ST JOSEPHS HOSPITAL OF BUCKHANNON INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- ST JOSEPHS HOSPITAL OF BUCKHANNON INC (EIN 55-0356996)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-13
- IRS object ID
- 202333179349309748
- 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 O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-11-13T02:58:45-00:00 | 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 | 550356996 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Joseph's Hospital of Buckhannon Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STJO | BusinessNameControlTxt |
| Phone | 3044732000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 Amalia Drive | AddressLine1Txt |
| City | Buckhannon | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26201 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Ivar Gjolberg | PersonNm |
| Person Title | President | PersonTitleTxt |
| Phone | 3044732000 | PhoneNum |
| Signature | 2023-05-10 | SignatureDt |
| Discuss With Paid Preparer | false | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Ivar | PersonFirstNm |
| Person Last | Gjolberg | 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 | Ivar Gjolberg | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 Amalia Drive | AddressLine1Txt |
| City | Buckhannon | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $107,721,566 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | https://wvumedicine.org/st-josephs-hospital/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1989 | FormationYr |
| Legal Domicile State | WV | LegalDomicileStateCd |
| Activity Or Mission | We are inspired by the love of Christ to provide our community with quality health care in ways that respect the God-given dignity of each person and the sacredness of human life. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 558 | TotalEmployeeCnt |
| Total Volunteers | 39 | TotalVolunteersCnt |
| Total Gross UBI | $41,815 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $15,583 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $341,577 | PYContributionsGrantsAmt |
| CY Contributions Grants | $273,889 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $87,672,724 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $102,534,024 | CYProgramServiceRevenueAmt |
| PY Investment Income | $393,352 | PYInvestmentIncomeAmt |
| CY Investment Income | $893,528 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,816,617 | PYOtherRevenueAmt |
| CY Other Revenue | $3,964,412 | CYOtherRevenueAmt |
| PY Total Revenue | $91,224,270 | PYTotalRevenueAmt |
| CY Total Revenue | $107,665,853 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $13,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $10,075 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $35,906,680 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $39,394,381 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $41,868,249 | PYOtherExpensesAmt |
| CY Other Expenses | $49,483,729 | CYOtherExpensesAmt |
| PY Total Expenses | $77,787,929 | PYTotalExpensesAmt |
| CY Total Expenses | $88,888,185 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $13,436,341 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $18,777,668 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $76,723,048 | TotalAssetsBOYAmt |
| Total Assets EOY | $91,199,382 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $32,567,019 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $30,120,926 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $44,156,029 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $61,078,456 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | We are inspired by the love of Christ to provide our community with quality health care in ways that respect the God-given dignity of each person and the sacredness of human life. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $17,769,683 | ExpenseAmt |
| Revenue | $23,494,466 | RevenueAmt |
| Desc | The Physicians of St.Josephs provide healthcare to the entire family from infancy to the elderly in their family medicine department. St. Josephs family medicine department provides convenient and comprehensive care that recognizes the uniqueness of every individual who is treated. Family medicine at St. Josephs had 20,486 visits in 2022. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $11,418,508 | ExpenseAmt |
| Revenue | $21,267,280 | RevenueAmt |
| Desc | St. Josephs emergency department is a level four trauma center and is open seven days per week, 24 hours per day. In 2022, St. Josephs emergency department had 23,061 visits. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $10,920,848 | ExpenseAmt |
| Revenue | $11,590,935 | RevenueAmt |
| Desc | St. Josephs Hospital provides a wide scope of general surgery services. There were 7,261 clinic visits and 3,130 OR procedures in 2022. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $38,347,277 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $49,877,978 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $78,456,316 | 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 | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| 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 | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | 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 | 76 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 557 | 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 |
| Quid Pro Quo Contri Discl | false | QuidProQuoContriDisclInd |
| 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 | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | 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 | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | 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 | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | 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 | Russell Plywaczynski | PersonNm |
| Phone | 3044732000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 Amalia Drive | AddressLine1Txt |
| City | Buckhannon | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26201 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|---|
| Susan Long MD | ||||||||
| Physician | 040.00 | Yes (X) | $877,432 | $0 | $43,353 | |||
| Michael C Tillman | ||||||||
| Director - CEO UHC January - June | 001.00 | $0 | $479,680 | $29,051 | 048.00 | Yes (X) | ||
| Robert Riddick MD | ||||||||
| Physician | 040.00 | Yes (X) | $445,991 | $0 | $34,923 | |||
| Matthan Jackson | ||||||||
| Hospitalist | 040.00 | Yes (X) | $446,650 | $0 | $28,179 | |||
| Ross Knowles MD | ||||||||
| Physician | 040.00 | Yes (X) | $423,503 | $0 | $21,500 | |||
| Bartley Brown DO | ||||||||
| Director | 040.00 | $392,133 | $0 | $38,630 | Yes (X) | |||
| Jeffrey Michael MD | ||||||||
| Physician | 040.00 | Yes (X) | $387,934 | $0 | $21,513 | |||
| Ivar Gjolberg | ||||||||
| President | 040.00 | $282,227 | $0 | $51,987 | Yes (X) | |||
| Robert Romano DO | ||||||||
| Physician | 040.00 | $185,887 | $0 | $9,001 | Yes (X) | |||
| Annamarie Chidester | ||||||||
| VP Patient Services | 040.00 | $160,070 | $0 | $23,308 | Yes (X) | |||
| Brenda Bauer | ||||||||
| VP of Quality | 040.00 | $141,638 | $0 | $26,006 | Yes (X) | |||
| Anissa Hite-Davis | ||||||||
| VP Human Resources | 040.00 | $131,353 | $0 | $32,399 | Yes (X) | |||
| Lisa Wharton | ||||||||
| VP, Marketing | 040.00 | $113,942 | $0 | $14,244 | Yes (X) | |||
| Rodney Baker | ||||||||
| VP - Phys - Ancillary Services | 040.00 | $105,624 | $0 | $10,995 | Yes (X) | |||
| Sr Francesca Lowis | ||||||||
| Director, Secretary | 040.00 | $45,938 | $0 | $1,395 | Yes (X) | Yes (X) | ||
| Dennis Xander | ||||||||
| Chairperson | 001.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| Sr Mary Grace Barile | ||||||||
| Director | 001.00 | $0 | $0 | $0 | Yes (X) | |||
| John Bohman | ||||||||
| Director | 001.00 | $0 | $0 | $0 | Yes (X) | |||
| Shawn Hanifan | ||||||||
| Director | 001.00 | $0 | $0 | $0 | Yes (X) | |||
| Don Nestor | ||||||||
| Director, Vice Chairperson | 001.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| Sam Nolte | ||||||||
| Director, Treasurer | 001.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| Katharine Wagner | ||||||||
| Director | 001.00 | $0 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,140,322 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $479,680 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $386,484 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 51 | 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 | $3,265,518 |
| Alliance Healthcare Services Inc | |||||
| PO Box 735714 | Dallas | TX | 753735714 | Radiology Services | $416,493 |
| TForce Logistics East LLC | |||||
| 14881 Quorum Dr Ste 700 | Dallas | TX | 752547069 | Logistics | $166,648 |
| Premier Mechanical LLC | |||||
| 14881 Quorum Dr Ste 700 | Dallas | TX | 752547069 | Installation Services | $150,747 |
| Quest Diagnostics | |||||
| 14225 Newbrook Dr | Chantilly | VA | 201512228 | Lab Services | $116,473 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $34,632 | RelatedOrganizationsAmt |
| Government Grants | $239,257 | GovernmentGrantsAmt |
| Total Contributions | $273,889 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient Service Revenue | 621110 | $101,486,696 | $101,486,696 |
| COVID Relief Funds - Federal | 900099 | $713,321 | $713,321 |
| COVID Relief Funds - Other | 900099 | $334,007 | $334,007 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $102,534,024 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $866,050 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $41,815 | UnrelatedBusinessRevenueAmt |
| Exclusion | $824,235 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $65,545 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $55,713 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $9,832 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,832 | TotalRevenueColumnAmt |
| Exclusion | $9,832 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $27,478 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $27,478 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $27,478 | TotalRevenueColumnAmt |
| Exclusion | $22,478 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| Pharmacy Income | 446110 | $3,548,303 | $3,548,303 | |
| Cafeteria Income | 624200 | $257,945 | $257,945 | |
| Rebate Revenue | 900099 | $44,685 | $44,685 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $103,647 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $103,647 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,954,580 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $107,665,853 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $106,230,659 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $41,815 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,114,490 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,075 | TotalAmt |
| Program Services | $10,075 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
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 | $1,766,779 | TotalAmt |
| Program Services | $809,031 | ProgramServicesAmt |
| Management And General | $957,748 | 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 | $27,927,276 | TotalAmt |
| Program Services | $24,534,765 | ProgramServicesAmt |
| Management And General | $3,392,511 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $793,381 | TotalAmt |
| Program Services | $740,734 | ProgramServicesAmt |
| Management And General | $52,647 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,887,771 | TotalAmt |
| Program Services | $6,119,100 | ProgramServicesAmt |
| Management And General | $768,671 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,019,174 | TotalAmt |
| Program Services | $1,773,892 | ProgramServicesAmt |
| Management And General | $245,282 | 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 | $215,570 | TotalAmt |
| Management And General | $215,570 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,574 | TotalAmt |
| Program Services | $224 | ProgramServicesAmt |
| Management And General | $11,350 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,512 | TotalAmt |
| Program Services | $8,512 | 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 | $6,849,216 | TotalAmt |
| Program Services | $5,874,243 | ProgramServicesAmt |
| Management And General | $974,973 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $311,876 | TotalAmt |
| Program Services | $1,410 | ProgramServicesAmt |
| Management And General | $310,466 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,138,496 | TotalAmt |
| Program Services | $2,295,077 | ProgramServicesAmt |
| Management And General | $843,419 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,791 | TotalAmt |
| Program Services | $6,391 | ProgramServicesAmt |
| Management And General | $4,400 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $808,846 | TotalAmt |
| Program Services | $589,734 | ProgramServicesAmt |
| Management And General | $219,112 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $178,446 | TotalAmt |
| Program Services | $151,612 | ProgramServicesAmt |
| Management And General | $26,834 | 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 | $38,070 | TotalAmt |
| Program Services | $29,468 | ProgramServicesAmt |
| Management And General | $8,602 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $263,510 | TotalAmt |
| Program Services | $193,070 | ProgramServicesAmt |
| Management And General | $70,440 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,209,796 | TotalAmt |
| Program Services | $11,209,796 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,353,370 | TotalAmt |
| Program Services | $2,444,961 | ProgramServicesAmt |
| Management And General | $908,409 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $779,295 | TotalAmt |
| Program Services | $627,975 | ProgramServicesAmt |
| Management And General | $151,320 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $15,808,517 | $15,808,517 | |
| Provision for Doubtful Accounts | $2,943,088 | $2,943,088 | |
| Taxes, Licenses Fees | $2,605,035 | $2,174,718 | $430,317 |
| Recruiting | $691,610 | $51,714 | $639,896 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $258,111 | TotalAmt |
| Program Services | $58,209 | ProgramServicesAmt |
| Management And General | $199,902 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,888,185 | TotalAmt |
| Program Services | $78,456,316 | ProgramServicesAmt |
| Management And General | $10,431,869 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,785,171 | BOYAmt |
| EOY | $830,665 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,387,066 | BOYAmt |
| EOY | $20,118,426 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,006,155 | BOYAmt |
| EOY | $13,501,182 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,120,675 | BOYAmt |
| EOY | $2,181,096 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,208,507 | BOYAmt |
| EOY | $1,078,235 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $28,606,145 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $12,122,670 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,191,239 | BOYAmt |
| EOY | $16,483,475 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,056,393 | BOYAmt |
| EOY | $28,433,746 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,000 | BOYAmt |
| EOY | $50,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,917,842 | BOYAmt |
| EOY | $8,522,557 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,723,048 | BOYAmt |
| EOY | $91,199,382 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,798,298 | BOYAmt |
| EOY | $10,220,747 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,944,823 | BOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,860,000 | BOYAmt |
| EOY | $7,658,462 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,963,898 | BOYAmt |
| EOY | $12,241,717 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,567,019 | BOYAmt |
| EOY | $30,120,926 | 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 | $44,156,029 | BOYAmt |
| EOY | $61,078,456 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,156,029 | BOYAmt |
| EOY | $61,078,456 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,723,048 | BOYAmt |
| EOY | $91,199,382 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $18,777,668 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$1,634,759 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$220,482 | 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 | $8,512 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $8,512 | 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 | $1,451,820 | OtherCostOrOtherBasisAmt |
| Book Value | $1,451,820 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,161,101 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,243,322 | DepreciationAmt |
| Book Value | $7,917,779 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,808,922 | OtherCostOrOtherBasisAmt |
| Depreciation | $459,642 | DepreciationAmt |
| Book Value | $1,349,280 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,998,294 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,419,706 | DepreciationAmt |
| Book Value | $4,578,588 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,186,008 | OtherCostOrOtherBasisAmt |
| Book Value | $1,186,008 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $16,483,475 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc |
|---|
| Financial derivatives and other financial products |
| Closely-held equity interests |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Unamortized Borrowing Costs | |
| Goodwill Other Intangibles | $8,441,715 |
| Deferred Compensation | $80,842 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $8,522,557 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| Federal income taxes | |
| Due to Third Party Payors | $10,246,072 |
| Other Current Liabilities | $15,561 |
| Pension Obligation | $1,899,242 |
| Deferred Compensation | $80,842 |
| Long Term Lease Liability |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $12,241,717 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $102,607,337 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$1,634,759 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$3,444,838 | OtherRevenueAmt |
| Revenue Not Reported | -$5,079,597 | RevenueNotReportedAmt |
| Revenue Subtotal | $107,686,934 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$21,081 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$21,081 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $107,665,853 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $85,499,060 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $55,713 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $55,713 | ExpensesNotReportedAmt |
| Expenses Subtotal | $85,443,347 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $3,444,838 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $3,444,838 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $88,888,185 | 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 | This amount shown on line 2d consists of 2,943,088 Provision for Doubtful Accounts - Patients and 501,750 defined benefit reported as an offset to revenue on the financial statements but is reported as an expense on the Form 990. |
| XI 4b | The amount shown on line 4b consists of 55,713 expenses associated with the properties for which rental income is received and presented as an offset to revenue on the 990 and 34,632 of contributions from St. Josephs Foundation posted in Net Assets. |
| XII 2d | The amount shown on line 2d consists 55,713 of expenses associated with the properties for which rental income is received and reported in Part VII line 6b. |
| XII 4b | The amount shown on line 4b consists of 2,943,088 Provision for Doubtful Accounts - Patients and 501,750 defined benefit 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 | false | ExpensesExceedBudgetInd |
| 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 | $714,747 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $714,747 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00830 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $21,394,909 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,589,700 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $805,209 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00940 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $212,945 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $212,945 | DirectOffsettingRevenueAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,322,601 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,802,645 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,519,956 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01770 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,531 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $22,531 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,435 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,435 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $32,966 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $32,966 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,355,567 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,802,645 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,552,922 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01810 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $936 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $936 | NetCommunityBenefitExpnsAmt |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,850 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $16,850 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,535 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $22,535 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $40,321 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $40,321 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,086,588 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $25,255 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $40,157,154 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $40,288,598 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$131,444 | 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 | St Joseph's Hospital of Buckhannon | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 Amalia Drive | AddressLine1Txt |
| City | Buckhannon | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | wvumedicine.org/st-josephs-hospital/ | WebsiteAddressTxt |
| State License | 87 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | Skilled Nursing Facility, Outpatient | OtherDesc |
| 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 |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 22 | 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/2023/07/2022-STJ-Community-Health-Needs-Assessment-7282023 | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 23 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | https//wvumedicine.org/wp-content/uploads/2023/07/2023-STJ-Community-Health-Needs-Implementation-728 | StrategyWebsiteURLTxt |
| 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 |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| 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 | https//wvumedicine.org/wp-content/uploads/2022/10/WVUHFAP-Financial-Application1020202.pdf | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | https//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 (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Group St. Josephs Hospital of Buckhannon Line Part V, Section B, Line 5 | The 2022 Community Health Needs Assessment CHNA was prepared by the West Virginia University Health Sciences Center - Health Affairs Institute. The CHNA process began with a thorough review of the previous cycles needs assessment report and included a review of publicly available secondary data related to counties within SJHs service area. This data included U.S. census data and County Health Rankings data. Using these reports, the leadership team started the initial discussion around critical health needs, changes in the community demographics over the previous few years, and lessons learned from the last CHNA cycles health topic prioritization and development of implementation activities. Primary data collection comprised surveying community members to gather perceptions of health issues, quality of life, and other related topics. Survey data was analyzed and presented to the hospitals leadership team. This meeting was focused on reviewing the survey data, discussing community assets that impact population health in the service area, as well as discussing the needs of those not well-represented in the survey data. The group worked to discuss possible strategies for each area of concern, as well as existing resources to address these needs. The CHNA can be found here https//wvumedicine.org/wp-content/uploads/2023/07/2022-STJ-Community-Health-Needs-Assessment-7282023.pdf. |
| Group St. Josephs Hospital of Buckhannon Line Part V, Section B, Line 5 | According to the CHNA, the public input survey included topics with questions about specific health issues, thoughts on overall health of the community, quality of life, access to health care and medical needs including specialist care, risky behaviors and personal choices, experiences during the COVID-19 pandemic, social determinants of health, and demographic information including geographic location and income. Questions included details about ability to access needed services, including telehealth and health insurance coverage. The survey was available both online and through hard copies and were to be completed by residents who were 18 years of age or older. Collection efforts included reaching local residents via social media and with assistance from the hospitals marketing team. SJH used their electronic medical record messaging platforms to target patients by zip code and increase survey response. |
| Group St. Josephs Hospital of Buckhannon Line Part V, Section B, Line 5 | The community meeting was hosted virtually on November 28, 2022. This session solicited input about community health needs and sought to identify groups and organizations already providing essential services in these areas. Survey results were presented to this group and strategies for improving health outcomes in the top areas were discussed. |
| Group St. Josephs Hospital of Buckhannon Line Part V, Section B, Line 11 | Following the data presentation meeting, SJH leadership met to review all input together and identify priority areas to address through implementation strategies. Leadership reviewed closely the top concerns raised across all categories including health and disease, quality of life, environment, risky behaviors, and personal choice. Survey results for health and disease included 1. Drug and/or alcohol use 2. Obesity 3. Mental Health Problems. Survey results for quality of life and environment included 1. Cost of health care and/or medications 2. Poverty 3. Limited organized activities for children and teens. Survey results for risky behavior and personal choice concerns included 1. Drug use 2. Child abuse and neglect and 3. Excessive alcohol use. |
| Group St. Josephs Hospital of Buckhannon Line Part V, Section B, Line 11 | According to the CHNA, after review of the primary and secondary data, St. Josephs Hospital identified the following prioritized needs 1. Chronic Disease Prevention and Management including obesity, cancer, and physical activity 2. Access to Care and Transportation 3. Substance Abuse and Mental Health 4. Food Insecurity. In regards to chronic disease prevention and management, SJH has seen success in the community in organized physical activity and recreation activities, and plans to partner with local Faith Based organizations as well as the Local Trail Organization to continue to support these initiatives. SJH chose to conduct an audit of the transportation services available in Upshur County to identify gaps in referring patients out of county for additional services. During this upcoming cycle, the hospital will continue to build on the transportation audit, with the intention of addressing gaps in access to care. A local Federally Qualified Health Center FQHC, Community Care, is expanding its substance use and mental health services. SJH will support implementation strategies via an existing partnership with Community Care during this upcoming implementation cycle. Lastly, the leadership team is exploring the possibility of providing space and support for a Community Garden during this cycle and hopes to partner with local food pantries to get more food into the community. |
| Group St. Josephs Hospital of Buckhannon Line Part V, Section B, Line 13b | St. Josephs Hospital offers discounted care only to individuals who qualify for free care. St. Josephs 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 St. Josephs Hospital of Buckhannon 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. |
Supplemental Information Detail SupplementalInformationDetail (24 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I Line 3c | St. Josephs uses 200 Federal Poverty Guideline FPG to determine free care eligibility. However, St. Joesphs does not offer discounted care to individuals who fail the 200 FPG test. |
| Part I Line 6a | St. Josephs 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 https//wvumedicine.org/about/community-benefit/. |
| Part I Line 7 | Total community benefit expense for 2022 is 22,355,567 and is 26.01 of total net expenses. To calculate net expense, Provision for Doubtful Accounts attributable to patient accounts of 2,943,088 was deducted from total expenses of 88,888,185 as shown in Part IX line 25 of the core Form 990, for a net expense of 85,945,097. |
| Part I Line 7 | Worksheet 2 from the IRS Schedule H instructions was used to derive the Cost-to-Charge ratio, which was used to calculate Charity Care, Unreimbursed Medicaid and other means-tested government programs at cost. |
| Part II | St. Josephs reported Community Building activities of 40,321 for 2022. Some of the Community Building activities participated in during the year included blood drives, participating in Chamber of Commerce meetings, assisting at a local church, and staff serving on the Board of Directors for local non-profits. |
| Part III Line 2 | Bad Debt Expense at cost was calculated by multiplying Provision for Doubtful Accounts attributable to patient accounts of 2,943,088 by our cost-to-charge ratio of 36.92 derived from Worksheet 2 in the IRS Schedule H instructions for a total of 1,086,588. |
| 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 15,000. The total of that report was 68,404 which we then multiplied by our cost to charge ratio of 36.92 for a total of 25,255. |
| Part III Line 3 | The estimated bad debt attributable to patients eligible for charity care of 25,255 should be considered community benefit due to the fact that anyone with outstanding balances of 15,000 or greater usually qualifies as catastrophic if the patient completes the application process. |
| Part III Line 3 | 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. Regardless, that bad debt should be considered community benefit as we provide services to those in need regardless of their ability to pay. |
| Part III Line 4 | St. Josephs 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 40,288,598 was calculated using the total Medicare allowable cost from the Medicare cost report. |
| Part III Line 9b | St. Josephs 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 | St. Josephs Hospital has contracted with the West Virginia University Health Sciences Center - Health Affairs Institute to perform the community wide needs assessment survey and has translated this information into the Community Health Needs Assessment Report which outlines actions taken. St. Josephs Hospital considers several components in assessing how the organization determines the need of the communities it serves. Through feedback from stakeholders, outside consultants and collaborating with various departments, a needs assessment takes into account several factors including physicians to population ratios, physician availability in the entire service area, and general health risks that are perceived to be the highest priority by the stakeholders and hospital leadership. The community served by St. Josephs Hospital is primarily Upshur County, WV. However, the Hospital serves many patients from portions of Barbour, Lewis, Randolph, Webster, Braxton, and other counties. |
| Part VI Line 3 | St. Josephs Hospital of Buckhannon will advise patients and their families of financial assistance through the following means direct patient contact, in person or over the phone notice of availability of financial assistance will be posted in each registration area and emergency department and other waiting areas notice of availability of financial assistance will be printed with each patient initial bill availability of financial assistance will be printed on applicable letters and statements notice of availability will be posted on the hospitals website published in additional languages if needed by more than 10 of the population outreach to community most likely to utilize the FAP to include outreach to public agencies and other non-for-profit agencies and availability of financial assistance will be posted annually in local paper. |
| Part VI Line 4 | St. Josephs Hospital is located in Buckhannon, a small rural town in a mountainous region of Upshur County, West Virginia. The Hospital primarily serves Upshur County. In 2022, Upshur County had a population of 23,712, a median household income of 44,470, an employment rate of 53.7, 18.6 of residents living in poverty and 9.6 of residents without healthcare coverage |
| Part VI Line 4 | However, the Hospital also serves patients from Barbour, Lewis, Webster counties and the surrounding area. Barbour County had a 2022 population of 15,414, a median household income of 42,260, an employment rate of 50.3 and 9.2 of residents reported they are without healthcare coverage. Lewis County had a 2022 population of 16,767, a median household income of 45,345, an employment rate of 51.7, and 8.9 of residents reported they are without healthcare coverage. Webster County had a 2022 population of 8,167, a median household income of 37,720, an employment rate of 42.4, and 8.1 of residents reported they are without healthcare coverage. Population and demographic information was obtained from the United States Census Bureau https//data.census.gov/cedsci/. |
| Part VI Line 4 | The following hospitals provide a full range of acute care, ancillary and case management services and many also provide long-term care. The hospitals are located in the immediate service area or the contiguous service area Stonewall Jackson Memorial Hospital, United Hospital Center, Davis Memorial Hospital, Louis A. Johnson VA Medical Center, and Broaddus Hospital. In addition, William J. Sharpe Hospital in Weston, West Virginia provides comprehensive psychiatric services for patients that have been involuntarily committed. |
| Part VI Line 5 | St. Josephs hospital promotes the health of the community by maintaining an open medical staff, using community members on its board of directors, providing support of community health activities blood screenings, health fair, flu shot clinics, etc.. The hospital has also been actively recruiting both primary care providers and specialists to meet the healthcare needs of our service area. |
| Part VI Line 6 | St. Josephs Hospital of Buckhannon, Inc. is a not-for-profit health care facility wholly owned subsidiary of the West Virginia United Health System. The West Virginia United Health System is comprised of 16 hospitals in 2022 including Camden Clark Medical Center, Berkeley Medical Center, Jefferson Medical Center, Potomac Valley Hospital, Reynolds Memorial Hospital, St. Josephs Hospital, United Hospital Center, West Virginia University Hospitals, Braxton County Memorial Hospital, Summersville Regional Medical Center, Jackson General Hospital, Wetzel County Hospital, Barnesville Hospital Association, Uniontown Hospital, Wheeling Hospital, Inc, and Harrison Community Hospital. St. Josephs Hospital is committed to the core values of compassion, hospitality, reverence, interdependence, stewardship, and trust. |
| Part VI Line 6 | St. Josephs Hospital of Buckhannon 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, 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, 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. |
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 | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Valuation Method UsedValuationMethodUsedDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| Committee on Aging for the Randolph Co Senior Center Inc | ||||||||
| PO Box 727 | Elkins | WV | 262410727 | 550487683 | 501c3 | $5,000 | FMV | Aid in transport for aging community members |
| Upshur County Development Authority | ||||||||
| 21 E Main Street Suite 101 | Buckhannon | WV | 262012910 | 550753635 | $5,000 | FMV | Economic development in PSA | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I | FormAndLineReferenceDesc |
| Explanation | St. Josephs Hospital does not track the use of funds once they are donated, however contributions made are in alignment with the overall mission of the hospital. | 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 (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Ross Knowles MD | ||||||||||||
| Physician | $389,684 | $33,819 | $10,900 | $10,600 | $445,003 | |||||||
| Robert Riddick MD | ||||||||||||
| Physician | $439,133 | $6,858 | $13,725 | $21,198 | $480,914 | |||||||
| Jeffrey Michael MD | ||||||||||||
| Physician | $247,218 | $1,257 | $11,197 | $10,316 | $409,447 | $139,459 | ||||||
| Bartley Brown DO | ||||||||||||
| Director | $279,980 | $24,287 | $9,900 | $28,730 | $430,763 | $87,866 | ||||||
| Michael C Tillman | ||||||||||||
| Director - CEO UHC January - June | $242,818 | $184,198 | $52,664 | $15,331 | $13,720 | $508,731 | ||||||
| Ivar Gjolberg | ||||||||||||
| President | $231,419 | $1,568 | $32,025 | $19,962 | $334,214 | $49,240 | ||||||
| Anissa Hite-Davis | ||||||||||||
| VP Human Resources | $115,065 | $1,182 | $5,506 | $26,893 | $163,752 | $15,106 | ||||||
| Brenda Bauer | ||||||||||||
| VP of Quality | $123,879 | $1,158 | $5,795 | $20,211 | $167,644 | $16,601 | ||||||
| Annamarie Chidester | ||||||||||||
| VP Patient Services | $138,512 | $4,840 | $6,556 | $16,752 | $183,378 | $16,718 | ||||||
| Susan Long MD | ||||||||||||
| Physician | $586,462 | $8,322 | $13,725 | $29,628 | $920,785 | $282,648 | ||||||
| Matthan Jackson | ||||||||||||
| Hospitalist | $283,087 | $78,286 | $28,179 | $474,829 | $85,277 | |||||||
| Robert Romano DO | ||||||||||||
| Physician | $185,000 | $887 | $8,325 | $676 | $194,888 | |||||||
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I Line 3 | The CEOs compensation is paid by United Hospital Center, Inc. UHC. Compensation for CEOs is 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. |
| Part I Line 4b | Ivar Gjolberg deferred compensation through CAA contributions in 2022 in the amount of 34,600. Michael Tillman received CAA distributions of 35,380 from related party, United Hospital Center, Inc. in 2022. These amounts were appropriately reported as compensation on Form W-2 for 2022. |
| Part I Line 6a | Per the WVUHS Incentive Plan incentives are contingent on meeting a net earning target. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4d | Program Service Expenses 38,347,277, Grants and allocations 0, Revenue 49,877,978 The hospital provides impartial access to treatment or accommodation for care that is available or medically indicated regardless of race, creed, sex, national origin or source of payment. In order to enable our patients to lead healthy, productive lives, the hospital strives to supply a comprehensive range of acute inpatient, long-term and outpatient care, outreach clinics, home care and emergency room services including prevention, guidance, diagnosis, treatment, restoration, rehabilitation, and other efforts as may be required, to meet the health care needs of the community as the hospital resources will permit. Although payment for services rendered is essential to the operation and stability of the hospital, it is recognized that not all individuals possess the financial means to purchase essential medical services. Our mission is to serve the community with respect to providing health care services and health care education. In keeping with this commitment, the hospital will serve all members of its community regardless of means or source of payment. |
| Form 990, Part III, Line 4d | Program Service Expenses 0, Grants and allocations 0, Revenue 0 The hospital also operates physician clinics. |
| Form 990, Part VI, Section A, Line 4 | 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 regulations to be consistent with the governance processes followed by the other tax-exempt hospitals of which WVUHS is the sole member. |
| Form 990, Part VI, Section A, Line 6 | The organization is a membership not a stock corporation under West Virginia State law. The Organizations sole coporate member is West Virginia United Health System, inc. a related not-for-profit organization. |
| Form 990, Part VI, Section A, Line 7ab | West Virginia United Health System, Inc., as the sole corporate member, also has the right to remove any member or members of the Corporations governing board, approve amendments to the articles of incorporation or bylaws of the Corporation, Approve the dissolution, merger of or with, or consolidation by the Corporation, Approve the sale, lease, exchange, mortgage, pledge or other disposition of all or substantially all of the Corporations assets, and Appoint and remove the President and Chief Executive Office President/CEO of the Corporation and consultation with the Corporations Board of Trustees. |
| Form 990, Part VI, Section B, Line 11 | The Form 990 is prepared by the West Virginia United Health System, Inc. Tax Team and then reviewed by the Director of Finance at St. Josephs Hospital of Buckhannon. After gaining approval from the Director of Finance, it is then presented to 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 | 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 15ab | 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 C, Line 19 | The organization makes its governming documents, conflict of interest policy, and financial statements available to the public upon request at its office at 1 Amalia Drive, Buckhannon, WV 26201. A nominal fee is charged if copies are requested. |
| Form 990, Part XI, Line 9 | Line 9 consists of 1,054,048 pension plan adjustment, 1,274,528 related organization capitalization and 2 rounding. |
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 Inc | |||||||||||
| PO Box 8034 | Morgantown | WV | 26506 | 550754713 | Healthcare Access | WV | 501C3 | 12 Type I | N/A | false | |
| West Virginia University Hospitals | |||||||||||
| PO Box 8034 | Morgantown | WV | 26506 | 550643304 | Patient Care | WV | 501C3 | 3 | false | West Virginia United Health System Inc | |
| West Virginia University Hospitals - East Inc | |||||||||||
| 121 Administrative Drive | Martinsburg | WV | 25401 | 202337985 | Healthcare Access | WV | 501C3 | 12 Type I | false | West Virginia University Hospitals Inc | |
| Jefferson Memorial Hospital Inc | |||||||||||
| 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 Inc - East Inc | |
| United Health Foundation | |||||||||||
| 327 Medical Park Drive | Bridgeport | WV | 26330 | 550621706 | Hospital Support | WV | 501C3 | 12 Type I | false | United Hospital Center Inc | |
| United Hospital Center Inc | |||||||||||
| 327 Medical Park Drive | Bridgeport | WV | 26330 | 550525724 | Patient Care | WV | 501C3 | 3 | false | West Virginia United Health System Inc | |
| United Physicians Care Inc | |||||||||||
| 686 South Pike Street | Shinnston | WV | 26431 | 550638563 | Patient Care | WV | 501C3 | 3 | false | United Hospital Center Inc | |
| United Summit Center Inc | |||||||||||
| 6 Hospital Plaza | Clarksburg | WV | 26301 | 550752788 | Behavioral Health | WV | 501C3 | 3 | false | West Virginia University Hospitals Inc | |
| West Virginia Health Care Cooperative Inc | |||||||||||
| 400 Fairview Heights Rd | Summersville | WV | 26651 | 550650441 | Patient Care | WV | 501C3 | 3 | false | West Virginia University Hospitals Inc | |
| Camden-Clark Memorial Hospital | |||||||||||
| 800 Garfield Ave | Parkersburg | WV | 26101 | 311524546 | Patient Care | WV | 501C3 | 3 | false | Camden-Clark Health Services | |
| Camden-Clark Health Services | |||||||||||
| 800 Garfield Ave | Parkersburg | WV | 26101 | 550769602 | Healthcare Access | WV | 501C3 | 12 Type I | false | WV 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 Physician Corp | |||||||||||
| 604 Ann Street | Parkersburg | WV | 26101 | 264058719 | Patient Care | WV | 501C3 | 3 | false | Camden-Clark Health Services | |
| Potomac Valley Hospital of W Va Inc | |||||||||||
| 100 Pin Oak Lane | Keyser | WV | 26726 | 550420956 | Patient Care | WV | 501C3 | 3 | false | WV United Health System | |
| Reynolds Memorial Hospital | |||||||||||
| 800 Wheeling Ave | Glen Dale | WV | 26038 | 550357045 | Patient Care | WV | 501C3 | 3 | false | WV United Health System | |
| Reynolds Memorial Foundation | |||||||||||
| 800 Wheeling Ave | Glen Dale | WV | 26038 | 550710402 | Hospital Support | WV | 501C3 | 12 Type I | false | Reynolds Memorial Hospital Inc | |
| St Joseph's Foundation of Buckhannon Inc | |||||||||||
| 1 Amalia Drive | Buckhannon | WV | 26201 | 550727650 | Hospital Support | WV | 501C3 | 12 Type II | Yes (true) | St Joseph's Hospital of Buckhannon Inc | |
| City Hospital Inc | |||||||||||
| 2500 Foundation Way | Martinsburg | WV | 25401 | 550383321 | Patient Care | WV | 501C3 | 3 | false | West Virginia University Hospitals - East 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 NA | N/A | DirectControllingNACd |
| 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 | WV United Health System | C Corp | false |
| West Virginia United Insurance Services Inc | |||||||||
| 3040 University Avenue Suite 3200 | Morgantown | WV | 26505 | 550756055 | Provider Network | WV | WV United Health System | C Corp | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | 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 | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | 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 |