2019-05-14T08:00:43-05:00 2018-06-30 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2017-07-01 264291056 WAYNE HEALTH PHYSICIANS WAYN 9197316142 2700 WAYNE MEMORIAL DRIVE GOLDSBORO NC 27534 REBECCA CRAIG CFO 9197316142 2019-05-13 1 JOHN NORMAN P01506766 7049985200 2019-05-13 67.137.57.251 2019-05-13 16:45:55 ED P 85B9997AADF14A140E17A393DEEE4F99E0CB7F93 E08534915D800E761C58D6BC2FAE027E229B383F 2017 2019-02-21 02:37:17Z JANIE JABERG 2700 WAYNE MEMORIAL DRIVE GOLDSBORO NC 27534 3221417 0 X WWW.WAYNEHEALTHPHYSICIANS.ORG X 2009 NC TO PROVIDE THE COMMUNITY QUALITY HEALTHCARE SERVICES 2 2 190 0 0 0 0 0 15406557 3221417 0 0 0 0 15406557 3221417 0 0 0 0 20700495 4283551 0 0 0 5470525 3073880 26171020 7357431 -10764463 -4136014 5959438 962139 46961140 340956 -41001702 621183 X THE MISSION OF WAYNE HEALTH PHYSICIANS IS TO PROVIDE THE COMMUNITY QUALITY HEALTHCARE SERVICES THROUGH THE COMPASSIONATE HANDS OF WELL-TRAINED STAFF IN A TECHNOLOGICALLY ADVANCED, COST-EFFECTIVE MANNER. 0 1 7357431 3221417 WAYNE HEALTH PHYSICIANS BRINGS THE EXCEPTIONAL QUALITY OF WAYNE MEMORIAL HOSPITAL TO CONVENIENT LOCATIONS THROUGHOUT WAYNE COUNTY AND BEYOND BY OFFERING FAMILIES ACCESS TO A DISTINCTIVE GROUP OF CARING PHYSICIANS IN A WIDE RANGE OF SPECIALTIES. IN SEPTEMBER 2017, THESE PROVIDERS AND THEIR SUPPORT STAFF WERE TRANSITIONED TO UNC PHYSICIANS NETWORK, COMPOSED OF PHYSICIAN PRACTICES ACROSS THE STATE OF NC, ALL ON A SINGLE INFORMATION SYSTEM PLATFORM. THE LOCAL HOSPITAL SYSTEM RETAINS THE ABILITY (THROUGH PARTICIPATION ON THE UNCPN BOARD) TO DIRECT ADDITIONAL PRACTICES TO APPROPRIATE LOCATIONS IN WAYNE COUNTY, AND WILL CONTINUE TO FUND THE SHORTFALLS BETWEEN PATIENT RECEIPTS AND PRACTICE EXPENSES FOR LOCAL PRACTICES. 7357431 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 19 0 190 1 0 0 0 0 0 0 0 0 0 0 X 2 2 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 0 1 0 X REBECCA CRAIG CFO 9197316142 2700 WAYNE MEMORIAL DRIVE GOLDSBORO NC 27534 JANIE JABERG CHIEF EXECUTIVE OFFICER 1.00 43.00 X X 0 0 0 JAMES PARKER BOARD MEMBER 1.00 2.00 X 0 0 0 ROBERT WALKER JR CHAIR, BOARD OF DIRECTORS 1.00 4.00 X X 0 0 0 REBECCA W CRAIG SR. VP FINANCE 1.00 43.00 X 0 344226 39614 GREGORY BAUER MD PHYSICIAN 40.00 X 797693 0 39254 WILLIAM DE ARAUJO MD PHYSICIAN 40.00 X 575120 0 38084 L DAVIS FREDERICK III MD PHYSICIAN 40.00 X 538167 0 39503 ROBERT ALBRECHT MD PHYSICIAN 40.00 X 640522 0 24673 GILBERT GARCIA MD PHYSICIAN 40.00 X 497659 0 27574 3049161 344226 208702 5 0 1 0 HEALTHCARE SUPPORT TECHNOLOGIES 315 NINTH ST NEW BRIGHTON PA 15066 BILLING AND COLLECTIONS 523050 STAFF CARE PO BOX 281923 ATLANTA GA 303841923 LOCUM TENENS PROVIDERS 330363 GE HEALTHCARE PO BOX 96483 CHICAGO IL 60693 IMAGING EQUIPMENT 318316 ABBVIE US LLC 1 N WAUKEGAN RD NORTH CHICAGO IL 60064 PHARMACEUTICALS 134064 AMERISOURCEBERGEN DRUGS CO 9900 JEB STUART PKWY GLEN ALLEN VA 23059 PHARMACEUTICALS 130766 5 PATIENT REVENUE 621110 2269780 2269780 951637 951637 3221417 3221417 3221417 0 0 3578512 3578512 568911 568911 136128 136128 53728 53728 1018 1018 538843 538843 27330 27330 19578 19578 17319 17319 2980 2980 125736 125736 22337 22337 BAD DEBT 999976 999976 PURCHASED SERVICES 516593 516593 RENTALS & MAINTENANCE 366234 366234 MEDICAL SUPPLIES 312014 312014 70194 70194 7357431 7357431 0 0 178979 38718 2633941 1765 106023 1446059 524403 2814976 921656 225519 0 5959438 962139 46649887 101110 311253 132796 0 107050 46961140 340956 X -41001702 621183 -41001702 621183 5959438 962139 X -4136014 45758899 X X 0 1 X 1 0 X 13639257 15211457 11730564 15406557 3221417 59209252 13639257 15211457 11730564 15406557 3221417 59209252 0 0 0 59209252 13639257 15211457 11730564 15406557 3221417 59209252 1.00000 1.00000 0.00000 X 597862 114591 483271 13228 8708 4520 621976 223732 398244 212993 177372 35621 921656 DUE TO AFFILIATE 107050 107050 X PART X, LINE 2: WAYNE HEALTH PHYSICIANS ("WHP") IS A NOT-FOR-PROFIT CORPORATION AND HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. WHP 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 A RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE IMPLEMENTATION OF THE ADOPTION OF THIS STANDARD HAD NO IMPACT ON THE WHP'S FINANCIAL STATEMENTS. 1 X X X X 0 1 0 0 0 0 0 1 0 REBECCA W CRAIG SR. VP FINANCE 0 276024 0 37244 0 30958 0 16103 0 23511 0 383840 0 28135 GREGORY BAUER MD PHYSICIAN 389806 0 415935 0 -8048 0 11263 0 27991 0 836947 0 0 0 WILLIAM DE ARAUJO MD PHYSICIAN 387363 0 194403 0 -6646 0 11263 0 26821 0 613204 0 0 0 L DAVIS FREDERICK III MD PHYSICIAN 387319 0 158331 0 -7483 0 11263 0 28240 0 577670 0 0 0 ROBERT ALBRECHT MD PHYSICIAN 446930 0 197201 0 -3609 0 7950 0 16723 0 665195 0 0 0 GILBERT GARCIA MD PHYSICIAN 241515 0 257715 0 -1571 0 7950 0 19624 0 525233 0 0 0 PART I, LINE 4B REBECCA CRAIG PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN AND RECEIVED $28,135 IN PAYMENTS FROM THE PLAN DURING THE YEAR. PART I, LINE 7 BONUSES FOR MANAGEMENT WERE AWARDED FOR MULTIPLE REASONS IN CALENDAR YEAR 2017: LEADERSHIP RETENTION THROUGH PERIOD OF CHANGE (2016) RELATED TO NORMAL RETIREMENTS AND UNEXPECTED TURNOVER IN KEY ROLES AND BONUSES GIVEN AS INCENTIVES TO RELOCATE TO TAKE LEADERSHIP ROLE AT WAYNE UNC, TO BE COMPETITIVE WITH OTHER HOSPITALS. ADDITIONALLY, PHYSICIAN BONUSES WERE PAID BASED ON ACHIEVING PRODUCTIVITY TARGETS, WHILE MAINTAINING QUALITY PATIENT CARE. FORM 990, PART III, LINE 3 EMPLOYEES OF WHP BECAME EMPLOYED BY UNC PHYSICIAN NETWORK ON SEPT 15, 2017 (FY 2018), AND THE COMPANY'S HANDS-ON OPERATIONS WERE WINDING UP FOR THE REST OF THE YEAR. THE COMPANY'S MISSION WILL CONTINUE TO BE INCREASING ACCESS TO QUALITY CARE PROVIDERS IN WAYNE COUNTY. FORM 990, PART VI, SECTION B, LINE 11B BOARD MEMBERS OF THE WAYNE HEALTH CORPORATION (THE PARENT COMPANY) ARE ENCOURAGED TO REVIEW THE TAX RETURN BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL PERSONNEL ARE RESPONSIBLE FOR ADHERING TO THE CORPORATE COMPLIANCE PLAN. THIS PLAN REQUIRES PERSONNEL TO DISCLOSE CONFLICTS AS THEY ARISE. VOTING MEMBERS OF THE GOVERNING BODY ARE RECUSED FROM VOTING WHEN A CONFLICT ARISES. FORM 990, PART VI, SECTION B, LINE 15B UNC HEALTH CARE SYSTEMS REVIEWS MANAGEMENT COMPENSATION, AND COMPARES IT TO OTHER HOSPITALS WITH SIMILAR CHARACTERISTICS. FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: FORGIVENESS OF (DEBT) PAYABLE RELATED TO AFFILIATE 45,758,899. FORM 990, PART XII, LINE 2C NO CHANGE FROM PRIOR YEAR. WAYNE HEALTH CORPORATION 2700 WAYNE MEMORIAL DRIVE GOLDSBORO NC 27533 561479733 PARENT COMPANY NC 501(C)(3) LINE 12A, I N/A 0 WAYNE MEMORIAL HOSPITAL INC 2700 WAYNE MEMORIAL DRIVE GOLDSBORO NC 27533 561484844 HOSPITAL NC 501(C)(3) LINE 3 WAYNE HEALTH CORPORATION 0 WAYNE HEALTH FOUNDATION INC 2700 WAYNE MEMORIAL DRIVE GOLDSBORO NC 27533 581881912 HEALTHCARE NC 501(C)(3) LINE 10 WAYNE HEALTH CORPORATION 0 WAYNE MEMORIAL HOSPITAL FOUNDATION INC 2700 WAYNE MEMORIAL DRIVE GOLDSBORO NC 27533 814132398 SUPPORT FOR HOSPITAL NC 501(C)(3) LINE 12A, I WAYNE HEALTH CORPORATION 0 WAYNE HEALTH ENTERPRISES INC 2700 WAYNE MEMORIAL DRIVE GOLDSBORO NC 27533 561622624 INACTIVE NC WAYNE HEALTH CORPORATION C 0 WAYNE HEALTH PROPERTIES INC 2700 WAYNE MEMORIAL DRIVE GOLDSBORO NC 27533 561756076 INACTIVE NC WAYNE HEALTH ENTERPRISES C 0 HEALTH PLAN VENTURES INC 2700 WAYNE MEMORIAL DRIVE GOLDSBORO NC 27533 562151474 INACTIVE NC WAYNE HEALTH ENTERPRISES C 0 0 0 0 0 0 0 1 0 1 0 1 0 0 0 0 0 0 0 1