PRESTON MEMORIAL HOSPITAL CORPORATION: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- PRESTON MEMORIAL HOSPITAL CORPORATION (EIN 31-1097818)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-14
- IRS object ID
- 202433199349301323
- Schema version
- 2023v5.1
- 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 C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-11-14T03:13:16-06:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 MONUMENT CIRCLE SUITE 4200 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311097818 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRESTON MEMORIAL HOSPITAL CORPORATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PRES | BusinessNameControlTxt |
| Phone | 3043291400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 150 MEMORIAL DRIVE | AddressLine1Txt |
| City | KINGWOOD | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 265371442 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JEFF SANDENE | PersonNm |
| Person Title | EXECUTIVE VP AND CFO | PersonTitleTxt |
| Phone | 3043291400 | PhoneNum |
| Signature | 2024-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ANGELA M MOORE | PreparerPersonNm |
| PTIN | P00244342 | PTIN |
| Phone | 3174648600 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MELISSA LOCKWOOD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 150 MEMORIAL DRIVE | AddressLine1Txt |
| City | KINGWOOD | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 265371442 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $52,979,231 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PRESTONMEMORIAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1955 | FormationYr |
| Legal Domicile State | WV | LegalDomicileStateCd |
| Activity Or Mission | TO ENHANCE THE HEALTH OF THE COMMUNITIES WE SERVE, ONE PERSON AT A TIME. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 446 | TotalEmployeeCnt |
| Total Volunteers | 20 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $26,629 | PYContributionsGrantsAmt |
| CY Contributions Grants | $600,000 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $27,423,263 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $51,041,050 | CYProgramServiceRevenueAmt |
| PY Investment Income | $73,326 | PYInvestmentIncomeAmt |
| CY Investment Income | $472,400 | CYInvestmentIncomeAmt |
| PY Other Revenue | $176,291 | PYOtherRevenueAmt |
| CY Other Revenue | $865,781 | CYOtherRevenueAmt |
| PY Total Revenue | $27,699,509 | PYTotalRevenueAmt |
| CY Total Revenue | $52,979,231 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $14,043,401 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $27,628,981 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $12,877,222 | PYOtherExpensesAmt |
| CY Other Expenses | $25,320,377 | CYOtherExpensesAmt |
| PY Total Expenses | $26,920,623 | PYTotalExpensesAmt |
| CY Total Expenses | $52,949,358 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $778,886 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $29,873 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $49,013,678 | TotalAssetsBOYAmt |
| Total Assets EOY | $46,376,503 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $42,882,278 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $40,287,487 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $6,131,400 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $6,089,016 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO ENHANCE THE HEALTH OF THE COMMUNITIES WE SERVE, ONE PERSON AT A TIME. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $46,720,667 | ExpenseAmt |
| Revenue | $51,715,252 | RevenueAmt |
| Desc | THE HOSPITAL HAD 2,009 INPATIENT DAYS, CARED FOR 9,227 EMERGENCY PATIENTS AND TREATED 85,3382 PATIENTS IN ITS OUTPATIENT CLINICS. THE HOSPITAL PROVIDES CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY. CHARGES FOREGONE FOR CHARITY CARE AMOUNTED TO $763,233. 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 ALSO CONDUCTS COMMUNITY-WIDE SPEAKER BUREAUS TO HELP EDUCATE THE COMMUNITY ON SPECIFIC HEALTH AND WELLNESS MATTERS. 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 ORGANIZATION SPONSORED HEALTH FAIRS, BLOOD DRIVES, CANCER SCREENINGS, CPR/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. | Desc |
| Total Program Service Expenses | $46,720,667 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | 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 | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| 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 | Yes (1) | 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 | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 83 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 446 | 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 | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | 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 | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | WV | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KEVIN GESSLER VP FINANCIAL SERVICE | PersonNm |
| Phone | 3043291400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 150 MEMORIAL DRIVE | AddressLine1Txt |
| City | KINGWOOD | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 265371442 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| DAVID GOLDBERG | ||||||||
| DIRECTOR, MHS PRES/CEO | 1.00 | 50.00 | Yes (X) | Yes (X) | $0 | $853,663 | $36,373 | |
| MELISSA LOCKWOOD | ||||||||
| DIRECTOR/PMH CAO | 30.00 | 20.00 | Yes (X) | Yes (X) | $0 | $289,328 | $52,848 | |
| JASON MCNAIR | ||||||||
| DIRECTOR/CHIEF OF STAFF (START 05/23) | 50.00 | 1.00 | Yes (X) | $260,385 | $0 | $10,695 | ||
| NICK TAYLOR | ||||||||
| CHAIR | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| RAY THOMPSON | ||||||||
| VICE CHAIR | 1.00 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| TIM CALVERT | ||||||||
| SECRETARY/TREASURER, FINANCE CHAIR | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BONNIE J FORMAN | ||||||||
| CHIEF OF STAFF (END 05/23) | 50.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| KATHY MCNEILL | ||||||||
| DIRECTOR | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| RITA MCCROBIE | ||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| RONALD CRITES | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| TARRELL RIES | ||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| KEVIN GESSLER | ||||||||
| VP OF FINANCE | 20.00 | 30.00 | Yes (X) | $0 | $248,249 | $1,153 | ||
| FRANK ABRAHAM | ||||||||
| PHYSICIAN | 50.00 | 0.00 | $607,024 | $0 | $67,340 | Yes (X) | ||
| LORN WOLFE | ||||||||
| PHYSICIAN | 50.00 | 0.00 | $449,874 | $0 | $53,703 | Yes (X) | ||
| MARISA DOWNEY | ||||||||
| PHYSICIAN | 50.00 | 0.00 | $445,624 | $0 | $40,050 | Yes (X) | ||
| DAVID FOURQUREAN | ||||||||
| PHYSICIAN | 50.00 | 0.00 | $409,393 | $0 | $39,231 | Yes (X) | ||
| MARAM HAKOUM | ||||||||
| PHYSICIAN | 50.00 | 0.00 | $370,233 | $0 | $25,330 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,542,533 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,391,240 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $326,723 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 38 | 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 | |||||
| DEPARTMENT 3847 PO BOX 123847 | DALLAS | TX | 753123847 | RN STAFFING SERVICES | $1,935,933 |
| SYNERGY SURGICALISTS WV INC | |||||
| 12396 WORLD TRADE DRIVE SUITE 303 | SAN DIEGO | CA | 92128 | ORTHO SERVICES | $1,564,529 |
| RURAL PHYSICIANS GROUP | |||||
| 5575 DTC PARKWAY | GREENWOOD VILLAGE | CO | 80111 | HOSPITALIST SERVICES | $813,435 |
| ALLIANCE HEALTHCARE SERVICES | |||||
| PO BOX 735714 | DALLAS | TX | 753735714 | DIAGNOSTIC IMAGING SERVICES | $254,882 |
| NORTHSTAR ANESTHESIA | |||||
| 6225 N STATE HWY 161 | INVING | TX | 75038 | ANESTHESIA SERVICES | $189,402 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 8 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $600,000 | GovernmentGrantsAmt |
| Total Contributions | $600,000 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE RE | 622110 | $50,508,768 | $50,508,768 |
| 340B DRUG PROGRAM | 900099 | $532,282 | $532,282 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $51,041,050 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $152,560 | TotalRevenueColumnAmt |
| Exclusion | $152,560 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $319,840 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $319,840 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $319,840 | TotalRevenueColumnAmt |
| Exclusion | $319,840 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| SALES TAX REFUNDS | 900099 | $316,791 | $316,791 | |
| CAFETERIA SALES | 722514 | $191,579 | $191,579 | |
| EMPLOYEE DRUG REV | 621990 | $68,947 | $68,947 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $288,464 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $288,464 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $865,781 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $52,979,231 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $51,715,252 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $663,979 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,580,137 | TotalAmt |
| Program Services | $21,426,966 | ProgramServicesAmt |
| Management And General | $153,171 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $817,519 | TotalAmt |
| Program Services | $817,519 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,773,134 | TotalAmt |
| Program Services | $3,770,864 | ProgramServicesAmt |
| Management And General | $2,270 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,458,191 | TotalAmt |
| Program Services | $1,458,191 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,996 | TotalAmt |
| Management And General | $6,996 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,237 | TotalAmt |
| Management And General | $19,237 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,439,064 | TotalAmt |
| Program Services | $7,439,064 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,187 | TotalAmt |
| Management And General | $13,187 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,269,879 | TotalAmt |
| Program Services | $1,191,710 | ProgramServicesAmt |
| Management And General | $78,169 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $557,128 | TotalAmt |
| Program Services | $557,128 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $109,856 | TotalAmt |
| Program Services | $101,167 | ProgramServicesAmt |
| Management And General | $8,689 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $997,144 | TotalAmt |
| Program Services | $997,144 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,909,427 | TotalAmt |
| Program Services | $1,909,427 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,312 | TotalAmt |
| Management And General | $20,312 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MANAGEMENT FEES | $5,322,557 | $0 | $5,322,557 |
| MEDICAL SUPPLIES | $4,662,612 | $4,662,417 | $195 |
| REPAIRS & MAINTENANCE | $951,686 | $942,582 | $9,104 |
| HEALTHCARE PROVIDER TAX | $922,745 | $922,745 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,118,547 | TotalAmt |
| Program Services | $523,743 | ProgramServicesAmt |
| Management And General | $594,804 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,949,358 | TotalAmt |
| Program Services | $46,720,667 | ProgramServicesAmt |
| Management And General | $6,228,691 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,961,783 | BOYAmt |
| EOY | $5,310,462 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,754,125 | BOYAmt |
| EOY | $7,427,486 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $523,838 | BOYAmt |
| EOY | $385,797 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,733 | BOYAmt |
| EOY | $107,954 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $20,326,400 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,990,585 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,188,113 | BOYAmt |
| EOY | $18,335,815 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,265,048 | BOYAmt |
| EOY | $12,725,232 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,230,038 | BOYAmt |
| EOY | $2,083,757 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,013,678 | BOYAmt |
| EOY | $46,376,503 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,664,714 | BOYAmt |
| EOY | $3,064,100 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,845,830 | BOYAmt |
| EOY | $31,354,086 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,371,734 | BOYAmt |
| EOY | $5,869,301 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,882,278 | BOYAmt |
| EOY | $40,287,487 | 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 | $6,121,400 | BOYAmt |
| EOY | $6,079,016 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,000 | BOYAmt |
| EOY | $10,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,131,400 | BOYAmt |
| EOY | $6,089,016 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,013,678 | BOYAmt |
| EOY | $46,376,503 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $29,873 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,110,524 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | -$1,182,781 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | 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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $31,782 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $31,782 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION PAYS MEMBERSHIP FEES TO THE WEST VIRGINIA HOSPITAL ASSOCIATION WHICH PARTICIPATES IN LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,802,788 | OtherCostOrOtherBasisAmt |
| Depreciation | $895,337 | DepreciationAmt |
| Book Value | $13,907,451 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,790,517 | OtherCostOrOtherBasisAmt |
| Depreciation | $861,743 | DepreciationAmt |
| Book Value | $2,928,774 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,733,095 | OtherCostOrOtherBasisAmt |
| Depreciation | $233,505 | DepreciationAmt |
| Book Value | $1,499,590 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $18,335,815 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | FUNDED DEPRECIATION-PNC | Desc |
| Book Value | $12,725,232 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $12,725,232 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO 3RD PARTY PAYORS | $2,576,817 |
| DUE TO RELATED PARTY | $1,600,436 |
| ESTIMATED PROFESSIONAL LIABILITY OBLIGATION | $1,700,454 |
| ACCRUED PENSION OBLIGATION | -$8,406 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $5,869,301 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE IRS HAS DETERMINED THAT THE SYSTEM ENTITIES ARE EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE CODE AND APPLICABLE STATE STATUTES, EXCEPT FOR MHC, FHE, CMC, AND HFI, WHICH ARE CORPORATIONS SUBJECT TO INCOME TAX. THE SYSTEM DOES NOT HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2023. TAX RETURNS FOR THE YEAR ENDED JUNE 30, 2019, ARE OPEN FOR THE MHS ENTITIES AND TAX RETURNS FOR THE YEAR ENDED DECEMBER 31, 2020, ARE OPEN FOR CAMC ENTITIES. | ExplanationTxt |
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 | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | 0 | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,352,552 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,352,552 | DirectOffsettingRevenueAmt |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,949,686 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,949,686 | DirectOffsettingRevenueAmt |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,224,235 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,224,235 | DirectOffsettingRevenueAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,526,473 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,526,473 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $459,197 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $22,221 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $436,976 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00880 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $409,059 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $409,059 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00820 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $868,256 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $22,221 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $846,035 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01700 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,394,729 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,548,694 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $846,035 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01700 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,191,394 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $2,923,296 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $2,923,296 | CostOfCareReimbursedByMedcrAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRESTON MEMORIAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 150 MEMORIAL DRIVE | AddressLine1Txt |
| City | KINGWOOD | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26537 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | HTTP://WWW.PRESTONMEMORIAL.ORG/ | WebsiteAddressTxt |
| State License | 205013 | 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 |
| Other | 24X7 LAB AND RADIOLOGY. CENTER OF EXCELLENCE IN BARIATRIC SURGERY. | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRESTON MEMORIAL HOSPITAL | 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 | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTPS://WWW.MONHEALTH.COM/PRESTON-MEMORIAL/WELLNESS-INITIATIVES | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 21 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://WWW.MONHEALTH.COM/PRESTON-MEMORIAL/WELLNESS-INITIATIVES | 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 |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| 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 |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://WWW.MONHEALTH.COM/PRESTON-MEMORIAL/PATIENT-PAYMENTS | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://WWW.MONHEALTH.COM/PRESTON-MEMORIAL/PATIENT-PAYMENTS | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://WWW.MONHEALTH.COM/PRESTON-MEMORIAL/PATIENT-PAYMENTS | 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 |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PRESTON MEMORIAL HOSPITAL | PART V, SECTION B, LINE 5: THE 2022 CHNA INCLUDED QUANTITATIVE RESEARCH METHODS AND COMMUNITY CONVERSATIONS TO DETERMINE HEALTH TRENDS AND DISPARITIES AFFECTING PRESTON COUNTY RESIDENTS. THROUGH A COMPREHENSIVE VIEW OF STATISTICAL HEALTH INDICATORS AND COMMUNITY STAKEHOLDER FEEDBACK,A PROFILE OF PRIORITY AREAS WAS DETERMINED. THE FINDINGS WILL GUIDE HEALTHCARE SERVICES AND HEALTH IMPROVEMENT EFFORTS, AS WELL AS SERVE AS A COMMUNITY RESOURCE FOR GRANT MAKING, ADVOCACY, AND TO SUPPORT THE MANY PROGRAMS PROVIDED BY HEALTH AND SOCIAL SERVICE PARTNERS.IN ASSESSING COMMUNITY HEALTH NEEDS, INPUT WAS SOLICITED AND RECEIVED FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, AS WELL AS UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. THESE INDIVIDUALS PROVIDED WIDE PERSPECTIVES ON HEALTH TRENDS, EXPERTISE ABOUT EXISTING COMMUNITY RESOURCES AVAILABLE TO MEET THOSE NEEDS, AND INSIGHTS INTO SERVICE DELIVERY GAPS THAT CONTRIBUTE TO HEALTH DISPARITIES AND INEQUITIES |
| PRESTON MEMORIAL HOSPITAL | PART V, SECTION B, LINE 6A: GRAFTON CITY HOSPITAL |
| PRESTON MEMORIAL HOSPITAL | PART V, SECTION B, LINE 11: PRESTON MEMORIAL HOSPITAL DEVELOPED AN IMPLEMENTATION PLAN THAT ADDRESSED ALL OF THE SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA. THE SIGNIFICANT NEEDS IDENTIFIED AND HOW PRESTON HAS RESPONDED:1. OBESITY: DIETITIAN ASSISTANCE FOR HEALTHY EATING AND PHYSICIAN GUIDED WEIGHT-LOSS PROGRAM; SPONSORED FITNESS CENTER; COMMUNITY EDUCATION2. CHRONIC LUNG DISEASE: TOBACCO PREVENTION AND CESSATION; SCHOOL- BASED YOUTH AND PARENT E-CIGARETTE AND VAPING PREVENTION EDUCATION; COMMUNITY-BASED EDUCATIONAL PRESENTATIONS; FREE TOBACCO CESSATION CLASSES; PULMONARY REHABILITATION CENTER SERVICES; PROVISION OF LOW-DOSE CT SCAN CARE PATHWAY FOR PATIENTS WITH QUALIFYING CRITERIA3. DIABETES AND CORONARY HEART DISEASE: FREE OR REDUCED COST COMMUNITY-BASED SCREENINGS, PARTICIPATION IN HEALTH FAIRS; EDUCATIONAL PRESENTATIONS; FIRST AID AND CPR COURSES FOR COMMUNITY MEMBERS AND HEALTHCARE PROVIDERS4. OPIOID USE DISORDER: SPEAKERS BUREAUS ON OPIOID PREVENTION AND ALTERNATIVES TO PAIN MANAGEMENT; PARTNERSHIP WITH MEDICATION-ASSISTED TREATMENT PROGRAM; PROVIDED SCHOOL-BASED YOUTH EDUCATION ON DRUG PREVENTION; IMPLEMENTATION OF THE RECOVERY CARE PROGRAM; IMPLEMENTATION OF PEER RECOVERY PROGRAM- REVERSE THE CYCLE;5. COVID 19 RESPONSE: SCREENINGS, COMMUNITY VACCINE CLINICS; STATE SPONSORED TESTING LOCATION UNTIL JUNE 2022; EXPANSION OF TELEHEALTH SERVICES; DEVELOPMENT OF VIRTUAL HEALTH EDUCATION MATERIALS |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | THE VP OF FINANCIAL SERVICES AND FINANCIAL COUNSELOR REVIEW ALL CHARITY APPLICATIONS. THE VP OF FINANCIAL SERVICES 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 BASED ON THE COST-TO-CHARGE RATIO FROM WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS. UNREIMBURSED MEDICAID AND UNREIMBURSED COST - OTHER MEANS-TESTED GOVERNMENT PROGRAMS WERE CALCULATED USING THE CALCULATED COST-TO-CHARGE RATIO. 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 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 3,191,394. |
| PART III, LINE 2: | BAD DEBT EXPENSE AS REPORTED ON THE AUDITED FINANCIAL STATEMENTS. |
| 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. |
| PART III, LINE 8: | MEDICARE ALLOWABLE COSTS WERE OBTAINED FROM THE HOSPITAL'S MEDICARE COST REPORT. |
| 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 VP OF FINANCIAL SERVICES TO DETERMINE IF A PATIENT IS ELIGIBLE 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 VI, LINE 2: | THE FOLLOWING RESEARCH METHODS WERE USED TO DETERMINE COMMUNITY HEALTH NEEDS:STATISTICAL ANALYSIS OF HEALTH AND SOCIOECONOMIC INDICATORS; A FULL LISTING OF DATA REFERENCES IS INCLUDED IN APPENDIX A PARTNER MEETING CONDUCTED WITH PRESTON COUNTY COMMUNITY AGENCY REPRESENTATIVES TO ENGAGE THEM IN THE CHNA AND GARNER INSIGHT ON COMMUNITY HEALTH CHALLENGES AND OPPORTUNITIES FOR PARTNERSHIP. TO WORK TOWARD HEALTH EQUITY, IT IS IMPERATIVE TO PRIORITIZE RESOURCES AND ACTIVITIES TOWARD THE MOST PRESSING AND CROSSCUTTING HEALTH NEEDS WITHIN THE COMMUNITY. PRIORITIES WERE DETERMINED BY THE PMH CHNA PLANNING COMMITTEE, TAKING INTO CONSIDERATION RESEARCH FINDINGS AND FEEDBACK FROM COMMUNITY STAKEHOLDERS. USING FEEDBACK FROM COMMUNITY PARTNERS AND STAKEHOLDERS AND TAKING INTO ACCOUNT THE HOSPITAL'S EXPERTISE AND RESOURCES.AS PART OF THE CHNA, PMH HOSTED A PARTNER MEETING ON MAY 23, 2022. A TOTAL OF 14 PEOPLE ATTENDED REPRESENTING HEALTH AND SOCIAL SERVICE AGENCIES, EDUCATION SECTORS, SENIOR SERVICES, AND CIVIC ORGANIZATIONS. THE OBJECTIVE OF THE FORUM WAS TO SHARE DATA FROM THE CHNA AND GARNER FEEDBACK ON COMMUNITY HEALTH PRIORITIES, AS WELL AS OPPORTUNITIES FOR COLLABORATION AMONG PARTNER AGENCIES. RESEARCH FROM THE CHNA WAS PRESENTED AT THE SESSION. GROUP DIALOGUE WAS FACILITATED TO DISCUSS RESEARCH FINDINGS, EXISTING RESOURCES AND INITIATIVES TO ADDRESS PRIORITY AREAS, THE IMPACT OF COVID19 ON COMMUNITIES AND SERVICES, AND NEW OR INNOVATIVE OPPORTUNITIES FOR CROSSSECTOR COLLABORATION.SOCIAL DETERMINANTS OF HEALTH (SDOH) ARE THE CONDITIONS IN THE ENVIRONMENTS WHERE PEOPLE ARE BORN, LIVE, LEARN, WORK, PLAY, WORSHIP, AND AGE THAT AFFECT A WIDE RANGE OF HEALTH RISKS AND OUTCOMES. HEALTHY PEOPLE 2030, THE CDC'S NATIONAL BENCHMARK FOR HEALTH, RECOGNIZES SDOH AS CENTRAL TO ITS FRAMEWORK, NAMING "SOCIAL AND PHYSICAL ENVIRONMENTS THAT PROMOTE GOOD HEALTH FOR ALL" AS ONE OF THE FOUR OVERARCHING GOALS FOR THE DECADE. HEALTHY PEOPLE 2030 OUTLINES FIVE KEY AREAS OF SDOH: ECONOMIC STABILITY, EDUCATION ACCESS AND QUALITY, HEALTHCARE ACCESS AND QUALITY, NEIGHBORHOOD AND BUILT ENVIRONMENT, AND SOCIAL AND COMMUNITY CONTEXT.THE MIX OF INGREDIENTS THAT INFLUENCE EACH PERSON'S OVERALL HEALTH PROFILE INCLUDE INDIVIDUAL BEHAVIORS, CLINICAL CARE, ENVIRONMENTAL FACTORS, AND SOCIAL CIRCUMSTANCE. WHILE HEALTH IMPROVEMENT EFFORTS HAVE HISTORICALLY TARGETED HEALTH BEHAVIORS AND CLINICAL CARE, PUBLIC HEALTH AGENCIES, INCLUDING THE US CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC), WIDELY HOLD THAT AT LEAST 50% OF A PERSON'S HEALTH PROFILE IS DETERMINED BY SDOH.ADDRESSING SDOH IS A PRIMARY APPROACH TO ACHIEVING HEALTH EQUITY. HEALTH EQUITY ENCOMPASSES A WIDE RANGE OF SOCIAL, ECONOMIC, AND HEALTH MEASURES BUT CAN BE SIMPLY DEFINED AS "A FAIR OPPORTUNITY FOR EVERY PERSON TO BE AS HEALTHY AS POSSIBLE." IN ORDER TO ACHIEVE HEALTH EQUITY, WE NEED TO LOOK BEYOND THE HEALTHCARE SYSTEM TO DISMANTLE SYSTEMATIC INEQUITIES BORN THROUGH RACISM AND DISCRIMINATION LIKE POWER AND WEALTH DISTRIBUTION, EDUCATION ATTAINMENT, JOB OPPORTUNITIES, HOUSING, AND SAFE ENVIRONMENTS, TO BUILD A HEALTHIER COMMUNITY FOR ALL PEOPLE NOW AND IN THE FUTURE. |
| 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 CHARITY 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 COMMISSION (LOCAL GOVERNMENT) INFORMING ALL LOCAL CITIZENS OF THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. |
| PART VI, LINE 4: | PRESTON COUNTY IS A RURAL COMMUNITY LOCATED IN WEST VIRGINIA'S SCENIC MOUNTAINEER COUNTRY. THE COUNTY HAD A TOTAL POPULATION OF 34,216 AS OF THE 2020 CENSUS, AND CONTRARY TO STATEWIDE POPULATION DECLINE, SAW SMALL POPULATION GROWTH OF +2.1% FROM THE 2010 CENSUS. WHILE MOST PRESTON COUNTY RESIDENTS (90%) IDENTIFY AS WHITE, CONSISTENT WITH THE STATE, POPULATION GROWTH OCCURRED EXCLUSIVELY AMONG NONWHITE INDIVIDUALS. THE BLACK/AFRICAN AMERICAN POPULATION MORE THAN QUADRUPLED FROM THE 2010 CENSUS. PRESTON COUNTY IS AN AGING COMMUNITY. APPROXIMATELY 20% OF RESIDENTS ARE AGED 65 OR OLDER, AN INCREASE FROM PRIOR YEARS, AND HIGHER THAN THE NATIONAL AVERAGE OF 16%. WHILE THE OLDER ADULT POPULATION INCREASED, YOUTH UNDER AGE 18 ALSO COMPRISE NEARLY 20% OF PRESTON COUNTY RESIDENTS, REINFORCING THE POTENTIAL IMPACT OF UPSTREAM, PREVENTATIVE INITIATIVES. POSITIVE SDOH INDICATORS WITHIN PRESTON COUNTY INCLUDE HOUSING AFFORDABILITY AND HOMEOWNERSHIP. MORE THAN 81% OF RESIDENTS OWN THEIR HOME AND 20% OF HOMEOWNERS ARE HOUSING COST BURDENED COMPARED TO 27% NATIONALLY. COST BURDEN IS DEFINED AS SPENDING 30% OR MORE OF HOUSEHOLD INCOME ON HOUSING. PRESTON COUNTY DIFFERS FROM THE STATE WITH A LOWER PROPORTION OF ALL RESIDENTS AND CHILDREN LIVING IN POVERTY, ALTHOUGH IT CONTINUES TO EXCEED NATIONAL TRENDS. ADDITIONALLY, MORE THAN 13% OF PRESTON COUNTY OLDER ADULTS LIVE IN POVERTY COMPARED TO 10% STATEWIDE AND NATIONALLY. THIS FINDING IS SIGNIFICANT DUE TO THE LARGE AND GROWING PROPORTION OF OLDER ADULT RESIDENTS.A ZIP CODE LEVEL ANALYSIS FOUND THAT RESIDENTS OF 26537, KINGWOOD EXPERIENCE MORE SOCIOECONOMIC BARRIERS THAN OTHER PRESTON COUNTY RESIDENTS. WITHIN KINGWOOD, APPROXIMATELY 1 IN 5 RESIDENTS AND 1 IN 4 CHILDREN LIVE IN POVERTY AND NEARLY 15% OF ADULTS HAVE NOT COMPLETED HIGH SCHOOL. THE HEALTH IMPACT OF THESE INDICATORS IS DEMONSTRATED IN LIFE EXPECTANCY DIFFERENCES. KINGWOOD HAS AN AVERAGE LIFE EXPECTANCY. FOR RESIDENTS OF 73.9 YEARS COMPARED TO 78.2 YEARS OR HIGHER IN OTHER PORTIONS OF 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. THE HOSPITAL EXTENDS PRIVILEGES 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. 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, ORTHOPEDICS, PSYCHIATRY, 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 20 VOLUNTEERS TO SUPPORT MULTIPLE ACTIVITIES AT THE HOSPITAL. |
| PART VI, LINE 6: | AS OF 2/28/2014, PRESTON MEMORIAL HOSPITAL, COLLECTIVELY WITH PRESTON MEMORIAL FOUNDATION AND PRESTON MEMORIAL MEDICAL GROUP, IS PART OF THE MON HEALTH SYSTEM, INC. THE MON HEALTH SYSTEM INCLUDES MONONGALIA COUNTY GENERAL HOSPITAL COMPANY, MON ELDER SERVICES, INC., MON HEALTH CARE AND STONEWALL JACKSON MEMORIAL HOSPITAL. 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 OFFICE RENTAL SPACE TO OTHER HEALTH CARE PROVIDERS IN THE COMMUNITY. 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. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | WV |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DAVID GOLDBERG | ||||||||||||||
| DIRECTOR, MHS PRES/CEO | $0 | $714,488 | $0 | $139,175 | $0 | $0 | $0 | $30,000 | $0 | $6,373 | $0 | $890,036 | $0 | $0 |
| FRANK ABRAHAM | ||||||||||||||
| PHYSICIAN | $607,024 | $0 | $0 | $0 | $0 | $0 | $24,390 | $0 | $42,950 | $0 | $674,364 | $0 | $0 | $0 |
| LORN WOLFE | ||||||||||||||
| PHYSICIAN | $424,384 | $0 | $25,490 | $0 | $0 | $0 | $18,128 | $0 | $35,575 | $0 | $503,577 | $0 | $0 | $0 |
| MARISA DOWNEY | ||||||||||||||
| PHYSICIAN | $406,970 | $0 | $38,654 | $0 | $0 | $0 | $17,898 | $0 | $22,152 | $0 | $485,674 | $0 | $0 | $0 |
| DAVID FOURQUREAN | ||||||||||||||
| PHYSICIAN | $353,893 | $0 | $55,500 | $0 | $0 | $0 | $16,529 | $0 | $22,702 | $0 | $448,624 | $0 | $0 | $0 |
| MARAM HAKOUM | ||||||||||||||
| PHYSICIAN | $370,233 | $0 | $0 | $0 | $0 | $0 | $14,905 | $0 | $10,425 | $0 | $395,563 | $0 | $0 | $0 |
| MELISSA LOCKWOOD | ||||||||||||||
| DIRECTOR/PMH CAO | $0 | $257,560 | $0 | $31,768 | $0 | $0 | $0 | $49,500 | $0 | $3,348 | $0 | $342,176 | $0 | $0 |
| JASON MCNAIR | ||||||||||||||
| DIRECTOR/CHIEF OF STAFF (START 05/23 | $238,468 | $0 | $21,917 | $0 | $0 | $0 | $10,404 | $0 | $291 | $0 | $271,080 | $0 | $0 | $0 |
| KEVIN GESSLER | ||||||||||||||
| VP OF FINANCE | $0 | $227,811 | $0 | $20,438 | $0 | $0 | $0 | $0 | $0 | $1,153 | $0 | $249,402 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3: | THE CEO'S COMPENSATION IS PAID BY MONONGALIA HEALTH SYSTEAM. MONONGALIA HEALTH SYSTEM USES THE FOLLOWING METHOD TO ESTABLISH THE COMPENSATION OF THE CEO: -COMPENSATION COMMITTEE; -INDEPENDENT COMPENSATION CONSULTANT; -COMPENSATION SURVEY OR STUDY; -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. |
| PART I, LINE 4B: | 457(F) INELIGIBLE DEFERRED COMPENSATION PLAN - A 457 F PLAN IS OFFERED TO CERTAIN MANAGEMENT AND/OR HIGHLY COMPENSATED EMPLOYEES TO OFFER THOSE EMPLOYEES A DEFERRED COMPENSATION OPPORTUNITY. THE PLAN IS INTENDED TO BE A "TOP-HAT PLAN", OR UNFUNDED DEFERRED COMPENSATION PLAN MAINTAINED FOR A SELECT GROUP OF EMPLOYEES. PARTICIPANTS MAY BECOME VESTED IN AMOUNTS CREDITED ON JANUARY 1 ELECTED BY THE PARTICIPANT AT THE TIME THE INITIAL DEFERRAL WAS ELECTED. A PARTICIPANT SHALL BECOME FULLY VESTED UPON DEATH, DISABILITY, ATTAINMENT OF AGE 60, OR SEPARATION OF SERVICE, AS DEFINED BY THE PLAN. ANY UNVESTED CONTRIBUTIONS SHALL BE FORFEITED TO THE PLAN OR EMPLOYER. FOR 2023: PER BENEFITS - NO DISTRIBUTIONS / PAYMENTS WERE MADE FROM THE PLAN; DAVID GOLDBERG WAS THE ONLY PARTICIPANT. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALISA MARTIN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | FAMILY MEMBER OF NICK TAYLOR, TRUSTEE | RelationshipDescriptionTxt |
| Transaction | $38,075 | TransactionAmt |
| Transaction | EMPLOYMENT | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF PRESTON MEMORIAL HOSPITAL CORPORATION IS MONONGALIA HEALTH SYSTEM, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | PRESTON MEMORIAL HOSPITAL'S BOARD MEMBERS ARE ELECTED OR APPOINTED BY MONONGALIA HEALTH SYSTEM. |
| FORM 990, PART VI, SECTION A, LINE 7B | PRESTON MEMORIAL HOSPITAL'S BOARD SHALL GIVE NOTICE TO MONONGALIA HEALTH SYSTEM AND RECEIVE ITS APPROVAL BEFORE ACTING ON ANY OF THE FOLLOWING MATTERS: (A) AMENDMENT OF THE ARTICLES OF INCORPORATION OF THE HOSPITAL OR THE BYLAWS; (B) SALE, LEASE OR EXCHANGE OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY OR ASSETS OF THE HOSPITAL AND ANY EXPENDITURE IN EXCESS OF $750,000; (C) MERGER OR CONSOLIDATION WITH ANY OTHER CORPORATION; (D) ELECTION TO DISSOLVE THE HOSPITAL ENTITY; (E) APPROVAL OF THE BUDGET OF THE HOSPITAL; (F) APPROVAL IN ADVANCE OF THE HIRING OF THE PRESIDENT OF THE HOSPITAL. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE GOVERNING BODY IS PROVIDED A COPY OF THE FORM 990 FOR THEIR REVIEW PRIOR TO SUBMISSION. THE MEMBERS ARE ASKED TO INFORM MANAGEMENT OF ANY QUESTIONS OR REVISIONS THEY MAY HAVE. IF CHANGES ARE MADE, BASED ON MEMBER'S REVISIONS, MANAGEMENT REDISTRIBUTES A FINAL VERSION TO ALL BOARD MEMBERS. |
| FORM 990, PART VI, SECTION B, LINE 12C | ANNUALLY, A CONFLICT OF INTEREST QUESTIONNAIRE IS SENT OUT TO ALL BOARD MEMBERS. THE BOARD REVIEWS ALL RESPONSES FOR POSSIBLE CONFLICTS OF INTEREST AND DETERMINES WHAT TYPES OF DECISIONS THAT A MEMBER IS PROHIBITED FROM PARTICIPATING. |
| FORM 990, PART VI, SECTION B, LINE 15 | ANNUALLY, A CONSULTANT COMPILES A MARKET DATA REPORT ON CEO COMPENSATION. THIS REPORT IS THEN REVIEWED BY THE EXECUTIVE COMMITTEE OF MON HEALTH SYSTEM TO DETERMINE COMPENSATION FOR THE INDIVIDUAL. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST. THE FINANCIAL STATEMENTS ARE MADE AVAILABLE THROUGH PUBLIC DISCLOSURE WITH THE WV HEALTH CARE AUTHORITY. |
| FORM 990, PART IX, LINE 11G | PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3,861,629. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,861,629. PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 3,509,318. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,509,318. ACUTE CARE SERVICES: PROGRAM SERVICE EXPENSES 68,117. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 68,117. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (21 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| VANDALIA HEALTH INC | |||||||||||
| PO BOX 1547 | CHARLESTON | WV | 253261547 | 550664138 | PARENT COMPANY | WV | 501(C)(3) | 12C, III-FI | N/A | 0 | |
| CAMC FOUNDATION INC | |||||||||||
| PO BOX 1547 | CHARLESTON | WV | 253261547 | 310887133 | FUNDRAISING | WV | 501(C)(3) | 12A, I | Yes (1) | CHARLESTON AREA MEDICAL CENTER INC | |
| CHARLESTON AREA MEDICAL CENTER INC | |||||||||||
| PO BOX 1547 | CHARLESTON | WV | 253261547 | 550526150 | HOSPITAL | WV | 501(C)(3) | 3 | 0 | VANDALIA HEALTH INC | |
| MONONGALIA HEALTH SYSTEM INC | |||||||||||
| 1200 JD ANDERSON DRIVE | MORGANTOWN | WV | 26505 | 550621551 | PARENT COMPANY | WV | 501(C)(3) | 12C, III-FI | 0 | VANDALIA HEALTH INC | |
| MONONGALIA COUNTY GENERAL HOSPITAL COMPANY | |||||||||||
| 1200 JD ANDERSON DRIVE | MORGANTOWN | WV | 26505 | 237441353 | HOSPITAL | WV | 501(C)(3) | 3 | Yes (1) | MONONGALIA HEALTH SYSTEM INC | |
| MON ELDER SERVICES INC | |||||||||||
| 1200 JD ANDERSON DRIVE | MORGANTOWN | WV | 26505 | 311520863 | CONTINUING CARE RETIREMENT CENTER | WV | 501(C)(3) | 10 | Yes (1) | MONONGALIA HEALTH SYSTEM INC | |
| THE FOUNDATION OF MONONGALIA GENERAL HOSPITAL | |||||||||||
| 1200 JD ANDERSON DRIVE | MORGANTOWN | WV | 26505 | 550570338 | RAISE FUNDS FOR MONONGALIA GENERAL HOSPITAL | WV | 501(C)(3) | 7 | Yes (1) | MONONGALIA COUNTY GENERAL HOSPITAL CO | |
| PRESTON MEMORIAL MEDICAL GROUP | |||||||||||
| 300 SOUTH PRICE STREET | KINGWOOD | WV | 26537 | 550717988 | PRIMARY AND URGENT CARE | WV | 501(C)(3) | 3 | Yes (1) | PRESTON MEMORIAL HOSPITAL | |
| PRESTON MEMORIAL HOSPITAL FOUNDATION | |||||||||||
| 300 SOUTH PRICE STREET | KINGWOOD | WV | 26537 | 550740121 | RAISE FUNDS FOR PRESTON HOSPITAL | WV | 501(C)(3) | 12B, II | Yes (1) | PRESTON MEMORIAL HOSPITAL | |
| AUXILIARY OF MONONGALIA GENERAL HOSPITAL INC | |||||||||||
| 1200 JD ANDERSON DRIVE | MORGANTOWN | WV | 26505 | 550362965 | RAISE FUNDS FOR MONONGALIA GENERAL HOSPITAL | WV | 501(C)(3) | 12A, I | Yes (1) | MONONGALIA COUNTY GENERAL HOSPITAL CO | |
| LIABILITY INSURANCE TRUST FOR MONONGALIA HEALTH SYSTEM | |||||||||||
| 1200 JD ANDERSON DRIVE | MORGANTOWN | WV | 26505 | 550689535 | LIABILITY INSURANCE TRUST | WV | 501(C)(3) | 12A, I | Yes (1) | MONONGALIA HEALTH SYSTEM INC | |
| STONEWALL JACKSON MEMORIAL HOSPITAL | |||||||||||
| 230 HOSPITAL PLAZA | WESTON | WV | 26452 | 550422958 | HOSPITAL | WV | 501(C)(3) | 3 | Yes (1) | MONONGALIA HEALTH SYSTEM INC | |
| MON HEALTH MARION NEIGHBORHOOD HOSPITAL INC | |||||||||||
| 140 MIDDLETOWN LOOP | WHITEHALL | WV | 26554 | 853994078 | HOSPITAL | WV | 501(C)(3) | 3 | Yes (1) | MONONGALIA HEALTH SYSTEM INC | |
| CAMC GREENBRIER VALLEY MEDICAL CENTER INC | |||||||||||
| 1320 MAPLEWOOD AVENUE | RONCEVERTE | WV | 24970 | 884128022 | HOSPITAL | WV | 501(C)(3) | 3 | Yes (1) | CHARLESTON AREA MEDICAL CENTER INC | |
| CAMC PLATEAU MEDICAL CENTER INC | |||||||||||
| 430 MAIN STREET | OAK HILL | WV | 25901 | 921715117 | HOSPITAL | WV | 501(C)(3) | 3 | Yes (1) | CHARLESTON AREA MEDICAL CENTER INC | |
| CAMC HEALTH EDUCATION AND RESEARCH INSTITUTE INC | |||||||||||
| PO BOX 1547 | CHARLESTON | WV | 253261547 | 550753754 | MEDICAL EDUCATIONAL RESEARCH | WV | 501(C)(3) | 12A, I | Yes (1) | CHARLESTON AREA MEDICAL CENTER INC | |
| BROADDUS HOSPITAL ASSOCIATION INC | |||||||||||
| PO BOX 930 | PHILLIPI | WV | 26416 | 550379108 | HOSPITAL | WV | 501(C)(3) | 3 | Yes (1) | DAVIS HEALTH SYSTEM INC | |
| DAVIS HEALTH SYSTEM INC | |||||||||||
| PO BOX 1484 | ELKINS | WV | 26241 | 550737655 | HEALTH SYSTEM | WV | 501(C)(3) | 12B, II | Yes (1) | MONONGALIA HEALTH SYSTEM INC | |
| DAVIS MEMORIAL HOSPITAL INC | |||||||||||
| PO BOX 1484 | ELKINS | WV | 26241 | 550375433 | HOSPITAL | WV | 501(C)(3) | 3 | Yes (1) | DAVIS HEALTH SYSTEM INC | |
| DAVIS HEALTH SYSTEM FOUNDATION INC | |||||||||||
| PO BOX 1188 | ELKINS | WV | 26241 | 320185772 | PROVIDES SUPPORT TO DAVIS HEALTH SYSTEM ENTITIES | WV | 501(C)(3) | 10 | Yes (1) | DAVIS HEALTH SYSTEM INC | |
| WEBSTER MEMORIAL HOSPITAL | |||||||||||
| 812 GORMAN AVENUE | ELKINS | WV | 26241 | 871759588 | HOSPITAL | WV | 501(C)(3) | 3 | Yes (1) | DAVIS HEALTH SYSTEM INC | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| WOMEN AND CHILDREN'S MEDICAL OFFICE BUILDING LLC | |||||||||
| PO BOX 1547 | CHARLESTON | WV | 253261547 | 550669065 | MEDICAL OFFICE BUILDING | WV | N/A | 0 | 0 |
| GENERAL DIVISION MEDICAL OFFICE BUILDING LLC | |||||||||
| PO BOX 1547 | CHARLESTON | WV | 253261547 | 550623949 | MEDICAL OFFICE BUILDING | WV | N/A | 0 | 0 |
| DASCO-CAMC HOME MEDICAL EQUIPMENT LLC | |||||||||
| 501 MORRIS STREET | CHARLESTON | WV | 25301 | 844487189 | HOME MEDICAL EQUIPMENT | WV | N/A | 0 | 0 |
| MGH SURGERY LLC | |||||||||
| 2000 MON HEALTH MEDICAL PARK DRIVE | MORGANTOWN | WV | 26505 | 472736896 | SURGERY CENTER | WV | N/A | 0 | 0 |
| MON HEALTH-DASCO HOME MEDICAL EQUIPMENT LLC | |||||||||
| 375 N WEST ST | WESTERVILLE | OH | 43082 | 871577276 | HOME MEDICAL EQUIPMENT | OH | N/A | 0 | 0 |
| CHARLESTON SURGICAL HOSPITAL LLC | |||||||||
| 1306 KANAWHA BLVD E | CHARLESTON | WV | 25301 | 550526191 | SURGERY CENTER | WV | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| VANDALIA INSURANCE COMPANY | |||||||||||||||
| 76 ST PAUL STREET STE 500 | BURLINGTON | VT | 05401 | 030308754 | INSURANCE | VT | N/A | C | Yes (1) | ||||||
| MON HEALTH CARE INC | |||||||||||||||
| 1200 JD ANDERSON DRIVE | MORGANTOWN | WV | 26505 | 550654973 | MEDICAL EQUIPMENT | WV | N/A | C | Yes (1) | ||||||
| STONEWALL HOME OXYGEN THERAPY INC | |||||||||||||||
| 100 MARKET PLACE MALL SUITE 8 | WESTON | WV | 26452 | 550754278 | OXYGEN THERAPY SERVICES | WV | N/A | C | Yes (1) | ||||||
| FAIRMONT HOME EQUIPMENT AND SUPPLY | |||||||||||||||
| 1200 JD ANDERSON DRIVE | MORGANTOWN | WV | 26505 | 550763259 | EQUIPMENT RENT & SVC | WV | N/A | C | Yes (1) | ||||||
| MORGANTOWN PHYSICAL THERAPY ASSOC INC | |||||||||||||||
| 943 MAPLE DRIVE | MORGANTOWN | WV | 26505 | 550614636 | REHABILITATION SERVICES | WV | N/A | C | Yes (1) | ||||||
| HEALTH FACILITIES INC | |||||||||||||||
| 909 GORMAN AVENUE | ELKINS | WV | 26241 | 550516937 | HEALTH CARE | WV | N/A | C | Yes (1) | ||||||
| CENTRAL WV MEDCORP INC | |||||||||||||||
| PO BOX 2630 | ELKINS | WV | 26241 | 550739314 | PHYSICIAN SERVICES | WV | N/A | C | Yes (1) | ||||||
| DAVIS REGIONAL HEALTH PARTNERS INC | |||||||||||||||
| PO BOX 2632 | ELKINS | WV | 26241 | 550746206 | CONTRACT NEGOTIATIONS | WV | N/A | C | Yes (1) | ||||||
| ZERCOR RE SEGREGATED PORTFOLIO #2 DAVIS | |||||||||||||||
| CAPTIVE INSURANCE | N/A | C | Yes (1) | 18 FORUM LANE 2ND FLOOR | GRAND CAYMAN | CAYMAN ISLANDS | CJ | KY1-1102 | CJ | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | 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 | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |