2023-03-20T10:58:59-00:00 2021-12-31 990 2021-10-01 341571750 Harrison Community Hospital HARR 7409426240 951 East Market Street Cadiz OH 43907 David Phillips PresidentCEO 7409426240 2022-11-10 false David Phillips XXX-XX-XXXX 2 AAL1 IAL1 2021 2023-04-26 12:10:37Z David Phillips 951 East Market Street Cadiz OH 43907 3846173 false X https://wvumedicine.org/harrison-community-hospital/ X 1969 OH To provide the highest level of quality healthcare to all people of its service area regardless of age, sex, religion, national origin and ability to pay. 13 9 143 5 1556836 54506 63191 10714 22305468 3530338 5364 930891 298518 23299550 3844934 0 0 7678779 2476532 0 0 14449278 2956400 22128057 5432932 1171493 -1587998 9721020 10207215 3399968 3318879 6321052 6888336 X It is the mission of Harrison Community Hospital to provide the highest level of quality healthcare to all people of its service area, regardless of age, sex, religion, national origin and ability to pay. This mission, under the guidance of a community-based board of trustees, is implemented using the philosophy of reaching out to provide services false false 4915480 1938520 Harrison Community Hospital serviced 29 inpatients and 4,381 outpatients during the period of October 1, 2021 through December 31, 2021. Harrison Community Hospital also serviced 9 skilled nursing patients in its facilities during the period of October 1, 2021 through December 31, 2021. 4915480 true true false true false false false false false false true false false false true true false true false false false false false false true false true true false false true false false false false false false false false false false false false false true false false false true 43 0 true 143 true true true false false false false false false false false false false false X 13 9 false false false false false false false true true false false true true true true true true true true false OH X John Puorro 7409426240 951 East Market Street Cadiz OH 43907 Douglass Harrison Director, CEO Wheeling Hospital 001.00 041.00 X 0 754616 90598 James Comerci MD Physician 040.00 001.00 X 517276 0 23427 Shaun Roe DO Director 001.00 040.00 X 0 283706 38742 David Phillips Director, CEO 020.00 020.00 X 84456 140759 56359 Samy Sakla Physician 040.00 X 213334 0 29094 Daniel Palermo Physician 040.00 X 209456 0 17624 Reda Shedeed Physician 040.00 X 197202 0 13767 Jennifer Dunlap Director of Pharmacy 040.00 X 141403 0 2354 Jonathan Dobbins Supervisor Pharmacy 040.00 X 119006 0 20527 William Frank Director 001.00 001.00 X 0 0 0 Kent Gallagher Director 001.00 001.00 X 0 0 0 Angela Hannahs Director 001.00 001.00 X 0 0 0 Tom Johnson Director 001.00 001.00 X 0 0 0 Jonathan Kirkland Director 001.00 001.00 X 0 0 0 Kenneth Mason Director 001.00 001.00 X 0 0 0 Ken Phillips Director 001.00 001.00 X 0 0 0 Garen Rhome Director 001.00 001.00 X 0 0 0 Michael Sliva Director 001.00 001.00 X 0 0 0 1482133 1179081 292492 10 false true false Emergency Physician Resource 116 Windy Pt Marietta OH 457509371 Physician Services 1696000 Panhandle Cleaning & Restoration 42 38th Street Wheeling WV 260034324 Restoration Services 441503 340B Holdings LLC 10181 Scripps Gateway CT San Diego CA 921315152 Financial Services 299699 Quest Diagnostics 14225 Newbrook Drive Chantilly VA 201512228 Lab Services 108333 4 10714 10714 Patient Service Revenue 623990 3387298 3387298 Custer RX/Capture RX Revenue 446110 1660069 1542185 117884 3530338 621 621 6700 6700 6700 6700 4743 4743 4743 4743 43046 1239 41807 41807 Ambulance Revenue 621910 141015 141015 Cafeteria Income 900099 26094 26094 Catering Revenue 722320 14651 14651 68251 68251 250011 3844934 1938520 1556836 338864 X 0 0 0 0 646293 540703 105590 0 1342768 711733 631035 8259 5220 3039 363476 234471 129005 115736 73150 42586 0 10500 10500 20072 29 20043 221 221 0 577300 1223811 -646511 0 243592 191629 51963 0 0 81157 96002 -14845 13541 12548 993 0 0 41307 58 41249 47227 47227 192926 149717 43209 120208 108120 12088 Medical Supplies 1253618 1253543 75 Provision for Doubtful Accounts 262322 262322 Taxes, Licenses Fees 79474 49176 30298 Association Dues 12932 3026 9906 3 1 2 5432932 4915480 517452 0 2404798 2430559 1873976 1758795 629731 644540 454231 635691 5559466 826836 4574713 4732630 -216429 5000 9721020 10207215 2905239 2173886 494729 1144993 3399968 3318879 X 6177901 6497524 143151 390812 6321052 6888336 9721020 10207215 X -1587998 2155282 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 221 221 false II-B 1 Harrison Community Hospital is a member of the Ohio Hospital Association OHA and pays annual dues. Lobbying expenses represent the portion of the dues paid to national and state hospital associations that are specifically allocable to lobbying. Harrison Community Hospital 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. 67500 67500 2074414 93981 1980433 13806 4445 9361 2631701 728410 1903291 772045 772045 4732630 Financial derivatives and other financial products Closely-held equity interests Federal income taxes Due to Related Org - Non Current 904094 Local/City PR taxes 5967 Finance Leases Payable 3503 Self Insurance Liability 85284 Intercompany Payable 146145 1144993 X X 2 The System, Belmont Hospital, The Foundation, WP, WHS, HCH, and HCF all qualify as tax-exempt organizations under Section 501c3 of the US Internal Revenue Code. WHH II and ASC are treated as a disregarded entity of the System. The System does not have any material uncertain tax positions as of December 31, 2021. Auxiliary Funds 43046 43046 1239 43046 43046 1239 1239 41807 true true X true X true true true true false false 35727 35727 836320 530374 305946 0.05920 872047 566101 305946 0.05920 872047 566101 305946 0.05920 true 134860 20229 518366 583832 -65466 X true true 1 1 Harrison Community Hospital 951 East Market Street Cadiz OH 43907 https//wvumedicine.org/harrison-community-hospital/ X X X X A A 1 false true true X X X X X X X X X 19 true false false true X https//wvumedicine.org/wp-content/uploads/2021/03/Harrison-Community-Hospital-Community-Health-Needs X true 19 true https//wvumedicine.org/wp-content/uploads/2021/03/Harrison-Community-Hospital-Community-Health-Needs false true X 0000000200.000000000000 X X X X X true true X X X true X https//wvumedicine.org/bill-pay/financial-assistance/ X https//wvumedicine.org/wp-content/uploads/2020/03/Financial-Assistance-Application-Form-3-17-2020.pd X https//wvumedicine.org/bill-pay/financial-assistance/ X X X X X X true X false X X X X true X false true Group Harrison Community Hospital Line Part V, Section B, Line 2 Harrison Community Hospital became a member of the West Virginia United Health System WVUHS effective April 1, 2021. WVUHS is a not-for-profit corporation formed to serve as part of an integrated health science and healthcare delivery system. 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. Group Harrison Community Hospital Line Part V, Section B, Line 5 To ensure input from persons with a broad knowledge of the community, an advisory committee was established with individuals who had special knowledge or expertise in public health. Personal invitations were sent to individuals representing various community, business, and educational groups throughout Harrison County. Individuals and organizations that participated include officials from the Harrison County Health Department, Family Children First Council, Harrison County General Health District, Harrison Metropolitan Housing, Ohio Department of Youth Services, Harrison County Office of Job Family Services, Harrison Hills School District and the Hospital board of directors. Group Harrison Community Hospital Line Part V, Section B, Line 11 The advisory committee members agreed on a set of criteria to use to evaluate the list of potential needs identified through the fact finding process. The criteria included 1 Potential to impact community health 2 Cost to the community 3 Community urgency. The advisory committee members discussed each of the identified health issues. Each member of the advisory committee had the opportunity to vote on which issues they felt met the criteria listed above. Some needs were eliminated from the list while others were prioritized. This process involved group discussion and voting amongst the advisory committee members. The advisory committee decided to adopt the top 3 health care related issues, and created an organization specific implementation strategy. Those 3 health care issues were 1 Chronic Disease Management 2 Unhealthy Lifestyles 3 Drug and Alcohol Abuse. Harrison Community Hospital has been limited in recent years in its ability to dedicate financial and personnel resources to the implementation plan items identified in prior years CHNAs. Progress on the identified health priorities for October - December 2021 was severely limited due to the continuation of the COVID-19 pandemic. In addition, the hospital has experienced several consecutive years of operating losses. As a result, very limited resources were available to allocate to the identified community health needs. Group Harrison Community Hospital Line Part V, Section B, Line 13b Harrison Community Hospital offers discounted care only to individuals who qualify for free care. Harrison Community 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 Harrison Community Hospital Line Part V, Section B, Line 24 All patients are charged an amount equal to gross charges regardless of payment method. Once FAP eligibility is confirmed, charge amounts are moved to Charity Care and no longer charged to the patient. Part I Line 3c Harrison Community Hospital HCH uses 200 Federal Poverty Guidelines FPG to determine free care eligibility. However, HCH does not offer discounted care to individuals who fail the 200 FPG test. Part I Line 6a HCH community benefit numbers are reported in total with other hospitals within the West Virginia United Health System. The most recent amounts can be found on WVU Medicines website here https//wvumedicine.org/about/leadership-and-more/community-benefit/. Part I Line 7 Total community benefit expense for October - December 2021 is 872,046 and is 16.87 of total net expenses. To calculate net expense, bad debt of 262,322 was deducted from total expenses of 5,432,932 as shown in Part IX line 25 of the core Form 990, for a net expense of 5,170,610. Worksheet 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 I Line 7 Worksheet 2 from the IRS Schedule H instructions was used to derive the Cost-to-Charge ratio, which was used to calculate Charity Care, Unreimbursed Medicaid and other means-tested government programs at cost. Part II No community building activities to report for the time period of Ocobter - December 2021. Part III Line 2 Bad Debt Expense at cost was calculated by multiplying bad debt expense of 262,322 by our cost to charge ratio of 51.41 for a total of 134,860. Part III Line 3 The estimated amount of bad debt expense that could reasonably be attributable to a patient who likely would qualify for financial assistance under the hospitals charity care policy was calculated by applying the percentage of charity care to gross patient revenue to the total bad debt expense at cost. Part III Line 4 Harrison Community Hospitalls financial statements are prepared on a consolidated basis as a member of the WV United Health System. The footnote for Accounts Receivable is as follows 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. 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. Part III Line 4 The System grants credit without collateral to its patients, most of whom are local residents, and are insured under third-party payor agreements, primarily with Medicare, Medicaid and various commercial insurance companies. The System records accounts receivable net of estimated prince concessions and such amounts have historically been within managements expectations. Part III Line 4 The mix of accounts receivable at December 31, 2021 and 2020, from patients and third-party payors is as follows For the year-end December 31, 2021 Medicare - 31, Medicaid - 16, Blue Cross - 21, Commercial, managed care and other - 28, Patients - 4, totaling 100. For the year-end December 31, 2020, Medicare - 29, Medicaid - 17, Blue Cross - 21, Commercial, managed care and other - 28, Patients - 5, totaling 100. Part III Line 8 The amount reported in Part III Line 6 583,832 was calculated using the total Medicare allowable cost from the Medicare cost report, less Medicare reimbursement of direct GME. Part III Line 8 Harrison Community Hospitals shortfall, 65,466 of Medicare program reimbursement should be considered a community benefit because we are relieving a government burden by providing care in excess of our costs to these patients. Part III Line 9b Harrison Community Hospital does have a debt collection policy. When a patient has been approved for financial assistance under our charity care policy, they will not be sent to bad debt. Additionally, if a patient is being evaluated for charity, the patient will not be sent to bad debt agency pending charity guarantor status until the pending status has been finalized approved/denied. All other patients with outstanding balances will be processed through billing and collections pursuant to our Financial Policy. Part VI Line 2 Harrison Community Hospital retained Arnett Carbis Toothman, LLP to assist with the most recent CHNA and implementation plan same document that was performed in September 2019, a full report can be found online be visiting WVUMedicine.org and utilizing the Search tool to find Community Health Needs Assessment. The study considers services offered by healthcare providers in the area, population trends, socio-economic demographics and the regions overall sufficiency of health providers in the community. Data was obtained from numerous health organizations as well as interviews with community leaders and hospital staff. This information was used to determine the Communitys future health needs. The study also reviewed the prior implementation plan to assess the progress and community feedback related to the Hospitals plan. Part VI Line 2 Ongoing community health fairs, CPR classes, diabetes education and healthy lifestyle seminars are the primary method of gauging community health needs throughout the year. Many of these programs are coordinated with Wheeling Hospital, Inc. The communities usually contact the hospital facility and ask for assistance. The breakfast for kids program was started by the Hospital knowing that there are kids needing a Christmas. Use of Hospital cardio exercise equipment by the community, as a fitness resource, was also enacted due to requests/inquiries from the community. Part VI Line 3 Harrison Community Hospital HCH employs financial counselors to meet with patients and discuss eligibility to qualify for charity care. HCH provides brochures discussing charity care and the qualifications for receiving charity care. These brochures are available at each registration area in the facility. HCH provides financial assistance to patients who do not qualify for any state or federal programs. Part VI Line 3 Our charity care eligibility guidelines are also listed on our website at www.wvumedicine.org under the Billing and Insurance - Online Bill Pay section of the Patient and Visitor page. HCH also has contracted a third party organization to be on-site to help patients, that qualify for charity care, Medicaid, or other types of financial assistance, complete the required applications and provide the correct documentation to receive these benefits. Part VI Line 4 Harrison Community Hospital predominantly services rural Harrison County, Ohio with an approximate population of 14,477. The racial makeup of Harrison County, OH according to the estimated July 1, 2021 census data was 95.8 white, 2.1 African American, 0.2 Asian, 0.2 Native American, with the remainder from other races or a combination of two or more races. The median household income for 2021 was approximated at 49,454 while the median US household income was 64,994. The percentage of households below the poverty level in July 2021 was approximately 13.7 compared to 11.4 nationally. Part VI Line 5 We continue to provide quality services to the rural and needy community regardless of major reductions in reimbursement. The organization remains committed to the community even when resources are limited and/or less than cost to provide coverage. We continue to make efforts to attract physicians and medical services for those that cannot connect to programs in other service areas. Part VI Line 6 Harrison Community Hospital 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 system. WVUHS serves as the parent corporation to an affiliated group of healthcare providing entities. The strategic plan of the System states intent to build a regional health care delivery system in its service areas, while offering a variety of options for providers who want to participate. The System maintains a demonstrated commitment to assist rural communities in preserving and improving the health care available to the patients it serves. Part VI Line 6 System management is focused on recruitment of staff and employees to meet the growing needs of the aging population in the Systems service areas. 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, St. Josephs Hospital of Buckhannon, Inc., in Buckhannon, 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 in New Martinsville, WV, Wheeling Hospital Inc., in Wheeling, WV, Barnesville Hospital Association in Barnesville, OH, and Uniontown Hospital in Uniontown, PA. Part VI Line 6 In addition to the above mentioned hospitals, the System includes physician practices of United Physicians Care, Inc. and Camden-Clark Physician Corp 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, Harrison Community Hospital Foundation, in Cadiz, OH and Wheeling Hospital Foundation, in Wheeling, WV, 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. X X false true false false false false false false false Samy Sakla Physician 213084 250 4402 24692 242428 Daniel Palermo Physician 197206 12250 17624 227080 Reda Shedeed Physician 172662 24540 13767 210969 James Comerci MD Physician 350950 159468 6858 2900 20527 540703 Douglass Harrison Director, CEO Wheeling Hospital 453315 279933 21368 79697 10901 845214 David Phillips Director, CEO 70537 117562 12643 21072 1275 2125 10614 17689 10521 17535 105590 175983 Shaun Roe DO Director 283706 3618 35124 322448 Part I Line 4b The following individuals received deferred compensation contributions in 2021 - Douglass Harrison in the amount of 68,613 and David Phillips in the amount of 19,531. These amounts are properly recorded in deferred compensation on the Form 990 Schedule J. Form 990, Part VI, Section B, Line 11B The West Virginia United Health Systems tax team prepares teh Form 990 with assistance from the hospital accounting team. The 990 is then reviewed by the Director of Accounting. The 990 is then presented to the FInance Committe. A copy of the 990 is provided to the Board of Directors along with the recommendation from a representative from the Finance Committee prior to filing. Form 990, Part VI, Section B, Line 12C All members of the board of directors and officers receive a copy of the conflict of interest policy annually. Recipients are annually asked to acknowledge they have read the policy, identify any areas of conflict and return the signed disclosure form to Harrison Community Hospital. Responses are reviewed and identified conflicts are referred to the board of directors for discussion and approval. Key employees and other employees are required to complete a conflict of interest questionnaire at hiring and when a chance occurs that may be a conflict of interest. Form 990, Part VI, Section B, Line 15 Officers and key employees compensation is reviewed by the Harrison Community Hospital board, the board trustees review national, regional and local compensation surveys, additionally, years of service are also taken into account. Form 990, Part VI, Section C, Line 19 Governing documents, conflict of interest policy and financial statements are available upon request. Form 990, Part IX, Line 11G Other fees on line 11g consist of the following Consulting and Professional fees of 36,668 of which 1,060 is considered program service and 35,608 is considered management and general expense Contracted Labor of 85,694 of which 767,812 is considered program service and 682,118 is considered management and general expense Consulting Professional Fees for Medical Staff of 424,000 of which all is considered program service expense and Contracted Physician Expense of 30,939 of which all is considered program service expense. Form 990, Part XI, Line 9 Other changes in net assets consist of the following 127,695 of related organization capitalization, 41,808 of auxiliary fundraising net income that is reported on Form 990 as revenue, Audit Adjusment to Fund Balance of 388,687, 247,661 of grant income, and Purchase Price Revaluation adjustments of 2,210,421. Form 990, Part XII, Line 2C Effective April 1, 2021, Harrison Community Hospital became a member of the West Virginia United Health System. As a member of the System, Harrison was included in the consolidated audit prepared by the System independent auditors. The auditors and System accounting team work closely with each entity in preparing for and completing the audit. Form 990, Part III, Line 1 as near to the populace as possible. West Virginia United Health System PO Box 8034 Morgantown WV 26506 550754713 Healthcare Access WV 501c3 12 Type I N/A false University Healthcare Foundation Inc 121 Administrative Drive Martinsburg WV 25401 311118075 Hospital Support WV 501c3 12 Type I West Virginia University Hospitals Inc false United Physicians Care Inc 686 South Pike Street Shinnston WV 26431 550638563 Patient Care WV 501c3 3 United Hospital Center Inc false United Health Foundation Inc 327 Medical Park Drive Bridgeport WV 26330 550621706 Hospital Support WV 501c3 12 Type I United Hospital Center Inc false United Summit Center 6 Hospital Plaza Clarksburg WV 26301 550752788 Behavioral Health WV 501c3 3 West Virginia University Hospitals Inc false Camden-Clark Health Services Inc 800 Garfield Ave Parkersburg WV 26101 550769602 Healthcare Access WV 501c3 12 Type I West Virginia United Health System false Camden-Clark Foundation 800 Garfield Ave Parkersburg WV 26101 550667789 Hospital Support WV 501c3 7 Camden-Clark Health Services false Camden-Clark Physician Corp 604 Ann Street Parkersburg WV 26101 264058719 Patient Care WV 501c3 3 Camden-Clark Health Services false West Virginia University Hospitals Inc PO Box 8034 Morgantown WV 26506 550643304 Patient Care WV 501c3 3 West Virginia United Health System false West Virginia University Hospitals East 121 Administrative Drive Martinsburg WV 25401 202337985 Healthcare Access WV 501c3 12 Type I West Virginia University Hospitals Inc false City Hospital Inc 2500 Foundation Way Martinsburg WV 25401 550383321 Patient Care WV 501c3 3 West Virginia University Hosptials - 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