STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

CITY HOSPITAL INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
CITY HOSPITAL INC (EIN 55-0383321)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-14
IRS object ID
202233189349306683
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)
Return2022-11-14T08:44:46-00:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN550383321EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1City Hospital IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCITYBusinessNameControlTxt
Phone3042641000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12500 Hospital DriveAddressLine1Txt
CityMartinsburgCityNm
State AbbreviationWVStateAbbreviationCd
ZIP25401ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGrover G KernsPersonNm
Person TitleVP of FinancePersonTitleTxt
Phone3042641000PhoneNum
Signature2022-11-10SignatureDt
Discuss With Paid PreparerfalseDiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstGroverPersonFirstNm
Person LastKernsPersonLastNm
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

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Berkeley Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerGrover G KernsPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1121 Administrative DriveAddressLine1Txt
CityMartinsburgCityNm
State AbbreviationWVStateAbbreviationCd
ZIP25401ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$310,975,428GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresshttps://wvumedicine.org/berkeley/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1940FormationYr
Legal Domicile StateWVLegalDomicileStateCd
Activity Or MissionCity Hospital, Inc. is a nonprofit acute care hospital providing high-quality health wellness services to the residents of the Eastern Panhandle of WV.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee1657TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$285,287PYContributionsGrantsAmt
CY Contributions Grants$1,302,250CYContributionsGrantsAmt
PY Program Service Revenue$276,120,417PYProgramServiceRevenueAmt
CY Program Service Revenue$305,644,080CYProgramServiceRevenueAmt
PY Investment Income$2,311,477PYInvestmentIncomeAmt
CY Investment Income$2,224,943CYInvestmentIncomeAmt
PY Other Revenue$1,449,390PYOtherRevenueAmt
CY Other Revenue$1,274,102CYOtherRevenueAmt
PY Total Revenue$280,166,571PYTotalRevenueAmt
CY Total Revenue$310,445,375CYTotalRevenueAmt
PY Grants And Similar Paid$5,500PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$6,751CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$89,891,621PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$91,395,152CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$180,986,119PYOtherExpensesAmt
CY Other Expenses$194,682,406CYOtherExpensesAmt
PY Total Expenses$270,883,240PYTotalExpensesAmt
CY Total Expenses$286,084,309CYTotalExpensesAmt
PY Revenues Less Expenses$9,283,331PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$24,361,066CYRevenuesLessExpensesAmt
Total Assets BOY$204,843,410TotalAssetsBOYAmt
Total Assets EOY$207,203,412TotalAssetsEOYAmt
Total Liabilities BOY$106,538,438TotalLiabilitiesBOYAmt
Total Liabilities EOY$85,470,723TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$98,304,972NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$121,732,689NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionThe mission of City Hospital, Inc. is to provide high quality, cost effective health and wellness services to the community. Berkeley Medical Center provides these to patients in need without consideration of their ability to pay.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$96,875,527ExpenseAmt
Revenue$120,541,519RevenueAmt
DescCity Hospital Inc. is a not-for-profit hospital located in West Virginias Eastern Panhandle that provides acute care services as well as emergency and specialty patient care. City Hospital Inc. is part of WVU Medicine University Healthcare, a regional health system serving Berkeley, Jefferson and Morgan Counties, and a member of WVU Medicine/West Virginia United Health System, the states largest healthcare network. During 2021, City Hospital documented 249,438 ancillary tests, and 2,418 observation visits.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$22,256,312ExpenseAmt
Revenue$34,344,739RevenueAmt
DescCity Hospital, Inc. operates a 24- hour, physician staffed emergency department with a Level III Trauma Center designation. During 2021, City Hospital documented 46,539 emergency visits.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$25,000,102ExpenseAmt
Revenue$27,145,508RevenueAmt
DescAs part of the WVU Cancer Institute, the WVU Medicine University Healthcare Regional Cancer Center provides cancer care in the Eastern Panhandle of West Virginia. Our cancer program, based at City Hospital, has been accredited by the American College of Surgeons Commission on Cancer since 1992 and is a recipient of their Outstanding Achievement Award. We are proud to be among the 25 of hospitals in the country with an ACOS accredited cancer program. Quality, Compassion, Collaboration. Our comprehensive cancer program includes the Outpatient Cancer and Infusion Center, a dedicated Inpatient Oncology Unit with all private rooms, Board Certified Radiation and Medical Oncologists, Patient Navigators, Radiation Therapy, and Clinical Trials. We partner with the American Cancer Society to offer education and support to patients and their families affected by cancer. A Resource Room, located on the 1st floor of the McCormack Center on City Hospitals Campus, provides free information on various programs and services available to cancer patients and their loved ones.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$97,957,350TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$123,776,689TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$242,089,291TotalProgramServiceExpensesAmt
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 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 HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
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 Document198IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee2186EmployeeCnt
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
Quid Pro Quo Contri DisclfalseQuidProQuoContriDisclInd
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 Members15GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
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 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 VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonGrover G KernsPersonNm
Phone3042641000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1121 Administrative DriveAddressLine1Txt
CityMartinsburgCityNm
State AbbreviationWVStateAbbreviationCd
ZIP25401ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerInd
Linda Campbell Jones
CRNA040.00Yes (X)$291,030$0$24,119
Jason T White
Chief CRNA040.00Yes (X)$272,965$0$33,218
Donna Helmick
PRN CRNA040.00Yes (X)$278,499$0$17,040
Sarah Harvey
CRNA040.00Yes (X)$275,926$0$15,607
Julie Barr
CRNA040.00Yes (X)$282,635$0$4,416
Michael Londner MD
Director / BMC Med Staff President000.03$5,000$0$0000.73Yes (X)
D Scott Roach
Chairman000.03$0$0$0000.73Yes (X)Yes (X)
Clarence E Martin III
Director000.03$0$0$0000.73Yes (X)
Alice Frazier
Director000.03$0$0$0000.73Yes (X)
Lindsey Hash
Director000.03$0$0$0000.73Yes (X)
Michael Edmond MD
Director000.03$0$0$0000.73Yes (X)
Henry Kayes
Director, Treasurer000.03$0$0$0000.73Yes (X)Yes (X)
Marney Treese MD
Director / JMC Med Staff President000.03$0$0$0000.73Yes (X)
Emma Morton-Eggleston MD
Director / Dean WVU SOM Eastern Div000.03$0$0$0000.73Yes (X)
Chiquita D Howard-Bostic PhD
Director000.03$0$0$0000.73Yes (X)
Brian Romine
Director000.03$0$0$0000.73Yes (X)
Dawn Jones MD
Director, CMIO Jan-Aug000.03$0$0$0001.47Yes (X)
James E Rogers
Director000.03$0$0$0Yes (X)
Susan Snowden
Director, Secretary000.03$0$0$0Yes (X)Yes (X)
Jacqueline Long
Director, Vice Chair000.03$0$0$0Yes (X)Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,406,055TotalReportableCompFromOrgAmt
Total Other Compensation$94,400TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K125IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
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
Medical Solutions LLC
1010 N 102ND ST STE 300OmahaNE681142122Healthcare Staffing Services$10,718,985
Hospitalist Medicine Physicians of WV PLLC
PO Box 742936Los AngelesCA900742936Physician Services$3,210,580
Bowles Rice LLP
PO Box 1386CharlestonWV253251386Legal Services$2,349,234
Eastern Panhandle Anesthesia Associates
138 Bovey Ridge RoadMartinsburgWV254031114Anesthesiologist Staffing$1,211,751
Southeastern Emergency Physicians
PO Box 634706CincinnatiOH452634706Physician Services$865,403
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K20CntrctRcvdGreaterThan100KCnt
Related Organizations$101,881RelatedOrganizationsAmt
Government Grants$1,200,369GovernmentGrantsAmt
Total Contributions$1,302,250TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Services621110$294,167,573$294,167,573
Prescription Sales621110$8,523,478$8,523,478
Clinical Lab621110$1,536,616$1,536,616
COVID Relief Funds621110$1,152,237$1,152,237
Wellness Center621990$264,176$264,176
FieldValueIRS element (for citing)
Total Program Service Revenue$305,644,080TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,531,749TotalRevenueColumnAmt
Exclusion$2,531,749ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$309,905RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$223,247RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$86,658RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$86,658TotalRevenueColumnAmt
Exclusion$86,658ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$306,806OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$306,806OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$306,806TotalRevenueColumnAmt
Exclusion-$306,806ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
Partnership Passthrough Income - Home Health621110$316,319$316,319
Cafeteria Income900099$422,941$422,941
Rebate Revenue900099$283,809$283,809

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$164,375TotalRevenueColumnAmt
Related Or Exempt Func Income$164,375RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,187,444OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$310,445,375TotalRevenueColumnAmt
Related Or Exempt Func Income$305,808,455RelatedOrExemptFuncIncomeAmt
Exclusion$3,334,670ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$6,751TotalAmt
Program Services$6,751ProgramServicesAmt

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$71,345,507TotalAmt
Program Services$69,328,103ProgramServicesAmt
Management And General$2,017,404ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,905,351TotalAmt
Program Services$2,823,198ProgramServicesAmt
Management And General$82,153ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$9,930,567TotalAmt
Program Services$9,649,765ProgramServicesAmt
Management And General$280,802ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,213,727TotalAmt
Program Services$7,009,748ProgramServicesAmt
Management And General$203,979ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$10,887TotalAmt
Management And General$10,887ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$23,906TotalAmt
Program Services$23,906ProgramServicesAmt
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$42,247,072TotalAmt
Program Services$31,314,541ProgramServicesAmt
Management And General$10,932,531ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,561TotalAmt
Program Services$619ProgramServicesAmt
Management And General$2,942ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,939,716TotalAmt
Program Services$5,727,273ProgramServicesAmt
Management And General$2,212,443ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,988TotalAmt
Program Services$101ProgramServicesAmt
Management And General$3,887ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,683,803TotalAmt
Program Services$3,116,772ProgramServicesAmt
Management And General$567,031ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$384,643TotalAmt
Program Services$309,023ProgramServicesAmt
Management And General$75,620ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$52,430TotalAmt
Program Services$43,842ProgramServicesAmt
Management And General$8,588ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,699,561TotalAmt
Program Services$1,444,560ProgramServicesAmt
Management And General$255,001ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$46,190,110TotalAmt
Program Services$22,851,552ProgramServicesAmt
Management And General$23,338,558ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$10,803,942TotalAmt
Program Services$9,163,748ProgramServicesAmt
Management And General$1,640,194ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total-$148,235TotalAmt
Program Services-$465,044ProgramServicesAmt
Management And General$316,809ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Provision for Doubtful Accounts$12,970,662$12,970,662
Medical Supplies$55,433,108$55,433,108
Taxes, Licenses, Fees$10,199,978$8,703,237$1,496,741
Recruiting$2,566,006$2,443,843$122,163

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$617,268TotalAmt
Program Services$189,983ProgramServicesAmt
Management And General$427,285ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$286,084,309TotalAmt
Program Services$242,089,291ProgramServicesAmt
Management And General$43,995,018ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$115,074BOYAmt
EOY$78,275EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$76,780,857BOYAmt
EOY$82,447,251EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$39,010,486BOYAmt
EOY$45,411,604EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$364,840BOYAmt
EOY$127,749EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,745,358BOYAmt
EOY$5,991,852EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$280,443BOYAmt
EOY$261,042EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$181,277,287LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$110,402,686LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$73,662,155BOYAmt
EOY$70,874,601EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$952,597BOYAmt
EOY$1,287,060EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$8,931,600BOYAmt
EOY$723,978EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$204,843,410BOYAmt
EOY$207,203,412EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$14,733,760BOYAmt
EOY$16,297,833EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$26,796,684BOYAmt
EOY$17,902,475EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$40,187,401BOYAmt
EOY$37,752,833EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$24,820,593BOYAmt
EOY$13,517,582EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$106,538,438BOYAmt
EOY$85,470,723EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$98,294,940BOYAmt
EOY$121,732,689EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,032BOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$98,304,972BOYAmt
EOY$121,732,689EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$204,843,410BOYAmt
EOY$207,203,412EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$24,361,066ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$2,800,244NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$3,733,593OtherChangesInNetAssetsAmt
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

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus3$1,000,000CurrentYearMinus3Amt
Current Year Minus2$1,000,000CurrentYearMinus2Amt
Current Year Minus1$1,000,000CurrentYearMinus1Amt
Current Year$1,000,000CurrentYearAmt
Total$4,000,000TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$19,628CurrentYearMinus3Amt
Current Year Minus2$19,586CurrentYearMinus2Amt
Current Year Minus1$19,769CurrentYearMinus1Amt
Current Year$23,906CurrentYearAmt
Total$82,889TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus3$250,000CurrentYearMinus3Amt
Current Year Minus2$250,000CurrentYearMinus2Amt
Current Year Minus1$250,000CurrentYearMinus1Amt
Current Year$250,000CurrentYearAmt
Total$1,000,000TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceII-A 2cFormAndLineReferenceDesc
ExplanationThe amount listed is made up of the amount of West Virginia Hospital Association and American Hospital Association dues that the associations determined as attributable to lobbying expense.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,807,940OtherCostOrOtherBasisAmt
Book Value$3,807,940BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$17,636,187OtherCostOrOtherBasisAmt
Depreciation$12,529,699DepreciationAmt
Book Value$5,106,488BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$69,827,231OtherCostOrOtherBasisAmt
Depreciation$33,074,609DepreciationAmt
Book Value$36,752,622BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$76,984,622OtherCostOrOtherBasisAmt
Depreciation$61,275,576DepreciationAmt
Book Value$15,709,046BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,021,307OtherCostOrOtherBasisAmt
Depreciation$3,522,802DepreciationAmt
Book Value$9,498,505BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$70,874,601TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

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

Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)

DescDescAmtAmt
Federal income taxes
Accrued wages, benefits and payroll taxes$5,398,468
Malpractice Liability$1,067,758
Accrued pension benefits$187
Accrued bond interest$132,542
Due to third Party Payors$2,484,289
Interest Rate Swaps$1,086,599
Self Insurance Liability$2,068,242
Finance Lease Liability - Long Term
Long Term Lease Liability$1,279,497
FieldValueIRS element (for citing)
Total Liability$13,517,582TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$300,574,318TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$2,800,244NetUnrealizedGainsInvstAmt
Other Revenue-$12,894,548OtherRevenueAmt
Revenue Not Reported-$10,094,304RevenueNotReportedAmt
Revenue Subtotal$310,668,622RevenueSubtotalAmt
Other Revenues Not Included-$223,247OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$223,247RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$310,445,375TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$273,413,008TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$223,247OtherExpensesIncludedAmt
Expenses Not Reported$223,247ExpensesNotReportedAmt
Expenses Subtotal$273,189,761ExpensesSubtotalAmt
Other Expenses Not Included$12,894,548OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$12,894,548ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$286,084,309TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 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 2dAllowances for Doubtful Accounts - Patients are presented as an offset to revenue on the audited financial statements. For 990 purposes, allowances for doubtful accounts - pateints totaling 12,894,548 are presented as an expense.
XI 4bPer 990 revenue reporting structure, expenses related to rental income of 223,247 has been reclassified to the revenue section.
XII 2dPer 990 revenue reporting structure, expenses related to rental income of 223,247 has been reclassified to the revenue section.
XII 4bAllowances for Doubtful Accounts - Patients of 12,894,548 are presented as an offset to revenue on the audited financial statements, but presented as an expense for 990 reporting purposes.

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 ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,387,869TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,387,869NetCommunityBenefitExpnsAmt
Total Expense0.01240TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$70,236,865TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$44,688,784DirectOffsettingRevenueAmt
Net Community Benefit Expns$25,548,081NetCommunityBenefitExpnsAmt
Total Expense0.09350TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$714,374TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$497,817DirectOffsettingRevenueAmt
Net Community Benefit Expns$216,557NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$74,339,108TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$45,186,601DirectOffsettingRevenueAmt
Net Community Benefit Expns$29,152,507NetCommunityBenefitExpnsAmt
Total Expense0.10670TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$132,359TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$132,359NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$694,111TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$89,182DirectOffsettingRevenueAmt
Net Community Benefit Expns$604,929NetCommunityBenefitExpnsAmt
Total Expense0.00220TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,663TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$19,663NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$846,133TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$89,182DirectOffsettingRevenueAmt
Net Community Benefit Expns$756,951NetCommunityBenefitExpnsAmt
Total Expense0.00280TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$75,185,241TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$45,275,783DirectOffsettingRevenueAmt
Net Community Benefit Expns$29,909,458NetCommunityBenefitExpnsAmt
Total Expense0.10950TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$100TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$100NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,101TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,101NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,201TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,201NetCommunityBenefitExpnsAmt
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$5,123,004BadDebtExpenseAmt
Bad Debt Expense Attributable$595,277BadDebtExpenseAttributableAmt
Reimbursed By Medicare$90,604,837ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$119,856,690CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$29,251,853MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
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 Line1City Hospital IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12500 Foundation WayAddressLine1Txt
CityMartinsburgCityNm
State AbbreviationWVStateAbbreviationCd
ZIP25401ZIPCd
FieldValueIRS element (for citing)
Website Addresswvumedicine.org/berkeley/WebsiteAddressTxt
State License80StateLicenseNum
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 PYfalseTaxExemptHospitalCYOrPYInd
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
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
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/2020/11/BMCJMC-CHNA-Report-2019.pdfOwnWebsiteURLTxt
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt20ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttps//wvumedicine.org/wp-content/uploads/2020/11/BMC.JMC.CHNA.Implementation-Plan.2020.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
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps//wvumedicine.org/bill-pay/financial-assistance/FAPAvailableOnWebsiteURLTxt
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 (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Group City Hospital, Inc. Line Part V, Section B, Line 5The 2019 Community Health Needs Assessment was prepared by Thomas Bias, Christiaan Abildso and Emily Sarkees of the West Virginia University Health Research Center. The Community Health Needs Assessment CHNA process began with a thorough review of the previous cycles needs assessment report and implementation plan. The CHNA also involved collecting both primary and secondary data. According to the CHNA, primary data was comprised of a survey of community members perceptions of health issues followed by a community event focused on reviewing survey data, discussing community resources and assets that impact population health in the area, and working as a group to outline possible implementation strategies for each area of concern. Secondary data included US census data and County Health Rankings Data. The stakeholders represent the broad interests of the communities served by University Healthcare WVUH-East. According to the CHNA, a community meeting was held in Martinsburg to get more input from the public, especially from organizations who provide social services to individuals within the service area of University Healthcare. Representatives from these organizations held discussions in small groups to compile a working list of existing resources, programs, policies, and ideas to address each area of concern, in addition to raising questions and providing information and perspective during overall discussion of the survey data results. The CHNA stated that they also worked in their small groups and as a part of a larger discussion to formulate some new suggestions to address each health area. The organizations represented at this community meeting included American Cancer Society, Berkeley County Chamber of Commerce, Berkeley County Development Authority, Berkeley County Health Department, Berkeley County Schools, Catholic Charities, City of Martinsburg, EPIC, Jefferson County Chamber of Commerce, Jefferson County Development Authority, Jefferson County Health Department, Jefferson County Sherriffs Department, Martinsburg Parks and Recreation, Panhandle Home Health, Shenandoah Community Health, United Methodist Church, United Way and WVU Medicine officials. The CHNA can be found here https//wvumedicine.org/wp-content/uploads/2020/11/BMCJMC-CHNA-Report-2019.pdf.
Group City Hospital, Inc. Line Part V, Section B, Line 5In addition to the community meeting, a public survey was also utilized. The public survey was developed by the WVU SPH with the leadership team following an iterative process. Survey topics included questions about perceptions of overall health of the community, quality of life, access to healthcare and medical needs, personal behaviors and habits, and demographic information including age, education and income. The survey was collected both online and through hard copies from residents who are 18 or older. The survey link was distributed through email lists, patient charts, social media, and made available as hard copies in the community.
Group City Hospital, Inc. Line Part V, Section B, Line 6aThe Community Health Needs Assessment CHNA was undertaken jointly with Jefferson Memorial Hospital. You can access the full report at this website https//wvumedicine.org/about/leadership-and-more/chna/ or by going to wvumedicine.org and type Community Health Needs Assessment in the Search tool.
Group City Hospital, Inc. Line Part V, Section B, Line 11According to the CHNA, following the community meeting, the leadership team discussed the totality of information collected through the survey and community event, working to identify priority areas for developing implementation strategies. With leadership and the community meeting group, the WVU SPH reviewed summarized survey data, including overall responses to the three most important health problems or issues. Health problems pertains to mainly clinical items such as health and disease topics however, when creating the survey tool, the hospital leadership saw value in asking about factors affecting health outcomes. For this reason, according to the CHNA, topics were grouped into three questions clinical health and disease items e.g. heart disease, addiction, cancer, quality of life and built or natural environmental factors e.g. air quality, availability of sidewalks, cost of medications, as well as things seen as personal choices or behaviors e.g. vaping, distracted driving, poor eating choices. This allowed the leadership team to cross-reference clinical items with their life factors and personal choices for a deeper understanding of the common themes, and a snapshot perspective of where in life the hospital might be able to implement strategies that will impact many. The CHNA survey results for health and disease included 1. Drug addiction/dependence, 2. Obesity and chronic disease 3. Mental health problems. CHNA survey results for quality of life and environmental included 1. Cost of care/medications 2. Low income 3. Lack of access to recreation spaces for all ages. CHNA survey results for personal choices and risky behaviors included 1. Drug abuse 2. Alcohol abuse 3. Bad eating choices.
Group City Hospital, Inc. Line Part V, Section B, Line 11According to the CHNA, during the prioritization process that followed the community meeting, leadership team members revisited common priority areas within the context of discussions and feedback from the morning. Utilizing a prioritization matrix to guide discussion, the group considered the degree to which the hospitals can realistically affect health outcomes for each priority health concern, endeavors already underway for each, as well as level of importance relative to the reach of their impact. The list of top health concerns was pared down and reconfigured to the three that will be the focus moving forward with implementation planning. These included substance use and abuse, obesity and chronic disease and mental health.
Group City Hospital, Inc. Line Part V, Section B, Line 11The top health concerns identified by the stakeholders are being addressed by University Healthcare in the following ways according to the most recent CHNA. For substance abuse, hospital leadership plans to get more MAT-trained providers in place, support for the potential Quick Response Team being developed in Jefferson County, and the importance of work to reduce stigma and use of negative terminology surrounding addiction. Potential strategies to combat obesity include further addressing and utilizing current partnerships and programming University Healthcare already has in place to help aid in the prevention of obesity and other chronic diseases. Efforts include a Diabetes Coalition and the Chronic Disease and Chronic Pain Self-Mangement Programs. Lastly, hospital leadership discussed recent hospital efforts to address the issue of mental health. These efforts include four psychiatrists, a new clinic in Ranson, recent surveying of all physicians regarding burnout, etc. Some initial strategy ideas included child and adolescent services to address existing school-based issues, initiatives addressing patients via MyChart, a need for addressing stigma and for addressing increasing suicide rates in the area.
Group City Hospital, Inc. Line Part V, Section B, Line 11Hospital leadership did take the time to discuss some of the issues beyond the top three identified at the community meeting. Aging problems, low income, employment access, and transportation, for example, are something that the hospital recognizes as a community and statewide concern. However, the team agrees that these are larger problems that cannot be addressed with the resources and tools available to the hospitals right now. Similarly, cost of care and health insurance appear repeatedly in the community data, but the leadership team acknowledges that these are also in many ways systemic issues over which they have little control. Leadership has not discounted these other issues, however, and will revisit at a later time, recognizing that potential collaborations with future partners could change the scope of their impact.
Group City Hospital, Inc. Line Part V, Section B, Line 13bCity Hospital offers discounted care only to individuals who qualify for free care. City Hospital offers a Prompt - Pay Discount Program - patients who have no third party coverage uninsured or uninsurable may be eligible for a 50 self-pay discount while patients who have a guarantor balance may be eligible for a 20 discount. To be eligible for either prompt pay discount, the patient/guarantor must meet certain requirements.
Group City Hospital, Inc. 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.

Supplemental Information Detail SupplementalInformationDetail (35 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I Line 3cCity Hospital Inc CHI uses 200 Federal Poverty Guideline to determine free care eligibility. However, City Hospital does not offer discounted care to individuals who do not qualify for free care.
Part I Line 6aCity Hospital, Inc. community benefit numbers are reported in total with the other hospitals within West Virginia United Health System. The most recent amounts can be found at the following web addresshttp//wvumedicine.org/about/community-benefit/.
Part I Line 7Row b - Medicaid and Other Means-Tested Government Health Programs. The amount of offsetting revenue show in Column d of 44,688,784 includes payments received from the Directed Payment Plan of 15,948,989. These payments are intended to help offset the cost of caring for the Medicaid population in 2020/2021. Inclusion of this amount follows IRS instructions for this calculation. If these payments has not been received total community benefit from Unreimbursed Medicaid would have been 41,497,071 and 15.19 of expense.
Part I Line 7Column f - Total community benefit expense for 2021 is 75,185,241 and is 27.52 of total net expenses. To calculate net expense, Provision for Doubtful Accounts - Patients 12,894,548 was deducted from total expenses of 286,084,309 as shown in Part IX line 25 of the core Form 990.
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 at cost, unreimbursed Medicaid and other means-tested government programs at cost.
Part IIPhysical improvements and housing - City Hospital employees spent a weekday volunteering at a local social service agency on behalf of the United Way of the Eastern Panhandle for the annual Day of Caring. City Hospital also provided the kick-off breakfast for approximately 300 volunteers throughout the Eastern Panhandle.
Part IIEconomic Development - In 2021, Hospital representatives participated as members of the Berkeley County Board of Health and as board members for the Martinsburg Berkeley County Chamber of Commerce and Blue Ridge Community and Technical College.
Part IICommunity Support - City Hospital supports and participates in many health related community activities by providing judges for science fairs at the local schools, as COVID allows. We have teams that participate in the annual March of Dimes Walk in Berkeley County, American Cancer Society Relay for Life in Berkeley County, Alzheimers Walk and various other fundraising events for local, health related, non-profit organizations. Many employees serve as volunteer board of directors for community non-profit organizations such as Hospice of the Panhandle, Boys Girls Club of the Eastern Panhandle, , Martinsburg Berkeley County Parks Rec., Girls on the Run, Berkeley and Jefferson County Chamber of Commerce, and the United Way of the Eastern Panhandle.
Part IIEnvironmental Improvements - 2021 marked the sixth full year for City Hospital as a tobacco free campus, by order of the Berkeley County Health Departments Clean Air Act.
Part IILeadership Development and Training - At least one management representative from City Hospital participates in the Chamber of Commerces Leadership Berkeley class each year. The Hospital also has representatives on the Workforce Development Committee of the Chamber of Commerce. The Education Department works closely with Blue Ridge Community and Technical College to provide leadership training programs.
Part IICommunity health improvement advocacy - In 2021, City Hospital Champions continued work on addressing the top three health needs identified in their 2019 CHNA.
Part IIWorkforce Development - City Hospital participates in activities sponsored by the Martinsburg Berkeley County Chambers Workforce Development Committee. City Hospital is also a major sponsor of the Womens Network, which is an organization, established by the Berkeley County Chamber, which sponsors womens professional activities, social network, professional development and womens health seminars. A representative from City Hospital also serves on the Blue Ridge Community Technical College Foundation Board. City Hospital also has agreements with area community colleges and universities to allow students to complete clinical rotations at the Hospital. City Hospital provides job shadow and summer volunteer opportunities for teens to follow health professionals and learn about careers in the health field as well as participates in school career fairs in all grade levels of the school system.
Part IICoalition Building - City Hospital staff participates in the Health Human Services Collaborative and workgroups such as the Health Work Group and Behavioral Health Workgroup. These activities focus on improving community access to health care, human services in general, and determine ways to encourage healthy lifestyles. City Hospital also leads the community coalition, Healthy Berkeley and supports several community health events such as health fairs and screenings, as COVID allows. Staff also participate in other community coalitions such as Bridges, On Track Berkeley, Promise Neighborhood Initiative and Community Garden, Try This WV, Panhandle Senior Network, Jefferson/Berkeley Alliance, Health Grandfamilies, and Mountains of Hope Cancer coalition.
Part IIHealth programs are also offered free to the community. In 2021, the Walk with Ease program was offered in-person and the Chronic Pain Self-Management Program was offered virtually.
Part III Line 2Bad Debt Expense at cost was calculated by multiplying bad debt expense - patients of 12,894,548 by our cost-to-charge ratio of 39.73 derived from Worksheet 2 in the IRS Schedule H instructions for a total of 5,123,004.
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 1,497,551 which was then multiplied by the cost-to-charge ratio of 39.73 for a total of 594,977.
Part III Line 3We feel that, at a minimum, the estimated bad debt attributable to patients eligible for charity care of 594,977 should be considered community benefit due to the fact that a patient with an outstanding balance of 25,000 or greater usually qualifies as catastrophic if the patient completes the application process. In our Charity Care policy, we define catastrophic care as any illness or injury that will likely require continuous or frequent treatment for more than one year.
Part III Line 4City Hospital, Inc doing business as Berkeley Medical Centers 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 payor agreements, primarily with Medicare, Medicaid and various commercial insurance companies. The System records accounts receivable net of estimated prince concessions and such amounts have historically been within managements expectations.
Part III Line 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 8Part III Line 6 was calculated using total cost from the Medicare Cost Report less Medicare reimbursement of direct GME. City Hospitals shortfall of 29,251,853 on Medicare program should be considered a community benefit because we are relieving a government burden by providing care in excess of our cost to these patients.
Part III Line 9bCity 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 2City Hospital, Inc. is a part of WVU Hospitals - East, a healthcare delivery system serving the Eastern Panhandle of WV. The WVUH-East marketing department considers several components in assessing how the organization determines the need of the communities it serves. Through outside consultants to collaborating with various departments, a needs assessment takes into account several factors including physicians to population rations, physician availability in the entire service area, and general health risks for our community. The Primary Service Area PSA for WVUH - East includes Berkeley County, WV, Jefferson County, WV and Morgan County, WV. This data is then analyzed to provide general estimates to where WVUH - East entities could better care for residents of the West Virginia Eastern Panhandle.
Part VI Line 3City Hospital employs 2 patient account representatives to meet with patients to discuss financial eligibility for our charity care program. City Hospital has the qualification requirements, as well as, applications for charity care available at all registration areas. Patients that do not qualify for state or federally funded programs can apply for the charity care program at City Hospital.
Part VI Line 4City Hospital is a non-profit acute care hospital located in Berkeley County, WV in the city of Martinsburg, WV. Martinsburg is the largest city in the Eastern Panhandle. City Hospital along with Jefferson Memorial Hospital located in Ranson, West Virginia makes up the eastern region of WVU Medicine, which is a part of the West Virginia United Health System.
Part VI Line 4WVU Medicine provides a majority of inpatient services for the population in our Primary Service Area PSA. For Berkeley Medical Center, the PSA consists of Berkeley County, WV, Jefferson County, WV and Morgan County, WV. The 2020 inpatient market share for Berkeley Medical Centers Primary Service Area is 57.0 with 25.1 of those patients covered by Medicaid and 2.0 uninsured. Jefferson Medical Center, a non-profit critical access hospital under common management, is located within the Primary Service Area and War Memorial Hospital, a non-profit critical access hospital, operated by Valley Health System, is located in the extended service area of Morgan County, WV.
Part VI Line 4Berkeley County has a population of 126,069, a median household income of 65,286, an employment rate of 67, 10.0 living in poverty and 7.8 of individuals without healthcare coverage. Jefferson Countys population is 58,370 with a median household income of 82,551, an employment rate of 65, 7.8 living in poverty and 7.1 of individuals without healthcare coverage. Morgan County has a population of 17,221 with a median household income of 57,116, an employment rate of 57, 11.0 living in poverty and 9.9 of individuals without healthcare coverage. Population and demographic information was obtained from the United States Census Bureau https//data.census.gov/cedsci/.
Part VI Line 5City Hospital board of directors is a community board, with fourteen of the fifteen members living in or around Martinsburg, WV. The remaining board member lives in Morgantown, WV and has connections with CHI through the West Virginia United Health System. Having members living outside our PSA allows us to be more aware of the healthcare needs in other areas of West Virginia. None of the board members are employees or contractors of the filing organization, or family members thereof.
Part VI Line 5City Hospital extends privileges to all qualified medical staff in Berkley County and surrounding communities to meet its healthcare needs.
Part VI Line 5City Hospital allocates available funding to capital purchases and expanded services to improve patient care, support medical education in Berkeley County and surrounding counties in West Virginia and bordering states.
Part VI Line 5In 2009, City Hospital began offering discounted screening in response to a struggling economy. Recognizing that individuals were putting off scheduling routine, preventive testing such as mammograms and blood work, City Hospital offered Discounted Mammogram Clinics in May 2021 and then again in October 2021 cash, no insurance. The clinics were successful in serving over 80 patients at City Hospital. In 2021, The Rotary Health Fairs were held in April and September. The screening provided a full blood work-up at cost. Nearly 600 individuals took advantage of these screenings.
Part VI Line 5City Hospitals Mini-Medical School Program, which is held multiple times per year in Berkeley County, is a community health education program featuring local physicians and topics that address health needs in our communities. The program is jointly sponsored by WVU Medicine East and the WVU Robert C. Byrd Health Sciences Center Eastern Division. It is offered free to the community virtually on our Facebook page with an average of 550 views.
Part VI Line 6City Hospital, Inc is a part of the WV United Health System WVUHS. WVUHS is a not-for-profit corporation formed to serve as part of an integrated health science and healthcare delivery team. WVUHS serves as the parent corporation to an affiliated group of healthcare providing entities. The strategic plan of the System states intent to build a regional health care delivery system in its service areas, while offering a variety of options for providers who want to participate. The System maintains a demonstrated commitment to assist rural communities in preserving and improving the health care available to the patients it serves.
Part VI Line 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, 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, Uniontown Hospital in Uniontown, PA, 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

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 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 OrgTotalCompensationFilingOrgAmt
Linda Campbell Jones
CRNA$284,195$2,250$4,585$5,184$18,935$315,149
Jason T White
Chief CRNA$270,715$2,250$6,094$27,124$306,183
Julie Barr
CRNA$248,899$31,750$1,986$4,416$287,051
Sarah Harvey
CRNA$253,394$22,250$282$5,979$9,628$291,533
Donna Helmick
PRN CRNA$243,092$1,500$33,907$8,874$8,166$295,539

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I Line 7FormAndLineReferenceDesc
ExplanationIncentive and bonuses are based on goals and productivity measures that are not contingent on revenue.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4dProgram Service Expenses 20,473,185, Grants and allocations 0, Revenue 19,921,510 City Hospitals Obstetrics and Gynecology services have expanded to include the Birthing Center Mother Baby Unit, offering family centered obstetric services, includes five home like suites with private bathrooms where labor and delivery occur, and the Mother Baby postpartum area which includes 11 private rooms. The Birthing Center Mother Baby Unit has earned Perinatal Care Certification from The Joint Commission, recognizing City Hospitals commitment to healthy mothers and healthy babies. City Hospital is also certified by Cribs for Kids as a National Safe Sleep Hospital. City Hospital is one of 21 hospitals in West Virginia participating in YES to Safe Sleep for Babies, and has received the West Virginia Perinatal Partnerships First Baby Initiative with one of the lowest primary C-section rates in West Virginia. In 2021, there were 1,841 obstetrics and gynecology days and 146 observation days.
Form 990, Part III, Line 4dProgram Service Expenses 14,174,261, Grants and allocations 0, Revenue 17,743,104 The surgery department at City Hospital, Inc. is staffed by specialists and general surgeons offering the latest in surgical techniques including laparoscopic procedures, lithotripsy, and same day-ambulatory surgery. Same day surgery visits for 2021 totaled 10,174.
Form 990, Part III, Line 4dProgram Service Expenses 63,309,904, Grants and allocations 0, Revenue 86,112,075 In addition to primary and specialty patient care services, City Hospital, Inc. serves as a clinical education site for West Virginia University, the WV School of Osteopathic Medicine and other regional universities and community colleges. The Erma Byrd Health Professions Education Center, which houses the WVU Robert C. Byrd Health Sciences Center-Eastern Division, is also located on the City Hospital, Inc. campus. As part of a unified health system, the focus of City Hospital, Inc. and its sister organization Jefferson Medical Center, is on growth to enhance and add new health services in Berkeley and Jefferson Counties.
Form 990, Part III, Line 4dProgram Service Expenses 0, Grants and allocations 0, Revenue 0 Achieving the Joint Commissions Gold Seal of Approval for Total Hip and Knee Replacement Surgery is a testament to the level of care patients are receiving from orthopaedic surgeons practicing at City Hospital. The Gold Seal ensures compliance with standards of care specific to the needs of patients, including infection prevention and control, leadership and medication management.
Form 990, Part III, Line 4dProgram Service Expenses 0, Grants and allocations 0, Revenue 0 In December of 2017, the WVU Heart Vascular Institute HVI was expanded to City Hospital. This expansion intends to improve access to cardiac care for individuals living in the Eastern Panhandle of West Virginia. HVI - Martinsburg is comprised of seven board-certified cardiologists. These cardiologists offer a variety of services including but not limited to interventional cardiology, abdominal ultrasound, stress testing, ankle-brachial index/pulse volume recording ABI/PVR, rhythm management and valvular assessment.
Form 990, Part IV, Line 24aBond issuances allocated to City Hospital, Inc. CHI are being reported on Schedule K of West Virginia University Hospitals, Inc. WVUH, EIN 55-0643304. WVUH is a 501c3 and is the parent hospital of CHI.
Form 990, Part VI, Section B, Line 11aThe Form 990 is prepared by the WVUHS tax department and then reviewed by the non-profit tax manager of our independent tax firm and West Virginia University Hospitals- East, Inc. WVUH-East Vice President of Finance. After gaining approval from the VP of Finance, it is then presented to all of the board members for a final review. Upon board review, it is signed and submitted to the IRS.
Form 990, Part VI, Section B, Line 12cAnnually, all board members, vice presidents, officers, and managers are required to disclose any relationships which may give rise to a conflict of interest. These reponses are processed and maintained by the WVUH-East Compliance Committee. All board members are to be willing to identify conflicts of interest and abstain from voting when appropriate.
Form 990, Part VI, Section C, Line 19All financial and governing documents including the conflict of interest policy are retained onsite and are made available to the public upon request.
Form 990, Part IX, Line 11gOther Service Expenses includes Consulting Professional fees of 10,039,510 which 1,125 is considered program service expense and 10,040,635 is considered management and general expense Contracted Labor fees of 4,741,725 which 4,003,955 is considered program service expense and 737,770 is considered management and general Lab fees of 2,192,223 all of which is considered program service expense Contracted Labor - Patient Care fees of 15,070,500 which 15,060,268 is considered program service expense and 10,232 is considered management and general expense Physician Practice Support fees of 218,997 all of which is considered program service expense Consulting and Professional - Medical Staff Director fees of 563,034 which 482,674 is considered program service expense and 80,360 is considered management and general expense and Contracted Physician expense of 9,421,083 of which 9,357,549 is considered program service and 63,534 is considered management and general.
Form 990, Part XI, Line 9Other changes in net assets or fund balance includes change in Restricted Net Assets of 8,032, 3,723,566 of related organization capitalization, 2,000 capital stock distribution, and 5 rounding.
Form 990, Part VI, Section B, Line 15 a bThe compensation of the CEO is determined by the WV United Health System Compensation Committee based upon a salary and benefit survey prepared by an independent company using data of comparable facilities. This information is provided to the compensation committee which is made up of independent board members who are then responsible for setting the compensation packages offered to each executive, ensuring that the compensation package does not exceed fair market value based on the data from the consultant group. The minutes of the compensation committee are contemporaneously documented and retained. A full compensation survey was completed in 2020 for 2021 compensation amounts. The compensation of all officers at the Vice President level and below is determined based upon a salary and benefit survey prepared by an independent company using data of comparable facilities. This data is then interpreted and provided to an independent compensation committee. The independent compensation committee then uses this data to determine a fair and reasonable compensation package. All relevant data as well as minutes from each meeting are retained.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (34 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 Inc
PO Box 8034MorgantownWV26506550754713Healthcare AccessWV501C312 Type IN/Afalse
West Virginia University Hospitals
PO Box 8034MorgantownWV26506550643304Patient CareWV501C33falseWest Virginia United Health System Inc
West Virginia University Hospitals - East Inc
121 Administrative DriveMartinsburgWV25401202337985Healthcare AccessWV501C312 Type IfalseWest Virginia University Hospitals
Jefferson Memorial Hospital Inc
300 South Preston StRansonWV25438550359755Patient CareWV501C33falseWest Virginia University Hospitals - East Inc
University Healthcare Foundation
121 Administrative DriveMartinsburgWV25401311118075Hospital SupportWV501C312 Type IfalseWest Virginia University Hospitals Inc
United Health Foundation
327 Medical Park DriveBridgeportWV26330550621706Hospital SupportWV501C312 Type IfalseUnited Hospital Center Inc
United Hospital Center Inc
327 Medical Park DriveBridgeportWV26330550525724Patient CareWV501C33falseWest Virginia United Health System Inc
United Physicians Care Inc
686 South Pike StreetShinnstonWV26431550638563Patient CareWV501C33falseUnited Hospital Center Inc
United Summit Center Inc
6 Hospital PlazaClarksburgWV26301550752788Behavioral HealthWV501C33falseWest Virginia University Hospitals 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
Camden-Clark Health Services
800 Garfield AveParkersburgWV26101550769602Healthcare AccessWV501C312 Type IfalseWest Virginia United Health System Inc
Camden-Clark Foundation
800 Garfield AveParkersburgWV26101550667789Hospital SupportWV501C37falseCamden-Clark Health Services
Camden-Clark Physician Corp
604 Ann StreetParkersburgWV26101264058719Patient CareWV501C33falseCamden-Clark Health Services
University Healthcare Physicians
2500 Foundation WayMartinsburgWV25401900893455Patient CareWV501C33N/Afalse
Potomac Valley Hospital of W Va Inc
100 Pin Oak LaneKeyserWV26726550420956Patient CareWV501C33falseWest Virginia University Hospitals
St Joseph's Hospital of Buckhannon Inc
1 Amalia DriveBuckhannonWV26201550356996Patient CareWV501C33falseWest Virginia United Health System Inc
Reynolds Memorial Hospital
800 Wheeling AveGlen DaleWV26038550357045Patient CareWV501C33falseWest Virginia University Hospitals
Reynolds Memorial Foundation
800 Wheeling AveGlen DaleWV26038550710402Hospital SupportWV501C312 Type IfalseReynolds Memorial Hospital Inc
St Joseph's Foundation of Buckhannon Inc
1 Amalia DriveBuckhannonWV26201550727650Hospital SupportWV501C312 Type IIfalseSt Joseph's Hospital of Buckhannon 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
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
Wheeling Hospital Inc
1 Medical ParkWheelingWV26003550357057Patient CareWV501C33falseWV United Health System
Harrison Community Hospital
951 E Market StreetCadizOH43907341571750Patient CareOH501C33falseWheeling Hospital Inc
Harrison Community Hospital Foundation
951 E Market StreetCadizOH43907341571749Hospital SupportOH509a212 Type IIfalseWheeling Hospital Inc
Barnesville Hospital Association
639 W Main StreetBarnesvilleOH43713340719172Patient CareOH501C33falseWV United Health System
Belmont Community Hospital
4697 Harrison StreetBellaireOH43906340714643Patient CareOH501C33falseWheeling Hospital Inc
Medical Park Foundation
1 Medical ParkWheelingWV26003550744690ChurchWV501C31falseWheeling Hospital Inc
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 AllocationsfalseDisproportionateAllocationsInd
General Or Managing PartnerfalseGeneralOrManagingPartnerInd

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 LabWVWest Virginia United Health SystemC Corpfalse
West Virginia United Insurance Services Inc
3040 University Avenue Suite 3200MorgantownWV26505550756055Provider NetworkWVWest Virginia 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 OrgYes (true)GiftGrntCapContriFromOthOrgInd
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 OrgfalseRentalOfFacilitiesToOthOrgInd
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 OrgfalseTransferFromOtherOrgInd