2022-09-26T14:00:11-05:00 2021-12-31 350921680 CROWE LLP 9600 Brownsboro Road Suite 400 Louisville KY 402413902 990 2021-01-01 344428598 Wayne Hospital Company WAYN 9375481141 835 Sweitzer Street Greenville OH 45331 Jeffrey Subler President & CEO 2022-09-26 true Jennifer Williams 999009999 Rachel Spurlock P00520729 5023263996 2021 2022-09-23 18:48:47Z Wayne HealthCare Jeffrey Subler President & CEO 835 Sweitzer Street Greenville OH 45331 92908412 false X www.waynehealthcare.org X 1922 OH The mission of Wayne Hospital Company is providing quality care and promoting wellness close to home. 17 17 622 56 0 82327 10867308 2948090 59657912 72344538 3722687 12384703 561205 906216 74809112 88583547 122465 108935 0 33040283 37503870 0 0 34441008 36815581 67603756 74428386 7205356 14155161 202344337 219411439 71438131 71794410 130906206 147617029 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. false false 58877850 108935 72761681 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. 327296 2225 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) 59205146 true true false true false false false false true true false false false true true false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false true true true true false false true 65 0 true 622 true true true false false false false false false false false false false false X 17 17 false false false false true true true true true false false false true true true true true true false true true X JENNIFER WILLIAMS 9375696758 VP of Finance / CFO Greenville OH 45331 ANNA HATIC DO BOARD MEMBER(PART YEAR)/SEC/TREASURER 1.0 X X 0 0 0 DAN WATREN SEC/TREASURER(PART YEAR)/VICE CHAIR 1.0 X X 0 0 0 ERIC EVERMAN CHAIR (PART YEAR)/PAST CHAIR 1.0 1.0 X X 0 0 0 JOHN DUTRO MD PAST CHAIR (PART YEAR)/CHAIR 1.0 1.0 X X 0 0 0 TODD DURHAM VICE CHAIR (PART YEAR) 1.0 X X 0 0 0 ALEX POHLMAN BOARD MEMBER (PART YEAR) 1.0 X 0 0 0 CAROLINE SCHMIDT BOARD MEMBER 1.0 X 0 0 0 CRAIG GANGER BOARD MEMBER (PART YEAR) 1.0 X 0 0 0 DIANE EWING BOARD MEMBER (PART YEAR) 1.0 X 0 0 0 DON MILLER BOARD MEMBER(PART YEAR) 1.0 X 0 0 0 GEOFF WALKER BOARD MEMBER(PART YEAR) 1.0 X 0 0 0 JACOB BROERING BOARD MEMBER (PART YEAR) 1.0 X 0 0 0 JANELLE BRINKSNEADER BOARD MEMBER 1.0 X 0 0 0 JOHN WARNER BOARD MEMBER 1.0 X 0 0 0 KATHY HARPER BOARD MEMBER (PART YEAR) 1.0 X 0 0 0 M LYNNE HAWLEY MD BOARD MEMBER 1.0 X 0 0 0 MARY GARMAN BOARD MEMBER 1.0 X 0 0 0 SUSAN SHIELDS BOARD MEMBER 1.0 X 0 0 0 TIM SNIDER BOARD MEMBER (PART YEAR) 1.0 X 0 0 0 TONYA BREYMIER BOARD MEMBER (PART YEAR) 1.0 X 0 0 0 TRAVIS FLIEHMAN BOARD MEMBER 1.0 X 0 0 0 JEFFREY SUBLER VP OF SUPPORT SERVICES (PARTIAL YEAR)/PRESIDENT/CEO 40.0 1.0 X 216559 0 28843 JENNIFER WILLIAMS VP OF FINANCIAL SERVICES/CFO 39.0 1.0 X 233129 0 28529 WAYNE DESCHAMBEAU CEO (PART YEAR)/ADVISOR TO CEO (PART YEAR) 39.0 1.0 X 298454 0 30390 KIMBERLEE FREEMAN VP OF PATIENT CARE/CNO 40.0 X 219786 0 29017 SHELTON MONGER VP OF INFORMATION SERVICES/CIO 40.0 X 199980 0 6790 ALISHA REISS SURGEON 40.0 X 469158 0 30421 KARA SCHULTZ SURGEON 40.0 X 388697 0 8982 PATRICK KARR OB/GYN 40.0 X 468239 0 30975 PETER LACHIEWICZ OB/GYN 40.0 X 459798 0 20793 STEPHANIE BUCHANAN SURGEON 40.0 X 389824 0 20776 PEGGY SCHULTZ FORMER KE - VP HUMAN RESOURCES (PARTIAL YEAR) 40.0 X 122165 0 8652 3465789 0 244168 39 true true false HORIZON HEALTH PO BOX 840839 DALLAS TX 752840839 SENIOR BEHAVIORAL HEALTH SERVICES 2049140 KETTERING ANESTHESIA ASSOC 3500 PENTAGON BLVD SUITE 200 BEAVERCREEK OH 45431 ANESTHESIA SERVICES 1650860 LABORATORY CORP OF AMERICA 11751 INTERCHANGE DR LOUISVILLE KY 40229 LAB MANAGEMENT 1548750 HOSPITAL CARE GROUP PC 6435 W JEFFERSON BLVD PMB 109 FORT WAYNE IN 46804 HOSPITALISTS 1395832 MEDICAL SOLUTIONS LLC PO BOX 850737 MINNEAPOLIS MN 554850737 AGENCY STAFFING 1277362 21 9231 2928859 10000 2948090 NET PATIENT SERVICE REVENUE 621110 72344538 72344538 0 0 0 0 72344538 2288049 2288049 356242 175080 181162 0 181162 181162 14216189 30250 4149752 33 10066437 30217 10096654 10096654 FOOD SALES 722210 305686 305686 HOUSEKEEPING 812900 10553 10553 REBATE REVENUE 900099 353798 353798 55017 55017 0 0 725054 88583547 72763906 0 12871551 X 108935 108935 1291477 0 1291477 23375721 20658840 2716881 672154 594032 78122 10275126 9080883 1194243 1889392 1582371 307021 142811 142811 47228 47228 311053 311053 14429789 11677704 2752085 0 448565 399896 48669 79959 54434 25525 594137 220076 374061 1622953 1110901 512052 20258 3992 16266 113135 92677 20458 790469 426853 363616 5429072 1992469 3436603 526504 291372 235132 MEDICAL SUPPLIES 9092627 9059199 33428 MAINTENANCE AGREEMENTS 1729765 1042659 687106 DIETARY 408125 368408 39717 1029131 439445 589686 0 74428386 59205146 15223240 0 5859702 5989178 23362539 23257573 7530834 8075522 0 0 0 0 80804 12316 1735390 1968518 975544 1106595 172559831 85310849 76265322 87248982 63257025 75478456 9234338 9506173 0 14042839 6768126 202344337 219411439 8802023 6704531 59007296 62778915 0 0 221695 150727 3407117 2160237 71438131 71794410 X 130786562 147496584 119644 120445 130906206 147617029 202344337 219411439 X 14155161 1686475 869187 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 6529 6529 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY 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. 0 0 12921 12921 0 202019 4114 29113 164099 12921 202019 202019 202019 0 0 0 0 0 202019 0.0 0.0 0.0 false false 2127405 2127405 107592024 52568124 55023900 3584822 2379283 1205539 58874789 30363442 28511347 380791 0 380791 87248982 INTEREST RATE SWAP LIABILITY 2160237 ESTIMATED THIRD PARTY SETTLEMENTS DUE TO/FROM CARE ASSURANCE 2160237 X 90119907 1686475 2307 1688782 88431125 311053 -158631 152422 88583547 73418149 -699184 -699184 74117333 311053 0 311053 74428386 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 true true X true X true X true true false true true 548713 548713 0.0074 15094653 5677850 9416803 0.1265 613853 613853 0.0082 0 0 16257219 5677850 10579369 0.1421 143825 2225 141600 0.0019 86501 86501 0.0012 0 0.0 0 0.0 0 0.0 0 0 230326 2225 228101 0.0031 0 0 16487545 5680075 10807470 0.1452 0 0.0 1 5000 5000 0.0001 9 91970 91970 0.0012 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 10 0 96970 0 96970 0.0013 true 0 0 22810571 14103319 8707252 X true true 1 1 Wayne Hospital Company 835 Sweitzer Street Greenville OH 45331 WWW.WAYNEHEALTHCARE.ORG Ohio Department of Health 1159AHR X X X Wayne Hospital Company 1 false false true X X X X X X X X X 21 true true true true X X false false true X 100.0 200.0 X X X true true X X X true X https://www.waynehealthcare.org/visitors-and-patients/financial-assistance/ X https://www.waynehealthcare.org/visitors-and-patients/financial-assistance/ X https://www.waynehealthcare.org/visitors-and-patients/financial-assistance/ X X X X X X true X false X X X X true X false false 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. 1 WAYNE HOSPITAL COMPANY PROFESSIONAL SERVICES LLC 835 SWEITZER STREET GREENVILLE OH 45331 PHYSICIAN PROFESSIONAL SERVICES ORGANIZATION 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 true CITY OF GREENVILLE 100 PUBLIC SQUARE GREENVILLE OH 45331 346400593 CITY OF GREENVILLE 75500 PROGRAM SUPPORT 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. 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. X X X false false false true false false false false false JEFFREY SUBLER VP OF SUPPORT SERVICES (PARTIAL YEAR)/PRESIDENT/CEO 197592 0 14467 0 4500 0 6758 0 22085 0 245402 0 0 0 JENNIFER WILLIAMS VP OF FINANCIAL SERVICES/CFO 206812 0 26317 0 0 0 7219 0 21310 0 261658 0 0 0 WAYNE DESCHAMBEAU CEO (PART YEAR)/ADVISOR TO CEO (PART YEAR) 236131 0 57823 0 4500 0 8780 0 21610 0 328844 0 0 0 SHELTON MONGER VP OF INFORMATION SERVICES/CIO 177959 0 22021 0 0 0 6091 0 699 0 206770 0 0 0 KIMBERLEE FREEMAN VP OF PATIENT CARE/CNO 194248 0 25538 0 0 0 6887 0 22130 0 248803 0 0 0 PETER LACHIEWICZ OB/GYN 455736 0 4062 0 0 0 8780 0 12013 0 480591 0 0 0 PATRICK KARR OB/GYN 443609 0 24630 0 0 0 8780 0 22195 0 499214 0 0 0 STEPHANIE BUCHANAN SURGEON 379824 0 10000 0 0 0 8780 0 11996 0 410600 0 0 0 KARA SCHULTZ SURGEON 369670 0 19027 0 0 0 8780 0 202 0 397679 0 0 0 ALISHA REISS SURGEON 459732 0 9426 0 0 0 8780 0 21641 0 499579 0 0 0 PEGGY SCHULTZ FORMER KE - VP HUMAN RESOURCES (PARTIAL YEAR) 122165 0 0 0 0 0 3842 0 4810 0 130817 0 0 0 Schedule J, Part I, Line 5a Compensation contingent on revenues of the organization 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. A COUNTY OF DARKE OHIO 346400361 237242AS1 2019-09-12 27449851 SEE PART VI false false false B COUNTY OF DARKE OHIO 346400361 000000000 2019-09-12 39414756 SEE PART VI false false false A 0 0 27727673 1106590 1606099 0 225000 0 0 24789984 0 0 2021 false false true true B 2152076 0 39414756 0 0 0 565661 0 0 13895663 24102135 851297 true false false true A false false true true false 0.0 0.0 0.0 false false true B false false true true false 0.0 0.0 0.0 false false true A false true false false false false false false true B false true false false true false false false true A true B true 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. 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; WAYNE HOSPITAL COMPANY PROFESSIONAL SERVICES LLC 835 SWEITZER STREET GREENVILLE OH 45331 270581440 PROFESSIONAL MEDICAL SERVICES OH -2079745 595908 WAYNE HEALTHCARE THE WAYNE HOSPITAL FOUNDATION INC 835 SWEITZER STREET GREENVILLE OH 45331 260380696 FUNDRAISING OH 501(c)(3) Type I WAYNE HEALTHCARE true false true true false false false false false false false false true true true true false true false false