2022-05-16T11:21:57-05:00 2021-06-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2020-07-01 240798839 WAYNE MEMORIAL HOSPITAL % JAMES PETTINATO WAYN 5702538100 601 PARK STREET HONESDALE PA 18431 JAMES PETTINATO CEO 5702538100 2022-05-16 true DAVID HOFF 999009999 Brian D Todd P00422601 4178658701 2 2020 2022-09-23 18:48:47Z JAMES PETTINATO 601 PARK STREET HONESDALE PA 18431 126791230 false X WWW.WMH.ORG X 1907 PA OPERATES A 92-BED ACUTE CARE HOSPITAL, WITH AN ADDITIONAL 14 BEDS DEDICATED TO INPATIENT REHAB. 17 16 866 114 11167 8032 2253566 8569971 94777127 102148958 1499810 2817522 -511677 675981 98018826 114212432 1297220 1292702 0 0 45231700 48245485 0 0 0 48425792 54571521 94954712 104109708 3064114 10102724 176027164 205774569 91191983 101834299 84835181 103940270 X WAYNE MEMORIAL HOSPITAL PROVIDES QUALITY HEALING AND COMFORT TO THOSE IN NEED GUIDED BY COMPASSION, ADVOCACY, RESPECT, EXCELLENCE AND SERVICE. false false 64917564 78685343 OUTPATIENT SERVICES ARE OFFERED IN A VARIETY OF AREAS, INCLUDING LAB, RADIOLOGY, REHABILITATION SERVICES SUCH AS PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY. WMH ALSO PROVIDES OUTPATIENT EMERGENCY, DIAGNOSTIC, AND REHABILITATIVE SERVICES. OUR EMERGENCY DEPARTMENT OFFERS PHYSICIAN CARE 24 HOURS A DAY TO ALL, REGARDLESS OF ABILITY TO PAY. 18093991 21931381 INPATIENT SERVICES PROVIDES A FULL CONTINUUM OF CARE, FROM BIRTHING SUITES TO CHEMOTHERAPY, ENDOSCOPY, CARDIOLOGY PROCEDURES, RESPIRATORY THERAPY, IMAGING SCANS, HOME HEALTH AND HOSPICE CARE FOR THE POPULATION WE SERVE, APPROXIMATELY 100,000 PEOPLE IN MOSTLY RURAL WAYNE AND PIKE COUNTIES, PENNSYLVANIA. 1292702 1292702 THE ORGANIZATION PROVIDED GRANTS TO WAYNE MEMORIAL COMMUNITY HEALTH CENTERS. SEE SCHEDULE I FOR MORE INFORMATION. 1264135 1532234 85568392 true true false true false false false false false false true false false true true false false true false false false false false false false false true true true false true true false false true false false false false false true false false false false false false true true false false false true 92 0 true 866 true true true false false false false false false false false false false false X 17 16 true true false false true true true true true false false true true true true true true false false true true PA X JAMES PETTINATO 5702538100 601 PARK STREET HONESDALE PA 18431 X DAVID HOFF CEO 32.0 8.0 X 0 627393 61787 JEFFERY MOGERMAN PHYSICIAN 40.0 0.0 X 615383 0 33978 DAVID CAUCCI PHYSICIAN 40.0 0.0 X 598623 0 34920 SIBYL RICKARD PHYSICIAN 40.0 0.0 X 294082 0 30293 SHARIE MORGANTI CERTIFIED RN ANESTETIST 40.0 0.0 X 294082 0 19059 PAIGE CASTELINO HOSPITALIST 40.0 0.0 X 259883 0 22226 JAMES PETTINATO DIRECTOR OF PATIENT CARE SVCS 39.9 0.1 X 0 206992 28699 JOHN CONTE DIRECTOR OF FACILITY SERVICES 24.4 15.6 X 0 176185 46371 PATRICIA DUNSINGER CFO 18.8 21.2 X 0 172693 28041 JAMES HOCKENBURY DIRECTOR OF ANCILLARY SERVICES 38.0 2.0 X 0 164986 16075 JOANN HUDAK 1ST VICE CHAIR 0.8 0.8 X X 0 0 0 FRANK BORELLI TREASURER 0.8 0.8 X X 0 0 0 WENDELL HUNT SECRETARY 0.8 0.8 X X 0 0 0 JOSEPH HARCUM TRUSTEE 0.8 0.8 X 0 0 0 JULIE SEILER TRUSTEE 0.8 0.8 X 0 0 0 HUGH RECHNER CHAIR 0.8 1.0 X X 0 0 0 WILLIAM R DEWAR III MD TRUSTEE 0.8 0.8 X 0 0 0 RONALD SCHMALZLE TRUSTEE 0.8 0.8 X 0 0 0 MATT MEAGHER 2ND VICE CHAIR END 03/21 0.8 0.8 X X 0 0 0 CHRISTINE RECHNER TRUSTEE 0.8 1.0 X 0 0 0 DR LOUIS D'ORO TRUSTEE 0.8 0.8 X 0 0 0 NANCY PROPST TRUSTEE 0.8 1.3 X 0 0 0 ROSEMARIE CORIGLIANO TRUSTEE END 10/20 0.8 0.8 X 0 0 0 DR SEAN MCVEIGH TRUSTEE END 10/20 0.8 0.8 X 0 0 0 MARY BURNS HOFF TRUSTEE 0.8 0.8 X 0 0 0 MELISSA RICKARD TRUSTEE BEG 10/20 0.8 0.8 X 0 0 0 NANCY MORO TRUSTEE BEG 10/20 0.8 0.8 X 0 0 0 MARY BETH WOODS TURSTEE BEG 06/21 0.8 0.8 X 0 0 0 DR SANDRA COSKLO TRUSTEE 0.8 0.8 X 0 0 0 KATE BRYANT TRUSTEE BEG 12/20 0.8 0.8 X 0 0 0 2062053 1348249 321449 16 false true false LABORATORY CORPORATION OF AMERICA PO BOX 12410 BURLI NC 272162140 LAB TESTING 3736289 CARDIOSOLUTION PHYSICIANS PO BOX 63-9417 CINCINNATI OH 452639517 CARDIO DOCTORS 1598771 ALLIED RESOURCES MEDICAL STAFFING 135 DOWLIN FORGE ROAD EXTON PA 19341 STAFFING 1551846 WAYNE MEMORIAL HEALTH SYSTEM 601 PARK STREET HONES PA 18431 ADMINISTRATIVE SVCS 1544712 PROFESSIONAL EMERGENCY CARE PC 38935 ANN ARBOR ROAD LIVONIA MI 48150 EMERGENCY SERVICES 1221299 27 82484 8487487 8569971 PA RURAL HEALTH MODEL REVENUE 623000 60216469 60216469 NET PATIENT SERVICE REVENUE 623000 41070539 41070539 OTHER REVENUE 900099 637903 637903 CAFETERIA 722514 224047 224047 102148958 1315101 1315101 0 0 587103 426346 160757 0 160757 160757 13654873 12152452 1502421 1502421 1502421 0 0 0 0 0 0 0 0 0 GAIN/(LOSS) ON EQUITY INVESTEE 900099 515224 11167 504057 515224 114212432 102148958 11167 3482336 X 1292702 1292702 0 0 0 0 67299 67299 37021804 29481858 7539946 3223076 2567848 655228 5202619 4144964 1057655 2730687 2175558 555129 1544712 1544712 122233 122233 160432 160432 0 0 355880 355880 15630610 14504928 1125682 202537 202537 2425347 922538 1502809 0 0 1649905 1100828 549077 237485 225735 11750 0 25695 15549 10146 0 1774520 1490534 283986 0 6366446 5347584 1018862 711923 597989 113934 MEDICAL SUPPLIES & DRUGS 20281127 20281127 REPAIRS & MAINTENANCE 2944503 1213185 1731318 LICENSES, DUES, SUBSCRIPTIONS 138166 138166 104109708 85568392 18541316 0 104551 9762529 42011211 43856362 0 0 8418050 8117884 0 0 0 0 0 0 1966309 2693569 2058097 2709991 146186658 85430560 60759880 60756098 45203240 58039809 1058820 1050498 6092103 3144816 0 0 8354903 15643013 176027164 205774569 24978051 20728155 0 0 7302952 4204178 54581745 51854636 0 0 0 0 0 0 0 0 4329235 25047330 91191983 101834299 X 79346407 101249257 5488774 2691013 84835181 103940270 176027164 205774569 X 10102724 8854610 147755 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 17288 17288 false SCHEDULE C, PART II-B, LINE 1(I) LOBBYING EXPENSES: WAYNE MEMORIAL HOSPITAL PAYS ANNUAL MEMBERSHIP DUES TO THE HOSPITAL & HEALTH SYSTEM ASSOCIATION OF PENNSYLVANIA (HAP) AND AMERICAN HOSPITAL ASSOCIATION (AHA). THE HOSPITAL IS NOTIFIED EACH YEAR THAT A PORTION OF THE MEMBERSHIP DUES IS USED FOR LOBBYING ACTIVITIES. THE PORTION OF FEES PAID REPRESENTING LOBBYING EXPENDITURES WAS $17,288. 2885353 2885353 57910266 31072196 26838070 3287236 2126774 1160462 77010730 50885949 26124781 5093073 1345641 3747432 60756098 EST AMOUNT FROM 3RD PARTY 4428549 DUE FROM AFFILIATE 975937 BENEFICIAL INT IN PRPTL TRUSTS 2409019 OTHER RECEIVABLES 2791802 RIGHT OF USE ASSETS 5037706 15643013 0 PROFESSIONAL LIABILITY CLAIMS 2065003 DUE TO THIRD PARTIES 2425879 CONTRACT LIABILITY 13483244 LEASE LIABILITY 7073204 25047330 124741135 8854610 1698483 10553093 114188042 355880 -331490 24390 114212432 102838285 426346 426346 102411939 355880 1341889 1697769 104109708 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: $ (1,341,889) PENSION EXPENSE 2,860,191 CHANGE IN DEFINED BENEFIT PENSION PLAN 147,088 NET ASSETS RELEASED FROM RESTRICTION 33,093 TRANSFER FROM AFFILIATE ------------ $ 1,698,483 SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ (426,346) RENTAL EXPENSES 94,856 TEMPORARILY RESTRICTED GRANT REVENUE ----------- $ (331,490) SCHEDULE D, PART XII, LINE 2D AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25: $ 426,346 RENTAL EXPENSES SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 1,341,889 PENSION EXPENSE true true X true X false true true true false true true 552 579853 579853 0.00560 17639397 11533608 6105789 0.05860 552 18219250 11533608 6685642 0.06420 15 2744 232250 232250 0.00220 1 2 8530 8530 0.00010 1 1292702 1292702 0.01240 17 2746 1533482 1533482 0.01470 17 3298 19752732 11533608 8219124 0.07890 3 156681 156681 0.00150 2 956 16530 16530 0.00020 5 956 173211 173211 0.00170 true 8467605 2271858 27859213 30048603 -2189390 X true true 1 1 WAYNE MEMORIAL HOSPITAL 601 PARK STREET HONESDALE PA 18431 WWW.WMH.ORG 230501 X X X WAYNE MEMORIAL HOSPITAL 1 false false true X X X X X X X X X 18 true false true true X SEE PART V SECTION C X true 18 true SEE PART V SECTION C false true X 200. 0. true true X X X X true X SEE PART V SECTION C X SEE PART V SECTION C X SEE PART V SECTION C X X X X true X false X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 COMMUNITY INPUT: NUMEROUS ORGANIZATIONS AND COMMUNITY GROUPS PARTICIPATED IN THE ASSESSMENT. THE PUBLIC HEALTH AREA WAS INCLUDED WITHIN THE ASSESSMENT THROUGH UTILIZATION AND ANALYSIS OF INFORMATION ROUTINELY EVALUATED BY PUBLIC HEALTH AGENCIES AND ORGANIZATIONS WITH PREVENTIVE HEALTH PROGRAM CAPACITIES. THE AREA DOH WAS REPRESENTED BY TAMMY DELEO, RN, WHO IS THE NEW DOH NURSE FOR PIKE COUNTY. GREGORY BONK, THE LEAD HMS CONSULTANT OF THE ASSESSMENT ASSISTED PUBLIC HEALTH AGENCIES IN COMPLETING HEALTH NEEDS ASSESSMENTS IN THE 1990S AND HAS WORKED ON MANY PROJECTS INVOLVING PUBLIC HEALTH AGENCIES IN SEVERAL STATES. HE HAS BEEN AN ADJUNCT FACULTY MEMBER AT THE STATE UNIVERSITY OF NEW YORK AT BUFFALO, SCHOOL OF MEDICINE AND BIOMEDICAL SCIENCES, DEPARTMENT OF FAMILY MEDICINE SINCE 1988. THE ASSESSMENT WAS GUIDED BY A 26-MEMBER ADVISORY COMMITTEE, REPRESENTATIVE OF PROVIDERS, CONSUMERS, AND KEY LEADERSHIP FROM THE AREA: - JESSICA AQUILINA, FOREST CITY REGIONAL SCHOOL DISTRICT - GREGORY BONK, HMS ASSOCIATES - TAMMY DELEO, PIKE COUNTY PADOH - JACK DENNIS, WAYNE MEMORIAL HEALTH FOUNDATION EXECUTIVE DIRECTOR - MARIA DIEHL, WAYNE MEMORIAL HOSPITAL, PUBLIC RELATIONS - MARGARET ENNIS, WAYNE COUNTY BEHAVIORAL HEALTH - GREGORY FRIGOLETTO, SUPERINTENDENT, WAYNE HIGHLANDS SCHOOL DISTRICT - MATT OSTERBERG, PIKE COUNTY COMMISSIONER - KEITH GUNUSKEY, ASST. SUPERINTENDENT, WALLENPAUPACK AREA SCHOOL DISTRICT - TUBIN GUPTA, MD, BEHAVIORAL HEALTH WAYNE MEMORIAL CHC - DAVE HOFF, HOSPITAL, ADMINISTRATION - FRED JACKSON, WAYNE MEMORIAL COMMUNITY HEALTH CENTERS, ADMINISTRATION - WENDELL KAY, WAYNE COUNTY COMMISSIONER - CAROL KNEIER, RD, WAYNE MEMORIAL HOSPITAL - MARIA MILLER, WESTERN WAYNE SCHOOL DISTRICT - DIRK MUMFORD, WAYNE MEMORIAL HOSPITAL - WYNTER NEWMAN, MANAGER, WAYNE MEMORIAL COMMUNITY HEALTH CENTER - LEE OAKES, FORMER BOARD CHAIR, WAYNE MEMORIAL HEALTH SYSTEM - JIM PETTINATO, WAYNE MEMORIAL HOSPITAL, ADMINISTRATION - PATRICK PUGLIESE, MD, WAYNE MEMORIAL HOSPITAL, EMERGENCY DEPARTMENT - HUGH RECHNER, BOARD CHAIR, WAYNE MEMORIAL HEALTH SYSTEM - TRACY SCHWARTZ, DIRECTOR, WAYNE COUNTY LIBRARIES - RON SCHMALZLE, PIKE COUNTY COMMISSIONER - MICHELE VALINSKI, ADMINISTRATOR, HUMAN SERVICES, WAYNE COUNTY - JANICE WALTERS, EX-OFFICIO, PA RURAL HEALTH MODEL, PADOH - ANDREA WHYTE, RETIRED WAYNE COUNTY HUMAN SERVICES WE ALSO HAD 947 RESPONSES TO AN INTERNET SURVEY CONDUCTED IN MAY 2019 WHICH IDENTIFIED POTENTIAL SERVICE PRIORITIES ADDRESSING TARGET POPULATIONS, NEEDS AND CHARACTERISTICS. SCHEDULE H, PART V, SECTION B, LINE 6B OTHER ORGANIZATIONS: COLLABORATIVE PARTNERS INCLUDED TWELVE ORGANIZATIONS WHICH AGREED TO DISTRIBUTE THE EMAIL SURVEY. THESE ORGANIZATIONS WERE: FOREST CITY REGIONAL SCHOOL DISTRICT WAYNE MEMORIAL COMMUNITY HEALTH CENTERS WALLENPAUPACK SCHOOL DISTRICT WAYNE COUNTY COMMISSIONERS PIKE COUNTY PADOH WAYNE COUNTY BEHAVIORAL HEALTH WAYNE HIGHLANDS SCHOOL DISTRICT PIKE COUNTY COMMISSIONERS WESTERN WAYNE SCHOOL DISTRICT WAYNE COUNTY PUBLIC LIBRARY HUMAN SERVICES-WAYNE COUNTY PA RURAL HEALTH MODEL-PADOH SCHEDULE H, PART V, SECTION B, LINES 7 AND 10 CHNA REPORT AND IMPLEMENTATION STRATEGY URL: WWW.WMH.ORG/CHNA-COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ SCHEDULE H, PART V, SECTION B, LINE 11 ADDRESSING IDENTIFIED NEEDS: ALTHOUGH WAYNE MEMORIAL HOSPITAL RECOGNIZES THE IMPORTANCE OF ALL THE NEEDS IDENTIFIED BY THE COMMUNITY, CERTAIN NEEDS ARE NOT WITHIN THE PURVIEW OF WMH AND ARE NOT ADDRESSED. THE ATTACHED IMPLEMENTATION STRATEGY DESCRIBES THE NEEDS BEING MET, AS WELL AS THE ORGANIZATION RESPONSIBLE TO ADDRESS THE IDENTIFIED NEEDS AND THE STATUS OF THE STRATEGY TO ADDRESS SUCH NEEDS. SCHEDULE H, PART V, SECTION B, LINE 16A, 16B, & 16C FAP, FAP APPLICATION, PLAIN LANGUAGE SUMMARY URL: HTTP://WWW.WMH.ORG/FINANCIAL-ASSISTANCE/ SCHEDULE H, PART VI, SECTION B, LINE 22D MAXIMUM AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: A FINANCIAL ASSISTANCE ELIGIBLE INDIVIDUAL WILL NOT BE CHARGED MORE FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE THAN AGB. IF A PATIENT IS FAP-ELIGIBLE, THEY WOULD RECEIVE A 100% DISCOUNT. THE HOSPITAL USES THE PROSPECTIVE MEDICARE METHOD FOR CALCULATING AGB. SCHEDULE H, PART I, LINE 7I CONTRIBUTIONS TO THE COMMUNITY: THE HOSPITAL SUBSIDIZED BOTH IN AND OUT OF SCOPE (NON PRIMARY CARE SERVICES - PEDIATRICS, SURGEONS AND SPECIALIST) SERVICES OF WAYNE MEMORIAL COMMUNITY HEALTH CENTERS (WMCHC) WITH A CASH CONTRIBUTION OF $1,292,702. WMCHCS SURGEONS AND SPECIALISTS PROVIDE INPATIENT AND OUTPATIENT CARE AT WAYNE MEMORIAL HOSPITAL AS WELL AS SERVICES OUT OF THEIR HEALTH CENTER OFFICES. WMCHC PEDIATRIC PRACTITIONERS PROVIDE INPATIENT AND OUTPATIENT CARE AT WAYNE MEMORIAL HOSPITAL AND OUTPATIENT SERVICES IN THE HONESDALE AND CARBONDALE AREA. WMCHC WOULD NOT BE ABLE TO PROVIDE THESE SERVICES AND THEY WOULD NOT BE AVAILABLE IN THE COMMUNITY WITHOUT THIS SUBSIDY. SCHEDULE H, PART I, LINE 7, COLUMN F PERCENT OF TOTAL EXPENSE: TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR USED WAS TOTAL EXPENSES PER PART IX, LINE 25, OF THE FORM 990, $104,109,708. SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY: THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 3. SCHEDULE H, PART II COMMUNITY BENEFIT AND BUILDING ACTIVITIES: WAYNE MEMORIAL HOSPITAL (WMH) AND ITS AFFILIATES PROMOTE THE HEALTH AND WELLBEING OF THE COMMUNITIES AND INDIVIDUALS IT SERVES THROUGH A VARIETY OF COMMUNITY BENEFIT AND COMMUNITY BUILDING ACTIVITIES. WE FOCUS ON THE UNDERSERVED AND UNDERPRIVILEGED WITHIN OUR SERVICE AREA. WE ENDEAVOR TO IMPROVE THE LITERACY LEVEL AND PRIORITIZE INFORMATION GIVEN ON PREVENTION AND TREATMENT FOR CHRONIC DISEASE. OUR GOAL IS TO IMPACT ROOT CAUSES OF POOR HEALTH BY BECOMING A CATALYST FOR HEALTHY LIFESTYLE CHANGES IN OUR SERVICE AREA. THE RATIONALE, PROGRAM METHODOLOGY AND IMPLEMENTATION FOR THE FOLLOWING PROGRAMS ARE TYPICAL OF THE OTHER PROGRAMS DESCRIBED HEREIN AND SHOULD SERVE AS A MODEL FOR THOSE PROGRAMS IN ADDRESSING THE REQUIREMENTS OF THIS SECTION OF THE FORM. -IN-SCHOOL WALKING PROGRAM IS A PARTNERSHIP OF WAYNE MEMORIAL HOSPITAL, FOREST CITY REGIONAL SCHOOL DISTRICT (FCRSD), WALLENPAUPACK AREA (WASD), WAYNE HIGHLANDS (WHSD) AND WESTERN WAYNE SCHOOL DISTRICTS (WWSD). WMH PROVIDES LEADERSHIP, DIRECTION, TRACKING AND FACILITATION FOR THE PROGRAM IN NINE LOCAL SCHOOLS THAT RUNS MONDAY THROUGH THURSDAY 6PM TO 8PM, WHENEVER SCHOOLS ARE IN SESSION. THIS PROVIDES A SAFE FRIENDLY ENVIRONMENT FOR YOUNG, OLD OR DISABLED PEOPLE TO EXERCISE. ALL SITES ARE HANDICAP ACCESSIBLE. IT ALSO PROVIDES A USER FRIENDLY MODALITY TO DISTRIBUTE EDUCATIONAL MATERIALS. -HEALTH PROBLEMS: SEDENTARY LIFESTYLE, POOR NUTRITION, AND POOR BEHAVIORAL HEALTH SKILLS. THESE HAVE BEEN IDENTIFIED AS LEADING RISK FACTORS BY THE CENTER FOR DISEASE CONTROL (CDC) AND THE PENNSYLVANIA DEPARTMENT OF HEALTH FOR OBESITY, HEART DISEASE, HYPERTENSION, AND A NUMBER OF OTHER CHRONIC DISEASES. -NEED/PROBLEM IDENTIFICATION: LOCALLY THE NEED WAS IDENTIFIED IN TWO ASSESSMENT TOOLS. WMH COMMUNITY NEEDS ASSESSMENT 2019 IDENTIFIED PREVENTION OF CHRONIC DISEASE AS A REGIONAL PRIORITY. THE TOGETHER FOR HEALTH PROGRAM (TFH) IS A PARTNERSHIP OF WMH AND WASD, WHSD, FCRSD, AND COMMUNITY AGENCIES IDENTIFYING AND ADDRESSING THE NEEDS OF THE YOUTH. ONE COMPONENT OF THE PROGRAM, THE RESOURCE DAY, HAS BECOME A CATALYST THAT ENHANCES THE HEALTH AND WELLNESS OF 7TH GRADERS AND 9TH GRADERS. A DAY FILLED WITH 5 SMALL GROUP INTERACTIVE WORKSHOPS FACILITATED BY PROFESSIONALS ON SUCH SUBJECTS AS NUTRITION, YOGA, RELATIONSHIPS, SUICIDE AWARENESS, DRUG AND ALCOHOL, GOAL SETTING, ETC. THE STUDENTS PARTICIPATION AND THEIR FEEDBACK PROVIDES WMH, SCHOOL DISTRICTS, AND THE COMMUNITY WITH AN AWARENESS OF THE STUDENTS NEEDS AND HOW TO POSITIVELY IMPACT THE STUDENTS. THIS PROVIDES DIRECTION FOR IN-SCHOOL COMMUNITY BENEFITS ACTIVITIES, INCLUDING THE IN-SCHOOL WALKING PROGRAM AND IN-SCHOOL EDUCATIONAL PRESENTATIONS BY HEALTH CARE PROFESSIONALS. -IMPORTANCE OF HEALTH PROBLEM: LACK OF EXERCISE, POOR NUTRITION AND POOR BEHAVIORAL HEALTH SKILLS HAS MANIFOLD NEGATIVE EFFECTS ON INDIVIDUALS OF ALL AGES AND INCOME LEVELS SEEN IN OUR HIGH RATE OF CHRONIC DISEASE. RURAL, LOW INCOME, ELDERLY OR DISABLED INDIVIDUALS ARE PARTICULARLY VULNERABLE. THE IN-SCHOOL WALKING PROGRAM PROVIDES AN OPPORTUNITY TO LEARN, WALK AND SOCIALIZE WHILE BEING IN A SAFE ATMOSPHERE CLOSE TO THEIR HOME. THE IN-SCHOOL WALKING PROGRAM PROVIDES ACCESS OF SERVICES TO ABOUT 400 PEOPLE WITHIN SCHOOL HALLWAYS NOT IN USE BY THE SCHOOL DURING THOSE HOURS. -ACTIVITY IMPACT: PARTICIPANTS' RESPONSES TO THE PROGRAM INDICATE THAT IT HELPS MOTIVATE THEM TO FEEL BETTER, LOSE WEIGHT, ENJOY FELLOWSHIP, INCREASE ENERGY LEVELS AND HOLD A BETTER SELF-IMAGE THAN PRIOR TO THEIR PARTICIPATION. THEY ALSO HAVE AN IMPROVED KNOWLEDGE BASE ON AWARENESS AND PREVENTION OF MANY HEALTH ISSUES. (STROKE, HEART DISEASE, DIABETES, TRAUMA, ASTHMA, COPD, AND SLEEP APNEA, TO NAME A FEW). -COMMUNITY BENEFIT: ENHANCING PUBLIC HEALTH, ADVANCING THE QUALITY OF LIFE, ULTIMATELY, AND RELIEF OF THE BURDEN OF SOCIETY OF CARING FOR THOSE WITH PREVENTABLE CHRONIC ILLNESS. INDIVIDUALS, WHO HAVE SEDENTARY AND NEGATIVE LIFESTYLES ARE THE PRINCIPAL BENEFICIARIES OF THE PROGRAM. -PURPOSE: THE PURPOSE OF THE IN-SCHOOL WALKING PROGRAM IS TO IMPROVE THE HEALTH STATUS OF PARTICIPANTS THEREBY IMPROVING THE HEALTH STATUS OF OUR COMMUNITY. IT ALSO ENHANCES A COMMUNITY ABILITY TO WORK TOGETHER AND MAXIMIZE THE RESOURCES AVAILABLE. -SUPPORT: THE WMH COMMUNITY HEALTH DEPARTMENT HAS RESPONDED TO OPPORTUNITIES FOR INVOLVEMENT IN COMMUNITY BENEFIT INITIATIVES BY ENTHUSIASTICALLY DEDICATING THEIR TIME, EXPERTISE AND RESOURCES. THE PRIMARY SUPPORT OF THE IN-SCHOOL WALKING PROGRAM COMES FROM THE FOUR SCHOOL DISTRICTS AND WMH USE OF SOCIAL MEDIA, WEB PAGES, IN-KIND SERVICES, ETC. WMH PROVIDED OVERSITE TO MAINTAIN APPROPRIATE LITERACY LEVELS WITH THE EDUCATIONAL INFORMATION. THE 700+ MEMBERS OF PENNSYLVANIA STATE HEALTH IMPROVEMENT PLAN (SHIP) PARTNERSHIP FOR WAYNE AND PIKE COUNTIES SUPPORT THE WALKING PROGRAM THROUGH POSTING FLYERS, SOCIAL MEDIA, PRESENTATIONS AND PARTICIPATION. WMH IS THE LEAD AGENCY FOR THE PIKE/WAYNE SHIP PARTNERSHIP. THE SHIP PARTNERSHIP IDENTIFIES NEEDS AND BECOMES A CATALYST FOR CHANGE TO ACCOMPLISH A HEALTHIER COMMUNITY AND REDUCES THE BURDEN ON MANY GOVERNMENT ENTITIES. BOLD GOLD MEDIA, A LOCAL RADIO STATION, PROVIDES PUBLIC SERVICE ANNOUNCEMENTS AND WMH COMMUNITY HEALTH DEPARTMENT PROVIDES A WEEKLY RADIO BROADCAST "HEALTHWORKS" THAT AIRS ON TWO STATIONS. DURING FYE 6/30/2021, THE ABOVE METHODOLOGY COULD BE APPLIED TO ANY OF THE GREATER THAN 200 PROGRAMS PROVIDING SERVICES TO GREATER THAN 10,000 PEOPLE. SOME OF THE OTHER PROGRAMING INCLUDES HEALTH/RESOURCE FAIRS, RADIO SHOWS, SEMINARS/WORKSHOPS, EMPLOYEE WELLNESS PROGRAMS, NUTRITION CLASSES, DIABETES CLASSES, TRAUMA AWARENESS, STROKE AWARENESS, OPIOID AWARENESS, BEHAVIORAL HEALTH, STRESS MANAGEMENT AND PAIN MANAGEMENT WITHOUT OPIOIDS, TO NAME A FEW. SCHEDULE H, PART III, SECTION A, LINE 2 BAD DEBT EXPENSE: THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HEALTH SYSTEM DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HEALTH SYSTEM'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2021. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2. SCHEDULE H, PART III, SECTION A, LINE 3 BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE: THE HOSPITAL DOES NOT TRACK BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY. IF THIS HOSPITAL IS AWARE OR BECOMES AWARE OF A PATIENT'S ELIGIBILITY FOR CHARITY CARE THEN BAD DEBT EXPENSE WOULD NOT BE RECORDED FOR SUCH A PATIENT. CHARITY CARE WOULD BE RECORDED IF THAT PATIENT IS ELIGIBLE. TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE SHOWN ON LINE 3, THE ORGANIZATION APPLIED ITS RATIO OF PATIENT CARE COST TO CHARGES OF 27.99% TO THE TOTAL BAD DEBT EXPENSE SHOWN ON THE HOSPITAL'S FINANCIAL STATEMENT OF $8,467,605. SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT EXPENSE FOOTNOTE: THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE, THAT NOTE CAN BE FOUND ON PAGE 9 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, SECTION B, LINE 8 COMMUNITY BENEFIT: THE HOSPITAL BECAME A SOLE COMMUNITY HOSPITAL (SCH) EFFECTIVE DECEMBER 8, 2013. PRIOR TO THAT THE HOSPITAL WAS MEDICARE DEPENDENT HOSPITAL (MDH). A MDH MUST HAVE 60% OF ITS INPATIENT DAYS OR ADMISSIONS ATTRIBUTABLE TO ITS MEDICARE PATIENTS IN 2 OUT OF 3 OF ITS MOST RECENT FISCAL YEARS. MDH IS PAID SIMILARLY TO A SOLE COMMUNITY HOSPITAL BUT AT A LESSER RATE. A MDH IS PAID THE GREATER OF THE FEDERAL INPATIENT PROSPECTIVE PAYMENT SYSTEM (IPPS) RATES OR 75% OF THE DIFFERENCE BETWEEN THE HOSPITAL SPECIFIC COST FOR A BASE PERIOD ROLLED FORWARD FOR MARKET BASKET INCREASES FROM THE BASE PERIOD AND THE IPPS RATES. A SCH RECEIVES 100% OF THE HOSPITAL SPECIFIC COST ROLLED FORWARD FOR FUTURE PERIODS BY MARKET BASKET INCREASES DETERMINED BY THE MEDICARE PROGRAM. SCHEDULE H, PART III, SECTION C, LINE 9B COLLECTION POLICY: THE WRITTEN HOSPITAL COLLECTION POLICY CONTAINS PROVISION FOR FINANCIAL COUNSELING FOR PATIENT INCLUDING APPLYING TO INSURANCE AVAILABLE SUCH AS BLUE CHIP OR ADULT BASIC. ASSISTANCE WILL ALSO BE PROVIDED TO HELP PATIENT WITH MEDICAL ASSISTANCE APPLICATIONS AND CHARITY CARE APPLICATIONS. CHARITY CARE APPLICANTS ARE URGED TO APPLY FOR MEDICAL ASSISTANCE BUT IT IS NOT A REQUIREMENT. QUALIFICATION FOR CHARITY CARE IS BASED ON 200% OF THE CURRENT FEDERAL POVERTY GUIDELINES. THE PATIENT ACCOUNTS MANAGER REVIEWS THE APPLICATIONS AND NOTIFIES THE APPLICANT WHETHER THEIR APPLICATION HAS BEEN APPROVED. THOSE PATIENTS QUALIFYING FOR CHARITY CARE HAVE THEIR PATIENT ACCOUNT BALANCES WRITTEN OFF COMPLETELY. IF A PATIENT HAS FUTURE BILLS THEY ARE REVIEWED AND IF FINANCIAL INFORMATION IS STILL CURRENT THEY ARE ALSO WRITTEN OFF. IF THE PATIENT HAS A FUTURE BILL AND THE FINANCIAL INFORMATION IS NOT CURRENT WE REQUEST THE CURRENT INFORMATION SO WE CAN REVIEW FOR CHARITY CARE. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT: THE COMMUNITY NEEDS ASSESSMENT METHODOLOGY THAT WAYNE MEMORIAL HOSPITAL USED RELATED TO THE TIME FRAME 7/1/2018 - 6/30/2019 FOLLOWED A MODEL THAT INVOLVED CONTRACTING WITH AN OUTSIDE ORGANIZATION, A CONSULTING FIRM, TO CONDUCT THE STUDY. THIS ASSESSMENT CONFORMS TO THE IRS REQUIREMENT THAT NONPROFIT HOSPITALS MUST COMPLETE A COMMUNITY NEEDS ASSESSMENT EVERY THREE YEARS. WAYNE MEMORIAL HOSPITAL BEGAN A NEW COMPLIANT NEEDS ASSESSMENT IN 2019 AND COMPLETED IT IN JUNE OF 2019. -BACKGROUND: IN THE FALL OF 2012, UNDER THE GUIDANCE OF WAYNE MEMORIAL HOSPITAL, A GROUP OF INDIVIDUALS REPRESENTING VARIOUS HEALTH CARE AND HUMAN SERVICE PROVIDERS IN WAYNE AND PIKE COUNTIES, PA AND THE COMMUNITY OF CARBONDALE IN LACKAWANNA COUNTY, PA MET TO CONSIDER A PLAN TO PRODUCE A COMPREHENSIVE NEEDS AND RESOURCE ASSESSMENT FOR THE AREA. THE PRODUCT WOULD BENEFIT HEALTH CARE AND HUMAN SERVICE PROVIDER ORGANIZATIONS/AGENCIES AND LOCAL GOVERNMENTS IN PIKE AND WAYNE COUNTIES IN TERMS OF ORGANIZATIONAL POLICY CONSIDERATIONS AND IN PREPARATION OF FUNDING PROPOSALS TO GOVERNMENTAL AND PRIVATE FUNDERS. AS A RESULT OF THAT ORIGINAL MEETING, A COMMUNITY NEEDS ASSESSMENT STEERING COMMITTEE WAS STARTED AS AN INDEPENDENT GRASS ROOTS COLLABORATION OF COMMUNITY ACTIVISTS, HEALTH CARE PROVIDERS AND EDUCATORS THAT BEGAN REGULAR MEETINGS TO COMPOSE A REQUEST FOR PROPOSALS (RFP) TO ACCOMPLISH THE ASSESSMENT. THE COMMITTEE INCLUDED REPRESENTATIVES FROM WAYNE MEMORIAL HOSPITAL (WMH), WAYNE MEMORIAL COMMUNITY HEALTH CENTERS, THE CARBONDALE AREA, WAYNE AND PIKE COUNTY GOVERNMENTS, PPL, INC., THE PIKE INTERAGENCY COUNCIL AND AREA SCHOOL DISTRICTS. AN RFP WAS CREATED AND SENT TO QUALIFIED REGIONAL CONSULTING FIRMS TO COMPLETE A COMMUNITY HEALTH AND HUMAN SERVICES NEEDS AND RESOURCES ASSESSMENT FOR THE COUNTIES OF PIKE AND WAYNE AND THE COMMUNITY OF CARBONDALE IN LACKAWANNA AND SURROUNDING AREAS IN NORTHEASTERN PENNSYLVANIA. -THE ASSESSMENT: IN JANUARY 2013, A FIRM WAS CHOSEN, HMC ASSOCIATES OF GETZVILLE, NY, THAT HAD PERFORMED A SIMILAR HEALTH NEEDS ASSESSMENT FOR WAYNE AND PIKE IN 2009 AND ANOTHER SIMILAR ASSESSMENT FOR PIKE COUNTY IN 2004. FROM FEBRUARY THROUGH JUNE 2013 THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS PERFORMED INVOLVING STATISTICAL DATA COLLECTION FROM SOURCES IN PENNSYLVANIA, NEW YORK AND NEW JERSEY WAS CONSIDERED ALONG WITH COMMUNITY PERCEPTIONS AND LOCAL EXPERT OPINIONS GATHERED THROUGH NUMEROUS FOCUS GROUPS, ONE-ON-ONE INTERVIEWS AND AN IN-DEPTH ONLINE COMMUNITY SURVEY DEVELOPED BY HMS. THE MOST RECENT CHNA WAS PERFORMED FROM JANUARY 2019 THROUGH JUNE 30, 2019 AND THE HMS ASSOCIATES WAS ONCE AGAIN ENGAGED TO PERFORM THE STUDY. THE 2019 CHNA IMPLEMENTATION PLAN WAS COMPLETED BY WMH FROM JULY 1 THROUGH SEPTEMBER 1, 2019. -GEOGRAPHIC AREA ASSESSED: THE AREA ASSESSED WERE THE COUNTIES OF WAYNE AND PIKE, PA AND THE COMMUNITY OF CARBONDALE AND ITS SURROUNDINGS IN LACKAWANNA AND PORTIONS OF SUSQUEHANNA COUNTY, PA. -HOW FREQUENTLY THE ASSESSMENT IS CONDUCTED: THE FIRST INCIDENCE OF A NEEDS ASSESSMENT OF THIS DEPTH FOR THE HOSPITALS SERVICE AREA WAS THE ONE PERFORMED IN 2009, REFERRED TO IN THE ASSESSMENT ABOVE. PRIOR TO THAT, CHNAS WERE PERFORMED INTERNALLY APPROXIMATELY EVERY THREE YEARS UNDER THE DIRECTION OF THE WAYNE MEMORIAL HOSPITAL COMMUNITY ADVISORY BOARD STARTING IN 1996. IT IS THE INTENTION OF WAYNE MEMORIAL TO FULFILL THE REQUIREMENT OF THE IRS COMMUNITY BENEFIT MANDATE TO PERFORM A SIMILAR NEEDS ASSESSMENT TO THE 2009 STUDY EVERY THREE YEARS. -PROCESS FOR PRIORITIZING NEEDS: AN IN-DEPTH ANALYSIS WAS MADE OF ALL COLLECTED DATA, WHICH WAS WEIGHTED THROUGH A FORMULA DEVELOPED THAT JUXTAPOSED DATA COLLECTED FOLLOWING MASLOW'S HIERARCHY OF NEEDS AND EMPIRICAL EMPHASIS IDENTIFIED BY EXPERTS AND PROVIDERS INVOLVED IN THE STUDY. THIS FORMULA WAS USED TO ESTABLISH A FINAL ACTIONABLE LIST OF THE HIGHEST PRIORITY HEALTH SERVICE NEEDS FOR THE TWO-COUNTY REGION. THOSE PRIORITY ITEMS WERE ANALYZED AND PRIORITIZED BY THE HOSPITALS STRATEGY COMMITTEE AND AN IMPLEMENTATION PLAN WAS DEVELOPED BY THE COMMITTEE AND ULTIMATELY APPROVED BY THE WAYNE MEMORIAL HOSPITAL BOARD OF TRUSTEES IN OCTOBER 2019 (THE EXTENDED DEADLINE APPROVED BY THE IRS FOR THIS YEARS CHNA IMPLEMENTATION PLAN). THE TOP IDENTIFIED NEEDS WERE 1. MENTAL HEALTH AND SUBSTANCE ABUSE; 2. CHRONIC DISEASE; 3. NEWBORN HEALTH; 4. PREVENTABLE INPATIENT CARE; 5. IMPROVED ACCESS TO PHYSICIAN SPECIALISTS; 6.TRANSPORTATION; 7. COUNSELING; 8. HELP UNDERSTANDING MEDICAL CARE AND ACCESS; 10. SUPPORT GROUPS. -AVAILABILITY OF THE ASSESSMENT TO THE COMMUNITY: THE FINAL ASSESSMENT PRODUCT WAS MADE AVAILABLE TO THE GENERAL PUBLIC VIA WAYNE MEMORIAL HOSPITAL'S WEB SITE AND INCLUDES A 21 PAGE CHNA EXECUTIVE SUMMARY AND AN 89 PAGE CHNA USER GUIDE THAT CAN BE PRINTED. THE USER GUIDE INCLUDES THE DETAILED RESULTS OF THE ONLINE COMMUNITY SURVEY PERFORMED AS PART OF THE STUDY. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: THE HOSPITAL EDUCATES AND INFORMS PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE HOSPITAL'S CHARITY CARE POLICY THROUGH ITS SCHEDULING, REGISTRATION, SOCIAL SERVICES AND BILLING DEPARTMENTS. ITS PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ARE ALSO MADE AWARE OF THEIR ELIGIBILITY THROUGH WMCHC A CLINICAL AFFILIATE OF THE HOSPITAL WHO RECEIVES SUBSTANTIAL FINANCIAL SUPPORT FROM THE HOSPITAL AND IS A FEDERALLY QUALIFIED HEALTH CENTER. FEDERALLY QUALIFIED HEALTH CENTERS IMPROVE THE HEALTH OF THE NATION'S UNDERSERVED COMMUNITIES AND VULNERABLE POPULATIONS BY ASSURING ACCESS TO COMPREHENSIVE, CULTURALLY COMPETENT, QUALITY PRIMARY HEALTH CARE SERVICES. HEALTH CENTER PROGRAM GRANTS SUPPORT A VARIETY OF COMMUNITY-BASED AND PATIENT-DIRECTED HEALTH CARE SERVICES, PRINCIPALLY TO AN INCREASING NUMBER OF THE NATION'S UNDERSERVED. PATIENTS AND OTHERS ARE MADE AWARE OF THE PROGRAMS AVAILABLE ANYTIME FROM THE SCHEDULING OF AN APPOINTMENT TO FINAL DISPOSITION OF THEIR BILL IF THERE IS ANY INDICATION OF THE NEED OR REQUEST FOR HELP IN PAYING FOR SERVICES BEING SCHEDULED, PROVIDED OR BILLED FOR. WAYNE MEMORIAL HOSPITAL, THROUGH ITS NETWORK OF 700 STATE HEALTH IMPROVEMENT PLAN (SHIP) PARTNERS (ORGANIZATIONS, AGENCIES, BUSINESSES, SCHOOLS, TASK FORCES, COALITIONS, RELIGIOUS GROUPS, AND INDIVIDUALS) PROVIDE THE MODALITY FOR DELIVERING WRITTEN INFORMATION, VERBAL EXPLANATION AND ASSISTANCE IN COMPLETING FORMS FOR THE MOST VULNERABLE POPULATION. THE INFORMATION AND SERVICES ARE AVAILABLE AT MANY OF OUR OUTREACH FUNCTIONS. THE BROCHURE FINANCIAL AID POLICY AND GUIDELINES IS AVAILABLE AT OUTPATIENT REGISTRATION DESKS AND AT APPROPRIATE COMMUNITY OUTREACH FUNCTIONS. IT CONTAINS INFORMATION OF ELIGIBILITY FOR FINANCIAL AID AT WMH, AND HOW TO APPLY FOR MEDICAL ASSISTANCE, MEDICAID, OR FINANCIAL AID. IT CONTAINS THE CONTACT INFORMATION FOR THE WAYNE MEMORIAL COMMUNITY HEALTH CENTERS' OUTREACH AND ENROLLMENT COORDINATORS AND THE 2016 US POVERTY INCOME GUIDELINES. PHYSICIAN DIRECTORS ARE AVAILABLE AT OUTREACH PROGRAMS. ON THE WMH WEBSITE, THERE IS A FIND A DOC TAB TO ASSIST PATIENTS IN FINDING AN APPROPRIATE PHYSICIAN AND WMH COMMUNITY HEALTH HAS A PHYSICIAN REFERRAL PHONE LINE PROVIDING PERSONAL ASSISTANCE. THIS INFORMATION IS DISCUSSED PERIODICALLY ON THE HEALTHWORKS WEEKLY RADIO SHOW. WHEN NECESSARY, WE PROVIDE ASSISTANCE FOR THOSE WITH LANGUAGE BARRIERS IN BOTH TRANSLATION AND SIGN LANGUAGE. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION: THE PRIMARY SERVICE AREA OF WAYNE MEMORIAL HOSPITAL INCLUDES ALL OF WAYNE COUNTY, PENNSYLVANIA AND ALL OF WESTERN, NORTHERN AND PORTIONS OF EASTERN AND SOUTHERN PIKE COUNTY, PA; THE SOUTHEASTERN PORTION OF SUSQUEHANNA COUNTY, PA; THE COMMUNITY OF CARBONDALE AND ITS IMMEDIATELY SURROUNDING COMMUNITIES IN LACKAWANNA COUNTY, PA; AND THE SOUTHWESTERN PORTION OF WESTERN SULLIVAN COUNTY, NEW YORK. THE SECONDARY SERVICE AREA INCLUDES THE BALANCE OF PIKE COUNTY AND EASTERN PORTIONS OF LACKAWANNA AND SUSQUEHANNA AND NORTHERN MONROE COUNTY IN PENNSYLVANIA. ALTHOUGH SOME PORTIONS OF PIKE COUNTY THAT ARE INCLUDED IN THE NEWBURGH, NY MSA (METROPOLITAN STATISTICAL AREA) AND ALL OF LACKAWANNA COUNTY, WHICH ARE CLASSIFIED AS URBAN, THE WMH SERVICE AREA IS PREDOMINANTLY RURAL. - SERVICE AREA CONGRESSIONAL DISTRICTS: THE CONGRESSIONAL DISTRICTS INCLUDED IN THE WMH SERVICE AREA ARE PA-10 AND NY-22. - SERVICE AREA CENSUS TRACTS: THE CENSUS TRACTS INCLUDED IN THE WMH SERVICE AREA ARE THE FOLLOWING: 9502, 9523, 9524, 9601, 9602, 9603, 9604, 9605, 9606, 9607, 9608, 9609, 9610, 9611, 9612, 9613, 9614, 1101, 1106, 1107, 1108, AND 1109. - SERVICE AREA ZIP CODES: THE ZIP CODES INCLUDED IN THE WMH SERVICE AREA ARE THE FOLLOWING: 12723, 12741, 12748, 12764, 18324, 18328, 18336, 18337, 18403, 18405, 18407, 18413, 18414, 18415, 18417, 18421, 18425, 18426, 18427, 18428, 18431, 18433, 18436, 18437, 18439, 18443, 18444, 18445, 18453, 18455, 18461, 18462, 18463, 18470, 18472. - HOSPITALS IN SERVICE AREA: THE ONLY HOSPITAL IN WAYNE CO., PA IS WAYNE MEMORIAL HOSPITAL, A NONPROFIT ACUTE CARE COMMUNITY-BASED HOSPITAL; THERE IS NO HOSPITAL LOCATED IN PIKE COUNTY, PA; THE ONLY HOSPITAL IN THE PORTION OF MONROE CO., PA THAT IS PART OF WMH'S SERVICE AREA IS POCONO MEDICAL CENTER, A NONPROFIT ACUTE CARE HOSPITAL; THE ONLY HOSPITAL IN THE PORTION OF LACKAWANNA CO., PA THAT IS PART OF WMH'S SERVICE AREA WAS MARION COMMUNITY HOSPITAL, A CRITICAL ACCESS HOSPITAL THAT CLOSED ITS DOORS ON FEBRUARY 28, 2012; THERE ARE NO HOSPITALS IN THE PORTIONS OF SULLIVAN CO., NY OR SUSQUEHANNA COUNTY, PA THAT ARE PARTS OF WMH'S SERVICE AREA. - MEDICALLY UNDERSERVED AREAS: FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS (MUAS) IN THE WMH SERVICE AREA INCLUDE THE FOLLOWING: LACKAWANNA CO., MUA - 8 CENSUS TRACTS; MONROE CO., STROUDSBURG - LOW INCOME MUPS PIKE CO. - GREENE SERVICE AREA, MUA; WAYNE CO. - DAMASCUS SERVICE AREA MUA; SULLIVAN CO., NY - 3 LOW INCOME MUPS. HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAS) INCLUDE LACKAWANNA - 4 SERVICE AREAS; PIKE -4 SERVICE AREAS; SUSQUEHANNA - 8 SERVICE AREAS; WAYNE - 10 SHORTAGE AREAS. - COMMUNITY DEMOGRAPHICS: THE REVERSAL OF THE SERVICE AREA POPULATION GROWTH FOLLOWING THE 2010 CENSUS, ALTHOUGH GRADUAL, IS ONE OF THE MOST SIGNIFICANT ASPECTS OF THE WMH SERVICE AREA. IT IS NOTED HERE THAT THIS PHENOMENON HAS PROVEN TO BE REPRESENTATIVE OF MOST RURAL AREAS IN THE COMMONWEALTH AND, INDEED SIMILAR TO THE RURAL POPULATION DECLINE IN MUCH OF RURAL U.S. THE MOST RECENT POPULATION ESTIMATE PROVIDED BELOW FOR THE 2016 CENSUS BUREAU, AMERICAN COMMUNITY SURVEY (ACS), HOWEVER, SHOWS A CONTINUED POPULATION REDUCTION FOLLOWING THE REVERSAL OF THE DECADES-LONG GROWTH FOR PIKE COUNTY. THE TARGET POPULATION FOR WMH AND WMCHC SERVICES IS COMPRISED OF PREDOMINANTLY LOW INCOME, DISPROPORTIONATELY ELDERLY, MOBILITY/TRANSPORTATION CHALLENGED, OFTEN SIGNIFICANTLY OVERWEIGHT AND PRONE TO REFRAIN FROM HEALTH-RELATED PHYSICAL ACTIVITIES. THEY ARE FREQUENTLY UNMOTIVATED TO TAKE RESPONSIBILITY FOR THEIR HEALTH STATUS. THE CORE OF THE HOSPITAL'S USERS CONSISTS IN LARGE PART OF RURAL LOW TO MODERATE INCOME RESIDENTS. ANOTHER DOMINANT FACTOR OF SERVICE AREA DEMOGRAPHICS IS THE SIGNIFICANT IN-MIGRATION THAT WAYNE, AND ESPECIALLY PIKE, COUNTIES' POPULATIONS HAVE EXPERIENCED IN RECENT TIMES. THE 2010 U. S. CENSUS SHOWED THAT THE AREA POPULATION INCREASED FOR THE SERVICE AREAS FROM THE 2000 CENSUS: PIKE SHOWED THE LARGEST GROWTH 23.9% TO 57,369; WAYNE GREW 10.7% TO 52,822; SULLIVAN (NY) 4.9% TO 77,547; AND, LACKAWANNA 0.6% TO 214,437. 2012 U. S. CENSUS BUREAU POPULATION ESTIMATES (THE MOST RECENT AVAILABLE FOR THE AREA) SHOWED A DROP IN POPULATION FOR THE AREA, WITH THE EXCEPTION OF LACKAWANNA CO., WHICH REMAINED ESSENTIALLY STABLE: LACKAWANNA + 0.1%; PIKE - 0.9%; SULLIVAN (NY) -1.0%; SUSQUEHANNA -1.6%; AND WAYNE -1.7%. A SIGNIFICANT NUMBER OF THE NEW RESIDENTS THAT ARRIVED IN THE 2000-2010 DECADE CAME WITHOUT ESTABLISHED CARE PATTERNS. THE TWO-HOUR PROXIMITY TO NEW YORK CITY ACCELERATED THIS MIGRATION AFTER THE TERRORIST ATTACKS OF 2001. THESE MIGRANTS, IN LARGE PART, CONSIST OF LOW INCOME, YOUNG ADULTS AND FAMILIES SEEKING TO ESCAPE THE HIGH COST OF THE URBAN AREAS, ALONG WITH RETIREES MOVING FOR THE SAME REASON. THE RETIREES CONSIST OF BOTH MEDICARE AGE POPULATION AND A SIGNIFICANT NUMBER OF 55 TO 65 YEAR OLD RETIREES WITHOUT THE BENEFIT OF CORPORATE RETIREMENT BENEFITS AND THEY OFTEN PRESENT SEEKING SLIDING FEE SCALE SERVICES. BOTH MIGRANT GROUPS REPRESENT A SIGNIFICANT NEED FOR THE COMMUNITY. HAVING MOVED TO A DISTANT COMMUNITY, THESE PATIENTS OFTEN SEEK EPISODIC CARE AT VARIOUS LOCATIONS AND ARE ABUSERS OF EMERGENCY ROOM SERVICES. SPECIAL POPULATIONS: THE DATA SHOWN IN THE TABLE BELOW IS UPDATED FROM U.S. CENSUS BUREAU AMERICAN COMMUNITY SURVEY, LAST REVISED 2016: PIKE COUNTY - TOTAL POPULATION: 56,210 - MEDIAN AGE: 46.7 - % POPULATION - > 65 YRS: 20.5% - % POPULATION - RACE/WHITE: 89.7% - % POPULATION - RACE/BLACK: 5.8% - % POPULATION - HISP. (ANY RACE): 10.1% - % POPULATION - HIGH SCHOOL GRAD: 90.7% - % POPULATION - BS/BA: 26.9% - % POPULATION - VETERANS > 18 YRS: 10.3% - MEDIAN HOUSEHOLD INCOME: $61,199 - PERSONS BELOW POVERTY LEVEL: 10.2% - CIVILIAN POPULATION W/O HEALTH INSURANCE: 2.9% WAYNE COUNTY - TOTAL POPULATION: 51,307 - MEDIAN AGE: 47 - % POPULATION - > 65 YRS: 20.7% - % POPULATION - RACE/WHITE: 95.0% - % POPULATION - RACE/BLACK: 3.6% - % POPULATION - HISP. (ANY RACE): 4.1% - % POPULATION - HIGH SCHOOL GRAD: 89.9% - % POPULATION - BS/BA: 20.6% - % POPULATION - VETERANS > 18 YRS: 10.5% - MEDIAN HOUSEHOLD INCOME: $50,595 - PERSONS BELOW POVERTY LEVEL: 12.7% - CIVILIAN POPULATION W/O HEALTH INSURANCE: 10.5% CARBONDALE - TOTAL POPULATION: 8,707 - MEDIAN AGE: N/A - % POPULATION - > 65 YRS: 17.2% - % POPULATION - RACE/WHITE: 95.0% - % POPULATION - RACE/BLACK: 0.4% - % POPULATION - HISP. (ANY RACE): 3.1% - % POPULATION - HIGH SCHOOL GRAD: 93.1% - % POPULATION - BS/BA: 18.2% - % POPULATION - VETERANS > 18 YRS: 9.4% - MEDIAN HOUSEHOLD INCOME: $44,982 - PERSONS BELOW POVERTY LEVEL: 23.1% - CIVILIAN POPULATION W/O HEALTH INSURANCE: 8.0% TARGET POPULATION - TOTAL POPULATION: 116,224 - MEDIAN AGE: 44.4 - % POPULATION - > 65 YRS: 19.5% - % POPULATION - RACE/WHITE: 93.8% - % POPULATION - RACE/BLACK: 4.9% - % POPULATION - HISP. (ANY RACE): 5.3% - % POPULATION - HIGH SCHOOL GRAD: 91.2% - % POPULATION - BS/BA: 21.9% - % POPULATION - VETERANS > 18 YRS: 10.1% - MEDIAN HOUSEHOLD INCOME: $52,259 - PERSONS BELOW POVERTY LEVEL: 15.2% - CIVILIAN POPULATION W/O HEALTH INSURANCE: 7.1% PENNSYLVANIA - TOTAL POPULATION: 12,783,977 - MEDIAN AGE: 40.6 - % POPULATION - > 65 YRS: 16.6% - % POPULATION - RACE/WHITE: 81.4% - % POPULATION - RACE/BLACK: 11.00% - % POPULATION - HISP. (ANY RACE): 6.6% - % POPULATION - HIGH SCHOOL GRAD: 91.7% - % POPULATION - BS/BA: 28.2% - % POPULATION - VETERANS > 18 YRS: 8.3% - MEDIAN HOUSEHOLD INCOME: $54,895 - PERSONS BELOW POVERTY LEVEL: 13.3% - CIVILIAN POPULATION W/O HEALTH INSURANCE: 8.0% U.S. - TOTAL POPULATION: 318,558,162 - MEDIAN AGE: 37.7 - % POPULATION - > 65 YRS: 14.5% - % POPULATION - RACE/WHITE: 73.3% - % POPULATION - RACE/BLACK: 12.6% - % POPULATION - HISP. (ANY RACE): 17.35% - % POPULATION - HIGH SCHOOL GRAD: 87.7% - % POPULATION - BS/BA: 34.1% - % POPULATION - VETERANS > 18 YRS: 8.0% - MEDIAN HOUSEHOLD INCOME: $55,322 - PERSONS BELOW POVERTY LEVEL: 15.1% - CIVILIAN POPULATION W/O HEALTH INSURANCE: 11.7% - RATES OF UNINSURED AND UNDERINSURED: (NOTE: SOME DATA SETS ARE NOT AVAILABLE IN THE 06-DEC-2012 OR 2013 SET. THE DATA PROVIDED ARE FROM THE 2006-2008 AMERICAN COMMUNITY SURVEY 3-YEAR ESTIMATES SURVEY.) ACCORDING TO THE U. S. CENSUS BUREAU, 2006-2008 ACS ESTIMATES, SERVICE AREA POPULATION OF UNINSURED NUMBERS IS 8,849, OR 8.0% OF THE POPULATION. - PERCENT OF FAMILIES ON MEDICAID OR OTHER ASSISTANCE: ACCORDING TO THE U.S. CENSUS BUREAU, 2006-2008 AMERICAN COMMUNITY SURVEY 3-YEAR ESTIMATES, THE NUMBER OF FAMILIES IN THE SERVICE AREA ON MEDICAID IS 16,639, OR 15.1% OF THE POPULATION. - AGE BREAKDOWN AND RECENT TRENDS: ACCORDING TO THE U. S. CENSUS BUREAU, 2006-2008 AMERICAN COMMUNITY SURVEY 3-YEAR ESTIMATES, AGE BREAKDOWN OF THE SERVICE AREA POPULATION IS AS FOLLOWS: UNDER 5 YEARS OF AGE 4,954 OR 4.5% 5-17 YEARS 12,373 OR 11.2% 18-34 YEARS 18,070 OR 16.4% 35-64 YEARS 46,874 OR 42.5% 65 AND OLDER 27,297 OR 24.8% - PERCENTAGES OF NON-ENGLISH SPEAKING POPULATIONS: ACCORDING TO THE U.S. CENSUS BUREAU AMERICAN COMMUNITY SURVEY, 06-DEC-2012, SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: THE MAJORITY OF MEMBERS OF THE WAYNE MEMORIAL HOSPITAL GOVERNING BOARD ARE INDEPENDENT BOARD MEMBERS, COMPRISED OF RESIDENTS OF THE ORGANIZATION'S PRIMARY SERVICE AREA OF WAYNE AND PIKE COUNTY, PENNSYLVANIA. THERE ARE ONLY TWO OF SIXTEEN BOARD MEMBERS THAT ARE RELATED TO EMPLOYEES OF THE HOSPITAL OR PROVIDE SERVICES OR MERCHANDISE TO THE HOSPITAL OR RELATED ENTITIES. - THE WAYNE MEMORIAL HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR ALL OF ITS DEPARTMENTS, WITH THE EXCEPTION OF ANESTHESIOLOGY, LABORATORY AND RADIOLOGY, AS SERVICES IN THESE DEPARTMENTS ARE PROVIDED ON AN EXCLUSIVE BASIS TO BENEFIT PATIENT CARE. MEMBERS OF OUR MEDICAL STAFF ARE REQUIRED, WHILE PARTICIPATING AT THE HOSPITAL, TO TREAT ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY OR THEIR INSURANCE STATUS. - WAYNE MEMORIAL HOSPITAL UTILIZES ANY EXCESS FUNDS OVER EXPENSES TO IMPROVE PATIENT CARE, CONDUCT MEDICAL EDUCATION, OR SUPPORT OTHER NOT FOR PROFIT ORGANIZATIONS. - WAYNE MEMORIAL HOSPITAL'S EMERGENCY DEPARTMENT SERVES ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. - THE HOSPITAL PARTICIPATES IN MEDICARE, MEDICAID, CHAMPUS, TRI-CARE AND OTHER GOVERNMENTAL SPONSORED HEALTHCARE PROGRAMS. FURTHER, THE HOSPITAL HAS A CHARITY CARE POLICY, WHICH STRIVES TO QUALIFY THOSE PATIENTS FOR CHARITY CARE, WHO MEET CERTAIN INCOME LEVELS. - THE HOSPITAL IS A SAFETY NET HOSPITAL IN RURAL PENNSYLVANIA, AS IT IS DESIGNATED AS A SOLE COMMUNITY HOSPITAL. WMH COMMUNITY HEALTH UTILIZES THE SHIP PARTNERSHIP EMAIL STRING TO EMAIL TIMELY COMMUNICATION ON HEALTH AND WELLNESS OPPORTUNITIES. THE SHIP MEMBERSHIP UTILIZES WMH'S OFFER TO FORWARD APPROPRIATE INFORMATION THEREBY BUILDING COMMUNICATION AND BREAKING DOWN THE GAPS IN COMMUNICATION. WMH INTERVIEWS COMMUNITY PEOPLE ON THE WEEKLY RADIO SHOW. THE WAYNE MEMORIAL COMMUNITY ADVISORY BOARD IS MADE UP OF COMMUNITY MEMBERS FROM WAYNE, PIKE, AND LACKAWANNA COUNTIES. IT HAS 3 YOUTH MEMBERS PARTICIPATING ON THE BOARD. WMH IS REPRESENTED ON MANY COMMUNITY ADVISORY BOARDS, TASK FORCES, AND COALITIONS THAT ENHANCE THE HEALTH, WELLNESS, AND SAFETY OF OUR COMMUNITY AS WELL AS THE ECONOMIC GROWTH. WMH STAFF PROVIDES MENTORING, JOB SHADOWING, AND PRECEPTORSHIP FOR STUDENTS IN THE MEDICAL FIELD. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM: THE HOSPITAL IS PART OF AN AFFILIATED HEALTH CARE SYSTEM UNDER COMMON GOVERNANCE AND CONTROL THAT INCLUDES THE HOSPITAL AND WAYNE MEMORIAL LONG TERM CARE WHICH OPERATES WAYNE WOODLANDS MANOR. IT IS ALSO A CLINICAL AFFILIATE OF WAYNE MEMORIAL COMMUNITY HEALTH CENTERS (WMCHC) WHICH IT SUPPORTS CLINICALLY AND FINANCIALLY. WAYNE WOODLANDS MANOR WAS OPENED IN 1994 AND HAS PROVIDED AND CONTINUES TO PROVIDE SERVICES PRIMARILY TO MEDICAID RECIPIENTS (OVER 75% OF ITS RESIDENTS). MOST COUNTIES IN PENNSYLVANIA HAVE COUNTY OWNED AND OPERATED NURSING HOMES THAT PROVIDE SERVICES TO THIS SEGMENT OF THEIR COUNTY POPULATION. WAYNE COUNTY DOES NOT HAVE A COUNTY NURSING HOME. THIS COMMUNITY NEED IS MET BY WAYNE MEMORIAL LONG TERM CARE BY ITS OPERATION OF WAYNE WOODLANDS MANOR. THE HOSPITAL HAS SUPPORTED WMCHC WHICH SERVES A NUMBER OF MUA'S AND MUP'S. THE HOSPITAL HAS FINANCED WMCHC WORKING CAPITAL NEEDS WITH A LINE OF CREDIT THAT WAS AND CONTINUES TO BE NECESSARY BECAUSE THE COMMONWEALTH OF PENNSYLVANIA'S MEDICAID PROGRAM DID NOT PAY ADEQUATELY (PRIOR TO NOVEMBER 2010) NOR MAKE TIMELY SETTLEMENTS FOR CARE PROVIDED. IN ADDITION, THE WAYNE MEMORIAL HOSPITAL HAS AN AFFILIATION WITH THE GEISINGER COMMONWEALTH SCHOOL OF MEDICINE (SCRANTON, PA) FOR THE PROVISION OF CLINICAL EDUCATION EXPERIENCES AT THE HOSPITAL AND WITHIN THE COMMUNITY. THE HOSPITAL CONSIDERS THIS A RESPONSIBILITY CONSISTENT WITH ITS MISSION TO BE INVOLVED IN EDUCATION. WAYNE MEMORIAL HEALTH SYSTEM AND THE WAYNE MEMORIAL HOSPITAL PROVIDE SIGNIFICANT COMMUNITY BENEFITS IN TERMS OF NEEDED HEALTH CARE SERVICES, PROVIDING SERVICES REGARDLESS OF THE ABILITY TO PAY, CLINICAL EDUCATION, AND PROVIDING A VAST NETWORK OF PRIMARY CARE PHYSICIANS IN ITS SERVICE AREA. true WAYNE MEMORIAL COMUNITY HEALTH CENTERS 601 PARK STREET HONESDALE PA 18431 232180889 501(C)(3) 1292702 EXEMPT PURPOSES 1 SCHEDULE I, PART I, LINE 2 MONITORING USE OF GRANT FUNDS: THE BOARD MONITORS THE FUNDS GIVEN TO WMCHC BY REVIEWING THE WORKINGS AND PROGRESS OF THAT CORPORATION. THERE IS A CLINICAL RELATIONSHIP AND THE HOSPITAL WORKS DIRECTLY WITH WMCHC SO THEY ARE ABLE TO MAKE SURE THE FUNDS ARE BEING USED PROPERLY. false true false false false false false false false DAVID HOFF CEO 0 398944 0 88943 0 139506 0 43254 0 18533 0 689180 0 114585 PATRICIA DUNSINGER CFO 0 152751 0 14000 0 5942 0 9861 0 18180 0 200734 0 0 JEFFERY MOGERMAN PHYSICIAN 615277 0 106 0 0 0 17100 0 16878 0 649361 0 0 0 SIBYL RICKARD PHYSICIAN 293976 0 106 0 0 0 17100 0 13193 0 324375 0 0 0 DAVID CAUCCI PHYSICIAN 598517 0 106 0 0 0 16740 0 18180 0 633543 0 0 0 PAIGE CASTELINO HOSPITALIST 243175 0 16708 0 0 0 15671 0 6555 0 282109 0 0 0 SHARIE MORGANTI CERTIFIED RN ANESTETIST 293976 0 106 0 0 0 12504 0 6555 0 313141 0 0 0 JAMES PETTINATO DIRECTOR OF PATIENT CARE SVCS 0 150029 0 35129 0 21834 0 10519 0 18180 0 235691 0 0 JOHN CONTE DIRECTOR OF FACILITY SERVICES 0 153097 0 11000 0 12088 0 29493 0 16878 0 222556 0 0 JAMES HOCKENBURY DIRECTOR OF ANCILLARY SERVICES 0 146056 0 7500 0 11430 0 9520 0 6555 0 181061 0 0 SCHEDULE J, PART I, LINE 3 CEO COMPENSATION: WAYNE MEMORIAL HEALTH SYSTEM, A RELATED ORGANIZATION, DETERMINES THE COMPENSATION OF THE CEO USING THE FOLLOWING METHODS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. THE BOARD MAKES THE FINAL DECISION USING THE INFORMATION PROVIDED BY THE CONSULTANT. SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: WAYNE MEMORIAL HEALTH SYSTEM, A RELATED ORGANIZATION, COVERS DAVID HOFF WITH A 457(F) SUPPLEMENTAL RETIREMENT AGREEMENT (SERP). IN THE CURRENT YEAR THE FOLLOWING PAYOUT WAS MADE: $ 114,585 DAVID HOFF A WAYNE CO HOSPITAL AND HEALTH FACILITIES AUTHORITY 232152053 946016JD5 2013-01-30 9998351 ADVANCE REFUND 2003 PAY ISS false true false B WAYNE CO HOSPITAL AND HEALTH FACILITIES AUTHORITY 232152053 946016GS5 2012-10-25 9997040 REFUND '05 AND A PART OF '07 BONDS false true false C WAYNE CO HOSPITAL AND HEALTH FACILITIES AUTHORITY 232152053 946016HU9 2012-12-20 4703786 REFUND REMAINING 2007 BONDS PAY IS false true false D WAYNE MEMORIAL HOSPITAL AND HEALTH AUTHORITY 232152053 2017-12-01 8000000 FINANCING DESIGN, CONSTR AND EQUIP false true false A 8475000 0 9998351 692238 0 9027197 196001 82913 0 0 0 0 2013 false true true true B 5075000 0 9997040 461420 0 9255837 187404 92379 0 0 0 0 2012 true false true true C 2830000 0 4703786 254563 0 4315090 93600 40533 0 0 0 0 2012 true false true true D 830779 0 8000000 0 0 0 157818 0 0 7842182 0 0 2019 true false false true A false false false false 0 false false false true B false false false false 0 false false false true C false false false false 0 false false false true D false false false false 0 false false false true A false false false true false false 0 false 0 false false B false false false true false false 0 false 0 false false C false false false true false false 0 false 0 false false D false true false false false false 0 false 0 false false A false B false C false D false SCHEDULE K, PART IV, COLUMNS A, B, & C, LINE 2C ARBITRAGE DATE: THE ARBITRAGE CALCULATION WAS COMPLETED ON 2/26/2018 FOR THE FOLLOWING BOND ISSUES: WAYNE MEMORIAL HOSPITAL AND HEALTH AUTHORITY ISSUED 12/20/2012 WAYNE CO HOSPITAL AND HEALTH FACILITIES AUTHORITY ISSUED 1/30/2013 WAYNE CO HOSPITAL AND HEALTH FACILITIES AUTHORITY ISSUED 10/25/2012 A WAYNE CO HOSPITAL AND HEALTH FACILITIES AUTHORITY 232152053 946016JX9 2017-09-01 37609342 FINANCE, DESIGN, CONSTR, AND EQUIP false true false A 15000 0 37609342 1369150 0 0 679633 0 0 35560559 0 0 2019 true false true true A false false false false 0 false false false true A false true false false false false 0 false 0 false false A false ANNASTASIA HARCUM JOE HARCUM - FAMILY 67299 EMPLOYEE COMPENSATION false FORM 990, PART III, LINE 4D OTHER PROGRAM SERVICES: INPATIENT REHABILITATION PROVIDES PHYSICAL, OCCUPATIONAL, AUDIOLOGY AND SPEECH THERAPY WITH SKILL CERTIFIED THERAPISTS. AN INDIVIDUALIZED REHABILITATION PROGRAM DESIGNED TO ENHANCE FUNCTION AND INDEPENDENCE IS DEVELOPED FOR EACH PATIENT BY A TEAM OF SPECIALIZED REHABILITATION PROFESSIONALS. EACH PATIENT'S EVALUATION AND PROGRESS IS DIRECTED AND MONITORED BY A PHYSIATRIST AND AN INTERDISCIPLINARY TEAM CONSISTING OF A PRIMARY REHABILITATION NURSE; PHYSICAL, OCCUPATIONAL AND SPEECH THERAPISTS; AND A SOCIAL WORKER. FORM 990, PART VI, SECTION A, LINE 2 BUSINESS AND FAMILY RELATIONSHIPS: HUGH RECHNER HAS A FAMILY RELATIONSHIP WITH CHRISTINE RECHNER, A TRUSTEE OF WAYNE MEMORIAL HOSPITAL, CHAIR OF THE WAYNE MEMORIAL LONG TERM CARE, AND MEMBER OF THE SYSTEM BOARD BY VIRTUE OF POSITION. 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), AND PATRICIA DUNSINGER (CFO), 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, LINES 6, 7A & 7B MEMBERS OR STOCKHOLDERS: WAYNE MEMORIAL HEALTH SYSTEM (THE SYSTEM), A RELATED ORGANIZATION AND A PENNSYLVANIA NONPROFIT CORPORATION, IS THE SOLE MEMBER OF WAYNE MEMORIAL HOSPITAL. WAYNE MEMORIAL HEALTH SYSTEM, INC. IS ENTITLED TO APPROVE THE ELECTION OF THE BOARD MEMBERS AND OFFICERS OF WAYNE MEMORIAL HOSPITAL, INC. ALL OF WHOM SHALL BE APPROVED BY WAYNE MEMORIAL HEALTH SYSTEM, INC, A RELATED ORGANIZATION. THE FOLLOWING DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO APPROVAL BY WAYNE MEMORIAL HEALTH SYSTEM, INC.: (A) AMENDMENT OF THE BYLAWS OR THE ARTICLES OF CORPORATION (B) MERGER OR CONSOLIDATION WITH ANY OTHER ENTITY (C) DISSOLUTION AND DISTRIBUTION OF ASSETS IN CONNECTION THEREWITH (D) ELECTION OF OFFICERS OF THIS CORPORATION (E) ADOPTION OF INVESTMENT POLICIES AND SELECTION OF INVESTMENT ADVISORS (F) INVESTMENT OF RESTRICTED GIFTS (G) SELECTION OF AUDITORS AND ATTORNEYS (H) ADOPTION OF OPERATING AND CAPITAL BUDGETS (I) APPROVAL OF FUND-RAISING PROGRAMS (J) DONATION OR TRANSFER OF ANY ASSET WITH AN AGGREGATE VALUE IN EXCESS OF SUCH AMOUNT AS MAY BE DETERMINED BY THE BOARD OF WAYNE MEMORIAL HEALTH SYSTEM FROM TIME TO TIME (K) CREATION OF ANY LIEN OR SECURITY INTEREST IN ASSETS OF THE CORPORATION (L) DESIGNATION OR RESTRICTION OF GIFTS WITH A MARKET VALUE IN EXCESS OF SUCH AMOUNT AS MAY BE DETERMINED BY THE BOARD OF WAYNE MEMORIAL HEALTH SYSTEM FROM TIME TO TIME, AND (M) ANY OTHER MATTER THAT WOULD REQUIRE THE APPROVAL OF THE MEMBERS OF A PENNSYLVANIA NONPROFIT CORPORATION. FORM 990, PART VI, 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 FROM JUNE TO 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 XI, LINE 9 RECONCILIATION OF NET ASSETS: OTHER CHANGES IN NET ASSETS ARE AS FOLLOWS: $ 2,860,191 CHANGE IN DEFINED BENEFIT PENSION PLAN 201,758 CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST 33,093 TRANSFER FROM AFFILIATE (2,947,287) CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION ------------ $ 147,755 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICE FEES TOTAL FEES:6205553 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL SERVICE FEES TOTAL FEES:5687480 FORM 990 PART IX LINE 11G DESCRIPTION:TEMPORARY/LEASED EMPLOYEE FEES TOTAL FEES:3237767 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION EXPENSES TOTAL FEES:340574 FORM 990 PART IX LINE 11G DESCRIPTION:MAINTENANCE CONTRACTS TOTAL FEES:142031 FORM 990 PART IX LINE 11G DESCRIPTION:TRUSTEE FEES TOTAL FEES:17205 WAYNE MEMORIAL HEALTH FOUNDATION INC 601 PARK STREET HONESDALE PA 18431 232208596 FUNDRAISING PA 501(C)(3) 12 A I WMHS false WAYNE MEMORIAL HEALTH SYSTEM INC 601 PARK STREET HONESDALE PA 18431 232221292 OVERSIGHT PA 501(C)(3) 12 B II NA false WAYNE MEMORIAL LONG TERM CARE 37 WOODLANDS DRIVE WAYMART PA 18472 232719336 NURSING HOME PA 501(C)(3) 10 WMHS false WAYNE HEALTH SERVICES INC 601 PARK STREET HONESDALE PA 18431 232376183 DME, RENT, PHARM PA WMHF C-CORPORATION 6425 24062 0.01000 false CHARITABLE TRUST TRUST PA WMH TRUST 30181 1.00000 true false false false true false false false false false true true false true true true true true false true