2024-05-07T11:06:53-05:00 2023-06-30 FORVIS LLP 312 WALNUT STREET SUITE 3000 CINCINNATI OH 45202 990 2022-07-01 510674514 THE FULTON COUNTY MEDICAL CENTER FOUNDATION % GREG LEIS CFO FULT 7174853155 214 PEACH ORCHARD ROAD MCCONNELLSBURG PA 17233 GREG LEIS CFO 7174853155 2024-05-15 true GREG LEIS 999009999 Aaron Hershberger P00961884 5136218300 2 2022 2023-04-26 12:10:37Z JERAMY CULLER 214 PEACH ORCHARD ROAD MCCONNELLSBURG PA 17233 921428 false X WWW.FCMCPA.ORG X 2008 PA SUPPORT HEALTH AND WELLNESS IN OUR COMMUNITY. 11 11 3 44 0 1119517 888217 0 0 38508 22433 -8693 -9411 1149332 901239 691877 610563 0 0 293902 317801 0 0 381996 72666 73711 1058445 1002075 90887 -100836 2805949 2730930 111130 109855 2694819 2621075 TO SUPPORT THE FULTON COUNTY MEDICAL CENTER'S MISSION TO CONTINUOUSLY IMPROVE THE HEALTH OF OUR COMMUNITY. false false 610563 610563 The Foundation celebrated its anniversary in FY23 by topping the $10 million mark in its 15-year existence by raising $581,381 and granting over $541,725 to the Fulton County Medical Center. IN ADDITION, THE FOUNDATION'S SCHOLARSHIP COMMITTEE AWARDED SCHOLARSHIPS TOTALING $55,000 TO 25 STUDENTS. 610563 true true false false false false false false false true false false false false true true false true false false false false false false true false false true true true false false false false false false false false false false false false false true false false false true 1 0 3 true false false false false false false false false false false false false X 11 11 false false false false true true true true true false false true true true true true true false false false MD PA X GREG LEIS CFO 7174853155 214 PEACH ORCHARD ROAD MCCONNELLSBURG PA 17233 MR MICHAEL MAKOSKY CHIEF EXECUTIVE OFFICER 2.0 38.0 X 0 235241 34387 MS KIMBERLY SLEE CHIEF OPERATING OFFICER 2.0 38.0 X 0 189433 36685 MR GREG LEIS CHIEF FINANCIAL OFFICER 2.0 38.0 X 0 172702 20499 MR MICHAEL STRALEY EXECUTIVE DIRECTOR 40.0 0.0 X 114836 0 31370 MR CHRIS ARDINGER DIRECTOR 0.75 0.0 X 0 0 0 MR DENNY BUTERBAUGH VICE CHAIR 0.75 0.0 X X 0 0 0 MR JAMES CROWDER SECRETARY/TREASURER-TERM ENDED 0.75 0.0 X X 0 0 0 MR JERAMY CULLER CHAIR 0.75 0.0 X X 0 0 0 MS BARBARA DANOWSKI DIRECTOR 0.5 0.0 X 0 0 0 MR LOY GARBER SCHOLARSHIP CHAIR 1.0 0.0 X X 0 0 0 MR JOHN KILDUFF DIRECTOR 0.5 0.0 X 0 0 0 MR J ED LEISINGER DIRECTOR 1.0 0.0 X 0 0 0 MS BRIDGIT MARTIN SECRETARY/TREASURER 0.75 0.0 X X 0 0 0 MS VIRGINIA PALMER DIRECTOR 0.75 0.0 X 0 0 0 MR DAVID WASHABAUGH IV DIRECTOR 0.5 0.0 X 0 0 0 114836 597376 122941 1 false true false 0 64845 360868 462504 888217 0 22433 22433 0 0 0 0 0 0 6892 64845 16352 -9460 -9460 0 0 0 3886 3837 49 49 0 901239 13022 555563 555563 55000 55000 0 0 146206 146206 0 135704 135704 0 35891 35891 0 0 0 0 0 0 9516 9516 32437 0 0 32437 621 621 30433 30433 0 0 0 704 704 0 0 0 0 0 0 1002075 610563 9516 381996 901428 1268138 366819 367130 206648 170310 0 0 0 0 0 0 0 0 21157 21699 0 0 0 0 1309897 903653 0 0 0 0 0 0 0 0 2805949 2730930 2880 2980 0 0 0 0 0 0 0 0 0 0 0 0 0 0 108250 106875 111130 109855 X 1606269 1593703 1088550 1027372 2694819 2621075 2805949 2730930 -100836 27092 X false true X true false X 1266968 1310780 1951170 1119517 953033 6601468 0 0 1266968 1310780 1951170 1119517 953033 6601468 1919916 4681552 26025 16736 20085 38508 22433 123787 0 18904 14679 7370 -8693 -9411 22849 6748104 0.69376 0.74590 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 316019 80961 396980 316019 316019 315169 17118 16268 316019 340920 22808 48559 315169 318623 5000 21987 4690 340920 1.00000 false false 0 CHARITABLE GIFT ANNUITY PAYABLE 6875 DUE TO AFFILIATES 100000 106875 X SCHEDULE D, PART V, LINE 4 SCHOLARSHIP ENDOWMENTS SCHOLARSHIP PROGRAM FOR POST GRADUATES WHO ARE SEEKING A CAREER IN DIRECT DELIVERY OF PATIENT CARE. SCHEDULE D, PART X, LINE 2 FEDERAL INCOME TAX THE MEDICAL CENTER AND THE FOUNDATION HAVE BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501 OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, THE MEDICAL CENTER AND FOUNDATION ARE SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE MEDICAL CENTER AND FOUNDATION FILE TAX RETURNS IN THE U.S. FEDERAL JURISDICTION. GOLF TOURNAMENT 50044 47027 3017 3600 100 3420 2092 0 665 BLUEGRASS & BBQ 21693 17818 3875 0 0 300 3875 2300 0 0 71737 64845 6892 3600 100 3720 5967 2300 665 16352 -9460 true Fulton County Medical Center 214 Peach Orchard McConnellsburg PA 17233 231401561 501(C)(3) 541725 SEE PART IV 1 0 EDUCATION SCHOLARSHIPS 25 55000 SCHEDULE I, PART I, LINE 2 PURPOSE OF GRANT THE FOUNDATION IS RELATED TO THE MEDICAL CENTER AND IS AWARE OF HOW THE FUNDS ARE SPENT DUE TO COMMON MANAGEMENT. THE FCMC FOUNDATION'S SCHOLARSHIP PROGRAM INVOLVES A COMBINATION OF ENDOWMENT FUNDS AND MONIES FROM ANNUAL GIVING/EVENT FUNDRAISING. APPLICANTS ARE REQUIRED TO BE EITHER GRADUATING HIGH SCHOOL SENIORS, POST-SECONDARY STUDENTS, OR GRADUATE STUDENTS PURSUING A DEGREE OR CERTIFICATION IN A MEDICAL RELATED FIELD. THE SCHOLARSHIP COMMITTEE IS MADE UP OF FCMC FOUNDATION BOARD MEMBERS, FCMC STAFF, AND COMMUNITY MEMBERS. THE APPLICATION PROCESS CHALLENGES STUDENTS TO ACHIEVE ACADEMIC EXCELLENCE, PROVIDE A WRITTEN ESSAY, AND CULMINATES WITH AN INTERVIEW BEFORE THE COMMITTEE MEMBERS. THE APPLICATION PROCESS IS COMPLETED ONLINE BY STUDENTS. EACH APPLICATION IS PRESENTED TO COMMITTEE MEMBERS AFTER THEIR PERSONAL IDENTIFYING INFORMATION IS REMOVED. EACH APPLICATION IS SCORED BY COMMITTEE MEMBERS AND THEN RANKED. THE COMMITTEE MEMBERS DETERMINE HOW MANY APPLICANTS THEY WILL ACCEPT FOR THE IN-PERSON INTERVIEW. THE INTERVIEWS ARE SCORED AND ADDED WITH THEIR BLIND RANKING AND THEN COMMITTEE MEMBERS MAKE AWARD DETERMINATIONS BASED ON AVAILABLE FUNDS FOR THAT FUNDING YEAR AT EACH LEVEL OF HIGH SCHOOL, UNDERGRADUATE, AND GRADUATE LEVELS. SCHOLARSHIP AWARDS ARE MADE BETWEEN LATE MAY AND JUNE OF EACH YEAR. THE FUNDS ARE PROVIDED IN THE FORM OF A CHECK WRITTEN TO BOTH THE STUDENT AND THEIR INSTITUTION TO BE PUT TOWARDS THEIR ACCOUNT. SCHEDULE I, PART II GRANTS AND OTHER ASSISTANCE TO ENTITIES IN THE U.S. FULTON COUNTY MEDICAL CENTER TO PROVIDE FUNDS FOR VARIOUS PROJECTS SUCH AS Home Health Telehealth, CAM Building, Health Education Healthstream Courses, Echo Education Courses, Lab Zip Thaw Drive, New Call Bell System, Clinical Education, Mobile Cautery Machine, New Mulch in the Children's Therapy Playground, ICU Education Courses, Vein Detector, LTC Greenhouse, Respiratory PFT Testing, Community Health & Wellness Center, EKG Machine, Telehealth Cart. false false false false false false false false MR GREG LEIS CHIEF FINANCIAL OFFICER 0 169159 0 2870 0 673 0 3588 0 16911 0 193201 MR MICHAEL MAKOSKY CHIEF EXECUTIVE OFFICER 0 200551 0 34000 0 690 0 12993 0 21394 0 269628 MS KIMBERLY SLEE CHIEF OPERATING OFFICER 0 184564 0 3225 0 1644 0 10684 0 26001 0 226118 FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OR STOCKHOLDERS THE SOLE MEMBER, FULTON COUNTY MEDICAL CENTER, HAS THE RIGHT TO ELECT OR REMOVE BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A POWER TO ELECT THE SOLE MEMBER, FULTON COUNTY MEDICAL CENTER, HAS THE AUTHORITY TO DETERMINE OR CHANGE THE MISSION AND PURPOSE OF THE FOUNDATION AND TO MONITOR AND MAINTAIN THE PHILOSOPHY OF THE FOUNDATION; TO ELECT AND TO REMOVE, WITH OR WITHOUT CAUSE, THE OFFICERS OF THE FOUNDATION; TO ELECT OR TO DELEGATE TO OTHERS THE AUTHORITY TO ELECT OR TO APPOINT DIRECTORS OF THE FOUNDATION; TO AMEND, ALTER, MODIFY, OR REPEAL THE ARTICLES OF INCORPORATION AND THE BYLAWS OF THE FOUNDATION; TO ACQUIRE, SELL, LEASE, TRANSFER, ENCUMBER, CONSTRUCT, OR DESTROY PROPERTY OWNED BY THE FOUNDATION AND MATERIAL TO ITS OPERATIONS; TO APPROVE THE MERGER, CONSOLIDATION, OR TRANSFER OF GOVERNANCE CONTROL TO ANY OTHER PERSON OR ENTITY OR THE SALE OR LIQUIDATION OF SUBSTANTIALLY ALL OF THE ASSETS OF THE FOUNDATION; TO DISSOLVE THE FOUNDATION, AND TO DETERMINE DISTRIBUTION OF THE FOUNDATION'S ASSETS UPON DISSOLUTION IN CONFORMITY WITH THE ARTICLES OF INCORPORATION, THE BYLAWS, THE CODE, AND APPLICABLE LAW; TO APPROVE THE TERMINATION, REDUCTION, EXPANSION, OR TRANSFER OF PROGRAMS; TO APPROVE THE FOUNDATION'S STRATEGIC PLANS; TO APPROVE THE FOUNDATION'S OPERATING AND CAPITAL BUDGETS; AND TO EXERCISE ANY AND ALL POWERS HELD BY THE FOUNDATION AS A SHAREHOLDER OR RESERVED OR DELEGATED TO THE BOARD OF DIRECTORS BY THE ARTICLES OF INCORPORATION OR BYLAWS OF ANY ENTITY OF WHICH THE FOUNDATION HOLDS GOVERNANCE CONTROL THROUGH THE APPOINTMENT OF A MAJORITY OF THE GOVERNING BODY OR OTHERWISE. FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW THE FORM 990 THE FULTON COUNTY MEDICAL CENTER FOUNDATION HAS A CPA FIRM PREPARE ITS FORM 990. THE RETURN IS COMPLETED IN DRAFT FORM AND REVIEWED BY THE CFO OF FULTON COUNTY MEDICAL CENTER. THE FORM 990 WILL BE PROVIDED TO THE BOARD BEFORE FILING THE FORM 990 WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C MONITORING AND ENFORCEMENT OF COMPLIANCE A CONFLICT OF INTEREST FORM IS COMPLETED ANNUALLY BY ALL OFFICERS, DIRECTORS, AND KEY EMPLOYEES. ANY POSSIBLE CONFLICT OF INTEREST ON THE PART OF A DIRECTOR MUST BE DISCLOSED TO THE BOARD. THE FORMS ARE REVIEWED BY THE PRESIDENT/CEO. WHEN ANY INTEREST BECOMES A MATTER OF BOARD ACTION, THE DIRECTOR IS NOT TO VOTE OR USE PERSONAL INFLUENCE ON THE MATTER, AND IS NOT COUNTED IN THE QUORUM FOR A MEETING AT WHICH BOARD ACTION IS TO BE TAKEN ON THE INTEREST. THE DIRECTOR MAY, HOWEVER, BRIEFLY STATE A POSITION ON THE MATTER AND ANSWER PERTINENT QUESTIONS OF BOARD MEMBERS. THE MINUTES OF ALL ACTIONS TAKEN ON SUCH MATTERS CLEARLY REFLECT THAT THESE REQUIREMENTS HAVE BEEN MET. IT IS THE OBLIGATION OF EACH BOARD MEMBER TO ACT IN THE BEST INTEREST OF THE MEDICAL CENTER. ALL BOARD INFORMATION IS CONFIDENTIAL, AND IS NOT TO BE USED OR DISCUSSED OTHER THAN FOR APPROPRIATE MEDICAL CENTER BUSINESS. FAILURE OF A DIRECTOR TO MAINTAIN THE CONFIDENTIALITY OF BOARD INFORMATION IS GROUNDS FOR REMOVAL. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. THE DOCUMENTS ARE ALSO AVAILABLE AT THE ANNUAL MEETING WHICH IS OPEN TO THE GENERAL PUBLIC. FULTON COUNTY MEDICAL CENTER 214 PEACH ORCHARD ROAD MCCONNELLSBURG PA 17233 231401561 HEALTH CARE PA 501(C)(3) 3 NA false false true true false false false false false false false false true true true false false false false false FULTON COUNTY MEDICAL CENTER B 541725 CASH VALUE FULTON COUNTY MEDICAL CENTER C 360868 CASH VALUE