2025-11-17T19:04:21-06:00 2024-12-31 861065772 DELOITTE TAX LLP 111 MONUMENT CIRCLE SUITE 4200 INDIANAPOLIS IN 46204 990 2024-01-01 550621551 MONONGALIA HEALTH SYSTEM INC MONO 3045981242 1200 JD ANDERSON DRIVE MORGANTOWN WV 26505 JEFF SANDENE EXECUTIVE VP AND CFO 3045981242 2025-11-17 1 1 ANGELA M MOORE P00244342 3174648600 2024 2025-03-06 01:10:19Z DAVID S GOLDBERG 1200 JD ANDERSON DRIVE MORGANTOWN WV 26505 58658008 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. 15 12 203 12 56579 8529 0 0 54301487 58234045 561662 421820 2880159 0 57743308 58655865 0 218699 0 0 24622286 33537964 0 0 0 33817563 30785795 58439849 64542458 -696541 -5886593 77802996 112468301 55439496 125547640 22363500 -13079339 TO ENHANCE THE HEALTH OF THE COMMUNITIES WE SERVE, ONE PERSON AT A TIME. 0 0 34152836 218699 58234045 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. 34152836 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 1 1 0 0 0 0 0 1 1 0 0 0 1 70 0 1 203 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 12 1 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 66.00 X 0 1926954 131607 DAVID GOLDBERG DIRECTOR & MHS CEO 40.00 18.00 X X 463686 532898 51139 ED BOYLE CHAIRMAN 1.00 3.50 X X 0 0 0 JOHN LAW CPA SECRETARY/TREASURER 1.00 3.00 X X 0 0 0 KATHY MCNEILL VICE CHAIR 1.00 5.50 X X 0 0 0 GREGORY CUNNINGHAM DIRECTOR 1.00 2.00 X 0 0 0 HUGH HITCHCOCK DIRECTOR 1.00 4.00 X 0 0 0 JOHN KABLER DIRECTOR 1.00 2.00 X 0 0 0 MARK JOHNSON MD DIRECTOR (END 05/24) 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 SUSAN CAPELLE MD DIRECTOR 1.00 1.00 X 0 0 0 WILLIAM HARTMAN DIRECTOR 1.00 2.00 X 0 0 0 JEFF SANDENE CFO 5.00 62.00 X 0 960798 250403 KRYSTAL ATKINSON CAO/CNO 50.00 1.00 X 183623 266591 58305 KATHERINE DAVISON CHRO 50.00 0.00 X 137787 195952 37387 KEVIN STALNAKER CAO 1.00 51.00 X 126828 170327 53177 MELISSA LOCKWOOD CAO/PRESTON 10.00 40.00 X 127892 181277 26627 RICK SCHERICH VP FINANCE 30.00 20.00 X 108543 170590 50854 KEVIN GESSLER VP FINANCE 10.00 40.00 X 123519 168361 21515 KAREN FRIGGENS FORMER OFFICER (END 12/23) 0.00 50.00 X 112817 163859 32795 JENNIFER NESTOR FORMER OFFICER (END 12/23) 10.00 30.00 X 55164 120992 10779 1439859 4858599 724588 7 1 1 0 RPI CONSULTANTS LLC 1 N HAVEN STREET BALTIMORE MD 21224 CONSULTING SERVICES 1235495 CAMC LABWORKS PO BOX 45728 BALTIMORE MD 212975728 LAB SERVICES 789157 STEPTOE & JOHNSON 707 VIRGINIA ST E CHARLESTON WV 25301 LEGAL SERVICES 675496 MOUNTAINSTATE ORTHOPEDIC ASSOCIATES INC 200 ORTHOPEDIC WAY MORGANTOWN WV 26505 ORTHOPEDIC SERVICES 366000 WV NEWS PO BOX 2000 CLARKSBURG WV 263022000 MEDIA SERVICES 178095 10 MGMT FEE & RELATED INC 541610 54490865 54490865 RENTAL (NON RSDNTL) 531120 3743180 3743180 58234045 423256 56579 366677 707 2143 -1436 -1436 -1436 58655865 58234045 56579 365241 218699 218699 1271878 488676 783202 28987 11137 17850 18628495 7157374 11471121 509930 219270 290660 11434377 4258604 7175773 1664297 715648 948649 334 334 675496 675496 35202 35202 1514578 985840 528738 1208255 1208255 4153241 3322593 830648 6164 4931 1233 4163934 3292800 871134 167761 135901 31860 53946 43157 10789 834449 834449 3223131 2578505 644626 812202 812202 REPAIRS & MAINTENANCE 10540203 8432162 2108041 SETTLEMENT 2200000 2200000 RECRUITMENT EXPENSE 558495 57685 500810 SALES TAX 377121 377121 261283 209397 51886 64542458 34152836 30389622 0 1548824 10127451 0 772470 6830830 0 2707799 1310690 47232561 16497888 33117774 30734673 2975653 4565040 -38017936 27059772 39164308 1972957 65400992 77802996 112468301 5554964 2748427 707541 591505 28928890 28166117 20248101 94041591 55439496 125547640 X 22987728 -14350545 -624228 1271206 22363500 -13079339 77802996 112468301 X -5886593 1067186 -30623432 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 41393090 15083812 26309278 4039111 1214825 2824286 1570360 199251 1371109 30734673 RETIREMENT FUNDS 2865819 AFFILIATE RECEIVABLES - VANDALIA HEALTH SUBSIDIARIES' 62535173 65400992 AFFILIATE PAYABLE - VANDALIA HEALTH SUBSIDIARIES' 91175772 RETIREMENT FUND LIABILITIES 2865819 94041591 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, 2024. 1 SCHOLARSHIPS 34 218699 X X X X 0 1 0 0 0 0 0 1 0 DAVID L RAMSEY DIRECTOR & VANDALIA CEO 0 1051150 0 619074 0 256730 0 79545 0 52062 0 2058561 0 106038 JEFF SANDENE CFO 0 621095 0 217144 0 122559 0 240058 0 10345 0 1211201 0 57462 DAVID GOLDBERG DIRECTOR & MHS CEO 218957 517871 241048 0 3681 15027 8953 4847 11526 25813 484165 563558 0 0 KRYSTAL ATKINSON CAO/CNO 182804 265073 0 0 819 1518 4373 9426 13690 30816 201686 306833 0 0 KATHERINE DAVISON CHRO 80717 195599 56880 0 190 353 3294 7977 8430 17686 149511 221615 0 0 KEVIN STALNAKER CAO 73401 169516 52990 0 437 811 3069 9140 12966 28002 142863 207469 0 0 MELISSA LOCKWOOD CAO/PRESTON 78563 179759 48510 0 819 1518 5125 7284 4739 9479 137756 198040 0 0 RICK SCHERICH VP FINANCE 72013 169796 36110 0 420 794 4407 6978 11853 27616 124803 205184 0 0 KEVIN GESSLER VP FINANCE 72797 167193 50560 0 162 1168 2928 6437 3700 8450 130147 183248 0 0 KAREN FRIGGENS FORMER OFFICER (END 12/23) 66026 162281 46414 0 377 1578 2688 8439 7355 14313 122860 186611 0 0 JENNIFER NESTOR FORMER OFFICER (END 12/23) 50016 120624 5000 0 148 368 1988 4929 1216 2646 58368 128567 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 2024: PER BENEFITS - NO DISTRIBUTIONS / PAYMENTS WERE MADE FROM THE PLAN; DAVID GOLDBERG WAS THE ONLY PARTICIPANT. TARGET BENEFIT SERP - A TARGET BENEFIT SERP IS OFFERED TO THREE EXECUTIVES, WITH AN ANNUAL EMPLOYER CONTRIBUTION THAT TARGETS PROVIDING 55% OF FINAL AVERAGECOMPENSATION AT AGE 60 FOR 30 YEARS OF SERVICE. THE TARGET BENEFIT IS OFFSET BY THE FROZEN DEFINED BENEFIT SERP ACCRUED BENEFIT, THE FROZEN RESTORATION PLAN BALANCE, EMPLOYER-PROVIDED QUALIFIED RETIREMENT BENEFITS, EMPLOYER-PROVIDED 457(B) PLAN BENEFITS, AND 50% OF AGE 62 SOCIAL SECURITY. EACH ANNUAL FUNDING CONTRIBUTION VESTS THE EARLIER OF 5 YEARS OR AGE 60. TAXES ARE ADVANCED FROM VESTED ACCOUNTS, WITH THE REMAINING BALANCE HELD UNTIL TERMINATION. ALL CONTRIBUTIONS ARE VESTED IN THE EVENT OF DEATH, DISABILITY, INVOLUNTARY TERMINATION WITHOUT CAUSE, OR VOLUNTARY TERMINATION FOR GOOD REASON FOLLOWING CHANGE OF CONTROL. UNVESTED CONTRIBUTIONS ARE FORFEITED FOR VOLUNTARY TERMINATION OR TERMINATION FOR CAUSE. DEFINED CONTRIBUTION SERP - A DEFINED CONTRIBUTION SERP IS OFFERED TO SELECT EXECUTIVES, WITH AN ANNUAL 10% OF SALARY CONTRIBUTION. EACH ANNUAL CONTRIBUTION VESTS THE EARLIER OF 5 YEARS OR AGE 65. TAXES ARE ADVANCED FROM VESTED ACCOUNTS, WITH THE REMAINING BALANCE HELD UNTIL TERMINATION. ALL CONTRIBUTIONS ARE VESTED IN THE EVENT OF DEATH, DISABILITY, INVOLUNTARY TERMINATION WITHOUT CAUSE, OR VOLUNTARY TERMINATION FOR GOOD REASON FOLLOWING CHANGE OF CONTROL. UNVESTED CONTRIBUTIONS ARE FORFEITED FOR VOLUNTARY TERMINATION OR TERMINATION FOR CAUSE. UNDER THE EXECU-FLEX BENEFIT PLAN (409A), EXECUTIVES RECEIVE 11% OF THEIR SALARY IN FLEX ALLOWANCE. THIS FLEX ALLOWANCE IS USED TO ELECT EXECUTIVE BENEFITS. ANY REMAINING FLEX ALLOWANCE IS CREDITED TO A TAX-DEFERRED CAPITAL ACCUMULATION ACCOUNT. THE MINIMUM VESTING PERIOD IS TWO YEARS, MAXIMUM IS AGE 68. A TWO YEAR NON-COMPETE AGREEMENT (SUBSTANTIAL RISK OF FORFEITURE AGREEMENT) APPLIES IF TERMINATION OF EMPLOYMENT OCCURS PRIOR TO THE VESTING DATE. CERTAIN PARTICIPANTS HAD AMOUNTS VESTED AND INCLUDED AS REPORTABLE COMPENSATION THIS YEAR, AS DETAILED BELOW: DAVID L. RAMSEY - $154,224 JEFF SANDENE - $72,258 PART I, LINE 7 MONONGALIA HEALTH SYSTEM PAYS NON-FIXED BONUS PAYMENTS TO SELECT EXECUTIVES LISTED ON PART VII, APPROVED BY THE BOARD. WILLIAM REESE NESTOR STEP SON OF FORMER OFFICER 28987 FAMILY MEMBER COMPENSATION 0 FORM 990, PART VI, SECTION A, LINE 2 DAVID GOLDBERG AND JEFF SANDENE HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER. DAVID GOLDBERG AND KEVIN GESSLER HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER. DAVID GOLDBERG AND JOHN LAW HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER. 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. 638,162. TRNA FROM MEMBER SUBSTITUTION CHANGE IN BENEFICIAL INTEREST IN AFFILIATES -38,338,108. ADJUSTMENT TO GOODWILL 7,076,514. 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