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Nonprofiteer
← BELMONT COMMUNITY HOSPITAL INC

Form 990 for tax year 2022

Filed by BELMONT COMMUNITY HOSPITAL INC.

Totals

Total revenue
-$126,952
Total expenses
$446,226
Contributions and grants received
$0
Grants paid
$0
Program service revenue
-$187,590
Investment income
-$24,942
Other revenue
$85,580
Total assets, end of year
$1,181,298
Total liabilities, end of year
$610,608
Net assets or fund balances, end of year
$570,690
Program services expenses (Part IX)
$13,720
Management and general expenses
$432,506
Fundraising expenses
$0
Program service expenses (Part III)
$13,720

Program services were 3.1% 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: NHS Service Revenue

    total $23,566 · related or exempt $23,566

  • 3 · Investment income

    total $14 · excluded $14

  • 5 · Royalties

    total $8,505 · excluded $8,505

  • 6a · Gross rents

    real property $89,905

  • 6b · Less rental expenses

    real property $14,355

  • 6c · Rental income or loss

    real property $75,550

  • 6d · Net rental income or loss

    total $75,550 · excluded $75,550

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

    other assets $24,956

  • 7c · Gain or loss

    other assets -$24,956

  • 7d · Net gain or loss

    total -$24,956 · excluded -$24,956

  • 11a · Other revenue: Rebate Revenue

    total $366 · excluded $366

  • 11d · All other revenue

    total $1,159 · related or exempt $1,159

  • 11e · Other revenue, total

    $1,525

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $0

  • 2 · Grants to domestic individuals

    total $0

  • 3 · Grants to foreign organizations and individuals

    total $0

  • 4 · Benefits paid to or for members

    total $0

  • 5 · Compensation of officers, directors and key employees

    total $0

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $0

  • 8 · Pension plan contributions

    total $0

  • 9 · Other employee benefits

    total $1,000 · management and general $1,000

  • 10 · Payroll taxes

    total $36,507 · management and general $36,507

  • 11a · Fees: management

    total $0

  • 11b · Fees: legal

    total $0

  • 11c · Fees: accounting

    total $0

  • 11d · Fees: lobbying

    total $0

  • 11f · Fees: investment management

    total $0

  • 11g · Fees: other

    total $137,022 · program services $86 · management and general $136,936

  • 12 · Advertising and promotion

    total $0

  • 13 · Office expenses

    total $63,544 · program services $445 · management and general $63,099

  • 14 · Information technology

    total $0

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $162,270 · management and general $162,270

  • 17 · Travel

    total $400 · management and general $400

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $0

  • 20 · Interest

    total $0

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $0

  • 23 · Insurance

    total $0

  • 24a · Other expenses: Taxes, Licenses, and Fees

    total $39,602 · program services $7,784 · management and general $31,818

  • 24b · Other expenses: Provision for Doubtful Accounts

    total $5,098 · program services $5,098

  • 24c · Other expenses: Other Business Related Expenses

    total $476 · management and general $476

  • 24d · Other expenses: Medical Supplies

    total $307 · program services $307

  • 24e · All other expenses

    total $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $85,816 · end of year $200,023

  • 2 · Savings and temporary cash investments

    beginning of year $45,285 · end of year $45,288

  • 4 · Accounts receivable

    beginning of year $296,702 · end of year $884,244

  • 9 · Prepaid expenses and deferred charges

    beginning of year $800,000

  • 13 · Investments: program-related

    beginning of year $51,640 · end of year $51,743

  • 17 · Accounts payable and accrued expenses

    beginning of year $135,679 · end of year $125,962

  • 25 · Other liabilities

    end of year $484,646

  • 27 · Net assets without donor restrictions

    beginning of year $1,086,824 · end of year $513,647

  • 28 · Net assets with donor restrictions

    beginning of year $56,940 · end of year $57,043

Mission and programs · 2022

Mission

Belmont Community Hospital provides quality medical healthcare to patients from Belmont County and surrounding communities regardless of race, creed, sex, sexual orientation, national origin, handicap, age or ability to pay.

Activities or mission (Part I)

To provide needed care to the community regardless of an individuals ability to pay.

  • To provide needed care to the community through use of a medical facility.

    Expenses $13,720 · Revenue -$186,431

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

Listed in Part VII

  • Bruce A Archer

    VP/General Counsel

    Total calculated
    $315,564
    From this org
    $0
    From related orgs
    $279,155
    Other
    $36,409
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    not reported + $245,840 related
    Bonus
    not reported + $27,414 related
    Other
    not reported + $5,901 related
    Deferred
    not reported + $35,439 related
    Nontaxable benefits
    not reported + $970 related
    Filer's total
    not reported + $315,564 related

  • Robert A Bittengle

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • Jeffrey A Patey MD

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • C Gary Hill

    Board President January - September

    Total calculated
    $0
    Hours/week
    1

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
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 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 II
The reportable compensation from related organizations for Bruce Archer is for services rendered as a VP/General Counsel for the filing organization and the related organizations. The majority of his time is spent at the related organizations. None of the wages paid are related to being a trustee on the board of directors.
Part I Line 4b
Bruce Archer received deferred compensation contributions of 24,584 in 2022 from related party, Wheeling Hospital Inc. This amount is properly recorded in deferred compensation on the Form 990 Schedule J.

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.

  • Allied Health Sourcing Solutions

    Supply Chain Management · WV · general or managing partner

Related corporations and trusts

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

  • Allied Health Services

    C Corp · Medical Lab · WV

    Directly controlled by West Virginia United Health System

  • West Virginia United Insurance Services

    C Corp · Provider Network · WV

    Directly controlled by West Virginia United Health System

  • Wheeling Holdings I LLC

    C Corp · Purchase Real Estate · WV

    Directly controlled by Wheeling Hospital Inc

Provenance

Return type
form_990
Tax year
2022
Filed
14 November 2023
IRS schema version
2022v5.0
Source object
202333189349311803

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