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Nonprofiteer
← WAYNE MEMORIAL HEALTH SYSTEM INC

Form 990 for tax year 2022

Filed by WAYNE MEMORIAL HEALTH SYSTEM INC.

Totals

Total revenue
$1,463,478
Total expenses
$1,561,613
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$1,422,096
Investment income
$0
Other revenue
$41,382
Total assets, end of year
$4,875,805
Total liabilities, end of year
$909,350
Net assets or fund balances, end of year
$3,966,455
Program services expenses (Part IX)
$1,290,577
Management and general expenses
$271,036
Fundraising expenses
$0
Program service expenses (Part III)
$1,290,577

Program services were 82.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • DR SEAN MCVEIGH

    TRUSTEE/CHIEF OF MS

    Total calculated
    $429,545
    From this org
    $0
    From related orgs
    $398,834
    Other
    $30,711
    Hours/week
    0.8 + 39.2 related

    Schedule J breakdown matched by us

    Base
    $0 + $398,834 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $10,450 related
    Nontaxable benefits
    $0 + $20,261 related
    Filer's total
    $0 + $429,545 related

  • JAMES PETTINATO

    CEO

    Total calculated
    $386,301
    From this org
    $338,430
    From related orgs
    $0
    Other
    $47,871
    Hours/week
    0.1 + 39.9 related

    Schedule J breakdown matched by us

    Base
    $309,052
    Bonus
    $0
    Other
    $29,378
    Deferred
    $27,610
    Nontaxable benefits
    $20,261
    Filer's total
    $386,301

  • PATRICIA DUNSINGER

    CFO

    Total calculated
    $194,873
    From this org
    $180,601
    From related orgs
    $0
    Other
    $14,272
    Hours/week
    14.8 + 25.2 related

    Schedule J breakdown matched by us

    Base
    $180,601
    Bonus
    $0
    Other
    $0
    Deferred
    $10,895
    Nontaxable benefits
    $3,377
    Filer's total
    $194,873

  • JAMES HOCKENBURY

    CHIEF OF ANCILLARY SERVICES

    Total calculated
    $185,431
    From this org
    $167,895
    From related orgs
    $0
    Other
    $17,536
    Hours/week
    6 + 34 related

    Schedule J breakdown matched by us

    Base
    $167,895
    Bonus
    $0
    Other
    $0
    Deferred
    $10,230
    Nontaxable benefits
    $7,306
    Filer's total
    $185,431

  • BETHANY FINE

    CHIEF OF HUMAN RESOURCES

    Total calculated
    $163,540
    From this org
    $132,330
    From related orgs
    $0
    Other
    $31,210
    Hours/week
    13.2 + 26.8 related

    Schedule J breakdown matched by us

    Base
    $132,330
    Bonus
    $0
    Other
    $0
    Deferred
    $8,343
    Nontaxable benefits
    $22,867
    Filer's total
    $163,540

  • CHANDRA ROBERTS

    CHIEF OF PATIENT CARE SERVICES

    Total calculated
    $130,130
    From this org
    $115,427
    From related orgs
    $0
    Other
    $14,703
    Hours/week
    0.8 + 39.2 related

  • TIMOTHY HUBER

    CHIEF OF REAL ESTATE AND FACIL

    Total calculated
    $128,906
    From this org
    $103,888
    From related orgs
    $0
    Other
    $25,018
    Hours/week
    13.2 + 26.8 related

  • BRAD KIESENDAHL

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.8 + 0.8 related

  • CHRISTINE RECHNER

    TRUSTEE/ WM LTC CHAIRMAN

    Total calculated
    $0
    Hours/week
    0.8 + 2.4 related

  • DIANE POPOVICH

    TRUSTEE/AUXILIARY PRESIDENT

    Total calculated
    $0
    Hours/week
    0.8 + 0.8 related

  • DR JASON ZIELINSKI

    TRUSTEE/MS VP

    Total calculated
    $0
    Hours/week
    0.8 + 0.8 related

  • FRANK BORELLI

    TREASURER

    Total calculated
    $0
    Hours/week
    0.8 + 0.8 related

  • HUGH RECHNER

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    1 + 0.8 related

  • JOANN HUDAK

    1ST VICE CHAIR

    Total calculated
    $0
    Hours/week
    0.8 + 0.8 related

  • KATE BRYANT

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.8 + 0.8 related

  • KEITH GUNUSKEY

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.8 + 0.8 related

  • MARY BURNS HOFF

    SECRETARY

    Total calculated
    $0
    Hours/week
    0.8 + 0.8 related

  • MARY BETH WOOD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.8 + 0.8 related

  • NANCY MORO

    TRUSTEE/CAB PRESIDENT

    Total calculated
    $0
    Hours/week
    0.8 + 1 related

  • NANCY PROPST

    TRUSTEE/FOUNDATION CHAIRMAN

    Total calculated
    $0
    Hours/week
    0.8 + 1.3 related

  • PAUL KARPIAK

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.8 + 0.8 related

  • RON SCHMALZE

    TRUSTEE END 12/22

    Total calculated
    $0
    Hours/week
    0.8 + 0.8 related

  • WENDELL HUNT

    2ND VICE CHAIR

    Total calculated
    $0
    Hours/week
    0.8 + 0.8 related

  • MELISSA RICKARD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.8 + 0.8 related

  • DR SANDY COSKLO

    TRUSTEE/MS PRESIDENT

    Total calculated
    $0
    Hours/week
    0.8 + 0.8 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

SCHEDULE J, PART I, LINE 4B
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: WAYNE MEMORIAL HEALTH SYSTEM COVERS JAMES PETTINATO WITH A 457(F) SUPPLEMENTAL RETIREMENT AGREEMENT (SERP). IN THE CURRENT YEAR THE FOLLOWING CONTRIBUTION WAS MADE: $ 9,310

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2022
Filed
15 May 2024
IRS schema version
2022v5.0
Source object
202421369349315987

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