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            <AddressLine1>PO BOX 636981</AddressLine1>
            <City>CINCINNATI</City>
            <State>OH</State>
            <ZIPCode>452636981</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>GENERAL</DescriptionOfServices>
        <Compensation>561441</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>DANIELS &amp; DANIELS CONSTRUCTION</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 10337</AddressLine1>
            <City>GOLDBORO</City>
            <State>NC</State>
            <ZIPCode>27532</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>CONTRACTOR</DescriptionOfServices>
        <Compensation>494778</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>9</NumberOfContractorsGT100K>
      <AllOtherContributions>625081</AllOtherContributions>
      <TotalContributions>625081</TotalContributions>
      <ProgramServiceRevenue>
        <Description>PATIENT REVENUE</Description>
        <BusinessCode>621110</BusinessCode>
        <TotalRevenueColumn>209041517</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>209041517</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalOthProgramServiceRevenue>
        <TotalRevenueColumn>11813388</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>11813388</RelatedOrExemptFunctionIncome>
      </TotalOthProgramServiceRevenue>
      <TotalProgramServiceRevenue>220854905</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>2970743</TotalRevenueColumn>
        <ExclusionAmount>2970743</ExclusionAmount>
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      <GrossRents>
        <Real>306636</Real>
        <Personal>24360</Personal>
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      <LessRentalExpenses>
        <Real>0</Real>
        <Personal>0</Personal>
      </LessRentalExpenses>
      <RentalIncomeOrLoss>
        <Real>306636</Real>
        <Personal>24360</Personal>
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      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>330996</TotalRevenueColumn>
        <ExclusionAmount>330996</ExclusionAmount>
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      <LessCostOthBasisSalesExpenses>
        <Other>187161</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Other>-149165</Other>
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      <NetGainOrLossInvestments>
        <TotalRevenueColumn>-149165</TotalRevenueColumn>
        <ExclusionAmount>-149165</ExclusionAmount>
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        <Description>DISTRIBUTIONS FROM MEM</Description>
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        <TotalRevenueColumn>2175549</TotalRevenueColumn>
        <ExclusionAmount>2175549</ExclusionAmount>
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      <OtherRevenueMisc>
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        <ExclusionAmount>-98088</ExclusionAmount>
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      <TotalOtherRevenue>2077461</TotalOtherRevenue>
      <TotalRevenue>
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        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
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      <GrantsToDomesticOrgs>
        <Total>100000</Total>
        <ProgramServices>100000</ProgramServices>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
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        <ProgramServices>75455</ProgramServices>
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      <OtherSalariesAndWages>
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        <ProgramServices>70852265</ProgramServices>
        <ManagementAndGeneral>6662119</ManagementAndGeneral>
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      <PensionPlanContributions>
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        <ProgramServices>7643301</ProgramServices>
        <ManagementAndGeneral>737511</ManagementAndGeneral>
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        <ProgramServices>9350614</ProgramServices>
        <ManagementAndGeneral>902252</ManagementAndGeneral>
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      <PayrollTaxes>
        <Total>5420092</Total>
        <ProgramServices>4943124</ProgramServices>
        <ManagementAndGeneral>476968</ManagementAndGeneral>
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      <FeesForServicesManagement>
        <Total>1172954</Total>
        <ProgramServices>1172954</ProgramServices>
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      <FeesForServicesLegal>
        <Total>477884</Total>
        <ManagementAndGeneral>477884</ManagementAndGeneral>
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      <FeesForServicesAccounting>
        <Total>220271</Total>
        <ManagementAndGeneral>220271</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>25</Total>
        <ManagementAndGeneral>25</ManagementAndGeneral>
      </FeesForServicesLobbying>
      <OfficeExpenses>
        <Total>3901738</Total>
        <ProgramServices>3693137</ProgramServices>
        <ManagementAndGeneral>208601</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>2838749</Total>
        <ProgramServices>2838749</ProgramServices>
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      <Occupancy>
        <Total>2944111</Total>
        <ProgramServices>2685030</ProgramServices>
        <ManagementAndGeneral>259081</ManagementAndGeneral>
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      <Travel>
        <Total>38797</Total>
        <ProgramServices>30847</ProgramServices>
        <ManagementAndGeneral>7950</ManagementAndGeneral>
      </Travel>
      <ConferencesMeetings>
        <Total>333098</Total>
        <ProgramServices>227454</ProgramServices>
        <ManagementAndGeneral>105644</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>2603482</Total>
        <ProgramServices>2603482</ProgramServices>
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      <DepreciationDepletion>
        <Total>9579733</Total>
        <ProgramServices>9545162</ProgramServices>
        <ManagementAndGeneral>34571</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>676395</Total>
        <ProgramServices>676395</ProgramServices>
      </Insurance>
      <OtherExpenses>
        <Description>MEDICAL SUPPLIES</Description>
        <Total>31486361</Total>
        <ProgramServices>31486361</ProgramServices>
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      <OtherExpenses>
        <Description>BAD DEBT EXPENSE</Description>
        <Total>20441934</Total>
        <ProgramServices>20441934</ProgramServices>
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      <OtherExpenses>
        <Description>PURCHASED SERVICES</Description>
        <Total>14098172</Total>
        <ProgramServices>14098172</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MISCELLANEOUS EXPENSE</Description>
        <Total>11811601</Total>
        <ProgramServices>11811601</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>4658299</Total>
        <ProgramServices>4658299</ProgramServices>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>209027213</Total>
        <ProgramServices>198934336</ProgramServices>
        <ManagementAndGeneral>10092877</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <CashNonInterestBearing>
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        <EOY>2014573</EOY>
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      <SavingsAndTempCashInvestments>
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        <EOY>42817</EOY>
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        <EOY>27700086</EOY>
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      <InventoriesForSaleOrUse>
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        <EOY>4427645</EOY>
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        <EOY>2214541</EOY>
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      <LandBuildingsEquipmentBasis>194772398</LandBuildingsEquipmentBasis>
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      <LandBuildingsEquipmentBasisNet>
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      </LandBuildingsEquipmentBasisNet>
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        <BOY>8964414</BOY>
        <EOY>13614143</EOY>
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      <TotalAssets>
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        <EOY>242316795</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
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      <TaxExemptBondLiabilities>
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        <EOY>57045434</EOY>
      </TaxExemptBondLiabilities>
      <OtherLiabilities>
        <BOY>78720321</BOY>
        <EOY>76280392</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>159557544</BOY>
        <EOY>154489373</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>58301068</BOY>
        <EOY>86929834</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>1011601</BOY>
        <EOY>897588</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>59312669</BOY>
        <EOY>87827422</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>218870213</BOY>
        <EOY>242316795</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>17682808</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>10831945</ReconcilationOtherChanges>
      <InfoInScheduleOPartXII>X</InfoInScheduleOPartXII>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
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      <PaidStaffOrManagement>0</PaidStaffOrManagement>
      <MediaAdvertisements>0</MediaAdvertisements>
      <MailingsMembers>0</MailingsMembers>
      <PublicationsOrBroadcast>0</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>0</GrantsOtherOrganizations>
      <DirectContactLegislators>0</DirectContactLegislators>
      <RalliesDemonstrations>0</RalliesDemonstrations>
      <OtherActivities>1</OtherActivities>
      <OtherActivitiesAmount>25</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>25</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>0</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>EXPLANATION OF LOBBYING ACTIVITIES:</Identifier>
        <ReturnReference>PART II-B, LINE 1:</ReturnReference>
        <Explanation>(NCHA DUES)</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <Buildings>
        <OtherCostOrOtherBasis>104657969</OtherCostOrOtherBasis>
        <Depreciation>41657507</Depreciation>
        <BookValue>63000462</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>37804290</OtherCostOrOtherBasis>
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        <BookValue>16229428</BookValue>
      </LeaseholdImprovements>
      <Equipment>
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        <Description>INVESTMENTS</Description>
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        <MethodOfValuation>F</MethodOfValuation>
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      <OtherAssets>
        <Description>BOND ISSUANCE COSTS, NET</Description>
        <BookValue>582408</BookValue>
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      <OtherAssets>
        <Description>INVESTMENT IN AFFILIATE</Description>
        <BookValue>2666666</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>OTHER RECEIVABLES</Description>
        <BookValue>4546927</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DUE FROM AFFILIATE</Description>
        <BookValue>5363198</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>LONG-TERM RECEIVABLES</Description>
        <BookValue>454944</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>13614143</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>OTHER LIABILITIES</Description>
        <Amount>17361569</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>MINIMUM PENSION LIABILITY</Description>
        <Amount>56093275</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS</Description>
        <Amount>2825548</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>76280392</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X:</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
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      <WrittenPolicy>1</WrittenPolicy>
      <FPGReferenceFreeCare>1</FPGReferenceFreeCare>
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      <FPGReferenceDiscountedCare>1</FPGReferenceDiscountedCare>
      <Pcent350>X</Pcent350>
      <FreeDiscCareMedicallyIndigent>1</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>1</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>0</ExpensesExceededBudget>
      <AnnualCommunityBenefitReport>1</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>1</ReportPublicallyAvailable>
      <CharityCareAtCost>
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      </CharityCareAtCost>
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      </UnreimbursedMedicaid>
      <TotalCharityCare>
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      </TotalCharityCare>
      <CommunityHealthServices>
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        <NetCommunityBenefitExpense>2257486</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01200</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
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        <NetCommunityBenefitExpense>1360850</NetCommunityBenefitExpense>
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      </HealthProfessionsEducation>
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        <PercentOfTotalExpense>0.00050</PercentOfTotalExpense>
      </Research>
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      </CashAndInKindContributions>
      <TotalOtherBenefits>
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      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>62995927</TotalCommunityBenefitExpense>
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        <PercentOfTotalExpense>0.13590</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <WorkforceDevelopment>
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        <NetCommunityBuildingExpense>502925</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00270</PercentOfTotalExpense>
      </WorkforceDevelopment>
      <Other>
        <TotalCommunityBuildingExpense>11532</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>11532</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </Other>
      <Total>
        <TotalCommunityBuildingExpense>514457</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>514457</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00280</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>1</BadDebtExpenseReported>
      <BadDebtExpenseAmount>8603690</BadDebtExpenseAmount>
      <AmountAttributableTo>0</AmountAttributableTo>
      <AmountReimbursedByMedicare>46968738</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>49405414</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-2436676</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>1</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>1</ProvisionForCharityCare>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>1 WAYNE MRI LLC</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>MRI</DescriptionEntPrimaryActivity>
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      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>WAYNE MEMORIAL HOSPITAL INC</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>2700 WAYNE MEMORIAL DRIVE</AddressLine1>
          <City>GOLDSBORO</City>
          <State>NC</State>
          <ZIPCode>27533</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>WAYNE MEMORIAL HOSPITAL INC</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
        <UsesFPGFree>1</UsesFPGFree>
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        <UsesFPGDiscounted>1</UsesFPGDiscounted>
        <FPGDiscountPercent>350.000000000000</FPGDiscountPercent>
        <ExplainsBasis>0</ExplainsBasis>
        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>1</IncludesPublicityMeasures>
        <PostedOnWebsite>X</PostedOnWebsite>
        <AvailableOnRequest>X</AvailableOnRequest>
        <OtherPublicity>X</OtherPublicity>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <CollectionActivities>0</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVI>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART I, LINE 6A: N/A</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART I, LINE 7G: N/A</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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 $ 20441934.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART II: THE HOSPITAL SURVEYS THE NEEDS OF THE MEDICAL COMMUNITY (PROVIDERS) TO ENABLE THE BOARD OF DIRECTORS TO ADOPT A MEDICAL STAFF DEVELOPMENT PLAN, FROM WHICH THEY DETERMINE RECRUITMENT TARGETS. IN THE CURRENT ENVIRONMENT, HOSPITALS ARE WORKING WITH MEDICAL STAFFS TO MEET THE NEED FOR PRIMARY CARE, AS WELL AS SPECIALTY CARE. THE HOSPITAL HAS PROVIDED SUPPORT IN THE FORM OF LOANS TO DOCTORS NEW TO THE AREA FOR THE FIRST YEAR OF PRACTICE, WHICH ARE FORGIVEN AS THESE PHYSICIANS STAY AND MEET COMMUNITY NEEDS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 9B: OUR COLLECTION POLICY INDICATES OUR USE OF A CREDIT SCORING TOOL WHICH ASSIST OUR COLLECTION STAFF IN THE IDENTIFICATION OF PATIENTS THAT QUALIFY FOR UNCOMPENSATED CARE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>WAYNE MEMORIAL HOSPITAL, INC.</Identifier>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>WAYNE MEMORIAL HOSPITAL, INC.</Identifier>
        <Explanation>PART V, SECTION B, LINE 19D: UNINSURED PATIENTS ARE BILLED THE SAME AMOUNTS AS INSURED PATIENTS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 2: WAYNE MEMORIAL HOSPITAL JOINTLY CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT, WITH THE WAYNE COUNTY HEALTH DEPARTMENT, EVERY FEW YEARS. IN FYE 9/30/2009, WAYNE COUNTY AND THE HOSPITAL AND OTHER COMMUNITY PARTNERS CONDUCTED A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT. IN 2012, A JOINT CHNA WAS BEGUN, WHICH CONCLUDED IN THE FALL OF 2012, AND WAS REPORTED TO THE COMMUNITY IN JANUARY 2013, PART OF THE HOSPITAL'S FYE 9/30/2013. AS PART OF THIS CHNA, AN ELECTRONIC SURVEY WAS CONDUCTED TO GET PRIMARY DATA, PLUS SECONDARY DATA FROM LOCAL, STATE AND NATIONAL SOURCES WAS USED TO DETERMINE WAYNE COUNTY HEALTH NEEDS. ALSO, FOCUS GROUPS WERE CONVENED IN 11 DIFFERENT SETTINGS (DIVERSE IN GEOGRAPHY AND CULTURE) TO ADD MORE UNDERSTANDING. ACTIONS ARE BEING COORDINATED AND TAKEN BY KEY CONSTITUENTS FROM WAYNE COUNTY, IN PARTNERSHIP WITH THE WAYNE COUNTY HEALTH DEPARTMENT, THE CITY OF GOLDSBORO, THE HOSPITAL AND OTHER AGENCIES TO ENCOURAGE GOOD HEALTH COUNTY-WIDE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 3: PROVIDE COUNSELING TO PATIENTS, PROVIDE PATIENT BROCHURES WITH INFORMATION AND HOSPITAL WEBSITE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 4: WAYNE MEMORIAL HOSPITAL SERVES PRIMARILY WAYNE COUNTY, NORTH CAROLINA, WITH AN ESTIMATED POPULATION OF 124,246 IN 2012, 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 5,000 ACTIVE DUTY PERSONS PLUS THEIR FAMILIES. THE AVERAGE INCOME PER CAPITAL IS LOWER, AT $21,135, THAN NORTH CAROLINA'S AVERAGE, AT $25,256. PERSONS BELOW POVERTY LEVEL, AVERAGE 2007-2011, IN WAYNE COUNTY IS HIGHER, AT 20.2%, COMPARED TO NORTH CAROLINA AVERAGE OF 16.1%. WAYNE COUNTY'S POPULATION IS 55.1% WHITE, 32.1% BLACK, AND 10.4% HISPANIC, COMPARED TO NORTH CAROLINA'S 64.7% WHITE, 22.0% BLACK AND 8.7% HISPANIC. THE COUNTY IS LARGE, AT 553 SQUARE MILES, AND IT IS THE 4TH LARGEST AGRICULTURAL PRODUCER IN THE STATE. UNINSURED CHILDREN UNDER AGE 18 IN 2011 WERE ESTIMATED BY THE US CENSUS SMALL AREA INCOME AND POVERTY ESTIMATES (SAIPE) PROGRAM (DECEMBER 2012) TO BE 32%, COMPARED TO 25.4% IN NORTH CAROLINA, AND 22.5% NATIONALLY. POVERTY IMPACTS ACCESS TO CARE, WITH EMERGENCY DEPARTMENT USE HIGHER IN AREAS WITH HIGHER POVERTY.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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 ON 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 6: WAYNE MEMORIAL HOSPITAL WAS INCORPORATED IN 1985, WHEN WAYNE HEALTH CORPORATION, THE PARENT COMPANY (ALSO NOT-FOR-PROFIT) WAS FORMED TO PROVIDE OVERALL PLANNING FOR AN INTEGRATED, COORDINATED HEALTH CARE SYSTEM IN WAYNE COUNTY. THE HOSPITAL IS A 2/3 PARTNER IN A JOINT VENTURE THAT PROVIDES MRI SERVICES TO LOCAL RESIDENTS USING 2 FIXED MRI UNITS, WAYNE HEALTH FOUNDATION PROVIDES CARE FOR UNINSURED PATIENTS IN WAYNE COUNTY, THROUGH 2 CLINICS: ONE BASED AT THE GOLDSBORO YMCA AND ONE THAT USES A MOBILE VAN TO VISIT LOCATIONS THROUGHOUT WAYNE COUNTY. TRANSPORTATION IS AN ISSUE FOR UNINUSRED PEOPLE MORE THAN 10,000 PATIENT VISITS OCCURRED IN 2012, AND ALMOST $2 MILLION IN FREE MEDICATIONS WERE DELIVERED TO PATIENTS IN THIS FISCAL YEAR.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>REPORTS FILED WITH STATES</Identifier>
        <ReturnReference>PART VI, LINE 7</ReturnReference>
        <Explanation>NC</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <RecordsMaintained>1</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>THE FOUNDATION OF WAYNE COMMUNITY COLLEGE</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 8002</AddressLine1>
          <City>GOLDSBORO</City>
          <State>NC</State>
          <ZIPCode>27533</ZIPCode>
        </AddressUS>
        <EINOfRecipient>561556512</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>100000</AmountOfCashGrant>
        <PurposeOfGrant>HEALTHCARE EDUCATION</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>1</TotalNbrOf501C3AndGovtGrants>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>EDUCATIONAL SCHOLARSHIPS</TypeOfGrant>
        <NumberOfRecipients>25</NumberOfRecipients>
        <AmountOfCashGrant>75455</AmountOfCashGrant>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIV>
        <Identifier>PROCEDURE FOR MONITORING GRANTS IN THE U.S.:</Identifier>
        <ReturnReference>PART I, LINE 2:</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
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        <NamePerson>RICK BAZIK</NamePerson>
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      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 1A</ReturnReference>
        <Explanation>LESS THAN $300 PAID ANNUALLY.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 4B</ReturnReference>
        <Explanation>J. WILLIAM PAUGH PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN AND RECEIVED $60,266 IN PAYMENTS FROM THE PLAN DURING THE YEAR.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
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        <IssuerName>
          <BusinessNameLine1>NORTH CAROLINA MEDICAL CARE COMMISSION</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>521309402</IssuerEIN>
        <CUSIPNumber>65820HB93</CUSIPNumber>
        <DateIssued>2009-03-19</DateIssued>
        <IssuePrice>35720000</IssuePrice>
        <DescriptionOfPurpose>CAPITAL EXPENDITURES</DescriptionOfPurpose>
        <Defeased>0</Defeased>
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        <HedgeTerminated>0</HedgeTerminated>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>A DRAFT OF FORM 990 IS MADE AVAILABLE TO THE GOVERNING BODY FOR REVIEW BEFORE IT IS FILED WITH THE IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED GAINS ON INVESTMENTS: 10,132,428. NET ASSETS RELEASED FROM RESTRICTIONS -739,094. CHANGE IN MINIMUM PENSION LIABILITY 1,438,611. TOTAL TO FORM 990, PART XI, LINE 5: 10,831,945.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XII, LINE 2C:</ReturnReference>
        <Explanation>THE PROCESS FOR APPROVING AUDITED FINANCIAL STATEMENTS AND FOR SELECTING INDEPENDENT ACCOUNTANTS HAS NOT CHANGED FROM THE PRIOR YEAR.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>AMERICAN MANAGEMENT ASSOCIATES LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2719 GRAVES DRIVE</AddressLine1>
          <City>GOLDSBORO</City>
          <State>NC</State>
          <ZIPCode>27534</ZIPCode>
        </AddressUS>
        <EIN>561622637</EIN>
        <PrimaryActivities>COLLECTIONS</PrimaryActivities>
        <LegalDomicileState>NC</LegalDomicileState>
        <TotalIncome>-191891</TotalIncome>
        <EOYAssets>343972</EOYAssets>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>WAYNE HEALTH FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2700 WAYNE MEMORIAL DRIVE</AddressLine1>
          <City>GOLDSBORO</City>
          <State>NC</State>
          <ZIPCode>27533</ZIPCode>
        </AddressUS>
        <EIN>581881912</EIN>
        <PrimaryActivities>SUPPORT</PrimaryActivities>
        <LegalDomicileState>NC</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 9</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>WAYNE HEALTH CORPORATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 8001</AddressLine1>
          <City>GOLDSBORO</City>
          <State>NC</State>
          <ZIPCode>27534</ZIPCode>
        </AddressUS>
        <EIN>561479733</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>NC</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 11A, I</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>WAYNE MRI LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2700 WAYNE MEMORIAL DRIVE</AddressLine1>
          <City>GOLDSBORO</City>
          <State>NC</State>
          <ZIPCode>27533</ZIPCode>
        </AddressUS>
        <EIN>342043934</EIN>
        <PrimaryActivity>MRI SERVICES</PrimaryActivity>
        <LegalDomicileState>NC</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>1705875</ShareOfTotalIncome>
        <ShareOfEOYAssets>2616667</ShareOfEOYAssets>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>1</GeneralOrManagingPartner>
        <PercentageOwnership>0.66670</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <ReceiptOfIntAnnRentsRoyalties>1</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>1</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>1</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>WAYNE HEALTH CORPORATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>J</TransactionType>
        <AmountInvolved>250000</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL CASH PAYMENT</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>WAYNE HEALTH FOUNDATION INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>441325</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL CASH PAYMENT</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>WAYNE HEALTH FOUNDATION INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>98577</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL CASH PAYMENT</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>WAYNE MRI</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>I</TransactionType>
        <AmountInvolved>330996</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL CASH PAYMENT</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>