2026-05-15T12:56:36+00:00 2025-06-30 440160260 Forvis Mazars LLP 910 E St Louis 200 PO Box 1190 Springfield MO 658062523 990 2024-07-01 232719336 WAYNE MEMORIAL LONG TERM CARE INC WAYN 5704887130 37 WOODLANDS DRIVE WAYMART PA 18472 JAMES PETTINATO CEO 2026-05-15 true true Brian Todd P00422601 4178658701 2026-05-15 2024 2025-03-06 01:10:19Z WAYNE WOODLANDS MANOR JAMES PETTINATO 601 PARK STREET HONESDALE PA 18431 11613776 false X WWW.WWMANOR.ORG X 1992 PA WAYNE MEMORIAL LONG TERM CARE INC, AN AFFILIATE OF WMHS, PROVIDES VARIOUS LEVELS OF SERVICES INCLUDING LONG TERM CARE & REHABILITATION THAT NURTURE THE HUMAN SPIRIT AS WELL AS THE BODY. (SEE ON SCHEDULE O) 8 8 164 27 0 0 86102 889781 9548543 9864115 189696 155546 0 0 9824341 10909442 0 0 0 5420666 6130459 0 0 0 6254949 5676105 11675615 11806564 -1851274 -897122 5972885 5241813 2804736 3012593 3168149 2229220 WAYNE WOODLANDS MANOR IS COMMITTED TO SERVE ITS COMMUNITY, PATIENTS, FAMILIES, AND CO-WORKERS IN A TRADITION OF HIGH-QUALITY, COST-EFFECTIVE CARE DEDICATED TO ITS CORE VALUES OF COMPASSION, ADVOCACY, RESPECT, EXCELLENCE, AND SERVICE. (SEE ON SCHEDULE O) false false 10920092 0 9864115 WAYNE MEMORIAL LONG-TERM CARE, THROUGH THE ACTIVITIES OF ITS NURSING HOME, PROMOTES THE HEALTH OF INDIVIDUALS IN ITS SERVICE AREAS BY (1) SKILLED NURSING/MEDICAL MANAGEMENT WHICH INCLUDES 24 HOUR DAILY CARE, RESTORATIVE NURSING PROGRAMS, WOUND CARE, ENTERAL FEEDING IV THERAPY, MEDICATION MANAGEMENT, RISK ASSESSMENT, PATIENT EDUCATION, AND CARE PLAN DEVELOPMENT. (2) OUR THERAPY PROGRAM INCLUDES PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPIES, PAIN MANAGEMENT, EXERCISE PROGRAMS, AND WOUND CARE; (3) WE PROVIDE OUR RESIDENTS WITH ROOM AND BOARD, WHICH ENCOMPASSES A WIDE RANGE OF SERVICES INCLUDING SOCIAL SERVICES, REGISTERED DIETICIAN SERVICES, SPECIALIZED DIETS, NUTRITIONAL SUPPLEMENTATION, THERAPEUTIC, AND GROUP ACTIVITIES. THROUGH THESE PROGRAMS WE FOCUS ON HELPING ALL RESIDENTS REGAIN MAXIMUM HEALTH, FUNCTION, AND QUALITY OF LIFE. 10920092 true true false false false false false false true false true false 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 false false true false false false false true 18 0 true 164 true false false false false false false false false false false false false X 8 8 true true false false true true true true true false false false true true true true true true false false false false PA X JAMES PETTINATO 5702538100 601 PARK STREET HONESDALE PA 18431 CHRISTINE RECHNER CHAIR END 12/24 1.6 0.8 X X 0 0 0 DIANE FOX SECRETARY BEG 10/24 1.5 0 X X 0 0 0 NANCY MORO VICE CHAIR 0.2 0 X X 0 0 0 PAUL MEAGHER JR CHAIR BEG 12/24 2.0 0.5 X X 0 0 0 STANTON RUSH TREASURER 0.2 0 X X 0 0 0 BRIDGET GELDERMAN TRUSTEE BEG 12/24 0.2 0 X 0 0 0 DIRK MUMFORD TRUSTEE 0.2 0 X 0 0 0 JOANNE ROMANCE TRUSTEE 0.2 0 X 0 0 0 PAT ZUBER TRUSTEE 0.2 0 X 0 0 0 JAMES PETTINATO CHIEF EXECUTIVE OFFICER 1.0 39.1 X 0 353924 54007 PATRICIA DUNSINGER CHIEF FINANCIAL OFFICER 3.0 38.0 X 0 211723 12763 ASHLEY M PORCARO LICENSED PRACTICAL NURSE 40.0 0 X 114521 0 12248 KELLY DURST ASSISTANT DIRECTOR OF NURSING 40.0 0 X 111060 0 35518 MELISSA DEMCEVSKI ASSISTANT DIRECTOR OF NURSING 40.0 0 X 110118 0 12248 335699 565647 126784 3 false true false ESHYFT 4547 US HIGHWAY 9 SUITE Q HOWELL NJ 07731 AGENCY NURSING 1180414 POWERBACK REHABILITATION 101 E STATE STREET KENNETT SQUARE PA 19348 THERAPY 713015 POLARIS HEALTH LLC 168 N CLINTON STREET FLOOR 3 CHICAGO IL 60661 AGENCY NURSING 121924 NURSTAFF SOLUTIONS LLC 3100 DICK POND ROAD MYRTLE BEACH SC 29588 AGENCY NURSING 106122 4 135000 754781 889781 NET PATIENT SERVICE REVENUE 623000 9701894 9701894 RENTAL INCOME FROM AFFILIATE 531120 130378 130378 OTHER REVENUE 623000 31843 31843 0 0 0 0 9864115 54048 54048 0 0 805832 704334 101498 0 101498 101498 0 0 0 0 0 10909442 9864115 0 155546 X 4854530 4654747 199783 905333 818856 86477 370596 353420 17176 206439 206439 3604 3604 13445 13445 11443 11443 2495818 2465746 30072 0 6344 5541 803 230195 165274 64921 69897 51567 18330 330014 277212 52802 16671 13955 2716 3210 3000 210 117257 117257 181293 152286 29007 106014 89052 16962 MEDICAL SUPPLIES & DRUGS 940917 940917 BED TAX ASSESSMENT 928044 928044 LICENSES, DUES, SUBSCRIPTION 15500 475 15025 0 0 0 0 11806564 10920092 886472 0 52279 375821 669453 357840 1401032 1071807 0 0 0 0 34724 25602 3000 775 8306996 6621176 1826143 1685820 1958535 1689834 0 0 27719 34314 5972885 5241813 1087869 1196517 40806 46013 0 0 1676061 1770063 2804736 3012593 X 3168149 2229220 3168149 2229220 5972885 5241813 -897122 -41807 0 X false true true false X 986242 1489533 273379 86102 889781 3725037 7375423 7171907 8548093 9548543 9864115 42508081 0 0 0 8361665 8661440 8821472 9634645 10753896 46233118 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46233118 75683 54938 67429 78771 54048 330869 0 75683 54938 67429 78771 54048 330869 0 0 0 0 0 0 0 8437348 8716378 8888901 9713416 10807944 46563987 0.99289 0.99218 0.01 0.01 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true X 158710 158710 6690131 5300279 1389852 1334193 1202081 132112 123962 118816 5146 1685820 Federal Income Taxes DUE TO AFFILIATES 1741191 DUE TO THIRD PARTY 28872 1770063 10856192 -41807 0 -41807 10897999 11443 0 11443 10909442 11795121 0 0 11795121 11443 0 11443 11806564 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 IV, Line 2b Explanation of escrow agreement ESCROW FUNDS ARE HELD IN SEPARATE BANK ACCOUNTS AND ARE USED TO PAY RESIDENT EXPENSES (PERSONAL EXPENSES AND ACTIVITY EXPENSES). ESCROW FUNDS ARE RECORDED AS BOTH AN ASSET AND A LIABILITY ON THE FINANCIAL STATEMENTS WHICH NET TO ZERO. false true false false false false false false false JAMES PETTINATO CHIEF EXECUTIVE OFFICER 0 330924 0 0 0 23000 0 32096 0 21911 0 407931 0 0 PATRICIA DUNSINGER CHIEF FINANCIAL OFFICER 0 211723 0 0 0 0 0 12763 0 0 0 224486 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 CALENDAR YEAR FALLING WITHIN THE ORGANIZATION'S FISCAL YEAR THE FOLLOWING CONTRIBUTION WAS MADE: $9,769 Form 990, Part I, Line 1 BRIEF MISSION WAYNE WOODLANDS MANOR IS COMMITTED TO SERVING OUR COMMUNITY, PATIENTS, FAMILIES, AND COWORKERS IN A TRADITION OF HIGH-QUALITY, COST-EFFECTIVE CARE DEDICATED TO WAYNE MEMORIAL HEALTH SYSTEM'S CORE VALUES OF COMPASSION, ADVOCACY, RESPECT, EXCELLENCE, AND SERVICE. Form 990, Part III, Line 1 ORGANIZATION'S MISSION WAYNE MEMORIAL LONG TERM CARE, AN AFFILIATE OF WAYNE MEMORIAL HEALTH SYSTEM, PROVIDES VARIOUS LEVELS OF SERVICES INCLUDING LONG TERM CARE AND REHABILITATION SERVICES FOR OUR COMMUNITY NURTURING THE HUMAN SPIRIT AS WELL AS THE HUMAN BODY. Form 990, Part VI, Line 2 BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS BUSINESS RELATIONSHIP: JAMES PETTINATO (CEO) AND PATRICIA DUNSINGER (CFO) ARE COMPENSATED BY WAYNE MEMORIAL HEALTH SYSTEM, A RELATED ORGANIZATION. Form 990, Part VI, Line 6 7A & 7B - MEMBERS OR STOCKHOLDERS WAYNE MEMORIAL HEALTH SYSTEM (THE "SYSTEM"), A RELATED ORGANIZATION AND A PENNSYLVANIA NONPROFIT CORPORATION, IS THE SOLE MEMBER OF WAYNE MEMORIAL LONG TERM CARE, INC., (THE "CENTER"). WAYNE MEMORIAL HEALTH SYSTEM, INC. IS ENTITLED TO APPROVE THE ELECTION OF THE BOARD MEMBERS AND OFFICERS OF WAYNE MEMORIAL LONG TERM CARE, INC. 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 REAL ESTATE AND 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 IN 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 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 DRAFT COPY OF THE FORM 990 IS REVIEWED WITH THE FINANCE COMMITTEE WHICH IS RESPONSIBLE FOR THE FINANCIAL OVERSIGHT OF ALL ENTITIES OF THE WAYNE MEMORIAL HEALTH SYSTEM. A DRAFT COPY OF THE 990 IS 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 ITS SUBSEQUENT FULL BOARD MEETING. Form 990, Part VI, Line 12c Conflict of interest policy CONFLICT OF INTEREST STATEMENTS ARE COMPLETED BY EVERY BOARD MEMBER ANNUALLY. EACH INDIVIDUAL IS REQUIRED TO SIGN AND RETURN THE STATEMENTS TO THE ADMINISTRATION OFFICE. THE SYSTEM'S BOARD SECRETARY 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 TEMPORARY PERSONNEL - Total Expense: 1685715, Program Service Expense: 1685715, Management and General Expenses: 0, Fundraising Expenses: ; PHYSICAL THERAPY FEES - Total Expense: 260431, Program Service Expense: 260431, Management and General Expenses: 0, Fundraising Expenses: ; OCCUPATIONAL THERAPY FEES - Total Expense: 251030, Program Service Expense: 251030, Management and General Expenses: 0, Fundraising Expenses: ; SPEECH THERAPY FEES - Total Expense: 214559, Program Service Expense: 214559, Management and General Expenses: 0, Fundraising Expenses: ; MEDICAL DIRECTOR - Total Expense: 28800, Program Service Expense: 28800, Management and General Expenses: 0, Fundraising Expenses: ; OTHER FEES - Total Expense: 30458, Program Service Expense: 25211, Management and General Expenses: 5247, Fundraising Expenses: ; CONTARCTED SERVICES - Total Expense: 24825, Program Service Expense: 0, Management and General Expenses: 24825, Fundraising Expenses: ; 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 HEALTH FOUNDATION 601 PARK STREET HONESDALE PA 18431 232208596 FUNDRAISING PA 501(c)(3) Type I WMHS false BARNES-KASSON COUNTY HOSPITAL 2872 TURNPIKE STREET SUSQUEHANNA PA 18847 240798681 HOSPITAL PA 501(c)(3) 3 WMHS false WAYNE HEALTH SERVICES INC 601 PARK STREET HONESDALE PA 18431 232376183 RENT PA WMH SYSTEM C Corporation false false false true false true false false false false true false false true false true true true false false