WAYNE MEMORIAL COMMUNITY HEALTH CENTERS: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- WAYNE MEMORIAL COMMUNITY HEALTH CENTERS (EIN 23-2180889)
- Tax period
- 2018-07-01 to 2019-06-30
- Filed
- 2020-06-25
- IRS object ID
- 202001779349301600
- Schema version
- 2018v3.3
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-06-25T12:37:01-05:00 | ReturnTs |
| Tax Period End | 2019-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 E ST LOUIS 200/PO BOX 1190 | AddressLine1Txt |
| City | SPRINGFIELD | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 658062523 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 232180889 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WAYNE MEMORIAL COMMUNITY HEALTH CENTERS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % FREDERICK JACKSON | InCareOfNm |
| Business Name Control | WAYN | BusinessNameControlTxt |
| Phone | 5702516676 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 PARK STREET | AddressLine1Txt |
| City | HONESDALE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 18431 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | FREDERICK JACKSON | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Signature | 2020-05-19 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Krystal K Creach | PreparerPersonNm |
| PTIN | P00422601 | PTIN |
| Phone | 4178658701 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 167.68.126.162 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 43032920201775000005 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2020-06-25 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 53056B394AD20B3E44043C09DB34A60C153D8917 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 0754179D018E36E1FC32FE9048A529C5B14E6748 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | FREDERICK JACKSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 PARK STREET | AddressLine1Txt |
| City | HONESDALE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 18431 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $34,508,368 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.WMH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1981 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | MEDICAL, DENTAL AND BEHAVIORAL HEALTH SERVICES TO THE RESIDENTS OF THE WAYNE, PIKE, UPPER LACKAWANNA AND PART OF SUSQUEHANNA COUNTIES OF PENNSYLVANIA. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 348 | TotalEmployeeCnt |
| Total Volunteers | 13 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $5,502,603 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,194,611 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $29,418,768 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $31,258,693 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$7,639 | PYInvestmentIncomeAmt |
| CY Investment Income | -$44,700 | CYInvestmentIncomeAmt |
| PY Other Revenue | $8,264 | PYOtherRevenueAmt |
| CY Other Revenue | $7,756 | CYOtherRevenueAmt |
| PY Total Revenue | $34,921,996 | PYTotalRevenueAmt |
| CY Total Revenue | $34,416,360 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $20,659,856 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $21,812,928 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $9,841,054 | PYOtherExpensesAmt |
| CY Other Expenses | $10,987,226 | CYOtherExpensesAmt |
| PY Total Expenses | $30,500,910 | PYTotalExpensesAmt |
| CY Total Expenses | $32,800,154 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,421,086 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,616,206 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $13,772,198 | TotalAssetsBOYAmt |
| Total Assets EOY | $16,341,139 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,753,828 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,706,563 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $11,018,370 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $12,634,576 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION IS TO PROVIDE MEDICAL, DENTAL AND BEHAVIORAL HEALTH SERVICES TO THE RESIDENTS OF WAYNE, PIKE, UPPER LACKAWANNA AND PART OF SUSQUEHANNA COUNTIES OF PENNSYLVANIA WITH A SPECIFIC EMPHASIS ON THE UNDERSERVED, LOW INCOME AND UNINSURED. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $15,022,495 | ExpenseAmt |
| Revenue | $17,326,408 | RevenueAmt |
| Desc | WAYNE MEMORIAL COMMUNITY HEALTH CENTERS PROVIDES HIGH QUALITY PRIMARY CARE SERVICES THROUGH ITS FAMILY HEALTH CLINICS TO THE RESIDENTS IN THE COUNTIES OF WAYNE, PIKE, SOUTHERN SUSQUEHANNA AND THE CARBONDALE REGION OF UPPER LACKAWANNA COUNTY. THE FAMILY HEALTH CLINICS ARE LOCATED IN HONESDALE, LAKE COMO, WAYMART, LORDS VALLEY, FOREST CITY, HAMLIN, TAFTON AND CARBONDALE, PROVIDING OUTPATIENT PRIMARY CARE SERVICES FOR CHILDREN AND ADULTS. SEE SCHEDULE O FOR MORE INFORMATION. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,485,487 | ExpenseAmt |
| Revenue | $3,416,806 | RevenueAmt |
| Desc | WAYNE MEMORIAL COMMUNITY HEALTH CENTERS PROVIDES WOMEN'S HEALTH SERVICES THROUGH ITS WOMEN'S HEALTH CLINIC. THESE SERVICES INCLUDE OBSTETRICAL AND GYNECOLOGICAL SERVICES WITH BOARD-CERTIFIED AND BOARD-ELIGIBLE PHYSICIANS, CERTIFIED NURSE-MIDWIVES, ULTRASOUND TECHNOLOGISTS AND REGISTERED NURSES IN HONESDALE, HAMLIN, LORDS VALLEY, AND CARBONDALE. SEE SCHEDULE O FOR MORE INFORMATION. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,353,575 | ExpenseAmt |
| Revenue | $3,822,913 | RevenueAmt |
| Desc | WAYNE MEMORIAL COMMUNITY HEALTH CENTERS PROVIDES COMPREHENSIVE DENTAL CARE THROUGH ITS DENTAL CLINIC FOR CHILDREN AND ADULTS AT THE TOGETHER FOR HEALTH DENTAL CENTER IN HONESDALE AND THE PIKE DENTAL CENTER IN LORDS VALLEY. BOTH SITES ARE FULLY DIGITAL ALLOWING X-RAY IMAGES TO BE VIEWED BY THE DENTAL TEAM INSTANTLY. ADVANCED EQUIPMENT CALLED PANORAMIC RADIOLOGY PERFORMS TWO DIMENSIONAL EXAMINATIONS OF THE ENTIRE MOUTH WITH ONLY A SINGLE IMAGE. THE DENTAL PROGRAM ALSO PROVIDES DIRECT ON SITE SERVICES TO VARIOUS MEDICAL SITES, HEAD START, YMCA, AND VARIOUS SCHOOLS IN THE SERVICE AREA. SEE SCHEDULE O FOR MORE INFORMATION. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $6,660,906 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $6,692,566 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $28,522,463 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| 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 | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | 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 | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| 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 With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 64 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 348 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| 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 | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | 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 | Yes (true) | 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 | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | FREDERICK JACKSON | PersonNm |
| Phone | 5702516676 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 PARK STREET | AddressLine1Txt |
| City | HONESDALE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 18431 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| PETER RODGERS | |||||||||
| CHAIRMAN | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL CLIFFORD | |||||||||
| TREASURER | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| SUSAN GABRIELSON | |||||||||
| VICE CHAIRMAN | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ANN FOSTER | |||||||||
| BOARD MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM KERL | |||||||||
| BOARD MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| DAVID HOFF | |||||||||
| BOARD MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM SCHWEIGHOFER | |||||||||
| SECRETARY | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| STEVE TOURJE | |||||||||
| BOARD MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| WALTER SMITH | |||||||||
| BOARD MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| DR CARRIE DEMERS | |||||||||
| BOARD MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| MICHELLE WONDERS | |||||||||
| BOARD MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| PATRICIA DUNSINGER | |||||||||
| BOARD MEMBER BEG 02/19 | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| GREG CAPITOLO | |||||||||
| BOARD MEMBER BEG 02/19 | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| FREDERICK JACKSON | |||||||||
| CEO | 40.0 | 0.0 | Yes (X) | $213,707 | $0 | $32,393 | |||
| ROBERT FORTUNER | |||||||||
| CFO | 40.0 | 0.0 | Yes (X) | $95,939 | $0 | $28,690 | |||
| JOHN WEISENREIDER | |||||||||
| MEDICAL DIRECTOR END 10/18 | 40.0 | 0.0 | $192,050 | $0 | $31,326 | Yes (X) | |||
| MICHAEL CAMPBELL | |||||||||
| BEHAVIORAL DIRECTOR | 40.0 | 0.0 | $251,135 | $0 | $37,846 | Yes (X) | |||
| BRIAN BROWN | |||||||||
| DENTAL DIRECTOR | 40.0 | 0.0 | $263,427 | $0 | $38,547 | Yes (X) | |||
| JAMES CRUSE | |||||||||
| MEDICAL DIRECTOR BEG 11/18 | 40.0 | 0.0 | $212,248 | $0 | $32,397 | Yes (X) | |||
| SEAN MCVEIGH | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $334,118 | $0 | $32,746 | Yes (X) | |||
| RAYMOND RESNICK | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $655,672 | $0 | $24,728 | Yes (X) | |||
| LOUIS C D'ORO | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $362,370 | $0 | $39,046 | Yes (X) | |||
| DENISE VIOLA | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $221,920 | $0 | $32,861 | Yes (X) | |||
| THOMAS O'BRIEN | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $241,320 | $0 | $35,322 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,043,906 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $365,902 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 34 | 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 |
|---|---|---|---|---|---|
| CHARLES W GRIMM CONSTRUCTION INC | |||||
| PO BOX X | WAYMART | PA | 18472 | CONSTRUCTION | $1,334,341 |
| WEATHERBY LOCUMS INC | |||||
| PO BOX 972633 | DALLAS | TX | 753972633 | SURGICAL LOCUMS | $578,376 |
| VIRTUAL OFFICEWARE INC | |||||
| 2000 CLIFF MINE ROAD | PITTSBURGH | PA | 15275 | EHR AND PRACTICE MGM | $287,395 |
| AMERICAN COMP WEIGHT LOSS CENTER | |||||
| 719 E LANCASTER AVE | DOWNINGTOWN | PA | 19335 | SURGERY SERVICES | $263,427 |
| DANIEL LAWRENCE MURPHY | |||||
| 1520 WEST STREET | HONESDALE | PA | 18431 | SURGERY SERVICES | $229,435 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 9 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,772,128 | GovernmentGrantsAmt |
| All Other Contributions | $1,422,483 | AllOtherContributionsAmt |
| Total Contributions | $3,194,611 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621110 | $28,158,404 | $28,158,404 |
| CLINICAL CONTRACT REVENUE | 621110 | $2,186,773 | $2,186,773 |
| CAPITATION REVENUE | 900099 | $660,837 | $660,837 |
| OTHER INCOME | 900099 | $252,679 | $252,679 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $31,258,693 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,281 | TotalRevenueColumnAmt |
| Exclusion | $16,281 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $38,783 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $31,027 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $7,756 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,756 | TotalRevenueColumnAmt |
| Exclusion | $7,756 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $60,981 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$60,981 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$60,981 | TotalRevenueColumnAmt |
| Exclusion | -$60,981 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $34,416,360 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $31,258,693 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | -$36,944 | 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 | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,429,705 | TotalAmt |
| Program Services | $1,058,976 | ProgramServicesAmt |
| Management And General | $370,729 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,091,112 | TotalAmt |
| Program Services | $14,373,345 | ProgramServicesAmt |
| Management And General | $1,717,767 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $628,215 | TotalAmt |
| Program Services | $535,227 | ProgramServicesAmt |
| Management And General | $92,988 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,496,510 | TotalAmt |
| Program Services | $2,076,126 | ProgramServicesAmt |
| Management And General | $420,384 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,167,386 | TotalAmt |
| Program Services | $995,314 | ProgramServicesAmt |
| Management And General | $172,072 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $147,000 | TotalAmt |
| Management And General | $147,000 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,884 | TotalAmt |
| Management And General | $62,884 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,208 | TotalAmt |
| Management And General | $45,208 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,513,408 | TotalAmt |
| Program Services | $3,869,952 | ProgramServicesAmt |
| Management And General | $643,456 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,599 | TotalAmt |
| Program Services | $90,834 | ProgramServicesAmt |
| Management And General | $4,765 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,412,462 | TotalAmt |
| Program Services | $2,142,034 | ProgramServicesAmt |
| Management And General | $270,428 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,216,698 | TotalAmt |
| Program Services | $1,114,956 | ProgramServicesAmt |
| Management And General | $101,742 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,738 | TotalAmt |
| Program Services | $29,701 | ProgramServicesAmt |
| Management And General | $19,037 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,430 | TotalAmt |
| Program Services | $62,318 | ProgramServicesAmt |
| Management And General | $28,112 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,085 | TotalAmt |
| Management And General | $14,085 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $560,299 | TotalAmt |
| Program Services | $463,133 | ProgramServicesAmt |
| Management And General | $97,166 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $125,873 | TotalAmt |
| Program Services | $89,344 | ProgramServicesAmt |
| Management And General | $36,529 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES & DRUGS | $1,254,005 | $1,254,005 | |
| BAD DEBT | $255,661 | $255,661 | |
| LICENSES, DUES, SUBSCRIPTIONS | $86,328 | $69,172 | $17,156 |
| REPAIRS & MAINTENANCE | $58,548 | $42,365 | $16,183 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,800,154 | TotalAmt |
| Program Services | $28,522,463 | ProgramServicesAmt |
| Management And General | $4,277,691 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,381,399 | BOYAmt |
| EOY | $5,799,056 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $794,977 | BOYAmt |
| EOY | $1,326,751 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $916,653 | BOYAmt |
| EOY | $828,091 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,826,158 | BOYAmt |
| EOY | $1,878,036 | 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 | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $165,878 | BOYAmt |
| EOY | $448,155 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $7,899,669 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,498,894 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,483,644 | BOYAmt |
| EOY | $4,400,775 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $109,450 | BOYAmt |
| EOY | $65,670 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,094,039 | BOYAmt |
| EOY | $1,594,605 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,772,198 | BOYAmt |
| EOY | $16,341,139 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,440,099 | BOYAmt |
| EOY | $2,810,400 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $665,542 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $313,729 | BOYAmt |
| EOY | $230,621 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,753,828 | BOYAmt |
| EOY | $3,706,563 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,018,370 | BOYAmt |
| EOY | $12,634,576 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,018,370 | BOYAmt |
| EOY | $12,634,576 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,772,198 | BOYAmt |
| EOY | $16,341,139 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,616,206 | ReconcilationRevenueExpnssAmt |
| 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) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| 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) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| 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 | $1,250 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $1,250 | 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 | FormAndLineReferenceDesc |
| Explanation | OTHER LOBBYING ACTIVITIES: WAYNE MEMORIAL COMMUNITY HEALTH CENTERS PAYS ANNUAL MEMBERSHIP DUES TO PENNSYLVANIA ASSOCIATION OF COMMUNITY HEALTH CENTERS (PACHC). THE ORGANIZATION IS NOTIFIED EACH YEAR THAT A PORTION OF THE MEMBERSHIP DUES IS USED FOR LOBBYING ACTIVITIES. FOR THE FISCAL YEAR ENDED JUNE 30, 2019 THE PORTION OF DUES PAID REPRESENTING LOBBYING EXPENDITURES WAS $1,250. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,222 | OtherCostOrOtherBasisAmt |
| Book Value | $6,222 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,077,120 | OtherCostOrOtherBasisAmt |
| Depreciation | $33,578 | DepreciationAmt |
| Book Value | $1,043,542 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,443,627 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,051,592 | DepreciationAmt |
| Book Value | $2,392,035 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,055,908 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,399,215 | DepreciationAmt |
| Book Value | $656,693 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $316,792 | OtherCostOrOtherBasisAmt |
| Depreciation | $14,509 | DepreciationAmt |
| Book Value | $302,283 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,400,775 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM AFFILIATE | $1,059,130 |
| DUE FROM 3RD PARTY | $445,015 |
| SELF INSURANCE RESERVE | $90,000 |
| OTHER RECEIVABLES | $460 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,594,605 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO 3RD PARTY | $190,418 |
| ACCRUED SELF INSURANCE | $40,126 |
| DUE TO AFFILIATE | $77 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $230,621 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $34,252,707 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$255,661 | OtherRevenueAmt |
| Revenue Not Reported | -$255,661 | RevenueNotReportedAmt |
| Revenue Subtotal | $34,508,368 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$92,008 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$92,008 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $34,416,360 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $32,636,501 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $92,008 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $92,008 | ExpensesNotReportedAmt |
| Expenses Subtotal | $32,544,493 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $255,661 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $255,661 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $32,800,154 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART X, LINE 2 | UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. |
| SCHEDULE D, PART XI, LINE 2D | AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12: $ (255,661) BAD DEBT EXPENSE |
| SCHEDULE D, PART XI, LINE 4B | AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ (60,981) LOSS ON DISPOSAL (31,027) RENTAL EXPENSES ---------- $ (92,008) |
| SCHEDULE D, PART XII, LINE 2D | AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART XI, LINE 25: $ 60,981 LOSS ON DISPOSAL 31,027 RENTAL EXPENSES -------- $ 92,008 |
| SCHEDULE D, PART XII, LINE 4B | AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25 BUT NOT ON LINE 1: $ 255,661 BAD DEBT EXPENSE |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| 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 | false | 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 | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FREDERICK JACKSON | ||||||||||||||
| CEO | $192,612 | $0 | $15,750 | $0 | $5,345 | $0 | $12,810 | $0 | $19,583 | $0 | $246,100 | $0 | $0 | $0 |
| SEAN MCVEIGH | ||||||||||||||
| PHYSICIAN | $334,012 | $0 | $106 | $0 | $0 | $0 | $9,550 | $0 | $23,196 | $0 | $366,864 | $0 | $0 | $0 |
| RAYMOND RESNICK | ||||||||||||||
| PHYSICIAN | $555,566 | $0 | $100,106 | $0 | $0 | $0 | $16,500 | $0 | $8,228 | $0 | $680,400 | $0 | $0 | $0 |
| LOUIS C D'ORO | ||||||||||||||
| PHYSICIAN | $342,684 | $0 | $19,686 | $0 | $0 | $0 | $16,500 | $0 | $22,546 | $0 | $401,416 | $0 | $0 | $0 |
| DENISE VIOLA | ||||||||||||||
| PHYSICIAN | $212,815 | $0 | $9,105 | $0 | $0 | $0 | $13,278 | $0 | $19,583 | $0 | $254,781 | $0 | $0 | $0 |
| THOMAS O'BRIEN | ||||||||||||||
| PHYSICIAN | $220,214 | $0 | $21,106 | $0 | $0 | $0 | $14,875 | $0 | $20,447 | $0 | $276,642 | $0 | $0 | $0 |
| JOHN WEISENREIDER | ||||||||||||||
| MEDICAL DIRECTOR END 10/18 | $187,345 | $0 | $4,705 | $0 | $0 | $0 | $11,743 | $0 | $19,583 | $0 | $223,376 | $0 | $0 | $0 |
| MICHAEL CAMPBELL | ||||||||||||||
| BEHAVIORAL DIRECTOR | $226,029 | $0 | $25,106 | $0 | $0 | $0 | $15,300 | $0 | $22,546 | $0 | $288,981 | $0 | $0 | $0 |
| BRIAN BROWN | ||||||||||||||
| DENTAL DIRECTOR | $185,644 | $0 | $77,783 | $0 | $0 | $0 | $16,001 | $0 | $22,546 | $0 | $301,974 | $0 | $0 | $0 |
| JAMES CRUSE | ||||||||||||||
| MEDICAL DIRECTOR BEG 11/18 | $205,519 | $0 | $6,729 | $0 | $0 | $0 | $12,814 | $0 | $19,583 | $0 | $244,645 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART I, LINE 7 | FormAndLineReferenceDesc |
| Explanation | NON-FIXED PAYMENTS: BONUSES ARE BASED ON PRODUCTIVITY. MEDICAL PROVIDER BONUSES ARE BASED ON PATIENT ENCOUNTERS, WHILE DENTAL PROVIDER BONUSES ARE BASED ON A PERCENTAGE OF GROSS CHARGES LESS BASE SALARY. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 4A | PROGRAM SERVICE ACTIVITY #1: THE FULL RANGE OF OUTPATIENT PRIMARY CARE SERVICES PROVIDED BY THE WAYNE MEMORIAL COMMUNITY HEALTH CENTERS FAMILY CARE CLINICS FOR CHILDREN AND ADULTS INCLUDE: -EXAMS -DIAGNOSIS AND TREATMENT OF ACUTE AND CHRONIC CONDITIONS -EKG -SUTURING OF MINOR LACERATIONS -MINOR SURGERY -DIABETES AND NUTRITION COUNSELING -ADULT AND CHILDHOOD IMMUNIZATIONS -WELL-CHILD VISITS -SPORTS PHYSICALS -SCHOOL PHYSICALS -CDL EXAMS -WELL-WOMAN EXAMS -PREVENTATIVE CARE -SMOKING CESSATION THESE SERVICES ARE PROVIDED BY BOARD-CERTIFIED INTERNISTS, FAMILY MEDICINE PHYSICIANS, BOARD-CERTIFIED PEDIATRICIANS, CERTIFIED REGISTERED NURSE PRACTITIONERS AND CERTIFIED PHYSICIAN ASSISTANTS. |
| FORM 990, PART III, LINE 4B | PROGRAM SERVICE ACTIVITY #2: THE FULL RANGE OF SERVICES PROVIDED BY THE WAYNE MEMORIAL COMMUNITY HEALTH CENTERS WOMEN'S CLINIC INCLUDES: -WELL-TEEN AND WELL-WOMAN CARE -UTERINE ABLATION -URODYNAMIC TESTING -HORMONE REPLACEMENT THERAPY COUNSELING -PERIMENOPAUSAL COUNSELING -NONINVASIVE HEREDITARY CANCER TESTING -PRENATAL CARE -ULTRASOUND -PRECONCEPTION COUNSELING -PRENATAL FITNESS -CHILDBIRTH EDUCATION -LACTATION COUNSELING THE WOMEN'S HEALTH CLINIC PARTICIPATES IN STATE-FUNDED PROGRAMS SUCH AS HEALTHY BEGINNINGS PLUS AND OFFERS SERVICES TO ALL, INCLUDING THOSE WITH PRIVATE INSURANCE OR ON PUBLIC ASSISTANCE. A SLIDING SCALE IS ALSO OFFERED BASED ON INCOME. |
| FORM 990, PART III, LINE 4C | PROGRAM SERVICE ACTIVITY #3: THE FULL RANGE OF SERVICES PROVIDED BY THE WAYNE MEMORIAL COMMUNITY HEALTH CENTERS DENTAL CLINICS INCLUDE: -DENTAL EXAMS -PREVENTATIVE TREATMENT -PERIODONTAL TREATMENT -RESTORATIVE PROCEDURES -DENTURES, PARTIALS AND FIXED BRIDGES -DENTAL EDUCATION PREVENTATIVE MOBILE DENTAL SERVICES ARE OFFERED TO COMMUNITIES WITH EITHER LIMITED OR NO ACCESS TO DENTAL CARE. A PUBLIC HEALTH DENTAL HYGIENE PRACTITIONER/COMMUNITY DENTAL HEALTH COORDINATOR, A DENTAL HEALTH PROFESSIONAL WHO HAS COMPLETED A PROGRAM SPONSORED BY THE AMERICAN DENTAL ASSOCIATION, PERFORMS DENTAL SERVICES INCLUDING CLEANINGS, FLUORIDE TREATMENTS, SEALANTS AND X-RAYS FOR CHILDREN AND ADULTS WHILE VISITING AREA PHYSICIAN OFFICES, SCHOOLS AND HEAD START PROGRAMS. |
| FORM 990, PART III, LINE 4D | OTHER PROGRAM SERVICES: WAYNE MEMORIAL COMMUNITY HEALTH CENTERS PROVIDES A VARIETY OF OTHER SERVICES, INCLUDING GENERAL SURGERY, PULMONARY AND SLEEP MEDICINE, AND BEHAVIORAL HEALTH, INCLUDING MENTAL HEALTH AND COUNSELING SERVICES, AT THE BEHAVIORAL HEALTH CENTER IN HONESDALE AND PIKE COUNTY. GENERAL SURGERY SERVICES ARE PROVIDED BY A BOARD-ELIGIBLE GENERAL SURGEON AND A BOARD CERTIFIED GENERAL SURGEON/BOARD-ELIGIBLE VASCULAR SURGEON IN HONESDALE AND THE PIKE COUNTY FAMILY HEALTH CENTER. PULMONARY AND SLEEP MEDICINE ARE PROVIDED THROUGH THE SLEEP DISORDERS CENTERS. POLYSOMNOGRAMS ARE PAINLESS, NON-INVASIVE TESTS DURING WHICH HIGHLY TRAINED TECHNOLOGISTS MONITOR BREATHING, HEART RATE, BLOOD OXYGEN LEVELS, EYE MOVEMENT, MUSCLE TONE AND OTHER FACTORS THROUGHOUT ONE FULL NIGHT OF SLEEP. THE SLEEP CENTER SIMULATES A COMFORTABLE HOME ENVIRONMENT WHICH GENERALLY MAKE IT EASIER TO FALL ASLEEP SO THAT SLEEP PATTERN INFORMATION CAN BE COLLECTED AND INTERPRETED. THE INFORMATION COLLECTED IS THEN SENT TO THE PATIENT'S DOCTOR. BEHAVIORAL HEALTH SERVICES ARE OFFERED AT TWO OUTPATIENT TREATMENT FACILITIES PROVIDING A FULL-RANGE OF BEHAVIORAL AND MENTAL HEALTH SERVICES TO ADULTS, ADOLESCENTS AND CHILDREN. TREATMENT SERVICES ARE AVAILABLE FOR THE FOLLOWING ISSUES: -BIPOLAR DISORDER -DEPRESSION -SCHIZOPHRENIA -PERSONALITY DISORDERS -ANXIETY -MENTAL ILLNESS -ADHD -AUTISM SPECTRUM -ANGER MANAGEMENT -SCHOOL DIFFICULTIES -GRIEF/DEATH -EATING DISORDERS -PHOBIAS -DIVORCE -SMOKING CESSATION -POST-TRAUMATIC STRESS DISORDER -OBSESSIVE COMPULSIVE DISORDER -STRESS MANAGEMENT -PREMENSTRUAL DYSPHORIC DISORDER |
| FORM 990, PART VI, SECTION A, LINE 2 | BUSINESS RELATIONSHIP: MICHAEL CLIFFORD, PATRICIA DUNSINGER AND DAVID HOFF SHARE A BUSINESS RELATIONSHIP. |
| FORM 990, PART VI, SECTION B, LINE 11B | 990 REVIEW POLICY: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. A COPY OF THE 990 WILL BE DISTRIBUTED VIA E-MAIL TO EACH BOARD MEMBER BEFORE THE RETURN IS SUBMITTED TO THE IRS. MANAGEMENT WILL DISCUSS ANY QUESTIONS THAT ANY BOARD MEMBER MAY HAVE AT THE NEXT FULL BOARD MEETING. |
| FORM 990, PART VI, SECTION B, LINE 12C | CONFLICT OF INTEREST POLICY: CONFLICT OF INTEREST STATEMENTS ARE COMPLETED BY EVERY BOARD MEMBER AND MANAGER ANNUALLY. EACH INDIVIDUAL IS REQUIRED TO SIGN AND RETURN THE STATEMENTS TO THE ADMINISTRATION OFFICE. THE BOARD IS RESPONSIBLE FOR MONITORING COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY THROUGHOUT THE YEAR. IF A CONFLICT ARISES, THE PERSON WITH THE CONFLICT WILL RECUSE THEMSELVES FROM VOTING AND/OR DISCUSSING THE MATTER. |
| FORM 990, PART VI, SECTION B, LINE 15A & 15B | COMPENSATION REVIEW: WAYNE MEMORIAL COMMUNITY HEALTH CENTERS UTILIZE A COMMITTEE OF THE BOARD CALLED THE EXECUTIVE COMMITTEE TO SET COMPENSATION FOR ITS CEO. FOR OTHER KEY EMPLOYEES (DOCTORS), WAYNE MEMORIAL COMMUNITY HEALTH CENTERS USES WRITTEN EMPLOYMENT AGREEMENTS FOR THEIR COMPENSATION. THESE AGREEMENTS ARE APPROVED BY THE BOARD OR EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE IS MADE UP OF INDEPENDENT DIRECTORS WHO USE DATA FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS FOR COMPARATIVE PURPOSES. THE COMMITTEE USES THE SALARY DATA AND COMPARATIVE REVENUE, COMPLEXITY, SIZE OF FQHC, AND THE GEOGRAPHIC REGION TO DETERMINE A REASONABLE SALARY FOR THE CEO. THE EXECUTIVE COMMITTEE KEEPS MINUTES TO DOCUMENT THE DELIBERATION AND DECISION-MAKING PROCESS. THE PROCESS NORMALLY OCCURS IN THE FIRST QUARTER OF THE YEAR THE COMPENSATION CHANGE IS GRANTED. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENT DISCLOSURE: ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND/OR FINANCIAL STATEMENTS AVAILABLE TO PUBLIC UPON REQUEST. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PURCHASED SERVICES TOTAL FEES:2761711 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PROFESSIONAL SERVICES TOTAL FEES:1488114 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:MAINTENANCE CONTRACTS TOTAL FEES:262593 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:LEASED EMPLOYEES TOTAL FEES:990 |