WAYNE MEMORIAL COMMUNITY HEALTH CENTERS: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- WAYNE MEMORIAL COMMUNITY HEALTH CENTERS (EIN 23-2180889)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-07
- IRS object ID
- 201321279349301247
- Schema version
- 2011v1.5
- 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) |
|---|---|---|
| Timestamp | 2013-05-07T14:29:48-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 232932984 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARENTEBEARD LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | SUITE 200 221 W PHILADELPHIA ST | AddressLine1 |
| City | YORK | City |
| State | PA | State |
| ZIP Code | 174012993 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 232180889 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WAYNE MEMORIAL COMMUNITY HEALTH CENTERS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | WAYN | NameControl |
| Phone | 5702516676 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 PARK STREET | AddressLine1 |
| City | HONESDALE | City |
| State | PA | State |
| ZIP Code | 18431 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | FREDERICK JACKSON | Name |
| Title | EXECUTIVE DIRECTOR | Title |
| Phone | 5702516676 | Phone |
| Date Signed | 2013-05-07 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JULIUS GREEN CPA | Name |
| PTIN | P00350393 | PTIN |
| Phone | 7178467000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | FREDERICK JACKSON | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 PARK STREET | AddressLine1 |
| City | HONESDALE | City |
| State | PA | State |
| ZIP Code | 18431 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 10186937 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.WMH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1981 | YearFormation |
| State Legal Domicile | PA | StateLegalDomicile |
| Activity Or Mission Description | MEDICAL, DENTAL, AND BEHAVIORAL HEALTH SERVICES TO THE RESIDENTS OF THE WAYNE & PIKE COUNTIES OF PA. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 134 | TotalNbrEmployees |
| Total Nbr Volunteers | 12 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1861805 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2549782 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 6920515 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 7565970 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 394 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2389 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 13183 | OtherRevenuePriorYear |
| Other Revenue Current Year | 40004 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 8795897 | TotalRevenuePriorYear |
| Total Revenue Current Year | 10158145 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 6763195 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 7567793 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 2358211 | OtherExpensePriorYear |
| Other Expenses Current Year | 2533422 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 9121406 | TotalExpensesPriorYear |
| Total Expenses Current Year | 10101215 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -325509 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 56930 | RevenuesLessExpensesCY |
| Total Assets BOY | 3405099 | TotalAssetsBOY |
| Total Assets EOY | 3634594 | TotalAssetsEOY |
| Total Liabilities BOY | 2712145 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 2884710 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 692954 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 749884 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE MISSION IS TO PROVIDE MEDICAL, DENTAL AND BEHAVIORAL HEALTH SERVICES TO ALL THE RESIDENTS OF WAYNE & PIKE COUNTIES PENNSYLVANIA WITH A SPECIFIC EMPHASIS ON THE UNDERSERVED, LOW INCOME AND UNINSURED. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 8963469 | Expense |
| Revenue | 7597876 | Revenue |
| Description | SERVING ALL MEMBERS OF THE COMMUNITY WITH A FOCUS ON THE UNDERSERVED AND DISADVANTAGED, THE WAYNE MEMORIAL COMMUNITY HEALTH CENTERS WILL CREATE AND SUSTAIN A HEALTHY COMMUNITY BY PROVIDING HIGH QUALITY PRIMARY MEDICAL, DENTAL, AND BEHAVIORAL HEALTH CARE IN AN ACCESSIBLE, AFFORDABLE AND NONDISCRIMINATORY MANNER. IN THE YEAR ENDING JUNE 30, 2012 WMCHC PROVIDED 30,955 MEDICAL ENCOUNTERS, 14,619 DENTAL ENCOUNTERS, AND 4,006 BEHAVIORAL ENCOUNTERS TO THE RESIDENTS OF WAYNE AND PIKE COUNTIES, PENNSYLVANIA. THE CENTER HAS THIRTEEN OFFICES PROVIDING CARE IN THIS SERVICE AREA. WMCHC CONTINUES TO GROW AND ADD PRACTITIONERS AND SERVICE LOCATIONS IN ORDER TO PROVIDE QUALITY MEDICAL, DENTAL, AND BEHAVIORAL HEALTH SERVICES. THE OPERATIONS OF WMCHC RELIEVE GOVERNMENT BURDEN BY PROVIDING CARE TO MEDICAID AND UNINSURED INDIVIDUALS WHO WOULD BE DESTITUTE AND LACKING PROPER CARE WITHOUT INTERVENTION. IN FISCAL 2012, THE CENTERS PROVIDED CARE ON A SLIDING FEE IN THE AMOUNT OF $288,343 FOR QUALIFYING PATIENTS. | Description |
| Total Program Service Expense | 8963469 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 24 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 134 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | PA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FREDERICK JACKSON | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5702516676 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 PARK STREET | AddressLine1 |
| City | HONESDALE | City |
| State | PA | State |
| ZIP Code | 18431 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (20 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| PETER ROGERS | ||||||||
| CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 | ||
| MICHAEL CLIFFORD | ||||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 | ||
| SUSAN GABRIELSON | ||||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 | ||
| STEVE BURLEIN | ||||||||
| VICE CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 | ||
| DOREEN FITZGERALD | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| ANN FOSTER | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| WILLIAM KERL | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| DAVID HOFF | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| MORRIS BROOKE | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| WILLIAM SCHWEIGHOFER | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| STEVE TOURJE | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| JUSTIN O'DONNELL | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| FREDERICK JACKSON | ||||||||
| CEO | 40.00 | X | 139255 | 0 | 22397 | |||
| ROBERT DOHNOR | ||||||||
| PHYSICIAN | 40.00 | 160590 | 0 | 21868 | X | |||
| BRIAN BROWN | ||||||||
| PHYSICIAN | 40.00 | 155473 | 0 | 14443 | X | |||
| ROBERT GORRELL | ||||||||
| PHYSICIAN | 40.00 | 297443 | 0 | 22920 | X | |||
| SEAN MCVEIGH | ||||||||
| PHYSICIAN | 40.00 | 269087 | 0 | 30191 | X | |||
| HOON YOO | ||||||||
| PHYSICIAN | 40.00 | 261270 | 0 | 20646 | X | |||
| BRIAN LENCZEWSKI | ||||||||
| PHYSICIAN | 40.00 | 257323 | 0 | 21720 | X | |||
| JOHN D ZIMMERLY | ||||||||
| PHYSICIAN | 40.00 | 250494 | 0 | 7515 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1790935 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 161700 | TotalOtherCompensation |
| Number Individuals GT100 K | 16 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (4 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| VIRTUAL OFFICEWARE INC | |||||
| 111 RYAN COURT SUITE 200 | PITTSBURGH | PA | 15205 | COMPUTER SYSTEM | 286842 |
| WAYNE MEMORIAL HEALTH SYSTEM | |||||
| 601 PARK STREET | HONESDALE | PA | 18431 | ADMINISTRATIVE AND ACCOUNTING FEES | 114852 |
| COMPHEALTH MEDICAL STAFFING | |||||
| PO BOX 9726 | DALLAS | TX | 753972670 | MEDICAL STAFFING | 112712 |
| RIVIERA FINANCE | |||||
| PO BOX 535213 | ATLANTA | GA | 303535213 | MEDICAL STAFFING | 108305 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 4 | NumberOfContractorsGT100K |
| Government Grants | 843818 | GovernmentGrants |
| All Other Contributions | 1705964 | AllOtherContributions |
| Total Contributions | 2549782 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT SERVICE RE | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 7565970 | TotalRevenueColumn |
| Related Or Exempt Function Income | 7565970 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 7565970 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2389 | TotalRevenueColumn |
| Exclusion | $2,389 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 36890 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 28792 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 8098 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 8098 | TotalRevenueColumn |
| Exclusion | $8,098 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MEDICAL BILLING SERVIC | 561000 | 30895 | 30895 |
| PURCHASE DISCOUNTS | 900099 | 1011 | 1011 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 31906 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 10158145 | TotalRevenueColumn |
| Related Or Exempt Function Income | 7597876 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $10,487 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 524991 | Total |
| Program Services | 479180 | ProgramServices |
| Management And General | 45811 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5704388 | Total |
| Program Services | 5212857 | ProgramServices |
| Management And General | 491531 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 163110 | Total |
| Program Services | 149113 | ProgramServices |
| Management And General | 13997 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 790922 | Total |
| Program Services | 708258 | ProgramServices |
| Management And General | 82664 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 384382 | Total |
| Program Services | 347559 | ProgramServices |
| Management And General | 36823 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23004 | Total |
| Management And General | 23004 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 143532 | Total |
| Management And General | 143532 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 567050 | Total |
| Program Services | 507142 | ProgramServices |
| Management And General | 59908 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12275 | Total |
| Program Services | 11750 | ProgramServices |
| Management And General | 525 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 652997 | Total |
| Program Services | 602104 | ProgramServices |
| Management And General | 50893 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 421566 | Total |
| Program Services | 411898 | ProgramServices |
| Management And General | 9668 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7113 | Total |
| Program Services | 6310 | ProgramServices |
| Management And General | 803 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 50554 | Total |
| Management And General | 50554 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 200339 | Total |
| Program Services | 105343 | ProgramServices |
| Management And General | 94996 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 133637 | Total |
| Program Services | 118371 | ProgramServices |
| Management And General | 15266 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT EXPENSE | 229648 | 229648 | |
| OUTSIDE TRAINING | 41804 | 33330 | 8474 |
| DUES | 32541 | 23244 | 9297 |
| REPAIRS AND MAINTENANCE | 14398 | 14398 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2964 | Total |
| Program Services | 2964 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10101215 | Total |
| Program Services | 8963469 | ProgramServices |
| Management And General | 1137746 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 103025 | BOY |
| EOY | 141355 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 699140 | BOY |
| EOY | 782991 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 67750 | BOY |
| EOY | 61109 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 1484981 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 546129 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 877182 | BOY |
| EOY | 938852 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1658002 | BOY |
| EOY | 1710287 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3405099 | BOY |
| EOY | 3634594 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1164402 | BOY |
| EOY | 1109151 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1449922 | BOY |
| EOY | 1449922 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 97821 | BOY |
| EOY | 325637 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2712145 | BOY |
| EOY | 2884710 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 687029 | BOY |
| EOY | 749884 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5925 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 692954 | BOY |
| EOY | 749884 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3405099 | BOY |
| EOY | 3634594 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 56930 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1607794 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1498593 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1964355 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1861805 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2549782 | CurrentTaxYear |
| Total | 9482329 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1803223 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3803803 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6484068 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6920515 | CurrentTaxYearMinus1Year |
| Current Tax Year | 7565970 | CurrentTaxYear |
| Total | 26577579 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3411017 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5302396 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 8448423 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 8782320 | CurrentTaxYearMinus1Year |
| Current Tax Year | 10115752 | CurrentTaxYear |
| Total | 36059908 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 36059908 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 25111 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 16107 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 14225 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 19304 | CurrentTaxYearMinus1Year |
| Current Tax Year | 39279 | CurrentTaxYear |
| Total | 114026 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 25111 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 16107 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 14225 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 19304 | CurrentTaxYearMinus1Year |
| Current Tax Year | 39279 | CurrentTaxYear |
| Total | 114026 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 16 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 6387 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10155 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 9401 | CurrentTaxYearMinus1Year |
| Current Tax Year | 31906 | CurrentTaxYear |
| Total | 57865 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3436144 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5324890 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 8472803 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 8811025 | CurrentTaxYearMinus1Year |
| Current Tax Year | 10186937 | CurrentTaxYear |
| Total | 36231799 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99530 | PublicSupportPercentage509 |
| Investment Income Percentage | 0.00310 | InvestmentIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $1,250 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 1250 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | 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 ACTIVITES. FOR THE FISCAL YEAR ENDED JUNE 30, 2012, THE PORTION OF DUES PAID REPRESENTING LOBBYING EXPENDITURES WAS $1,250. | Explanation |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 373904 | InvestmentCostOrOtherBasis |
| Depreciation | 64231 | Depreciation |
| Book Value | 309673 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 1111077 | InvestmentCostOrOtherBasis |
| Depreciation | 481898 | Depreciation |
| Book Value | 629179 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 938852 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | ESTIMATED THIRD-PARTY SETTLEMENTS | Description |
| Book Value | 1710287 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 1710287 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE TO WAYNE MEMORIAL HOSPITAL | Description |
| Amount | $325,637 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 325637 | TotalOfAmounts |
| Total Revenue | 10158145 | TotalRevenue |
| Total Expenses | 10101215 | TotalExpenses |
| Excess Or Deficit For Year | 56930 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | 56930 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 10186937 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 10186937 | RevenueSubtotal |
| Other Revenues Not Included | -28792 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -28792 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 10158145 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 10130007 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 28792 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 28792 | ExpensesNotRptdF990 |
| Expenses Subtotal | 10101215 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 10101215 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | THE CORPORATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. MANAGEMENT DETERMINED THAT THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2011 AND 2010. THE CORPORATION'S FEDERAL RETURNS OF ORGANIZATION EXEMPT FROM INCOME TAX FOR THE YEARS ENDED PRIOR TO JUNE 30, 2010 ARE NO LONGER SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | RENTAL EXPENSES -28,792. | |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 28,792. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FREDERICK JACKSON | |||||||||||||
| 139255 | 0 | 0 | 0 | 0 | 0 | 8477 | 0 | 13920 | 0 | 161652 | 0 | 0 | 0 |
| ROBERT DOHNOR | |||||||||||||
| 160590 | 0 | 0 | 0 | 0 | 0 | 9777 | 0 | 12091 | 0 | 182458 | 0 | 0 | 0 |
| BRIAN BROWN | |||||||||||||
| 155473 | 0 | 0 | 0 | 0 | 0 | 9363 | 0 | 5080 | 0 | 169916 | 0 | 0 | 0 |
| ROBERT GORRELL | |||||||||||||
| 297443 | 0 | 0 | 0 | 0 | 0 | 9000 | 0 | 13920 | 0 | 320363 | 0 | 0 | 0 |
| SEAN MCVEIGH | |||||||||||||
| 269087 | 0 | 0 | 0 | 0 | 0 | 16271 | 0 | 13920 | 0 | 299278 | 0 | 0 | 0 |
| HOON YOO | |||||||||||||
| 261270 | 0 | 0 | 0 | 0 | 0 | 8555 | 0 | 12091 | 0 | 281916 | 0 | 0 | 0 |
| BRIAN LENCZEWSKI | |||||||||||||
| 257323 | 0 | 0 | 0 | 0 | 0 | 7800 | 0 | 13920 | 0 | 279043 | 0 | 0 | 0 |
| JOHN D ZIMMERLY | |||||||||||||
| 250494 | 0 | 0 | 0 | 0 | 0 | 7515 | 0 | 0 | 0 | 258009 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI | SECTION A, LINE 2: A QUESTIONNAIRE IS SENT TO EVERY BOARD MEMBER TO DETERMINE IF THERE ARE ANY BUSINESS OR FAMILY RELATIONSHIPS. NO SUCH RELATIONSHIPS WERE NOTED BETWEEN THE ORGANIZATION'S CURRENT OFFICERS, DIRECTORS, TRUSTEES, OR KEY EMPLOYEES. |
| FORM 990, PART VI, SECTION B, LINE 11 | AN E-MAIL IS DISTRIBUTED TO ALL BOARD MEMBERS BEFORE THE 990 IS FILED FOR THEIR REVIEW. THE 990 WILL BE DISCUSSED AND REVIEWED AT THE FOLLOWING FULL BOARD MEETING PRIOR TO FILING THE RETURN. |
| FORM 990, PART VI, SECTION B, LINE 12C | CONFLICT OF INTEREST STATEMENTS ARE COMPLETED BY EVERY BOARD MEMBER AND MANAGER ANNUALLY. EACH INDIVIDUAL SIGNS AND RETURNS THE STATEMENTS TO THE ADMINISTRATION OFFICE. THE EXECUTIVE SECRETARY IS RESPONSIBLE FOR MONITORING COMPLIANCE WITH ANY CONFLICT OF INTEREST 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 15 | 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 OCTOBER OF THE YEAR THE COMPENSATION CHANGE IS GRANTED. |
| FORM 990, PART VI, SECTION C, LINE 19 | FORM 990, PART VI, SECTION C, LINE 19: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND/OR FINANCIAL STATEMENTS AVAILABLE TO PUBLIC UPON REQUEST. |
| FORM 990, PART VII: | THE FOLLOWING BOARD MEMBERS ARE EMPLOYED BY AN UNRELATED ORGANIZATION, WAYNE HEALTH SYSTEM, TO WHICH ADMINISTRATIVE AND ACCOUNTING FEES ARE PAID: MICHAEL CLIFFORD DAVID HOFF |
| FORM 990, PART XII, LINE 2C: | THE PROCESSES USED BY THE COMMITTEE THAT ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT HAVE NOT CHANGED FROM THE PRIOR YEAR. |