2024-11-13T22:44:35-06:00 2023-12-31 861065772 DELOITTE TAX LLP 111 MONUMENT CIRCLE SUITE 4200 INDIANAPOLIS IN 46204 990 2023-01-01 550621551 MONONGALIA HEALTH SYSTEM INC MONO 3045981242 1200 JD ANDERSON DRIVE MORGANTOWN WV 26505 JEFF SANDENE EXECUTIVE VP AND CFO 3045981242 2024-11-13 1 0 ANGELA M MOORE P00244342 3174648600 2023 2024-10-15 13:58:12Z DAVID S GOLDBERG 1200 JD ANDERSON DRIVE MORGANTOWN WV 26505 58770076 0 X WWW.MONHEALTH.COM X 1983 WV TO PROVIDE MANAGEMENT, PLANNING, DEVELOPMENT, COORDINATION, AND OTHER ACTIVITIES RELATED TO THE PROMOTION OF HEALTH CARE WITHIN THE SYSTEM'S SERVICE AREA. 14 10 210 12 77836 0 0 0 24249996 54301487 759386 561662 241221 2880159 25250603 57743308 0 0 0 0 13214653 24622286 0 0 0 13567463 33817563 26782116 58439849 -1531513 -696541 77838169 77802996 52620824 55439496 25217345 22363500 TO ENHANCE THE HEALTH OF THE COMMUNITIES WE SERVE, ONE PERSON AT A TIME. 0 0 40742619 54756706 MONONGALIA HEALTH SYSTEM, INC. IS A NOT-FOR-PROFIT ORGANIZATION INCORPORATED FOR THE PURPOSE OF PROVIDING MANAGEMENT, PLANNING, DEVELOPMENT, COORDINATION, AND OTHER ACTIVITIES RELATED TO THE PROMOTION OF HEALTH CARE WITHIN THE SYSTEM'S SERVICE AREA. 40742619 1 0 0 0 0 0 0 0 0 0 1 0 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 61 0 210 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 14 10 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 WV X KEVIN GESSLER 3043294700 1200 JD ANDERSON DRIVE MORGANTOWN WV 26505 DAVID L RAMSEY DIRECTOR & VANDALIA CEO 1.00 64.00 X 0 1993785 166947 DAVID GOLDBERG DIRECTOR & MHS CEO 40.00 11.00 X X 853663 0 36373 ED BOYLE CHAIR 1.00 3.50 X X 0 0 0 JOHN LAW CPA SECRETARY, TREASURER 1.00 2.00 X X 0 0 0 KATHY MCNEILL VICE CHAIR 1.00 3.00 X X 0 0 0 BOBBIE CONKLIN DIRECTOR 1.00 1.00 X 0 0 0 GREGORY CUNNINGHAM DIRECTOR 1.00 2.00 X 0 0 0 MARK JOHNSON MD DIRECTOR 1.00 1.00 X 0 0 0 MIKE MORRIS DIRECTOR 1.00 1.00 X 0 0 0 NATALIE STONE DIRECTOR 1.00 2.00 X 0 0 0 RAY THOMPSON DIRECTOR 1.00 3.00 X 0 0 0 RODNEY BEAN DIRECTOR 1.00 1.00 X 0 0 0 RONALD G STOVASH DIRECTOR 1.00 5.00 X 0 0 0 TERRY SHAFFER DIRECTOR 1.00 1.00 X 0 0 0 JEFF SANDENE CFO 5.00 62.00 X 0 776511 254822 KRYSTAL ATKINSON CAO/CNO 50.00 1.00 X 376237 0 30376 KATHERINE DAVISON CHRO 50.00 0.00 X 349495 0 26500 MELISSA LOCKWOOD CAO/PRESTON 10.00 40.00 X 289328 0 52848 KEVIN STALNAKER CAO 1.00 50.00 X 279745 0 40833 RICK SCHERICH VICE PRESIDENT FINANCE 30.00 20.00 X 262848 0 36778 KAREN FRIGGENS VP PHYSICIAN SERVICES 50.00 0.00 X 239711 0 23023 KEVIN GESSLER VP OF FINANCE 10.00 40.00 X 248249 0 1153 JENNIFER NESTOR CNO/PRESTON 50.00 0.00 X 171103 0 19925 BRADFORD WARDEN PHYSICIAN 50.00 0.00 X 1128184 0 53393 EDWARD PHILLIPS CHIEF LEGAL OFFICER 50.00 0.00 X 414979 0 36904 MARY EDWARDS PHYSICIAN 50.00 0.00 X 404688 0 33595 MARK COMBS CIO 50.00 0.00 X 377577 0 5387 CLYDE SCHERICH VICE PRESIDENT FINANCE 1.00 0.00 X 262847 0 36778 CANDICE POWERS CRO 50.00 0.00 X 212718 0 8586 5871372 2770296 864221 23 1 1 0 CERNER CORPORATION INC PO BOX 959156 ST LOUIS MO 63195 IT SERVICES 6058148 USI INSURANCE SERVICES PO BOX 61007 VIRGINIA BEACH VA 23466 INSURANCE BROKER/CONSULTANT 2458593 HAMSTEAD WILLIAMS 315 HIGH ST MORGANTOWN WV 26508 LEGAL SERVICES 2150000 BAILEY GLASSER LLP 209 CAPITAL ST CHARLESTON WV 25301 LEGAL SERVICES 1527615 PREMIER HEALTHCARE SOLUTIONS 5882 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 IT SERVICES 1121297 61 MGMT FEE & RELATED INC 541610 54301487 54301487 54301487 561662 77836 483826 3451708 1026768 2424940 2424940 2424940 SETTLEMENT 900099 455219 455219 455219 57743308 54756706 77836 2908766 20507165 8829741 11677424 771760 332296 439464 1981501 1842749 138752 1361860 586374 775486 240513 240513 409575 409575 1736246 1190397 545849 1156937 9443 1147494 10184 3120 7064 35085 18034 17051 1429508 1421854 7654 152290 53943 98347 898194 898194 2759818 2759818 4418537 4418537 REPAIRS & MAINTENANCE 10782440 10775445 6995 MISCELLANEOUS 6620596 5729852 890744 SALES TAX 824916 824916 RECRUITING 682695 45314 637381 1660029 1002592 657437 58439849 40742619 17697230 0 148625 1548824 2989281 6830830 4169608 2707799 33629205 511431 35171921 33117774 16706483 4565040 27059772 18652251 1972957 77838169 77802996 6344130 5554964 738362 707541 30775856 28928890 14762476 20248101 52620824 55439496 X 25217345 22987728 -624228 25217345 22363500 77838169 77802996 X -696541 -1533076 -624228 X 0 1 X 1 0 X X 2 MONONGALIA COUNTY GENERAL HOSPITAL CO 237441353 3 1 0 0 MON ELDER SERVICES INC 311520863 10 1 0 0 2 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 SCHEDULE A, PART IV, SECTION D, LINE 3: MONONGALIA HEALTH SYSTEM IS THE CONTROLLING ORGANIZATION OF THE SUPPORTED ORGANIZATIONS LISTED IN PART I. THE HEALTH SYSTEM AND ITS SUPPORTED ORGANIZATIONS SHARE AN INVESTMENT POLICY. SCHEDULE A, PART IV, SECTION E, LINE 3A: MONONGALIA HEALTH SYSTEM IS THE CONTROLLING ORGANIZATION OF THE SUPPORTED ORGANIZATIONS LISTED IN PART I. THE HEALTH SYSTEM APPOINTS THE BOARD OF DIRECTORS FOR ITS SUPPORTED ORGANIZATIONS. SCHEDULE A, PART IV, SECTION E, LINE 3B: MONONGALIA HEALTH SYSTEM IS THE CONTROLLING ORGANIZATION OF THE SUPPORTED ORGANIZATIONS LISTED IN PART I. THE HEALTH SYSTEM HAS RESERVED POWERS THAT ALLOWS FOR A SUBSTANTIAL DEGREE OF DIRECTION OVER POLICIES, PROGRAMS, AND ACTIVITIES OF EACH OF ITS SUPPORTED ORGANIZATIONS. 230000 230000 29181503 39861 29141642 2468447 471570 1996877 1749255 1749255 33117774 EMS 2435517 C INTERMED LABS 750000 C MON HEALTH CARE, INC. 1301073 C MORGANTOWN ACCOMODATIONS LLC 1255554 C MORGANTOWN PHYSICAL THERAPY (HEALTHWORKS) 2659136 C MOUNTAIN STATE 250000 C MOUNTAINVIEW REHAB HOSPITAL (HEALTHSOUTH) 257696 C PREMIER, INC. 3138472 C RABBI TRUST 3093320 C DAVIS HEALTH -10575728 C 4565040 LIABILITY - RABBI TRUST 3093320 DUE TO AFFILIATES 15461751 OPERATING LEASE 1693030 20248101 X PART X, LINE 2: THE IRS HAS DETERMINED THAT THE SYSTEM ENTITIES ARE EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE CODE AND APPLICABLE STATE STATUTES, EXCEPT FOR MHC, FHE, CMC, AND HFI, WHICH ARE CORPORATIONS SUBJECT TO INCOME TAX. THE SYSTEM DOES NOT HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2023. X X X X 0 1 0 0 0 0 0 0 0 DAVID L RAMSEY DIRECTOR & VANDALIA CEO 0 1014266 0 770782 0 208737 0 119238 0 47709 0 2160732 0 369417 BRADFORD WARDEN PHYSICIAN 1016732 0 111452 0 0 0 52500 0 893 0 1181577 0 0 0 JEFF SANDENE CFO 0 589727 0 139678 0 47106 0 215991 0 38831 0 1031333 0 0 DAVID GOLDBERG DIRECTOR & MHS CEO 714488 0 139175 0 0 0 30000 0 6373 0 890036 0 0 0 EDWARD PHILLIPS CHIEF LEGAL OFFICER 315750 0 99229 0 0 0 30000 0 6904 0 451883 0 0 0 MARY EDWARDS PHYSICIAN 362407 0 42281 0 0 0 21786 0 11809 0 438283 0 0 0 KRYSTAL ATKINSON CAO/CNO 342455 0 33782 0 0 0 23972 0 6404 0 406613 0 0 0 MARK COMBS CIO 291128 0 86449 0 0 0 0 0 5387 0 382964 0 0 0 KATHERINE DAVISON CHRO 266471 0 83024 0 0 0 21318 0 5182 0 375995 0 0 0 MELISSA LOCKWOOD CAO/PRESTON 257560 0 31768 0 0 0 49500 0 3348 0 342176 0 0 0 KEVIN STALNAKER CAO 248249 0 31496 0 0 0 30000 0 10833 0 320578 0 0 0 RICK SCHERICH VICE PRESIDENT FINANCE 239656 0 23192 0 0 0 30000 0 6778 0 299626 0 0 0 CLYDE SCHERICH VICE PRESIDENT FINANCE 239655 0 23192 0 0 0 30000 0 6778 0 299625 0 0 0 KAREN FRIGGENS VP PHYSICIAN SERVICES 217442 0 22269 0 0 0 18433 0 4590 0 262734 0 0 0 KEVIN GESSLER VP OF FINANCE 227811 0 20438 0 0 0 0 0 1153 0 249402 0 0 0 CANDICE POWERS CRO 62721 0 19070 0 130927 0 6229 0 2357 0 221304 0 0 0 JENNIFER NESTOR CNO/PRESTON 165836 0 5267 0 0 0 19925 0 0 0 191028 0 0 0 PART I, LINE 4B 457(F) INELIGIBLE DEFERRED COMPENSATION PLAN - A 457 F PLAN IS OFFERED TO CERTAIN MANAGEMENT AND/OR HIGHLY COMPENSATED EMPLOYEES TO OFFER THOSE EMPLOYEES A DEFERRED COMPENSATION OPPORTUNITY. THE PLAN IS INTENDED TO BE A "TOP-HAT PLAN", OR UNFUNDED DEFERRED COMPENSATION PLAN MAINTAINED FOR A SELECT GROUP OF EMPLOYEES. PARTICIPANTS MAY BECOME VESTED IN AMOUNTS CREDITED ON JANUARY 1 ELECTED BY THE PARTICIPANT AT THE TIME THE INITIAL DEFERRAL WAS ELECTED. A PARTICIPANT SHALL BECOME FULLY VESTED UPON DEATH, DISABILITY, ATTAINMENT OF AGE 60, OR SEPARATION OF SERVICE, AS DEFINED BY THE PLAN. ANY UNVESTED CONTRIBUTIONS SHALL BE FORFEITED TO THE PLAN OR EMPLOYER. FOR 2023: PER BENEFITS - NO DISTRIBUTIONS / PAYMENTS WERE MADE FROM THE PLAN; DAVID GOLDBERG WAS THE ONLY PARTICIPANT FORM 990, PART VI, SECTION B, LINE 11B THE GOVERNING BODY IS PROVIDED A COPY OF THE FORM 990 FOR THEIR REVIEW PRIOR TO SUBMISSION. THE MEMBERS ARE ASKED TO INFORM MANAGEMENT OF ANY QUESTIONS OR REVISIONS THEY MAY HAVE. IF CHANGES ARE MADE, BASED ON MEMBER'S REVISIONS, MANAGEMENT REDISTRIBUTES A FINAL VERSION TO ALL MEMBERS. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, A CONFLICT OF INTEREST QUESTIONNAIRE IS SENT OUT TO ALL BOARD MEMBERS. THE BOARD REVIEWS ALL RESPONSES FOR POSSIBLE CONFLICTS OF INTEREST AND DETERMINES WHAT TYPES OF DECISIONS THAT A MEMBER IS PROHIBITED FROM PARTICIPATING. FORM 990, PART VI, SECTION B, LINE 15 ANNUALLY, A CONSULTANT COMPILES A MARKET DATA REPORT ON CEO COMPENSATION; THIS REPORT IS THEN REVIEWED BY THE EXECUTIVE COMMITTEE TO DETERMINE COMPENSATION FOR THE INDIVIDUAL. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST. FINANCIAL STATEMENTS ARE MADE AVAILABLE THROUGH PUBLIC DISCLOSURE WITH THE WV HEALTH CARE AUTHORITY. FORM 990, PART XI, LINE 9: CHANGE IN NET ASSETS FROM MON HEALTH CARE, INC. -1,257,272. TRNA FROM MEMBER SUBSTITUTION 633,044. 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