Form 990 for tax year 2022
Filed by MOUNTAINEER COMMUNITY HEALTH CENTER INC.
Totals
- Total revenue
- $1,607,677
- Total expenses
- $1,460,988
- Contributions and grants received
- $1,155,353
- Grants paid
- $0
- Program service revenue
- $452,786
- Investment income
- $15,235
- Other revenue
- -$15,697
- Total assets, end of year
- $1,582,326
- Total liabilities, end of year
- $71,282
- Net assets or fund balances, end of year
- $1,511,044
- Program services expenses (Part IX)
- $804,909
- Management and general expenses
- $656,079
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $804,909
Program services were 55.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1e · Government grants (contributions)
$1,019,863
-
1f · All other contributions, gifts and grants
$135,490
-
1g · Noncash contributions included above
$70,733
-
2a · Program service revenue: NET PATIENT REVENUES
total $451,173 · related or exempt $451,173
-
2b · Program service revenue: OTHER REVENUES
total $1,613 · related or exempt $1,613
-
3 · Investment income
total $15,235 · excluded $15,235
-
6a · Gross rents
real property $6,000
-
6b · Less rental expenses
real property $21,697
-
6c · Rental income or loss
real property -$15,697
-
6d · Net rental income or loss
total -$15,697 · unrelated business -$15,697
Functional expenses
Part IX, the statement of functional expenses.
-
5 · Compensation of officers, directors and key employees
total $102,861 · management and general $102,861
-
7 · Other salaries and wages
total $602,884 · program services $416,066 · management and general $186,818
-
9 · Other employee benefits
total $189,766 · program services $111,879 · management and general $77,887
-
10 · Payroll taxes
total $57,895 · program services $34,133 · management and general $23,762
-
11c · Fees: accounting
total $17,000 · management and general $17,000
-
11g · Fees: other
total $71,331 · program services $29,488 · management and general $41,843
-
12 · Advertising and promotion
total $50,951 · program services $46,021 · management and general $4,930
-
16 · Occupancy
total $18,245 · program services $6,934 · management and general $11,311
-
22 · Depreciation, depletion and amortization
total $34,104 · program services $14,902 · management and general $19,202
-
23 · Insurance
total $18,760 · program services $16,512 · management and general $2,248
-
24a · Other expenses: SUPPLIES
total $93,350 · program services $93,350
-
24b · Other expenses: OTHER
total $87,841 · program services $19,309 · management and general $68,532
-
24c · Other expenses: CONSULTING
total $39,734 · management and general $39,734
-
24d · Other expenses: BILLING SERVICES
total $38,665 · management and general $38,665
-
24e · All other expenses
total $37,601 · program services $16,315 · management and general $21,286
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $172,854 · end of year $326,953
-
2 · Savings and temporary cash investments
beginning of year $753,488 · end of year $768,722
-
4 · Accounts receivable
beginning of year $107,707 · end of year $107,052
-
9 · Prepaid expenses and deferred charges
beginning of year $18,411 · end of year $20,992
-
10a · Land, buildings and equipment: cost or other basis
$1,069,275
-
10b · Land, buildings and equipment: accumulated depreciation
$710,668
-
10c · Land, buildings and equipment, net
beginning of year $409,141 · end of year $358,607
-
17 · Accounts payable and accrued expenses
beginning of year $52,152 · end of year $71,282
-
19 · Deferred revenue
beginning of year $45,094
-
27 · Net assets without donor restrictions
beginning of year $1,364,355 · end of year $1,511,044
Mission and programs · 2022
Mission
TO PROVIDE PRIMARY MEDICAL CARE SERVICE IN A RURAL COMMUNITY.
-
THE CLINIC PROVIDED PRIMARY CARE MEDICAL SERVICES TO PATIENTS IN THE PAW PAW, WV AREA.
Expenses $804,909 · Revenue $452,786
As filed on the 2022 return.
Listed in Part VII
-
Tina WaughTINA WAUGH
PROVIDER
- Total calculated
- $156,957
- From this org
- $152,176
- From related orgs
- $0
- Other
- $4,781
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $152,176
- Bonus
- not reported
- Other
- not reported
- Deferred
- $4,781
- Nontaxable benefits
- not reported
- Filer's total
- $156,957
-
Ciro GrassiCIRO GRASSI
CEO
- Total calculated
- $150,930
- From this org
- $102,861
- From related orgs
- $0
- Other
- $48,069
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $102,861
- Bonus
- not reported
- Other
- not reported
- Deferred
- $48,069
- Nontaxable benefits
- not reported
- Filer's total
- $150,930
-
Carlyn DuelleyCARLYN DUELLEY
PROVIDER
- Total calculated
- $150,281
- From this org
- $133,526
- From related orgs
- $0
- Other
- $16,755
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $133,526
- Bonus
- not reported
- Other
- not reported
- Deferred
- $16,755
- Nontaxable benefits
- not reported
- Filer's total
- $150,281
-
Doreen BurchDOREEN BURCH
TREASURER
- Total calculated
- $0
- Hours/week
- 1
-
Richard CampbellRICHARD CAMPBELL
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Jill CristJILL CRIST
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Jennifer KirkleyJENNIFER KIRKLEY
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Cindy LeaseCINDY LEASE
SECRETARY
- Total calculated
- $0
- Hours/week
- 1
-
Barbara NortonBARBARA NORTON
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Robert PalmerROBERT PALMER
VICE-PRESIDE
- Total calculated
- $0
- Hours/week
- 1
-
Edward RidgewayEDWARD RIDGEWAY
PRESIDENT
- Total calculated
- $0
- Hours/week
- 1
-
Susan ShambaughSUSAN SHAMBAUGH
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
None.
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 2 March 2024
- IRS schema version
- 2022v5.0
- Source object
- 202420689349300412
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