2025-05-15T14:55:51+00:00 2024-06-30 440160260 FORVIS LLP 910 E St Louis 200 PO Box 1190 Springfield MO 658062523 990 2023-07-01 240798839 WAYNE MEMORIAL HOSPITAL WAYN 5702538100 601 PARK STREET HONESDALE PA 18431 JAMES PETTINATO CEO 2025-05-15 true Brian Todd P00422601 4178658701 2025-05-15 2023 2025-03-06 01:10:19Z JAMES PETTINATO 601 PARK STREET HONESDALE PA 18431 135462044 false X WWW.WMH.ORG X 1907 PA WAYNE MEMORIAL HOSPITAL IS A NON-PROFIT, COMMUNITY-CONTROLLED HOSPITAL THAT STRIVES TO OFFER THE HIGHEST QUALITY IN INPATIENT AND OUTPATIENT MEDICAL CARE. 15 12 943 131 2662 609 12512024 766467 104409553 109700100 2816131 5042900 1157131 769190 120894839 116278657 2305291 26000 0 55912202 58886603 0 0 59587952 60278308 117805445 119190911 3089394 -2912254 189530684 193293138 78405306 80238238 111125378 113054900 IT IS THE MISSION OF WAYNE MEMORIAL HOSPITAL TO PROVIDE QUALITY HEALTHCARE WITH COMPASSION, ADVOCACY, RESPECT, EXCELLENCE, AND SERVICE; TO PROMOTE WELLNESS IN OUR COMMUNITY; AND TO BE PROACTIVE IN RESPONDING TO OUR COMMUNITY'S NEEDS. false false 74704626 26000 81847300 A VARIETY OF OUTPATIENT SERVICES ARE OFFERED INCLUDING LAB, RADIOLOGY, INTERVENTIONAL RADIOLOGY, AND REHABILITATION SERVICES SUCH AS CARDIAC, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPIES. WMH ALSO PROVIDES OUTPATIENT EMERGENCY AND DIAGNOSTIC SERVICES AND A WOMEN'S HEALTH CENTER. OUR PHYSICIAN SPECIALTY CLINIC OFFERS OUTPATIENT PULMONARY, GASTROENTEROLOGY, UROLOGY, UROGYNECOLOGY, CARDIOLOGY, NEPHROLOGY, NEUROLOGY, SLEEP, AND GENERAL SURGERY SERVICES. WMH FEATURES OVER 30 MEDICAL SPECIALTIES AND INCLUDES A CERTIFIED PRIMARY STROKE CENTER, A LEVEL IV TRAUMA CENTER AND A CERTIFIED CARDIAC CATHETERIZATION LABORATORY. OUR EMERGENCY DEPARTMENT OFFERS PHYSICIAN CARE 24 HOURS A DAY TO ALL, REGARDLESS OF ABILITY TO PAY. 22766468 24951904 INPATIENT SERVICES PROVIDES A FULL CONTINUUM OF CARE, FROM BIRTHING SUITES TO ENDOSCOPY, CARDIOLOGY PROCEDURES, RESPIRATORY THERAPY, IMAGING SCANS, AND HOSPICE CARE FOR THE POPULATION WE SERVE OF APPROXIMATELY 100,000 PEOPLE IN MOSTLY RURAL WAYNE AND PIKE COUNTIES AND SURROUNDING AREAS IN NORTHEASTERN PENNSYLVANIA. OUR HOSPITAL HAS 90 ACUTE-CARE BEDS, INCLUDING 50 IN PRIVATE ROOMS, AND AN ADDITIONAL 14 BEDS DEDICATED TO INPATIENT REHABILITATION. 2646819 2900896 THE ORGANIZATION PROVIDED HOSPICE SERVICES AND RELATED SUPPORT TO THE COMMUNITY. 100117913 true true false true false false false false false true false false true true false false true false false false false false false false false true true false false true true false false true false false false false false false false false false false false false true true false false false true 97 0 true 943 true true true false false false false false false false false false false false X 15 12 true true false false true true true true true false false true true true true true true false false true true PA X JAMES PETTINATO 5702538100 601 PARK STREET HONESDALE PA 18431 FRANK BORELLI TREASURER END; TRUSTEE BEG 10/23 0.8 0.8 X X 0 0 0 HUGH RECHNER CHAIRMAN 0.8 1.0 X X 0 0 0 JOANN HUDAK 1ST VICE CHAIR 0.8 0.8 X X 0 0 0 KATE BRYANT TREASURER BEG 10/23 0.8 0.8 X X 0 0 0 MARY BETH WOOD VICE CHAIR BEG 10/23 0.8 0.8 X X 0 0 0 MARY BURNS HOFF SECRETARY 0.8 0.8 X X 0 0 0 WENDELL HUNT 2ND VICE CHAIR END 12/23 0.8 0.8 X X 0 0 0 BRAD KIESENDAHL TRUSTEE 0.8 0.8 X 0 0 0 CHRISTINE RECHNER TRUSTEE 0.8 2.4 X 0 0 0 DIANE POPOVICH TRUSTEE 0.8 0.8 X 0 0 0 DR JASON ZIELINSKI TRUSTEE/PRES MED STAFF 0.8 0.8 X 0 0 0 DR SEAN MCVEIGH TRUSTEE/CHIEF OF MEDICAL STAFF 39.2 0.8 X 544740 0 24063 DR SYBIL RICKARD TRUSTEE/VICE PRESIDENT OF MEDICAL STAFF 39.2 0.8 X 300287 0 24768 KEITH GUNUSKEY TRUSTEE 0.8 0.8 X 0 0 0 NANCY MORO TRUSTEE END 09/23 0.8 1.0 X 0 0 0 NANCY PROPST TRUSTEE 0.8 1.3 X 0 0 0 PAUL KARPIAK TRUSTEE 0.8 0.8 X 0 0 0 JAMES PETTINATO CHIEF EXECUTIVE OFFICER 36.9 3.1 X 0 324954 46951 PATRICIA DUNSINGER CHIEF FINANCIAL OFFICER 18.8 21.2 X 0 217115 12405 CHANDRA ROBERTS CHIEF OF PATIENT CARE SERVICES 39.2 0.8 X 0 150075 15666 JAMES HOCKENBURY CHIEF OF ANCILLARY SERVICES 34.0 6.0 X 0 204631 19602 DR CLIFFORD CARROL PHYSICIAN 40.0 0.0 X 677489 0 14007 DR DAVID CAUCCI PHYSICIAN 40.0 0.0 X 645945 0 29778 DR JOSEPH LAURETI PHYSICIAN 40.0 0.0 X 502834 0 21588 DR KEITH CORDISCHI PHYSICIAN 40.0 0.0 X 533849 0 19387 DR UZOMA ANAELE PHYSICIAN 40.0 0.0 X 580077 0 21588 3785221 896775 249803 49 false true false ADVANCED INPATIENT MEDICINE ADINFINITIS 7250 PARKWAY DRIVE SUITE 500 HANOVER MD 21076 HOSPITALISTS 3495649 CARDIOSOLUTION PHYSICIANS CA PC 4675 CORNELL RD SUITE 100 CINCINATTI OH 45241 PHYSICIANS 2987687 DIANON SYSTEMS LABORATORY CORP OF AMERICA 1 FOREST PARKWAY SHELTON CT 06484 LABORATORY SERVICES 2182675 DR JOSEPH CENTA 1711 SEMINARY ROAD MILAN OH 44846 SURGEON 1952046 FOUNDATION RADIOLOGY PC 6400 BROOKTREE COURT WEXFORD PA 15090 RADIOLOGY 1092364 9 125000 500000 141467 766467 PA RURAL HEALTH MODEL REVENUE 623000 61482078 61482078 NET PATIENT SERVICE REVENUE 623000 47060455 47060455 OTHER REVENUE 900099 886688 886688 CAFETERIA 722514 270879 270879 0 0 0 0 109700100 2507491 2507491 461757 315092 146665 0 146665 146665 21403704 18868295 2535409 0 2535409 2535409 GAIN/(LOSS) ON EQUITY INVESTEE 900099 622525 2662 619863 0 0 0 0 622525 116278657 109700100 2662 5809428 X 26000 26000 893858 893858 47484393 39850070 7634323 1568701 1319259 249442 5443884 4577874 866010 3495767 2943561 552206 970452 970452 217566 217566 260778 260778 396052 396052 22883824 20842123 2041701 0 186648 186648 2330757 640970 1689787 1827685 1478328 349357 111546 100598 10948 47511 34115 13396 1646196 1381390 264806 6369231 5344685 1024546 1393407 1169265 224142 MEDICAL SUPPLIES & DRUGS 17769003 17769003 REPAIRS & MAINTENANCE 3799365 1678991 2120374 LICENSES, DUES, SUBCRIPTIONS 68287 67823 464 0 0 0 0 119190911 100117913 19072998 0 63130 10963 35007876 27617649 10152495 11724645 0 0 0 0 2306521 2333049 4465804 7080013 154913626 103445973 53834584 51467653 63997001 66665999 516765 461602 3284261 3291746 0 123500 15902247 22516319 189530684 193293138 14077925 15795696 379492 379492 47495435 45888176 0 0 16452454 18174874 78405306 80238238 X 108257090 110232091 2868288 2822809 111125378 113054900 189530684 193293138 X -2912254 3569643 1272133 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 14710 14710 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY WAYNE MEMORIAL HOSPITAL PAYS ANNUAL MEMBERSHIP DUES TO THE HOSPITAL & HEALTH SYSTEM ASSOCIATION OF PENNSYLVANIA (HAP) AND AMERICAN HOSPITAL ASSOCIATION (AHA). THE HOSPITAL IS NOTIFIED EACH YEAR THAT A PORTION OF THE MEMBERSHIP DUES IS USED FOR LOBBYING ACTIVITIES. THE PORTION OF FEES PAID REPRESENTING LOBBYING EXPENDITURES WAS $14,710. 2892690 2892690 59289008 36404644 22884364 3028049 2145407 882642 85354880 63250247 22104633 4348999 1645675 2703324 51467653 OTHER RECEIVABLES 10185752 EST AMOUNT FROM 3RD PARTY 3920580 RIGHT OF USE ASSETS 3483485 DUE FROM AFFILIATE 2596400 BENEFICIAL INT IN PRPTL TRUSTS 2330102 22516319 PROFESSIONAL LIABILITY CLAIMS 7439226 DUE TO THIRD PARTIES 6624316 LEASE LIABILITY 4111332 18174874 120249876 3569643 1249003 4818646 115431230 396052 451375 847427 116278657 119644192 315092 315092 119329100 396052 -534241 -138189 119190911 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 OR DISCLOSED IN THE FINANCIAL STATEMENTS. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 NET ASSETS RELEASED FROM RESTRICTION - 714762 PENSION EXPENSE - 534241 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements TEMPORARILY RESTRICTED GRANT REVENUE - 766467 RENTAL EXPENSES - -315092 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 RENTAL EXPENSES - 315092 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements PENSION EXPENSE - -534241 true true X true X false true true true false true true 384 166959 166959 0.0014 17303386 12935876 4367510 0.0366 0 0.0 0 384 17470345 12935876 4534469 0.0380 21 6987 318630 318630 0.0027 1 1 4185 4185 0.0000 0 0.0 0 0.0 1 1350 1350 0.0000 23 6988 324165 0 324165 0.0027 23 7372 17794510 12935876 4858634 0.0408 0 0.0 0 0.0 2 15793 15793 0.0001 0 0.0 0 0.0 0 0.0 0 0.0 2 286 22096 22096 0.0002 0 0.0 4 286 37889 0 37889 0.0003 true 13497637 3524233 25592094 28299927 -2707833 X true true 1 1 WAYNE MEMORIAL HOSPITAL 601 PARK STREET HONESDALE PA 18431 WWW.WMH.ORG 230501 X X X WAYNE MEMORIAL HOSPITAL 1 false false true X X X X X X X X X 21 true false true true X https://www.wmh.org/chna-community-health-needs-assessment/ X true 21 true https://www.wmh.org/chna-community-health-needs-assessment/ false true X 200.0 true true X X X X true X https://www.wmh.org/financial-assistance/ X https://www.wmh.org/financial-assistance/ X https://www.wmh.org/financial-assistance/ X X X X X true X false X X X true X false false Schedule H, Part V, Section B, Line 3E The emergence of COVID-19 has dramatically impacted all facets of life, including the community's health. Though data collection for this CHNA corresponded to a period of eased pandemic restrictions, widespread vaccine availability, and lower disease transmission in the community, evidence of the pandemic's presence remains. Mental Health Services: Clear community concern for mental health was conveyed in every phase of CHNA completion. Our local counties have fewer mental healthcare providers per population size than does the state, on average. Combined with increasing need for treatment among both youth and adult populations, mental health is a significant challenge across our community. Substance Abuse: Overdose deaths and alcohol use have risen across the United States during the pandemic; opioid misuse was already of particular concern throughout rural Pennsylvania pre-pandemic. Local data reflects national and state trends and brings additional medical concerns to the healthcare and social services systems. Improved Access to Care: Despite suboptimal population-to-provider ratios which limit access, most who do receive primary care are satisfied with that care. Improved access to specialty services remains concern for community members. Pike County has no emergency care within its boundaries and ambulance service is limited there and across the region. Public transportation is also lacking. These factors combine to limit timely access to care for some in our rural community, particularly when facing health emergencies. Older Adult Services: WMH's service area is older, on average, than the balance of Pennsylvania. Beyond the expected medical care for older adults, our region is challenged by a higher-than-expected Alzheimer's rate, even after accounting for age. Elevated average age can also increase the chronic disease burden and demand for nursing home care, which is limited locally. Not surprisingly, requests for caregiver support groups as well as engagement opportunities for older adults themselves were among the survey results. Cancer & Heart Disease: Deaths prior to age 75 are considered premature deaths. Although our region reflects the statewide average for years of potential life lost due to premature death, efforts to further reduce mortality associated with cancer and heart disease have the potential to positively impact many in the WMH community. Local counties retain modifiable community and behavioral risk factors that can be addressed to improve health outcomes. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - WAYNE MEMORIAL HOSPITAL. THE 2022 CHNA WAS CONDUCTED IN ASSOCIATION WITH THE INSTITUTE FOR PUBLIC HEALTH RESEARCH AND INNOVATION AT EAST STROUDSBURG UNIVERSITY. THE METHODOLOGY INVOLVED BOTH QUANTITATIVE AND QUALITY ASSESSMENTS. DATA WAS COLLECTED FROM THE PENNSYLVANIA DEPARTMENT OF HEALTH, THE 2022 COUNTY HEALTH RANKINGS AND ROADMAPS, THE CENTER FOR RURAL PENNSYLVANIA, THE U.S. CENSUS, WAYNE AND PIKE COUNTY STATISTICS AND OTHER PUBLIC SOURCES TO IDENTIFY POPULATION GROUPS, DISEASE TRENDS, MORTALITY RATES AND CAUSES, AND VACCINATION UPTAKE IN THE COMMUNITIES SERVED BY WAYNE MEMORIAL HOSPITAL. THIS INFORMATION WAS AUGMENTED WITH AN ONLINE PUBLIC SURVEY (526 RESPONDENTS), INTERVIEWS WITH COMMUNITY STAKEHOLDERS AND FOCUS GROUPS TO FORM A MORE VIBRANT, COHESIVE PICTURE OF THE COMMUNITY AS A WHOLE TO ASSESS ITS NEEDS ACCORDINGLY AND DETERMINE HOW TO STRATEGIZE MEETING THOSE NEEDS. Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - WAYNE MEMORIAL HOSPITAL. THE CNHA PROCESS WAS GUIDED BY A LOCAL STEERING COMMITTEE CONSISTING OF REPRESENTATIVES FROM WAYNE MEMORIAL HOSPITAL, WAYNE MEMORIAL COMMUNITY HEALTH CENTERS, WAYNE AND PIKE COUNTY GOVERNMENTS INCLUDING LOCAL DEPARTMENT OF HEALTH REPRESENTATIVES, WAYNE AND PIKE COUNTY HUMAN SERVICE AGENCIES, FOREST CITY (SUSQUEHANNA COUNTY) AND CARBONDALE AREA (LACKAWANNA COUNTY) COMMUNITY REPRESENTATIVES, AND COMMUNITY REPRESENTATIVES AND OFFICIALS FROM AREA SCHOOL DISTRICTS. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - WAYNE MEMORIAL HOSPITAL. ALTHOUGH WAYNE MEMORIAL HOSPITAL RECOGNIZES THE IMPORTANCE OF ALL THE NEEDS IDENTIFIED BY THE COMMUNITY, CERTAIN NEEDS ARE NOT WITHIN THE PURVIEW OF WMH AND ARE NOT ADDRESSED. THE IMPLEMENTATION STRATEGY DESCRIBES THE NEEDS BEING MET, AS WELL AS THE ORGANIZATION RESPONSIBLE TO ADDRESS THE IDENTIFIED NEEDS AND THE STATUS OF THE STRATEGY TO ADDRESS SUCH NEEDS. 0 Schedule H, Part V, Section B, Line 22 MAXIMUM AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS A FINANCIAL ASSISTANCE ELIGIBLE INDIVIDUAL WILL NOT BE CHARGED MORE FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE THAN AGB. IF A PATIENT IS FAP ELIGIBLE, THEY WOULD RECEIVE A 100% DISCOUNT. THE HOSPITAL USES THE PROSPECTIVE MEDICARE METHOD FOR CALCULATING AGB. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 3. Schedule H, Part II Community Building Activities WAYNE MEMORIAL HOSPITAL (WMH) AND ITS AFFILIATES PROMOTE THE HEALTH AND WELLBEING OF THE COMMUNITIES AND INDIVIDUALS IT SERVES THROUGH A VARIETY OF COMMUNITY BENEFIT AND COMMUNITY BUILDING ACTIVITIES. WE FOCUS ON THE UNDERSERVED AND UNDERPRIVILEGED WITHIN OUR SERVICE AREA. WE ENDEAVOR TO IMPROVE THE LITERACY LEVEL AND PRIORITIZE INFORMATION GIVEN ON PREVENTION AND TREATMENT FOR CHRONIC DISEASE. OUR GOAL IS TO IMPACT ROOT CAUSES OF POOR HEALTH BY BECOMING A CATALYST FOR HEALTHY LIFESTYLE CHANGES IN OUR SERVICE AREA. THE RATIONALE, PROGRAM METHODOLOGY AND IMPLEMENTATION FOR THE FOLLOWING PROGRAMS ARE TYPICAL OF THE OTHER PROGRAMS DESCRIBED BELOW AND SHOULD SERVE AS A MODEL FOR THOSE PROGRAMS IN ADDRESSING THE REQUIREMENTS OF THIS SECTION OF THE FORM. -THE IN-SCHOOL WALKING PROGRAM IS A PARTNERSHIP OF WAYNE MEMORIAL HOSPITAL, FOREST CITY REGIONAL AND THE FOLLOWING SCHOOL DISTRICTS WITHIN ITS SERVICE AREA: FOREST CITY, WALLENPAUPACK AREA, WAYNE HIGHLANDS AND WESTERN WAYNE. WMH PROVIDES LEADERSHIP, DIRECTION, TRACKING AND FACILITATION FOR THE PROGRAM IN NINE LOCAL SCHOOLS THAT RUNS MONDAY THROUGH THURSDAY 6PM TO 8PM, WHENEVER SCHOOLS ARE IN SESSION. THIS PROVIDES A SAFE FRIENDLY ENVIRONMENT FOR YOUNG, OLD OR DISABLED PEOPLE TO EXERCISE. ALL SITES ARE HANDICAPPED ACCESSIBLE. IT ALSO PROVIDES A USER-FRIENDLY MODALITY TO DISTRIBUTE EDUCATIONAL MATERIALS. -HEALTH PROBLEMS: SEDENTARY LIFESTYLE, POOR NUTRITION, AND POOR BEHAVIORAL HEALTH SKILLS HAVE BEEN IDENTIFIED AS LEADING RISK FACTORS BY THE CENTER FOR DISEASE CONTROL (CDC) AND THE PENNSYLVANIA DEPARTMENT OF HEALTH FOR OBESITY, HEART DISEASE, HYPERTENSION, AND A NUMBER OF OTHER CHRONIC DISEASES. - NEED/PROBLEM IDENTIFICATION: THE NEED WAS IDENTIFIED BY THE WMH COMMUNITY NEEDS ASSESSMENT OF 2019 WHICH IDENTIFIED THE PREVENTION OF CHRONIC DISEASE AS A REGIONAL PRIORITY. A PARTNERSHIP BETWEEN THE TOGETHER FOR HEALTH PROGRAM (TFH), WMH, THE WALLENPAUPACK, WAYNE HIGHLANDS, AND FOREST CITY SCHOOL DISTRICTS, AND COMMUNITY AGENCIES ADDRESSED THE NEEDS OF COMMUNITY MEMBERS AND YOUTH. ONE COMPONENT OF THE PROGRAM, THE RESOURCE DAY, HAS BECOME A CATALYST THAT ENHANCES THE HEALTH AND WELLNESS OF 7TH GRADERS AND 9TH GRADERS. A DAY FILLED WITH 5 SMALL GROUP INTERACTIVE WORKSHOPS FACILITATED BY PROFESSIONALS ON SUCH SUBJECTS AS NUTRITION, YOGA, RELATIONSHIPS, SUICIDE AWARENESS, DRUG AND ALCOHOL, GOAL SETTING, ETC. THE STUDENTS' PARTICIPATION AND THEIR FEEDBACK PROVIDES WMH, SCHOOL DISTRICTS, AND THE COMMUNITY WITH AN AWARENESS OF THE STUDENTS' NEEDS AND HOW TO POSITIVELY IMPACT THE STUDENTS. ULTIMATELY THE FEEDBACK PROVIDES DIRECTION FOR IN-SCHOOL COMMUNITY BENEFITS ACTIVITIES INCLUDING THE IN SCHOOL WALKING PROGRAM AND IN-SCHOOL EDUCATIONAL PRESENTATIONS BY WMH & LOCAL HEALTH CARE PROFESSIONALS. -IMPORTANCE OF HEALTH PROBLEM: LACK OF EXERCISE, POOR NUTRITION AND POOR BEHAVIORAL HEALTH SKILLS HAS MANIFOLD NEGATIVE EFFECTS ON INDIVIDUALS OF ALL AGES AND INCOME LEVELS WITHIN THE REGION'S HIGH RATE OF CHRONIC DISEASE INDIVIDUALS. RURAL, LOW INCOME, ELDERLY OR DISABLED INDIVIDUALS ARE PARTICULARLY VULNERABLE. THE IN-SCHOOL WALKING PROGRAM PROVIDES AN OPPORTUNITY TO LEARN, WALK AND SOCIALIZE WHILE BEING IN A SAFE ATMOSPHERE CLOSE TO THEIR HOME. THE IN-SCHOOL WALKING PROGRAM PROVIDES ACCESS OF SERVICES TO ABOUT 400 PEOPLE WITHIN SCHOOL HALLWAYS NOT IN USE BY THE SCHOOL DURING THOSE HOURS. -ACTIVITY IMPACT AND OUTCOMES: PARTICIPANT RESPONSES TO THE PROGRAM INDICATE THAT IT HELPS MOTIVATE THEM TO FEEL BETTER, LOSE WEIGHT, ENJOY FELLOWSHIP, INCREASE ENERGY LEVELS AND HOLD A BETTER SELF-IMAGE THAN PRIOR TO THEIR PARTICIPATION. THEY ALSO IMPROVED THEIR KNOWLEDGE BASE REGARDING AWARENESS AND PREVENTION OF MANY HEALTH ISSUES. (STROKE, HEART DISEASE, DIABETES, TRAUMA, ASTHMA, COPD, AND SLEEP APNEA, TO NAME A FEW). -COMMUNITY BENEFIT: ENHANCING PUBLIC HEALTH, ADVANCING THE QUALITY OF LIFE, AND RELIEF OF THE BURDEN OF SOCIETY OF CARING FOR THOSE WITH PREVENTABLE CHRONIC ILLNESS. INDIVIDUALS WHO HAVE SEDENTARY AND NEGATIVE LIFESTYLES ARE THE PRINCIPAL BENEFICIARIES OF THE PROGRAM. -SUPPORT: THE WMH COMMUNITY HEALTH DEPARTMENT HAS RESPONDED TO OPPORTUNITIES FOR INVOLVEMENT IN COMMUNITY BENEFIT INITIATIVES BY ENTHUSIASTICALLY DEDICATING THEIR TIME, EXPERTISE AND RESOURCES. THE PRIMARY SUPPORT OF THE IN-SCHOOL WALKING PROGRAM COMES FROM THE FOUR SCHOOL DISTRICTS AND WMH USE OF SOCIAL MEDIA, WEB PAGES, IN-KIND SERVICES, ETC. WMH PROVIDED OVERSITE TO MAINTAIN APPROPRIATE LITERACY LEVELS WITH THE EDUCATIONAL INFORMATION. THE 700+ MEMBERS OF PENNSYLVANIA STATE HEALTH IMPROVEMENT PLAN (SHIP) PARTNERSHIP FOR WAYNE AND PIKE COUNTIES SUPPORT THE WALKING PROGRAM THROUGH POSTING FLYERS, SOCIAL MEDIA, PRESENTATIONS AND PARTICIPATION. WMH IS THE LEAD AGENCY FOR THE PIKE/WAYNE SHIP PARTNERSHIP. THE PARTNERSHIP IDENTIFIES NEEDS AND BECOMES A CATALYST FOR CHANGE TO ACCOMPLISH A HEALTHIER COMMUNITY AND REDUCES THE BURDEN ON MANY GOVERNMENT ENTITIES. BOLD GOLD MEDIA, A LOCAL RADIO STATION, PROVIDES PUBLIC SERVICE ANNOUNCEMENTS AND WMH COMMUNITY HEALTH DEPARTMENT PROVIDES A PERIODIC RADIO BROADCAST, HEALTHWORKS, THAT AIRS ON LOCAL STATIONS. DURING FYE 6/30/2024, THE ABOVE METHODOLOGY COULD BE APPLIED TO ANY OF THE PROGRAMS PROVIDING SERVICES TO THOUSANDS OF RESIDENTS WITHIN THE LOCAL COMMUNITY. SOME OF THE OTHER PROGRAMS INCLUDE HEALTH/RESOURCE AIRS, SEMINARS & WORKSHOPS, EMPLOYEE WELLNESS PROGRAMS, NUTRITION CLASSES, DIABETES CLASSES, TRAUMA AWARENESS, STROKE AWARENESS, OPIOID AWARENESS, BEHAVIORAL HEALTH, STRESS MANAGEMENT AND PAIN MANAGEMENT WITHOUT OPIOIDS, TO NAME A FEW. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount THE HOSPITAL HAS ADOPTED REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HEALTH SYSTEM DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM ITS PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HEALTH SYSTEM'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2023. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2. Schedule H, Part III, Line 3 Bad Debt Expense Methodology THE HOSPITAL DOES NOT TRACK BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY. IF THIS HOSPITAL IS AWARE OR BECOMES AWARE OF A PATIENT'S ELIGIBILITY FOR CHARITY CARE THEN BAD DEBT EXPENSE WOULD NOT BE RECORDED FOR SUCH A PATIENT. CHARITY CARE WOULD BE RECORDED IF THAT PATIENT IS ELIGIBLE. TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE SHOWN ON LINE 3, THE ORGANIZATION APPLIED ITS RATIO OF PATIENT CARE COST TO CHARGES OF 26.11% TO THE TOTAL BAD DEBT EXPENSE SHOWN ON THE HOSPITAL'S FINANCIAL STATEMENT OF $13,497,637. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE, THAT NOTE CAN BE FOUND ON THE ATTACHED AUDITED FINANCIAL STATEMENTS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE HOSPITAL BECAME A SOLE COMMUNITY HOSPITAL (SCH) EFFECTIVE DECEMBER 8, 2013. PRIOR TO THAT THE HOSPITAL WAS A MEDICARE DEPENDENT HOSPITAL (MDH). A MDH MUST HAVE 60% OF ITS INPATIENT DAYS OR ADMISSIONS ATTRIBUTABLE TO ITS MEDICARE PATIENTS IN 2 OUT OF 3 OF ITS MOST RECENT FISCAL YEARS. MDH IS PAID SIMILARLY TO A SOLE COMMUNITY HOSPITAL BUT AT A LESSER RATE. A MDH IS PAID THE GREATER OF THE FEDERAL INPATIENT PROSPECTIVE PAYMENT SYSTEM (IPPS) RATES OR 75% OF THE DIFFERENCE BETWEEN THE HOSPITAL SPECIFIC COST FOR A BASE PERIOD ROLLED FORWARD FOR MARKET BASKET INCREASES FROM THE BASE PERIOD AND THE IPPS RATES. AN SCH RECEIVES 100% OF THE HOSPITAL SPECIFIC COST ROLLED FORWARD FOR FUTURE PERIODS BY MARKET BASKET INCREASES DETERMINED BY THE MEDICARE PROGRAM. DESPITE THE REIMBURSEMENT RATE, WMH EXPERIENCES A SHORTFALL OF MEDICARE COSTS OVER REVENUE YET CONTINUES TO PROVIDE SERVICES TO THE COMMUNITY, PARTICULARLY THE UNDER- AND UNINSURED. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance THE WRITTEN HOSPITAL COLLECTION POLICY CONTAINS PROVISIONS FOR FINANCIAL COUNSELING FOR PATIENTS WHICH INCLUDES APPLYING FOR COMMERCIAL INSURANCE, SUBSIDIZED GOVERNMENT PROGRAMS, AND CHARITY CARE. CHARITY CARE APPLICANTS ARE URGED TO APPLY FOR STATE SPONSORED MEDICAL ASSISTANCE BUT IT IS NOT A REQUIREMENT. QUALIFICATION FOR CHARITY CARE IS BASED ON 200% OF THE CURRENT FEDERAL POVERTY GUIDELINES. THE PATIENT ACCOUNTS MANAGER REVIEWS THE APPLICATIONS AND NOTIFIES THE APPLICANT WHETHER THEIR APPLICATION HAS BEEN APPROVED. PATIENTS QUALIFYING FOR CHARITY CARE HAVE THEIR PATIENT ACCOUNT BALANCES WRITTEN OFF. IF A CHARITY CARE ELIGIBLE PATIENT HAS FUTURE INVOICES, THEY ARE REVIEWED AT THAT TIME. IF THEIR FINANCIAL INFORMATION REMAINS CURRENT THE ADDITIONAL BALANCES ARE ALSO WRITTEN OFF. IF THE PATIENT HAS A FUTURE BILL AND THE FINANCIAL INFORMATION IS NOT CURRENT, THEY MUST REAPPLY FOR CHARITY CARE. Schedule H, Part V, Section B, Line 16a FAP website - WAYNE MEMORIAL HOSPITAL: Line 16a URL: https://www.wmh.org/financial-assistance/; Schedule H, Part V, Section B, Line 16b FAP Application website - WAYNE MEMORIAL HOSPITAL: Line 16b URL: https://www.wmh.org/financial-assistance/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - WAYNE MEMORIAL HOSPITAL: Line 16c URL: https://www.wmh.org/financial-assistance/; Schedule H, Part VI, Line 2 Needs assessment WAYNE MEMORIAL HOSPITAL CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EVERY THREE YEARS, AS PER IRS REQUIREMENTS. THE MOST RECENT CHNA WAS COMPLETED AND WIDELY DISTRIBUTED ON 6/30/2022. THE ASSESSMENT ENCOMPASSED THE HOSPITAL'S SERVICE AREA: WAYNE AND PIKE COUNTIES, THE GREATER CARBONDALE REGION OF LACKAWANNA COUNTY AND FOREST CITY IN SUSQUEHANNA COUNTY. HISTORICALLY, WAYNE MEMORIAL CONTRACTS WITH AN IRS-COMPLIANT OUTSIDE ORGANIZATION TO HELP ASSESS AND RECORD THE COMMUNITY'S HEALTH NEEDS. THE ORGANIZATION IS CHOSEN AND THE PROCESS IS GUIDED BY A LOCAL STEERING COMMITTEE CONSISTING OF REPRESENTATIVES FROM WAYNE MEMORIAL HOSPITAL (WMH), WAYNE MEMORIAL COMMUNITY HEALTH CENTERS (WMCHC, AN FQHC), WAYNE AND PIKE COUNTY GOVERNMENTS INCLUDING LOCAL DEPARTMENT OF HEALTH REPRESENTATIVES, WAYNE AND PIKE COUNTY HUMAN SERVICE AGENCIES, FOREST CITY AND CARBONDALE AREA COMMUNITY REPRESENTATIVES AND OFFICIALS FROM AREA SCHOOL DISTRICTS. THE 2022 CHNA WAS CONDUCTED IN ASSOCIATION WITH THE INSTITUTE FOR PUBLIC HEALTH RESEARCH AND INNOVATION AT EAST STROUDSBURG UNIVERSITY. THE METHODOLOGY INVOLVED BOTH QUANTITATIVE AND QUALITY ASSESSMENTS. DATA WAS COLLECTED FROM THE PENNSYLVANIA DEPARTMENT OF HEALTH, THE 2022 COUNTY HEALTH RANKINGS AND ROADMAPS, THE CENTER FOR RURAL PENNSYLVANIA, THE U.S. CENSUS, WAYNE AND PIKE COUNTY STATISTICS, AND OTHER PUBLIC SOURCES TO IDENTIFY POPULATION GROUPS, DISEASE TRENDS, MORTALITY RATES AND CAUSES, AND VACCINATION UPTAKE IN THE COMMUNITIES SERVED BY WAYNE MEMORIAL HOSPITAL. THIS INFORMATION WAS AUGMENTED WITH AN ONLINE PUBLIC SURVEY (526 RESPONDENTS), INTERVIEWS WITH COMMUNITY STAKEHOLDERS, AND FOCUS GROUPS TO FORM A MORE VIBRANT, COHESIVE PICTURE OF THE COMMUNITY AS A WHOLE TO ASSESS ITS NEEDS ACCORDINGLY AND DETERMINE HOW TO STRATEGIZE MEETING THOSE NEEDS. THE INSTITUTE FOR PUBLIC HEALTH RESEARCH AND INNOVATION CONDUCTED A DESCRIPTIVE AND INFERENTIAL STATISTICAL ANALYSIS OF THE SURVEY DATA USING THE SPSS V27.0 SOFTWARE PACKAGE. THESE FINDINGS WERE COMBINED WITH THE QUALITATIVE FINDINGS (INTERVIEWS, FOCUS GROUPS) TO ELUCIDATE PRIMARY DATA RESULTS FOR THE REGION, SPECIFICALLY LEADING HEALTH NEEDS THAT DEEPLY IMPACT THE WAYNE MEMORIAL COMMUNITY THROUGH FREQUENCY OF OCCURRENCE AND SEVERITY OF OUTCOMES AS WELL AS THOSE EXPERIENCED AT DISPROPORTIONATELY HIGH RATES RELATIVE TO OTHER COMMUNITIES. AN IMPLEMENTATION STRATEGY WAS DEVELOPED AND ADOPTED BY THE WAYNE MEMORIAL HOSPITAL AND HEALTH SYSTEM BOARD OF TRUSTEES AND IS DISTRIBUTED VIA THE HOSPITAL'S WEBSITE AT: HTTPS://WWW.WMH.ORG/CHNA-COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ Schedule H, Part VI, Line 3 Patient education of eligibility for assistance THE HOSPITAL EDUCATES AND INFORMS PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE HOSPITAL'S CHARITY CARE POLICY THROUGH ITS SCHEDULING, REGISTRATION, SOCIAL SERVICES AND BILLING DEPARTMENTS. PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ARE ALSO MADE AWARE OF THEIR ELIGIBILITY THROUGH WMCHC (A CLINICAL AFFILIATE OF THE HOSPITAL WHO RECEIVES SUBSTANTIAL FINANCIAL SUPPORT FROM THE HOSPITAL AND IS A FEDERALLY QUALIFIED HEALTH CENTER). PATIENTS RECEIVE THIS EDUCATION WHEN, DURING THE SCHEDULING OF AN APPOINTMENT TO FINAL DISPOSITION OF THEIR BILL, THERE IS ANY INDICATION OF THE NEED OR REQUEST FOR HELP IN PAYING FOR SERVICES BEING SCHEDULED, PROVIDED OR BILLED. WAYNE MEMORIAL HOSPITAL, THROUGH ITS NETWORK OF 700 STATE HEALTH IMPROVEMENT PLAN PARTNERS ('SHIP' PARTNERS ARE ORGANIZATIONS, AGENCIES, BUSINESSES, SCHOOLS, TASK FORCES, COALITIONS, RELIGIOUS GROUPS, AND INDIVIDUALS) PROVIDES THE MODALITY FOR DELIVERING WRITTEN INFORMATION, VERBAL EXPLANATION AND ASSISTANCE IN COMPLETING FORMS FOR THE MOST VULNERABLE POPULATION. THE INFORMATION AND SERVICES ARE AVAILABLE AT MANY OF WMH'S OUTREACH FUNCTIONS. THE FINANCIAL AID POLICY BROCHURE AND GUIDELINES IS AVAILABLE AT OUTPATIENT REGISTRATION DESKS AND AT APPROPRIATE COMMUNITY OUTREACH FUNCTIONS. IT CONTAINS INFORMATION REGARDING ELIGIBILITY FOR FINANCIAL AID AT WMH, AND HOW TO APPLY FOR MEDICAL ASSISTANCE, MEDICAID, OR FINANCIAL AID. IT CONTAINS THE CONTACT INFORMATION FOR THE WAYNE MEMORIAL COMMUNITY HEALTH CENTERS' OUTREACH AND ENROLLMENT COORDINATORS AND THE MOST RECENTLY RELEASED US POVERTY INCOME GUIDELINES. PHYSICIAN DIRECTORS ARE AVAILABLE AT OUTREACH PROGRAMS. ON THE WMH WEBSITE, THERE IS A FIND A DOC TAB TO ASSIST PATIENTS IN FINDING AN APPROPRIATE PHYSICIAN AND WMH COMMUNITY HEALTH HAS A PHYSICIAN REFERRAL PHONE LINE PROVIDING PERSONAL ASSISTANCE. THIS INFORMATION IS DISCUSSED PERIODICALLY ON THE HEALTHWORKS WEEKLY RADIO SHOW. WHEN NECESSARY, ASSISTANCE IS PROVIDED FOR THOSE WITH LANGUAGE BARRIERS IN BOTH TRANSLATION AND SIGN LANGUAGE. Schedule H, Part VI, Line 4 Community information WAYNE MEMORIAL HOSPITAL'S PRIMARY SERVICE AREA COMPRISES APPROXIMATELY 120,000 PEOPLE ACROSS ALL OF WAYNE COUNTY, PA; THE WESTERN, NORTHERN AND PORTIONS OF EASTERN AND SOUTHERN PIKE COUNTY, PA; THE SOUTHEAST PORTION OF SUSQUEHANNA COUNTY, PA; THE COMMUNITY OF CARBONDALE AND ITS IMMEDIATELY SURROUNDING COMMUNITIES IN LACKAWANNA COUNTY, PA; AND THE SOUTHWEST PORTION OF SULLIVAN COUNTY, NY. THE SECONDARY SERVICE AREA INCLUDES THE BALANCE OF PIKE COUNTY AND EASTERN PORTIONS OF LACKAWANNA AND SUSQUEHANNA COUNTY IN NORTHEASTERN PENNSYLVANIA. THE WAYNE MEMORIAL HOSPITAL (WMH) SERVICE AREA IS PREDOMINANTLY RURAL, NON HISPANIC WHITE AND SIGNIFICANTLY LESS DIVERSE THAN PENNSYLVANIA ON AVERAGE. UNEMPLOYMENT IS HIGHER THAN THE U.S. RATE IN 2022 OF 3.7%* -- WAYNE (9%), PIKE (10.6%) AND SUSQUEHANNA (7.3%) COUNTIES**. THE POVERTY RATE*** IN THOSE COUNTIES IS SLIGHTLY BELOW THE PENNSYLVANIA AVERAGE OF 11.8% AND THE U.S. RATE OF 12.6% -- WAYNE (10.8%), PIKE (9.4%) AND SUSQUEHANNA (11.6%). IN BOTH WAYNE AND PIKE, THE TWO LARGEST BLOCKS IN OUR SERVICE AREA, A SIGNIFICANT PORTION - ABOUT 1/3-OF THE POPULATION IS ELDERLY, AND SERVICES FOR OLDER ADULTS IS CITED AS A TOP NEED ON THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). WAYNE MEMORIAL IS CLASSIFIED IN THE 8TH UNITED STATES CONGRESSIONAL DISTRICT AND INCLUDES FEDERALLY CLASSIFIED MEDICALLY UNDERSERVED AREAS: ALL OF SUSQUEHANNA COUNTY AND TWO TOWNSHIPS IN WAYNE (DAMASCUS) AND PIKE (GREENE) COUNTIES. PARTS OF OUR SERVICE AREA ARE ALSO DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREAS, PARTICULARLY IN MENTAL HEALTH AND DENTAL HEALTH. OVERALL HEALTH: WAYNE MEMORIAL HOSPITAL IS THE ONLY HOSPITAL IN WAYNE COUNTY, AND THERE IS NO HOSPITAL IN PIKE COUNTY. HEALTH STATISTICS (FOUND IN OUR 2022 CHNA) SHOW PIKE AND WAYNE COUNTIES RANK IN THE TOP 50-75% OF PA COUNTIES FOR OVERALL HEALTH OUTCOMES AND HEALTH FACTORS. SUSQUEHANNA COUNTY, WHICH HAS A SMALL CRITICAL-ACCESS HOSPITAL (BUT NOT IN OUR SERVICE AREA), IS ALSO IN THE TOP 50-75% FOR HEALTH OUTCOMES BUT ONLY 25-50% FOR HEALTH FACTORS. LACKAWANNA COUNTY'S HEALTH OUTCOMES ARE LOWER, 0-25%, THOUGH HEALTH FACTORS, 50-75%, ARE STRONG. *US BUREAU OF LABOR STATISTICS **COUNTYHEALTHRANKINGS.ORG ***CENSUSREPORTER.ORG DATA PRESENTED IN CENSUSREPORTER IS COLLECTED BY THE US CENSUS BUREAU. IN GENERAL, THE DATA IS FROM THE MOST RECENTLY RELEASED AMERICAN COMMUNITY SURVEY (ACS). Schedule H, Part VI, Line 5 Promotion of community health WAYNE MEMORIAL HOSPITAL (WMH) IS ACTIVELY INVOLVED IN THE COMMUNITY IT SERVES WITH THE INTENTION OF PROMOTING THE HEALTH OF OUR COMMUNITY AT LARGE. THIS INCLUDES LOCAL INDEPENDENT COMMUNITY REPRESENTATIVES AS A MAJORITY OF OUR BOARD, AGGRESSIVE RESEARCH FOR AND USE OF GRANTS FOR PROJECTS TO PROMOTE HEALTH, MEDIA PUBLICATIONS (INCLUDING SOCIAL MEDIA) TO DISSEMINATE NEWS OF OUR SERVICES AND HEALTH INFORMATION, AND A MEDICAL STAFF WILLING TO PARTNER ON PRESENTATIONS AND PROJECTS THAT BENEFIT THE COMMUNITY. WAYNE MEMORIAL HOSPITAL UTILIZES ANY EXCESS FUNDS OVER EXPENSES TO IMPROVE PATIENT CARE, CONDUCT MEDICAL AND HEALTH EDUCATION, OR SUPPORT OTHER NOT FOR PROFIT ORGANIZATIONS. WAYNE MEMORIAL HOSPITAL'S MEDICAL STAFF IS OPEN. THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR ALL OF ITS DEPARTMENTS, WITH THE EXCEPTION OF ANESTHESIOLOGY, PATHOLOGY AND RADIOLOGY, AS SERVICES IN THESE DEPARTMENTS ARE PROVIDED ON AN EXCLUSIVE BASIS TO BENEFIT PATIENT CARE. MEMBERS OF OUR MEDICAL STAFF ARE REQUIRED, WHILE PARTICIPATING AT THE HOSPITAL, TO TREAT ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY OR THEIR INSURANCE STATUS. THE HOSPITAL ACCEPTS PUBLIC ASSISTANCE, MOST PRIVATE INSURANCES AND OFFERS CHARITY CARE TO PATIENTS WHO MEET FEDERAL POVERTY INCOME LEVELS. COMMUNITY INPUT: OUR COMMUNITY ADVISORY BOARD MEETS BI-MONTHLY TO ADVISE THE HOSPITAL ON COMMUNITY NEEDS AND RECOMMEND ACTIONS. IT IS COMPRISED OF ALL VOLUNTEERS, INCLUDING UP TO FOUR HIGH SCHOOL STUDENTS, FROM EVERY PART OF OUR SERVICE AREA, REPRESENTING BUSINESS, EDUCATION, GOVERNMENT AND SOCIAL SERVICE AGENCIES. ALL OF THE BOARD MEMBERS, WHO ARE CITIZENS UN-AFFILIATED WITH THE HOSPITAL, WORK WITH THE HOSPITAL TO ASSURE THE HIGHEST QUALITY OF CARE IS MEETING THE NEEDS OF THEIR COMMUNITY. IN TURN, BOARD MEMBERS PROMOTE THE HOSPITAL AND INFORM THE COMMUNITY ABOUT WAYNE MEMORIAL SERVICES. COMMUNITY OUTREACH: BASED ON THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENTS (2022, 2019, ETC.), WE DEVELOP PROGRAMS DESIGNED TO MEET THE NEEDS OUTLINED IN THE SUMMARY DATA. FOR EXAMPLE, WE HAVE A WAYNE MEMORIAL FOOD PRESCRIPTION PROGRAM (WM FRX), FUNDED BY A PRIVATE FOUNDATION GRANT, WHICH OFFERS FOOD, COUPONS AND DIETARY ADVICE FOR PEOPLE WITH CONGESTIVE HEART FAILURE, COPD, HYPERTENSION AND DIABETES - ALL IDENTIFIED AS CRITICAL NEEDS IN THE CHNA-WHO HAVE ALSO EXPRESSED FOOD INSECURITY, A SOCIAL DETERMINANT OF HEALTH. THE HOSPITAL ALSO HAS REPRESENTATIVES ON MANY COMMUNITY ORGANIZATIONS WHICH ARE DIRECTLY LINKED TO AREAS OF CONCERN CITED IN THE CHNA, SUCH AS THE COVID-19 PANDEMIC, MENTAL HEALTH SERVICES, SUBSTANCE ABUSE, IMPROVED ACCESS TO CARE, OLDER ADULT SERVICES AND CANCER AND HEART DISEASE. THESE ORGANIZATIONS INCLUDE BUT ARE NOT LIMITED TO: WAYNE COUNTY SYSTEM OF CARE, WAYNE/PIKE NORTHEAST SUICIDE PREVENTION INITIATIVE, WAYNE TOMORROW! HEALTH AND WELLNESS TASK FORCE, THE NORTHEAST REGIONAL CANCER INSTITUTE, AND THE AMERICAN HEART ASSOCIATION. HOSPITAL STAFF PARTICIPATES REGULARLY IN COMMUNITY FAIRS WITH HEALTH AND HOSPITAL RELATED MATERIALS, ON-SITE BLOOD PRESSURE CHECKS AND PRESENTATIONS ON HEALTH ISSUES SUCH AS THE IMPORTANCE OF CANCER SCREENINGS (COLON, BREAST, ETC.). COMMUNITY OUTREACH, EVENTS AND EDUCATIONAL PROGRAMS ARE OFFERED TO COMMUNITY ORGANIZATIONS, AGENCIES AND COMMUNITY MEMBERS FREE OF CHARGE. HOSPITAL STAFF PROVIDE MENTORING, JOB SHADOWING, AND PRECEPTORSHIP FOR STUDENTS IN OR INTERESTED IN THE MEDICAL FIELD. SYSTEM INITIATIVES: A SAFETY NET HOSPITAL IN RURAL NORTHEAST PENNSYLVANIA AND DESIGNATED A SOLE COMMUNITY PROVIDER BY THE FEDERAL GOVERNMENT, WAYNE MEMORIAL HOSPITAL IS A FOUNDING MEMBER OF THE KEYSTONE ACO, WHICH COORDINATES HEALTH DATA AMONG PROVIDERS TO STREAMLINE QUALITY CARE FOR PATIENTS. THE HOSPITAL IS ALSO A CHARTER MEMBER OF THE PENNSYLVANIA RURAL HEALTH MODEL, FEDERALLY FUNDED TO ASSIST HOSPITALS IN BECOMING FINANCIALLY STABLE. Schedule H, Part VI, Line 6 Affiliated health care system THE HOSPITAL IS PART OF AN AFFILIATED HEALTH CARE SYSTEM UNDER COMMON GOVERNANCE AND CONTROL THAT INCLUDES THE HOSPITAL AND WAYNE MEMORIAL LONG TERM CARE (WMLTC, WHICH OPERATES WAYNE WOODLANDS MANOR). WAYNE WOODLANDS MANOR IS A 24 HOUR NURSING FACILITY THAT PROVIDES SERVICES PRIMARILY TO MEDICAID RECIPIENTS (OVER 75% OF ITS RESIDENTS). MOST COUNTIES IN PENNSYLVANIA HAVE COUNTY OWNED AND OPERATED NURSING HOMES THAT PROVIDE SERVICES TO THIS SEGMENT OF THEIR COUNTY POPULATION. WAYNE COUNTY DOES NOT HAVE A COUNTY NURSING HOME. THIS COMMUNITY NEED IS MET BY WAYNE MEMORIAL LONG TERM CARE BY ITS OPERATION OF WAYNE WOODLANDS MANOR. WMH IS ALSO A CLINICAL AFFILIATE OF WAYNE MEMORIAL COMMUNITY HEALTH CENTERS (WMCHC), WHICH IT SUPPORTS CLINICALLY AND FINANCIALLY. WMCHC SERVES A NUMBER OF MUA'S AND MUP'S. THE HOSPITAL HAS FINANCED WMCHC'S AND WMLTC'S WORKING CAPITAL NEEDS WITH LINES OF CREDIT THAT ARE NECESSARY SUBSIDIES BECAUSE OF THE TIME DELAY BETWEEN SERVICE PERFORMANCE AND REIMBURSEMENTS RECEIVED FROM GOVERNMENT AND COMMERCIAL INSURERS. IN ADDITION, THE WAYNE MEMORIAL HOSPITAL HAS AN AFFILIATION WITH THE GEISINGER COMMONWEALTH SCHOOL OF MEDICINE (SCRANTON, PA) FOR THE PROVISION OF CLINICAL EDUCATION EXPERIENCES AT THE HOSPITAL AND WITHIN THE COMMUNITY. THE HOSPITAL CONSIDERS THIS A RESPONSIBILITY CONSISTENT WITH ITS MISSION TO BE INVOLVED IN EDUCATION. UNDER A CONTRACTUAL PARTNERSHIP WITH WMH, GEISINGER HOSPITAL ALSO PROVIDES BOARD-CERTIFIED EMERGENCY PHYSICIANS TO STAFF ITS EMERGENCY DEPARTMENT. Schedule H, Part VI, Line 7 State filing of community benefit report PA false true false false false false false false false DR SEAN MCVEIGH TRUSTEE/CHIEF OF MEDICAL STAFF 544740 0 0 0 0 0 1300 0 22763 0 568803 0 0 0 DR SYBIL RICKARD TRUSTEE/VICE PRESIDENT OF MEDICAL STAFF 300287 0 0 0 0 0 9102 0 15666 0 325055 0 0 0 JAMES PETTINATO CHIEF EXECUTIVE OFFICER 0 302454 0 0 0 22500 0 25500 0 21451 0 371905 0 0 PATRICIA DUNSINGER CHIEF FINANCIAL OFFICER 0 217115 0 0 0 0 0 12405 0 0 0 229520 0 0 JAMES HOCKENBURY CHIEF OF ANCILLARY SERVICES 0 204631 0 0 0 0 0 11818 0 7784 0 224233 0 0 CHANDRA ROBERTS CHIEF OF PATIENT CARE SERVICES 0 150075 0 0 0 0 0 0 0 15666 0 165741 0 0 DR CLIFFORD CARROL PHYSICIAN 677489 0 0 0 0 0 0 0 14007 0 691496 0 0 0 DR DAVID CAUCCI PHYSICIAN 645945 0 0 0 0 0 8190 0 21588 0 675723 0 0 0 DR UZOMA ANAELE PHYSICIAN 580077 0 0 0 0 0 0 0 21588 0 601665 0 0 0 DR KEITH CORDISCHI PHYSICIAN 533849 0 0 0 0 0 0 0 19387 0 553236 0 0 0 DR JOSEPH LAURETI PHYSICIAN 502834 0 0 0 0 0 0 0 21588 0 524422 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation WAYNE MEMORIAL HEALTH SYSTEM, A RELATED ORGANIZATION, DETERMINES THE COMPENSATION OF THE CEO USING THE FOLLOWING METHODS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. THE BOARD MAKES THE FINAL DECISION USING THE INFORMATION PROVIDED BY THE CONSULTANT. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan WAYNE MEMORIAL HEALTH SYSTEM, A RELATED ORGANIZATION, COVERS JAMES PETTINATO WITH A 457(F) SUPPLEMENTAL RETIREMENT AGREEMENT (SERP). IN THE CURRENT YEAR THE FOLLOWING CONTRIBUTION WAS MADE: $ 7,500 A WAYNE CO HOSPITAL AND HEALTH FACILITIES AUTHORITY 232152053 946016JX9 2017-09-01 37609342 FINANCE, DESIGN, CONSTRUCTION, & EQUIPMENT false true false B WAYNE COUNTY HOSPITAL AND HEALTH FACILITIES AUTHORITY 232152053 946016GS5 2012-10-25 9997040 REUND '05 AND A PART OF '07 BONDS false true false C WAYNE COUNTY HOSPITAL AND HEALTH FACILITIES AUTHORITY 232152053 946016HU9 2012-12-20 4703786 REFUND REMAINING 2007 BONDS false true false D WAYNE COUNTY HOSPITAL AND HEALTH FACILITY AUTHORITY 232152053 2017-12-01 8000000 FINANCING DESIGN, CONSTRUCTION, AND EQUIPMENT false true false A 30000 0 37609342 136950 0 0 679633 0 0 35560559 0 0 2019 true false true true B 7480000 0 9997040 461420 0 9255837 187404 92379 0 0 0 0 2012 true false true true C 4180000 0 4703786 254563 0 4315090 93600 40533 0 0 0 0 2012 true false true true D 1608479 0 8000000 0 0 0 157818 0 0 7842182 0 0 2019 true false true true A false false false false 0.0 0.0 0.0 false false true B false false false false 0.0 0.0 0.0 false false true C false false false false 0.0 0.0 0.0 false false true D false false false false 0.0 0.0 0.0 false false true A false false false true false false false false false B false false false true false false false false false C false false false true false false false false false D false false false true false false false false false A false B false C false D false Schedule K, Part IV, Line 2c COLUMN A Issuer name: WAYNE CO HOSPITAL AND HEALTH FACILITIES AUTHORITY The calculation for computing no rebate due was performed on 10/06/2022 Schedule K, Part IV, Line 2c COLUMN B Issuer name: WAYNE COUNTY HOSPITAL AND HEALTH FACILITIES AUTHORITY The calculation for computing no rebate due was performed on 11/27/2022 Schedule K, Part IV, Line 2c COLUMN C Issuer name: WAYNE COUNTY HOSPITAL AND HEALTH FACILITIES AUTHORITY The calculation for computing no rebate due was performed on 07/11/2024 Schedule K, Part IV, Line 2c COLUMN D Issuer name: WAYNE COUNTY HOSPITAL AND HEALTH FACILITY AUTHORITY The calculation for computing no rebate due was performed on 10/06/2022 Form 990, Part VI, 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, DIRECTOR OF PATIENT CARE SERVICES, DIRECTOR OF HUMAN RESOURCES, DIRECTOR OF FACILITY SERVICES, DIRECTOR OF ANCILLARY SERVICES AND THE EXECUTIVE 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, Line 6 7A & 7B - MEMBERS OR STOCKHOLDERS WAYNE MEMORIAL HEALTH SYSTEM INC. (THE SYSTEM), A RELATED ORGANIZATION AND A PENNSYLVANIA NONPROFIT CORPORATION, IS THE SOLE MEMBER OF WAYNE MEMORIAL HOSPITAL. WAYNE MEMORIAL HEALTH SYSTEM, INC. IS ENTITLED TO APPROVE THE ELECTION OF THE BOARD MEMBERS AND OFFICERS OF WAYNE MEMORIAL HOSPITAL, INC. ALL OF WHOM SHALL BE APPROVED BY WAYNE MEMORIAL HEALTH SYSTEM, INC, A RELATED ORGANIZATION. THE FOLLOWING DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO APPROVAL BY WAYNE MEMORIAL HEALTH SYSTEM, INC.: (A) AMENDMENT OF THE BYLAWS OR THE ARTICLES OF CORPORATION (B) MERGER OR CONSOLIDATION WITH ANY OTHER ENTITY (C) DISSOLUTION AND DISTRIBUTION OF ASSETS IN CONNECTION THEREWITH (D) ELECTION OF OFFICERS OF THIS CORPORATION (E) ADOPTION OF INVESTMENT POLICIES AND SELECTION OF INVESTMENT ADVISORS (F) INVESTMENT OF RESTRICTED GIFTS (G) SELECTION OF AUDITORS AND ATTORNEYS (H) ADOPTION OF OPERATING AND CAPITAL BUDGETS (I) APPROVAL OF FUND-RAISING PROGRAMS (J) DONATION OR TRANSFER OF ANY ASSET WITH AN AGGREGATE VALUE IN EXCESS OF SUCH AMOUNT AS MAY BE DETERMINED BY THE BOARD OF WAYNE MEMORIAL HEALTH SYSTEM FROM TIME TO TIME (K) CREATION OF ANY LIEN OR SECURITY INTEREST IN ASSETS OF THE CORPORATION (L) DESIGNATION OR RESTRICTION OF GIFTS WITH A MARKET VALUE IN EXCESS OF SUCH AMOUNT AS MAY BE DETERMINED BY THE BOARD OF WAYNE MEMORIAL HEALTH SYSTEM FROM TIME TO TIME, AND (M) ANY OTHER MATTER THAT WOULD REQUIRE THE APPROVAL OF THE MEMBERS OF A PENNSYLVANIA NONPROFIT CORPORATION. Form 990, Part VI, Line 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS HUGH RECHNER (BOARD CHAIRMAN) 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. JAMES PETTINATO (CEO), TIM HUBER (CHIEF FACILITIES OFFICER), JAMES HOCKENBURY (CHIEF OF ANCILLARY SERVICES), AND PATRICIA DUNSINGER (CFO), ARE COMPENSATED BY WAYNE MEMORIAL HEALTH SYSTEM, A RELATED ORGANIZATION. JAMES PETTINATO (CEO) SERVES ON THE BOARD OF TRUSTEES OF THE ORGANIZATION THAT EMPLOYS MARY BETH WOOD, A TRUSTEE OF WAYNE MEMORIAL HOSPITAL. 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, Line 3 Delegation of management duties WAYNE MEMORIAL HEALTH SYSTEM, INC., PROVIDES MANAGEMENT OVER THE ORGANIZATION THROUGH DIRECT EMPLOYMENT OF THE DIRECTORS AND OFFICERS OF THE ORGANIZATION. THE MANAGEMENT SERVICES PROVIDED ARE REIMBURSED TO WAYNE MEMORIAL HEALTH SYSTEM THROUGH A MANAGEMENT FEE. Form 990, Part VI, Line 11b Review of form 990 by governing body 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 FINANCE 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, 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, Line 19 Required documents available to the public THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND/OR FINANCIAL STATEMENTS AVAILABLE TO PUBLIC UPON REQUEST. Form 990, Part IX, Line 11g Other Fees PROFESSIONAL SERVICE FEES - Total Expense: 9846688, Program Service Expense: 9846688, Management and General Expenses: , Fundraising Expenses: ; TEMPORARY/LEASED EMPLOYEE - Total Expense: 7138326, Program Service Expense: 7137047, Management and General Expenses: 1279, Fundraising Expenses: ; PURCHASED SERVICE FEES - Total Expense: 5476565, Program Service Expense: 3696606, Management and General Expenses: 1779959, Fundraising Expenses: ; COLLECTION EXPENSES - Total Expense: 250783, Program Service Expense: 6347, Management and General Expenses: 244436, Fundraising Expenses: ; MAINTENANCE CONTRACTS - Total Expense: 155435, Program Service Expense: 155435, Management and General Expenses: , Fundraising Expenses: ; TRUSTEE FEES - Total Expense: 16027, Program Service Expense: , Management and General Expenses: 16027, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN DEFINED BENEFIT PENSION PLAN - 1360448; TRANSFER FROM AFFILIATE - 8869; CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION - 7485; CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST - -104669; WAYNE MEMORIAL HEALTH FOUNDATION INC 601 PARK STREET HONESDALE PA 18431 232208596 FUNDRAISING PA 501(c)(3) Type I WMHS false WAYNE MEMORIAL HEALTH SYSTEM INC 601 PARK STREET HONESDALE PA 18431 232221292 OVERSIGHT PA 501(c)(3) Type II NA false WAYNE MEMORIAL LONG TERM CARE 37 WOODLANDS DRIVE WAYMART PA 18472 232719336 NURSING HOME PA 501(c)(3) 10 WMHS false WAYNE HEALTH SERVICES INC 601 PARK STREET HONESDALE PA 18431 232376183 RENT PA WMH System C Corporation false CHARITABLE TRUST TRUST PA WMH Trust 481 29471 1.0000 true false false false true false false false false false true true false true true true true true false true