WAYNE COUNTY HOSPITAL INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- WAYNE COUNTY HOSPITAL INC (EIN 61-0847215)
- Tax period
- 2023-11-01 to 2024-10-31
- Filed
- 2025-09-15
- IRS object ID
- 202502589349301400
- Schema version
- 2023v6.0
- 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 C
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule L
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-09-15T11:07:32-05:00 | ReturnTs |
| Tax Period End | 2024-10-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 351178661 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUE & CO LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2650 EASTPOINT PKWY SUITE 300 | AddressLine1Txt |
| City | LOUISVILLE | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 40223 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-11-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 610847215 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WAYNE COUNTY HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WAYN | BusinessNameControlTxt |
| Phone | 6063489343 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 166 HOSPITAL STREET | AddressLine1Txt |
| City | MONTICELLO | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 42633 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN J MURRELL | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 6063489343 | PhoneNum |
| Signature | 2025-09-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | EMILIE M KNIERIEM CPA | PreparerPersonNm |
| PTIN | P01330194 | PTIN |
| Phone | 5029923500 | PhoneNum |
| Preparation | 2025-09-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOHN J MURRELL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 166 HOSPITAL STREET | AddressLine1Txt |
| City | MONTICELLO | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 42633 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $25,042,533 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.WAYNEHOSPITAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1972 | FormationYr |
| Legal Domicile State | KY | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE THE PATIENT AND THE COMMUNITY A SYSTEM FOR THE DELIVERY OF HIGH QUALITY HEALTH CARE WITH THE SAME STANDARD OF CARE REGARDLESS OF ECONOMIC STATUS, AGE, SEX, RACE, OR RELIGION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 278 | TotalEmployeeCnt |
| Total Volunteers | 6 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $16,139 | PYContributionsGrantsAmt |
| CY Contributions Grants | $16,957 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $20,945,886 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $24,902,272 | CYProgramServiceRevenueAmt |
| PY Investment Income | $22,075 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,951 | CYInvestmentIncomeAmt |
| PY Other Revenue | $102,312 | PYOtherRevenueAmt |
| CY Other Revenue | $116,616 | CYOtherRevenueAmt |
| PY Total Revenue | $21,086,412 | PYTotalRevenueAmt |
| CY Total Revenue | $25,039,796 | 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 | $11,104,116 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $11,918,589 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $10,459,693 | PYOtherExpensesAmt |
| CY Other Expenses | $10,931,185 | CYOtherExpensesAmt |
| PY Total Expenses | $21,563,809 | PYTotalExpensesAmt |
| CY Total Expenses | $22,849,774 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$477,397 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,190,022 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $14,215,294 | TotalAssetsBOYAmt |
| Total Assets EOY | $15,064,307 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $6,670,854 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,329,845 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,544,440 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $9,734,462 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE THE PATIENT AND THE COMMUNITY A SYSTEM FOR THE DELIVERY OF HIGH QUALITY HEALTH CARE WITH THE SAME STANDARD OF CARE REGARDLESS OF ECONOMIC STATUS, AGE, SEX, RACE, OR RELIGION. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $17,999,875 | ExpenseAmt |
| Revenue | $25,016,665 | RevenueAmt |
| Desc | WAYNE COUNTY HOSPITAL, INC. PROVIDED 117,507 INPATIENT AND OUTPATIENT PROCEDURES, WHICH LABORATORY, RADIOLOGY, SURGERY, PHYSICAL THERAPY, SPEECH THERAPY, OCCUPATIONAL THERAPY AND RESPIRATORY THERAPY. WAYNE COUNTY HOSPITAL, INC. HAD INPATIENT ADMISSIONS OF 901 FOR ACUTE CARE, OBSERVATION AND SWINGBED SERVICES. WAYNE COUNTY HOSPITAL, INC. ALSO HAD OUTPATIENT REGISTRATIONS OF 10,844, EMERGENCY ROOM VISITS OF 9,632, AND RURAL HEALTH CLINIC VISITS OF 5,395. | Desc |
| Total Program Service Expenses | $17,999,875 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 20 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 278 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | KY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | THE ORGANIZATION | PersonNm |
| Phone | 6063489343 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 166 HOSPITAL STREET | AddressLine1Txt |
| City | MONTICELLO | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 42633 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| LARRY BATES | |||||||
| CHAIR | 1.00 | Yes (X) | Yes (X) | $1,500 | $0 | $0 | |
| GORDON CROWLEY | |||||||
| VICE CHAIR/TREASURER | 1.00 | Yes (X) | Yes (X) | $1,300 | $0 | $0 | |
| ANITA HOPPER | |||||||
| SECRETARY (END FYE 2024) | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DANNY ADAMS | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $1,500 | $0 | $0 | ||
| JAMIE REAGAN | |||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $1,300 | $0 | $0 | |
| DR JAMES WOODY | |||||||
| BOARD MEMBER/PRESIDENT OF MEDICAL STAFF | 40.00 | Yes (X) | $1,500 | $0 | $0 | ||
| DAVID PHILLIPS | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $1,200 | $0 | $0 | ||
| JOE MURRELL | |||||||
| CEO | 40.00 | Yes (X) | $183,702 | $0 | $22,768 | ||
| ANNE SAWYER | |||||||
| CFO | 40.00 | Yes (X) | $128,880 | $0 | $19,560 | ||
| JEFF SEXTON | |||||||
| CNO | 40.00 | Yes (X) | $109,045 | $0 | $23,978 | ||
| CORY RYAN MD | |||||||
| CMO/ER PHYSICIAN | 40.00 | $530,325 | $0 | $8,557 | Yes (X) | ||
| MEREDITH HALE MD | |||||||
| PRN | 40.00 | $102,880 | $0 | $0 | Yes (X) | ||
| JIMMY J HICKS | |||||||
| CRNA | 40.00 | $191,752 | $0 | $26,273 | Yes (X) | ||
| SONIA PROUDFOOT MD | |||||||
| HOSPITALIST | 40.00 | $102,484 | $0 | $18,167 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,357,368 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $119,303 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| TRINITY HEALTHCARE LLC | |||||
| 257 W LAKE SHORE DRIVE | BURNSIDE | KY | 42519 | ER PHYSICIAN | $792,015 |
| DR DAVID MAYER | |||||
| 698 JOPPA DRIVE | MONTICELLO | KY | 42633 | ER PHYSICIAN/SURGEON | $642,821 |
| CPS REHAB | |||||
| 5050 BRADENTON AVENUE | DUBLIN | OH | 43017 | REHABILITATION MANAGMENT | $557,994 |
| FIRSTSOURCE SOLUTIONS USA LLC | |||||
| 5111 COMMERCE CROSSINGS DR 106 | LOUISVILLE | KY | 40229 | BO MANAGEMENT | $462,081 |
| INSPIRE MEDICAL | |||||
| 2323 LIME KILN LANE | LOUISVILLE | KY | 40222 | ER PHYSICIAN | $427,970 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 11 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $16,957 | FundraisingAmt |
| Total Contributions | $16,957 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621999 | $18,655,720 | $18,655,720 |
| KY HRIP | 900099 | $6,246,400 | $6,246,400 |
| 340B PHARMACY REVENUE | 621399 | $152 | $152 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $24,902,272 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,951 | TotalRevenueColumnAmt |
| Exclusion | $3,951 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,080 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,080 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,080 | TotalRevenueColumnAmt |
| Exclusion | $2,080 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $2,880 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $16,957 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $2,737 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $143 | TotalRevenueColumnAmt |
| Exclusion | $143 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| CAFETERIA INCOME | 722514 | $92,629 | $92,629 |
| MEDICAL RECORDS | 900099 | $1,478 | $1,478 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $20,286 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $20,286 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $114,393 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $25,039,796 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $25,016,665 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $6,174 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $496,870 | TotalAmt |
| Program Services | $394,567 | ProgramServicesAmt |
| Management And General | $102,303 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,361 | TotalAmt |
| Program Services | $16,169 | ProgramServicesAmt |
| Management And General | $4,192 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,364,007 | TotalAmt |
| Program Services | $7,436,011 | ProgramServicesAmt |
| Management And General | $1,927,996 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $156,530 | TotalAmt |
| Program Services | $124,301 | ProgramServicesAmt |
| Management And General | $32,229 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,113,418 | TotalAmt |
| Program Services | $884,172 | ProgramServicesAmt |
| Management And General | $229,246 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $767,403 | TotalAmt |
| Program Services | $609,399 | ProgramServicesAmt |
| Management And General | $158,004 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $283,200 | TotalAmt |
| Management And General | $283,200 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,689 | TotalAmt |
| Management And General | $110,689 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,481,194 | TotalAmt |
| Program Services | $3,600,318 | ProgramServicesAmt |
| Management And General | $880,876 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,460 | TotalAmt |
| Program Services | $10,191 | ProgramServicesAmt |
| Management And General | $7,269 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $142,065 | TotalAmt |
| Program Services | $68,353 | ProgramServicesAmt |
| Management And General | $73,712 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,218,850 | TotalAmt |
| Program Services | $727,402 | ProgramServicesAmt |
| Management And General | $491,448 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $727,267 | TotalAmt |
| Program Services | $595,392 | ProgramServicesAmt |
| Management And General | $131,875 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,537 | TotalAmt |
| Program Services | $14,322 | ProgramServicesAmt |
| Management And General | $10,215 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,094 | TotalAmt |
| Program Services | $19,317 | ProgramServicesAmt |
| Management And General | $13,777 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $178,104 | TotalAmt |
| Program Services | $146,757 | ProgramServicesAmt |
| Management And General | $31,347 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $500,358 | TotalAmt |
| Program Services | $412,294 | ProgramServicesAmt |
| Management And General | $88,064 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $413,153 | TotalAmt |
| Program Services | $340,438 | ProgramServicesAmt |
| Management And General | $72,715 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES AND DR | $1,990,375 | $1,990,375 | |
| PROVIDER TAX | $250,793 | $250,793 | |
| DUES AND SUBSCRIPTIONS | $120,852 | $70,541 | $50,311 |
| REPAIRS AND MAINTENANCE | $85,785 | $82,478 | $3,307 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $353,409 | TotalAmt |
| Program Services | $206,285 | ProgramServicesAmt |
| Management And General | $147,124 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,849,774 | TotalAmt |
| Program Services | $17,999,875 | ProgramServicesAmt |
| Management And General | $4,849,899 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $135,420 | BOYAmt |
| EOY | $48,527 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $642,596 | BOYAmt |
| EOY | $1,038,133 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,793,704 | BOYAmt |
| EOY | $10,855,883 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $408,136 | BOYAmt |
| EOY | $315,937 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,800 | BOYAmt |
| EOY | $76,170 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $14,999,164 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $13,164,629 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,248,862 | BOYAmt |
| EOY | $1,834,535 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $420,950 | BOYAmt |
| EOY | $376,059 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $519,826 | BOYAmt |
| EOY | $519,063 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,215,294 | BOYAmt |
| EOY | $15,064,307 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,193,045 | BOYAmt |
| EOY | $1,548,800 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,335 | BOYAmt |
| EOY | $85,837 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,600,932 | BOYAmt |
| EOY | $1,600,932 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,506,246 | BOYAmt |
| EOY | $1,866,023 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $293,296 | BOYAmt |
| EOY | $228,253 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,670,854 | BOYAmt |
| EOY | $5,329,845 | 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 | $7,544,440 | BOYAmt |
| EOY | $9,734,462 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,544,440 | BOYAmt |
| EOY | $9,734,462 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,215,294 | BOYAmt |
| EOY | $15,064,307 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $2,190,022 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $1,471 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $1,471 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | A PORTION OF KENTUCKY HOSPITAL ASSOCIATION DUES ARE ATTRIBUTABLE TO LOBBYING EXPENSES AS DISCLOSED ON THE LETTER RECEIVED FOR FYE 2024. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $42,250 | OtherCostOrOtherBasisAmt |
| Book Value | $42,250 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,003,662 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,459,808 | DepreciationAmt |
| Book Value | $543,854 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,548,497 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,271,903 | DepreciationAmt |
| Book Value | $276,594 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,404,755 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,432,918 | DepreciationAmt |
| Book Value | $971,837 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,834,535 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | THIRD PARTY PAYABLE | Desc |
| Amt | $228,253 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $228,253 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $25,042,533 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $2,737 | OtherRevenueAmt |
| Revenue Not Reported | $2,737 | RevenueNotReportedAmt |
| Revenue Subtotal | $25,039,796 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $25,039,796 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $22,852,511 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $2,737 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $2,737 | ExpensesNotReportedAmt |
| Expenses Subtotal | $22,849,774 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $22,849,774 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSES 2,737. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSES 2,737. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF SCRAMBLE | Event1Nm |
| Gross Receipts Event1 | $19,837 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $16,957 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $2,880 | GrossRevenueEvent1Amt |
| Cash Prizes Event1 | $1,000 | CashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $1,000 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $433 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $304 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $19,837 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $16,957 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $2,880 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $1,000 | CashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $1,000 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $433 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $304 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $2,737 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $143 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent150 | Yes (X) | Percent150Ind |
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $108,787 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $108,787 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00480 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,579,043 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,783,131 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,687,830 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,783,131 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $108,787 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00480 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $368,878 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $368,878 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01610 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $368,878 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $368,878 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01610 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,056,708 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,783,131 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $477,665 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02090 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,509,574 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $4,006,825 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $3,883,623 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $123,202 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | 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 COUNTY HOSPITAL INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 166 HOSPITAL STREET | AddressLine1Txt |
| City | MONTICELLO | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 42633 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.WAYNEHOSPITAL.ORG | WebsiteAddressTxt |
| State License | 600074 | StateLicenseNum |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WAYNE COUNTY HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | 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 |
| CHNA Conducted | 23 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.WAYNEHOSPITAL.ORG/FILES/GALLERIES/2024_CHNA.PDF | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 23 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.WAYNEHOSPITAL.ORG/FILES/GALLERIES/2024_CHNA.PDF | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 150.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 100.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | 0 | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://WAYNEHOSPITAL.ORG/FILES/GALLERIES/2019_FAP.PDF | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART VI | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://WAYNEHOSPITAL.ORG/FILES/GALLERIES/2019_PLAIN_LANG_SUMMARY_FAP.PDF | 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 |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | Yes (1) | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| WAYNE COUNTY HOSPITAL, INC. | PART V, SECTION B, LINE 5: WAYNE COUNTY HOSPITAL CONTRACTED WITH THE COMMUNITY AND ECONOMIC DEVELOPMENT INITIATIVE OF KENTUCKY (CEDIK) IN THE FALL OF 2023 TO CONDUCT THE CHNA IN ACCORDANCE WITH THE AFFORDABLE CARES ACT ("ACA"). THE ACA, ENACTED IN MARCH OF 2010, ADDED REQUIREMENTS THAT HOSPITAL ORGANIZATIONS MUST SATISFY IN ORDER TO BE DESCRIBED IN SECTION 501(C)(3), AS WELL AS REPORTING AND EXCISE TAXES. CEDIK MET WITH WAYNE COUNTY HOSPITAL ADMINISTRATION TO PROVIDE AN OVERVIEW OF THE CHNA PROCESS AND WORKED WITH THE HOSPITAL ADMINISTRATION TO CREATE A COMMUNITY STEERING COMMITTEE. THE COMMUNITY STEERING COMMITTEE PLAYED A VITAL ROLE IN THE CHNA PROCESS. CEDIK PROVIDED A LIST OF COMMUNITY LEADER, AGENCIES, AND ORGANIZATIONS TO THE HOSPITAL TO ASSIST IN THE RECRUITMENT OF COMMUNITY MEMBERS THAT FACILITATED BROAD COMMUNITY INPUT. BY VOLUNTEERING THEIR TIME, THE COMMUNITY MEMBERS ENABLED THE HOSPITAL TO ACQUIRE INPUT FROM RESIDENTS WHO ARE OFTEN NOT ENGAGED IN CONVERSATIONS ABOUT THEIR HEALTH NEEDS. THE STEERING COMMITTEE PROVIDED AN EXPERT VIEW OF THE NEEDS THEY SEE WHILE WORKING WITH THE PEOPLE AND CLIENTS THEY SERVE. CEDIK CONDUCTED FOCUS GROUPS WITH THE STEERING COMMITTEE THAT DISSEMINATED THE SURVEYS. THE STEERING COMMITTEE PROMOTED THE SURVEY THROUGH SOCIAL MEDIA AND ENCOURAGING ORGANIZATIONS TO SHARE THE SURVEY THROUGH EMAIL CHANNELS. A FINAL MEETING WAS HELD BY THE STEERING COMMITTEE TO DEBRIEF THE RESULTS OF THE SURVEYS AND FOCUS GROUPS, RESULTING IN THE COMMITTEE MAKING RECOMMENDATIONS ON THE PRIORITY HEALTH NEEDS FOR WAYNE COUNTY TO BE ADDRESSED OVER THE NEXT THREE YEARS. |
| WAYNE COUNTY HOSPITAL, INC. | PART V, SECTION B, LINE 11: AFTER REVIEWING THE RECOMMENDATIONS OF THE COMMUNITY STEERING COMMITTEE, THE HOSPITAL ADMINISTRATION TEAM CREATED A PLAN TO ADDRESS THE NEEDS THROUGH THE FOLLOWING GOALS AND ACTION STEPS.GOAL 1: INCREASE DRUG AND SUBSTANCE USE DISORDER (SUD) EDUCATION IN OUR COMMUNITY, LOCAL SCHOOLS, AND OTHER PROGRAMS.ACTION STEPS:- PARTNER WITH THE KENTUCKY HOSPITAL ASSOCIATION TO OFFER THE SOS OPIOID STEWARDSHIP PROGRAM.- PARTNER WITH LOCAL LAW ENFORCEMENT AGENCIES AND LAKE CUMBERLAND DISTRICT HEALTH DEPARTMENT TO OFFER 2-3 EDUCATIONAL EVENTS/OPPORTUNITIES SUCH AS AMERICAN HEART ASSOCIATION BASIC LIFE SUPPORT AND NARCAN EDUCATION TO HELP COMBAT THE OVERDOSES, VAPING, AND IMPAIRED DRIVING IN OUR COMMUNITY.GOAL 2: INCREASE EDUCATION OPPORTUNITIES TO THE COMMUNITY THAT ADDRESSES OBESITY. OFFER TWO EVENTS ANNUALLY.ACTION STEPS:- HOST AND/OR PARTICIPATE IN AN ANNUAL WELLNESS HEALTH FAIR WITH OTHER LOCAL HEALTH ENTITIES TO FOCUS ON FACTORS THAT CONTRIBUTE TO OBESITY.- OFFER EDUCATIONAL EVENTS ANNUALLY TO THE PUBLIC ON TOPICS LISTED ABOVE AND OFFER PREVENTATIVE SCREENINGS. - PARTNER WCH REGISTERED DIETICIAN WITH LOCAL UK EXTENSION OFFICE TO COLLABORATE AND PLAN A NUTRITION FAIR THAT INCLUDES NUTRITIONAL EDUCATION AND HEALTHY FOODS TO COOK.GOAL 3: INCREASE AWARENESS AND EDUCATION WITH LOCAL SCHOOL GROUPS SUCH AS FAMILY YOUTH RESOURCE SERVICE CENTER. PARTICIPATE IN 2 EVENTS ANNUALLY.ACTION STEPS:- ACTIVELY PARTICIPATE IN BACK-TO-SCHOOL PROGRAMS AND HANDOUT EVIDENCE-BASED RESOURCES TO STUDENTS ON SUCH TOPICS.GOAL 4: ESTABLISH WOMEN'S L-HEALTH SERVICE IN THE RURAL HEALTH CLINIC, EXPAND CARDIOLOGY SERVICES, AND MENTAL HEALTH SCREENINGS.ACTION STEPS:- ASSESS THE POSSIBILITY OF ESTABLISHING WOMEN'S HEALTH SERVICES IN THE RURAL HEALTH CLINIC. WCH LEADERSHIP TEAM FEELS THIS IS A SERVICE LINE THAT THE COMMUNITY COULD BENEFIT FROM.- INCREASE CARDIOLOGY OUTPATIENT CLINIC DAYS.- CONTINUE TO PROMOTE AND EDUCATE THE PUBLIC ON HEALTHY OUTLOOK PROGRAM AT WCH. THIS PROGRAM FOCUSES ON SENIOR BEHAVIORAL HEALTH AND AIMS TO BRIDGE THE GAP IN MENTAL HEALTH IN OUR COMMUNITY. HOST 3-4 COMMUNITY EVENTS ANNUALLY.GOAL 5: ASSIST LOCAL FOOD PANTRIES TO INCREASE FOOD STOCK AND DISTRIBUTION. HAVE ACTIVE ENGAGEMENT ONCE PER QUARTER WITH HOUSE OF BLESSINGS.ACTION STEPS:- PARTNER WITH HOUSE OF BLESSINGS TO PROMOTE AWARENESS ON FOOD INSECURITY.- SEEK OUT VOLUNTEERS TO HELP WITH MEAL DELIVERY. |
| WAYNE COUNTY HOSPITAL, INC. | PART V, SECTION B, LINE 16J: HTTPS://WAYNEHOSPITAL.ORG/FILES/GALLERIES/FINANCIAL_ASSISTANCE_PROGRAM_APPLICATION_(FAP).PDF |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 2 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - WAYNE COUNTY RURAL HEALTH CLINIC | ||||
| 166 HOSPITAL ST | MONTICELLO | KY | 42633 | MEDICAL CLINIC/RURAL HEALTH CLINIC |
| 2 - WAYNE COUNTY SURGICAL SPECIALISTS | ||||
| 1 SOUTH CREEK DRIVE 112 | MONTICELLO | KY | 42633 | RURAL HEALTH CLINIC |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART II, COMMUNITY BUILDING ACTIVITIES: | WAYNE COUNTY HOSPTIAL PARTICIPATES IN HEALTH COALITIONS, ENGAGES WITH SCHOOLS AND OTHER COMMUNITY GROUPS, AND HOSTS HEALTH FAIRS IN THE COMMUNITY. |
| PART III, LINE 2: | THE AMOUNT REPORTED ON LINE 2 IS REFLECTED ON THE INTERNAL FINANCIAL STATEMENTS FOR THE HOSPITAL. |
| PART III, LINE 3: | THE HOSPITAL HAS A DETAILED FINANCIAL ASSISTANCE POLICY WHICH STATES THAT TO PARTICIPATE IN CHARITY CARE CANDIDATES MUST COOPERATE FULLY. IN ADDITION THE HOSPITAL EDUCATES PATIENTS WITH LIMITED ABILITY TO PAY REGARDING FINANCIAL ASSISTANCE. FOR THIS REASON THE ORGANIZATION BELIEVES THAT IT ACCURATELY CAPTURES ALL CHARITY CARE DEDUCTIONS PROVIDED ACCORDING TO THE FINANCIAL ASSISTANCE POLICY AND THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS NEGLIGIBLE. |
| PART III, LINE 4: | PLEASE REFER TO THE ATTACHED AUDITED FINANCIAL STATEMENTS PAGES 9-10, "PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT SERVICE REVENUE". |
| PART III, LINE 8: | THE MEDICARE COST REPORT WAS THE SOURCE OF INFORMATION REPORTED ON PART III LINE 6. |
| PART III, LINE 9B: | AT REGISTRATION, PATIENTS ARE NOTIFIED OF THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. THEY ARE OFFERED PAMPHLETS DETAILING THE PROGRAM. IF THE PATIENT IS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE AND IS APPROVED FOR FINANCIAL ASSISTANCE, THE PATIENT WILL RECEIVE A DISCOUNT OF 100% ON THE OUTSTANDING ACCOUNT BALANCE. THE HOSPITAL WILL ATTEMPT TO COLLECT ANY BALANCE REMAINING ON THE UNINSURED ACCOUNT AFTER ALL FINANCIAL ASSISTANCE DISCOUNTS HAVE BEEN APPLIED USING A SERIES OF STATEMENTS, LETTERS, AND TELEPHONE CALLS. THE HOSPITAL WILL ALSO OFFER PATIENTS INTEREST-FREE EXTENDED PAYMENT PLANS. |
| PART VI, LINE 2: | THE ASSESSMENT PROCESS INCLUDED COLLECTING SECONDARY DATA RELATED TO THE HEALTH OF THE COMMUNITY. SOCIAL AND ECONOMIC DATA AS WELL AS HEALTH OUTCOMES AND PROVIDERS DATA WERE COLLECTED FROM SECONDARY SOURCES TO HELP PROVIDE CONTEXT FOR THE COMMUNITY. IN ADDITION, CEDIK COMPILED HOSPITAL UTILIZATION DATA TO BETTER UNDERSTAND WHO WAS USING THE FACILITY AND FOR WHAT SERVICES. FINALLY, WITH THE ASSISTANCE OF THE COMMUNITY STEERING COMMITTEE, INPUT FROM THE COMMUNITY WAS COLLECTED THROUGH KEY INFORMANT INTERVIEWS, FOCUS GROUPS, AND SURVEYS. |
| PART VI, LINE 3: | WAYNE COUTY HOSPITAL INFORMS AND EDUCATES PATIENTS OF ITS FINANCIAL ASSISTANCE POLICY BY:1. PUBLICIZING THE AVAILABILITY OF ITS FINANCIAL ASSISTANCE POLICY WITHIN THE COMMUNITIES IT SERVES BY TAKING THE FOLLOWING ACTION:A. POSTING THIS POLICY AND ITS FINANCIAL ASSISTANCE APPLICATION ON ITS WEBSITE.B. SIGNS WILL BE POSTED AT REGISTRATION AREAS DESCRIBING THE AVAILABLE ASSISTANCE AND DIRECTING ELIGIBLE PATIENTS TO THE FINANCIAL ASSISTANCE APPLICATION.C. FINANCIAL COUNSELOR WILL BE AVAILABLE DURING HER REGULAR WORK HOURS TO ADDRESS QUESTIONS RELATED TO FINANCIAL ASSISTANCE. A PAPER COPY OF THE APPLICATION MAY ALSO BE MAILED TO A PATIENT AT THEIR REQUEST FREE OF CHARGE. |
| PART VI, LINE 4: | WAYNE COUNTY HOSPITAL IS A 25-BED CRITICAL ACCESS HOSPITAL IN MONTICELLO, KENTUCKY. IT IS LOCATED ABOUT 30 MINUTES SOUTHWEST OF SOMERSET, KENTUCKY AND ABOUT 5-8 MILES FROM THE SHORES OF LAKE CUMBERLAND. WAYNE COUNTY HOSPITAL SERVES A REGION WHICH INCLUDES RESIDENTS OF WAYNE COUNTY, PULASKI COUNTY, MCCREARY COUNTY AND CLINTON COUNTY IN KENTUCKY, AND PORTIONS OF NORTHERN TENNESSEE ON OUR SOUTHERN BORDER. MONTICELLO, KENTUCKY IS THE COUNTY SEAT AND SERVES AS THE GATEWAY TO KENTUCKY'S SOUTHERN LAKES REGION, ARGUABLY AMONG THE MOST BEAUTIFUL AND UNSPOILED STRETCHES OF THE BLUEGRASS STATE. WAYNE COUNTY LIES AT THE FOOTHILLS OF THE APPALACHIAN MOUNTAINS. WHILE IT CONTAINS REMNANTS OF EASTERN KENTUCKY'S RUGGED LANDSCAPES, MOSTLY IN THE FORM OF LOW FOOTHILLS BORDERING LAKE CUMBERLAND, THE AREA IS MOSTLY COMPOSED OF RANCH-QUALITY FARM LANDS AND ROLLING LANDSCAPES ALONG THE SOUTHERN BORDER WITH TENNESSEE. ACCORDING TO A 2022 ESTIMATE, THE POPULATION IS AROUND 19,681 WITH 65.8% OF THE POPULATION RESIDING IN RURAL AREAS. |
| PART VI, LINE 5: | WAYNE COUNTY HOSPITAL HAS IMPLEMENTED STRATEGIC MARKETING STRATEGIES, SUCH AS UTILIZING SOCIAL MEDIA, NEWSPAPER ADVERTISEMENTS, AND ENGAGING IN DIRECT DISTRIBUTION TO LOCAL AND REGIONAL ENTITIES TO SHARE INFORMATION ABOUT HOSPITAL SERVICES AND RESOURCES. IN AN EFFORT TO PROVIDE MORE HEALTH EDUCATION TO THE COMMUNITY WCH HAVE PARTICIPATED IN COMMUNITY HEALTH FAIRS PROMOTING HEALTHY LIFESTYLES. WCH HAS ALSO DEVELOPED A PROMOTIONAL PLAN TO EDUCATE THE COMMUNITY ON THE AVAILABILITY AND IMPORTANCE OF SCREENINGS FOR MEN AND WOMEN. WCH HAS PROVIDED A NUMBER OF SCREENINGSINCLUDING: BMI BLOOD GLUCOSE CHOLESTEROL VITAL SIGNS (BLOOD PRESSURE, HEART RATE, 02 SATURATION) NUTRIONAL INFORMATION VACCINE INFORMATION & CLINICS SENIOR BEHAVIORAL HEALTH (HEALTHY OUTLOOK) DID YOU KNOW ... CAMPAIGN RADIOLOGY EARLY DETECTION INFORMATION AHA INFORMATION ON CARDIAC DISEASE HANDS ONLY CPR EDUCATIONAL EVENTS RHC CHILDHOOD VACCINES AND WELL CHILD CHECK-UP |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CORY RYAN MD | ||||||||||||||
| CMO/ER PHYSICIAN | $530,025 | $0 | $300 | $0 | $0 | $0 | $8,512 | $0 | $45 | $0 | $538,882 | $0 | $0 | $0 |
| JIMMY J HICKS | ||||||||||||||
| CRNA | $191,452 | $0 | $300 | $0 | $0 | $0 | $7,658 | $0 | $18,615 | $0 | $218,025 | $0 | $0 | $0 |
| JOE MURRELL | ||||||||||||||
| CEO | $179,702 | $0 | $4,000 | $0 | $0 | $0 | $7,188 | $0 | $15,580 | $0 | $206,470 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | THE BOARD OF MANAGERS AND MANAGEMENT USES THE RANGE OF THE PREVIOUS CEO PLUS ADDITIONAL YEARS OF EXPERIENCE FOR THE BASE AMOUNT AT HIRE. THEY DO ANNUAL EVALUATIONS AND APPROVE EACH YEAR THEY AMOUNT OF HIS RAISE. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ADAM SAWYER | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | SON OF CFO ANNE SAWYER | RelationshipDescriptionTxt |
| Transaction | $20,361 | TransactionAmt |
| Transaction | COMPENSATION | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | FORM 990 IS PROVIDED TO THE GOVERNING BODY FOR REVIEW PRIOR TO FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF HIS OR HER INTEREST AND ALL MATERIAL FACTS TO THE BOARD, OR TO A COMMITTEE WITH BOARD DELEGATED POWERS, CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. SUCH DISCLOSURE SHALL BE MADE EITHER THROUGH THE ANNUAL QUESTIONNAIRE REQUIRED UNDER ARTICLE V OF THIS POLICY OR WHEN A CONFLICT OF INTEREST NOT DISCLOSED ON THE QUESTIONNAIRE OTHERWISE ARISES. AFTER DISCLOSURE OF THE INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON TO CLARIFY INFORMATION OR OBTAIN ADDITIONAL INFORMATION RELEVANT TO THE INTEREST, THE INTERESTED PERSON SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND PUT TO A VOTE. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE WHETHER A CONFLICT OF INTEREST EXISTS. ONCE THE DISINTERESTED MEMBERS OF THE BOARD OR COMMITTEE HAVE DETERMINED THAT A CONFLICT OF INTEREST EXISTS WITH RESPECT TO A PARTICULAR TRANSACTION OR ARRANGEMENT: (A) THE CHAIR OF THE BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT; (B) AFTER EXERCISING DUE DILIGENCE, THE DISINTERESTED MEMBERS OF THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE HOSPITAL CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST; (C) IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED MEMBERS OF THE BOARD OR COMMITTEE MEMBERS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE HOSPITAL'S BEST INTEREST AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE HOSPITAL, AND SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION; OR (D) THE INTERESTED PERSON SHALL BE EXCUSED FROM THE MEETING WHILE THE MATTER GIVING RISE TO THE CONFLICT OF INTEREST IS VOTED ON AND ONLY DISINTERESTED MEMBERS OF THE BOARD OR COMMITTEE MEMBERS MAY VOTE TO DETERMINE WHETHER TO APPROVE THE TRANSACTION OR ARRANGEMENT. THE DISINTERESTED MEMBERS OF THE BOARD OR COMMITTEE MAY, IN THEIR DISCRETION, REQUIRE THE INTERESTED PERSON TO LEAVE THE MEETING WHILE THE PROPOSED TRANSACTION OR ARRANGEMENT IS DISCUSSED. IN DETERMINING WHETHER AND WHEN TO REQUIRE THE INTERESTED PERSON TO LEAVE THE MEETING DURING DISCUSSION OF THE PROPOSED TRANSACTION OR ARRANGEMENT, THE DISINTERESTED MEMBERS OF THE BOARD OR COMMITTEE MEMBERS SHALL BALANCE THE NEED TO PRESERVE THE INDEPENDENCE OF THE DETERMINATION PROCESS WITH THE NEED TO FACILITATE THE DISCUSSION BY HAVING SUCH PERSON ON HAND TO ANSWER QUESTIONS OR OTHERWISE PROVIDE ADDITIONAL INFORMATION THAT MAY ASSIST THE BOARD OR COMMITTEE. TO THE EXTENT PERMITTED BY APPLICABLE STATE LAW AND THE HOSPITAL'S GOVERNING DOCUMENTS, AN INTERESTED PERSON MAY BE COUNTED IN DETERMINING THE PRESENCE OF A QUORUM AT A MEETING OF THE BOARD OR COMMITTEE WHEN A POTENTIAL CONFLICT OF INTEREST HAS BEEN DISCLOSED. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE BOARD OF MANAGERS AND MANAGEMENT USE THE RANGE OF THE PREVIOUS CEO PLUS YEARS OF EXPERIENCE FOR BASE AMOUNT AT HIRE. THE CEO'S SALARY IS REVIEWED ANNUALLY BY THE BOARD AND THERE IS AN ANNUAL WRITTEN EVALUAON. CORPORATE OFFICERS SALARIES ARE REVIEWED IN CONJUNCTION WITH PERIODIC EXTERNAL SURVEYS PROCURED THROUGH HR. THESE SURVEYS ARE REVIEWED BY THE HR DEPARTMENT AND SUPERVISING MANAGER TO ASSURE THAT THE SALARIES BEING PROVIDED ARE REASONABLE AND JUSFIABLE IN RELATION TO SURVEY RESULT PARAMETERS. EXECUVE SALARIES ARE REVIEWED ANNUALLY; THE CFO AND CNO ARE REVIEWED BY THE CEO AND HR INPUT, WITH AN ANNUAL WRITTEN EVALUATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICIES ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104. |
| FORM 990, PART VII | DR. JAMES WOODY IS COMPENSATED BY A THIRD PARTY COPORATION AS AN INDEPENDENT CONTRACTOR FOR HIS SERVICES FOR WAYNE COUNTY HOSPITAL. |
| FORM 990, PART IX, LINE 11G | PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,220,228. MANAGEMENT AND GENERAL EXPENSES 824,411. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,044,639. MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 262,648. MANAGEMENT AND GENERAL EXPENSES 10,532. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 273,180. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 2,049,457. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,049,457. LAB AND COLLECTION FEES: PROGRAM SERVICE EXPENSES 67,985. MANAGEMENT AND GENERAL EXPENSES 45,933. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 113,918. |
| FORM 990, PART XII, LINE 2: | THE AUDIT FOR THE CURRENT TAX PERIOD 10/31/2024 AND PRIOR TAX PERIODS 10/31/2022 AND 10/31/2023 HAS NOT BEEN STARTED. THE MOST RECENT ISSUED AUDITED FINANCIALS ARE ATTACHED. |