WAYNE HOSPITAL COMPANY: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: WAYNE HOSPITAL COMPANY (EIN 34-4428598)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-09-16
IRS object ID: 202102599349300120
Schema version: 2020v4.0
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	2021-09-16T11:00:33-05:00	ReturnTs
Tax Period End	2020-12-31	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	155 West Nationwide Blvd Suite 500	AddressLine1Txt
City	Columbus	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	432152570	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-01-01	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	Jennifer Williams	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2021-09-16	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	6144690001	PhoneNum

Field	Value	IRS element (for citing)
Tax	2020	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	Wayne Deschambeau 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	$77,033,745	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	16	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	616	TotalEmployeeCnt
Total Volunteers	68	TotalVolunteersCnt
Total Gross UBI	$172,741	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$95,638	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$28,201	PYContributionsGrantsAmt
CY Contributions Grants	$10,867,308	CYContributionsGrantsAmt
PY Program Service Revenue	$66,115,391	PYProgramServiceRevenueAmt
CY Program Service Revenue	$59,657,912	CYProgramServiceRevenueAmt
PY Investment Income	$6,495,267	PYInvestmentIncomeAmt
CY Investment Income	$3,722,687	CYInvestmentIncomeAmt
PY Other Revenue	$492,178	PYOtherRevenueAmt
CY Other Revenue	$561,205	CYOtherRevenueAmt
PY Total Revenue	$73,131,037	PYTotalRevenueAmt
CY Total Revenue	$74,809,112	CYTotalRevenueAmt
PY Grants And Similar Paid	$142,855	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$122,465	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$34,262,895	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$33,040,283	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$32,795,059	PYOtherExpensesAmt
CY Other Expenses	$34,441,008	CYOtherExpensesAmt
PY Total Expenses	$67,200,809	PYTotalExpensesAmt
CY Total Expenses	$67,603,756	CYTotalExpensesAmt
PY Revenues Less Expenses	$5,930,228	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$7,205,356	CYRevenuesLessExpensesAmt
Total Assets BOY	$186,619,457	TotalAssetsBOYAmt
Total Assets EOY	$202,344,337	TotalAssetsEOYAmt
Total Liabilities BOY	$65,835,889	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$71,438,131	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$120,783,568	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$130,906,206	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	$53,664,536	ExpenseAmt
Grant	$122,465	GrantAmt
Revenue	$60,037,986	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 1,623 ADMISSIONS AND 69,452 OUTPATIENT VISITS IN 2020. 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	$262,783	ExpenseAmt
Revenue	$350	RevenueAmt
Desc	WAYNE HOSPITAL HAS MANY ADDITIONAL PROGRAMS. ADDITIONAL PROGRAMS INCLUDE THE COUNTY AND CORPORATE HEALTH FAIRS IN WHICH EMPLOYEES FROM THE HOSPITAL PROVIDED 182 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 2020, 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	$53,927,319	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	Yes (true)	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	62	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	616	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	16	GoverningBodyVotingMembersCnt
Independent Voting Member	15	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 (28 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
DAN WATREN
BOARD MEMBER(PART YEAR)/SEC/TREASURER(PART YEAR)	1.0	Yes (X)	Yes (X)	$0	$0	$0
ERIC EVERMAN
VICE CHAIR (PART YEAR)/CHAIR (PART YEAR)	1.0	Yes (X)	Yes (X)	$0	$0	$0
JOHN DUTRO MD
CHAIR (PART YEAR)/PAST CHAIR (PART YEAR)/SURGEON	39.0	Yes (X)	Yes (X)	$178,134	$0	$13,018	1.0
TODD DURHAM
SEC/TREASURER (PART YEAR)/VICE CHAIR (PART YEAR)	1.0	Yes (X)	Yes (X)	$0	$0	$0
TRAVIS FLIEHMAN
PAST CHAIR (PART YEAR)/BOARD MEMBER (PART YEAR)	1.0	Yes (X)	Yes (X)	$0	$0	$0	1.0
ANNA HATIC DO
BOARD MEMBER	1.0	Yes (X)		$0	$0	$0
CAROLINE SCHMIDT
BOARD MEMBER	1.0	Yes (X)		$0	$0	$0
DON MILLER
BOARD MEMBER	1.0	Yes (X)		$0	$0	$0
GEOFF WALKER
BOARD MEMBER	1.0	Yes (X)		$0	$0	$0
JANELLE BRINKSNEADER
BOARD MEMBER (PART YEAR)	1.0	Yes (X)		$0	$0	$0
JOHN WARNER
BOARD MEMBER	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
MIKE GRAY
BOARD MEMBER (PART YEAR)	1.0	Yes (X)		$0	$0	$0
SCOTT SHELTON
BOARD MEMBER (PART YEAR)	1.0	Yes (X)		$0	$0	$0
SUSAN SHIELDS
BOARD MEMBER	1.0	Yes (X)		$0	$0	$0
TIM SNIDER
BOARD MEMBER	1.0	Yes (X)		$0	$0	$0
JENNIFER WILLIAMS
CFO	39.0		Yes (X)	$199,959	$0	$27,558	1.0
WAYNE DESCHAMBEAU
CEO	39.0		Yes (X)	$390,135	$0	$30,546	1.0
JEFFREY SUBLER
VP OF SUPPORT SERVICES	40.0			$158,280	$0	$26,876		Yes (X)
KIMBERLEE FREEMAN
VP OF PATIENT CARE/CNO	40.0			$197,157	$0	$28,051		Yes (X)
PEGGY SCHULTZ
VP HUMAN RESOURCES	40.0			$169,496	$0	$15,146		Yes (X)
SHELTON MONGER
CIO	40.0			$177,174	$0	$6,419		Yes (X)
ALISHA REISS
SURGEON	40.0			$424,285	$0	$30,577			Yes (X)
KARA SCHULTZ
SURGEON	40.0			$358,394	$0	$8,832			Yes (X)
PATRICK KARR
OB/GYN	40.0			$449,406	$0	$30,595			Yes (X)
PETER LACHIEWICZ
OB/GYN	40.0			$448,312	$0	$20,658			Yes (X)
STEPHANIE BUCHANAN
SURGEON	40.0			$404,650	$0	$20,641			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,555,382	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$258,917	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	23	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	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	$2,031,723
HOSPITAL CARE GROUP PC
6435 W JEFFERSON BLVD	FORT WAYNE	IN	46804	HOSPITALISTS	$1,613,482	PMB 109
KETTERING ANESTHESIA ASSOC
3500 PENTAGON BLVD SUITE 200	BEAVERCREEK	OH	45431	ANESTHESIA SERVICES	$1,585,550
LABORATORY CORP OF AMERICA
11751 INTERCHANGE DR	LOUISVILLE	KY	40229	LAB MANAGEMENT	$735,114
SODEXO INC & AFFILIATES
PO BOX 360170	PITTSBURGH	PA	152516170	DIETARY MANAGEMENT	$627,736

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	26	CntrctRcvdGreaterThan100KCnt
Related Organizations	$14,039	RelatedOrganizationsAmt
Government Grants	$10,841,269	GovernmentGrantsAmt
All Other Contributions	$12,000	AllOtherContributionsAmt
Total Contributions	$10,867,308	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT SERVICE REVENUE	Desc
Business	621110	BusinessCd
Total Revenue Column	$59,657,912	TotalRevenueColumnAmt
Related Or Exempt Func Income	$59,657,912	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	$59,657,912	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,265,416	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$172,741	UnrelatedBusinessRevenueAmt
Exclusion	$2,092,675	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$347,982	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$389,546	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$41,564	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$41,564	TotalRevenueColumnAmt
Exclusion	-$41,564	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$3,291,958	SecuritiesAmt
Other	$400	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,831,298	SecuritiesAmt
Other	$3,789	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,460,660	SecuritiesAmt
Other	-$3,389	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,457,271	TotalRevenueColumnAmt
Exclusion	$1,457,271	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
FOOD SALES	722210	$222,345	$222,345
HOUSEKEEPING	812900	$10,346		$10,346
REBATE REVENUE	900099	$253,939		$253,939

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$116,139	TotalRevenueColumnAmt
Related Or Exempt Func Income	$116,139	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$602,769	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$74,809,112	TotalRevenueColumnAmt
Related Or Exempt Func Income	$60,038,336	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$172,741	UnrelatedBusinessRevenueAmt
Exclusion	$3,730,727	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	$122,465	TotalAmt
Program Services	$122,465	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,617,949	TotalAmt
Program Services	$191,152	ProgramServicesAmt
Management And General	$1,426,797	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$21,882,393	TotalAmt
Program Services	$19,707,188	ProgramServicesAmt
Management And General	$2,175,205	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$671,350	TotalAmt
Program Services	$604,615	ProgramServicesAmt
Management And General	$66,735	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$7,117,778	TotalAmt
Program Services	$6,410,240	ProgramServicesAmt
Management And General	$707,538	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,750,813	TotalAmt
Program Services	$1,482,458	ProgramServicesAmt
Management And General	$268,355	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$187,475	TotalAmt
Management And General	$187,475	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$52,000	TotalAmt
Management And General	$52,000	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$291,942	TotalAmt
Management And General	$291,942	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$13,936,999	TotalAmt
Program Services	$11,684,066	ProgramServicesAmt
Management And General	$2,252,933	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$374,195	TotalAmt
Program Services	$322,736	ProgramServicesAmt
Management And General	$51,459	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$75,363	TotalAmt
Program Services	$51,213	ProgramServicesAmt
Management And General	$24,150	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$494,245	TotalAmt
Program Services	$170,935	ProgramServicesAmt
Management And General	$323,310	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,244,731	TotalAmt
Program Services	$1,030,485	ProgramServicesAmt
Management And General	$214,246	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$26,957	TotalAmt
Program Services	$16,889	ProgramServicesAmt
Management And General	$10,068	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$131,809	TotalAmt
Program Services	$123,665	ProgramServicesAmt
Management And General	$8,144	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,187,054	TotalAmt
Program Services	$462,951	ProgramServicesAmt
Management And General	$724,103	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$5,038,967	TotalAmt
Program Services	$1,783,794	ProgramServicesAmt
Management And General	$3,255,173	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$488,243	TotalAmt
Program Services	$283,071	ProgramServicesAmt
Management And General	$205,172	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$7,786,415	$7,778,503	$7,912
MAINTENANCE AGREEMENTS	$1,636,634	$968,316	$668,318
DIETARY	$348,520	$316,652	$31,868

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,139,459	TotalAmt
Program Services	$415,925	ProgramServicesAmt
Management And General	$723,534	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$67,603,756	TotalAmt
Program Services	$53,927,319	ProgramServicesAmt
Management And General	$13,676,437	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$6,127,013	BOYAmt
EOY	$5,859,702	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$20,331,981	BOYAmt
EOY	$23,362,539	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$6,992,162	BOYAmt
EOY	$7,530,834	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	$205,064	BOYAmt
EOY	$80,804	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,478,448	BOYAmt
EOY	$1,735,390	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$925,418	BOYAmt
EOY	$975,544	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$156,273,584	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$80,008,262	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$48,270,240	BOYAmt
EOY	$76,265,322	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$57,455,045	BOYAmt
EOY	$63,257,025	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$7,953,613	BOYAmt
EOY	$9,234,338	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$36,880,473	BOYAmt
EOY	$14,042,839	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$186,619,457	BOYAmt
EOY	$202,344,337	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$10,191,011	BOYAmt
EOY	$8,802,023	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$51,672,646	BOYAmt
EOY	$59,007,296	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	$289,885	BOYAmt
EOY	$221,695	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,682,347	BOYAmt
EOY	$3,407,117	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$65,835,889	BOYAmt
EOY	$71,438,131	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	$120,707,286	BOYAmt
EOY	$130,786,562	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$76,282	BOYAmt
EOY	$119,644	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$120,783,568	BOYAmt
EOY	$130,906,206	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$186,619,457	BOYAmt
EOY	$202,344,337	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$7,205,356	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$4,306,450	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$1,389,168	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	$6,275	OtherActivitiesAmt
Total Lobbying Expenditures	$6,275	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, $6,275 WAS SPENT ON LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

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	$72,382,583	OtherCostOrOtherBasisAmt
Depreciation	$49,616,555	DepreciationAmt
Book Value	$22,766,028	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,952,581	OtherCostOrOtherBasisAmt
Depreciation	$2,281,140	DepreciationAmt
Book Value	$671,441	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$37,030,625	OtherCostOrOtherBasisAmt
Depreciation	$28,110,567	DepreciationAmt
Book Value	$8,920,058	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$41,780,390	OtherCostOrOtherBasisAmt
Book Value	$41,780,390	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$76,265,322	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
INSURANCE RECOVERY RECEIVABLE	$303,287
ACCOUNTS RECEIVABLE- OTHER	$19,211
ACCRUED INTEREST RECEIVABLE	$65,403
HOSPITALIST INCOME GUARANTEE - CURRENT PORTION
TRUSTEE HELD ASSETS	$13,654,938

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$14,042,839	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
INTEREST RATE SWAP LIABILITY	$3,027,117
ESTIMATED THIRD PARTY SETTLEMENTS	$380,000
HOSPITALIST INCOME GUARANTEE - CURRENT PORTION
DUE TO/FROM CARE ASSURANCE

Field	Value	IRS element (for citing)
Total Liability	$3,407,117	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$78,546,569	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$4,306,450	NetUnrealizedGainsInvstAmt
Other Revenue	-$640,558	OtherRevenueAmt
Revenue Not Reported	$3,665,892	RevenueNotReportedAmt
Revenue Subtotal	$74,880,677	RevenueSubtotalAmt
Investment Expenses Not Incld	$291,942	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	-$363,507	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$71,565	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$74,809,112	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$68,423,931	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$1,112,117	OtherExpensesIncludedAmt
Expenses Not Reported	$1,112,117	ExpensesNotReportedAmt
Expenses Subtotal	$67,311,814	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$291,942	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$291,942	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$67,603,756	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, 2019. 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, 2020 and 2019, 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 - 10789 TRANSFER TO AFFILIATE - -651347
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements	RENTAL EXPENSES INCLUDED IN REVENUE - -389546 CONTRIBUTIONS NETTED WITH EXPENSES - 26039
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990	RENTAL EXPENSES INCLUDED IN REVENUE - 389546 CHANGE IN VALUE OF INTEREST RATE SWAP - 748610 CONTRIBUTIONS NETTED WITH EXPENSES - -26039

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	$613,850	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$613,850	NetCommunityBenefitExpnsAmt
Total Expense	0.0091	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,146,322	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,540,984	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,605,338	NetCommunityBenefitExpnsAmt
Total Expense	0.1125	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$794,452	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$794,452	NetCommunityBenefitExpnsAmt
Total Expense	0.0118	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	$14,554,624	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,540,984	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,013,640	NetCommunityBenefitExpnsAmt
Total Expense	0.1333	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$51,562	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$350	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$51,212	NetCommunityBenefitExpnsAmt
Total Expense	0.0008	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	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)
Total Community Benefit Expns	$100,770	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$100,770	NetCommunityBenefitExpnsAmt
Total Expense	0.0015	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$152,332	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$350	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$151,982	NetCommunityBenefitExpnsAmt
Total Expense	0.0022	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$14,706,956	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,541,334	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,165,622	NetCommunityBenefitExpnsAmt
Total Expense	0.1356	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	10	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$100,450	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$100,450	NetCommunityBenefitExpnsAmt
Total Expense	0.0015	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)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$5,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,000	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	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	12	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$110,450	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$110,450	NetCommunityBenefitExpnsAmt
Total Expense	0.0016	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	$20,130,135	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$14,855,974	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$5,274,161	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	18	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
Own Website URL	https://www.waynehealthcare.org	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.waynehealthcare.org/our-community/community-health-needs-assessment-chna-/	StrategyWebsiteURLTxt
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 following organizations and other groups consulted with Wayne HealthCare while conducting its most recent CHNA: - Greater Dayton Area Hospital Association - The Southwest District of the Association of Ohio Health Commissioners - Ohio Department of Health - Center for Disease Control and Prevention - Ohio Department of Job and Family Services This effort included: 42 community meetings that attracted 440 (unduplicated) participants; 715 Individual Consumer Surveys (includes 223 Mobile Surveys); 96 Agency Surveys; 74 Latino Consumer Surveys; 39 Surveys from refugees from Rwanda; 29 Health Department Surveys; as well as analysis of secondary data from the local and state level. The study addresses secondary data for maternal and infant health, clinical and preventive services, hospital data, and leading causes of death. Secondary data sources included: - AIDSvu - https://aidsvu.org/ - American Community Survey (5-year estimate 2012-2016) - Business Analyst, Delorme map data, ESRI, U.S. Census provided by RWJF 2018 County Health Rankings - Cancer Incidence: Ohio Department of Health, Ohio Cancer Incidence Surveillance System, 2014- 2015 - Centers for Disease Control and Prevention (CDC), Behavioral Risk Factor Surveillance System - Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Division of Population Health. 500 Cities Project Data 2016 - Centers for Disease Control and Prevention, National Center for Health Statistics. CDC WONDER Online Database, Underlying Causes of Death and Multiple Causes of Death - Centers for Disease Control and Prevention's Division of HIV/AIDS Prevention - Centers for Disease Control and Prevention's national HIV surveillance program - Comprehensive Housing Affordability Strategy (CHAS) data - County Health Rankings 2018 - American Community Survey, 5-year estimates - County Health Rankings 2018 - Area Health Resource File/American Medical Association - County Health Rankings 2018 - Area Health Resource File/National Provider Identification File - County Health Rankings 2018 - Behavioral Risk Factor Surveillance System - County Health Rankings 2018 - Bureau of Labor Statistics - County Health Rankings 2018 - Centers for Disease Control and Prevention Diabetes Interactive Atlas - County Health Rankings 2018 - National Highway Traffic Safety Administration, Fatality Analysis Reporting System - County Health Rankings 2018 - National Center for Education Statistics - County Health Rankings 2018 - National Center for Health Statistics - County Health Rankings 2018 - National Center for HIV/AIDS, Viral Hepatitis, STD, and TB prevention - County Health Rankings 2018 - Small Area Income and Poverty Estimates - County Health Rankings 2018 - U.S. Census Bureau's Small Area Health Insurance - Dartmouth Atlas of Healthcare. Accessed on 2/6/18 at www.countyhealthrankings.org/explore-health-rankings/rankings-data-documentation - Data USA (Cincinnati) - Access to Care - ED Facts provided by RWJF 2018 County Health Rankings - Environmental Protection Agency. Air Quality System Monitoring Data. State Air Monitoring Data. Annual PM 2.5 Level (Monitor only). Accessed from Environmental Public Health Tracking Network: https://ephtracking.cdc.gov/ accessed on 03/01/2018 - Environmental Public Health Tracking Network - Federal Bureau of Investigation (FBI), Uniform Crime Reporting (UCR), Crime in the United States. Available at: https://crime-data-explorer.fr.cloud.gov/ - Feeding America, Map the Meal Gap, Accessed March 9, 2018 - Greater Cincinnati Community Health Status Survey - www.governing.com/gov-data/health/county-suicide-death-rates-map.html - Indiana State Health Department - Kentucky Cancer Registry - Kentucky State Health Department - http://kentuckyhealthfacts.org/ - Measure of America - National Center for Health Statistics - https://data.cdc.gov/ - National Center for Health Statistics - Mortality Files - National Center for Health Statistics - Natality files - National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention - Northern Kentucky Health District - Ohio Department of Health, Death Certificates - Ohio Department of Health, HIV/AIDS Surveillance Program. Data reported through 6/30/17 - Ohio Department of Health, STD Surveillance Program. Data reported through 5/7/2017 - Ohio Department of Health: Center for Public Health Statistics and Informantics. Ohio Public Health Information Warehouse - Ohio Emergency Medical Services; Naloxone Administration by Ohio EMS Providers, accessed at https://www.ems.ohio.gov/index.aspx#gsc.tab=0 - Population: Bridged-Race County Population data from National Center for Health Statistics (NCHS), Ohio Department of Health, 2014-2015 - PreventionFIRST! Student Drug Use Survey, through 2017 - Safe Drinking Water Information System - U.S. Census Bureau, 2012-2016 American Community Survey 5-Year Estimates - U.S. Census Bureau, County Business Patterns - U.S. Census Population Estimates - Uniform Crime Reporting - FBI - USDA Food Environment Atlas To ensure broad representation but also inclusion of vulnerable populations, the CHNA Team and its partners did the following: - Marketing the community meetings through hospitals, health departments, and community-based nonprofit organizations with follow-up email and phone calls to nonprofit agencies that had not been engaged in past CHNA meetings. - Addressed two meetings of grantees for Interact for Health's Thriving Community initiative to publicize the meetings and share the link to the online survey. - Solicited input in smaller focus group settings for people who were African-American; Latino; elderly; identifying as belonging within the LBGTQ+ community; or members of Cincinnati's Creating Healthy Communities initiative - and asked them to share the survey link with friends, family, and colleagues. - Engaged native speakers who were health and outreach workers to conduct one-on-one surveys with Latinos and refugees from the conflict in Rwanda. - Sent college student interns to community events and festivals, which attracted the general public as well as those which targeted specific populations, such as Cincy Cinco, Asian Food Fest, and Juneteenth (among others) - they conducted the surveys on mobile tablets with drop-down menus. - People Working Cooperatively also administered mobile surveys in low-income homes, for elderly and disabled residents, where their nonprofit was making repairs and/or accessibility modifications. - Medical offices shared surveys with patients who were minorities or receiving substance abuse treatment.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - LIST OF ALL HOSPITAL FACILITIES WITH WHICH WE COLLABORATED:. The Christ Hospital Health Network Cincinnati Children's Hospital Medical Center Clinton Memorial Hospital Highpoint Health Kettering Health Network Fort Hamilton Hospital Grandview Medical Center Greene Memorial Hospital Kettering Behavioral Medicine Center Kettering Medical Center Soin Medical Center Southview Medical Center Sycamore Medical Center Lindner Center of HOPE McCullough Hyde Memorial Hospital Mercy Health \| Cincinnati Region Mercy Health - Anderson Hospital Mercy Health - Clermont Hospital Mercy Health - Fairfield Hospital Mercy Health - West Hospital The Jewish Hospital - Mercy Health Mercy Health \| Springfield Region Mercy Health - Urbana Hospital Springfield Regional Medical Center Premier Health Atrium Medical Center Miami Valley Hospital Miami Valley Hospital North Miami Valley Hospital South Upper Valley Medical Center TriHealth Bethesda Butler Hospital Bethesda North Hospital Good Samaritan Hospital TriHealth Evendale Hospital UC Health Daniel Drake Center for Post-Acute Care University of Cincinnati Medical Center West Chester Hospital Wayne HealthCare Wilson Health
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - WAYNE HOSPITAL COMPANY. - BRETHERN RETIREMENT COMMUNTY - COUNCIL ON RURAL SERVICES - DARKE COUNTY - DARKE COUNTY CHAMBER OF COMMERCE - DARKE COUNTY COMMISSONER'S OFFICE - DARKE COUNTY DEPARTMENT OF JOB AND FAMILY SERVICES - DARKE COUNTY DEPARTMENT OF JOB AND FAMILY SERVICES - DARKE COUNTY HEALTH DEPARTMENT - DARKE COUNTY HEALTH DEPARTMENT - DARKE COUNTY HEALTH DEPARTMENT - DARKE COUNTY PARK DISTRICT - DARKE COUNTY SCHOOLS - DARKE COUNTY UNITED WAY - FAMILY HEALTH - GRACE RESURRECTION COMMUNITY CENTER - GREATER DAYTON AREA HOSPITAL ASSOCIATION - THE HEALTH COLLABORATIVE - THE SOUTHWEST DISTRICT OF THE ASSOCIATION OF OHIO HEALTH COMMISSIONERS - TRI-COUNTY BOARD OF RECOVERY AND MENTAL SERVICES - TRI-COUNTY BOARD OF RECOVERY AND MENTAL SERVICES
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - WAYNE HOSPITAL COMPANY. Wayne HealthCare partnered with the Greater Dayton Area Hospital Association, the Southwest District of the Association of Ohio Health Commissioners, Ohio Department of Health, Darke County Health Department, Tri-county Board of Mental Health, Job & Family Services, the Darke County Chamber of Commerce, and Family Health to prepare the 2019-2021 Community Health Needs Assessment (CHNA) with Gwen Finegan serving as the lead consultant. Her role involved responsibility for the following activities: Day-to-day management of operations; Identifying and vetting data resources; Liaison with THC and GDAHA; Regular reporting to THC; Liaison with community organizations; Liaison with Southwest Association of Ohio Health Commissioners; Process design and implementation (including but not limited to timeline creation; creation of materials; creation of survey questions; meeting design; and overall approach and methodology); Quality control and oversight; Supervision of subcontractors; Support for hospital and public health representatives (including presentation at meetings, webinar training, communication by phone and email, facilitation of specific requests, and sharing best practice resources); Selection of data and creation of tables for mapping; Creation of regional data tables; Research for causes of death; Designing and formatting final report; Writing final report A community health needs assessment engages community members and partners to collect and analyze health-related data from many sources. The 2019-21 Wayne Healthcare Implementation Strategy focuses on the health priorities discovered during the assessment process that were identified as the most serious threats to the health of the Darke County community. Using the data gathered during the CHNA, three health priorities were identified for the service area: chronic disease prevention & health education/promotion; access to care; and mental health. In support of the 2019-21 Community Health Needs Assessment and ongoing community benefit initiatives, Wayne HealthCare will implement the following strategies to impact and measure community health improvement. Chronic Disease Prevention & Health Education/Promotion Implementation Strategies Goal: Improve opportunities for chronic disease prevention by supporting education and programming that focuses on risk factor management. Objective 1: By December 2021, increase opportunities for health education/promotion and prevention programs outside of the traditional healthcare setting. Activity 1: Inventory existing partnerships with organizations that do not directly provide healthcare services. Activity 2: Partner with local businesses, human service organizations, libraries, and other entities that may not traditionally offer health education and prevention programs to meet people where they are by going to them with prevention-focused programming and educational opportunities. Activity 3: Increase marketing of behavior change and risk factor management programs and availability of health education activities, such as the Healthy Living Series, Cardiopulmonary rehabilitation, and clinical exercise program, to organizations in the community. Objective 2: By December 2021, increase participation in primary and secondary prevention programs and activities. Activity 1: Increase participation in the Healthy Living Series Program (Prevent T2), which meets the guidelines for the National Diabetes Prevention Program and is approved by the Centers for Medicare and Medicaid Services. Strategy 1: Provide enrollment and retention support for the National Diabetes Prevention Program through a grant from the Ohio Department of Health (ODH). The grant will cover the cost to participate in the program for those who meet grant requirements. Strategy 2: Increase awareness of the program by using the new wellness digital platform to educate individuals in the community the lifestyle skills the program teaches. Strategy 3: Partner with providers and community organizations to inform individuals in the community that Medicare will cover the cost of the program when they meet requirements to participate. Strategy 4: Expand grant eligibility standards to reach more low-income participants. Activity 2: Increase participation in primary and secondary prevention programs in the Lifestyle Enhancement Center. Strategy 1: Expand opportunities for community to participate in clinical exercise program, with a renewed focus on weight management. Strategy 2: Improve marketing aimed at the general community and providers regarding opportunities for cardiopulmonary rehabilitation. Strategy 3: Increase retention rate of patients transitioning to maintenance phase of cardiopulmonary rehabilitation. Activity 3: Expand availability of cancer-focused primary and secondary prevention programs. Strategy 1: Initiate Survivor's Strength clinical exercise secondary prevention program. Strategy 2: Expand marketing of tobacco cessation programs currently available to the public in the Lifestyle Enhancement Center. Activity 4: Implement wellness portal to increase access to information on age-appropriate preventive screening, health education materials, and promote opportunities for engagement in primary and secondary prevention. Priority: Mental Health Goal: Improve opportunities for geriatric behavioral health management and support through patient screening and community education opportunities. Objective 1: By December 2021, implement geriatric depression and geriatric anxiety screenings on all patients to the inpatient Senior Behavioral Health unit. Activity 1: Implement Geriatric Depression Scale screening on all patients admitted to the Senior Behavioral Health unit completed at the time of admission and the time of discharge. Activity 2: Implement Geriatric Anxiety Scale screening on all patients admitted to the Senior Behavioral Health unit completed at the time of admission and the time of discharge. Objective 2: By December 2021, increase community education programming based on the data gathered through the geriatric screening tools. Activity 1: Analyze data geriatric anxiety and depression screening results on patients admitted to the Senior Behavioral Health unit. Activity 2: Increase the number of community partners, skilled facilities, and other geriatric health and wellness providers reached through outreach meetings, community activities, and other networking events, to promote and share the findings of the data collected. Activity 3: Actively promote the online mental health screening tool provided by the Tri-County Board of Recovery and Mental Health Services during community outreach events. Activity 4: Partner with more organization to provide information on geriatric mental health and wellness at community events and health fairs. Objective 3: By December 2021, expand education opportunities among staff and volunteers for identifying mental health issues. Activity 1: Expand opportunities for education on suicidal risk assessments and risk for self-harm assessment for all hospital personnel. Activity 2: Improve competencies for nursing personnel regarding assessment of the psychiatric mental health patient. Priority: Access to Care Goal: Improve access to clinical care in Darke County. Objective 1: By December 2021, leverage Wayne HealthCare Professional Services LLC to increase primary care access in Darke County. Activity 1: Continually assess needs and meet identified needs with appropriate service lines and personnel. Activity 2: Increase primary care opportunities within Wayne HealthCare Professional Services LLC. Activity 3: Increase marketing of current primary care providers and Walk-in Care. Objective 2: By December 2021, streamline processes to increase reach of OB/GYN services, with a focus on engagement in prenatal care. Activity 1: Market availability of OB/GYN services. Activity 2: Increase health education regarding prenatal care, targeting vulnerable populations For more information on how Wayne HealthCare is addressing health priorities in our community, visit https://www.waynehealthcare.org/documents/content/Implementation_Strategy-2019_2021_Final.pdf

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 CALCUATE THE AMOUNTS REPORTED IN THE TABLE FOR LINE 7, A COST-TO-CHARGE RATIO WAS USED. THIS COST-TO-CHARGE RATIO WAS DERVIED 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 $2,500 TO EDISON COMMUNITY STATE COLLEGE FOUNDATION TO SUPPORT THE NURSING STUDENTS IN THE PROGRAM TO EARN AN RN DEGREE $3,500 TO DARKE COUNTY WELLNESS CHALLENGE TO PROMOTE COMMUNITY HEALTH THROUGHTOUT A MULTITUDE OF RUNNING/WALKING EVENTS IN DARKE COUNTY $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 $4,500 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 $1,100 TO BIG BROTHERS BIG SISTERS OF SHELBY AND DARKE COUNTY TO HELP SPONSOR FAMILY ACTIVITIES $3,150 TO DARKE COUNTY UNITED WAY TO HELP ASSESS AND ADDRESS HEALTH AND HUMAN SERVICES NEEDS IN OUR COMMUNITY $5,000 TO COALITION FOR HEALTHY DARKE COUNTY TO HELP SUPPORT THE CREATION OF A HEALTHY, VIBRANT, SAFE AND SECURE 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 51,100. APPROXIMATELY 12.1% OF THE COUNTY INCOME LEVEL IS UNDER THE FEDERAL POVERTY GUIDELINES AND 27.34% OF THE REVENUES FOR THE HOSPITAL WERE MEDICAID PATIENTS IN 2020. THE COUNTY UNEMPLOYMENT RATE IN 2020 WAS 4.2%. 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 (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
CITY OF GREENVILLE
100 PUBLIC SQUARE	GREENVILLE	OH	45331	346400593	CITY OF GREENVILLE	$75,000	PROGRAM SUPPORT
BRETHREN RETIREMENT COMMUNITY
750 CHESTNUT STREET	GREENVILLE	OH	45331	344431168	501(C)3	$6,500	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	2	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 (12 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
JOHN DUTRO MD
CHAIR (PART YEAR)/PAST CHAIR (PART YEAR)/SURGEON	$168,134	$0	$10,000	$0	$0	$0	$5,502	$0	$7,516	$0	$191,152	$0	$0	$0
JENNIFER WILLIAMS
CFO	$176,284	$0	$23,675	$0	$0	$0	$6,233	$0	$21,325	$0	$227,517	$0	$0	$0
WAYNE DESCHAMBEAU
CEO	$325,061	$0	$61,074	$0	$4,000	$0	$8,630	$0	$21,916	$0	$420,681	$0	$0	$0
SHELTON MONGER
CIO	$156,322	$0	$20,852	$0	$0	$0	$5,413	$0	$1,006	$0	$183,593	$0	$0	$0
PEGGY SCHULTZ
VP HUMAN RESOURCES	$148,698	$0	$20,798	$0	$0	$0	$5,360	$0	$9,786	$0	$184,642	$0	$0	$0
KIMBERLEE FREEMAN
VP OF PATIENT CARE/CNO	$173,968	$0	$23,189	$0	$0	$0	$6,152	$0	$21,899	$0	$225,208	$0	$0	$0
JEFFREY SUBLER
VP OF SUPPORT SERVICES	$139,689	$0	$18,591	$0	$0	$0	$5,021	$0	$21,855	$0	$185,156	$0	$0	$0
PETER LACHIEWICZ
OB/GYN	$433,229	$0	$15,083	$0	$0	$0	$8,630	$0	$12,028	$0	$468,970	$0	$0	$0
PATRICK KARR
OB/GYN	$416,118	$0	$33,288	$0	$0	$0	$8,630	$0	$21,965	$0	$480,001	$0	$0	$0
STEPHANIE BUCHANAN
SURGEON	$394,650	$0	$10,000	$0	$0	$0	$8,630	$0	$12,011	$0	$425,291	$0	$0	$0
KARA SCHULTZ
SURGEON	$350,394	$0	$8,000	$0	$0	$0	$8,630	$0	$202	$0	$367,226	$0	$0	$0
ALISHA REISS
SURGEON	$421,488	$0	$2,797	$0	$0	$0	$8,630	$0	$21,947	$0	$454,862	$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	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$0	$0	$27,722,962	$1,106,272	$1,060,645	$0	$225,000	$0	$0	$16,259,377	$0	$9,071,668	false	false	false	Yes (true)
B	$1,040,000	$0	$39,414,756	$0	$0	$0	$565,661	$0	$0	$9,034,494	$24,102,135	$5,712,467	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 II, Line 3 BOND ISSUES COLUMN A	TOTAL PROCEEDS OF THE ISSUE 27,722,962, WHICH ARE TOTAL PROCEEDS OF 27,449,851 PLUS INTEREST EARNINGS OF 273,111.
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 COLUMNS A AND B	Relates to the remaining amount of undrawn bond proceeds.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part I, Line 1 COVID-19 IMPACT ON WAYNE HOSPITAL COMPANY AND ITS OPERATIONS	On March 11, 2020, the World Health Organization declared COVID-19 a pandemic. Because Wayne HealthCare ("WHC") continued to stay a clean hospital, COVID-19 patients were transferred to Premier Health ("PH") through mid-November 2020. At this time, PH reached maximum capacity and was only taking transfers for our critical patients. At that time, WHC had not reached maximum capacity and our six bed ICU Unit continued to be the hospitals primary Covid-19 Unit. The hospital continued to monitor patients, staff and positive Covid-19 cases daily to make necessary adjustments. The hospital continues to care for Covid-19 patients, with an average of two patients per day. The hospital supply chain continues to secure the PPE needs for our staff, providers, visitors, and patients. Most of our items are still on allocation with our distributor, but our allocated amounts have increased over the past few months. Although the supplies are not back to pre-Covid-19 allotments, the hospital is beginning to see the flow of supplies slowly increase. To adjust for loss of revenue, staffing changes continued in the third and fourth quarter of 2020. The hospital did experience a shortage in clinical staff. Due to high demand of clinical staff, the hospital had to contract with travel nurses at a higher rate, and into the first quarter of 2021 to cover patient care. At the end of December 2020, WHC received relief funding in the amount of $10,882,725 and Wayne Hospital Company Professional Services LLC ("LLC"), a disregarded entity of WHC for U.S. tax purposes, received relief funding of $23,437. The calculated lost revenues were determined by CY 2020 net revenue less CY 2020 budget net revenue. WHC had lost revenues of $7.3 million and the LLC had lost revenues of $637,000. The operations expense to "prevent, prepare for and treat COVID-19 patients" for WHC was $2.3 million, and the LLC was $18,300. The hospital also had capital cost totaling $1.7 million, and workforce-related expenses totaled $280,000. At the end of April 2021, the operations expense for Covid-19 related matters added an additional $1 million to the overall total expenses. The decision to become a clean Covid-19 hospital did impact our patient days in 2020. At the end of December, inpatient days were down 22% and our Emergency Room visits had a decline of 19.8%. The LLC did provide tele primary care visits and continues to offer these services for family practice needs. Surgeries did ramp back up and ended the year with 2,145 procedures. As of April 30, 2021, inpatient days were down 8.9% compared to the same data for 2019, but the Emergency Room visits continue to see a decline of 23.7% visits compared to 2019. Surgery continues to grow but is under by 12.9% compared to 2019.
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 45 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 101 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 12 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 45 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 VP 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 Wayne Deschambeau, CEO and was last undertaken in 2020.
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: 116139, Related or Exempt Function Revenue: 116139, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 5 JOHN DUTRO, SEC/TREAS/SURGEON	JOHN DUTRO IS AN OFFICER OF THE BOARD IN HIS CAPACITY AS THE SECRETARY AND TREASURER. HE IS NOT COMPENSATED FOR HIS SERVICES RENDERED TO THE BOARD AS AN OFFICER. IN ACCORDANCE WITH THE FORM 990 INSTRUCTIONS, PART IX, LINE 5 REPORTS DR. DUTRO'S COMPENSATION FOR SERVICES RENDERED AS A SURGEON OF THE ORGANIZATION.
Form 990, Part IX, Line 11g Other Fees	Agency Employees - Total Expense: 8751653, Program Service Expense: 8286759, Management and General Expenses: 464894, Fundraising Expenses: ; Data Processing - Total Expense: 247313, Program Service Expense: 174096, Management and General Expenses: 73217, Fundraising Expenses: ; Consulting - Total Expense: 3283552, Program Service Expense: 3223211, Management and General Expenses: 60341, Fundraising Expenses: ; Collection Fees - Total Expense: 814239, Program Service Expense: 0, Management and General Expenses: 814239, Fundraising Expenses: ; Purchased Services - Total Expense: 840242, Program Service Expense: 0, Management and General Expenses: 840242, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	CHANGE IN VALUE OF INTEREST RATE SWAP - -748610; CHANGE IN VALUE IN RELATED ENTITIES - 10789; TRANSFER TO AFFILIATE - -651347;

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	-$2,421,867	TotalIncomeAmt
End Of Year Assets	$587,034	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