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Nonprofiteer
← WAYNE MEMORIAL LONG TERM CARE INC

Form 990 for tax year 2022

Filed by WAYNE MEMORIAL LONG TERM CARE INC.

Totals

Total revenue
$8,936,663
Total expenses
$10,053,439
Contributions and grants received
$273,379
Grants paid
$0
Program service revenue
$8,548,093
Investment income
$115,191
Other revenue
$0
Total assets, end of year
$6,699,970
Total liabilities, end of year
$1,610,157
Net assets or fund balances, end of year
$5,089,813
Program services expenses (Part IX)
$9,281,607
Management and general expenses
$771,832
Fundraising expenses
$0
Program service expenses (Part III)
$9,281,607

Program services were 92.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • JAMES PETTINATO

    CEO

    Total calculated
    $386,301
    From this org
    $0
    From related orgs
    $338,430
    Other
    $47,871
    Hours/week
    2 + 38 related

    Schedule J breakdown matched by us

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

  • PATRICIA DUNSINGER

    CFO

    Total calculated
    $194,873
    From this org
    $0
    From related orgs
    $180,601
    Other
    $14,272
    Hours/week
    4 + 36 related

    Schedule J breakdown matched by us

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

  • MICHAEL FREUND

    ADMINISTRATOR END 09/22

    Total calculated
    $155,244
    From this org
    $0
    From related orgs
    $128,877
    Other
    $26,367
    Hours/week
    39.9 + 0.1 related

    Schedule J breakdown matched by us

    Base
    $0 + $128,877 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $7,794 related
    Nontaxable benefits
    $0 + $18,573 related
    Filer's total
    $0 + $155,244 related

  • CAROL MAZZA

    SECRETARY

    Total calculated
    $0
    Hours/week
    0.2

  • CATHY SALAK

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.2

  • CHRISTINE RECHNER

    CHAIR

    Total calculated
    $0
    Hours/week
    1.6 + 1.6 related

  • DIRK MUMFORD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.2

  • EDWARD HOWELL

    VICE CHAIR END 02/23

    Total calculated
    $0
    Hours/week
    0.2

  • JAMES LABAR

    TRUSTEE END 11/22

    Total calculated
    $0
    Hours/week
    0.2

  • LINDA HARDING

    TRUSTEE END 11/22

    Total calculated
    $0
    Hours/week
    0.2

  • NANCY MORO

    TRUSTEE BEG 12/22

    Total calculated
    $0
    Hours/week
    0.2 + 1.6 related

  • PAUL MEAGHER JR

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.2

  • STANTON RUSH

    TREASURER

    Total calculated
    $0
    Hours/week
    0.2

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

  • 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 3
CEO 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: $ 9,310

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
202401369349315730

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