WAYNE HOSPITAL COMPANY: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: WAYNE HOSPITAL COMPANY (EIN 34-4428598)
Tax period: 2021-01-01 to 2021-12-31
Filed: 2022-09-26
IRS object ID: 202242699349300834
Schema version: 2021v4.2
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-09-26T14:00:11-05:00	ReturnTs
Tax Period End	2021-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	350921680	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CROWE LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	9600 Brownsboro Road Suite 400	AddressLine1Txt
City	Louisville	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	402413902	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	344428598	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Wayne Hospital Company	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	WAYN	BusinessNameControlTxt
Phone	9375481141	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	835 Sweitzer Street	AddressLine1Txt
City	Greenville	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45331	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Jeffrey Subler	PersonNm
Person Title	President & CEO	PersonTitleTxt
Signature	2022-09-26	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Jennifer	PersonFirstNm
Person Last	Williams	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Rachel Spurlock	PreparerPersonNm
PTIN	P00520729	PTIN
Phone	5023263996	PhoneNum

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	Wayne HealthCare	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Jeffrey Subler President & CEO	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	835 Sweitzer Street	AddressLine1Txt
City	Greenville	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45331	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$92,908,412	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.waynehealthcare.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1922	FormationYr
Legal Domicile State	OH	LegalDomicileStateCd
Activity Or Mission	The mission of Wayne Hospital Company is providing quality care and promoting wellness close to home.	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	17	VotingMembersIndependentCnt
Total Employee	622	TotalEmployeeCnt
Total Volunteers	56	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$82,327	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$10,867,308	PYContributionsGrantsAmt
CY Contributions Grants	$2,948,090	CYContributionsGrantsAmt
PY Program Service Revenue	$59,657,912	PYProgramServiceRevenueAmt
CY Program Service Revenue	$72,344,538	CYProgramServiceRevenueAmt
PY Investment Income	$3,722,687	PYInvestmentIncomeAmt
CY Investment Income	$12,384,703	CYInvestmentIncomeAmt
PY Other Revenue	$561,205	PYOtherRevenueAmt
CY Other Revenue	$906,216	CYOtherRevenueAmt
PY Total Revenue	$74,809,112	PYTotalRevenueAmt
CY Total Revenue	$88,583,547	CYTotalRevenueAmt
PY Grants And Similar Paid	$122,465	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$108,935	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$33,040,283	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$37,503,870	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$34,441,008	PYOtherExpensesAmt
CY Other Expenses	$36,815,581	CYOtherExpensesAmt
PY Total Expenses	$67,603,756	PYTotalExpensesAmt
CY Total Expenses	$74,428,386	CYTotalExpensesAmt
PY Revenues Less Expenses	$7,205,356	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$14,155,161	CYRevenuesLessExpensesAmt
Total Assets BOY	$202,344,337	TotalAssetsBOYAmt
Total Assets EOY	$219,411,439	TotalAssetsEOYAmt
Total Liabilities BOY	$71,438,131	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$71,794,410	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$130,906,206	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$147,617,029	NetAssetsOrFundBalancesEOYAmt
Mission	The 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 Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$58,877,850	ExpenseAmt
Grant	$108,935	GrantAmt
Revenue	$72,761,681	RevenueAmt
Desc	AS 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 1,799 ADMISSIONS AND 72,445 OUTPATIENT VISITS IN 2021. 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 ALSO IS PROACTIVE IN SUPPORTING COMMUNITY WELLNESS THROUGH HEALTH SCREENINGS, EDUCATION, AND HEALTH MANAGEMENT.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$327,296	ExpenseAmt
Revenue	$2,225	RevenueAmt
Desc	WAYNE HOSPITAL HAS MANY ADDITIONAL PROGRAMS. ADDITIONAL PROGRAMS INCLUDE THE COUNTY AND CORPORATE HEALTH FAIRS IN WHICH EMPLOYEES FROM THE HOSPITAL PROVIDED 1,704 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 2021, AS IT WAS NOT ABLE TO BE HELD DUE TO COVID. (CONTINUED ON SCHEDULE O)	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$59,205,146	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	65	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	622	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	17	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JENNIFER WILLIAMS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9375696758	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	VP of Finance / CFO	AddressLine1Txt
City	Greenville	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45331	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ANNA HATIC DO
BOARD MEMBER(PART YEAR)/SEC/TREASURER	1.0	Yes (X)	Yes (X)	$0	$0	$0
DAN WATREN
SEC/TREASURER(PART YEAR)/VICE CHAIR	1.0	Yes (X)	Yes (X)	$0	$0	$0
ERIC EVERMAN
CHAIR (PART YEAR)/PAST CHAIR	1.0	Yes (X)	Yes (X)	$0	$0	$0	1.0
JOHN DUTRO MD
PAST CHAIR (PART YEAR)/CHAIR	1.0	Yes (X)	Yes (X)	$0	$0	$0	1.0
TODD DURHAM
VICE CHAIR (PART YEAR)	1.0	Yes (X)	Yes (X)	$0	$0	$0
ALEX POHLMAN
BOARD MEMBER (PART YEAR)	1.0	Yes (X)		$0	$0	$0
CAROLINE SCHMIDT
BOARD MEMBER	1.0	Yes (X)		$0	$0	$0
CRAIG GANGER
BOARD MEMBER (PART YEAR)	1.0	Yes (X)		$0	$0	$0
DIANE EWING
BOARD MEMBER (PART YEAR)	1.0	Yes (X)		$0	$0	$0
DON MILLER
BOARD MEMBER(PART YEAR)	1.0	Yes (X)		$0	$0	$0
GEOFF WALKER
BOARD MEMBER(PART YEAR)	1.0	Yes (X)		$0	$0	$0
JACOB BROERING
BOARD MEMBER (PART YEAR)	1.0	Yes (X)		$0	$0	$0
JANELLE BRINKSNEADER
BOARD MEMBER	1.0	Yes (X)		$0	$0	$0
JOHN WARNER
BOARD MEMBER	1.0	Yes (X)		$0	$0	$0
KATHY HARPER
BOARD MEMBER (PART YEAR)	1.0	Yes (X)		$0	$0	$0
M LYNNE HAWLEY MD
BOARD MEMBER	1.0	Yes (X)		$0	$0	$0
MARY GARMAN
BOARD MEMBER	1.0	Yes (X)		$0	$0	$0
SUSAN SHIELDS
BOARD MEMBER	1.0	Yes (X)		$0	$0	$0
TIM SNIDER
BOARD MEMBER (PART YEAR)	1.0	Yes (X)		$0	$0	$0
TONYA BREYMIER
BOARD MEMBER (PART YEAR)	1.0	Yes (X)		$0	$0	$0
TRAVIS FLIEHMAN
BOARD MEMBER	1.0	Yes (X)		$0	$0	$0
JEFFREY SUBLER
VP OF SUPPORT SERVICES (PARTIAL YEAR)/PRESIDENT/CEO	40.0		Yes (X)	$216,559	$0	$28,843	1.0
JENNIFER WILLIAMS
VP OF FINANCIAL SERVICES/CFO	39.0		Yes (X)	$233,129	$0	$28,529	1.0
WAYNE DESCHAMBEAU
CEO (PART YEAR)/ADVISOR TO CEO (PART YEAR)	39.0		Yes (X)	$298,454	$0	$30,390	1.0
KIMBERLEE FREEMAN
VP OF PATIENT CARE/CNO	40.0			$219,786	$0	$29,017		Yes (X)
SHELTON MONGER
VP OF INFORMATION SERVICES/CIO	40.0			$199,980	$0	$6,790		Yes (X)
ALISHA REISS
SURGEON	40.0			$469,158	$0	$30,421			Yes (X)
KARA SCHULTZ
SURGEON	40.0			$388,697	$0	$8,982			Yes (X)
PATRICK KARR
OB/GYN	40.0			$468,239	$0	$30,975			Yes (X)
PETER LACHIEWICZ
OB/GYN	40.0			$459,798	$0	$20,793			Yes (X)
STEPHANIE BUCHANAN
SURGEON	40.0			$389,824	$0	$20,776			Yes (X)
PEGGY SCHULTZ
FORMER KE - VP HUMAN RESOURCES (PARTIAL YEAR)	40.0			$122,165	$0	$8,652				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,465,789	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$244,168	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	39	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
HORIZON HEALTH
PO BOX 840839	DALLAS	TX	752840839	SENIOR BEHAVIORAL HEALTH SERVICES	$2,049,140
KETTERING ANESTHESIA ASSOC
3500 PENTAGON BLVD SUITE 200	BEAVERCREEK	OH	45431	ANESTHESIA SERVICES	$1,650,860
LABORATORY CORP OF AMERICA
11751 INTERCHANGE DR	LOUISVILLE	KY	40229	LAB MANAGEMENT	$1,548,750
HOSPITAL CARE GROUP PC
6435 W JEFFERSON BLVD	FORT WAYNE	IN	46804	HOSPITALISTS	$1,395,832	PMB 109
MEDICAL SOLUTIONS LLC
PO BOX 850737	MINNEAPOLIS	MN	554850737	AGENCY STAFFING	$1,277,362

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	21	CntrctRcvdGreaterThan100KCnt
Related Organizations	$9,231	RelatedOrganizationsAmt
Government Grants	$2,928,859	GovernmentGrantsAmt
All Other Contributions	$10,000	AllOtherContributionsAmt
Total Contributions	$2,948,090	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT SERVICE REVENUE	Desc
Business	621110	BusinessCd
Total Revenue Column	$72,344,538	TotalRevenueColumnAmt
Related Or Exempt Func Income	$72,344,538	RelatedOrExemptFuncIncomeAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$72,344,538	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,288,049	TotalRevenueColumnAmt
Exclusion	$2,288,049	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$356,242	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$175,080	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$181,162	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$181,162	TotalRevenueColumnAmt
Exclusion	$181,162	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$14,216,189	SecuritiesAmt
Other	$30,250	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$4,149,752	SecuritiesAmt
Other	$33	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$10,066,437	SecuritiesAmt
Other	$30,217	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,096,654	TotalRevenueColumnAmt
Exclusion	$10,096,654	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
FOOD SALES	722210	$305,686	$305,686
HOUSEKEEPING	812900	$10,553		$10,553
REBATE REVENUE	900099	$353,798		$353,798

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$55,017	TotalRevenueColumnAmt
Related Or Exempt Func Income	$55,017	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$725,054	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$88,583,547	TotalRevenueColumnAmt
Related Or Exempt Func Income	$72,763,906	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$12,871,551	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$108,935	TotalAmt
Program Services	$108,935	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,291,477	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,291,477	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$23,375,721	TotalAmt
Program Services	$20,658,840	ProgramServicesAmt
Management And General	$2,716,881	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$672,154	TotalAmt
Program Services	$594,032	ProgramServicesAmt
Management And General	$78,122	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$10,275,126	TotalAmt
Program Services	$9,080,883	ProgramServicesAmt
Management And General	$1,194,243	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,889,392	TotalAmt
Program Services	$1,582,371	ProgramServicesAmt
Management And General	$307,021	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$142,811	TotalAmt
Management And General	$142,811	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$47,228	TotalAmt
Management And General	$47,228	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$311,053	TotalAmt
Management And General	$311,053	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$14,429,789	TotalAmt
Program Services	$11,677,704	ProgramServicesAmt
Management And General	$2,752,085	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$448,565	TotalAmt
Program Services	$399,896	ProgramServicesAmt
Management And General	$48,669	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$79,959	TotalAmt
Program Services	$54,434	ProgramServicesAmt
Management And General	$25,525	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$594,137	TotalAmt
Program Services	$220,076	ProgramServicesAmt
Management And General	$374,061	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,622,953	TotalAmt
Program Services	$1,110,901	ProgramServicesAmt
Management And General	$512,052	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$20,258	TotalAmt
Program Services	$3,992	ProgramServicesAmt
Management And General	$16,266	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$113,135	TotalAmt
Program Services	$92,677	ProgramServicesAmt
Management And General	$20,458	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$790,469	TotalAmt
Program Services	$426,853	ProgramServicesAmt
Management And General	$363,616	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$5,429,072	TotalAmt
Program Services	$1,992,469	ProgramServicesAmt
Management And General	$3,436,603	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$526,504	TotalAmt
Program Services	$291,372	ProgramServicesAmt
Management And General	$235,132	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$9,092,627	$9,059,199	$33,428
MAINTENANCE AGREEMENTS	$1,729,765	$1,042,659	$687,106
DIETARY	$408,125	$368,408	$39,717

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,029,131	TotalAmt
Program Services	$439,445	ProgramServicesAmt
Management And General	$589,686	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$74,428,386	TotalAmt
Program Services	$59,205,146	ProgramServicesAmt
Management And General	$15,223,240	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$5,859,702	BOYAmt
EOY	$5,989,178	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$23,362,539	BOYAmt
EOY	$23,257,573	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$7,530,834	BOYAmt
EOY	$8,075,522	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$80,804	BOYAmt
EOY	$12,316	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,735,390	BOYAmt
EOY	$1,968,518	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$975,544	BOYAmt
EOY	$1,106,595	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$172,559,831	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$85,310,849	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$76,265,322	BOYAmt
EOY	$87,248,982	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$63,257,025	BOYAmt
EOY	$75,478,456	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$9,234,338	BOYAmt
EOY	$9,506,173	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$14,042,839	BOYAmt
EOY	$6,768,126	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$202,344,337	BOYAmt
EOY	$219,411,439	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$8,802,023	BOYAmt
EOY	$6,704,531	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$59,007,296	BOYAmt
EOY	$62,778,915	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$221,695	BOYAmt
EOY	$150,727	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,407,117	BOYAmt
EOY	$2,160,237	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$71,438,131	BOYAmt
EOY	$71,794,410	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$130,786,562	BOYAmt
EOY	$147,496,584	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$119,644	BOYAmt
EOY	$120,445	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$130,906,206	BOYAmt
EOY	$147,617,029	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$202,344,337	BOYAmt
EOY	$219,411,439	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$14,155,161	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,686,475	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$869,187	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$6,529	OtherActivitiesAmt
Total Lobbying Expenditures	$6,529	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	WAYNE HOSPITAL COMPANY PAYS DUES TO THE OHIO HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THESE DUES, $6,529 WAS SPENT ON LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$0	BeginningYearBalanceAmt
End Year Balance	$0	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$12,921	BeginningYearBalanceAmt
Other Expenditures	$12,921	OtherExpendituresAmt
End Year Balance	$0	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$202,019	BeginningYearBalanceAmt
Investment Earnings Or Losses	$4,114	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$29,113	GrantsOrScholarshipsAmt
Other Expenditures	$164,099	OtherExpendituresAmt
End Year Balance	$12,921	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$202,019	BeginningYearBalanceAmt
End Year Balance	$202,019	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$202,019	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$0	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$202,019	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.0	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,127,405	OtherCostOrOtherBasisAmt
Book Value	$2,127,405	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$107,592,024	OtherCostOrOtherBasisAmt
Depreciation	$52,568,124	DepreciationAmt
Book Value	$55,023,900	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,584,822	OtherCostOrOtherBasisAmt
Depreciation	$2,379,283	DepreciationAmt
Book Value	$1,205,539	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$58,874,789	OtherCostOrOtherBasisAmt
Depreciation	$30,363,442	DepreciationAmt
Book Value	$28,511,347	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$380,791	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$380,791	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$87,248,982	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
INTEREST RATE SWAP LIABILITY	$2,160,237
ESTIMATED THIRD PARTY SETTLEMENTS
DUE TO/FROM CARE ASSURANCE

Field	Value	IRS element (for citing)
Total Liability	$2,160,237	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$90,119,907	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$1,686,475	NetUnrealizedGainsInvstAmt
Other Revenue	$2,307	OtherRevenueAmt
Revenue Not Reported	$1,688,782	RevenueNotReportedAmt
Revenue Subtotal	$88,431,125	RevenueSubtotalAmt
Investment Expenses Not Incld	$311,053	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	-$158,631	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$152,422	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$88,583,547	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$73,418,149	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	-$699,184	OtherExpensesIncludedAmt
Expenses Not Reported	-$699,184	ExpensesNotReportedAmt
Expenses Subtotal	$74,117,333	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$311,053	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$311,053	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$74,428,386	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part V, Line 4 Intended uses of endowment funds	ENDOWMENT 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) footnote	The 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. is a limited liability corporation 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, and WHC Professional Services, LLC. have filed their applicable federal and state income tax returns for periods through December 31, 2020. 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, 2021 and 2020, 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 990	CHANGE IN INTEREST OF RELATED PARTIES - 2307
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements	RENTAL EXPENSES INCLUDED IN REVENUE - -175080 CONTRIBUTIONS NETTED WITH EXPENSES - 16449
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990	RENTAL EXPENSES INCLUDED IN REVENUE - 175080 CHANE IN VALUE OF INTEREST RATE SWAP - -866880 CONTRIBUTIONS NETTED WITH EXPENSES - -7384

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent200 D	Yes (X)	Percent200DInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$548,713	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$548,713	NetCommunityBenefitExpnsAmt
Total Expense	0.0074	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,094,653	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,677,850	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,416,803	NetCommunityBenefitExpnsAmt
Total Expense	0.1265	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$613,853	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$613,853	NetCommunityBenefitExpnsAmt
Total Expense	0.0082	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$16,257,219	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,677,850	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,579,369	NetCommunityBenefitExpnsAmt
Total Expense	0.1421	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$143,825	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,225	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$141,600	NetCommunityBenefitExpnsAmt
Total Expense	0.0019	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$86,501	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$86,501	NetCommunityBenefitExpnsAmt
Total Expense	0.0012	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$230,326	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,225	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$228,101	NetCommunityBenefitExpnsAmt
Total Expense	0.0031	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$16,487,545	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,680,075	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,807,470	NetCommunityBenefitExpnsAmt
Total Expense	0.1452	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$5,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,000	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	9	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$91,970	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$91,970	NetCommunityBenefitExpnsAmt
Total Expense	0.0012	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	10	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$96,970	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$96,970	NetCommunityBenefitExpnsAmt
Total Expense	0.0013	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$0	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$22,810,571	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$14,103,319	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$8,707,252	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Wayne Hospital Company	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	835 Sweitzer Street	AddressLine1Txt
City	Greenville	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45331	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.WAYNEHEALTHCARE.ORG	WebsiteAddressTxt
State License	Ohio Department of Health 1159AHR	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Wayne Hospital Company	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	false	ImplementationStrategyAdoptInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	200.0	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.waynehealthcare.org/visitors-and-patients/financial-assistance/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.waynehealthcare.org/visitors-and-patients/financial-assistance/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.waynehealthcare.org/visitors-and-patients/financial-assistance/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	The significant health needs of the community are identified and prioritized through the CHNA.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 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 , 1	Facility , 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 , 1	Facility , 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 , 1	Facility , 1 - WAYNE HOSPITAL COMPANY. The final collaborative Community Health Improvement Plan committee meeting is June 2nd, 2022. The Wayne HealthCare Implementation Strategy will fit within the framework of the State Health Improvement Plan and the Regional Health Improvement Plan to work synergistically toward address needs identified in the CHNA service area. This document will be posted to the website by June 30th, 2022.

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WAYNE HOSPITAL COMPANY PROFESSIONAL SERVICES LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	835 SWEITZER STREET	AddressLine1Txt
City	GREENVILLE	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45331	ZIPCd

Field	Value	IRS element (for citing)
Facility	PHYSICIAN PROFESSIONAL SERVICES ORGANIZATION	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3 Line 3i Supplemental Information	THE HOSPITAL PARTICIPATED IN THE PREPARATION OF A COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REPORT THAT COVERED 35 HOSPITALS AND 28 LOCAL HEALTH DEPARTMENTS. IN ADDITION TO THE COLLABORATIVE CHNA REPORT, ON SEPTEMBER 16, 2020, THE BOARD OF THE HOSPITAL ADOPTED AN ADDENDUM TO THE REPORT THAT ADDRESSES (1) THE PRIORITIZATION PROCESS AND ITS RESULTS TO IDENTIFY SIGNIFICANT HEALTH NEEDS SPECIFIC TO THE HOSPITAL; (2) THE IMPACT OF THE ACTIONS THAT WERE TAKEN, SINCE THE HOSPITAL FINISHED CONDUCTING ITS IMMEDIATELY PRECEDING CHNA, TO ADDRESS THE SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THAT CHNA; AND (3) WRITTEN COMMENTS RECEIVED ON THE HOSPITAL'S MOST RECENTLY CONDUCTED CHNA. GOING FORWARD, THE HOSPITAL INTENDS TO ESTABLISH PRACTICES AND PROCEDURES TO ADD ANY ADDITIONAL INFORMATION TO A COLLABORATIVE CHNA REPORT THAT IS REQUIRED BY SECTION 501(R)(3), AND THAT IS NOT ADDRESSED IN THE REPORT, ON A TIMELY BASIS.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	IN 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 THE IRS INSTRUCTIONS FOR COMPLETION OF SCHEDULE H.
Schedule H, Part II Community Building Activities	WAYNE HEALTHCARE CONTRIBUTED TO THE FOLLOWING ORGANIZATIONS: $5,000 TO PARTNERING FOR PROGRESS WHICH IS A COLLABORATIVE ECONOMIC DEVELOPMENT EFFORT PROVIDING COMPREHENSIVE SUPPORT TO THE DARKE COUNTY BUSINESS COMMUNITY $3,000 TO EDISON COMMUNITY STATE COLLEGE FOUNDATION TO SUPPORT THE NURSING STUDENTS IN THE PROGRAM TO EARN AN RN DEGREE $2,500 TO THE YMCA OF DARKE COUNTY FOR THEIR ANNUAL CAMPAIGN THAT ASSISTS FAMILIES TO SUBSIDIZE THEIR MEMBERSHIP FEES, ENABLING THEM TO RECEIVE DISCOUNTED CHILDCARE, TAKE SWIM LESSONS, PARTICIPATE IN GROUP EXERCISE CLASSES AND USE THE YMCA FAMILY ACTIVITIES $1,500 TO YOLO OF DARKE COUNTY, INC. TO SUPPORT BRINGING TOGETHER HIGH ENERGY INDIVIDUALS WITH A GOAL OF LIVING LIFE TO THE FULLEST AND GIVING BACK TO THE COMMUNITY $1,120 TO BIG BROTHERS BIG SISTERS OF SHELBY AND DARKE COUNTY TO HELP SPONSOR FAMILY ACTIVITIES $650 TO DARKE COUNTY UNITED WAY TO HELP ASSESS AND ADDRESS HEALTH AND HUMAN SERVICES NEEDS IN OUR COMMUNITY $75,000 TO THE CITY OF GREENVILLE SOUTH PARK PROJECT TO HELP SUPPORT FAMILY ACTIVITIES $1,200 TO DARKE COUNTY CENTER FOR THE ARTS TO PROVIDE A POSITIVE IMPACT ON THE QUALITY OF LIFE IN OUR COMMUNITY $2,000 TO THE DARKE COUNTY AGRICULTURAL SOCIETY FOR THE JUNIOR FAIR RENOVATION CAMPAIGN $5,000 TO BRETHREN RETIREMENT COMMUNITY FOR THEIR ANNUAL CAPITAL CAMPAIGN
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	For 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 footnote	Please 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 costs	The 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 assistance	Patients 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 assessment	THE 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 assistance	WAYNE HOSPITAL PROVIDES PAMPHLETS TO PATIENTS THAT DESCRIBE THE FINANCIAL ASSISTANCE POLICIES. THERE IS SIGNAGE UP THROUGHOUT THE KEY PATIENT 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 information	WAYNE HOSPITAL SERVES THE DARKE COUNTY COMMUNITY. DARKE COUNTY IS MAINLY A RURAL FARMING COMMUNITY WITH A POPULATION OF 51,197. APPROXIMATELY 10.2% OF THE COUNTY INCOME LEVEL IS UNDER THE FEDERAL POVERTY GUIDELINES AND 27.3% OF THE REVENUES FOR THE HOSPITAL WERE MEDICAID PATIENTS IN 2021. THE COUNTY UNEMPLOYMENT RATE IN 2021 WAS 2.9%. 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 health	WAYNE 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 EMPLOYEE'S 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 LIFESTYLE ENHANCEMENT CENTER EXPANDED CHRONIC DISEASE MANAGEMENT PROGRAMS TO INCLUDE CARDIAC REHABILITATION AND CONGESTIVE HEART FAILURE CLINIC. CURRENT EXISTING PROGRAMS INCLUDE DIABETES EDUCATION PROGRAMS, SMOKING CESSATION AND PULMONARY REHABILITATION. THE GROUP LIFESTYLE BALANCE PROGRAM EXPANDED FROM WAYNE HEALTHCARE EMPLOYEES TO INVITING THE PUBLIC TO PARTICIPATE. 65 PEOPLE PARTICIPATED IN THE PROGRAMS FOR TOBACCO CESSATION, CARDIAC DISEASE, HEART FAILURE, CARDIAC & PULMONARY REHAB . THE HEALTHY MOMENTS PROGRAM IS AVAILABLE TO THE EMPLOYEES AND THE PUBLIC IS INVITED. IN 2020, 23 PARTICIPANTS ATTENDED THE HEALTHY MOMENTS SESSIONS. ATTENDANCE WAS LOW DUE TO COVID.
Schedule H, Part VI, Line 7 State filing of community benefit report	OH

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CITY OF GREENVILLE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 PUBLIC SQUARE	AddressLine1Txt
City	GREENVILLE	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45331	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	346400593	RecipientEIN
IRC Section	CITY OF GREENVILLE	IRCSectionDesc
Cash Grant	$75,500	CashGrantAmt
Purpose Of Grant	PROGRAM SUPPORT	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	Wayne 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

Field	Value	IRS element (for citing)
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	Yes (true)	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JEFFREY SUBLER
VP OF SUPPORT SERVICES (PARTIAL YEAR)/PRESIDENT/CEO	$197,592	$0	$14,467	$0	$4,500	$0	$6,758	$0	$22,085	$0	$245,402	$0	$0	$0
JENNIFER WILLIAMS
VP OF FINANCIAL SERVICES/CFO	$206,812	$0	$26,317	$0	$0	$0	$7,219	$0	$21,310	$0	$261,658	$0	$0	$0
WAYNE DESCHAMBEAU
CEO (PART YEAR)/ADVISOR TO CEO (PART YEAR)	$236,131	$0	$57,823	$0	$4,500	$0	$8,780	$0	$21,610	$0	$328,844	$0	$0	$0
SHELTON MONGER
VP OF INFORMATION SERVICES/CIO	$177,959	$0	$22,021	$0	$0	$0	$6,091	$0	$699	$0	$206,770	$0	$0	$0
KIMBERLEE FREEMAN
VP OF PATIENT CARE/CNO	$194,248	$0	$25,538	$0	$0	$0	$6,887	$0	$22,130	$0	$248,803	$0	$0	$0
PETER LACHIEWICZ
OB/GYN	$455,736	$0	$4,062	$0	$0	$0	$8,780	$0	$12,013	$0	$480,591	$0	$0	$0
PATRICK KARR
OB/GYN	$443,609	$0	$24,630	$0	$0	$0	$8,780	$0	$22,195	$0	$499,214	$0	$0	$0
STEPHANIE BUCHANAN
SURGEON	$379,824	$0	$10,000	$0	$0	$0	$8,780	$0	$11,996	$0	$410,600	$0	$0	$0
KARA SCHULTZ
SURGEON	$369,670	$0	$19,027	$0	$0	$0	$8,780	$0	$202	$0	$397,679	$0	$0	$0
ALISHA REISS
SURGEON	$459,732	$0	$9,426	$0	$0	$0	$8,780	$0	$21,641	$0	$499,579	$0	$0	$0
PEGGY SCHULTZ
FORMER KE - VP HUMAN RESOURCES (PARTIAL YEAR)	$122,165	$0	$0	$0	$0	$0	$3,842	$0	$4,810	$0	$130,817	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule J, Part I, Line 5a Compensation contingent on revenues of the organization	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION PAYS PHYSICIAN INCENTIVE PAYMENTS TO PETER LACHIEWICH, PATRICK KARR, AND ALISHA REISS 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 ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
COUNTY OF DARKE OHIO
A	346400361	237242AS1	2019-09-12	$27,449,851	SEE PART VI	false	false	false
COUNTY OF DARKE OHIO
B	346400361	000000000	2019-09-12	$39,414,756	SEE PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$0	$0	$27,727,673	$1,106,590	$1,606,099	$0	$225,000	$0	$0	$24,789,984	$0	$0	2021	false	false	Yes (true)	Yes (true)
B	$2,152,076	$0	$39,414,756	$0	$0	$0	$565,661	$0	$0	$13,895,663	$24,102,135	$851,297		Yes (true)	false	false	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	false	0.0	0.0	0.0	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	false	0.0	0.0	0.0	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	Yes (true)	false	false	false	false	false	false	Yes (true)
B	false	Yes (true)	false	false	Yes (true)	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part I, Column (f) BOND ISSUES LINE A	THE 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 B	THE 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 A	DIFFERENCE 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 B	Related to the current refunding of the Series 2010 Bonds described above.
Schedule K, Part II, Line 12 BOND ISSUES COLUMN B	Relates to the remaining amount of undrawn bond proceeds.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 61 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 191 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 224 HOURS OF TIME ON THE CLINIC. CHILD BIRTHING CLASSES, BREASTFEEDING CLASSES AND CHILD SIBLING CLASSES WERE OFFERED TO THE COMMUNITY. THE EMPLOYEES OF WAYNE HOSPITAL HAVE SPENT 32 HOURS OF TIME ON THE CHILD BIRTHING CLASSES.
Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES	THE 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 2020.
Form 990, Part VI, Line 1a Delegate broad authority to a committee	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 stockholders	The 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 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 body	THE BOARD SHALL CONSIST OF EIGHTEEN (18) DIRECTORS ELECTED BY THE MEMBERS AS FOLLOWS: (1) TWELVE (12) DIRECTORS SHALL BE ELECTED BY THE INDIVIDUAL MEMBERS AND SIX (6) 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 SIX (6) 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 DIVING SIX (6) 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 SIX (6) 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 stockholders	THE 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 body	The Form 990 is reviewed and approved by the CFO. Due to the timing of the organizations 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 policy	The 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 and 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 official	The 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 2021.
Form 990, Part VI, Line 19 Required documents available to the public	The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	- Total Revenue: 55017, Related or Exempt Function Revenue: 55017, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	Agency Employees - Total Expense: 8827265, Program Service Expense: 8407239, Management and General Expenses: 420026, Fundraising Expenses: ; Data Processing - Total Expense: 271896, Program Service Expense: 198307, Management and General Expenses: 73589, Fundraising Expenses: ; Consulting - Total Expense: 3293886, Program Service Expense: 3068367, Management and General Expenses: 225519, Fundraising Expenses: ; Collection Fees - Total Expense: 906856, Program Service Expense: , Management and General Expenses: 906856, Fundraising Expenses: ; Purchased Services - Total Expense: 1129886, Program Service Expense: 3791, Management and General Expenses: 1126095, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	CHANGE IN VALUE OF INTEREST RATE SWAP - 866880; CHANGE IN VALUE IN RELATED ENTITIES - 2307;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	WAYNE HOSPITAL COMPANY PROFESSIONAL SERVICES LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	835 SWEITZER STREET	AddressLine1Txt
City	GREENVILLE	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45331	ZIPCd

Field	Value	IRS element (for citing)
EIN	270581440	EIN
Primary Activities	PROFESSIONAL MEDICAL SERVICES	PrimaryActivitiesTxt
Legal Domicile State	OH	LegalDomicileStateCd
Total Income	-$2,079,745	TotalIncomeAmt
End Of Year Assets	$595,908	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	WAYNE HEALTHCARE	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	THE WAYNE HOSPITAL FOUNDATION INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	835 SWEITZER STREET	AddressLine1Txt
City	GREENVILLE	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45331	ZIPCd

Field	Value	IRS element (for citing)
EIN	260380696	EIN
Primary Activities	FUNDRAISING	PrimaryActivitiesTxt
Legal Domicile State	OH	LegalDomicileStateCd
Exempt Code Section	501(c)(3)	ExemptCodeSectionTxt
Public Charity Status	Type I	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	WAYNE HEALTHCARE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Controlled Organization	Yes (true)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd