2020-05-28T13:22:20-05:00 2019-06-30 BDO USA LLP 421 Fayetteville Street Suite 300 Raleigh NC 27601 990 2018-07-01 561484844 Wayne Memorial Hospital Inc % WILLIAM THOMA WAYN 9197316142 PO Box 8001 Goldsboro NC 27533 WILLIAM THOMA CFO 9197316142 2020-05-26 true Sandra L Feinsmith P01064157 4046886841 2020-05-26 38.132.154.29 69472520201495000000 2020-05-28 P F1629F6A3F74945AEE6FE2E323340EE9C36B3F52 F1629F6A3F74945AEE6FE2E323340EE9C36B3F52 2018 2021-01-29 14:40:06Z Wayne UNC Health Care Janie Jaberg PO Box 8001 Goldsboro NC 27533 301497441 false X www.Wayneunc.org X 1896 NC Patients First. Quality Health Care. Close to Home. 12 12 1932 100 9280 8280 994494 1034493 278251487 292775381 31430297 4991126 0 34516 310676278 298835516 326500 194500 0 0 109730001 131585764 0 0 0 165627304 161494212 275683805 293274476 34992473 5561040 367242430 373752035 159884467 185530785 207357963 188221250 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 true 225413383 194500 292809897 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. Critical to achieving this vision are the concepts of Compassion. Compassion recognizes the responsibility we have to treat out patients, families and guests with the kindness and respect they deserve. 225413383 true false false true false false false false false true false true true true true false true false false false false false false false false true true true true true true false false false false false false false false false false false false false false true true true false false false true 267 0 true 1932 true true true false false false false false false false false false false false X 12 12 false true false false false false false true true false true false true true true true true true true true false X WILLIAM THOMA 9197316142 2700 WAYNE MEMORIAL DR Goldsboro NC 27533 Janie Jaberg President & CEO 40.0 0.0 X X 0 0 0 Ajay Shreenath MD Medical Staff President 1.0 1.0 X 0 0 0 Bill Pate County Commissioner Representa 1.0 2.0 X 0 0 0 Freeman Hardison Board Member 1.0 2.0 X 0 0 0 Harold Brashear Board Member 1.0 2.0 X 0 0 0 Robert Walker Board Member 1.0 3.0 X 0 0 0 John Best Board Member 1.0 1.0 X 0 0 0 Samer Kasbari Board Member 1.0 1.0 X 0 0 0 Ellen Brubeck Board Member 1.0 1.0 X 0 0 0 Kate Daniels Board Member 1.0 2.0 X 0 0 0 Dimitrios Lintzeris DO Board Member 1.0 1.0 X 0 0 0 T Kendall Gerrard Board Member 1.0 1.0 X 0 0 0 Stephen Lies MD Board Member 1.0 2.0 X 0 0 0 Susan McCall Board Member 1.0 3.0 X 0 0 0 Patrick Phillips Senior Vice President, COO 40.0 0.0 X 89909 0 4808 Rebecca W Craig Senior Vice President, CFO 40.0 0.0 X 393819 0 24420 Donna Wimberly Senior Vice President, Patient 40.0 0.0 X 276998 0 31541 Anthony Bruno VP, Medical Affairs 40.0 0.0 X 425475 0 24549 Melissa Shay VP, Business Development & Str 40.0 0.0 X 228904 0 13587 Lynda Conner VP, Human Resources 40.0 0.0 X 223786 0 32027 Allison Wollen VP, Human Resources 40.0 0.0 X 0 0 0 Shirley Harkey Senior VP, Operations 40.0 0.0 X 636837 0 12304 William Thoma VP of Financial Operations 40.0 0.0 X 47826 0 4884 Shana Renee Edwards Certified Registered Nurse 40.0 0.0 X 261964 0 27931 JAMIE HARRELL RICHARDS CRNA 40.0 0.0 X 242122 0 27718 Tammy James Kincaid CRNA 40.0 0.0 X 255965 0 31970 Thomas Bradshaw Former Executive VP 0.0 0.0 X 490931 0 0 William Paugh Former Executive VP 0.0 0.0 X 315690 0 0 3890226 0 235739 91 true true false DANIS CONSTRUCTION CO 5511 Capital Center Dr STE 100 RALEIGH NC 27606 Building Contractor 2012469 TOTALMED STAFFING INC 999 Plaza Dr STE 710 SCHAUMBURG IL 60173 Staffing Contractor 1524651 CAREFUSION SOLUTIONS 3750 Torrey View Court SAN DIEGO CA 92130 Surgical Inventory 1397164 TRUSTAFF TRAVEL NURSES LLC PO Box 638231 CINCINNATI OH 45263 Staffing Contractor 1285893 TRAVEL NURSE ACROSS AMERICA 5020 Northshore Dr STE 200 LITTLE ROCK AR 72118 Staffing Contractor 1207888 40 1034493 1034493 PATIENT REVENUE 621110 279885862 279885862 OTHER REVENUE 621110 12889519 12880239 9280 292775381 7653051 7653051 0 0 0 0 0 2009096 652829 -2009096 -652829 -2661925 -2661925 0 0 0 0 0 0 0 0 0 OTHER INCOME 990009 34516 34516 34516 298835516 292800617 9280 4991126 100000 100000 94500 94500 0 0 4125966 4125966 0 97671282 79911277 17760005 2326974 1903850 423124 21044168 14875564 6168604 6417374 4536272 1881102 535189 535189 596468 596468 276229 276229 23310 23310 0 0 20828001 7483272 13344729 278181 278181 3682712 1953878 1728834 9556578 3433574 6123004 0 4437315 1199019 3238296 220400 220400 0 0 2219695 2219695 0 14418914 9132254 5286660 1357313 1357313 MEDICAL SUPPLIES 26807071 26292964 514107 DRUGS 16578345 16518002 60343 PURCHASED SERVICES 4689318 2989784 1699534 BAD DEBT 42865630 42865630 12123543 12123543 293274476 225413383 67861093 0 6227917 9446563 0 0 0 0 22494467 26810641 0 0 0 0 0 0 6021206 6427961 2993808 2612203 300715719 156207153 140681565 144508566 0 0 0 0 165682750 160995699 0 0 23140717 22950402 367242430 373752035 45895153 43814636 0 0 0 0 69499919 82102182 0 0 0 0 0 0 0 3971746 44489395 55642221 159884467 185530785 X 206869028 188221250 488935 0 0 0 207357963 188221250 367242430 373752035 X 5561040 -24697753 X false true X true false X false false false false false false false false true 23310 23310 false PART II-B, LINE I A portion of the dues the hospital pays to the North Carolina Hospital Association are attributable to lobbying activities. 0 77498421 38737139 38761282 63027848 28368825 34659023 117154795 82768663 34386132 43034655 6332526 36702129 144508566 INVESTMENTS 160995699 F 160995699 INVESTMENT IN AFFILIATE 3227963 LONG-TERM RECEIVABLE 16275931 DUE FROM RELATED PARTIES 1245153 DUE FROM AFFILIATE -519370 OTHER RECEIVABLE 2720725 22950402 0 CAPITAL LEASE OBLIGATIONS 662731 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 7039183 MINIMUM PENSION LIABILITY 34045812 INTEREST RATE SWAP 8860588 OTHER LIABILITIES 5033907 55642221 X 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. 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, 2019. true true true X 250. false true true true false false 2484712 2484712 0.00990 32345811 17379769 14966042 0.05980 34830523 17379769 17450754 0.06970 34830523 17379769 17450754 0.06970 true 42865630 19356381 89112486 106771094 -17658608 X true true 1 WAYNE MRI LLC MRI 0.667 0.333 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 18 true false true true X SEE PART V, SECTION C X SEE PART V, SECTION C X true 18 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 Part V, Section B, Line 5 THE CHNA WAS CONDUCTED IN CONJUNCTION WITH WAYNE COUNTY DEPARTMENT OF HEALTH. THE CHNA TEAM ELICITED FEEDBACK FROM KEY STAKEHOLDER GROUPS BY CONDUCTING FOCUS GROUPS IN UNDER REPRESENTED GROUPS, AS WELL AS CONDUCTING A HEALTH OPINION SURVEY. THE HEALTH OPINION SURVEY WAS ADAPTED FROM THE COMMUNITY HEALTH ASSESSMENT GUIDEBOOK, NC DIVISION OF PUBLIC HEALTH AND SIMILAR TO THE 2012 SURVEY. MORE THAN 500 PEOPLE SUBMITTED THEIR OPINIONS. THE STAKEHOLDER GROUPS MET PERIODICALLY AND SCHEDULED EXTRA MEETINGS, IN EARLY 2016, TO COMPLETE THE PROCESS. SIX FOCUS GROUPS WERE HELD IN SPECIFIC LOCATIONS TO DISCOVER THE COMMUNITY MEMBERS PERCEPTION AND SUGGESTIONS FOR IMPROVING HEALTH WITHIN THE COMMUNITY. THERE WERE A TOTAL OF 53 FOCUS GROUP PARTICIPANTS. PART V, SECTION B, LINE 6B WAYNE UNC HEALTH CARE, WAYNE COUNTY HEALTH DEPARTMENT, HEALTH ENC, AND CONDUENT HEALTHY COMMUNITIES, CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT IN 2018 TO IDENTIFY THE MOST PRESSING HEALTH NEEDS IN THE COMMUNITY. 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. PART V, SECTION B, LINE 11 WAYNE MEMORIAL HOSPITAL PARTNERS WITH OUR COMMUNITY IN MANY WAYS. WE BELIEVE HEALTH AND WELLNESS ARE THE FOUNDATION TO LIVING WELL. IN 2017-18, OUR STRATEGY TO ADDRESS SOME OF THE NEEDS IDENTIFIED IN THE 2018 HEALTH NEEDS ASSESSMENT INCLUDED SEVERAL PROGRAMS AND INITIATIVES DESIGNED TO HELP IMPROVE THE HEALTH OF THOSE IN OUR COMMUNITY WITH THE GREATEST NEEDS, AS FOLLOWS: GOAL 1 ACCESS TO CARE WAYNE ACTION TEAMS FOR COMMUNITY HEALTH (WATCH) HEALTHCARE PROGRAM: THIS PROGRAM OPERATES ONE MOBILE AND TWO STATIONARY CLINICAL SITES, PROVIDING A FREE MEDICAL HOME TO THE COUNTYS UNINSURED. WAYNE UNC HEALTHCARE PARTICIPATES WITH OTHER COMMUNITY ORGANIZATION 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. 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 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 UNC IS 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. GOAL 2 : DIABETES IT IS WAYNE UNCS GOAL TO HELP PATIENTS UNDERSTAND THE RISK FACTORS ASSOCIATED WITH DIABETES AND LEARN TO MANAGE THEM. WAYNE IS ACTIVELY HOSTING DIABETES-FRIENDLY FOOD DRIVES, PROVIDING EDUCATION AND ACCESS FOR UNDERSERVED AND GENERAL COMMUNITY. IT IS A MISSION TO PARTNER WITH COMMUNITY BASED ORGANIZATIONS TO ENSURE PATIENTS HAVE ACCESS TO HEALTHY FOODS, DRINKS, AND PLACES TO BE PHYSICALLY ACTIVE TO MAKE HEALTHY CHOICES WHERE THEY LIVE, WORK, WORSHIP AND PLAY. GOAL 3 : RESPIRATORY DISEASES WAYNE UNC HEALTHCARE IS COMMITTED TO EDUCATING PATIENTS AND HELPING THEM MANAGE RESPIRATORY DISEASES, WHICH AFFECT A LARGE NUMBER OF PEOPLE OF ALL AGES IN THE COMMUNITY. 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- Assessment-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/ 1 WAYNE MRI LLC 2700 WAYNE MEMORIAL DRIVE GOLDSBORO NC 27533 MRI 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-COMPLAINT PATIENTS. THIS PROPRIETARY TOOL USES ALGORITHMS, CONSUMER DATA, AND OTHER INFORMATION TO ASSIST WITH UNDERSTANDING PATIENTS 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 COL(F) FOR PURPOSES OF CALCULATING THE COMMUNITY BENEFIT PERCENTAGE IN PART I, COLUMN f, THE ORGANIZATION SUBTRACTED 42,865,630 (WHICH WAS REPORTED ON FORM 990, PART IX, LINE 25) AS BAD DEBT EXPENSE. 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. 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 HOSPITALS 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 19 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 CONDUCTED 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 COMUNICATING 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 124,150 IN 2018, 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 $40,457, THAN NORTH CAROLINAS AVERAGE OF, $48,256. CHILDREN LIVING IN POVERTY IN WAYNE COUNTY 21%, COMPARED TO NORTH CAROLINAS AVERAGE OF 16.8%. WAYNE COUNTYS POPULATION IS 55% WHITE, 32% BLACK, AND 11% 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 1990S, 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 SISTER 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 IS PROVIDING 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 2018, AS NOTED IN THE REDUCTION OF OTHER ASSETS, FROM $40,030,974 AS OF JUNE 30, 2017 TO $167,935 AS OF JUNE, 30 2018 TO -$519,370 IN JUNE, 30 2019 AS NOTED IN (SCHEDULE D, PART IX, DUE FROM RELATED PARTIES). 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 UNCPNS WAYNE COUNTY PRACTICES. PART VI, LINE 7, LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT NC true The Foundation of WAYNE COMMUNITY COLLEGE PO Box 8002 Goldsboro NC 27533 561556512 100000 Nursing Scholarships SCHOLARSHIPS 22 55500 EDUCATIONAL ASSISTANCE 26 39000 Additional C 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 true true false false false false false true false Rebecca W Craig Senior Vice President, CFO 297522 0 43958 0 52339 0 2600 0 21820 0 418239 0 77702 0 Donna Wimberly Senior Vice President, Patient 241190 0 39426 0 -3618 0 2600 0 28941 0 308539 0 0 0 Anthony Bruno VP, Medical Affairs 382714 0 42957 0 -196 0 0 0 24549 0 450024 0 0 0 Melissa Shay VP, Business Development & Str 208386 0 21231 0 -713 0 2296 0 11291 0 242491 0 0 0 Lynda Conner VP, Human Resources 206298 0 20936 0 -3448 0 0 0 32027 0 255813 0 0 0 Shirley Harkey Senior VP, Operations 231181 0 15100 0 390556 0 2354 0 9950 0 649141 0 260257 0 Thomas Bradshaw Former Executive VP 0 0 490931 0 0 0 0 0 0 0 490931 0 485785 0 William Paugh Former Executive VP 0 0 315690 0 0 0 0 0 0 0 315690 0 303881 0 Shana Renee Edwards Certified Registered Nurse 209545 0 300 0 52119 0 2600 0 25331 0 289895 0 0 0 JAMIE HARRELL RICHARDS CRNA 205538 0 100 0 36484 0 2535 0 25183 0 269840 0 0 0 Tammy James Kincaid CRNA 218585 0 100 0 37280 0 2600 0 29370 0 287935 0 0 0 PART I, LINE 1A LESS THAN $300 PAID ANNUALLY. PART I, LINE 1B CERTAIN DUES AND FEES ARE REIMBURSED BY THE ORGANIZATION. PART I, LINES 4A-B Rebecca Craig participated in supplemental non-qualified retirement plan and received $77,702 in payments during the plan year. Shirley Harkey participated in supplemental non-qualifed retirement plan and received $260,257; and also $130,299 in severance payment in the 2018 calendar year. Thomas Bradshaw, a former Executive participated in a supplemental non-qualified retirement plan and received $485,785 in payments during the 2018 calendar year. William Paugh, a former Executive participated in a supplemental non-qualified retirement plan and received $303,881 in payments during the 2018 calendar year. PART I, Line 6 Bonuses for management were awarded for multiple reasons in calendar year 2018 : 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. A NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 NONEAVAIL 2015-07-21 17455000 REFI 1991 BONDS false false false B North Carolina Medical Care Commission 521309402 NONEAVAIL 2017-05-25 77245000 SURGICAL CENTER/AIR HANDLER false false false A 9245000 0 17455000 0 0 0 0 0 0 0 0 0 true false true true B 0 32245000 77245000 0 0 0 412886 0 0 45000000 0 0 2019 true false true true A false true true true false 0.02590 0.02590 false false false true B false false true true false 0.01100 0.01100 false false false true A false false true false false false 0 0 false true B false false true false true true Wells Fargo 2036. false 0 false true A false B true Schedule K, Part I, Bond Issues (A) ISSUER NAME: NORTH CAROLINA MEDICAL CARE COMMISSION (F) DESCRIPTION OF PURPOSE: SURGICAL CENTR/AIR HANDLER UNITS/REFUND PRIOR BONDS Form 990, Part III, Line 3 Discontinued psychiatric services and care. 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 ENTERD INTO A TEN-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, UNCHCS EMPLOYS AND PROVIDES THE HOSPITAL WITH A CHIEF EXECUTIVE OFFICER (CEO). 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 (13,903,800) Change in minimum pension liability (11,032,168) Distributions to members 1,761,643 Net assets released from restrictions (1,523,428) ============= Total (24,697,753) Form 990, Part XII, Line 2c NO CHANGE FROM PRIOR YEAR. 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