2025-11-14T08:19:45-00:00 2024-12-31 990 2024-01-01 550420956 Potomac Valley Hospital of W VA Inc POTO 3045973500 100 Pin Oak Lane Keyser WV 267265908 Amy Boothe VP of Operations Finance 3045973500 2025-11-13 false true 2024 2025-03-06 01:10:19Z Amy Boothe 100 Pin Oak Lane Keyser WV 26726 95586531 false X https://wvumedicine.org/potomac-valley-hospital/ X 2014 WV Potomac Valley strives to improve the total health status of area residents and provide supportive care for the chronically and/or terminally ill patients at home. 9 6 509 7 3837 2374 1193345 1378064 81692415 93540507 55511 270299 265666 370365 83206937 95559235 38500 120413 0 34334826 39177252 0 0 40668995 49604783 75042321 88902448 8164616 6656787 59974562 63630538 32725860 30678372 27248702 32952166 X Potomac Valley strives to improve the total health status of area residents and provide supportive care for the chronically and/or terminally ill patients at home. PVH recognizes health as a condition to which everyone has a just claim and will make a priority of meeting the changing needs of the community within the limits of available resources. false false 32267810 39713673 Family medicine services are provided in multiple clinic locations, and as rural health clinics, to serve the primary care needs of the population in Mineral County and provide access to care. During 2024, PVH had 12,472 family medicine patient encounters. 16563086 15810324 General surgical services are provided as emergent and scheduled services on both an inpatient and an outpatient basis. PVH had 844 general surgery visits in 2024. PVH also performed 831 orthopaedic surgeries. 10014631 15867530 PVH Emergency Department is staffed 24 hours everyday with specially trained physicians and nursing staff. The level of care ranges from continuation or initiation of advanced life support, to the assessment and treatment of minor illness, injuries or the acceleration of chronic medical conditions. The Emergency Department is connected by ration to Civil Defense and all area rescue squads and ambulances, thus allowing the staff to be fully prepared for any incoming emergency in advance of the arrival. The Emergency Department saw 18,365 patients in 2024. 17265219 22212303 76110746 true true false true false false false false false false true false false false true true false true false false false false false true true false true true true true true true false false false false false false false false false false false false false false false true false false false true X 0 0 527 true false false false false false false false false false false false false X 9 6 false false false false true false false true true false false true true true true true true false false false X Amy Boothe 3045973500 100 Pin Oak Lane Keyser WV 26726 Hamed Vahedikafshgari MD Physician 040.00 X 972667 0 52809 Charles Bess MD Physician 040.00 X 555461 0 52433 Mark Boucot CEO 016.00 024.00 X 179234 268850 112609 Marjorie Fridkin Director, CMO 016.00 024.00 X X 204071 306107 46798 Sherif Dabash MD Physician 040.00 X 485796 0 27924 Boyd Sprenkle MD Physician 034.00 006.00 X 369664 67736 25749 Alan Stephens MD Physician 040.00 X 409067 0 52621 Amy Boothe VP Operations Finance 016.00 024.00 X 107318 160977 31577 Kendra Thayer VP of Nursing, CNO 016.00 024.00 X 100719 151078 45345 Darin Rogers Director, WVUHS VP Provider Network Services 001.00 040.00 X 0 237540 39768 Harshad Bokil MD Director, Physician 021.00 020.00 X 133029 127812 12406 Elaine Geroski VP, Nursing, Through September 2022 040.00 X 0 133641 18692 Robin Haupt Director, Secretary 001.00 X X 0 0 0 Jerry Whisner Director, Chair 001.00 X X 0 0 0 Dinah Courrier Director 001.00 X 0 0 0 Frances Jones Director 001.00 X 0 0 0 Kevin Clark Director 001.00 X 0 0 0 Louie Kitzmiller Director, Treasurer 001.00 X X 0 0 0 3517026 1453741 518731 65 true true false Medical Solutions Llc 1010 N 102Nd St Ste 300 Omaha NE 681142122 Contract Labor / Purchased Services 2143727 Alliance Recruiting Resources Inc Po Box 223901 Dallas TX 752223901 Contract Labor / Purchased Services 1860548 Hayes Locums Llc Po Box 844543 Dallas TX 752844543 Contract Labor / Purchased Services 633280 Cardiosolutions Physicians Californ 4675 Cornell Rd Ste 100 Blue Ash OH 452412498 Contract Labor / Purchased Services 161460 Kezlo Group Llc Po Box 1086 Brookhaven PA 190150086 Consulting Professional Fees 147900 8 26197 1335967 15900 1378064 Patient Services 900099 91350316 91350316 Pharmacy Revenue 900099 2190191 2190191 93540507 270299 3837 266462 14472 5817 8655 8655 8655 3450 26197 21479 -18029 -18029 Cafeteria Income 900099 189069 189069 Rebate Revenue 900099 127347 127347 HPSA Bonus Payment 900099 37681 37681 25642 25642 379739 95559235 93603830 3837 573504 X 110413 110413 10000 10000 0 0 825229 481003 344226 0 28517929 25502064 3015865 863218 800160 63058 6655493 5970431 685062 2315383 2070524 244859 0 85365 3765 81600 0 8237 8237 0 11610100 10923228 686872 285459 1811 283648 2323314 1666523 656791 814 214 600 0 1380394 1283989 96405 548551 504478 44073 0 0 532401 444092 88309 5841164 409324 5431840 2417630 2019099 398531 709995 596820 113175 Medical Supplies 16119241 16119241 Provision for Doubtful Accounts 5137083 5137083 Taxes, Licenses and Fees 2042891 1702841 340050 Recruiting 384023 288156 95867 178121 57250 120871 88902448 76110746 12791702 0 131193 154098 15168697 14991291 13927890 13526170 889568 1168396 901675 1994789 41525423 14740710 25505273 26784713 2058893 3022069 3450266 -69881 59974562 63630538 11300958 10653956 17659000 16818000 458373 376464 3307529 2829952 32725860 30678372 X 27180795 32871867 67907 80299 27248702 32952166 59974562 63630538 X 6656787 18344 -971667 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 744 false true 7493 8237 false II-B 1g The amount shown here is based on a calculation of the hours the CEO participated in lobbying related activities in 2024 amount equals hours multiplied by hourly pay rate. Potomac Valley Hospital of W VA Inc., does not participate in or intervene in including publishing or distributing of statements any political campaign on behalf of or in opposition to any candidate for public office. II-B 1i This amount is calculated based on information provided by the West Virginia Hospital Association and the American Hospital Association. The American Hospital Association estimates that 39 of the 2024 dues were allocated to lobbying expense. The West Virginia Hospital Association estimates that during 2024, 12.6 of the dues paid should be allocated to lobbying expense. 1240397 1240397 17862693 5336974 12525719 905135 378924 526211 12811594 8592007 4219587 8705604 432805 8272799 26784713 Financial derivatives and other financial products Closely-held equity interests Federal income taxes Debt Issuance Costs -112686 Long Term Lease Liability 2854787 Capitalized Leases Payable Non Current 87851 2829952 X 90455625 18344 -5137083 -5118739 95574364 -15129 -15129 95559235 83792661 27296 27296 83765365 5137083 5137083 88902448 X 2 Most of the entities that comprise the System are tax-exempt organizations and not subject to federal or state income taxes in accordance with Section 501c3 of the Internal Revenue Code. On such basis, they will not incur any liability for income taxes, except for possible unrelated business income. AHS, BCHS, PHIC, and HPN are organizations subject to federal and/or state income taxes. The System does not have any material uncertain tax positions as of December 31, 2024 and 2023. XI 2d The amount shown on line 2d consists of 5,137,083 provision for doubtful accounts - patients that was reported as an offset to revenue on the financial statements but is reported as an expense on the Form 990. XI 4b The amount on line 4b consists of 5,817 of rental expenses that are recorded as an offset to revenue on the Form 990, 12,167 of fundraising contributions that were recorded as revenue on the Form 990 but in net assets on the financials, and 21,479 of fundraising expense that are recorded as an offset to revenue on the Form 990. XII 2d The amount shown on line 2d consists of 5,817 of rental expenses and 21,479 of special events expenses that are recorded as an offset to revenue on the Form 990. XII 4b The amount shown on line 4b consists of 5,137,083 provision for doubtful accounts - patients that was reported as an offset to revenue on the financial statements but is reported as an expense on the Form 990. X Gala 29647 26197 3450 2520 13410 1550 3999 29647 26197 3450 2520 13410 1550 3999 21479 -18029 true true X true X false true true false true true 368347 40162 328185 0.00390 19397309 14860202 4537107 0.05420 2143871 1675091 468780 0.00560 21909527 16575455 5334072 0.06370 177614 177614 0.00210 87054 87054 0.00100 110505 110505 0.00130 375173 375173 0.00440 22284700 16575455 5709245 0.06810 2542 2542 2542 2542 true 1940895 218878 18977984 23245843 -4267859 X true true 1 1 Potomac Valley Hospital 100 Pin Oak Lane Keyser WV 26726 wvumedicine.org/potomac-valley-hospital/ 02 X X X A A 1 false false true X X X X X X X X 24 true false false true X https//wvumedicine.org/wp-content/uploads/2025/04/potomacvalleyhospitalcommunityhealthneedsassessmen true 24 true https//wvumedicine.org/wp-content/uploads/2025/04/Potomac-Valley-Hospital-Community-Health-Implement false true X 0000000200.000000000000 X X X X X true true X X X true X https//wvumedicine.org/bill-pay/financial-assistance/ X wvumedicine.org/bill-pay/financial-assistance/ X wvumedicine.org/bill-pay/financial-assistance/ X X X X X X true X false X X X X true X false true Group Potomac Valley Hospital Line Part V, Section B, Line 5 Two primary sources of data were utilized to inform the CHNA 1 a public input survey and 2 a data presentation to leadership and community partners. The following organizations were represented on Potomac Valley Hospitals CHNA leadership team and provided detailed input throughout the process of developing the CHNA. These individuals informed the public input survey and were instrumental in dissemination. Additionally, they identified and invited attendees to the community meeting, and were charged as a group with collaborative discussion of primary and secondary data to determine health priorities. The leadership team consisted of Patricia Barbarito, Director of Preventive Medicine Department Amy Boothe, Vice President of Operations and Finance Brenna Earnest, Safety and Compliance Officer Kimi-Scott McGreevy, Senior Director Communications and Marketing Constance Moore, Director of Care Management Kendra Thayer, VP of Nursing CNO, and community partners from Mineral County Family Resource Network, Potomac Valley Hospital Infusion Center, Mineral County Aging and Family Services, Mineral County CASA, Mineral County Health Department, and County United Way. The following organizations from local government, business, and non-profit sectors were integral to data collection efforts and were represented at the community meeting. Those in attendance were asked to speak to the experiences of the populations whom they serve or represent and to discuss the accuracy of the survey data in relation to their professional and personal experiences as community members. Additionally, the group worked to compile a list of existing resources, programs and policies, as well as fresh ideas or potential partnerships for addressing each area of concern. These organizations represented at the community meeting were Mineral County Aging and Family Services Potomac Highlands Guild Mineral Family Resource Network County United Way and Burlington United Methodist Family Services. Group Potomac Valley Hospital Line Part V, Section B, Line 11 Following the community meeting, the Leadership team met to review all input and identify priority areas to address through implementation strategies. They closely reviewed the top concerns raised across all categories including health and disease, quality of life, environment, and risky behaviors. The existing secondary data, new survey data, data presentation input, and lessons learned from the last CHNA cycle all factored into leaderships prioritization decisions. The list of top health concerns that will be the focus moving forward with implementation planning are substance use, abuse, and mental health obesity and diabetes cancers chronic disease management and poverty and employment issues. The following are implementation strategies and suggestions aimed at addressing these top health concerns. Narcan education and distribution, yoga and mindfulness classes, FRN family programs and family nights collaboration, grandparent resources, community garden and recovery services collaboration, and SUD clinic including dental services were all suggested to address the substance use, abuse, and mental health concern. Dining with diabetes, WVU Extension Service collaboration, product program, diabetes prevention and education, and recreation spaces were suggested to address the obesity and diabetes health concern. Smoking cessation programs, Bonnies Bus, the mobile breast cancer screening unit, and LUCAS the mobile lung cancer screening unit were identified to address the cancer health concern. Walking programs both indoors and outdoors as well as medication assist programs to help patients apply for assistance with medication purchases were identified for chronic disease management. Lastly, community baby showers, school based clinics, family support centers, and health departments with strong immunization programs were identified to address poverty and employment health concerns. Group Potomac Valley Hospital Line Part V, Section B, Line 13b Potomac Valley Hospital of W Va Inc. PVH offers discounted care only to individuals who qualify for free care. PVH 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 Potomac Valley Hospital Line Part V, Section B, Line 24 All patients are charged an amount equal to gross charges regardless of payment method. Once FAP eligibility is confirmed, charge amounts are moved to Charity Care and no longer charged to the patient. 3 Riverside Rural Health Clinic 122 Ashfield St Piedmont WV 26750 Rural Health Clinic Fort Ashby Rural Health Clinic 10261 Frankfort Hwy Fort Ashby WV 26719 Rural Health Clinic Mineral County Rural Health Clinic 100 Pin Oak Lane Keyser WV 26726 Rural Health Clinic Part I Line 3c Potomac Valley Hospital PVH uses 200 Federal Poverty Guideline to determine free care eligibility. PVH 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 discount the patient/guarantor must meet certain requirements. Part I Line 6a Potomac Valley Hospital community benefit numbers are reported in total with the other hospitals within West Virginia United Health System. The most recent amounts can be found at the following web address http//wvumedicine.org/about/leadership-and-more/community-benefit/. Part I Line 7 Column f - Net community benefit expense for 2024 is 5,709,245 and is 6.81 of total net expenses. To calculate net expense, Provision for Doubtful Accounts - Patients of 5,137,083 was deducted from total expenses of 88,902,448 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, Unreimbursed Medicaid and other means-tested government programs at cost. To calculate the Medicare allowable cost shown in Part III question 8, we used the allowable costs from the Medicare Cost report. Part II For 2024, PVH employees spent work time volunteering for the Mineral County United Way Executive Committee. Part III Line 2 Bad Debt Expense at Cost on Line 2 was calculated by multiplying Provision for Doubtful Accounts - Patients expense of 5,137,083 by our cost-to-charge ratio of 42.39 for a total of 2,177,609 less DSH allocations to self-pay patient accounts of 237,431 for a total of 1,940,178. Part III Line 3 Estimated bad debt attributable to patients eligible for charity care on Line 3 was calculated by pulling all outstanding patient balances of 5,000 or greater from our patient accounting system. That report totaled 516,344, which was then multiplied by the cost-to-charge ratio of 42.39 for a total of 218,878. Part III Line 3 We feel that at a minimum, the estimated bad debt attributable to patients eligible for charity care of 218,878 should be considered community benefit due to the fact that anyone with outstanding balances of 5,000 or greater in our demographic 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 and would have qualified for charity care if paperwork was completed. Part III Line 4 Patient accounts receivables are primarily paid by federal and state governmental authorities under the Medicare and Medicaid programs, managed health plans, commercial insurance companies, workers compensation programs, employers and patients. Patient accounts receivable are reported at net realizable value. For accounts receivable associated with services provided to patients who have third-party coverage, the System estimates net realizable value based on the estimated contractual reimbursement percentage, which in turn is based on current contract provisions and historical paid claims by payor. For self-pay accounts, including uninsured and patient responsibility accounts, the net realizable value is determined using historical collection experience, adjusted for estimated conversions of patient responsibility portions, expected recoveries and changes in trends to estimate implicit price concessions. The System does not believe there are any significant concentrations of revenues from any particular payor that would subject the System to any significant credit risks in the collection of patient accounts receivable. Management continually reviews the estimated net realizable value of accounts receivable by monitoring cash collections, economic conditions and trends, changes in payor mix, changes in federal or state healthcare coverage and other matters. Changes in general economic conditions, patient accounting service center operations, payor mix, payor claim processing could affect collections of accounts receivable, cash flows and results of operations. Part III Line 4 The System performs periodic assessments to determine if an allowance for expected credit losses is necessary. The System considers its incurred loss experience and adjusts for known and expected events and other circumstances. In estimating its expected credit losses, the System may consider changes in the length of time its receivables have been outstanding, changes in credit ratings for payors, requests from payors to alter payment terms due to financial difficulty, and notices of payor bankruptcies or payors entering receivership. Because the Systems accounts receivable is typically paid for by highly solvent, creditworthy payors, such as Medicare, Medicaid, other governmental programs, and highly regulated commercial insurers on behalf of the patient, the Systems credit losses are immaterial to the consolidated financial statements. Part III Line 4 The mix of accounts receivable at December 31, 2024 and 2023, from patients and third-party payors is as follows For the year-end December 31, 2024 Medicare - 22, Medicaid - 11, Blue Cross - 24, Commercial, managed care and other - 40, Patients - 3, totaling 100. For the year-end December 31, 2023 Medicare - 25, Medicaid - 13, Blue Cross - 21, Commercial, managed care and other - 39, Patients - 2, totaling 100. Part III Line 8 The amount reported in Part III Line 6 23,245,843 was calculated using the total Medicare allowable cost from the Medicare cost report. Part III Line 8 Potomac Valley is reimbursed 100 by Medicare reimbursement includes DSH and IME for services provided to Medicare patients. Part III Line 9b PVH does have a debt collection policy. When a patient has been approved for financial assistance under our charity care policy, they will not be sent to bad debt. Additionally, if a patient is being evaluated for charity care, the patient will not be sent to a bad debt agency pending charity guarantor status until the pending status has been finalized approved/denied. All other patients with outstanding balances will be processed through billing and collections pursuant to our Financial Policy. Part VI Line 2 The CHNA process began with a thorough review of the previous cycles needs assessment report, and included review of publicly available secondary data related to counties within Potomac Valley Hospitals service area. This data included census data and County Health Rankings Data. Primary data collection was comprised of surveying community members to gather perceptions of health issues, quality of life, and other related topics. Part VI Line 2 PVH leadership continually monitors issues in their primary service area that impact patient care. PVH works with West Virginia University Hospitals and University Health Associates to expand the services available to PVH patients. Part VI Line 2 As a member of the West Virginia United Health System WVUHS, PVH will be utilizing the West Virginia University School of Public Health to assist with the CHNA process and reports. Part VI Line 3 The Director of Patient Financial Services at PVH along with collections representatives are available to meet with patients to discuss financial eligibility for our charity care program. PVH has applications for charity care and the qualification requirements for receiving charity available to patients. Part VI Line 4 PVH is a non-profit critical access hospital located in Mineral County, WV in the city of Keyser. In 2023, Mineral County had a total population of 26,867 a median household income of 64,728, an employment rate of 55.6 and 5.4 of residents reported they were without healthcare coverage. Approximately 15.8 of residents were living in poverty. Part VI Line 4 According to the 2024 CHNA, the leadership team defined the community served as a tri-county area comprised of Mineral County in West Virginia, as well as neighboring Allegany and Garrett counties in Maryland. Garrett County, MD had a total population of 28,423, a median household income of 64,447, an employment rate of 58.2 and 8.4 of residents reported they were without healthcare coverage. Meanwhile, Allegany County, MD had a total population of 67,273, a median household income of 55,248, an employment rate of 49.5 and 6.1 of residents reported they were without healthcare coverage. Population and demographic information was obtained from the United States Census Bureau https//data.census.gov/cedsci/. Part VI Line 5 The PVH board of directors is a community board, with all board members living in or around Mineral County. Part VI Line 5 PVH extends privileges to all qualified medical staff in Mineral County and surrounding communities to meet its healthcare needs. PVH allocates available funding to capital purchases, expanded services to improve patient care, and support medical education in Mineral County and surrounding counties in West Virginia and bordering states. Part VI Line 6 Potomac Valley Hospital is a part of the WV United Health System WVUHS. WVUHS is a not-for-profit corporation formed to serve as part of an integrated health science and healthcare delivery team. WVUHS serves as the parent corporation to an affiliated group of healthcare providing entities. The strategic plan of the System states intent to build a regional health care delivery system in its service areas, 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, Camden-Clark Memorial Hospital in Parkersburg, WV, City Hospital, Inc. in Martinsburg, WV, Jefferson Memorial Hospital in Ranson, WV, Potomac Valley Hospital in Keyser, WV, St. Josephs Hospital of Buckhannon, Inc. in Buckhannon, WV, West Virginia Healthcare Cooperative, doing business as, Summersville Regional Medical Center in Summersville, WV, Braxton County Memorial Hospital in Gassaway, WV, Community Health Association, doing business as, Jackson General Hospital in Ripley, WV, Reynolds Memorial Hospital in Glen Dale, WV, Barnesville Hospital Association in Barnesville, OH, Uniontown Hospital in Uniontown, PA, Wheeling Hospital, Inc. in Wheeling, WV, Harrison Community Hospital, Inc. in Cadiz, OH, GRMC, Inc. in Oakland, MD, Princeton Community Hospital Association, Inc. in Princeton, WV, Herbert J. Thomas Memorial Hospital Association in South Charleston, WV, and Grant Memorial Hospital, Inc. in Petersburg, WV. Part VI Line 6 In addition to the above mentioned hospitals, the System includes physician practices of United Physicians Care, Inc. and Camden-Clark Physician Corp that operate in conjunction with the System hospitals along with United Summit Center, Inc. a behavioral health center located in Clarksburg, WV. The System also includes, WVUH-East, Inc. and Camden-Clark Health Services, Inc. which operate as management companies for their respective hospitals. University Healthcare Foundation, Inc. in Martinsburg, WV, United Health Foundation, Inc. in Bridgeport, WV, Camden-Clark Foundation, Inc. in Parkersburg, WV, St. Josephs Foundation of Buckhannon, Inc. in Buckhannon, WV, and Reynolds Memorial Foundation, Inc. in Glen Dale, WV, which perform various fundraising activities for their respective hospitals. In 2020, the System formed WVUHS Home Care, LLC to provide Home Health and Hospice services to our service areas, supporting System hospitals by providing continuous care to our patients. Wheeling Hospital Ambulatory Surgical Center, LLC a surgical center located in Bridgeport, OH was acquired in 2021. true Mineral County Schools 36 Baker Place Keyser WV 26726 69413 Gym Flooring State of West Virginia One Waterfront Place PO Box 6005 Morgantown WV 26506 556000842 501c1 15000 Sponsorship 2 Scholarships for students pursuing medical careers 2 10000 Part III Line 1 PVH awarded scholarships to local high school students that will be pursuing education in a medical field. Recipients are chosen based on an essay submission and need. false true false false false true false false false Sherif Dabash MD Physician 485256 540 15525 12399 513720 Charles Bess MD Physician 382581 169316 3564 15525 36908 607894 Boyd Sprenkle MD Physician 366652 67184 3012 552 10354 1897 11407 2091 391425 71724 Amy Boothe VP Operations Finance 84448 126672 19354 29030 3516 5275 3883 5824 8748 13122 119949 179923 Mark Boucot CEO 135002 202503 38148 57223 6084 9124 30258 45387 14786 22178 224278 336415 Alan Stephens MD Physician 368527 40540 15525 37096 461688 Elaine Geroski VP, Nursing, Through September 2022 132861 780 6026 12666 152333 Hamed Vahedikafshgari MD Physician 493267 478590 810 15525 37284 1025476 Kendra Thayer VP of Nursing, CNO 77901 116852 20393 30589 2425 3637 3619 5428 14519 21779 118857 178285 Marjorie Fridkin Director, CMO 109610 164414 94062 141093 400 600 15895 23842 2824 4236 222791 334185 Harshad Bokil MD Director, Physician 56407 54195 76500 73500 122 117 2239 2152 4088 3927 139356 133891 Darin Rogers Director, WVUHS VP Provider Network Services 207267 25118 5155 38919 849 277308 Part I Line 6a Per the WVUHS Incentive Plan, incentives are contingent on meeting a net earning target. Part I Line 4b Mark Boucot received deferred compensation contributions of 24,069 from Potomac Valley Hospital and 36,103 from a related party. Marjorie Fridkin received deferred compensation contributions of 10,962 from Potomac Valley Hospital and 16,443 from a related party in 2024. Darin Rogers received deferred compensation contributions of 31,156 from related party. These amounts are properly recorded in deferred compensation on the Form 990 Schedule J. Part I Line 3 Compensation for CEOs are determined by the WV United Health System compensation committee. The System engages an independent group to perform an executive compensation review and compensation survey every two years. This information is provided to the committee, which is made up of independent board members who are then responsible for setting the compensation packages offered to each executive, ensuring that the compensation package offered does not exceed fair market value. A West Virginia Hospital Finance Authority 621256910 000000000 2015-08-19 18500000 2015 A - Hospital acquisition financing false false false A 1682000 18500000 166267 18333733 2016 false false false true A false true true true false false false true A false true false false true false false false true A true Part IV Line 2c A rebate calculation was prepared for the issuance date through August 19, 2020. The report indicates that no rebate is due. The next computation date is August 19, 2025. Form 990, Part III, Line 4d Program Service Expenses 17,265,219, Grants and allocations 0, Revenue 22,212,303 PVH is a Critical Access Hospital with licensure for 25 beds. PVH provides both inpatient and outpatient services, including cardiac rehabiliation, care management, diabetes education/prevention, hospital, laboratory, orthopaedics, physical therapy, radiology, respiratory therapy, same day surgery, and skilled swing beds. Form 990, Part XI, Line 9 Other changes in net assets includes 893,847 of related organization capitalization, 225 change in temporarily restricted net assets, 78,055 JOA Contribution to SOM, and 10 rounding. Form 990, Part VI, Section B, Line 12c Upon employment and annually thereafter, each key employee and officer of the organization is required to complete a conflict of interest and disclosure form, providing sufficient information about his/her personal interests and relationships so the organization can 1 determine whether any potential or actual conflicts of interest may exist, and 2 monitor work or service assignments to avoid placing the key employee, officer, or director in a position where there may be an appearance potential or actual of a conflict of interest or a question of objectivity. The completed conflict of interest and disclosure forms for directors are returned to the organization. These members are monitored and not assigned any projects that would create any potential conflict of interest. Any board member with a potential conflict recuses himself or herself from all discussions regarding the conflict. Form 990, Part VI, Section B, Line 15a The compensation of the CEO is determined by the WV United Health System Compensation Committee based upon a salary and benefit survey prepared by an independent company using data of comparable facilities. This information is provided to the compensation committee which is made up of independent board members who are then responsible for setting the compensation packages offered to each executive, ensuring that the compensation package does not exceed fair market value based on the data from the consultant group. The minutes of the compensation committee are contemporaneously documented and retained. A full compensation survey was completed in 2023 for 2024 compensation amounts. Form 990, Part VI, Section B, Line 15b The compensation of all officers at the Vice President level and below is determined based upon a salary and benefit survey prepared by an independent company using data of comparable facilities. This data is then interpreted and provided to an independent compensation committee. The independent compensation committee then uses this data to determine a fair and reasonable compensation package. All relevant data as well as minutes from each meeting are retained. Form 990, Part VI, Section B, Line 19 All financial and governing documents, including the conflict of interest policy are maintained onsite and made available to the public upon written request. Form 990, Part IX, Line 11g This total consists of Contract Labor fees of 10,852,272 of which 10,259,349 is considered program service expense and 592,923 is considered management and general expense Non Hospital Lab Fees of 663,879 of which all is considered program service expense and Consulting Professional fees of 93,949 of which all is considered management and general expense. Form 990, Part VI, Section A, Line 6 West Virginia United Health System, Inc., a 501c3 charitable organization WVUHS, is the sole member of the organization. Form 990, Part V, Line 1a In 2023, West Virginia United Health System WVUHS, EIN 55-0754713, transitioned to a centralized accounts payable process in which WVUHS made the majority of vendor payments and then issued the required 1099s. WVUHS is reimbursed by the entities for their portion of payments made, vendor payments that meet the Top 5 Independent Contractor reporting requirements are reported in Part VII, Section B of the reporting entity. West Virginia United Health System Inc 1085 Van Voorhis Road Suite 500 Morgantown WV 26505 550754713 Healthcare access WV 501c3 12 Type I N/A false University Healthcare Foundation Inc 121 Administrative Drive Martinsburg WV 25401 311118075 Hospital Support WV 501c3 12 Type I West Virginia University Hospitals - East Inc false United Physicians Care Inc 686 South Pike Street Shinnston WV 26431 550638563 Patient Care WV 501c3 3 United Hospital Center Inc false United Health Foundation Inc 327 Medical Park Drive Bridgeport WV 26330 550621706 Hospital Support WV 501C3 12 Type I United Hospital Center Inc false United Summit Center Inc 6 Hospital Plaza Clarksburg WV 26301 550752788 Behavioral Health WV 501C3 3 West Virginia University Hospitals Inc false Camden-Clark Health Services Inc 800 Garfield Ave Parkersburg WV 26101 550769602 Healthcare Access WV 501c3 12 Type I WV United Health System false Camden-Clark Foundation 800 Garfield Ave Parkersburg WV 26101 550667789 Hospital Support WV 501c3 7 Camden-Clark Health Services false Camden-Clark Physician Corporation 1601 Garfield Avenue Parkersburg WV 26101 264058719 Patient Care WV 501c3 3 Camden-Clark Health Services false West Virginia University Hospitals Inc PO Box 8034 Morgantown WV 26506 550643304 Patient Care WV 501c3 3 WV United Health System false West Virginia University Hospitals East Inc 121 Administrative Drive Martinsburg WV 25401 202337985 Healthcare Access WV 501c3 12a WV United Health System false City Hospital Inc 2500 Hospital Drive Martinsburg WV 25401 550383321 Patient Care WV 501c3 3 West Virginia University Hospitals - East Inc false Jefferson Memorial Hospital 300 South Preston St Ranson WV 25438 550359755 Patient Care WV 501c3 3 West Virginia University Hospitals - East Inc false United Hospital Center Inc 327 Medical Park Drive Bridgeport WV 26330 550525724 Patient Care WV 501c3 3 WV United Health System false West Virginia Health Care Cooperative Inc 400 Fairview Heights Rd Summersville WV 26651 550650441 Patient Care WV 501c3 3 WV United Health System false Camden-Clark Memorial Hospital Corporation 800 Garfield Ave Parkersburg WV 26101 311524546 Patient Care WV 501c3 3 Camden-Clark Health Services false St Joseph's Hospital of Buckhannon Inc 1 Amalia Drive Buckhannon WV 26201 550356996 Patient Care WV 501c3 3 WV United Health System false St Joseph's Foundation of Buckhannon Inc 1 Amalia Drive Buckhannon WV 26201 550727650 Hospital Support WV 501c3 12 Type II St Joseph's Hospital of Buckhannon Inc false Reynolds Memorial Hospital Inc 800 Wheeling Avenue Glen Dale WV 26038 550357045 Patient Care WV 501c3 3 WV United Health System false Reynolds Memorial Foundation Inc 800 Wheeling Ave Glen Dale WV 26038 550710402 Hospital Support WV 501c3 12 Type I Reynolds Memorial Hospital Inc false Braxton County Memorial Hospital Inc 100 Hoylman Drive Gassaway WV 26624 550611919 Patient Care WV 501c3 3 WV United Health System false Community Health Association 122 Pinnell Street Ripley WV 25271 550462730 Patient Care WV 501c3 3 WV United Health System false Wetzel County Hospital Inc 3 East Benjamin Drive New Martinsville WV 26155 843480493 Patient Care WV 501C3 3 WV United Health System false WVUHS Home Care LLC 1085 Van Voorhis Road Suite 500 Morgantown WV 26505 852915642 Home Health and Hospice Care WV 509a2 WV United Health System false Uniontown Hospital 500 West Berkeley Street Uniontown PA 15401 250965588 Patient Care PA 501c3 3 WV United Health System false Fayette Physician Network Inc 500 West Berkeley Street Uniontown PA 15401 455440305 Patient Care PA 501C3 3 WV United Health System false Wheeling Hospital Inc 1 Medical Park Wheeling WV 26003 550357057 Patient Care WV 501c3 3 WV United Health System false Harrison Community Hospital Inc 951 E Market Street Cadiz OH 43907 341571750 Patient Care OH 501C3 3 WV United Health System false Barnesville Hospital Association Inc 639 W Main Street Barnesville OH 43713 340719172 Patient Care OH 501c3 3 WV United Health System false Belmont Community Hospital Inc 4697 Harrison Street Bellaire OH 43906 340714643 Patient Care OH 501C3 3 Wheeling Hospital Inc false Medical Park Foundation 1 Medical Park Wheeling WV 26003 550744690 Church WV 501c3 1 Wheeling Hospital Inc false Self Insurance Trust Agreement of Wheeling Hospital Inc 1 Medical Park Wheeling WV 26003 550676674 Insurance WV 501C3 12 Type I N/A false GRMC Inc 251 North Fourth Street Oakland MD 21550 871846814 Patient Care MD 501C3 3 WV United Health System false Grant Memorial Hospital Inc 117 Hospital Drive Petersburg WV 26847 881740605 Patient Care WV 501C3 3 WV United Health System false Herbert J Thomas Memorial Hospital Association 4605 MacCorkle Ave SW South Charleston WV 25309 550404900 Patient Care WV 501c3 3 WV United Health System false Princeton Community Hospital Association Inc 122 Twelfth Street Princeton WV 24740 550483245 Patient Care WV 501c3 3 WV United Health System false Princeton Community Hospital Foundation Inc PO Box 1369 Princeton WV 24740 550694209 Support WV 501c3 12 A Type I Princeton Community Hospital Association false THS Physician Partners Inc 4605 MacCorkle Ave SW South Charleston WV 25309 454395947 Patient Care WV 501c3 3 Herbert J Thomas Memorial Hospital Association false Welch Medical Center Inc 1085 Van Voorhis Road Suite 500 Morgantown WV 26505 921990757 Patient Care WV 501c3 3 WV United Health System false Ohio Valley Health Corporation 222 Nicolette Rd Parkersburg WV 26104 922553803 Patient Care WV 501c3 3 Camden-Clark Health Services false Allied Health Services Inc PO Box 782 Morgantown WV 26507 550652017 Linen Services WV N/A C Corp false false false false false false false false false false false false false false false true true false false false