Form 990 for tax year 2022
Filed by PRESTON MEMORIAL MEDICAL GROUP.
Totals
- Total revenue
- $145,476
- Total expenses
- $2,715
- Contributions and grants received
- $0
- Grants paid
- $0
- Program service revenue
- $0
- Investment income
- $145,000
- Other revenue
- $476
- Total assets, end of year
- $148,486
- Total liabilities, end of year
- $0
- Net assets or fund balances, end of year
- $148,486
- Program services expenses (Part IX)
- $0
- Management and general expenses
- $2,715
- Fundraising expenses
- $0
- 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.
-
7a · Gross sales of assets other than inventory
other assets $145,000
-
7b · Less cost or other basis and sales expenses
other assets $0
-
7c · Gain or loss
other assets $145,000
-
7d · Net gain or loss
total $145,000 · excluded $145,000
-
11a · Other revenue: REBATES & REFUNDS
total $476 · excluded $476
-
11e · Other revenue, total
$476
Functional expenses
Part IX, the statement of functional expenses.
-
13 · Office expenses
total $2,576 · management and general $2,576
-
16 · Occupancy
total $139 · management and general $139
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $121 · end of year $148,486
-
10a · Land, buildings and equipment: cost or other basis
$0
-
10c · Land, buildings and equipment, net
beginning of year $5,000
-
17 · Accounts payable and accrued expenses
beginning of year $0
-
27 · Net assets without donor restrictions
beginning of year $5,121 · end of year $148,486
Mission and programs · 2022
Mission
TO SERVE AS AN ADMINISTRATIVE ENTITY FOR PRESTON MEMORIAL HOSPITAL TO HELP PROVIDE OFFICE SPACE FOR HEALTH CARE SERVICES IN THE COMMUNITY.
-
THE PRESTON MEMORIAL MEDICAL GROUP PREVIOUSLY OPERATED AS A PRIMARY CARE/URGENT CARE FACILITY. THE ORGANIZATION NO LONGER PROVIDES THESE SERVICES BUT FUNCTIONS AS AN ADMINISTRATIVE ENTITY FOR PRESTON MEMORIAL HOSPITAL TO PROVIDE OFFICE SPACE FOR HEALTH CARE SERVICES IN THE COMMUNITY.
As filed on the 2022 return.
Listed in Part VII
-
Melissa LockwoodMELISSA LOCKWOOD
DIRECTOR/CEO
- 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
-
Larry WilliamsLARRY WILLIAMS
DIRECTOR/CHAIR
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Ray ThompsonRAY THOMPSON
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 3 related
-
Rita McCrobieRITA MCCROBIE
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Lisa Simon CPALISA 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 GesslerKEVIN GESSLER
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, LINES 4A-B
- LISA SIMON RECEIVED A SEVERANCE PAYMENT IN 2022 OF $338,707. THE FOLLOWING INDIVIDUALS PARTICIPATED IN 457(F) PLAN: 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.
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501(C)(3) · PARENT COMPANY · WV
-
501(C)(3) · FUNDRAISING · WV · controlled entity
Directly controlled by CHARLESTON AREA MEDICAL CENTER INC
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CHARLESTON AREA MEDICAL CENTER INC
501(C)(3) · HOSPITAL · WV
Directly controlled by VANDALIA HEALTH INC
-
501(C)(3) · PARENT COMPANY · WV
Directly controlled by VANDALIA HEALTH INC
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MONONGALIA COUNTY GENERAL HOSPITAL COMPANY
501(C)(3) · HOSPITAL · WV · controlled entity
Directly controlled by MONONGALIA HEALTH SYSTEM INC
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501(C)(3) · CONTINUING CARE RETIREMENT CENTER · WV · controlled entity
Directly controlled by MONONGALIA HEALTH SYSTEM INC
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THE FOUNDATION OF MONONGALIA GENERAL HOSPITAL
501(C)(3) · RAISE FUNDS FOR MONONGALIA GENERAL HOSPITAL · WV · controlled entity
Directly controlled by MONONGALIA COUNTY GENERAL HOSPITAL CO
-
501(C)(3) · HOSPITAL · WV · controlled entity
Directly controlled by MONONGALIA HEALTH SYSTEM INC
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PRESTON MEMORIAL HOSPITAL FOUNDATION
501(C)(3) · RAISE FUNDS FOR PRESTON HOSPITAL · WV · controlled entity
Directly controlled by PRESTON MEMORIAL HOSPITAL
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AUXILIARY OF MONONGALIA GENERAL HOSPITAL
501(C)(3) · RAISE FUNDS FOR MONONGALIA GENERAL HOSPITAL · WV · controlled entity
Directly controlled by MONONGALIA COUNTY GENERAL HOSPITAL CO
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LIABILITY INSURANCE TRUST FOR MONONGALIA HEALTH SYSTEM
501(C)(3) · LIABILITY INSURANCE TRUST · WV · controlled entity
Directly controlled by MONONGALIA HEALTH SYSTEM INC
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STONEWALL JACKSON MEMORIAL HOSPITAL
501(C)(3) · HOSPITAL · WV · controlled entity
Directly controlled by MONONGALIA HEALTH SYSTEM INC
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MON HEALTH MARION NEIGHBORHOOD HOSPITAL
501(C)(3) · HOSPITAL · WV · controlled entity
Directly controlled by MONONGALIA HEALTH SYSTEM INC
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CAMC GREENBRIER VALLEY MEDICAL CENTER INC
501(C)(3) · HOSPITAL · WV · controlled entity
Directly controlled by CHARLESTON AREA MEDICAL CENTER INC
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CAMC PLATEAU MEDICAL CENTER INC
501(C)(3) · HOSPITAL · WV · controlled entity
Directly controlled by CHARLESTON AREA MEDICAL CENTER INC
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CAMC HEALTH EDUCATION AND RESEARCH INSTITUTE INC
501(C)(3) · MEDICAL EDUCATIONAL RESEARCH · WV · controlled entity
Directly controlled by CHARLESTON AREA MEDICAL CENTER INC
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.
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WOMEN AND CHILDREN'S MEDICAL OFFICE BUILDING LLC
MEDICAL OFFICE BUILDING · WV
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GENERAL DIVISION MEDICAL OFFICE BUILDING LLC
MEDICAL OFFICE BUILDING · WV
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DASCO-CAMC HOME MEDICAL EQUIPMENT LLC
HOME MEDICAL EQUIPMENT · WV
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MGH SURGERY LLC
SURGERY CENTER · WV
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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.
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VANDALIA INSURANCE COMPANY
C · INSURANCE · VT · controlled entity
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MON HEALTH CARE INC
C · MEDICAL EQUIPMENT · WV · controlled entity
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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
- 202313199349320211
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