BARNESVILLE HOSPITAL ASSOCIATION INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- BARNESVILLE HOSPITAL ASSOCIATION INC (EIN 34-0719172)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-10
- IRS object ID
- 202243169349301994
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-10T10:44:54-00:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 340719172 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Barnesville Hospital Association Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BARN | BusinessNameControlTxt |
| Phone | 7404253941 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 639 W Main Street | AddressLine1Txt |
| City | Barnesville | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43713 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Willie Cooper-Lohr | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7404253941 | PhoneNum |
| Signature | 2022-11-10 | SignatureDt |
| Discuss With Paid Preparer | false | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Willie | PersonFirstNm |
| Person Last | Cooper-Lohr | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Barnesville Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Willie Cooper-Lohr | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 639 W Main Street | AddressLine1Txt |
| City | Barnesville | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43713 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $20,580,888 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | https://wvumedicine.org/barnesville/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1940 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | Our highest priority is patient health, safety, and comfort. Our team of highly qualified professionals is committed to caring for the residents of western Belmont County and surrounding communities. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 264 | TotalEmployeeCnt |
| Total Volunteers | 60 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $5,314,331 | PYContributionsGrantsAmt |
| CY Contributions Grants | $88,592 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $17,043,670 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $19,969,929 | CYProgramServiceRevenueAmt |
| PY Investment Income | $59,622 | PYInvestmentIncomeAmt |
| CY Investment Income | $352,985 | CYInvestmentIncomeAmt |
| PY Other Revenue | $146,917 | PYOtherRevenueAmt |
| CY Other Revenue | $83,771 | CYOtherRevenueAmt |
| PY Total Revenue | $22,564,540 | PYTotalRevenueAmt |
| CY Total Revenue | $20,495,277 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $897,151 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $9,673,899 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $10,436,794 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $8,861,846 | PYOtherExpensesAmt |
| CY Other Expenses | $9,026,841 | CYOtherExpensesAmt |
| PY Total Expenses | $19,432,896 | PYTotalExpensesAmt |
| CY Total Expenses | $19,463,635 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,131,644 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,031,642 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $15,220,078 | TotalAssetsBOYAmt |
| Total Assets EOY | $13,746,955 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $9,645,812 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,651,381 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,574,266 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $6,095,574 | NetAssetsOrFundBalancesEOYAmt |
| Mission | WVU Medicine Barnesville, a charitable, not for profit organization, offers a broad range of services, including primary care, specialty care, and emergency care. The quality of care provided by WVU Medicine Barnesville Hospital, a Medicare Critical Access Hospital, has been recognized by numerous accrediting agencies. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $16,599,766 | ExpenseAmt |
| Revenue | $19,914,032 | RevenueAmt |
| Desc | In 2021 Barnesville Hospital provided care for 243 inpatient admissions resulting in 1,096 patient days. We also provided 23,822 outpatient visits plus 7,001 emergency room visits. Barnesville Hospital is a critical access hospital and provides extensive inpatient and outpatient care for members of the community regardless of their ability to pay. | Desc |
| Total Program Service Expenses | $16,599,766 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (true) | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 45 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 264 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Willie Cooper-Lohr | PersonNm |
| Phone | 7404253941 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 639 W Main Street | AddressLine1Txt |
| City | Barnesville | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43713 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Douglass Harrison | ||||||||
| Board Member | 001.00 | 041.00 | Yes (X) | $0 | $754,616 | $90,598 | ||
| James Comerci MD | ||||||||
| Board Member | 001.00 | 040.00 | Yes (X) | $0 | $517,276 | $23,427 | ||
| Shaun Roe DO | ||||||||
| Board Member/Physician | 040.00 | 001.00 | Yes (X) | $283,706 | $0 | $38,742 | ||
| David Phillips | ||||||||
| President/CEO | 030.00 | 010.00 | Yes (X) | $140,759 | $84,455 | $56,359 | Yes (X) | |
| Amy Perry | ||||||||
| Director of Pharmacy | 040.00 | $153,575 | $0 | $20,512 | Yes (X) | |||
| Cynthia Touvelle | ||||||||
| Chief Nursing Officer | 040.00 | $120,790 | $0 | $25,920 | Yes (X) | |||
| Willie Cooper-Lohr | ||||||||
| Chief Financial Officer | 040.00 | $111,976 | $0 | $26,058 | Yes (X) | |||
| Todd Tucker | ||||||||
| Pharmacist | 040.00 | $104,418 | $0 | $22,306 | Yes (X) | |||
| Tiffany Gramby | ||||||||
| Sr. Regional Director Compliance | 040.00 | $105,090 | $0 | $11,352 | Yes (X) | |||
| William Frank | ||||||||
| Board Member | 001.00 | 001.00 | Yes (X) | $0 | $0 | $0 | ||
| Kent Gallagher | ||||||||
| Board Member | 001.00 | 001.00 | Yes (X) | $0 | $0 | $0 | ||
| Angela Hannahs | ||||||||
| Board Member | 001.00 | 001.00 | Yes (X) | $0 | $0 | $0 | ||
| Tom Johnson | ||||||||
| Board Member | 001.00 | 001.00 | Yes (X) | $0 | $0 | $0 | ||
| Jonathan Kirkland | ||||||||
| Board Member | 001.00 | 001.00 | Yes (X) | $0 | $0 | $0 | ||
| Kenneth Mason Sr | ||||||||
| Board Member | 001.00 | 001.00 | Yes (X) | $0 | $0 | $0 | ||
| Ken Phillips | ||||||||
| Board Member | 001.00 | 001.00 | Yes (X) | $0 | $0 | $0 | ||
| Garen Rhome | ||||||||
| Board Member | 001.00 | 001.00 | Yes (X) | $0 | $0 | $0 | ||
| Michael Sliva | ||||||||
| Board Member | 001.00 | 001.00 | Yes (X) | $0 | $0 | $0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,020,314 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,356,347 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $315,274 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Acute Care Inc | |||||
| 1609 N Ankeny Blvd | Ankeny | IA | 50023 | ER Physicians | $775,056 |
| Allscripts Healthcare LLC | |||||
| 305 Church at North Hills St | Raleigh | NC | 27609 | Hospital Software | $528,372 |
| Medstaff Services LLC | |||||
| PO Box 1895 | Powell | OH | 43065 | Hospitalist | $377,250 |
| Laboratory Corporation of America | |||||
| PO Box 12140 | Burlington | NC | 27216 | Lab Services | $282,043 |
| Dr Hema Patel | |||||
| 151 Masons Crossing Ct | Severna | MD | 21146 | Hospitalist | $255,849 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $10,794 | GovernmentGrantsAmt |
| All Other Contributions | $77,798 | AllOtherContributionsAmt |
| Total Contributions | $88,592 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient Service Revenue | 621110 | $19,861,865 | $19,861,865 |
| COVID Relief Funds | 900099 | $108,064 | $108,064 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $19,969,929 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $958 | TotalRevenueColumnAmt |
| Exclusion | $958 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $55,391 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $85,611 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$30,220 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$30,220 | TotalRevenueColumnAmt |
| Exclusion | -$30,220 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $352,027 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $352,027 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $352,027 | TotalRevenueColumnAmt |
| Exclusion | $352,027 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| Cafeteria Income | 624200 | $61,779 | $61,779 |
| Auxiliary Income | 900099 | $45 | $45 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $52,167 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $52,167 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $113,991 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $20,495,277 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $20,022,096 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $384,589 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $460,728 | TotalAmt |
| Program Services | $146,710 | ProgramServicesAmt |
| Management And General | $314,018 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,780,298 | TotalAmt |
| Program Services | $5,879,611 | ProgramServicesAmt |
| Management And General | $900,687 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,813,275 | TotalAmt |
| Program Services | $2,542,433 | ProgramServicesAmt |
| Management And General | $270,842 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $382,493 | TotalAmt |
| Program Services | $325,241 | ProgramServicesAmt |
| Management And General | $57,252 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $158,454 | TotalAmt |
| Management And General | $158,454 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $91,264 | TotalAmt |
| Management And General | $91,264 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,949 | TotalAmt |
| Program Services | $3,949 | ProgramServicesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees For Services Prof Fundraising | FeesForServicesProfFundraising |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,442,816 | TotalAmt |
| Program Services | $2,550,848 | ProgramServicesAmt |
| Management And General | $891,968 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,418 | TotalAmt |
| Management And General | $9,418 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,593,711 | TotalAmt |
| Program Services | $1,503,300 | ProgramServicesAmt |
| Management And General | $90,411 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $306,984 | TotalAmt |
| Program Services | $299,034 | ProgramServicesAmt |
| Management And General | $7,950 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,271 | TotalAmt |
| Program Services | $17,348 | ProgramServicesAmt |
| Management And General | -$77 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,467 | TotalAmt |
| Management And General | $41,467 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,636 | TotalAmt |
| Program Services | $67,636 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $470,251 | TotalAmt |
| Program Services | $470,251 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $193,167 | TotalAmt |
| Program Services | $193,167 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Provision for Doubtful Accounts | $957,773 | $957,773 | |
| Medical Supplies | $1,322,729 | $1,322,729 | |
| Association Dues | $42,677 | $15,093 | $27,584 |
| Taxes, Licenses, Fees | $290,621 | $290,621 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,653 | TotalAmt |
| Program Services | $14,022 | ProgramServicesAmt |
| Management And General | $2,631 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,463,635 | TotalAmt |
| Program Services | $16,599,766 | ProgramServicesAmt |
| Management And General | $2,863,869 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $571 | BOYAmt |
| EOY | $255,439 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,584,202 | BOYAmt |
| EOY | $12,442 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,484,775 | BOYAmt |
| EOY | $2,466,123 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $417,905 | BOYAmt |
| EOY | $344,357 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $203,349 | BOYAmt |
| EOY | $339,186 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $19,047,410 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $14,752,343 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,682,579 | BOYAmt |
| EOY | $4,295,067 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,969,033 | BOYAmt |
| EOY | $3,601,908 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,154,257 | BOYAmt |
| EOY | $2,432,433 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $723,407 | BOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,220,078 | BOYAmt |
| EOY | $13,746,955 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,841,003 | BOYAmt |
| EOY | $2,663,119 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $993,347 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,498,228 | BOYAmt |
| EOY | $802,034 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,306,581 | BOYAmt |
| EOY | $3,192,881 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,645,812 | BOYAmt |
| EOY | $7,651,381 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,574,266 | BOYAmt |
| EOY | $6,095,574 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,574,266 | BOYAmt |
| EOY | $6,095,574 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,220,078 | BOYAmt |
| EOY | $13,746,955 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,031,642 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,122,212 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | -$135,261 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | -$1,497,285 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $3,949 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $3,949 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | II-B 1 | FormAndLineReferenceDesc |
| Explanation | A portion of annual membership dues paid to trade associations is allocated to lobbying expenditures. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $66,199 | OtherCostOrOtherBasisAmt |
| Book Value | $66,199 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,465,779 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,625,179 | DepreciationAmt |
| Book Value | $2,840,600 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $572,748 | OtherCostOrOtherBasisAmt |
| Depreciation | $296,610 | DepreciationAmt |
| Book Value | $276,138 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,928,075 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,818,232 | DepreciationAmt |
| Book Value | $1,109,843 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,014,609 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,012,322 | DepreciationAmt |
| Book Value | $2,287 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,295,067 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc |
|---|
| Financial derivatives and other financial products |
| Closely-held equity interests |
Invst Program Related Org InvstProgramRelatedOrgGrp (4 entries)
| DescDesc | Method ValuationMethodValuationCd | Book ValueBookValueAmt |
|---|---|---|
| Other Investments | F | |
| Auxiliary Investments | F | $33,557 |
| Investment in BCHS | F | $1,221,885 |
| Barnesville Hospital Mem Fund | F | $1,176,991 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $2,432,433 | TotalBookValueProgramRltdAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| Federal income taxes | |
| Long Term Lease Liability | $333,087 |
| DB Pension Obligation | $2,859,794 |
| Estimated Third Party Settlements | |
| Refundable Advances |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,192,881 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $19,623,115 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$957,773 | OtherRevenueAmt |
| Revenue Not Reported | -$957,773 | RevenueNotReportedAmt |
| Revenue Subtotal | $20,580,888 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$85,611 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$85,611 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $20,495,277 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $18,591,473 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $85,611 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $85,611 | ExpensesNotReportedAmt |
| Expenses Subtotal | $18,505,862 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $957,773 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $957,773 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $19,463,635 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| X 2 | Most of the entities that comprise the System are tax-exempt organizations and not subject to federal or state income taxes in accordance with Section 501c3 of the Internal Revenue Code. On such basis, they will not incur any liability for income taxes, except for possible unrelated business income. AHS 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 2d | The amount shown on line 2d consists of 957,773 provision for doubtful accounts - patients reported as an offset to revenue on the financial statements but is reported as an expense on the Form 990. |
| XI 4b | The amount on line 4b consists of 85,611 of rental expenses that is recorded as an offset to revenue on the Form 990. |
| XII 2d | The amount on line 2d consists of 85,611 of rental expenses that is recorded as an offset to revenue on the Form 990. |
| XII 4b | The amount shown on line 2d consists of 957,773 provision for doubtful accounts - patients reported as an offset to revenue on the financial statements but is reported as an expense on the Form 990. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $51,956 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $51,956 | DirectOffsettingRevenueAmt |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,309,245 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,467,840 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,841,405 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09950 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,361,201 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,519,796 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,841,405 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09950 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $42,315 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $42,315 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00230 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,703,055 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,271,565 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,431,490 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07740 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,745,370 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,271,565 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,473,805 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07970 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,106,571 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,791,361 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,315,210 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.17920 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $284,450 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $57,668 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $3,472,701 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $20,661 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $3,452,040 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Barnesville Hospital Association Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 639 W Main St | AddressLine1Txt |
| City | Barnesville | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43713 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | https//wvumedicine.org/barnesville/ | WebsiteAddressTxt |
| State License | 1112 | StateLicenseNum |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Facility Reporting Group | A | FacilityReportingGroupCd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | A | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | Yes (true) | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https//wvumedicine.org/wp-content/uploads/2021/03/Barnesville-Hospital-Community-Health-Needs-Assess | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | https//wvumedicine.org/wp-content/uploads/2021/03/Barnesville-Hospital-Community-Health-Needs-Assess | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 0000000200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | https//wvumedicine.org/bill-pay/financial-assistance/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | https//wvumedicine.org/wp-content/uploads/2020/03/Financial-Assistance-Application-Form-3-17-2020.pd | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | https//wvumedicine.org/bill-pay/financial-assistance/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | Yes (true) | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Group Barnesville Hospital Association Inc. Line Part V, Section B, Line 2 | As of April 1, 2021, Barnesville Hospital Association Inc. became a member of West Virginia United Health System. The West Virginia United Health System is a not-for-profit corporation formed to serve as part of an integrated health science and healthcare delivery team. WVUHS serves as the parent corporation to an affiliated group of healthcare providing entities. The strategic plan of the System states intent to build a regional health care delivery system in its service areas, while offering a variety of options for providers who want to participate. The System maintains a demonstrated commitment to assist rural communities in preserving and improving the health care available to the patients it serves. Barnesville maintained their previously approved non-profit status with the IRS after joining the System. |
| Group Barnesville Hospital Association Inc. Line Part V, Section B, Line 5 | Met with focus groups from different communities Barnesville, Bethesda, and Woodsfield. In addition to the community focus groups, an additional meeting was held with individuals having a special knowledge in public healthh, community organizations, and resources to utilize their expertise and to solicit their feedback. Collaborating partners within the community inluded Addiction Services of Eastern Ohio, Astoria Place Nursing Facility, Barnesville Chief of Police, Barnesville EMS/Fire Department, Barnesville Exempted Village Schools, Barnesville Hospital Chief of Staff, Barnesville Hospital Marketing Specialist, Barnesville Hospital President CEO, Barnesville Hospital Social Worker, Belmont County 911, Belmont County Commissioner, Belmont County Emergency Management Agency, Belmont County Health Department, Belmont County Job and Family Services, Belmont Professional Associates, Community Action Commission of Belmont County, Emerald Pointe Nursing Facility, Mental Health and Recovery Board, Monroe County Health Department, Ohio Hills Health Services, WVUHS Director of Public Relations Corporate Communictions, Union Local Schools. A community meeting was held in Barnesville to get more input from the public, especially from organizations who provide social services to individuals within the service area of the hospital. Representatives from fifteen different 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. They also worked in their small groups and as part of a larger discussion to formulate some new suggestions to address each health concern. |
| Group Barnesville Hospital Association Inc. Line Part V, Section B, Line 11 | The hospital facility identified three significant needs in its most recently conducted CHNA. The needs the action taken by the hospital facility to address the needs during 2019 are as follows Substance use and abuse Barnesville hospital partners with crossroads counseling to operate an addiction clinic. They provide a drop box in the hospital lobby to allow community members a vehicle to dispose of unwanted medications and syringes on an as needed basis. They provided space for alcoholic anonymous to meet at the hospital They collaorated through community and EMS meetings to provide education regarding narcan for community members and health care professionals and to provide narcan free of charge through the Project Dawn program.. Obesity and diabetes They conducted fitness screenings in the community such as body composition analysis, flexibility testing, grip strength and blood pressure. The hospital dietician offered a health program emphasizing proper nutrition, the importance of exercise, and the benefits of smoking cessation. They offered community wellness program on topics pertinent to community members. The offered free pickleball in St. Clairsville and Belmont.. Mental Health They developed a referral brochure including mental health resources in service area which can be provided to patients and family members. Additionally, referred to Crossroads Counseling when a drug or mental health issues arrose in ER. They educated clinical staff as to the role a hospitals medical social worker can play in assisting with appropriate referrals for counseling and in assisting in psychiatric placements when warranted. They educated community on services available at Barnesville Hospital via new brochures and active promotion from our clinical leadership.. Other The provided a heart screening and blood work for community members. They provided education to the community and schools about Covid-19. They helped with community vaccination clinics.. |
| Group Barnesville Hospital Association Inc. Line Part V, Section B, Line 13b | Barnesville Hospital offers discounted care only to individuals who qualify for free care. Barnesville 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 meed certain requirements. |
| Group Barnesville Hospital Association Inc. Line Part V, Section B, Line 24 | All patients are charged an amount equal to gross charges regardless of payment method. Once FAP eligibility is confirmed, charge amounts are moved to Charity Care and no longer charged to the patient. |
Supplemental Information Detail SupplementalInformationDetail (22 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I Line 3c | Barnesville Hospital uses 200 Federal Poverty Guideline FPG to determine free care eligibility. However, Barnesville does not offer discounted care to individuals who fail the 200 FPG test. |
| Part I Line 6a | Barnesville Hospital joined the West Virginia United Health System in April 2021, their community benefit information is reported in total with other System entities. This report can be found online at https//wvumedicine.org/about/leadership-and-more/community-benefit/ |
| Part I Line 7 | Total community benefit expense for 2021 is 8,106,571 and is 43.81 of total net expenses. To calculate net expense, bad debt of 957,773 was deducted from total expenses of 19,463,635 as shown in Part IX line 25 of the core Form 990, for a net expense of 18,505,862. |
| Part I Line 7 | Worksheet 2 from the IRS Schedule H instructions was used to derive the Cost-to-Charge ratio, which was used to calculate Charity Care, Unreimbursed Medicaid and other means-tested government programs at cost. |
| Part I Line 7 | Barnesvile Hospital Association included costs attributable to a physician clinic Belmont Professional Associates as subsidized health services on line 7g. For 2021, the amount of calculated net community benefit was 1,431,490. |
| Part III Line 2 | Bad Debt Expense at cost was calculated by multiplying bad debt expense of 957,773 by our cost to charge ratio of 40.14 for a total of 384,450. |
| Part III Line 3 | Estimated bad debt attributable to patients eligible for charity care was calculated by multiplying the bad debt at cost calcuated for line 2 by 15. |
| Part III Line 3 | The estimated bad debt attributable to patients eligible for charity care of 57,66 should be considered community benefit due to the fact that most paitents in our PSA that end up in bad debt frequently have suffered something catastrophic and would qualify for charity care if the patient completes the application process. |
| Part III Line 3 | In our charity care policy, we define catastrophic care as any illness or injury that will likely require continuous or frequent treatment for more than one year. Regardless, that bad debt should be considered community benefit as we provide services to those in need regardless of their ability to pay. |
| Part III Line 4 | Barnesvilles financial statements are prepared on a consolidated basis as a member of the WV United Health System. The footnote for Accounts Receivable is as follows Patient accounts receivable are reported at net realizable value. For accounts receivable associated with services provided to patients who have third-party coverage, the System estimates net realizable value based on the estimated contractual reimbursement percentage, which in turn is based on current contract provisions and historical paid claims by payor. For self-pay accounts, including uninsured and patient responsibility accounts, the net realizable value is determined using historical collection experience, adjusted for estimated conversions of patient responsibility portions, expected recoveries and changes in trends to estimate implicit price concessions. Management continually reviews the estimated net realizable value of accounts receivable by monitoring cash collections, economic conditions and trends, changes in payor mix, changes in federal or state healthcare coverage and other matters. |
| Part III Line 4 | The System grants credit without collateral to its patients, most of whom are local residents, and are insured under third-party payor agreements, primarily with Medicare, Medicaid and various commercial insurance companies. The System records accounts receivable net of estimated prince concessions and such amounts have historically been within managements expectations. |
| Part III Line 4 | The mix of accounts receivable at December 31, 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 8 | The amount reported in Part III Line 6 20,661 was calculated using the total Medicare allowable cost from the Medicare cost report, less Medicare allowable costs of 4,703,055 reported under subsidized health care services. |
| Part III Line 8 | Surplus/Shortfall Barnesville Hospital serves an aging community and they deserve the best care available even though we have to suplement costs. |
| Part III Line 9b | Barnesville does have a debt collection policy. When a patient has been approved for financial assistance under our charity care policy, they will not be sent to bad debt. Additionally, if a patient is being evaluated for charity, the patient will not be sent to bad debt agency pending charity guarantor status until the pending status has been finalized approved/denied. All other patients with outstanding balances will be processed through billing and collections pursuant to our Financial Policy. |
| Part VI Line 2 | We go into the community and perform surveys for needs assessment. We also get input from area physicians, patients, staff and other business facilities. |
| Part VI Line 3 | The patient financial counselor meets with anyone that presents if they do not have insurance. We also have it on our website and posted in the hospital. Our staff goes into the community and speaks to different organizations about our charity and free care policies telling them what is available. A financial form is given to each self-pay patient that registers and the financial counselors telephone number is on all invoices to the patients. |
| Part VI Line 4 | Barnesville Hospital is located in an economically depressed Appalachian area in Southeastern Ohio. We serve several counties and the county to the south of us has no hospital. It is an aging community with a lot of residents under the federal poverty level. We have little industry with the hospital being the largest employer in the community and the schools being the second largest. |
| Part VI Line 5 | Our board consists of community members and the majority of our medical staff are from the community. It is very important to Barnesville Hospital to promote the health of the community by organizing community health screenings and education for our community. We have an aging community and every effort is made to assist them with their healthcare needs. |
| Part VI Line 6 | Barnesville Hospital Association, 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 6 | System management is focused on recruitment of staff and employees to meet the growing needs of the aging population in the Systems service areas. Other hospitals in the System include West Virginia University Hospitals, Inc. in Morgantown, WV, United Hospital Center in Bridgeport, WV, Camden-Clark Memorial Hospital in Parkersburg, WV, City Hospital, Inc. in Martinsburg, WV, Jefferson Memorial Hospital in Ranson, WV, Potomac Valley Hospital in Keyser, WV, Reynolds Memorial Hospital, in Glen Dale, WV, West Virginia Health Care Cooperative, doing business as, Summersville Regional Medical Center in Summersville, WV, Braxton County Memorial Hospital in Gassaway, WV, Community Health Association, doing business as, Jackson General Hospital in Ripley, WV, St. Josephs Hospital of Buckhannon in Buckhannon, WV, Wetzel County Hospital, Inc. in New Martinsville, WV, Uniontown Hospital in Uniontown, PA, Wheeling Hospital, Inc. in Wheeling, WV and Harrison Community Hospital, Inc. in Cadiz, OH. |
| Part VI Line 6 | In addition to the above mentioned hospitals, the System includes physician practices of United Physicians Care, Inc., Camden-Clark Physician Corp, and Fayette Physician Network dba WVUHS Medical Group that operate in conjunction with the System hospitals along with United Summit Center, Inc. a behavioral health center located in Clarksburg, WV. The System also includes, WVUH-East, Inc. and Camden-Clark Health Services, Inc. which operate as management companies for their respective hospitals. University Healthcare Foundation, Inc. in Martinsburg, WV, United Health Foundation, Inc. in Bridgeport, WV, Camden-Clark Foundation, Inc. in Parkersburg, WV, St. Josephs Foundation of Buckhannon, Inc. in Buckhannon, WV, Reynolds Memorial Foundation, Inc. in Glen Dale, WV, Barnesville Hospital Foundation in Barnesville, OH, and Harrison Community Hospital Foundation in Cadiz, OH which perform various fundraising activities for their respective hospitals. In 2020, the System formed WVUHS Home Care, LLC to provide Home Health and Hospice services to our service areas, supporting System hospitals by providing continuous care to our patients. Wheeling Hospital Ambulatory Surgical Center, LLC a surgical center located in Bridgeport, OH was acquired in 2021. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| James Comerci MD | ||||||||||||
| Board Member | $350,950 | $159,468 | $6,858 | $2,900 | $20,527 | $540,703 | ||||||
| Douglass Harrison | ||||||||||||
| Board Member | $453,315 | $279,933 | $21,368 | $79,697 | $10,901 | $845,214 | ||||||
| David Phillips | ||||||||||||
| President/CEO | $70,537 | $12,643 | $1,275 | $10,614 | $10,521 | $105,590 | $117,562 | $21,072 | $2,125 | $17,689 | $17,535 | $175,983 |
| Shaun Roe DO | ||||||||||||
| Board Member/Physician | $283,706 | $3,618 | $35,124 | $322,448 | ||||||||
| Amy Perry | ||||||||||||
| Director of Pharmacy | $153,075 | $500 | $2,382 | $18,130 | $174,087 | |||||||
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I Line 4b | FormAndLineReferenceDesc |
| Explanation | The following individuals received deferred compensation contributions in 2021 - Douglass Harrison in the amount of 68,613 and David Phillips in the amount of 19,531. These amounts are properly recorded in deferred compensation on the Form 990 Schedule J. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section B, Line 11b | The Form 990 is prepared by the West Virginia United Health System tax team utilizing data provided by the hosptial CFO. The CFO reviews the return prior to presentation of the 990 to the hospital Finance Committte. The 990 is the provided to the Board of Directors by a representative of the Finance Committee prior to filing. |
| Form 990, Part VI, Section B, Line 12c | The written conflict of interest policy is regularly and consistently monitored and compliance enforced by the corporate compliance officer who reports to the board. The scope of this policy includes all employees plus contracted employees and board members. The policy is in place to define situations that might occur and could result in a conflict of interest between an employee or board member and the hospital. The covered persons are to refrain from soliciting hospital patients, physicians, staff, etc. or anything that could result in a personal gain for the employee or board member or their immediate families. A self disclousure from covered persons to the corporate compliance officer is required on any potential conflicts of interest. The covered persons are to recuse themselves from participating in any deliberation or decisions on such transactions. The corporate compliance officer will review/research the conflicts disclosed. |
| Form 990, Part VI, Section B, Line 15 | The compensation of the CEO is determined by the WV United Health System Compensation Committee based upon a salary and benefit survey prepared by an independent company using data of comparable facilities. This information is provided to the compensation committee which is made up of independent board members who are then responsible for setting the compensation packages offered to each executive, ensuring that the compensation package does not exceed fair market value based on the data from the consultant group. The minutes of the compensation committee are contemporaneously documented and retained. A full compensation survey was completed in 2020 for 2021 compensation amounts. |
| Form 990, Part VI, Section C, Line 19 | The 990 is the only document made available to the public. If anyone wants to review the 990 they may contact the administrative office in person, by telephone or mail. We will make the douments available at that time. If the person presents in person we will try to accomodate them that day. |
| Form 990, Part XII, Line 2c | Effective April 1, 2021, Barnesville Hospital Association became a member of the West Virginia United Health System. As a member of the System, Barnesville was included in the consolidated audit prepared by the System independent auditors. The auditors and System accounting team work closely with each entity in preparing for and completing the audit. |
| Form 990, Part XI, Line 9 | Changes in net assets include 1,042,719 of related organization capitalization, 454,569 resulting from the merger of Barnesville Hospital Foundation and Barnesville Professional Associates, Inc. into Barnesville Hospital Association, and 3 rounding. |
| Form 990, Part IX, Line 11g | Line 11g consists of the following expenses Consulting Professional fees of 2,048,101 of which 1,156,133 is considered program service expense and 891,968 is considered management and general expenses Contracted Labor of 1,327,485 of which all is considered program service expense and Collection Agency Fees of 67,230 all of which are considered program service expense. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (34 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Belmont Professional Associates Inc | |||||||||||
| 639 W Main St | Barnesville | OH | 43713 | 311352493 | Physician Practice | OH | 501c3 | Line 3 | Barnesville Hospital | Yes (true) | |
| WV United Health System | |||||||||||
| PO Box 8034 | Morgantown | WV | 26506 | 550754713 | Healthcare Access | WV | 501c3 | 12 Type I | false | N/A | |
| University Healthcare Foundation Inc | |||||||||||
| 121 Administrative Drive | Martinsburg | WV | 25401 | 311118075 | Hospital Support | WV | 501c3 | 12 Type I | West Virginia University Hospitals Inc | false | |
| United Physicians Care Inc | |||||||||||
| 686 South Pike Street | Shinnston | WV | 26431 | 550638563 | Patient Care | WV | 501c3 | Line 3 | United Hospital Center Inc | false | |
| United Health Foundation Inc | |||||||||||
| 327 Medical Park Drive | Bridgeport | WV | 26330 | 550621706 | Hospital Support | WV | 501c3 | 12 Type I | United Hospital Center Inc | false | |
| United Summit Center | |||||||||||
| 6 Hospital Plaza | Clarksburg | WV | 26301 | 550752788 | Behavioral Health | WV | 501c3 | Line 3 | West Virginia University Hospitals Inc | false | |
| Camden-Clark Health Services Inc | |||||||||||
| 800 Garfield Ave | Parkersburg | WV | 26101 | 550769602 | Healthcare Access | WV | 501c3 | 12 Type I | WV United Health System | false | |
| Camden-Clark Foundation | |||||||||||
| 800 Garfield Ave | Parkersburg | WV | 26101 | 550667789 | Hospital Support | WV | 501c3 | Line 7 | Camden-Clark Health Services | false | |
| Camden-Clark Physician Corp | |||||||||||
| 604 Ann Street | Parkersburg | WV | 26101 | 264058719 | Patient Care | WV | 501c3 | Line 3 | Camden-Clark Health Services | false | |
| West Virginia University Hospitals Inc | |||||||||||
| PO Box 8034 | Morgantown | WV | 26506 | 550643304 | Patient Care | WV | 501c3 | Line 3 | WV United Health System | false | |
| West Virginia University Hospitals East | |||||||||||
| 121 Administrative Drive | Martinsburg | WV | 25401 | 202337985 | Healthcare Access | WV | 501c3 | 12a | West Virginia University Hospitals Inc | false | |
| City Hospital Inc | |||||||||||
| 2500 Foundation Way | Martinsburg | WV | 25401 | 550383321 | Patient Care | WV | 501c3 | 12 Type I | West Virginia University Hospitals - East Inc | false | |
| Jefferson Memorial Hospital | |||||||||||
| 300 South Preston St | Martinsburg | WV | 25401 | 550359755 | Patient Care | WV | 501c3 | Line 3 | West Virginia University Hospitals - East Inc | false | |
| United Hospital Center Inc | |||||||||||
| 327 Medical Park Drive | Bridgeport | WV | 26330 | 550525724 | Patient Care | WV | 501c3 | Line 3 | WV United Health System | false | |
| West Virginia Health Care Cooperative Inc | |||||||||||
| 55-0525724 | Summersville | WV | 26651 | 550650441 | Patient Care | WV | 501c3 | Line 3 | West Virginia University Hospitals Inc | false | |
| Camden-Clark Memorial Hospital | |||||||||||
| 800 Garfield Ave | Parkersburg | WV | 26101 | 311524546 | Patient Care | WV | 501c3 | Line 3 | Camden-Clark Health Services | false | |
| Potomac Valley Hospital of W Va Inc | |||||||||||
| 100 Pin Oak Lane | Keyser | WV | 26726 | 550420956 | Patient Care | WV | 501c3 | Line 3 | West Virginia University Hospitals Inc | false | |
| St Joseph's Hospital of Buckhannon Inc | |||||||||||
| 1 Amalia Drive | Buckhannon | WV | 26201 | 550356996 | Patient Care | WV | 501c3 | Line 3 | WV United Health System | false | |
| St Joseph's Foundation of Buckhannon Inc | |||||||||||
| 1 Amalia Drive | Buckhannon | WV | 26201 | 550727650 | Hospital Support | WV | 501c3 | 12 Type II | St Joseph's Hospital of Buckhannon Inc | false | |
| Reynolds Memorial Hospital Inc | |||||||||||
| 800 Wheeling Ave | Glen Dale | WV | 26038 | 550357045 | Patient Care | WV | 501c3 | Line 3 | West Virginia University Hospitals Inc | false | |
| Reynolds Memorial Foundation | |||||||||||
| 800 Wheeling Ave | Glen Dale | WV | 26038 | 550710402 | Hospital Support | WV | 501c3 | 12 Type I | Reynolds Memorial Hospital Inc | false | |
| Braxton County Memorial Hospital | |||||||||||
| 100 Hoylman Drive | Gassaway | WV | 26624 | 550611919 | Patient Care | WV | 501c3 | Line 3 | West Virginia University Hospitals Inc | false | |
| Community Health Association | |||||||||||
| 122 Pinnell Street | Ripley | WV | 25271 | 550462730 | Patient Care | WV | 501c3 | Line 3 | West Virginia University Hospitals Inc | false | |
| Wetzel County Hospital Inc | |||||||||||
| 3 East Benjamin Drive | New Martinsville | WV | 26155 | 843480493 | Patient Care | WV | 501c3 | Line 3 | West Virginia University Hospitals Inc | false | |
| WVUHS Home Care LLC | |||||||||||
| PO Box 8059 | Morgantown | WV | 26506 | 852915642 | Home Health and Hospice Care | WV | 509a2 | WV United Health System | false | ||
| Uniontown Hospital | |||||||||||
| 500 West Berkeley Street | Uniontown | PA | 15401 | 250965588 | Patient Care | PA | 501c3 | Line 3 | West Virginia University Hospitals Inc | false | |
| Fayette Physician Network | |||||||||||
| 500 West Berkeley Street | Uniontown | PA | 15401 | 455440305 | Patient Care | PA | 501c3 | Line 3 | Wheeling Hospital Inc | false | |
| Fayette Regional Health System | |||||||||||
| 500 West Berkeley Street | Uniontown | PA | 15401 | 251451183 | Healthcare Access | PA | 501c3 | 12 Type II | false | N/A | |
| Wheeling Hospital Inc | |||||||||||
| 1 Medical Park | Wheeling | WV | 26003 | 550357057 | Patient Care | WV | 501c3 | Line 3 | WV United Health System | false | |
| Harrison Community Hospital | |||||||||||
| 951 E Market Street | Cadiz | OH | 43907 | 341571750 | Patient Care | OH | 501c3 | Line 3 | Wheeling Hospital Inc | false | |
| Harrison Community Hospital Foundation | |||||||||||
| 951 E Market Street | Cadiz | OH | 43907 | 341571749 | Hospital Support | OH | 509a2 | 12 Type II | Wheeling Hospital Inc | false | |
| Belmont Community Hospital | |||||||||||
| 4697 Harrison Street | Bellaire | OH | 43906 | 340714643 | Patient Care | OH | 501c3 | Line 3 | Wheeling Hospital Inc | false | |
| Medical Park Foundation | |||||||||||
| 1 Medical Park | Wheeling | WV | 26003 | 550744690 | Church | WV | 501c3 | Line 1 | Wheeling Hospital Inc | false | |
| Self Insurance Trust Agreement of Wheeling Hospital Inc | |||||||||||
| 1 Medical Park | Wheeling | WV | 26003 | 550676674 | Insurance | WV | 501c3 | 12 Type II | false | N/A | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Allied Health Sourcing Solutions | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 8034 | AddressLine1Txt |
| City | Morgantown | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26506 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 842403526 | EIN |
| Primary Activities | Supply Chain Management | PrimaryActivitiesTxt |
| Legal Domicile State | WV | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| General Or Managing Partner | false | GeneralOrManagingPartnerInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Belmont Co Health Services Inc | ||||||||||
| 639 W Main St | Barnesville | OH | 43713 | 341566526 | Retail Pharmacy | OH | Barnesville Hospita | C Corp | 1.00000 | Yes (true) |
| Allied Health Services Inc | ||||||||||
| PO Box 782 | Morgantown | WV | 26507 | 550652017 | Medical Lab | WV | West Virginia United Health System | C Corp | false | |
| West Virginia United Insurance Services | ||||||||||
| 3040 University Avenue Suite 3200 | Morgantown | WV | 26505 | 550756055 | Provider Network | WV | West Virginia United Health System | C Corp | false | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Belmont Professional Associates | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | b | TransactionTypeTxt |
| Involved | $677,207 | InvolvedAmt |
| Method Of Amount Determination | Cash Value | MethodOfAmountDeterminationTxt |