2024-03-20T11:03:28-05:00 2023-06-30 390859910 Baker Tilly US LLP 101 Washington Street East Charleston WV 25301 990 2022-07-01 550694209 Princeton Community Hospital Foundation Inc PRIN 3044877000 PO Box 1369 Princeton WV 247401369 Diane Spencer VP of Finance 3044877000 2024-03-13 1 Diane Spencer 999009999 1 Dolores Rose P01286262 3043460441 2024-03-12 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z Gopal Pardasani PO Box 1369 Princeton WV 247401369 2474578 0 X https://wvumedicine.org/princeton/foundation/ X 1989 WV Princeton Community Hospital Foundation, Inc. is a non-profit, tax-exempt organization that provides support to Princeton Community Hospital in its mission of providing quality, cost effective health and wellness services to our community. 10 10 101 10 0 0 162532 140840 1403976 1473749 113278 70286 47368 27611 1727154 1712486 208272 128426 0 0 838777 883693 0 0 43392 620271 742766 1667320 1754885 59834 -42399 6114580 8082967 1150104 1108944 4964476 6974023 X Princeton Community Hospital Foundation, Inc. is a non-profit, tax-exempt organization that depends on the generosity of individuals, families, organizations, and grant funds to support Princeton Community Hospital in its mission of providing high quality, cost effective health and wellness services to its community. 0 0 1366103 1473749 The Foundation operated a community health and fitness center to facilitate preventative health care and promote healthy life styles within the community. During Fiscal Year 2023, the fitness center served an estimated 2,881 members, providing income adjusted fees to allow affordable memberships to the community. In addition, the fitness center offered an after school program which provided services to 73 community children in a structured, health and fitness oriented environment and provided services for 17 participants in West Virginia PEIA health lifestyles program. 98426 98426 The Foundation provided support in FY 2023 for patients at Princeton Community Hospital. Patients were assisted by $8,568 from the Hospitality House program, and $14,521 from the Cancer Care Fund and $192 from the Hearts of PCH. These funds provided patients who qualified with prescriptions upon their discharge, cab fair, gasoline, and lodging, if needed. In addition, patients were provided $73,720 in financial assistance for their hospital care through the Neighborhood Investment Program. 30000 30000 The Foundation's Muldoon Scholarship Fund provided 20 students pursuing careers in healthcare with sholarships in 2023. 1494529 1 1 0 0 0 0 0 1 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 4 0 101 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Diane Spencer VP of Finance 3044877000 122 Twelfth St Princeton WV 24740 Gopal M Pardasani MD Chairman 1.00 X X 0 0 0 Kevin Cole Treasurer 1.00 X X 0 0 0 Marie Blackwell Trustee 1.00 X 0 0 0 Martha Sabol Trustee 1.00 X 0 0 0 Ed Gilger Trustee 1.00 X 0 0 0 Rusty Sarver Trustee 1.00 X 0 0 0 Tom Giffen Trustee 1.00 X 0 0 0 Craig Hammond Trustee 1.00 X 0 0 0 Rosemary Mitchell Trustee 1.00 X 0 0 0 Ralph Modena Trustee 1.00 X 0 0 0 Chris Worley Fitness Center Director 40.00 X 63110 0 2098 Diane Spencer VP of Finance 10.00 30.00 X 0 206500 34439 63110 206500 36537 0 0 1 0 0 13442 127398 140840 Health & fitness cente 812900 1473749 1473749 1473749 73163 73163 730599 733476 -2877 -2877 -2877 45508 13442 23838 21670 21670 10719 4778 5941 5941 1712486 1473749 0 97897 75145 75145 53281 53281 66072 66072 663200 566006 72397 24797 5533 4722 604 207 81963 69951 8947 3065 66925 57117 7306 2502 4500 4500 9921 9921 46351 46351 40866 40866 170217 144685 21277 4255 229097 195522 25009 8566 1681 1681 -750 -750 194513 194513 38971 38971 Other taxes & licenses 4296 4296 Miscellaneous 3103 3103 1754885 1494529 216964 43392 806876 783571 10000 7558 7921 54191 20571 4528582 106377 2601244 4422205 2644711 2838699 6114580 8082967 83334 19650 1066770 1089294 1150104 1108944 X 2319765 4329312 2644711 2644711 4964476 6974023 6114580 8082967 X -42399 160640 1891306 X 0 0 0 X X 1 Princeton Community Hospital Association Inc 550483245 3 1 75145 0 1 75145 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 0 3049938 176098 230926 153120 9921 3293921 3363233 221963 -313705 210552 11001 3049938 2339918 656828 572296 150000 45116 10693 3363233 2398494 169019 59596 230315 46867 10009 2339918 2073748 210256 117522 -58959 52282 9709 2398494 0.13000 0.87000 0 0 330000 330000 4102665 98692 4003973 83182 7685 75497 12735 12735 4422205 Due to related party 1089294 1089294 Part III, Line 4: The artwork is currently on display, which improves the mental health of those who observe it. Part V, Line 4: The organization's endowment funds are used in support of Princeton Community Hospital for cancer care, continuing education for the Hospital's clinical staff, supplemental charity care, capital equipment, maintenance, repairs and renovations of the fitness center, nursing scholarships, hospitality house, needy patients and their families, travel, lodging, medications and medical equipment, funds held for which the golf committee designates how to use for the Hospital, and funds held for which the lights of love committee designates how to use for the benefit of the Hospital. Golf Benefit 58950 13442 45508 9323 13442 1073 58950 13442 45508 9323 13442 1073 23838 21670 1 Princeton Community Hospital Association Inc PO Box 1369 Princeton WV 24740 550483245 Governmental Unit 75145 0 The Foundation provided support in FY 2023 for cancer patients, provided patients transportation assistance and lodging, along with assistance toward renovations of the PCH Laboratory, Nursery and Pedicatric Units, and continuing education for PCH Womens Center employees. 0 1 Scholarships for students in the health related/medical field. 20 30000 Provided lodging for patients receiving treatment. 8568 Provided patients who qualified with prescription medication upon discharge, cab fare, gasoline and lodging if needed. 14521 X X X 0 0 0 0 0 0 0 1 0 Diane Spencer VP of Finance 0 186999 0 19501 0 0 0 6519 0 27920 0 240939 0 0 Part I, Line 7 The CEO and Fitness Center Director have goals each year to meet. Each goal is assigned a point value. Incentive compensation is based on each individual's percentage of goals achieved or met for the year. Form 990, Part VI, Section B, line 11b A line by line review is completed to validate the amounts on Form 990, and is then reconciled to the organization's financials. All the questions/statements and the program service accomplishments are then reviewed for accuracy. Finally, the organization's balance sheet is reconciled to the Form 990 balance sheet. A copy of the 990 is distributed to each board member before being filed. Form 990, Part VI, Section B, line 12c Any Trustee, Officer, Employee or Committee Member having an interest in a contract or other transaction presented to the Board of Trustees or a committee thereof for authorization, approval or ratification shall make a prompt, full and frank disclosure of his or her interest to the Board or committee prior to its acting on such contract or transaction. Unless the person excuses him or herself from voting, the body to which such disclosure is made shall thereupon determine, by majority vote, whether the disclosure shows that a conflict of interest exists or can reasonably be construed to exist. If a conflict is deemed to exist, such person shall not vote on, nor use personal influences on, nor participate (other than to respond to questions) in the discussions or deliberations with respect to, such contract or transaction. Such person may be counted in determining the existence of a quorum at any meeting where the contract or transaction is under discussion or is being voted upon. The minutes of the meeting shall reflect the disclosure made, the vote thereon and, where applicable, the abstention from voting and participation, and whether a quorum was present. For the purpose of the Section, a person shall be deemed to have an interest in a contract or other transaction if he or she or a member of his or her immediate family or business partner or associate is the party (or one of the parties) contracting or dealing with the Corporation, or if he or she or a member of his or her immediate family is a Trustee or Officer of, or has significant financial or other personal benefit if the contract or transaction is approved or disapproved. The Board may approve and require a periodic disclosure form to be completed by such individuals as the Board may designate. Form 990, Part VI, Section B, line 15 The organization uses a third party consulting firm to assign pay ranges for all positions. The consulting firm does a market study based on each job description to assign a pay grade. The grade has a low, mid-point and high range. The candidates' education and experience is then considered in assigning the rate of pay within the pay grade's range. Form 990, Part VI, Section C, line 19 All governing documents, policies and financial information are made available to the public upon request, and can be transmitted (1) electronically, (2) by mail or (3) by visiting the Foundation office at 111 Morrison Drive, Princeton, WV. Form 990, Part XI, line 9: Revaluation of assets for merger 1,891,306. Princeton Community Hospital Association Inc PO Box 1369 Princeton WV 25740 550483245 Acute care hospital WV 501(c)(3) Line 3 West Virginia United Health Sytem Inc 0 West Virginia United Health System PO Box 8034 Morgantown WV 26506 550754713 Healthcare Access WV 501(c)(3) Line 12a, I N/A 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0