2024-11-09T06:48:09-00:00 2023-12-31 990 2023-01-01 550383321 City Hospital Inc CITY 3042641000 2500 Hospital Drive Martinsburg WV 25401 Grover G Kerns VP of Finance 3042641000 2024-11-05 false true 2023 2024-10-15 13:58:12Z Berkeley Medical Center Grover G Kerns 121 Administrative Drive Martinsburg WV 25401 375603793 false X https://wvumedicine.org/berkeley/ X 1940 WV City Hospital, Inc. is a nonprofit acute care hospital providing high-quality health wellness services to the residents of the Eastern Panhandle of WV. 14 13 1706 22 105993 54697 1468156 1031164 327812530 370572052 1100899 939025 1394380 2331672 331775965 374873913 4424 155307 0 92254117 105674799 0 0 231730539 250269947 323989080 356100053 7786885 18773860 193945092 208760584 74867506 76000372 119077586 132760212 X The mission of City Hospital, Inc. is to provide high quality, cost effective health and wellness services to the community. Berkeley Medical Center provides these to patients in need without consideration of their ability to pay. false false 36149903 51524776 As part of the WVU Cancer Institute, the WVU Medicine University Healthcare Regional Cancer Center provides cancer care in the Eastern Panhandle of West Virginia. Our cancer program, based at City Hospital, has been accredited by the American College of Surgeons Commission on Cancer since 1992 and is a recipient of their Outstanding Achievement Award. We are proud to be among the 25 of hospitals in the country with an ACOS accredited cancer program. Quality, Compassion, Collaboration. Our comprehensive cancer program includes the Outpatient Cancer and Infusion Center, a dedicated Inpatient Oncology Unit with all private rooms, Board Certified Radiation and Medical Oncologists, Patient Navigators, Radiation Therapy, and Clinical Trials. We partner with the American Cancer Society to offer education and support to patients and their families affected by cancer. A Resource Room, located on the 1st floor of the McCormack Center on City Hospitals Campus, provides free information on various programs and services available to cancer patients and their loved ones. 31376150 149020 38505589 City Hospital Inc. is a not-for-profit hospital located in West Virginias Eastern Panhandle that provides acute care services as well as emergency and specialty patient care. City Hospital Inc. is part of WVU Medicine University Healthcare, a regional health system serving Berkeley, Jefferson and Morgan Counties, and a member of WVU Medicine/West Virginia United Health System, the states largest healthcare network. During 2023, City Hospital documented 192,329 ancillary visits and 2,076 observation visits. 30766576 40588721 City Hospital, Inc. operates a 24- hour, physician staffed emergency department with a Level III Trauma Center designation. During 2023, City Hospital documented 52,711 emergency visits. 204914125 6287 240474075 303206754 true true false true false false false false false false true false false false true true false true false false false false false false false false true true true true true true false false false false false false false false false false false false false false false true false false false true X 0 0 2311 true false false false false false false false false false false false false false X 14 13 false false false false false false false true true false false true true true true true true false false true true X Grover G Kerns 3042641000 121 Administrative Drive Martinsburg WV 25401 Albert Wright Director, CEO WVUHS 000.03 055.87 X 0 3546299 409396 Jason T White Chief CRNA 040.00 X 326916 0 41137 Sarah Harvey Asst Chief CRNA 040.00 X 317731 0 22549 Julie Barr CRNA 040.00 X 311410 0 28712 Damien Rostorfer CRNA 040.00 X 285476 0 40638 Gregg Cresswell CRNA 040.00 X 289556 0 10182 D Scott Roach Chairman 000.03 000.73 X X 0 0 0 Clarence E Martin III Director 000.03 000.73 X 0 0 0 Alice Frazier Director, Treasurer 000.03 000.73 X X 0 0 0 Lindsey Hash Director 000.03 000.73 X 0 0 0 Scott Saunders Director 000.03 000.73 X 0 0 0 Brad Wright MD Director / JMC Med Staff President 000.03 000.73 X 0 0 0 Jeffrey DeBord DO Director / BMC Med Staff President 000.03 000.73 X 0 0 0 Dawn Jones MD Director 000.03 001.47 X 0 0 0 James E Rogers Director, Secretary 000.03 000.73 X X 0 0 0 Jacqueline Long Director, Vice Chair 000.03 000.73 X X 0 0 0 Richard Thomas MD Director, CMO Eastern Division 000.03 000.73 X 0 0 0 CW Hensell III Director 000.03 000.73 X 0 0 0 Sharon Mailey PhD RN Director 000.03 000.73 X 0 0 0 1531089 3546299 552614 192 false true false Barton Malow Builders 26500 American Dr Southfield MI 480342252 Consulting Professional Fees 1412881 DVA Renal Healthcare Inc PO Box 781607 Philadelphia PA 191781607 Lab Services 740924 Insight Health Corp 5775 Wayzata Blvd Ste 400 St Louis Park MN 554161271 Staffing Services 670835 Labella Associates DPC 400 S Tryon St Ste 1300 Charlotte NC 282851105 Consulting Professional Fees 658586 Fusion Healthcare Staffing LLC PO Box 719021 Chicago IL 606777021 Staffing Services 226068 9 337669 693495 1031164 Patient Services 621110 351174098 351174098 Prescription Sales 621110 13513675 13513675 COVID Relief Funds 621110 4609172 4609172 Clinical Lab 621110 1145008 1145008 Provider Relief Funds Reserve 900099 130099 130099 370572052 1091532 105993 985539 1401221 557568 843653 843653 843653 19805 172312 -152507 -152507 -152507 Cafeteria Income 900099 558278 558278 Rebate Revenue 900099 305055 305055 GPO Admin Fee Hospital Shareback 900099 235242 235242 389444 285867 103577 1488019 374873913 371093161 105993 2643595 X 149307 149307 6000 6000 0 0 0 0 80221968 78400643 1821325 2405813 2351192 54621 16932184 16547763 384421 6114834 5976005 138829 0 153403 131846 21557 0 35785 35785 0 67787128 53460947 14326181 2034 119 1915 7290074 4667477 2622597 12550 11120 1430 0 4621369 3864758 756611 479053 403518 75535 0 35666 34132 1534 1276753 1085190 191563 56506901 29126994 27379907 10411228 8828703 1582525 2378978 1951330 427648 Medical Supplies 69857455 69857455 Provision for Doubtful Accounts 14091110 14091110 Taxes, Licenses, Fees 13398403 11105029 2293374 Recruiting 1189090 926715 262375 742967 193616 549351 356100053 303206754 52893299 0 3165 14671 57226043 57077257 60633774 68731416 5661197 5439472 1119132 1654436 201561366 127700409 65425636 73860957 1489890 1553877 2386255 428498 193945092 208760584 25617629 28607003 731919 27971 35300279 32554823 13217679 14810575 74867506 76000372 X 119077586 132695696 64516 119077586 132760212 193945092 208760584 X 18773860 1793476 -6884710 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1000000 1000000 1000000 1000000 4000000 6000000 19769 23906 32404 35785 111864 250000 250000 250000 250000 1000000 1500000 II-A 2c The amount listed is made up of the amount of West Virginia Hospital Association and American Hospital Association dues that the associations determined as attributable to lobbying expense. City Hospital, Inc., does not participate in or intervene in including publishing or distributing of statements any political campaign on behalf of or in opposition to any candidate for public office. 3807940 3807940 17636187 12990856 4645331 73444026 40588794 32855232 86404028 68841663 17562365 20269185 5279096 14990089 73860957 Financial derivatives and other financial products Closely-held equity interests Federal income taxes Accrued wages, benefits and payroll taxes 6552682 Malpractice Liability 1067758 Accrued pension benefits 15782 Accrued bond interest 118673 Due to third Party Payors 2391731 Interest Rate Swaps 205745 Self Insurance Liability 3066242 Long Term Lease Liability 1391962 14810575 X 363133847 1793476 -14091110 -12297634 375431481 -557568 -557568 374873913 342566511 557568 557568 342008943 14091110 14091110 356100053 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 Allowances for Doubtful Accounts - Patients are presented as an offset to revenue on the audited financial statements. For 990 purposes, allowances for doubtful accounts - patients totaling 14,091,110 are presented as an expense. XI 4b Per 990 revenue reporting structure, expenses related to rental income of 557,568 have been reclassified to the revenue section. XII 2d Per 990 revenue reporting structure, expenses related to rental income of 557,568 have been reclassified to the revenue section. XII 4b Allowances for Doubtful Accounts - Patients of 14,091,110 are presented as an offset to revenue on the audited financial statements, but presented as an expense for 990 reporting purposes. true true X true X false true true false true true 2149887 2149887 0.00630 76815770 38776566 38039204 0.11120 808136 607777 200359 0.00060 79773793 39384343 40389450 0.11810 189818 39260 150558 0.00040 751326 207782 543544 0.00160 1045 1045 942189 247042 695147 0.00200 80715982 39631385 41084597 0.12010 4912 4912 4912 4912 true 5292621 423702 109659375 115619866 -5960491 X true true 1 1 City Hospital Inc 2500 Foundation Way Martinsburg WV 25401 wvumedicine.org/berkeley/ 80 X X X X A A 1 false false true X X X X X X X X 22 true true false true X https//wvumedicine.org/wp-content/uploads/2023/03/bmcjmccommunityhealthneedsassessment2022.pdf true 23 true https//wvumedicine.org/wp-content/uploads/2023/05/Berkeley-Medical-Center-Jefferson-Medical-Center-C false true X 0000000200.000000000000 X X X X X true true X X true X https//wvumedicine.org/bill-pay/financial-assistance/ X https//wvumedicine.org/wp-content/uploads/2022/10/WVUHFAP-Financial-Application1020202.pdf X https//wvumedicine.org/bill-pay/financial-assistance/ X X X X X X true X false X X X X true X false true Group City Hospital, Inc. Line Part V, Section B, Line 5 The 2022 Community Health Needs Assessment was prepared by Thomas Bias, Christiaan Abildso and Emily Sarkees of the West Virginia University Health Research Center. The Community Health Needs Assessment CHNA process began with a thorough review of the previous cycles needs assessment report and implementation plan. The CHNA also involved collecting both primary and secondary data. According to the CHNA, primary data was comprised of a survey of community members perceptions of health issues followed by a community event focused on reviewing survey data, discussing community resources and assets that impact population health in the area, and working as a group to outline possible implementation strategies for each area of concern. Secondary data included US census data and County Health Rankings Data. The stakeholders represent the broad interests of the communities served by University Healthcare WVUH-East. According to the CHNA, a community meeting was held virtually to get more input from the public, especially from organizations who provide social services to individuals within the service area of University Healthcare. Representatives from these organizations held discussions in small groups to compile a working list of existing resources, programs, policies, and ideas to address each area of concern, in addition to raising questions and providing information and perspective during overall discussion of the survey data results. The CHNA stated that they also worked in their small groups and as a part of a larger discussion to formulate some new suggestions to address each health area. The organizations represented at this community meeting included Berkeley County Development Authority, Berkeley-Morgan County Health Department, Berkeley County Schools, Jefferson County Chamber of Commerce, Jefferson County Development Authority, Berkeley County Sherriffs Department, Jefferson County Parks and Recreation, Berkeley County Recovery Resource Center, Health and Human Services Collaborative, Innovative Community Solutions, James Rumsey Technical Institute, Jefferson County Chief of Police and WVU Medicine officials. The CHNA can be found here https//wvumedicine.org/east/about-us/community-health-needs-assessment/. Group City Hospital, Inc. Line Part V, Section B, Line 5 In addition to the community meeting, a public survey was also utilized. The public survey was developed by the WVU SPH with the leadership team following an iterative process. Survey topics included questions about perceptions of overall health of the community, quality of life, access to healthcare and medical needs, personal behaviors and habits, and demographic information including age, education and income. The survey was collected both online and through hard copies from residents who are 18 or older. The survey link was distributed through email lists, patient charts, social media, and made available as hard copies in the community. Group City Hospital, Inc. Line Part V, Section B, Line 6a The Community Health Needs Assessment CHNA was undertaken jointly with Jefferson Memorial Hospital. You can access the full report at this website https//wvumedicine.org/about/leadership-and-more/chna/ or by going to wvumedicine.org and type Community Health Needs Assessment in the Search tool. Group City Hospital, Inc. Line Part V, Section B, Line 11 According to the CHNA, following the community meeting, the leadership team discussed the totality of information collected through the survey and community event, working to identify priority areas for developing implementation strategies. With leadership and the community meeting group, the WVU SPH reviewed summarized survey data, including overall responses to the three most important health problems or issues. Health problems pertains to mainly clinical items such as health and disease topics however, when creating the survey tool, the hospital leadership saw value in asking about factor affecting health outcomes. For this reason, according to the CHNA, topics were grouped into three questions clinical health and disease items e.g. heart disease, addiction, cancer, quality of life and built or natural environmental factors e.g. air quality, availability of sidewalks, cost of medications, as well as things seen as personal choices or behaviors e.g. vaping, distracted driving, poor eating choices. This allowed the leadership team to cross-reference clinical items with their life factors and personal choices for a deeper understanding of the common themes, and a snapshot perspective of where in life the hospital might be able to implement strategies that will impact many. The CHNA survey results for health and disease included 1. Drug and/or alcohol use, 2. Obesity 3. Mental health problems. CHNA survey results for quality of life and environmental included 1. Cost of health care and/or medications 2. Lack of health insurance or limited health coverage 3. Limited affordable/quality housing. CHNA survey results for personal choices and risky behaviors included 1. Drug abuse 2. Excessive alcohol use 3. Lack of exercise. Group City Hospital, Inc. Line Part V, Section B, Line 11 According to the CHNA, during the prioritization process that followed the community meeting, leadership team members revisited common priority areas within the context of discussions and feedback from the morning. Utilizing a prioritization matrix to guide discussion, the group considered the degree to which the hospitals can realistically affect health outcomes for each priority health concern, endeavors already underway for each, as well as level of importance relative to the reach of their impact. The list of top health concerns was pared down and reconfigured to the three that will be the focus moving forward with implementation planning. These included substance use and mental health, obesity and co-morbid chronic disease including diabetes and cancer and access to care including transportation and cost. Group City Hospital, Inc. Line Part V, Section B, Line 11 The top health concerns identified by the stakeholders are being addressed by University Healthcare in the following ways according to the most recent CHNA. For substance use and mental health, hospital staff will be involved in the Health and Human Services Collaborative Behavioral Health Work Group and the Bridges Work Group, the hospital will implement crisis intervention training for police forces, formalize peer support CISD teams, continue with state and federal funded program and harm and stigma reduction programs. Potential strategies to combat obesity include further addressing and utilizing current partnerships and programming University Healthcare already has in place to help aid in the prevention of obesity and other chronic diseases such as the Eastern Panhandle Diabetes Coalition and the self-management programs and support groups. Lastly, to address transportation and access to care, hospital leadership is exploring transportation options and expanding access to mental health care. Group City Hospital, Inc. Line Part V, Section B, Line 11 Hospital leadership did take the time to discuss some of the issues beyond the top three identified at the community meeting. Cost of care and health insurance appear repeatedly in the community data, but the leadership team acknowledges that these are also in many ways systemic issues over which they have little control. Leadership has not discounted these issues, however, and will revisit at a later time, recognizing that potential collaborations with future partners could change the scope of their impact. Group City Hospital, Inc. Line Part V, Section B, Line 13b City Hospital offers discounted care only to individuals who qualify for free care. City Hospital offers a Prompt - Pay Discount Program - patients who have no third party coverage uninsured or uninsurable may be eligible for a 50 self-pay discount while patients who have a guarantor balance may be eligible for a 20 discount. To be eligible for either prompt pay discount, the patient/guarantor must meet certain requirements. Group City Hospital, Inc. Line Part V, Section B, Line 24 All patients are charged an amount equal to gross charges regardless of payment method. Once FAP eligibility is confirmed, charge amounts are moved to Charity Care and no longer charged to the patient. Part I Line 3c City Hospital Inc CHI uses 200 Federal Poverty Guideline to determine free care eligibility. However, City Hospital does not offer discounted care to individuals who do not qualify for free care. Part I Line 6a City Hospital, Inc. community benefit numbers are reported in total with the other hospitals within West Virginia United Health System. The most recent amounts can be found at the following web addresshttp//wvumedicine.org/about/community-benefit/. Part I Line 7 Row b - Medicaid and Other Means-Tested Government Health Programs. The amount of offsetting revenue show in Column d of 38,776,566 includes payments received from the Directed Payment Plan of 12,505,224. These payments are intended to help offset the cost of caring for the Medicaid population in 2022/2023. Inclusion of this amount follows IRS instructions for this calculation. If these payments has not been received total community benefit from Unreimbursed Medicaid would have been 50,544,428 and 14.78 of expense. Part I Line 7 Column f - Net community benefit expense for 2023 is 41,084,597 and is 12.01 of total net expenses. To calculate net expense, Provision for Doubtful Accounts - Patients 14,091,110 was deducted from total expenses of 356,100,053 as shown in Part IX line 25 of the core Form 990. Part I Line 7 Worksheet 2 from the IRS Schedule H instructions was used to derive the cost-to-charge ratio, which was used to calculate charity care at cost, unreimbursed Medicaid and other means-tested government programs at cost. Part II Physical improvements and housing - City Hospital employees spent a weekday volunteering at a local social service agency on behalf of the United Way of the Eastern Panhandle for the annual Day of Caring. Part II Economic Development - In 2023, Hospital representatives participated as members of the Berkeley County Board of Health and as board members for the Martinsburg Berkeley County Chamber of Commerce, Blue Ridge Community and Technical College, Good Samaritan Free Clinic, Berkeley County Backpack Program, and CCAP Loaves and Fishes. Part II Community Support - City Hospital supports and participates in many health related community activities such as providing judges for science fairs at the local schools and speakers for Career Days. We also support and sponsor many nonprofit organization and activities with staff such as back to school events, local awareness events, walks/race, and health fairs. Many employees serve as volunteer board of directors for community non-profit organizations such as Hospice of the Panhandle, Boys Girls Club of the Eastern Panhandle, Martinsburg Berkeley County Parks Rec., Girls on the Run, Berkeley and Jefferson County Chamber of Commerce, and the United Way of the Eastern Panhandle. Part II Environmental Improvements - 2023 marked the eighth full year for City Hospital as a tobacco free campus, by order of the Berkeley County Health Departments Clean Air Act. Part II Leadership Development and Training - At least one management representative from City Hospital participates in the Chamber of Commerces Leadership Berkeley class each year. Part II Community health improvement advocacy - In 2023, City Hospital Champions continued to work on priorities set in 2022 and started a new cycle of the CHNA process and surveyed the community to determine top priority areas to focus on for the next three years. Part II Workforce Development - City Hospital is a major sponsor of the Womens Network, which is an organization, established by the Berkeley County Chamber, which sponsors womens professional activities, social network, professional development, and womens health seminars. A representative from City Hospital also serves on the Blue Ridge Community Technical College Foundation Board. City Hospital also has agreements with area community colleges and universities to allow students to complete clinical rotations at the Hospital. City Hospital provides job shadow and summer volunteer opportunities for teens to follow health professionals and learn about careers in the health field as well as participates in school career fairs and career days in all grade levels of the school system. Human Resources and the Education Department have developed and support several healthcare related educational programs at Blue Ridge Community and Technical College, James Rumsey Technical Institute, and Shepherd University. Programs include medical and assistant lab training, surgical technician training, and nursing. Part II Coalition building - City Hospital staff participates in the Health Human Services Collaborative and workgroups such as the Health Work Group and Behavioral Health Workgroup. These activities focus on improving community access to health care, human services in general, and determine ways to encourage healthy lifestyles. City Hospital also leads the community coalition, Healthy Berkeley, and supports several community health events such as health fairs and screenings. Staff also participate in other community coalitions such as Health and Human Services Collaborative, Tri-State Collaborative, We CARE, The Martinsburg Initiative, Jefferson-Berkeley Alliance, Eastern Panhandle Diabetes Coalition, Promise Neighborhood Initiative, Try This WV, and Panhandle Senior Network. Part II Health programs are also offered free to the community. In 2023, the Walk with Ease program as well as the Chronic Disease, Chronic Pain and Diabetes Self-Management Programs were offered virtually and in-person. Part III Line 2 Bad Debt Expense at cost was calculated by multiplying bad debt expense - patients of 14,091,110 by our cost-to-charge ratio of 37.56 derived from Worksheet 2 in the IRS Schedule H instructions for a total of 5,292,621. Part III Line 3 Estimated bad debt attributable to patients eligible for charity care was calculated by running a report within our patient revenue software of all bad debt account balances greater than 25,000. The total of that report was 1,128,067 which was then multiplied by the cost-to-charge ratio of 37.56 for a total of 423,702. Part III Line 3 We feel that, at a minimum, the estimated bad debt attributable to patients eligible for charity care of 423,702 should be considered community benefit due to the fact that a patient with an outstanding balance of 25,000 or greater usually qualifies as catastrophic if the patient completes the application process. In our Charity Care policy, we define catastrophic care as any illness or injury that will likely require continuous or frequent treatment for more than one year. Part III Line 4 Patient accounts receivables are primarily paid by federal and state governmental authorities under the Medicare and Medicaid programs, managed health plans, commercial insurance companies, workers compensation programs, employers and patients. Patient accounts receivable are reported at net realizable value. For accounts receivable associated with services provided to patients who have third-party coverage, the System estimates net realizable value based on the estimated contractual reimbursement percentage, which in turn is based on current contract provisions and historical paid claims by payor. For self-pay accounts, including uninsured and patient responsibility accounts, the net realizable value is determined using historical collection experience, adjusted for estimated conversions of patient responsibility portions, expected recoveries and changes in trends to estimate implicit price concessions. The System does not believe there are any significant concentrations of revenues from any particular payor that would subject the System to any significant credit risks in the collection of patient accounts receivable. Management continually reviews the estimated net realizable value of accounts receivable by monitoring cash collections, economic conditions and trends, changes in payor mix, changes in federal or state healthcare coverage and other matters. Changes in general economic conditions, patient accounting service center operations, payor mix, payor claim processing could affect collections of accounts receivable, cash flows and results of operations. Part III Line 4 The System performs periodic assessments to determine if an allowance for expected credit losses is necessary. The System considers its incurred loss experience and adjusts for known and expected events and other circumstances. In estimating its expected credit losses, the System may consider changes in the length of time its receivables have been outstanding, changes in credit ratings for payors, requests from payors to alter payment terms due to financial difficulty, and notices of payor bankruptcies or payors entering receivership. Because the Systems accounts receivable is typically paid for by highly solvent, creditworthy payors, such as Medicare, Medicaid, other governmental programs, and highly regulated commercial insurers on behalf of the patient, the Systems credit losses are immaterial to the consolidated financial statements. Part III Line 4 The mix of accounts receivable at December 31, 2023 and 2022, from patients and third-party payors is as follows For the year-end December 31, 2023 Medicare - 25, Medicaid - 13, Blue Cross - 21, Commercial, managed care and other - 39, Patients - 2, totaling 100. For the year-end December 31, 2022 Medicare - 27, Medicaid - 16, Blue Cross - 19, Commercial, managed care and other - 35, Patients - 3, totaling 100. Part III Line 8 Part III Line 6 was calculated using total cost from the Medicare Cost Report less Medicare reimbursement of direct GME. City Hospitals shortfall of 5,960,491 on Medicare program should be considered a community benefit because we are relieving a government burden by providing care in excess of our cost to these patients. Part III Line 9b City Hospital does have a debt collection policy. When a patient has been approved for financial assistance under our charity care policy, they will not be sent to bad debt. Additionally, if a patient is being evaluated for charity, the patient will not be sent to bad debt agency pending charity guarantor status until the pending status has been finalized approved/denied. All other patients with outstanding balances will be processed through billing and collections pursuant to our Financial Policy. Part VI Line 2 City Hospital, Inc. is a part of WVU Hospitals - East, a healthcare delivery system serving the Eastern Panhandle of WV. The WVUH-East marketing department considers several components in assessing how the organization determines the need of the communities it serves. Through outside consultants to collaborating with various departments, a needs assessment takes into account several factors including physicians to population rations, physician availability in the entire service area, and general health risks for our community. The Primary Service Area PSA for WVUH - East includes Berkeley County, WV, Jefferson County, WV and Morgan County, WV. This data is then analyzed to provide general estimates to where WVUH - East entities could better care for residents of the West Virginia Eastern Panhandle. Part VI Line 3 City Hospital employs four financial analysts to meet with patients to discuss financial eligibility for our charity care program. City Hospital has the qualification requirements, as well as, applications for charity care available at all registration areas. Patients that do not qualify for state or federally funded programs can apply for the charity care program at City Hospital. Part VI Line 4 City Hospital is a non-profit acute care hospital located in Berkeley County, WV in the city of Martinsburg, WV. Martinsburg is the largest city in the Eastern Panhandle. City Hospital along with Jefferson Memorial Hospital located in Ranson, West Virginia makes up WVU Hospitals - East, which is a part of the West Virginia United Health System. Part VI Line 4 WVU Medicine provides a majority of inpatient services 51.1 for the population in our Primary Service Area PSA. For Berkeley Medical Center, the PSA consists of Berkeley County, WV, Jefferson County, WV and Morgan County. The 2022 market share for Berkeley Medical Centers Primary Service Area is 44.4 with 22.9 of those patients covered by Medicaid and 3.6 uninsured. Jefferson Medical Center, a non-profit critical access hospital under common management, is located within the Primary Service Area and War Memorial Hospital, a non-profit critical access hospital, operated by Valley Health System, is located in the extended service area of Morgan County, WV. Part VI Line 4 Berkeley County has an estimated population of 132,440, a median household income of 73,619, an employment rate of 66.1, 11.1 living in poverty and 7.2 of individuals without healthcare coverage. Jefferson Countys estimated population is 59,787 with a median household income of 93,744, an employment rate of 63.3, 9.3 living in poverty and 6.4 of individuals without healthcare coverage. Morgan County has an estimated population of 17,649 with a median household income of 61,021, an employment rate of 56.1, 15.7 living in poverty and 7.6 of individuals without healthcare coverage. Population and demographic information was obtained from the United States Census Bureau https//www.census.gov/quickfacts. Part VI Line 5 City Hospital board of directors is a community board, with thirteen of the fourteen members living in or around Martinsburg, WV. The remaining board member lives in Morgantown, WV and has connections with CHI through the West Virginia United Health System. Having members living outside our PSA allows us to be more aware of the healthcare needs in other areas of West Virginia. None of the board members are employees or contractors of the filing organization, or family members thereof. Part VI Line 5 City Hospital extends privileges to all qualified medical staff in Berkley County and surrounding communities to meet its healthcare needs. Part VI Line 5 City Hospital allocates available funding to capital purchases and expanded services to improve patient care, support medical education in Berkeley County and surrounding counties in West Virginia and bordering states. Part VI Line 5 4. In 2009, City Hospital began offering discounted screening in response to a struggling economy. Recognizing that individuals were putting off scheduling routine, preventive testing, such as blood work, discounted FIT Kits, were offered. In 2023, The Rotary Health Fair, held was held in August. The screening provided a full blood work-up at cost. Nearly 270 individuals took advantage of these screenings. Part VI Line 5 City Hospital offers many educational programs to the community such as Diabetes Awareness Month events. Part VI Line 6 City Hospital, Inc is a part of the WV United Health System WVUHS. WVUHS is a not-for-profit corporation formed to serve as part of an integrated health science and healthcare delivery team. WVUHS serves as the parent corporation to an affiliated group of healthcare providing entities. The strategic plan of the System states intent to build a regional health care delivery system in its service areas, while offering a variety of options for providers who want to participate. The System maintains a demonstrated commitment to assist rural communities in preserving and improving the health care available to the patients it serves. Part VI Line 6 System management is focused on recruitment of staff and employees to meet the growing needs of the aging population in the Systems service areas. System hospitals include West Virginia University Hospitals, Inc. in Morgantown, WV, United Hospital Center in Bridgeport, WV, Camden-Clark Memorial Hospital in Parkersburg, WV, City Hospital, Inc. in Martinsburg, WV, Jefferson Memorial Hospital in Ranson, WV, Potomac Valley Hospital in Keyser, WV, St. Josephs Hospital of Buckhannon, Inc. in Buckhannon, WV, West Virginia Healthcare Cooperative, doing business as, Summersville Regional Medical Center in Summersville, WV, Braxton County Memorial Hospital in Gassaway, WV, Community Health Association, doing business as, Jackson General Hospital in Ripley, WV, Reynolds Memorial Hospital in Glen Dale, WV, Wetzel County Hospital in New Martinsville, WV, Barnesville Hospital Association in Barnesville, OH, Uniontown Hospital in Uniontown, PA, Wheeling Hospital, Inc. in Wheeling, WV, Harrison Community Hospital, Inc. in Cadiz, OH, GRMC, Inc. in Oakland, MD, Princeton Community Hospital Association, Inc. in Princeton, WV, Herbert J. Thomas Memorial Hospital Association, doing business as, Thomas Memorial Hospital in South Charleston, WV, Charleston Hospital, Inc., doing business as, St. Francis Hospital in Charleston, WV, and Grant Memorial Hospital, Inc. in Petersburg, WV. Part VI Line 6 In addition to the above mentioned hospitals, the System includes physician practices of United Physicians Care, Inc., Camden-Clark Physician Corp, and Fayette Physician Network dba WVUHS Medical Group that operate in conjunction with the System hospitals along with United Summit Center, Inc. a behavioral health center located in Clarksburg, WV. The System also includes, WVUH-East, Inc. and Camden-Clark Health Services, Inc. which operate as management companies for their respective hospitals. University Healthcare Foundation, Inc. in Martinsburg, WV, United Health Foundation, Inc. in Bridgeport, WV, Camden-Clark Foundation, Inc. in Parkersburg, WV, St. Josephs Foundation of Buckhannon, Inc. in Buckhannon, WV, Reynolds Memorial Foundation, Inc. in Glen Dale, WV, Barnesville Hospital Foundation in Barnesville, OH, and Harrison Community Hospital Foundation in Cadiz, OH which perform various fundraising activities for their respective hospitals. In 2020, the System formed WVUHS Home Care, LLC to provide Home Health and Hospice services to our service areas, supporting System hospitals by providing continuous care to our patients. Wheeling Hospital Ambulatory Surgical Center, LLC a surgical center located in Bridgeport, OH was acquired in 2021. true West Virginia University Research Corporation 886 Chestnut Ridge Road Morgantown WV 26506 550665758 501c3 149020 FMV Research to Improve Health Outcomes in WV 1 Scholarships 2 6000 FMV Part I Line 2 City Hospital, Inc. does not monitor the use of funds given as grant, sponsorship or support payments. However, City Hospital, Inc. is familiar with the work of the organizations obtaining these payments. false true false false false false true true false Albert Wright Director, CEO WVUHS 1557697 1934594 54008 377657 31739 3955695 Gregg Cresswell CRNA 267720 21500 336 9840 342 299738 Jason T White Chief CRNA 324436 1500 980 12203 28934 368053 Julie Barr CRNA 295543 13500 2367 10858 17854 340122 Sarah Harvey Asst Chief CRNA 315829 1500 402 11598 10951 340280 Damien Rostorfer CRNA 271629 13500 347 10164 30474 326114 Part I Line 7 Incentive and bonuses are based on goals and productivity measures that are not contingent on revenue. Part I Line 4b During 2023, individuals were able to defer compensation under a nonqualified plan. The amounts reported here are included in Part II Column C of the Schedule J. Albert Wright received deferred contributions of 362,807 from related party, West Virginia United Health System. Column C can and does include amounts that were contributed as a part of the standard retirement package if it was available to the employee during the year. Part I Line 6b Per the WVUHS Incentive Plan incentives are contingent on meeting a net earnings target. A West Virginia Hospital Finance Authority 621256910 000000000 2012-08-01 19125342 2012 C - Refund 2008 D Bond false false false B West Virginia Hospital Finance Authority 621256910 956622L85 2016-06-15 18054350 2016 A - Refund 2008 E 2009 C Bonds false false false C West Virginia Hospital Finance Authority 621256910 956622P32 2018-08-01 31624651 2018 E - Refund 2012 E Bonds false false false A 10323018 19125342 80460 19044882 2008 true false true true B 2914688 18054870 139271 17914558 2016 true true true true C 10771823 31708527 221774 31402877 2008 true false true true A false true true true true true false false true B false true true true true true false false true C false true true true true true false true 0.02040 true true A false true false false true false false false true B false true false false false false true Cantor Fitzgerald true false true C false false true false false false false false true A true B true C true Part I Line A Prior to 2022 filings - West Virginia University Hospitals, Inc. WVUH as parent company to City Hospital, Inc., The Charles Town General Hospital dba Jefferson Medical Center, and University Healthcare Foundation, Inc., reported bond issuances allocated to WVUH subsidiaries. During 2022 corporate organizational documents updated the structure of the West VIrginia United Health System as a result City Hospital will be reporting bond issuances allocated to them going forward. All other members of the obligated group will be reporting issuances allocated to them. Several bond issuances were issued in multiple series and each series is reported in this tax return separately. For each series identified in Schedule K, Part I, the taxpayer will reconcile the series amount reported in this tax return and the tax return filed by other members of the obligated group to the applicable 8038 filed with the IRS for each bond issuance. Part I Line A The 2012 Series C Bonds issue price 23,770,000 were issued collectively with 2012 Series A Bonds issue price 38,145,000 and 2012 Series B Bonds issue price 50,080,000 totaling 111,995,000 total issue price for all three series reported on Form 8038 for August 1, 2012 issuance. The full Series A Bonds were allocated to United Hospital Center UHC and were refunded with tax-exempt bonds in 2018 that is reported on the UHC Schedule K. The full Series B Bonds were allocated to Camden-Clark Medical Center CCMC and were refunded with taxable debt in 2015. The 2012 C Bonds were allocated to City Hospital 80.46 The Charles Town General Hospital dba Jefferson Medical Center 9.65, and University Healthcare Foundation, Inc. 9.89. Part I Line B The 2016 A Bonds were issued on behalf of the West Virginia United Health System Obligated Group with an issue price of 288,869,596 per Form 8038. The 2016 A Bonds were issued to refund certain outstanding bonds. Per internal allocations the 2016 A issuance issue price 119,678,674 was allocated between WVUH and City Hospital. The proceeds allocated to WVUH, 101,624,324, were used to refund the 2003D, 2008E, and 2009C issuances as an advanced refundings and are reported on the WVUH Schedule K. The proceeds allocated to City Hospital, 18,054,350, were used to refund 2008E as advanced refundings and are reported on this Schedule K. The remaining proceeds from this issuance are reported on Form 990 for CCMC and UHC. Part I Line C The 2018 Series E Bonds issue price 57,910,000 were issued collectively with 2018 Series C Bonds issue price 56,880,000 and 2018 Series D Bonds issue price 23,680,000 totaling 138,470,000 total issue price for all three series reported on Form 8038. The 2018 E Series was allocated between City Hospital, Inc 54.61 and Jefferson Medical Center 45.39. The Series C Bonds were allocated to CCMC and will be reported on its Schedule K. The Series D Bonds were allocated to UHC and will be reported on its Schedule K. Part II Line 3 The amount reported in Line 3 Column B and C are greater than the amount of bonds issued as a result of a balance that remained in the debt service fund. These amounts funds will be applied to future payments of principal and interest. Part IV Line 2c Column A - A rebate calculation was prepared for the issuance date through August 1, 2022. The report indicates that no rebate is due. The next computation date is August 1, 2027. Column B - A rebate calculation was prepared for the issuance date through June 15, 2021. The report indicates that no rebate is due. The next computation date is June 15, 2026. Column C - A rebate calculation was prepared for the issuance date through July 31, 2023. The report indicates that no rebate is due. The next computation date is July 31, 2028. Form 990, Part III, Line 4d Program Service Expenses 15,522,497, Grants and allocations 0, Revenue 16,673,298 City Hospitals Obstetrics and Gynecology services have expanded to include the Birthing Center Mother Baby Unit, offering family centered obstetric services, includes five home like suites with private bathrooms where labor and delivery occur, and the Mother Baby postpartum area which includes 11 private rooms. The Birthing Center Mother Baby Unit has earned Perinatal Care Certification from The Joint Commission, recognizing City Hospitals commitment to healthy mothers and healthy babies. City Hospital is also certified by Cribs for Kids as a National Safe Sleep Hospital. City Hospital is one of 21 hospitals in West Virginia participating in YES to Safe Sleep for Babies, and has received the West Virginia Perinatal Partnerships First Baby Initiative with one of the lowest primary C-section rates in West Virginia. In 2023, there were 1,828 obstetrics and gynecology days and 193 observation days. Form 990, Part III, Line 4d Program Service Expenses 14,677,514, Grants and allocations 0, Revenue 17,513,198 The surgery department at City Hospital, Inc. is staffed by specialists and general surgeons offering the latest in surgical techniques including laparoscopic procedures, lithotripsy, and same day-ambulatory surgery. Same day surgery visits for 2023 totaled 10,553. Form 990, Part III, Line 4d Program Service Expenses 174,714,114, Grants and allocations 6,287, Revenue 206,287,579 In addition to primary and specialty patient care services, City Hospital, Inc. serves as a clinical education site for West Virginia University, the WV School of Osteopathic Medicine and other regional universities and community colleges. The Erma Byrd Health Professions Education Center, which houses the WVU Robert C. Byrd Health Sciences Center-Eastern Division, is also located on the City Hospital, Inc. campus. As part of a unified health system, the focus of City Hospital, Inc. and its sister organization Jefferson Medical Center, is on growth to enhance and add new health services in Berkeley and Jefferson Counties. Form 990, Part III, Line 4d Program Service Expenses 0, Grants and allocations 0, Revenue 0 Achieving the Joint Commissions Gold Seal of Approval for Total Hip and Knee Replacement Surgery is a testament to the level of care patients are receiving from orthopaedic surgeons practicing at City Hospital. The Gold Seal ensures compliance with standards of care specific to the needs of patients, including infection prevention and control, leadership and medication management. Form 990, Part III, Line 4d Program Service Expenses 0, Grants and allocations 0, Revenue 0 In December of 2017, the WVU Heart Vascular Institute HVI was expanded to City Hospital. This expansion intends to improve access to cardiac care for individuals living in the Eastern Panhandle of West Virginia. HVI - Martinsburg is comprised of seven board-certified cardiologists. These cardiologists offer a variety of services including but not limited to interventional cardiology, abdominal ultrasound, stress testing, ankle-brachial index/pulse volume recording ABI/PVR, rhythm management and valvular assessment. Form 990, Part VI, Section B, Line 11a The Form 990 is prepared by the WVUHS tax department and then reviewed by the non-profit tax manager of our independent tax firm and West Virginia University Hospitals- East, Inc. WVUH-East Vice President of Finance. After gaining approval from the VP of Finance, it is then presented to all of 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 Annually, all board members, vice presidents, officers, and managers are required to disclose any relationships which may give rise to a conflict of interest. These reponses are processed and maintained by the WVUH-East Compliance Committee. All board members are to be willing to identify conflicts of interest and abstain from voting when appropriate. Form 990, Part VI, Section C, Line 19 All financial and governing documents including the conflict of interest policy are retained onsite and are made available to the public upon request. Form 990, Part IX, Line 11g Other Service Expenses includes Consulting Professional fees of 13,013,287 which 8,885 is considered program service expense and 13,004,402 is considered management and general expense Contracted Labor fees of 52,928,067 which 51,606,288 is considered program service expense and 1,321,779 is considered management and general and Lab fees of 1,845,774 all of which is considered program service expense. Form 990, Part XI, Line 9 Other changes in net assets or fund balance includes 6,477,286 of related organization capitalization, 64,516 Change in Temporarily Restriced Net Assets,471,942 JOA Contribution to SOM, and 2 Rounding. Form 990, Part VI, Section B, Line 15 a b 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. 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 A, Line 6 During 2022, Amended and Restated Articles of Incorporation were filed for City Hospital, Inc.. The amended articles state The Corporation shall have one class of members and its sole member shall be West Virginia University Hospitals - East, Inc.. a West Virginia nonprofit organization and an organization exempt from federal income tax pursuant to Section 501c3 of the Internal Revenue Code. Form 990, Part VI, Section A, Line 7a As the sole member, West Virginia University Hospitals - East, Inc., shall have the sole right to vote at any meeting of the members of the Corporation and shall have all rights granted to members of nonstock, nonprofit coprorations by the laws of the State of West Virginia. 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. West Virginia United Health System PO Box 8034 Morgantown WV 26506 550754713 Healthcare Access WV 501C3 12 Type I N/A false West Virginia University Hospitals Inc PO Box 8034 Morgantown WV 26506 550643304 Patient Care WV 501C3 3 WV United Health System false West Virginia University Hospitals East 121 Administrative Drive Martinsburg WV 25401 202337985 Healthcare Access WV 501C3 12a WV United Health System false Jefferson Memorial Hospital 300 South Preston St Ranson WV 25438 550359755 Patient Care WV 501C3 3 West Virginia University Hospitals - East Inc false University Healthcare Foundation Inc 121 Administrative Drive Martinsburg WV 25401 311118075 Hospital Support WV 501C3 12 Type I West Virginia University Hospitals - East Inc false United Health Foundation Inc 327 Medical Park Drive Bridgeport WV 26330 550621706 Hospital Support WV 501C3 12 Type I United Hospital Center Inc false United Hospital Center Inc 327 Medical Park Drive Bridgeport WV 26330 550525724 Patient Care WV 501C3 3 WV United Health System false United Physicians Care Inc 686 South Pike Street Shinnston WV 26431 550638563 Patient Care WV 501C3 3 United Hospital Center Inc false United Summit Center 6 Hospital Plaza Clarksburg WV 26301 550752788 Behavioral Health WV 501C3 3 West Virginia University Hospitals Inc false West Virginia Health Care Cooperative Inc 400 Fairview Heights Rd Summersville WV 26651 550650441 Patient Care WV 501C3 3 WV United Health System false Camden-Clark Memorial Hospital 800 Garfield Ave Parkersburg WV 26101 311524546 Patient Care WV 501C3 3 Camden-Clark Health Services false Camden-Clark Health Services 800 Garfield Ave Parkersburg WV 26101 550769602 Healthcare Access WV 501C3 12 Type I WV United Health System false Camden-Clark Foundation 800 Garfield Ave Parkersburg WV 26101 550667789 Hospital Support WV 501C3 7 Camden-Clark Health Services false Camden-Clark Physician Corp 604 Ann Street Parkersburg WV 26101 264058719 Patient Care WV 501C3 3 Camden-Clark Health Services false Potomac Valley Hospital of W Va Inc 100 Pin Oak Lane Keyser WV 26726 550420956 Patient Care WV 501C3 3 WV United Health System false St Joseph's Hospital of Buckhannon Inc 1 Amalia Drive Buckhannon WV 26201 550356996 Patient Care WV 501C3 3 WV United Health System false Reynolds Memorial Hospital 800 Wheeling Ave Glen Dale WV 26038 550357045 Patient Care WV 501C3 3 WV United Health System false Reynolds Memorial Foundation 800 Wheeling Ave Glen Dale WV 26038 550710402 Hospital Support WV 501C3 12 Type I Reynolds Memorial Hospital Inc false St Joseph's Foundation of Buckhannon Inc 1 Amalia Drive Buckhannon WV 26201 550727650 Hospital Support WV 501C3 12 Type II St Joseph's Hospital of Buckhannon Inc false Braxton County Memorial Hospital 100 Hoylman Drive Gassaway WV 26624 550611919 Patient Care WV 501C3 3 WV United Health System false Community Health Association 122 Pinnell Street Ripley WV 25271 550462730 Patient Care WV 501C3 3 WV United Health System false Wetzel County Hospital Inc 3 East Benjamin Drive New Martinsville WV 26155 843480493 Patient Care WV 501C3 3 WV United Health System false WVUHS Home Care LLC PO Box 8059 Morgantown WV 26506 852915642 Home Health and Hospice WV 509a2 WV United Health System false Uniontown Hospital 500 West Berkeley Street Uniontown PA 15401 250965588 Patient Care PA 501C3 3 WV United Health System false Fayette Physician Network Inc 500 West Berkeley Street Uniontown PA 15401 455440305 Patient Care PA 501C3 3 WV United Health System false Wheeling Hospital Inc 1 Medical Park Wheeling WV 26003 550357057 Patient Care WV 501C3 3 WV United Health System false Harrison Community Hospital 951 E Market Street Cadiz OH 43907 341571750 Patient Care OH 501C3 3 WV United Health System false Barnesville Hospital Association 639 W Main Street Barnesville OH 43713 340719172 Patient Care OH 501C3 3 WV United Health System false Belmont Community Hospital 4697 Harrison Street Bellaire OH 43906 340714643 Patient Care OH 501C3 3 Wheeling Hospital Inc false Medical Park Foundation 1 Medical Park Wheeling WV 26003 550744690 Church WV 501C3 1 Wheeling Hospital Inc false Self Insurance Trust Agreement of Wheeling Hospital Inc 1 Medical Park Wheeling WV 26003 550676674 Insurance WV 501C3 12 Type I N/A false GRMC Inc 251 North Fourth Street Oakland MD 21550 871846814 Patient Care MD 501C3 3 WV United Health System false Grant Memorial Hospital Inc 117 Hospital Drive Petersburg WV 26847 881740605 Patient Care WV 501C3 3 WV United Health System false Herbert J Thomas Memorial Hospital Association 4605 MacCorkle Ave SW South Charleston WV 25309 550404900 Patient Care WV 501C3 3 WV United Health System false Charleston Hospital Inc 333 Laidley St Charleston WV 25301 611272692 Patient Care WV 501C3 3 Thomas Health System Inc false Princeton Community Hospital Association 122 Twelfth Street Princeton WV 24740 550483245 Patient Care WV 501C3 3 WV United Health System false Princeton Community Hospital Foundation Inc PO Box 1369 Princeton WV 24740 550694209 Support WV 501C3 12 A Type I Princeton Community Hospital Association false Thomas Health System Inc 4605 MacCorkle Ave SW South Charleston WV 25309 260440674 Patient Care WV 501C3 3 WV United Health System false THS Physician Partners Inc 4605 MacCorkle Ave SW South Charleston WV 25309 454395947 Patient Care WV 501C3 3 Thomas Health System Inc false Welch Medical Center Inc PO Box 8034 Morgantown WV 26506 921990757 Patient Care WV 501C3 3 WV United Health System false WVUHS Specialty Pharmacy Services Inc PO Box 8034 Morgantown WV 26506 872740836 Patient Care WV 501C3 3 WV United Health System false Ohio Valley Health Corporation 222 Nicolette Rd Parkersburg WV 26104 922553803 Patient Care WV 501C3 3 Camden-Clark Health Services false Allied Health Services Inc PO Box 782 Morgantown WV 26507 550652017 Linen Services WV N/A C Corp false false false true false false false false false false false true true false false false true true false 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