Civic Intelligence

Grmc Inc.

990 • Fiscal year 2023 • EIN 87-1846814

Jan 01, 2023 to Dec 31, 2023 • Filed on Nov 11, 2024

251 North Fourth StreetOakland, MD 21550

(301) 533-4251

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

63rd percentile

0.40x

Higher debt load relative to assets than 63% of similar nonprofits.

2023 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2023

Liabilities / Revenue

50th percentile

0.38x

Higher debt load relative to revenue than 50% of similar nonprofits.

2023 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2023

Net Margin

83rd percentile

26%

Higher net margin than 83% of similar nonprofits.

2023 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2023

Top Officer Pay

86th percentile

$883,548

Higher top officer pay than 86% of similar nonprofits.

Top officer pay equals 1.1% of source-year revenue.

2023 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2023

Asset Growth

84th percentile

25%

Faster asset growth than 84% of similar nonprofits.

2023 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2022 to 2023

Revenue Growth

96th percentile

133%

Faster revenue growth than 96% of similar nonprofits.

2023 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2022 to 2023

Assets

Up

$76,472,147

Up $15,468,294 (+25%) from 2022

Net Assets

Up

$46,040,379

Up $15,530,643 (+51%) from 2022

Liabilities

Down

$30,431,768

Down $62,349 (-0.2%) from 2022

Revenue

Up

$80,729,147

Up $46,009,924 (+133%) from 2022

Expenses

Up

$59,713,312

Up $29,035,114 (+95%) from 2022

Net Income

Up

$21,015,835

Up $16,974,810 (+420%) from 2022

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$80M$60M$40M$20M$0Assets 2022: $61,003,853Liabilities 2022: $30,494,117Net Assets 2022: $30,509,7362022Assets 2023: $76,472,147Liabilities 2023: $30,431,768Net Assets 2023: $46,040,3792023Assets 2024: $79,378,149Liabilities 2024: $27,049,252Net Assets 2024: $52,328,8972024

Highlighted filing

2023

Assets$76,472,147
Liabilities$30,431,768
Net Assets$46,040,379

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$100M$50M$0Revenue 2022: $34,719,223Expenses 2022: $30,678,198Net Income 2022: $4,041,0252022Revenue 2023: $80,729,147Expenses 2023: $59,713,312Net Income 2023: $21,015,8352023Revenue 2024: $86,485,707Expenses 2024: $68,649,498Net Income 2024: $17,836,2092024

Highlighted filing

2023

Revenue$80,729,147
Expenses$59,713,312
Net Income$21,015,835
Jump To
Filing Snapshot
Filing Period
Jan 1, 2023 to Dec 31, 2023
Signed
Nov 11, 2024
Return Version
2023v5.1
Gross Receipts
$80,898,543
Mission and Program Overview

Mission

To operate a hospital for the reception and treatment of sick or injured persons of all kinds, to engage in the business ofreceiving, attending to, nursing, and giving proper nourishment to afflicted or injured persons without regard to race, creed, color, sex, national origin, or financial status, and to do all other things that are typically done

To operate a hospital for the reception and treatment of sick or injured persons of all kinds, to engage in the business of receiving, attending to, nursing, and giving proper nourishment to afflicted or injured persons.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$19,585,707$21,057,075▲ $1,471,368
Accounts Receivable$11,693,749$19,849,756▲ $8,156,007
Investments Other Securities$16,475,347$18,708,304▲ $2,232,957
Cash and Non-Interest-Bearing Accounts$1,750$8,553,890▲ $8,552,140
Savings and Temporary Cash Investments$9,670,738$5,207,297▼ $4,463,441
Inventories for Sale or Use$1,868,635$1,990,190▲ $121,555
Prepaid Expenses and Deferred Charges$748,265$240,973▼ $507,292
Total Assets$61,003,853$76,472,147▲ $15,468,294
Other Assets Total$959,662$864,662▼ $95,000
Liabilities
Mortgage Notes Payable Secured by Investment Property$12,500,000$11,666,666▼ $833,334
Other Liabilities$13,809,896$10,086,402▼ $3,723,494
Accounts Payable and Accrued Expenses$4,195,954$7,846,731▲ $3,650,777
Deferred Revenue$-11,733$831,969▲ $843,702
Total Liabilities$30,494,117$30,431,768▼ $62,349
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$29,689,815$45,182,680▲ $15,492,865
Net Assets With Donor Restrictions$819,921$857,699▲ $37,778
Total Net Assets Fund Balance$30,509,736$46,040,379▲ $15,530,643
Total Liabilities and Net Assets / Fund Balance$61,003,853$76,472,147▲ $15,468,294

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$7,459,488$4,042,545$11,502,033
Buildings$7,005,126$460,456$7,465,582
Land$3,890,000-$3,890,000
Other Land Buildings$2,198,856$65,588$2,264,444
Leasehold Improvements$503,605$47,690$551,295
Other Securities$201,970--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Amy BootheVP Operations FinancePT$163,932$107,017$270,949
James HendersonAnesthesiologistFT$224,039$9,470$233,509
Mary MillerHospitalist Adv Prac ProfFT$139,525$33,101$222,626
Kela ThomasHospitalist Adv Prac ProfFT$205,771$8,587$214,358
Lance RhodesMgr PharmacyFT$132,812$23,803$206,615
Kendra ThayerChief Nursing OfficerPT$178,075$78,515$206,590
Mark BoucotPresident CEOPT$114,933$32,894$136,867
James VenturellaDirector, WVUHS Chief Information Officer-$100,182$35,671$135,853
Marjorie FridkinChief Medical OfficerPT$94,780$71,477$127,217

Board Members and Trustees

NameTitle
Shane GradyChairperson
Henrietta LeaseDirector
Kathy ShafferDirector
Keith SandersDirector
Laura FikeDirector
Linda FikeDirector
Mary Alice SimpsonDirector
Stanley Lambert MDDirector
Lana RikeAnesthesiologist
Patricia Manown MashSecretary
Tracy BemillerTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
CFA LLC dba Carefirst AdministratorsHealth Insurance Claims1501 S Clinton Street 7th Floor, Baltimore, MD 21224-5744$294,972
Wellspring Family MedicinePractice Assistance Payments311 North Fourth Street Suite 1, Oakland, MD 21550$134,679
Alvarez & Orthopaedic Associates PAPractice Assistance Payments311 North 4th Street Suite 3, Oakland, MD 21550$105,934
Revenue and Support

Revenue Composition

Contributions and Grants
$1,255,672
Program Service Revenue
$77,757,567
Investment Income
$839,967
Other Revenue
$875,941
All Other Contributions
$74,840
Change in Net Assets
$21,015,835

Audited Revenue Reconciliation

Revenue per Audited Statements
$80,814,724
Revenue Not Reported on Financial Statements
$-85,577
Revenue Not Reported on Form 990
$-998,108
Other Revenue Adjustments
$-85,577
Total Revenue per Audited Statements
$79,816,616
Total Revenue per Form 990
$80,729,147
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$30,144,231
Other Expenses$29,568,581
Grants and Similar Amounts Paid$500
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$9,719,111$13,654,394-$23,373,505
Office Expenses$1,210,996$3,549,060-$4,760,056
Fees for Services Other$2,462,361$2,024,195-$4,486,556
Other Employee Benefits$1,478,527$2,057,253-$3,535,780
Depreciation Depletion$2,527,146$431,926-$2,959,072
Payroll Taxes$970,433$1,363,363-$2,333,796
Payments to Affiliates$8,000$1,018,955-$1,026,955
Occupancy$774,786$132,422-$907,208
All Other Expenses$27,578$677,236-$704,814
Current Officers, Directors, Trustees, and Key Employees$264,084$406,802-$670,886
Interest$392,843$67,143-$459,986
Travel$129,127$128,918-$258,045
Pension Plan Contributions$97,130$133,134-$230,264
Insurance$16,000$209,273-$225,273
Other Expenses$10,358$152,177-$162,535
Advertising-$99,516-$99,516
Information Technology$9,682$45,881-$55,563
Fees for Services Lobbying$40,131--$40,131
Fees for Services Legal-$24,034-$24,034
Fees for Services Accounting-$17,535-$17,535
Grants to Domestic Individuals$500--$500
Total Functional Expenses$33,508,246$26,205,066$0$59,713,312

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$59,713,312
Total Expenses per Audited Statements$57,840,609
Expenses per Audited Statements$57,755,032
Expenses Not Reported on Financial Statements$1,958,280
Other Expense Adjustments$1,958,280
Expenses Not Reported on Form 990$85,577
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
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Other Current Liabilities$8,755,172
Federal income taxes$609,905
Other Non Current Liabilities$446,901
Due to Third Party Payors$274,424
Long Term Lease Liability-
Self Insurance Liability-
DB Pension Obligation-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
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
No
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

The organization is a membership not a stock corporation under West Virginia State law. The Organizations sole coporate member is West Virginia United Health System, inc. a related not-for-profit organization.

Form 990, Part VI, Section A, Line 7AB

West Virginia United Health System, Inc., as the sole corporate member, also has the right to remove any member or members of the Corporations governing board, approve amendments to the articles of incorporation or bylaws of the Corporation, Approve the dissolution, merger of or with, or consolidation by the Corporation, Approve the sale, lease, exchange, mortgage, pledge or other disposition of all or substantially all of the Corporations assets, and Appoint and remove the President and Chief Executive Office President/CEO of the Corporation and consultation with the Corporations Board of Trustees.

Form 990, Part VI, Section B, Line 11A

The Form 990 is prepared by the West Virginia United Health System, Inc. Tax Team and then reviewed by the Director of Finance and VP of Finance and Operations at Garrett Regional Medical Center. After gaining approval from the Director of Finance, it is then presented to the board members for a final review. Upon board review, it is signed and submitted to the IRS.

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

Upon employment and annually thereafter, each key employee and officer of the organization is required to complete a conflict of interest and disclosure form, providing sufficient information about his/her personal interests and relationships so the organization can 1 determine whether any potential or actual conflicts of interest may exist, and 2 monitor work or service assignments to avoid placing the key employee, officer, or director in a position where there may be an appearance potential or actual of a conflict of interest or a question of objectivity. The completed conflict of interest and disclosure forms for directors are returned to the organization. These members are monitored and not assigned any projects that would create any potential conflict of interest. Any board member with a potential conflict recuses himself or herself from all discussions regarding the conflict.

Form 990, Part VI, Section B, Line 15A

The compensation of the CEO is determined by the WV United Health System Compensation Committee based upon a salary and benefit survey prepared by an independent company using data of comparable facilities. This information is provided to the compensation committee which is made up of independent board members who are then responsible for setting the compensation packages offered to each executive, ensuring that the compensation package does not exceed fair market value based on the data from the consultant group. The minutes of the compensation committee are contemporaneously documented and retained. A full compensation survey was completed in 2022 for 2023 compensation amounts.

Form 990, Part VI, Section B, Line 15B

The compensation of all officers at the Vice President level and below is determined based upon a salary and benefit survey prepared by an independent company using data of comparable facilities. This data is then interpreted and provided to an independent compensation committee. The independent compensation committee then uses this data to determine a fair and reasonable compensation package. All relevant data as well as minutes from each meeting are retained.

Form 990, Part VI, Section B, Line 19

All financial and governing documents, including the conflict of interest policy are maintained onsite and made available to the public upon written request.

Filing and Contact Details

Filer

Filer Name
GRMC Inc
EIN
87-1846814
Address
251 North Fourth Street, Oakland, MD 21550
Doing Business As
Garrett Regional Medical Center

Signing Officer

Name
Mark Boucot
Title
President
Signed
2024-11-11
Discuss with paid preparer
No

Organization Details

Principal Officer
Mark Boucot
Formed
2021
Legal Domicile
Md
Voting Board Members
11
Independent Board Members
10
Employees
536
Volunteers
30
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9

Other changes in Net Assets include Change in Restricted Net Assets of 37,778, Donated Capital of 5,691,625, Related Organization Capitalization of 166,862, JOA Contribution to SOM of 34,787, Pension True Up of 386,892, and Intercompany Transfers of 976,760.

Form 990, Part V, Line 1A

In 2023, West Virginia United Health System WVUHS, EIN 55-0754713, transitioned to a centralized accounts payable process in which WVUHS made the majority of vendor payments and then issued the required 1099s. WVUHS is reimbursed by the entities for their portion of payments made, vendor payments that meet the Top 5 Independent Contractor reporting requirements are reported in Part VII, Section B of the reporting entity.

Form 990, Part X, Section Sch. B, Line Part I

GRMC, Inc. reported contributions on Schedule B that were not recorded on page 9 as revenue. These contributions were not reported as revenue on the financial statements, but were reported as net assets.

Financial Statement Notes

X 2

Most of the entities that comprise the System are tax-exempt organizations and not subject to federal or state income taxes in accordance with Section 501c3 of the Internal Revenue Code. On such basis, they will not incur any liability for income taxes, except for possible unrelated business income. AHS, BCHS, PHIC, HPN, and TMHS are organizations subject to federal and/or state income taxes. The System does not have any material uncertain tax positions as of December 31, 2023 and 2022.

XI 2D

This amount consists of the following items that were recorded as revenue on the Audited Financial Statements but not reported as such on the Form 990. Defined benefit cost 15,703, Non-Controlling Interest Expense 50,597, and Provisions for Doubtful Accounts of 1,891,980.

XI 4B

The amount on line 4b consists of 11,469 of rental expenses that are recorded as an offset to revenue on the Form 990 as well as 74,108 gift shop cost of goods sold that are recorded as an offset to revenue on the Form 990.

XII 2D

The amount shown on line 2d consists of 11,469 of rental expenses that are recorded as an offset to revenue on the Form 990 as well as 74,108 gift shop cost of goods sold that are recorded as an offset to revenue on the Form 990.

XII 4B

The amount shown on line 4b consists of 1,891,980 provision for doubtful accounts, 15,703 defined benefit cost, and 50,597 non controlling interest expense that is reported as an offset to revenue on the financial statements but is reported as an expense on the Form 990.

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IRS990/Form990PartVIISectionAGrp/PersonNm4Lana Rike
IRS990/Form990PartVIISectionAGrp/PersonNm5Kela Thomas
IRS990/Form990PartVIISectionAGrp/PersonNm6James Henderson
IRS990/Form990PartVIISectionAGrp/PersonNm7Mary Miller
IRS990/Form990PartVIISectionAGrp/PersonNm8Lance Rhodes
IRS990/Form990PartVIISectionAGrp/PersonNm9Marjorie Fridkin
IRS990/Form990PartVIISectionAGrp/PersonNm10Tracy Bemiller
IRS990/Form990PartVIISectionAGrp/PersonNm11Shane Grady
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IRS990/Form990PartVIISectionAGrp/PersonNm17Laura Fike
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IRS990/Form990PartVIISectionAGrp/PersonNm19Mary Alice Simpson
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IRS990/Form990PartVIISectionAGrp/TitleTxt0Director, WVUHS Chief Information Officer
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