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Nonprofiteer
← MON HEALTH MARION NEIGHBORHOOD HOSPITAL INC

Form 990 for tax year 2022

Filed by MON HEALTH MARION NEIGHBORHOOD HOSPITAL INC.

Totals

Total revenue
$3,174,197
Total expenses
$5,473,584
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$3,174,197
Investment income
$0
Other revenue
$0
Total assets, end of year
$12,708,607
Total liabilities, end of year
$21,531,212
Net assets or fund balances, end of year
-$8,822,605
Program services expenses (Part IX)
$4,111,416
Management and general expenses
$1,362,168
Fundraising expenses
$0
Program service expenses (Part III)
$4,111,416

Program services were 75.1% 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.

  • 2a · Program service revenue: PATIENT SERVICE REVENU

    total $3,174,197 · related or exempt $3,174,197

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $1,634,504 · program services $1,246,083 · management and general $388,421

  • 8 · Pension plan contributions

    total $37,984 · program services $24,690 · management and general $13,294

  • 9 · Other employee benefits

    total $288,547 · program services $187,555 · management and general $100,992

  • 10 · Payroll taxes

    total $117,957 · program services $76,672 · management and general $41,285

  • 11g · Fees: other

    total $1,556,085 · program services $838,785 · management and general $717,300

  • 12 · Advertising and promotion

    total $100 · management and general $100

  • 13 · Office expenses

    total $212,308 · program services $209,248 · management and general $3,060

  • 16 · Occupancy

    total $117,214 · program services $45,214 · management and general $72,000

  • 17 · Travel

    total $1,447 · program services $1,447

  • 20 · Interest

    total $205,931 · program services $205,931

  • 22 · Depreciation, depletion and amortization

    total $309,425 · program services $309,425

  • 24a · Other expenses: BAD DEBT

    total $520,087 · program services $520,087

  • 24b · Other expenses: MEDICAL SUPPLIES

    total $293,247 · program services $293,247

  • 24c · Other expenses: BANK FEES

    total $57,655 · program services $57,655

  • 24d · Other expenses: REPAIRS AND MAINTENANCE

    total $29,332 · program services $29,332

  • 24e · All other expenses

    total $91,761 · program services $66,045 · management and general $25,716

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $405,108 · end of year $206,698

  • 4 · Accounts receivable

    beginning of year $1,838,897 · end of year $1,119,301

  • 8 · Inventories for sale or use

    beginning of year $168,847

  • 9 · Prepaid expenses and deferred charges

    beginning of year $16,728 · end of year $63,988

  • 10a · Land, buildings and equipment: cost or other basis

    $11,473,718

  • 10b · Land, buildings and equipment: accumulated depreciation

    $155,098

  • 10c · Land, buildings and equipment, net

    beginning of year $15,157,720 · end of year $11,318,620

  • 17 · Accounts payable and accrued expenses

    beginning of year $289,575 · end of year $878,941

  • 23 · Secured mortgages and notes payable

    beginning of year $14,231,652 · end of year $13,871,192

  • 25 · Other liabilities

    beginning of year $5,795,814 · end of year $6,781,079

  • 27 · Net assets without donor restrictions

    beginning of year -$2,729,741 · end of year -$8,822,605

Mission and programs · 2022

Mission

TO ENHANCE THE HEALTH OF THE COMMUNITIES WE SERVE, ONE PERSON AT A TIME.

Activities or mission (Part I)

OUR GOAL IS TO OFFER THE QUALITY OF CARE WE WOULD EXPECT AND DEMAND FOR OUR OWN FAMILIES. STREAMLINED ADMITTING PROCEDURES, HIGHLY QUALIFIED PHYSICIANS AND MEDICAL SPECIALISTS AT EVERY LEVEL OF CARE AND THE LATEST DIAGNOSTIC EQUIPMENT ARE JUST A FEW OF THE DISTINCTIONS WE OFFER.

  • MON HEALTH MARION NEIGHBORHOOD HOSPITAL OFFERS AROUND-THE-CLOCK EMERGENCY CARE, A COMPREHENSIVE INPATIENT WING FOR OVERNIGHT STAYS, ON-SITE LABORATORY TESTING AND IMAGING INCLUDING CT, ULTRASOUND AND X-RAY.

    Expenses $4,111,416 · Revenue $3,174,197

As filed on the 2022 return.

Listed in Part VII

  • DAVID GOLDBERG

    SECRETARY/TREASURER/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

  • CHRISTOPHER EDWARDS DO

    DIRECTOR/CAO

    Total calculated
    $95,866
    From this org
    $0
    From related orgs
    $95,866
    Other
    $0
    Hours/week
    1 + 40 related

  • DIXIE YANN

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • RONALD G STOVASH

    CHAIR

    Total calculated
    $0
    Hours/week
    1 + 6 related

  • DOYLE SICKLES

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 40 related

  • ED BOYLE 9122 START

    CHAIR

    Total calculated
    $0
    Hours/week
    1 + 6.5 related

  • SENATOR ROMAN PREZIOSO

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • 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

    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

  • ANNE WALLACE

    PHYSICIAN

    Total calculated
    $123,281
    From this org
    $111,715
    From related orgs
    $0
    Other
    $11,566
    Hours/week
    50

  • TERESA FAST

    PHYSICIAN

    Total calculated
    $118,728
    From this org
    $110,874
    From related orgs
    $0
    Other
    $7,854
    Hours/week
    50

  • TINA SLAUGHTER

    PHYSICIAN

    Total calculated
    $118,389
    From this org
    $105,184
    From related orgs
    $0
    Other
    $13,205
    Hours/week
    50

  • CRISTINA WAGONER

    PHYSICIAN

    Total calculated
    $117,450
    From this org
    $110,488
    From related orgs
    $0
    Other
    $6,962
    Hours/week
    50

  • LISA HINES

    PHYSICIAN

    Total calculated
    $110,351
    From this org
    $101,889
    From related orgs
    $0
    Other
    $8,462
    Hours/week
    50

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 - COMPENSATION COMMITTEE - COMPENSATION SURVEY OR STUDY THE CEO - INDEPENDENT COMPENSATION CONSULTANT - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINES 4A-B
LISA SIMON RECEIVED 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
202313199349319666

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