2023-11-15T09:44:14-06:00 2022-12-31 390859910 BAKER TILLY US LLP 101 WASHINGTON STREET EAST CHARLESTON WV 25301 990 2022-01-01 550623339 MONTGOMERY GENERAL ELDERLY CARE CENTER INC MONT 3044425151 401 SIXTH AVENUE MONTGOMERY WV 25136 SHERRI MURRAY CFO 3044421246 2023-11-13 1 SHERRI MURRAY 999009999 0 DOLORES ROSE P01286262 3043460441 2023-11-06 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z URSULA PERRY 401 SIXTH AVENUE MONTGOMERY WV 25136 5858416 0 X WWW.MGHWV.COM X 1982 WV TO ESTABLISH, OPERATE AND SUPPORT HEALTH CARE SERVICES IN FAYETTE COUNTY, WV AND SURROUNDING AREAS, INCLUDING BUT NOT LIMITED TO EXTENDED CARE SERVICES. 11 10 123 40 0 0 1275 1646 5890287 5821808 8771 30477 587722 4485 6488055 5858416 0 0 0 0 2985518 3411443 0 0 0 2084150 2238204 5069668 5649647 1418387 208769 6394578 6870749 440428 402406 5954150 6468343 TO PROVIDE QUALITY, COST-EFFECTIVE, AND CONVENIENT HEALTHCARE SERVICES THAT MEET AND EXCEED REASONABLE INTERNAL AND EXTERNAL CUSTOMER EXPECTATIONS. 0 0 4401330 5826293 THE CENTER PROVIDED 20,746 DAYS OF INPATIENT CARE. 4401330 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 12 0 123 1 0 0 0 0 0 0 0 0 0 0 X 11 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WV X SHERRI MURRAY 3044425151 401 SIXTH AVENUE MONTGOMERY WV 25136 GHASSAN DAGHER MD CHAIR 0.50 1.50 X X 0 2600 0 BARBARA CRIST VICE CHAIR 0.50 1.50 X X 0 2400 0 JOYCE BROWN SECRETARY 0.50 1.50 X X 0 2100 0 RALEIGH COLLINS TRUSTEE 0.50 1.50 X 0 1800 0 RITA BOHANNA TRUSTEE 0.50 1.50 X 0 900 0 DONALD SMITH TRUSTEE 0.50 1.50 X 0 2600 0 PATSY TUCKER TRUSTEE 0.50 1.50 X 0 2100 0 DEANNA VALENTINE TRUSTEE 0.50 1.50 X 0 2400 0 DEBORAH HILL CEO 0.50 39.50 X X 0 30778 305 LOU ANN BOWEN TRUSTEE 0.50 1.50 X 0 2000 0 DUSTIN SMITH TRUSTEE 0.50 1.50 X 0 1200 0 SHERRI MURRAY CFO 0.50 39.50 X 0 138267 317 URSULA PERRY ADMINISTRATOR 40.00 X 98326 0 0 98326 189145 622 0 0 0 0 ADVANTAGE REHAB LLC 109 EAST RIDGE ROAD CHARLESTON WV 25314 THERAPY SERVICES 521100 1 1646 1646 PATIENT SERVICES 623000 5821808 5821808 5821808 30477 30477 OTHER MISCELLANEOUS 900099 4485 4485 4485 5858416 5826293 0 30477 X 98326 73843 24483 2671765 2006510 665255 42953 32258 10695 394261 296092 98169 204138 153309 50829 101758 101758 49800 49800 603699 577878 25821 936 703 233 344363 258618 85745 56252 42246 14006 172753 129738 43015 3805 2858 947 73483 55186 18297 142556 107060 35496 HEALTH CARE PROVIDER TA 316806 316806 MEDICAL SUPPLIES 276535 276535 MAINTENANCE & REPAIRS 57716 43345 14371 MINOR EQUIPMENT 18985 14258 4727 18757 14087 4670 5649647 4401330 1248317 0 7093 7093 5223057 5808005 717299 612546 12031 14580 3327076 2938044 402709 389032 32389 39493 6394578 6870749 333895 295974 106533 106432 440428 402406 X 5954150 6468343 5954150 6468343 6394578 6870749 X 208769 305424 X 0 1 X 1 0 X 5252 3742 57094 1275 1646 69009 5483718 5599181 5381143 5890287 5821808 28176137 5488970 5602923 5438237 5891562 5823454 28245146 0 0 0 28245146 180 32543 18624 8771 30477 90595 180 32543 18624 8771 30477 90595 7185 8630 417706 587722 4485 1025728 5496335 5644096 5874567 6488055 5858416 29361469 0.96200 0.96220 0.00310 0.00210 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: CAFETERIA - 2018 AMOUNT: $ 3,863. 2020 AMOUNT: $ 3,912. MISCELLANEOUS - 2018 AMOUNT: $ 3,322. 2019 AMOUNT: $ 8,630. 2020 AMOUNT: $ 206,938. 2021 AMOUNT: $ 587,722. 2022 AMOUNT: $ 4,485. LOSS ON DISPOSAL - PROVIDER RELIEF FUNDS - 2020 AMOUNT: $ 206,856. 117666 117666 1396063 1305558 90505 1813347 1632486 180861 389032 DUE TO RELATED PARTIES 66939 PATIENT TRUST FUNDS 39493 106432 X PART X, LINE 2: THE HEALTH SYSTEM AND ITS SUBSIDIARIES ARE NONPROFIT ORGANIZATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND HAVE BEEN RECOGNIZED AS TAX EXEMPT UNDER SECTION 501(A) OF THE CODE AND SIMILAR STATE STATUTES RELATING TO NOT-FOR-PROFIT ORGANIZATIONS. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE ORGANIZATION TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY OR ASSET IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICES (IRS). THE ORGANIZATION HAS CONCLUDED THAT AS OF DECEMBER 31, 2022 AND 2021, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR ASSET OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. FORM 990, PART VI, SECTION B, LINE 11B UPON COMPLETION, THE FORM 990 IS REVIEWED BY THE CFO AND CEO. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY WE PROVIDE THE BOARD MEMBERS WITH THE CONFLICT OF INTEREST POLICY AND QUESTIONNAIRE. ONCE THESE ARE COMPLETED THEY ARE RETURNED TO ADMINISTRATION AND REVIEWED BY OUR IN HOUSE COUNSEL. FORM 990, PART VI, SECTION B, LINE 15 THE CFO USES COMPARABLE DATA TO DETERMINE ANY COMPENSATION AMOUNTS FOR THE ORGANIZATION'S OFFICERS. THE COMPENSATION IS THEN PRESENTED TO THE BOARD FOR APPROVAL. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE UPON REQUEST. THE FINANCIAL STATEMENTS ARE POSTED ANNUALLY IN THE LOCAL NEWSPAPER. FORM 990, PART IX, LINE 11G THERAPY PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 499,999. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 499,999. ADMINISTRATIVE SERVICES: PROGRAM SERVICE EXPENSES 36,346. MANAGEMENT AND GENERAL EXPENSES 12,050. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 48,396. MEDICAL PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 22,207. MANAGEMENT AND GENERAL EXPENSES 7,363. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 29,570. NURSING PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 8,503. MANAGEMENT AND GENERAL EXPENSES 2,819. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,322. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 10,823. MANAGEMENT AND GENERAL EXPENSES 3,589. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,412. FORM 990, PART XI, LINE 9: TRANSFERS TO RELATED PARTIES - NET 305,424. MONTGOMERY GENERAL HOSPITAL 401 SIXTH AVE MONTGOMERY WV 25136 550372580 HOSPITAL WV 501(C)(3) LINE 3 MONTGOMERY GENERAL HEALTH CARE SYSTEM 0 LAIRD FOUNDATION 401 SIXTH AVE MONTGOMERY WV 25136 550632743 TO SUPPORT OTHER ORGANIZATIONS WV 501(C)(3) LINE 7 MONTGOMERY GENERAL HEALTH CARE SYSTEM 0 MONTGOMERY MEDCORP 401 SIXTH AVE MONTGOMERY WV 25136 550767169 MEDICAL CARE WV 501(C)(3) LINE 11 MONTGOMERY GENERAL HEALTH CARE SYSTEM 0 MONTGOMERY GENERAL HEALTHCARE SYSTEM 401 SIXTH AVE MONTGOMERY WV 25136 550632601 SUPPORTING ORGANIZATION WV 501(C)(3) LINE 12C, III-FI N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1