2023-11-14T12:09:14-00:00 2022-12-31 990 2022-01-01 550383321 City Hospital Inc CITY 3042641000 2500 Hospital Drive Martinsburg WV 25401 Grover G Kerns VP of Finance 3042641000 2023-11-13 false Grover Kerns XXX-XX-XXXX true 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z Berkeley Medical Center Grover G Kerns 121 Administrative Drive Martinsburg WV 25401 332077671 false X https://wvumedicine.org/berkeley/ X 1940 WV City Hospital, Inc. is a nonprofit acute care hospital providing high-quality health wellness services to the residents of the Eastern Panhandle of WV. 15 14 1616 12 0 1302250 1468156 305644080 327812530 2224943 1100899 1274102 1394380 310445375 331775965 6751 4424 0 91395152 92254117 0 0 194682406 231730539 286084309 323989080 24361066 7786885 207203412 193945092 85470723 74867506 121732689 119077586 X The mission of City Hospital, Inc. is to provide high quality, cost effective health and wellness services to the community. Berkeley Medical Center provides these to patients in need without consideration of their ability to pay. false false 98180251 110902194 City Hospital Inc. is a not-for-profit hospital located in West Virginias Eastern Panhandle that provides acute care services as well as emergency and specialty patient care. City Hospital Inc. is part of WVU Medicine University Healthcare, a regional health system serving Berkeley, Jefferson and Morgan Counties, and a member of WVU Medicine/West Virginia United Health System, the states largest healthcare network. During 2022, City Hospital documented 224,050 ancillary tests and 1,746 observation visits. 35152168 50361363 As part of the WVU Cancer Institute, the WVU Medicine University Healthcare Regional Cancer Center provides cancer care in the Eastern Panhandle of West Virginia. Our cancer program, based at City Hospital, has been accredited by the American College of Surgeons Commission on Cancer since 1992 and is a recipient of their Outstanding Achievement Award. We are proud to be among the 25 of hospitals in the country with an ACOS accredited cancer program. Quality, Compassion, Collaboration. Our comprehensive cancer program includes the Outpatient Cancer and Infusion Center, a dedicated Inpatient Oncology Unit with all private rooms, Board Certified Radiation and Medical Oncologists, Patient Navigators, Radiation Therapy, and Clinical Trials. We partner with the American Cancer Society to offer education and support to patients and their families affected by cancer. A Resource Room, located on the 1st floor of the McCormack Center on City Hospitals Campus, provides free information on various programs and services available to cancer patients and their loved ones. 21955296 32887535 City Hospital, Inc. operates a 24- hour, physician staffed emergency department with a Level III Trauma Center designation. During 2022, City Hospital documented 50,483 emergency visits. 119887317 134069674 275175032 true true false true false false false false false false true false false false true true false true false false false false false false false false true true false false true true false false false false false false false false false false false false false false false true false false false true 167 0 true 2184 true false false false false false false false false false false false false false X 15 14 false false false false false false false true true false false true true true true true true false false true true X Grover G Kerns 3042641000 121 Administrative Drive Martinsburg WV 25401 Albert Wright Director, CEO WVUHS 000.03 040.00 X 0 2323142 384491 Jason T White Chief CRNA 040.00 X 321277 0 33931 Julie Barr CRNA 040.00 X 309508 0 21028 Damien Rostorfer CRNA 040.00 X 293230 0 36541 Sarah Harvey Asst Chief CRNA 040.00 X 307296 0 16496 John Erwin CRNA 040.00 X 287032 0 34689 Jeffrey DeBord DO Director / BMC Med Staff President 000.03 000.73 X 2400 0 0 D Scott Roach Chairman 000.03 000.73 X X 0 0 0 Clarence E Martin III Director 000.03 000.73 X 0 0 0 Alice Frazier Director 000.03 000.73 X 0 0 0 Lindsey Hash Director 000.03 000.73 X 0 0 0 Scott Saunders Director 000.03 000.73 X 0 0 0 Henry Kayes Director, Treasurer 000.03 000.73 X X 0 0 0 Brad Wright MD Director / JMC Med Staff President 000.03 000.73 X 0 0 0 Emma Morton-Eggleston MD Director / Dean WVU SOM Eastern Div 000.03 000.73 X 0 0 0 Brian Romine Director 000.03 000.73 X 0 0 0 Dawn Jones MD Director 000.03 001.47 X 0 0 0 James E Rogers Director 000.03 000.73 X 0 0 0 Susan Snowden Director, Secretary 000.03 000.73 X X 0 0 0 Jacqueline Long Director, Vice Chair 000.03 000.73 X X 0 0 0 1520743 2323142 527176 122 false true false Medical Solutions LLC 1010 N 102ND ST STE 300 Omaha NE 681142122 Healthcare Staffing Services 31059728 Fusion Healthcare Staffing LLC PO Box 202056 Dallas TX 753202056 Anesthesiologist Staffing 5119681 Hospitalist Medicine Physicians of WV PLLC PO Box 742936 Los Angeles CA 900742936 Physician Services 2676796 Eastern Panhandle Anesthesia Associates 138 Bovey Ridge Road Martinsburg WV 254031114 Anesthesiologist Staffing 1616654 Pro Nurse LLC 3722 Atlanta Hwy Suite 1 Athens GA 306061862 Healthcare Staffing Services 919942 20 292472 1175684 1468156 Patient Services 621110 315774977 315774977 Prescription Sales 621110 10472983 10472983 Clinical Lab 621110 1354226 1354226 COVID Relief Funds 621110 192039 192039 Wellness Center 621990 18305 18305 327812530 1206758 1206758 284964 195847 89117 89117 89117 105859 -105859 -105859 -105859 Partnership Passthrough Income - Home Health 621110 224345 224345 Cafeteria Income 900099 449438 449438 Rebate Revenue 900099 223244 223244 408236 408236 1305263 331775965 328220766 2087043 X 1000 1000 3424 3424 0 0 0 0 69950092 66085235 3864857 2971804 2807607 164197 12277748 11599382 678366 7054473 6664702 389771 0 4326 4326 807 807 32404 32404 0 59654598 47901077 11753521 31 31 8821277 6105620 2715657 15337 14698 639 0 4073668 3449181 624487 465278 404656 60622 0 65498 53430 12068 1430098 1215527 214571 59486720 35414710 24072010 10696942 9075874 1621068 2581055 2220980 360075 Medical Supplies 60457657 60457657 Provision for Doubtful Accounts 11617400 11617400 Taxes, Licenses, Fees 10044184 8231680 1812504 Recruiting 1713621 1420013 293608 569638 397937 171701 323989080 275175032 48814048 0 78275 3165 82447251 57226043 45411604 60633774 127749 5991852 5661197 261042 1119132 183619682 118194046 70874601 65425636 1287060 1489890 723978 2386255 207203412 193945092 16297833 25617629 17902475 731919 37752833 35300279 13517582 13217679 85470723 74867506 X 121732689 119077586 121732689 119077586 207203412 193945092 X 7786885 -6091932 -4350056 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1000000 1000000 1000000 1000000 4000000 6000000 19586 19769 23906 32404 95665 250000 250000 250000 250000 1000000 1500000 II-A 2c The amount listed is made up of the amount of West Virginia Hospital Association and American Hospital Association dues that the associations determined as attributable to lobbying expense. 3807940 3807940 17636187 12760278 4875909 70268309 36428886 33839423 78531294 64429490 14101804 13375952 4575392 8800560 65425636 Financial derivatives and other financial products Closely-held equity interests Federal income taxes Accrued wages, benefits and payroll taxes 5446270 Malpractice Liability 1067758 Accrued pension benefits -2866 Accrued bond interest 132069 Due to third Party Payors 2435910 Interest Rate Swaps 239903 Self Insurance Liability 3176242 Long Term Lease Liability 722393 13217679 X 314328419 -6091932 -11551461 -17643393 331971812 -195847 -195847 331775965 312633466 195847 195847 312437619 11551461 11551461 323989080 X 2 Most of the entities that comprise the System are tax-exempt organizations and not subject to federal or state income taxes in accordance with Section 501c3 of the Internal Revenue Code. On such basis, they will not incur any liability for income taxes, except for possible unrelated business income. AHS, WVUIS and GHC are organizations subject to federal and/or state income taxes. The System does not have any material uncertain tax positions as of December 31, 2022 and 2021. XI 2d Allowances for Doubtful Accounts - Patients are presented as an offset to revenue on the audited financial statements. For 990 purposes, allowances for doubtful accounts - patients totaling 11,551,461 are presented as an expense. XI 4b Per 990 revenue reporting structure, expenses related to rental income of 195,847 has been reclassified to the revenue section. XII 2d Per 990 revenue reporting structure, expenses related to rental income of 195,847 has been reclassified to the revenue section. XII 4b Allowances for Doubtful Accounts - Patients of 11,551,461 are presented as an offset to revenue on the audited financial statements, but presented as an expense for 990 reporting purposes. true true X true X false true true true false true true 2288481 2288481 0.00730 76240427 40639166 35601261 0.11390 809461 598869 210592 0.00070 79338369 41238035 38100334 0.12190 170496 170496 0.00050 649854 111945 537909 0.00170 32168 32168 0.00010 852518 111945 740573 0.00230 80190887 41349980 38840907 0.12420 501 501 1173 1173 633 633 2307 2307 true 4453088 265046 93795412 141546781 -47751369 X true true 1 1 City Hospital Inc 2500 Foundation Way Martinsburg WV 25401 wvumedicine.org/berkeley/ 80 X X X X A A 1 false false true X X X X X X X X 22 true true false true X https//wvumedicine.org/wp-content/uploads/2023/03/bmcjmccommunityhealthneedsassessment2022.pdf true 23 true https//wvumedicine.org/wp-content/uploads/2023/05/Berkeley-Medical-Center-Jefferson-Medical-Center-C false true X 0000000200.000000000000 X X X X X true true X X true X https//wvumedicine.org/bill-pay/financial-assistance/ X https//wvumedicine.org/wp-content/uploads/2022/10/WVUHFAP-Financial-Application1020202.pdf X https//wvumedicine.org/bill-pay/financial-assistance/ X X X X X X true X false X X X X true X false true Group City Hospital, Inc. Line Part V, Section B, Line 5 The 2022 Community Health Needs Assessment was prepared by Thomas Bias, Christiaan Abildso and Emily Sarkees of the West Virginia University Health Research Center. The Community Health Needs Assessment CHNA process began with a thorough review of the previous cycles needs assessment report and implementation plan. The CHNA also involved collecting both primary and secondary data. According to the CHNA, primary data was comprised of a survey of community members perceptions of health issues followed by a community event focused on reviewing survey data, discussing community resources and assets that impact population health in the area, and working as a group to outline possible implementation strategies for each area of concern. Secondary data included US census data and County Health Rankings Data. The stakeholders represent the broad interests of the communities served by University Healthcare WVUH-East. According to the CHNA, a community meeting was held virtually to get more input from the public, especially from organizations who provide social services to individuals within the service area of University Healthcare. Representatives from these organizations held discussions in small groups to compile a working list of existing resources, programs, policies, and ideas to address each area of concern, in addition to raising questions and providing information and perspective during overall discussion of the survey data results. The CHNA stated that they also worked in their small groups and as a part of a larger discussion to formulate some new suggestions to address each health area. The organizations represented at this community meeting included Berkeley County Development Authority, Berkeley-Morgan County Health Department, Berkeley County Schools, Jefferson County Chamber of Commerce, Jefferson County Development Authority, Berkeley County Sherriffs Department, Jefferson County Parks and Recreation, Berkeley County Recovery Resource Center, Health and Human Services Collaborative, Innovative Community Solutions, James Rumsey Technical Institute, Jefferson County Chief of Police and WVU Medicine officials. The CHNA can be found here https//wvumedicine.org/east/about-us/community-health-needs-assessment/. Group City Hospital, Inc. Line Part V, Section B, Line 5 In addition to the community meeting, a public survey was also utilized. The public survey was developed by the WVU SPH with the leadership team following an iterative process. Survey topics included questions about perceptions of overall health of the community, quality of life, access to healthcare and medical needs, personal behaviors and habits, and demographic information including age, education and income. The survey was collected both online and through hard copies from residents who are 18 or older. The survey link was distributed through email lists, patient charts, social media, and made available as hard copies in the community. Group City Hospital, Inc. Line Part V, Section B, Line 6a The Community Health Needs Assessment CHNA was undertaken jointly with Jefferson Memorial Hospital. You can access the full report at this website https//wvumedicine.org/about/leadership-and-more/chna/ or by going to wvumedicine.org and type Community Health Needs Assessment in the Search tool. Group City Hospital, Inc. Line Part V, Section B, Line 11 According to the CHNA, following the community meeting, the leadership team discussed the totality of information collected through the survey and community event, working to identify priority areas for developing implementation strategies. With leadership and the community meeting group, the WVU SPH reviewed summarized survey data, including overall responses to the three most important health problems or issues. Health problems pertains to mainly clinical items such as health and disease topics however, when creating the survey tool, the hospital leadership saw value in asking about factor affecting health outcomes. For this reason, according to the CHNA, topics were grouped into three questions clinical health and disease items e.g. heart disease, addiction, cancer, quality of life and built or natural environmental factors e.g. air quality, availability of sidewalks, cost of medications, as well as things seen as personal choices or behaviors e.g. vaping, distracted driving, poor eating choices. This allowed the leadership team to cross-reference clinical items with their life factors and personal choices for a deeper understanding of the common themes, and a snapshot perspective of where in life the hospital might be able to implement strategies that will impact many. The CHNA survey results for health and disease included 1. Drug and/or alcohol use, 2. Obesity 3. Mental health problems. CHNA survey results for quality of life and environmental included 1. Cost of health care and/or medications 2. Lack of health insurance or limited health coverage 3. Limited affordable/quality housing. CHNA survey results for personal choices and risky behaviors included 1. Drug abuse 2. Excessive alcohol use 3. Lack of exercise. Group City Hospital, Inc. Line Part V, Section B, Line 11 According to the CHNA, during the prioritization process that followed the community meeting, leadership team members revisited common priority areas within the context of discussions and feedback from the morning. Utilizing a prioritization matrix to guide discussion, the group considered the degree to which the hospitals can realistically affect health outcomes for each priority health concern, endeavors already underway for each, as well as level of importance relative to the reach of their impact. The list of top health concerns was pared down and reconfigured to the three that will be the focus moving forward with implementation planning. These included substance use and mental health, obesity and co-morbid chronic disease including diabetes and cancer and access to care including transportation and cost. Group City Hospital, Inc. Line Part V, Section B, Line 11 The top health concerns identified by the stakeholders are being addressed by University Healthcare in the following ways according to the most recent CHNA. For substance use and mental health, hospital staff will be involved in the Health and Human Services Collaborative Behavioral Health Work Group and the Bridges Work Group, the hospital will implement crisis intervention training for police forces, formalize peer support CISD teams, continue with state and federal funded program and harm and stigma reduction programs. Potential strategies to combat obesity include further addressing and utilizing current partnerships and programming University Healthcare already has in place to help aid in the prevention of obesity and other chronic diseases such as the Eastern Panhandle Diabetes Coalition and the self-management programs and support groups. Lastly, to address transportation and access to care, hospital leadership is exploring transportation options and expanding access to mental health care. Group City Hospital, Inc. Line Part V, Section B, Line 11 Hospital leadership did take the time to discuss some of the issues beyond the top three identified at the community meeting. Cost of care and health insurance appear repeatedly in the community data, but the leadership team acknowledges that these are also in many ways systemic issues over which they have little control. Leadership has not discounted these issues, however, and will revisit at a later time, recognizing that potential collaborations with future partners could change the scope of their impact. Group City Hospital, Inc. Line Part V, Section B, Line 13b City Hospital offers discounted care only to individuals who qualify for free care. City Hospital offers a Prompt - Pay Discount Program - patients who have no third party coverage uninsured or uninsurable may be eligible for a 50 self-pay discount while patients who have a guarantor balance may be eligible for a 20 discount. To be eligible for either prompt pay discount, the patient/guarantor must meet certain requirements. Group City Hospital, Inc. Line Part V, Section B, Line 24 All patients are charged an amount equal to gross charges regardless of payment method. Once FAP eligibility is confirmed, charge amounts are moved to Charity Care and no longer charged to the patient. Part I Line 3c City Hospital Inc CHI uses 200 Federal Poverty Guideline to determine free care eligibility. However, City Hospital does not offer discounted care to individuals who do not qualify for free care. Part I Line 6a City Hospital, Inc. community benefit numbers are reported in total with the other hospitals within West Virginia United Health System. The most recent amounts can be found at the following web addresshttp//wvumedicine.org/about/community-benefit/. Part I Line 7 Row b - Medicaid and Other Means-Tested Government Health Programs. The amount of offsetting revenue show in Column d of 40,639,166 includes payments received from the Directed Payment Plan of 12,560,154. These payments are intended to help offset the cost of caring for the Medicaid population in 2021/2022. Inclusion of this amount follows IRS instructions for this calculation. If these payments has not been received total community benefit from Unreimbursed Medicaid would have been 48,161,415 and 15.41 of expense. Part I Line 7 Column f - Total community benefit expense for 2022 is 80,190,887 and is 25.67 of total net expenses. To calculate net expense, Provision for Doubtful Accounts - Patients 11,551,461 was deducted from total expenses of 323,989,080 as shown in Part IX line 25 of the core Form 990. Part I Line 7 Worksheet 2 from the IRS Schedule H instructions was used to derive the cost-to-charge ratio, which was used to calculate charity care at cost, unreimbursed Medicaid and other means-tested government programs at cost. Part II Physical improvements and housing - City Hospital employees spent a weekday volunteering at a local social service agency on behalf of the United Way of the Eastern Panhandle for the annual Day of Caring. City Hospital also provided the kick-off breakfast for approximately 300 volunteers throughout the Eastern Panhandle. Part II Economic Development - In 2022, Hospital representatives participated as members of the Berkeley County Board of Health and as board members for the Martinsburg Berkeley County Chamber of Commerce and Blue Ridge Community and Technical College. Part II Community Support - City Hospital supports and participates in many health related community activities such as providing judges for science fairs at the local schools. We also support and sponsor many nonprofit organization and activities with staff such as back to school events, local awareness events, walks/race, and health fairs. Many employees serve as volunteer board of directors for community non-profit organization such as Hospice of the Panhandle, Boys Girls Club of the Eastern Panhandle, Martinsburg Berkeley County Parks Rec., Girls on the Run, Berkeley and Jefferson County Chamber of Commerce, and the United Way of the Eastern Panhandle. Part II Environmental Improvements - 2022 marked the seventh full year for City Hospital as a tobacco free campus, by order of the Berkeley County Health Departments Clean Air Act. Part II Leadership Development and Training - At least one management representative from City Hospital participates in the Chamber of Commerces Leadership Berkeley class each year. The Hospital also has representatives on the Workforce Development Committee of the Chamber of Commerce. The Education Department works closely with Blue Ridge Community and Technical College to provide leadership training programs. Part II Community health improvement advocacy - In 2022, City Hospital Champions continued to work on priorities set in 2019 and started a new cycle of the CHNA process and surveyed the community to determine top priority areas to focus on for the next three years. Part II Workforce Development - City Hospital participates in activities sponsored by the Martinsburg Berkeley County Chambers Workforce Development Committee. City Hospital is also a major sponsor of the Womens Network, which is an organization, established by the Berkeley County Chamber, which sponsors womens professional activities, social network, professional development and womens health seminars. A representative from City Hospital also serves on the Blue Ridge Community Technical College Foundation Board. City Hospital also has agreements with area community colleges and universities to allow students to complete clinical rotations at the Hospital. City Hospital provides job shadow and summer volunteer opportunities for teens to follow health professionals and learn about careers in the health field as well as participates in school career fairs in all grade levels of the school system. Part II Coalition building - City Hospital staff participates in the Health Human Services Collaborative and workgroups such as the Health Work Group and Behavioral Health Workgroup. These activities focus on improving community access to health care, human services in general, and determine ways to encourage healthy lifestyles. City Hospital also leads the community coalition, Healthy Berkeley, and supports several community health events such as health fairs and screenings. Staff also participate in other community coalitions such as Bridges, On Track, Promise Neighborhood Initiative, Try This WV and Panhandle Senior Network. Part II Health programs are also offered free to the community. In 2022, the Walk with Ease program as well as the Chronic Pain Self-Management Program was offered in-person. Part III Line 2 Bad Debt Expense at cost was calculated by multiplying bad debt expense - patients of 11,551,461 by our cost-to-charge ratio of 38.55 derived from Worksheet 2 in the IRS Schedule H instructions for a total of 4,453,088. Part III Line 3 Estimated bad debt attributable to patients eligible for charity care was calculated by running a report within our patient revenue software of all bad debt account balances greater than 25,000. The total of that report was 687,538 which was then multiplied by the cost-to-charge ratio of 38.55 for a total of 265,046. Part III Line 3 We feel that, at a minimum, the estimated bad debt attributable to patients eligible for charity care of 265,046 should be considered community benefit due to the fact that a patient with an outstanding balance of 25,000 or greater usually qualifies as catastrophic if the patient completes the application process. In our Charity Care policy, we define catastrophic care as any illness or injury that will likely require continuous or frequent treatment for more than one year. Part III Line 4 City Hospital, Inc doing business as Berkeley Medical Centers 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, 2022 and 2021, from patients and third-party payors is as follows For the year-end December 31, 2022 Medicare - 27, Medicaid - 16, Blue Cross - 19, Commercial, managed care and other - 35, Patients - 3, totaling 100. For the year-end December 31, 2021 Medicare - 31, Medicaid - 16, Blue Cross - 21, Commercial, managed care and other - 28, Patients - 4, totaling 100. Part III Line 8 Part III Line 6 was calculated using total cost from the Medicare Cost Report less Medicare reimbursement of direct GME. City Hospitals shortfall of 47,751,369 on Medicare program should be considered a community benefit because we are relieving a government burden by providing care in excess of our cost to these patients. Part III Line 9b City Hospital does have a debt collection policy. When a patient has been approved for financial assistance under our charity care policy, they will not be sent to bad debt. Additionally, if a patient is being evaluated for charity, the patient will not be sent to bad debt agency pending charity guarantor status until the pending status has been finalized approved/denied. All other patients with outstanding balances will be processed through billing and collections pursuant to our Financial Policy. Part VI Line 2 City Hospital, Inc. is a part of WVU Hospitals - East, a healthcare delivery system serving the Eastern Panhandle of WV. The WVUH-East marketing department considers several components in assessing how the organization determines the need of the communities it serves. Through outside consultants to collaborating with various departments, a needs assessment takes into account several factors including physicians to population rations, physician availability in the entire service area, and general health risks for our community. The Primary Service Area PSA for WVUH - East includes Berkeley County, WV, Jefferson County, WV and Morgan County, WV. This data is then analyzed to provide general estimates to where WVUH - East entities could better care for residents of the West Virginia Eastern Panhandle. Part VI Line 3 City Hospital employs four financial analysts to meet with patients to discuss financial eligibility for our charity care program. City Hospital has the qualification requirements, as well as, applications for charity care available at all registration areas. Patients that do not qualify for state or federally funded programs can apply for the charity care program at City Hospital. Part VI Line 4 City Hospital is a non-profit acute care hospital located in Berkeley County, WV in the city of Martinsburg, WV. Martinsburg is the largest city in the Eastern Panhandle. City Hospital along with Jefferson Memorial Hospital located in Ranson, West Virginia makes up WVU Hospitals - East, which is a part of the West Virginia United Health System. Part VI Line 4 WVU Medicine provides a majority of inpatient services 56.6 for the population in our Primary Service Area PSA. For Berkeley Medical Center, the PSA consists of Berkeley County, WV, Jefferson County, WV and Morgan County. The 2021 market share for Berkeley Medical Centers Primary Service Area is 44.1 with 21.6 of those patients covered by Medicaid and 2.8 uninsured. Jefferson Medical Center, a non-profit critical access hospital under common management, is located within the Primary Service Area and War Memorial Hospital, a non-profit critical access hospital, operated by Valley Health System, is located in the extended service area of Morgan County, WV. Part VI Line 4 Berkeley County has an estimated population of 129,490, a median household income of 68,101, an employment rate of 65.6, 9.9 living in poverty and 6.8 of individuals without healthcare coverage. Jefferson Countys estimated population is 58,979 with a median household income of 86,711, an employment rate of 64.8, 9.7 living in poverty and 6.9 of individuals without healthcare coverage. Morgan County has an estimated population of 17,430 with a median household income of 56,616, an employment rate of 55.1, 12.8 living in poverty and 8.2 of individuals without healthcare coverage. Population and demographic information was obtained from the United States Census Bureau https//www.census.gov/quickfacts. Part VI Line 5 City Hospital board of directors is a community board, with fourteen of the fifteen members living in or around Martinsburg, WV. The remaining board member lives in Morgantown, WV and has connections with CHI through the West Virginia United Health System. Having members living outside our PSA allows us to be more aware of the healthcare needs in other areas of West Virginia. None of the board members are employees or contractors of the filing organization, or family members thereof. Part VI Line 5 City Hospital extends privileges to all qualified medical staff in Berkley County and surrounding communities to meet its healthcare needs. Part VI Line 5 City Hospital allocates available funding to capital purchases and expanded services to improve patient care, support medical education in Berkeley County and surrounding counties in West Virginia and bordering states. Part VI Line 5 In 2009, City Hospital began offering discounted screening in response to a struggling economy. Recognizing that individuals were putting off scheduling routine, preventive testing such as mammograms and blood work, City Hospital offered Discounted Mammogram Clinics in May 2022 and then again in October 2022 cash, no insurance. The clinics were successful in serving over 61 patients at City Hospital. In 2022, The Rotary Health Fair, held was held in April. The screening provided a full blood work-up at cost. Nearly 270 individuals took advantage of these screenings. Part VI Line 5 City Hospitals Mini-Medical School Program, which is held multiple times per year in Berkeley County, is a community health education program featuring local physicians and topics that address health needs in our communities. The program is jointly sponsored by WVU Medicine East and the WVU Robert C. Byrd Health Sciences Center Eastern Division. It is offered free to the community virtually on our Facebook page with 2052 views of 7 videos. Part VI Line 6 City Hospital, Inc is a part of the WV United Health System WVUHS. WVUHS is a not-for-profit corporation formed to serve as part of an integrated health science and healthcare delivery team. WVUHS serves as the parent corporation to an affiliated group of healthcare providing entities. The strategic plan of the System states intent to build a regional health care delivery system in its service areas, while offering a variety of options for providers who want to participate. The System maintains a demonstrated commitment to assist rural communities in preserving and improving the health care available to the patients it serves. Part VI Line 6 System management is focused on recruitment of staff and employees to meet the growing needs of the aging population in the Systems service areas. 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, 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, St. Josephs Hospital of Buckhannon in Buckhannon, 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, and GRMC, Inc. in Oakland, MD was acquired July 1, 2022.. Part VI Line 6 In addition to the above mentioned hospitals, the System includes physician practices of United Physicians Care, Inc., Camden-Clark Physician Corp, and Fayette Physician Network dba WVUHS Medical Group that operate in conjunction with the System hospitals along with United Summit Center, Inc. a behavioral health center located in Clarksburg, WV. The System also includes, WVUH-East, Inc. and Camden-Clark Health Services, Inc. which operate as management companies for their respective hospitals. University Healthcare Foundation, Inc. in Martinsburg, WV, United Health Foundation, Inc. in Bridgeport, WV, Camden-Clark Foundation, Inc. in Parkersburg, WV, St. Josephs Foundation of Buckhannon, Inc. in Buckhannon, WV, Reynolds Memorial Foundation, Inc. in Glen Dale, WV, Barnesville Hospital Foundation in Barnesville, OH, and Harrison Community Hospital Foundation in Cadiz, OH which perform various fundraising activities for their respective hospitals. In 2020, the System formed WVUHS Home Care, LLC to provide Home Health and Hospice services to our service areas, supporting System hospitals by providing continuous care to our patients. Wheeling Hospital Ambulatory Surgical Center, LLC a surgical center located in Bridgeport, OH was acquired in 2021. false true false false false false true true false Albert Wright Director, CEO WVUHS 1480677 815255 27210 356068 28423 2707633 John Erwin CRNA 266548 20000 484 6379 28310 321721 Jason T White Chief CRNA 320681 596 6154 27777 355208 Julie Barr CRNA 287636 20000 1872 4757 16271 330536 Sarah Harvey Asst Chief CRNA 306969 327 6373 10123 323792 Damien Rostorfer CRNA 272907 20000 323 9580 26961 329771 Part I Line 7 Incentive and bonuses are based on goals and productivity measures that are not contingent on revenue. Part I Line 4b During 2022, individuals were able to defer compensation under a nonqualified plan. The amounts reported here are included in Part II Column C of the Schedule J. Albert Wright received deferred contributions of 342,343 from related party, West Virginia United Health System. Column C can and does include amounts that were contributed as a part of the standard retirement package if it was available to the employee during the year. Part I Line 6b Per the WVUHS Incentive Plan incentives are contingent on meeting a net earnings target. A West Virginia Hospital Finance Authority 621256910 000000000 2012-08-01 19125342 2012 C - Refund 2008 D Bond false false false B West Virginia Hospital Finance Authority 621256910 956622L85 2016-06-15 18054350 2016 A - Refund 2008 E 2009 C Bonds false false false C West Virginia Hospital Finance Authority 621256910 956622P32 2018-08-01 31624651 2018 E - Refund 2012 E Bonds false false false A 9216693 19125342 80460 19044882 2012 true false true true B 2265000 18054350 139271 17915078 173 2016 true true true true C 8887778 31624651 2241774 31402877 2018 true false true true A false false true true false false false true B false true true true false false false true C false false true true true true false true 0.02040 true true A false false false true true false false false true B false false false true false false true Cantor Fitzgerald true false true C false true false false false false false false true A true B true C true Part I Line A Prior to 2022 filings - West Virginia University Hospitals, Inc. WVUH as parent company to City Hospital, Inc., The Charles Town General Hospital dba Jefferson Medical Center, and University Healthcare Foundation, Inc., reported bond issuances allocated to WVUH subsidiaries. During 2022 corporate organizational documents updated the structure of the West VIrginia United Health System as a result City Hospital will be reporting bond issuances allocated to them going forward. All other members of the obligated group will be reporting issuances allocated to them. Several bond issuances were issued in multiple series and each series is reported in this tax return separately. For each series identified in Schedule K, Part I, the taxpayer will reconcile the series amount reported in this tax return and the tax return filed by other members of the obligated group to the applicable 8038 filed with the IRS for each bond issuance. Part I Line A The 2012 Series C Bonds issue price 23,770,000 were issued collectively with 2012 Series A Bonds issue price 38,145,000 and 2012 Series B Bonds issue price 50,080,000 totaling 111,995,000 total issue price for all three series reported on Form 8038 for August 1, 2012 issuance. The full Series A Bonds were allocated to United Hospital Center UHC and were refunded with tax-exempt bonds in 2018 that is reported on the UHC Schedule K. The full Series B Bonds were allocated to Camden-Clark Medical Center CCMC and were refunded with taxable debt in 2015. The 2012 C Bonds were allocated to City Hospital 80.46 Jefferson Medical Center 9.65, and University Healthcare Foundation 9.89. Part I Line B The 2016 A Bonds were issued on behalf of the West Virginia United Health System Obligated Group with an issue price of 288,869,596 per Form 8038. The 2016 A Bonds were issued to refund certain outstanding bonds. Per internal allocations the 2016 A issuance issue price 119,678,674 was allocated between WVUH and City Hospital. The proceeds allocated to WVUH, 101,624,324, were used to refund the 2003D, 2008E, and 2009C issuances as an advanced refundings and are reported on the WVUH Schedule K. The proceeds allocated to City Hospital, 18,054,350, were used to refund 2008E as advanced refundings and are reported on this Schedule K. The remaining proceeds from this issuance are reported on Form 990 for CCMC and UHC. Part I Line C The 2018 Series E Bonds issue price 57,910,000 were issued collectively with 2018 Series C Bonds issue price 56,880,000 and 2018 Series D Bonds issue price 23,680,000 totaling 138,470,000 total issue price for all three series reported on Form 8038 for August 7/31/18 issuance. The 2018 E Series was allocated between City Hospital, Inc 54.61 and Jefferson Medical Center 45.39. The Series C Bonds were allocated to CCMC and will be reported on its Schedule K. The Series D Bonds were allocated to UHC and will be reported on its Schedule K. Part II Line 12 The amount reported in Line 12 Column B is a result of a balance that remained in the account that is used to fund principal and interest payments on this issuance. We are provided an amount to fund prior to the payment date, once funds that are sold/redeemed to make our payment there is occasionally a residual amount. That amount is left in the account and applied to the upcoming payment. Part IV Line 2c Column A - A rebate calculation was prepared for the issuance date through August 1, 2022. The report indicates that no rebate is due. The next computation date is August 1, 2027. Column B - A rebate calculation was prepared for the issuance date through June 15, 2021. The report indicates that no rebate is due. The next computation date is June 15, 2026. Form 990, Part III, Line 4d Program Service Expenses 19,217,049, Grants and allocations 0, Revenue 19,400,789 City Hospitals Obstetrics and Gynecology services have expanded to include the Birthing Center Mother Baby Unit, offering family centered obstetric services, includes five home like suites with private bathrooms where labor and delivery occur, and the Mother Baby postpartum area which includes 11 private rooms. The Birthing Center Mother Baby Unit has earned Perinatal Care Certification from The Joint Commission, recognizing City Hospitals commitment to healthy mothers and healthy babies. City Hospital is also certified by Cribs for Kids as a National Safe Sleep Hospital. City Hospital is one of 21 hospitals in West Virginia participating in YES to Safe Sleep for Babies, and has received the West Virginia Perinatal Partnerships First Baby Initiative with one of the lowest primary C-section rates in West Virginia. In 2022, there were 2,041 obstetrics and gynecology days and 146 observation days. Form 990, Part III, Line 4d Program Service Expenses 16,071,594, Grants and allocations 0, Revenue 17,635,501 The surgery department at City Hospital, Inc. is staffed by specialists and general surgeons offering the latest in surgical techniques including laparoscopic procedures, lithotripsy, and same day-ambulatory surgery. Same day surgery visits for 2022 totaled 10,433. Form 990, Part III, Line 4d Program Service Expenses 84,598,674, Grants and allocations 0, Revenue 97,033,384 In addition to primary and specialty patient care services, City Hospital, Inc. serves as a clinical education site for West Virginia University, the WV School of Osteopathic Medicine and other regional universities and community colleges. The Erma Byrd Health Professions Education Center, which houses the WVU Robert C. Byrd Health Sciences Center-Eastern Division, is also located on the City Hospital, Inc. campus. As part of a unified health system, the focus of City Hospital, Inc. and its sister organization Jefferson Medical Center, is on growth to enhance and add new health services in Berkeley and Jefferson Counties. Form 990, Part III, Line 4d Program Service Expenses 0, Grants and allocations 0, Revenue 0 Achieving the Joint Commissions Gold Seal of Approval for Total Hip and Knee Replacement Surgery is a testament to the level of care patients are receiving from orthopaedic surgeons practicing at City Hospital. The Gold Seal ensures compliance with standards of care specific to the needs of patients, including infection prevention and control, leadership and medication management. Form 990, Part III, Line 4d Program Service Expenses 0, Grants and allocations 0, Revenue 0 In December of 2017, the WVU Heart Vascular Institute HVI was expanded to City Hospital. This expansion intends to improve access to cardiac care for individuals living in the Eastern Panhandle of West Virginia. HVI - Martinsburg is comprised of seven board-certified cardiologists. These cardiologists offer a variety of services including but not limited to interventional cardiology, abdominal ultrasound, stress testing, ankle-brachial index/pulse volume recording ABI/PVR, rhythm management and valvular assessment. Form 990, Part IV, Line 24a Bond issuances allocated to City Hospital, Inc. CHI are being reported on Schedule K of West Virginia University Hospitals, Inc. WVUH, EIN 55-0643304. WVUH is a 501c3 and is the parent hospital of CHI. Form 990, Part VI, Section B, Line 11a The Form 990 is prepared by the WVUHS tax department and then reviewed by the non-profit tax manager of our independent tax firm and West Virginia University Hospitals- East, Inc. WVUH-East Vice President of Finance. After gaining approval from the VP of Finance, it is then presented to all of the board members for a final review. Upon board review, it is signed and submitted to the IRS. Form 990, Part VI, Section B, Line 12c Annually, all board members, vice presidents, officers, and managers are required to disclose any relationships which may give rise to a conflict of interest. These reponses are processed and maintained by the WVUH-East Compliance Committee. All board members are to be willing to identify conflicts of interest and abstain from voting when appropriate. Form 990, Part VI, Section C, Line 19 All financial and governing documents including the conflict of interest policy are retained onsite and are made available to the public upon request. Form 990, Part IX, Line 11g Other Service Expenses includes Consulting Professional fees of 10,591,886 which 24,085 is considered program service expense and 10,567,801 is considered management and general expense Contracted Labor fees of 5,605,251 which 4,494,853 is considered program service expense and 1,110,398 is considered management and general Lab fees of 1,658,485 all of which is considered program service expense Contracted Labor - Patient Care fees of 41,820,594 which 41,745,357 is considered program service expense and 75,237 is considered management and general expense Resident expense of 85 of which all is considered management and general and Collection Fees of 21,703 all of which is considered program service expense. Form 990, Part XI, Line 9 Other changes in net assets or fund balance includes 4,350,056 of related organization capitalization. Form 990, Part VI, Section B, Line 15 a b The compensation of the CEO is determined by the WV United Health System Compensation Committee based upon a salary and benefit survey prepared by an independent company using data of comparable facilities. This information is provided to the compensation committee which is made up of independent board members who are then responsible for setting the compensation packages offered to each executive, ensuring that the compensation package does not exceed fair market value based on the data from the consultant group. The minutes of the compensation committee are contemporaneously documented and retained. A full compensation survey was completed in 2021 for 2022 compensation amounts. The compensation of all officers at the Vice President level and below is determined based upon a salary and benefit survey prepared by an independent company using data of comparable facilities. This data is then interpreted and provided to an independent compensation committee. The independent compensation committee then uses this data to determine a fair and reasonable compensation package. All relevant data as well as minutes from each meeting are retained. Form 990, Part VI, Section A, Line 4 6 During 2022, Amended and Restated Articles of Incorporation were filed for City Hospital, Inc.. The amended articles state The Corporation shall have one class of members and its sole member shall be West Virginia University Hospitals - East, Inc.. a West Virginia nonprofit organization and an organization exempt from federal income tax pursuant to Section 501c3 of the Internal Revenue Code. Form 990, Part VI, Section A, Line 7a As the sole member West Virginia University Hospitals - East, Inc. shall have the sole rgiht to vote at any meeting of the members of the Corporation and shall have all rights granted to members of nonstock, nonprofit coprorations by the laws of the State of West Virginia. 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Services false University Healthcare Physicians 2500 Foundation Way Martinsburg WV 25401 900893455 Patient Care WV 501C3 3 N/A false Potomac Valley Hospital of W Va Inc 100 Pin Oak Lane Keyser WV 26726 550420956 Patient Care WV 501C3 3 WV United Health System false St Joseph's Hospital of Buckhannon Inc 1 Amalia Drive Buckhannon WV 26201 550356996 Patient Care WV 501C3 3 WV United Health System false Reynolds Memorial Hospital 800 Wheeling Ave Glen Dale WV 26038 550357045 Patient Care WV 501C3 3 WV United Health System false Reynolds Memorial Foundation 800 Wheeling Ave Glen Dale WV 26038 550710402 Hospital Support WV 501C3 12 Type I Reynolds Memorial Hospital Inc false St Joseph's Foundation of Buckhannon Inc 1 Amalia Drive Buckhannon WV 26201 550727650 Hospital Support WV 501C3 12 Type II St Joseph's Hospital of Buckhannon Inc false Braxton County Memorial Hospital 100 Hoylman Drive Gassaway WV 26624 550611919 Patient Care WV 501C3 3 WV United Health System false Community Health Association 122 Pinnell Street Ripley WV 25271 550462730 Patient Care WV 501C3 3 WV United Health System false Wetzel County Hospital Inc 3 East Benjamin Drive New Martinsville WV 26155 843480493 Patient Care WV 501C3 3 WV United Health System false WVUHS Home Care LLC PO Box 8059 Morgantown WV 26506 852915642 Home Health and Hospice WV 509a2 WV United Health System false Uniontown Hospital 500 West Berkeley Street Uniontown PA 15401 250965588 Patient Care PA 501C3 3 WV United Health System false Fayette Physician Network 500 West Berkeley Street Uniontown PA 15401 455440305 Patient Care PA 501C3 3 WV United Health System false Wheeling Hospital Inc 1 Medical Park Wheeling WV 26003 550357057 Patient Care WV 501C3 3 WV United Health System false Harrison Community Hospital 951 E Market Street Cadiz OH 43907 341571750 Patient Care OH 501C3 3 WV United Health System false Harrison Community Hospital Foundation 951 E Market Street Cadiz OH 43907 341571749 Hospital Support OH 509a2 12 Type 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Management WV N/A false false Allied Health Services Inc PO Box 782 Morgantown WV 26507 550652017 Medical Lab WV West Virginia United Health System C Corp false West Virginia United Insurance Services Inc 3040 University Avenue Suite 3200 Morgantown WV 26505 550756055 Provider Network WV West Virginia United Health System C Corp false false false true false false false false false false false true true false false false true true false false