2025-05-15T15:21:10+00:00 2024-06-30 440160260 Forvis Mazars LLP 910 E St Louis 200 PO Box 1190 Springfield MO 658062523 990 2023-07-01 232208596 Wayne Memorial Health Foundation Inc WAYN 5702538100 601 PARK STREET HONESDALE PA 18431 PATRICIA DUNSINGER CFO 2025-05-15 true true Brian Todd P00422601 4178658701 2025-05-15 2023 2025-03-06 01:10:19Z JAMES PETTINATO 601 PARK STREET HONESDALE PA 18431 2990861 false X WWW.WMH.ORG X 1981 PA FUNDRAISING, FUND MANAGEMENT AND RELATED ACTIVITIES TO SUPPORT AND ASSIST RELATED ORGANIZATIONS IN THE FURTHERANCE OF THE MISSION OF WAYNE MEMORIAL HEALTH SYSTEM. 12 12 0 52 0 0 233270 307573 142364 0 249375 477168 39179 -18192 664188 766549 54950 190000 0 0 0 0 308888 206022 363838 396022 300350 370527 11812629 12707675 459976 418788 11352653 12288887 WAYNE MEMORIAL HEALTH FOUNDATION WILL CONDUCT FUNDRAISING AND FUND MANAGEMENT OF RESOURCES THAT SUPPORT AND ASSIST ORGANIZATIONS THAT ARE ENGAGED IN ACTIVITIES RELATING TO THE PROMOTION OF HEALTH OR THE PROVISION OF HOSPITAL OR HEALTH CARE SERVICES. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. false false 284833 190000 0 DURING THE FOUNDATION'S FISCAL YEAR, JULY 1, 2023 THROUGH JUNE 30, 2024, THE FOUNDATION SUPPORTED ITS MISSION THROUGH SEVERAL ACTIVITIES, INCLUDING GRANTS AND SUPPORT IN VARIOUS WAYS TO WAYNE MEMORIAL HEALTH SYSTEM AND ITS AFFILIATES AND LOCAL ORGANIZATIONS. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 284833 true true false false false false false false true true false false false true false false true false false false false false false true false false true false true false false false false false false false false false false false false false true true false false false true 5 0 true 0 false false false false false true true false false false false false false X 12 12 true true false false true true true true true false false true true true true true true false false false PA X JAMES PETTINATO 5702538100 601 PARK STREET HONESDALE PA 18431 CINDA TIETJEN TRUSTEE/VICE CHAIR 0.5 0.0 X X 0 0 0 JEFF GOGOLSKI TREASURER 0.5 0.0 X X 0 0 0 KEVIN BURKE ASS'T SECRETARY/TREASURER 0.5 0.0 X X 0 0 0 NANCY PROPST CHAIR 0.5 1.6 X X 0 0 0 PETER BOCHNOVICH SECRETARY 0.5 0.0 X X 0 0 0 ANTHONY FRIGOLLETTO TRUSTEE 0.5 0.0 X 0 0 0 BRENDAN MURRAY INTERNAL TRUSTEE 0.5 0.5 X 0 0 0 BROOKE JAMES TRUSTEE 0.5 0.0 X 0 0 0 DIANE WYLAM TRUSTEE 0.5 0.0 X 0 0 0 DR LAUREN RUTKOWSKI TRUSTEE END 04/24 0.5 0.0 X 0 0 0 GARY SMEDLEY TRUSTEE 0.5 0.0 X 0 0 0 JEFF OLSOMMER TRUSTEE END 06/24 0.5 0.0 X 0 0 0 LEONARD SCHWARTZ TRUSTEE 0.5 0.0 X 0 0 0 MARTHA WILSON TRUSTEE 0.5 0.0 X 0 0 0 JAMES PETTINATO CEO 1.0 39.0 X 0 324954 46951 PATRICIA DUNSINGER CFO 2.4 37.6 X 0 217115 12405 0 542069 59356 0 false true false 0 79068 228505 307573 0 0 0 0 0 209875 209875 187438 195055 -7617 0 -7617 -7617 2256468 1989175 267293 0 267293 267293 29507 79068 40082 -10575 -10575 0 0 0 0 0 766549 0 0 458976 X 190000 190000 92052 92052 9845 9845 42114 38357 3757 0 30340 27633 2707 2221 2021 200 26862 24466 2396 1323 1204 119 1265 1152 113 0 0 0 0 396022 284833 111189 0 2360772 1870888 157297 25189 1200 0 0 0 0 0 16960 15848 3838037 1445337 2421756 2392700 6506350 7903453 300000 0 48294 499597 11812629 12707675 4765 5854 33035 27080 0 0 422176 385854 459976 418788 X 10822384 11437178 530269 851709 11352653 12288887 11812629 12707675 X 370527 429300 136407 X false true X true false X X 2 WAYNE MEMORIAL HOSPITAL 240798839 3 true 125000 0 WAYNE MEMORIAL LONG TERM CARE 232719336 9 true 0 0 2 125000 0 true false false false false false false false false false false false false false false true false RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 193571 12694 206265 187099 6472 193571 178036 9063 187099 170901 7135 178036 168091 2810 170901 0.0 0.6185 0.3815 false false 1575746 1575746 2183418 1391605 791813 1648 1648 0 77225 52084 25141 2392700 DUE TO AFFILIATES 183604 CHARTIABLE FIRST ANN. PAYABLE 169910 ROU LEASE LIABILITY 32340 385854 1140871 429300 -144955 284345 856526 -89977 -89977 766549 526077 195055 195055 331022 65000 65000 396022 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 V, Line 4 Intended uses of endowment funds THE ENDOWMENT FUND IS TO BE USED FOR PROVIDING NURSING SCHOLARSHIPS. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 NET ASSETS RELEASED FROM RESTRICTION - 163914 TRANSFER TO AFFILIATE - -308869 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements TRNA CONTRIBUTIONS - 30454 TRNA INVESTMENT INCOME - 9624 RENTAL EXPENSES - -195055 AUXILIARY PASS THROUGH CONTRIBUTIONS - 65000 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 RENTAL EXPENSES - 195055 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements AUXILIARY PASS THROUGH CONTRIBUTIONS - 65000 Golf Tournament 69970 49172 20798 1459 6480 13082 2492 Clay Shoot 38605 29896 8709 2800 4640 4710 4419 0 108575 79068 29507 4259 11120 17792 6911 40082 -10575 true WAYNE MEMORIAL HOSPITAL 601 PARK STREET HONESDALE PA 18431 240798839 501(C)(3) 125000 SUPPORT Wayne Memorial Long Term Care Inc 37 Woodlands Drive Waymart PA 18472 232719336 501(c)(3) 65000 Support 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. GRANTS TO ORGANIZATIONS LISTED IN PART II ARE PROVIDED TO AFFILIATED ORGANIZATIONS WHO CAN MONITOR THE USE OF GRANT FUNDS. false true false false false false false false false JAMES PETTINATO CEO 0 302454 0 0 0 22500 0 25500 0 21451 0 371905 0 0 PATRICIA DUNSINGER CFO 0 217115 0 0 0 0 0 12405 0 0 0 229520 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 CALENDAR YEAR ENDING WITHIN THE ORGANIZATION'S FISCAL YEAR THE FOLLOWING CONTRIBUTION WAS MADE: $7,500 Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION THE FOLLOWING WAS UNDERTAKEN AND/OR ACCOMPLISHED: I. THE FOUNDATION CONTINUED TO OWN, OPERATE, MAINTAIN AND SUBSEQUENTLY LEASE TO WAYNE MEMORIAL HOSPITAL, AN AFFILIATE OF WAYNE MEMORIAL HEALTH SYSTEM, PROPERTIES IMMEDIATELY ADJACENT TO THE HOSPITAL, LOCATED AT 601 PARK STREET, HONESDALE, PENNSYLVANIA. II. WAYNE MEMORIAL HOSPITAL SERVES AS A MEMORIAL TO 55 WAYNE COUNTY RESIDENTS, WHO LOST THEIR LIVES DURING COMBAT IN WORLD WAR I. MORE RECENTLY, THE HOSPITAL WAS REDEDICATED TO ALL SERVICE MEN AND WOMEN FROM WAYNE AND PIKE COUNTIES, PENNSYLVANIA, WHO HAVE LOST THEIR LIVES IN THE SERVICE OF THEIR COUNTRY. EACH YEAR, THE FOUNDATION COLLABORATES WITH AREA VETERANSGANIZATIONS TO REMEMBER AND HONOR THESE BRAVE MEN AND WOMEN BY CONDUCTING MEMORIAL SERVICES AT THE HOSPITAL ON DECEMBER 7TH AND VETERANS DAY. III. FOUNDATION STAFF CONTINUES TO COLLABORATE WITH THE STAFF OF WAYNE MEMORIAL HOSPITAL'S DEPARTMENT OF COMMUNITY HEALTH TO CONDUCT THE TOGETHER FOR HEALTH SCHOOL PROGRAM, OFFERING EDUCATION AND WELLNESS PROGRAMS FOR STUDENTS OF WESTERN WAYNE, WAYNE HIGHLANDS AND WALLENPAUPACK AREA SCHOOL DISTRICTS. THE FOUNDATION ALSO SUPPORTED RACHAEL'S CHALLENGE, A PROGRAM DESIGNED TO EMPOWER STUDENTS AND ADULTS WITH SKILLS AND TOOLS TO COMBAT BULLYING AND ALLAY FEELINGS OF ISOLATION AND DESPAIR BY CREATING A CULTURE OF KINDNESS AND COMPASSION. CONTINUING THIS PROGRAM REACHES MORE THAN 10,000 STUDENTS, TEACHERS, SCHOOL ADMINISTRATORS AND STAFF IN FOUR SCHOOL DISTRICTS. Form 990, Part III, Line 1 ORGANIZATION'S MISSION TO MAKE GRANTS AND GIFTS TO SUCH ORGANIZATIONS, ALL IN SUPPORT OF OR IN FURTHERANCE OF THE MISSION OF WAYNE MEMORIAL HEALTH SYSTEM OR ANY OF ITS SUBSIDIARIES. Form 990, Part VI, Line 2 BUSINESS & FAMILY RELATIONSHIPS JAMES PETTINATO, CEO, AND PATRICIA DUNSINGER, CFO, ARE COMPENSATED BY WAYNE MEMORIAL HEALTH SYSTEM, A RELATED ORGANIZATION. BROOKE JAMES, TRUSTEE, HAS A FAMILY RELATIONSHIP WITH BRAD KIESENDAHL, A TRUSTEE OF WAYNE MEMORIAL HEALTH SYSTEM, INC., A RELATED ORGANIZATION. Form 990, Part VI, Line 6 7A & 7B - MEMBERS OR STOCKHOLDERS THE FOUNDATION BYLAWS INDICATE THAT THE BOARD SHALL CONSIST OF NO FEWER THAN TEN AND NO MORE THAN TWENTY TRUSTEES, INCLUDING THE CHAIRMAN OF THE BOARD OF DIRECTORS OF WAYNE HEALTH SERVICES, INC., THE FOUNDATION SUBSIDIARY, 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 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 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 OF INTEREST 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: 42114, Program Service Expense: 38357, Management and General Expenses: 3757, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFER TO AFFILIATE - -308869; CHANGE IN BENEFICIAL INTEREST - 445276; WAYNE MEMORIAL HOSPITAL 601 PARK STREET HONESDALE PA 18431 240798839 HOSPITAL PA 501(c)(3) 3 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 false true false false false false false false false true false true true true true false false true false