WAYNE MEMORIAL HOSPITAL INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: WAYNE MEMORIAL HOSPITAL INC (EIN 56-1484844)
Tax period: 2020-07-01 to 2021-06-30
Filed: 2022-04-12
IRS object ID: 202241029349300029
Schema version: 2020v4.1
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
Form 990
Schedule A
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-04-12T14:17:42-05:00	ReturnTs
Tax Period End	2021-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BDO USA LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	421 Fayetteville Street Suite 300	AddressLine1Txt
City	Raleigh	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27601	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	561484844	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Wayne Memorial Hospital Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% WILLIAM THOMA	InCareOfNm
Business Name Control	WAYN	BusinessNameControlTxt
Phone	9197316142	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 8001	AddressLine1Txt
City	Goldsboro	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27533	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	William Thoma	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	9197316142	PhoneNum
Signature	2022-04-07	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	William	PersonFirstNm
Person Last	Thoma	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Sandra L Feinsmith	PreparerPersonNm
PTIN	P01064157	PTIN
Phone	9192781936	PhoneNum
Preparation	2022-04-05	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Jessie L Tucker III CEO	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 8001	AddressLine1Txt
City	Goldsboro	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27533	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$368,008,288	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.Wayneunc.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1986	FormationYr
Legal Domicile State	NC	LegalDomicileStateCd
Activity Or Mission	PATIENTS FIRST. QUALITY HEALTH CARE. CLOSE TO HOME.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	1867	TotalEmployeeCnt
Total Volunteers	86	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,034,494	PYContributionsGrantsAmt
CY Contributions Grants	$12,397,836	CYContributionsGrantsAmt
PY Program Service Revenue	$281,392,587	PYProgramServiceRevenueAmt
CY Program Service Revenue	$310,266,425	CYProgramServiceRevenueAmt
PY Investment Income	$2,790,688	PYInvestmentIncomeAmt
CY Investment Income	$45,285,997	CYInvestmentIncomeAmt
PY Other Revenue	$405,047	PYOtherRevenueAmt
CY Other Revenue	$47,132	CYOtherRevenueAmt
PY Total Revenue	$285,622,816	PYTotalRevenueAmt
CY Total Revenue	$367,997,390	CYTotalRevenueAmt
PY Grants And Similar Paid	$406,930	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$265,197	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$128,743,073	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$135,667,333	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$152,268,301	PYOtherExpensesAmt
CY Other Expenses	$151,518,975	CYOtherExpensesAmt
PY Total Expenses	$281,418,304	PYTotalExpensesAmt
CY Total Expenses	$287,451,505	CYTotalExpensesAmt
PY Revenues Less Expenses	$4,204,512	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$80,545,885	CYRevenuesLessExpensesAmt
Total Assets BOY	$416,284,899	TotalAssetsBOYAmt
Total Assets EOY	$481,152,501	TotalAssetsEOYAmt
Total Liabilities BOY	$245,046,335	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$216,923,095	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$171,238,564	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$264,229,406	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	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.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$227,649,230	ExpenseAmt
Grant	$265,197	GrantAmt
Revenue	$310,313,557	RevenueAmt
Desc	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.)	Desc
Total Program Service Expenses	$227,649,230	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (true)	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	232	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1867	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (true)	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	WILLIAM THOMA	PersonNm
Phone	9197316142	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2700 WAYNE MEMORIAL DR	AddressLine1Txt
City	Goldsboro	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27533	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Donna Wimberly
SR VP, Patient Care Services	40.0	0.0	Yes (X)	$322,695	$0	$23,380
William Thoma
SR VP Finance & CFO	40.0	3.0	Yes (X)	$296,838	$0	$32,163
Richard Middleton
CRNA	40.0	0.0		$280,421	$0	$34,260	Yes (X)
SHANA EDWARDS
CRNA	40.0	0.0		$276,930	$0	$31,603	Yes (X)
Angela Whitten
CRNA	40.0	0.0		$285,772	$0	$14,939	Yes (X)
Allison Wollen
VP Human Resources	40.0	2.0	Yes (X)	$264,619	$0	$33,343
Mindy Grady
CRNA	40.0	0.0		$251,303	$0	$31,967	Yes (X)
Clinten Parker
CRNA	40.0	0.0		$257,869	$0	$14,310	Yes (X)
Howard Whitfield
VP Clinical Operations	40.0	0.0	Yes (X)	$229,976	$0	$38,716
Brian Fillipo
VP Medical Affairs & CMO	40.0	0.0	Yes (X)	$250,531	$0	$7,780
Janie Jaberg
President & CEO	40.0	3.0	Yes (X)	$0	$0	$0		Yes (X)
Alan Stiles
Interim President & CEO	40.0	0.0	Yes (X)	$0	$0	$0		Yes (X)
Jessie Tucker
President & CEO	40.0	3.0	Yes (X)	$0	$0	$0		Yes (X)
Harold D Brashear
Chairman	1.0	1.0		$0	$0	$0		Yes (X)
Kevin Cregan MD
Board Member	1.0	0.0		$0	$0	$0		Yes (X)
Kate Daniels
Board Member	1.0	1.0		$0	$0	$0		Yes (X)
T Kendall Gerrard
Board Chairman	1.0	1.0		$0	$0	$0		Yes (X)
Anthony W Hamm DC
Board Member	1.0	0.0		$0	$0	$0		Yes (X)
Freeman Hardison
Board Member	1.0	1.0		$0	$0	$0		Yes (X)
Samer Kasbari MD
Board Member	1.0	0.0		$0	$0	$0		Yes (X)
Dimitrios Lintzerios DO
Board Member	1.0	0.0		$0	$0	$0		Yes (X)
Bill Pate
Board Member	1.0	1.0		$0	$0	$0		Yes (X)
Charles Branson Vickory III
Board Member	1.0	0.0		$0	$0	$0		Yes (X)
Adrian Worrell
Board Member	1.0	0.0		$0	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,716,954	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$262,461	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	115	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
CAREFUSION SOLUTIONS llc
25082 network place	CHICAGO	IL	60673	Surgical Inventory	$1,560,419
HANDCRAFT CLEANERS LAUNDERER'S
2810 COFER ROAD	RICHMOND	VA	23224	LAUNDRY SERVICES	$989,880
WILLIAMS MULLEN
200 SOUTH 10TH STREET SUITE 1600	RICHMOND	VA	23219	LEGAL SERVICES	$850,000
GOLDSBORO EMERGENCY MEDICAL SPECIAL
PO DRAWER K	GOLDSBORO	NC	27533	EMERGENCY SERVICES	$665,021
WAYNE IMAGING LLC
2700 MEDICAL OFFICE PLACE	GOLDSBORO	NC	27534	IMAGING SERVICES	$631,785

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	36	CntrctRcvdGreaterThan100KCnt
Government Grants	$12,397,836	GovernmentGrantsAmt
Total Contributions	$12,397,836	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT REVENUE	621110	$295,336,523	$295,336,523
OTHER REVENUE	621110	$14,929,902	$14,929,902

Field	Value	IRS element (for citing)
Total Program Service Revenue	$310,266,425	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$42,294,157	TotalRevenueColumnAmt
Exclusion	$42,294,157	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$3,002,738	SecuritiesAmt
Other	$0	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$10,898	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$3,002,738	SecuritiesAmt
Other	-$10,898	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,991,840	TotalRevenueColumnAmt
Exclusion	$2,991,840	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	OTHER INCOME	Desc
Business	990009	BusinessCd
Total Revenue Column	$47,132	TotalRevenueColumnAmt
Related Or Exempt Func Income	$47,132	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$47,132	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$367,997,390	TotalRevenueColumnAmt
Related Or Exempt Func Income	$310,313,557	RelatedOrExemptFuncIncomeAmt
Exclusion	$45,285,997	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$172,000	TotalAmt
Program Services	$172,000	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$93,197	TotalAmt
Program Services	$93,197	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,979,414	TotalAmt
Program Services	$1,479,372	ProgramServicesAmt
Management And General	$1,500,042	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$97,449,649	TotalAmt
Program Services	$73,956,892	ProgramServicesAmt
Management And General	$23,492,757	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,749,823	TotalAmt
Program Services	$3,604,755	ProgramServicesAmt
Management And General	$1,145,068	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$23,892,876	TotalAmt
Program Services	$18,132,881	ProgramServicesAmt
Management And General	$5,759,995	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,595,571	TotalAmt
Program Services	$5,005,538	ProgramServicesAmt
Management And General	$1,590,033	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$563,000	TotalAmt
Management And General	$563,000	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$457,750	TotalAmt
Management And General	$457,750	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$283,118	TotalAmt
Management And General	$283,118	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$14,146	TotalAmt
Management And General	$14,146	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$56,503	TotalAmt
Management And General	$56,503	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$14,611,418	TotalAmt
Program Services	$7,706,777	ProgramServicesAmt
Management And General	$6,904,641	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$390,587	TotalAmt
Management And General	$390,587	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$964,465	TotalAmt
Program Services	$288,062	ProgramServicesAmt
Management And General	$676,403	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$11,728,500	TotalAmt
Program Services	$11,728,500	ProgramServicesAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,551,419	TotalAmt
Program Services	$904,402	ProgramServicesAmt
Management And General	$3,647,017	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$160,919	TotalAmt
Program Services	$55,707	ProgramServicesAmt
Management And General	$105,212	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,833,392	TotalAmt
Management And General	$2,833,392	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$16,011,574	TotalAmt
Program Services	$10,990,485	ProgramServicesAmt
Management And General	$5,021,089	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$996,885	TotalAmt
Management And General	$996,885	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	FundraisingFundraisingAmt	Management And GeneralManagementAndGeneralAmt
BAD DEBT	$33,276,428	$33,276,428	$0
MEDICAL SUPPLIES	$30,299,347	$30,299,347
DRUGS	$18,305,667	$18,305,667
PURCHASED SERVICES	$4,904,076	$3,705,696		$1,198,380

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$11,109,781	TotalAmt
Program Services	$7,943,524	ProgramServicesAmt
Management And General	$3,166,257	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$287,451,505	TotalAmt
Program Services	$227,649,230	ProgramServicesAmt
Management And General	$59,802,275	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part X	Yes (X)	InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$19,129,129	BOYAmt
EOY	$43,049,902	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$20,963,036	BOYAmt
EOY	$22,807,724	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,793,788	BOYAmt
EOY	$6,741,150	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,592,283	BOYAmt
EOY	$4,272,803	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$314,783,164	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$177,288,364	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$141,759,338	BOYAmt
EOY	$137,494,800	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$48,317,988	BOYAmt
EOY	$10,269,858	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$153,834,112	BOYAmt
EOY	$234,084,489	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$21,895,225	BOYAmt
EOY	$22,431,775	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$416,284,899	BOYAmt
EOY	$481,152,501	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$41,700,338	BOYAmt
EOY	$48,730,587	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$78,076,499	BOYAmt
EOY	$73,889,462	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$4,147,980	BOYAmt
EOY	$4,269,678	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$121,121,518	BOYAmt
EOY	$90,033,368	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$245,046,335	BOYAmt
EOY	$216,923,095	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$171,238,564	BOYAmt
EOY	$264,229,406	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$171,238,564	BOYAmt
EOY	$264,229,406	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$416,284,899	BOYAmt
EOY	$481,152,501	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$80,545,885	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$12,444,957	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	false	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$14,146	OtherActivitiesAmt
Total Lobbying Expenditures	$14,146	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE I:	FormAndLineReferenceDesc
Explanation	A PORTION OF THE DUES THE HOSPITAL PAYS TO THE NORTH CAROLINA HOSPITAL ASSOCIATION ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp
Land		LandGrp

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$95,046,951	OtherCostOrOtherBasisAmt
Depreciation	$43,478,714	DepreciationAmt
Book Value	$51,568,237	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$80,806,893	OtherCostOrOtherBasisAmt
Depreciation	$34,944,476	DepreciationAmt
Book Value	$45,862,417	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$126,983,244	OtherCostOrOtherBasisAmt
Depreciation	$92,229,202	DepreciationAmt
Book Value	$34,754,042	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,946,076	OtherCostOrOtherBasisAmt
Depreciation	$6,635,972	DepreciationAmt
Book Value	$5,310,104	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$137,494,800	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

Field	Value	IRS element (for citing)
Desc	INVESTMENTS	Desc
Book Value	$234,084,489	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$234,084,489	TotalBookValueProgramRltdAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
OTHER CURRENT LIABILITIES	$29,479,974
MINIMUM PENSION LIABILITY	$20,895,172
OTHER LIABILITIES	$17,376,739
ESTIMATED THIRD PARTY PAYOR SE	$13,344,538
INTEREST RATE SWAP	$8,936,945

Field	Value	IRS element (for citing)
Total Liability	$90,033,368	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART V, LINE 4:

ALL ENDOWMENT FUNDS HELD BY WELLS FARGO ARE USED FOR THE CHARITABLE PURPOSES OF WAYNE MEMORIAL HOSPITAL. INCOME FROM ALL ENDOWMENT FUNDS AT WELLS FARGO (TRUSTEE) IS TRANSFERRED BY WAYNE MEMORIAL HOSPITAL TO WMH FOUNDATION, A SISTER COMPANY, FOR THE PURPOSE OF FUNDING SPECIAL HOSPITAL PROJECTS.

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. WHE, HPV, AND WHPR ARE FOR-PROFIT ENTITIES AND RECORD INCOME TAX EXPENSE/BENEFIT AS APPLICABLE. AMA AND WAYNE MRI ARE BOTH LIMITED LIABILITY COMPANIES WITH THE HOSPITAL AS THE SOLE MEMBER OF AMA AND THE MAJORITY MEMBER (66.7%) OF WAYNE MRI. WHE, WHPR, AND HPV FILE AS A COMBINED GROUP FOR FEDERAL INCOME TAX PURPOSES AND INDIVIDUALLY FOR STATE TAX PURPOSES. FOR THE YEARS ENDED JUNE 30, 2021 AND 2020, INCOME TAX EXPENSE WAS NOT CONSIDERED MATERIAL. 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 UNCERTIAN TAX POSITIONS AS OF JUNE 30, 2021.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250.	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,391,227	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,391,227	NetCommunityBenefitExpnsAmt
Total Expense	0.01540	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$37,716,645	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$35,909,404	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,807,241	NetCommunityBenefitExpnsAmt
Total Expense	0.00820	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$41,107,872	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$35,909,404	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,198,468	NetCommunityBenefitExpnsAmt
Total Expense	0.02360	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$218,042	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$218,042	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$40,147	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$40,147	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$258,189	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$258,189	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$41,366,061	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$35,909,404	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,456,657	NetCommunityBenefitExpnsAmt
Total Expense	0.02480	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,865,348	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,290,899	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$574,449	NetCommunityBenefitExpnsAmt
Total Expense	0.00260	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$202,939	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$202,939	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,068,287	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,290,899	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$777,388	NetCommunityBenefitExpnsAmt
Total Expense	0.00350	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$33,276,428	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$101,223,739	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$121,164,570	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$19,940,831	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 WAYNE MRI LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	MRI	PrimaryActivitiesTxt
Org Profit Or Ownership	0.6667	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.333	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Wayne Memorial Hospital Inc	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2700 Wayne Memorial Drive	AddressLine1Txt
City	Goldsboro	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27533	ZIPCd

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Wayne Memorial Hospital Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	SEE PART V, SECTION C	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	0.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Collection Activities	false	CollectionActivitiesInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B, LINE 5	THE THREE YEAR CHNA CYCLE PROCESS (2018) 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 THE 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.
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.
PART V, SECTION B, LINE 11	WE BELIEVE HEALTH AND WELLNESS ARE THE FOUNDATION TO LIVING WELL. THE ASSESSMENT IDENTIFIED THREE HEALTH PRIORITIES FOR 2019-2021: 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 combinations 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 HEALTH CARE'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 2021, THE PROGRAM SPENT 4,496 HOURS SERVING PATIENTS, ATTAINED 500 NEW PATIENTS AND MADE A TOTAL OF 10,725 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 SIX 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 HEALTH CARE 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. WAYNE HEALTH CONEXTTION 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.
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.
PART V, SECTION B, LINE 7A	https://www.wayneunc.org/app/files/public/820/Tax-Year-2018-2019-Community -Health-Needs-Assessment-PDF.pdf
PART V, SECTION B, LINE 7B	https://www.wayneunc.org/app/files/public/929/Community-Health-Needs-Asses sment-Executive-Summary-PDF-.pdf
PART V, SECTION B, LINE 10A	https://www.wayneunc.org/app/files/public/819/Tax-Year-2018-2019-Community -Benefits-Implementation-Plan-PDF.pdf
PART V, SECTION B, LINE 16A-C	HTTPS://WWW.WAYNEUNC.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-SERVICES/FINA NCIAL-ASSISTANCE/

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WAYNE MRI LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2700 WAYNE MEMORIAL DRIVE	AddressLine1Txt
City	GOLDSBORO	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27533	ZIPCd

Field	Value	IRS element (for citing)
Facility	MRI	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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.
PART I, LINE 7	AMOUNTS THAT IN PART 1, LINE 7, COLUMN C WERE COMPUTED USING THE COST-TO-CHARGE RATIO WORKSHEET FROM THE IRS INSTRUCTIONS FOR SCHEDULE H. PART I, LINE 7, COLUMN (F) FOR PURPOSES OF CALCULATING THE COMMUNITY BENEFIT PERCENTAGE IN PART I, COLUMN F, THE ORGANIZATION SUBTRACTED 33,276,428 (WHICH WAS REPORTED ON FORM 990, PART IX, LINE 25) AS BAD DEBT EXPENSE. PART II, COMMUNITY BUILDING ACTIVITIES: 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. PART II, COMMUNITY HEALTH IMPROVEMENT ADVOCACY: WAYNE UNC HEALTHCARE IS COMMITTED TO PROVIDING RESOURCES TO PROMOTE HEALTH AND WELLNESS IN THE COMMUNITY IT SERVES AND EXPANDS ACCESS TO CARE FOR ALL PATIENTS AND FAMILIES. BY LEVERAGING ITS RESOURCES WAYNE UNC IS ABLE TO ACTIVELY COLLABORATE WITH THE COMMUNITY TO EDUCATE AND TREAT THE COMMUNITY'S MOST PRESSING HEALTH ISSUES. WAYNE UNC FACILITATES AND PROMOTES COLLABORATIONS IN SCHOOLS BY PARTICIPATING IN THE COMMUNITY ORGANIZATION WAYNE INITIATIVE FOR SCHOOL BASED HEALTH (WISH) TO PROVIDE COMPREHENSIVE CARE FOR STUDENTS AND EDUCATES STUDENTS ON MEDICAL, NUTRITIONAL, BEHAVIORAL, AND PREVENTATIVE CARE. PARTNERSHIPS ALSO INCLUDE COLLABORATION WITH WAYNE COUNTY PUBLIC SCHOOLS TO INCREASE ITS NURSE-TO-STUDENT RATIO IN ITS LOCAL SCHOOLS AND ALSO WORKS JOINTLY WITH CORPORATE FACILITIES IN THE COMMUNITY TO EXTEND HEALTH AND WELLNESS SERVICES TO LOCAL EMPLOYEES. WAYNE UNC IS ALSO COMMITTED TO BUILDING A HEALTHIER COMMUNITY BY SUPPORTING ITS SISTER COMPANY WAYNE ACTION TEAMS FOR COMMUNITY HEALTH (WATCH) TO PROVIDE FREE CARE TO THE COUNTY'S UNINSURED AND PROVIDES GREATER ACCESS TO CARE WITH ITS MOBILE FACILITY.
PART III, LINE 2	BAD DEBT EXPENSE 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. PART III, LINE 3 The Organization's bad debt does not include any amounts attributable to those patients who applied for and received financial assistance under the Organization's Financial Assistance Policy.
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 17 OF THE AUDITED FINANCIAL STATEMENTS DISCUSSES BAD DEBTS.
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.
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.
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.
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.
PART VI, LINE 2	WAYNE UNC HEALTHCARE ROUTINELY CONDUCTS A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT WITH THE WAYNE COUNTY HEALTH DEPARTMENT AND IN 2018 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 HEALTH CARE. 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 /
PART VI, LINE 4	WAYNE MEMORIAL HOSPITAL SERVES PRIMARILY WAYNE COUNTY, NORTH CAROLINA, WITH AN ESTIMATED POPULATION OF 123,025 IN 2020, 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 $44,416, THAN NORTH CAROLINA'S AVERAGE OF, $54,602. CHILDREN LIVING IN POVERTY IN WAYNE COUNTY 18.6%, COMPARED TO NORTH CAROLINA'S AVERAGE OF 13.6%. WAYNE COUNTY'S POPULATION IS 62.8% WHITE, 32.4% BLACK, AND 12.4% 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.
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 THE QUALITY, EFFICIENT CARE IS PROVIDED AT THE HOSPITAL, AND FOR ENSURING PLANNING, WITH COMMUNITY PARTNERS, FOR FUTURE HEALTH NEEDS.
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.
PART VI, LINE 7, LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT	NC

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
The Foundation of WAYNE COMMUNITY COLLEGE
PO Box 8002	Goldsboro	NC	27533	561556512	$145,000	Nursing Scholarships
United Way of Wayne County
PO Box 10893	Goldsboro	NC	27532	560611553	$15,000	Education & Wellness

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	EDUCATIONAL ASSISTANCE	GrantTypeTxt
Recipient	32	RecipientCnt
Cash Grant	$93,197	CashGrantAmt
Non Cash Assistance	ADTL STUDY	NonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	WAYNE MEMORIAL HOSPITAL, INC. MAKES GRANTS TO SUPPORT THE ACTIVITIES OF ITS RELATED ORGANIZATIONS AND TO PROMOTE GOOD COMMUNITY RELATIONS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
William Thoma
SR VP Finance & CFO	$256,799	$0	$38,080	$0	$1,959	$0	$2,800	$0	$29,363	$0	$329,001	$0	$0	$0
Howard Whitfield
VP Clinical Operations	$183,676	$0	$37,707	$0	$8,593	$0	$8,240	$0	$30,476	$0	$268,692	$0	$0	$0
Allison Wollen
VP Human Resources	$206,107	$0	$60,574	$0	-$2,062	$0	$2,753	$0	$30,590	$0	$297,962	$0	$0	$0
Donna Wimberly
SR VP, Patient Care Services	$251,417	$0	$76,242	$0	-$4,964	$0	$2,800	$0	$20,580	$0	$346,075	$0	$0	$0
Brian Fillipo
VP Medical Affairs & CMO	$224,618	$0	$25,250	$0	$663	$0	$1,617	$0	$6,163	$0	$258,311	$0	$0	$0
Mindy Grady
CRNA	$191,250	$0	$13,090	$0	$46,963	$0	$2,582	$0	$29,385	$0	$283,270	$0	$0	$0
SHANA EDWARDS
CRNA	$209,705	$0	$7,790	$0	$59,435	$0	$2,218	$0	$29,385	$0	$308,533	$0	$0	$0
Richard Middleton
CRNA	$215,644	$0	$15,671	$0	$49,106	$0	$2,800	$0	$31,460	$0	$314,681	$0	$0	$0
Clinten Parker
CRNA	$198,095	$0	$10,093	$0	$49,681	$0	$2,598	$0	$11,712	$0	$272,179	$0	$0	$0
Angela Whitten
CRNA	$257,473	$0	$29,654	$0	-$1,355	$0	$2,800	$0	$12,139	$0	$300,711	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A:	LESS THAN $300 PAID ANNUALLY.
PART I, LINE 1B:	CERTAIN DUES AND FEES ARE REIMBURSED BY THE ORGANIZATION.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
NORTH CAROLINA MEDICAL CARE COMMISSION
A	521309402	NONEAVAIL	2015-07-21	$17,455,000	REFI 1991 BONDS	false	false	false
North Carolina Medical Care Commission
B	521309402	NONEAVAIL	2017-05-25	$77,245,000	SURGICAL CENTER/AIR HANDLER	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Substantial CompletionSubstantialCompletionYr
A	$14,585,000	$0	$17,455,000	$0	$0	$0	$0	$0	$0	$0	$0	$0	Yes (true)	false	Yes (true)	Yes (true)
B	$2,325,000	$32,245,000	$77,245,000	$0	$0	$0	$482,133	$0	$0	$44,747,867	$0	$0	Yes (true)	false	Yes (true)	Yes (true)	2019

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	false	0.02590	0.02590	false	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	false	0.01100	0.01100	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Term Of HedgeTermOfHedgePct	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd
0
A	false	false	Yes (true)	false	false	false	0	false	Yes (true)
Wells Fargo
B	false	false	Yes (true)	false	false	Yes (true)	0	false	Yes (true)	16.	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	false
B	Yes (true)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule K, Part I, Bond Issues	FormAndLineReferenceDesc
Explanation	(A) ISSUER NAME: NORTH CAROLINA MEDICAL CARE COMMISSION (F) DESCRIPTION OF PURPOSE: SURGICAL CENTER/AIR HANDLER UNITS/REFUND PRIOR BONDS	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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) ECO 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 (10,781,251) CHANGE IN MINIMUM PENSION LIABILITY 21,608,951 DISTRIBUTIONS TO MEMBERS 1,627,876 NET ASSETS RELEASED FROM RESTRICTIONS (10,619) ============= TOTAL 12,444,957
FORM 990, PART XII, LINE 2C:	NO CHANGE FROM PRIOR YEAR.
FORM 990, PART XII, LINE 3B:	THE ORGANIZATION AND AUDITORS WERE WAITING ON FINAL GUIDANCE FROM THE VARIOUS FEDERAL AGENCIES WITH RESPECT TO FUNDING RECEIVED UNDER THE CARES ACT AND OTHER GOVERNMENT SOURCES. ONCE THE FINAL GUIDANCE WAS RELEASED, THE ORGANIZATION AND AUDITORS HAVE BEGUN THE PROCESS OF HAVING THE SINGLE AUDIT COMPLETED.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	AMERICAN MANAGEMENT ASSOCIATES LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2719 GRAVES DR	AddressLine1Txt
City	GOLDSBORO	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27534	ZIPCd

Field	Value	IRS element (for citing)
EIN	561622637	EIN
Primary Activities	COLLECTIONS	PrimaryActivitiesTxt
Legal Domicile State	NC	LegalDomicileStateCd
Total Income	$104,785	TotalIncomeAmt
End Of Year Assets	$0	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
WAYNE HEALTH FOUNDATION INC
2700 WAYNE MEMORIAL DRIVE	GOLDSBORO	NC	27533	581881912	HEALTHCARE	NC	501(c)(3)	LINE 10	WAYNE HEALTH	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	WAYNE HEALTH	false
WAYNE MEMORIAL HOSPITAL FOUNDATION
2700 WAYNE MEMORIAL DRIVE	GOLDSBORO	NC	27533	814132398	SUPPORT	NC	501(c)(3)	LINE 10	WAYNE HEALTH	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	WAYNE MRI LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2700 WAYNE MEMORIAL DRIVE	AddressLine1Txt
City	GOLDSBORO	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27533	ZIPCd

Field	Value	IRS element (for citing)
EIN	342043934	EIN
Primary Activities	MRI SERVICES	PrimaryActivitiesTxt
Legal Domicile State	NC	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	WAYNE MEMORIAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeTypeTxt
Share Of Total Income	$1,601,741	ShareOfTotalIncomeAmt
Share Of EOY Assets	$3,381,852	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
General Or Managing Partner	Yes (true)	GeneralOrManagingPartnerInd
Ownership	0.66670	OwnershipPct

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
WAYNE HEALTH CORPORATION
J	-$250,000	CASH TRANSFER
Wayne Health Foundation
Q	$838,257	CASH TRANSFER