2020-11-13T04:31:05-00:00 2019-12-31 990 2019-01-01 550356996 St Joseph's Hospital of Buckhannon Inc STJO 3044732000 1 Amalia Drive Buckhannon WV 26201 Ivar Gjolberg President 2020-11-10 false 157.182.216.2 2020-11-14 12:50:36 ES P 870EFB8F4D4B335661AFD9F3B52637157C2F45F8 961A8E11061A341FA9665A68F3B1FFC5AE12E713 2019 2021-01-29 14:40:06Z Ivar Gjolberg 1 Amalia Drive Buckhannon WV 26201 72193099 false X https://wvumedicine.org/st-josephs-hospital/ X 1989 WV We are inspired by the love of Christ to provide our community with quality health care in ways that respect the God-given dignity of each person and the sacredness of human life. 11 7 505 35 -9717 356597 17805 56085751 69068115 39272 -63564 2010537 2597744 58492157 71620100 0 0 26814767 29654347 0 0 26336819 34701514 53151586 64355861 5340571 7264239 43900190 46795153 31089690 28937056 12810500 17858097 X We are inspired by the love of Christ to provide our community with quality health care in ways that respect the God-given dignity of each person and the sacredness of human life. false false 12656036 18213747 The Physicians of St.Josephs provide healthcare to the entire family from infancy to the elderly in their family medicine department. St. Josephs family medicine department provides convenient and comprehensive care that recognizes the uniqueness of every individual who is treated. Family medicine at St. Josephs had 17,311 visits in 2019. 11389948 18465089 St. Josephs emergency department is a level four trauma center and is open seven days per week, 24 hours per day. In addition to the emergency department, St. Josephs has a PromptCare Walk-In Treatment Center that is located adjacent to the emergency department and is open seven days per week. In 2019, St. Josephs emergency department had 15,178 visits. 8895352 8511231 St. Josephs Hospital provides a wide scope of general surgery services. There were 5,870 clinic visits and 2,524 OR procedures in 2019. 21439823 26459850 54381159 true true false true false false false false false false true false false true 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 92 0 true 505 true false false false false false false false false false false false false false X 11 7 false false false false true true true true true false false true true true true true true true true false X Russell Plywaczynski 3044732000 1 Amalia Drive Buckhannon WV 26201 Susan Long MD Physician 040.00 X 813054 0 39258 Michael C Tillman Director - CEO UHC 001.00 040.00 X 0 648609 46752 Robert Riddick MD Hospitalist 040.00 X 448131 0 31723 Ivar Gjolberg Administrator 040.00 X 322188 0 63393 David Faber MD Physician 040.00 X 368113 0 0 Bartley Brown DO Director 040.00 X 304803 0 35466 Sara Chua DO Director 040.00 X 285414 0 23069 Gerard O'Loughlin DO Physician 040.00 X 197359 0 33653 LaWanna Starks MD Physician 040.00 X 198989 0 10842 Rodney Baker VP - Phys - Ancillary Services 040.00 X 135458 0 23175 Annamarie Chidester VP Patient Services 040.00 X 134090 0 20620 Brenda Bauer VP of Quality 040.00 X 122975 0 23098 Anissa Hite-Davis VP Human Resources 040.00 X 112851 0 28776 Lisa Wharton VP, Marketing 040.00 X 106337 0 13142 Sr Francesca Lowis Director, Vice Chairperson/Secretary 040.00 X X 42649 0 980 Dennis Xander Chairperson 001.00 X X 0 0 0 Sr Mary Grace Barile Director 001.00 X 0 0 0 Scott McKinney Director 001.00 X 0 0 0 Don Nestor Director, Treasurer 001.00 X X 0 0 0 Sam Nolte Director 001.00 X 0 0 0 Katharine Wagner Director 001.00 X 0 0 0 Shawn Hanifan Director 001.00 X 0 0 0 3592411 648609 393947 27 false true false Clinical Colleagues Inc 1121 North Bethlehem Pike Spring House PA 19477 Anesthesia Services 602571 High Point Construction Group LLC 643 Route 20 South Rd PO Box 577 Buckhannon WV 262014047 Construction Services 350497 C & A Industries Inc 13609 California St Omaha NE 681545233 Nursing Services 333441 Alliance Healthcare Services Inc 18201 Von Karman Ave Suite 600 Irvine CA 926121176 Healthcare Services 289800 Mayo Collaborative Services Inc 200 SW 1st St Rochester MN 559050001 Laboratory Services 234067 9 15968 1837 17805 Patient Service Revenue 69068115 69068115 69068115 419094 -9717 428811 106283 90341 15942 15942 15942 482658 -482658 -482658 -482658 Pharmacy Income 446110 1927562 1927562 Cafeteria Income 624200 269716 269716 Rebate Revenue 900099 124401 124401 260123 260123 2581802 71620100 71649917 -9717 -37905 0 0 0 0 1798482 803461 995021 0 20444789 18956279 1488510 739451 737230 2221 5175595 4882855 292740 1496030 1387110 108920 0 230118 230118 22500 22500 7040 7040 0 5894577 5453548 441029 240824 4294 236530 2191096 1519140 671956 1140 1140 0 786319 647057 139262 107955 74418 33537 0 35605 29605 6000 251412 208426 42986 7944094 3425156 4518938 1734876 1427619 307257 606106 531380 74726 Provision of Bad Debt 3617038 3617038 Medical Supplies 9099227 9099227 Taxes, Licenses Fees 1763477 1500741 262736 Recruiting 64595 32361 32234 103515 43074 60441 64355861 54381159 9974702 0 142430 554191 3889171 4009017 5768985 6633152 7000 1386350 1254922 611114 2184239 21831535 5749540 15920907 16081995 855435 4396854 4343897 697641 10974901 10983142 43900190 46795153 6479614 6033805 7860000 7860000 3952435 1791563 12797641 13251688 31089690 28937056 X 12810500 17858097 12810500 17858097 43900190 46795153 X 7264239 279133 -2495775 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 7040 7040 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 23.32 of the 2019 dues were allocated to lobbying expense. The West Virginia Hospital Association estimates that during 2019, 16.32 of the dues paid should be allocated to lobbying expense. 1397498 1397498 11791277 2935204 8856073 1006703 99347 907356 6874941 2638470 4236471 761116 76519 684597 16081995 Financial derivatives and other financial products Closely-held equity interests Unamortized Borrowing Costs 344835 Goodwill Other Intangibles 10552144 Deferred Compensation 86163 10983142 Federal income taxes Due to Third Party Payors 5191613 Other Current Liabilities 55399 Pension Obligation 7791589 Deferred Compensation 86163 Long Term Lease Liability 126924 13251688 X 68030136 279133 -3943469 -3664336 71694472 -74372 -74372 71620100 60502733 90341 90341 60412392 3943469 3943469 64355861 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, WVUIS and GHC are organizations subject to federal and/or state income taxes. The System does not have any material uncertain tax positions as of December 31, 2019 and 2018. XI 2d This amount shown on line 2d consists of 3,617,039 provision for doubtful accounts and 326,430 defined benefit reported as an offset to revenue on the financial statements but is reported as an expense on the Form 990. XI 4b The amount shown on line 4b consists of 90,341 expenses associated with the properties for which rental income is received and presented as an offset to revenue on the 990, 15,968 of contributions from St. Josephs Foundation posted in Net Assets and 1 rounding. XII 2d The amount shown on line 2d consists 90,341 of expenses associated with the properties for which rental income is received and reported in Part VII line 6b. XII 4b The amount shown on line 4b consists of 3,617,039 provision for doubtful accounts and 326,430 defined benefit reported as an offset to revenue on the financial statements but is reported as an expense on the Form 990. true true X true X false true true false true true 939414 939414 0.01550 16371688 16342630 29058 0.00050 265188 265188 17576290 16607818 968472 0.01600 105525 105525 0.00170 4729 2500 2229 30208 30208 0.00050 140462 2500 137962 0.00220 17716752 16610318 1106434 0.01820 1279 12684 12684 0.00020 179 50917 50917 0.00080 1458 63601 63601 0.00100 true 1515539 15580 23340077 24425659 -1085582 X true true 1 1 St Joseph's Hospital of Buckhannon 1 Amalia Drive Buckhannon WV 26201 wvumedicine.org/st-josephs-hospital/ 87 X X X X Skilled Nursing Facility, Outpatient A A 1 false false true X X X X X X X X 19 true false false true X wvumedicine.org/st-josephs-hospital/patients-visitors/community-health-needs-assessment/ X true 19 true wvumedicine.org/st-josephs-hospital/wp-content/uploads/sites/15/2020/11/SJH-Community-Health-Impleme false false true 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 St. Josephs Hospital of Buckhannon Line Part V, Section B, Line 5 The 2019 Community Health Needs Assessment CHNA was prepared by Thomas Bias, Christiaan Abildso, and Emily Sarkees from the West Virginia University School of Public Health - 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 both primary and secondary data. Primary data was collected using a survey of community members perceptions of health issues, and a community meeting that 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. The CHNA can be found here wvumedicine.org/st-josephs-hospital/patients-visitors/community-health-needs-assessment/ Group St. Josephs Hospital of Buckhannon Line Part V, Section B, Line 5 According to the CHNA, the public input survey included topics with questions about perceptions of overall health of the community, quality of life, access to healthcare and medical needs, risky personal behaviors and demographic information including age, education and income. The survey was available both online and through hard copies and were to be completed by residents who were 18 years of age or older. Collection points and contact lists included SJH employees, SJH website, SJH board members, Spring Health Fair, Partners in Care Council Meeting, Chamber of Commerce, Create Buckhannon and other community groups, hospital lobby, press release and Upshur County Economic Development Authority. Group St. Josephs Hospital of Buckhannon Line Part V, Section B, Line 5 The community meeting was hosted by St. Josephs Hospital leadership and was open to the public to solicit input on community health needs. Organizations represented at the community meeting included 2nd Congressional District Office, HealthRight, JH Consulting Inc., Mountain CAP of WV, ResCare HomeCare, Upshur County EMS, Upshur County Senior Citizens Center and West Virginia Wesleyan College. Group St. Josephs Hospital of Buckhannon Line Part V, Section B, Line 11 Following the community meeting, the SJH leadership team discussed the totality of information collected through the survey and community events, working to identify priority areas for developing implementation strategies. 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, topics were grouped into three questions clinical health and disease items 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. Diabetes. Survey results for quality of life and environment included 1. Employment access/good jobs 2. Low income 3. Food insecurity. Survey results for personal choice risky behaviors included 1. Drug addiction/dependence 2. Alcohol abuse and 3. Tobacco. Group St. Josephs Hospital of Buckhannon Line Part V, Section B, Line 11 According to the CHNA, after review of the primary and secondary data, St. Josephs Hospital identified the following prioritized needs 1. Substance Use and Abuse, 2. Disease Prevention and Management and 3. Access to Care/Transportation. In regards to substance use and abuse, SJH has programming underway to address this issue and has identified opportunities for community collaboration. To further address the needs of disease prevention and management, new clinical cancer-related efforts are already underway and existing programming is already in place. Finally, SJH understands and is aware of the transportation challenges that some stakeholders face which prohibit these individuals from accessing essential specialty care at medical centers that are further away in the State. While this is something SJH cannot handle on their own at this time, they have found ways to refer patients to the closest sister hospital within the West Virginia University Health System that provides the care needed. Group St. Josephs Hospital of Buckhannon Line Part V, Section B, Line 13b St. Josephs Hospital offers discounted care only to individuals who qualify for free care. St. Josephs Hospital 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 St. Josephs Hospital of Buckhannon 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 St. Josephs uses 200 Federal Poverty Guideline FPG to determine free care eligibility. However, St. Joesphs does not offer discounted care to individuals who fail the 200 FPG test. Part I Line 6a St. Josephs 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 2019 is 17,716,752 and is 29.17 of total net expenses. To calculate net expense, bad debt of 3,617,039 was deducted from total expenses of 64,355,861 as shown in Part IX line 25 of the core Form 990, for a net expense of 60,738,822. 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 St. Josephs reported Community Building activities of 63,601 for 2019. Part III Line 2 Bad Debt Expense at cost was calculated by multiplying bad debt expense of 3,617,039 by our cost-to-charge ratio of 41.90 derived from Worksheet 2 in the IRS Schedule H instructions for a total of 1,515,539. 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 37,183 which we then multiplied by our cost to charge ratio of 41.90 for a total of 15,580. Part III Line 3 The estimated bad debt attributable to patients eligible for charity care of 15,580 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 St. Josephs 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 and 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 24,425,659 was calculated using the total Medicare allowable cost from the Medicare cost report. Part III Line 9b St. Josephs 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 St. Josephs Hospital has contracted with the West Virginia University School of Public Health to perform the community wide needs assessment survey and has translated this information into the Community Health Needs Assessment Report which outlines actions taken. St. Josephs Hospital considers several components in assessing how the organization determines the need of the communities it serves. Through feedback from stakeholders, outside consultants and 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 that are perceived to be the highest priority by the stakeholders and hospital leadership. The community served by St. Josephs Hospital is primarily Upshur County, WV. However, the Hospital serves many patients from portions of Barbour, Lewis, Randolph, Webster and other counties. Part VI Line 3 St. Josephs Hospital of Buckhannon will advise patients and their families of financial assistance through the following means direct patient contact, in person or over the phone notice of availability of financial assistance will be posted in each registration area and emergency department and other waiting areas notice of availability of financial assistance will be printed with each patient initial bill availability of financial assistance will be printed on applicable letters and statements notice of availability will be posted on the hospitals website published in additional languages if needed by more than 10 of the population outreach to community most likely to utilize the FAP to include outreach to public agencies and other non-for-profit agencies and availability of financial assistance will be posted annually in local paper. Part VI Line 4 St. Josephs Hospital is located in Buckhannon, a small rural town in a mountainous region of Upshur County, West Virginia. The Hospital primarily serves Upshur County, which has a population of 24,405 and an average household income of 58,491. The unemployment rate is currently at 8 and the median age in Upshur County is approximately 41. The following hospitals provide a full range of acute care, ancillary and case management services and many also provide long-term care. The hospitals are located in the immediate service area or the contiguous service area Stonewall Jackson Memorial Hospital, United Hospital Center, Davis Memorial Hospital, Louis A. Johnson VA Medical Center, and Broaddus Hospital. In addition, William J. Sharpe Hospital in Weston, West Virginia provides comprehensive psychiatric services for patients that have been involuntarily committed to the facility. Part VI Line 5 St. Josephs hospital promotes the health of the community by maintaining an open medical staff, using community members on its board of directors, providing support of community health activities blood screenings, health fair, flu shot clinics, etc.. The hospital has also been actively recruiting both primary care providers and specialists to meet the healthcare needs of our service area. Part VI Line 6 St. Josephs Hospital of Buckhannon, Inc. is a not-for-profit health care facility wholly owned and sponsored by United Hospital Center, Inc. UHC. United Hospital Center is a subsidiary of the West Virginia United Health System. The West Virginia United Health System is comprised of 11 hospitals in 2019 including Camden Clark Medical Center, Berkeley Medical Center, Jefferson Medical Center, Potomac Valley Hospital, Reynolds Memorial Hospital, St. Josephs Hospital, United Hospital Center, West Virginia University Hospitals, Braxton County Memorial Hospital, Summersville Regional Medical Center, and Jackson General Hospital. St. Josephs Hospital is committed to the core values of compassion, hospitality, reverence, interdependence, stewardship, and trust. Part VI Line 6 St. Josephs Hospital of Buckhannon is a part of the WV United Health System WVUHS. WVUHS is a not-for-profit corporation formed to serve as part of an integrated health science and healthcare delivery team. WVUHS serves as the parent corporation to an affiliated group of healthcare providing entities. The strategic plan of the System states intent to build a regional health care delivery system in its service areas, while offering a variety of options for providers who want to participate. The System maintains a demonstrated commitment to assist rural communities in preserving and improving the health care available to the patients it serves. Part VI Line 6 System management is focused on recruitment of staff and employees to meet the growing needs of the aging population in the Systems service areas. Other hospitals in the System include West Virginia University Hospitals, Inc. in Morgantown, WV, United Hospital Center in Bridgeport, WV, Camden-Clark Memorial Hospital in Parkersburg, WV, City Hospital, Inc. in Martinsburg, WV, Jefferson Memorial Hospital in Ranson, WV, Potomac Valley Hospital in Keyser, WV, Reynolds Memorial Hospital, in Glen Dale, WV, West Virginia Health Care Cooperative, doing business as, Summersville Regional Medical Center in Summersville, WV, Braxton County Memorial Hospital in Gassaway, WV, 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. false false false false false true false false false Susan Long MD Physician 587321 225733 12600 26658 852312 David Faber MD Physician 368113 368113 Robert Riddick MD Hospitalist 444567 3564 12600 19123 479854 Gerard O'Loughlin DO Physician 194863 2496 8140 25513 231012 Sara Chua DO Director 206326 79088 7788 15281 308483 Bartley Brown DO Director 264052 15000 25751 9760 25706 340269 Michael C Tillman Director - CEO UHC 423096 132653 92860 20163 26589 695361 Ivar Gjolberg Administrator 254101 62571 5516 37413 25980 385581 17184 Annamarie Chidester VP Patient Services 124890 8468 732 5754 14866 154710 Rodney Baker VP - Phys - Ancillary Services 120213 12239 3006 5084 18091 158633 LaWanna Starks MD Physician 168011 30000 978 5331 5511 209831 Part I Line 3 The CEOs compensation is paid by United Hospital Center, Inc. UHC. United Hospital Center uses the following methods to establish the compensation of the CEO compensation committee, independent compensation consultant, Form 990 of other non-profit organizations, compensation survey or study, and approval by the board of directors or compensation committee. Part II Ivar Gjolberg deferred compensation through CAA contributions in 2019 in the amount of 25,842 and received 17,184 CAA distributions in 2019. These amounts were appropriately reported as compensation on Form W-2 for 2019. 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 21,439,823, Grants and allocations 0, Revenue 26,459,850 The hospital provides impartial access to treatment or accommodation for care that is available or medically indicated regardless of race, creed, sex, national origin or source of payment. In order to enable our patients to lead healthy, productive lives, the hospital strives to supply a comprehensive range of acute inpatient, long-term and outpatient care, outreach clinics, home care and emergency room services including prevention, guidance, diagnosis, treatment, restoration, rehabilitation, and other efforts as may be required, to meet the health care needs of the community as the hospital resources will permit. Although payment for services rendered is essential to the operation and stability of the hospital, it is recognized that not all individuals possess the financial means to purchase essential medical services. Our mission is to serve the community with respect to providing health care services and health care education. In keeping with this commitment, the hospital will serve all members of its community regardless of means or source of payment. Form 990, Part III, Line 4d Program Service Expenses 0, Grants and allocations 0, Revenue 0 The hospital also operates physician clinics and durable medical equipment service centers. Form 990, Part VI, Section B, Line 11 The Form 990 is prepared by the West Virginia United Health System, Inc. Tax Team and then reviewed by the Director of Finance at St. Josephs Hospital of Buckhannon. After gaining approval from the Director of Finance, it is then presented to the board members for a final review. Upon board review, it is signed and submitted to the IRS. Form 990, Part VI, Section B, Line 12c Upon employment and annually thereafter, each key employee and officer of the organization is required to complete a conflict of interest and disclosure form, providing sufficient information about his/her personal interests and relationships so the organization can 1 determine whether any potential or actual conflicts of interest may exist, and 2 monitor work or service assignments to avoid placing the key employee, officer, or director in a position where there may be an appearance potential or actual of a conflict of interest or a question of objectivity. The completed conflict of interest and disclosure forms for directors are returned to the organization. These members are monitored and not assigned any projects that would create any potential conflict of interest. Any board member with a potential conflict recuses himself or herself from all discussions regarding the conflict. Form 990, Part VI, Section B, Line 15 The compensation of the CEO is determined by the West Virginia 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. Compensation is evaluated annually. Form 990, Part VI, Section C, Line 19 The organization makes its governming documents, conflict of interest policy, and financial statements available to the public upon request at its office at 1 Amalia Drive, Buckhannon, WV 26201. A nominal fee is charged if copies are requested. Form 990, Part VI, Section A, Line 6 The organization is a membership not a stock corporation under West Virginia State law. The Organizations sole coporate member is United Hospital Center, Inc., a related not-for-profit organization. Form 990, Part VI, Section A, Line 7a In accordance with the terms and requirements of its governming documents i.e. bylaws, on an annual basis, the organizations current board members recommend the list of candidates for membership to the governing body for the subsequent term to the St. Josephs hospital board of directors. The United Hospital center, Inc., board of directors will approve and elect these candidates to serve as the organizaitons board of directors. Form 990, Part VI, Section A, Line 7b United Hospital Center, Inc., as the sole corporate member, also has the right to approve or ratify significant decisions of the organizations governming body including the amendment of bylaws and charters, removal of members of the governing body, and the decision to dissolve the organization. Form 990, Part XI, Line 9 Line 9 consists of 1,178,057 pension plan adjustment 1,301,744 related organization capitalization, 15,968 contributions to related party, St. Josephs Foundation that were posted to Net Assets, and 6 rounding. West Virginia United Health System Inc PO Box 8034 Morgantown WV 26506 550754713 Healthcare Access WV 501C3 12a N/A false West Virginia University Hospitals PO Box 8034 Morgantown WV 26506 550643304 Patient Care WV 501C3 3 West Virginia United Health System Inc 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 Jefferson Memorial Hospital Inc 300 S Preston St Ranson WV 25438 550359755 Patient Care WV 501C3 3 West Virginia University Hospitals - 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 Health Foundation 327 Medical Park Drive Bridgeport WV 26330 550621706 Hospital Support WV 501C3 12a United Hospital Center Inc false United Hospital Center Inc 327 Medical Park Drive Bridgeport WV 26330 550525724 Patient Care WV 501C3 3 West Virginia United Health System Inc false United Physicians Care Inc 686 South Pike Street Shinnston WV 26431 550638563 Patient Care WV 501C3 3 United Hospital Center Inc false United Summit Center Inc 6 Hospital Plaza Clarksburg WV 26301 550752788 Behavioral Health WV 501C3 3 West Virginia University Hospitals 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 Camden-Clark Memorial Hospital 800 Garfield Ave Parkersburg WV 26101 311524546 Patient Care WV 501C3 3 Camden-Clark Health Services false Camden-Clark Health Services 800 Garfield Ave Parkersburg WV 26101 550769602 Healthcare Access WV 501C3 12a West Virginia United Health System Inc false Camden-Clark Foundation 800 Garfield Ave 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 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 Reynolds Memorial Hospital 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 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 true City Hospital Inc 2500 Foundation Way Martinsburg WV 25401 550383321 Patient Care WV 501C3 3 West Virginia University Hospitals - East 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 Gateway Home Care 1353 Edwin Miller Blvd Martinsburg WV 254043703 541965474 Durable Medical Equipment WV AHS LLC false 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 Inc 3040 University Avenue Suite 3200 Morgantown WV 26505 550756055 Provider Network WV WV United Health System C Corp false true true true false false false false false false true false false true true false true false false false