2012-03-30T15:06:38-05:00 2011-09-30 CLIFTONLARSONALLEN LLP 101 N TRYON STREET SUITE 1000 CHARLOTTE NC 28246 990 2010-10-01 561484844 WAYNE MEMORIAL HOSPITAL INC WAYN 9197316142 PO BOX 8001 GOLDSBORO NC 27533 REBECCA CRAIG 9197316142 2012-03-30 1 GREGORY W JOHNS 7049985200 2010 2016-02-24 21:20:13Z J WILLIAM PAUGH PO BOX 8001 GOLDSBORO NC 27533 194680907 0 X WWW.WAYNEHEALTH.ORG X 1896 NC TO PROVIDE THE COMMUNITY QUALITY HEALTHCARE SERVICES. 12 11 1808 233 887 0 0 0 195922270 190708238 2150958 2694349 927133 1278320 199000361 194680907 213466 147050 0 0 92365236 94095168 0 0 0 100824051 90650155 193402753 184892373 5597608 9788534 214548605 218870213 146139215 159557544 68409390 59312669 THE MISSION OF WAYNE MEMORIAL HOSPITAL IS TO PROVIDE THE COMMUNITY QUALITY HEALTHCARE SERVICES THROUGH THE COMPASSIONATE HANDS OF WELL-TRAINED STAFF IN A TECHNOLOGICALLY ADVANCED, COST-EFFECTIVE MANNER. 0 0 172181020 147050 190708238 PROVIDING COMPASSIONATE PROGRESSIVE HEALTHCARE INCLUDING INPATIENT, OUTPATIENT, INTENSIVE CARE, AND EMERGENCY CARE. 172181020 1 0 0 1 0 0 0 0 0 1 0 1 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 124 0 1808 1 0 0 0 0 0 0 0 0 0 0 X 12 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NC X X REBECCA CRAIG CFO 9197316142 PO BOX 8001 GOLDSBORO NC 27533 BRASHEAR HAROLD 1.00 X 0 0 0 BROADAWAY WILLIAM W 1.00 X X 0 0 0 BEST C MUNROE JACK 1.00 X 0 0 0 GRIFFIN MD CHRISTOPHER P 1.00 X X 0 0 0 HUNTER SAMUEL P 1.00 X 0 0 0 LIES MD STEPHEN C 1.00 X 0 0 0 MCCALL SUSAN H 1.00 X 0 0 0 MCDONALD JR RAY 1.00 X 0 0 0 PAUGH J WILLIAM 1.00 X 0 0 0 STOCKTON MD LEON 1.00 X 0 0 0 WALKER JR ROBERT D 1.00 X 0 0 0 WEAVER CHARLOTTE M 1.00 X 0 0 0 J WILLIAM PAUGH 40.00 X 572740 0 131660 THOMAS BRADSHAW 40.00 X 221322 0 63975 REBECCA CRAIG 40.00 X 208624 0 59488 SHIRLEY HARKEY 40.00 X 176821 0 51278 RICHARD ROGERS 40.00 X 163034 0 44733 HENRY COMBS 40.00 X 218679 0 0 RICK BAZIK 40.00 X 200395 0 0 AMY WILLOUGHBY 40.00 X 182253 0 0 ANGELA WHITTEN 40.00 X 180372 0 0 GEORGE HAYWOOD 40.00 X 179305 0 0 2303545 0 351134 46 0 1 0 T A LOVING PO DRAWER 919 GOLDSBORO NC 275330919 CONSTRUCTION 5166460 SODEXO INC & AFFILIATES 500 ROSS STREET PITTSBURG PA 152620001 FOOD SERVICE 779846 ARAMARK 24863 NETWORK PLACE CHICAGO IL 606731248 FOOD SERVICE 726409 EASTERN MEDICAL ASSOCIATES 2609 MEDICAL OFFICE PLACE GOLDSBORO NC 27534 CONSULTANTS 722502 GOLDSBORO PATHOLOGY BOX 8001 GOLDSBORO NC 27530 LAB SERVICES 362533 14 PATIENT REVENUE 621110 183609412 183609412 7098826 7098826 190708238 2694349 2694349 DISTRIBUTIONS FROM MEM 900099 1277433 1277433 PREMIER PURCHASING GAI 561000 887 887 1278320 194680907 190708238 887 3971782 91667 91667 55383 55383 1341214 1341214 72222276 65000048 7222228 7070202 6363182 707020 8191612 7372451 819161 5269864 4742878 526986 913106 913106 317890 317890 222182 222182 13915011 13223698 691313 2737212 2737212 34832 26882 7950 317504 211860 105644 2902429 2902429 8485230 8449099 36131 432116 432116 MEDICAL SUPPLIES 31364175 31364175 BAD DEBT EXPENSE 15330859 15330859 AMA EXPENSES 953311 953311 12724298 12442780 281518 184892373 172181020 12711353 0 10817048 1086296 38142 39126 20813931 21661901 4111581 4185565 2385320 3063478 186455452 96582573 86952334 89872879 80014299 89996554 9415950 8964414 214548605 218870213 23312884 19962625 60865584 60874598 108992 61851755 78720321 146139215 159557544 X 67484094 58301068 925296 1011601 68409390 59312669 214548605 218870213 X 9788534 -18885255 X X 0 1 1 X 0 X 0 0 0 0 0 0 0 0 1 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: (NCHA DUES) 93157657 38586999 54570658 81129397 54218886 26910511 12168398 3776688 8391710 89872879 INVESTMENTS 89996554 F 89996554 OTHER LIABILITIES 16477635 MINIMUM PENSION LIABILITY 57531886 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 4710800 78720321 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: WAYNE MEMORIAL HOSPITAL ("WMH") IS A NOT-FOR-PROFIT CORPORATION AND HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. WMH ADOPTED THE PROVISIONS OF THE INCOME TAX STANDARD THAT CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS. THIS GUIDANCE PRESCRIBES A RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE IMPLEMENTATION OF THE ADOPTION OF THIS STANDARD HAD NO IMPACT ON WMH'S FINANCIAL STATEMENTS. 1 1 1 X 1 X 1 1 1 0 1 1 11843457 11843457 0.06980 26181068 17034773 9146295 0.05390 38024525 17034773 20989752 0.12370 2220124 2220124 0.01310 3076000 3076000 0.01810 100609 100609 0.00060 5396733 5396733 0.03180 43421258 17034773 26386485 0.15550 1 6348498 0 68888052 69548670 -660618 X 1 1 1 WAYNE MRI LLC MRI 0.66700 0.33300 1 1 WAYNE MEMORIAL HOSPITAL INC

2700 WAYNE MEMORIAL DRIVE GOLDSBORO NC 27533

X X X WAYNE MEMORIAL HOSPITAL INC 1 1 1 200.000000000000 1 350.000000000000 0 1 1 X X X 1 X 1 X X X X X 1 X 0 0 PART I, LINE 3C: WE USE 200% OF FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY. 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 PATIENT ABILITY TO PAY. PART I, LINE 6A: N/A PART I, LINE 7: AMOUNTS SHOWN IN PART I, LINE 7, COLUMN C WERE COMPUTED USING THE COST-TO-CHARGE RATIO WORKSHEET (WORKSHEET 2) FROM THE IRS INSTRUCTIONS FOR SCHEDULE H. PART I, LINE 7G: N/A PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 15330859. PART II: THE HOSPITAL IS ACTIVE IN ITS SUPPORT FOR ORGANIZATIONS SEEKING TO MAKE ENCOURAGE GROWTH IN WAYNE COUNTY, BY MAKING IT A DESIRABLE LOCATION TO LIVE AND WORK. ATTRACTING QUALITY EMPLOYERS IS THE KEY TO JOB GROWTH. HAVING A HIGH QUALITY HOSPITAL IS THE HOSPITAL'S FIRST PRIORITY, AND THAT INCLUDES RECRUITMENT OF PHYSICIANS TO MEET GROWTH NEEDS, REPLACE RETIRING PHYSICIANS, AND SUPPLEMENT CLINICAL AREAS WHICH NEED MORE EXPERTISE. RECRUITMENT OF ADDITIONAL PHYSICIANS AND OTHER PROVIDERS, PARTICULARLY IN AREAS OF DIABETES TREATMENT AND PRIMARY CARE, HAS BEEN A KEY GOAL FOR SEVERAL YEARS. THE MEDICAL STAFF DEVELOPMENT PLAN ADOPTED BY THE BOARD OF DIRECTORS IN LATE 2009 IS THE PLATFORM FOR MOVING AHEAD. THE HOSPITAL BEGAN HIRING PHYSICIANS IN 2009, AND WILL CONTINUE TO DO THIS, AS THE MARKET DEMAND CONTINUES. NATIONALLY, THERE IS A MOVE BY PHYSICIANS TO BE EMPLOYED BY HOSPITALS, VERSUS RUNNING INDIVIDUAL/GROUP PRACTICES, AND THE HOSPITAL IS RESPONDING TO THAT DESIRE, WHICH IS BENEFITING WAYNE COUNTY. PART III, LINE 4: THE HOSPITAL USES HISTORICAL COLLECTION EXPERIENCE AND A REVIEW OF CURRENT RECEIVABLES TO PROVIDE AN ESTIMATE OF THE ALLOWANCE FOR UNCOLLECTIBLES AND THE BAD DEBT EXPENSE. ACCOUNTS PAST DUE FOR MORE THAN 90 DAYS ARE INDIVIDUALLY ANALYZED FOR COLLECTIBLITY. 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 THE HOSPITAL PROVIDES TO THE COMMUNITY SHOULD BE CONSIDERED A COMMUNITY BENEFIT SINCE THE HEALTHCARE NEEDS OF THE COMMUNITY WOULD OTHERWISE BE UNMET.PART III, SECTION A, LINE 2:THE AMOUNT ON LINE 2 WAS DERIVED BY TAKING THE BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENTS AND MULTIPLYING IT BY THE RATIO OF PATIENT CARE COST TO CHARGES DERIVED USING WORKSHEET 2 OF THE IRS INSTRUCTIONS FOR SCHEDULE H.PART III, SECTION A, LINE 3:THE HOSPITAL DOES NOT HAVE A PROCESS IN PLACE THAT ESTIMATES THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER A 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 THE COMMUNITY 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: THE HOSPITAL ATTEMPTS TO IDENTIFY PATIENTS THAT MAY QUALIFY FOR CHARITY BY REVIEWING PRIOR PATIENT HISTORY OF CHARITY ELIGIBILITY OR BY USING A CREDIT SCORING TOOL THAT WILL INDICATE POTENTIAL CHARITY CASES BASED ON OUR CHARITY CARE GUIDELINES. WAYNE MEMORIAL HOSPITAL, INC. PART V, SECTION B, LINE 13G: ALL SELF PAY INPATIENTS RECEIVE VISITS FROM FINANCIAL COUNSELORS AND CHARITY POLICY IS REVIEWED AT THAT TIME. SELF PAY OUTPATIENTS ARE SENT LETTERS OFFERING FINANCIAL ASSISTANCE. WAYNE MEMORIAL HOSPITAL, INC. PART V, SECTION B, LINE 19D: UNINSURED PATIENTS ARE BILLED THE SAME AMOUNTS AS INSURED PATIENTS. PART VI, LINE 2: EVERY THREE YEARS, THE HOSPITAL PARTNERS WITH WAYNE COUNTY DEPARTMENT OF HEALTH, WAYNE ACTION TEAMS FOR COMMUNITY HEALTH (WATCH) AND OTHER AGENCIES IN WAYNE COUNTY TO SPONSOR A COMMUNITY-WIDE HEALTH ASSESSMENT, WHICH IS THEN UPDATED BY THE HEALTH DEPARTMENT ANNUALLY, USING STATE AND LOCAL STATISTICS. THIS ANNUAL HEALTH ASSESSMENT IS PUBLISHED ON THE WAYNE COUNTY HEALTH DEPARTMENT WEBSITE, AND IS REFERRED TO BY VIRTUALLY ALL ENTITIES IN WAYNE COUNTY WHO ARE INTERESTED IN IMPROVING HEALTH. EXTERNAL CONSULTANTS ARE ENGAGED TO PUT TOGETHER COMMUNITY SURVEYS (EVERY THIRD YEAR) AND HELP SET PRIORITIES. THE HOSPITAL HAS TAKEN A LEADERSHIP ROLE IN RECRUITING PHYSICIANS TO WAYNE COUNTY WITH SKILLS THAT ARE IN SHORT SUPPLY. THIS IS HANDLED THROUGH A FORMAL PHYSICIAN NEEDS ASSESSMENT, WHICH WAS COMPLETED IN FY 2010, AND ADOPTED BY THE BOARD OF DIRECTORS IN DECEMBER 2009.THE HOSPITAL IS ACTIVE IN ITS SUPPORT FOR ORGANIZATIONS SEEKING TO MAKE ENCOURAGE GROWTH IN WAYNE COUNTY, BY MAKING IT A DESIRABLE LOCATION TO LIVE AND WORK. ATTRACTING QUALITY EMPLOYERS IS THE KEY TO JOB GROWTH. HAVING A HIGH QUALITY HOSPITAL IS THE HOSPITAL'S FIRST PRIORITY, AND THAT INCLUDES RECRUITMENT OF PHYSICIANS TO MEET GROWTH NEEDS, REPLACE RETIRING PHYSICIANS, AND SUPPLEMENT CLINICAL AREAS WHICH NEED MORE EXPERTISE. RECRUITMENT OF ADDITIONAL PHYSICIANS AND OTHER PROVIDERS, PARTICULARLY IN AREAS OF DIABETES TREATMENT AND PRIMARY CARE, HAS BEEN A KEY GOAL FOR SEVERAL YEARS. THE MEDICAL STAFF DEVELOPMENT PLAN ADOPTED BY THE BOARD OF DIRECTORS IN LATE 2009 IS THE PLATFORM FOR MOVING AHEAD. THE HOSPITAL BEGAN HIRING PHYSICIANS IN 2009, AND WILL CONTINUE TO DO THIS, AS THE MARKET DEMAND CONTINUES. NATIONALLY, THERE IS A MOVE BY PHYSICIANS TO BE EMPLOYED BY HOSPITALS, VERSUS RUNNING INDIVIDUAL/GROUP PRACTICES, AND THE HOSPITAL IS RESPONDING TO THAT DESIRE, WHICH IS BENEFITING WAYNE COUNTY. PART VI, LINE 3: PROVIDE COUNSELING TO PATIENTS, PROVIDE PATIENT BROCHURES WITH INFORMATION AND HOSPITAL WEBSITE. PART VI, LINE 4: LIKE MOST OF EASTERN NORTH CAROLINA, WAYNE COUNTY IS A RURAL AND RELATIVELY POOR COUNTY WITH A PER CAPITA INCOME OF $17,000, BELOW NORTH CAROLINA AND NATIONAL AVERAGES. ABOUT 15% OF ITS 122,000 POPULATION HAVE INCOMES AT THE POVERTY RATE [US CENSUS - 2010] AND 25% OF WAYNE COUNTY CHILDREN LIVE IN POVERTY. WAYNE COUNTY HAS THE THIRD HIGHEST AGRICULTURAL PRODUCTION OF ALL 100 NORTH CAROLINA COUNTIES. ITS DEEP ROOTS IN AGRICULTURE HAVE PROPAGATED GENERATIONS OF SMOKERS AND UNHEALTHY EATERS, MUCH OF WHICH WAS OFFSET, BEFORE AGRICULTURE BECAME SO MECHANIZED, WITH PHYSICAL EXERCISE. NOW, WAYNE RANKS 53 OUT OF 100 NORTH CAROLINA COUNTIES IN HEALTH BEHAVIORS. [COUNTY HEALTH RANKINGS, ROBERT WOOD JOHNSON FOUNDATION]. THIS IS ACTUALLY AN IMPROVEMENT OVER PRIOR YEARS, AND THERE IS A COMMITMENT FROM LOCAL HEALTH LEADERS TO CONTINUE TO IMPROVE THE RANKING, THROUGH COMBINED EFFORTS TO COMBAT CHILDHOOD OBESITY, DIABETES, AND OTHER HEALTH ISSUES. WAYNE COUNTY RESIDENTS ARE INVOLVED IN HIGH NUMBERS OF CANCER TRIALS, WHICH BRING HOPE TO LOCAL CANCER PATIENTS, AND WHICH MAY LEAD TO BREAKTHROUGHS IN CANCER TREATMENT AND POSSIBLY CURES. THE COUNTY IS SMALL ENOUGH THAT COOPERATION BETWEEN LOCAL HEALTH PROVIDERS IS EASY TO ACHIEVE, AND NETWORKS EXIST TO IMPROVE THE HEALTH OF WAYNE COUNTY RESIDENTS. PART VI, LINE 6: THE HOSPITAL HAS BEEN GOVERNED, SINCE 1985, BY A BOARD OF COMMUNITY REPRESENTATIVES, FROM BUSINESS, LAW, AND MEDICINE, AND HAS HAD THE BENEFIT, OVER THESE YEARS, OF CONSISTENT PROFESSIONAL ACCOUNTING AND LEGAL ADVICE. IT HAS A STATED COMMITMENT TO CARE FOR PATIENTS WHO ARE UNABLE TO PAY FOR CARE, AND WITH GREATER THAN 5% OF REVENUES DEDICATED TO THIS TASK, IT MAKES GOOD ON THIS COMMITMENT EVERY YEAR. IN ADDITION, THE HOSPITAL HAS BEEN THE BEDROCK OF THE WAYNE ACTION TEAMS ON COMMUNITY HEALTH (WATCH), WHICH REACHES UNINSURED PERSONS THROUGHOUT THE COUNTY. RATES FOR HOSPITAL CARE ARE AMONG THE LOWEST IN THE STATE OF NORTH CAROLINA, IN AN ATTEMPT TO KEEP HOSPITAL CARE AFFORDABLE. CHARITY POLICY IS GENEROUS, AND THE HOSPITAL WORKS WITH PATIENTS ON PAYMENT PLANS DAILY. THE MEDICAL STAFF IS OPEN TO ALL QUALIFIED PROVIDERS, AND IS REPRESENTED ON THE BOARD OF DIRECTORS. SURPLUS FUNDS ARE DEDICATED TO IMPROVEMENT OF FACILITIES AND TO PROVIDING FINANCIAL STABILITY TO ALLOW THE HOSPITAL TO BORROW FUNDS IF NECESSARY TO PURCHASE LONG TERM ASSETS, TO IMPROVE HEALTH CARE IN WAYNE COUNTY. NO PRIVATE PERSON BENEFITS FROM CASH GENERATED FROM HOSPITAL OPERATIONS. PART VI, LINE 7: N/A REPORTS FILED WITH STATES PART VI, LINE 7 NC 1 THE FOUNDATION OF WAYNE COMMUNITY COLLEGE PO BOX 8002 GOLDSBORO NC 27533 561556512 501(C)(3) 91667 HEALTHCARE EDUCATION 1 1 EDUCATIONAL SCHOLARSHIPS 6 55383 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, 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 1 1 X X X X X 0 1 0 0 0 0 0 0 0 J WILLIAM PAUGH 454002 0 86033 0 32705 0 69766 0 61894 0 704400 0 0 0 THOMAS BRADSHAW 220605 0 0 0 717 0 35599 0 28376 0 285297 0 0 0 REBECCA CRAIG 205130 0 0 0 3494 0 42643 0 16845 0 268112 0 0 0 SHIRLEY HARKEY 176821 0 0 0 0 0 24788 0 26490 0 228099 0 0 0 RICHARD ROGERS 157888 0 0 0 5146 0 16791 0 27942 0 207767 0 0 0 HENRY COMBS 218679 0 0 0 0 0 0 0 0 0 218679 0 0 0 RICK BAZIK 200395 0 0 0 0 0 0 0 0 0 200395 0 0 0 AMY WILLOUGHBY 182253 0 0 0 0 0 0 0 0 0 182253 0 0 0 ANGELA WHITTEN 180372 0 0 0 0 0 0 0 0 0 180372 0 0 0 GEORGE HAYWOOD 179305 0 0 0 0 0 0 0 0 0 179305 0 0 0 PART I, LINE 1A CERTAIN DUES AND FEES AND COMPANION TRAVEL ARE REIMBURSED BY THE ORGANIZATION. PART I, LINE 4B J. WILLIAM PAUGH PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN AND RECEIVED $86,032 IN PAYMENTS FROM THE PLAN DURING THE YEAR. NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 65820HB93 2009-03-19 35720000 CAPITAL EXPENDITURES 0 0 0 35720000 2009 1 0 1 1 0 0 0 0 1 1 0 1 1 0 0 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 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 ALL PERSONNEL ARE RESPONSIBLE FOR ADHERING TO THE CORPORATE COMPLIANCE PLAN. THIS PLAN REQUIRES PERSONNEL TO DISCLOSE CONFLICTS AS THEY ARISE. VOTING MEMBERS OF THE GOVERNING BODY ARE RECUSED FROM VOTING WHEN A CONFLICT ARISES. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION IS REVIEWED AGAINST COMPARABILITY DATA AND APPROVED BY THE BOARD. WRITTEN COMPENSATION AGREEMENTS ARE KEPT UP-TO-DATE. OFFICER AND KEY EMPLOYEE COMPENSATION IS REVIEWED ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE CORPORATE COMPLIANCE POLICY IS AVAILABLE ON THE HOSPITAL'S WEBSITE. ADDITIONALLY, THE AUDITED FINANCIAL STATEMENTS ARE AVAILABLE ON WWW.DACBOND.COM. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: CHANGE IN MINIMUM PENSION LIABILITY -14,064,417. CHANGE IN VALUE OF DERIVATIVE FINANCIAL INSTRUMENT -2,204,795. TEMPORARILY RESTRICTED NET ASSET ACTIVITY 86,305. CHANGE IN NET UNREALIZED LOSS ON OTHER THAN TRADING SECURITIES -2,702,348. TOTAL TO FORM 990, PART XI, LINE 5: -18,885,255. FORM 990, PART XII, LINE 2C: THE PROCESS FOR APPROVING AUDITED FINANCIAL STATEMENTS AND FOR SELECTING INDEPENDENT ACCOUNTANTS HAS NOT CHANGED FROM THE PRIOR YEAR. AMERICAN MANAGEMENT ASSOCIATES LLC 2719 GRAVES DRIVE GOLDSBORO NC 27534 561622637 COLLECTIONS NC N/A WAYNE HEALTH FOUNDATION INC 2700 WAYNE MEMORIAL DRIVE GOLDSBORO NC 27533 581881912 SUPPORT NC 501(C)(3) LINE 9 N/A 0 WAYNE HEALTH CORPORATION PO BOX 8001 GOLDSBORO NC 27534 561479733 HEALTHCARE NC 501(C)(3) LINE 11A, I N/A 0 WAYNE MRI LLC 2700 WAYNE MEMORIAL DRIVE GOLDSBORO NC 27533 342043934 MRI SERVICES NC N/A RELATED 1073668 4185980 0 1 0.66670 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 WAYNE HEALTH CORPORATION J 250000 ACTUAL CASH PAYMENT WAYNE HEALTH FOUNDATION INC N 502345 ACTUAL CASH PAYMENT