Webster County Memorial Hospital: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- Webster County Memorial Hospital (EIN 55-6005561)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-03-15
- IRS object ID
- 201210799349300501
- Schema version
- 2010v3.4
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-03-15T07:22:51-05:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TETRICK & BARTLETT PLLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1916 | AddressLine1 |
| City | CLARKSBURG | City |
| State | WV | State |
| ZIP Code | 263021916 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 556005561 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WEBSTER COUNTY MEMORIAL HOSPTIAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | WEBS | NameControl |
| Phone | 3048475682 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 324 MILLER MOUNTAIN DRIVE | AddressLine1 |
| City | WEBSTER SPRINGS | City |
| State | WV | State |
| ZIP Code | 26288 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ANNETTE KEENAN | Name |
| Title | CEO | Title |
| Phone | 3048475682 | Phone |
| Date Signed | 2012-03-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | LEON M ROGERS MEMBER | Name |
| Phone | 3046245564 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | ANNETTE KEENAN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 324 MILLER MOUNTAIN DRIVE | AddressLine1 |
| City | WEBSTER SPRINGS | City |
| State | WV | State |
| ZIP Code | 26288 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 12368884 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1951 | YearFormation |
| State Legal Domicile | WV | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE ACUTE SHORT-TERM CARE TO RESIDENTS OF WEBSTER AND SURROUNDING COUNTIES IN WEST VIRGINIA. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 7 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 181 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 240601 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 492621 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 11155488 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 11427082 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 3047 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2795 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 86976 | OtherRevenuePriorYear |
| Other Revenue Current Year | 446386 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 11486112 | TotalRevenuePriorYear |
| Total Revenue Current Year | 12368884 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 6371083 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 6819450 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 4861366 | OtherExpensePriorYear |
| Other Expenses Current Year | 5489396 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 11232449 | TotalExpensesPriorYear |
| Total Expenses Current Year | 12308846 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 253663 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 60038 | RevenuesLessExpensesCY |
| Total Assets BOY | 3430227 | TotalAssetsBOY |
| Total Assets EOY | 3263477 | TotalAssetsEOY |
| Total Liabilities BOY | 2987512 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 2742803 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 442715 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 520674 | NetAssetsOrFundBalancesEOY |
| Mission Description | THE MISSION OF WEBSTER COUNTY MEMORIAL HOSPITAL IS TO PROVIDE EXCELLENT, HIGH QUALITY CARE IN A COMPASSIONATE AND COST-EFFECTIVE MANNER. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 9127931 | Expense |
| Revenue | 11860718 | Revenue |
| Description | CRITICAL ACCESS HOSPITAL SERVICES PROVIDED INCLUDED 1,147 INPATIENT DAYS, 25,852 OUTPATIENT VISITS, AND 14,584 RHC VISITS. CHARGES FORGONE FOR CHARITY AMOUNTED TO $355,905. | Description |
| Total Program Service Expense | 9127931 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 14 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 181 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 7 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | WV | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | SARAH WILLS | NamePerson |
| Telephone Number | 3048475682 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 324 MILLER MOUNTAIN DRIVE | AddressLine1 |
| City | WEBSTER SPRINGS | City |
| State | WV | State |
| ZIP Code | 26288 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (13 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| ELSWORTH SONNY HELMICK | |||||||
| CHARIMAN | 2.00 | X | X | 0 | 0 | 0 | |
| LARRY LYNCH | |||||||
| SECRETARY/TREASURER | 2.00 | X | X | 0 | 0 | 0 | |
| MICHAEL CARPENTER | |||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||
| CATHERINE MORTON MCSWAIN | |||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||
| JOHN LESLIE | |||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||
| STEPHANIE LOUGHRIDGE | |||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||
| MARY ANNE CARPENTER | |||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||
| ANNETTE KEENAN | |||||||
| CEO | 40.00 | X | 118736 | 0 | 3713 | ||
| JOHN BLAKE | |||||||
| PHYSICIAN'S ASSISTANT | 40.00 | 179177 | 0 | 5977 | X | ||
| STEVEN CRAFT | |||||||
| PHYSICIAN | 40.00 | 158500 | 0 | 3164 | X | ||
| ROBERT MACE | |||||||
| PHYSICIAN | 40.00 | 260410 | 0 | 5162 | X | ||
| LUKE MCELWAIN | |||||||
| PHYSICIAN | 40.00 | 218400 | 0 | 3631 | X | ||
| VONDA MCELWAIN | |||||||
| PHYSICIAN | 40.00 | 174727 | 0 | 7010 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1109950 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 28657 | TotalOtherCompensation |
| Number Individuals GT100 K | 6 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Government Grants | 460171 | GovernmentGrants |
| All Other Contributions | 32450 | AllOtherContributions |
| Total Contributions | 492621 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT SERVICE REVENU | Description |
| Business Code | 624100 | BusinessCode |
| Total Revenue Column | 11427082 | TotalRevenueColumn |
| Related Or Exempt Function Income | 11427082 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 11427082 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2795 | TotalRevenueColumn |
| Exclusion | $2,795 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 12750 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 12750 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12750 | TotalRevenueColumn |
| Exclusion | $12,750 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS REVENUE | Description |
| Business Code | 621400 | BusinessCode |
| Total Revenue Column | 433636 | TotalRevenueColumn |
| Related Or Exempt Function Income | 433636 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 433636 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12368884 | TotalRevenueColumn |
| Related Or Exempt Function Income | 11860718 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $15,545 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 123976 | Total |
| Management And General | 123976 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5498277 | Total |
| Program Services | 3862546 | ProgramServices |
| Management And General | 1635731 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21706 | Total |
| Program Services | 14912 | ProgramServices |
| Management And General | 6794 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 749081 | Total |
| Program Services | 514626 | ProgramServices |
| Management And General | 234455 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 426410 | Total |
| Program Services | 292948 | ProgramServices |
| Management And General | 133462 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 223293 | Total |
| Management And General | 223293 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 546537 | Total |
| Program Services | 375477 | ProgramServices |
| Management And General | 171060 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 101148 | Total |
| Program Services | 69490 | ProgramServices |
| Management And General | 31658 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1165483 | Total |
| Program Services | 800699 | ProgramServices |
| Management And General | 364784 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 289384 | Total |
| Program Services | 198810 | ProgramServices |
| Management And General | 90574 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26034 | Total |
| Program Services | 17886 | ProgramServices |
| Management And General | 8148 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32174 | Total |
| Program Services | 32174 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 335570 | Total |
| Program Services | 230540 | ProgramServices |
| Management And General | 105030 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 135507 | Total |
| Program Services | 93095 | ProgramServices |
| Management And General | 42412 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT EXPENSE | 2087767 | 2087767 | |
| CHARITY CARE EXPENSE | 355905 | 355905 | |
| HEALTH CARE TAX | 160120 | 160120 | |
| FEES AND LICENSES | 30474 | 20936 | 9538 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12308846 | Total |
| Program Services | 9127931 | ProgramServices |
| Management And General | 3180915 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 342107 | BOY |
| EOY | 215442 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1684668 | BOY |
| EOY | 1228703 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 93787 | BOY |
| EOY | 181124 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 67139 | BOY |
| EOY | 67412 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 5375262 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 4052917 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1096031 | BOY |
| EOY | 1322345 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 98542 | BOY |
| EOY | 127886 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 47953 | BOY |
| EOY | 120565 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3430227 | BOY |
| EOY | 3263477 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1652751 | BOY |
| EOY | 1299682 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 424483 | BOY |
| EOY | 409235 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 910278 | BOY |
| EOY | 1033886 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2987512 | BOY |
| EOY | 2742803 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 417079 | BOY |
| EOY | 512028 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25636 | BOY |
| EOY | 8646 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 442715 | BOY |
| EOY | 520674 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3430227 | BOY |
| EOY | 3263477 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 60038 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 17921 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 32757 | OtherCostOrOtherBasis |
| Book Value | 32757 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1720652 | OtherCostOrOtherBasis |
| Depreciation | 1551300 | Depreciation |
| Book Value | 169352 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3551743 | OtherCostOrOtherBasis |
| Depreciation | 2473811 | Depreciation |
| Book Value | 1077932 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 70110 | OtherCostOrOtherBasis |
| Depreciation | 27806 | Depreciation |
| Book Value | 42304 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1322345 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| THIRD PARTY PAYABLES | $1,030,448 |
| OTHER PAYABLES | $3,438 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1033886 | TotalOfAmounts |
| Total Revenue | 12368884 | TotalRevenue |
| Total Expenses | 12308846 | TotalExpenses |
| Excess Or Deficit For Year | 60038 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 29344 | NetUnrealizedGLOnInvestments |
| Total Adjustments | 29344 | TotalAdjustments |
| Excess Or Deficit Per FS | 89382 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 9954556 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 29344 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | 29344 | RevenueNotRptdF990 |
| Revenue Subtotal | 9925212 | RevenueSubtotal |
| Other Revenues Not Included | 2443672 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 2443672 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 12368884 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 9865174 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 9865174 | ExpensesSubtotal |
| Other Expenses Not Included | 2443672 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 2443672 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 12308846 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE NETTED WITH REVENUE ON AUDITED FINANCIAL STATEMENTS 2,087,767. CHARITY CARE EXPENSE NETTED WITH REVENUE ON AUDITED FINANCIAL STATEMENTS 355,905. |
| PART XIII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE NETTED WITH REVENUE ON AUDITED FINANCIAL STATEMENTS 2,087,767. CHARITY CARE EXPENSE NETTED WITH REVENUE ON AUDITED FINANCIAL STATEMENTS 355,905. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent150 | X | Pcent150 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 150.000000000000 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 194928 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 29729 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 165199 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01620 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2625269 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2522056 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 103213 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01010 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2820197 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2551785 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 268412 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02630 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11776 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 11776 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00120 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11776 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 11776 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00120 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2831973 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2551785 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 280188 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02750 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $2,087,767 | BadDebtExpenseAmount |
| Amount Attributable To | 478099 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 2995929 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 3472408 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -476479 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 0 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WEBSTER COUNTY MEMORIAL HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 324 MILLER MOUNTAIN DRIVE | AddressLine1 |
| City | WEBSTER SPRINGS | City |
| State | WV | State |
| ZIP Code | 26288 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| Critical Access Hospital | X | CriticalAccessHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NOT REQUIRED | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| PART I, LINE 3C: THE ORGANIZATION DIFFERENTIATES BETWEEN FREE AND DISCOUNTED CARE BY PERFORMING A SECOND TEST (BEYOND FAMILY INCOME LIMIT PROVIDED BY THE FEDERAL POVERTY GUIDELINES) RELATED TO THE PATIENT'S ASSETS. PATIENTS CAN ONLY OWN ONE HOUSE AND ONE VEHICLE. NON BUSINESS OWNERS CAN ONLY HAVE $10,000 IN ASSETS (CONVERTIBLE TO CASH). BUSINESS OWNERS CAN ONLY HAVE $50,000 IN ASSETS (CONVERTIBLE TO CASH). IF THE PATIENT OWNS ASSETS BEYOND THEIR RESPECTIVE LIMIT, THEY WILL ONLY BE ELIGIBLE FOR DISCOUNTED CARE. | ||
| PART I, LINE 7: A COST TO CHARGE RATIO OF 51.66% WAS USED TO HELP DETERMINE SOME AMOUNTS IN THIS TABLE. | ||
| 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 $ 2087767. | ||
| PART II: THE ORGANIZATION RECEIVED GRANT FUNDING TO LAUNCH THREE CANCER SUPPORT GROUPS IN WEBSTER COUNTY, WEST VIRGINIA. THESE GROUPS SUPPORT INDIVIDUALS DEALING WITH ALL TYPES OF CANCER. THE ORGANIZATION PARTICIPATES IN THE FOLLOWING COALITIONS; MOUNTAINS OF HOPE CANCER COALITION, TOBACCO FREE COALITION, WEBSTER COUNTY HEALTH EDUCATION COMMITEE, WVRHEP (COLLEGE CLINICAL PLACEMENT FOR NURSING STUDENTS), RELAY FOR LIFE (AMERICAN CANCER SOCIETY), PARTNERS IN HEALTH, WV HOSPITAL ASSOCIATION, WEBSTER COUNTY COMMUNITY FUND, WEBSTER COUNTY ECONOMIC DEVELOPMENT CENTER AND PARTNERS IN EDUCATION WITH DIANA ELEMENTARY SCHOOL. THE ORGANIZATION HAS ADDED MRI TO ITS SERVICES THIS YEAR IN AN EFFORT TO OFFER MORE TO THE COMMUNITY. THE ORGANIZATION ALSO PARTICIPATED IN THE WEBSTER COUNTY HIGH SCHOOL CAREER FAIR. | ||
| PART III, LINE 4: PATIENT ACCOUNTS RECEIVABLE ARE CARRIED AT THE ORIGINAL CHARGE LESS AN ESTIMATE MADE FOR DOUBTFUL OR UNCOLLECTIBLE ACCOUNTS. THE ALLOWANCE IS BASED UPON A REVIEW OF THE OUTSTANDING BALANCES AGED BY FINANCIAL CLASS. MANAGEMENT USES COLLECTION PERCENTAGES BASED UPON HISTORICAL COLLECTION EXPERIENCE TO DETERMINE COLLECTIBILITY. MANAGEMENT ALSO REVIEWS TROUBLED, AGED ACCOUNTS TO DETERMINE COLLECTION POTENTIAL. PATIENT ACCOUNTS RECEIABLE ARE WRITTEN OFF WHEN DEEMED UNCOLLECTIBLE. RECOVERIES OF ACCOUNTS PREVIOUSLY WRITTEN OFF ARE RECORDED AS A REDUCTION TO BAD DEBT EXPENSE WHEN RECEIVED. INTEREST IS NOT CHARGED ON PATIENT ACCOUNTS RECEIVABLE.TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE AT COST, BAD DEBT EXPENSE OF $2,087,767 WAS MULTIPLIED BY THE COST TO CHARGE RATIO OF 51.66% CALCULATED USING WORKSHEET 2.BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE CHARITY CARE POLICY WAS ESTIMATED BY MULTIPLYING BAD DEBT AT COST BY THE POVERTY REATE IN WEBSTER COUNTY, 22.9%. | ||
| PART III, LINE 8: THE ORGANIZATION PROVIDES SERVICES TO AN ELDERLY COMMUNITY THAT LIVES IN MOUNTAINOUS TERRAIN MAKING TRAVEL DIFFICULT. THE ORGANIZATION PROVIDES CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY; THIS PREVENTS CITIZENS FROM TRAVELING LONG DISTANCES TO RECEIVE CARE. APPROXIMATELY 22.9% OF THE POPULATION OF WEBSTER COUNTY IS BELOW THE POVERTY LEVEL; THEREFORE, THE SHORTFALL CAUSED BY EXCESS MEDICARE EXPENSES SHOULD BE TREATED AS A COMMUNITY BENEFIT TO THAT EXTENT. | ||
| PART III, LINE 9B: ALL PATIENTS HAVE 60 DAYS FROM THE DATE OF SERVICE TO APPLY FOR FINANCIAL ASSISTANCE OR CHARITY CARE. | ||
| PART VI, LINE 2: IN 2007, THE ORGANIZATION ENGAGED A FIRM TO COMPLETE A FORMAL COMMUNITY NEEDS ASSESSMENT. IN 2010, THE ORGANIZATION UPDATED THEIR RESULTS WITH AN INTERNALLY PREPARED COMMUNITY SURVEY. THIS SURVEY WAS DISTRIBUTED TO EVERY INPATIENT AND SWING BED PATIENT AND TO A SAMPLE OF OUTPATIENTS. | ||
| PART VI, LINE 3: WHEN A PRIVATE PAY PATIENT IS REGISTERED AT THE REGISTRATION DESK, THEY ARE OFFERED AN APPLICATION FOR THE FINANCIAL ASSISTANCE PROGRAM. IF THE PATIENT DOES NOT GET AN APPLICATION AT TIME OF REGISTRATION AND THEY INQUIRE ABOUT IT AFTER THE FACT, THEN THEY WILL SEE THE PATIENT ACCPOUNTS STAFF. IF THE PATIENT HAS OTHER INSURANCE AND IS STRUGGLING TO PAY THE COPAY, COINSURANCE OR DEDUCTIBLE, THEN THEY ALSO RECEIVE THE APPLICATION FROM THE PATIENT ACCOUNTS STAFF. | ||
| PART VI, LINE 4: WEBSTER COUNTY MEMORIAL HOSPITAL IS LOCATED IN A MOUNTAINOUS RURAL COMMUNITY WITH A POPULATION OF 9,154. WEBSTER COUNTY, WEST VIRGINIA IS 553.47 SQUARE MILES WITH A 16.5 PEOPLE PER SQUARE MILE. OF THE POPULATION, 17.5% IS 65 YEARS OF AGE OR OLDER AND 22.9% IS BELOW THE POVERTY LEVEL. THE NEXT CLOSEST HOSPITAL IS 40 MILES AWAY. | ||
| PART VI, LINE 6: THE ORGANIZATION IS A PARTNER IN EDUCATION WITH A LOCAL GRADE SCHOOL WHICH EDUCATES THE STUDENTS ON HOW TO LIVE A HEALTHY LIFESTYLE. THE ORGANIZATION ALSO OFFERS HEALTH FAIRS WITH FREE OR DISCONTINUED SCREENINGS AND TESTS TO THE COMMUNITY. | ||
| WV | REPORTS FILED WITH STATES | PART VI, LINE 7 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN BLAKE | |||||||||||||
| 176577 | 0 | 0 | 0 | 2600 | 0 | 650 | 0 | 5327 | 0 | 185154 | 0 | 0 | 0 |
| STEVEN CRAFT | |||||||||||||
| 158500 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 3164 | 0 | 161664 | 0 | 0 | 0 |
| ROBERT MACE | |||||||||||||
| 260410 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 5162 | 0 | 265572 | 0 | 0 | 0 |
| LUKE MCELWAIN | |||||||||||||
| 199340 | 0 | 0 | 0 | 19060 | 0 | 2184 | 0 | 1447 | 0 | 222031 | 0 | 0 | 0 |
| VONDA MCELWAIN | |||||||||||||
| 158407 | 0 | 0 | 0 | 16320 | 0 | 1747 | 0 | 5263 | 0 | 181737 | 0 | 0 | 0 |
Schedule M IRS990ScheduleM
Other Non Cash Contributions Table OtherNonCashContributionsTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Description | EQUIPMENT | Description |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 32450 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | DURING A REGULARLY SCHEDULED BOARD MEETING, EACH BOARD MEMBER RECIEVES A COPY OF THE COMPLETED FORM 990. THE BOARD WILL VOTE AND APPROVE THE COMPLETED FORM BEFORE FILING. | |
| OFFICERS AND DIRECTORS ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE. THIS QUESTIONNAIRE IS TEHN REVIEWED BY THE BOARD OF TRUSTEES, ANNUALLY, FOR ANY INTERESTS THAT COULD GIVE RISE TO CONFLICTS. IF A CONFLICT SHOULD ARISE, THE INDIVIDUAL WOULD HAVE TO DISCLOSE THIS CONFLICT TO THE BOARD OF TRUSTEES. THE BOARD MEMBER WOULD NOT BE PERMITTED TO VOTE ON THE ISSUE IF APPLICABLE. | FORM 990, PART VI, SECTION B, LINE 12C | |
| TO DETERMINE COMPENSATION OF THE ORGANIZATION'S CEO, THE ORGANIZATION COMPARES FORMS 990 OF OTHER ORGANIZATIONS, REVIEWS WRITTEN EMPLOYMENT CONTRACTS AND PERFORMS COMPENSATION SURVEYS OF SIMILAR FACILITIES. A REVIEW OF COMPENSATION IS CONDUCTED INTERNALLY BY THE BOARD OF TRUSTEES. | FORM 990, PART VI, SECTION B, LINE 15 | |
| THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. | FORM 990, PART VI, SECTION C, LINE 19 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED GAINS ON INVESTMENTS: 29,344. PRIOR PERIOD ADJUSTMENTS: -11,423. TOTAL TO FORM 990, PART XI, LINE 5: 17,921. | FORM 990, PART XI, LINE 5: |