STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

HERBERT J THOMAS MEMORIAL HOSPITAL ASSOCIATION: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
HERBERT J THOMAS MEMORIAL HOSPITAL ASSOCIATION (EIN 55-0404900)
Tax period
2017-10-01 to 2018-09-30
Filed
2019-08-15
IRS object ID
201942279349303014
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)
Return2019-08-15T15:28:45-05:00ReturnTs
Tax Period End2018-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN550486667PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Arnett Carbis Toothman LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1P O Box 2629AddressLine1Txt
CityCharlestonCityNm
State AbbreviationWVStateAbbreviationCd
ZIP25329ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN550404900EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Herbert J Thomas Memorial HospitalBusinessNameLine1Txt
Business Name Line2AssociationBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlHERBBusinessNameControlTxt
Phone3047663528PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14605 MacCorkle Avenue SWAddressLine1Txt
CitySouth CharlestonCityNm
State AbbreviationWVStateAbbreviationCd
ZIP25309ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTimothy SkeldonPersonNm
Person TitleSr. Vice President, CFOPersonTitleTxt
Phone3047663528PhoneNum
Signature2019-08-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDolores RosePreparerPersonNm
PTINP01286262PTIN
Phone3043460441PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address216.12.119.47IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-08-15IPDt
IP Tm12:33:12IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdCCB4B172F6B20DCDE3AC5A6CD979E579473977C6AtSubmissionCreationDeviceId
At Submission Filing Device IdA995AF694121DE0697350269C2DD630E7BAA3A7AAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Thomas Memorial HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerDaniel LaufferPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14605 MacCorkle Avenue SWAddressLine1Txt
CitySouth CharlestonCityNm
State AbbreviationWVStateAbbreviationCd
ZIP25309ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$191,540,170GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.thomaswv.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1946FormationYr
Legal Domicile StateWVLegalDomicileStateCd
Activity Or MissionTo provide health care services to residents of South Charleston, WV and surrounding communities.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee1438TotalEmployeeCnt
Total Volunteers108TotalVolunteersCnt
Total Gross UBI$187,221TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$139,588NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$94,585PYContributionsGrantsAmt
CY Contributions Grants$47,661CYContributionsGrantsAmt
PY Program Service Revenue$187,405,422PYProgramServiceRevenueAmt
CY Program Service Revenue$186,701,316CYProgramServiceRevenueAmt
PY Investment Income$1,800,733PYInvestmentIncomeAmt
CY Investment Income$1,064,253CYInvestmentIncomeAmt
PY Other Revenue$3,309,717PYOtherRevenueAmt
CY Other Revenue$3,726,940CYOtherRevenueAmt
PY Total Revenue$192,610,457PYTotalRevenueAmt
CY Total Revenue$191,540,170CYTotalRevenueAmt
PY Grants And Similar Paid$63,209PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$91,154CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$63,670,100PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$74,015,839CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$132,857,993PYOtherExpensesAmt
CY Other Expenses$114,330,862CYOtherExpensesAmt
PY Total Expenses$196,591,302PYTotalExpensesAmt
CY Total Expenses$188,437,855CYTotalExpensesAmt
PY Revenues Less Expenses-$3,980,845PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,102,315CYRevenuesLessExpensesAmt
Total Assets BOY$196,441,960TotalAssetsBOYAmt
Total Assets EOY$189,958,295TotalAssetsEOYAmt
Total Liabilities BOY$177,937,345TotalLiabilitiesBOYAmt
Total Liabilities EOY$167,840,770TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$18,504,615NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$22,117,525NetAssetsOrFundBalancesEOYAmt
MissionTo provide health care services to residents of South Charleston, WV and surrounding communities.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$182,986,788ExpenseAmt
Grant$91,154GrantAmt
Revenue$189,658,350RevenueAmt
DescServices provided by the hospital include 38,508 inpatient days and 176,400 outpatient visits which includes 27,615 in ER visits. The hospital provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates. Charges forgone for charity amounted to $1,171,221. The hospital provided community education activities and sponsors free health screening and wellness programs.Desc
Total Program Service Expenses$182,986,788TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
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 OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
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 EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document149IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee1438EmployeeCnt
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
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
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 VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Timothy Skeldon Sr Vice President CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3047663428PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14605 MacCorkle Ave SWAddressLine1Txt
CitySouth CharlestonCityNm
State AbbreviationWVStateAbbreviationCd
ZIP25309ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Larry Bissett
Chairman1.001.00Yes (X)Yes (X)$0$0$0
Donna Panucci DDS
Secretary1.00Yes (X)Yes (X)$0$0$0
Brian Ulery
Sr. Vice President/COO24.0016.00Yes (X)Yes (X)$321,196$0$26,896
Bassam Shamma MD
Trustee1.00Yes (X)$0$0$0
Carla Campbell
Trustee1.00Yes (X)$0$0$0
John Neville MD
Trustee1.00Yes (X)$0$0$0
Dennis Sutton
Trustee1.001.00Yes (X)$0$0$0
Darren Harris MD
Trustee1.00Yes (X)$0$0$0
Laurie Harper MD
Trustee1.00Yes (X)$0$0$0
Daniel J Lauffer
President & CEO24.0016.00Yes (X)$0$488,777$26,888
Renee Cross
VP of Finance (termed 7/14/17)24.0016.00Yes (X)$0$305,467$20,526
Timothy K Skeldon
Sr. VP Finance (as of 7/24/17)24.0016.00Yes (X)$151,461$0$3,283
Aaron Alexander
VP General Counsel40.00$229,442$0$29,223Yes (X)
Tarek Anderson MD
Director Neonatologist40.00$314,835$0$35,172Yes (X)
Alaina N Crislip
Associate General Counsel24.0016.00$196,772$0$21,605Yes (X)
Matthew B Upton MD
CMO & CMIO24.0016.00$310,089$0$26,896Yes (X)
William Priddy
Pharmacy Manager40.00$180,023$0$9,386Yes (X)
Stephen Dexter TMH Retired CEO
President TMH Services0.00$469,175$0$3,454Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,172,993TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$794,244TotReportableCompRltdOrgAmt
Total Other Compensation$203,329TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K51IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
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
Hospitalist Medicine Physicians of WV
PO Box 742936Los AngelesCA90074ER and Hospitalist Services$2,996,912
Fastaff LLC
PO Box 911452DenverCO80291Contract Nursing$2,117,150
Professional Anesthesia Services
110 Roane StreetCharlestonWV25302Anesthesia Services$1,793,810
Advanced Technical Solutions LLC
PO Box 149Scott DepotWV25560Information Systems$629,212
Jackson Kelly PLLC
PO Box 45705BaltimoreMD21297Legal Services$491,548
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K28CntrctRcvdGreaterThan100KCnt
Related Organizations$47,661RelatedOrganizationsAmt
Total Contributions$47,661TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Patient services622110$177,171,788$177,171,788
340B Program Revenue900099$6,268,402$6,268,402
Family Pharmacy446110$3,261,126$2,935,013$326,113
FieldValueIRS element (for citing)
Total Program Service Revenue$186,701,316TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$612,471TotalRevenueColumnAmt
Exclusion$612,471ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,034,467RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,034,467RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,034,467TotalRevenueColumnAmt
Exclusion$1,034,467ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$451,782SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$451,782SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$451,782TotalRevenueColumnAmt
Related Or Exempt Func Income$451,782RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Laboratory-Other900099$973,114$973,114
Cafeteria & vending722212$930,324$930,324
Miscellaneous Revenue900099$402,863$541,755-$138,892

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$386,172TotalRevenueColumnAmt
Related Or Exempt Func Income$386,172RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,692,473OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$191,540,170TotalRevenueColumnAmt
Related Or Exempt Func Income$189,658,350RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$187,221UnrelatedBusinessRevenueAmt
Exclusion$1,646,938ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$91,154TotalAmt
Program Services$91,154ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$842,689TotalAmt
Program Services$816,903ProgramServicesAmt
Management And General$25,786ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$60,134,978TotalAmt
Program Services$58,294,847ProgramServicesAmt
Management And General$1,840,131ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$600,022TotalAmt
Program Services$581,661ProgramServicesAmt
Management And General$18,361ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$9,483,436TotalAmt
Program Services$9,193,243ProgramServicesAmt
Management And General$290,193ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,954,714TotalAmt
Program Services$2,864,300ProgramServicesAmt
Management And General$90,414ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,114,528TotalAmt
Management And General$1,114,528ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$208,970TotalAmt
Management And General$208,970ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$26,426TotalAmt
Management And General$26,426ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$25,199,402TotalAmt
Program Services$24,428,300ProgramServicesAmt
Management And General$771,102ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$10,067,039TotalAmt
Program Services$9,758,988ProgramServicesAmt
Management And General$308,051ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$676,949TotalAmt
Program Services$656,234ProgramServicesAmt
Management And General$20,715ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$36,262TotalAmt
Management And General$36,262ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,432,730TotalAmt
Program Services$4,297,088ProgramServicesAmt
Management And General$135,642ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$71,352TotalAmt
Program Services$69,169ProgramServicesAmt
Management And General$2,183ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$5,914,926TotalAmt
Program Services$5,733,929ProgramServicesAmt
Management And General$180,997ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$7,819,579TotalAmt
Program Services$7,580,300ProgramServicesAmt
Management And General$239,279ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$585,199TotalAmt
Program Services$567,292ProgramServicesAmt
Management And General$17,907ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical supplies$37,400,593$37,400,593
Bad debts$11,698,406$11,698,406
Healthcare provider tax$5,022,244$5,022,244
Sales and use tax$2,229,883$2,161,649$68,234

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,826,374TotalAmt
Program Services$1,770,488ProgramServicesAmt
Management And General$55,886ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$188,437,855TotalAmt
Program Services$182,986,788ProgramServicesAmt
Management And General$5,451,067ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,428,153BOYAmt
EOY$862,654EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$5,477,732BOYAmt
EOY$5,191,452EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$20,456,878BOYAmt
EOY$16,759,673EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,629,337BOYAmt
EOY$5,248,434EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,121,105BOYAmt
EOY$1,259,210EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$294,878,391LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$189,479,931LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$111,274,086BOYAmt
EOY$105,398,460EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$45,978,145BOYAmt
EOY$44,520,440EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$2,009,287BOYAmt
EOY$4,426,938EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,067,237BOYAmt
EOY$6,291,034EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$196,441,960BOYAmt
EOY$189,958,295EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$31,120,261BOYAmt
EOY$27,982,742EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$66,341BOYAmt
EOY$35,638EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$96,706,060BOYAmt
EOY$93,576,198EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$50,044,683BOYAmt
EOY$46,246,192EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$177,937,345BOYAmt
EOY$167,840,770EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$18,504,615BOYAmt
EOY$22,117,525EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$18,504,615BOYAmt
EOY$22,117,525EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$196,441,960BOYAmt
EOY$189,958,295EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$3,102,315ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,372,816NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$862,221OtherChangesInNetAssetsAmt
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 B IRS990ScheduleB

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$26,426GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$26,426TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationLine 1f: A portion of dues paid by the hospital to the American Hospital Association and the West Virginia Hospital Association is attributable to lobbying.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,964,611OtherCostOrOtherBasisAmt
Book Value$11,964,611BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$152,567,626OtherCostOrOtherBasisAmt
Depreciation$80,615,535DepreciationAmt
Book Value$71,952,091BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$117,928,002OtherCostOrOtherBasisAmt
Depreciation$102,963,661DepreciationAmt
Book Value$14,964,341BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,418,152OtherCostOrOtherBasisAmt
Depreciation$5,900,735DepreciationAmt
Book Value$6,517,417BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$105,398,460TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
Estimated malpractice liability$15,532,766
Accrued pension liabilities$21,143,356
Capital lease obligations$1,116,216
Accrued interest payable$4,569,479
Accrued payroll & payroll taxes$3,884,375
FieldValueIRS element (for citing)
Total Liability$46,246,192TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationThe System, Thomas Memorial, the Foundation, Saint Francis and THS Physician Partners are recognized as exempt from Federal and state income taxes under Section 501(c)(3) of the Internal Revenue Code and similar state statutes relating to not-for-profit organizations. Under applicable provisions of the Internal Revenue Code and state statutes, TMH Services, which is a for-profit entity and subject to Federal and state income taxes, elected to be treated as a C-corporation for income tax purposes. Accounting principles generally accepted in the United States of America require the management of the System to evaluate tax positions taken by the System. Management has evaluated the Systems tax positions and concluded that the System had maintained its tax exempt status and had taken no uncertain tax positions that require recognition or disclosure in the financial statements. Therefore, no provision or liability for income taxes has been included in the consolidated financial statements. The System is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. The management of the System believes it is no longer subject to income tax examinations for years prior to the fiscal year ended September 30, 2015.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted Care0FPGReferenceDiscountedCareInd
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$335,528TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$335,528NetCommunityBenefitExpnsAmt
Total Expense0.00190TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$38,953,332TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$30,777,267DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,176,065NetCommunityBenefitExpnsAmt
Total Expense0.04630TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$39,288,860TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$30,777,267DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,511,593NetCommunityBenefitExpnsAmt
Total Expense0.04820TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$20,653TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$20,653NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$91,154TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$91,154NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$111,807TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$111,807NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$39,400,667TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$30,777,267DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,623,400NetCommunityBenefitExpnsAmt
Total Expense0.04880TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$11,698,406BadDebtExpenseAmt
Reimbursed By Medicare$37,047,761ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$37,732,564CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$684,803MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPct
1 Thomas Valuecare Inc
Company reserved for future use1.00000
2 Stonerise Home Health LLC
Home Health0.30000
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Thomas Memorial HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14605 MacCorkle Avenue SWAddressLine1Txt
CitySouth CharlestonCityNm
State AbbreviationWVStateAbbreviationCd
ZIP25309ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherPsychiatricOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Herbert J Thomas Memorial 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
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 Conducted16CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttp://www.thomashealth.org/communityhealthOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLhttp://www.healthykanawha.org/Final_2017_Assessment_Report.pdfOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt17ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLhttp://www.thomashealth.org/communityhealthStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
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.thomashealth.org/financialFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLwww.thomashealth.org/financialFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLwww.thomashealth.org/financialFAPSummaryOnWebsiteURLTxt
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
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
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Herbert J. Thomas Memorial HospitalPart V, Section B, Line 5: The Coalition conducted a randomized home telephone survey, conducted interviews with professional representatives of key sectors of the community, conducted focus groups with under-represented populations, and held a health issues forum.
Herbert J. Thomas Memorial HospitalPart V, Section B, Line 6a: St. Francis Hospital, Charleston Area Medical Center, Highland Hospital, Women & Children's Hospital
Herbert J. Thomas Memorial HospitalPart V, Section B, Line 6b: Kanawha Coalition for Community Health Improvement
Herbert J. Thomas Memorial HospitalPart V, Section B, Line 11: By conducting a CHNA, Thomas Memorial identified the areas with significant need in which it would focus its health improvement activity to be: 1) alcohol and drug abuse; 2) obesity and diabetes; and 3) access to affordable counseling and mental health services. Although Thomas identified other health needs, they were not as significant as the 3 identified above. The other needs identified within widely case CHNA's are being addressed by provider withint he community that have more expertise in those areas. Cost containment, resource constraints, and a relatively low priority assigned to the health need are additonal reasons why only the most significant health needs could be addressed by Thomas Memorial.

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 7:The cost of charity care and unreimbursed Medicaid was estimated using a cost to charge ratio derived from Worksheet 2 of the Schedule H instructions.The amount of cash and in-kind contributions to community groups was obtained from the hospital's accounting records.
Part I, Line 7, Column (f):The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 11,698,406.
Part III, Line 2:Bad debt expense as reported on audited financial statements.
Part III, Line 4:Bad debt expense is described in the consolidated financial statements as follows: Patient accounts receivable are carried at the original charge less an estimate made for doubtful or uncollectible accounts. The allowance is based upon a review of the outstanding balances aged by financial class. Management uses collection percentages based upon historical collection experience to determine collectability. Management also reviews troubled, aged accounts to determine collection potential. Patient accounts receivable are written off when deemed uncollectible. Recoveries of accounts previously written off are recorded as a reduction to bad debt expense when received.
Part III, Line 8:Medicare allowable reimbursements and cost were obtained from the hospital's Medicare cost report.
Part III, Line 9b:The organization's collection policies do not apply to patients that are known to qualify for financial assistance. Additionally, the organization has a separate Financial Assistance policy; patients who qualify for assistance under the policy do not receive a bill.
Part VI, Line 2:The hospital is a member of the Kanawha Coalition for Community Health Improvement. The Coalition conducts a survey every three years to assess health care needs of the community. Results of the survey are presented in a meeting of community leaders and other interested persons, and are conveyed to the general public by local media. Results of the most recent survey were released March, 2017.
Part VI, Line 3:The hospital informs and educates patients about their eligibility for assistance by: (1) providing a copy of the policy, or a summary thereof, and financial assistance contact information to patients as part of the intake process; (2) including the policy, or a summary thereof, along with financial assistance contact information, in patient bills; and (3) discussing with the patient the availability of various government benefits, such as Medicaid or state programs, and assisting the patient with qualification for such programs, where applicable. For those patients who come into our office after they receive a bill, we explain this same process to them. We also employ an outside agency, Advanced Patient Advocacy (APA), to speak with patients regarding Medicaid and other state and federal funding options. APA may speak with the patient during a stay or visit or after discharge. Hospital also has a DHHR employee on campus to help with getting the employees enrolled into Medicaid.
Part VI, Line 4:The organization's geographic service area includes approximately 476,000 persons in a 12 county area of south-central West Virginia. Heart disease, cancer and pulmonary disease are the leading causes of death in the service area. Patients in the service area are typical of West Virginia as a whole. The population served is 48% male, 52% female. Approximately 20% of residents in the area have no healthcare insurance coverage and no family doctor or other healthcare provider. Except for the area within the Charleston, WV city limits, all of the counties in the organization's geographic service area are federally-designated Medically Underserved and Health Manpower Shortage Areas.
Part VI, Line 5:All members of the hospital's Board of Directors reside in the local community. The hospital extends medical staff privileges to all qualified physicians in the community who meet specific credentialing criteria. The hospital's 24 hour emergency room is available to all persons, regardless of ability to pay. The hospital prepares its budget to ensure adequate funding for capital improvements that are made on an on-going basis.
Part VI, Line 6:The hospital, along with St. Francis Hospital, is part of Thomas Health System, Inc. The health system was formed to forge a partnership based on the strength of the two established hospitals. Bringing the two hospitals under the umbrella of the Thomas Health System allows them to provide innovative and cost-effective health care services to the Kanawha Valley and surrounding areas. Economies of scale have allowed for cost reductions in numerous areas, while providing advanced technology to a larger community, with access to the highest quality of physicians, nurses and support staff in our service area. The system provides a wide range of services that serves the entire community.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
CAMC Health Education and Research Institute
PO Box 1547CharlestonWV25326550753754501(c)(3)$69,544Operating costs for the Kanawha Coalition for Community Health Improvement for FY 16 & 17
The Foundation for Thomas Health
4605 MacCorkle Avenue SWCharlestonWV25309550694220501(c)(3)$10,000Nursing scholarships
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationThe Organization does not consider monitoring the use of grant proceeds a necessity as the organizations receiving the grants all receive audited financial statements.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 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
Brian Ulery
Sr. Vice President/COO$321,196$0$0$0$0$0$14,439$0$12,457$0$348,092$0$0$0
Daniel J Lauffer
President & CEO$0$438,331$0$25,833$0$24,613$0$13,500$0$13,388$0$515,665$0$0
Renee Cross
VP of Finance (termed 7/14/17)$0$208,097$0$0$0$97,370$0$20,526$0$0$0$325,993$0$0
Timothy K Skeldon
Sr. VP Finance (as of 7/24/17)$116,345$0$17,500$0$17,616$0$0$0$3,283$0$154,744$0$0$0
Aaron Alexander
VP General Counsel$229,142$0$300$0$0$0$12,000$0$17,223$0$258,665$0$0$0
Tarek Anderson MD
Director Neonatologist$314,835$0$0$0$0$0$15,611$0$19,561$0$350,007$0$0$0
Alaina N Crislip
Associate General Counsel$196,472$0$300$0$0$0$10,250$0$11,355$0$218,377$0$0$0
Matthew B Upton MD
CMO & CMIO$310,089$0$0$0$0$0$14,439$0$12,457$0$336,985$0$0$0
William Priddy
Pharmacy Manager$179,691$0$100$0$232$0$8,985$0$401$0$189,409$0$0$0
Stephen Dexter TMH Retired CEO
President TMH Services$36,703$0$0$0$432,472$0$1,949$0$1,505$0$472,629$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 4bFormAndLineReferenceDesc
ExplanationRenee Cross received a payment from the Hospital's 457(b) plan in the amount of $97,370 Stephen Dexter received a payment from the Hospital's 457(b) in the amount of $432,472ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1West Virginia Hospital Finance AuthorityBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN621256910BondIssuerEIN
CUSIP956622XROCUSIPNum
Bond Issued2008-06-30BondIssuedDt
Issue Price$94,030,170IssuePriceAmt
PurposeCapital expenditures and equipment purchasesPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$5,906,878RetiredAmt
Total Proceeds$92,695,993TotalProceedsAmt
In Reserve Fund$7,223,714InReserveFundAmt
Capitalized Interest$10,534,952CapitalizedInterestAmt
Issuance Costs From Proceeds$1,489,249IssuanceCostsFromProceedsAmt
Capital Expenditures$73,448,078CapitalExpendituresAmt
Substantial Completion2010SubstantialCompletionYr
Current RefundingYes (1)CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease ArrangementsYes (1)AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (1)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsYes (1)EngageBondCounselContractsInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.03000PrivateBusUseByOthersPct
Total Private Business Use0.03000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To RebateYes (1)ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GICYes (1)GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

FieldValueIRS element (for citing)
Business Name Line1Trinity PlusBusinessNameLine1Txt
Business Name Line2FundingBusinessNameLine2Txt
FieldValueIRS element (for citing)
Regulatory Safe Harbor StsfdYes (1)RegulatorySafeHarborStsfdInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective Action0ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonLarry BissettPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionChair of Thomas Memorial Hospital BoardRelationshipDescriptionTxt
Transaction$113,489TransactionAmt
TransactionCompensation received by son, who is the Director of Physical Therapy at Saint Frances HospitalTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6Thomas Health System, Inc., a nonprofit corporation organized under the laws of the State of West Virginia, is the sole member of the organization.
Form 990, Part VI, Section A, line 7aThe organization's board of directors is elected by its sole member, Thomas Health System, Inc.
Form 990, Part VI, Section B, line 11bThomas Health System, Inc. (the System) is the sole member of the organization. The System's finance committee is responsible for financial management of the organization. The 990 is reviewed by the organization's CFO and the chairman of the finance committee. The 990 is then discussed with the System's finance committee and a copy is provided to all board members before it is filed with the IRS.
Form 990, Part VI, Section B, line 12cThe organization regularly and consistently monitors and enforces compliance with our written conflict of interest policy by asking annually that all Trustees, officers and employees (managers) who have decision making/purchasing authority disclose any potential conflicts of interest. Disclosure forms are signed annually then logged onto a spread sheet that identifies any potential conflicts.
Form 990, Part VI, Section B, line 15The Executive Compensation Committee, comprised of members who are free of any conflicts of interest, adheres to a disciplined process for reviewing compensation for senior executives to ensure that the compensation is reasonable. The Committee has retained an independent consulting and advisory firm, Yaffe & Company, to provide appropriate market data as to comparability. The Committee reviews comparability data and other relevant evidence and approves the compensation of senior executives; provided, however, that in the case of the CEO, the Board, after review of the comparability data and other relevant evidence, including a recommendation from the Committee, has the final approval with regard to the CEO's compensation. Only those Board members who are free of conflicts of interest vote on the CEO's compensation. All compensation decisions, including the comparability data reviewed and any other relevant information considered, are contemporaneously documented in meeting minutes.
Form 990, Part VI, Section C, line 19The Hospital makes its governing documents, conflict of interest policy and financial statements available to the public upon request. These documents are maintained in the administrative offices of the hospital and are provided via copy upon request. The documents also can be reviewed on site at the hospital upon advance notice.
Form 990, Part IX, line 11gHospitalist: Program service expenses 1,932,678. Management and general expenses 61,007. Fundraising expenses 0. Total expenses 1,993,685. Lab Services: Program service expenses 1,208,288. Management and general expenses 38,141. Fundraising expenses 0. Total expenses 1,246,429. Administrative Services: Program service expenses 4,564,347. Management and general expenses 144,078. Fundraising expenses 0. Total expenses 4,708,425. Medical Services: Program service expenses 9,212,202. Management and general expenses 290,792. Fundraising expenses 0. Total expenses 9,502,994. Other Purchased Services: Program service expenses 7,360,677. Management and general expenses 232,346. Fundraising expenses 0. Total expenses 7,593,023. Billing: Program service expenses 150,108. Management and general expenses 4,738. Fundraising expenses 0. Total expenses 154,846.
Form 990, Part XI, line 9:Defined benefit pension plan adjustment 6,079,629. Equity transfer to related exempt organization -6,941,850.
Schedule KOn June 30, 2008, the West Virginia Hospital Finance Authority issued $148,920,000 Hospital Improvement Revenue Bonds Series 2008 on behalf of Thomas Health System, Inc. Thomas Health System, Inc. is the sole member of Herbert J. Thomas Memorial Hospital Association (Thomas Memorial Hospital) and Charleston Hospital, Inc. dba St. Francis Hospital. Bond proceeds, and related liability, were allocated between the two hospitals. Total proceeds of the issue reported in Part II, line 3 are net of bond discount in the amount of $1,333,842.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Thomas Health System Inc
4605 MacCorkle Avenue SWSouth CharlestonWV25309260440674Corporate officeWV501(c)(3)Line 3N/A0
St Francis Hospital
333 Laidley StCharlestonWV25301611272692HospitalWV501(c)(3)Line 30Thomas Health System Inc
THS Physician Partners Inc
4605 MacCorkle Avenue SWSouth CharlestonWV25309454395947Medical servicesWV501(c)(3)Line 30Thomas Health System Inc

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1TMH Services IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1437 Division Street Ste 311AddressLine1Txt
CitySouth CharlestonCityNm
State AbbreviationWVStateAbbreviationCd
ZIP25309ZIPCd
FieldValueIRS element (for citing)
EIN550676607EIN
Primary ActivitiesEquipment sales, rental and related services, vending salesPrimaryActivitiesTxt
Legal Domicile StateWVLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Thomas Memorial HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
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 Org0AssetPurchaseFromOtherOrgInd
Asset ExchangeYes (1)AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
TMH Services Inc
K$296,344FMV - Cash
THS Physician Partners Inc
B$6,941,850FMV - Cash