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PRESTON MEMORIAL HOSPITAL CORPORATION: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
PRESTON MEMORIAL HOSPITAL CORPORATION (EIN 31-1097818)
Tax period
2017-07-01 to 2018-06-30
Filed
2019-05-15
IRS object ID
201911359349301351
Schema version
2017v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2019-05-15T07:20:08-05:00ReturnTs
Tax Period End2018-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN550486667PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Arnett Carbis Toothman LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1P O Box 2629AddressLine1Txt
CityCharlestonCityNm
State AbbreviationWVStateAbbreviationCd
ZIP25329ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN311097818EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Preston Memorial Hospital CorporationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPRESBusinessNameControlTxt
Phone3043291400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1150 Memorial DriveAddressLine1Txt
CityKingwoodCityNm
State AbbreviationWVStateAbbreviationCd
ZIP265371442ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKevin GesslerPersonNm
Person TitleVP of Financial ServicesPersonTitleTxt
Phone3043291400PhoneNum
Signature2019-05-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDolores RosePreparerPersonNm
PTINP01286262PTIN
Phone3043460441PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address216.12.119.47IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-05-14IPDt
IP Tm18:00:39IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id8F537CE45D6BD65E6EB7CB60BD4FF135E15258F7AtSubmissionCreationDeviceId
At Submission Filing Device Id189E7E0A389CD25A9DA3FDB9013AAEDF90286210AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMelissa LockwoodPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1150 Memorial DriveAddressLine1Txt
CityKingwoodCityNm
State AbbreviationWVStateAbbreviationCd
ZIP265371442ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$42,020,636GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addressprestonmemorial.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1955FormationYr
Legal Domicile StateWVLegalDomicileStateCd
Activity Or MissionTo offer access to high quality, patient centered, and affordable healthcare to all our patients.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee430TotalEmployeeCnt
Total Volunteers52TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$11,096PYContributionsGrantsAmt
CY Contributions Grants$19,429CYContributionsGrantsAmt
PY Program Service Revenue$37,946,646PYProgramServiceRevenueAmt
CY Program Service Revenue$41,527,254CYProgramServiceRevenueAmt
PY Investment Income$55,072PYInvestmentIncomeAmt
CY Investment Income$128,772CYInvestmentIncomeAmt
PY Other Revenue$269,668PYOtherRevenueAmt
CY Other Revenue$345,181CYOtherRevenueAmt
PY Total Revenue$38,282,482PYTotalRevenueAmt
CY Total Revenue$42,020,636CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$21,154,159PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$23,351,585CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$17,884,962PYOtherExpensesAmt
CY Other Expenses$19,110,011CYOtherExpensesAmt
PY Total Expenses$39,039,121PYTotalExpensesAmt
CY Total Expenses$42,461,596CYTotalExpensesAmt
PY Revenues Less Expenses-$756,639PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$440,960CYRevenuesLessExpensesAmt
Total Assets BOY$49,037,174TotalAssetsBOYAmt
Total Assets EOY$48,344,833TotalAssetsEOYAmt
Total Liabilities BOY$43,595,266TotalLiabilitiesBOYAmt
Total Liabilities EOY$43,323,724TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,441,908NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,021,109NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTo offer access to high quality, patient centered, and affordable healthcare to all our patients.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$29,514,026ExpenseAmt
Revenue$41,838,870RevenueAmt
DescThe Hospital had 2,441 inpatient days, cared for 9,105 emergency patients and treated 60,385 patients in its outpatient clinics. The Hospital provides care regardless of the patient's ability to pay. Charges foregone for charity care amounted to $850,285.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.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$527,553ExpenseAmt
Revenue$33,565RevenueAmt
DescThe 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
FieldValueIRS element (for citing)
Total Program Service Expenses$30,041,579TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document62IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee430EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Kevin Gessler VP FinanceBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3043291400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1150 Memorial DriveAddressLine1Txt
CityKingwoodCityNm
State AbbreviationWVStateAbbreviationCd
ZIP265371442ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Kathy McNeill
Chair1.001.00Yes (X)Yes (X)$0$0$0
Ron Crites
Vice Chair/Treasurer1.001.00Yes (X)Yes (X)$0$0$0
Rita McCrobie
Secretary1.001.00Yes (X)Yes (X)$0$0$0
Melissa Lockwood
President/CEO40.001.00Yes (X)Yes (X)$0$225,120$14,268
Roger Hardesty
Board Member1.001.00Yes (X)$0$0$0
Sandy Murray
Board Member1.001.00Yes (X)$0$0$0
Nick Taylor
Board Member1.001.00Yes (X)$0$0$0
Ray Thompson
Board Member1.001.00Yes (X)$0$0$0
Larry Williams
Board Member1.001.00Yes (X)$0$0$0
Bonnie Forman MD
Chief of Staff20.00Yes (X)$108,510$0$3,255
Tim Calvert
Board Member1.00Yes (X)$0$0$0
Kevin Gessler
VP of Financial Services40.001.00Yes (X)$0$143,870$10,611
Darryl Duncan
President/CEO Mon Health5.0035.00Yes (X)$0$603,779$153,416
Daris Rosencrance
Sr VP Finance/CFO Mon Health5.0035.00Yes (X)$0$403,166$57,652
Marisa Downey DO
Physician40.00$380,650$0$20,696Yes (X)
Theresa S Rutledge DO
Physician40.00$338,427$0$33,544Yes (X)
Frank Abraham MD
Physician40.00$515,007$0$34,409Yes (X)
James Holehouse MD
Physician40.00$233,044$0$6,624Yes (X)
Frederick Conley II MD
Physician40.00$213,466$0$22,077Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,789,104TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,375,935TotReportableCompRltdOrgAmt
Total Other Compensation$356,552TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K24IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Sanjay Bharti MC PLLC
4000 Hampton Center Suite BMorgantownWV26505Hospitalist Services$285,000
Weatheby Locums Inc
PO Box 972633DallasTX75397ER Physician Staffing$249,468
Fusion Medical Staffing LLC
PO Box 82674LincolnNE68501Nurse Staffing Services$222,687
Alliance Healthcare Services
PO Box 96485ChicagoIL60693MRI Services$201,600
Laboratory Corporation
PO Box 12140BurlingtonNC27216Lab Services$153,297
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K8CntrctRcvdGreaterThan100KCnt
Government Grants$17,929GovernmentGrantsAmt
All Other Contributions$1,500AllOtherContributionsAmt
Total Contributions$19,429TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient services622110$40,873,633$40,873,633
340B Drug Program900099$653,621$653,621
FieldValueIRS element (for citing)
Total Program Service Revenue$41,527,254TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$32,439TotalRevenueColumnAmt
Exclusion$32,439ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$96,333SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$96,333SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$96,333TotalRevenueColumnAmt
Exclusion$96,333ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafeteria Sales722212$176,933$176,933
Drugs900099$51,962$51,962
Rebates and Refunds900099$29,272$29,272

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$87,014TotalRevenueColumnAmt
Related Or Exempt Func Income$87,014RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$345,181OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$42,020,636TotalRevenueColumnAmt
Related Or Exempt Func Income$41,872,435RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$128,772ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$111,765TotalAmt
Program Services$77,341ProgramServicesAmt
Management And General$34,424ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$17,532,985TotalAmt
Program Services$12,132,826ProgramServicesAmt
Management And General$5,400,159ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$528,877TotalAmt
Program Services$365,983ProgramServicesAmt
Management And General$162,894ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,955,146TotalAmt
Program Services$2,736,961ProgramServicesAmt
Management And General$1,218,185ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,222,812TotalAmt
Program Services$846,186ProgramServicesAmt
Management And General$376,626ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$586,067TotalAmt
Management And General$586,067ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$127,821TotalAmt
Management And General$127,821ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$59,455TotalAmt
Management And General$59,455ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,336,288TotalAmt
Program Services$2,413,125ProgramServicesAmt
Management And General$923,163ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$222,949TotalAmt
Program Services$154,281ProgramServicesAmt
Management And General$68,668ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,460,153TotalAmt
Program Services$1,009,303ProgramServicesAmt
Management And General$450,850ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$228,764TotalAmt
Program Services$158,305ProgramServicesAmt
Management And General$70,459ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$435,437TotalAmt
Program Services$301,322ProgramServicesAmt
Management And General$134,115ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$144,607TotalAmt
Program Services$100,068ProgramServicesAmt
Management And General$44,539ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,294,220TotalAmt
Management And General$1,294,220ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,050,029TotalAmt
Program Services$2,110,620ProgramServicesAmt
Management And General$939,409ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$489,648TotalAmt
Program Services$338,836ProgramServicesAmt
Management And General$150,812ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical supplies$2,890,835$2,890,835
Bad Debt$2,828,946$2,828,946
Repairs & maintenance$741,868$513,373$228,495
Healthcare provider tax$727,032$727,032

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$485,892TotalAmt
Program Services$336,236ProgramServicesAmt
Management And General$149,656ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$42,461,596TotalAmt
Program Services$30,041,579ProgramServicesAmt
Management And General$12,420,017ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,468,147BOYAmt
EOY$6,381,077EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,515,821BOYAmt
EOY$4,286,015EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$26,840BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$553,325BOYAmt
EOY$563,154EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$198,572BOYAmt
EOY$213,154EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$53,555,263LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$21,548,291LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$34,515,208BOYAmt
EOY$32,006,972EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$3,208,145BOYAmt
EOY$3,313,529EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,551,116BOYAmt
EOY$1,580,932EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$49,037,174BOYAmt
EOY$48,344,833EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,057,387BOYAmt
EOY$5,391,209EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$36,300,692BOYAmt
EOY$35,576,618EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$143,389BOYAmt
EOY$133,515EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,093,798BOYAmt
EOY$2,222,382EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$43,595,266BOYAmt
EOY$43,323,724EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,441,908BOYAmt
EOY$5,021,109EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,441,908BOYAmt
EOY$5,021,109EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$49,037,174BOYAmt
EOY$48,344,833EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$440,960ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$20,161OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$28,661OtherActivitiesAmt
Total Lobbying Expenditures$28,661TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationThe organization pays membership fees to the West Virginia Hospital Association which participates in lobbying activities.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$31,195OtherCostOrOtherBasisAmt
Book Value$31,195BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$26,497,583OtherCostOrOtherBasisAmt
Depreciation$10,926,870DepreciationAmt
Book Value$15,570,713BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$24,272,828OtherCostOrOtherBasisAmt
Depreciation$10,504,424DepreciationAmt
Book Value$13,768,404BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,753,657OtherCostOrOtherBasisAmt
Depreciation$116,997DepreciationAmt
Book Value$2,636,660BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$32,006,972TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Funded depreciation$2,171,853F
Restricted investment account$1,141,676F
FieldValueIRS element (for citing)
Total Book Value Securities$3,313,529TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Due to 3rd Party Payors$2,014,702
Due to related party$207,680
FieldValueIRS element (for citing)
Total Liability$2,222,382TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationSummary from the consolidated audited financial statements of the Health System: The Hospital follows the FASB's authoritative guidance on accounting for uncertainty in income taxes. The Hospital has determined that no material unrecognized tax benefits or obligations exist. Generally, tax returns for years ended June 30, 2015, and thereafter remain subject to examination by federal and state tax authorities.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent200 DYes (X)Percent200DInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$355,239TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$355,239NetCommunityBenefitExpnsAmt
Total Expense0.00900TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,667,827TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,667,827DirectOffsettingRevenueAmt

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$564,165TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$564,165NetCommunityBenefitExpnsAmt
Total Expense0.01420TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,587,231TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,667,827DirectOffsettingRevenueAmt
Net Community Benefit Expns$919,404NetCommunityBenefitExpnsAmt
Total Expense0.02320TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$527,553TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$33,565DirectOffsettingRevenueAmt
Net Community Benefit Expns$493,988NetCommunityBenefitExpnsAmt
Total Expense0.01250TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$279,855TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$279,855NetCommunityBenefitExpnsAmt
Total Expense0.00710TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$65,131TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$65,131NetCommunityBenefitExpnsAmt
Total Expense0.00160TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$872,539TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$33,565DirectOffsettingRevenueAmt
Net Community Benefit Expns$838,974NetCommunityBenefitExpnsAmt
Total Expense0.02120TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,459,770TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,701,392DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,758,378NetCommunityBenefitExpnsAmt
Total Expense0.04440TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$2,829,128BadDebtExpenseAmt
Reimbursed By Medicare$8,859,490ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$8,859,490CostOfCareReimbursedByMedcrAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Preston Memorial HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1150 Memorial DriveAddressLine1Txt
CityKingwoodCityNm
State AbbreviationWVStateAbbreviationCd
ZIP26537ZIPCd
FieldValueIRS element (for citing)
Website Addresshttp://www.prestonmemorial.org/WebsiteAddressTxt
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
Other24X7 lab and radiology. Center of Excellence in Bariatric Surgery.OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Preston Memorial HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttps://www.mongeneral.com/preston-memorial/wellness-initiativesOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLhttps://www.mongeneral.com/preston-memorial/wellness-initiativesStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care200.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps://www.mongeneral.com/preston-memorial/patient-paymentsFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttps://www.mongeneral.com/preston-memorial/patient-paymentsFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttps://www.mongeneral.com/preston-memorial/patient-paymentsFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Preston Memorial HospitalPart V, Section B, Line 5: The Hospital received community input from the following expert advisors: Preston County Commissioner; Preston County Health Department Administrator; WVU-Nutrition Outreach Instructor; Preston Memorial Hospital Foundation Director; Wesbanco Banking Center Manager; Preston Memorial Hospital CEO; Family Practice Physician; Preston-Taylor Community Health Center CFO; Owner of Preston Healthcare Services; Office Manager of Family Practice office; General Surgeon from Preston Memorial Hospital. When the survey analysis was complete, the information and summary conclusions was put before the local group of experts who were asked to agree or disagree with the summary conclusions.
Preston Memorial HospitalPart 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: obesity; cancer; affordability of healthcare; smoking/abuse of controlled narcotics; and coronary heart disease.

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 7g:Emergency room and Level 4 trauma services.
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 $ 2,829,128.
Part II, Community Building Activities:Preston offers its conference room space for multiple community meetings, including birthing classes, CPR, EMS & First Responder classes, parenting classes, etc.
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 Hospital conducted a Community Health Needs Assessment during the year ended June 30, 2016 to identify local health and medical needs of the residents served by the Hospital. To complete the Assessment the Hospital performed several independent data analyses based on secondary source data and combined the results with local survey data and opinions from local experts.
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 Commmission (local government) informing all local citizens of the Hospital's financial assistance program.
Part VI, Line 4:Preston Memorial Hospital located in Kingwood, WV, is situated in a rural geographic location. Preston County has a population of 33,940 (2015), with more than 16% of the service area population over the age of 65. The median household income was $43,434 which is higher than the State median income of $39,550, but lower than the national median income of $53,657. The Hospital's Medicaid utilization is 17%, Medicare utilization is 40%, and an estimated 10% of the Hospital's patients served are uninsured (or underinsured). Preston Memorial Hospital is the only hospital in the county. There are 2 major competitors outside of the county - West Virginia University Hospitals and Monongalia General Hospital. Both hospitals are located approximately 50 minutes away from the hospital and are situated in urbanized locations in Monongalia County, WV. Other hospitals are also approximately 45 minutes to one hour driving distance from Preston Memorial Hosptial. There is a FQHC located in the county (Preston-Taylor Community Health Center). There are no other designated medically underserved areas in the county.
Part VI, Line 5:Preston Memorial Hospital has a governing body comprised of citizens of Preston County. They are not employees, contractors or family members thereof. They represent labor, elderly, the business community and the poor. The hospital extends 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 30 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 Monongalia Health System, Inc. The Monongalia Health System includes Monongalia County General Hospital Company, Mon Elder Services, Inc., Monongalia Emergency Medical Services, Inc., and Mon Health Care. 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.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Melissa Lockwood
President/CEO$0$200,382$0$24,105$0$633$0$3,687$0$10,581$0$239,388$0$0
Kevin Gessler
VP of Financial Services$0$127,503$0$16,178$0$189$0$2,462$0$8,149$0$154,481$0$0
Darryl Duncan
President/CEO Mon Health$0$583,847$0$0$0$19,932$0$126,666$0$26,750$0$757,195$0$0
Daris Rosencrance
Sr VP Finance/CFO Mon Health$0$321,367$0$43,607$0$38,192$0$24,984$0$32,668$0$460,818$0$0
Marisa Downey DO
Physician$380,650$0$0$0$0$0$7,737$0$12,959$0$401,346$0$0$0
Theresa S Rutledge DO
Physician$330,327$0$0$0$8,100$0$8,235$0$25,309$0$371,971$0$0$0
Frank Abraham MD
Physician$491,943$0$0$0$23,064$0$9,100$0$25,309$0$549,416$0$0$0
James Holehouse MD
Physician$210,152$0$0$0$22,892$0$6,624$0$0$0$239,668$0$0$0
Frederick Conley II MD
Physician$189,466$0$0$0$24,000$0$6,046$0$16,031$0$235,543$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3The CEO's compensation is paid by Monongalia Health System. Monongalia Health System uses the following methods to establish the compensation of the CEO: salary survey or study; independent compensation consultants; compensation committee; and is approved by the board or compensation committee.
Part I, Line 4bThe following individuals deferred the following amounts under a 457(f) plan- Darryl Duncan ($121,266) and Daris Rosencrance ($19,584).

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6The sole member of Preston Memorial Hospital is Monongalia Health System.
Form 990, Part VI, Section A, line 7aPreston Memorial Hospital's board members are elected or appointed by Monongalia Health System.
Form 990, Part VI, Section A, line 7bPreston 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 11bThe governing body is provided a copy of the Form 990 for their review prior to submission. The board members are asksed to inform management of any questions or revisions they may have. If changes are made, based on board member's revisions, management redistributes a final version to all board members.
Form 990, Part VI, Section B, line 12cAnnually, a conflict of interest questionnaire is sent out to all board members. The board then reviews all responses for possible conflicts of interest. If a conflict is noted, the board members determine which decisions the conflicted members shall not participate in.
Form 990, Part VI, Section B, line 15Annually, a consultant compiles a market data report on executive CEO compensation. This report is then reviewed by the excutive committee to determine compensation for the individual.
Form 990, Part VI, Section C, line 18The organization makes its Form 990 available upon request.
Form 990, Part VI, Section C, line 19The governing documents, conflict of interest policy, and financial statements are kept onsite at Preston Memorial Hospital and are made available upon request.
Form 990, Part XI, line 9:Transfer from PMMG 20,161.
Form 990, Part XII, Line 2c:The Organization's finance committee of the board of directors selects the independent accountant. This process remains unchanged from prior years.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
Preston Memorial Medical Group
150 Memorial DriveKingwoodWV26537550717988Provide primary and urgent careWV501(c)(3)Line 3Monongalia Health System Inc0
Preston Memorial Foundation
150 Memorial DriveKingwoodWV26537550740121Support activities of other charitable organizationsWV501(c)(3)Line 12b, IIMonongalia Health System Inc0
Monongalia County General Hospital Company
1200 JD Anderson DriveMorgantownWV26505237441353HospitalWV501(c)(3)Line 3Monongalia Health System Inc0
Mon Elder Services Inc
1200 JD Anderson DriveMorgantownWV26505311520863Continuing care retirement villageWV501(c)(3)Line 10Monongalia Health System Inc0
Monongalia Emergency Medical Services Inc
1200 JD Anderson DriveMorgantownWV26505550725494Emergency ambulance and rescue serviceWV501(c)(3)Line 10Monongalia Health System Inc0
Monongalia Health System Inc
1200 JD Anderson DriveMorgantownWV26505550621551Parent/management companyWV501(c)(3)Line 12b, II0N/A
The Foundation of Monongalia General Hospital
1200 JD Anderson DriveMorgantownWV26505550570338Raise funds for Monongalia General HospitalWV501(c)(3)Line 70N/A
Auxiliary of Monongalia General Hospital
1200 JD Anderson DriveMorgantownWV26505550362965Raise funds for Monongalia General HospitalWV501(c)(3)Line 12a, IMonongalia Health System Inc0
Liability Insurance Trust for Monongalia Health System
1200 JD Anderson DriveMorgantownWV26505550689535Liability Insurance TrustWV501(c)(3)Line 12a, IMonongalia Health System Inc0
Stonewall Jackson Memorial Hospital
230 Hospital PlazaWestonWV26452550422958HospitalWV501(c)(3)Line 3Monongalia Health System Inc0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
Mon Health Care Inc
1200 JD Anderson DriveMorgantownWV26505550654973Home Medical EquipmentWVMonongalia Health System IncC0
Morgantown Medical Arts Building Inc
1199 /van Voorhis Road Suite 6MorgantownWV26505550570209Office RentalWVMonongalia Health System IncC0
Stonewall Home Oxygen Therapy Inc
100 Market Place Mall Suite8WestonWV26452550754278Oxygen therapy servicesWVStonewall Jackson Memorial HospitalC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd