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BELMONT COMMUNITY HOSPITAL INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
BELMONT COMMUNITY HOSPITAL INC (EIN 34-0714643)
Tax period
2017-10-01 to 2018-09-30
Filed
2019-08-05
IRS object ID
201912179349300906
Schema version
2017v2.3
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 ReturnHeader

FieldValueIRS element (for citing)
Return2019-08-05T10:16:23-05:00ReturnTs
Tax Period End2018-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN550526247PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KOZICKI HUGHES TICKERHOOF PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line132 TWENTIETH STREET SUITE 300AddressLine1Txt
CityWHEELINGCityNm
State AbbreviationWVStateAbbreviationCd
ZIP26003ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN340714643EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BELMONT COMMUNITY HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBELMBusinessNameControlTxt
Phone3042433681PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14697 HARRISON STREETAddressLine1Txt
CityBELLAIRECityNm
State AbbreviationOHStateAbbreviationCd
ZIP43906ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJAMES B MURDYPersonNm
Person TitleCFOPersonTitleTxt
Phone3042433681PhoneNum
Signature2019-07-24SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDENNIS A KOZICKIPreparerPersonNm
PTINP00366642PTIN
Phone3042322280PhoneNum
Preparation2019-07-23PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address50.73.168.161IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-07-24IPDt
IP Tm13:37:07IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id4BC85C0B372FB4C9C50C3AE47367322E37F5578AAtSubmissionCreationDeviceId
At Submission Filing Device Id7C8F58C442D011CBE9F370DE4F8FD7129E854663AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJAMES B MURDYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE MEDICAL PARKAddressLine1Txt
CityWHEELINGCityNm
State AbbreviationWVStateAbbreviationCd
ZIP26003ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$20,893,959GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.WHEELINGHOSPITAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1903FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionTO PROVIDE NEEDED CARE TO THE COMMUNITY REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee217TotalEmployeeCnt
Total Volunteers9TotalVolunteersCnt
Total Gross UBI$2,548,074TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$157,859PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$18,812,039PYProgramServiceRevenueAmt
CY Program Service Revenue$17,450,803CYProgramServiceRevenueAmt
PY Investment Income$91,100PYInvestmentIncomeAmt
CY Investment Income$125,020CYInvestmentIncomeAmt
PY Other Revenue$3,373,374PYOtherRevenueAmt
CY Other Revenue$3,234,571CYOtherRevenueAmt
PY Total Revenue$22,434,372PYTotalRevenueAmt
CY Total Revenue$20,810,394CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$12,592,824PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$11,359,123CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$14,833,313PYOtherExpensesAmt
CY Other Expenses$14,964,442CYOtherExpensesAmt
PY Total Expenses$27,426,137PYTotalExpensesAmt
CY Total Expenses$26,323,565CYTotalExpensesAmt
PY Revenues Less Expenses-$4,991,765PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$5,513,171CYRevenuesLessExpensesAmt
Total Assets BOY$11,994,999TotalAssetsBOYAmt
Total Assets EOY$13,436,666TotalAssetsEOYAmt
Total Liabilities BOY$6,293,780TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,800,668TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,701,219NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,635,998NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionBELMONT COMMUNITY HOSPITAL PROVIDES QUALITY MEDICAL HEALTHCARE TO PATIENTS FROM BELMONT COUNTY AND SURROUNDING COMMUNITIES REGARDLESS OF RACE, CREED, SEX, SEXUAL ORIENTATION, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATIONS AND STABILITY OF THE HOSPITAL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PAY FOR ESSENTIAL MEDICAL SERVICES, AND OUR MISSION IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTHCARE EDUCATION. THEREFORE, IN KEEPING WITH BELMONT COMMUNITY HOSPITAL'S COMMITMENT TO SERVE ALL MEMBERS OF ITS COMMUNITY, FREE CARE OR SUBSIDIZED CARE, CARE PROVIDED TO PERSONS COVERED BY GOVERNMENT PROGRAMS AT OR BELOW COST, AND HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY WILL BE CONSIDERED WHERE THE NEED AND/OR INDIVIDUAL'S INABILITY TO PAY COEXIST.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$25,164,945ExpenseAmt
Revenue$17,450,803RevenueAmt
DescBELMONT COMMUNITY HOSPITAL SERVED 563 INPATIENTS AND 80,908 OUTPATIENTS DURING THE PERIOD OCTOBER 1, 2017 THROUGH SEPTEMBER 30, 2018.Desc
Total Program Service Expenses$25,164,945TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related InvstYes (1)ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document44IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee217EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing AddressYes (1)OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldOHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JAMES B MURDY CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3042433681PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE MEDICAL PARKAddressLine1Txt
CityWHEELINGCityNm
State AbbreviationWVStateAbbreviationCd
ZIP26003ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
ROBERT A BITTENGLE
TRUSTEE1.00Yes (X)$0$0$0
NELLIE T MAGYAR
TRUSTEE1.00Yes (X)$0$0$0
JEFFREY A PATEY
TRUSTEE/CHIEF OF STAFF41.00Yes (X)$0$241,949$27,242
BRUCE A ARCHER
TRUSTEE/CORPORATE COMPLIANCE OFFICER1.00Yes (X)$0$144,155$28,41040.00
C GARY HILL
PRESIDENT1.00$0$0$0Yes (X)
RICHARD M POLINSKY
SECRETARY/TREASURER1.00$0$0$0Yes (X)
JAMES B MURDY
CHIEF FINANCIAL OFFICER2.00$0$333,364$51,21458.00Yes (X)
JOHN DEBLASIS
VICE PRESIDENT20.00$0$189,038$24,78640.00Yes (X)
MARWAN YANES
PHYSICIAN40.00$221,234$0$11,201Yes (X)
SHASHI GUPTA
PHYSICIAN40.00$234,961$0$25,167Yes (X)
DANIEL B JONES
PHYSICIAN40.00$357,206$0$24,393Yes (X)
GEORGE L CHOLAK
PHYSICIAN40.00$283,812$0$1,459Yes (X)
MAHESHWAR MUSUNURI
PHYSICIAN40.00$204,355$0$26,397Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,301,568TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$908,506TotReportableCompRltdOrgAmt
Total Other Compensation$220,269TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K15IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
DEREK H ANDREINI MD
4697 HARRISON STREETBELLAIREOH43906PHYSICIAN SERVICES$225,375
QUEST DIAGNOSTICS
2249 COLLECTION CENTER DRIVECHICAGOIL60693LAB TESTING$184,855
NEUROBEHAVIORAL MEDICINE CONSULTANTS LLC
302 W MAIN STREETST CLAIRSVILLEOH43950MEDICAL SERVICES$163,500
SUNNYSIDE CLEANING SERVICE LLC
198A MAIN STREETRAYLANDOH43943CLEANING SERVICES$161,610
PHYSICIAN PROVIDERS INC
4485 TENCH ROAD SUITE 2320SUWANEEGA30024PHYSICIANS$139,917
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
GROSS PATIENT REVENUE623990$52,602,822$52,602,822
CHARITY CARE623990-$124,220-$124,220
BAD DEBT623990-$1,784,717-$1,784,717
CONTRACTUAL ALLOWANCE623990-$33,243,082-$33,243,082
FieldValueIRS element (for citing)
Total Program Service Revenue$17,450,803TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$106,985TotalRevenueColumnAmt
Exclusion$106,985ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$146,873RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$81,600RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$65,273RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$65,273TotalRevenueColumnAmt
Exclusion$65,273ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$20,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$1,965OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$18,035OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,035TotalRevenueColumnAmt
Exclusion$18,035ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
OUTPATIENT PHARMACY446110$2,548,074$2,548,074
OTHER624210$545,153$545,153
CONVENIENCE900099$76,071$76,071
FieldValueIRS element (for citing)
Other Revenue Total$3,169,298OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$20,810,394TotalRevenueColumnAmt
Related Or Exempt Func Income$17,450,803RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,548,074UnrelatedBusinessRevenueAmt
Exclusion$811,517ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$170,107TotalAmt
Program Services$170,107ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,900,070TotalAmt
Program Services$8,828,365ProgramServicesAmt
Management And General$71,705ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$47,636TotalAmt
Program Services$47,362ProgramServicesAmt
Management And General$274ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,614,797TotalAmt
Program Services$1,605,774ProgramServicesAmt
Management And General$9,023ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$626,513TotalAmt
Program Services$614,498ProgramServicesAmt
Management And General$12,015ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$40,963TotalAmt
Management And General$40,963ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$40,192TotalAmt
Management And General$40,192ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$867TotalAmt
Management And General$867ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,467,143TotalAmt
Program Services$4,453,535ProgramServicesAmt
Management And General$13,608ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,067,417TotalAmt
Program Services$1,067,417ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$24,462TotalAmt
Program Services$8,147ProgramServicesAmt
Management And General$16,315ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$25,752TotalAmt
Program Services$25,752ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$883,489TotalAmt
Program Services$883,489ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$522,906TotalAmt
Program Services$522,906ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PURCHASED SERVICES$6,867,572$6,142,042$725,530
OTHER EXPENSES$703,254$500,338$202,916
MEDICAL SERVICES$259,200$259,200
DUES, BOOKS, SUBSCRIPTI$61,225$36,013$25,212

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$26,323,565TotalAmt
Program Services$25,164,945ProgramServicesAmt
Management And General$1,158,620ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,157,830BOYAmt
EOY$1,025,770EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$105,519BOYAmt
EOY$151,052EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,862,144BOYAmt
EOY$1,849,915EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$591,743BOYAmt
EOY$472,343EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$143,162BOYAmt
EOY$145,161EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$24,302,873LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$19,727,214LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,604,812BOYAmt
EOY$4,575,659EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$3,192,546BOYAmt
EOY$4,041,769EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$337,243BOYAmt
EOY$1,174,997EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$11,994,999BOYAmt
EOY$13,436,666EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$6,247,928BOYAmt
EOY$4,745,230EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$45,852BOYAmt
EOY$55,438EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,293,780BOYAmt
EOY$4,800,668EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,503,374BOYAmt
EOY$4,575,634EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$68,416BOYAmt
EOY$68,893EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,129,429BOYAmt
EOY$3,991,471EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,701,219BOYAmt
EOY$8,635,998EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,994,999BOYAmt
EOY$13,436,666EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$5,513,171ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$8,447,950OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$867OtherActivitiesAmt
Total Lobbying Expenditures$867TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationBELMONT COMMUNITY HOSPITAL IS A MEMBER OF THE OHIO HOSPITAL ASSOCIATION AND PAYS ANNUAL DUES. LOBBYING EXPENSES REPRESENT THE PORTION OF THE DUES PAID TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS THAT ARE SPECIFICALLY ALLOCABLE TO LOBBYING. BELMONT COMMUNITY HOSPITAL DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING PUBLISHING OR DISTRIBUTING OF STATEMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE. FOR 2018, THE PERCENTAGE OF OHA DUES RELATED TO LOBBYING ACTIVITIES IS 4.6%.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,129,429BeginningYearBalanceAmt
Investment Earnings Or Losses$862,042InvestmentEarningsOrLossesAmt
End Year Balance$3,991,471EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,148,881BeginningYearBalanceAmt
Investment Earnings Or Losses-$19,452InvestmentEarningsOrLossesAmt
End Year Balance$3,129,429EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,463,784BeginningYearBalanceAmt
Investment Earnings Or Losses$685,097InvestmentEarningsOrLossesAmt
End Year Balance$3,148,881EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,973,170BeginningYearBalanceAmt
Investment Earnings Or Losses$490,614InvestmentEarningsOrLossesAmt
End Year Balance$2,463,784EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,532,203BeginningYearBalanceAmt
Investment Earnings Or Losses$512,811InvestmentEarningsOrLossesAmt
Other Expenditures$71,844OtherExpendituresAmt
End Year Balance$1,973,170EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$274,164OtherCostOrOtherBasisAmt
Book Value$274,164BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,630,801OtherCostOrOtherBasisAmt
Depreciation$5,382,963DepreciationAmt
Book Value$1,247,838BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,886,030OtherCostOrOtherBasisAmt
Depreciation$13,929,609DepreciationAmt
Book Value$2,956,421BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$511,878OtherCostOrOtherBasisAmt
Depreciation$414,642DepreciationAmt
Book Value$97,236BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,575,659TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
DORIS C NARDELLA TRUST$50,298F
MELLOTT TRUST$3,991,471F
FieldValueIRS element (for citing)
Total Book Value Program Rltd$4,041,769TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
OTHER RECEIVABLE$704,404
AMOUNTS DUE 3RD PARTY PAYORS$470,593
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,174,997TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$20,131,524TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$20,131,524RevenueSubtotalAmt
Other Revenues Not Included$678,870OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$678,870RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$20,810,394TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$26,294,867TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$26,294,867ExpensesSubtotalAmt
Other Expenses Not Included$28,698OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$28,698ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$26,323,565TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:THE INCOME FROM THE ENDOWMENT FUND MUST BE USED FOR THE UPKEEP AND MAINTENANCE OF THE HOSPITAL.
Part X, Line 2:FROM THE ATTACHED CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF WHEELING HOSPITAL, INC. AND SUBSIDIARIES. INCOME TAXES- THE HOSPITAL, CCC, BELMONT HOSPITAL, THE FOUNDATION, WP, WHS, HCH, AND HCH FOUNDATION ALL QUALIFY AS TAX EXEMPT ORGANIZATIONS UNDER 501 C (3) OF THE US INTERNAL REVENUE CODE. WHH II IS TREATED AS A DISREGARDED ENTITY OF THE HOSPITAL. MFLTD IS A FOREIGN ENTITY, INCORPORATED IN THE CAYMAN ISLANDS. THE EFFECT OF INCOME TAXES ON MFLTD IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS IS NOT MATERIAL. THE HOSPITAL DOES NOT HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AS OF SEPTEMBER 30, 2018 AND 2017.
Part XI, Line 4b - Other Adjustments:INVESTMENT INCOME 106,985. REVENUE FROM NON OPERATING ACTIVITIES 179,426. OTHER NON OPERATING REVENUE 474,059. NON OPERATING RENTAL EXPENSE -81,600.
Part XII, Line 4b - Other Adjustments:NON-OPERATING EXPENSES 28,698.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCentral America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas,RegionTxt
Offices0OfficesCnt
Employee2EmployeeCnt
Type Of Activities ConductedPROGRAM SERVICESTypeOfActivitiesConductedTxt
Specific Services ProvidedCAPTIVE INSURANCE COMPANYSpecificServicesProvidedTxt
Region Total Expenditures$355,435RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees2SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee2TotalEmployeeCnt
Subtotal Spent$355,435SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$355,435TotalSpentAmt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp Ownership0ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, line 3:FormAndLineReferenceDesc
ExplanationACCRUALExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$64,977TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$64,977NetCommunityBenefitExpnsAmt
Total Expense0.00250TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,060,507TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,829,482DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,231,025NetCommunityBenefitExpnsAmt
Total Expense0.08480TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,125,484TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,829,482DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,296,002NetCommunityBenefitExpnsAmt
Total Expense0.08720TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,125,484TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,829,482DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,296,002NetCommunityBenefitExpnsAmt
Total Expense0.08720TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$781,706BadDebtExpenseAmt
Bad Debt Expense Attributable$2,238BadDebtExpenseAttributableAmt
Reimbursed By Medicare$3,034,597ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$5,011,099CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$1,976,502MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BELMONT COMMUNITY HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14697 HARRISON STREETAddressLine1Txt
CityBELLAIRECityNm
State AbbreviationOHStateAbbreviationCd
ZIP43906ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1BELMONT COMMUNITY HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.WHEELINGHOSPITAL.ORGOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted Website0StrategyPostedWebsiteInd
Strategy AttachedYes (1)StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.WHEELINGHOSPITAL.ORGFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.WHEELINGHOSPITAL.ORGFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.WHEELINGHOSPITAL.ORGFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
BELMONT COMMUNITY HOSPITALPart V, Section B, Line 5: INTERVIEWS WERE CONDUCTED OVER A THREE DAY PERIOD IN LATE AUGUST AND THE BEGINNING OF SEPTEMBER 2016 WITH SELECTED STAKEHOLDERS FROM THE WHEELING SERVICE AREA TO DISCUSS THE COMMUNITY HEALTH NEEDS IN THE WHEELING SERVICE AREA. THE FOLLOWING IDEAS WERE DISCUSSED:-POPULATION AND ECONOMIC TRENDS IN BOTH THE PRIMARY AND SECONDARY SERVICE AREAS AND FUTURE EXPECTATIONS-CURRENT PERCEPTIONS ABOUT OVERALL HEALTH CARE IN THE SERVICE AREA INCLUDING WHEELING HOSPITAL'S HEALTH CARE-WHEELING HOSPITAL'S CURRENT OPERATIONS AND THE EXTENT TO WHICH THESE SERVICES ARE MEETING COMMUNITY NEEDS-THE QUALITY AND ACCESS OF PRIMARY CARE SERVICES, EMERGENCY SERVICES, INPATIENT SERVICES, LONG TERM CARE SERVICES AND PUBLIC HEALTH SERVICES IN THE SERVICE AREA-WHEELING HOSPITAL'S POSSIBLE ROLES FOR MEETING FUTURE HEALTH CARE NEEDS FOR COMMUNITY HEALTH SERVICES-POTENTIAL FOR SUCCESS IN EXPANDING SERVICES AT WHEELING HOSPITAL AND THE CHALLENGES FACED IN EXPANDING SERVICES IN THE AREAA VARIETY OF VARIOUS COMMUNITY REPRESENTATIVES WERE INTERVIEWED, INCLUDING THE DIRECTOR OF NURSING FROM BELMONT COMMUNITY HOSPITAL, THE WHEELING HOSPITAL DIRECTOR OF FAMILY MEDICINE, THE WHEELING HEALTH DEPARTMENT'S DEPUTY HEALTH COMMISSIONER, A LOCAL CATHOLIC CHARITIES' REPRESENTATIVE, AND THE ADMINISTRATOR OF BISHOP J. HODGES CONTINUOUS CARE CENTER. THESE INDIVIDUALS WERE CHOSEN BECAUSE THEY PROVIDED A RANGE OF PERSPECTIVES ON THE STATE OF THE COMMUNITY AND HEALTH CARE, AS WELL AS PROVIDING DIVERSIFIED BACKGROUNDS. ADDITIONALLY, A MONTH LONG ONLINE SURVEY WAS CONDUCTED BY THE HOSPITAL IN ORDER TO GATHER INFORMATION FROM RECENT PATIENTS AND/OR THEIR FAMILY MEMBERS. THEY WERE ASKED TO RATE THEIR EXPERIENCE AS WELL AS COMMENT ON EXISTING OR NEEDED SERVICES.
BELMONT COMMUNITY HOSPITALPart V, Section B, Line 11: BELMONT COMMUNITY HOSPITAL IS A SMALL FACILITY WITH LIMITED FINANCIAL RESOURCES AND, AS SUCH, IS NOT FINANCIALLY CAPABLE OF HIRING IN EVERY AREA OF MEDICAL PRACTICE LISTED IN THE CHNA OR ESTABLISHING PROJECTS THAT ADDRESS THE NEEDS FOR THE AREA'S AGING POPULATION. IT SHOULD BE NOTED THAT BELMONT COMMUNITY HOSPITAL COLLABORATES WITH ITS PARENT HOSPITAL, WHEELING HOSPITAL, INC. ON RECRUITING INITIATIVES. THE PARENT HOSPITAL ALSO HAS TAKEN ON FEASIBILITY STUDIES IN RELATION TO THE PROJECTS THAT ADDRESS THE NEED FOR THE AREA'S AGING POPULATION. THE PARENT HOSPITAL IS LOCATED LESS THAN 9 MILES FROM BELMONT COMMUNITY HOSPITAL.WHEELING HOSPITAL, INC. HAS TAKEN ON FEASIBILITY STUDIES IN RELATION TO THE PROJECTS THAT ADDRESS THE NEED FOR ADDITIONAL ASSISTED LIVING AND/OR INDEPENDENT LIVING COMMUNITIES FOR THE AREA'S AGING POPULATION. SIGNIFICANT FURTHER REVIEW AND CONSIDERATION IS REQUIRED BEFORE HOSPITAL MANAGEMENT WILL MAKE A DECISION REGARDING MOVING FORWARD WITH SUCH FACILITIES. THIS REMAINS AN AREA OF FOCUS AND INTEREST AND THE HOSPITAL IS COMMITTED TO EXPLORING OPTIONS IN THIS REGARD. ADDITIONALLY, WHEELING HOSPITAL, INC. HAS CONSTRUCTED A REPLACEMENT FOR THE BISHOP HODGES CONTINUOUS CARE CENTER (SNF/ICF) FACILITY ON ITS CAMPUS WITH A COMPLETION DATE OF JULY 2018. THIS IS A STATE OF THE ART FACILITY WITH PRIVATE ROOMS AND BATHS, LARGE ROOMS AND A DE-INSTITUTIONALIZED THEME OF DECOR. THE WHEELING HOSPITAL, INC. CHNA DATED SEPTEMBER, 2016 IDENTIFIED MULTIPLE AREAS THAT SHOULD BE THE FOCUS FOR FURTHER SERVICE DEVELOPMENT IN THE COMMUNITY. THE FOLLOWING SUMMARY PRESENTS THOSE FINDINGS AS WELL AS THE PLANS AND ACTIONS FROM FY 2018 FOR IMPLEMENTATION OR, WHEN APPLICABLE, THE REASONS FOR NOT IMPLEMENTING SAME. CHRONIC DISEASE MANAGEMENTWHEELING HOSPITAL, INC. HAS CONTINUED ITS TRADITION OF PROVIDING OUTREACH AND EDUCATION TO THE RESIDENTS OF WHEELING, WV AND SURROUNDING COMMUNITIES REGARDING THE CAUSES OF CHRONIC DISEASE, PREVENTATIVE MEASURE AND TREATMENT. DURING THE FISCAL YEAR ENDING 9/30/2018, APPROXIMATELY 2,200 AREA RESIDENTS PARTICIPATED IN HEALTH FAIRS CONDUCTED BY WHEELING HOSPITAL, INC. THE HEALTH FAIRS PROVIDED DIABETES SCREENINGS AND EDUCATION, BLOOD PRESSURE MONITORING, CHOLESTEROL SCREENING AS WELL AS EDUCATION ON BREAST HEALTH AND BONE HEALTH. UNHEALTHY LIFESTYLESWHEELING HOSPITAL, INC. PROVIDED OUTREACH AND EDUCATION FOR SMOKING CESSATION, PROPER NUTRITION AND THE IMPORTANCE OF PHYSICAL ACTIVITY TO APPROXIMATELY 790 COMMUNITY MEMBERS DURING THE 9/30/2018 FISCAL YEAR. PARTICULAR ATTENTION WAS GIVEN TO HEALTH AND WELLNESS EDUCATION FOR THE OLDER ADULTS IN THE COMMUNITY GIVEN THE AGING OF THE POPULATION IN THE WHEELING HOSPITAL, INC. SERVICE AREA. THE HOSPITAL WILL CONTINUE TO ASSIST WITH HEALTH AND WELLNESS PROGRAMS AND PROVIDE THE NECESSARY RESOURCES FOR THOSE SEEKING HEALTHY LIFESTYLE THROUGH DIET AND EXERCISE. DRUG AND ALCOHOL ABUSEWHEELING HOSPITAL, INC. WILL MAINTAIN ITS COLLABORATION AND REFERRAL NETWORK TO ADDRESS PATIENTS' NEEDS WITH REGARD TO ADDICTION AND ABUSE. THE HOSPITAL WILL PROVIDE OUTREACH AND EDUCATION TO ITS SURROUNDING COMMUNITIES. ADDITIONALLY, WHEELING HOSPITAL, INC. WILL ENGAGE WITH LOCAL LAW ENFORCEMENT AND OTHER COMMUNITY AGENCIES IN INITIATIVES AIMED AT ADDRESSING THE OPIOID EPIDEMIC THAT IS CURRENTLY RAVAGING THE OHIO VALLEY.SEE ATTACHED "BELMONT HOSPITAL CHNA IMPLEMENTATION PLAN" FOR ADDITIONAL DETAILS ON HOW THE HOSPITAL, IN CONJUNCTION WITH RESOURCES FROM ITS PARENT COMPANY, WHEELING HOSPITAL, INC. IS ADDRESSING THE NEEDS IDENTIFIED IN THE CHNA.
PART V, LINE 16GIN ADDITION TO PROVIDING THE FULL FAP UPON REQUEST, A SUMMARY IS POSTED IN THE HOSPITAL FACILITY'S EMERGENCY ROOMS AND WAITING ROOMS. ALSO, SIGNAGE AND LITERATURE HAS BEEN DEPLOYED IN POINTS OF THE FACILITY, AND IN PHYSICIAN OFFICES, TO EDUCATE PATIENTS ABOUT THE FAP PROGRAM.

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 7:THE RATIO FROM WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS WAS USED.
Part I, Ln 7 Col(f):PART III, LINE 2. NO BAD DEBT EXPENSE WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), AS BAD DEBT WAS REPORTED AS A REDUCTION TO NET PATIENT SERVICE REVENUE. THE PERCENTAGE FROM WORKSHEET 2 WAS USED TO CALCULATE THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE AT COST REFLECTED ON LINE 2. THIS RATIO WAS APPLIED TO THE TOTAL BAD DEBT EXPENSE (BAD DEBT WRITE OFF) INCLUDED IN NET PATIENT SERVICES REVENUE. DISCOUNTS TO PATIENT ACCOUNTS ARE RECORDED AS CONTRACTUAL WRITE-OFF'S AND NOT AS BAD DEBT. THEREFORE, THE CALCULATED BAD DEBT EXPENSE DOES NOT INCLUDE ANY PORTION OF PATIENT'S CHARGES THAT WERE DISCOUNTED.PART III, LINE 3. THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE THAT COULD REASONABLY BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY WAS CALCULATED BY APPLYING THE PERCENTAGE OF CHARITY TO GROSS PATIENT REVENUE TO THE TOTAL BAD DEBT EXPENSE AT COST.
Part III, Line 4:BELMONT COMMUNITY HOSPITAL DOES NOT HAVE SEPARATE AUDITED FINANCIAL STATEMENTS. HOWEVER, CONSOLIDATED FINANCIAL STATEMENTS ARE PREPARED FOR WHEELING HOSPITAL, INC. (BELMONT COMMUNITY HOSPITAL IS WHOLLY OWNED BY WHEELING HOSPITAL, INC.). THE BAD DEBT FOOTNOTE FROM THE CONSOLIDATED WHEELING HOSPITAL, INC. 9/30/2018 AUDITED FINANCIAL STATEMENT IS AS FOLLOWS:THE BAD DEBT REFLECTED ON THE FINANCIAL STATEMENTS IS THE GROSS AMOUNT OF THE ACCOUNTS DEEMED UNCOLLECTIBLE. THIS WOULD BE FOR ACCOUNTS THAT HAVE HAD NO PAYMENT FOR 60 DAYS AND HAVE HAD A MINIMUM OF STATEMENTS PRODUCED. THEREFORE, THE BAD DEBT AMOUNTS WOULD BE AFTER ANY DISCOUNTS OR PATIENT PAYMENTS HAVE BEEN APPLIED. THE PROVISION FOR BAD DEBTS, WHICH RELATES ENTIRELY TO COMMERCIAL, OTHER AND SELF-PAY PAYERS, IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE WRITE-OFF EXPERIENCE BY PAYER. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE PROVISION FOR BAD DEBTS AS A PERCENTAGE OF NET PATIENT REVENUES WAS 5.75% AND 4.29% FOR THE YEARS ENDED SEPTEMBER 30, 2018 AND 2017, RESPECTIVELY.PROVISIONS FOR BAD DEBT FOR 2018 AND 2017 INCLUDE: GOVERNMENT AND STATE PROVISION, COMMERCIAL, OTHER, AND SELF PAY AND WERE $23,067,877 AND $16,111,541, RESPECTIVELY.
Part III, Line 8:THE COSTS REFLECTED IN LINE 6 ARE THE ALLOWABLE INPATIENT COSTS FROM WORKSHEET D-1 AND ALLOWABLE OUTPATIENT COSTS FROM D, PART V OF THE 12/31/2018 (fiscal year 2018) CMS COST REPORT. NONE OF THE SHORTFALL ON LINE 7 IS TREATED AS COMMUNITY BENEFIT. DESPITE THE FACT THAT THE PROGRAM SERVES ALL ELDERLY AND DISABLED BENEFICIARIES AND COULD REPRESENT COMMUNITY BENEFIT, IT IS NOT TREATED AS COMMUNITY BENEFIT TO BE CONSISTENT WITH THE PRESENTATION OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS.
Part III, Line 9b:BELMONT COMMUNITY HOSPITAL'S COLLECTION POLICY HAS BEEN ESTABLISHED TO DEFRAY THE COSTS OF MEDICALLY NECESSARY SERVICES FOR THOSE PATIENTS WHO MEET CERTAIN GUIDELINES AND HAVE NO OTHER MEDICAL FUNDING SOURCES. INPATIENT, OUTPATIENT, EMERGENCY ROOM SERVICES, PROFESSIONAL SERVICES OF EMPLOYED PHYSICIANS AND PRESCRIPTION DRUGS ON AN ACUTE/EMERGENT BASIS ARE ELIGIBLE FOR FINANCIAL ASSISTANCE/CHARITY CARE. THE FINANCIAL ASSISTANCE/CHARITY CARE APPLICATION MUST BE SIGNED BYTHE APPLICANT ATTESTING TO THE TRUTHFULNESS AND ACCURACY OF THE INFORMATION PROVIDED. CERTAIN DENIAL LETTERS ARE REQUIRED IN ORDER TO BE ELIGIBLE FOR CHARITY CARE. ELIGIBILITY IS DETERMINED BY REFERENCING THE FINANCIAL ASSISTANCE/CHARITY CARE MATRIX, WHICH IS BASED ON THE FEDERAL POVERTY GUIDELINES FOR THE MOST CURRENT YEAR AVAILABLE. THOSE APPROVED APPLICANTS WHO ARE AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES AND HAVE PROVIDED THE REQUIRED DOCUMENTATION ARE ELIGIBLE TO RECEIVE CHARITY CARE, AND THOSE WHO ARE FROM 201% TO 400% OF THOSE LIMITS ARE ELIGIBILE FOR DISCOUNTS. IN REGARDS TO COLLECTION PRACTICES FOR PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE (I.E. "CHARITY FOR A PORTION OF THEIR BILL") FROM THE HOSPITAL: THE HOSPITAL'S BILLING AND COLLECTION POLICIES NOTE THAT HOSPITAL PERSONNEL ARE TO OBTAIN THE DETAILS OF EACH PATIENT'S FINANCIAL SITUATION AND ASSIST EACH PATIENT BY PROVIDING THEM WITH THE VARIOUS SETTLEMENT OPTIONS THAT THE HOSPITAL MAKES AVAILABLE. FOR PATIENTS WHO ARE FAP-ELIGIBLE FOR A PORTION OF THEIR BILL, THIS GENERALLY MEANS THAT A PATIENT FINANCIAL COUNSELOR WILL ARRANGE A PAYMENT PLAN THAT IS MANAGEABLE FOR THE PATIENT.
PART IV. LINE 7BELMONT COMMUNITY HOSPITAL DOES NOT FILE A COMMUNITY BENEFIT REPORT WITH THE STATE OF OHIO, OR ANY OTHER STATE.
Part VI, Line 2:BELMONT COMMUNITY HOSPITAL ENGAGED ARNETT CARBIS TOOTHMAN TO PERFORM A FORMAL NEEDS ASSESSMENT TO ASSESS THE HEALTH CARE NEEDS FOR THE COMMUNITY THAT IT SERVES. THIS ASSESSMENT WAS COMPLETED AND DATED SEPTEMBER 2016. AN IMPLEMENTATION PLAN WAS ESTABLISHED BY BELMONT COMMUNITY IN RESPONSE TO THE CHNA. ONGOING COMMUNITY HEALTH FAIRS, CPR CLASSES, DIABETES EDUCATION AND HEALTHY LIFESTYLE SEMINARS ARE THE PRIMARY METHOD OF GAUGING COMMUNITY HEALTH NEEDS THROUGHOUT THE YEAR. MANY OF THESE PROGRAMS ARE COORDINATED WITH WHEELING HOSPITAL, INC.
Part VI, Line 3:INFORMATION IS INCLUDED ON THE BACK OF PATIENT INVOICES REGARDING THE HCAP PROGRAM. SELF PAY ACCOUNTS OVER $500 ARE SCREENED BY THE MEDICAL ADVOCACY SERVICES FOR HEALTHCARE (MASH) SERVICE OFF SITE FOR GOVERNMENT PROGRAM ELIGIBILITY. IN ADDITION, SELF PAY PATIENTS ARE CONTACTED BY THE PATIENT ACCOUNTING DEPARTMENT TO DISCUSS MEANS OF PAYMENT. IF THE PATIENT STATES THAT THEY DO NOT HAVE THE MEANS TO PAY, BCH STAFF REVIEWS OTHER OPTIONS, SUCH AS PAYMENT PLAN, CHARITY OR DISCOUNT. THE HOSPITAL'S FAP (FINANCIAL ASSISTANCE POLICY) IS ALSO INCLUDED ON THE HOSPITAL'S WEBSITE ALONG WITH A COPY OF A FAP APPLICATION AND A PLAIN LANGUAGE SUMMARY OF THE FAP. A PLAIN LANGUAGE SUMMARY OF THE FAP IS ALSO AVAILABLE IN VARIOUS LOCATIONS THROUGHOUT THE HOSPITAL AND NOTICES ARE POSTED IN VARIOUS LOCATIONS WITHIN THE HOSPITAL TO NOTIFY PATIENTS OF THE FAP.
Part VI, Line 4:BELMONT COMMUNITY HOSPITAL PREDOMINANTLY SERVICES THE WHEELING METROPOLITAN STATISTICAL AREA. THE PRIMARY SERVICES AREA INCLUDES ONE COUNTY IN THE NORTHERN PANHANDLE OF WEST VIRGINIA (OHIO COUNTY) AND ONE COUNTY IN OHIO (BELMONT COUNTY), WITH A TOTAL POPULATION OF APPROXIMATELY 109,260.THE RACIAL MAKEUP OF THE MSA AS OF THE 2018 CENSUS WAS 93.45% WHITE, 3.85% AFRICAN AMERICAN, 0.65% ASIAN, 0.20% NATIVE AMERICAN, WITH THE REMAINDER FROM OTHER RACES OR A COMBINATION OF TWO OR MORE RACES.THE MEDIAN HOUSEHOLD INCOME FOR 2018 WAS APPROXIMATELY $46,130, WHILE THE MEDIAN HOUSEHOLD INCOME FOR THE UNITED STATES WAS APPROXIMATELY $55,322. THE BELOW POVERTY LEVEL PERCENTAGE FOR 2018 WAS APPROXIMATELY 11.90%, WHILE THE BELOW POVERTY LEVEL PERCENTAGE WAS APPROXIMATELY 12.70% FOR THE UNITED STATES.
Part VI, Line 5:A MAJORITY OF THE HOSPITAL'S BOARD MEMBERS ARE RESIDENTS OF THE PRIMARY SERVICE AREA AND ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE HOSPITAL.IN ADDITION, THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ANY QUALIFIED PHYSICIAN IN THE COMMUNITY.
Part VI, Line 6:BELMONT COMMUNITY HOSPITAL IS AN AFFILIATE OF WHEELING HOSPITAL, INC., OFFERING PRIMARY CARE AND SELECTED SPECIALTY SERVICES FOR THE RESIDENTS OF THE UPPER OHIO VALLEY.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgYes (1)CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JEFFREY A PATEY
TRUSTEE/CHIEF OF STAFF$0$241,847$0$102$0$0$0$2,715$0$24,527$0$269,191$0$0
BRUCE A ARCHER
TRUSTEE/CORPORATE COMPLIANCE OFFICER$0$119,054$0$25,101$0$0$0$4,484$0$23,926$0$172,565$0$0
JAMES B MURDY
CHIEF FINANCIAL OFFICER$0$258,262$0$75,102$0$0$0$21,216$0$29,998$0$384,578$0$0
JOHN DEBLASIS
VICE PRESIDENT$0$163,937$0$25,101$0$0$0$13,207$0$11,579$0$213,824$0$0
MARWAN YANES
PHYSICIAN$221,131$0$103$0$0$0$0$0$11,201$0$232,435$0$0$0
SHASHI GUPTA
PHYSICIAN$216,936$0$18,025$0$0$0$2,384$0$22,783$0$260,128$0$0$0
DANIEL B JONES
PHYSICIAN$357,104$0$102$0$0$0$2,031$0$22,362$0$381,599$0$0$0
GEORGE L CHOLAK
PHYSICIAN$283,710$0$102$0$0$0$0$0$1,459$0$285,271$0$0$0
MAHESHWAR MUSUNURI
PHYSICIAN$178,069$0$26,286$0$0$0$2,089$0$24,308$0$230,752$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 5GUPTA'S INCENTIVES ARE BASED ON CASH RECEIPTS. OVERALL PHYSICIAN COMPENSATION WAS DETERMINED TO BE REASONABLE.
Part I, Line 6MUSUNURI'S INCENTIVES ARE BASED ON NET INCOME. OVERALL PHYSICIAN COMPENSATION WAS DETERMINED TO BE REASONABLE.
PART II:THE REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS FOR JAMES B MURDY IS FOR SERVICES RENDERED AS CFO FOR THE FILING ORGANIZATION AND THE RELATED ORGANIZATIONS. THE MAJORITY OF HIS TIME IS SPENT AT THE RELATED ORGANIZATIONS. EXPLANATION: THE REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS FOR JOHN DEBLASIS IS FOR SERVICES RENDERED AS VICE PRESIDENT FOR THE FILING ORGANIZATION. 33.33% OF HIS TIME IS SPENT AT THE FILING ORGANIZATION AND THE REMAINING AT THE RELATED ORGANIZATIONS. EXPLANATION: THE REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS FOR BRUCE ARCHER IS FOR SERVICES RENDERED AS CORPORATE COMPLIANCE OFFICER FOR THE FILING ORGANIZATION AND THE RELATED ORGANIZATIONS. THE MAJORITY OF HIS TIME IS SPENT AT THE RELATED ORGANIZATIONS. NONE OF THE WAGES PAID ARE RELATED TO BEING A TRUSTEE ON THE BOARD OF DIRECTORS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, line 11bAN OUTSIDE CPA FIRM IS HIRED TO REVIEW THE 990, IN ADDITION TO INTERNAL PERSONNEL AND THE EXECUTIVE TEAM PRIOR TO FILING THE RETURN. COPIES OF THE 990 ARE SENT TO ALL BOARD MEMBERS PRIOR TO FILING THE RETURN.
Form 990, Part VI, Section B, line 12cALL MEMBERS OF THE BOARD OF DIRECTORS AND OFFICERS RECEIVE A COPY OF THE CONFLICT OF INTEREST POLICY ANNUALLY. RECIPIENTS ARE ANNUALLY ASKED TO ACKNOWLEDGE THEY HAVE READ THE POLICY, IDENTIFY ANY AREAS OF CONFLICT AND RETURN THE SIGNED DISCLOSURE FORM TO BELMONT COMMUNITY HOSPITAL. RESPONSES ARE REVIEWED AND IDENTIFIED. CONFLICTS ARE REFERRED TO THE BOARD OF DIRECTORS FOR DISCUSSION AND APPROVAL. EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE AT HIRING AND WHEN A CHANGE OCCURS THAT MAY BE A CONFLICT OF INTEREST.
Form 990, Part VI, Section B, line 15OFFICERS AND KEY EMPLOYEES COMPENSATION IS REVIEWED BY A BELMONT COMMUNITY HOSPITAL COMMITTEE. THE COMMITTEE REVIEWS NATIONAL, REGIONAL AND LOCAL COMPENSATION SURVEYS. ADDITIONALLY, YEARS OF SERVICE ARE ALSO TAKEN INTO ACCOUNT.
Form 990, Part VI, Section C, line 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
PART VII, SECTION A, 1A (E)THE REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS FOR JAMES B MURDY IS FOR SERVICES RENDERED AS CFO FOR THE FILING ORGANIZATION AND THE RELATED ORGANIZATIONS. THE MAJORITY OF HIS TIME IS SPENT AT THE RELATED ORGANIZATIONS. EXPLANATION: THE REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS FOR JOHN DEBLASIS IS FOR SERVICES RENDERED AS VICE PRESIDENT FOR THE FILING ORGANIZATION. 33.33% OF HIS TIME IS SPENT AT THE FILING ORGANIZATION AND THE REMAINING AT THE RELATED ORGANIZATIONS. EXPLANATION: THE REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS FOR BRUCE ARCHER IS FOR SERVICES RENDERED AS CORPORATE COMPLIANCE OFFICER FOR THE FILING ORGANIZATION AND THE RELATED ORGANIZATIONS. THE MAJORITY OF HIS TIME IS SPENT AT THE RELATED ORGANIZATIONS. NONE OF THE WAGES PAID ARE RELATED TO BEING A TRUSTEE ON THE BOARD OF DIRECTORS.
Form 990, Part XI, line 9:REVALUATION OF PERMANENTLY RESTRICTED FOR OTHER-THAN-TEMPORARY IMPAIRMENT 862,042. TEMPORARILY RESTRICTED CONTRIBUTIONS 477. FORGIVENESS OF DEBT 7,585,431.
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED.
SCHEDULE F, PART I, LINE 3:MOUNTAINEER FREEDOM, LTD SELLS INSURANCE PREMIUMS TO BELMONT COMMUNITY HOSPITAL. MOUNTAINEER FREEDOM, LTD IS SOLEY OWNED BY THE PARENT COMPANY, WHEELING HOSPITAL. BELMONT COMMUNITY HOSPITAL DOES NOT HAVE ANY DIRECT OWNERSHIP IN MOUNTAINEER FREEDOM, LTD.
FORM 990, PART VI, SECTION A, LINE 9BELMONT COMMUNITY HOSPITAL CLOSED IN APRIL 2019. ALL MEMBERS OF THE BOARD OF DIRECTORS AND OFFICERS CAN BE REACHED AT: WHEELING HOSPITAL, INC. ONE MEDICAL PARK WHEELING, WV 26003

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
WHEELING HOSPITAL INC
ONE MEDICAL PARKWHEELINGWV26003550357057HOSPITALWV501C(3)30
BELMONT COMMUNITY HOSPITAL AUXILIARY
4697 HARRISON STREETBELLAIREOH43906346567473SUPPORT FOR HOSPITALOH501C(3)100
THE MEDICAL PARK FOUNDATION
ONE MEDICAL PARKWHEELINGWV26003550744690CHURCHWV501C(3)1Yes (1)WHEELING HOSPITAL INC
HARRISON COMMUNITY HOSPITAL
951 EAST MARKET STREETCADIZOH43907341571750HOSPITALOH501C(3)3Yes (1)WHEELING HOSPITAL INC
WH HOLDINGS II LLC
ONE MEDICAL PARKWHEELINGWV26003273193246PURCHASE REAL ESTATEWV501C(3)10Yes (1)WHEELING HOSPITAL INC

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndLegal Domicile StateLegalDomicileStateCd
MOUNTAINEER FREEDOM LIMITED
ONE MEDICAL PARKWHEELINGWV26003981217988CAPTIVE INSURANCE COMPANYCJWHEELING HOSPITAL INCCYes (1)
WHEELING HOLDINGS I LLC
ONE MEDICAL PARKWHEELINGWV26003273193207PURCHASE REAL ESTATEWHEELING HOSPITAL INCCYes (1)WV
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other OrgYes (1)AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
WHEELING HOSPITAL INC
M$306,481ACTUAL AMOUNT
WHEELING HOSPITAL INC
O$51,929ACTUAL AMOUNT
WHEELING HOSPITAL INC
P$94,435ACTUAL AMOUNT
WHEELING HOSPITAL INC
S$3,255,531ACTUAL AMOUNT
WH HOLDINGS II LLC
K$100,209ACTUAL AMOUNT
WHEELING HOSPITAL INC
C$7,585,431ACTUAL AMOUNT
MOUNTAINEER FREEDOM LIMITED
R$460,093ACTUAL AMOUNT

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE RFormAndLineReferenceDesc
ExplanationSEE NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS (FOOTNOTE 1. CORPORATE ORGANIZATION) FROM THE ATTACHED CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF WHEELING HOSPITAL, INC. AND SUBSIDIARIES.ExplanationTxt