Totals
- Total revenue
- $17,187,662
- Total expenses
- $18,908,767
- Contributions and grants received
- $2,605
- Grants paid
- $600
- Program service revenue
- $16,396,055
- Investment income
- $19,381
- Other revenue
- $769,621
- Total assets, end of year
- $7,875,692
- Total liabilities, end of year
- $10,997,117
- Net assets or fund balances, end of year
- -$3,121,425
- Program services expenses (Part IX)
- $18,277,221
- Management and general expenses
- $631,546
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $18,277,221
Program services were 96.7% 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
$2,605
-
2a · Program service revenue: NET PATIENT SERVICES
total $15,355,975 · related or exempt $15,355,975
-
2b · Program service revenue: 340B PROGRAM REVENUE
total $1,040,080 · related or exempt $1,040,080
-
3 · Investment income
total $19,381 · excluded $19,381
-
6a · Gross rents
real property $6,538
-
6b · Less rental expenses
real property $0
-
6c · Rental income or loss
real property $6,538
-
6d · Net rental income or loss
total $6,538 · excluded $6,538
-
11a · Other revenue: NURSING HOME SERVICE REIMB
total $408,919 · unrelated business $408,919
-
11b · Other revenue: MISCELLANEOUS REVENUE
total $354,164 · related or exempt $354,164
-
11e · Other revenue, total
$763,083
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $600 · program services $600
-
5 · Compensation of officers, directors and key employees
total $371,593 · program services $359,182 · management and general $12,411
-
7 · Other salaries and wages
total $8,756,741 · program services $8,464,266 · management and general $292,475
-
9 · Other employee benefits
total $1,381,731 · program services $1,335,581 · management and general $46,150
-
10 · Payroll taxes
total $593,816 · program services $573,983 · management and general $19,833
-
11a · Fees: management
total $385,275 · program services $372,407 · management and general $12,868
-
11b · Fees: legal
total $11,562 · management and general $11,562
-
11c · Fees: accounting
total $55,581 · management and general $55,581
-
11g · Fees: other
total $1,569,319 · program services $1,516,904 · management and general $52,415
-
13 · Office expenses
total $1,368,751 · program services $1,323,127 · management and general $45,624
-
14 · Information technology
total $276,720 · program services $267,478 · management and general $9,242
-
16 · Occupancy
total $152,949 · program services $147,841 · management and general $5,108
-
17 · Travel
total $6,418 · program services $6,204 · management and general $214
-
20 · Interest
total $103,387 · program services $99,934 · management and general $3,453
-
22 · Depreciation, depletion and amortization
total $546,149 · program services $527,908 · management and general $18,241
-
23 · Insurance
total $495,159 · program services $478,621 · management and general $16,538
-
24a · Other expenses: MEDICAL SUPPLIES
total $1,149,250 · program services $1,149,250
-
24b · Other expenses: REPAIRS & MAINTENANCE
total $689,638 · program services $666,604 · management and general $23,034
-
24c · Other expenses: MEDICAID PROVIDER TAX
total $247,577 · program services $247,577
-
24d · Other expenses: BAD DEBT EXPENSE
total $231,911 · program services $231,911
-
24e · All other expenses
total $514,640 · program services $507,843 · management and general $6,797
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $1,466,970 · end of year $12,600
-
2 · Savings and temporary cash investments
beginning of year $1,015,950 · end of year $201,315
-
4 · Accounts receivable
beginning of year $2,549,883 · end of year $2,565,997
-
8 · Inventories for sale or use
beginning of year $251,342 · end of year $258,388
-
9 · Prepaid expenses and deferred charges
beginning of year $578,813 · end of year $285,409
-
10a · Land, buildings and equipment: cost or other basis
$21,462,507
-
10b · Land, buildings and equipment: accumulated depreciation
$18,565,275
-
10c · Land, buildings and equipment, net
beginning of year $3,327,897 · end of year $2,897,232
-
12 · Investments: other securities
beginning of year $1,006,709 · end of year $1,020,017
-
15 · Other assets
beginning of year $634,734 · end of year $634,734
-
17 · Accounts payable and accrued expenses
beginning of year $3,494,201 · end of year $4,498,038
-
19 · Deferred revenue
beginning of year $2,457,650 · end of year $2,457,649
-
25 · Other liabilities
beginning of year $6,280,767 · end of year $4,041,430
-
27 · Net assets without donor restrictions
beginning of year -$1,400,320 · end of year -$3,121,425
Mission and programs · 2022
Mission
TO PROVIDE INPATIENT HOSPITAL CARE, OUTPATIENT SERVICES AND EMERGENCY ROOM SERVICES TO THE RESIDENTS OF TAYLOR COUNTY, WV AND SURROUNDING COMMUNITIES.
-
THE HOSPITAL PROVIDED HEALTH CARE SERVICES INCLUDING 5,659 EMERGENCY ROOM VISITS, 604 ACUTE HOSPITAL DAYS, 0 LONG-TERM CARE DAYS, 620 SWING-BED DAYS, AND 205 SURGERIES. THE HOSPITAL PROVIDED CHARITY CARE WITHOUT CHARGE OR AT LESS THAN ITS ESTABLISHED RATES TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY. CHARGES FOREGONE FOR CHARITY CARE DURING THE YEAR AMOUNTED TO $51,269.51. ADDITIONALLY, THE HOSPITAL'S RURAL HEALTH CLINIC RECORDED 11,369 VISITS FOR THE YEAR.
Expenses $18,276,621 · Revenue $16,750,219
-
THE HOSPITAL SPONSORED COMMUNITY HEALTH IMPROVEMENT SERVICES THAT INCLUDED A HEALTH FAIR AND NEW YOU YOUTH FITNESS.
-
THE ORGANIZATION PROVIDED GRANTS TO COMMUNITY ORGANIZATIONS INCLUDING A $500 SPONSORSHIP OF A FIVE MILE RUN AND A $100 DONATION TO HOSPICE.
Expenses $600 · Grants $600
As filed on the 2022 return.
Listed in Part VII
-
Thomas Stevens DoTHOMAS STEVENS DO
PHYSICIAN
- Total calculated
- $426,433
- From this org
- $426,433
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $317,467
- Bonus
- $93,293
- Other
- $15,673
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $426,433
-
Andrew Berardinelli MDANDREW BERARDINELLI MD
PHYSICIAN
- Total calculated
- $422,452
- From this org
- $419,883
- From related orgs
- $0
- Other
- $2,569
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $338,071
- Bonus
- $66,812
- Other
- $15,000
- Deferred
- $0
- Nontaxable benefits
- $2,569
- Filer's total
- $422,452
-
Joseph Duvert MDJOSEPH DUVERT MD
PHYSICIAN
- Total calculated
- $393,585
- From this org
- $390,492
- From related orgs
- $0
- Other
- $3,093
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $390,492
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $3,093
- Filer's total
- $393,585
-
David Bender MDDAVID BENDER MD
EXECUTIVE CREDENTIALS CHAIR
- Total calculated
- $371,593
- From this org
- $364,152
- From related orgs
- $0
- Other
- $7,441
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $305,533
- Bonus
- $49,562
- Other
- $9,057
- Deferred
- $0
- Nontaxable benefits
- $7,441
- Filer's total
- $371,593
-
Thomas Wilshire DoTHOMAS WILSHIRE DO
PHYSICIAN
- Total calculated
- $320,895
- From this org
- $314,326
- From related orgs
- $0
- Other
- $6,569
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $314,326
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $6,569
- Filer's total
- $320,895
-
Stephen Harris PaSTEPHEN HARRIS PA
PHYSICIAN ASSISTANT
- Total calculated
- $146,695
- From this org
- $146,695
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Melissa LockwoodMELISSA LOCKWOOD
CAO PRESTON MEMORIAL HOSPITAL
- Total calculated
- $0
- Hours/week
- 16
-
John L BordJOHN L BORD
PRESIDENT
- Total calculated
- $0
- Hours/week
- 2
-
Robert WeaverROBERT WEAVER
VICE PRESIDENT
- Total calculated
- $0
- Hours/week
- 2
-
Nancy FowlerNANCY FOWLER
FINANCE CHAIR
- Total calculated
- $0
- Hours/week
- 2
-
Wayne McDevittWAYNE MCDEVITT
TRUSTEE
- Total calculated
- $0
- Hours/week
- 2
-
Larry RichmanLARRY RICHMAN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 2
-
Jenny WeaverJENNY WEAVER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 2
-
John WhitescarverJOHN WHITESCARVER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 2
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 · Compensation committee
- 3 · Compensation survey or study
- 3 · Approval by the board or compensation committee
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
The filer's explanations (Part III)
- FORM 990, PART IV, LINE 23
- GRAFTON CITY HOSPITAL HAS A MANAGEMENT AGREEMENT WITH MONONGALIA HEALTH SYSTEM. MELISSA LOCKWOOD IS THE CONTRACTED CAO THROUGH THIS AGREEMENT. THE PORTION OF HER 2022 COMPENSATION AND BENEFITS ALLOCATED TO GRAFTON CITY HOSPITAL FOR HER CAO SERVICES WAS $103,361.
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
- 15 May 2024
- IRS schema version
- 2022v5.0
- Source object
- 202431369349307773
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.