PRESTON MEMORIAL HOSPITAL CORPORATION: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- PRESTON MEMORIAL HOSPITAL CORPORATION (EIN 31-1097818)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-12
- IRS object ID
- 201333169349301928
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-12T05:35:04-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550486667 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Arnett Foster Toothman PLLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O Box 2629 | AddressLine1 |
| City | Charleston | City |
| State | WV | State |
| ZIP Code | 25329 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311097818 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Preston Memorial Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | PRES | NameControl |
| Phone | 3043291400 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 South Price Street | AddressLine1 |
| City | Kingwood | City |
| State | WV | State |
| ZIP Code | 265371442 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Robert Milvet | Name |
| Title | Chief Financial Officer | Title |
| Phone | 3043291400 | Phone |
| Date Signed | 2013-11-08 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Harry C Harless | Name |
| PTIN | P01042847 | PTIN |
| Phone | 3043460441 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Melissa Lockwood | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 South Price Street | AddressLine1 |
| City | Kingwood | City |
| State | WV | State |
| ZIP Code | 265371442 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 25513971 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | prestonmemorial.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1955 | YearFormation |
| State Legal Domicile | WV | StateLegalDomicile |
| Activity Or Mission Description | To provide acute medical, rehabilitative, and outpatient services to residents of Kingwood, West Virginia and surrounding communities. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 10 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 347 | TotalNbrEmployees |
| Total Nbr Volunteers | 35 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 569007 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 795419 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 23199318 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 24200725 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 22763 | InvestmentIncomePriorYear |
| Investment Income Current Year | 6240 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1182043 | OtherRevenuePriorYear |
| Other Revenue Current Year | 498621 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 24973131 | TotalRevenuePriorYear |
| Total Revenue Current Year | 25501005 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 12768057 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 13474109 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 9880861 | OtherExpensePriorYear |
| Other Expenses Current Year | 9986819 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 22648918 | TotalExpensesPriorYear |
| Total Expenses Current Year | 23460928 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2324213 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2040077 | RevenuesLessExpensesCY |
| Total Assets BOY | 7860489 | TotalAssetsBOY |
| Total Assets EOY | 8741081 | TotalAssetsEOY |
| Total Liabilities BOY | 5724480 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 4807876 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 2136009 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 3933205 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | To provide all patients state of the art, accessible, and cost effective healthcare. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 16082114 | Expense |
| Revenue | 24169963 | Revenue |
| Description | The Hospital had 2,927 inpatient days, cared for 8,571 emergency patients and treated 44,491 in its outpatient clinics. The Hospital provides care regardless of the patient's ability to pay. Charges foregone for charity care amounted to $717,681.The hospital promotes and provides activities such as health fairs, blood drives, and a fitness center to improve the health and welfare of its patients. The Hospital strives to provide and promote needed services in the community by partnering with local agencies such as the Preston County Health Department, Family Resource Network, Preston Prevention Partnership, and the Preston County Chamber of Commerce.The hospital is committed to and will continue to strive to provide affordable, high quality health care in Preston County and surrounding areas. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 418609 | Expense |
| Revenue | 30762 | Revenue |
| Description | The organization sponsored health fairs, blood drives, cancer screenings, CRR/First Aid classes,crisis intervention, Diabetes intervention, Family/Parenting/Sibling education, Fitness/Education, Flu shots, Nutrition/Weight Maintenance,School based programs, Senior Education and Outreach programs, Sports Injury Prevention, Substance Abuse and Tobacco/Smoking cessation. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 16500723 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 80 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 347 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 10 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Robert Milvet CFO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3043291400 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 South Price Street | AddressLine1 |
| City | Kingwood | City |
| State | WV | State |
| ZIP Code | 265371442 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (17 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| Ron Crites | |||||||
| Chair | 1.00 | X | 0 | 0 | 0 | ||
| Kathy McNeil | |||||||
| Vice Chair | 1.00 | X | 0 | 0 | 0 | ||
| Rita McCrobie | |||||||
| Secretary | 1.00 | X | 0 | 0 | 0 | ||
| Roger Metheny | |||||||
| Treasurer | 1.00 | X | 0 | 0 | 0 | ||
| Vicki Cole | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Mary Jo Gregg | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Roger Hardesty | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Larry Williams | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Frederick Conley II | |||||||
| Chief of Staff/Board Member | 40.00 | X | 290697 | 0 | 27136 | ||
| Carl Spear | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Melissa Lockwood | |||||||
| Chief Executive Officer | 40.00 | 148322 | 0 | 12285 | X | ||
| Robert Milvet | |||||||
| Chief Financial Officer | 40.00 | 129823 | 0 | 19915 | X | ||
| Marisa Holland | |||||||
| Physician | 40.00 | 274287 | 0 | 24326 | X | ||
| Dale M Myers | |||||||
| Physician | 40.00 | 237725 | 0 | 7378 | X | ||
| Theresa S Rutledge | |||||||
| Physician | 40.00 | 281640 | 0 | 22458 | X | ||
| Ehab Akkary | |||||||
| Physician | 40.00 | 403601 | 0 | 7143 | X | ||
| Denise C Lucas Smyth | |||||||
| Physician | 40.00 | 250647 | 0 | 5509 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2016742 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 126150 | TotalOtherCompensation |
| Number Individuals GT100 K | 14 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Mountaineer Radiology Assoc PC | |||||
| 100 Hummingbird Lane | Morgantown | WV | 26508 | Radiology Services | 429000 |
| Quorum Health Resources LLC | |||||
| 105 Continental Place | Brentwood | TN | 37027 | Management Services | 299308 |
| Allied Health Services | |||||
| PO Box 8034 | Morgantown | WV | 26506 | Pathology Services | 252841 |
| Alliance Healthcare Services | |||||
| PO Box 96485 | Chicago | IL | 60693 | MRI Services | 181695 |
| Hammes Company | |||||
| 18000 West Sarah Lane Suite 250 | Brookfield | WI | 53045 | Construction Management | 121534 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 7 | NumberOfContractorsGT100K |
| Government Grants | 758828 | GovernmentGrants |
| All Other Contributions | 36591 | AllOtherContributions |
| Noncash Contributions | 750000 | NoncashContributions |
| Total Contributions | 795419 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Patient services | Description |
| Business Code | 622110 | BusinessCode |
| Total Revenue Column | 24200725 | TotalRevenueColumn |
| Related Or Exempt Function Income | 24200725 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 24200725 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 940 | TotalRevenueColumn |
| Exclusion | $940 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 36296 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 12966 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 23330 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 23330 | TotalRevenueColumn |
| Exclusion | $23,330 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 5300 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 5300 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5300 | TotalRevenueColumn |
| Exclusion | $5,300 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| Electronic Health Records | 518210 | 336914 | $336,914 |
| Cafeteria Sales | 722212 | 87074 | $87,074 |
| Rebate Revenue | 900099 | 18505 | $18,505 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 32798 | TotalRevenueColumn |
| Exclusion | $32,798 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 475291 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 25501005 | TotalRevenueColumn |
| Related Or Exempt Function Income | 24200725 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $504,861 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 628733 | Total |
| Program Services | 438038 | ProgramServices |
| Management And General | 190695 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10444488 | Total |
| Program Services | 7276675 | ProgramServices |
| Management And General | 3167813 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 285116 | Total |
| Program Services | 198640 | ProgramServices |
| Management And General | 86476 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1356040 | Total |
| Program Services | 944753 | ProgramServices |
| Management And General | 411287 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 759732 | Total |
| Program Services | 529305 | ProgramServices |
| Management And General | 230427 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 289494 | Total |
| Program Services | 201690 | ProgramServices |
| Management And General | 87804 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 83794 | Total |
| Management And General | 83794 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 93641 | Total |
| Management And General | 93641 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2122005 | Total |
| Program Services | 1478401 | ProgramServices |
| Management And General | 643604 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 159314 | Total |
| Program Services | 110994 | ProgramServices |
| Management And General | 48320 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2493797 | Total |
| Program Services | 1737428 | ProgramServices |
| Management And General | 756369 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 173398 | Total |
| Program Services | 120806 | ProgramServices |
| Management And General | 52592 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 465262 | Total |
| Program Services | 324148 | ProgramServices |
| Management And General | 141114 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 96301 | Total |
| Program Services | 67093 | ProgramServices |
| Management And General | 29208 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 152388 | Total |
| Management And General | 152388 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 836546 | Total |
| Program Services | 582822 | ProgramServices |
| Management And General | 253724 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 450206 | Total |
| Program Services | 313659 | ProgramServices |
| Management And General | 136547 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Medical supplies | 1004813 | 1004813 | |
| Repairs & maintenance | 581296 | 404989 | 176307 |
| Healthcare provider tax | 490343 | 490343 | |
| Sales tax | 165255 | 115133 | 50122 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 328966 | Total |
| Program Services | 160993 | ProgramServices |
| Management And General | 167973 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23460928 | Total |
| Program Services | 16500723 | ProgramServices |
| Management And General | 6960205 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4295 | BOY |
| EOY | 6208 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2686257 | BOY |
| EOY | 2890802 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 610523 | BOY |
| EOY | 711271 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 96538 | BOY |
| EOY | 102648 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 15965866 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 12547573 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3066940 | BOY |
| EOY | 3418293 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 170659 | BOY |
| EOY | 264760 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 100176 | BOY |
| EOY | 119240 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1125101 | BOY |
| EOY | 1227859 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7860489 | BOY |
| EOY | 8741081 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4140613 | BOY |
| EOY | 3804462 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 870000 | BOY |
| EOY | 450000 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 201319 | BOY |
| EOY | 304361 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 512548 | BOY |
| EOY | 249053 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5724480 | BOY |
| EOY | 4807876 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2024212 | BOY |
| EOY | 3067138 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 111797 | BOY |
| EOY | 866067 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2136009 | BOY |
| EOY | 3933205 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7860489 | BOY |
| EOY | 8741081 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 2040077 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -242881 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $5,035 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 5035 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Explanation of Lobbying Activities: | Identifier |
| Return Reference | Part II-B, Line 1: | ReturnReference |
| Explanation | The organization pays membership fees in the West Virginia Hospital Association and the American Hospital Association, both which participate in lobbying activities. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 31195 | OtherCostOrOtherBasis |
| Book Value | 31195 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7873821 | OtherCostOrOtherBasis |
| Depreciation | 6741423 | Depreciation |
| Book Value | 1132398 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7286857 | OtherCostOrOtherBasis |
| Depreciation | 5647415 | Depreciation |
| Book Value | 1639442 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 773993 | OtherCostOrOtherBasis |
| Depreciation | 158735 | Depreciation |
| Book Value | 615258 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 3418293 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (6 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Bond issue costs | 4549 |
| Other receivables | 51708 |
| Restricted real estate donation | 335000 |
| Due from third party payors | 84280 |
| Land held for development | 750000 |
| Due from related party | 2322 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 1227859 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Capital leases | Description |
| Amount | $249,053 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 249053 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 24375398 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 12966 | OtherRevenues |
| Revenue Not Rptd F990 | 12966 | RevenueNotRptdF990 |
| Revenue Subtotal | 24362432 | RevenueSubtotal |
| Other Revenues Not Included | 1138573 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 1138573 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 25501005 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 23331880 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 12966 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 12966 | ExpensesNotRptdF990 |
| Expenses Subtotal | 23318914 | ExpensesSubtotal |
| Other Expenses Not Included | 142014 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 142014 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 23460928 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Part XI, Line 2d - Other Adjustments: | Rental expenses netted with income on 990 12,966. |
| Part XI, Line 4b - Other Adjustments: | Gain on disposal of assets 5,300. Noncapital grants and contributions 12,928. Electronic health records incentive revenue 336,914. Donations restricted for fixed asset purchases 750,000. Capital campaign contributions 28,829. Investment income 940. Grant revenue netted against expense on financial statements 3,662. |
| Part XII, Line 2d - Other Adjustments: | Rental expenses netted with income on 990 12,966. |
| Part XII, Line 4b - Other Adjustments: | Interest expense 138,352. Grant revenue netted against expense on financial statements 3,662. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 300.000000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 1002 | PersonsServed |
| Total Community Benefit Expense | 414301 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9672 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 404629 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01720 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 6142 | PersonsServed |
| Total Community Benefit Expense | 3801660 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3972841 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -171181 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 263 | PersonsServed |
| Total Community Benefit Expense | 119711 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 103724 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 15987 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 7407 | PersonsServed |
| Total Community Benefit Expense | 4335672 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4086237 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 249435 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01790 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 68 | NumberOfActivitiesOrPrograms |
| Persons Served | 4826 | PersonsServed |
| Total Community Benefit Expense | 418609 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 30762 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 387847 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01650 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 69 | NumberOfActivitiesOrPrograms |
| Persons Served | 243 | PersonsServed |
| Total Community Benefit Expense | 34752 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 260 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 34492 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00150 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 8571 | PersonsServed |
| Total Community Benefit Expense | 4880773 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2323845 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2556928 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10900 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 173 | NumberOfActivitiesOrPrograms |
| Persons Served | 3646 | PersonsServed |
| Total Community Benefit Expense | 31879 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 31879 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00140 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 311 | NumberOfActivitiesOrPrograms |
| Persons Served | 17286 | PersonsServed |
| Total Community Benefit Expense | 5366013 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2354867 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3011146 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.12840 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 314 | NumberOfActivitiesOrPrograms |
| Persons Served | 24693 | PersonsServed |
| Total Community Benefit Expense | 9701685 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6441104 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3260581 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.14630 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 17 | NumberOfActivitiesOrPrograms |
| Persons Served | 3930 | PersonsServed |
| Total Community Building Expense | 4424 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 4424 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 8 | NumberOfActivitiesOrPrograms |
| Persons Served | 750 | PersonsServed |
| Total Community Building Expense | 936 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 936 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 25 | NumberOfActivitiesOrPrograms |
| Persons Served | 4680 | PersonsServed |
| Total Community Building Expense | 5360 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 5360 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $1,999,232 | BadDebtExpenseAmount |
| Amount Attributable To | 99962 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 5587057 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 5587057 | CostOfCareReimbursedByMedicare |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Preston Memorial Hospital | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 South Price Street | AddressLine1 |
| City | Kingwood | City |
| State | WV | State |
| ZIP Code | 26537 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Critical Access Hospital | X | CriticalAccessHospital |
| Er24 Hours | X | Er24Hours |
| Other | 24X7 lab and radiology. Center of Excellence in Bariatric Surgery. | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Preston Memorial Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 0 | CHNAConducted |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 300.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 300.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Permit Lawsuit | X | PermitLawsuit |
| Permit Lien On Residence | X | PermitLienOnResidence |
| Collection Activities | 1 | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| Lawsuit | X | Lawsuit |
| Lien On Residence | X | LienOnResidence |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Other Actions Taken | X | OtherActionsTaken |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 1 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (22 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| Part I, Line 3c: The CFO and financial counselor review all charity applications. The CFO and counselor then determine, based on financial information given by the patient (tax returns, pay stubs, household expenses, and other family considerations), if deep discounts can be provided to the patient, or if a complete write-off to free-care is deemed appropriate. | ||
| Part I, Line 7: Actual revenue and costs were taken from the general ledger. Reasonable estimates were used where appropriate.Financial assistance at cost was calculated from worksheet S-10, line 17 of the cost report multiplied by the calculated cost-to-charge ratio. Unreimbursed Medicaid and unreimbursed cost - other means-tested government programs were calculated using the calculated cost-to-charge ratio. Medicaid had a surplus revenue due to the DSH payments received for uncompensated care.Community health improvement services and community benefit operations and health professions education were calculated using internal cost accounting systems that use direct and indirect cost reporting. | ||
| Part I, Line 7g: Emergency room and Level 4 trauma services. | ||
| Part I, L7 Col(f): The cost of bad debt was estimated using a cost-to-charge ratio derived from woksheet 2 of the schedule H instructions. | ||
| Part I, Line 6b. The hospital presented results of financial assistance and other community benefits to the Preston County Commission (local government), and such report was posted in the local newpapers. The hospital also posts community benefit information on its website - www.prestonmemorial.org. | ||
| Part II: Preston offers its conference room space for multiple community meetings, including birthing classes, CPR, EMS & First Responder classes, parenting classes, etc. | ||
| Preston offers its conference room space for multiple community meetings, including birthing classes, CPR, EMS & First Responder classes, parenting classes, etc. | Community Building | Part II, |
| Part III, Line 4: Patients seeking financial assistance complete financial assistance applications and work with the hospital's financial counselor to determine appropriate levels of discounts (or complete free care) based on information supplied by the patient. All self pay patients are offered baseline discounts of 10% from charges, and an additional 30% prompt payment discount if payment is made within a certain time period after receiving a bill. Patients who refuse assistance and refuse payment options are turned over to a collection agency after 3 bills have been submitted, and bad debt is recognized at that time.The cost of bad debt was estimated using a cost-to-charge ratio derived from woksheet 2 of the schedule H instructions. | ||
| Part III, Line 8: The majority of Medicare shortfall is included in subsidized services for ER and Level 4 Trauma. | ||
| Part III, Line 9b: The hospital financial counseling staff helps patients seek financial assistance through government programs or other payment services before applying for charity care. If government programs or other services are denied, a financial counselor works with patient to obtain financial information like tax returns, household bills, bank account information, etc. The financial counselor works with the CFO to determine if a patient is eligble for full or partial charity care. Once this determination is made, the financial counselor communicates results with the patient. If partial payment is due after a discount has been recommended, the financial counselor works with the patient on a payment arrangement. If a patient who has been deemed eligible for partial charity care, agrees to a payment plan and then fails to pay the remaining balance agreed to, the remaining balance will be adjusted off as bad debt. The remaining balance will be turned over to a collection agency. | ||
| Part V, Section B, Line 1j: The Hospital has not formally conducted a community needs assessment. The hospital does submit patient satisfaction and awareness surveys to the community seeking input on awareness of services rendered, input on quality of hospital services, and input on what services the community deems to be lacking. | Preston Memorial Hospital | |
| Part V, Section B, Line 12h: The CFO and financial counselor evaluate charges and discounts on a case-by-case basis for each request under the assistance program. Substantial discounts and complete write-offs are granted depending on information supplied and evaluation of resources supplied by the patients. | Preston Memorial Hospital | |
| Part V, Section B, Line 14g: The Hospital presented the financial assistance program at a public meeting held by the Preston County Commission. | Preston Memorial Hospital | |
| Part V, Section B, Line 16e: The Hospital includes information about hospital billing and patient's responsibility in hospital visitor guides that are located in public areas and in patient rooms. | Preston Memorial Hospital | |
| Part V, Section B, Line 18e: The Hospital includes information about hospital billing and patient's responsibility in hospital visitor guides that are located in public areas and in patient rooms. | Preston Memorial Hospital | |
| Part V, Section B, Line 20d: The CFO and financial counselor review charges for discount adjustments on all charity applications. Also, all self pay patients are offered discounts and prompt pay discounts from charges billed. | Preston Memorial Hospital | |
| Part V, Section B, Line 22: The Hospital charges 'gross charges' for all services rendered to all patients. Charges are then reduced by either insurance contractuals or discounts offered to patients without insurance. | Preston Memorial Hospital | |
| Part VI, Line 2: The hospital has not formally conducted a community needs assessment. The hospital does submit patient satisfaction and awareness surveys to the community seeking input on awareness of services rendered, input on quality of hospital services, and input on what services the community deems to be lacking. | ||
| Part VI, Line 3: The Hospital personnel instruct patients during the registration process who do not have insurance or the inability to pay, to complete an application for chairty care after all other sources of financial assistance have been denied. Hospital personnel assist patients with obtaining other financial assistance before applying for charity care. The financial counseling policy is posted in the waiting rooms and at the front-desk. The hospital also has a formal resolution in place with the Preston County Commmision (local government) informing all local citizens of the Hospital's financial assistance program. | ||
| Part VI, Line 4: Preston Memorial Hospital located in Kingwood, WV, is situated in a rural geographic location. Preston county has a population of 33,723, with more than 16% of the service area population being 65 or older. The average household income was $40,753 with a per capita income of $19,329. 13.9% of the population is below the federal poverty level. The Hospital's Medicaid utilization is 17%, Medicare utilization is 40%, and an estimated 10% of the Hospital's patients served are uninsured (or underinsured). Preston Memorial Hospital is the only hospital in the county. There are 2 major competitors outside of the county - West Virginia University Hospitals and Monongalia General Hospital. Both hospitals are located approximately 50 minutes away from the hospital and are situated in urbanized locations in Monongalia County, WV. Other hospitals are also approximately 45 minutes to one hour driving distance from Preston Memorial Hosptial. There is a FQHC located in the county (Preston-Taylor Community Health Center). There are no other designated medically underserves areas in the county. | ||
| Part VI, Line 5: Preston Memorial Hospital has a governing body comprised of citizens of Preston County. They are not employees, contractors or family members thereof. They represent labor, elderly, the business community and the poor. The hospital extends priveleges to qualified physicians in the community and beyond to help take care of the needs of its patients. The organization routinely does not have surplus funds available from operations, and struggles to maintain operations with less than 5 days cash on hand. However, the hospital has identified resources through borrowing or fundraising to invest in new technologies for imaging services, electronic health records, facility improvements, patient care room upgrades and other clinical capital improvements (e.g., monitors, vents, surgical equipment, etc.). The hospital also provides 24 x 7 emergency services and a level 4 trauma center. The hospital's emergency department and all other clinical services where medical need is demonstrated is available to all patients regardless of ability to pay. The hospital's specialized services include: ENT, OB/Gyn care, general surgery, orthopaedics, physiatry, physical therapy, cardiology, laboratory, radiology, and neurology. If these services were not available, patients in the primary service area would have to travel more than 45 minutes to obtain these services elsewhere. The hospital works diligently to attract charitable support through its Foundation, and engages over 30 volunteers to support multiple activities at the hospital. | ||
| Part VI, Line 6: Preston Memorial Hospital is part of the Preston Healthcare Corporation (PHCC). The PHCC includes Preston Memorial Hospital, Preston Memorial Medical Group, and Preston Memorial Foundation. All entities are under common governance and control, and collectively operate to serve the healthcare needs and charitable needs of the community. The medical group provides women's healthcare services ranging from family planning and pre/postnatal care to weight management and healthy living. The Foundation serves as a fundraising arm of the Hospital to help provide support for capital improvements, maintenance costs for the radiology department, and to support community activities through charitable giving. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Frederick Conley II | ||||||||||||||
| Chief of Staff/Board Member | 290697 | 0 | 0 | 0 | 0 | 0 | 7500 | 0 | 19891 | 0 | 318088 | 0 | 0 | 0 |
| Melissa Lockwood | ||||||||||||||
| Chief Executive Officer | 148322 | 0 | 0 | 0 | 0 | 0 | 7793 | 0 | 7991 | 0 | 164106 | 0 | 0 | 0 |
| Marisa Holland | ||||||||||||||
| Physician | 274287 | 0 | 0 | 0 | 0 | 0 | 7326 | 0 | 17255 | 0 | 298868 | 0 | 0 | 0 |
| Dale M Myers | ||||||||||||||
| Physician | 237725 | 0 | 0 | 0 | 0 | 0 | 7143 | 0 | 365 | 0 | 245233 | 0 | 0 | 0 |
| Theresa S Rutledge | ||||||||||||||
| Physician | 281640 | 0 | 0 | 0 | 0 | 0 | 3216 | 0 | 19497 | 0 | 304353 | 0 | 0 | 0 |
| Ehab Akkary | ||||||||||||||
| Physician | 403601 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 7398 | 0 | 410999 | 0 | 0 | 0 |
| Denise C Lucas Smyth | ||||||||||||||
| Physician | 250647 | 0 | 0 | 0 | 0 | 0 | 5509 | 0 | 255 | 0 | 256411 | 0 | 0 | 0 |
Schedule M IRS990ScheduleM
Real Estate Commercial RealEstateCommercial
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 750000 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | Independent appraisal | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section B, line 11 | The CFO reviews the return for accuracy to audited financial statements and to reasonableness to prior years returns. The CEO also reviews but more for their knowledge of what is on return. | |
| Form 990, Part VI, Section B, line 12c | Board members are required to sign a conflict of interest statement annually/other ways to monitor are by following policies and procedures for obtaining bids or issuing RFP's for large dollar projects and also requiring the Board to approve any major contracts and purchases over $15,000. | |
| Form 990, Part VI, Section B, line 15 | PMH utilizes salary surveys and local hospital comparisons in order to determine compensation. | |
| Form 990, Part VI, Section C, line 19 | The organization only provides for these if requested. | |
| Form 990, Part XI, line 9: | Pension plan minimum liability adjustment 27,800. Audit adjustment-elimination of related party balances -270,681. | Changes in Net Assets or Fund Balances: |
| FORM 990, PART XII, LINE 2C | The organization has not changed its financial oversight during the year. | CLARIFICATION OF ITEM MARKED YES |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| Preston Memorial Medical Group | ||||||||||
| 300 South Price St | Kingwood | WV | 26537 | 550717988 | Primary care services | WV | 501(c)(3) | Hospital | N/A | 0 |
| Preston Memorial Foundation | ||||||||||
| 300 South Price St | Kingwood | WV | 26537 | 550740121 | Support activities of other charitable organizations | WV | 501(c)(3) | Supporting Organizat | N/A | 0 |
| Preston Health Care Corporation | ||||||||||
| 300 South Price St | Kingwood | WV | 26537 | 550747067 | Monitor and guide other charitable organizations | WV | 501(c)(3) | Supporting Organizat | N/A | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |