LOGAN MEDICAL FOUNDATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
LOGAN MEDICAL FOUNDATION (EIN 55-0219480)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-07-01
IRS object ID
201321829349300002
Schema version
2012v2.1
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-07-01T07:16:28-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN550486667EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Arnett Foster Toothman PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1P O Box 2629AddressLine1
CityCharlestonCity
StateWVState
ZIP Code25329ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN550219480EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1The Logan Medical FoundationBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLOGANameControl
Phone3047527244Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 1725AddressLine1
CityLoganCity
StateWVState
ZIP Code25601ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJohn EarlesName
TitleVice ChairmanTitle
Phone3047527244Phone
Date Signed2013-06-20DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameHarry C HarlessName
PTINP01042847PTIN
Phone3043460441Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJohn EarlesNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1Room 311 229 Stratton StAddressLine1
CityLoganCity
StateWVState
ZIP Code25601ZIPCode
FieldValueIRS element (for citing)
Gross Receipts4508702GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1989YearFormation
State Legal DomicileWVStateLegalDomicile
Activity Or Mission DescriptionTo support, manage and furnish hospital and other health care facilities, personnel and services for diagnosis, care and treatment of sick, injured or disabled persons, without regard to race, creed, color, age, sex or national origin; to provide facilities, personnel, funds and other requirements for the education and training of medical and health related personnel; and to manage, operate or participate in scientific research and any other activity designed to promote the general health of the community.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year101642InvestmentIncomePriorYear
Investment Income Current Year108412InvestmentIncomeCurrentYear
Other Revenue Prior Year10083OtherRevenuePriorYear
Other Revenue Current Year178503OtherRevenueCurrentYear
Total Revenue Prior Year111725TotalRevenuePriorYear
Total Revenue Current Year286915TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year247500GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY250000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year28393SalariesEtcPriorYear
Salaries Etc Current Year143092SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year153667OtherExpensePriorYear
Other Expenses Current Year147653OtherExpensesCurrentYear
Total Expenses Prior Year429560TotalExpensesPriorYear
Total Expenses Current Year540745TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-317835RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-253830RevenuesLessExpensesCY
Total Assets BOY9916712TotalAssetsBOY
Total Assets EOY10064356TotalAssetsEOY
Total Liabilities BOY500000TotalLiabilitiesBOY
Total Liabilities EOY500000TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY9416712NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY9564356NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTo support, manage and furnish hospital and other health care facilities, personnel and services for the diagnosis, care and treatment of sick, injured or disabled persons, without regard to race, creed, color, age, sex or national origin; to provide facilities, personnel, funds and other requirements for the education and training of medical and health related personnel; and to manage, operate or participate in scientific research and any other activity designed to promote the general health of the community.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense250000Expense
Grants250000Grants
DescriptionThe Logan Medical Foundation continues to liquidate liabilities and collect available receivables related to patient care provided in prior years. Once all receivables have been collected and liabilities satisfied, the remaining cash and assets will be transferred to Logan Healthcare Foundation, Inc., a 501(c)(3) organization established by The Logan Medical Foundation. During the current year, $250,000 was transferred to Logan Healthcare Foundation, Inc.Description
Total Program Service Expense250000TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10963NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees0MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy0ConflictOfInterestPolicy
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1John N ChristodoulouBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3047527244TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO Box 1725AddressLine1
CityLoganCity
StateWVState
ZIP Code25601ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (6 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
John Earles
Vice Chairman/Treasurer10.0010.00X000
Roger McGrew
Chairman10.0010.00X000
Charles Justice
Director2.502.50X000
Judith McCormick
Secretary2.502.50X000
Ed Napier
Director2.502.50X000
Anita Amburgey
Director2.502.50X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column184918TotalRevenueColumn
Exclusion$184,918ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real13292Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real7754Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real5538Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column5538TotalRevenueColumn
Exclusion$5,538ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities4130527Securities
Other7000Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities4210198Securities
Other3835Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-79671Securities
Other3165Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-76506TotalRevenueColumn
Exclusion-$76,506ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
Bankruptcy claim900099154695$154,695
Restitution income90009918270$18,270
FieldValueIRS element (for citing)
Total Other Revenue172965TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column286915TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$286,915ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total250000Total
Program Services250000ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total143092Total
Management And General143092ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total17911Total
Management And General17911ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total15539Total
Management And General15539ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3577Total
Management And General3577ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total33644Total
Management And General33644ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total275Total
Management And General275ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total35613Total
Management And General35613ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneral
Bad debt expense3192631926
Property taxes90599059
Filing fees109109

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total540745Total
Program Services250000ProgramServices
Management And General290745ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY82471BOY
EOY186756EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1319013BOY
EOY813791EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY154062BOY
EOY107036EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY16918BOY
EOY14801EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis346268LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec155081LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY198207BOY
EOY191187EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY7939964BOY
EOY8574565EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY206077BOY
EOY176220EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9916712BOY
EOY10064356EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY500000BOY
EOY500000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY500000BOY
EOY500000EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY9416712BOY
EOY9564356EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9416712BOY
EOY9564356EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9916712BOY
EOY10064356EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-253830ReconcilationRevenueExpenses
Reconciliation Unrealized Invest401474ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review1AccountantCompileOrReview

Accountant Compile Or Review Basis AccountantCompileOrReviewBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
FS Audited0FSAudited
Audit Committee0AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis165856InvestmentCostOrOtherBasis
Other Cost Or Other Basis13693OtherCostOrOtherBasis
Book Value179549BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis166719OtherCostOrOtherBasis
Depreciation155081Depreciation
Book Value11638BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings191187TotalOfBookValueLandBuildings

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1Logan Healthcare Foundation IncBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO Box 1725AddressLine1
CityLoganCity
StateWVState
ZIP Code25601ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient201337361EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant250000AmountOfCashGrant
Purpose Of GrantTo provide services in the geographic service area formerly served by the Logan General Hospital and the residents of a five county area in southern West Virginia.PurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

Return ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Section A, line 8bNo separate committees exist.
Form 990, Part VI, Section B, line 11The board treasurer reviews and signs the tax return.
Form 990, Part VI, Section C, line 19The organization makes its governing documents available at its principal place of business, which is Room 311, 229 Stratton Street, Logan, WV 25601 or by mail at its mailing address, which is PO Box 1725, Logan, WV 25601.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1Logan Healthcare Foundation IncBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO Box 1725AddressLine1
CityLoganCity
StateWVState
ZIP Code25601ZIPCode
FieldValueIRS element (for citing)
EIN201337361EIN
Primary ActivitiesProvide grants to further healthcare in five counties in southern WV.PrimaryActivities
Legal Domicile StateWVLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity StatusPFPublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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