Form 990 for tax year 2023
Filed by WAYNE MEMORIAL HEALTH SYSTEM INC.
Totals
- Total revenue
- $1,354,157
- Total expenses
- $1,278,590
- Contributions and grants received
- $0
- Grants paid
- $0
- Program service revenue
- $1,275,076
- Investment income
- $0
- Other revenue
- $79,081
- Total assets, end of year
- $5,304,621
- Total liabilities, end of year
- $962,599
- Net assets or fund balances, end of year
- $4,342,022
- Program services expenses (Part IX)
- $1,055,032
- Management and general expenses
- $223,558
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $1,055,032
Program services were 82.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
2a · Program service revenue: MANAGEMENT FEE REVENUE
total $1,275,076 · related or exempt $1,275,076
-
2f · All other program service revenue
total $0 · related or exempt $0 · unrelated business $0 · excluded $0
-
6c · Rental income or loss
real property $0 · personal property $0
-
7c · Gain or loss
securities $0 · other assets $0
-
11a · Other revenue: GAIN/LOSS ON EQUITY INVESTEE
total $79,081 · excluded $79,081
-
11d · All other revenue
total $0 · related or exempt $0 · unrelated business $0 · excluded $0
-
11e · Other revenue, total
$79,081
Functional expenses
Part IX, the statement of functional expenses.
-
5 · Compensation of officers, directors and key employees
total $601,425 · program services $499,182 · management and general $102,243
-
7 · Other salaries and wages
total $500,923 · program services $415,766 · management and general $85,157
-
8 · Pension plan contributions
total $26,137 · program services $21,694 · management and general $4,443
-
9 · Other employee benefits
total $78,022 · program services $64,759 · management and general $13,263
-
10 · Payroll taxes
total $64,096 · program services $53,200 · management and general $10,896
-
11c · Fees: accounting
total $7,445 · management and general $7,445
-
11g · Fees: other
total $0 · program services $0 · management and general $0 · fundraising $0
-
23 · Insurance
total $542 · program services $431 · management and general $111
-
24e · All other expenses
total $0 · program services $0 · management and general $0 · fundraising $0
Balance sheet
Part X, book values.
-
2 · Savings and temporary cash investments
beginning of year $160,872 · end of year $151,376
-
5 · Loans and receivables from officers and key people
beginning of year $0 · end of year $0
-
6 · Loans and receivables from disqualified persons
beginning of year $0 · end of year $0
-
9 · Prepaid expenses and deferred charges
beginning of year $577,672 · end of year $507,426
-
10a · Land, buildings and equipment: cost or other basis
$0
-
10b · Land, buildings and equipment: accumulated depreciation
$0
-
10c · Land, buildings and equipment, net
beginning of year $0 · end of year $0
-
12 · Investments: other securities
beginning of year $4,136,481 · end of year $4,515,459
-
13 · Investments: program-related
beginning of year $0
-
15 · Other assets
beginning of year $780 · end of year $130,360
-
17 · Accounts payable and accrued expenses
beginning of year $376,672 · end of year $328,432
-
22 · Loans and payables to officers and key people
beginning of year $0 · end of year $0
-
25 · Other liabilities
beginning of year $532,678 · end of year $634,167
-
27 · Net assets without donor restrictions
beginning of year $3,966,455 · end of year $4,342,022
Mission and programs · 2023
Mission
Wayne Memorial Health System desires to be the provider of first choice for community health care in Wayne and Pike Counties and the Greater Carbondale and Forest City regions of northeast Pennsylvania.
Activities or mission (Part I)
Designed to serve the healthcare needs of all residents of Wayne and Pike Counties in Pennsylvania, Wayne Memorial Health System offers a continuum of care, from birth to hospice services.
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WAYNE MEMORIAL HEALTH SYSTEM PROMOTES THE HEALTH OF THOSE WHO LIVE IN THE COMMUNITY IT SERVES IN WAYNE AND PIKE COUNTIES, PENNSYLVANIA, AS THE SOLE MEMBER OF WAYNE MEMORIAL HOSPITAL, WAYNE MEMORIAL LONG-TERM CARE AND THE WAYNE MEMORIAL HEALTH FOUNDATION. THE HEALTH SYSTEM'S LARGEST PROGRAM SERVICES BY EXPENSE STEM FROM WAYNE MEMORIAL HOSPITAL AND WAYNE MEMORIAL LONG-TERM CARE. WAYNE MEMORIAL HOSPITAL IS A NON-PROFIT 90-BED ACUTE CARE HOSPITAL WITH AN EMERGENCY DEPARTMENT THAT IS OPEN 24 HOURS PER DAY. THE HOSPITAL ALSO OPERATES 14 BEDS DEDICATED TO INPATIENT REHABILITATION. THE HOSPITAL IS THE ONLY HOSPITAL IN WAYNE COUNTY, A RURAL AREA WITH AN AGING POPULATION. WE OFFER CHARITY CARE AT REDUCED RATES OR WITHOUT CHARGE FOR THOSE WHO CANNOT AFFORD SERVICES AND WHO MEET CERTAIN CRITERIA.
Expenses $1,055,032 · Revenue $1,275,076
As filed on the 2023 return.
Listed in Part VII
-
Frank BorelliFRANK BORELLI
TREASURER END; TRUSTEE BEG 10/23
- Total calculated
- $0
- Hours/week
- 0.8 + 0.8 related
-
Hugh RechnerHUGH RECHNER
CHAIRMAN
- Total calculated
- $0
- Hours/week
- 1 + 0.8 related
-
Joann HudakJOANN HUDAK
1ST VICE CHAIR
- Total calculated
- $0
- Hours/week
- 0.8 + 0.8 related
-
Kate BryantKATE BRYANT
TREASURER BEG 10/23
- Total calculated
- $0
- Hours/week
- 0.8 + 0.8 related
-
Mary Beth WoodMARY BETH WOOD
VICE CHAIR BEG 10/23
- Total calculated
- $0
- Hours/week
- 0.8 + 0.8 related
-
Mary Burns HoffMARY BURNS HOFF
SECRETARY
- Total calculated
- $0
- Hours/week
- 0.8 + 0.8 related
-
Wendell HuntWENDELL HUNT
2ND VICE CHAIR END 12/23
- Total calculated
- $0
- Hours/week
- 0.8 + 0.8 related
-
Brad KiesendahlBRAD KIESENDAHL
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.8 + 0.8 related
-
Christine RechnerCHRISTINE RECHNER
TRUSTEE/ WM LTC CHAIRMAN
- Total calculated
- $0
- Hours/week
- 0.8 + 2.4 related
-
Diane PopovichDIANE POPOVICH
TRUSTEE/AUXILIARY PRESIDENT
- Total calculated
- $0
- Hours/week
- 0.8 + 0.8 related
-
Dr Jason ZielinskiDR JASON ZIELINSKI
TRUSTEE/MS PRESIDENT
- Total calculated
- $0
- Hours/week
- 0.8 + 0.8 related
-
Dr Sean McVeighDR SEAN MCVEIGH
TRUSTEE/CHIEF OF MEDICAL STAFF
- Total calculated
- $566,203
- From this org
- $0
- From related orgs
- $544,740
- Other
- $21,463
- Hours/week
- 0.8 + 39.2 related
Schedule J breakdown matched by us
- Base
- $0 + $544,740 related
- Bonus
- $0
- Other
- $0
- Deferred
- $0 + $1,300 related
- Nontaxable benefits
- $0 + $20,163 related
- Filer's total
- $0 + $566,203 related
-
Dr Sibyl RickardDR SIBYL RICKARD
TRUSTEE/MS VICE PRESIDENT
- Total calculated
- $325,055
- From this org
- $0
- From related orgs
- $300,287
- Other
- $24,768
- Hours/week
- 0.8 + 39.2 related
Schedule J breakdown matched by us
- Base
- $0 + $300,287 related
- Bonus
- $0
- Other
- $0
- Deferred
- $0 + $9,102 related
- Nontaxable benefits
- $0 + $15,666 related
- Filer's total
- $0 + $325,055 related
-
Keith GunuskeyKEITH GUNUSKEY
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.8 + 0.8 related
-
Nancy MoroNANCY MORO
TRUSTEE END 09/23
- Total calculated
- $0
- Hours/week
- 0.8 + 1 related
-
Nancy PropstNANCY PROPST
TRUSTEE/FOUNDATION CHAIRMAN
- Total calculated
- $0
- Hours/week
- 0.8 + 1.3 related
-
Paul KarpiakPAUL KARPIAK
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.8 + 0.8 related
-
James PettinatoJAMES PETTINATO
CHIEF EXECUTIVE OFFICER
- Total calculated
- $371,905
- From this org
- $324,954
- From related orgs
- $0
- Other
- $46,951
- Hours/week
- 0.1 + 39.9 related
Schedule J breakdown matched by us
- Base
- $302,454
- Bonus
- $0
- Other
- $22,500
- Deferred
- $25,500
- Nontaxable benefits
- $21,451
- Filer's total
- $371,905
-
Patricia DunsingerPATRICIA DUNSINGER
CHIEF FINANCIAL OFFICER
- Total calculated
- $229,520
- From this org
- $217,115
- From related orgs
- $0
- Other
- $12,405
- Hours/week
- 14.8 + 25.2 related
Schedule J breakdown matched by us
- Base
- $217,115
- Bonus
- $0
- Other
- $0
- Deferred
- $12,405
- Nontaxable benefits
- $0
- Filer's total
- $229,520
-
Bethany FineBETHANY FINE
CHIEF OF HUMAN RESOURCES END 12/23
- Total calculated
- $202,264
- From this org
- $167,962
- From related orgs
- $0
- Other
- $34,302
- Hours/week
- 13.2 + 26.8 related
Schedule J breakdown matched by us
- Base
- $167,962
- Bonus
- $0
- Other
- $0
- Deferred
- $9,965
- Nontaxable benefits
- $24,337
- Filer's total
- $202,264
-
Chandra RobertsCHANDRA ROBERTS
CHIEF OF PATIENT CARE SERVICES
- Total calculated
- $165,741
- From this org
- $150,075
- From related orgs
- $0
- Other
- $15,666
- Hours/week
- 0.8 + 39.2 related
Schedule J breakdown matched by us
- Base
- $150,075
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $15,666
- Filer's total
- $165,741
-
James HockenburyJAMES HOCKENBURY
CHIEF OF ANCILLARY SERVICES
- Total calculated
- $224,233
- From this org
- $204,631
- From related orgs
- $0
- Other
- $19,602
- Hours/week
- 6 + 34 related
Schedule J breakdown matched by us
- Base
- $204,631
- Bonus
- $0
- Other
- $0
- Deferred
- $11,818
- Nontaxable benefits
- $7,784
- Filer's total
- $224,233
-
Timothy HuberTIMOTHY HUBER
CHIEF OF REAL ESTATE AND FACILITIES
- Total calculated
- $158,376
- From this org
- $129,414
- From related orgs
- $0
- Other
- $28,962
- Hours/week
- 13.2 + 26.8 related
Schedule J breakdown matched by us
- Base
- $129,414
- Bonus
- $0
- Other
- $0
- Deferred
- $7,374
- Nontaxable benefits
- $21,588
- Filer's total
- $158,376
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: $7,500
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.
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501(c)(3) · HOSPITAL · PA · controlled entity
Directly controlled by WMHS
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WAYNE MEMORIAL LONG TERM CARE INC
501(c)(3) · NURSING FACIL · PA · controlled entity
Directly controlled by WMHS
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WAYNE MEMORIAL HEALTH FOUNDATION INC
501(c)(3) · FUNDRAISING · PA · controlled entity
Directly controlled by WMHS
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.
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WAYNE HEALTH SERVICES INC
C Corporation · RENT · PA · 100% owned · share of income $607,599 · share of assets $1,935,746 · controlled entity
Directly controlled by WMH SYSTEM
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 15 May 2025
- IRS schema version
- 2023v6.0
- Source object
- 202531359349312468
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