2024-06-17T09:22:55-05:00 2023-12-31 205890953 MOCK BOSCO & ASSOCIATES PC 900 WASHINGTON AVENUE CARNEGIE PA 15106 990 2023-01-01 550421569 MONONGALIA HOME CORPORATION DBA SUNDALE MONO 3045990497 800 JD ANDERSON DRIVE MORGANTOWN WV 26505 MICHAEL HICKS MANAGING CEO 3045990497 2024-06-13 1 MICHAEL HICKS 999009999 1 RONALD J MOCK P00447723 4122765700 2024-06-11 2 AAL1 IAL1 2023 2023-04-26 12:10:37Z MICHAEL HICKS 800 JD ANDERSON DR MORGANTOWN WV 26505 14163759 0 X WWW.SUNDALECARE.COM X 1958 WV SUNDALE PROVIDES INTERMEDIATE AND SKILLED NURSING CARE AND REHABILITATIVE SERVICES TO THE AGED AND INFIRMED RESIDENTS OF MONONGALIA AND SURROUNDING COUNTIES WITHOUT REGARD TO PAYOR STATUS.IN ADDITION SUNDALE HAS A PALLIATIVE CARE CENTER TO PROVIDE CARE AND SUPPORT TO PATIENTS SUFFERING FROM A TERMINAL DIAGNOSIS. 12 12 219 12 0 0 18041 2281 12771275 13847804 5900 1940 170878 270968 12966094 14122993 0 0 0 0 8289047 9395494 0 0 2998 4761029 5083566 13050076 14479060 -83982 -356067 5917301 5653885 5827466 5905450 89835 -251565 WE SEEK AND NURTURE THE SPIRIT IN EVERY RESIDENT TO SUCCEED AND WHEN NECESSARY TO ADAPT TO PERMANENT DISABILITY, WHEN POSSIBLE TO ACHIEVE INDEPENDENCE AND WHEN APPROPRIATE TO RETURN HOME. 0 0 13760180 13847804 MONONGALIA HOME CORPORATION OPERATES A ONE-HUNDRED BED INTERMEDIATE AND SKILLED CARE NURSING HOME AND PALLIATIVE CARE UNIT SERVING THE NEEDS OF THE GREATER MORGANTOWN AREA. MONONGALIA HOME CORPORATION PROVIDES CARE REGARDLESS OF FINANCIAL STATUS. 13760180 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 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 0 0 0 0 0 1 43 0 1 219 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WV X MICHAEL HICKS 3045990497 800 JD ANDERSON DRIVE MORGANTOWN WV 26505 X WC HIGGINBOTHAM EX-OFFICIO MEMBER 3.00 X X 0 0 0 J C WARMAN TREASURER 3.00 X X 0 0 0 MARY PAUL SECRETARY 3.00 X X 0 0 0 PEGGY MCCLURE PARLIAMENTARIAN 3.00 X 0 0 0 JANET WILLIAMS PRESIDENT 3.00 X 0 0 0 GINNA ROYCE DIRECTOR 2.00 X 0 0 0 JEFF BERRYMAN DIRECTOR 2.00 X 0 0 0 CECILIA ANNE DANNIS BARNETT DIRECTOR 2.00 X 0 0 0 ROBERT CLONCH DIRECTOR 2.00 X 0 0 0 VICKI M CHASE DIRECTOR 2.00 X 0 0 0 RYAN TRIGG SMITH VICE-PRESIDENT 2.00 X 0 0 0 SCOT ANDERSON DIRECTOR 2.00 X 0 0 0 JAMIE TAYLOR ASSISTANT DIRECTOR OF NURS 36.00 X 100896 0 0 NICOLE STONEKING LPN 52.00 X 113213 0 0 JOAN VANDIVNER LPN 52.00 X 100641 0 0 314750 0 0 3 0 0 0 ODYSSEY REHABILITATION 415 BENEDUM DRIVE BRIDGEPORT WV 26330 SPEECH, OCCUPATIONAL, & PHYSICAL THERAPY 1252482 SUNCREST MEDICAL 27 BATES ROAD MORGANTOWN WV 26505 MANAGEMENT SERVICES & OUTSOURCED EXECUTI 977752 2 2281 2281 MEDICAID/MEDICARE PAYMENTS 623000 11268207 11268207 PRIVATE PAY-ROOMS 623000 2495110 2495110 PRIVATE PAY-ANCILL & MI 623000 50310 50310 PRIVATE PAY-PHARMACY 623000 29413 29413 PRIVATE PAY-OXYGEN 623000 4764 4764 13847804 1295 1295 270968 270968 41411 40766 645 645 645 14122993 13847804 0 272908 X 8100867 7961052 139815 737028 722287 14741 557599 546447 11152 180000 135000 45000 96098 96098 26505 26505 4750 4750 71739 71739 60147 45110 15037 305704 302706 2998 378968 367599 11369 826 826 1121 1121 266169 258184 7985 359124 345207 13917 357024 357024 PHYSICAL, RECREATION & 856647 856647 DIETARY & PHARMACY 679877 679877 MEDICAID PROVIDER TAX 675472 675472 NURSING & MEDICAL RECOR 555776 555776 207619 182759 24860 14479060 13760180 715882 2998 900 900 658830 810881 1296184 1189039 136071 91407 10734368 7319678 3622277 3414690 83190 98502 119849 48466 5917301 5653885 347215 502248 4975575 4843880 504676 559322 5827466 5905450 X 89835 -251565 89835 -251565 5917301 5653885 -356067 14667 0 X X 0 0 1 0 X 145412 7711 16607 18041 2281 190052 12220488 12368172 12540838 12771275 13847804 63748577 12365900 12375883 12557445 12789316 13850085 63938629 0 0 0 63938629 141409 144352 96485 166588 272263 821097 141409 144352 96485 166588 272263 821097 12507309 12520235 12653930 12955904 14122348 64759726 0.98730 0.98880 0.01270 0.01120 X 8353008 5530260 2822748 268360 223586 44774 2113000 1565832 547168 3414690 ACCRUED PAYROLL AND PAYROLL WITHHOLDINGS 522246 PATIENT TRUST FUNDS 16299 MORTGAGE INTEREST PAYABLE 20777 559322 X 14137660 14667 14667 14122993 0 14122993 14479060 0 14479060 0 14479060 PART X, LINE 2: THE CORPORATION IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE BUT WOULD BE SUBJECT TO TAX ON NET INCOME NOT RELATED TO THE EXEMPT PURPOSE OF THE CORPORATION. THE CORPORATION FOLLOWS THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES TOPIC OF THE CODIFICATION. THIS TOPIC CLARIFIES THE ACCOUNTING AND REPORTING OF UNCERTAINTIES IN INCOME TAX POSITIONS TO BE TAKEN ON THE CORPORATION'S TAX RETURNS, APPLYING MINIMUM RECOGNITION AND MEASUREMENT THRESHOLDS. MANAGEMENT DOES NOT BELIEVE THERE ARE ANY MATERIAL UNCERTAIN TAX POSITIONS REQUIRING RECORDING OR DISCLOSURE IN THE FINANCIAL STATEMENTS. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION HAS A MANAGEMENT AGREEMENT WITH SUNCREST MEDICAL. SERVICES INCLUDE MANAGING AND OPERATING THE NURSING HOME FACILITY. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT FORM 990 WAS PRESENTED TO THE BOARD FOR QUESTIONS AND COMMENTS BEFORE FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C BOARD MONITORS AND DISCUSSES ALL POTENTIAL CONFLICT OF INTEREST ISSUES AT ITS MONTHLY BOARD MEETINGS AND IS CONSTANTLY IN COMMUNICATION WITH ORGANIZATION MANAGEMENT. FORM 990, PART VI, SECTION B, LINE 15 INDEPENDENT MEMBERS OF THE BOARD REVIEW COMPENSATION AND KEY CONTRACTS WITH THE OUTSIDE ADMINISTRATIVE SERVICES COMPANY ON AN ANNUAL BASIS THROUGH COMPARISON WITH MARKET RATES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. FORM 990, PART IX, LINE 24E HOUSEKEEPING: PROGRAM SERVICE EXPENSES 108,998. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 108,998. ANCILLARY SERVICE: PROGRAM SERVICE EXPENSES 54,330. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 54,330. LAUNDRY: PROGRAM SERVICE EXPENSES 14,873. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,873. DUES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 12,180. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,180. OTHER GENERAL & ADMINISTRATIVE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 12,174. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,174. COVID-19 EXPENSES: PROGRAM SERVICE EXPENSES 4,558. MANAGEMENT AND GENERAL EXPENSES 506. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,064. FORM 990, PART XII, LINE 2C THE BOARD'S FINANCE/AUDIT COMMITTEE REVIEWS THE FINANCIAL STATEMENTS.