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Nonprofiteer
← GRAFTON CITY HOSPITAL INC

Form 990 for tax year 2023

Filed by GRAFTON CITY HOSPITAL INC.

Totals

Total revenue
$16,202,205
Total expenses
$17,002,744
Contributions and grants received
$28,747
Grants paid
$700
Program service revenue
$15,760,632
Investment income
$57,004
Other revenue
$355,822
Total assets, end of year
$8,451,291
Total liabilities, end of year
$9,970,389
Net assets or fund balances, end of year
-$1,519,098
Program services expenses (Part IX)
$12,752,059
Management and general expenses
$4,250,685
Fundraising expenses
$0
Program service expenses (Part III)
$12,752,059

Program services were 75.0% 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.

  • 1e · Government grants (contributions)

    $27,000

  • 1f · All other contributions, gifts and grants

    $1,747

  • 2a · Program service revenue: NET PATIENT SERVICES

    total $15,135,700 · related or exempt $15,135,700

  • 2b · Program service revenue: 340B PROGRAM REVENUE

    total $624,932 · related or exempt $624,932

  • 3 · Investment income

    total $57,004 · excluded $57,004

  • 6a · Gross rents

    real property $5,820

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $5,820

  • 6d · Net rental income or loss

    total $5,820 · excluded $5,820

  • 11a · Other revenue: MISCELLANEOUS REVENUE

    total $350,002 · related or exempt $350,002

  • 11e · Other revenue, total

    $350,002

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $700 · program services $700

  • 5 · Compensation of officers, directors and key employees

    total $350,700 · program services $256,607 · management and general $94,093

  • 7 · Other salaries and wages

    total $8,111,935 · program services $5,935,503 · management and general $2,176,432

  • 9 · Other employee benefits

    total $1,419,202 · program services $1,038,430 · management and general $380,772

  • 10 · Payroll taxes

    total $569,929 · program services $417,017 · management and general $152,912

  • 11a · Fees: management

    total $313,257 · program services $229,210 · management and general $84,047

  • 11b · Fees: legal

    total $9,451 · management and general $9,451

  • 11c · Fees: accounting

    total $56,304 · management and general $56,304

  • 11g · Fees: other

    total $1,318,998 · program services $965,111 · management and general $353,887

  • 13 · Office expenses

    total $1,013,935 · program services $742,276 · management and general $271,659

  • 14 · Information technology

    total $264,382 · program services $193,449 · management and general $70,933

  • 16 · Occupancy

    total $154,123 · program services $112,772 · management and general $41,351

  • 17 · Travel

    total $9,445 · program services $6,911 · management and general $2,534

  • 20 · Interest

    total $105,547 · program services $77,229 · management and general $28,318

  • 22 · Depreciation, depletion and amortization

    total $474,881 · program services $347,470 · management and general $127,411

  • 23 · Insurance

    total $538,476 · program services $394,003 · management and general $144,473

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $914,511 · program services $914,511

  • 24b · Other expenses: REPAIRS & MAINTENANCE

    total $719,081 · program services $526,151 · management and general $192,930

  • 24c · Other expenses: MEDICAID PROVIDER TAX

    total $265,224 · program services $265,224

  • 24d · Other expenses: 340B EXPENSE

    total $221,874 · program services $221,874

  • 24e · All other expenses

    total $170,789 · program services $107,611 · management and general $63,178

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $12,600 · end of year $23,744

  • 2 · Savings and temporary cash investments

    beginning of year $201,315 · end of year $204,396

  • 4 · Accounts receivable

    beginning of year $2,565,997 · end of year $3,396,436

  • 8 · Inventories for sale or use

    beginning of year $258,388 · end of year $237,145

  • 9 · Prepaid expenses and deferred charges

    beginning of year $285,409 · end of year $85,703

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

    $21,841,321

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

    $19,040,157

  • 10c · Land, buildings and equipment, net

    beginning of year $2,897,232 · end of year $2,801,164

  • 12 · Investments: other securities

    beginning of year $1,020,017 · end of year $1,040,788

  • 15 · Other assets

    beginning of year $634,734 · end of year $661,915

  • 17 · Accounts payable and accrued expenses

    beginning of year $4,498,038 · end of year $5,559,298

  • 19 · Deferred revenue

    beginning of year $2,457,649

  • 25 · Other liabilities

    beginning of year $4,041,430 · end of year $4,411,091

  • 27 · Net assets without donor restrictions

    beginning of year -$3,121,425 · end of year -$1,519,098

Mission and programs · 2023

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 5,849 EMERGENCY ROOM VISITS, 715 ACUTE HOSPITAL DAYS, 0 LONG-TERM CARE DAYS, 424 SWING-BED DAYS, AND 194 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 $73,820. ADDITIONALLY, THE HOSPITAL'S RURAL HEALTH CLINIC RECORDED 10,460 VISITS FOR THE YEAR.

    Expenses $12,752,059 · Grants $700 · Revenue $16,110,634

  • 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.

As filed on the 2023 return.

Listed in Part VII

  • Thomas Stevens Do

    PHYSICIAN

    Total calculated
    $423,475
    From this org
    $423,475
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $342,622
    Bonus
    $79,103
    Other
    $1,750
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $423,475
  • Andrew Berardinelli MD

    PHYSICIAN

    Total calculated
    $407,733
    From this org
    $402,752
    From related orgs
    $0
    Other
    $4,981
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $343,833
    Bonus
    $57,169
    Other
    $1,750
    Deferred
    $0
    Nontaxable benefits
    $4,981
    Filer's total
    $407,733
  • Joseph Duvert MD

    PHYSICIAN

    Total calculated
    $402,458
    From this org
    $400,602
    From related orgs
    $0
    Other
    $1,856
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $400,602
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $1,856
    Filer's total
    $402,458
  • David Bender MD

    EXECUTIVE CREDENTIALS CHAI

    Total calculated
    $350,700
    From this org
    $344,894
    From related orgs
    $0
    Other
    $5,806
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $289,943
    Bonus
    $54,951
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $5,806
    Filer's total
    $350,700
  • Thomas Wilshire Do

    PHYSICIAN

    Total calculated
    $320,568
    From this org
    $315,587
    From related orgs
    $0
    Other
    $4,981
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $315,587
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $4,981
    Filer's total
    $320,568
  • Melissa Lockwood

    CAO PRESTON MEMORIAL HOSPI

    Total calculated
    $0
    Hours/week
    16
  • Kevin Gessler

    CFO PRESTON MEMORIAL HOSPITAL

    Total calculated
    $0
    Hours/week
    16
  • John L Bord

    PRESIDENT

    Total calculated
    $0
    Hours/week
    2
  • Robert Weaver

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    2
  • Nancy Fowler

    FINANCE CHAIR

    Total calculated
    $0
    Hours/week
    2
  • Wayne McDevitt

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2
  • Larry Richman

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2
  • Jenny Weaver

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2
  • John 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 AND KEVIN GESSLER IS THE CONTRACTED CFO. COMPENSATION INFORMATION WAS NOT AVAILABLE.

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
2023
Filed
14 May 2025
IRS schema version
2023v6.0
Source object
202501359349310955

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

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