Fulton County Medical Center

Nonprofit profile at a glance

EIN
231401561
IRS 990 coverage
2009–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024, Form 990-T 2022
Location
McConnellsburg, PA, US
Phone
717-485-3155
Rating
84
Verdict
STRONG
Rating confidence
Standard
Sector
Hospital, General

Official website

Reported finances

Revenue
$59,030,879
Expenses
$60,974,209
Assets
$66,612,683
Liabilities
$56,579,092

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

24 people listed

Executive titles in this filing

  • Michael Makosky (CEO)

Highest reported compensation

  • Dr Douglas Stern (Director/Chief of Medical Staff): $895,516 total reported compensation
  • Tung Nguyen (ER Physician): $844,366 total reported compensation
  • Jeffery Mandak (Cardiologist): $666,785 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

To provide exceptional health care close to home.

What it reported doing in 2024

Fulton 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 2025: July 9, 2024: FCMC earned program accreditation from the American Academy of Sleep Medicine, demonstrating its commitment to the provision of high-quality care for people who have sleep problems. AASM accreditation is the gold standard for sleep care, giving patients confidence and peace of mind when they seek help for a sleep disorderJuly 22, 2024: FCMC expanded ultrasound imaging hours. FCMC Imaging extended ultrasound imaging hours to better serve the community. The new hours will be from 7:00 a.m. to 5:30 p.m., with additional appointments available throughout the day. August 1, 2024: The Fulton County Medical Center, Tri-State Community Health Center, and the Fulton County Family Partnership have announced the launch of their collaborative community health needs assessment survey. This survey, which is conducted once every three years, is aimed at helping health and human service agencies make informed decisions about programs and services that will benefit the community. August 19, 2024 : FCMC Recognized for Supporting Organ Donation - The Fulton County Medical Center was honored with a Platinum designation through The Hospital and Healthsystem Association of Pennsylvania's (HAP) 2024 Donate Life Pennsylvania Hospital Challenge. FCMC was also awarded with Gold Recognition through the Health Resources and Services Administration (HRSA) DoNation Campaign which unites America's workforce for organ, eye, and tissue donation. September 4, 2024: The Wilbur C. and Betty Lea Henderson Clinical Education Suite & Wellness Center at FCMC in McConnellsburg celebrated the enrollment of its 1000th member just one year after opening. Carol Tebo was the lucky 1000th member September 4, 2024: Cody Grace join the Emergency Department as a full-time physician. September 18, 2024: FCMC imaging sponsored mammograms and massages, which invites women to take a moment for themselves. Get annual screening mammogram and get treat treated afterward with a massage, light refreshments, and a pink cross-body gift bag. Leave with peace of mind knowing you've taken a proactive role in your healthcare. November 18, 2024: The FCMC Board of Directors held its annual public meeting at 7:00 p.m., in the iCare Lounge at the FCMC campus. December 30, 2024: Fulton County Medical Center has been awarded a three-year term of accreditation in magnetic resonance imaging (MRI) as the result of a recent review by the American College of Radiology (ACR). MRI is a noninvasive medical test that utilizes magnetic fields to produce anatomical images of internal body parts to help physicians diagnose and treat medical conditions. January 24, 2025: FCMC earned its 2024 Performance leadership award from the Chartis center for rural health for excellence in Quality of Care. Compiled by The Chartis Center for Rural Health, the Performance Leadership Awards recognize top quartile performance (i.e., 75th percentile or above) among rural hospitals in Quality, Outcomes and/or Patient Perspective. April 8, 2025 : FCMC Imaging department expanded its services with the addition of the Horizon bone densitometry system from Hologic. The imaging technology of the Horizon DXA system provides superb image quality with advanced diagnostic tools to support early detection and treatment of osteoporosis. June 5, 2025 : FCMC hosted 12th annual summer kick-off your drug-free summer health fair geared toward kids. Hundreds of kids and over 25 vendors set up on campus to provide kid friendly activities and education. June 20, 2025 : FCMC employee led RAK (Random Acts of Kindness) committee hits $10,000 mark raising funds for those in need in the commun

Operating model

Revenue model
Earned-program. 87% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 99% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Expenses are high relative to revenue and some filing-based governance responses are negative or unanswered.

Rating breakdown

  • Financial Efficiency: 83
  • Transparency & Controls: 88
  • Accountability: 91
  • Sustainability: 23
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 82.7%; rating input score 83
  • Program expense ratio: 82%; rating input score 82
  • Fundraising efficiency: $217.92 raised per $1 spent on fundraising; rating input score 90; 90th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
  • Pay-setting controls: 3 of 6 controls in place; rating input score 50
    • Compensation committee: Pass
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 100%; rating input score 100; 77th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 91.7%; rating input score 92; 40th percentile among comparable filings
  • Governance controls: 8 of 9 controls in place; rating input score 89
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Fail
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -3.3%; rating input score 16; 16th percentile among comparable filings
  • Total-asset coverage ratio: 1.09; rating input score 43; 43rd percentile among comparable filings
  • Liabilities to assets ratio: 0.85; rating input score 15; 15th percentile among comparable filings
  • Officer compensation ratio: 7.1%; rating input score 7; 7th percentile among comparable filings

Growth

  • Program expense growth: 2.3% per year; rating input score 100; 17th percentile among comparable filings
  • Revenue growth: 4% per year; rating input score 100; 32nd percentile among comparable filings
  • Asset growth: 2.2% per year; rating input score 100; 16th percentile among comparable filings

Details

  • What they do: 9 programs and campaigns described on the official site · 1 operating location identified
  • Where the money goes: 82.7% of revenue deployed · 82% of spending went to programs
  • Governance: 11 of 12 board members independent · 8 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $50M in reported program spending
  • Leadership: top reported pay $896K · 24 people listed · 3 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $3.1M reported
  • Consistency: 34 of 34 current checks pass
  • Schedules: 9 filed schedules · includes major donors, grants, executive pay, and related organizations
  • Filing history: 16 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 10 filed money-flow records
  • Related organizations: 2 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.
  • Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

Grant-readiness screening is separate from the live rating, not a measure of program quality. Review the source records before making a grant decision.

  • High — Sustainability: Operating margin scored 16/100.
  • Review — Accountability: Governance controls: Form 990 shared with the board not reported.
  • Moderate — Sustainability: Total-asset coverage ratio scored 43/100.
  • High — Sustainability: Officer compensation ratio scored 7/100.
  • High — Sustainability: Liabilities to assets ratio scored 15/100.
  • High — Grant Readiness: Federal audit findings: this organization reported findings in its latest federal Single Audit.