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BELMONT COMMUNITY HOSPITAL INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
BELMONT COMMUNITY HOSPITAL INC (EIN 34-0714643)
Tax period
2021-10-01 to 2021-12-31
Filed
2022-11-11
IRS object ID
202233169349301933
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)
Return2022-11-11T02:01:54-00:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2021-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN340714643EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Belmont Community HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBELMBusinessNameControlTxt
Phone3042433801PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14697 Harrison StreetAddressLine1Txt
CityBellaireCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43906ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJoseph WengerPersonNm
Person TitleCFOPersonTitleTxt
Phone3042433801PhoneNum
Signature2022-11-10SignatureDt
Discuss With Paid PreparerfalseDiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJosephPersonFirstNm
Person LastWengerPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
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 OfficerJoseph WengerPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 Medical ParkAddressLine1Txt
CityWheelingCityNm
State AbbreviationWVStateAbbreviationCd
ZIP26003ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$86,981GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresshttps://wvumedicine.org/wheeling/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1903FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionTo provide needed care to the community regardless of an individuals ability to pay.ActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers3TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$204,317PYProgramServiceRevenueAmt
CY Program Service Revenue$57,629CYProgramServiceRevenueAmt
PY Investment Income-$578,744PYInvestmentIncomeAmt
CY Investment Income$727CYInvestmentIncomeAmt
PY Other Revenue$179,760PYOtherRevenueAmt
CY Other Revenue$28,625CYOtherRevenueAmt
PY Total Revenue-$194,667PYTotalRevenueAmt
CY Total Revenue$86,981CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$22,851PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,311CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$708,506PYOtherExpensesAmt
CY Other Expenses$104,467CYOtherExpensesAmt
PY Total Expenses$731,357PYTotalExpensesAmt
CY Total Expenses$108,778CYTotalExpensesAmt
PY Revenues Less Expenses-$926,024PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$21,797CYRevenuesLessExpensesAmt
Total Assets BOY$1,452,597TotalAssetsBOYAmt
Total Assets EOY$1,279,443TotalAssetsEOYAmt
Total Liabilities BOY$182,061TotalLiabilitiesBOYAmt
Total Liabilities EOY$135,679TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,270,536NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,143,764NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionBelmont Community Hospital provides quality medical healthcare to patients from Belmont County and surrounding communities regardless of race, creed, sex, sexual orientation, national origin, handicap, age or ability to pay.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$106,825ExpenseAmt
Revenue$57,629RevenueAmt
DescTo provide needed care to the community through use of a medical facility.Desc
Total Program Service Expenses$106,825TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
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 HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
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 Document2IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
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 Members4GoverningBodyVotingMembersCnt
Independent Voting Member3IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyfalseMinutesOfGoverningBodyInd
Minutes Of CommitteesfalseMinutesOfCommitteesInd
Officer Mailing AddressYes (true)OfficerMailingAddressInd
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 CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldOHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJoseph WengerPersonNm
Phone3042433801PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 Medical ParkAddressLine1Txt
CityWheelingCityNm
State AbbreviationWVStateAbbreviationCd
ZIP26003ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (4 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
Bruce A Archer
VP/General Counsel001.00059.00Yes (X)$0$276,780$33,711
Robert A Bittengle
Trustee001.00Yes (X)$0$0$0
Jeffrey A Patey MD
Trustee001.00Yes (X)$0$0$0
C Gary Hill
Board President001.00Yes (X)$0$0$0Yes (X)
FieldValueIRS element (for citing)
Tot Reportable Comp Rltd Org$276,780TotReportableCompRltdOrgAmt
Total Other Compensation$33,711TotalOtherCompensationAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Revenue623990$30,553$30,553
NHS Service Revenue623990$27,076$27,076
FieldValueIRS element (for citing)
Total Program Service Revenue$57,629TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3TotalRevenueColumnAmt
Exclusion$3ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,425TotalRevenueColumnAmt
Exclusion$3,425ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$24,944RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$24,944RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,944TotalRevenueColumnAmt
Exclusion$24,944ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$724OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$724OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$724TotalRevenueColumnAmt
Exclusion$724ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescRebate RevenueDesc
Business900099BusinessCd
Total Revenue Column$256TotalRevenueColumnAmt
Exclusion$256ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$256OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$86,981TotalRevenueColumnAmt
Related Or Exempt Func Income$57,629RelatedOrExemptFuncIncomeAmt
Exclusion$29,352ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

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$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,311TotalAmt
Program Services$4,241ProgramServicesAmt
Management And General$70ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$17,150TotalAmt
Management And General$17,150ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
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$59,278TotalAmt
Program Services$58,900ProgramServicesAmt
Management And General$378ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total-$20,641TotalAmt
Program Services$10,162ProgramServicesAmt
Management And General-$30,803ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$80,515TotalAmt
Program Services$80,515ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total-$32,161TotalAmt
Program Services-$31,640ProgramServicesAmt
Management And General-$521ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Provision for Doubtful Accounts-$11,874-$11,874
Medical Supplies-$3,495-$3,495
Taxes, Licenses, and Fees$15,695$16$15,679

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$108,778TotalAmt
Program Services$106,825ProgramServicesAmt
Management And General$1,953ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$83,362BOYAmt
EOY$85,816EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$45,281BOYAmt
EOY$45,285EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,267,940BOYAmt
EOY$296,702EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,400BOYAmt
EOY$800,000EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$51,614BOYAmt
EOY$51,640EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,452,597BOYAmt
EOY$1,279,443EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$145,498BOYAmt
EOY$135,679EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$36,563BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$182,061BOYAmt
EOY$135,679EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,213,622BOYAmt
EOY$1,086,824EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$56,914BOYAmt
EOY$56,940EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,270,536BOYAmt
EOY$1,143,764EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,452,597BOYAmt
EOY$1,279,443EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$21,797ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$104,975OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
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
Facts And Circumstances TestPart I Section A Line 3 Although the organization qualifies as a hospital under IRC Section 170b1iii as shown on Schedule A, item 3, the organization does not qualify as a hospital for Schedule H or State of Ohio purposes.FactsAndCircumstancesTestTxt

Schedule D IRS990ScheduleD

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,991,471BeginningYearBalanceAmt
Investment Earnings Or Losses-$3,991,471InvestmentEarningsOrLossesAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,991,471BeginningYearBalanceAmt
End Year Balance$3,991,471EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,991,471BeginningYearBalanceAmt
End Year Balance$3,991,471EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,129,429BeginningYearBalanceAmt
Investment Earnings Or Losses$862,042InvestmentEarningsOrLossesAmt
End Year Balance$3,991,471EndYearBalanceAmt
FieldValueIRS element (for citing)
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Other Securities OtherSecuritiesGrp (2 entries)

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

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc
Federal income taxes
Other non-current liabilities
FieldValueIRS element (for citing)
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$86,981TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$86,981RevenueSubtotalAmt
Total Revenue Per Form990$86,981TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$108,778TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$108,778ExpensesSubtotalAmt
Total Expenses Per Form990$108,778TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceX 2FormAndLineReferenceDesc
ExplanationThe 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 J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonBruce A ArcherPersonNm
TitleVP/General CounselTitleTxt
Compensation Based On Rltd Orgs$275,952CompensationBasedOnRltdOrgsAmt
Other Compensation Rltd Orgs$828OtherCompensationRltdOrgsAmt
Deferred Comp Rltd Orgs$25,750DeferredCompRltdOrgsAmt
Nontaxable Benefits Rltd Orgs$7,961NontaxableBenefitsRltdOrgsAmt
Total Compensation Rltd Orgs$310,491TotalCompensationRltdOrgsAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart IIFormAndLineReferenceDesc
ExplanationThe reportable compensation from related organizations for Bruce Archer is for services rendered as a VP/General Counsel for the filing organization and the related organizations. The majority of his time is spent at the related organizations. None of the wages paid are related to being a trustee on the board of directors.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 1Description of Organization Mission Critical to the operations and stability of the hospital, it is recognized that not all individuals possess the ability to pay for essential medical services, and our mission is to serve the community with respect to providing healthcare education. Therefore, in keeping with Belmont Community Hospitals commitment to serve all members of its community, free care or subsidized care, care provided to persons covered by government programs at or below cost, and health activities and programs to support the community will be considered where the need and/or individuals inability to pay coexist.
Form 990, Part VI, Section B, Line 11bThe West Virginia United Health Systems tax services department prepares and reviews the 990, in addition to internal personnel and the executive team 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 12cAll 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 Belmont Community Hospital. Responses are reviewed and identified. Conflicts are referred to the board of directors for discussion and approval. Employees are required to complete conflict interest questionnaire at hiring and when a change occurs that may be a conflict of interest.
Form 990, Part VI, Section B, Line 15Officers and key employees compensation is reviewed by a Belmont Community Hospital committee. The committee reviews national, regional and local compensation surveys. Additionally, years of service are also taken into account.
Form 990, Part VI, Section C, Line 19Governing documents, conflict of interest policy, and financial statements are available upon request.
Form 990, Part XII, Line 2cThe process has not changed.
Form 990, Part VII, Section A, Line 1The reportable compensation from related organizations for Bruce Archer is for services rendered as VP/General Counsel for the filing organization and the related organizations. The majority of his time is spent at the related organizations. None of the wages paid are related to being a trustee on the board of directors.
Form 990, Part VI, Section A, Line 9Belmont Community Hospital closed in April 2019. Assets had not yet been dissolved as of December 31, 2021. All members of the board of directors can be reached at Wheeling Hospital, Inc, One Medical Park, Wheeling, WV 26003
Form 990, Part III, Line 3In April 2019, the main hospital facility located in Bellaire, Ohio closed to the public. The facility occupation is maintained for other medical services provided in the building.
Form 990, Part VI, Section A, Line 8aIn April 2019, the main hospital facility located in Bellaire, Ohio closed to the public. While the board of directors still exist, they held no meetings during the year.
Form 990, Part VI, Section A, Line 8bIn April 2019, the main hospital facility located in Bellaire, Ohio closed to the public. While the board of directors still exist, they held no meetings during the year.
Form 990, Part IX, Line 11gOther services expense on line 11g consist of 59,278 of contracted labor expense of which 58,900 is considered program service expense and 378 is considered management and general expense.
Form 990, Part XI, Line 9Other changes in net assets consists of 105,000 purchase price revaluation, 26 change in temporary restricted net assets, and 1 rounding.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (35 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
West Virginia United Health System
PO Box 8034MorgantownWV26506550754713Healthcare AccessWV501c312 Type IN/Afalse
University Healthcare Foundation Inc
121 Administrative DriveMartinsburgWV25401311118075Hospital SupportWV501c312 Type IfalseWest Virginia University Hospitals Inc
United Physicians Care Inc
686 South Pike StreetShinnstonWV26431550638563Patient CareWV501c33falseUnited Hospital Center Inc
United Health Foundation Inc
327 Medical Park DriveBridgeportWV26330550621706Hospital SupportWV501c312 Type IfalseUnited Hospital Center Inc
United Summit Center
6 Hospital PlazaClarksburgWV26301550752788Behavioral HealthWV501c33falseWest Virginia University Hospitals Inc
Camden-Clark Health Services Inc
800 Garfield AveParkersburgWV26101550769602Healthcare AccessWV501c312 Type IfalseWest Virginia United Health System
Camden-Clark Physician Corp
604 Ann StreetParkersburgWV26101264058719Patient CareWV501c33falseCamden-Clark Health Services
West Virginia University Hospitals Inc
PO Box 8034MorgantownWV26506550643304Patient CareWV501c33falseWest Virginia United Health System
West Virginia University Hospitals East Inc
121 Administrative DriveMartinsburgWV25401202337985Healthcare AccessWV501c312 Type IfalseWest Virginia University Hospitals Inc
City Hospital Inc
2500 Foundation WayMartinsburgWV25401550383321Patient CareWV501c33falseWest Virginia University Hospitals East Inc
Jefferson Memorial Hospital
300 South Preston StMartinsburgWV25401550359755Patient CareWV501c33falseWest Virginia University Hospitals East Inc
West Virginia Health Care Cooperative Inc
400 Fairview Heights RdSummersvilleWV26651550650441Patient CareWV501c33falseWest Virginia University Hospitals Inc
Camden-Clark Memorial Hospital
800 Garfield AveParkersburgWV26101311524546Patient CareWV501c33falseCamden-Clark Health Services
Potomac Valley Hospital of W Va Inc
100 Pin Oak LaneKeyserWV26726550420956Patient CareWV501c33falseWest Virginia University Hospitals Inc
St Joseph's Hospital of Buckhannon Inc
1 Amalia DriveBuckhannonWV26201550356996Patient CareWV501c33falseWest Virginia United Health System
St Joseph's Foundation of Buckhannon Inc
1 Amalia DriveBuckhannonWV26201550727650Hospital SupportWV501c312 Type IIfalseSt Joseph's Hospital of Buckhannon Inc
Reynolds Memorial Hospital Inc
800 Wheeling AveGlen DaleWV26038550357045Patient CareWV501c33falseWest Virginia University Hospitals Inc
Reynolds Memorial Foundation
800 Wheeling AveGlen DaleWV26038550710402Hospital SupportWV501c312 Type IfalseReynolds Memorial Hospital Inc
Braxton County Memorial Hospital
100 Hoylman DriveGassawayWV26624550611919Patient CareWV501c33falseWest Virginia University Hospitals Inc
Community Health Association
122 Pinnell StreetRipleyWV25271550462730Patient CareWV501c33falseWest Virginia University Hospitals Inc
Wetzel County Hospital Inc
3 East Benjamin DriveNew MartinsvilleWV26155843480493Patient CareWV501c33falseWest Virginia University Hospitals Inc
WVUHS Home Care LLC
PO Box 8059MorgantownWV26506852915642Home Health and HospiceWV509a2falseWest Virginia United Health System
Camden-Clark Foundation
800 Garfield AveParkersburgWV26101550667789Hospital SupportWV501c37falseCamden-Clark Health Services
Wheeling Hospital Inc
1 Medical ParkWheelingWV26003550357057Patient CareWV501c33Yes (true)Wheeling Hospital Inc
Belmont Community Hospital Auxiliary
4697 Harrison StreetBellaireOH43906346567473Hospital SupportOH501c310N/Afalse
The Medical Park Foundation
1 Medical ParkWheelingWV26003550744690ChurchWV501c31Yes (true)Wheeling Hospital Inc
Harrison Community Hospital
951 East Market StreetCadizOH43907341571750Patient CareOH501c33Yes (true)Wheeling Hospital Inc
WH Holdings II LLC
1 Medical ParkWheelingWV26003273193246Purchase Real EstateWV501c310Yes (true)Wheeling Hospital Inc
WVUHS Home Care LLC
PO Box 8059MorgantownWV26506852915642Home Health and Hospice CareWV509a2falseWV United Health System
Uniontown Hospital
500 West Berkeley StreetUniontownPA15401250965588Patient CarePA501c33falseWest Virginia University Hospitals Inc
Fayette Physician Network
500 West Berkeley StreetUniontownPA15401455440305Patient CarePA501c33falseWheeling Hospital Inc
Fayette Regional Health System
500 West Berkeley StreetUniontownPA15401251451183Healthcare AccessPA501c312 Type IIN/Afalse
Harrison Community Hospital Foundation
951 E Market StreetCadizOH43907341571749Hospital SupportOH509a212 Type IIfalseWheeling Hospital Inc
Barnesville Hospital Association
639 W Main StreetBarnesvilleOH43713340719172Patient CareOH501c33falseWV United Health System
Self Insurance Trust Agreement of Wheeling Hospital Inc
1 Medical ParkWheelingWV26003550676674InsuranceWV501c312 Type IN/Afalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Allied Health Sourcing SolutionsBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 8034AddressLine1Txt
CityMorgantownCityNm
State AbbreviationWVStateAbbreviationCd
ZIP26506ZIPCd
FieldValueIRS element (for citing)
EIN842403526EIN
Primary ActivitiesSupply Chain ManagementPrimaryActivitiesTxt
Legal Domicile StateWVLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Disproportionate AllocationsYes (true)DisproportionateAllocationsInd
General Or Managing PartnerYes (true)GeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
Allied Health Services
PO Box 782MorgantownWV26507550652017Medical LabWVWest Virginia United Health SystemC Corpfalse
West Virginia United Insurance Services
3040 University Avenue Suite 3200MorgantownWV26506550756055Provider NetworkWVWest Virginia United Health SystemC Corpfalse
Mountaineer Freedom Limited
981217988Captive Insurance CompanyWheeling Hospital IncC CorpYes (true)94 Solaris Avenue 2nd FloorGrand CaymanCJCJ
Wheeling Holdings I LLC
1 Medical ParkWheelingWV26003273193207Purchase Real EstateWVWheeling Hospital IncC CorpYes (true)
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 OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd