Totals
- Total revenue
- $105,791
- Total expenses
- $382,909
- Contributions and grants received
- $129,913
- Grants paid
- $332,319
- Program service revenue
- $0
- Investment income
- -$18,189
- Other revenue
- -$5,933
- Total assets, end of year
- $717,381
- Total liabilities, end of year
- $0
- Net assets or fund balances, end of year
- $717,381
- Program services expenses (Part IX)
- $379,409
- Management and general expenses
- $3,500
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $379,409
Program services were 99.1% 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.
-
1c · Fundraising events
$30,557
-
1f · All other contributions, gifts and grants
$99,356
-
1g · Noncash contributions included above
$11,308
-
2f · All other program service revenue
total $0 · related or exempt $0 · unrelated business $0 · excluded $0
-
3 · Investment income
total -$18,189 · excluded -$18,189
-
6c · Rental income or loss
real property $0 · personal property $0
-
7c · Gain or loss
securities $0 · other assets $0
-
8a · Fundraising events: gross income
$10,776
-
8a · Fundraising events: contributions included on line 1c
$30,557
-
8b · Fundraising events: direct expenses
$18,374
-
8c · Net income from fundraising events
total -$7,598 · excluded -$7,598
-
9a · Gaming: gross income
$1,665
-
9b · Gaming: direct expenses
$0
-
9c · Net income from gaming
total $1,665 · excluded $1,665
-
11d · All other revenue
total $0 · related or exempt $0 · unrelated business $0 · excluded $0
-
11e · Other revenue, total
$0
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $313,319 · program services $313,319
-
2 · Grants to domestic individuals
total $19,000 · program services $19,000
-
11c · Fees: accounting
total $3,500 · management and general $3,500
-
11g · Fees: other
total $0 · program services $0 · management and general $0 · fundraising $0
-
12 · Advertising and promotion
total $22,225 · program services $22,225
-
13 · Office expenses
total $23,262 · program services $23,262
-
24e · All other expenses
total $1,603 · program services $1,603 · management and general $0 · fundraising $0
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $107,233 · end of year $37,886
-
2 · Savings and temporary cash investments
beginning of year $372,878 · end of year $206,504
-
3 · Pledges and grants receivable
beginning of year $113,913 · end of year $73,817
-
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
-
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
-
11 · Investments: publicly traded securities
beginning of year $456,980 · end of year $397,104
-
12 · Investments: other securities
beginning of year $0
-
13 · Investments: program-related
beginning of year $0
-
15 · Other assets
beginning of year $1,394 · end of year $2,070
-
22 · Loans and payables to officers and key people
beginning of year $0 · end of year $0
-
25 · Other liabilities
beginning of year $0 · end of year $0
-
27 · Net assets without donor restrictions
beginning of year $775,669 · end of year $593,301
-
28 · Net assets with donor restrictions
beginning of year $276,729 · end of year $124,080
Mission and programs · 2022
Mission
WAYNE HOSPITAL FOUNDATION DEVELOPS RESOURCES TO SUPPORT WAYNE HOSPITAL IN PROVIDING HIGH QUALITY HEALTH CARE TO THE COMMUNITY. THE RESOURCES ARE DEVELOPED TOWARD CARING FOR NEW LIFE, EDUCATION AND SUPPORTING THE CAREGIVERS, ENSURING A HEALTHIER FUTURE THROUGH WELLNESS PROGRAMS, NURTURING AND TREATING THOSE WHO ARE ILL, AND WITH DIGNITY, CARING FOR THOSE WHO ARE DYING. WE BELIEVE THAT THROUGH PHILANTHROPIC SUPPORT OF WAYNE HEALTHCARE, THE QUALITY OF LIFE FOR THOSE WE SERVE, THEIR FAMILIES, AND THEIR LOVED ONES WILL BE ENHANCED. BECAUSE LIFE IS PRECIOUS, WE ENCOURAGE GIVING TO LIFE AND A LIFETIME OF GIVING.
Activities or mission (Part I)
COLLABORATING THROUGH PHILANTHROPY WITH WAYNE HEALTHCARE IN ORDER TO ENHANCE COMMUNITY EDUCATION AND WELLNESS CLOSE TO HOME.
-
WAYNE HOSPITAL FOUNDATION WAS ESTABLISHED TO ACQUIRE AND ACCEPT CHARITABLE GIFTS FOR WAYNE HOSPITAL IN ORDER TO PERPETUATE AND ADVANCE THE HIGHEST QUALITY OF HEALTH CARE SERVICES AT WAYNE HEALTHCARE AND THE SURROUNDING COMMUNITIES.
Expenses $379,409 · Grants $332,319
As filed on the 2022 return.
Listed in Part VII
-
Dr Rick BowlinDR RICK BOWLIN
PAST CHAIRPERSON/TRUSTEE
- Total calculated
- $4,800
- From this org
- $0
- From related orgs
- $4,800
- Other
- $0
- Hours/week
- 1
-
Shane StonebrakerSHANE STONEBRAKER
CHAIRPERSON/TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Susanne BargaSUSANNE BARGA
VICE CHAIRPERSON/TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Antonia BakerANTONIA BAKER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Christine BatemanCHRISTINE BATEMAN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Dr Anna HaticDR ANNA HATIC
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Dr Shelly BurnsDR SHELLY BURNS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Eric EvermanERIC EVERMAN
TRUSTEE (THROUGH 4/30/2022)
- Total calculated
- $0
- Hours/week
- 1
-
Jay AdamsJAY ADAMS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Jeffrey SmithJEFFREY SMITH
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Jim StamcoffJIM STAMCOFF
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Kristi StrawserKRISTI STRAWSER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Larry UlleryLARRY ULLERY
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Matt AultmanMATT AULTMAN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Randall BreadenRANDALL BREADEN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Susie WeisenbargerSUSIE WEISENBARGER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Jeffrey SublerJEFFREY SUBLER
PRESIDENT/CEO
- Total calculated
- $300,453
- From this org
- $0
- From related orgs
- $268,644
- Other
- $31,809
- Hours/week
- 1 + 39 related
Schedule J breakdown matched by us
- Base
- $0 + $210,483 related
- Bonus
- $0 + $52,161 related
- Other
- $0 + $6,000 related
- Deferred
- $0 + $8,139 related
- Nontaxable benefits
- $0 + $23,670 related
- Filer's total
- $0 + $300,453 related
-
Jennifer WilliamsJENNIFER WILLIAMS
VP OF FINANCIAL SERVICES, CFO / TREASURER
- Total calculated
- $269,556
- From this org
- $0
- From related orgs
- $238,647
- Other
- $30,909
- Hours/week
- 1 + 39 related
Schedule J breakdown matched by us
- Base
- $0 + $215,328 related
- Bonus
- $0 + $23,319 related
- Other
- $0
- Deferred
- $0 + $7,239 related
- Nontaxable benefits
- $0 + $23,670 related
- Filer's total
- $0 + $269,556 related
-
Lauren HenryLAUREN HENRY
FOUNDATION DIRECTOR
- Total calculated
- $122,921
- From this org
- $0
- From related orgs
- $95,388
- Other
- $27,533
- Hours/week
- 32
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
- 7 · Other non-fixed payments
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 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
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
- COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY WAYNE HOSPITAL COMPANY, A RELATED ORGANIZATION. WAYNE HOSPITAL COMPANY USED THE FOLLOWING TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) INDEPENDENT COMPENSATION CONSULTANT; (2) COMPENSATION SURVEY OR STUDY; (3) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
- Schedule J, Part I, Line 7 Non-fixed payments
- Wayne Hospital Company, a related organization, provided a Gratitude Bonus in October of 2022 to show appreciation for employees dedication through the Pandemic. Jennifer Williams was a recipient of this Gratitude Bonus.
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
-
$313,319
PROGRAM SUPPORT
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.
-
WAYNE HOSPITAL COMPANY (dba WAYNE HEALTHCARE)
501(c)(3) · HOSPITAL · OH
Directly controlled by NA
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 partnerships
Part III: related organizations taxable as a partnership, with the filer's share.
-
Healthcare Pain Management LLC
N/A · PAIN MANAGEMENT SERVICES · OH
Directly controlled by NA
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 3 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202313079349301671
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