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← AUXILLARY TO THE MONONGALIA GENERAL HOSPITAL

Form 990 for tax year 2022

Filed by AUXILLARY TO THE MONONGALIA GENERAL HOSPITAL.

Totals

Total revenue
$423,897
Total expenses
$386,013
Contributions and grants received
$32,449
Grants paid
$298,465
Program service revenue
$0
Investment income
$518
Other revenue
$390,930
Total assets, end of year
$420,067
Total liabilities, end of year
$161,678
Net assets or fund balances, end of year
$258,389
Program services expenses (Part IX)
$386,013
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$386,013

Program services were 100.0% 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.

  • 1c · Fundraising events

    $31,000

  • 1f · All other contributions, gifts and grants

    $1,449

  • 3 · Investment income

    total $518 · excluded $518

  • 8a · Fundraising events: gross income

    $547,048

  • 8a · Fundraising events: contributions included on line 1c

    $31,000

  • 8b · Fundraising events: direct expenses

    $252,548

  • 8c · Net income from fundraising events

    total $294,500 · excluded $294,500

  • 10a · Gross sales of inventory

    $154,772

  • 10b · Cost of goods sold

    $71,836

  • 10c · Net income from sales of inventory

    total $82,936 · related or exempt $82,936

  • 11a · Other revenue: VENDING

    total $8,118 · related or exempt $8,118

  • 11d · All other revenue

    total $5,376 · related or exempt $5,376

  • 11e · Other revenue, total

    $13,494

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $298,465 · program services $298,465

  • 7 · Other salaries and wages

    total $40,849 · program services $40,849

  • 8 · Pension plan contributions

    total $1,862 · program services $1,862

  • 9 · Other employee benefits

    total $7,788 · program services $7,788

  • 10 · Payroll taxes

    total $3,084 · program services $3,084

  • 13 · Office expenses

    total $2,136 · program services $2,136

  • 17 · Travel

    total $3,613 · program services $3,613

  • 22 · Depreciation, depletion and amortization

    total $759 · program services $759

  • 23 · Insurance

    total $2,749 · program services $2,749

  • 24a · Other expenses: BANK SERVICE FEES

    total $7,839 · program services $7,839

  • 24b · Other expenses: EVENTS

    total $6,232 · program services $6,232

  • 24c · Other expenses: POSTAGE

    total $3,967 · program services $3,967

  • 24d · Other expenses: DUES AND SUBSCRIPTIONS

    total $2,499 · program services $2,499

  • 24e · All other expenses

    total $4,171 · program services $4,171

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $52,877 · end of year $78,828

  • 2 · Savings and temporary cash investments

    beginning of year $176,900 · end of year $62,611

  • 4 · Accounts receivable

    beginning of year $53,100 · end of year $194,315

  • 8 · Inventories for sale or use

    beginning of year $47,377 · end of year $48,212

  • 9 · Prepaid expenses and deferred charges

    beginning of year $75,092 · end of year $6,308

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

    $39,222

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

    $9,429

  • 10c · Land, buildings and equipment, net

    beginning of year $30,165 · end of year $29,793

  • 17 · Accounts payable and accrued expenses

    beginning of year $22,037 · end of year $66,204

  • 19 · Deferred revenue

    beginning of year $183,607 · end of year $1,437

  • 25 · Other liabilities

    beginning of year $9,362 · end of year $94,037

  • 27 · Net assets without donor restrictions

    beginning of year $220,505 · end of year $258,389

Mission and programs · 2022

Mission

THE AUXILIARY OF MON GENERAL SUPPORTS PROJECTS AND PROVIDES IMPROVEMENTS VIA VOLUNTEERS AND FINANCIAL EFFORTS FOR PATIENTS FAMILIES AND STAFF.

Activities or mission (Part I)

THE AUXILIARY OF MON GENERAL SUPPORTS PROJECTS AND PROVIDES IMPROVEMENTS VIA VOLUNTEERS AND FINANCIAL EFFORTS FOR PATIENTS, FAMILIES AND STAFF

  • THE CONTRIBUTIONS WERE GIVEN TO THE FOUNDATION OF MONONGALIA COUNTY GENERAL HOSPITAL FOR P3 - POST PARTUM PRENATAL DEPRESSION PROGRAM AND SENIOR ER DEPARTMENT.

    Expenses $386,013 · Grants $298,465 · Revenue $96,430

As filed on the 2022 return.

Listed in Part VII

  • Luella Gunter

    DIRECTOR

    Total calculated
    $201,260
    From this org
    $0
    From related orgs
    $181,444
    Other
    $19,816
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $169,804 related
    Bonus
    $0 + $11,640 related
    Other
    $0
    Deferred
    $0 + $13,170 related
    Nontaxable benefits
    $0 + $6,646 related
    Filer's total
    $0 + $201,260 related

  • Bethann Gamponia

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    1

  • Charlotte Clonch

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • Chris Battin

    PRESIDENT

    Total calculated
    $0
    Hours/week
    1

  • Susan Melenric

    TREASURER

    Total calculated
    $0
    Hours/week
    1

  • Beth Burns

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Bob Santee

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Connie Stead

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Denice Kirchoff

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Donna Pifer

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Gretchen Kaczmarczyk

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Jill Buterbaugh

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Joyce Wassick

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Kathy Boyle

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Kathy Pompili

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Katie Gyorko

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Mike Taylor

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Nate James

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • David Goldberg

    PRESIDENT/CEO

    Total calculated
    $1,042,009
    From this org
    $0
    From related orgs
    $911,058
    Other
    $130,951
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $659,321 related
    Bonus
    $0 + $237,960 related
    Other
    $0 + $13,777 related
    Deferred
    $0 + $127,624 related
    Nontaxable benefits
    $0 + $3,327 related
    Filer's total
    $0 + $1,042,009 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

    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

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 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

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.

  • WOMEN AND CHILDREN'S MEDICAL OFFICE BUILDING LLC

    MEDICAL OFFICE BUILDING · WV

  • GENERAL DIVISION MEDICAL OFFICE BUILDING LLC

    MEDICAL OFFICE BUILDING · WV

  • DASCO-CAMC HOME MEDICAL EQUIPMENT LLC

    HOME MEDICAL EQUIPMENT · WV

  • MGH SURGERY LLC

    SURGERY CENTER · WV

  • MON HEALTH-DASCO HOME MEDICAL EQUIPMENT LLC

    HOME MEDICAL EQUIPMENT · OH

Related corporations and trusts

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

  • VANDALIA INSURANCE COMPANY

    C · INSURANCE · VT · controlled entity

  • MON HEALTH CARE INC

    C · MEDICAL EQUIPMENT · WV · controlled entity

  • STONEWALL HOME OXYGEN THERAPY INC

    C · OXYGEN THERAPY SERVICES · WV · controlled entity

  • FAIRMONT HOME EQUIPMENT AND SUPPLY

    C · EQUIPMENT RENT & SVC · WV · controlled entity

  • MORGANTOWN PHYSICAL THERAPY ASSOC INC

    C · REHABILITATION SERVICES · WV · controlled entity

  • CARE PARTNER'S INC

    C · HOME HEALTH · WV · controlled entity

Provenance

Return type
form_990
Tax year
2022
Filed
14 November 2023
IRS schema version
2022v5.0
Source object
202303199349319665

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