Skip to content
Nonprofiteer
← PRINCETON COMMUNITY HOSPITAL FOUNDATION INC

Form 990 for tax year 2022

Filed by PRINCETON COMMUNITY HOSPITAL FOUNDATION INC.

Totals

Total revenue
$1,712,486
Total expenses
$1,754,885
Contributions and grants received
$140,840
Grants paid
$128,426
Program service revenue
$1,473,749
Investment income
$70,286
Other revenue
$27,611
Total assets, end of year
$8,082,967
Total liabilities, end of year
$1,108,944
Net assets or fund balances, end of year
$6,974,023
Program services expenses (Part IX)
$1,494,529
Management and general expenses
$216,964
Fundraising expenses
$43,392
Program service expenses (Part III)
$1,494,529

Program services were 85.2% 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

    $13,442

  • 1f · All other contributions, gifts and grants

    $127,398

  • 2a · Program service revenue: Health & fitness cente

    total $1,473,749 · related or exempt $1,473,749

  • 3 · Investment income

    total $73,163 · excluded $73,163

  • 7a · Gross sales of assets other than inventory

    securities $730,599

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

    securities $733,476

  • 7c · Gain or loss

    securities -$2,877

  • 7d · Net gain or loss

    total -$2,877 · excluded -$2,877

  • 8a · Fundraising events: gross income

    $45,508

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

    $13,442

  • 8b · Fundraising events: direct expenses

    $23,838

  • 8c · Net income from fundraising events

    total $21,670 · excluded $21,670

  • 10a · Gross sales of inventory

    $10,719

  • 10b · Cost of goods sold

    $4,778

  • 10c · Net income from sales of inventory

    total $5,941 · excluded $5,941

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $75,145 · program services $75,145

  • 2 · Grants to domestic individuals

    total $53,281 · program services $53,281

  • 5 · Compensation of officers, directors and key employees

    total $66,072 · management and general $66,072

  • 7 · Other salaries and wages

    total $663,200 · program services $566,006 · management and general $72,397 · fundraising $24,797

  • 8 · Pension plan contributions

    total $5,533 · program services $4,722 · management and general $604 · fundraising $207

  • 9 · Other employee benefits

    total $81,963 · program services $69,951 · management and general $8,947 · fundraising $3,065

  • 10 · Payroll taxes

    total $66,925 · program services $57,117 · management and general $7,306 · fundraising $2,502

  • 11a · Fees: management

    total $4,500 · management and general $4,500

  • 11f · Fees: investment management

    total $9,921 · management and general $9,921

  • 11g · Fees: other

    total $46,351 · program services $46,351

  • 12 · Advertising and promotion

    total $40,866 · program services $40,866

  • 13 · Office expenses

    total $170,217 · program services $144,685 · management and general $21,277 · fundraising $4,255

  • 16 · Occupancy

    total $229,097 · program services $195,522 · management and general $25,009 · fundraising $8,566

  • 17 · Travel

    total $1,681 · management and general $1,681

  • 20 · Interest

    total -$750 · management and general -$750

  • 22 · Depreciation, depletion and amortization

    total $194,513 · program services $194,513

  • 23 · Insurance

    total $38,971 · program services $38,971

  • 24a · Other expenses: Other taxes & licenses

    total $4,296 · program services $4,296

  • 24b · Other expenses: Miscellaneous

    total $3,103 · program services $3,103

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $806,876 · end of year $783,571

  • 4 · Accounts receivable

    end of year $10,000

  • 8 · Inventories for sale or use

    beginning of year $7,558 · end of year $7,921

  • 9 · Prepaid expenses and deferred charges

    beginning of year $54,191 · end of year $20,571

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

    $4,528,582

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

    $106,377

  • 10c · Land, buildings and equipment, net

    beginning of year $2,601,244 · end of year $4,422,205

  • 11 · Investments: publicly traded securities

    beginning of year $2,644,711 · end of year $2,838,699

  • 17 · Accounts payable and accrued expenses

    beginning of year $83,334 · end of year $19,650

  • 25 · Other liabilities

    beginning of year $1,066,770 · end of year $1,089,294

  • 27 · Net assets without donor restrictions

    beginning of year $2,319,765 · end of year $4,329,312

  • 28 · Net assets with donor restrictions

    beginning of year $2,644,711 · end of year $2,644,711

Mission and programs · 2022

Mission

Princeton Community Hospital Foundation, Inc. is a non-profit, tax-exempt organization that depends on the generosity of individuals, families, organizations, and grant funds to support Princeton Community Hospital in its mission of providing high quality, cost effective health and wellness services to its community.

Activities or mission (Part I)

Princeton Community Hospital Foundation, Inc. is a non-profit, tax-exempt organization that provides support to Princeton Community Hospital in its mission of providing quality, cost effective health and wellness services to our community.

  • The Foundation operated a community health and fitness center to facilitate preventative health care and promote healthy life styles within the community. During Fiscal Year 2023, the fitness center served an estimated 2,881 members, providing income adjusted fees to allow affordable memberships to the community. In addition, the fitness center offered an after school program which provided services to 73 community children in a structured, health and fitness oriented environment and provided services for 17 participants in West Virginia PEIA health lifestyles program.

    Expenses $1,366,103 · Revenue $1,473,749

  • The Foundation provided support in FY 2023 for patients at Princeton Community Hospital. Patients were assisted by $8,568 from the Hospitality House program, and $14,521 from the Cancer Care Fund and $192 from the Hearts of PCH. These funds provided patients who qualified with prescriptions upon their discharge, cab fair, gasoline, and lodging, if needed. In addition, patients were provided $73,720 in financial assistance for their hospital care through the Neighborhood Investment Program.

    Expenses $98,426 · Grants $98,426

  • The Foundation's Muldoon Scholarship Fund provided 20 students pursuing careers in healthcare with sholarships in 2023.

    Expenses $30,000 · Grants $30,000

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Gopal M Pardasani MD

    Chairman

    Total calculated
    $0
    Hours/week
    1

  • Kevin Cole

    Treasurer

    Total calculated
    $0
    Hours/week
    1

  • Marie Blackwell

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • Martha Sabol

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • Ed Gilger

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • Rusty Sarver

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • Tom Giffen

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • Craig Hammond

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • Rosemary Mitchell

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • Ralph Modena

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • Chris Worley

    Fitness Center Director

    Total calculated
    $65,208
    From this org
    $63,110
    From related orgs
    $0
    Other
    $2,098
    Hours/week
    40

  • Diane Spencer

    VP of Finance

    Total calculated
    $240,939
    From this org
    $0
    From related orgs
    $206,500
    Other
    $34,439
    Hours/week
    10 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $186,999 related
    Bonus
    $0 + $19,501 related
    Other
    $0
    Deferred
    $0 + $6,519 related
    Nontaxable benefits
    $0 + $27,920 related
    Filer's total
    $0 + $240,939 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

  • 3 · Independent compensation consultant
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 7 · Other non-fixed payments

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
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Part I, Line 7
The CEO and Fitness Center Director have goals each year to meet. Each goal is assigned a point value. Incentive compensation is based on each individual's percentage of goals achieved or met for the year.

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

  • Princeton Community Hospital Association Inc

    $75,145

    The Foundation provided support in FY 2023 for cancer patients, provided patients transportation assistance and lodging, along with assistance toward renovations of the PCH Laboratory, Nursery and Pedicatric Units, and continuing education for PCH Womens Center employees.

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.

Provenance

Return type
form_990
Tax year
2022
Filed
13 March 2024
IRS schema version
2022v5.0
Source object
202420809349300422

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.