4A (Expenses $ 214404309 including grants of $ 209322) (Revenue $ 311529695)
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.)

PART V, SECTION B, LINE 5
THE THREE YEAR CHANT CYCLE PROCESS (2021) IDENTIFIED THREE PRIORITY ISSUES FOR THE COMMUNITY: ACCESS TO CARE, DIABETES, AND RESPIRATORY DISEASES. OUR ORGANIZATION IS ENGAGED IN INITIATIVES TO ADDRESS FINDINGS FROM THE CHNA AS PART OF OUR MISSION OF PATIENTS FIRST, QUALITY HEALTH CARE, CLOSE TO HOME. THE CHNA WAS CONDUCTED IN CONJUNCTION WITH WAYNE COUNTY DEPARTMENT OF HEALTH, HEALTH ENC AND CONDUENT HEALTHY COMMUNITIES. THE CHNA TEAM CONDUCTED RESEARCH TO INCLUDE OUR COMMUNITY SERVICE AREA DEFINED BY OUR GEOGRAPHICAL BOUNDARY WAYNE COUNTY, NORTH CAROLINA AND SECONDARY DATA WAS COLLECTED AND ANALYZED FROM OTHER VARIOUS STATE AND NATIONAL DATA SOURCES.

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 2021-2022: 1. ACCESS TO CARE 2. DIABETES 3. RESPIRATORY DISEASES ALL OF THE PROGRAMS DESCRIBED IN THE FOLLOWING IMPLEMENTATION PLAN ARE ALIGNED WITH THE THREE HEALTH PRIORITIES WITH MANY OF THE PROGRAMS ADDRESSING ABOMINATIONS OF THE THREE HEALTH PRIORITIES. WAYNE UNC CONSIDERS THIS IMPLEMENTATION PLAN TO BE A ""WORKING PLAN"" THAT WILL CONTINUE TO EVOLVE ON AN ONGOING BASIS TO PRIORITIZE APPROACHES. TOGETHER, WITH OUR COMMUNITY PARTNERS, WAYNE UNC LISTENS TO CONCERNS, EXPLORES BARRIERS TO CARE, ANALYZES HEALTHCARE UTILIZATION AND COSTS, IDENTIFIES PARTNER NEEDS AND RESOURCES, PLANS AND REDESIGNS SERVICES, TRACKS OUTCOMES, AND SHARES ACCOUNTABILITY IN ORDER TO DEVELOP EFFECTIVE PROGRAMS TO IMPROVE THE HEALTH OF THE COMMUNITY. THIS IMPLEMENTATION PLAN INCLUDES NEW AND LONG-STANDING PROGRAMS: 1. ACCESS TO CARE AS PART OF WAYNE UNC HEALTHCARE'S COMMITMENT TO HEALTH AND WELLNESS IN THE COMMUNITIES IT SERVES, THE HEALTH SYSTEM IS FOCUSED ON EXPANDING ACCESS TO CARE FOR ALL PATIENTS AND FAMILIES AND DOES SO THROUGH THE FOLLOWING PROGRAMS: WAYNE ACTION TEAMS FOR COMMUNITY HEALTH (WATCH) HEALTHCARE PROGRAM OPERATES ONE MOBILE AND TWO STATIONARY CLINICAL SITES, PROVIDING A FREE MEDICAL HOME TO THE COUNTY'S UNINSURED. SERVICES INCLUDE LABORATORY TESTING AND PROVISION OF MEDICATIONS FOR PATIENTS WITH CHRONIC DISEASES. WITH A FOCUS ON PREVENTION AND HOLISTIC HEALTH, IN 2022, THE PROGRAM SPENT 4,832 HOURS SERVING PATIENTS, ATTAINED 489 NEW PATIENTS AND MADE A TOTAL OF 11,293 PATIENT VISITS. WAYNE UNC HEALTHCARE PARTICIPATES WITH OTHER COMMUNITY ORGANIZATIONS IN THE WAY INITIATIVE FOR SCHOOL BASED HEALTH (WISH), A NONPROFIT THAT PROVIDES COMPREHENSIVE HEALTH SERVICES FOR MIDDLE AND HIGH SCHOOL STUDENTS IN SEVEN SCHOOL BASED HEALTH CENTERS, WITH PARENTAL CONSENT. ALL WISH CENTERS ARE STAFFED BY NURSE PRACTITIONERS, REGISTERED NURSES AND CLERICAL STAFF, WITH A LOCAL PEDIATRICIAN SERVING AS THE WISH MEDICAL DIRECTOR. SERVICES INCLUDE MEDICAL, NUTRITIONAL, BEHAVIORAL, AND PREVENTATIVE CARE. WAYNE UNC HEALTHCARE PARTNERS WITH WAYNE COUNTY PUBLIC SCHOOLS TO PROVIDE SCHOOL HEALTH NURSING SERVICES. ON AVERAGE WAYNE COUNTY HAS ONE SCHOOL NURSE FOR EVERY 1,074 STUDENTS. THE NATIONAL SCHOOL NURSE-TO-STUDENT RECOMMENDED RATIO IS 1 NURSE FOR 750 STUDENTS. CORPORATE HEALTH SERVICES PROGRAM PROVIDES NURSES AT CORPORATE FACILITIES TO EXTEND HEALTH AND WELLNESS SERVICES TO 18,000 LOCAL EMPLOYEES. WAYNE UNC HEALTHCARE CONTINUES ITS EFFORTS IN PHYSICIAN RECRUITMENT TO ENHANCE ACCESS TO CARE IN WAYNE AND SURROUNDING COUNTIES TO MEET THE DEMANDS OF THE GROWING COMMUNITY AND GIVE PATIENTS ACCESS TO SPECIALTIES CLOSE TO HOME. DUE TO THE REGIONAL AND NATIONAL SHORTAGE OF PROVIDERS, WAYNE UNC ALSO OFFERS CLINICAL ROTATIONS FOR MEDICAL RESIDENTS. WAYNE HEALTH CONATION PROVIDES A FREE HOME VISIT PROGRAM DESIGNED TO GIVE HIGH-RISK PATIENTS THE TOOLS THEY NEED TO MANAGE THEIR HEALTH FOLLOWING A HOSPITAL VISIT. WAYNE UNC PARAMEDICS VISIT PATIENTS WEEKLY TO PROVIDE HEALTH ASSESSMENTS AND INFORMATION TO EXTEND THEIR EXISTING CARE PLAN AND CLOSELY CONNECTING THEM TO THEIR PROVIDERS. THIS IS TO HELP AVOID EMERGENCY DEPARTMENT AND INPATIENT ADMISSIONS. WAYNE UNC IS ALSO ADOPTING A NEW WORKFLOW FOR EMERGENCY DEPARTMENT FLOW TO REDUCE ED WAIT TIMES BY IMMEDIATELY COLLECTING VITALS AND DIRECTING PATIENTS TO THE APPROPRIATE LEVEL OF CARE. THIS INITIATIVE IS TO REDUCE THE NUMBER OF PATIENTS LEFT WITHOUT BEING SEEN RATE. GOAL 2: DIABETES HELP PATIENTS UNDERSTAND THE RISK FACTORS ASSOCIATED WITH DIABETES AND LEARN TO MANAGE THEM. WAYNE IS ACTIVELY HOSTING DIABETES-FRIENDLY FOOD DRIVES TO INCREASE THE AVAILABILITY OF FRESH FRUITS AND VEGETABLES WHILE EDUCATING STAFF AND VOLUNTEERS ABOUT THE NEEDS OF CLIENTS WITH DIET-SENSITIVE DISEASES, LIKE DIABETES. WAYNE UNC WILL PROVIDE EDUCATION AND ACCESS FOR UNDERSERVED AND GENERAL COMMUNITY. THE ORGANIZATION SEEKS TO PROVIDE ACCESSIBLE INFORMATION AND DIABETES SUPPORT THROUGHOUT THE COMMUNITY, DELIVERED IN PLAIN LANGUAGE FOR PATIENTS FACING SOCIO-ECONOMIC BARRIERS. BY PARTNERING WITH COMMUNITY-BASED ORGANIZATIONS WE WILL ENSURE PATIENTS HAVE ACCESS TO HEALTHY FOODS, DRINKS AND PLACES TO BE PHYSICALLY ACTIVE SO THEY CAN MAKE HEALTHY CHOICES WHERE THEY LIVE, WORK, WORSHIP AND PLAY. GOAL 3: RESPIRATORY DISEASES WAYNE UNC HEALTH CARE IS COMMITTED TO EDUCATING PATIENTS AND HELPING THEM MANAGE RESPIRATORY DISEASES, WHICH AFFECT A NUMBER OF PEOPLE OF ALL AGES IN THE COMMUNITY. WAYNE PROVIDES EDUCATION FOR CHILDREN, ADOLESCENTS AND ADULTS THOUGH WATCH, WISH, SCHOOL HEALTH PROGRAM AND CORPORATE HEALTH PROGRAMMING. THROUGH WELLNESS PROGRAMS, WAYNE UNC HEALTH CARE WILL OFFER SMOKING AND TOBACCO CESSATION PROGRAMS AND EDUCATION TO ENCOURAGE RESPIRATORY HEALTH AMONG TEAMMATES."

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/07f4f487-b3ff-430b-a3b5-07ca80de 32b0/pdf-wayne-Tax%20Year%202021-2022%20Community%20Health%20Needs%20Asses sment.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/9f3b46f7-9835-4b08-9cba-0e7ce192 a676/pdf-wayneTax-Year-2021-2022%20Community-BenefitsImplementation%20Plan .pdf

PART V, SECTION B, LINE 16A-C
HTTPS://WWW.WAYNEUNC.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-SERVICES/FINA NCIAL-ASSISTANCE/

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 ARE IN PART 1, LINE 7, COLUMN C WERE COMPUTED USING THE COST-TO-CHARGE RATIO WORKSHEET FROM IRS INSTRUCTIONS FOR SCHEDULE H. PART 1, LINE 7, COLUMN F: FOR PURPOSES OF CALCULATING THE COMMUNITY BENEFIT PERCENTAGE IN PART I, COLUMN F, THE ORGANIZATION SUBTRACTED 45,064,678 (WHICH WAS REPORTED ON FORM 990, PART IX, LINE 25) AS BAD DEBT EXPENSE. Part II, COmmunity Building Activities Workforce Development: Wayne UNC Healthcare supports the mission of Wayne Health Physicians to provide the community with quality healthcare services. Wayne UNC Healthcare provides workforce development recruitment initiatives to build upon the resources of local physicians to ensure exceptional quality care is offered at convenient locations throughout Wayne County and beyond. This offers families access to a distinctive group of caring physicians with a wide range of specialties. Economic Development: Wayne UNC Healthcare extends its support to the community by supporting and collaborating with key organizations in the community. Wayne UNC Healthcare is a proud supporter of the Impact Wayne campaign to support the expansion of business development and the retention of economic growth to support the prosperity of businesses and all citizens of Wayne County. The Impact Wayne Campaign is a 5 year program initiative to ensure future economic growth, strengthen livability, and create a sustainable and broadly beneficial economy for Wayne County citizens.

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 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 RATO 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 2021 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 COMMUNICATING THIS INFORMATION TO THE VARIOUS STAKEHOLDERS IN ORDER TO PRIORITIZE COMMUNITY HEALTH CONCERNS AND SUPPORT OUR MISSION OF PATIENTS FIRST, QUALITY HEALTHCARE, CLOSE TO HOME. FINDINGS IDENTIFIED GOALS THAT WAYNE UNC WOULD LIKE TO ACHIEVE. ACCESS TO CARE, DIABETES, AND RESPIRATORY DISEASES, OCCUPATIONAL AND ENVIRONMENTAL HEALTH, AND SUBSTANCE MISUSE AND CHILD HEALTH. IT IS IMPORTANT THAT WE MAKE ACCESS TO CARE ONE OF OUR MAIN PRIORITIES TO CARE FOR INDIVIDUALS THAT NEED CARE, EDUCATE THEM IN THEIR EVERYDAY LIVES, AND ENCOURAGE THEM WHERE THEY WORK, LIVE, AND PLAY. INFORMATION OF FINDINGS CAN BE FOUND BELOW https://www.wayneunc.org/about-us/community-involvement/health-initiatives /

PART VI, LINE 5
WAYNE MEMORIAL HOSPITAL HAS AN OPEN MEDICAL STAFF, WHICH MEANS THAT ANY PHYSICIAN WHO MEETS QUALITY STANDARDS SET BY A COMMITTEE OF THE HOSPITAL (WHICH INCLUDES BOARD MEMBERS) IS WELCOME TO JOIN THE STAFF, IN RETURN FOR CERTAIN RESPONSIBILITIES RELATED TO PROVIDING CARE TO PATIENTS SEEN IN THE EMERGENCY department WHO NEED INPATIENT CARE. THE BOARD OF DIRECTORS IS COMPRISED OF 12 CITIZENS OF WAYNE COUNTY, INCLUDING THE CEO, WHO ARE CHARGED WITH ENSURING THAT QUALITY, EFFICIENT CARE IS PROVIDED AT THE HOSPITAL, AND FOR ENSURING PLANNING, WITH COMMUNITY PARTNERS, FOR FUTURE HEALTH NEEDS.

PART VI, LINE 7
LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: NC

PART VI, LINE 4
WAYNE MEMORIAL HOSPITAL SERVES PRIMARILY WAYNE COUNTY, NORTH CAROLINA, WITH AN ESTIMATED POPULATION OF 116,835 IN 2021, ACCORDING TO THE US CENSUS QUICKFACTS. THE POPULATION IS SLIGHTLY YOUNGER THAN THE AVERAGE IN NORTH CAROLINA, LIKELY DUE TO THE PRESENCE OF SEYMOUR JOHNSON AIR FORCE BASE, WITH ABOUT 6,000 ACTIVE DUTY AND RESERVISTS PLUS THEIR FAMILIES. AVERAGE HOUSEHOLD INCOME IN WAYNE COUNTY IS LOWER AT $49,488, THAN NORTH CAROLINA'S AVERAGE OF $60,516. CHILDREN LIVING IN POVERTY IN WAYNE COUNTY 18.7% COMPARED TO NORTH CAROLINA'S AVERAGE OF 17.9%. WAYNE COUNTY'S POPULATION IS 62.2% WHITE, 32.5% BLACK, AND 12.8% HISPANIC. THE COUNTY IS LARGE, AT 553 SQUARE MILES, AND IT IS THE 4TH LARGEST AGRICULTURAL PRODUCER IN THE STATE. POVERTY IMPACTS ACCESS TO CARE, WITH EMERGENCY DEPARTMENT USE HIGHER IN AREAS WITH HIGHER POVERTY, AND SHORTER LIVES ON AVERAGE.

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."