2023-08-07T11:37:30-05:00 2022-09-30 390859910 BAKER TILLY US LLP 101 WASHINGTON STREET EAST CHARLESTON WV 25301 990 2021-10-01 260440674 THOMAS HEALTH SYSTEM INC THOM 3047663523 4605 MACCORKLE AVE SW S CHARLESTON WV 25309 TIMOTHY SKELDON SENIOR VP OF FINANCE, CFO 3047663523 2023-08-02 1 TIMOTHY SKELDON 999009999 DOLORES ROSE P01286262 3043460441 2023-08-02 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z TIMOTHY SKELDON 4605 MACCORKLE AVE SW SOUTH CHARLESTON WV 25309 6964514 0 X THOMASHEALTH.ORG X 2006 WV THOMAS HEALTH SYSTEM, INC. IS OPERATED EXCLUSIVELY FOR CHARITABLE AND EDUCATIONAL PURPOSES AND IS THE SOLE MEMBER AND PARENT COMPANY OF THE HERBERT J. THOMAS MEMORIAL HOSPITAL ASSOCIATION, CHARLESTON HOSPITAL, INC. DBA ST. FRANCIS HOSPITAL, AND THS PHYSICIAN PARTNERS, INC. 15 14 2067 14 0 0 32381 61483 0 0 733851 6744083 125080 158948 891312 6964514 42695 40834 0 0 49166015 49694434 0 0 0 42905717 40775234 92114427 90510502 -91223115 -83545988 66489070 57209944 152996636 244613286 -86507566 -187403342 THOMAS HEALTH SYSTEM, INC. IS OPERATED EXCLUSIVELY FOR CHARITABLE AND EDUCATIONAL PURPOSES AND IS THE SOLE MEMBER AND PARENT COMPANY OF THE HERBERT J. THOMAS MEMORIAL HOSPITAL ASSOCIATION, CHARLESTON HOSPITAL, INC. DBA ST. FRANCIS HOSPITAL, AND THS PHYSICIAN PARTNERS, INC. 0 0 61481280 40834 158948 THE GENERAL PURPOSES OF THE CORPORATION ARE TO AID, STRENGTHEN, SUPPORT, BENEFIT, AND FURTHER IN EVERY PROPER AND USEFUL WAY THE WORK AND SERVICES OF HERBERT J. THOMAS MEMORIAL HOSPITAL ASSOCIATION, A NONSTOCK, NONPROFIT WEST VIRGINIA CORPORATION, CHARLESTON HOSPITAL, INC., A NONSTOCK, NONPROFIT WEST VIRGINIA CORPORATION, AND THS PHYSICIAN PARTNERS, INC., A NONSTOCK, NONPROFIT WEST VIRGINIA CORPORATION. 61481280 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 X 148 0 2067 1 0 0 0 0 0 0 0 0 0 0 X 15 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X TIMOTHY SKELDON SENIOR VP CFO 3047663523 4605 MACCORKLE AVE SW SOUTH CHARLESTON WV 25309 ANGELA MAYFIELD CHAIRMAN 1.00 2.00 X X 0 0 0 CRAIG SLAUGHTER 1ST VICE CHAIRMAN 1.00 2.00 X X 0 0 0 DAVID SAYRE 2ND VICE CHAIR/SECRETARY 1.00 2.00 X X 0 0 0 STEVE KAWASH TREASURER 1.00 2.00 X X 0 0 0 ALBERT WRIGHT INTERIM PRESIDENT & CEO AS OF 5/2022 10.00 40.00 X X 0 0 0 ANDY BARKER BOARD MEMBER 1.00 2.00 X 0 0 0 ASHLEY PACK BOARD MEMBER 1.00 2.00 X 0 0 0 DANNY SCALISE BOARD MEMBER 1.00 2.00 X 0 0 0 CHUCK JONES BOARD MEMBER 1.00 2.00 X 0 0 0 DENNIS SUTTON BOARD MEMBER 1.00 2.00 X 0 0 0 FATHER HIGGS BOARD MEMBER 1.00 2.00 X 0 0 0 KISHORE CHALLA MD BOARD MEMBER 1.00 2.00 X 0 0 0 LJ FAIRLESS BOARD MEMBER 1.00 2.00 X 0 0 0 MARK ROBINSON BOARD MEMBER 1.00 2.00 X 0 0 0 PAUL BREEDLOVE BOARD MEMBER 1.00 2.00 X 0 0 0 SUSAN LAVENSKI BOARD MEMBER 1.00 2.00 X 0 0 0 DANIEL J LAUFFER PRESIDENT/CEO UNTIL 5/2022 10.00 40.00 X X 782152 0 38411 TIMOTHY SKELDON SR VP FINANCE/CFO 10.00 50.00 X 502623 0 39309 BRIAN ULERY EXEC VP/COO TERMED 5/2022 10.00 40.00 X 496766 0 29414 MATTHEW UPTON MD SR VP/CMO 10.00 40.00 X 506653 0 39181 AARON ALEXANDER SR VP/GEN COUNSEL 1.00 40.00 X 399278 0 25941 BRIAN LILLY SR VP/CQO 1.00 40.00 X 277707 0 18953 JANE HARLESS CONTROLLER 1.00 40.00 X 171415 0 14851 JENNIE KAHN RN VP/CHIEF NURSING OFFICER 1.00 40.00 X 250624 0 25089 ELIZABETH DAVIS VP HUMAN RESOURCES 1.00 40.00 X 326678 0 23640 3713896 0 254789 196 0 1 0 PROFESSIONAL ANESTHESIA SERVICE INC 110 ROANE STREET CHARLESTON WV 25302 ANESTHESIA SERVICES 3854476 CENTER FOR PAIN RELIEF INC 400 COURT STREET SUITE 100 CHARLESTON WV 25301 PSA THSPP 3054996 SOUND PHYSICIANS OF WV PO BOX 742936 LOS ANGELES CA 90074 HOSPITALIST SERVICES 2778582 EMCARE INC 7032 COLLECTION CENTER DRIVE CHICAGO IL 60693 ER PHYSICIAN SERVICES 1079093 SECURITY AMERICA INC PO BOX 4525 CHARLESTON WV 25364 SECURITY SERVICES 831702 38 61483 61483 817366 817366 5926717 0 5926717 5926717 5926717 CC MERCHANT FEES 900099 156594 156594 MISCELLANEOUS REVENUE 900099 2354 2354 158948 6964514 158948 0 6744083 X 40834 40834 2424329 1675697 748632 24601856 17004803 7597053 2684481 1855513 828968 14376718 9937187 4439531 5607050 3875593 1731457 1513842 1513842 401155 401155 20592044 14233221 6358823 1098417 759226 339191 2019083 1397264 621819 2052652 1418793 633859 1268657 876896 391761 50968 35229 15739 4460130 3082842 1377288 1470315 1016282 454033 2671158 1846304 824854 DUES AND SUBSCRIPTIONS 1899810 1313149 586661 MEDICAL SUPPLIES 657226 657226 LEASES EQUIPMENT/RENT E 390157 269677 120480 PHARMACY AND DRUG SUPPL 86887 86887 142733 98657 44076 90510502 61481280 29029222 0 6301042 5437686 4950537 4690952 943171 686375 1838948 2328641 9896974 2901505 7827009 6995469 37227051 29638292 7401312 7432529 66489070 57209944 19415938 29047863 54537767 54698138 79042931 160867285 152996636 244613286 X -86507566 -187403342 -86507566 -187403342 66489070 57209944 X -83545988 -11277623 -6072165 X 0 1 X 1 0 X X 3 THOMAS MEMORIAL HOSPITAL 550404900 3 1 0 0 SAINT FRANCIS HOSPITAL 611272692 3 1 0 0 THS PHYSICIAN PARTNERS INC 454395947 3 1 6072165 0 3 6072165 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 14407 14407 0 PART II-B, LINE 1: LINE 1I: A PORTION OF DUES PAID BY THE THOMAS HEALTH SYSTEM TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE WEST VIRGINIA HOSPITAL ASSOCIATION (WVHA) IS ATTRIBUTABLE TO LOBBYING: WVHA $14,407 AHA $ 0 9368256 2901505 6466751 528718 528718 6995469 MALPRACTICE RECEIVABLE 387000 RESTRICTED CASH 6677520 SECURITY DEPOSIT 368009 7432529 MALPRACTICE LIABILITY 5655000 CAPITAL LEASE OBLIGATIONS 5597751 DUE TO RELATED PARTIES 147661281 ACCRUED INTEREST PAYABLE 1953253 160867285 X PART X, LINE 2: MANAGEMENT HAS EVALUATED THE SYSTEM'S TAX POSITIONS AND CONCLUDED THAT THE SYSTEM HAD MAINTAINED ITS TAX EXEMPT STATUS AND HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THEREFORE, NO PROVISION OR LIABILITY FOR INCOME TAXES HAS BEEN INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS. 0 FAMILY MEDICINE FOUNDATION OF WEST VIRGINIA 650 MAIN STREET BARBOURSVILLE WV 25504 311053219 501(C)3 5000 0 PLATINUM CORPORATE PARTNERSHIP FOR ANNUAL CONFERENCE CHARLESTON AREA ALLIANCE 1116 SMITH STREET CHARLESTON WV 25301 556024192 501(C)3 5000 0 CO-SPONSOR LEADERSHIP KANAWHA VALLEY WV MEDICAL PROFESSIONALS HEALTH PROGRAM 4013 BUCKHANNON PIKE MOUNT CLARE WV 26408 743226821 501(C)3 10000 0 DONATION FOR SPIRIT OF WELLNESS FUNDRAISING CAMPAIGN WVSU FOUNDATION 100 EAST HALL PO BOX 1000 INSTITUTE WV 25112 556019228 501(C)3 10000 0 DIAMOND SPONSORSHIP FOR WVSU BLACK & GOLD GALA THE FOUNDATION FOR THOMAS MEMORIAL 4606 MACCORKLE AVE SW SOUTH CHARLESTON WV 25309 550694220 501(C)3 10834 0 GOLF SPONSORSHIP 5 0 1 X X X X 0 0 0 0 0 0 0 0 0 DANIEL J LAUFFER PRESIDENT/CEO UNTIL 5/2022 534168 0 247984 0 0 0 14500 0 23911 0 820563 0 0 0 MATTHEW UPTON MD SR VP/CMO 389373 0 117280 0 0 0 14500 0 24681 0 545834 0 0 0 TIMOTHY SKELDON SR VP FINANCE/CFO 385443 0 117180 0 0 0 14500 0 24809 0 541932 0 0 0 BRIAN ULERY EXEC VP/COO TERMED 5/2022 375987 0 120779 0 0 0 14500 0 14914 0 526180 0 0 0 AARON ALEXANDER SR VP/GEN COUNSEL 318280 0 80998 0 0 0 14500 0 11441 0 425219 0 0 0 ELIZABETH DAVIS VP HUMAN RESOURCES 270188 0 56490 0 0 0 13557 0 10083 0 350318 0 0 0 BRIAN LILLY SR VP/CQO 212954 0 64753 0 0 0 8783 0 10170 0 296660 0 0 0 JENNIE KAHN RN VP/CHIEF NURSING OFFICER 207604 0 43020 0 0 0 10436 0 14653 0 275713 0 0 0 JANE HARLESS CONTROLLER 171415 0 0 0 0 0 5404 0 9447 0 186266 0 0 0 A WEST VIRGINIA HOSPITAL FINANCE AUTHORITY 621256910 956624AV2 2020-09-28 56794500 REVENUE REFUNDING BONDS 0 0 0 A 56794500 4689250 2539 52102711 1 0 1 1 A 0 1 1 1 0 0.03000 0.03000 0 0 0 A 0 0 0 0 0 0 0 0 1 A 1 FORM 990, PART V, LINE 2A: THOMAS HEALTH SYSTEM, INC. IS THE COMMON PAYMASTER FOR HERBERT J. THOMAS MEMORIAL HOSPITAL, INC. DBA THOMAS MEMORIAL HOSPITAL, CHARLESTON HOSPITAL, INC. DBA ST. FRANCIS HOSPITAL AND THS PHYSICIAN PARTNERS, INC. THE EMPLOYEE COMPENSATION AND BENEFIT EXPENSES ARE REPORTED ON THE FINANCIAL STATEMENTS FOR EACH ENTITY. THE TOTAL NUMBER OF W-2S FILED BY THOMAS HEALTH SYSTEM FOR ALL ENTITIES IS REPORTED ON PART V, LINE 2A. FORM 990, PART VI, SECTION B, LINE 11B THE SYSTEM'S FINANCE COMMITTEE IS RESPONSIBLE FOR FINANCIAL MANAGEMENT OF THE ORGANIZATION. THE 990 IS REVIEWED BY THE ORGANIZATION'S CFO AS PART OF THE FINANCE COMMITTEE. THE 990 IS THEN DISCUSSED WITH THE SYSTEM'S FINANCE COMMITTEE AND A COPY IS PROVIDED TO ALL BOARD MEMBERS BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH OUR WRITTEN CONFLICT OF INTEREST POLICY BY ASKING ANNUALLY THAT ALL TRUSTEES, OFFICERS AND EMPLOYEES (MANAGERS) WHO HAVE DECISION MAKING/PURCHASING AUTHORITY DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST. DISCLOSURE FORMS ARE SIGNED ANNUALLY THEN LOGGED ONTO A SPREAD SHEET THAT IDENTIFIES ANY POTENTIAL CONFLICTS. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMPENSATION COMMITTEE, COMPRISED OF MEMBERS WHO ARE FREE OF ANY CONFLICTS OF INTEREST, ADHERES TO A DISCIPLINED PROCESS FOR REVIEWING COMPENSATION FOR SENIOR EXECUTIVES TO ENSURE THAT THE COMPENSATION IS REASONABLE. THE COMMITTEE HAS RETAINED AN INDEPENDENT CONSULTING AND ADVISORY FIRM, PRICEWATERHOUSECOOPERS (PWC), TO PROVIDE APPROPRIATE MARKET DATA AS TO COMPARABILITY. THE COMMITTEE REVIEWS COMPARABILITY DATA AND OTHER RELEVANT EVIDENCE AND APPROVES THE COMPENSATION OF SENIOR EXECUTIVES; PROVIDED, HOWEVER, THAT IN THE CASE OF THE CEO, THE BOARD, AFTER REVIEW OF THE COMPARABILITY DATA AND OTHER RELEVANT EVIDENCE, INCLUDING A RECOMMENDATION FROM THE COMMITTEE, HAS THE FINAL APPROVAL WITH REGARD TO THE CEO'S COMPENSATION. ONLY THOSE BOARD MEMBERS WHO ARE FREE OF CONFLICTS OF INTEREST VOTE ON THE CEO'S COMPENSATION. ALL COMPENSATION DECISIONS, INCLUDING THE COMPARABILITY DATA REVIEWED AND ANY OTHER RELEVANT INFORMATION CONSIDERED, ARE CONTEMPORANEOUSLY DOCUMENTED IN MEETING MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE SYSTEM MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THESE DOCUMENTS ARE MAINTAINED IN THE ADMINISTRATIVE OFFICES OF THE HOSPITAL AND ARE PROVIDED VIA COPY UPON REQUEST. THE DOCUMENTS ALSO CAN BE REVIEWED ON SITE AT THE HOSPITAL UPON ADVANCE NOTICE. FORM 990, PART IX, LINE 11G ADMINISTRATIVE PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 32,900. MANAGEMENT AND GENERAL EXPENSES 14,698. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 47,598. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,018,659. MANAGEMENT AND GENERAL EXPENSES 901,855. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,920,514. DIRECT DEPT ADMINISTRATIVE SERVICES: PROGRAM SERVICE EXPENSES 1,880,148. MANAGEMENT AND GENERAL EXPENSES 839,973. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,720,121. LINEN SERVICES: PROGRAM SERVICE EXPENSES 467,810. MANAGEMENT AND GENERAL EXPENSES 208,998. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 676,808. MAINTENANCE SERVICES: PROGRAM SERVICE EXPENSES 2,401,836. MANAGEMENT AND GENERAL EXPENSES 1,073,042. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,474,878. PATIENT SERVICES: PROGRAM SERVICE EXPENSES 3,234,635. MANAGEMENT AND GENERAL EXPENSES 1,445,103. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,679,738. IT SERVICES: PROGRAM SERVICE EXPENSES 3,738,528. MANAGEMENT AND GENERAL EXPENSES 1,670,222. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,408,750. ACCOUNTING SERVICES: PROGRAM SERVICE EXPENSES 392,615. MANAGEMENT AND GENERAL EXPENSES 175,405. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 568,020. OTHER CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 66,090. MANAGEMENT AND GENERAL EXPENSES 29,527. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 95,617. FORM 990, PART XI, LINE 9: EQUITY TRANSFER -6,072,165. HERBERT J THOMAS MEMORIAL HOSPITAL ASSOCIATION 4605 MACCORKLE AVENUE SW SOUTH CHARLESTON WV 25309 550404900 HOSPITAL WV 501(C)(3) LINE 3 THOMAS HEALTH SYSTEM 1 SAINT FRANCIS HOSPITAL 333 LAIDLEY ST CHARLESTON WV 25301 611272692 HOSPITAL WV 501(C)(3) LINE 3 THOMAS HEALTH SYSTEM 1 THS PHYSICIAN PARTNERS INC 4605 MACCORKLE AVENUE SW SOUTH CHARLESTON WV 25309 454395947 MEDICAL SERVICES WV 501(C)(3) LINE 3 THOMAS HEALTH SYSTEM 1 TMH SERVICES INC 4605 MACCORKLE AVENUE SW SOUTH CHARLESTON WV 25309 550676607 EQUIPMENT SALES, RENTAL AND RELATED SERVICES, VENDING SALES WV HERBERT J THOMAS MEMORIAL HOSPITAL C 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 THS PHYSICIAN PARTNERS INC B 6072165 ACCOUNTING RECORDS