Civic Intelligence

Fulton County Medical Center

EIN 23-1401561 • 501(c)3 • Mc Connellsburg, PA

Profile

To continuously improve the health of our community. We perform this mission by providing diagnostic and therapeutic services in our acute care hospital, maintaining health and providing a higher quality of life in our commnunity by operating a nursing home and a home care program, offering access to care through a multi-specialty clinic, working with other providers and agencies to promote wellness in our community, and providing services regardless of the ability to pay.

214 Peach Orchard RdMc Connellsburg, PA 17233

www.fcmcpa.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

88th percentile

0.85x

Higher debt load relative to assets than 88% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Liabilities / Revenue

76th percentile

1.01x

Higher debt load relative to revenue than 76% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Net Margin

21st percentile

-4.7%

Higher net margin than 21% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Top Officer Pay

84th percentile

$877,708

Higher top officer pay than 84% of similar nonprofits.

Top officer pay equals 1.6% of source-year revenue.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Asset Growth

29th percentile

0.7%

Faster asset growth than 29% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Revenue Growth

36th percentile

2.3%

Faster revenue growth than 36% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Assets

Up

$65,331,563

Up $460,754 (+0.7%) from 2023

Liabilities

Up

$55,851,505

Up $1,117,789 (+2.0%) from 2023

Net Assets

Down

$9,480,058

Down $657,035 (-6.5%) from 2023

Revenue

Up

$55,442,836

Up $1,237,474 (+2.3%) from 2023

Expenses

Down

$58,045,310

Down $361,636 (-0.6%) from 2023

Net Income

Up

-$2,602,474

Up $1,599,110 (+38%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$100M$50M$0Assets 2010: $52,990,645Liabilities 2010: $38,075,790Net Assets 2010: $14,914,8552010Assets 2011: $50,856,677Liabilities 2011: $35,579,495Net Assets 2011: $15,277,1822011Assets 2012: $50,887,497Liabilities 2012: $37,795,856Net Assets 2012: $13,091,6412012Assets 2013: $54,224,364Liabilities 2013: $38,114,736Net Assets 2013: $16,109,6282013Assets 2014: $56,910,382Liabilities 2014: $38,845,384Net Assets 2014: $18,064,9982014Assets 2015: $54,914,903Liabilities 2015: $38,878,683Net Assets 2015: $16,036,2202015Assets 2016: $53,286,171Liabilities 2016: $43,235,783Net Assets 2016: $10,050,3882016Assets 2017: $80,309,137Liabilities 2017: $68,968,067Net Assets 2017: $11,341,0702017Assets 2018: $77,634,761Liabilities 2018: $60,862,732Net Assets 2018: $16,772,0292018Assets 2019: $70,955,440Liabilities 2019: $61,465,497Net Assets 2019: $9,489,9432019Assets 2020: $77,256,613Liabilities 2020: $71,683,374Net Assets 2020: $5,573,2392020Assets 2021: $73,639,696Liabilities 2021: $61,070,400Net Assets 2021: $12,569,2962021Assets 2022: $68,374,976Liabilities 2022: $56,436,207Net Assets 2022: $11,938,7692022Assets 2023: $64,870,809Liabilities 2023: $54,733,716Net Assets 2023: $10,137,0932023Assets 2024: $65,331,563Liabilities 2024: $55,851,505Net Assets 2024: $9,480,0582024

Highlighted filing

2024

Assets$65,331,563
Liabilities$55,851,505
Net Assets$9,480,058

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$80M$60M$40M$20M$0-$20MExpenses 2010: $31,078,4872010Expenses 2011: $33,825,4232011Revenue 2012: $34,909,215Expenses 2012: $34,287,427Net Income 2012: $621,7882012Expenses 2013: $37,307,3342013Revenue 2014: $42,463,123Expenses 2014: $40,542,377Net Income 2014: $1,920,7462014Revenue 2015: $44,505,886Expenses 2015: $45,973,106Net Income 2015: -$1,467,2202015Revenue 2016: $48,898,303Expenses 2016: $49,260,449Net Income 2016: -$362,1462016Revenue 2017: $50,744,351Expenses 2017: $50,033,549Net Income 2017: $710,8022017Revenue 2018: $51,855,436Expenses 2018: $52,673,840Net Income 2018: -$818,4042018Revenue 2019: $54,275,950Expenses 2019: $55,769,636Net Income 2019: -$1,493,6862019Revenue 2020: $59,395,125Expenses 2020: $59,970,927Net Income 2020: -$575,8022020Revenue 2021: $60,755,712Expenses 2021: $59,505,266Net Income 2021: $1,250,4462021Revenue 2022: $62,271,989Expenses 2022: $61,613,985Net Income 2022: $658,0042022Revenue 2023: $54,205,362Expenses 2023: $58,406,946Net Income 2023: -$4,201,5842023Revenue 2024: $55,442,836Expenses 2024: $58,045,310Net Income 2024: -$2,602,4742024

Highlighted filing

2024

Revenue$55,442,836
Expenses$58,045,310
Net Income-$2,602,474

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$65.3$55.9$9.48$55.4$58.0$2.60
2023Detailed filing. Detailed filing data is available for this year.$64.9$54.7$10.1$54.2$58.4$4.20
2022Detailed filing. Detailed filing data is available for this year.$68.4$56.4$11.9$62.3$61.6$0.66
2021Detailed filing. Detailed filing data is available for this year.$73.6$61.1$12.6$60.8$59.5$1.25
2020Detailed filing. Detailed filing data is available for this year.$77.3$71.7$5.57$59.4$60.0$0.58
2019Detailed filing. Detailed filing data is available for this year.$71.0$61.5$9.49$54.3$55.8$1.49
2018Detailed filing. Detailed filing data is available for this year.$77.6$60.9$16.8$51.9$52.7$0.82
2017Detailed filing. Detailed filing data is available for this year.$80.3$69.0$11.3$50.7$50.0$0.71
2016Detailed filing. Detailed filing data is available for this year.$53.3$43.2$10.1$48.9$49.3$0.36
2015Detailed filing. Detailed filing data is available for this year.$54.9$38.9$16.0$44.5$46.0$1.47
2014Detailed filing. Detailed filing data is available for this year.$56.9$38.8$18.1$42.5$40.5$1.92
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$54.2$38.1$16.1$37.3
2012Summary only. Only limited summary data is available for this year.$50.9$37.8$13.1$34.9$34.3$0.62
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$50.9$35.6$15.3$33.8
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$53.0$38.1$14.9$31.1
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 15, 2025
Return Version
2023v6.0
Gross Receipts
$55,442,836
Mission and Program Overview

Mission

To continuously improve the health of our community. We perform this mission by providing diagnostic and therapeutic services in our acute care hospital, maintaining health and providing a higher quality of life in our community by operating a nursing home and a home care program, offering access to care through a multi-specialty clinic, working with other providers and agencies to promote wellness in our community, and providing services regardless of the ability to pay.

To continuously improve the health of our community by delivering quality healthcare.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$27,669,231$25,556,880▼ $2,112,351
Investments in Publicly Traded Securities$11,743,179$16,743,364▲ $5,000,185
Accounts Receivable$8,509,022$11,189,220▲ $2,680,198
Cash and Non-Interest-Bearing Accounts$2,897,919$3,771,949▲ $874,030
Prepaid Expenses and Deferred Charges$1,077,962$997,216▼ $80,746
Inventories for Sale or Use$523,372$435,932▼ $87,440
Pledges and Grants Receivable$379,011--
Total Assets$64,870,809$65,331,563▲ $460,754
Other Assets Total$12,071,113$6,637,002▼ $5,434,111
Liabilities
Tax Exempt Bond Liabilities$43,249,987$42,304,068▼ $945,919
Accounts Payable and Accrued Expenses$6,400,363$8,043,220▲ $1,642,857
Other Liabilities$3,793,072$3,780,298▼ $12,774
Mortgage Notes Payable Secured by Investment Property$1,290,294$1,649,274▲ $358,980
Unsecured Notes Loans Payable-$74,645-
Total Liabilities$54,733,716$55,851,505▲ $1,117,789
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$9,040,713$8,304,508▼ $736,205
Net Assets With Donor Restrictions$1,096,380$1,175,550▲ $79,170
Total Net Assets Fund Balance$10,137,093$9,480,058▼ $657,035
Total Liabilities and Net Assets / Fund Balance$64,870,809$65,331,563▲ $460,754

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$10,198,098$31,271,878$41,469,976
Buildings$12,852,824$13,377,384$26,230,208
Other Land Buildings$1,949,780$5,696,462$7,646,242
Land$556,178-$556,178
Other Assets Org$166,892--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Tung NguyenER PhysicianFT$854,352$23,356$877,708
Dr Douglas SternDirector/ER PhysicianFT$757,503$31,241$788,744
Jeffery MandakCardiologistFT$644,252$35,076$679,328
Nicole DeboltPhysician/SuregeonFT$385,395$23,581$408,976
Paul OrangePrimary Care DoctorFT$287,057$34,503$321,560
Michael MakoskyCEOFT$257,622$33,490$291,112
Ryan DecortEmergency Room PhysicianFT$263,483$6,047$269,530
Kimberly SleeCOOFT$216,157$33,924$250,081
Greg LeisCFOFT$181,460$7,649$189,109

Board Members and Trustees

NameTitle
Scott AlexanderChair
Rodney WaltersVice Chair
Debbie ToothmanDirector
Donald SheehanDirector
Dr Frank D'AmelioDirector
Kevin BeemDirector
Sandy CrouseDirector
Tina GressDirector
Mark RecardDirector (Beg 01/2024)
Penny ShivesDirector (Beg 01/2024)
Preston SpahrDirector (Beg 01/2024)
Mark MellotDirector (Until 12/2023)
Mary WrightDirector (Until 12/2023)
Lisa DanielsSecretary (Until 12/2023)
David McDonaldTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
QualivisContracted traveling companyPO Box 123847, Dallas, TX 75312$1,669,466
Corro HealthContracted billing departmentPO Box 654380, Dallas, TX 75265-4380$997,377
Dr John QuinlanER Doctor201 A South Centre Street, Phillipsburg, PA 16866$447,254
Pinnacle Health HospitalsOrthopedic doctorPO Box 223270, Pittsburgh, PA 15251-2270$336,000
ForvisAccountantsPO Box 200870, Dallas, TX 75230-0870$180,621
Revenue and Support

Revenue Composition

Contributions and Grants
$1,141,674
Program Service Revenue
$53,503,366
Investment Income
$797,796
Other Revenue
$0
Change in Net Assets
$-2,602,474

Audited Revenue Reconciliation

Revenue per Audited Statements
$55,442,836
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$1,661,007
Total Revenue per Audited Statements
$57,103,843
Total Revenue per Form 990
$55,442,836
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$34,231,450
Other Expenses$23,529,428
Grants and Similar Amounts Paid$284,432
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$20,265,781$5,166,816-$25,432,597
Fees for Services Other$7,255,838$1,989,004-$9,244,842
Other Employee Benefits$3,992,523$1,083,898-$5,076,421
Depreciation Depletion$3,104,309--$3,104,309
Interest$2,191,709--$2,191,709
Payroll Taxes$1,309,148$358,852-$1,668,000
Current Officers, Directors, Trustees, and Key Employees$896,067$682,215-$1,578,282
Occupancy$784,551$99,640-$884,191
Insurance$749,999--$749,999
Pension Plan Contributions$415,593$60,557-$476,150
Grants to Domestic Orgs$284,432--$284,432
All Other Expenses$132,279$35,283-$167,562
Advertising$147,081--$147,081
Fees for Services Accounting-$115,252-$115,252
Other Expenses$33,842$29,166-$63,008
Travel$53,740$5,234-$58,974
Office Expenses$14,059$28,954-$43,013
Conferences and Meetings$2,145$11,108-$13,253
Total Functional Expenses$47,827,830$10,217,480$0$58,045,310

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$58,045,310
Expenses per Audited Statements$57,760,878
Total Expenses per Audited Statements$57,760,878
Expenses Not Reported on Financial Statements$284,432
Other Expense Adjustments$284,432
Expenses Not Reported on Form 990$0
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Fulton County Medical Center FoundationMcconnellsburg, PA501(c)(3)Financial Support to Affiliate$284,432
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Estimated Amounts Due to Third Parties$3,762,302
Lease Liability$17,996

Bond Issues

BondIssuerIssuedIssue PricePurpose
AFulton County Industrial Development Authority2016-05-18$26,589,802Refund Series 2006 & 2009 Bonds
BFulton County Industrial Development Authority2016-09-15$21,590,000Finance Construction Cam Building

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$26,589,802$26,043,363$5,710,000$481,461
B$21,590,000--$731,093

Bond Financing Compliance

No rebate due
No
Rebate not yet due
Yes
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, line 11B

Fulton County Medical Center has a CPA firm prepare its form 990. The return is completed in draft form and reviewed by the CFO.

Form 990, Part VI, Section B, line 12C

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 B, line 15

The board of directors serves as a compensation committee and reviews and adjusts the compensation of the President/CEO based on evaluations and comparable data. The human resources department either with the help of an outside compensation consultant or independently or both, gathers comparable data and provides information to the board of directors when it is requested. The CFO receives cost of living adjustments as approved through the budget Fulton County Medical Center process by the board of directors each year. The president/CEO, in collaboration with the HR department, reviews and adjusts the compensation of the CFO based on performance and comparability data. If needed, the HR department conducts a survey to gather comparability data and gives this information to the president/CEO when it is requested. This information is shared with the Board of directors for informational purposes.

Form 990, Part VI, Section C, line 19

The organization makes its governing documents, conflict of interest policy and finacial statement avaliable upon request. The documents are also avaliable at the annual meeting which is open to the general public.

Filing and Contact Details

Filer

Filer Name
Fulton County Medical Center
EIN
23-1401561
Phone
7174853155
Address
214 Peach Orchard Rd, Mc Connellsburg, PA 17233

Signing Officer

Name
Michael Makosky
Title
CEO
Phone
7174853155
Signed
2025-05-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Scott Alexander
Formed
1947
Legal Domicile
Pa
Voting Board Members
13
Independent Board Members
13
Employees
473
Volunteers
67

Preparer

Firm
Eide Bailly LLP
Address
800 Nicollet Mall Ste 1300, Minneapolis, MN 55402-7033
Preparer
Kim Hunwardsen CPA
Phone
6122536500
Supplemental Narrative

Additional Explanations

Form 990, Part IX, line 11G

Professional Fees: Program service expenses 2,019,220. Management and general expenses 216,591. Fundraising expenses 0. Total expenses 2,235,811. Purchased Services: Program service expenses 5,236,618. Management and general expenses 1,413,974. Fundraising expenses 0. Total expenses 6,650,592. Other Fees: Program service expenses 0. Management and general expenses 358,439. Fundraising expenses 0. Total expenses 358,439.

Form 990, Part XI, line 9:

Pension Liability Adjustment 1,529,302. Valuation Gain 79,170. Net Periodic Pension Benefit Cost -201,353.

Financial Statement Notes

Part X, Line 2:

The Medical Center believes they have appropriate support for any tax positions taken affecting its annual filing requirements, and, as such, does not have any uncertain tax positions that are material to the financial statements. The entities would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred.

Part XI, Line 2D - Other Adjustments:

Grant Expense Reclassed from Revenue to Expense -284,432. Pension Liability Adjustment 1,529,302. Valuation Gain 79,170. Net Periodic Pension Benefit Cost -201,353.

Part XII, Line 4B - Other Adjustments:

Grant Expense Reclassed from Revenue to Expense 284,432.

Raw XML AppendixShowing 400 of 1,103 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0Fulton County Medical Center (FCMC) provides inpatient, outpatient, emergency care, skilled nursing, and home health services to all who need them, regardless of ability to pay. Emergency services are provided 24/7, 365 days a year without inquiry into financial means or insurance status.Continued on Schedule O:Activities during Fiscal Year 2024:July 2023: Adult Nurse Aid program graduated 6 students with completion of training to become Certified Nurse Assistants.August 2023: Fulton Family Practice welcomes Dr. Welsh and Dr. Kent both brining expertise in Osteopathic Medicine.FCMC launches new service, Fulton Podiatry, headed by Dr. Gronborg the first physician to serve in this role.September 2023: FCF celebrates 30th anniversary with annual golf tournament. Teams competed for $2,500 in prize money. Fulton County Medical Center Auxiliary presented with $20,025.61 check from FCF for Diamond Jubilee Fundraiser.October 2023: FCMC welcomes new radiology manager Penny Shope.FCF honors major donors with annual gratitude dinner. Visionary of the year awards were given out to longtime supporters of the Medical Center and Foundation.November 2023: Cura hospitality brings automated food and beverage service to the Medical Center expanding freshly prepared meal options to provide to employees and customers throughout the entire day. Dr. Gronborg receives the podiatry award from Pennsylvania Podiatric Medical Association.December 2023: Hospital's echo lab earns reaccreditation. FCMC medical lab was granted three-year term of accreditation by the Inter-Societal Accreditation Commission in Echocardiography.March 2024: FCF hosts free seminar for retirees. "What Healthcare Looks like For Retirees" helps aid in the decision process based on the information given to retirees.CEO Mike Makosky reaffirms intent to remain independent as long as possible.April 2024: FCMC hosts ceremonial flag-raising to commemorate National Donate Life Month. FCF holds 9th annual Bluegrass & BBQ event raising $17,000 for the Health Careers Scholarship program.May 2024: FCMC completes three Department of Health Inspections: Annual Unannounced Nursing Home Survey, Department of Health Critical Access Hospital recertification survey, and the Life Safety Survey.
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IRS990/MissionDesc0To continously improve the health of our community by delivering quality healthcare in a kind and compassionate manner.
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