false false false true 28521 28521 false SCHEDULE C, PART II-B, LINE I: A PORTION OF THE DUES THE HOSPITAL PAYS TO THE NORTH CAROLINA HOSPITAL ASSOCIATION ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. 96263447 50932893 45330554 87673433 44638032 43035401 139333161 107300974 32032187 16024775 7144134 8880641 129278783 INVESTMENTS 263777419 F 263777419 HASP SETTLEMENT 33019299 LONG-TERM RECEIVABLE 11416927 INVESTMENT IN AFFILIATE 3227963 OTHER RECEIVABLE 1917913 RIGHT OF USE ASSET 385877 49967979 0 ESTIMATED THIRD PARTY PAYOR SE 7530069 OTHER LIABILITIES 5033907 MINIMUM PENSION LIABILITY 3547824 INTEREST RATE SWAP 1916357 OPERATING LEASE OBLIGATIONS 366060 18394217 X SCHEDULE D, PART X, LINE 2: THE 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. true true true X 250. false true true true false false 7097360 7097360 0.02530 64032120 53342249 10689871 0.03810 11374974 41228613 0 0.00000 82504454 94570862 17787231 0.06340 5181111 3372151 1808960 0.00640 5181111 3372151 1808960 0.00640 87685565 97943013 19596191 0.06980 26500 26500 0.00010 127323 127323 0.00040 153823 153823 0.00050 true 33603194 11435583 111369367 136928141 -25558774 X true true 1 WAYNE MRI LLC MRI 0.6667 0.3333 1 1 Wayne Memorial Hospital Inc 2700 Wayne Memorial Drive Goldsboro NC 27533 H0257 X X X Wayne Memorial Hospital Inc 1 false false true X X X X X X X X X 21 true false true true X SEE PART V, SECTION C X SEE PART V, SECTION C X true 21 true SEE PART V, SECTION C false true X 250. 0. X X X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X X true false true X false false SCHEDULE H, PART V, SECTION B, LINE 5 THE 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 6B WAYNE 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 11 WE 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 16J ALL 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 7A HTTPS://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 7B https://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 10A HTTPS://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-C HTTPS://WWW.WAYNEUNC.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-SERVICES/FINA NCIAL-ASSISTANCE/ 1 WAYNE MRI LLC 2700 WAYNE MEMORIAL DRIVE GOLDSBORO NC 27533 MRI SCHEDULE H, PART I, LINE 3C WAYNE 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 7 AMOUNTS 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 2 BAD 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 4 THE 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 3 THE 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 8 THE 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 8 THE 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 9B OUR 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 2 WAYNE 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 4 WAYNE 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 5 WAYNE 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 6 AS 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 7 LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: NC true EDUCATIONAL ASSISTANCE 67 140541 ADTL STUDY PART I, LINE 2: WAYNE MEMORIAL HOSPITAL, INC. MAKES GRANTS TO SUPPORT THE ACTIVITIES OF ITS RELATED ORGANIZATIONS AND TO PROMOTE GOOD COMMUNITY RELATIONS. X true true X X X X X false true false false false false false false false BRIAN FILLIPO VP MEDICAL AFFAIRS & CMO 434000 0 62081 0 2269 0 2800 0 17806 0 518956 0 0 0 WILLIAM THOMA SR VP FINANCE & CFO 319921 0 47725 0 7618 0 2470 0 35732 0 413466 0 0 0 SHANA EDWARDS CRNA 192744 0 7563 0 153355 0 2336 0 18677 0 374675 0 0 0 RICHARD MIDDLETON CRNA 273792 0 7885 0 44610 0 2184 0 21517 0 349988 0 0 0 ROBERT WHITE JR CRNA 192182 0 7607 0 119579 0 2495 0 27896 0 349759 0 0 0 AMY WILLOUGHBY CRNA 178056 0 7575 0 131442 0 2704 0 9262 0 329039 0 0 0 NELSON MATHER CRNA 185807 0 7609 0 122376 0 2875 0 7969 0 326636 0 0 0 HOWARD WHITFIELD VP CLINICAL OPERATIONS 242554 0 40116 0 8601 0 2040 0 18490 0 311801 0 0 0 DOUGLAS HARRISON VP HUMAN RESOURCES 250016 0 7367 0 -11149 0 96 0 25821 0 272151 0 0 0 HEIDI MALEZ SR VP, PATIENT CARE SERVICES 241234 0 16738 0 -3066 0 0 0 8153 0 263059 0 0 0 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. A North Carolina Medical Care Commission 521309402 NONEAVAIL 2017-05-25 77245000 SURGICAL CENTER/AIR HANDLER false false false A 9650000 32015000 77245000 0 0 0 482133 0 0 44747867 0 0 2019 true false true true A false false true true false 0.01100 0.01100 false false false true A false true false false true true WELLS FARGO 15. false false 0 false true A true 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 2A The rebate computation is due in June 2027. 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. WAYNE HEALTH FOUNDATION INC 2700 WAYNE MEMORIAL DRIVE GOLDSBORO NC 27533 581881912 HEALTHCARE NC 501(c)(3) LINE 10 WHC false WAYNE HEALTH CORPORATION 2700 WAYNE MEMORIAL DRIVE GOLDSBORO NC 27533 561479733 PARENT CORP NC 501(c)(3) LINE 12a, I NA false WAYNE HEALTH PHYSICIANS 2700 WAYNE MEMORIAL DRIVE GOLDSBORO NC 27533 264291056 HEALTHCARE NC 501(c)(3) LINE 10 WHC false WAYNE MEMORIAL HOSPITAL FOUNDATION 2700 WAYNE MEMORIAL DRIVE GOLDSBORO NC 27533 814132398 SUPPORT NC 501(c)(3) LINE 10 WHC false WAYNE MRI LLC 2700 WAYNE MEMORIAL DRIVE GOLDSBORO NC 27533 342043934 MRI SERVICES NC WAYNE MEMORIAL 1743839 3652475 false 0 true 0.66667 true true false false false false false false false true false false false false true false true false false