MONONGALIA COUNTY GENERAL HOSPITAL COMPANY: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- MONONGALIA COUNTY GENERAL HOSPITAL COMPANY (EIN 23-7441353)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-14
- IRS object ID
- 201511349349303346
- Schema version
- 2013v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-14T13:22:33-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 560747981 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1556 | AddressLine1 |
| City | MORGANTOWN | City |
| State | WV | State |
| ZIP Code | 265071556 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237441353 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MONONGALIA COUNTY GENERAL HOSPITAL CO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MONO | BusinessNameControlTxt |
| Phone | 3045981242 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1200 JD ANDERSON DRIVE | AddressLine1 |
| City | MORGANTOWN | City |
| State | WV | State |
| ZIP Code | 26505 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DARIS ROSENCRANCE | PersonNm |
| Person Title | SR VP FINANCE/CFO | PersonTitleTxt |
| Phone | 3045981242 | PhoneNum |
| Signature | 2015-05-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SUSAN S DULL | PreparerPersonNm |
| PTIN | P00233523 | PTIN |
| Phone | 3042927343 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DARIS ROSENCRANCE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1200 JD ANDERSON DRIVE | AddressLine1 |
| City | MORGANTOWN | City |
| State | WV | State |
| ZIP Code | 26505 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $242,996,348 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MONHEALTHSYS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1972 | FormationYr |
| Legal Domicile State | WV | LegalDomicileStateCd |
| Activity Or Mission | TO DELIVER THE BEST HEALTHCARE AND REMAIN THE PROVIDER OF CHOICE IN OUR REGIONAL SERVICE AREA BECAUSE OF OUR QUALITY, RESPECT, INTEGRITY, AND CREATIVITY, AS WELL AS OUR DEDICATION TO PATIENT SAFETY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 1783 | TotalEmployeeCnt |
| Total Volunteers | 250 | TotalVolunteersCnt |
| Total Gross UBI | $1,093,190 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$94,559 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,219,507 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,128,571 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $227,884,607 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $237,924,600 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,810,479 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,201,284 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$49,392 | PYOtherRevenueAmt |
| CY Other Revenue | -$18,097 | CYOtherRevenueAmt |
| PY Total Revenue | $231,865,201 | PYTotalRevenueAmt |
| CY Total Revenue | $241,236,358 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $610,931 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $99,936,348 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $101,756,605 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $124,304,216 | PYOtherExpensesAmt |
| CY Other Expenses | $127,223,552 | CYOtherExpensesAmt |
| PY Total Expenses | $224,851,495 | PYTotalExpensesAmt |
| CY Total Expenses | $228,980,157 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $7,013,706 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $12,256,201 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $287,523,818 | TotalAssetsBOYAmt |
| Total Assets EOY | $301,279,181 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $183,547,571 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $177,290,021 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $103,976,247 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $123,989,160 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO DELIVER THE BEST HEALTHCARE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $89,673,507 | ExpenseAmt |
| Revenue | $114,460,378 | RevenueAmt |
| Desc | MONONGALIA GENERAL HOSPITAL CO. (MGH) PROVIDES A WIDE ARRAY OF OUTPATIENT SERVICES INCLUDING EMERGENCY DEPARTMENT (30,261 VISITS), OUTPATIENT SURGERY (10,002 SURGERIES), OUTPATIENT ORTHOPEDIC SURGERY (2,062 SURGERIES), PHYSICIAN OFFICES (43,537 VISITS), AND MANY OTHER SERVICES. SOME OTHER SERVICES INCLUDE CARDIAC CATHERIZATION, CT SCAN, MRI, NUCLEAR MEDICINE, AND ULTRASOUND. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $81,374,639 | ExpenseAmt |
| Revenue | $103,867,601 | RevenueAmt |
| Desc | MGH IS LICENSED FOR 189 INPATIENT BEDS WHICH ARE ALL PRIVATE ROOMS. MGH HAD 8,362 DISCHARGES FOR THE YEAR WITH A TOTAL OF 35,036 PATIENT DAYS. THERE WAS A NEW FAMILY BIRTH CENTER OPENED AND MGH HAD 1,110 DELIVERIES FOR THE YEAR. INPATIENT GENERAL SURGERY (2,025), ORTHOPEDIC SURGERY (1,342), AND OPEN HEART SURGERY (377) ARE ALSO OFFERED. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $14,496,436 | ExpenseAmt |
| Revenue | $18,503,431 | RevenueAmt |
| Desc | MGH HAS AN EMERGENCY DEPARTMENT SERVING MONONGALIA AND SURROUNDING COUNTIES WITH A TOTAL OF 29,721 VISITS DURING THE YEAR. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $185,544,582 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 140 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1783 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | WV | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ZACH KERNS CONTROLLER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3045981242 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1200 JD ANDERSON DRIVE | AddressLine1 |
| City | MORGANTOWN | City |
| State | WV | State |
| ZIP Code | 26505 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| DARRYL DUNCAN | |||||||||
| PRESIDENT/CEO | 20.00 | 20.00 | Yes (X) | Yes (X) | $0 | $478,142 | $126,630 | ||
| SISTER NANCY WHITE | |||||||||
| TREASURER/SECRETARY | 2.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| GLENN ADRIAN | |||||||||
| DIRECTOR | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| TERRY SHAFFER | |||||||||
| DIRECTOR | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| PATRICK MARTIN | |||||||||
| DIRECTOR | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN BATTIN MD | |||||||||
| DIRECTOR | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| NATALIE STONE | |||||||||
| DIRECTOR | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| SARAH MINEAR | |||||||||
| CHAIRPERSON/DIRECTOR | 2.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| VINCE KOLANKO MD | |||||||||
| DIRECTOR | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| CAROL RUSHFORD | |||||||||
| DIRECTOR | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| ROGER KING MD | |||||||||
| DIRECTOR | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| HELEN BLEVINS | |||||||||
| DIRECTOR | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| DARIS ROSENCRANCE | |||||||||
| SENIOR VP FINANCE/CFO | 20.00 | 20.00 | $0 | $289,248 | $41,134 | Yes (X) | |||
| KEE LEE | |||||||||
| SURGEON | 40.00 | $697,132 | $0 | $18,300 | Yes (X) | ||||
| FAISAL BUKEIRAT | |||||||||
| SURGEON | 40.00 | $417,511 | $0 | $33,086 | Yes (X) | ||||
| ALEXANDER NAGY | |||||||||
| SURGEON | 40.00 | $624,955 | $0 | $39,086 | Yes (X) | ||||
| WILLIAM C MCBEE | |||||||||
| SURGEON | 40.00 | $813,339 | $0 | $33,942 | Yes (X) | ||||
| JAMIE LESNOCK | |||||||||
| SURGEON | 40.00 | $460,447 | $0 | $38,336 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,013,384 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $767,390 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $330,514 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 65 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| AAWV-MGH LLC | |||||
| PO BOX 3466 | CHARLESTON | WV | 25334 | ANESTHESIA GROUP | $1,756,402 |
| KAUFMAN HALL & ASSOCIATES | |||||
| 75 REMITTANCE DR SUITE 1030 | CHICAGO | IL | 60675 | CONSULTANTS | $1,031,449 |
| SPECIALTYCARE CARDIOVASCULAR | |||||
| PO BOX 11407 | BIRMINGHAM | AL | 352461614 | MEDICAL PROFESSIONAL SERVICE | $949,431 |
| PARIS HEALTHCARE LINEN SERVICE | |||||
| 67 HOOVER AVENUE | DUBOIS | PA | 15801 | LINEN SERVICE | $770,189 |
| SANJAY BHARTI MD PLLC | |||||
| 177 WINDWOOD DRIVE | MORGANTOWN | WV | 26505 | HOSPITALIST GROUP SERVICES | $538,542 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 19 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,128,571 | RelatedOrganizationsAmt |
| Total Contributions | $1,128,571 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT SERVICE REVENUE | 621990 | $145,118,167 | $145,118,167 | |
| MEDICARE/MEDICAID REVENUE | 621990 | $90,753,592 | $90,753,592 | |
| OUTSIDE LAB SERVICES | 621500 | $1,093,190 | $1,093,190 | |
| OTHER PROGRAM REVENUE | 621990 | $959,651 | $959,651 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $237,924,600 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $531,598 | TotalRevenueColumnAmt |
| Exclusion | $531,598 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,994,549 | SecuritiesAmt |
| Other | $12,500 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $296,722 | SecuritiesAmt |
| Other | $40,641 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,697,827 | SecuritiesAmt |
| Other | -$28,141 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,669,686 | TotalRevenueColumnAmt |
| Exclusion | $1,669,686 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $1,404,530 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $1,422,627 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$18,097 | TotalRevenueColumnAmt |
| Exclusion | -$18,097 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $241,236,358 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $236,831,410 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,093,190 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,183,187 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,115,035 | TotalAmt |
| Program Services | $62,492,028 | ProgramServicesAmt |
| Management And General | $15,623,007 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,341,033 | TotalAmt |
| Program Services | $4,272,826 | ProgramServicesAmt |
| Management And General | $1,068,207 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,787,815 | TotalAmt |
| Program Services | $10,230,252 | ProgramServicesAmt |
| Management And General | $2,557,563 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,512,722 | TotalAmt |
| Program Services | $4,410,178 | ProgramServicesAmt |
| Management And General | $1,102,544 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $863,948 | TotalAmt |
| Management And General | $863,948 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,271 | TotalAmt |
| Management And General | $63,271 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $404,083 | TotalAmt |
| Management And General | $404,083 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,266,683 | TotalAmt |
| Program Services | $6,760,010 | ProgramServicesAmt |
| Management And General | $4,506,673 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,144,459 | TotalAmt |
| Program Services | $572,230 | ProgramServicesAmt |
| Management And General | $572,229 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,570,246 | TotalAmt |
| Program Services | $2,142,148 | ProgramServicesAmt |
| Management And General | $1,428,098 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,864,735 | TotalAmt |
| Program Services | $2,918,841 | ProgramServicesAmt |
| Management And General | $1,945,894 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,554,888 | TotalAmt |
| Program Services | $2,043,910 | ProgramServicesAmt |
| Management And General | $510,978 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,653 | TotalAmt |
| Program Services | $15,061 | ProgramServicesAmt |
| Management And General | $22,592 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,248 | TotalAmt |
| Program Services | $5,699 | ProgramServicesAmt |
| Management And General | $8,549 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,854,969 | TotalAmt |
| Program Services | $5,093,823 | ProgramServicesAmt |
| Management And General | $761,146 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,342,688 | TotalAmt |
| Program Services | $7,171,344 | ProgramServicesAmt |
| Management And General | $7,171,344 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,783,130 | TotalAmt |
| Program Services | $1,391,565 | ProgramServicesAmt |
| Management And General | $1,391,565 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES & EQUI | $51,312,126 | $51,312,126 | |
| BAD DEBTS | $13,340,034 | $13,340,034 | |
| MEDICAID TAX | $5,873,058 | $5,873,058 | |
| EQUIPMENT RENTAL & MAIN | $3,442,609 | $2,754,087 | $688,522 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,490,724 | TotalAmt |
| Program Services | $2,745,362 | ProgramServicesAmt |
| Management And General | $2,745,362 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $228,980,157 | TotalAmt |
| Program Services | $185,544,582 | ProgramServicesAmt |
| Management And General | $43,435,575 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,549,178 | BOYAmt |
| EOY | $9,848,558 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,689,917 | BOYAmt |
| EOY | $8,277,514 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,764,398 | BOYAmt |
| EOY | $41,468,533 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,723,970 | BOYAmt |
| EOY | $6,422,710 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,543,555 | BOYAmt |
| EOY | $2,265,221 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $269,231,718 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $144,474,241 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $132,774,209 | BOYAmt |
| EOY | $124,757,477 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,255,797 | BOYAmt |
| EOY | $89,511,002 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,222,794 | BOYAmt |
| EOY | $18,728,166 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $287,523,818 | BOYAmt |
| EOY | $301,279,181 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,399,896 | BOYAmt |
| EOY | $18,525,100 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,452,515 | BOYAmt |
| EOY | $99,092,466 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,450,000 | BOYAmt |
| EOY | $13,225,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,245,160 | BOYAmt |
| EOY | $46,447,455 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $183,547,571 | BOYAmt |
| EOY | $177,290,021 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $96,980,399 | BOYAmt |
| EOY | $116,744,131 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,610,107 | BOYAmt |
| EOY | $6,859,018 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $385,741 | BOYAmt |
| EOY | $386,011 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $103,976,247 | BOYAmt |
| EOY | $123,989,160 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $287,523,818 | BOYAmt |
| EOY | $301,279,181 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $12,256,201 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $7,444,736 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $311,976 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $162,676,642 | OtherCostOrOtherBasisAmt |
| Depreciation | $66,530,718 | DepreciationAmt |
| Book Value | $96,145,924 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $106,384,863 | OtherCostOrOtherBasisAmt |
| Depreciation | $77,943,523 | DepreciationAmt |
| Book Value | $28,441,340 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $170,213 | OtherCostOrOtherBasisAmt |
| Book Value | $170,213 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $124,757,477 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INVESTMENTS - LEVEL 2 | Desc |
| Book Value | $89,511,002 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $89,511,002 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| UNAMORTIZED BOND ISSUE COSTS | $1,226,335 |
| RECEIVABLES-PATIENTS-SPECIAL PAYMENT ARRANGEMENTS | $1,536,175 |
| OTHER RECEIVABLES | $3,107,015 |
| DUE FROM AFFILIATED ENTITES | $248,678 |
| RESTRICTED INTEREST IN FOUNDATION MON GENERAL HOSPITAL | $12,151,513 |
| PHYSICIAN LOANS RECEIVABLE | $458,450 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $18,728,166 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUAL FOR ESTIMATED PROFESSIONAL AND GENERAL LIABILITY COSTS | $5,793,313 |
| DUE TO MONONGALIA HEALTH SYSTEM, INC. | $318,402 |
| INTEREST RATE SWAP AGREEMENT | $10,802,537 |
| ACCRUED PENSION COSTS | $28,355,383 |
| UNAMORTIZED BOND PREMIUM | $630,176 |
| CAPITAL LEASE | $547,644 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $46,447,455 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $236,939,943 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $7,444,736 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$13,031,855 | OtherRevenueAmt |
| Revenue Not Reported | -$5,587,119 | RevenueNotReportedAmt |
| Revenue Subtotal | $242,527,062 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $404,083 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | -$1,694,787 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$1,290,704 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $241,236,358 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $216,927,030 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $1,694,787 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $1,694,787 | ExpensesNotReportedAmt |
| Expenses Subtotal | $215,232,243 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $404,083 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $13,343,831 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $13,747,914 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $228,980,157 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE HOSPITAL FOLLOWS THE FASB'S AUTHORITATIVE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THE GUIDANCE CLARIFIES THE ACCOUNTING FOR THE RECOGNITION AND MEASUREMENT OF THE BENEFITS OF INDIVIDUAL TAX POSITIONS IN THE FINANCIAL STATEMENTS. TAX POSITIONS MUST MEET A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT IN ORDER FOR THE BENEFIT OF THOSE TAX POSITIONS TO BE REOCOGNIZED IN THE FINANCIAL STATEMENTS. THE HOSPITAL HAS DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS EXIST AS OF JUNE 30, 2014. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | BAD DEBT NETTED WITH REVENUE ON AUDITED FINANCIAL STATEMENTS -13,340,034. MINIMUM PENSION OBLIGATION REDUCTION 22,298. CHANGE IN FAIR VALUE OF INTEREST RATE SWAPS -292,426. CHANGE IN BENEFICIAL INTEREST IN FOUNDATION 582,104. OTHER RECLASSES OF MISCELLANEOUS REVENUE AND EXPENSE -3,797. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | COST OF CAFETERIA FOOD NETTED WITH REVENUE ON FORM 990 -1,422,627. EMPLOYEE DISCOUNTS ON CAFETERIA PURCHASES INCL. IN EMPLOYEE BENEFITS ON 990 -272,160. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | EMPLOYEE DISCOUNTS ON CAFETERIA PURCHASES INCL. IN EMPLOYEE BENEFITS ON 990 272,160. CHANGE IN BENEFICIAL INTEREST IN FOUNDATION COST OF CAFETERIA FOOD NETTED WITH REVENUE ON FORM 990 1,422,627. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT NETTED WITH REVENUE ON AUDITED FINANCIAL STATEMENTS 13,340,034. OTHER RECLASSES OF MISCELLANEOUS REVENUE AND EXPENSE 3,797. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,437,388 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,437,388 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01060 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,393,115 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,800,691 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,592,424 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06370 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,830,503 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,800,691 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,029,812 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07430 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $632,077 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $632,077 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00280 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $632,077 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $632,077 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00280 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,462,580 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,800,691 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,661,889 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07710 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $5,050,567 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $505,057 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $56,027,946 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $67,169,059 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$11,141,113 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MONONGALIA GENERAL HOSPITAL | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1200 JD ANDERSON DRIVE | AddressLine1 |
| City | MORGANTOWN | City |
| State | WV | State |
| ZIP Code | 26505 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MONONGALIA GENERAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTP://MONGENERAL.COM/MAIN/HOME.ASPX | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | 0 | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | 0 | FPGUsedDetermEligDscntCareInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| MONONGALIA GENERAL HOSPITAL | PART V, SECTION B, LINE 3: THE CONSULTANT ASSISTING WITH THE CHNA IDENTIFIED KEY INFORMANTS FROM A VARIETY OF SECTORS INCLUDING PUBLIC HEALTH AND MEDICAL PROVIDERS, COMMUNITY RESOURCES, AND RELIGIOUS ORGANIZATION. |
| MONONGALIA GENERAL HOSPITAL | PART V, SECTION B, LINE 7: MONONGALIA COUNTY GENERAL HOSPITAL (MGH) WAS NOT ABLE TO ADDRESS ALL OF THE NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT DUE TO VARIOUS REASONS. MENTAL HEALTH AND DRUG ABUSE WERE MAJOR CONCERNS RAISED IN THE ASSESSMENT. HOWEVER, THE HOSPITAL DOES NOT OFFER THESE SERVICES. THE ASSESSMENT WAS CO-SPONSORED WITH THE WEST VIRGINIA UNIVERSITY HOSPITALS (WVUH), ANOTHER HOSPITAL IN THE COMMUNITY. WVUH OWNS A REGIONAL REFERRAL CENTER FOR TREATMENT OF PSYCHIATRIC ILLNESS AND DRUG ADDICTION. MGH BELIEVES WVUH IS BETTER SUITED TO ADDRESS THE MENTAL HEALTH AND DRUG ADDICTION NEEDS IDENTIFIED IN THE COMMUNITY. |
| MONONGALIA GENERAL HOSPITAL | PART V, SECTION B, LINE 20D: THE HOSPITAL IS SUBJECT TO MEDICARE REGULATIONS THAT REQUIRE PARTICIPATING HOSPITALS TO CHARGE ALL PATIENTS THE SAME FOR THE SAME SERVICES. THE HOSPITAL IS ALSO SUBJECT TO RATE REVIEW BY THE WEST VIRGINIA HEALTHCARE AUTHORITY. UNDER RATE REVIEW THE HOSPITAL ANNUALLY SUBMITS A RATE APPLICATION, ALONG WITH THE CHARGEMASTER, FOR APPROVAL. THOUGH CHARGES ARE THE SAME FOR EACH PATIENT, THE AMOUNT BILLED TO INDIVIDUAL PATIENTS IS DETERMINED BASED ON NEGOTIATED RATE FOR INSURED PATIENTS, A 20% DISCOUNT FOR PRIVATE PAY PATIENTS, AND NO CHARGES FOR THOSE ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY. THE HOSPITAL DOES NOT MAINTAIN A SLIDING FEE SCALE. FOR THOSE PATIENTS THAT ARE ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY (LESS THAN 200% FEDERAL POVERTY GUIDELINES), 100% OF CHARGES ARE WRITTEN OFF, THUS CHARGING THOSE ELIGIBLE INDIVIDUALS $0. |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | THE HOSPITAL USED A COST-TO-CHARGE RATIO DERIVED FROM THE MEDICARE COST REPORT FOR TOTAL PROGRAM COSTS AND TOTAL PROGRAM CHARGES TO ESTIMATE THE OVERALL COST-TO-CHARGE RATIO (CCR). THIS CCR WAS USED IN COMPUTATIONS FOR UNREIMBURSED MEDICAID AND CHARITY CARE. |
| PART III, LINE 2: | THE AMOUNT OF BAD DEBT EXPENSE IS CALCULATED BY APPLYING THE COST-TO-CHARGE RATIO TO THE CHARGES WRITTEN OFF TO BAD DEBT DURING THE TAX YEAR. RECOVERIES OF PREVIOUSLY WRITTEN OFF PATIENT RECEIVABLES ARE RECORDED WHEN RECEIVED. THE HOSPITAL DOES NOT REQUIRE COLLATERAL OR OTHER SECURITY ON ITS RECEIVABLES. |
| PART III, LINE 3: | THE HOSPITAL USES A CONSULTANT TO REVIEW THE HOSPITAL'S BAD DEBT ACCOUNTS. THE CONSULTANT USES A PROPRIETARY PRESUMPTIVE ELIGIBILITY PREDICTIVE MODEL THAT INCORPORATES PUBLIC RECORD DATA TO CALCULATE A SOCIO-ECONOMIC AND FINANCIAL CAPICITY SCORE WHICH IS THEN USED TO CLASSIFY PATIENTS THAT WOULD LIKELY MEET THE FINANCIAL ASSISTANCE GUIDELINES HAD THEY FILLED OUT THE NECESSARY PAPERWORK. THE HOSPITAL APPLIED THIS PERCENTAGE TO THE BAD DEBT (AT COST) TO ESTIMATE THE TOTAL DOLLAR AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY. THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA DEPENDS ON THE HOSPITAL TO DELIVER HEALTH CARE AND MEET THEIR MEDICAL NEEDS REGARDLESS OF ABILITY TO PAY, HEALTH INSURANCE STATUS, OR MEDICARE COVEREAGE OF COST FOR PROVIDING THE NEEDED SERVICES. THE HOSPITAL FEELS THAT THIS PORTION OF BAD DEBTS SHOULD BE CONSIDERED AS A COMMUNITY BENEFIT. |
| PART III, LINE 4: | TEXT OF AUDITED FINANCIAL STATEMENTS: PATIENT ACCOUNTS RECEIVABLE ARE CARRIED ON THE BASIS OF TOTAL PATIENT CHARGES. THE ALLOWANCES INCLUDE ESTIMATES FOR ACCOUNTS, WHICH MAY ULTIMATELY PROVE UNCOLLECTIBLE, AND THIRD PARTY CONTRACTUAL AND DISCOUNT ARRANGEMENTS. MANAGEMENT DETERMINES THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BY IDENTIFYING ESTIMATED THIRD PARTY CONTRACTUAL DISCOUNTS AND ALLOWANCES AND BY USING HISTORICAL EXPERIENCE APPLIED TO AN AGING OF ACCOUNTS. PATIENT RECEIVABLES ARE WRITTEN OFF WHEN DEEMED UNCOLLECTIBLE. |
| PART III, LINE 8: | MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST-TO-CHARGE RATIO. THE COSTS ARE ALLOCATED TO THE VARIOUS DEPARTMENTS USING A STEP-DOWN APPROACH AND REMOVING ANY COSTS THAT ARE NOT ALLOWABLE UNDER MEDICARE RULES.THE ORGANIZATION IS A TAX EXEMPT, NOT-FOR-PROFIT ENTITY THAT SERVES MONONGALIA AND SURROUNDING COUNTIES' PATIENT POPULATION REGARDLESS OF THEIR MEANS TO PAY OR HEALTH INSURANCE STATUS. MEDICARE PATIENTS IN THE HOSPITAL'S SERVICE AREA DEPEND ON THE ORGANIZATION TO DELIVER THEIR HEALTH CARE AND MEET THEIR MEDICAL NEEDS REGARDLESS OF MEDICARE COVERAGE OF COST FOR PROVIDING THE NEEDED SERVICE. SINCE THE ORGANIZATION CONSTANTLY WORKS TO OPERATE AS COST EFFICIENTLY AS POSSIBLE, THE HOSPITAL FEELS STRONGLY THAT THE MEDICARE SHORTFALL SHOULD BE INCLUDED AS A COMMUNITY BENEFIT. |
| PART III, LINE 9B: | THERE ARE PROVISIONS IN THE DEBT COLLECTION POLICY TO BE FOLLOWED FOR PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. THE POLICY STATES THAT FINANCIAL ASSISTANCE SHALL BE OFFERED TO THE ORGANIZATION'S UNINSURED AND UNDERINSURED PATIENTS ON A NONDISCRIMINATORY BASIS TO MEET THE NEEDS OF THE COMMUNITY. CHARITY CARE REQUESTS WILL BE REVIEWED AND EVALUATED BY THE CFO AND DIRECTOR OF PATIENT ACCOUNTING FOR APPROVAL. PATIENTS THAT QUALIFY FOR 100% CHARITY CARE ARE NOT PURSUED FOR COLLECTION. PATIENTS THAT QUALIFY FOR PARTIAL ASSISTANCE HAVE THEIR BALANCE REDUCED ACCORDINGLY AND NORMAL COLLECTION EFFORTS ARE USED TO COLLECT THE BALANCE. |
| PART VI, LINE 2: | THE NEEDS OF THE COMMUNITY WERE ASSESSED BASED ON DISCUSSIONS AMONGST MANAGEMENT AND BOARD MEMBERS DURING BOARD AND COMMITTEE MEETINGS. THE BOARD OF DIRECTORS IS SELECTED FROM A CROSS-SECTION OF COMMUNITY MEMBERS, WHICH PROVIDES OPINIONS FROM VARYING DEMOGRAPHICS. |
| PART VI, LINE 3: | THE ORGANIZATION HAS FINANCIAL COUNSELORS AVAILABLE TO EDUCATE PATIENTS ON THE ELIGIBILITY OF ASSISTANCE. |
| PART VI, LINE 4: | THE ORGANIZATION SERVES PRIMARILY MONONGALIA COUNTY; HOWEVER, THERE IS UTILIZATION BY MANY SURROUNDING COUNTIES AS WELL. MONONGALIA COUNTY HAS APPROXIMATELY 100,000 RESIDENTS, OF WHICH A SIZEABLE PORTION ARE STUDENTS AT WEST VIRGINIA UNIVERSITY (SOME BUT NOT ALL OF THE 30,000 ARE INCLUDED IN THE COUNT). MONONGALIA COUNTY IS PROJECTED TO GROW OVER THE NEXT FIVE YEARS, AS OPPOSED TO THE STATE OF WEST VIRGINIA WHICH IS PROJECTED TO DECLINE IN POPULATION. THE COUNTY'S RACIAL AND ETHNIC CHARACTERISTICS ARE FAIRLY SIMILAR TO THE NATION AS A WHOLE, WITH APPROXIMATELY 9% IDENTIFIED AS MINORITIES. THE COUNTY'S MEDIAN HOUSEHOLD INCOME IS HIGHER THAN THAT OF WV, BUT LESS THAN THE U.S. AS A WHOLE. THE COUNTY ALSO HAS A LOWER UNEMPLOYMENT RATE THAN WV AND LOWER THAN THE U.S. AS A WHOLE. THERE IS CURRENTLY ONE OTHER HOSPITAL SERVING MONONGALIA COUNTY AND THERE ARE NO FEDERALL MEDICALLY UNDERSERVED AREAS OR POPULATIONS PRESENT IN THE COMMUNITY. |
| PART VI, LINE 5: | THE ORGANIZATION HAS AN OPEN MEDICAL STAFF SERVING A MULTITUDE OF SPECIALITIES. THE BOARD OF DIRECTORS IS COMPRISED OF VARIOUS MEMBERS OF THE COMMUNITY AS REQUIRED UNDER ITS BY-LAWS. AN EXAMPLE OF THE ORGANIZATION USING ITS SURPLUS FUNDS IS THROUGH SPONSORSHIP OF AN ANNUAL HEALTH FAIR AT THE LOCAL MALL, IN WHICH THOUSANDS OF CITIZENS FROM THE LOCAL COMMUNITY COME TO LEARN ABOUT SERVICES OFFERED AND ARE PROVIDED THE OPPORTUNITY TO RECEIVE MULTIPHASIC BLOODWORK FOR A NOMINAL FEE. |
| PART VI, LINE 6: | THE ORGANIZATION IS PART OF MONONGALIA HEALTH SYSTEMS, INC. WHICH INCLUDES THE FOLLOWING OTHER HEALTH CARE ENTITIES IN THE COMMUNITY: MONONGALIA EMERGENCY MEDICAL SERVICES, INC., MON ELDER SERVICES, INC. DBA THE VILLAGE AT HERITAGE POINT, AND MON HEALTH CARE INC. MONONGALIA EMERGENCY MEDICAL SERVICES, INC. IS A NOT-FOR-PROFIT ENTITY WHICH PROVIDES AMBULANCE SERVICES TO THE COMMUNITY AND IS THE PRIMARY EMERGENCY CONTACT TRANSPORT SERVICE FOR 911 CALLS IN THE COUNTY. MON ELDER SERVICES, INC. IS A NOT-FOR-PROFIT RESIDENTIAL AND ASSISTED LIVING PROVIDER. MON HEALTH CARE INC. IS A FOR-PROFIT DURABLE MEDICAL EQUIPMENT RETAILER. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | WV |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DARRYL DUNCAN | ||||||||||||||
| PRESIDENT/CEO | $0 | $457,636 | $0 | $0 | $0 | $20,506 | $0 | $98,059 | $0 | $28,571 | $0 | $604,772 | $0 | $0 |
| DARIS ROSENCRANCE | ||||||||||||||
| SENIOR VP FINANCE/CFO | $0 | $252,593 | $0 | $0 | $0 | $36,655 | $0 | $13,148 | $0 | $27,986 | $0 | $330,382 | $0 | $0 |
| KEE LEE | ||||||||||||||
| SURGEON | $697,132 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $18,300 | $0 | $715,432 | $0 | $0 | $0 |
| FAISAL BUKEIRAT | ||||||||||||||
| SURGEON | $413,803 | $0 | $0 | $0 | $3,708 | $0 | $5,100 | $0 | $27,986 | $0 | $450,597 | $0 | $0 | $0 |
| ALEXANDER NAGY | ||||||||||||||
| SURGEON | $446,349 | $0 | $156,300 | $0 | $22,306 | $0 | $5,100 | $0 | $33,986 | $0 | $664,041 | $0 | $0 | $0 |
| WILLIAM C MCBEE | ||||||||||||||
| SURGEON | $634,961 | $0 | $175,000 | $0 | $3,378 | $0 | $5,100 | $0 | $28,842 | $0 | $847,281 | $0 | $0 | $0 |
| JAMIE LESNOCK | ||||||||||||||
| SURGEON | $457,101 | $0 | $0 | $0 | $3,346 | $0 | $5,100 | $0 | $33,236 | $0 | $498,783 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4B | PART 1, LINE 4B: DARRYL DUNCAN DEFERRED $92,959 IN COMPENSATION UNDER A 457(F) PLAN. DARIS ROSENCRANCE DEFERRED $8,239 IN COMPENSATION UNDER A 457(F) PLAN. PART 1, LINE 7: AS PART OF THE CEO AND CFO COMPENSATION PACKAGES, A PORTION OF THEIR SALARY IS PLACED "AT RISK". PAYMENT OF THIS PORTION IS CONTINGENT ON MEETING ANNUAL GOALS ESTABLISHED BY THE BOARD OF DIRECTORS. |
| SCH J, PART II | THE CEO, VP OF MEDICAL AFFAIRS AND OUTSIDE COUNSEL CONSIDER INDUSTRY STANDARDS AND BENCHMARKS AND PERFORM A FMV ANALYSIS WHEN DRAFTING EMPLOYMENT CONTRACTS FOR THE PHYSICIANS AND SURGEONS OF THE ORGANIZATION TO ENSURE THAT COMPENSATION IS NOT IN EXCESS OF FMV. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| MONONGALIA COUNTY BUILDING COMMISSION | ||||||||
| A | 550714648 | 610208BL3 | 2005-06-01 | $62,696,073 | CONSTRUCTION AND EXPANSION OF FACILITIES | 0 | 0 | 0 |
| MONONGALIA COUNTY BUILDING COMMISSION | ||||||||
| B | 550714648 | 610208CK4 | 2011-04-20 | $9,515,218 | REFUND A PORTION OF VARIABLE RATE BONDS | 0 | 0 | 0 |
| MONONGALIA COUNTY BUILDING COMMISSION | ||||||||
| C | 550714648 | 610208BR0 | 2008-02-13 | $48,145,000 | CONSTRUCTION AND EXPANSION OF FACILITIES | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Refunding EscrowRefundingEscrowAmt | RetiredRetiredAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $62,696,073 | $4,473,125 | $820,241 | $57,402,707 | 2009 | 0 | 0 | Yes (1) | Yes (1) | ||
| B | $9,515,218 | $190,305 | 2011 | 0 | Yes (1) | 0 | Yes (1) | $9,324,914 | |||
| C | $48,145,000 | $705,242 | $34,288,545 | 2009 | 0 | Yes (1) | 0 | Yes (1) | $13,151,213 | $11,585,000 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| C | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd | Term Of HedgeTermOfHedgePct | Superintegrated HedgeSuperintegratedHedgeInd | Hedge TerminatedHedgeTerminatedInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| (no name) | ||||||||||||
| A | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | |||
| (no name) | ||||||||||||
| B | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | |||
| RAYMOND JAMES | ||||||||||||
| C | 0 | 0 | 0 | Yes (1) | Yes (1) | Yes (1) | 0 | 0 | 0 | 32.400000000000 | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
| C | 0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART IV, LINE 2C, COLUMN A | FormAndLineReferenceDesc |
| Explanation | THE FUNDS DID NOT EARN MORE THAN THE INTEREST ON THE BONDS; THEREFORE, A REBATE COMPUTATION WAS NOT NECESSARY. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE GOVERNING BODY IS PROVIDED A COPY OF THE FORM 990 FOR THEIR REVIEW PRIOR TO SUBMISSION. THE BOARD MEMBERS ARE ASKED TO INFORM MANAGEMENT OF ANY QUESTIONS OR REVISIONS THEY MAY HAVE. IF CHANGES ARE MADE, BASED ON BOARD MEMBER'S REVISIONS, MANAGEMENT REDISTRIBUTES A FINAL VERSION TO ALL BOARD MEMBERS. |
| FORM 990, PART VI, SECTION B, LINE 12C | ANNUALLY, A CONFLICT OF INTEREST QUESTIONNAIRE IS SENT OUT TO ALL BOARD MEMBERS AND OFFICERS. THE BOARD AND OFFICERS THEN REVIEWS ALL RESPONSES FOR POSSIBLE CONFLICTS OF INTEREST. IF A CONFLICT IS NOTED, THE BOARD MEMBERS DETERMINE IN WHICH DECISIONS THE CONFLICTED MEMBER SHALL NOT PARTICIPATE. |
| FORM 990, PART VI, SECTION B, LINE 15 | LINE 15A - ANNUALLY, A CONSULTANT COMPILES A MARKET DATA REPORT ON EXECUTIVE CEO COMPENSATION. THIS REPORT IS THEN REVIEWED BY THE INDEPENDENT EXECUTIVE COMMITTEE TO DETERMINE COMPENSATION FOR THE INDIVIDUAL. LINE 15B - ANNUALLY, A CONSULTANT COMPILES A MARKET DATA REPORT ON EXECUTIVE CFO AND COO COMPENSATION. THIS REPORT IS THEN REVIEWED BY THE INDEPENDENT EXECUTIVE COMMITTEE TO DETERMINE COMPENSATION FOR THE INDIVIDUALS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE KEPT ON-SITE AT MONONGALIA GENERAL HOSPITAL AND ARE MADE AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | CHANGE IN THE MINIMUM PENSION LIABILITY 22,298. CHANGE IN THE BENEFICIAL INTEREST IN THE FOUNDATION NETTED WITH REVENUE 582,104. CHANGE IN INTEREST RATE SWAP LIABILITY NETTED WITH REVENUE -292,426. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MONONGALIA HEALTH SYSTEM INC | |||||||||||
| 1200 JD ANDERSON DRIVE | MORGANTOWN | WV | 26505 | 550621551 | PARENT/MANAGEMENT COMPANY | WV | 501(C)(3) | LINE 11A, I | MONONGALIA HEALTH SYSTEMS INC | 0 | |
| MONONGALIA EMERGENCY MEDICAL SERVICES INC | |||||||||||
| 1200 JD ANDERSON DRIVE | MORGANTOWN | WV | 26505 | 550725494 | EMERGENCY AMBULANCE | WV | 501(C)(3) | LINE 9 | MONONGALIA HEALTH SYSTEMS INC | Yes (1) | |
| MON ELDER SERVICES INC | |||||||||||
| 1200 JD ANDERSON DRIVE | MORGANTOWN | WV | 26505 | 311520863 | CONTINUING CARE RETIREMENT | WV | 501(C)(3) | LINE 9 | MONONGALIA HEALTH SYSTEMS INC | Yes (1) | |
| THE FOUNDATION OF MONONGALIA GENERAL HOSPITAL INC | |||||||||||
| 1200 JD ANDERSON DRIVE | MORGANTOWN | WV | 26505 | 550570338 | RAISE FUNDS FOR MONONGALIA GENERAL HOSPITAL | WV | 501(C)(3) | LINE 7 | Yes (1) | N/A | |
| PRESTON HEALTH CARE CORPORATION | |||||||||||
| 300 SOUTH PRICE STREET | KINGWOOD | WV | 26537 | 550747067 | MONITOR OPERATIONS OF SUBSIDIARIES | WV | 501(C)(3) | LINE 3 | MONONGALIA HEALTH SYSTEMS INC | Yes (1) | |
| PRESTON MEMORIAL HOSPITAL | |||||||||||
| 300 SOUTH PRICE STREET | KINGWOOD | WV | 26537 | 311097818 | HOSPITAL | WV | 501(C)(3) | LINE 3 | MONONGALIA HEALTH SYSTEMS INC | Yes (1) | |
| PRESTON MEMORIAL MEDICAL GROUP | |||||||||||
| 300 SOUTH PRICE STREET | KINGWOOD | WV | 26537 | 550717988 | PRIMARY AND URGENT CARE | WV | 501(C)(3) | LINE 9 | MONONGALIA HEALTH SYSTEMS INC | Yes (1) | |
| PRESTON MEMORIAL HOSPITAL FOUNDATION INC | |||||||||||
| 300 SOUTH PRICE STREET | KINGWOOD | WV | 26537 | 550740121 | RAISE FUNDS FOR PRESTON MEMORIAL HOSPITAL | WV | 501(C)(3) | LINE 7 | MONONGALIA HEALTH SYSTEMS INC | Yes (1) | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MON HEALTH CARE INC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1200 JD ANDERSON DRIVE | AddressLine1 |
| City | MORGANTOWN | City |
| State | WV | State |
| ZIP Code | 26505 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550654973 | EIN |
| Primary Activities | HOME MEDICAL EQUIPMENT | PrimaryActivitiesTxt |
| Legal Domicile State | WV | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MONONGALIA HEALTH SYSTEM INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (8 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MONONGALIA HEALTH SYSTEM INC | ||
| P | $3,405,730 | FMV |
| MONONGALIA HEALTH SYSTEM INC | ||
| Q | $1,100,605 | FMV |
| THE FOUNDATION OF MON GENERAL HOSPITAL | ||
| C | $1,000,000 | FMV |
| MON HEALTHCARE EQUIPMENT SUPPLY | ||
| Q | $539,951 | FMV |
| MON COUNTY EMERGENCY SERVICES | ||
| Q | $301,587 | FMV |
| MON ELDER SERVICES INC | ||
| Q | $265,002 | FMV |
| THE FOUNDATION OF MON GENERAL HOSPITAL | ||
| Q | $155,567 | FMV |
| MONONGALIA HEALTH SYSTEM INC | ||
| J | $54,635 | FMV |
Comments