STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

ST JOSEPHS HOSPITAL OF BUCKHANNON INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
ST JOSEPHS HOSPITAL OF BUCKHANNON INC (EIN 55-0356996)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-14
IRS object ID
202413199349311291
Schema version
2023v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-11-14T03:14:37-00:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN550356996EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1St Joseph's Hospital of Buckhannon IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTJOBusinessNameControlTxt
Phone3044732000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 Amalia DriveAddressLine1Txt
CityBuckhannonCityNm
State AbbreviationWVStateAbbreviationCd
ZIP26201ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonIvar GjolbergPersonNm
Person TitlePresidentPersonTitleTxt
Phone3044732000PhoneNum
Signature2024-11-14SignatureDt
Discuss With Paid PreparerfalseDiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerIvar GjolbergPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 Amalia DriveAddressLine1Txt
CityBuckhannonCityNm
State AbbreviationWVStateAbbreviationCd
ZIP26201ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$121,852,766GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresshttps://wvumedicine.org/st-josephs-hospital/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1989FormationYr
Legal Domicile StateWVLegalDomicileStateCd
Activity Or MissionWe are inspired by the love of Christ to provide our community with quality health care in ways that respect the God-given dignity of each person and the sacredness of human life.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee613TotalEmployeeCnt
Total Volunteers36TotalVolunteersCnt
Total Gross UBI$186,048TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$91,359NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$273,889PYContributionsGrantsAmt
CY Contributions Grants$418,306CYContributionsGrantsAmt
PY Program Service Revenue$102,534,024PYProgramServiceRevenueAmt
CY Program Service Revenue$113,318,511CYProgramServiceRevenueAmt
PY Investment Income$893,528PYInvestmentIncomeAmt
CY Investment Income$1,709,796CYInvestmentIncomeAmt
PY Other Revenue$3,964,412PYOtherRevenueAmt
CY Other Revenue$6,296,336CYOtherRevenueAmt
PY Total Revenue$107,665,853PYTotalRevenueAmt
CY Total Revenue$121,742,949CYTotalRevenueAmt
PY Grants And Similar Paid$10,075PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$16,500CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$39,394,381PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$44,855,282CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$49,483,729PYOtherExpensesAmt
CY Other Expenses$57,281,737CYOtherExpensesAmt
PY Total Expenses$88,888,185PYTotalExpensesAmt
CY Total Expenses$102,153,519CYTotalExpensesAmt
PY Revenues Less Expenses$18,777,668PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$19,589,430CYRevenuesLessExpensesAmt
Total Assets BOY$91,199,382TotalAssetsBOYAmt
Total Assets EOY$111,191,719TotalAssetsEOYAmt
Total Liabilities BOY$30,120,926TotalLiabilitiesBOYAmt
Total Liabilities EOY$30,385,289TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$61,078,456NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$80,806,430NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWe are inspired by the love of Christ to provide our community with quality health care in ways that respect the God-given dignity of each person and the sacredness of human life.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$11,612,932ExpenseAmt
Revenue$13,872,485RevenueAmt
DescThe Physicians of St.Josephs provide healthcare to the entire family from infancy to the elderly in their family medicine department. St. Josephs family medicine department provides convenient and comprehensive care that recognizes the uniqueness of every individual who is treated. Family medicine at St. Josephs had 22,039 visits in 2023.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$11,417,995ExpenseAmt
Revenue$12,940,371RevenueAmt
DescSt. Josephs Hospital provides a wide scope of general surgery services. There were 7,120 clinic visits and 4,145 OR procedures in 2023.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$10,428,290ExpenseAmt
Revenue$17,524,438RevenueAmt
DescSt. Josephs emergency department is a level four trauma center and is open seven days per week, 24 hours per day. In addition to the emergency department, St. Josephs has a PromptCare Walk-In Treatment Center that is located adjacent to the emergency department and is open seven days per week. In 2023, St. Josephs emergency department had 18,653 visits.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$57,731,197TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$74,923,986TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$91,190,414TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee608EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Quid Pro Quo Contri DisclfalseQuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonRussell PlywaczynskiPersonNm
Phone3044732000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 Amalia DriveAddressLine1Txt
CityBuckhannonCityNm
State AbbreviationWVStateAbbreviationCd
ZIP26201ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Susan Long MD
Physician040.00Yes (X)$921,854$0$46,463
Jeffrey Michael MD
Physician040.00Yes (X)$487,269$0$23,403
Jennifer Michael
Physician040.00Yes (X)$444,246$0$30,471
Ivar Gjolberg
President040.00$375,165$8,758$76,025Yes (X)
Matthan Jackson
Hospitalist040.00Yes (X)$423,132$0$30,666
Ross Knowles MD
Physician040.00Yes (X)$424,269$0$25,666
Bartley Brown DO
Director040.00$366,629$0$40,733Yes (X)
Robert Romano DO
Physician040.00$187,677$0$8,918Yes (X)
Annamarie Chidester
VP Patient Services040.00$169,958$0$25,048Yes (X)
Brenda Bauer
VP of Quality040.00$159,195$0$28,188Yes (X)
Anissa Hite-Davis
VP Human Resources040.00$140,016$0$36,242Yes (X)
Lisa Wharton
VP, Marketing040.00$120,649$0$15,611Yes (X)
Sr Francesca Lowis
Director, Secretary040.00$35,951$0$766Yes (X)Yes (X)
Dennis Xander
Chairperson001.00$0$0$0Yes (X)Yes (X)
Sr Mary Grace Barile
Director001.00$0$0$0Yes (X)
John Bohman
Director001.00$0$0$0Yes (X)
Shawn Hanifan
Director001.00$0$0$0Yes (X)
Don Nestor
Director, Vice Chairperson001.00$0$0$0Yes (X)Yes (X)
Sam Nolte
Director, Treasurer001.00$0$0$0Yes (X)Yes (X)
Katharine Wagner
Director001.00$0$0$0Yes (X)
Kelley Tierney
Director001.00$0$0$0Yes (X)
Keith Buchanan
Director001.00$0$0$0Yes (X)
Russ Collett
Director001.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,256,010TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$8,758TotReportableCompRltdOrgAmt
Total Other Compensation$388,200TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K61IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Alliance Healthcare Services Inc
PO Box 735714DallasTX753735714Radiology Services$410,241
TForce Logistics East LLC
14881 Quorum Dr Ste 700DallasTX752547069Logistics$230,335
Premier Mechanical LLC
PO Box 199Scott DepotWV255600199Installation Services$197,788
Quest Diagnostics
14225 Newbrook DrChantillyVA201512228Lab Services$185,145
Prometheus Laboratories Inc
9410 Carroll Park DriveSan DiegoCA921215201Lab Services$162,353
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Related Organizations$188,600RelatedOrganizationsAmt
Government Grants$229,706GovernmentGrantsAmt
Total Contributions$418,306TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Service Revenue621110$112,431,132$112,431,132
Provider Relief Funds Reserve900099$714,873$714,873
Patient Care Quality Incentives900099$172,506$172,506
FieldValueIRS element (for citing)
Total Program Service Revenue$113,318,511TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,766,319TotalRevenueColumnAmt
Unrelated Business Revenue$186,048UnrelatedBusinessRevenueAmt
Exclusion$1,580,271ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$62,699RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$53,294RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$9,405RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,405TotalRevenueColumnAmt
Exclusion$9,405ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$56,523OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$56,523OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$56,523TotalRevenueColumnAmt
Exclusion-$56,523ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
Pharmacy Income446110$5,800,872$5,800,872
Cafeteria Income624200$344,162$344,162
Intercompany Revenue900099$55,733$55,733

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$86,164TotalRevenueColumnAmt
Related Or Exempt Func Income$86,164RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$6,286,931OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$121,742,949TotalRevenueColumnAmt
Related Or Exempt Func Income$119,261,280RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$186,048UnrelatedBusinessRevenueAmt
Exclusion$1,877,315ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$16,500TotalAmt
Program Services$16,500ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,785,037TotalAmt
Program Services$798,963ProgramServicesAmt
Management And General$986,074ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$31,707,724TotalAmt
Program Services$27,910,748ProgramServicesAmt
Management And General$3,796,976ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,059,642TotalAmt
Program Services$983,976ProgramServicesAmt
Management And General$75,666ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,016,963TotalAmt
Program Services$7,133,293ProgramServicesAmt
Management And General$883,670ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,285,916TotalAmt
Program Services$2,012,179ProgramServicesAmt
Management And General$273,737ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$101,097TotalAmt
Management And General$101,097ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$11,950TotalAmt
Management And General$11,950ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$9,190TotalAmt
Program Services$9,190ProgramServicesAmt
FieldValueIRS element (for citing)
Fees For Services Prof FundraisingFeesForServicesProfFundraising

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$7,311,008TotalAmt
Program Services$6,249,833ProgramServicesAmt
Management And General$1,061,175ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$555,431TotalAmt
Program Services$3,537ProgramServicesAmt
Management And General$551,894ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,888,916TotalAmt
Program Services$2,095,501ProgramServicesAmt
Management And General$793,415ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$19,230TotalAmt
Program Services$15,730ProgramServicesAmt
Management And General$3,500ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$956,983TotalAmt
Program Services$691,012ProgramServicesAmt
Management And General$265,971ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$325,675TotalAmt
Program Services$280,786ProgramServicesAmt
Management And General$44,889ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$35,656TotalAmt
Program Services$20,089ProgramServicesAmt
Management And General$15,567ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$268,651TotalAmt
Program Services$194,920ProgramServicesAmt
Management And General$73,731ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$11,683,707TotalAmt
Program Services$11,683,707ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,165,258TotalAmt
Program Services$2,285,254ProgramServicesAmt
Management And General$880,004ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$743,494TotalAmt
Program Services$582,968ProgramServicesAmt
Management And General$160,526ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$20,018,517$20,018,517
Provision for Doubtful Accounts$5,473,715$5,473,715
Taxes, Licenses Fees$3,191,401$2,662,095$529,306
Recruiting$346,007$38,447$307,560

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$175,851TotalAmt
Program Services$29,454ProgramServicesAmt
Management And General$146,397ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$102,153,519TotalAmt
Program Services$91,190,414ProgramServicesAmt
Management And General$10,963,105ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$830,665BOYAmt
EOY$155,313EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$20,118,426BOYAmt
EOY$20,280,201EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$13,501,182BOYAmt
EOY$15,574,245EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,181,096BOYAmt
EOY$2,562,812EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,078,235BOYAmt
EOY$210,073EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$30,688,028LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$13,981,712LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$16,483,475BOYAmt
EOY$16,706,316EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$28,433,746BOYAmt
EOY$48,218,329EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$50,000BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$8,522,557BOYAmt
EOY$7,484,430EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$91,199,382BOYAmt
EOY$111,191,719EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$10,220,747BOYAmt
EOY$9,927,325EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,658,462BOYAmt
EOY$6,852,308EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,241,717BOYAmt
EOY$13,605,656EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$30,120,926BOYAmt
EOY$30,385,289EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$61,078,456BOYAmt
EOY$80,806,430EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$61,078,456BOYAmt
EOY$80,806,430EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$91,199,382BOYAmt
EOY$111,191,719EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$19,589,430ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,230,450NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$1,091,906OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$9,190OtherActivitiesAmt
Total Lobbying Expenditures$9,190TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceII-B 1iFormAndLineReferenceDesc
ExplanationThis amount is calculated based on information provided by the West Virginia Hospital Association and the American Hospital Association. The American Hospital Association estimates that 32 of the 2023 dues were allocated to lobbying expense. The West Virginia Hospital Association estimates that during 2023, 12.04 of the dues paid should be allocated to lobbying expense. St. Joseph Hospital of Buckhannon, 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.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,451,820OtherCostOrOtherBasisAmt
Book Value$1,451,820BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,040,430OtherCostOrOtherBasisAmt
Depreciation$5,960,356DepreciationAmt
Book Value$7,080,074BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,895,935OtherCostOrOtherBasisAmt
Depreciation$553,893DepreciationAmt
Book Value$1,342,042BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,110,820OtherCostOrOtherBasisAmt
Depreciation$7,467,463DepreciationAmt
Book Value$5,643,357BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,189,023OtherCostOrOtherBasisAmt
Book Value$1,189,023BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$16,706,316TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc
Financial derivatives and other financial products
Closely-held equity interests

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
Unamortized Borrowing Costs
Goodwill Other Intangibles$7,386,501
Deferred Compensation$97,929
FieldValueIRS element (for citing)
Total Book Value Other Assets$7,484,430TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
Federal income taxes
Due to Third Party Payors$12,511,288
Other Current Liabilities$9,643
Pension Obligation$828,641
Deferred Compensation$97,929
Long Term Lease Liability$158,155
FieldValueIRS element (for citing)
Total Liability$13,605,656TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$117,178,798TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$1,230,450NetUnrealizedGainsInvstAmt
Other Revenue-$5,659,295OtherRevenueAmt
Revenue Not Reported-$4,428,845RevenueNotReportedAmt
Revenue Subtotal$121,607,643RevenueSubtotalAmt
Other Revenues Not Included$135,306OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$135,306RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$121,742,949TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$96,547,518TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$53,294OtherExpensesIncludedAmt
Expenses Not Reported$53,294ExpensesNotReportedAmt
Expenses Subtotal$96,494,224ExpensesSubtotalAmt
Other Expenses Not Included$5,659,295OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$5,659,295ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$102,153,519TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
X 2Most 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 2dThis amount shown on line 2d consists of 5,473,714 Provision for Doubtful Accounts - Patients and 185,581 defined benefit reported as an offset to revenue on the financial statements but is reported as an expense on the Form 990.
XI 4bThe amount shown on line 4b consists of 53,294 expenses associated with the properties for which rental income is received and presented as an offset to revenue on the 990 and 188,600 of contributions from St. Josephs Foundation posted in Net Assets.
XII 2dThe amount shown on line 2d consists 53,294 of expenses associated with the properties for which rental income is received and reported in Part VII line 6b.
XII 4bThe amount shown on line 4b consists of 5,473,714 Provision for Doubtful Accounts - Patients and 185,581 defined benefit reported as an offset to revenue on the financial statements but is reported as an expense on the Form 990.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CarefalseFPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$652,171TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$652,171NetCommunityBenefitExpnsAmt
Total Expense0.00670TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$22,966,695TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$21,735,749DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,230,946NetCommunityBenefitExpnsAmt
Total Expense0.01270TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$222,164TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$222,164DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$23,841,030TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$21,957,913DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,883,117NetCommunityBenefitExpnsAmt
Total Expense0.01940TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$40,748TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$40,748NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,286TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$17,286NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$58,034TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$58,034NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$23,899,064TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$21,957,913DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,941,151NetCommunityBenefitExpnsAmt
Total Expense0.02000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$7,284TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,284NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served2224PersonsServedCnt
Total Community Benefit Expns$35,142TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$35,142NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served2224PersonsServedCnt
Total Community Benefit Expns$42,426TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$42,426NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$1,915,800BadDebtExpenseAmt
Bad Debt Expense Attributable$169,433BadDebtExpenseAttributableAmt
Reimbursed By Medicare$45,808,738ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$15,659,936CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$30,148,802MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1St Joseph's Hospital of BuckhannonBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 Amalia DriveAddressLine1Txt
CityBuckhannonCityNm
State AbbreviationWVStateAbbreviationCd
ZIP26201ZIPCd
FieldValueIRS element (for citing)
Website Addresswvumedicine.org/st-josephs-hospital/WebsiteAddressTxt
State License87StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherSkilled Nursing Facility, OutpatientOtherDesc
Facility Reporting GroupAFacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ABusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttps//wvumedicine.org/wp-content/uploads/2023/07/2022-STJ-Community-Health-Needs-Assessment-7282023OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt23ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttps//wvumedicine.org/wp-content/uploads/2023/07/2023-STJ-Community-Health-Needs-Implementation-728StrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care0000000200.000000000000FPGFamilyIncmLmtFreeCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps//wvumedicine.org/bill-pay/financial-assistance/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttps//wvumedicine.org/wp-content/uploads/2022/10/WVUHFAP-Financial-Application1020202.pdfFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttps//wvumedicine.org/bill-pay/financial-assistance/FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesYes (true)GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Group St. Josephs Hospital of Buckhannon Line Part V, Section B, Line 5The 2022 Community Health Needs Assessment CHNA was prepared by the West Virginia University Health Sciences Center - Health Affairs Institute. The CHNA process began with a thorough review of the previous cycles needs assessment report and included a review of publicly available secondary data related to counties within SJHs service area. This data included U.S. census data and County Health Rankings data. Using these reports, the leadership team started the initial discussion around critical health needs, changes in the community demographics over the previous few years, and lessons learned from the last CHNA cycles health topic prioritization and development of implementation activities. Primary data collection comprised surveying community members to gather perceptions of health issues, quality of life, and other related topics. Survey data was analyzed and presented to the hospitals leadership team. This meeting was focused on reviewing the survey data, discussing community assets that impact population health in the service area, as well as discussing the needs of those not well-represented in the survey data. The group worked to discuss possible strategies for each area of concern, as well as existing resources to address these needs. The CHNA can be found here https//wvumedicine.org/wp-content/uploads/2023/07/2022-STJ-Community-Health-Needs-Assessment-7282023.pdf.
Group St. Josephs Hospital of Buckhannon Line Part V, Section B, Line 5According to the CHNA, the public input survey included topics with questions about specific health issues, thoughts on overall health of the community, quality of life, access to health care and medical needs including specialist care, risky behaviors and personal choices, experiences during the COVID-19 pandemic, social determinants of health, and demographic information including geographic location and income. Questions included details about ability to access needed services, including telehealth and health insurance coverage. The survey was available both online and through hard copies and were to be completed by residents who were 18 years of age or older. Collection efforts included reaching local residents via social media and with assistance from the hospitals marketing team. SJH used their electronic medical record messaging platforms to target patients by zip code and increase survey response.
Group St. Josephs Hospital of Buckhannon Line Part V, Section B, Line 5The community meeting was hosted virtually on November 28, 2022. This session solicited input about community health needs and sought to identify groups and organizations already providing essential services in these areas. Survey results were presented to this group and strategies for improving health outcomes in the top areas were discussed.
Group St. Josephs Hospital of Buckhannon Line Part V, Section B, Line 11Following the data presentation meeting, SJH leadership met to review all input together and identify priority areas to address through implementation strategies. Leadership reviewed closely the top concerns raised across all categories including health and disease, quality of life, environment, risky behaviors, and personal choice. Survey results for health and disease included 1. Drug and/or alcohol use 2. Obesity 3. Mental Health Problems. Survey results for quality of life and environment included 1. Cost of health care and/or medications 2. Poverty 3. Limited organized activities for children and teens. Survey results for risky behavior and personal choice concerns included 1. Drug use 2. Child abuse and neglect and 3. Excessive alcohol use.
Group St. Josephs Hospital of Buckhannon Line Part V, Section B, Line 11According to the CHNA, after review of the primary and secondary data, St. Josephs Hospital identified the following prioritized needs 1. Chronic Disease Prevention and Management including obesity, cancer, and physical activity 2. Access to Care and Transportation 3. Substance Abuse and Mental Health 4. Food Insecurity. In regards to chronic disease prevention and management, SJH has seen success in the community in organized physical activity and recreation activities, and plans to partner with local Faith Based organizations as well as the Local Trail Organization to continue to support these initiatives. SJH chose to conduct an audit of the transportation services available in Upshur County to identify gaps in referring patients out of county for additional services. During this upcoming cycle, the hospital will continue to build on the transportation audit, with the intention of addressing gaps in access to care. A local Federally Qualified Health Center FQHC, Community Care, is expanding its substance use and mental health services. SJH will support implementation strategies via an existing partnership with Community Care during this upcoming implementation cycle. Lastly, the leadership team is exploring the possibility of providing space and support for a Community Garden during this cycle and hopes to partner with local food pantries to get more food into the community.
Group St. Josephs Hospital of Buckhannon Line Part V, Section B, Line 13bSt. Josephs Hospital offers discounted care only to individuals who qualify for free care. St. Josephs 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 St. Josephs Hospital of Buckhannon Line Part V, Section B, Line 24All 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.

Supplemental Information Detail SupplementalInformationDetail (24 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I Line 3cSt. Josephs uses 200 Federal Poverty Guideline FPG to determine free care eligibility. However, St. Joesphs does not offer discounted care to individuals who fail the 200 FPG test.
Part I Line 6aSt. Josephs 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 address https//wvumedicine.org/about/community-benefit/.
Part I Line 7Net community benefit expense for 2023 is 1,941,151 and is 2 of total net expenses. To calculate net expense, Provision for Doubtful Accounts attributable to patient accounts of 5,473,715 was deducted from total expenses of 102,153,519 as shown in Part IX line 25 of the core Form 990, for a net expense of 96,679,804.
Part I Line 7Worksheet 2 from the IRS Schedule H instructions was used to derive the Cost-to-Charge ratio, which was used to calculate Charity Care, Unreimbursed Medicaid and other means-tested government programs at cost.
Part IISt. Josephs reported Community Building activities of 42,426 for 2023. Some of the Community Building activities participated in during the year included Chamber of Commerce meetings, assisting at community events, and staff serving on the Board of Directors for local non-profits.
Part III Line 2Bad Debt Expense at cost was calculated by multiplying Provision for Doubtful Accounts attributable to patient accounts of 5,473,715 by our cost-to-charge ratio of 35.00 derived from Worksheet 2 in the IRS Schedule H instructions for a total of 1,915,800.
Part III Line 3Estimated 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 15,000. The total of that report was 484,095 which we then multiplied by our cost to charge ratio of 35.00 for a total of 169,433.
Part III Line 3The estimated bad debt attributable to patients eligible for charity care of 169,433 should be considered community benefit due to the fact that anyone with outstanding balances of 15,000 or greater usually qualifies as catastrophic if the patient completes the application process.
Part III Line 3In 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. Regardless, that bad debt should be considered community benefit as we provide services to those in need regardless of their ability to pay.
Part III Line 4Patient 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 4The 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 4The 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 8The amount reported in Part III Line 6 15,659,936 was calculated using the total Medicare allowable cost from the Medicare cost report.
Part III Line 9bSt. Josephs 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 2St. Josephs Hospital has contracted with the West Virginia University Health Sciences Center - Health Affairs Institute to perform the community wide needs assessment survey and has translated this information into the Community Health Needs Assessment Report which outlines actions taken. St. Josephs Hospital considers several components in assessing how the organization determines the need of the communities it serves. Through feedback from stakeholders, outside consultants and collaborating with various departments, a needs assessment takes into account several factors including physicians to population ratios, physician availability in the entire service area, and general health risks that are perceived to be the highest priority by the stakeholders and hospital leadership. The community served by St. Josephs Hospital is primarily Upshur County, WV. However, the Hospital serves many patients from portions of Barbour, Lewis, Randolph, Webster, Braxton, and other counties.
Part VI Line 3St. Josephs Hospital of Buckhannon will advise patients and their families of financial assistance through the following means direct patient contact, in person or over the phone notice of availability of financial assistance will be posted in each registration area and emergency department and other waiting areas notice of availability of financial assistance will be printed with each patient initial bill availability of financial assistance will be printed on applicable letters and statements notice of availability will be posted on the hospitals website published in additional languages if needed by more than 10 of the population outreach to community most likely to utilize the FAP to include outreach to public agencies and other non-for-profit agencies and availability of financial assistance will be posted annually in local paper.
Part VI Line 4St. Josephs Hospital is located in Buckhannon, a small rural town in a mountainous region of Upshur County, West Virginia. The Hospital primarily serves Upshur County. In 2023, Upshur County had a population of 23,529, a median household income of 49,663, an employment rate of 52.1, 18.5 of residents living in poverty and 7.4 of residents without healthcare coverage
Part VI Line 4However, the Hospital also serves patients from Barbour, Lewis, Webster counties and the surrounding area. Barbour County had a 2023 population of 15,378, a median household income of 44,341, an employment rate of 49.9 and 7.6 of residents reported they are without healthcare coverage. Lewis County had a 2023 population of 16,500, a median household income of 50,552, an employment rate of 52.5, and 7.2 of residents reported they are without healthcare coverage. Webster County had a 2023 population of 8,045, a median household income of 43,409, an employment rate of 43.3, and 7.4 of residents reported they are without healthcare coverage. Population and demographic information was obtained from the United States Census Bureau https//data.census.gov/cedsci/.
Part VI Line 4The following hospitals provide a full range of acute care, ancillary and case management services and many also provide long-term care. The hospitals are located in the immediate service area or the contiguous service area Stonewall Jackson Memorial Hospital, United Hospital Center, Davis Memorial Hospital, Louis A. Johnson VA Medical Center, and Broaddus Hospital. In addition, William J. Sharpe Hospital in Weston, West Virginia provides comprehensive psychiatric services for patients that have been involuntarily committed.
Part VI Line 5St. Josephs hospital promotes the health of the community by maintaining an open medical staff, using community members on its board of directors, providing support of community health activities blood screenings, health fair, flu shot clinics, etc.. The hospital has also been actively recruiting both primary care providers and specialists to meet the healthcare needs of our service area.
Part VI Line 6St. Josephs Hospital of Buckhannon, Inc. is a not-for-profit health care facility wholly owned subsidiary of the West Virginia United Health System. The West Virginia United Health System is comprised of 16 hospitals in 2022 including Camden Clark Medical Center, Berkeley Medical Center, Jefferson Medical Center, Potomac Valley Hospital, Reynolds Memorial Hospital, St. Josephs Hospital, United Hospital Center, West Virginia University Hospitals, Braxton County Memorial Hospital, Summersville Regional Medical Center, Jackson General Hospital, Wetzel County Hospital, Barnesville Hospital Association, Uniontown Hospital, Wheeling Hospital, Inc, and Harrison Community Hospital. St. Josephs Hospital is committed to the core values of compassion, hospitality, reverence, interdependence, stewardship, and trust.
Part VI Line 6St. Josephs Hospital of Buckhannon 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 6System management is focused on recruitment of staff and employees to meet the growing needs of the aging population in the Systems service areas. Other hospitals in the System 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, Reynolds Memorial Hospital, in Glen Dale, WV, West Virginia Health Care 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, Wetzel County Hospital, Inc. in New Martinsville, WV, Barnesville Hospital Assocation 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, Thomas Health System, Inc. in South Charleston, WV, and Grant Memorial Hospital, Inc. in Petersburg, WV.
Part VI Line 6In 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.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtIRC SectionIRCSectionDescValuation Method UsedValuationMethodUsedDesc
Create Buckhannon
PO Box 991BuckhannonWV26201811466096$6,000Support for Community Garden
Upshur County Development Authority
21 E Main Street Suite 101BuckhannonWV26201550753635$5,000Economic development in PSA
Committee on Aging for the Randolph County Senior Center
PO Box 727ElkinsWV26241550487683$5,000Aid in transport for aging community members501c3FMV
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org2TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart IFormAndLineReferenceDesc
ExplanationSt. Josephs Hospital does not track the use of funds once they are donated, however contributions made are in alignment with the overall mission of the hospital.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmt
Ross Knowles MD
Physician$388,949$1,500$33,820$14,850$10,816$449,935
Jennifer Michael
Physician$261,287$182,579$380$11,986$18,485$474,717
Jeffrey Michael MD
Physician$264,963$221,926$380$11,986$11,417$510,672
Bartley Brown DO
Director$262,989$78,135$25,506$9,900$30,832$407,362
Ivar Gjolberg
President$293,303$66,520$15,342$43,814$30,477$449,456$6,847$1,553$358$1,023$711$10,492
Anissa Hite-Davis
VP Human Resources$123,421$16,333$262$5,835$30,407$176,258
Brenda Bauer
VP of Quality$138,038$16,534$4,623$6,404$21,784$187,383
Annamarie Chidester
VP Patient Services$151,382$17,132$1,444$6,949$18,099$195,006
Susan Long MD
Physician$656,931$262,601$2,322$14,850$31,613$968,317
Matthan Jackson
Hospitalist$258,395$74,290$90,447$30,666$453,798
Robert Romano DO
Physician$185,000$1,500$1,177$8,325$593$196,595

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I Line 3The CEOs compensation is paid by United Hospital Center, Inc. UHC. Compensation for CEOs is determined by the WV United Health System compensation committee. The System engages an independent group to perform an executive compensation review and compensation survey every two years. This information is provided to the 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 offered does not exceed fair market value.
Part I Line 4bIvar Gjolberg deferred compensation through CAA contributions in 2023 in the amount of 30,922 30,217 from reporting entity and 705 from related party. These amounts were appropriately reported as compensation on Form W-2 for 2023.
Part I Line 6aPer the WVUHS Incentive Plan incentives are contingent on meeting a net earning target.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4dProgram Service Expenses 57,731,197, Grants and allocations 0, Revenue 74,923,986 The hospital provides impartial access to treatment or accommodation for care that is available or medically indicated regardless of race, creed, sex, national origin or source of payment. In order to enable our patients to lead healthy, productive lives, the hospital strives to supply a comprehensive range of acute inpatient, long-term and outpatient care, outreach clinics, home care and emergency room services including prevention, guidance, diagnosis, treatment, restoration, rehabilitation, and other efforts as may be required, to meet the health care needs of the community as the hospital resources will permit. Although payment for services rendered is essential to the operation and stability of the hospital, it is recognized that not all individuals possess the financial means to purchase essential medical services. Our mission is to serve the community with respect to providing health care services and health care education. In keeping with this commitment, the hospital will serve all members of its community regardless of means or source of payment.
Form 990, Part III, Line 4dProgram Service Expenses 0, Grants and allocations 0, Revenue 0 The hospital also operates physician clinics.
Form 990, Part VI, Section A, Line 6The 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 7abWest 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 11The Form 990 is prepared by the West Virginia United Health System, Inc. Tax Team and then reviewed by the Director of Finance at St. Josephs Hospital of Buckhannon. 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 12CUpon 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 15abThe 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 C, Line 19The organization makes its governming documents, conflict of interest policy, and financial statements available to the public upon request at its office at 1 Amalia Drive, Buckhannon, WV 26201. A nominal fee is charged if copies are requested.
Form 990, Part XI, Line 9Line 9 consists of 938,702 pension plan adjustment, 1,899,521 related organization capitalization, 131,092 JOA Contribution to SOM, and 5 rounding.
Form 990, Part V, Line 1aIn 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.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (42 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
West Virginia United Health System
PO Box 8034MorgantownWV26506550754713Healthcare AccessWV501C312 Type IN/Afalse
University Healthcare Foundation Inc
121 Administrative DriveMartinsburgWV25401311118075Hospital SupportWV501C312 Type IfalseWest Virginia University Hospitals - East Inc
United Physicians Care Inc
686 South Pike StreetShinnstonWV26431550638563Patient CareWV501C33falseUnited Hospital Center Inc
United Health Foundation Inc
327 Medical Park DriveBridgeportWV26330550621706Hospital SupportWV501C312 Type IfalseUnited Hospital Center Inc
West Virginia University Hospitals East
121 Administrative DriveMartinsburgWV25401202337985Healthcare AccessWV501C312afalseWV United Health System
Jefferson Memorial Hospital
300 South Preston StRansonWV25438550359755Patient CareWV501C33falseWest Virginia University Hospitals - East Inc
United Hospital Center Inc
327 Medical Park DriveBridgeportWV26330550525724Patient CareWV501C33falseWV United Health System
West Virginia University Hospitals Inc
PO Box 8034MorgantownWV26506550643304Patient CareWV501C33falseWV United Health System
United Summit Center
6 Hospital PlazaClarksburgWV26301550752788Behavioral HealthWV501C33falseWest Virginia University Hospitals Inc
West Virginia Health Care Cooperative Inc
400 Fairview Heights RdSummersvilleWV26651550650441Patient CareWV501C33falseWV United Health System
Camden-Clark Memorial Hospital
800 Garfield AveParkersburgWV26101311524546Patient CareWV501C33falseCamden-Clark Health Services
Camden-Clark Health Services Inc
800 Garfield AveParkersburgWV26101550769602Healthcare AccessWV501C312 Type IfalseWV United Health System
Camden-Clark Foundation
800 Garfield AveParkersburgWV26101550667789Hospital SupportWV501C37falseCamden-Clark Health Services
Camden-Clark Physician Corp
604 Ann StreetParkersburgWV26101264058719Patient CareWV501C33falseCamden-Clark Health Services
Potomac Valley Hospital of W Va Inc
100 Pin Oak LaneKeyserWV26726550420956Patient CareWV501C33falseWV United Health System
Reynolds Memorial Hospital Inc
800 Wheeling AveGlen DaleWV26038550357045Patient CareWV501C33falseWV United Health System
Reynolds Memorial Foundation
800 Wheeling AveGlen DaleWV26038550710402Hospital SupportWV501C312 Type IfalseReynolds Memorial Hospital Inc
City Hospital Inc
2500 Hospital DriveMartinsburgWV25401550383321Patient CareWV501C312 Type IfalseWest Virginia University Hospitals - East Inc
Braxton County Memorial Hospital
100 Hoylman DriveGassawayWV26624550611919Patient CareWV501C33falseWV United Health System
Community Health Association
122 Pinnell StreetRipleyWV25271550462730Patient CareWV501C33falseWV United Health System
Wetzel County Hospital Inc
3 East Benjamin DriveNew MartinsvilleWV26155843480493Patient CareWV501C33falseWV United Health System
WVUHS Home Care LLC
PO Box 8059MorgantownWV26506852915642Home Health and HospiceWV509a2falseWV United Health System
Uniontown Hospital
500 West Berkeley StreetUniontownPA15401250965588Patient CarePA501C33falseWV United Health System
Fayette Physician Network Inc
500 West Berkeley StreetUniontownPA15401455440305Patient CarePA501C33falseWV United Health System
Wheeling Hospital Inc
1 Medical ParkWheelingWV26003550357057Patient CareWV501C33falseWV United Health System
Harrison Community Hospital
951 E Market StreetCadizOH43907341571750Patient CareOH501C33falseWV United Health System
Barnesville Hospital Association
639 W Main StreetBarnesvilleOH43713340719172Patient CareOH501C33falseWV United Health System
Belmont Community Hospital
4697 Harrison StreetBellaireOH43906340714643Patient CareOH501C33falseWheeling Hospital Inc
Medical Park Foundation
1 Medical ParkWheelingWV26003550744690ChurchWV501C31falseWheeling Hospital Inc
Self Insurance Trust Agreement of Wheeling Hospital Inc
1 Medical ParkWheelingWV26003550676674InsuranceWV501C312 Type IN/Afalse
GRMC Inc
251 North Fourth StreetOaklandMD21550871846814Patient CareMD501C33falseWV United Health System
Grant Memorial Hospital Inc
117 Hospital DrivePetersburgWV26847881740605Patient CareWV501C33falseWV United Health System
Herbert J Thomas Memorial Hospital Association
4605 MacCorkle Ave SWSouth CharlestonWV25309550404900Patient CareWV501C33falseWV United Health System
Charleston Hospital Inc
333 Laidley StCharlestonWV25301611272692Patient CareWV501C33falseThomas Health System Inc
Princeton Community Hospital Association
122 Twelfth StreetPrincetonWV24740550483245Patient CareWV501C33falseWV United Health System
Princeton Community Hospital Foundation Inc
PO Box 1369PrincetonWV24740550694209SupportWV501C312 A Type IfalsePrinceton Community Hospital Association
Thomas Health System Inc
4605 MacCorkle Ave SWSouth CharlestonWV25309260440674Patient CareWV501C33falseWV United Health System
THS Physician Partners Inc
4605 MacCorkle Ave SWSouth CharlestonWV25309454395947Patient CareWV501C33falseThomas Health System Inc
Welch Medical Center Inc
PO Box 8034MorgantownWV26506921990757Patient CareWV501C33falseWV United Health System
WVUHS Specialty Pharmacy Services Inc
PO Box 8034MorgantownWV26506872740836Patient CareWV501C33falseWV United Health System
Ohio Valley Health Corporation
222 Nicolette RdParkersburgWV26104922553803Patient CareWV501C33falseCamden-Clark Health Services
St Joseph's Foundation of Buckhannon Inc
1 Amalia DriveBuckhannonWV26201550727650Hospital SupportWV501C312 Type IIYes (true)St Joseph's Hospital of Buckhannon Inc

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Allied Health Services Inc
PO Box 782MorgantownWV26507550652017Linen ServicesWVN/AC Corpfalse
Upshur Medical Management Services Inc
1 Amalia DriveBuckhannonWV26201550727649Health Care and Social AssistanceWVC CorpfalseSt Joseph's Hospital of Buckhannon
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd