2024-05-15T16:22:37-05:00 2023-06-30 FORVIS LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2022-07-01 232221292 WAYNE MEMORIAL HEALTH SYSTEM INC % JAMES PETTINATO WAYN 5702538100 601 PARK STREET HONESDALE PA 18431 JAMES PETTINATO CEO 5702538100 2024-05-15 true JAMES PETTINATO XXX-XX-XXXX Brian D Todd P00422601 4178658701 2024-05-15 2 2022 2023-04-26 12:10:37Z JAMES PETTINATO 601 PARK STREET HONESDALE PA 18431 1463478 false X WWW.WMH.ORG X 1992 PA PROMOTES AND ADVANCES CHARITABLE, HEALTH, SCIENTIFIC, SOCIAL, AND EDUCATIONAL SERVICES. 18 15 6 16 0 0 0 0 1966752 1422096 0 0 116271 41382 2083023 1463478 0 0 0 0 1860403 1554252 0 0 0 6702 7361 1867105 1561613 215918 -98135 5058162 4875805 993572 909350 4064590 3966455 X WAYNE MEMORIAL HEALTH SYSTEM DESIRES TO BE THE PROVIDER OF FIRST CHOICE FOR COMMUNITY HEALTH CARE IN WAYNE AND PIKE COUNTIES AND THE GREATER CARBONDALE AND FOREST CITY REGIONS OF NORTHEAST PENNSYLVANIA. false false 1290577 1422096 WAYNE MEMORIAL HEALTH SYSTEM PROMOTES THE HEALTH OF THOSE WHO LIVE IN THE COMMUNITY IT SERVES IN WAYNE AND PIKE COUNTIES, PENNSYLVANIA, AS THE SOLE MEMBER OF WAYNE MEMORIAL HOSPITAL, WAYNE MEMORIAL LONG-TERM CARE AND THE WAYNE MEMORIAL HEALTH FOUNDATION. SEE SCHEDULE O FOR MORE INFORMATION. 1290577 true false false false false false false false false false false true false false true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true 1 0 true 6 true false false false false false false false false false false false false X 18 15 true false false false false false false true true false false true true true true true true true true false X JAMES PETTINATO 5702538100 601 PARK STREET HONESDALE PA 18431 X DR SEAN MCVEIGH TRUSTEE/CHIEF OF MS 0.8 39.2 X 0 398834 30711 JAMES PETTINATO CEO 0.1 39.9 X 338430 0 47871 PATRICIA DUNSINGER CFO 14.8 25.2 X 180601 0 14272 JAMES HOCKENBURY CHIEF OF ANCILLARY SERVICES 6.0 34.0 X 167895 0 17536 BETHANY FINE CHIEF OF HUMAN RESOURCES 13.2 26.8 X 132330 0 31210 CHANDRA ROBERTS CHIEF OF PATIENT CARE SERVICES 0.8 39.2 X 115427 0 14703 TIMOTHY HUBER CHIEF OF REAL ESTATE AND FACIL 13.2 26.8 X 103888 0 25018 BRAD KIESENDAHL TRUSTEE 0.8 0.8 X 0 0 0 CHRISTINE RECHNER TRUSTEE/ WM LTC CHAIRMAN 0.8 2.4 X 0 0 0 DIANE POPOVICH TRUSTEE/AUXILIARY PRESIDENT 0.8 0.8 X 0 0 0 DR JASON ZIELINSKI TRUSTEE/MS VP 0.8 0.8 X 0 0 0 FRANK BORELLI TREASURER 0.8 0.8 X X 0 0 0 HUGH RECHNER CHAIRMAN 1.0 0.8 X X 0 0 0 JOANN HUDAK 1ST VICE CHAIR 0.8 0.8 X X 0 0 0 KATE BRYANT TRUSTEE 0.8 0.8 X 0 0 0 KEITH GUNUSKEY TRUSTEE 0.8 0.8 X 0 0 0 MARY BURNS HOFF SECRETARY 0.8 0.8 X X 0 0 0 MARY BETH WOOD TRUSTEE 0.8 0.8 X 0 0 0 NANCY MORO TRUSTEE/CAB PRESIDENT 0.8 1.0 X 0 0 0 NANCY PROPST TRUSTEE/FOUNDATION CHAIRMAN 0.8 1.3 X 0 0 0 PAUL KARPIAK TRUSTEE 0.8 0.8 X 0 0 0 RON SCHMALZE TRUSTEE END 12/22 0.8 0.8 X 0 0 0 WENDELL HUNT 2ND VICE CHAIR 0.8 0.8 X X 0 0 0 MELISSA RICKARD TRUSTEE 0.8 0.8 X 0 0 0 DR SANDY COSKLO TRUSTEE/MS PRESIDENT 0.8 0.8 X 0 0 0 1038571 398834 181321 6 false true false 0 0 MANAGEMENT FEE REVENUE 900099 1422096 1422096 1422096 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 GAIN/LOSS ON EQUITY INVESTEE 900099 41382 41382 41382 1463478 1422096 41382 0 0 0 0 581174 482374 98800 0 752023 624179 127844 32935 27336 5599 91951 76319 15632 96169 79820 16349 0 0 6700 6700 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 661 549 112 0 1561613 1290577 271036 0 0 0 323949 160872 0 0 0 0 0 0 0 0 0 0 0 0 638178 577672 0 0 0 0 4095255 4136481 0 0 0 0 780 780 5058162 4875805 357753 376672 0 0 0 0 0 0 0 0 0 0 0 0 0 0 635819 532678 993572 909350 X 4064590 3966455 0 0 4064590 3966455 5058162 4875805 -98135 X false true X true false X X X 2 WM HOSPITAL 240798839 3 true 0 0 WM LT CARE 232719336 10 true 0 0 2 0 0 true false false false false false false false false false false false false false false true INVESTMENT IN CHART 4136481 C 4136481 0 457(F) LIABILITY 9310 457(B) LIABILITY 523368 532678 1463478 1463478 1463478 1561613 1561613 1561613 SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED IN THE FINANCIAL STATEMENTS. X X X false true false false false false false false false DR SEAN MCVEIGH TRUSTEE/CHIEF OF MS 0 398834 0 0 0 0 0 10450 0 20261 0 429545 0 0 JAMES PETTINATO CEO 309052 0 0 0 29378 0 27610 0 20261 0 386301 0 0 0 PATRICIA DUNSINGER CFO 180601 0 0 0 0 0 10895 0 3377 0 194873 0 0 0 BETHANY FINE CHIEF OF HUMAN RESOURCES 132330 0 0 0 0 0 8343 0 22867 0 163540 0 0 0 JAMES HOCKENBURY CHIEF OF ANCILLARY SERVICES 167895 0 0 0 0 0 10230 0 7306 0 185431 0 0 0 SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: WAYNE MEMORIAL HEALTH SYSTEM COVERS JAMES PETTINATO WITH A 457(F) SUPPLEMENTAL RETIREMENT AGREEMENT (SERP). IN THE CURRENT YEAR THE FOLLOWING CONTRIBUTION WAS MADE: $ 9,310 FORM 990, PART III, LINE 4A PROGRAM SERVICE: THE HEALTH SYSTEM'S LARGEST PROGRAM SERVICES BY EXPENSE STEM FROM WAYNE MEMORIAL HOSPITAL AND WAYNE MEMORIAL LONG-TERM CARE. WAYNE MEMORIAL HOSPITAL IS A NON-PROFIT 92-BED ACUTE CARE HOSPITAL WITH AN EMERGENCY DEPARTMENT THAT IS OPEN 24 HOURS A DAY. THE HOSPITAL ALSO OPERATES 14 BEDS DEDICATED TO INPATIENT REHABILITATION. THE HOSPITAL IS THE ONLY HOSPITAL IN WAYNE COUNTY, A RURAL AREA WITH AN AGING POPULATION. WE OFFER CHARITY CARE AT REDUCED RATES OR WITHOUT CHARGE FOR THOSE WHO CANNOT AFFORD SERVICES AND WHO MEET CERTAIN CRITERIA. FORM 990, PART VI, SECTION A, LINE 2 BUSINESS AND FAMILY RELATIONSHIPS: HUGH RECHNER, BOARD CHAIR, HAS A FAMILY RELATIONSHIP WITH CHRISTINE RECHNER, A TRUSTEE OF WAYNE MEMORIAL HOSPITAL, CHAIR OF THE WAYNE MEMORIAL LONG TERM CARE AND MEMBER OF THE SYSTEM BOARD BY VIRTUE OF POSITION. BRAD KIESENDAHL, TRUSTEE, HAS A FAMILY RELATIONSHIP WITH BROOKE JAMES, A TRUSTEE OF WAYNE MEMORIAL HEALTH FOUNDATION INC., A RELATED ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B 990 REVIEW POLICY: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. A COPY OF THE FORM 990 WILL BE REVIEWED WITH THE RESOURCE MANAGEMENT COMMITTEE WHICH IS RESPONSIBLE FOR THE FINANCIAL OVERSIGHT OF ALL ENTITIES OF THE WAYNE MEMORIAL HEALTH SYSTEM. A COPY OF THE 990 WILL BE DISTRIBUTED VIA E-MAIL TO EACH BOARD MEMBER BEFORE THE RETURN IS SUBMITTED TO THE IRS. MANAGEMENT WILL DISCUSS ANY QUESTIONS THAT ANY BOARD MEMBER MAY HAVE AT THE NEXT FULL BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY: CONFLICT OF INTEREST STATEMENTS ARE COMPLETED BY EVERY BOARD MEMBER AND MANAGER ANNUALLY. EACH INDIVIDUAL IS REQUIRED TO SIGN AND RETURN THE STATEMENTS TO THE ADMINISTRATION OFFICE. THE AUDIT COMMITTEE IS RESPONSIBLE FOR MONITORING COMPLIANCE WITH ANY CONFLICT OF INTEREST THROUGHOUT THE YEAR. IF A CONFLICT ARISES, THE PERSON WITH THE CONFLICT WILL RECUSE THEMSELVES FROM VOTING AND/OR DISCUSSING THE MATTER. FORM 990, PART VI, SECTION B, LINE 15A & 15B COMPENSATION REVIEW: WAYNE MEMORIAL HEALTH SYSTEM, INC., (AND ALL RELATED ENTITIES) UTILIZES A COMPENSATION COMMITTEE OF THE BOARD TO SET COMPENSATION OF ITS CEO AND OTHER SENIOR MANAGERS, INCLUDING CFO, CHIEF OF PATIENT CARE SERVICES, CHIEF OF HUMAN RESOURCES, CHIEF OF REAL ESTATE & FACILITY SERVICES, CHIEF OF ANCILLARY SERVICES AND THE DIRECTOR OF THE WAYNE MEMORIAL HEALTH FOUNDATION. THE COMPENSATION COMMITTEE IS MADE UP OF INDEPENDENT DIRECTORS, WHO, WITH THE ASSISTANCE OF A NATIONAL COMPENSATION CONSULTING FIRM, UTILIZE COMPARABLE DATA FROM THE MARKETPLACE, LOOKING AT SUCH THINGS AS COMPARABLE ORGANIZATIONS IN TERMS OF REVENUE, SIZE, COMPLEXITY AND GEOGRAPHIC REGION. THE ORGANIZATION HAS ADOPTED A PHILOSOPHY OF PAYING AT THE 50TH PERCENTILE OF THE MARKETPLACE. ALL MEETINGS OF THE COMPENSATION COMMITTEE ARE DOCUMENTED AND MINUTES ARE MAINTAINED OF THE DELIBERATION AND DECISION-MAKING PROCESS. THE PROCESS NORMALLY OCCURS FROM JUNE TO OCTOBER OF THE YEAR THE COMPENSATION CHANGES ARE GRANTED. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND/OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII, SECTION A HIGHEST COMPENSATED EMPLOYEES: TIMOTHY HUBER, JAMES HOCKENBURY, BETHANY FINE, AND CHANDRA ROBERTS PRIMARILY PERFORM SERVICES FOR THE SYSTEM'S AFFILIATES RATHER THAN FOR THE SYSTEM. THESE AFFILIATES PAY FOR THE EMPLOYEE'S SERVICES THROUGH THE MANAGEMENT FEES THEY PAY TO THE SYSTEM WHICH IS INCLUDED AS REVENUE ON THE FORM 990, PART VIII, LINE 2A FOR WMHS. WAYNE MEMORIAL HOSPITAL 601 PARK STREET HONESDALE PA 18431 240798839 HOSPITAL PA 501(C)(3) 3 WMHS true WAYNE MEMORIAL LONG TERM CARE INC 37 WOODLANDS DRIVE WAYMART PA 18472 232719336 NURSING FACIL PA 501(C)(3) 10 WMHS true WAYNE MEMORIAL HEALTH FOUNDATION INC 601 PARK STREET HONESDALE PA 18431 232208596 FUNDRAISING PA 501(C)(3) 12 A I WMHS true WAYNE HEALTH SERVICES INC 601 PARK STREET HONESDALE PA 18431 232376182 DME, RENT, PH PA WMHF C CORP true false false false false false false false false false false false true false false true true true false false WAYNE MEMORIAL HOSPITAL L 1127319 FMV WAYNE MEMORIAL LONG TERM CARE L 169057 FMV WAYNE MEMORIAL HEALTH FOUNDATION L 80900 FMV WAYNE MEMORIAL HOSPITAL P 141551 FMV