FAYETTE PHYSICIAN NETWORK INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- FAYETTE PHYSICIAN NETWORK INC (EIN 45-5440305)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-15
- IRS object ID
- 202243199349306304
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-15T10:23:17-00:00 | 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 | 455440305 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Fayette Physician Network Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % Jay Jones | InCareOfNm |
| Business Name Control | FAYE | BusinessNameControlTxt |
| Phone | 3049743408 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 Medical Center PO Box 8040 | AddressLine1Txt |
| City | Morgantown | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26506 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jay Jones | PersonNm |
| Person Title | Director of Accounting | PersonTitleTxt |
| Phone | 3042821611 | PhoneNum |
| Signature | 2022-11-14 | SignatureDt |
| Discuss With Paid Preparer | false | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Jay | PersonFirstNm |
| Person Last | Jones | 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 | WVUHS Medical Group | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Michael Grace | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 8059 | AddressLine1Txt |
| City | Morgantown | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26506 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $30,641,232 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | uniontownhospital.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2012 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | Fayette Physician Network, Inc. owns and operates physician practices that provide healthcare services primarily to the residents of Fayette County Pennsylvania and the surrounding areas. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 175 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $4,217,040 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $30,594,628 | CYProgramServiceRevenueAmt |
| PY Investment Income | $704 | PYInvestmentIncomeAmt |
| CY Investment Income | -$13,629 | CYInvestmentIncomeAmt |
| PY Other Revenue | $39,690 | PYOtherRevenueAmt |
| CY Other Revenue | $60,233 | CYOtherRevenueAmt |
| PY Total Revenue | $4,257,434 | PYTotalRevenueAmt |
| CY Total Revenue | $30,641,232 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,354,878 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $17,920,768 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,507,897 | PYOtherExpensesAmt |
| CY Other Expenses | $12,678,869 | CYOtherExpensesAmt |
| PY Total Expenses | $8,862,775 | PYTotalExpensesAmt |
| CY Total Expenses | $30,599,637 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$4,605,341 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $41,595 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,959,541 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,531,688 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,853,221 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,490,093 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$893,680 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $41,595 | NetAssetsOrFundBalancesEOYAmt |
| Mission | The Fayette Physician Networks vision is to make a healthy difference in the lives we touch. We will fulfill our vision by providing excellent customer service, promoting teamwork, maintaining competency, assuring productivity ensuring compliance, all the while, being mindful of our financial regulatory responsibilites. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $30,543,795 | ExpenseAmt |
| Revenue | $30,129,842 | RevenueAmt |
| Desc | Fayette Physician Network Inc. FPN iss a nonprofit corporation formed in July 2012. FPN was formed to own and operate physician practices that serve the patients of Fayette County Pennsylvania and the surrounding area. FPN has at all times since its formation been organized and operated for charitable purposes within the meaning of the Internal Revenue Code Section 501c3. During 2021, FPN operated 2 Primary Care Practices, a Surgical Practice, and a Cardiology Practice. FPN also provided inpatient Neurology, Otolaryngology, Anesthesia, and Intensivist services to patients within Uniontown Hospital, an affiliated organization. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $55,842 | ExpenseAmt |
| Revenue | $55,842 | RevenueAmt |
| Desc | Fayette Physician Network, Inc. received revenue from Uniontown Hospital, an affiliated organization, for the sharing of FPN paid employees related to staffing shortages caused by the Covid-19 Pandemic. FPN also received revenue from Uniontown Hospital from Medical Directorship services provided to the affiliated organization by FPN paid Physicians. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Revenue | $408,644 | RevenueAmt |
| Desc | Fayette Physician Network, Inc. received additional miscellaneous revenue related to the operations of the practice. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $30,599,637 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | 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 | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 19 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 109 | 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 | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | 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 | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | 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 | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jay Jones | PersonNm |
| Phone | 3042821611 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 Medical Center Drive Box 8040 | AddressLine1Txt |
| City | Morgantown | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26506 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 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 | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|---|---|
| Wright Albert | |||||||||
| Director | 001.00 | 039.00 | Yes (X) | $0 | $1,921,226 | $361,576 | |||
| Handy Steven | |||||||||
| Former CEO Uniontown/Board Secretary | $0 | $902,024 | $252 | Yes (X) | |||||
| Hess David | |||||||||
| Director | 001.00 | 039.00 | Yes (X) | $0 | $530,221 | $111,635 | |||
| Vanek Josef | |||||||||
| Physician | 040.00 | $588,595 | $0 | $32,768 | Yes (X) | ||||
| Ball Brandon | |||||||||
| Physician | 040.00 | $559,289 | $0 | $32,102 | Yes (X) | ||||
| Felix Sherif | |||||||||
| Physician | 040.00 | $553,559 | $0 | $27,411 | Yes (X) | ||||
| Moss Earl | |||||||||
| Physician | 040.00 | $534,035 | $0 | $26,991 | Yes (X) | ||||
| Pressman Ari | |||||||||
| Physician | 040.00 | $515,640 | $0 | $17,129 | Yes (X) | ||||
| Koehler Brandon | |||||||||
| VP of Finance - Provider Network Services | 005.00 | 035.00 | $0 | $273,977 | $33,659 | Yes (X) | |||
| Grace Michael | |||||||||
| President/CEO starting Aug 2021 | 020.00 | 020.00 | Yes (X) | $0 | $210,190 | $83,623 | Yes (X) | ||
| Rogers Darin | |||||||||
| Vice Chairperson | 001.00 | 002.00 | Yes (X) | $0 | $219,197 | $48,860 | Yes (X) | ||
| Weiss Barbara | |||||||||
| Treasurer | 004.00 | 036.00 | Yes (X) | $0 | $219,912 | $25,893 | Yes (X) | ||
| Charlton Judie | |||||||||
| Chairperson/Executive Director | 004.00 | 001.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Marshall Thomas | |||||||||
| Secretary | 001.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,751,118 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,276,747 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $801,899 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 27 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Locumtenens Holdings LLC | |||||
| PO Box 405547 | Atlanta | GA | 303845547 | Locum Staffing Services | $1,451,169 |
| University Health Associate | |||||
| PO Box 740 | Morgantown | WV | 26507 | Contracted Physician Services/Billing Services | $1,426,231 |
| Comphealth | |||||
| PO Box 972651 | Dallas | TX | 753972651 | Locum Staffing Services | $605,480 |
| March-Westin Maryland | |||||
| 2313 Maryland Ave | Baltimore | MD | 21218 | Construction Services | $130,291 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 19 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Service Revenue | 621110 | $11,776,749 | $11,776,749 |
| COVID Relief Funds | 900099 | $28,112 | $28,112 |
| Hospital Support | 621110 | $8,887,844 | $8,887,844 |
| Contracted Services | 621110 | $9,493,279 | $9,493,279 |
| Quality Incentive Payments | 621110 | $408,644 | $408,644 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $30,594,628 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $814 | TotalRevenueColumnAmt |
| Exclusion | $814 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $4,391 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $4,391 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,391 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$14,443 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$14,443 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$14,443 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Intercompany Revenue | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $55,842 | TotalRevenueColumnAmt |
| Exclusion | $55,842 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $55,842 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $30,641,232 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $30,594,628 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $56,656 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,504,888 | TotalAmt |
| Program Services | $15,504,888 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,896,083 | TotalAmt |
| Program Services | $1,896,083 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $519,797 | TotalAmt |
| Program Services | $519,797 | ProgramServicesAmt |
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 | $429 | TotalAmt |
| Program Services | $429 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| 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 | $2,603,344 | TotalAmt |
| Program Services | $2,603,344 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $109,527 | TotalAmt |
| Program Services | $109,527 | ProgramServicesAmt |
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 | $185,157 | TotalAmt |
| Program Services | $185,157 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,671 | TotalAmt |
| Program Services | $52,671 | ProgramServicesAmt |
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 | $18,992 | TotalAmt |
| Program Services | $18,992 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,657 | TotalAmt |
| Program Services | $38,657 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,843,487 | TotalAmt |
| Program Services | $6,843,487 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $411,879 | TotalAmt |
| Program Services | $411,879 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $589,229 | TotalAmt |
| Program Services | $589,229 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| Provision for Doubtful Accounts | $1,104,512 | $1,104,512 |
| Medical Supplies | $393,027 | $393,027 |
| Recruiting | $28,222 | $28,222 |
| Taxes, Licenses, Fees | $48,945 | $48,945 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $250,791 | TotalAmt |
| Program Services | $250,791 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,599,637 | TotalAmt |
| Program Services | $30,599,637 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $510,065 | BOYAmt |
| EOY | $1,450 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $2,031,318 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $849,060 | BOYAmt |
| EOY | $675,759 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $93,559 | BOYAmt |
| EOY | $67,600 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $3,294,330 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,790,207 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $574,788 | BOYAmt |
| EOY | $1,504,123 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,198 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $917,871 | BOYAmt |
| EOY | $251,438 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,959,541 | BOYAmt |
| EOY | $4,531,688 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,720,439 | BOYAmt |
| EOY | $3,661,988 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $291,061 | BOYAmt |
| EOY | $84,381 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $841,721 | BOYAmt |
| EOY | $743,724 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,853,221 | BOYAmt |
| EOY | $4,490,093 | 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 | -$893,680 | BOYAmt |
| EOY | $41,595 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$893,680 | BOYAmt |
| EOY | $41,595 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,959,541 | BOYAmt |
| EOY | $4,531,688 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $41,595 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $893,680 | OtherChangesInNetAssetsAmt |
| 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 |
| Facts And Circumstances Test | Part I Section A Line 3 Although the organization qualifies as a hospital under IRC Section 170B1AIII as shown on Schedule A, Item 3, the organization does not qualify as a hospital for Schedule H reporting purposes. | FactsAndCircumstancesTestTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Incl Escrow Custodial Acct Liab | false | InclEscrowCustodialAcctLiabInd |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,329,623 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,025,066 | DepreciationAmt |
| Book Value | $304,557 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $891,839 | OtherCostOrOtherBasisAmt |
| Depreciation | $556,874 | DepreciationAmt |
| Book Value | $334,965 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,072,868 | OtherCostOrOtherBasisAmt |
| Depreciation | $208,267 | DepreciationAmt |
| Book Value | $864,601 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,504,123 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc |
|---|
| Financial derivatives and other financial products |
| Closely-held equity interests |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Goodwill and other Intangible | $251,438 |
| 2020 Balance Entry |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $251,438 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| Federal income taxes | |
| Leases Payable - Current | $16,650 |
| Long Term Lease liability | $600,926 |
| Capitalized Leases Payable - Non - Current | $26,148 |
| Self Insurance Liabilities | $100,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $743,724 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $29,538,990 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$1,102,242 | OtherRevenueAmt |
| Revenue Not Reported | -$1,102,242 | RevenueNotReportedAmt |
| Revenue Subtotal | $30,641,232 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $30,641,232 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $29,497,395 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $29,497,395 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $1,102,242 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $1,102,242 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $30,599,637 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 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 income. AHS and WVUIS are organizations subject to federal and/or state income taxes. The System does not have material uncertain tax positions as of December 31, 2021 and 2020. |
| XI 2d | The amount shown on line 2d consists of 1,102,242 provision for doubtful accounts reported as an offset to revenue on the financial statements. |
| XII 4b | The amount shown on line 4b consists of 1,102,242 provision for doubtful accounts reported as an offset to revenue on the financial statements. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (true) | 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 | Yes (true) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Vanek Josef | ||||||||||||
| Physician | $389,756 | $131,269 | $67,569 | $6,551 | $26,217 | $621,362 | ||||||
| Ball Brandon | ||||||||||||
| Physician | $411,744 | $54,325 | $93,221 | $8,642 | $23,460 | $591,392 | ||||||
| Felix Sherif | ||||||||||||
| Physician | $520,225 | $28,000 | $5,334 | $7,219 | $20,192 | $580,970 | ||||||
| Moss Earl | ||||||||||||
| Physician | $485,405 | $48,000 | $630 | $1,116 | $25,875 | $561,026 | ||||||
| Pressman Ari | ||||||||||||
| Physician | $396,951 | $50,000 | $68,688 | $7,933 | $9,197 | $532,769 | ||||||
| Wright Albert | ||||||||||||
| Director | $1,347,412 | $531,488 | $42,326 | $333,738 | $27,838 | $2,282,802 | ||||||
| Weiss Barbara | ||||||||||||
| Treasurer | $217,694 | $2,218 | $9,900 | $15,993 | $245,805 | |||||||
| Hess David | ||||||||||||
| Director | $397,439 | $116,343 | $16,440 | $84,103 | $27,532 | $641,857 | ||||||
| Grace Michael | ||||||||||||
| President/CEO starting Aug 2021 | $209,665 | $525 | $75,000 | $8,623 | $293,813 | |||||||
| Rogers Darin | ||||||||||||
| Vice Chairperson | $184,318 | $32,509 | $2,370 | $34,763 | $14,097 | $268,057 | ||||||
| Handy Steven | ||||||||||||
| Former CEO Uniontown/Board Secretary | $8,077 | $57,613 | $836,334 | $242 | $10 | $902,276 | ||||||
| Koehler Brandon | ||||||||||||
| VP of Finance - Provider Network Services | $230,946 | $38,642 | $4,389 | $32,724 | $935 | $307,636 | ||||||
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I Line 4b | During 2021, certain individuals reported in Part VII participated in a nonqualified retirement plan. The following is a list of those individuals, plan types and amounts. |
| Part I Line 4b | During 2021, the following individuals were able to defer compensation under a nonqualified plan. The amounts reported here are included in Part II Column C of the Schedule J. Darin Rogers received deferred contributions of 28,238 Albert Wright received deferred contributions of 320,688 Brandon Koehler received deferred contributions of 23,216 David Hess received deferred contributions of 71,053 and Michael Grace received deferred contributions of 75,000. Column C can and does include amounts that were contributed as a part of the standard retirement package if it was available to the employee during the year. |
| Part I Line 4a | Steven Handy received 826,118 in severance pay from Uniontown Hospital in 2021. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, Line 6 | The sole member of Fayette Physician Network, Inc. FPN is FPNs parent company, Fayette Regional Health System, a PA non-profit corporation. |
| Form 990, Part VI, Section A, Line 7a 7b | The sole member has power to a elect all of the Directors except ex-officio Directors of the Corporation b remove at any time one or more of the Directors except ex-officio Directors and/or officers of the Corporation without cause c approve all capital and operating budgets of the Corporation and amendments thereto d approve all fundamental transactions of the Corporation, including without limitation, any amendments to Articles of the Corporation and any merger, consolidation, division, transfer of all or substantially all assets, dissolution, or liquidation of the Corporation e approve any and all amendments of the Bylaws of the Corporation and f approve and/or take any other actions as are reserved to the Sole Member by virtue of these Bylaws or any resolutions enacted by the Corporation from time to time or as required of the Sole Member by virtue of its status as sole member of the Corporation. The Sole Member of the Corporation may initiate any such actions and/or amendments listed in c - f above, provided however, that any such actions and/or amendments must be approved by the Corporation and Sole member prior to its implementation. The Corporation shall not unreasonably withhold its approval for any action and/or change recommended by the Sole Member. |
| Form 990, Part VI, Section B, Line 11b | The 990 is presented to all voting members of the Finance and Audit Committee of the organizations parent for review. After review by the Finance and Audit Committe, a full copy of the 990 is made available to the entire Board of the Corporation. |
| Form 990, Part VI, Section B, Line 12c | The Business Ethics department of the parent organization periodically reviews all potential conflicts, transactions and relationships to see if substantive. All potential conflicts are reviewed by the Business Ethics department and the concept is covered during annual training. The department will report actual or possible conflicts to the FRHS Executive Committee of the Board for evaluation The Committee shall determine whether a conflict exists. The Committee is empowered to take corrective action as necessary, including refraining from participation in certain Board decisions. |
| Form 990, Part VI, Section C, Line 19 | The organizations governing documents, conflicts of interest policy and financial statements are available by contacting the CEOs office or the Finance department. A copy will be mailed upon request. |
| Form 990, Part XI, Line 9 | Other changes in net assets is comprised of 893,680 increase in net assets resulting from fund transfers in from parent/subsidiary. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (33 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Fayette Regional Health System | |||||||||||
| 500 W Berkeley Street | Uniontown | PA | 15401 | 251451183 | Healthcare Management | PA | 501c3 | 12 Type II | N/A | false | |
| Uniontown Hospital | |||||||||||
| 500 W Berkeley Street | Uniontown | PA | 15401 | 250965588 | Healthcare | PA | 501c3 | 3 | Yes (true) | Fayette Regional Health System | |
| Camden-Clark Health Services Inc | |||||||||||
| 800 Garfield Avenue | Parkersburg | WV | 26101 | 550769602 | Healthcare Access | WV | 501c3 | 12 Type I | false | West Virginia United Health System | |
| Camden-Clark Memorial Hospital Corporation | |||||||||||
| 800 Garfield Avenue | Parkersburg | WV | 26101 | 311524546 | Patient Care | WV | 501c3 | 3 | false | Camden-Clark Health Services Inc | |
| Camden-Clark Foundation Inc | |||||||||||
| 800 Garfield Avenue | Parkersburg | WV | 26101 | 550667789 | Hospital Support | WV | 501c3 | 7 | false | Camden-Clark Health Services Inc | |
| WV United Health System | |||||||||||
| PO Box 8034 | Morgantown | WV | 26506 | 550754713 | Healthcare Access | WV | 501c3 | 12 Type I | N/A | false | |
| West Virginia University Hospitals Inc | |||||||||||
| PO Box 8034 | Morgantown | WV | 26506 | 550643304 | Patient Care | WV | 501c3 | 3 | false | West Virginia United Health System | |
| West Virginia University Hospitals East | |||||||||||
| 121 Administrative Drive | Martinsburg | WV | 25401 | 202337985 | Healthcare Access | WV | 501c3 | 12 Type I | false | West Virginia University Hospitals Inc | |
| City Hospital Inc | |||||||||||
| 2500 Foundation Way | Martinsburg | WV | 25401 | 550383321 | Patient Care | WV | 501c3 | 3 | false | West Virginia University Hospitals East | |
| Jefferson Memorial Hospital | |||||||||||
| 300 S Preston St | Ranson | WV | 25438 | 550359755 | Patient Care | WV | 501c3 | 3 | false | West Virginia University Hospitals East | |
| University Healthcare Foundation | |||||||||||
| 121 Administrative Drive | Martinsburg | WV | 25401 | 311118075 | Hospital Support | WV | 501c3 | 12 Type I | false | West Virginia University Hospitals Inc | |
| United Hospital Center Inc | |||||||||||
| 327 Medical Park Drive | Bridgeport | WV | 26330 | 550525724 | Patient Care | WV | 501c3 | 3 | false | West Virginia United Health System | |
| United Physicians Care Inc | |||||||||||
| 686 South Pike Street | Shinnston | WV | 26431 | 550638563 | Patient Care | WV | 501c3 | 3 | false | United Hospital Center Inc | |
| United Health Foundation | |||||||||||
| 327 Medical Park Drive | Bridgeport | WV | 26330 | 550621706 | Hospital Support | WV | 501c3 | 12 Type I | false | United Hospital Center Inc | |
| West Virginia Health Care Cooperative Inc | |||||||||||
| 400 Fairview Heights Rd | Summersville | WV | 26551 | 550650441 | Patient Care | WV | 501c3 | 3 | false | West Virginia University Hospitals Inc | |
| United Summit Center Inc | |||||||||||
| 6 Hospital Plaza | Clarksburg | WV | 26301 | 550752788 | Patient Care | WV | 501c3 | 3 | false | West Virginia University Hospitals Inc | |
| Potomac Valley Hospital of WVa Inc | |||||||||||
| 100 Pin Oak Lane | Keyser | WV | 26726 | 550420956 | Patient Care | WV | 501c3 | 3 | false | West Virginia University Hospitals Inc | |
| St Joseph's Hospital of Buckhannon Inc | |||||||||||
| 1 Amalia Drive | Buckhannon | WV | 26201 | 550356996 | Patient Care | WV | 501c3 | 3 | false | West Virginia United Health System | |
| Reynolds Memorial Hospital Inc | |||||||||||
| 800 Wheeling Ave | Glen Dale | WV | 26038 | 550357045 | Patient Care | WV | 501c3 | 3 | false | West Virginia University Hospitals Inc | |
| Reynolds Memorial Foundation | |||||||||||
| 800 Wheeling Ave | Glen Dale | WV | 26038 | 550710402 | Hospital Support | WV | 501c3 | 12 Type I | false | Reynolds Memorial Hospital Inc | |
| St Josephs Foundation of Buckhannon | |||||||||||
| 1 Amalia Drive | Buckhannon | WV | 26201 | 550727650 | Hospital Support | WV | 501c3 | 12 Type II | false | St Joseph's Hospital of Buckhannon Inc | |
| Braxton County Memorial Hospital | |||||||||||
| 100 Hoylman Drive | Gassaway | WV | 26624 | 550611919 | Patient Care | WV | 501c3 | 3 | false | West Virginia University Hospitals Inc | |
| Community Health Association | |||||||||||
| 122 Pinnell Street | Ripley | WV | 25271 | 550462730 | Patient Care | WV | 501c3 | 3 | false | West Virginia University Hospitals Inc | |
| Wetzel County Hospital Inc | |||||||||||
| 3 E Benjamin Drive | New Martinsville | WV | 26155 | 843480493 | Patient Care | WV | 501c3 | 3 | false | West Virginia University Hospitals Inc | |
| WVUHS Home Care LLC | |||||||||||
| PO Box 8059 | Morgantown | WV | 26506 | 852915642 | Home Health and Hospice | WV | 509a2 | false | West Virginia United Health System | ||
| Uniontown Hospital | |||||||||||
| 500 West Berkeley Street | Uniontown | PA | 15401 | 250965588 | Patient Care | PA | 501c3 | 3 | false | West Virginia University Hospitals Inc | |
| Wheeling Hospital Inc | |||||||||||
| 1 Medical Park | Wheeling | WV | 26003 | 550357057 | Patient Care | WV | 501c3 | 3 | false | WV United Health System | |
| Harrison Community Hospital | |||||||||||
| 951 E Market Street | Cadiz | OH | 43907 | 341571750 | Patient Care | OH | 501c3 | 3 | false | Wheeling Hospital Inc | |
| Harrison Community Hospital Foundation | |||||||||||
| 951 E Market Street | Cadiz | OH | 43907 | 341571749 | Hospital Support | OH | 509a2 | 12 Type II | false | Wheeling Hospital Inc | |
| Barnesville Hospital Association | |||||||||||
| 639 W Main Street | Barnesville | OH | 43713 | 340719172 | Patient Care | OH | 501c3 | 3 | false | WV United Health System | |
| Belmont Community Hospital | |||||||||||
| 4697 Harrison Street | Bellaire | OH | 43906 | 340714643 | Patient Care | OH | 501c3 | 3 | false | Wheeling Hospital Inc | |
| Medical Park Foundation | |||||||||||
| 1 Medical Park | Wheeling | WV | 26003 | 550744690 | Church | WV | 501c3 | 1 | false | Wheeling Hospital Inc | |
| Self Insurance Trust Agreement of Wheeling Hospital Inc | |||||||||||
| 1 Medical Park | Wheeling | WV | 26003 | 550676674 | Insurance | WV | 501c3 | 12 Type I | N/A | false | |
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 (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| Allied Health Services Inc | |||||||||
| PO Box 782 | Morgantown | WV | 26507 | 550652017 | Medical Lab | WV | WV United Health System | C Corp | false |
| West Virginia United Insurance Services | |||||||||
| 3040 University Avenue Suite 3200 | Morgantown | WV | 26505 | 550756055 | Provider Network | WV | WV 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 | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | 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 | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |