2025-11-17T18:36:00-06:00 2024-12-31 861065772 DELOITTE TAX LLP 111 MONUMENT CIRCLE SUITE 4200 INDIANAPOLIS IN 46204 990 2024-01-01 550362965 AUXILIARY OF MONONGALIA GENERAL HOSPITAL AUXI 3045981200 1200 JD ANDERSON DRIVE MORGANTOWN WV 26505 JEFF SANDENE EXECUTIVE VP AND CFO 3045981200 2025-11-17 1 0 ANGELA M MOORE P00244342 3174648600 2024 2025-03-06 01:10:19Z DAVID S GOLDBERG 1200 JD ANDERSON DRIVE MORGANTOWN WV 26505 323029 0 X N/A X 1973 WV THE AUXILIARY OF MON GENERAL SUPPORTS PROJECTS AND PROVIDES IMPROVEMENTS VIA VOLUNTEERS AND FINANCIAL EFFORTS FOR PATIENTS, FAMILIES AND STAFF. 17 17 0 17 0 0 36110 0 0 0 3921 8646 192824 159404 232855 168050 2000 0 0 0 0 0 0 0 7981 155087 144179 157087 144179 75768 23871 448270 414767 115225 65809 333045 348958 THE AUXILIARY OF MON GENERAL SUPPORTS PROJECTS AND PROVIDES IMPROVEMENTS VIA VOLUNTEERS AND FINANCIAL EFFORTS FOR PATIENTS FAMILIES AND STAFF. 0 0 136198 137957 THE AUXILIARY RAISED FUNDS AND PROVIDED FINANCIAL SUPPORT TO THE HOSPITAL AND HOSPITAL FOUNDATION TO SUPPORT PATIENT CARE INITIATIVES. 136198 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 3 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 17 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 WV X GENE TOWNSEND - MANAGING ACCOUNTANT 3042853676 1200 JD ANDERSON DRIVE MORGANTOWN WV 26505 AIMEE TALLMAN VICE PRESIDENT (BEG 09/24) 1.00 0.00 X X 0 0 0 BETHANN GAMPONIA VP (END 09/24)/PRESIDENT (BEG 09/24) 1.00 0.00 X X 0 0 0 CHARLOTTE CLONCH SECRETARY (END 09/24) 1.00 0.00 X X 0 0 0 CHRIS BATTIN PRESIDENT (END 09/24)/DIRECTOR (BEG 09/24) 1.00 0.00 X X 0 0 0 CLAUDIA GOLDBERG SECRETARY 1.00 0.00 X X 0 0 0 KIM KEENER TREASURER (BEG 09/24) 1.00 0.00 X X 0 0 0 SUSAN MELENRIC TREASURER (END 09/24)/DIRECTOR (BEG 09/24) 1.00 0.00 X X 0 0 0 ALLIE GOOKIN DIRECTOR (BEG 09/24) 1.00 0.00 X 0 0 0 BETH BURNS DIRECTOR 1.00 0.00 X 0 0 0 CONNIE STEAD DIRECTOR (END 09/24) 1.00 0.00 X 0 0 0 DAVID TAYLOR DIRECTOR 1.00 0.00 X 0 0 0 DENICE KIRCHOFF DIRECTOR 1.00 0.00 X 0 0 0 DONNA PIFER DIRECTOR 1.00 0.00 X 0 0 0 JESS MAROULIS DIRECTOR 1.00 0.00 X 0 0 0 JOYCE WASSICK DIRECTOR 1.00 0.00 X 0 0 0 KATHY POMPILI DIRECTOR 1.00 0.00 X 0 0 0 KATIE GYORKO DIRECTOR (END 09/24) 1.00 0.00 X 0 0 0 RENEE ROSE DIRECTOR (BEG 09/24) 1.00 0.00 X 0 0 0 SARAH LOUGHRY DIRECTOR (BEG 09/24) 1.00 0.00 X 0 0 0 SUSAN MAYFIELD DIRECTOR (BEG 09/24) 1.00 0.00 X 0 0 0 DAVID GOLDBERG PRES/CEO, MON HEALTH SYSTEMS 1.00 57.00 X 0 996584 51139 0 996584 51139 0 0 1 0 0 8646 8646 35986 14539 21447 21447 256855 140440 116415 116415 VENDING 900099 16248 16248 FUNDRAISING INCOME 900099 4037 4037 LIFE MEMBERSHIP DUES 900099 225 225 1032 1032 21542 168050 137957 0 30093 X 124895 124895 4934 4934 6369 6369 FUNDRAISING EXPENSES 7981 0 0 7981 144179 136198 0 7981 115401 104210 238500 207248 24746 15432 45610 61956 2106 9272 39222 22573 21907 16649 448270 414767 31350 65247 600 562 83275 0 115225 65809 X 333045 348958 333045 348958 448270 414767 23871 -7958 0 X 0 0 0 X X 2 MONONGALIA COUNTY GENERAL HOSPITAL 237441353 3 1 0 0 THE FOUNDATION OF MONONGALIA GENERAL HOSPITAL 550570338 7 1 0 0 2 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 39222 22573 16649 16649 BASKET/PURSE BINGO 18202 18202 6932 CHRISTMAS TREES 11214 11214 7035 1 6570 6570 572 35986 35986 14539 14539 21447 0 1 0 0 0 0 0 0 0 DAVID GOLDBERG PRES/CEO, MON HEALTH SYSTEMS 0 736828 0 241048 0 18708 0 13800 0 37339 0 1047723 0 0 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, 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 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. FORM 2024: 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 PRIOR TO SUBMISSION FOR THEIR REVIEW AND TO ANSWER QUESTIONS AND/OR REVISE. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARLY AND CONSISTENTLY ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY BY MAILING A CONFLICT OF INTEREST FORM ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 THE CEO'S COMPENSATION IS PAID BY MONONGALIA HEALTH SYSTEM. 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. ANNUALLY, A CONSULTANT COMPILES A MARKET DATA REPORT ON CFO AND COO COMPENSATION, THIS REPORT IS THEN REVIEWED BY THE EXECUTIVE COMMITTEE TO DETERMINE COMPENSATION FOR THE INDIVIDUAL. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE KEPT ONSITE AT MONONGALIA GENERAL HOSPITAL AND ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 124,895. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 124,895. MONONGALIA COUNTY GENERAL HOSPITAL COMPANY 1200 JD ANDERSON DRIVE MORGANTOWN WV 26505 237441353 HOSPITAL WV 501(C)(3) 3 MONONGALIA HEALTH SYSTEM INC 1 THE FOUNDATION OF MONONGALIA GENERAL HOSPITAL 1200 JD ANDERSON DRIVE MORGANTOWN WV 26505 550570338 RAISE FUNDS FOR MONONGALIA GENERAL HOSPITAL WV 501(C)(3) 7 MONONGALIA COUNTY GENERAL HOSPITAL CO 1 0 0 0 0 0 0 0 0 0 1 1 0 1 0 1 1 1 0 0