2022-11-15T10:23:17-00:00 2021-12-31 990 2021-01-01 455440305 Fayette Physician Network Inc % Jay Jones FAYE 3049743408 1 Medical Center PO Box 8040 Morgantown WV 26506 Jay Jones Director of Accounting 3042821611 2022-11-14 false Jay Jones XXX-XX-XXXX AAL1 IAL1 2021 2022-09-23 18:48:47Z WVUHS Medical Group Michael Grace PO Box 8059 Morgantown WV 26506 30641232 false X uniontownhospital.com X 2012 PA 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. 7 0 175 0 0 4217040 30594628 704 -13629 39690 60233 4257434 30641232 0 0 5354878 17920768 0 0 3507897 12678869 8862775 30599637 -4605341 41595 2959541 4531688 3853221 4490093 -893680 41595 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. false false 30543795 30129842 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. 55842 55842 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. 408644 Fayette Physician Network, Inc. received additional miscellaneous revenue related to the operations of the practice. 30599637 true false false false false false false false false false true false false true true false false false false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 19 0 true 109 true false false false false false false false false false false false false X 7 0 false false false false true true true true true false false true true true true true true false false false Jay Jones 3042821611 1 Medical Center Drive Box 8040 Morgantown WV 26506 Wright Albert Director 001.00 039.00 X 0 1921226 361576 Handy Steven Former CEO Uniontown/Board Secretary X 0 902024 252 Hess David Director 001.00 039.00 X 0 530221 111635 Vanek Josef Physician 040.00 X 588595 0 32768 Ball Brandon Physician 040.00 X 559289 0 32102 Felix Sherif Physician 040.00 X 553559 0 27411 Moss Earl Physician 040.00 X 534035 0 26991 Pressman Ari Physician 040.00 X 515640 0 17129 Koehler Brandon VP of Finance - Provider Network Services 005.00 035.00 X 0 273977 33659 Grace Michael President/CEO starting Aug 2021 020.00 020.00 X X 0 210190 83623 Rogers Darin Vice Chairperson 001.00 002.00 X X 0 219197 48860 Weiss Barbara Treasurer 004.00 036.00 X X 0 219912 25893 Charlton Judie Chairperson/Executive Director 004.00 001.00 X X 0 0 0 Marshall Thomas Secretary 001.00 X X 0 0 0 2751118 4276747 801899 27 true true false Locumtenens Holdings LLC PO Box 405547 Atlanta GA 303845547 Locum Staffing Services 1451169 University Health Associate PO Box 740 Morgantown WV 26507 Contracted Physician Services/Billing Services 1426231 Comphealth PO Box 972651 Dallas TX 753972651 Locum Staffing Services 605480 March-Westin Maryland 2313 Maryland Ave Baltimore MD 21218 Construction Services 130291 19 Net Patient Service Revenue 621110 11776749 11776749 COVID Relief Funds 900099 28112 28112 Hospital Support 621110 8887844 8887844 Contracted Services 621110 9493279 9493279 Quality Incentive Payments 621110 408644 408644 30594628 814 814 4391 4391 4391 -14443 -14443 -14443 Intercompany Revenue 900099 55842 55842 55842 30641232 30594628 56656 0 0 0 0 0 0 15504888 15504888 0 1896083 1896083 519797 519797 0 429 429 0 0 0 2603344 2603344 0 109527 109527 0 0 185157 185157 52671 52671 0 18992 18992 38657 38657 6843487 6843487 411879 411879 589229 589229 Provision for Doubtful Accounts 1104512 1104512 Medical Supplies 393027 393027 Recruiting 28222 28222 Taxes, Licenses, Fees 48945 48945 250791 250791 30599637 30599637 0 0 510065 1450 2031318 849060 675759 93559 67600 3294330 1790207 574788 1504123 14198 917871 251438 2959541 4531688 2720439 3661988 291061 84381 841721 743724 3853221 4490093 X -893680 41595 -893680 41595 2959541 4531688 X 41595 893680 X false true X true false X 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. false 1329623 1025066 304557 891839 556874 334965 1072868 208267 864601 1504123 Financial derivatives and other financial products Closely-held equity interests Goodwill and other Intangible 251438 2020 Balance Entry 251438 Federal income taxes Leases Payable - Current 16650 Long Term Lease liability 600926 Capitalized Leases Payable - Non - Current 26148 Self Insurance Liabilities 100000 743724 X 29538990 -1102242 -1102242 30641232 30641232 29497395 29497395 1102242 1102242 30599637 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. true true false false false true false true false Vanek Josef Physician 389756 131269 67569 6551 26217 621362 Ball Brandon Physician 411744 54325 93221 8642 23460 591392 Felix Sherif Physician 520225 28000 5334 7219 20192 580970 Moss Earl Physician 485405 48000 630 1116 25875 561026 Pressman Ari Physician 396951 50000 68688 7933 9197 532769 Wright Albert Director 1347412 531488 42326 333738 27838 2282802 Weiss Barbara Treasurer 217694 2218 9900 15993 245805 Hess David Director 397439 116343 16440 84103 27532 641857 Grace Michael President/CEO starting Aug 2021 209665 525 75000 8623 293813 Rogers Darin Vice Chairperson 184318 32509 2370 34763 14097 268057 Handy Steven Former CEO Uniontown/Board Secretary 8077 57613 836334 242 10 902276 Koehler Brandon VP of Finance - Provider Network Services 230946 38642 4389 32724 935 307636 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. 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. 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 Fayette Regional Health System true Camden-Clark Health Services Inc 800 Garfield Avenue Parkersburg WV 26101 550769602 Healthcare Access WV 501c3 12 Type I West Virginia United Health System false Camden-Clark Memorial Hospital Corporation 800 Garfield Avenue Parkersburg WV 26101 311524546 Patient Care WV 501c3 3 Camden-Clark Health Services Inc false Camden-Clark Foundation Inc 800 Garfield Avenue Parkersburg WV 26101 550667789 Hospital Support WV 501c3 7 Camden-Clark Health Services Inc false 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 West Virginia United Health System false West Virginia 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Type I United Hospital Center Inc false West Virginia Health Care Cooperative Inc 400 Fairview Heights Rd Summersville WV 26551 550650441 Patient Care WV 501c3 3 West Virginia University Hospitals Inc false United Summit Center Inc 6 Hospital Plaza Clarksburg WV 26301 550752788 Patient Care WV 501c3 3 West Virginia University Hospitals Inc false Potomac Valley Hospital of WVa Inc 100 Pin Oak Lane Keyser WV 26726 550420956 Patient Care WV 501c3 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 3 West Virginia United Health System false Reynolds Memorial Hospital Inc 800 Wheeling Ave Glen Dale WV 26038 550357045 Patient Care WV 501c3 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 St Josephs Foundation of Buckhannon 1 Amalia Drive Buckhannon WV 26201 550727650 Hospital Support WV 501c3 12 Type II St Joseph's Hospital of Buckhannon Inc false Braxton County Memorial Hospital 100 Hoylman Drive Gassaway WV 26624 550611919 Patient Care WV 501c3 3 West Virginia University Hospitals Inc false Community Health Association 122 Pinnell Street Ripley WV 25271 550462730 Patient Care WV 501c3 3 West Virginia University Hospitals Inc false Wetzel County Hospital Inc 3 E Benjamin Drive New Martinsville WV 26155 843480493 Patient Care WV 501c3 3 West Virginia University Hospitals Inc false WVUHS Home Care LLC PO Box 8059 Morgantown WV 26506 852915642 Home Health and Hospice WV 509a2 West Virginia United Health System false Uniontown Hospital 500 West Berkeley Street Uniontown PA 15401 250965588 Patient Care PA 501c3 3 West Virginia University Hospitals Inc false Wheeling Hospital Inc 1 Medical Park Wheeling WV 26003 550357057 Patient Care WV 501c3 3 WV United Health System false Harrison Community Hospital 951 E Market Street Cadiz OH 43907 341571750 Patient Care OH 501c3 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 Barnesville Hospital Association 639 W Main Street Barnesville OH 43713 340719172 Patient Care OH 501c3 3 WV United Health System false Belmont Community Hospital 4697 Harrison Street Bellaire OH 43906 340714643 Patient Care OH 501c3 3 Wheeling Hospital Inc false Medical Park Foundation 1 Medical Park Wheeling WV 26003 550744690 Church WV 501c3 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 I N/A false Allied Health Sourcing Solutions PO Box 8034 Morgantown WV 26506 842403526 Supply Chain Management WV N/A false false 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 false false false false false false false false false false true false true false true true true false true