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Nonprofiteer
← PRESTON MEMORIAL FOUNDATION I INCORPORATED

Form 990 for tax year 2022

Filed by PRESTON MEMORIAL FOUNDATION I INCORPORATED.

Totals

Total revenue
$20,189
Total expenses
$4,804
Contributions and grants received
$4,946
Grants paid
$0
Program service revenue
$0
Investment income
$14,909
Other revenue
$334
Total assets, end of year
$1,363,972
Total liabilities, end of year
$3,172
Net assets or fund balances, end of year
$1,360,800
Program services expenses (Part IX)
$0
Management and general expenses
$783
Fundraising expenses
$4,021
Program service expenses (Part III)
not reported

Program services were 0.0% 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.

  • 1f · All other contributions, gifts and grants

    $4,946

  • 3 · Investment income

    total $19,125 · excluded $19,125

  • 7b · Less cost or other basis and sales expenses

    securities $4,216

  • 7c · Gain or loss

    securities -$4,216

  • 7d · Net gain or loss

    total -$4,216 · excluded -$4,216

  • 11a · Other revenue: OTHER REVENUE

    total $334 · related or exempt $334

  • 11e · Other revenue, total

    $334

Functional expenses

Part IX, the statement of functional expenses.

  • 11f · Fees: investment management

    total $2,761 · fundraising $2,761

  • 13 · Office expenses

    total $386 · management and general $386

  • 24a · Other expenses: INDIRECT FUNDRAISING EX

    total $1,260 · fundraising $1,260

  • 24b · Other expenses: MISC.

    total $397 · management and general $397

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $22,819 · end of year $18,183

  • 3 · Pledges and grants receivable

    beginning of year $16,917 · end of year $0

  • 11 · Investments: publicly traded securities

    beginning of year $1,388,203 · end of year $1,345,789

  • 25 · Other liabilities

    beginning of year $4,062 · end of year $3,172

  • 27 · Net assets without donor restrictions

    beginning of year $1,423,877 · end of year $1,360,800

Mission and programs · 2022

Mission

RAISE, RECEIVE,AND APPLY FUNDS FOR FACILITY IMPROVEMENTS, EQUIPMENT, TECHNOLOGY, AND EXPANSION OF SERVICES.

Activities or mission (Part I)

RAISE, RECEIVE,AND APPLY FUNDS FOR FACILITY IMPROVEMENTS, EQUIPMENT, TECHNOLOGY, AND EXPANSION OF SERVICES FOR PRESTON MEMORIAL HOSPITAL.

  • THE FOUNDATION SUPPORTS ACTIVITIES OF PRESTON MEMORIAL HOSPITAL AND ITS AFFILIATED NON-PROFIT ORGANIZATIONS BY PROVIDING A COORDINATED PROGRAM OF FUND DEVELOPMENT AND CONTINUED PHILANTHROPIC SUPPORT FOR THE HOSPITAL, ASSISTING THE HOSPITAL IN OBTAINING GRANTS FROM OTHER FOUNDATIONS, PROMOTING COMMUNITY AWARENESS OF AND SUPPORT FOR THE HOSPITAL AND ASSISTING THE HOSPITAL IN IDENTIFYING COMMUNITY EXPECTATIONS AND NEEDS FOR HEALTHCARE SERVICES IN THE SERVICE AREA.

As filed on the 2022 return.

Listed in Part VII

  • MELISSA LOCKWOOD

    DIRECTOR/PMH CAO

    Total calculated
    $318,149
    From this org
    $0
    From related orgs
    $269,786
    Other
    $48,363
    Hours/week
    1 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $239,831 related
    Bonus
    $0 + $29,955 related
    Other
    $0
    Deferred
    $0 + $45,183 related
    Nontaxable benefits
    $0 + $3,180 related
    Filer's total
    $0 + $318,149 related

  • CORRENA SMITHBURGER

    DIRECTOR/SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • KERRY GNIK

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • TARRELL RIES

    DIRECTOR/CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • CLINT MCCABE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • LAURIE THOMPSON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • MIKE SHAFFER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • RITA MCCROBIE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • SARAH WARCHOLA

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • TRELLA GREASER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • WILLIAM SHOCKEY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • DAVID GOLDBERG

    MHS PRESIDENT & CEO

    Total calculated
    $1,042,509
    From this org
    $0
    From related orgs
    $911,058
    Other
    $131,451
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $576,356 related
    Bonus
    $0 + $237,960 related
    Other
    $0 + $96,742 related
    Deferred
    $0 + $128,124 related
    Nontaxable benefits
    $0 + $3,327 related
    Filer's total
    $0 + $1,042,509 related

  • JEFF CRUDELE

    INTERIM CFO

    Total calculated
    $480,000
    From this org
    $0
    From related orgs
    $480,000
    Other
    $0
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $480,000 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $480,000 related

  • LISA SIMON CPA

    MHS VP FINANCE/CFO

    Total calculated
    $436,398
    From this org
    $0
    From related orgs
    $421,179
    Other
    $15,219
    Hours/week
    1 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $35,487 related
    Bonus
    $0 + $46,842 related
    Other
    $0 + $338,850 related
    Deferred
    $0 + $14,673 related
    Nontaxable benefits
    $0 + $546 related
    Filer's total
    $0 + $436,398 related

  • KEVIN GESSLER

    TREASURER/PMH VP OF FINANCE

    Total calculated
    $245,732
    From this org
    $0
    From related orgs
    $224,307
    Other
    $21,425
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $202,501 related
    Bonus
    $0 + $21,806 related
    Other
    $0
    Deferred
    $0 + $20,462 related
    Nontaxable benefits
    $0 + $963 related
    Filer's total
    $0 + $245,732 related

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

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 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

The filer's explanations (Part III)

PART I, LINE 3
THE CEO'S COMPENSATION IS PAID BY MONONGALIA HEALTH SYSTEM. MONONGALIA HEALTH SYSTEM USES THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE CEO: COMPENSATION COMMITTEE; INDEPENDENT COMPENSATION CONSULTANT; COMPENSATION SURVEY OR STUDY; -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
PART I, LINES 4A-B
LISA SIMON RECEIVED A SEVERANCE PAYMENT IN 2022 OF $338,707. THE FOLLOWING INDIVIDUALS PARTICIPATED IN 457(F) PLAN: DAVID GOLDBERG AND LISA SIMON.

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.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2022
Filed
14 November 2023
IRS schema version
2022v5.0
Source object
202303199349319545

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