2020-11-13T04:25:26-00:00 2019-12-31 990 2019-01-01 550359755 Jefferson Memorial Hospital JEFF 3047281600 300 South Preston St Ranson WV 25438 Grover G Kerns VP of Finance 2020-11-12 false 157.182.216.2 2020-11-16 12:35:04 ES P 961A8E11061A341FA9665A68F3B1FFC5AE12E713 961A8E11061A341FA9665A68F3B1FFC5AE12E713 2019 2021-01-29 14:40:06Z Jefferson Medical Center Grover G Kerns 2500 Foundation Way Martinsburg WV 25401 67741580 false X https://wvumedicine.org/jefferson/ X 1912 WV Jefferson Memorial Hospital is a non-profit, critical access hospital serving the residents of the Eastern Panhandle of WV. 15 14 413 25 0 5000 0 58243771 66601897 531233 877060 252936 218425 59032940 67697382 11392 9384 0 21601344 22532287 0 0 34553792 37466272 56166528 60007943 2866412 7689439 64973124 71915619 21769937 20877153 43203187 51038466 X Jefferson Memorial Hospital is a non-profit critical access hospital serving the residents in the Eastern Panhandle of WV. It operates a 24/7 emergency room. Jefferson Memorial Hospital is organized to provide quality hospital patient care services to the Eastern Panhandle of WV regardless of the patients ability to pay. false false 16101331 19648918 As a not for profit critical access hospital, Jefferson Memorial Hospital JMH provides general medical services to the community of Ranson, WV. Such services include but are not limited to family medicine, internal medicine, observation to see if hospital admission is necessary, and outpatient ancillary testing. During 2019, JMH documented 1,050 outpatients in the observation status and 43,687 outpatient ancillary tests were performed. 14739250 24720099 Jefferson Memorial Hospital JMH is a critical access hospital and operates a 24 hours per day, 7 days per week emergency department which cares for patients regardless of their ability to pay. During 2019, the Emergency Department documented 23,525 patient visits. 9582304 11889531 Jefferson Memorial Hospital JMH provides both general and advanced surgical services to those residents located in Ranson, WV and the surrounding area. Surgical service areas at JMH include gall bladder, breast and colon, orthopaedics and joint replacement, otolaryngology, gynecology, urology, ophthalmology and cosmetic surgery. In addition, many of these surgical procedures performed at JMH utilize cutting edge laparoscopy and endoscopy techniques. The hospital also provides a One Day Surgical Unit that provided care to 2,712 patients during 2019. 7253950 10343349 47676835 true false false true false false false false false false true false true false true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true X 91 0 469 true false false false false false false false false false false false false X 15 14 false false false false false false false true true false false true true true true true true true true false X Grover G Kerns 3042641000 2500 Foundation Way Martinsburg WV 25401 Neil McLaughlin VP Operations 040.00 X 237693 0 46743 Angela Taylor CRNA 040.00 X 241072 0 36027 Charles Keeling CRNA 040.00 X 248188 0 27483 Stephen Palmerton CRNA 040.00 X 211996 0 19540 Jonathan Kline Pharmacist 040.00 X 181570 0 22886 Frew Negatu Pharmacist 040.00 X 157452 0 31918 Dawn Jones MD Director 000.03 040.00 X 0 113125 0 Paul Welch MD Director/BMC Medical Staff 000.03 X 0 4000 0 D Scott Roach Director/ Vice Chairman 000.03 X X 0 0 0 Lindsey Hash Director 000.03 X X 0 0 0 Henry Kayes Director, Treasurer 000.03 X X 0 0 0 Emma Morton-Eggleston MD Director/Interim Dean, WVU Eastern Division SoM 000.03 X 0 0 0 Judie Charlton MD Director 000.03 X 0 0 0 Marney Treese MD Director / JMH Med Staff President 000.03 X 0 0 0 Chiquita Howard-Bostic Ph D Director 000.03 X 0 0 0 Richard Pill Director / Chairman 000.03 X X 0 0 0 Brian Romine Director 000.03 X 0 0 0 Susan Snowden Director, Secretary 000.03 X X 0 0 0 Jacqueline Long Director 000.03 X 0 0 0 Alice Frazier Director 000.03 X 0 0 0 James Rogers Director 000.03 X 0 0 0 1277971 117125 184597 20 false true false Focusone Solutions LLC 13609 California St Omaha NE 681545260 Healthcare Staffing Services 1716385 JMH Emergency Physicians Inc 20010 Century Blvd Suite 200 Germantown MD 208741118 Physician Services 1050360 Alliance Healthcare Services Inc 18201 Von Karman Ave Suite 600 Irvine CA 926121176 Radiology Services 577931 CHG Companies Inc PO Box 972651 Dallas TX 753972651 Healthcare Staffing Services 400402 Mayo Collaborative Services Inc 200 SW 1st Street Rochester MN 559050001 Laboratory Services 251972 6 Patient Service Revenue 621110 66597619 66597619 Pharmacy Income 446110 4278 4278 66601897 921258 921258 24829 24829 24829 24829 44198 -44198 -44198 -44198 Cafeteria Income 900099 116068 116068 Rebate Revenue 900099 33741 33741 Wells Fargo Revenue Share 900099 18424 18424 25363 25363 193596 67697382 66601897 1095485 X 9384 9384 0 0 0 284435 284435 0 16379920 15184106 1195814 633262 595193 38069 3751650 3512930 238720 1483020 1374752 108268 0 61558 61558 0 7422 7422 0 10396626 8107465 2289161 1508 1508 1518716 1075469 443247 0 0 549614 309487 240127 286102 80294 205808 0 0 337601 190103 147498 11379972 5684113 5695859 2216677 1248210 968467 256925 242425 14500 Provision for Doubtful Accounts 3653935 3653935 Medical Supplies 4898192 4898192 Taxes, Licenses, Fees 1675936 1414260 261676 Recruiting 86610 69788 16822 138878 19307 119571 60007943 47676835 12331108 0 36803 48848 22040492 11808802 7778248 7276382 836249 939486 19643 33350 42486400 25132053 15740058 17354347 18359985 34454404 161646 64973124 71915619 12870264 12448622 8759865 8285532 139808 142999 21769937 20877153 X 37622455 44841946 5580732 6196520 43203187 51038466 64973124 71915619 X 7689439 2661186 -2515346 X false true X true false X 0.00000 0.00000 0.00000 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 7422 7422 II-B 1i As a member of the WV Hospital Association and the American Hospital Association, a portion of the dues paid have been identified by the above mentioned organizations as attributable to lobbying activities. 1075952 1075952 21809898 11643753 10166145 5765 5765 17795389 13080304 4715085 1799396 402231 1397165 17354347 Financial derivatives and other financial products Closely-held equity interests Beneficial Interests in Perpetual Trusts 5820320 F Bond Fund F Other Investments 724597 F Funded Depreciation 27909487 F Self Insurance Fund F 34454404 Federal income taxes Capital Leases Interest Rate Swaps 190641 Debt Issuance Costs -47642 142999 X 66704633 2661186 -3653935 -992749 67697382 67697382 56354008 56354008 3653935 3653935 60007943 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, WVUIS and GHC are organizations subject to federal and/or state income taxes. The System does not have material uncertain tax positions as of December 31, 2019 and 2018. XI 2d The amount shown on line 2d consists of 3,653,935 provision for doubtful accounts reported as an offset to revenue on the financial statements. XII 4b The amount shown on line 4b consists of 3,653,935 provision for doubtful accounts reported as an offset to revenue on the financial statements. true true X true X false true true true false true true 854959 88750 766209 0.01360 14713861 14713861 265269 220712 44557 0.00080 15834089 15023323 810766 0.01440 47118 47118 0.00080 1773295 1773295 0.03150 8609 8609 0.00020 1829022 1829022 0.03250 17663111 15023323 2639788 0.04690 932 932 2636 2636 3568 3568 true 1509280 74837 18795771 22604410 -3808639 X true true 1 1 Jefferson Memorial Hospital 300 South Preston Street Ranson WV 25438 wvumedicine.org/jefferson/ 103 X X X X A A 1 false false true X X X X X X X X 19 true true false true X wvumedicine.org/east/about-us/community-health-needs-assessment/ false 20 true wvumedicine.org/east/wp-content/uploads/sites/19/2020/09/BMC.JMC.CHNA.Implementation-Plan.2020.pdf false false X 0000000200.000000000000 X X X X X true true X X X true X wvumedicine.org/bill-pay/financial-assistance/ X wvumedicine.org/bill-pay/financial-assistance/ X wvumedicine.org/bill-pay/financial-assistance/ X X X X X X true X false X X X X true X false true Group Jefferson Memorial Hospital Line Part V, Section B, Line 5 The 2019 Community Health Needs Assessment was prepared by Thomas Bias, Christiaan Abildso and Emily Sarkees of the West Virginia University Health Research Center. The Community Health Needs Assessment CHNA process began with a thorough review of the previous cycles needs assessment report and implementation plan. The CHNA also involved collecting both primary and secondary data. According to the CHNA, primary data was comprised of a survey of community members perceptions of health issues followed by a community event focused on reviewing survey data, discussing community resources and assets that impact population health in the area, and working as a group to outline possible implementation strategies for each area of concern. Secondary data included US census data and County Health Rankings Data. The stakeholders represent the broad interest of the communities served by University Healthcare WVUH-East. According to the CHNA, a community meeting was held in Martinsburg to get more input from the public, especially from organizations who provide social services to individuals within the service area of University Healthcare. Representatives from these organizations held discussions in small groups to compile a working list of existing resources, programs, policies, and ideas to address each area of concern, in addition to raising questions and providing information and perspective during overall discussion of the survey data results. The CHNA stated that they also worked in their small groups and as a part of a larger discussion to formulate some new suggestions to address each health area. The organizations represented at this community meeting included American Cancer Society, Berkeley County Chamber of Commerce, Berkeley County Development Authority, Berkeley County Health Department, Berkeley County Schools, Catholic Charities, City of Martinsburg, EPIC, Jefferson County Chamber of Commerce, Jefferson County Development Authority, Jefferson County Health Department, Jefferson County Sherriffs Department, Martinsburg Parks and Recreation, Panhandle Home Health, Shenandoah Community Health, United Methodist Church, United Way and WVU Medicine officials. The CHNA can be found here https//wvumedicine.org/east/about-us/community-health-needs-assessment/. Group Jefferson Memorial Hospital Line Part V, Section B, Line 5 In addition to the community meeting, a public survey was also utilized. The public survey was developed by the WVU SPH with the leadership team following an iterative process. Survey topics included questions about perceptions of overall health of the community, quality of life, access to healthcare and medical needs, personal behaviors and habits, and demographic information including age, education and income. The survey was collected both online and through hard copies from residents who are 18 or older. The survey link was distributed through email lists, patient charts, social media, and made available as hard copies in the community. Group Jefferson Memorial Hospital Line Part V, Section B, Line 6a The Community Needs Health Assessment CHNA was undertaken jointly with City Hospital, Inc.. Group Jefferson Memorial Hospital 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 event, working to identify priority areas for developing implementation strategies. With leadership and the community meeting group, the WVU SPH reviewed summarized survey data, including overall responses to the three most important health problems or issues. Health problems pertains to mainly clinical items such as health and disease topics however, when creating the survey tool, the hospital leadership saw value in asking about factors affecting health outcomes. For this reason, according to the CHNA, topics were grouped into three questions clinical health and disease items e.g. heart disease, addiction, cancer, quality of life and built or natural environmental factors e.g. air quality, availability of sidewalks, cost of medications, as well as things seen as personal choices or behaviors e.g. vaping, distracted driving, poor eating choices. This allowed the leadership team to cross-reference clinical items with their life factors and personal choices for a deeper understanding of the common themes, and a snapshot perspective of where in life the Hospital might be able to implement strategies that will impact many. The CHNA survey results for health and disease included 1. Drug addiction/dependence, 2. Obesity and chronic disease 3. Mental health problems. CHNA survey results for quality of life and environmental included 1. Cost of care/medications 2. Low income 3. Lack of access to recreation spaces for all ages. CHNA survey results for personal choices and risky behaviors included 1. Drug abuse 2. Alcohol abuse 3. Bad eating choices. Group Jefferson Memorial Hospital Line Part V, Section B, Line 11 During the prioritization process that followed the community meeting, leadership team members revisited common priority areas within the context of discussions and feedback from the morning. Utilizing a prioritization matrix to guide discussion, the group considered the degree to which the hospitals can realistically affect health outcomes for each priority health concern, endeavors already underway for each, as well as level of importance relative to the reach of their impact. The list of top health concerns was pared down and reconfigured to the three that will be the focus moving forward with implementation planning. These included substance use and abuse, obesity and chronic disease and mental health. Group Jefferson Memorial Hospital Line Part V, Section B, Line 11 The top health concerns identified by the stakeholders are being addressed by University Healthcare in the following ways. For substance abuse, hospital leadership plans to get more MAT-trained providers in place, support for the potential Quick Response Team being developed in Jefferson County, and the importance of work to reduce stigma and use of negative terminology surrounding addiction. Potential strategies to combat obesity include further addressing and utilizing current partnerships and programming University Healthcare already has in place to help aid in the prevention of obesity and other chronic diseases. Lastly, hospital leadership discussed recent hospital efforts to address the issue of mental health. These efforts include four psychiatrists, a new clinic in Ranson, recent surveying of all physicians regarding burnout, etc. Some initial strategy ideas included child and adolescent services to address existing school-based issues, initiatives addressing patients via MyChart, a need for addressing stigma and for addressing increasing suicide rates in the area. Group Jefferson Memorial Hospital Line Part V, Section B, Line 11 Hospital leadership did take the time to discuss some of the issues beyond the top three identified at the community meeting. Aging problems, low income, employment access, and transportation, for example, are something that the hospital recognizes as a community and statewide concern. However, the team agrees that these are larger problems that cannot be addressed with the resources and tools available to the hospitals right now. Similarly, cost of care and health insurance appear repeatedly in the community data, but the leadership team acknowledges that these are also in many ways systemic issues over which they have little control. Leadership has not discounted these other issues, however, and will revisit at a later time, recognizing that potential collaborations with future partners could change the scope of their impact. Group Jefferson Memorial Hospital Line Part V, Section B, Line 13b Jefferson Memorial Hospital JMH offers discounted care only to individuals who qualify for free care. JMH offers a Prompt - Pay Discount Program - patients who have no third party coverage uninsured or uninsurable may be eligible for a 50 self-pay discount while patients who have a guarantor balance may be eligible for a 20 discount. To be eligible for either prompt pay discount, the patient/guarantor must meet certain requirements. Group Jefferson Memorial Hospital 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. Part I Line 3c Jefferson Memorial Hospital JMH uses 200 Federal Poverty Guideline to determine free care eligibility. JMH offers a Prompt - Pay Discount Program - patients who have no third party coverage uninsured or uninsurable may be eligible for a 50 self-pay discount while patients who have a guarantor balance may be eligible for a 20 discount. To be eligible for either prompt pay discount the patient/guarantor must meet certain requirements. Part I Line 6a Jefferson Memorial Hospital community benefit numbers are reported in total with the other hospitals within West Virginia United Health System. The 2018 amounts can be found at the following web address http//wvumedicine.org/about/community-benefit/. Part I Line 7 Column f - Total community benefit expense for 2019 is 17,663,111 and is 31.34 of total net expenses. To calculate net expense, bad debt of 3,653,935 was deducted from total expenses of 60,007,943 as shown in Part IX line 25 of the core Form 990. 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 Physical Improvements and Housing - No activities reported in 2019. Part II Economic Development - A representative from JMH Home Health Services serves on the Jefferson County Chamber of Commerce Board of Directors. A representative from JMH also serves on the Jefferson County Development Authority Board of Directors. Part II Community Support - We sponsor and have a team participate in the annual March of Dimes Walk Jefferson County, American Cancer Society Relay for Life in Jefferson County and various other fundraising events for local, health related, non-profit organizations. Many WVUH-East employees serve as volunteer board directors on community non-profit organizations such as Hospice of the Panhandle and the United Way of the Eastern Panhandle as well as participate in other non-profit organizations such as the Jefferson County Council of Aging Senior Center, and various community support activities within Jefferson County Community Ministries. Part II Environmental Improvements - 2019 marked the fourth full year for Jefferson Memorial Hospital as a tobacco free campus. Part II Leadership Development and Training - One manager participated in the Chamber of Commerces Leadership Jefferson program in 2019. Several managers participated in leadership development trainings and have sent several staff to services to enrich their skills. Part II Coalition building - JMH staff participates in the Health Human Services Collaborative and workgroups such as the Health Work Group and Behavioral Health Workgroup. These activities focus on improving community access to health care, human services in general, and determine ways to encourage healthy lifestyles. JMH also sponsored health wellness events and participate in wellness events with the local schools, Jefferson County Parks Recreation, the City of Ranson, Ranson Parks and Recreation, the City of Charles Town and employer wellness fairs such as American Public University. Part II Community health improvement advocacy - In 2019, JMC leadership continued addressing health issues identified in the most recent CHNA. Part II Workforce Development - WVUH-East is also a major sponsor of the Womens Network which is an organization established by the Berkeley and Jefferson County Chambers. This group sponsors womens professional activities, social networking and professional development seminars. Jefferson Memorial Hospital also has agreements with area community colleges and universities to allow students to complete clinical rotations at the hospital. JMH also provides a job shadow program and a summer junior volunteer program to teens to allow them opportunities to shadow professionals to learn about possible careers in the workforce as well as participates in school career fairs in the elementary through high schools in the county. Part III Line 2 Bad Debt Expense at cost was calculated by multiplying bad debt expense of 3,653,935 by our cost to charge ratio of 46.09 derived from Worksheet 2 in the IRS Schedule H instructions for a total of 1,684,099 less DSH allocations to self-pay patient accounts of 174,819 for a total of 1,509,280. 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 15,000. The total of that report was 162,371 which we then multiplied by our cost to charge ratio of 46.09 for a total of 74,837. Part III Line 3 The estimated bad debt attributable to patients eligible for charity care of 74,837 should be considered community benefit due to the fact that anyone with outstanding balances of 15,000 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 Jefferson Memorial Hospitals financial statements are prepared on a consolidated basis as a member of the WV United Health System. The footnote for Accounts Receivable is as follows Patient accounts receivable are reported at net realizable value. For accounts receivable associated with services provided to patients who have third-party coverage, the System estimates net realizable value based on the estimated contractual reimbursement percentage, which in turn is based on current contract provisions and historical paid claims by payor. For self-pay accounts, including uninsured and patient responsibility accounts, the net realizable value is determined using historical collection experience, adjusted for estimated conversions of patient responsibility portions, expected recoveries and changes in trends to estimate implicit price concessions. Management continually reviews the estimated net realizable value of accounts receivable by monitoring cash collections, economic conditions and trends, changes in payor mix, changes in federal or state healthcare coverage and other matters. 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, 2019 from patients and third-party payors is as follows Medicare - 27, Medicaid - 17, Blue Cross - 24, Commercial, managed care and other - 26, Patients - 6, 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 The amount reported in Part III Line 6 22,604,410 was calculated using the total Medicare allowable cost from the Medicare cost report. Part III Line 8 Jefferson Memorial Hospitals 3,808,639 shortfall of Medicare program reimbursement should be considered a community benefit because we are relieving a government burden by providing care in excess of our costs to these patients. Part III Line 9b JMH does have a debt collection policy. When a patient has been approved for financial assistance under our charity care policy, they will not be sent to bad debt. Additionally, if a patient is being evaluated for charity, the patient will not be sent to bad debt agency pending charity guarantor status until the pending status has been finalized approved/denied. All other patients with outstanding balances will be processed through billing and collections pursuant to our Financial Policy. Part VI Line 2 Jefferson Memorial Hospital is a critical care hospital within the health care delivery system of West Virginia University Hospital - East WVUH-East. The marketing department considers several components in assessing how the organization determines the needs of the communities it serves. Through outside consultants, to collaborating with various departments, a needs assessment takes into account several factors including physician to population ratios, physician availability in the entire service area, and general health risks for our community. The Primary Service Area PSA for WVUH-East includes Berkeley County, WV, Jefferson County, WV and Morgan County, WV. This data is then analyzed to provide general estimates to where WVUH-East entities could better care for residents of the West Virginia Eastern Panhandle. Part VI Line 3 JMH employs 2 financial analysts to meet with patients to discuss financial eligibility for our charity care program. JMH has applications for charity and the qualification requirements for receiving charity available at all registration areas for both facilities. Patients who do not qualify for state or federal funded programs can apply for the charity care program at WVUH-EAST. Part VI Line 4 Jefferson Memorial Hospital is a non-profit critical access hospital located in Jefferson County, WV in the city of Ranson. Jefferson Memorial Hospital along with City Hospital located in Martinsburg makes up the Eastern Division of WVU Medicine which is a part of the West Virginia United Health System. WVU Medicine provides a majority of inpatient services for the population in our Primary Service Area PSA. The PSA identified in the most recent CHNA for the Eastern Division of WVU Medicine includes Berkeley County, WV, Jefferson County, WV and Morgan County, WV. The 2018 market share for Jefferson Memorials Primary Service Area is 25.1, with 21.4 of those patients covered by Medicaid and 1.8 of the patients uninsured. City Hospital, Inc., a non-profit acute care hospital under common management, is within the Primary Service Area and War Memorial Hospital, a non-profit critical access hospital, operated by Valley Health System, also operates within the PSA. Jefferson Countys population is 57,146, with an average income of 72,526 an unemployment rate of 3.3 and 9.7 of persons living in poverty. Berkeley County has a population of 119,171 an average income of 59,480 an unemployment rate of 7.6 and 13 of persons living in poverty. Morgan County, WV has a population of 17,884, with an average household income of 46,346 an unemployment rate of 7.3 and 11.1 of persons living in poverty. Part VI Line 5 In 2009, WVUH-East started offering discounted screening in response to a struggling economy. Recognizing that individuals were putting off scheduling routine, preventive testing such as mammograms and blood work, WVUH-East offered Discounted Mammogram Clinics in May and October 2019 cash, no insurance. The clinics were successful in serving over 50 patients at Jefferson Memorial Hospital. Part VI Line 5 Our Mini-Medical School Program, which is held 9 times a year in Berkeley County, is a community health education program featuring local physicians and topics that address health needs in our communities. The program is jointly sponsored by WVUH-East and the WVU Robert C. Byrd Health Sciences Center Eastern Division. It is offered free to the community with an average attendance of 40 - 50. Part VI Line 6 Jefferson Memorial Hospital is a part of the WV United Health System WVUHS. WVUHS is a not-for-profit corporation formed to serve as part of an integrated health science and healthcare delivery team. WVUHS serves as the parent corporation to an affiliated group of healthcare providing entities. The strategic plan of the System states intent to build a regional health care delivery system in its 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, United Hospital Center in Bridgeport, WV, Camden-Clark Memorial Hospital in Parkersburg, WV, City Hospital, Inc. in Martinsburg, 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, and Community Health Association, doing business as, Jackson General Hospital in Ripley, WV. Part VI Line 6 The System also includes the 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, a behavioral health center located in Clarksburg, WV. In addition to these practices, the System also includes WVUH-East, Inc. and Camden-Clark Health Services which operate as management companies for their respective hospitals. The System also includes University Healthcare Foundation in Martinsburg, WV, United Health Foundation in Bridgeport, WV, Camden-Clark Foundation in Parkersburg, WV, St. Josephs Foundation of Buckhannon, Inc. in Buckhannon, WV, and Reynolds Memorial Foundation in Glen Dale, WV which perform various fundraising activities for their respective hospitals. true false true false false false true false false false false Charles Keeling CRNA 245457 250 2481 9299 18184 275671 Angela Taylor CRNA 239375 250 1446 10689 25339 277099 Stephen Palmerton CRNA 205640 5000 1356 8744 10796 231536 Jonathan Kline Pharmacist 181068 250 252 8481 14405 204456 Neil McLaughlin VP Operations 190387 42296 5010 28636 18107 284436 24805 Frew Negatu Pharmacist 150179 250 7023 6650 25268 189370 Part I Line 3 Salaries of all officers are subject to the approval of a compensation committee designated by the WV University Healthcare Board of Directors. This committee uses the work of an independent salary and benefit consultant to determine the compensation packages to be made available to officers to ensure the compensation does not exceed fair market value of comparable positions at similar organizations. All data is retained and all decisions are appropriately documented pertaining to the compensation setting practices. This review occurs annually and was last completed in 2018 for 2019 compensation amounts. Part I Line 4b During 2019, certain individuals reported in Part VII participated in a nonqualified retirement plan. The following is a list of those individuals, plan types and amounts. Neil McLaughlin - deferred contributions to the Cash Contributions Account of 19,831 as well as vested contributions of 24,805 that were reported as deferred contributions in prior years. Part I Line 6a Per the WVUHS Incentive Plan incentives are contingent on meeting a net earning target. Form 990, Part III, Line 4d Program Service Expenses 7,253,950, Grants and allocations 0, Revenue 10,343,349 Jefferson Memorial Hospital JMH is a not-for-profit, critical access hospital that operates twenty-four 24 hours a day, seven 7 days a week. The hospital offers a variety of services which include the following but not limited to birthing, cardiopulmonary, emergency, home health, infectious disease, laboratory, pediatric, pharmacy, radiology, care management, special care, surgery, transitional care, vascular therapy and womens imaging. It serves as part of a regional health system, West Virginia University Hospitals-East, Inc. WV University Healthcare which serves Berkeley, Jefferson and Morgan Counties in West Virginia. Form 990, Part IV, Line 24a Bond issuances allocated to Jefferson Memorial Hospital are being reported on Schedule K of West Virginia University Hospitals, Inc. EIN 55-0643304. West Virginia University Hospitals, Inc. is a 501c3 and is the parent hospital of Jefferson Memorial Hospital. Form 990, Part V, Line 2a Jefferson Memorial Hospitals JMH serves as paymaster for certain employees of West Virginia University Hospitals, East d/b/a University Healthcare WVUH-East. As paymaster, JMH withholds and remits all appropriate taxes and associated returns/filings. JMH bills WVUH-East for compensation and benefits attributable to the shared employees. Employees that perform duties for WVUH-East are reported as employees of that entity and their compensation and benefits are reported as expense on that 990. Form 990, Part VI, Section B, Line 12c Each board member is required to disclose, annually, any relationships which may give rise to a potential conflict of interest. These responses are processed and maintained by the WVUH-East Compliance Committee. All board members are to be willing to identify conflicts of interest and abstain from voting when appropriate. Form 990, Part VI, Section B, Line 15b Executive compensation is based upon the work of an independent salary consulting firm, which compiles data from comparable facilities in comparable geographic regions. The information is then used by the board of directors and compensation committee to set salaries. This work is documented and retained. Form 990, Part VI, Section C, Line 19 All financial and governing documents, including the conflict of interest policy are maintained on site and made available to the public upon written request. Form 990, Part IX, Line 11g This total consists of Consulting Professional fees of 2,243,293 of which all is considered management and general expenses Contracted Labor fees of 1,271,628 of which 1,237,077 are considered program service expenses and 34,551 management and general expenses Lab Fees of 1,331,930 of which all is considered program service expenses Contract Labor- Patient Care fees of 1,876,672 of which 1,873,902 is considered program service expenses and 2,770 management and general expense Consulting and Professional - Med Staff Director fees of 227,026 of which all is considered program service expense Contracted Physician Expense of 3,446,068 of which 3,437,520 is considered program service expense and 8,548 management and general expense and Enhanced Patient Care Grants of 9 of which all is considered program service expense. Form 990, Part XI, Line 9 Other changes in net assets or fund balance includes 961 of amortization of FMV of derivatives, 46,066 of capital campaign proceeds, 3,436,784 related organization capitalization. 258,624 adjustment to malpractice insurance liability, 65 Change in Temporarily Restricted Net Assets, and 615,722 Change in Permanently Restricted Net Assets. The malpractice insurance adjustment was a related party transfer of medical malpractice liability from the local hospital JMC to the System as part of moving to a self-insured captive insurance plan across the System with these hospitals only paying a premium for coverage under the plan and the medical malpractice liability residing at the System level under the captive insurance entity, Augusta Insurance Company LTD. West Virginia University Hospitals - East Inc 2500 Foundation Way Martinsburg WV 25401 202337985 Healthcare Access WV 501C3 12a West Virginia University Hospitals Inc false West Virginia University Hospitals Inc PO Box 8034 Morgantown WV 26506 550643304 Patient Care WV 501C3 3 WV United Health System false WV United Health System Inc PO Box 8034 Morgantown WV 26506 550754713 Healthcare Access WV 501C3 12a N/A false City Hospital Inc 2500 Foundation Way Martinsburg WV 25401 550383321 Patient Care WV 501C3 3 WVUH-East Inc false University Healthcare Foundation 2500 Foundation Way Martinsburg WV 25401 311118075 Hospital Support WV 501C3 12a West Virginia University Hospitals Inc false United Summit Center 6 Hospital Plaza Clarksburg WV 26301 550752788 Behavioral Health WV 501C3 3 West Virginia University Hospitals Inc false United Hospital Center Inc 327 Medical Park Drive Bridgeport WV 26330 550525724 Patient Care WV 501C3 3 WV United Health System false United Physicians Care Inc 686 South Pike Street Shinnston WV 26431 550638563 Patient Care WV 501C3 3 United Hospital Center Inc false United Health Foundation 327 Medical Park Drive Bridgeport WV 26330 550621706 Hospital Support WV 501C3 12a United Hospital Center Inc false West Virginia Health Care Cooperative 400 Fairview Heights Rd Summersville WV 26651 550650441 Patient Care WV 501C3 3 West Virginia University Hospitals Inc false Camden-Clark Health Services 800 Garfield Ave Parkersburg WV 26101 550769602 Healthcare Access WV 501C3 12a WV United Health System false Camden-Clark Foundation 800 Garfield Ave Parkersburg WV 26101 550667789 Hospital Support WV 501C3 7 Camden-Clark Health Services false Camden-Clark Memorial Hospital 800 Garfield Ave Parkersburg WV 26101 311524546 Patient Care WV 501C3 3 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 University Healthcare Physicians 2500 Foundation Way Martinsburg WV 25401 900893455 Patient Care WV 501C3 3 N/A 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 Inc 1 Amalia Drive Buckhannon WV 26201 550356996 Patient Care WV 501C3 3 WV United Health System false St Joseph's Foundation of Buckhannon Inc 1 Amalia Drive Buckhannon WV 26201 550727650 Hospital Support WV 501C3 12b St Joseph's Hospital of Buckhannon Inc 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 12a Reynolds Memorial Hospital 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 Allied Health Sourcing Solutions PO Box 8034 Morgantown WV 26506 842403526 Supply Chain Management WV N/A false false Gateway Home Care 1353 Edwin Miller Blvd Martinsburg WV 25404 541965474 Durable Medical Equipment WV AHS LLC false false Allied Health Services Inc PO Box 782 Morgantown WV 26507 550652017 Medical Lab WV West Virginia United Health System C Corp false West Virginia United Insurance Services Inc 3040 University Avenue Suite 3200 Morgantown WV 26505 550756055 Provider Network WV West Virginia United Health System C Corp false false false false false false false false false false false false false false false false true true false false