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Nonprofiteer
← WAYNE HOSPITAL COMPANY

Form 990 for tax year 2022

Filed by WAYNE HOSPITAL COMPANY.

Totals

Total revenue
$74,062,077
Total expenses
$78,345,098
Contributions and grants received
$608,224
Grants paid
$45,750
Program service revenue
$62,212,060
Investment income
$10,485,827
Other revenue
$755,966
Total assets, end of year
$184,002,614
Total liabilities, end of year
$56,086,695
Net assets or fund balances, end of year
$127,915,919
Program services expenses (Part IX)
$64,481,630
Management and general expenses
$13,863,468
Fundraising expenses
$0
Program service expenses (Part III)
$64,481,630

Program services were 82.3% 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.

  • 1d · Related organizations

    $16,173

  • 1e · Government grants (contributions)

    $582,051

  • 1f · All other contributions, gifts and grants

    $10,000

  • 2a · Program service revenue: NET PATIENT SERVICE REVENUE

    total $62,212,060 · related or exempt $62,212,060

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $3,043,163 · excluded $3,043,163

  • 6a · Gross rents

    real property $288,655

  • 6b · Less rental expenses

    real property $151,243

  • 6c · Rental income or loss

    real property $137,412 · personal property $0

  • 6d · Net rental income or loss

    total $137,412 · excluded $137,412

  • 7a · Gross sales of assets other than inventory

    securities $83,089,852 · other assets $1,381,993

  • 7b · Less cost or other basis and sales expenses

    securities $76,673,791 · other assets $355,390

  • 7c · Gain or loss

    securities $6,416,061 · other assets $1,026,603

  • 7d · Net gain or loss

    total $7,442,664 · excluded $7,442,664

  • 11a · Other revenue: FOOD SALES

    total $315,454 · excluded $315,454

  • 11b · Other revenue: HOUSEKEEPING

    total $10,764 · related or exempt $10,764

  • 11c · Other revenue: REBATE REVENUE

    total $276,279 · related or exempt $276,279

  • 11d · All other revenue

    total $16,057 · related or exempt $16,057 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $618,554

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $45,750 · program services $45,750

  • 2 · Grants to domestic individuals

    total $0 · program services $0

  • 3 · Grants to foreign organizations and individuals

    total $0 · program services $0

  • 4 · Benefits paid to or for members

    total $0 · program services $0

  • 5 · Compensation of officers, directors and key employees

    total $994,927 · program services $0 · management and general $994,927 · fundraising $0

  • 6 · Compensation of disqualified persons

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 7 · Other salaries and wages

    total $22,696,886 · program services $19,997,529 · management and general $2,699,357 · fundraising $0

  • 8 · Pension plan contributions

    total $730,053 · program services $643,227 · management and general $86,826 · fundraising $0

  • 9 · Other employee benefits

    total $8,499,997 · program services $7,489,086 · management and general $1,010,911 · fundraising $0

  • 10 · Payroll taxes

    total $1,888,742 · program services $1,594,229 · management and general $294,513 · fundraising $0

  • 11a · Fees: management

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 11b · Fees: legal

    total $95,796 · program services $0 · management and general $95,796 · fundraising $0

  • 11c · Fees: accounting

    total $54,000 · program services $0 · management and general $54,000 · fundraising $0

  • 11d · Fees: lobbying

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 11e · Fees: professional fundraising services

    total $0 · fundraising $0

  • 11f · Fees: investment management

    total $284,004 · program services $0 · management and general $284,004 · fundraising $0

  • 11g · Fees: other

    total $17,048,896 · program services $14,545,905 · management and general $2,502,991 · fundraising $0

  • 12 · Advertising and promotion

    total $400,492 · program services $355,594 · management and general $44,898 · fundraising $0

  • 13 · Office expenses

    total $92,525 · program services $53,734 · management and general $38,791 · fundraising $0

  • 14 · Information technology

    total $1,016,526 · program services $279,699 · management and general $736,827 · fundraising $0

  • 15 · Royalties

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 16 · Occupancy

    total $1,681,611 · program services $1,153,767 · management and general $527,844 · fundraising $0

  • 17 · Travel

    total $57,421 · program services $35,603 · management and general $21,818 · fundraising $0

  • 18 · Travel or entertainment for public officials

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 19 · Conferences, conventions and meetings

    total $102,843 · program services $90,368 · management and general $12,475 · fundraising $0

  • 20 · Interest

    total $2,378,897 · program services $927,770 · management and general $1,451,127 · fundraising $0

  • 21 · Payments to affiliates

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 22 · Depreciation, depletion and amortization

    total $8,683,880 · program services $7,277,091 · management and general $1,406,789 · fundraising $0

  • 23 · Insurance

    total $536,012 · program services $258,200 · management and general $277,812 · fundraising $0

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $7,787,276 · program services $7,766,631 · management and general $20,645 · fundraising $0

  • 24b · Other expenses: MAINTENANCE AGREEMENTS

    total $1,874,620 · program services $1,065,682 · management and general $808,938 · fundraising $0

  • 24c · Other expenses: DIETARY

    total $401,535 · program services $357,242 · management and general $44,293 · fundraising $0

  • 24d · Other expenses: BOOKS AND REPORTS

    total $669,593 · program services $481,373 · management and general $188,220 · fundraising $0

  • 24e · All other expenses

    total $322,816 · program services $63,150 · management and general $259,666 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $5,989,178 · end of year $2,283,657

  • 2 · Savings and temporary cash investments

    beginning of year $23,257,573 · end of year $19,113,101

  • 4 · Accounts receivable

    beginning of year $8,075,522 · end of year $7,724,845

  • 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

  • 7 · Other notes and loans receivable

    beginning of year $12,316 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $1,968,518 · end of year $1,774,975

  • 9 · Prepaid expenses and deferred charges

    beginning of year $1,106,595 · end of year $1,404,799

  • 10a · Land, buildings and equipment: cost or other basis

    $175,444,450

  • 10b · Land, buildings and equipment: accumulated depreciation

    $91,640,913

  • 10c · Land, buildings and equipment, net

    beginning of year $87,248,982 · end of year $83,803,537

  • 11 · Investments: publicly traded securities

    beginning of year $75,478,456 · end of year $60,097,259

  • 12 · Investments: other securities

    beginning of year $9,506,173 · end of year $5,687,885

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $6,768,126 · end of year $2,112,556

  • 17 · Accounts payable and accrued expenses

    beginning of year $6,704,531 · end of year $7,853,277

  • 20 · Tax-exempt bond liabilities

    beginning of year $62,778,915 · end of year $47,715,704

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $150,727 · end of year $76,868

  • 25 · Other liabilities

    beginning of year $2,160,237 · end of year $440,846

  • 27 · Net assets without donor restrictions

    beginning of year $147,496,584 · end of year $127,801,555

  • 28 · Net assets with donor restrictions

    beginning of year $120,445 · end of year $114,364

Mission and programs · 2022

Mission

The mission of Wayne Hospital Corporation is to provide outpatient and inpatient services at a level to rank prominently on a regional and national basis for quality of care, patient satisfaction and spirituality support. The hospital collaborates with other health care providers to develop new and/or improved services for residents of Darke County, Ohio.

Activities or mission (Part I)

The mission of Wayne Hospital Company is providing quality care and promoting wellness close to home.

  • AS A FULL-SERVICE PRIMARY CARE FACILITY, WAYNE HOSPITAL OFFERS PHYSICIANS AND THEIR PATIENTS ACCESS TO A VARIETY OF INPATIENT AND OUTPATIENT SERVICES INCLUDING: EMERGENCY, RADIOLOGY, MATERNITY/SPECIAL BEGINNINGS, SURGERY, SENIOR BEHAVIORAL HEALTH, HEART HEALTH, CANCER CARE, REHABILITATION SERVICES, LABORATORY, CHRONIC DIALYSIS CENTER, AMBULATORY CARE, OUTPATIENT REHABILITATION, DIABETES EDUCATION PROGRAM, SLEEP CARE SERVICES, AND ENTEROSTOMAL THERAPY. THE HOSPITAL HAD APPROXIMATELY 1,423 ADMISSIONS AND 71,772 OUTPATIENT VISITS IN 2022. THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS FINANCIAL ASSISTANCE POLICY AT NO CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. IN ADDITION TO THE FINANCIAL ASSISTANCE PROVIDED, WAYNE HOSPITAL ALSO IS PROACTIVE IN SUPPORTING COMMUNITY WELLNESS THROUGH HEALTH SCREENINGS, EDUCATION, AND HEALTH MANAGEMENT.

    Expenses $64,332,188 · Grants $45,750 · Revenue $62,507,515

  • WAYNE HOSPITAL HAS MANY ADDITIONAL PROGRAMS. ADDITIONAL PROGRAMS INCLUDE THE COUNTY AND CORPORATE HEALTH FAIRS IN WHICH EMPLOYEES FROM THE HOSPITAL PROVIDED 616 HOURS OF TIME TO HELP WITH HEALTH SCREENINGS AND PROVIDE EDUCATIONAL INFORMATION TO THE COMMUNITY. IN ADDITION TO THE COUNTY AND CORPORATE HEALTH FAIRS, WAYNE HOSPITAL TYPICALLY CONTRIBUTES HOURS TO THE YOUTH HEALTH FAIR, WHICH IS A HEALTH FAIR GEARED TO ALL THE FIFTH GRADERS IN DARKE COUNTY. 0 STUDENTS WERE IN ATTENDANCE FOR 2022, AS IT WAS NOT HELD. (CONTINUED ON SCHEDULE O)

    Expenses $149,442 · Revenue $7,645

As filed on the 2022 return.

Listed in Part VII

  • ANNA HATIC DO

    SEC/TREASURER (PART YEAR)/VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • CAROLINE SCHMIDT

    BOARD MEMBER/SEC/TREASURER

    Total calculated
    $0
    Hours/week
    1

  • DAN WATREN

    VICE CHAIR (PART YEAR)/CHAIR

    Total calculated
    $0
    Hours/week
    1

  • ERIC EVERMAN

    PAST CHAIR (PART YEAR)/BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • ALISHA REISS

    SURGEON

    Total calculated
    $495,189
    From this org
    $461,745
    From related orgs
    $0
    Other
    $33,444
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $458,412
    Bonus
    $3,333
    Other
    $0
    Deferred
    $9,230
    Nontaxable benefits
    $24,214
    Filer's total
    $495,189

  • ALEX POHLMAN

    BOARD MEMBER (PART YEAR)

    Total calculated
    $0
    Hours/week
    1

  • CRAIG GANGER

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • DIANE EWING

    BOARD MEMBER (PART YEAR)

    Total calculated
    $0
    Hours/week
    1

  • JACOB BROERING

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • JANELLE BRINKSNEADER

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • JOHN DUTRO MD

    CHAIR (PART YEAR)/PAST CHAIR (PART YEAR)

    Total calculated
    $0
    Hours/week
    1

  • JOHN WARNER

    BOARD MEMBER (PART YEAR)

    Total calculated
    $0
    Hours/week
    1

  • KARA ALLREAD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • KATHY HARPER

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • M LYNNE HAWLEY MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • MARY GARMAN

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • SUSAN SHIELDS

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • TONYA BREYMIER

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • TRAVIS FLIEHMAN

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • JEFFREY SUBLER

    PRESIDENT/CEO

    Total calculated
    $300,453
    From this org
    $268,644
    From related orgs
    $0
    Other
    $31,809
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $210,483
    Bonus
    $52,161
    Other
    $6,000
    Deferred
    $8,139
    Nontaxable benefits
    $23,670
    Filer's total
    $300,453

  • JENNIFER WILLIAMS

    VP OF FINANCIAL SERVICES/CFO

    Total calculated
    $269,771
    From this org
    $238,647
    From related orgs
    $0
    Other
    $31,124
    Hours/week
    39 + 1 related

    Schedule J breakdown matched by us

    Base
    $215,328
    Bonus
    $23,319
    Other
    $0
    Deferred
    $7,239
    Nontaxable benefits
    $23,885
    Filer's total
    $269,771

  • KIMBERLEE FREEMAN

    VP OF PATIENT CARE/CNO

    Total calculated
    $247,845
    From this org
    $216,577
    From related orgs
    $0
    Other
    $31,268
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $195,132
    Bonus
    $21,445
    Other
    $0
    Deferred
    $6,577
    Nontaxable benefits
    $24,691
    Filer's total
    $247,845

  • SHELTON MONGER

    VP OF INFORMATION SERVICES/CIO

    Total calculated
    $204,808
    From this org
    $197,151
    From related orgs
    $0
    Other
    $7,657
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $176,801
    Bonus
    $20,350
    Other
    $0
    Deferred
    $5,995
    Nontaxable benefits
    $1,662
    Filer's total
    $204,808

  • KARA SCHULTZ

    SURGEON

    Total calculated
    $411,065
    From this org
    $400,939
    From related orgs
    $0
    Other
    $10,126
    Hours/week
    32

    Schedule J breakdown matched by us

    Base
    $377,016
    Bonus
    $23,923
    Other
    $0
    Deferred
    $9,230
    Nontaxable benefits
    $896
    Filer's total
    $411,065

  • PATRICK KARR

    OB/GYN

    Total calculated
    $616,506
    From this org
    $582,983
    From related orgs
    $0
    Other
    $33,523
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $541,399
    Bonus
    $41,584
    Other
    $0
    Deferred
    $9,230
    Nontaxable benefits
    $24,293
    Filer's total
    $616,506

  • PETER LACHIEWICZ

    OB/GYN

    Total calculated
    $500,638
    From this org
    $478,015
    From related orgs
    $0
    Other
    $22,623
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $471,634
    Bonus
    $6,381
    Other
    $0
    Deferred
    $9,230
    Nontaxable benefits
    $13,393
    Filer's total
    $500,638

  • STEPHANIE BUCHANAN

    SURGEON

    Total calculated
    $431,936
    From this org
    $407,241
    From related orgs
    $0
    Other
    $24,695
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $395,102
    Bonus
    $12,139
    Other
    $0
    Deferred
    $9,230
    Nontaxable benefits
    $15,465
    Filer's total
    $431,936

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 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 5a · Pay contingent on this organization's revenues

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 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 5a Compensation contingent on revenues of the organization
THE ORGANIZATION PAYS PHYSICIAN INCENTIVE PAYMENTS TO PETER LACHIEWICZ AND PATRICK KARR BASED ON THE REVENUE AND QUALITATIVE PERFORMANCE OF THEIR PRACTICES, WHICH IN PART MAKE UP THE REVENUES OF THE ORGANIZATION. THE INCENTIVE PAYMENTS ARE CONTINGENT ON THE PHYSICIAN'S GENERATED CHARGES.

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

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.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • WAYNE HEALTHCARE PAIN MANAGEMENT LLC

    Related · PAIN MANAGEMENT SERVICES · OH · 51% owned · share of income $129,128 · share of assets $98,038

    Directly controlled by WAYNE HOSPITAL COMPANY

Provenance

Return type
form_990
Tax year
2022
Filed
3 November 2023
IRS schema version
2022v5.0
Source object
202333079349301018

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