JEFFERSON MEMORIAL HOSPITAL: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- JEFFERSON MEMORIAL HOSPITAL (EIN 55-0359755)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-14
- IRS object ID
- 201443189349301909
- Schema version
- 2013v3.1
- 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 I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-14T10:17:48-00:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550359755 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Jefferson Memorial Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | JEFF | BusinessNameControlTxt |
| Phone | 3042641358 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 Foundation Way Room 2310 | AddressLine1 |
| City | Martinsburg | City |
| State | WV | State |
| ZIP Code | 25401 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Kathleen Quinones | PersonNm |
| Person Title | Vice President of Finance | PersonTitleTxt |
| Phone | 3042601443 | PhoneNum |
| Signature | 2014-11-06 | SignatureDt |
| Discuss With Paid Preparer | false | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Jefferson Medical Center | BusinessNameLine1 |
| 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 | AddressLine1 |
| City | Martinsburg | City |
| State | WV | State |
| ZIP Code | 25401 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $54,279,397 | 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 | 1912 | FormationYr |
| Legal Domicile State | WV | LegalDomicileStateCd |
| Activity Or Mission | Jefferson Memorial Hospital is a non-profit, critical access hospital serving the residents of the Eastern Panhandle of WV. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 446 | TotalEmployeeCnt |
| Total Volunteers | 30 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $113,847 | PYContributionsGrantsAmt |
| CY Contributions Grants | $42,384 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $51,052,159 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $51,900,745 | CYProgramServiceRevenueAmt |
| PY Investment Income | $132,957 | PYInvestmentIncomeAmt |
| CY Investment Income | $253,751 | CYInvestmentIncomeAmt |
| PY Other Revenue | $522,006 | PYOtherRevenueAmt |
| CY Other Revenue | $1,761,862 | CYOtherRevenueAmt |
| PY Total Revenue | $51,820,969 | PYTotalRevenueAmt |
| CY Total Revenue | $53,958,742 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $21,702 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $106,482 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $21,498,903 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $22,722,645 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $27,185,420 | PYOtherExpensesAmt |
| CY Other Expenses | $30,264,305 | CYOtherExpensesAmt |
| PY Total Expenses | $48,706,025 | PYTotalExpensesAmt |
| CY Total Expenses | $53,093,432 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,114,944 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $865,310 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $48,814,707 | TotalAssetsBOYAmt |
| Total Assets EOY | $50,633,539 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $22,245,135 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $22,196,374 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $26,569,572 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $28,437,165 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Jefferson Memorial Hospital is a non-profit critical access hospital serving the residents in the Eastern Panhandle of WV. It operates a 24/7 emergency room. Jefferson Memorial Hospital is organized to provide quality hospital patient care services to the Eastern Panhandle of WV regardless of the patients ability to pay. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $12,881,004 | ExpenseAmt |
| Revenue | $24,174,607 | RevenueAmt |
| Desc | As a not for profit critical access hospital, Jefferson Memorial Hospital JMH provides general medical services in the community of Ranson, WV. Such services include family medicine, internal medicine, observation to see if hospital admission is necessary, and outpatient ancillary testing. During 2013, JMH documented 1,058 outpatients in the observation status and 26,258 outpatient ancillary tests were performed. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,938,204 | ExpenseAmt |
| Revenue | $7,391,080 | RevenueAmt |
| Desc | JMH provides general surgical services to those residents in need located in Ranson, WV. JMH operates as a critical access hospital and operates a 24 hours per day, 7 days per week emergency department which cares for patients regardless of their ability to pay. The hospital also provides a One Day Surgical Unit that provided care to 1,727 patients during 2013. These patients undergo procedures by a variety of surgical subspecialties, including opthalmology, otolarynology, urology, gastroenterology, orthopedics, and gynecology. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,238,670 | ExpenseAmt |
| Revenue | $2,324,691 | RevenueAmt |
| Desc | JMH Obstetrics Unit features family centered maternity care services that include birthing rooms, whirlpools, rooming in and sibling visitation. In 2013, Jefferson Memorial Hospital reported 189 births. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $16,909,570 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $106,482 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $19,309,562 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $34,967,448 | 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 | Yes (true) | 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 | false | 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 | Yes (true) | 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 | 74 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 446 | 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 |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | 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 | 3042641000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 Foundation Way Suite 2310 | AddressLine1 |
| City | Martinsburg | City |
| State | WV | State |
| ZIP Code | 25401 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| David DeJarnett | |||||||||
| Director | 000.03 | 000.07 | Yes (X) | $0 | $0 | $0 | |||
| Terry Hess | |||||||||
| Director | 000.03 | 000.07 | Yes (X) | $0 | $0 | $0 | |||
| Robert Baronner Jr | |||||||||
| Chairman | 000.03 | 000.07 | Yes (X) | $0 | $0 | $0 | |||
| Jacquiline Long | |||||||||
| Director | 000.03 | 000.07 | Yes (X) | $0 | $0 | $0 | |||
| Keith B Berkeley DVM | |||||||||
| Director | 000.03 | 000.07 | Yes (X) | $0 | $0 | $0 | |||
| John A Draper Jr MD | |||||||||
| Director/ CHI Med Staff President | 000.03 | 000.07 | Yes (X) | $0 | $0 | $0 | |||
| Dr Richard Knapp | |||||||||
| Director | 000.03 | 000.07 | Yes (X) | $0 | $0 | $0 | |||
| D Scott Roach | |||||||||
| Treasurer | 000.03 | 000.07 | Yes (X) | $0 | $0 | $0 | |||
| Fred Butcher PhD | |||||||||
| Director | 000.03 | 000.07 | Yes (X) | $0 | $0 | $0 | |||
| David A Baltierra MD | |||||||||
| Director/ JMH Med Staff President | 000.03 | 000.07 | Yes (X) | $0 | $0 | $0 | |||
| Suzanne Shipley | |||||||||
| Vice-Chair | 000.03 | 000.07 | Yes (X) | $0 | $0 | $0 | |||
| Betty Gunnoe | |||||||||
| Secretary | 000.03 | 000.07 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Rhonda Monroe | |||||||||
| Director | 000.03 | 000.07 | Yes (X) | $0 | $0 | $0 | |||
| Nicholas Trietsch | |||||||||
| Director | 000.03 | 000.07 | Yes (X) | $0 | $0 | $0 | |||
| KC Nau MD | |||||||||
| Director | 000.03 | 000.07 | Yes (X) | $0 | $0 | $0 | |||
| Christina Coad | |||||||||
| COO | 050.00 | $268,476 | $0 | $7,513 | Yes (X) | ||||
| Lauren Cianciaruso | |||||||||
| VP Medical Affairs | 040.00 | $0 | $0 | $0 | Yes (X) | ||||
| Linda Blanc | |||||||||
| Administrative Director Nursing | 040.00 | $122,504 | $0 | $31,827 | Yes (X) | ||||
| Judith Hockman | |||||||||
| System Director Outpatient Clinical Operations | 040.00 | $132,083 | $0 | $15,701 | Yes (X) | ||||
| Charles Keeling | |||||||||
| CRNA | 040.00 | $282,282 | $0 | $15,701 | Yes (X) | ||||
| Gary Matthews | |||||||||
| Pharmacy Director | 040.00 | $148,016 | $0 | $22,694 | Yes (X) | ||||
| Ray Bernard | |||||||||
| CRNA | 040.00 | $169,593 | $0 | $28,494 | Yes (X) | ||||
| Ryan Nau | |||||||||
| CRNA | 040.00 | $163,533 | $0 | $28,202 | Yes (X) | ||||
| Frew Nagatu | |||||||||
| Pharmacist | 043.00 | $146,823 | $0 | $25,350 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,433,310 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $175,482 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 18 | 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/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Alliance Healthcare Services | |||||
| 100 Bayview Cir | Newport Beach | CA | 92660 | Mobile MRI Equipment | $347,216 |
| JMH Emergency Physicians | |||||
| 20010 Century Blvd suite 200 | Germantown | MD | 20874 | Medical Staff Coverage | $1,244,751 |
| Quest Diagnostic | |||||
| 14225 Newbrook Dr | Chantily | VA | 20151 | Medical Services | $247,775 |
| Ready Tech-Go Inc | |||||
| PO Box 1027 | Fremont | NE | 68026 | Medical Staff Coverage | $199,678 |
| City Hospital Inc | |||||
| 2000 Foundation Way Ste 2310 | Martinsburg | WV | 25401 | Lab fees | $300,480 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $40,134 | RelatedOrganizationsAmt |
| Government Grants | $2,250 | GovernmentGrantsAmt |
| Total Contributions | $42,384 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Patient Service Revenue | Desc |
| Total Revenue Column | $51,900,745 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $51,900,745 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $51,900,745 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $574,406 | TotalRevenueColumnAmt |
| Exclusion | $574,406 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $55,731 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $55,731 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $55,731 | TotalRevenueColumnAmt |
| Exclusion | $55,731 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $320,655 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$320,655 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$320,655 | TotalRevenueColumnAmt |
| Exclusion | -$320,655 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Cafeteria Income | $130,207 | $130,207 | |
| Patient Pharmacy Income | $171,718 | $171,718 | |
| Meaningful Use Payments | $1,299,195 | $1,299,195 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $105,011 | TotalRevenueColumnAmt |
| Exclusion | $105,011 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,706,131 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $53,958,742 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $53,199,940 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $716,418 | 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 | $106,482 | TotalAmt |
| Program Services | $106,482 | 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 | $578,105 | TotalAmt |
| Management And General | $578,105 | 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 | $17,232,756 | TotalAmt |
| Program Services | $13,094,427 | ProgramServicesAmt |
| Management And General | $4,138,329 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $472,538 | TotalAmt |
| Program Services | $359,061 | ProgramServicesAmt |
| Management And General | $113,477 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,901,659 | TotalAmt |
| Program Services | $2,246,668 | ProgramServicesAmt |
| Management And General | $654,991 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,537,587 | TotalAmt |
| Program Services | $1,168,346 | ProgramServicesAmt |
| Management And General | $369,241 | 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 | $57,847 | TotalAmt |
| Management And General | $57,847 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,054 | TotalAmt |
| Program Services | $2,751 | ProgramServicesAmt |
| Management And General | $16,303 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,291 | TotalAmt |
| Management And General | $7,291 | 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 | $6,770,869 | TotalAmt |
| Program Services | $5,079,302 | ProgramServicesAmt |
| Management And General | $1,691,567 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $271,975 | TotalAmt |
| Program Services | $102 | ProgramServicesAmt |
| Management And General | $271,873 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,686,718 | TotalAmt |
| Program Services | $1,611,965 | ProgramServicesAmt |
| Management And General | $1,074,753 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $126,910 | TotalAmt |
| Program Services | $495 | ProgramServicesAmt |
| Management And General | $126,415 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $580,502 | TotalAmt |
| Program Services | $78,072 | ProgramServicesAmt |
| Management And General | $502,430 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $309,201 | TotalAmt |
| Program Services | $17,531 | ProgramServicesAmt |
| Management And General | $291,670 | 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 | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $604,342 | TotalAmt |
| Management And General | $604,342 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,143,600 | TotalAmt |
| Management And General | $4,143,600 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,766,532 | TotalAmt |
| Management And General | $2,766,532 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $284,205 | TotalAmt |
| Management And General | $284,205 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Provision for Doubtful Accounts | $6,693,037 | $6,693,037 | |
| Medical Supplies | $3,471,556 | $3,455,446 | $16,110 |
| Recruiting | $134,952 | $126,376 | $8,576 |
| Taxes, Licenses, Fees | $1,207,374 | $902,241 | $305,133 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $128,340 | TotalAmt |
| Program Services | $25,146 | ProgramServicesAmt |
| Management And General | $103,194 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,093,432 | TotalAmt |
| Program Services | $34,967,448 | ProgramServicesAmt |
| Management And General | $18,125,984 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,343 | BOYAmt |
| EOY | $68,639 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,396,500 | BOYAmt |
| EOY | $5,063,998 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,592,693 | BOYAmt |
| EOY | $7,256,919 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $475,728 | BOYAmt |
| EOY | $479,609 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,844 | BOYAmt |
| EOY | $29,814 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $34,637,215 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $17,266,856 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,757,830 | BOYAmt |
| EOY | $17,370,359 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,820,460 | BOYAmt |
| EOY | $17,938,684 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,659,309 | BOYAmt |
| EOY | $2,425,517 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,814,707 | BOYAmt |
| EOY | $50,633,539 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,108,121 | BOYAmt |
| EOY | $9,251,224 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,518,058 | BOYAmt |
| EOY | $11,096,619 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $512,386 | BOYAmt |
| EOY | $338,495 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,106,570 | BOYAmt |
| EOY | $1,510,036 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,245,135 | BOYAmt |
| EOY | $22,196,374 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,040,804 | BOYAmt |
| EOY | $22,415,615 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $426,327 | BOYAmt |
| EOY | $446,328 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,102,441 | BOYAmt |
| EOY | $5,575,222 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,569,572 | BOYAmt |
| EOY | $28,437,165 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,814,707 | BOYAmt |
| EOY | $50,633,539 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $865,310 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,148,016 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$145,733 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $7,291 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $7,291 | TotalLobbyingExpendituresAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | II-B 1i | FormAndLineReferenceDesc |
| Explanation | As a member of the WV Hospital Association and the American Hospital Assoiation, a portion of the dues paid have been identified by the above mentioned organizations as attributable to lobbying activities. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $417,155 | OtherCostOrOtherBasisAmt |
| Book Value | $417,155 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $17,160,951 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,468,238 | DepreciationAmt |
| Book Value | $10,692,713 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,409 | OtherCostOrOtherBasisAmt |
| Depreciation | $14,031 | DepreciationAmt |
| Book Value | $1,378 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,913,766 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,782,997 | DepreciationAmt |
| Book Value | $5,130,769 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,129,934 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,001,590 | DepreciationAmt |
| Book Value | $1,128,344 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $17,370,359 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc |
|---|
| Financial derivatives and other financial products |
| Closely-held equity interests |
Invst Program Related Org InvstProgramRelatedOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| Beneficial Interests in Perpetual Trusts | $5,575,222 | F |
| Bond Fund | $10,756 | F |
| Other Investments | $610,016 | F |
| Funded Depreciation | $10,004,849 | F |
| Self Insurance Fund | $1,737,841 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $17,938,684 | TotalBookValueProgramRltdAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| Federal income taxes | |
| Capital Leases | $281,820 |
| Self Insurance Liabilities | $896,932 |
| Interest Rate Swaps | $221,023 |
| Leases Payable - Current | $110,261 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,510,036 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $48,372,624 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $1,147,055 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$6,733,173 | OtherRevenueAmt |
| Revenue Not Reported | -$5,586,118 | RevenueNotReportedAmt |
| Revenue Subtotal | $53,958,742 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $53,958,742 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $46,400,394 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | -$6,693,038 | OtherExpensesIncludedAmt |
| Expenses Not Reported | -$6,693,038 | ExpensesNotReportedAmt |
| Expenses Subtotal | $53,093,432 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $53,093,432 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| X 2 | The annual audit and financial statements of Jefferson Memorial Hospital 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. There were no tax uncertainties that met the recognition threshold in 2013. |
| XI 2d | The amount shown on line 2d consists of 40,134 Capital Campaign Conributions reported on the balance sheet, and 6,693,037 provision for doubtful accounts reported as an offset to revenue on the financial statements and 2 rounding. |
| XII 2d | The amount shown on line 2d consists of 6,693,037 provision for doubtful accounts reported as an offset to revenue on the financial statements and 1 rounding. |
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 | $2,607,427 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,128,535 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,478,892 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03190 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,189,670 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,189,670 | DirectOffsettingRevenueAmt |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $181,179 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $163,886 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,293 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,978,276 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,482,091 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,496,185 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03230 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $117,139 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,230 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $115,909 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00250 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $834,543 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $834,543 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01800 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $230 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $230 | NetCommunityBenefitExpnsAmt |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $951,912 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,230 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $950,682 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02050 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,930,188 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,483,321 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,446,867 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05280 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,018 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,018 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $659 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $659 | NetCommunityBenefitExpnsAmt |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,613 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $17,613 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $21,290 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $21,290 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,509,659 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $310,803 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $12,939,876 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $14,292,082 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,352,206 | 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 | Yes (true) | 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 | Jefferson Memorial Hospital | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 South Preston Street | AddressLine1 |
| City | Ranson | City |
| State | WV | State |
| ZIP Code | 25438 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | http//www.wvuniversityhealthcare.com | WebsiteAddressTxt |
| State License | 103 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| 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 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.wvuniversityhealthcare.com | OwnWebsiteURLTxt |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | false | AllNeedsAddressedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (true) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 0000000002.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | false | FPGUsedDetermEligDscntCareInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| State Regulation | Yes (X) | StateRegulationInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Attached To Invoice | Yes (X) | AttachedToInvoiceInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit Report To Credit Agency | Yes (X) | PermitReportToCreditAgencyInd |
| Permit Lawsuit | Yes (X) | PermitLawsuitInd |
| Permit Lien On Residence | Yes (X) | PermitLienOnResidenceInd |
| Collection Activities | Yes (true) | CollectionActivitiesInd |
| Reporting To Credit Agency | Yes (X) | ReportingToCreditAgencyInd |
| Lawsuit | Yes (X) | LawsuitInd |
| Liens On Residences | Yes (X) | LiensOnResidencesInd |
| 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 Jefferson Memorial Hospital Line Part V, Section B, Line 3 | During a three month period, representatives of the MAPP 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 responses were first condensed into broad strategy categories. |
| Group Jefferson Memorial Hospital Line Part V, Section B, Line 3 | These categories were initially established by the number of times specific types of strategies were suggested. Community Health Needs Assessment CHNA stakeholder and representatives from Health and Human Services Collaborative HHSC 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 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 Jefferson Memorial Hospital Line Part V, Section B, Line 4 | The CHNA was undertaken jointly with City Hospital Inc. |
| Group Jefferson Memorial Hospital Line Part V, Section B, Line 7 | Together Jefferson Memorial Hospital and City Hospital 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, Berkeley Medical Center did recently open a NICU and the WVU Health Sciences Center Eastern Division and University Healthcare collaborated with local farmers markets to obtain a federal grant to improve access to these products for residents in the Eastern Panhandle. We are not ignoring these issues. We simply wanted to focus our efforts on the top 3 community health needs that were identified in our study. |
| Group Jefferson Memorial Hospital Line Part V, Section B, Line 11 | Jefferson Memorial offers discounted care only to individuals who qualify for free care. JMH 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 discounted the patient/guarantor must meet certain requirements. |
| Group Jefferson Memorial Hospital Line Part V, Section B, Line 22 | All patients that do not qualify for charity care are charged an amount equal to gross charges regardless of payment method. |
Supplemental Information Detail SupplementalInformationDetail (32 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I Line 3c | Jefferson Memorial Hospital JMH uses 200 Federal Poverty Guideline to determine free care eligibility. JMH 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 discounted the patient/guarantor must meet certain requirements. |
| Part I Line 6a | Community Benefit amounts for Jefferson Memorial Hospital are reported on WV United Health Systems website www.wvunitedhealthsystem.org under community responsibility report. |
| Part I Line 7 | Column f - Total community benefit expense for 2013 is 12,930,188 and is 24.35 of total net expenses. To calculate net expense, bad debt of 6,693,037 was deducted from total expenses of 53,093,432 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 | Physical improvements and housing - Jefferson Memorial Hospital employees spent a weekday volunteering at two local social service agencies on behalf of the United Way of the Eastern Panhandle Boys Girls Club and Eastern Panhandle Care Clinic. |
| Part II | Economic Development - A representative from JMH serves on the Jefferson County Development Authority and the Jefferson County Chamber of Commerce Board of Directors. |
| Part II | Community Support - We sponsor and have a team participate in the annual March of Dimes Walk Jefferson County, American Cancer Society Relay for Life in Jefferson County and various other fundraising events for local, health related, non-profit organizations. Many WVUH-East employees serve as volunteer board directors on community non-profit organizations such as Hospice of the Panhandle, Boys Girls Club of Eastern Panhandle, Eastern Panhandle Care Clinic, Jefferson County Schools and the United Way of the Eastern Panhandle as well as participate in other non-profit organizations such as Jefferson County Community Ministries, FLOC, provide children the opportunity for hands on learning through programs and youth development, Good Shepherd Caregivers and Young Lives, a group that provides mentoring, referrals to community resources, and life skills training to teenage moms. |
| Part II | Leadership Development and Training - Two managers participated in the Chamber of Commerces Leadership Jefferson program for 2013. Other directors participated in leadership development workshops throughout the year. |
| Part II | Coalition Building - JMH staff participate in the Health Human Services Council, Jefferson County Schools Wellness Committee, United Way workgroups like Behavior Health and Health Works groups as well as Community Health Initiative - Healthier Jefferson County. These activities focus on improving community access to health care, human services in general, and determine ways to encourage healthy lifestyles. JMH staff are involved in memberships such as the Chamber of Commerce and the Rotary Club of Charles Town that are service oriented organizations. JMH also sponsored health wellness events and participate in wellness events with the local schools and churches in Jefferson County. |
| Part II | Community health improvement advocacy - WVUH-East is a partner in the MAPP project which is a collaborative initiative to assess community social services needs and develop a plan to tackle these issues. In 2013, JMH produced the final CHNA and is in the process of developing implementation plans to address four health needs in the community - chronic disease, lung and breast cancer, and behavioral health/substance abuse. JMH staff participate on wellness committees for the Jefferson County School board and well as for the individual schools. JMH staff also participate in ATAC, Tobacco Awareness Coalition, and sponsored a food program at the Jefferson County Community Ministries, another local non-profit agency promoting healthy eating and teaching healthier cooking. JMH staff provide health and wellness in-services to local non-profits such as the Jefferson County Council of Aging Senior center and the adults with disabilities day care center at Jefferson Center. JMH sponsored and held a health fair event as well as a community baby shower for the public. |
| Part II | Workforce Development - WVUH-East is also a major sponsor of the Womens Network, which is a new organization, established by the Berkeley and Jefferson County Chambers. This group sponsors womens professional activities, social networking and professional development seminars. JMH staff is also membership to the Professional Business Womens Association. JMH 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 on Line 2 was calculated by multiplying bad debt expense of 6,693,037 by our cost-to-charge ratio of 66.11 for a total of 4,424,767 less DSH allocations to self-pay patient accounts of 1,915,108 for a total of 2,509,659. |
| Part III Line 2 | 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. |
| Part III Line 2 | JMH grants credit without collateral to its patients, most of whom are local residents and are insured under third-party agreements, primarily with Medicare, Medicaid, and various commercial insurance companies. JMH maintains allowances for potential credit losses and such losses have historically been within managements expectations. |
| 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 15,000 or greater from our patient accounting system. That report totaled 470,130 which was then multiplied by the cost-to-charge ratio of 66.11 for a total of 310,803. |
| Part III Line 4 | Jefferson Memorial Hospitals financial statements are prepared on a consolidated bases as a member of WV United Health System. The footnote for Accounts Receivable - Patients are reported at net realizable value. Accounts are written off when they are determined to be uncollectable based upon managements assessment of individual accounts. In evaluating the collectability of patient accounts receivable, the System analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. For receivables associated with services provided to patients who have third-party coverage the System analyzes contractual amounts due and provides an allowance for doubtful accounts and a provision for bad debts, if necessary. |
| Part III Line 4 | For receivables associated with self-pay patients, which includes both patients without insurance and insured patients with deductible and copayment balances, the System records a significant provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the billed rates and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. |
| Part III Line 8 | The amount reported in Part III Line 6 14,292,082 was calculated using the total Medicare allowable cost from the Medicare cost report. |
| Part III Line 8 | Jefferson Memorial Hospitals 1,352,206 shortfall of Medicare program reimbursement should be considered a community benefit because we are relieving a government burden by providing care in excess of our costs to these patients. |
| Part III Line 9b | JMH 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, the patient will not be sent to 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 | Jefferson Memorial Hospital is a critical care hospital within the health care system of West Virginia University Hospitals - East WVUH-East Marketing Department considers several components in assessing how the organziation determines the need of the communities it serves. Through outside consultants to collaborating with carious departments, a needs assessment takes into account several factors including physician 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 Count, WV and Jefferson County, WV with Morgan County, WV being a secondary service area. This data is then analyzed to provide general estimates to wehre WVUH-East could better care for resident of West Virginias 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 Partnerships to create and implement a community health improvement plan. |
| Part VI Line 3 | JMH employs 2 financial analysts to meet with patients to discuss financial eligibility for our charity care program. JMH has applications for charity and the qualification requirements for receiving charity available at all registration areas for both facilities. Patients who do not qualify for state or federal funded programs can apply for the charity care program at WVUH-EAST. |
| Part VI Line 4 | Jefferson Memorial Hospital is a non-profit critical access hospital located in Jefferson County, WV population 55,073 in the city of Ranson with a total population of 2,957 residents. Jefferson Memorial Hospital along with City Hospital located in Martinsburg makes up University Healthcare which is a part of West Virginia United Health Systems. |
| Part VI Line 4 | WVUH-East provides the majority of inpatient services for the population in our Primary Service Area PSA. The PSA for WVUH-East includes Berkeley County and Jefferson County, WV. The 2012 market share for Jefferson Memorials Primary Service Area is 9.8 with 17.9 of those patients covered by Medicaid and 10.3 of the patients uninsured. City Hospital, Inc., a non-profit acute care hospital under common management, is within the PSA and War Memorial Hospital, a non-profit critical access hospital, operated by Valley Health System, is in the extended service area. |
| Part VI Line 4 | Jefferson Countys population is 55,073, with an average household income of 64,314 and an unemployment rate of 4.4. Currently, 11.1 of Jefferson County residents live below the poverty line according to the US Census Bureau 2008-2012. Berkeley County has a population of 108,706, an average household income 53,332 and an unemployment rate of 6.0. Currently 12.7 of Berkeley County residents live below the poverty line. In WVUH-Easts extended service area, Morgan County, WV has a population of 17,498, with an average household income of 35,350 and unemployment of 5.8. Currently, 14.9 of Morgan County residents live below the poverty line. |
| Part VI Line 5 | The JMH board of directors is a community board, with fourteen of the fifteen members living in or around Jefferson County. The remaining board member lives in Morgantown, WV and has connections with JMH through the WV 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 neither employees nor contractors of the organization, nor family members thereof. |
| Part VI Line 5 | JMH extends privileges to all qualified medical staff in Jefferson County and surrounding communities to meet its healthcare needs. |
| Part VI Line 5 | JMH allocates available funding to capital purchases and expanded services to improve patient care, support medical education in Jefferson County and surrounding counties in West Virginia and bordering states. |
| Part VI Line 5 | In 2009, WVUH-East started 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, WVUH-East offered Discounted Mammogram Clinics in May and October 2013 cash, no insurance. The clinics were successful in serving over 50 patients at Jefferson Memorial Hospital. |
| Part VI Line 5 | Our Mini-Medical School Program, which is held 8 times a 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 | JMH is party of the WV United Health System. JMH 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 service area, defined above, while offereing a variety of options for providers who want to participate. The System maintains a demonstrated commitment to assis rural communities in preserving and improving the health care available to the patients it serves. System management is focused on recruitment of staff and employees to meet the growing needs of the aging population in teh Systems services areas. Other hospitals in the System includes United Health Center, which is more centrally located in the state, City Hospital, Inc. which is located in teh Eastern Panhandle of West Virginia, West Virginia University Hospitals located in Morgantown, WV, and Camden-Clark Medical Center in Parkersburg, WV. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Jefferson Healthcare Foundation | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 Foundation Way Suite 2310 | AddressLine1 |
| City | Martinsburg | City |
| State | WV | State |
| ZIP Code | 25401 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 550768901 | RecipientEIN |
| IRC Section | 501c3 | IRCSectionDesc |
| Cash Grant | $60,000 | CashGrantAmt |
| Purpose Of Grant | Scholarship Program | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I Line 1 | FormAndLineReferenceDesc |
| Explanation | Jefferson Memorial Hospital does not typically give grants or contributions. Employees that chose to participate in the capital campaign for Jefferson Memorial Hospital could donate through a payroll deduction. The amount reported in Part II represents the amount withheld from employee paychecks during 2013 to be donated to the Jefferson Healthcare Foundation as part of the capital campaign. The use of such funds is known to Jefferson Memorial Hospital and there is no written process for monitoring use of such funds. Jefferson Memorial also contributed money to Jefferson Healthcare Foundation for the payment of scholarships. | ExplanationTxt |
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 |
| Rebuttable Presumption Proc | false | RebuttablePresumptionProcInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|
| Christina Coad | |||||
| COO | $247,702 | $2,000 | $774 | $7,513 | $257,989 |
| Charles Keeling | |||||
| CRNA | $282,024 | $258 | $15,701 | $297,983 | |
| Gary Matthews | |||||
| Pharmacy Director | $147,602 | $414 | $22,694 | $170,710 | |
| Ray Bernard | |||||
| CRNA | $169,445 | $148 | $28,494 | $198,087 | |
| Ryan Nau | |||||
| CRNA | $163,498 | $35 | $28,202 | $191,735 | |
| Frew Nagatu | |||||
| Pharmacist | $146,685 | $138 | $25,350 | $172,173 | |
| Linda Blanc | |||||
| Administrative Director Nursing | $121,730 | $774 | $31,827 | $154,331 | |
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 WVUH-East 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 2012 for 2013 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 16,909,570, Grants and allocations 106,482, Revenue 19,309,562 Jefferson Memorial Hospital JMH is a not-for-profit critical access hospital that operates twenty-four 24 hours a day, seven 7 days a week. The hospital offers acute care services, as well as emergency services. It serves as part of a regional health system, West Virginia University Hospitals-East, Inc. WVUH-East which serves Berkeley, Jefferson and Morgan Counties in West Virginia. |
| Form 990, Part III, Line 4d | Program Service Expenses 0, Grants and allocations 0, Revenue 0 The WVUH-East Board of Directors serves as the official Board for JMH. This Board includes representatives from the medical community, business and industry, labor, and advocates for the poor in Berkeley and Jefferson Counties. WVUs Vice President of Health Services in Morgantown and the Dean of the WVU School of Medicine-Eastern Division also serve as Board Directors. |
| Form 990, Part III, Line 4d | Program Service Expenses 0, Grants and allocations 0, Revenue 0 Other services provided by Jefferson Memorial Hospital, in addition to patient care, include a teaching program and a variety of community outreach involvement programs. In 2012, JMH continued to use surveying vendor Press Ganey. With over 900 hospitals in their database, this vendor offers comparison of JMH survey results to a much larger base of hospitals, creating more opportunities for future improvements. |
| Form 990, Part III, Line 4d | Program Service Expenses 0, Grants and allocations 0, Revenue 0 In 2011, JMH completed renovations of the third floor and planned for a remodel of the surgery department. A spiritual care program was also established and volunteer chaplains were recruited to staff the service. Perhaps the biggest event for JMH in 2011 was the announcement of the purchase of 50 acres of land in Jefferson County that will be developed into a new medical campus. |
| Form 990, Part IV, Line 24a | Bond issuances allocated to Jefferson Memorial Hospital are being reported on Schedule K of West Virginia University Hospitals, Inc EIN 55-0643304. West Virginia University Hospitals, Inc is a 501c3 and is the parent hospital of Jefferson Memorial Hospital. |
| Form 990, Part VI, Section B, Line 11b | The Form 990 is prepared by the WVUH accounting department and then reviewed by the WVUH-East Vice President of Finance. After approval by the VP of Finance, it is presented to all Board Members for final review. After it is reviewed by the Board of Directors, it is submitted to the IRS. |
| Form 990, Part VI, Section B, Line 12c | Each board member is required to disclose, annually, any relationships which may give rise to a potential 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 | Executive compensation is based upon the work of an independent salary consulting firm, which compiles data from comparable facilities in comparable geographic regions. The information is then used by the board of directors and compensation committee to set salaries. This work is documented and retained. |
| Form 990, Part VI, Section C, Line 19 | All financial and governing documents, including the conflict of intrest policy are maintained on site and made available to the public upon written request. |
| Form 990, Part IX, Line 11g | This total consists of Consulting Professional Fees 245,129, Contracted Labor 2,258,537, Lab fees 725,676, Contracted Labor - Patient Care 977,477, CP Medical Staff 1,888,861, CP Medical Staff Director 440,915, and Collection Agency Fees 234,274. |
| Form 990, Part XI, Line 9 | Other changes in net assets or fund balance includes 105,600 of related organization capitalization and 40,134 of capital contributions from Jefferson Healthcare Foundation posted to equity accounts and 1 rounding. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (16 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| WVU Hospitals - East Inc | |||||||||||
| 2000 Foundation Way Suite 2310 | Martinsburg | WV | 25401 | 202337985 | Health System | WV | 501C3 | 11a | West Virginia University Hospitals Inc | Yes (true) | |
| WVU Hospitals Inc | |||||||||||
| PO Box 8034 | Morgantown | WV | 26506 | 550643304 | Patient Care | WV | 501C3 | 3 | WV United Health System | Yes (true) | |
| WV United Health System Inc | |||||||||||
| 1000 Technology Drive | Fairmont | WV | 26554 | 550754713 | Health System | WV | 501C3 | 11a | false | N/A | |
| City Hospital Inc | |||||||||||
| 2000 Foundation Way Suite 2310 | Martinsburg | WV | 25401 | 550383321 | Patient Care | WV | 501C3 | 3 | WVUH-East Inc | Yes (true) | |
| University Healthcare Foundation | |||||||||||
| 2000 Foundation Way Suite 2310 | Martinsburg | WV | 25401 | 311118075 | Hospital Support | WV | 501C3 | 11a | false | N/A | |
| Jefferson Healthcare Foundation Inc | |||||||||||
| 2000 Foundation Way Suite 2310 | Martinsburg | WV | 25401 | 550768901 | Hospital Support | WV | 501C3 | 11a | false | N/A | |
| United Summit Center | |||||||||||
| 6 Hospital Plaza | Clarksburg | WV | 26301 | 550752788 | Behavioral Health | WV | 501C3 | 3 | false | N/A | |
| United Hospital Center Inc | |||||||||||
| 327 Medical Park Drive | Bridgeport | WV | 26330 | 550525724 | Patient Care | WV | 501C3 | 3 | WV United Health System | Yes (true) | |
| United Physicians Care Inc | |||||||||||
| 686 South Pike Street | Shinnston | WV | 26431 | 550638563 | Patient Care | WV | 501C3 | 3 | false | N/A | |
| United Health Foundation | |||||||||||
| 327 Medical Park Drive | Bridgeport | WV | 26330 | 550621706 | Hospital Support | WV | 501C3 | 11a | false | N/A | |
| WVU Healthcare Co-Op | |||||||||||
| PO Box 8059 | Morgantown | WV | 26506 | 550650441 | Support | WV | 501C3 | 11a | WV United Health System | Yes (true) | |
| Camden-Clark Health Services | |||||||||||
| 800 Garfield Ave | Parkersburg | WV | 26102 | 550769602 | Healthcare Access | WV | 501C3 | 11a, I | false | N/A | |
| Camden-Clark Foundation | |||||||||||
| 604 Ann Street | Parkersburg | WV | 26102 | 550667789 | Support | WV | 501C3 | 11a, I | false | N/A | |
| Camden-Clark Memorial Hospital | |||||||||||
| 800 Garfield Ave | Parkersburg | WV | 26102 | 311524546 | Patient Care | WV | 501C3 | 3 | WV United Health System | Yes (true) | |
| Camden-Clark Physician Corp | |||||||||||
| 800 Garfield Ave | Parkersburg | WV | 26102 | 264058719 | Patient Care | WV | 501C3 | 11a, I | false | N/A | |
| University Healthcare Physicians | |||||||||||
| 2500 Foundation Way | Martinsburg | WV | 25401 | 900893455 | Patient Care | WV | 501C3 | 3 | false | N/A | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | 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 | |||||||||
| 1000 Technology Drive Suite 2320 | Fairmont | WV | 26554 | 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 | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | 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 |