2019-11-08T09:20:29-00:00 2018-12-31 990 2018-01-01 550356996 St Joseph's Hospital of Buckhannon Inc STJO 3044732000 1 Amalia Drive Buckhannon WV 26201 Ivar Gjolberg President 2019-11-07 false 157.182.216.2 2019-11-08 14:14:21 ES P 5D18E0CDD66F5C2C6782695A054BAE6AB9A943F9 961A8E11061A341FA9665A68F3B1FFC5AE12E713 2018 2020-01-14 16:20:31Z Ivar Gjolberg 1 Amalia Drive Buckhannon WV 26201 58597380 false X https://wvumedicine.org/st-josephs-hospital/ X 1989 WV We are inspired by the love of Christ to provide our community with quality health care in ways that respect the God-given dignity of each person and the sacredness of human life. 11 7 488 34 0 7234 48614 356597 47618550 56085751 188506 39272 1339152 2010537 49194822 58492157 0 0 24713036 26814767 0 0 22591652 26336819 47304688 53151586 1890134 5340571 41298519 43900190 31898383 31089690 9400136 12810500 X We are inspired by the love of Christ to provide our community with quality health care in ways that respect the God-given dignity of each person and the sacredness of human life. false false 14331723 18244478 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. 8814513 14740025 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. 8155803 7651747 St. Josephs Hospital provides a wide scope of general surgery services. There were 5,389 clinic visits and 946 surgeries in 2018. 13647802 17441469 44949841 true true false true false false false false false false true true false true true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true 74 0 true 488 true false false false false false false false false false false false false false X 11 7 false false false false true true true true true false false true true true true true true true true false X Russell Plywaczynski 3044732185 1 Amalia Drive Buckhannon WV 26201 Dennis Xander Chairperson 001.00 X X 0 0 0 Sr Mary Grace Barile Director 001.00 X 0 0 0 Sara Chua DO Director 040.00 X 245774 0 13152 Bartley Brown DO Director 040.00 X 213557 0 23198 Rob Kimble Director, Treasurer 001.00 X X 0 0 0 Sr Francesca Lowis Director, Vice Chairperson/Secretary 040.00 001.00 X X 36542 0 18 Don Nestor Director 001.00 001.00 X 0 0 0 Sam Nolte Director 001.00 X 0 0 0 Michael C Tillman Director - CEO UHC 001.00 039.00 X 0 650110 41155 Katherine Wagner Director 001.00 X 0 0 0 Shawn Hanifan Director 001.00 X 0 0 0 Ivar Gjolberg Administrator 040.00 X 322541 0 55909 Anissa Hite-Davis VP Human Resources 040.00 X 98627 0 22005 Brenda Bauer VP of Quality 040.00 X 108289 0 16389 Annamarie Chidester VP Patient Services 040.00 X 131166 0 13542 Rodney Baker VP - Phys - Ancillary Services 040.00 X 118670 0 16524 Susan Long Physician 040.00 X 722250 0 23332 David Faber Physician 040.00 X 469781 0 33 Martin Oates Hospitalist 040.00 X 305179 0 22725 Amy Pearson Physician 040.00 X 445028 0 8033 Yaser Kalash Physician 040.00 X 261840 0 7717 3479244 650110 263732 24 false true false Clinical Colleagues Inc 1121 North Bethlehem Pike Spring House PA 19477 Anesthesia Services 794775 Mayo Collaborative Services Inc 200 SW 1st St Rochester MN 559050001 Laboratory Services 277670 C & A Industries Inc 13609 California St Omaha NE 681545233 Nursing Services 254628 Alliance Healthcare Services 100 Bayview Circle Newport Beach CA 926602983 Radiology Services 235800 The Tomayko Group LLC 2403 Sidney St Suite 220B Pittsburgh PA 15203 Radiology Services 106099 5 322439 34158 356597 Patient Service Revenue 56085751 56085751 56085751 39272 39272 123792 105223 18569 18569 18569 Pharmacy Income 446110 890738 890738 Rebate Revenue 900099 440288 440288 Cafeteria Income 624200 260450 260450 400492 400492 1991968 58492157 58077719 57841 0 0 0 0 1435902 640389 795513 0 19452157 18549555 902602 223673 213294 10379 4095850 4009183 86667 1607185 1532610 74575 0 87613 87613 16250 16250 7165 7165 0 4944108 4546783 397325 201664 201664 2210588 1693319 517269 0 0 716959 432157 284802 88802 65978 22824 0 10579 9597 982 257759 160080 97679 4514863 1102939 3411924 1464265 882606 581659 666749 517712 149037 Provision of Bad Debt 2983166 2983166 Medical Supplies 6180600 6180600 Taxes, Licenses Fees 1671176 1386095 285081 Recruiting 206419 61 206358 108094 43717 64377 53151586 44949841 8201745 0 313860 142430 2161496 3889171 6256014 5768985 14035 7000 815810 1386350 228246 611114 19943272 4022365 15247805 15920907 855435 855435 4482055 4343897 10923763 10974901 41298519 43900190 6363421 6479614 7860000 7860000 6107338 3952435 11567624 12797641 31898383 31089690 X 10997571 12810500 -1597435 9400136 12810500 41298519 43900190 X 5340571 -334915 -1595292 X false true X true false X 0.00000 0.00000 0.00000 false false false false false false false false true 7165 7165 II-B 1i This amount is calculated based on information provided by the West Virginia Hospital Association and the American Hospital Association. The American Hospital Association estimates that 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. 1415798 1415798 11857721 2176235 9681486 368941 46238 322703 5278832 1799892 3478940 1021980 1021980 15920907 Financial derivatives and other financial products Closely-held equity interests Other Investments 421089 F Current Investments 3922808 F 4343897 Unamortized Borrowing Costs 358227 Goodwill Other Intangibles 10552144 Deferred Compensation 64530 10974901 Federal income taxes Estimated Malpractice Costs - Current Due to Third Party Payors 4887281 Other Current Liabilities 64374 Pension Obligation 7781456 Miniumum Pension Liability Deferred Compensation 64530 12797641 X 55322523 334915 -3287333 -2952418 58274941 217216 217216 58492157 49969477 49969477 3182109 3182109 53151586 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. true true X true X false true true false true true 445697 445697 0.00890 13936052 13252913 683139 0.01360 176662 176662 14558411 13429575 1128836 0.02250 126051 126051 0.00250 2087 2087 32350 32350 0.00060 160488 160488 0.00310 14718899 13429575 1289324 0.02560 570 18250 18250 0.00030 203 9951 9951 0.00020 773 28201 28201 0.00050 true 1261283 37066 18846616 19318750 -472134 X true true 1 1 St Joseph's Hospital of Buckhannon 1 Amalia Drive Buckhannon WV 26201 https//wvumedicine.org/st-josephs-hospital/ 87 X X X X Skilled Nursing Facility, Outpatient a a 1 false false true X X X X X X X X 16 true false false true X https//wvumedicine.org/st-josephs-hospital/patients-visitors/community-health-needs-assessment/ X true 16 true https//wvumedicine.org/st-josephs-hospital/patients-visitors/community-health-needs-assessment/ false false true X 0000000200.000000000000 X X X X X true true X X X true X https//wvumedicine.org/bill-pay/financial-assistance/ X https//wvumedicine.org/bill-pay/financial-assistance/ X https//wvumedicine.org/bill-pay/financial-assistance/ X X X X X X true X false X X X X true X false true Group St. Josephs Hospital of Buckhannon Line Part V, Section B, Line 5 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. 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. false false false false false false false false false Susan Long Physician 588667 133583 23332 745582 David Faber Physician 469744 37 33 469814 Martin Oates Hospitalist 249022 56157 22725 327904 Amy Pearson Physician 304864 140164 8033 453061 Sara Chua DO Director 193622 52152 13152 258926 Bartley Brown DO Director 204946 8611 23198 236755 Michael C Tillman Director - CEO UHC 560141 89969 17875 23280 691265 Ivar Gjolberg Administrator 316597 5944 32654 23255 378450 Yaser Kalash Physician 236178 25662 7717 269557 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. 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. West Virginia United Health System Inc PO Box 8034 Morgantown WV 26506 550754713 Healthcare Access WV 501C3 12a N/A false West Virginia University Hospitals PO Box 8034 Morgantown WV 26506 550643304 Patient Care WV 501C3 3 West Virginia United Health System Inc false West Virginia University Hospitals - East Inc 2000 Foundation Way Martinsburg WV 25401 202337985 Patient Access WV 501C3 12a West Virginia University Hospitals false Jefferson Memorial Hospital Inc 2000 Foundation Way Martinsburg WV 25401 550359755 Patient Care WV 501C3 3 West Virginia University Hospitals - East Inc false 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 United Hospital Center Inc false United Hospital Center Inc 327 Medical Park Drive Bridgeport WV 26330 550525724 Patient Care WV 501C3 3 West Virginia United Health System Inc false United Physicians Care Inc 686 South Pike Street Shinnston WV 26431 550638563 Patient Care WV 501C3 3 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 West Virginia United Health System false Camden-Clark Memorial Hospital 800 Garfield Ave Parkersburg WV 26102 311524546 Patient Care WV 501C3 3 Camden-Clark Health Services false Camden-Clark Health Services 800 Garfield Ave Parkersburg WV 26102 550769602 Healthcare Access WV 501C3 12a, I West Virginia United Health System Inc false Camden-Clark Foundation 800 Garfield Ave Parkersburg WV 26102 550667789 Support WV 501C3 12a Camden-Clark Health Services false Camden-Clark Physician Corp 604 Ann Street Parkersburg WV 26101 264058719 Patient Care WV 501C3 12a, I Camden-Clark Health Services false Potomac Valley Hospital of W Va Inc 100 Pin Oak Lane Keyser WV 26726 550420956 Patient Care WV 501C3 3 West Virginia University Hospitals false Reynolds Memorial Hospital 800 Wheeling Ave Glen Dale WV 26038 550357045 Patient Care WV 501C3 3 West Virginia University Hospitals false 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 West Virginia University Hospitals - East Inc false Gateway Home Care LLC 1353 Edwin Miller Blvd Martinsburg WV 254043703 541965474 Durable Medical Equipment WV N/A Related false false 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 true true true false false false false false false true false false true true false true false false false