ST JOSEPHS HOSPITAL OF BUCKHANNON INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- ST JOSEPHS HOSPITAL OF BUCKHANNON INC (EIN 55-0356996)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-11-08
- IRS object ID
- 201903129349300305
- 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 J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-11-08T09:20:29-00:00 | 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 | 550356996 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Joseph's Hospital of Buckhannon Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STJO | BusinessNameControlTxt |
| Phone | 3044732000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 Amalia Drive | AddressLine1Txt |
| City | Buckhannon | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26201 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Ivar Gjolberg | PersonNm |
| Person Title | President | PersonTitleTxt |
| Signature | 2019-11-07 | 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 | 2019-11-08 | IPDt |
| IP Tm | 14:14:21 | 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 | 2020-01-14 16:20:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Ivar Gjolberg | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 Amalia Drive | AddressLine1Txt |
| City | Buckhannon | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $58,597,380 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | https://wvumedicine.org/st-josephs-hospital/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1989 | FormationYr |
| Legal Domicile State | WV | LegalDomicileStateCd |
| Activity Or Mission | 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. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 488 | TotalEmployeeCnt |
| Total Volunteers | 34 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $7,234 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $48,614 | PYContributionsGrantsAmt |
| CY Contributions Grants | $356,597 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $47,618,550 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $56,085,751 | CYProgramServiceRevenueAmt |
| PY Investment Income | $188,506 | PYInvestmentIncomeAmt |
| CY Investment Income | $39,272 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,339,152 | PYOtherRevenueAmt |
| CY Other Revenue | $2,010,537 | CYOtherRevenueAmt |
| PY Total Revenue | $49,194,822 | PYTotalRevenueAmt |
| CY Total Revenue | $58,492,157 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $24,713,036 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $26,814,767 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $22,591,652 | PYOtherExpensesAmt |
| CY Other Expenses | $26,336,819 | CYOtherExpensesAmt |
| PY Total Expenses | $47,304,688 | PYTotalExpensesAmt |
| CY Total Expenses | $53,151,586 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,890,134 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $5,340,571 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $41,298,519 | TotalAssetsBOYAmt |
| Total Assets EOY | $43,900,190 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $31,898,383 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $31,089,690 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $9,400,136 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $12,810,500 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $14,331,723 | ExpenseAmt |
| Revenue | $18,244,478 | RevenueAmt |
| Desc | The Physicians of St. Josephs provide healthcare to the entire family from infancy to the ederly in their family medicine department. St. Joesphs family medicine department provides convenient and comprehensive care that recognizes the uniqueness of every individual who is treated. Family medicine at St. Josephs had 17,915 visits in 2018. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $8,814,513 | ExpenseAmt |
| Revenue | $14,740,025 | RevenueAmt |
| Desc | 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 2018, St. Josephs emergency department had 14,679 visits and 387 admissions. 32.4 of total admissions comes from the emergency department. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $8,155,803 | ExpenseAmt |
| Revenue | $7,651,747 | RevenueAmt |
| Desc | St. Josephs Hospital provides a wide scope of general surgery services. There were 5,389 clinic visits and 946 surgeries in 2018. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $13,647,802 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $17,441,469 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $44,949,841 | 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 | Yes (true) | 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 | 74 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 488 | 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 | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | 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 | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | 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 | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Russell Plywaczynski | PersonNm |
| Phone | 3044732185 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 Amalia Drive | AddressLine1Txt |
| City | Buckhannon | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26201 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 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 |
|---|---|---|---|---|---|---|---|---|
| Dennis Xander | ||||||||
| Chairperson | 001.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Sr Mary Grace Barile | ||||||||
| Director | 001.00 | Yes (X) | $0 | $0 | $0 | |||
| Sara Chua DO | ||||||||
| Director | 040.00 | Yes (X) | $245,774 | $0 | $13,152 | |||
| Bartley Brown DO | ||||||||
| Director | 040.00 | Yes (X) | $213,557 | $0 | $23,198 | |||
| Rob Kimble | ||||||||
| Director, Treasurer | 001.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Sr Francesca Lowis | ||||||||
| Director, Vice Chairperson/Secretary | 040.00 | Yes (X) | Yes (X) | $36,542 | $0 | $18 | 001.00 | |
| Don Nestor | ||||||||
| Director | 001.00 | Yes (X) | $0 | $0 | $0 | 001.00 | ||
| Sam Nolte | ||||||||
| Director | 001.00 | Yes (X) | $0 | $0 | $0 | |||
| Michael C Tillman | ||||||||
| Director - CEO UHC | 001.00 | Yes (X) | $0 | $650,110 | $41,155 | 039.00 | ||
| Katherine Wagner | ||||||||
| Director | 001.00 | Yes (X) | $0 | $0 | $0 | |||
| Shawn Hanifan | ||||||||
| Director | 001.00 | Yes (X) | $0 | $0 | $0 | |||
| Ivar Gjolberg | ||||||||
| Administrator | 040.00 | Yes (X) | $322,541 | $0 | $55,909 | |||
| Anissa Hite-Davis | ||||||||
| VP Human Resources | 040.00 | Yes (X) | $98,627 | $0 | $22,005 | |||
| Brenda Bauer | ||||||||
| VP of Quality | 040.00 | Yes (X) | $108,289 | $0 | $16,389 | |||
| Annamarie Chidester | ||||||||
| VP Patient Services | 040.00 | Yes (X) | $131,166 | $0 | $13,542 | |||
| Rodney Baker | ||||||||
| VP - Phys - Ancillary Services | 040.00 | Yes (X) | $118,670 | $0 | $16,524 | |||
| Susan Long | ||||||||
| Physician | 040.00 | $722,250 | $0 | $23,332 | Yes (X) | |||
| David Faber | ||||||||
| Physician | 040.00 | $469,781 | $0 | $33 | Yes (X) | |||
| Martin Oates | ||||||||
| Hospitalist | 040.00 | $305,179 | $0 | $22,725 | Yes (X) | |||
| Amy Pearson | ||||||||
| Physician | 040.00 | $445,028 | $0 | $8,033 | Yes (X) | |||
| Yaser Kalash | ||||||||
| Physician | 040.00 | $261,840 | $0 | $7,717 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,479,244 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $650,110 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $263,732 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 24 | 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 |
|---|---|---|---|---|---|
| Clinical Colleagues Inc | |||||
| 1121 North Bethlehem Pike | Spring House | PA | 19477 | Anesthesia Services | $794,775 |
| Mayo Collaborative Services Inc | |||||
| 200 SW 1st St | Rochester | MN | 559050001 | Laboratory Services | $277,670 |
| C & A Industries Inc | |||||
| 13609 California St | Omaha | NE | 681545233 | Nursing Services | $254,628 |
| Alliance Healthcare Services | |||||
| 100 Bayview Circle | Newport Beach | CA | 926602983 | Radiology Services | $235,800 |
| The Tomayko Group LLC | |||||
| 2403 Sidney St Suite 220B | Pittsburgh | PA | 15203 | Radiology Services | $106,099 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $322,439 | RelatedOrganizationsAmt |
| Government Grants | $34,158 | GovernmentGrantsAmt |
| Total Contributions | $356,597 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Patient Service Revenue | Desc |
| Total Revenue Column | $56,085,751 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $56,085,751 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $56,085,751 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $39,272 | TotalRevenueColumnAmt |
| Exclusion | $39,272 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $123,792 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $105,223 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $18,569 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $18,569 | TotalRevenueColumnAmt |
| Exclusion | $18,569 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Pharmacy Income | 446110 | $890,738 | $890,738 |
| Rebate Revenue | 900099 | $440,288 | $440,288 |
| Cafeteria Income | 624200 | $260,450 | $260,450 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $400,492 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $400,492 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,991,968 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $58,492,157 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $58,077,719 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $57,841 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
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 | $1,435,902 | TotalAmt |
| Program Services | $640,389 | ProgramServicesAmt |
| Management And General | $795,513 | ManagementAndGeneralAmt |
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 | $19,452,157 | TotalAmt |
| Program Services | $18,549,555 | ProgramServicesAmt |
| Management And General | $902,602 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $223,673 | TotalAmt |
| Program Services | $213,294 | ProgramServicesAmt |
| Management And General | $10,379 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,095,850 | TotalAmt |
| Program Services | $4,009,183 | ProgramServicesAmt |
| Management And General | $86,667 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,607,185 | TotalAmt |
| Program Services | $1,532,610 | ProgramServicesAmt |
| Management And General | $74,575 | 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 | $87,613 | TotalAmt |
| Management And General | $87,613 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,250 | TotalAmt |
| Management And General | $16,250 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,165 | TotalAmt |
| Management And General | $7,165 | ManagementAndGeneralAmt |
| 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 | $4,944,108 | TotalAmt |
| Program Services | $4,546,783 | ProgramServicesAmt |
| Management And General | $397,325 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $201,664 | TotalAmt |
| Management And General | $201,664 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,210,588 | TotalAmt |
| Program Services | $1,693,319 | ProgramServicesAmt |
| Management And General | $517,269 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $716,959 | TotalAmt |
| Program Services | $432,157 | ProgramServicesAmt |
| Management And General | $284,802 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,802 | TotalAmt |
| Program Services | $65,978 | ProgramServicesAmt |
| Management And General | $22,824 | 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 | $10,579 | TotalAmt |
| Program Services | $9,597 | ProgramServicesAmt |
| Management And General | $982 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $257,759 | TotalAmt |
| Program Services | $160,080 | ProgramServicesAmt |
| Management And General | $97,679 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,514,863 | TotalAmt |
| Program Services | $1,102,939 | ProgramServicesAmt |
| Management And General | $3,411,924 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,464,265 | TotalAmt |
| Program Services | $882,606 | ProgramServicesAmt |
| Management And General | $581,659 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $666,749 | TotalAmt |
| Program Services | $517,712 | ProgramServicesAmt |
| Management And General | $149,037 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Provision of Bad Debt | $2,983,166 | $2,983,166 | |
| Medical Supplies | $6,180,600 | $6,180,600 | |
| Taxes, Licenses Fees | $1,671,176 | $1,386,095 | $285,081 |
| Recruiting | $206,419 | $61 | $206,358 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,094 | TotalAmt |
| Program Services | $43,717 | ProgramServicesAmt |
| Management And General | $64,377 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,151,586 | TotalAmt |
| Program Services | $44,949,841 | ProgramServicesAmt |
| Management And General | $8,201,745 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $313,860 | BOYAmt |
| EOY | $142,430 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,161,496 | BOYAmt |
| EOY | $3,889,171 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,256,014 | BOYAmt |
| EOY | $5,768,985 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,035 | BOYAmt |
| EOY | $7,000 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $815,810 | BOYAmt |
| EOY | $1,386,350 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $228,246 | BOYAmt |
| EOY | $611,114 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $19,943,272 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,022,365 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,247,805 | BOYAmt |
| EOY | $15,920,907 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $855,435 | BOYAmt |
| EOY | $855,435 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,482,055 | BOYAmt |
| EOY | $4,343,897 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,923,763 | BOYAmt |
| EOY | $10,974,901 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,298,519 | BOYAmt |
| EOY | $43,900,190 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,363,421 | BOYAmt |
| EOY | $6,479,614 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,860,000 | BOYAmt |
| EOY | $7,860,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,107,338 | BOYAmt |
| EOY | $3,952,435 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,567,624 | BOYAmt |
| EOY | $12,797,641 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,898,383 | BOYAmt |
| EOY | $31,089,690 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,997,571 | BOYAmt |
| EOY | $12,810,500 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,597,435 | BOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,400,136 | BOYAmt |
| EOY | $12,810,500 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,298,519 | BOYAmt |
| EOY | $43,900,190 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $5,340,571 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$334,915 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$1,595,292 | 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
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $7,165 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $7,165 | TotalLobbyingExpendituresAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | II-B 1i | FormAndLineReferenceDesc |
| Explanation | 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 22.73 of the 2018 dues were allocated to lobbying expense. The West Virginia Hospital Association estimates that during 2018, 16.84 of the dues paid should be allocated to lobbying expense. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,415,798 | OtherCostOrOtherBasisAmt |
| Book Value | $1,415,798 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,857,721 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,176,235 | DepreciationAmt |
| Book Value | $9,681,486 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $368,941 | OtherCostOrOtherBasisAmt |
| Depreciation | $46,238 | DepreciationAmt |
| Book Value | $322,703 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,278,832 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,799,892 | DepreciationAmt |
| Book Value | $3,478,940 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,021,980 | OtherCostOrOtherBasisAmt |
| Book Value | $1,021,980 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $15,920,907 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (4 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| Financial derivatives and other financial products | ||
| Closely-held equity interests | ||
| Other Investments | $421,089 | F |
| Current Investments | $3,922,808 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $4,343,897 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Unamortized Borrowing Costs | $358,227 |
| Goodwill Other Intangibles | $10,552,144 |
| Deferred Compensation | $64,530 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $10,974,901 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| Federal income taxes | |
| Estimated Malpractice Costs - Current | |
| Due to Third Party Payors | $4,887,281 |
| Other Current Liabilities | $64,374 |
| Pension Obligation | $7,781,456 |
| Miniumum Pension Liability | |
| Deferred Compensation | $64,530 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $12,797,641 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $55,322,523 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $334,915 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$3,287,333 | OtherRevenueAmt |
| Revenue Not Reported | -$2,952,418 | RevenueNotReportedAmt |
| Revenue Subtotal | $58,274,941 | RevenueSubtotalAmt |
| Other Revenues Not Included | $217,216 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $217,216 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $58,492,157 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $49,969,477 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $49,969,477 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $3,182,109 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $3,182,109 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $53,151,586 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| X 2 | The annual audit and financial statements of SJH are prepared on a consolidated basis as a member of the West Virginia 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. WVUHS 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 System does not have any material uncertain tax positions as of December 31, 2018 and 2017. |
| XI 2d | This amount shown on line 2d consists of 2,983,166 provision for doubtful accounts and 304,167 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 105,224 expenses associated with the properties for which rental income is received and presented as an offset to revenue on the 990 and 322,439 of contributions from St. Josephs Foundation posted in Net Assets and 1 rounding. |
| XII 4b | The amount shown on line 4b consists of 2,983,166 provision for doubtful accounts and 304,167 defined benefit reported as an offset to revenue on the financial statements but is reported as an expense on the Form 990 as well as 105,224 of expenses associated with the properties for which rental income is received and reported in Part VII line 6b. |
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 | false | ExpensesExceedBudgetInd |
| 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 | $445,697 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $445,697 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00890 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,936,052 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,252,913 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $683,139 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01360 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $176,662 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $176,662 | DirectOffsettingRevenueAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,558,411 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,429,575 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,128,836 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02250 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $126,051 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $126,051 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00250 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,087 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,087 | NetCommunityBenefitExpnsAmt |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $32,350 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $32,350 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $160,488 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $160,488 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00310 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,718,899 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,429,575 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,289,324 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02560 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 570 | PersonsServedCnt |
| Total Community Benefit Expns | $18,250 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $18,250 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 203 | PersonsServedCnt |
| Total Community Benefit Expns | $9,951 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $9,951 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 773 | PersonsServedCnt |
| Total Community Benefit Expns | $28,201 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $28,201 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,261,283 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $37,066 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $18,846,616 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $19,318,750 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$472,134 | 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 | St Joseph's Hospital of Buckhannon | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 Amalia Drive | AddressLine1Txt |
| City | Buckhannon | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | https//wvumedicine.org/st-josephs-hospital/ | WebsiteAddressTxt |
| State License | 87 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | Skilled Nursing Facility, Outpatient | OtherDesc |
| 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 | false | 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/st-josephs-hospital/patients-visitors/community-health-needs-assessment/ | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | https//wvumedicine.org/st-josephs-hospital/patients-visitors/community-health-needs-assessment/ | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| 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 |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| 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 (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Group St. Josephs Hospital of Buckhannon Line Part V, Section B, Line 5 | Input for the completion of the initial Community Health Needs Assessment CHNA was obtained from public health officials, local health department and agencies, publicly elected officials, religious officials, long-term care executives, and representatives of or members of chronic disease groups and organizations. In early 2016 St. Josephs Hospital SJH conducted a CHNA centered around community engagement and input. For the 2016 CHNA update SJH contracted with the WVU School of Public Health to help with the process. The resulting report and implementation plan can be found online at https//wvumedicine.org/st-josephs-hospital/wp-content/uploads/sites/15/2016/12/SJHCHNA2016Final.pdf |
| Group St. Josephs Hospital of Buckhannon Line Part V, Section B, Line 11 | Based on the CHNA results, the leadership team chose two priority areas which they felt SJH could adequately target and address through an implementation plan. These areas were 1. Access to Wellness Opportunities and 2. Obesity/Diabetes. Additionally, it was a goal of the SJH Leadership Team to incorporate sensitivity to issues of limited transportation and poverty, especially children in poverty, into the overall CHNA. Complete details of the prioritization process and findings are available within the CHNA report at https//wvumedicine.org/st-josephs-hospital/wp-content/uploads/sites/15/2016/12/SJHCHIP2016Final.pdf |
| Group St. Josephs Hospital of Buckhannon | Patients with no insurance coverage are considered self-pay patients. Those patients are automatically given a 50 uninsured discount from gross charges, based on commercial insurance average. |
| Group St. Josephs Hospital of Buckhannon | As of 10/01/2015, St. Josephs Hospital SJH transferred sponsorship from Pallottine Health Systems, Inc. to United Hospital Center, a founding member of West Virginia United Health System, Inc.. With this transfer, SJH changed from a fiscal year-end to a calendar year-end. The previous CHNA was completed during the 2013 calendar year. With the sponsorship transfer and new year-end, SJH completed its most recent CHNA in March 2016. |
| Group St. Josephs Hospital of Buckhannon Line Part V, Section B, Line 11 | During the 2012-2013 CHNA the top five priorities identified through public input were 1. Drug abuse by adults, 2. Drug abuse by youths, 3. Obesity, 4. Diabetes, and 5. Cancer. These issues were grouped together as 1. Drug abuse, 2. Obesity/Diabetes, and 3. Cancer. Leadership Teams were divided into two groups for additional discussion. It was decided that St. Josephs would focus on Access to Wellness Opportunities and Obestiy/Diabetes. Leadership Team members felt that the health issues of diabetes and obesity were intertwined and could very likely be addressed using complementary interventions. |
| Group St. Josephs Hospital of Buckhannon Line Part V, Section B, Line 24 | Access to wellness opportunities was identified as a highly ranked issue that leadership team members felt they had the capacity to address through the implementation planning process. Substance abuse was recognized to be a top community health priority by all three data prioritization activities. At the same time, there were limited secondary data to describe or further investigate the issue in a county wide fashion. The Leadership Team felt St. Josephs may have minimal control over the issue and thus would not choose to prioritize it for purposes of this report. |
| 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. |
Supplemental Information Detail SupplementalInformationDetail (21 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 2018 amounts can be found at the following web address https//wvumedicine.org/about/community-benefit/. |
| Part I Line 7 | Total community benefit expense for 2018 is 14,718,899 and is 29.34 of total net expenses. To calculate net expense, bad debt of 2,983,166 was deducted from total expenses of 53,151,586 as shown in Part IX line 25 of the core Form 990, for a net expense of 50,168,420. |
| 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 28,201 for 2018. For 2019 St. Josephs will begin utilizing a tracking program to gather both Community Benefit and Community Building activites. |
| Part III Line 2 | Bad Debt Expense at cost was calculated by multiplying bad debt expense of 2,983,166 by our cost-to-charge ratio of 42.28 derived from Worksheet 2 in the IRS Schedule H instructions for a total of 1,261,283. |
| 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 87,669 which we then multiplied by our cost to charge ratio of 42.28 for a total of 37,066. |
| Part III Line 3 | The estimated bad debt attributable to patients eligible for charity care of 37,066 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 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. For 2018, Medicare 29, Medicaid 18, Blue Cross 24, Commercial/Managed Care/Other 26, Patients 3, Total 100. For 2017, Medicare 29, Medicaid 14, Blue Cross 21, Commercial/Managed Care/Other 32, Patients 4, Total 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 19,318,750 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. In addition, an outside company performs post admission surveys for all inpatients. This survey includes questions regarding whether the patients needs were met during the stay, and the hospital reviews this HCAHPS data to determine what services may need to be added based on that data. |
| 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 serves its home county, with a population of approximately 24,415 residents in 2018, as well as parts of five surrounding counties. The population served is an aging population with nearly 26 of the population aged 60 or older, resulting in a major impact on health care in the area. In Upshur County, 21.2 of the population is below the poverty level. 9.4 of the Upshur population is uninsured, while 3.6 of the children under 19 years of age have no insurance coverage. The unemployment rate stands at 8.1. 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 eight hospitals in 2018 including Camden Clark Medical Center, Berkeley Medical Center, Jefferson Medical Center, Potomac Valley Hospital, Reynolds Memorial Hospital, St. Josephs Hospital, United Hospital Center and West Virginia University Hospitals. St. Josephs Hospital is committed to the core values of compassion, hospitality, reverence, interdependence, stewardship, and trust. |
| Part VI Line 6 | St. Josephs is a part of the WV United Health System WVUHS. WVUHS is a not-for-profit corporation formed to serve as part of an integrated health science and healthcare delivery team. WVUHS serves as the parent corporation to an affiliated group of healthcare providing entities. The strategic plan of the System states intent to build a regional health care delivery system in its services area, while offering a variety of options for providers who want to participate. The System maintains a demonstrated commitment to assist rural communities in preserving and improving the health care available to the patients it serves. |
| Part VI Line 6 | System management is focused on recruitment of staff and employees to meet the growing needs of the aging population in the Systems service areas. Other hospitals in the System include United Hospital Center in Bridgeport, WV, West Virginia University Hospital in Morgatnown, WV, City Hospital, Inc. in Martinsburg, WV, Jefferson Memorial Hospital in Ranson, WV, Camden-Clark Medical Center located in Parkersburg, WV, Potomac Valley Hospital located in Keyser, WV, and Reynolds Memorial Hospital in Glen Dale, 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 Systems eight 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 Clarksburg, WV, Camden-Clark Foundation in Parkersburg, WV, St. Josephs Foundation of Buckhannon, Inc. in Buckhannon, WV, and Reynolds Memorial Foundation, in Glen Dale, WV. |
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 (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt |
|---|---|---|---|---|---|---|---|---|---|---|
| Susan Long | ||||||||||
| Physician | $588,667 | $133,583 | $23,332 | $745,582 | ||||||
| David Faber | ||||||||||
| Physician | $469,744 | $37 | $33 | $469,814 | ||||||
| Martin Oates | ||||||||||
| Hospitalist | $249,022 | $56,157 | $22,725 | $327,904 | ||||||
| Amy Pearson | ||||||||||
| Physician | $304,864 | $140,164 | $8,033 | $453,061 | ||||||
| Sara Chua DO | ||||||||||
| Director | $193,622 | $52,152 | $13,152 | $258,926 | ||||||
| Bartley Brown DO | ||||||||||
| Director | $204,946 | $8,611 | $23,198 | $236,755 | ||||||
| Michael C Tillman | ||||||||||
| Director - CEO UHC | $560,141 | $89,969 | $17,875 | $23,280 | $691,265 | |||||
| Ivar Gjolberg | ||||||||||
| Administrator | $316,597 | $5,944 | $23,255 | $378,450 | $32,654 | |||||
| Yaser Kalash | ||||||||||
| Physician | $236,178 | $25,662 | $7,717 | $269,557 | ||||||
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 2018 in the amount of 25,091, Mike Tillman received CAA distributions of 73,521 in 2018. These amounts were appropriately reported as compensation on Form W-2 for 2018. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4d | Program Service Expenses 13,647,802, Grants and allocations 0, Revenue 17,441,469 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 1,389,242 pension plan adjustment 751,600 related organization capitalization, 214,100 adjustment to the funded status of frozen defined benefit pension plan per ASC 71, and 331,450 malpractice adjustment. The malpractice adjustment was a related party transfer of medical malpractice liability from the local hospital SJH to the System as part of moving to a self-insured captive insurance plan across the System with these hospitals only paying a premium for coverage under the plan and the medical malpractice liability residing at the System level under the captive insurance entity, Augusta LLC. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (19 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 | 26102 | 311524546 | Patient Care | WV | 501C3 | 3 | false | Camden-Clark Health Services | |
| Camden-Clark Health Services | |||||||||||
| 800 Garfield Ave | Parkersburg | WV | 26102 | 550769602 | Healthcare Access | WV | 501C3 | 12a, I | false | West Virginia United Health System Inc | |
| Camden-Clark Foundation | |||||||||||
| 800 Garfield Ave | Parkersburg | WV | 26102 | 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 | |
| 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 | |
| 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 | 12a | N/A | false | |
| City Hospital Inc | |||||||||||
| 2000 Foundation Way | Martinsburg | WV | 25401 | 550383321 | Patient Care | WV | 501C3 | 3 | false | West Virginia University Hospitals - East Inc | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Gateway Home Care LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1353 Edwin Miller Blvd | AddressLine1Txt |
| City | Martinsburg | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 254043703 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 541965474 | EIN |
| Primary Activities | Durable Medical Equipment | PrimaryActivitiesTxt |
| Legal Domicile State | WV | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Predominant Income Type | Related | PredominantIncomeTypeTxt |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| General Or Managing Partner | false | GeneralOrManagingPartnerInd |
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 | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | 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 | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |