2025-05-14T13:26:01+00:00 2024-06-30 440160260 Forvis Mazars LLP 910 E St Louis 200 PO Box 1190 Springfield MO 658062523 990 2023-07-01 232180889 WAYNE MEMORIAL COMMUNITY HEALTH CENTERS WAYN 5702516676 601 PARK STREET HONESDALE PA 18431 TERESA LACEY CEO 2025-05-14 true Krystal Creach P01248198 4178658701 2025-05-14 2023 2025-03-06 01:10:19Z TERESA LACEY 601 PARK STREET HONESDALE PA 18431 56466871 false X WWW.WMH.ORG X 1981 PA WAYNE MEMORIAL COMMUNITY HEALTH CENTERS IS A PROGRESSIVE MULTI-SPECIALTY GROUP OF PRIMARY CARE, WOMEN'S HEALTH, PEDIATRICS, BEHAVIORAL HEALTH, DENTAL AND PODIATRIC OFFICES WITH NINETEEN SITES SERVING FOUR COUNTIES IN NORTHEASTERN PENNSYLVANIA. 12 12 443 11 0 0 8852165 3350926 41578041 44809325 357604 527218 28369 1494 50816179 48688963 25000 25000 0 33315367 34956795 0 0 16011238 16619242 49351605 51601037 1464574 -2912074 41164188 41281997 15527154 17838576 25637034 23443421 X SERVING ALL MEMBERS OF THE COMMUNITY WITH A FOCUS ON THE UNDERSERVED AND DISADVANTAGED, WAYNE MEMORIAL COMMUNITY HEALTH CENTERS WILL CREATE AND SUSTAIN A HEALTHY COMMUNITY BY PROVIDING ACCESSIBLE, HIGH QUALITY MEDICAL, DENTAL, AND BEHAVIORAL HEALTH CARE. false false 29834965 25000 31207706 WAYNE MEMORIAL COMMUNITY HEALTH CENTERS PROVIDES HIGH QUALITY PRIMARY CARE SERVICES THROUGH ITS FAMILY HEALTH CLINICS TO THE RESIDENTS IN THE COUNTIES OF WAYNE, PIKE, SOUTHERN SUSQUEHANNA AND THE CARBONDALE REGION OF UPPER LACKAWANNA COUNTY IN PENNSYLVANIA. WMCHC PROVIDES PRIMARY CARE IN THE TOWNS OF HONESDALE, HAMLIN, LAKE COMO, LORDS VALLEY, TAFTON, FOREST CITY, CARBONDALE AND WAYMART; AND PEDIATRIC CARE IN HONESDALE, CARBONDALE, WAYMART, STERLING AND LORDS VALLEY. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 4811264 4845281 WAYNE MEMORIAL COMMUNITY HEALTH CENTERS PROVIDES COMPREHENSIVE DENTAL CARE THROUGH ITS DENTAL CLINIC FOR CHILDREN AND ADULTS AT THE TOGETHER FOR HEALTH DENTAL CENTER IN HONESDALE AND THE PIKE DENTAL CENTER IN LORDS VALLEY. BOTH SITES ARE FULLY DIGITAL ALLOWING X-RAY IMAGES TO BE VIEWED BY THE DENTAL TEAM INSTANTLY. ADVANCED EQUIPMENT CALLED PANORAMIC RADIOLOGY PERFORMS TWO DIMENSIONAL EXAMINATIONS OF THE ENTIRE MOUTH WITH ONLY A SINGLE IMAGE. THE DENTAL PROGRAM ALSO PROVIDES DIRECT ON-SITE SERVICES TO VARIOUS MEDICAL SITES, HEAD START, YMCA, AND VARIOUS SCHOOLS IN THE SERVICE AREA. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 4779418 4808212 WAYNE MEMORIAL COMMUNITY HEALTH CENTERS PROVIDES BEHAVIORAL HEALTH, INCLUDING MENTAL HEALTH AND COUNSELING SERVICES, AT THE BEHAVIORAL HEALTH CENTER IN HONESDALE AND PIKE COUNTY. BEHAVIORAL HEALTH SERVICES ARE OFFERED AT TWO OUTPATIENT TREATMENT FACILITIES PROVIDING A FULL-RANGE OF BEHAVIORAL AND MENTAL HEALTH SERVICES TO ADULTS, ADOLESCENTS AND CHILDREN. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 4168529 3948126 WMCHC PROVIDES WOMEN'S HEALTH CARE SERVICES THROUGH ITS WOMEN'S HEALTH CLINIC. THESE SERVICES INCLUDE OBSTETRICAL AND GYNECOLOGICAL SERVICES WITH BOARD CERTIFIED AND BOARD ELIGIBLE PHYSICIANS, CERTIFIED NURSE MIDWIVES, CRNP'S, ULTRASOUND TECHNOLOGISTS, AND REGISTERED NURSES IN HONESDALE, HAMLIN, DINGMANS FERRY AND CARBONDALE. THE FULL RANGE OF SERVICES PROVIDED BY THE WAYNE MEMORIAL COMMUNITY HEALTH CENTERS WOMEN'S CLINIC INCLUDES: -WELL-TEEN AND WELL-WOMAN CARE -UTERINE ABLATION -URODYNAMIC TESTING -HORMONE REPLACEMENT THERAPY COUNSELING -PERIMENOPAUSAL COUNSELING -NONINVASIVE HEREDITARY CANCER TESTING -PRENATAL CARE -ULTRASOUND -PRECONCEPTION COUNSELING -PRENATAL FITNESS -CHILDBIRTH EDUCATION -LACTATION COUNSELING THE WOMEN'S HEALTH CLINIC PARTICIPATES IN STATE-FUNDED PROGRAMS SUCH AS HEALTHY BEGINNINGS PLUS AND OFFERS SERVICES TO ALL, INCLUDING THOSE WITH PRIVATE INSURANCE OR ON PUBLIC ASSISTANCE. A SLIDING SCALE IS ALSO OFFERED BASED ON INCOME. 4168529 3948126 43594176 true true false true false false false false false true false false true true false true false false false false false false false false false false true false true false false false false false false false false false false false false false false false false false true 53 0 true 443 true false false false false false false false false false false false false X 12 12 true false false false false false false true true false false true true true true true true true true false PA X TERESA LACEY 5702516676 601 PARK STREET HONESDALE PA 18431 GREG CAPITOLO CHAIR 1.0 0.0 X X 0 0 0 MICHAEL CLIFFORD BOARD CHAIR END; DIRECTOR BEG 03/24 1.0 0.0 X X 0 0 0 MICHELLE WONDERS BOARD SECRETARY 1.0 0.0 X X 0 0 0 PATRICIA DUNSINGER FINANCE CHAIR 1.0 0.0 X X 0 0 0 CARRIE DEMERS MD DIRECTOR 1.0 0.0 X 0 0 0 CINDA TIETJEN DIRECTOR BEG 10/23 1.0 0.0 X 0 0 0 DAVID HOFF DIRECTOR END 01/24 1.0 0.0 X 0 0 0 JAMES PETTINATO DIRECTOR 1.0 0.0 X 0 0 0 JUDIT VEGH DIRECTOR BEG 01/24 1.0 0.0 X 0 0 0 STEVE GUCCINI DIRECTOR 1.0 0.0 X 0 0 0 STEVE TOURJE DIRECTOR 1.0 0.0 X 0 0 0 TIMOTHY KNAPP DIRECTOR BEG 01/24 1.0 0.0 X 0 0 0 WILLIAM KERL DIRECTOR 1.0 0.0 X 0 0 0 WILLIAM SCHWEIGHOFER DIRECTOR END 10/23 1.0 0.0 X 0 0 0 ROBERT FORTUNER CFO 40.0 0.0 X 159505 0 41446 TERESA LACEY CEO 40.0 0.0 X 189144 0 31379 JAMES CRUSE MD CHIEF MEDICAL OFFICER 40.0 0.0 X 276399 0 39358 MEREDITH HELLSTERN MD PEDIATRIC MEDICAL DIRECTOR 40.0 0.0 X 269549 0 42654 RAMEEZ CHAVIWALA MD PRIMARY MEDICAL CARE DIRECTOR 40.0 0.0 X 284834 0 30520 BRIAN BROWN DENTAL CLINIC DIRECTOR 40.0 0.0 X 309785 0 9290 ERIC RITTENHOUSE MEDICAL DIRECTOR OF WOMENS HEALTH 40.0 0.0 X 468500 0 46870 FELIPE ORELLANA PHYSICIAN 40.0 0.0 X 451990 0 20272 MICHAEL CAMPBELL BEHAVIORAL HEALTH DIRECTOR 40.0 0.0 X 315571 0 42849 TERRY LUMA MD PHYSICIAN 40.0 0.0 X 311514 0 41904 FREDERICK JACKSON FORMER CEO 40.0 0.0 X 167308 0 20610 3204099 0 367152 68 true true false BRANNING CLEANING SERVICES 26 ARROW LANE WAYMART PA 18472 CLEANING 282104 AMERICAN COMP WEIGHT LOSS CENTER 603 HIGH STREET HONESDALE PA 18431 SURGICAL 234150 SIGNALLAMP HEALTH LLC 321 BIDEN STREET SUITE 800 SCRANTON PA 18503 CHRONIC CARE MANAGEMENT 143352 JENNIFER LAUREN RODRIGUEZ AIELLO MD 635 PARK STREET HONESDALE PA 18431 SURGICAL 104578 4 2411245 939681 3350926 NET PATIENT SERVICE REVENUE 621110 43629488 43629488 CAPITATION REVENUE 900099 797045 797045 CLINICAL CONTRACT REVENUE 621110 376659 376659 OTHER INCOME 900099 6133 6133 0 0 0 0 44809325 321633 321633 22908 21414 1494 0 1494 1494 7962079 7755191 1303 206888 -1303 205585 205585 0 0 0 0 0 48688963 44809325 0 528712 25000 25000 1364788 943314 421474 26086178 23245398 2840780 1119931 959329 160602 4557415 3866650 690765 1828483 1590734 237749 700000 700000 70721 70721 98443 98443 42481 42481 4882356 3569493 1312863 0 176848 19197 157651 4172825 3500907 671918 1512244 1358181 154063 108293 59937 48356 58112 41281 16831 19378 19378 896852 819099 77753 210398 4070 206328 MEDICAL SUPPLIES & DRUGS 3472834 3472834 LICENSES, DUES, SUBSCRIPTION 137975 80728 57247 REPAIRS & MAINTENANCE 59482 38024 21458 0 0 0 0 51601037 43594176 8006861 0 2001517 752575 7700260 3468272 1376668 2241066 3147632 4115973 0 0 0 0 819486 713773 15285907 6748373 8844686 8537534 5452823 10651549 0 0 207500 92500 11613616 10708755 41164188 41281997 4506883 5704667 20000 47100 0 0 1519378 11000271 10567431 15527154 17838576 X 25637034 23443421 25637034 23443421 41164188 41281997 -2912074 675980 42481 0 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 1250 1250 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY WAYNE MEMORIAL COMMUNITY HEALTH CENTERS PAYS ANNUAL MEMBERSHIP DUES TO THE PENNSYLVANIA ASSOCIATION OF COMMUNITY HEALTH CENTERS (PACHC). THE ORGANIZATION IS NOTIFIED EACH YEAR THAT A PORTION OF THE MEMBERSHIP DUES IS USED FOR LOBBYING ACTIVITIES. FOR THE FISCAL YEAR ENDED JUNE 30, 2024 THE PORTION OF DUES PAID REPRESENTING LOBBYING EXPENDITURES WAS $1,250. 494954 494954 3060867 540553 2520314 7493574 2845672 4647902 3919720 3202544 717176 316792 159604 157188 8537534 ROU ASSET 10075360 DUE FROM 3RD PARTY 479366 SELF INSURANCE RESERVE 152219 OTHER RECEIVABLES 1810 DUE FROM AFFILIATE 10708755 LEASE LIABILITY 10075360 DUE TO AFFILIATE 301653 DUE TO 3RD PARTY 190418 ACCRUED SELF INSURANCE 10567431 49387660 675980 0 675980 48711680 -22717 -22717 48688963 51581273 22717 22717 51558556 42481 0 42481 51601037 Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements RENTAL EXPENSES - -21414 LOSS ON FIXED ASSETS - -1303 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 LOSS ON FIXED ASSETS - 1303 RENT EXPENSE - 21414 true WAYNE MEMORIAL HOSPITAL 601 PARK STREET HONESDALE PA 18431 240798839 501 (C) (3) 25000 FOOD RX PROGRAM 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. GRANT EXPENDITURES ARE TRACKED BY THE ORGANIZATION'S ACCOUNTING STAFF TO DETERMINE COMPLIANCE WITH GRANT PROGRAMS AND REPORT RESULTS TO THE BOARD OF TRUSTEES. X X false false false false false false false false false FREDERICK JACKSON FORMER CEO 167308 0 0 0 0 0 5146 0 15464 0 187918 0 0 0 ROBERT FORTUNER CFO 159505 0 0 0 0 0 5044 0 36402 0 200951 0 0 0 TERESA LACEY CEO 189144 0 0 0 0 0 0 0 31379 0 220523 0 0 0 JAMES CRUSE MD CHIEF MEDICAL OFFICER 276399 0 0 0 0 0 8479 0 30879 0 315757 0 0 0 RAMEEZ CHAVIWALA MD PRIMARY MEDICAL CARE DIRECTOR 284834 0 0 0 0 0 0 0 30520 0 315354 0 0 0 MEREDITH HELLSTERN MD PEDIATRIC MEDICAL DIRECTOR 269549 0 0 0 0 0 8284 0 34370 0 312203 0 0 0 ERIC RITTENHOUSE MEDICAL DIRECTOR OF WOMENS HEALTH 468500 0 0 0 0 0 9900 0 36970 0 515370 0 0 0 FELIPE ORELLANA PHYSICIAN 451990 0 0 0 0 0 0 0 20272 0 472262 0 0 0 MICHAEL CAMPBELL BEHAVIORAL HEALTH DIRECTOR 315571 0 0 0 0 0 9630 0 33219 0 358420 0 0 0 BRIAN BROWN DENTAL CLINIC DIRECTOR 309785 0 0 0 0 0 9290 0 0 0 319075 0 0 0 TERRY LUMA MD PHYSICIAN 311514 0 0 0 0 0 8834 0 33070 0 353418 0 0 0 Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION THE FULL RANGE OF OUTPATIENT PRIMARY CARE SERVICES PROVIDED BY THE WAYNE MEMORIAL COMMUNITY HEALTH CENTERS FAMILY CARE CLINICS FOR CHILDREN AND ADULTS INCLUDE: -EXAMS -DIAGNOSIS AND TREATMENT OF ACUTE AND CHRONIC CONDITIONS -EKG -SUTURING OF MINOR LACERATIONS -MINOR SURGERY -DIABETES AND NUTRITION COUNSELING -ADULT AND CHILDHOOD IMMUNIZATIONS -WELL-CHILD VISITS -SPORTS PHYSICALS -SCHOOL PHYSICALS -CDL EXAMS -WELL-WOMAN EXAMS -PREVENTATIVE CARE -SMOKING CESSATION THESE SERVICES ARE PROVIDED BY BOARD-CERTIFIED INTERNISTS, FAMILY MEDICINE PHYSICIANS, BOARD-CERTIFIED PEDIATRICIANS, CERTIFIED REGISTERED NURSE PRACTITIONERS AND CERTIFIED PHYSICIAN ASSISTANTS. Form 990, Part III, Line 4b PROGRAM SERVICE DESCRIPTION THE FULL RANGE OF SERVICES PROVIDED BY THE WAYNE MEMORIAL COMMUNITY HEALTH CENTERS DENTAL CLINICS INCLUDE: -DENTAL EXAMS -PREVENTATIVE TREATMENT -PERIODONTAL TREATMENT -RESTORATIVE PROCEDURES -DENTURES, PARTIALS AND FIXED BRIDGES -DENTAL EDUCATION PREVENTATIVE MOBILE DENTAL SERVICES ARE OFFERED TO COMMUNITIES WITH EITHER LIMITED OR NO ACCESS TO DENTAL CARE. A PUBLIC HEALTH DENTAL HYGIENE PRACTITIONER/COMMUNITY DENTAL HEALTH COORDINATOR, A DENTAL HEALTH PROFESSIONAL WHO HAS COMPLETED A PROGRAM SPONSORED BY THE AMERICAN DENTAL ASSOCIATION, PERFORMS DENTAL SERVICES INCLUDING CLEANINGS, FLUORIDE TREATMENTS, SEALANTS AND X-RAYS FOR CHILDREN AND ADULTS WHILE VISITING AREA PHYSICIAN OFFICES, SCHOOLS AND HEAD START PROGRAMS. Form 990, Part III, Line 4c PROGRAM SERVICE DESCRIPTION THE FULL RANGE OF TREATMENT SERVICES PROVIDED BY THE WAYNE MEMORIAL COMMUNITY HEALTH CENTERS FOR BEHAVIORAL HEALTH ARE AVAILABLE FOR THE FOLLOWING ISSUES: -BIPOLAR DISORDER -DEPRESSION -SCHIZOPHRENIA -PERSONALITY DISORDERS -ANXIETY -MENTAL ILLNESS -ADHD -AUTISM SPECTRUM -ANGER MANAGEMENT -SCHOOL DIFFICULTIES -GRIEF/DEATH -EATING DISORDERS -PHOBIAS -DIVORCE -SMOKING CESSATION -POST-TRAUMATIC STRESS DISORDER -OBSESSIVE COMPULSIVE DISORDER -STRESS MANAGEMENT -PREMENSTRUAL DYSPHORIC DISORDER Form 990, Part III, Line 4d Description of other program services (Expenses $ 4,168,529 including grants of $)(Revenue $ 3,948,126) WMCHC PROVIDES WOMEN'S HEALTH CARE SERVICES THROUGH ITS WOMEN'S HEALTH CLINIC. THESE SERVICES INCLUDE OBSTETRICAL AND GYNECOLOGICAL SERVICES WITH BOARD CERTIFIED AND BOARD ELIGIBLE PHYSICIANS, CERTIFIED NURSE MIDWIVES, CRNP'S, ULTRASOUND TECHNOLOGISTS, AND REGISTERED NURSES IN HONESDALE, HAMLIN, DINGMANS FERRY AND CARBONDALE. THE FULL RANGE OF SERVICES PROVIDED BY THE WAYNE MEMORIAL COMMUNITY HEALTH CENTERS WOMEN'S CLINIC INCLUDES: -WELL-TEEN AND WELL-WOMAN CARE -UTERINE ABLATION -URODYNAMIC TESTING -HORMONE REPLACEMENT THERAPY COUNSELING -PERIMENOPAUSAL COUNSELING -NONINVASIVE HEREDITARY CANCER TESTING -PRENATAL CARE -ULTRASOUND -PRECONCEPTION COUNSELING -PRENATAL FITNESS -CHILDBIRTH EDUCATION -LACTATION COUNSELING THE WOMEN'S HEALTH CLINIC PARTICIPATES IN STATE-FUNDED PROGRAMS SUCH AS HEALTHY BEGINNINGS PLUS AND OFFERS SERVICES TO ALL, INCLUDING THOSE WITH PRIVATE INSURANCE OR ON PUBLIC ASSISTANCE. A SLIDING SCALE IS ALSO OFFERED BASED ON INCOME. Form 990, Part VI, Line 15a & 15B - COMPENSATION REVIEW WAYNE MEMORIAL COMMUNITY HEALTH CENTERS UTILIZES A COMMITTEE OF THE BOARD CALLED THE EXECUTIVE COMMITTEE TO SET COMPENSATION FOR ITS CEO. FOR OTHER KEY EMPLOYEES (DOCTORS), WAYNE MEMORIAL COMMUNITY HEALTH CENTERS USES WRITTEN EMPLOYMENT AGREEMENTS FOR THEIR COMPENSATION. THESE AGREEMENTS ARE APPROVED BY THE BOARD OR EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE IS MADE UP OF INDEPENDENT DIRECTORS WHO USE DATA FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS FOR COMPARATIVE PURPOSES. THE COMMITTEE USES THE SALARY DATA AND COMPARATIVE REVENUE, COMPLEXITY, SIZE OF FQHC, AND THE GEOGRAPHIC REGION TO DETERMINE A REASONABLE SALARY FOR THE CEO. THE EXECUTIVE COMMITTEE KEEPS MINUTES TO DOCUMENT THE DELIBERATION AND DECISION-MAKING PROCESS. THE PROCESS NORMALLY OCCURS IN THE FIRST QUARTER OF THE YEAR THE COMPENSATION CHANGE IS GRANTED. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons PATRICIA DUNSINGER AND JAMES PETTINATO - Business relationship Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. A COPY OF THE 990 IS DISTRIBUTED VIA E-MAIL TO EACH BOARD MEMBER BEFORE THE RETURN IS SUBMITTED TO THE IRS. MANAGEMENT WILL DISCUSS ANY QUESTIONS THAT ANY BOARD MEMBER MAY HAVE AT THE NEXT FULL BOARD MEETING. Form 990, Part VI, Line 12c Conflict of interest policy CONFLICT OF INTEREST STATEMENTS ARE COMPLETED BY EVERY BOARD MEMBER AND MANAGER ANNUALLY. EACH INDIVIDUAL IS REQUIRED TO SIGN AND RETURN THE STATEMENTS TO THE ADMINISTRATION OFFICE. THE BOARD IS RESPONSIBLE FOR MONITORING COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY THROUGHOUT THE YEAR. IF A CONFLICT ARISES, THE PERSON WITH THE CONFLICT WILL RECUSE THEMSELVES FROM VOTING AND/OR DISCUSSING THE MATTER. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND/OR FINANCIAL STATEMENTS AVAILABLE TO PUBLIC UPON REQUEST.