WAYNE HOSPITAL COMPANY: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
WAYNE HOSPITAL COMPANY (EIN 34-4428598)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-11-13
IRS object ID
202503179349307075
Schema version
2024v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-11-13T13:01:18+00:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN350921680PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CROWE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1701 13th St NW Suite 852AddressLine1Txt
CityWashingtonCityNm
State AbbreviationDCStateAbbreviationCd
ZIP20005ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN344428598EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Wayne Hospital CompanyBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlWAYNBusinessNameControlTxt
Phone9375481141PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1835 Sweitzer StreetAddressLine1Txt
CityGreenvilleCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45331ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJeffrey SublerPersonNm
Person TitlePresident & CEOPersonTitleTxt
Signature2025-11-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSteve LenivyPreparerPersonNm
PTINP01635350PTIN
Phone2026245555PhoneNum
Preparation2025-11-13PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Wayne HealthCareBusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Jeffrey Subler President & CEOBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1835 Sweitzer StreetAddressLine1Txt
CityGreenvilleCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45331ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$98,475,919GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.waynehealthcare.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1922FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionThe mission of Wayne Hospital Company is providing quality care and promoting wellness close to home.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee581TotalEmployeeCnt
Total Volunteers53TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$40,635NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,580,734PYContributionsGrantsAmt
CY Contributions Grants$818,600CYContributionsGrantsAmt
PY Program Service Revenue$63,646,604PYProgramServiceRevenueAmt
CY Program Service Revenue$80,523,948CYProgramServiceRevenueAmt
PY Investment Income$2,572,902PYInvestmentIncomeAmt
CY Investment Income$6,298,098CYInvestmentIncomeAmt
PY Other Revenue$813,212PYOtherRevenueAmt
CY Other Revenue$1,114,191CYOtherRevenueAmt
PY Total Revenue$69,613,452PYTotalRevenueAmt
CY Total Revenue$88,754,837CYTotalRevenueAmt
PY Grants And Similar Paid$55,485PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$53,255CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$34,398,688PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$36,395,280CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$45,764,600PYOtherExpensesAmt
CY Other Expenses$50,733,109CYOtherExpensesAmt
PY Total Expenses$80,218,773PYTotalExpensesAmt
CY Total Expenses$87,181,644CYTotalExpensesAmt
PY Revenues Less Expenses-$10,605,321PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,573,193CYRevenuesLessExpensesAmt
Total Assets BOY$175,462,716TotalAssetsBOYAmt
Total Assets EOY$178,275,938TotalAssetsEOYAmt
Total Liabilities BOY$54,916,649TotalLiabilitiesBOYAmt
Total Liabilities EOY$54,521,874TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$120,546,067NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$123,754,064NetAssetsOrFundBalancesEOYAmt
MissionThe mission of Wayne Hospital Corporation is to provide outpatient and inpatient services at a level to rank prominently on a regional and national basis for quality of care, patient satisfaction, and spirituality support. The hospital collaborates with other health care providers to develop new and/or improved services for residents of Darke County, Ohio.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$70,765,814ExpenseAmt
Grant$53,255GrantAmt
Revenue$80,295,450RevenueAmt
DescAS A FULL-SERVICE PRIMARY CARE FACILITY, WAYNE HOSPITAL OFFERS PHYSICIANS AND THEIR PATIENTS ACCESS TO A VARIETY OF INPATIENT AND OUTPATIENT SERVICES INCLUDING: EMERGENCY, RADIOLOGY, MATERNITY/SPECIAL BEGINNINGS, SURGERY, SENIOR BEHAVIORAL HEALTH, HEART HEALTH, CANCER CARE, REHABILITATION SERVICES, LABORATORY, CHRONIC DIALYSIS CENTER, AMBULATORY CARE, OUTPATIENT REHABILITATION, DIABETES EDUCATION PROGRAM, SLEEP CARE SERVICES, AND ENTEROSTOMAL THERAPY. THE HOSPITAL HAD APPROXIMATELY 1,380 ADMISSIONS AND 79,204 OUTPATIENT VISITS IN 2024. THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS FINANCIAL ASSISTANCE POLICY AT NO CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. IN ADDITION TO THE FINANCIAL ASSISTANCE PROVIDED, WAYNE HOSPITAL IS ALSO PROACTIVE IN SUPPORTING COMMUNITY WELLNESS THROUGH HEALTH SCREENINGS, EDUCATION, AND HEALTH MANAGEMENT.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$510,085ExpenseAmt
Revenue$0RevenueAmt
DescWAYNE HOSPITAL HAS MANY ADDITIONAL PROGRAMS. ADDITIONAL PROGRAMS INCLUDE THE COUNTY AND CORPORATE HEALTH FAIRS IN WHICH EMPLOYEES FROM THE HOSPITAL PROVIDED 271 HOURS OF TIME TO HELP WITH HEALTH SCREENINGS AND PROVIDE EDUCATIONAL INFORMATION TO THE COMMUNITY. IN ADDITION TO THE COUNTY AND CORPORATE HEALTH FAIRS, WAYNE HOSPITAL TYPICALLY CONTRIBUTES HOURS TO THE YOUTH HEALTH FAIR, WHICH IS A HEALTH FAIR GEARED TO ALL THE FIFTH GRADERS IN DARKE COUNTY. 0 STUDENTS WERE IN ATTENDANCE FOR 2024, AS IT WAS NOT HELD. (CONTINUED ON SCHEDULE O)Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$71,275,899TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document45IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee581EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Policies Reference ChaptersfalsePoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NICOLE GILLESPIE VP OF FINANCE CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9375696758PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1835 SWEITZER STREETAddressLine1Txt
CityGreenvilleCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45331ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndKey EmployeeKeyEmployeeInd
ANNA HATIC DO
CHAIR/ PAST CHAIR1.01.0Yes (X)Yes (X)$0$0$0
CAROLINE SCHMIDT
VICE CHAIR/ CHAIR1.0Yes (X)Yes (X)$0$0$0
DAN WATREN
PAST CHAIR (PART YEAR)1.01.0Yes (X)Yes (X)$0$0$0
M LYNNE HAWLEY MD
SEC- TREASURER1.0Yes (X)Yes (X)$0$0$0
SUSAN SHIELDS
SEC-TREASURER/ VICE CHAIR1.0Yes (X)Yes (X)$0$0$0
ALISHA REISS
SURGEON40.0Yes (X)$516,575$0$47,146Yes (X)
CRAIG GANGER
BOARD MEMBER1.0Yes (X)$0$0$0
JACOB BROERING
BOARD MEMBER1.0Yes (X)$0$0$0
JAMES ATCHLEY
BOARD MEMBER1.0Yes (X)$0$0$0
JANELLE BELL
BOARD MEMBER1.0Yes (X)$0$0$0
KARA ALLREAD
BOARD MEMBER1.0Yes (X)$0$0$0
KATHY HARPER
BOARD MEMBER1.0Yes (X)$0$0$0
TONYA BREYMIER
BOARD MEMBER1.0Yes (X)$0$0$0
TRISHA WACKLER
BOARD MEMBER1.0Yes (X)$0$0$0
JEFFREY SUBLER
PRESIDENT/CEO39.01.0Yes (X)$272,196$0$44,192
NICOLE GILLESPIE
VP OF FINANCIAL SERVICES/CFO39.01.0Yes (X)$183,512$0$21,662
ALEXANDER POHLMAN
VP OF OPERATIONS40.0$199,881$0$42,598Yes (X)
KIMBERLEE FREEMAN
VP OF PATIENT CARE/CNO40.0$213,470$0$43,270Yes (X)
BRIAN DULIN
CARDIOLOGY40.0$671,926$0$26,372Yes (X)
JAMES BEMBRY
OB/GYN40.0$522,695$0$45,479Yes (X)
PATRICK KARR
OB/GYN40.0$592,135$0$47,159Yes (X)
STEPHANIE BUCHANAN
SURGEON40.0$442,837$0$30,640Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,615,227TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$348,518TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K41IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
WAYNE HEALTHCARE ORTHOPEDIC SERVICESS COMPANY LLC
835 Sweitzer StreetGreenvilleOH45331ORTHO SVCS$7,828,939
COMPUNET CLINIC LABS
PO BOX 714132CINCINNATIOH452714132LAB MANAGEMENT$5,118,668
PREMIER HEALTH CARE SERV
PO BOX 634850CINCINNATIOH452634850EHR SERVICES$2,800,438
KETTERING ANESTHESIA ASSOC
3500 PENTAGON BLVD SUITE 200BEAVERCREEKOH45431ANESTHESIA SERVICES$2,463,910
MEDICAL SOLUTIONS LLC
PO BOX 850737MINNEAPOLISMN554850737AGENCY STAFFING$2,099,261
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K21CntrctRcvdGreaterThan100KCnt
Related Organizations$260,615RelatedOrganizationsAmt
Government Grants$540,469GovernmentGrantsAmt
All Other Contributions$17,516AllOtherContributionsAmt
Total Contributions$818,600TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621110$79,933,541$79,933,541
OTHER REVENUE FROM OCE JV$590,407$590,407

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$80,523,948TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,508,723TotalRevenueColumnAmt
Exclusion$4,508,723ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$445,731RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$51,611RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$394,120RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$394,120TotalRevenueColumnAmt
Exclusion$394,120ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$11,458,846SecuritiesAmt
Other$0OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$9,669,471SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,789,375SecuritiesAmt
Other$0OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,789,375TotalRevenueColumnAmt
Exclusion$1,789,375ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
FOOD SALES722210$358,162$358,162
OTHER REVENUE900099$189,452$189,452
REBATE REVENUE900099$172,457$172,457

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$720,071OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$88,754,837TotalRevenueColumnAmt
Related Or Exempt Func Income$80,885,857RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$7,050,380ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$53,255TotalAmt
Program Services$53,255ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,547,682TotalAmt
Management And General$1,547,682ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$22,974,892TotalAmt
Program Services$20,491,285ProgramServicesAmt
Management And General$2,483,607ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$603,744TotalAmt
Program Services$525,816ProgramServicesAmt
Management And General$77,928ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$9,315,161TotalAmt
Program Services$8,112,808ProgramServicesAmt
Management And General$1,202,353ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,953,801TotalAmt
Program Services$1,632,614ProgramServicesAmt
Management And General$321,187ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$207,657TotalAmt
Management And General$207,657ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$60,369TotalAmt
Management And General$60,369ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$187,304TotalAmt
Management And General$187,304ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$23,480,583TotalAmt
Program Services$21,079,800ProgramServicesAmt
Management And General$2,400,783ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$318,812TotalAmt
Program Services$289,309ProgramServicesAmt
Management And General$29,503ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$87,689TotalAmt
Program Services$42,960ProgramServicesAmt
Management And General$44,729ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,399,509TotalAmt
Program Services$197,316ProgramServicesAmt
Management And General$2,202,193ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,130,158TotalAmt
Program Services$1,399,488ProgramServicesAmt
Management And General$730,670ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$49,932TotalAmt
Program Services$34,165ProgramServicesAmt
Management And General$15,767ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$79,491TotalAmt
Program Services$67,627ProgramServicesAmt
Management And General$11,864ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,670,578TotalAmt
Program Services$674,914ProgramServicesAmt
Management And General$995,664ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$9,272,512TotalAmt
Program Services$7,575,642ProgramServicesAmt
Management And General$1,696,870ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$567,163TotalAmt
Program Services$273,338ProgramServicesAmt
Management And General$293,825ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$7,039,285$7,022,464$16,821
MAINTENANCE AGREEMENTS$1,630,271$873,379$756,892
DIETARY$451,409$410,645$40,764
BOOKS AND REPORTS$268,906$66,085$202,821

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$831,481TotalAmt
Program Services$452,989ProgramServicesAmt
Management And General$378,492ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$87,181,644TotalAmt
Program Services$71,275,899ProgramServicesAmt
Management And General$15,905,745ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,865,097BOYAmt
EOY$10,442,649EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$14,498,772BOYAmt
EOY$15,699,190EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$9,801,970BOYAmt
EOY$13,526,090EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,753,338BOYAmt
EOY$1,452,482EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,181,528BOYAmt
EOY$1,074,179EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$179,652,810LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$107,659,340LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$79,288,759BOYAmt
EOY$71,993,470EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$60,457,421BOYAmt
EOY$57,573,180EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$2,249,060BOYAmt
EOY$2,424,208EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,366,771BOYAmt
EOY$4,090,490EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$175,462,716BOYAmt
EOY$178,275,938EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$7,992,869BOYAmt
EOY$9,181,023EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$46,548,278BOYAmt
EOY$45,340,851EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$375,502BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$54,916,649BOYAmt
EOY$54,521,874EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$120,436,577BOYAmt
EOY$123,641,683EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$109,490BOYAmt
EOY$112,381EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$120,546,067BOYAmt
EOY$123,754,064EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$175,462,716BOYAmt
EOY$178,275,938EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,573,193ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,643,833NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$9,029OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$8,578OtherActivitiesAmt
Total Lobbying Expenditures$8,578TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationWAYNE HOSPITAL COMPANY PAYS DUES TO THE OHIO HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THESE DUES, $8,578, WAS SPENT ON LOBBYING.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,062,931OtherCostOrOtherBasisAmt
Book Value$2,062,931BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$106,613,775OtherCostOrOtherBasisAmt
Depreciation$64,109,903DepreciationAmt
Book Value$42,503,872BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,400,944OtherCostOrOtherBasisAmt
Depreciation$2,648,953DepreciationAmt
Book Value$751,991BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$67,348,272OtherCostOrOtherBasisAmt
Depreciation$40,900,484DepreciationAmt
Book Value$26,447,788BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$226,888OtherCostOrOtherBasisAmt
Book Value$226,888BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$71,993,470TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc
Federal Income Taxes
INTEREST RATE SWAP LIABILITY
ESTIMATED THIRD PARTY SETTLEMENTS
DUE TO/FROM CARE ASSURANCE
FieldValueIRS element (for citing)
Total Liability$0TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$90,230,515TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$1,643,832NetUnrealizedGainsInvstAmt
Other Revenue-$9,029OtherRevenueAmt
Revenue Not Reported$1,634,803RevenueNotReportedAmt
Revenue Subtotal$88,595,712RevenueSubtotalAmt
Investment Expenses Not Incld$187,304InvestmentExpensesNotIncldAmt
Other Revenues Not Included-$28,179OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$159,125RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$88,754,837TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$87,022,518TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$28,178OtherExpensesIncludedAmt
Expenses Not Reported$28,178ExpensesNotReportedAmt
Expenses Subtotal$86,994,340ExpensesSubtotalAmt
Investment Expenses Not Incld2$187,304InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$187,304ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$87,181,644TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part V, Line 4 Intended uses of endowment fundsENDOWMENT FUNDS ARE SPECIFICALLY SET ASIDE FOR CLINICALLY RELATED SCHOLARSHIPS GRANTED TO STUDENTS GOING INTO A HEALTH RELATED FIELD OF STUDY AND FOR INDIGENT CARE.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteThe Internal Revenue Service has ruled the Hospital and Foundation are tax-exempt organizations as defined under Section 501(c)(3) of the Internal Revenue Code and are exempt from income taxes on related income pursuant to Section 501(a). WHC Professional Services, LLC; Wayne Healthcare Pain Management, LLC; and Wayne Healthcare Orthopedic Services Company, LLC are limited liability corporations and, as such, passes income to the members. Accordingly, no provision for income taxes has been made for this entity in the consolidated financial statements. The Hospital; Foundation; WHC Professional Services, LLC; and Wayne Healthcare Pain Management, LLC have filed their applicable federal and state income tax returns for periods through December 31, 2022. These income tax returns are generally open to examination by the relevant taxing authorities for a period of three years from the later of the dates the return was filed or its due date (including approved extensions). Accounting principles generally accepted in the United States of America require management to evaluate tax positions taken and recognize a tax liability if an uncertain position has been taken that more likely than not would not be sustained upon examination by various federal and state taxing authorities. Management has analyzed the tax positions taken by these entities, and has concluded that as of December 31, 2024 and 2023, there are no uncertain positions taken or expected to be taken that would require recognition of a liability or disclosure in the accompanying consolidated financial statements. The entities are subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress.
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990CHANGE IN INTEREST OF RELATED PARTIES - -9029
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statementsRENTAL EXPENSE INCLUDED IN REVENUE - -51611 CONTRIBUTIONS NETTED WITH EXPENSES - 23432
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990RENTAL EXPENSE INCLUDED IN REVENUE - 51611 CONTRIBUTIONS NETTED WITH EXPENSES - -23433

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent200 DYes (X)Percent200DInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$375,459TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$375,459NetCommunityBenefitExpnsAmt
Total Expense0.00431TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,743,026TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,890,228DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,852,798NetCommunityBenefitExpnsAmt
Total Expense0.11301TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$884,486TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,514,059DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$16,002,971TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,404,287DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,228,257NetCommunityBenefitExpnsAmt
Total Expense0.11732TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$316,133TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$316,133NetCommunityBenefitExpnsAmt
Total Expense0.00363TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$175,452TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$175,452NetCommunityBenefitExpnsAmt
Total Expense0.00201TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$491,585TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$491,585NetCommunityBenefitExpnsAmt
Total Expense0.00564TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$16,494,556TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,404,287DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,719,842NetCommunityBenefitExpnsAmt
Total Expense0.12296TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$5,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,000NetCommunityBenefitExpnsAmt
Total Expense0.00006TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs6ActivitiesOrProgramsCnt
Total Community Benefit Expns$13,500TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$13,500NetCommunityBenefitExpnsAmt
Total Expense0.00015TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs7ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$18,500TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$18,500NetCommunityBenefitExpnsAmt
Total Expense0.00021TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$0BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$31,600,675ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$11,565,310CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$20,035,365MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Wayne Hospital CompanyBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1835 Sweitzer StreetAddressLine1Txt
CityGreenvilleCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45331ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.WAYNEHEALTHCARE.ORGWebsiteAddressTxt
State LicenseOhio Department of Health 1159AHRStateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Wayne Hospital CompanyBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttps://www.waynehealthcare.org/documents/content/CHNA-Report-2021.pdfOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttps://www.waynehealthcare.org/documents/Community%20Health%20Improvement%20Plans/Community-Health-StrategyWebsiteURLTxt
Organization Incur Excise TaxYes (true)OrganizationIncurExciseTaxInd
Form4720 FiledYes (true)Form4720FiledInd
Excise Report Form4720 For All$50,000ExciseReportForm4720ForAllAmt
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care200.0FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps://www.waynehealthcare.org/visitors-and-patients/financial-assistance/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttps://www.waynehealthcare.org/visitors-and-patients/financial-assistance/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttps://www.waynehealthcare.org/visitors-and-patients/financial-assistance/FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3EThe significant health needs of the community are identified and prioritized through the CHNA.
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - WAYNE HOSPITAL COMPANY. The needs assessment utilized a mixed-method approach to data collection including secondary quantitative data and primary quantitative and qualitative data. Each data collection strategy adhered to a recruitment plan to ensure a representative sample of community members, voices of underrepresented populations and providers across the health and social services sectors were captured. Below, each data collection strategy is outlined include the sampling or recruitment strategy, and analysis. Secondary data sources were used to capture community-level data on health conditions, healthcare access, and risk factors. Data sources are cited throughout the report. Large secondary data sources include the American Community Survey (ACS), National Center for Health Statistics, CDC's Behavioral Risk Factor Surveillance System, and Ohio Hospital Association (OHA) and Health Information Exchange (HIE) hospital and emergency department utilization data. Other secondary data regarding social determinants of health were pulled from 2021 County Health Rankings National Data (CHR). The primary goal of the provider survey was to assess the current state of system barriers to providing health care and to addressing the greatest health needs of the community, and to identify solutions to overcoming system and SDOH-related barriers. The online survey was open from April 2021 to May 2021. Below outlines the sampling and analysis strategy for the provider survey. A total of 859 provider surveys were included in the analysis. 72 Across the three regions, the representation of providers from different fields were relatively equal with the exception of Dayton-Kettering MSA where there was much higher representation from Medical Health professionals (general population; 29%) compared to Cincinnati MSA (10%) and Rural Counties (14%). Among healthcare professionals, more than half in each region provide direct patient care. Among social service professionals, the most common roles among respondents were in Administration/Senior Management. Providers also reported serving the Regional CHNA target populations with 50% or more serving children/youth, disabled, ethnic minority, homeless, low-income, parent/caretaker and older adult populations. The population survey gathered a wide range of voices to share their experiences and insights with health conditions, risk factors, and structural barriers. The electronic survey was open from April 2021 to June 2021 and available in Arabic, English, French, Nepali, and Spanish. Paper surveys were provided when requested. To improve response rates, there were two drawings for a $100 Amazon gift card. An overview of the sampling and analysis strategies for the population survey are provided below. To ensure a representative sample of THC's geographic service area, three separate stratified sampling strategies were developed to reflect the age, race, and gender of Cincinnati Metropolitan Statistical Area (MSA), Dayton-Kettering MSA (to include Clark County which is not part of the Dayton MSA but is similar in that it borders the Dayton MSA and is not a rural county), and other rural counties in the geographic service area that are predominately rural and not included in other MSAs. Over 11,000 individuals responded to an online survey with 8,321 valid responses. In order to make population-level conclusions and observations from the data, a survey data weighting method was applied to ensure the sample distribution of demographics align with the population distribution. The method of survey weighting used in this analysis is called raking. This method is also used by Pew Research Center, and the CDC also uses raking in their Behavioral Risk Factor Surveillance System (BRFSS) data. Focus groups were implemented to document the unique health needs and experiences of community members known to experience health disparities or that do not tend to participate in online surveys. Focus groups were conducted, virtually, by researchers from MRC, Scale Strategic Solutions, and a team of University of Cincinnati (UC) faculty and students, with MRC facilitating the collaborative effort. Researchers collaborated with community champions in order to identify community members to participate. Focus groups lasted one hour, were conducted in person or via Zoom, and each participant received a $25 grocery gift card (Amazon, Walmart, or Kroger) for their expertise in the focus group. An overview of the recruiting and analysis strategies for the focus groups are provided below.
Schedule H, Part V, Section B, Line 6a Facility , 1Facility , 1 - LIST OF ALL HOSPITAL FACILITIES WITH WHICH WE COLLABORATED:. Bon Secours Mercy Health Bon Secours Mercy Health Anderson Hospital Bon Secours Mercy Health Clermont Hospital Bon Secours Mercy Health Fairfield Hospital Bon Secours Mercy Health Jewish Hospital Bon Secours Mercy Health West Hospital Cincinnati Children's Hospital Cincinnati Children's Burnet Campus Cincinnati Children's Liberty Campus Cincinnati Children's College Hill Campus The C&F Lindner Center of HOPE The Christ Hospital, Mt. Auburn TriHealth TriHealth Good Samaritan Hospital TriHealth Good Samaritan Evendale Hospital TriHealth Bethesda North Hospital TriHealth Bethesda Butler Hospital TriHealth McCullough Hyde Memorial Hospital UC Health UC Health University of Cincinnati Medical Center UC Health West Chester Hospital UC Health Drake Center for Post-Acute Care Greater Dayton Area Hospital Association (GDAHA): Kettering Kettering Medical Center Sycamore Medical Center Kettering Behavioral Medical Center Grandview Medical Center Southview Medical Center Soin Medical Center Greene Memorial Hospital Fort Hamilton Hospital Premier Miami Valley Hospital Atrium Medical Center Upper Valley Medical Center Miami Valley Hospital South Miami Valley Hospital North Wilson Memorial Health Wayne HealthCare Mercy Health Springfield Regional Medical Center Mercy Health Urbana Hospital Adams County Regional Medical Center Margaret Mary Health
Schedule H, Part V, Section B, Line 6b Facility , 1Facility , 1 - WAYNE HOSPITAL COMPANY. LOCAL HEALTH DEPARTMENTS: CITY: Cincinnati, Hamilton (City), Norwood, Piqua, Springdale COUNTY: Adams, Auglaize, Brown, Butler, Champaign, Clark, Clermont, Clinton, Darke, Fayette, Greene, Hamilton, Highland, Miami, Montgomery, Preble, Shelby, Warren COUNTIES: Indiana: Franklin, Dearborn, Ohio, Ripley, Union Kentucky: Campbell, Boone, Grant, Kenton Ohio: Adams, Auglaize, Brown, Butler, Champaign, Clark, Clermont, Clinton, Darke, Greene, Hamilton, Highland, Miami, Montgomery, Preble, Shelby, Warren - 4 Kentucky counties are managed by 1 NKY Health Department and did not officially participate. These counties are however in the services areas of participating hospitals (Christ, CCHMC) and therefore are included in the county number. - 5 Indiana counties do have their own health department/county but did not officially participate. They are included in multiple hospital service areas (GDAHA, MMH, CCHMC) and therefore were included in the county number. - 5 additional city health departments were engaged, all located within participating counties in Ohio
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - WAYNE HOSPITAL COMPANY. The Hospital implemented the following during tax year 2024 to address the needs identified in the CHNA: THE LIFESTYLE ENHANCEMENT CENTER EXPANDED CHRONIC DISEASE MANAGEMENT PROGRAMS TO INCLUDE CARDIAC REHABILITATION AND CONGESTIVE HEART FAILURE CLINIC. THE GROUP LIFESTYLE BALANCE PROGRAM EXPANDED FROM WAYNE HEALTHCARE EMPLOYEES TO INVITING THE PUBLIC TO PARTICIPATE. PEOPLE PARTICIPATED IN THE PROGRAMS FOR TOBACCO CESSATION, CARDIAC DISEASE, HEART FAILURE, CARDIAC & PULMONARY REHAB. A CARDIOLOGIST WAS ALSO RECRUITED DURING 2022, BUT WAS NOT BROUGHT ON BOARD UNTIL 2023. HOSPITAL EMPLOYEES PROVIDED 270 HOURS OF TIME TO HELP WITH HEALTH SCREENINGS AND PROVIDE EDUCATIONAL INFORMATION TO THE COMMUNITY AT COUNTY AND CORPORATE HEALTH FAIRS DURING 2024.
FieldValueIRS element (for citing)
Facility1FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WAYNE HOSPITAL COMPANY PROFESSIONAL SERVICES LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1835 SWEITZER STREETAddressLine1Txt
CityGREENVILLECityNm
State AbbreviationOHStateAbbreviationCd
ZIP45331ZIPCd
FieldValueIRS element (for citing)
FacilityPHYSICIAN PROFESSIONAL SERVICES ORGANIZATIONFacilityTxt

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 8 2022 Implementation StrategyDURING 2021, THE HOSPITAL BEGAN THE WORK TO IMPLEMENT THE ITEMS IDENTIFIED IN THE MOST RECENT CHNA. WE STARTED THE PROCESS TO EXPAND CHRONIC DISEASE MANAGEMENT PROGRAMS TO INCLUDE CARDIAC REHABILITATION AND CONGESTIVE HEART FAILURE CLINIC THAT WILL BE OFFERED THROUGH OUR LIFE STYLE ENHANCEMENT CENTER. PLANNING BEGAN TO EXPAND THE GROUP LIFESTYLE BALANCE PROGRAM FROM WAYNE HEALTHCARE EMPLOYEES TO INVITING THE PUBLIC TO PARTICIPATE IN OUR TOBACCO CESSATION, CARDIAC DISEASE, HEART FAILURE, CARDIAC & PULMONARY REHAB. EFFORTS TO RECRUIT ADDITIONAL PHYSICIANS SUCH AS CARDIOLOGISTS AND UROLOGISTS BEGAN AND WE ALSO DEVELOPED PROCESSES TO BE ABLE TO OFFER HEALTH FAIRS AT EMPLOYER LOCATIONS.
Schedule H, Part V, Section B, Line 12a 501(r) DisclosureWayne Healthcare participated in the Greater Dayton Area Hospital Association's 2024 regional Community Health Needs Assessment (CHNA). The regional assessment was completed in 2024 and made publicly available by the collaborative. Hospital leadership discussed the CHNA process and results with the governing body during meetings held in November 2024 and January 2025, reflecting the Board's awareness of the CHNA findings and related community engagement activities. Formal Board adoption of the CHNA and related implementation strategy had not yet occurred as of December 31, 2024. Although the CHNA was posted publicly by the regional collaborative in 2024, Wayne Healthcare did not post the report to its own website until 2025. In accordance with Rev. Proc. 2015-21, Wayne Healthcare took prompt corrective action to obtain governing-body approval and ensure that both the CHNA and Implementation Strategy were formally adopted and publicly available. The hospital has reviewed its internal compliance calendar and is implementing procedures to confirm that future CHNAs and implementation strategies are completed, approved, adopted, and posted within the required three-year cycle. This situation was inadvertent and administrative in nature. For the 2024 tax year, Wayne Healthcare has indicated this failure under Section 501(r)(3) and filed its Form 4720 to report the Section 4959 excise tax owed, as reported on Schedule H, Part V, Lines 12a-c. The hospital remains committed to full compliance with § 501(r)(3) and to transparent reporting of its community health planning activities.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceIN ORDER TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE FOR LINE 7, A COST-TO-CHARGE RATIO WAS USED. THIS COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES AS PROVIDED WITHIN IRS INSTRUCTIONS FOR COMPLETION OF SCHEDULE H.
Schedule H, Part II Community Building ActivitiesWAYNE HEALTHCARE CONTRIBUTED TO THE FOLLOWING ORANIZATIONS: $5,000 TO PARTNERING FOR PROGESS WHICH IS A COLLABORATIVE ECONOMIC DEVELOPMENT EFFORT PROVIDING COMPREHENSIVE SUPPORT TO THE DARKE COUNTY BUSINESS COMMUNITY. $1,250 TO BIG BROTHERS BIG SISTERS OF SHELBY AND DARKE COUNTY TO HELP SPONSOR FAMILY ACTIVITIES. $3,250 TO THE DARKE COUNTY UNITED WAY TO HELP ASSESS AND ADDRESS HEALTH AND HUMAN SERVICE NEEDS IN OUR COMMUNITY. $1,500 TO THE GARST MUSEUM FOR THE CAPITAL CAMPAIGN. $1,500 TO THE EDISON FOUNDATION TO SUPPORT THEIR HOLIDAY EVENING AND DERBY EVENTS. $5,000 TO THE TRI-VILLAGE LOCAL SCHOOL DISTRICT FOR A TRAINING ROOM TO ALLOW FOR PROPER CARE OF STUDENT ATHLETES. $1,000 TO THE YMCA OF DARKE COUNTY FOR THEIR ANNUAL CAMPAIGN THAT ASSISTS FAMILIES TO SUBSIDIZE THEIR MEMBERSHIP FEES, ENABLING THEM TO RECEIVE DISCOUNTED CHILD CARE, TAKE SWIM LESSONS, PARTICIPATE IN GROUP EXERCISE CLASSES AND MAKE USE OF THE YMCA FAMILY ACTIVITIES.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountFor financial statement purposes, Wayne Hospital Company has adopted accounting standards update No. 2014-09 (Topic 606). Implicit price concessions includes Bad Debts. Therefore, Bad debts are included in Net Patient Revenue in accordance with Healthcare Financial Management Association Statement No. 15 and bad debt expense is not separately reported as an expense on IRS Form 990, Part IX. The amount reported on Part III, Line 3 is the estimated cost of Bad Debt attributable to patients eligible under the Hospital's financial assistance policy on a gross basis.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnotePlease refer to page 16 of the attached financial statements on the determination of bad debt expense.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsThe Medicare allowable costs are determined using the internal cost accounting system, which incorporates the cost to charge ratio. Wayne HealthCare has a large percentage of Medicare patients in the community it serves and shortfalls may arise when payments received are less than the cost to provide the care or services. As provided in IRS Revenue Ruling 69-545, the community benefit standard for nonprofit hospitals states that if a hospital serves patients with governmental health benefits, including Medicare, then this is an indication that the hospital operates to promote the health of the community.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistancePatients known to qualify for charity care or financial assistance are not sent to a collection agency. The organization repeatedly offers patients access to financial help during their hospital stays and after, as well as with each billing notice. Bills are sent to a collection agency as a last resort and only: when patients have the ability to pay some portion of their healthcare expenses but refuse to do so; when patients refuse to work with the organization to determine if they qualify for free or discounted care via federal, state, local or hospital assistance programs; when the organization is unable to locate the patient or person responsible for the bill.
Schedule H, Part V, Section B, Line 16a FAP website- Wayne Hospital Company: Line 16a URL: https://www.waynehealthcare.org/visitors-and-patients/financial-assistance/;
Schedule H, Part V, Section B, Line 16b FAP Application website- Wayne Hospital Company: Line 16b URL: https://www.waynehealthcare.org/visitors-and-patients/financial-assistance/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website- Wayne Hospital Company: Line 16c URL: https://www.waynehealthcare.org/visitors-and-patients/financial-assistance/;
Schedule H, Part VI, Line 2 Needs assessmentTHE ORGANIZATION ASSESES THE NEEDS OF THE COMMUNITY BY REACHING OUT TO LOCAL ORGANIZATIONS TO SURVEY THE HEALTH NEEDS OF THEIR EMPLOYEES. ADDITIONALLY, THE HOSPITAL ASSESSES THE TRENDS OF INPATIENT ADMISSIONS TO DETERMINE WHAT THE CURRENT NEEDS ARE AND WHAT ADDITIONAL PROGRAMMING MAY BENEFIT THE NEEDS OF THE COMMUNITY. WAYNE HOSPITAL COMPANY WORKED IN CONJUNCTION WITH THE GREATER DAYTON AREA HOSPITAL ASSOCIATION, WITH GWEN FINEGAN SERVING AS THE LEAD CONSULTANT, AND THE DARKE COUNTY HEALTH DEPARTMENT TO COMPLETE A COMMUNITY HEALTH NEEDS ASSESSMENT.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceWAYNE HOSPITAL PROVIDES PAMPHLETS TO PATIENTS THAT DESCRIBE THE FINANCIAL ASSISTANCE POLICIES. THERE IS SIGNAGE UP THROUGHOUT THE KEY PATIENT AREAS, INCLUDING THE EMERGENCY ROOM AND ADMISSIONS AREAS IN THE HOSPITAL ALONG WITH FINANCIAL ASSISTANCE APPLICATIONS. THE HOSPITAL'S WEBSITE HAS THE FINANCIAL ASSISTANCE INFORMATION AVAILABLE TO THE PATIENTS. WAYNE HOSPITAL SENDS A FINANCIAL COUNSELOR TO SPEAK WITH OUR INPATIENTS AS WELL AS EMERGENCY DEPARTMENT PATIENTS THAT MAY BE ELIGIBLE FOR ASSISTANCE. FINALLY, WAYNE HOSPITAL PUTS THE FINANCIAL ASSISTANCE APPLICATION DIRECTLY ON THE BACK OF ALL PATIENT STATEMENTS SO THAT THE PATIENT HAS IMMEDIATE ACCESS TO THE APPLICATION.
Schedule H, Part VI, Line 4 Community informationWAYNE HOSPITAL SERVES THE DARKE COUNTY COMMUNITY. DARKE COUNTY IS MAINLY A RURAL FARMING COMMUNITY WITH A POPULATION OF 51,462. APPROXIMATELY 9.2% OF THE COUNTY INCOME LEVEL IS UNDER THE FEDERAL POVERTY GUIDELINES AND 15.65% OF THE REVENUES FOR THE HOSPITAL WERE MEDICAID PATIENTS IN 2024. THE COUNTY UNEMPLOYMENT RATE IN 2024 WAS 4.0%. WAYNE HOSPITAL IS THE ONLY HOSPITAL WITHIN THE COUNTY AND THERE IS A FEDERALLY QUALIFIED HEALTH CENTER THAT SERVES THE COUNTY AND THEREFORE PROVIDES A SIGNIFICANT AMOUNT OF REFERRALS TO THE FACILITY.
Schedule H, Part VI, Line 5 Promotion of community healthWAYNE HOSPITAL'S GOVERNING BODY IS COMPRISED OF LOCAL COMMUNITY AND COUNTY RESIDENTS WHO HAVE A VESTED INTEREST IN THE VIABILITY OF THE FACILITY. THE MEMBERS ARE ATTORNEYS, BANK EXECUTIVES, SCHOOL OFFICIALS, RETIRED BUSINESS OWNERS, AND OTHER LOCAL MEDICAL PROFESSIONALS. A MAJORITY OF THESE INDIVIDUALS ARE NEITHER EMPLOYEES OR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. WAYNE HOSPITAL EXTENDS STAFF PRIVILEGES NOT ONLY TO OUR EMPLOYED PHYSICIANS, BUT TO THE COMMUNITY'S MEDICAL PROFESSIONALS AS WELL IN ORDER TO KEEP AS MUCH OF OUR PATIENT POTENTIAL AT THE FACILITY AS POSSIBLE. THE HOSPITAL OFFERS HEALTHY MOMENTS PROGRAMS THOUGHOUT THE YEAR TO THE PUBLIC AND EMPLOYEES TO PROVIDE EDUCATION AND INFORMATION ON HEALTHY LIVING AND HOSPITAL SERVICES THAT CAN IMPROVE THEIR HEALTH AND WELL-BEING. THE HOSPITAL OFFERS COOKING DEMOS THAT ALLOW EMPLOYEES AND COMMUNITY MEMBERS TO TRY DIFFERENT FOODS. THE LIFESTEP PROGRAM IS AN EVIDENCE-BASED WEIGHT LISS AND BEHAVIORAL CHANGE PROGRAM THAT COVERS A VARIETY OF TOPICS RELATED TO PHYSICAL ACTIVITY, NUTRITION, AND BEHAVIOR CHANGE. THE WALK AND TALK EVENT IS OPEN TO EMPLOYEES AND COMMUNITY MEMBERS AND INCLUDES A 15-20 MINUTE PRESENTATION ON HEALTH TOPICS, WALKING, AND Q&A. THE TAI CHI PROGRAM PROVIDES SLOW, GENTLE MOVEMENTS WITH MINDFULNESS, CONTROLLED BREATHING, AND A MEDITATIVE STATE OF MIND. THE MEDICAL RESIDENCY PROGRAM OFFERS A POSTGRADUATE TRAINING PROGRAM WHERE NEWLY GRADUATED DOCTORS (MDs) GAIN PRACTICAL, HANDS-ON EXPERIENCE IN A SPECIFIC MEDICAL SPECIALTY UNDER THE SUPERVISON OF EXPERIENCED PHYSICIANS.
Schedule H, Part VI, Line 7 State filing of community benefit reportOH

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1Greenville City SchoolsBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1215 W Fourth StAddressLine1Txt
CityGreenvilleCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45331ZIPCd
FieldValueIRS element (for citing)
Recipient EIN346400591RecipientEIN
Cash Grant$20,000CashGrantAmt
Purpose Of GrantGENERAL SUPPORTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2 Procedures for monitoring use of grant fundsFormAndLineReferenceDesc
ExplanationWayne HealthCare provides grant support to perpetuate and advance the highest quality of health care services at Wayne HealthCare and the surrounding communities along with providing funds to other organizations that will improve the health of the community. Wayne HealthCare's Senior Leadership team reviews and approves all grants and other assistance provided to organizations and individuals to ensure that grants are used for proper purposes and are not otherwise diverted from the intended use. If the Hospital receives a large request mid-year that has not been budgeted, the request is taken to the Board for review and approval.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgYes (true)CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ALISHA REISS
SURGEON$506,575$0$10,000$0$0$0$10,430$0$36,716$0$563,721$0$0$0
JEFFREY SUBLER
PRESIDENT/CEO$236,001$0$30,195$0$6,000$0$8,246$0$35,946$0$316,388$0$0$0
NICOLE GILLESPIE
VP OF FINANCIAL SERVICES/CFO$182,512$0$1,000$0$0$0$5,585$0$16,077$0$205,174$0$0$0
KIMBERLEE FREEMAN
VP OF PATIENT CARE/CNO$205,689$0$7,781$0$0$0$6,484$0$36,786$0$256,740$0$0$0
ALEXANDER POHLMAN
VP OF OPERATIONS$193,073$0$6,808$0$0$0$6,076$0$36,522$0$242,479$0$0$0
PATRICK KARR
OB/GYN$561,447$0$30,688$0$0$0$10,430$0$36,729$0$639,294$0$0$0
STEPHANIE BUCHANAN
SURGEON$432,837$0$10,000$0$0$0$10,430$0$20,210$0$473,477$0$0$0
JAMES BEMBRY
OB/GYN$506,129$0$16,566$0$0$0$10,430$0$35,049$0$568,174$0$0$0
BRIAN DULIN
CARDIOLOGY$664,940$0$6,986$0$0$0$10,430$0$15,942$0$698,298$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule J, Part I, Line 5a Compensation contingent on revenues of the organizationFormAndLineReferenceDesc
ExplanationTHE ORGANIZATION PAYS PHYSICIAN INCENTIVE PAYMENTS TO PATRICK KARR, JAMES BEMBRY, AND BRIAN DULIN BASED ON THE REVENUE AND QUALITATIVE PERFORMANCE OF THEIR PRACTICES, WHICH IN PART MAKE UP THE REVENUES OF THE ORGANIZATION. THE INCENTIVE PAYMENTS ARE CONTINGENT ON THE PHYSICIAN'S GENERATED CHARGES.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
COUNTY OF DARKE OHIO
A346400361237242AS12019-09-12$27,449,851SEE PART VIfalsefalsefalse
COUNTY OF DARKE OHIO
B3464003610000000002019-09-12$39,414,756SEE PART VIfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndOther Spent ProceedsOtherSpentProceedsAmt
A$0$0$27,449,851$1,181,581$1,606,099$0$225,000$0$0$24,790,416$02022falsefalseYes (true)Yes (true)
B$20,455,000$0$39,414,756$0$0$0$565,661$0$0$14,746,960$02022Yes (true)falseYes (true)Yes (true)$24,102,135

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndChange In Use Bond Financed PropChangeInUseBondFinancedPropPctRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalsefalseYes (true)Yes (true)falsefalse0.00.00.0falsefalse0falseYes (true)
BfalsefalseYes (true)Yes (true)falsefalse0.00.00.0falsefalse0falseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndTerm Of GICTermOfGICPctRegulatory Safe Harbor StsfdRegulatorySafeHarborStsfdIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
AfalsefalsefalseYes (true)falsefalse0falsefalsefalse0falsefalseYes (true)
BfalsefalsefalseYes (true)Yes (true)false0falsefalsefalse0falsefalseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule K, Part I, Column (f) BOND ISSUES LINE ATHE SERIES 2019A BONDS WERE ISSUED TO PROVIDE THE FUNDS WHICH WILL BE USED TO (I) PROVIDE A PORTION OF THE MONIES NECESSARY TO FINANCE CERTAIN CAPITAL IMPROVEMENT PROJECTS CONSISTING OF THE ACQUISITION, CONSTRUCTION, FURNISHING AND EQUIPPING OF ADDITIONS AND IMPROVEMENTS TO "HOSPITAL FACILITIES" AS THE TERM IS DEFINED IN SECTION 140.01 OF THE OHIO REVISED CODE; (II) FUND A DEBT SERVICE RESERVE FUND FOR THE SERIES 2019A BONDS, (III) PAY INTEREST ON A PORTION OF THE SERIES 2019A BONDS; AND (IV) PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE SERIES 2019A BONDS.
Schedule K, Part I, Column (f) BOND ISSUES LINE BTHE SERIES 2019BC BONDS WERE ISSUED TO (I) FINANCE THE COSTS OF ACQUIRING, CONSTRUCTING, EQUIPPING, INSTALLING AND IMPROVING "HOSPITAL FACILITIES" AS THE TERM IS DEFINED IN SECTION 140.01 OF THE OHIO REVISED CODE; (II) CURRENTLY REFUND THE OUTSTANDING PRINCIPAL AMOUNT OF THE COUNTY'S ADJUSTABLE RATE DEMAND HOSPITAL FACILITIES REFUNDING REVENUE BONDS, SERIES 2010 (WAYNE HOSPITAL) DATED NOVEMBER 1, 2010 ISSUED IN THE ORIGINAL PRINCIPAL AMOUNT OF $30,000,000, WHICH FINANCED AND REFINANCED THE COSTS OF EQUIPPING, INSTALLING AND IMPROVING HOSPITAL FACILITIES; AND (III) PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE SERIES 2019BC BONDS.
Schedule K, Part I BOND ISSUES COLUMN ADIFFERENCE BETWEEN ISSUE PRICE IN PART I, LINE A, COLUMN E AND TOTAL PROCEEDS OF ISSUE IN PART II, COLUMN A, LINE 3 IS INVESTMENT EARNINGS DURING THE PROJECT PERIOD.
Schedule K, Part II, Line 11 BOND ISSUES COLUMN BRelated to the current refunding of the Series 2010 Bonds described above.
Schedule K, Part IV, Line 2c COLUMN AIssuer name: COUNTY OF DARKE, OHIO The calculation for computing no rebate due was performed on 09/27/2024
Schedule K, Part IV, Line 2c COLUMN BIssuer name: COUNTY OF DARKE, OHIO The calculation for computing no rebate due was performed on 05/13/2024

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 1 ORGANIZATION'S MISSION(CONTINUED FROM PART III) THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS FINANCIAL ASSISTANCE POLICY AT NO CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. SCHEDULE H PROVIDES INFORMATION ABOUT WAYNE HOSPITAL CORPORATION PROVIDING CARE REGARDLESS OF PATIENT'S ABILITY TO PAY.
Form 990, Part III, Line 4b PROGRAM SERVICE ACCOMPLISHMENTS(CONTINUED FROM PART III, LINE 4B) ANOTHER PROGRAM INVOLVES CONDUCTING VARIOUS DIABETES SEMINARS AND CLASSES HELD AT WAYNE HOSPITAL WHICH PROVIDE INFORMATION TO THE PUBLIC ON DIABETES AWARENESS, OFFER THE COMMUNITY HEALTH SCREENINGS FOR DIABETES, AND EDUCATE THOSE WITH DIABETES ABOUT MANAGING THE DISEASE. THE EMPLOYEES OF WAYNE HOSPITAL HAVE SPENT OVER 42 HOURS OF TIME ON THE DIABETES SEMINARS AND CLASSES AND THE HOSPITAL HAS CONTRIBUTED MATERIALS AND SUPPLIES TO THE PROGRAM. AN ADDITIONAL PROGRAM OF WAYNE HOSPITAL IS THE CANCER AWARENESS, PREVENTION, SCREENING AND TREATMENT PROGRAM IN WHICH THE HOSPITAL OFFERS DIAGNOSTIC AND THERAPEUTIC SERVICES IN ADDITION TO SEMINARS AND CLASSES TO THE COMMUNITY IN ORDER TO PROMOTE AWARENESS, TEACH WAYS OF PREVENTION, AND OFFER HEALTH SCREENINGS TO THE COMMUNITY. THE EMPLOYEES OF WAYNE HOSPITAL HAVE SPENT OVER 454 HOURS OF TIME ON THE CANCER AWARENESS SEMINARS. WAYNE HOSPITAL ALSO PROVIDED AWARENESS, PREVENTION, SCREENING OF BLOOD PRESSURE CLINIC. THE EMPLOYEES OF WAYNE HOSPITAL HAVE SPENT 47 HOURS OF TIME ON THE CLINIC.
Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEESTHE COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES IS DETERMINED BY THE CEO USING MARKET STUDIES PROVIDED BY HUMAN RESOURCES, EVALUATION, AND PERFORMANCE. THE CEO DETERMINES THE APPROPRIATE COMPENSATION. THIS PROCESS WAS COMPLETED FOR THE CFO AND KEY EMPLOYEES AND WAS LAST UNDERTAKEN IN 2024.
Form 990, Part VI, Line 1a Delegate broad authority to a committeeCode of Regulations, Section 2. Executive Committee. The Executive Committee shall consist of the Chairman, Vice Chairman, Secretary/Treasurer and two additional members of the Board of Trustees. The Corporate Member shall have the right to appoint up to two (2) representatives from the Directors appointed by it (or their designees) to be member(s) of the Executive Committee; provided that any such Director (or their designee) is either a senior Premier Health Partners clinical or management employee. To the extent a Director's designee is appointed by the Corporate Member to serve on the Executive Committee, such designee shall be considered an ex-officio Director, with vote, for the purposes of his/her service on the Executive Committee only. Duties. The Executive Committee shall have power to transact all regular business of the Hospital during the period between the meetings of the board of Trustees, subject to any prior limitation imposed by the Board of Trustees and with the understanding that all matters of major importance shall be referred to the Board of Trustees. Minutes of the executive committee meetings shall be submitted to the Board and its actions shall be subject to approval or disapproval at the next regular Board meeting.
Form 990, Part VI, Line 6 Classes of members or stockholdersThe Corporation shall have two (2) Members as follows: (1) those persons, corporations, associations or other entities who shall have been members as set forth in the register of membership book of the Corporation as of April 1, 2017 (the "Individual Members") and those additional Individual Members admitted as Members to the Corporation in accordance with Code of Regulations, Section 1.2 hereof shall collectively hold a 66.7% (two-thirds) percentage interest in the Corporation; and (3) Premier Health Partners (the "Corporate Member") shall hold a 33.3% (one-third) percentage interest in the Corporation.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyTHE BOARD SHALL CONSIST OF SIXTEEN (16) DIRECTORS ELECTED BY THE MEMBERS AS FOLLOWS: 1. ELEVEN (11) DIRECTORS SHALL BE ELECTED BY THE INDIVIDUAL MEMBERS AND FIVE (5) DIRECTORS SHALL BE APPOINTED BY THE CORPORATE MEMBER. EXCEPT AS OTHERWISE PROVIDED IN THIS CODE OF REGULATIONS OR BY THE ARTICLES OF INCORPORATION, THE ACT OF THE MAJORITY OF THE DIRECTORS, EXCLUDING NONVOTING, EX OFFICIO DIRECTORS PRESENT AT ANY MEETING OF THE BOARD AT WHICH A QUORUM IS PRESENT SHALL BE THE ACT OF THE BOARD. DIRECTORS MAY NOT VOTE BY PROXY. FOR THE PURPOSES OF VOTING ON ANY MATTER BEFORE THE BOARD, EACH DIRECTOR ELECTED BY THE INDIVIDUAL MEMBERS SHALL HAVE ONE (1) VOTE AND THE DIRECTORS APPOINTED BY THE CORPORATE MEMBER SHALL COLLECTIVELY HAVE THE RIGHT TO EXERCISE A TOTAL OF FIVE (5) VOTES ON ANY MATTER BEFORE THE BOARD, SUCH THAT THE DIRECTORS ELECTED BY THE INDIVIDUAL MEMBERS SHALL HAVE THE AUTHORITY TO EXERCISE TWO-THIRDS OF THE VOTING POWER OF THE BOARD AND THE CORPORATE MEMBER'S APPOINTED DIRECTORS SHALL HAVE THE AUTHORITY TO COLLECTIVELY EXERCISE ONE-THIRD OF THE VOTING POWER OF THE BOARD. THE VOTING RIGHTS OF THE CORPORATE MEMBER'S APPOINTED DIRECTORS AT ANY BOARD MEETING SHALL BE DETERMINED BY DIVIDING FIVE (5) BY THE NUMBER OF CORPORATE MEMBER'S DIRECTORS IN ATTENDANCE AT SUCH MEETING. THE CORPORATE MEMBER SHALL UNDERTAKE GOOD FAITH EFFORTS TO ENSURE THAT THREE (3) OF ITS FIVE (5) APPOINTED DIRECTORS ATTEND BOARD MEETINGS, IN WHICH EVENT, EACH SUCH DIRECTOR SHALL HAVE THE RIGHT TO EXERCISE TWO (2) VOTES. DUE TO UNFORESEEN OR UNEXPECTED CIRCUMSTANCES, THERE MAY BE OCCASIONS WHERE LESS THAN THREE (3) OF THE CORPORATE MEMBER'S APPOINTED DIRECTORS WILL BE ABLE TO ATTEND A BOARD MEETING, IN WHICH CASE, THE CORPORATE MEMBER'S APPOINTED DIRECTOR(S) IN ATTENDANCE SHALL HAVE THE VOTING RIGHTS AS DETERMINED PURSUANT TO THE FORMULA SET FORTH ABOVE.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersTHE CORPORATE MEMBER SHALL HAVE RESERVED POWERS OVER SIGNIFICANT GOVERNANCE TRANSACTIONS, SUCH AS THE FOLLOWING: MATERIAL CHANGES TO THE CORPORATION'S ARTICLES OF INCORPORATION AND/OR CODE OF REGULATIONS; DISTRIBUTION OR TRANSFER OF ASSETS; MATERIAL CHANGES IN THE OPERATIONS, PURPOSE OR STATUS OF THE HOSPITAL, OR AS AN ORGANIZATION EXEMPT FROM TAXATION UNDER 501(C)(3) OF THE INTERNAL REVENUE CODE; MERGER, CONSOLIDATION, SALE, DISSOLUTION OR ANY OTHER COMBINATION; AND SIGNIFICANT BORROWING AND CAPITAL EXPENDITURES (AS MORE FULLY DESCRIBED IN SECTION 1.14 OF THE CODE OF REGULATIONS.)
Form 990, Part VI, Line 11b Review of form 990 by governing bodyThe Form 990 is reviewed and approved by the CFO. Due to the timing of the Organization's governing body meeting schedule, the Finance Committee then reviews the Form 990 in detail and approves. The Finance Committee then reports to the full governing body at a board meeting. During the board meeting, any questions or discussions related to the Form 990 are addressed.
Form 990, Part VI, Line 12c Conflict of interest policyThe conflict of interest policy is signed annually by all management, senior management, officers, directors, and key employees. After the signed conflict of interest statements are submitted, they are reviewed by the CFO. Any conflicts of interest that are disclosed are discussed with the board chair, which ensures that the interested person abstains from voting on matters related to the conflict of interest.
Form 990, Part VI, Line 15a Process to establish compensation of top management officialThe executive board reviews and determines the compensation for the CEO. They use compensation surveys conducted by independent consulting companies in their decision making process. The Senior Director of Human Resources compiles the survey information and provides to the Chairman of the Board independently of the CEO's influence. This process is completed for Jeffrey Subler, CEO and was last undertaken in 2024.
Form 990, Part VI, Line 19 Required documents available to the publicThe organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.
Form 990, Part IX, Line 11g Other FeesAGENCY EMPLOYEES - Total Expense: 10172749, Program Service Expense: 10172749, Management and General Expenses: , Fundraising Expenses: ; DATA PROCESSING - Total Expense: 235373, Program Service Expense: 162248, Management and General Expenses: 73125, Fundraising Expenses: ; CONSULTING - Total Expense: 11331060, Program Service Expense: 10744803, Management and General Expenses: 586257, Fundraising Expenses: ; COLLECTION FEES - Total Expense: 402343, Program Service Expense: , Management and General Expenses: 402343, Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 1339058, Program Service Expense: , Management and General Expenses: 1339058, Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesCHANGE IN VALUE IN RELATED ENTITIES - -9029; Total - -9029;
Schedule D, Part X, Line 2 SCHEDULE D, PART X, LINE 2- FIN 48 (ASC 740) FOOTNOTE ADDITIONTHE AUDITED FINANCIAL FOOTNOTE WAS NOT UPDATED FROM 2022 to 2023. THE ORGANIZATIONS RETURNS HAVE BEEN FILED THROUGH DECEMBER 31, 2023.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1WAYNE HOSPITAL COMPANY PROFESSIONAL SERVICES LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1835 SWEITZER STREETAddressLine1Txt
CityGREENVILLECityNm
State AbbreviationOHStateAbbreviationCd
ZIP45331ZIPCd
FieldValueIRS element (for citing)
EIN270581440EIN
Primary ActivitiesPROFESSIONAL MEDICAL SERVICESPrimaryActivitiesTxt
Legal Domicile StateOHLegalDomicileStateCd
Total Income-$3,730,886TotalIncomeAmt
End Of Year Assets$1,516,771EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1WAYNE HEALTHCAREBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1THE WAYNE HOSPITAL FOUNDATION INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1835 SWEITZER STREETAddressLine1Txt
CityGREENVILLECityNm
State AbbreviationOHStateAbbreviationCd
ZIP45331ZIPCd
FieldValueIRS element (for citing)
EIN260380696EIN
Primary ActivitiesFUNDRAISINGPrimaryActivitiesTxt
Legal Domicile StateOHLegalDomicileStateCd
Exempt Code Section501(c)(3)ExemptCodeSectionTxt
Public Charity StatusType IPublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1WAYNE HEALTHCAREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (true)ControlledOrganizationInd

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1WAYNE HEALTHCARE PAIN MANAGEMENT LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1835 SWEITZER STREETAddressLine1Txt
CityGREENVILLECityNm
State AbbreviationOHStateAbbreviationCd
ZIP45331ZIPCd
FieldValueIRS element (for citing)
EIN873130237EIN
Primary ActivitiesPAIN MANAGEMENT SERVICESPrimaryActivitiesTxt
Legal Domicile StateOHLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1WAYNE HOSPITAL COMPANYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeRelatedPredominantIncomeTypeTxt
Share Of Total Income$356,944ShareOfTotalIncomeAmt
Share Of EOY Assets$126,148ShareOfEOYAssetsAmt
Disproportionate AllocationsfalseDisproportionateAllocationsInd
General Or Managing PartnerfalseGeneralOrManagingPartnerInd
Ownership0.51OwnershipPct
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgYes (true)AssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Wayne Hospital FoundationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeCTransactionTypeTxt
Involved$25,280InvolvedAmt
Method Of Amount DeterminationChecks received from Foundation for Building on Excellence CampaignMethodOfAmountDeterminationTxt

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