STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

UNIONTOWN HOSPITAL: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
UNIONTOWN HOSPITAL (EIN 25-0965588)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-14
IRS object ID
202223189349306597
Schema version
2021v4.2
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 ReturnHeader

FieldValueIRS element (for citing)
Return2022-11-14T10:26:43-00:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN250965588EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Uniontown HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlUNIOBusinessNameControlTxt
Phone7244305000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 West Berkeley StreetAddressLine1Txt
CityUniontownCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15401ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBarb WeissPersonNm
Person TitleVice President FinanceCFOPersonTitleTxt
Phone7244305000PhoneNum
Signature2022-11-14SignatureDt
Discuss With Paid PreparerfalseDiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstBarbPersonFirstNm
Person LastWeissPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDavid HessPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 West Berkeley StreetAddressLine1Txt
CityUniontownCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15401ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$142,471,443GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.uniontownhospital.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1902FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionThe Uniontown Hospital is a 130 bed community hospital whose activites include inpatient acute care, outpatient ancillary services, and inpatient rehab services.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee1260TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$1,172TotalGrossUBIAmt
PY Contributions Grants$270,084PYContributionsGrantsAmt
CY Contributions Grants$1,830,662CYContributionsGrantsAmt
PY Program Service Revenue$59,658,257PYProgramServiceRevenueAmt
CY Program Service Revenue$133,210,467CYProgramServiceRevenueAmt
PY Investment Income-$12,089PYInvestmentIncomeAmt
CY Investment Income$6,174,085CYInvestmentIncomeAmt
PY Other Revenue$1,529,122PYOtherRevenueAmt
CY Other Revenue$1,233,466CYOtherRevenueAmt
PY Total Revenue$61,445,374PYTotalRevenueAmt
CY Total Revenue$142,448,680CYTotalRevenueAmt
CY Grants And Similar Paid$38,950CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$24,313,903PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$53,924,785CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$36,575,779PYOtherExpensesAmt
CY Other Expenses$81,374,841CYOtherExpensesAmt
PY Total Expenses$60,889,682PYTotalExpensesAmt
CY Total Expenses$135,338,576CYTotalExpensesAmt
PY Revenues Less Expenses$555,692PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$7,110,104CYRevenuesLessExpensesAmt
Total Assets BOY$130,367,113TotalAssetsBOYAmt
Total Assets EOY$111,794,948TotalAssetsEOYAmt
Total Liabilities BOY$104,390,631TotalLiabilitiesBOYAmt
Total Liabilities EOY$92,959,603TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$25,976,482NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$18,835,345NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionThe Uniontown Hospitals vision is to make a healthy difference in the lives we touch. We will fulfill our vision by providing excellent customer service, promoting telework, maintaining competency, assuring productivity ensuring compliance, all the while, being mindful of our financial regulatory responsibilities.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$54,669,163ExpenseAmt
Revenue$68,096,354RevenueAmt
DescInpatient Services - The Uniontown Hospital had 119 adult beds during 2021. The Hospital delivered state-of-the-art primary inpatient services to approx. 26,248 acute care days, 3,998 critical care days, 4,530 observation days during the period. Since 1903, the Hospital has been serving the greater Uniontown and Fayette County area, providing quality healthcare regardless of the persons ability to pay. The Hospital has earned several recognitions from HealthGrades, the nations leading independent healthcare ratings organization. The Hospital draws the majority of its patients from Fayette County. Although the population of the County has been decreasing, the demand for the Hospitals services remain due to the downsizing and service cuts at nearby facilities along with the growth in both the regions uninsured and elderly populations. The Uniontown Hospital offers lines of services that are unavailable elsewhere in Fayette County. In addition to being the primary source of orthopedic care, it was the only hospital to offer interventional cardiology and radiation oncology services.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$47,393,188ExpenseAmt
Revenue$59,033,340RevenueAmt
DescOutpatient Services - The Health Systems hospital based servicse are complemented by a full spectrum of outpatient services. These services include a state-of-the-art Outpatient Diagnostic Facility that opened in 2006. The outpatient center offers convenient services, including x-rays, bone density scans, ultrasounds, and digital mammography. The Hospital is the primary source of emergency care in the County with approximately 38,717 patient visits during 2021. Other traditional outpatient services include Laboratory, Radiology, and Same Day Surgery which accounted for 655,477 patient visits.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$3,428,454ExpenseAmt
Revenue$4,270,510RevenueAmt
DescIRU - The IRU has an 11 bed capacity. The IRU Inpatient Rehabilitation Unit provides rehabilitation services principally for Medicare patients who have been hospitalized due to reasons such as a stroke or an orthopedic procedure. The number of patients in the IRU was 109 with total patient days of 2,923.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$1,775,700TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$2,583,943TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$107,266,505TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstYes (true)ReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document95IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee1260EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonBarb WeissPersonNm
Phone7244305222PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 W Berkeley StreetAddressLine1Txt
CityUniontownCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15401ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Steven Handy
Former CEO Board SecretaryYes (X)$902,024$0$252
David Hess MD
President CEO$318,133$212,088$111,635024.00016.00Yes (X)
Barbara Weiss
VP of Finance CFO$219,912$0$25,893036.00004.00Yes (X)
William Johnson
Director Pharmacy$176,035$0$11,742040.00Yes (X)
Joann Kaminsky
Director HR$145,527$0$9,558040.00Yes (X)
Patrick Bator
Pharmacist$137,297$0$8,702040.00Yes (X)
Randolph Hovatter
Director Facilities$138,261$0$6,534040.00Yes (X)
Vicki Joshua
Pharmacist$126,203$0$8,532040.00Yes (X)
Julianne Jyachosky
Asst Secretary - Ex-Officio Non-voting member$52,686$0$0040.00Yes (X)Yes (X)
Judie Charlton MD
Director$0$0$0001.00004.00Yes (X)
Paula Congelio
Director$0$0$0001.00Yes (X)
Jason Cox
Director$0$0$0001.00Yes (X)
Nancy Decker
Board Chair$0$0$0001.00Yes (X)Yes (X)
Michael George DDS
Director$0$0$0001.00Yes (X)
John Malone
Vice Chair$0$0$0001.00Yes (X)Yes (X)
Suzanne McMonagle
Secretary$0$0$0001.00Yes (X)Yes (X)
Paul Means DO
Director$0$0$0001.00Yes (X)
William Smith
Treasurer$0$0$0001.00Yes (X)Yes (X)
Malcolm Stone DMD
Director$0$0$0001.00Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,216,078TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$212,088TotReportableCompRltdOrgAmt
Total Other Compensation$182,848TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K19IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Quest Diagnostics
16410 Collections Ctr DrChicagoIL60693Laboratory Services$6,113,625
March-Westin Maryland
2313 Maryland AvenueBaltimoreMD21218Construction Services$4,205,964
Cerner Corp
PO Box 959156St LouisMO63195IT Professional Services$3,677,783
Medical Solutions LLC
1010 N 102nd Street Suite 300OmahaNE68114Temporary Staffing Services$1,460,726
Sodexo Inc & Affiliates
PO Box 360170PittsburghPA15251Consulting Services$750,631
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K28CntrctRcvdGreaterThan100KCnt
Government Grants$1,722,072GovernmentGrantsAmt
All Other Contributions$108,590AllOtherContributionsAmt
Total Contributions$1,830,662TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Service Revenue621500$131,215,025$131,215,025
COVID Relief Funds900099$989,519$989,519
Pharmacy Income900099$936,174$936,174
Gross Rent/Other Affiliated Organizations900099$69,749$69,749
FieldValueIRS element (for citing)
Total Program Service Revenue$133,210,467TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,196,848TotalRevenueColumnAmt
Unrelated Business Revenue$1,172UnrelatedBusinessRevenueAmt
Exclusion$6,195,676ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$4,800RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$4,800RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,800TotalRevenueColumnAmt
Exclusion$4,800ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$22,763OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$22,763OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$22,763TotalRevenueColumnAmt
Exclusion-$22,763ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
Related Party Passthrough Income900099$446,426$446,426
Cafeteria Income900099$396,827$396,827
Rebate Revenue900099$58,159$58,159

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$327,254TotalRevenueColumnAmt
Related Or Exempt Func Income$327,254RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,228,666OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$142,448,680TotalRevenueColumnAmt
Related Or Exempt Func Income$133,984,147RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,172UnrelatedBusinessRevenueAmt
Exclusion$6,632,699ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$38,950TotalAmt
Program Services$38,950ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,533,195TotalAmt
Management And General$1,533,195ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$41,652,162TotalAmt
Program Services$34,315,996ProgramServicesAmt
Management And General$7,336,166ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$117,056TotalAmt
Program Services$145,585ProgramServicesAmt
Management And General-$28,529ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$6,418,497TotalAmt
Program Services$5,159,010ProgramServicesAmt
Management And General$1,259,487ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,203,875TotalAmt
Program Services$3,368,571ProgramServicesAmt
Management And General$835,304ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$2,084,544TotalAmt
Program Services$1,648,400ProgramServicesAmt
Management And General$436,144ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$323,408TotalAmt
Program Services$7,141ProgramServicesAmt
Management And General$316,267ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$181,455TotalAmt
Management And General$181,455ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$13,572TotalAmt
Program Services$13,572ProgramServicesAmt
FieldValueIRS element (for citing)
Fees For Services Prof FundraisingFeesForServicesProfFundraising

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$16,790,571TotalAmt
Program Services$9,877,152ProgramServicesAmt
Management And General$6,913,419ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$250,300TotalAmt
Management And General$250,300ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$6,267,754TotalAmt
Program Services$4,187,197ProgramServicesAmt
Management And General$2,080,557ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,931,695TotalAmt
Program Services$1,664,180ProgramServicesAmt
Management And General$267,515ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$42,414TotalAmt
Program Services$4,971ProgramServicesAmt
Management And General$37,443ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$16,518TotalAmt
Program Services$11,204ProgramServicesAmt
Management And General$5,314ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,779,847TotalAmt
Program Services$1,779,847ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$20,120,176TotalAmt
Program Services$14,824,572ProgramServicesAmt
Management And General$5,295,604ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,397,684TotalAmt
Program Services$3,775,332ProgramServicesAmt
Management And General$622,352ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,074,879TotalAmt
Program Services$2,035,586ProgramServicesAmt
Management And General$39,293ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$19,852,370$19,852,370
Provision for Doubtful Accounts$2,852,766$2,852,766
Recruiting$1,517,027$1,470,075$46,952
Taxes, Licenses, Fees$652,063$154,325$497,738

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$225,798TotalAmt
Program Services$79,703ProgramServicesAmt
Management And General$146,095ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$135,338,576TotalAmt
Program Services$107,266,505ProgramServicesAmt
Management And General$28,072,071ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$24,907,731BOYAmt
EOY$20,795,062EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,177,616BOYAmt
EOY$17,347,452EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$14,167,901BOYAmt
EOY$15,817,224EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,742,011BOYAmt
EOY$2,882,032EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,034,530BOYAmt
EOY$1,479,212EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$45,895,519LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,335,910LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$72,256,835BOYAmt
EOY$41,559,609EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$2,622,818BOYAmt
EOY$2,190,354EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$8,545,108BOYAmt
EOY$9,724,003EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,912,563BOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$130,367,113BOYAmt
EOY$111,794,948EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$41,464,198BOYAmt
EOY$17,169,146EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$10,981,966BOYAmt
EOY$7,041,943EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$35,569,396BOYAmt
EOY$34,210,000EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
EOY$14,509,792EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$16,375,071BOYAmt
EOY$20,028,722EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$104,390,631BOYAmt
EOY$92,959,603EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$25,761,705BOYAmt
EOY$18,594,116EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$214,777BOYAmt
EOY$241,229EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$25,976,482BOYAmt
EOY$18,835,345EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$130,367,113BOYAmt
EOY$111,794,948EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$7,110,104ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,279,199NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$12,972,042OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$13,572OtherActivitiesAmt
Total Lobbying Expenditures$13,572TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceII-B 1iFormAndLineReferenceDesc
ExplanationThis amount is calculated based on information provided by the Hospital and Healthsystem Association of Pennsylvania and the American Hospital Association. The American Hospital Association estimates that 26.47 of the 2021 dues were allocated to lobbying expense. The Hospital and Healthsystem Association of Pennsylvania estimates that during 2021, 26.47 of the dues paid should be allocated to lobbying expense.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Incl Escrow Custodial Acct LiabfalseInclEscrowCustodialAcctLiabInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,541,482OtherCostOrOtherBasisAmt
Book Value$3,541,482BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$28,795,063OtherCostOrOtherBasisAmt
Depreciation$2,047,114DepreciationAmt
Book Value$26,747,949BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,444,021OtherCostOrOtherBasisAmt
Depreciation$235,758DepreciationAmt
Book Value$2,208,263BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,656,866OtherCostOrOtherBasisAmt
Depreciation$1,892,467DepreciationAmt
Book Value$6,764,399BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,458,087OtherCostOrOtherBasisAmt
Depreciation$160,571DepreciationAmt
Book Value$2,297,516BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$41,559,609TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

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

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescInvestments - CHARTDesc
Book Value$9,724,003BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Program Rltd$9,724,003TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDescAmtAmt
Federal income taxes
Long Term Lease Liability$580,849
Self Insurance Liability$1,050,591
Interest Rate Swaps$5,420,054
Other NC Liabilities$3,105,200
DB Pension Obligation$9,755,091
Deferred Taxes$116,937
Estimated Third Party Settlement
Estimated Malpractice Cost
FieldValueIRS element (for citing)
Total Liability$20,028,722TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$138,316,715TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$1,279,199NetUnrealizedGainsInvstAmt
Other Revenue-$2,852,766OtherRevenueAmt
Revenue Not Reported-$4,131,965RevenueNotReportedAmt
Revenue Subtotal$142,448,680RevenueSubtotalAmt
Total Revenue Per Form990$142,448,680TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$132,485,810TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$132,485,810ExpensesSubtotalAmt
Other Expenses Not Included$2,852,766OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$2,852,766ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$135,338,576TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
X 2Most 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 and WVUIS are organizations subject to federal and/or state income taxes. The System does not have any material uncertain tax positions as of December 31, 2021 and 2020.
XI 2dThis amount shown on line 2d consists of 2,852,766 provision for doubtful accounts reported as on offset to revenue on the financial statements but as an expense on the Form 990.
XII 4bThe amount shown on line 4b consists of 2,852,766 provision for doubtful accounts that is reported as an offset to revenue on the financial statements but as an expense on the Form 990

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CarefalseFPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportfalseAnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,394,003TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,394,003NetCommunityBenefitExpnsAmt
Total Expense0.01050TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$35,092,334TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$25,747,452DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,344,882NetCommunityBenefitExpnsAmt
Total Expense0.07050TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$36,486,337TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$25,747,452DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,738,885NetCommunityBenefitExpnsAmt
Total Expense0.08100TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$271,646TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$271,646NetCommunityBenefitExpnsAmt
Total Expense0.00210TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,733,581TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,464,392DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,269,189NetCommunityBenefitExpnsAmt
Total Expense0.01710TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$38,950TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$38,950NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,044,177TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,464,392DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,579,785NetCommunityBenefitExpnsAmt
Total Expense0.01950TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$46,530,514TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$33,211,844DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,318,670NetCommunityBenefitExpnsAmt
Total Expense0.10050TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$1,207,005BadDebtExpenseAmt
Bad Debt Expense Attributable$15,374BadDebtExpenseAttributableAmt
Reimbursed By Medicare$21,728,534ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$5,912,080CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$15,816,454MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Uniontown HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 W Berkeley StreetAddressLine1Txt
CityUniontownCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15401ZIPCd
FieldValueIRS element (for citing)
Website Addresshttps//www.uniontownhospital.com/WebsiteAddressTxt
State License470901StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
Facility Reporting GroupAFacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ABusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYYes (true)TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttps//wvumedicine.org/wp-content/uploads/2021/01/Uniontown-Hospital-2019-CHNA.pdfOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttps//wvumedicine.org/wp-content/uploads/2021/01/Uniontown-Hospital-2019-Implementation-Plan.pdfStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care0000000200.000000000000FPGFamilyIncmLmtFreeCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps//wvumedicine.org/ruby-memorial-hospital/wp-content/uploads/sites/3/2018/04/FinancialassistanceFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttps//wvumedicine.org/wp-content/uploads/2020/03/Financial-Assistance-Application-Form-3-17-2020.pdFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttps//wvumedicine.org/bill-pay/financial-assistance/FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesYes (true)GrossChargesInd

Supplemental Information SupplementalInformationGrp (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Group Uniontown Hospital Line Part V, Section B, Line 2Effective January 1, 2021, Uniontown Hospital became a member of the West Virginia United Health System. The West Virginia United Health System 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. Barnesville maintained their previously approved non-profit status with the IRS after joining the System.
Group Uniontown Hospital Line Part V, Section B, Line 5BKD, LLP conducted a formal community health needs assessment on behalf of the Uniontown Hospital. Interviews were conducted by BKD personnel between October 2018 and February 2019 with 12 key informants and four project steering committee members. Interviewees were determined based on a their specialized knowledge or expertise in public health, b their involvement with underserved and minority populations, or c their affiliation with local government, schools, and industry. The following is a complete list of those consulted Melissa Miner, Children Health Improvement Partnership/Senior Nursing Faculty - Penn State Fayette Vickie Leone, Uniontown Hospital Board Member, Vice President, Fayette Home Care Charles Machesky, Superintendent, Uniontown Area School District James Stark, CEO, Fayette County Community Action Agency Jamie Moore, Supervisor, Southwest PA Area Agency on Aging Gina DAuria, Administrator, Fayette County Children and Youth Charles Watson, Uniontown Hospital Pest Chair of the Board Robert Garrett, Uniontown Hospital, Chair of the Board Lisa Ferris, Administrator/CEO, Fayette County Behavioral Health Administration Melissa Ferris, Assistant Executive Director, Fayette County Drug Alcohol Commission Surabhi Gaur, MD, Chief Medical Officer, Uniontown Hospital Richard Pish, MD, Medical Staff Chair, Medical Executive Committe, Uniontown Hospital. The following is a complete list of the Uniontown Hospital Project Steering Committee Steven Handy, CEO Barb Weiss, Executive Director, Specialty Care Services Mark Dillon, Executive Director, Clinical Operations/CCO Christa Ebbert, Executive Director, Quality Experiences Tricia Herman, Executive Director, Support Operations/CIO.
Group Uniontown Hospital Line Part V, Section B, Line 11The Uniontown Hospitals most recently conducted Community Health Needs Assessment and Implementation Strategy adopted in tax year 2019 can be found at https//wvumedicine.org/wp-content/uploads/2021/01/Uniontown-Hospital-2019-CHNA.pdf. The health needs identified by the CHNA were reviewed and priority areas were determined by hospital management. Priority 1 Health Behaviors. Goal Work to improve the behaviors towards health care and lifestyle choices in the community. Strategies to be implemented FY 2020-2022 A Partner with other community agencies and programs which promote healthy living activities. Year three progress - Uniontown Hospital has partnered with agencies including the Fayette Chamber of Commerce, the City of Uniontown, Fayette County Social Services, other area health organizations and programs, WVU Medicine Home Care, the Fayette Living Well Coalition, area school districts, the Food Bank, St. Vincent DePaul and other to support healthy living activities. B Continue to partner with community agencies regarding cardiac rehab/maintenance and other related programs. Year three progress - Uniontown Hospital no longer partners with the YMCA around cardiac rehab/maintenance program as COVID-19 shuttered many such engagements. However, Cardiac Rehab is offered at the hospital. C Refine the end of life/palliative care program. Year three progress - The hospital has instituted an Ethics Committee, with a detailed process for entering an Ethics Consult, Patient Assessment and Management screening for Ethics, Ethics Charter, and Flowchart to seamlessly obtain a consult and have it in front of the Primary Ethics physician within 24 hours or less. D Through the Uniontown Hospital Special Events Engagement Team and the Community Relations Department participate in community events that promote healthy behaviors including area health fairs targeting seniors, students, and veterans. Year three progress - Uniontown Hospital sponsored weekly events through the Storey Summer Concert Series and educated residents about healthy living and promoting better health. Hospital staff also participated. Hospital staff also participated in various educational efforts, both in person and by electronic means to promote healthy lifestyles, in conjunction with area organizations at health fairs for various target demographics.
Group Uniontown Hospital Line Part V, Section B, Line 11E Participate in annual American Heart Association events. Year three progress - Uniontown Hospital continued to support the work of the American Heart Association. F Sponsor multiple health events spearheaded by community organizations to combat specific disease and educate area residents including work with the American Cancer Society, CORE, and others. Year three progress - Uniontown Hospital continued to support and engage in community-based events with the March of Dimes, the American Cancer Society and others. G Participate in the Community Stroke Group. Year three progress - Uniontown Hospital discontinued the Stroke Support Group around COVID-19 concerns but did engage in two education opportunities in the community to continue to educate around stroke. The Community Stroke Support Group will be reengaged in 2023.
Group Uniontown Hospital Line Part V, Section B, Line 11Priority 2 Mental Health. Goal Work to improve health outcomes related to substance abuse and mental health. Strategies to be implemented FY 2020-2022 A Participate in the Opiod Use Disorder quality initiative. Year three progress - Our case management department consults with social workers to initiate care coordination for the patients who are identified as having addictions to complete an intake on the patients to connect them to community resources and support centers. B Develop better processes to link inpatient and outpatients to providers. Year three progress - Uniontown Hospital has developed a collaboration with The American Addiction Center to assist in bridging the gap between the acute care setting with inpatient and outpatient services prior to the patient being discharged from the acute care setting. This gives the Addiction Specialist the time to build a rapport with the patient and their loved ones and the opportunity to ask questions related to their journey to recovery. C Train social workers in American Society of Addiction Medicine. Year three progress - Uniontown Hospital continues to review opportunities for the social workers to attend ASAM online training and has plans to have a social worker become accredited. D Develop a tele-psychiatry program. Year three progress - Uniontown Hospital is continuing to explore having a tele-psych embedded within our ED and on the nursing units to assist our physicians with providing holistic care. This strategy has been paused for system integration with WVU Medicine and around considerations regarding multi-state physician credentialing. E Foster stronger relationships with local inpatient psychiatric hospital. Year three progress - Uniontown Hospital was unable to conduct a week long Symposium on site as planned due to COVID-19 however, the Department of Mental Health, Adult Protective Services and Area Agency on Aging did conduct staff training and education.
Group Uniontown Hospital Line Part V, Section B, Line 11Priority 3 Health Education. Goal Improve community knowledge related to health care availability. Strategies to be implemented FY 2020-2022 A Revamp the Community Physician Referral Line and advertise the Line providing a Hotline for patients to refer to when looking for a new physician. Year three progress - Uniontown Hospital became a part of WVU Medicine Health System and provided a multitude of resources for patients to connect with primary care physicians and specialists. B Develop communication/marketing tools for patients directing them to alternative care providers related to services that were scaled back at the Uniontown Hospital such as Obstetrics. Year three progress - With the move to WVU Medicine, Uniontown Hospital provided all the resources available through the health systems vast network of specialists and locations for area patients to obtain the care they require. Additionally, in year three, service lines were established at the hospital in many specialties including, Pain, Pulmonary, Orthopedics and more. C Develop communication related to available transportation to alternative care providers. Year three progress - Uniontown Hospital provided printed materials and verbal assistance to patients in need of transportation help to obtain services not available locally.
Group Uniontown Hospital Line Part V, Section B, Line 11Priority 4 Preventable Hospital Stays. Goal Improve statistics related to hospital readmissions. Strategies to be implemented FY 2020-2022 A Develop strategies to help skilled facilities reduce readmissions to the hospital. Year three progress - Uniontown Hospital is continuing to develop a program with Skilled Nursing Facilities with the greatest readmissions rates to determine issues that led to readmission.
Group Uniontown Hospital Line Part V, Section B, Line 11Some issues identified through the Community Health Needs Assessment have not been addressed in this plan. In initial discussion and subsequent prioritization, Uniontown Hospital considered the levels to which some needs were already being addressed in the service area.
Group Uniontown Hospital Line Part V, Section B, Line 16jPart V, Section B, Line 16i, There are no groups with limited english proficiency that rise to the threshold required under IRC Section 501R. However, language translations of the financial assistance policy and application are available by request at the financial counseling department of the hospital.
Group Uniontown Hospital Line Part V, Section B, Line 16jNotice of financial assistance programs are included in the Uniontown Hospital Service Directory and in the Patient Information Books in each inpatient room. There is a paragraph on the second patient statement discussing free or discounted services and directing patients to the proper location to see the FAP. Brochures are available in the emergency waiting room, Patient Financial Services and admissions office which discuss FAP.
Group Uniontown Hospital Line Part V, Section B, Line 24All 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.
FieldValueIRS element (for citing)
Facility1FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Uniontown Hospital Outpatient Diagnostic CenterBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1150 Wayland Smith Drive Suite BAddressLine1Txt
CityUniontownCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15401ZIPCd
FieldValueIRS element (for citing)
FacilityOutpatient CenterFacilityTxt

Supplemental Information Detail SupplementalInformationDetail (21 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I Line 3cUniontown Hospital uses 200 Federal Poverty Guideline FPG to determine free care eligibility. However, Uniontown does not offer discounted care to individuals who fail the 200 FPG test.
Part I Line 6aThe last CHNA which briefly describes the primary health care services provided by the Uniontown Hospital was prepared in tax year 2019. That CHNA report is posted on the organizations website at https//wvumedicine.org/wp-content/uploads/2021/01/Uniontown-Hospital-2019-CHNA.pdf
Part I Line 7Total community benefit expense for 2021 is 46,530,514 and is 35.12 of total net expenses. To calculate net expense, bad debt of 2,852,766 was deducted from total expenses of 135,338,576 as shown in Part IX line 25 of the core Form 990, for a net expense of 132,485,810.
Part I Line 7Worksheet 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 IINo community building activites to report for 2021.
Part III Line 2Bad Debt Expense at cost was calculated by multiplying bad debt expense of 2,852,766 by our cost to charge ratio of 42.31 for a total of 1,207,005.
Part III Line 3Estimated bad debt attributable to patients eligible for charity care was calculated by running a report within our patient revenue software of all bad debt account balances greater than 25,000. The total of that report was 36,336 which we then multiplied by our cost to charge ratio of 42.31 for a total of 15,374.
Part III Line 3The estimated bad debt attributable to patients eligible for charity care of 15,374 should be considered community benefit due to the fact that anyone with outstanding balances of 25,000 or greater usually qualifies as catastrophic if the patient completes the application process.
Part III Line 3In 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 4Uniontown 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 4The System grants credit without collateral to its patients, most of whom are local residents and are insured under third-party payer 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 without managements expectations.
Part III Line 4The mix of accounts receivable at December 31, 2021 and 2020, from patients and third-party payors is as follows For the year-end December 31, 2021 Medicare - 31, Medicaid - 16, Blue Cross - 21, Commercial, managed care and other - 28, Patients - 4, totaling 100. For the year-end December 31, 2020, Medicare - 29, Medicaid - 17, Blue Cross - 21, Commercial, managed care and other - 28, Patients - 5, totaling 100.
Part III Line 8The amount reported in Part III Line 6 5,912,080 was calculated using the total Medicare allowable cost from the Medicare cost report, less Medicare reimbursement of direct GME. This calculation also excpdues Medicare costs associated with providing subsidized healcare services as reported on Part i line 15g. Had that cost been inlcuded in this calculation the amount on line 6 would have been 20,628,989 and would reflect a truer surplus of 1,099,545.
Part III Line 9bThe Uniontown 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 2The West Virginia United Health System leadership team develops an operating plan every year. This operating plan establishes several priorities for the Uniontown Hospital, all of which are focused on meeting the ever changing healthcare needs of the community. The leadership team develops this operating plan with knowledge gathered from direct contact from patients patient satisfaction surveys outside consultants professional health care groups such as the Hospital Association of Pennsylvania and the Healthcare Financial Management Association and research obtained from various sources including the federal and state government and various other outreach programs and sources.
Part VI Line 3As part of the Revenue Cycle policy entitled Service Assess it states under Patient Advocacy that the health care system will actively assist all individuals in seeking resolution to their financial obligations. This includes helping them understand what services are covered by their health insurance, providing assistance in obtaining health insurance and helping seek eligibility for financial assistance. Currently this program is called the Uniontown Hospital Community Charity Care UHC3. UHC3 is available to all residents of Fayette County and patients will be assisted by Financial Care Consultants that are part of the Patient Financial Services department. The Hospital has brochures located in its waiting rooms referencing all financial services and patient obligations. In addition, the Patient Access staff makes the brochures readily available to the population at the time of registration.
Part VI Line 4The Uniontown Hospital is a 130 bed community hospital which is located 50 miles southeast of Pittsburgh in the City of Uniontown, Fayette County. Since 1904 the Hospital has been serving the greater Uniontown and Fayette County area, providing quality healthcare regardless of a persons ability to pay. Census.gov estimates the population of Fayette County to be 126,931 as of July 1, 2021. The current unemployment rate is 6.5. Approximately 14.7 of the population is over 65 with 18.7 of the population below the poverty level and 25.8 of the population eligible for Medicaid.
Part VI Line 5The general health and well being of the community residents is central to the mission of Uniontown Hospital. The Hospital responds to the healthcare needs of the community with a number of community education and outreach programs. Additionally, numerous educational seminars, classes, and health fairs are offered free of charge to the public. The Hospital sponsors Blood Drives with the American Red Cross and outreach activities with organizations such as the American Heart Association and March of Dimes. Also, in June 2004 the Hospital joined forces with health organizations and other community groups to organize the Fayette County Community Health Improvement Partnership CHIP. CHIP has initiated numerous programs to reduce teen pregnancy and smoking, and several health issue related task forces. Under the auspice of CHIP is Fayette County STEPS initiative which is a nationala pilot program funded by the Centers for Disease Control which targets chronic disease prevention. The STEPS program builds partnerships among area school districts, workplaces, doctor offices, and neighborhood coalitions to educate and promote healthier lifesstyles.
Part VI Line 6On January 1, 2021, Uniontown Hospital became a member of the West Virginia 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 6System 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, St. Josephs Hospital of Buckhannon in Buckhannon, WV, Wetzel County Hospital, Inc. in New Martinsville, WV, Barnesville Hospital Assocation in Barnesville, OH, Wheeling Hospital, Inc. in Wheeling, WV and Harrison Community Hospital, Inc. in Cadiz, OH.
Part VI Line 6In 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

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDescPurpose Of GrantPurposeOfGrantTxt
RACU
20 North Gallatin Ave Suite 216UniontownPA15401251710851501c3$15,000FMVSupport
WVU Foundation
PO Box 8200MorgantownWV26506556017181501c3$10,000FMVWVU Childrens Hospital Gala Support
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I Line 2FormAndLineReferenceDesc
ExplanationUniontown Hospital provides cash contributions to various charitable organizations that support education, healthcare, or community building activities. Uniontown Hospital does not monitor the use of grants after awarded.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmt
William Johnson
Director Pharmacy$167,147$500$8,388$9,165$2,577$187,777
Joann Kaminsky
Director HR$137,785$500$7,242$7,099$2,459$155,085
David Hess MD
President CEO$238,463$69,806$9,864$42,632$24,349$385,114$158,975$46,537$6,576$28,421$16,233$256,742
Steven Handy
Former CEO Board Secretary$8,077$57,613$836,334$242$10$902,276
Barbara Weiss
VP of Finance CFO$217,694$2,218$9,900$15,993$245,805

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I Line 3Compensation for Uniontown Hospital CEO 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 4bDuring 2021, David Hess participated in a nonqualified retirement plan. David Hess received CAA deferred contributions of 71,053 which was paid in part by Uniontown Hospital. This amount is properly reported on the Form W-2 for 2021.
Part I Line 6aPer the WVUHS Incentive Plan incentives are contingent on meeting a net earning target.
Part I Line 7Incentive and bonuses are based on goals and productivity measures that are not contingent on revenue.
Part I Line 4aSteven Handy received 826,118 in severance pay from Uniontown Hospital in 2021.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Fayette County Hospital AuthorityBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN251512681BondIssuerEIN
CUSIP312468BP5CUSIPNum
Bond Issued2007-09-27BondIssuedDt
Issue Price$50,000,000IssuePriceAmt
PurposeConstructing New Patient Tower Refunding of 1996 series issuancePurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$17,340,000RetiredAmt
Total Proceeds$50,000,000TotalProceedsAmt
Refunding Escrow$44RefundingEscrowAmt
Issuance Costs From Proceeds$450,208IssuanceCostsFromProceedsAmt
Credit Enhancement$37,500CreditEnhancementAmt
Capital Expenditures$38,437,991CapitalExpendituresAmt
Other Spent Proceeds$11,074,257OtherSpentProceedsAmt
Substantial Completion2010SubstantialCompletionYr
Refunding Tax Exempt BondsYes (true)RefundingTaxExemptBondsInd
Refunding Taxable BondsfalseRefundingTaxableBondsInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsYes (true)AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (true)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsYes (true)EngageBondCounselContractsInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdfalseProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetfalseRebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DueYes (true)NoRebateDueInd
Variable Rate IssueYes (true)VariableRateIssueInd
Hedge Identified In Bks And RecYes (true)HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line1PNC Bank NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Term Of Hedge0000000029.700000000000TermOfHedgePct
Superintegrated HedgefalseSuperintegratedHedgeInd
Hedge TerminatedfalseHedgeTerminatedInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsfalseWrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionfalseProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart IV Line 2cFormAndLineReferenceDesc
ExplanationThe last rebate computation due was 6/1/17 and showed no rebate due. The next rebate computation is due 6/1/22.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4dProgram Service Expenses 1,775,700, Grants and allocations 0, Revenue 2,583,943 Uniontown Hospital received 936,174 pharmacy copays/insurance reimbursements, 69,749 rent and 446,426 passthrough income from Fayette Physician Network, Inc. an affiliated organization, 58,159 rebates, and 327,254 combined total of additional miscellaneous income.
Form 990, Part VI, Section A, Line 4On January 1, 2021, Uniontown Hospital became a member of West Virginia United Health System via a Member Substitution agreement.
Form 990, Part VI, Section A, Line 6The sole member of Uniontown Hospital is the Hospitals parent company, West Virginia United Health System, a WV non-profit corporation.
Form 990, Part VI, Section A, Line 7a 7bThe sole member has the power to a elect all of the Directors except ex-officio Directions of the Hospital b remove at any time one or more of the Directors except ex-officio Directors and/or officers of the Corporation without cause c approve all capital and operating budgets of the Corporation and amendments thereto d approve all fundamental transactions of the Corporation, including without limitation, any amendments to articles of the Corporation and any merger, consolidation, division, transfer of all of substantially all assets, dissolution, or liquidation of the Corporation and e approve any and all amendments of the bylaws of the Corporation. The Sole Member of the Corporation may initiate any such action and/or amendments listed in c - e above, as applicable, provided that any such actions and/or amendments must be approved by the Corporation and Sole Member prior to implementation. The Corporation shall not unreasonably withhold its approval for any action and/or change recommended by the Sole Member.
Form 990, Part VI, Section B, Line 11bThe 990 is presented to all voting members of the Finance and Audit Committee for review. After review by the Finance and Audit Committee, a full copy of the 990 is made available to the entire Board of the Uniontown Hospital.
Form 990, Part VI, Section B, Line 12cThe Business Ethics department of the organization periodically reviews all potential conflicts, transactions and relationships to see if substantive. All potential new conflicts are reviewed by the Business Ethics department and the concept is covered during annual training. The department will report actual or possible conflicts to the WVUHS Executive Committee of the Board for evaluation. The Committee shall determine whether a conflict exists. The Committee is empowered to take corrective action as necessary, including refraining from participation in certain Board decisions.
Form 990, Part VI, Section C, Line 19The organizations governing documents, conflicts of interest policy and financial statements are available by contacting the CEOs office or Finance dapartment. A copy will be mailed upon request.
Form 990, Part IX, Line 11gOther service expenses consist of the following items Consulting Professional fees, Contracted Labor, Contract Labor - Patient Care, Contracted Physician Expense, and Collection Agency Fees. Consulting and Professional fees of 5,991,551 of which all is considered management and general expense. Contracted Labor fees of 7,091,884 of which 6,580,317 is considered program service and 511,567 is considered management and general. Contract Labor - Patient Care of 3,153,774 of which all is considered program service. Contracted Physician Expense of 224,910 of which 143,061 is considered program service and 81,849 is considered management and general expense. Collection Agency Fees of 328,452 of which all is considered management and general expense.
Form 990, Part XI, Line 9Other changes in net assets is comprised of change in restricted assets of 23,718, change in EASE Fund activity of 2,734 pension plans adjustments of 9,275,473, Related Organization Capitalization net transfers of 7,006,475, and valuation adjustments of 10,729,496.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (33 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
Camden-Clark Health Services Inc
800 Garfield AvenueParkersburgWV26101550769602Healthcare AccessWV501c312 Type IWest Virginia United Health Systemfalse
Camden-Clark Memorial Hospital Corporation
800 Garfield AvenueParkersburgWV26101311524546Patient CareWV501c3Line 3Camden-Clark Health Servicesfalse
Camden-Clark Foundation Inc
800 Garfield AvenueParkersburgWV26101550667789Hospital SupportWV501c3Line 7Camden-Clark Health Servicesfalse
WV United Health System
PO Box 8034MorgantownWV26506550754713Healthcare AccessWV501c312 Type IfalseN/A
West Virginia University Hospitals Inc
PO Box 8034MorgantownWV26506550643304Patient CareWV501c3Line 3West Virginia United Health Systemfalse
West Virginia University Hospitals East
121 Administrative DriveMartinsburgWV25401202337985Healthcare AccessWV501c312 Type 1West Virginia University Hospitals Incfalse
City Hospital Inc
2500 Foundation WayMartinsburgWV25401550383321Patient CareWV501c3Line 3West Virginia University Hospitals Eastfalse
Jefferson Memorial Hospital
300 S Preston StRansonWV25438550359755Patient CareWV501c3Line 3West Virginia University Hospitals Eastfalse
University Healthcare Foundation
121 Administrative DriveMartinsburgWV25401311118075Hospital SupportWV501c312 Type 1West Virginia University Hospitals Incfalse
United Hospital Center Inc
327 Medical Park DriveBridgeportWV26330550525724Patient CareWV501c3Line 3West Virginia United Health Systemfalse
United Physicians Care Inc
686 South Pike StreetShinnstonWV26431550638563Patient CareWV501c3Line 3United Hospital Center Incfalse
United Health Foundation
327 Medical Park DriveBridgeportWV26330550621706Hospital SupportWV501c312 Type 1United Hospital Center Incfalse
West Virginia Health Care Cooperative Inc
400 Fairview Heights RdSummersvilleWV26651550650441Patient CareWV501c3Line 3West Virginia University Hospitals Incfalse
United Summit Center Inc
6 Hospital PlazaClarksburgWV26301550752788Behavioral HealthWV501c3Line 3West Virginia University Hospitals Incfalse
Potomac Valley Hospital of WVa Inc
100 Pin Oak LaneKeyserWV26726550420956Patient CareWV501c3Line 3West Virginia University Hospitals Incfalse
St Joseph's Hospital of Buckhannon Inc
1 Amalia DriveBuckhannonWV26201550356996Patient CareWV501c3Line 3West Virginia United Health Systemfalse
Reynolds Memorial Hospital Inc
800 Wheeling AveGlen DaleWV26038550357045Patient CareWV501c3Line 3West Virginia University Hospitals Incfalse
Reynolds Memorial Foundation
800 Wheeling AveGlen DaleWV26038550710402Hospital SupportWV501c312 Type 1Reynolds Memorial Hospital Incfalse
St Josephs Foundation of Buckhannon
1 Amalia DriveBuckhannonWV26201550727650Hospital SupportWV501c312 Type IISt Joseph's Hospital of Buckhannon Incfalse
Braxton County Memorial Hospital
100 Hoylman DriveGassawayWV26624550611919Patient CareWV501c3Line 3West Virginia University Hospitals Incfalse
Community Health Association
122 Pinnell StreetRipleyWV25271550462730Patient CareWV501c3Line 3West Virginia University Hospitals Incfalse
Wetzel County Hospital Inc
3 E Benjamin DriveNew MartinsvilleWV26155843480493Patient CareWV501c3Line 3West Virginia University Hospitals Incfalse
WVUHS Home Care LLC
PO Box 8059MorgantownWV26506852915642Home Health and HospiceWV509a2West Virginia United Health Systemfalse
Fayette Regional Health System
500 W Berkeley StreetUniontownPA15401251451183Healthcare ManagementPA501c312 Type IIfalseN/A
Fayette Physicians Network Inc
500 W Berkeley StreetUniontownPA15401455440305HealthcarePA501c3Line 3Fayette Regional Health Systemfalse
Camden-Clark Physician Corp
604 Ann StreetParkersburgWV26101264058719Patient CareWV501c3Line 3Camden-Clark Health Servicesfalse
Wheeling Hospital Inc
1 Medical ParkWheelingWV26003550357057Patient CareWV501c3Line 3WV United Health Systemfalse
Harrison Community Hospital
951 E Market StreetCadizOH43907341571750Patient CareOH501c3Line 3Wheeling Hospital Incfalse
Harrison Community Hospital Foundation
951 E Market StreetCadizOH43907341571749Hospital SupportOH509a212 Type IIWheeling Hospital Incfalse
Barnesville Hospital Association
639 W Main StreetBarnesvilleOH43713340719172Patient CareOH501c3Line 3WV United Health Systemfalse
Belmont Community Hospital
4697 Harrison StreetBellaireOH43906340714643Patient CareOH501c3Line 3Wheeling Hospital Incfalse
Medical Park Foundation
1 Medical ParkWheelingWV26003550744690ChurchWV501c3Line 1Wheeling Hospital Incfalse
Self Insurance Trust Agreement of Wheeling Hospital Inc
1 Medical ParkWheelingWV26003550676674InsuranceWV501c312 Type 1falseN/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
Allied Health Sourcing Solutions
PO Box 8034MorgantownWV26506842403526Supply Chain ManagementWVN/Afalsefalse
Southwestern Endoscopy Center LLC
302 Spring Creek LaneUniontownPA15401571139709Phsysician ServicesPAN/AfalsefalseRelated$81,508$1,030,8670.35000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
Allied Health Services Inc
PO Box 782MorgantownWV26507550652017Medical LabWVWV United Health SystemC Corpfalse
West Virginia United Insurance Services
3040 University Avenue Suite 3200MorgantownWV26505550756055Provider NetworkWVWV United Health SystemC Corpfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd