2021-11-12T11:42:26-00:00 2020-12-31 990 2020-01-01 550525724 United Hospital Center Inc UNIT 6813421605 327 Medical Park Drive Bridgeport WV 26330 Jim Rutkowski VP of Finance 2021-05-06 false James Rutkowski XXX-XX-XXXX 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z Mr Michael Tillman 327 Medical Park Drive Bridgeport WV 26330 516668747 false X https://wvumedicine.org/united-hospital-center/ X 1970 WV To enhance the health status of the citizens of North Central West Virginia by providing a full range of services for inpatient and outpatient care. 15 13 2831 160 -670734 65488 287213 442419081 489723601 8456690 6142723 6925383 19148261 457866642 515301798 1000000 0 172266286 190015720 0 0 223248748 247959563 395515034 438975283 62351608 76326515 730143538 888084540 277263885 327239863 452879653 560844677 X To provide a full range of health care services to the citizens of North Central West Virginia and to enhance the health status of its citizens by providing such services and up to date facilities and equipment. false false 104856350 141628778 UHC provides internal medicine care in the diagnosis and treatment of diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. Patient visits in internal medicine were 3,932 in 2020. 51891726 82234033 As part of the United Hospital Centers commitment to ensuring access to primary care, a family medicine residency program was established in 1974. The program is one of nine available in West Virginia and accounted for approximately 15 of the graduates in these programs. Patient visits to the UHC Family Medicine Clinic were 11,968 in 2020. 32288303 44728562 UHC provides all cancer services from prevention programs, early detection screenings, surgery, chemotherapy and radiation therapy, supportive care services, home care and when appropriate, hospice. UHC is committed to providing state-of-the-art treatments for all adult cancers. 182850945 238454236 371887324 true true false true false false false false false false true false false false true true false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false false true true true false false true 234 0 3132 true false false false false false false false false false false false false X 15 13 false false false false false false false true true false false true true true true true true false false false X Jim Rutkowski 6813421605 327 Medical Park Drive Bridgeport WV 26330 Salman Osman Physician 040.00 X 1110698 0 35996 Joseph Fazalare Board Member, Ex-Officio, Surgeon 040.00 X 1102181 0 37207 Joshua Sykes Physician 040.00 X 1049292 0 36198 Jeffrey Madden MD Physician 040.00 X 994116 0 36639 Christopher Courtney Physician 040.00 X 977302 0 34366 Daniel Merenda Physician 040.00 X 939002 0 36979 Michael Tillman President / CEO 040.00 002.00 X 698829 0 44667 Eric Radcliffe Executive Director, Family Medicine 040.00 X 473822 0 70198 Jonathan Stanley DO Board Member 040.00 X 483263 0 30794 Jeff Bolyard Vice President, General Counsel 040.00 X 410496 0 61686 Jim Rutkowski Vice President of Finance 040.00 002.00 X 381231 0 27941 John Forester VP - Provider Network Services, UPC Executive Director 025.00 025.00 X 166614 166614 69358 Mark Povroznik Vice President, Quality 040.00 X 341431 0 58357 Geoffrey Marshall Vice President of Support Services 040.00 X 307211 0 54113 Stephanie Smart Vice President, Nursing 040.00 X 307094 0 53841 Linda Carte Vice Present, Cancer Center Post-Acute Care 040.00 X 327170 0 32518 John Fernandez Vice President, Operations 040.00 X 282147 0 43904 Jeff Barger Board Member, Chair 002.00 X X 0 0 0 Hank Lawrence Board Member, Vice Chair 002.00 X X 0 0 0 Woody Thrasher Board Member 002.00 X 0 0 0 Brian Jarvis Board Member, Treasurer 002.00 X X 0 0 0 Dennis Xander Board Member 002.00 X 0 0 0 Katherine Wagner Board Member, Secretary 002.00 X X 0 0 0 Jim Harris Board Member 002.00 X 0 0 0 Joann James Board Member 002.00 X 0 0 0 Tonya Sutton Board Member 002.00 X 0 0 0 Sam Gallo Board Member 002.00 X 0 0 0 Mark Hackney Board Member 002.00 X 0 0 0 Ray Shaw Board Member 002.00 X 0 0 0 Phil Hart Board Member 002.00 X 0 0 0 10351899 166614 764762 243 false true false High Point Construction Group LLC 643 Route 20 South Rd PO Box 577 Buckhannon WV 262014047 Construction Services 2035357 Veritas Contracting LLC 246 Business Park Drive Fairmont WV 265549618 Construction Services 1513155 Medical Solutions LLC 13609 California St Omaha NE 681545260 Healthcare Staffing 1146920 Gresham Smith 222 2nd Avenue S Ste 1400 Nashville TN 372012373 Engineering and Architecture Services 1038168 Marks Landau Construction LLC 9855 Rinaman Road Wexford PA 15090 Construction Services 944525 19 68688 218525 287213 Net Patient Service Revenue 621500 462937810 462937810 COVID Relief Funds 900099 18149539 18149539 Pharmacy Income 900099 7168383 7168383 Physician Office Rental Income - Related Parties 900099 1251232 1251232 Reimbursements - Related Orgs 900099 216637 216637 489723601 6139223 -670734 6809957 1568786 1366949 201837 201837 201837 3500 3500 3500 3500 Allied Services Revenue 900099 16030581 16030581 Cafeteria Income 900099 1624416 1624416 Facilities Management 900099 346597 346597 944830 944830 18946424 515301798 507045609 -670734 8639710 1000000 1000000 0 0 0 5831395 3317878 2513517 0 151404304 139893319 11510985 2418196 2355425 62771 18490661 17188952 1301709 11871164 10968622 902542 0 311718 167363 144355 5 5 35477 35477 0 20719728 18948085 1771643 665354 84554 580800 10166099 7359782 2806317 92997 75951 17046 0 3882649 2944234 938415 1409906 1395744 14162 0 115016 107515 7501 8255118 6388571 1866547 52031844 16584517 35447327 20626234 16549159 4077075 7666547 7312302 354245 Medical Supplies 86384141 86384141 Provision for Doubtful Accounts 18561762 18561762 Taxes, Licenses Fees 14468011 12371229 2096782 Recruiting 1825975 1825975 740982 66767 674215 438975283 371887324 67087959 0 8940 9066 52862794 155106412 94158592 67245646 5648990 6136248 3192546 3687346 453238952 177041992 278938134 276196960 285756373 367580113 8274605 10893934 1302564 1228815 730143538 888084540 43501806 45948184 44000000 175385389 182121890 47845000 40366908 10531690 14802881 277263885 327239863 X 452879653 560844677 452879653 560844677 730143538 888084540 X 76326515 35946703 -4308194 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 5194 false true 30283 35477 false II-B 1g The CEO of United Hospital Center, Inc. as part of his duties, monitors legislation that may potentially affect UHC and voices his support or concerns regarding that legislation to legislators either in person, by phone, or by mail. II-B 1i This amount is calculated based on information provided by the West Virginia Hospital Association and the American Hospital Association. The American Hospital Association estimates that 25.56 of the 2020 dues were allocated to lobbying expense. The West Virginia Hospital Association estimates that during 2020, 16.77 of the dues paid should be allocated to lobbying expense. 9774360 9774360 296961586 100060848 196900738 4317434 1041732 3275702 114108752 68044598 46064154 28076820 7894814 20182006 276196960 Financial derivatives and other financial products Closely-held equity interests Federal income taxes Estimated Malpractice Costs- Current 2195642 Self Insurance Liability 10314405 Deferred Compensation Annunity 440476 Long Term Lease Liability 1852358 14802881 X 534053688 35946703 -18561762 17384941 516668747 -1366949 -1366949 515301798 421780470 1366949 1366949 420413521 18561762 18561762 438975283 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, 2020 and 2019. XI 2d This consists of 18,561,762 provision for doubtful accounts which is an offset to revenue on the financial statements and an expense for Form 990 purposes. XI 4b Rental Expense of 1,366,949 is presented as an offset to Rent Revenue for 990 purposes. XII 2d Rental Expense of 1,366,949 is presented as an offset to Rent Revenue for 990 purposes. XII 4b This consists of 18,561,762 provision for doubtful accounts which is an offset to revenue on the financial statements and an expense for Form 990 purposes. true true X true X false true true false true true 6248688 6248688 0.01490 87142108 51141051 36001057 0.08560 407527 407527 93798323 51548578 42249745 0.10050 7493 7493 4018570 2914474 1104096 0.00260 1000420 1000420 0.00240 5026483 2914474 2112009 0.00500 98824806 54463052 44361754 0.10550 2184372 2184372 0.00500 2184372 2184372 0.00500 true 5876654 387207 199431674 236770467 -37338793 X true true 1 1 United Hospital Center 327 Medical Park Drive Bridgeport WV 26330 wvumedicine.org/united-hospital-center/ 107 X X X X A A 1 false false true X X X X X X X X X 19 true false false true X https//wvumedicine.org/wp-content/uploads/2020/11/United-Hospital-Center-CHNA-Report-2019.pdf X true 20 true https//wvumedicine.org/wp-content/uploads/2020/11/United-Hospital-Center-CHNA-Implementation-Plan-20 false false true X 0000000200.000000000000 X X X X X X true true X X X true X https//wvumedicine.org/bill-pay/financial-assistance/ X https//wvumedicine.org/wp-content/uploads/2020/03/Financial-Assistance-Application-Form-3-17-2020.pd X https//wvumedicine.org/bill-pay/financial-assistance/ X X X X X X true X false X X X X X true X false true Group United Hospital Center Line Part V, Section B, Line 5 The Community Health Needs Assessment CHNA was prepared by Thomas Bias, Christiaan Abildso, and Emily Sarkees from the West Virginia University Health Research Center. The CHNA process began with a thorough review of the previous cycles needs assessment report and implementation plan. The CHNA also involved collecting both primary and secondary data. Primary data was comprised of a survey of community members perceptions of health issues followed by a community event focused on reviewing survey data, discussing community resources and assets that impact population health in the area, and working as a group to outline possible implementation strategies for each area of concern. Secondary data included US census data and County Health Ranking Data. The stakeholders represent the broad interest of the communities served by United Hospital Center. The public survey was made available online and through hard copies and was intended for residents 18 years of age and older. Some of the collection points and contact lists included Bridgeport Health Fair, Bridgeport Pediatric Practice, Bridgeport/Shinnston Physicians Care location, Doddridge Clinic, Doddridge County Shop n Save, First Energy Fair - Shinnston, Spinal Treatment Center, UHC registration and Whitehall Medical - Fairmont. A community meeting was also held by UHC leadership to get more input from the public, especially from organizations who already provide essential services. Organizations represented at the community meeting included but was not limited to City of Bridgeport, Clarksburg Mission, Community Resources, Doddridge County Board of Education, Doddridge County Senior Center, Fairmont State University, Family Services, Harrison County Board of Education, HCEDC, Health Access, Inc., Healthy Harrison, Highland Hospital, HOPE, IC Parish Nurses, Northwestern Mutual, Salem Church of God, Shinnston Economic Development, United Summit Center, VAMC and WV Prevention Solutions. The CHNA can also be found here https//wvumedicine.org/wp-content/uploads/2020/11/United-Hospital-Center-CHNA-Report-2019.pdf. Group United Hospital Center Line Part V, Section B, Line 11 According to the CHNA, following the community meeting, the leadership team discussed the totality of information collected through the survey and community events, working to identify priority areas for developing implementation strategies. With leadership and the community meeting group, WVU SPH reviewed summarized survey data, including overall responses to the three most important health problems or issues. Health problems pertains to mainly clinical items such as health and disease topics however, when creating the survey tool, the hospital leadership saw value in asking about factors affecting health outcomes. For this reason, topics were grouped into three questions clinical health and disease items e.g. heart disease, addiction, cancer, quality of life and built or natural environmental factors e.g. air quality, availability of sidewalks, cost of medications, as well as things seen as personal choices or behaviors e.g. vaping, distracted driving, poor eating choices. This allowed the leadership team to cross-reference clinical items with the life factors and personal choices for a deeper understanding of the common themes, and a snapshot perspective of where in life the hospital might be able to implement strategies that will impact many. Survey results for health and disease included 1. Drug addiction/dependence 2. Obesity 3. Cancers. Survey results for quality of life environment included 1. Low income 2. Lack of access to recreation spaces for all ages 3. Food insecurity. Survey results for personal choice risky behaviors included 1. Drug abuse 2. Bad eating choices 3. Alcohol abuse. Group United Hospital Center Line Part V, Section B, Line 11 According to the CHNA, during the prioritization process that followed the community meeting, leadership team members revisited common priority areas within the context of discussions and feedback from the morning. Utilizing a prioritization matrix to guide discussion, the group considered the degree to which the hospitals can realistically affect health outcomes for each priority health concern, endeavors already underway for each, as well as level of importance relative to the reach of their impact. The list of top health concerns was pared down and reconfigured to the three that will be the focus moving forward with implementation planning. These included 1. Cancer 2. Obesity chronic disease and 3. Substance use and abuse. Group United Hospital Center Line Part V, Section B, Line 11 The top health concerns identified by the stakeholders outlined in the CHNA are being addressed by United Hospital Center in the following ways. For substance abuse, many existing community relationships and potential partners are already in place. United Hospital Center leadership identified educating youth as a potential benefit and is in the process of addressing the gap left in the community by the closure of the Harrison County Health Departments Harm Reduction Clinic. With regards to obesity and chronic disease, leadership recognizes the current programming already in place to aid in the prevention of obesity and chronic disease. However, there are opportunities to expand programming in this area. Lastly, the leadership team has recognized the prevalence of cancer within the State as well as the local community. With this being said, strategies and build-out efforts are in the works to address this identified need. Group United Hospital Center Line Part V, Section B, Line 13h All patient provided services at UHC are charged the same amount for the same service received. Consideration for establishing new charges is based on the CMS Medicare CPT payment weights. The charge master at UHC as in all WV hospitals is approved on an annual basis by the WV Health Care Authority per legislative mandate. UHC will provide financial assistance/charity care at 100 percent of billed charges to those patients where the household income defined as income for all individuals existing in the same dwelling is at 200 percent or below the federal poverty guidelines as published annually by the Community Services Administration in the Federal Register and where there are not substantial cash convertible assets or disposable income as defined in the Charity Care Policy. Elective procedures or cosmetic/plastic procedures may not be eligible to be covered under the financial assistance/charity care program. Financial assistance/charity care is predicated upon the completion of the Patient Financial Status Statement as well as the patient seeking Medicaid eligibility. An individuals failure to comply with UHCs documentation and/or soliciting Medicaid process shall be excluded from consideration. An associate from the Business Office is available to assist patients in this process and will analyze the Patient Financial Status Statement according to UHCs guidelines in the Financial Assistance/Charity Care Policy. Group United Hospital Center Line Part V, Section B, Line 20e Financial assistance signs are posted in all admission areas as well as the ER and Family Medicine. In addition, registration gives all self-pay patients a charity application when admitted there is a Notice of Availability of Financial Assistance on the statements that are mailed to the patients. Collectors and patient representatives let the patients know about financial assistance available when calling. In addition, UHC utilizes a third party that attempts to meet with uninsured patients to determine whether such patient qualifies for Medicaid and/or other forms of assistance under federal, state, or local programs. Group United Hospital Center 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. Group United Hospital Center Line Part V, Section B, Line 11 UHC has provided a succinct list of strategies in their 2020 implementation plan to address the prioritized needs identified in the CHNA Substance Use and Abuse, Obesity Chronic Disease, Cancer. These strategies included Addiction Resource Guide discoverrecovery.org, WDTV Community Education Series, 5-2-1-0 Program, Dining with Diabetes, School-based Walking Program, Low-Dose Cancer Screenings, Educational Series- Vaccine-Preventable Cancers and Dare to C.A.R.E. The Addiction Resource Guide targets community concerns related to substance use and abuse. Activities include update existing resources on the website and implementing Google and other analytics for the website. According to UHCs 2020 implementation plan, The WDTV Community Education Series provides community education about many health topics including but not limited to cancer, cardiovascular disease, substance use and abuse, diabetes and obesity. The 5-2-1-0 Program, Dining with Diabetes, School-based Walking Program and Dare to C.A.R.E. all target the prevention and management of obesity and chronic disease in both the youth and adult populations within UHCs primary service area. Finally, the Low-Dose Cancer Screenings Educational Series on Vaccine-Preventable Cancers addresses the community concern of cancer by providing educational information related to vaccine-preventable cancers as well as free low-dose cancer screenings within the local community. In summary, all of the prioritized needs identified in the most recent CHNA have been addressed by UHC in the 2020 implementation plan. Part I Line 3c UHC does maintain a formal Financial Assistance/Charity Care policy. Charity care is provided to those patients where the household income defined as income for the patient and any related guarantor as listed on the most recent Federal Tax Return is at 200 or below federal poverty guidelines as published annually by the Community Service Administration in the Federal Register and where there are not substantial cash convertible assets or disposable income. Charity is predicated on the patient seeking Medicaid eligibility and fully cooperating with hospital staff provide bank statements, proof of income, etc. Medicaid eligibility may be reevaluated each month or in connection with new services provided during the approved charity period 6 months. If a patient qualifies for charity care assistance, 100 of the billable charges are eliminated. Part I Line 3c UHC will provide an amounts generally billed AGB discount to true selfpay patient balances due, regardless of income levels. Accounts will be reviewed to verify no other insurance/third party is responsible for balance due. The AGB is not applicable to Workers Compensation, Motor Vehicle Accidents, cosmetic or cardiac rehab phase III balances. Part I Line 3c Patients requesting a discount on balances due can receive a 20 discount for payment in full. The discount can be applied on any balance, including balances after the AGB discount has been applied. Part I Line 6a UHC community benefit numbers are reported in total with the other hospitals within West Virginia United Health System. The 2019 amounts can be found at the following web address https//wvumedicine.org/about/community-benefit/. Part I Line 7 Total community benefit expense for 2020 is 98,824,806 and is 23.51 of total net expenses. To calculate net expense, bad debt of 18,561,762 was deducted from total expenses of 438,975,283 as shown in Part IX line 25 of the core Form 990, for a net expense of 420,413,521. 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 II United Hospital Center supports Health Access, a free health care clinic that it helped to organize. The clinic serves indigent members of the community. United Hospital Center provided free health care services and served 1,094 patients supported by Health Access. Family medicine physicians volunteer their services after hours to the Health Access clinic to improve access to health care services for Harrison county citizens who can not afford to have health insurance coverage. Part III Line 2 Patient receivables are reported at net realizable value. Accounts are written off when they are determined to be noncollectable based upon managements assessment of individual accounts. The allowance for doubtful collections is estimated based upon a periodic review of the accounts receivable aging, payer classifications, and application of historical write-off percentages. The estimated cost of services provided that ultimately result in bad debt expense are estimated utilizing the cost-to-charge ratio as determined by the filed cost report for the corresponding tax year related to this Form 990. Part III Line 2 Bad Debt Expense at cost was calculated by multiplying bad debt expense of 18,561,762 by our cost-to-charge ratio of 31.66 derived from Worksheet 2 in the IRS Schedule H instructions for a total of 5,876,654. Part III Line 3 Estimated bad debt attributable to patients eligible for charity care was calculated by running a report within our patient revenue software of all bad debt account balances greater than 25,000. The total of that report was 1,223,018 which we then multiplied by our cost to charge ratio of 31.66 for a total of 387,207. Part III Line 3 The estimated bad debt attributable to patients eligible for charity care of 387,207 should be considered community benefit due to the fact that anyone with outstanding balances of 25,000 or greater usually qualifies as catastrophic 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 United Hospital Centers financial statements are prepared on a consolidated basis as a member of the WV United Health System. The footnote for Accounts Receivable is as follows Patient accounts receivable are reported at net realizable value. For accounts receivable associated with services provided to patients who have third-party coverage, the System estimates net realizable value based on the estimated contractual reimbursement percentage, which in turn is based on current contract provisions and historical paid claims by payor. For self-pay accounts, including uninsured and patient responsibility accounts, the net realizable value is determined using historical collection experience, adjusted for estimated conversion 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. 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 price concessions and such amounts have historically been within managements expectations. The mix of accounts receivable at December 31, 2020, from patients and third-party payors is as follows Medicare - 29, Medicaid - 17, Blue Cross - 21, Commercial, managed care and other - 28, Patients - 5, totaling 100. Part III Line 4 For receivables associated with self-pay patients, which includes both patients without insurance and insured patients with deductible and copayment balances, the System records a significant provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the billed rates and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. Part III Line 8 Part III Line 6 was calculated using total cost from the Medicare Cost Report less Medicare reimbursement of direct GME. United Hospital Centers shortfall of 37,338,793 on Medicare program should be considered a community benefit because we are relieving a government burden by providing care in excess of our cost to these patients. Part III Line 9b UHC does maintain a formal Credit Collections policy. The policy reiterates that care will be provided to all patients that present to UHC regardless of their ability to pay for such services. The policy describes payment discounts that may be available as well as description of other financial assistance programs at UHC e.g. Charity Care and the option of payment plans. The policy does describe collection practices and procedures that may be followed by the UHC staff should a patient not cooperate in the account resolution process. 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 United Hospital Center considers several components in assessing how the organization determines the need of the communities it serves. Through outside consults to collaborating with various departments, a needs assessment takes into account several factors including physicians to population ratios, physician availability in the entire service area, and general health risks for our community. The Primary Service Area for United Hospital Center includes Harrison and Doddridge County, WV. This data is then analyzed to provide general estimates to where United Hospital Center could better care for residents in these counties. Part VI Line 2 Population and demographic data is provided by WVU Medicines population health and enterprise analytics department. Part VI Line 3 UHC maintains a formal Financial Assistance Policy. Identification of financial assistance is provided through Financial Counseling, Registration, Patient Accounts Representative, Credit Counselors and/or other Associates in the Patient Accounts Department. This policy is also available for review at https//wvumedicine.org/bill-pay/financial-assistance/. Part VI Line 4 The UHC CHNA leadership team defined the hospitals primary service area as Harrison and Doddridge Counties West Virginia. In 2020, Harrison County had a population of 65,921, a median household income of 54,314, an employment rate of 58.2 and 5.3 of residents reported not having healthcare coverage. Approximately 8 of Harrison County residents also lived in poverty in 2020. Doddridge County had a 2020 population of 7,808, a median household income of 45,545, an employment rate of 41.8 and 7.2 of residents reported not having healthcare coverage. Approximately 16 of Doddridge County residents lived in poverty in 2020. Population and demographic information was obtained from the United State Census Bureau https//data.census.gov/cedsci/. Part VI Line 5 UHC supports Health Access, a free health care clinic that it helped organize. The clinic serves indigent members of the community. In 2020, UHC provided free health care worth more than 2.1 million to the clinic and its patients. Many hospital associates and medical staff, including residents, volunteer their time at the clinic. In addition, UHC conducts diabetes support groups and education for adults and youth. UHC staff interacts with several community organizations by donating time to serve as educators and community or board members. Family medicine residents teach sex education classes for area schools as well as perform physical exams for student athletes. Family medicine residents also conduct our local Shriner Orthopedic Screening Clinic and also conduct weekly obstetric clinics at the Harrison and Doddridge County Health Departments. UHC also provides administrative facilities for American Cancer Society and provides classrooms for groups such as American Red Cross to hold blood drives. See Part III of Form 990 for further description of community building programs that UHC participates in, funds, and/or supports. Part VI Line 5 UHCs board of directors is a community board, comprised of 15 members living in the UHC primary service area. Our medical staff is an open medical staff comprised of private groups and physicians. As physician recruiting has become more difficult in rural areas, UHC has also been forced to employ a number of physician specialists as well as partner with the West Virginia University School of Medicine and its faculty plan to provide other necessary physician services. Part VI Line 6 United Hospital Center UHC is a part of the West Virginia 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 services area, 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, 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, St. Josephs Hospital of Buckhannon, Inc. in Buckhannon, 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, and Wetzel County Hospital, Inc. in New Martinsville, WV. Part VI Line 6 In addition to the above mentioned hospitals, the System includes physician practices of United Physicians Care, Inc. and Camden-Clark Physician Corp 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, and Reynolds Memorial Foundation, Inc. in Glen Dale, WV, 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. true West Virginia University Foundation Inc One Waterfront Place 7th Floor Morgantown WV 26507 556017181 501c3 1000000 FMV Childrens Hospital Pledge 1 Part I Line 2 Contributions are discretionary. Typically, local organizations are supported throughout the year and the donations are typically not specifically restricted, so there is no follow up process for monitoring the use of the funds. false true false false false true false true false Michael Tillman President / CEO 439106 167456 92267 16878 27789 743496 Jim Rutkowski Vice President of Finance 276405 74661 30164 8273 19669 409172 Geoffrey Marshall Vice President of Support Services 243286 60376 3549 35128 18985 361324 Mark Povroznik Vice President, Quality 260223 74412 6796 31185 27172 399788 Jeff Bolyard Vice President, General Counsel 315716 86461 8320 34964 26721 472182 John Fernandez Vice President, Operations 215735 61445 4967 24466 19438 326051 Stephanie Smart Vice President, Nursing 235489 66911 4694 27420 26421 360935 Linda Carte Vice Present, Cancer Center Post-Acute Care 227293 60722 39155 5474 27044 359688 Eric Radcliffe Executive Director, Family Medicine 366232 98826 8764 42647 27551 544020 Jonathan Stanley DO Board Member 482373 500 390 3894 26900 514057 Joseph Fazalare Board Member, Ex-Officio, Surgeon 1101381 500 300 9346 27861 1139388 Jeffrey Madden MD Physician 988912 500 4704 8959 27680 1030755 Christopher Courtney Physician 975992 500 810 7788 26578 1011668 Salman Osman Physician 1109658 500 540 8135 27861 1146694 Joshua Sykes Physician 1048305 500 487 9000 27198 1085490 Daniel Merenda Physician 937962 500 540 9277 27702 975981 John Forester VP - Provider Network Services, UPC Executive Director 129363 129363 34661 34661 2590 2590 19190 19190 15489 15489 201293 201293 Part I Line 7 There are some officers and key employees of the hospital that are eligible for annual bonus compensation if they meet goals and achievements that are set at the beginning of each year and are approved by the board of directors. The annual incentive bonuses are only paid after achievements are assessed and only if the hospital achieves at least 80 of its budgeted operating margin. If the hospital has a negative operating margin, that annual incentive bonus will not be awarded. Part I Line 4b Michael Tillman received CAA distributions of 67,658 in 2020 Linda Carte received CAA distributions of 23,559 and James Rutkowski received CAA distributions of 22,525 . These amounts were appropriately reported as compensation on Form W-2 for 2020. Part I Line 4b The following individuals received deferred compensation contributions in 2020 Jim Rutkowski in the amount of 4,540 Geoffrey Marshall in the amount of 23,937 Mark Povroznik in the amount of 25,954 Jeff Bolyard in the amount of 31,237 John Fernandez in the amount of 21,518 Stephanie Smart in the amount of 23,766 Eric Radcliffe in the amount of 35,845 and John Forester in the amount of 19,190 from UHC and 19,190 from related party, UPC. These amounts were properly recorded in deferred compensation on the Form 990 Schedule J. Part I Line 6a Per the WVUHS Incentive Plan incentives are contingent on meeting a net earning target. Part I Line 3 Compensation for the CEO is determined by the WV United Health System compensation committee. The System engages an independent group to perform an executive compensation review and compensation survey every two years. This information is provided to the 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 offered does not exceed fair market value. A West Virginia Hospital Finance Authority 621256910 000000000 2015-10-01 7500000 2015 Series A - Acquisition of St. Josephs Hospital of Buckhannon false false false B West Virginia Hospital Finance Authority 621256910 956622L85 2016-06-15 149749999 2016 Series A - Refund 2006A and 2009 C issuances false false false C West Virginia Hospital Finance Authority 621256910 956622P65 2018-07-31 23680000 2018 Series D - Redeem 2012A issuance false false false A 7500000 7500000 2015 false false true true B 12083904 149749999 1155297 148594609 92 2016 true true true true C 3110000 23680000 176862 23503138 2018 true false true true A false false false false false false true B false true false false 0.02630 0.00310 0.02940 false false true C false true false false 0.02630 0.00310 0.02940 false false true A false true false false true false false false true B false true false false false false true Cantor Fitzgerald true false true C false true false false true false false false true A true B true C true Part I Schedule K - For purposes of reporting bond issuance allocations on Schedule K to the Internal Revenue Service, West Virginia University Hospitals, Inc. WVUH as parent company to City Hospital, Inc. CHI, The Charles Town General Hospital dba Jefferson Medical Center JMC, and University Healthcare Foundation, Inc. UHF, is reporting bond issuances allocated to WVUH and its subsidiaries on a consolidated basis on Schedule K attached to this tax return. United Hospital Center, Inc. UHC EIN 55-0525724 and Camden-Clark Memorial Hospital Corporation CCMH EIN 31-1524546 are reporting bond allocations issued to them on the return filed by such taxpayer. Several bond issuances were issued in multiple series and each series is reported in this tax return separately. For each series identified in Schedule K, Part I, the taxpayer will reconcile the series amount reported in this tax return and the tax return filed by UHC and CCMC to the applicable 8038 filed with the IRS for each bond issuance. Each bond series is reported on the appropriate Form 990, Schedule K, only once in this manner. Part I Line B The 2016 A Bonds were issued on behalf of the West Virginia United Health System Obligated Group with an issue price of 288,869,596 per Form 8038. The 2016 A Bonds were issued to refund certain outstanding bonds. Per internal allocations based on the balance of the refunded bonds in the general ledger UHC received 149,749,999 in proceeds to refund the 2006A issuance as a current refunding and 2009C bond issuance as an advanced refunding. The remaining amounts allocated from this issuance are reported on Form 990 for WVUH and CCMC. Part II Line 12 The amount reported in Line 12 Column B is a result of a balance that remained in the account that is used to fund principal and interest payments on this issuance. We are provided an amount to fund prior to the payment date, once funds that are sold/redeemed to make our payment there is occisaionally a residual amount. That amount is left in the account to apply to future payments. Part IV Line 2 Column A and B - 2015A, 2016A, and 2018D issuances are not yet required to have rebate calculations the issuances are expected to meet the exception to rebate. Part IV Line 5c Column B - The securities for the 2016 A Bonds were purchased on June 15, 2016 and the last one matured on May 31, 2019. Form 990, Part III, Line 4d Program Service Expenses 20,317,725, Grants and allocations 0, Revenue 39,224,733 UHCs Emergency Center is one of the busiest emergency departments in West Virginia, treating nearly 50,000 patients annually. The centers experienced staff of emergency medicine trained physicians and nurses works to ensure that patients receive lifesaving medical care quickly and effectively. UHC had 46,919 emergency department visits in 2020. Form 990, Part III, Line 4d Program Service Expenses 162,184,432, Grants and allocations 0, Revenue 199,141,003 UHC provides health care services for the community and surrounding areas. The majority of the program services are to provide health care and health care maintenance for the community as both inpatient and outpatient services. United Hospital Center provided 38,298,615 in uncompensated care, which represented 8.27 of the total net patient service revenue in 2020. Included in the above amount was 19,736,853 of charity care for individuals that qualified for financial assistance and 18,561,762 in bad debt account balance write-offs. UHC wrote off 2,760 accounts to charity and 14,749 to bad debt related to patients that had Medicare coverage. United Hospital Center provided 2,184,372 in support to Health Access, a free health care clinic that it helped to organize. The clinic serves indigent members of the community. United Hospital Center provided free health care services and served 1,094 patients supported by Health Access. Form 990, Part III, Line 4d Program Service Expenses 348,788, Grants and allocations 0, Revenue 88,500 To address other health manpower shortages through the region, UHCs School of Radiological Technology and the UHC Diagnostic Medical Sonography Program graduated 13 radiology technologists and 3 sonography students this year. The cost of this program was 349,788 with a tuition revenue of 88,500. We continue to have relationships with the VAMC and St. Joesphs Hospital for rad tech education. In addition, UHC serves as a clinical training site for nursing students from West Virginia Wesleyan College, Fairmont State University, Alderson Broaddus College, United Technical Center, Monongalia Technical Center, West Virginia University, Wheeling Jesuit University, Edinboro University and Fred Eberle School of Practical Nursing. UHC Diagnostic Medical Sonography Program incorporates clinical and didactic experiences to prepare individuals for professional practice in general abdominal, obstetric/gynecologic and vascular sonography. Form 990, Part III, Line 4d Program Service Expenses 0, Grants and allocations 0, Revenue 0 United Hospital Center is one of the largest providers of obstetric services in terms of deliveries and serves as a regional resource for obstetric services. In fulfilling that role, family medicine faculty and residents conduct weekly planning clinics and pediatric clinics for the Harrison County Health Department. The obstetric department conducts childbirth classes for expecting parents. These classes are for expectant mothers and teaches techniques for the best possible experience in childbirth. Enrollment for these classes totaled 85 people and provided a benefit of 2,566. The obstetric department also conducts sibling tours for older siblings to alleviate anxiety for when the new baby arrives. Form 990, Part III, Line 4d Program Service Expenses 0, Grants and allocations 0, Revenue 0 UHC physicians served approximately 50 individuals while attending the Doddridge and Shriners clinic, providing a total community benefit of 3,520. Form 990, Part III, Line 4d Program Service Expenses 0, Grants and allocations 0, Revenue 0 UHC provides administrative facilities to the American Cancer Society. In addition, UHC allows some organizations the use of classrooms with no charge. The organizations include, but are not limited to, WV Autism Support Group, Addiction Support Group, Breast Cancer Support Group, Kids Talk Support Group, and Narcotics Anonymous. United Hospital Center also provides a space for Vitalant to conduct blood drives. UHC hosted 6 blood drives. In total, these blood drives had 150 presenting donors, 115 successful donations. Form 990, Part III, Line 4d Program Service Expenses 0, Grants and allocations 0, Revenue 0 United Hospital Center conducted, through the Education Department, a diabetes support group for participants from various counties. In addition, staff assisted the indigent patients in the Lilly Cares program for starter insulin and also received viscometers from Bayer Co. to distribute and properly educate patients in the daily monitoring of their blood glucose. United Hospital Center has representatives serving on several community boards including, but not limited to, Family Services of Harrison and Marion Counties, Harrison County Drop-In Advisory Board, WV Network Ethic Advisory Committee, Coalition for the Homeless and Goodwill Advisory Board. In addition, UHC representatives were guest speakers at area organizations/events about various health care concerns or issues. Form 990, Part III, Line 4d Program Service Expenses 0, Grants and allocations 0, Revenue 0 UHC offers rotations for students in the following programs Emergency Medical Personnel, Medical Record Technology, Pharmacy, Safety Engineering, and Clinical Education for Rehab students. Rotations for one of the three practicums and internships for counseling students in a masters degree program are provided as needed in cooperation with West Virginia University. Form 990, Part VI, Line 11b The Form 990 is completed by the West Virginia United Health System tax team and then sent to the Vice President of Finance at United Hospital Center, Inc. for approval. Baker Tilly, an external accounting firm, is then provided a copy for review. Then, the annual Form 990 is presented to the hospitals finance committee of the board of directors for review, prior to filing. Form 990, Part VI, Line 12c On an annual basis, education is provided to all officers of the board of directors with respect to their fiduciary responsibility and what may or may not be considered a conflict of interest. This education is provided by the hospitals in house general counsel. All officers and board members are required to complete an annual conflict of interest and disclosure statement. The statements are maintained by the hospitals in house general counsel and specifically reviewed as necessary based on business presented to the board. If a conflict arises, recommendations are provided to the President and/or Board for consideration and determination of final action. Nothing of concern was found during the review in 2020. Form 990, Part VI, Section B, Line 15 a b 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 2019 for 2020 compensation amounts. The compensation of all officers at the Vice President level and below is determined based upon a salary and benefit survey prepared by an independent company using data of comparable facilities. This data is then interpreted and provided to an independent compensation committee. The independent compensation committee then uses this data to determine a fair and reasonable compensation package. All relevant data as well as minutes from each meeting are retained. Form 990, Part VI, Line 19 All governing documents, conflicts of interest policy, and financial statements are available to the public upon request. Form 990, Part XI, Line 9 Other changes in net assets include 4,308,190 of related organization capitalization and 4 rounding. West Virginia United Health System PO Box 8034 Morgantown WV 26506 550754713 Healthcare Access WV 501c3 12a N/A false University Healthcare Foundation 2500 Foundation Way Martinsburg WV 25401 311118075 Hospital Support WV 501c3 12a West Virginia University Hospitals Inc false United Physicians Care Inc 686 South Pike Street Shinnston WV 26431 550638563 Patient Care WV 501c3 3 United Hospital Center Inc true United Health Foundation 327 Medical Park Drive Bridgeport WV 26330 550621706 Hospital Support WV 501c3 12a United Hospital Center Inc true United Summit Center 6 Hospital Plaza Clarksburg WV 26301 550752788 Behavioral Health WV 501c3 3 West Virginia University Hospitals Inc false Camden Clark Health Services 800 Garfield Avenue Parkersburg WV 26101 550769602 Healthcare Access WV 501c3 12a West Virginia United Health System false Camden Clark Foundation 800 Garfield Avenue Parkersburg WV 26101 550667789 Hospital Support WV 501c3 7 Camden Clark Health Services false Camden Clark Physician Corp 604 Ann Street Parkersburg WV 26101 264058719 Patient Care WV 501c3 3 Camden Clark Health Services 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 University Hospitals East Inc 2500 Foundation Way 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 3 West Virginia University Hospitals East Inc false Jefferson Memorial Hospital 300 S Preston St Ranson WV 25438 550359755 Patient Care WV 501c3 3 West Virginia University Hospitals East Inc false Camden Clark Memorial Hospital 800 Garfield Avenue Parkersburg WV 26101 311524546 Patient Care WV 501c3 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 3 West Virginia University Hospitals Inc false St Joseph's Hospital of Buckhannon 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 Hosptials Inc false Reynolds Memorial Foundation 800 Wheeling Ave Glen Dale WV 26038 550710402 Hospital Support WV 501c3 12a Reynolds Memorial Hospital Inc false St Josephs Foundation of Buckhannon 1 Amalia Drive Buckhannon WV 26201 550727650 Hospital Support WV 501c3 12b St Joseph's Hospital of Buckhannon Inc false West Virginia Health Care Cooperative Inc 400 Fairview Heights Rd Summersville WV 26651 550650441 Patient Care WV 501c3 3 West Virginia University Hospitals 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 East 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 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 true false true false false true true true false false United Health Foundation o 305330 Cost