Civic Intelligence

Wayne Memorial Hospital

EIN 24-0798839 • 501(c)3 • Honesdale, PA

Profile

Wayne memorial hospital provides quality healing and comfort to those in need guided by compassion, advocacy, respect, excellence and service.

601 Park StreetHonesdale, PA 18431

www.wmh.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

63rd percentile

0.42x

Higher debt load relative to assets than 63% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Liabilities / Revenue

65th percentile

0.69x

Higher debt load relative to revenue than 65% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Net Margin

24th percentile

-2.5%

Higher net margin than 24% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Top Officer Pay

67th percentile

$691,496

Higher top officer pay than 67% of similar nonprofits.

Top officer pay equals 0.6% of source-year revenue.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Asset Growth

32nd percentile

2.0%

Faster asset growth than 32% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Revenue Growth

20th percentile

-3.8%

Faster revenue growth than 20% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Assets

Up

$193,293,138

Up $3,762,454 (+2.0%) from 2023

Liabilities

Up

$80,238,238

Up $1,832,932 (+2.3%) from 2023

Net Assets

Up

$113,054,900

Up $1,929,522 (+1.7%) from 2023

Revenue

Down

$116,278,657

Down $4,616,182 (-3.8%) from 2023

Expenses

Up

$119,190,911

Up $1,385,466 (+1.2%) from 2023

Net Income

Down

-$2,912,254

Down $6,001,648 (-194%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$300M$200M$100M$0Assets 2010: $90,410,423Liabilities 2010: $45,792,675Net Assets 2010: $44,617,7482010Assets 2011: $94,814,263Liabilities 2011: $40,580,069Net Assets 2011: $54,234,1942011Assets 2012: $98,698,250Liabilities 2012: $45,799,641Net Assets 2012: $52,898,6092012Assets 2013: $100,517,105Liabilities 2013: $41,600,692Net Assets 2013: $58,916,4132013Assets 2014: $108,391,095Liabilities 2014: $42,149,047Net Assets 2014: $66,242,0482014Assets 2015: $113,448,051Liabilities 2015: $42,506,226Net Assets 2015: $70,941,8252015Assets 2016: $113,934,037Liabilities 2016: $45,084,447Net Assets 2016: $68,849,5902016Assets 2017: $116,022,691Liabilities 2017: $42,648,235Net Assets 2017: $73,374,4562017Assets 2018: $164,931,224Liabilities 2018: $87,453,664Net Assets 2018: $77,477,5602018Assets 2019: $169,481,273Liabilities 2019: $83,509,398Net Assets 2019: $85,971,8752019Assets 2020: $176,027,164Liabilities 2020: $91,191,983Net Assets 2020: $84,835,1812020Assets 2021: $205,774,569Liabilities 2021: $101,834,299Net Assets 2021: $103,940,2702021Assets 2022: $180,093,733Liabilities 2022: $82,602,761Net Assets 2022: $97,490,9722022Assets 2023: $189,530,684Liabilities 2023: $78,405,306Net Assets 2023: $111,125,3782023Assets 2024: $193,293,138Liabilities 2024: $80,238,238Net Assets 2024: $113,054,9002024

Highlighted filing

2024

Assets$193,293,138
Liabilities$80,238,238
Net Assets$113,054,900

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$150M$100M$50M$0-$50MExpenses 2010: $68,378,2892010Expenses 2011: $71,199,4272011Expenses 2012: $73,592,1022012Expenses 2013: $78,052,3812013Revenue 2014: $84,435,589Expenses 2014: $80,352,537Net Income 2014: $4,083,0522014Revenue 2015: $92,107,976Expenses 2015: $82,939,119Net Income 2015: $9,168,8572015Revenue 2016: $92,948,332Expenses 2016: $89,784,620Net Income 2016: $3,163,7122016Revenue 2017: $92,114,139Expenses 2017: $93,701,944Net Income 2017: -$1,587,8052017Revenue 2018: $99,361,913Expenses 2018: $97,824,912Net Income 2018: $1,537,0012018Revenue 2019: $97,826,744Expenses 2019: $92,375,638Net Income 2019: $5,451,1062019Revenue 2020: $98,018,826Expenses 2020: $94,954,712Net Income 2020: $3,064,1142020Revenue 2021: $114,212,432Expenses 2021: $104,109,708Net Income 2021: $10,102,7242021Revenue 2022: $118,979,308Expenses 2022: $118,272,925Net Income 2022: $706,3832022Revenue 2023: $120,894,839Expenses 2023: $117,805,445Net Income 2023: $3,089,3942023Revenue 2024: $116,278,657Expenses 2024: $119,190,911Net Income 2024: -$2,912,2542024

Highlighted filing

2024

Revenue$116,278,657
Expenses$119,190,911
Net Income-$2,912,254

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$193$80.2$113$116$119$2.91
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$190$78.4$111$121$118$3.09
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$180$82.6$97.5$119$118$0.71
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$206$102$104$114$104$10.1
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$176$91.2$84.8$98.0$95.0$3.06
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$169$83.5$86.0$97.8$92.4$5.45
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$165$87.5$77.5$99.4$97.8$1.54
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$116$42.6$73.4$92.1$93.7$1.59
2016Detailed filing. Detailed filing data is available for this year.$114$45.1$68.8$92.9$89.8$3.16
2015Detailed filing. Detailed filing data is available for this year.$113$42.5$70.9$92.1$82.9$9.17
2014XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$108$42.1$66.2$84.4$80.4$4.08
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$101$41.6$58.9$78.1
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$98.7$45.8$52.9$73.6
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$94.8$40.6$54.2$71.2
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$90.4$45.8$44.6$68.4
Latest Detailed Filing

The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2019 below.

Jump To
Filing Snapshot
Filing Period
Jul 1, 2018 to Jun 30, 2019
Signed
May 11, 2020
Return Version
2018v3.3
Gross Receipts
$146,838,843
Mission and Program Overview

Mission

It is the mission of wayne memorial hospital to provide quality healthcare with compassion, advocacy, respect, excellence, and service; to promote wellness in our community; and to be proactive in responding to our community's needs.

Operates a 98-bed acute care hospital, with an additional 14 beds dedicated to inpatient rehab.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$41,491,497$62,757,402▲ $21,265,905
Investments in Publicly Traded Securities$66,779,119$50,960,276▼ $15,818,843
Savings and Temporary Cash Investments$31,813,671$28,822,999▼ $2,990,672
Accounts Receivable$10,183,105$8,830,766▼ $1,352,339
Investments Program Related$3,348,443$5,797,291▲ $2,448,848
Prepaid Expenses and Deferred Charges$1,634,501$1,856,246▲ $221,745
Inventories for Sale or Use$1,735,760$1,694,017▼ $41,743
Investments Other Securities$921,506$1,394,930▲ $473,424
Cash and Non-Interest-Bearing Accounts$276,676$521,390▲ $244,714
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Intangible Assets$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$164,931,224$169,481,273▲ $4,550,049
Other Assets Total$6,746,946$6,845,956▲ $99,010
Liabilities
Tax Exempt Bond Liabilities$59,795,148$57,228,105▼ $2,567,043
Accounts Payable and Accrued Expenses$22,290,232$21,763,104▼ $527,128
Other Liabilities$5,167,072$3,115,446▼ $2,051,626
Deferred Revenue$0$1,335,169▲ $1,335,169
Mortgage Notes Payable Secured by Investment Property$201,212$67,574▼ $133,638
Grants Payable$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Escrow Account Liability$0$0→ $0
Total Liabilities$87,453,664$83,509,398▼ $3,944,266
Net Assets / Fund Balance
Unrestricted Net Assets$74,403,669$80,456,867▲ $6,053,198
Temporarily Rstr Net Assets$319,139$2,767,988▲ $2,448,849
Permanently Rstr Net Assets$2,754,752$2,747,020▼ $7,732
Total Net Assets Fund Balance$77,477,560$85,971,875▲ $8,494,315
Total Liabilities and Net Assets / Fund Balance$164,931,224$169,481,273▲ $4,550,049

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$18,472,789$47,046,303$65,519,092
Buildings$33,092,380$27,552,751$60,645,131
Other Land Buildings$6,864,463$1,204,991$8,069,454
Leasehold Improvements$1,442,417$2,446,931$3,889,348
Land$2,885,353-$2,885,353
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Jeffery MogermanPhysicanFT$615,154$62,537$677,691
David CaucciPhysicianFT$495,415$41,609$537,024
Sibyl RickardPhysicianFT$284,185$52,820$337,005
George J RuccoCertified Rn AnesthetistFT$222,631$13,240$235,871
Michael StefonettiCertified Rn AnesthetistFT$196,438$28,206$224,644
Patricia DunsingerCFO Beg 01/19PT-$117,734$117,734

Board Members and Trustees

NameTitle
Dirk MumfordChair
Hugh Rechner1st Vice Chair
Joann Hudak2nd Vice Chair
James HockenburyDirector of Ancillary Services
John ConteDirector of Facility Services
James PettinatoDirector of Patient Care Serv
Joseph HarcumTrustee
Julie SeilerTrustee
Matt MeagherTrustee
Ronald SchmalzleTrustee
William R Dewar Iii MdTrustee
Rosemarie CoriglianoTrustee Beg 07/18
DR LOUIS D'OROTrustee Beg 08/18
Dr Sean McveighTrustee Beg 08/18
Christine RechnerTrustee Beg 10/18
Juliann DoyleTrustee Beg 10/18
Nancy PropstTrustee Beg 10/18
Dr Denise ViolaTrustee End 08/18
Dr Scott EpsteinTrustee End 08/18
James LabarTrustee End 10/18
Martha WilsonTrustee End 10/18
Milton RoegnerTrustee End 10/18
David HoffCEO
Mike CliffordCFO End 12/18
Wendell HuntSecretary
Frank BorelliTreasurer Beg 06/19
Susan MancusoTreasurer End 06/19

Highest Paid Contractors

ContractorServicesLocationCompensation
Sordoni Construction Services INCConstruction Service45 OWEN ST, Forty Fort, PA 18704$18,012,579
Charles W Grimm Construction INCConstruction ServicePO BOX X, Waymart, PA 18472$3,144,593
Wayne Memorial Health SystemAdministrative Svcs601 PARK STREET, Honesdale, PA 18431$1,419,900
North American Partners In AnesthesAnesthesiology Svcs68 S SERVICE RD STE 350, Melville, NY 11747$1,084,050
Medical Soluctions LLCStaffingPO BOX 310737, Des Moines, IA 50331-0737$851,098
Revenue and Support

Revenue Composition

Contributions and Grants
$1,276
Program Service Revenue
$94,868,389
Investment Income
$2,877,058
Other Revenue
$80,021
All Other Contributions
$1,276
Change in Net Assets
$5,451,106

Audited Revenue Reconciliation

Revenue per Audited Statements
$97,939,807
Revenue Not Reported on Financial Statements
$-113,063
Revenue Not Reported on Form 990
$602,093
Other Revenue Adjustments
$-447,754
Total Revenue per Audited Statements
$98,541,900
Total Revenue per Form 990
$97,826,744
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$46,258,500
Other Expenses$45,009,691
Grants and Similar Amounts Paid$1,107,447
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$28,119,397$7,101,229-$35,220,626
Fees for Services Other$10,445,400$1,141,322-$11,586,722
Other Employee Benefits$4,761,558$1,199,798-$5,961,356
Depreciation Depletion$3,890,227$838,702-$4,728,929
Office Expenses$1,432,331$1,450,985-$2,883,316
Payroll Taxes$2,059,255$518,883-$2,578,138
Pension Plan Contributions$1,945,406$490,196-$2,435,602
Occupancy$1,042,505$578,499-$1,621,004
Fees for Services Management-$1,419,900-$1,419,900
Grants to Domestic Orgs$1,107,447--$1,107,447
Insurance$517,700$111,612-$629,312
Interest$304,216$65,587-$369,803
Fees for Service Investment Mgmnt Fees-$334,691-$334,691
Travel$242,675$9,368-$252,043
Advertising-$202,878-$202,878
Fees for Services Legal-$168,346-$168,346
Fees for Services Accounting-$130,139-$130,139
Other Expenses$66,855$48,791-$115,646
Comp Disqual Persons$62,778--$62,778
Conferences and Meetings$40,375$14,409-$54,784
Total Functional Expenses$75,082,633$17,293,005$0$92,375,638

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$92,488,702
Total Expenses per Form 990$92,375,638
Expenses per Audited Statements$92,040,947
Expenses Not Reported on Form 990$447,755
Expenses Not Reported on Financial Statements$334,691
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Wayne Memorial Comunity Health CentersHonesdale, PA501(c)(3)Exempt Purposes$1,106,665
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Annastasia HarcumJoe Harcum - FamilyEmployee CompensationNo$62,778

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Professional Liability Claims$2,057,982
Due to Related Party$1,057,464

Bond Issues

BondIssuerIssuedIssue PricePurpose
DWayne Memorial Hospital and Health Facilities2017-09-01$37,609,342Financing design,constr and equip
BWayne Co Hospital and Health Facilities Authority2013-01-30$9,998,351Advance refund 2003 pay iss
CWayne Co Hospital and Health Facilities Authority2012-10-25$9,997,040Refund '05 and a part of '07 bonds
AWayne Memorial Hospital and Health Authority2017-12-01$8,000,000Finance design, constr, and equip
AWayne Memorial Hosptial and Health Authority2012-12-20$4,703,786Refund remaining 2007 bonds pay is

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
D$37,609,342$0$5,000$679,633
B$9,998,351$0$5,870,000$196,001
C$9,997,040$0$3,575,000$187,404
A$8,000,000$0$345,030$157,818
A$4,703,786$9,255,837$2,070,000$93,600

Bond Financing Compliance

No rebate due
Yes
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
Yes
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 2

Business and family relationships: hugh rechner has a family relationship with christine rechner, a trustee of the wayne memorial long term care and member of the system board by virtue of position. Matt meagher has a family relationship with paul meagher, a trustee of the wayne memorial long term care. David hoff (ceo), james pettinato (director of patient care services), john conte (director of facility services), james hockenbury (director of ancillary services), patricia dunsinger (cfo beginning 01/19), and mike clifford (cfo ending 12/18) are compensated by wayne memorial health system, a related organization.

Form 990, Part VI, Section A, Line 3

Delegate management duties: wayne memorial health system, inc., provides management over the organization through direct employment of the directors and officers of the organization. The management services provided are reimbursed to wayne memorial health system through a management fee.

Form 990, Part VI, Section A, Line 4

SIGNIFICANT CHANGES TO GOVERNING DOCUMENTS: ARTICLE I, PURPOSE. THE PURPOSE OF THE CORPORATION SHALL BE: - TO ESTABLISH AND MAINTAIN A HOSPITAL TO SERVE THE RESIDENTS OF WAYNE COUNTY AND THE SURROUNDING AREA. - TO PROVIDE MEDICAL CARE AND SERVICES TO ALL PERSONS IN NEED, REGARDLESS OF RACE, COLOR, CREED, NATIONAL ORIGIN, SEX, SEXUAL ORIENTATION OR FINANCIAL STATUS. - TO DEVELOP, FOSTER AND SUPPORT THE MEDICAL EDUCATION OF THE PATIENTS SERVED, THE STAFF AND THE COMMUNITY. - TO MANAGE, OPERATE OR PARTICIPATE IN, SO FAR AS HOSPITAL POLICY AND CIRCUMSTANCES MAY WARRANT, ACTIVITIES DESIGNED AND CARRIED ON TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY. THE CORPORATION IS INCORPORATED UNDER THE PENNSYLVANIA NONPROFIT CORPORATION LAW, FOR CHARITABLE, SCIENTIFIC AND EDUCATION PURPOSES WITHIN THE MEANING OF 501(c)(3) OF THE INTERNAL REVENUE CODE OF 1986, OR ANY CORRESPONDING PROVISIONS OF ANY SUBSEQUENT FEDERAL TAX LAWS, INCLUDING, FOR SUCH PURPOSES, THE MAKING OF DISTRIBUTIONS TO ORGANIZATIONS THAT QUALIFY AS EXEMPT ORGANIZATIONS UNDER SAID SECTION. NO PART OF THE NET EARNINGS OF THE CORPORATION SHALL INURE TO THE BENEFIT OF, OR BE DISTRIBUTABLE TO ITS DIRECTORS, OFFICERS, OR OTHER PRIVATE PERSONS, EXCEPT THAT THE CORPORATION SHALL BE AUTHORIZED AND EMPOWERED TO PAY REASONABLE COMPENSATION FOR SERVICES RENDERED AND TO MAKE PAYMENTS AND DISTRIBUTIONS IN FURTHERANCE OF THE PURPOSES SET FORTH ABOVE. NO SUBSTANTIAL PART OF THE ACTIVITIES OF THE CORPORATION SHALL BE THE CARRYING ON OF PROPAGANDA, OR OTHERWISE ATTEMPTING TO INFLUENCE LEGISLATION, AND THE CORPORATION SHALL NOT PARTICIPATE IN, OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTION OF STATEMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF ANY CANDIDATE FOR PUBLIC OFFICE. NOTWITHSTANDING ANY OTHER PROVISION OF THESE BYLAWS, THE CORPORATION SHALL NOT CARRY ON ANY OTHER ACTIVITIES NOT PERMITTED TO BE CARRIED ON (A) BY A CORPORATION EXEMPT FROM FEDERAL INCOME TAX UNDER 501(a) DESCRIBED IN 501(c)(3) OF THE INTERNAL REVENUE CODE OF 1986, OR THE CORRESPONDING PROVISIONS OF ANY SUBSEQUENT FEDERAL TAX LAWS, OR (B) BY A CORPORATION, CONTRIBUTIONS TO WHICH ARE DEDUCTIBLE UNDER 170(c)(2) OF THE INTERNAL REVENUE CODE OF 1986 OR THE CORRESPONDING PROVISIONS OF ANY SUBSEQUENT FEDERAL TAX LAWS. THE CORPORATION DOES NOT CONTEMPLATE PECUNIARY GAIN OR PROFIT, INCIDENTAL OR OTHERWISE. ARTICLE II, MEMBERSHIP. SECTION 1, GENERAL: WAYNE MEMORIAL HEALTH SYSTEM, A PENNSYLVANIA NONPROFIT CORPORATION, SHALL BE THE SOLE MEMBER OF THIS CORPORATION WITH THOSE RIGHTS RESERVED TO THE SOLE MEMBER AS SPECIFIED IN THESE BYLAWS. ARTICLE III, BOARD OF TRUSTEES. SECTION 1. POWERS RESERVED TO THE SOLE MEMBER: (B) MERGER OR CONSOLIDATION WITH, OR THE SALE OF SUBSTANTIALLY ALL THE ASSETS OF, THE CORPORATION TO ANY OTHER ENTITY SECTION 4. SPECIFIC DUTIES OF BOARD: (D) THE REVIEW AND APPROVAL OF THE BYLAWS OF THE HOSPITAL'S MEDICAL STAFF; (E) ESTABLISHING AND IMPLEMENTING A PROCEDURE FOR PROCESSING AND EVALUATING APPLICATIONS FOR MEDICAL STAFF APPOINTMENT AND GRANTING OF CLINICAL PRIVILEGES; (F) THE APPROVAL OF ANY AUXILIARY ORGANIZATIONS TO BE ESTABLISHED BY THE HOSPITAL ARTICLE VI, THE MEDICAL STAFF. SECTION 1. ORGANIZATION OF THE MEDICAL STAFF: THE BOARD SHALL APPOINT A MEDICAL STAFF WHICH SHALL OPERATE IN ACCORDANCE WITH THESE BYLAWS AND THOSE BYLAWS OF THE MEDICAL STAFF WHICH SHALL BE APPROVED BY THE BOARD. THE MEDICAL STAFF SHALL OPERATE AS AN INTEGRAL PART OF THE HOSPITAL AND, THROUGH ITS COMMITTEES AND OFFICERS, SHALL BE RESPONSIBLE AND ACCOUNTABLE TO THE BOARD FOR THE QUALITY OF MEDICAL CARE PROVIDED TO PATIENTS OF THE HOSPITAL, THE ETHICAL CONDUCT AND PROFESSIONAL PRACTICE OF ITS MEMBERS, AND THE DISCHARGE OF THOSE DUTIES AND RESPONSIBILITIES DELEGATED TO IT BY THE BOARD FROM TIME TO TIME. SECTION 2. BYLAWS OF THE MEDICAL STAFF: (A) THE MEDICAL STAFF SHALL ADOPT AND RECOMMEND TO THE BOARD MEDICAL STAFF BYLAWS, RULES AND REGULATIONS AND ANY AMENDMENTS THERETO FOR ITS INTERNAL GOVERNANCE. THE MEDICAL STAFF BYLAWS S

Form 990, Part VI, Section B, Lines 6, 7A & 7B

Members or stockholders: the board shall consist of those individuals who are trustees of wayne memorial health system, a related organization. Their term of office shall coincide with their term of office on the board of wayne memorial health system. Resignation or removal from the board of wayne memorial health system shall constitute resignation or removal from the board of this corporation. 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, Section B, Line 11B

990 review policy: the form 990 is prepared by an independent accounting firm based on the audited financial statements and information provided by the accounting department of the organization. A copy of the form 990 will be reviewed with the resource management committee which is responsible for the financial oversight of all entities of the wayne memorial health system. A copy of the 990 will be distributed via e-mail to each board member before the return is submitted to the irs. Management will discuss any questions that any board member may have at the next full board meeting.

Form 990, Part VI, Section B, Line 12C

Conflict of interest policy: conflict of interest statements are completed by every board member and manager annually. Each individual is required to sign and return the statements to the administration office. The audit committee is responsible for monitoring compliance with any conflict of interest throughout the year. If a conflict arises, the person with the conflict will recuse themselves from voting and/or discussing the matter.

Form 990, Part VI, Section B, Line 15A & 15B

Compensation review: wayne memorial health system, inc., (and all related entities) utilizes a compensation committee of the board to set compensation of its ceo and other senior managers, including cfo, director of patient care services, director of human resources, director of facility services, director of ancillary services and the executive director of the wayne memorial health foundation. The compensation committee is made up of independent directors, who, with the assistance of a national compensation consulting firm, utilize comparable data from the marketplace, looking at such things as comparable organizations in terms of revenue, size, complexity and geographic region. The organization has adopted a philosophy of paying at the 50th percentile of the marketplace. All meetings of the compensation committee are documented and minutes are maintained of the deliberation and decision-making process. The process normally occurs in october of the year the compensation changes are granted.

Form 990, Part VI, Section C, Line 19

Document disclosure: the organization makes its governing documents, conflict of interest policy, and/or financial statements available to public upon request.

Form 990, Part VII, Section A

Reportable compensation: patricia dunsinger previously held the position of chief accountant prior to taking over the chief financial officer position on 1/1/19. Her compensation for her role as chief accountant has been reported in part vii, columns e & f.

Filing and Contact Details

Filer

Filer Name
Wayne Memorial Hospital
EIN
24-0798839
In Care Of
% DAVID HOFF
Phone
5702538100
Address
601 PARK STREET, HONESDALE, PA 18431

Signing Officer

Name
David Hoff
Title
CEO
Phone
5702538100
Signed
2020-05-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
David Hoff
Formed
1907
Legal Domicile
Pa
Voting Board Members
16
Independent Board Members
15
Employees
899
Volunteers
155

Preparer

Firm
Bkd Llp
Address
910 E ST LOUIS 200/PO BOX 1190, SPRINGFIELD, MO 65806-2523
Preparer
Brian D Todd
Phone
4178658701
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 4D

Other program services: the organization provided grants to wayne memorial community health centers. See schedule i for more information.

Form 990, Part XI, Line 9

Reconciliation of net assets: other changes in net assets are as follows: $ 2,448,848 change in interest in net assets of foundation 217,159 transfer from affiliate (7,732) change in beneficial interest in perpetual trust (506,932) change in defined benefit pension plan ------------ $ 2,151,343

Form 990 Part IX Line 11G

Description:professional service fees total fees:5351412

Form 990 Part IX Line 11G

Description:purchased service fees total fees:4251748

Form 990 Part IX Line 11G

Description:temporary/leased employee fees total fees:1548208

Form 990 Part IX Line 11G

Description:collection expenses total fees:302935

Form 990 Part IX Line 11G

Description:maintenance contracts total fees:117360

Form 990 Part IX Line 11G

Description:trustee fees total fees:15059

Financial Statement Notes

Schedule D, Part X, Line 2

Uncertain tax positions: management has evaluated their income tax positions under the guidance included in asc 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.

Schedule D, Part XI, Line 2D

Amounts included on line 1, but not on form 990, part viii, line 12: $ (506,932) change in defined benefit pension plan 217,159 transfer from affiliate -------------- $ (289,773)

Schedule D, Part XI, Line 4B

Amounts included on form 990, part viii, line 12, but not on line 1: $ 1 temporarily restricted contributions (447,755) rental expenses ---------- $ (447,754)

Schedule D, Part XII, Line 2D

Amounts included on line 1 but not on form 990, part ix, line 25: $ 447,755 rental expenses

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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt290
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt300
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt320
IRS990/Form990PartVIISectionAGrp/TitleTxt02ND VICE CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt1TREASURER END 06/19
IRS990/Form990PartVIISectionAGrp/TitleTxt2TREASURER BEG 06/19
IRS990/Form990PartVIISectionAGrp/TitleTxt3SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt4TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt5TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt61ST VICE CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt7CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt8TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt9TRUSTEE END 10/18
IRS990/Form990PartVIISectionAGrp/TitleTxt10TRUSTEE END 10/18
IRS990/Form990PartVIISectionAGrp/TitleTxt11TRUSTEE END 10/18
IRS990/Form990PartVIISectionAGrp/TitleTxt12TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt13TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt14TRUSTEE END 08/18
IRS990/Form990PartVIISectionAGrp/TitleTxt15TRUSTEE BEG 10/18
IRS990/Form990PartVIISectionAGrp/TitleTxt16TRUSTEE BEG 08/18
IRS990/Form990PartVIISectionAGrp/TitleTxt17TRUSTEE BEG 10/18
IRS990/Form990PartVIISectionAGrp/TitleTxt18TRUSTEE BEG 10/18
IRS990/Form990PartVIISectionAGrp/TitleTxt19TRUSTEE BEG 07/18
IRS990/Form990PartVIISectionAGrp/TitleTxt20TRUSTEE BEG 08/18
IRS990/Form990PartVIISectionAGrp/TitleTxt21TRUSTEE END 08/18
IRS990/Form990PartVIISectionAGrp/TitleTxt22CFO END 12/18
IRS990/Form990PartVIISectionAGrp/TitleTxt23CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt24CFO BEG 01/19
IRS990/Form990PartVIISectionAGrp/TitleTxt25DIRECTOR OF PATIENT CARE SERV
IRS990/Form990PartVIISectionAGrp/TitleTxt26DIRECTOR OF FACILITY SERVICES
IRS990/Form990PartVIISectionAGrp/TitleTxt27DIRECTOR OF ANCILLARY SERVICES
IRS990/Form990PartVIISectionAGrp/TitleTxt28PHYSICAN
IRS990/Form990PartVIISectionAGrp/TitleTxt29PHYSICIAN

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