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← FOUNDATION OF MONONGALIA GENERAL HOSPITAL INC

Form 990 for tax year 2022

Filed by FOUNDATION OF MONONGALIA GENERAL HOSPITAL INC.

Totals

Total revenue
$1,330,274
Total expenses
$535,691
Contributions and grants received
$1,385,042
Grants paid
$335,570
Program service revenue
$0
Investment income
-$18,384
Other revenue
-$36,384
Total assets, end of year
$9,760,051
Total liabilities, end of year
$181,101
Net assets or fund balances, end of year
$9,578,950
Program services expenses (Part IX)
$335,570
Management and general expenses
$190,375
Fundraising expenses
$9,746
Program service expenses (Part III)
$335,570

Program services were 62.6% 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

    $115,732

  • 1f · All other contributions, gifts and grants

    $1,269,310

  • 3 · Investment income

    total $145,158 · excluded $145,158

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

    securities $163,542

  • 7c · Gain or loss

    securities -$163,542

  • 7d · Net gain or loss

    total -$163,542 · excluded -$163,542

  • 8a · Fundraising events: gross income

    $57,500

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

    $115,732

  • 8b · Fundraising events: direct expenses

    $93,884

  • 8c · Net income from fundraising events

    total -$36,384 · excluded -$36,384

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $298,070 · program services $298,070

  • 2 · Grants to domestic individuals

    total $37,500 · program services $37,500

  • 11f · Fees: investment management

    total $23,836 · management and general $23,836

  • 11g · Fees: other

    total $130,171 · management and general $130,171

  • 12 · Advertising and promotion

    total $859 · fundraising $859

  • 13 · Office expenses

    total $603 · management and general $603

  • 16 · Occupancy

    total $20 · management and general $20

  • 17 · Travel

    total $686 · management and general $686

  • 22 · Depreciation, depletion and amortization

    total $841 · management and general $841

  • 24a · Other expenses: MISCELLANEOUS EXPENSE

    total $29,906 · management and general $29,906

  • 24b · Other expenses: FUNDRAISING EXPENSE

    total $8,887 · fundraising $8,887

  • 24c · Other expenses: BAD DEBT EXPENSE

    total $4,312 · management and general $4,312

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $582,608 · end of year $845,983

  • 2 · Savings and temporary cash investments

    end of year $197,944

  • 3 · Pledges and grants receivable

    beginning of year $282,362 · end of year $196,105

  • 9 · Prepaid expenses and deferred charges

    beginning of year $18,488 · end of year $43,309

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

    $0

  • 10c · Land, buildings and equipment, net

    beginning of year $149,839

  • 11 · Investments: publicly traded securities

    beginning of year $6,803,722 · end of year $6,851,038

  • 12 · Investments: other securities

    beginning of year $222,459 · end of year $549,945

  • 15 · Other assets

    beginning of year $951,529 · end of year $1,075,727

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,540 · end of year $3,430

  • 19 · Deferred revenue

    beginning of year $45,750 · end of year $0

  • 25 · Other liabilities

    beginning of year $115,299 · end of year $177,671

  • 27 · Net assets without donor restrictions

    beginning of year $2,517,755 · end of year $3,248,287

  • 28 · Net assets with donor restrictions

    beginning of year $6,330,663 · end of year $6,330,663

Mission and programs · 2022

Mission

THE FOUNDATION RAISES FUNDS FOR MONONGALIA COUNTY GENERAL HOSPITAL AND ITS AFFILIATED ENTITIES.

  • THE FOUNDATION RAISES FUNDS FOR MONONGALIA COUNTY GENERAL HOSPITAL AND ITS AFFILIATED ENTITIES. THESE FUNDS HELP TO IMPROVE FACILITIES, PROVIDE EQUIPMENT AND PROGRAMS AND SUPPORT OUR COMMUNITY HEALTH CAREER SCHOLARSHIPS.

    Expenses $335,570 · Grants $335,570

As filed on the 2022 return.

Listed in Part VII

  • DAVID GOLDBERG

    PRESIDENT/CEO

    Total calculated
    $1,042,509
    From this org
    $0
    From related orgs
    $911,058
    Other
    $131,451
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $576,356 related
    Bonus
    $0 + $237,960 related
    Other
    $0 + $96,742 related
    Deferred
    $0 + $128,124 related
    Nontaxable benefits
    $0 + $3,327 related
    Filer's total
    $0 + $1,042,509 related

  • JOSHUA S ROGERS

    SECRETARY/TREASURER

    Total calculated
    $0
    Hours/week
    1

  • RANDY BUZZO

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • STEPHANIE STOVASH

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • CHAD CALLEN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • CHRISTIAN MILLER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • DAVID RAESE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • FREDERICK GABRIELE MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • JASON MINSKER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • KEN JUSKOWICH

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • MARY JO THOMAS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • MELISSA WATKINS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • NICK FANTASIA

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • NIKKI BOWNMAN MILLS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • PATRICIA WATSON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • PATRICK ESPOSITO II

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • ROBERT E LYNCH

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • ROYCE KELLER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • RYAN ADRIAN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • STEPHEN LACAGNIN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • JEFF CRUDELE

    INTERIM CFO

    Total calculated
    $480,000
    From this org
    $0
    From related orgs
    $480,000
    Other
    $0
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $480,000 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $480,000 related

  • LISA SIMON CPA

    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

  • LUELLA GUNTER

    EXECUTIVE DIRECTOR

    Total calculated
    $201,260
    From this org
    $0
    From related orgs
    $181,444
    Other
    $19,816
    Hours/week
    20 + 21 related

    Schedule J breakdown matched by us

    Base
    $0 + $169,804 related
    Bonus
    $0 + $11,640 related
    Other
    $0
    Deferred
    $0 + $13,170 related
    Nontaxable benefits
    $0 + $6,646 related
    Filer's total
    $0 + $201,260 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, LINE 3
THE CEO'S COMPENSATION IS PAID BY MONONGALIA HEALTH SYSTEM. MONONGALIA HEALTH SYSTEM USES THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE CEO: -COMPENSATION COMMITTEE; -INDEPENDENT COMPENSATION CONSULTANT; -COMPENSATION SURVEY OR STUDY; -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
PART I, LINES 4A-B
LISA SIMON RECEIVED A SEVERANCE PAYMENT IN 2022 OF $338,707. THE FOLLOWING INDIVIDUALS PARTICIPATED IN 457(F) PLAN: DAVID GOLDBERG AND 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

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.

Related corporations and trusts

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

Provenance

Return type
form_990
Tax year
2022
Filed
14 November 2023
IRS schema version
2022v5.0
Source object
202343199349319544

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