2025-09-15T11:07:32-05:00 2024-10-31 351178661 BLUE & CO LLC 2650 EASTPOINT PKWY SUITE 300 LOUISVILLE KY 40223 990 2023-11-01 610847215 WAYNE COUNTY HOSPITAL INC WAYN 6063489343 166 HOSPITAL STREET MONTICELLO KY 42633 JOHN J MURRELL CEO 6063489343 2025-09-15 1 1 EMILIE M KNIERIEM CPA P01330194 5029923500 2025-09-15 2023 2025-03-06 01:10:19Z JOHN J MURRELL 166 HOSPITAL STREET MONTICELLO KY 42633 25042533 0 X WWW.WAYNEHOSPITAL.ORG X 1972 KY TO PROVIDE THE PATIENT AND THE COMMUNITY A SYSTEM FOR THE DELIVERY OF HIGH QUALITY HEALTH CARE WITH THE SAME STANDARD OF CARE REGARDLESS OF ECONOMIC STATUS, AGE, SEX, RACE, OR RELIGION. 6 6 278 6 0 0 16139 16957 20945886 24902272 22075 3951 102312 116616 21086412 25039796 0 0 0 0 11104116 11918589 0 0 0 10459693 10931185 21563809 22849774 -477397 2190022 14215294 15064307 6670854 5329845 7544440 9734462 TO PROVIDE THE PATIENT AND THE COMMUNITY A SYSTEM FOR THE DELIVERY OF HIGH QUALITY HEALTH CARE WITH THE SAME STANDARD OF CARE REGARDLESS OF ECONOMIC STATUS, AGE, SEX, RACE, OR RELIGION. 0 0 17999875 25016665 WAYNE COUNTY HOSPITAL, INC. PROVIDED 117,507 INPATIENT AND OUTPATIENT PROCEDURES, WHICH LABORATORY, RADIOLOGY, SURGERY, PHYSICAL THERAPY, SPEECH THERAPY, OCCUPATIONAL THERAPY AND RESPIRATORY THERAPY. WAYNE COUNTY HOSPITAL, INC. HAD INPATIENT ADMISSIONS OF 901 FOR ACUTE CARE, OBSERVATION AND SWINGBED SERVICES. WAYNE COUNTY HOSPITAL, INC. ALSO HAD OUTPATIENT REGISTRATIONS OF 10,844, EMERGENCY ROOM VISITS OF 9,632, AND RURAL HEALTH CLINIC VISITS OF 5,395. 17999875 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 20 0 1 278 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 6 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 KY X THE ORGANIZATION 6063489343 166 HOSPITAL STREET MONTICELLO KY 42633 X LARRY BATES CHAIR 1.00 X X 1500 0 0 GORDON CROWLEY VICE CHAIR/TREASURER 1.00 X X 1300 0 0 ANITA HOPPER SECRETARY (END FYE 2024) 1.00 X X 0 0 0 DANNY ADAMS BOARD MEMBER 1.00 X 1500 0 0 JAMIE REAGAN SECRETARY 1.00 X X 1300 0 0 DR JAMES WOODY BOARD MEMBER/PRESIDENT OF MEDICAL STAFF 40.00 X 1500 0 0 DAVID PHILLIPS BOARD MEMBER 1.00 X 1200 0 0 JOE MURRELL CEO 40.00 X 183702 0 22768 ANNE SAWYER CFO 40.00 X 128880 0 19560 JEFF SEXTON CNO 40.00 X 109045 0 23978 CORY RYAN MD CMO/ER PHYSICIAN 40.00 X 530325 0 8557 MEREDITH HALE MD PRN 40.00 X 102880 0 0 JIMMY J HICKS CRNA 40.00 X 191752 0 26273 SONIA PROUDFOOT MD HOSPITALIST 40.00 X 102484 0 18167 1357368 0 119303 7 0 1 0 TRINITY HEALTHCARE LLC 257 W LAKE SHORE DRIVE BURNSIDE KY 42519 ER PHYSICIAN 792015 DR DAVID MAYER 698 JOPPA DRIVE MONTICELLO KY 42633 ER PHYSICIAN/SURGEON 642821 CPS REHAB 5050 BRADENTON AVENUE DUBLIN OH 43017 REHABILITATION MANAGMENT 557994 FIRSTSOURCE SOLUTIONS USA LLC 5111 COMMERCE CROSSINGS DR 106 LOUISVILLE KY 40229 BO MANAGEMENT 462081 INSPIRE MEDICAL 2323 LIME KILN LANE LOUISVILLE KY 40222 ER PHYSICIAN 427970 11 16957 16957 NET PATIENT SERVICE REVENUE 621999 18655720 18655720 KY HRIP 900099 6246400 6246400 340B PHARMACY REVENUE 621399 152 152 24902272 3951 3951 2080 0 2080 2080 2080 2880 16957 2737 143 143 CAFETERIA INCOME 722514 92629 92629 MEDICAL RECORDS 900099 1478 1478 20286 20286 114393 25039796 25016665 0 6174 X 496870 394567 102303 20361 16169 4192 9364007 7436011 1927996 156530 124301 32229 1113418 884172 229246 767403 609399 158004 283200 283200 110689 110689 4481194 3600318 880876 17460 10191 7269 142065 68353 73712 1218850 727402 491448 727267 595392 131875 24537 14322 10215 33094 19317 13777 178104 146757 31347 500358 412294 88064 413153 340438 72715 MEDICAL SUPPLIES AND DR 1990375 1990375 PROVIDER TAX 250793 250793 DUES AND SUBSCRIPTIONS 120852 70541 50311 REPAIRS AND MAINTENANCE 85785 82478 3307 353409 206285 147124 22849774 17999875 4849899 0 135420 48527 642596 1038133 9793704 10855883 408136 315937 45800 76170 14999164 13164629 2248862 1834535 420950 376059 519826 519063 14215294 15064307 2193045 1548800 77335 85837 1600932 1600932 2506246 1866023 293296 228253 6670854 5329845 X 7544440 9734462 7544440 9734462 14215294 15064307 2190022 0 X X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 1471 1471 0 PART II-B, LINE 1: A PORTION OF KENTUCKY HOSPITAL ASSOCIATION DUES ARE ATTRIBUTABLE TO LOBBYING EXPENSES AS DISCLOSED ON THE LETTER RECEIVED FOR FYE 2024. 42250 42250 6003662 5459808 543854 1548497 1271903 276594 7404755 6432918 971837 1834535 THIRD PARTY PAYABLE 228253 228253 25042533 2737 2737 25039796 0 25039796 22852511 2737 2737 22849774 0 22849774 PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 2,737. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 2,737. GOLF SCRAMBLE 19837 16957 2880 1000 1000 433 304 19837 16957 2880 1000 1000 433 304 2737 143 1 1 X 1 X 0 1 1 0 1 1 108787 108787 0.00480 4579043 8783131 0 0.00000 4687830 8783131 108787 0.00480 368878 368878 0.01610 368878 368878 0.01610 5056708 8783131 477665 0.02090 1 1509574 4006825 3883623 123202 X 1 1 1 1 WAYNE COUNTY HOSPITAL INC 166 HOSPITAL STREET MONTICELLO KY 42633 WWW.WAYNEHOSPITAL.ORG 600074 X WAYNE COUNTY HOSPITAL INC 0 0 1 X X X X X X X 23 1 0 0 1 X WWW.WAYNEHOSPITAL.ORG/FILES/GALLERIES/2024_CHNA.PDF X 1 23 1 WWW.WAYNEHOSPITAL.ORG/FILES/GALLERIES/2024_CHNA.PDF 0 1 X 150.000000000000 100.000000000000 X X X 0 1 X X 1 X HTTPS://WAYNEHOSPITAL.ORG/FILES/GALLERIES/2019_FAP.PDF X SEE PART VI X HTTPS://WAYNEHOSPITAL.ORG/FILES/GALLERIES/2019_PLAIN_LANG_SUMMARY_FAP.PDF X X X X X 1 X 1 X 1 0 0 WAYNE COUNTY HOSPITAL, INC. PART V, SECTION B, LINE 5: WAYNE COUNTY HOSPITAL CONTRACTED WITH THE COMMUNITY AND ECONOMIC DEVELOPMENT INITIATIVE OF KENTUCKY (CEDIK) IN THE FALL OF 2023 TO CONDUCT THE CHNA IN ACCORDANCE WITH THE AFFORDABLE CARES ACT ("ACA"). THE ACA, ENACTED IN MARCH OF 2010, ADDED REQUIREMENTS THAT HOSPITAL ORGANIZATIONS MUST SATISFY IN ORDER TO BE DESCRIBED IN SECTION 501(C)(3), AS WELL AS REPORTING AND EXCISE TAXES. CEDIK MET WITH WAYNE COUNTY HOSPITAL ADMINISTRATION TO PROVIDE AN OVERVIEW OF THE CHNA PROCESS AND WORKED WITH THE HOSPITAL ADMINISTRATION TO CREATE A COMMUNITY STEERING COMMITTEE. THE COMMUNITY STEERING COMMITTEE PLAYED A VITAL ROLE IN THE CHNA PROCESS. CEDIK PROVIDED A LIST OF COMMUNITY LEADER, AGENCIES, AND ORGANIZATIONS TO THE HOSPITAL TO ASSIST IN THE RECRUITMENT OF COMMUNITY MEMBERS THAT FACILITATED BROAD COMMUNITY INPUT. BY VOLUNTEERING THEIR TIME, THE COMMUNITY MEMBERS ENABLED THE HOSPITAL TO ACQUIRE INPUT FROM RESIDENTS WHO ARE OFTEN NOT ENGAGED IN CONVERSATIONS ABOUT THEIR HEALTH NEEDS. THE STEERING COMMITTEE PROVIDED AN EXPERT VIEW OF THE NEEDS THEY SEE WHILE WORKING WITH THE PEOPLE AND CLIENTS THEY SERVE. CEDIK CONDUCTED FOCUS GROUPS WITH THE STEERING COMMITTEE THAT DISSEMINATED THE SURVEYS. THE STEERING COMMITTEE PROMOTED THE SURVEY THROUGH SOCIAL MEDIA AND ENCOURAGING ORGANIZATIONS TO SHARE THE SURVEY THROUGH EMAIL CHANNELS. A FINAL MEETING WAS HELD BY THE STEERING COMMITTEE TO DEBRIEF THE RESULTS OF THE SURVEYS AND FOCUS GROUPS, RESULTING IN THE COMMITTEE MAKING RECOMMENDATIONS ON THE PRIORITY HEALTH NEEDS FOR WAYNE COUNTY TO BE ADDRESSED OVER THE NEXT THREE YEARS. WAYNE COUNTY HOSPITAL, INC. PART V, SECTION B, LINE 11: AFTER REVIEWING THE RECOMMENDATIONS OF THE COMMUNITY STEERING COMMITTEE, THE HOSPITAL ADMINISTRATION TEAM CREATED A PLAN TO ADDRESS THE NEEDS THROUGH THE FOLLOWING GOALS AND ACTION STEPS.GOAL 1: INCREASE DRUG AND SUBSTANCE USE DISORDER (SUD) EDUCATION IN OUR COMMUNITY, LOCAL SCHOOLS, AND OTHER PROGRAMS.ACTION STEPS:- PARTNER WITH THE KENTUCKY HOSPITAL ASSOCIATION TO OFFER THE SOS OPIOID STEWARDSHIP PROGRAM.- PARTNER WITH LOCAL LAW ENFORCEMENT AGENCIES AND LAKE CUMBERLAND DISTRICT HEALTH DEPARTMENT TO OFFER 2-3 EDUCATIONAL EVENTS/OPPORTUNITIES SUCH AS AMERICAN HEART ASSOCIATION BASIC LIFE SUPPORT AND NARCAN EDUCATION TO HELP COMBAT THE OVERDOSES, VAPING, AND IMPAIRED DRIVING IN OUR COMMUNITY.GOAL 2: INCREASE EDUCATION OPPORTUNITIES TO THE COMMUNITY THAT ADDRESSES OBESITY. OFFER TWO EVENTS ANNUALLY.ACTION STEPS:- HOST AND/OR PARTICIPATE IN AN ANNUAL WELLNESS HEALTH FAIR WITH OTHER LOCAL HEALTH ENTITIES TO FOCUS ON FACTORS THAT CONTRIBUTE TO OBESITY.- OFFER EDUCATIONAL EVENTS ANNUALLY TO THE PUBLIC ON TOPICS LISTED ABOVE AND OFFER PREVENTATIVE SCREENINGS. - PARTNER WCH REGISTERED DIETICIAN WITH LOCAL UK EXTENSION OFFICE TO COLLABORATE AND PLAN A NUTRITION FAIR THAT INCLUDES NUTRITIONAL EDUCATION AND HEALTHY FOODS TO COOK.GOAL 3: INCREASE AWARENESS AND EDUCATION WITH LOCAL SCHOOL GROUPS SUCH AS FAMILY YOUTH RESOURCE SERVICE CENTER. PARTICIPATE IN 2 EVENTS ANNUALLY.ACTION STEPS:- ACTIVELY PARTICIPATE IN BACK-TO-SCHOOL PROGRAMS AND HANDOUT EVIDENCE-BASED RESOURCES TO STUDENTS ON SUCH TOPICS.GOAL 4: ESTABLISH WOMEN'S L-HEALTH SERVICE IN THE RURAL HEALTH CLINIC, EXPAND CARDIOLOGY SERVICES, AND MENTAL HEALTH SCREENINGS.ACTION STEPS:- ASSESS THE POSSIBILITY OF ESTABLISHING WOMEN'S HEALTH SERVICES IN THE RURAL HEALTH CLINIC. WCH LEADERSHIP TEAM FEELS THIS IS A SERVICE LINE THAT THE COMMUNITY COULD BENEFIT FROM.- INCREASE CARDIOLOGY OUTPATIENT CLINIC DAYS.- CONTINUE TO PROMOTE AND EDUCATE THE PUBLIC ON HEALTHY OUTLOOK PROGRAM AT WCH. THIS PROGRAM FOCUSES ON SENIOR BEHAVIORAL HEALTH AND AIMS TO BRIDGE THE GAP IN MENTAL HEALTH IN OUR COMMUNITY. HOST 3-4 COMMUNITY EVENTS ANNUALLY.GOAL 5: ASSIST LOCAL FOOD PANTRIES TO INCREASE FOOD STOCK AND DISTRIBUTION. HAVE ACTIVE ENGAGEMENT ONCE PER QUARTER WITH HOUSE OF BLESSINGS.ACTION STEPS:- PARTNER WITH HOUSE OF BLESSINGS TO PROMOTE AWARENESS ON FOOD INSECURITY.- SEEK OUT VOLUNTEERS TO HELP WITH MEAL DELIVERY. WAYNE COUNTY HOSPITAL, INC. PART V, SECTION B, LINE 16J: HTTPS://WAYNEHOSPITAL.ORG/FILES/GALLERIES/FINANCIAL_ASSISTANCE_PROGRAM_APPLICATION_(FAP).PDF 2 1 - WAYNE COUNTY RURAL HEALTH CLINIC 166 HOSPITAL ST MONTICELLO KY 42633 MEDICAL CLINIC/RURAL HEALTH CLINIC 2 - WAYNE COUNTY SURGICAL SPECIALISTS 1 SOUTH CREEK DRIVE 112 MONTICELLO KY 42633 RURAL HEALTH CLINIC PART II, COMMUNITY BUILDING ACTIVITIES: WAYNE COUNTY HOSPTIAL PARTICIPATES IN HEALTH COALITIONS, ENGAGES WITH SCHOOLS AND OTHER COMMUNITY GROUPS, AND HOSTS HEALTH FAIRS IN THE COMMUNITY. PART III, LINE 2: THE AMOUNT REPORTED ON LINE 2 IS REFLECTED ON THE INTERNAL FINANCIAL STATEMENTS FOR THE HOSPITAL. PART III, LINE 3: THE HOSPITAL HAS A DETAILED FINANCIAL ASSISTANCE POLICY WHICH STATES THAT TO PARTICIPATE IN CHARITY CARE CANDIDATES MUST COOPERATE FULLY. IN ADDITION THE HOSPITAL EDUCATES PATIENTS WITH LIMITED ABILITY TO PAY REGARDING FINANCIAL ASSISTANCE. FOR THIS REASON THE ORGANIZATION BELIEVES THAT IT ACCURATELY CAPTURES ALL CHARITY CARE DEDUCTIONS PROVIDED ACCORDING TO THE FINANCIAL ASSISTANCE POLICY AND THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS NEGLIGIBLE. PART III, LINE 4: PLEASE REFER TO THE ATTACHED AUDITED FINANCIAL STATEMENTS PAGES 9-10, "PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT SERVICE REVENUE". PART III, LINE 8: THE MEDICARE COST REPORT WAS THE SOURCE OF INFORMATION REPORTED ON PART III LINE 6. PART III, LINE 9B: AT REGISTRATION, PATIENTS ARE NOTIFIED OF THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. THEY ARE OFFERED PAMPHLETS DETAILING THE PROGRAM. IF THE PATIENT IS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE AND IS APPROVED FOR FINANCIAL ASSISTANCE, THE PATIENT WILL RECEIVE A DISCOUNT OF 100% ON THE OUTSTANDING ACCOUNT BALANCE. THE HOSPITAL WILL ATTEMPT TO COLLECT ANY BALANCE REMAINING ON THE UNINSURED ACCOUNT AFTER ALL FINANCIAL ASSISTANCE DISCOUNTS HAVE BEEN APPLIED USING A SERIES OF STATEMENTS, LETTERS, AND TELEPHONE CALLS. THE HOSPITAL WILL ALSO OFFER PATIENTS INTEREST-FREE EXTENDED PAYMENT PLANS. PART VI, LINE 2: THE ASSESSMENT PROCESS INCLUDED COLLECTING SECONDARY DATA RELATED TO THE HEALTH OF THE COMMUNITY. SOCIAL AND ECONOMIC DATA AS WELL AS HEALTH OUTCOMES AND PROVIDERS DATA WERE COLLECTED FROM SECONDARY SOURCES TO HELP PROVIDE CONTEXT FOR THE COMMUNITY. IN ADDITION, CEDIK COMPILED HOSPITAL UTILIZATION DATA TO BETTER UNDERSTAND WHO WAS USING THE FACILITY AND FOR WHAT SERVICES. FINALLY, WITH THE ASSISTANCE OF THE COMMUNITY STEERING COMMITTEE, INPUT FROM THE COMMUNITY WAS COLLECTED THROUGH KEY INFORMANT INTERVIEWS, FOCUS GROUPS, AND SURVEYS. PART VI, LINE 3: WAYNE COUTY HOSPITAL INFORMS AND EDUCATES PATIENTS OF ITS FINANCIAL ASSISTANCE POLICY BY:1. PUBLICIZING THE AVAILABILITY OF ITS FINANCIAL ASSISTANCE POLICY WITHIN THE COMMUNITIES IT SERVES BY TAKING THE FOLLOWING ACTION:A. POSTING THIS POLICY AND ITS FINANCIAL ASSISTANCE APPLICATION ON ITS WEBSITE.B. SIGNS WILL BE POSTED AT REGISTRATION AREAS DESCRIBING THE AVAILABLE ASSISTANCE AND DIRECTING ELIGIBLE PATIENTS TO THE FINANCIAL ASSISTANCE APPLICATION.C. FINANCIAL COUNSELOR WILL BE AVAILABLE DURING HER REGULAR WORK HOURS TO ADDRESS QUESTIONS RELATED TO FINANCIAL ASSISTANCE. A PAPER COPY OF THE APPLICATION MAY ALSO BE MAILED TO A PATIENT AT THEIR REQUEST FREE OF CHARGE. PART VI, LINE 4: WAYNE COUNTY HOSPITAL IS A 25-BED CRITICAL ACCESS HOSPITAL IN MONTICELLO, KENTUCKY. IT IS LOCATED ABOUT 30 MINUTES SOUTHWEST OF SOMERSET, KENTUCKY AND ABOUT 5-8 MILES FROM THE SHORES OF LAKE CUMBERLAND. WAYNE COUNTY HOSPITAL SERVES A REGION WHICH INCLUDES RESIDENTS OF WAYNE COUNTY, PULASKI COUNTY, MCCREARY COUNTY AND CLINTON COUNTY IN KENTUCKY, AND PORTIONS OF NORTHERN TENNESSEE ON OUR SOUTHERN BORDER. MONTICELLO, KENTUCKY IS THE COUNTY SEAT AND SERVES AS THE GATEWAY TO KENTUCKY'S SOUTHERN LAKES REGION, ARGUABLY AMONG THE MOST BEAUTIFUL AND UNSPOILED STRETCHES OF THE BLUEGRASS STATE. WAYNE COUNTY LIES AT THE FOOTHILLS OF THE APPALACHIAN MOUNTAINS. WHILE IT CONTAINS REMNANTS OF EASTERN KENTUCKY'S RUGGED LANDSCAPES, MOSTLY IN THE FORM OF LOW FOOTHILLS BORDERING LAKE CUMBERLAND, THE AREA IS MOSTLY COMPOSED OF RANCH-QUALITY FARM LANDS AND ROLLING LANDSCAPES ALONG THE SOUTHERN BORDER WITH TENNESSEE. ACCORDING TO A 2022 ESTIMATE, THE POPULATION IS AROUND 19,681 WITH 65.8% OF THE POPULATION RESIDING IN RURAL AREAS. PART VI, LINE 5: WAYNE COUNTY HOSPITAL HAS IMPLEMENTED STRATEGIC MARKETING STRATEGIES, SUCH AS UTILIZING SOCIAL MEDIA, NEWSPAPER ADVERTISEMENTS, AND ENGAGING IN DIRECT DISTRIBUTION TO LOCAL AND REGIONAL ENTITIES TO SHARE INFORMATION ABOUT HOSPITAL SERVICES AND RESOURCES. IN AN EFFORT TO PROVIDE MORE HEALTH EDUCATION TO THE COMMUNITY WCH HAVE PARTICIPATED IN COMMUNITY HEALTH FAIRS PROMOTING HEALTHY LIFESTYLES. WCH HAS ALSO DEVELOPED A PROMOTIONAL PLAN TO EDUCATE THE COMMUNITY ON THE AVAILABILITY AND IMPORTANCE OF SCREENINGS FOR MEN AND WOMEN. WCH HAS PROVIDED A NUMBER OF SCREENINGSINCLUDING: BMI BLOOD GLUCOSE CHOLESTEROL VITAL SIGNS (BLOOD PRESSURE, HEART RATE, 02 SATURATION) NUTRIONAL INFORMATION VACCINE INFORMATION & CLINICS SENIOR BEHAVIORAL HEALTH (HEALTHY OUTLOOK) DID YOU KNOW ... CAMPAIGN RADIOLOGY EARLY DETECTION INFORMATION AHA INFORMATION ON CARDIAC DISEASE HANDS ONLY CPR EDUCATIONAL EVENTS RHC CHILDHOOD VACCINES AND WELL CHILD CHECK-UP X 0 0 0 0 0 0 0 0 0 CORY RYAN MD CMO/ER PHYSICIAN 530025 0 300 0 0 0 8512 0 45 0 538882 0 0 0 JIMMY J HICKS CRNA 191452 0 300 0 0 0 7658 0 18615 0 218025 0 0 0 JOE MURRELL CEO 179702 0 4000 0 0 0 7188 0 15580 0 206470 0 0 0 PART I, LINE 3 THE BOARD OF MANAGERS AND MANAGEMENT USES THE RANGE OF THE PREVIOUS CEO PLUS ADDITIONAL YEARS OF EXPERIENCE FOR THE BASE AMOUNT AT HIRE. THEY DO ANNUAL EVALUATIONS AND APPROVE EACH YEAR THEY AMOUNT OF HIS RAISE. ADAM SAWYER SON OF CFO ANNE SAWYER 20361 COMPENSATION 0 FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS PROVIDED TO THE GOVERNING BODY FOR REVIEW PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF HIS OR HER INTEREST AND ALL MATERIAL FACTS TO THE BOARD, OR TO A COMMITTEE WITH BOARD DELEGATED POWERS, CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. SUCH DISCLOSURE SHALL BE MADE EITHER THROUGH THE ANNUAL QUESTIONNAIRE REQUIRED UNDER ARTICLE V OF THIS POLICY OR WHEN A CONFLICT OF INTEREST NOT DISCLOSED ON THE QUESTIONNAIRE OTHERWISE ARISES. AFTER DISCLOSURE OF THE INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON TO CLARIFY INFORMATION OR OBTAIN ADDITIONAL INFORMATION RELEVANT TO THE INTEREST, THE INTERESTED PERSON SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND PUT TO A VOTE. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE WHETHER A CONFLICT OF INTEREST EXISTS. ONCE THE DISINTERESTED MEMBERS OF THE BOARD OR COMMITTEE HAVE DETERMINED THAT A CONFLICT OF INTEREST EXISTS WITH RESPECT TO A PARTICULAR TRANSACTION OR ARRANGEMENT: (A) THE CHAIR OF THE BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT; (B) AFTER EXERCISING DUE DILIGENCE, THE DISINTERESTED MEMBERS OF THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE HOSPITAL CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST; (C) IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED MEMBERS OF THE BOARD OR COMMITTEE MEMBERS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE HOSPITAL'S BEST INTEREST AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE HOSPITAL, AND SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION; OR (D) THE INTERESTED PERSON SHALL BE EXCUSED FROM THE MEETING WHILE THE MATTER GIVING RISE TO THE CONFLICT OF INTEREST IS VOTED ON AND ONLY DISINTERESTED MEMBERS OF THE BOARD OR COMMITTEE MEMBERS MAY VOTE TO DETERMINE WHETHER TO APPROVE THE TRANSACTION OR ARRANGEMENT. THE DISINTERESTED MEMBERS OF THE BOARD OR COMMITTEE MAY, IN THEIR DISCRETION, REQUIRE THE INTERESTED PERSON TO LEAVE THE MEETING WHILE THE PROPOSED TRANSACTION OR ARRANGEMENT IS DISCUSSED. IN DETERMINING WHETHER AND WHEN TO REQUIRE THE INTERESTED PERSON TO LEAVE THE MEETING DURING DISCUSSION OF THE PROPOSED TRANSACTION OR ARRANGEMENT, THE DISINTERESTED MEMBERS OF THE BOARD OR COMMITTEE MEMBERS SHALL BALANCE THE NEED TO PRESERVE THE INDEPENDENCE OF THE DETERMINATION PROCESS WITH THE NEED TO FACILITATE THE DISCUSSION BY HAVING SUCH PERSON ON HAND TO ANSWER QUESTIONS OR OTHERWISE PROVIDE ADDITIONAL INFORMATION THAT MAY ASSIST THE BOARD OR COMMITTEE. TO THE EXTENT PERMITTED BY APPLICABLE STATE LAW AND THE HOSPITAL'S GOVERNING DOCUMENTS, AN INTERESTED PERSON MAY BE COUNTED IN DETERMINING THE PRESENCE OF A QUORUM AT A MEETING OF THE BOARD OR COMMITTEE WHEN A POTENTIAL CONFLICT OF INTEREST HAS BEEN DISCLOSED. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF MANAGERS AND MANAGEMENT USE THE RANGE OF THE PREVIOUS CEO PLUS YEARS OF EXPERIENCE FOR BASE AMOUNT AT HIRE. THE CEO'S SALARY IS REVIEWED ANNUALLY BY THE BOARD AND THERE IS AN ANNUAL WRITTEN EVALUAON. CORPORATE OFFICERS SALARIES ARE REVIEWED IN CONJUNCTION WITH PERIODIC EXTERNAL SURVEYS PROCURED THROUGH HR. THESE SURVEYS ARE REVIEWED BY THE HR DEPARTMENT AND SUPERVISING MANAGER TO ASSURE THAT THE SALARIES BEING PROVIDED ARE REASONABLE AND JUSFIABLE IN RELATION TO SURVEY RESULT PARAMETERS. EXECUVE SALARIES ARE REVIEWED ANNUALLY; THE CFO AND CNO ARE REVIEWED BY THE CEO AND HR INPUT, WITH AN ANNUAL WRITTEN EVALUATION. FORM 990, PART VI, SECTION C, LINE 19 THE FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICIES ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104. FORM 990, PART VII DR. JAMES WOODY IS COMPENSATED BY A THIRD PARTY COPORATION AS AN INDEPENDENT CONTRACTOR FOR HIS SERVICES FOR WAYNE COUNTY HOSPITAL. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,220,228. MANAGEMENT AND GENERAL EXPENSES 824,411. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,044,639. MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 262,648. MANAGEMENT AND GENERAL EXPENSES 10,532. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 273,180. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 2,049,457. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,049,457. LAB AND COLLECTION FEES: PROGRAM SERVICE EXPENSES 67,985. MANAGEMENT AND GENERAL EXPENSES 45,933. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 113,918. FORM 990, PART XII, LINE 2: THE AUDIT FOR THE CURRENT TAX PERIOD 10/31/2024 AND PRIOR TAX PERIODS 10/31/2022 AND 10/31/2023 HAS NOT BEEN STARTED. THE MOST RECENT ISSUED AUDITED FINANCIALS ARE ATTACHED.