HIGHLAND-CLARKSBURG HOSPITAL INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- HIGHLAND-CLARKSBURG HOSPITAL INC (EIN 27-3128197)
- Tax period
- 2021-10-01 to 2022-09-30
- Filed
- 2023-03-06
- IRS object ID
- 202330659349301213
- Schema version
- 2021v4.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-03-06T10:51:43-06:00 | ReturnTs |
| Tax Period End | 2022-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 550621482 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRAY GRIFFITH & MAYS AC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 707 VIRGINIA STREETEASTSUITE 400 | AddressLine1Txt |
| City | CHARLESTON | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 253012711 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 273128197 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HIGHLAND-CLARKSBURG HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HIGH | BusinessNameControlTxt |
| Phone | 3049693100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3 HOSPITAL PLAZA | AddressLine1Txt |
| City | CLARKSBURG | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26301 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WHITNEY PATTERSON | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 3049693100 | PhoneNum |
| Signature | 2023-03-03 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | WHITNEY | PersonFirstNm |
| Person Last | PATTERSON | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | J RYAN LINDSAY | PreparerPersonNm |
| PTIN | P01835061 | PTIN |
| Phone | 3043459400 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | VICTORIA JONES | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3 HOSPITAL PLAZA | AddressLine1Txt |
| City | CLARKSBURG | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $20,699,138 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HIGHLANDCLARKSBURGHOSPITAL.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2010 | FormationYr |
| Legal Domicile State | WV | LegalDomicileStateCd |
| Activity Or Mission | HIGHLAND-CLARKSBURG HOSPITAL'S MISSION IS TO PROVIDE QUALITY BEHAVIORAL HEALTH SERVICES TO CHILDREN, ADOLESCENTS, AND ADULTS IN A CARING ENVIRONMENT. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 369 | TotalEmployeeCnt |
| Total Volunteers | 6 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,815,344 | PYContributionsGrantsAmt |
| CY Contributions Grants | $215,603 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $18,591,032 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $20,277,352 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$58,128 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $190,187 | PYOtherRevenueAmt |
| CY Other Revenue | $206,183 | CYOtherRevenueAmt |
| PY Total Revenue | $21,538,435 | PYTotalRevenueAmt |
| CY Total Revenue | $20,699,138 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $13,647,174 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $11,753,598 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,854,934 | PYOtherExpensesAmt |
| CY Other Expenses | $8,388,111 | CYOtherExpensesAmt |
| PY Total Expenses | $20,502,108 | PYTotalExpensesAmt |
| CY Total Expenses | $20,141,709 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,036,327 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $557,429 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $41,222,764 | TotalAssetsBOYAmt |
| Total Assets EOY | $41,312,199 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $32,102,333 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $31,634,339 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $9,120,431 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $9,677,860 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE PSYCHIATRIC CARE TO ADULTS AND CHILDREN. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $14,076,211 | ExpenseAmt |
| Revenue | $20,363,137 | RevenueAmt |
| Desc | HIGHLAND-CLARKSBURG HOSPITAL, INC. (HCHI) IS A NON-PROFIT ORGANIZATION WHICH BEGAN OPERATIONS IN 2011 TO DEVELOP AND OPERATE A BEHAVIORAL HEALTH HOSPITAL IN HARRISON COUNTY, WV. HCHI BEGAN GENERATING OPERATING REVENUES AFTER OCTOVER 29, 2013, THE DATE OF THE JOINT COMMISSION ACCREDIDATION. THE HOSPITAL PROVIDES PSYCHIATRIC CARE TO NORTH CENTRAL WEST VIRGINIA AND SURROUNDING COMMUNITIES. THE FACILITY HAS 115 INPATIENT BEDS SERVING CHILDREN, ADOLESCENTS AND ADULTS. | Desc |
| Total Program Service Expenses | $14,076,211 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 9 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 369 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Other | Yes (X) | OtherInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WHITNEY PATTERSON CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3049693143 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3 HOSPITAL PLAZA | AddressLine1Txt |
| City | CLARKSBURG | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26301 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| JILL RICE | ||||||||
| CHAIRMAN | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| SHAWN MILLER | ||||||||
| VICE CHAIRMAN | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DUSTIN FRESHOUR | ||||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JONATHON FISCHER | ||||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOE ELLIOTT | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| LYNDON AUVIL | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| VICTORIA JONES | ||||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | Yes (X) | Yes (X) | $171,410 | $0 | $539 | ||
| WHITNEY PATTERSON | ||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | Yes (X) | $132,131 | $0 | $27,329 | |||
| TONI B GOODYKOONTZ MD | ||||||||
| CHIEF MEDICAL OFFICER | 40.00 | $476,799 | $0 | $503 | Yes (X) | |||
| CAITLIN CORBITT | ||||||||
| PSYCHIATRIST | 40.00 | $196,324 | $0 | $974 | Yes (X) | |||
| GREGORY ROCK | ||||||||
| DIRECTOR OF PHARMACY | 40.00 | $151,295 | $0 | $30,041 | Yes (X) | |||
| VANESSA DEFAZIO | ||||||||
| DIRECTOR OF HUMAN RESOURCES | 40.00 | $105,113 | $0 | $23,493 | Yes (X) | |||
| JULIE BOZARTH | ||||||||
| CHIEF NURSING OFFICER | 40.00 | $125,209 | $0 | $9,662 | Yes (X) | |||
| JORDAN GWINN | ||||||||
| NURSE PRACTIONER | 40.00 | $129,296 | $0 | $27,291 | Yes (X) | |||
| NICOLE MILLS | ||||||||
| CLINICAL MANAGER | 40.00 | $117,433 | $0 | $12,405 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,605,010 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $132,237 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 10 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MAXIM | |||||
| 900 VIRGINIA ST E SUITE 500 | CHARLESTON | WV | 25301 | STAFFING & RECRUITING | $1,189,762 |
| REINHART | |||||
| 226 EAST VIEW DRIVE | MT PLEASANT | PA | 15666 | FOOD SERVICES | $389,315 |
| ALPHA TECH | |||||
| PO BOX 1114 | SCOTT DEPOT | WV | 25560 | IT CONSULTING | $353,978 |
| AMERISOURCE BERGEN | |||||
| 27550 NETWORK PLACE | CHICAGO | IL | 60673 | PHARMACEUTICAL DISTRIBUTION | $253,136 |
| EXPRESS SCRIPTS | |||||
| 1110 MAIN STREET | WHEELING | WV | 26003 | PHARMACY | $167,007 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $211,519 | GovernmentGrantsAmt |
| All Other Contributions | $4,084 | AllOtherContributionsAmt |
| Total Contributions | $215,603 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICES | Desc |
| Business | 622110 | BusinessCd |
| Total Revenue Column | $20,277,352 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $20,277,352 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $20,277,352 | TotalProgramServiceRevenueAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $118,558 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $118,558 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $118,558 | TotalRevenueColumnAmt |
| Exclusion | $118,558 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $1,840 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,840 | TotalRevenueColumnAmt |
| Exclusion | $1,840 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| REBATES & OTHER | 900099 | $44,748 | $44,748 |
| COMMISSARY REVENUE | 722514 | $22,898 | $22,898 |
| OTHER | 900099 | $18,139 | $18,139 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $85,785 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $20,699,138 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $20,363,137 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $120,398 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,015,340 | TotalAmt |
| Program Services | $787,584 | ProgramServicesAmt |
| Management And General | $227,756 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,487,975 | TotalAmt |
| Program Services | $6,583,992 | ProgramServicesAmt |
| Management And General | $1,903,983 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $950 | TotalAmt |
| Program Services | $737 | ProgramServicesAmt |
| Management And General | $213 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,571,445 | TotalAmt |
| Program Services | $1,218,946 | ProgramServicesAmt |
| Management And General | $352,499 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $677,888 | TotalAmt |
| Program Services | $525,827 | ProgramServicesAmt |
| Management And General | $152,061 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,404 | TotalAmt |
| Management And General | $69,404 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,791 | TotalAmt |
| Management And General | $76,791 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,894 | TotalAmt |
| Management And General | $78,894 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,327,136 | TotalAmt |
| Program Services | $2,134,534 | ProgramServicesAmt |
| Management And General | $192,602 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,722 | TotalAmt |
| Management And General | $25,722 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $238,586 | TotalAmt |
| Program Services | $158,463 | ProgramServicesAmt |
| Management And General | $80,123 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,203,843 | TotalAmt |
| Program Services | $457,382 | ProgramServicesAmt |
| Management And General | $746,461 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,760 | TotalAmt |
| Program Services | $7,524 | ProgramServicesAmt |
| Management And General | $13,236 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,037,493 | TotalAmt |
| Program Services | $327,458 | ProgramServicesAmt |
| Management And General | $710,035 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,310,819 | TotalAmt |
| Program Services | $443,264 | ProgramServicesAmt |
| Management And General | $867,555 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $348,429 | TotalAmt |
| Program Services | $132,338 | ProgramServicesAmt |
| Management And General | $216,091 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| HEALTHCARE PROVIDER TAX | $508,336 | $508,336 | $0 |
| FOOD PREP | $363,506 | $338,928 | $24,578 |
| MEDICAL SUPPLIES | $303,462 | $303,462 | $0 |
| REPAIRS & MAINTENANCE | $221,682 | $69,968 | $151,714 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $253,248 | TotalAmt |
| Program Services | $77,468 | ProgramServicesAmt |
| Management And General | $175,780 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,141,709 | TotalAmt |
| Program Services | $14,076,211 | ProgramServicesAmt |
| Management And General | $6,065,498 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,259 | BOYAmt |
| EOY | $612,682 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,769,072 | BOYAmt |
| EOY | $3,046,069 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,322 | BOYAmt |
| EOY | $69,160 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $265,983 | BOYAmt |
| EOY | $369,117 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $48,413,910 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $11,249,149 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,027,942 | BOYAmt |
| EOY | $37,164,761 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,186 | BOYAmt |
| EOY | $50,410 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,222,764 | BOYAmt |
| EOY | $41,312,199 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,671,586 | BOYAmt |
| EOY | $2,077,056 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $211,519 | BOYAmt |
| EOY | $272,244 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,219,228 | BOYAmt |
| EOY | $29,285,039 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,102,333 | BOYAmt |
| EOY | $31,634,339 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,120,431 | BOYAmt |
| EOY | $9,677,860 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,120,431 | BOYAmt |
| EOY | $9,677,860 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,222,764 | BOYAmt |
| EOY | $41,312,199 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $557,429 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $300,000 | OtherCostOrOtherBasisAmt |
| Book Value | $300,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $46,761,763 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,044,418 | DepreciationAmt |
| Book Value | $36,717,345 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $28,026 | OtherCostOrOtherBasisAmt |
| Depreciation | $27,987 | DepreciationAmt |
| Book Value | $39 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,324,121 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,176,744 | DepreciationAmt |
| Book Value | $147,377 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $37,164,761 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $20,699,138 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $20,699,138 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $20,699,138 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $20,141,709 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $20,141,709 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $20,141,709 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | HCHI IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND SIMILAR STATE STATUTES RELATING TO NOT-FOR-PROFIT ORGANIZATIONS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE MANAGEMENT OF HCHI TO EVALUATE TAX POSITIONS TAKEN BY HCHI. MANAGEMENT HAS EVALUATED HCHI'S TAX POSITIONS AND DID NOT BECOME AWARE OF ANY COURSE OF ACTION ON SERVICES OR EVENTS THAT MIGHT ADVERSELY AFFECT THE ENTITY'S TAX STATUS. THEREFORE, NO PROVISION OR LIABILITY FOR INCOME TAXES HAS BEEN INCLUDED IN THE FINANCIAL STATEMENTS. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $508,336 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $508,336 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02520 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $184,403 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $184,403 | DirectOffsettingRevenueAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $692,739 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $184,403 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $508,336 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02520 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $692,739 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $184,403 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $508,336 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02520 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,604 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,604 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,604 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,604 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $0 | BadDebtExpenseAmt |
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HIGHLAND-CLARKSBURG HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3 HOSPITAL PLAZA | AddressLine1Txt |
| City | CLARKSBURG | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Other | INPATIENT MENTAL HEALTH | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HIGHLAND-CLARKSBURG HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 20 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTPS://HIGHLANDCLARKSBURGHOSPITAL.COM/HEALTHASSESSMENT/ | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 20 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://HIGHLANDCLARKSBURGHOSPITAL.COM/HEALTHASSESSMENT/ | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://HIGHLANDCLARKSBURGHOSPITAL.COM/FINANCIAL-POLICY | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://HIGHLANDCLARKSBURGHOSPITAL.COM/FINANCIAL-POLICY | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://HIGHLANDCLARKSBURGHOSPITAL.COM/FINANCIAL-POLICY | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | HIGHLAND-CLARKSBURG HOSPITAL | FormAndLineReferenceDesc |
| Explanation | PART V, SECTION B, LINE 5: INTERVIEWS WERE CONDUCTED WITH INTERNAL AND EXTERNAL STAKEHOLDERS AND INCLUDED INDIVIDUALS FROM THE FOLLOWING ORGANIZATIONS: HARRISON CLARKSBURG HEALTH DEPARTMENT, HEALTH ACCESS INC. (FREE CLINIC), HARRISON COUNTY CHILD ADVOCACY CENTER, PRESTON COUNTY BOARD OF EDUCATION, STATE OF WV LEGISLATURE, HARRISON COUNTY CHAMBER OF COMMERCE, THE CULTURAL FOUNDATION, CLARKSBURG MISSION, A RETIRED TEACHER, AND A HOSPITAL ADMINISTRATION CONSULTANT. | ExplanationTxt |
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LN 7 COL(F): | BAD DEBT EXPENSE IS RECORDED IN ACCORDANCE WITH ASC 606 (ASU 2014-09). IN ACCORDANCE WITH THE STANDARD, THE ORGANIZATION RECORDS IMPLICIT PRICE CONCESSIONS, WHICH ARE ANALOGOUS TO WHAT WAS PREVIOUSLY REFERRED TO AS BAD DEBT. WHILE THE PROVISIONS OF ASC 606 CHANGED THE ACCOUNTING TREATMENT OF BAD DEBT, THE ECONOMIC SUBSTANCE OF THE UNDERLYING TRANSACTIONS HAVE NOT CHANGED. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | COMMUNITY SUPPORT: EXPONENT ADVERTISING FOR MENTAL HEALTH AWARENESS AND DRUNK DRIVING PREVENTION; UGLY SWEATER 5K FOR MENTAL HEALTH AWARENESS; HOSTING WVHA SAFETY COMMITTEE MEETINGSCOMMUNITY HEALTH IMPROVEMENT ADVOCACY: 2 BLOOD DRIVES DURING THE YEAR; COAT DRIVES AND BACKPACK PROGRAMS AT HCHI; CHRISTMAS PRESENTS FOR PATIENTS + PATIENT ART SHOW; EDUCATIONAL CONFERENCES |
| PART III, LINE 2: | BAD DEBT EXPENSE IS RECORDED IN ACCORDANCE WITH ASC 606 (ASU 2014-09). IN ACCORDANCE WITH THE STANDARD, THE ORGANIZATION RECORDS IMPLICIT PRICE CONCESSIONS, WHICH ARE ANALOGOUS TO WHAT WAS PREVIOUSLY REFERRED TO AS BAD DEBT AND ARE REPORTED ON PART III, LINE 2. WHILE THE PROVISIONS OF ASC 606 CHANGED THE ACCOUNTING TREATMENT OF BAD DEBT, THE ECONOMIC SUBSTANCE OF THE UNDERLYING TRANSACTIONS HAVE NOT CHANGED. |
| PART III, LINE 4: | HCHI RECOGNIZES PATIENT SERVICE REVENUE ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE ON THE BASIS OF CONTRACTUAL RATES FOR THE SERVICE RENDERED. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, HCHI RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES FOR SERVICES PROVIDED (OR ON THE BASIS OF DISCOUNTED RATES, IF NEGOTIATED OR PROVIDED BY POLICY). ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF HCHI'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS HCHI RECORDS A SIGNIFICANT PROVISION FOR IMPLICIT P.C. RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. |
| PART III, LINE 9B: | FORMER PATIENTS WITH DELINQUENT PRIVATE PAY ACCOUNTS WILL BE NOTIFIED AND GIVEN THE OPTION OF PAYING THE ACCOUNT IN FULL OR PARTICIPATING IN A PREDEFINED MONTHLY PAYMENT PLAN. FORMER PATIENTS WILL BE NOTIFIED OF THEIR FINANCIAL OBLIGATION FOR SERVICES RENDERED BY RECEIVING MONTHLY STATEMENTS WITH BALANCE DUE. FORMER PATIENTS WHO DID NOT WISH TO APPLY DURING THEIR HOSPITALIZATION WILL BE GIVEN ANOTHER OPPORTUNITY TO APPLY FOR CHARITY CARE OR SLIDING FEE SCALE FINANCIAL ASSISTANCE PROGRAM DURING THE COLLECTION PROCESS. ALL PRIVATE PAY ACCOUNTS WILL BE REVIEWED TO DETERMINE THE LAST DATE OF PAYMENT. THE COLLECTION SPECIALIST WILL ATTEMPT TO CONTACT THE DEBTOR BY PHONE TO SETUP A PAYMENT ARRANGEMENT. THE COLLECTION SPECIALIST WILL ALSO REMIND THE PATIENT OR RESPONSIBLE PARTY OF THE HOSPITAL CHARITY CARE AND SLIDING FEE SCALE FINANCIAL ASSISTANCE PROGRAMS. THE COLLECTION SPECIALIST WILL DOCUMENT ALL CONVERSATIONS WITH THE DEBTOR IN THE PATIENT'S BILLING DATABASE. IF THE PATIENT SHOULD APPLY FOR THE CHARITY CARE OR SLIDING FEE SCALE FINANCIAL ASSISTANCE PROGRAMS WITHIN 240 DAYS FROM THE DATE OF THE FIRST BILLING STATEMENT, AND IT IS DETERMINED THAT THE PATIENT QUALIFIES FOR ONE OF THE ASSISTANCE PROGRAMS, THE HOSPITAL'S COLLECTION REPRESENTATIVE WILL CONTACT THE COLLECTION AGENCY AND INSTRUCT THAT THE ACCOUNT BE REMOVED FROM COLLECTION AND THAT THE CREDIT BUREAU BE NOTIFIED TO REMOVE THE BALANCE FROM THE PATIENT'S CREDIT REPORT. |
| PART VI, LINE 2: | WE RECOGNIZE THAT MEDICAL CARE, PUBLIC HEALTH, AND SOCIAL SERVICES MUST WORK TOGETHER TO CREATE AN ENVIRONMENT WHERE EVERYONE HAS A FAIR AND JUST OPPORTUNITY TO BE AS HEALTHY AS POSSIBLE. MOREOVER, HEALTH IS ABOUT MORE THAN ONLY HEALTHCARE; IT IS DRIVEN BY MANY OTHER FACTORS LIKE HOUSING, EDUCATION, AND TRANSPORTATION. THIS IS ESPECIALLY TRUE FOR PEOPLE WITH UNMET HEALTH AND SOCIAL NEEDS. THE SOCIAL SERVICES DESIGNED TO HELP ARE OFTEN SEPARATED FROM MEDICAL SERVICES AND PUBLIC HEALTH PROGRAMS TASKED WITH IMPROVING HEALTH. ADDRESSING THIS CHALLENGE HAS ONLY GROWN MORE URGENT IN THE WAKE OF THE CORONA VIRUS 2019 (COVID-19) PANDEMIC, OCCURRING AS WE CONDUCTED OUR COMMUNITY HEALTH NEEDS ASSESSMENT. |
| PART VI, LINE 3: | IT IS THE POLICY OF HIGHLAND-CLARKSBURG HOSPITAL TO MAKE FINANCIAL COUNSELING SERVICES AVAILABLE TO ALL PATIENTS, INCLUDING INFORMATION ABOUT CHARITY CARE AND SLIDING SCALE DISCOUNT POLICIES THAT ARE AVAILABLE TO QUALIFIED INDIVIDUALS. FINANCIAL COUNSELING IS NOT CONSIDERED A CONDITION OF ADMISSION. PATIENTS WHO PRESENT THEMSELVES FOR EMERGENCY EXAMINATION OR TREATMENT WILL BE TREATED REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES. THE PATIENT WILL BE GIVEN THE OPPORTUNITY TO REQUEST A PATIENT ADVOCATE, DESIGNEE OR FAMILY MEMBER TO ASSIST IN THE FINANCIAL COUNSELING DISCUSSIONS. FINANCIAL COUNSELING MAY OCCUR AT ANY TIME FROM ADMISSION TO DISCHARGE AS LONG AS THE PATIENT'S CARE IS NOT INTERFERED WITH AND THE PATIENT CONSENTS TO THE DISCUSSIONS.PATIENTS WITH NO THIRD PARTY REIMBURSEMENT SOURCE WILL BE INFORMED OF PAYMENT RESPONSIBILITY PRIOR TO ADMISSION. PATIENTS WILL BE OFFERED THE SERVICES OF HOSPITAL'S DESIGNATED FINANCIAL COUNSELOR TO APPLY FOR OTHER FORMS OF ASSISTANCE SUCH AS WV MEDICAID OR OBTAINING COVERAGE THROUGH THE HEALTHCARE MARKET PLACE. |
| PART VI, LINE 4: | THE HOSPITAL IS LOCATED IN CLARKSBURG, A NORTH CENTRAL CITY OF WEST VIRGINIA, FOUR HOURS WEST OF WASHINGTON D.C., AND LESS THAN TWO HOURS SOUTH OF PITTSBURGH, PENNSYLVANIA. OUR PRIMARY REFERRAL AREA SERVES AS OUR FOCUS AND INCLUDES BERKELEY, HARRISON, KANAWHA, MARION, MONONGALIA, NICHOLAS, OHIO, PRESTON, RANDOLPH, AND WOOD COUNTIES, CONSISTING OF 40% OF THE ENTIRE STATE'S POPULATION (APPROX 700,000 PEOPLE). OUR REFERRAL AREA AND THE STATE OF WEST VIRGINIA ARE ABOUT 91% WHITE AND ABOUT 5% BLACK COMPARED TO THE REST OF THE US, WHICH IS 73% WHITE AND 13% BLACK. THE NUMBER OF PEOPLE REPRESENTING MULTIPLE RACIAL GROUPS, HISPANIC, ASIAN, AND PACIFIC ISLANDER, IS UNDER 3 % IN WEST VIRGINIA. (US CENSUS BUREAU, 2019) ALTHOUGH SOME GROUPS ARE UNDER-REPRESENTED IN WEST VIRGINIA, HIGHLAND-CLARKSBURG HOSPITAL IS READY TO ACCOMMODATE MEMBERS OF ANY GROUP AND HAS ACCESS TO TRANSLATORS FOR LANGUAGES OTHER THAN ENGLISH AND THE DEAF. WHERE ONCE THE MEDIAN AGE OF A WEST VIRGINIA RESIDENT WAS NEARLY IDENTICAL TO THE MEDIAN AGE IN THE U.S., WEST VIRGINIA'S MEDIAN AGE IN 2013 WAS FOUR YEARS GREATER THAN THE U.S. (43.0 YEARS COMPARED TO 38.9 YEARS). BY 2056 THE POPULATION OF U.S. ADULTS AGED 65 AND OLDER IS PROJECTED TO BECOME MORE SIGNIFICANT THAN THE POPULATION AGED 17 YEARS AND YOUNGER. THE WEST VIRGINIA HEALTH STATISTICS CENTER EXPECTS THAT THIS EVENT WILL OCCUR ABOUT 2029 FOR WEST VIRGINIA, MUCH EARLIER THAN FOR THE REST OF THE COUNTRY. TO PROVIDE SERVICES FOR AN OLDER POPULATION, WE MUST BE KNOWLEDGEABLE ABOUT GERIATRIC ISSUES, SERVICES, AND SOLUTIONS AND WORK WITH OUR PARTNERS TO EFFECTIVELY ASSIST THIS AGE GROUP. IN OUR AREA AND WEST VIRGINIA, THE PERCENTAGE OF SINGLE PARENT HOUSEHOLDS IS APPROXIMATELY 34%, WHILE THE US'S BEST IS AT 20%. (UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE, 2020) OUR SURVEY RESPONDENTS RATED THE IMPORTANCE OF CHILD ABUSE AND NEGLECT AT 61%, THE SECOND MOST CRUCIAL ISSUE IN OUR AREA. THIS HIGH PERCENTAGE SHOWS OUR CONCERN FOR CHILDREN. WE WORK WITH OUR PARTNERS TO MEET THE NEEDS OF OUR FAMILIES, PARTICULARLY SINGLE-PARENT FAMILIES, INCLUDING EARLY CHILDHOOD HOME VISITING PROGRAMS, GROUP PARENTING PROGRAMS, CRISIS PHONE LINES, FATHER INVOLVEMENT PROGRAMS, AND SOCIAL SERVICE COORDINATION. WEST VIRGINIA IS ONE OF THE MOST IMPOVERISHED STATES IN THE COUNTRY. MEDIAN HOUSEHOLD INCOME IS 23% BELOW THAT OF THE NATION. PER CAPITA INCOME IN WEST VIRGINIA IS ALMOST 20% LOWER THAN THE REST OF THE COUNTRY. MORE THAN 22% OF WEST VIRGINIA FAMILIES WITH RELATED CHILDREN UNDER AGE 18 HAVE AN INCOME BELOW THE POVERTY LEVEL COMPARED TO 18% FOR THE NATION, FIGURE 5. MORE THAN 60% OF WEST VIRGINIA FAMILIES WITH A FEMALE HEAD OF HOUSEHOLD WITH RELATED CHILDREN UNDER AGE FIVE YEARS HAVE INCOMES BELOW THE POVERTY LEVEL COMPARED TO 46.3% FOR THE UNITED STATES. ACCORDING TO THE BUREAU FOR LABOR STATISTICS, APPROXIMATELY 16% OF WEST VIRGINIA HOUSEHOLDS UTILIZED THE FOOD STAMP/SNAP PROGRAM IN THE LAST 12 MONTHS, COMPARED TO 13% NATIONALLY. GIVEN THIS SIZEABLE, LOW-INCOME POPULATION, SERVICE PROVIDERS SHOULD OFFER THEIR SERVICES IN WAYS THAT MAKE IT EASY TO ACCESS THEIR PROGRAMS. THIS INCLUDES FRIENDLY, WELCOMING OFFICE LOCATIONS ON PUBLIC TRANSPORTATION ROUTES, DURING NON-TRADITIONAL HOURS, AT EASILY ACCESSIBLE SITES, INCLUDING THE HOME. HIGHLAND-CLARKSBURG HOSPITAL IS ON THE BUS ROUTE, WITH A REMODELED BUILDING THAT INVITES HEALING. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TONI B GOODYKOONTZ MD | ||||||||||||||
| CHIEF MEDICAL OFFICER | $476,799 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $503 | $0 | $477,302 | $0 | $0 | $0 |
| CAITLIN CORBITT | ||||||||||||||
| PSYCHIATRIST | $196,324 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $974 | $0 | $197,298 | $0 | $0 | $0 |
| GREGORY ROCK | ||||||||||||||
| DIRECTOR OF PHARMACY | $151,295 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $30,041 | $0 | $181,336 | $0 | $0 | $0 |
| VICTORIA JONES | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $171,410 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $539 | $0 | $171,949 | $0 | $0 | $0 |
| WHITNEY PATTERSON | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $132,131 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $27,329 | $0 | $159,460 | $0 | $0 | $0 |
| JORDAN GWINN | ||||||||||||||
| NURSE PRACTIONER | $129,296 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $27,291 | $0 | $156,587 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE 990 IS PROVIDED IN DRAFT FORM TO THE BOARD OF DIRECTORS TO REVIEW BEFORE FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE QUALITY CONTROL DIRECTOR KEEPS A COPY OF THE POLICY ON FILE, WITH ALL BOARD MEMBERS SIGNING A COPY EVERY YEAR. ALSO, AS SITUATIONS ARISE, BOARD MEMBERS WILL EXCUSE THEMSELVES FROM ANY VOTE THAT MAY HAVE A CONFLICT OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD OF DIRECTORS APPROVES COMPENSATION FOR THE CEO, CMO, AND CFO USING A SEPARATE FINANCE COMMITTEE AND COMPARATIVE DATA. |
| FORM 990, PART VI, SECTION C, LINE 18 | THE ORGANIZING DOCUMENTS AND THE FORM 990 ARE AVAILABLE THROUGH DIRECT INQUIRY OF THE FISCAL OFFICE OF THE ORGANIZATION |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND THE FINANCIAL STATEMENTS ARE AVAILABLE THROUGH DIRECT INQUIRY OF THE FISCAL OFFICE OF THE ORGANIZATION |
| FORM 990, PART IX, LINE 11G | OTHER: PROGRAM SERVICE EXPENSES 2,134,534. MANAGEMENT AND GENERAL EXPENSES 192,602. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,327,136. |
| FORM 990, PART XII, LINE 2C: | THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR THE SELECTION AND OVERSIGHT OF THE INDEPENDENT AUDITOR. THIS PROCESS HAS NOT CHANGED. |