2026-05-15T13:07:50+00:00 2025-06-30 440160260 FORVIS MAZARS LLP 910 E St Louis 200 PO Box 1190 Springfield MO 658062523 990 2024-07-01 240798839 WAYNE MEMORIAL HOSPITAL WAYN 5702538100 601 PARK STREET HONESDALE PA 18431 PATRICIA DUNSINGER CFO 2026-05-15 true true Brian Todd P00422601 4178658701 2026-05-15 2024 2025-03-06 01:10:19Z JAMES PETTINATO 601 PARK STREET HONESDALE PA 18431 182757106 false X WWW.WMH.ORG X 1907 PA WAYNE MEMORIAL HOSPITAL IS A NON-PROFIT, COMMUNITY-CONTROLLED HOSPITAL THAT STRIVES TO OFFER THE HIGHEST QUALITY IN INPATIENT AND OUTPATIENT MEDICAL CARE. 10 10 1014 85 5231 2840 766467 7694589 109700100 138611299 5042900 6651232 769190 801883 116278657 153759003 26000 25000 0 58886603 75587025 0 0 60278308 79359165 119190911 154971190 -2912254 -1212187 193293138 199860010 80238238 85190169 113054900 114669841 IT IS THE MISSION OF WAYNE MEMORIAL HOSPITAL TO PROVIDE QUALITY HEALTHCARE WITH COMPASSION, ADVOCACY, RESPECT, EXCELLENCE, AND SERVICE; TO PROMOTE WELLNESS IN OUR COMMUNITY; AND TO BE PROACTIVE IN RESPONDING TO OUR COMMUNITY'S NEEDS. false false 98941347 25000 103417960 A VARIETY OF OUTPATIENT SERVICES ARE OFFERED INCLUDING LAB, RADIOLOGY, INTERVENTIONAL RADIOLOGY, AND REHABILITATION SERVICES SUCH AS CARDIAC, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPIES. WMH ALSO PROVIDES OUTPATIENT EMERGENCY AND DIAGNOSTIC SERVICES. OUR PHYSICIAN SPECIALTY CLINIC OFFERS OUTPATIENT PULMONARY, GASTROENTEROLOGY, UROLOGY, UROGYNECOLOGY, CARDIOLOGY, NEPHROLOGY, NEUROLOGY, SLEEP, AND GENERAL SURGERY SERVICES. WMH FEATURES OVER 30 MEDICAL SPECIALTIES AND INCLUDES A CERTIFIED PRIMARY STROKE CENTER, A LEVEL IV TRAUMA CENTER AND A CERTIFIED CARDIAC CATHETERIZATION LABORATORY. OUR EMERGENCY DEPARTMENT OFFERS PHYSICIAN CARE 24 HOURS A DAY TO ALL, REGARDLESS OF ABILITY TO PAY. 30152684 0 31527919 INPATIENT SERVICES PROVIDES A FULL CONTINUUM OF CARE, FROM BIRTHING SUITES TO ENDOSCOPY, CARDIOLOGY PROCEDURES, RESPIRATORY THERAPY, IMAGING SCANS, AND HOSPICE CARE FOR THE POPULATION WE SERVE OF APPROXIMATELY 100,000 PEOPLE IN MOSTLY RURAL WAYNE AND PIKE COUNTIES AND SURROUNDING AREAS IN NORTHEASTERN PENNSYLVANIA. OUR HOSPITAL HAS 90 ACUTE-CARE BEDS, INCLUDING 50 IN PRIVATE ROOMS, AND AN ADDITIONAL 14 BEDS DEDICATED TO INPATIENT REHABILITATION. 3505537 0 3665420 THE ORGANIZATION PROVIDED HOSPICE SERVICES AND RELATED SUPPORT TO THE COMMUNITY. 132599568 true true false true false false false false false false true false false true true false false true false false false false false false false false true true false false true true false false true false false false false false false false false false false false false true true false false false true 88 0 true 1014 true true true false false false false false false false false false false false X 10 10 true true false false true true true true true false false false true true true true true true false false true true PA X JAMES PETTINATO 5702538100 601 PARK STREET HONESDALE PA 18431 DIANE POPOVICH SECRETARY 0.8 0 X X 0 0 0 KATE BRYANT CHAIR BEG 01/25 2.0 2.0 X X 0 0 0 ROBERT NON TREASURER 0.8 0 X X 0 0 0 SCOTT EPSTEIN VICE CHAIR 1.0 0 X X 0 0 0 BETTY DE-MAYE CARUTH TRUSTEE 0.1 0 X 0 0 0 DR JASON ZIELINSKI TRUSTEE 40.0 0 X 0 0 0 DR SEAN MCVEIGH TRUSTEE/CHIEF OF MEDICAL STAFF 39.2 0.8 X 575284 0 32261 DR SYBIL RICKARD TRUSTEE 40.0 0 X 372197 0 26700 MARGARETE ZALON TRUSTEE 0.8 0 X 0 0 0 SYLVIA KINGSTON TRUSTEE 0.8 0 X 0 0 0 JAMES PETTINATO CHIEF EXECUTIVE OFFICER 37.9 2.2 X 0 353924 54007 PATRICIA DUNSINGER CHIEF FINANCIAL OFFICER 19.8 21.2 X 0 211723 12763 CHANDRA ROBERTS CHIEF OF PATIENT CARE SERVICES 39.2 0.8 X 0 150778 17127 JAMES HOCKENBURY CHIEF OF ANCILLARY SERVICES 34.0 6.0 X 0 198714 20597 DR CLIFFORD CARROL PHYSICIAN 40.0 0 X 783451 0 25663 DR DAVID CAUCCI PHYSICIAN 40.0 0 X 666359 0 32107 DR DONALD L PREATE JR PHYSICIAN 40.0 0 X 799633 0 19782 DR JEFFREY MOGERMAN PHYSICIAN 40.0 0 X 647141 0 32261 UZOMA ANAELE MD PHYSICIAN 40.0 0 X 624629 0 28926 4468694 915139 302194 100 false true false LABORATORY CORP OF AMERICA 1 FOREST PARKWAY SHELTON CT 06484 LABORATORY SERVICES 1698090 ADVANCED INPATIENT MEDICINE ADINFINITIS 7250 PARKWAY DRIVE SUITE 500 HANOVER MD 21076 HOSPITALISTS 1623085 MEDICAL SOLUTIONS LLC PO BOX 857037 MINNEAPOLIS MN 55485 TEMPORARY PERSONNEL 1296344 FOUNDATION RADIOLOGY PC 6400 BROOKTREE COURT WEXFORD PA 15090 RADIOLOGY 1200123 TRUSTED NURSE STAFFING LLC 1200 WILLIAM STREET BUFFALO NY 14240 TEMPORARY PERSONNEL 704750 14 2016999 5652589 25001 7694589 NET PATIENT SERVICE REVENUE 623000 104115545 104115545 PA RURAL HEALTH MODEL REVENUE 623000 32966127 32966127 OTHER REVENUE 900099 1203610 1203610 CAFETERIA 722514 326017 326017 0 0 0 0 138611299 2517427 2517427 461675 312042 149633 0 149633 149633 32819866 28686061 4133805 0 4133805 4133805 GAIN/(LOSS) ON EQUITY INVESTEE 900099 652250 5231 647019 0 0 0 0 652250 153759003 138611299 5231 7447884 X 25000 25000 1006442 1006442 60400202 51772180 8628022 1622436 1359534 262902 8534322 7162709 1371613 4023623 3379843 643780 1255908 1255908 186823 186823 281692 281692 452694 452694 33031046 30513864 2517182 0 383138 383138 2480483 773406 1707077 2310354 1925131 385223 106291 88975 17316 84716 60580 24136 1685810 1416080 269730 6493148 5454244 1038904 2159206 1813733 345473 MEDICAL SUPPLIES & DRUGS 23597224 23597224 REPAIRS & MAINTENANCE 4747316 2147876 2599440 LICENSES, DUES, SUBCRIPTIONS 103316 102747 569 0 0 0 0 154971190 132599568 22371622 0 10963 116382 27617649 20499995 11724645 18348789 0 0 0 0 2333049 2650744 7080013 8112410 162326733 109654160 51467653 52672573 66665999 72813264 461602 484644 3291746 3311160 123500 125000 22516319 20725049 193293138 199860010 15795696 21656667 379492 0 45888176 44230213 0 0 18174874 19303289 80238238 85190169 X 110232091 111585320 2822809 3084521 113054900 114669841 193293138 199860010 X -1212187 2543081 284047 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 18358 18358 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY WAYNE MEMORIAL HOSPITAL PAYS ANNUAL MEMBERSHIP DUES TO THE HOSPITAL & HEALTH SYSTEM ASSOCIATION OF PENNSYLVANIA (HAP) AND AMERICAN HOSPITAL ASSOCIATION (AHA). THE HOSPITAL IS NOTIFIED EACH YEAR THAT A PORTION OF THE MEMBERSHIP DUES IS USED FOR LOBBYING ACTIVITIES. THE PORTION OF FEES PAID REPRESENTING LOBBYING EXPENDITURES WAS $18,358. 2892690 2892690 59340121 38095613 21244508 3034662 2244901 789761 91010548 67588447 23422101 6048712 1725199 4323513 52672573 RIGHT OF USE ASSETS 7254518 OTHER RECEIVABLES 5767050 EST AMOUNT FROM 3RD PARTY 3099479 BENEFICIAL INTEREST IN PERPETUAL TRUSTS 2462782 DUE FROM AFFILIATE 2141220 20725049 Federal Income Taxes LEASE LIABILITY 7546815 DUE TO THIRD PARTIES 7321046 PROFESSIONAL LIABILITY CLAIMS 4435428 19303289 156668401 2543081 861777 3404858 153263543 452694 42766 495460 153759003 155445229 312042 312042 155133187 452694 -614691 -161997 154971190 Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 PENSION EXPENSE - 614691 NET ASSETS RELEASED FROM RESTRICTION - 245190 TRANSFER FROM AFFILIATE - 1896 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements TEMPORARILY RESTRICTED GRANT REVENUE - 354808 RENTAL EXPENSES - -312042 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 RENTAL EXPENSES - 312042 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements PENSION EXPENSE - -614691 true true X true X false 0 400 390723 0 390723 0.00252 0 0 18555890 11311505 7244385 0.04675 0 0 0 0 0 0.0 0 400 18946613 11311505 7635108 0.04927 20 8126 430877 730 430147 0.00278 1 0 14181 0 14181 0.00009 4 1936 5280000 2197745 3082255 0.01989 0 0 0 0 0 0.0 4 0 60248 0 60248 0.00039 29 10062 5785306 2198475 3586831 0.02315 29 10462 24731919 13509980 11221939 0.07241 0 0 0 0 0 0.0 0 0 0 0 0 0.0 2 0 17436 0 17436 0.00011 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 3 93 63771 0 63771 0.00041 0 0 0 0 0 0.0 5 93 81207 0 81207 0.00052 true 13178893 3466049 16786288 17722491 -936203 X true true 1 1 WAYNE MEMORIAL HOSPITAL 601 PARK STREET HONESDALE PA 18431 WWW.WMH.ORG 230501 X X X WAYNE MEMORIAL HOSPITAL 1 false false true X X X X X X X X X 24 true false true true X HTTPS://WWW.WMH.ORG/CHNA-COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ X true 24 true HTTPS://WWW.WMH.ORG/CHNA-COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ false true X 200.0 0 true true X X X X true X HTTPS://WWW.WMH.ORG/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.WMH.ORG/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.WMH.ORG/FINANCIAL-ASSISTANCE/ X X X X X true X false X X X true X false false Schedule H, Part V, Section B, Line 3E THE 2025 CHNA IDENTIFIED FIVE SIGNIFICANT HEALTH NEEDS IN THE COMMUNITY. COMMUNITY LEADERS CAME TOGETHER TO DEVELOP AN ACTION PLAN TO PRIORITIZE NEEDS, DETERMINE NEXT STEPS, AND TO WORK TOWARD HEALTH IMPROVEMENTS IN COLLABORATION WITH EACH OTHER IN ORDER TO ENSURE THAT SUCCESS IS LIKELY. THIS IS A COLLECTIVE IMPACT APPROACH AND WAYNE MEMORIAL IS COMMITTED TO WORKING WITH COMMUNITY PARTNERS IN AN EFFORT TO SYSTEMATICALLY IMPROVE THE REGION'S HEALTH. THE SIGNIFICANT HEALTH NEEDS IDENTIFIED ARE ACCESS TO CARE AND TRANSPORTATION, MENTAL HEALTH SERVICES, TRANSITIONAL SENIOR HOUSING, HEALTH LITERACY, AND VACCINE HESITANCY AND MISTRUST. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - WAYNE MEMORIAL HOSPITAL. THE 2025 CHNA WAS CONDUCTED IN ASSOCIATION WITH THE INSTITUTE FOR PUBLIC HEALTH RESEARCH AND INNOVATION AT EAST STROUDSBURG UNIVERSITY. THE METHODOLOGY INVOLVED BOTH QUANTITATIVE AND QUALITY ASSESSMENTS. DATA SUMMARIZING HEALTH OUTCOMES AND FACTORS INFLUENCING HEALTH WERE OBTAINED FROM THE PENNSYLVANIA DEPARTMENT OF HEALTH, THE 2025 COUNTY HEALTH RANKINGS AND ROADMAPS, AND THE CENTER FOR RURAL PENNSYLVANIA. THESE PUBLICLY AVAILABLE DATA SOURCES PROVIDE VALID, RELIABLE SUMMARIES OF COMMUNITY HEALTH, OFTEN AGGREGATED AT THE COUNTY LEVEL. GIVEN THE RAPIDLY CHANGING HEALTH AND ECONOMIC LANDSCAPE, ADDITIONAL MEDIA REPORTS WERE INCORPORATED INTO THE ANALYSIS WHEN NEEDED. DATA FROM PIKE AND WAYNE COUNTIES WERE RELIED UPON MOST HEAVILY AS WMH SERVES THE ENTIRETY OF THESE AREAS. LEADERS FROM HEALTHCARE, SOCIAL SERVICES, EDUCATION, GOVERNMENT, AND THE GENERAL PUBLIC WERE INTERVIEWED BETWEEN OCTOBER 2024 AND MARCH 2025. MOST MEETINGS WERE HELD AS KEY INFORMANT INTERVIEWS WHILE SEVERAL OTHERS INVOLVED A RANGE OF COLLEAGUES OR COMMUNITY MEMBERS IN A FOCUS GROUP FORMAT. QUALITATIVE FINDINGS WERE CODED FOR COMMON THEMES REFLECTING COMMUNITY HEALTH NEEDS AND FACTORS INFLUENCING THE HEALTH OF VARIOUS SUBPOPULATIONS. Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - WAYNE MEMORIAL HOSPITAL. THE CNHA PROCESS CONSISTED OF REPRESENTATIVES FROM WAYNE MEMORIAL HOSPITAL, WAYNE MEMORIAL COMMUNITY HEALTH CENTERS, WAYNE AND PIKE COUNTY GOVERNMENTS INCLUDING LOCAL DEPARTMENT OF HEALTH REPRESENTATIVES, WAYNE AND PIKE COUNTY HUMAN SERVICE AGENCIES, FOREST CITY (SUSQUEHANNA COUNTY) AND CARBONDALE AREA (LACKAWANNA COUNTY) COMMUNITY REPRESENTATIVES, AND COMMUNITY REPRESENTATIVES AND OFFICIALS FROM AREA SCHOOL DISTRICTS. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - WAYNE MEMORIAL HOSPITAL. ALTHOUGH WAYNE MEMORIAL HOSPITAL RECOGNIZES THE IMPORTANCE OF ALL THE NEEDS IDENTIFIED BY THE COMMUNITY, CERTAIN NEEDS ARE NOT WITHIN THE PURVIEW OF WMH AND ARE THEREFORE NOT ADDRESSED. THE IMPLEMENTATION STRATEGY DESCRIBES THE NEEDS BEING MET, AS WELL AS THE ORGANIZATION RESPONSIBLE TO ADDRESS THE IDENTIFIED NEEDS AND THE STRATEGY TO ADDRESS SUCH NEEDS. 0 Schedule H, Part V, Section B, Line 22 MAXIMUM AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS A FINANCIAL ASSISTANCE ELIGIBLE INDIVIDUAL WILL NOT BE CHARGED MORE FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE THAN AGB. IF A PATIENT IS FAP ELIGIBLE, THEY WOULD RECEIVE A 100% DISCOUNT. THE HOSPITAL USES THE PROSPECTIVE MEDICARE METHOD FOR CALCULATING AGB. Schedule H, Part I, Line 7g Subsidized Health Services No physician clinic costs were included in the calculation of subsidized health services. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance Expenses were calculated using the ratio of patient care costs to charges for Financial Assistance and Means Tested programs. Direct costs were used to calculate community benefit expenses for the components included within Other Benefits to the Community. Schedule H, Part II Community Building Activities WAYNE MEMORIAL HOSPITAL (WMH) AND ITS AFFILIATES PROMOTE THE HEALTH AND WELLBEING OF THE COMMUNITIES AND INDIVIDUALS IT SERVES THROUGH A VARIETY OF COMMUNITY BENEFIT AND COMMUNITY BUILDING ACTIVITIES. WE FOCUS ON THE UNDERSERVED AND UNDERPRIVILEGED WITHIN OUR SERVICE AREA. WE ENDEAVOR TO IMPROVE THE LITERACY LEVEL AND PRIORITIZE INFORMATION GIVEN ON PREVENTION AND TREATMENT FOR CHRONIC DISEASE. OUR GOAL IS TO IMPACT ROOT CAUSES OF POOR HEALTH BY BECOMING A CATALYST FOR HEALTHY LIFESTYLE CHANGES IN OUR SERVICE AREA. THE RATIONALE, PROGRAM METHODOLOGY AND IMPLEMENTATION FOR THE FOLLOWING PROGRAMS ARE TYPICAL OF THE OTHER PROGRAMS DESCRIBED BELOW AND SHOULD SERVE AS A MODEL FOR THOSE PROGRAMS IN ADDRESSING THE REQUIREMENTS OF THIS SECTION OF THE FORM. -THE IN-SCHOOL WALKING PROGRAM IS A PARTNERSHIP OF WAYNE MEMORIAL HOSPITAL, FOREST CITY REGIONAL AND THE FOLLOWING SCHOOL DISTRICTS WITHIN ITS SERVICE AREA: FOREST CITY, WALLENPAUPACK AREA, WAYNE HIGHLANDS AND WESTERN WAYNE. WMH PROVIDES LEADERSHIP, DIRECTION, TRACKING AND FACILITATION FOR THE PROGRAM IN NINE LOCAL SCHOOLS THAT RUNS MONDAY THROUGH THURSDAY 6PM TO 8PM, WHENEVER SCHOOLS ARE IN SESSION. THIS PROVIDES A SAFE FRIENDLY ENVIRONMENT FOR YOUNG, OLD OR DISABLED PEOPLE TO EXERCISE. ALL SITES ARE HANDICAPPED ACCESSIBLE. IT ALSO PROVIDES A USER-FRIENDLY MODALITY TO DISTRIBUTE EDUCATIONAL MATERIALS. -HEALTH PROBLEMS: SEDENTARY LIFESTYLE, POOR NUTRITION, AND POOR BEHAVIORAL HEALTH SKILLS HAVE BEEN IDENTIFIED AS LEADING RISK FACTORS BY THE CENTER FOR DISEASE CONTROL (CDC) AND THE PENNSYLVANIA DEPARTMENT OF HEALTH FOR OBESITY, HEART DISEASE, HYPERTENSION, AND A NUMBER OF OTHER CHRONIC DISEASES. - NEED/PROBLEM IDENTIFICATION: THE NEED WAS IDENTIFIED BY THE WMH COMMUNITY NEEDS ASSESSMENT OF 2019 WHICH IDENTIFIED THE PREVENTION OF CHRONIC DISEASE AS A REGIONAL PRIORITY. A PARTNERSHIP BETWEEN THE TOGETHER FOR HEALTH PROGRAM (TFH), WMH, THE WALLENPAUPACK, WAYNE HIGHLANDS, AND FOREST CITY SCHOOL DISTRICTS, AND COMMUNITY AGENCIES ADDRESSED THE NEEDS OF COMMUNITY MEMBERS AND YOUTH. ONE COMPONENT OF THE PROGRAM, THE RESOURCE DAY, HAS BECOME A CATALYST THAT ENHANCES THE HEALTH AND WELLNESS OF 7TH GRADERS AND 9TH GRADERS. A DAY FILLED WITH 5 SMALL GROUP INTERACTIVE WORKSHOPS FACILITATED BY PROFESSIONALS ON SUCH SUBJECTS AS NUTRITION, YOGA, RELATIONSHIPS, SUICIDE AWARENESS, DRUG AND ALCOHOL, GOAL SETTING, ETC. THE STUDENTS' PARTICIPATION AND THEIR FEEDBACK PROVIDES WMH, SCHOOL DISTRICTS, AND THE COMMUNITY WITH AN AWARENESS OF THE STUDENTS' NEEDS AND HOW TO POSITIVELY IMPACT THE STUDENTS. ULTIMATELY THE FEEDBACK PROVIDES DIRECTION FOR IN-SCHOOL COMMUNITY BENEFITS ACTIVITIES INCLUDING THE IN SCHOOL WALKING PROGRAM AND IN-SCHOOL EDUCATIONAL PRESENTATIONS BY WMH & LOCAL HEALTH CARE PROFESSIONALS. -IMPORTANCE OF HEALTH PROBLEM: LACK OF EXERCISE, POOR NUTRITION AND POOR BEHAVIORAL HEALTH SKILLS HAS MANIFOLD NEGATIVE EFFECTS ON INDIVIDUALS OF ALL AGES AND INCOME LEVELS WITHIN THE REGION'S HIGH RATE OF CHRONIC DISEASE INDIVIDUALS. RURAL, LOW INCOME, ELDERLY OR DISABLED INDIVIDUALS ARE PARTICULARLY VULNERABLE. THE IN-SCHOOL WALKING PROGRAM PROVIDES AN OPPORTUNITY TO LEARN, WALK AND SOCIALIZE WHILE BEING IN A SAFE ATMOSPHERE CLOSE TO THEIR HOME. THE IN-SCHOOL WALKING PROGRAM PROVIDES ACCESS OF SERVICES TO ABOUT 400 PEOPLE WITHIN SCHOOL HALLWAYS NOT IN USE BY THE SCHOOL DURING THOSE HOURS. -ACTIVITY IMPACT AND OUTCOMES: PARTICIPANT RESPONSES TO THE PROGRAM INDICATE THAT IT HELPS MOTIVATE THEM TO FEEL BETTER, LOSE WEIGHT, ENJOY FELLOWSHIP, INCREASE ENERGY LEVELS AND HOLD A BETTER SELF-IMAGE THAN PRIOR TO THEIR PARTICIPATION. THEY ALSO IMPROVED THEIR KNOWLEDGE BASE REGARDING AWARENESS AND PREVENTION OF MANY HEALTH ISSUES. (STROKE, HEART DISEASE, DIABETES, TRAUMA, ASTHMA, COPD, AND SLEEP APNEA, TO NAME A FEW). -COMMUNITY BENEFIT: ENHANCING PUBLIC HEALTH, ADVANCING THE QUALITY OF LIFE, AND RELIEF OF THE BURDEN OF SOCIETY OF CARING FOR THOSE WITH PREVENTABLE CHRONIC ILLNESS. INDIVIDUALS WHO HAVE SEDENTARY AND NEGATIVE LIFESTYLES ARE THE PRINCIPAL BENEFICIARIES OF THE PROGRAM. -SUPPORT: THE WMH COMMUNITY HEALTH DEPARTMENT HAS RESPONDED TO OPPORTUNITIES FOR INVOLVEMENT IN COMMUNITY BENEFIT INITIATIVES BY ENTHUSIASTICALLY DEDICATING THEIR TIME, EXPERTISE AND RESOURCES. THE PRIMARY SUPPORT OF THE IN-SCHOOL WALKING PROGRAM COMES FROM THE FOUR SCHOOL DISTRICTS AND WMH USE OF SOCIAL MEDIA, WEB PAGES, IN-KIND SERVICES, ETC. WMH PROVIDED OVERSITE TO MAINTAIN APPROPRIATE LITERACY LEVELS WITH THE EDUCATIONAL INFORMATION. THE 700+ MEMBERS OF PENNSYLVANIA STATE HEALTH IMPROVEMENT PLAN (SHIP) PARTNERSHIP FOR WAYNE AND PIKE COUNTIES SUPPORT THE WALKING PROGRAM THROUGH POSTING FLYERS, SOCIAL MEDIA, PRESENTATIONS AND PARTICIPATION. WMH IS THE LEAD AGENCY FOR THE PIKE/WAYNE SHIP PARTNERSHIP. THE PARTNERSHIP IDENTIFIES NEEDS AND BECOMES A CATALYST FOR CHANGE TO ACCOMPLISH A HEALTHIER COMMUNITY AND REDUCES THE BURDEN ON MANY GOVERNMENT ENTITIES. BOLD GOLD MEDIA, A LOCAL RADIO STATION, PROVIDES PUBLIC SERVICE ANNOUNCEMENTS AND WMH COMMUNITY HEALTH DEPARTMENT PROVIDES A PERIODIC RADIO BROADCAST, HEALTHWORKS, THAT AIRS ON LOCAL STATIONS. DURING FYE 6/30/2025, THE ABOVE METHODOLOGY COULD BE APPLIED TO ANY OF THE PROGRAMS PROVIDING SERVICES TO THOUSANDS OF RESIDENTS WITHIN THE LOCAL COMMUNITY. SOME OF THE OTHER PROGRAMS INCLUDE HEALTH/RESOURCE AIRS, SEMINARS & WORKSHOPS, EMPLOYEE WELLNESS PROGRAMS, NUTRITION CLASSES, DIABETES CLASSES, TRAUMA AWARENESS, STROKE AWARENESS, OPIOID AWARENESS, BEHAVIORAL HEALTH, STRESS MANAGEMENT AND PAIN MANAGEMENT WITHOUT OPIOIDS, TO NAME A FEW. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount THE HOSPITAL HAS ADOPTED REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HEALTH SYSTEM DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM ITS PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HEALTH SYSTEM'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2025. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2. Schedule H, Part III, Line 3 Bad Debt Expense Methodology THE HOSPITAL DOES NOT TRACK BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY, RATHER BAD DEBT EXPENSE IS TRACKED FOR ALL OCCURRENCES IN THE AGGREGATE. IF THE HOSPITAL IS AWARE OR BECOMES AWARE OF A PATIENT'S ELIGIBILITY FOR CHARITY CARE THEN BAD DEBT EXPENSE WOULD NOT BE RECORDED FOR SUCH A PATIENT. CHARITY CARE WOULD BE RECORDED IF THAT PATIENT IS ELIGIBLE. TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE SHOWN ON LINE 3, THE ORGANIZATION APPLIED ITS RATIO OF PATIENT CARE COST TO CHARGES OF 26.30% TO THE TOTAL BAD DEBT EXPENSE SHOWN ON THE HOSPITAL'S FINANCIAL STATEMENT OF $13,178,893. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE, THAT NOTE CAN BE FOUND ON THE ATTACHED AUDITED FINANCIAL STATEMENTS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE HOSPITAL BECAME A SOLE COMMUNITY HOSPITAL (SCH) EFFECTIVE DECEMBER 8, 2013. PRIOR TO THAT THE HOSPITAL WAS A MEDICARE DEPENDENT HOSPITAL (MDH). A MDH MUST HAVE 60% OF ITS INPATIENT DAYS OR ADMISSIONS ATTRIBUTABLE TO ITS MEDICARE PATIENTS IN 2 OUT OF 3 OF ITS MOST RECENT FISCAL YEARS. MDH IS PAID SIMILARLY TO A SOLE COMMUNITY HOSPITAL BUT AT A LESSER RATE. A MDH IS PAID THE GREATER OF THE FEDERAL INPATIENT PROSPECTIVE PAYMENT SYSTEM (IPPS) RATES OR 75% OF THE DIFFERENCE BETWEEN THE HOSPITAL SPECIFIC COST FOR A BASE PERIOD ROLLED FORWARD FOR MARKET BASKET INCREASES FROM THE BASE PERIOD AND THE IPPS RATES. A SOLE COMMUNITY HOSPITAL RECEIVES 100% OF THE HOSPITAL SPECIFIC COST ROLLED FORWARD FOR FUTURE PERIODS BY MARKET BASKET INCREASES DETERMINED BY THE MEDICARE PROGRAM. DESPITE THE REIMBURSEMENT RATE, WMH EXPERIENCES A SHORTFALL OF MEDICARE COSTS OVER REVENUE YET CONTINUES TO PROVIDE SERVICES TO THE COMMUNITY, PARTICULARLY THE UNDER- AND UNINSURED. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance THE WRITTEN HOSPITAL COLLECTION POLICY CONTAINS PROVISIONS FOR FINANCIAL COUNSELING FOR PATIENTS WHICH INCLUDES APPLYING FOR COMMERCIAL INSURANCE, SUBSIDIZED GOVERNMENT PROGRAMS, AND CHARITY CARE. CHARITY CARE APPLICANTS ARE URGED TO APPLY FOR STATE SPONSORED MEDICAL ASSISTANCE BUT IT IS NOT A REQUIREMENT. QUALIFICATION FOR CHARITY CARE IS BASED ON 200% OF THE CURRENT FEDERAL POVERTY GUIDELINES. THE PATIENT ACCOUNTS MANAGER REVIEWS THE APPLICATIONS AND NOTIFIES THE APPLICANT WHETHER THEIR APPLICATION HAS BEEN APPROVED. PATIENTS QUALIFYING FOR CHARITY CARE HAVE THEIR PATIENT ACCOUNT BALANCES WRITTEN OFF. IF A CHARITY CARE ELIGIBLE PATIENT HAS FUTURE INVOICES, THEY ARE REVIEWED AT THAT TIME. IF THEIR FINANCIAL INFORMATION REMAINS CURRENT THE ADDITIONAL BALANCES ARE ALSO WRITTEN OFF. IF THE PATIENT HAS A FUTURE BILL AND THE FINANCIAL INFORMATION IS NOT CURRENT, THEY MUST REAPPLY FOR CHARITY CARE. Schedule H, Part V, Section B, Line 16a FAP website - WAYNE MEMORIAL HOSPITAL: Line 16a URL: HTTPS://WWW.WMH.ORG/FINANCIAL-ASSISTANCE/; Schedule H, Part V, Section B, Line 16b FAP Application website - WAYNE MEMORIAL HOSPITAL: Line 16b URL: HTTPS://WWW.WMH.ORG/FINANCIAL-ASSISTANCE/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - WAYNE MEMORIAL HOSPITAL: Line 16c URL: HTTPS://WWW.WMH.ORG/FINANCIAL-ASSISTANCE/; Schedule H, Part VI, Line 2 Needs assessment WAYNE MEMORIAL HOSPITAL CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EVERY THREE YEARS, IN ACCORDANCE WITH IRS REQUIREMENTS FOR NONPROFIT HOSPITALS AND THE US PUBLIC HEALTH SERVICE ACT FOR FEDERALLY QUALIFIED HEALTH CENTERS. THE MOST RECENT CHNA WAS COMPLETED AND WIDELY DISTRIBUTED ON 6/30/2025. THE ASSESSMENT ENCOMPASSED THE HOSPITAL'S SERVICE AREA: WAYNE AND PIKE COUNTIES, THE GREATER CARBONDALE REGION OF LACKAWANNA COUNTY AND THE FOREST CITY AREA IN SUSQUEHANNA COUNTY. HISTORICALLY, WAYNE MEMORIAL CONTRACTS WITH AN IRS-COMPLIANT OUTSIDE ORGANIZATION TO HELP ASSESS AND RECORD THE COMMUNITY'S HEALTH NEEDS. THE ORGANIZATION IS CHOSEN AND THE PROCESS IS GUIDED BY A LOCAL STEERING COMMITTEE CONSISTING OF REPRESENTATIVES FROM WAYNE MEMORIAL HOSPITAL (WMH), WAYNE MEMORIAL COMMUNITY HEALTH CENTERS (WMCHC, AN FQHC), WAYNE AND PIKE COUNTY GOVERNMENTS INCLUDING LOCAL DEPARTMENT OF HEALTH REPRESENTATIVES, WAYNE AND PIKE COUNTY HUMAN SERVICE AGENCIES, FOREST CITY AND CARBONDALE AREA COMMUNITY REPRESENTATIVES AND OFFICIALS FROM AREA SCHOOL DISTRICTS. THE 2025 CHNA WAS CONDUCTED IN ASSOCIATION WITH THE INSTITUTE FOR PUBLIC HEALTH RESEARCH AND INNOVATION AT EAST STROUDSBURG UNIVERSITY IN PENNSYLVANIA. THE METHODOLOGY INVOLVED BOTH QUANTITATIVE AND QUALITY ASSESSMENTS. DATA SUMMARIZING HEALTH OUTCOMES AND FACTORS WERE OBTAINED FROM THE PENNSYLVANIA DEPARTMENT OF HEALTH, THE 2025 COUNTY HEALTH RANKINGS AND ROADMAPS, AND THE CENTER FOR RURAL PENNSYLVANIA AND OTHER PUBLIC SOURCES TO IDENTIFY POPULATION GROUPS, DISEASE TRENDS, MORTALITY RATES AND CAUSES, AND VACCINATION UPTAKE IN THE COMMUNITIES SERVED BY WAYNE MEMORIAL HOSPITAL. THIS INFORMATION WAS AUGMENTED WITH AN ELECTRONIC PUBLIC SURVEY (577 RESPONDENTS), INTERVIEWS WITH COMMUNITY STAKEHOLDERS INCLUDING LEADERS FROM HEALTHCARE, SOCIAL SERVICES, EDUCATION, GOVERNMENT, AND THE GENERAL PUBLIC, TO FORM A MORE VIBRANT, COHESIVE PICTURE OF THE COMMUNITY AS A WHOLE TO ASSESS ITS NEEDS ACCORDINGLY AND DETERMINE HOW TO STRATEGIZE MEETING THOSE NEEDS. THE INSTITUTE FOR PUBLIC HEALTH RESEARCH AND INNOVATION CONDUCTED A DESCRIPTIVE AND INFERENTIAL STATISTICAL ANALYSIS OF THE SURVEY DATA USING THE SPSS V29 SOFTWARE PACKAGE. THESE FINDINGS WERE COMBINED WITH THE QUALITATIVE FINDINGS (INTERVIEWS, FOCUS GROUPS) TO ELUCIDATE PRIMARY DATA RESULTS FOR THE REGION, SPECIFICALLY LEADING HEALTH NEEDS THAT DEEPLY IMPACT THE WAYNE MEMORIAL COMMUNITY THROUGH FREQUENCY OF OCCURRENCE AND SEVERITY OF OUTCOMES AS WELL AS THOSE EXPERIENCED AT DISPROPORTIONATELY HIGH RATES RELATIVE TO OTHER COMMUNITIES. AN IMPLEMENTATION STRATEGY WAS DEVELOPED AND ADOPTED BY THE WAYNE MEMORIAL HOSPITAL AND HEALTH SYSTEM BOARD OF TRUSTEES AND IS DISTRIBUTED VIA THE HOSPITAL'S WEBSITE AT: https://www.wmh.org/chna-community-health-needs-assessment/ Schedule H, Part VI, Line 3 Patient education of eligibility for assistance THE HOSPITAL EDUCATES AND INFORMS PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE HOSPITAL'S CHARITY CARE POLICY THROUGH ITS SCHEDULING, REGISTRATION, SOCIAL SERVICES AND BILLING DEPARTMENTS. PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ARE ALSO MADE AWARE OF THEIR ELIGIBILITY THROUGH WMCHC (A CLINICAL AFFILIATE OF THE HOSPITAL WHO IS A FEDERALLY QUALIFIED HEALTH CENTER). PATIENTS RECEIVE THIS EDUCATION WHEN, DURING THE SCHEDULING OF AN APPOINTMENT TO FINAL DISPOSITION OF THEIR BILL, THERE IS ANY INDICATION OF THE NEED OR REQUEST FOR HELP IN PAYING FOR SERVICES BEING SCHEDULED, PROVIDED OR BILLED. WAYNE MEMORIAL HOSPITAL, THROUGH ITS NETWORK OF STATE HEALTH IMPROVEMENT PLAN PARTNERS ('SHIP' PARTNERS ARE ORGANIZATIONS, AGENCIES, BUSINESSES, SCHOOLS, TASK FORCES, COALITIONS, RELIGIOUS GROUPS, AND INDIVIDUALS) PROVIDES THE MODALITY FOR DELIVERING WRITTEN INFORMATION, VERBAL EXPLANATION AND ASSISTANCE IN COMPLETING FORMS FOR THE MOST VULNERABLE POPULATION. THE INFORMATION AND SERVICES ARE AVAILABLE AT MANY OF WMH'S OUTREACH FUNCTIONS. THE FINANCIAL AID POLICY BROCHURE AND GUIDELINES IS AVAILABLE AT OUTPATIENT REGISTRATION DESKS AND AT APPROPRIATE COMMUNITY OUTREACH FUNCTIONS. IT CONTAINS INFORMATION REGARDING ELIGIBILITY FOR FINANCIAL AID AT WMH, AND HOW TO APPLY FOR MEDICAL ASSISTANCE, MEDICAID, OR FINANCIAL AID. IT CONTAINS THE CONTACT INFORMATION FOR THE WAYNE MEMORIAL COMMUNITY HEALTH CENTERS' OUTREACH AND ENROLLMENT COORDINATORS AND THE MOST RECENTLY RELEASED US POVERTY INCOME GUIDELINES. PHYSICIAN DIRECTORS ARE AVAILABLE AT OUTREACH PROGRAMS. ON THE WMH WEBSITE, THERE IS A FIND A DOC TAB TO ASSIST PATIENTS IN FINDING AN APPROPRIATE PHYSICIAN AND WMH COMMUNITY HEALTH HAS A PHYSICIAN REFERRAL PHONE LINE PROVIDING PERSONAL ASSISTANCE. WHEN NECESSARY, ASSISTANCE IS PROVIDED FOR THOSE WITH LANGUAGE BARRIERS IN BOTH TRANSLATION AND SIGN LANGUAGE. Schedule H, Part VI, Line 4 Community information WAYNE MEMORIAL HOSPITAL'S PRIMARY SERVICE AREA COMPRISES OVER 110,000 PEOPLE ACROSS ALL OF WAYNE COUNTY, PA; THE WESTERN, NORTHERN AND PORTIONS OF EASTERN AND SOUTHERN PIKE COUNTY, PA; THE SOUTHEAST PORTION OF SUSQUEHANNA COUNTY, PA; THE COMMUNITY OF CARBONDALE AND ITS IMMEDIATELY SURROUNDING COMMUNITIES IN LACKAWANNA COUNTY, PA; AND THE SOUTHWEST PORTION OF SULLIVAN COUNTY, NY. THE SECONDARY SERVICE AREA INCLUDES THE BALANCE OF PIKE COUNTY AND EASTERN PORTIONS OF LACKAWANNA AND SUSQUEHANNA COUNTY IN NORTHEASTERN PENNSYLVANIA. THE WAYNE MEMORIAL HOSPITAL (WMH) SERVICE AREA IS PREDOMINANTLY RURAL, NON-HISPANIC WHITE AND SIGNIFICANTLY LESS DIVERSE THAN PENNSYLVANIA ON AVERAGE. WAYNE AND PIKE COUNTIES HAVE TWO OF THE FOUR OLDEST POPULATIONS IN PENNSYLVANIA. UNEMPLOYMENT IS HIGHER THAN THE 2025 RATE OF 3.4% IN PENNSYLVANIA -- WAYNE (3.4%), PIKE (4.6%)*. IN WAYNE AND PIKE COUNTIES A SIGNIFICANT PORTION - 26% AND 25%, RESPECTIVELY - OF THE POPULATION IS ELDERLY, AND TRANSITIONAL SENIOR HOUSING SERVICES (INCLUDING ACCESS TO NURSING HOMES) FOR OLDER ADULTS THAT ALLOWS THEM TO AGE SAFELY AND COMFORTABLY IS CITED AS A TOP NEED ON THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). WAYNE MEMORIAL IS CLASSIFIED IN THE 8TH UNITED STATES CONGRESSIONAL DISTRICT AND INCLUDES FEDERALLY CLASSIFIED MEDICALLY UNDERSERVED AREAS: ALL OF SUSQUEHANNA COUNTY AND TWO TOWNSHIPS IN WAYNE (DAMASCUS) AND PIKE (GREENE) COUNTIES. PARTS OF OUR SERVICE AREA ARE ALSO DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREAS, PARTICULARLY IN MENTAL HEALTH AND DENTAL HEALTH. 47% OF WAYNE COUNTY HAS SOME COLLEGE EDUCATION COMPARED TO 68% NATIONWIDE*. OVERALL HEALTH: WAYNE MEMORIAL HOSPITAL IS THE ONLY HOSPITAL IN WAYNE COUNTY, AND THERE IS NO HOSPITAL IN PIKE COUNTY. SUSQUEHANNA COUNTY HAS A SMALL CRITICAL-ACCESS HOSPITAL (BUT NOT IN OUR SERVICE AREA). WAYNE COUNTY'S OVERALL DEATH RATE FOR ALL FACTORS IS 860/100,000 COMPARED TO 824/100,000 FOR ALL OF PENNSYLVANIA. CAUSES OF DEATH IN WAYNE COUNTY ARE HIGHER THAN THE STATE FOR HEART, ALZHEIMER'S, AND RESPIRATORY DISEASES. CONVERSELY, PIKE COUNTY'S DEATH RATE FOR ALL CAUSES AT 668/100,000 IS SIGNIFICANTLY LOWER THAN THE STATE. HEART DISEASE DEATHS, CANCER DEATHS, MENTAL DISTRESS, AND PREVENTABLE HOSPITAL STAYS ARE ALL GREATER THAN THE STATE IN WAYNE COUNTY AND LESSER THAN THE STATE IN PIKE COUNTY. ACCORDINGLY, NEGATIVE HEALTH OUTCOMES IN WAYNE COUNTY ARE HIGHER THAN THE STATE WHILE PIKE COUNTY IS LOWER. *2025 COUNTY HEALTH RANKINGS.ORG Schedule H, Part VI, Line 5 Promotion of community health WAYNE MEMORIAL HOSPITAL (WMH) IS ACTIVELY INVOLVED IN THE COMMUNITY IT SERVES WITH THE INTENTION OF PROMOTING THE HEALTH OF OUR COMMUNITY AT LARGE. THIS INCLUDES LOCAL INDEPENDENT COMMUNITY REPRESENTATIVES AS A MAJORITY OF OUR BOARD, AGGRESSIVE RESEARCH FOR AND USE OF GRANTS FOR PROJECTS TO PROMOTE HEALTH, MEDIA PUBLICATIONS (INCLUDING SOCIAL MEDIA) TO DISSEMINATE NEWS OF OUR SERVICES AND HEALTH INFORMATION, AND A MEDICAL STAFF WILLING TO PARTNER ON PRESENTATIONS AND PROJECTS THAT BENEFIT THE COMMUNITY. WAYNE MEMORIAL HOSPITAL UTILIZES ANY EXCESS FUNDS OVER EXPENSES TO IMPROVE PATIENT CARE, CONDUCT MEDICAL AND HEALTH EDUCATION, OR SUPPORT OTHER NOT FOR PROFIT ORGANIZATIONS. WAYNE MEMORIAL HOSPITAL'S MEDICAL STAFF IS OPEN. THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR ALL OF ITS DEPARTMENTS, WITH THE EXCEPTION OF ANESTHESIOLOGY, PATHOLOGY AND RADIOLOGY, AS SERVICES IN THESE DEPARTMENTS ARE PROVIDED ON AN EXCLUSIVE BASIS TO BENEFIT PATIENT CARE. MEMBERS OF OUR MEDICAL STAFF ARE REQUIRED, WHILE PARTICIPATING AT THE HOSPITAL, TO TREAT ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY OR THEIR INSURANCE STATUS. THE HOSPITAL ACCEPTS PUBLIC ASSISTANCE, MOST PRIVATE INSURANCES, AND OFFERS CHARITY CARE TO PATIENTS WHO MEET FEDERAL POVERTY INCOME LEVELS. COMMUNITY INPUT: OUR COMMUNITY ADVISORY BOARD MEETS BI-MONTHLY TO ADVISE THE HOSPITAL ON COMMUNITY NEEDS AND RECOMMEND ACTIONS. IT IS COMPRISED OF ALL VOLUNTEERS, INCLUDING UP TO FOUR HIGH SCHOOL STUDENTS, FROM EVERY PART OF OUR SERVICE AREA, REPRESENTING BUSINESS, EDUCATION, GOVERNMENT AND SOCIAL SERVICE AGENCIES. ALL OF THE BOARD MEMBERS, CONSISTING OF CITIZENS UNAFFILIATED WITH THE HOSPITAL, WORK WITH THE HOSPITAL TO ASSURE THE HIGHEST QUALITY OF CARE IS MEETING THE NEEDS OF THEIR COMMUNITY. IN TURN, BOARD MEMBERS PROMOTE THE HOSPITAL AND INFORM THE COMMUNITY ABOUT WAYNE MEMORIAL SERVICES. COMMUNITY OUTREACH: BASED ON THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENTS (2025, 2022, ETC.), PROGRAMS ARE DESIGNED TO MEET THE NEEDS OUTLINED IN THE SUMMARY DATA. FOR EXAMPLE, THERE IS A WAYNE MEMORIAL FOOD PRESCRIPTION PROGRAM (WM FRX), FUNDED BY A PRIVATE FOUNDATION GRANT, WHICH OFFERS FOOD, COUPONS AND DIETARY ADVICE FOR PEOPLE WITH CONGESTIVE HEART FAILURE, COPD, HYPERTENSION AND DIABETES - ALL IDENTIFIED AS CRITICAL NEEDS IN THE CHNA - WHO HAVE ALSO EXPRESSED FOOD INSECURITY, A SOCIAL DETERMINANT OF HEALTH. THE HOSPITAL ALSO HAS REPRESENTATIVES FROM MANY COMMUNITY ORGANIZATIONS WHICH ARE DIRECTLY LINKED TO AREAS OF CONCERN CITED IN THE CHNA, SUCH AS ACCESS TO HOUSING, MENTAL HEALTH SERVICES, SUBSTANCE ABUSE, IMPROVED ACCESS TO CARE, HEALTH LITERACY, OLDER ADULT SERVICES AND CANCER AND HEART DISEASE. THESE ORGANIZATIONS INCLUDE BUT ARE NOT LIMITED TO: WAYNE COUNTY SYSTEM OF CARE, WAYNE/PIKE NORTHEAST SUICIDE PREVENTION INITIATIVE, WAYNE TOMORROW! HEALTH AND WELLNESS TASK FORCE, WAYNE AND PIKE AREA AGENCY ON AGING, THE NORTHEAST REGIONAL CANCER INSTITUTE, AND THE AMERICAN HEART ASSOCIATION. HOSPITAL STAFF PARTICIPATES REGULARLY IN COMMUNITY FAIRS WITH HEALTH AND HOSPITAL RELATED MATERIALS, ON-SITE BLOOD PRESSURE CHECKS AND PRESENTATIONS ON HEALTH ISSUES SUCH AS THE IMPORTANCE OF CANCER SCREENINGS (COLON, BREAST, ETC.). COMMUNITY OUTREACH, EVENTS AND EDUCATIONAL PROGRAMS ARE OFFERED TO COMMUNITY ORGANIZATIONS, AGENCIES AND COMMUNITY MEMBERS FREE OF CHARGE. HOSPITAL STAFF PROVIDE MENTORING, JOB SHADOWING, AND PRECEPTORSHIP FOR STUDENTS IN OR INTERESTED IN THE MEDICAL FIELD. SYSTEM INITIATIVES: A SAFETY NET HOSPITAL IN RURAL NORTHEAST PENNSYLVANIA AND DESIGNATED A SOLE COMMUNITY PROVIDER BY THE FEDERAL GOVERNMENT, WAYNE MEMORIAL HOSPITAL PARTICIPATES IN AN AFFORDABLE CARE ORGANIZATION WHICH COORDINATES HEALTH DATA AMONG PROVIDERS TO STREAMLINE QUALITY CARE FOR PATIENTS. Schedule H, Part VI, Line 6 Affiliated health care system THE HOSPITAL IS PART OF AN AFFILIATED HEALTH CARE SYSTEM UNDER COMMON GOVERNANCE AND CONTROL THAT INCLUDES THE HOSPITAL, WAYNE MEMORIAL LONG TERM CARE (WMLTC, WHICH OPERATES WAYNE WOODLANDS MANOR), AND BARNES-KASSON COUNTY HOSPITAL. WAYNE WOODLANDS MANOR IS A 24 HOUR NURSING FACILITY THAT PROVIDES SERVICES PRIMARILY TO MEDICAID RECIPIENTS (OVER 75% OF ITS RESIDENTS). MOST COUNTIES IN PENNSYLVANIA HAVE COUNTY OWNED AND OPERATED NURSING HOMES THAT PROVIDE SERVICES TO THIS SEGMENT OF THEIR COUNTY POPULATION. WAYNE COUNTY DOES NOT HAVE A COUNTY NURSING HOME. THIS COMMUNITY NEED IS MET BY WAYNE MEMORIAL LONG TERM CARE BY ITS OPERATION OF WAYNE WOODLANDS MANOR. WMH IS ALSO A CLINICAL AFFILIATE OF WAYNE MEMORIAL COMMUNITY HEALTH CENTERS (WMCHC), WHICH IT SUPPORTS CLINICALLY AND ADMINISTRATIVELY. WMCHC SERVES A NUMBER OF MEDICALLY UNDERSERVED AREAS AND POPULATIONS. THE HOSPITAL HAS FINANCED WMCHC'S AND WMLTC'S WORKING CAPITAL NEEDS WITH LINES OF CREDIT THAT ARE NECESSARY SUBSIDIES BECAUSE OF THE TIME DELAY BETWEEN SERVICE PERFORMANCE AND REIMBURSEMENTS RECEIVED FROM GOVERNMENT AND COMMERCIAL INSURERS. THE SYSTEM ACQUIRED BKH JULY 1, 2024. BKH IS A NOT-FOR-PROFIT CRITICAL ACCESS HOSPITAL THAT OPERATES A 25-BED ACUTE CARE INPATIENT, INTENSIVE CARE, AND SWING BED UNIT. IN ADDITION, BKH OPERATES A HOSPITAL BASED 58-BED SKILLED NURSING FACILITY AND FOUR RURAL HEALTH CLINICS. IN ADDITION, THE WAYNE MEMORIAL HOSPITAL HAS AN AFFILIATION WITH THE GEISINGER COMMONWEALTH SCHOOL OF MEDICINE (SCRANTON, PA) FOR THE PROVISION OF CLINICAL EDUCATION EXPERIENCES AT THE HOSPITAL AND WITHIN THE COMMUNITY. THE HOSPITAL CONSIDERS THIS A RESPONSIBILITY CONSISTENT WITH ITS MISSION TO BE INVOLVED IN EDUCATION. Schedule H, Part VI, Line 7 State filing of community benefit report PA false true false false false false false false false DR SYBIL RICKARD TRUSTEE 372197 0 0 0 0 0 10350 0 16350 0 398897 0 0 0 DR SEAN MCVEIGH TRUSTEE/CHIEF OF MEDICAL STAFF 575284 0 0 0 0 0 10350 0 21911 0 607545 0 0 0 JAMES PETTINATO CHIEF EXECUTIVE OFFICER 0 330924 0 0 0 23000 0 32096 0 21911 0 407931 0 0 PATRICIA DUNSINGER CHIEF FINANCIAL OFFICER 0 211723 0 0 0 0 0 12763 0 0 0 224486 0 0 JAMES HOCKENBURY CHIEF OF ANCILLARY SERVICES 0 198714 0 0 0 0 0 12087 0 8510 0 219311 0 0 CHANDRA ROBERTS CHIEF OF PATIENT CARE SERVICES 0 150778 0 0 0 0 0 0 0 17127 0 167905 0 0 UZOMA ANAELE MD PHYSICIAN 624629 0 0 0 0 0 10350 0 18576 0 653555 0 0 0 DR CLIFFORD CARROL PHYSICIAN 783451 0 0 0 0 0 10350 0 15313 0 809114 0 0 0 DR DAVID CAUCCI PHYSICIAN 666359 0 0 0 0 0 8505 0 23602 0 698466 0 0 0 DR JEFFREY MOGERMAN PHYSICIAN 647141 0 0 0 0 0 10350 0 21911 0 679402 0 0 0 DR DONALD L PREATE JR PHYSICIAN 799633 0 0 0 0 0 0 0 19782 0 819415 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation WAYNE MEMORIAL HEALTH SYSTEM, A RELATED ORGANIZATION, DETERMINES THE COMPENSATION OF THE CEO USING THE FOLLOWING METHODS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. THE BOARD MAKES THE FINAL DECISION USING THE INFORMATION PROVIDED BY THE CONSULTANT. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan WAYNE MEMORIAL HEALTH SYSTEM, A RELATED ORGANIZATION, COVERS JAMES PETTINATO WITH A 457(F) SUPPLEMENTAL RETIREMENT AGREEMENT (SERP). IN THE CURRENT YEAR THE FOLLOWING CONTRIBUTION WAS MADE: $ 9,769 A WAYNE CO HOSPITAL AND HEALTH FACILITIES AUTHORITY 232152053 946016JX9 2017-09-01 37609342 FINANCE, DESIGN, CONSTRUCTION, & EQUIPMENT false true false B WAYNE COUNTY HOSPITAL AND HEALTH FACILITIES AUTHORITY 232152053 946016GS5 2012-10-25 9997040 REUND '05 AND A PART OF '07 BONDS false true false C WAYNE COUNTY HOSPITAL AND HEALTH FACILITIES AUTHORITY 232152053 946016HU9 2012-12-20 4703786 REFUND REMAINING 2007 BONDS false true false D WAYNE COUNTY HOSPITAL AND HEALTH FACILITY AUTHORITY 232152053 2017-12-01 8000000 FINANCING DESIGN, CONSTRUCTION, AND EQUIPMENT false true false A 35000 0 37609342 136950 0 0 679633 0 0 35560559 0 0 2019 true false true true B 8330000 0 9997040 461420 0 9255837 187404 92379 0 0 0 0 2012 true false true true C 4680000 0 4703786 254563 0 4315090 93600 40533 0 0 0 0 2012 true false true true D 1881543 0 8000000 0 0 0 157818 0 0 7842182 0 0 2019 true false true true A false false false false false false 0.0 0.0 0.0 false false 0 false true B false false false false false false 0.0 0.0 0.0 false false 0 false true C false false false false false false 0.0 0.0 0.0 false false 0 false true D false false false false false false 0.0 0.0 0.0 false false 0 false true A false false false true false false 0 false false false 0 false false false B false false false true false false 0 false false false 0 false false false C false false false true false false 0 false false false 0 false false false D false false false true false false 0 false false false 0 false false false A false B false C false D false Schedule K, Part IV, Line 2c COLUMN A Issuer name: WAYNE CO HOSPITAL AND HEALTH FACILITIES AUTHORITY The calculation for computing no rebate due was performed on 10/06/2022 Schedule K, Part IV, Line 2c COLUMN B Issuer name: WAYNE COUNTY HOSPITAL AND HEALTH FACILITIES AUTHORITY The calculation for computing no rebate due was performed on 11/27/2022 Schedule K, Part IV, Line 2c COLUMN C Issuer name: WAYNE COUNTY HOSPITAL AND HEALTH FACILITIES AUTHORITY The calculation for computing no rebate due was performed on 07/11/2024 Schedule K, Part IV, Line 2c COLUMN D Issuer name: WAYNE COUNTY HOSPITAL AND HEALTH FACILITY AUTHORITY The calculation for computing no rebate due was performed on 10/06/2022 Form 990, Part VI, Line 15a & 15B - COMPENSATION REVIEW WAYNE MEMORIAL HEALTH SYSTEM, INC., (AND ALL RELATED ENTITIES) UTILIZES A COMPENSATION COMMITTEE OF THE BOARD TO SET COMPENSATION OF ITS CEO AND OTHER SENIOR MANAGERS, INCLUDING CFO, CHIEF OF PATIENT CARE SERVICES, CHIEF OF HUMAN RESOURCES, CHIEF OF REAL ESTATE AND FACILITY SERVICES, CHIEF OF PATIENT CARE SERVICES, AND THE CHIEF OF ANCILLARY SERVICES. THE COMPENSATION COMMITTEE IS MADE UP OF INDEPENDENT DIRECTORS, WHO, WITH THE ASSISTANCE OF A NATIONAL COMPENSATION CONSULTING FIRM, UTILIZE COMPARABLE DATA FROM THE MARKETPLACE, LOOKING AT SUCH THINGS AS COMPARABLE ORGANIZATIONS IN TERMS OF REVENUE, SIZE, COMPLEXITY AND GEOGRAPHIC REGION. THE ORGANIZATION HAS ADOPTED A PHILOSOPHY OF PAYING AT THE 50TH PERCENTILE OF THE MARKETPLACE. ALL MEETINGS OF THE COMPENSATION COMMITTEE ARE DOCUMENTED AND MINUTES ARE MAINTAINED OF THE DELIBERATION AND DECISION-MAKING PROCESS. THE PROCESS NORMALLY OCCURS FROM JUNE TO OCTOBER OF THE YEAR THE COMPENSATION CHANGES ARE GRANTED. Form 990, Part VI, Line 6 7A & 7B - MEMBERS OR STOCKHOLDERS WAYNE MEMORIAL HEALTH SYSTEM INC. (THE SYSTEM), A RELATED ORGANIZATION AND A PENNSYLVANIA NONPROFIT CORPORATION, IS THE SOLE MEMBER OF WAYNE MEMORIAL HOSPITAL. WAYNE MEMORIAL HEALTH SYSTEM, INC. IS ENTITLED TO APPROVE THE ELECTION OF THE BOARD MEMBERS AND OFFICERS OF WAYNE MEMORIAL HOSPITAL, INC. ALL OF WHOM SHALL BE APPROVED BY WAYNE MEMORIAL HEALTH SYSTEM, INC, A RELATED ORGANIZATION. THE FOLLOWING DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO APPROVAL BY WAYNE MEMORIAL HEALTH SYSTEM, INC.: (A) AMENDMENT OF THE BYLAWS OR THE ARTICLES OF CORPORATION (B) MERGER OR CONSOLIDATION WITH ANY OTHER ENTITY (C) DISSOLUTION AND DISTRIBUTION OF ASSETS IN CONNECTION THEREWITH (D) ELECTION OF OFFICERS OF THIS CORPORATION (E) ADOPTION OF INVESTMENT POLICIES AND SELECTION OF INVESTMENT ADVISORS (F) INVESTMENT OF RESTRICTED GIFTS (G) SELECTION OF AUDITORS AND ATTORNEYS (H) ADOPTION OF OPERATING AND CAPITAL BUDGETS (I) APPROVAL OF FUND-RAISING PROGRAMS (J) DONATION OR TRANSFER OF ANY ASSET WITH AN AGGREGATE VALUE IN EXCESS OF SUCH AMOUNT AS MAY BE DETERMINED BY THE BOARD OF WAYNE MEMORIAL HEALTH SYSTEM FROM TIME TO TIME (K) CREATION OF ANY LIEN OR SECURITY INTEREST IN ASSETS OF THE CORPORATION (L) DESIGNATION OR RESTRICTION OF GIFTS WITH A MARKET VALUE IN EXCESS OF SUCH AMOUNT AS MAY BE DETERMINED BY THE BOARD OF WAYNE MEMORIAL HEALTH SYSTEM FROM TIME TO TIME, AND (M) ANY OTHER MATTER THAT WOULD REQUIRE THE APPROVAL OF THE MEMBERS OF A PENNSYLVANIA NONPROFIT CORPORATION. Form 990, Part VI, Line 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS JAMES PETTINATO (CHIEF EXECUTIVE OFFICER), JAMES HOCKENBURY (CHIEF OF ANCILLARY SERVICES), PATRICIA DUNSINGER (CHIEF FINANCIAL OFFICER), AND CHANDRA ROBERTS (CHIEF OF PATIENT CARE SERVICES) ARE COMPENSATED BY WAYNE MEMORIAL HEALTH SYSTEM, A RELATED ORGANIZATION. JAMES PETTINATO (CEO) SERVES ON THE BOARD OF TRUSTEES OF THE ORGANIZATION THAT EMPLOYS MARY BETH WOOD, A TRUSTEE OF WAYNE MEMORIAL HOSPITAL. Form 990, Part VI, Line 3 Delegation of management duties WAYNE MEMORIAL HEALTH SYSTEM, INC., PROVIDES MANAGEMENT OVER THE ORGANIZATION THROUGH DIRECT EMPLOYMENT OF THE DIRECTORS AND OFFICERS OF THE ORGANIZATION. THE MANAGEMENT SERVICES PROVIDED ARE REIMBURSED TO WAYNE MEMORIAL HEALTH SYSTEM THROUGH A MANAGEMENT FEE. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. A COPY OF THE FORM 990 WILL BE REVIEWED WITH THE FINANCE COMMITTEE WHICH IS RESPONSIBLE FOR THE FINANCIAL OVERSIGHT OF ALL ENTITIES OF THE WAYNE MEMORIAL HEALTH SYSTEM. A COPY OF THE 990 WILL BE DISTRIBUTED VIA E-MAIL TO EACH BOARD MEMBER BEFORE THE RETURN IS SUBMITTED TO THE IRS. MANAGEMENT WILL DISCUSS ANY QUESTIONS THAT ANY BOARD MEMBER MAY HAVE AT THE NEXT FULL BOARD MEETING. Form 990, Part VI, Line 12c Conflict of interest policy CONFLICT OF INTEREST STATEMENTS ARE COMPLETED BY EVERY BOARD MEMBER AND MANAGER ANNUALLY. EACH INDIVIDUAL IS REQUIRED TO SIGN AND RETURN THE STATEMENTS TO THE ADMINISTRATION OFFICE. THE AUDIT COMMITTEE 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, Line 19 Required documents available to the public THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND/OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part IX, Line 11g Other Fees PROFESSIONAL SERVICE FEES - Total Expense: 11622893, Program Service Expense: 11622893, Management and General Expenses: 0, Fundraising Expenses: ; TEMPORARY/LEASED EMPLOYEE - Total Expense: 11562502, Program Service Expense: 11562002, Management and General Expenses: 500, Fundraising Expenses: ; PURCHASED SERVICE FEES - Total Expense: 9538040, Program Service Expense: 7159038, Management and General Expenses: 2379002, Fundraising Expenses: ; MAINTENANCE CONTRACTS - Total Expense: 169956, Program Service Expense: 167477, Management and General Expenses: 2479, Fundraising Expenses: ; COLLECTION EXPENSES - Total Expense: 127375, Program Service Expense: 2454, Management and General Expenses: 124921, Fundraising Expenses: ; TRUSTEE FEES - Total Expense: 10280, Program Service Expense: 0, Management and General Expenses: 10280, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST - 132679; CHANGE IN DEFINED BENEFIT PENSION PLAN - 130057; CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION - 19415; TRANSFER FROM AFFILIATE - 1896; Total - 284047; WAYNE MEMORIAL HEALTH FOUNDATION INC 601 PARK STREET HONESDALE PA 18431 232208596 FUNDRAISING PA 501(c)(3) Type I WMHS false WAYNE MEMORIAL HEALTH SYSTEM INC 601 PARK STREET HONESDALE PA 18431 232221292 OVERSIGHT PA 501(c)(3) Type II NA false WAYNE MEMORIAL LONG TERM CARE 37 WOODLANDS DRIVE WAYMART PA 18472 232719336 NURSING HOME PA 501(c)(3) 10 WMHS false BARNES-KASSON COUNTY HOSPITAL 2872 TURNPIKE STREET SUSQUEHANNA PA 18847 240798681 HOSPITAL PA 501(c)(3) 3 WMHS false WAYNE HEALTH SERVICES INC 601 PARK STREET HONESDALE PA 18431 232376183 RENT PA WMH System C Corporation false FERGUSON KIRWAN BUNTING CHARITABLE TRUST TRUST PA WMH Trust 643 30859 1.0000 true false false true true false false false false false true true false true true true true true false true