CITY HOSPITAL INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- CITY HOSPITAL INC (EIN 55-0383321)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-11
- IRS object ID
- 201643169349302539
- Schema version
- 2015v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-11T03:11:59-00:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550383321 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | City Hospital Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CITY | BusinessNameControlTxt |
| Phone | 3042641000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 Foundation Way Room 2310 | AddressLine1Txt |
| City | Martinsburg | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25401 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Kathleen Quinones | PersonNm |
| Person Title | VP of Finance | PersonTitleTxt |
| Signature | 2016-11-10 | SignatureDt |
| Discuss With Paid Preparer | false | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Berkeley Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Kathleen Quinones | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 Foundation Way Suite 2310 | AddressLine1Txt |
| City | Martinsburg | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25401 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $184,566,803 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.wvuniversityhealthcare.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1940 | FormationYr |
| Legal Domicile State | WV | LegalDomicileStateCd |
| Activity Or Mission | City Hospital, Inc. is a nonprofit acute care hospital providing high-quality health wellness services to the residents of the Eastern Panhandle of WV. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 1791 | TotalEmployeeCnt |
| Total Volunteers | 90 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $154,820 | PYContributionsGrantsAmt |
| CY Contributions Grants | $142,980 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $166,955,270 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $180,385,386 | CYProgramServiceRevenueAmt |
| PY Investment Income | $776,209 | PYInvestmentIncomeAmt |
| CY Investment Income | $778,109 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,847,514 | PYOtherRevenueAmt |
| CY Other Revenue | $2,975,556 | CYOtherRevenueAmt |
| PY Total Revenue | $171,733,813 | PYTotalRevenueAmt |
| CY Total Revenue | $184,282,031 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $5,415 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $4,846 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $74,678,006 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $82,617,449 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $89,987,167 | PYOtherExpensesAmt |
| CY Other Expenses | $97,970,665 | CYOtherExpensesAmt |
| PY Total Expenses | $164,670,588 | PYTotalExpensesAmt |
| CY Total Expenses | $180,592,960 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $7,063,225 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,689,071 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $120,000,965 | TotalAssetsBOYAmt |
| Total Assets EOY | $122,794,329 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $81,922,822 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $82,327,465 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $38,078,143 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $40,466,864 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The mission of City Hospital, Inc. is to provide high quality, cost effective health and wellness services to the community. Berkeley Medical Center provides these to patients in need without consideration of their ability to pay. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $59,648,961 | ExpenseAmt |
| Revenue | $61,420,425 | RevenueAmt |
| Desc | WVU Medicine City Hospital Inc. is a not-for-profit hospital located in West Virginias Eastern Panhandle that provides acute care services as well as emergency and specialty patient care. City Hospital Inc. is part of WVU Medicine University Healthcare, a regional health system serving Berkley, Jefferson and Morgan Counties, and a member of WVU Medicine/West Virginia University Health System, the states largest healthcare network. During 2015, City Hospital documented 169,122 ancillary tests, and 3,212 observation visits. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $21,096,989 | ExpenseAmt |
| Revenue | $21,723,531 | RevenueAmt |
| Desc | City Hospital, Inc. operates a 24- hour, physician staffed emergency department with a Level III Trauma Center designation. In 2011, the hospital opened a new emergency department that can accomodate up to 65,000 patient visits annually. In addition to emergency services, City Hospital, Inc. has a fully accredited cancer program that was recently aligned with the WVU Cancer Institute in Morgantown, WV, and offers state-of-the-art imaging services including 3D tomo digital mammography and a 160 slice CT scanner. During 2015, City Hospital documented 51,725 emergency visits. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $12,347,702 | ExpenseAmt |
| Revenue | $12,714,406 | RevenueAmt |
| Desc | The surgery department at City Hospital, Inc. is staffed by specialists and general surgeons offering the latest in surgical techniques including laproscopic procedures, lithotripsy, and same day/ambulatory surgery. City Hospitals total hip and knee replacement program has earned the Joint Commissions Gold Seal of Approval. Same day surgery visits for 2015 totaled 10,824. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $37,074,077 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $4,846 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $85,031,973 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $130,167,729 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 206 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1791 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | false | QuidProQuoContriDisclInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Kathleen Quinones | PersonNm |
| Phone | 3042641443 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 Foundation Way Suite 2310 | AddressLine1Txt |
| City | Martinsburg | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25401 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Robert F Baronner Jr | |||||||||
| Director | 000.02 | Yes (X) | $0 | $0 | $0 | ||||
| Richard Pill | |||||||||
| Chairman | 000.02 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| D Scott Roach | |||||||||
| Treasurer | 000.02 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| Betty Gunnoe | |||||||||
| Secretary | 000.02 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| Keith Berkeley DVM | |||||||||
| Director | 000.02 | Yes (X) | $0 | $0 | $0 | ||||
| Courtney L Carroll | |||||||||
| Director | 000.02 | Yes (X) | $0 | $0 | $0 | ||||
| Jacqueline Long | |||||||||
| Director | 000.02 | Yes (X) | $0 | $0 | $0 | ||||
| Terry Hess | |||||||||
| Director | 000.02 | Yes (X) | $0 | $0 | $0 | ||||
| Timothy Devine MD | |||||||||
| Director / JMC Med Staff President | 000.02 | Yes (X) | $0 | $184,258 | $10,781 | 049.08 | |||
| David DeJarnett | |||||||||
| Director | 000.02 | Yes (X) | $0 | $0 | $0 | ||||
| Chiquita D Howard-Bostic PhD | |||||||||
| Director | 000.02 | Yes (X) | $0 | $0 | $0 | ||||
| William E Wear MD | |||||||||
| Director / BMC Med Staff President | 000.02 | Yes (X) | $0 | $215,357 | $353 | 039.98 | |||
| Konrad C Nau MD | |||||||||
| Director | 000.02 | Yes (X) | $0 | $269,743 | $13,348 | 039.08 | |||
| Dawn Jones MD | |||||||||
| Director | 000.02 | Yes (X) | $0 | $0 | $0 | ||||
| Dr Richard Knapp | |||||||||
| Director | 000.02 | Yes (X) | $0 | $0 | $0 | ||||
| Anthony Zelenka | |||||||||
| President/CEO | 025.00 | $0 | $377,465 | $15,356 | Yes (X) | 025.00 | |||
| Robert Strauch | |||||||||
| VP Med Affairs | 040.00 | $171,609 | $0 | $14,832 | Yes (X) | ||||
| Judith Hockman | |||||||||
| System Director Outpatient Operations | 040.00 | $137,914 | $0 | $15,356 | Yes (X) | ||||
| Linda Campbell Jones | |||||||||
| Chief CRNA | 040.00 | $231,263 | $0 | $15,008 | Yes (X) | ||||
| Jason T White | |||||||||
| Assistant Chief CRNA | 040.00 | $220,185 | $0 | $32,238 | Yes (X) | ||||
| Robert C Johnson Jr | |||||||||
| CRNA | 040.00 | $215,071 | $0 | $31,827 | Yes (X) | ||||
| Donna Hupp Baker | |||||||||
| CRNA | 040.00 | $215,761 | $0 | $8,774 | Yes (X) | ||||
| Sarah Harvey | |||||||||
| Certified Registered Nurse Anesthetist | 040.00 | $216,020 | $0 | $759 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,407,823 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,046,823 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $158,632 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 62 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Hospitalist Medicine Physicians | |||||
| PO Box 742936 | Los Angeles | CA | 90074 | Contracted Hospitalists | $1,190,868 |
| Southeastern Emergency Physicians | |||||
| PO Box 634706 | Cincinnati | OH | 45263 | Emergency Coverage Corporation | $1,087,971 |
| Fusion Medical Staffing LLC | |||||
| PO Box 82674 | Lincoln | NE | 68501 | Employment Agency | $950,837 |
| Focusone Solutions LLC | |||||
| 13609 California Street | Omaha | NE | 68154 | Contract Labor | $756,581 |
| Nationwide Anesthesia Services | |||||
| PO Box 490968 | Lawrenceville | GA | 33049 | Contract Labor | $728,618 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 40 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $128,820 | RelatedOrganizationsAmt |
| All Other Contributions | $14,160 | AllOtherContributionsAmt |
| Total Contributions | $142,980 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient Services | 900099 | $178,093,115 | $178,093,115 |
| Wellness Center | 900099 | $692,477 | $692,477 |
| Prescription Sales | 900099 | $1,599,794 | $1,599,794 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $180,385,386 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,062,881 | TotalRevenueColumnAmt |
| Exclusion | $1,062,881 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $284,772 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$284,772 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$284,772 | TotalRevenueColumnAmt |
| Exclusion | -$284,772 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| Partnership Passthrough Income | 900099 | $844,680 | $844,680 |
| Cafeteria Income | 900099 | $514,257 | $514,257 |
| Electronic Health Record Incentive | 900099 | $1,111,670 | $1,111,670 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $504,949 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $504,949 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,975,556 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $184,282,031 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $180,890,335 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $3,248,716 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,846 | TotalAmt |
| Program Services | $4,846 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $825,533 | TotalAmt |
| Management And General | $825,533 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,441,221 | TotalAmt |
| Program Services | $52,550,683 | ProgramServicesAmt |
| Management And General | $10,890,538 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,800,917 | TotalAmt |
| Program Services | $1,491,765 | ProgramServicesAmt |
| Management And General | $309,152 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,011,834 | TotalAmt |
| Program Services | $9,158,942 | ProgramServicesAmt |
| Management And General | $1,852,892 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,537,944 | TotalAmt |
| Program Services | $4,587,281 | ProgramServicesAmt |
| Management And General | $950,663 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,163 | TotalAmt |
| Program Services | $665 | ProgramServicesAmt |
| Management And General | $70,498 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,968 | TotalAmt |
| Management And General | $55,968 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,479 | TotalAmt |
| Management And General | $17,479 | ManagementAndGeneralAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees For Services Prof Fundraising | FeesForServicesProfFundraising |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,515,100 | TotalAmt |
| Program Services | $13,916,940 | ProgramServicesAmt |
| Management And General | $6,598,160 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $497,231 | TotalAmt |
| Program Services | $12,148 | ProgramServicesAmt |
| Management And General | $485,083 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,421,054 | TotalAmt |
| Program Services | $5,318,018 | ProgramServicesAmt |
| Management And General | $3,103,036 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,522 | TotalAmt |
| Program Services | $9,817 | ProgramServicesAmt |
| Management And General | $32,705 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,702,493 | TotalAmt |
| Program Services | $878,078 | ProgramServicesAmt |
| Management And General | $1,824,415 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $277,790 | TotalAmt |
| Program Services | $184,370 | ProgramServicesAmt |
| Management And General | $93,420 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,400 | TotalAmt |
| Program Services | $47,875 | ProgramServicesAmt |
| Management And General | $24,525 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,362,505 | TotalAmt |
| Management And General | $3,362,505 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,074,118 | TotalAmt |
| Management And General | $8,074,118 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,269,724 | TotalAmt |
| Management And General | $9,269,724 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $990,242 | TotalAmt |
| Management And General | $990,242 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Provision for Doubtful Accounts | $7,570,836 | $7,570,836 | |
| Medical Supplies | $28,919,420 | $28,919,420 | |
| Recruitment Expense | $537,483 | $459,947 | $77,536 |
| Taxes, Licenses, Fees | $6,189,403 | $4,936,706 | $1,252,697 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $383,734 | TotalAmt |
| Program Services | $119,392 | ProgramServicesAmt |
| Management And General | $264,342 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $180,592,960 | TotalAmt |
| Program Services | $130,167,729 | ProgramServicesAmt |
| Management And General | $50,425,231 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $265,715 | BOYAmt |
| EOY | $333,432 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,181,669 | BOYAmt |
| EOY | $35,561,178 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,773,036 | BOYAmt |
| EOY | $17,231,984 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,283,589 | BOYAmt |
| EOY | $2,152,933 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,894,122 | BOYAmt |
| EOY | $2,294,172 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $721,245 | BOYAmt |
| EOY | $1,001,683 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $128,955,870 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $72,360,738 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,619,986 | BOYAmt |
| EOY | $56,595,132 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,730,306 | BOYAmt |
| EOY | $1,862,615 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,531,297 | BOYAmt |
| EOY | $5,761,200 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $120,000,965 | BOYAmt |
| EOY | $122,794,329 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,225,616 | BOYAmt |
| EOY | $13,112,944 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,972,252 | BOYAmt |
| EOY | $48,683,595 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,724,954 | BOYAmt |
| EOY | $20,530,926 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,922,822 | BOYAmt |
| EOY | $82,327,465 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,707,958 | BOYAmt |
| EOY | $40,234,717 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $368,185 | BOYAmt |
| EOY | $230,147 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,000 | BOYAmt |
| EOY | $2,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,078,143 | BOYAmt |
| EOY | $40,466,864 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $120,000,965 | BOYAmt |
| EOY | $122,794,329 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $3,689,071 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$1,047,067 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$253,283 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
| Public Support CY170 | 0.00000 | PublicSupportCY170Pct |
| Public Support CY509 | 0.00000 | PublicSupportCY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $1,000,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $1,000,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $1,000,000 | CurrentYearMinus1Amt |
| Current Year | $1,000,000 | CurrentYearAmt |
| Total | $4,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $6,000,000 | LobbyingCeilingAmt |
Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $14,888 | CurrentYearMinus3Amt |
| Current Year Minus2 | $14,734 | CurrentYearMinus2Amt |
| Current Year Minus1 | $16,430 | CurrentYearMinus1Amt |
| Current Year | $17,479 | CurrentYearAmt |
| Total | $63,531 | TotalAmt |
Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $250,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $250,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $250,000 | CurrentYearMinus1Amt |
| Current Year | $250,000 | CurrentYearAmt |
| Total | $1,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,500,000 | GrassrootsCeilingAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | II-A 1b | FormAndLineReferenceDesc |
| Explanation | The amount listed is made up of the amount of West Virginia Hospital Association and American Hospital Association dues that the associations determined as attributable to lobbying expense. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Incl Escrow Custodial Acct Liab | false | InclEscrowCustodialAcctLiabInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $77,504 | OtherCostOrOtherBasisAmt |
| Book Value | $77,504 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $60,072,584 | OtherCostOrOtherBasisAmt |
| Depreciation | $22,686,686 | DepreciationAmt |
| Book Value | $37,385,898 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $64,080,835 | OtherCostOrOtherBasisAmt |
| Depreciation | $47,721,030 | DepreciationAmt |
| Book Value | $16,359,805 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,724,947 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,953,022 | DepreciationAmt |
| Book Value | $2,771,925 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $56,595,132 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc |
|---|
| Financial derivatives and other financial products |
| Closely-held equity interests |
Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)
| DescDesc | AmtAmt |
|---|---|
| Federal income taxes | |
| Accrued wages, benefits and payroll taxes | $7,863,216 |
| Malpractice Liability | $1,200,096 |
| Accrued pension benefits | $1,609,408 |
| Accrued bond interest | $1,981,395 |
| Due to third Party Payors | $1,693,059 |
| Interest Rate Swaps | $2,110,848 |
| Self Insurance Liability | $4,072,904 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $20,530,926 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $175,428,824 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$1,153,551 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$7,570,836 | OtherRevenueAmt |
| Revenue Not Reported | -$8,724,387 | RevenueNotReportedAmt |
| Revenue Subtotal | $184,153,211 | RevenueSubtotalAmt |
| Other Revenues Not Included | $128,820 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $128,820 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $184,282,031 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $172,923,417 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | -$98,707 | OtherExpensesIncludedAmt |
| Expenses Not Reported | -$98,707 | ExpensesNotReportedAmt |
| Expenses Subtotal | $173,022,124 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $7,570,836 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $7,570,836 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $180,592,960 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| X 2 | The annual audit and financial statements of City Hospital, Inc. are prepared on a consolidated basis as a member of the WV United Health System. The System accounts for uncertainty in income taxes using a recognition threshold of more likely than not to be sustained upon examination by the appropriate taxing authority. Measurement of the tax uncertainty occurs if the recognition threshold is met. Management determined there were no tax uncertainties that met the recognition threshold in 2015 and 2014. The Systems policy is to recognize interest related to unrecognized tax benefits in interest expense and penalties in operating expenses. |
| XI 2d | Allowance for Doubtful Accounts presented as an offset to revenue on the audited financial statements. For 990 purposes Allowances for Doubtful Accounts totaling 7,570,836 are presented as expense. |
| XI 4b | Capital Campaign contributions of 128,820 from University Healthcare Foundation were posted to the balance sheet of City Hospital, Inc. financial statements, the amount was reported as contribution revenue for 990 reporting. |
| XII 2d | Change in value of derivatives of 98,707 are included on the Financial Statements as expense and are not included as expense on the 990. |
| XII 4b | Allowance for Doubtful Accounts presented as an offset to revenue on the audited financial statements, for 990 purposes Allowances for Doubtful Accounts totaling 7,570,836 are presented as expense. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,366,982 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,366,982 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01370 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $48,953,203 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $26,386,671 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $22,566,532 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13040 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $335,972 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $312,264 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $23,708 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $51,656,157 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $26,698,935 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $24,957,222 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.14420 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $105,558 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,500 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $95,058 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $577,930 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $259,014 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $318,916 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,805 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,805 | NetCommunityBenefitExpnsAmt |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $687,293 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $269,514 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $417,779 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00230 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $52,343,450 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $26,968,449 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $25,375,001 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.14650 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,947 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,947 | NetCommunityBenefitExpnsAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,947 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,947 | NetCommunityBenefitExpnsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,079,816 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $10,979 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $60,159,143 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $76,079,430 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$15,920,287 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | false | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | City Hospital Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 Foundation Way Suite 2310 | AddressLine1Txt |
| City | Martinsburg | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25401 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.wvuniversityhealthcare.com | WebsiteAddressTxt |
| State License | 80 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Facility Reporting Group | A | FacilityReportingGroupCd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | A | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | http//wvuniversityhealthcare.com/About-University-Healthcare/2013-Community-Health-Needs-Assessment. | OwnWebsiteURLTxt |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | http//www.wvuniversityhealthcare.com/About-University-Healthcare/2013-Community-Health-Needs-Assessm | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 0000000200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | http//www.wvuniversityhealthcare.com/Resources/Docs/Policies/WVUHE-ADM-1609-Financial-Policy.pdf | FAPAvailableOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Medicare Rates | Yes (X) | MedicareRatesInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | Yes (true) | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Group City Hospital, Inc. Line Part V, Section B, Line 5 | During a three month period, representatives of the Mobilizing for Action through Planning and Partnerships core group met with more than 300 people in 27 locations, ranging from Chamber of Commerce meetings to the Hispanic Festival. Participating community members were asked one question What do we need in our county to make it a healthy place to live, work and play With 1,756 responses approximately 3-4 responses per person, the feedback obtained through the visioning process was varied. The reponses were first condensed into broad strategy categories. |
| Group City Hospital, Inc. Line Part V, Section B, Line 5 | These categories were initially established by the number of times specific types of strategies were suggested. CHNA stakeholder and representatives from the Health and Human Services Collaborative were asked to further select the top three priority areas for intervention. Both groups identified the same top three priorities for the region, although the rank order was different between the two groups. The CHNA top three priority areas were 1. Access to and the quality of health care 2. Community and public health and, 3. Economic security. The Health and Human Services Collaborative HHSC ranked the top three priorities as follows 1. Access to and the quality of health care 2. Economic security and, 3. Community and public health. |
| Group City Hospital, Inc. Line Part V, Section B, Line 6a | The CHNA was undertaken jointly with Jefferson Memorial Hospital. |
| Group City Hospital, Inc. Line Part V, Section B, Line 11 | Together City Hospital, Inc. CHI and Jefferson Memorial Hospital JMH prioritized the community health needs identified in the Assessment and decided to focus on the top 3 issues identified in the CHNA 1. Chronic Diseases/Illness, 2. Behavioral Health/Substance Abuse, and 3. Cancer in particular lung and breast. Our implementation plan was based on addressing these 3 issues. Maternal/Child Health and access to better, healthy food choices community gardens, farmers markets were both identified as well. Although those issues were not included in the implementation plan, CHI recently open a NICU and the WVU Health Sciences Center Eastern Division and WVUH-East collaborated with local farmers markets to obtain a federal grant to improve access to these products for residents in the Eastern Panhandle. We simply wanted to focus our efforts on the top 3 community health needs that were identified in our study. |
| Group City Hospital, Inc. Line Part V, Section B, Line 13b | CHI offers discounted care only to individuals who qualify for free care. CHI offers a Prompt - Pay Discount Program - patients who have no third party coverage uninsured or uninsurable may be eligible for a 50 self-pay discount while patients who have a guarantor balance may be eligible for a 20 discount. To be eligible for either prompt pay discount the patient/guarantor must meet certain requirements. |
| Group City Hospital, Inc. Line Part V, Section B, Line 24 | CHI charges all patients an amount equal to gross charges regardless of payment method. |
Supplemental Information Detail SupplementalInformationDetail (31 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I Line 3c | City Hospital Inc CHI uses 200 Federal Poverty Guideline to determine free care eligibility. However, City Hospital does not offer discounted care to individuals who do not qualify for free care. |
| Part I Line 6a | City Hospital, Inc. community benefit numbers are reported in total with the other hospitals within West Virginia United Health System. The 2015 amounts can be found at the following web address http//wvumedicine.org/about/2015-community-benefit/. |
| Part I Line 7 | Column f - Total community benefit expense for 2015 is 52,343,450 and is 30.25 of total net expenses. To calculate net expense, bad debt of 7,570,836 was deducted from total expenses of 180,592,960 as shown in Part IX line 25 of the core Form 990. |
| Part I Line 7 | Worksheet 2 from the IRS Schedule H instructions was used to derive the Cost-to-charge ratio, which was used to calculate Charity Care at cost, Unreimbursed Medicaid and other means-tested government programs at cost. |
| Part II | Physical improvements and housing City Hospital employees spent a weekday volunteering at a local social service agency on behalf of the United Way of the Eastern Panhandle. City Hospital also provided the kick-off breakfast for all 500 volunteers throughout the Eastern Panhandle. |
| Part II | Economic Development In 2015, hospital representatives participated as members of the Berkeley County Development Authority, the Berkeley County Board of Health, and as Board Members of the Martinsburg Berkeley County Chamber of Commerce. |
| Part II | Community Support CHI supports and participates in many health related community activities by providing judges for science fairs at the local schools. We have teams that participate in the annual March of Dimes Walk in Berkeley County, American Cancer Society Relay for Life in Berkeley County and various other fundraising events for local, health related, non-profit organizations. Many employees serve as volunteer board of directors for community non-profit organizations such as Hospice of the Panhandle, Boys Girls Club of the Eastern Panhandle, Eastern Panhandle Free Clinic and the United Way of the Eastern Panhandle. |
| Part II | Environmental Improvements 2015 marked the first full year for City Hospital as a tobacco free campus, by order of the Berkeley County Health Departments Clean Air Act. |
| Part II | Leadership Development and Training At least one management representative from City Hosptial participates in the Chamber of Commerces Leadership Berkeley class each year. The hospital also has representatives on the Workforce Development Committee of the Chamber of Commerce. The Education Department works closely with Blue Ridge Community and Technical College to provide leadership training programs. |
| Part II | Coalition building City Hospital staff participate in the Health Human Services Council as well as Healthier Berkeley County. All of these entities focus on improving community access to health care, human services in general, and determine ways to encourage healthy lifestyles. |
| Part II | Community Health Improvement Advocacy City Hospital is a partner in the MAPP project which is a collaborative initiative to access community social services needs and develop a plan to tackle these issues. In 2015, City Hospital completed its community health needs assessment and has developed implementation plans to address three key issues - chronic disease, breast and lung cancers, and behavioral health/drug and alcohol abuse issues. Planning for Cycle 2 of the CHNA began in late 2015 with the survey to be completed in 2016. |
| Part II | Workforce Development City Hospital participates in activities sponsored by the Martinsburg Berkeley County Chambers Workforce Development Committee. City Hospital is also a major sponsor of the Womens Network, which is an organization, established by the Berkeley County Chamber, which sponsors womens professional activities, social network and professional development seminars. A representative from Berkeley Medical also serves on the Blue Ridge Community Technical College Board of Governors. City Hosptial also has agreements with area community colleges and universities to allow students to complete clinical rotations at the hospital. |
| Part III Line 2 | Bad Debt Expense at cost was calculated by multiplying bad debt expense of 7,570,836 by our cost-to-charge ratio of 40.68 derived from Worksheet 2 in the IRS Schedule H instructions for a total of 3,079,816. |
| Part III Line 3 | Estimated bad debt attributable to patients eligible for charity care was calculated by running a report within our patient revenue software of all bad debt account balances greater than 25,000. The total of that report was 26,988, which was then multiplied by the cost-to-charge ratio of 40.68 for a total of 10,979. |
| Part III Line 3 | We feel that, at a minimum, the estimated bad debt attributable to patients eligible for charity care of 10,979 should be considered community benefit due to the fact that a patient with an outstanding balance of 25,000 or greater usually qualifies as catastrophic if the patient completes the application process. In our Charity Care policy, we define catastrophic care as any illness or injury that will likely require continuous or frequent treatment for more than one year. We provide care to individuals in need without regard to ability to pay. |
| Part III Line 4 | City Hospitals footnote for Accounts Receivable - patients states accounts receivable are reported at net realizable value. Accounts are written off when they are determined to be uncollectible based upon managements assessment of individual accounts. The allowance for doubtful accounts is estimated based upon a periodic review of the accounts receivable aging, payor classifications, and application of historical write-off percentages. City Hospital grants credit without collateral to its patients, most of whom are local residents and are insured under third-party payor agreements, primarily with Medicare, Medicaid, and various commercial insurance companies. CHI maintains allowances for potential credit losses and such losses have historically been within managements expectations. |
| Part III Line 8 | Part III Line 6 was calculated using total cost from the Medicare Cost Report less Medicare reimbursement of direct GME. City Hospitals shortfall of 15,920,287 on Medicare program should be considered a community benefit because we are relieving a government burden by providing care in excess of our cost to these patients. |
| Part III Line 9b | CHI does have a debt collection policy. The policy does not yet address collection practices to be followed for patients who are known to qualify for charity care or financial assistance. |
| Part VI Line 2 | City Hospital Inc is a part of WVU Hospitals - East, a healthcare system serving the Eastern Panhandle of WV. The WVUH-East Marketing Department considers several components in assessing how the organization determines the need of the communities it serves. Through outside consultants to collaborating with various departments, a needs assessment takes into account several factors including physicians to population ratios, physician availability in the entire service area, and general health risks for our community. The Primary Service Area PSA for WVUH- East includes Berkeley County, WV and Jefferson County, WV with Morgan County, WV being a secondary service area. This data is then analyzed to provide general estimates to where WVUH-East entities could better care for residents of West Virginia Eastern Panhandle. |
| Part VI Line 2 | Sources utilized to help gather this information come from a variety of areas. Physician distribution and population data come from the American Medical Association and the U.S. Census Bureau and the general health risk for our community come from clinical diagnosis information gathered by the West Virginia Health Care Authority and Thomson Reuters Market Planner Plus. We also conduct market research to ask consumers how they perceive the health system and where they go for health care services. Once all the data is gathered to determine where residents of West Virginia are going for care and what types of services they are receiving, a needs assessment can then begin based on physician distribution and population estimates. Note that WVUH-East is working with other local organizations in a project known as MAPP Mobilizing for Action through Planning and Parnerships to create and implement a community health improvement plan. |
| Part VI Line 3 | City Hospital employs 4 financial analysts to meet with patients to discuss financial eligibility for our charity care program. City Hospital has the qualification requirements, as well as, applications for charity care available at all registration areas. Patients that do not qualify for state or federally funded programs can apply for the charity care program at City Hospital. |
| Part VI Line 4 | City Hospital is a non-profit acute care hospital located in Berkeley County, WV population 111,901 in the city of Martinsburg, WV. Martinsburg is the largest city in the Eastern Panhandle, and the 8th largest municipality in the state of West Virginia, with a total population of 17,743 residents. City Hospital along with Jefferson Memorial Hospital, located in Ranson, West Virginia make up WVUH-East which is a part of the West Virginia United Health System. WVUH-East provides the majority of inpatient services for the population in our Primary Service Area PSA. For City Hospital Inc the PSA consists of Berkeley County, WV and Jefferson County, WV. The 2014 market share for City Hospitals Primary Service Area is 45.9 with 25.0 of those patients covered by Medicaid and 2.5 uninsured. |
| Part VI Line 4 | Jefferson Memorial Hospital, a non-profit critical access hospital under common management, is located within the Primary Service Area and War Memorial Hospital, a non-profit critical access hospital, operated by Valley Health System, is located in the extended service area of Morgan County, WV. Berkeley County has a population of 111,901, with an average household income of 55,100, and an unemployment rate of 5.0. Currently, 13.2 of the people residing in Berkeley County live below the federal poverty line according to the U.S. Census Bureau 2010-2014. Jefferson Countys population is 56,482, with an average household income of 66,205 and unemployment of 4.1. Currently, 10.2 of Jefferson county residents live below the poverty line. In the extended service area for WVUH - East, Morgan County, WV has a population of 17,524, with an average household income of 37,406 and unemployment rate of 5.5. Currently, 13.0 of Morgan County residents currently live below the poverty line. |
| Part VI Line 5 | The CHI board of directors is a community board, with fourteen of the fifteen members living in or around Martinsburg, WV. The remaining board member lives in Morgantown, WV and has connections with CHI through the West Virginia United Health System. Having members living outside our PSA allows us to be more aware of the healthcare needs in other areas of West Virginia. None of the board members are employees or contractors of the filing organization, or family members thereof. |
| Part VI Line 5 | CHI extends privileges to all qualified medical staff in Berkley County and surrounding communities to meet its healthcare needs. |
| Part VI Line 5 | CHI allocates available funding to capital purchases and expanded services to improve patient care, support medical education in Berkeley County and surrounding counties in West Virginia and bordering states. |
| Part VI Line 5 | In 2009, CHI began offering discounted screening in response to a struggling economy. Recognizing that individuals were putting off scheduling routine, preventive testing such as mammograms and blood work, CHI offered Discounted Mammogram Clinics in May 2015 and then again in October 2015 cash, no insurance. The clinics were successful in serving over 100 patients at City Hospital. The Rotary Health Fair, held in April, provided a full blood work-up at cost. Nearly 500 individuals took advantage of these screenings. Discounted CT Lung Screenings were also offered the last Saturday of each month at a 99 cost. |
| Part VI Line 5 | Our Mini-Medical School Program, which is held 6 times per year in Berkeley County, is a community health education program featuring local physicians and topics that address health needs in our communities. The program is jointly sponsored by WVUH-East and the WVU Robert C. Byrd Health Sciences Center Eastern Division. It is offered free to the community with an average attendance of 75 - 100. |
| Part VI Line 6 | CHI is a part of the West Virginia United Health System. CHI plays a significant role in improving the general health care of the community. The strategic plan of the System states intent to build a regional health care delivery system in its services area, defined above, while offering a variety of options for providers who want to participate. The System maintains a demonstrated commitment to assist rural communities in preserving and improving the health care available to the patients it serves. |
| Part VI Line 6 | System management is focused on recruitment of staff and employees to meet the growing needs of the aging population in the Systems service areas. Other hospitals in the System include West Virginia University Hospitals, Inc., in Morgantown, WV, United Hospital Center, in Bridgeport, WV, Jefferson Memorial Hospital, in Ranson, WV, Potomac Valley Hospital in Keyser, WV, Camden-Clark Medical Center in Parkersburg ,WV and St. Josephs Hospital of Buckhannon, Inc.. St. Josephs joined the system in October 2015. In addition to these practices, the System also includes WVUH-East, Inc. and Camden-Clark Health Services which operate as management companies for their respective hospitals. |
| Part VI Line 6 | The System also includes the physician practices of United Physicians Care, Inc. and Camden-Clark Physician Corp that operate in conjunction with the System hospitals. United Summit Center is a behavioral health center located in Clarksburg, WV. The System also has Foundations that do various fundraising activities for the hospitals. University Healthcare Foundation in Martinsburg, WV, United Health Foundation in Clarksburg, Camden-Clark Foundation in Parkersburg, WV, and St. Josephs Foundation of Buckhannon, Inc. in Buckhannon, WV. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|---|---|---|---|
| Timothy Devine MD | ||||||||||
| Director / JMC Med Staff President | $179,686 | $2,973 | $1,599 | $10,781 | $195,039 | |||||
| William E Wear MD | ||||||||||
| Director / BMC Med Staff President | $160,555 | $53,050 | $1,752 | $353 | $215,710 | |||||
| Konrad C Nau MD | ||||||||||
| Director | $204,412 | $62,486 | $2,845 | $13,348 | $283,091 | |||||
| Anthony Zelenka | ||||||||||
| President/CEO | $327,555 | $48,722 | $1,188 | $15,356 | $392,821 | |||||
| Robert Strauch | ||||||||||
| VP Med Affairs | $148,946 | $22,663 | $14,832 | $186,441 | ||||||
| Linda Campbell Jones | ||||||||||
| Chief CRNA | $229,825 | $1,438 | $15,008 | $246,271 | ||||||
| Jason T White | ||||||||||
| Assistant Chief CRNA | $219,755 | $430 | $32,238 | $252,423 | ||||||
| Robert C Johnson Jr | ||||||||||
| CRNA | $214,773 | $298 | $31,827 | $246,898 | ||||||
| Donna Hupp Baker | ||||||||||
| CRNA | $215,253 | $508 | $8,774 | $224,535 | ||||||
| Judith Hockman | ||||||||||
| System Director Outpatient Operations | $136,890 | $1,024 | $15,356 | $153,270 | ||||||
| Sarah Harvey | ||||||||||
| Certified Registered Nurse Anesthetist | $215,722 | $298 | $759 | $216,779 | ||||||
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I Line 3 | FormAndLineReferenceDesc |
| Explanation | Salaries of all officers are subject to the approval of a compensation committee designated by the WV University Healthcare Board of Directors. This committee uses the work of an independent salary and benefit consultant to determine the compensation packages to be made available to officers and that the compensation does not exceed fair market value of comparable positions at similar organizations. All data is retained and all decisions are appropriately documented pertaining to the compensation setting practices. This review occurs annually and was last completed in 2015 for 2016 compensation amounts. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4d | Program Service Expenses 37,074,077, Grants and allocations 4,846, Revenue 85,031,973 In September 2009 Berkeley Medical opened a new 18-bed Orthopedic Unit. The unit is tailored toward personal care, patient comfort and privacy. The unit features a dedicated orthopedic nursing staff supported by staff from rehabilitation, care management, nutrition, and respiratory therapy. The team specializes in the care of patients following orthopedic surgery including total joints, fractures and knee and hip replacements. Orthopedic patient days in 2015 totaled 3,908 and 625 observation days. |
| Form 990, Part III, Line 4d | Program Service Expenses 0, Grants and allocations 0, Revenue 0 A 28 million expansion project launched at Berkeley Medical in 2009 brought a new cardiac catheterization lab to Berkeley Medical in October 2010. Although the lab performed diagnostic catheterizations through December 2010, the lab expanded services in January 2011 to include elective primary coronary intervention PCI and emergent therapeutic cardiac catheterization STEMI. A new 20-bed ICU/CCU opened at the same time which included four cardiac beds to support the cath lab. |
| Form 990, Part III, Line 4d | Program Service Expenses 0, Grants and allocations 0, Revenue 0 In November 2012 a new Outpatient Oncology suite was opened to serve patients of Berkeley Medical. by offering physician offices as well as an expanded outpatient treatment center in the same location, giving us the ability to treat an expanded number of patients. Berkeley Medical also maintains an inpatient Oncology department offering comprehensive cancer care services including chemotherapy dedicated inpatient oncology unit, Clinical Trials, and an American College of Surgeons accredited cancer program. During 2015 there were 19,570 patient visits to Oncology. |
| Form 990, Part III, Line 4d | Program Service Expenses 0, Grants and allocations 0, Revenue 0 In addition to primary and specialty patient care services, City Hospital, Inc. serves as a clinical education site for West Virginia University, the WV School of Osteopathic Medicine and other regional universities and community colleges. THe Erma Byrd Health Professions Education Center, which houses the WVU Robert C. Byrd Health Sciences Center-Eastern Division, is also located on the City Hospital, Inc. campus. As part of a unified health system, the focus of City Hospital, Inc. and its sister organization Jefferson Medical Center is on growth to enhance and add new health services in Berkeley and Jefferson Counties. |
| Form 990, Part IV, Line 24a | Bond issuances allocated to City Hospital, Inc. CHI are being reported on Schedule K of West Virginia University Hospitals, Inc WVUH, EIN 55-0643304. WVUH is a 501c3 and is the parent hospital of CHI. |
| Form 990, Part VI, Section B, Line 11a | The Form 990 is prepared by the WVUH tax accountant and then reviewed by the non-profit tax manager of our independent auditing firm and West Virginia University Hospitals - East, Inc. WVUH-East Vice President of Finance. After gaining approval from the VP of Finance, it is then presented to all of the Board Members for a final review. Upon Board review, it is signed and submitted to the IRS. |
| Form 990, Part VI, Section B, Line 12c | Annually, all Board Members, Vice Presidents, officers, and managers are required to disclose any relationships which may give rise to a conflict of interest. These responses are processed and maintained by the WVUH -East Compliance Committee. All board members are to be willing to identify conflicts of interest and abstain from voting when appropriate. |
| Form 990, Part VI, Section B, Line 15b | The compensation of all executives is determined through the use of an independent salary consulting firm compiling the compensation data of comparable organizations in comparable geographic locations. This data is then used by an independent compensation committee to set the compensation for each executive. The data and supporting documentation are retained and documented. |
| Form 990, Part VI, Section C, Line 19 | All financial and governing documents including conflict of interest policy are retained onsite and are made available to the public upon request. |
| Form 990, Part IX, Line 11g | Other Services Expense includes Consulting and Professional Fees 1,085,930 - all considered management general expense, Contract Labor 7,232,653 - 3,112,061 considered program service expense and 4,120,592 considered management general expense, Lab Fees 1,417,780 - 1,413,795 considered program service expense and 3,985 considered management general expense, Contract Labor - Patient Care 4,915,470 - 4,247,259 considered program service expense and 668,211 considered management general expense, CP Med Staff and Med Staff Director 5,114,768 - 5,030,925 considered program service expense and 83,843 considered management general expense, Collection Agency Fees 635,599 all considered management general expense, Enhanced Patient Care Grants of 1,022 all considered program service expense, and Physician Practice Supplies of 113,922 all considered Program Service Expense. |
| Form 990, Part XI, Line 9 | Other changes in net assets or fund balance includes 128,319 change in restricted net assets, 130,065 of related organization capitalization, and 5,100 of capital campaign contributions received by University Healthcare Foundation in 2015 and released from restriction in net asset but not transferred until January 2016 and 1 rounding. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (17 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| West Virginia United Health System Inc | |||||||||||
| PO Box 8034 | Morgantown | WV | 26506 | 550754713 | Healthcare Access | WV | 501C3 | 11 a | N/A | false | |
| West Virginia University Hospitals | |||||||||||
| PO Box 8034 | Morgantown | WV | 26506 | 550643304 | Patient Care | WV | 501C3 | 3 | false | West Virginia United Health System Inc | |
| West Virginia University Hospitals - East Inc | |||||||||||
| 2000 Foundation Way | Martinsburg | WV | 25401 | 202337985 | Patient Access | WV | 501C3 | 11a | false | West Virginia University Hospitals | |
| Jefferson Memorial Hospital Inc | |||||||||||
| 2000 Foundation Way | Martinsburg | WV | 25401 | 550359755 | Patient Care | WV | 501C3 | 3 | false | West Virginia University Hospitals - East Inc | |
| University Healthcare Foundation | |||||||||||
| 2000 Foundation Way | Martinsburg | WV | 25401 | 311118075 | Hospital Support | WV | 501C3 | 11a | N/A | false | |
| United Health Foundation | |||||||||||
| 327 Medical Park Drive | Bridgeport | WV | 26330 | 550621706 | Hospital Support | WV | 501C3 | 11a | false | United Hospital Center Inc | |
| United Hospital Center Inc | |||||||||||
| 327 Medical Park Drive | Bridgeport | WV | 26330 | 550525724 | Patient Care | WV | 501C3 | 3 | false | West Virginia United Health System Inc | |
| United Physicians Care Inc | |||||||||||
| 686 South Pike Street | Shinnston | WV | 26431 | 550638563 | Patient Care | WV | 501C3 | 3 | N/A | false | |
| United Summit Center Inc | |||||||||||
| 6 Hospital Plaza | Clarksburg | WV | 26301 | 550752788 | Behavioral Health | WV | 501C3 | 3 | N/A | false | |
| West Virginia Health Care Co-Op | |||||||||||
| PO Box 8059 | Morgantown | WV | 26506 | 550650441 | Support | WV | 501C3 | 11a | false | West Virginia United Health System | |
| Camden-Clark Memorial Hospital | |||||||||||
| 800 Garfield Ave | Parkersburg | WV | 26102 | 311524546 | Patient Care | WV | 501C3 | 3 | false | Camden-Clark Health Services | |
| Camden-Clark Health Services | |||||||||||
| 800 Garfield Ave | Parkersburg | WV | 26102 | 550769602 | Healthcare Access | WV | 501C3 | 11a, I | false | West Virginia United Health System Inc | |
| Camden-Clark Foundation | |||||||||||
| 800 Garfield Ave | Parkersburg | WV | 26102 | 550667789 | Support | WV | 501C3 | 11a | false | Camden-Clark Health Services | |
| Camden-Clark Physician Corp | |||||||||||
| 604 Ann Street | Parkersburg | WV | 26102 | 264058719 | Patient Care | WV | 501C3 | 11a, I | false | Camden-Clark Health Services | |
| University Healthcare Physicians | |||||||||||
| 2500 Foundation Way | Martinsburg | WV | 25401 | 900893455 | Patient Care | WV | 501C3 | 11a, a | N/A | false | |
| Potomac Valley Hospital of W Va Inc | |||||||||||
| 100 Pin Oak Lane | Keyser | WV | 26726 | 550420956 | Patient Care | WV | 501C3 | 3 | false | West Virginia University Hospitals | |
| St Joseph's Hospital of Buckhannon Inc | |||||||||||
| 1 Amalia Drive | Buckhannon | WV | 26201 | 550356996 | Patient Care | WV | 501C3 | 3 | false | West Virginia United Health System Inc | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| Allied Health Services Inc | |||||||||
| PO Box 782 | Morgantown | WV | 26507 | 550652017 | Medical Lab | WV | N/A | C Corp | false |
| West Virginia United Insurance Services Inc | |||||||||
| 3040 University Avenue Suite 3200 | Morgantown | WV | 26505 | 550756055 | Provider Network | WV | N/A | C Corp | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |