HARRISON COMMUNITY HOSPITAL INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- HARRISON COMMUNITY HOSPITAL INC (EIN 34-1571750)
- Tax period
- 2020-10-01 to 2021-09-30
- Filed
- 2022-08-22
- IRS object ID
- 202202349349300605
- Schema version
- 2020v4.2
- 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 F
- Schedule G
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-08-22T08:44:54-00:00 | ReturnTs |
| Tax Period End | 2021-09-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 341571750 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Harrison Community Hospital Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HARR | BusinessNameControlTxt |
| Phone | 3042433801 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 951 East Market Street | AddressLine1Txt |
| City | Cadiz | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43907 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | John Puorro | PersonNm |
| Person Title | Director of Finance | PersonTitleTxt |
| Phone | 7409426240 | PhoneNum |
| Signature | 2022-08-15 | SignatureDt |
| Discuss With Paid Preparer | false | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | John | PersonFirstNm |
| Person Last | Puorro | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | David Phillips | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 951 East Market Street | AddressLine1Txt |
| City | Cadiz | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43907 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $23,314,070 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | https://wvumedicine.org/harrison-community-hospital/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1969 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | To provide the highest level of quality healthcare to all people of its service area regardless of age, sex, religion, national origin and ability to pay. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 4 | VotingMembersIndependentCnt |
| Total Employee | 145 | TotalEmployeeCnt |
| Total Volunteers | 5 | TotalVolunteersCnt |
| Total Gross UBI | $5,963,368 | TotalGrossUBIAmt |
| PY Contributions Grants | $218,957 | PYContributionsGrantsAmt |
| CY Contributions Grants | $63,191 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $11,652,023 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $22,305,468 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$41 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $7,724,525 | PYOtherRevenueAmt |
| CY Other Revenue | $930,891 | CYOtherRevenueAmt |
| PY Total Revenue | $19,595,464 | PYTotalRevenueAmt |
| CY Total Revenue | $23,299,550 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $7,490,950 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,678,779 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $14,299,802 | PYOtherExpensesAmt |
| CY Other Expenses | $14,449,278 | CYOtherExpensesAmt |
| PY Total Expenses | $21,790,752 | PYTotalExpensesAmt |
| CY Total Expenses | $22,128,057 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,195,288 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,171,493 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $17,006,713 | TotalAssetsBOYAmt |
| Total Assets EOY | $9,721,020 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $17,312,511 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,399,968 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$305,798 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $6,321,052 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | It is the mission of Harrison Community Hospital to provide the highest level of quality healthcare to all people of its service area regardless of age, sex, religion, national origin and ability to pay. This mission, under the guidance of a community-based board of trustees, is implemented using the philosophy of reaching out to provide services | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $20,212,126 | ExpenseAmt |
| Revenue | $16,129,110 | RevenueAmt |
| Desc | Harrison Community Hospital serviced 4,864 inpatient visits including 4,615 being emergency room visits and 12,085 outpatient visits during the period of October 1, 2020 through September 30, 2021. Harrison Community Hospital also serviced 76 skilled nursing patients in its facilities during the period of October 1, 2020 through September 30, 2021. | Desc |
| Total Program Service Expenses | $20,212,126 | 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 | false | 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 | Yes (true) | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | 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 | 42 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 145 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 4 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OH | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Joseph Wenger | PersonNm |
| Phone | 3042433801 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 Medical Park | AddressLine1Txt |
| City | Wheeling | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26003 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|---|
| Dan Jones DO | ||||||||
| Director, Physician | 020.00 | 020.00 | Yes (X) | $0 | $419,228 | $30,474 | ||
| Reda Shedeed | ||||||||
| Physician | 040.00 | $274,885 | $0 | $25,391 | Yes (X) | |||
| James Murdy | ||||||||
| Director, Secretary/Treasurer | 002.00 | 058.00 | Yes (X) | $0 | $252,739 | $25,860 | Yes (X) | |
| Bruce A Archer | ||||||||
| Director, President General Counsel | 001.00 | 059.00 | Yes (X) | $0 | $219,043 | $31,738 | Yes (X) | |
| Samy Sakla | ||||||||
| Physician | 040.00 | $212,551 | $0 | $23,716 | Yes (X) | |||
| Kara O'Karma | ||||||||
| Physician | 040.00 | $204,517 | $0 | $23,104 | Yes (X) | |||
| Anthony Martinelli | ||||||||
| Director, Assistant VP | 020.00 | 040.00 | Yes (X) | $0 | $168,415 | $26,094 | ||
| Daniel Palermo | ||||||||
| Physician | 040.00 | $160,425 | $0 | $13,761 | Yes (X) | |||
| Joseph Wenger | ||||||||
| Director, CFO | 001.00 | 040.00 | Yes (X) | $0 | $163,549 | $2,512 | ||
| Nepomuceno Dario | ||||||||
| Physician | 040.00 | $152,153 | $0 | $12,772 | Yes (X) | |||
| Heidi Porter | ||||||||
| Director, VP Quality | 004.00 | 056.00 | Yes (X) | $0 | $147,068 | $11,995 | ||
| Michael Sliva | ||||||||
| Director | 001.00 | Yes (X) | $0 | $0 | $0 | |||
| Kenneth Mason SR | ||||||||
| Director, Vice President | 001.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Sandi Thompson | ||||||||
| Director | 001.00 | Yes (X) | $0 | $0 | $0 | |||
| Gary Hill | ||||||||
| Director | 001.00 | Yes (X) | $0 | $0 | $0 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,004,531 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,370,042 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $227,417 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 11 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Emergency Physician Resource | |||||
| 116 Windy Point | Marietta | OH | 45750 | Physician Services | $1,696,000 |
| Quest Diagnostics | |||||
| 2249 Collection Center Drive | Chicago | IL | 60693 | Lab Services | $231,170 |
| Panhandle Cleaning & Restoration | |||||
| 42-38th Street | Wheeling | WV | 26003 | Restoration Services | $135,820 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $48,166 | GovernmentGrantsAmt |
| All Other Contributions | $15,025 | AllOtherContributionsAmt |
| Total Contributions | $63,191 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Patient Service Revenue | 623990 | $11,214,741 | $11,214,741 | ||
| Custer RX/Capture RX Revenue | 446110 | $6,244,081 | $5,902,282 | $341,799 | |
| COVID Relief Funds | 900099 | $4,846,646 | $4,846,646 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $22,305,468 | TotalProgramServiceRevenueAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $32,100 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $32,100 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $32,100 | TotalRevenueColumnAmt |
| Exclusion | $32,100 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $16,026 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $14,520 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,506 | TotalRevenueColumnAmt |
| Exclusion | $1,506 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Ambulance Revenue | 621910 | $655,539 | $655,539 | |
| Cafeteria Income | 900099 | $112,937 | $112,937 | |
| Catering Revenue | 722320 | $61,086 | $61,086 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $67,723 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $67,723 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $897,285 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,299,550 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $16,129,110 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $5,963,368 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,143,881 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
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 | $0 | TotalAmt |
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 | $6,014,830 | TotalAmt |
| Program Services | $5,138,696 | ProgramServicesAmt |
| Management And General | $876,134 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,932 | TotalAmt |
| Program Services | $58,037 | ProgramServicesAmt |
| Management And General | $9,895 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,144,529 | TotalAmt |
| Program Services | $977,814 | ProgramServicesAmt |
| Management And General | $166,715 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $451,488 | TotalAmt |
| Program Services | $385,723 | ProgramServicesAmt |
| Management And General | $65,765 | 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 | $3,460 | TotalAmt |
| Management And General | $3,460 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,025 | TotalAmt |
| Management And General | $45,025 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $882 | TotalAmt |
| Program Services | $882 | ProgramServicesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees For Services Prof Fundraising | FeesForServicesProfFundraising |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,989,593 | TotalAmt |
| Program Services | $4,888,749 | ProgramServicesAmt |
| Management And General | $100,844 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $850,965 | TotalAmt |
| Program Services | $536,211 | ProgramServicesAmt |
| Management And General | $314,754 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $360,867 | TotalAmt |
| Program Services | $433,800 | ProgramServicesAmt |
| Management And General | -$72,933 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,990 | TotalAmt |
| Program Services | $20,147 | ProgramServicesAmt |
| Management And General | $843 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $157,407 | TotalAmt |
| Program Services | $753 | ProgramServicesAmt |
| Management And General | $156,654 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,739 | TotalAmt |
| Management And General | $23,739 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,244,340 | TotalAmt |
| Program Services | $1,187,745 | ProgramServicesAmt |
| Management And General | $56,595 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $131,393 | TotalAmt |
| Program Services | $121,785 | ProgramServicesAmt |
| Management And General | $9,608 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $5,232,508 | $5,232,508 | |
| Provision for Doubtful Accounts | $861,934 | $861,934 | |
| Taxes, Licenses Fees | $491,420 | $361,838 | $129,582 |
| Association Dues | $30,170 | $5,286 | $24,884 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,585 | TotalAmt |
| Program Services | $218 | ProgramServicesAmt |
| Management And General | $4,367 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,128,057 | TotalAmt |
| Program Services | $20,212,126 | ProgramServicesAmt |
| Management And General | $1,915,931 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,453,363 | BOYAmt |
| EOY | $2,404,798 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,418,172 | BOYAmt |
| EOY | $1,873,976 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $656,852 | BOYAmt |
| EOY | $629,731 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $164,361 | BOYAmt |
| EOY | $454,231 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $5,503,762 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $929,049 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,975,404 | BOYAmt |
| EOY | $4,574,713 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,338,561 | BOYAmt |
| EOY | -$216,429 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,006,713 | BOYAmt |
| EOY | $9,721,020 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,478,165 | BOYAmt |
| EOY | $2,905,239 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,531,387 | BOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,457,771 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $845,188 | BOYAmt |
| EOY | $494,729 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,312,511 | BOYAmt |
| EOY | $3,399,968 | 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 | -$320,543 | BOYAmt |
| EOY | $6,177,901 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,745 | BOYAmt |
| EOY | $143,151 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$305,798 | BOYAmt |
| EOY | $6,321,052 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,006,713 | BOYAmt |
| EOY | $9,721,020 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,171,493 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$39,779 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $5,495,136 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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 | false | FederalGrantAuditRequiredInd |
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 | $882 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $882 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | II-B 1 | FormAndLineReferenceDesc |
| Explanation | Harrison Community Hospital is a member of the Ohio Hospital Association OHA and pays annual dues. Lobbying expenses represent the portion of the dues paid to national and state hospital associations that are specifically allocable to lobbying. Harrison Community Hospital does not participate in or intervene in including publishing or distributing of statements any political campaign on behalf of or in opposition to any candidate for public office. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $67,500 | OtherCostOrOtherBasisAmt |
| Book Value | $67,500 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,339,196 | OtherCostOrOtherBasisAmt |
| Depreciation | $105,598 | DepreciationAmt |
| Book Value | $2,233,598 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,512 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,273 | DepreciationAmt |
| Book Value | $5,239 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,957,031 | OtherCostOrOtherBasisAmt |
| Depreciation | $808,184 | DepreciationAmt |
| Book Value | $2,148,847 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $124,523 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,994 | DepreciationAmt |
| Book Value | $119,529 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,574,713 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc |
|---|
| Financial derivatives and other financial products |
| Closely-held equity interests |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| Federal income taxes | |
| Estimated Settlement Due Third Party Payer | |
| Due to Related Org - Non Current | $482,326 |
| Local/City PR Taxes | $5,431 |
| Finance Leases Payable | $6,972 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $494,729 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | X 2 | FormAndLineReferenceDesc |
| Explanation | The System, Belmont Hospital, The Foundation, WP, WHS, HCH, and HCF all qualify as tax-exempt organizations under Section 501c3 of the US Internal Revenue Code. WHH II is treated as a disregarded entity of the System. The System does not have any material uncertain tax positions as of December 31, 2021. | ExplanationTxt |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Central America and the Caribbean | RegionTxt |
| Employee | 2 | EmployeeCnt |
| Type Of Activities Conducted | Program Services | TypeOfActivitiesConductedTxt |
| Specific Services Provided | Capitve Insurance Company | SpecificServicesProvidedTxt |
| Region Total Expenditures | $282,950 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Employees | 2 | SubtotalEmployeesCnt |
| Total Employee | 2 | TotalEmployeeCnt |
| Subtotal Spent | $282,950 | SubtotalSpentAmt |
| Total Spent | $282,950 | TotalSpentAmt |
| Transfer To Foreign Corp | false | TransferToForeignCorpInd |
| Interest In Foreign Trust | false | InterestInForeignTrustInd |
| Foreign Corp Ownership | false | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | false | PassiveForeignInvestmestCoInd |
| Foreign Partnership | false | ForeignPartnershipInd |
| Boycott Countries | false | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I Line 3 | Accrual |
| Part I Line 3 | Mountaineer Freedom, LTD sells insurance premiums to Harrison Community Hospital. Mountaineer Freedom, LTD is solely owned by the parent company, Wheeling Hospital, Inc. Harrison Community Hospital does not have any direct ownership in Mountaineer Freedom, LTD. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Auxiliary Funds | Event1Nm |
| Gross Receipts Event1 | $16,026 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $16,026 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $14,520 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $16,026 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $16,026 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $14,520 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $14,520 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $1,506 | NetIncomeSummaryAmt |
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 | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $172,427 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $172,427 | DirectOffsettingRevenueAmt |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,985,733 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,816,267 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,169,466 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10200 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,158,160 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,988,694 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,169,466 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10200 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,158,160 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,988,694 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,169,466 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10200 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $475,701 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $3,954 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $2,073,463 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $2,335,328 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$261,865 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| 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 | Harrison Community Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 951 East Market Street | AddressLine1Txt |
| City | Cadiz | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43907 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | https//wvumedicine.org/harrison-community-hospital/ | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Facility Reporting Group | A | FacilityReportingGroupCd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | A | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | 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/2021/03/Harrison-Community-Hospital-Community-Health-Needs | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | https//wvumedicine.org/wp-content/uploads/2021/03/Harrison-Community-Hospital-Community-Health-Needs | 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 |
| FPG Family Incm Lmt Dscnt Care | 0000000400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| 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 |
| Other Publicity | Yes (X) | OtherPublicityInd |
| 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 | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Group Harrison Community Hospital Line Part V, Section B, Line 5 | To ensure input from persons with a broad knowledge of the community, an advisory committee was established with individuals who had special knowledge or expertise in public health. Personal invitations were sent to individuals representing various community, business, and educational groups throughout Harrison County. Individuals and organizations that participated include officials from the Harrison County Health Department, Family Children First Council, Harrison County General Health District, Harrison Metropolitan Housing, Ohio Department of Youth Services, Harrison County Office of Job Family Services, Harrison Hills School District and the Hospital board of directors. |
| Group Harrison Community Hospital Line Part V, Section B, Line 11 | The advisory committee members agreed on a set of criteria to use to evaluate the list of potential needs identified through the fact finding process. The criteria included 1 Potential to impact community health 2 Cost to the community 3 Community urgency. The advisory committee members discussed each of the identified health issues. Each member of the advisory committee had the opportunity to vote on which issues they felt met the criteria listed above. Some needs were eliminated from the list while others were prioritized. This process involved group discussion and voting amongst the advisory committee members. The advisory committee decided to adopt the top 3 health care related issues, and created an organization specific implementation strategy. Those 3 health care issues were 1 Chronic Disease Management 2 Unhealthy Lifestyles 3 Drug and Alcohol Abuse. Harrison Community Hospital has been limited in recent years in its ability to dedicate financial and personnel resources to the implementation plan items identified in prior years CHNAs. Progress on the identified health priorities in FY 09/30/21 was severely limited due to the continuation of the COVID-19 pandemic. In addition, the hospital has experienced several consecutive years of operating losses. As a result, very limited resources were available to allocate to the identified community health needs. |
| Group Harrison Community Hospital Line Part V, Section B, Line 13b | Harrison Community Hospital offers discounted care only to individuals who qualify for free care. Harrison Community Hospital offers a Prompt-Pay Discount Program - patients who have no third party coverage uninsured or uninsurable may be eligible for a 50 self-pay discount while patients who have a guarantor balance may be eligible for a 20 discount. To be eligible for either prompt pay discount, the patient/guarantor must meet certain requirements. |
| Group Harrison Community Hospital Line Part V, Section B, Line 16j | Harrison Community Hospital became a member of the West Virginia United Health System effective April 1, 2021. On March 1, 2022, Harrison Community Hospital adopted the Financial Assistance Policy of West Virginia United Health System. Prior to March 1, 2022, Harrison did maintain a Financial Assistance Policy that was publicized, it was available on their website along with the FAP application, and a plain language summary of the FAP. While the FAP that was in place during the tax year-end is no longer online it is available upon request. The current, as of the date of filing, policies can be found here https//wvumedicine.org/bill-pay/financial-assistance/ |
Supplemental Information Detail SupplementalInformationDetail (21 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I Line 3c | Eligibility for financial assistance is determined by referencing the financial assistance matrix, which is based on the federal poverty guidelines for the most current year available as issued by the department of health and human services. Applicants are required to provide proof of income, such as unemployment, workers compensation, social security, and alimony/child support. They are also asked if they Medicaid or any other third party insurance. Applications claiming that they have no income are required to provide a letter of support from the individual providing the support for the patient. Additionally, applicants may provide letters of denial from insurance providers as support. Assets are also considered when deciding whether to grant financial assistance as the patient is required to provide copies of bank statements, certificates of deposit, money market accounts statements, etc. |
| Part I Line 6a | HCH community benefit numbers are reported in total with other hospitals within the West Virginia United Health System. The most recent amounts can be found on WVU Medicines website here https//wvumedicine.org/about/leadership-and-more/community-benefit/. |
| Part I Line 7 | Total community benefit expense for FY 09/30/2021 is 4,158,160 and is 19.55 of total net expenses. To calculate net expense, bad debt of 861,934 was deducted from total expenses of 22,128,058 as shown in Part IX line 25 of the core Form 990, for a net expense of 21,266,124. Worksheet 2 from the IRS Schedule H instructions was used to derive the Cost-to-Charge ratio, which was used to calculate Charity Care, Unreimbursed Medicaid and other means-tested government programs at cost. |
| Part I Line 7 | Worksheet 2 from the IRS Schedule H instructions was used to derive the Cost-to-Charge ratio, which was used to calculate Charity Care, Unreimbursed Medicaid and other means-tested government programs at cost. |
| Part II | No community building activities to report for the FY 9/30/2021. |
| Part III Line 2 | Bad Debt Expense at cost was calculated by multiplying bad debt expense of 861,934 by our cost to charge ratio of 55.19 for a total of 475,701. |
| Part III Line 3 | The estimated amount of bad debt expense that could reasoably be attributable to patient who likely would qualify for financial assistance under the hospitals charity care policy was calculated by applying the percentage of charity care to gross patient revenue to the total bad debt expense at cost. |
| Part III Line 4 | Harrison Community Hospital does not have separate audited financial statements. However, consolidated financial statements are prepared for the West Virginia United Health System, which Harrison Community Hospital is now a member of. The patient accounts receivable footnote from the consolidated audited financial statements dated 12/31/2020 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. 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 price concessions and such amounts have historically been within managements expectations. The mix of accounts receivable at December 31, 2020 and 2019 from patients and third-party payors is as follows. Medicare 29 and 27, Medicaid 17 and 17, Blue Cross 21 and 24, Commercial, managed care and other 28 and 26 and Patients 5 and 6, respectively. |
| Part III Line 4 | For receivables associated with self-pay patients, which includes both patients without insurance and insured patients with deductible and copayment balances, the System records a significant provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the billed rates and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. |
| Part III Line 8 | The amount reported in Part III Line 6 2,335,328 was calculated using the total Medicare allowable cost from the Medicare cost report, less Medicare reimbursement of direct GME. |
| Part III Line 8 | Harrison Community Hospitals shortfall, 261,865 of Medicare program reimbursement should be considered a community benefit because we are relieving a government burden by providing care in excess of our costs to these patients. |
| Part III Line 9b | Harrison Community Hospital does have a debt collection policy. When a patient has been approved for financial assistance under our charity care policy, they will not be sent to bad debt. Additionally, if a patient is being evaluated for charity, the patient will not be sent to bad debt agency pending charity guarantor status until the pending status has been finalized approved/denied. All other patients with outstanding balances will be processed through billing and collections pursuant to our Financial Policy. |
| Part VI Line 2 | Harrison Community Hospital performed a formal needs assessment to assess the health care needs for the community that it serves. This assessment was completed in November 2016. An implementation plan was established by Harrison Community Hospital in response to the 2016 CHNA, and updated for 2017 and 2018 efforts. An updated CHNA and implementation plan same document was performed in September 2019. This is currently the CHNA and implementation plan available on Harrison Community Hospitals website. |
| Part VI Line 2 | Ongoing community health fairs, CPR classes, diabetes education and healthy lifestyle seminars are the primary method of gauging community health needs throughout the year. Many of these programs are coordinated with Wheeling Hospital, Inc. The communities usually contact the hospital facility and ask for assistance. The breakfast for kids program was started by the Hospital knowing that there are kids needing a Christmas. Use of Hospital cardio exercise equipment by the community, as a fitness resource, was also enacted due to requests/inquiries from the community. |
| Part VI Line 3 | Harrison Community Hospital HCH employs financial counselors to meet with patients and discuss eligibility to qualify for charity care. HCH provides brochures discussing charity care and the qualifications for receiving charity care. These brochures are available at each registration area in the facility. HCH provides financial assistance to patients who do not qualify for any state or federal programs. |
| Part VI Line 3 | Our charity care eligibility guidelines are also listed on our website at www.wvumedicine.org under the Billing and Insurance - Online Bill Pay section of the Patient and Visitor page. HCH also has contracted a third party organization to be on-site to help patients, that qualify for charity care, Medicaid, or other types of financial assistance, complete the required applications and provide the correct documentation to receive these benefits. |
| Part VI Line 4 | Harrison Community Hospital predominantly services rural Harrison County, Ohio with an approximate population of 14,477. The racial makeup of Harrison County, OH according to the estimated July 1, 2021 census data was 95.8 white, 2.1 African American, 0.2 Asian, 0.2 Native American, with the remainder from other races or a combination of two or more races. The median household income for 2021 was approximated at 49,454 while the median US household income was 64,994. The percentage of households below the poverty level in July 2021 was approximately 13.7 compared to 11.4 nationally. |
| Part VI Line 5 | We continue to provide quality services to the rural and needy community regardless of major reductions in reimbursement. The organization remains committed to the community even when resources are limited and/or less than cost to provide coverage. We continue to make efforts to attract physicians and medical services for those that cannot connect to programs in other service areas. |
| Part VI Line 6 | Harrison Community Hospital is a part of the WV United Health System WVUHS. WVUHS is a not-for-profit corporation formed to serve as part of an integrated health science and healthcare delivery system. WVUHS serves as the parent corporation to an affiliated group of healthcare providing entities. The strategic plan of the System states intent to build a regional health care delivery system in its service areas, while offering a variety of options for providers who want to participate. The System maintains a demonstrated commitment to assist rural communities in preserving and improving the health care available to the patients it serves. |
| Part VI Line 6 | System management is focused on recruitment of staff and employees to meet the growing needs of the aging population in the Systems service areas. Other hospitals in the System include West Virginia University Hospitals, Inc. in Morgantown, WV and its Fairmont campus in Fairmont, WV, United Hospital Center in Bridgeport, WV, Camden-Clark Memorial Hospital in Parkersburg, WV, City Hospital Inc., in Martinsburg, WV, Jefferson Memorial Hospital in Ranson, WV, Potomac Valley Hospital in Keyser, WV, St. Josephs Hospital of Buckhannon, Inc., in Buckhannon, WV, Reynolds Memorial Hospital, in Glen Dale, WV, West Virginia Health Care Cooperative, doing business as, Summersville Regional Medical Center in Summersville, WV, Braxton County Memorial Hospital in Gassaway, WV, Community Health Association, doing business as, Jackson General Hospital in Ripley, WV, Wetzel County Hospital in New Martinsville, WV, Wheeling Hospital Inc., in Wheeling, WV and Belmont Community Hospital in Bellaire, OH. |
| Part VI Line 6 | In addition to the above mentioned hospitals, the System includes physician practices of United Physicians Care, Inc. and Camden-Clark Physician Corp that operate in conjunction with the System hospitals along with United Summit Center, Inc., a behavioral health center located in Clarksburg, WV. The System also includes, WVUH-East, Inc., and Camden-Clark Health Services, Inc., which operate as management companies for their respective hospitals. University Healthcare Foundation, Inc. in Martinsburg, WV, United Health Foundation, Inc., in Bridgeport, WV, Camden-Clark Foundation, Inc., in Parkersburg, WV, St. Josephs Foundation of Buckhannon, Inc., in Buckhannon, WV, Reynolds Memorial Foundation, Inc., in Glen Dale, WV, Harrison Community Hospital Foundation, in Cadiz, OH and Wheeling Hospital Foundation, in Wheeling, WV, which perform various fundraising activities for their respective hospitals. In 2020, the System formed WVUHS Home Care, LLC to provide Home Health and Hospice services to our service areas, supporting System hospitals by providing continuous care to our patients. Wheeling Ambulatory Surgical Center is also a pending approval non-profit corporation affiliated with WVUHS. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | 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 | false | 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 (11 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|---|---|
| Dan Jones DO | ||||||||
| Director, Physician | $419,228 | $1,822 | $28,652 | $449,702 | ||||
| Bruce A Archer | ||||||||
| Director, President General Counsel | $219,043 | $630 | $31,108 | $250,781 | ||||
| Heidi Porter | ||||||||
| Director, VP Quality | $147,068 | $11,995 | $159,063 | |||||
| Anthony Martinelli | ||||||||
| Director, Assistant VP | $168,415 | $878 | $25,216 | $194,509 | ||||
| James Murdy | ||||||||
| Director, Secretary/Treasurer | $252,739 | $1,305 | $24,555 | $278,599 | ||||
| Joseph Wenger | ||||||||
| Director, CFO | $163,549 | $629 | $1,883 | $166,061 | ||||
| Reda Shedeed | ||||||||
| Physician | $240,075 | $34,810 | $25,391 | $300,276 | ||||
| Samy Sakla | ||||||||
| Physician | $206,551 | $6,000 | $23,716 | $236,267 | ||||
| Kara O'Karma | ||||||||
| Physician | $203,862 | $655 | $23,104 | $227,621 | ||||
| Daniel Palermo | ||||||||
| Physician | $160,425 | $13,761 | $174,186 | |||||
| Nepomuceno Dario | ||||||||
| Physician | $136,722 | $15,431 | $12,772 | $164,925 | ||||
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part II | The reportable compensation from related organizations for James B. Murdy is for services rendered as Chief Administrative Officer for the filing organization. The majority of his time spent is at the related organizations. None of the wages paid are related to being secretary/treasurer on the board of directors. |
| Part II | The reportable compensation for related organizations for Bruce Archer is for services rendered as VP of Corporate Compliance Officer for the filing organization. During the year ending September 30, 2021 the majority of his time is spent at the related organizations. None of the wages paid are related to being president on the board of directors. |
| Part II | The reportable compensation for related organizations for Heidi Porter is for services rendered as VP of Quality and Regulatory Affairs for the filing organization. The majority of her time spent is at the related organizations. None of the wages paid are related to being on the board of directors. |
| Part II | The reportable compensation for related organizations for Anthony Martinelli is for services rendered as assistant VP for the filing organization. His time is spent evenly between the filing organization and the related organizations. None of the wages paid are related to being on the board of directors. |
| Part II | The reportable compensation for related organizations for Joseph Wenger is for services rendered as Chief Financial Officer for the filing organization. During the year ending September 30, 2021 the majority of his time is spent at the related organizations. None of the wages paid are related to being on the board of directors. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section B, Line 11B | The West Virginia United Health Systems tax team prepares and reviews the 990, in addition to internal personnel prior to filing the return. Copies of the 990 are sent to all board members prior to filing the return. |
| Form 990, Part VI, Section B, Line 12C | All members of the board of directors and officers receive a copy of the conflict of interest policy annually. Recipients are annually asked to acknowledge they have read the policy, identify any areas of conflict and return the signed disclosure form to Harrison Community Hospital. Responses are reviewed and identified conflicts are referred to the board of directors for discussion and approval. Key employees and other employees are required to complete a conflict of interest questionnaire at hiring and when a chance occurs that may be a conflict of interest. |
| Form 990, Part VI, Section B, Line 15 | Officers and key employees compensation is reviewed by the Harrison Community Hospital board, the board trustees review national, regional and local compensation surveys, additionally, years of service are also taken into account. |
| Form 990, Part VI, Section C, Line 19 | Governing documents, conflict of interest policy and financial statements are available upon request. |
| Form 990, Part XII, Line 2C | The process has not changed |
| Form 990, Part IX, Line 11g | Other fees on line 11g consist of the following Consulting and Professional fees of 102,877 of which 2,033 is considered program service and 100,844 is considered management and general expense Contracted Labor of 1,724,350 of which all is considered program service Contract Labor - Patient Care of 1,322,634 of which all is considered program service expense Consulting Professional Fees for Medical Staff of 1,712,667 of which all is considered program service expense and Contracted Physician Expense of 127,065 of which all is considered program service expense. |
| Form 990, Part XI, Line 9 | Other changes in net assets consist of the following 127,695 of related organization capitalization, 128,405 change in temporary and restricted net assets, 1,506 of auxiliary fundraising net income that is reported on Form 990 as revenue, and Purchase Price Revaluation adjustments of 5,495,932. |
| Form 990, Part III, Line 1 | as near to the populace as possible. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (30 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| West Virginia United Health System | |||||||||||
| PO Box 8034 | Morgantown | WV | 26506 | 550754713 | Healthcare Access | WV | 501c3 | 12a | N/A | false | |
| University Healthcare Foundation Inc | |||||||||||
| 2500 Hospital Drive | Martinsburg | WV | 25401 | 311118075 | Hospital Support | WV | 501c3 | 12a | false | West Virginia University Hospitals Inc | |
| United Physicians Care Inc | |||||||||||
| 686 South Pike Street | Shinnston | WV | 26431 | 550638563 | Patient Care | WV | 501c3 | 3 | false | United Hospital Center Inc | |
| United Health Foundation Inc | |||||||||||
| 327 Medical Park Drive | Bridgeport | WV | 26330 | 550621706 | Hospital Support | WV | 501c3 | 12a | false | United Hospital Center Inc | |
| United Summit Center | |||||||||||
| 6 Hospital Plaza | Clarksburg | WV | 26301 | 550752788 | Behavioral Health | WV | 501c3 | 3 | false | West Virginia University Hospitals Inc | |
| Camden-Clark Health Services Inc | |||||||||||
| 800 Garfield Ave | Parkersburg | WV | 26101 | 550769602 | Healthcare Access | WV | 501c3 | 12a | false | West Virginia United Health System | |
| Camden-Clark Foundation | |||||||||||
| 800 Garfield Ave | Parkersburg | WV | 26101 | 550667789 | Hospital Support | WV | 501c3 | 7 | false | Camden-Clark Health Services | |
| Camden-Clark Physician Corp | |||||||||||
| 604 Ann Street | Parkersburg | WV | 26101 | 264058719 | Patient Care | WV | 501c3 | 3 | false | Camden-Clark Health Services | |
| West Virginia University Hospitals Inc | |||||||||||
| PO Box 8034 | Morgantown | WV | 26506 | 550643304 | Patient Care | WV | 501c3 | 3 | false | West Virginia United Health System | |
| West Virginia University Hospitals East | |||||||||||
| 2000 Foundation Way | Martinsburg | WV | 25401 | 202337985 | Healthcare Access | WV | 501c3 | 12a | false | West Virginia University Hospitals Inc | |
| City Hospital Inc | |||||||||||
| 2000 Foundation Way | Martinsburg | WV | 25401 | 550383321 | Patient Care | WV | 501c3 | 3 | false | West Virginia University Hosptials - East Inc | |
| Jefferson Memorial Hospital | |||||||||||
| 2000 Foundation Way | Martinsburg | WV | 25401 | 550359755 | Patient Care | WV | 501c3 | 3 | false | West Virginia University Hospitals - East Inc | |
| United Hospital Center Inc | |||||||||||
| 327 Medical Park Drive | Bridgeport | WV | 26330 | 550525724 | Patient Care | WV | 501c3 | 3 | false | West Virginia United Health System | |
| 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 | |
| Potomac Valley Hospital of W Va Inc | |||||||||||
| 100 Pin Oak Lane | Keyser | WV | 26726 | 550420956 | Patient Care | WV | 501c3 | 3 | false | West Virginia University Hospitals Inc | |
| St Joseph's Hospital of Buckhannon Inc | |||||||||||
| 1 Amalia Drive | Buckhannon | WV | 26201 | 550356996 | Patient Care | WV | 501c3 | 3 | false | West Virginia United Health System | |
| St Joseph's Foundation of Buckhannon Inc | |||||||||||
| 1 Amalia Drive | Buckhannon | WV | 26201 | 550727650 | Hospital Support | WV | 501c3 | 12b | false | St Joseph's Hospital of Buckhannon Inc | |
| Reynolds Memorial Hospital Inc | |||||||||||
| 800 Wheeling Ave | Glen Dale | WV | 26038 | 550357045 | Patient Care | WV | 501c3 | 3 | false | West Virginia University Hospitals Inc | |
| Reynolds Memorial Foundation | |||||||||||
| 800 Wheeling Ave | Glen Dale | WV | 26038 | 550710402 | Hospital Support | WV | 501c3 | 12a | false | Reynolds Memorial Hospital Inc | |
| Braxton County Memorial Hospital | |||||||||||
| 100 Hoylman Drive | Gassaway | WV | 26624 | 550611919 | Patient Care | WV | 501c3 | 3 | false | West Virginia University Hospitals Inc | |
| Community Health Association | |||||||||||
| 122 Pinnell Street | Ripley | WV | 25271 | 550462730 | Patient Care | WV | 501c3 | 3 | false | West Virginia University Hospitals Inc | |
| Wetzel County Hospital Inc | |||||||||||
| 3 East Benjamin Drive | New Martinsville | WV | 26155 | 843480493 | Patient Care | WV | 501c3 | 3 | false | West Virginia University Hospitals Inc | |
| WVUHS Home Care LLC | |||||||||||
| PO Box 8059 | Morgantown | WV | 26506 | 852915642 | Home Health and Hospice | WV | 509a2 | false | West Virginia United Health System | ||
| Wheeling Hospital Inc | |||||||||||
| 1 Medical Park | Wheeling | WV | 26003 | 550357057 | Patient Care | WV | 501c3 | 3 | Yes (true) | Wheeling Hospital Inc | |
| Belmont Community Hospital | |||||||||||
| 4697 Harrison Street | Bellaire | OH | 43906 | 370714643 | Patient Care | OH | 501c3 | 3 | Yes (true) | Wheeling Hospital Inc | |
| The Medical Park Foundation | |||||||||||
| 1 Medical Park | Wheeling | WV | 26003 | 550744690 | Church | WV | 501c3 | 1 | Yes (true) | Wheeling Hospital Inc | |
| Harrison Community Hospital Foundation | |||||||||||
| 951 E Market Street | Cadiz | OH | 43907 | 341571749 | Hospital Support | OH | 501c3 | 12b | Yes (true) | Wheeling Hospital Inc | |
| Wheeling Holdings II LLC | |||||||||||
| 1 Medical Park | Wheeling | WV | 26003 | 273193246 | Purchase Real Estate | WV | 501c3 | 12b | Yes (true) | Wheeling Hospital Inc | |
| Wheeling Hospital ASC LLC | |||||||||||
| 68 State Route 7 | Bridgeport | OH | 43912 | 832914078 | Surgery Center | OH | false | Wheeling Hospital Inc | |||
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 (4 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 | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Allied Health Services Inc | ||||||||||||||
| PO Box 782 | Morgantown | WV | 26507 | 550652017 | Medical Lab | WV | West Virginia United Health System | C Corp | false | |||||
| West Virginia United Insurance Services | ||||||||||||||
| 3040 University Avenue Suite 3200 | Morgantown | WV | 26506 | 550756055 | Provider Network | WV | West Virginia United Health System | C Corp | false | |||||
| Mountaineer Freedom Limited LTD | ||||||||||||||
| 981217988 | Captive Insurance | Wheeling Hospital Inc | C Corp | false | 94 Solaris Avenue 2nd Floor | Grand Cayman | CJ | KY11102 | CJ | |||||
| WH Holdings I | ||||||||||||||
| 1 Medical Park | Wheeling | WV | 26003 | 273193207 | Purchase Real Estate | WV | Wheeling Hospital Inc | false | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (7 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Wheeling Hospital | ||
| l | $118,398 | Actual Amount Paid |
| Wheeling Hospital | ||
| q | $1,046 | Actual Amount Paid |
| Wheeling Hospital | ||
| p | $419 | Actual Amount Paid |
| Wheeling Hospital | ||
| m | $113,325 | Intercompany Activity |
| Wheeling Hospital | ||
| p | $2,265,425 | Intercompany Activity |
| Wheeling Hospital | ||
| o | $1,521,250 | Intercompany Activity |
| Belmont Community Hospital | ||
| q | $10,318 | Actual Amount Paid |