2025-11-17T11:42:08-06:00 2024-12-31 390859910 BAKER TILLY ADVISORY GROUP LP 101 WASHINGTON STREET EAST CHARLESTON WV 25301 990 2024-01-01 550629032 MINNIE HAMILTON HEALTH CARE CENTER INC MINN 3043549244 186 HOSPITAL DRIVE GRANTSVILLE WV 26147 STEPHEN S WHITED CEO 3043549244 2025-11-17 1 1 DOLORES ROSE P01286262 3043460441 2025-11-17 2024 2025-03-06 01:10:19Z MINNIE HAMILTON HEALTH SYSTEM STEPHEN S WHITED 186 HOSPITAL DRIVE GRANTSVILLE WV 26147 31571876 0 X WWW.MHHS.HEALTHCARE X 1983 WV THE ORGANIZATION OPERATES A CRITICAL ACCESS HOSPITAL, COMMUNITY HEALTH CENTER, FEDERAL QUALIFIED HEALTH CENTER, AND LONG-TERM CARE UNIT. 9 9 328 9 0 0 4935266 3112524 22462429 24633865 20109 34637 3838668 3790850 31256472 31571876 0 0 0 0 17769739 17576082 0 0 0 12874692 13894754 30644431 31470836 612041 101040 23788261 37127874 10326848 20269720 13461413 16858154 MINNIE HAMILTON HEALTH SYSTEM IS DEDICATED TO MAINTAINING THE HEALTH AND IMPROVING THE QUALITY OF LIFE OF ALL PEOPLE IN OUR SERVICE AREA THROUGH AN INNOVATIVE DELIVERY SYSTEM OF SERVICES AND EDUCATION. 0 0 26286453 28422117 INPATIENT SERVICES PROVIDED INCLUDED 229 ACUTE CARE DAYS; 708 OBSERVATION DAYS; 8,414 LONG-TERM CARE DAYS; 556 SWING-BED DAYS. OUTPATIENT SERVICES INCLUDED 29,237 OUTPATIENT VISITS AND 3,340 EMERGENCY ROOM VISITS. 762 AMBULANCE RUNS/TRANSPORTS. RHC GRANTSVILLE, RHC ARNOLDSBURG, AND GILMER PRIMARY INCLUDED 38,423 VISITS AND RHC DENTAL VISITS TOTALED 3,790 FOR THE YEAR. THE HOSPITAL PROVIDES VARIOUS COMMUNITY SERVICES THAT INCLUDE SOCIAL SERVICE CASE MANAGEMENT; COMMUNITY OUTREACH EDUCATION; INSURANCE ELIGIBILITY ASSISTANCE WORKERS; HEALTHCARE WORKER RECRUITMENT AND RETENTION COMMUNITY PROJECTS; MONETARY SUPPORT PROVIDED TO LOCAL PUBLIC SCHOOLS; AND AND AN ORAL HEALTH PROMOTION PROJECT. 26286453 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 17 0 328 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X STEPHEN WHITED 3043549244 186 HOSPITAL DRIVE GRANTSVILLE WV 26147 DONNIE PITTS PRESIDENT 2.00 X X 0 0 0 DWAYNE WEEKLEY VICE PRESIDENT 2.00 X X 0 0 0 MARTHA HAYMAKER TREASURER 2.00 X X 0 0 0 AMY NORMAN SECRETARY 2.00 X X 0 0 0 RONALD BLANKENSHIP DIRECTOR 1.00 X 0 0 0 JEAN SIMERS DIRECTOR 1.00 X 0 0 0 ROGER JARVIS DIRECTOR 1.00 X 0 0 0 DOUG COTTRILL DIRECTOR 1.00 X 0 0 0 COURTNEY WILLIAMS DIRECTOR 1.00 X 0 0 0 STEPHEN S WHITED CEO 40.00 X 235209 0 34537 KARISSA REIP CFO 40.00 X 100422 0 0 SURESH BALASUBRAMONY MD PHYSICIAN 40.00 X 824813 0 40151 ALFONSO CINCO MD PHYSICIAN 48.00 X 590169 0 7289 TIMOTHY M DALY MD PHYSICIAN 32.00 X 274759 0 10955 ROSHAN A HUSSAIN MD PHYSICIAN 44.00 X 390642 0 10811 SHANE BOWEN MD PHYSICIAN 58.00 X 299976 0 2665 2715990 0 106408 23 0 1 0 BBL CARLTON LLC 600 KANAWHA BLVD E CHARLESTON WV 25301 CONSTRUCTION SERVICES 3509619 PICKERING ASSOCIATES 320 ADAMS ST FAIRMONT WV 26554 ARCHITECT 1099168 JASON FINCHAM DO 626 NEWARK ROAD ELIZABETH WV 26143 ED PROVIDER SERVICES 749308 ATHENAHEALTH INC PO BOX 415615 BOSTON MA 02241 EHR SOFTWARE AND BILLING 690076 ODYSSEY REHABILITATION 415 BENEDUM DR BRIDGEPORT WV 26330 OT AND SPEECH SERVICES 279636 5 3023024 89500 3112524 PATIENT SERVICES 900099 24633865 24633865 24633865 34637 34637 2598 0 2598 2598 2598 340B REVENUE 900099 2821149 2821149 REBATES/REFUNDS 900099 173382 173382 INCENTIVE INCOME 900099 98746 98746 694975 694975 3788252 31571876 28422117 0 37235 X 370168 311126 59042 15019039 12623502 2395537 273185 229612 43573 861875 724406 137469 1051815 884051 167764 74128 74128 446569 446569 5110097 4295037 815060 16218 13631 2587 1014016 851449 162567 68652 57702 10950 455574 382910 72664 93462 78555 14907 118123 118123 933162 784323 148839 429207 429207 MEDICAL SUPPLIES 2966612 2966612 BAD DEBTS 1219490 1219490 HEALTHCARE PROVIDER TAX 410113 410113 REPAIRS AND MAINTENANCE 278244 233864 44380 261087 220070 41017 31470836 26286453 5184383 0 1885912 12229947 3203956 5472017 544976 694509 3110416 3140934 385463 322797 24975 21293 23085936 11863340 9071309 11222596 57575 62340 5503679 3961441 23788261 37127874 5658743 3934261 80000 11246868 439593 313147 4148512 4775444 10326848 20269720 X 12126669 12227708 1334744 4630446 13461413 16858154 23788261 37127874 X 101040 3295701 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 4300 4300 0 PART II-B, LINE 1: A PORTION OF MEMBERSHIP DUES PAID ARE ALLOCATED TO BE USED FOR LOBBYING EXPENSES. THE WV HEALTH CARE ASSOCIATION ALLOCATED $4,300 OF DUES FOR LOBBYING EXPENDITURES. 265388 265388 6068304 2268573 3799731 2031459 198250 1833209 9387858 9396517 -8659 5332927 5332927 11222596 FINANCE LEASE ASSET 2908129 OPERATING RIGHT-OF-USE ASSET 388295 SECURITY DEPOSITS 280000 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 385017 3961441 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 1398610 FINANCE LEASE LIABILITY 2988539 OPERATING LEASE LIABILITY 388295 4775444 X 30352386 0 30352386 1219490 1219490 31571876 30251346 0 30251346 1219490 1219490 31470836 PART X, LINE 2: THE SYSTEM IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (CODE) AND IS RECOGNIZED AS TAX EXEMPT UNDER 501(A) OF THE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE SYSTEM TO EVALUATE TAX POSITIONS TAKEN BY THE SYSTEM AND RECOGNIZE A TAX LIABILITY OR ASSET IF THE SYSTEM HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICES (IRS). THE SYSTEM HAS CONCLUDED THAT AS OF DECEMBER 31, 2024 AND 2023, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR ASSET OR DISCLOSURE IN THE FINANCIAL STATEMENTS. GENERALLY, TAX RETURNS FOR YEARS ENDED DECEMBER 31, 2021, AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBTS NETTED AGAINST REVENUE ON THE FINANCIAL STATEMENTS 1,219,490. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBTS NETTED AGAINST REVENUE IN THE FINANCIAL STATEMENTS 1,219,490. 1 1 X 1 X 1 X 1 1 0 0 1657662 832975 824687 0.02730 3970176 3747168 223008 0.00740 5627838 4580143 1047695 0.03470 407508 123193 284315 0.00940 407508 123193 284315 0.00940 6035346 4703336 1332010 0.04410 0 1219490 3443894 3259159 184735 X 1 1 1 1 MINNIE HAMILTON HEALTH CARE CENTER 186 HOSPITAL DRIVE GRANTSVILLE WV 26147 X X X X LONG TERM CARE (24 BEDS) MINNIE HAMILTON HEALTH CARE CENTER INC 1 0 0 1 X X X X X X X X X 22 1 0 1 1 X SEE PART V FOR LINK X 1 22 1 SEE PART V FOR LINK 0 1 X 200.000000000000 200.000000000000 X X X X 1 1 X X X 1 X HTTPS://WWW.MHHS.HEALTHCARE/PATIENTS/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.MHHS.HEALTHCARE/PATIENTS/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.MHHS.HEALTHCARE/PATIENTS/FINANCIAL-ASSISTANCE/ X X X X X X 1 X 0 X X X 1 X 0 0 MINNIE HAMILTON HEALTH CARE CENTER, INC. PART V, SECTION B, LINE 5: THE CHNA PROCESS BEGAN WITH A THOROUGH REVIEW OF THE PREVIOUS CYCLE'S NEEDS ASSESSMENT REPORT, AND INCLUDED REVIEW OF PUBLICLY AVAILABLE SECONDARY DATA RELATED TO COUNTIES WITHIN MINNIE HAMILTON'S SERVICE AREA. THESE DATA INCLUDED THE CENSUS DATA AND COUNTY HEALTH RANKINGS DATA. USING THESE REPORTS AS A SPRINGBOARD, THE LEADERSHIP TEAM STARTED THE INITIAL DISCUSSION AROUND CRITICAL HEALTH NEEDS, CHANGES IN THE COMMUNITY DEMOGRAPHICS OVER THE PREVIOUS FEW YEARS, AND LESSONS LEARNED FROM THE LAST CHNA CYCLE'S HEALTH TOPIC PRIORITIZATION AND DEVELOPMENT OF IMPLEMENTATION ACTIVITIES. PRIMARY DATA COLLECTION WAS COMPRISED OF SURVEYING COMMUNITY MEMBERS TO GATHER PERCEPTIONS OF HEALTH ISSUES, QUALITY OF LIFE, AND OTHER RELATED TOPICS. SURVEY DATA WAS ANALYZED AND PRESENTED BACK TO THE MHHS LEADERSHIP TEAM, WITH A FOCUS ON REVIEWING THE SURVEY DATA, DISCUSSING COMMUNITY ASSETS THAT IMPACT POPULATION HEALTH IN MHHS'S SERVICE AREA, AS WELL AS DISCUSSING THE NEEDS OF THOSE NOT WELL REPRESENTED IN THE SURVEY DATA. THE LEADERSHIP TEAM DISCUSSED POSSIBLE STRATEGIES FOR EACH AREA OF CONCERN, AS WELL AS EXISTING RESOURCES TO ADDRESS THESE NEEDS. MINNIE HAMILTON HEALTH CARE CENTER, INC. PART V, SECTION B, LINE 6B: WEST VIRGNIA UNIVERSITY HEALTH AFFAIRS MINNIE HAMILTON HEALTH CARE CENTER, INC. PART V, SECTION B, LINE 11: THE EXISTING SECONDARY DATA, NEW SURVEY DATA, COMMUNITY INPUT, AND LESSONS LEARNED FROM THE LAST CHNA CYCLE ALL FACTORED INTO MINNIE HAMILTON LEADERSHIP'S PRIORITIZATION DECISIONS. WITHIN THIS DISCUSSION OF WHERE AND HOW THE HOSPITAL CAN REALISTICALLY AFFECT COMMUNITY WELLBEING AND HEALTH OUTCOMES, WHAT THEY COULD ACCOMPLISH IN COLLABORATION WITH NEW AND EXISTING PARTNERS, AND WHAT TOPICS TO MONITOR AND REVISIT LATER, THE LIST OF TOP HEALTH CONCERNS ARE LISTED BELOW ALONG WITH STRATEGIES TO IMPROVE HEALTH OUTCOMES.1. SUBSTANCE USE AND ABUSE, INCLUDING TOBACCO AND ALCOHOL A. GRANT-FUNDED SUBSTANCE USE PREVENTION PROGRAMMING IN MIDDLE AND HIGH SCHOOLS B. FRN NALOXONE TRAINING AND DISTRIBUTION C. HEALTH EDUCATION2. MENTAL HEALTH A. GRANT-FUNDED MENTAL HEALTH PROGRAMMING IN MIDDLE AND HIGH SCHOOLS B. PROGRAMMING FOR SENIOR CITIZENS C. HEALTH EDUCATION3. OBESITY AND CO-MORBID CHRONIC DISEASE A. DIABETIC EDUCATION CLASSES FOR COMMUNITY B. FOOD FARMACY C. PROGRAMMING FOR SENIOR CITIZENS D. EXPANDED FITNESS CENTER ACCESS E. INCENTIVE-BASED EXERCISE PROGRAMS F. RECREATIONAL ACTIVITIES LIKE MINI GOLF G. COMMUNITY MEMBERS SHARING SUCCESS STORIES H. ACCESS TO HEALTHY FOOD AND FARMER'S MARKETS I. TRANSPORTATION HELP TO ACCESS FRESH FOODS J. HEALTH EDUCATION SCHEDULE H, PART V, SECTION B, LINE 7A AND LINE 10A LINK FOR 2022 CHNA, LINE 7A:HTTPS://WWW.MHHS.HEALTHCARE/WP-CONTENT/UPLOADS/2024/11/MHHS-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDFLINK FOR 2022 IMPLEMENTATION STRATEGY, LINE 10A:HTTPS://WWW.MHHS.HEALTHCARE/WP-CONTENT/UPLOADS/2024/11/MHHS-IMPLEMENTATION-REPORT.PDF 4 1 - GLENVILLE CLINIC 921 MINERAL ROAD SUITE 101 GLENVILLE WV 26351 FEDERALLY QUALIFIED HEALTH CENTER 2 - GRANTSVILLE CLINIC 186 HOSPITAL DRIVE GRANTSVILLE WV 26147 RURAL HEALTH CLINIC 3 - MINNIE HAMILTON HEALTH CARE 186 HOSPITAL DRIVE GRANTSVILLE WV 26147 SKILLED NURSING UNIT 4 - ARNOLDSBURG RHC 80 SPRING RUN ROAD ARNOLDSBURG WV 25234 RURAL HEALTH CLINIC PART I, LINE 3C: 1. THE QUALIFICATIONS FOR THE SLIDING FEE PROGRAM ARE BASED ON BOTH THE NUMBER OF PEOPLE IN THE HOUSEHOLD AND THE TOTAL GROSS INCOME RECEIVED IN THE HOUSEHOLD. 2. THE APPLICANTS ARE REQUIRED TO COMPLETE THE SLIDING FEE PROGRAM APPLICATION AND TO PROVIDE A PROOF OF INCOME WITHIN 30 DAYS AFTER FILING THEIR APPLICATION. ACCEPTABLE PROOF OF INCOME INCLUDES: WAGE STATEMENT, W-2 FORMS, CHECK STUB, RETIREMENT STATEMENT, UNEMPLOYMENT STATEMENT, SOCIAL SECURITY CHECK OR BENEFIT LETTER, ALIMONY CHECK, CHILD SUPPORT CHECK, FOOD STAMP VOUCHER, OR OTHER DOCUMENTS APPROVED BY FINANCIAL MANAGEMENT.3. IF THE PATIENT HAS NO INCOME, THEY ARE ASKED TO DECLARE SO BY SIGNING A LACK OF INCOME VERIFICATION FORM. 4. THE FINANCIAL ASSISTANCE APPLICATION, ALONG WITH THE ABOVE MENTIONED DOCUMENTS VERIFYING INCOME OR LACK OF IT, WILL BE PROCESSED PROMPTLY BY THE CASHIER/CLERK.5. AFTER THE PATIENT HAS BEEN APPROVED FOR THE SLIDING FEE PROGRAM, THEY WILL RECEIVE A SLIDING FEE IDENTIFICATION CARD DESCRIBING THE BENEFITS SUCH AS: A. FEE OF $15 OR $25 FOR AN OFFICE VISIT, COLLECTED AT THE TIME OF THE VISIT B. 50% OR 75% DISCOUNT FOR LAB TESTS C. 50% TO 75% DISCOUNT OF DIAGNOSTIC, NON-INVASIVE RADIOLOGY SERVICES, THE TECHNICAL COMPONENT ONLY. D. 50% TO 75% DISCOUNT ON RESPIRATORY PROCEDURES: PULSE OX., EKG (TECH.& PROF.), AEROSOL TREATMENT, PULMONARY FUNCTION TESTING (PFT) AND ASSOCIATED PFT TESTING. E. 50% TO 75% DISCOUNT ON SPEECH PATHOLOGY PROCEDURES: LIMITED TO EVALUATIONS, TESTING AND TREATMENTS. SUPPLIES AND EQUIPMENT NOT INCLUDED.6. QUALIFICATION FOR SLIDING FEE REMAINS IN EFFECT FOR ONE YEAR FROM THE DATE OF APPROVAL, UNLESS THE PATIENT OR THE HOUSEHOLD INCOME SHOULD CHANGE WITHIN THAT YEAR.7. THE SLIDING FEE PROGRAM BENEFITS MAY APPLY TO THE OUTSTANDING PATIENT ACCOUNTS WHICH DO NOT EXCEED 365 DAYS FROM THE DAY OF SERVICE. ACCOUNTS WHICH HAVE ALREADY BEEN SENT TO A COLLECTION AGENCY MAY NOT QUALIFY FOR THIS PROGRAM. 8. IT IS THE PATIENT'S RESPONSIBILITY TO REAPPLY ANNUALLY FOR CONTINUED PARTICIPATION IN THE SLIDING FEE PROGRAM. PART I, LINE 7: THE COST OF CHARITY CARE HAS BEEN CALCULATED BY OBTAINING GROSS CHARGES FROM THE AUDITED FINANCIAL STATEMENTS FOR CHARITY CARE WRITE OFFS AND MULTIPLYING THESE CHARGES BY THE AGGREGATE HOSPITAL COST TO CHARGE RATIO. THE NET AMOUNT WAS THEN REDUCED BY THE ESTIMATED "CHARITY PORTION" OF THE REVENUE "DISPROPORTIONATE SHARE" PAYMENT RECEIVED FROM THE STATE.MEDICAID COMMUNITY BENEFIT COST WAS ESTIMATED BASED ON THE COSTS IN EXCESS OF REIMBURSEMENTS FOR THE HOSPITAL'S SKILLED NURSING UNIT AND RURAL HEALTH CLINIC. OTHER HOSPITAL SERVICES ARE REIMBURSED BY WV MEDICAID AT 100% OF COST. SINCE THOSE COSTS AND REIMBURSEMENTS WOULD NET TO ZERO COMMUNITY BENEFIT EXPENSE, THOSE AMOUNTS ARE NOT INCLUDED IN THE MEDICAID COSTS AND OFF-SETTING REVENUE TOTALS REPORTED. 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 $ 1,219,490. PART III, LINE 2: BAD DEBT EXPENSE AS REPORTED IN AUDITED FINANCIAL STATEMENTS. PART III, LINE 4: PATIENT ACCOUNTS RECEIVABLE ARE CARRIED AT NET REALIZABLE VALUE TAKING INTO ACCOUNT IMPLICIT AND EXPLICIT PRICE CONCESSIONS. THE ESTIMATED IMPLICIT PRICE CONCESSIONS ARE BASED UPON MANAGEMENT'S JUDGMENTAL ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE THE SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR EXPLICIT PRICE CONCESSIONS, IF NECESSARY. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ESTIMATED PRICE CONCESSIONS BASED UPON ITS REVIEW OF ACCOUNTS RECEIVABLE PAYOR COMPOSITION AND AGING, TAKING INTO CONSIDERATION RECENT EXPERIENCE BY PAYOR CATEGORY, PAYOR AGREEMENT RATE CHANGES, AND OTHER FACTORS. THE RESULTS OF THESE ASSESSMENTS ARE USED TO MAKE MODIFICATIONS TO PATIENT SERVICE REVENUE AND TO ESTABLISH AN APPROPRIATE ESTIMATE FOR PRICE CONCESSIONS. THE SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH EXTERNAL COLLECTION AGENCIES. PART III, LINE 8: THE MEDICARE COSTS AND REIMBURSEMENTS WERE DERIVED FROM THE MEDICARE COST REPORT. PART III, LINE 9B: THE SYSTEM PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE SYSTEM DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS NET PATIENT SERVICE REVENUE. THE SYSTEM'S POLICY IS NOT TO PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE IF THE PATIENT HAS AN ADJUSTED INCOME EQUAL TO OR BELOW 100% OF THE FEDERAL POVERTY INCOME LEVELS. A SLIDING SCALE DISCOUNT IS APPLIED FOR PATIENTS UP TO 200% OF THE FEDERAL POVERTY GUIDELINES. ACCORDINGLY, THE SYSTEM DOES NOT REPORT THESE AMOUNTS IN THE NET PATIENT REVENUE OR IN PATIENT ACCOUNTS RECEIVABLE. THE ESTIMATED COSTS OF PROVIDING CHARITY CARE SERVICES ARE BASED ON A CALCULATION WHICH APPLIES A RATIO OF COSTS TO CHARGES TO THE GROSS UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING CARE TO CHARITY PATIENTS. PART VI, LINE 2: RECORDS OF TYPES OF VISITS AND DIAGNOSIS ARE KEPT AND ANALYZED FOR ADJUSTMENT OF APPROPRIATE SERVICES. OFFICIAL COMMUNITY NEEDS ASSESSMENTS ARE PERIODICALLY PERFORMED BY AN OUTSIDE AGENCY. PART VI, LINE 3: THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY BY MAKING INFORMATION AVAILABLE AS FOLLOWS:1) POSTING ON THE FACILITY'S WEBSITE2) ATTACHING INFORMATION TO BILLING INVOICES3) POSTING INFORMATION IN EMERGENCY ROOMS, WAITING ROOMS AND ADMISSION OFFICES4) PROVIDING IN WRITING TO PATIENTS ON ADMISSION TO THE FACILITY5) MAKING INFORMATION AVAILABLE ON REQUEST PART VI, LINE 4: THE ORGANIZATION SERVICES A RURAL AREA OF AN ESTIMATED 18,616 PEOPLE IN CALHOUN, GILMER AND WIRT COUNTIES. THE THREE SERVICE AREA COUNTIES HAVE HIGHER UNEMPLOYMENT THAN THE STATE AVERAGE, AND CALHOUN COUNTY HAS ONE OF THE HIGHEST UNEMPLOYMENT RATES IN THE STATE. THE SERVICE AREA AND THE STATE OF WEST VIRGINIA HAVE A HIGHER PERCENTAGE OF RESIDENTS BELOW THE POVERTY LEVEL COMPARED TO THE UNITED STATES. APPROXIMATELY 22% OF THE SERVICE AREA POPULATION IS 65 AND OLDER, WHICH IS CONSISTENT WITH THE STATE OF WEST VIRGINIA OF 21 PERCENT. THE SERVICE AREA MEDIAN HOUSEHOLD INCOME RANGED BETWEEN $38,668 TO $45,315 WHICH IS CONSIDERABLY LESS THAN THE NATIONAL MEDIAN INCOME OF $75,100. THE NEAREST HOSPITAL IS OVER 30 MILES AWAY. THE HEALTH CARE CENTER IS DESIGNATED AS A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) SITE. PART VI, LINE 5: ALL BOARD MEMBERS RESIDE IN THE SERVICE AREA AND NONE ARE EMPLOYED BY, OR HAVE CONTRACTUAL ARRANGEMENTS WITH MINNIE HAMILTON HEALTH CARE CENTER. THE MEDICAL STAFF PRIVILEGES ARE AVAILABLE TO ALL QUALIFIED PROVIDERS IN THE AREA. ALL PROFIT AND AVAILABLE FUNDING IS UTILIZED FOR CONTINUATION AND IMPROVEMENT OF THE PROVISION OF APPROPRIATE HEALTH SERVICES THROUGH STAFFING AND ACQUISITION OF EQUIPMENT AND SUPPLIES. A 24-HOUR EMERGENCY ROOM DOCTOR IS PROVIDED REGARDLESS OF A PATIENT'S ABILITY TO PAY. THE NEAREST HOSPITAL IS 40 MINUTES AWAY, BY CAR. AN ACTIVE AUXILIARY IS MADE UP OF LOCAL VOLUNTEERS AND HAS BEEN PRESENT DURING ALL YEARS OF THE FACILITIES HOSPITAL SERVICES. X X X X X 0 0 0 0 0 0 0 0 0 SURESH BALASUBRAMONY MD PHYSICIAN 824813 0 0 0 0 0 0 0 40151 0 864964 0 0 0 ALFONSO CINCO MD PHYSICIAN 590169 0 0 0 0 0 0 0 7289 0 597458 0 0 0 ROSHAN A HUSSAIN MD PHYSICIAN 390642 0 0 0 0 0 0 0 10811 0 401453 0 0 0 SHANE BOWEN MD PHYSICIAN 299976 0 0 0 0 0 2665 0 0 0 302641 0 0 0 TIMOTHY M DALY MD PHYSICIAN 274759 0 0 0 0 0 10955 0 0 0 285714 0 0 0 STEPHEN S WHITED CEO 235209 0 0 0 0 0 9622 0 24915 0 269746 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS REVIEWED BY EXECUTIVE MANAGEMENT, THE FINANCE COMMITTEE AND THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS SIGN THE STATEMENT ANNUALLY. INDIVIDUAL MEMBERS ARE EXCUSED FROM DECISION MAKING ON ISSUES WHERE CONFLICTS MAY ARISE. BOARD OF DIRECTOR MEMBERS RECUSE THEMSELVES FROM VOTING ON ISSUES WHERE A CONFLICT MAY EXIST. FORM 990, PART VI, SECTION B, LINE 15 A SURVEY OF LIKE FACILITIES IN THE STATE, UTILIZING THE HEALTH CARE AUTHORITY INFORMATION THAT IS AVAILABLE, TO COMPARE SALARIES OF TOP EXECUTIVES, AS WELL AS LOOKING AT JOB RESPONSIBILITIES AND YEARS OF EXPERIENCE. THE CEO IS A CONTRACTED POSITION AND APPROVED BY THE BOARD OF DIRECTORS. EXECUTIVE MANAGEMENT IS APPROVED BY THE CEO. FORM 990, PART VI, SECTION C, LINE 19 AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST TO THE PUBLIC. ANNUALLY THE AUDITED BALANCE SHEET AND INCOME STATEMENT ARE PUBLISHED IN THE LOCAL NEWSPAPER AS PER THE HEALTH CARE AUTHORITY FINANCIAL DISCLOSURE REQUIREMENTS. FORM 990, PART IX, LINE 11G PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 675,601. MANAGEMENT AND GENERAL EXPENSES 128,207. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 803,808. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3,619,436. MANAGEMENT AND GENERAL EXPENSES 686,853. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,306,289. FORM 990, PART XI, LINE 9: GRANTS FOR CAPITAL ACQUISITIONS 3,295,701. FORM 990, PART XII, LINE 2C THE OVERSIGHT PROCESS HAS NOT CHANGED FROM PRIOR YEAR. FORM 990, PAGE 1, LINE 6 VOLUNTEERS OF THE ORGANIZATION INCLUDE MEMBERS OF THE HOSPITAL AUXILIARY AND TEENAGERS INVOLVED IN A VOLUNTEER PROGRAM.