POTOMAC VALLEY HOSPITAL INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: POTOMAC VALLEY HOSPITAL INC (EIN 55-0420956)
Tax period: 2022-01-01 to 2022-12-31
Filed: 2023-11-14
IRS object ID: 202323189349308007
Schema version: 2022v5.0
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-11-14T12:25:50-00:00	ReturnTs
Tax Period End	2022-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	550420956	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Potomac Valley Hospital of W VA Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	POTO	BusinessNameControlTxt
Phone	3045973500	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 Pin Oak Lane	AddressLine1Txt
City	Keyser	CityNm
State Abbreviation	WV	StateAbbreviationCd
ZIP	267265908	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Amy Boothe	PersonNm
Person Title	VP of Operations	PersonTitleTxt
Phone	3045973500	PhoneNum
Signature	2023-11-14	SignatureDt
Discuss With Paid Preparer	false	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Amy	PersonFirstNm
Person Last	Boothe	PersonLastNm

Field	Value	IRS element (for citing)
SSN	XXX-XX-XXXX	SSN

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Amy Boothe	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 Pin Oak Lane	AddressLine1Txt
City	Keyser	CityNm
State Abbreviation	WV	StateAbbreviationCd
ZIP	26726	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$71,449,248	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	https://wvumedicine.org/potomac-valley-hospital/	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2014	FormationYr
Legal Domicile State	WV	LegalDomicileStateCd
Activity Or Mission	Potomac Valley strives to improve the total health status of area residents and provide supportive care for the chronically and/or terminally ill patients at home.	ActivityOrMissionDesc
Voting Members Governing Body	7	VotingMembersGoverningBodyCnt
Voting Members Independent	5	VotingMembersIndependentCnt
Total Employee	473	TotalEmployeeCnt
Total Volunteers	14	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$180,505	PYContributionsGrantsAmt
CY Contributions Grants	$124,894	CYContributionsGrantsAmt
PY Program Service Revenue	$54,710,051	PYProgramServiceRevenueAmt
CY Program Service Revenue	$70,970,041	CYProgramServiceRevenueAmt
CY Investment Income	$36	CYInvestmentIncomeAmt
PY Other Revenue	$176,224	PYOtherRevenueAmt
CY Other Revenue	$341,934	CYOtherRevenueAmt
PY Total Revenue	$55,066,780	PYTotalRevenueAmt
CY Total Revenue	$71,436,905	CYTotalRevenueAmt
PY Grants And Similar Paid	$47,500	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$36,888	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$23,991,852	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$27,737,900	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$24,768,151	PYOtherExpensesAmt
CY Other Expenses	$33,272,692	CYOtherExpensesAmt
PY Total Expenses	$48,807,503	PYTotalExpensesAmt
CY Total Expenses	$61,047,480	CYTotalExpensesAmt
PY Revenues Less Expenses	$6,259,277	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$10,389,425	CYRevenuesLessExpensesAmt
Total Assets BOY	$41,281,196	TotalAssetsBOYAmt
Total Assets EOY	$54,057,742	TotalAssetsEOYAmt
Total Liabilities BOY	$30,848,843	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$33,938,776	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$10,432,353	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$20,118,966	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	Potomac Valley strives to improve the total health status of area residents and provide supportive care for the chronically and/or terminally ill patients at home. PVH recognizes health as a condition to which everyone has a just claim and will make a priority of meeting the changing needs of the community within the limits of available resources.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$18,704,578	ExpenseAmt
Revenue	$25,505,264	RevenueAmt
Desc	Family medicine services are provided in multiple clinic locations, and as rural health clinics, to serve the primary care needs of the population in Mineral County and provide access to care. During 2022, PVH had 11,961 family medicine patient encounters.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$10,972,054	ExpenseAmt
Revenue	$15,802,735	RevenueAmt
Desc	PVH Emergency Department is staffed 24 hours everyday with specially trained physicians and nursing staff. The level of care ranges from continuation or initiation of advanced life support, to the assessment and treatment of minor illness, injuries or the acceleration of chronic medical conditions. The Emergency Department is connected by ration to Civil Defense and all area rescue squads and ambulances, thus allowing the staff to be fully prepared for any incoming emergency in advance of the arrival. The Emergency Department saw 16,370 patients in 2022.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$4,688,911	ExpenseAmt
Revenue	$5,860,991	RevenueAmt
Desc	General surgical services are provided as emergent and scheduled services on both an inpatient and an outpatient basis. PVH had 2,352 general surgery visits in 2022.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$17,089,803	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$24,011,476	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$51,455,346	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (true)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	72	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	472	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	7	GoverningBodyVotingMembersCnt
Independent Voting Member	5	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	Amy Boothe	PersonNm
Phone	3045973500	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 Pin Oak Lane	AddressLine1Txt
City	Keyser	CityNm
State Abbreviation	WV	StateAbbreviationCd
ZIP	26726	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd
Charles Bess MD
Physician, Director Through November 2022	040.00	Yes (X)	$649,729	$0	$32,577
Michael Gould DO
Director, Chief of Staff	040.00	Yes (X)	$297,608	$260,322	$36,675
Hamed Vahedikafshgari MD
Physician	040.00		$546,827	$0	$43,208	Yes (X)
Mark Boucot
Director, CEO	020.00	Yes (X)	$211,411	$211,411	$98,563		020.00	Yes (X)
Alan Stephens MD
Physician	040.00		$431,178	$0	$42,990	Yes (X)
James Viglianco MD
Physician	040.00		$412,786	$0	$34,508	Yes (X)
Boyd Sprenkle MD
Physician	032.00		$340,077	$79,477	$22,779	Yes (X)	008.00
Daniel Hurley DO
Physician	040.00		$290,052	$0	$14,610	Yes (X)
Amy Boothe
VP Operations Finance	028.00		$134,574	$61,384	$24,862		012.00	Yes (X)
Kendra Thayer
VP of Nursing, CNO September- December 2022	011.00		$23,988	$127,020	$16,823		029.00	Yes (X)
Elaine Geroski
VP, Nursing, January - September 2022	040.00		$123,438	$0	$15,367			Yes (X)
Robin Haupt
Director, Secretary	001.00	Yes (X)	$0	$0	$0			Yes (X)
Jerry Whisner
Director, President	001.00	Yes (X)	$0	$0	$0			Yes (X)
Dinah Courrier
Director	001.00	Yes (X)	$0	$0	$0
Frances Jones
Director Through November 2022	001.00	Yes (X)	$0	$0	$0
Kevin Clark
Director	001.00	Yes (X)	$0	$0	$0
Brandon Combs
Director Through September	001.00	Yes (X)	$0	$0	$0
Louie Kitzmiller
Director, Treasurer Appointed July 2022	001.00	Yes (X)	$0	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,461,668	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$739,614	TotReportableCompRltdOrgAmt
Total Other Compensation	$382,962	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	31	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Medical Solutions LLC
1010 N 102nd St Ste 300	Omaha	NE	681142122	Medical Staffing Services	$2,605,946
Rabie Zalzal
537 S Mineral St	Keyser	WV	267262936	Physican Services	$152,743
Fisher Scientific Company
11450 Compaq Center West Dr	Houston	TX	770701445	Landscaping and Excavating Services	$115,016
Harshad Bokil
16008 Winchester Road SW	Cumberland	MD	215026497	Medical Staffing Services	$113,484
Quest Diagnostics Nichols Institute Inc
14255 Newbrook Dr	Chantilly	VA	201512228	Physician Services	$107,774

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	5	CntrctRcvdGreaterThan100KCnt
Government Grants	$69,213	GovernmentGrantsAmt
All Other Contributions	$55,681	AllOtherContributionsAmt
Total Contributions	$124,894	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Services	900099	$69,481,066	$69,481,066
Pharmacy Revenue	900099	$758,639	$758,639
COVID Relief Funds - Other	900099	$592,270	$592,270
COVID Relief Funds - Federal	900099	$138,066	$138,066

Field	Value	IRS element (for citing)
Total Program Service Revenue	$70,970,041	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$36	TotalRevenueColumnAmt
Exclusion	$36	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$16,130	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$12,343	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$3,787	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,787	TotalRevenueColumnAmt
Exclusion	$3,787	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
HPSA Bonus Payments	900099	$143,641	$143,641
Cafeteria Income	900099	$127,722		$127,722
Rebate Revenue	900099	$24,215	$24,215

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$42,569	TotalRevenueColumnAmt
Related Or Exempt Func Income	$42,569	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$338,147	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$71,436,905	TotalRevenueColumnAmt
Related Or Exempt Func Income	$71,180,466	RelatedOrExemptFuncIncomeAmt
Exclusion	$131,545	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$24,422	TotalAmt
Program Services	$24,422	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$12,466	TotalAmt
Program Services	$12,466	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,552,689	TotalAmt
Program Services	$1,140,348	ProgramServicesAmt
Management And General	$412,341	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$20,409,333	TotalAmt
Program Services	$17,987,090	ProgramServicesAmt
Management And General	$2,422,243	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$658,935	TotalAmt
Program Services	$589,143	ProgramServicesAmt
Management And General	$69,792	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$3,612,580	TotalAmt
Program Services	$3,225,490	ProgramServicesAmt
Management And General	$387,090	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,504,363	TotalAmt
Program Services	$1,325,821	ProgramServicesAmt
Management And General	$178,542	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$32,611	TotalAmt
Management And General	$32,611	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$118	TotalAmt
Program Services	$118	ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$5,129	TotalAmt
Program Services	$5,129	ProgramServicesAmt

Field	Value	IRS element (for citing)
Fees For Services Prof Fundraising		FeesForServicesProfFundraising

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$4,350,786	TotalAmt
Program Services	$3,927,450	ProgramServicesAmt
Management And General	$423,336	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$244,597	TotalAmt
Program Services	$11,163	ProgramServicesAmt
Management And General	$233,434	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,231,259	TotalAmt
Program Services	$1,703,776	ProgramServicesAmt
Management And General	$527,483	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$600	TotalAmt
Management And General	$600	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,070,462	TotalAmt
Program Services	$896,092	ProgramServicesAmt
Management And General	$174,370	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$306,582	TotalAmt
Program Services	$265,102	ProgramServicesAmt
Management And General	$41,480	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$523,045	TotalAmt
Program Services	$434,047	ProgramServicesAmt
Management And General	$88,998	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$6,715,743	TotalAmt
Program Services	$3,080,205	ProgramServicesAmt
Management And General	$3,635,538	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,165,230	TotalAmt
Program Services	$1,799,276	ProgramServicesAmt
Management And General	$365,954	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$576,308	TotalAmt
Program Services	$485,968	ProgramServicesAmt
Management And General	$90,340	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$9,693,741	$9,693,741
Provision for Doubtful Accounts	$2,899,075	$2,899,075
Taxes, Licenses and Fees	$1,746,438	$1,448,984	$297,454
Recruiting	$543,703	$460,624	$83,079

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$167,265	TotalAmt
Program Services	$39,816	ProgramServicesAmt
Management And General	$127,449	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$61,047,480	TotalAmt
Program Services	$51,455,346	ProgramServicesAmt
Management And General	$9,592,134	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$166,227	BOYAmt
EOY	$10,868,750	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$5,558,721	BOYAmt
EOY	$115,056	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$8,364,626	BOYAmt
EOY	$13,674,028	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$2,410	BOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$639,937	BOYAmt
EOY	$820,510	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$466,055	BOYAmt
EOY	$405,331	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$34,824,420	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$11,071,186	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$21,177,146	BOYAmt
EOY	$23,753,234	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$4,906,074	BOYAmt
EOY	$4,420,833	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$41,281,196	BOYAmt
EOY	$54,057,742	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$8,173,387	BOYAmt
EOY	$11,714,673	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$2,928,840	BOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$18,500,000	BOYAmt
EOY	$18,500,000	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$640,379	BOYAmt
EOY	$548,767	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$606,237	BOYAmt
EOY	$3,175,336	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$30,848,843	BOYAmt
EOY	$33,938,776	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	$10,419,740	BOYAmt
EOY	$20,102,111	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$12,613	BOYAmt
EOY	$16,855	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$10,432,353	BOYAmt
EOY	$20,118,966	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$41,281,196	BOYAmt
EOY	$54,057,742	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$10,389,425	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$702,812	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$5,129	OtherActivitiesAmt
Total Lobbying Expenditures	$5,129	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	II-B 1i	FormAndLineReferenceDesc
Explanation	This amount is calculated based on information provided by the West Virginia Hospital Association and the American Hospital Association. The American Hospital Association estimates that 27.29 of the 2022 dues were allocated to lobbying expense. The West Virginia Hospital Association estimates that during 2022, 13.54 of the dues paid should be allocated to lobbying expense.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,240,397	OtherCostOrOtherBasisAmt
Book Value	$1,240,397	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$17,863,528	OtherCostOrOtherBasisAmt
Depreciation	$4,104,529	DepreciationAmt
Book Value	$13,758,999	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$801,235	OtherCostOrOtherBasisAmt
Depreciation	$251,099	DepreciationAmt
Book Value	$550,136	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,141,908	OtherCostOrOtherBasisAmt
Depreciation	$6,659,400	DepreciationAmt
Book Value	$3,482,508	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,777,352	OtherCostOrOtherBasisAmt
Depreciation	$56,158	DepreciationAmt
Book Value	$4,721,194	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$23,753,234	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

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

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
Goodwill and other intangible	$4,015,424
Other Non-Current Assets	$405,409

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$4,420,833	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
Federal income taxes
Debt Issuance Costs	-$123,591
Long Term Lease Liability	$3,089,654
Capitalized Leases Payable Non Current	$209,273

Field	Value	IRS element (for citing)
Total Liability	$3,175,336	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$68,582,666	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	-$2,866,582	OtherRevenueAmt
Revenue Not Reported	-$2,866,582	RevenueNotReportedAmt
Revenue Subtotal	$71,449,248	RevenueSubtotalAmt
Other Revenues Not Included	-$12,343	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$12,343	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$71,436,905	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$58,193,241	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$12,343	OtherExpensesIncludedAmt
Expenses Not Reported	$12,343	ExpensesNotReportedAmt
Expenses Subtotal	$58,180,898	ExpensesSubtotalAmt
Other Expenses Not Included	$2,866,582	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$2,866,582	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$61,047,480	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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	The amount shown on line 2d consists of 2,866,582 provision for doubtful accounts - patients reported as an offset to revenue on the financial statements but is reported as an expense on the Form 990.
XI 4b	The amount on line 4b consists of 12,343 of rental expenses that is recorded as an offset to revenue on the Form 990.
XII 2d	The amount shown on line 2d consists of 12,343 of rental expenses that is recorded as an offset to revenue on the Form 990.
XII 4b	The amount shown on line 4b consists of 2,866,582 provision for doubtful accounts - patients reported as an offset to revenue on the financial statements but is reported as an expense on the Form 990.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$353,956	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$26,935	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$327,021	NetCommunityBenefitExpnsAmt
Total Expense	0.00560	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,454,454	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,454,454	DirectOffsettingRevenueAmt

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$99,056	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$99,056	DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,907,466	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,580,445	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$327,021	NetCommunityBenefitExpnsAmt
Total Expense	0.00560	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$159,550	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$159,550	NetCommunityBenefitExpnsAmt
Total Expense	0.00270	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$65,131	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$65,131	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,238	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$23,238	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$247,919	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$247,919	NetCommunityBenefitExpnsAmt
Total Expense	0.00420	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,155,385	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,580,445	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$574,940	NetCommunityBenefitExpnsAmt
Total Expense	0.00980	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$288	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$288	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$288	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$288	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,201,333	BadDebtExpenseAmt
Bad Debt Expense Attributable	$135,900	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$29,487,924	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$30,082,891	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$594,967	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	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	Potomac Valley Hospital	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 Pin Oak Lane	AddressLine1Txt
City	Keyser	CityNm
State Abbreviation	WV	StateAbbreviationCd
ZIP	26726	ZIPCd

Field	Value	IRS element (for citing)
Website Address	wvumedicine.org/potomac-valley-hospital/	WebsiteAddressTxt
State License	02	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Facility Reporting Group	A	FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	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
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https//wvumedicine.org/wp-content/uploads/2022/08/PVH2021Community-Health-Needs-Assessment-Report.pd	OwnWebsiteURLTxt
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https//wvumedicine.org/wp-content/uploads/2022/08/PVH-CHNAImplementation-Report20210721.pdf	StrategyWebsiteURLTxt
Strategy Attached	Yes (true)	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	0000000200.000000000000	FPGFamilyIncmLmtFreeCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https//wvumedicine.org/bill-pay/financial-assistance/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	wvumedicine.org/bill-pay/financial-assistance/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	wvumedicine.org/bill-pay/financial-assistance/	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 Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
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 (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	Yes (true)	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Group Potomac Valley Hospital Line Part V, Section B, Line 5	As a part of the West Virginia United Health System WVUHS, PVH contracted with the WVU School of Public Health WVU SPH to assist in the CHNA process and report. The 2021 CHNA was prepared by Thomas Bias from the West Virginia University Health Research Center. The CHNA process utilized two primary sources of data, which included a public input survey and a community meeting. The public input survey was developed by the WVU OHA with the leadership team following an iterative process to gain stakeholder input. Members of the leadership team were selected because of their familiarity with Mineral County, Potomac Valley Hospital, and health services and needs in the area. These individuals included Andrew Root - Administrator, Mineral County Health Department Christian Brooks - Directors of Public Relations, Potomac Valley Hospital Michael Gould, DO - Emergency Physician, Potomac Valley Hospital Amy Boothe - VP of Operations, Potomac Valley Hospital Mark Boucot - CEO, PVH and Garrett Regional Medical Center Dinah Courrier - Board of Directors, Potomac Valley Hospital Brenna Earnest, RN - Safety Compliance Officer - Potomac Valley Hospital Connie Moore - Director of Care Management, Potomac Valley Hospital Elaine Geroski - VP of Nursing, Potomac Valley Hospital Patricia Barbarito - Director of Preventive Medicine Department, Potomac Valley Hospital Dayla Harvey - Mineral County Family Resource Network Raj Masih - Potomac Highlands Guild Eric Phillips - DHHR, Rev. Randy Nairn - Keyser Area Ministerial Association Louis Kitzmiller - Mineral County Aging and Family Services Michelle Walker - County United Way Derek Green - Assistant Vice President of Operations, Potomac Valley Hospital and Dianne Smith - Director of HR, Potomac Valley Hospital. The public interest survey topics included questions about specific health issues, thoughts on overall health of the community, quality of life, access to healthcare and medical needs including specialist care, risky behaviors and personal choices, and demographic information including geographic location and income. This survey was intended to solicit the communitys perception of their health needs and was collected both online and through hard copies from residents who are 18 or older. The CHNA can be found here - https//wvumedicine.org/wp-content/uploads/2022/08/PVH2021Community-Health-Needs-Assessment-Report.pdf.
Group Potomac Valley Hospital Line Part V, Section B, Line 11	The existing secondary data, new survey data, community meeting input, and lessons learned from the last CHNA cycle all factored into PVH leaderships prioritization decisions. The list of top health concerns was organized into five that will be the focus moving forward with implementation planning - Substance Use, Abuse, and Mental Health Obesity and Diabetes Cancer Chronic Disease Management and Poverty and Employment Issues. Each of the top priorities identified in the 2021 CHNA are consistent with concerns raised in 2018. PVH moves forward with many lessons learned from the last cycle, and with new and strengthened relationships with community partners, to work to address these concerns this cycle.
Group Potomac Valley Hospital Line Part V, Section B, Line 13b	Potomac Valley Hospital of W Va Inc. PVH offers discounted care only to individuals who qualify for free care. PVH 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 Potomac Valley 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.

Field	Value	IRS element (for citing)
Facility	3	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Mineral County Rural Health Clinic
100 Pin Oak Lane	Keyser	WV	26726	Rural Health Clinic
Riverside Rural Health Clinic
122 Ashfield St	Piedmont	WV	26750	Rural Health Clinic
Fort Ashby Rural Health Clinic
10261 Frankfort Hwy	Fort Ashby	WV	26719	Rural Health Clinic

Supplemental Information Detail SupplementalInformationDetail (26 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I Line 3c	Potomac Valley Hospital PVH uses 200 Federal Poverty Guideline to determine free care eligibility. PVH 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 discount the patient/guarantor must meet certain requirements.
Part I Line 6a	Potomac Valley Hospital community benefit numbers are reported in total with the other hospitals within West Virginia United Health System. The most recent amounts can be found at the following web address http//wvumedicine.org/about/leadership-and-more/community-benefit/.
Part I Line 7	Column f - Total community benefit expense for 2022 is 16,155,385 and is 27.77 of total net expenses. To calculate net expense, Provision for Doubtful Accounts - Patients of 2,866,582 was deducted from total expenses of 61,047,480 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, Unreimbursed Medicaid and other means-tested government programs at cost. To calculate the Medicare allowable cost shown in Part III question 8, we used the allowable costs from the Medicare Cost report.
Part II	For 2022, PVH employees spent work time volunteering for the Mineral County United Way Executive Committee.
Part III Line 2	Bad Debt Expense at Cost on Line 2 was calculated by multiplying Provision for Doubtful Accounts - Patients expense of 2,866,582 by our cost-to-charge ratio of 45.36 for a total of 1,300,282 less DSH allocations to self-pay patient accounts of 98,949 for a total of 1,201,333.
Part III Line 3	Estimated bad debt attributable to patients eligible for charity care on Line 3 was calculated by pulling all outstanding patient balances of 5,000 or greater from our patient accounting system. That report totaled 299,603, which was then multiplied by the cost-to-charge ratio of 45.36 for a total of 135,900.
Part III Line 3	We feel that at a minimum, the estimated bad debt attributable to patients eligible for charity care of 135,900 should be considered community benefit due to the fact that anyone with outstanding balances of 5,000 or greater in our demographic 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 and would have qualified for charity care if paperwork was completed.
Part III Line 4	Potomac Valley Hospitals 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	The amount reported in Part III Line 6 30,082,891 was calculated using the total Medicare allowable cost from the Medicare cost report.
Part III Line 8	Potomac Valley is reimbursed 100 by Medicare reimbursement includes DSH and IME for services provided to Medicare patients.
Part III Line 9b	PVH 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 care, the patient will not be sent to a 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	The CHNA included review of publicly available secondary data related to counties within PVHs service area, including census data and County Health Ranking Data. Using these reports, the CHNA leadership team started the initial discussion around critical health needs. According to the CHNA, primary data collection was comprised of a survey of community members perceptions of health issues and a community event focused on reviewing survey data, discussing community assets that impact population health in PVHs service area, and working as a group to outline possible strategies for each area of concern.
Part VI Line 2	PVH leadership continually monitors issues in their primary service area that impact patient care. PVH works with West Virginia University Hospitals and University Health Associates to expand the services available to PVH patients.
Part VI Line 2	As a member of the West Virginia United Health System WVUHS, PVH will be utilizing the West Virginia University School of Public Health to assist with the CHNA process and reports.
Part VI Line 2	A new CHNA was completed in 2021 and plans to build on the community health priorities, goals and strategies outlined in the prior CHNA report as well as offering new insight and plans to address emerging health priorities.
Part VI Line 3	The Director of Patient Financial Services at PVH along with collections representatives are available to meet with patients to discuss financial eligibility for our charity care program. PVH has applications for charity care and the qualification requirements for receiving charity available to patients.
Part VI Line 4	PVH is a non-profit critical access hospital located in Mineral County, WV in the city of Keyser. In 2022, Mineral County had a total population of 26,855 a median household income of 57,345, an employment rate of 55.3 and 6.3 of residents reported they were without healthcare coverage. Approximately 13.5 of residents were living in poverty.
Part VI Line 4	According to the 2021 CHNA, the leadership team defined the community served as a tri-county area comprised of Mineral County in West Virginia, as well as neighboring Allegany and Garrett counties in Maryland. Garrett County, MD had a total population of 28,579, a median household income of 58,011, an employment rate of 58.6 and 7.4 of residents reported they were without healthcare coverage. Meanwhile, Allegany County, MD had a total population of 67,267, a median household income of 51,090, an employment rate of 49.0 and 6.3 of residents reported they were without healthcare coverage. Population and demographic information was obtained from the United States Census Bureau https//data.census.gov/cedsci/.
Part VI Line 5	The PVH board of directors is a community board, with all board members living in or around Mineral County.
Part VI Line 5	PVH extends privileges to all qualified medical staff in Mineral County and surrounding communities to meet its healthcare needs. PVH allocates available funding to capital purchases, expanded services to improve patient care, and support medical education in Mineral County and surrounding counties in West Virginia and bordering states.
Part VI Line 6	Potomac Valley 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 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, City Hospital, Inc. in Martinsburg, WV, Jefferson Memorial Hospital in Ranson, WV, St. Josephs Hospital of Buckhannon, Inc. in Buckhannon, WV, Reynolds Memorial Hospital, in Glen Dale, WV, West Virginia Healthcare Cooperative, doing business as, Summersville Regional Medical Center, in Summersville, WV, Braxton County Memorial Hospital in Gassaway, WV, Community Health Association, doing business as, Jackson General Hospital in Ripley, WV, Wetzel County Hospital, Inc. in New Martinsville, WV, Harrison Community Hospital in Cadiz, OH, Wheeling Hospital, Inc. in Wheeling, WV, Uniontown Hospital in Uniontown, PA, Barnesville Hospital Assocation in Barnesville, 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. 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, and Reynolds Memorial Foundation, Inc. in Glen Dale, 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.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Mineral County Board of Education
600 Harley O Staggers Drive	Keyser	WV	26726	556000361	$14,796	Book	First Aid Equipment Donation
Keyser Rotary Club
606 Carskadon Road	Keyser	WV	267262807	556024125				501c4	$5,000	Sponsorship

Field	Value	IRS element (for citing)
Total Other Org	2	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	Scholarships for students pursuing medical careers	GrantTypeTxt
Recipient	6	RecipientCnt
Cash Grant	$12,000	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part III Line 1-3	FormAndLineReferenceDesc
Explanation	PVH awarded scholarships to local high school students that will be pursuing education in a medical field. Recipients are chosen based on an essay submission and need.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (true)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt
Charles Bess MD
Physician, Director Through November 2022	$283,724	$363,477	$2,528	$3,894	$28,683	$682,306
Michael Gould DO
Director, Chief of Staff	$292,347	$5,000	$261	$8,934	$9,639	$316,181	$200,679	$59,643	$5,981	$12,121	$278,424
James Viglianco MD
Physician	$361,819		$50,967	$13,275	$21,233	$447,294
Daniel Hurley DO
Physician	$228,671	$61,026	$355	$6,890	$7,720	$304,662
Boyd Sprenkle MD
Physician	$327,998		$12,079	$9,892	$8,572	$358,541	$76,654	$2,823	$2,312	$2,003	$83,792
Amy Boothe
VP Operations Finance	$116,758	$11,200	$6,616	$5,453	$11,621	$151,648	$53,258	$3,017	$2,487	$5,301	$69,172	$5,109
Mark Boucot
Director, CEO	$157,100	$48,697	$5,614	$34,753	$14,529	$260,693	$157,100	$5,613	$34,753	$14,529	$260,692	$48,697
Alan Stephens MD
Physician	$389,514	$40,000	$1,664	$13,725	$29,265	$474,168
Hamed Vahedikafshgari MD
Physician	$521,287	$25,000	$540	$13,725	$29,483	$590,035
Kendra Thayer
VP of Nursing, CNO September- December 2022	$23,911		$77	$928	$3,377	$28,293	$110,024	$194	$2,612	$9,906	$139,538	$16,802

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I Line 6a	Per the WVUHS Incentive Plan incentives are contingent on meeting a net earning target.
Part I Line 4b	Mark Boucot received deferred compensation contributions of 56,172 in 2022. This amount is properly recorded in deferred compensation on the Form 990 Schedule J.
Part I Line 3	Compensation for CEOs are determined by the WV United Health System compensation committee. The System engages an independent group to perform an executive compensation review and compensation survey every two years. This information is provided to the committee, which is made up of independent board members who are then responsible for setting the compensation packages offered to each executive, ensuring that the compensation package offered does not exceed fair market value.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	West Virginia Hospital Finance Authority	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	621256910	BondIssuerEIN
CUSIP	000000000	CUSIPNum
Bond Issued	2015-08-19	BondIssuedDt
Issue Price	$18,500,000	IssuePriceAmt
Purpose	2015 A - Refinance of loans used to acquire hospital and finance equipment	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$18,500,000	TotalProceedsAmt
Refunding Escrow	$166,267	RefundingEscrowAmt
Capital Expenditures	$18,333,733	CapitalExpendituresAmt
Substantial Completion	2016	SubstantialCompletionYr
Refunding Tax Exempt Bonds	false	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (true)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (true)	EngageBondCounselContractsInd
Any Research Agreements	false	AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	false	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	Yes (true)	NoRebateDueInd
Variable Rate Issue	Yes (true)	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part IV Line 2c	FormAndLineReferenceDesc
Explanation	A rebate calculation was prepared for the issuance date through August 19, 2020. The report indicates that no rebate is due. The next computation date is August 19, 2025.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	Charles Bess MD	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	Board of Director	RelationshipDescriptionTxt
Transaction	$25,238	TransactionAmt
Transaction	Medical Services	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4d	Program Service Expenses 17,089,803, Grants and allocations 0, Revenue 24,011,476 PVH is a Critical Access Hospital with licensure for 25 beds. PVH provides both inpatient and outpatient services, including cardiac rehabiliation, care management, diabetes education/prevention, hospital, laboratory, orthopaedics, physical therapy, radiology, respiratory therapy, same day surgery, and skilled swing beds.
Form 990, Part XI, Line 9	Other changes in net assets includes 707,050 of related organization capitalization, 4,242 change in temporarily restricted net assets and 4 rounding.
Form 990, Part VI, Section B, Line 12c	Upon employment and annually thereafter, each key employee and officer of the organization is required to complete a conflict of interest and disclosure form, providing sufficient information about his/her personal interests and relationships so the organization can 1 determine whether any potential or actual conflicts of interest may exist, and 2 monitor work or service assignments to avoid placing the key employee, officer, or director in a position where there may be an appearance potential or actual of a conflict of interest or a question of objectivity. The completed conflict of interest and disclosure forms for directors are returned to the organization. These members are monitored and not assigned any projects that would create any potential conflict of interest. Any board member with a potential conflict recuses himself or herself from all discussions regarding the conflict.
Form 990, Part VI, Section B, Line 15a	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.
Form 990, Part VI, Section B, Line 15b	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 B, Line 19	All financial and governing documents, including the conflict of interest policy are maintained onsite and made available to the public upon written request.
Form 990, Part IX, Line 11g	This total consists of Contract Labor fees for patient care of 2,607,037 all of which is considered program service expense Contracted Labor expense of 1,260,313 of which 846,373 is program service expense and 413,940 is considered management and general expense Non Hospital Lab Fees of 473,925 of which all is considered program service expense Consulting Professional fees of 9,396 of which all is considered management and general expense and Enhanced Patient Care Grants of 115 all of which is considered program service expense.
Form 990, Part IV, Line 28a	Amounts paid to Dr. Bess are for physician services rendered and are not related to his position on the Board of Directors.
Form 990, Part VI, Section A, Line 4 6	The organizations articles and bylaws were updated during 2022 to reflect that West Virginia United Health System, Inc., a 501c3 charitable organization WVUHS, is the sole member of the organization, streamline the reserved powers of WVUHS reflected in the organizations articles of incorporation and bylaws, and update the organizations rules and regulaions to be consistent with the governance processes followed by the other tax-exempt hospitals of which WVUHS is the sole member.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (35 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
West Virginia United Health System
PO Box 8034	Morgantown	WV	26506	550754713	Healthcare access	WV	501c3	12 Type I	N/A	false
West Virginia University Hospitals East Inc
121 Administrative Drive	Martinsburg	WV	25401	202337985	Healthcare access	WV	501c3	12 Type I		false	WV United Health System
City Hospital Inc
2500 Foundation Way	Martinsburg	WV	25401	550383321	Patient Care	WV	501c3	3		false	West Virginia University Hospitals East Inc
Jefferson Memorial Hospital
300 S Preston St	Ranson	WV	25438	550359755	Patient Care	WV	501c3	3		false	West Virginia University Hospitals East Inc
University Healthcare Foundation
121 Administrative Drive	Martinsburg	WV	25401	311118075	Hospital Support	WV	501c3	12 Type I		false	West Virginia University Hospitals East Inc
United Summit Center
6 Hospital Plaza	Clarksburg	WV	26301	550752788	Behavioral Health	WV	501c3	3		false	West Virginia University Hospitals Inc
United Hospital Center Inc
327 Medical Park Drive	Bridgeport	WV	26330	550525724	Patient Care	WV	501c3	3		false	West Virginia United Health System
United Physicians Care Inc
686 South Pike Street	Shinnston	WV	26431	550638563	Patient Care	WV	501c3	3		false	United Hospital Center Inc
United Health Foundation
327 Medical Park Drive	Bridgeport	WV	26330	550621706	Hospital Support	WV	501c3	12 Type I		false	United Hospital Center Inc
West Virginia Health Care Cooperative Inc
400 Fairview Heights Rd	Summersville	WV	26651	550650441	Patient Care	WV	501c3	3		false	WV United Health System
Camden-Clark Health Services
800 Garfield Ave	Parkersburg	WV	26101	550769602	Healthcare Access	WV	501c3	12 Type I		false	West Virginia United Health System
Camden-Clark Foundation
800 Garfield Ave	Parkersburg	WV	26101	550667789	Hospital Support	WV	501c3	7		false	Camden-Clark Health Services
Camden-Clark Memorial Hospital
800 Garfield Ave	Parkersburg	WV	26101	311524546	Patient Care	WV	501c3	3		false	Camden-Clark Health Services
Camden-Clark Physician Corp
604 Ann Street	Parkersburg	WV	26101	264058719	Patient Care	WV	501c3	3		false	Camden-Clark Health Services
St Joseph's Hospital of Buckhannon Inc
1 Amalia Drive	Buckhannon	WV	26201	550356996	Patient Care	WV	501c3	3		false	West Virginia United Health System
West Virginia University Hospitals Inc
PO Box 8034	Morgantown	WV	26506	550643304	Patient Care	WV	501c3	3		false	West Virginia United Health System
St Joseph's Foundation of Buckhannon Inc
1 Amalia Drive	Buckhannon	WV	26201	550727650	Hospital Support	WV	501c3	12 Type II		false	St Joseph's Hospital of Buckhannon
Reynolds Memorial Hospital Inc
800 Wheeling Avenue	Glen Dale	WV	26038	550357045	Patient Care	WV	501c3	3		false	WV United Health System
Reynolds Memorial Foundation
800 Wheeling Avenue	Glen Dale	WV	26038	550710402	Hospital Support	WV	501c3	12 Type I		false	Reynolds Memorial Hospital Inc
Braxton County Memorial Hospital
100 Hoylman Drive	Gassaway	WV	26624	550611919	Patient Care	WV	501c3	3		false	WV United Health System
Community Health Association
122 Pinnell Street	Ripley	WV	25271	550462730	Patient Care	WV	501c3	3		false	WV United Health System
Wetzel County Hospital Inc
3 East Benjamin Drive	New Martinsville	WV	26155	843480493	Patient Care	WV	501c3	3		false	WV United Health System
WVUHS Home Care LLC
PO Box 8059	Morgantown	WV	26506	852915642	Home Health and Hospice	WV	509a2			false	WV United Health System
Uniontown Hospital
500 West Berkeley Street	Uniontown	PA	15401	250965588	Patient Care	PA	501c3	3		false	WV United Health System
Fayette Physician Network
500 West Berkeley Street	Uniontown	PA	15401	455440305	Patient Care	PA	501c3	3		false	WV United Health System
Wheeling Hospital Inc
1 Medical Park	Wheeling	WV	26003	550357057	Patient Care	WV	501c3	3		false	WV United Health System
Harrison Community Hospital
951 E Market Street	Cadiz	OH	43907	341571750	Patient Care	OH	501c3	3		false	WV United Health System
Harrison Community Hospital Foundation
951 E Market Street	Cadiz	OH	43907	341571749	Hospital Support	OH	509a2	12 Type II		false	Harrison Community Hospital
Barnesville Hospital Association
639 W Main Street	Barnesville	OH	43713	340719172	Patient Care	OH	501c3	3		false	WV United Health System
Belmont Community Hospital
4697 Harrison Street	Bellaire	OH	43906	340714643	Patient Care	OH	501c3	3		false	Wheeling Hospital Inc
Medical Park Foundation
1 Medical Park	Wheeling	WV	26003	550744690	Church	WV	501c3	1		false	Wheeling Hospital Inc
Self Insurance Trust Agreement of Wheeling Hospital Inc
1 Medical Park	Wheeling	WV	26003	550676674	Insurance	WV	501c3	12 Type I	N/A	false
GRMC Inc
251 North Fourth Street	Oakland	MD	21550	871846814	Patient Care	MD	501c3	3		false	WV United Health System
Grant Memorial Hospital Inc
PO Box 8034	Morgantown	WV	26506	881740605	Patient Care	WV	501c3	3		false	WV United Health System
WVU Innovation Corporation
1085 Van Voorhis Dr Ste 500	Morgantown	WV	26505	611764272	Support	WV	501c3	12 Type II	N/A	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Allied Health Sourcing Solutions	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 8034	AddressLine1Txt
City	Morgantown	CityNm
State Abbreviation	WV	StateAbbreviationCd
ZIP	26506	ZIPCd

Field	Value	IRS element (for citing)
EIN	842403526	EIN
Primary Activities	Supply Chain Management	PrimaryActivitiesTxt
Legal Domicile State	WV	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Disproportionate Allocations	false	DisproportionateAllocationsInd
General Or Managing Partner	false	GeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
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 Ave Suite 3200	Morgantown	WV	26505	550756055	Provider Network	WV	West Virginia United Health System	C Corp	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd