CITY HOSPITAL INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- CITY HOSPITAL INC (EIN 55-0383321)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-11-12
- IRS object ID
- 201903169349307005
- Schema version
- 2018v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-11-12T09:41:30-00:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550383321 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | City Hospital Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CITY | BusinessNameControlTxt |
| Phone | 3042641000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 Foundation Way Room 2310 | AddressLine1Txt |
| City | Martinsburg | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25401 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Zach Kerns | PersonNm |
| Person Title | VP of Finance | PersonTitleTxt |
| Signature | 2019-11-12 | SignatureDt |
| Discuss With Paid Preparer | false | DiscussWithPaidPreparerInd |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 157.182.216.2 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-11-13 | IPDt |
| IP Tm | 01:05:38 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 5D18E0CDD66F5C2C6782695A054BAE6AB9A943F9 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 961A8E11061A341FA9665A68F3B1FFC5AE12E713 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-04-17 16:48:07Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Berkeley Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Zach Kerns | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 Foundation Way Suite 2310 | AddressLine1Txt |
| City | Martinsburg | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25401 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $235,724,019 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | https://wvumedicine.org/berkeley/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1940 | FormationYr |
| Legal Domicile State | WV | LegalDomicileStateCd |
| Activity Or Mission | City Hospital, Inc. is a nonprofit acute care hospital providing high-quality health wellness services to the residents of the Eastern Panhandle of WV. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 1529 | TotalEmployeeCnt |
| Total Volunteers | 93 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $161,266 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $68,389 | PYContributionsGrantsAmt |
| CY Contributions Grants | $37,603 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $220,170,428 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $232,884,663 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,025,253 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,260,137 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,182,567 | PYOtherRevenueAmt |
| CY Other Revenue | $1,488,694 | CYOtherRevenueAmt |
| PY Total Revenue | $224,446,637 | PYTotalRevenueAmt |
| CY Total Revenue | $235,671,097 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $25,970 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $9,825 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $77,030,392 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $85,869,348 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $125,813,161 | PYOtherExpensesAmt |
| CY Other Expenses | $137,413,939 | CYOtherExpensesAmt |
| PY Total Expenses | $202,869,523 | PYTotalExpensesAmt |
| CY Total Expenses | $223,293,112 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $21,577,114 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $12,377,985 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $163,810,212 | TotalAssetsBOYAmt |
| Total Assets EOY | $170,316,805 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $89,316,735 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $85,391,712 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $74,493,477 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $84,925,093 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The mission of City Hospital, Inc. is to provide high quality, cost effective health and wellness services to the community. Berkeley Medical Center provides these to patients in need without consideration of their ability to pay. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $77,695,685 | ExpenseAmt |
| Revenue | $99,284,795 | RevenueAmt |
| Desc | City Hospital Inc. is a not-for-profit hospital located in West Virginias Eastern Panhandle that provides acute care services as well as emergency and specialty patient care. City Hospital Inc. is part of WVU Medicine University Healthcare, a regional health system serving Berkeley, Jefferson and Morgan Counties, and a member of WVU Medicine/West Virginia University Health System, the states largest healthcare network. During 2018, City Hospital documented 194,465 ancillary tests, and 2,798 observation visits. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $22,152,809 | ExpenseAmt |
| Revenue | $34,483,526 | RevenueAmt |
| Desc | City Hospital, Inc. operates a 24- hour, physician staffed emergency department with a Level III Trauma Center designation. During 2018, City Hospital documented 59,505 emergency visits. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $16,991,343 | ExpenseAmt |
| Revenue | $14,472,924 | RevenueAmt |
| Desc | City Hospitals Obstetrics and Gynecology services have expanded to include the Birthing Center Mother Baby Unit, offering family centered obstetric services, includes five home like suites with private bathrooms where labor and delivery occur, and the Mother Baby postpartum area which includes 11 private rooms. The Birthing Center Mother Baby Unit has earned Perinatal Care Certification from The Joint Commission, recognizing City Hospitals commitment to healthy mothers and healthy babies. City Hospital is also certified by Cribs for Kids as a National Safe Sleep Hospital, is one of 21 hospitals in West Virginia participating in YES to Safe Sleep for Babies, and has received the West Virginia Perinatal Partnerships First Baby Initiative with one of the lowest primary C-section rates in West Virginia. In 2018, there were 1,997 obstetrics and gynecology days and 89 observation days. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $69,814,054 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $84,992,757 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $186,653,891 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 202 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 1529 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | false | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Zach Kerns | PersonNm |
| Phone | 3042641000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 Foundation Way Suite 2310 | AddressLine1Txt |
| City | Martinsburg | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25401 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| David DeJarnett | ||||||||
| Vice-Chairman | 000.03 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Richard Pill | ||||||||
| Chairman | 000.03 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Terry Hess | ||||||||
| Treasurer | 000.03 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Betty Gunnoe | ||||||||
| Secretary | 000.03 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Christopher Burg Jr | ||||||||
| Director | 000.03 | Yes (X) | $0 | $0 | $0 | |||
| Judie Charlton MD | ||||||||
| Director | 000.03 | Yes (X) | $0 | $0 | $0 | |||
| Henry Kayes | ||||||||
| Director | 000.03 | Yes (X) | $0 | $0 | $0 | |||
| Timothy Devine MD | ||||||||
| Director / JMC Med Staff President | 000.03 | Yes (X) | $0 | $244,710 | $17,150 | 039.97 | ||
| Emma Eggleston MD | ||||||||
| Director / Interim Dean WVU SOM Eastern Div | 000.03 | Yes (X) | $0 | $310,871 | $18,929 | 039.97 | ||
| Chiquita D Howard-Bostic PhD | ||||||||
| Director | 000.03 | Yes (X) | $0 | $0 | $0 | |||
| Paul Welch | ||||||||
| Director / BMC Med Staff President | 000.03 | Yes (X) | $4,000 | $0 | $0 | |||
| Brian Romine | ||||||||
| Director | 000.03 | Yes (X) | $0 | $0 | $0 | |||
| Dawn Jones MD | ||||||||
| Director | 000.03 | Yes (X) | $0 | $0 | $0 | |||
| James E Rogers | ||||||||
| Director | 000.03 | Yes (X) | $0 | $0 | $0 | |||
| Susan Snowden | ||||||||
| Director | 000.03 | Yes (X) | $0 | $0 | $0 | |||
| Linda Campbell Jones | ||||||||
| Assistant Chief CRNA | 040.00 | $247,817 | $0 | $18,796 | Yes (X) | |||
| Jason T White | ||||||||
| Chief CRNA | 040.00 | $232,693 | $0 | $24,887 | Yes (X) | |||
| Matthew Simmons | ||||||||
| Physician | 040.00 | $387,107 | $0 | $13,903 | Yes (X) | |||
| James Roupe | ||||||||
| CRNA | 040.00 | $238,278 | $0 | $2,589 | Yes (X) | |||
| James Sykes | ||||||||
| CRNA | 040.00 | $222,247 | $0 | $25,885 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,332,142 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $555,581 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $122,139 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 93 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Hospitalist Medicine Physicians of WV PLLC | |||||
| PO Box 742936 | Los Angeles | CA | 900742936 | Physician Services | $1,949,404 |
| Focusone Solutions LLC | |||||
| 13609 California St | Omaha | NE | 681545260 | Medical Solutions Service Provider | $1,368,127 |
| Center for Orthopedic Excellence | |||||
| 1008 Tavern Rd Suite 102 | Martinsburg | WV | 25401 | Physician Services | $1,102,382 |
| Eastern Panhandle Anesthesia Associates | |||||
| PO Box 1147 | Martinsburg | WV | 25402 | Physician Services | $937,172 |
| Southeastern Emergency Physicians | |||||
| PO Box 634706 | Cincinnati | OH | 45263 | Physician Services | $799,581 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 18 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $37,603 | RelatedOrganizationsAmt |
| Total Contributions | $37,603 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient Services | 621110 | $226,400,648 | $226,400,648 |
| Wellness Center | 621990 | $702,081 | $702,081 |
| Prescription Sales | 621110 | $5,781,934 | $5,781,934 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $232,884,663 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,313,059 | TotalRevenueColumnAmt |
| Exclusion | $1,313,059 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $52,922 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$52,922 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$52,922 | TotalRevenueColumnAmt |
| Exclusion | -$52,922 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| Partnership Passthrough Income | 621110 | $452,646 | $452,646 |
| Cafeteria Income | 900099 | $539,749 | $539,749 |
| Medicare Inpatient C/A | 900099 | $146,960 | $146,960 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $349,339 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $349,339 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,488,694 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $235,671,097 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $233,234,002 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $2,399,492 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,825 | TotalAmt |
| Program Services | $9,825 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,095,577 | TotalAmt |
| Program Services | $63,401,420 | ProgramServicesAmt |
| Management And General | $2,694,157 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,788,189 | TotalAmt |
| Program Services | $2,674,538 | ProgramServicesAmt |
| Management And General | $113,651 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,689,429 | TotalAmt |
| Program Services | $9,294,473 | ProgramServicesAmt |
| Management And General | $394,956 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,296,153 | TotalAmt |
| Program Services | $6,998,751 | ProgramServicesAmt |
| Management And General | $297,402 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,984 | TotalAmt |
| Management And General | $39,984 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,992 | TotalAmt |
| Management And General | $1,992 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,628 | TotalAmt |
| Program Services | $19,628 | ProgramServicesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees For Services Prof Fundraising | FeesForServicesProfFundraising |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,537,927 | TotalAmt |
| Program Services | $15,336,943 | ProgramServicesAmt |
| Management And General | $12,200,984 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,675 | TotalAmt |
| Program Services | $6,361 | ProgramServicesAmt |
| Management And General | $9,314 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,079,260 | TotalAmt |
| Program Services | $4,285,460 | ProgramServicesAmt |
| Management And General | $1,793,800 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,637 | TotalAmt |
| Program Services | $22,637 | ProgramServicesAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,252,947 | TotalAmt |
| Program Services | $2,670,017 | ProgramServicesAmt |
| Management And General | $582,930 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $202,536 | TotalAmt |
| Program Services | $148,640 | ProgramServicesAmt |
| Management And General | $53,896 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $91,717 | TotalAmt |
| Program Services | $84,955 | ProgramServicesAmt |
| Management And General | $6,762 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,033,061 | TotalAmt |
| Program Services | $1,668,735 | ProgramServicesAmt |
| Management And General | $364,326 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,407,813 | TotalAmt |
| Program Services | $17,609,110 | ProgramServicesAmt |
| Management And General | $14,798,703 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,323,047 | TotalAmt |
| Program Services | $7,652,351 | ProgramServicesAmt |
| Management And General | $1,670,696 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $675,215 | TotalAmt |
| Program Services | $598,573 | ProgramServicesAmt |
| Management And General | $76,642 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Provision for Doubtful Accounts | $10,560,073 | $10,560,073 | |
| Medical Supplies | $36,851,650 | $36,851,650 | |
| Taxes, Licenses, Fees | $7,324,645 | $6,019,121 | $1,305,524 |
| Recruiting | $614,288 | $545,088 | $69,200 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $359,844 | TotalAmt |
| Program Services | $195,542 | ProgramServicesAmt |
| Management And General | $164,302 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $223,293,112 | TotalAmt |
| Program Services | $186,653,891 | ProgramServicesAmt |
| Management And General | $36,639,221 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $282,101 | BOYAmt |
| EOY | $279,467 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,690,250 | BOYAmt |
| EOY | $42,515,111 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,233,967 | BOYAmt |
| EOY | $35,638,405 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,673,005 | BOYAmt |
| EOY | $2,718,434 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,164,200 | BOYAmt |
| EOY | $2,383,876 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $164,150 | BOYAmt |
| EOY | $82,508 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $158,103,847 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $88,972,504 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,155,752 | BOYAmt |
| EOY | $69,131,343 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,016,358 | BOYAmt |
| EOY | $1,079,005 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,430,429 | BOYAmt |
| EOY | $16,488,656 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $163,810,212 | BOYAmt |
| EOY | $170,316,805 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,750,043 | BOYAmt |
| EOY | $21,252,745 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,348,198 | BOYAmt |
| EOY | $45,536,413 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,218,494 | BOYAmt |
| EOY | $18,602,554 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $89,316,735 | BOYAmt |
| EOY | $85,391,712 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,436,680 | BOYAmt |
| EOY | $84,911,800 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,797 | BOYAmt |
| EOY | $11,293 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,000 | BOYAmt |
| EOY | $2,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,493,477 | BOYAmt |
| EOY | $84,925,093 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $163,810,212 | BOYAmt |
| EOY | $170,316,805 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $12,377,985 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$1,928,785 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$17,584 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
| Public Support CY170 | 0.00000 | PublicSupportCY170Pct |
| Public Support CY509 | 0.00000 | PublicSupportCY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $1,000,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $1,000,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $1,000,000 | CurrentYearMinus1Amt |
| Current Year | $1,000,000 | CurrentYearAmt |
| Total | $4,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $6,000,000 | LobbyingCeilingAmt |
Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $17,479 | CurrentYearMinus3Amt |
| Current Year Minus2 | $17,502 | CurrentYearMinus2Amt |
| Current Year Minus1 | $18,733 | CurrentYearMinus1Amt |
| Current Year | $19,628 | CurrentYearAmt |
| Total | $73,342 | TotalAmt |
Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $250,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $250,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $250,000 | CurrentYearMinus1Amt |
| Current Year | $250,000 | CurrentYearAmt |
| Total | $1,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,500,000 | GrassrootsCeilingAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | II-A 2c | FormAndLineReferenceDesc |
| Explanation | The amount listed is made up of the amount of West Virginia Hospital Association and American Hospital Association dues that the associations determined as attributable to lobbying expense. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,708,411 | OtherCostOrOtherBasisAmt |
| Book Value | $1,708,411 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,737,168 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,807,887 | DepreciationAmt |
| Book Value | $929,281 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $62,292,517 | OtherCostOrOtherBasisAmt |
| Depreciation | $21,358,336 | DepreciationAmt |
| Book Value | $40,934,181 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $73,819,072 | OtherCostOrOtherBasisAmt |
| Depreciation | $53,309,825 | DepreciationAmt |
| Book Value | $20,509,247 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,546,679 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,496,456 | DepreciationAmt |
| Book Value | $5,050,223 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $69,131,343 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc |
|---|
| Financial derivatives and other financial products |
| Closely-held equity interests |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Due from Affiliates | $12,898,588 |
| Other Non-current Assets | $3,590,068 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $16,488,656 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)
| DescDesc | AmtAmt |
|---|---|
| Federal income taxes | |
| Accrued wages, benefits and payroll taxes | $9,386,330 |
| Malpractice Liability | $1,067,758 |
| Accrued pension benefits | $2,317,849 |
| Accrued bond interest | $150,108 |
| Due to third Party Payors | $1,252,439 |
| Interest Rate Swaps | $1,116,763 |
| Self Insurance Liability | $3,311,307 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $18,602,554 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $225,111,024 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$10,560,073 | OtherRevenueAmt |
| Revenue Not Reported | -$10,560,073 | RevenueNotReportedAmt |
| Revenue Subtotal | $235,671,097 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $235,671,097 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $212,395,971 | TotExpnsEtcAuditedFinclStmtAmt |
| Losses Reported | -$337,068 | LossesReportedAmt |
| Expenses Not Reported | -$337,068 | ExpensesNotReportedAmt |
| Expenses Subtotal | $212,733,039 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $10,560,073 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $10,560,073 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $223,293,112 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| X 2 | The annual audit and financial statements of City Hospital, Inc. are prepared on a consolidated basis as a member of the WV United Health System WVUHS. WVUHS, WVUH, PVH, CCHS, CCMC, CCF, CCPC, University Healthcare, BMC, JMC, UHCF, UHC, USC, UHF, UPC, SJH, SJF, RMH and RMF 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 accounts for uncertainty in income taxes using a recognition threshold of more likely than not to be sustained upon examination by the appropriate taxing authority. Measurement of the tax uncertainty occurs if the recognition threshold is met. The Systems policy is to recognize interest related to unrecognized tax benefits in interest expense and penalties in operating expenses. The System does not have any material uncertain tax positions as of December 31, 2018 and 2017. |
| XI 2d | Allowances for Doubtful Accounts are presented as an offset to revenue on the audited financial statements. For 990 purposes, allowances for doubtful accounts totaling 10,560,073 are presented as an expense. |
| XII 4b | Allowances for Doubtful Accounts of 10,560,073 are presented as an offset to revenue on the audited financial statements, but presented as an expense for 990 reporting purposes. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,264,833 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,264,833 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01060 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $57,386,039 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $46,774,763 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,611,276 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04990 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $686,727 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $497,350 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $189,377 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $60,337,599 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $47,272,113 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,065,486 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06140 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $91,323 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $91,323 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $897,481 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $129,304 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $768,177 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00360 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,469 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $12,469 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,001,273 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $129,304 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $871,969 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00410 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $61,338,872 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $47,401,417 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,937,455 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06550 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,984 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,984 | NetCommunityBenefitExpnsAmt |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,547 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,547 | NetCommunityBenefitExpnsAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,531 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,531 | NetCommunityBenefitExpnsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,284,222 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $49,667 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $62,204,598 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $92,086,428 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$29,881,830 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | City Hospital Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 Foundation Way Suite 2310 | AddressLine1Txt |
| City | Martinsburg | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25401 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | https//wvumedicine.org/berkeley/ | WebsiteAddressTxt |
| State License | 80 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Facility Reporting Group | A | FacilityReportingGroupCd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | A | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https//wvumedicine.org/east/wp-content/uploads/sites/19/2019/02/CHNA-Report.pdf | OwnWebsiteURLTxt |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | https//wvumedicine.org/east/wp-content/uploads/sites/19/2019/02/CHNA-Report.pdf | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 0000000200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | https//wvumedicine.org/bill-pay/financial-assistance/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | https//wvumedicine.org/bill-pay/financial-assistance/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | https//wvumedicine.org/bill-pay/financial-assistance/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | Yes (true) | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Group City Hospital, Inc. Line Part V, Section B, Line 5 | The Community Health Needs Assessment CHNA process involved collecting both primary and secondary data. Primary data was gathered from external and internal stakeholders via interviews, web-based survey instruments, focus groups, formal and informal key informant interviews, and observations of public meetings. The stakeholders represent the broad interests of the communities served by University Healthcare and included public health officials, teachers, school nurses, social service providers, community health center providers, staff, and board members, persons living with chronic health conditions and their families, other community members, and University Healthcare-affiliated executives, clinicians, administrators, and staff. In addition, special outreach efforts were made to ensure that the voices of all persons were heard and included in the development of health priorities and strategies to address those priorities. Dr. Buck partnered with Shepherd University and WVU BSW and MSW students and interns to increase outreach for input from clients of DHHR, Berkeley and Jefferson County Health Departments, Jefferson Community Ministries, Catholic Charities, and other social service agencies and organizations. |
| Group City Hospital, Inc. Line Part V, Section B, Line 5 | Four different assessments were completed 1 Community Themes and Strengths Assessment CTSA 2 Health System Assessment HSA 3 Community Health Status Assessment CHSA and 4 Forces of Change Assessment FOC. The CHSA and HSA were conducted using survey, focus groups, key informant interview research methods, and secondary analysis of hospital data. The CHSA consisted of a secondary analysis of publicly available health and cancer registry data. A full list of individuals that contributed to the CHNA can be found at the end of the CHNA document. http//wvumedicine.org/university-healthcare/wp-content/uploads/sites/19/2017/05/2016-Community-Health-Needs-AssessmentImplementation-Plan-Berkeley-Medical-Jefferson-Medical-Centers.pdf. |
| Group City Hospital, Inc. Line Part V, Section B, Line 6a | The Community Health Needs Assessment CHNA was undertaken jointly with Jefferson Memorial Hospital. |
| Group City Hospital, Inc. Line Part V, Section B, Line 11 | City Hospital and Jefferson Memorial Hospital worked collaboratively on strategies and their implementation but priorities for each hospital differed slightly. These differences reflected the unique attributes of the hospitals, services each hospital provides, and the communities they serve. Berkeley County City Hospital priorities included 1 improved access to high quality health care across the continuum and behavioral health services 2 reduced costs associated with health care 3 initiatives to improve dietary habits and decrease use of tobacco and, 4 strategies to reduce illicit drug use. Hospital-specific priorities for Berkeley Medical Center were 1 diabetes management in acute and community-based settings 2 primary and secondary prevention of cancer, particularly breast and lung cancer 3 behavioral health in acute and community-based settings and 4 continuous monitoring of ACS discharges particularly related to diabetes and behavioral health. |
| Group City Hospital, Inc. Line Part V, Section B, Line 11 | Universal problems to be addressed by the CHNA Implementation Teams IT were 1 high prevalence of substance abuse and gaps in care for persons with serious mental illness 2 high incidence of and poor health outcomes among persons with chronic disease such as diabetes, heart disease, and lung disease and, 3 rising rates of lung cancer deaths among women in the region and late stage breast cancer diagnoses. The CHNA identified a fourth priority area focused on maternal/child health disparities. Since community providers and other community groups were already addressing the issue, it was determined that the development of an additional UHC team would be redundant. |
| Group City Hospital, Inc. Line Part V, Section B, Line 11 | The CHNA Cycle II Strategy Implementation Plan builds on Cycle I achievements and continues to focus on 1 changes to internal processes that improve the quality of inpatient care 2 collaboration with community groups to improve the interface between acute and community-based care for persons with complex health challenges and, 3 communication, coordination, and collaboration among the champions and between Berkeley Medical Center, Jefferson Medical Center and the counties that they serve. Teams were developed to address Behavioral Health issues, Parental and Maternal/Infant Health, and Cancer. The strategies and evaluation measures for each time can be found here https//wvumedicine.org/university-healthcare/wp-content/uploads/sites/19/2016/11/FINAL-University-Healthcare-Community-Health-Needs-Assessment-and-Implementation-Plan-June-13-2017.pdf . |
| Group City Hospital, Inc. Line Part V, Section B, Line 13b | City Hospital CHI offers discounted care only to individuals who qualify for free care. CHI 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 City Hospital, Inc. 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. |
Supplemental Information Detail SupplementalInformationDetail (33 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I Line 3c | City Hospital Inc CHI uses 200 Federal Poverty Guideline to determine free care eligibility. However, City Hospital does not offer discounted care to individuals who do not qualify for free care. |
| Part I Line 6a | City Hospital, Inc. 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 addresshttp//wvumedicine.org/about/community-benefit/. |
| Part I Line 7 | Row b - Medicaid and Other Means-Tested Government Health Programs. The amount of offsetting revenue show in Column d of 46,774,763 includes payments received from the Directed Payment Plan of 13,292,683. These payments are intended to help offset the cost of caring for the Medicaid population in 2017/2018. Inclusion of this amount follows IRS instructions for this calculation. If these payments has not been received total community benefit from Unreimbursed Medicaid would have been 23,903,959 and 11.24 of expense. |
| Part I Line 7 | Column f - Total community benefit expense for 2018 is 61,338,872 and is 28.83 of total net expenses. To calculate net expense, bad debt of 10,560,073 was deducted from total expenses of 223,293,109 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 at cost, unreimbursed Medicaid and other means-tested government programs at cost. |
| Part II | Physical improvements and housing - City Hospital employees spent a weekday volunteering at a local social service agency on behalf of the United Way of the Eastern Panhandle for the annual Day of Caring. City Hospital also provided the kick-off breakfast for approximately 300 volunteers throughout the Eastern Panhandle. |
| Part II | Economic Development - In 2018, hospital representatives participated as members of the Berkeley County Board of Health and as board members for the Martinsburg Berkeley County Chamber of Commerce. |
| Part II | Community Support - City Hospital supports and participates in many health related community activities by providing judges for science fairs at the local schools. We have teams that participate in the annual March of Dimes Walk in Berkeley County, American Cancer Society Relay for Life in Berkeley County, Alzheimers Walk and various other fundraising events for local, health related, non-profit organizations. Many employees serve as volunteer board of directors for community non-profit organizations such as Hospice of the Panhandle, Boys Girls Club of the Eastern Panhandle, Girls on the Run and the United Way of the Eastern Panhandle. |
| Part II | Environmental Improvements - 2018 marked the third full year for City Hospital as a tobacco free campus, by order of the Berkeley County Health Departments Clean Air Act. |
| Part II | Leadership Development and Training - At least one management representative from City Hospital participates in the Chamber of Commerces Leadership Berkeley class each year. The hospital also has representatives on the Workforce Development Committee of the Chamber of Commerce. The Education Department works closely with Blue Ridge Community and Technical College to provide leadership training programs. City Hospital offers Mental Health First Aid training to the public. |
| Part II | Coalition building - CHI staff participate in the Health Human Services Council as well as Healthy Berkeley, Promise Neighborhood Community Garden and the Martinsburg Farmers Market. All of these entities focus on improving community access to health care, human services in general, and determine ways to encourage healthy lifestyles. |
| Part II | Community health improvement advocacy - In 2018, City Hospital Champions continued work on Cycle 2 community health needs assessment developing implementation plans to address four key issues --perinatal and maternal/infant health, chronic illness prevention and care, cancer prevention and care breast, lung and colon, and behavioral health. CHI staff participates on the wellness committee for the Berkeley County School Board. |
| Part II | Workforce Development - City Hospital participates in activities sponsored by the Martinsburg Berkeley County Chambers Workforce Development Committee. City hospital is also a major sponsor of the Womens Network, which is an organization, established by the Berkeley County Chamber, which sponsors womens professional activities, social network and professional development seminars. A representative from City Hospital also serves on the Blue Ridge Community Technical College Foundation Board. City Hospital also has agreements with area community colleges and universities to allow students to complete clinical rotations at the hospital. City Hospital provides job shadow and summer volunteer opportunities for teens to follow health professionals and learn about careers in the health field as well as participates in school career fairs in all grade levels of the school system and the 40 Developmental Assets Program in 5 area middle schools. |
| Part III Line 2 | Bad Debt Expense at cost was calculated by multiplying bad debt expense of 10,560,073 by our cost-to-charge ratio of 40.57 derived from Worksheet 2 in the IRS Schedule H instructions for a total of 4,284,222. |
| 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 122,423 which was then multiplied by the cost-to-charge ratio of 40.57 for a total of 49,667. |
| Part III Line 3 | We feel that, at a minimum, the estimated bad debt attributable to patients eligible for charity care of 49,667 should be considered community benefit due to the fact that a patient with an outstanding balance of 25,000 or greater usually qualifies as catastrophic if the patient completes the application process. 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. |
| Part III Line 4 | City Hospitals financial statements are prepared on a consolidated basis as a member of the WV United Health System. Patient accounts receivable are reported at net realizable value. For receivables 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 in 2018 or the provision for bad debts in 2017. 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 in 2018 and allowances for bad debts in 2017 and such amounts have historically been within managements expectations. The mix of accounts receivable at December 31, 2018 and 2017, from patients and third-party payors is as follows 2018 Medicare 29, Medicaid 18, Blue Cross 24, Commercial/Managed Care/Other 26, Patients 3, Total 100. 2017 is as follows Medicare 29, Medicaid 14, Blue Cross 21, Commercial/Managed Care/Other 32, Patients 4, Total 100. |
| Part III Line 8 | Part III Line 6 was calculated using total cost from the Medicare Cost Report less Medicare reimbursement of direct GME. City Hospitals shortfall of 29,881,830 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 | City Hospital 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 | City Hospital Inc is a part of WVU Hospitals - East, a healthcare system serving the Eastern Panhandle of WV. The WVUH-East Marketing Department considers several components in assessing how the organization determines the need of the communities it serves. Through outside consultants 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 PSA for WVUH- East includes Berkeley County, WV and Jefferson County, WV with Morgan County, WV being a secondary service area. This data is then analyzed to provide general estimates to where WVUH-East entities could better care for residents of West Virginia Eastern Panhandle. |
| Part VI Line 2 | Sources utilized to help gather this information come from a variety of areas. Physician distribution and population data come from the American Medical Association and the U.S. Census Bureau and the general health risk for our community come from clinical diagnosis information gathered by the West Virginia Health Care Authority and Thomson Reuters Market Planner Plus. We also conduct market research to ask consumers how they perceive the health system and where they go for health care services. Once all the data is gathered to determine where residents of West Virginia are going for care and what types of services they are receiving, a needs assessment can then begin based on physician distribution and population estimates. Note that WVUH-East is working with other local organizations in a project known as MAPP Mobilizing for Action through Planning and Partnerships to create and implement a community health improvement plan. |
| Part VI Line 3 | City Hospital employs 4 financial analysts to meet with patients to discuss financial eligibility for our charity care program. City Hospital has the qualification requirements, as well as, applications for charity care available at all registration areas. Patients that do not qualify for state or federally funded programs can apply for the charity care program at City Hospital. |
| Part VI Line 4 | City Hospital is a non-profit acute care hospital located in Berkeley County, WV population 117,123 in the city of Martinsburg, WV. Martinsburg is the largest city in the Eastern Panhandle, and the 8th largest municipality in the state of West Virginia, with a total population of 17,465 residents. City Hospital along with Jefferson Memorial Hospital located in Ranson, West Virginia makes up the Eastern Division of WVU Medicine which is a part of the West Virginia United Health System. |
| Part VI Line 4 | WVU Medicine provides a majority of inpatient services for the population in our Primary Service Area PSA. For Berkeley Medical Center the PSA consists of Berkeley County, WV and Jefferson County, WV. The 2017 market share for Berkeley Medical Centers Primary Service Area is 47.6 with 28.4 of those patients covered by Medicaid and 1.6 uninsured. Jefferson Medical Center, a non-profit critical access hospital under common management, is located within the Primary Service Area and War Memorial Hospital, a non-profit critical access hospital, operated by Valley Health System, is located in the extended service area of Morgan County, WV. |
| Part VI Line 4 | Berkeley County has a population of 117,123 with a median household income of 59,480, and an unemployment rate of 4.1. Currently, 11.8 of the people residing in Berkeley County live below the federal poverty line according to the U.S. Census Bureau Quick Facts 2018. Jefferson Countys population is 56,811, with a median household income of 72,526 and unemployment of 3.3. Currently, 10.4 of Jefferson County residents live below the poverty line. In WVU Medicine - East extended service area, Morgan County, WV has a population of 17,787, with a median household income of 46,348 and unemployment rate of 4.5. Currently, 13.0 of Morgan County residents live below the poverty line. |
| Part VI Line 5 | The CHI board of directors is a community board, with fourteenof the fifteen members living in or around Martinsburg, WV. The remaining board member lives in Morgantown, WV and has connections with CHI through the West Virginia United Health System. Having members living outside our PSA allows us to be more aware of the healthcare needs in other areas of West Virginia. None of the board members are employees or contractors of the filing organization, or family members thereof. |
| Part VI Line 5 | CHI extends privileges to all qualified medical staff in Berkley County and surrounding communities to meet its healthcare needs. |
| Part VI Line 5 | CHI allocates available funding to capital purchases and expanded services to improve patient care, support medical education in Berkeley County and surrounding counties in West Virginia and bordering states. |
| Part VI Line 5 | In 2009, CHI began 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, CHI offered Discounted Mammogram Clinics in May 2018 and then again in October 2018 cash, no insurance. The clinics were successful in serving over 100 patients at City Hospital. The Rotary Health Fair, held in April, provided a full blood work-up at cost. Nearly 300 individuals took advantage of these screenings. Discounted CT Lung Screenings were also offered the last Saturday of each month at a 99 cost. |
| Part VI Line 5 | Our Mini-Medical School Program, which is held 9 times per 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 WVU Medicine 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 | CHI is a part of the West Virginia United Health System. CHI plays a significant role in improving the general health care of the community. The strategic plan of the System states intent to build a regional health care delivery system in its services area, defined above, 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 | The West Virginia United Health Systems 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, Jefferson Memorial Hospital, in Ranson, WV, Potomac Valley Hospital in Keyser, WV, Camden-Clark Medical Center in Parkersburg ,WV, and St. Josephs Hospital of Buckhannon, Inc.. Reynolds Memorial Hospital in Glen Dale, WV joined the system in October 2016. |
| Part VI Line 6 | The System includes the physician practices of United Physicians Care, Inc. and Camden-Clark Physician Corp that operate in conjunction with the System hospitals. United Summit Center is a behavioral health center located in Clarksburg, WV. The System also has Foundations that do various fundraising activities for the hospitals. University Healthcare Foundation in Martinsburg, WV, United Health Foundation in Clarksburg, Camden-Clark Foundation in Parkersburg, WV, St. Josephs Foundation of Buckhannon, Inc. in Buckhannon, WV, and Reynolds Memorial Foundation, in Glen Dale, WV. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I Line 2 | FormAndLineReferenceDesc |
| Explanation | City Hospital provides cash contributions to various charitable organizations that support education, healthcare, or community building activities. City Hospital does not monitor the use of grants after awarded. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Timothy Devine MD | ||||||||||||
| Director / JMC Med Staff President | $205,614 | $37,043 | $2,052 | $15,250 | $1,901 | $261,860 | ||||||
| Emma Eggleston MD | ||||||||||||
| Director / Interim Dean WVU SOM Eastern Div | $263,307 | $46,612 | $953 | $15,798 | $3,130 | $329,800 | ||||||
| Linda Campbell Jones | ||||||||||||
| Assistant Chief CRNA | $245,345 | $500 | $1,972 | $2,197 | $16,599 | $266,613 | ||||||
| Jason T White | ||||||||||||
| Chief CRNA | $230,218 | $1,000 | $1,476 | $1,947 | $22,939 | $257,580 | ||||||
| Matthew Simmons | ||||||||||||
| Physician | $356,020 | $30,675 | $412 | $5,369 | $8,534 | $401,010 | ||||||
| James Roupe | ||||||||||||
| CRNA | $219,039 | $16,000 | $3,239 | $2,155 | $434 | $240,867 | ||||||
| James Sykes | ||||||||||||
| CRNA | $216,500 | $5,500 | $247 | $3,092 | $22,793 | $248,132 | ||||||
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I Line 3 | FormAndLineReferenceDesc |
| Explanation | 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 and 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. Compensation reviews occur annually. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4d | Program Service Expenses 11,998,153, Grants and allocations 0, Revenue 13,982,001 The surgery department at City Hospital, Inc. is staffed by specialists and general surgeons offering the latest in surgical techniques including laparoscopic procedures, lithotripsy, and same day-ambulatory surgery. Same day surgery visits for 2018 totaled 7,907. |
| Form 990, Part III, Line 4d | Program Service Expenses 57,815,901, Grants and allocations 0, Revenue 71,010,756 In addition to primary and specialty patient care services, City Hospital, Inc. serves as a clinical education site for West Virginia University, the WV School of Osteopathic Medicine and other regional universities and community colleges. The Erma Byrd Health Professions Education Center, which houses the WVU Robert C. Byrd Health Sciences Center-Eastern Division, is also located on the City Hospital, Inc. campus. As part of a unified health system, the focus of City Hospital, Inc. and its sister organization Jefferson Medical Center, is on growth to enhance and add new health services in Berkeley and Jefferson Counties. |
| Form 990, Part III, Line 4d | Program Service Expenses 0, Grants and allocations 0, Revenue 0 Achieving the Joint Commissions Gold Seal of Approval for Total Hip and Knee Replacement Surgery is a testament to the level of care patients are receiving from orthopaedic surgeons practicing at City Hospital. The Gold Seal ensures compliance with standards of care specific to the needs of patients, including infection prevention and control, leadership and medication management. |
| Form 990, Part III, Line 4d | Program Service Expenses 0, Grants and allocations 0, Revenue 0 In December of 2017, the WVU Heart Vascular Institute HVI was expanded to City Hospital. This expansion intends to improve access to cardiac care for individuals living in the Eastern Panhandle of West Virginia. HVI - Martinsburg is comprised of seven board-certified cardiologists. These cardiologists offer a variety of services including but not limited to interventional cardiology, abdominal ultrasound, stress testing, ankle-brachial index/pulse volume recording ABI/PVR, rhythm management and valvular assessment. |
| Form 990, Part III, Line 4d | Program Service Expenses 0, Grants and allocations 0, Revenue 0 As part of the WVU Cancer Institute, the WVU Medicine University Healthcare Regional Cancer Center provides cancer care in the Eastern Panhandle of West Virginia. Our cancer program, based at City Hospital, has been accredited by the American College of Surgeons Commission on Cancer since 1992 and is a recipient of their Outstanding Achievement Award. We are proud to be among the 25 of hospitals in the country with an ACOS accredited cancer program. Quality, Compassion, Collaboration. Our comprehensive cancer program includes the Outpatient Cancer and Infusion Center, a dedicated Inpatient Oncology Unit with all private rooms, Board Certified Radiation and Medical Oncologists, Patient Navigators, Radiation Therapy, and Clinical Trials. We partner with the American Cancer Society to offer education and support to patients and their families affected by cancer. A Resource Room, located on the 1st floor of the McCormack Center on City Hospitals Campus, provides free information on various programs and services available to cancer patients and their loved ones. |
| Form 990, Part IV, Line 24a | Bond issuances allocated to City Hospital, Inc. CHI are being reported on Schedule K of West Virginia University Hospitals, Inc. WVUH, EIN 55-0643304. WVUH is a 501c3 and is the parent hospital of CHI. |
| Form 990, Part VI, Section B, Line 11a | The Form 990 is prepared by the WVUH tax accountant and then reviewed by the non-profit tax manager of our independent tax firm and West Virginia University Hospitals- East, Inc. WVUH-East Vice President of Finance. After gaining approval from the VP of Finance, it is then presented to all of 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 | Annually, all board members, vice presidents, officers, and managers are required to disclose any relationships which may give rise to a conflict of interest. These reponses 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 C, Line 19 | All financial and governing documents including the conflict of interest policy are retained onsite and are made available to the public upon request. |
| Form 990, Part IX, Line 11g | Other Service Expenses includes Consulting Professional fees of 11,801,285 which all is considered management and general expense Contracted Labor fees of 3,797,310 which 3,465,829 is considered program service expense and 331,481 is considered management and general Lab fees of 1,288,754 all of which is considered program service expense Contracted Labor - Patient Care fees of 3,275,472 which 3,221,254 is considered program serivce expense and 54,218 is considered management and general expense Physician Practice Support fees of 495,796 all of which is considered program service expense Consulting and Professional - Medical Staff Director fees of 450,553 which is all considered program service expense Contracted Physician expense of 5,984,681 of which 5,970,681 is considered program service and 14,000 is considered management and general and collection agency fees of 444,076 all of which is program service expense. |
| Form 990, Part XI, Line 9 | Other changes in net assets or fund balance includes change in Restricted Net Assets of 17,584. |
| Form 990, Part VI, Line 1b | Members considered Not-Independent are considered as such based on receipt of compensation from reported or related organizations. Compensation paid to these individuals is for services provided to the organizations and not for Board related activities. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (20 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | false | West Virginia United Health System Inc | |
| West Virginia University Hospitals - East Inc | |||||||||||
| 2000 Foundation Way | Martinsburg | WV | 25401 | 202337985 | Patient Access | WV | 501C3 | 12a | false | West Virginia University Hospitals | |
| Jefferson Memorial Hospital Inc | |||||||||||
| 2000 Foundation Way | Martinsburg | WV | 25401 | 550359755 | Patient Care | WV | 501C3 | 3 | false | West Virginia University Hospitals - East Inc | |
| University Healthcare Foundation | |||||||||||
| 2000 Foundation Way | Martinsburg | WV | 25401 | 311118075 | Hospital Support | WV | 501C3 | 12a | N/A | false | |
| United Health Foundation | |||||||||||
| 327 Medical Park Drive | Bridgeport | WV | 26330 | 550621706 | Hospital Support | WV | 501C3 | 12a | false | United Hospital Center Inc | |
| United Hospital Center Inc | |||||||||||
| 327 Medical Park Drive | Bridgeport | WV | 26330 | 550525724 | Patient Care | WV | 501C3 | 3 | false | West Virginia United Health System Inc | |
| United Physicians Care Inc | |||||||||||
| 686 South Pike Street | Shinnston | WV | 26431 | 550638563 | Patient Care | WV | 501C3 | 3 | N/A | false | |
| United Summit Center Inc | |||||||||||
| 6 Hospital Plaza | Clarksburg | WV | 26301 | 550752788 | Behavioral Health | WV | 501C3 | 3 | N/A | false | |
| West Virginia Health Care Co-Op | |||||||||||
| PO Box 8059 | Morgantown | WV | 26506 | 550650441 | Support | WV | 501C3 | 12a | false | West Virginia United Health System | |
| Camden-Clark Memorial Hospital | |||||||||||
| 800 Garfield Ave | Parkersburg | WV | 26101 | 311524546 | Patient Care | WV | 501C3 | 3 | false | Camden-Clark Health Services | |
| Camden-Clark Health Services | |||||||||||
| 800 Garfield Ave | Parkersburg | WV | 26101 | 550769602 | Healthcare Access | WV | 501C3 | 12a, I | false | West Virginia United Health System Inc | |
| Camden-Clark Foundation | |||||||||||
| 800 Garfield Ave | Parkersburg | WV | 26101 | 550667789 | Support | WV | 501C3 | 12a | false | Camden-Clark Health Services | |
| Camden-Clark Physician Corp | |||||||||||
| 604 Ann Street | Parkersburg | WV | 26101 | 264058719 | Patient Care | WV | 501C3 | 12a, I | false | Camden-Clark Health Services | |
| University Healthcare Physicians | |||||||||||
| 2500 Foundation Way | Martinsburg | WV | 25401 | 900893455 | Patient Care | WV | 501C3 | 12a | N/A | false | |
| Potomac Valley Hospital of W Va Inc | |||||||||||
| 100 Pin Oak Lane | Keyser | WV | 26726 | 550420956 | Patient Care | WV | 501C3 | 3 | false | West Virginia University Hospitals | |
| St Joseph's Hospital of Buckhannon Inc | |||||||||||
| 1 Amalia Drive | Buckhannon | WV | 26201 | 550356996 | Patient Care | WV | 501C3 | 3 | false | West Virginia United Health System Inc | |
| Reynolds Memorial Hospital | |||||||||||
| 800 Wheeling Ave | Glen Dale | WV | 26038 | 550357045 | Patient Care | WV | 501C3 | 3 | false | West Virginia University Hospitals | |
| Reynolds Memorial Foundation | |||||||||||
| 800 Wheeling Ave | Glen Dale | WV | 26038 | 550710402 | Support | WV | 501C3 | 12a | N/A | false | |
| St Joseph's Foundation of Buckhannon Inc | |||||||||||
| 1 Amalia Drive | Buckhannon | WV | 26201 | 550727650 | Support | WV | 501C3 | 12b, II | N/A | false | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| Allied Health Services Inc | |||||||||
| PO Box 782 | Morgantown | WV | 26507 | 550652017 | Medical Lab | WV | N/A | C Corp | false |
| West Virginia United Insurance Services Inc | |||||||||
| 3040 University Avenue Suite 3200 | Morgantown | WV | 26505 | 550756055 | Provider Network | WV | N/A | C Corp | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |