FULTON COUNTY MEDICAL CENTER: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- FULTON COUNTY MEDICAL CENTER (EIN 23-1401561)
- Tax period
- 2024-07-01 to 2025-06-30
- Filed
- 2026-05-13
- IRS object ID
- 202621339349304152
- Schema version
- 2024v5.5
- 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 I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-05-13T11:12:56-05:00 | ReturnTs |
| Tax Period End | 2025-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450250958 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Eide Bailly LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4585 Coleman St Ste 200 | AddressLine1Txt |
| City | Bismarck | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 58503 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 231401561 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Fulton County Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FULT | BusinessNameControlTxt |
| Phone | 7174853155 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 214 Peach Orchard Rd | AddressLine1Txt |
| City | Mc Connellsburg | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17233 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Mackenzie Wentz | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7174853155 | PhoneNum |
| Signature | 2026-05-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Lisa Chaffee CPA | PreparerPersonNm |
| PTIN | P00193453 | PTIN |
| Phone | 7012551091 | PhoneNum |
| Preparation | 2026-05-11 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Rodney Walters | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 214 Peach Orchard Rd | AddressLine1Txt |
| City | Mc Connellsburg | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17233 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $59,030,879 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.FCMCPA.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1947 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | To continuously improve the health of our community by delivering quality healthcare. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 452 | TotalEmployeeCnt |
| Total Volunteers | 58 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,141,674 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,526,727 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $53,503,366 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $51,144,278 | CYProgramServiceRevenueAmt |
| PY Investment Income | $797,796 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,359,874 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $55,442,836 | PYTotalRevenueAmt |
| CY Total Revenue | $59,030,879 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $284,432 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $385,479 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $34,231,450 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $33,919,048 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $29,950 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $23,529,428 | PYOtherExpensesAmt |
| CY Other Expenses | $26,669,682 | CYOtherExpensesAmt |
| PY Total Expenses | $58,045,310 | PYTotalExpensesAmt |
| CY Total Expenses | $60,974,209 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,602,474 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,943,330 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $65,331,563 | TotalAssetsBOYAmt |
| Total Assets EOY | $66,612,683 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $55,851,505 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $56,579,092 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $9,480,058 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $10,033,591 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | To continously improve the health of our community by delivering quality healthcare in a kind and compassionate manner. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $49,981,381 | ExpenseAmt |
| Grant | $385,479 | GrantAmt |
| Revenue | $51,144,278 | RevenueAmt |
| Desc | Fulton County Medical Center (FCMC) provides inpatient, outpatient, emergency care, skilled nursing, and home health services to all who need them, regardless of ability to pay. Emergency services are provided 24/7, 365 days a year without inquiry into financial means or insurance status.Continued on Schedule O:Activities during Fiscal Year 2025:July 9, 2024: FCMC earned program accreditation from the American Academy of Sleep Medicine, demonstrating its commitment to the provision of high-quality care for people who have sleep problems. AASM accreditation is the gold standard for sleep care, giving patients confidence and peace of mind when they seek help for a sleep disorderJuly 22, 2024: FCMC expanded ultrasound imaging hours. FCMC Imaging extended ultrasound imaging hours to better serve the community. The new hours will be from 7:00 a.m. to 5:30 p.m., with additional appointments available throughout the day. August 1, 2024: The Fulton County Medical Center, Tri-State Community Health Center, and the Fulton County Family Partnership have announced the launch of their collaborative community health needs assessment survey. This survey, which is conducted once every three years, is aimed at helping health and human service agencies make informed decisions about programs and services that will benefit the community. August 19, 2024 : FCMC Recognized for Supporting Organ Donation - The Fulton County Medical Center was honored with a Platinum designation through The Hospital and Healthsystem Association of Pennsylvania's (HAP) 2024 Donate Life Pennsylvania Hospital Challenge. FCMC was also awarded with Gold Recognition through the Health Resources and Services Administration (HRSA) DoNation Campaign which unites America's workforce for organ, eye, and tissue donation. September 4, 2024: The Wilbur C. and Betty Lea Henderson Clinical Education Suite & Wellness Center at FCMC in McConnellsburg celebrated the enrollment of its 1000th member just one year after opening. Carol Tebo was the lucky 1000th member September 4, 2024: Cody Grace join the Emergency Department as a full-time physician. September 18, 2024: FCMC imaging sponsored mammograms and massages, which invites women to take a moment for themselves. Get annual screening mammogram and get treat treated afterward with a massage, light refreshments, and a pink cross-body gift bag. Leave with peace of mind knowing you've taken a proactive role in your healthcare. November 18, 2024: The FCMC Board of Directors held its annual public meeting at 7:00 p.m., in the iCare Lounge at the FCMC campus. December 30, 2024: Fulton County Medical Center has been awarded a three-year term of accreditation in magnetic resonance imaging (MRI) as the result of a recent review by the American College of Radiology (ACR). MRI is a noninvasive medical test that utilizes magnetic fields to produce anatomical images of internal body parts to help physicians diagnose and treat medical conditions. January 24, 2025: FCMC earned its 2024 Performance leadership award from the Chartis center for rural health for excellence in Quality of Care. Compiled by The Chartis Center for Rural Health, the Performance Leadership Awards recognize top quartile performance (i.e., 75th percentile or above) among rural hospitals in Quality, Outcomes and/or Patient Perspective. April 8, 2025 : FCMC Imaging department expanded its services with the addition of the Horizon bone densitometry system from Hologic. The imaging technology of the Horizon DXA system provides superb image quality with advanced diagnostic tools to support early detection and treatment of osteoporosis. June 5, 2025 : FCMC hosted 12th annual summer kick-off your drug-free summer health fair geared toward kids. Hundreds of kids and over 25 vendors set up on campus to provide kid friendly activities and education. June 20, 2025 : FCMC employee led RAK (Random Acts of Kindness) committee hits $10,000 mark raising funds for those in need in the community. June 23, 2025: The FCMC Community Health & Wellness Center announced a monthly support group for individuals affected by Lyme disease. | Desc |
| Total Program Service Expenses | $49,981,381 | 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 |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | 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 | Yes (1) | 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 With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| 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 | 0 | 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 | 137 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 452 | 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 |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| 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 | 0 | 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 | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mackenzie Wentz | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7174853155 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 214 Peach Orchard Road | AddressLine1Txt |
| City | McConnellsburg | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17233 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Dr Douglas Stern | ||||||||
| Director/Chief of Medical Staff | 50.00 | 0.00 | Yes (X) | $872,360 | $0 | $23,156 | ||
| Rodney Walters | ||||||||
| Chair | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Scott Alexander | ||||||||
| Chair (Until 12/2024) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Mark Recard | ||||||||
| Vice Chair | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Preston Spahr | ||||||||
| Treasurer | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| David McDonald | ||||||||
| Treasurer (Until 12/2024) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Tina Gress | ||||||||
| Secretary | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Dr Frank D'Amelio | ||||||||
| Director | 0.50 | 0.25 | Yes (X) | $0 | $0 | $0 | ||
| Kevin Beem | ||||||||
| Director | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Sandy Crouse | ||||||||
| Director | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Penny Shives | ||||||||
| Director | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Jim Miller | ||||||||
| Director | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Paul Schemel | ||||||||
| Director | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Genevieve Harper | ||||||||
| Director | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Debbie Toothman | ||||||||
| Director (Until 02/2025) | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Donald Sheehan | ||||||||
| Director (Until 09/2024) | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Michael Makosky | ||||||||
| CEO | 48.00 | 2.00 | $287,827 | $0 | $55,067 | Yes (X) | ||
| Kimberly Slee | ||||||||
| COO | 48.00 | 2.00 | $225,244 | $0 | $20,035 | Yes (X) | ||
| Mackenzie Wentz | ||||||||
| CFO | 48.00 | 2.00 | $110,194 | $0 | $29,050 | Yes (X) | ||
| Jeffery Mandak | ||||||||
| Cardiologist | 40.00 | 0.00 | $647,249 | $0 | $19,536 | Yes (X) | ||
| Tung Nguyen | ||||||||
| ER Physician | 40.00 | 0.00 | $832,177 | $0 | $12,189 | Yes (X) | ||
| Nicole Debolt | ||||||||
| Physician/Surgeon | 40.00 | 0.00 | $381,879 | $0 | $13,810 | Yes (X) | ||
| Cody Grace | ||||||||
| ER Physician | 40.00 | 0.00 | $306,702 | $0 | $8,996 | Yes (X) | ||
| Nuncio Massara | ||||||||
| ER Physician | 40.00 | 0.00 | $446,937 | $0 | $24,323 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,110,569 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $206,162 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 49 | 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/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Qualivis | |||||
| PO Box 674913 | Dallas | TX | 752674913 | Contracted traveling company | $969,403 |
| CorroHealth Lockbox | |||||
| PO Box 654380 | Dallas | TX | 752654380 | Contracted billing department | $789,603 |
| UPMC | |||||
| PO Box 223270 | Pittsburgh | PA | 152512270 | Contracted Doctors | $595,300 |
| Precision Anesthesia LLC | |||||
| 14717 Heavenly Acres Ridge | Hancock | MD | 21750 | Contracted Anesthesia services | $364,080 |
| Associated Radiologists | |||||
| 10715 Downsville Pike Suite 103 | Hagerstown | MD | 21740 | Radiology test readings | $338,618 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 16 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $732,366 | RelatedOrganizationsAmt |
| Government Grants | $5,758,266 | GovernmentGrantsAmt |
| All Other Contributions | $36,095 | AllOtherContributionsAmt |
| Total Contributions | $6,526,727 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient and Resident Service Reve | 621110 | $47,886,947 | $47,886,947 |
| Pharmacy Revenue | 621110 | $2,273,860 | $2,273,860 |
| Other Revenue | 621110 | $983,471 | $983,471 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $51,144,278 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,350,774 | TotalRevenueColumnAmt |
| Exclusion | $1,350,774 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $9,100 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $9,100 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,100 | TotalRevenueColumnAmt |
| Exclusion | $9,100 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $59,030,879 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $51,144,278 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,359,874 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $385,479 | TotalAmt |
| Program Services | $385,479 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,496,547 | TotalAmt |
| Program Services | $791,175 | ProgramServicesAmt |
| Management And General | $677,324 | ManagementAndGeneralAmt |
| Fundraising | $28,048 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,315,409 | TotalAmt |
| Program Services | $19,738,612 | ProgramServicesAmt |
| Management And General | $4,576,797 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $584,358 | TotalAmt |
| Program Services | $483,260 | ProgramServicesAmt |
| Management And General | $101,098 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,758,272 | TotalAmt |
| Program Services | $4,622,003 | ProgramServicesAmt |
| Management And General | $1,136,269 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,764,462 | TotalAmt |
| Program Services | $1,406,879 | ProgramServicesAmt |
| Management And General | $355,681 | ManagementAndGeneralAmt |
| Fundraising | $1,902 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $271,374 | TotalAmt |
| Management And General | $271,374 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,633,978 | TotalAmt |
| Program Services | $8,780,846 | ProgramServicesAmt |
| Management And General | $2,853,132 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $115,923 | TotalAmt |
| Program Services | $115,923 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,530 | TotalAmt |
| Management And General | $41,530 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $896,714 | TotalAmt |
| Program Services | $803,456 | ProgramServicesAmt |
| Management And General | $93,258 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,100 | TotalAmt |
| Program Services | $55,663 | ProgramServicesAmt |
| Management And General | $5,437 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,233 | TotalAmt |
| Program Services | $33,505 | ProgramServicesAmt |
| Management And General | $10,728 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,073,077 | TotalAmt |
| Program Services | $2,073,077 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,055,110 | TotalAmt |
| Program Services | $3,055,110 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $574,305 | TotalAmt |
| Program Services | $574,305 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $6,952,018 | $6,549,677 | $402,341 |
| Licensure | $268,460 | $263,474 | $4,986 |
| Dues & Subscription | $247,591 | $25,986 | $221,605 |
| Repair and Maintenance | $193,433 | $40,815 | $152,618 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $240,836 | TotalAmt |
| Program Services | $182,136 | ProgramServicesAmt |
| Management And General | $58,700 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,974,209 | TotalAmt |
| Program Services | $49,981,381 | ProgramServicesAmt |
| Management And General | $10,962,878 | ManagementAndGeneralAmt |
| Fundraising | $29,950 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,771,949 | BOYAmt |
| EOY | $2,133,792 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,189,220 | BOYAmt |
| EOY | $9,379,194 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $435,932 | BOYAmt |
| EOY | $368,194 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $997,216 | BOYAmt |
| EOY | $473,614 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $76,473,162 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $53,378,360 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,556,880 | BOYAmt |
| EOY | $23,094,802 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,743,364 | BOYAmt |
| EOY | $16,721,012 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,637,002 | BOYAmt |
| EOY | $14,442,075 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,331,563 | BOYAmt |
| EOY | $66,612,683 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,043,220 | BOYAmt |
| EOY | $9,056,225 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,304,068 | BOYAmt |
| EOY | $41,326,038 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,649,274 | BOYAmt |
| EOY | $1,608,199 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,645 | BOYAmt |
| EOY | $62,896 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,780,298 | BOYAmt |
| EOY | $4,525,734 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,851,505 | BOYAmt |
| EOY | $56,579,092 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,304,508 | BOYAmt |
| EOY | $8,803,651 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,175,550 | BOYAmt |
| EOY | $1,229,940 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,480,058 | BOYAmt |
| EOY | $10,033,591 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,331,563 | BOYAmt |
| EOY | $66,612,683 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$1,943,330 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $240,494 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $2,256,369 | 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 | 0 | FederalGrantAuditRequiredInd |
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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $556,178 | OtherCostOrOtherBasisAmt |
| Book Value | $556,178 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $26,274,784 | OtherCostOrOtherBasisAmt |
| Depreciation | $14,183,600 | DepreciationAmt |
| Book Value | $12,091,184 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $41,983,632 | OtherCostOrOtherBasisAmt |
| Depreciation | $33,113,169 | DepreciationAmt |
| Book Value | $8,870,463 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,658,568 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,081,591 | DepreciationAmt |
| Book Value | $1,576,977 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $23,094,802 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (7 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Estimated Third Party Payor Settlement | $2,257,748 |
| Due From Affiliates | $100,000 |
| Interest in Perpetual Trust | $1,229,940 |
| Investment in Charts | $1,203,529 |
| Pension Asset | $3,940,126 |
| Reserves Payable | $178,211 |
| ERC Receivable | $5,532,521 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $14,442,075 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Estimated Third-Party Payor Settlement | $4,037,734 |
| ERC Fees Payable | $488,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $4,525,734 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $61,142,263 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $240,494 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $1,870,890 | OtherRevenueAmt |
| Revenue Not Reported | $2,111,384 | RevenueNotReportedAmt |
| Revenue Subtotal | $59,030,879 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $59,030,879 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $60,588,730 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $60,588,730 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $385,479 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $385,479 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $60,974,209 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part X, Line 2: | The Medical Center believes they have appropriate support for any tax positions taken affecting its annual filing requirements, and, as such, does not have any uncertain tax positions that are material to the financial statements. The entities would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. |
| Part XI, Line 2d - Other Adjustments: | Grant Expense Reclassed from Revenue to Expense -385,479. Pension Liability Adjustment 1,982,536. Valuation Gain 54,390. Net Periodic Pension Benefit Cost 219,443. |
| Part XII, Line 4b - Other Adjustments: | Grant Expense Reclassed from Revenue to Expense 385,479. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| 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 | $16,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $16,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,963,720 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,527,337 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $436,383 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00720 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,979,720 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,527,337 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $452,383 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00750 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $145,686 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $53,288 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $92,398 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,688,919 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,942,558 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,746,361 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07780 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,834,605 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,995,846 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,838,759 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07930 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,814,325 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,523,183 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,291,142 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08680 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,693,831 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $53,877 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $7,794,415 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $7,789,285 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $5,130 | MedicareSurplusOrShortfallAmt |
| 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 | Fulton County Medical Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 214 Peach Orchard Road | AddressLine1Txt |
| City | McConnellsburg | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17233 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.fcmcpa.org | WebsiteAddressTxt |
| State License | 061901 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Emergency Room Other | Yes (X) | EmergencyRoomOtherInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Fulton County Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| 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 |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 24 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.fcmcpa.org. | OwnWebsiteURLTxt |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 24 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | www.fcmcpa.org/community resources | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | https://www.fcmcpa.org/getpage.php?name=Financial_Assistance | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | www.fcmcpa.org/financial-assistance | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | www.fcmcpa.org/financial-assistance | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Fulton County Medical Center | Part V, Section B, Line 5: The following steps were conducted as part of the CHNA:* Community benefit initiatives, which were implemented over the course of the last three years, were evaluated.* The "community" served by the Medical Center was defined by utilizing inpatient and outpatient data regarding patient origin and is inclusive of medically underserved, low-income, minority populations and people with limited English proficiency. This process is further described in Community Served by the Medical Center.* Population demographics and socioeconomic characteristics of the community were gathered and assessed utilizing various third parties.* The health status of the community was assessed by reviewing community health status indicators from multiple sources, including those with specialized knowledge of public health and members of the underserved, low-income and minority population or organizations serving their interests.* Community input was also obtained through key stakeholder interviews of community leaders. Identified health needs were then prioritized considering the community's perception of the significance of each identified need as well as the ability for the Medical Center to impact overall health based on alignment with its mission and the services it provides. The Medical Center's leadership participated in identifying and prioritizingsignificant health needs.* An inventory of healthcare facilities and other community resources potentially available to address the significant health needs identified through the CHNA was prepared. |
| Fulton County Medical Center | Part V, Section B, Line 6b: The Fulton County Medical Center (FCMC) community health needs assessment (CHNA) was developed with collaboration from Fulton County Family Partnership (FCFP) |
| Fulton County Medical Center | Part V, Section B, Line 7d: FCMC publicly reported the CHNA at the Fulton County Partnership meeting that meets monthly. It is comprised of members of the health and human services communities of Franklin, Fulton & Bedford counties. The CHNA was printed out and circulated through the partner meeting and is accessible on our website at www.fcmcpa.org. |
| Fulton County Medical Center | Part V, Section B, Line 11: The Most recent CHNA was completed in June of 2025, Implementation completion in November 2025 and tracking and reporting in January 2026Below is a summary of how the Medical Center has prioritized the health needs identified in this CHNA. The correlated community health needs are based on the information gathered throughout this CHNA and the prioritization process is described later in this report. Opportunities for health improvement exist in each area. The Medical Center will work to identify areas where it can most effectively focus its resources to have significant impact and develop an Implementation Strategy for 2026-2028 for each of priority areas. Access to Medical Specialists: Cardiology Access to Mental Health Services - Adults and Children (Limited Number of Providers, Hours, and Locations) Access to Affordable Healthy Foods Access to Medical Specialists: Women's Health Care Access to Medical Specialists: Nephrology Treatment and Management of Chronic Diseases & Conditions: Heart Disease Treatment and Management of Chronic Diseases & Conditions: Hypertension & High BP Treatment and Management of Chronic Diseases & Conditions: Diabetes Access to Medical Specialists: Urology Access to Care: Uninsured / Under-Insured Access to Medical Specialists: Oncology Access to Medical Specialists: Gastroenterology Use of Primary Care and Preventative Care Treatments Access to Medical Specialists: Physical Therapy Treatment and Management of Chronic Diseases & Conditions: Cancer Access to Medical Specialists: Endocrinology Healthy Behaviors and Lifestyle Choices Shortage of Healthcare Workers: Medical Transport / EMTs Treatment and Management of Chronic Diseases & Conditions: Lung Disease Access to Safe and Affordable Housing Shortage of Healthcare Workers: Nurses / Radiologists Access to Medical Specialists: Hematology Access to Medical Specialists: Pulmonology Access to Medical Specialists: Pain Management Treatment and Management of Chronic Diseases & Conditions: Lyme Disease Access to Medical Specialists: Occupational Therapy Access to Medical Specialists: Dermatology Access to Medical Specialists: Medication-Assisted Treatment Access to Medical Specialists: Optometry and Ophthalmology Access to Dental Services Technology: Use of Technology by Seniors for Scheduling Services and Accessing Records Access to Medical Specialists: Alternative Care (e.g. Chiropractor, Holistic Treatment, Acupuncture)During the Implementation Strategy process FCMC determined it will not address the following: Access to Affordable Healthy Foods - The Fulton County Family Partnership is better equipped to address this need. Access to Care: Uninsured / Under-Insured This need was a priority in the previous CHNA implementation plan and FCMC is continuing to work from last CHNA through Pennie program. Access to Safe and Affordable Housing - The Fulton County Family Partnership is better equipped to address this need. Access to Dental Services - This is not in our scope of practice, other community organizations are better equipped to address. Access to Medical Specialists: Alternative Care (e.g. Chiropractor, Holistic Treatment, Acupuncture)- Other community organizations are better equipped to addressThe New implementation plan for the 2025 CHNA will begin January 1, 2026. FCMC and the Fulton Family Partnership have developed an Implementation plan to address and report out the progress of the implementation plan quarterly. There are 6 goals between the two agencies, FCMC is responsible for the following: Goal 1: Improve access to comprehensive specialty care for the communityGoal 2: Increase education on healthy behaviors for vulnerable populationsGoal 3: Recruit healthcare professionals to include Nurses, Specialty Care Clinicians, EMTs/Medical Transport PersonnelEach goal has several objectives and action steps to achieve this implementation plan. |
| Fulton County Medical Center | Part V, Section B, Line 16j: The CHNA and implementation strategy is reviewed monthly at the Fulton County Family Partnership meetings. It is also reviewed bi-monthly at the FCMC Board Finance Committee meetings through the FCMC Community Benefit Director, as well as, posted on their website and their members. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 - Fulton Co Medical Center Bursing Home | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 214 Peach Orchard Rd | AddressLine1Txt |
| City | Mcconnellsburg | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17233 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | Hospital based LT care facility | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | Patients with no health insurance, private or employer-sponsored insurance, or via governmental programs, are automatically eligible for a financial assistance discount in the following amounts:Inpatient services - 30%Outpatient services - 40%Home health services - 20%Swing bed services - 30%Additional financial assistance may be made available to the patient based on a sliding fee scale, in accordance with financial need, as determined by referencing federal poverty levels (FPL) in effect at the time of the determination. In general, people whose household income is below 200 percent of the federal poverty level are eligible for financial assistance. Families or individuals with higher incomes may qualify on a case-by-case basis. |
| Part I, Line 6a: | Fulton County Medical Center's (FCMC) 990 filing is available to the public upon request. A summary of FCMC's community benefit is described in FCMC's annual report. The annual report is available to the public during the annual meeting, at the hospital, as well as on the hospital website. |
| Part I, Line 7: | Charity care was converted to cost on line 7a based on an overall cost-to-charge ratio addressing all patient segments. Unreimbursed medicaid on line 7b was calculated using the cost-to-charge ratio derived from worksheet 2. Community health improvement services, line 7e are reported from the community benefit's annual board report. Line 7g was determined using the medicare cost report. |
| Part III, Line 2: | Prior to any account being classified as an implicit price concession, all payments are applied including contractual allowances and discounts, and every effort is made with the patient in an attempt to collect the outstanding balance. Accounts placed in collection for a year with no payment being received within 120 days are written off to implicit price concessions . If a payment is received on an amount previously written off to implicit price concessions, the amount would reduce implicit price concession expense. |
| Part III, Line 3: | FCMC does not refuse service to patients that generate bad debt. The estimated amount of organization's bad debt expense attributable to patients eligible under the organization's charity care policy is calculated based on an estimate of charity care accounts compared to total bad debt accounts. |
| Part III, Line 4: | The allowance for doubtful accounts is based on historical losses and an analysis of currently outstanding amounts for its major payer sources. Management regularly reviews data about these major payer sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients and residents who have third-party coverage, the medical center analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for bad debts, if necessary (for example, for expected uncollectable deductibles and copayments on accounts for which the Third-party payer has not yet paid). For receivables associated with Self-pay patients and residents (which includes both patients and residents without insurance and patients with deductible and payment balances due for which third-party coverage exists for part of the bill), the medical center records a significant provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients and residents are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. |
| Part III, Line 8: | Medicare services are provided to the elderly which are considered to be a charitable class. As such, we believe the shortfall should be considered as a community benefit.Hospital services rendered on a fee schedule are not included in the Medicare calculations per the 990 instructions. Had this been reported the Hospital would have had a greater loss from Medicare services of $148,986.Medicare fee schedule revenue $503,482Medicare estimated costs of care relating to payments $652,468Net (shortage) $(148,986) |
| Part III, Line 9b: | Financial assistance is structured across four tiers based on federal poverty guidelines. The percentage associated with the qualifying tier is applied as charity care, with any remaining balance designated as the patient's financial responsibility. If the account is not paid in full by the issuance of the fourth statement, it is managed in accordance with the collections policy and may be referred to collections. |
| Part VI, Line 2: | Patients receive a survey in the mail regarding their appointment. Based on the results of the survey, the committee meets to discuss the results. We utilize patient feedback to drive continuous quality improvement and enhance the care experience for each and every patient. |
| Part VI, Line 3: | The FCMC posts information about the financial assistance program and discounts at the admissions areas, emergency room waiting areas, and financial advocate's office, as well as on their website at www.fcmpa.org . FCMC financial assistance program is called FCMC. Information on financial assistance is routinely on social media and is included in the inpatient and outpatient surgery patient packets. The financial advocate discusses with the patient the availability of financial assistance as well as various government benefits such as Medicaid, and assists the patient with qualification for such programs, where applicable. In addition, patient invoices for FCMC include a number to call for help in applying for financial assistance. The financial assistance application is on the back of the patient invoice as well. When telephone collection calls are made to patients with outstanding balances, they are reminded of our financial assistance program. Beginning July 2022, Healthcare Receivable Solutions, Inc. (HRSI) is available on campus to help Medicaid eligible patients fill out their applications which is a free service FCMC is offering to the community to help complete the Medicaid application. |
| Part VI, Line 4: | According to Data USA, in 2021, Fulton County, PA had a population of 14,529 people with a median age of 45.7 and a median household income of $58,343. Between 2020 and 2021 the population of Fulton County, PA grew from 14,492 to 14,529, a 0.255% increase and its median household income grew from $55,424 to $58,343, a 5.27% increase. The 5 largest ethnic groups in Fulton County, PA are White (Non-Hispanic) (95%), Two+ (Non-Hispanic) (1.38%), Black or African American (Non-Hispanic) (1.27%), Other (Non-Hispanic) (0.626%), and White (Hispanic) (0.564%). None of the households in Fulton County, PA reported speaking a non-English language at home as their primary shared language. This does not consider the potential multi-lingual nature of households, but only the primary self-reported language spoken by all members of the household. 99.7% of the residents in Fulton County, PA are U.S. citizens. In 2021, the median property value in Fulton County, PA was $170,800, and the homeownership rate was 77.6%. Most people in Fulton County, PA drove alone to work, and the average commute time was 32.4 minutes. The average car ownership in Fulton County, PA was 2 cars per household. According to the US Census data the population estimate for Fulton County in 2023 will be 14,533. The FCMC is a critical access hospital with over 50% of its revenues received from the Medicare and Medicaid programs. |
| Part VI, Line 5: | FCMC's board is comprised of citizens from the communities and service areas that benefit from FCMC's services. FCMC is the only hospital, level IV trauma Center and skilled nursing home in this rural service area. In addition, FCMC offers home health services and a specialty services where physician specialists from other geographical areas see patients. This allows residents of the surrounding areas to receive medical care from medical professionals close to home. Patients who come to the emergency room are not denied treatment based on the ability to pay. FCMC offers financial assistance discounts and charity care for those patients who have limited or no means to pay their medical bill. To meet the needs of our community, the hospital extends privileges to licensed medical staff. During the COVID-19 pandemic, the Center had to cancel some on-campus events such as on-campus health fairs and community outreach programs. However, this year, FCMC has started bringing back in-person events while also maintaining outdoor and off-campus events. FCMC began the fiscal year by participating in the Fulton County Fair, where attendees were educated about the Center's services and providers, and different departments provided screenings and information throughout the week. On Senior Citizen Day at the fair, FCMC and TSHC provided blood pressure screenings, service information, and refreshments under the pavilion.FCMC also provides free screenings at the township officials' annual meeting each October, including free cholesterol, glucose, and blood pressure screenings along with service information. CEO Mike Makosky speaks to the officials regarding services offered and operational highlights. In June 2024, the annual kick-off of the drug-free summer campaign was held June 6, 2024. Over 300 attended and there were nearly 30 vendors set up offering services for children, including demonstrations, education, healthy eating tips, and physical activities. The sheriff's office also provided a drug collection booth to turn in outdated and unwanted narcotics. As a critical access hospital and rural healthcare provider, FCMC provides an opportunity to assist in the education of future healthcare workers. Lake Erie College of Osteopathic Medicine (LECOM) medical students rotate to FCMC as part of their education as well as vocational-technical students. In limited capacity due to Covid precautions, high school students have the opportunity to volunteer within the facility or job shadow a professional at the hospital.In January 2023, FCMC launched its upgraded Community Health and Wellness Center and clinical education at its new on-campus location. The Wellness Center increased the services it provides in 2024 and grew to nearly 1,000 members and averaging 1980 visits per month. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Fulton County Medical Center Foundation | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 214 Peach Orch rd | AddressLine1Txt |
| City | Mcconnellsburg | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17233 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 510674514 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $385,479 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Purpose Of Grant | Financial Support to Affiliate | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | The organization's only donation was to the Fulton County Medical Center Foundation, a related organization. Through this relationship, the organization is able to obtain informaton on how the funds are spent and is able to make sure the funds are properly spent. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | 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 | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Dr Douglas Stern | ||||||||||||||
| Director/Chief of Medical Staff | $872,360 | $0 | $0 | $0 | $0 | $0 | $14,669 | $0 | $8,487 | $0 | $895,516 | $0 | $0 | $0 |
| Tung Nguyen | ||||||||||||||
| ER Physician | $832,177 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $12,189 | $0 | $844,366 | $0 | $0 | $0 |
| Jeffery Mandak | ||||||||||||||
| Cardiologist | $647,249 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $19,536 | $0 | $666,785 | $0 | $0 | $0 |
| Nuncio Massara | ||||||||||||||
| ER Physician | $446,937 | $0 | $0 | $0 | $0 | $0 | $14,278 | $0 | $10,045 | $0 | $471,260 | $0 | $0 | $0 |
| Nicole Debolt | ||||||||||||||
| Physician/Surgeon | $381,879 | $0 | $0 | $0 | $0 | $0 | $1,486 | $0 | $12,324 | $0 | $395,689 | $0 | $0 | $0 |
| Michael Makosky | ||||||||||||||
| CEO | $287,827 | $0 | $0 | $0 | $0 | $0 | $33,214 | $0 | $21,853 | $0 | $342,894 | $0 | $0 | $0 |
| Cody Grace | ||||||||||||||
| ER Physician | $306,702 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $8,996 | $0 | $315,698 | $0 | $0 | $0 |
| Kimberly Slee | ||||||||||||||
| COO | $225,244 | $0 | $0 | $0 | $0 | $0 | $11,548 | $0 | $8,487 | $0 | $245,279 | $0 | $0 | $0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| Fulton County Industrial Development Authority | ||||||||
| A | 232299855 | 36024LAK5 | 2016-05-18 | $26,589,802 | Refund Series 2006 & 2009 Bonds | 0 | 0 | 0 |
| Fulton County Industrial Development Authority | ||||||||
| B | 232299855 | 36024LAP4 | 2016-09-29 | $23,224,300 | Finance Construction Cam Building | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Substantial CompletionSubstantialCompletionYr |
|---|---|---|---|---|---|---|---|---|---|---|
| A | $7,539,802 | $26,589,802 | $64,977 | $481,461 | $26,043,363 | Yes (1) | 0 | Yes (1) | Yes (1) | |
| B | $23,224,300 | $1,970,479 | $464,486 | $20,809,195 | 0 | 0 | Yes (1) | Yes (1) | 2018 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 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 |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section B, line 11b | Fulton County Medical Center has a CPA firm prepare its form 990. The return is completed in draft form and reviewed by the CFO. |
| Form 990, Part VI, Section B, line 12c | A conflict-of-interest form is completed annually by all officers, directors, and key employees. any possible conflict of interest on the part of a director must be disclosed to the board. The forms are reviewed by the President/CEO. When any interest becomes a matter of board action, the director is not to vote or use personal influence on the matter and is not counted in the quorum for a meeting at which board action is to be taken on the interest. The director may, however, briefly state a position on the matter and answer pertinent questions of board members. the minutes of all actions taken on such matters clearly reflect that these requirements have been met. it is the obligation of each board member to act in the best interest of the medical center. all board information is confidential and is not to be used or discussed other than for appropriate medical center business. failure of a director to maintain the confidentiality of board information is grounds for removal. |
| Form 990, Part VI, Section B, line 15 | The board of directors serves as a compensation committee and reviews and adjusts the compensation of the President/CEO based on evaluations and comparable data. The human resources department either with the help of an outside compensation consultant or independently or both, gathers comparable data and provides information to the board of directors when it is requested. The CFO receives cost of living adjustments as approved through the budget Fulton County Medical Center process by the board of directors each year. The president/CEO, in collaboration with the HR department, reviews and adjusts the compensation of the CFO based on performance and comparability data. If needed, the HR department conducts a survey to gather comparability data and gives this information to the president/CEO when it is requested. This information is shared with the Board of directors for informational purposes. |
| Form 990, Part VI, Section C, line 19 | The organization makes its governing documents, conflict of interest policy and finacial statement avaliable upon request. The documents are also avaliable at the annual meeting which is open to the general public. |
| Form 990, Part IX, line 11g | Professional Fees: Program service expenses 3,432,285. Management and general expenses 351,761. Fundraising expenses 0. Total expenses 3,784,046. Purchased Services: Program service expenses 5,348,561. Management and general expenses 1,699,541. Fundraising expenses 0. Total expenses 7,048,102. Other Fees: Program service expenses 0. Management and general expenses 801,830. Fundraising expenses 0. Total expenses 801,830. |
| Form 990, Part XI, line 9: | Pension Liability Adjustment 1,982,536. Valuation Gain 54,390. Net Periodic Pension Benefit Cost 219,443. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Fulton County Medical Center Foudation | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 214 Peach Orchard Road | AddressLine1Txt |
| City | Mcconnellsburg | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17233 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 510674514 | EIN |
| Primary Activities | Fundraising | PrimaryActivitiesTxt |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(3) | ExemptCodeSectionTxt |
| Public Charity Status | Line 7 | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FCMC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | 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 | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | 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 (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Fulton County Medical Center Foundation | ||
| C | $732,366 | Cash Value |
| Fulton County Medical Center Foundation | ||
| B | $385,479 | Cash Value |
Comments